[Federal Register Volume 68, Number 158 (Friday, August 15, 2003)]
[Proposed Rules]
[Pages 49030-49300]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-20662]



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Part III





Department of Health and Human Services





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Centers for Medicare & Medicaid Services



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42 CFR Parts 410 and 414



Medicare Program; Revisions to Payment Policies Under the Physician Fee 
Schedule for Calendar Year 2004; Proposed Rule

  Federal Register / Vol. 68, No. 158 / Friday, August 15, 2003 / 
Proposed Rules  

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 410 and 414

[CMS-1476-P]
RIN 0938-AL96


Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule for Calendar Year 2004

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule.

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SUMMARY: This proposed rule would refine the resource-based practice 
expense relative value units (RVUs) and make other changes to Medicare 
Part B payment policy. The policy changes concern: Medicare Economic 
Index, practice expense for professional component services, definition 
of diabetes for diabetes self-management training, supplemental survey 
data for practice expense, geographic practice cost indices, and 
several coding issues.
    We are proposing these changes to ensure that our payment systems 
are updated to reflect changes in medical practice and the relative 
value of services. We solicit comments on these proposed policy 
changes.
    We also discuss the non-physician work-pool, the 5-year review of 
anesthesia services, and outpatient therapy services performed 
``incident to'' physician services.

DATES: We will consider comments if we receive them at the address, 
provided below, no later than 5 p.m. on October 7, 2003.

ADDRESSES: In commenting, please refer to file code CMS-1476-P. Because 
of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission or e-mail. Mail written comments (one 
original and two copies) to the following address ONLY: Centers for 
Medicare & Medicaid Services, Department of Health and Human Services, 
Attention: CMS-1476-P, P.O. Box 8013, Baltimore, MD 21244-8013. Please 
allow sufficient time for us to receive mailed comments on time in the 
event of delivery delays.
    If you prefer, you may deliver (by hand or courier) your written 
comments (one original and two copies) to one of the following 
addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence 
Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
    (Because access to the interior of the HHH Building is not readily 
available to persons without Federal Government identification, 
commenters are encouraged to leave their comments in the CMS drop slots 
located in the main lobby of the building. A stamp-in clock is 
available for persons wishing to retain a proof of filing by stamping 
in and retaining an extra copy of the comments being filed.)
    Comments mailed to the addresses indicated as appropriate for hand 
or courier delivery may be delayed and could be considered late.
    For information on viewing public comments, see the beginning of 
the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT: Gail Addis (410) 786-4522 (for issues 
related to repricing of supplies for practice expense inputs.)
    Pam West (410) 786-2302 (for issues related to Practice Expense 
Advisory Committee (PEAC) recommendations.)
    Jim Menas (410) 786-4507 (for issues related to anesthesia).
    Rick Ensor (410) 786-5617 (for issues related to Geographic Cost 
Price Index (GPCI)).
    Mary Stojak (410) 786-6939 (for issues related to the definition of 
diabetes for diabetes self-management training (DSMT)).
    Shannon Martin (410) 786-7939 (for issues related to rebasing of 
the Medicare Economic Index (MEI)).
    Dorothy Shannon (410) 786-3396 (for issues related to the 
``Incident To'' Therapy Discussion).
    Diane Milstead (410) 786-3355, Latesha Walker (410) 786-1101, or 
Gaysha Brooks (410) 786-3355 (for all other issues).

SUPPLEMENTARY INFORMATION:
    Inspection of Public Comments: Comments received timely will be 
available for public inspection as they are processed, generally 
beginning approximately 3 weeks after publication of a document, at the 
headquarters of the Centers for Medicare & Medicaid Services, 7500 
Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of 
each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view 
public comments, phone (410) 786-7197.
    Copies: To order copies of the Federal Register containing this 
document, send your request to: New Orders, Superintendent of 
Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date 
of the issue requested and enclose a check or money order payable to 
the Superintendent of Documents, or enclose your Visa or Master Card 
number and expiration date. Credit card orders can also be placed by 
calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-
6498) or by faxing to (202) 512-2250. The cost for each copy is $10. As 
an alternative, you can view and photocopy the Federal Register 
document at most libraries designated as Federal Depository Libraries 
and at many other public and academic libraries throughout the country 
that receive the Federal Register.
    This Federal Register document is also available from the Federal 
Register online database through GPO Access, a service of the U.S. 
Government Printing Office. The Web site address is: http://www.access.gpo.gov/nara/index.html.
    Information on the physician fee schedule can be found on our 
homepage. You can access this data by using the following directions:
    1. Go to the CMS homepage (http://www.cms.hhs.gov).
    2. Place your cursor over the word ``Professionals'' in the blue 
area near the top of the page. Select ``physicians'' from the drop-down 
menu.
    3. Under ``Policies/Regulations'' select ``Physician Fee 
Schedule.''
    Or, you can go directly to the Physician Fee Schedule page by 
typing the following: http://www.cms.hhs.gov/physicians/pfs.
    To assist readers in referencing sections contained in this 
preamble, we are providing the following table of contents. Some of the 
issues discussed in this preamble affect the payment policies but do 
not require changes to the regulations in the Code of Federal 
Regulations. Information on the regulation's impact appears throughout 
the preamble and is not exclusively in section VII.

Table of Contents

I. Background
    A. Legislative History
    B. Published Changes to the Fee Schedule
II. Provisions of the Proposed Regulation
    A. Resource-Based Practice Expense Relative Value Units
    1. Resource-Based Practice Expense Legislation
    2. Current Methodology
    3. Practice Expense Proposals for Calendar Year 2004
    B. Geographic Practice Cost Indices (GPCIs)
    C. Coding Issues
III. Other Issues
    A. Rebasing of the Medicare Economic Index (MEI)
    B. Definition of Diabetes for Diabetes Self-Management Training 
(DSMT)
    C. Outpatient Therapy Services Performed ``Incident To'' 
Physicians Services
    D. Status of Anesthesia Work and 5-Year Review
    E. Payment Policies for Anesthesia Services

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    F. Technical Correction
IV. Collection of Information Requirements
V. Response to Comments
VI. Regulatory Impact Analysis
Addendum A--Explanation and Use of Addendum B
Addendum B--2004 Relative Value Units and Related Information Used 
in Determining Medicare Payments for 2004.
Addendum C--Codes for Which We Received PEAC Recommendations on 
Practice Expense Direct Cost Inputs.
Addendum D--Proposed Changes to Practice Expense Supply Description 
and Pricing.

    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:

AMA American Medical Association
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act of 1999
CF Conversion factor
CFR Code of Federal Regulations
CMS Centers for Medicare & Medicaid Services
CNS Clinical Nurse Specialist
CPT [Physicians'] Current Procedural Terminology [4th Edition, 2002, 
copyrighted by the American Medical Association]
CPEP Clinical Practice Expert Panel
CRNA Certified Registered Nurse Anesthetist
E/M Evaluation and management
FMR Fair market rental
GAF Geographic adjustment factor
GPCI Geographic practice cost index
HCPCS Healthcare Common Procedure Coding System
HHA Home health agency
HHS [Department of] Health and Human Services
IDTFs Independent Diagnostic Testing Facilities
MCM Medicare Carrier Manual
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MGMA Medical Group Management Association
MPFS Medicare Physician Fee Schedule
MSA Metropolitan Statistical Area
NAMCS National Ambulatory Medical Care Survey
PC Professional component
PEAC Practice Expense Advisory Committee
PPS Prospective payment system
RUC [AMA's Specialty Society] Relative [Value] Update Committee
RVU Relative value unit
SGR Sustainable growth rate
SMS [AMA's] Socioeconomic Monitoring System
SNF Skilled Nursing Facility
TC Technical component

I. Background

A. Legislative History

    Since January 1, 1992, Medicare has paid for physicians' services 
under section 1848 of the Social Security Act (the Act), ``Payment for 
Physicians' Services.'' This section provides for three major elements: 
(1) A fee schedule for the payment of physicians' services; (2) limits 
on the amounts that nonparticipating physicians can charge 
beneficiaries; and (3) a sustainable growth rate for the rates of 
increase in Medicare expenditures for physicians' services. 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 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 adjustments to RVUs cause 
expenditures to change by more than $20 million, we must make 
adjustments to ensure that they do not increase or decrease by more 
than $20 million.

B. Published Changes to the Fee Schedule

    In the July 2000 proposed rule, (65 FR 44177), we listed all of the 
final rules published through November 1999. In the August 2001 
proposed rule (66 FR 40372) we discussed the November 2000 final rule 
relating to the updates to the RVUs and revisions to payment policies 
under the physician fee schedule.
    In the November 2001 final rule with comment period (66 FR 55246), 
we made revisions to resource-based practice expense RVUs; services and 
supplies incident to a physician's professional service; anesthesia 
base unit variations; recognition of CPT tracking codes; and nurse 
practitioners, physician assistants, and clinical nurse specialists 
performing screening sigmoidoscopies. We also addressed comments 
received on the June 8, 2001 proposed notice (66 FR 31028) for the 5-
year review of work RVUs and finalized these work RVUs. In addition, we 
acknowledged comments received in response to a discussion of modifier-
62, which is used to report the work of co-surgeons. The November 2001 
final rule also updated the list of services that are subject to the 
physician self-referral prohibitions in order to reflect CPT and 
Healthcare Common Procedure Coding System (HCPCS) code changes that 
were effective January 1, 2002. All these revisions ensure that our 
payment systems are updated to reflect changes in medical practice and 
the relative value of services. This final rule also conformed our 
regulations to reflect statutory provisions of Medicare, Medicaid, and 
State Child Health Insurance Program (SCHIP) Benefits Improvement and 
Protection Act of 2000 (Pub. L. 106-554) (BIPA) concerning: The 
mammography screening benefit; biennial screening pelvic examinations 
for certain beneficiaries; expanded coverage for screening 
colonoscopies to all beneficiaries; provided for annual glaucoma 
screenings for high-risk beneficiaries; established coverage for 
medical nutrition therapy services for certain beneficiaries; expanded 
payment for telehealth services; required certain Indian Health Service 
providers to be paid for some services under the physician fee 
schedule; and revised the payment for certain physician pathology 
services.
    In the December 31, 2002 final rule with comment period (67 FR 
79966), we refined resource-based practice expense RVUs and made other 
changes to Medicare Part B policy. These included: The pricing of the 
technical component for positron emission tomography (PET) scans, 
Medicare qualifications for clinical nurse specialists, a process to 
add or delete services to the definition of telehealth, the definition 
for ZZZ global periods, global period for surface radiation, and 
application of endoscopic reduction rules for certain codes. In 
addition, this rule: Updated the codes subject to physician self-
referral prohibitions, expanded the definition of a screening fecal-
occult blood test, and modified our regulations to expand coverage for 
additional colorectal cancer screening tests through our national 
coverage determination process. We also made revisions to the 
sustainable growth rate, the anesthesia conversion factor (CF), and the 
work values for some gastroenterologic services. We finalized the CY 
2002 interim RVUs and assigned interim RVUs for new and revised 
procedure codes for calendar year CY 2003, clarified the enrollment of 
therapists in private practice and the policy regarding services and 
supplies incident to a physician's professional services, and made 
technical changes to the definition of outpatient rehabilitation 
services.
    This final rule also revised the regulations at 42 CFR 485.618 to 
allow registered nurses (RNs) to provide

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emergency care in certain critical access hospitals (CAHs) in frontier 
areas (an area with fewer than six residents per square mile) or remote 
locations (locations designated in a State's rural health plan that we 
have approved).
    As required by statute this final rule also announced that the 
physician fee schedule update for CY 2003 was -4.4 percent, the initial 
estimate of the sustainable growth rate (SGR) for CY 2003 was 7.6 
percent, and the CF for CY 2003 was $34.5920, effective March 1, 2003. 
However, on February 28, 2003 (68 FR 9567), after enactment of the 
Consolidated Appropriations Resolution of 2003 (Pub. L. 108-7), we 
published a final rule that revised the estimates used to establish the 
SGRs for fiscal years 1998 and 1999 and announced a 1.6 percent 
increase in the CY 2003 physician fee schedule CF for March 1 to 
December 31, 2003. The CF from March 1 to December 31, 2003 is 
$36.7856. The anesthesia CF for this period is $17.05. All other 
provisions of the December 31, 2002 final rule were unchanged by the 
rule published February 28, 2003.

II. Provisions of the Proposed Rule

    This proposed rule would affect the regulations set forth at Part 
410, Supplementary medical insurance (SMI) benefits and part 414, 
Payment for Part B and other health services.

A. Resource-Based Practice Expense Relative Value Units

1. Resource-Based Practice Expense Legislation
    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 
103-432), enacted on October 31, 1994, required 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 were to consider the staff, equipment, 
and supplies used in providing medical and surgical services in various 
settings. The legislation specifically required that, in implementing 
the new system of practice expense RVUs, we apply the same budget-
neutrality provisions that we apply to other adjustments under the 
physician fee schedule.
    Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 
105-33), enacted on August 5, 1997, amended section 1848(c)(2)(ii) of 
the Act and delayed the effective date of the resource-based practice 
expense RVU system until January 1, 1999. In addition, section 4505(b) 
of the BBA provided for a 4-year transition period from charge-based 
practice expense RVUs to resource-based RVUs.
    Further legislation affecting resource-based practice expense RVUs 
was included in the Medicare, Medicaid and State Child Health Insurance 
Program (SCHIP) Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 
106-113) enacted on November 29, 1999. Section 212 of the BBRA amended 
section 1848(c)(2)(ii) of the Act by directing us to establish a 
process under which we accept and use, to the maximum extent 
practicable and consistent with sound data practices, data collected or 
developed by entities and organizations. These data would supplement 
the data we normally collect in determining the practice expense 
component of the physician fee schedule for payments in CY 2001 and CY 
2002. (In the 1999 final rule (64 FR 59380), we extended, for an 
additional 2 years, the period during which we would accept 
supplementary data.)
2. Current Methodology for Computing the Practice Expense Relative 
Value Unit System
    Effective with services furnished on or after January 1, 1999, we 
established a new methodology for computing resource-based practice 
expense RVUs that used 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) Socioeconomic 
Monitoring System (SMS) data. The methodology was based on an 
assumption that current aggregate specialty practice costs are a 
reasonable way to establish initial estimates of relative resource 
costs for physicians' services across specialties. The methodology 
allocated these aggregate specialty practice costs to specific 
procedures and, thus, can be seen as a ``top-down'' approach.
a. Major Steps
    A brief discussion of the major steps involved in the determination 
of the practice expense RVUs follows. (Please see the November 1, 2001 
final rule (66 FR 55249) for a more detailed explanation of the top-
down methodology.)
    [sbull] Step 1--Determine the specialty specific practice expense 
per hour of physician direct patient care. We used the AMA's SMS survey 
of actual aggregate cost data by specialty to determine the practice 
expenses per hour for each specialty. We calculated the practice 
expenses per hour for the specialty by dividing the aggregate practice 
expenses for the specialty by the total number of hours spent in 
patient care activities.
    [sbull] Step 2--Create a specialty specific practice expense pool 
of practice expense costs for treating Medicare patients. To calculate 
the total number of hours spent treating Medicare patients for each 
specialty, we used the physician time assigned to each procedure code 
and the Medicare utilization data. We then calculated the specialty 
specific practice expense pools by multiplying the specialty practice 
expenses per hour by the total physician hours.
    [sbull] Step 3--Allocate the specialty specific practice expense 
pool to the specific services performed by each specialty. For each 
specialty, we divided the practice expense pool into two groups based 
on whether direct or indirect costs were involved and used a different 
allocation basis for each group.
    (i) Direct costs--For direct costs (which include clinical labor, 
medical supplies, and medical equipment), we used the procedure 
specific CPEP data on the staff time, supplies, and equipment as the 
allocation basis.
    (ii) Indirect costs--To allocate the cost pools for indirect costs, 
including administrative labor, office expenses, and all other 
expenses, we used the total direct costs combined with the physician 
fee schedule work RVUs. We converted the work RVUs to dollars using the 
Medicare CF (expressed in 1995 dollars for consistency with the SMS 
survey years).
    [sbull] Step 4--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.
b. Other Methodological Issues
(i) Non-Physician Work Pool
    For services with physician work RVUs equal to zero (including the 
technical components of radiology services and other diagnostic tests), 
we created a separate practice expense pool using the average clinical 
staff time from the CPEP data and the ``all physicians'' practice 
expense per hour.
    We then used the adjusted 1998 practice expense RVUs to allocate 
this pool to each service. We have removed services from the non-
physician work pool if the requesting specialty predominates 
utilization of the service. Also, for all radiology services that are 
assigned physician work RVUs, we used the adjusted 1998 practice 
expense RVUs for radiology services as an

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interim measure to allocate the direct practice expense cost pool for 
radiology.
(ii) Crosswalks for Specialties Without Practice Expense Survey Data
    Since many specialties identified in our claims data did not 
correspond exactly to the specialties included in the SMS survey data, 
it was necessary to crosswalk these specialties to the most appropriate 
SMS specialty.
(iii) Physical Therapy Services
    Because we believe that most physical therapy services furnished in 
physicians' offices are performed by physical therapists, we 
crosswalked all utilization for therapy services in the CPT 97000 
series to the physical and occupational therapy practice expense pool.
3. Practice Expense Proposals for Calendar Year 2004
a. Non-Physician Work Pool
    The non-physician work pool was created as an interim measure until 
we could further analyze the effect of the top-down methodology on the 
Medicare payment for services that do not have physician work RVUs (see 
the November 1998 final rule (63 FR 58841)).
    In the June 28, 2002 proposed rule (67 FR 43849), we discussed 
alternatives that we have considered to address the non-physician work 
pool issue, including ideas raised by the Lewin Group as well as 
recommendations in a 2001 GAO report. While we have not reached a final 
resolution on how to best address this issue, we are continuing to 
study the alternatives that are available. We also believe that our 
proposal extending the deadline for the submission of supplemental 
survey data (see following discussion) will provide an opportunity for 
specialties whose services are affected by the non-physician work pool 
to submit practice expense data that can be used for determining 
practice expense RVUs under the physician fee schedule. Any 
modifications to the non-physician work pool would be published in 
proposed rulemaking.
b. Supplemental Practice Expense Survey Data
    As required by the BBRA, we established criteria to evaluate data 
collected by organizations to supplement the data normally used in 
determining the practice expense component of the physician fee 
schedule. Due to the time constraints imposed by the statute for 
publication of the physician fee schedule final rule, we have required 
supplementary survey data to be submitted by August 1 to be considered 
for computing practice expense RVUs for the following year. We are 
proposing to change the required submission date to March 1. This would 
allow us to publish our decisions regarding survey data in the proposed 
rule and would provide an opportunity for public comment on survey 
results.
    To continue to ensure the maximum opportunity for specialties to 
submit supplementary practice expense data, we are again proposing to 
extend for an additional 2 years the period for accepting survey data 
that meets the criteria set forth in the November 2000 final rule (as 
modified in the December 31, 2002 final rule). The deadline for 
submission of the supplemental data to be considered in CY 2005 and CY 
2006 are March 1, 2004 and March 1, 2005, respectively.
    In the December 31, 2002 final rule (67 FR 79979), we responded to 
comments expressing concern about the impact of making the technical 
component the difference between the global and professional component 
practice expense RVUs for services that are not affected by the non-
physician work pool calculations. We agreed to a one-year moratorium on 
implementation of the proposed change for pathology services paid under 
the physician fee schedule to allow for a supplemental survey of 
independent laboratories. Consistent with the change to making the 
survey deadline March 1, we are considering whether to extend the 
moratorium by one additional year. By extending the moratorium, we can 
show the impact of the independent laboratory survey in the 2004 
proposed rule and allow public comment on its results prior to making 
changes to the practice expense RVUs on January 1, 2005. We welcome 
public comment on whether we should adopt the proposed change for 2004 
in this year's final rule or extend the moratorium by 1 year.
c. Oncology Survey Data
    In the December 31, 2002 final rule (67 FR 79973), we indicated 
that the American Society of Clinical Oncology (ASCO) submitted a 
supplemental practice expense survey. Our contractor, the Lewin Group, 
raised specific concerns to us about the survey results. Consequently, 
we did not incorporate the survey into the practice expense methodology 
but indicated that we would further examine its results with the Lewin 
Group and confer with ASCO about our concerns. We have discussed the 
oncology survey together with the Lewin Group and ASCO. These 
discussions were useful in providing us with more information upon 
which to make a final decision regarding incorporation of the oncology 
survey into the practice expense methodology. We expect to make our 
decision known in a subsequent proposed rule that will address Medicare 
payment for drugs currently paid based on 95 percent of the average 
wholesale price.
d. Practice Expense for a Professional Component Service
    Since the inception of the resource-based practice expense 
methodology, we have assigned all staff equipment and supply costs for 
services with professional and technical components (PC and TC) to the 
technical portion of the service. We have done this because we believe 
that generally all of these direct cost inputs are associated with 
obtaining the diagnostic information and there would be no direct costs 
associated with the physician interpretation. However, we now believe 
that there may be limited exceptions where it is appropriate to assign 
direct inputs to a PC service. For instance, the Practice Expense 
Advisory Committee (PEAC) recommended that we include clinical staff 
time in certain codes that have both a PC and TC component for 
activities such as scheduling the procedure and educating the patient 
when the procedure is done in the facility setting. We accepted these 
recommendations but, because the practice expense methodology currently 
does not assign direct inputs to PC services and the TC is not paid in 
the facility setting, these procedures were not credited with the 
recommended practice expense inputs.
    We propose to modify the practice expense methodology to allow 
direct inputs to be added to PC services when these inputs are clearly 
associated with the professional service, including when the PEAC makes 
such recommendations. We are proposing to add the PEAC recommended 
staff times to the PC of the following cardiac services: CPT codes 
93508, 93510, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93530, 
93531, 93532, 93533 and 93624. The practice expense RVUs for these 
codes will increase slightly from this change resulting in minor 
reductions in practice expense RVUs for some other services performed 
by cardiologists. There will be no impact on the practice expense RVUs 
for any other specialty.
e. Utilization Data
    We use Medicare utilization data in the development of specialty-
specific practice expense RVUs that are then weight averaged to 
determine a single practice expense RVU per code. Prior to

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2003, we used the most recent complete year of utilization data to 
determine the practice expense RVUs. For instance, we determined the 
2001 practice expense RVUs using Medicare utilization data from 1999 
for most procedure codes. However, if a procedure code was new in 2000, 
we did not have any 1999 utilization data to determine its 2001 
practice expense RVU and could not use specialty-specific data until 
2000 utilization data was available to us. In some cases, the new code 
was clearly related to an older code or codes and we were able to use 
an estimation of the probable specialty utilization for 2001 until 
actual specialty-specific utilization was available for 2002. Where we 
were not able to determine the probable specialty-specific utilization 
we assigned the ``all physician'' average practice expenses to the 
service until we obtained specialty-specific utilization. Thus, in this 
case, we used the ``all physician average'' to determine the code's 
2001 practice expense RVU and specialty-specific utilization to 
determine the 2002 practice expense RVU.
    In the December 31, 2002 final rule (67 FR 79982), we adopted a 
policy of using the 1997 through 2000 Medicare utilization in the 
practice expense methodology. For new codes created since 2000, there 
are no Medicare utilization data in the 1997 through 2000 period upon 
which to determine specialty-specific practice expenses. We are 
proposing to follow a similar practice to the one described above and 
use specialty-specific Medicare utilization data for codes created 
after 2000 at the first opportunity they become available to us. 
Therefore, we are proposing to use 1997 through 2000 Medicare 
utilization data for all codes that were in existence at that time. If 
a code did not exist during the 1997 through 2000 period, we propose 
using the first available utilization data for the code in order to 
develop the practice expense RVU. Since we will not have any 
utilization data at the time we first establish practice expense RVUs 
for a new code, we propose that we continue, whenever possible, to make 
an assumption about the specialty that will likely provide the service 
or to use the ``all physician'' average when we do not have sufficient 
information to assign any given specialty. We will make available on 
the CMS web site (http://cms.hhs.gov) files containing the data that we 
will use in determining the proposed rule practice expense RVUs. We 
propose in each year's proposed rule to substitute actual for estimated 
utilization once the data become available. For instance, in this 
proposed rule, we will substitute actual 2002 utilization data for 
estimated 2002 utilization data to determine the 2004 practice expense 
RVUs for codes that were new in 2002. Practice expense RVUs may change 
as we make updates to the utilization data that we use in the practice 
expense methodology. We encourage the AMA's Specialty Society Relative 
Value Update Committee (RUC) and other interested parties to provide 
information on the specialties that will likely perform a new service 
to minimize the potential changes to the practice expense RVUs that 
will occur when we substitute actual for estimated utilization.
    For the proposed rule, the utilization data from the prior year are 
96 percent complete. In the past, we used 100 percent complete data 
from a prior year in the proposed rule (for example, we used 2000 
utilization data to simulate impacts for the June 28, 2002 proposed 
rule) and did not use the preceding year's utilization data until the 
final rule (for example, we used 2001 utilization data to simulate 
impacts for the December 31, 2002 final rule). Beginning with this 
year's proposed rule, we are using the prior year's utilization data 
for developing practice expense RVUs and simulating impacts. Because 
the utilization file that we are using for the proposed rule is only 96 
percent complete, there may be minor changes to the payment impacts and 
practice expense RVUs between the proposed rule and the final rule for 
which we will use 100 percent complete data from the prior year.
f. Practice Expense Advisory Committee (PEAC)
Recommendations on CPEP Inputs for 2004
    The PEAC, a subcommittee of the RUC, has, since 1999, been 
providing us with recommendations for refining the direct practice 
expense inputs (clinical staff, supplies, and equipment) for existing 
CPT codes. In the past, our actions on these PEAC recommendations have 
been incorporated into the physician fee schedule final rule and have 
been used as interim values for services provided in the following 
calendar year. We have accepted comments on these refinements and 
addressed them in rulemaking the following year. This year we are 
including the PEAC recommendations in the proposed rule, which will 
enable specialty groups to assess the impact of these changes on their 
services and make comments on the recommendations before the final 
rule.
    These PEAC recommendations are the result of meetings held in 
September of 2002 and January 2003 and account for approximately 772 
codes from many specialties. (A list of these codes can be found in 
Addendum C.) The PEAC has also submitted recommendations on the 
refinements to the clinical staff time for all 90-day global services 
(accounting for a further 3,604 CPT codes).
    This massive refinement was possible because the PEAC adopted a 
standardized approach to the refinement of the clinical staff times for 
90-day global codes. The PEAC has recommended that the following 
standard clinical staff times be applied to all 90-day codes, except 
for those in which the specialty argued for an exception to the 
standard:
    [sbull] Pre-service time--35 minutes of pre-service clinical staff 
time in the office and 60 minutes for services performed in the 
facility setting;
    [sbull] Discharge day management time--6 minutes of clinical staff 
time if the procedure is performed predominantly in the outpatient 
facility setting and 12 minutes if performed predominantly in the 
inpatient setting. (This standard is also recommended for all of the 
10-day global procedures); and
    [sbull] Post-service office visit time--equal to the clinical staff 
times associated with the evaluation and management visit codes 
assigned to each service.
    Several specialties, including the neurosurgeons/spine surgeons, 
thoracic surgeons and colorectal surgeons requested and received 
increased pre-service times for some of their services. There were also 
a few services that are usually performed on an emergent basis when the 
pre-service time was reduced or omitted altogether. We believe that the 
standards recommended by the PEAC are appropriate and that the 
exceptions to these standards are also reasonable. Therefore, we are 
proposing to use the PEAC's recommendations for the clinical staff time 
for these global codes.
    In addition, the PEAC convened a workgroup to make recommendations 
on the refinement of all the 116 remaining evaluation and management 
codes. These are important achievements that have significantly 
advanced the pace of the refinement process. A total of 5358 codes have 
been refined; these codes represent 87 percent of physician fee 
schedule dollars. We greatly appreciate the dedication and hard work of 
the specialty societies and the AMA that are helping to ensure that 
this refinement process is successful.

[[Page 49035]]

    We have reviewed the submitted PEAC recommendations and propose to 
accept them. The complete PEAC recommendations and the revised CPEP 
database can be found on our web site. (See the Supplementary 
Information section of this proposed rule for directions on accessing 
our web site.)
g. Repricing of Clinical Practice Expense Inputs--Supplies
    We use the practice expense inputs (the clinical staff, supplies, 
and equipment assigned to each procedure) to allocate the specialty-
specific practice expense cost pools to the procedures performed by 
each specialty. The costs of the original inputs assigned by the CPEP 
were determined by our contractor, Abt Associates, based primarily on 
1994 and 1995 pricing data from supply catalogs. In addition, for many 
items on the equipment and supply list, the associated costs were based 
on the recommendations of a CPEP panel member, rather than on actual 
catalog prices. Subsequent to the CPEP panels, equipment and supply 
items have also been added to the CPEP data, with the costs of the 
inputs provided by the relevant specialty society.
    In the August 2, 2001 proposed rule (66 FR 40378), we proposed 
updates and revisions to the clinical staff salary data which were 
finalized in the final rule published November 1, 2001 (66 FR 55255). 
In that final rule, we also indicated that in future rulemaking we 
would be proposing updates to the supply and equipment inputs that are 
used in the CPEP database. We, therefore, contracted with a consultant 
to assist us in obtaining the current price for each supply item in our 
CPEP database. The consultant has been able to determine the current 
prices for most of the supply inputs and has submitted documentation 
for the proposed new pricing from vendor catalogs or websites. Whenever 
possible, multiple sources were obtained for frequently used supplies 
so that a typical price could be determined.
    In addition, we asked the consultant to help identify and clarify 
those supplies for which the original descriptions in the CPEP database 
are too general to price (for example ``laser'' or ``antigen'') or are 
otherwise unidentifiable. Our consultant worked closely with the 
specialty societies to ensure that accurate information was obtained in 
identifying as many of these supplies as possible.
    Addendum D contains the proposed new unit prices for supply items 
when current pricing was obtained, as well as new descriptions when 
needed. A more detailed spreadsheet can be found on our Web site, 
(http://www.cms.hhs.gov/physicians/pfs), that contains additional 
information regarding the sources used to price each item.
    There are items that have either not yet been identified or for 
which pricing information has not yet been found. These supply items 
are included in Table 1 below. In this table we have identified the 
supply code (if assigned), the existing item description, unit and 
price, the procedures or specialties associated with the item, as well 
as the proposed new description and standardized unit of use. We have 
also identified items for deletion from the database. We are requesting 
that commenters, particularly the relevant specialty groups, provide us 
with the needed pricing information with appropriate documentation. 
Whenever possible, multiple sources of documentation should be provided 
so that a typical price can be determined. If we are not able to obtain 
any verified pricing information for an item, we may eliminate it from 
the database.

BILLING CODE 4120-01-P

[[Page 49036]]

[GRAPHIC] [TIFF OMITTED] TP15AU03.005


[[Page 49037]]


[GRAPHIC] [TIFF OMITTED] TP15AU03.006


BILLING CODE 4120-01-C

[[Page 49038]]

    In addition to reviewing and updating the cost information for 
supplies in the database, our contractor also recommended database 
revisions to provide uniformity and consistency in the CPEP supply 
database. All of the following recommendations are noted in Addendum D:
    [sbull] Assignment of supply categories. In the original CPEP data, 
a number was assigned to each supply. The contractor has recommended 
that each supply item also be assigned a ``category'' to allow for 
easier selection and sorting of items. We agree and are proposing that 
supplies be assigned to one of the following 14 categories:
Accessory, Diagnostics;
Accessory, Equipment;
Accessory, Procedure;
Booklets/Forms;
Cutters, Closures/Cautery;
Gown, Drape;
Hypodermic/IV;
Infection Control;
Kit, Pack, Tray;
Lab;
Office, Grocery;
Pharmacy, NonRx;
Pharmacy, Rx; and
Wound Care, Dressings.

    These categories could also be used to establish a new numbering 
system for supplies. We would assign a letter to each supply category 
and use this in conjunction with a number (000 through 999) to identify 
each supply. This would enable specialty groups to identify more easily 
whether a supply has already been included in the CPEP database and 
would help ensure uniformity in the items used for calculating practice 
expenses. If we proceed in the final rule with this proposed method for 
categorizing supplies, we will assign new identifying numbers to each 
supply input item and these will be available on our website.
    [sbull] Consolidation/standardization of item descriptions.
    When items appear to be duplicative, we are proposing to combine 
the items. For example, ``Mayo stand cover'' and ``drape, sterile 
Mayo'' have both been changed to ``drape, sterile, for Mayo stand''. We 
also have attempted to better describe the supply items in a way that 
will make identification easier, using a key first word when possible. 
For example, all catheters are described as ``catheter, * * *'', all 
needles are described as ``needle * * *.'' In addition, references to 
proprietary or trademark names for multisource items have been included 
as parenthetical references (for example, ``Polibar TM'' is 
renamed barium suspension ``(Polibar TM ).''
    [sbull] Standardization of unit descriptions.
    The current CPEP database contains over 72 unit descriptions 
associated with supplies (for example, item, gram, and cup). To provide 
consistency and ensure that inputs in the database accurately reflect 
the quantity of an item used, we are proposing to standardize the unit 
description of items. If an item is intended for single use, even if it 
is not completely used, we propose to identify this by indicating the 
item size followed by ``uou'' (unit of use). For example ``soap bath'' 
has been renamed ``bath soap (one bar uou)'' and ``bacitracin unit dose 
pack, 9g'' has been renamed ``bacitracin oint (0.9 gm uou)''.
    We welcome any comments on the proposed pricing and all other 
proposed revisions. To help us evaluate the information provided, 
comments should include documentation such as information from a supply 
catalog or website or from a current invoice.
h. Miscellaneous Practice Expense Issues

Hyperbaric Oxygen Services

    We have received a request from a freestanding hyperbaric oxygen 
center to price the service in the office setting, so that those 
providing this service in a nonfacility can receive an appropriate 
payment. Therefore, we are proposing to assign on an interim basis the 
following practice expense inputs to CPT code 99183, Physician 
attendance and supervision of hyperbaric oxygen therapy, per session:
    Staff: Respiratory Therapist for 135 minutes (for a 2 hour 
treatment).
    Supplies: Minimum Visit Supply Package, 180 liters of oxygen, 187 
cubic feet of air.
    Equipment: Hyperbaric chamber.
    We will request that the Practice Expense Advisory Committee review 
these inputs at a meeting in the near future.

Maxillofacial Prosthetics PE/hour

    In the November 2, 1998 final rule (63 FR 58824), we created a 
special practice expense pool for maxillofacial prosthetics (CPT codes 
21076 through 21087) using the ``all physician'' practice expense per 
hour. Because the practice expense survey submitted in 1998 by the 
American Academy of Maxillofacial Prosthetics (AAMP) differed 
significantly in format and content from the SMS survey, we were not 
able to use the submitted data to calculate a practice expense per hour 
for maxillofacial prosthetics. AAMP has contended that the ``all 
physician'' rate underestimates the high costs for the staff, supplies 
and equipment associated with the provision of maxillofacial prosthetic 
services.
    We have asked our contractor, The Lewin Group, to analyze the 
submitted survey data to determine if the data would or would not 
support a change in the crosswalk for this specialty. The Lewin Group's 
finding suggests, ``the all-physician average may underestimate the 
practice expense per hour for maxillofacial prosthodontists.'' Based on 
the Lewin Group's finding, we reviewed the Medicare utilization of the 
maxillofacial prosthetics codes. Oral surgeons (specialty code 19) and 
maxillofacial surgeons (specialty code 85) overwhelmingly provide these 
services. We believe the practice expenses for these practitioners are 
likely to be similar to otolaryngologists since these physicians also 
provide office procedures affecting the head and face. We are proposing 
to eliminate the special practice expense pool for procedure codes 
21076 through 21087 and use otolaryngology as the crosswalk for oral 
surgeons and maxillofacial surgeons as a more appropriate approximation 
of the specialties' practice expense per hour. This proposal will 
increase payment for the maxillofacial prosthetics and other services 
that are predominantly billed by oral and maxillofacial surgeons. There 
will be no impact on payment for services provided by any other 
specialty from this change.

Holter Monitoring Codes

    A representative of an independent diagnostic testing facility has 
communicated to us that their review of the practice expense inputs for 
the holter monitoring codes, CPT 93225, 93226, 93231, and 93232 has 
revealed the inclusion of items that are not needed to perform these 
services. The correspondent suggested the following deletions:
    [sbull] For CPT codes 93225 and 93231 delete the ECG electrodes and 
laser paper, as well as the electric bed, computer and holter monitor; 
and
    [sbull] For CPT codes 93226 and 93232 delete the razor, nonsterile 
gloves, alcohol swab and tape, as well as the electric bed and exam 
table.
    We agree that these revisions appear reasonable and will make the 
above deletions on an interim basis until the PEAC can review these 
codes. It should be noted these codes are currently in the nonphysician 
work pool and that the CPEP data is not currently used to calculate 
their practice expense RVUs. Therefore, these changes will not at this 
time have any effect on the payment for these codes.

[[Page 49039]]

B. Geographic Practice Cost Index Changes

1. Background
    The Act requires that payments vary among Medicare physician fee 
schedule (MPFS) areas according to the extent that resource costs vary 
as measured by the Geographic Practice Cost Indices (GPCIs). In 
general, the MPFS areas that existed under the prior reasonable charge 
system were retained under the MPFS from calendar years 1992 through 
1996. We implemented a comprehensive revision in MPFS payment areas 
(localities) in 1997, reducing the number of localities from 210 to 89. 
Thirty-four states have a single statewide locality. In contrast, under 
the hospital inpatient prospective payment system (IPPS), costs are 
adjusted across more than 350 metropolitan statistical areas (MSAs).
    A detailed discussion of the MPFS payment localities can be found 
in the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 
1996 final rule (61 FR 59494).
2. Implication of GPCIs for Rural Areas
    The GPCIs do not affect total national payments under the MPFS, but 
instead distribute payments among areas according to area cost 
differences. In general, the data show that urban areas usually have 
higher costs, while rural areas have generally lower costs. Thus, on 
average the costs associated with operating a private medical practice, 
as measured by factors such as wages and rent, are higher in urban 
areas. Alternatively, the average costs associated with the operation 
of a private medical practice in a rural area are lower. Since the 
costs associated with operating a private medical practice are 
measurably different based upon geographic location, varying payments 
according to the GPCIs will benefit lower cost areas, usually rural, 
since the law provides that only one-quarter of the area cost 
difference in physician work, the largest of the three fee schedule 
GPCI components, be recognized. We believe this was an attempt by the 
Congress to shift payments to rural areas. Thus, about 40 percent of 
MPFS payments (.75 x .52) are by statute not adjusted for area cost 
differences. Additionally, one component of the practice expense GPCI, 
supplies, equipment and other, is also, by statute, not adjusted for 
area cost differences. Supplies, equipment and other represent about 13 
percent of total physician resource costs. This means that, 
effectively, there is a nationwide MPFS for about 53 percent of the 
average physician payment (40 percent physician work, 13 percent 
supplies, equipment and other). That is, only about 47 percent of 
overall physician payment is adjusted for area resource cost 
differences. In addition, 34 states are statewide payment localities in 
which all physicians, whether urban or rural, are paid the same. All of 
these factors shift payments from higher cost, usually urban, areas to 
lower cost, usually rural areas.
3. GPCI Composition
    Section 1848(e)(1)(C) of the Act requires us to review, and if 
necessary, adjust the GPCIs at least every 3 years. This section of the 
Act also requires us to phase in the adjustment over 2 years and 
implement only one-half of any adjustment if more than 1 year has 
elapsed since the last GPCI revision. The GPCIs were first implemented 
in 1992. The first review and revision was implemented in 1995, the 
second review was implemented in 1998, and the third review was 
implemented in 2001. The next GPCI review and revision is scheduled for 
implementation in 2004. However, as will be discussed in more detail, 
because the work and practice expense GPCIs rely primarily on special 
tabulations of U.S. Census data not yet available, review and revision 
of only the malpractice GPCI component will be implemented in 2004. 
Review and revision of the work and practice expense GPCIs will be 
implemented in 2005.
    Currently, only one data source is available for the practice 
expense GPCI (relative cost of office rent space collected by the 
Department of Housing and Urban Development (HUD)). Since we have not 
received the primary data upon which practice expense GPCIs are 
calculated and since the office rent component of the practice expense 
GPCI has proven not to be very substantial in past GPCI updates (it 
accounts for approximately 11.0 percent of the total GPCI calculation 
and is phased in over a two year period), we have decided not to revise 
the practice expense GPCIs for 2004. The work GPCI relies solely on 
data collected from the 2000 U.S. Census that is not yet available, so 
we are not able to propose updates to the work GPCI in this proposed 
rule.
    Although there are general discussions of both the background and 
composition of all three GPCI components in this proposed rule, a 
detailed discussion of only the 2004 revised malpractice GPCI is 
included in this proposal while a detailed discussion of the revised 
work and practice expense GPCIs will be included in the 2005 proposed 
rule.
4. Development of the Geographic Practice Cost Indices
    The GPCIs were developed by a joint effort of the Urban Institute 
and the Center for Health Economics Research under contract to CMS. The 
resource inputs and their weights are obtained from the AMA's 
Socioeconomic Characteristics of Medical Practices Survey. Indices were 
developed that measured the relative cost differences among areas 
compared to the national average in a ``market basket'' of goods. In 
this case, the market basket consists of the resources involved in 
operating a private medical practice. The resource inputs are physician 
work or net income; employee wages; office rents; medical equipment, 
supplies, other miscellaneous expenses; and malpractice insurance. 
Employee wages, rents, and miscellaneous expenses are combined to 
comprise the practice expense component of the GPCI. Table 2 below 
illustrates the cost share weights that have been utilized for each 
GPCI update:

                                               Table 2.--GPCI (Medicare Economic Index) Cost Share Weights
--------------------------------------------------------------------------------------------------------------------------------------------------------
                     Expense category                           1992-94*          1995-97**          1998-00**          2001-03***        2004-07****
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Earnings.......................................               54.2               54.2               54.2               54.5             52.466
Practice Expenses........................................               40.2               41.0               41.0               42.3             43.669
    Employee Wages.......................................               15.7               16.3               16.3               16.8             18.654
    Rents................................................               11.1               10.3               10.3               11.6             12.209
    Equip., Supplies, Other..............................               13.4               14.4               14.4               13.9             12.807
Malpractice Insurance....................................                5.6                4.8                4.8                3.2              3.865
                                                          --------------------
                                                                       100.0              100.0              100.0              100.0           100.000
--------------------------------------------------------------------------------------------------------------------------------------------------------
*Weights from 1987 AMA survey.

[[Page 49040]]

 
**Weights from 1989 AMA survey.
***Weights from 1997 AMA survey
****Weights from Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey),
  Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics;
  U.S. Department of Commerce, Bureau Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002
  Current Population Survey. (See section III.A. Rebasing and Revising of the Medicare Economic Index.)

    The Medicare economic index (MEI) is a measure of the average 
increases in the price of inputs used in operating a private medical 
practice and is used in the annual update of the MPFS CF. Because the 
GPCIs and the MEI use the same resource inputs to measure the costs of 
a private medical practice (the GPCIs measure relative costs among 
areas while the MEI measures the national average rate of increase in 
prices), as in the past, the same weights will be used for both the MEI 
and the GPCIs.
    Once the components and their weights were determined, we had to 
find data sources that were widely and consistently available to 
measure costs in all MPFS payment areas. After examining many sources, 
the following proxies were selected as the best available sources for 
measuring each component of the original 1992 through 1994 GPCIs:
    [sbull] Physician work--The median hourly earnings, based on a 20 
percent sample of 1980 census data, of workers in six professional 
specialty occupation categories (engineers, surveyors, and architects; 
natural scientists and mathematicians; teachers, counselors, and 
librarians; social scientists, social workers, and lawyers; registered 
nurses and pharmacists; writers, artists, and editors) with 5 or more 
years of college. Adjustments were made to produce a standard 
occupational mix in each area. The actual reported earnings of 
physicians were not used to adjust geographical differences in fees 
because these fees are, in large part, the determinants of the 
earnings. We believe that the earnings of physicians will vary among 
areas to the same degree that the earnings of other professionals vary.
    [sbull] Employee wages--Median hourly wages of clerical workers, 
registered nurses, licensed practical nurses, and health technicians 
were also based on a 20 percent sample of 1980 census data.
    [sbull] Office rents--Residential apartment rental data produced 
annually by the Department of Housing and Urban Development (HUD) were 
used because there were insufficient data on commercial rents across 
all physician fee schedule areas.
    [sbull] Equipment, supplies, other expenses--The Urban Institute 
and the Center for Health Economics research assumed that a national 
market represents this component and that costs do not vary appreciably 
among areas. This component's index is 1.000 for all areas to indicate 
no variation from the national average.
    [sbull] Malpractice--Premiums in 1985 and 1986 for a mature 
``claims made'' policy (a policy that covers malpractice claims made 
during the covered period) providing $100,000 to $300,000 of coverage 
were used. Adjustments were made to incorporate the costs of $1 million 
to $3 million coverage and mandatory patient compensation fund (PCF) 
requirements. Some States legally require physicians to join a PCF that 
provides coverage for catastrophic claims. Premium data were collected 
for physicians in three risk classes: low-risk (general practitioners 
who do not perform surgery), moderate risk (general surgeons), and 
high-risk (orthopedic surgeons).
    The areas selected for measurement purposes were the MSAs. Non-MSA 
areas within a State were aggregated into one residual area. Using MSAs 
for measurement satisfied our criteria to have (1) areas in which 
resource input prices were homogenous, and (2) areas of a large enough 
size so that market areas are self-contained to minimize border 
crossing; that is, physicians would probably not move their offices a 
few miles to secure higher payments and patients who would tend to 
receive services within their area.
    The Act requires, however, that the GPCIs reflect cost differences 
among MPFS payment areas. Thus, it was necessary to map Medicare 
localities to the MSA and non-MSA aggregation of GPCI data. Where 
localities crossed MSA boundaries, MSA indices were converted to 
Medicare locality indices by population weights.
    Detailed discussions of the methodology and data sources of the 
1992 through 1994 GPCIs can be obtained by requesting studies from the 
National Technical Information Service by calling 1-800-553-NTIS, or, 
for residents of Springfield, Virginia, (703) 487-4650. The studies are 
as follows:
    [sbull] The Urban Institute report ``The Geographic Medicare Index: 
Alternative Approaches,'' NTIS PB89-216592;
    [sbull] The supplement to ``The Geographic Medicare Index: 
Alternative Approaches,'' NTIS PB91-113506. This was published in the 
Federal Register in the September 4, 1990 notice (55 FR 36238) for the 
model fee schedule; and
    [sbull] The Urban Institute report, ``Refining the Malpractice 
Geographic Practice Cost Index,'' February 1991, NTIS PB91-155218. The 
related diskette is NTIS PB91-507491. This is the final version of the 
1992 through 1994 GPCIs as published in the Federal Register in the 
November 25, 1991 final rule (56 FR 59785).
5. Revised 1995 Through 1997 Geographic Practice Cost Indices
    The main criticism of the original GPCIs, that existed from 1992 
until 1994, was that they were outdated because they were based on old 
data; for example, 1980 census data and 1985 and 1986 malpractice 
premium data, was the most recent data available when the GPCIs were 
established. The revised 1995 through 1997 GPCIs were based on the most 
current data available when they were developed in 1993 and 1994. We 
also made some minor changes from the original GPCI methodology in 
calculating some of the revised 1995 through 1997 indices.
    One methodological change was made that applied across all indices. 
As mentioned earlier, under the original GPCIs, where Medicare payment 
localities crossed MSA boundaries, MSA indices were converted to 
locality indices by population weights. Medicare expenditure weights 
were not used because the expenditures under the reasonable charge 
system contained large differences unrelated to actual resource cost 
differences among areas. In calculating the revised GPCIs, where 
payment localities crossed MSA boundaries, locality indices were 
calculated by weights based on full MPFS RVUs, which reflect resource 
cost differences among areas. Full MPFS RVUs were used rather than 
actual 1993 payments because 1993 fee schedule payments still reflected 
some reasonable charge payment levels. The advantages of RVU weighting 
are (1) the GPCIs will more closely reflect physician practice costs in 
the area where the services are provided rather than where the 
population lives, and (2) budget neutrality is preserved when we 
combine multiple payment localities into larger areas, such as 
statewide localities.

[[Page 49041]]

a. Work Geographic Practice Cost Indices
    Data from the 20 percent sample of census data of median hourly 
earnings for the same six categories of professional specialty 
occupations as used in the 1992 through 1994 work GPCIs were used in 
calculating the 1995 through 1997 work GPCIs. The 1992 through 1994 
work GPCIs were calculated using 1980 census data of earnings for 
professionals with 5 or more years of college. That sample was no 
longer available with the 1990 census. The 1990 census educational 
classifications are by highest degree earned, rather than the 1980 
census classification by years of schooling. Thus, it was not possible 
to obtain earnings data exactly comparable to the 1980 data.
    For 1990, data were available for all-education and advanced-degree 
samples, but not for 5 or more years of college. We elected to use the 
all-education sample because its larger sample sizes made it more 
stable and accurate in the less populous areas. Although it could be 
argued that physicians' earnings might more closely approximate the 
earnings of professionals with advanced degrees, the differences 
between the all-education and advanced-degree indices were negligible 
in all but a few of the smallest localities. We believed that the small 
sample sizes of advanced-degree occupations in these small localities 
would produce inaccurate results.
    The 1992 through 1994 work GPCIs used metropolitan-wide median 
wages for each county within an MSA. That is, all counties within an 
MSA were assigned the MSA-wide median wage even if there were wage 
variations within the MSA. We believed that this was appropriate for 
all but Consolidated Metropolitan Statistical Areas (CMSAs), the 
largest of the MSAs, such as New York. In these CMSAs, we replaced 
metropolitan-wide earnings with county-specific earnings. We believed 
this change was appropriate because costs were, in fact, higher in 
central city areas (for example, Manhattan and San Francisco) than in 
the rest of the CMSA. County earnings were a better account of the cost 
variation within these large metropolitan areas.
b. Practice Expense Geographic Practice Cost Indices
    (1) Employee Wage Indices.
    Data from the 20 percent sample of census data of median hourly 
earnings for the same categories of medical and clerical occupations 
used in the 1992 through 1994 practice expense GPCIs were also used in 
the 1995 through 1997 practice expense GPCIs. The 1995 through 1997 
practice expense GPCIs used 1990 rather than 1980 census data. As with 
the work GPCIs, county level data were used for CMSAs to better reflect 
the cost variations within these large metropolitan areas.
    (2) Rent Indices.
    As with the original rent indices, the HUD fair market rental (FMR) 
data for residential rents were again used as the proxy for physician 
office rents. The 1995 through 1997 practice expense GPCIs reflect 1994 
HUD FMRs. Like the work GPCI and the employee wage index of the 
practice expense GPCIs, county level data were used in CMSAs to 
recognize the variations within the CMSA.
    The major criticism of the rent indices was that residential rather 
than commercial rent data were used. As mentioned earlier, for 
constructing the GPCIs we needed data that were widely and consistently 
available across all physician fee schedule areas.
    As with the original GPCIs, we again searched for private sources 
of commercial rent data that were widely and consistently available. 
The private sources we found were not adequate. None of the sources 
collected data for non-metropolitan areas, nor did any collect data for 
all metropolitan areas. The sources did not reflect the average 
commercial space in the area, but rather the particular type of space 
most relevant to the needs of a particular source's clients. In 
addition, the sample sizes were small. A comparison of the average 
rental for any particular city showed significant variation depending 
upon the source. Also, the private commercial rent data tended to be 
for very high priced real estate of the type likely to be used by large 
institutions such as banks, insurance companies, or financial firms and 
not for the type of office space most likely used by physicians.
    Among the sources of commercial rent data that were available, the 
most promising were data from the Building Owners and Managers 
Association, the General Services Administration, and the U.S. Postal 
Service. These data were analyzed in depth. We did not use data from 
the Building Owners and Managers Association and the General Services 
Administration because of poor geographic coverage, especially outside 
of large metropolitan areas. That is, data were not widely and 
consistently available for all physician fee schedule areas. The U.S. 
Postal Service data had much better geographic coverage, but sample 
sizes in many areas were unacceptably small and could have led to 
erroneous results.
    No acceptable national commercial rent data were readily available 
for physician office rents. Thus, some proxy needed to be used for this 
portion of the index. In addition, commercial rent data were not 
available for all areas from published statistical sources. We believed 
that the HUD FMR data remained the best available data for constructing 
the office rental index. HUD FMR data were available for all areas, 
were updated on an annual basis, and were consistent among areas and 
from year to year. Moreover, we believed that physicians frequently 
locate in areas and office space that are residential rather than 
commercial, for example, in apartment complexes and small strip 
commercial centers adjacent to residential areas. Residential rents 
may, in fact, be a better measure of the differences among areas in the 
physician office market than a general commercial rental index.
    (3) Medical Equipment, Supplies, and Miscellaneous Expenses.
    Consistent with the original 1992 through 1994 update for medical 
equipment, supplies, and miscellaneous, this index assumes a national 
market in which input prices do not vary among geographic areas. We 
were unable to find any data sources that demonstrated price 
differences by geographic area. Anecdotal and interview data with 
suppliers and manufacturers were inconclusive. While some price 
differences may exist, we believed they were more likely to be based on 
volume discounts rather than on geographic areas. Generally, it appears 
that manufacturers' prices do not vary among areas except for shipping 
costs. Since manufacturers and suppliers are located all over the 
country, shipping costs do not vary significantly.
c. Malpractice Geographic Practice Cost Indices
    Again, malpractice premium data for a $1 million to $3 million 
mature ``claims made'' policy were collected, with mandatory Patient 
Compensation Funds (PCFs) considered. Some States have legally required 
physicians to join PCFs that provide coverage for catastrophic claims. 
The PCF charges a premium or surcharge just as any other insurer. 
However, more recent and more comprehensive malpractice insurance data 
were used in calculating the 1995 through 1997 malpractice GPCIs. The 
1995 through 1997 malpractice GPCIs were based on 1990 through 1992 
malpractice premium data. Since malpractice premiums may change

[[Page 49042]]

significantly from year to year, we decided to use the most recent 3-
year average available rather than just the most recent single year to 
smooth out this volatility and present a more accurate indication of 
malpractice premium trends over time.
    We collected data on more specialties and from more insurers. We 
collected data on 20 specialties, rather than on only 3 as in the 1992 
through 1994 malpractice GPCIs. The 1992 through 1994 malpractice GPCI 
data were largely drawn from a single nationwide insurer (St. Paul Fire 
and Marine) and were supplemented by several State-specific carriers in 
States in which St. Paul did not offer coverage. Subsequent analyses 
suggest that these data may not be representative of insurers operating 
in many States. For the revised malpractice GPCI, data were collected 
from insurers that, on average, represented 82 percent of the market in 
each State, with the lowest State market share being 60 percent. We 
believed that the more recent and much more comprehensive data greatly 
improved the accuracy of the malpractice GPCIs for 1995 through 1997.
    Detailed discussions of the methodology and data sources of the 
1995 through 1997 GPCIs can be obtained by requesting the following 
studies from NTIS by calling 1-800-553-NTIS, or (703) 487-4650 in 
Springfield, Virginia:
    [sbull] ``Updating the Geographic Practice Cost Index: Revised Cost 
Shares.'' Debra A. Dayhoff, John E. Schneider, and Gregory C. Pope. 
NTIS PB94-161072.
    [sbull] ``Updating the Geographic Practice Cost Index: The 
Physician Work GPCI.'' Gregory C. Pope and Deborah A. Dayhoff. NTIS 
PB94-161080.
    [sbull] ``Updating the Geographic Practice Cost Index: The Practice 
Expense GPCI.'' Gregory C. Pope, Deborah A. Dayhoff, Angella R. 
Merrill, and Killard W. Adamache. NTIS PB94-161098.
    ``Updating the Geographic Practice Cost Index: The Malpractice 
GPCI.'' Stephen Zuckerman and Stephen Norton. NTIS PB94-161106.
6. Revised 1998 Through 2000 Geographic Practice Cost Indices
    The same data sources and methodology used for the 1995 through 
1997 GPCIs were also used for the revised 1998 through 2000 GPCIs with 
a few very minor modifications. No acceptable additional data sources 
were found. The cost shares were the same as in the 1995 through 1997 
GPCIs because no changes were made in the MEI weights. Indices for fee 
schedule areas were based on the indices for the individual counties 
within the fee schedule area. Fee schedule RVUs were again used to 
weight the county indices (to reflect volumes of services within 
counties) when mapping to MPFS payment areas and in constructing the 
national average indices. However, we used more recent data, 1994 
rather than 1992 RVUs, in the county, locality, and national mapping 
for the proposed GPCIs. The payment effect of using more current RVU 
weights was negligible in most cases and generally resulted in changes 
at the third decimal point if at all.
a. Work Geographic Practice Cost Indices
    The work GPCIs were based on the decennial census. The 1992 through 
1994 work GPCIs were based on 1980 census data, because 1990 census 
data were not yet available. The work GPCIs were revised in 1995 with 
new data from the 1990 census. New census data will not be available 
again until sometime after the 2000 census is compiled. We searched for 
other data that would enable us to update the work GPCIs between the 
decennial censuses. No acceptable data sources were found. The most 
promising sources of data were the hospital wage data collected by us 
to calculate the IPPS hospital wage index and the payroll per worker 
data collected by the U.S. Bureau of Labor Statistics from State 
unemployment insurance agencies (the ES-202 data).
    The IPPS hospital wage data were examined when we constructed the 
original GPCIs. They were rejected as a physician fee schedule data 
source in favor of census data because of their lack of an occupation 
mix adjustment and their unrepresentative occupational composition 
(hospital employees rather than professionals or physician office 
employees). ES-202 data consist of total payroll divided by counts of 
wage and salary workers. The major disadvantage we identified was that 
they do not measure hourly earnings, only payroll per employee, and no 
occupational detail is available. Also, they did not adjust for part-
time or full-time and hours worked, and the numbers of workers was too 
small for certain States, all of which led to unstable estimates of 
payroll per worker. We compared the changes by State from 1989 to 1993 
in the IPPS wage data and the ES-202 data to see if there was any 
correlation between the two series. The correlation between the two was 
only moderate, 0.55. The changes indicated by both series were 
generally small, for example, a few percentage points. The difference 
between the two series by State was in many cases as large as or 
greater than the change indicated by either series. The average 
difference between the two series (2.1 percent) is as large as the 
change indicated by either series. In addition, changes for particular 
States were substantially different between the two series. For 
example, Indiana relative wages rose by 1.9 percent according to the 
IPPS data, but fell 5.7 percent according to the ES-202 data.
    Since we were unable to find an acceptable data source for updating 
the work GPCIs, we examined the consequences of not updating the work 
GPCIs between the decennial censuses. We compared the changes between 
the 1992 through 1994 work GPCIs, based on the 1980 census, and the 
1995 through 1997 GPCIs, based on the 1990 census. On average, the full 
variation in State work GPCIs changed by about 5 percent. This 
translates to about a 1.2 percent change in the one-quarter work GPCI 
calculation prescribed by law. Since work makes up about one-half of 
the GPCI cost shares, this translated into an average payment change 
per State of about 0.6 percent from updating the work GPCI based on the 
10-year change in relative wages indicated by the census data. Even the 
maximum change in the full variation in State work GPCIs from the 1992 
through 1994 to the 1995 through 1997 GPCIs of 14 percent translates 
into only about a 1.8 percent change in payments. The largest full work 
GPCI changes for individual payment areas were from 16 to 20 percent, 
or about a 4 to 5 percent change in the one-quarter work GPCI, or about 
a 2.4 percent change in payments. However, 80 percent of payment areas 
experienced payment changes of less than 1 percent, and 50 percent of 
payment localities experienced payment changes of less than 0.5 percent 
as a result of changes in the census data from 1980 to 1990.
    We, therefore, made no changes in the 1998 through 2000 work GPCIs 
from the 1995 through 1997 work GPCIs, other than the generally 
negligible changes resulting from using 1994, rather than 1992, RVUs 
for this GPCI update because we were unable to find acceptable data for 
use between the decennial censuses. We believed it is preferable that 
we make no changes rather than make inaccurate changes based on 
inappropriate data. We felt that this was a reasonable position given 
the generally small magnitude of the changes in payments resulting from 
the changes in the work GPCIs from the 1980 to the 1990 census data.
b. Practice Expense Geographic Practice Cost Indices
    (1) Employee Wage Indices.

[[Page 49043]]

    As with the work GPCIs, the employee wage portion of the practice 
expense GPCIs were also based on decennial census data. For the same 
reasons discussed above pertaining to the work GPCIs, we made no 
changes in the employee wage indices during the 1998 through 2000 GPCI 
update. The average change from the 1992 through 1994 to 1995 through 
1997 employee wage indices across States was about 6 percent. Since the 
employee wage index has a weight of about 16 percent in the GPCI cost 
shares, this translates into a 1 percent average change in payments. 
The maximum payment change in any payment area resulting from changes 
from the 1992 through 1994 to 1995 through 1997 employee wage indices 
was about 3.2 percent. Payment changes in over two-thirds of the 
payment areas were less than 1 percent.
    (2) Rent Indices.
    The office rental indices were again based on HUD residential rent 
data. The rental indices were based on 1996 HUD data as opposed to 1994 
HUD data in the 1995 through 1997 GPCIs. HUD made two small 
methodological changes in developing the data. First, HUD used the 40th 
percentile of area rents rather than the 45th percentile. This did not 
materially affect the GPCIs, which measure relative rents among areas. 
Second, HUD established a rental floor for rural counties at the 
statewide rural average. This had the effect of raising the office 
rental indices slightly in rural areas.
    We made one methodological change in the rent indices. HUD 
publishes FMRs only for metropolitan areas as a whole. For the 1995 
through 1997 GPCIs, HUD used a special tabulation of the 1990 census 
data to allocate rents by county within CMSAs. In some metropolitan 
areas, this had the effect of reducing the central city index below the 
suburban index, probably because of lower unmeasured housing quality in 
central cities than in suburbs. We did not feel that this was a 
representative indicator of relative physician rents, since the GPCIs 
are intended to measure rental costs for offices of similar quality in 
different areas. The metropolitan-wide rent was most appropriate for 
measuring the cost of space of an average quality across the 
metropolitan area, which is why HUD publishes only metropolitan-wide 
FMRs. Also, the census county adjustments can be updated only once 
every 10 years. For this reason, we believed that the county-specific 
adjustment should not be made for all large metropolitan areas but 
should be retained only for the New York City Primary Metropolitan 
Statistical Area. Available evidence suggests that rents vary 
substantially among the boroughs of New York City and that, given the 
current locality configuration, the county-specific rental adjustment 
appropriately reflects these patterns in the New York City area, 
especially the higher rents in Manhattan.
    (3) Medical Equipment, Supplies, and Miscellaneous Expenses. As 
with the 1992 through 1994 and 1995 through 1997 GPCIs, this component 
was given a national value of 1.000, indicating no measurable 
difference among areas in costs.
c. Malpractice Geographic Practice Cost Indices.
    Again, malpractice premium data were collected for a mature 
``claims made'' policy with $1 million to $3 million limits of 
coverage, with adjustments made for mandatory patient compensation 
funds. As with the 1995 through 1997 GPCIs, data were collected for the 
20 largest Medicare-billing physician specialties. The premium data 
represent at least 50 percent of the market in each State. Again, we 
used an average of the 3 most recent premium years to smooth out the 
considerable year-to-year fluctuations that can occur in malpractice 
premiums. The revised 1998 through 2000 malpractice indices were based 
on 1992 through 1994 premium data, the latest years available when this 
revision was being conducted in 1995 through 1996, compared to the 1990 
through 1992 data used in the current 1995 through 1997 indices. 
Another change from the 1995 through 1997 indices is that the specialty 
shares of the 20 specialties were weighted by fee schedule RVUs rather 
than allowed charges.
    Detailed discussions of the methodology and data sources of the 
1998 through 2000 GPCIs may be obtained by requesting the following 
study from NTIS by calling 1-800-533-NTIS, or, for residents of 
Springfield, Virginia, (703) 487-4650: ``Second Update of the 
Geographic Practice Cost Index.'' Gregory C. Pope and Killard W. 
Adamache.
7. Revised 2001-2003 Geographic Practice Cost Indices
    The same data sources and methodology used for the 1998 through 
2000 GPCIs were used for the 2001 through 2003 GPCIs. No acceptable 
additional data sources were found. The only changes from the 1998 
through 2000 GPCI were in the cost shares and RVU weighting. As shown 
in the cost share table in the discussion of the development of the 
GPCIs, the cost shares were changed to reflect the revisions in the 
MEI. This does not affect the work or malpractice GPCIs since they are 
stand-alone indices (not composed of multiple indices). This cost share 
revision has a slight effect on the practice expense GPCIs because it 
changes slightly the weights among the employee wage, rents and 
miscellaneous components of the practice expense index. We used more 
recent RVU data, 1998 rather than 1994, in the county, locality, and 
national mapping in the proposed GPCIs. The payment effect of this was 
generally negligible.
a. Work Geographic Practice Cost Indices.
    For the same reasons discussed in the section on the 1998 through 
2000 work GPCIs, no changes were proposed in the work GPCIs, other than 
the generally negligible changes resulting from the use of 1998 rather 
than 1994 RVUs for weighting, because we were unable to find acceptable 
data for use between the decennial census.
b. Practice Expense Geographic Practice Cost Indices
    (1) Employee Wage Indices.
    As with the work GPCIs, the employee wage indices were based on 
decennial census data. For the same reasons discussed above pertaining 
to the work GPCIs, we proposed no changes in the employee wage indices 
during this GPCI update.
    (2) Rent Indices.
    The office rental indices were again based on HUD residential rent 
data. No changes were made in the methodology. The proposed rental 
indices were based on 2000 rather than 1994 HUD data.
    (3) Medical Equipment, Supplies, and Miscellaneous Expenses. As 
with all previous GPCIs, this component is given a national value of 
1.000, indicating no measurable differences among areas in costs.
c. Malpractice Geographic Practice Cost Indices
    The same methodology described in the 1998 through 2000 malpractice 
GPCI section was used in the revision of malpractice GPCIs section for 
2001 through 2003, the only difference being the use of more recent 
data. The malpractice indices were based on 1996 through 1998 
malpractice premium data rather than the 1992 through 1994 malpractice 
premium data that was used in the previous GPCI update.
8. Proposed 2004 through 2007 Geographic Practice Cost Indices
    The main criticism of the 2001 through 2003 GPCIs was that they 
were

[[Page 49044]]

outdated because they were based on old data; for example, 1990 
decennial census data and 1996 through 1998 malpractice premiums, the 
most recent data available when the GPCIs for 2001 through 2003 were 
established. The calculation of the proposed 2004 through 2007 GPCIs 
will be based upon the same data sources and methodology, but the 2004 
through 2007 GPCIs will utilize more current data: 2000 decennial 
census data, 2000 HUD fair market rental (FMR) data for residential 
rents, and 1999 through 2003 malpractice premium data. This should 
address the criticism of the 2001 through 2003 GPCIs being out of date.
a. Proposed Work Geographic Practice Cost Indices
    We have not yet received the 2000 decennial census data that will 
be utilized for the revision of the work GPCIs. For this reason, 
revisions to the work GPCIs will be included in the proposed rule for 
calendar year 2005.
b. Proposed Practice Expense Geographic Practice Cost Indices
    We have not yet received the 2000 decennial census data that will 
be utilized for the revision of the majority of the practice expense 
GPCI. We have obtained 2000 HUD fair market rental (FMR) data for 
residential rents that is utilized for a portion of the practice 
expense revision. Since we have not received the primary data upon 
which practice expense GPCIs are calculated and since the office rent 
component of the practice expense GPCI has not proven to be a 
substantially variable component in past GPCI updates and accounts for 
only approximately 12.0 percent of the total GPCI calculation (phased 
in over a two year period), we have decided not to revise the practice 
expense GPCIs now based on our limited data. For these reasons, 
revisions to the practice expense GPCIs will be included in the 
proposed rule for calendar year 2005.
c. Proposed Malpractice Geographic Practice Cost Indices
    The malpractice GPCI is the most volatile of the three indexes with 
relatively large variations existing between localities. Malpractice 
premium data for a $1 million to $3 million mature ``claims made'' 
policy were collected, with mandatory patient compensation funds 
considered. However, due to the recent concerns regarding the 
escalating cost of professional liability insurance, especially in 2002 
and 2003, we will be collecting more recent malpractice premium data. 
We propose using actual 1999 through 2002 malpractice premium data and 
projecting the malpractice premium rates for 2003. The methodology for 
forecasting 2003 medical malpractice premiums will consist of 
calculating the geometric mean rate of growth between 1999 through 2002 
and applying that rate to the 2002 premium. We will also obtain a 
national aggregate malpractice premium series with which to benchmark 
the 2003 forecast. At this point, we are still collecting the 2002 
malpractice premium data and are thus unable to project 2003 
malpractice premium data in this proposed rule. We are proposing to 
base the malpractice GPCIs upon actual 2001 and 2002 malpractice 
premium data and projected 2003 malpractice premium data by January 1, 
2004. These revised malpractice GPCIs will be published in this year's 
final physician fee schedule regulation. They will be considered 
interim and subject to public comment.
9. Payment Localities
    We are also interested in receiving comments on the composition of 
the current Medicare physician payment localities (89 separate payment 
localities) to which the GPCIs are applied. For additional information 
regarding the composition of the 89 Medicare physician payment 
localities please refer to both the July 2, 1996 proposed rule (61 FR 
34615) and the November 22, 1996 final rule (61 FR 59494) for the 
Medicare physician fee schedule.

C. Coding Issues

1. Payment Policy for CPT Tracking Codes
    In the November 1, 2001 final rule (66 FR 55269), we stated that 
carriers have discretion for coverage and payment of services described 
by CPT tracking codes, also known as CPT Category III codes, unless we 
have made a national coverage determination (NCD). (These CPT Category 
III codes are distinct from the HCPCS Level III codes used by local 
claims processors which are to be discontinued under HIPAA 
implementation.) We have received several requests to create national 
payment amounts for some CPT tracking codes even if there has been no 
NCD with respect to the services. After review of these requests, we 
are proposing to change our policy regarding payment for CPT tracking 
codes.
    We propose to create national payment policy and determine national 
payment amounts for CPT tracking codes when there is a significant 
programmatic need for us to do so. Such a need could arise, for 
example, if we receive requests from carrier medical directors that we 
establish a national payment amount because of carrier inability to do 
so. This policy change would not change the contractor's discretion 
over coverage for the CPT tracking codes, but would establish a payment 
level if the contractor finds that coverage is warranted. Carriers do 
not need to establish a payment amount for a tracking code until they 
receive a claim for the code.
2. Excision of Benign and Malignant Lesions
    In the CPT 2003 book, the definitions for excision of benign 
lesions (CPT codes 11400 through 11446 inclusive) and excision of 
malignant lesions (CPT codes 11600 through 11646 inclusive) were 
substantively changed. Starting in 2003, these codes are to be reported 
based on the excised diameter (actual skin removed) rather than on the 
size of the lesion. We have reviewed the new code descriptors and are 
proposing to make the work RVUs the same for removal of all skin 
lesions with the same excised diameters that are from the same area of 
the body, whether the lesions are benign or malignant For example, the 
work RVUs for the removal of benign skin lesions from the trunk, arms 
or legs with excised diameter 1.1-2.0 cm, CPT code 11402, would be the 
same as the work RVUs for CPT code 11602, which is the removal of 
malignant skin lesions from trunk, arms or legs with excised diameter 
of 1.1-2.0 cm. Therefore, to retain budget neutrality within each code 
pair, the total work RVUs associated with each code pair will be 
constant both before and after the work adjustment. We will accomplish 
this by dividing the total 2003 work RVUs (2003 work RVUs for a given 
code pair multiplied by 2002 utilization) by the total 2002 utilization 
for the given code pair. For example:

----------------------------------------------------------------------------------------------------------------
                                                                       2002          2003 work        Total work
                             CPT code                              utilization          RVU              RVUs
----------------------------------------------------------------------------------------------------------------
11400............................................................       69,041   x         0.85   =       58,685

[[Page 49045]]

 
11600............................................................       13,768   x         1.31   =       18,036
                                                                  -------------    -------------    ------------
  Total..........................................................       82,809  ..  ...........  ..      76,721
----------------------------------------------------------------------------------------------------------------
76,721 divided by 82,809 = 0.93 work RVU

    The proposed work RVUs for these codes follow:

[[Page 49046]]

[GRAPHIC] [TIFF OMITTED] TP15AU03.007


[[Page 49047]]


3. Create G Codes for Monitoring Heart Rhythms
    Technological advances have made cardiac telemetry equipment, 
typically used in hospitals, available in the home setting. It is now 
possible to discharge patients with arrhythmias to a home setting and 
have them monitored at home in a manner similar to hospital monitoring. 
This monitoring can be used to diagnose arrhythmias or to monitor 
patients with known arrhythmias to determine, on a real-time basis, 
whether the patient is having ongoing arrhythmias. The equipment 
consists of patient leads and a home telemetry station that is 
connected to a distant monitoring station via the telephone. The 
monitoring station is attended twenty-four hours a day, seven days a 
week by a technician. Upon receipt of rhythm strips, the technician 
records and formats the strips and faxes them to the treating 
physician.
    This equipment automatically records the patient's heart rhythm and 
is not triggered by the patient (for example, his response to 
symptoms). The equipment is pre-set with parameters (for example, heart 
rate of over 120) that trigger it to transmit the patient's cardiac 
rhythm to monitoring station. Additionally, the technician at the 
monitoring station can interrogate the home station and have it 
transmit rhythm strips upon request even when no arrhythmia has 
triggered an automatic transmission. These latter transmissions are at 
the discretion of the technician and may or may not be faxed to the 
treating physician based on previous orders.
    Depending on the clinical need, patients may be monitored by this 
equipment for varying lengths of time. Furthermore, the frequency of 
transmission of cardiac rhythms varies, as does the amount of material 
that must be reviewed by the physician. For example, a patient may have 
no cardiac rhythms transmitted for one or more days while on other days 
the patient may have several minutes of arrhythmias transmitted for 
physician review.
    To ensure this technology is available to Medicare beneficiaries 
for covered indications (coverage is currently at the discretion of the 
local Medicare contractors because there is no national coverage 
determination for this service) we are creating several HCPCS G codes 
to describe this service and are establishing national payment amounts 
for these services. Currently Medicare contractors are requiring both 
the PC and TC of this service to be billed under CPT code 93799, 
Unlisted cardiovascular procedure or service. This service is covered 
under the diagnostic test benefit category at section 1861(s)(3) of the 
Act.
    Medicare is establishing the following HCPCS codes to describe this 
service:

GXXX1--Electrocardiographic monitoring for diagnosis of arrhythmias, 
utilizing a home computerized telemetry station and trans-telephonic 
transmission, with automatic activation and real time notification of 
monitoring station, 24-hour attended monitoring, per 30-day period of 
time; includes recording, monitoring, receipt of transmissions, 
analysis, and physician review and interpretation. (global)
GXXX2--Electrocardiographic monitoring for diagnosis of arrhythmias, 
utilizing a home computerized telemetry station and trans-telephonic 
transmission, with automatic activation and real time notification of 
monitoring station, 24-hour attended monitoring, per 30-day period of 
time; recording (includes hook-up, recording and disconnection)
GXXX3--Electrocardiographic monitoring for diagnosis of arrhythmias, 
utilizing a home computerized telemetry station and trans-telephonic 
transmission, with automatic activation and real time notification of 
monitoring station, 24-hour attended monitoring, per 30-day period of 
time; monitoring, receipt of transmissions, and analysis
GXXX4--Electrocardiographic monitoring for diagnosis of arrhythmias, 
utilizing a home computerized telemetry station and trans-telephonic 
transmission, with automatic activation and real time notification of 
monitoring station, 24-hour attended monitoring, per 30-day period of 
time; physician review and interpretation.

    We are establishing the following payment amounts for these codes:

GXXX1--We are assigning 0.52 physician work RVUs and 0.24 malpractice 
RVUs which is equivalent to CPT Code, 93268 Patient demand single or 
multiple event recording with presymptom memory loop, 24-hour attended 
monitoring, per 30 day period of time; includes transmission physician 
review and interpretation. We are also crosswalking the practice 
expense inputs from CPT Code 93268.
GXXX2--We are assigning 0.07 malpractice RVUs which is equivalent to 
CPT Code 93270, Patient demand single or multiple event recording with 
presymptom memory loop, 24-hour attended monitoring, per 30 day period 
of time; recording (includes hook-up, recording, and disconnection) and 
crosswalking the practice expense inputs from CPT Code 93270.
GXXX3--We are assigning 0.15 malpractice RVUs which is equivalent to 
CPT Code 93271, Patient demand single or multiple event recording with 
presymptom memory loop, 24-hour attended monitoring, per 30 day period 
of time; monitoring, receipt of transmission, and analysis and also are 
crosswalking the practice expense inputs from CPT Code 93271.
GXXX4--We are assigning 0.52 physician work RVUs and 0.02 malpractice 
RVUs which is equivalent to CPT Code 93272 Patient demand single or 
multiple event recording with presymptom memory loop, 24-hour attended 
monitoring, per 30 day period of time; physician review and 
interpretation only. We are also crosswalking the practice expense 
inputs, from CPT Code 93272.

    We believe these proposed RVUs and crosswalks are appropriate as 
the services provided in the new codes are very similar in terms of 
physician work, resource use, and malpractice risk to the existing CPT 
Codes.
4. CPT Code 88180 (Flow Cytometry; Each Cell Surface, Cytoplasmic or 
Nuclear Marker)
    Flow cytometry is a technique to analyze single cell suspensions 
from blood, bone marrow, body fluids, lymph nodes, and other tissues. 
The technique, currently coded as CPT code 88180, Flow cytometry, each 
cell surface, cytoplasmic or nuclear marker, quantifies cell surface, 
cytoplasmic, and nuclear antigens. The results are frequently used to 
diagnose lymphomas and leukemias. They are also used to monitor 
lymphocyte subpopulations in patients with HIV infection or solid organ 
transplantation. For example, in patients with HIV infection, 
physicians evaluate CD4+ lymphocytes as a measure of the severity of 
the infection (some physicians also measure other markers although 
their clinical relevance is not as well established). In patients with 
solid organ transplantation, physicians measure various lymphocyte 
subpopulations to help assess early rejection, identify bone marrow 
toxicity during immunosuppressive therapy, and differentiate infections 
from transplant rejection. In these cases the treating physician, not 
the pathologist, makes the diagnosis. It is inappropriate for the 
pathologist to report the professional component (PC) of this service. 
In general, flow cytometry results must be utilized along with clinical 
data to make

[[Page 49048]]

a diagnosis. Other clinical situations where flow cytometry tests have 
some value include stem cell transplantation, paroxysmal nocturnal 
hemoglobinuria, immune deficiency disorders, etc.
    When flow cytometry is performed to diagnose lymphoma or leukemia, 
there is a single interpretation based on the quantification of all 
markers tested. There is not an interpretation of each marker 
individually.
    Moreover, for a given clinical indication (for example, diagnosis 
of lymphoma based on lymph node examination) there is variation in the 
number of markers performed. The number of markers that are necessary 
depends, in part, on the pathologic information available to the 
pathologist at the time he/she orders flow cytometry. Therefore, for a 
given clinical indication (for example, diagnosis of lymphoma from a 
lymph node) a pathologist who chooses to perform flow cytometry before 
performing a microscopic examination of the tissue specimen (for 
example, a lymph node) may order more markers than a pathologist who 
orders flow cytometry after performing a microscopic examination of the 
tissue specimen.
    The current coding scheme (payment on a per marker basis) may 
encourage the performance of more markers than may be medically 
necessary because the pathologist determines what markers to perform 
and when to perform them.
    Our review of flow cytometry reports confirms that markers are 
interpreted (and reported) on a panel basis. From our review, 
physicians do not typically interpret individual markers. This is 
consistent with most of the clinical indications for flow cytometry 
that require performance of several markers to make a diagnosis. There 
may also be clinical situations where no professional component is 
performed although it is appropriate to perform the technical component 
(TC) (for example, monitoring of HIV infected patients, monitoring of 
solid organ transplantations).
    The fact that markers are generally analyzed on a ``panel'' basis, 
not an ``individual'' basis, means that the current practice and use of 
flow cytometry is not appropriately reflected by the PC of CPT code 
88180.
    However, we do believe that it is appropriate to pay for the TC of 
each marker separately, although at a lower rate of payment (due to 
economies of scale) when multiple markers are performed. A coding 
scheme that pays per marker for the TC and per panel for the PC would 
more accurately reflect the actual practice of flow cytometry.
    The laboratory community is aware of our concerns about the coding 
of flow cytometery and will review this issue and consider whether 
changes should be made to the current coding for the procedure. If no 
changes in coding are forthcoming, we would consider creating HCPCS 
codes for flow cytometry. We welcome comments and recommendations on 
appropriate values for the procedure that we could use in developing 
any future proposal.
5. Create G Codes for Dialysis Patient Seeing the Doctor
    We have reviewed our current payment policy for the monthly 
dialysis capitation, CPT codes 90918 through 90921 in response to 
concerns that have been raised over whether our payment policy is 
consistent with current medical practice.
    Specifically, we understand that physician involvement in dialysis 
for end stage renal disease (ESRD) varies based on a patient's 
condition, response to dialysis, and comorbidities. A physician 
involvement for a single patient may also vary from month to month. It 
is our intent to ensure that beneficiaries with ESRD receive the 
highest quality dialysis care available and that physician involvement 
in dialysis for ESRD patients is appropriate and consistent with the 
needs of the patient in any month.
    Observers of the quality of care for dialysis patients have noted 
that some dialysis patients may benefit from being evaluated by their 
physician frequently. A recent international comparison study suggested 
that longer physician-patient contact time in hemodialysis facilities 
was associated with lower mortality risk.
    To align the payment incentives with the frequency of the physician 
personally evaluating the dialysis patient, we are proposing to make 
CPT codes 90918, 90919, 90920, 90921 invalid for Medicare and to create 
G codes. We are proposing to create 3 new G codes in place of each CPT 
code with higher payments associated with providing more visits within 
each month to an ESRD patient. Under our proposal, there will be 
separate codes when the physician provides 1 visit per month, 2-3 
visits per month and 4 or more visits per month. The code for 1 visit 
per month will have the lowest payment while a higher payment will be 
provided for 2 to 3 visits per month and the highest payment for 4 or 
more visits per month. Our methodology for determining payment is 
described below. These new codes will be reported once per month for 
services performed in an outpatient setting and related to the 
patient's ESRD. These physician services will continue to include the 
establishment of a dialyzing cycle, outpatient evaluation and 
management of the dialysis visits, telephone calls, and patient 
management, provided during a full month. These codes would not be used 
if a hospitalization occurred during the month.

GXXX5--End Stage Renal Disease (ESRD) related services per full month, 
for patients under 2 years of age to include monitoring for the 
adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 4 or more face-to-face physician visits per 
month.
GXXX6--End Stage Renal Disease (ESRD) related services per full month, 
for patients under 2 years of age to include monitoring for the 
adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 2 or 3 face-to-face physician visits per 
month.
GXXX7--End Stage Renal Disease (ESRD) related services per full month, 
for patients under 2 years of age to include monitoring for the 
adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 1 face-to-face physician visit per month.
GXXX8--End Stage Renal Disease (ESRD) related services per full month, 
for patients between 2 and 11 years of age to include monitoring for 
the adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 4 or more face-to-face physician visits per 
month.
GXXX9--End Stage Renal Disease (ESRD) related services per full month, 
for patients between 2 and 11 years of age to include monitoring for 
the adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 2 or 3 face-to-face physician visits per 
month.
GXX10--End Stage Renal Disease (ESRD) related services per full month, 
for patients between 2 and 11 years of age to include monitoring for 
the adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 1 face-to-face physician visit per month.
GXX11--End Stage Renal Disease (ESRD) related services per full month, 
for patients between 12 and 19 years of age to include monitoring for 
the adequacy of nutrition, assessment of growth and development, and

[[Page 49049]]

counseling of parents; with 4 or more face-to-face physician visits per 
month.
GXX12--End Stage Renal Disease (ESRD) related services per full month, 
for patients between 12 and 19 years of age to include monitoring for 
the adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 2 or 3 face-to-face physician visits per 
month.
GXX13--End Stage Renal Disease (ESRD) related services per full month, 
for patients between 12 and 19 years of age to include monitoring for 
the adequacy of nutrition, assessment of growth and development, and 
counseling of parents; with 1 face-to-face physician visit per month.
GXX14--End Stage Renal Disease (ESRD) related services per full month, 
for patients 20 years of age and over; with 4 or more face-to-face 
physician visits per month.
GXX15--End Stage Renal Disease (ESRD) related services per full month, 
for patients 20 years of age and over; with 2 or 3 face-to-face 
physician visits per month.
GXX16--End Stage Renal Disease (ESRD) related services per full month, 
for patients 20 years of age and over; with 1 face-to-face physician 
visit per month.

    We are assuming that most physicians will provide 4 or more visits 
to their ESRD patients and a small proportion will provide 2-3 visits 
or only 1 visit per month. Using these assumptions and Medicare 
utilization data from 2002, we developed relative value units for the 
new G codes that will make the Medicare's aggregate payments for ESRD 
related services under the physician fee schedule approximately equal 
to current payments that are occurring using procedure codes 90918 to 
90921. Relative to our current payments, we are proposing to lower 
payment when the physician provides 1 visit per month or 2-3 visits per 
month. Since we are proposing to lower payment if the physician 
provides fewer than 4 visits per month, in order to maintain the same 
aggregate payments for ESRD related services, we are proposing to 
increase payment if the physician provides 4 or more visits per month. 
Using these assumptions, the proposed work, practice expense and 
malpractice RVUs for procedure codes GXXX5 through GXXX16 are shown 
below:

                                 Table 4
------------------------------------------------------------------------
                                        Physician  Practice
                 Code                      work     expense  Malpractice
------------------------------------------------------------------------
GXXX5.................................      12.92      8.70        0.60
GXXX6.................................       5.19      3.49        0.24
GXXX7.................................       3.39      2.29        0.16
GXXX8.................................       9.91      4.86        0.43
GXXX9.................................       3.55      1.74        0.15
GXX10.................................       2.32      1.14        0.10
GXX11.................................       8.47      4.54        0.35
GXX12.................................       3.14      1.68        0.13
GXX13.................................       2.05      1.10        0.08
GXX14.................................       5.16      2.94        0.22
GXX15.................................       1.94      1.10        0.08
GXX16.................................       1.27      0.73        0.06
------------------------------------------------------------------------

    We believe that stratifying payment amounts by physician face-to-
face involvement would be an improvement over the current method, but 
still may not be optimal to foster improved outcomes.
    Both the Institute of Medicine and Medicare Payment Advisory 
Commission (MedPAC) have advocated an increased role for CMS in 
encouraging improved quality outcomes. In their June 2003 Report to 
Congress (Variation and Innovation in Medicare), MedPAC recommended 
``the Secretary should conduct demonstrations to evaluate provider 
payment differentials and structures that reward and improve quality.''
    We responded to this call by increasing the focus of our Quality 
Improvement Organizations (formerly called Peer Review Organizations) 
and ESRD Networks on developing quality measures and also performing or 
assisting providers with the performance of quality improvement 
activities. We have also implemented initiatives to address the quality 
of care provided in various settings. These include: The Home Health 
Quality Initiative; the Hospital Quality Initiative; the Nursing Home 
Quality Initiative; the Home Health Quality Initiative and Doctors 
Office Quality Project (see http://cms.hhs.gov/quality/ for more 
information).
    Additionally, we have developed various demonstration projects that 
provide incentives to improve quality. For example, as part of an 
ongoing effort to achieve improved patient outcomes, we announced the 
ESRD Disease Management Demonstration in the Federal Register on June 
4, 2003. The goal of this demonstration is to achieve improved patient 
outcomes through disease management services and quality incentives. 
This demonstration does not directly involve renal physicians, but we 
are considering the use of quality incentives in potential future 
payment systems for them as well. Renal physicians play a central role 
in leading the interdisciplinary team charged with managing an ESRD 
patient's care.
    Thus, we are seeking comment on how to further revise our payment 
methodology to improve quality of care and outcomes. We are also 
interested in information that could help us design future 
demonstrations that would incorporate both dimensions of care (quality 
and utilization) and help ensure that payment is based on appropriate 
patient-specific care that has been shown to lead to improved outcomes 
for this complex patient population.
6. Extracorporeal Shock Wave Lithotripsy for Musculoskeletal Conditions
    We received several comments on the G codes for extracorporeal 
shock wave lithotripsy created in the December 31, 2002 final rule. We 
will be responding to those comments as part of this year's final rule, 
but we would appreciate any additional information on the physician 
work, practice expenses, and duration of treatment and intensity or 
energy of the shock waves applied for various conditions at various 
anatomic sites.
7. Late RUC recommendations for 2003 CPT codes.
    RUC recommendations for RVUs for approximately 20 new CPT codes for 
2003 were received too late for incorporation in the December 31, 2002 
final rule. We proposed interim RVUs for these codes and, as with all 
interim values, these were subject to comment. In their comments on the 
December 2002 final rule, the AMA-RUC requested that we consider their 
late recommendations for these codes. We will be addressing these, as 
well as other comments received on the interim RVUs in the upcoming 
final rule.

III. Other Issues

A. Rebasing and Revising of the Medicare Economic Index

1. Background
    The Medicare Economic Index (MEI) is required by section 1842(b)(3) 
of the Act, which states that prevailing charge levels beginning after 
June 30, 1973 may not exceed the level from the previous year except to 
the extent that the Secretary finds, on the basis of appropriate 
economic index data, that the higher level is justified by year-to-year 
economic changes. Beginning July 1, 1975, and continuing through today, 
the MEI has met this requirement by reflecting the weighted sum of the 
annual price changes of the inputs used

[[Page 49050]]

to produce physicians' services. As such, the MEI attempts to be an 
equitable measure of price changes associated with physician time and 
operating expenses.
    The current form of the MEI was detailed in the November 25, 1992 
Federal Register (57 FR 55896) and was based in part on the 
recommendations of a Congressionally-mandated meeting of experts held 
in March 1987. Since that time, the structure of the MEI has remained 
essentially unchanged, with two exceptions. First, the MEI was rebased 
in 1998 (63 FR 58845), which moved the cost structure of the index from 
1992 data to 1996 data. Second, the methodology for the productivity 
adjustment was revised in 2002 (67 FR 80019) to reflect the percentage 
change in the 10-year moving average of economy-wide multifactor 
productivity.
    We are proposing to rebase and revise the MEI for the 2004 
physician fee schedule update. The terms ``rebasing'' and ``revising'', 
while often used interchangeably, actually denote different activities. 
Rebasing means moving the base year for the structure of costs of an 
input price index, while revising means changing data sources, cost 
categories, or price proxies used in the input price index. As is 
always the case with a rebasing and revising exercise, we have 
attempted to use the most recently available, relevant, and appropriate 
information to develop the MEI cost category weights and price proxies. 
We detail below the updated cost weights for the MEI expense 
categories, our rationale for selecting the price proxies in the MEI, 
and the results of the proposed rebasing and revising of the MEI.
2. Use of More Current Data
    The MEI was last rebased and revised in 1998 for the 1999 physician 
fee schedule update (63 FR 58845). The current base year for the MEI is 
1996, which means that the cost weights in the index reflect 
physicians' expenses in 1996. However, we believe it is desirable to 
periodically rebase and revise the index so that the expense shares and 
proxies reflect more current conditions. For this reason, we propose to 
rebase the MEI to reflect physicians' expenses in 2000. In addition, we 
are proposing to revise the cost categories in the MEI and to change 
three of the proxies we currently use to ensure that the index is 
appropriately reflecting price changes. We will continue to adjust the 
MEI for economy-wide multifactor productivity.
    The expense categories in the proposed MEI were primarily derived 
from the 2003 AMA Physician Socioeconomic Characteristics publication 
(2003 Patient Care Physician Survey data), which measures physicians' 
earnings and overall practice expenses for 2000. The AMA data were used 
to determine expenditure weights for total expenses, physicians' 
earnings, and malpractice expenses, the only information detailed in 
this survey. To further disaggregate into subcategories reflecting more 
detailed expenses, we used data from previous AMA surveys, the 1997 
Bureau of Economic Analysis Benchmark Input-Output table (I/O), the 
2003 Bureau of Labor Statistics (BLS) Employment Cost Index (ECI), and 
the 2002 Bureau of the Census Current Population Survey (CPS).
3. Rebasing and Revising Expense Categories in the MEI
a. Developing the Weights For Use in the MEI
    Developing a rebased and revised MEI requires selecting a base year 
and determining the number and composition of expense categories. We 
are proposing to rebase the MEI to CY 2000. CY 2000 was chosen as the 
base year for two main reasons: (1) CY 2000 was the most recent year 
for which data were available from the AMA, and (2) we believed that 
the CY 2000 data were representative of the changing distribution of 
physicians' earnings and practice expenses over time.
    We determined the number and composition of expense categories 
based on the criteria used to develop the current MEI and other CMS 
input price index expenditure weights. These criteria are timeliness, 
reliability, relevance, and public availability. For more information 
on these criteria, see the May 9, 2002 Federal Register (67 FR 31444) 
and the detail later in this preamble. Table 5 lists the set of 
mutually exclusive and exhaustive cost categories that make up the 
proposed rebased and revised MEI.

      Table 5.--Proposed Revised Medicare Economic Index Expenditure Categories, Weights, and Price Proxies
----------------------------------------------------------------------------------------------------------------
                                                   Proposed 2000--
                                                       Expense      1996 Expense
                 Expense category                    weights \1\       weights         Proposed price proxies
                                                         \2\
----------------------------------------------------------------------------------------------------------------
Total............................................         100.000         100.000
    Physician Earnings \3\.......................          52.466          54.460
        Wages and Salaries.......................          42.730          44.197  AHE--Private.
        Benefits \4\.............................           9.735          10.263  ECI--Ben: Private.
    Physician Practice Expenses..................          47.534          45.540
        Nonphysician Employee Compensation.......          18.654          16.812
            Employee Wages and Salaries..........          13.809          12.424
                Prof/Tech Wages..................           5.887           5.662  ECI-W/S: Private P&T.
                Managerial Wages.................           3.333           2.410  ECI-W/S: Private Admin.
                Clerical Wages...................           3.892           3.830  ECI-W/S: Private Clerical.
                Services Wages...................           0.696           0.522  ECI-W/S: Private Service.
            Employee Benefits \4\................           4.845           4.388  ECI-Ben: Priv. White Collar.
        Office Expenses..........................          12.209          11.581  CPI(U)--Housing
        Professional Liability Insurance.........           3.865           3.152  CMS--Prof. Liab. Phys.
                                                                                    Premiums.
        Medical Equipment........................           2.055           1.878  PPI--Medical Instruments &
                                                                                    Equip.
        Pharmaceuticals and Medical Materials and           4.320           4.516
         Supplies.
            Medical Materials and Supplies.......           2.011  ..............  PPI Surg. Appliances and
                                                                                    Supplies/CPI(U) Med
                                                                                    Supplies.
            Pharmaceuticals......................           2.308  ..............  PPI Ethical Prescription
                                                                                    Preparations.
        Other Professional Expenses..............           6.433           7.601  CPI-U All Items Less Food and
                                                                                    Energy.
----------------------------------------------------------------------------------------------------------------
\1\ Due to rounding, weights may not sum to 100.000 percent.

[[Page 49051]]

 
\2\ Sources: Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic
  Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003
  Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce,
  Bureau of Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the
  Census, 2002 Current Population Survey.
\3\ Includes employee physician payroll.
\4\ Includes paid leave.

    To determine the expenditure weights for the proposed rebased and 
revised MEI, we used currently available and statistically valid data 
sources on physician earnings and practice expenses. While we consulted 
numerous data sources, we used five data sources to determine proposed 
MEI expenditure weights: (1) The 2003 AMA Physician Socioeconomic 
Statistics (2000 survey data) for self-employed physicians, (2) the 
2000-2002 AMA Physician Socioeconomic Statistics (1998 data) for self-
employed physicians, (3) the March 2003 BLS Employment Cost Index, (4) 
the 2002 Bureau of the Census CPS, and (5) the Bureau of Economic 
Analysis (BEA) 1997 Benchmark Input-Output tables (I/O). No one data 
source provided all of the information needed to determine expenditure 
weights according to our criteria. The development of each of the cost 
categories using these sources is described in detail below.
b. Physician Earnings
    Like the current MEI, the proposed rebased and revised MEI will use 
AMA data on mean physician net income (physician earnings) for self-
employed physicians to develop a weight for physician earnings. The 
weight for this expense category was based on AMA data for 2000 and was 
calculated as a percentage of total mean expenses (physician earnings 
and practice expenses, including malpractice). The physician earnings 
expenditure category also includes employee physician compensation. 
Currently, physician earnings and overhead expenses generated by 
employee physicians are included in the AMA practice expenses category. 
However, we believe it is appropriate, for our purposes, to place 
employee physician compensation in the MEI cost category of physician 
earnings since employee physician compensation represents actual 
expenditures made in the delivery of services. In addition, including 
employee physician payroll in physician earnings in the MEI is 
consistent with the current payment methodologies in accordance with 
the physician fee schedule, where the work RVU is computed based on 
what service is provided and not on who provides the service. Since 
employee physicians perform the same services as self-employed 
physicians, employee physician time is reflected in the work RVU. By 
including the compensation of employee physicians in the physician 
earnings expense category, these expenses will be adjusted by the 
appropriate price proxies for a physician's own time.
    To obtain further detail for both wages/salaries and benefits, the 
ratio between these categories for 1996 (based on current MEI) was 
updated to 2000 using the growth in the overall employment cost index 
for private employees for wages/salaries and benefits. Alternative data 
for determining this split were not readily available from any other 
source. The main shortcoming of this method is that any changes in 
quantity and intensity (mix of physicians) are not reflected. However, 
faced with the lack of alternative data, we deemed this approach to be 
the most feasible, and the results appear to be consistent with 
anecdotal evidence on this ratio. Its application resulted in a wage-
fringe benefit split of 81.4 and 18.6 percent, respectively, in the 
proposed revised and rebased MEI compared with a wage-fringe benefit 
split of 81.2 and 18.8 percent, respectively in the 1996-based MEI.
c. Physician Practice Expenses
    To determine the remaining individual practice expense weights, we 
updated AMA expense data from 1998 to 2000 using the relative price 
change in an appropriate price index. After the levels were updated to 
2000 values, it was necessary to normalize these levels to equal the 
2000 mean total expense data provided by the 2003 AMA survey. The 
detailed explanations for the derivation of the individual weights are 
listed below.
(i) Nonphysician Employee Compensation
    The cost share for nonphysician employee compensation was developed 
by updating the 1998 AMA Socioeconomic Survey data on nonphysician 
employee compensation costs for self-employed physicians to 2000, using 
the current proxy for this category, and dividing the resulting amount 
into total expenses (physician earnings plus practice expenses) for 
2000 from the AMA survey. We further divided this cost share into 
wages/salaries and benefits using BLS Employment Cost Index data. The 
ECI survey contains data on the proportion of total compensation 
accounted for by wages/salaries and benefits (including paid leave) by 
private industry health services occupational category. These 
proportions can be used to distribute the total non-physician employee 
compensation weight to wages/salaries and benefits for non-physician 
employees. We used 2000 data from the March 2003 publication. Although 
this survey does not contain data specifically for offices of 
physicians, data are available on wage/fringe shares for private 
industry health services, which include hospitals, nursing homes, 
offices of physicians, and offices of dentists. We believe the data for 
health services from the survey do provide a reasonable estimate of the 
split between wages and fringe benefits for employees in physicians' 
offices. Data for 2000 in the ECI survey for total health services 
indicate that wages and fringe benefits are 74.02 percent and 25.98 
percent of compensation, respectively.
    As in the 1996-based MEI, we are proposing to use CPS data on 
earnings by occupation to develop cost shares for wages for 
nonphysician occupational groups shown in Table 6. To arrive at a 
distribution for these separate categories, we multiplied the overall 
share for nonphysician employee wages/salaries by each of the 
occupational proportions from the 2000 CPS. The proposed distribution 
and the distribution in the current MEI are presented in Table 6.

    Table 6.--Percent Distribution of Nonphysician Payroll Expense by
                    Occupational Group: 2000 and 1996
------------------------------------------------------------------------
                                                    2000         1996
            BLS Occupational Group              Expenditure  Expenditure
                                                   Shares       Shares
------------------------------------------------------------------------
Total.........................................      100.000      100.000
  Professional & Technical Workers............       42.635       45.573
  Managers....................................       24.138       19.398
  Clerical Workers............................       28.187       30.827
  Service Workers.............................        5.040       4.202
------------------------------------------------------------------------
Note: Values may not sum to 100 due to rounding.


[[Page 49052]]

(ii) Professional Liability Expense
    The weight for professional liability expense was derived from the 
2003 AMA survey (2000 data) and was calculated as the mean professional 
liability expense expressed as a percentage of total expenses 
(physician earnings plus practice expenses). This calculation resulted 
in a 3.865 percent share of total costs in 2000 compared to a 3.152 
percent share in the 1996-based index. The increase in weight for 
professional liability insurance represents the increases in premiums 
and increases in the amount of coverage purchased by physicians in 2000 
compared to 1996. Since the data do not reflect any changes caused by 
increases in these expenses in 2001 and 2002, they do not take into 
account the recent acceleration in the growth in premiums that 
physicians have experienced and, therefore, the weights will not 
reflect these changes. However, the proxy that we currently use in the 
1996-based index--and will continue to use in the proposed rebased and 
revised index--does reflect the price increases associated with the 
recent rise in malpractice costs.
(iii) Office, Medical Equipment, Pharmaceuticals and Medical Materials 
and Supplies Expenses, and All Other Expenses
    The 2003 AMA survey provides less detail for expenses with respect 
to prior years' publications. Therefore, we calculated the share of 
each of the above categories by updating the AMA data for 1998 to 2000 
using an appropriate price proxy. The primary reason for using the 
price proxy was that we lacked other data to develop cost weights for 
each of these categories. As stated previously, the main deficiency of 
this method is that it does not account for any changes in the quantity 
or intensity effects associated with these expenses. Our belief, 
however, was that it was important to continue using these detailed 
breakouts so that each would be proxied by an appropriate price index 
and that the quantity/intensity effects over a short period of time are 
not likely to be large. In fact, we have found that even over longer 
periods of time, the distribution of costs tends to be relatively 
similar.
    Office expenses and medical equipment levels were moved to 2000 
using the growth from 1998 to 2000 in their respective MEI price 
proxies. In the case of office expenses, we used the growth in the CPI-
U Housing; for medical equipment expenses, we used the growth in the 
PPI for Medical Instruments and Equipment.
    The share for pharmaceuticals (prescription drugs) and medical 
materials and supplies was calculated by separating out pharmaceuticals 
and other medical materials and supplies using 1997 BEA Benchmark 
Input-Output data. First, the sum of all the pharmaceuticals and 
medical supplies categories from the Benchmark Input-Output tables for 
1997 was calculated. The share of pharmaceuticals and medical supplies 
was then calculated as a percentage of this total and applied to the 
1997 AMA medical supplies data. These calculated levels were then 
inflated to 2000 using the growth in an appropriate price proxy. We 
thought it was important and appropriate to account for each of these 
categories separately so that differences in relative price growth 
between pharmaceuticals (prescription drugs) and other medical 
materials and supplies would be more accurately represented. The 
resulting 2000 data for the two separate categories were then 
aggregated (summed) together to form the overall total for the share 
for the pharmaceuticals and medical materials and supplies category in 
the rebased and revised MEI. The pharmaceuticals category was inflated 
using the Producer Price Index (PPI) for ethical prescription 
preparations and the medical materials and supplies category was 
updated using the PPI for surgical appliances and supplies.
    Finally, the All Other Expense category was calculated as a 
residual (total expenses less the percentage of all categories 
currently accounted for). The additional detail for transportation 
expenses found in the prior MEI was removed because the data were not 
readily available for measurement of a cost share for 2000. The effect 
on the MEI of removing the detail is negligible.
4. Selection of Price Proxies for Use in the MEI
    After the 2000 cost weights for the rebased and revised MEI were 
developed, we reviewed the current set of price proxies to determine 
whether they were still the most appropriate for each expenditure 
category. As was the case in the development of the 1996-based MEI (57 
FR 55901), most of the indicators we considered are based on BLS data 
and are grouped into one of the following five categories:

Producer Price Indices (PPIs)

    PPIs measure price changes for goods sold in other than retail 
markets. They are the preferred proxies for physician purchases at the 
wholesale level. These fixed-weight indices are a measure of price 
change at the producer or at the intermediate stage of production, a 
more likely mode of purchase for physicians.

Consumer Price Indices (CPIs)

    CPIs measure change in the prices of final goods and services 
purchased by consumers. Like the PPIs, they are fixed-weight. Since 
they may not represent the price changes faced by producers, CPIs were 
used if there were no appropriate PPI or if the expenditure category 
was similar to expenditure of retail consumers in general.

Average Hourly Earnings (AHEs)

    AHEs are available for production and nonsupervisory workers for 
specific industries as well as for the nonfarm business economy. They 
are calculated by dividing gross payrolls for wages/salaries by total 
hours. The series reflects shifts in employment mix and, thus, is 
representative of actual changes in hourly earnings for industries or 
for the nonfarm business economy.

ECIs for Wages/Salaries

    These ECIs measure the rate of change in employee wage rates per 
hour worked. These fixed-weight indices are not affected by shifts in 
industry or occupation employment levels and measure only the pure rate 
of change in wages.

ECIs for Employee Benefits

    These ECIs measure the rate of change in employer costs of employee 
benefits, such as the employer's share of Social Security taxes, 
pension and other retirement plans, insurance benefits (life, health, 
disability, and accident), and paid leave. Like ECIs for wages/
salaries, the ECIs for employee benefits are not affected by changes in 
industry output or occupational shifts.
    When choosing wage and price proxies for each expense category, we 
evaluate the strengths and weaknesses of each proxy variable using four 
criteria. The first criterion is relevance. The price variable should 
appropriately represent price changes for specific goods or services 
within the expense category. Relevance may encompass judgments about 
relative efficiency of the market generating the price and wage 
increases.
    The second criterion is reliability or low sampling variability. If 
the proxy wage-price variable has a high sampling variability or 
inexplicable erratic patterns over time, its value is greatly 
diminished, since it is unlikely to accurately reflect price changes in 
its associated expenditure category. Low sampling variability can 
conflict with relevance, since the more specifically a price variable 
is defined in terms of

[[Page 49053]]

service, commodity, or geographic area, the higher the possibility of 
sampling variability. The length of time the time-series data have been 
published is also important. A well-established time series is needed 
to assess the reasonableness of the series and to provide a solid base 
from which to forecast future price changes in the series. We need to 
forecast the MEI to make Federal budget and Trustees Report estimates.
    The third criterion is timeliness of actual published data. For 
this reason, we prefer monthly and quarterly data to annual data.
    The fourth criterion is public availability. We prefer to use data 
sources that are publicly available for our indices so that the public 
may track each of the individual components in the MEI.
    The BLS price proxy categories previously described meet the 
criteria of relevance, reliability and timeliness, and public 
availability. Below we discuss the price-wage proxies for the rebased 
and revised MEI (shown in Table 1).
(a) Expense Categories in the MEI

Physician Time

    In the proposed revised and rebased MEI, we are using the AHE for 
the private nonfarm economy as the proxy for the physician wages/
salaries component; this is the same price measure used in the 1996-
based MEI. In our judgment, this proxy still most closely comports with 
Congressional intent as expressed in the Senate Finance Committee's 
1972 report (S. Rept. No. 92-1230 at 191 (1972)). AHEs change in 
accordance with changes in the type and mix of workers.
    As we discussed extensively in the November 2, 1998 final rule (63 
FR 58848) and again in the December 31, 2002 final rule (67 FR 80019), 
we believe that the current price proxy for physicians' earnings--AHE 
in the nonfarm business economy--is the most appropriate proxy to use 
in the MEI. The AHE for the nonfarm business economy reflects the 
impacts of supply, demand, and economy-wide productivity for the 
average worker in the economy. Using this measure as the proxy for 
physicians' earnings captures the parity in the rate of change in wages 
for the average worker and for physicians. In addition, use of this 
proxy is consistent with the original legislative intent that the 
change in the physicians' earnings portion of the MEI parallel the 
change in general earnings for the economy. Since earnings are 
expressed per hour, a constant quantity of labor input per unit of time 
is reflected. The use of the AHE data is also consistent with our using 
the BLS economy-wide multifactor productivity measures since economy-
wide wage increases reflect economy-wide productivity increases.
    Using the ECI for professional and technical workers or other 
occupational-specific wage proxies has a major shortcoming; in many 
instances, occupations such as engineering, computer science, and 
nursing have unique characteristics that are not representative of the 
overall economy or the physician market. Specifically, wage changes for 
such occupations can be influenced by excess supply or demand for these 
types of workers. We believe it would not be appropriate to proxy the 
physician earnings portion of the MEI with a wage proxy that reflects 
these other occupation's unique characteristics.
    The current MEI uses the ECI for fringe benefits for total private 
industry as the price proxy for physician fringe benefits. We are 
proposing to use the same proxy for the 2000-based MEI. This means that 
both the wage and fringe benefit proxies for physician earnings are 
derived from the nonfarm private sector and are computed on a per-hour 
basis.

Nonphysician Employee Compensation

    As in the 1996-based MEI, we are proposing to use Current 
Population Survey data on earnings and employment by occupation to 
develop labor cost shares for the nonphysician occupational groups 
shown in Table 6. BLS maintains an ECI for each occupational group, and 
we propose to use these ECIs as price proxies for nonphysician employee 
wages in the same manner they are used in the current MEI.
    The skill mix shift in employees of physician offices in the last 
few years has been towards managerial occupations. While these skill 
mix shifts are captured in the expenditure weights, they are 
appropriately held constant in a Laspeyres price index such as the MEI. 
Skill mix shifts, which may reflect the changing intensity of services 
provided in physicians' offices, are accounted for in the payment 
system outside of the MEI.
    The current MEI uses the ECI for fringe benefits for white collar 
employees in the private sector as a proxy for nonphysician benefits. 
Since most nonphysician employees in physicians' offices are white-
collar employees, we are again proposing to use the ECI for benefits 
for white collar employees in the proposed rebased and revised MEI.

Office Expense

    Office expenses include rent or mortgage for office space, 
furnishings, insurance, utilities, and telephone. We are proposing the 
continued use of the CPI-U for housing because it is a comprehensive 
measure of the cost of housing, including rent, owner's equivalent 
rent, and the types of goods and services associated with running an 
office. This proxy covers about 80 percent of the population.

Pharmaceuticals and Medical Materials and Supplies

    This cost category includes drugs, outside laboratory work, x-ray 
films, and other related services. There is not one price proxy that 
includes this complete mix of materials and supplies. In the absence of 
one index, we are proposing to separately account for pharmaceuticals 
and medical materials and supplies in the 2000-based MEI.
    [sbull] Medical Materials and Supplies
    We equally weighted two proxies together (the PPI Surgical 
Appliances and Supplies and the CPI-U for Medical Equipment and 
Supplies) since one proxy does not accurately measure the price change 
associated with these types of products used nor the mode of purchase 
used in physicians' offices. While both indexes include such items as 
bandages, dressings, catheters, I.V. equipment, syringes, and other 
general disposable medical supplies and nonprescription equipment, the 
indexes reflect significant differences in the mode of purchase. The 
PPI measures actual transaction prices at the wholesale level, the mode 
most likely used by physicians, while the CPI measures prices at the 
retail level or the final stage of production. The price movements in 
these two indexes can be different and we believe that it is 
appropriate to combine these indexes into one proxy since physicians 
likely use both purchasing methods when obtaining medical supplies.
    [sbull] Pharmaceuticals
    The PPI for ethical prescription drugs is used to proxy 
pharmaceutical prices in other CMS market baskets and reflects the 
price change associated with the average mix of pharmaceuticals 
purchased economy-wide. We propose to use the PPI for ethical 
prescription drugs, rather than the CPI for prescription drugs, because 
physicians generally purchase drugs directly from a wholesaler. The 
PPIs that we use measure price changes at the final stage of 
production.

[[Page 49054]]

Professional Liability Insurance

    It is vital that the MEI accurately reflect the price changes 
associated with professional liability costs. Accordingly, we continue 
to incorporate into the MEI a price proxy that accomplishes this goal 
by making the maximum use of available data on professional liability 
premiums.
    Each year, we solicit professional liability premium data for 
physicians from a small sample of commercial carriers. This information 
is not collected through a survey form, but instead is requested, on a 
voluntary basis, from a few national commercial carriers via letter. 
Generally between 5 and 8 carriers volunteer this information. While 
the sample size certainly does not cover the entire professional 
liability insurance market, we have attempted to maximize the market 
share in terms of both national coverage and coverage within States.
    As we require for our other price proxies, the professional 
liability price proxy should reflect the pure price change associated 
with this particular cost category. Thus, it should not capture changes 
in the mix or level of liability coverage. To accomplish this result, 
we obtain premium information from commercial carriers for a fixed 
level of coverage, currently $1 million per occurrence and a $3 million 
annual limit. This information is collected for every State by 
physician specialty and risk class. Finally, the State-level, 
physician-specialty data are aggregated by effective premium date to 
compute a national total, using counts of physicians by State and 
specialty as provided in the AMA publication, Physician Characteristics 
and Distribution in the U.S.
    The resulting data provide a quarterly time series, indexed to a 
base year consistent with the MEI and reflect the national trend in the 
average professional liability premium for a given level of coverage. 
From this series, quarterly and annual percent changes in professional 
liability insurance are estimated for inclusion in the MEI.
    The most comprehensive data on professional liability costs are 
held by the State insurance commissioners but these data are available 
only with a substantial time lag and, therefore, the data currently 
incorporated into the MEI are much more timely. We believe that, given 
the limited data available on professional liability premiums, this 
methodology adequately reflects the price trends facing physicians.

Medical Equipment

    Medical equipment includes depreciation, leases, and rent on 
medical equipment. We propose to use the PPI for medical instruments 
and equipment as the price proxy for this category, consistent with the 
price proxy used in the 1996-based MEI and other CMS input price 
indexes.

Other Professional Expenses

    This category includes the residual subcategory of other 
professional expenses such as accounting services, legal services, 
office management services, continuing education, professional 
association memberships, journals, professional car expenses, and other 
professional expenses. In the absence of one price proxy or even a 
group of price proxies that might reflect this heterogeneous mix of 
goods and services, we use the CPI-U for all items, less food and 
energy, consistent with the price proxy used in the 1996-based MEI. We 
also propose to condense the structure used in the previous 1996-based 
MEI because we lack the data to develop a representative weight for 
transportation, as discussed above. This change would result in only a 
negligible effect on the overall MEI over the past 8 years; the average 
increase differs by less than a tenth of a percentage point over that 
time.
(b) Productivity Adjustment to the MEI
    In the December 2002 final rule, we indicated that we were changing 
the methodology for adjusting for productivity in the MEI. The MEI used 
for the 2003 physician payment update reflected changes in the 10-year 
moving average of private nonfarm business (economy-wide) multifactor 
productivity applied to the entire index; we had previously used 
economy-wide private nonfarm business labor productivity applied to the 
labor portions of the index. We will continue to use the method of 
adjusting for multifactor productivity applied to the entire index in 
the proposed rebased and revised MEI.
    As described in the December 31, 2002 final rule, we used 
multifactor productivity because: (1) it is theoretically more 
appropriate to explicitly reflect the productivity gains associated 
with all inputs (both labor and nonlabor); (2) the recent growth rate 
in economy-wide multifactor productivity appears to be more consistent 
with the current market conditions facing physicians; and (3) the MEI 
still uses economy-wide wage changes as a proxy for physician wage 
changes. We believe that using a 10-year moving average change in 
economy-wide multifactor productivity produces a stable and predictable 
adjustment and is consistent with the moving-average methodology used 
in the current 1996-based MEI. The adjustment will be based on the 
latest available actual historical economy-wide multifactor 
productivity data, as measured by BLS.
5. Results of Rebasing
    Updating the MEI from a 1996 base year to a 2000 base year resulted 
in small changes in expense category weights. Physicians' earnings 
dropped slightly, from 54.5 percent of the index in 1996 to 52.5 
percent in 2000. The expense shares for non-physician employee 
compensation, office expenses, professional liability insurance, and 
medical equipment all rose slightly, while expense shares for medical 
materials and supplies and all other expenses declined.
    The rebased and revised MEI is similar in structure to the current 
MEI. Except for two-tenths of a percentage point difference in 2000, 
the annual percent change in the rebased and revised MEI was within 
one-tenth of a percentage point of the percent change in the 1996-based 
MEI each year between 1996 and 2003. Therefore, the revision and 
rebasing proposed in this rule, while making the expense shares more 
timely, has little impact on the percent changes in the MEI as a whole. 
Table 7 below shows the average calendar-year percent change from 1996 
to 2003 for both the 1996- and 2000-based MEIs.

 Table 7.--Annual Percent Change in the Current and Proposed Revised and
                     Rebased Medicare Economic Index
------------------------------------------------------------------------
                                          Proposed  2000- Current  1996-
             Update year (A)                based  MEI      based  MEI
------------------------------------------------------------------------
1996....................................             1.7             1.8
1997....................................             1.9             1.9

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1998....................................             2.4             2.4
1999....................................             2.7             2.6
2000....................................             2.9             2.7
2001....................................             2.8             2.8
2002....................................             3.3             3.3
2003....................................             3.1             3.0
Avg Change 1996-2003....................             2.6            2.6
------------------------------------------------------------------------
(A) Update year based on historical data through the second quarter of
  the prior calendar year. For example, the 2003 update is based on
  historical data through the second quarter 2002.

    The forecast of the proposed rebased and revised MEI for the 2004 
Physician Fee Schedule is an increase of 2.5 percent, nearly identical 
to the forecasted increase using the previous 1996-based MEI. In the 
final rule we will incorporate historical data through the second 
quarter of 2003; therefore, the current estimated increase of 2.5 
percent for 2004 may differ in the final rule.

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6. Adjustments to RVUs To Match the New MEI Weights
    As described in the previous section, we are proposing to rebase 
the MEI and establish new weights for physician work, practice expense 
and malpractice. Based on 2002 Medicare utilization data, we compared 
the proportion of total RVUs attributable to physician work, practice 
expense and malpractice to the new MEI weights. We show the proportion 
of total RVUs attributable to work, practice expense and malpractice 
and their respective proposed new MEI weights across all physicians' 
services in the following table:

                                Table 10
------------------------------------------------------------------------
                                                     Proposed
                                                       MEI     2002 RVUs
                                                      weight
------------------------------------------------------------------------
Physician Work....................................    52.466%    52.649%
Practice Expense..................................    43.669%    44.175%
Malpractice.......................................     3.865%     3.176%
------------------------------------------------------------------------

    The MEI weights for physician work and practice expense are lower 
than the proportion of 2002 aggregate RVUS attributable to these 
categories. The malpractice weight within the MEI is higher than its 
share of total aggregate 2002 RVUs. (The 2002 shares from the Medicare 
utilization do not match the 1996 MEI weights because deviations occur 
over time based on changes in the mix of services billed by physicians 
and other factors).
    We believe there is merit in adjusting the RVUs to match the 
revised MEI weights. By giving more weight to malpractice and less 
weight to physician work and practice expenses, Medicare's payments 
will better reflect each component of physician practice expenses. 
Section 1848(c)(2)(B)(ii)(II) of the Act requires that increases or 
decreases in RVUs may not cause the amount of expenditures for the year 
to differ by more than $20 million from what expenditures would have 
been in the absence of these changes. If this threshold is exceeded, we 
make across-the-board adjustments to preserve budget neutrality. 
Therefore, if we adjust the work, practice expense and malpractice RVUs 
to match the new MEI weights, we are required by statute to ensure that 
the adjustments do not increase or decrease Medicare expenditures by 
more than $20 million. To meet the requirements of the statute and 
ensure that aggregate pools of RVUs match the proposed new MEI weights, 
we considered two options. We considered making no adjustments to the 
physician work RVUs and adjusting only the practice expense and 
malpractice RVUs or adjusting all 3 categories of RVUs. We considered 
the first option because the medical community, in the past, has 
expressed interest in avoiding adjustments to physician work RVUs. 
However, we could only meet the requirements of section 
1848(c)(2)(B)(ii)(II) if we reduced the physician fee schedule 
conversion factor by an additional 0.3 percentage points in addition to 
the -4.2 percent reduction we are already forecasting. We believe a 
small reduction to the physician work RVUs is preferable to a reducing 
the conversion factor by an additional 0.3 percent. For this reason, we 
are proposing to reduce the physician work RVUs by 0.35 percent 
(0.9965) and the practice expense RVUs by 1.15 percent (0.9885) and 
increase the malpractice RVUs by 21.7 percent (1.217) to match the 
rebased MEI weights. The effects of these adjustments to the RVUs are 
included in the RVUs shown in Addendum B of this proposed rule and, as 
explained previously, would not require a compensating adjustment to 
the conversion factor.

B. Definition of Diabetes for Diabetes Self-Management Training

    Section 4105(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 
105-33, enacted on August 5, 1997) provides coverage for outpatient 
diabetes self-management training in outpatient settings without 
limiting this coverage to hospital outpatient departments. The BBA 
provided that the services would be provided ``to an individual with 
diabetes.'' In the December 29, 2000, final rule entitled, ``Expanded 
Coverage for Outpatient Diabetes Self-Management Training and Diabetes 
Outcome Measurements'', (65 FR 83129) we established criteria to define 
``an individual with diabetes.'' At that time, we did not have a 
definition of diabetes that had been widely accepted. Therefore, we 
established a set of medical conditions to determine who should receive 
the service.
    In Sec.  410.141(d), we stated that any beneficiary who has one or 
more of the following medical conditions occurring within the 12-month 
period before the physician's order for the training would be eligible 
for Medicare coverage for training from an approved entity:
    [sbull] New onset diabetes.
    [sbull] Inadequate glycemic control as evidenced by a glycosylated 
hemoglobin (HbA1C) level of 8.5 percent or more on two consecutive 
HbA1C determinations 3 or more months apart in the year before the 
beneficiary begins receiving training.
    [sbull] A change in treatment regimen from no diabetes medications 
to any diabetes medication, or from oral diabetes medication to 
insulin.
    [sbull] High risk for complications based on inadequate glycemic 
control (documented acute episodes of severe hyperglycemia or acute 
severe hyperglycemia occurring in the past year during which the 
beneficiary needed emergency room visits or hospitalization).
    [sbull] High risk based on at least one of the following documented 
complications:

--Lack of feeling in the foot or other foot complications such as foot 
ulcers, deformities, or amputation;
--Pre-proliferative or proliferative retinopathy or prior laser 
treatment of the eye; and
--Kidney complications related to diabetes, when manifested by 
albuminuria, without other cause, or elevated creatinine.

    These requirements have been shown to be burdensome to the public 
and to Medicare contractors. Therefore, we are proposing that the 
requirements be streamlined to use the definition of diabetes that was 
established in a later regulation at Sec.  410.130 and is used to 
determine beneficiary eligibility for Medical Nutrition Therapy when 
the beneficiary has a diagnosis of diabetes. The definition is:
    Diabetes means diabetes mellitus consisting of two types. Type 1 is 
an autoimmune disease that destroys the beta cells of the pancreas, 
leading to insulin deficiency. Type 2 is familial hyperglycemia that 
occurs primarily in adults but can also occur in children

[[Page 49059]]

and adolescents. It is caused by an insulin resistance whose etiology 
is multiple and not totally understood. Gestational diabetes is any 
degree of glucose intolerance with onset or first recognition during 
pregnancy. The diagnostic criterion for a diagnosis of diabetes for a 
fasting glucose intolerance test is greater than or equal to 126 mg/dL.

C. Outpatient Therapy Services Performed ``Incident To'' Physicians' 
Services--Discussion Only

    In almost all settings, our policy provides that outpatient therapy 
services can be delivered only by physical therapists, occupational 
therapists, physical therapy assistants, occupational therapy 
assistants, and speech and language pathologists as defined by our 
regulations at Sec.  484.4. While there are currently no national 
standards for qualifications of individuals providing outpatient 
therapy services incident to physicians' services, we believe that 
standards similar to those in Sec.  484.4 are appropriate. Section 
1862(a)(20) of the Act requires that any therapy services furnished 
incident to a physician's professional services must meet the standards 
and conditions that would apply to such therapy services if they were 
furnished by a therapist, with the exception of the licensing 
requirement.
    The OIG conducted a study in March of 1994 (OEI-02-09-00590) which 
revealed that 78 percent of ``incident to'' physical therapy services 
did represent therapy services covered under Medicare (that is, 
reasonable and necessary as defined in section 1862(a)(1)(A) of the 
Act). The study also questioned the training of staff providing these 
services. Also, in 2002 we contracted for a report on the utilization 
of therapy services. The text of that report is available at 
www.cms.hhs.gov/medlearn/therapy under Research Tools for Specific 
Therapy Topics, DynCorp Report--Outpatient Therapy Utilization 
September 2002. The study found that 25 percent of the beneficiaries in 
2000 were treated in the offices of physicians and nonphysician 
practitioners. There is currently no process to ensure the quality of 
the services provided in those settings.
    The pending implementation of financial limitations on outpatient 
therapy services emphasizes the need to define the qualifications of 
those providing therapy services. The limited therapy services covered 
by Medicare must be provided by people who meet qualifications needed 
to render skilled services.
    In order to conform to section 1862(a)(20) of the Act, we are 
considering adopting the existing qualification and training standards 
(with the exception of licensure) in Sec.  484.4 for individuals 
providing therapy services independently and incident to physicians' 
services. We are not proposing a change at this time, but are 
interested in receiving comments from the public, particularly 
physicians and staff who would be affected, on adoption of the existing 
standards in Sec.  484.4, to services of independent therapists and 
``incident to'' services as well as alternatives that we might use to 
ensure that qualified staff are providing ``incident to'' therapy 
services. These comments would assist us in the development of any 
future proposal concerning this issue.

D. Status of Anesthesia Work and Five-Year Review

    In the December 2002 final rule, we modestly increased the work of 
anesthesia services. These changes were based on the analysis submitted 
by the RUC of its review of the work of 19 high-volume anesthesia 
codes. The RUC had provided us with its analysis but did not furnish us 
with a definitive recommendation. The increase in anesthesia work 
resulted in an increase in the national anesthesia conversion factor. 
(We increased the physician work component of the anesthesia conversion 
factor by 2.10 percent to reflect a 9.13 percent increase in anesthesia 
work applied to 23 percent of anesthesia allowed charges represented by 
the 19 codes. We applied a 1.6 percent increase to the anesthesia CF.)
    The American Society of Anesthesiologists expressed concerns about 
the completeness of the review of anesthesia under the five-year 
review, and, in February 2003, we asked the RUC to continue its review 
of anesthesia work values; we expected to develop a final 
recommendation for a change in the anesthesia CF involving all 
anesthesia codes. We asked that the RUC complete this analysis in 2003. 
The RUC is considering our request and will respond to us about what 
action they plan to take on this issue.

E. Payment Policies for Anesthesia Services

    Currently there are different payment policies for teaching 
anesthesiologists and teaching certified registered nurse anesthetists 
(CRNAs). We are seeking comments on the appropriateness of applying the 
CRNA teaching/resident policy to teaching anesthesiologists.

F. Technical Correction

    CPT Code 96155 (Health and behavior intervention, each 15 minutes, 
face-to-face; family (without the patient present)).
    This code describes a visit with a patient's family without the 
patient being present and was first included in the November 1, 2001 
final rule. It was incorrectly listed as an active code for which 
payment could be made under the physician fee schedule. Our 
longstanding payment policy is that we do not pay for visits with 
family where the patient is not present. Payment for such visits is 
included in the pre- and post-service work of a visit where the patient 
is present. Consistent with this policy, this code is non-payable under 
the physician fee schedule.

IV. Collection of Information Requirements

    This document does not impose information collection and 
recordkeeping requirements. Consequently, it need not be reviewed by 
the Office of Management and Budget under the authority of the 
Paperwork Reduction Act of 1995.

V. 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 major comments in the preamble to that 
document.

VI. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive 
Order 12866 (September 1993, Regulatory Planning and Review), the 
Regulatory Flexibility Act (RFA) (September 16, 1980 Pub. L. 96-354), 
section 1102(b) of the Social Security Act, the Unfunded Mandates 
Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
    Executive Order 12866 directs agencies to assess all costs and 
benefits of available regulatory alternatives and, when regulation is 
necessary, to select regulatory approaches that maximize net benefits 
(including potential economic, environmental, public health and safety 
effects, distributive impacts, and equity). A regulatory impact 
analysis must be prepared for proposed rules with economically 
significant effects (that is, a proposed rule that would have an annual 
effect on the economy of $100 million or more in any

[[Page 49060]]

1 year, or would adversely affect in a material way the economy, a 
sector of the economy, productivity, competition, jobs, the 
environment, public health or safety, or State, local, or tribal 
governments or communities). We have simulated the effect of the 
proposed changes to the practice expense RVUs described earlier. The 
net effect of the changes we are proposing will not materially increase 
or decrease Medicare expenditures for physicians' services because the 
statute requires that changes to RVUs cannot increase or decrease 
expenditures more than $20 million. Since increases in payments 
resulting from RVU changes must be offset by decreases in payments for 
other services, the proposed practice expense changes will result in a 
redistribution of payments among physician specialties. The RVU changes 
in this proposed rule have an estimated aggregate redistributive effect 
of approximately $190 million dollars. (Tables 11 and 12 which appear 
later in this section reflect the estimated specialty impacts.) 
Therefore, we are considering this proposed rule to be a major rule 
because it is economically significant, and, thus, we have prepared a 
regulatory impact analysis.
    The RFA requires that we analyze regulatory options for small 
businesses and other entities. We prepare a Regulatory Flexibility 
Analysis unless we certify that a rule would not have a significant 
economic impact on a substantial number of small entities. The analysis 
must include a justification concerning the reason action is being 
taken, the kinds and number of small entities the rule affects, and an 
explanation of any meaningful options that achieve the objectives and 
less significant adverse economic impact on the small entities.
    Section 1102(b) of the Act requires us to prepare a regulatory 
impact analysis for any proposed rule that 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 a 
Metropolitan Statistical Area and has fewer than 100 beds.
    For purposes of the RFA, physicians, nonphysicians, and suppliers 
are considered small businesses if they generate revenues of $6 million 
or less. Approximately 95 percent of physicians (except mental health 
specialists) are considered to be small entities. There are about 
700,000 physicians, other practitioners and medical suppliers that 
receive Medicare payment under the physician fee schedule. The analysis 
and discussion provided in this section as well as elsewhere in this 
proposed rule is intended to comply with the RFA requirements.
    Section 202 of the Unfunded Mandates Reform Act of 1995 also 
requires that agencies assess anticipated costs and benefits before 
issuing any rule that may result in expenditure in any 1 year by State, 
local, or tribal governments, in the aggregate, or by the private 
sector, of $110 million. This proposed rule would not impose unfunded 
mandates on State, local, or tribal governments, or on the private 
sector of more than $110 million dollars.
    We have examined this proposed rule in accordance with Executive 
Order 13132 and have determined that this regulation would not have any 
significant impact on the rights, roles, or responsibilities of State, 
local, or tribal governments.
    We have prepared the following analysis, which together with the 
rest of this preamble, meets all 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 use to minimize the burden on small entities. As 
indicated elsewhere in this proposed rule, we propose to make changes 
to the Medicare Economic Index, refine resource-based practice based 
practice expense RVUs and make a variety of other minor changes to our 
regulations, payments or payment policy to ensure that our payment 
systems are updated to reflect changes in medical practice and the 
relative value of services. We provide information for each of the 
proposed policy changes in the relevant sections in this proposed rule. 
As discussed elsewhere in this proposed rule, the provisions of this 
proposed rule, if adopted, would only change Medicare payment rates for 
physician fee schedule services. While this rule would revise the 
definition of diabetes for the purposes of outpatient diabetes self-
management training, it does not impose reporting, record-keeping and 
other compliance requirements. We are unaware of any relevant Federal 
rules that duplicate, overlap or conflict with this proposed rule. The 
relevant sections of this proposed rule contain a description of 
significant alternatives.

A. Resource-Based Practice Expense Relative Value Units

    Under section 1848(c)(2) of the Act, adjustments to RVUs may not 
cause the amount of expenditures to differ by more than $20 million 
from the amount of expenditures that would have resulted without such 
adjustments. We are proposing several changes that would result in a 
change of expenditures that would exceed $20 million if we made no 
offsetting adjustments to either the conversion factor or RVUs.
    With respect to practice expense, our policy has been to meet the 
budget neutrality requirements in the statute by incorporating a 
rescaling adjustment in the practice expense methodology. That is, we 
estimate the aggregate number of practice expense relative values that 
will be paid under current and proposed policy in CY 2004. We apply a 
uniform adjustment factor to make the aggregate number of proposed 
practice expense relative values equal the number estimated that would 
be paid under current policy.
    Table 11 shows the specialty level impact on payment of changes 
being proposed for CY 2004. The payment impacts reflect averages for 
each specialty based on Medicare utilization. The payment impact for an 
individual physician would be different from the average, based on the 
mix of services the physician provides. The average change in total 
revenues would be less than the impact displayed here since physicians 
furnish services to both Medicare and non-Medicare patients and 
specialties may receive substantial Medicare revenues for services that 
are not paid under the physician fee schedule. For instance, 
independent laboratories receive more than 80 percent of their Medicare 
revenues from clinical laboratory services that are not paid under the 
physician fee schedules. The table shows only the payment impact on 
physician fee schedule services.
    We modeled the impact of four changes to the practice expense 
methodology and illustrated the effect in table 11 below. The column 
labeled ``Utilization Data'' shows the effect of updating the practice 
expense methodology to add 2002 utilization data for codes that did not 
exist in the 1997-2000 period. In general, updating the methodology 
with the latest utilization data will have the largest impact on 
payment for a new service where a code was established in 2002. In some 
cases, the practice expense RVU will increase (for example, 64561--
Implant Neuroelectrodes and 52001, Cystoscopy Removal of Clots). In 
other cases, they will go down (96567--photodynamic treatment skin and 
G0249--Providing test materials and equipment for home INR Monitoring, 
77418--Radiation Treatment Delivery--Intensity Modulated Radiation). 
For most specialties, new codes represent a

[[Page 49061]]

small proportion of the specialties' revenues and updating the practice 
expense RVUs with utilization will have little impact on payment across 
all of the services the specialty provides. However, updating the 
practice expense methodology with the 2002 utilization data will reduce 
payment to radiation oncologists by approximately 1 percent. The 
payment reduction occurs because the practice expense RVUs for 
radiotherapy dose planning and radiation treatment by intensity 
modulated radiation are going down. Because this service represents 8 
percent of Medicare revenues to radiation oncology in 2002, there is a 
somewhat larger impact on this specialty than will generally occur for 
most specialties.
    The column labeled ``Practice Expense Refinements'' shows the 
impact on payment from proposed refinements to the practice expense 
RVUs. In general, the largest impact of the refinements is occurring to 
surgical procedures with 10 and 90-day global periods. Most of the 
impacts on these procedures will occur because of the standardization 
of the intra and post period time for clinical staff. There are also 
modest impacts on some specialties in the non-facility practice expense 
RVUs from the refinements to clinical staff and medical supplies. 
Orthopedic surgery and hand surgery will experience an approximate 
reduction of 2 percent from the practice expense refinements while 
payments to otolaryngology will increase by nearly 2 percent. There 
will be more modest payment increases or decreases for all other 
specialties from the practice expense refinements.
    The column labeled ``Maxillofacial Prosthetics'' shows the impact 
on payment from changing the specialty practice expense per hour 
crosswalk for oral surgery (specialty 19) and maxillofacial surgery 
(specialty 85) to otolaryngology. Payments to these specialties will 
increase from this change and there will be virtually no impact on 
payment to any other specialty.
    As indicated earlier, we are also adding clinical staff time to the 
professional component of several cardiac catheterization services 
increasing payments for these services by a small amount. The proposed 
change will cause minor payment reductions for a few other cardiology 
services. All other services are unaffected by this proposal. The 
column labeled ``Professional Component of a Diagnostic Test'' shows 
the payment impact of the proposed change.
    The column labeled ``Total'' in table 11 below shows the payment 
impact by specialty of all the changes described above. If we change 
any of these proposals following our consideration of comments, these 
figures may change.

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    The statutory methodology for updating physician fee schedule 
conversion factor is specified in section 1848(d)(4) of the Act. 
Consistent with the requirements of section 1848(d)(1)(E) of the Act, 
we made an estimate of the physician fee schedule update for CY 2004 
available to the Medicare Payment Advisory Commission (MedPAC) and the 
public in March of this year. Using our point estimate of -4.2 percent, 
on table 12, we are showing the estimated change in average payments by 
specialty based on provisions of this proposed rule and the estimated 
physician fee schedule update. As indicated above, figures will change 
if we change any of our proposals following consideration of public 
comment. Further, we believe it is highly likely that our estimate of 
the 2004 physician fee schedule update will change before we determine 
the final figure later this year.

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    Table 13 shows the impact on payments for selected high volume 
procedures of all of the changes previously discussed. This table shows 
the combined impact of the change in the practice expense RVUs and the 
estimated physician fee schedule update on total payment for the 
procedure. There are separate columns that show the change in the 
facility rates and the non-facility rates. For an explanation of 
facility and non-facility practice expense refer to Sec.  
414.22(b)(5)(i). The table shows the estimated change in payment rates 
based on provisions of this proposed rule and the estimated physician 
fee schedule update. If we change any of the provisions following the 
consideration of public comments, these figures may change. Further, 
the payment amounts shown for 2003 will change once we determine the 
final figure for the physician fee schedule update.

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[GRAPHIC] [TIFF OMITTED] TP15AU03.016


BILLING CODE 4120-01-C

B. Geographic Practice Cost Indices

    As discussed in section II.B., we are proposing to revise the 
malpractice GPCIs based upon actual 2001 and 2002 malpractice premium 
data and projected 2003 malpractice premium data. Data collection is 
not yet complete therefore we were unable to include the proposed 
malpractice GPCIs in this proposed rule. The revised malpractice GPCIs 
in the final rule will be subject to public comment. Any changes in the 
GPCIs will redistribute payments among geographic areas and will not 
increase or decrease Medicare expenditures. Because the malpractice 
RVUs only represent 3.9 percent on total payments on average across all 
physician fee schedule services, we expect any payment impact to be 
modest. We will illustrate the change in the GPCIs from use of the new 
malpractice data in the final rule.

C. Tracking Codes

    We are proposing a change in policy that will allow CMS to create 
national payment policy and determine national payment amounts for CPT 
tracking codes regardless of whether a national coverage determination 
for a specific service has been made. This proposal will have no effect 
on Medicare expenditures but will allow for more flexibility in 
determining payment rates for new services.

D. Excision of Lesions

    We are proposing to make the work RVUs the same for removal of 
benign and malignant skin lesions that have the same excised diameters 
that are from similar locations (for example, torso, arms, and legs). 
This would result in minor redistribution in payment of these services. 
Any impact on payment from this proposal is included in the specialty 
and code level impacts shown above.

E. G Codes for Monitoring Heart Rhythms

    As discussed earlier, we are creating several HCPCS G codes and 
establishing national payment for new technology services that allow 
patients with cardiac arrhythmias to be monitored in a home setting. 
Currently, Medicare is making payment for these services under CPT code 
93799, Unlisted cardiovascular procedure or service. Medicare carriers 
make local payment determinations for unlisted procedure codes. Our 
proposal will have no impact on Medicare payment for these services 
since national payment will replace local carrier payment.

F. G Codes for Managing Dialysis Patients

    As we previously discussed in section II.C., we have reviewed our 
current payment policy for the monthly dialysis capitation payment in 
response to concerns that have been raised over whether our payment 
policy is consistent with current medical practice. We are proposing 
new G codes for these services that would allow us to align the payment 
incentives to match the frequency of the physician personally 
evaluating the dialysis patient. We believe that this restructuring of 
payment will assist in assuring that beneficiaries with ESRD receive 
the highest quality dialysis care available as the proposed codes 
provide for reimbursement for physician involvement that is consistent 
with the needs of the patient in any specific month. Our proposal will 
not increase or decrease Medicare payments for

[[Page 49070]]

treatment of dialysis patients. We are decreasing our current payment 
to the physician for providing fewer than four visits per month. If the 
physician provides four or more visits per month, we are increasing our 
current payment.

G. Rebasing and Revising the MEI

    As indicated in section III.A. of this proposed rule, we are 
proposing to rebase and revise the MEI for the CY 2004 physician fee 
schedule. Substituting the 2000 MEI weights in place of the 1996 
weights currently in use will increase the MEI by approximately 0.1 
percent for 2004. Based on our current estimates, we expect no impact 
from this proposal on any subsequent year MEI.

H. Definition of Diabetes for Diabetes Self-Management Training

    We are proposing to revise the definition of diabetes for purposes 
of the Outpatient Diabetes Self-Management Training benefit and use the 
definition established to determine beneficiary eligibility for Medical 
Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The 
streamlining of the beneficiary eligibility requirements for Outpatient 
Diabetes Self-Management Training will reduce administrative burden for 
the referring physician or qualified non-physician practitioner and for 
the accredited Outpatient Diabetes Self-Management Training programs by 
simplifying documentation requirements and eliminating the need for 
reconsiderations and appeals to clarify that the requirements have been 
met. As indicated in the February 28, 2003 Federal Register (68 FR 
9572), we incorporated an adjustment to the SGR consistent with our 
original estimates of expenditures associated with this new benefit. 
Our experience is that expenditures have been less than originally 
estimated. We expect that simplifying administrative requirements 
associated with this new benefit will make it more likely that 
expenditures for diabetes self-management training will be consistent 
with original estimates and there will be no increase in Medicare 
expenditures from making these modifications.

I. Alternatives Considered

    This proposed rule contains a range of policies. The preamble 
identifies those policies when discretion has been exercised and 
presents rationale for our decisions, including a presentation of 
nonselected options.

J. Impact on Beneficiaries

    Although changes in physicians' payments were large when the 
physician fee schedule was implemented in 1992, we detected no problems 
with beneficiary access to care. We do not believe that there would be 
any problem with access to care as a result of the proposed changes in 
this rule. While it has been suggested that the negative update for 
2004 may affect beneficiary access to care, we note that the formula to 
determine this update is set by statute and this regulation cannot, and 
does not, change it. Furthermore, since beginning our transition to a 
resource-based practice expense system in CY 1999, we have not found 
that there are problems with beneficiary access to care.
    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 414

    Administrative practice and procedure, Health facilities, Health 
professions, Kidney diseases, Medicare, Reporting and recordkeeping 
requirements, Rural areas, X-rays.
    For the reasons set forth in the preamble, the Centers for Medicare 
& Medicaid Services proposes to amend 42 CFR chapter IV as follows:

PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

    1. The authority citation for part 410 continues to read as 
follows:

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

    2. Section 410.140 is amended by adding the definition of 
``Diabetes'' to read as follows:


Sec.  410.140  Definitions.

* * * * *
    Diabetes means diabetes mellitus consisting of two types. Type 1 is 
an autoimmune disease that destroys the beta cells of the pancreas, 
leading to insulin deficiency. Type 2 is familial hyperglycemia that 
occurs primarily in adults but can also occur in children and 
adolescents. It is caused by an insulin resistance whose etiology is 
multiple and not totally understood. Gestational diabetes is any degree 
of glucose intolerance with onset or first recognition during 
pregnancy. The diagnostic criterion for a diagnosis of diabetes for a 
fasting glucose intolerance test is greater than or equal to 126 mg/dL.
* * * * *
    3. Section 410.141 is amended by adding paragraph (f) to read as 
follows:


Sec.  410.141  Outpatient diabetes self-management training.

* * * * *
    (f) Beneficiaries who may be covered. Medicare Part B covers 
outpatient diabetes self-management training for a beneficiary who has 
been diagnosed with diabetes.
* * * * *

PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES

    1. The authority citation for part 414 continues to read as 
follows:

    Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social 
Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).

    2. Section 414.22(b)(6)(iii) is revised to read as follows:


Sec.  414.22  Relative value units.

* * * * *
    (b) * * *
    (6) * * *
    (iii) CMS will consider for use in determining practice expense 
RVUs for the physician fee schedule survey data and related materials 
submitted to CMS by March 1, 2004 to determine CY 2005 practice expense 
RVUs.
* * * * *
(Catalog of Federal Domestic Assistance Program No. 93.774, 
Medicare--Supplementary Medical Insurance Program)

    Dated: June 20, 2003.
Thomas A Scully,
Administrator, Centers for Medicare & Medicaid Services.

    Approved: July 22, 2003.
Tommy G. Thompson,
Secretary.

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 
2003. 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.
    In previous years, we have listed many services in Addendum B that 
are not paid under the physician fee schedule. To avoid publishing as 
many pages of codes for these services, we are not including clinical 
laboratory codes

[[Page 49071]]

and most alpha-numeric codes (Healthcare Common Procedure Coding System 
(HCPCS) codes not included in CPT) in Addendum B.

Addendum B--2003 Relative Value Units and Related Information Used in 
Determining Medicare Payments for 2003

    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.
    F = Deleted/discontinued codes. Code not subject to a 90-day grace 
period.
    G = Code not valid for Medicare purposes. Medicare does not 
recognize codes assigned this status. Medicare uses another code for 
reporting of, and payment for, these services.
    H = Deleted modifier. Either the TC or PC component shown for the 
code has been deleted, and the deleted component is shown in the data 
base with the H status indicator. (Code subject to a 90-day grace 
period.)
    I = Not valid for Medicare purposes. Medicare uses another code for 
the reporting of, and the payment for these services. (Code NOT subject 
to a 90-day grace period.)
    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 2003. Codes that are not used for Medicare payment 
are identified with a ``+.''
    6. Facility practice expense RVUs. These are the fully implemented 
resource-based practice expense RVUs for facility settings.
    7. Non-facility practice expense RVUs. These are the fully 
implemented resource-based practice expense RVUs for non-facility 
settings.
    8. Malpractice expense RVUs. These are the RVUs for the malpractice 
expense for the service for 2003.
    9. Facility total. This is the sum of the work, fully implemented 
facility practice expense, and malpractice expense RVUs.
    10. Non-facility total. This is the sum of the work, fully 
implemented non-facility practice expense, and malpractice expense 
RVUs.
    11. 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 = Code related to another service that is always included in 
the global period of the other service. (Note: Physician work and 
practice expense are associated with intra service time and in some 
instances the post service time.)
    --------------------
\1\ CPT codes and descriptions only are copyright American Medical 
Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ Copyright American Dental Association. All rights reserved.

[[Page 49072]]



                                            Addendum B.--Relative Value Units (RVUS) and Related Information
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                         Non-                               Non-
 \1\ CPT/\2\ HCPCS         MOD           Status           Description      Physician   facility   Facility  Malpractice   facility   Facility    Global
                                                                           work RVUs   PE RVUs    PE RVUs       RVUs       total      total
--------------------------------------------------------------------------------------------------------------------------------------------------------
0001T..............  ..............  C               Endovas repr abdo ao       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      aneurys.
0002T..............  ..............  C               Endovas repr abdo ao       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      aneurys.
0003T..............  ..............  C               Cervicography.......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
0005T..............  ..............  C               Perc cath stent/           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      brain cv art.
0006T..............  ..............  C               Perc cath stent/           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      brain cv art.
0007T..............  ..............  C               Perc cath stent/           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      brain cv art.
0008T..............  ..............  C               Upper gi endoscopy w/      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      suture.
0009T..............  ..............  C               Endometrial                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      cryoablation.
0010T..............  ..............  C               Tb test, gamma             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      interferon.
0012T..............  ..............  C               Osteochondral knee         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      autograft.
0013T..............  ..............  C               Osteochondral knee         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      allograft.
0014T..............  ..............  C               Meniscal transplant,       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      knee.
0016T..............  ..............  C               Thermotx choroid           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vasc lesion.
0017T..............  ..............  C               Photocoagulat              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      macular drusen.
0018T..............  ..............  C               Transcranial               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      magnetic stimul.
0019T..............  ..............  I               Extracorp shock wave       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tx, ms.
0020T..............  ..............  C               Extracorp shock wave       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tx, ft.
0021T..............  ..............  C               Fetal oximetry,            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      trnsvag/cerv.
0023T..............  ..............  C               Phenotype drug test,       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hiv 1.
0024T..............  ..............  C               Transcath cardiac          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      reduction.
0025T..............  ..............  C               Ultrasonic                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      pachymetry.
0026T..............  ..............  C               Measure remnant            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lipoproteins.
0027T..............  ..............  C               Endoscopic epidural        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lysis.
0028T..............  ..............  C               Dexa body                  0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      composition study.
0029T..............  ..............  C               Magnetic tx for            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      incontinence.
0030T..............  ..............  C               Antiprothrombin            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      antibody.
0031T..............  ..............  C               Speculoscopy........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
0032T..............  ..............  C               Speculoscopy w/            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      direct sample.
0033T..............  ..............  C               Endovasc taa repr          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      incl subcl.
0034T..............  ..............  C               Endovasc taa repr w/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      o subcl.
0035T..............  ..............  C               Insert endovasc            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prosth, taa.
0036T..............  ..............  C               Endovasc prosth,           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      taa, add-on.
0037T..............  ..............  C               Artery transpose/          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      endovas taa.
0038T..............  ..............  C               Rad endovasc taa rpr       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      w/cover.
0039T..............  ..............  C               Rad s/i, endovasc          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      taa repair.
0040T..............  ..............  C               Rad s/i, endovasc          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      taa prosth.
0041T..............  ..............  C               Detect ur infect           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      agnt w/cpas.

[[Page 49073]]

 
0042T..............  ..............  C               Ct perfusion w/            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      contrast, cbf.
0043T..............  ..............  C               Co expired gas             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      analysis.
0044T..............  ..............  C               Whole body                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      photography.
10021..............  ..............  A               Fna w/o image.......       1.27       2.24       0.55        0.07        3.58       1.89        XXX
10022..............  ..............  A               Fna w/image.........       1.27       2.67       0.43        0.05        3.99       1.75        XXX
10040..............  ..............  A               Acne surgery........       1.18       1.03       0.69        0.05        2.26       1.92        010
10060..............  ..............  A               Drainage of skin           1.17       0.97       0.48        0.08        2.22       1.73        010
                                                      abscess.
10061..............  ..............  A               Drainage of skin           2.40       1.85       1.54        0.17        4.42       4.11        010
                                                      abscess.
10080..............  ..............  A               Drainage of                1.17       3.11       1.17        0.09        4.37       2.43        010
                                                      pilonidal cyst.
10081..............  ..............  A               Drainage of                2.45       4.08       1.53        0.19        6.72       4.17        010
                                                      pilonidal cyst.
10120..............  ..............  A               Remove foreign body.       1.22       1.50       0.42        0.10        2.82       1.74        010
10121..............  ..............  A               Remove foreign body.       2.69       3.39       1.91        0.25        6.33       4.85        010
10140..............  ..............  A               Drainage of hematoma/      1.53       1.54       0.92        0.15        3.22       2.60        010
                                                      fluid.
10160..............  ..............  A               Puncture drainage of       1.20       0.74       0.47        0.11        2.05       1.78        010
                                                      lesion.
10180..............  ..............  A               Complex drainage,          2.25       3.28       2.10        0.25        5.78       4.60        010
                                                      wound.
11000..............  ..............  A               Debride infected           0.60       0.58       0.22        0.05        1.23       0.87        000
                                                      skin.
11001..............  ..............  A               Debride infected           0.30       0.23       0.11        0.02        0.55       0.43        ZZZ
                                                      skin add-on.
11010..............  ..............  A               Debride skin, fx....       4.20       6.85       2.37        0.45       11.50       7.02        010
11011..............  ..............  A               Debride skin/muscle,       4.95       8.17       2.41        0.53       13.65       7.89        000
                                                      fx.
11012..............  ..............  A               Debride skin/muscle/       6.88      12.07       3.93        0.89       19.84      11.70        000
                                                      bone, fx.
11040..............  ..............  A               Debride skin,              0.50       0.54       0.21        0.05        1.09       0.76        000
                                                      partial.
11041..............  ..............  A               Debride skin, full..       0.82       0.68       0.33        0.06        1.56       1.21        000
11042..............  ..............  A               Debride skin/tissue.       1.12       1.01       0.47        0.09        2.22       1.68        000
11043..............  ..............  A               Debride tissue/            2.38       3.52       2.64        0.24        6.14       5.26        010
                                                      muscle.
11044..............  ..............  A               Debride tissue/            3.06       4.64       3.81        0.34        8.04       7.21        010
                                                      muscle/bone.
11055..............  ..............  R               Trim skin lesion....       0.43       0.58       0.17        0.02        1.03       0.62        000
11056..............  ..............  R               Trim skin lesions, 2       0.61       0.66       0.24        0.03        1.30       0.88        000
                                                      to 4.
11057..............  ..............  R               Trim skin lesions,         0.79       0.76       0.31        0.04        1.59       1.14        000
                                                      over 4.
11100..............  ..............  A               Biopsy of skin             0.81       1.29       0.37        0.04        2.14       1.22        000
                                                      lesion.
11101..............  ..............  A               Biopsy, skin add-on.       0.41       0.34       0.19        0.02        0.77       0.62        ZZZ
11200..............  ..............  A               Removal of skin tags       0.77       1.08       0.78        0.04        1.89       1.59        010
11201..............  ..............  A               Remove skin tags add-      0.29       0.16       0.12        0.02        0.47       0.43        ZZZ
                                                      on.
11300..............  ..............  A               Shave skin lesion...       0.51       1.03       0.22        0.03        1.57       0.76        000
11301..............  ..............  A               Shave skin lesion...       0.85       1.15       0.39        0.04        2.04       1.28        000
11302..............  ..............  A               Shave skin lesion...       1.05       1.34       0.47        0.05        2.44       1.57        000
11303..............  ..............  A               Shave skin lesion...       1.24       1.63       0.53        0.06        2.93       1.83        000
11305..............  ..............  A               Shave skin lesion...       0.67       0.86       0.27        0.04        1.57       0.98        000
11306..............  ..............  A               Shave skin lesion...       0.99       1.13       0.43        0.05        2.17       1.47        000
11307..............  ..............  A               Shave skin lesion...       1.14       1.32       0.50        0.05        2.51       1.69        000
11308..............  ..............  A               Shave skin lesion...       1.41       1.48       0.61        0.07        2.96       2.09        000
11310..............  ..............  A               Shave skin lesion...       0.73       1.16       0.33        0.04        1.93       1.10        000
11311..............  ..............  A               Shave skin lesion...       1.05       1.27       0.50        0.05        2.37       1.60        000
11312..............  ..............  A               Shave skin lesion...       1.20       1.47       0.57        0.06        2.73       1.83        000
11313..............  ..............  A               Shave skin lesion...       1.62       1.86       0.73        0.09        3.57       2.44        000
11400..............  ..............  A               Exc tr-ext b9+marg         0.93       2.10       0.94        0.06        3.09       1.93        010
                                                      0.5 < cm.
11401..............  ..............  A               Exc tr-ext b9+marg         1.44       2.22       1.12        0.09        3.75       2.65        010
                                                      0.6-1 cm.
11402..............  ..............  A               Exc tr-ext b9+marg         1.72       2.39       1.19        0.12        4.23       3.03        010
                                                      1.1-2 cm.
11403..............  ..............  A               Exc tr-ext b9+marg         1.97       2.55       1.42        0.16        4.68       3.55        010
                                                      2.1-3 cm.
11404..............  ..............  A               Exc tr-ext b9+marg         2.21       2.86       1.48        0.18        5.25       3.87        010
                                                      3.1-4 cm.
11406..............  ..............  A               Exc tr-ext b9+marg         3.03       3.27       1.79        0.25        6.55       5.07        010
                                                       4.0 cm.
11420..............  ..............  A               Exc h-f-nk-sp              1.01       1.83       0.96        0.08        2.92       2.05        010
                                                      b9+marg 0.5 <.
11421..............  ..............  A               Exc h-f-nk-sp              1.55       2.19       1.19        0.11        3.85       2.85        010
                                                      b9+marg 0.6-1.

[[Page 49074]]

 
11422..............  ..............  A               Exc h-f-nk-sp              1.84       2.42       1.45        0.14        4.40       3.43        010
                                                      b9+marg 1.1-2.
11423..............  ..............  A               Exc h-f-nk-sp              2.28       2.78       1.59        0.17        5.23       4.04        010
                                                      b9+marg 2.1-3.
11424..............  ..............  A               Exc h-f-nk-sp              2.72       3.01       1.75        0.21        5.94       4.68        010
                                                      b9+marg 3.1-4.
11426..............  ..............  A               Exc h-f-nk-sp              4.03       3.71       2.24        0.34        8.08       6.61        010
                                                      b9+marg 
                                                      4 cm.
11440..............  ..............  A               Exc face-mm b9+marg        1.16       2.38       1.40        0.08        3.62       2.64        010
                                                      0.5 < cm.
11441..............  ..............  A               Exc face-mm b9+marg        1.89       2.64       1.72        0.11        4.64       3.72        010
                                                      0.6-1 cm.
11442..............  ..............  A               Exc face-mm b9+marg        2.31       2.92       1.87        0.14        5.37       4.32        010
                                                      1.1-2 cm.
11443..............  ..............  A               Exc face-mm b9+marg        2.86       3.30       2.11        0.18        6.34       5.15        010
                                                      2.1-3 cm.
11444..............  ..............  A               Exc face-mm b9+marg        3.78       3.93       2.52        0.25        7.96       6.55        010
                                                      3.1-4 cm.
11446..............  ..............  A               Exc face-mm b9+marg        5.57       4.70       3.32        0.30       10.57       9.19        010
                                                       4 cm.
11450..............  ..............  A               Removal, sweat gland       2.73       5.22       2.04        0.26        8.21       5.03        090
                                                      lesion.
11451..............  ..............  A               Removal, sweat gland       3.95       6.87       2.57        0.39       11.21       6.91        090
                                                      lesion.
11462..............  ..............  A               Removal, sweat gland       2.51       5.31       2.02        0.23        8.05       4.76        090
                                                      lesion.
11463..............  ..............  A               Removal, sweat gland       3.95       7.12       2.71        0.40       11.47       7.06        090
                                                      lesion.
11470..............  ..............  A               Removal, sweat gland       3.25       5.25       2.28        0.30        8.80       5.83        090
                                                      lesion.
11471..............  ..............  A               Removal, sweat gland       4.41       7.03       2.80        0.40       11.84       7.61        090
                                                      lesion.
11600..............  ..............  A               Exc tr-ext mlg+marg        0.93       2.58       0.84        0.09        3.60       1.86        010
                                                      0.5 < cm.
11601..............  ..............  A               Exc tr-ext mlg+marg        1.44       2.63       1.10        0.12        4.19       2.66        010
                                                      0.6-1 cm.
11602..............  ..............  A               Exc tr-ext mlg+marg        1.72       2.82       1.20        0.13        4.67       3.05        010
                                                      1.1-2 cm.
11603..............  ..............  A               Exc tr-ext mlg+marg        1.97       3.08       1.27        0.16        5.21       3.40        010
                                                      2.1-3 cm.
11604..............  ..............  A               Exc tr-ext mlg+marg        2.21       3.41       1.35        0.18        5.80       3.74        010
                                                      3.1-4 cm.
11606..............  ..............  A               Exc tr-ext mlg+marg        3.03       4.02       1.62        0.28        7.33       4.93        010
                                                       4 cm.
11620..............  ..............  A               Exc h-f-nk-sp              1.01       2.62       0.90        0.09        3.72       2.00        010
                                                      mlg+marg 0.5 <.
11621..............  ..............  A               Exc h-f-nk-sp              1.55       2.70       1.18        0.12        4.37       2.85        010
                                                      mlg+marg 0.6-1.
11622..............  ..............  A               Exc h-f-nk-sp              1.84       2.95       1.31        0.15        4.94       3.30        010
                                                      mlg+marg 1.1-2.
11623..............  ..............  A               Exc h-f-nk-sp              2.28       3.30       1.48        0.20        5.78       3.96        010
                                                      mlg+marg 2.1-3.
11624..............  ..............  A               Exc h-f-nk-sp              2.72       3.72       1.67        0.25        6.69       4.64        010
                                                      mlg+marg 3.1-4.
11626..............  ..............  A               Exc h-f-nk-sp              4.03       4.67       2.33        0.35        9.05       6.71        010
                                                      mlg+mar 
                                                      4 cm.
11640..............  ..............  A               Exc face-mm                1.16       2.68       1.06        0.10        3.94       2.32        010
                                                      malig+marg 0.5 <.
11641..............  ..............  A               Exc face-mm                1.89       3.01       1.44        0.15        5.05       3.48        010
                                                      malig+marg 0.6-1.
11642..............  ..............  A               Exc face-mm                2.31       3.39       1.63        0.18        5.88       4.12        010
                                                      malig+marg 1.1-2.
11643..............  ..............  A               Exc face-mm                2.86       3.82       1.89        0.24        6.92       4.99        010
                                                      malig+marg 2.1-3.
11644..............  ..............  A               Exc face-mm                3.78       4.72       2.40        0.33        8.83       6.51        010
                                                      malig+marg 3.1-4.

[[Page 49075]]

 
11646..............  ..............  A               Exc face-mm mlg+marg       5.57       5.76       3.38        0.46       11.79       9.41        010
                                                       4 cm.
11719..............  ..............  R               Trim nail(s)........       0.17       0.25       0.07        0.01        0.43       0.25        000
11720..............  ..............  A               Debride nail, 1-5...       0.32       0.34       0.13        0.02        0.68       0.47        000
11721..............  ..............  A               Debride nail, 6 or         0.54       0.44       0.21        0.04        1.02       0.79        000
                                                      more.
11730..............  ..............  A               Removal of nail            1.13       1.05       0.44        0.09        2.27       1.66        000
                                                      plate.
11732..............  ..............  A               Remove nail plate,         0.57       0.45       0.23        0.05        1.07       0.85        ZZZ
                                                      add-on.
11740..............  ..............  A               Drain blood from           0.37       0.87       0.15        0.03        1.27       0.55        000
                                                      under nail.
11750..............  ..............  A               Removal of nail bed.       1.86       2.18       1.76        0.16        4.20       3.78        010
11752..............  ..............  A               Remove nail bed/           2.67       2.50       1.92        0.33        5.50       4.92        010
                                                      finger tip.
11755..............  ..............  A               Biopsy, nail unit...       1.31       1.12       0.56        0.06        2.49       1.93        000
11760..............  ..............  A               Repair of nail bed..       1.58       1.88       1.24        0.17        3.63       2.99        010
11762..............  ..............  A               Reconstruction of          2.89       2.32       1.86        0.32        5.53       5.07        010
                                                      nail bed.
11765..............  ..............  A               Excision of nail           0.69       1.18       0.53        0.05        1.92       1.27        010
                                                      fold, toe.
11770..............  ..............  A               Removal of pilonidal       2.61       3.50       1.53        0.24        6.35       4.38        010
                                                      lesion.
11771..............  ..............  A               Removal of pilonidal       5.74       5.80       3.35        0.56       12.10       9.65        090
                                                      lesion.
11772..............  ..............  A               Removal of pilonidal       6.98       7.34       3.91        0.68       15.00      11.57        090
                                                      lesion.
11900..............  ..............  A               Injection into skin        0.52       0.67       0.22        0.02        1.21       0.76        000
                                                      lesions.
11901..............  ..............  A               Added skin lesions         0.80       0.68       0.36        0.03        1.51       1.19        000
                                                      injection.
11920..............  ..............  R               Correct skin color         1.61       2.03       0.79        0.17        3.81       2.57        000
                                                      defects.
11921..............  ..............  R               Correct skin color         1.93       2.41       1.00        0.21        4.55       3.14        000
                                                      defects.
11922..............  ..............  R               Correct skin color         0.49       0.38       0.25        0.05        0.92       0.79        ZZZ
                                                      defects.
11950..............  ..............  R               Therapy for contour        0.84       1.18       0.42        0.06        2.08       1.32        000
                                                      defects.
11951..............  ..............  R               Therapy for contour        1.19       1.53       0.52        0.10        2.82       1.81        000
                                                      defects.
11952..............  ..............  R               Therapy for contour        1.69       1.90       0.70        0.17        3.76       2.56        000
                                                      defects.
11954..............  ..............  R               Therapy for contour        1.85       2.48       0.92        0.19        4.52       2.96        000
                                                      defects.
11960..............  ..............  A               Insert tissue              9.08        N/A      10.74        0.88         N/A      20.70        090
                                                      expander(s).
11970..............  ..............  A               Replace tissue             7.06        N/A       6.22        0.77         N/A      14.05        090
                                                      expander.
11971..............  ..............  A               Remove tissue              2.13       7.24       4.84        0.21        9.58       7.18        090
                                                      expander(s).
11975..............  ..............  N               Insert contraceptive       1.48       1.50       0.57        0.14        3.12       2.19        XXX
                                                      cap.
11976..............  ..............  R               Removal of                 1.78       1.74       0.70        0.17        3.69       2.65        000
                                                      contraceptive cap.
11977..............  ..............  N               Removal/reinsert           3.30       2.42       1.28        0.31        6.03       4.89        XXX
                                                      contra cap.
11980..............  ..............  A               Implant hormone            1.48       1.12       0.56        0.10        2.70       2.14        000
                                                      pellet(s).
11981..............  ..............  A               Insert drug implant        1.48       1.77       0.70        0.14        3.39       2.32        XXX
                                                      device.
11982..............  ..............  A               Remove drug implant        1.78       2.01       0.86        0.17        3.96       2.81        XXX
                                                      device.
11983..............  ..............  A               Remove/insert drug         3.30       2.37       1.50        0.31        5.98       5.11        XXX
                                                      implant.
12001..............  ..............  A               Repair superficial         1.70       2.07       0.50        0.13        3.90       2.33        010
                                                      wound(s).
12002..............  ..............  A               Repair superficial         1.86       2.14       0.95        0.15        4.15       2.96        010
                                                      wound(s).
12004..............  ..............  A               Repair superficial         2.24       2.43       1.06        0.17        4.84       3.47        010
                                                      wound(s).
12005..............  ..............  A               Repair superficial         2.86       2.94       1.25        0.23        6.03       4.34        010
                                                      wound(s).
12006..............  ..............  A               Repair superficial         3.67       3.53       1.57        0.31        7.51       5.55        010
                                                      wound(s).
12007..............  ..............  A               Repair superficial         4.12       3.97       1.87        0.37        8.46       6.36        010
                                                      wound(s).
12011..............  ..............  A               Repair superficial         1.76       2.24       0.51        0.14        4.14       2.41        010
                                                      wound(s).
12013..............  ..............  A               Repair superficial         1.99       2.39       0.99        0.16        4.54       3.14        010
                                                      wound(s).
12014..............  ..............  A               Repair superficial         2.46       2.69       1.11        0.18        5.33       3.75        010
                                                      wound(s).

[[Page 49076]]

 
12015..............  ..............  A               Repair superficial         3.19       3.28       1.31        0.24        6.71       4.74        010
                                                      wound(s).
12016..............  ..............  A               Repair superficial         3.93       3.70       1.59        0.32        7.95       5.84        010
                                                      wound(s).
12017..............  ..............  A               Repair superficial         4.71        N/A       1.95        0.39         N/A       7.05        010
                                                      wound(s).
12018..............  ..............  A               Repair superficial         5.53        N/A       2.32        0.46         N/A       8.31        010
                                                      wound(s).
12020..............  ..............  A               Closure of split           2.62       2.74       1.77        0.24        5.60       4.63        010
                                                      wound.
12021..............  ..............  A               Closure of split           1.84       1.81       1.43        0.19        3.84       3.46        010
                                                      wound.
12031..............  ..............  A               Layer closure of           2.15       2.36       0.83        0.15        4.66       3.13        010
                                                      wound(s).
12032..............  ..............  A               Layer closure of           2.47       3.88       1.87        0.15        6.50       4.49        010
                                                      wound(s).
12034..............  ..............  A               Layer closure of           2.92       3.24       1.44        0.21        6.37       4.57        010
                                                      wound(s).
12035..............  ..............  A               Layer closure of           3.43       5.27       2.22        0.30        9.00       5.95        010
                                                      wound(s).
12036..............  ..............  A               Layer closure of           4.05       5.53       2.42        0.41        9.99       6.88        010
                                                      wound(s).
12037..............  ..............  A               Layer closure of           4.67       6.62       2.83        0.49       11.78       7.99        010
                                                      wound(s).
12041..............  ..............  A               Layer closure of           2.37       2.53       0.88        0.17        5.07       3.42        010
                                                      wound(s).
12042..............  ..............  A               Layer closure of           2.74       3.28       1.40        0.17        6.19       4.31        010
                                                      wound(s).
12044..............  ..............  A               Layer closure of           3.14       3.28       1.59        0.24        6.66       4.97        010
                                                      wound(s).
12045..............  ..............  A               Layer closure of           3.64       3.79       2.21        0.34        7.77       6.19        010
                                                      wound(s).
12046..............  ..............  A               Layer closure of           4.25       6.61       2.82        0.40       11.26       7.47        010
                                                      wound(s).
12047..............  ..............  A               Layer closure of           4.65       6.50       3.15        0.41       11.56       8.21        010
                                                      wound(s).
12051..............  ..............  A               Layer closure of           2.47       3.30       1.39        0.16        5.93       4.02        010
                                                      wound(s).
12052..............  ..............  A               Layer closure of           2.77       3.24       1.37        0.17        6.18       4.31        010
                                                      wound(s).
12053..............  ..............  A               Layer closure of           3.12       3.29       1.53        0.20        6.61       4.85        010
                                                      wound(s).
12054..............  ..............  A               Layer closure of           3.46       3.63       1.63        0.25        7.34       5.34        010
                                                      wound(s).
12055..............  ..............  A               Layer closure of           4.43       4.63       2.18        0.35        9.41       6.96        010
                                                      wound(s).
12056..............  ..............  A               Layer closure of           5.24       6.92       3.13        0.43       12.59       8.80        010
                                                      wound(s).
12057..............  ..............  A               Layer closure of           5.96       6.27       3.84        0.50       12.73      10.30        010
                                                      wound(s).
13100..............  ..............  A               Repair of wound or         3.12       3.59       1.81        0.21        6.92       5.14        010
                                                      lesion.
13101..............  ..............  A               Repair of wound or         3.92       3.83       2.26        0.22        7.97       6.40        010
                                                      lesion.
13102..............  ..............  A               Repair wound/lesion        1.24       0.75       0.58        0.10        2.09       1.92        ZZZ
                                                      add-on.
13120..............  ..............  A               Repair of wound or         3.30       3.69       1.85        0.23        7.22       5.38        010
                                                      lesion.
13121..............  ..............  A               Repair of wound or         4.33       4.05       2.36        0.25        8.63       6.94        010
                                                      lesion.
13122..............  ..............  A               Repair wound/lesion        1.44       0.88       0.64        0.12        2.44       2.20        ZZZ
                                                      add-on.
13131..............  ..............  A               Repair of wound or         3.79       3.96       2.18        0.25        8.00       6.22        010
                                                      lesion.
13132..............  ..............  A               Repair of wound or         5.95       4.78       3.23        0.32       11.05       9.50        010
                                                      lesion.
13133..............  ..............  A               Repair wound/lesion        2.19       1.22       1.05        0.17        3.58       3.41        ZZZ
                                                      add-on.
13150..............  ..............  A               Repair of wound or         3.81       5.62       2.65        0.29        9.72       6.75        010
                                                      lesion.
13151..............  ..............  A               Repair of wound or         4.45       5.52       3.10        0.28       10.25       7.83        010
                                                      lesion.
13152..............  ..............  A               Repair of wound or         6.33       6.21       4.01        0.38       12.92      10.72        010
                                                      lesion.
13153..............  ..............  A               Repair wound/lesion        2.38       1.37       1.17        0.18        3.93       3.73        ZZZ
                                                      add-on.
13160..............  ..............  A               Late closure of           10.48        N/A       7.24        1.19         N/A      18.91        090
                                                      wound.
14000..............  ..............  A               Skin tissue                5.89       8.69       5.21        0.46       15.04      11.56        090
                                                      rearrangement.
14001..............  ..............  A               Skin tissue                8.47      10.16       6.70        0.65       19.28      15.82        090
                                                      rearrangement.
14020..............  ..............  A               Skin tissue                6.59       9.35       6.10        0.50       16.44      13.19        090
                                                      rearrangement.
14021..............  ..............  A               Skin tissue               10.06      10.67       7.88        0.69       21.42      18.63        090
                                                      rearrangement.
14040..............  ..............  A               Skin tissue                7.87       8.44       7.01        0.55       16.86      15.43        090
                                                      rearrangement.
14041..............  ..............  A               Skin tissue               11.49      10.87       8.87        0.71       23.07      21.07        090
                                                      rearrangement.
14060..............  ..............  A               Skin tissue                8.50       9.27       7.82        0.59       18.36      16.91        090
                                                      rearrangement.
14061..............  ..............  A               Skin tissue               12.29      11.90       9.69        0.75       24.94      22.73        090
                                                      rearrangement.
14300..............  ..............  A               Skin tissue               11.76      11.41       9.32        0.88       24.05      21.96        090
                                                      rearrangement.
14350..............  ..............  A               Skin tissue                9.61        N/A       7.26        1.09         N/A      17.96        090
                                                      rearrangement.
15000..............  ..............  A               Skin graft..........       4.00       3.89       2.24        0.37        8.26       6.61        000
15001..............  ..............  A               Skin graft add-on...       1.00       1.39       0.42        0.11        2.50       1.53        ZZZ
15050..............  ..............  A               Skin pinch graft....       4.30       6.08       4.81        0.46       10.84       9.57        090
15100..............  ..............  A               Skin split graft....       9.05      12.83       7.89        0.94       22.82      17.88        090
15101..............  ..............  A               Skin split graft add-      1.72       3.89       1.69        0.18        5.79       3.59        ZZZ
                                                      on.
15120..............  ..............  A               Skin split graft....       9.83      11.04       7.95        0.90       21.77      18.68        090
15121..............  ..............  A               Skin split graft add-      2.67       4.66       1.91        0.27        7.60       4.85        ZZZ
                                                      on.
15200..............  ..............  A               Skin full graft.....       8.03      10.93       6.11        0.73       19.69      14.87        090
15201..............  ..............  A               Skin full graft add-       1.32       1.06       0.63        0.14        2.52       2.09        ZZZ
                                                      on.

[[Page 49077]]

 
15220..............  ..............  A               Skin full graft.....       7.87      10.82       6.55        0.68       19.37      15.10        090
15221..............  ..............  A               Skin full graft add-       1.19       0.92       0.58        0.12        2.23       1.89        ZZZ
                                                      on.
15240..............  ..............  A               Skin full graft.....       9.04      10.38       7.80        0.80       20.22      17.64        090
15241..............  ..............  A               Skin full graft add-       1.86       1.48       0.93        0.17        3.51       2.96        ZZZ
                                                      on.
15260..............  ..............  A               Skin full graft.....      10.06      10.10       8.80        0.63       20.79      19.49        090
15261..............  ..............  A               Skin full graft add-       2.23       2.78       1.45        0.17        5.18       3.85        ZZZ
                                                      on.
15342..............  ..............  A               Cultured skin graft,       1.00       1.84       0.56        0.09        2.93       1.65        010
                                                      25 cm.
15343..............  ..............  A               Culture skn graft          0.25       0.27       0.10        0.02        0.54       0.37        ZZZ
                                                      addl 25 cm.
15350..............  ..............  A               Skin homograft......       4.00       8.37       4.90        0.42       12.79       9.32        090
15351..............  ..............  A               Skin homograft add-        1.00       0.95       0.40        0.11        2.06       1.51        ZZZ
                                                      on.
15400..............  ..............  A               Skin heterograft....       4.00       4.28       4.21        0.40        8.68       8.61        090
15401..............  ..............  A               Skin heterograft add-      1.00       1.23       0.45        0.11        2.34       1.56        ZZZ
                                                      on.
15570..............  ..............  A               Form skin pedicle          9.21       9.27       6.55        0.96       19.44      16.72        090
                                                      flap.
15572..............  ..............  A               Form skin pedicle          9.27       8.58       6.27        0.93       18.78      16.47        090
                                                      flap.
15574..............  ..............  A               Form skin pedicle          9.88       8.98       7.08        0.92       19.78      17.88        090
                                                      flap.
15576..............  ..............  A               Form skin pedicle          8.69       9.61       6.55        0.72       19.02      15.96        090
                                                      flap.
15600..............  ..............  A               Skin graft..........       1.91       7.24       2.75        0.19        9.34       4.85        090
15610..............  ..............  A               Skin graft..........       2.42       3.83       3.09        0.25        6.50       5.76        090
15620..............  ..............  A               Skin graft..........       2.94       7.64       3.75        0.28       10.86       6.97        090
15630..............  ..............  A               Skin graft..........       3.27       7.00       4.02        0.28       10.55       7.57        090
15650..............  ..............  A               Transfer skin              3.97       6.86       4.10        0.36       11.19       8.43        090
                                                      pedicle flap.
15732..............  ..............  A               Muscle-skin graft,        17.84      18.42      12.48        1.50       37.76      31.82        090
                                                      head/neck.
15734..............  ..............  A               Muscle-skin graft,        17.79      18.28      12.55        1.91       37.98      32.25        090
                                                      trunk.
15736..............  ..............  A               Muscle-skin graft,        16.27      18.50      11.43        1.78       36.55      29.48        090
                                                      arm.
15738..............  ..............  A               Muscle-skin graft,        17.92      18.28      11.95        1.95       38.15      31.82        090
                                                      leg.
15740..............  ..............  A               Island pedicle flap       10.25       9.97       7.91        0.62       20.84      18.78        090
                                                      graft.
15750..............  ..............  A               Neurovascular             11.41        N/A       9.16        1.16         N/A      21.73        090
                                                      pedicle graft.
15756..............  ..............  A               Free myo/skin flap        35.23        N/A      21.18        3.11         N/A      59.52        090
                                                      microvasc.
15757..............  ..............  A               Free skin flap,           35.23        N/A      22.24        3.37         N/A      60.84        090
                                                      microvasc.
15758..............  ..............  A               Free fascial flap,        35.10        N/A      22.23        3.52         N/A      60.85        090
                                                      microvasc.
15760..............  ..............  A               Composite skin graft       8.74       9.95       7.16        0.72       19.41      16.62        090
15770..............  ..............  A               Derma-fat-fascia           7.52        N/A       6.84        0.78         N/A      15.14        090
                                                      graft.
15775..............  ..............  R               Hair transplant            3.96       2.83       1.35        0.43        7.22       5.74        000
                                                      punch grafts.
15776..............  ..............  R               Hair transplant            5.54       5.49       2.87        0.60       11.63       9.01        000
                                                      punch grafts.
15780..............  ..............  A               Abrasion treatment         7.29       7.23       7.23        0.41       14.93      14.93        090
                                                      of skin.
15781..............  ..............  A               Abrasion treatment         4.85       5.46       5.46        0.27       10.58      10.58        090
                                                      of skin.
15782..............  ..............  A               Abrasion treatment         4.32       4.44       4.44        0.21        8.97       8.97        090
                                                      of skin.
15783..............  ..............  A               Abrasion treatment         4.29       5.04       4.26        0.26        9.59       8.81        090
                                                      of skin.
15786..............  ..............  A               Abrasion, lesion,          2.03       1.66       1.30        0.11        3.80       3.44        010
                                                      single.
15787..............  ..............  A               Abrasion, lesions,         0.33       0.32       0.16        0.02        0.67       0.51        ZZZ
                                                      add-on.
15788..............  ..............  R               Chemical peel, face,       2.09       3.39       2.24        0.11        5.59       4.44        090
                                                      epiderm.
15789..............  ..............  R               Chemical peel, face,       4.92       6.54       5.06        0.27       11.73      10.25        090
                                                      dermal.
15792..............  ..............  R               Chemical peel,             1.86       3.22       2.82        0.10        5.18       4.78        090
                                                      nonfacial.
15793..............  ..............  A               Chemical peel,             3.74        N/A       4.25        0.17         N/A       8.16        090
                                                      nonfacial.
15810..............  ..............  A               Salabrasion.........       4.74       3.99       3.99        0.42        9.15       9.15        090
15811..............  ..............  A               Salabrasion.........       5.39       6.43       5.62        0.52       12.34      11.53        090
15819..............  ..............  A               Plastic surgery,           9.38        N/A       7.36        0.77         N/A      17.51        090
                                                      neck.
15820..............  ..............  A               Revision of lower          5.15       7.01       5.48        0.30       12.46      10.93        090
                                                      eyelid.
15821..............  ..............  A               Revision of lower          5.72       7.40       5.64        0.31       13.43      11.67        090
                                                      eyelid.
15822..............  ..............  A               Revision of upper          4.45       5.93       4.45        0.22       10.60       9.12        090
                                                      eyelid.
15823..............  ..............  A               Revision of upper          7.05       7.93       6.35        0.32       15.30      13.72        090
                                                      eyelid.
15824..............  ..............  R               Removal of forehead        0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      wrinkles.
15825..............  ..............  R               Removal of neck            0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      wrinkles.
15826..............  ..............  R               Removal of brow            0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      wrinkles.
15828..............  ..............  R               Removal of face            0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      wrinkles.
15829..............  ..............  R               Removal of skin            0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      wrinkles.

[[Page 49078]]

 
15831..............  ..............  A               Excise excessive          12.40        N/A       8.36        1.30         N/A      22.06        090
                                                      skin tissue.
15832..............  ..............  A               Excise excessive          11.59        N/A       8.52        1.21         N/A      21.32        090
                                                      skin tissue.
15833..............  ..............  A               Excise excessive          10.64        N/A       8.22        1.17         N/A      20.03        090
                                                      skin tissue.
15834..............  ..............  A               Excise excessive          10.85        N/A       7.80        1.18         N/A      19.83        090
                                                      skin tissue.
15835..............  ..............  A               Excise excessive          11.67      11.70       7.76        1.13       24.50      20.56        090
                                                      skin tissue.
15836..............  ..............  A               Excise excessive           9.34        N/A       6.92        0.95         N/A      17.21        090
                                                      skin tissue.
15837..............  ..............  A               Excise excessive           8.43       8.10       7.12        0.78       17.31      16.33        090
                                                      skin tissue.
15838..............  ..............  A               Excise excessive           7.13        N/A       6.23        0.58         N/A      13.94        090
                                                      skin tissue.
15839..............  ..............  A               Excise excessive           9.38       8.02       6.31        0.88       18.28      16.57        090
                                                      skin tissue.
15840..............  ..............  A               Graft for face nerve      13.26        N/A      10.32        1.15         N/A      24.73        090
                                                      palsy.
15841..............  ..............  A               Graft for face nerve      23.26        N/A      15.38        2.65         N/A      41.29        090
                                                      palsy.
15842..............  ..............  A               Flap for face nerve       37.96        N/A      23.49        3.99         N/A      65.44        090
                                                      palsy.
15845..............  ..............  A               Skin and muscle           12.57        N/A       9.34        0.80         N/A      22.71        090
                                                      repair, face.
15850..............  ..............  B               Removal of sutures..       0.78       1.62       0.30        0.04        2.44       1.12        XXX
15851..............  ..............  A               Removal of sutures..       0.86       1.78       0.34        0.05        2.69       1.25        000
15852..............  ..............  A               Dressing change,not        0.86       1.90       0.36        0.07        2.83       1.29        000
                                                      for burn.
15860..............  ..............  A               Test for blood flow        1.95       1.30       0.80        0.13        3.38       2.88        000
                                                      in graft.
15876..............  ..............  R               Suction assisted           0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      lipectomy.
15877..............  ..............  R               Suction assisted           0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      lipectomy.
15878..............  ..............  R               Suction assisted           0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      lipectomy.
15879..............  ..............  R               Suction assisted           0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      lipectomy.
15920..............  ..............  A               Removal of tail bone       7.95        N/A       5.68        0.83         N/A      14.46        090
                                                      ulcer.
15922..............  ..............  A               Removal of tail bone       9.90        N/A       7.50        1.06         N/A      18.46        090
                                                      ulcer.
15931..............  ..............  A               Remove sacrum              9.24        N/A       5.83        0.95         N/A      16.02        090
                                                      pressure sore.
15933..............  ..............  A               Remove sacrum             10.85        N/A       8.07        1.14         N/A      20.06        090
                                                      pressure sore.
15934..............  ..............  A               Remove sacrum             12.69        N/A       8.35        1.35         N/A      22.39        090
                                                      pressure sore.
15935..............  ..............  A               Remove sacrum             14.57        N/A      10.51        1.56         N/A      26.64        090
                                                      pressure sore.
15936..............  ..............  A               Remove sacrum             12.38        N/A       8.66        1.32         N/A      22.36        090
                                                      pressure sore.
15937..............  ..............  A               Remove sacrum             14.21        N/A      10.23        1.51         N/A      25.95        090
                                                      pressure sore.
15940..............  ..............  A               Remove hip pressure        9.34        N/A       6.33        0.98         N/A      16.65        090
                                                      sore.
15941..............  ..............  A               Remove hip pressure       11.43        N/A       9.75        1.23         N/A      22.41        090
                                                      sore.
15944..............  ..............  A               Remove hip pressure       11.46        N/A       8.87        1.21         N/A      21.54        090
                                                      sore.
15945..............  ..............  A               Remove hip pressure       12.69        N/A       9.92        1.38         N/A      23.99        090
                                                      sore.
15946..............  ..............  A               Remove hip pressure       21.57        N/A      14.86        2.32         N/A      38.75        090
                                                      sore.
15950..............  ..............  A               Remove thigh               7.54        N/A       5.54        0.80         N/A      13.88        090
                                                      pressure sore.
15951..............  ..............  A               Remove thigh              10.72        N/A       8.08        1.14         N/A      19.94        090
                                                      pressure sore.
15952..............  ..............  A               Remove thigh              11.39        N/A       7.81        1.19         N/A      20.39        090
                                                      pressure sore.
15953..............  ..............  A               Remove thigh              12.63        N/A       9.22        1.38         N/A      23.23        090
                                                      pressure sore.
15956..............  ..............  A               Remove thigh              15.52        N/A      10.96        1.64         N/A      28.12        090
                                                      pressure sore.
15958..............  ..............  A               Remove thigh              15.48        N/A      11.24        1.66         N/A      28.38        090
                                                      pressure sore.
15999..............  ..............  C               Removal of pressure        0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      sore.
16000..............  ..............  A               Initial treatment of       0.89       0.89       0.27        0.06        1.84       1.22        000
                                                      burn(s).
16010..............  ..............  A               Treatment of burn(s)       0.87       0.68       0.65        0.07        1.62       1.59        000

[[Page 49079]]

 
16015..............  ..............  A               Treatment of burn(s)       2.35        N/A       1.18        0.22         N/A       3.75        000
16020..............  ..............  A               Treatment of burn(s)       0.80       1.31       0.62        0.06        2.17       1.48        000
16025..............  ..............  A               Treatment of burn(s)       1.85       1.82       0.99        0.16        3.83       3.00        000
16030..............  ..............  A               Treatment of burn(s)       2.08       2.24       1.14        0.18        4.50       3.40        000
16035..............  ..............  A               Incision of burn           3.75        N/A       1.49        0.36         N/A       5.60        090
                                                      scab, initi.
16036..............  ..............  A               Incise burn scab,          1.50        N/A       0.61        0.11         N/A       2.22        ZZZ
                                                      addl incis.
17000..............  ..............  A               Destroy benign/            0.60       1.00       0.32        0.03        1.63       0.95        010
                                                      premlg lesion.
17003..............  ..............  A               Destroy lesions, 2-        0.15       0.11       0.07        0.01        0.27       0.23        ZZZ
                                                      14.
17004..............  ..............  A               Destroy lesions, 15        2.79       2.37       1.32        0.12        5.28       4.23        010
                                                      or more.
17106..............  ..............  A               Destruction of skin        4.59       5.01       3.29        0.28        9.88       8.16        090
                                                      lesions.
17107..............  ..............  A               Destruction of skin        9.16       7.69       5.45        0.53       17.38      15.14        090
                                                      lesions.
17108..............  ..............  A               Destruction of skin       13.20       9.82       7.72        0.89       23.91      21.81        090
                                                      lesions.
17110..............  ..............  A               Destruct lesion, 1-        0.65       1.68       0.51        0.04        2.37       1.20        010
                                                      14.
17111..............  ..............  A               Destruct lesion, 15        0.92       1.73       0.61        0.04        2.69       1.57        010
                                                      or more.
17250..............  ..............  A               Chemical cautery,          0.50       1.26       0.35        0.04        1.80       0.89        000
                                                      tissue.
17260..............  ..............  A               Destruction of skin        0.91       1.32       0.46        0.04        2.27       1.41        010
                                                      lesions.
17261..............  ..............  A               Destruction of skin        1.17       1.66       0.60        0.05        2.88       1.82        010
                                                      lesions.
17262..............  ..............  A               Destruction of skin        1.58       1.94       0.80        0.07        3.59       2.45        010
                                                      lesions.
17263..............  ..............  A               Destruction of skin        1.79       2.12       0.87        0.08        3.99       2.74        010
                                                      lesions.
17264..............  ..............  A               Destruction of skin        1.94       2.28       0.90        0.08        4.30       2.92        010
                                                      lesions.
17266..............  ..............  A               Destruction of skin        2.34       2.58       1.01        0.11        5.03       3.46        010
                                                      lesions.
17270..............  ..............  A               Destruction of skin        1.32       1.75       0.65        0.06        3.13       2.03        010
                                                      lesions.
17271..............  ..............  A               Destruction of skin        1.49       1.83       0.76        0.06        3.38       2.31        010
                                                      lesions.
17272..............  ..............  A               Destruction of skin        1.77       2.05       0.90        0.07        3.89       2.74        010
                                                      lesions.
17273..............  ..............  A               Destruction of skin        2.05       2.26       1.01        0.09        4.40       3.15        010
                                                      lesions.
17274..............  ..............  A               Destruction of skin        2.59       2.63       1.23        0.11        5.33       3.93        010
                                                      lesions.
17276..............  ..............  A               Destruction of skin        3.20       3.03       1.47        0.15        6.38       4.82        010
                                                      lesions.
17280..............  ..............  A               Destruction of skin        1.17       1.66       0.58        0.05        2.88       1.80        010
                                                      lesions.
17281..............  ..............  A               Destruction of skin        1.72       1.96       0.87        0.07        3.75       2.66        010
                                                      lesions.
17282..............  ..............  A               Destruction of skin        2.04       2.21       1.03        0.09        4.34       3.16        010
                                                      lesions.
17283..............  ..............  A               Destruction of skin        2.64       2.61       1.28        0.11        5.36       4.03        010
                                                      lesions.
17284..............  ..............  A               Destruction of skin        3.21       3.01       1.55        0.14        6.36       4.90        010
                                                      lesions.
17286..............  ..............  A               Destruction of skin        4.44       3.79       2.24        0.22        8.45       6.90        010
                                                      lesions.
17304..............  ..............  A               1 stage mohs, up to        7.60       8.28       3.65        0.31       16.19      11.56        000
                                                      5 spec.
17305..............  ..............  A               2 stage mohs, up to        2.85       3.90       1.37        0.12        6.87       4.34        000
                                                      5 spec.
17306..............  ..............  A               3 stage mohs, up to        2.85       3.92       1.38        0.12        6.89       4.35        000
                                                      5 spec.
17307..............  ..............  A               Mohs addl stage up         2.85       3.87       1.40        0.12        6.84       4.37        000
                                                      to 5 spec.
17310..............  ..............  A               Mohs any stage  5 spec each.
17340..............  ..............  A               Cryotherapy of skin.       0.76       0.38       0.31        0.04        1.18       1.11        010
17360..............  ..............  A               Skin peel therapy...       1.43       1.50       0.77        0.06        2.99       2.26        010
17380..............  ..............  R               Hair removal by            0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      electrolysis.
17999..............  ..............  C               Skin tissue                0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
19000..............  ..............  A               Drainage of breast         0.84       2.06       0.36        0.07        2.97       1.27        000
                                                      lesion.
19001..............  ..............  A               Drain breast lesion        0.42       0.80       0.14        0.03        1.25       0.59        ZZZ
                                                      add-on.
19020..............  ..............  A               Incision of breast         3.57       6.13       2.84        0.35       10.05       6.76        090
                                                      lesion.
19030..............  ..............  A               Injection for breast       1.53       3.40       0.51        0.07        5.00       2.11        000
                                                      x-ray.
19100..............  ..............  A               Bx breast percut w/o       1.27       2.17       0.43        0.10        3.54       1.80        000
                                                      image.
19101..............  ..............  A               Biopsy of breast,          3.18       4.74       1.71        0.20        8.12       5.09        010
                                                      open.
19102..............  ..............  A               Bx breast percut w/        2.00       4.02       0.67        0.13        6.15       2.80        000
                                                      image.
19103..............  ..............  A               Bx breast percut w/        3.70      12.24       1.26        0.16       16.10       5.12        000
                                                      device.
19110..............  ..............  A               Nipple exploration..       4.30       7.47       3.21        0.44       12.21       7.95        090
19112..............  ..............  A               Excise breast duct         3.67       7.85       2.74        0.38       11.90       6.79        090
                                                      fistula.
19120..............  ..............  A               Removal of breast          5.56       4.64       3.11        0.56       10.76       9.23        090
                                                      lesion.
19125..............  ..............  A               Excision, breast           6.06       4.88       3.34        0.61       11.55      10.01        090
                                                      lesion.

[[Page 49080]]

 
19126..............  ..............  A               Excision, addl             2.93        N/A       1.02        0.30         N/A       4.25        ZZZ
                                                      breast lesion.
19140..............  ..............  A               Removal of breast          5.14       7.35       3.44        0.52       13.01       9.10        090
                                                      tissue.
19160..............  ..............  A               Removal of breast          5.99        N/A       3.48        0.61         N/A      10.08        090
                                                      tissue.
19162..............  ..............  A               Remove breast             13.53        N/A       6.46        1.38         N/A      21.37        090
                                                      tissue, nodes.
19180..............  ..............  A               Removal of breast...       8.80        N/A       5.11        0.88         N/A      14.79        090
19182..............  ..............  A               Removal of breast...       7.73        N/A       4.84        0.79         N/A      13.36        090
19200..............  ..............  A               Removal of breast...      15.49        N/A       8.12        1.51         N/A      25.12        090
19220..............  ..............  A               Removal of breast...      15.72        N/A       8.39        1.56         N/A      25.67        090
19240..............  ..............  A               Removal of breast...      16.00        N/A       8.37        1.62         N/A      25.99        090
19260..............  ..............  A               Removal of chest          15.44        N/A      11.09        1.64         N/A      28.17        090
                                                      wall lesion.
19271..............  ..............  A               Revision of chest         18.90        N/A      17.48        2.27         N/A      38.65        090
                                                      wall.
19272..............  ..............  A               Extensive chest wall      21.55        N/A      18.27        2.54         N/A      42.36        090
                                                      surgery.
19290..............  ..............  A               Place needle wire,         1.27       3.03       0.43        0.06        4.36       1.76        000
                                                      breast.
19291..............  ..............  A               Place needle wire,         0.63       1.76       0.21        0.03        2.42       0.87        ZZZ
                                                      breast.
19295..............  ..............  A               Place breast clip,         0.00       2.83        N/A        0.01        2.84        N/A        ZZZ
                                                      percut.
19316..............  ..............  A               Suspension of breast      10.69        N/A       7.83        1.15         N/A      19.67        090
19318..............  ..............  A               Reduction of large        15.62        N/A      11.42        1.69         N/A      28.73        090
                                                      breast.
19324..............  ..............  A               Enlarge breast......       5.85        N/A       5.01        0.63         N/A      11.49        090
19325..............  ..............  A               Enlarge breast with        8.45        N/A       6.71        0.90         N/A      16.06        090
                                                      implant.
19328..............  ..............  A               Removal of breast          5.68        N/A       5.17        0.61         N/A      11.46        090
                                                      implant.
19330..............  ..............  A               Removal of implant         7.59        N/A       6.09        0.81         N/A      14.49        090
                                                      material.
19340..............  ..............  A               Immediate breast           6.33        N/A       3.18        0.68         N/A      10.19        ZZZ
                                                      prosthesis.
19342..............  ..............  A               Delayed breast            11.20        N/A       8.95        1.21         N/A      21.36        090
                                                      prosthesis.
19350..............  ..............  A               Breast                     8.92      14.46       7.25        0.95       24.33      17.12        090
                                                      reconstruction.
19355..............  ..............  A               Correct inverted           7.57      13.06       5.12        0.80       21.43      13.49        090
                                                      nipple(s).
19357..............  ..............  A               Breast                    18.16        N/A      14.13        1.96         N/A      34.25        090
                                                      reconstruction.
19361..............  ..............  A               Breast                    19.26        N/A      12.01        2.08         N/A      33.35        090
                                                      reconstruction.
19364..............  ..............  A               Breast                    41.00        N/A      24.08        3.91         N/A      68.99        090
                                                      reconstruction.
19366..............  ..............  A               Breast                    21.28        N/A      11.44        2.27         N/A      34.99        090
                                                      reconstruction.
19367..............  ..............  A               Breast                    25.73        N/A      16.89        2.78         N/A      45.40        090
                                                      reconstruction.
19368..............  ..............  A               Breast                    32.42        N/A      20.65        3.51         N/A      56.58        090
                                                      reconstruction.
19369..............  ..............  A               Breast                    29.82        N/A      20.17        3.24         N/A      53.23        090
                                                      reconstruction.
19370..............  ..............  A               Surgery of breast          8.05        N/A       6.98        0.86         N/A      15.89        090
                                                      capsule.
19371..............  ..............  A               Removal of breast          9.35        N/A       8.02        1.01         N/A      18.38        090
                                                      capsule.
19380..............  ..............  A               Revise breast              9.14        N/A       7.90        0.98         N/A      18.02        090
                                                      reconstruction.
19396..............  ..............  A               Design custom breast       2.17       5.91       1.01        0.23        8.31       3.41        000
                                                      implant.
19499..............  ..............  C               Breast surgery             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
20000..............  ..............  A               Incision of abscess.       2.12       2.44       1.63        0.17        4.73       3.92        010
20005..............  ..............  A               Incision of deep           3.42       3.44       2.15        0.34        7.20       5.91        010
                                                      abscess.
20100..............  ..............  A               Explore wound, neck.      10.08       5.92       4.44        0.99       16.99      15.51        010
20101..............  ..............  A               Explore wound, chest       3.22       3.02       1.61        0.24        6.48       5.07        010
20102..............  ..............  A               Explore wound,             3.94       3.57       1.82        0.35        7.86       6.11        010
                                                      abdomen.
20103..............  ..............  A               Explore wound,             5.30       4.25       3.28        0.57       10.12       9.15        010
                                                      extremity.
20150..............  ..............  A               Excise epiphyseal         13.69        N/A       7.37        0.96         N/A      22.02        090
                                                      bar.
20200..............  ..............  A               Muscle biopsy.......       1.46       3.20       0.79        0.17        4.83       2.42        000
20205..............  ..............  A               Deep muscle biopsy..       2.35       4.21       1.23        0.23        6.79       3.81        000
20206..............  ..............  A               Needle biopsy,             0.99       3.23       0.35        0.06        4.28       1.40        000
                                                      muscle.
20220..............  ..............  A               Bone biopsy, trocar/       1.27       4.83       2.80        0.06        6.16       4.13        000
                                                      needle.
20225..............  ..............  A               Bone biopsy, trocar/       1.87       4.37       2.95        0.11        6.35       4.93        000
                                                      needle.
20240..............  ..............  A               Bone biopsy,               3.23        N/A       2.56        0.33         N/A       6.12        010
                                                      excisional.
20245..............  ..............  A               Bone biopsy,               7.78        N/A       6.39        0.44         N/A      14.61        010
                                                      excisional.
20250..............  ..............  A               Open bone biopsy....       5.03        N/A       4.61        0.50         N/A      10.14        010
20251..............  ..............  A               Open bone biopsy....       5.56        N/A       5.26        0.79         N/A      11.61        010
20500..............  ..............  A               Injection of sinus         1.23       6.00       3.86        0.10        7.33       5.19        010
                                                      tract.
20501..............  ..............  A               Inject sinus tract         0.76       3.04       0.25        0.03        3.83       1.04        000
                                                      for x-ray.
20520..............  ..............  A               Removal of foreign         1.85       2.28       1.82        0.17        4.30       3.84        010
                                                      body.
20525..............  ..............  A               Removal of foreign         3.50       3.44       2.68        0.40        7.34       6.58        010
                                                      body.

[[Page 49081]]

 
20526..............  ..............  A               Ther injection, carp       0.94       0.98       0.52        0.06        1.98       1.52        000
                                                      tunnel.
20550..............  ..............  A               Inj tendon sheath/         0.75       0.73       0.24        0.06        1.54       1.05        000
                                                      ligament.
20551..............  ..............  A               Inject tendon origin/      0.75       0.70       0.34        0.06        1.51       1.15        000
                                                      insert.
20552..............  ..............  A               Inject trigger             0.66       0.74       0.21        0.06        1.46       0.93        000
                                                      point, 1 or 2.
20553..............  ..............  A               Inject trigger             0.75       0.85       0.22        0.06        1.66       1.03        000
                                                      points, =/ 3.
20600..............  ..............  A               Drain/inject, joint/       0.66       0.66       0.36        0.06        1.38       1.08        000
                                                      bursa.
20605..............  ..............  A               Drain/inject, joint/       0.68       0.77       0.37        0.06        1.51       1.11        000
                                                      bursa.
20610..............  ..............  A               Drain/inject, joint/       0.79       0.96       0.42        0.08        1.83       1.29        000
                                                      bursa.
20612..............  ..............  A               Aspirate/inj               0.70       0.73       0.34        0.06        1.49       1.10        000
                                                      ganglion cyst.
20615..............  ..............  A               Treatment of bone          2.28       2.59       1.82        0.19        5.06       4.29        010
                                                      cyst.
20650..............  ..............  A               Insert and remove          2.23       2.47       1.97        0.28        4.98       4.48        010
                                                      bone pin.
20660..............  ..............  A               Apply, rem fixation        2.51       3.12       1.74        0.48        6.11       4.73        000
                                                      device.
20661..............  ..............  A               Application of head        4.89        N/A       5.05        0.92         N/A      10.86        090
                                                      brace.
20662..............  ..............  A               Application of             6.07        N/A       5.54        0.81         N/A      12.42        090
                                                      pelvis brace.
20663..............  ..............  A               Application of thigh       5.43        N/A       4.86        0.77         N/A      11.06        090
                                                      brace.
20664..............  ..............  A               Halo brace                 8.06        N/A       7.16        1.49         N/A      16.71        090
                                                      application.
20665..............  ..............  A               Removal of fixation        1.31       1.98       1.32        0.17        3.46       2.80        010
                                                      device.
20670..............  ..............  A               Removal of support         1.74       6.83       3.98        0.23        8.80       5.95        010
                                                      implant.
20680..............  ..............  A               Removal of support         3.35       3.44       3.44        0.46        7.25       7.25        090
                                                      implant.
20690..............  ..............  A               Apply bone fixation        3.52        N/A       2.51        0.47         N/A       6.50        090
                                                      device.
20692..............  ..............  A               Apply bone fixation        6.41        N/A       3.80        0.60         N/A      10.81        090
                                                      device.
20693..............  ..............  A               Adjust bone fixation       5.86        N/A       8.43        0.85         N/A      15.14        090
                                                      device.
20694..............  ..............  A               Remove bone fixation       4.16       7.10       4.64        0.57       11.83       9.37        090
                                                      device.
20802..............  ..............  A               Replantation, arm,        41.15        N/A      21.97        5.81         N/A      68.93        090
                                                      complete.
20805..............  ..............  A               Replant forearm,          50.00        N/A      35.96        3.95         N/A      89.91        090
                                                      complete.
20808..............  ..............  A               Replantation hand,        61.65        N/A      44.22        6.49         N/A     112.36        090
                                                      complete.
20816..............  ..............  A               Replantation digit,       30.94        N/A      40.19        3.01         N/A      74.14        090
                                                      complete.
20822..............  ..............  A               Replantation digit,       25.59        N/A      36.64        3.07         N/A      65.30        090
                                                      complete.
20824..............  ..............  A               Replantation thumb,       30.94        N/A      38.92        3.48         N/A      73.34        090
                                                      complete.
20827..............  ..............  A               Replantation thumb,       26.41        N/A      38.68        3.21         N/A      68.30        090
                                                      complete.
20838..............  ..............  A               Replantation foot,        41.41        N/A      22.96        5.85         N/A      70.22        090
                                                      complete.
20900..............  ..............  A               Removal of bone for        5.58       7.43       5.57        0.77       13.78      11.92        090
                                                      graft.
20902..............  ..............  A               Removal of bone for        7.55        N/A       7.06        1.06         N/A      15.67        090
                                                      graft.
20910..............  ..............  A               Remove cartilage for       5.34       7.19       5.51        0.50       13.03      11.35        090
                                                      graft.
20912..............  ..............  A               Remove cartilage for       6.35        N/A       6.21        0.55         N/A      13.11        090
                                                      graft.
20920..............  ..............  A               Removal of fascia          5.31        N/A       4.48        0.54         N/A      10.33        090
                                                      for graft.
20922..............  ..............  A               Removal of fascia          6.61       6.90       5.18        0.88       14.39      12.67        090
                                                      for graft.
20924..............  ..............  A               Removal of tendon          6.48        N/A       6.00        0.82         N/A      13.30        090
                                                      for graft.
20926..............  ..............  A               Removal of tissue          5.53        N/A       5.06        0.73         N/A      11.32        090
                                                      for graft.
20931..............  ..............  A               Spinal bone                1.81        N/A       0.95        0.34         N/A       3.10        ZZZ
                                                      allograft.
20937..............  ..............  A               Spinal bone                2.79        N/A       1.49        0.43         N/A       4.71        ZZZ
                                                      autograft.
20938..............  ..............  A               Spinal bone                3.02        N/A       1.59        0.52         N/A       5.13        ZZZ
                                                      autograft.
20950..............  ..............  A               Fluid pressure,            1.26       1.39       1.02        0.16        2.81       2.44        000
                                                      muscle.
20955..............  ..............  A               Fibula bone graft,        39.21        N/A      25.69        4.35         N/A      69.25        090
                                                      microvasc.
20956..............  ..............  A               Iliac bone graft,         39.27        N/A      25.40        5.77         N/A      70.44        090
                                                      microvasc.
20957..............  ..............  A               Mt bone graft,            40.65        N/A      19.47        5.74         N/A      65.86        090
                                                      microvasc.
20962..............  ..............  A               Other bone graft,         39.27        N/A      26.91        5.19         N/A      71.37        090
                                                      microvasc.
20969..............  ..............  A               Bone/skin graft,          43.92        N/A      28.25        4.34         N/A      76.51        090
                                                      microvasc.
20970..............  ..............  A               Bone/skin graft,          43.06        N/A      26.58        4.64         N/A      74.28        090
                                                      iliac crest.
20972..............  ..............  A               Bone/skin graft,          42.99      21.88      20.34        6.07       70.94      69.40        090
                                                      metatarsal.
20973..............  ..............  A               Bone/skin graft,          45.76        N/A      25.64        4.65         N/A      76.05        090
                                                      great toe.
20974..............  ..............  A               Electrical bone            0.62       0.63       0.56        0.09        1.34       1.27        000
                                                      stimulation.

[[Page 49082]]

 
20975..............  ..............  A               Electrical bone            2.60        N/A       1.76        0.42         N/A       4.78        000
                                                      stimulation.
20979..............  ..............  A               Us bone stimulation.       0.62       0.78       0.34        0.04        1.44       1.00        000
20999..............  ..............  C               Musculoskeletal            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
21010..............  ..............  A               Incision of jaw           10.14        N/A       7.41        0.54         N/A      18.09        090
                                                      joint.
21015..............  ..............  A               Resection of facial        5.29        N/A       5.73        0.52         N/A      11.54        090
                                                      tumor.
21025..............  ..............  A               Excision of bone,         10.06      10.50       8.40        0.79       21.35      19.25        090
                                                      lower jaw.
21026..............  ..............  A               Excision of facial         4.85       7.20       5.70        0.40       12.45      10.95        090
                                                      bone(s).
21029..............  ..............  A               Contour of face bone       7.71       8.89       6.44        0.74       17.34      14.89        090
                                                      lesion.
21030..............  ..............  A               Excise max/zygoma b9       3.89       5.93       4.17        0.60       10.42       8.66        090
                                                      tumor.
21031..............  ..............  A               Remove exostosis,          3.24       4.74       3.18        0.28        8.26       6.70        090
                                                      mandible.
21032..............  ..............  A               Remove exostosis,          3.24       4.78       3.29        0.27        8.29       6.80        090
                                                      maxilla.
21034..............  ..............  A               Excise max/zygoma         16.17      13.91      11.51        1.37       31.45      29.05        090
                                                      mlg tumor.
21040..............  ..............  A               Excise mandible            3.89       5.79       3.84        0.19        9.87       7.92        090
                                                      lesion.
21044..............  ..............  A               Removal of jaw bone       11.86        N/A       8.95        0.87         N/A      21.68        090
                                                      lesion.
21045..............  ..............  A               Extensive jaw             16.17        N/A      11.75        1.20         N/A      29.12        090
                                                      surgery.
21046..............  ..............  A               Remove mandible cyst      13.00        N/A      13.21        1.01         N/A      27.22        090
                                                      complex.
21047..............  ..............  A               Excise lwr jaw cyst       18.75        N/A      13.84        1.53         N/A      34.12        090
                                                      w/repair.
21048..............  ..............  A               Remove maxilla cyst       13.50        N/A      13.50        1.01         N/A      28.01        090
                                                      complex.
21049..............  ..............  A               Excis uppr jaw cyst       18.00        N/A      13.41        1.01         N/A      32.42        090
                                                      w/repair.
21050..............  ..............  A               Removal of jaw joint      10.77        N/A      10.66        0.84         N/A      22.27        090
21060..............  ..............  A               Remove jaw joint          10.23        N/A      10.18        1.16         N/A      21.57        090
                                                      cartilage.
21070..............  ..............  A               Remove coronoid            8.20        N/A       7.25        0.67         N/A      16.12        090
                                                      process.
21076..............  ..............  A               Prepare face/oral         13.42      13.19      10.52        1.36       27.97      25.30        010
                                                      prosthesis.
21077..............  ..............  A               Prepare face/oral         33.75      33.45      27.14        3.43       70.63      64.32        090
                                                      prosthesis.
21079..............  ..............  A               Prepare face/oral         22.34      23.11      18.12        1.59       47.04      42.05        090
                                                      prosthesis.
21080..............  ..............  A               Prepare face/oral         25.10      26.21      20.48        2.55       53.86      48.13        090
                                                      prosthesis.
21081..............  ..............  A               Prepare face/oral         22.88      23.87      18.42        1.87       48.62      43.17        090
                                                      prosthesis.
21082..............  ..............  A               Prepare face/oral         20.87      20.66      16.57        1.46       42.99      38.90        090
                                                      prosthesis.
21083..............  ..............  A               Prepare face/oral         19.30      20.13      15.24        1.96       41.39      36.50        090
                                                      prosthesis.
21084..............  ..............  A               Prepare face/oral         22.51      23.94      18.60        1.57       48.02      42.68        090
                                                      prosthesis.
21085..............  ..............  A               Prepare face/oral          9.00       8.84       7.11        0.65       18.49      16.76        010
                                                      prosthesis.
21086..............  ..............  A               Prepare face/oral         24.92      25.25      20.19        1.86       52.03      46.97        090
                                                      prosthesis.
21087..............  ..............  A               Prepare face/oral         24.92      24.82      20.06        2.22       51.96      47.20        090
                                                      prosthesis.
21088..............  ..............  C               Prepare face/oral          0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      prosthesis.
21089..............  ..............  C               Prepare face/oral          0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      prosthesis.
21100..............  ..............  A               Maxillofacial              4.22       5.72       4.67        0.18       10.12       9.07        090
                                                      fixation.
21110..............  ..............  A               Interdental fixation       5.21       7.23       5.78        0.28       12.72      11.27        090
21116..............  ..............  A               Injection, jaw joint       0.81       5.67       0.34        0.05        6.53       1.20        000
                                                      x-ray.
21120..............  ..............  A               Reconstruction of          4.93       9.00       5.39        0.29       14.22      10.61        090
                                                      chin.
21121..............  ..............  A               Reconstruction of          7.64      10.71       6.82        0.56       18.91      15.02        090
                                                      chin.
21122..............  ..............  A               Reconstruction of          8.52        N/A       7.35        0.59         N/A      16.46        090
                                                      chin.
21123..............  ..............  A               Reconstruction of         11.16        N/A       8.49        1.16         N/A      20.81        090
                                                      chin.

[[Page 49083]]

 
21125..............  ..............  A               Augmentation, lower       10.62      12.09       8.47        0.72       23.43      19.81        090
                                                      jaw bone.
21127..............  ..............  A               Augmentation, lower       11.12      14.95       9.29        0.76       26.83      21.17        090
                                                      jaw bone.
21137..............  ..............  A               Reduction of               9.82        N/A       7.62        0.53         N/A      17.97        090
                                                      forehead.
21138..............  ..............  A               Reduction of              12.19        N/A       9.53        1.47         N/A      23.19        090
                                                      forehead.
21139..............  ..............  A               Reduction of              14.61        N/A      10.04        1.02         N/A      25.67        090
                                                      forehead.
21141..............  ..............  A               Reconstruct midface,      18.10        N/A      14.30        1.63         N/A      34.03        090
                                                      lefort.
21142..............  ..............  A               Reconstruct midface,      18.81        N/A      13.41        1.16         N/A      33.38        090
                                                      lefort.
21143..............  ..............  A               Reconstruct midface,      19.58        N/A      14.55        0.90         N/A      35.03        090
                                                      lefort.
21145..............  ..............  A               Reconstruct midface,      19.94        N/A      14.57        2.09         N/A      36.60        090
                                                      lefort.
21146..............  ..............  A               Reconstruct midface,      20.71        N/A      16.02        2.13         N/A      38.86        090
                                                      lefort.
21147..............  ..............  A               Reconstruct midface,      21.77        N/A      15.70        1.52         N/A      38.99        090
                                                      lefort.
21150..............  ..............  A               Reconstruct midface,      25.24        N/A      14.42        1.09         N/A      40.75        090
                                                      lefort.
21151..............  ..............  A               Reconstruct midface,      28.30        N/A      17.70        1.98         N/A      47.98        090
                                                      lefort.
21154..............  ..............  A               Reconstruct midface,      30.52        N/A      20.75        4.86         N/A      56.13        090
                                                      lefort.
21155..............  ..............  A               Reconstruct midface,      34.45        N/A      21.92        5.48         N/A      61.85        090
                                                      lefort.
21159..............  ..............  A               Reconstruct midface,      42.38        N/A      25.08        6.74         N/A      74.20        090
                                                      lefort.
21160..............  ..............  A               Reconstruct midface,      46.44        N/A      24.97        4.39         N/A      75.80        090
                                                      lefort.
21172..............  ..............  A               Reconstruct orbit/        27.80        N/A      14.45        1.91         N/A      44.16        090
                                                      forehead.
21175..............  ..............  A               Reconstruct orbit/        33.17        N/A      18.80        5.16         N/A      57.13        090
                                                      forehead.
21179..............  ..............  A               Reconstruct entire        22.25        N/A      15.41        2.48         N/A      40.14        090
                                                      forehead.
21180..............  ..............  A               Reconstruct entire        25.19        N/A      16.64        2.15         N/A      43.98        090
                                                      forehead.
21181..............  ..............  A               Contour cranial bone       9.90        N/A       7.69        0.97         N/A      18.56        090
                                                      lesion.
21182..............  ..............  A               Reconstruct cranial       32.19        N/A      20.18        2.53         N/A      54.90        090
                                                      bone.
21183..............  ..............  A               Reconstruct cranial       35.31        N/A      21.89        2.75         N/A      59.95        090
                                                      bone.
21184..............  ..............  A               Reconstruct cranial       38.24        N/A      22.40        4.12         N/A      64.76        090
                                                      bone.
21188..............  ..............  A               Reconstruction of         22.46        N/A      15.69        1.85         N/A      40.00        090
                                                      midface.
21193..............  ..............  A               Reconst lwr jaw w/o       17.15        N/A      13.39        1.53         N/A      32.07        090
                                                      graft.
21194..............  ..............  A               Reconst lwr jaw w/        19.84        N/A      14.47        1.39         N/A      35.70        090
                                                      graft.
21195..............  ..............  A               Reconst lwr jaw w/o       17.24        N/A      13.70        1.20         N/A      32.14        090
                                                      fixation.
21196..............  ..............  A               Reconst lwr jaw w/        18.91        N/A      14.31        1.62         N/A      34.84        090
                                                      fixation.
21198..............  ..............  A               Reconstr lwr jaw          14.16        N/A      11.32        1.05         N/A      26.53        090
                                                      segment.
21199..............  ..............  A               Reconstr lwr jaw w/       16.00        N/A       9.40        1.26         N/A      26.66        090
                                                      advance.
21206..............  ..............  A               Reconstruct upper         14.10        N/A      11.14        1.01         N/A      26.25        090
                                                      jaw bone.
21208..............  ..............  A               Augmentation of           10.23      14.95       9.40        0.92       26.10      20.55        090
                                                      facial bones.
21209..............  ..............  A               Reduction of facial        6.72      12.17       7.28        0.60       19.49      14.60        090
                                                      bones.
21210..............  ..............  A               Face bone graft.....      10.23      14.17       9.66        0.88       25.28      20.77        090
21215..............  ..............  A               Lower jaw bone graft      10.77      13.96       9.86        1.04       25.77      21.67        090
21230..............  ..............  A               Rib cartilage graft.      10.77        N/A       8.86        0.96         N/A      20.59        090
21235..............  ..............  A               Ear cartilage graft.       6.72      11.67       7.25        0.52       18.91      14.49        090
21240..............  ..............  A               Reconstruction of         14.05        N/A      13.17        1.15         N/A      28.37        090
                                                      jaw joint.
21242..............  ..............  A               Reconstruction of         12.95        N/A      12.63        1.40         N/A      26.98        090
                                                      jaw joint.
21243..............  ..............  A               Reconstruction of         20.79        N/A      18.48        1.85         N/A      41.12        090
                                                      jaw joint.
21244..............  ..............  A               Reconstruction of         11.86        N/A      10.35        0.95         N/A      23.16        090
                                                      lower jaw.
21245..............  ..............  A               Reconstruction of         11.86      16.69      10.05        0.88       29.43      22.79        090
                                                      jaw.
21246..............  ..............  A               Reconstruction of         12.47      15.05      10.13        1.21       28.73      23.81        090
                                                      jaw.
21247..............  ..............  A               Reconstruct lower         22.63        N/A      18.53        2.21         N/A      43.37        090
                                                      jaw bone.
21248..............  ..............  A               Reconstruction of         11.48      13.46       9.59        1.01       25.95      22.08        090
                                                      jaw.
21249..............  ..............  A               Reconstruction of         17.52      17.12      13.05        1.39       36.03      31.96        090
                                                      jaw.
21255..............  ..............  A               Reconstruct lower         16.72        N/A      12.98        1.13         N/A      30.83        090
                                                      jaw bone.
21256..............  ..............  A               Reconstruction of         16.19        N/A      12.47        1.04         N/A      29.70        090
                                                      orbit.
21260..............  ..............  A               Revise eye sockets..      16.52        N/A       9.13        1.25         N/A      26.90        090
21261..............  ..............  A               Revise eye sockets..      31.49        N/A      19.67        2.20         N/A      53.36        090
21263..............  ..............  A               Revise eye sockets..      28.42        N/A      13.14        2.16         N/A      43.72        090
21267..............  ..............  A               Revise eye sockets..      18.90        N/A      13.58        1.35         N/A      33.83        090

[[Page 49084]]

 
21268..............  ..............  A               Revise eye sockets..      24.48        N/A      15.66        0.79         N/A      40.93        090
21270..............  ..............  A               Augmentation, cheek       10.23      12.35       8.36        0.73       23.31      19.32        090
                                                      bone.
21275..............  ..............  A               Revision,                 11.24        N/A       9.10        1.03         N/A      21.37        090
                                                      orbitofacial bones.
21280..............  ..............  A               Revision of eyelid..       6.03        N/A       6.18        0.27         N/A      12.48        090
21282..............  ..............  A               Revision of eyelid..       3.49        N/A       4.84        0.21         N/A       8.54        090
21295..............  ..............  A               Revision of jaw            1.53        N/A       3.02        0.13         N/A       4.68        090
                                                      muscle/bone.
21296..............  ..............  A               Revision of jaw            4.25        N/A       4.65        0.30         N/A       9.20        090
                                                      muscle/bone.
21299..............  ..............  C               Cranio/maxillofacial       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
21300..............  ..............  A               Treatment of skull         0.72       2.48       0.26        0.09        3.29       1.07        000
                                                      fracture.
21310..............  ..............  A               Treatment of nose          0.58       2.44       0.15        0.05        3.07       0.78        000
                                                      fracture.
21315..............  ..............  A               Treatment of nose          1.51       3.18       1.31        0.12        4.81       2.94        010
                                                      fracture.
21320..............  ..............  A               Treatment of nose          1.85       4.44       1.89        0.15        6.44       3.89        010
                                                      fracture.
21325..............  ..............  A               Treatment of nose          3.77        N/A       3.84        0.31         N/A       7.92        090
                                                      fracture.
21330..............  ..............  A               Treatment of nose          5.38        N/A       5.44        0.48         N/A      11.30        090
                                                      fracture.
21335..............  ..............  A               Treatment of nose          8.61        N/A       7.02        0.64         N/A      16.27        090
                                                      fracture.
21336..............  ..............  A               Treat nasal septal         5.72        N/A       6.18        0.45         N/A      12.35        090
                                                      fracture.
21337..............  ..............  A               Treat nasal septal         2.70       5.27       3.75        0.22        8.19       6.67        090
                                                      fracture.
21338..............  ..............  A               Treat nasoethmoid          6.46        N/A       6.14        0.53         N/A      13.13        090
                                                      fracture.
21339..............  ..............  A               Treat nasoethmoid          8.09        N/A       6.90        0.76         N/A      15.75        090
                                                      fracture.
21340..............  ..............  A               Treatment of nose         10.77        N/A       8.99        0.85         N/A      20.61        090
                                                      fracture.
21343..............  ..............  A               Treatment of sinus        12.95        N/A      10.37        1.06         N/A      24.38        090
                                                      fracture.
21344..............  ..............  A               Treatment of sinus        19.72        N/A      14.00        1.72         N/A      35.44        090
                                                      fracture.
21345..............  ..............  A               Treat nose/jaw             8.16      12.01       8.21        0.60       20.77      16.97        090
                                                      fracture.
21346..............  ..............  A               Treat nose/jaw            10.61      13.67       9.41        0.85       25.13      20.87        090
                                                      fracture.
21347..............  ..............  A               Treat nose/jaw            12.69        N/A      10.02        1.14         N/A      23.85        090
                                                      fracture.
21348..............  ..............  A               Treat nose/jaw            16.69        N/A      11.60        1.50         N/A      29.79        090
                                                      fracture.
21355..............  ..............  A               Treat cheek bone           3.77       4.86       2.43        0.29        8.92       6.49        010
                                                      fracture.
21356..............  ..............  A               Treat cheek bone           4.15      12.21       3.31        0.36       16.72       7.82        010
                                                      fracture.
21360..............  ..............  A               Treat cheek bone           6.46      14.59       6.32        0.52       21.57      13.30        090
                                                      fracture.
21365..............  ..............  A               Treat cheek bone          14.95        N/A      12.08        1.30         N/A      28.33        090
                                                      fracture.
21366..............  ..............  A               Treat cheek bone          17.77        N/A      11.97        1.41         N/A      31.15        090
                                                      fracture.
21385..............  ..............  A               Treat eye socket           9.16        N/A       7.32        0.64         N/A      17.12        090
                                                      fracture.
21386..............  ..............  A               Treat eye socket           9.16        N/A       7.73        0.76         N/A      17.65        090
                                                      fracture.
21387..............  ..............  A               Treat eye socket           9.70        N/A       7.81        0.78         N/A      18.29        090
                                                      fracture.
21390..............  ..............  A               Treat eye socket          10.13        N/A       8.27        0.70         N/A      19.10        090
                                                      fracture.
21395..............  ..............  A               Treat eye socket          12.68        N/A       9.62        1.09         N/A      23.39        090
                                                      fracture.
21400..............  ..............  A               Treat eye socket           1.40       3.80       2.10        0.12        5.32       3.62        090
                                                      fracture.
21401..............  ..............  A               Treat eye socket           3.26       5.11       3.84        0.34        8.71       7.44        090
                                                      fracture.
21406..............  ..............  A               Treat eye socket           7.01        N/A       6.58        0.59         N/A      14.18        090
                                                      fracture.
21407..............  ..............  A               Treat eye socket           8.61        N/A       7.38        0.67         N/A      16.66        090
                                                      fracture.
21408..............  ..............  A               Treat eye socket          12.38        N/A       9.49        1.24         N/A      23.11        090
                                                      fracture.
21421..............  ..............  A               Treat mouth roof           5.14      10.22       6.31        0.42       15.78      11.87        090
                                                      fracture.
21422..............  ..............  A               Treat mouth roof           8.32      11.73       7.38        0.69       20.74      16.39        090
                                                      fracture.
21423..............  ..............  A               Treat mouth roof          10.40        N/A       8.72        0.95         N/A      20.07        090
                                                      fracture.
21431..............  ..............  A               Treat craniofacial         7.05      11.10       7.15        0.58       18.73      14.78        090
                                                      fracture.
21432..............  ..............  A               Treat craniofacial         8.61        N/A       6.53        0.55         N/A      15.69        090
                                                      fracture.
21433..............  ..............  A               Treat craniofacial        25.35        N/A      17.38        2.46         N/A      45.19        090
                                                      fracture.
21435..............  ..............  A               Treat craniofacial        17.25        N/A      13.41        1.66         N/A      32.32        090
                                                      fracture.
21436..............  ..............  A               Treat craniofacial        28.04        N/A      18.94        2.32         N/A      49.30        090
                                                      fracture.
21440..............  ..............  A               Treat dental ridge         2.70       8.32       4.22        0.22       11.24       7.14        090
                                                      fracture.
21445..............  ..............  A               Treat dental ridge         5.38      10.81       6.48        0.55       16.74      12.41        090
                                                      fracture.
21450..............  ..............  A               Treat lower jaw            2.97      11.00       3.86        0.23       14.20       7.06        090
                                                      fracture.
21451..............  ..............  A               Treat lower jaw            4.87       9.15       6.00        0.39       14.41      11.26        090
                                                      fracture.
21452..............  ..............  A               Treat lower jaw            1.98       8.19       3.81        0.14       10.31       5.93        090
                                                      fracture.
21453..............  ..............  A               Treat lower jaw            5.54      10.89       7.07        0.49       16.92      13.10        090
                                                      fracture.
21454..............  ..............  A               Treat lower jaw            6.46        N/A       6.62        0.55         N/A      13.63        090
                                                      fracture.
21461..............  ..............  A               Treat lower jaw            8.09      12.99       8.58        0.73       21.81      17.40        090
                                                      fracture.
21462..............  ..............  A               Treat lower jaw            9.79      14.58       9.31        0.80       25.17      19.90        090
                                                      fracture.

[[Page 49085]]

 
21465..............  ..............  A               Treat lower jaw           11.91        N/A      10.16        0.84         N/A      22.91        090
                                                      fracture.
21470..............  ..............  A               Treat lower jaw           15.34        N/A      12.41        1.36         N/A      29.11        090
                                                      fracture.
21480..............  ..............  A               Reset dislocated jaw       0.61       2.06       0.19        0.05        2.72       0.85        000
21485..............  ..............  A               Reset dislocated jaw       3.99       6.15       4.92        0.31       10.45       9.22        090
21490..............  ..............  A               Repair dislocated         11.86        N/A      10.03        1.31         N/A      23.20        090
                                                      jaw.
21493..............  ..............  A               Treat hyoid bone           1.27        N/A       2.96        0.10         N/A       4.33        090
                                                      fracture.
21494..............  ..............  A               Treat hyoid bone           6.28        N/A       5.91        0.44         N/A      12.63        090
                                                      fracture.
21495..............  ..............  A               Treat hyoid bone           5.69        N/A       6.18        0.41         N/A      12.28        090
                                                      fracture.
21497..............  ..............  A               Interdental wiring..       3.86       6.77       5.16        0.31       10.94       9.33        090
21499..............  ..............  C               Head surgery               0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
21501..............  ..............  A               Drain neck/chest           3.81       4.79       3.95        0.36        8.96       8.12        090
                                                      lesion.
21502..............  ..............  A               Drain chest lesion..       7.12        N/A       5.71        0.79         N/A      13.62        090
21510..............  ..............  A               Drainage of bone           5.74        N/A       5.65        0.67         N/A      12.06        090
                                                      lesion.
21550..............  ..............  A               Biopsy of neck/chest       2.06       3.65       1.75        0.13        5.84       3.94        010
21555..............  ..............  A               Remove lesion, neck/       4.35       5.15       3.21        0.41        9.91       7.97        090
                                                      chest.
21556..............  ..............  A               Remove lesion, neck/       5.57        N/A       4.09        0.51         N/A      10.17        090
                                                      chest.
21557..............  ..............  A               Remove tumor, neck/        8.88        N/A       5.68        0.85         N/A      15.41        090
                                                      chest.
21600..............  ..............  A               Partial removal of         6.89        N/A       5.79        0.81         N/A      13.49        090
                                                      rib.
21610..............  ..............  A               Partial removal of        14.61        N/A       9.25        1.85         N/A      25.71        090
                                                      rib.
21615..............  ..............  A               Removal of rib......       9.87        N/A       6.63        1.20         N/A      17.70        090
21616..............  ..............  A               Removal of rib and        12.04        N/A       8.00        1.31         N/A      21.35        090
                                                      nerves.
21620..............  ..............  A               Partial removal of         6.79        N/A       6.09        0.77         N/A      13.65        090
                                                      sternum.
21627..............  ..............  A               Sternal debridement.       6.81        N/A       6.82        0.82         N/A      14.45        090
21630..............  ..............  A               Extensive sternum         17.38        N/A      11.99        1.95         N/A      31.32        090
                                                      surgery.
21632..............  ..............  A               Extensive sternum         18.14        N/A      10.78        2.16         N/A      31.08        090
                                                      surgery.
21700..............  ..............  A               Revision of neck           6.19       6.23       4.88        0.31       12.73      11.38        090
                                                      muscle.
21705..............  ..............  A               Revision of neck           9.60        N/A       5.79        0.92         N/A      16.31        090
                                                      muscle/rib.
21720..............  ..............  A               Revision of neck           5.68       5.68       4.78        0.80       12.16      11.26        090
                                                      muscle.
21725..............  ..............  A               Revision of neck           6.99        N/A       5.72        0.90         N/A      13.61        090
                                                      muscle.
21740..............  ..............  A               Reconstruction of         16.50        N/A       8.67        2.03         N/A      27.20        090
                                                      sternum.
21742..............  ..............  C               Repair stern/nuss w/       0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      o scope.
21743..............  ..............  C               Repair sternum/nuss        0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      w/scope.
21750..............  ..............  A               Repair of sternum         10.77        N/A       6.16        1.35         N/A      18.28        090
                                                      separation.
21800..............  ..............  A               Treatment of rib           0.96       2.15       1.43        0.09        3.20       2.48        090
                                                      fracture.
21805..............  ..............  A               Treatment of rib           2.75        N/A       3.31        0.29         N/A       6.35        090
                                                      fracture.
21810..............  ..............  A               Treatment of rib           6.86        N/A       5.04        0.60         N/A      12.50        090
                                                      fracture(s).
21820..............  ..............  A               Treat sternum              1.28       2.68       1.85        0.15        4.11       3.28        090
                                                      fracture.
21825..............  ..............  A               Treat sternum              7.41        N/A       6.48        0.84         N/A      14.73        090
                                                      fracture.
21899..............  ..............  C               Neck/chest surgery         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
21920..............  ..............  A               Biopsy soft tissue         2.06       3.27       1.50        0.12        5.45       3.68        010
                                                      of back.
21925..............  ..............  A               Biopsy soft tissue         4.49       9.16       3.44        0.44       14.09       8.37        090
                                                      of back.
21930..............  ..............  A               Remove lesion, back        5.00       5.49       3.42        0.49       10.98       8.91        090
                                                      or flank.
21935..............  ..............  A               Remove tumor, back..      17.96        N/A      10.50        1.87         N/A      30.33        090
22100..............  ..............  A               Remove part of neck        9.73        N/A       7.82        1.55         N/A      19.10        090
                                                      vertebra.
22101..............  ..............  A               Remove part, thorax        9.81        N/A       8.04        1.51         N/A      19.36        090
                                                      vertebra.
22102..............  ..............  A               Remove part, lumbar        9.81        N/A       8.30        1.46         N/A      19.57        090
                                                      vertebra.
22103..............  ..............  A               Remove extra spine         2.34        N/A       1.24        0.37         N/A       3.95        ZZZ
                                                      segment.
22110..............  ..............  A               Remove part of neck       12.74        N/A       9.54        2.20         N/A      24.48        090
                                                      vertebra.
22112..............  ..............  A               Remove part, thorax       12.81        N/A       9.56        1.96         N/A      24.33        090
                                                      vertebra.
22114..............  ..............  A               Remove part, lumbar       12.81        N/A       9.58        1.98         N/A      24.37        090
                                                      vertebra.
22116..............  ..............  A               Remove extra spine         2.32        N/A       1.19        0.40         N/A       3.91        ZZZ
                                                      segment.
22210..............  ..............  A               Revision of neck          23.82        N/A      15.88        4.23         N/A      43.93        090
                                                      spine.

[[Page 49086]]

 
22212..............  ..............  A               Revision of thorax        19.42        N/A      13.57        2.78         N/A      35.77        090
                                                      spine.
22214..............  ..............  A               Revision of lumbar        19.45        N/A      14.04        2.78         N/A      36.27        090
                                                      spine.
22216..............  ..............  A               Revise, extra spine        6.04        N/A       3.20        0.98         N/A      10.22        ZZZ
                                                      segment.
22220..............  ..............  A               Revision of neck          21.37        N/A      14.10        3.65         N/A      39.12        090
                                                      spine.
22222..............  ..............  A               Revision of thorax        21.52        N/A      11.93        3.08         N/A      36.53        090
                                                      spine.
22224..............  ..............  A               Revision of lumbar        21.52        N/A      14.60        3.20         N/A      39.32        090
                                                      spine.
22226..............  ..............  A               Revise, extra spine        6.04        N/A       3.16        1.01         N/A      10.21        ZZZ
                                                      segment.
22305..............  ..............  A               Treat spine process        2.05       3.25       2.43        0.29        5.59       4.77        090
                                                      fracture.
22310..............  ..............  A               Treat spine fracture       2.61       4.98       4.20        0.37        7.96       7.18        090
22315..............  ..............  A               Treat spine fracture       8.84      18.69       7.74        1.37       28.90      17.95        090
22318..............  ..............  A               Treat odontoid fx w/      21.50        N/A      13.81        4.26         N/A      39.57        090
                                                      o graft.
22319..............  ..............  A               Treat odontoid fx w/      24.00        N/A      15.33        4.76         N/A      44.09        090
                                                      graft.
22325..............  ..............  A               Treat spine fracture      18.30        N/A      12.41        2.61         N/A      33.32        090
22326..............  ..............  A               Treat neck spine          19.59        N/A      13.20        3.54         N/A      36.33        090
                                                      fracture.
22327..............  ..............  A               Treat thorax spine        19.20        N/A      12.71        2.75         N/A      34.66        090
                                                      fracture.
22328..............  ..............  A               Treat each add spine       4.61        N/A       2.32        0.66         N/A       7.59        ZZZ
                                                      fx.
22505..............  ..............  A               Manipulation of            1.87        N/A       0.95        0.27         N/A       3.09        010
                                                      spine.
22520..............  ..............  A               Percut                     8.91     104.96       4.40        0.99      114.86      14.30        010
                                                      vertebroplasty thor.
22521..............  ..............  A               Percut                     8.34      93.70       4.24        0.93      102.97      13.51        010
                                                      vertebroplasty lumb.
22522..............  ..............  A               Percut                     4.31        N/A       1.72        0.33         N/A       6.36        ZZZ
                                                      vertebroplasty addl.
22548..............  ..............  A               Neck spine fusion...      25.82        N/A      16.15        4.98         N/A      46.95        090
22554..............  ..............  A               Neck spine fusion...      18.62        N/A      12.57        3.51         N/A      34.70        090
22556..............  ..............  A               Thorax spine fusion.      23.46        N/A      14.91        3.78         N/A      42.15        090
22558..............  ..............  A               Lumbar spine fusion.      22.28        N/A      13.45        3.18         N/A      38.91        090
22585..............  ..............  A               Additional spinal          5.53        N/A       2.86        0.98         N/A       9.37        ZZZ
                                                      fusion.
22590..............  ..............  A               Spine & skull spinal      20.51        N/A      13.57        3.81         N/A      37.89        090
                                                      fusion.
22595..............  ..............  A               Neck spinal fusion..      19.39        N/A      13.06        3.62         N/A      36.07        090
22600..............  ..............  A               Neck spine fusion...      16.14        N/A      11.37        2.89         N/A      30.40        090
22610..............  ..............  A               Thorax spine fusion.      16.02        N/A      11.55        2.66         N/A      30.23        090
22612..............  ..............  A               Lumbar spine fusion.      21.00        N/A      14.36        3.28         N/A      38.64        090
22614..............  ..............  A               Spine fusion, extra        6.44        N/A       3.43        1.04         N/A      10.91        ZZZ
                                                      segment.
22630..............  ..............  A               Lumbar spine fusion.      20.84        N/A      13.82        3.79         N/A      38.45        090
22632..............  ..............  A               Spine fusion, extra        5.23        N/A       2.73        0.90         N/A       8.86        ZZZ
                                                      segment.
22800..............  ..............  A               Fusion of spine.....      18.25        N/A      12.88        2.71         N/A      33.84        090
22802..............  ..............  A               Fusion of spine.....      30.88        N/A      19.84        4.42         N/A      55.14        090
22804..............  ..............  A               Fusion of spine.....      36.27        N/A      23.00        5.23         N/A      64.50        090
22808..............  ..............  A               Fusion of spine.....      26.27        N/A      16.55        4.36         N/A      47.18        090
22810..............  ..............  A               Fusion of spine.....      30.27        N/A      18.61        4.49         N/A      53.37        090
22812..............  ..............  A               Fusion of spine.....      32.70        N/A      20.21        4.67         N/A      57.58        090
22818..............  ..............  A               Kyphectomy, 1-2           31.83        N/A      19.30        5.01         N/A      56.14        090
                                                      segments.
22819..............  ..............  A               Kyphectomy, 3 or          36.44        N/A      20.38        5.20         N/A      62.02        090
                                                      more.
22830..............  ..............  A               Exploration of            10.85        N/A       8.13        1.73         N/A      20.71        090
                                                      spinal fusion.
22840..............  ..............  A               Insert spine              12.54        N/A       6.64        2.03         N/A      21.21        ZZZ
                                                      fixation device.
22842..............  ..............  A               Insert spine              12.58        N/A       6.66        2.04         N/A      21.28        ZZZ
                                                      fixation device.
22843..............  ..............  A               Insert spine              13.46        N/A       6.75        2.10         N/A      22.31        ZZZ
                                                      fixation device.
22844..............  ..............  A               Insert spine              16.44        N/A       8.95        2.42         N/A      27.81        ZZZ
                                                      fixation device.
22845..............  ..............  A               Insert spine              11.96        N/A       6.22        2.22         N/A      20.40        ZZZ
                                                      fixation device.
22846..............  ..............  A               Insert spine              12.42        N/A       6.48        2.26         N/A      21.16        ZZZ
                                                      fixation device.
22847..............  ..............  A               Insert spine              13.80        N/A       7.19        2.36         N/A      23.35        ZZZ
                                                      fixation device.
22848..............  ..............  A               Insert pelv fixation       6.00        N/A       3.26        0.88         N/A      10.14        ZZZ
                                                      device.
22849..............  ..............  A               Reinsert spinal           18.51        N/A      12.17        2.87         N/A      33.55        090
                                                      fixation.
22850..............  ..............  A               Remove spine               9.52        N/A       7.28        1.51         N/A      18.31        090
                                                      fixation device.
22851..............  ..............  A               Apply spine prosth         6.71        N/A       3.44        1.11         N/A      11.26        ZZZ
                                                      device.
22852..............  ..............  A               Remove spine               9.01        N/A       7.06        1.40         N/A      17.47        090
                                                      fixation device.
22855..............  ..............  A               Remove spine              15.13        N/A      10.02        2.74         N/A      27.89        090
                                                      fixation device.
22899..............  ..............  C               Spine surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.

[[Page 49087]]

 
22900..............  ..............  A               Remove abdominal           5.80        N/A       3.32        0.58         N/A       9.70        090
                                                      wall lesion.
22999..............  ..............  C               Abdomen surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
23000..............  ..............  A               Removal of calcium         4.36       5.59       4.74        0.50       10.45       9.60        090
                                                      deposits.
23020..............  ..............  A               Release shoulder           8.93        N/A       7.82        1.23         N/A      17.98        090
                                                      joint.
23030..............  ..............  A               Drain shoulder             3.43       3.07       2.97        0.42        6.92       6.82        010
                                                      lesion.
23031..............  ..............  A               Drain shoulder bursa       2.74       2.73       2.73        0.33        5.80       5.80        010
23035..............  ..............  A               Drain shoulder bone        8.61        N/A       9.12        1.19         N/A      18.92        090
                                                      lesion.
23040..............  ..............  A               Exploratory shoulder       9.20        N/A       8.20        1.28         N/A      18.68        090
                                                      surgery.
23044..............  ..............  A               Exploratory shoulder       7.12        N/A       6.80        0.97         N/A      14.89        090
                                                      surgery.
23065..............  ..............  A               Biopsy shoulder            2.27       2.88       1.55        0.14        5.29       3.96        010
                                                      tissues.
23066..............  ..............  A               Biopsy shoulder            4.16       5.19       4.18        0.50        9.85       8.84        090
                                                      tissues.
23075..............  ..............  A               Removal of shoulder        2.39       2.27       1.82        0.25        4.91       4.46        010
                                                      lesion.
23076..............  ..............  A               Removal of shoulder        7.63        N/A       5.88        0.87         N/A      14.38        090
                                                      lesion.
23077..............  ..............  A               Remove tumor of           16.09        N/A      11.03        1.81         N/A      28.93        090
                                                      shoulder.
23100..............  ..............  A               Biopsy of shoulder         6.03        N/A       5.89        0.81         N/A      12.73        090
                                                      joint.
23101..............  ..............  A               Shoulder joint             5.58        N/A       5.68        0.77         N/A      12.03        090
                                                      surgery.
23105..............  ..............  A               Remove shoulder            8.23        N/A       7.41        1.13         N/A      16.77        090
                                                      joint lining.
23106..............  ..............  A               Incision of                5.96        N/A       5.93        0.82         N/A      12.71        090
                                                      collarbone joint.
23107..............  ..............  A               Explore treat              8.62        N/A       7.63        1.19         N/A      17.44        090
                                                      shoulder joint.
23120..............  ..............  A               Partial removal,           7.11        N/A       6.70        0.99         N/A      14.80        090
                                                      collar bone.
23125..............  ..............  A               Removal of collar          9.39        N/A       7.85        1.27         N/A      18.51        090
                                                      bone.
23130..............  ..............  A               Remove shoulder            7.55        N/A       7.23        1.06         N/A      15.84        090
                                                      bone, part.
23140..............  ..............  A               Removal of bone            6.89        N/A       5.56        0.82         N/A      13.27        090
                                                      lesion.
23145..............  ..............  A               Removal of bone            9.09        N/A       7.92        1.24         N/A      18.25        090
                                                      lesion.
23146..............  ..............  A               Removal of bone            7.83        N/A       7.39        1.11         N/A      16.33        090
                                                      lesion.
23150..............  ..............  A               Removal of humerus         8.48        N/A       7.19        1.14         N/A      16.81        090
                                                      lesion.
23155..............  ..............  A               Removal of humerus        10.35        N/A       8.64        1.20         N/A      20.19        090
                                                      lesion.
23156..............  ..............  A               Removal of humerus         8.68        N/A       7.63        1.18         N/A      17.49        090
                                                      lesion.
23170..............  ..............  A               Remove collar bone         6.86        N/A       6.60        0.84         N/A      14.30        090
                                                      lesion.
23172..............  ..............  A               Remove shoulder            6.90        N/A       6.70        0.95         N/A      14.55        090
                                                      blade lesion.
23174..............  ..............  A               Remove humerus             9.51        N/A       8.63        1.30         N/A      19.44        090
                                                      lesion.
23180..............  ..............  A               Remove collar bone         8.53        N/A       9.76        1.18         N/A      19.47        090
                                                      lesion.
23182..............  ..............  A               Remove shoulder            8.15        N/A       9.36        1.08         N/A      18.59        090
                                                      blade lesion.
23184..............  ..............  A               Remove humerus             9.38        N/A      10.12        1.24         N/A      20.74        090
                                                      lesion.
23190..............  ..............  A               Partial removal of         7.24        N/A       6.34        0.97         N/A      14.55        090
                                                      scapula.
23195..............  ..............  A               Removal of head of         9.81        N/A       8.00        1.38         N/A      19.19        090
                                                      humerus.
23200..............  ..............  A               Removal of collar         12.08        N/A       9.24        1.48         N/A      22.80        090
                                                      bone.
23210..............  ..............  A               Removal of shoulder       12.49        N/A       9.61        1.61         N/A      23.71        090
                                                      blade.
23220..............  ..............  A               Partial removal of        14.56        N/A      11.28        2.03         N/A      27.87        090
                                                      humerus.
23221..............  ..............  A               Partial removal of        17.74        N/A      12.23        2.51         N/A      32.48        090
                                                      humerus.
23222..............  ..............  A               Partial removal of        23.92        N/A      16.44        3.37         N/A      43.73        090
                                                      humerus.
23330..............  ..............  A               Remove shoulder            1.85       2.08       1.89        0.18        4.11       3.92        010
                                                      foreign body.
23331..............  ..............  A               Remove shoulder            7.38        N/A       7.02        1.02         N/A      15.42        090
                                                      foreign body.
23332..............  ..............  A               Remove shoulder           11.62        N/A       9.49        1.62         N/A      22.73        090
                                                      foreign body.

[[Page 49088]]

 
23350..............  ..............  A               Injection for              1.00       3.88       0.34        0.05        4.93       1.39        000
                                                      shoulder x-ray.
23395..............  ..............  A               Muscle                    16.85        N/A      12.87        2.29         N/A      32.01        090
                                                      transfer,shoulder/
                                                      arm.
23397..............  ..............  A               Muscle transfers....      16.13        N/A      11.59        2.24         N/A      29.96        090
23400..............  ..............  A               Fixation of shoulder      13.54        N/A      10.42        1.91         N/A      25.87        090
                                                      blade.
23405..............  ..............  A               Incision of tendon &       8.37        N/A       7.08        1.12         N/A      16.57        090
                                                      muscle.
23406..............  ..............  A               Incise tendon(s) &        10.79        N/A       8.66        1.48         N/A      20.93        090
                                                      muscle(s).
23410..............  ..............  A               Repair rotator cuff,      12.45        N/A       9.69        1.72         N/A      23.86        090
                                                      acute.
23412..............  ..............  A               Repair rotator cuff,      13.31        N/A      10.19        1.86         N/A      25.36        090
                                                      chronic.
23415..............  ..............  A               Release of shoulder        9.97        N/A       8.12        1.39         N/A      19.48        090
                                                      ligament.
23420..............  ..............  A               Repair of shoulder..      13.30        N/A      11.08        1.86         N/A      26.24        090
23430..............  ..............  A               Repair biceps tendon       9.98        N/A       8.36        1.40         N/A      19.74        090
23440..............  ..............  A               Remove/transplant         10.48        N/A       8.55        1.47         N/A      20.50        090
                                                      tendon.
23450..............  ..............  A               Repair shoulder           13.40        N/A      10.16        1.86         N/A      25.42        090
                                                      capsule.
23455..............  ..............  A               Repair shoulder           14.37        N/A      10.75        2.01         N/A      27.13        090
                                                      capsule.
23460..............  ..............  A               Repair shoulder           15.37        N/A      11.58        2.17         N/A      29.12        090
                                                      capsule.
23462..............  ..............  A               Repair shoulder           15.30        N/A      11.08        2.16         N/A      28.54        090
                                                      capsule.
23465..............  ..............  A               Repair shoulder           15.85        N/A      11.52        1.61         N/A      28.98        090
                                                      capsule.
23466..............  ..............  A               Repair shoulder           14.22        N/A      11.48        2.00         N/A      27.70        090
                                                      capsule.
23470..............  ..............  A               Reconstruct shoulder      17.15        N/A      12.30        2.40         N/A      31.85        090
                                                      joint.
23472..............  ..............  A               Reconstruct shoulder      21.10        N/A      14.54        2.37         N/A      38.01        090
                                                      joint.
23480..............  ..............  A               Revision of collar        11.18        N/A       9.04        1.56         N/A      21.78        090
                                                      bone.
23485..............  ..............  A               Revision of collar        13.43        N/A      10.19        1.84         N/A      25.46        090
                                                      bone.
23490..............  ..............  A               Reinforce clavicle..      11.86        N/A       8.96        1.11         N/A      21.93        090
23491..............  ..............  A               Reinforce shoulder        14.21        N/A      10.90        2.00         N/A      27.11        090
                                                      bones.
23500..............  ..............  A               Treat clavicle             2.08       3.73       2.61        0.26        6.07       4.95        090
                                                      fracture.
23505..............  ..............  A               Treat clavicle             3.69       5.52       3.92        0.50        9.71       8.11        090
                                                      fracture.
23515..............  ..............  A               Treat clavicle             7.41        N/A       6.65        1.03         N/A      15.09        090
                                                      fracture.
23520..............  ..............  A               Treat clavicle             2.16       3.73       2.76        0.26        6.15       5.18        090
                                                      dislocation.
23525..............  ..............  A               Treat clavicle             3.60       5.35       3.95        0.44        9.39       7.99        090
                                                      dislocation.
23530..............  ..............  A               Treat clavicle             7.31        N/A       6.08        0.85         N/A      14.24        090
                                                      dislocation.
23532..............  ..............  A               Treat clavicle             8.01        N/A       7.05        1.13         N/A      16.19        090
                                                      dislocation.
23540..............  ..............  A               Treat clavicle             2.23       4.34       2.51        0.24        6.81       4.98        090
                                                      dislocation.
23545..............  ..............  A               Treat clavicle             3.25       4.59       3.45        0.39        8.23       7.09        090
                                                      dislocation.
23550..............  ..............  A               Treat clavicle             7.24        N/A       6.51        0.94         N/A      14.69        090
                                                      dislocation.
23552..............  ..............  A               Treat clavicle             8.45        N/A       7.40        1.18         N/A      17.03        090
                                                      dislocation.
23570..............  ..............  A               Treat shoulder blade       2.23       3.74       2.92        0.29        6.26       5.44        090
                                                      fx.
23575..............  ..............  A               Treat shoulder blade       4.06       5.87       4.33        0.53       10.46       8.92        090
                                                      fx.
23585..............  ..............  A               Treat scapula              8.96        N/A       7.74        1.25         N/A      17.95        090
                                                      fracture.
23600..............  ..............  A               Treat humerus              2.93       5.73       3.80        0.39        9.05       7.12        090
                                                      fracture.
23605..............  ..............  A               Treat humerus              4.87       7.03       5.36        0.67       12.57      10.90        090
                                                      fracture.
23615..............  ..............  A               Treat humerus              9.35        N/A       8.86        1.31         N/A      19.52        090
                                                      fracture.
23616..............  ..............  A               Treat humerus             21.27        N/A      14.39        2.98         N/A      38.64        090
                                                      fracture.
23620..............  ..............  A               Treat humerus              2.40       5.29       3.29        0.32        8.01       6.01        090
                                                      fracture.
23625..............  ..............  A               Treat humerus              3.93       6.54       4.74        0.53       11.00       9.20        090
                                                      fracture.
23630..............  ..............  A               Treat humerus              7.35        N/A       6.71        1.03         N/A      15.09        090
                                                      fracture.
23650..............  ..............  A               Treat shoulder             3.39       4.87       2.99        0.31        8.57       6.69        090
                                                      dislocation.
23655..............  ..............  A               Treat shoulder             4.57        N/A       4.17        0.52         N/A       9.26        090
                                                      dislocation.
23660..............  ..............  A               Treat shoulder             7.49        N/A       6.48        1.01         N/A      14.98        090
                                                      dislocation.
23665..............  ..............  A               Treat dislocation/         4.47       6.81       5.13        0.60       11.88      10.20        090
                                                      fracture.
23670..............  ..............  A               Treat dislocation/         7.90        N/A       6.95        1.10         N/A      15.95        090
                                                      fracture.
23675..............  ..............  A               Treat dislocation/         6.05       7.70       6.17        0.83       14.58      13.05        090
                                                      fracture.
23680..............  ..............  A               Treat dislocation/        10.06        N/A       8.24        1.39         N/A      19.69        090
                                                      fracture.
23700..............  ..............  A               Fixation of shoulder       2.52        N/A       2.39        0.35         N/A       5.26        010
23800..............  ..............  A               Fusion of shoulder        14.16        N/A      10.76        1.97         N/A      26.89        090
                                                      joint.
23802..............  ..............  A               Fusion of shoulder        16.60        N/A      10.49        2.34         N/A      29.43        090
                                                      joint.
23900..............  ..............  A               Amputation of arm &       19.72        N/A      12.21        2.47         N/A      34.40        090
                                                      girdle.
23920..............  ..............  A               Amputation at             14.61        N/A      10.45        1.92         N/A      26.98        090
                                                      shoulder joint.
23921..............  ..............  A               Amputation follow-up       5.49       5.32       5.32        0.78       11.59      11.59        090
                                                      surgery.
23929..............  ..............  C               Shoulder surgery           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.

[[Page 49089]]

 
23930..............  ..............  A               Drainage of arm            2.94       3.07       2.50        0.32        6.33       5.76        010
                                                      lesion.
23931..............  ..............  A               Drainage of arm            1.79       2.76       2.31        0.21        4.76       4.31        010
                                                      bursa.
23935..............  ..............  A               Drain arm/elbow bone       6.09        N/A       6.74        0.84         N/A      13.67        090
                                                      lesion.
24000..............  ..............  A               Exploratory elbow          5.82        N/A       5.56        0.77         N/A      12.15        090
                                                      surgery.
24006..............  ..............  A               Release elbow joint.       9.31        N/A       7.93        1.27         N/A      18.51        090
24065..............  ..............  A               Biopsy arm/elbow           2.08       2.45       1.94        0.14        4.67       4.16        010
                                                      soft tissue.
24066..............  ..............  A               Biopsy arm/elbow           5.21       5.90       4.41        0.61       11.72      10.23        090
                                                      soft tissue.
24075..............  ..............  A               Remove arm/elbow           3.92       5.18       3.79        0.43        9.53       8.14        090
                                                      lesion.
24076..............  ..............  A               Remove arm/elbow           6.30        N/A       5.17        0.70         N/A      12.17        090
                                                      lesion.
24077..............  ..............  A               Remove tumor of arm/      11.76        N/A       8.97        1.32         N/A      22.05        090
                                                      elbow.
24100..............  ..............  A               Biopsy elbow joint         4.93        N/A       4.72        0.62         N/A      10.27        090
                                                      lining.
24101..............  ..............  A               Explore/treat elbow        6.13        N/A       6.07        0.84         N/A      13.04        090
                                                      joint.
24102..............  ..............  A               Remove elbow joint         8.03        N/A       7.05        1.09         N/A      16.17        090
                                                      lining.
24105..............  ..............  A               Removal of elbow           3.61        N/A       4.53        0.49         N/A       8.63        090
                                                      bursa.
24110..............  ..............  A               Remove humerus             7.39        N/A       6.93        0.99         N/A      15.31        090
                                                      lesion.
24115..............  ..............  A               Remove/graft bone          9.63        N/A       7.58        1.15         N/A      18.36        090
                                                      lesion.
24116..............  ..............  A               Remove/graft bone         11.81        N/A       9.34        1.66         N/A      22.81        090
                                                      lesion.
24120..............  ..............  A               Remove elbow lesion.       6.65        N/A       6.08        0.87         N/A      13.60        090
24125..............  ..............  A               Remove/graft bone          7.89        N/A       6.38        0.88         N/A      15.15        090
                                                      lesion.
24126..............  ..............  A               Remove/graft bone          8.31        N/A       7.19        0.90         N/A      16.40        090
                                                      lesion.
24130..............  ..............  A               Removal of head of         6.25        N/A       6.16        0.87         N/A      13.28        090
                                                      radius.
24134..............  ..............  A               Removal of arm bone        9.73        N/A       9.79        1.31         N/A      20.83        090
                                                      lesion.
24136..............  ..............  A               Remove radius bone         7.99        N/A       7.66        0.85         N/A      16.50        090
                                                      lesion.
24138..............  ..............  A               Remove elbow bone          8.05        N/A       7.71        1.12         N/A      16.88        090
                                                      lesion.
24140..............  ..............  A               Partial removal of         9.18        N/A      10.17        1.23         N/A      20.58        090
                                                      arm bone.
24145..............  ..............  A               Partial removal of         7.58        N/A       8.80        1.01         N/A      17.39        090
                                                      radius.
24147..............  ..............  A               Partial removal of         7.54        N/A       9.19        1.04         N/A      17.77        090
                                                      elbow.
24149..............  ..............  A               Radical resection of      14.20        N/A      11.53        1.90         N/A      27.63        090
                                                      elbow.
24150..............  ..............  A               Extensive humerus         13.27        N/A      10.47        1.81         N/A      25.55        090
                                                      surgery.
24151..............  ..............  A               Extensive humerus         15.58        N/A      12.08        2.19         N/A      29.85        090
                                                      surgery.
24152..............  ..............  A               Extensive radius          10.06        N/A       8.27        1.19         N/A      19.52        090
                                                      surgery.
24153..............  ..............  A               Extensive radius          11.54        N/A       6.08        0.64         N/A      18.26        090
                                                      surgery.
24155..............  ..............  A               Removal of elbow          11.73        N/A       8.62        1.42         N/A      21.77        090
                                                      joint.
24160..............  ..............  A               Remove elbow joint         7.83        N/A       6.85        1.07         N/A      15.75        090
                                                      implant.
24164..............  ..............  A               Remove radius head         6.23        N/A       5.77        0.84         N/A      12.84        090
                                                      implant.
24200..............  ..............  A               Removal of arm             1.76       2.38       1.82        0.15        4.29       3.73        010
                                                      foreign body.
24201..............  ..............  A               Removal of arm             4.56       5.84       4.46        0.56       10.96       9.58        090
                                                      foreign body.
24220..............  ..............  A               Injection for elbow        1.31       7.42       0.45        0.07        8.80       1.83        000
                                                      x-ray.
24300..............  ..............  A               Manipulate elbow w/        3.75        N/A       5.70        0.49         N/A       9.94        090
                                                      anesth.
24301..............  ..............  A               Muscle/tendon             10.20        N/A       8.40        1.30         N/A      19.90        090
                                                      transfer.
24305..............  ..............  A               Arm tendon                 7.45        N/A       6.87        0.98         N/A      15.30        090
                                                      lengthening.
24310..............  ..............  A               Revision of arm            5.98        N/A       5.90        0.74         N/A      12.62        090
                                                      tendon.
24320..............  ..............  A               Repair of arm tendon      10.56        N/A       7.95        1.00         N/A      19.51        090
24330..............  ..............  A               Revision of arm            9.60        N/A       8.09        1.21         N/A      18.90        090
                                                      muscles.
24331..............  ..............  A               Revision of arm           10.65        N/A       8.75        1.41         N/A      20.81        090
                                                      muscles.
24332..............  ..............  A               Tenolysis, triceps..       7.45        N/A       6.76        0.77         N/A      14.98        090
24340..............  ..............  A               Repair of biceps           7.89        N/A       7.11        1.08         N/A      16.08        090
                                                      tendon.
24341..............  ..............  A               Repair arm tendon/         7.90        N/A       7.86        1.08         N/A      16.84        090
                                                      muscle.
24342..............  ..............  A               Repair of ruptured        10.62        N/A       8.68        1.48         N/A      20.78        090
                                                      tendon.
24343..............  ..............  A               Repr elbow lat             8.65        N/A       8.21        1.13         N/A      17.99        090
                                                      ligmnt w/tiss.

[[Page 49090]]

 
24344..............  ..............  A               Reconstruct elbow         14.00        N/A      11.53        1.83         N/A      27.36        090
                                                      lat ligmnt.
24345..............  ..............  A               Repr elbw med ligmnt       8.65        N/A       8.11        1.13         N/A      17.89        090
                                                      w/tissu.
24346..............  ..............  A               Reconstruct elbow         14.00        N/A      11.38        1.83         N/A      27.21        090
                                                      med ligmnt.
24350..............  ..............  A               Repair of tennis           5.25        N/A       5.68        0.72         N/A      11.65        090
                                                      elbow.
24351..............  ..............  A               Repair of tennis           5.91        N/A       6.04        0.82         N/A      12.77        090
                                                      elbow.
24352..............  ..............  A               Repair of tennis           6.43        N/A       6.30        0.90         N/A      13.63        090
                                                      elbow.
24354..............  ..............  A               Repair of tennis           6.48        N/A       6.26        0.88         N/A      13.62        090
                                                      elbow.
24356..............  ..............  A               Revision of tennis         6.68        N/A       6.44        0.90         N/A      14.02        090
                                                      elbow.
24360..............  ..............  A               Reconstruct elbow         12.34        N/A       9.48        1.69         N/A      23.51        090
                                                      joint.
24361..............  ..............  A               Reconstruct elbow         14.08        N/A      10.56        1.95         N/A      26.59        090
                                                      joint.
24362..............  ..............  A               Reconstruct elbow         14.99        N/A      10.12        1.92         N/A      27.03        090
                                                      joint.
24363..............  ..............  A               Replace elbow joint.      18.49        N/A      13.78        2.52         N/A      34.79        090
24365..............  ..............  A               Reconstruct head of        8.39        N/A       7.16        1.11         N/A      16.66        090
                                                      radius.
24366..............  ..............  A               Reconstruct head of        9.13        N/A       7.51        1.28         N/A      17.92        090
                                                      radius.
24400..............  ..............  A               Revision of humerus.      11.06        N/A       9.14        1.53         N/A      21.73        090
24410..............  ..............  A               Revision of humerus.      14.82        N/A      10.69        1.89         N/A      27.40        090
24420..............  ..............  A               Revision of humerus.      13.44        N/A      11.04        1.82         N/A      26.30        090
24430..............  ..............  A               Repair of humerus...      12.81        N/A      10.01        1.80         N/A      24.62        090
24435..............  ..............  A               Repair humerus with       13.17        N/A      11.10        1.84         N/A      26.11        090
                                                      graft.
24470..............  ..............  A               Revision of elbow          8.74        N/A       7.83        1.23         N/A      17.80        090
                                                      joint.
24495..............  ..............  A               Decompression of           8.12        N/A       9.09        0.92         N/A      18.13        090
                                                      forearm.
24498..............  ..............  A               Reinforce humerus...      11.92        N/A       9.52        1.67         N/A      23.11        090
24500..............  ..............  A               Treat humerus              3.21       5.40       3.59        0.41        9.02       7.21        090
                                                      fracture.
24505..............  ..............  A               Treat humerus              5.17       7.64       5.58        0.72       13.53      11.47        090
                                                      fracture.
24515..............  ..............  A               Treat humerus             11.65        N/A       9.48        1.63         N/A      22.76        090
                                                      fracture.
24516..............  ..............  A               Treat humerus             11.65        N/A       9.45        1.63         N/A      22.73        090
                                                      fracture.
24530..............  ..............  A               Treat humerus              3.50       5.59       4.11        0.47        9.56       8.08        090
                                                      fracture.
24535..............  ..............  A               Treat humerus              6.87       8.54       6.53        0.96       16.37      14.36        090
                                                      fracture.
24538..............  ..............  A               Treat humerus              9.43        N/A       8.85        1.25         N/A      19.53        090
                                                      fracture.
24545..............  ..............  A               Treat humerus             10.46        N/A       8.55        1.47         N/A      20.48        090
                                                      fracture.
24546..............  ..............  A               Treat humerus             15.69        N/A      11.63        2.18         N/A      29.50        090
                                                      fracture.
24560..............  ..............  A               Treat humerus              2.80       5.07       3.19        0.35        8.22       6.34        090
                                                      fracture.
24565..............  ..............  A               Treat humerus              5.56       7.42       5.50        0.74       13.72      11.80        090
                                                      fracture.
24566..............  ..............  A               Treat humerus              7.79        N/A       8.36        1.10         N/A      17.25        090
                                                      fracture.
24575..............  ..............  A               Treat humerus             10.66        N/A       8.42        1.44         N/A      20.52        090
                                                      fracture.
24576..............  ..............  A               Treat humerus              2.86       4.94       3.57        0.38        8.18       6.81        090
                                                      fracture.
24577..............  ..............  A               Treat humerus              5.79       7.70       5.80        0.81       14.30      12.40        090
                                                      fracture.
24579..............  ..............  A               Treat humerus             11.60        N/A       9.10        1.62         N/A      22.32        090
                                                      fracture.
24582..............  ..............  A               Treat humerus              8.55        N/A       9.17        1.20         N/A      18.92        090
                                                      fracture.
24586..............  ..............  A               Treat elbow fracture      15.21        N/A      11.19        2.12         N/A      28.52        090
24587..............  ..............  A               Treat elbow fracture      15.16        N/A      11.00        2.14         N/A      28.30        090
24600..............  ..............  A               Treat elbow                4.23       5.86       3.74        0.49       10.58       8.46        090
                                                      dislocation.
24605..............  ..............  A               Treat elbow                5.42        N/A       5.16        0.72         N/A      11.30        090
                                                      dislocation.
24615..............  ..............  A               Treat elbow                9.42        N/A       7.84        1.31         N/A      18.57        090
                                                      dislocation.
24620..............  ..............  A               Treat elbow fracture       6.98        N/A       6.23        0.90         N/A      14.11        090
24635..............  ..............  A               Treat elbow fracture      13.19        N/A      14.76        1.84         N/A      29.79        090
24640..............  ..............  A               Treat elbow                1.20       2.06       0.91        0.11        3.37       2.22        010
                                                      dislocation.
24650..............  ..............  A               Treat radius               2.16       4.64       2.79        0.28        7.08       5.23        090
                                                      fracture.
24655..............  ..............  A               Treat radius               4.40       6.89       4.78        0.58       11.87       9.76        090
                                                      fracture.
24665..............  ..............  A               Treat radius               8.14        N/A       7.62        1.13         N/A      16.89        090
                                                      fracture.
24666..............  ..............  A               Treat radius               9.49        N/A       8.30        1.32         N/A      19.11        090
                                                      fracture.
24670..............  ..............  A               Treat ulnar fracture       2.54       4.52       3.07        0.33        7.39       5.94        090
24675..............  ..............  A               Treat ulnar fracture       4.72       6.94       5.01        0.65       12.31      10.38        090
24685..............  ..............  A               Treat ulnar fracture       8.80        N/A       7.77        1.23         N/A      17.80        090
24800..............  ..............  A               Fusion of elbow           11.20        N/A       8.95        1.41         N/A      21.56        090
                                                      joint.
24802..............  ..............  A               Fusion/graft of           13.69        N/A      10.59        1.89         N/A      26.17        090
                                                      elbow joint.
24900..............  ..............  A               Amputation of upper        9.60        N/A       7.53        1.18         N/A      18.31        090
                                                      arm.
24920..............  ..............  A               Amputation of upper        9.54        N/A       7.88        1.22         N/A      18.64        090
                                                      arm.
24925..............  ..............  A               Amputation follow-up       7.07        N/A       6.45        0.95         N/A      14.47        090
                                                      surgery.

[[Page 49091]]

 
24930..............  ..............  A               Amputation follow-up      10.25        N/A       7.78        1.23         N/A      19.26        090
                                                      surgery.
24931..............  ..............  A               Amputate upper arm &      12.72        N/A       6.31        1.56         N/A      20.59        090
                                                      implant.
24935..............  ..............  A               Revision of               15.56        N/A       8.64        1.58         N/A      25.78        090
                                                      amputation.
24940..............  ..............  C               Revision of upper          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        YYY
                                                      surgery.
25000..............  ..............  A               Incision of tendon         3.38        N/A       6.95        0.45         N/A      10.78        090
                                                      sheath.
25001..............  ..............  A               Incise flexor carpi        3.38        N/A       4.29        0.45         N/A       8.12        090
                                                      radialis.
25020..............  ..............  A               Decompress forearm 1       5.92        N/A      10.24        0.76         N/A      16.92        090
                                                      space.
25023..............  ..............  A               Decompress forearm 1      12.96        N/A      15.71        1.52         N/A      30.19        090
                                                      space.
25024..............  ..............  A               Decompress forearm 2       9.50        N/A       7.63        1.24         N/A      18.37        090
                                                      spaces.
25025..............  ..............  A               Decompress forarm 2       16.54        N/A      10.25        2.18         N/A      28.97        090
                                                      spaces.
25028..............  ..............  A               Drainage of forearm        5.25        N/A       8.79        0.61         N/A      14.65        090
                                                      lesion.
25031..............  ..............  A               Drainage of forearm        4.14        N/A       8.65        0.50         N/A      13.29        090
                                                      bursa.
25035..............  ..............  A               Treat forearm bone         7.36        N/A      14.64        0.98         N/A      22.98        090
                                                      lesion.
25040..............  ..............  A               Explore/treat wrist        7.18        N/A       7.68        0.96         N/A      15.82        090
                                                      joint.
25065..............  ..............  A               Biopsy forearm soft        1.99       2.89       2.89        0.12        5.00       5.00        010
                                                      tissues.
25066..............  ..............  A               Biopsy forearm soft        4.13        N/A       7.43        0.49         N/A      12.05        090
                                                      tissues.
25075..............  ..............  A               Removel forearm            3.74        N/A       6.28        0.40         N/A      10.42        090
                                                      lesion subcu.
25076..............  ..............  A               Removel forearm            4.92        N/A      10.35        0.59         N/A      15.86        090
                                                      lesion deep.
25077..............  ..............  A               Remove tumor,              9.76        N/A      12.98        1.10         N/A      23.84        090
                                                      forearm/wrist.
25085..............  ..............  A               Incision of wrist          5.50        N/A       7.81        0.71         N/A      14.02        090
                                                      capsule.
25100..............  ..............  A               Biopsy of wrist            3.90        N/A       5.67        0.50         N/A      10.07        090
                                                      joint.
25101..............  ..............  A               Explore/treat wrist        4.69        N/A       6.25        0.60         N/A      11.54        090
                                                      joint.
25105..............  ..............  A               Remove wrist joint         5.85        N/A       7.88        0.77         N/A      14.50        090
                                                      lining.
25107..............  ..............  A               Remove wrist joint         6.43        N/A       8.83        0.82         N/A      16.08        090
                                                      cartilage.
25110..............  ..............  A               Remove wrist tendon        3.92        N/A       7.46        0.48         N/A      11.86        090
                                                      lesion.
25111..............  ..............  A               Remove wrist tendon        3.39        N/A       5.08        0.42         N/A       8.89        090
                                                      lesion.
25112..............  ..............  A               Reremove wrist             4.53        N/A       5.69        0.54         N/A      10.76        090
                                                      tendon lesion.
25115..............  ..............  A               Remove wrist/forearm       8.82        N/A      14.84        1.11         N/A      24.77        090
                                                      lesion.
25116..............  ..............  A               Remove wrist/forearm       7.11        N/A      13.82        0.90         N/A      21.83        090
                                                      lesion.
25118..............  ..............  A               Excise wrist tendon        4.37        N/A       6.17        0.55         N/A      11.09        090
                                                      sheath.
25119..............  ..............  A               Partial removal of         6.04        N/A       8.17        0.80         N/A      15.01        090
                                                      ulna.
25120..............  ..............  A               Removal of forearm         6.10        N/A      12.83        0.81         N/A      19.74        090
                                                      lesion.
25125..............  ..............  A               Remove/graft forearm       7.48        N/A      13.61        1.02         N/A      22.11        090
                                                      lesion.
25126..............  ..............  A               Remove/graft forearm       7.55        N/A      13.69        1.00         N/A      22.24        090
                                                      lesion.
25130..............  ..............  A               Removal of wrist           5.26        N/A       6.72        0.66         N/A      12.64        090
                                                      lesion.
25135..............  ..............  A               Remove & graft wrist       6.89        N/A       7.75        0.89         N/A      15.53        090
                                                      lesion.
25136..............  ..............  A               Remove & graft wrist       5.97        N/A       6.87        0.58         N/A      13.42        090
                                                      lesion.
25145..............  ..............  A               Remove forearm bone        6.37        N/A      12.84        0.82         N/A      20.03        090
                                                      lesion.
25150..............  ..............  A               Partial removal of         7.09        N/A       8.85        0.96         N/A      16.90        090
                                                      ulna.
25151..............  ..............  A               Partial removal of         7.39        N/A      13.46        0.93         N/A      21.78        090
                                                      radius.
25170..............  ..............  A               Extensive forearm         11.09        N/A      15.81        1.52         N/A      28.42        090
                                                      surgery.
25210..............  ..............  A               Removal of wrist           5.95        N/A       7.10        0.73         N/A      13.78        090
                                                      bone.
25215..............  ..............  A               Removal of wrist           7.89        N/A       9.32        1.02         N/A      18.23        090
                                                      bones.

[[Page 49092]]

 
25230..............  ..............  A               Partial removal of         5.23        N/A       6.51        0.66         N/A      12.40        090
                                                      radius.
25240..............  ..............  A               Partial removal of         5.17        N/A       7.59        0.69         N/A      13.45        090
                                                      ulna.
25246..............  ..............  A               Injection for wrist        1.45       7.16       0.49        0.07        8.68       2.01        000
                                                      x-ray.
25248..............  ..............  A               Remove forearm             5.14        N/A       9.00        0.54         N/A      14.68        090
                                                      foreign body.
25250..............  ..............  A               Removal of wrist           6.60        N/A       6.06        0.84         N/A      13.50        090
                                                      prosthesis.
25251..............  ..............  A               Removal of wrist           9.57        N/A       7.95        1.15         N/A      18.67        090
                                                      prosthesis.
25259..............  ..............  A               Manipulate wrist w/        3.75        N/A       5.70        0.50         N/A       9.95        090
                                                      anesthes.
25260..............  ..............  A               Repair forearm             7.80        N/A      14.22        0.97         N/A      22.99        090
                                                      tendon/muscle.
25263..............  ..............  A               Repair forearm             7.82        N/A      14.09        0.94         N/A      22.85        090
                                                      tendon/muscle.
25265..............  ..............  A               Repair forearm             9.88        N/A      14.98        1.19         N/A      26.05        090
                                                      tendon/muscle.
25270..............  ..............  A               Repair forearm             6.00        N/A      12.99        0.76         N/A      19.75        090
                                                      tendon/muscle.
25272..............  ..............  A               Repair forearm             7.04        N/A      13.70        0.89         N/A      21.63        090
                                                      tendon/muscle.
25274..............  ..............  A               Repair forearm             8.75        N/A      14.41        1.14         N/A      24.30        090
                                                      tendon/muscle.
25275..............  ..............  A               Repair forearm             8.50        N/A       7.72        1.13         N/A      17.35        090
                                                      tendon sheath.
25280..............  ..............  A               Revise wrist/forearm       7.22        N/A      13.39        0.91         N/A      21.52        090
                                                      tendon.
25290..............  ..............  A               Incise wrist/forearm       5.29        N/A      16.39        0.66         N/A      22.34        090
                                                      tendon.
25295..............  ..............  A               Release wrist/             6.55        N/A      12.95        0.86         N/A      20.36        090
                                                      forearm tendon.
25300..............  ..............  A               Fusion of tendons at       8.80        N/A       8.66        1.07         N/A      18.53        090
                                                      wrist.
25301..............  ..............  A               Fusion of tendons at       8.40        N/A       8.38        1.08         N/A      17.86        090
                                                      wrist.
25310..............  ..............  A               Transplant forearm         8.14        N/A      13.81        1.01         N/A      22.96        090
                                                      tendon.
25312..............  ..............  A               Transplant forearm         9.57        N/A      14.72        1.22         N/A      25.51        090
                                                      tendon.
25315..............  ..............  A               Revise palsy hand         10.20        N/A      15.32        1.26         N/A      26.78        090
                                                      tendon(s).
25316..............  ..............  A               Revise palsy hand         12.33        N/A      16.98        1.74         N/A      31.05        090
                                                      tendon(s).
25320..............  ..............  A               Repair/revise wrist       10.77        N/A      11.40        1.32         N/A      23.49        090
                                                      joint.
25332..............  ..............  A               Revise wrist joint..      11.41        N/A       9.18        1.46         N/A      22.05        090
25335..............  ..............  A               Realignment of hand.      12.88        N/A      11.90        1.66         N/A      26.44        090
25337..............  ..............  A               Reconstruct ulna/         10.17        N/A      11.55        1.31         N/A      23.03        090
                                                      radioulnar.
25350..............  ..............  A               Revision of radius..       8.78        N/A      14.68        1.17         N/A      24.63        090
25355..............  ..............  A               Revision of radius..      10.17        N/A      15.36        1.44         N/A      26.97        090
25360..............  ..............  A               Revision of ulna....       8.43        N/A      14.59        1.17         N/A      24.19        090
25365..............  ..............  A               Revise radius & ulna      12.40        N/A      16.32        1.67         N/A      30.39        090
25370..............  ..............  A               Revise radius or          13.36        N/A      16.54        1.88         N/A      31.78        090
                                                      ulna.
25375..............  ..............  A               Revise radius & ulna      13.04        N/A      17.15        1.84         N/A      32.03        090
25390..............  ..............  A               Shorten radius or         10.40        N/A      15.34        1.38         N/A      27.12        090
                                                      ulna.
25391..............  ..............  A               Lengthen radius or        13.65        N/A      17.22        1.73         N/A      32.60        090
                                                      ulna.
25392..............  ..............  A               Shorten radius &          13.95        N/A      16.31        1.73         N/A      31.99        090
                                                      ulna.
25393..............  ..............  A               Lengthen radius &         15.87        N/A      18.23        1.87         N/A      35.97        090
                                                      ulna.
25394..............  ..............  A               Repair carpal bone,       10.40        N/A       8.53        1.40         N/A      20.33        090
                                                      shorten.
25400..............  ..............  A               Repair radius or          10.92        N/A      15.93        1.50         N/A      28.35        090
                                                      ulna.
25405..............  ..............  A               Repair/graft radius       14.38        N/A      17.96        1.95         N/A      34.29        090
                                                      or ulna.
25415..............  ..............  A               Repair radius & ulna      13.35        N/A      17.20        1.87         N/A      32.42        090
25420..............  ..............  A               Repair/graft radius       16.33        N/A      18.97        2.20         N/A      37.50        090
                                                      & ulna.
25425..............  ..............  A               Repair/graft radius       13.21        N/A      23.02        1.61         N/A      37.84        090
                                                      or ulna.
25426..............  ..............  A               Repair/graft radius       15.82        N/A      17.55        2.23         N/A      35.60        090
                                                      & ulna.
25430..............  ..............  A               Vasc graft into            9.25        N/A       7.54        1.07         N/A      17.86        090
                                                      carpal bone.
25431..............  ..............  A               Repair nonunion           10.44        N/A       8.52        0.56         N/A      19.52        090
                                                      carpal bone.

[[Page 49093]]

 
25440..............  ..............  A               Repair/graft wrist        10.44        N/A       9.69        1.41         N/A      21.54        090
                                                      bone.
25441..............  ..............  A               Reconstruct wrist         12.90        N/A      10.01        1.83         N/A      24.74        090
                                                      joint.
25442..............  ..............  A               Reconstruct wrist         10.85        N/A       8.88        1.24         N/A      20.97        090
                                                      joint.
25443..............  ..............  A               Reconstruct wrist         10.39        N/A       8.76        1.30         N/A      20.45        090
                                                      joint.
25444..............  ..............  A               Reconstruct wrist         11.15        N/A       9.07        1.43         N/A      21.65        090
                                                      joint.
25445..............  ..............  A               Reconstruct wrist          9.69        N/A       8.02        1.26         N/A      18.97        090
                                                      joint.
25446..............  ..............  A               Wrist replacement...      16.55        N/A      11.98        2.20         N/A      30.73        090
25447..............  ..............  A               Repair wrist              10.37        N/A       8.64        1.34         N/A      20.35        090
                                                      joint(s).
25449..............  ..............  A               Remove wrist joint        14.49        N/A      10.72        1.77         N/A      26.98        090
                                                      implant.
25450..............  ..............  A               Revision of wrist          7.87        N/A      10.71        0.88         N/A      19.46        090
                                                      joint.
25455..............  ..............  A               Revision of wrist          9.49        N/A      11.66        1.07         N/A      22.22        090
                                                      joint.
25490..............  ..............  A               Reinforce radius....       9.54        N/A      14.46        1.19         N/A      25.19        090
25491..............  ..............  A               Reinforce ulna......       9.96        N/A      15.21        1.41         N/A      26.58        090
25492..............  ..............  A               Reinforce radius and      12.33        N/A      15.97        1.62         N/A      29.92        090
                                                      ulna.
25500..............  ..............  A               Treat fracture of          2.45       4.06       2.77        0.28        6.79       5.50        090
                                                      radius.
25505..............  ..............  A               Treat fracture of          5.21       7.36       5.34        0.69       13.26      11.24        090
                                                      radius.
25515..............  ..............  A               Treat fracture of          9.18        N/A       7.70        1.22         N/A      18.10        090
                                                      radius.
25520..............  ..............  A               Treat fracture of          6.26       7.58       5.98        0.85       14.69      13.09        090
                                                      radius.
25525..............  ..............  A               Treat fracture of         12.24        N/A      10.12        1.68         N/A      24.04        090
                                                      radius.
25526..............  ..............  A               Treat fracture of         12.98        N/A      13.93        1.80         N/A      28.71        090
                                                      radius.
25530..............  ..............  A               Treat fracture of          2.09       4.22       2.85        0.27        6.58       5.21        090
                                                      ulna.
25535..............  ..............  A               Treat fracture of          5.14       6.98       5.27        0.68       12.80      11.09        090
                                                      ulna.
25545..............  ..............  A               Treat fracture of          8.90        N/A       7.90        1.23         N/A      18.03        090
                                                      ulna.
25560..............  ..............  A               Treat fracture             2.44       4.12       2.70        0.27        6.83       5.41        090
                                                      radius & ulna.
25565..............  ..............  A               Treat fracture             5.63       7.49       5.41        0.76       13.88      11.80        090
                                                      radius & ulna.
25574..............  ..............  A               Treat fracture             7.01        N/A       7.26        0.96         N/A      15.23        090
                                                      radius & ulna.
25575..............  ..............  A               Treat fracture            10.45        N/A       9.57        1.46         N/A      21.48        090
                                                      radius/ulna.
25600..............  ..............  A               Treat fracture             2.63       4.56       3.00        0.34        7.53       5.97        090
                                                      radius/ulna.
25605..............  ..............  A               Treat fracture             5.81       8.18       6.13        0.81       14.80      12.75        090
                                                      radius/ulna.
25611..............  ..............  A               Treat fracture             7.77        N/A       8.90        1.08         N/A      17.75        090
                                                      radius/ulna.
25620..............  ..............  A               Treat fracture             8.55        N/A       7.51        1.17         N/A      17.23        090
                                                      radius/ulna.
25622..............  ..............  A               Treat wrist bone           2.61       4.63       3.10        0.33        7.57       6.04        090
                                                      fracture.
25624..............  ..............  A               Treat wrist bone           4.53       7.10       5.00        0.61       12.24      10.14        090
                                                      fracture.
25628..............  ..............  A               Treat wrist bone           8.43        N/A       8.05        1.14         N/A      17.62        090
                                                      fracture.
25630..............  ..............  A               Treat wrist bone           2.88       4.65       3.00        0.37        7.90       6.25        090
                                                      fracture.
25635..............  ..............  A               Treat wrist bone           4.39       6.87       3.96        0.39       11.65       8.74        090
                                                      fracture.
25645..............  ..............  A               Treat wrist bone           7.25        N/A       7.01        0.93         N/A      15.19        090
                                                      fracture.
25650..............  ..............  A               Treat wrist bone           3.05       4.82       3.21        0.37        8.24       6.63        090
                                                      fracture.
25651..............  ..............  A               Pin ulnar styloid          5.36        N/A       5.62        0.72         N/A      11.70        090
                                                      fracture.
25652..............  ..............  A               Treat fracture ulnar       7.60        N/A       7.11        1.02         N/A      15.73        090
                                                      styloid.
25660..............  ..............  A               Treat wrist                4.76        N/A       4.75        0.59         N/A      10.10        090
                                                      dislocation.
25670..............  ..............  A               Treat wrist                7.92        N/A       7.31        1.07         N/A      16.30        090
                                                      dislocation.
25671..............  ..............  A               Pin radioulnar             6.00        N/A       6.23        0.81         N/A      13.04        090
                                                      dislocation.
25675..............  ..............  A               Treat wrist                4.67       6.62       4.69        0.57       11.86       9.93        090
                                                      dislocation.
25676..............  ..............  A               Treat wrist                8.04        N/A       7.56        1.10         N/A      16.70        090
                                                      dislocation.
25680..............  ..............  A               Treat wrist fracture       5.99        N/A       4.99        0.61         N/A      11.59        090
25685..............  ..............  A               Treat wrist fracture       9.78        N/A       8.12        1.25         N/A      19.15        090
25690..............  ..............  A               Treat wrist                5.50        N/A       5.69        0.78         N/A      11.97        090
                                                      dislocation.
25695..............  ..............  A               Treat wrist                8.34        N/A       7.43        1.07         N/A      16.84        090
                                                      dislocation.
25800..............  ..............  A               Fusion of wrist            9.76        N/A       9.35        1.30         N/A      20.41        090
                                                      joint.
25805..............  ..............  A               Fusion/graft of           11.28        N/A      10.42        1.51         N/A      23.21        090
                                                      wrist joint.
25810..............  ..............  A               Fusion/graft of           10.57        N/A      10.15        1.37         N/A      22.09        090
                                                      wrist joint.
25820..............  ..............  A               Fusion of hand bones       7.45        N/A       8.10        0.96         N/A      16.51        090
25825..............  ..............  A               Fuse hand bones with       9.27        N/A       9.37        1.20         N/A      19.84        090
                                                      graft.
25830..............  ..............  A               Fusion, radioulnar        10.06        N/A      15.11        1.27         N/A      26.44        090
                                                      jnt/ulna.
25900..............  ..............  A               Amputation of              9.01        N/A      13.06        1.08         N/A      23.15        090
                                                      forearm.
25905..............  ..............  A               Amputation of              9.12        N/A      13.13        1.06         N/A      23.31        090
                                                      forearm.
25907..............  ..............  A               Amputation follow-up       7.80        N/A      12.59        1.01         N/A      21.40        090
                                                      surgery.
25909..............  ..............  A               Amputation follow-up       8.96        N/A      13.10        1.07         N/A      23.13        090
                                                      surgery.
25915..............  ..............  A               Amputation of             17.08        N/A      20.05        2.41         N/A      39.54        090
                                                      forearm.

[[Page 49094]]

 
25920..............  ..............  A               Amputate hand at           8.68        N/A       8.22        1.06         N/A      17.96        090
                                                      wrist.
25922..............  ..............  A               Amputate hand at           7.42        N/A       7.25        0.93         N/A      15.60        090
                                                      wrist.
25924..............  ..............  A               Amputation follow-up       8.46        N/A       8.46        1.07         N/A      17.99        090
                                                      surgery.
25927..............  ..............  A               Amputation of hand..       8.80        N/A      12.40        1.02         N/A      22.22        090
25929..............  ..............  A               Amputation follow-up       7.59        N/A       6.13        0.89         N/A      14.61        090
                                                      surgery.
25931..............  ..............  A               Amputation follow-up       7.81        N/A      12.40        0.88         N/A      21.09        090
                                                      surgery.
25999..............  ..............  C               Forearm or wrist           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
26010..............  ..............  A               Drainage of finger         1.54       5.85       1.70        0.14        7.53       3.38        010
                                                      abscess.
26011..............  ..............  A               Drainage of finger         2.19       9.22       2.35        0.25       11.66       4.79        010
                                                      abscess.
26020..............  ..............  A               Drain hand tendon          4.67        N/A       5.61        0.59         N/A      10.87        090
                                                      sheath.
26025..............  ..............  A               Drainage of palm           4.82        N/A       5.45        0.60         N/A      10.87        090
                                                      bursa.
26030..............  ..............  A               Drainage of palm           5.93        N/A       6.11        0.72         N/A      12.76        090
                                                      bursa(s).
26034..............  ..............  A               Treat hand bone            6.23        N/A       6.33        0.79         N/A      13.35        090
                                                      lesion.
26035..............  ..............  A               Decompress fingers/        9.51        N/A       8.21        1.12         N/A      18.84        090
                                                      hand.
26037..............  ..............  A               Decompress fingers/        7.25        N/A       6.72        0.87         N/A      14.84        090
                                                      hand.
26040..............  ..............  A               Release palm               3.33        N/A       4.00        0.45         N/A       7.78        090
                                                      contracture.
26045..............  ..............  A               Release palm               5.56        N/A       5.60        0.74         N/A      11.90        090
                                                      contracture.
26055..............  ..............  A               Incise finger tendon       2.69      14.74       3.86        0.36       17.79       6.91        090
                                                      sheath.
26060..............  ..............  A               Incision of finger         2.81        N/A       3.52        0.35         N/A       6.68        090
                                                      tendon.
26070..............  ..............  A               Explore/treat hand         3.69        N/A       3.39        0.35         N/A       7.43        090
                                                      joint.
26075..............  ..............  A               Explore/treat finger       3.79        N/A       3.80        0.40         N/A       7.99        090
                                                      joint.
26080..............  ..............  A               Explore/treat finger       4.24        N/A       4.82        0.52         N/A       9.58        090
                                                      joint.
26100..............  ..............  A               Biopsy hand joint          3.67        N/A       4.12        0.45         N/A       8.24        090
                                                      lining.
26105..............  ..............  A               Biopsy finger joint        3.71        N/A       4.20        0.45         N/A       8.36        090
                                                      lining.
26110..............  ..............  A               Biopsy finger joint        3.53        N/A       4.00        0.44         N/A       7.97        090
                                                      lining.
26115..............  ..............  A               Removel hand lesion        3.86      13.55       4.71        0.48       17.89       9.05        090
                                                      subcut.
26116..............  ..............  A               Removel hand lesion,       5.53        N/A       5.98        0.69         N/A      12.20        090
                                                      deep.
26117..............  ..............  A               Remove tumor, hand/        8.55        N/A       7.15        1.01         N/A      16.71        090
                                                      finger.
26121..............  ..............  A               Release palm               7.54        N/A       7.02        0.94         N/A      15.50        090
                                                      contracture.
26123..............  ..............  A               Release palm               9.29        N/A       8.90        1.17         N/A      19.36        090
                                                      contracture.
26125..............  ..............  A               Release palm               4.61        N/A       2.50        0.57         N/A       7.68        ZZZ
                                                      contracture.
26130..............  ..............  A               Remove wrist joint         5.42        N/A       5.35        0.65         N/A      11.42        090
                                                      lining.
26135..............  ..............  A               Revise finger joint,       6.96        N/A       6.47        0.87         N/A      14.30        090
                                                      each.
26140..............  ..............  A               Revise finger joint,       6.17        N/A       6.03        0.76         N/A      12.96        090
                                                      each.
26145..............  ..............  A               Tendon excision,           6.32        N/A       6.04        0.77         N/A      13.13        090
                                                      palm/finger.
26160..............  ..............  A               Remove tendon sheath       3.15      12.95       4.11        0.39       16.49       7.65        090
                                                      lesion.
26170..............  ..............  A               Removal of palm            4.77        N/A       4.97        0.60         N/A      10.34        090
                                                      tendon, each.
26180..............  ..............  A               Removal of finger          5.18        N/A       5.40        0.64         N/A      11.22        090
                                                      tendon.
26185..............  ..............  A               Remove finger bone..       5.25        N/A       6.01        0.67         N/A      11.93        090
26200..............  ..............  A               Remove hand bone           5.51        N/A       5.39        0.71         N/A      11.61        090
                                                      lesion.
26205..............  ..............  A               Remove/graft bone          7.70        N/A       6.91        0.95         N/A      15.56        090
                                                      lesion.
26210..............  ..............  A               Removal of finger          5.15        N/A       5.41        0.64         N/A      11.20        090
                                                      lesion.
26215..............  ..............  A               Remove/graft finger        7.10        N/A       6.31        0.77         N/A      14.18        090
                                                      lesion.
26230..............  ..............  A               Partial removal of         6.33        N/A       5.96        0.84         N/A      13.13        090
                                                      hand bone.
26235..............  ..............  A               Partial removal,           6.19        N/A       5.85        0.78         N/A      12.82        090
                                                      finger bone.
26236..............  ..............  A               Partial removal,           5.32        N/A       5.37        0.66         N/A      11.35        090
                                                      finger bone.
26250..............  ..............  A               Extensive hand             7.55        N/A       6.46        0.92         N/A      14.93        090
                                                      surgery.
26255..............  ..............  A               Extensive hand            12.43        N/A       9.49        1.05         N/A      22.97        090
                                                      surgery.
26260..............  ..............  A               Extensive finger           7.03        N/A       6.20        0.83         N/A      14.06        090
                                                      surgery.
26261..............  ..............  A               Extensive finger           9.09        N/A       6.35        0.84         N/A      16.28        090
                                                      surgery.
26262..............  ..............  A               Partial removal of         5.67        N/A       5.39        0.70         N/A      11.76        090
                                                      finger.
26320..............  ..............  A               Removal of implant         3.98        N/A       4.28        0.49         N/A       8.75        090
                                                      from hand.

[[Page 49095]]

 
26340..............  ..............  A               Manipulate finger w/       2.50        N/A       4.95        0.30         N/A       7.75        090
                                                      anesth.
26350..............  ..............  A               Repair finger/hand         5.99        N/A      16.02        0.73         N/A      22.74        090
                                                      tendon.
26352..............  ..............  A               Repair/graft hand          7.68        N/A      16.69        0.93         N/A      25.30        090
                                                      tendon.
26356..............  ..............  A               Repair finger/hand         8.07        N/A      19.20        0.99         N/A      28.26        090
                                                      tendon.
26357..............  ..............  A               Repair finger/hand         8.58        N/A      17.14        1.02         N/A      26.74        090
                                                      tendon.
26358..............  ..............  A               Repair/graft hand          9.14        N/A      17.96        1.07         N/A      28.17        090
                                                      tendon.
26370..............  ..............  A               Repair finger/hand         7.11        N/A      16.57        0.90         N/A      24.58        090
                                                      tendon.
26372..............  ..............  A               Repair/graft hand          8.76        N/A      17.97        1.06         N/A      27.79        090
                                                      tendon.
26373..............  ..............  A               Repair finger/hand         8.16        N/A      17.54        0.98         N/A      26.68        090
                                                      tendon.
26390..............  ..............  A               Revise hand/finger         9.19        N/A      14.34        1.09         N/A      24.62        090
                                                      tendon.
26392..............  ..............  A               Repair/graft hand         10.26        N/A      18.34        1.26         N/A      29.86        090
                                                      tendon.
26410..............  ..............  A               Repair hand tendon..       4.63        N/A      13.17        0.57         N/A      18.37        090
26412..............  ..............  A               Repair/graft hand          6.31        N/A      14.43        0.80         N/A      21.54        090
                                                      tendon.
26415..............  ..............  A               Excision, hand/            8.34        N/A      12.79        0.77         N/A      21.90        090
                                                      finger tendon.
26416..............  ..............  A               Graft hand or finger       9.37        N/A      15.71        1.20         N/A      26.28        090
                                                      tendon.
26418..............  ..............  A               Repair finger tendon       4.25        N/A      13.34        0.50         N/A      18.09        090
26420..............  ..............  A               Repair/graft finger        6.77        N/A      14.78        0.83         N/A      22.38        090
                                                      tendon.
26426..............  ..............  A               Repair finger/hand         6.15        N/A      14.25        0.77         N/A      21.17        090
                                                      tendon.
26428..............  ..............  A               Repair/graft finger        7.21        N/A      15.06        0.84         N/A      23.11        090
                                                      tendon.
26432..............  ..............  A               Repair finger tendon       4.02        N/A      11.13        0.48         N/A      15.63        090
26433..............  ..............  A               Repair finger tendon       4.56        N/A      11.83        0.56         N/A      16.95        090
26434..............  ..............  A               Repair/graft finger        6.09        N/A      12.43        0.71         N/A      19.23        090
                                                      tendon.
26437..............  ..............  A               Realignment of             5.82        N/A      12.34        0.74         N/A      18.90        090
                                                      tendons.
26440..............  ..............  A               Release palm/finger        5.02        N/A      14.83        0.62         N/A      20.47        090
                                                      tendon.
26442..............  ..............  A               Release palm &             8.16        N/A      17.10        0.94         N/A      26.20        090
                                                      finger tendon.
26445..............  ..............  A               Release hand/finger        4.31        N/A      14.59        0.54         N/A      19.44        090
                                                      tendon.
26449..............  ..............  A               Release forearm/hand       7.00        N/A      16.90        0.84         N/A      24.74        090
                                                      tendon.
26450..............  ..............  A               Incision of palm           3.67        N/A       7.79        0.46         N/A      11.92        090
                                                      tendon.
26455..............  ..............  A               Incision of finger         3.64        N/A       7.71        0.47         N/A      11.82        090
                                                      tendon.
26460..............  ..............  A               Incise hand/finger         3.46        N/A       7.52        0.44         N/A      11.42        090
                                                      tendon.
26471..............  ..............  A               Fusion of finger           5.73        N/A      12.00        0.73         N/A      18.46        090
                                                      tendons.
26474..............  ..............  A               Fusion of finger           5.32        N/A      12.20        0.69         N/A      18.21        090
                                                      tendons.
26476..............  ..............  A               Tendon lengthening..       5.18        N/A      11.71        0.62         N/A      17.51        090
26477..............  ..............  A               Tendon shortening...       5.15        N/A      11.87        0.60         N/A      17.62        090
26478..............  ..............  A               Lengthening of hand        5.80        N/A      12.62        0.77         N/A      19.19        090
                                                      tendon.
26479..............  ..............  A               Shortening of hand         5.74        N/A      12.45        0.76         N/A      18.95        090
                                                      tendon.
26480..............  ..............  A               Transplant hand            6.69        N/A      16.27        0.84         N/A      23.80        090
                                                      tendon.
26483..............  ..............  A               Transplant/graft           8.29        N/A      16.72        1.03         N/A      26.04        090
                                                      hand tendon.
26485..............  ..............  A               Transplant palm            7.70        N/A      16.60        0.94         N/A      25.24        090
                                                      tendon.
26489..............  ..............  A               Transplant/graft           9.55        N/A      13.02        0.98         N/A      23.55        090
                                                      palm tendon.
26490..............  ..............  A               Revise thumb tendon.       8.41        N/A      13.55        1.05         N/A      23.01        090
26492..............  ..............  A               Tendon transfer with       9.62        N/A      14.30        1.19         N/A      25.11        090
                                                      graft.
26494..............  ..............  A               Hand tendon/muscle         8.47        N/A      13.78        1.13         N/A      23.38        090
                                                      transfer.
26496..............  ..............  A               Revise thumb tendon.       9.59        N/A      13.97        1.17         N/A      24.73        090
26497..............  ..............  A               Finger tendon              9.57        N/A      14.36        1.17         N/A      25.10        090
                                                      transfer.
26498..............  ..............  A               Finger tendon             14.00        N/A      16.90        1.74         N/A      32.64        090
                                                      transfer.
26499..............  ..............  A               Revision of finger..       8.98        N/A      13.90        0.94         N/A      23.82        090
26500..............  ..............  A               Hand tendon                5.96        N/A      12.48        0.66         N/A      19.10        090
                                                      reconstruction.
26502..............  ..............  A               Hand tendon                7.14        N/A      12.95        0.87         N/A      20.96        090
                                                      reconstruction.
26504..............  ..............  A               Hand tendon                7.47        N/A      13.06        0.84         N/A      21.37        090
                                                      reconstruction.
26508..............  ..............  A               Release thumb              6.01        N/A      12.48        0.76         N/A      19.25        090
                                                      contracture.
26510..............  ..............  A               Thumb tendon               5.43        N/A      12.16        0.71         N/A      18.30        090
                                                      transfer.

[[Page 49096]]

 
26516..............  ..............  A               Fusion of knuckle          7.15        N/A      13.02        0.90         N/A      21.07        090
                                                      joint.
26517..............  ..............  A               Fusion of knuckle          8.83        N/A      14.37        0.96         N/A      24.16        090
                                                      joints.
26518..............  ..............  A               Fusion of knuckle          9.02        N/A      14.19        1.13         N/A      24.34        090
                                                      joints.
26520..............  ..............  A               Release knuckle            5.30        N/A      15.21        0.65         N/A      21.16        090
                                                      contracture.
26525..............  ..............  A               Release finger             5.33        N/A      15.33        0.66         N/A      21.32        090
                                                      contracture.
26530..............  ..............  A               Revise knuckle joint       6.69        N/A       6.13        0.86         N/A      13.68        090
26531..............  ..............  A               Revise knuckle with        7.91        N/A       7.07        1.01         N/A      15.99        090
                                                      implant.
26535..............  ..............  A               Revise finger joint.       5.24        N/A       3.76        0.66         N/A       9.66        090
26536..............  ..............  A               Revise/implant             6.37        N/A      10.06        0.80         N/A      17.23        090
                                                      finger joint.
26540..............  ..............  A               Repair hand joint...       6.43        N/A      12.73        0.81         N/A      19.97        090
26541..............  ..............  A               Repair hand joint          8.62        N/A      14.25        1.12         N/A      23.99        090
                                                      with graft.
26542..............  ..............  A               Repair hand joint          6.78        N/A      12.78        0.87         N/A      20.43        090
                                                      with graft.
26545..............  ..............  A               Reconstruct finger         6.92        N/A      13.16        0.79         N/A      20.87        090
                                                      joint.
26546..............  ..............  A               Repair nonunion hand       8.92        N/A      15.44        1.14         N/A      25.50        090
26548..............  ..............  A               Reconstruct finger         8.03        N/A      13.81        0.98         N/A      22.82        090
                                                      joint.
26550..............  ..............  A               Construct thumb           21.24        N/A      18.80        1.80         N/A      41.84        090
                                                      replacement.
26551..............  ..............  A               Great toe-hand            46.58        N/A      32.79        6.57         N/A      85.94        090
                                                      transfer.
26553..............  ..............  A               Single transfer, toe-     46.27        N/A      23.66        1.99         N/A      71.92        090
                                                      hand.
26554..............  ..............  A               Double transfer, toe-     54.95        N/A      35.88        7.76         N/A      98.59        090
                                                      hand.
26555..............  ..............  A               Positional change of      16.63        N/A      19.12        2.13         N/A      37.88        090
                                                      finger.
26556..............  ..............  A               Toe joint transfer..      47.26        N/A      30.96        6.67         N/A      84.89        090
26560..............  ..............  A               Repair of web finger       5.38        N/A      10.71        0.60         N/A      16.69        090
26561..............  ..............  A               Repair of web finger      10.92        N/A      13.30        0.69         N/A      24.91        090
26562..............  ..............  A               Repair of web finger      15.00        N/A      17.99        0.98         N/A      33.97        090
26565..............  ..............  A               Correct metacarpal         6.74        N/A      12.83        0.84         N/A      20.41        090
                                                      flaw.
26567..............  ..............  A               Correct finger             6.82        N/A      12.76        0.84         N/A      20.42        090
                                                      deformity.
26568..............  ..............  A               Lengthen metacarpal/       9.08        N/A      16.65        1.10         N/A      26.83        090
                                                      finger.
26580..............  ..............  A               Repair hand               18.18        N/A      14.08        1.46         N/A      33.72        090
                                                      deformity.
26587..............  ..............  A               Reconstruct extra         14.05        N/A       9.30        1.12         N/A      24.47        090
                                                      finger.
26590..............  ..............  A               Repair finger             17.96        N/A      14.84        1.32         N/A      34.12        090
                                                      deformity.
26591..............  ..............  A               Repair muscles of          3.25        N/A      10.88        0.37         N/A      14.50        090
                                                      hand.
26593..............  ..............  A               Release muscles of         5.31        N/A      11.84        0.64         N/A      17.79        090
                                                      hand.
26596..............  ..............  A               Excision                   8.95        N/A       9.20        0.87         N/A      19.02        090
                                                      constricting tissue.
26600..............  ..............  A               Treat metacarpal           1.96       4.15       2.69        0.25        6.36       4.90        090
                                                      fracture.
26605..............  ..............  A               Treat metacarpal           2.85       5.45       3.74        0.38        8.68       6.97        090
                                                      fracture.
26607..............  ..............  A               Treat metacarpal           5.36        N/A       6.65        0.70         N/A      12.71        090
                                                      fracture.
26608..............  ..............  A               Treat metacarpal           5.36        N/A       6.56        0.73         N/A      12.65        090
                                                      fracture.
26615..............  ..............  A               Treat metacarpal           5.33        N/A       5.83        0.70         N/A      11.86        090
                                                      fracture.
26641..............  ..............  A               Treat thumb                3.94       5.59       3.72        0.42        9.95       8.08        090
                                                      dislocation.
26645..............  ..............  A               Treat thumb fracture       4.41       6.31       4.34        0.54       11.26       9.29        090
26650..............  ..............  A               Treat thumb fracture       5.72        N/A       6.88        0.77         N/A      13.37        090
26665..............  ..............  A               Treat thumb fracture       7.60        N/A       7.02        0.97         N/A      15.59        090
26670..............  ..............  A               Treat hand                 3.69       5.17       3.21        0.36        9.22       7.26        090
                                                      dislocation.
26675..............  ..............  A               Treat hand                 4.64       6.26       4.41        0.56       11.46       9.61        090
                                                      dislocation.
26676..............  ..............  A               Pin hand dislocation       5.52        N/A       6.92        0.76         N/A      13.20        090
26685..............  ..............  A               Treat hand                 6.98        N/A       6.57        0.95         N/A      14.50        090
                                                      dislocation.
26686..............  ..............  A               Treat hand                 7.94        N/A       7.26        1.05         N/A      16.25        090
                                                      dislocation.
26700..............  ..............  A               Treat knuckle              3.69       4.74       3.02        0.35        8.78       7.06        090
                                                      dislocation.
26705..............  ..............  A               Treat knuckle              4.19       6.05       4.24        0.50       10.74       8.93        090
                                                      dislocation.
26706..............  ..............  A               Pin knuckle                5.12        N/A       5.19        0.64         N/A      10.95        090
                                                      dislocation.
26715..............  ..............  A               Treat knuckle              5.74        N/A       6.02        0.75         N/A      12.51        090
                                                      dislocation.
26720..............  ..............  A               Treat finger               1.66       3.97       2.65        0.20        5.83       4.51        090
                                                      fracture, each.
26725..............  ..............  A               Treat finger               3.33       6.20       4.11        0.43        9.96       7.87        090
                                                      fracture, each.
26727..............  ..............  A               Treat finger               5.23        N/A       6.62        0.69         N/A      12.54        090
                                                      fracture, each.
26735..............  ..............  A               Treat finger               5.98        N/A       6.17        0.77         N/A      12.92        090
                                                      fracture, each.
26740..............  ..............  A               Treat finger               1.94       3.63       2.74        0.24        5.81       4.92        090
                                                      fracture, each.
26742..............  ..............  A               Treat finger               3.85       6.11       4.11        0.49       10.45       8.45        090
                                                      fracture, each.
26746..............  ..............  A               Treat finger               5.81        N/A       6.22        0.74         N/A      12.77        090
                                                      fracture, each.
26750..............  ..............  A               Treat finger               1.70       3.29       2.19        0.19        5.18       4.08        090
                                                      fracture, each.
26755..............  ..............  A               Treat finger               3.10       4.89       3.11        0.37        8.36       6.58        090
                                                      fracture, each.

[[Page 49097]]

 
26756..............  ..............  A               Pin finger fracture,       4.39        N/A       6.24        0.56         N/A      11.19        090
                                                      each.
26765..............  ..............  A               Treat finger               4.17        N/A       5.05        0.51         N/A       9.73        090
                                                      fracture, each.
26770..............  ..............  A               Treat finger               3.02       4.49       2.60        0.27        7.78       5.89        090
                                                      dislocation.
26775..............  ..............  A               Treat finger               3.71       5.87       3.82        0.43       10.01       7.96        090
                                                      dislocation.
26776..............  ..............  A               Pin finger                 4.80        N/A       6.41        0.63         N/A      11.84        090
                                                      dislocation.
26785..............  ..............  A               Treat finger               4.21        N/A       5.09        0.54         N/A       9.84        090
                                                      dislocation.
26820..............  ..............  A               Thumb fusion with          8.26        N/A      14.03        1.11         N/A      23.40        090
                                                      graft.
26841..............  ..............  A               Fusion of thumb.....       7.13        N/A      13.84        0.97         N/A      21.94        090
26842..............  ..............  A               Thumb fusion with          8.24        N/A      14.11        1.10         N/A      23.45        090
                                                      graft.
26843..............  ..............  A               Fusion of hand joint       7.61        N/A      13.01        0.99         N/A      21.61        090
26844..............  ..............  A               Fusion/graft of hand       8.73        N/A      14.07        1.12         N/A      23.92        090
                                                      joint.
26850..............  ..............  A               Fusion of knuckle...       6.97        N/A      12.93        0.89         N/A      20.79        090
26852..............  ..............  A               Fusion of knuckle          8.46        N/A      13.62        1.05         N/A      23.13        090
                                                      with graft.
26860..............  ..............  A               Fusion of finger           4.69        N/A      11.90        0.60         N/A      17.19        090
                                                      joint.
26861..............  ..............  A               Fusion of finger           1.74        N/A       0.95        0.22         N/A       2.91        ZZZ
                                                      jnt, add-on.
26862..............  ..............  A               Fusion/graft of            7.37        N/A      13.10        0.92         N/A      21.39        090
                                                      finger joint.
26863..............  ..............  A               Fuse/graft added           3.90        N/A       2.16        0.51         N/A       6.57        ZZZ
                                                      joint.
26910..............  ..............  A               Amputate metacarpal        7.60        N/A      12.03        0.90         N/A      20.53        090
                                                      bone.
26951..............  ..............  A               Amputation of finger/      4.59        N/A      10.94        0.56         N/A      16.09        090
                                                      thumb.
26952..............  ..............  A               Amputation of finger/      6.31        N/A      12.51        0.74         N/A      19.56        090
                                                      thumb.
26989..............  ..............  C               Hand/finger surgery.       0.00       0.00       0.00        0.00        0.00       0.00        YYY
26990..............  ..............  A               Drainage of pelvis         7.48        N/A       8.16        0.92         N/A      16.56        090
                                                      lesion.
26991..............  ..............  A               Drainage of pelvis         6.68       7.77       6.24        0.85       15.30      13.77        090
                                                      bursa.
26992..............  ..............  A               Drainage of bone          13.02        N/A      11.57        1.75         N/A      26.34        090
                                                      lesion.
27000..............  ..............  A               Incision of hip            5.62        N/A       5.49        0.76         N/A      11.87        090
                                                      tendon.
27001..............  ..............  A               Incision of hip            6.94        N/A       6.36        0.95         N/A      14.25        090
                                                      tendon.
27003..............  ..............  A               Incision of hip            7.34        N/A       6.77        0.93         N/A      15.04        090
                                                      tendon.
27005..............  ..............  A               Incision of hip            9.66        N/A       8.09        1.36         N/A      19.11        090
                                                      tendon.
27006..............  ..............  A               Incision of hip            9.68        N/A       8.25        1.33         N/A      19.26        090
                                                      tendons.
27025..............  ..............  A               Incision of hip/          11.16        N/A       8.73        1.38         N/A      21.27        090
                                                      thigh fascia.
27030..............  ..............  A               Drainage of hip           13.01        N/A       9.94        1.81         N/A      24.76        090
                                                      joint.
27033..............  ..............  A               Exploration of hip        13.39        N/A      10.21        1.87         N/A      25.47        090
                                                      joint.
27035..............  ..............  A               Denervation of hip        16.69        N/A      12.66        1.70         N/A      31.05        090
                                                      joint.
27036..............  ..............  A               Excision of hip           12.88        N/A      10.41        1.80         N/A      25.09        090
                                                      joint/muscle.
27040..............  ..............  A               Biopsy of soft             2.87       2.92       2.20        0.21        6.00       5.28        010
                                                      tissues.
27041..............  ..............  A               Biopsy of soft             9.89        N/A       6.83        1.01         N/A      17.73        090
                                                      tissues.
27047..............  ..............  A               Remove hip/pelvis          7.45       6.66       5.07        0.79       14.90      13.31        090
                                                      lesion.
27048..............  ..............  A               Remove hip/pelvis          6.25        N/A       5.19        0.73         N/A      12.17        090
                                                      lesion.
27049..............  ..............  A               Remove tumor, hip/        13.66        N/A       9.20        1.60         N/A      24.46        090
                                                      pelvis.
27050..............  ..............  A               Biopsy of sacroiliac       4.36        N/A       4.64        0.53         N/A       9.53        090
                                                      joint.
27052..............  ..............  A               Biopsy of hip joint.       6.23        N/A       6.19        0.85         N/A      13.27        090
27054..............  ..............  A               Removal of hip joint       8.54        N/A       7.71        1.17         N/A      17.42        090
                                                      lining.
27060..............  ..............  A               Removal of ischial         5.43        N/A       4.99        0.60         N/A      11.02        090
                                                      bursa.
27062..............  ..............  A               Remove femur lesion/       5.37        N/A       5.42        0.74         N/A      11.53        090
                                                      bursa.
27065..............  ..............  A               Removal of hip bone        5.90        N/A       5.73        0.76         N/A      12.39        090
                                                      lesion.
27066..............  ..............  A               Removal of hip bone       10.33        N/A       8.76        1.42         N/A      20.51        090
                                                      lesion.
27067..............  ..............  A               Remove/graft hip          13.83        N/A      10.97        1.95         N/A      26.75        090
                                                      bone lesion.
27070..............  ..............  A               Partial removal of        10.72        N/A      10.40        1.36         N/A      22.48        090
                                                      hip bone.
27071..............  ..............  A               Partial removal of        11.46        N/A      11.32        1.51         N/A      24.29        090
                                                      hip bone.
27075..............  ..............  A               Extensive hip             35.00        N/A      20.42        2.22         N/A      57.64        090
                                                      surgery.
27076..............  ..............  A               Extensive hip             22.12        N/A      15.35        2.86         N/A      40.33        090
                                                      surgery.
27077..............  ..............  A               Extensive hip             40.00        N/A      23.94        3.18         N/A      67.12        090
                                                      surgery.
27078..............  ..............  A               Extensive hip             13.44        N/A      10.81        1.67         N/A      25.92        090
                                                      surgery.
27079..............  ..............  A               Extensive hip             13.75        N/A      10.45        1.86         N/A      26.06        090
                                                      surgery.

[[Page 49098]]

 
27080..............  ..............  A               Removal of tail bone       6.39        N/A       5.24        0.80         N/A      12.43        090
27086..............  ..............  A               Remove hip foreign         1.87       2.33       2.03        0.17        4.37       4.07        010
                                                      body.
27087..............  ..............  A               Remove hip foreign         8.54        N/A       6.84        1.09         N/A      16.47        090
                                                      body.
27090..............  ..............  A               Removal of hip            11.15        N/A       8.81        1.55         N/A      21.51        090
                                                      prosthesis.
27091..............  ..............  A               Removal of hip            22.14        N/A      14.12        3.11         N/A      39.37        090
                                                      prosthesis.
27093..............  ..............  A               Injection for hip x-       1.30       8.65       0.49        0.09       10.04       1.88        000
                                                      ray.
27095..............  ..............  A               Injection for hip x-       1.50       7.80       0.53        0.10        9.40       2.13        000
                                                      ray.
27096..............  ..............  A               Inject sacroiliac          1.40       6.89       0.33        0.08        8.37       1.81        000
                                                      joint.
27097..............  ..............  A               Revision of hip            8.80        N/A       6.65        1.22         N/A      16.67        090
                                                      tendon.
27098..............  ..............  A               Transfer tendon to         8.83        N/A       7.28        1.24         N/A      17.35        090
                                                      pelvis.
27100..............  ..............  A               Transfer of               11.08        N/A       8.97        1.57         N/A      21.62        090
                                                      abdominal muscle.
27105..............  ..............  A               Transfer of spinal        11.77        N/A       9.45        1.66         N/A      22.88        090
                                                      muscle.
27110..............  ..............  A               Transfer of               13.26        N/A       9.66        1.38         N/A      24.30        090
                                                      iliopsoas muscle.
27111..............  ..............  A               Transfer of               12.15        N/A       9.31        1.48         N/A      22.94        090
                                                      iliopsoas muscle.
27120..............  ..............  A               Reconstruction of         18.01        N/A      11.96        2.45         N/A      32.42        090
                                                      hip socket.
27122..............  ..............  A               Reconstruction of         14.98        N/A      11.06        2.08         N/A      28.12        090
                                                      hip socket.
27125..............  ..............  A               Partial hip               14.69        N/A      10.63        2.05         N/A      27.37        090
                                                      replacement.
27130..............  ..............  A               Total hip                 20.12        N/A      13.41        2.82         N/A      36.35        090
                                                      arthroplasty.
27132..............  ..............  A               Total hip                 23.30        N/A      15.78        3.26         N/A      42.34        090
                                                      arthroplasty.
27134..............  ..............  A               Revise hip joint          28.52        N/A      18.03        3.97         N/A      50.52        090
                                                      replacement.
27137..............  ..............  A               Revise hip joint          21.17        N/A      14.08        2.97         N/A      38.22        090
                                                      replacement.
27138..............  ..............  A               Revise hip joint          22.17        N/A      14.55        3.11         N/A      39.83        090
                                                      replacement.
27140..............  ..............  A               Transplant femur          12.24        N/A       9.66        1.67         N/A      23.57        090
                                                      ridge.
27146..............  ..............  A               Incision of hip bone      17.43        N/A      12.65        2.27         N/A      32.35        090
27147..............  ..............  A               Revision of hip bone      20.58        N/A      13.76        2.61         N/A      36.95        090
27151..............  ..............  A               Incision of hip           22.51        N/A       8.40        3.12         N/A      34.03        090
                                                      bones.
27156..............  ..............  A               Revision of hip           24.63        N/A      16.52        3.48         N/A      44.63        090
                                                      bones.
27158..............  ..............  A               Revision of pelvis..      19.74        N/A      11.58        2.60         N/A      33.92        090
27161..............  ..............  A               Incision of neck of       16.71        N/A      12.28        2.32         N/A      31.31        090
                                                      femur.
27165..............  ..............  A               Incision/fixation of      17.91        N/A      13.07        2.51         N/A      33.49        090
                                                      femur.
27170..............  ..............  A               Repair/graft femur        16.07        N/A      11.68        2.20         N/A      29.95        090
                                                      head/neck.
27175..............  ..............  A               Treat slipped              8.46        N/A       6.70        1.19         N/A      16.35        090
                                                      epiphysis.
27176..............  ..............  A               Treat slipped             12.05        N/A       9.03        1.68         N/A      22.76        090
                                                      epiphysis.
27177..............  ..............  A               Treat slipped             15.08        N/A      10.90        2.11         N/A      28.09        090
                                                      epiphysis.
27178..............  ..............  A               Treat slipped             11.99        N/A       8.45        1.68         N/A      22.12        090
                                                      epiphysis.
27179..............  ..............  A               Revise head/neck of       12.98        N/A       9.84        1.84         N/A      24.66        090
                                                      femur.
27181..............  ..............  A               Treat slipped             14.68        N/A      10.31        1.74         N/A      26.73        090
                                                      epiphysis.
27185..............  ..............  A               Revision of femur          9.18        N/A       7.81        1.29         N/A      18.28        090
                                                      epiphysis.
27187..............  ..............  A               Reinforce hip bones.      13.54        N/A      10.60        1.89         N/A      26.03        090
27193..............  ..............  A               Treat pelvic ring          5.56       6.99       5.41        0.77       13.32      11.74        090
                                                      fracture.
27194..............  ..............  A               Treat pelvic ring          9.65       8.92       7.65        1.32       19.89      18.62        090
                                                      fracture.
27200..............  ..............  A               Treat tail bone            1.84       3.09       2.22        0.22        5.15       4.28        090
                                                      fracture.
27202..............  ..............  A               Treat tail bone            7.04        N/A      18.09        0.69         N/A      25.82        090
                                                      fracture.
27215..............  ..............  A               Treat pelvic              10.05        N/A       7.46        1.37         N/A      18.88        090
                                                      fracture(s).
27216..............  ..............  A               Treat pelvic ring         15.19        N/A      10.14        2.15         N/A      27.48        090
                                                      fracture.
27217..............  ..............  A               Treat pelvic ring         14.11        N/A      10.42        1.95         N/A      26.48        090
                                                      fracture.
27218..............  ..............  A               Treat pelvic ring         20.15        N/A      11.78        2.85         N/A      34.78        090
                                                      fracture.
27220..............  ..............  A               Treat hip socket           6.18       7.18       5.62        0.85       14.21      12.65        090
                                                      fracture.
27222..............  ..............  A               Treat hip socket          12.70        N/A       9.82        1.77         N/A      24.29        090
                                                      fracture.
27226..............  ..............  A               Treat hip wall            14.91        N/A       8.11        2.07         N/A      25.09        090
                                                      fracture.
27227..............  ..............  A               Treat hip                 23.45        N/A      15.72        3.24         N/A      42.41        090
                                                      fracture(s).
27228..............  ..............  A               Treat hip                 27.16        N/A      17.99        3.77         N/A      48.92        090
                                                      fracture(s).
27230..............  ..............  A               Treat thigh fracture       5.50       6.64       5.14        0.73       12.87      11.37        090
27232..............  ..............  A               Treat thigh fracture      10.68        N/A       7.53        1.45         N/A      19.66        090
27235..............  ..............  A               Treat thigh fracture      12.16        N/A       9.54        1.71         N/A      23.41        090
27236..............  ..............  A               Treat thigh fracture      15.60        N/A      11.14        2.18         N/A      28.92        090

[[Page 49099]]

 
27238..............  ..............  A               Treat thigh fracture       5.52        N/A       5.19        0.76         N/A      11.47        090
27240..............  ..............  A               Treat thigh fracture      12.50        N/A       9.45        1.69         N/A      23.64        090
27244..............  ..............  A               Treat thigh fracture      15.94        N/A      11.44        2.23         N/A      29.61        090
27245..............  ..............  A               Treat thigh fracture      20.31        N/A      13.92        2.85         N/A      37.08        090
27246..............  ..............  A               Treat thigh fracture       4.71       5.87       4.60        0.66       11.24       9.97        090
27248..............  ..............  A               Treat thigh fracture      10.45        N/A       8.31        1.45         N/A      20.21        090
27250..............  ..............  A               Treat hip                  6.95        N/A       4.79        0.68         N/A      12.42        090
                                                      dislocation.
27252..............  ..............  A               Treat hip                 10.39        N/A       7.53        1.37         N/A      19.29        090
                                                      dislocation.
27253..............  ..............  A               Treat hip                 12.92        N/A       9.87        1.81         N/A      24.60        090
                                                      dislocation.
27254..............  ..............  A               Treat hip                 18.26        N/A      12.23        2.52         N/A      33.01        090
                                                      dislocation.
27256..............  ..............  A               Treat hip                  4.12       3.50       2.13        0.49        8.11       6.74        010
                                                      dislocation.
27257..............  ..............  A               Treat hip                  5.22        N/A       3.02        0.56         N/A       8.80        010
                                                      dislocation.
27258..............  ..............  A               Treat hip                 15.43        N/A      11.19        2.06         N/A      28.68        090
                                                      dislocation.
27259..............  ..............  A               Treat hip                 21.55        N/A      14.53        2.99         N/A      39.07        090
                                                      dislocation.
27265..............  ..............  A               Treat hip                  5.05        N/A       4.85        0.65         N/A      10.55        090
                                                      dislocation.
27266..............  ..............  A               Treat hip                  7.49        N/A       6.39        1.04         N/A      14.92        090
                                                      dislocation.
27275..............  ..............  A               Manipulation of hip        2.27        N/A       2.25        0.31         N/A       4.83        010
                                                      joint.
27280..............  ..............  A               Fusion of sacroiliac      13.39        N/A      10.56        1.98         N/A      25.93        090
                                                      joint.
27282..............  ..............  A               Fusion of pubic           11.34        N/A       8.44        1.14         N/A      20.92        090
                                                      bones.
27284..............  ..............  A               Fusion of hip joint.      23.45        N/A      15.39        2.36         N/A      41.20        090
27286..............  ..............  A               Fusion of hip joint.      23.45        N/A      16.28        2.37         N/A      42.10        090
27290..............  ..............  A               Amputation of leg at      23.28        N/A      14.30        2.94         N/A      40.52        090
                                                      hip.
27295..............  ..............  A               Amputation of leg at      18.65        N/A      11.79        2.35         N/A      32.79        090
                                                      hip.
27299..............  ..............  C               Pelvis/hip joint           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
27301..............  ..............  A               Drain thigh/knee           6.49       7.81       6.33        0.80       15.10      13.62        090
                                                      lesion.
27303..............  ..............  A               Drainage of bone           8.28        N/A       7.85        1.14         N/A      17.27        090
                                                      lesion.
27305..............  ..............  A               Incise thigh tendon        5.92        N/A       5.58        0.77         N/A      12.27        090
                                                      & fascia.
27306..............  ..............  A               Incision of thigh          4.62        N/A       4.96        0.62         N/A      10.20        090
                                                      tendon.
27307..............  ..............  A               Incision of thigh          5.80        N/A       5.69        0.78         N/A      12.27        090
                                                      tendons.
27310..............  ..............  A               Exploration of knee        9.27        N/A       8.10        1.29         N/A      18.66        090
                                                      joint.
27315..............  ..............  A               Partial removal,           6.97        N/A       4.81        0.79         N/A      12.57        090
                                                      thigh nerve.
27320..............  ..............  A               Partial removal,           6.30        N/A       5.12        0.78         N/A      12.20        090
                                                      thigh nerve.
27323..............  ..............  A               Biopsy, thigh soft         2.28       2.54       2.07        0.17        4.99       4.52        010
                                                      tissues.
27324..............  ..............  A               Biopsy, thigh soft         4.90        N/A       4.50        0.59         N/A       9.99        090
                                                      tissues.
27327..............  ..............  A               Removal of thigh           4.47       5.47       4.03        0.50       10.44       9.00        090
                                                      lesion.
27328..............  ..............  A               Removal of thigh           5.57        N/A       4.71        0.66         N/A      10.94        090
                                                      lesion.
27329..............  ..............  A               Remove tumor, thigh/      14.14        N/A       9.91        1.68         N/A      25.73        090
                                                      knee.
27330..............  ..............  A               Biopsy, knee joint         4.97        N/A       4.82        0.66         N/A      10.45        090
                                                      lining.
27331..............  ..............  A               Explore/treat knee         5.88        N/A       5.81        0.81         N/A      12.50        090
                                                      joint.
27332..............  ..............  A               Removal of knee            8.27        N/A       7.30        1.15         N/A      16.72        090
                                                      cartilage.
27333..............  ..............  A               Removal of knee            7.30        N/A       6.83        1.03         N/A      15.16        090
                                                      cartilage.
27334..............  ..............  A               Remove knee joint          8.70        N/A       7.72        1.21         N/A      17.63        090
                                                      lining.
27335..............  ..............  A               Remove knee joint         10.00        N/A       8.54        1.41         N/A      19.95        090
                                                      lining.
27340..............  ..............  A               Removal of kneecap         4.18        N/A       4.71        0.58         N/A       9.47        090
                                                      bursa.
27345..............  ..............  A               Removal of knee cyst       5.92        N/A       5.80        0.81         N/A      12.53        090
27347..............  ..............  A               Remove knee cyst....       5.78        N/A       5.70        0.76         N/A      12.24        090
27350..............  ..............  A               Removal of kneecap..       8.17        N/A       7.43        1.15         N/A      16.75        090
27355..............  ..............  A               Remove femur lesion.       7.65        N/A       7.03        1.07         N/A      15.75        090
27356..............  ..............  A               Remove femur lesion/       9.48        N/A       8.13        1.29         N/A      18.90        090
                                                      graft.
27357..............  ..............  A               Remove femur lesion/      10.53        N/A       8.87        1.48         N/A      20.88        090
                                                      graft.
27358..............  ..............  A               Remove femur lesion/       4.74        N/A       2.58        0.67         N/A       7.99        ZZZ
                                                      fixation.
27360..............  ..............  A               Partial removal, leg      10.50        N/A      10.59        1.42         N/A      22.51        090
                                                      bone(s).
27365..............  ..............  A               Extensive leg             16.27        N/A      12.20        2.26         N/A      30.73        090
                                                      surgery.
27370..............  ..............  A               Injection for knee x-      0.96       8.43       0.33        0.06        9.45       1.35        000
                                                      ray.
27372..............  ..............  A               Removal of foreign         5.07       6.19       4.84        0.62       11.88      10.53        090
                                                      body.
27380..............  ..............  A               Repair of kneecap          7.16        N/A       7.38        1.00         N/A      15.54        090
                                                      tendon.
27381..............  ..............  A               Repair/graft kneecap      10.34        N/A       9.21        1.44         N/A      20.99        090
                                                      tendon.
27385..............  ..............  A               Repair of thigh            7.76        N/A       7.73        1.09         N/A      16.58        090
                                                      muscle.
27386..............  ..............  A               Repair/graft of           10.56        N/A       9.64        1.49         N/A      21.69        090
                                                      thigh muscle.

[[Page 49100]]

 
27390..............  ..............  A               Incision of thigh          5.33        N/A       5.32        0.69         N/A      11.34        090
                                                      tendon.
27391..............  ..............  A               Incision of thigh          7.20        N/A       6.62        0.99         N/A      14.81        090
                                                      tendons.
27392..............  ..............  A               Incision of thigh          9.20        N/A       7.83        1.23         N/A      18.26        090
                                                      tendons.
27393..............  ..............  A               Lengthening of thigh       6.39        N/A       5.93        0.90         N/A      13.22        090
                                                      tendon.
27394..............  ..............  A               Lengthening of thigh       8.50        N/A       7.38        1.17         N/A      17.05        090
                                                      tendons.
27395..............  ..............  A               Lengthening of thigh      11.73        N/A       9.53        1.63         N/A      22.89        090
                                                      tendons.
27396..............  ..............  A               Transplant of thigh        7.86        N/A       7.26        1.11         N/A      16.23        090
                                                      tendon.
27397..............  ..............  A               Transplants of thigh      11.28        N/A       9.27        1.58         N/A      22.13        090
                                                      tendons.
27400..............  ..............  A               Revise thigh muscles/      9.02        N/A       7.54        1.18         N/A      17.74        090
                                                      tendons.
27403..............  ..............  A               Repair of knee             8.33        N/A       7.32        1.16         N/A      16.81        090
                                                      cartilage.
27405..............  ..............  A               Repair of knee             8.65        N/A       7.77        1.21         N/A      17.63        090
                                                      ligament.
27407..............  ..............  A               Repair of knee            10.28        N/A       8.53        1.38         N/A      20.19        090
                                                      ligament.
27409..............  ..............  A               Repair of knee            12.90        N/A      10.16        1.75         N/A      24.81        090
                                                      ligaments.
27418..............  ..............  A               Repair degenerated        10.85        N/A       9.09        1.51         N/A      21.45        090
                                                      kneecap.
27420..............  ..............  A               Revision of unstable       9.83        N/A       8.27        1.38         N/A      19.48        090
                                                      kneecap.
27422..............  ..............  A               Revision of unstable       9.78        N/A       8.29        1.37         N/A      19.44        090
                                                      kneecap.
27424..............  ..............  A               Revision/removal of        9.81        N/A       8.26        1.38         N/A      19.45        090
                                                      kneecap.
27425..............  ..............  A               Lat retinacular            5.22        N/A       5.62        0.73         N/A      11.57        090
                                                      release open.
27427..............  ..............  A               Reconstruction, knee       9.36        N/A       7.94        1.29         N/A      18.59        090
27428..............  ..............  A               Reconstruction, knee      14.00        N/A      11.36        1.95         N/A      27.31        090
27429..............  ..............  A               Reconstruction, knee      15.52        N/A      12.54        2.18         N/A      30.24        090
27430..............  ..............  A               Revision of thigh          9.67        N/A       8.18        1.35         N/A      19.20        090
                                                      muscles.
27435..............  ..............  A               Incision of knee           9.49        N/A       8.55        1.33         N/A      19.37        090
                                                      joint.
27437..............  ..............  A               Revise kneecap......       8.46        N/A       7.20        1.18         N/A      16.84        090
27438..............  ..............  A               Revise kneecap with       11.23        N/A       8.58        1.56         N/A      21.37        090
                                                      implant.
27440..............  ..............  A               Revision of knee          10.43        N/A       6.08        1.42         N/A      17.93        090
                                                      joint.
27441..............  ..............  A               Revision of knee          10.82        N/A       6.77        1.49         N/A      19.08        090
                                                      joint.
27442..............  ..............  A               Revision of knee          11.89        N/A       8.97        1.68         N/A      22.54        090
                                                      joint.
27443..............  ..............  A               Revision of knee          10.93        N/A       8.75        1.52         N/A      21.20        090
                                                      joint.
27445..............  ..............  A               Revision of knee          17.68        N/A      12.41        2.49         N/A      32.58        090
                                                      joint.
27446..............  ..............  A               Revision of knee          15.84        N/A      11.36        2.22         N/A      29.42        090
                                                      joint.
27447..............  ..............  A               Total knee                21.48        N/A      14.72        3.00         N/A      39.20        090
                                                      arthroplasty.
27448..............  ..............  A               Incision of thigh...      11.06        N/A       8.88        1.51         N/A      21.45        090
27450..............  ..............  A               Incision of thigh...      13.98        N/A      10.76        1.96         N/A      26.70        090
27454..............  ..............  A               Realignment of thigh      17.56        N/A      12.80        2.46         N/A      32.82        090
                                                      bone.
27455..............  ..............  A               Realignment of knee.      12.82        N/A       9.94        1.78         N/A      24.54        090
27457..............  ..............  A               Realignment of knee.      13.45        N/A       9.91        1.88         N/A      25.24        090
27465..............  ..............  A               Shortening of thigh       13.87        N/A      10.50        1.86         N/A      26.23        090
                                                      bone.
27466..............  ..............  A               Lengthening of thigh      16.33        N/A      12.17        1.92         N/A      30.42        090
                                                      bone.
27468..............  ..............  A               Shorten/lengthen          18.97        N/A      12.59        2.68         N/A      34.24        090
                                                      thighs.
27470..............  ..............  A               Repair of thigh.....      16.07        N/A      12.13        2.24         N/A      30.44        090
27472..............  ..............  A               Repair/graft of           17.72        N/A      13.04        2.49         N/A      33.25        090
                                                      thigh.
27475..............  ..............  A               Surgery to stop leg        8.64        N/A       7.43        1.13         N/A      17.20        090
                                                      growth.
27477..............  ..............  A               Surgery to stop leg        9.85        N/A       7.95        1.31         N/A      19.11        090
                                                      growth.
27479..............  ..............  A               Surgery to stop leg       12.80        N/A      10.12        1.81         N/A      24.73        090
                                                      growth.
27485..............  ..............  A               Surgery to stop leg        8.84        N/A       7.59        1.24         N/A      17.67        090
                                                      growth.
27486..............  ..............  A               Revise/replace knee       19.27        N/A      13.59        2.70         N/A      35.56        090
                                                      joint.
27487..............  ..............  A               Revise/replace knee       25.27        N/A      16.72        3.54         N/A      45.53        090
                                                      joint.
27488..............  ..............  A               Removal of knee           15.74        N/A      11.76        2.21         N/A      29.71        090
                                                      prosthesis.
27495..............  ..............  A               Reinforce thigh.....      15.55        N/A      11.75        2.18         N/A      29.48        090
27496..............  ..............  A               Decompression of           6.11        N/A       5.77        0.77         N/A      12.65        090
                                                      thigh/knee.
27497..............  ..............  A               Decompression of           7.17        N/A       5.80        0.84         N/A      13.81        090
                                                      thigh/knee.

[[Page 49101]]

 
27498..............  ..............  A               Decompression of           7.99        N/A       6.15        0.97         N/A      15.11        090
                                                      thigh/knee.
27499..............  ..............  A               Decompression of           9.00        N/A       7.07        1.18         N/A      17.25        090
                                                      thigh/knee.
27500..............  ..............  A               Treatment of thigh         5.92       7.24       5.18        0.80       13.96      11.90        090
                                                      fracture.
27501..............  ..............  A               Treatment of thigh         5.92       7.82       5.87        0.83       14.57      12.62        090
                                                      fracture.
27502..............  ..............  A               Treatment of thigh        10.58        N/A       8.36        1.49         N/A      20.43        090
                                                      fracture.
27503..............  ..............  A               Treatment of thigh        10.58        N/A       8.52        1.49         N/A      20.59        090
                                                      fracture.
27506..............  ..............  A               Treatment of thigh        17.45        N/A      12.81        2.33         N/A      32.59        090
                                                      fracture.
27507..............  ..............  A               Treatment of thigh        13.99        N/A      10.13        1.95         N/A      26.07        090
                                                      fracture.
27508..............  ..............  A               Treatment of thigh         5.83       7.10       5.42        0.80       13.73      12.05        090
                                                      fracture.
27509..............  ..............  A               Treatment of thigh         7.71        N/A       8.04        1.08         N/A      16.83        090
                                                      fracture.
27510..............  ..............  A               Treatment of thigh         9.13        N/A       7.31        1.26         N/A      17.70        090
                                                      fracture.
27511..............  ..............  A               Treatment of thigh        13.64        N/A      11.39        1.91         N/A      26.94        090
                                                      fracture.
27513..............  ..............  A               Treatment of thigh        17.92        N/A      14.08        2.51         N/A      34.51        090
                                                      fracture.
27514..............  ..............  A               Treatment of thigh        17.30        N/A      13.44        2.41         N/A      33.15        090
                                                      fracture.
27516..............  ..............  A               Treat thigh fx             5.37       7.41       5.48        0.74       13.52      11.59        090
                                                      growth plate.
27517..............  ..............  A               Treat thigh fx             8.78       9.06       7.49        1.22       19.06      17.49        090
                                                      growth plate.
27519..............  ..............  A               Treat thigh fx            15.02        N/A      11.83        2.09         N/A      28.94        090
                                                      growth plate.
27520..............  ..............  A               Treat kneecap              2.86       5.32       3.48        0.38        8.56       6.72        090
                                                      fracture.
27524..............  ..............  A               Treat kneecap             10.00        N/A       8.29        1.40         N/A      19.69        090
                                                      fracture.
27530..............  ..............  A               Treat knee fracture.       3.78       5.99       4.35        0.51       10.28       8.64        090
27532..............  ..............  A               Treat knee fracture.       7.30       7.86       6.27        1.02       16.18      14.59        090
27535..............  ..............  A               Treat knee fracture.      11.50        N/A      10.27        1.61         N/A      23.38        090
27536..............  ..............  A               Treat knee fracture.      15.65        N/A      11.70        2.19         N/A      29.54        090
27538..............  ..............  A               Treat knee                 4.87       7.20       5.17        0.67       12.74      10.71        090
                                                      fracture(s).
27540..............  ..............  A               Treat knee fracture.      13.10        N/A       9.64        1.80         N/A      24.54        090
27550..............  ..............  A               Treat knee                 5.76       6.71       5.02        0.68       13.15      11.46        090
                                                      dislocation.
27552..............  ..............  A               Treat knee                 7.90        N/A       6.99        1.10         N/A      15.99        090
                                                      dislocation.
27556..............  ..............  A               Treat knee                14.41        N/A      12.07        2.01         N/A      28.49        090
                                                      dislocation.
27557..............  ..............  A               Treat knee                16.77        N/A      13.47        2.37         N/A      32.61        090
                                                      dislocation.
27558..............  ..............  A               Treat knee                17.72        N/A      13.52        2.51         N/A      33.75        090
                                                      dislocation.
27560..............  ..............  A               Treat kneecap              3.82       5.68       3.35        0.40        9.90       7.57        090
                                                      dislocation.
27562..............  ..............  A               Treat kneecap              5.79        N/A       4.87        0.69         N/A      11.35        090
                                                      dislocation.
27566..............  ..............  A               Treat kneecap             12.23        N/A       9.43        1.73         N/A      23.39        090
                                                      dislocation.
27570..............  ..............  A               Fixation of knee           1.74        N/A       1.91        0.24         N/A       3.89        010
                                                      joint.
27580..............  ..............  A               Fusion of knee......      19.37        N/A      15.13        2.70         N/A      37.20        090
27590..............  ..............  A               Amputate leg at           12.03        N/A       7.33        1.35         N/A      20.71        090
                                                      thigh.
27591..............  ..............  A               Amputate leg at           12.68        N/A       9.27        1.63         N/A      23.58        090
                                                      thigh.
27592..............  ..............  A               Amputate leg at           10.02        N/A       6.84        1.17         N/A      18.03        090
                                                      thigh.
27594..............  ..............  A               Amputation follow-up       6.92        N/A       5.56        0.82         N/A      13.30        090
                                                      surgery.
27596..............  ..............  A               Amputation follow-up      10.60        N/A       7.44        1.24         N/A      19.28        090
                                                      surgery.
27598..............  ..............  A               Amputate lower leg        10.53        N/A       7.49        1.24         N/A      19.26        090
                                                      at knee.
27599..............  ..............  C               Leg surgery                0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
27600..............  ..............  A               Decompression of           5.65        N/A       4.79        0.68         N/A      11.12        090
                                                      lower leg.
27601..............  ..............  A               Decompression of           5.64        N/A       5.07        0.69         N/A      11.40        090
                                                      lower leg.
27602..............  ..............  A               Decompression of           7.35        N/A       5.36        0.85         N/A      13.56        090
                                                      lower leg.
27603..............  ..............  A               Drain lower leg            4.94      11.05       5.10        0.56       16.55      10.60        090
                                                      lesion.
27604..............  ..............  A               Drain lower leg            4.47       8.90       4.78        0.54       13.91       9.79        090
                                                      bursa.
27605..............  ..............  A               Incision of achilles       2.87       9.17       2.51        0.38       12.42       5.76        010
                                                      tendon.
27606..............  ..............  A               Incision of achilles       4.14      10.43       3.57        0.57       15.14       8.28        010
                                                      tendon.
27607..............  ..............  A               Treat lower leg bone       7.97        N/A       7.19        1.08         N/A      16.24        090
                                                      lesion.
27610..............  ..............  A               Explore/treat ankle        8.34        N/A       7.38        1.15         N/A      16.87        090
                                                      joint.
27612..............  ..............  A               Exploration of ankle       7.33        N/A       6.24        1.01         N/A      14.58        090
                                                      joint.
27613..............  ..............  A               Biopsy lower leg           2.17       4.03       1.90        0.16        6.36       4.23        010
                                                      soft tissue.
27614..............  ..............  A               Biopsy lower leg           5.66       8.99       4.77        0.62       15.27      11.05        090
                                                      soft tissue.
27615..............  ..............  A               Remove tumor, lower       12.56        N/A      10.91        1.39         N/A      24.86        090
                                                      leg.

[[Page 49102]]

 
27618..............  ..............  A               Remove lower leg           5.09       9.29       4.35        0.54       14.92       9.98        090
                                                      lesion.
27619..............  ..............  A               Remove lower leg           8.40      10.82       6.34        1.01       20.23      15.75        090
                                                      lesion.
27620..............  ..............  A               Explore/treat ankle        5.98        N/A       5.69        0.83         N/A      12.50        090
                                                      joint.
27625..............  ..............  A               Remove ankle joint         8.30        N/A       6.83        1.16         N/A      16.29        090
                                                      lining.
27626..............  ..............  A               Remove ankle joint         8.91        N/A       7.31        1.23         N/A      17.45        090
                                                      lining.
27630..............  ..............  A               Removal of tendon          4.80       9.26       4.62        0.60       14.66      10.02        090
                                                      lesion.
27635..............  ..............  A               Remove lower leg           7.78        N/A       7.16        1.06         N/A      16.00        090
                                                      bone lesion.
27637..............  ..............  A               Remove/graft leg           9.85        N/A       8.60        1.38         N/A      19.83        090
                                                      bone lesion.
27638..............  ..............  A               Remove/graft leg          10.57        N/A       8.74        1.47         N/A      20.78        090
                                                      bone lesion.
27640..............  ..............  A               Partial removal of        11.37        N/A      11.19        1.54         N/A      24.10        090
                                                      tibia.
27641..............  ..............  A               Partial removal of         9.24        N/A       9.22        1.22         N/A      19.68        090
                                                      fibula.
27645..............  ..............  A               Extensive lower leg       14.17        N/A      12.76        1.98         N/A      28.91        090
                                                      surgery.
27646..............  ..............  A               Extensive lower leg       12.66        N/A      11.72        1.55         N/A      25.93        090
                                                      surgery.
27647..............  ..............  A               Extensive ankle/heel      12.24        N/A       8.09        1.64         N/A      21.97        090
                                                      surgery.
27648..............  ..............  A               Injection for ankle        0.96       6.70       0.34        0.05        7.71       1.35        000
                                                      x-ray.
27650..............  ..............  A               Repair achilles            9.69        N/A       7.65        1.35         N/A      18.69        090
                                                      tendon.
27652..............  ..............  A               Repair/graft              10.33        N/A       8.08        1.45         N/A      19.86        090
                                                      achilles tendon.
27654..............  ..............  A               Repair of achilles        10.02        N/A       7.45        1.41         N/A      18.88        090
                                                      tendon.
27656..............  ..............  A               Repair leg fascia          4.57      10.22       4.12        0.48       15.27       9.17        090
                                                      defect.
27658..............  ..............  A               Repair of leg              4.98       9.50       5.12        0.68       15.16      10.78        090
                                                      tendon, each.
27659..............  ..............  A               Repair of leg              6.81      11.61       6.08        0.96       19.38      13.85        090
                                                      tendon, each.
27664..............  ..............  A               Repair of leg              4.59      11.66       5.10        0.63       16.88      10.32        090
                                                      tendon, each.
27665..............  ..............  A               Repair of leg              5.40      11.37       5.45        0.75       17.52      11.60        090
                                                      tendon, each.
27675..............  ..............  A               Repair lower leg           7.18        N/A       5.99        1.01         N/A      14.18        090
                                                      tendons.
27676..............  ..............  A               Repair lower leg           8.42        N/A       7.00        1.15         N/A      16.57        090
                                                      tendons.
27680..............  ..............  A               Release of lower leg       5.74        N/A       5.47        0.80         N/A      12.01        090
                                                      tendon.
27681..............  ..............  A               Release of lower leg       6.82        N/A       6.17        0.92         N/A      13.91        090
                                                      tendons.
27685..............  ..............  A               Revision of lower          6.50       8.31       5.69        0.91       15.72      13.10        090
                                                      leg tendon.
27686..............  ..............  A               Revise lower leg           7.46      12.79       6.81        1.05       21.30      15.32        090
                                                      tendons.
27687..............  ..............  A               Revision of calf           6.24        N/A       5.61        0.88         N/A      12.73        090
                                                      tendon.
27690..............  ..............  A               Revise lower leg           8.71        N/A       6.73        1.22         N/A      16.66        090
                                                      tendon.
27691..............  ..............  A               Revise lower leg           9.96        N/A       8.05        1.40         N/A      19.41        090
                                                      tendon.
27692..............  ..............  A               Revise additional          1.87        N/A       0.95        0.26         N/A       3.08        ZZZ
                                                      leg tendon.
27695..............  ..............  A               Repair of ankle            6.51        N/A       6.22        0.90         N/A      13.63        090
                                                      ligament.
27696..............  ..............  A               Repair of ankle            8.27        N/A       6.79        1.16         N/A      16.22        090
                                                      ligaments.
27698..............  ..............  A               Repair of ankle            9.36        N/A       7.20        1.31         N/A      17.87        090
                                                      ligament.
27700..............  ..............  A               Revision of ankle          9.29        N/A       5.75        1.24         N/A      16.28        090
                                                      joint.
27702..............  ..............  A               Reconstruct ankle         13.67        N/A      10.46        1.92         N/A      26.05        090
                                                      joint.
27703..............  ..............  A               Reconstruction,           15.87        N/A      11.30        2.24         N/A      29.41        090
                                                      ankle joint.
27704..............  ..............  A               Removal of ankle           7.62        N/A       5.62        0.61         N/A      13.85        090
                                                      implant.
27705..............  ..............  A               Incision of tibia...      10.38        N/A       8.49        1.44         N/A      20.31        090
27707..............  ..............  A               Incision of fibula..       4.37        N/A       5.21        0.60         N/A      10.18        090
27709..............  ..............  A               Incision of tibia &        9.95        N/A       8.41        1.39         N/A      19.75        090
                                                      fibula.
27712..............  ..............  A               Realignment of lower      14.25        N/A      11.02        2.00         N/A      27.27        090
                                                      leg.
27715..............  ..............  A               Revision of lower         14.39        N/A      11.15        2.00         N/A      27.54        090
                                                      leg.
27720..............  ..............  A               Repair of tibia.....      11.79        N/A       9.73        1.66         N/A      23.18        090
27722..............  ..............  A               Repair/graft of           11.82        N/A       9.49        1.65         N/A      22.96        090
                                                      tibia.
27724..............  ..............  A               Repair/graft of           18.20        N/A      13.00        2.10         N/A      33.30        090
                                                      tibia.
27725..............  ..............  A               Repair of lower leg.      15.59        N/A      12.31        2.20         N/A      30.10        090
27727..............  ..............  A               Repair of lower leg.      14.01        N/A      10.70        1.84         N/A      26.55        090
27730..............  ..............  A               Repair of tibia            7.41      18.67       6.64        0.75       26.83      14.80        090
                                                      epiphysis.
27732..............  ..............  A               Repair of fibula           5.32      11.91       5.28        0.63       17.86      11.23        090
                                                      epiphysis.
27734..............  ..............  A               Repair lower leg           8.48        N/A       6.62        0.85         N/A      15.95        090
                                                      epiphyses.
27740..............  ..............  A               Repair of leg              9.30      21.05       8.18        1.31       31.66      18.79        090
                                                      epiphyses.

[[Page 49103]]

 
27742..............  ..............  A               Repair of leg             10.30      12.74       7.41        1.55       24.59      19.26        090
                                                      epiphyses.
27745..............  ..............  A               Reinforce tibia.....      10.07        N/A       8.46        1.38         N/A      19.91        090
27750..............  ..............  A               Treatment of tibia         3.19       5.47       3.84        0.43        9.09       7.46        090
                                                      fracture.
27752..............  ..............  A               Treatment of tibia         5.84       7.62       5.70        0.82       14.28      12.36        090
                                                      fracture.
27756..............  ..............  A               Treatment of tibia         6.78        N/A       6.85        0.94         N/A      14.57        090
                                                      fracture.
27758..............  ..............  A               Treatment of tibia        11.67        N/A       9.36        1.52         N/A      22.55        090
                                                      fracture.
27759..............  ..............  A               Treatment of tibia        13.76        N/A      10.62        1.93         N/A      26.31        090
                                                      fracture.
27760..............  ..............  A               Treatment of ankle         3.01       5.35       3.60        0.39        8.75       7.00        090
                                                      fracture.
27762..............  ..............  A               Treatment of ankle         5.25       7.26       5.26        0.71       13.22      11.22        090
                                                      fracture.
27766..............  ..............  A               Treatment of ankle         8.36        N/A       7.30        1.17         N/A      16.83        090
                                                      fracture.
27780..............  ..............  A               Treatment of fibula        2.65       5.02       3.27        0.33        8.00       6.25        090
                                                      fracture.
27781..............  ..............  A               Treatment of fibula        4.40       6.47       4.58        0.57       11.44       9.55        090
                                                      fracture.
27784..............  ..............  A               Treatment of fibula        7.11        N/A       6.58        0.98         N/A      14.67        090
                                                      fracture.
27786..............  ..............  A               Treatment of ankle         2.84       5.19       3.38        0.37        8.40       6.59        090
                                                      fracture.
27788..............  ..............  A               Treatment of ankle         4.45       6.59       4.58        0.61       11.65       9.64        090
                                                      fracture.
27792..............  ..............  A               Treatment of ankle         7.66        N/A       7.03        1.07         N/A      15.76        090
                                                      fracture.
27808..............  ..............  A               Treatment of ankle         2.83       5.89       3.76        0.38        9.10       6.97        090
                                                      fracture.
27810..............  ..............  A               Treatment of ankle         5.13       7.18       5.19        0.71       13.02      11.03        090
                                                      fracture.
27814..............  ..............  A               Treatment of ankle        10.68        N/A       8.81        1.50         N/A      20.99        090
                                                      fracture.
27816..............  ..............  A               Treatment of ankle         2.89       5.18       3.55        0.37        8.44       6.81        090
                                                      fracture.
27818..............  ..............  A               Treatment of ankle         5.50       7.29       5.23        0.74       13.53      11.47        090
                                                      fracture.
27822..............  ..............  A               Treatment of ankle        11.00        N/A      10.92        1.29         N/A      23.21        090
                                                      fracture.
27823..............  ..............  A               Treatment of ankle        13.00        N/A      11.80        1.65         N/A      26.45        090
                                                      fracture.
27824..............  ..............  A               Treat lower leg            2.89       5.77       3.90        0.39        9.05       7.18        090
                                                      fracture.
27825..............  ..............  A               Treat lower leg            6.19       8.55       6.18        0.85       15.59      13.22        090
                                                      fracture.
27826..............  ..............  A               Treat lower leg            8.54        N/A       9.12        1.19         N/A      18.85        090
                                                      fracture.
27827..............  ..............  A               Treat lower leg           14.06        N/A      12.94        1.96         N/A      28.96        090
                                                      fracture.
27828..............  ..............  A               Treat lower leg           16.23        N/A      14.01        2.27         N/A      32.51        090
                                                      fracture.
27829..............  ..............  A               Treat lower leg            5.49        N/A       6.89        0.77         N/A      13.15        090
                                                      joint.
27830..............  ..............  A               Treat lower leg            3.79       5.23       3.90        0.44        9.46       8.13        090
                                                      dislocation.
27831..............  ..............  A               Treat lower leg            4.56        N/A       4.52        0.61         N/A       9.69        090
                                                      dislocation.
27832..............  ..............  A               Treat lower leg            6.49        N/A       6.27        0.91         N/A      13.67        090
                                                      dislocation.
27840..............  ..............  A               Treat ankle                4.58        N/A       3.96        0.47         N/A       9.01        090
                                                      dislocation.
27842..............  ..............  A               Treat ankle                6.21        N/A       5.09        0.76         N/A      12.06        090
                                                      dislocation.
27846..............  ..............  A               Treat ankle                9.79        N/A       8.17        1.36         N/A      19.32        090
                                                      dislocation.
27848..............  ..............  A               Treat ankle               11.20        N/A       9.89        1.55         N/A      22.64        090
                                                      dislocation.
27860..............  ..............  A               Fixation of ankle          2.34        N/A       2.20        0.31         N/A       4.85        010
                                                      joint.
27870..............  ..............  A               Fusion of ankle           13.91        N/A      10.90        1.95         N/A      26.76        090
                                                      joint, open.
27871..............  ..............  A               Fusion of                  9.17        N/A       7.86        1.29         N/A      18.32        090
                                                      tibiofibular joint.
27880..............  ..............  A               Amputation of lower       11.85        N/A       7.60        1.38         N/A      20.83        090
                                                      leg.
27881..............  ..............  A               Amputation of lower       12.34        N/A       9.23        1.59         N/A      23.16        090
                                                      leg.
27882..............  ..............  A               Amputation of lower        8.94        N/A       7.17        1.03         N/A      17.14        090
                                                      leg.
27884..............  ..............  A               Amputation follow-up       8.21        N/A       6.28        0.95         N/A      15.44        090
                                                      surgery.
27886..............  ..............  A               Amputation follow-up       9.32        N/A       6.98        1.13         N/A      17.43        090
                                                      surgery.
27888..............  ..............  A               Amputation of foot         9.67        N/A       7.81        1.26         N/A      18.74        090
                                                      at ankle.
27889..............  ..............  A               Amputation of foot         9.98        N/A       6.87        1.19         N/A      18.04        090
                                                      at ankle.

[[Page 49104]]

 
27892..............  ..............  A               Decompression of leg       7.39        N/A       5.92        0.86         N/A      14.17        090
27893..............  ..............  A               Decompression of leg       7.35        N/A       5.83        0.90         N/A      14.08        090
27894..............  ..............  A               Decompression of leg      10.49        N/A       7.96        1.25         N/A      19.70        090
27899..............  ..............  C               Leg/ankle surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
28001..............  ..............  A               Drainage of bursa of       2.73       5.98       3.58        0.31        9.02       6.62        010
                                                      foot.
28002..............  ..............  A               Treatment of foot          4.62       7.39       4.72        0.56       12.57       9.90        010
                                                      infection.
28003..............  ..............  A               Treatment of foot          8.41       7.93       6.42        1.03       17.37      15.86        090
                                                      infection.
28005..............  ..............  A               Treat foot bone            8.68        N/A       6.70        1.14         N/A      16.52        090
                                                      lesion.
28008..............  ..............  A               Incision of foot           4.45       5.87       3.77        0.56       10.88       8.78        090
                                                      fascia.
28010..............  ..............  A               Incision of toe            2.84       5.69       3.09        0.39        8.92       6.32        090
                                                      tendon.
28011..............  ..............  A               Incision of toe            4.14       7.63       4.50        0.58       12.35       9.22        090
                                                      tendons.
28020..............  ..............  A               Exploration of foot        5.01       7.29       4.42        0.64       12.94      10.07        090
                                                      joint.
28022..............  ..............  A               Exploration of foot        4.67       6.27       4.13        0.62       11.56       9.42        090
                                                      joint.
28024..............  ..............  A               Exploration of toe         4.38       6.39       4.20        0.50       11.27       9.08        090
                                                      joint.
28030..............  ..............  A               Removal of foot            6.15        N/A       3.75        0.85         N/A      10.75        090
                                                      nerve.
28035..............  ..............  A               Decompression of           5.09       7.07       4.28        0.71       12.87      10.08        090
                                                      tibia nerve.
28043..............  ..............  A               Excision of foot           3.54       5.94       3.40        0.45        9.93       7.39        090
                                                      lesion.
28045..............  ..............  A               Excision of foot           4.72       6.30       3.89        0.62       11.64       9.23        090
                                                      lesion.
28046..............  ..............  A               Resection of tumor,       10.18       9.67       7.59        1.13       20.98      18.90        090
                                                      foot.
28050..............  ..............  A               Biopsy of foot joint       4.25       5.95       3.86        0.55       10.75       8.66        090
                                                      lining.
28052..............  ..............  A               Biopsy of foot joint       3.94       6.16       3.76        0.51       10.61       8.21        090
                                                      lining.
28054..............  ..............  A               Biopsy of toe joint        3.45       6.00       3.56        0.45        9.90       7.46        090
                                                      lining.
28060..............  ..............  A               Partial removal,           5.23       6.57       4.21        0.69       12.49      10.13        090
                                                      foot fascia.
28062..............  ..............  A               Removal of foot            6.52       7.34       4.36        0.85       14.71      11.73        090
                                                      fascia.
28070..............  ..............  A               Removal of foot            5.10       6.13       4.08        0.68       11.91       9.86        090
                                                      joint lining.
28072..............  ..............  A               Removal of foot            4.58       6.62       4.56        0.64       11.84       9.78        090
                                                      joint lining.
28080..............  ..............  A               Removal of foot            3.58       6.10       3.84        0.50       10.18       7.92        090
                                                      lesion.
28086..............  ..............  A               Excise foot tendon         4.78       9.75       4.96        0.66       15.19      10.40        090
                                                      sheath.
28088..............  ..............  A               Excise foot tendon         3.86       7.26       4.24        0.52       11.64       8.62        090
                                                      sheath.
28090..............  ..............  A               Removal of foot            4.41       6.20       3.73        0.57       11.18       8.71        090
                                                      lesion.
28092..............  ..............  A               Removal of toe             3.64       6.52       3.82        0.46       10.62       7.92        090
                                                      lesions.
28100..............  ..............  A               Removal of ankle/          5.66       9.50       5.04        0.76       15.92      11.46        090
                                                      heel lesion.
28102..............  ..............  A               Remove/graft foot          7.73        N/A       6.29        0.97         N/A      14.99        090
                                                      lesion.
28103..............  ..............  A               Remove/graft foot          6.50       8.72       4.97        0.89       16.11      12.36        090
                                                      lesion.
28104..............  ..............  A               Removal of foot            5.12       6.54       4.29        0.69       12.35      10.10        090
                                                      lesion.
28106..............  ..............  A               Remove/graft foot          7.16        N/A       4.76        1.01         N/A      12.93        090
                                                      lesion.
28107..............  ..............  A               Remove/graft foot          5.56       7.46       4.52        0.74       13.76      10.82        090
                                                      lesion.
28108..............  ..............  A               Removal of toe             4.16       5.60       3.52        0.52       10.28       8.20        090
                                                      lesions.
28110..............  ..............  A               Part removal of            4.08       6.24       3.94        0.49       10.81       8.51        090
                                                      metatarsal.
28111..............  ..............  A               Part removal of            5.01       7.45       4.45        0.63       13.09      10.09        090
                                                      metatarsal.
28112..............  ..............  A               Part removal of            4.49       6.93       4.35        0.60       12.02       9.44        090
                                                      metatarsal.
28113..............  ..............  A               Part removal of            4.79       7.01       4.85        0.63       12.43      10.27        090
                                                      metatarsal.
28114..............  ..............  A               Removal of                 9.79      12.25       8.83        1.36       23.40      19.98        090
                                                      metatarsal heads.
28116..............  ..............  A               Revision of foot....       7.75       7.38       5.38        1.03       16.16      14.16        090
28118..............  ..............  A               Removal of heel bone       5.96       7.33       4.73        0.79       14.08      11.48        090
28119..............  ..............  A               Removal of heel spur       5.39       6.38       4.03        0.74       12.51      10.16        090
28120..............  ..............  A               Part removal of            5.40       9.04       5.48        0.69       15.13      11.57        090
                                                      ankle/heel.
28122..............  ..............  A               Partial removal of         7.29       8.15       6.01        0.96       16.40      14.26        090
                                                      foot bone.
28124..............  ..............  A               Partial removal of         4.81       6.30       4.35        0.65       11.76       9.81        090
                                                      toe.
28126..............  ..............  A               Partial removal of         3.52       5.52       3.79        0.49        9.53       7.80        090
                                                      toe.
28130..............  ..............  A               Removal of ankle           8.11        N/A       6.92        1.11         N/A      16.14        090
                                                      bone.
28140..............  ..............  A               Removal of                 6.91       8.47       5.19        0.84       16.22      12.94        090
                                                      metatarsal.
28150..............  ..............  A               Removal of toe......       4.09       6.19       4.05        0.52       10.80       8.66        090
28153..............  ..............  A               Partial removal of         3.66       5.59       3.27        0.49        9.74       7.42        090
                                                      toe.
28160..............  ..............  A               Partial removal of         3.74       5.88       4.14        0.51       10.13       8.39        090
                                                      toe.
28171..............  ..............  A               Extensive foot             9.60        N/A       5.90        1.13         N/A      16.63        090
                                                      surgery.
28173..............  ..............  A               Extensive foot             8.80       8.49       5.86        1.04       18.33      15.70        090
                                                      surgery.
28175..............  ..............  A               Extensive foot             6.05       6.89       4.26        0.75       13.69      11.06        090
                                                      surgery.
28190..............  ..............  A               Removal of foot            1.96       6.71       3.55        0.16        8.83       5.67        010
                                                      foreign body.

[[Page 49105]]

 
28192..............  ..............  A               Removal of foot            4.64       6.61       3.85        0.52       11.77       9.01        090
                                                      foreign body.
28193..............  ..............  A               Removal of foot            5.73       6.53       4.28        0.63       12.89      10.64        090
                                                      foreign body.
28200..............  ..............  A               Repair of foot             4.60       6.13       3.94        0.59       11.32       9.13        090
                                                      tendon.
28202..............  ..............  A               Repair/graft of foot       6.84       8.30       4.82        0.86       16.00      12.52        090
                                                      tendon.
28208..............  ..............  A               Repair of foot             4.37       5.91       3.67        0.59       10.87       8.63        090
                                                      tendon.
28210..............  ..............  A               Repair/graft of foot       6.35       7.33       4.36        0.77       14.45      11.48        090
                                                      tendon.
28220..............  ..............  A               Release of foot            4.53       5.73       3.78        0.63       10.89       8.94        090
                                                      tendon.
28222..............  ..............  A               Release of foot            5.62       6.13       4.49        0.77       12.52      10.88        090
                                                      tendons.
28225..............  ..............  A               Release of foot            3.66       5.43       3.28        0.50        9.59       7.44        090
                                                      tendon.
28226..............  ..............  A               Release of foot            4.53       5.78       4.11        0.62       10.93       9.26        090
                                                      tendons.
28230..............  ..............  A               Incision of foot           4.24       5.81       4.08        0.59       10.64       8.91        090
                                                      tendon(s).
28232..............  ..............  A               Incision of toe            3.39       5.85       3.72        0.48        9.72       7.59        090
                                                      tendon.
28234..............  ..............  A               Incision of foot           3.37       6.01       3.66        0.46        9.84       7.49        090
                                                      tendon.
28238..............  ..............  A               Revision of foot           7.73       8.19       5.27        1.08       17.00      14.08        090
                                                      tendon.
28240..............  ..............  A               Release of big toe..       4.36       5.77       3.88        0.61       10.74       8.85        090
28250..............  ..............  A               Revision of foot           5.92       6.73       4.50        0.81       13.46      11.23        090
                                                      fascia.
28260..............  ..............  A               Release of midfoot         7.96       7.27       5.34        1.08       16.31      14.38        090
                                                      joint.
28261..............  ..............  A               Revision of foot          11.73       9.14       7.59        1.66       22.53      20.98        090
                                                      tendon.
28262..............  ..............  A               Revision of foot and      15.83      14.73      11.92        2.22       32.78      29.97        090
                                                      ankle.
28264..............  ..............  A               Release of midfoot        10.35       8.74       8.19        1.46       20.55      20.00        090
                                                      joint.
28270..............  ..............  A               Release of foot            4.76       6.09       4.43        0.67       11.52       9.86        090
                                                      contracture.
28272..............  ..............  A               Release of toe             3.80       5.31       3.22        0.52        9.63       7.54        090
                                                      joint, each.
28280..............  ..............  A               Fusion of toes......       5.19       7.46       4.76        0.72       13.37      10.67        090
28285..............  ..............  A               Repair of hammertoe.       4.59       6.14       4.05        0.64       11.37       9.28        090
28286..............  ..............  A               Repair of hammertoe.       4.56       5.93       3.91        0.64       11.13       9.11        090
28288..............  ..............  A               Partial removal of         4.74       6.88       5.53        0.65       12.27      10.92        090
                                                      foot bone.
28289..............  ..............  A               Repair hallux              7.04       9.24       6.53        0.96       17.24      14.53        090
                                                      rigidus.
28290..............  ..............  A               Correction of bunion       5.66       7.23       5.59        0.79       13.68      12.04        090
28292..............  ..............  A               Correction of bunion       7.04       8.00       5.93        0.98       16.02      13.95        090
28293..............  ..............  A               Correction of bunion       9.15      10.19       6.16        1.28       20.62      16.59        090
28294..............  ..............  A               Correction of bunion       8.56       7.87       5.28        1.16       17.59      15.00        090
28296..............  ..............  A               Correction of bunion       9.18       8.38       6.04        1.28       18.84      16.50        090
28297..............  ..............  A               Correction of bunion       9.18       9.38       7.08        1.31       19.87      17.57        090
28298..............  ..............  A               Correction of bunion       7.94       7.52       5.64        1.12       16.58      14.70        090
28299..............  ..............  A               Correction of bunion      10.58       8.95       6.66        1.24       20.77      18.48        090
28300..............  ..............  A               Incision of heel           9.54      13.40       7.28        1.31       24.25      18.13        090
                                                      bone.
28302..............  ..............  A               Incision of ankle          9.55      13.39       7.16        1.15       24.09      17.86        090
                                                      bone.
28304..............  ..............  A               Incision of midfoot        9.16       8.36       5.97        1.00       18.52      16.13        090
                                                      bones.
28305..............  ..............  A               Incise/graft midfoot      10.50      11.12       6.95        0.55       22.17      18.00        090
                                                      bones.
28306..............  ..............  A               Incision of                5.86       7.40       4.45        0.81       14.07      11.12        090
                                                      metatarsal.
28307..............  ..............  A               Incision of                6.33      11.84       5.50        0.71       18.88      12.54        090
                                                      metatarsal.
28308..............  ..............  A               Incision of                5.29       6.22       3.89        0.74       12.25       9.92        090
                                                      metatarsal.
28309..............  ..............  A               Incision of               12.78        N/A       8.33        1.64         N/A      22.75        090
                                                      metatarsals.
28310..............  ..............  A               Revision of big toe.       5.43       6.45       4.19        0.76       12.64      10.38        090
28312..............  ..............  A               Revision of toe.....       4.55       6.18       4.40        0.62       11.35       9.57        090
28313..............  ..............  A               Repair deformity of        5.01       6.65       5.91        0.68       12.34      11.60        090
                                                      toe.
28315..............  ..............  A               Removal of sesamoid        4.86       6.03       3.89        0.66       11.55       9.41        090
                                                      bone.
28320..............  ..............  A               Repair of foot bones       9.18        N/A       6.97        1.27         N/A      17.42        090
28322..............  ..............  A               Repair of                  8.34      10.37       6.52        1.17       19.88      16.03        090
                                                      metatarsals.
28340..............  ..............  A               Resect enlarged toe        6.98       7.25       4.59        0.98       15.21      12.55        090
                                                      tissue.
28341..............  ..............  A               Resect enlarged toe.       8.41       7.43       5.13        1.18       17.02      14.72        090
28344..............  ..............  A               Repair extra toe(s).       4.26       6.93       3.89        0.60       11.79       8.75        090
28345..............  ..............  A               Repair webbed toe(s)       5.92       7.19       5.01        0.84       13.95      11.77        090
28360..............  ..............  A               Reconstruct cleft         13.34        N/A      10.87        1.88         N/A      26.09        090
                                                      foot.
28400..............  ..............  A               Treatment of heel          2.16       4.63       3.31        0.29        7.08       5.76        090
                                                      fracture.
28405..............  ..............  A               Treatment of heel          4.57       5.77       4.82        0.63       10.97      10.02        090
                                                      fracture.
28406..............  ..............  A               Treatment of heel          6.31        N/A       7.02        0.87         N/A      14.20        090
                                                      fracture.
28415..............  ..............  A               Treat heel fracture.      15.97        N/A      13.49        2.24         N/A      31.70        090
28420..............  ..............  A               Treat/graft heel          16.64        N/A      13.20        2.29         N/A      32.13        090
                                                      fracture.
28430..............  ..............  A               Treatment of ankle         2.09       4.33       2.81        0.27        6.69       5.17        090
                                                      fracture.

[[Page 49106]]

 
28435..............  ..............  A               Treatment of ankle         3.40       4.74       3.90        0.47        8.61       7.77        090
                                                      fracture.
28436..............  ..............  A               Treatment of ankle         4.71        N/A       6.11        0.66         N/A      11.48        090
                                                      fracture.
28445..............  ..............  A               Treat ankle fracture      15.62        N/A      11.42        1.29         N/A      28.33        090
28450..............  ..............  A               Treat midfoot              1.90       4.31       2.72        0.25        6.46       4.87        090
                                                      fracture, each.
28455..............  ..............  A               Treat midfoot              3.09       4.22       3.76        0.43        7.74       7.28        090
                                                      fracture, each.
28456..............  ..............  A               Treat midfoot              2.68        N/A       4.37        0.36         N/A       7.41        090
                                                      fracture.
28465..............  ..............  A               Treat midfoot              7.01        N/A       6.49        0.87         N/A      14.37        090
                                                      fracture, each.
28470..............  ..............  A               Treat metatarsal           1.99       3.95       2.53        0.26        6.20       4.78        090
                                                      fracture.
28475..............  ..............  A               Treat metatarsal           2.97       4.20       3.34        0.41        7.58       6.72        090
                                                      fracture.
28476..............  ..............  A               Treat metatarsal           3.38        N/A       5.09        0.46         N/A       8.93        090
                                                      fracture.
28485..............  ..............  A               Treat metatarsal           5.71        N/A       5.72        0.80         N/A      12.23        090
                                                      fracture.
28490..............  ..............  A               Treat big toe              1.09       2.33       1.83        0.13        3.55       3.05        090
                                                      fracture.
28495..............  ..............  A               Treat big toe              1.58       2.60       2.18        0.19        4.37       3.95        090
                                                      fracture.
28496..............  ..............  A               Treat big toe              2.33       9.95       3.78        0.32       12.60       6.43        090
                                                      fracture.
28505..............  ..............  A               Treat big toe              3.81       9.95       4.86        0.50       14.26       9.17        090
                                                      fracture.
28510..............  ..............  A               Treatment of toe           1.09       2.08       1.78        0.13        3.30       3.00        090
                                                      fracture.
28515..............  ..............  A               Treatment of toe           1.46       2.44       2.10        0.17        4.07       3.73        090
                                                      fracture.
28525..............  ..............  A               Treat toe fracture..       3.32       9.54       4.41        0.44       13.30       8.17        090
28530..............  ..............  A               Treat sesamoid bone        1.06       2.26       1.69        0.13        3.45       2.88        090
                                                      fracture.
28531..............  ..............  A               Treat sesamoid bone        2.35       9.22       2.63        0.33       11.90       5.31        090
                                                      fracture.
28540..............  ..............  A               Treat foot                 2.04       3.03       2.88        0.24        5.31       5.16        090
                                                      dislocation.
28545..............  ..............  A               Treat foot                 2.45       2.99       2.99        0.33        5.77       5.77        090
                                                      dislocation.
28546..............  ..............  A               Treat foot                 3.20       8.11       4.92        0.46       11.77       8.58        090
                                                      dislocation.
28555..............  ..............  A               Repair foot                6.30      11.76       6.66        0.88       18.94      13.84        090
                                                      dislocation.
28570..............  ..............  A               Treat foot                 1.66       3.12       2.60        0.22        5.00       4.48        090
                                                      dislocation.
28575..............  ..............  A               Treat foot                 3.31       4.54       4.21        0.45        8.30       7.97        090
                                                      dislocation.
28576..............  ..............  A               Treat foot                 4.17      10.43       5.60        0.56       15.16      10.33        090
                                                      dislocation.
28585..............  ..............  A               Repair foot                7.99       8.30       6.66        1.13       17.42      15.78        090
                                                      dislocation.
28600..............  ..............  A               Treat foot                 1.89       3.49       2.90        0.24        5.62       5.03        090
                                                      dislocation.
28605..............  ..............  A               Treat foot                 2.71       3.88       3.77        0.35        6.94       6.83        090
                                                      dislocation.
28606..............  ..............  A               Treat foot                 4.90      16.30       6.12        0.68       21.88      11.70        090
                                                      dislocation.
28615..............  ..............  A               Repair foot                7.77        N/A       8.13        1.09         N/A      16.99        090
                                                      dislocation.
28630..............  ..............  A               Treat toe                  1.70       1.41       1.18        0.17        3.28       3.05        010
                                                      dislocation.
28635..............  ..............  A               Treat toe                  1.91       1.77       1.61        0.24        3.92       3.76        010
                                                      dislocation.
28636..............  ..............  A               Treat toe                  2.77       6.41       3.16        0.39        9.57       6.32        010
                                                      dislocation.
28645..............  ..............  A               Repair toe                 4.22       5.78       3.58        0.58       10.58       8.38        090
                                                      dislocation.
28660..............  ..............  A               Treat toe                  1.23       1.79       1.23        0.11        3.13       2.57        010
                                                      dislocation.
28665..............  ..............  A               Treat toe                  1.92       1.76       1.73        0.24        3.92       3.89        010
                                                      dislocation.
28666..............  ..............  A               Treat toe                  2.66       6.13       2.28        0.38        9.17       5.32        010
                                                      dislocation.
28675..............  ..............  A               Repair of toe              2.92       8.97       3.84        0.41       12.30       7.17        090
                                                      dislocation.
28705..............  ..............  A               Fusion of foot bones      18.80        N/A      12.85        2.13         N/A      33.78        090
28715..............  ..............  A               Fusion of foot bones      13.10        N/A      10.11        1.84         N/A      25.05        090
28725..............  ..............  A               Fusion of foot bones      11.61        N/A       8.63        1.63         N/A      21.87        090
28730..............  ..............  A               Fusion of foot bones      10.76        N/A       8.72        1.51         N/A      20.99        090
28735..............  ..............  A               Fusion of foot bones      10.85        N/A       8.18        1.51         N/A      20.54        090
28737..............  ..............  A               Revision of foot           9.64        N/A       7.13        1.36         N/A      18.13        090
                                                      bones.
28740..............  ..............  A               Fusion of foot bones       8.02      11.91       6.72        1.13       21.06      15.87        090
28750..............  ..............  A               Fusion of big toe          7.30      13.32       6.90        1.03       21.65      15.23        090
                                                      joint.
28755..............  ..............  A               Fusion of big toe          4.74       7.04       4.11        0.66       12.44       9.51        090
                                                      joint.
28760..............  ..............  A               Fusion of big toe          7.75       8.25       5.78        1.07       17.07      14.60        090
                                                      joint.
28800..............  ..............  A               Amputation of              8.21        N/A       6.17        0.98         N/A      15.36        090
                                                      midfoot.
28805..............  ..............  A               Amputation thru            8.39        N/A       6.01        0.97         N/A      15.37        090
                                                      metatarsal.
28810..............  ..............  A               Amputation toe &           6.21        N/A       4.90        0.70         N/A      11.81        090
                                                      metatarsal.
28820..............  ..............  A               Amputation of toe...       4.41       8.64       4.18        0.51       13.56       9.10        090
28825..............  ..............  A               Partial amputation         3.59       8.09       3.88        0.43       12.11       7.90        090
                                                      of toe.
28899..............  ..............  C               Foot/toes surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.

[[Page 49107]]

 
29000..............  ..............  A               Application of body        2.25       3.18       1.75        0.30        5.73       4.30        000
                                                      cast.
29010..............  ..............  A               Application of body        2.06       3.36       1.75        0.27        5.69       4.08        000
                                                      cast.
29015..............  ..............  A               Application of body        2.41       3.06       1.61        0.21        5.68       4.23        000
                                                      cast.
29020..............  ..............  A               Application of body        2.11       3.33       1.43        0.16        5.60       3.70        000
                                                      cast.
29025..............  ..............  A               Application of body        2.40       3.31       1.87        0.26        5.97       4.53        000
                                                      cast.
29035..............  ..............  A               Application of body        1.77       3.52       1.57        0.24        5.53       3.58        000
                                                      cast.
29040..............  ..............  A               Application of body        2.22       2.63       1.53        0.35        5.20       4.10        000
                                                      cast.
29044..............  ..............  A               Application of body        2.12       3.87       1.88        0.29        6.28       4.29        000
                                                      cast.
29046..............  ..............  A               Application of body        2.41       3.34       2.06        0.34        6.09       4.81        000
                                                      cast.
29049..............  ..............  A               Application of             0.89       1.27       0.55        0.12        2.28       1.56        000
                                                      figure eight.
29055..............  ..............  A               Application of             1.78       2.87       1.46        0.24        4.89       3.48        000
                                                      shoulder cast.
29058..............  ..............  A               Application of             1.31       1.53       0.74        0.14        2.98       2.19        000
                                                      shoulder cast.
29065..............  ..............  A               Application of long        0.87       1.29       0.75        0.12        2.28       1.74        000
                                                      arm cast.
29075..............  ..............  A               Application of             0.77       1.23       0.68        0.11        2.11       1.56        000
                                                      forearm cast.
29085..............  ..............  A               Apply hand/wrist           0.87       1.26       0.64        0.11        2.24       1.62        000
                                                      cast.
29086..............  ..............  A               Apply finger cast...       0.62       0.95       0.52        0.06        1.63       1.20        000
29105..............  ..............  A               Apply long arm             0.87       1.21       0.53        0.11        2.19       1.51        000
                                                      splint.
29125..............  ..............  A               Apply forearm splint       0.59       1.01       0.41        0.06        1.66       1.06        000
29126..............  ..............  A               Apply forearm splint       0.77       1.22       0.48        0.06        2.05       1.31        000
29130..............  ..............  A               Application of             0.50       0.47       0.17        0.05        1.02       0.72        000
                                                      finger splint.
29131..............  ..............  A               Application of             0.55       0.75       0.25        0.03        1.33       0.83        000
                                                      finger splint.
29200..............  ..............  A               Strapping of chest..       0.65       0.75       0.36        0.04        1.44       1.05        000
29220..............  ..............  A               Strapping of low           0.64       0.73       0.40        0.07        1.44       1.11        000
                                                      back.
29240..............  ..............  A               Strapping of               0.71       0.88       0.38        0.05        1.64       1.14        000
                                                      shoulder.
29260..............  ..............  A               Strapping of elbow         0.55       0.76       0.34        0.04        1.35       0.93        000
                                                      or wrist.
29280..............  ..............  A               Strapping of hand or       0.51       0.83       0.34        0.04        1.38       0.89        000
                                                      finger.
29305..............  ..............  A               Application of hip         2.03       3.24       1.74        0.29        5.56       4.06        000
                                                      cast.
29325..............  ..............  A               Application of hip         2.32       3.43       1.93        0.31        6.06       4.56        000
                                                      casts.
29345..............  ..............  A               Application of long        1.40       1.72       1.06        0.19        3.31       2.65        000
                                                      leg cast.
29355..............  ..............  A               Application of long        1.53       1.68       1.12        0.20        3.41       2.85        000
                                                      leg cast.
29358..............  ..............  A               Apply long leg cast        1.43       2.00       1.09        0.19        3.62       2.71        000
                                                      brace.
29365..............  ..............  A               Application of long        1.18       1.61       0.94        0.17        2.96       2.29        000
                                                      leg cast.
29405..............  ..............  A               Apply short leg cast       0.86       1.20       0.71        0.12        2.18       1.69        000
29425..............  ..............  A               Apply short leg cast       1.01       1.21       0.74        0.14        2.36       1.89        000
29435..............  ..............  A               Apply short leg cast       1.18       1.52       0.92        0.17        2.87       2.27        000
29440..............  ..............  A               Addition of walker         0.57       0.68       0.28        0.07        1.32       0.92        000
                                                      to cast.
29445..............  ..............  A               Apply rigid leg cast       1.78       1.78       0.98        0.24        3.80       3.00        000
29450..............  ..............  A               Application of leg         2.08       1.48       1.11        0.13        3.69       3.32        000
                                                      cast.
29505..............  ..............  A               Application, long          0.69       1.18       0.48        0.06        1.93       1.23        000
                                                      leg splint.
29515..............  ..............  A               Application lower          0.73       0.87       0.49        0.07        1.67       1.29        000
                                                      leg splint.
29520..............  ..............  A               Strapping of hip....       0.54       0.90       0.47        0.02        1.46       1.03        000
29530..............  ..............  A               Strapping of knee...       0.57       0.81       0.35        0.04        1.42       0.96        000
29540..............  ..............  A               Strapping of ankle         0.51       0.42       0.32        0.04        0.97       0.87        000
                                                      and/or ft.
29550..............  ..............  A               Strapping of toes...       0.47       0.42       0.28        0.05        0.94       0.80        000
29580..............  ..............  A               Application of paste       0.57       0.66       0.36        0.05        1.28       0.98        000
                                                      boot.
29590..............  ..............  A               Application of foot        0.76       0.52       0.30        0.06        1.34       1.12        000
                                                      splint.
29700..............  ..............  A               Removal/revision of        0.57       0.88       0.29        0.07        1.52       0.93        000
                                                      cast.
29705..............  ..............  A               Removal/revision of        0.76       0.81       0.39        0.10        1.67       1.25        000
                                                      cast.
29710..............  ..............  A               Removal/revision of        1.34       1.51       0.71        0.17        3.02       2.22        000
                                                      cast.
29715..............  ..............  A               Removal/revision of        0.94       1.15       0.41        0.08        2.17       1.43        000
                                                      cast.
29720..............  ..............  A               Repair of body cast.       0.68       1.12       0.39        0.10        1.90       1.17        000
29730..............  ..............  A               Windowing of cast...       0.75       0.80       0.36        0.10        1.65       1.21        000
29740..............  ..............  A               Wedging of cast.....       1.12       1.13       0.50        0.15        2.40       1.77        000
29750..............  ..............  A               Wedging of clubfoot        1.26       1.06       0.59        0.16        2.48       2.01        000
                                                      cast.
29799..............  ..............  C               Casting/strapping          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
29800..............  ..............  A               Jaw arthroscopy/           6.43        N/A       7.28        0.84         N/A      14.55        090
                                                      surgery.
29804..............  ..............  A               Jaw arthroscopy/           8.14        N/A       8.75        0.66         N/A      17.55        090
                                                      surgery.
29805..............  ..............  A               Shoulder                   5.89        N/A       5.82        0.84         N/A      12.55        090
                                                      arthroscopy, dx.

[[Page 49108]]

 
29806..............  ..............  A               Shoulder arthroscopy/     14.37        N/A      11.30        2.00         N/A      27.67        090
                                                      surgery.
29807..............  ..............  A               Shoulder arthroscopy/     13.90        N/A      11.12        1.94         N/A      26.96        090
                                                      surgery.
29819..............  ..............  A               Shoulder arthroscopy/      7.62        N/A       6.73        1.07         N/A      15.42        090
                                                      surgery.
29820..............  ..............  A               Shoulder arthroscopy/      7.07        N/A       6.23        0.99         N/A      14.29        090
                                                      surgery.
29821..............  ..............  A               Shoulder arthroscopy/      7.72        N/A       6.75        1.08         N/A      15.55        090
                                                      surgery.
29822..............  ..............  A               Shoulder arthroscopy/      7.43        N/A       6.63        1.04         N/A      15.10        090
                                                      surgery.
29823..............  ..............  A               Shoulder arthroscopy/      8.17        N/A       7.22        1.15         N/A      16.54        090
                                                      surgery.
29824..............  ..............  A               Shoulder arthroscopy/      8.25        N/A       7.47        1.15         N/A      16.87        090
                                                      surgery.
29825..............  ..............  A               Shoulder arthroscopy/      7.62        N/A       6.71        1.06         N/A      15.39        090
                                                      surgery.
29826..............  ..............  A               Shoulder arthroscopy/      8.99        N/A       7.50        1.26         N/A      17.75        090
                                                      surgery.
29827..............  ..............  A               Arthroscop rotator        15.36        N/A      11.53        1.86         N/A      28.75        090
                                                      cuff repr.
29830..............  ..............  A               Elbow arthroscopy...       5.76        N/A       5.30        0.79         N/A      11.85        090
29834..............  ..............  A               Elbow arthroscopy/         6.28        N/A       5.83        0.86         N/A      12.97        090
                                                      surgery.
29835..............  ..............  A               Elbow arthroscopy/         6.48        N/A       5.88        0.88         N/A      13.24        090
                                                      surgery.
29836..............  ..............  A               Elbow arthroscopy/         7.55        N/A       6.73        1.06         N/A      15.34        090
                                                      surgery.
29837..............  ..............  A               Elbow arthroscopy/         6.87        N/A       6.13        0.96         N/A      13.96        090
                                                      surgery.
29838..............  ..............  A               Elbow arthroscopy/         7.71        N/A       6.84        1.07         N/A      15.62        090
                                                      surgery.
29840..............  ..............  A               Wrist arthroscopy...       5.54        N/A       5.34        0.69         N/A      11.57        090
29843..............  ..............  A               Wrist arthroscopy/         6.01        N/A       5.64        0.82         N/A      12.47        090
                                                      surgery.
29844..............  ..............  A               Wrist arthroscopy/         6.37        N/A       5.82        0.86         N/A      13.05        090
                                                      surgery.
29845..............  ..............  A               Wrist arthroscopy/         7.52        N/A       6.46        0.84         N/A      14.82        090
                                                      surgery.
29846..............  ..............  A               Wrist arthroscopy/         6.75        N/A       6.06        0.89         N/A      13.70        090
                                                      surgery.
29847..............  ..............  A               Wrist arthroscopy/         7.08        N/A       6.21        0.91         N/A      14.20        090
                                                      surgery.
29848..............  ..............  A               Wrist endoscopy/           5.44        N/A       5.59        0.72         N/A      11.75        090
                                                      surgery.
29850..............  ..............  A               Knee arthroscopy/          8.19        N/A       5.13        0.74         N/A      14.06        090
                                                      surgery.
29851..............  ..............  A               Knee arthroscopy/         13.10        N/A       9.85        1.81         N/A      24.76        090
                                                      surgery.
29855..............  ..............  A               Tibial arthroscopy/       10.62        N/A       8.77        1.50         N/A      20.89        090
                                                      surgery.
29856..............  ..............  A               Tibial arthroscopy/       14.14        N/A      10.71        2.00         N/A      26.85        090
                                                      surgery.
29860..............  ..............  A               Hip arthroscopy, dx.       8.05        N/A       6.95        1.14         N/A      16.14        090
29861..............  ..............  A               Hip arthroscopy/           9.15        N/A       7.36        1.29         N/A      17.80        090
                                                      surgery.
29862..............  ..............  A               Hip arthroscopy/           9.90        N/A       8.55        1.39         N/A      19.84        090
                                                      surgery.
29863..............  ..............  A               Hip arthroscopy/           9.90        N/A       8.49        1.40         N/A      19.79        090
                                                      surgery.
29870..............  ..............  A               Knee arthroscopy, dx       5.07        N/A       4.84        0.67         N/A      10.58        090
29871..............  ..............  A               Knee arthroscopy/          6.55        N/A       5.87        0.88         N/A      13.30        090
                                                      drainage.
29873..............  ..............  A               Knee arthroscopy/          6.00        N/A       6.49        0.73         N/A      13.22        090
                                                      surgery.
29874..............  ..............  A               Knee arthroscopy/          7.05        N/A       6.08        0.87         N/A      14.00        090
                                                      surgery.
29875..............  ..............  A               Knee arthroscopy/          6.31        N/A       5.84        0.88         N/A      13.03        090
                                                      surgery.
29876..............  ..............  A               Knee arthroscopy/          7.92        N/A       7.01        1.11         N/A      16.04        090
                                                      surgery.
29877..............  ..............  A               Knee arthroscopy/          7.35        N/A       6.72        1.03         N/A      15.10        090
                                                      surgery.
29879..............  ..............  A               Knee arthroscopy/          8.04        N/A       7.10        1.13         N/A      16.27        090
                                                      surgery.
29880..............  ..............  A               Knee arthroscopy/          8.50        N/A       7.35        1.19         N/A      17.04        090
                                                      surgery.
29881..............  ..............  A               Knee arthroscopy/          7.76        N/A       6.94        1.09         N/A      15.79        090
                                                      surgery.
29882..............  ..............  A               Knee arthroscopy/          8.65        N/A       7.24        1.09         N/A      16.98        090
                                                      surgery.
29883..............  ..............  A               Knee arthroscopy/         11.05        N/A       9.07        1.33         N/A      21.45        090
                                                      surgery.
29884..............  ..............  A               Knee arthroscopy/          7.33        N/A       6.68        1.03         N/A      15.04        090
                                                      surgery.
29885..............  ..............  A               Knee arthroscopy/          9.09        N/A       7.90        1.27         N/A      18.26        090
                                                      surgery.
29886..............  ..............  A               Knee arthroscopy/          7.54        N/A       6.82        1.06         N/A      15.42        090
                                                      surgery.
29887..............  ..............  A               Knee arthroscopy/          9.04        N/A       7.87        1.27         N/A      18.18        090
                                                      surgery.
29888..............  ..............  A               Knee arthroscopy/         13.90        N/A      10.27        1.95         N/A      26.12        090
                                                      surgery.
29889..............  ..............  A               Knee arthroscopy/         16.00        N/A      12.45        2.11         N/A      30.56        090
                                                      surgery.
29891..............  ..............  A               Ankle arthroscopy/         8.40        N/A       7.48        1.17         N/A      17.05        090
                                                      surgery.
29892..............  ..............  A               Ankle arthroscopy/         9.00        N/A       7.73        1.26         N/A      17.99        090
                                                      surgery.
29893..............  ..............  A               Scope, plantar             5.22       6.44       4.02        0.74       12.40       9.98        090
                                                      fasciotomy.
29894..............  ..............  A               Ankle arthroscopy/         7.21        N/A       5.49        1.01         N/A      13.71        090
                                                      surgery.
29895..............  ..............  A               Ankle arthroscopy/         6.99        N/A       5.49        0.97         N/A      13.45        090
                                                      surgery.

[[Page 49109]]

 
29897..............  ..............  A               Ankle arthroscopy/         7.18        N/A       5.90        1.01         N/A      14.09        090
                                                      surgery.
29898..............  ..............  A               Ankle arthroscopy/         8.32        N/A       6.19        1.14         N/A      15.65        090
                                                      surgery.
29899..............  ..............  A               Ankle arthroscopy/        13.91        N/A      10.02        1.95         N/A      25.88        090
                                                      surgery.
29900..............  ..............  A               Mcp joint                  5.42        N/A       5.95        0.75         N/A      12.12        090
                                                      arthroscopy, dx.
29901..............  ..............  A               Mcp joint                  6.13        N/A       6.34        0.85         N/A      13.32        090
                                                      arthroscopy, surg.
29902..............  ..............  A               Mcp joint                  6.70        N/A       6.63        0.93         N/A      14.26        090
                                                      arthroscopy, surg.
29999..............  ..............  C               Arthroscopy of joint       0.00       0.00       0.00        0.00        0.00       0.00        YYY
30000..............  ..............  A               Drainage of nose           1.43       4.27       1.45        0.10        5.80       2.98        010
                                                      lesion.
30020..............  ..............  A               Drainage of nose           1.43       3.43       1.53        0.08        4.94       3.04        010
                                                      lesion.
30100..............  ..............  A               Intranasal biopsy...       0.94       2.16       0.83        0.06        3.16       1.83        000
30110..............  ..............  A               Removal of nose            1.63       3.48       1.63        0.12        5.23       3.38        010
                                                      polyp(s).
30115..............  ..............  A               Removal of nose            4.35        N/A       4.19        0.31         N/A       8.85        090
                                                      polyp(s).
30117..............  ..............  A               Removal of                 3.16       4.79       3.40        0.22        8.17       6.78        090
                                                      intranasal lesion.
30118..............  ..............  A               Removal of                 9.69        N/A       7.53        0.66         N/A      17.88        090
                                                      intranasal lesion.
30120..............  ..............  A               Revision of nose....       5.27       5.71       5.63        0.41       11.39      11.31        090
30124..............  ..............  A               Removal of nose            3.10        N/A       3.12        0.20         N/A       6.42        090
                                                      lesion.
30125..............  ..............  A               Removal of nose            7.16        N/A       6.10        0.54         N/A      13.80        090
                                                      lesion.
30130..............  ..............  A               Removal of turbinate       3.38        N/A       3.67        0.22         N/A       7.27        090
                                                      bones.
30140..............  ..............  A               Removal of turbinate       3.43        N/A       4.16        0.24         N/A       7.83        090
                                                      bones.
30150..............  ..............  A               Partial removal of         9.14        N/A       7.88        0.76         N/A      17.78        090
                                                      nose.
30160..............  ..............  A               Removal of nose.....       9.58        N/A       7.89        0.78         N/A      18.25        090
30200..............  ..............  A               Injection treatment        0.78       1.79       0.79        0.06        2.63       1.63        000
                                                      of nose.
30210..............  ..............  A               Nasal sinus therapy.       1.08       2.22       1.36        0.08        3.38       2.52        010
30220..............  ..............  A               Insert nasal septal        1.54       4.67       1.59        0.11        6.32       3.24        010
                                                      button.
30300..............  ..............  A               Remove nasal foreign       1.04       4.27       1.91        0.07        5.38       3.02        010
                                                      body.
30310..............  ..............  A               Remove nasal foreign       1.96        N/A       2.93        0.14         N/A       5.03        010
                                                      body.
30320..............  ..............  A               Remove nasal foreign       4.52        N/A       4.65        0.36         N/A       9.53        090
                                                      body.
30400..............  ..............  R               Reconstruction of          9.83        N/A       9.35        0.80         N/A      19.98        090
                                                      nose.
30410..............  ..............  R               Reconstruction of         12.98        N/A      11.13        1.08         N/A      25.19        090
                                                      nose.
30420..............  ..............  R               Reconstruction of         15.88        N/A      12.70        1.24         N/A      29.82        090
                                                      nose.
30430..............  ..............  R               Revision of nose....       7.21        N/A       8.16        0.62         N/A      15.99        090
30435..............  ..............  R               Revision of nose....      11.71        N/A      10.78        1.10         N/A      23.59        090
30450..............  ..............  R               Revision of nose....      18.65        N/A      14.35        1.53         N/A      34.53        090
30460..............  ..............  A               Revision of nose....       9.96        N/A       8.07        0.85         N/A      18.88        090
30462..............  ..............  A               Revision of nose....      19.57        N/A      14.00        1.92         N/A      35.49        090
30465..............  ..............  A               Repair nasal              11.64        N/A       7.88        0.97         N/A      20.49        090
                                                      stenosis.
30520..............  ..............  A               Repair of nasal            5.70        N/A       5.37        0.41         N/A      11.48        090
                                                      septum.
30540..............  ..............  A               Repair nasal defect.       7.75        N/A       5.81        0.53         N/A      14.09        090
30545..............  ..............  A               Repair nasal defect.      11.38        N/A       8.93        0.80         N/A      21.11        090
30560..............  ..............  A               Release of nasal           1.26       4.38       1.99        0.09        5.73       3.34        010
                                                      adhesions.
30580..............  ..............  A               Repair upper jaw           6.69       7.43       6.34        0.50       14.62      13.53        090
                                                      fistula.
30600..............  ..............  A               Repair mouth/nose          6.02       6.51       5.69        0.70       13.23      12.41        090
                                                      fistula.
30620..............  ..............  A               Intranasal                 5.97        N/A       6.01        0.45         N/A      12.43        090
                                                      reconstruction.
30630..............  ..............  A               Repair nasal septum        7.12        N/A       6.43        0.51         N/A      14.06        090
                                                      defect.
30801..............  ..............  A               Cauterization, inner       1.09       2.29       2.17        0.08        3.46       3.34        010
                                                      nose.
30802..............  ..............  A               Cauterization, inner       2.03       2.85       2.70        0.15        5.03       4.88        010
                                                      nose.
30901..............  ..............  A               Control of nosebleed       1.21       1.41       0.33        0.09        2.71       1.63        000
30903..............  ..............  A               Control of nosebleed       1.54       2.92       0.51        0.12        4.58       2.17        000
30905..............  ..............  A               Control of nosebleed       1.97       3.73       0.78        0.15        5.85       2.90        000
30906..............  ..............  A               Repeat control of          2.45       4.12       1.23        0.17        6.74       3.85        000
                                                      nosebleed.
30915..............  ..............  A               Ligation, nasal            7.20        N/A       6.07        0.50         N/A      13.77        090
                                                      sinus artery.
30920..............  ..............  A               Ligation, upper jaw        9.83        N/A       7.76        0.69         N/A      18.28        090
                                                      artery.
30930..............  ..............  A               Therapy, fracture of       1.26        N/A       1.69        0.09         N/A       3.04        010
                                                      nose.
30999..............  ..............  C               Nasal surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.

[[Page 49110]]

 
31000..............  ..............  A               Irrigation,                1.15       2.99       1.46        0.08        4.22       2.69        010
                                                      maxillary sinus.
31002..............  ..............  A               Irrigation, sphenoid       1.91        N/A       3.10        0.14         N/A       5.15        010
                                                      sinus.
31020..............  ..............  A               Exploration,               2.94       4.31       3.66        0.20        7.45       6.80        090
                                                      maxillary sinus.
31030..............  ..............  A               Exploration,               5.92       5.82       4.95        0.42       12.16      11.29        090
                                                      maxillary sinus.
31032..............  ..............  A               Explore sinus,             6.57        N/A       5.82        0.47         N/A      12.86        090
                                                      remove polyps.
31040..............  ..............  A               Exploration behind         9.42        N/A       6.44        0.71         N/A      16.57        090
                                                      upper jaw.
31050..............  ..............  A               Exploration,               5.28        N/A       4.68        0.39         N/A      10.35        090
                                                      sphenoid sinus.
31051..............  ..............  A               Sphenoid sinus             7.11        N/A       6.08        0.55         N/A      13.74        090
                                                      surgery.
31070..............  ..............  A               Exploration of             4.28        N/A       4.40        0.30         N/A       8.98        090
                                                      frontal sinus.
31075..............  ..............  A               Exploration of             9.16        N/A       7.48        0.64         N/A      17.28        090
                                                      frontal sinus.
31080..............  ..............  A               Removal of frontal        11.42        N/A       8.68        0.78         N/A      20.88        090
                                                      sinus.
31081..............  ..............  A               Removal of frontal        12.75        N/A       9.70        1.84         N/A      24.29        090
                                                      sinus.
31084..............  ..............  A               Removal of frontal        13.51        N/A      10.36        0.96         N/A      24.83        090
                                                      sinus.
31085..............  ..............  A               Removal of frontal        14.20        N/A      10.72        1.18         N/A      26.10        090
                                                      sinus.
31086..............  ..............  A               Removal of frontal        12.86        N/A      10.18        0.90         N/A      23.94        090
                                                      sinus.
31087..............  ..............  A               Removal of frontal        13.10        N/A      10.10        1.15         N/A      24.35        090
                                                      sinus.
31090..............  ..............  A               Exploration of             9.53        N/A       8.91        0.66         N/A      19.10        090
                                                      sinuses.
31200..............  ..............  A               Removal of ethmoid         4.97        N/A       5.15        0.25         N/A      10.37        090
                                                      sinus.
31201..............  ..............  A               Removal of ethmoid         8.37        N/A       7.09        0.58         N/A      16.04        090
                                                      sinus.
31205..............  ..............  A               Removal of ethmoid        10.24        N/A       7.83        0.58         N/A      18.65        090
                                                      sinus.
31225..............  ..............  A               Removal of upper jaw      19.23        N/A      14.19        1.38         N/A      34.80        090
31230..............  ..............  A               Removal of upper jaw      21.94        N/A      15.60        1.57         N/A      39.11        090
31231..............  ..............  A               Nasal endoscopy, dx.       1.10       2.92       0.93        0.08        4.10       2.11        000
31233..............  ..............  A               Nasal/sinus                2.18       3.67       1.54        0.16        6.01       3.88        000
                                                      endoscopy, dx.
31235..............  ..............  A               Nasal/sinus                2.64       4.13       1.79        0.18        6.95       4.61        000
                                                      endoscopy, dx.
31237..............  ..............  A               Nasal/sinus                2.98       4.41       1.95        0.21        7.60       5.14        000
                                                      endoscopy, surg.
31238..............  ..............  A               Nasal/sinus                3.26       4.42       2.16        0.23        7.91       5.65        000
                                                      endoscopy, surg.
31239..............  ..............  A               Nasal/sinus                8.70        N/A       7.86        0.46         N/A      17.02        010
                                                      endoscopy, surg.
31240..............  ..............  A               Nasal/sinus                2.61        N/A       1.79        0.18         N/A       4.58        000
                                                      endoscopy, surg.
31254..............  ..............  A               Revision of ethmoid        4.65        N/A       2.94        0.32         N/A       7.91        000
                                                      sinus.
31255..............  ..............  A               Removal of ethmoid         6.96        N/A       4.24        0.49         N/A      11.69        000
                                                      sinus.
31256..............  ..............  A               Exploration                3.29        N/A       2.19        0.23         N/A       5.71        000
                                                      maxillary sinus.
31267..............  ..............  A               Endoscopy, maxillary       5.46        N/A       3.40        0.38         N/A       9.24        000
                                                      sinus.
31276..............  ..............  A               Sinus endoscopy,           8.85        N/A       5.27        0.62         N/A      14.74        000
                                                      surgical.
31287..............  ..............  A               Nasal/sinus                3.92        N/A       2.54        0.27         N/A       6.73        000
                                                      endoscopy, surg.
31288..............  ..............  A               Nasal/sinus                4.58        N/A       2.91        0.32         N/A       7.81        000
                                                      endoscopy, surg.
31290..............  ..............  A               Nasal/sinus               17.24        N/A      11.74        1.20         N/A      30.18        010
                                                      endoscopy, surg.
31291..............  ..............  A               Nasal/sinus               18.19        N/A      12.23        1.73         N/A      32.15        010
                                                      endoscopy, surg.
31292..............  ..............  A               Nasal/sinus               14.76        N/A      10.33        0.99         N/A      26.08        010
                                                      endoscopy, surg.
31293..............  ..............  A               Nasal/sinus               16.21        N/A      11.16        0.97         N/A      28.34        010
                                                      endoscopy, surg.
31294..............  ..............  A               Nasal/sinus               19.06        N/A      12.69        1.04         N/A      32.79        010
                                                      endoscopy, surg.
31299..............  ..............  C               Sinus surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
31300..............  ..............  A               Removal of larynx         14.29        N/A      12.71        0.99         N/A      27.99        090
                                                      lesion.
31320..............  ..............  A               Diagnostic incision,       5.26        N/A       7.77        0.40         N/A      13.43        090
                                                      larynx.
31360..............  ..............  A               Removal of larynx...      17.08        N/A      14.71        1.20         N/A      32.99        090
31365..............  ..............  A               Removal of larynx...      24.16        N/A      18.45        1.72         N/A      44.33        090
31367..............  ..............  A               Partial removal of        21.86        N/A      18.32        1.57         N/A      41.75        090
                                                      larynx.
31368..............  ..............  A               Partial removal of        27.09        N/A      22.10        1.90         N/A      51.09        090
                                                      larynx.
31370..............  ..............  A               Partial removal of        21.38        N/A      17.91        1.51         N/A      40.80        090
                                                      larynx.

[[Page 49111]]

 
31375..............  ..............  A               Partial removal of        20.21        N/A      16.14        1.43         N/A      37.78        090
                                                      larynx.
31380..............  ..............  A               Partial removal of        20.21        N/A      16.08        1.40         N/A      37.69        090
                                                      larynx.
31382..............  ..............  A               Partial removal of        20.52        N/A      17.46        1.44         N/A      39.42        090
                                                      larynx.
31390..............  ..............  A               Removal of larynx &       27.53        N/A      22.31        1.95         N/A      51.79        090
                                                      pharynx.
31395..............  ..............  A               Reconstruct larynx &      31.09        N/A      26.49        2.27         N/A      59.85        090
                                                      pharynx.
31400..............  ..............  A               Revision of larynx..      10.31        N/A      10.68        0.72         N/A      21.71        090
31420..............  ..............  A               Removal of                10.22        N/A      10.51        0.71         N/A      21.44        090
                                                      epiglottis.
31500..............  ..............  A               Insert emergency           2.33        N/A       0.67        0.15         N/A       3.15        000
                                                      airway.
31502..............  ..............  A               Change of windpipe         0.65       1.52       0.26        0.04        2.21       0.95        000
                                                      airway.
31505..............  ..............  A               Diagnostic                 0.61       1.52       0.64        0.04        2.17       1.29        000
                                                      laryngoscopy.
31510..............  ..............  A               Laryngoscopy with          1.92       3.36       1.31        0.15        5.43       3.38        000
                                                      biopsy.
31511..............  ..............  A               Remove foreign body,       2.16       3.19       1.13        0.16        5.51       3.45        000
                                                      larynx.
31512..............  ..............  A               Removal of larynx          2.07       3.26       1.42        0.16        5.49       3.65        000
                                                      lesion.
31513..............  ..............  A               Injection into vocal       2.10        N/A       1.52        0.15         N/A       3.77        000
                                                      cord.
31515..............  ..............  A               Laryngoscopy for           1.80       3.41       1.11        0.12        5.33       3.03        000
                                                      aspiration.
31520..............  ..............  A               Diagnostic                 2.56        N/A       1.63        0.17         N/A       4.36        000
                                                      laryngoscopy.
31525..............  ..............  A               Diagnostic                 2.63       3.61       1.72        0.18        6.42       4.53        000
                                                      laryngoscopy.
31526..............  ..............  A               Diagnostic                 2.57        N/A       1.78        0.18         N/A       4.53        000
                                                      laryngoscopy.
31527..............  ..............  A               Laryngoscopy for           3.27        N/A       1.94        0.21         N/A       5.42        000
                                                      treatment.
31528..............  ..............  A               Laryngoscopy and           2.37        N/A       1.47        0.16         N/A       4.00        000
                                                      dilation.
31529..............  ..............  A               Laryngoscopy and           2.68        N/A       1.75        0.18         N/A       4.61        000
                                                      dilation.
31530..............  ..............  A               Operative                  3.39        N/A       2.01        0.24         N/A       5.64        000
                                                      laryngoscopy.
31531..............  ..............  A               Operative                  3.59        N/A       2.36        0.25         N/A       6.20        000
                                                      laryngoscopy.
31535..............  ..............  A               Operative                  3.16        N/A       2.06        0.22         N/A       5.44        000
                                                      laryngoscopy.
31536..............  ..............  A               Operative                  3.56        N/A       2.33        0.25         N/A       6.14        000
                                                      laryngoscopy.
31540..............  ..............  A               Operative                  4.13        N/A       2.63        0.29         N/A       7.05        000
                                                      laryngoscopy.
31541..............  ..............  A               Operative                  4.53        N/A       2.87        0.32         N/A       7.72        000
                                                      laryngoscopy.
31560..............  ..............  A               Operative                  5.46        N/A       3.22        0.38         N/A       9.06        000
                                                      laryngoscopy.
31561..............  ..............  A               Operative                  6.00        N/A       3.44        0.42         N/A       9.86        000
                                                      laryngoscopy.
31570..............  ..............  A               Laryngoscopy with          3.87       5.44       2.47        0.24        9.55       6.58        000
                                                      injection.
31571..............  ..............  A               Laryngoscopy with          4.27        N/A       2.69        0.30         N/A       7.26        000
                                                      injection.
31575..............  ..............  A               Diagnostic                 1.10       1.95       0.92        0.08        3.13       2.10        000
                                                      laryngoscopy.
31576..............  ..............  A               Laryngoscopy with          1.97       3.52       1.34        0.13        5.62       3.44        000
                                                      biopsy.
31577..............  ..............  A               Remove foreign body,       2.47       3.65       1.60        0.17        6.29       4.24        000
                                                      larynx.
31578..............  ..............  A               Removal of larynx          2.84       4.15       1.59        0.20        7.19       4.63        000
                                                      lesion.
31579..............  ..............  A               Diagnostic                 2.26       3.30       1.55        0.16        5.72       3.97        000
                                                      laryngoscopy.
31580..............  ..............  A               Revision of larynx..      12.38        N/A      11.78        0.87         N/A      25.03        090
31582..............  ..............  A               Revision of larynx..      21.62        N/A      18.17        1.52         N/A      41.31        090
31584..............  ..............  A               Treat larynx              19.64        N/A      15.25        1.42         N/A      36.31        090
                                                      fracture.
31585..............  ..............  A               Treat larynx               4.64        N/A       6.01        0.30         N/A      10.95        090
                                                      fracture.
31586..............  ..............  A               Treat larynx               8.03        N/A       8.90        0.56         N/A      17.49        090
                                                      fracture.
31587..............  ..............  A               Revision of larynx..      11.99        N/A      10.61        0.88         N/A      23.48        090
31588..............  ..............  A               Revision of larynx..      13.11        N/A      13.80        0.92         N/A      27.83        090
31590..............  ..............  A               Reinnervate larynx..       6.97        N/A       9.29        0.50         N/A      16.76        090
31595..............  ..............  A               Larynx nerve surgery       8.34        N/A       8.09        0.62         N/A      17.05        090
31599..............  ..............  C               Larynx surgery             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
31600..............  ..............  A               Incision of windpipe       7.18        N/A       3.24        0.34         N/A      10.76        000
31601..............  ..............  A               Incision of windpipe       4.45        N/A       2.44        0.39         N/A       7.28        000
31603..............  ..............  A               Incision of windpipe       4.15        N/A       1.75        0.35         N/A       6.25        000
31605..............  ..............  A               Incision of windpipe       3.58        N/A       1.21        0.33         N/A       5.12        000
31610..............  ..............  A               Incision of windpipe       8.76        N/A       7.72        0.69         N/A      17.17        090
31611..............  ..............  A               Surgery/speech             5.64        N/A       6.31        0.40         N/A      12.35        090
                                                      prosthesis.
31612..............  ..............  A               Puncture/clear             0.91       1.16       0.36        0.06        2.13       1.33        000
                                                      windpipe.
31613..............  ..............  A               Repair windpipe            4.59        N/A       5.60        0.37         N/A      10.56        090
                                                      opening.
31614..............  ..............  A               Repair windpipe            7.12        N/A       8.18        0.51         N/A      15.81        090
                                                      opening.
31615..............  ..............  A               Visualization of           2.09       2.68       1.22        0.14        4.91       3.45        000
                                                      windpipe.
31622..............  ..............  A               Dx bronchoscope/wash       2.78       4.30       0.90        0.14        7.22       3.82        000

[[Page 49112]]

 
31623..............  ..............  A               Dx bronchoscope/           2.88       5.16       0.91        0.14        8.18       3.93        000
                                                      brush.
31624..............  ..............  A               Dx bronchoscope/           2.88       4.37       0.91        0.13        7.38       3.92        000
                                                      lavage.
31625..............  ..............  A               Bronchoscopy w/            3.37       9.22       1.06        0.16       12.75       4.59        000
                                                      biopsy(s).
31628..............  ..............  A               Bronchoscopy/lung          3.81       3.05       1.40        0.14        7.00       5.35        000
                                                      bx, each.
31629..............  ..............  A               Bronchoscopy/needle        3.37        N/A       1.28        0.13         N/A       4.78        000
                                                      bx, each.
31630..............  ..............  A               Bronchoscopy dilate/       3.82        N/A       2.00        0.30         N/A       6.12        000
                                                      fx repr.
31631..............  ..............  A               Bronchoscopy, dilate       4.37        N/A       2.03        0.31         N/A       6.71        000
                                                      w/stent.
31635..............  ..............  A               Bronchoscopy w/fb          3.68        N/A       1.69        0.21         N/A       5.58        000
                                                      removal.
31640..............  ..............  A               Bronchoscopy w/tumor       4.94        N/A       2.35        0.37         N/A       7.66        000
                                                      excise.
31641..............  ..............  A               Bronchoscopy, treat        5.03        N/A       2.14        0.30         N/A       7.47        000
                                                      blockage.
31643..............  ..............  A               Diag bronchoscope/         3.50        N/A       1.33        0.15         N/A       4.98        000
                                                      catheter.
31645..............  ..............  A               Bronchoscopy, clear        3.16        N/A       1.22        0.13         N/A       4.51        000
                                                      airways.
31646..............  ..............  A               Bronchoscopy,              2.72        N/A       1.09        0.12         N/A       3.93        000
                                                      reclear airway.
31656..............  ..............  A               Bronchoscopy, inj          2.17        N/A       0.93        0.10         N/A       3.20        000
                                                      for x-ray.
31700..............  ..............  A               Insertion of airway        1.34       2.12       0.69        0.07        3.53       2.10        000
                                                      catheter.
31708..............  ..............  A               Instill airway             1.41        N/A       0.59        0.06         N/A       2.06        000
                                                      contrast dye.
31710..............  ..............  A               Insertion of airway        1.30        N/A       0.71        0.06         N/A       2.07        000
                                                      catheter.
31715..............  ..............  A               Injection for              1.11        N/A       0.60        0.06         N/A       1.77        000
                                                      bronchus x-ray.
31717..............  ..............  A               Bronchial brush            2.12       2.92       0.88        0.09        5.13       3.09        000
                                                      biopsy.
31720..............  ..............  A               Clearance of airways       1.06       1.51       0.33        0.06        2.63       1.45        000
31725..............  ..............  A               Clearance of airways       1.96       1.82       0.59        0.10        3.88       2.65        000
31730..............  ..............  A               Intro, windpipe wire/      2.85       2.27       1.10        0.15        5.27       4.10        000
                                                      tube.
31750..............  ..............  A               Repair of windpipe..      13.02        N/A      12.06        1.02         N/A      26.10        090
31755..............  ..............  A               Repair of windpipe..      15.93        N/A      14.74        1.15         N/A      31.82        090
31760..............  ..............  A               Repair of windpipe..      22.35        N/A      10.51        1.48         N/A      34.34        090
31766..............  ..............  A               Reconstruction of         30.43        N/A      13.60        3.16         N/A      47.19        090
                                                      windpipe.
31770..............  ..............  A               Repair/graft of           22.51        N/A      10.16        2.27         N/A      34.94        090
                                                      bronchus.
31775..............  ..............  A               Reconstruct bronchus      23.54        N/A      11.78        2.91         N/A      38.23        090
31780..............  ..............  A               Reconstruct windpipe      17.72        N/A      11.12        1.55         N/A      30.39        090
31781..............  ..............  A               Reconstruct windpipe      23.53        N/A      12.15        2.04         N/A      37.72        090
31785..............  ..............  A               Remove windpipe           17.23        N/A      10.46        1.36         N/A      29.05        090
                                                      lesion.
31786..............  ..............  A               Remove windpipe           23.98        N/A      13.24        2.20         N/A      39.42        090
                                                      lesion.
31800..............  ..............  A               Repair of windpipe         7.43        N/A       4.92        0.67         N/A      13.02        090
                                                      injury.
31805..............  ..............  A               Repair of windpipe        13.13        N/A       7.17        1.45         N/A      21.75        090
                                                      injury.
31820..............  ..............  A               Closure of windpipe        4.49       5.80       5.15        0.35       10.64       9.99        090
                                                      lesion.
31825..............  ..............  A               Repair of windpipe         6.81       7.97       7.40        0.50       15.28      14.71        090
                                                      defect.
31830..............  ..............  A               Revise windpipe scar       4.50       5.92       5.47        0.36       10.78      10.33        090
31899..............  ..............  C               Airways surgical           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
32000..............  ..............  A               Drainage of chest...       1.54       3.16       0.49        0.07        4.77       2.10        000
32002..............  ..............  A               Treatment of               2.19       3.39       0.85        0.11        5.69       3.15        000
                                                      collapsed lung.
32005..............  ..............  A               Treat lung lining          2.19       6.47       0.70        0.17        8.83       3.06        000
                                                      chemically.
32020..............  ..............  A               Insertion of chest         3.98        N/A       1.46        0.36         N/A       5.80        000
                                                      tube.
32035..............  ..............  A               Exploration of chest       8.67        N/A       5.72        1.02         N/A      15.41        090
32036..............  ..............  A               Exploration of chest       9.68        N/A       6.24        1.20         N/A      17.12        090
32095..............  ..............  A               Biopsy through chest       8.36        N/A       5.27        0.99         N/A      14.62        090
                                                      wall.
32100..............  ..............  A               Exploration/biopsy        15.24        N/A       7.73        1.45         N/A      24.42        090
                                                      of chest.
32110..............  ..............  A               Explore/repair chest      23.00        N/A      10.63        1.63         N/A      35.26        090
32120..............  ..............  A               Re-exploration of         11.54        N/A       6.93        1.42         N/A      19.89        090
                                                      chest.

[[Page 49113]]

 
32124..............  ..............  A               Explore chest free        12.72        N/A       7.10        1.51         N/A      21.33        090
                                                      adhesions.
32140..............  ..............  A               Removal of lung           13.93        N/A       7.57        1.68         N/A      23.18        090
                                                      lesion(s).
32141..............  ..............  A               Remove/treat lung         14.00        N/A       7.45        1.72         N/A      23.17        090
                                                      lesions.
32150..............  ..............  A               Removal of lung           14.15        N/A       7.54        1.60         N/A      23.29        090
                                                      lesion(s).
32151..............  ..............  A               Remove lung foreign       14.21        N/A       7.94        1.49         N/A      23.64        090
                                                      body.
32160..............  ..............  A               Open chest heart           9.30        N/A       5.32        1.01         N/A      15.63        090
                                                      massage.
32200..............  ..............  A               Drain, open, lung         15.29        N/A       8.50        1.46         N/A      25.25        090
                                                      lesion.
32201..............  ..............  A               Drain, percut, lung        4.00        N/A       5.60        0.18         N/A       9.78        000
                                                      lesion.
32215..............  ..............  A               Treat chest lining..      11.33        N/A       6.84        1.34         N/A      19.51        090
32220..............  ..............  A               Release of lung.....      24.00        N/A      12.61        2.39         N/A      39.00        090
32225..............  ..............  A               Partial release of        13.96        N/A       7.64        1.70         N/A      23.30        090
                                                      lung.
32310..............  ..............  A               Removal of chest          13.44        N/A       7.38        1.65         N/A      22.47        090
                                                      lining.
32320..............  ..............  A               Free/remove chest         24.00        N/A      11.97        2.50         N/A      38.47        090
                                                      lining.
32400..............  ..............  A               Needle biopsy chest        1.76       1.73       0.56        0.07        3.56       2.39        000
                                                      lining.
32402..............  ..............  A               Open biopsy chest          7.56        N/A       5.11        0.91         N/A      13.58        090
                                                      lining.
32405..............  ..............  A               Biopsy, lung or            1.93       2.14       0.64        0.09        4.16       2.66        000
                                                      mediastinum.
32420..............  ..............  A               Puncture/clear lung.       2.18        N/A       0.84        0.11         N/A       3.13        000
32440..............  ..............  A               Removal of lung.....      25.00        N/A      12.61        2.56         N/A      40.17        090
32442..............  ..............  A               Sleeve pneumonectomy      26.24        N/A      14.34        3.12         N/A      43.70        090
32445..............  ..............  A               Removal of lung.....      25.09        N/A      13.75        3.11         N/A      41.95        090
32480..............  ..............  A               Partial removal of        23.75        N/A      11.81        2.24         N/A      37.80        090
                                                      lung.
32482..............  ..............  A               Bilobectomy.........      25.00        N/A      12.68        2.35         N/A      40.03        090
32484..............  ..............  A               Segmentectomy.......      20.69        N/A      11.12        2.54         N/A      34.35        090
32486..............  ..............  A               Sleeve lobectomy....      23.92        N/A      12.89        3.00         N/A      39.81        090
32488..............  ..............  A               Completion                25.71        N/A      13.44        3.18         N/A      42.33        090
                                                      pneumonectomy.
32491..............  ..............  R               Lung volume               21.25        N/A      12.23        2.66         N/A      36.14        090
                                                      reduction.
32500..............  ..............  A               Partial removal of        22.00        N/A      12.02        1.77         N/A      35.79        090
                                                      lung.
32501..............  ..............  A               Repair bronchus add-       4.69        N/A       1.54        0.56         N/A       6.79        ZZZ
                                                      on.
32520..............  ..............  A               Remove lung & revise      21.68        N/A      11.01        2.71         N/A      35.40        090
                                                      chest.
32522..............  ..............  A               Remove lung & revise      24.20        N/A      11.84        2.84         N/A      38.88        090
                                                      chest.
32525..............  ..............  A               Remove lung & revise      26.50        N/A      12.54        3.25         N/A      42.29        090
                                                      chest.
32540..............  ..............  A               Removal of lung           14.64        N/A       9.35        1.84         N/A      25.83        090
                                                      lesion.
32601..............  ..............  A               Thoracoscopy,              5.46        N/A       2.37        0.63         N/A       8.46        000
                                                      diagnostic.
32602..............  ..............  A               Thoracoscopy,              5.96        N/A       2.54        0.70         N/A       9.20        000
                                                      diagnostic.
32603..............  ..............  A               Thoracoscopy,              7.81        N/A       3.07        0.76         N/A      11.64        000
                                                      diagnostic.
32604..............  ..............  A               Thoracoscopy,              8.78        N/A       3.49        0.97         N/A      13.24        000
                                                      diagnostic.
32605..............  ..............  A               Thoracoscopy,              6.93        N/A       2.91        0.86         N/A      10.70        000
                                                      diagnostic.
32606..............  ..............  A               Thoracoscopy,              8.40        N/A       3.35        0.99         N/A      12.74        000
                                                      diagnostic.
32650..............  ..............  A               Thoracoscopy,             10.75        N/A       6.58        1.25         N/A      18.58        090
                                                      surgical.
32651..............  ..............  A               Thoracoscopy,             12.91        N/A       7.10        1.50         N/A      21.51        090
                                                      surgical.
32652..............  ..............  A               Thoracoscopy,             18.66        N/A       9.91        2.30         N/A      30.87        090
                                                      surgical.
32653..............  ..............  A               Thoracoscopy,             12.87        N/A       6.82        1.55         N/A      21.24        090
                                                      surgical.
32654..............  ..............  A               Thoracoscopy,             12.44        N/A       7.31        1.51         N/A      21.26        090
                                                      surgical.
32655..............  ..............  A               Thoracoscopy,             13.10        N/A       7.12        1.53         N/A      21.75        090
                                                      surgical.
32656..............  ..............  A               Thoracoscopy,             12.91        N/A       7.68        1.61         N/A      22.20        090
                                                      surgical.
32657..............  ..............  A               Thoracoscopy,             13.65        N/A       7.51        1.64         N/A      22.80        090
                                                      surgical.
32658..............  ..............  A               Thoracoscopy,             11.63        N/A       7.11        1.47         N/A      20.21        090
                                                      surgical.
32659..............  ..............  A               Thoracoscopy,             11.59        N/A       7.23        1.39         N/A      20.21        090
                                                      surgical.
32660..............  ..............  A               Thoracoscopy,             17.43        N/A       9.20        2.09         N/A      28.72        090
                                                      surgical.
32661..............  ..............  A               Thoracoscopy,             13.25        N/A       7.57        1.66         N/A      22.48        090
                                                      surgical.
32662..............  ..............  A               Thoracoscopy,             16.44        N/A       8.60        2.01         N/A      27.05        090
                                                      surgical.
32663..............  ..............  A               Thoracoscopy,             18.47        N/A      10.45        2.28         N/A      31.20        090
                                                      surgical.
32664..............  ..............  A               Thoracoscopy,             14.20        N/A       7.54        1.70         N/A      23.44        090
                                                      surgical.
32665..............  ..............  A               Thoracoscopy,             15.54        N/A       8.06        1.79         N/A      25.39        090
                                                      surgical.
32800..............  ..............  A               Repair lung hernia..      13.69        N/A       7.48        1.51         N/A      22.68        090
32810..............  ..............  A               Close chest after         13.05        N/A       7.54        1.55         N/A      22.14        090
                                                      drainage.
32815..............  ..............  A               Close bronchial           23.15        N/A      10.90        2.84         N/A      36.89        090
                                                      fistula.
32820..............  ..............  A               Reconstruct injured       21.48        N/A      12.20        2.31         N/A      35.99        090
                                                      chest.
32851..............  ..............  A               Lung transplant,          38.63        N/A      22.54        4.90         N/A      66.07        090
                                                      single.

[[Page 49114]]

 
32852..............  ..............  A               Lung transplant with      41.80        N/A      26.19        5.17         N/A      73.16        090
                                                      bypass.
32853..............  ..............  A               Lung transplant,          47.81        N/A      26.09        6.13         N/A      80.03        090
                                                      double.
32854..............  ..............  A               Lung transplant with      50.98        N/A      28.63        6.41         N/A      86.02        090
                                                      bypass.
32900..............  ..............  A               Removal of rib(s)...      20.27        N/A       9.96        2.42         N/A      32.65        090
32905..............  ..............  A               Revise & repair           20.75        N/A      10.15        2.54         N/A      33.44        090
                                                      chest wall.
32906..............  ..............  A               Revise & repair           26.77        N/A      12.07        3.30         N/A      42.14        090
                                                      chest wall.
32940..............  ..............  A               Revision of lung....      19.43        N/A       9.39        2.47         N/A      31.29        090
32960..............  ..............  A               Therapeutic                1.84       1.82       0.57        0.12        3.78       2.53        000
                                                      pneumothorax.
32997..............  ..............  A               Total lung lavage...       6.00        N/A       1.93        0.55         N/A       8.48        000
32999..............  ..............  C               Chest surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
33010..............  ..............  A               Drainage of heart          2.24        N/A       0.98        0.13         N/A       3.35        000
                                                      sac.
33011..............  ..............  A               Repeat drainage of         2.24        N/A       1.01        0.13         N/A       3.38        000
                                                      heart sac.
33015..............  ..............  A               Incision of heart          6.80        N/A       4.85        0.64         N/A      12.29        090
                                                      sac.
33020..............  ..............  A               Incision of heart         12.61        N/A       6.83        1.50         N/A      20.94        090
                                                      sac.
33025..............  ..............  A               Incision of heart         12.09        N/A       6.39        1.50         N/A      19.98        090
                                                      sac.
33030..............  ..............  A               Partial removal of        18.71        N/A       9.43        2.40         N/A      30.54        090
                                                      heart sac.
33031..............  ..............  A               Partial removal of        21.79        N/A      10.01        2.78         N/A      34.58        090
                                                      heart sac.
33050..............  ..............  A               Removal of heart sac      14.36        N/A       7.80        1.73         N/A      23.89        090
                                                      lesion.
33120..............  ..............  A               Removal of heart          24.56        N/A      11.60        3.06         N/A      39.22        090
                                                      lesion.
33130..............  ..............  A               Removal of heart          21.39        N/A      10.15        2.51         N/A      34.05        090
                                                      lesion.
33140..............  ..............  A               Heart revascularize       20.00        N/A      10.62        2.27         N/A      32.89        090
                                                      (tmr).
33141..............  ..............  A               Heart tmr w/other          4.84        N/A       1.56        0.55         N/A       6.95        ZZZ
                                                      procedure.
33200..............  ..............  A               Insertion of heart        12.48        N/A       6.96        1.17         N/A      20.61        090
                                                      pacemaker.
33201..............  ..............  A               Insertion of heart        10.18        N/A       6.59        1.21         N/A      17.98        090
                                                      pacemaker.
33206..............  ..............  A               Insertion of heart         6.67        N/A       4.60        0.50         N/A      11.77        090
                                                      pacemaker.
33207..............  ..............  A               Insertion of heart         8.04        N/A       4.89        0.57         N/A      13.50        090
                                                      pacemaker.
33208..............  ..............  A               Insertion of heart         8.13        N/A       5.03        0.54         N/A      13.70        090
                                                      pacemaker.
33210..............  ..............  A               Insertion of heart         3.30        N/A       1.28        0.17         N/A       4.75        000
                                                      electrode.
33211..............  ..............  A               Insertion of heart         3.40        N/A       1.34        0.17         N/A       4.91        000
                                                      electrode.
33212..............  ..............  A               Insertion of pulse         5.52        N/A       3.50        0.44         N/A       9.46        090
                                                      generator.
33213..............  ..............  A               Insertion of pulse         6.37        N/A       3.88        0.46         N/A      10.71        090
                                                      generator.
33214..............  ..............  A               Upgrade of pacemaker       7.75        N/A       5.07        0.52         N/A      13.34        090
                                                      system.
33215..............  ..............  A               Reposition pacing-         4.76        N/A       3.21        0.36         N/A       8.33        090
                                                      defib lead.
33216..............  ..............  A               Insert lead pace-          5.78        N/A       4.32        0.36         N/A      10.46        090
                                                      defib, one.
33217..............  ..............  A               Insert lead pace-          5.75        N/A       4.40        0.36         N/A      10.51        090
                                                      defib, dual.
33218..............  ..............  A               Repair lead pace-          5.44        N/A       4.36        0.40         N/A      10.20        090
                                                      defib, one.
33220..............  ..............  A               Repair lead pace-          5.52        N/A       4.35        0.39         N/A      10.26        090
                                                      defib, dual.
33222..............  ..............  A               Revise pocket,             4.96        N/A       4.27        0.39         N/A       9.62        090
                                                      pacemaker.
33223..............  ..............  A               Revise pocket,             6.46        N/A       4.74        0.44         N/A      11.64        090
                                                      pacing-defib.
33224..............  ..............  A               Insert pacing lead &       9.05        N/A       4.08        0.36         N/A      13.49        000
                                                      connect.
33225..............  ..............  A               L ventric pacing           8.34        N/A       3.28        0.36         N/A      11.98        ZZZ
                                                      lead add-on.
33226..............  ..............  A               Reposition l ventric       8.69        N/A       3.94        0.36         N/A      12.99        000
                                                      lead.
33233..............  ..............  A               Removal of pacemaker       3.29        N/A       3.39        0.22         N/A       6.90        090
                                                      system.

[[Page 49115]]

 
33234..............  ..............  A               Removal of pacemaker       7.82        N/A       5.04        0.56         N/A      13.42        090
                                                      system.
33235..............  ..............  A               Removal pacemaker          9.40        N/A       6.92        0.68         N/A      17.00        090
                                                      electrode.
33236..............  ..............  A               Remove electrode/         12.60        N/A       7.28        1.49         N/A      21.37        090
                                                      thoracotomy.
33237..............  ..............  A               Remove electrode/         13.71        N/A       7.67        1.57         N/A      22.95        090
                                                      thoracotomy.
33238..............  ..............  A               Remove electrode/         15.22        N/A       8.10        1.56         N/A      24.88        090
                                                      thoracotomy.
33240..............  ..............  A               Insert pulse               7.60        N/A       4.74        0.53         N/A      12.87        090
                                                      generator.
33241..............  ..............  A               Remove pulse               3.24        N/A       3.08        0.21         N/A       6.53        090
                                                      generator.
33243..............  ..............  A               Remove eltrd/             22.64        N/A      11.13        2.53         N/A      36.30        090
                                                      thoracotomy.
33244..............  ..............  A               Remove eltrd,             13.76        N/A       8.81        1.05         N/A      23.62        090
                                                      transven.
33245..............  ..............  A               Insert epic eltrd         14.30        N/A       8.00        1.28         N/A      23.58        090
                                                      pace-defib.
33246..............  ..............  A               Insert epic eltrd/        20.71        N/A      10.31        2.22         N/A      33.24        090
                                                      generator.
33249..............  ..............  A               Eltrd/insert pace-        14.23        N/A       8.63        0.80         N/A      23.66        090
                                                      defib.
33250..............  ..............  A               Ablate heart              21.85        N/A      11.61        1.01         N/A      34.47        090
                                                      dysrhythm focus.
33251..............  ..............  A               Ablate heart              24.88        N/A      11.56        2.41         N/A      38.85        090
                                                      dysrhythm focus.
33253..............  ..............  A               Reconstruct atria...      31.06        N/A      13.68        3.68         N/A      48.42        090
33261..............  ..............  A               Ablate heart              24.88        N/A      11.68        2.82         N/A      39.38        090
                                                      dysrhythm focus.
33282..............  ..............  A               Implant pat-active         4.17        N/A       4.21        0.39         N/A       8.77        090
                                                      ht record.
33284..............  ..............  A               Remove pat-active ht       2.50        N/A       3.77        0.23         N/A       6.50        090
                                                      record.
33300..............  ..............  A               Repair of heart           17.92        N/A       9.28        1.91         N/A      29.11        090
                                                      wound.
33305..............  ..............  A               Repair of heart           21.44        N/A      10.50        2.68         N/A      34.62        090
                                                      wound.
33310..............  ..............  A               Exploratory heart         18.51        N/A       9.47        2.26         N/A      30.24        090
                                                      surgery.
33315..............  ..............  A               Exploratory heart         22.37        N/A      10.74        2.90         N/A      36.01        090
                                                      surgery.
33320..............  ..............  A               Repair major blood        16.79        N/A       8.36        1.66         N/A      26.81        090
                                                      vessel(s).
33321..............  ..............  A               Repair major vessel.      20.20        N/A       9.73        2.70         N/A      32.63        090
33322..............  ..............  A               Repair major blood        20.62        N/A      10.29        2.51         N/A      33.42        090
                                                      vessel(s).
33330..............  ..............  A               Insert major vessel       21.43        N/A      10.26        2.49         N/A      34.18        090
                                                      graft.
33332..............  ..............  A               Insert major vessel       23.96        N/A      10.59        2.45         N/A      37.00        090
                                                      graft.
33335..............  ..............  A               Insert major vessel       30.01        N/A      13.22        3.79         N/A      47.02        090
                                                      graft.
33400..............  ..............  A               Repair of aortic          28.50        N/A      15.23        3.09         N/A      46.82        090
                                                      valve.
33401..............  ..............  A               Valvuloplasty, open.      23.91        N/A      13.30        2.71         N/A      39.92        090
33403..............  ..............  A               Valvuloplasty, w/cp       24.89        N/A      13.94        2.48         N/A      41.31        090
                                                      bypass.
33404..............  ..............  A               Prepare heart-aorta       28.54        N/A      14.10        3.31         N/A      45.95        090
                                                      conduit.
33405..............  ..............  A               Replacement of            35.00        N/A      17.75        3.86         N/A      56.61        090
                                                      aortic valve.
33406..............  ..............  A               Replacement of            37.50        N/A      18.55        4.07         N/A      60.12        090
                                                      aortic valve.
33410..............  ..............  A               Replacement of            32.46        N/A      16.19        4.11         N/A      52.76        090
                                                      aortic valve.
33411..............  ..............  A               Replacement of            36.25        N/A      18.20        4.16         N/A      58.61        090
                                                      aortic valve.
33412..............  ..............  A               Replacement of            42.00        N/A      19.94        4.66         N/A      66.60        090
                                                      aortic valve.
33413..............  ..............  A               Replacement of            43.50        N/A      20.31        4.26         N/A      68.07        090
                                                      aortic valve.
33414..............  ..............  A               Repair of aortic          30.35        N/A      13.85        3.79         N/A      47.99        090
                                                      valve.
33415..............  ..............  A               Revision,                 27.15        N/A      11.87        3.25         N/A      42.27        090
                                                      subvalvular tissue.
33416..............  ..............  A               Revise ventricle          30.35        N/A      13.34        3.85         N/A      47.54        090
                                                      muscle.
33417..............  ..............  A               Repair of aortic          28.53        N/A      13.33        3.58         N/A      45.44        090
                                                      valve.
33420..............  ..............  A               Revision of mitral        22.70        N/A       9.76        1.48         N/A      33.94        090
                                                      valve.
33422..............  ..............  A               Revision of mitral        25.94        N/A      13.21        3.30         N/A      42.45        090
                                                      valve.
33425..............  ..............  A               Repair of mitral          27.00        N/A      12.70        3.00         N/A      42.70        090
                                                      valve.
33426..............  ..............  A               Repair of mitral          33.00        N/A      16.66        3.87         N/A      53.53        090
                                                      valve.

[[Page 49116]]

 
33427..............  ..............  A               Repair of mitral          40.00        N/A      18.85        4.30         N/A      63.15        090
                                                      valve.
33430..............  ..............  A               Replacement of            33.50        N/A      16.79        3.95         N/A      54.24        090
                                                      mitral valve.
33460..............  ..............  A               Revision of               23.60        N/A      11.13        3.02         N/A      37.75        090
                                                      tricuspid valve.
33463..............  ..............  A               Valvuloplasty,            25.62        N/A      12.74        3.17         N/A      41.53        090
                                                      tricuspid.
33464..............  ..............  A               Valvuloplasty,            27.33        N/A      13.32        3.47         N/A      44.12        090
                                                      tricuspid.
33465..............  ..............  A               Replace tricuspid         28.79        N/A      12.81        3.61         N/A      45.21        090
                                                      valve.
33468..............  ..............  A               Revision of               30.12        N/A      13.40        4.00         N/A      47.52        090
                                                      tricuspid valve.
33470..............  ..............  A               Revision of               20.81        N/A      10.78        2.81         N/A      34.40        090
                                                      pulmonary valve.
33471..............  ..............  A               Valvotomy, pulmonary      22.25        N/A       9.80        3.00         N/A      35.05        090
                                                      valve.
33472..............  ..............  A               Revision of               22.25        N/A      11.63        2.92         N/A      36.80        090
                                                      pulmonary valve.
33474..............  ..............  A               Revision of               23.04        N/A      10.79        2.84         N/A      36.67        090
                                                      pulmonary valve.
33475..............  ..............  A               Replacement,              33.00        N/A      15.09        2.64         N/A      50.73        090
                                                      pulmonary valve.
33476..............  ..............  A               Revision of heart         25.77        N/A      11.97        2.40         N/A      40.14        090
                                                      chamber.
33478..............  ..............  A               Revision of heart         26.74        N/A      12.70        3.56         N/A      43.00        090
                                                      chamber.
33496..............  ..............  A               Repair, prosth valve      27.25        N/A      12.64        3.44         N/A      43.33        090
                                                      clot.
33500..............  ..............  A               Repair heart vessel       25.55        N/A      11.34        2.80         N/A      39.69        090
                                                      fistula.
33501..............  ..............  A               Repair heart vessel       17.78        N/A       8.28        2.05         N/A      28.11        090
                                                      fistula.
33502..............  ..............  A               Coronary artery           21.04        N/A      11.04        2.51         N/A      34.59        090
                                                      correction.
33503..............  ..............  A               Coronary artery           21.78        N/A       9.91        1.42         N/A      33.11        090
                                                      graft.
33504..............  ..............  A               Coronary artery           24.66        N/A      11.76        3.04         N/A      39.46        090
                                                      graft.
33505..............  ..............  A               Repair artery w/          26.84        N/A      12.97        1.52         N/A      41.33        090
                                                      tunnel.
33506..............  ..............  A               Repair artery,            35.50        N/A      14.56        3.19         N/A      53.25        090
                                                      translocation.
33508..............  ..............  A               Endoscopic vein            0.31        N/A       0.10        0.03         N/A       0.44        ZZZ
                                                      harvest.
33510..............  ..............  A               CABG, vein, single..      29.00        N/A      15.82        3.13         N/A      47.95        090
33511..............  ..............  A               CABG, vein, two.....      30.00        N/A      16.54        3.34         N/A      49.88        090
33512..............  ..............  A               CABG, vein, three...      31.80        N/A      17.07        3.70         N/A      52.57        090
33513..............  ..............  A               CABG, vein, four....      32.00        N/A      17.23        3.99         N/A      53.22        090
33514..............  ..............  A               CABG, vein, five....      32.75        N/A      17.49        4.37         N/A      54.61        090
33516..............  ..............  A               Cabg, vein, six or        35.00        N/A      18.24        4.62         N/A      57.86        090
                                                      more.
33517..............  ..............  A               CABG, artery-vein,         2.57        N/A       0.83        0.32         N/A       3.72        ZZZ
                                                      single.
33518..............  ..............  A               CABG, artery-vein,         4.85        N/A       1.57        0.61         N/A       7.03        ZZZ
                                                      two.
33519..............  ..............  A               CABG, artery-vein,         7.12        N/A       2.31        0.89         N/A      10.32        ZZZ
                                                      three.
33521..............  ..............  A               CABG, artery-vein,         9.40        N/A       3.05        1.18         N/A      13.63        ZZZ
                                                      four.
33522..............  ..............  A               CABG, artery-vein,        11.67        N/A       3.78        1.48         N/A      16.93        ZZZ
                                                      five.
33523..............  ..............  A               Cabg, art-vein, six       13.95        N/A       4.48        1.78         N/A      20.21        ZZZ
                                                      or more.
33530..............  ..............  A               Coronary artery,           5.86        N/A       1.89        0.73         N/A       8.48        ZZZ
                                                      bypass/reop.
33533..............  ..............  A               CABG, arterial,           30.00        N/A      15.96        3.24         N/A      49.20        090
                                                      single.
33534..............  ..............  A               CABG, arterial, two.      32.20        N/A      17.15        3.63         N/A      52.98        090
33535..............  ..............  A               CABG, arterial,           34.50        N/A      17.62        3.97         N/A      56.09        090
                                                      three.
33536..............  ..............  A               Cabg, arterial, four      37.50        N/A      17.89        3.29         N/A      58.68        090
                                                      or more.
33542..............  ..............  A               Removal of heart          28.85        N/A      12.98        3.61         N/A      45.44        090
                                                      lesion.
33545..............  ..............  A               Repair of heart           36.78        N/A      15.69        4.40         N/A      56.87        090
                                                      damage.
33572..............  ..............  A               Open coronary              4.45        N/A       1.44        0.55         N/A       6.44        ZZZ
                                                      endarterectomy.
33600..............  ..............  A               Closure of valve....      29.51        N/A      12.64        2.30         N/A      44.45        090
33602..............  ..............  A               Closure of valve....      28.54        N/A      12.79        2.90         N/A      44.23        090
33606..............  ..............  A               Anastomosis/artery-       30.74        N/A      13.65        3.59         N/A      47.98        090
                                                      aorta.
33608..............  ..............  A               Repair anomaly w/         31.09        N/A      13.82        4.17         N/A      49.08        090
                                                      conduit.
33610..............  ..............  A               Repair by                 30.61        N/A      14.17        4.02         N/A      48.80        090
                                                      enlargement.
33611..............  ..............  A               Repair double             34.00        N/A      13.95        3.28         N/A      51.23        090
                                                      ventricle.
33612..............  ..............  A               Repair double             35.00        N/A      15.01        4.44         N/A      54.45        090
                                                      ventricle.
33615..............  ..............  A               Repair, modified          34.00        N/A      15.11        3.15         N/A      52.26        090
                                                      fontan.
33617..............  ..............  A               Repair single             37.00        N/A      15.82        4.09         N/A      56.91        090
                                                      ventricle.
33619..............  ..............  A               Repair single             45.00        N/A      20.08        4.71         N/A      69.79        090
                                                      ventricle.
33641..............  ..............  A               Repair heart septum       21.39        N/A       9.47        2.67         N/A      33.53        090
                                                      defect.
33645..............  ..............  A               Revision of heart         24.82        N/A      11.50        3.27         N/A      39.59        090
                                                      veins.

[[Page 49117]]

 
33647..............  ..............  A               Repair heart septum       28.73        N/A      13.55        3.37         N/A      45.65        090
                                                      defects.
33660..............  ..............  A               Repair of heart           30.00        N/A      13.24        2.82         N/A      46.06        090
                                                      defects.
33665..............  ..............  A               Repair of heart           28.60        N/A      13.36        3.81         N/A      45.77        090
                                                      defects.
33670..............  ..............  A               Repair of heart           35.00        N/A      13.57        2.18         N/A      50.75        090
                                                      chambers.
33681..............  ..............  A               Repair heart septum       30.61        N/A      14.28        3.53         N/A      48.42        090
                                                      defect.
33684..............  ..............  A               Repair heart septum       29.65        N/A      13.47        3.77         N/A      46.89        090
                                                      defect.
33688..............  ..............  A               Repair heart septum       30.62        N/A      11.91        3.89         N/A      46.42        090
                                                      defect.
33690..............  ..............  A               Reinforce pulmonary       19.55        N/A      10.07        2.56         N/A      32.18        090
                                                      artery.
33692..............  ..............  A               Repair of heart           30.75        N/A      13.89        3.77         N/A      48.41        090
                                                      defects.
33694..............  ..............  A               Repair of heart           34.00        N/A      14.42        4.27         N/A      52.69        090
                                                      defects.
33697..............  ..............  A               Repair of heart           36.00        N/A      14.66        4.54         N/A      55.20        090
                                                      defects.
33702..............  ..............  A               Repair of heart           26.54        N/A      12.29        3.45         N/A      42.28        090
                                                      defects.
33710..............  ..............  A               Repair of heart           29.71        N/A      13.90        3.85         N/A      47.46        090
                                                      defects.
33720..............  ..............  A               Repair of heart           26.56        N/A      12.15        3.21         N/A      41.92        090
                                                      defect.
33722..............  ..............  A               Repair of heart           28.41        N/A      13.38        3.80         N/A      45.59        090
                                                      defect.
33730..............  ..............  A               Repair heart-vein         34.25        N/A      14.28        2.85         N/A      51.38        090
                                                      defect(s).
33732..............  ..............  A               Repair heart-vein         28.16        N/A      13.45        2.78         N/A      44.39        090
                                                      defect.
33735..............  ..............  A               Revision of heart         21.39        N/A      10.24        1.12         N/A      32.75        090
                                                      chamber.
33736..............  ..............  A               Revision of heart         23.52        N/A      11.80        2.70         N/A      38.02        090
                                                      chamber.
33737..............  ..............  A               Revision of heart         21.76        N/A      11.01        2.93         N/A      35.70        090
                                                      chamber.
33750..............  ..............  A               Major vessel shunt..      21.41        N/A      10.46        1.74         N/A      33.61        090
33755..............  ..............  A               Major vessel shunt..      21.79        N/A       9.31        2.93         N/A      34.03        090
33762..............  ..............  A               Major vessel shunt..      21.79        N/A      10.49        1.59         N/A      33.87        090
33764..............  ..............  A               Major vessel shunt &      21.79        N/A      10.31        1.93         N/A      34.03        090
                                                      graft.
33766..............  ..............  A               Major vessel shunt..      22.76        N/A      11.29        3.04         N/A      37.09        090
33767..............  ..............  A               Major vessel shunt..      24.50        N/A      11.72        3.14         N/A      39.36        090
33770..............  ..............  A               Repair great vessels      37.00        N/A      14.71        4.49         N/A      56.20        090
                                                      defect.
33771..............  ..............  A               Repair great vessels      34.65        N/A      12.79        4.67         N/A      52.11        090
                                                      defect.
33774..............  ..............  A               Repair great vessels      30.98        N/A      13.75        4.18         N/A      48.91        090
                                                      defect.
33775..............  ..............  A               Repair great vessels      32.20        N/A      14.58        4.34         N/A      51.12        090
                                                      defect.
33776..............  ..............  A               Repair great vessels      34.04        N/A      15.38        4.58         N/A      54.00        090
                                                      defect.
33777..............  ..............  A               Repair great vessels      33.46        N/A      15.26        4.51         N/A      53.23        090
                                                      defect.
33778..............  ..............  A               Repair great vessels      40.00        N/A      16.75        4.83         N/A      61.58        090
                                                      defect.
33779..............  ..............  A               Repair great vessels      36.21        N/A      15.62        2.40         N/A      54.23        090
                                                      defect.
33780..............  ..............  A               Repair great vessels      41.75        N/A      18.87        5.21         N/A      65.83        090
                                                      defect.
33781..............  ..............  A               Repair great vessels      36.45        N/A      13.94        4.91         N/A      55.30        090
                                                      defect.
33786..............  ..............  A               Repair arterial           39.00        N/A      16.66        4.69         N/A      60.35        090
                                                      trunk.
33788..............  ..............  A               Revision of               26.62        N/A      12.19        3.32         N/A      42.13        090
                                                      pulmonary artery.
33800..............  ..............  A               Aortic suspension...      16.24        N/A       7.87        1.11         N/A      25.22        090
33802..............  ..............  A               Repair vessel defect      17.66        N/A       9.04        1.56         N/A      28.26        090
33803..............  ..............  A               Repair vessel defect      19.60        N/A       9.61        2.63         N/A      31.84        090
33813..............  ..............  A               Repair septal defect      20.65        N/A      10.59        2.78         N/A      34.02        090
33814..............  ..............  A               Repair septal defect      25.77        N/A      12.38        2.52         N/A      40.67        090
33820..............  ..............  A               Revise major vessel.      16.29        N/A       8.13        2.10         N/A      26.52        090
33822..............  ..............  A               Revise major vessel.      17.32        N/A       8.71        2.33         N/A      28.36        090
33824..............  ..............  A               Revise major vessel.      19.52        N/A       9.87        2.61         N/A      32.00        090
33840..............  ..............  A               Remove aorta              20.63        N/A      10.08        2.36         N/A      33.07        090
                                                      constriction.
33845..............  ..............  A               Remove aorta              22.12        N/A      11.07        2.90         N/A      36.09        090
                                                      constriction.
33851..............  ..............  A               Remove aorta              21.27        N/A      10.45        2.86         N/A      34.58        090
                                                      constriction.
33852..............  ..............  A               Repair septal defect      23.71        N/A      11.32        3.19         N/A      38.22        090

[[Page 49118]]

 
33853..............  ..............  A               Repair septal defect      31.72        N/A      14.46        4.23         N/A      50.41        090
33860..............  ..............  A               Ascending aortic          38.00        N/A      16.22        4.30         N/A      58.52        090
                                                      graft.
33861..............  ..............  A               Ascending aortic          42.00        N/A      17.49        4.24         N/A      63.73        090
                                                      graft.
33863..............  ..............  A               Ascending aortic          45.00        N/A      18.45        4.60         N/A      68.05        090
                                                      graft.
33870..............  ..............  A               Transverse aortic         44.00        N/A      18.16        5.09         N/A      67.25        090
                                                      arch graft.
33875..............  ..............  A               Thoracic aortic           33.06        N/A      14.04        4.08         N/A      51.18        090
                                                      graft.
33877..............  ..............  A               Thoracoabdominal          42.60        N/A      16.81        5.07         N/A      64.48        090
                                                      graft.
33910..............  ..............  A               Remove lung artery        24.59        N/A      11.37        3.06         N/A      39.02        090
                                                      emboli.
33915..............  ..............  A               Remove lung artery        21.02        N/A       9.78        1.20         N/A      32.00        090
                                                      emboli.
33916..............  ..............  A               Surgery of great          25.83        N/A      11.48        3.04         N/A      40.35        090
                                                      vessel.
33917..............  ..............  A               Repair pulmonary          24.50        N/A      11.96        3.17         N/A      39.63        090
                                                      artery.
33918..............  ..............  A               Repair pulmonary          26.45        N/A      12.37        3.42         N/A      42.24        090
                                                      atresia.
33919..............  ..............  A               Repair pulmonary          40.00        N/A      17.32        3.48         N/A      60.80        090
                                                      atresia.
33920..............  ..............  A               Repair pulmonary          31.95        N/A      13.90        3.61         N/A      49.46        090
                                                      atresia.
33922..............  ..............  A               Transect pulmonary        23.52        N/A      10.91        2.30         N/A      36.73        090
                                                      artery.
33924..............  ..............  A               Remove pulmonary           5.50        N/A       1.82        0.74         N/A       8.06        ZZZ
                                                      shunt.
33935..............  ..............  R               Transplantation,          60.96        N/A      25.80        8.15         N/A      94.91        090
                                                      heart/lung.
33945..............  ..............  R               Transplantation of        42.10        N/A      18.74        5.42         N/A      66.26        090
                                                      heart.
33960..............  ..............  A               External circulation      19.36        N/A       4.93        2.14         N/A      26.43        000
                                                      assist.
33961..............  ..............  A               External circulation      10.93        N/A       3.63        1.47         N/A      16.03        ZZZ
                                                      assist.
33967..............  ..............  A               Insert ia percut           4.85        N/A       1.87        0.28         N/A       7.00        000
                                                      device.
33968..............  ..............  A               Remove aortic assist       0.64        N/A       0.23        0.07         N/A       0.94        000
                                                      device.
33970..............  ..............  A               Aortic circulation         6.75        N/A       2.28        0.70         N/A       9.73        000
                                                      assist.
33971..............  ..............  A               Aortic circulation         9.69        N/A       6.06        0.97         N/A      16.72        090
                                                      assist.
33973..............  ..............  A               Insert balloon             9.76        N/A       3.30        1.01         N/A      14.07        000
                                                      device.
33974..............  ..............  A               Remove intra-aortic       14.41        N/A       8.04        1.48         N/A      23.93        090
                                                      balloon.
33975..............  ..............  A               Implant ventricular       21.00        N/A       6.25        1.72         N/A      28.97        XXX
                                                      device.
33976..............  ..............  A               Implant ventricular       23.00        N/A       7.50        2.82         N/A      33.32        XXX
                                                      device.
33977..............  ..............  A               Remove ventricular        19.29        N/A      10.79        2.44         N/A      32.52        090
                                                      device.
33978..............  ..............  A               Remove ventricular        21.73        N/A      11.66        2.66         N/A      36.05        090
                                                      device.
33979..............  ..............  A               Insert                    46.00        N/A      14.79        3.98         N/A      64.77        XXX
                                                      intracorporeal
                                                      device.
33980..............  ..............  A               Remove                    56.25        N/A      24.81        4.60         N/A      85.66        090
                                                      intracorporeal
                                                      device.
33999..............  ..............  C               Cardiac surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
34001..............  ..............  A               Removal of artery         12.91        N/A       6.72        1.46         N/A      21.09        090
                                                      clot.
34051..............  ..............  A               Removal of artery         15.21        N/A       7.62        1.90         N/A      24.73        090
                                                      clot.
34101..............  ..............  A               Removal of artery         10.00        N/A       5.40        1.11         N/A      16.51        090
                                                      clot.
34111..............  ..............  A               Removal of arm            10.00        N/A       5.42        0.85         N/A      16.27        090
                                                      artery clot.
34151..............  ..............  A               Removal of artery         25.00        N/A      10.63        1.84         N/A      37.47        090
                                                      clot.
34201..............  ..............  A               Removal of artery         10.03        N/A       5.50        1.02         N/A      16.55        090
                                                      clot.
34203..............  ..............  A               Removal of leg            16.50        N/A       8.15        1.37         N/A      26.02        090
                                                      artery clot.
34401..............  ..............  A               Removal of vein clot      25.00        N/A      10.82        1.20         N/A      37.02        090
34421..............  ..............  A               Removal of vein clot      12.00        N/A       6.38        0.95         N/A      19.33        090
34451..............  ..............  A               Removal of vein clot      27.00        N/A      11.53        1.59         N/A      40.12        090
34471..............  ..............  A               Removal of vein clot      10.18        N/A       5.44        0.90         N/A      16.52        090
34490..............  ..............  A               Removal of vein clot       9.86        N/A       5.51        0.73         N/A      16.10        090
34501..............  ..............  A               Repair valve,             16.00        N/A       8.44        1.37         N/A      25.81        090
                                                      femoral vein.
34502..............  ..............  A               Reconstruct vena          26.95        N/A      12.31        2.99         N/A      42.25        090
                                                      cava.
34510..............  ..............  A               Transposition of          18.95        N/A       9.42        1.60         N/A      29.97        090
                                                      vein valve.
34520..............  ..............  A               Cross-over vein           17.95        N/A       8.86        1.41         N/A      28.22        090
                                                      graft.
34530..............  ..............  A               Leg vein fusion.....      16.64        N/A       8.67        2.06         N/A      27.37        090
34800..............  ..............  A               Endovasc abdo repair      20.75        N/A       9.23        1.49         N/A      31.47        090
                                                      w/tube.
34802..............  ..............  A               Endovasc abdo repr w/     23.00        N/A       9.93        1.65         N/A      34.58        090
                                                      device.
34804..............  ..............  A               Endovasc abdo repr w/     23.00        N/A       9.92        1.65         N/A      34.57        090
                                                      device.
34808..............  ..............  A               Endovasc abdo occlud       4.13        N/A       1.39        0.29         N/A       5.81        ZZZ
                                                      device.

[[Page 49119]]

 
34812..............  ..............  A               Xpose for                  6.75        N/A       2.27        0.49         N/A       9.51        000
                                                      endoprosth, femorl.
34813..............  ..............  A               Femoral endovas            4.80        N/A       1.59        0.34         N/A       6.73        ZZZ
                                                      graft add-on.
34820..............  ..............  A               Xpose for                  9.75        N/A       3.29        0.70         N/A      13.74        000
                                                      endoprosth, iliac.
34825..............  ..............  A               Endovasc extend           12.00        N/A       6.21        0.86         N/A      19.07        090
                                                      prosth, init.
34826..............  ..............  A               Endovasc exten             4.13        N/A       1.40        0.29         N/A       5.82        ZZZ
                                                      prosth, addl.
34830..............  ..............  A               Open aortic tube          32.59        N/A      13.76        2.34         N/A      48.69        090
                                                      prosth repr.
34831..............  ..............  A               Open aortoiliac           35.34        N/A      11.91        2.53         N/A      49.78        090
                                                      prosth repr.
34832..............  ..............  A               Open aortofemor           35.34        N/A      14.76        2.53         N/A      52.63        090
                                                      prosth repr.
34833..............  ..............  A               Xpose for                 12.00        N/A       4.58        0.70         N/A      17.28        000
                                                      endoprosth, iliac.
34834..............  ..............  A               Xpose, endoprosth,         5.35        N/A       2.26        0.49         N/A       8.10        000
                                                      brachial.
34900..............  ..............  A               Endovasc iliac repr       16.38        N/A       7.96        1.49         N/A      25.83        090
                                                      w/graft.
35001..............  ..............  A               Repair defect of          19.64        N/A       9.52        2.44         N/A      31.60        090
                                                      artery.
35002..............  ..............  A               Repair artery             21.00        N/A       9.79        1.82         N/A      32.61        090
                                                      rupture, neck.
35005..............  ..............  A               Repair defect of          18.12        N/A       8.86        1.35         N/A      28.33        090
                                                      artery.
35011..............  ..............  A               Repair defect of          18.00        N/A       8.07        1.30         N/A      27.37        090
                                                      artery.
35013..............  ..............  A               Repair artery             22.00        N/A       9.76        1.91         N/A      33.67        090
                                                      rupture, arm.
35021..............  ..............  A               Repair defect of          19.65        N/A       9.29        1.93         N/A      30.87        090
                                                      artery.
35022..............  ..............  A               Repair artery             23.18        N/A      10.08        1.99         N/A      35.25        090
                                                      rupture, chest.
35045..............  ..............  A               Repair defect of arm      17.57        N/A       7.73        1.25         N/A      26.55        090
                                                      artery.
35081..............  ..............  A               Repair defect of          28.01        N/A      11.52        3.20         N/A      42.73        090
                                                      artery.
35082..............  ..............  A               Repair artery             38.50        N/A      15.52        4.07         N/A      58.09        090
                                                      rupture, aorta.
35091..............  ..............  A               Repair defect of          35.40        N/A      13.78        4.09         N/A      53.27        090
                                                      artery.
35092..............  ..............  A               Repair artery             45.00        N/A      17.92        4.31         N/A      67.23        090
                                                      rupture, aorta.
35102..............  ..............  A               Repair defect of          30.76        N/A      12.60        3.44         N/A      46.80        090
                                                      artery.
35103..............  ..............  A               Repair artery             40.50        N/A      16.13        3.79         N/A      60.42        090
                                                      rupture, groin.
35111..............  ..............  A               Repair defect of          25.00        N/A      10.58        1.81         N/A      37.39        090
                                                      artery.
35112..............  ..............  A               Repair artery             30.00        N/A      12.22        1.95         N/A      44.17        090
                                                      rupture,spleen.
35121..............  ..............  A               Repair defect of          30.00        N/A      12.57        2.93         N/A      45.50        090
                                                      artery.
35122..............  ..............  A               Repair artery             35.00        N/A      14.09        3.54         N/A      52.63        090
                                                      rupture, belly.
35131..............  ..............  A               Repair defect of          25.00        N/A      10.89        2.11         N/A      38.00        090
                                                      artery.
35132..............  ..............  A               Repair artery             30.00        N/A      12.58        2.48         N/A      45.06        090
                                                      rupture, groin.
35141..............  ..............  A               Repair defect of          20.00        N/A       9.01        1.65         N/A      30.66        090
                                                      artery.
35142..............  ..............  A               Repair artery             23.30        N/A      10.48        1.75         N/A      35.53        090
                                                      rupture, thigh.
35151..............  ..............  A               Repair defect of          22.64        N/A      10.11        1.93         N/A      34.68        090
                                                      artery.
35152..............  ..............  A               Repair artery             25.62        N/A      11.43        1.93         N/A      38.98        090
                                                      rupture, knee.
35161..............  ..............  A               Repair defect of          18.76        N/A       9.16        2.21         N/A      30.13        090
                                                      artery.
35162..............  ..............  A               Repair artery             19.78        N/A       9.64        2.21         N/A      31.63        090
                                                      rupture.
35180..............  ..............  A               Repair blood vessel       13.62        N/A       7.02        1.44         N/A      22.08        090
                                                      lesion.
35182..............  ..............  A               Repair blood vessel       30.00        N/A      12.93        1.88         N/A      44.81        090
                                                      lesion.
35184..............  ..............  A               Repair blood vessel       18.00        N/A       8.38        1.34         N/A      27.72        090
                                                      lesion.
35188..............  ..............  A               Repair blood vessel       14.28        N/A       7.60        1.53         N/A      23.41        090
                                                      lesion.
35189..............  ..............  A               Repair blood vessel       28.00        N/A      12.09        2.12         N/A      42.21        090
                                                      lesion.
35190..............  ..............  A               Repair blood vessel       12.75        N/A       6.54        1.33         N/A      20.62        090
                                                      lesion.
35201..............  ..............  A               Repair blood vessel       16.14        N/A       8.01        1.17         N/A      25.32        090
                                                      lesion.
35206..............  ..............  A               Repair blood vessel       13.25        N/A       6.72        1.04         N/A      21.01        090
                                                      lesion.
35207..............  ..............  A               Repair blood vessel       10.15        N/A       7.85        1.15         N/A      19.15        090
                                                      lesion.
35211..............  ..............  A               Repair blood vessel       22.12        N/A      10.47        2.83         N/A      35.42        090
                                                      lesion.
35216..............  ..............  A               Repair blood vessel       18.75        N/A       8.95        2.17         N/A      29.87        090
                                                      lesion.
35221..............  ..............  A               Repair blood vessel       24.39        N/A      10.20        1.79         N/A      36.38        090
                                                      lesion.
35226..............  ..............  A               Repair blood vessel       14.50        N/A       7.72        0.84         N/A      23.06        090
                                                      lesion.

[[Page 49120]]

 
35231..............  ..............  A               Repair blood vessel       20.00        N/A       9.91        1.32         N/A      31.23        090
                                                      lesion.
35236..............  ..............  A               Repair blood vessel       17.11        N/A       8.08        1.19         N/A      26.38        090
                                                      lesion.
35241..............  ..............  A               Repair blood vessel       23.12        N/A      10.91        2.90         N/A      36.93        090
                                                      lesion.
35246..............  ..............  A               Repair blood vessel       26.45        N/A      11.40        2.22         N/A      40.07        090
                                                      lesion.
35251..............  ..............  A               Repair blood vessel       30.20        N/A      12.11        1.87         N/A      44.18        090
                                                      lesion.
35256..............  ..............  A               Repair blood vessel       18.36        N/A       8.44        1.32         N/A      28.12        090
                                                      lesion.
35261..............  ..............  A               Repair blood vessel       17.80        N/A       8.10        1.34         N/A      27.24        090
                                                      lesion.
35266..............  ..............  A               Repair blood vessel       14.91        N/A       7.16        1.16         N/A      23.23        090
                                                      lesion.
35271..............  ..............  A               Repair blood vessel       22.12        N/A      10.37        2.77         N/A      35.26        090
                                                      lesion.
35276..............  ..............  A               Repair blood vessel       24.25        N/A      11.17        2.37         N/A      37.79        090
                                                      lesion.
35281..............  ..............  A               Repair blood vessel       28.00        N/A      11.93        1.82         N/A      41.75        090
                                                      lesion.
35286..............  ..............  A               Repair blood vessel       16.16        N/A       8.18        1.36         N/A      25.70        090
                                                      lesion.
35301..............  ..............  A               Rechanneling of           18.70        N/A       8.49        2.23         N/A      29.42        090
                                                      artery.
35311..............  ..............  A               Rechanneling of           27.00        N/A      11.61        2.75         N/A      41.36        090
                                                      artery.
35321..............  ..............  A               Rechanneling of           16.00        N/A       7.41        1.36         N/A      24.77        090
                                                      artery.
35331..............  ..............  A               Rechanneling of           26.20        N/A      11.37        2.71         N/A      40.28        090
                                                      artery.
35341..............  ..............  A               Rechanneling of           25.11        N/A      11.02        2.87         N/A      39.00        090
                                                      artery.
35351..............  ..............  A               Rechanneling of           23.00        N/A       9.80        2.29         N/A      35.09        090
                                                      artery.
35355..............  ..............  A               Rechanneling of           18.50        N/A       8.28        1.80         N/A      28.58        090
                                                      artery.
35361..............  ..............  A               Rechanneling of           28.20        N/A      11.91        2.66         N/A      42.77        090
                                                      artery.
35363..............  ..............  A               Rechanneling of           30.20        N/A      12.73        2.77         N/A      45.70        090
                                                      artery.
35371..............  ..............  A               Rechanneling of           14.72        N/A       7.08        1.32         N/A      23.12        090
                                                      artery.
35372..............  ..............  A               Rechanneling of           18.00        N/A       8.20        1.53         N/A      27.73        090
                                                      artery.
35381..............  ..............  A               Rechanneling of           15.81        N/A       7.85        1.80         N/A      25.46        090
                                                      artery.
35390..............  ..............  A               Reoperation, carotid       3.19        N/A       1.07        0.38         N/A       4.64        ZZZ
                                                      add-on.
35400..............  ..............  A               Angioscopy..........       3.00        N/A       1.05        0.34         N/A       4.39        ZZZ
35450..............  ..............  A               Repair arterial           10.07        N/A       4.07        0.84         N/A      14.98        000
                                                      blockage.
35452..............  ..............  A               Repair arterial            6.91        N/A       3.17        0.76         N/A      10.84        000
                                                      blockage.
35454..............  ..............  A               Repair arterial            6.04        N/A       2.85        0.67         N/A       9.56        000
                                                      blockage.
35456..............  ..............  A               Repair arterial            7.35        N/A       3.29        0.82         N/A      11.46        000
                                                      blockage.
35458..............  ..............  A               Repair arterial            9.49        N/A       4.00        1.09         N/A      14.58        000
                                                      blockage.
35459..............  ..............  A               Repair arterial            8.63        N/A       3.66        0.96         N/A      13.25        000
                                                      blockage.
35460..............  ..............  A               Repair venous              6.04        N/A       2.70        0.66         N/A       9.40        000
                                                      blockage.
35470..............  ..............  A               Repair arterial            8.63        N/A       3.89        0.50         N/A      13.02        000
                                                      blockage.
35471..............  ..............  A               Repair arterial           10.07        N/A       4.51        0.50         N/A      15.08        000
                                                      blockage.
35472..............  ..............  A               Repair arterial            6.91        N/A       3.27        0.39         N/A      10.57        000
                                                      blockage.
35473..............  ..............  A               Repair arterial            6.04        N/A       2.94        0.34         N/A       9.32        000
                                                      blockage.
35474..............  ..............  A               Repair arterial            7.36        N/A       2.92        0.40         N/A      10.68        000
                                                      blockage.
35475..............  ..............  R               Repair arterial            9.49        N/A       4.10        0.47         N/A      14.06        000
                                                      blockage.
35476..............  ..............  A               Repair venous              6.04        N/A       2.87        0.27         N/A       9.18        000
                                                      blockage.
35480..............  ..............  A               Atherectomy, open...      11.08        N/A       4.55        1.13         N/A      16.76        000
35481..............  ..............  A               Atherectomy, open...       7.61        N/A       3.46        0.84         N/A      11.91        000
35482..............  ..............  A               Atherectomy, open...       6.65        N/A       3.10        0.75         N/A      10.50        000
35483..............  ..............  A               Atherectomy, open...       8.10        N/A       3.55        0.81         N/A      12.46        000
35484..............  ..............  A               Atherectomy, open...      10.44        N/A       4.26        1.13         N/A      15.83        000
35485..............  ..............  A               Atherectomy, open...       9.49        N/A       4.08        1.06         N/A      14.63        000
35490..............  ..............  A               Atherectomy,              11.08        N/A       4.78        0.55         N/A      16.41        000
                                                      percutaneous.
35491..............  ..............  A               Atherectomy,               7.61        N/A       3.34        0.49         N/A      11.44        000
                                                      percutaneous.
35492..............  ..............  A               Atherectomy,               6.65        N/A       3.22        0.43         N/A      10.30        000
                                                      percutaneous.
35493..............  ..............  A               Atherectomy,               8.10        N/A       3.85        0.47         N/A      12.42        000
                                                      percutaneous.
35494..............  ..............  A               Atherectomy,              10.44        N/A       4.44        0.48         N/A      15.36        000
                                                      percutaneous.
35495..............  ..............  A               Atherectomy,               9.49        N/A       4.45        0.51         N/A      14.45        000
                                                      percutaneous.
35500..............  ..............  A               Harvest vein for           6.45        N/A       2.06        0.63         N/A       9.14        ZZZ
                                                      bypass.
35501..............  ..............  A               Artery bypass graft.      19.19        N/A       8.45        2.33         N/A      29.97        090
35506..............  ..............  A               Artery bypass graft.      19.67        N/A       9.38        2.33         N/A      31.38        090
35507..............  ..............  A               Artery bypass graft.      19.67        N/A       9.36        2.27         N/A      31.30        090
35508..............  ..............  A               Artery bypass graft.      18.65        N/A       9.27        2.34         N/A      30.26        090
35509..............  ..............  A               Artery bypass graft.      18.07        N/A       8.75        2.12         N/A      28.94        090
35511..............  ..............  A               Artery bypass graft.      21.20        N/A       9.43        1.74         N/A      32.37        090

[[Page 49121]]

 
35515..............  ..............  A               Artery bypass graft.      18.65        N/A       9.22        2.26         N/A      30.13        090
35516..............  ..............  A               Artery bypass graft.      16.32        N/A       6.81        1.88         N/A      25.01        090
35518..............  ..............  A               Artery bypass graft.      21.20        N/A       9.12        1.78         N/A      32.10        090
35521..............  ..............  A               Artery bypass graft.      22.20        N/A       9.94        1.82         N/A      33.96        090
35526..............  ..............  A               Artery bypass graft.      29.95        N/A      12.49        2.18         N/A      44.62        090
35531..............  ..............  A               Artery bypass graft.      36.20        N/A      14.73        2.91         N/A      53.84        090
35533..............  ..............  A               Artery bypass graft.      28.00        N/A      11.91        2.35         N/A      42.26        090
35536..............  ..............  A               Artery bypass graft.      31.70        N/A      13.21        2.62         N/A      47.53        090
35541..............  ..............  A               Artery bypass graft.      25.80        N/A      11.28        2.74         N/A      39.82        090
35546..............  ..............  A               Artery bypass graft.      25.54        N/A      10.99        2.84         N/A      39.37        090
35548..............  ..............  A               Artery bypass graft.      21.57        N/A       9.54        2.45         N/A      33.56        090
35549..............  ..............  A               Artery bypass graft.      23.35        N/A      10.39        2.77         N/A      36.51        090
35551..............  ..............  A               Artery bypass graft.      26.67        N/A      11.52        3.19         N/A      41.38        090
35556..............  ..............  A               Artery bypass graft.      21.76        N/A       9.82        2.48         N/A      34.06        090
35558..............  ..............  A               Artery bypass graft.      21.20        N/A       9.64        1.58         N/A      32.42        090
35560..............  ..............  A               Artery bypass graft.      32.00        N/A      13.46        2.73         N/A      48.19        090
35563..............  ..............  A               Artery bypass graft.      24.20        N/A      10.67        1.68         N/A      36.55        090
35565..............  ..............  A               Artery bypass graft.      23.20        N/A      10.31        1.71         N/A      35.22        090
35566..............  ..............  A               Artery bypass graft.      26.92        N/A      11.51        3.02         N/A      41.45        090
35571..............  ..............  A               Artery bypass graft.      24.06        N/A      11.25        2.14         N/A      37.45        090
35572..............  ..............  A               Harvest                    6.82        N/A       2.37        0.63         N/A       9.82        ZZZ
                                                      femoropopliteal
                                                      vein.
35582..............  ..............  A               Vein bypass graft...      27.13        N/A      11.67        3.11         N/A      41.91        090
35583..............  ..............  A               Vein bypass graft...      22.37        N/A      10.37        2.53         N/A      35.27        090
35585..............  ..............  A               Vein bypass graft...      28.39        N/A      12.61        3.21         N/A      44.21        090
35587..............  ..............  A               Vein bypass graft...      24.75        N/A      11.88        2.17         N/A      38.80        090
35600..............  ..............  A               Harvest artery for         4.95        N/A       1.61        0.60         N/A       7.16        ZZZ
                                                      cabg.
35601..............  ..............  A               Artery bypass graft.      17.50        N/A       8.58        2.08         N/A      28.16        090
35606..............  ..............  A               Artery bypass graft.      18.71        N/A       8.96        2.17         N/A      29.84        090
35612..............  ..............  A               Artery bypass graft.      15.76        N/A       7.82        1.72         N/A      25.30        090
35616..............  ..............  A               Artery bypass graft.      15.70        N/A       8.00        1.84         N/A      25.54        090
35621..............  ..............  A               Artery bypass graft.      20.00        N/A       8.86        1.68         N/A      30.54        090
35623..............  ..............  A               Bypass graft, not         24.00        N/A      10.64        1.91         N/A      36.55        090
                                                      vein.
35626..............  ..............  A               Artery bypass graft.      27.75        N/A      11.90        2.89         N/A      42.54        090
35631..............  ..............  A               Artery bypass graft.      34.00        N/A      14.07        2.83         N/A      50.90        090
35636..............  ..............  A               Artery bypass graft.      29.50        N/A      12.60        2.37         N/A      44.47        090
35641..............  ..............  A               Artery bypass graft.      24.57        N/A      11.10        2.83         N/A      38.50        090
35642..............  ..............  A               Artery bypass graft.      17.98        N/A       8.74        1.84         N/A      28.56        090
35645..............  ..............  A               Artery bypass graft.      17.47        N/A       8.39        1.91         N/A      27.77        090
35646..............  ..............  A               Artery bypass graft.      31.00        N/A      13.16        3.63         N/A      47.79        090
35647..............  ..............  A               Artery bypass graft.      28.00        N/A      11.84        3.28         N/A      43.12        090
35650..............  ..............  A               Artery bypass graft.      19.00        N/A       8.46        1.64         N/A      29.10        090
35651..............  ..............  A               Artery bypass graft.      25.04        N/A      10.96        2.53         N/A      38.53        090
35654..............  ..............  A               Artery bypass graft.      25.00        N/A      10.84        2.10         N/A      37.94        090
35656..............  ..............  A               Artery bypass graft.      19.53        N/A       8.73        2.21         N/A      30.47        090
35661..............  ..............  A               Artery bypass graft.      19.00        N/A       9.00        1.50         N/A      29.50        090
35663..............  ..............  A               Artery bypass graft.      22.00        N/A      10.09        1.55         N/A      33.64        090
35665..............  ..............  A               Artery bypass graft.      21.00        N/A       9.61        1.76         N/A      32.37        090
35666..............  ..............  A               Artery bypass graft.      22.19        N/A      11.02        2.19         N/A      35.40        090
35671..............  ..............  A               Artery bypass graft.      19.33        N/A       9.72        1.68         N/A      30.73        090
35681..............  ..............  A               Composite bypass           1.60        N/A       0.54        0.18         N/A       2.32        ZZZ
                                                      graft.
35682..............  ..............  A               Composite bypass           7.20        N/A       2.43        0.83         N/A      10.46        ZZZ
                                                      graft.
35683..............  ..............  A               Composite bypass           8.50        N/A       2.87        0.98         N/A      12.35        ZZZ
                                                      graft.
35685..............  ..............  A               Bypass graft patency/      4.05        N/A       1.38        0.25         N/A       5.68        ZZZ
                                                      patch.
35686..............  ..............  A               Bypass graft/av fist       3.35        N/A       1.15        0.21         N/A       4.71        ZZZ
                                                      patency.
35691..............  ..............  A               Arterial                  18.05        N/A       8.50        2.06         N/A      28.61        090
                                                      transposition.
35693..............  ..............  A               Arterial                  15.36        N/A       7.70        1.80         N/A      24.86        090
                                                      transposition.
35694..............  ..............  A               Arterial                  19.16        N/A       8.73        2.13         N/A      30.02        090
                                                      transposition.
35695..............  ..............  A               Arterial                  19.16        N/A       8.65        2.19         N/A      30.00        090
                                                      transposition.
35700..............  ..............  A               Reoperation, bypass        3.08        N/A       1.03        0.36         N/A       4.47        ZZZ
                                                      graft.
35701..............  ..............  A               Exploration, carotid       8.50        N/A       5.22        0.64         N/A      14.36        090
                                                      artery.
35721..............  ..............  A               Exploration, femoral       7.18        N/A       4.52        0.59         N/A      12.29        090
                                                      artery.
35741..............  ..............  A               Exploration                8.00        N/A       4.79        0.60         N/A      13.39        090
                                                      popliteal artery.
35761..............  ..............  A               Exploration of             5.37        N/A       4.10        0.60         N/A      10.07        090
                                                      artery/vein.

[[Page 49122]]

 
35800..............  ..............  A               Explore neck vessels       7.02        N/A       4.64        0.79         N/A      12.45        090
35820..............  ..............  A               Explore chest             12.88        N/A       6.96        1.61         N/A      21.45        090
                                                      vessels.
35840..............  ..............  A               Explore abdominal          9.77        N/A       5.41        1.06         N/A      16.24        090
                                                      vessels.
35860..............  ..............  A               Explore limb vessels       5.55        N/A       4.07        0.63         N/A      10.25        090
35870..............  ..............  A               Repair vessel graft       22.17        N/A      10.15        2.47         N/A      34.79        090
                                                      defect.
35875..............  ..............  A               Removal of clot in        10.13        N/A       5.35        0.97         N/A      16.45        090
                                                      graft.
35876..............  ..............  A               Removal of clot in        17.00        N/A       7.75        1.88         N/A      26.63        090
                                                      graft.
35879..............  ..............  A               Revise graft w/vein.      16.00        N/A       7.80        1.35         N/A      25.15        090
35881..............  ..............  A               Revise graft w/vein.      18.00        N/A       8.75        1.44         N/A      28.19        090
35901..............  ..............  A               Excision, graft,           8.19        N/A       5.35        0.90         N/A      14.44        090
                                                      neck.
35903..............  ..............  A               Excision, graft,           9.39        N/A       6.24        1.03         N/A      16.66        090
                                                      extremity.
35905..............  ..............  A               Excision, graft,          31.25        N/A      13.30        2.15         N/A      46.70        090
                                                      thorax.
35907..............  ..............  A               Excision, graft,          35.00        N/A      14.57        2.17         N/A      51.74        090
                                                      abdomen.
36000..............  ..............  A               Place needle in vein       0.18       0.62       0.05        0.01        0.81       0.24        XXX
36002..............  ..............  A               Pseudoaneurysm             1.96       2.92       1.00        0.10        4.98       3.06        000
                                                      injection trt.
36005..............  ..............  A               Injection ext              0.95       8.45       0.32        0.04        9.44       1.31        000
                                                      venography.
36010..............  ..............  A               Place catheter in          2.43        N/A       0.80        0.16         N/A       3.39        XXX
                                                      vein.
36011..............  ..............  A               Place catheter in          3.14        N/A       1.05        0.17         N/A       4.36        XXX
                                                      vein.
36012..............  ..............  A               Place catheter in          3.52        N/A       1.18        0.17         N/A       4.87        XXX
                                                      vein.
36013..............  ..............  A               Place catheter in          2.52        N/A       0.66        0.17         N/A       3.35        XXX
                                                      artery.
36014..............  ..............  A               Place catheter in          3.02        N/A       1.01        0.14         N/A       4.17        XXX
                                                      artery.
36015..............  ..............  A               Place catheter in          3.52        N/A       1.18        0.16         N/A       4.86        XXX
                                                      artery.
36100..............  ..............  A               Establish access to        3.02        N/A       1.12        0.18         N/A       4.32        XXX
                                                      artery.
36120..............  ..............  A               Establish access to        2.01        N/A       0.66        0.11         N/A       2.78        XXX
                                                      artery.
36140..............  ..............  A               Establish access to        2.01        N/A       0.65        0.12         N/A       2.78        XXX
                                                      artery.
36145..............  ..............  A               Artery to vein shunt       2.01        N/A       0.67        0.10         N/A       2.78        XXX
36160..............  ..............  A               Establish access to        2.52        N/A       0.86        0.20         N/A       3.58        XXX
                                                      aorta.
36200..............  ..............  A               Place catheter in          3.02      72.76       1.04        0.15       75.93       4.21        XXX
                                                      aorta.
36215..............  ..............  A               Place catheter in          4.68        N/A       1.61        0.22         N/A       6.51        XXX
                                                      artery.
36216..............  ..............  A               Place catheter in          5.28        N/A       1.79        0.24         N/A       7.31        XXX
                                                      artery.
36217..............  ..............  A               Place catheter in          6.30        N/A       2.18        0.32         N/A       8.80        XXX
                                                      artery.
36218..............  ..............  A               Place catheter in          1.01        N/A       0.35        0.05         N/A       1.41        ZZZ
                                                      artery.
36245..............  ..............  A               Place catheter in          4.68        N/A       1.68        0.23         N/A       6.59        XXX
                                                      artery.
36246..............  ..............  A               Place catheter in          5.28        N/A       1.82        0.26         N/A       7.36        XXX
                                                      artery.
36247..............  ..............  A               Place catheter in          6.30        N/A       2.15        0.32         N/A       8.77        XXX
                                                      artery.
36248..............  ..............  A               Place catheter in          1.01        N/A       0.35        0.06         N/A       1.42        ZZZ
                                                      artery.
36260..............  ..............  A               Insertion of               9.71        N/A       5.04        1.00         N/A      15.75        090
                                                      infusion pump.
36261..............  ..............  A               Revision of infusion       5.45        N/A       3.66        0.50         N/A       9.61        090
                                                      pump.
36262..............  ..............  A               Removal of infusion        4.02        N/A       2.83        0.43         N/A       7.28        090
                                                      pump.
36299..............  ..............  C               Vessel injection           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
36400..............  ..............  A               Bl draw < 3 yrs fem/       0.38       0.28       0.09        0.01        0.67       0.48        XXX
                                                      jugular.
36405..............  ..............  A               Bl draw < 3 yrs            0.31       0.26       0.08        0.01        0.58       0.40        XXX
                                                      scalp vein.
36406..............  ..............  A               Bl draw < 3 yrs            0.18       0.30       0.05        0.01        0.49       0.24        XXX
                                                      other vein.
36410..............  ..............  A               Non-routine bl draw        0.18       0.30       0.05        0.01        0.49       0.24        XXX
                                                       3 yrs.
36415..............  ..............  I               Routine venipuncture       0.00       0.00       0.00        0.00        0.00       0.00        XXX
36416..............  ..............  I               Capillary blood draw       0.00       0.00       0.00        0.00        0.00       0.00        XXX
36420..............  ..............  A               Vein access cutdown        1.01       3.18       0.28        0.09        4.28       1.38        XXX
                                                      < 1 yr.
36425..............  ..............  A               Vein access cutdown        0.76        N/A       0.22        0.05         N/A       1.03        XXX
                                                       1 yr.
36430..............  ..............  A               Blood transfusion          0.00       1.01        N/A        0.05        1.06        N/A        XXX
                                                      service.
36440..............  ..............  A               Bl push transfuse, 2       1.03        N/A       0.29        0.08         N/A       1.40        XXX
                                                      yr or <.
36450..............  ..............  A               Bl exchange/               2.23        N/A       0.71        0.16         N/A       3.10        XXX
                                                      transfuse, nb.
36455..............  ..............  A               Bl exchange/               2.43        N/A       0.84        0.10         N/A       3.37        XXX
                                                      transfuse non-nb.
36460..............  ..............  A               Transfusion service,       6.59        N/A       2.26        0.56         N/A       9.41        XXX
                                                      fetal.
36468..............  ..............  R               Injection(s), spider       0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      veins.
36469..............  ..............  R               Injection(s), spider       0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      veins.
36470..............  ..............  A               Injection therapy of       1.09       2.75       0.45        0.10        3.94       1.64        010
                                                      vein.
36471..............  ..............  A               Injection therapy of       1.57       3.10       0.61        0.15        4.82       2.33        010
                                                      veins.
36481..............  ..............  A               Insertion of               6.99       7.02       2.76        0.40       14.41      10.15        000
                                                      catheter, vein.
36488..............  ..............  A               Insertion of               1.35       3.45       0.75        0.09        4.89       2.19        000
                                                      catheter, vein.

[[Page 49123]]

 
36489..............  ..............  A               Insertion of               2.50       4.13       1.06        0.08        6.71       3.64        000
                                                      catheter, vein.
36490..............  ..............  A               Insertion of               1.67       4.06       0.85        0.17        5.90       2.69        000
                                                      catheter, vein.
36491..............  ..............  A               Insertion of               1.43       3.41       0.78        0.13        4.97       2.34        000
                                                      catheter, vein.
36493..............  ..............  A               Repositioning of cvc       1.21       4.11       0.86        0.06        5.38       2.13        000
36500..............  ..............  A               Insertion of               3.52        N/A       1.25        0.14         N/A       4.91        000
                                                      catheter, vein.
36510..............  ..............  A               Insertion of               1.09       3.83       0.63        0.06        4.98       1.78        000
                                                      catheter, vein.
36511..............  ..............  A               Apheresis wbc.......       1.74        N/A       0.70        0.06         N/A       2.50        000
36512..............  ..............  A               Apheresis rbc.......       1.74        N/A       0.70        0.06         N/A       2.50        000
36513..............  ..............  A               Apheresis platelets.       1.74        N/A       0.70        0.06         N/A       2.50        000
36514..............  ..............  A               Apheresis plasma....       1.74        N/A       0.70        0.06         N/A       2.50        000
36515..............  ..............  A               Apheresis, adsorp/         1.74        N/A       0.76        0.06         N/A       2.56        000
                                                      reinfuse.
36516..............  ..............  A               Apheresis, selective       1.74        N/A       0.76        0.06         N/A       2.56        000
36522..............  ..............  A               Photopheresis.......       1.67       6.78       1.15        0.07        8.52       2.89        000
36530..............  ..............  R               Insertion of               6.20        N/A       3.93        0.56         N/A      10.69        010
                                                      infusion pump.
36531..............  ..............  R               Revision of infusion       4.87        N/A       3.45        0.44         N/A       8.76        010
                                                      pump.
36532..............  ..............  R               Removal of infusion        3.30        N/A       1.64        0.34         N/A       5.28        010
                                                      pump.
36533..............  ..............  A               Insertion of access        5.32      14.77       3.65        0.49       20.58       9.46        010
                                                      device.
36534..............  ..............  A               Revision of access         2.80        N/A       1.58        0.19         N/A       4.57        010
                                                      device.
36535..............  ..............  A               Removal of access          2.27       2.96       1.99        0.21        5.44       4.47        010
                                                      device.
36536..............  ..............  A               Remove cva device          3.60      18.73       1.47        0.23       22.56       5.30        000
                                                      obstruct.
36537..............  ..............  A               Remove cva lumen           0.75       4.44       0.49        0.04        5.23       1.28        000
                                                      obstruct.
36550..............  ..............  A               Declot vascular            0.00       0.41        N/A        0.31        0.72        N/A        XXX
                                                      device.
36600..............  ..............  A               Withdrawal of              0.32       0.49       0.09        0.02        0.83       0.43        XXX
                                                      arterial blood.
36620..............  ..............  A               Insertion catheter,        1.15        N/A       0.24        0.06         N/A       1.45        000
                                                      artery.
36625..............  ..............  A               Insertion catheter,        2.11        N/A       0.53        0.16         N/A       2.80        000
                                                      artery.
36640..............  ..............  A               Insertion catheter,        2.10        N/A       1.04        0.18         N/A       3.32        000
                                                      artery.
36660..............  ..............  A               Insertion catheter,        1.40        N/A       0.44        0.08         N/A       1.92        000
                                                      artery.
36680..............  ..............  A               Insert needle, bone        1.20        N/A       0.50        0.08         N/A       1.78        000
                                                      cavity.
36800..............  ..............  A               Insertion of cannula       2.43        N/A       1.81        0.17         N/A       4.41        000
36810..............  ..............  A               Insertion of cannula       3.97        N/A       1.70        0.40         N/A       6.07        000
36815..............  ..............  A               Insertion of cannula       2.62        N/A       1.18        0.26         N/A       4.06        000
36819..............  ..............  A               Av fusion/uppr arm        14.00        N/A       6.45        1.56         N/A      22.01        090
                                                      vein.
36820..............  ..............  A               Av fusion/forearm         14.00        N/A       6.45        1.56         N/A      22.01        090
                                                      vein.
36821..............  ..............  A               Av fusion direct any       8.93        N/A       4.74        0.97         N/A      14.64        090
                                                      site.
36822..............  ..............  A               Insertion of               5.42        N/A       4.31        0.63         N/A      10.36        090
                                                      cannula(s).
36823..............  ..............  A               Insertion of              21.00        N/A       9.51        2.18         N/A      32.69        090
                                                      cannula(s).
36825..............  ..............  A               Artery-vein                9.84        N/A       5.17        1.09         N/A      16.10        090
                                                      autograft.
36830..............  ..............  A               Artery-vein               12.00        N/A       5.39        1.32         N/A      18.71        090
                                                      nonautograft.
36831..............  ..............  A               Open thrombect av          8.00        N/A       4.06        0.79         N/A      12.85        090
                                                      fistula.
36832..............  ..............  A               Av fistula revision,      10.50        N/A       4.89        1.13         N/A      16.52        090
                                                      open.
36833..............  ..............  A               Av fistula revision.      11.95        N/A       5.37        1.29         N/A      18.61        090
36834..............  ..............  A               Repair A-V aneurysm.       9.93        N/A       4.79        1.06         N/A      15.78        090
36835..............  ..............  A               Artery to vein shunt       7.15        N/A       4.35        0.80         N/A      12.30        090
36860..............  ..............  A               External cannula           2.01       2.54       1.35        0.10        4.65       3.46        000
                                                      declotting.
36861..............  ..............  A               Cannula declotting..       2.52        N/A       1.48        0.14         N/A       4.14        000
36870..............  ..............  A               Percut thrombect av        5.16      47.67       3.15        0.23       53.06       8.54        090
                                                      fistula.
37140..............  ..............  A               Revision of               23.60        N/A      10.65        1.21         N/A      35.46        090
                                                      circulation.
37145..............  ..............  A               Revision of               24.61        N/A      11.19        2.48         N/A      38.28        090
                                                      circulation.
37160..............  ..............  A               Revision of               21.60        N/A       9.46        2.16         N/A      33.22        090
                                                      circulation.
37180..............  ..............  A               Revision of               24.61        N/A      10.56        2.63         N/A      37.80        090
                                                      circulation.
37181..............  ..............  A               Splice spleen/kidney      26.68        N/A      11.22        2.67         N/A      40.57        090
                                                      veins.
37182..............  ..............  A               Insert hepatic shunt      17.00        N/A       6.37        1.49         N/A      24.86        000
                                                      (tips).
37183..............  ..............  A               Remove hepatic shunt       8.00        N/A       3.13        0.43         N/A      11.56        000
                                                      (tips).
37195..............  ..............  A               Thrombolytic               0.00       8.06        N/A        0.38        8.44        N/A        XXX
                                                      therapy, stroke.
37200..............  ..............  A               Transcatheter biopsy       4.56        N/A       1.53        0.19         N/A       6.28        000
37201..............  ..............  A               Transcatheter              5.00        N/A       2.53        0.24         N/A       7.77        000
                                                      therapy infuse.
37202..............  ..............  A               Transcatheter              5.68        N/A       2.30        0.38         N/A       8.36        000
                                                      therapy infuse.
37203..............  ..............  A               Transcatheter              5.03        N/A       2.54        0.23         N/A       7.80        000
                                                      retrieval.

[[Page 49124]]

 
37204..............  ..............  A               Transcatheter             18.14        N/A       6.05        0.91         N/A      25.10        000
                                                      occlusion.
37205..............  ..............  A               Transcatheter stent.       8.28        N/A       3.78        0.43         N/A      12.49        000
37206..............  ..............  A               Transcatheter stent        4.13        N/A       1.47        0.22         N/A       5.82        ZZZ
                                                      add-on.
37207..............  ..............  A               Transcatheter stent.       8.28        N/A       3.20        0.89         N/A      12.37        000
37208..............  ..............  A               Transcatheter stent        4.13        N/A       1.41        0.44         N/A       5.98        ZZZ
                                                      add-on.
37209..............  ..............  A               Exchange arterial          2.27        N/A       0.76        0.11         N/A       3.14        000
                                                      catheter.
37250..............  ..............  A               Iv us first vessel         2.10        N/A       0.76        0.17         N/A       3.03        ZZZ
                                                      add-on.
37251..............  ..............  A               Iv us each add             1.60        N/A       0.57        0.14         N/A       2.31        ZZZ
                                                      vessel add-on.
37500..............  ..............  A               Endoscopy ligate          11.00        N/A       7.10        0.40         N/A      18.50        090
                                                      perf veins.
37501..............  ..............  C               Vascular endoscopy         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
37565..............  ..............  A               Ligation of neck          10.88        N/A       5.71        0.45         N/A      17.04        090
                                                      vein.
37600..............  ..............  A               Ligation of neck          11.25        N/A       6.79        0.40         N/A      18.44        090
                                                      artery.
37605..............  ..............  A               Ligation of neck          13.11        N/A       7.05        0.77         N/A      20.93        090
                                                      artery.
37606..............  ..............  A               Ligation of neck           6.28        N/A       4.64        0.79         N/A      11.71        090
                                                      artery.
37607..............  ..............  A               Ligation of a-v            6.16        N/A       3.64        0.67         N/A      10.47        090
                                                      fistula.
37609..............  ..............  A               Temporal artery            3.00       4.62       2.00        0.21        7.83       5.21        010
                                                      procedure.
37615..............  ..............  A               Ligation of neck           5.73        N/A       4.23        0.57         N/A      10.53        090
                                                      artery.
37616..............  ..............  A               Ligation of chest         16.49        N/A       8.14        1.93         N/A      26.56        090
                                                      artery.
37617..............  ..............  A               Ligation of abdomen       22.06        N/A       9.48        1.69         N/A      33.23        090
                                                      artery.
37618..............  ..............  A               Ligation of                4.84        N/A       3.77        0.54         N/A       9.15        090
                                                      extremity artery.
37620..............  ..............  A               Revision of major         10.56        N/A       5.84        0.75         N/A      17.15        090
                                                      vein.
37650..............  ..............  A               Revision of major          7.80        N/A       4.76        0.56         N/A      13.12        090
                                                      vein.
37660..............  ..............  A               Revision of major         21.00        N/A       9.37        1.17         N/A      31.54        090
                                                      vein.
37700..............  ..............  A               Revise leg vein.....       3.73        N/A       2.95        0.40         N/A       7.08        090
37720..............  ..............  A               Removal of leg vein.       5.66        N/A       3.74        0.61         N/A      10.01        090
37730..............  ..............  A               Removal of leg veins       7.33        N/A       4.48        0.77         N/A      12.58        090
37735..............  ..............  A               Removal of leg veins/     10.53        N/A       5.75        1.17         N/A      17.45        090
                                                      lesion.
37760..............  ..............  A               Ligation, leg veins,      10.47        N/A       5.59        1.11         N/A      17.17        090
                                                      open.
37780..............  ..............  A               Revision of leg vein       3.84        N/A       2.91        0.41         N/A       7.16        090
37785..............  ..............  A               Revise secondary           3.84       7.05       2.93        0.41       11.30       7.18        090
                                                      varicosity.
37788..............  ..............  A               Revascularization,        22.01        N/A      10.07        1.35         N/A      33.43        090
                                                      penis.
37790..............  ..............  A               Penile venous              8.34        N/A       5.07        0.63         N/A      14.04        090
                                                      occlusion.
37799..............  ..............  C               Vascular surgery           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
38100..............  ..............  A               Removal of spleen,        14.50        N/A       6.30        1.30         N/A      22.10        090
                                                      total.
38101..............  ..............  A               Removal of spleen,        15.31        N/A       6.66        1.38         N/A      23.35        090
                                                      partial.
38102..............  ..............  A               Removal of spleen,         4.80        N/A       1.67        0.49         N/A       6.96        ZZZ
                                                      total.
38115..............  ..............  A               Repair of ruptured        15.82        N/A       6.78        1.40         N/A      24.00        090
                                                      spleen.
38120..............  ..............  A               Laparoscopy,              17.00        N/A       7.49        1.73         N/A      26.22        090
                                                      splenectomy.
38129..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      spleen.
38200..............  ..............  A               Injection for spleen       2.64        N/A       0.91        0.12         N/A       3.67        000
                                                      x-ray.
38205..............  ..............  R               Harvest allogenic          1.50        N/A       0.61        0.05         N/A       2.16        000
                                                      stem cells.
38206..............  ..............  R               Harvest auto stem          1.50        N/A       0.61        0.05         N/A       2.16        000
                                                      cells.
38207..............  ..............  I               Cryopreserve stem          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      cells.
38208..............  ..............  I               Thaw preserved stem        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      cells.
38209..............  ..............  I               Wash harvest stem          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      cells.
38210..............  ..............  I               T-cell depletion of        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      harvest.
38211..............  ..............  I               Tumor cell deplete         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      of harvst.
38212..............  ..............  I               Rbc depletion of           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      harvest.
38213..............  ..............  I               Platelet deplete of        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      harvest.
38214..............  ..............  I               Volume deplete of          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      harvest.
38215..............  ..............  I               Harvest stem cell          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      concentrte.
38220..............  ..............  A               Bone marrow                1.08       3.99       0.43        0.03        5.10       1.54        XXX
                                                      aspiration.
38221..............  ..............  A               Bone marrow biopsy..       1.37       4.17       0.54        0.04        5.58       1.95        XXX
38230..............  ..............  R               Bone marrow                4.54        N/A       2.53        0.25         N/A       7.32        010
                                                      collection.

[[Page 49125]]

 
38240..............  ..............  R               Bone marrow/stem           2.24        N/A       0.83        0.08         N/A       3.15        XXX
                                                      transplant.
38241..............  ..............  R               Bone marrow/stem           2.24        N/A       0.83        0.08         N/A       3.15        XXX
                                                      transplant.
38242..............  ..............  A               Lymphocyte infuse          1.71        N/A       0.69        0.05         N/A       2.45        000
                                                      transplant.
38300..............  ..............  A               Drainage, lymph node       1.99       4.39       2.10        0.15        6.53       4.24        010
                                                      lesion.
38305..............  ..............  A               Drainage, lymph node       6.00       6.12       4.44        0.36       12.48      10.80        090
                                                      lesion.
38308..............  ..............  A               Incision of lymph          6.45       5.87       3.83        0.51       12.83      10.79        090
                                                      channels.
38380..............  ..............  A               Thoracic duct              7.46        N/A       5.73        0.68         N/A      13.87        090
                                                      procedure.
38381..............  ..............  A               Thoracic duct             12.88        N/A       6.89        1.58         N/A      21.35        090
                                                      procedure.
38382..............  ..............  A               Thoracic duct             10.08        N/A       6.10        1.08         N/A      17.26        090
                                                      procedure.
38500..............  ..............  A               Biopsy/removal,            3.75       3.84       2.13        0.28        7.87       6.16        010
                                                      lymph nodes.
38505..............  ..............  A               Needle biopsy, lymph       1.14       2.19       0.79        0.09        3.42       2.02        000
                                                      nodes.
38510..............  ..............  A               Biopsy/removal,            6.43       5.77       3.57        0.38       12.58      10.38        010
                                                      lymph nodes.
38520..............  ..............  A               Biopsy/removal,            6.67        N/A       4.10        0.52         N/A      11.29        090
                                                      lymph nodes.
38525..............  ..............  A               Biopsy/removal,            6.07        N/A       3.39        0.48         N/A       9.94        090
                                                      lymph nodes.
38530..............  ..............  A               Biopsy/removal,            7.98        N/A       4.44        0.63         N/A      13.05        090
                                                      lymph nodes.
38542..............  ..............  A               Explore deep               5.91        N/A       4.55        0.50         N/A      10.96        090
                                                      node(s), neck.
38550..............  ..............  A               Removal, neck/armpit       6.92        N/A       3.94        0.69         N/A      11.55        090
                                                      lesion.
38555..............  ..............  A               Removal, neck/armpit      14.14        N/A       8.46        1.46         N/A      24.06        090
                                                      lesion.
38562..............  ..............  A               Removal, pelvic           10.49        N/A       5.84        0.97         N/A      17.30        090
                                                      lymph nodes.
38564..............  ..............  A               Removal, abdomen          10.83        N/A       5.35        1.06         N/A      17.24        090
                                                      lymph nodes.
38570..............  ..............  A               Laparoscopy, lymph         9.25        N/A       4.02        0.89         N/A      14.16        010
                                                      node biop.
38571..............  ..............  A               Laparoscopy,              14.68        N/A       5.73        0.80         N/A      21.21        010
                                                      lymphadenectomy.
38572..............  ..............  A               Laparoscopy,              16.59        N/A       7.29        1.32         N/A      25.20        010
                                                      lymphadenectomy.
38589..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      lymphatic.
38700..............  ..............  A               Removal of lymph           8.24        N/A       8.46        0.60         N/A      17.30        090
                                                      nodes, neck.
38720..............  ..............  A               Removal of lymph          13.61        N/A      11.49        1.03         N/A      26.13        090
                                                      nodes, neck.
38724..............  ..............  A               Removal of lymph          14.54        N/A      12.02        1.10         N/A      27.66        090
                                                      nodes, neck.
38740..............  ..............  A               Remove armpit lymph       10.03        N/A       5.04        0.69         N/A      15.76        090
                                                      nodes.
38745..............  ..............  A               Remove armpit lymph       13.10        N/A       6.36        0.90         N/A      20.36        090
                                                      nodes.
38746..............  ..............  A               Remove thoracic            4.89        N/A       1.60        0.55         N/A       7.04        ZZZ
                                                      lymph nodes.
38747..............  ..............  A               Remove abdominal           4.89        N/A       1.70        0.50         N/A       7.09        ZZZ
                                                      lymph nodes.
38760..............  ..............  A               Remove groin lymph        12.95        N/A       6.31        0.88         N/A      20.14        090
                                                      nodes.
38765..............  ..............  A               Remove groin lymph        19.98        N/A       9.27        1.50         N/A      30.75        090
                                                      nodes.
38770..............  ..............  A               Remove pelvis lymph       13.23        N/A       5.97        0.99         N/A      20.19        090
                                                      nodes.
38780..............  ..............  A               Remove abdomen lymph      16.59        N/A       8.47        1.60         N/A      26.66        090
                                                      nodes.

[[Page 49126]]

 
38790..............  ..............  A               Inject for lymphatic       1.29       7.56       0.80        0.09        8.94       2.18        000
                                                      x-ray.
38792..............  ..............  A               Identify sentinel          0.52        N/A       0.45        0.04         N/A       1.01        000
                                                      node.
38794..............  ..............  A               Access thoracic            4.45        N/A       3.41        0.17         N/A       8.03        090
                                                      lymph duct.
38999..............  ..............  C               Blood/lymph system         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
39000..............  ..............  A               Exploration of chest       6.10        N/A       4.65        0.73         N/A      11.48        090
39010..............  ..............  A               Exploration of chest      11.79        N/A       6.43        1.46         N/A      19.68        090
39200..............  ..............  A               Removal chest lesion      13.62        N/A       6.64        1.65         N/A      21.91        090
39220..............  ..............  A               Removal chest lesion      17.42        N/A       8.32        2.10         N/A      27.84        090
39400..............  ..............  A               Visualization of           5.61        N/A       4.66        0.69         N/A      10.96        010
                                                      chest.
39499..............  ..............  C               Chest procedure.....       0.00       0.00       0.00        0.00        0.00       0.00        YYY
39501..............  ..............  A               Repair diaphragm          13.19        N/A       6.60        1.38         N/A      21.17        090
                                                      laceration.
39502..............  ..............  A               Repair                    16.33        N/A       7.33        1.68         N/A      25.34        090
                                                      paraesophageal
                                                      hernia.
39503..............  ..............  A               Repair of diaphragm       95.00        N/A      34.01        3.52         N/A     132.53        090
                                                      hernia.
39520..............  ..............  A               Repair of diaphragm       16.10        N/A       8.04        1.83         N/A      25.97        090
                                                      hernia.
39530..............  ..............  A               Repair of diaphragm       15.41        N/A       7.24        1.66         N/A      24.31        090
                                                      hernia.
39531..............  ..............  A               Repair of diaphragm       16.42        N/A       7.49        1.83         N/A      25.74        090
                                                      hernia.
39540..............  ..............  A               Repair of diaphragm       13.32        N/A       6.40        1.38         N/A      21.10        090
                                                      hernia.
39541..............  ..............  A               Repair of diaphragm       14.41        N/A       6.73        1.52         N/A      22.66        090
                                                      hernia.
39545..............  ..............  A               Revision of               13.37        N/A       7.48        1.55         N/A      22.40        090
                                                      diaphragm.
39560..............  ..............  A               Resect diaphragm,         12.00        N/A       6.42        1.35         N/A      19.77        090
                                                      simple.
39561..............  ..............  A               Resect diaphragm,         17.50        N/A       9.40        1.97         N/A      28.87        090
                                                      complex.
39599..............  ..............  C               Diaphragm surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
40490..............  ..............  A               Biopsy of lip.......       1.22       1.89       0.62        0.06        3.17       1.90        000
40500..............  ..............  A               Partial excision of        4.28       6.22       5.00        0.31       10.81       9.59        090
                                                      lip.
40510..............  ..............  A               Partial excision of        4.70       7.10       5.01        0.38       12.18      10.09        090
                                                      lip.
40520..............  ..............  A               Partial excision of        4.67       7.60       5.26        0.42       12.69      10.35        090
                                                      lip.
40525..............  ..............  A               Reconstruct lip with       7.55        N/A       7.10        0.68         N/A      15.33        090
                                                      flap.
40527..............  ..............  A               Reconstruct lip with       9.13        N/A       8.10        0.82         N/A      18.05        090
                                                      flap.
40530..............  ..............  A               Partial removal of         5.40       6.75       5.35        0.47       12.62      11.22        090
                                                      lip.
40650..............  ..............  A               Repair lip..........       3.64       5.71       3.89        0.31        9.66       7.84        090
40652..............  ..............  A               Repair lip..........       4.26       6.69       5.36        0.39       11.34      10.01        090
40654..............  ..............  A               Repair lip..........       5.31       7.34       6.12        0.48       13.13      11.91        090
40700..............  ..............  A               Repair cleft lip/         12.79        N/A       9.77        0.93         N/A      23.49        090
                                                      nasal.
40701..............  ..............  A               Repair cleft lip/         15.85        N/A      12.08        1.36         N/A      29.29        090
                                                      nasal.
40702..............  ..............  A               Repair cleft lip/         13.04        N/A       8.62        1.01         N/A      22.67        090
                                                      nasal.
40720..............  ..............  A               Repair cleft lip/         13.55        N/A      10.75        1.31         N/A      25.61        090
                                                      nasal.
40761..............  ..............  A               Repair cleft lip/         14.72        N/A      11.17        1.41         N/A      27.30        090
                                                      nasal.
40799..............  ..............  C               Lip surgery                0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
40800..............  ..............  A               Drainage of mouth          1.17       2.32       1.18        0.09        3.58       2.44        010
                                                      lesion.
40801..............  ..............  A               Drainage of mouth          2.53       3.32       2.09        0.18        6.03       4.80        010
                                                      lesion.
40804..............  ..............  A               Removal, foreign           1.24       2.66       1.14        0.09        3.99       2.47        010
                                                      body, mouth.
40805..............  ..............  A               Removal, foreign           2.69       3.57       2.03        0.17        6.43       4.89        010
                                                      body, mouth.
40806..............  ..............  A               Incision of lip fold       0.31       1.42       0.97        0.02        1.75       1.30        000
40808..............  ..............  A               Biopsy of mouth            0.96       2.42       1.11        0.07        3.45       2.14        010
                                                      lesion.
40810..............  ..............  A               Excision of mouth          1.31       2.50       1.25        0.09        3.90       2.65        010
                                                      lesion.
40812..............  ..............  A               Excise/repair mouth        2.31       3.40       1.82        0.17        5.88       4.30        010
                                                      lesion.
40814..............  ..............  A               Excise/repair mouth        3.42       4.95       3.38        0.26        8.63       7.06        090
                                                      lesion.
40816..............  ..............  A               Excision of mouth          3.67       5.13       3.49        0.27        9.07       7.43        090
                                                      lesion.
40818..............  ..............  A               Excise oral mucosa         2.41       5.37       3.64        0.14        7.92       6.19        090
                                                      for graft.
40819..............  ..............  A               Excise lip or cheek        2.41       4.61       3.09        0.17        7.19       5.67        090
                                                      fold.
40820..............  ..............  A               Treatment of mouth         1.28       2.80       2.45        0.08        4.16       3.81        010
                                                      lesion.

[[Page 49127]]

 
40830..............  ..............  A               Repair mouth               1.76       3.17       2.57        0.14        5.07       4.47        010
                                                      laceration.
40831..............  ..............  A               Repair mouth               2.46       3.74       3.16        0.21        6.41       5.83        010
                                                      laceration.
40840..............  ..............  R               Reconstruction of          8.73       8.83       7.54        0.79       18.35      17.06        090
                                                      mouth.
40842..............  ..............  R               Reconstruction of          8.73       8.94       7.28        0.65       18.32      16.66        090
                                                      mouth.
40843..............  ..............  R               Reconstruction of         12.10      11.25       8.89        0.84       24.19      21.83        090
                                                      mouth.
40844..............  ..............  R               Reconstruction of         16.01      14.16      12.01        1.63       31.80      29.65        090
                                                      mouth.
40845..............  ..............  R               Reconstruction of         18.58      16.30      13.91        1.47       36.35      33.96        090
                                                      mouth.
40899..............  ..............  C               Mouth surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
41000..............  ..............  A               Drainage of mouth          1.30       2.57       1.45        0.09        3.96       2.84        010
                                                      lesion.
41005..............  ..............  A               Drainage of mouth          1.26       2.79       1.67        0.09        4.14       3.02        010
                                                      lesion.
41006..............  ..............  A               Drainage of mouth          3.24       4.57       3.62        0.25        8.06       7.11        090
                                                      lesion.
41007..............  ..............  A               Drainage of mouth          3.10       4.40       3.46        0.22        7.72       6.78        090
                                                      lesion.
41008..............  ..............  A               Drainage of mouth          3.37       4.73       3.66        0.24        8.34       7.27        090
                                                      lesion.
41009..............  ..............  A               Drainage of mouth          3.59       5.04       3.99        0.25        8.88       7.83        090
                                                      lesion.
41010..............  ..............  A               Incision of tongue         1.06       3.57       3.57        0.06        4.69       4.69        010
                                                      fold.
41015..............  ..............  A               Drainage of mouth          3.96       5.56       4.19        0.29        9.81       8.44        090
                                                      lesion.
41016..............  ..............  A               Drainage of mouth          4.07       5.64       4.21        0.28        9.99       8.56        090
                                                      lesion.
41017..............  ..............  A               Drainage of mouth          4.07       5.55       4.28        0.32        9.94       8.67        090
                                                      lesion.
41018..............  ..............  A               Drainage of mouth          5.10       6.00       4.40        0.35       11.45       9.85        090
                                                      lesion.
41100..............  ..............  A               Biopsy of tongue....       1.63       2.67       1.46        0.12        4.42       3.21        010
41105..............  ..............  A               Biopsy of tongue....       1.42       2.58       1.35        0.10        4.10       2.87        010
41108..............  ..............  A               Biopsy of floor of         1.05       2.32       1.16        0.08        3.45       2.29        010
                                                      mouth.
41110..............  ..............  A               Excision of tongue         1.51       2.63       1.37        0.11        4.25       2.99        010
                                                      lesion.
41112..............  ..............  A               Excision of tongue         2.73       4.44       2.79        0.20        7.37       5.72        090
                                                      lesion.
41113..............  ..............  A               Excision of tongue         3.19       4.81       3.06        0.23        8.23       6.48        090
                                                      lesion.
41114..............  ..............  A               Excision of tongue         8.47       9.08       6.46        0.64       18.19      15.57        090
                                                      lesion.
41115..............  ..............  A               Excision of tongue         1.74       3.59       2.68        0.13        5.46       4.55        010
                                                      fold.
41116..............  ..............  A               Excision of mouth          2.44       4.41       2.93        0.17        7.02       5.54        090
                                                      lesion.
41120..............  ..............  A               Partial removal of         9.77        N/A       7.88        0.70         N/A      18.35        090
                                                      tongue.
41130..............  ..............  A               Partial removal of        11.15        N/A       8.67        0.81         N/A      20.63        090
                                                      tongue.
41135..............  ..............  A               Tongue and neck           23.09        N/A      15.27        1.66         N/A      40.02        090
                                                      surgery.
41140..............  ..............  A               Removal of tongue...      25.50        N/A      16.53        1.85         N/A      43.88        090
41145..............  ..............  A               Tongue removal, neck      30.06        N/A      19.74        2.11         N/A      51.91        090
                                                      surgery.
41150..............  ..............  A               Tongue, mouth, jaw        23.04        N/A      16.02        1.67         N/A      40.73        090
                                                      surgery.
41153..............  ..............  A               Tongue, mouth, neck       23.77        N/A      16.50        1.71         N/A      41.98        090
                                                      surgery.
41155..............  ..............  A               Tongue, jaw, & neck       27.72        N/A      18.57        2.02         N/A      48.31        090
                                                      surgery.
41250..............  ..............  A               Repair tongue              1.91       3.19       1.66        0.15        5.25       3.72        010
                                                      laceration.
41251..............  ..............  A               Repair tongue              2.27       3.70       2.00        0.18        6.15       4.45        010
                                                      laceration.
41252..............  ..............  A               Repair tongue              2.97       4.33       2.35        0.23        7.53       5.55        010
                                                      laceration.
41500..............  ..............  A               Fixation of tongue..       3.71        N/A       3.80        0.26         N/A       7.77        090
41510..............  ..............  A               Tongue to lip              3.42        N/A       3.31        0.24         N/A       6.97        090
                                                      surgery.
41520..............  ..............  A               Reconstruction,            2.73       4.22       3.35        0.19        7.14       6.27        090
                                                      tongue fold.
41599..............  ..............  C               Tongue and mouth           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
41800..............  ..............  A               Drainage of gum            1.17       2.76       1.49        0.09        4.02       2.75        010
                                                      lesion.
41805..............  ..............  A               Removal foreign            1.24       2.83       2.42        0.09        4.16       3.75        010
                                                      body, gum.
41806..............  ..............  A               Removal foreign            2.69       3.74       3.25        0.22        6.65       6.16        010
                                                      body,jawbone.
41820..............  ..............  R               Excision, gum, each        0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      quadrant.
41821..............  ..............  R               Excision of gum flap       0.00       0.00       0.00        0.00        0.00       0.00        000
41822..............  ..............  R               Excision of gum            2.31       4.25       1.36        0.24        6.80       3.91        010
                                                      lesion.
41823..............  ..............  R               Excision of gum            3.30       6.07       4.28        0.29        9.66       7.87        090
                                                      lesion.
41825..............  ..............  A               Excision of gum            1.31       3.42       2.46        0.10        4.83       3.87        010
                                                      lesion.
41826..............  ..............  A               Excision of gum            2.31       4.00       3.01        0.17        6.48       5.49        010
                                                      lesion.
41827..............  ..............  A               Excision of gum            3.42       5.80       3.98        0.25        9.47       7.65        090
                                                      lesion.
41828..............  ..............  R               Excision of gum            3.09       4.57       3.46        0.22        7.88       6.77        010
                                                      lesion.
41830..............  ..............  R               Removal of gum             3.35       5.10       3.71        0.23        8.68       7.29        010
                                                      tissue.
41850..............  ..............  R               Treatment of gum           0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      lesion.
41870..............  ..............  R               Gum graft...........       0.00       0.00       0.00        0.00        0.00       0.00        000

[[Page 49128]]

 
41872..............  ..............  R               Repair gum..........       2.59       4.77       3.63        0.18        7.54       6.40        090
41874..............  ..............  R               Repair tooth socket.       3.09       4.82       3.36        0.23        8.14       6.68        090
41899..............  ..............  C               Dental surgery             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
42000..............  ..............  A               Drainage mouth roof        1.23       2.83       1.29        0.10        4.16       2.62        010
                                                      lesion.
42100..............  ..............  A               Biopsy roof of mouth       1.31       2.40       1.40        0.10        3.81       2.81        010
42104..............  ..............  A               Excision lesion,           1.64       2.89       1.61        0.12        4.65       3.37        010
                                                      mouth roof.
42106..............  ..............  A               Excision lesion,           2.10       3.88       2.94        0.16        6.14       5.20        010
                                                      mouth roof.
42107..............  ..............  A               Excision lesion,           4.44       6.29       4.33        0.32       11.05       9.09        090
                                                      mouth roof.
42120..............  ..............  A               Remove palate/lesion       6.17        N/A       5.78        0.44         N/A      12.39        090
42140..............  ..............  A               Excision of uvula...       1.62       2.66       2.52        0.12        4.40       4.26        090
42145..............  ..............  A               Repair palate,             8.05        N/A       6.88        0.56         N/A      15.49        090
                                                      pharynx/uvula.
42160..............  ..............  A               Treatment mouth roof       1.80       3.84       2.78        0.13        5.77       4.71        010
                                                      lesion.
42180..............  ..............  A               Repair palate.......       2.50       3.55       2.19        0.19        6.24       4.88        010
42182..............  ..............  A               Repair palate.......       3.83       4.43       3.14        0.27        8.53       7.24        010
42200..............  ..............  A               Reconstruct cleft         12.00        N/A       9.28        0.97         N/A      22.25        090
                                                      palate.
42205..............  ..............  A               Reconstruct cleft         13.29        N/A       9.62        0.82         N/A      23.73        090
                                                      palate.
42210..............  ..............  A               Reconstruct cleft         14.50        N/A      10.83        1.24         N/A      26.57        090
                                                      palate.
42215..............  ..............  A               Reconstruct cleft          8.82        N/A       7.78        0.96         N/A      17.56        090
                                                      palate.
42220..............  ..............  A               Reconstruct cleft          7.02        N/A       5.83        0.41         N/A      13.26        090
                                                      palate.
42225..............  ..............  A               Reconstruct cleft          9.54        N/A       7.90        0.75         N/A      18.19        090
                                                      palate.
42226..............  ..............  A               Lengthening of            10.01        N/A       8.16        0.73         N/A      18.90        090
                                                      palate.
42227..............  ..............  A               Lengthening of             9.52        N/A       7.56        0.70         N/A      17.78        090
                                                      palate.
42235..............  ..............  A               Repair palate.......       7.87        N/A       5.48        0.49         N/A      13.84        090
42260..............  ..............  A               Repair nose to lip         9.80       9.48       7.61        0.85       20.13      18.26        090
                                                      fistula.
42280..............  ..............  A               Preparation, palate        1.54       2.08       0.90        0.12        3.74       2.56        010
                                                      mold.
42281..............  ..............  A               Insertion, palate          1.93       3.07       1.95        0.14        5.14       4.02        010
                                                      prosthesis.
42299..............  ..............  C               Palate/uvula surgery       0.00       0.00       0.00        0.00        0.00       0.00        YYY
42300..............  ..............  A               Drainage of salivary       1.93       3.09       1.88        0.15        5.17       3.96        010
                                                      gland.
42305..............  ..............  A               Drainage of salivary       6.07        N/A       5.12        0.46         N/A      11.65        090
                                                      gland.
42310..............  ..............  A               Drainage of salivary       1.56       2.43       1.59        0.11        4.10       3.26        010
                                                      gland.
42320..............  ..............  A               Drainage of salivary       2.35       3.70       2.17        0.17        6.22       4.69        010
                                                      gland.
42325..............  ..............  A               Create salivary cyst       2.75       3.66       2.19        0.17        6.58       5.11        090
                                                      drain.
42326..............  ..............  A               Create salivary cyst       3.78       4.70       3.02        0.34        8.82       7.14        090
                                                      drain.
42330..............  ..............  A               Removal of salivary        2.21       3.44       1.91        0.16        5.81       4.28        010
                                                      stone.
42335..............  ..............  A               Removal of salivary        3.31       4.06       3.53        0.23        7.60       7.07        090
                                                      stone.
42340..............  ..............  A               Removal of salivary        4.60       5.35       4.47        0.34       10.29       9.41        090
                                                      stone.
42400..............  ..............  A               Biopsy of salivary         0.78       1.82       0.73        0.06        2.66       1.57        000
                                                      gland.
42405..............  ..............  A               Biopsy of salivary         3.29       4.33       2.54        0.24        7.86       6.07        010
                                                      gland.
42408..............  ..............  A               Excision of salivary       4.54       5.25       4.23        0.34       10.13       9.11        090
                                                      cyst.
42409..............  ..............  A               Drainage of salivary       2.81       3.70       3.25        0.20        6.71       6.26        090
                                                      cyst.
42410..............  ..............  A               Excise parotid gland/      9.34        N/A       6.85        0.77         N/A      16.96        090
                                                      lesion.
42415..............  ..............  A               Excise parotid gland/     16.89        N/A      11.60        1.26         N/A      29.75        090
                                                      lesion.
42420..............  ..............  A               Excise parotid gland/     19.59        N/A      13.15        1.45         N/A      34.19        090
                                                      lesion.
42425..............  ..............  A               Excise parotid gland/     13.02        N/A       9.37        0.98         N/A      23.37        090
                                                      lesion.
42426..............  ..............  A               Excise parotid gland/     21.26        N/A      13.82        1.57         N/A      36.65        090
                                                      lesion.
42440..............  ..............  A               Excise submaxillary        6.97        N/A       5.25        0.51         N/A      12.73        090
                                                      gland.
42450..............  ..............  A               Excise sublingual          4.62       5.90       4.42        0.34       10.86       9.38        090
                                                      gland.
42500..............  ..............  A               Repair salivary duct       4.30       5.69       4.37        0.30       10.29       8.97        090
42505..............  ..............  A               Repair salivary duct       6.18       7.18       5.58        0.44       13.80      12.20        090
42507..............  ..............  A               Parotid duct               6.11        N/A       5.40        0.66         N/A      12.17        090
                                                      diversion.
42508..............  ..............  A               Parotid duct               9.10        N/A       7.30        0.64         N/A      17.04        090
                                                      diversion.
42509..............  ..............  A               Parotid duct              11.54        N/A       8.48        1.24         N/A      21.26        090
                                                      diversion.
42510..............  ..............  A               Parotid duct               8.15        N/A       6.30        0.57         N/A      15.02        090
                                                      diversion.
42550..............  ..............  A               Injection for              1.25      10.77       0.42        0.06       12.08       1.73        000
                                                      salivary x-ray.
42600..............  ..............  A               Closure of salivary        4.82       6.09       4.70        0.34       11.25       9.86        090
                                                      fistula.
42650..............  ..............  A               Dilation of salivary       0.77       1.23       0.73        0.06        2.06       1.56        000
                                                      duct.
42660..............  ..............  A               Dilation of salivary       1.13       1.56       0.85        0.07        2.76       2.05        000
                                                      duct.
42665..............  ..............  A               Ligation of salivary       2.53       3.73       3.12        0.17        6.43       5.82        090
                                                      duct.
42699..............  ..............  C               Salivary surgery           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
42700..............  ..............  A               Drainage of tonsil         1.62       2.90       1.79        0.12        4.64       3.53        010
                                                      abscess.

[[Page 49129]]

 
42720..............  ..............  A               Drainage of throat         5.42       5.24       3.93        0.39       11.05       9.74        010
                                                      abscess.
42725..............  ..............  A               Drainage of throat        10.72        N/A       8.26        0.80         N/A      19.78        090
                                                      abscess.
42800..............  ..............  A               Biopsy of throat....       1.39       2.35       1.45        0.10        3.84       2.94        010
42802..............  ..............  A               Biopsy of throat....       1.54       3.17       1.62        0.11        4.82       3.27        010
42804..............  ..............  A               Biopsy of upper nose/      1.24       3.16       1.54        0.09        4.49       2.87        010
                                                      throat.
42806..............  ..............  A               Biopsy of upper nose/      1.58       3.17       1.66        0.12        4.87       3.36        010
                                                      throat.
42808..............  ..............  A               Excise pharynx             2.30       3.31       1.99        0.17        5.78       4.46        010
                                                      lesion.
42809..............  ..............  A               Remove pharynx             1.81       2.46       1.40        0.13        4.40       3.34        010
                                                      foreign body.
42810..............  ..............  A               Excision of neck           3.25       5.05       3.53        0.25        8.55       7.03        090
                                                      cyst.
42815..............  ..............  A               Excision of neck           7.07        N/A       5.63        0.53         N/A      13.23        090
                                                      cyst.
42820..............  ..............  A               Remove tonsils and         3.91        N/A       3.63        0.28         N/A       7.82        090
                                                      adenoids.
42821..............  ..............  A               Remove tonsils and         4.29        N/A       3.81        0.30         N/A       8.40        090
                                                      adenoids.
42825..............  ..............  A               Removal of tonsils..       3.42        N/A       3.43        0.24         N/A       7.09        090
42826..............  ..............  A               Removal of tonsils..       3.38        N/A       3.33        0.23         N/A       6.94        090
42830..............  ..............  A               Removal of adenoids.       2.57        N/A       2.68        0.18         N/A       5.43        090
42831..............  ..............  A               Removal of adenoids.       2.71        N/A       2.94        0.19         N/A       5.84        090
42835..............  ..............  A               Removal of adenoids.       2.30        N/A       2.72        0.17         N/A       5.19        090
42836..............  ..............  A               Removal of adenoids.       3.18        N/A       3.26        0.22         N/A       6.66        090
42842..............  ..............  A               Extensive surgery of       8.76        N/A       7.01        0.61         N/A      16.38        090
                                                      throat.
42844..............  ..............  A               Extensive surgery of      14.31        N/A      10.36        1.04         N/A      25.71        090
                                                      throat.
42845..............  ..............  A               Extensive surgery of      24.29        N/A      16.60        1.76         N/A      42.65        090
                                                      throat.
42860..............  ..............  A               Excision of tonsil         2.22        N/A       2.68        0.16         N/A       5.06        090
                                                      tags.
42870..............  ..............  A               Excision of lingual        5.40        N/A       5.02        0.38         N/A      10.80        090
                                                      tonsil.
42890..............  ..............  A               Partial removal of        12.94        N/A       9.67        0.91         N/A      23.52        090
                                                      pharynx.
42892..............  ..............  A               Revision of               15.83        N/A      11.27        1.14         N/A      28.24        090
                                                      pharyngeal walls.
42894..............  ..............  A               Revision of               22.88        N/A      15.55        1.64         N/A      40.07        090
                                                      pharyngeal walls.
42900..............  ..............  A               Repair throat wound.       5.25        N/A       3.79        0.39         N/A       9.43        010
42950..............  ..............  A               Reconstruction of          8.10        N/A       6.82        0.58         N/A      15.50        090
                                                      throat.
42953..............  ..............  A               Repair throat,             8.96        N/A       7.77        0.73         N/A      17.46        090
                                                      esophagus.
42955..............  ..............  A               Surgical opening of        7.39        N/A       5.73        0.63         N/A      13.75        090
                                                      throat.
42960..............  ..............  A               Control throat             2.33        N/A       2.08        0.17         N/A       4.58        010
                                                      bleeding.
42961..............  ..............  A               Control throat             5.59        N/A       5.02        0.40         N/A      11.01        090
                                                      bleeding.
42962..............  ..............  A               Control throat             7.14        N/A       5.91        0.51         N/A      13.56        090
                                                      bleeding.
42970..............  ..............  A               Control nose/throat        5.43        N/A       3.72        0.37         N/A       9.52        090
                                                      bleeding.
42971..............  ..............  A               Control nose/throat        6.21        N/A       5.17        0.45         N/A      11.83        090
                                                      bleeding.
42972..............  ..............  A               Control nose/throat        7.20        N/A       5.64        0.54         N/A      13.38        090
                                                      bleeding.
42999..............  ..............  C               Throat surgery             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
43020..............  ..............  A               Incision of                8.09        N/A       5.75        0.70         N/A      14.54        090
                                                      esophagus.
43030..............  ..............  A               Throat muscle              7.69        N/A       6.00        0.60         N/A      14.29        090
                                                      surgery.
43045..............  ..............  A               Incision of               20.12        N/A      10.51        2.15         N/A      32.78        090
                                                      esophagus.
43100..............  ..............  A               Excision of                9.19        N/A       6.31        0.79         N/A      16.29        090
                                                      esophagus lesion.
43101..............  ..............  A               Excision of               16.24        N/A       7.83        1.81         N/A      25.88        090
                                                      esophagus lesion.
43107..............  ..............  A               Removal of esophagus      40.00        N/A      17.03        3.29         N/A      60.32        090
43108..............  ..............  A               Removal of esophagus      34.19        N/A      14.36        3.78         N/A      52.33        090
43112..............  ..............  A               Removal of esophagus      43.50        N/A      18.14        3.67         N/A      65.31        090
43113..............  ..............  A               Removal of esophagus      35.27        N/A      15.19        4.33         N/A      54.79        090
43116..............  ..............  A               Partial removal of        31.22        N/A      17.10        2.62         N/A      50.94        090
                                                      esophagus.
43117..............  ..............  A               Partial removal of        40.00        N/A      16.27        3.51         N/A      59.78        090
                                                      esophagus.
43118..............  ..............  A               Partial removal of        33.20        N/A      13.89        3.56         N/A      50.65        090
                                                      esophagus.

[[Page 49130]]

 
43121..............  ..............  A               Partial removal of        29.19        N/A      12.58        3.44         N/A      45.21        090
                                                      esophagus.
43122..............  ..............  A               Partial removal of        40.00        N/A      16.47        3.27         N/A      59.74        090
                                                      esophagus.
43123..............  ..............  A               Partial removal of        33.20        N/A      14.10        3.96         N/A      51.26        090
                                                      esophagus.
43124..............  ..............  A               Removal of esophagus      27.32        N/A      13.15        2.95         N/A      43.42        090
43130..............  ..............  A               Removal of esophagus      11.75        N/A       7.69        1.06         N/A      20.50        090
                                                      pouch.
43135..............  ..............  A               Removal of esophagus      16.10        N/A       8.04        1.85         N/A      25.99        090
                                                      pouch.
43200..............  ..............  A               Esophagus endoscopy.       1.59       4.49       1.11        0.11        6.19       2.81        000
43201..............  ..............  A               Esoph scope w/             2.09       4.92       1.29        0.12        7.13       3.50        000
                                                      submucous inj.
43202..............  ..............  A               Esophagus endoscopy,       1.89       5.61       0.98        0.12        7.62       2.99        000
                                                      biopsy.
43204..............  ..............  A               Esoph scope w/             3.77        N/A       1.57        0.18         N/A       5.52        000
                                                      sclerosis inj.
43205..............  ..............  A               Esophagus endoscopy/       3.79        N/A       1.58        0.17         N/A       5.54        000
                                                      ligation.
43215..............  ..............  A               Esophagus endoscopy.       2.60        N/A       1.24        0.17         N/A       4.01        000
43216..............  ..............  A               Esophagus endoscopy/       2.40        N/A       1.21        0.15         N/A       3.76        000
                                                      lesion.
43217..............  ..............  A               Esophagus endoscopy.       2.90       6.99       1.24        0.17       10.06       4.31        000
43219..............  ..............  A               Esophagus endoscopy.       2.80        N/A       1.39        0.16         N/A       4.35        000
43220..............  ..............  A               Esoph endoscopy,           2.10        N/A       1.00        0.12         N/A       3.22        000
                                                      dilation.
43226..............  ..............  A               Esoph endoscopy,           2.34        N/A       1.07        0.12         N/A       3.53        000
                                                      dilation.
43227..............  ..............  A               Esoph endoscopy,           3.60        N/A       1.50        0.18         N/A       5.28        000
                                                      repair.
43228..............  ..............  A               Esoph endoscopy,           3.77        N/A       1.60        0.25         N/A       5.62        000
                                                      ablation.
43231..............  ..............  A               Esoph endoscopy w/us       3.19        N/A       1.35        0.20         N/A       4.74        000
                                                      exam.
43232..............  ..............  A               Esoph endoscopy w/us       4.48        N/A       1.87        0.26         N/A       6.61        000
                                                      fn bx.
43234..............  ..............  A               Upper GI endoscopy,        2.01       5.37       0.91        0.13        7.51       3.05        000
                                                      exam.
43235..............  ..............  A               Uppr gi endoscopy,         2.39       5.18       1.06        0.13        7.70       3.58        000
                                                      diagnosis.
43236..............  ..............  A               Uppr gi scope w/           2.92       6.11       1.26        0.14        9.17       4.32        000
                                                      submuc inj.
43239..............  ..............  A               Upper GI endoscopy,        2.87       5.73       1.23        0.14        8.74       4.24        000
                                                      biopsy.
43240..............  ..............  A               Esoph endoscope w/         6.86        N/A       2.68        0.36         N/A       9.90        000
                                                      drain cyst.
43241..............  ..............  A               Upper GI endoscopy         2.59        N/A       1.14        0.14         N/A       3.87        000
                                                      with tube.
43242..............  ..............  A               Uppr gi endoscopy w/       7.31        N/A       2.81        0.29         N/A      10.41        000
                                                      us fn bx.
43243..............  ..............  A               Upper gi endoscopy &       4.57        N/A       1.85        0.21         N/A       6.63        000
                                                      inject.
43244..............  ..............  A               Upper GI endoscopy/        5.05        N/A       2.02        0.21         N/A       7.28        000
                                                      ligation.
43245..............  ..............  A               Uppr gi scope dilate       3.18        N/A       1.34        0.18         N/A       4.70        000
                                                      strictr.
43246..............  ..............  A               Place gastrostomy          4.33        N/A       1.75        0.24         N/A       6.32        000
                                                      tube.
43247..............  ..............  A               Operative upper GI         3.39        N/A       1.42        0.17         N/A       4.98        000
                                                      endoscopy.
43248..............  ..............  A               Uppr gi endoscopy/         3.15        N/A       1.35        0.15         N/A       4.65        000
                                                      guide wire.
43249..............  ..............  A               Esoph endoscopy,           2.90        N/A       1.25        0.15         N/A       4.30        000
                                                      dilation.
43250..............  ..............  A               Upper GI endoscopy/        3.20        N/A       1.35        0.17         N/A       4.72        000
                                                      tumor.
43251..............  ..............  A               Operative upper GI         3.70        N/A       1.53        0.19         N/A       5.42        000
                                                      endoscopy.
43255..............  ..............  A               Operative upper GI         4.82        N/A       1.94        0.20         N/A       6.96        000
                                                      endoscopy.
43256..............  ..............  A               Uppr gi endoscopy w        4.35        N/A       1.77        0.23         N/A       6.35        000
                                                      stent.

[[Page 49131]]

 
43258..............  ..............  A               Operative upper GI         4.55        N/A       1.84        0.22         N/A       6.61        000
                                                      endoscopy.
43259..............  ..............  A               Endoscopic                 4.89        N/A       1.95        0.22         N/A       7.06        000
                                                      ultrasound exam.
43260..............  ..............  A               Endo                       5.96        N/A       2.35        0.27         N/A       8.58        000
                                                      cholangiopancreatog
                                                      raph.
43261..............  ..............  A               Endo                       6.27        N/A       2.46        0.29         N/A       9.02        000
                                                      cholangiopancreatog
                                                      raph.
43262..............  ..............  A               Endo                       7.39        N/A       2.86        0.34         N/A      10.59        000
                                                      cholangiopancreatog
                                                      raph.
43263..............  ..............  A               Endo                       7.29        N/A       2.84        0.28         N/A      10.41        000
                                                      cholangiopancreatog
                                                      raph.
43264..............  ..............  A               Endo                       8.90        N/A       3.40        0.41         N/A      12.71        000
                                                      cholangiopancreatog
                                                      raph.
43265..............  ..............  A               Endo                      10.02        N/A       3.80        0.42         N/A      14.24        000
                                                      cholangiopancreatog
                                                      raph.
43267..............  ..............  A               Endo                       7.39        N/A       2.86        0.34         N/A      10.59        000
                                                      cholangiopancreatog
                                                      raph.
43268..............  ..............  A               Endo                       7.39        N/A       2.96        0.34         N/A      10.69        000
                                                      cholangiopancreatog
                                                      raph.
43269..............  ..............  A               Endo                       8.21        N/A       3.16        0.28         N/A      11.65        000
                                                      cholangiopancreatog
                                                      raph.
43271..............  ..............  A               Endo                       7.39        N/A       2.86        0.34         N/A      10.59        000
                                                      cholangiopancreatog
                                                      raph.
43272..............  ..............  A               Endo                       7.39        N/A       2.87        0.34         N/A      10.60        000
                                                      cholangiopancreatog
                                                      raph.
43280..............  ..............  A               Laparoscopy,              17.25        N/A       7.53        1.76         N/A      26.54        090
                                                      fundoplasty.
43289..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      esoph.
43300..............  ..............  A               Repair of esophagus.       9.14        N/A       6.59        0.85         N/A      16.58        090
43305..............  ..............  A               Repair esophagus and      17.39        N/A      10.98        1.36         N/A      29.73        090
                                                      fistula.
43310..............  ..............  A               Repair of esophagus.      25.39        N/A      11.21        3.18         N/A      39.78        090
43312..............  ..............  A               Repair esophagus and      28.42        N/A      12.16        3.38         N/A      43.96        090
                                                      fistula.
43313..............  ..............  A               Esophagoplasty            45.28        N/A      20.57        5.43         N/A      71.28        090
                                                      congenital.
43314..............  ..............  A               Tracheo-                  50.27        N/A      22.50        5.53         N/A      78.30        090
                                                      esophagoplasty cong.
43320..............  ..............  A               Fuse esophagus &          19.93        N/A       9.30        1.59         N/A      30.82        090
                                                      stomach.
43324..............  ..............  A               Revise esophagus &        20.57        N/A       8.98        1.72         N/A      31.27        090
                                                      stomach.
43325..............  ..............  A               Revise esophagus &        20.06        N/A       8.96        1.65         N/A      30.67        090
                                                      stomach.
43326..............  ..............  A               Revise esophagus &        19.74        N/A       9.27        1.84         N/A      30.85        090
                                                      stomach.
43330..............  ..............  A               Repair of esophagus.      19.77        N/A       8.73        1.52         N/A      30.02        090
43331..............  ..............  A               Repair of esophagus.      20.13        N/A       9.75        1.93         N/A      31.81        090
43340..............  ..............  A               Fuse esophagus &          19.61        N/A       9.08        1.53         N/A      30.22        090
                                                      intestine.
43341..............  ..............  A               Fuse esophagus &          20.85        N/A      10.02        2.14         N/A      33.01        090
                                                      intestine.
43350..............  ..............  A               Surgical opening,         15.78        N/A       8.57        1.15         N/A      25.50        090
                                                      esophagus.
43351..............  ..............  A               Surgical opening,         18.35        N/A       9.69        1.51         N/A      29.55        090
                                                      esophagus.

[[Page 49132]]

 
43352..............  ..............  A               Surgical opening,         15.26        N/A       8.45        1.28         N/A      24.99        090
                                                      esophagus.
43360..............  ..............  A               Gastrointestinal          35.70        N/A      15.16        3.00         N/A      53.86        090
                                                      repair.
43361..............  ..............  A               Gastrointestinal          40.50        N/A      16.97        3.52         N/A      60.99        090
                                                      repair.
43400..............  ..............  A               Ligate esophagus          21.20        N/A       9.64        0.99         N/A      31.83        090
                                                      veins.
43401..............  ..............  A               Esophagus surgery         22.09        N/A       9.72        1.73         N/A      33.54        090
                                                      for veins.
43405..............  ..............  A               Ligate/staple             20.01        N/A       9.56        1.63         N/A      31.20        090
                                                      esophagus.
43410..............  ..............  A               Repair esophagus          13.47        N/A       7.66        1.15         N/A      22.28        090
                                                      wound.
43415..............  ..............  A               Repair esophagus          25.00        N/A      11.70        1.92         N/A      38.62        090
                                                      wound.
43420..............  ..............  A               Repair esophagus          14.35        N/A       7.63        0.86         N/A      22.84        090
                                                      opening.
43425..............  ..............  A               Repair esophagus          21.03        N/A       9.94        2.03         N/A      33.00        090
                                                      opening.
43450..............  ..............  A               Dilate esophagus....       1.38       2.54       0.72        0.07        3.99       2.17        000
43453..............  ..............  A               Dilate esophagus....       1.51       6.12       0.79        0.08        7.71       2.38        000
43456..............  ..............  A               Dilate esophagus....       2.57      14.11       1.17        0.14       16.82       3.88        000
43458..............  ..............  A               Dilate esophagus....       3.06       6.73       1.36        0.17        9.96       4.59        000
43460..............  ..............  A               Pressure treatment         3.80        N/A       1.51        0.21         N/A       5.52        000
                                                      esophagus.
43496..............  ..............  C               Free jejunum flap,         0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      microvasc.
43499..............  ..............  C               Esophagus surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
43500..............  ..............  A               Surgical opening of       11.05        N/A       5.23        0.84         N/A      17.12        090
                                                      stomach.
43501..............  ..............  A               Surgical repair of        20.04        N/A       8.63        1.55         N/A      30.22        090
                                                      stomach.
43502..............  ..............  A               Surgical repair of        23.13        N/A       9.79        1.83         N/A      34.75        090
                                                      stomach.
43510..............  ..............  A               Surgical opening of       13.08        N/A       6.84        0.90         N/A      20.82        090
                                                      stomach.
43520..............  ..............  A               Incision of pyloric        9.99        N/A       5.44        0.84         N/A      16.27        090
                                                      muscle.
43600..............  ..............  A               Biopsy of stomach...       1.91        N/A       1.04        0.11         N/A       3.06        000
43605..............  ..............  A               Biopsy of stomach...      11.98        N/A       5.54        0.93         N/A      18.45        090
43610..............  ..............  A               Excision of stomach       14.60        N/A       6.47        1.14         N/A      22.21        090
                                                      lesion.
43611..............  ..............  A               Excision of stomach       17.84        N/A       7.88        1.38         N/A      27.10        090
                                                      lesion.
43620..............  ..............  A               Removal of stomach..      30.04        N/A      12.22        2.29         N/A      44.55        090
43621..............  ..............  A               Removal of stomach..      30.73        N/A      12.43        2.36         N/A      45.52        090
43622..............  ..............  A               Removal of stomach..      32.53        N/A      13.03        2.48         N/A      48.04        090
43631..............  ..............  A               Removal of stomach,       22.59        N/A       9.49        1.99         N/A      34.07        090
                                                      partial.
43632..............  ..............  A               Removal of stomach,       22.59        N/A       9.50        2.00         N/A      34.09        090
                                                      partial.
43633..............  ..............  A               Removal of stomach,       23.10        N/A       9.67        2.05         N/A      34.82        090
                                                      partial.
43634..............  ..............  A               Removal of stomach,       25.12        N/A      10.43        2.18         N/A      37.73        090
                                                      partial.
43635..............  ..............  A               Removal of stomach,        2.06        N/A       0.72        0.21         N/A       2.99        ZZZ
                                                      partial.
43638..............  ..............  A               Removal of stomach,       29.00        N/A      12.20        2.24         N/A      43.44        090
                                                      partial.
43639..............  ..............  A               Removal of stomach,       29.65        N/A      12.03        2.31         N/A      43.99        090
                                                      partial.
43640..............  ..............  A               Vagotomy & pylorus        17.02        N/A       7.56        1.51         N/A      26.09        090
                                                      repair.
43641..............  ..............  A               Vagotomy & pylorus        17.27        N/A       7.66        1.53         N/A      26.46        090
                                                      repair.
43651..............  ..............  A               Laparoscopy, vagus        10.15        N/A       4.82        1.03         N/A      16.00        090
                                                      nerve.
43652..............  ..............  A               Laparoscopy, vagus        12.15        N/A       5.53        1.25         N/A      18.93        090
                                                      nerve.
43653..............  ..............  A               Laparoscopy,               7.73        N/A       4.43        0.78         N/A      12.94        090
                                                      gastrostomy.
43659..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      stom.
43750..............  ..............  A               Place gastrostomy          4.49        N/A       2.75        0.33         N/A       7.57        010
                                                      tube.
43760..............  ..............  A               Change gastrostomy         1.10       1.68       0.46        0.07        2.85       1.63        000
                                                      tube.
43761..............  ..............  A               Reposition                 2.01        N/A       0.80        0.10         N/A       2.91        000
                                                      gastrostomy tube.
43800..............  ..............  A               Reconstruction of         13.69        N/A       6.20        1.07         N/A      20.96        090
                                                      pylorus.
43810..............  ..............  A               Fusion of stomach         14.65        N/A       6.50        1.10         N/A      22.25        090
                                                      and bowel.
43820..............  ..............  A               Fusion of stomach         15.37        N/A       6.74        1.18         N/A      23.29        090
                                                      and bowel.

[[Page 49133]]

 
43825..............  ..............  A               Fusion of stomach         19.22        N/A       8.33        1.50         N/A      29.05        090
                                                      and bowel.
43830..............  ..............  A               Place gastrostomy          9.53        N/A       5.10        0.69         N/A      15.32        090
                                                      tube.
43831..............  ..............  A               Place gastrostomy          7.84        N/A       4.65        0.81         N/A      13.30        090
                                                      tube.
43832..............  ..............  A               Place gastrostomy         15.60        N/A       7.19        1.13         N/A      23.92        090
                                                      tube.
43840..............  ..............  A               Repair of stomach         15.56        N/A       7.05        1.20         N/A      23.81        090
                                                      lesion.
43842..............  ..............  A               Gastroplasty for          18.47        N/A       8.44        1.51         N/A      28.42        090
                                                      obesity.
43843..............  ..............  A               Gastroplasty for          18.65        N/A       8.38        1.53         N/A      28.56        090
                                                      obesity.
43846..............  ..............  A               Gastric bypass for        24.05        N/A      10.70        1.96         N/A      36.71        090
                                                      obesity.
43847..............  ..............  A               Gastric bypass for        26.92        N/A      11.69        2.14         N/A      40.75        090
                                                      obesity.
43848..............  ..............  A               Revision                  29.39        N/A      12.62        2.39         N/A      44.40        090
                                                      gastroplasty.
43850..............  ..............  A               Revise stomach-bowel      24.72        N/A      10.17        1.97         N/A      36.86        090
                                                      fusion.
43855..............  ..............  A               Revise stomach-bowel      26.16        N/A      10.74        2.01         N/A      38.91        090
                                                      fusion.
43860..............  ..............  A               Revise stomach-bowel      25.00        N/A      10.33        2.03         N/A      37.36        090
                                                      fusion.
43865..............  ..............  A               Revise stomach-bowel      26.52        N/A      10.86        2.15         N/A      39.53        090
                                                      fusion.
43870..............  ..............  A               Repair stomach             9.69        N/A       4.80        0.71         N/A      15.20        090
                                                      opening.
43880..............  ..............  A               Repair stomach-bowel      24.65        N/A      10.31        1.94         N/A      36.90        090
                                                      fistula.
43999..............  ..............  C               Stomach surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
44005..............  ..............  A               Freeing of bowel          16.23        N/A       6.91        1.39         N/A      24.53        090
                                                      adhesion.
44010..............  ..............  A               Incision of small         12.52        N/A       5.65        1.05         N/A      19.22        090
                                                      bowel.
44015..............  ..............  A               Insert needle cath         2.62        N/A       0.90        0.25         N/A       3.77        ZZZ
                                                      bowel.
44020..............  ..............  A               Explore small             13.99        N/A       6.11        1.20         N/A      21.30        090
                                                      intestine.
44021..............  ..............  A               Decompress small          14.08        N/A       6.18        1.18         N/A      21.44        090
                                                      bowel.
44025..............  ..............  A               Incision of large         14.28        N/A       6.20        1.21         N/A      21.69        090
                                                      bowel.
44050..............  ..............  A               Reduce bowel              14.03        N/A       6.13        1.15         N/A      21.31        090
                                                      obstruction.
44055..............  ..............  A               Correct malrotation       22.00        N/A       8.96        1.32         N/A      32.28        090
                                                      of bowel.
44100..............  ..............  A               Biopsy of bowel.....       2.01        N/A       1.11        0.12         N/A       3.24        000
44110..............  ..............  A               Excise intestine          11.81        N/A       5.40        1.00         N/A      18.21        090
                                                      lesion(s).
44111..............  ..............  A               Excision of bowel         14.29        N/A       6.35        1.22         N/A      21.86        090
                                                      lesion(s).
44120..............  ..............  A               Removal of small          17.00        N/A       7.23        1.46         N/A      25.69        090
                                                      intestine.
44121..............  ..............  A               Removal of small           4.45        N/A       1.55        0.46         N/A       6.46        ZZZ
                                                      intestine.
44125..............  ..............  A               Removal of small          17.54        N/A       7.41        1.49         N/A      26.44        090
                                                      intestine.
44126..............  ..............  A               Enterectomy w/o           35.50        N/A      14.38        0.36         N/A      50.24        090
                                                      taper, cong.
44127..............  ..............  A               Enterectomy w/taper,      41.00        N/A      18.39        0.41         N/A      59.80        090
                                                      cong.
44128..............  ..............  A               Enterectomy cong,          4.45        N/A       1.58        0.45         N/A       6.48        ZZZ
                                                      add-on.
44130..............  ..............  A               Bowel to bowel            14.49        N/A       6.35        1.23         N/A      22.07        090
                                                      fusion.
44132..............  ..............  R               Enterectomy, cadaver       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      donor.
44133..............  ..............  R               Enterectomy, live          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      donor.
44135..............  ..............  R               Intestine transplnt,       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      cadaver.
44136..............  ..............  R               Intestine                  0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      transplant, live.
44139..............  ..............  A               Mobilization of            2.23        N/A       0.78        0.21         N/A       3.22        ZZZ
                                                      colon.
44140..............  ..............  A               Partial removal of        21.00        N/A       8.83        2.14         N/A      31.97        090
                                                      colon.
44141..............  ..............  A               Partial removal of        19.51        N/A      10.29        1.95         N/A      31.75        090
                                                      colon.
44143..............  ..............  A               Partial removal of        22.99        N/A      10.91        2.02         N/A      35.92        090
                                                      colon.
44144..............  ..............  A               Partial removal of        21.53        N/A       9.76        1.89         N/A      33.18        090
                                                      colon.
44145..............  ..............  A               Partial removal of        26.42        N/A      11.05        2.22         N/A      39.69        090
                                                      colon.
44146..............  ..............  A               Partial removal of        27.54        N/A      13.15        2.20         N/A      42.89        090
                                                      colon.
44147..............  ..............  A               Partial removal of        20.71        N/A       8.85        1.74         N/A      31.30        090
                                                      colon.
44150..............  ..............  A               Removal of colon....      23.95        N/A      12.30        2.05         N/A      38.30        090
44151..............  ..............  A               Removal of colon/         26.88        N/A      13.73        1.97         N/A      42.58        090
                                                      ileostomy.
44152..............  ..............  A               Removal of colon/         27.83        N/A      11.88        2.36         N/A      42.07        090
                                                      ileostomy.
44153..............  ..............  A               Removal of colon/         30.59        N/A      14.77        2.33         N/A      47.69        090
                                                      ileostomy.

[[Page 49134]]

 
44155..............  ..............  A               Removal of colon/         27.86        N/A      13.64        2.26         N/A      43.76        090
                                                      ileostomy.
44156..............  ..............  A               Removal of colon/         30.79        N/A      15.33        2.19         N/A      48.31        090
                                                      ileostomy.
44160..............  ..............  A               Removal of colon....      18.62        N/A       7.91        1.86         N/A      28.39        090
44200..............  ..............  A               Laparoscopy,              14.44        N/A       6.32        1.46         N/A      22.22        090
                                                      enterolysis.
44201..............  ..............  A               Laparoscopy,               9.78        N/A       4.74        0.97         N/A      15.49        090
                                                      jejunostomy.
44202..............  ..............  A               Lap resect s/             22.04        N/A       9.12        2.16         N/A      33.32        090
                                                      intestine singl.
44203..............  ..............  A               Lap resect s/              4.45        N/A       1.53        0.46         N/A       6.44        ZZZ
                                                      intestine, addl.
44204..............  ..............  A               Laparo partial            25.08        N/A      10.15        2.55         N/A      37.78        090
                                                      colectomy.
44205..............  ..............  A               Lap colectomy part w/     22.23        N/A       9.02        2.23         N/A      33.48        090
                                                      ileum.
44206..............  ..............  A               Lap part colectomy w/     27.00        N/A      11.54        2.02         N/A      40.56        090
                                                      stoma.
44207..............  ..............  A               L colectomy/              30.00        N/A      11.78        2.22         N/A      44.00        090
                                                      coloproctostomy.
44208..............  ..............  A               L colectomy/              32.00        N/A      13.48        2.20         N/A      47.68        090
                                                      coloproctostomy.
44210..............  ..............  A               Laparo total              28.00        N/A      12.21        2.05         N/A      42.26        090
                                                      proctocolectomy.
44211..............  ..............  A               Laparo total              35.00        N/A      14.98        2.33         N/A      52.31        090
                                                      proctocolectomy.
44212..............  ..............  A               Laparo total              32.50        N/A      14.09        2.26         N/A      48.85        090
                                                      proctocolectomy.
44238..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      intestine.
44239..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      rectum.
44300..............  ..............  A               Open bowel to skin..      12.11        N/A       5.59        0.88         N/A      18.58        090
44310..............  ..............  A               Ileostomy/                15.95        N/A       6.84        1.13         N/A      23.92        090
                                                      jejunostomy.
44312..............  ..............  A               Revision of                8.02        N/A       4.08        0.54         N/A      12.64        090
                                                      ileostomy.
44314..............  ..............  A               Revision of               15.05        N/A       6.71        0.99         N/A      22.75        090
                                                      ileostomy.
44316..............  ..............  A               Devise bowel pouch..      21.09        N/A       8.73        1.41         N/A      31.23        090
44320..............  ..............  A               Colostomy...........      17.64        N/A       7.83        1.28         N/A      26.75        090
44322..............  ..............  A               Colostomy with            11.98        N/A       8.80        1.18         N/A      21.96        090
                                                      biopsies.
44340..............  ..............  A               Revision of                7.72        N/A       4.36        0.56         N/A      12.64        090
                                                      colostomy.
44345..............  ..............  A               Revision of               15.43        N/A       7.03        1.11         N/A      23.57        090
                                                      colostomy.
44346..............  ..............  A               Revision of               16.99        N/A       7.54        1.20         N/A      25.73        090
                                                      colostomy.
44360..............  ..............  A               Small bowel                2.59        N/A       1.14        0.14         N/A       3.87        000
                                                      endoscopy.
44361..............  ..............  A               Small bowel                2.87        N/A       1.24        0.15         N/A       4.26        000
                                                      endoscopy/biopsy.
44363..............  ..............  A               Small bowel                3.50        N/A       1.43        0.19         N/A       5.12        000
                                                      endoscopy.
44364..............  ..............  A               Small bowel                3.74        N/A       1.55        0.21         N/A       5.50        000
                                                      endoscopy.
44365..............  ..............  A               Small bowel                3.31        N/A       1.41        0.18         N/A       4.90        000
                                                      endoscopy.
44366..............  ..............  A               Small bowel                4.41        N/A       1.79        0.22         N/A       6.42        000
                                                      endoscopy.
44369..............  ..............  A               Small bowel                4.52        N/A       1.79        0.23         N/A       6.54        000
                                                      endoscopy.
44370..............  ..............  A               Small bowel                4.80        N/A       2.03        0.21         N/A       7.04        000
                                                      endoscopy/stent.
44372..............  ..............  A               Small bowel                4.41        N/A       1.78        0.27         N/A       6.46        000
                                                      endoscopy.
44373..............  ..............  A               Small bowel                3.50        N/A       1.47        0.19         N/A       5.16        000
                                                      endoscopy.
44376..............  ..............  A               Small bowel                5.26        N/A       2.08        0.29         N/A       7.63        000
                                                      endoscopy.
44377..............  ..............  A               Small bowel                5.53        N/A       2.20        0.28         N/A       8.01        000
                                                      endoscopy/biopsy.
44378..............  ..............  A               Small bowel                7.13        N/A       2.77        0.37         N/A      10.27        000
                                                      endoscopy.
44379..............  ..............  A               S bowel endoscope w/       7.47        N/A       2.99        0.38         N/A      10.84        000
                                                      stent.
44380..............  ..............  A               Small bowel                1.05        N/A       0.58        0.08         N/A       1.71        000
                                                      endoscopy.
44382..............  ..............  A               Small bowel                1.27        N/A       0.66        0.09         N/A       2.02        000
                                                      endoscopy.
44383..............  ..............  A               Ileoscopy w/stent...       2.94        N/A       1.31        0.13         N/A       4.38        000
44385..............  ..............  A               Endoscopy of bowel         1.82       5.20       0.98        0.12        7.14       2.92        000
                                                      pouch.
44386..............  ..............  A               Endoscopy, bowel           2.12       6.70       1.13        0.15        8.97       3.40        000
                                                      pouch/biop.
44388..............  ..............  A               Colon endoscopy.....       2.82       5.29       1.19        0.18        8.29       4.19        000
44389..............  ..............  A               Colonoscopy with           3.13       6.68       1.31        0.18        9.99       4.62        000
                                                      biopsy.
44390..............  ..............  A               Colonoscopy for            3.83       6.92       1.54        0.22       10.97       5.59        000
                                                      foreign body.

[[Page 49135]]

 
44391..............  ..............  A               Colonoscopy for            4.32       8.97       1.75        0.23       13.52       6.30        000
                                                      bleeding.
44392..............  ..............  A               Colonoscopy &              3.82       6.74       1.54        0.23       10.79       5.59        000
                                                      polypectomy.
44393..............  ..............  A               Colonoscopy, lesion        4.84       7.09       1.92        0.27       12.20       7.03        000
                                                      removal.
44394..............  ..............  A               Colonoscopy w/snare.       4.43       7.95       1.78        0.26       12.64       6.47        000
44397..............  ..............  A               Colonoscopy w/stent.       4.71        N/A       2.10        0.28         N/A       7.09        000
44500..............  ..............  A               Intro,                     0.49        N/A       0.36        0.02         N/A       0.87        000
                                                      gastrointestinal
                                                      tube.
44602..............  ..............  A               Suture, small             16.03        N/A       6.53        1.07         N/A      23.63        090
                                                      intestine.
44603..............  ..............  A               Suture, small             18.66        N/A       7.43        1.39         N/A      27.48        090
                                                      intestine.
44604..............  ..............  A               Suture, large             16.03        N/A       6.60        1.42         N/A      24.05        090
                                                      intestine.
44605..............  ..............  A               Repair of bowel           19.53        N/A       8.59        1.54         N/A      29.66        090
                                                      lesion.
44615..............  ..............  A               Intestinal                15.93        N/A       6.82        1.39         N/A      24.14        090
                                                      stricturoplasty.
44620..............  ..............  A               Repair bowel opening      12.20        N/A       5.44        1.05         N/A      18.69        090
44625..............  ..............  A               Repair bowel opening      15.05        N/A       6.44        1.30         N/A      22.79        090
44626..............  ..............  A               Repair bowel opening      25.36        N/A      10.02        2.53         N/A      37.91        090
44640..............  ..............  A               Repair bowel-skin         21.65        N/A       8.76        1.46         N/A      31.87        090
                                                      fistula.
44650..............  ..............  A               Repair bowel fistula      22.57        N/A       9.07        1.49         N/A      33.13        090
44660..............  ..............  A               Repair bowel-bladder      21.36        N/A       8.55        1.14         N/A      31.05        090
                                                      fistula.
44661..............  ..............  A               Repair bowel-bladder      24.81        N/A       9.77        1.53         N/A      36.11        090
                                                      fistula.
44680..............  ..............  A               Surgical revision,        15.40        N/A       6.59        1.37         N/A      23.36        090
                                                      intestine.
44700..............  ..............  A               Suspend bowel w/          16.11        N/A       6.81        1.21         N/A      24.13        090
                                                      prosthesis.
44701..............  ..............  A               Intraop colon lavage       3.10        N/A       1.08        0.21         N/A       4.39        ZZZ
                                                      add-on.
44799..............  ..............  C               Intestine surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
44800..............  ..............  A               Excision of bowel         11.23        N/A       5.49        1.11         N/A      17.83        090
                                                      pouch.
44820..............  ..............  A               Excision of               12.09        N/A       5.60        1.03         N/A      18.72        090
                                                      mesentery lesion.
44850..............  ..............  A               Repair of mesentery.      10.74        N/A       5.09        0.99         N/A      16.82        090
44899..............  ..............  C               Bowel surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
44900..............  ..............  A               Drain app abscess,        10.14        N/A       4.80        0.84         N/A      15.78        090
                                                      open.
44901..............  ..............  A               Drain app abscess,         3.38        N/A       4.61        0.17         N/A       8.16        000
                                                      percut.
44950..............  ..............  A               Appendectomy........      10.00        N/A       4.41        0.88         N/A      15.29        090
44955..............  ..............  A               Appendectomy add-on.       1.53        N/A       0.55        0.16         N/A       2.24        ZZZ
44960..............  ..............  A               Appendectomy........      12.34        N/A       5.46        1.09         N/A      18.89        090
44970..............  ..............  A               Laparoscopy,               8.70        N/A       4.30        0.88         N/A      13.88        090
                                                      appendectomy.
44979..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      app.
45000..............  ..............  A               Drainage of pelvic         4.52        N/A       3.01        0.37         N/A       7.90        090
                                                      abscess.
45005..............  ..............  A               Drainage of rectal         1.99       4.92       1.71        0.18        7.09       3.88        010
                                                      abscess.
45020..............  ..............  A               Drainage of rectal         4.72        N/A       3.34        0.41         N/A       8.47        090
                                                      abscess.
45100..............  ..............  A               Biopsy of rectum....       3.68        N/A       2.42        0.33         N/A       6.43        090
45108..............  ..............  A               Removal of anorectal       4.76        N/A       2.95        0.46         N/A       8.17        090
                                                      lesion.
45110..............  ..............  A               Removal of rectum...      28.00        N/A      12.69        2.26         N/A      42.95        090
45111..............  ..............  A               Partial removal of        16.48        N/A       7.33        1.60         N/A      25.41        090
                                                      rectum.
45112..............  ..............  A               Removal of rectum...      30.54        N/A      12.03        2.35         N/A      44.92        090
45113..............  ..............  A               Partial proctectomy.      30.58        N/A      12.92        2.13         N/A      45.63        090
45114..............  ..............  A               Partial removal of        27.32        N/A      11.18        2.28         N/A      40.78        090
                                                      rectum.
45116..............  ..............  A               Partial removal of        24.58        N/A      10.26        2.00         N/A      36.84        090
                                                      rectum.
45119..............  ..............  A               Remove rectum w/          30.84        N/A      12.77        2.13         N/A      45.74        090
                                                      reservoir.
45120..............  ..............  A               Removal of rectum...      24.60        N/A      10.36        2.28         N/A      37.24        090
45121..............  ..............  A               Removal of rectum         27.04        N/A      11.34        2.66         N/A      41.04        090
                                                      and colon.
45123..............  ..............  A               Partial proctectomy.      16.71        N/A       7.01        1.04         N/A      24.76        090
45126..............  ..............  A               Pelvic exenteration.      45.16        N/A      19.84        3.23         N/A      68.23        090
45130..............  ..............  A               Excision of rectal        16.44        N/A       6.92        1.12         N/A      24.48        090
                                                      prolapse.
45135..............  ..............  A               Excision of rectal        19.28        N/A       8.57        1.52         N/A      29.37        090
                                                      prolapse.
45136..............  ..............  A               Excise ileoanal           27.30        N/A      12.70        2.72         N/A      42.72        090
                                                      reservior.
45150..............  ..............  A               Excision of rectal         5.67        N/A       3.01        0.46         N/A       9.14        090
                                                      stricture.

[[Page 49136]]

 
45160..............  ..............  A               Excision of rectal        15.32        N/A       6.79        1.07         N/A      23.18        090
                                                      lesion.
45170..............  ..............  A               Excision of rectal        11.49        N/A       5.35        0.89         N/A      17.73        090
                                                      lesion.
45190..............  ..............  A               Destruction, rectal        9.74        N/A       4.71        0.76         N/A      15.21        090
                                                      tumor.
45300..............  ..............  A               Proctosigmoidoscopy        0.38       1.50       0.31        0.05        1.93       0.74        000
                                                      dx.
45303..............  ..............  A               Proctosigmoidoscopy        0.44      19.74       0.35        0.06       20.24       0.85        000
                                                      dilate.
45305..............  ..............  A               Proctosigmoidoscopy        1.01       2.62       0.53        0.09        3.72       1.63        000
                                                      w/bx.
45307..............  ..............  A               Proctosigmoidoscopy        0.94       3.07       0.51        0.15        4.16       1.60        000
                                                      fb.
45308..............  ..............  A               Proctosigmoidoscopy        0.83       1.97       0.47        0.13        2.93       1.43        000
                                                      removal.
45309..............  ..............  A               Proctosigmoidoscopy        2.01       2.82       0.87        0.17        5.00       3.05        000
                                                      removal.
45315..............  ..............  A               Proctosigmoidoscopy        1.40       2.85       0.67        0.20        4.45       2.27        000
                                                      removal.
45317..............  ..............  A               Proctosigmoidoscopy        1.50       2.43       0.69        0.20        4.13       2.39        000
                                                      bleed.
45320..............  ..............  A               Proctosigmoidoscopy        1.58       2.89       0.74        0.20        4.67       2.52        000
                                                      ablate.
45321..............  ..............  A               Proctosigmoidoscopy        1.17        N/A       0.59        0.17         N/A       1.93        000
                                                      volvul.
45327..............  ..............  A               Proctosigmoidoscopy        1.65        N/A       0.71        0.10         N/A       2.46        000
                                                      w/stent.
45330..............  ..............  A               Diagnostic                 0.96       2.25       0.53        0.05        3.26       1.54        000
                                                      sigmoidoscopy.
45331..............  ..............  A               Sigmoidoscopy and          1.15       2.90       0.64        0.07        4.12       1.86        000
                                                      biopsy.
45332..............  ..............  A               Sigmoidoscopy w/fb         1.79       4.86       0.86        0.11        6.76       2.76        000
                                                      removal.
45333..............  ..............  A               Sigmoidoscopy &            1.79       4.81       0.86        0.12        6.72       2.77        000
                                                      polypectomy.
45334..............  ..............  A               Sigmoidoscopy for          2.73        N/A       1.21        0.16         N/A       4.10        000
                                                      bleeding.
45335..............  ..............  A               Sigmoidoscope w/           1.36       3.27       0.66        0.07        4.70       2.09        000
                                                      submuc inj.
45337..............  ..............  A               Sigmoidoscopy &            2.36        N/A       1.06        0.15         N/A       3.57        000
                                                      decompress.
45338..............  ..............  A               Sigmoidoscpy w/tumr        2.34       5.13       1.07        0.15        7.62       3.56        000
                                                      remove.
45339..............  ..............  A               Sigmoidoscopy w/           3.14       3.36       1.35        0.17        6.67       4.66        000
                                                      ablate tumr.
45340..............  ..............  A               Sig w/balloon              1.66       6.60       0.76        0.07        8.33       2.49        000
                                                      dilation.
45341..............  ..............  A               Sigmoidoscopy w/           2.60        N/A       1.15        0.20         N/A       3.95        000
                                                      ultrasound.
45342..............  ..............  A               Sigmoidoscopy w/us         4.06        N/A       1.62        0.23         N/A       5.91        000
                                                      guide bx.
45345..............  ..............  A               Sigmoidoscopy w/           2.92        N/A       1.22        0.15         N/A       4.29        000
                                                      stent.
45355..............  ..............  A               Surgical colonoscopy       3.52        N/A       1.43        0.26         N/A       5.21        000
45378..............  ..............  A               Diagnostic                 3.70       6.30       1.68        0.20       10.20       5.58        000
                                                      colonoscopy.
45378..............  53............  A               Diagnostic                 0.96       2.25       0.53        0.05        3.26       1.54        000
                                                      colonoscopy.
45379..............  ..............  A               Colonoscopy w/fb           4.69       7.83       1.94        0.25       12.77       6.88        000
                                                      removal.
45380..............  ..............  A               Colonoscopy and            4.44       7.26       1.81        0.21       11.91       6.46        000
                                                      biopsy.
45381..............  ..............  A               Colonoscope,               4.20       8.00       1.72        0.21       12.41       6.13        000
                                                      submucous inj.
45382..............  ..............  A               Colonoscopy/control        5.69      10.03       2.32        0.27       15.99       8.28        000
                                                      bleeding.
45383..............  ..............  A               Lesion removal             5.87       8.05       2.31        0.32       14.24       8.50        000
                                                      colonoscopy.
45384..............  ..............  A               Lesion remove              4.70       6.87       1.91        0.24       11.81       6.85        000
                                                      colonoscopy.
45385..............  ..............  A               Lesion removal             5.31       7.90       2.12        0.28       13.49       7.71        000
                                                      colonoscopy.
45386..............  ..............  A               Colonoscope dilate         4.58      14.09       1.86        0.21       18.88       6.65        000
                                                      stricture.
45387..............  ..............  A               Colonoscopy w/stent.       5.91        N/A       2.40        0.33         N/A       8.64        000
45500..............  ..............  A               Repair of rectum....       7.29        N/A       3.63        0.56         N/A      11.48        090
45505..............  ..............  A               Repair of rectum....       7.58        N/A       3.87        0.50         N/A      11.95        090
45520..............  ..............  A               Treatment of rectal        0.55       0.86       0.19        0.04        1.45       0.78        000
                                                      prolapse.

[[Page 49137]]

 
45540..............  ..............  A               Correct rectal            16.27        N/A       6.96        1.17         N/A      24.40        090
                                                      prolapse.
45541..............  ..............  A               Correct rectal            13.40        N/A       6.06        0.88         N/A      20.34        090
                                                      prolapse.
45550..............  ..............  A               Repair rectum/remove      23.00        N/A       9.40        1.58         N/A      33.98        090
                                                      sigmoid.
45560..............  ..............  A               Repair of rectocele.      10.58        N/A       5.22        0.73         N/A      16.53        090
45562..............  ..............  A               Exploration/repair        15.38        N/A       7.07        1.15         N/A      23.60        090
                                                      of rectum.
45563..............  ..............  A               Exploration/repair        23.47        N/A      10.69        1.84         N/A      36.00        090
                                                      of rectum.
45800..............  ..............  A               Repair rect/bladder       17.77        N/A       7.57        1.14         N/A      26.48        090
                                                      fistula.
45805..............  ..............  A               Repair fistula w/         20.78        N/A       9.71        1.47         N/A      31.96        090
                                                      colostomy.
45820..............  ..............  A               Repair rectourethral      18.48        N/A       7.76        1.17         N/A      27.41        090
                                                      fistula.
45825..............  ..............  A               Repair fistula w/         21.25        N/A       9.99        0.97         N/A      32.21        090
                                                      colostomy.
45900..............  ..............  A               Reduction of rectal        2.61        N/A       1.35        0.17         N/A       4.13        010
                                                      prolapse.
45905..............  ..............  A               Dilation of anal           2.30      10.78       1.25        0.14       13.22       3.69        010
                                                      sphincter.
45910..............  ..............  A               Dilation of rectal         2.80      15.08       1.46        0.14       18.02       4.40        010
                                                      narrowing.
45915..............  ..............  A               Remove rectal              3.14       4.88       1.19        0.17        8.19       4.50        010
                                                      obstruction.
45999..............  ..............  C               Rectum surgery             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
46020..............  ..............  A               Placement of seton..       2.90       2.30       1.88        0.22        5.42       5.00        010
46030..............  ..............  A               Removal of rectal          1.23       1.37       0.72        0.11        2.71       2.06        010
                                                      marker.
46040..............  ..............  A               Incision of rectal         4.96       5.33       3.17        0.48       10.77       8.61        090
                                                      abscess.
46045..............  ..............  A               Incision of rectal         4.32        N/A       2.88        0.40         N/A       7.60        090
                                                      abscess.
46050..............  ..............  A               Incision of anal           1.19       2.61       0.87        0.11        3.91       2.17        010
                                                      abscess.
46060..............  ..............  A               Incision of rectal         5.69        N/A       3.31        0.52         N/A       9.52        090
                                                      abscess.
46070..............  ..............  A               Incision of anal           2.71        N/A       2.02        0.27         N/A       5.00        090
                                                      septum.
46080..............  ..............  A               Incision of anal           2.49       2.42       1.15        0.23        5.14       3.87        010
                                                      sphincter.
46083..............  ..............  A               Incise external            1.40       2.57       0.96        0.12        4.09       2.48        010
                                                      hemorrhoid.
46200..............  ..............  A               Removal of anal            3.42       3.66       2.40        0.30        7.38       6.12        090
                                                      fissure.
46210..............  ..............  A               Removal of anal            2.67       4.85       2.14        0.26        7.78       5.07        090
                                                      crypt.
46211..............  ..............  A               Removal of anal            4.25       5.11       2.91        0.37        9.73       7.53        090
                                                      crypts.
46220..............  ..............  A               Removal of anal tag.       1.56       2.31       0.95        0.14        4.01       2.65        010
46221..............  ..............  A               Ligation of                2.04       1.64       1.14        0.12        3.80       3.30        010
                                                      hemorrhoid(s).
46230..............  ..............  A               Removal of anal tags       2.57       3.10       1.30        0.22        5.89       4.09        010
46250..............  ..............  A               Hemorrhoidectomy....       3.89       4.97       2.48        0.43        9.29       6.80        090
46255..............  ..............  A               Hemorrhoidectomy....       4.60       5.52       2.71        0.51       10.63       7.82        090
46257..............  ..............  A               Remove hemorrhoids &       5.40        N/A       2.91        0.59         N/A       8.90        090
                                                      fissure.
46258..............  ..............  A               Remove hemorrhoids &       5.73        N/A       3.27        0.64         N/A       9.64        090
                                                      fistula.
46260..............  ..............  A               Hemorrhoidectomy....       6.37        N/A       3.29        0.68         N/A      10.34        090
46261..............  ..............  A               Remove hemorrhoids &       7.08        N/A       3.67        0.70         N/A      11.45        090
                                                      fissure.
46262..............  ..............  A               Remove hemorrhoids &       7.50        N/A       3.81        0.76         N/A      12.07        090
                                                      fistula.
46270..............  ..............  A               Removal of anal            3.72       4.73       2.40        0.36        8.81       6.48        090
                                                      fistula.
46275..............  ..............  A               Removal of anal            4.56       4.43       2.61        0.40        9.39       7.57        090
                                                      fistula.
46280..............  ..............  A               Removal of anal            5.98        N/A       3.32        0.50         N/A       9.80        090
                                                      fistula.
46285..............  ..............  A               Removal of anal            4.09       3.67       2.39        0.34        8.10       6.82        090
                                                      fistula.
46288..............  ..............  A               Repair anal fistula.       7.13        N/A       3.75        0.60         N/A      11.48        090
46320..............  ..............  A               Removal of                 1.61       2.16       0.87        0.14        3.91       2.62        010
                                                      hemorrhoid clot.
46500..............  ..............  A               Injection into             1.61       2.83       0.63        0.12        4.56       2.36        010
                                                      hemorrhoid(s).
46600..............  ..............  A               Diagnostic anoscopy.       0.50       1.64       0.39        0.04        2.18       0.93        000
46604..............  ..............  A               Anoscopy and               1.31       9.68       0.65        0.09       11.08       2.05        000
                                                      dilation.
46606..............  ..............  A               Anoscopy and biopsy.       0.81       3.94       0.45        0.07        4.82       1.33        000
46608..............  ..............  A               Anoscopy, remove for       1.51       4.58       0.70        0.13        6.22       2.34        000
                                                      body.
46610..............  ..............  A               Anoscopy, remove           1.32       4.17       0.65        0.12        5.61       2.09        000
                                                      lesion.
46611..............  ..............  A               Anoscopy............       1.81       3.45       0.81        0.15        5.41       2.77        000
46612..............  ..............  A               Anoscopy, remove           2.34       5.30       1.02        0.18        7.82       3.54        000
                                                      lesions.
46614..............  ..............  A               Anoscopy, control          2.01       2.33       0.88        0.14        4.48       3.03        000
                                                      bleeding.
46615..............  ..............  A               Anoscopy............       2.68       2.57       1.11        0.23        5.48       4.02        000
46700..............  ..............  A               Repair of anal             9.13        N/A       4.29        0.56         N/A      13.98        090
                                                      stricture.

[[Page 49138]]

 
46705..............  ..............  A               Repair of anal             6.90        N/A       3.71        0.73         N/A      11.34        090
                                                      stricture.
46706..............  ..............  A               Repr of anal fistula       2.39        N/A       1.27        0.17         N/A       3.83        010
                                                      w/glue.
46715..............  ..............  A               Repair of anovaginal       7.20        N/A       3.65        0.76         N/A      11.61        090
                                                      fistula.
46716..............  ..............  A               Repair of anovaginal      15.07        N/A       8.18        1.30         N/A      24.55        090
                                                      fistula.
46730..............  ..............  A               Construction of           26.75        N/A      12.31        2.03         N/A      41.09        090
                                                      absent anus.
46735..............  ..............  A               Construction of           32.17        N/A      14.15        2.64         N/A      48.96        090
                                                      absent anus.
46740..............  ..............  A               Construction of           30.00        N/A      13.53        1.99         N/A      45.52        090
                                                      absent anus.
46742..............  ..............  A               Repair of                 35.80        N/A      17.84        2.63         N/A      56.27        090
                                                      imperforated anus.
46744..............  ..............  A               Repair of cloacal         52.63        N/A      21.45        2.27         N/A      76.35        090
                                                      anomaly.
46746..............  ..............  A               Repair of cloacal         58.22        N/A      25.92        2.51         N/A      86.65        090
                                                      anomaly.
46748..............  ..............  A               Repair of cloacal         64.21        N/A      25.76        2.77         N/A      92.74        090
                                                      anomaly.
46750..............  ..............  A               Repair of anal            10.25        N/A       5.17        0.69         N/A      16.11        090
                                                      sphincter.
46751..............  ..............  A               Repair of anal             8.77        N/A       5.39        0.78         N/A      14.94        090
                                                      sphincter.
46753..............  ..............  A               Reconstruction of          8.29        N/A       3.90        0.58         N/A      12.77        090
                                                      anus.
46754..............  ..............  A               Removal of suture          2.20       3.73       1.72        0.12        6.05       4.04        010
                                                      from anus.
46760..............  ..............  A               Repair of anal            14.43        N/A       7.13        0.86         N/A      22.42        090
                                                      sphincter.
46761..............  ..............  A               Repair of anal            13.84        N/A       6.16        0.84         N/A      20.84        090
                                                      sphincter.
46762..............  ..............  A               Implant artificial        12.71        N/A       5.59        0.71         N/A      19.01        090
                                                      sphincter.
46900..............  ..............  A               Destruction, anal          1.91       3.60       0.81        0.13        5.64       2.85        010
                                                      lesion(s).
46910..............  ..............  A               Destruction, anal          1.86       2.75       1.12        0.14        4.75       3.12        010
                                                      lesion(s).
46916..............  ..............  A               Cryosurgery, anal          1.86       3.14       1.44        0.09        5.09       3.39        010
                                                      lesion(s).
46917..............  ..............  A               Laser surgery, anal        1.86      14.08       1.15        0.16       16.10       3.17        010
                                                      lesions.
46922..............  ..............  A               Excision of anal           1.86       3.38       1.10        0.17        5.41       3.13        010
                                                      lesion(s).
46924..............  ..............  A               Destruction, anal          2.76      12.56       1.39        0.20       15.52       4.35        010
                                                      lesion(s).
46934..............  ..............  A               Destruction of             3.51       5.18       2.81        0.26        8.95       6.58        090
                                                      hemorrhoids.
46935..............  ..............  A               Destruction of             2.43       3.55       1.23        0.17        6.15       3.83        010
                                                      hemorrhoids.
46936..............  ..............  A               Destruction of             3.69       4.61       2.38        0.30        8.60       6.37        090
                                                      hemorrhoids.
46937..............  ..............  A               Cryotherapy of             2.69       2.79       1.25        0.12        5.60       4.06        010
                                                      rectal lesion.
46938..............  ..............  A               Cryotherapy of             4.66       4.28       2.74        0.40        9.34       7.80        090
                                                      rectal lesion.
46940..............  ..............  A               Treatment of anal          2.32       2.04       1.11        0.17        4.53       3.60        010
                                                      fissure.
46942..............  ..............  A               Treatment of anal          2.04       1.87       1.02        0.14        4.05       3.20        010
                                                      fissure.
46945..............  ..............  A               Ligation of                1.84       3.60       1.91        0.17        5.61       3.92        090
                                                      hemorrhoids.
46946..............  ..............  A               Ligation of                2.58       4.34       1.92        0.22        7.14       4.72        090
                                                      hemorrhoids.
46999..............  ..............  C               Anus surgery               0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
47000..............  ..............  A               Needle biopsy of           1.90       3.29       0.64        0.09        5.28       2.63        000
                                                      liver.
47001..............  ..............  A               Needle biopsy, liver       1.90        N/A       0.66        0.18         N/A       2.74        ZZZ
                                                      add-on.
47010..............  ..............  A               Open drainage, liver      16.01        N/A       8.75        0.65         N/A      25.41        090
                                                      lesion.
47011..............  ..............  A               Percut drain, liver        3.70        N/A       4.42        0.17         N/A       8.29        000
                                                      lesion.
47015..............  ..............  A               Inject/aspirate           15.11        N/A       7.70        0.86         N/A      23.67        090
                                                      liver cyst.
47100..............  ..............  A               Wedge biopsy of           11.67        N/A       6.22        0.75         N/A      18.64        090
                                                      liver.
47120..............  ..............  A               Partial removal of        35.50        N/A      15.57        2.29         N/A      53.36        090
                                                      liver.
47122..............  ..............  A               Extensive removal of      55.13        N/A      22.07        3.60         N/A      80.80        090
                                                      liver.
47125..............  ..............  A               Partial removal of        49.19        N/A      20.05        3.18         N/A      72.42        090
                                                      liver.
47130..............  ..............  A               Partial removal of        53.35        N/A      21.54        3.47         N/A      78.36        090
                                                      liver.
47134..............  ..............  R               Partial removal,          39.15        N/A      13.51        3.98         N/A      56.64        XXX
                                                      donor liver.
47135..............  ..............  R               Transplantation of        81.52        N/A      32.18        8.13         N/A     121.83        090
                                                      liver.
47136..............  ..............  R               Transplantation of        68.60        N/A      29.48        6.93         N/A     105.01        090
                                                      liver.
47300..............  ..............  A               Surgery for liver         15.08        N/A       7.44        0.97         N/A      23.49        090
                                                      lesion.
47350..............  ..............  A               Repair liver wound..      19.56        N/A       9.10        1.25         N/A      29.91        090
47360..............  ..............  A               Repair liver wound..      26.92        N/A      11.93        1.71         N/A      40.56        090
47361..............  ..............  A               Repair liver wound..      47.12        N/A      19.02        3.11         N/A      69.25        090
47362..............  ..............  A               Repair liver wound..      18.51        N/A       9.02        1.22         N/A      28.75        090

[[Page 49139]]

 
47370..............  ..............  A               Laparo ablate liver       19.69        N/A       8.31        0.85         N/A      28.85        090
                                                      tumor rf.
47371..............  ..............  A               Laparo ablate liver       19.69        N/A       8.43        0.85         N/A      28.97        090
                                                      cryosurg.
47379..............  ..............  C               Laparoscope                0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure, liver.
47380..............  ..............  A               Open ablate liver         23.00        N/A       9.55        0.85         N/A      33.40        090
                                                      tumor rf.
47381..............  ..............  A               Open ablate liver         23.27        N/A       9.86        0.85         N/A      33.98        090
                                                      tumor cryo.
47382..............  ..............  A               Percut ablate liver       15.19        N/A       6.00        1.14         N/A      22.33        010
                                                      rf.
47399..............  ..............  C               Liver surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
47400..............  ..............  A               Incision of liver         32.49        N/A      13.86        1.82         N/A      48.17        090
                                                      duct.
47420..............  ..............  A               Incision of bile          19.88        N/A       8.99        1.70         N/A      30.57        090
                                                      duct.
47425..............  ..............  A               Incision of bile          19.83        N/A       9.04        1.60         N/A      30.47        090
                                                      duct.
47460..............  ..............  A               Incise bile duct          18.04        N/A       8.61        1.24         N/A      27.89        090
                                                      sphincter.
47480..............  ..............  A               Incision of               10.82        N/A       6.13        0.85         N/A      17.80        090
                                                      gallbladder.
47490..............  ..............  A               Incision of                7.23        N/A       5.97        0.33         N/A      13.53        090
                                                      gallbladder.
47500..............  ..............  A               Injection for liver        1.96        N/A       0.65        0.09         N/A       2.70        000
                                                      x-rays.
47505..............  ..............  A               Injection for liver        0.76       2.59       0.25        0.03        3.38       1.04        000
                                                      x-rays.
47510..............  ..............  A               Insert catheter,           7.83        N/A       5.02        0.36         N/A      13.21        090
                                                      bile duct.
47511..............  ..............  A               Insert bile duct          10.50        N/A       5.12        0.47         N/A      16.09        090
                                                      drain.
47525..............  ..............  A               Change bile duct           5.55        N/A       3.26        0.24         N/A       9.05        010
                                                      catheter.
47530..............  ..............  A               Revise/reinsert bile       5.85        N/A       4.30        0.29         N/A      10.44        090
                                                      tube.
47550..............  ..............  A               Bile duct endoscopy        3.02        N/A       1.05        0.30         N/A       4.37        ZZZ
                                                      add-on.
47552..............  ..............  A               Biliary endoscopy          6.04        N/A       2.43        0.42         N/A       8.89        000
                                                      thru skin.
47553..............  ..............  A               Biliary endoscopy          6.35        N/A       2.62        0.30         N/A       9.27        000
                                                      thru skin.
47554..............  ..............  A               Biliary endoscopy          9.06        N/A       3.43        0.74         N/A      13.23        000
                                                      thru skin.
47555..............  ..............  A               Biliary endoscopy          7.56        N/A       3.04        0.35         N/A      10.95        000
                                                      thru skin.
47556..............  ..............  A               Biliary endoscopy          8.56        N/A       3.37        0.38         N/A      12.31        000
                                                      thru skin.
47560..............  ..............  A               Laparoscopy w/             4.89        N/A       1.85        0.49         N/A       7.23        000
                                                      cholangio.
47561..............  ..............  A               Laparo w/cholangio/        5.18        N/A       2.16        0.49         N/A       7.83        000
                                                      biopsy.
47562..............  ..............  A               Laparoscopic              11.09        N/A       5.04        1.13         N/A      17.26        090
                                                      cholecystectomy.
47563..............  ..............  A               Laparo                    11.94        N/A       5.35        1.21         N/A      18.50        090
                                                      cholecystectomy/
                                                      graph.
47564..............  ..............  A               Laparo                    14.23        N/A       6.06        1.44         N/A      21.73        090
                                                      cholecystectomy/
                                                      explr.
47570..............  ..............  A               Laparo                    12.58        N/A       5.47        1.28         N/A      19.33        090
                                                      cholecystoenterosto
                                                      my.
47579..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      biliary.
47600..............  ..............  A               Removal of                13.58        N/A       6.36        1.16         N/A      21.10        090
                                                      gallbladder.
47605..............  ..............  A               Removal of                14.69        N/A       6.72        1.25         N/A      22.66        090
                                                      gallbladder.
47610..............  ..............  A               Removal of                18.82        N/A       8.20        1.61         N/A      28.63        090
                                                      gallbladder.
47612..............  ..............  A               Removal of                18.78        N/A       8.14        1.60         N/A      28.52        090
                                                      gallbladder.
47620..............  ..............  A               Removal of                20.64        N/A       8.79        1.77         N/A      31.20        090
                                                      gallbladder.
47630..............  ..............  A               Remove bile duct           9.11        N/A       4.81        0.46         N/A      14.38        090
                                                      stone.
47700..............  ..............  A               Exploration of bile       15.62        N/A       7.60        1.40         N/A      24.62        090
                                                      ducts.
47701..............  ..............  A               Bile duct revision..      27.81        N/A      11.87        3.00         N/A      42.68        090
47711..............  ..............  A               Excision of bile          23.03        N/A      10.22        1.98         N/A      35.23        090
                                                      duct tumor.
47712..............  ..............  A               Excision of bile          30.24        N/A      12.77        2.67         N/A      45.68        090
                                                      duct tumor.
47715..............  ..............  A               Excision of bile          18.80        N/A       8.66        1.59         N/A      29.05        090
                                                      duct cyst.
47716..............  ..............  A               Fusion of bile duct       16.44        N/A       8.09        1.41         N/A      25.94        090
                                                      cyst.
47720..............  ..............  A               Fuse gallbladder &        15.91        N/A       7.69        1.37         N/A      24.97        090
                                                      bowel.
47721..............  ..............  A               Fuse upper gi             19.12        N/A       8.81        1.63         N/A      29.56        090
                                                      structures.
47740..............  ..............  A               Fuse gallbladder &        18.48        N/A       8.61        1.59         N/A      28.68        090
                                                      bowel.
47741..............  ..............  A               Fuse gallbladder &        21.34        N/A       9.54        1.82         N/A      32.70        090
                                                      bowel.
47760..............  ..............  A               Fuse bile ducts and       25.85        N/A      11.13        2.21         N/A      39.19        090
                                                      bowel.
47765..............  ..............  A               Fuse liver ducts &        24.88        N/A      11.16        2.18         N/A      38.22        090
                                                      bowel.
47780..............  ..............  A               Fuse bile ducts and       26.50        N/A      11.50        2.27         N/A      40.27        090
                                                      bowel.
47785..............  ..............  A               Fuse bile ducts and       31.18        N/A      13.32        2.69         N/A      47.19        090
                                                      bowel.
47800..............  ..............  A               Reconstruction of         23.30        N/A      10.33        1.95         N/A      35.58        090
                                                      bile ducts.
47801..............  ..............  A               Placement, bile duct      15.17        N/A       8.43        0.69         N/A      24.29        090
                                                      support.
47802..............  ..............  A               Fuse liver duct &         21.55        N/A       9.99        1.84         N/A      33.38        090
                                                      intestine.

[[Page 49140]]

 
47900..............  ..............  A               Suture bile duct          19.90        N/A       9.11        1.65         N/A      30.66        090
                                                      injury.
47999..............  ..............  C               Bile tract surgery         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
48000..............  ..............  A               Drainage of abdomen.      28.07        N/A      11.83        1.32         N/A      41.22        090
48001..............  ..............  A               Placement of drain,       35.45        N/A      14.27        1.90         N/A      51.62        090
                                                      pancreas.
48005..............  ..............  A               Resect/debride            42.17        N/A      16.95        2.26         N/A      61.38        090
                                                      pancreas.
48020..............  ..............  A               Removal of                15.70        N/A       7.52        1.36         N/A      24.58        090
                                                      pancreatic stone.
48100..............  ..............  A               Biopsy of pancreas,       12.23        N/A       5.82        1.08         N/A      19.13        090
                                                      open.
48102..............  ..............  A               Needle biopsy,             4.68       9.01       2.47        0.20       13.89       7.35        010
                                                      pancreas.
48120..............  ..............  A               Removal of pancreas       15.85        N/A       7.10        1.35         N/A      24.30        090
                                                      lesion.
48140..............  ..............  A               Partial removal of        22.94        N/A       9.79        2.12         N/A      34.85        090
                                                      pancreas.
48145..............  ..............  A               Partial removal of        24.02        N/A      10.14        2.25         N/A      36.41        090
                                                      pancreas.
48146..............  ..............  A               Pancreatectomy......      26.40        N/A      12.29        2.43         N/A      41.12        090
48148..............  ..............  A               Removal of                17.34        N/A       7.88        1.61         N/A      26.83        090
                                                      pancreatic duct.
48150..............  ..............  A               Partial removal of        48.00        N/A      20.04        4.43         N/A      72.47        090
                                                      pancreas.
48152..............  ..............  A               Pancreatectomy......      43.75        N/A      18.70        4.07         N/A      66.52        090
48153..............  ..............  A               Pancreatectomy......      47.89        N/A      20.15        4.40         N/A      72.44        090
48154..............  ..............  A               Pancreatectomy......      44.10        N/A      18.76        4.10         N/A      66.96        090
48155..............  ..............  A               Removal of pancreas.      24.64        N/A      12.08        2.30         N/A      39.02        090
48180..............  ..............  A               Fuse pancreas and         24.72        N/A      10.46        2.24         N/A      37.42        090
                                                      bowel.
48400..............  ..............  A               Injection, intraop         1.95        N/A       0.66        0.10         N/A       2.71        ZZZ
                                                      add-on.
48500..............  ..............  A               Surgery of                15.28        N/A       7.57        1.35         N/A      24.20        090
                                                      pancreatic cyst.
48510..............  ..............  A               Drain pancreatic          14.31        N/A       7.67        1.07         N/A      23.05        090
                                                      pseudocyst.
48511..............  ..............  A               Drain pancreatic           4.00        N/A       3.75        0.17         N/A       7.92        000
                                                      pseudocyst.
48520..............  ..............  A               Fuse pancreas cyst        15.59        N/A       6.94        1.41         N/A      23.94        090
                                                      and bowel.
48540..............  ..............  A               Fuse pancreas cyst        19.72        N/A       8.37        1.82         N/A      29.91        090
                                                      and bowel.
48545..............  ..............  A               Pancreatorrhaphy....      18.18        N/A       8.23        1.61         N/A      28.02        090
48547..............  ..............  A               Duodenal exclusion..      25.83        N/A      10.76        2.30         N/A      38.89        090
48554..............  ..............  R               Transpl allograft         34.17        N/A      16.00        3.30         N/A      53.47        090
                                                      pancreas.
48556..............  ..............  A               Removal, allograft        15.71        N/A       7.81        1.52         N/A      25.04        090
                                                      pancreas.
48999..............  ..............  C               Pancreas surgery           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
49000..............  ..............  A               Exploration of            11.68        N/A       5.44        1.17         N/A      18.29        090
                                                      abdomen.
49002..............  ..............  A               Reopening of abdomen      10.49        N/A       5.10        1.06         N/A      16.65        090
49010..............  ..............  A               Exploration behind        12.28        N/A       5.96        1.22         N/A      19.46        090
                                                      abdomen.
49020..............  ..............  A               Drain abdominal           22.84        N/A      10.32        1.31         N/A      34.47        090
                                                      abscess.
49021..............  ..............  A               Drain abdominal            3.38        N/A       5.37        0.16         N/A       8.91        000
                                                      abscess.
49040..............  ..............  A               Drain, open, abdom        13.52        N/A       6.54        0.84         N/A      20.90        090
                                                      abscess.
49041..............  ..............  A               Drain, percut, abdom       4.00        N/A       5.69        0.18         N/A       9.87        000
                                                      abscess.
49060..............  ..............  A               Drain, open, retrop       15.86        N/A       7.56        0.77         N/A      24.19        090
                                                      abscess.
49061..............  ..............  A               Drain, percut,             3.70        N/A       5.68        0.17         N/A       9.55        000
                                                      retroper absc.
49062..............  ..............  A               Drain to peritoneal       11.36        N/A       5.59        1.08         N/A      18.03        090
                                                      cavity.
49080..............  ..............  A               Puncture, peritoneal       1.35       4.18       0.46        0.07        5.60       1.88        000
                                                      cavity.
49081..............  ..............  A               Removal of abdominal       1.26       2.68       0.58        0.06        4.00       1.90        000
                                                      fluid.
49085..............  ..............  A               Remove abdomen            12.14        N/A       5.62        0.88         N/A      18.64        090
                                                      foreign body.
49180..............  ..............  A               Biopsy, abdominal          1.73       3.34       0.58        0.08        5.15       2.39        000
                                                      mass.

[[Page 49141]]

 
49200..............  ..............  A               Removal of abdominal      10.25        N/A       5.12        0.92         N/A      16.29        090
                                                      lesion.
49201..............  ..............  A               Remove abdom lesion,      14.84        N/A       7.23        1.47         N/A      23.54        090
                                                      complex.
49215..............  ..............  A               Excise sacral spine       33.50        N/A      14.50        2.48         N/A      50.48        090
                                                      tumor.
49220..............  ..............  A               Multiple surgery,         14.88        N/A       6.74        1.51         N/A      23.13        090
                                                      abdomen.
49250..............  ..............  A               Excision of                8.35        N/A       4.35        0.84         N/A      13.54        090
                                                      umbilicus.
49255..............  ..............  A               Removal of omentum..      11.14        N/A       5.74        1.12         N/A      18.00        090
49320..............  ..............  A               Diag laparo separate       5.10        N/A       2.60        0.50         N/A       8.20        010
                                                      proc.
49321..............  ..............  A               Laparoscopy, biopsy.       5.40        N/A       2.61        0.53         N/A       8.54        010
49322..............  ..............  A               Laparoscopy,               5.70        N/A       2.94        0.57         N/A       9.21        010
                                                      aspiration.
49323..............  ..............  A               Laparo drain               9.48        N/A       4.49        0.88         N/A      14.85        090
                                                      lymphocele.
49329..............  ..............  C               Laparo proc, abdm/         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      per/oment.
49400..............  ..............  A               Air injection into         1.88        N/A       0.79        0.11         N/A       2.78        000
                                                      abdomen.
49419..............  ..............  A               Insrt abdom cath for       6.65        N/A       3.60        0.55         N/A      10.80        090
                                                      chemotx.
49420..............  ..............  A               Insert abdom drain,        2.22        N/A       1.13        0.13         N/A       3.48        000
                                                      temp.
49421..............  ..............  A               Insert abdom drain,        5.54        N/A       3.18        0.55         N/A       9.27        090
                                                      perm.
49422..............  ..............  A               Remove perm cannula/       6.25        N/A       2.90        0.63         N/A       9.78        010
                                                      catheter.
49423..............  ..............  A               Exchange drainage          1.46        N/A       0.67        0.07         N/A       2.20        000
                                                      catheter.
49424..............  ..............  A               Assess cyst,               0.76        N/A       0.44        0.03         N/A       1.23        000
                                                      contrast inject.
49425..............  ..............  A               Insert abdomen-           11.37        N/A       5.62        1.21         N/A      18.20        090
                                                      venous drain.
49426..............  ..............  A               Revise abdomen-            9.63        N/A       4.82        0.93         N/A      15.38        090
                                                      venous shunt.
49427..............  ..............  A               Injection, abdominal       0.89        N/A       0.48        0.05         N/A       1.42        000
                                                      shunt.
49428..............  ..............  A               Ligation of shunt...       6.06        N/A       3.33        0.31         N/A       9.70        010
49429..............  ..............  A               Removal of shunt....       7.40        N/A       3.53        0.81         N/A      11.74        010
49491..............  ..............  A               Rpr hern preemie          11.13        N/A       5.30        1.10         N/A      17.53        090
                                                      reduc.
49492..............  ..............  A               Rpr ing hern premie,      14.03        N/A       6.29        1.47         N/A      21.79        090
                                                      blocked.
49495..............  ..............  A               Rpr ing hernia baby,       5.89        N/A       3.07        0.58         N/A       9.54        090
                                                      reduc.
49496..............  ..............  A               Rpr ing hernia baby,       8.79        N/A       4.42        0.92         N/A      14.13        090
                                                      blocked.
49500..............  ..............  A               Rpr ing hernia,            5.48        N/A       3.20        0.46         N/A       9.14        090
                                                      init, reduce.
49501..............  ..............  A               Rpr ing hernia, init       8.88        N/A       4.29        0.76         N/A      13.93        090
                                                      blocked.
49505..............  ..............  A               Prp i/hern init            7.60       4.04       3.83        0.65       12.29      12.08        090
                                                      reduc5
                                                      yr.
49507..............  ..............  A               Prp i/hern init            9.57        N/A       4.67        0.83         N/A      15.07        090
                                                      block5
                                                      yr.
49520..............  ..............  A               Rerepair ing hernia,       9.63        N/A       4.63        0.84         N/A      15.10        090
                                                      reduce.
49521..............  ..............  A               Rerepair ing hernia,      11.97        N/A       5.36        1.04         N/A      18.37        090
                                                      blocked.
49525..............  ..............  A               Repair ing hernia,         8.57        N/A       4.23        0.74         N/A      13.54        090
                                                      sliding.
49540..............  ..............  A               Repair lumbar hernia      10.39        N/A       4.91        0.90         N/A      16.20        090
49550..............  ..............  A               Rpr rem hernia,            8.63        N/A       4.22        0.75         N/A      13.60        090
                                                      init, reduce.
49553..............  ..............  A               Rpr fem hernia, init       9.44        N/A       4.55        0.83         N/A      14.82        090
                                                      blocked.
49555..............  ..............  A               Rerepair fem hernia,       9.03        N/A       4.42        0.79         N/A      14.24        090
                                                      reduce.
49557..............  ..............  A               Rerepair fem hernia,      11.15        N/A       5.14        0.97         N/A      17.26        090
                                                      blocked.
49560..............  ..............  A               Rpr ventral hern          11.57        N/A       5.32        1.00         N/A      17.89        090
                                                      init, reduc.
49561..............  ..............  A               Rpr ventral hern          14.25        N/A       6.24        1.23         N/A      21.72        090
                                                      init, block.
49565..............  ..............  A               Rerepair ventrl           11.57        N/A       5.39        1.00         N/A      17.96        090
                                                      hern, reduce.
49566..............  ..............  A               Rerepair ventrl           14.40        N/A       6.31        1.24         N/A      21.95        090
                                                      hern, block.
49568..............  ..............  A               Hernia repair w/mesh       4.89        N/A       1.71        0.50         N/A       7.10        ZZZ
49570..............  ..............  A               Rpr epigastric hern,       5.69        N/A       3.23        0.50         N/A       9.42        090
                                                      reduce.
49572..............  ..............  A               Rpr epigastric hern,       6.73        N/A       3.59        0.58         N/A      10.90        090
                                                      blocked.

[[Page 49142]]

 
49580..............  ..............  A               Rpr umbil hern,            4.11        N/A       2.68        0.34         N/A       7.13        090
                                                      reduc < 5 yr.
49582..............  ..............  A               Rpr umbil hern,            6.65        N/A       3.65        0.57         N/A      10.87        090
                                                      block < 5 yr.
49585..............  ..............  A               Rpr umbil hern,            6.23        N/A       3.43        0.53         N/A      10.19        090
                                                      reduc  5
                                                      yr.
49587..............  ..............  A               Rpr umbil hern,            7.56        N/A       3.83        0.65         N/A      12.04        090
                                                      block  5
                                                      yr.
49590..............  ..............  A               Repair spigilian           8.54        N/A       4.23        0.74         N/A      13.51        090
                                                      hernia.
49600..............  ..............  A               Repair umbilical          10.96        N/A       5.39        1.13         N/A      17.48        090
                                                      lesion.
49605..............  ..............  A               Repair umbilical          76.00        N/A      29.13        2.57         N/A     107.70        090
                                                      lesion.
49606..............  ..............  A               Repair umbilical          18.60        N/A       7.89        2.22         N/A      28.71        090
                                                      lesion.
49610..............  ..............  A               Repair umbilical          10.50        N/A       5.42        0.77         N/A      16.69        090
                                                      lesion.
49611..............  ..............  A               Repair umbilical           8.92        N/A       6.51        0.65         N/A      16.08        090
                                                      lesion.
49650..............  ..............  A               Laparo hernia repair       6.27        N/A       3.22        0.64         N/A      10.13        090
                                                      initial.
49651..............  ..............  A               Laparo hernia repair       8.24        N/A       4.14        0.84         N/A      13.22        090
                                                      recur.
49659..............  ..............  C               Laparo proc, hernia        0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      repair.
49900..............  ..............  A               Repair of abdominal       12.28        N/A       6.35        1.23         N/A      19.86        090
                                                      wall.
49904..............  ..............  A               Omental flap, extra-      20.00        N/A      15.88        1.91         N/A      37.79        090
                                                      abdom.
49905..............  ..............  A               Omental flap, intra-       6.55        N/A       2.33        0.61         N/A       9.49        ZZZ
                                                      abdom.
49906..............  ..............  C               Free omental flap,         0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      microvasc.
49999..............  ..............  C               Abdomen surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
50010..............  ..............  A               Exploration of            10.98        N/A       5.69        0.79         N/A      17.46        090
                                                      kidney.
50020..............  ..............  A               Renal abscess, open       14.66        N/A       9.32        0.80         N/A      24.78        090
                                                      drain.
50021..............  ..............  A               Renal abscess,             3.38        N/A       1.45        0.15         N/A       4.98        000
                                                      percut drain.
50040..............  ..............  A               Drainage of kidney..      14.94        N/A       8.84        0.82         N/A      24.60        090
50045..............  ..............  A               Exploration of            15.46        N/A       7.12        1.06         N/A      23.64        090
                                                      kidney.
50060..............  ..............  A               Removal of kidney         19.30        N/A       8.41        1.14         N/A      28.85        090
                                                      stone.
50065..............  ..............  A               Incision of kidney..      20.79        N/A       6.40        1.13         N/A      28.32        090
50070..............  ..............  A               Incision of kidney..      20.32        N/A       8.81        1.20         N/A      30.33        090
50075..............  ..............  A               Removal of kidney         25.34        N/A      10.62        1.51         N/A      37.47        090
                                                      stone.
50080..............  ..............  A               Removal of kidney         14.71        N/A       8.29        0.86         N/A      23.86        090
                                                      stone.
50081..............  ..............  A               Removal of kidney         21.80        N/A      10.79        1.30         N/A      33.89        090
                                                      stone.
50100..............  ..............  A               Revise kidney blood       16.09        N/A       8.17        1.64         N/A      25.90        090
                                                      vessels.
50120..............  ..............  A               Exploration of            15.91        N/A       7.33        1.04         N/A      24.28        090
                                                      kidney.
50125..............  ..............  A               Explore and drain         16.52        N/A       7.50        1.07         N/A      25.09        090
                                                      kidney.
50130..............  ..............  A               Removal of kidney         17.29        N/A       7.73        1.04         N/A      26.06        090
                                                      stone.
50135..............  ..............  A               Exploration of            19.18        N/A       8.36        1.18         N/A      28.72        090
                                                      kidney.
50200..............  ..............  A               Biopsy of kidney....       2.63        N/A       0.92        0.12         N/A       3.67        000
50205..............  ..............  A               Biopsy of kidney....      11.31        N/A       5.47        0.94         N/A      17.72        090
50220..............  ..............  A               Remove kidney, open.      17.15        N/A       7.77        1.16         N/A      26.08        090
50225..............  ..............  A               Removal kidney open,      20.23        N/A       8.73        1.26         N/A      30.22        090
                                                      complex.
50230..............  ..............  A               Removal kidney open,      22.07        N/A       9.22        1.35         N/A      32.64        090
                                                      radical.
50234..............  ..............  A               Removal of kidney &       22.40        N/A       9.43        1.37         N/A      33.20        090
                                                      ureter.
50236..............  ..............  A               Removal of kidney &       24.86        N/A      11.85        1.50         N/A      38.21        090
                                                      ureter.
50240..............  ..............  A               Partial removal of        22.00        N/A      10.92        1.36         N/A      34.28        090
                                                      kidney.
50280..............  ..............  A               Removal of kidney         15.67        N/A       7.22        0.99         N/A      23.88        090
                                                      lesion.
50290..............  ..............  A               Removal of kidney         14.73        N/A       6.92        1.11         N/A      22.76        090
                                                      lesion.
50320..............  ..............  A               Removal of donor          22.21        N/A       9.47        1.78         N/A      33.46        090
                                                      kidney.
50340..............  ..............  A               Removal of kidney...      12.15        N/A       7.14        1.15         N/A      20.44        090
50360..............  ..............  A               Transplantation of        31.53        N/A      14.85        2.97         N/A      49.35        090
                                                      kidney.
50365..............  ..............  A               Transplantation of        36.81        N/A      17.60        3.51         N/A      57.92        090
                                                      kidney.
50370..............  ..............  A               Remove transplanted       13.72        N/A       7.75        1.26         N/A      22.73        090
                                                      kidney.
50380..............  ..............  A               Reimplantation of         20.76        N/A      12.31        1.80         N/A      34.87        090
                                                      kidney.
50390..............  ..............  A               Drainage of kidney         1.96        N/A       0.65        0.09         N/A       2.70        000
                                                      lesion.
50392..............  ..............  A               Insert kidney drain.       3.38        N/A       1.12        0.15         N/A       4.65        000
50393..............  ..............  A               Insert ureteral tube       4.16        N/A       1.38        0.18         N/A       5.72        000

[[Page 49143]]

 
50394..............  ..............  A               Injection for kidney       0.76       2.52       0.25        0.04        3.32       1.05        000
                                                      x-ray.
50395..............  ..............  A               Create passage to          3.38        N/A       1.12        0.16         N/A       4.66        000
                                                      kidney.
50396..............  ..............  A               Measure kidney             2.09        N/A       0.87        0.10         N/A       3.06        000
                                                      pressure.
50398..............  ..............  A               Change kidney tube..       1.46       1.21       0.49        0.07        2.74       2.02        000
50400..............  ..............  A               Revision of kidney/       19.50        N/A       8.46        1.21         N/A      29.17        090
                                                      ureter.
50405..............  ..............  A               Revision of kidney/       23.93        N/A      10.80        1.45         N/A      36.18        090
                                                      ureter.
50500..............  ..............  A               Repair of kidney          19.57        N/A       9.01        1.45         N/A      30.03        090
                                                      wound.
50520..............  ..............  A               Close kidney-skin         17.23        N/A       9.11        1.26         N/A      27.60        090
                                                      fistula.
50525..............  ..............  A               Repair renal-abdomen      22.27        N/A      10.50        1.51         N/A      34.28        090
                                                      fistula.
50526..............  ..............  A               Repair renal-abdomen      24.02        N/A      11.18        1.62         N/A      36.82        090
                                                      fistula.
50540..............  ..............  A               Revision of               19.93        N/A       8.83        1.28         N/A      30.04        090
                                                      horseshoe kidney.
50541..............  ..............  A               Laparo ablate renal       16.00        N/A       6.55        0.99         N/A      23.54        090
                                                      cyst.
50542..............  ..............  A               Laparo ablate renal       20.00        N/A       8.32        1.36         N/A      29.68        090
                                                      mass.
50543..............  ..............  A               Laparo partial            25.50        N/A      10.50        1.36         N/A      37.36        090
                                                      nephrectomy.
50544..............  ..............  A               Laparoscopy,              22.40        N/A       8.66        1.41         N/A      32.47        090
                                                      pyeloplasty.
50545..............  ..............  A               Laparo radical            24.00        N/A       9.44        1.53         N/A      34.97        090
                                                      nephrectomy.
50546..............  ..............  A               Laparoscopic              20.48        N/A       8.40        1.37         N/A      30.25        090
                                                      nephrectomy.
50547..............  ..............  A               Laparo removal donor      25.50        N/A      10.33        2.04         N/A      37.87        090
                                                      kidney.
50548..............  ..............  A               Laparo remove k/          24.40        N/A       9.30        1.49         N/A      35.19        090
                                                      ureter.
50549..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      renal.
50551..............  ..............  A               Kidney endoscopy....       5.60       5.03       1.83        0.33       10.96       7.76        000
50553..............  ..............  A               Kidney endoscopy....       5.99      18.93       1.99        0.35       25.27       8.33        000
50555..............  ..............  A               Kidney endoscopy &         6.53      19.59       2.16        0.38       26.50       9.07        000
                                                      biopsy.
50557..............  ..............  A               Kidney endoscopy &         6.62      20.38       2.17        0.39       27.39       9.18        000
                                                      treatment.
50559..............  ..............  A               Renal endoscopy/           6.78        N/A       2.24        0.27         N/A       9.29        000
                                                      radiotracer.
50561..............  ..............  A               Kidney endoscopy &         7.59      18.03       2.49        0.44       26.06      10.52        000
                                                      treatment.
50562..............  ..............  A               Renal scope w/tumor       10.92        N/A       3.93        0.84         N/A      15.69        090
                                                      resect.
50570..............  ..............  A               Kidney endoscopy....       9.54        N/A       3.12        0.56         N/A      13.22        000
50572..............  ..............  A               Kidney endoscopy....      10.35        N/A       3.39        0.64         N/A      14.38        000
50574..............  ..............  A               Kidney endoscopy &        11.02        N/A       3.62        0.65         N/A      15.29        000
                                                      biopsy.
50575..............  ..............  A               Kidney endoscopy....      13.98        N/A       4.58        0.84         N/A      19.40        000
50576..............  ..............  A               Kidney endoscopy &        10.99        N/A       3.59        0.66         N/A      15.24        000
                                                      treatment.
50578..............  ..............  A               Renal endoscopy/          11.35        N/A       3.71        0.67         N/A      15.73        000
                                                      radiotracer.
50580..............  ..............  A               Kidney endoscopy &        11.86        N/A       3.88        0.70         N/A      16.44        000
                                                      treatment.
50590..............  ..............  A               Fragmenting of             9.09      10.52       4.93        0.54       20.15      14.56        090
                                                      kidney stone.
50600..............  ..............  A               Exploration of            15.84        N/A       7.33        0.99         N/A      24.16        090
                                                      ureter.
50605..............  ..............  A               Insert ureteral           15.46        N/A       7.31        1.13         N/A      23.90        090
                                                      support.
50610..............  ..............  A               Removal of ureter         15.92        N/A       7.60        1.08         N/A      24.60        090
                                                      stone.
50620..............  ..............  A               Removal of ureter         15.16        N/A       6.97        0.91         N/A      23.04        090
                                                      stone.
50630..............  ..............  A               Removal of ureter         14.94        N/A       6.90        0.90         N/A      22.74        090
                                                      stone.
50650..............  ..............  A               Removal of ureter...      17.41        N/A       7.87        1.07         N/A      26.35        090
50660..............  ..............  A               Removal of ureter...      19.55        N/A       8.61        1.19         N/A      29.35        090
50684..............  ..............  A               Injection for ureter       0.76      10.78       0.25        0.04       11.58       1.05        000
                                                      x-ray.
50686..............  ..............  A               Measure ureter             1.51       4.66       0.66        0.09        6.26       2.26        000
                                                      pressure.
50688..............  ..............  A               Change of ureter           1.17        N/A       1.72        0.06         N/A       2.95        010
                                                      tube.
50690..............  ..............  A               Injection for ureter       1.16      10.98       0.38        0.06       12.20       1.60        000
                                                      x-ray.
50700..............  ..............  A               Revision of ureter..      15.21        N/A       7.59        0.86         N/A      23.66        090
50715..............  ..............  A               Release of ureter...      18.90        N/A       9.55        1.68         N/A      30.13        090
50722..............  ..............  A               Release of ureter...      16.35        N/A       8.38        1.41         N/A      26.14        090
50725..............  ..............  A               Release/revise            18.49        N/A       8.73        1.44         N/A      28.66        090
                                                      ureter.

[[Page 49144]]

 
50727..............  ..............  A               Revise ureter.......       8.18        N/A       5.44        0.51         N/A      14.13        090
50728..............  ..............  A               Revise ureter.......      12.02        N/A       6.96        0.88         N/A      19.86        090
50740..............  ..............  A               Fusion of ureter &        18.42        N/A       8.27        1.49         N/A      28.18        090
                                                      kidney.
50750..............  ..............  A               Fusion of ureter &        19.51        N/A       8.66        1.24         N/A      29.41        090
                                                      kidney.
50760..............  ..............  A               Fusion of ureters...      18.42        N/A       8.30        1.25         N/A      27.97        090
50770..............  ..............  A               Splicing of ureters.      19.51        N/A       8.62        1.25         N/A      29.38        090
50780..............  ..............  A               Reimplant ureter in       18.36        N/A       8.22        1.20         N/A      27.78        090
                                                      bladder.
50782..............  ..............  A               Reimplant ureter in       19.54        N/A       9.91        1.13         N/A      30.58        090
                                                      bladder.
50783..............  ..............  A               Reimplant ureter in       20.55        N/A       9.67        1.35         N/A      31.57        090
                                                      bladder.
50785..............  ..............  A               Reimplant ureter in       20.52        N/A       8.96        1.30         N/A      30.78        090
                                                      bladder.
50800..............  ..............  A               Implant ureter in         14.52        N/A       7.34        0.92         N/A      22.78        090
                                                      bowel.
50810..............  ..............  A               Fusion of ureter &        20.05        N/A       9.89        1.78         N/A      31.72        090
                                                      bowel.
50815..............  ..............  A               Urine shunt to            19.93        N/A       9.34        1.31         N/A      30.58        090
                                                      intestine.
50820..............  ..............  A               Construct bowel           21.89        N/A       9.50        1.38         N/A      32.77        090
                                                      bladder.
50825..............  ..............  A               Construct bowel           28.18        N/A      12.20        1.81         N/A      42.19        090
                                                      bladder.
50830..............  ..............  A               Revise urine flow...      31.28        N/A      13.12        2.20         N/A      46.60        090
50840..............  ..............  A               Replace ureter by         20.00        N/A       9.32        1.26         N/A      30.58        090
                                                      bowel.
50845..............  ..............  A               Appendico-                20.89        N/A       9.08        1.26         N/A      31.23        090
                                                      vesicostomy.
50860..............  ..............  A               Transplant ureter to      15.36        N/A       7.23        1.01         N/A      23.60        090
                                                      skin.
50900..............  ..............  A               Repair of ureter....      13.62        N/A       6.66        0.98         N/A      21.26        090
50920..............  ..............  A               Closure ureter/skin       14.33        N/A       7.09        0.84         N/A      22.26        090
                                                      fistula.
50930..............  ..............  A               Closure ureter/bowel      18.72        N/A       8.53        1.57         N/A      28.82        090
                                                      fistula.
50940..............  ..............  A               Release of ureter...      14.51        N/A       6.96        1.04         N/A      22.51        090
50945..............  ..............  A               Laparoscopy               17.00        N/A       7.11        1.15         N/A      25.26        090
                                                      ureterolithotomy.
50947..............  ..............  A               Laparo new ureter/        24.50        N/A      10.14        1.99         N/A      36.63        090
                                                      bladder.
50948..............  ..............  A               Laparo new ureter/        22.50        N/A       9.11        1.83         N/A      33.44        090
                                                      bladder.
50949..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      ureter.
50951..............  ..............  A               Endoscopy of ureter.       5.84       5.45       1.91        0.35       11.64       8.10        000
50953..............  ..............  A               Endoscopy of ureter.       6.24      18.93       2.05        0.37       25.54       8.66        000
50955..............  ..............  A               Ureter endoscopy &         6.75      19.81       2.25        0.38       26.94       9.38        000
                                                      biopsy.
50957..............  ..............  A               Ureter endoscopy &         6.79      18.54       2.23        0.40       25.73       9.42        000
                                                      treatment.
50959..............  ..............  A               Ureter endoscopy &         4.40        N/A       1.40        0.18         N/A       5.98        000
                                                      tracer.
50961..............  ..............  A               Ureter endoscopy &         6.05      25.86       1.98        0.35       32.26       8.38        000
                                                      treatment.
50970..............  ..............  A               Ureter endoscopy....       7.14        N/A       2.35        0.43         N/A       9.92        000
50972..............  ..............  A               Ureter endoscopy &         6.89        N/A       2.31        0.39         N/A       9.59        000
                                                      catheter.
50974..............  ..............  A               Ureter endoscopy &         9.17        N/A       2.99        0.53         N/A      12.69        000
                                                      biopsy.
50976..............  ..............  A               Ureter endoscopy &         9.04        N/A       2.97        0.53         N/A      12.54        000
                                                      treatment.
50978..............  ..............  A               Ureter endoscopy &         5.10        N/A       1.73        0.30         N/A       7.13        000
                                                      tracer.
50980..............  ..............  A               Ureter endoscopy &         6.85        N/A       2.25        0.41         N/A       9.51        000
                                                      treatment.
51000..............  ..............  A               Drainage of bladder.       0.78       2.03       0.24        0.05        2.86       1.07        000
51005..............  ..............  A               Drainage of bladder.       1.02       3.41       0.34        0.08        4.51       1.44        000
51010..............  ..............  A               Drainage of bladder.       3.53       5.88       1.94        0.23        9.64       5.70        010
51020..............  ..............  A               Incise & treat             6.71        N/A       4.27        0.42         N/A      11.40        090
                                                      bladder.
51030..............  ..............  A               Incise & treat             6.77        N/A       4.37        0.42         N/A      11.56        090
                                                      bladder.
51040..............  ..............  A               Incise & drain             4.40        N/A       3.12        0.27         N/A       7.79        090
                                                      bladder.
51045..............  ..............  A               Incise bladder/drain       6.77        N/A       4.33        0.47         N/A      11.57        090
                                                      ureter.
51050..............  ..............  A               Removal of bladder         6.92        N/A       4.01        0.42         N/A      11.35        090
                                                      stone.
51060..............  ..............  A               Removal of ureter          8.85        N/A       4.93        0.54         N/A      14.32        090
                                                      stone.
51065..............  ..............  A               Remove ureter              8.85        N/A       4.77        0.53         N/A      14.15        090
                                                      calculus.
51080..............  ..............  A               Drainage of bladder        5.96        N/A       3.97        0.35         N/A      10.28        090
                                                      abscess.
51500..............  ..............  A               Removal of bladder        10.14        N/A       5.24        0.88         N/A      16.26        090
                                                      cyst.
51520..............  ..............  A               Removal of bladder         9.29        N/A       5.10        0.58         N/A      14.97        090
                                                      lesion.

[[Page 49145]]

 
51525..............  ..............  A               Removal of bladder        13.97        N/A       6.59        0.85         N/A      21.41        090
                                                      lesion.
51530..............  ..............  A               Removal of bladder        12.38        N/A       6.18        0.82         N/A      19.38        090
                                                      lesion.
51535..............  ..............  A               Repair of ureter          12.57        N/A       6.56        0.90         N/A      20.03        090
                                                      lesion.
51550..............  ..............  A               Partial removal of        15.66        N/A       7.17        1.05         N/A      23.88        090
                                                      bladder.
51555..............  ..............  A               Partial removal of        21.23        N/A       9.18        1.37         N/A      31.78        090
                                                      bladder.
51565..............  ..............  A               Revise bladder &          21.62        N/A       9.51        1.40         N/A      32.53        090
                                                      ureter(s).
51570..............  ..............  A               Removal of bladder..      24.24        N/A      10.35        1.59         N/A      36.18        090
51575..............  ..............  A               Removal of bladder &      30.45        N/A      12.71        1.88         N/A      45.04        090
                                                      nodes.
51580..............  ..............  A               Remove bladder/           31.08        N/A      13.17        1.94         N/A      46.19        090
                                                      revise tract.
51585..............  ..............  A               Removal of bladder &      35.23        N/A      14.42        2.18         N/A      51.83        090
                                                      nodes.
51590..............  ..............  A               Remove bladder/           32.66        N/A      13.30        2.01         N/A      47.97        090
                                                      revise tract.
51595..............  ..............  A               Remove bladder/           37.14        N/A      14.86        2.23         N/A      54.23        090
                                                      revise tract.
51596..............  ..............  A               Remove bladder/           39.52        N/A      16.01        2.39         N/A      57.92        090
                                                      create pouch.
51597..............  ..............  A               Removal of pelvic         38.35        N/A      15.57        2.49         N/A      56.41        090
                                                      structures.
51600..............  ..............  A               Injection for              0.88       5.84       0.29        0.04        6.76       1.21        000
                                                      bladder x-ray.
51605..............  ..............  A               Preparation for            0.64       6.11       0.35        0.04        6.79       1.03        000
                                                      bladder xray.
51610..............  ..............  A               Injection for              1.05       1.71       0.61        0.05        2.81       1.71        000
                                                      bladder x-ray.
51700..............  ..............  A               Irrigation of              0.88       1.69       0.29        0.05        2.62       1.22        000
                                                      bladder.
51701..............  ..............  A               Insert bladder             0.50       1.68       0.19        0.03        2.21       0.72        000
                                                      catheter.
51702..............  ..............  A               Insert temp bladder        0.50       2.39       0.26        0.03        2.92       0.79        000
                                                      cath.
51703..............  ..............  A               Insert bladder cath,       1.47       3.11       0.58        0.09        4.67       2.14        000
                                                      complex.
51705..............  ..............  A               Change of bladder          1.02       2.39       0.63        0.06        3.47       1.71        010
                                                      tube.
51710..............  ..............  A               Change of bladder          1.49       3.51       0.79        0.09        5.09       2.37        010
                                                      tube.
51715..............  ..............  A               Endoscopic injection/      3.74       4.09       1.39        0.24        8.07       5.37        000
                                                      implant.
51720..............  ..............  A               Treatment of bladder       1.96       1.82       0.72        0.12        3.90       2.80        000
                                                      lesion.
51725..............  ..............  A               Simple                     1.51       5.90        N/A        0.13        7.54        N/A        000
                                                      cystometrogram.
51725..............  26............  A               Simple                     1.51       0.51       0.51        0.10        2.12       2.12        000
                                                      cystometrogram.
51725..............  TC............  A               Simple                     0.00       5.40        N/A        0.03        5.43        N/A        000
                                                      cystometrogram.
51726..............  ..............  A               Complex                    1.71       7.93        N/A        0.15        9.79        N/A        000
                                                      cystometrogram.
51726..............  26............  A               Complex                    1.71       0.57       0.57        0.11        2.39       2.39        000
                                                      cystometrogram.
51726..............  TC............  A               Complex                    0.00       7.36        N/A        0.04        7.40        N/A        000
                                                      cystometrogram.
51736..............  ..............  A               Urine flow                 0.61       0.61        N/A        0.05        1.27        N/A        000
                                                      measurement.
51736..............  26............  A               Urine flow                 0.61       0.20       0.20        0.04        0.85       0.85        000
                                                      measurement.
51736..............  TC............  A               Urine flow                 0.00       0.40        N/A        0.01        0.41        N/A        000
                                                      measurement.
51741..............  ..............  A               Electro-                   1.14       0.83        N/A        0.09        2.06        N/A        000
                                                      uroflowmetry, first.
51741..............  26............  A               Electro-                   1.14       0.38       0.38        0.07        1.59       1.59        000
                                                      uroflowmetry, first.
51741..............  TC............  A               Electro-                   0.00       0.45        N/A        0.02        0.47        N/A        000
                                                      uroflowmetry, first.
51772..............  ..............  A               Urethra pressure           1.61       5.89        N/A        0.16        7.66        N/A        000
                                                      profile.
51772..............  26............  A               Urethra pressure           1.61       0.56       0.56        0.12        2.29       2.29        000
                                                      profile.
51772..............  TC............  A               Urethra pressure           0.00       5.33        N/A        0.04        5.37        N/A        000
                                                      profile.
51784..............  ..............  A               Anal/urinary muscle        1.53       4.18        N/A        0.13        5.84        N/A        000
                                                      study.
51784..............  26............  A               Anal/urinary muscle        1.53       0.52       0.52        0.10        2.15       2.15        000
                                                      study.
51784..............  TC............  A               Anal/urinary muscle        0.00       3.66        N/A        0.03        3.69        N/A        000
                                                      study.
51785..............  ..............  A               Anal/urinary muscle        1.53       4.69        N/A        0.12        6.34        N/A        000
                                                      study.
51785..............  26............  A               Anal/urinary muscle        1.53       0.51       0.51        0.09        2.13       2.13        000
                                                      study.
51785..............  TC............  A               Anal/urinary muscle        0.00       4.17        N/A        0.03        4.20        N/A        000
                                                      study.
51792..............  ..............  A               Urinary reflex study       1.10       6.13        N/A        0.20        7.43        N/A        000
51792..............  26............  A               Urinary reflex study       1.10       0.42       0.42        0.09        1.61       1.61        000
51792..............  TC............  A               Urinary reflex study       0.00       5.70        N/A        0.11        5.81        N/A        000
51795..............  ..............  A               Urine voiding              1.53       7.72        N/A        0.18        9.43        N/A        000
                                                      pressure study.
51795..............  26............  A               Urine voiding              1.53       0.51       0.51        0.10        2.14       2.14        000
                                                      pressure study.
51795..............  TC............  A               Urine voiding              0.00       7.20        N/A        0.08        7.28        N/A        000
                                                      pressure study.

[[Page 49146]]

 
51797..............  ..............  A               Intraabdominal             1.60       6.08        N/A        0.14        7.82        N/A        000
                                                      pressure test.
51797..............  26............  A               Intraabdominal             1.60       0.54       0.54        0.10        2.24       2.24        000
                                                      pressure test.
51797..............  TC............  A               Intraabdominal             0.00       5.54        N/A        0.04        5.58        N/A        000
                                                      pressure test.
51798..............  ..............  A               Us urine capacity          0.00       0.36        N/A        0.07        0.43        N/A        XXX
                                                      measure.
51800..............  ..............  A               Revision of bladder/      17.42        N/A       8.05        1.17         N/A      26.64        090
                                                      urethra.
51820..............  ..............  A               Revision of urinary       17.89        N/A       8.71        1.45         N/A      28.05        090
                                                      tract.
51840..............  ..............  A               Attach bladder/           10.71        N/A       5.66        0.87         N/A      17.24        090
                                                      urethra.
51841..............  ..............  A               Attach bladder/           13.03        N/A       6.49        1.04         N/A      20.56        090
                                                      urethra.
51845..............  ..............  A               Repair bladder neck.       9.73        N/A       5.18        0.62         N/A      15.53        090
51860..............  ..............  A               Repair of bladder         12.02        N/A       6.18        0.89         N/A      19.09        090
                                                      wound.
51865..............  ..............  A               Repair of bladder         15.04        N/A       7.14        1.01         N/A      23.19        090
                                                      wound.
51880..............  ..............  A               Repair of bladder          7.66        N/A       4.35        0.54         N/A      12.55        090
                                                      opening.
51900..............  ..............  A               Repair bladder/           12.97        N/A       6.53        0.87         N/A      20.37        090
                                                      vagina lesion.
51920..............  ..............  A               Close bladder-uterus      11.81        N/A       6.05        0.86         N/A      18.72        090
                                                      fistula.
51925..............  ..............  A               Hysterectomy/bladder      15.58        N/A       9.02        1.48         N/A      26.08        090
                                                      repair.
51940..............  ..............  A               Correction of             28.43        N/A      12.86        1.97         N/A      43.26        090
                                                      bladder defect.
51960..............  ..............  A               Revision of bladder       23.01        N/A      10.37        1.41         N/A      34.79        090
                                                      & bowel.
51980..............  ..............  A               Construct bladder         11.36        N/A       5.81        0.74         N/A      17.91        090
                                                      opening.
51990..............  ..............  A               Laparo urethral           12.50        N/A       6.23        1.02         N/A      19.75        090
                                                      suspension.
51992..............  ..............  A               Laparo sling              14.01        N/A       6.27        0.93         N/A      21.21        090
                                                      operation.
52000..............  ..............  A               Cystoscopy..........       2.01       3.45       0.78        0.12        5.58       2.91        000
52001..............  ..............  A               Cystoscopy, removal        5.45       5.28       1.91        0.32       11.05       7.68        000
                                                      of clots.
52005..............  ..............  A               Cystoscopy & ureter        2.37       6.17       0.92        0.15        8.69       3.44        000
                                                      catheter.
52007..............  ..............  A               Cystoscopy and             3.02        N/A       1.18        0.18         N/A       4.38        000
                                                      biopsy.
52010..............  ..............  A               Cystoscopy & duct          3.02        N/A       1.16        0.18         N/A       4.36        000
                                                      catheter.
52204..............  ..............  A               Cystoscopy..........       2.37       3.70       0.93        0.15        6.22       3.45        000
52214..............  ..............  A               Cystoscopy and             3.71        N/A       1.36        0.22         N/A       5.29        000
                                                      treatment.
52224..............  ..............  A               Cystoscopy and             3.14        N/A       1.18        0.18         N/A       4.50        000
                                                      treatment.
52234..............  ..............  A               Cystoscopy and             4.63        N/A       1.67        0.27         N/A       6.57        000
                                                      treatment.
52235..............  ..............  A               Cystoscopy and             5.45        N/A       1.95        0.32         N/A       7.72        000
                                                      treatment.
52240..............  ..............  A               Cystoscopy and             9.72        N/A       3.37        0.58         N/A      13.67        000
                                                      treatment.
52250..............  ..............  A               Cystoscopy and             4.50        N/A       1.70        0.27         N/A       6.47        000
                                                      radiotracer.
52260..............  ..............  A               Cystoscopy and             3.92        N/A       1.46        0.23         N/A       5.61        000
                                                      treatment.
52265..............  ..............  A               Cystoscopy and             2.94       3.83       1.14        0.18        6.95       4.26        000
                                                      treatment.
52270..............  ..............  A               Cystoscopy & revise        3.37        N/A       1.28        0.20         N/A       4.85        000
                                                      urethra.
52275..............  ..............  A               Cystoscopy & revise        4.70        N/A       1.71        0.28         N/A       6.69        000
                                                      urethra.
52276..............  ..............  A               Cystoscopy and             5.00        N/A       1.83        0.30         N/A       7.13        000
                                                      treatment.
52277..............  ..............  A               Cystoscopy and             6.17        N/A       2.31        0.38         N/A       8.86        000
                                                      treatment.
52281..............  ..............  A               Cystoscopy and             2.80       7.56       1.11        0.17       10.53       4.08        000
                                                      treatment.
52282..............  ..............  A               Cystoscopy, implant        6.40        N/A       2.29        0.38         N/A       9.07        000
                                                      stent.
52283..............  ..............  A               Cystoscopy and             3.74       4.11       1.42        0.22        8.07       5.38        000
                                                      treatment.
52285..............  ..............  A               Cystoscopy and             3.61       4.18       1.37        0.22        8.01       5.20        000
                                                      treatment.
52290..............  ..............  A               Cystoscopy and             4.59        N/A       1.70        0.27         N/A       6.56        000
                                                      treatment.
52300..............  ..............  A               Cystoscopy and             5.31        N/A       1.96        0.32         N/A       7.59        000
                                                      treatment.
52301..............  ..............  A               Cystoscopy and             5.51        N/A       2.04        0.39         N/A       7.94        000
                                                      treatment.
52305..............  ..............  A               Cystoscopy and             5.31        N/A       1.90        0.31         N/A       7.52        000
                                                      treatment.
52310..............  ..............  A               Cystoscopy and             2.81       3.60       1.06        0.17        6.58       4.04        000
                                                      treatment.
52315..............  ..............  A               Cystoscopy and             5.21        N/A       1.88        0.31         N/A       7.40        000
                                                      treatment.
52317..............  ..............  A               Remove bladder stone       6.72        N/A       2.33        0.40         N/A       9.45        000
52318..............  ..............  A               Remove bladder stone       9.19        N/A       3.17        0.54         N/A      12.90        000

[[Page 49147]]

 
52320..............  ..............  A               Cystoscopy and             4.70        N/A       1.68        0.28         N/A       6.66        000
                                                      treatment.
52325..............  ..............  A               Cystoscopy, stone          6.16        N/A       2.16        0.37         N/A       8.69        000
                                                      removal.
52327..............  ..............  A               Cystoscopy, inject         5.19        N/A       1.87        0.32         N/A       7.38        000
                                                      material.
52330..............  ..............  A               Cystoscopy and             5.04        N/A       1.79        0.30         N/A       7.13        000
                                                      treatment.
52332..............  ..............  A               Cystoscopy and             2.83        N/A       1.08        0.17         N/A       4.08        000
                                                      treatment.
52334..............  ..............  A               Create passage to          4.83        N/A       1.80        0.28         N/A       6.91        000
                                                      kidney.
52341..............  ..............  A               Cysto w/ureter             6.00        N/A       2.27        0.37         N/A       8.64        000
                                                      stricture tx.
52342..............  ..............  A               Cysto w/up stricture       6.50        N/A       2.41        0.40         N/A       9.31        000
                                                      tx.
52343..............  ..............  A               Cysto w/renal              7.20        N/A       2.69        0.44         N/A      10.33        000
                                                      stricture tx.
52344..............  ..............  A               Cysto/uretero, stone       7.70        N/A       2.87        0.47         N/A      11.04        000
                                                      remove.
52345..............  ..............  A               Cysto/uretero w/up         8.20        N/A       3.03        0.50         N/A      11.73        000
                                                      stricture.
52346..............  ..............  A               Cystouretero w/renal       9.23        N/A       3.38        0.57         N/A      13.18        000
                                                      strict.
52347..............  ..............  A               Cystoscopy, resect         5.28        N/A       1.76        0.33         N/A       7.37        000
                                                      ducts.
52351..............  ..............  A               Cystouretero & or          5.86        N/A       2.20        0.36         N/A       8.42        000
                                                      pyeloscope.
52352..............  ..............  A               Cystouretero w/stone       6.88        N/A       2.57        0.42         N/A       9.87        000
                                                      remove.
52353..............  ..............  A               Cystouretero w/            7.97        N/A       2.93        0.49         N/A      11.39        000
                                                      lithotripsy.
52354..............  ..............  A               Cystouretero w/            7.34        N/A       2.74        0.45         N/A      10.53        000
                                                      biopsy.
52355..............  ..............  A               Cystouretero w/            8.82        N/A       3.22        0.55         N/A      12.59        000
                                                      excise tumor.
52400..............  ..............  A               Cystouretero w/            9.68        N/A       4.06        0.60         N/A      14.34        090
                                                      congen repr.
52450..............  ..............  A               Incision of prostate       7.64        N/A       3.80        0.46         N/A      11.90        090
52500..............  ..............  A               Revision of bladder        8.47        N/A       4.06        0.50         N/A      13.03        090
                                                      neck.
52510..............  ..............  A               Dilation prostatic         6.72        N/A       3.31        0.40         N/A      10.43        090
                                                      urethra.
52601..............  ..............  A               Prostatectomy (TURP)      12.37        N/A       5.27        0.74         N/A      18.38        090
52606..............  ..............  A               Control postop             8.13        N/A       3.67        0.49         N/A      12.29        090
                                                      bleeding.
52612..............  ..............  A               Prostatectomy, first       7.98        N/A       3.87        0.48         N/A      12.33        090
                                                      stage.
52614..............  ..............  A               Prostatectomy,             6.84        N/A       3.47        0.41         N/A      10.72        090
                                                      second stage.
52620..............  ..............  A               Remove residual            6.61        N/A       3.18        0.39         N/A      10.18        090
                                                      prostate.
52630..............  ..............  A               Remove prostate            7.26        N/A       3.38        0.43         N/A      11.07        090
                                                      regrowth.
52640..............  ..............  A               Relieve bladder            6.62        N/A       3.15        0.39         N/A      10.16        090
                                                      contracture.
52647..............  ..............  A               Laser surgery of          10.36      33.53       4.68        0.61       44.50      15.65        090
                                                      prostate.
52648..............  ..............  A               Laser surgery of          11.21        N/A       4.95        0.66         N/A      16.82        090
                                                      prostate.
52700..............  ..............  A               Drainage of prostate       6.80        N/A       3.37        0.41         N/A      10.58        090
                                                      abscess.
53000..............  ..............  A               Incision of urethra.       2.28        N/A       1.59        0.13         N/A       4.00        010
53010..............  ..............  A               Incision of urethra.       3.64        N/A       3.15        0.20         N/A       6.99        090
53020..............  ..............  A               Incision of urethra.       1.77       3.15       0.69        0.11        5.03       2.57        000
53025..............  ..............  A               Incision of urethra.       1.13       3.93       0.52        0.07        5.13       1.72        000
53040..............  ..............  A               Drainage of urethra        6.40      11.79       6.71        0.41       18.60      13.52        090
                                                      abscess.
53060..............  ..............  A               Drainage of urethra        2.63        N/A       1.49        0.23         N/A       4.35        010
                                                      abscess.
53080..............  ..............  A               Drainage of urinary        6.29        N/A       6.49        0.42         N/A      13.20        090
                                                      leakage.
53085..............  ..............  A               Drainage of urinary       10.27        N/A       8.00        0.67         N/A      18.94        090
                                                      leakage.
53200..............  ..............  A               Biopsy of urethra...       2.59       4.40       1.00        0.17        7.16       3.76        000
53210..............  ..............  A               Removal of urethra..      12.57        N/A       6.41        0.81         N/A      19.79        090
53215..............  ..............  A               Removal of urethra..      15.58        N/A       7.22        0.93         N/A      23.73        090
53220..............  ..............  A               Treatment of urethra       7.00        N/A       4.24        0.44         N/A      11.68        090
                                                      lesion.
53230..............  ..............  A               Removal of urethra         9.58        N/A       5.15        0.60         N/A      15.33        090
                                                      lesion.
53235..............  ..............  A               Removal of urethra        10.14        N/A       5.34        0.60         N/A      16.08        090
                                                      lesion.
53240..............  ..............  A               Surgery for urethra        6.45        N/A       4.01        0.42         N/A      10.88        090
                                                      pouch.
53250..............  ..............  A               Removal of urethra         5.89        N/A       3.65        0.35         N/A       9.89        090
                                                      gland.
53260..............  ..............  A               Treatment of urethra       2.98       3.36       1.84        0.23        6.57       5.05        010
                                                      lesion.

[[Page 49148]]

 
53265..............  ..............  A               Treatment of urethra       3.12        N/A       1.88        0.20         N/A       5.20        010
                                                      lesion.
53270..............  ..............  A               Removal of urethra         3.09        N/A       1.92        0.21         N/A       5.22        010
                                                      gland.
53275..............  ..............  A               Repair of urethra          4.53        N/A       2.33        0.28         N/A       7.14        010
                                                      defect.
53400..............  ..............  A               Revise urethra,           12.77        N/A       6.52        0.85         N/A      20.14        090
                                                      stage 1.
53405..............  ..............  A               Revise urethra,           14.48        N/A       6.90        0.91         N/A      22.29        090
                                                      stage 2.
53410..............  ..............  A               Reconstruction of         16.44        N/A       7.67        0.99         N/A      25.10        090
                                                      urethra.
53415..............  ..............  A               Reconstruction of         19.41        N/A       7.87        1.16         N/A      28.44        090
                                                      urethra.
53420..............  ..............  A               Reconstruct urethra,      14.08        N/A       6.84        0.90         N/A      21.82        090
                                                      stage 1.
53425..............  ..............  A               Reconstruct urethra,      15.98        N/A       7.50        0.97         N/A      24.45        090
                                                      stage 2.
53430..............  ..............  A               Reconstruction of         16.34        N/A       7.59        1.01         N/A      24.94        090
                                                      urethra.
53431..............  ..............  A               Reconstruct urethra/      19.89        N/A       8.59        1.30         N/A      29.78        090
                                                      bladder.
53440..............  ..............  A               Male sling procedure      13.62        N/A       6.27        0.73         N/A      20.62        090
53442..............  ..............  A               Remove/revise male        11.57        N/A       5.72        0.55         N/A      17.84        090
                                                      sling.
53444..............  ..............  A               Insert tandem cuff..      13.40        N/A       6.05        0.88         N/A      20.33        090
53445..............  ..............  A               Insert uro/ves nck        14.06        N/A       7.72        0.84         N/A      22.62        090
                                                      sphincter.
53446..............  ..............  A               Remove uro sphincter      10.23        N/A       5.40        0.67         N/A      16.30        090
53447..............  ..............  A               Remove/replace ur         13.49        N/A       6.63        0.79         N/A      20.91        090
                                                      sphincter.
53448..............  ..............  A               Remov/replc ur            21.15        N/A       9.32        1.39         N/A      31.86        090
                                                      sphinctr comp.
53449..............  ..............  A               Repair uro sphincter       9.70        N/A       5.17        0.57         N/A      15.44        090
53450..............  ..............  A               Revision of urethra.       6.14        N/A       3.79        0.37         N/A      10.30        090
53460..............  ..............  A               Revision of urethra.       7.12        N/A       4.21        0.43         N/A      11.76        090
53502..............  ..............  A               Repair of urethra          7.63        N/A       4.50        0.50         N/A      12.63        090
                                                      injury.
53505..............  ..............  A               Repair of urethra          7.63        N/A       4.37        0.46         N/A      12.46        090
                                                      injury.
53510..............  ..............  A               Repair of urethra         10.11        N/A       5.60        0.60         N/A      16.31        090
                                                      injury.
53515..............  ..............  A               Repair of urethra         13.31        N/A       6.38        0.83         N/A      20.52        090
                                                      injury.
53520..............  ..............  A               Repair of urethra          8.68        N/A       4.91        0.53         N/A      14.12        090
                                                      defect.
53600..............  ..............  A               Dilate urethra             1.21       1.20       0.45        0.07        2.48       1.73        000
                                                      stricture.
53601..............  ..............  A               Dilate urethra             0.98       1.33       0.39        0.06        2.37       1.43        000
                                                      stricture.
53605..............  ..............  A               Dilate urethra             1.28        N/A       0.42        0.08         N/A       1.78        000
                                                      stricture.
53620..............  ..............  A               Dilate urethra             1.62       2.09       0.62        0.10        3.81       2.34        000
                                                      stricture.
53621..............  ..............  A               Dilate urethra             1.35       2.17       0.51        0.08        3.60       1.94        000
                                                      stricture.
53660..............  ..............  A               Dilation of urethra.       0.71       1.38       0.33        0.04        2.13       1.08        000
53661..............  ..............  A               Dilation of urethra.       0.72       1.37       0.31        0.04        2.13       1.07        000
53665..............  ..............  A               Dilation of urethra.       0.76        N/A       0.26        0.05         N/A       1.07        000
53850..............  ..............  A               Prostatic microwave        9.45     100.81       4.41        0.56      110.82      14.42        090
                                                      thermotx.
53852..............  ..............  A               Prostatic rf               9.88      94.95       4.80        0.58      105.41      15.26        090
                                                      thermotx.
53853..............  ..............  A               Prostatic water            5.24      58.79       3.25        0.27       64.30       8.76        090
                                                      thermother.
53899..............  ..............  C               Urology surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
54000..............  ..............  A               Slitting of prepuce.       1.54        N/A       1.37        0.10         N/A       3.01        010
54001..............  ..............  A               Slitting of prepuce.       2.19       4.39       1.54        0.14        6.72       3.87        010
54015..............  ..............  A               Drain penis lesion..       5.32        N/A       2.64        0.33         N/A       8.29        010
54050..............  ..............  A               Destruction, penis         1.24       1.72       1.07        0.07        3.03       2.38        010
                                                      lesion(s).
54055..............  ..............  A               Destruction, penis         1.22       1.64       0.82        0.07        2.93       2.11        010
                                                      lesion(s).
54056..............  ..............  A               Cryosurgery, penis         1.24       2.53       1.40        0.06        3.83       2.70        010
                                                      lesion(s).
54057..............  ..............  A               Laser surg, penis          1.24        N/A       0.89        0.08         N/A       2.21        010
                                                      lesion(s).
54060..............  ..............  A               Excision of penis          1.93       3.96       1.48        0.12        6.01       3.53        010
                                                      lesion(s).
54065..............  ..............  A               Destruction, penis         2.42        N/A       1.74        0.13         N/A       4.29        010
                                                      lesion(s).
54100..............  ..............  A               Biopsy of penis.....       1.90       2.93       0.84        0.10        4.93       2.84        000
54105..............  ..............  A               Biopsy of penis.....       3.50        N/A       2.01        0.21         N/A       5.72        010
54110..............  ..............  A               Treatment of penis        10.13        N/A       5.97        0.60         N/A      16.70        090
                                                      lesion.
54111..............  ..............  A               Treat penis lesion,       13.57        N/A       7.05        0.79         N/A      21.41        090
                                                      graft.
54112..............  ..............  A               Treat penis lesion,       15.86        N/A       8.07        0.94         N/A      24.87        090
                                                      graft.
54115..............  ..............  A               Treatment of penis         6.15       8.78       4.66        0.39       15.32      11.20        090
                                                      lesion.
54120..............  ..............  A               Partial removal of         9.97        N/A       5.93        0.60         N/A      16.50        090
                                                      penis.

[[Page 49149]]

 
54125..............  ..............  A               Removal of penis....      13.53        N/A       7.11        0.81         N/A      21.45        090
54130..............  ..............  A               Remove penis & nodes      20.14        N/A       9.50        1.19         N/A      30.83        090
54135..............  ..............  A               Remove penis & nodes      26.36        N/A      11.54        1.58         N/A      39.48        090
54150..............  ..............  A               Circumcision........       1.81        N/A       1.00        0.17         N/A       2.98        010
54152..............  ..............  A               Circumcision........       2.31        N/A       1.23        0.16         N/A       3.70        010
54160..............  ..............  A               Circumcision........       2.48        N/A       1.13        0.16         N/A       3.77        010
54161..............  ..............  A               Circumcision........       3.27        N/A       1.61        0.20         N/A       5.08        010
54162..............  ..............  A               Lysis penil circumic       3.00        N/A       2.05        0.20         N/A       5.25        010
                                                      lesion.
54163..............  ..............  A               Repair of                  3.00        N/A       2.07        0.20         N/A       5.27        010
                                                      circumcision.
54164..............  ..............  A               Frenulotomy of penis       2.50        N/A       1.89        0.16         N/A       4.55        010
54200..............  ..............  A               Treatment of penis         1.06       1.88       1.02        0.06        3.00       2.14        010
                                                      lesion.
54205..............  ..............  A               Treatment of penis         7.93        N/A       5.14        0.47         N/A      13.54        090
                                                      lesion.
54220..............  ..............  A               Treatment of penis         2.42       4.03       0.98        0.15        6.60       3.55        000
                                                      lesion.
54230..............  ..............  A               Prepare penis study.       1.34       1.14       0.64        0.08        2.56       2.06        000
54231..............  ..............  A               Dynamic                    2.04       1.43       0.89        0.14        3.61       3.07        000
                                                      cavernosometry.
54235..............  ..............  A               Penile injection....       1.19       1.00       0.60        0.07        2.26       1.86        000
54240..............  ..............  A               Penis study.........       1.31       1.04        N/A        0.13        2.48        N/A        000
54240..............  26............  A               Penis study.........       1.31       0.44       0.44        0.08        1.83       1.83        000
54240..............  TC............  A               Penis study.........       0.00       0.61        N/A        0.05        0.66        N/A        000
54250..............  ..............  A               Penis study.........       2.22       0.94        N/A        0.16        3.32        N/A        000
54250..............  26............  A               Penis study.........       2.22       0.73       0.73        0.14        3.09       3.09        000
54250..............  TC............  A               Penis study.........       0.00       0.22        N/A        0.02        0.24        N/A        000
54300..............  ..............  A               Revision of penis...      10.41        N/A       6.17        0.64         N/A      17.22        090
54304..............  ..............  A               Revision of penis...      12.49        N/A       7.07        0.74         N/A      20.30        090
54308..............  ..............  A               Reconstruction of         11.83        N/A       6.67        0.70         N/A      19.20        090
                                                      urethra.
54312..............  ..............  A               Reconstruction of         13.57        N/A       7.74        0.81         N/A      22.12        090
                                                      urethra.
54316..............  ..............  A               Reconstruction of         16.82        N/A       8.75        1.00         N/A      26.57        090
                                                      urethra.
54318..............  ..............  A               Reconstruction of         11.25        N/A       6.61        1.15         N/A      19.01        090
                                                      urethra.
54322..............  ..............  A               Reconstruction of         13.01        N/A       6.99        0.77         N/A      20.77        090
                                                      urethra.
54324..............  ..............  A               Reconstruction of         16.31        N/A       8.78        1.03         N/A      26.12        090
                                                      urethra.
54326..............  ..............  A               Reconstruction of         15.72        N/A       8.48        0.93         N/A      25.13        090
                                                      urethra.
54328..............  ..............  A               Revise penis/urethra      15.65        N/A       7.99        0.92         N/A      24.56        090
54332..............  ..............  A               Revise penis/urethra      17.08        N/A       8.47        1.01         N/A      26.56        090
54336..............  ..............  A               Revise penis/urethra      20.04        N/A      11.27        1.90         N/A      33.21        090
54340..............  ..............  A               Secondary urethral         8.91        N/A       5.61        0.72         N/A      15.24        090
                                                      surgery.
54344..............  ..............  A               Secondary urethral        15.94        N/A       8.46        1.10         N/A      25.50        090
                                                      surgery.
54348..............  ..............  A               Secondary urethral        17.15        N/A       9.20        1.02         N/A      27.37        090
                                                      surgery.
54352..............  ..............  A               Reconstruct urethra/      24.74        N/A      12.15        1.62         N/A      38.51        090
                                                      penis.
54360..............  ..............  A               Penis plastic             11.93        N/A       6.53        0.72         N/A      19.18        090
                                                      surgery.
54380..............  ..............  A               Repair penis........      13.18        N/A       7.23        1.16         N/A      21.57        090
54385..............  ..............  A               Repair penis........      15.39        N/A       8.84        0.71         N/A      24.94        090
54390..............  ..............  A               Repair penis and          21.61        N/A      10.73        1.28         N/A      33.62        090
                                                      bladder.
54400..............  ..............  A               Insert semi-rigid          8.99        N/A       4.78        0.53         N/A      14.30        090
                                                      prosthesis.
54401..............  ..............  A               Insert self-contd         10.28        N/A       6.09        0.61         N/A      16.98        090
                                                      prosthesis.
54405..............  ..............  A               Insert multi-comp         13.43        N/A       6.49        0.80         N/A      20.72        090
                                                      penis pros.
54406..............  ..............  A               Remove muti-comp          12.10        N/A       5.59        0.75         N/A      18.44        090
                                                      penis pros.
54408..............  ..............  A               Repair multi-comp         12.75        N/A       5.91        0.79         N/A      19.45        090
                                                      penis pros.
54410..............  ..............  A               Remove/replace penis      15.50        N/A       6.82        0.96         N/A      23.28        090
                                                      prosth.
54411..............  ..............  A               Remov/replc penis         16.00        N/A       7.25        0.80         N/A      24.05        090
                                                      pros, comp.
54415..............  ..............  A               Remove self-contd          8.20        N/A       4.33        0.54         N/A      13.07        090
                                                      penis pros.
54416..............  ..............  A               Remv/repl penis           10.87        N/A       5.54        0.55         N/A      16.96        090
                                                      contain pros.
54417..............  ..............  A               Remv/replc penis          14.19        N/A       6.36        0.55         N/A      21.10        090
                                                      pros, compl.
54420..............  ..............  A               Revision of penis...      11.42        N/A       6.39        0.72         N/A      18.53        090
54430..............  ..............  A               Revision of penis...      10.15        N/A       5.97        0.60         N/A      16.72        090
54435..............  ..............  A               Revision of penis...       6.12        N/A       4.41        0.36         N/A      10.89        090

[[Page 49150]]

 
54440..............  ..............  C               Repair of penis.....       0.00       0.00       0.00        0.00        0.00       0.00        090
54450..............  ..............  A               Preputial stretching       1.12       1.13       0.48        0.07        2.32       1.67        000
54500..............  ..............  A               Biopsy of testis....       1.31       0.62       0.58        0.08        2.01       1.97        000
54505..............  ..............  A               Biopsy of testis....       3.46        N/A       1.98        0.21         N/A       5.65        010
54512..............  ..............  A               Excise lesion testis       8.58        N/A       4.37        0.56         N/A      13.51        090
54520..............  ..............  A               Removal of testis...       5.23        N/A       3.01        0.33         N/A       8.57        090
54522..............  ..............  A               Orchiectomy, partial       9.50        N/A       5.12        0.62         N/A      15.24        090
54530..............  ..............  A               Removal of testis...       8.58        N/A       4.52        0.53         N/A      13.63        090
54535..............  ..............  A               Extensive testis          12.16        N/A       5.96        0.83         N/A      18.95        090
                                                      surgery.
54550..............  ..............  A               Exploration for            7.78        N/A       4.12        0.49         N/A      12.39        090
                                                      testis.
54560..............  ..............  A               Exploration for           11.13        N/A       5.56        0.79         N/A      17.48        090
                                                      testis.
54600..............  ..............  A               Reduce testis              7.01        N/A       3.79        0.45         N/A      11.25        090
                                                      torsion.
54620..............  ..............  A               Suspension of testis       4.90        N/A       2.52        0.31         N/A       7.73        010
54640..............  ..............  A               Suspension of testis       6.90        N/A       3.97        0.49         N/A      11.36        090
54650..............  ..............  A               Orchiopexy (Fowler-       11.45        N/A       5.83        0.81         N/A      18.09        090
                                                      Stephens).
54660..............  ..............  A               Revision of testis..       5.11        N/A       3.19        0.35         N/A       8.65        090
54670..............  ..............  A               Repair testis injury       6.41        N/A       3.70        0.41         N/A      10.52        090
54680..............  ..............  A               Relocation of             12.65        N/A       6.51        0.94         N/A      20.10        090
                                                      testis(es).
54690..............  ..............  A               Laparoscopy,              10.96        N/A       5.45        0.99         N/A      17.40        090
                                                      orchiectomy.
54692..............  ..............  A               Laparoscopy,              12.88        N/A       5.57        0.87         N/A      19.32        090
                                                      orchiopexy.
54699..............  ..............  C               Laparoscope proc,          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      testis.
54700..............  ..............  A               Drainage of scrotum.       3.43        N/A       2.00        0.23         N/A       5.66        010
54800..............  ..............  A               Biopsy of epididymis       2.33       0.97       0.92        0.14        3.44       3.39        000
54820..............  ..............  A               Exploration of             5.14        N/A       3.16        0.33         N/A       8.63        090
                                                      epididymis.
54830..............  ..............  A               Remove epididymis          5.38        N/A       3.25        0.34         N/A       8.97        090
                                                      lesion.
54840..............  ..............  A               Remove epididymis          5.20        N/A       3.01        0.31         N/A       8.52        090
                                                      lesion.
54860..............  ..............  A               Removal of                 6.32        N/A       3.61        0.38         N/A      10.31        090
                                                      epididymis.
54861..............  ..............  A               Removal of                 8.90        N/A       4.55        0.52         N/A      13.97        090
                                                      epididymis.
54900..............  ..............  A               Fusion of spermatic       13.20        N/A       6.13        1.34         N/A      20.67        090
                                                      ducts.
54901..............  ..............  A               Fusion of spermatic       17.94        N/A       8.12        1.83         N/A      27.89        090
                                                      ducts.
55000..............  ..............  A               Drainage of                1.43       2.15       0.66        0.10        3.68       2.19        000
                                                      hydrocele.
55040..............  ..............  A               Removal of hydrocele       5.36        N/A       3.07        0.35         N/A       8.78        090
55041..............  ..............  A               Removal of                 7.74        N/A       4.14        0.50         N/A      12.38        090
                                                      hydroceles.
55060..............  ..............  A               Repair of hydrocele.       5.52        N/A       3.25        0.37         N/A       9.14        090
55100..............  ..............  A               Drainage of scrotum        2.13       3.85       1.62        0.15        6.13       3.90        010
                                                      abscess.
55110..............  ..............  A               Explore scrotum.....       5.70        N/A       3.31        0.36         N/A       9.37        090
55120..............  ..............  A               Removal of scrotum         5.09       8.73       3.11        0.33       14.15       8.53        090
                                                      lesion.
55150..............  ..............  A               Removal of scrotum..       7.22        N/A       4.10        0.47         N/A      11.79        090
55175..............  ..............  A               Revision of scrotum.       5.24        N/A       3.24        0.33         N/A       8.81        090
55180..............  ..............  A               Revision of scrotum.      10.72        N/A       5.69        0.72         N/A      17.13        090
55200..............  ..............  A               Incision of sperm          4.24       9.10       2.60        0.25       13.59       7.09        090
                                                      duct.
55250..............  ..............  A               Removal of sperm           3.29       9.29       2.89        0.21       12.79       6.39        090
                                                      duct(s).
55300..............  ..............  A               Prepare, sperm duct        3.51        N/A       1.34        0.20         N/A       5.05        000
                                                      x-ray.
55400..............  ..............  A               Repair of sperm duct       8.49        N/A       4.38        0.50         N/A      13.37        090
55450..............  ..............  A               Ligation of sperm          4.12       7.34       1.92        0.24       11.70       6.28        010
                                                      duct.
55500..............  ..............  A               Removal of hydrocele       5.59        N/A       3.28        0.43         N/A       9.30        090
55520..............  ..............  A               Removal of sperm           6.03        N/A       3.41        0.56         N/A      10.00        090
                                                      cord lesion.
55530..............  ..............  A               Revise spermatic           5.66        N/A       3.24        0.36         N/A       9.26        090
                                                      cord veins.
55535..............  ..............  A               Revise spermatic           6.56        N/A       3.63        0.42         N/A      10.61        090
                                                      cord veins.
55540..............  ..............  A               Revise hernia &            7.67        N/A       3.96        0.74         N/A      12.37        090
                                                      sperm veins.
55550..............  ..............  A               Laparo ligate              6.57        N/A       3.63        0.47         N/A      10.67        090
                                                      spermatic vein.
55559..............  ..............  C               Laparo proc,               0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      spermatic cord.
55600..............  ..............  A               Incise sperm duct          6.38        N/A       3.63        0.38         N/A      10.39        090
                                                      pouch.
55605..............  ..............  A               Incise sperm duct          7.96        N/A       4.55        0.54         N/A      13.05        090
                                                      pouch.
55650..............  ..............  A               Remove sperm duct         11.80        N/A       5.58        0.72         N/A      18.10        090
                                                      pouch.
55680..............  ..............  A               Remove sperm pouch         5.19        N/A       3.19        0.31         N/A       8.69        090
                                                      lesion.

[[Page 49151]]

 
55700..............  ..............  A               Biopsy of prostate..       1.57       4.42       0.73        0.10        6.09       2.40        000
55705..............  ..............  A               Biopsy of prostate..       4.57        N/A       2.37        0.26         N/A       7.20        010
55720..............  ..............  A               Drainage of prostate       7.64        N/A       4.32        0.44         N/A      12.40        090
                                                      abscess.
55725..............  ..............  A               Drainage of prostate       8.68        N/A       4.97        0.51         N/A      14.16        090
                                                      abscess.
55801..............  ..............  A               Removal of prostate.      17.80        N/A       8.10        1.08         N/A      26.98        090
55810..............  ..............  A               Extensive prostate        22.58        N/A       9.58        1.35         N/A      33.51        090
                                                      surgery.
55812..............  ..............  A               Extensive prostate        27.51        N/A      11.67        1.69         N/A      40.87        090
                                                      surgery.
55815..............  ..............  A               Extensive prostate        30.46        N/A      12.61        1.84         N/A      44.91        090
                                                      surgery.
55821..............  ..............  A               Removal of prostate.      14.25        N/A       6.66        0.85         N/A      21.76        090
55831..............  ..............  A               Removal of prostate.      15.62        N/A       7.12        0.94         N/A      23.68        090
55840..............  ..............  A               Extensive prostate        22.69        N/A       9.94        1.37         N/A      34.00        090
                                                      surgery.
55842..............  ..............  A               Extensive prostate        24.38        N/A      10.50        1.48         N/A      36.36        090
                                                      surgery.
55845..............  ..............  A               Extensive prostate        28.55        N/A      11.73        1.71         N/A      41.99        090
                                                      surgery.
55859..............  ..............  A               Percut/needle             12.52        N/A       6.23        0.74         N/A      19.49        090
                                                      insert, pros.
55860..............  ..............  A               Surgical exposure,        14.45        N/A       6.71        0.82         N/A      21.98        090
                                                      prostate.
55862..............  ..............  A               Extensive prostate        18.39        N/A       8.36        1.14         N/A      27.89        090
                                                      surgery.
55865..............  ..............  A               Extensive prostate        22.87        N/A       9.79        1.37         N/A      34.03        090
                                                      surgery.
55866..............  ..............  A               Laparo radical            30.74        N/A      12.08        1.37         N/A      44.19        090
                                                      prostatectomy.
55870..............  ..............  A               Electroejaculation..       2.58       1.59       1.11        0.14        4.31       3.83        000
55873..............  ..............  A               Cryoablate prostate.      19.47        N/A       9.34        1.02         N/A      29.83        090
55899..............  ..............  C               Genital surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
56405..............  ..............  A               I & D of vulva/            1.44       1.37       1.18        0.14        2.95       2.76        010
                                                      perineum.
56420..............  ..............  A               Drainage of gland          1.39       2.37       1.11        0.13        3.89       2.63        010
                                                      abscess.
56440..............  ..............  A               Surgery for vulva          2.84        N/A       1.75        0.28         N/A       4.87        010
                                                      lesion.
56441..............  ..............  A               Lysis of labial            1.97       1.87       1.46        0.17        4.01       3.60        010
                                                      lesion(s).
56501..............  ..............  A               Destroy, vulva             1.53       1.84       1.30        0.15        3.52       2.98        010
                                                      lesions, sim.
56515..............  ..............  A               Destroy vulva lesion/      2.76       2.63       1.88        0.18        5.57       4.82        010
                                                      s compl.
56605..............  ..............  A               Biopsy of vulva/           1.10       1.12       0.47        0.11        2.33       1.68        000
                                                      perineum.
56606..............  ..............  A               Biopsy of vulva/           0.55       0.51       0.22        0.06        1.12       0.83        ZZZ
                                                      perineum.
56620..............  ..............  A               Partial removal of         7.47        N/A       5.16        0.76         N/A      13.39        090
                                                      vulva.
56625..............  ..............  A               Complete removal of        8.40        N/A       5.81        0.84         N/A      15.05        090
                                                      vulva.
56630..............  ..............  A               Extensive vulva           12.36        N/A       7.40        1.23         N/A      20.99        090
                                                      surgery.
56631..............  ..............  A               Extensive vulva           16.20        N/A       9.64        1.63         N/A      27.47        090
                                                      surgery.
56632..............  ..............  A               Extensive vulva           20.29        N/A      10.11        2.03         N/A      32.43        090
                                                      surgery.
56633..............  ..............  A               Extensive vulva           16.47        N/A       9.24        1.66         N/A      27.37        090
                                                      surgery.
56634..............  ..............  A               Extensive vulva           17.88        N/A      10.31        1.78         N/A      29.97        090
                                                      surgery.
56637..............  ..............  A               Extensive vulva           21.97        N/A      11.98        2.18         N/A      36.13        090
                                                      surgery.
56640..............  ..............  A               Extensive vulva           22.17        N/A      11.35        2.26         N/A      35.78        090
                                                      surgery.
56700..............  ..............  A               Partial removal of         2.52        N/A       1.78        0.24         N/A       4.54        010
                                                      hymen.
56720..............  ..............  A               Incision of hymen...       0.68        N/A       0.41        0.07         N/A       1.16        000
56740..............  ..............  A               Remove vagina gland        4.57        N/A       2.53        0.37         N/A       7.47        010
                                                      lesion.
56800..............  ..............  A               Repair of vagina....       3.89        N/A       2.25        0.37         N/A       6.51        010
56805..............  ..............  A               Repair clitoris.....      18.86        N/A       9.80        1.82         N/A      30.48        090
56810..............  ..............  A               Repair of perineum..       4.13        N/A       2.36        0.41         N/A       6.90        010
56820..............  ..............  A               Exam of vulva w/           1.50       1.39       0.65        0.10        2.99       2.25        000
                                                      scope.
56821..............  ..............  A               Exam/biopsy of vulva       2.05       1.82       0.92        0.13        4.00       3.10        000
                                                      w/scope.
57000..............  ..............  A               Exploration of             2.97        N/A       1.78        0.28         N/A       5.03        010
                                                      vagina.
57010..............  ..............  A               Drainage of pelvic         6.03        N/A       4.07        0.57         N/A      10.67        090
                                                      abscess.
57020..............  ..............  A               Drainage of pelvic         1.50       0.98       0.61        0.15        2.63       2.26        000
                                                      fluid.
57022..............  ..............  A               I & d vaginal              2.56        N/A       1.55        0.24         N/A       4.35        010
                                                      hematoma, pp.
57023..............  ..............  A               I & d vag hematoma,        4.75        N/A       2.66        0.24         N/A       7.65        010
                                                      non-ob.
57061..............  ..............  A               Destroy vag lesions,       1.25       1.72       1.17        0.13        3.10       2.55        010
                                                      simple.
57065..............  ..............  A               Destroy vag lesions,       2.61       2.38       1.76        0.26        5.25       4.63        010
                                                      complex.
57100..............  ..............  A               Biopsy of vagina....       1.20       1.14       0.49        0.10        2.44       1.79        000

[[Page 49152]]

 
57105..............  ..............  A               Biopsy of vagina....       1.69       2.01       1.38        0.17        3.87       3.24        010
57106..............  ..............  A               Remove vagina wall,        6.36        N/A       4.46        0.58         N/A      11.40        090
                                                      partial.
57107..............  ..............  A               Remove vagina             23.00        N/A      10.90        2.17         N/A      36.07        090
                                                      tissue, part.
57109..............  ..............  A               Vaginectomy partial       27.00        N/A      11.82        1.97         N/A      40.79        090
                                                      w/nodes.
57110..............  ..............  A               Remove vagina wall,       14.29        N/A       7.63        1.43         N/A      23.35        090
                                                      complete.
57111..............  ..............  A               Remove vagina             27.00        N/A      13.01        2.71         N/A      42.72        090
                                                      tissue, compl.
57112..............  ..............  A               Vaginectomy w/nodes,      29.00        N/A      12.66        2.19         N/A      43.85        090
                                                      compl.
57120..............  ..............  A               Closure of vagina...       7.41        N/A       4.88        0.75         N/A      13.04        090
57130..............  ..............  A               Remove vagina lesion       2.43       2.24       1.60        0.23        4.90       4.26        010
57135..............  ..............  A               Remove vagina lesion       2.67       2.33       1.70        0.26        5.26       4.63        010
57150..............  ..............  A               Treat vagina               0.55       1.14       0.22        0.06        1.75       0.83        000
                                                      infection.
57155..............  ..............  A               Insert uteri tandems/      6.27        N/A       4.04        0.59         N/A      10.90        090
                                                      ovoids.
57160..............  ..............  A               Insert pessary/other       0.89       1.12       0.40        0.09        2.10       1.38        000
                                                      device.
57170..............  ..............  A               Fitting of diaphragm/      0.91       1.54       0.34        0.09        2.54       1.34        000
                                                      cap.
57180..............  ..............  A               Treat vaginal              1.58       2.28       1.35        0.16        4.02       3.09        010
                                                      bleeding.
57200..............  ..............  A               Repair of vagina....       3.94        N/A       2.97        0.38         N/A       7.29        090
57210..............  ..............  A               Repair vagina/             5.17        N/A       3.51        0.50         N/A       9.18        090
                                                      perineum.
57220..............  ..............  A               Revision of urethra.       4.31        N/A       3.18        0.42         N/A       7.91        090
57230..............  ..............  A               Repair of urethral         5.64        N/A       3.47        0.50         N/A       9.61        090
                                                      lesion.
57240..............  ..............  A               Repair bladder &           6.07        N/A       3.94        0.53         N/A      10.54        090
                                                      vagina.
57250..............  ..............  A               Repair rectum &            5.53        N/A       3.65        0.54         N/A       9.72        090
                                                      vagina.
57260..............  ..............  A               Repair of vagina....       8.27        N/A       4.98        0.83         N/A      14.08        090
57265..............  ..............  A               Extensive repair of       11.34        N/A       6.21        1.14         N/A      18.69        090
                                                      vagina.
57268..............  ..............  A               Repair of bowel            6.76        N/A       4.33        0.66         N/A      11.75        090
                                                      bulge.
57270..............  ..............  A               Repair of bowel           12.11        N/A       6.44        1.17         N/A      19.72        090
                                                      pouch.
57280..............  ..............  A               Suspension of vagina      15.04        N/A       7.58        1.44         N/A      24.06        090
57282..............  ..............  A               Repair of vaginal          8.86        N/A       5.43        0.86         N/A      15.15        090
                                                      prolapse.
57284..............  ..............  A               Repair paravaginal        12.70        N/A       7.30        1.17         N/A      21.17        090
                                                      defect.
57287..............  ..............  A               Revise/remove sling       10.71        N/A       5.65        0.74         N/A      17.10        090
                                                      repair.
57288..............  ..............  A               Repair bladder            13.02        N/A       6.09        0.86         N/A      19.97        090
                                                      defect.
57289..............  ..............  A               Repair bladder &          11.58        N/A       6.22        0.95         N/A      18.75        090
                                                      vagina.
57291..............  ..............  A               Construction of            7.95        N/A       5.08        0.78         N/A      13.81        090
                                                      vagina.
57292..............  ..............  A               Construct vagina          13.09        N/A       7.17        1.29         N/A      21.55        090
                                                      with graft.
57300..............  ..............  A               Repair rectum-vagina       7.61        N/A       4.37        0.70         N/A      12.68        090
                                                      fistula.
57305..............  ..............  A               Repair rectum-vagina      13.77        N/A       6.40        1.33         N/A      21.50        090
                                                      fistula.
57307..............  ..............  A               Fistula repair &          15.93        N/A       7.18        1.59         N/A      24.70        090
                                                      colostomy.
57308..............  ..............  A               Fistula repair,            9.94        N/A       5.28        0.91         N/A      16.13        090
                                                      transperine.
57310..............  ..............  A               Repair                     6.78        N/A       4.22        0.45         N/A      11.45        090
                                                      urethrovaginal
                                                      lesion.
57311..............  ..............  A               Repair                     7.98        N/A       4.70        0.51         N/A      13.19        090
                                                      urethrovaginal
                                                      lesion.
57320..............  ..............  A               Repair bladder-            8.01        N/A       4.77        0.60         N/A      13.38        090
                                                      vagina lesion.
57330..............  ..............  A               Repair bladder-           12.35        N/A       6.17        0.86         N/A      19.38        090
                                                      vagina lesion.
57335..............  ..............  A               Repair vagina.......      18.73        N/A       9.53        1.66         N/A      29.92        090
57400..............  ..............  A               Dilation of vagina..       2.27        N/A       1.16        0.22         N/A       3.65        000
57410..............  ..............  A               Pelvic examination..       1.75       2.10       0.91        0.14        3.99       2.80        000
57415..............  ..............  A               Remove vaginal             2.17        N/A       1.47        0.19         N/A       3.83        010
                                                      foreign body.
57420..............  ..............  A               Exam of vagina w/          1.60       1.43       0.69        0.10        3.13       2.39        000
                                                      scope.
57421..............  ..............  A               Exam/biopsy of vag w/      2.20       1.91       0.98        0.13        4.24       3.31        000
                                                      scope.
57452..............  ..............  A               Exam of cervix w/          1.50       1.45       0.64        0.10        3.05       2.24        000
                                                      scope.
57454..............  ..............  A               Bx/curett of cervix        2.33       1.80       1.02        0.13        4.26       3.48        000
                                                      w/scope.
57455..............  ..............  A               Biopsy of cervix w/        1.99       1.79       0.89        0.13        3.91       3.01        000
                                                      scope.

[[Page 49153]]

 
57456..............  ..............  A               Endocerv curettage w/      1.85       1.72       0.84        0.13        3.70       2.82        000
                                                      scope.
57460..............  ..............  A               Bx of cervix w/            2.83       6.23       1.25        0.28        9.34       4.36        000
                                                      scope, leep.
57461..............  ..............  A               Conz of cervix w/          3.44       6.48       1.43        0.28       10.20       5.15        000
                                                      scope, leep.
57500..............  ..............  A               Biopsy of cervix....       0.97       2.76       0.48        0.10        3.83       1.55        000
57505..............  ..............  A               Endocervical               1.14       1.52       1.14        0.12        2.78       2.40        010
                                                      curettage.
57510..............  ..............  A               Cauterization of           1.90       1.61       1.07        0.18        3.69       3.15        010
                                                      cervix.
57511..............  ..............  A               Cryocautery of             1.90       1.88       1.42        0.18        3.96       3.50        010
                                                      cervix.
57513..............  ..............  A               Laser surgery of           1.90       1.93       1.45        0.19        4.02       3.54        010
                                                      cervix.
57520..............  ..............  A               Conization of cervix       4.04       5.05       2.86        0.41        9.50       7.31        090
57522..............  ..............  A               Conization of cervix       3.36       4.55       2.81        0.34        8.25       6.51        090
57530..............  ..............  A               Removal of cervix...       4.79        N/A       3.67        0.48         N/A       8.94        090
57531..............  ..............  A               Removal of cervix,        28.00        N/A      13.74        2.46         N/A      44.20        090
                                                      radical.
57540..............  ..............  A               Removal of residual       12.22        N/A       6.55        1.21         N/A      19.98        090
                                                      cervix.
57545..............  ..............  A               Remove cervix/repair      13.03        N/A       7.00        1.30         N/A      21.33        090
                                                      pelvis.
57550..............  ..............  A               Removal of residual        5.53        N/A       4.08        0.55         N/A      10.16        090
                                                      cervix.
57555..............  ..............  A               Remove cervix/repair       8.95        N/A       5.39        0.89         N/A      15.23        090
                                                      vagina.
57556..............  ..............  A               Remove cervix,             8.37        N/A       5.13        0.80         N/A      14.30        090
                                                      repair bowel.
57700..............  ..............  A               Revision of cervix..       3.55        N/A       3.28        0.33         N/A       7.16        090
57720..............  ..............  A               Revision of cervix..       4.13        N/A       3.36        0.41         N/A       7.90        090
57800..............  ..............  A               Dilation of cervical       0.77       0.79       0.49        0.08        1.64       1.34        000
                                                      canal.
57820..............  ..............  A               D & c of residual          1.67       1.52       1.17        0.17        3.36       3.01        010
                                                      cervix.
58100..............  ..............  A               Biopsy of uterus           1.53       1.37       0.74        0.07        2.97       2.34        000
                                                      lining.
58120..............  ..............  A               Dilation and               3.27       2.37       1.92        0.33        5.97       5.52        010
                                                      curettage.
58140..............  ..............  A               Myomectomy abdom          14.60        N/A       7.39        1.46         N/A      23.45        090
                                                      method.
58145..............  ..............  A               Myomectomy vag             8.04        N/A       5.08        0.80         N/A      13.92        090
                                                      method.
58146..............  ..............  A               Myomectomy abdom          19.00        N/A       8.97        1.46         N/A      29.43        090
                                                      complex.
58150..............  ..............  A               Total hysterectomy..      15.24        N/A       7.70        1.57         N/A      24.51        090
58152..............  ..............  A               Total hysterectomy..      20.60        N/A      10.09        1.52         N/A      32.21        090
58180..............  ..............  A               Partial hysterectomy      15.29        N/A       7.67        1.54         N/A      24.50        090
58200..............  ..............  A               Extensive                 21.59        N/A      10.36        2.15         N/A      34.10        090
                                                      hysterectomy.
58210..............  ..............  A               Extensive                 28.85        N/A      13.72        2.91         N/A      45.48        090
                                                      hysterectomy.
58240..............  ..............  A               Removal of pelvis         38.39        N/A      18.32        3.76         N/A      60.47        090
                                                      contents.
58260..............  ..............  A               Vaginal hysterectomy      12.98        N/A       6.87        1.23         N/A      21.08        090
58262..............  ..............  A               Vag hyst including t/     14.77        N/A       7.63        1.42         N/A      23.82        090
                                                      o.
58263..............  ..............  A               Vag hyst w/t/o & vag      16.06        N/A       8.15        1.55         N/A      25.76        090
                                                      repair.
58267..............  ..............  A               Vag hyst w/urinary        17.04        N/A       8.57        1.51         N/A      27.12        090
                                                      repair.
58270..............  ..............  A               Vag hyst w/               14.26        N/A       7.25        1.37         N/A      22.88        090
                                                      enterocele repair.
58275..............  ..............  A               Hysterectomy/revise       15.76        N/A       7.92        1.51         N/A      25.19        090
                                                      vagina.
58280..............  ..............  A               Hysterectomy/revise       17.01        N/A       8.42        1.54         N/A      26.97        090
                                                      vagina.
58285..............  ..............  A               Extensive                 22.26        N/A      10.45        1.88         N/A      34.59        090
                                                      hysterectomy.
58290..............  ..............  A               Vag hyst complex....      19.00        N/A       9.07        1.23         N/A      29.30        090
58291..............  ..............  A               Vag hyst incl t/o,        20.79        N/A      10.10        1.42         N/A      32.31        090
                                                      complex.
58292..............  ..............  A               Vag hyst t/o &            22.08        N/A      10.64        1.55         N/A      34.27        090
                                                      repair, compl.
58293..............  ..............  A               Vag hyst w/uro            23.06        N/A      11.15        1.51         N/A      35.72        090
                                                      repair, compl.
58294..............  ..............  A               Vag hyst w/               20.28        N/A       9.89        1.37         N/A      31.54        090
                                                      enterocele, compl.
58300..............  ..............  N               Insert intrauterine        1.01       1.55       0.39        0.10        2.66       1.50        XXX
                                                      device.
58301..............  ..............  A               Remove intrauterine        1.27       1.37       0.49        0.13        2.77       1.89        000
                                                      device.
58321..............  ..............  A               Artificial                 0.92       1.19       0.38        0.10        2.21       1.40        000
                                                      insemination.
58322..............  ..............  A               Artificial                 1.10       1.25       0.43        0.11        2.46       1.64        000
                                                      insemination.
58323..............  ..............  A               Sperm washing.......       0.23       0.24       0.10        0.02        0.49       0.35        000

[[Page 49154]]

 
58340..............  ..............  A               Catheter for               0.88       3.09       0.66        0.08        4.05       1.62        000
                                                      hysterography.
58345..............  ..............  A               Reopen fallopian           4.66        N/A       2.48        0.36         N/A       7.50        010
                                                      tube.
58346..............  ..............  A               Insert heyman uteri        6.75        N/A       4.03        0.64         N/A      11.42        090
                                                      capsule.
58350..............  ..............  A               Reopen fallopian           1.01       1.54       0.95        0.10        2.65       2.06        010
                                                      tube.
58353..............  ..............  A               Endometr ablate,           3.56       2.93       2.13        0.37        6.86       6.06        010
                                                      thermal.
58400..............  ..............  A               Suspension of uterus       6.36        N/A       4.21        0.62         N/A      11.19        090
58410..............  ..............  A               Suspension of uterus      12.73        N/A       6.75        1.09         N/A      20.57        090
58520..............  ..............  A               Repair of ruptured        11.92        N/A       6.27        1.17         N/A      19.36        090
                                                      uterus.
58540..............  ..............  A               Revision of uterus..      14.64        N/A       7.23        1.28         N/A      23.15        090
58545..............  ..............  A               Laparoscopic              14.60        N/A       7.53        1.45         N/A      23.58        090
                                                      myomectomy.
58546..............  ..............  A               Laparo-myomectomy,        19.00        N/A       9.38        1.45         N/A      29.83        090
                                                      complex.
58550..............  ..............  A               Laparo-asst vag           14.19        N/A       7.61        1.44         N/A      23.24        090
                                                      hysterectomy.
58552..............  ..............  A               Laparo-vag hyst incl      14.19        N/A       7.54        1.44         N/A      23.17        090
                                                      t/o.
58553..............  ..............  A               Laparo-vag hyst,          19.00        N/A       9.35        1.23         N/A      29.58        090
                                                      complex.
58554..............  ..............  A               Laparo-vag hyst w/t/      19.00        N/A       9.58        1.23         N/A      29.81        090
                                                      o, compl.
58555..............  ..............  A               Hysteroscopy, dx,          3.33       2.12       1.49        0.34        5.79       5.16        000
                                                      sep proc.
58558..............  ..............  A               Hysteroscopy, biopsy       4.75        N/A       2.11        0.49         N/A       7.35        000
58559..............  ..............  A               Hysteroscopy, lysis.       6.17        N/A       2.68        0.62         N/A       9.47        000
58560..............  ..............  A               Hysteroscopy, resect       7.00        N/A       3.03        0.71         N/A      10.74        000
                                                      septum.
58561..............  ..............  A               Hysteroscopy, remove      10.00        N/A       4.26        1.02         N/A      15.28        000
                                                      myoma.
58562..............  ..............  A               Hysteroscopy, remove       5.21        N/A       2.26        0.52         N/A       7.99        000
                                                      fb.
58563..............  ..............  A               Hysteroscopy,              6.17        N/A       2.69        0.62         N/A       9.48        000
                                                      ablation.
58578..............  ..............  C               Laparo proc, uterus.       0.00       0.00       0.00        0.00        0.00       0.00        YYY
58579..............  ..............  C               Hysteroscope               0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
58600..............  ..............  A               Division of                5.60        N/A       3.56        0.39         N/A       9.55        090
                                                      fallopian tube.
58605..............  ..............  A               Division of                5.00        N/A       3.36        0.33         N/A       8.69        090
                                                      fallopian tube.
58611..............  ..............  A               Ligate oviduct(s)          1.45        N/A       0.58        0.07         N/A       2.10        ZZZ
                                                      add-on.
58615..............  ..............  A               Occlude fallopian          3.90        N/A       2.78        0.40         N/A       7.08        010
                                                      tube(s).
58660..............  ..............  A               Laparoscopy, lysis..      11.29        N/A       5.50        1.14         N/A      17.93        090
58661..............  ..............  A               Laparoscopy, remove       11.05        N/A       5.26        1.12         N/A      17.43        010
                                                      adnexa.
58662..............  ..............  A               Laparoscopy, excise       11.79        N/A       6.05        1.18         N/A      19.02        090
                                                      lesions.
58670..............  ..............  A               Laparoscopy, tubal         5.60        N/A       3.38        0.55         N/A       9.53        090
                                                      cautery.
58671..............  ..............  A               Laparoscopy, tubal         5.60        N/A       3.40        0.56         N/A       9.56        090
                                                      block.
58672..............  ..............  A               Laparoscopy,              12.88        N/A       6.51        1.22         N/A      20.61        090
                                                      fimbrioplasty.
58673..............  ..............  A               Laparoscopy,              13.74        N/A       6.92        1.40         N/A      22.06        090
                                                      salpingostomy.
58679..............  ..............  C               Laparo proc, oviduct-      0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      ovary.
58700..............  ..............  A               Removal of fallopian      12.05        N/A       6.24        0.64         N/A      18.93        090
                                                      tube.
58720..............  ..............  A               Removal of ovary/         11.36        N/A       6.07        1.14         N/A      18.57        090
                                                      tube(s).
58740..............  ..............  A               Revise fallopian          14.00        N/A       7.46        0.59         N/A      22.05        090
                                                      tube(s).
58750..............  ..............  A               Repair oviduct......      14.84        N/A       7.69        1.52         N/A      24.05        090
58752..............  ..............  A               Revise ovarian            14.84        N/A       7.35        1.51         N/A      23.70        090
                                                      tube(s).
58760..............  ..............  A               Remove tubal              13.13        N/A       7.01        1.34         N/A      21.48        090
                                                      obstruction.
58770..............  ..............  A               Create new tubal          13.97        N/A       7.23        1.42         N/A      22.62        090
                                                      opening.
58800..............  ..............  A               Drainage of ovarian        4.14       4.80       3.16        0.36        9.30       7.66        090
                                                      cyst(s).
58805..............  ..............  A               Drainage of ovarian        5.88        N/A       3.71        0.56         N/A      10.15        090
                                                      cyst(s).
58820..............  ..............  A               Drain ovary abscess,       4.22        N/A       3.49        0.29         N/A       8.00        090
                                                      open.
58822..............  ..............  A               Drain ovary abscess,      10.13        N/A       5.44        0.92         N/A      16.49        090
                                                      percut.
58823..............  ..............  A               Drain pelvic               3.38        N/A       1.54        0.18         N/A       5.10        000
                                                      abscess, percut.
58825..............  ..............  A               Transposition,            10.98        N/A       6.08        0.62         N/A      17.68        090
                                                      ovary(s).
58900..............  ..............  A               Biopsy of ovary(s)..       5.99        N/A       3.79        0.56         N/A      10.34        090

[[Page 49155]]

 
58920..............  ..............  A               Partial removal of        11.36        N/A       5.83        0.68         N/A      17.87        090
                                                      ovary(s).
58925..............  ..............  A               Removal of ovarian        11.36        N/A       5.92        1.14         N/A      18.42        090
                                                      cyst(s).
58940..............  ..............  A               Removal of ovary(s).       7.29        N/A       4.32        0.73         N/A      12.34        090
58943..............  ..............  A               Removal of ovary(s).      18.43        N/A       9.16        1.86         N/A      29.45        090
58950..............  ..............  A               Resect ovarian            16.93        N/A       8.94        1.55         N/A      27.42        090
                                                      malignancy.
58951..............  ..............  A               Resect ovarian            22.38        N/A      11.07        2.20         N/A      35.65        090
                                                      malignancy.
58952..............  ..............  A               Resect ovarian            25.01        N/A      12.40        2.57         N/A      39.98        090
                                                      malignancy.
58953..............  ..............  A               Tah, rad dissect for      32.00        N/A      15.03        3.30         N/A      50.33        090
                                                      debulk.
58954..............  ..............  A               Tah rad debulk/lymph      35.00        N/A      16.19        3.56         N/A      54.75        090
                                                      remove.
58960..............  ..............  A               Exploration of            14.65        N/A       7.90        1.47         N/A      24.02        090
                                                      abdomen.
58970..............  ..............  A               Retrieval of oocyte.       3.53       2.37       1.53        0.36        6.26       5.42        000
58974..............  ..............  C               Transfer of embryo..       0.00       0.00       0.00        0.00        0.00       0.00        000
58976..............  ..............  A               Transfer of embryo..       3.83       2.69       1.87        0.39        6.91       6.09        000
58999..............  ..............  C               Genital surgery            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
59000..............  ..............  A               Amniocentesis,             1.30       2.17       0.70        0.23        3.70       2.23        000
                                                      diagnostic.
59001..............  ..............  A               Amniocentesis,             3.00        N/A       1.44        0.23         N/A       4.67        000
                                                      therapeutic.
59012..............  ..............  A               Fetal cord                 3.45        N/A       1.59        0.62         N/A       5.66        000
                                                      puncture,prenatal.
59015..............  ..............  A               Chorion biopsy......       2.20       1.61       1.08        0.40        4.21       3.68        000
59020..............  ..............  A               Fetal contract             0.66       0.79        N/A        0.20        1.65        N/A        000
                                                      stress test.
59020..............  26............  A               Fetal contract             0.66       0.27       0.27        0.12        1.05       1.05        000
                                                      stress test.
59020..............  TC............  A               Fetal contract             0.00       0.52        N/A        0.08        0.60        N/A        000
                                                      stress test.
59025..............  ..............  A               Fetal non-stress           0.53       0.45        N/A        0.12        1.10        N/A        000
                                                      test.
59025..............  26............  A               Fetal non-stress           0.53       0.21       0.21        0.10        0.84       0.84        000
                                                      test.
59025..............  TC............  A               Fetal non-stress           0.00       0.23        N/A        0.02        0.25        N/A        000
                                                      test.
59030..............  ..............  A               Fetal scalp blood          1.99        N/A       1.07        0.36         N/A       3.42        000
                                                      sample.
59050..............  ..............  A               Fetal monitor w/           0.89        N/A       0.36        0.16         N/A       1.41        XXX
                                                      report.
59051..............  ..............  A               Fetal monitor/             0.74        N/A       0.30        0.14         N/A       1.18        XXX
                                                      interpret only.
59100..............  ..............  A               Remove uterus lesion      12.35        N/A       6.74        2.21         N/A      21.30        090
59120..............  ..............  A               Treat ectopic             11.49        N/A       6.54        2.06         N/A      20.09        090
                                                      pregnancy.
59121..............  ..............  A               Treat ectopic             11.67        N/A       6.61        2.09         N/A      20.37        090
                                                      pregnancy.
59130..............  ..............  A               Treat ectopic             14.22        N/A       6.31        2.54         N/A      23.07        090
                                                      pregnancy.
59135..............  ..............  A               Treat ectopic             13.88        N/A       7.39        2.49         N/A      23.76        090
                                                      pregnancy.
59136..............  ..............  A               Treat ectopic             13.18        N/A       6.92        2.36         N/A      22.46        090
                                                      pregnancy.
59140..............  ..............  A               Treat ectopic              5.46       5.39       3.72        0.98       11.83      10.16        090
                                                      pregnancy.
59150..............  ..............  A               Treat ectopic             11.67        N/A       6.31        1.23         N/A      19.21        090
                                                      pregnancy.
59151..............  ..............  A               Treat ectopic             11.49        N/A       6.30        1.41         N/A      19.20        090
                                                      pregnancy.
59160..............  ..............  A               D & c after delivery       2.71       3.35       2.17        0.49        6.55       5.37        010
59200..............  ..............  A               Insert cervical            0.79       1.25       0.31        0.15        2.19       1.25        000
                                                      dilator.
59300..............  ..............  A               Episiotomy or              2.41       2.21       0.98        0.43        5.05       3.82        000
                                                      vaginal repair.
59320..............  ..............  A               Revision of cervix..       2.48        N/A       1.29        0.45         N/A       4.22        000
59325..............  ..............  A               Revision of cervix..       4.07        N/A       1.96        0.73         N/A       6.76        000
59350..............  ..............  A               Repair of uterus....       4.95        N/A       2.00        0.88         N/A       7.83        000
59400..............  ..............  A               Obstetrical care....      23.06        N/A      15.87        4.14         N/A      43.07        MMM
59409..............  ..............  A               Obstetrical care....      13.50        N/A       5.42        2.42         N/A      21.34        MMM
59410..............  ..............  A               Obstetrical care....      14.78        N/A       6.46        2.65         N/A      23.89        MMM
59412..............  ..............  A               Antepartum                 1.71        N/A       0.83        0.31         N/A       2.85        MMM
                                                      manipulation.
59414..............  ..............  A               Deliver placenta....       1.61        N/A       0.64        0.29         N/A       2.54        MMM
59425..............  ..............  A               Antepartum care only       4.81       4.38       1.90        0.86       10.05       7.57        MMM
59426..............  ..............  A               Antepartum care only       8.28       7.85       3.29        1.49       17.62      13.06        MMM
59430..............  ..............  A               Care after delivery.       2.13       1.27       0.96        0.38        3.78       3.47        MMM
59510..............  ..............  A               Cesarean delivery...      26.22        N/A      17.86        4.70         N/A      48.78        MMM
59514..............  ..............  A               Cesarean delivery         15.97        N/A       6.35        2.86         N/A      25.18        MMM
                                                      only.
59515..............  ..............  A               Cesarean delivery...      17.37        N/A       8.03        3.12         N/A      28.52        MMM
59525..............  ..............  A               Remove uterus after        8.54        N/A       3.38        1.53         N/A      13.45        ZZZ
                                                      cesarean.
59610..............  ..............  A               Vbac delivery.......      24.62        N/A      16.44        4.41         N/A      45.47        MMM
59612..............  ..............  A               Vbac delivery only..      15.06        N/A       6.18        2.70         N/A      23.94        MMM
59614..............  ..............  A               Vbac care after           16.34        N/A       7.10        2.93         N/A      26.37        MMM
                                                      delivery.
59618..............  ..............  A               Attempted vbac            27.78        N/A      18.97        4.98         N/A      51.73        MMM
                                                      delivery.

[[Page 49156]]

 
59620..............  ..............  A               Attempted vbac            17.53        N/A       6.91        3.15         N/A      27.59        MMM
                                                      delivery only.
59622..............  ..............  A               Attempted vbac after      18.93        N/A       8.85        3.39         N/A      31.17        MMM
                                                      care.
59812..............  ..............  A               Treatment of               4.01        N/A       2.62        0.58         N/A       7.21        090
                                                      miscarriage.
59820..............  ..............  A               Care of miscarriage.       4.01        N/A       3.62        0.72         N/A       8.35        090
59821..............  ..............  A               Treatment of               4.47        N/A       3.52        0.80         N/A       8.79        090
                                                      miscarriage.
59830..............  ..............  A               Treat uterus               6.11        N/A       4.10        1.10         N/A      11.31        090
                                                      infection.
59840..............  ..............  R               Abortion............       3.01        N/A       2.18        0.54         N/A       5.73        010
59841..............  ..............  R               Abortion............       5.24       3.59       3.05        0.94        9.77       9.23        010
59850..............  ..............  R               Abortion............       5.91        N/A       3.33        1.06         N/A      10.30        090
59851..............  ..............  R               Abortion............       5.93        N/A       3.89        1.06         N/A      10.88        090
59852..............  ..............  R               Abortion............       8.24        N/A       5.39        1.48         N/A      15.11        090
59855..............  ..............  R               Abortion............       6.12        N/A       3.72        1.10         N/A      10.94        090
59856..............  ..............  R               Abortion............       7.48        N/A       4.29        1.34         N/A      13.11        090
59857..............  ..............  R               Abortion............       9.29        N/A       4.78        1.66         N/A      15.73        090
59866..............  ..............  R               Abortion (mpr)......       4.00        N/A       1.86        0.72         N/A       6.58        000
59870..............  ..............  A               Evacuate mole of           6.01        N/A       4.62        0.77         N/A      11.40        090
                                                      uterus.
59871..............  ..............  A               Remove cerclage            2.13       1.81       1.16        0.38        4.32       3.67        000
                                                      suture.
59898..............  ..............  C               Laparo proc, ob care/      0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      deliver.
59899..............  ..............  C               Maternity care             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
60000..............  ..............  A               Drain thyroid/tongue       1.76       2.23       2.09        0.14        4.13       3.99        010
                                                      cyst.
60001..............  ..............  A               Aspirate/inject            0.97       1.54       0.35        0.06        2.57       1.38        000
                                                      thyriod cyst.
60100..............  ..............  A               Biopsy of thyroid...       1.56       1.45       0.54        0.05        3.06       2.15        000
60200..............  ..............  A               Remove thyroid             9.55        N/A       6.24        0.84         N/A      16.63        090
                                                      lesion.
60210..............  ..............  A               Partial thyroid           10.88        N/A       5.94        1.01         N/A      17.83        090
                                                      excision.
60212..............  ..............  A               Partial thyroid           16.03        N/A       7.96        1.51         N/A      25.50        090
                                                      excision.
60220..............  ..............  A               Partial removal of        11.90        N/A       6.47        0.97         N/A      19.34        090
                                                      thyroid.
60225..............  ..............  A               Partial removal of        14.19        N/A       7.67        1.31         N/A      23.17        090
                                                      thyroid.
60240..............  ..............  A               Removal of thyroid..      16.06        N/A       7.95        1.50         N/A      25.51        090
60252..............  ..............  A               Removal of thyroid..      20.57        N/A      10.51        1.63         N/A      32.71        090
60254..............  ..............  A               Extensive thyroid         26.99        N/A      14.72        1.96         N/A      43.67        090
                                                      surgery.
60260..............  ..............  A               Repeat thyroid            17.47        N/A       9.09        1.39         N/A      27.95        090
                                                      surgery.
60270..............  ..............  A               Removal of thyroid..      20.27        N/A      10.69        1.78         N/A      32.74        090
60271..............  ..............  A               Removal of thyroid..      16.83        N/A       8.98        1.35         N/A      27.16        090
60280..............  ..............  A               Remove thyroid duct        5.87        N/A       4.95        0.45         N/A      11.27        090
                                                      lesion.
60281..............  ..............  A               Remove thyroid duct        8.53        N/A       6.14        0.67         N/A      15.34        090
                                                      lesion.
60500..............  ..............  A               Explore parathyroid       16.23        N/A       7.66        1.61         N/A      25.50        090
                                                      glands.
60502..............  ..............  A               Re-explore                20.35        N/A       9.59        2.00         N/A      31.94        090
                                                      parathyroids.
60505..............  ..............  A               Explore parathyroid       21.49        N/A      11.12        2.14         N/A      34.75        090
                                                      glands.
60512..............  ..............  A               Autotransplant             4.45        N/A       1.66        0.44         N/A       6.55        ZZZ
                                                      parathyroid.
60520..............  ..............  A               Removal of thymus         16.81        N/A       8.37        1.84         N/A      27.02        090
                                                      gland.
60521..............  ..............  A               Removal of thymus         18.87        N/A       9.39        2.34         N/A      30.60        090
                                                      gland.
60522..............  ..............  A               Removal of thymus         23.09        N/A      11.11        2.83         N/A      37.03        090
                                                      gland.
60540..............  ..............  A               Explore adrenal           17.03        N/A       7.79        1.42         N/A      26.24        090
                                                      gland.
60545..............  ..............  A               Explore adrenal           19.88        N/A       8.76        1.75         N/A      30.39        090
                                                      gland.
60600..............  ..............  A               Remove carotid body       17.93        N/A      10.94        1.87         N/A      30.74        090
                                                      lesion.
60605..............  ..............  A               Remove carotid body       20.24        N/A      12.95        2.28         N/A      35.47        090
                                                      lesion.
60650..............  ..............  A               Laparoscopy               20.00        N/A       8.13        1.98         N/A      30.11        090
                                                      adrenalectomy.
60659..............  ..............  C               Laparo proc,               0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      endocrine.
60699..............  ..............  C               Endocrine surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
61000..............  ..............  A               Remove cranial             1.58        N/A       0.98        0.13         N/A       2.69        000
                                                      cavity fluid.
61001..............  ..............  A               Remove cranial             1.49        N/A       1.09        0.15         N/A       2.73        000
                                                      cavity fluid.
61020..............  ..............  A               Remove brain cavity        1.51        N/A       1.39        0.26         N/A       3.16        000
                                                      fluid.
61026..............  ..............  A               Injection into brain       1.69        N/A       1.45        0.21         N/A       3.35        000
                                                      canal.
61050..............  ..............  A               Remove brain canal         1.51        N/A       1.28        0.13         N/A       2.92        000
                                                      fluid.
61055..............  ..............  A               Injection into brain       2.10        N/A       1.43        0.13         N/A       3.66        000
                                                      canal.
61070..............  ..............  A               Brain canal shunt          0.89        N/A       1.05        0.09         N/A       2.03        000
                                                      procedure.
61105..............  ..............  A               Twist drill hole....       5.14        N/A       4.03        1.05         N/A      10.22        090

[[Page 49157]]

 
61107..............  ..............  A               Drill skull for            5.00        N/A       3.39        1.02         N/A       9.41        000
                                                      implantation.
61108..............  ..............  A               Drill skull for           10.19        N/A       7.29        2.04         N/A      19.52        090
                                                      drainage.
61120..............  ..............  A               Burr hole for              8.76        N/A       6.11        1.81         N/A      16.68        090
                                                      puncture.
61140..............  ..............  A               Pierce skull for          15.90        N/A      10.09        3.15         N/A      29.14        090
                                                      biopsy.
61150..............  ..............  A               Pierce skull for          17.57        N/A      10.62        3.52         N/A      31.71        090
                                                      drainage.
61151..............  ..............  A               Pierce skull for          12.42        N/A       7.99        2.45         N/A      22.86        090
                                                      drainage.
61154..............  ..............  A               Pierce skull &            14.99        N/A       9.68        3.05         N/A      27.72        090
                                                      remove clot.
61156..............  ..............  A               Pierce skull for          16.32        N/A      10.04        3.42         N/A      29.78        090
                                                      drainage.
61210..............  ..............  A               Pierce skull,              5.84        N/A       3.79        1.16         N/A      10.79        000
                                                      implant device.
61215..............  ..............  A               Insert brain-fluid         4.89        N/A       4.08        0.99         N/A       9.96        090
                                                      device.
61250..............  ..............  A               Pierce skull &            10.42        N/A       6.99        2.02         N/A      19.43        090
                                                      explore.
61253..............  ..............  A               Pierce skull &            12.36        N/A       7.87        2.26         N/A      22.49        090
                                                      explore.
61304..............  ..............  A               Open skull for            21.96        N/A      13.14        4.33         N/A      39.43        090
                                                      exploration.
61305..............  ..............  A               Open skull for            26.61        N/A      15.66        5.25         N/A      47.52        090
                                                      exploration.
61312..............  ..............  A               Open skull for            24.57        N/A      15.39        4.99         N/A      44.95        090
                                                      drainage.
61313..............  ..............  A               Open skull for            24.93        N/A      15.16        5.07         N/A      45.16        090
                                                      drainage.
61314..............  ..............  A               Open skull for            24.23        N/A      13.32        4.00         N/A      41.55        090
                                                      drainage.
61315..............  ..............  A               Open skull for            27.68        N/A      16.37        5.62         N/A      49.67        090
                                                      drainage.
61316..............  ..............  A               Implt cran bone flap       1.39        N/A       0.57        0.43         N/A       2.39        ZZZ
                                                      to abdo.
61320..............  ..............  A               Open skull for            25.62        N/A      15.11        5.20         N/A      45.93        090
                                                      drainage.
61321..............  ..............  A               Open skull for            28.50        N/A      16.49        5.35         N/A      50.34        090
                                                      drainage.
61322..............  ..............  A               Decompressive             29.50        N/A      14.57        4.99         N/A      49.06        090
                                                      craniotomy.
61323..............  ..............  A               Decompressive             31.00        N/A      14.76        4.99         N/A      50.75        090
                                                      lobectomy.
61330..............  ..............  A               Decompress eye            23.32        N/A      14.05        2.58         N/A      39.95        090
                                                      socket.
61332..............  ..............  A               Explore/biopsy eye        27.28        N/A      15.97        4.15         N/A      47.40        090
                                                      socket.
61333..............  ..............  A               Explore orbit/remove      27.95        N/A      15.97        2.24         N/A      46.16        090
                                                      lesion.
61334..............  ..............  A               Explore orbit/remove      18.27        N/A      10.91        3.02         N/A      32.20        090
                                                      object.
61340..............  ..............  A               Subtemporal               18.66        N/A      11.39        3.66         N/A      33.71        090
                                                      decompression.
61343..............  ..............  A               Incise skull (press       29.77        N/A      17.43        6.04         N/A      53.24        090
                                                      relief).
61345..............  ..............  A               Relieve cranial           27.20        N/A      15.98        5.23         N/A      48.41        090
                                                      pressure.
61440..............  ..............  A               Incise skull for          26.63        N/A      14.76        5.57         N/A      46.96        090
                                                      surgery.
61450..............  ..............  A               Incise skull for          25.95        N/A      14.84        5.11         N/A      45.90        090
                                                      surgery.
61458..............  ..............  A               Incise skull for          27.29        N/A      16.05        5.28         N/A      48.62        090
                                                      brain wound.
61460..............  ..............  A               Incise skull for          28.39        N/A      16.96        5.13         N/A      50.48        090
                                                      surgery.
61470..............  ..............  A               Incise skull for          26.06        N/A      14.40        4.65         N/A      45.11        090
                                                      surgery.
61480..............  ..............  A               Incise skull for          26.49        N/A      15.23        5.54         N/A      47.26        090
                                                      surgery.
61490..............  ..............  A               Incise skull for          25.66        N/A      14.87        5.37         N/A      45.90        090
                                                      surgery.
61500..............  ..............  A               Removal of skull          17.92        N/A      11.26        3.26         N/A      32.44        090
                                                      lesion.
61501..............  ..............  A               Remove infected           14.84        N/A       9.62        2.63         N/A      27.09        090
                                                      skull bone.
61510..............  ..............  A               Removal of brain          28.45        N/A      17.22        5.77         N/A      51.44        090
                                                      lesion.
61512..............  ..............  A               Remove brain lining       35.09        N/A      20.36        7.14         N/A      62.59        090
                                                      lesion.
61514..............  ..............  A               Removal of brain          25.26        N/A      14.95        5.12         N/A      45.33        090
                                                      abscess.
61516..............  ..............  A               Removal of brain          24.61        N/A      14.78        4.94         N/A      44.33        090
                                                      lesion.
61517..............  ..............  A               Implt brain chemotx        1.38        N/A       0.57        0.08         N/A       2.03        ZZZ
                                                      add-on.
61518..............  ..............  A               Removal of brain          37.32        N/A      21.82        7.53         N/A      66.67        090
                                                      lesion.
61519..............  ..............  A               Remove brain lining       41.39        N/A      23.44        8.15         N/A      72.98        090
                                                      lesion.
61520..............  ..............  A               Removal of brain          54.84        N/A      31.26       10.10         N/A      96.20        090
                                                      lesion.
61521..............  ..............  A               Removal of brain          44.48        N/A      25.05        8.85         N/A      78.38        090
                                                      lesion.
61522..............  ..............  A               Removal of brain          29.45        N/A      17.03        5.30         N/A      51.78        090
                                                      abscess.
61524..............  ..............  A               Removal of brain          27.86        N/A      16.26        5.01         N/A      49.13        090
                                                      lesion.
61526..............  ..............  A               Removal of brain          52.17        N/A      30.38        6.72         N/A      89.27        090
                                                      lesion.
61530..............  ..............  A               Removal of brain          43.86        N/A      25.88        6.17         N/A      75.91        090
                                                      lesion.
61531..............  ..............  A               Implant brain             14.63        N/A       9.51        2.84         N/A      26.98        090
                                                      electrodes.
61533..............  ..............  A               Implant brain             19.71        N/A      11.98        3.80         N/A      35.49        090
                                                      electrodes.
61534..............  ..............  A               Removal of brain          20.97        N/A      12.62        4.15         N/A      37.74        090
                                                      lesion.
61535..............  ..............  A               Remove brain              11.63        N/A       7.82        2.29         N/A      21.74        090
                                                      electrodes.
61536..............  ..............  A               Removal of brain          35.52        N/A      20.47        6.68         N/A      62.67        090
                                                      lesion.

[[Page 49158]]

 
61538..............  ..............  A               Removal of brain          26.81        N/A      15.95        5.38         N/A      48.14        090
                                                      tissue.
61539..............  ..............  A               Removal of brain          32.08        N/A      18.43        6.62         N/A      57.13        090
                                                      tissue.
61541..............  ..............  A               Incision of brain         28.85        N/A      16.77        5.50         N/A      51.12        090
                                                      tissue.
61542..............  ..............  A               Removal of brain          31.02        N/A      18.46        6.49         N/A      55.97        090
                                                      tissue.
61543..............  ..............  A               Removal of brain          29.22        N/A      16.98        6.11         N/A      52.31        090
                                                      tissue.
61544..............  ..............  A               Remove & treat brain      25.50        N/A      14.21        4.91         N/A      44.62        090
                                                      lesion.
61545..............  ..............  A               Excision of brain         43.80        N/A      24.99        8.88         N/A      77.67        090
                                                      tumor.
61546..............  ..............  A               Removal of pituitary      31.30        N/A      18.13        6.06         N/A      55.49        090
                                                      gland.
61548..............  ..............  A               Removal of pituitary      21.53        N/A      13.29        3.63         N/A      38.45        090
                                                      gland.
61550..............  ..............  A               Release of skull          14.65        N/A       7.34        1.14         N/A      23.13        090
                                                      seams.
61552..............  ..............  A               Release of skull          19.56        N/A       9.68        0.88         N/A      30.12        090
                                                      seams.
61556..............  ..............  A               Incise skull/sutures      22.26        N/A      11.81        3.57         N/A      37.64        090
61557..............  ..............  A               Incise skull/sutures      22.38        N/A      13.91        4.68         N/A      40.97        090
61558..............  ..............  A               Excision of skull/        25.58        N/A      14.75        2.61         N/A      42.94        090
                                                      sutures.
61559..............  ..............  A               Excision of skull/        32.79        N/A      19.61        6.86         N/A      59.26        090
                                                      sutures.
61563..............  ..............  A               Excision of skull         26.83        N/A      15.80        4.46         N/A      47.09        090
                                                      tumor.
61564..............  ..............  A               Excision of skull         33.83        N/A      18.74        7.08         N/A      59.65        090
                                                      tumor.
61570..............  ..............  A               Remove foreign body,      24.60        N/A      14.32        4.60         N/A      43.52        090
                                                      brain.
61571..............  ..............  A               Incise skull for          26.39        N/A      15.58        5.23         N/A      47.20        090
                                                      brain wound.
61575..............  ..............  A               Skull base/brainstem      34.36        N/A      20.34        5.02         N/A      59.72        090
                                                      surgery.
61576..............  ..............  A               Skull base/brainstem      52.43        N/A      30.42        4.68         N/A      87.53        090
                                                      surgery.
61580..............  ..............  A               Craniofacial              30.35        N/A      24.85        2.75         N/A      57.95        090
                                                      approach, skull.
61581..............  ..............  A               Craniofacial              34.60        N/A      22.57        3.37         N/A      60.54        090
                                                      approach, skull.
61582..............  ..............  A               Craniofacial              31.66        N/A      26.65        6.30         N/A      64.61        090
                                                      approach, skull.
61583..............  ..............  A               Craniofacial              36.21        N/A      25.03        6.94         N/A      68.18        090
                                                      approach, skull.
61584..............  ..............  A               Orbitocranial             34.65        N/A      24.40        6.53         N/A      65.58        090
                                                      approach/skull.
61585..............  ..............  A               Orbitocranial             38.61        N/A      26.37        6.19         N/A      71.17        090
                                                      approach/skull.
61586..............  ..............  A               Resect nasopharynx,       25.10        N/A      21.80        3.52         N/A      50.42        090
                                                      skull.
61590..............  ..............  A               Infratemporal             41.78        N/A      29.48        4.28         N/A      75.54        090
                                                      approach/skull.
61591..............  ..............  A               Infratemporal             43.68        N/A      30.38        5.26         N/A      79.32        090
                                                      approach/skull.
61592..............  ..............  A               Orbitocranial             39.64        N/A      27.03        7.55         N/A      74.22        090
                                                      approach/skull.
61595..............  ..............  A               Transtemporal             29.57        N/A      23.10        3.05         N/A      55.72        090
                                                      approach/skull.
61596..............  ..............  A               Transcochlear             35.63        N/A      25.14        4.25         N/A      65.02        090
                                                      approach/skull.
61597..............  ..............  A               Transcondylar             37.96        N/A      23.44        6.65         N/A      68.05        090
                                                      approach/skull.
61598..............  ..............  A               Transpetrosal             33.41        N/A      23.82        4.60         N/A      61.83        090
                                                      approach/skull.
61600..............  ..............  A               Resect/excise             25.85        N/A      20.35        3.12         N/A      49.32        090
                                                      cranial lesion.
61601..............  ..............  A               Resect/excise             27.89        N/A      20.88        5.29         N/A      54.06        090
                                                      cranial lesion.
61605..............  ..............  A               Resect/excise             29.33        N/A      22.75        2.51         N/A      54.59        090
                                                      cranial lesion.
61606..............  ..............  A               Resect/excise             38.83        N/A      25.68        6.81         N/A      71.32        090
                                                      cranial lesion.
61607..............  ..............  A               Resect/excise             36.27        N/A      24.32        5.69         N/A      66.28        090
                                                      cranial lesion.
61608..............  ..............  A               Resect/excise             42.10        N/A      27.11        8.31         N/A      77.52        090
                                                      cranial lesion.
61609..............  ..............  A               Transect artery,           9.89        N/A       4.89        2.07         N/A      16.85        ZZZ
                                                      sinus.

[[Page 49159]]

 
61610..............  ..............  A               Transect artery,          29.67        N/A      13.44        3.52         N/A      46.63        ZZZ
                                                      sinus.
61611..............  ..............  A               Transect artery,           7.42        N/A       3.39        1.55         N/A      12.36        ZZZ
                                                      sinus.
61612..............  ..............  A               Transect artery,          27.88        N/A      13.62        3.55         N/A      45.05        ZZZ
                                                      sinus.
61613..............  ..............  A               Remove aneurysm,          40.86        N/A      26.77        8.32         N/A      75.95        090
                                                      sinus.
61615..............  ..............  A               Resect/excise             32.07        N/A      23.28        4.64         N/A      59.99        090
                                                      lesion, skull.
61616..............  ..............  A               Resect/excise             43.33        N/A      29.31        7.02         N/A      79.66        090
                                                      lesion, skull.
61618..............  ..............  A               Repair dura.........      16.99        N/A      10.91        2.92         N/A      30.82        090
61619..............  ..............  A               Repair dura.........      20.71        N/A      12.75        3.42         N/A      36.88        090
61623..............  ..............  A               Endovasc tempory           9.96        N/A       4.31        0.50         N/A      14.77        000
                                                      vessel occl.
61624..............  ..............  A               Transcath occlusion,      20.15        N/A       7.07        1.15         N/A      28.37        000
                                                      cns.
61626..............  ..............  A               Transcath occlusion,      16.62        N/A       5.65        0.84         N/A      23.11        000
                                                      non-cns.
61680..............  ..............  A               Intracranial vessel       30.71        N/A      18.07        6.04         N/A      54.82        090
                                                      surgery.
61682..............  ..............  A               Intracranial vessel       61.57        N/A      33.24       12.69         N/A     107.50        090
                                                      surgery.
61684..............  ..............  A               Intracranial vessel       39.81        N/A      22.75        7.87         N/A      70.43        090
                                                      surgery.
61686..............  ..............  A               Intracranial vessel       64.49        N/A      35.77       13.20         N/A     113.46        090
                                                      surgery.
61690..............  ..............  A               Intracranial vessel       29.31        N/A      17.38        5.51         N/A      52.20        090
                                                      surgery.
61692..............  ..............  A               Intracranial vessel       51.87        N/A      28.42       10.17         N/A      90.46        090
                                                      surgery.
61697..............  ..............  A               Brain aneurysm repr,      50.52        N/A      28.82       10.31         N/A      89.65        090
                                                      complx.
61698..............  ..............  A               Brain aneurysm repr,      48.41        N/A      27.46        9.99         N/A      85.86        090
                                                      complx.
61700..............  ..............  A               Brain aneurysm repr,      50.52        N/A      28.64       10.18         N/A      89.34        090
                                                      simple.
61702..............  ..............  A               Inner skull vessel        48.41        N/A      26.91        9.75         N/A      85.07        090
                                                      surgery.
61703..............  ..............  A               Clamp neck artery...      17.47        N/A      10.94        3.62         N/A      32.03        090
61705..............  ..............  A               Revise circulation        36.20        N/A      19.88        6.67         N/A      62.75        090
                                                      to head.
61708..............  ..............  A               Revise circulation        35.30        N/A      15.61        2.18         N/A      53.09        090
                                                      to head.
61710..............  ..............  A               Revise circulation        29.67        N/A      14.10        2.42         N/A      46.19        090
                                                      to head.
61711..............  ..............  A               Fusion of skull           36.33        N/A      20.47        7.39         N/A      64.19        090
                                                      arteries.
61720..............  ..............  A               Incise skull/brain        16.77        N/A      10.43        3.51         N/A      30.71        090
                                                      surgery.
61735..............  ..............  A               Incise skull/brain        20.43        N/A      12.62        4.16         N/A      37.21        090
                                                      surgery.
61750..............  ..............  A               Incise skull/brain        18.20        N/A      11.04        3.71         N/A      32.95        090
                                                      biopsy.
61751..............  ..............  A               Brain biopsy w/ct/mr      17.62        N/A      11.21        3.57         N/A      32.40        090
                                                      guide.
61760..............  ..............  A               Implant brain             22.27        N/A       8.96        4.59         N/A      35.82        090
                                                      electrodes.
61770..............  ..............  A               Incise skull for          21.44        N/A      12.69        4.09         N/A      38.22        090
                                                      treatment.
61790..............  ..............  A               Treat trigeminal          10.86        N/A       6.21        1.82         N/A      18.89        090
                                                      nerve.
61791..............  ..............  A               Treat trigeminal          14.61        N/A       9.29        3.03         N/A      26.93        090
                                                      tract.
61793..............  ..............  A               Focus radiation beam      17.24        N/A      10.56        3.51         N/A      31.31        090
61795..............  ..............  A               Brain surgery using        4.04        N/A       2.08        0.81         N/A       6.93        ZZZ
                                                      computer.
61850..............  ..............  A               Implant                   12.39        N/A       7.96        2.23         N/A      22.58        090
                                                      neuroelectrodes.
61860..............  ..............  A               Implant                   20.87        N/A      12.51        4.04         N/A      37.42        090
                                                      neuroelectrodes.
61862..............  ..............  A               Implant neurostimul,      19.34        N/A      12.47        3.97         N/A      35.78        090
                                                      subcort.
61870..............  ..............  A               Implant                   14.94        N/A      10.15        1.70         N/A      26.79        090
                                                      neuroelectrodes.
61875..............  ..............  A               Implant                   15.06        N/A       8.97        2.42         N/A      26.45        090
                                                      neuroelectrodes.
61880..............  ..............  A               Revise/remove              6.29        N/A       4.84        1.31         N/A      12.44        090
                                                      neuroelectrode.
61885..............  ..............  A               Implant neurostim          5.85        N/A       5.51        1.22         N/A      12.58        090
                                                      one array.
61886..............  ..............  A               Implant neurostim          8.00        N/A       6.57        1.64         N/A      16.21        090
                                                      arrays.
61888..............  ..............  A               Revise/remove              5.07        N/A       3.97        1.04         N/A      10.08        010
                                                      neuroreceiver.
62000..............  ..............  A               Treat skull fracture      12.53        N/A       5.97        0.87         N/A      19.37        090
62005..............  ..............  A               Treat skull fracture      16.17        N/A       9.28        2.33         N/A      27.78        090
62010..............  ..............  A               Treatment of head         19.81        N/A      12.15        4.05         N/A      36.01        090
                                                      injury.
62100..............  ..............  A               Repair brain fluid        22.03        N/A      13.31        4.07         N/A      39.41        090
                                                      leakage.
62115..............  ..............  A               Reduction of skull        21.66        N/A      12.02        4.53         N/A      38.21        090
                                                      defect.
62116..............  ..............  A               Reduction of skull        23.59        N/A      13.80        4.85         N/A      42.24        090
                                                      defect.
62117..............  ..............  A               Reduction of skull        26.60        N/A      15.64        5.56         N/A      47.80        090
                                                      defect.
62120..............  ..............  A               Repair skull cavity       23.35        N/A      14.71        3.07         N/A      41.13        090
                                                      lesion.
62121..............  ..............  A               Incise skull repair.      21.58        N/A      13.17        2.47         N/A      37.22        090
62140..............  ..............  A               Repair of skull           13.51        N/A       8.69        2.60         N/A      24.80        090
                                                      defect.
62141..............  ..............  A               Repair of skull           14.91        N/A       9.48        2.85         N/A      27.24        090
                                                      defect.

[[Page 49160]]

 
62142..............  ..............  A               Remove skull plate/       10.79        N/A       7.34        2.10         N/A      20.23        090
                                                      flap.
62143..............  ..............  A               Replace skull plate/      13.05        N/A       8.44        2.55         N/A      24.04        090
                                                      flap.
62145..............  ..............  A               Repair of skull &         18.82        N/A      11.38        3.81         N/A      34.01        090
                                                      brain.
62146..............  ..............  A               Repair of skull with      16.12        N/A      10.08        2.94         N/A      29.14        090
                                                      graft.
62147..............  ..............  A               Repair of skull with      19.34        N/A      11.84        3.64         N/A      34.82        090
                                                      graft.
62148..............  ..............  A               Retr bone flap to          2.00        N/A       0.83        0.43         N/A       3.26        ZZZ
                                                      fix skull.
62160..............  ..............  A               Neuroendoscopy add-        3.00        N/A       1.16        0.52         N/A       4.68        ZZZ
                                                      on.
62161..............  ..............  A               Dissect brain w/          20.00        N/A       9.73        3.70         N/A      33.43        090
                                                      scope.
62162..............  ..............  A               Remove colloid cyst       25.25        N/A      11.90        5.77         N/A      42.92        090
                                                      w/scope.
62163..............  ..............  A               Neuroendoscopy w/fb       15.50        N/A       7.98        3.70         N/A      27.18        090
                                                      removal.
62164..............  ..............  A               Remove brain tumor w/     27.50        N/A      13.13        5.77         N/A      46.40        090
                                                      scope.
62165..............  ..............  A               Remove pituit tumor       22.00        N/A      10.69        3.63         N/A      36.32        090
                                                      w/scope.
62180..............  ..............  A               Establish brain           21.06        N/A      12.73        4.32         N/A      38.11        090
                                                      cavity shunt.
62190..............  ..............  A               Establish brain           11.07        N/A       7.40        2.18         N/A      20.65        090
                                                      cavity shunt.
62192..............  ..............  A               Establish brain           12.25        N/A       7.96        2.46         N/A      22.67        090
                                                      cavity shunt.
62194..............  ..............  A               Replace/irrigate           5.03        N/A       2.84        0.50         N/A       8.37        010
                                                      catheter.
62200..............  ..............  A               Establish brain           18.32        N/A      11.26        3.70         N/A      33.28        090
                                                      cavity shunt.
62201..............  ..............  A               Brain cavity shunt w/     14.86        N/A       9.79        2.52         N/A      27.17        090
                                                      scope.
62220..............  ..............  A               Establish brain           13.00        N/A       8.32        2.53         N/A      23.85        090
                                                      cavity shunt.
62223..............  ..............  A               Establish brain           12.87        N/A       8.55        2.58         N/A      24.00        090
                                                      cavity shunt.
62225..............  ..............  A               Replace/irrigate           5.41        N/A       4.30        1.09         N/A      10.80        090
                                                      catheter.
62230..............  ..............  A               Replace/revise brain      10.54        N/A       6.75        2.10         N/A      19.39        090
                                                      shunt.
62252..............  ..............  A               Csf shunt reprogram.       0.74       1.48        N/A        0.18        2.40        N/A        XXX
62252..............  26............  A               Csf shunt reprogram.       0.74       0.38       0.38        0.16        1.28       1.28        XXX
62252..............  TC............  A               Csf shunt reprogram.       0.00       1.10        N/A        0.02        1.12        N/A        XXX
62256..............  ..............  A               Remove brain cavity        6.60        N/A       4.96        1.34         N/A      12.90        090
                                                      shunt.
62258..............  ..............  A               Replace brain cavity      14.54        N/A       9.03        2.91         N/A      26.48        090
                                                      shunt.
62263..............  ..............  A               Epidural lysis mult        6.14      12.34       2.41        0.42       18.90       8.97        010
                                                      sessions.
62264..............  ..............  A               Epidural lysis on          4.43       7.85       1.42        0.30       12.58       6.15        010
                                                      single day.
62268..............  ..............  A               Drain spinal cord          4.74      10.78       2.21        0.29       15.81       7.24        000
                                                      cyst.
62269..............  ..............  A               Needle biopsy,             5.02      12.44       2.04        0.29       17.75       7.35        000
                                                      spinal cord.
62270..............  ..............  A               Spinal fluid tap,          1.13       3.10       0.50        0.06        4.29       1.69        000
                                                      diagnostic.
62272..............  ..............  A               Drain cerebro spinal       1.35       3.72       0.65        0.13        5.20       2.13        000
                                                      fluid.
62273..............  ..............  A               Treat epidural spine       2.15       2.83       0.58        0.14        5.12       2.87        000
                                                      lesion.
62280..............  ..............  A               Treat spinal cord          2.63       6.81       0.89        0.17        9.61       3.69        010
                                                      lesion.
62281..............  ..............  A               Treat spinal cord          2.66       5.96       0.78        0.16        8.78       3.60        010
                                                      lesion.
62282..............  ..............  A               Treat spinal canal         2.33       8.37       0.80        0.14       10.84       3.27        010
                                                      lesion.
62284..............  ..............  A               Injection for              1.54       4.98       0.61        0.10        6.62       2.25        000
                                                      myelogram.
62287..............  ..............  A               Percutaneous               8.08        N/A       5.75        0.66         N/A      14.49        090
                                                      diskectomy.
62290..............  ..............  A               Inject for spine           3.00       6.94       1.30        0.20       10.14       4.50        000
                                                      disk x-ray.
62291..............  ..............  A               Inject for spine           2.91       5.81       1.15        0.17        8.89       4.23        000
                                                      disk x-ray.
62292..............  ..............  A               Injection into disk        7.86        N/A       4.60        0.65         N/A      13.11        090
                                                      lesion.
62294..............  ..............  A               Injection into            11.83        N/A       5.79        0.85         N/A      18.47        090
                                                      spinal artery.
62310..............  ..............  A               Inject spine c/t....       1.91       5.02       0.51        0.11        7.04       2.53        000
62311..............  ..............  A               Inject spine l/s           1.54       5.08       0.45        0.09        6.71       2.08        000
                                                      (cd).
62318..............  ..............  A               Inject spine w/cath,       2.04       5.72       0.52        0.12        7.88       2.68        000
                                                      c/t.
62319..............  ..............  A               Inject spine w/cath        1.87       5.01       0.48        0.11        6.99       2.46        000
                                                      l/s (cd).
62350..............  ..............  A               Implant spinal canal       6.87        N/A       4.06        0.64         N/A      11.57        090
                                                      cath.
62351..............  ..............  A               Implant spinal canal      10.00        N/A       7.26        1.79         N/A      19.05        090
                                                      cath.
62355..............  ..............  A               Remove spinal canal        5.45        N/A       3.26        0.47         N/A       9.18        090
                                                      catheter.
62360..............  ..............  A               Insert spine               2.62        N/A       2.76        0.21         N/A       5.59        090
                                                      infusion device.

[[Page 49161]]

 
62361..............  ..............  A               Implant spine              5.42        N/A       3.99        0.50         N/A       9.91        090
                                                      infusion pump.
62362..............  ..............  A               Implant spine              7.04        N/A       4.48        0.86         N/A      12.38        090
                                                      infusion pump.
62365..............  ..............  A               Remove spine               5.42        N/A       3.66        0.58         N/A       9.66        090
                                                      infusion device.
62367..............  ..............  C               Analyze spine              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      infusion pump.
62367..............  26............  A               Analyze spine              0.48       0.13       0.13        0.03        0.64       0.64        XXX
                                                      infusion pump.
62367..............  TC............  C               Analyze spine              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       0.00        XXX
                                                      infusion pump.
62368..............  26............  A               Analyze spine              0.75       0.19       0.19        0.05        0.99       0.99        XXX
                                                      infusion pump.
62368..............  TC............  C               Analyze spine              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      infusion pump.
63001..............  ..............  A               Removal of spinal         15.82        N/A       9.72        3.03         N/A      28.57        090
                                                      lamina.
63003..............  ..............  A               Removal of spinal         15.95        N/A      10.06        2.98         N/A      28.99        090
                                                      lamina.
63005..............  ..............  A               Removal of spinal         14.92        N/A      10.13        2.62         N/A      27.67        090
                                                      lamina.
63011..............  ..............  A               Removal of spinal         14.52        N/A       8.39        1.43         N/A      24.34        090
                                                      lamina.
63012..............  ..............  A               Removal of spinal         15.40        N/A      10.25        2.71         N/A      28.36        090
                                                      lamina.
63015..............  ..............  A               Removal of spinal         19.35        N/A      12.14        3.84         N/A      35.33        090
                                                      lamina.
63016..............  ..............  A               Removal of spinal         19.20        N/A      12.00        3.62         N/A      34.82        090
                                                      lamina.
63017..............  ..............  A               Removal of spinal         15.94        N/A      10.57        2.91         N/A      29.42        090
                                                      lamina.
63020..............  ..............  A               Neck spine disk           14.81        N/A       9.87        2.89         N/A      27.57        090
                                                      surgery.
63030..............  ..............  A               Low back disk             12.00        N/A       8.56        2.21         N/A      22.77        090
                                                      surgery.
63035..............  ..............  A               Spinal disk surgery        3.15        N/A       1.62        0.57         N/A       5.34        ZZZ
                                                      add-on.
63040..............  ..............  A               Laminotomy, single        18.81        N/A      11.70        3.36         N/A      33.87        090
                                                      cervical.
63042..............  ..............  A               Laminotomy, single        17.47        N/A      11.53        3.11         N/A      32.11        090
                                                      lumbar.
63043..............  ..............  C               Laminotomy, addl           0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      cervical.
63044..............  ..............  C               Laminotomy, addl           0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      lumbar.
63045..............  ..............  A               Removal of spinal         16.50        N/A      10.54        3.19         N/A      30.23        090
                                                      lamina.
63046..............  ..............  A               Removal of spinal         15.80        N/A      10.34        2.89         N/A      29.03        090
                                                      lamina.
63047..............  ..............  A               Removal of spinal         14.61        N/A      10.04        2.61         N/A      27.26        090
                                                      lamina.
63048..............  ..............  A               Remove spinal lamina       3.26        N/A       1.70        0.58         N/A       5.54        ZZZ
                                                      add-on.
63055..............  ..............  A               Decompress spinal         21.99        N/A      13.38        4.09         N/A      39.46        090
                                                      cord.
63056..............  ..............  A               Decompress spinal         20.36        N/A      12.76        3.34         N/A      36.46        090
                                                      cord.
63057..............  ..............  A               Decompress spine           5.26        N/A       2.70        0.81         N/A       8.77        ZZZ
                                                      cord add-on.
63064..............  ..............  A               Decompress spinal         24.61        N/A      14.71        4.72         N/A      44.04        090
                                                      cord.
63066..............  ..............  A               Decompress spine           3.26        N/A       1.70        0.63         N/A       5.59        ZZZ
                                                      cord add-on.
63075..............  ..............  A               Neck spine disk           19.41        N/A      12.33        3.73         N/A      35.47        090
                                                      surgery.
63076..............  ..............  A               Neck spine disk            4.05        N/A       2.10        0.78         N/A       6.93        ZZZ
                                                      surgery.
63077..............  ..............  A               Spine disk surgery,       21.44        N/A      12.92        3.44         N/A      37.80        090
                                                      thorax.
63078..............  ..............  A               Spine disk surgery,        3.28        N/A       1.67        0.50         N/A       5.45        ZZZ
                                                      thorax.
63081..............  ..............  A               Removal of vertebral      23.73        N/A      14.59        4.46         N/A      42.78        090
                                                      body.
63082..............  ..............  A               Remove vertebral           4.37        N/A       2.28        0.82         N/A       7.47        ZZZ
                                                      body add-on.
63085..............  ..............  A               Removal of vertebral      26.92        N/A      15.67        4.70         N/A      47.29        090
                                                      body.
63086..............  ..............  A               Remove vertebral           3.19        N/A       1.62        0.55         N/A       5.36        ZZZ
                                                      body add-on.
63087..............  ..............  A               Removal of vertebral      35.57        N/A      19.78        5.87         N/A      61.22        090
                                                      body.
63088..............  ..............  A               Remove vertebral           4.33        N/A       2.23        0.77         N/A       7.33        ZZZ
                                                      body add-on.
63090..............  ..............  A               Removal of vertebral      28.16        N/A      16.27        4.27         N/A      48.70        090
                                                      body.
63091..............  ..............  A               Remove vertebral           3.03        N/A       1.49        0.45         N/A       4.97        ZZZ
                                                      body add-on.
63170..............  ..............  A               Incise spinal cord        19.83        N/A      12.38        3.89         N/A      36.10        090
                                                      tract(s).
63172..............  ..............  A               Drainage of spinal        17.66        N/A      11.22        3.46         N/A      32.34        090
                                                      cyst.
63173..............  ..............  A               Drainage of spinal        21.99        N/A      13.39        4.14         N/A      39.52        090
                                                      cyst.

[[Page 49162]]

 
63180..............  ..............  A               Revise spinal cord        18.27        N/A      11.52        3.83         N/A      33.62        090
                                                      ligaments.
63182..............  ..............  A               Revise spinal cord        20.50        N/A      11.44        3.48         N/A      35.42        090
                                                      ligaments.
63185..............  ..............  A               Incise spinal column/     15.04        N/A       8.46        2.08         N/A      25.58        090
                                                      nerves.
63190..............  ..............  A               Incise spinal column/     17.45        N/A      10.59        2.88         N/A      30.92        090
                                                      nerves.
63191..............  ..............  A               Incise spinal column/     17.54        N/A      11.04        3.50         N/A      32.08        090
                                                      nerves.
63194..............  ..............  A               Incise spinal column      19.19        N/A      12.05        4.01         N/A      35.25        090
                                                      & cord.
63195..............  ..............  A               Incise spinal column      18.84        N/A      11.56        3.44         N/A      33.84        090
                                                      & cord.
63196..............  ..............  A               Incise spinal column      22.30        N/A      12.34        4.66         N/A      39.30        090
                                                      & cord.
63197..............  ..............  A               Incise spinal column      21.11        N/A      12.55        4.42         N/A      38.08        090
                                                      & cord.
63198..............  ..............  A               Incise spinal column      25.38        N/A       9.91        5.31         N/A      40.60        090
                                                      & cord.
63199..............  ..............  A               Incise spinal column      26.89        N/A      15.19        5.62         N/A      47.70        090
                                                      & cord.
63200..............  ..............  A               Release of spinal         19.18        N/A      11.78        3.61         N/A      34.57        090
                                                      cord.
63250..............  ..............  A               Revise spinal cord        40.76        N/A      20.52        7.65         N/A      68.93        090
                                                      vessels.
63251..............  ..............  A               Revise spinal cord        41.20        N/A      23.24        7.98         N/A      72.42        090
                                                      vessels.
63252..............  ..............  A               Revise spinal cord        41.19        N/A      22.89        7.75         N/A      71.83        090
                                                      vessels.
63265..............  ..............  A               Excise intraspinal        21.56        N/A      13.18        4.29         N/A      39.03        090
                                                      lesion.
63266..............  ..............  A               Excise intraspinal        22.30        N/A      13.61        4.47         N/A      40.38        090
                                                      lesion.
63267..............  ..............  A               Excise intraspinal        17.95        N/A      11.45        3.50         N/A      32.90        090
                                                      lesion.
63268..............  ..............  A               Excise intraspinal        18.52        N/A      10.73        3.18         N/A      32.43        090
                                                      lesion.
63270..............  ..............  A               Excise intraspinal        26.80        N/A      15.94        5.41         N/A      48.15        090
                                                      lesion.
63271..............  ..............  A               Excise intraspinal        26.92        N/A      16.05        5.56         N/A      48.53        090
                                                      lesion.
63272..............  ..............  A               Excise intraspinal        25.32        N/A      15.15        5.07         N/A      45.54        090
                                                      lesion.
63273..............  ..............  A               Excise intraspinal        24.29        N/A      14.75        5.08         N/A      44.12        090
                                                      lesion.
63275..............  ..............  A               Biopsy/excise spinal      23.68        N/A      14.21        4.68         N/A      42.57        090
                                                      tumor.
63276..............  ..............  A               Biopsy/excise spinal      23.45        N/A      14.11        4.63         N/A      42.19        090
                                                      tumor.
63277..............  ..............  A               Biopsy/excise spinal      20.83        N/A      12.92        4.03         N/A      37.78        090
                                                      tumor.
63278..............  ..............  A               Biopsy/excise spinal      20.56        N/A      12.78        4.02         N/A      37.36        090
                                                      tumor.
63280..............  ..............  A               Biopsy/excise spinal      28.35        N/A      16.81        5.80         N/A      50.96        090
                                                      tumor.
63281..............  ..............  A               Biopsy/excise spinal      28.05        N/A      16.66        5.67         N/A      50.38        090
                                                      tumor.
63282..............  ..............  A               Biopsy/excise spinal      26.39        N/A      15.80        5.33         N/A      47.52        090
                                                      tumor.
63283..............  ..............  A               Biopsy/excise spinal      25.00        N/A      15.12        5.12         N/A      45.24        090
                                                      tumor.
63285..............  ..............  A               Biopsy/excise spinal      36.00        N/A      20.53        7.31         N/A      63.84        090
                                                      tumor.
63286..............  ..............  A               Biopsy/excise spinal      35.63        N/A      20.48        7.07         N/A      63.18        090
                                                      tumor.
63287..............  ..............  A               Biopsy/excise spinal      36.70        N/A      21.04        7.48         N/A      65.22        090
                                                      tumor.
63290..............  ..............  A               Biopsy/excise spinal      37.38        N/A      21.20        7.65         N/A      66.23        090
                                                      tumor.
63300..............  ..............  A               Removal of vertebral      24.43        N/A      14.75        4.78         N/A      43.96        090
                                                      body.
63301..............  ..............  A               Removal of vertebral      27.60        N/A      15.96        5.03         N/A      48.59        090
                                                      body.
63302..............  ..............  A               Removal of vertebral      27.81        N/A      16.28        5.25         N/A      49.34        090
                                                      body.
63303..............  ..............  A               Removal of vertebral      30.50        N/A      17.39        5.21         N/A      53.10        090
                                                      body.
63304..............  ..............  A               Removal of vertebral      30.33        N/A      17.80        4.72         N/A      52.85        090
                                                      body.
63305..............  ..............  A               Removal of vertebral      32.03        N/A      18.47        5.39         N/A      55.89        090
                                                      body.
63306..............  ..............  A               Removal of vertebral      32.22        N/A      18.10        2.39         N/A      52.71        090
                                                      body.
63307..............  ..............  A               Removal of vertebral      31.63        N/A      17.31        4.23         N/A      53.17        090
                                                      body.
63308..............  ..............  A               Remove vertebral           5.25        N/A       2.67        1.01         N/A       8.93        ZZZ
                                                      body add-on.
63600..............  ..............  A               Remove spinal cord        14.02        N/A       5.59        1.22         N/A      20.83        090
                                                      lesion.
63610..............  ..............  A               Stimulation of             8.73      56.96       2.32        0.43       66.12      11.48        000
                                                      spinal cord.
63615..............  ..............  A               Remove lesion of          16.28        N/A       9.52        2.85         N/A      28.65        090
                                                      spinal cord.
63650..............  ..............  A               Implant                    6.74        N/A       3.30        0.48         N/A      10.52        090
                                                      neuroelectrodes.
63655..............  ..............  A               Implant                   10.29        N/A       7.17        1.85         N/A      19.31        090
                                                      neuroelectrodes.
63660..............  ..............  A               Revise/remove              6.16        N/A       3.80        0.65         N/A      10.61        090
                                                      neuroelectrode.
63685..............  ..............  A               Implant                    7.04        N/A       4.34        0.96         N/A      12.34        090
                                                      neuroreceiver.

[[Page 49163]]

 
63688..............  ..............  A               Revise/remove              5.39        N/A       3.75        0.70         N/A       9.84        090
                                                      neuroreceiver.
63700..............  ..............  A               Repair of spinal          16.53        N/A      10.63        2.69         N/A      29.85        090
                                                      herniation.
63702..............  ..............  A               Repair of spinal          18.48        N/A      11.00        1.36         N/A      30.84        090
                                                      herniation.
63704..............  ..............  A               Repair of spinal          21.18        N/A      13.14        3.84         N/A      38.16        090
                                                      herniation.
63706..............  ..............  A               Repair of spinal          24.11        N/A      14.00        4.73         N/A      42.84        090
                                                      herniation.
63707..............  ..............  A               Repair spinal fluid       11.26        N/A       7.99        1.96         N/A      21.21        090
                                                      leakage.
63709..............  ..............  A               Repair spinal fluid       14.32        N/A       9.71        2.49         N/A      26.52        090
                                                      leakage.
63710..............  ..............  A               Graft repair of           14.07        N/A       9.36        2.61         N/A      26.04        090
                                                      spine defect.
63740..............  ..............  A               Install spinal shunt      11.36        N/A       7.63        2.15         N/A      21.14        090
63741..............  ..............  A               Install spinal shunt       8.25        N/A       4.96        1.05         N/A      14.26        090
63744..............  ..............  A               Revision of spinal         8.10        N/A       5.49        1.51         N/A      15.10        090
                                                      shunt.
63746..............  ..............  A               Removal of spinal          6.43        N/A       3.96        1.15         N/A      11.54        090
                                                      shunt.
64400..............  ..............  A               N block inj,               1.11       2.06       0.37        0.06        3.23       1.54        000
                                                      trigeminal.
64402..............  ..............  A               N block inj, facial.       1.25       1.79       0.54        0.07        3.11       1.86        000
64405..............  ..............  A               N block inj,               1.32       1.55       0.40        0.08        2.95       1.80        000
                                                      occipital.
64408..............  ..............  A               N block inj, vagus..       1.41       1.63       0.67        0.09        3.13       2.17        000
64410..............  ..............  A               N block inj, phrenic       1.43       2.67       0.40        0.08        4.18       1.91        000
64412..............  ..............  A               N block inj, spinal        1.18       2.80       0.37        0.08        4.06       1.63        000
                                                      accessor.
64413..............  ..............  A               N block inj,               1.40       1.95       0.44        0.09        3.44       1.93        000
                                                      cervical plexus.
64415..............  ..............  A               N block inj,               1.48       2.95       0.40        0.08        4.51       1.96        000
                                                      brachial plexus.
64416..............  ..............  A               N block cont infuse,       3.50        N/A       0.73        0.08         N/A       4.31        010
                                                      b plex.
64417..............  ..............  A               N block inj,               1.44       3.19       0.43        0.09        4.72       1.96        000
                                                      axillary.
64418..............  ..............  A               N block inj,               1.32       2.76       0.37        0.07        4.15       1.76        000
                                                      suprascapular.
64420..............  ..............  A               N block inj,               1.18       3.62       0.36        0.07        4.87       1.61        000
                                                      intercost, sng.
64421..............  ..............  A               N block inj,               1.68       5.53       0.46        0.10        7.31       2.24        000
                                                      intercost, mlt.
64425..............  ..............  A               N block inj ilio-ing/      1.75       1.74       0.48        0.11        3.60       2.34        000
                                                      hypogi.
64430..............  ..............  A               N block inj,               1.46       2.66       0.50        0.11        4.23       2.07        000
                                                      pudendal.
64435..............  ..............  A               N block inj,               1.45       2.67       0.64        0.15        4.27       2.24        000
                                                      paracervical.
64445..............  ..............  A               N block inj,               1.48       2.78       0.38        0.08        4.34       1.94        000
                                                      sciatic, sng.
64446..............  ..............  A               N blk inj, sciatic,        3.25        N/A       1.21        0.08         N/A       4.54        010
                                                      cont inf.
64447..............  ..............  A               N block inj fem,           1.50        N/A       0.52        0.08         N/A       2.10        000
                                                      single.
64448..............  ..............  A               N block inj fem,           3.00        N/A       1.04        0.08         N/A       4.12        010
                                                      cont inf.
64450..............  ..............  A               N block, other             1.27       1.30       0.42        0.08        2.65       1.77        000
                                                      peripheral.
64470..............  ..............  A               Inj paravertebral c/       1.85       4.97       0.57        0.12        6.94       2.54        000
                                                      t.
64472..............  ..............  A               Inj paravertebral c/       1.29       1.99       0.31        0.09        3.37       1.69        ZZZ
                                                      t add-on.
64475..............  ..............  A               Inj paravertebral l/       1.41       4.67       0.48        0.09        6.17       1.98        000
                                                      s.
64476..............  ..............  A               Inj paravertebral l/       0.98       1.87       0.25        0.06        2.91       1.29        ZZZ
                                                      s add-on.
64479..............  ..............  A               Inj foramen epidural       2.20       7.22       0.73        0.14        9.56       3.07        000
                                                      c/t.
64480..............  ..............  A               Inj foramen epidural       1.54       2.46       0.48        0.09        4.09       2.11        ZZZ
                                                      add-on.
64483..............  ..............  A               Inj foramen epidural       1.90       7.74       0.66        0.12        9.76       2.68        000
                                                      l/s.
64484..............  ..............  A               Inj foramen epidural       1.33       2.88       0.38        0.08        4.29       1.79        ZZZ
                                                      add-on.
64505..............  ..............  A               N block,                   1.36       1.26       0.48        0.08        2.70       1.92        000
                                                      spenopalatine gangl.
64508..............  ..............  A               N block, carotid           1.12       3.18       0.52        0.06        4.36       1.70        000
                                                      sinus s/p.
64510..............  ..............  A               N block, stellate          1.22       3.32       0.38        0.07        4.61       1.67        000
                                                      ganglion.
64520..............  ..............  A               N block, lumbar/           1.35       4.67       0.42        0.08        6.10       1.85        000
                                                      thoracic.
64530..............  ..............  A               N block inj, celiac        1.58       4.08       0.48        0.09        5.75       2.15        000
                                                      pelus.
64550..............  ..............  A               Apply                      0.18       0.28       0.05        0.01        0.47       0.24        000
                                                      neurostimulator.
64553..............  ..............  A               Implant                    2.31       2.95       1.90        0.17        5.43       4.38        010
                                                      neuroelectrodes.
64555..............  ..............  A               Implant                    2.27       3.22       1.23        0.11        5.60       3.61        010
                                                      neuroelectrodes.
64560..............  ..............  A               Implant                    2.36       2.73       1.34        0.17        5.26       3.87        010
                                                      neuroelectrodes.
64561..............  ..............  A               Implant                    6.74        N/A       3.23        0.11         N/A      10.08        010
                                                      neuroelectrodes.
64565..............  ..............  A               Implant                    1.76       3.38       1.29        0.08        5.22       3.13        010
                                                      neuroelectrodes.
64573..............  ..............  A               Implant                    7.50        N/A       5.43        1.48         N/A      14.41        090
                                                      neuroelectrodes.
64575..............  ..............  A               Implant                    4.35        N/A       2.94        0.37         N/A       7.66        090
                                                      neuroelectrodes.
64577..............  ..............  A               Implant                    4.62        N/A       3.43        0.50         N/A       8.55        090
                                                      neuroelectrodes.
64580..............  ..............  A               Implant                    4.12        N/A       3.78        0.21         N/A       8.11        090
                                                      neuroelectrodes.
64581..............  ..............  A               Implant                   13.50        N/A       5.53        0.37         N/A      19.40        090
                                                      neuroelectrodes.
64585..............  ..............  A               Revise/remove              2.06      11.73       1.75        0.29       14.08       4.10        010
                                                      neuroelectrode.
64590..............  ..............  A               Implant                    2.40       7.41       1.94        0.40       10.21       4.74        010
                                                      neuroreceiver.

[[Page 49164]]

 
64595..............  ..............  A               Revise/remove              1.73      10.90       1.52        0.22       12.85       3.47        010
                                                      neuroreceiver.
64600..............  ..............  A               Injection treatment        3.45       7.83       1.60        0.28       11.56       5.33        010
                                                      of nerve.
64605..............  ..............  A               Injection treatment        5.61       9.33       2.08        0.53       15.47       8.22        010
                                                      of nerve.
64610..............  ..............  A               Injection treatment        7.16       7.94       3.65        1.12       16.22      11.93        010
                                                      of nerve.
64612..............  ..............  A               Destroy nerve, face        1.96       2.67       1.09        0.09        4.72       3.14        010
                                                      muscle.
64613..............  ..............  A               Destroy nerve, spine       1.96       3.04       1.01        0.10        5.10       3.07        010
                                                      muscle.
64614..............  ..............  A               Destroy nerve,             2.20       3.30       1.13        0.09        5.59       3.42        010
                                                      extrem musc.
64620..............  ..............  A               Injection treatment        2.84       4.72       1.19        0.17        7.73       4.20        010
                                                      of nerve.
64622..............  ..............  A               Destr paravertebrl         3.00       7.63       1.25        0.17       10.80       4.42        010
                                                      nerve l/s.
64623..............  ..............  A               Destr paravertebral        0.99       2.44       0.23        0.06        3.49       1.28        ZZZ
                                                      n add-on.
64626..............  ..............  A               Destr paravertebrl         3.28       6.63       1.86        0.22       10.13       5.36        010
                                                      nerve c/t.
64627..............  ..............  A               Destr paravertebral        1.16       2.63       0.27        0.08        3.87       1.51        ZZZ
                                                      n add-on.
64630..............  ..............  A               Injection treatment        3.00       2.80       1.29        0.16        5.96       4.45        010
                                                      of nerve.
64640..............  ..............  A               Injection treatment        2.76       4.29       1.68        0.11        7.16       4.55        010
                                                      of nerve.
64680..............  ..............  A               Injection treatment        2.62       6.18       1.28        0.15        8.95       4.05        010
                                                      of nerve.
64702..............  ..............  A               Revise finger/toe          4.23        N/A       4.22        0.51         N/A       8.96        090
                                                      nerve.
64704..............  ..............  A               Revise hand/foot           4.57        N/A       3.48        0.59         N/A       8.64        090
                                                      nerve.
64708..............  ..............  A               Revise arm/leg nerve       6.12        N/A       5.21        0.82         N/A      12.15        090
64712..............  ..............  A               Revision of sciatic        7.75        N/A       5.29        0.54         N/A      13.58        090
                                                      nerve.
64713..............  ..............  A               Revision of arm           11.00        N/A       6.10        1.01         N/A      18.11        090
                                                      nerve(s).
64714..............  ..............  A               Revise low back           10.33        N/A       4.40        0.64         N/A      15.37        090
                                                      nerve(s).
64716..............  ..............  A               Revision of cranial        6.31        N/A       5.54        0.59         N/A      12.44        090
                                                      nerve.
64718..............  ..............  A               Revise ulnar nerve         5.99        N/A       6.22        0.87         N/A      13.08        090
                                                      at elbow.
64719..............  ..............  A               Revise ulnar nerve         4.85        N/A       4.90        0.63         N/A      10.38        090
                                                      at wrist.
64721..............  ..............  A               Carpal tunnel              4.29       5.25       5.25        0.59       10.13      10.13        090
                                                      surgery.
64722..............  ..............  A               Relieve pressure on        4.70        N/A       3.29        0.32         N/A       8.31        090
                                                      nerve(s).
64726..............  ..............  A               Release foot/toe           4.18        N/A       3.04        0.57         N/A       7.79        090
                                                      nerve.
64727..............  ..............  A               Internal nerve             3.10        N/A       1.53        0.40         N/A       5.03        ZZZ
                                                      revision.
64732..............  ..............  A               Incision of brow           4.41        N/A       3.76        0.77         N/A       8.94        090
                                                      nerve.
64734..............  ..............  A               Incision of cheek          4.92        N/A       4.30        0.83         N/A      10.05        090
                                                      nerve.
64736..............  ..............  A               Incision of chin           4.60        N/A       4.27        0.71         N/A       9.58        090
                                                      nerve.
64738..............  ..............  A               Incision of jaw            5.73        N/A       4.87        0.84         N/A      11.44        090
                                                      nerve.
64740..............  ..............  A               Incision of tongue         5.59        N/A       4.63        0.43         N/A      10.65        090
                                                      nerve.
64742..............  ..............  A               Incision of facial         6.22        N/A       5.06        0.69         N/A      11.97        090
                                                      nerve.
64744..............  ..............  A               Incise nerve, back         5.24        N/A       4.02        0.98         N/A      10.24        090
                                                      of head.
64746..............  ..............  A               Incise diaphragm           5.93        N/A       4.63        0.75         N/A      11.31        090
                                                      nerve.
64752..............  ..............  A               Incision of vagus          7.06        N/A       4.43        0.83         N/A      12.32        090
                                                      nerve.
64755..............  ..............  A               Incision of stomach       13.52        N/A       5.91        1.16         N/A      20.59        090
                                                      nerves.
64760..............  ..............  A               Incision of vagus          6.96        N/A       3.72        0.51         N/A      11.19        090
                                                      nerve.
64761..............  ..............  A               Incision of pelvis         6.41        N/A       3.82        0.26         N/A      10.49        090
                                                      nerve.
64763..............  ..............  A               Incise hip/thigh           6.93        N/A       5.66        0.77         N/A      13.36        090
                                                      nerve.
64766..............  ..............  A               Incise hip/thigh           8.67        N/A       5.53        0.99         N/A      15.19        090
                                                      nerve.
64771..............  ..............  A               Sever cranial nerve.       7.35        N/A       5.83        1.32         N/A      14.50        090
64772..............  ..............  A               Incision of spinal         7.21        N/A       5.19        1.20         N/A      13.60        090
                                                      nerve.
64774..............  ..............  A               Remove skin nerve          5.17        N/A       4.11        0.60         N/A       9.88        090
                                                      lesion.
64776..............  ..............  A               Remove digit nerve         5.12        N/A       4.00        0.63         N/A       9.75        090
                                                      lesion.
64778..............  ..............  A               Digit nerve surgery        3.11        N/A       1.53        0.38         N/A       5.02        ZZZ
                                                      add-on.
64782..............  ..............  A               Remove limb nerve          6.23        N/A       3.98        0.79         N/A      11.00        090
                                                      lesion.

[[Page 49165]]

 
64783..............  ..............  A               Limb nerve surgery         3.72        N/A       1.88        0.48         N/A       6.08        ZZZ
                                                      add-on.
64784..............  ..............  A               Remove nerve lesion.       9.82        N/A       6.96        1.17         N/A      17.95        090
64786..............  ..............  A               Remove sciatic nerve      15.46        N/A      10.36        2.22         N/A      28.04        090
                                                      lesion.
64787..............  ..............  A               Implant nerve end...       4.30        N/A       2.17        0.56         N/A       7.03        ZZZ
64788..............  ..............  A               Remove skin nerve          4.61        N/A       3.75        0.54         N/A       8.90        090
                                                      lesion.
64790..............  ..............  A               Removal of nerve          11.31        N/A       7.57        1.68         N/A      20.56        090
                                                      lesion.
64792..............  ..............  A               Removal of nerve          14.92        N/A       9.20        1.88         N/A      26.00        090
                                                      lesion.
64795..............  ..............  A               Biopsy of nerve.....       3.01        N/A       1.62        0.40         N/A       5.03        000
64802..............  ..............  A               Remove sympathetic         9.15        N/A       5.27        0.87         N/A      15.29        090
                                                      nerves.
64804..............  ..............  A               Remove sympathetic        14.64        N/A       7.25        1.79         N/A      23.68        090
                                                      nerves.
64809..............  ..............  A               Remove sympathetic        13.67        N/A       5.94        0.96         N/A      20.57        090
                                                      nerves.
64818..............  ..............  A               Remove sympathetic        10.30        N/A       5.42        1.08         N/A      16.80        090
                                                      nerves.
64820..............  ..............  A               Remove sympathetic        10.37        N/A       7.35        1.17         N/A      18.89        090
                                                      nerves.
64821..............  ..............  A               Remove sympathestic        8.75        N/A       7.60        0.99         N/A      17.34        090
                                                      nerves.
64822..............  ..............  A               Remove sympathetic         8.75        N/A       7.53        0.99         N/A      17.27        090
                                                      nerves.
64823..............  ..............  A               Remove sympathetic        10.37        N/A       8.45        1.17         N/A      19.99        090
                                                      nerves.
64831..............  ..............  A               Repair of digit            9.44        N/A       7.53        1.14         N/A      18.11        090
                                                      nerve.
64832..............  ..............  A               Repair nerve add-on.       5.66        N/A       3.00        0.68         N/A       9.34        ZZZ
64834..............  ..............  A               Repair of hand or         10.19        N/A       7.56        1.23         N/A      18.98        090
                                                      foot nerve.
64835..............  ..............  A               Repair of hand or         10.94        N/A       8.16        1.36         N/A      20.46        090
                                                      foot nerve.
64836..............  ..............  A               Repair of hand or         10.94        N/A       8.13        1.32         N/A      20.39        090
                                                      foot nerve.
64837..............  ..............  A               Repair nerve add-on.       6.26        N/A       3.31        0.80         N/A      10.37        ZZZ
64840..............  ..............  A               Repair of leg nerve.      13.02        N/A       8.70        0.86         N/A      22.58        090
64856..............  ..............  A               Repair/transpose          13.80        N/A       9.68        1.71         N/A      25.19        090
                                                      nerve.
64857..............  ..............  A               Repair arm/leg nerve      14.49        N/A      10.15        1.76         N/A      26.40        090
64858..............  ..............  A               Repair sciatic nerve      16.49        N/A      11.15        2.78         N/A      30.42        090
64859..............  ..............  A               Nerve surgery.......       4.26        N/A       2.24        0.50         N/A       7.00        ZZZ
64861..............  ..............  A               Repair of arm nerves      19.24        N/A      12.13        2.45         N/A      33.82        090
64862..............  ..............  A               Repair of low back        19.44        N/A      12.18        2.47         N/A      34.09        090
                                                      nerves.
64864..............  ..............  A               Repair of facial          12.55        N/A       8.52        1.13         N/A      22.20        090
                                                      nerve.
64865..............  ..............  A               Repair of facial          15.24        N/A      10.23        1.37         N/A      26.84        090
                                                      nerve.
64866..............  ..............  A               Fusion of facial/         15.74        N/A      10.06        1.06         N/A      26.86        090
                                                      other nerve.
64868..............  ..............  A               Fusion of facial/         14.04        N/A       9.22        1.40         N/A      24.66        090
                                                      other nerve.
64870..............  ..............  A               Fusion of facial/         15.99        N/A       9.10        1.08         N/A      26.17        090
                                                      other nerve.
64872..............  ..............  A               Subsequent repair of       1.99        N/A       1.10        0.24         N/A       3.33        ZZZ
                                                      nerve.
64874..............  ..............  A               Repair & revise            2.98        N/A       1.57        0.34         N/A       4.89        ZZZ
                                                      nerve add-on.
64876..............  ..............  A               Repair nerve/shorten       3.38        N/A       1.31        0.39         N/A       5.08        ZZZ
                                                      bone.
64885..............  ..............  A               Nerve graft, head or      17.53        N/A      11.26        1.51         N/A      30.30        090
                                                      neck.
64886..............  ..............  A               Nerve graft, head or      20.75        N/A      13.13        1.73         N/A      35.61        090
                                                      neck.
64890..............  ..............  A               Nerve graft, hand or      15.15        N/A      10.52        1.74         N/A      27.41        090
                                                      foot.
64891..............  ..............  A               Nerve graft, hand or      16.14        N/A       7.97        1.38         N/A      25.49        090
                                                      foot.
64892..............  ..............  A               Nerve graft, arm or       14.65        N/A       9.31        1.65         N/A      25.61        090
                                                      leg.
64893..............  ..............  A               Nerve graft, arm or       15.60        N/A      10.30        1.77         N/A      27.67        090
                                                      leg.
64895..............  ..............  A               Nerve graft, hand or      19.25        N/A      10.06        2.04         N/A      31.35        090
                                                      foot.
64896..............  ..............  A               Nerve graft, hand or      20.49        N/A      11.53        1.85         N/A      33.87        090
                                                      foot.
64897..............  ..............  A               Nerve graft, arm or       18.24        N/A      11.19        2.64         N/A      32.07        090
                                                      leg.
64898..............  ..............  A               Nerve graft, arm or       19.50        N/A      12.29        2.71         N/A      34.50        090
                                                      leg.
64901..............  ..............  A               Nerve graft add-on..      10.22        N/A       5.39        0.99         N/A      16.60        ZZZ

[[Page 49166]]

 
64902..............  ..............  A               Nerve graft add-on..      11.83        N/A       6.10        1.10         N/A      19.03        ZZZ
64905..............  ..............  A               Nerve pedicle             14.02        N/A       8.98        1.52         N/A      24.52        090
                                                      transfer.
64907..............  ..............  A               Nerve pedicle             18.83        N/A      12.64        1.79         N/A      33.26        090
                                                      transfer.
64999..............  ..............  C               Nervous system             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
65091..............  ..............  A               Revise eye..........       6.46        N/A       9.88        0.26         N/A      16.60        090
65093..............  ..............  A               Revise eye with            6.87        N/A      10.25        0.28         N/A      17.40        090
                                                      implant.
65101..............  ..............  A               Removal of eye......       7.03        N/A      10.83        0.28         N/A      18.14        090
65103..............  ..............  A               Remove eye/insert          7.57        N/A      11.04        0.30         N/A      18.91        090
                                                      implant.
65105..............  ..............  A               Remove eye/attach          8.49        N/A      11.70        0.34         N/A      20.53        090
                                                      implant.
65110..............  ..............  A               Removal of eye......      13.95        N/A      14.98        0.68         N/A      29.61        090
65112..............  ..............  A               Remove eye/revise         16.38        N/A      17.38        0.96         N/A      34.72        090
                                                      socket.
65114..............  ..............  A               Remove eye/revise         17.53        N/A      17.50        0.94         N/A      35.97        090
                                                      socket.
65125..............  ..............  A               Revise ocular              3.12       9.35       3.02        0.15       12.62       6.29        090
                                                      implant.
65130..............  ..............  A               Insert ocular              7.15        N/A      10.42        0.28         N/A      17.85        090
                                                      implant.
65135..............  ..............  A               Insert ocular              7.33        N/A      10.59        0.29         N/A      18.21        090
                                                      implant.
65140..............  ..............  A               Attach ocular              8.02        N/A      11.06        0.31         N/A      19.39        090
                                                      implant.
65150..............  ..............  A               Revise ocular              6.26        N/A       9.43        0.25         N/A      15.94        090
                                                      implant.
65155..............  ..............  A               Reinsert ocular            8.66        N/A      11.80        0.40         N/A      20.86        090
                                                      implant.
65175..............  ..............  A               Removal of ocular          6.28        N/A       9.81        0.26         N/A      16.35        090
                                                      implant.
65205..............  ..............  A               Remove foreign body        0.71       0.61       0.19        0.03        1.35       0.93        000
                                                      from eye.
65210..............  ..............  A               Remove foreign body        0.84       0.75       0.30        0.03        1.62       1.17        000
                                                      from eye.
65220..............  ..............  A               Remove foreign body        0.71       0.61       0.18        0.05        1.37       0.94        000
                                                      from eye.
65222..............  ..............  A               Remove foreign body        0.93       0.77       0.27        0.04        1.74       1.24        000
                                                      from eye.
65235..............  ..............  A               Remove foreign body        7.57        N/A       7.41        0.30         N/A      15.28        090
                                                      from eye.
65260..............  ..............  A               Remove foreign body       10.96        N/A      11.71        0.43         N/A      23.10        090
                                                      from eye.
65265..............  ..............  A               Remove foreign body       12.59        N/A      12.91        0.50         N/A      26.00        090
                                                      from eye.
65270..............  ..............  A               Repair of eye wound.       1.90       3.90       2.28        0.08        5.88       4.26        010
65272..............  ..............  A               Repair of eye wound.       3.82       5.89       5.30        0.16        9.87       9.28        090
65273..............  ..............  A               Repair of eye wound.       4.36        N/A       5.63        0.17         N/A      10.16        090
65275..............  ..............  A               Repair of eye wound.       5.34       5.78       5.78        0.27       11.39      11.39        090
65280..............  ..............  A               Repair of eye wound.       7.66        N/A       8.32        0.30         N/A      16.28        090
65285..............  ..............  A               Repair of eye wound.      12.90        N/A      12.77        0.51         N/A      26.18        090
65286..............  ..............  A               Repair of eye wound.       5.51       8.57       7.65        0.21       14.29      13.37        090
65290..............  ..............  A               Repair of eye socket       5.41        N/A       6.61        0.26         N/A      12.28        090
                                                      wound.
65400..............  ..............  A               Removal of eye             6.06       8.78       7.60        0.24       15.08      13.90        090
                                                      lesion.
65410..............  ..............  A               Biopsy of cornea....       1.47       1.74       0.66        0.06        3.27       2.19        000
65420..............  ..............  A               Removal of eye             4.17       7.65       6.84        0.17       11.99      11.18        090
                                                      lesion.
65426..............  ..............  A               Removal of eye             5.25       7.62       6.66        0.20       13.07      12.11        090
                                                      lesion.
65430..............  ..............  A               Corneal smear.......       1.47       5.02       0.67        0.06        6.55       2.20        000
65435..............  ..............  A               Curette/treat cornea       0.92       1.35       0.40        0.04        2.31       1.36        000
65436..............  ..............  A               Curette/treat cornea       4.19       5.95       5.31        0.17       10.31       9.67        090
65450..............  ..............  A               Treatment of corneal       3.27       7.32       6.43        0.13       10.72       9.83        090
                                                      lesion.
65600..............  ..............  A               Revision of cornea..       3.40       5.73       3.17        0.14        9.27       6.71        090
65710..............  ..............  A               Corneal transplant..      12.35        N/A      12.72        0.49         N/A      25.56        090
65730..............  ..............  A               Corneal transplant..      14.25        N/A      12.08        0.56         N/A      26.89        090
65750..............  ..............  A               Corneal transplant..      15.00        N/A      13.75        0.59         N/A      29.34        090
65755..............  ..............  A               Corneal transplant..      14.89        N/A      13.66        0.58         N/A      29.13        090
65770..............  ..............  A               Revise cornea with        17.56        N/A      14.78        0.69         N/A      33.03        090
                                                      implant.
65772..............  ..............  A               Correction of              4.29       7.17       6.46        0.17       11.63      10.92        090
                                                      astigmatism.
65775..............  ..............  A               Correction of              5.79        N/A       7.65        0.22         N/A      13.66        090
                                                      astigmatism.
65800..............  ..............  A               Drainage of eye.....       1.91       2.31       1.14        0.08        4.30       3.13        000
65805..............  ..............  A               Drainage of eye.....       1.91       2.31       1.15        0.08        4.30       3.14        000
65810..............  ..............  A               Drainage of eye.....       4.87        N/A       8.08        0.19         N/A      13.14        090
65815..............  ..............  A               Drainage of eye.....       5.05       8.41       7.51        0.20       13.66      12.76        090
65820..............  ..............  A               Relieve inner eye          8.13        N/A      10.62        0.32         N/A      19.07        090
                                                      pressure.

[[Page 49167]]

 
65850..............  ..............  A               Incision of eye.....      10.52        N/A       9.71        0.41         N/A      20.64        090
65855..............  ..............  A               Laser surgery of eye       3.85       5.29       4.12        0.17        9.31       8.14        010
65860..............  ..............  A               Incise inner eye           3.55       4.02       3.36        0.14        7.71       7.05        090
                                                      adhesions.
65865..............  ..............  A               Incise inner eye           5.60        N/A       6.65        0.22         N/A      12.47        090
                                                      adhesions.
65870..............  ..............  A               Incise inner eye           6.27        N/A       7.32        0.24         N/A      13.83        090
                                                      adhesions.
65875..............  ..............  A               Incise inner eye           6.54        N/A       7.62        0.25         N/A      14.41        090
                                                      adhesions.
65880..............  ..............  A               Incise inner eye           7.09        N/A       7.87        0.28         N/A      15.24        090
                                                      adhesions.
65900..............  ..............  A               Remove eye lesion...      10.93        N/A      11.89        0.46         N/A      23.28        090
65920..............  ..............  A               Remove implant of          8.40        N/A       8.87        0.33         N/A      17.60        090
                                                      eye.
65930..............  ..............  A               Remove blood clot          7.44        N/A       8.12        0.29         N/A      15.85        090
                                                      from eye.
66020..............  ..............  A               Injection treatment        1.59       2.42       1.61        0.07        4.08       3.27        010
                                                      of eye.
66030..............  ..............  A               Injection treatment        1.25       2.25       1.45        0.05        3.55       2.75        010
                                                      of eye.
66130..............  ..............  A               Remove eye lesion...       7.69       7.61       7.04        0.31       15.61      15.04        090
66150..............  ..............  A               Glaucoma surgery....       8.30        N/A      10.07        0.33         N/A      18.70        090
66155..............  ..............  A               Glaucoma surgery....       8.29        N/A      10.04        0.32         N/A      18.65        090
66160..............  ..............  A               Glaucoma surgery....      10.17        N/A      10.90        0.41         N/A      21.48        090
66165..............  ..............  A               Glaucoma surgery....       8.01        N/A       9.92        0.31         N/A      18.24        090
66170..............  ..............  A               Glaucoma surgery....      12.16        N/A      12.62        0.48         N/A      25.26        090
66172..............  ..............  A               Incision of eye.....      15.04        N/A      15.19        0.59         N/A      30.82        090
66180..............  ..............  A               Implant eye shunt...      14.55        N/A      11.87        0.57         N/A      26.99        090
66185..............  ..............  A               Revise eye shunt....       8.14        N/A       8.42        0.32         N/A      16.88        090
66220..............  ..............  A               Repair eye lesion...       7.77        N/A       9.00        0.32         N/A      17.09        090
66225..............  ..............  A               Repair/graft eye          11.05        N/A       9.57        0.44         N/A      21.06        090
                                                      lesion.
66250..............  ..............  A               Follow-up surgery of       5.98       7.84       6.66        0.23       14.05      12.87        090
                                                      eye.
66500..............  ..............  A               Incision of iris....       3.71        N/A       5.08        0.15         N/A       8.94        090
66505..............  ..............  A               Incision of iris....       4.08        N/A       5.37        0.17         N/A       9.62        090
66600..............  ..............  A               Remove iris and            8.68        N/A       8.96        0.34         N/A      17.98        090
                                                      lesion.
66605..............  ..............  A               Removal of iris.....      12.79        N/A      11.57        0.61         N/A      24.97        090
66625..............  ..............  A               Removal of iris.....       5.13       7.07       6.33        0.20       12.40      11.66        090
66630..............  ..............  A               Removal of iris.....       6.16        N/A       7.48        0.24         N/A      13.88        090
66635..............  ..............  A               Removal of iris.....       6.25        N/A       6.79        0.24         N/A      13.28        090
66680..............  ..............  A               Repair iris &              5.44        N/A       6.20        0.21         N/A      11.85        090
                                                      ciliary body.
66682..............  ..............  A               Repair iris &              6.21        N/A       7.48        0.24         N/A      13.93        090
                                                      ciliary body.
66700..............  ..............  A               Destruction, ciliary       4.78       5.44       4.13        0.19       10.41       9.10        090
                                                      body.
66710..............  ..............  A               Destruction, ciliary       4.78       5.31       3.92        0.18       10.27       8.88        090
                                                      body.
66720..............  ..............  A               Destruction, ciliary       4.78       5.76       4.69        0.19       10.73       9.66        090
                                                      body.
66740..............  ..............  A               Destruction, ciliary       4.78       5.47       4.30        0.18       10.43       9.26        090
                                                      body.
66761..............  ..............  A               Revision of iris....       4.07       5.65       4.31        0.16        9.88       8.54        090
66762..............  ..............  A               Revision of iris....       4.58       5.73       4.30        0.18       10.49       9.06        090
66770..............  ..............  A               Removal of inner eye       5.18       6.16       4.81        0.20       11.54      10.19        090
                                                      lesion.
66820..............  ..............  A               Incision, secondary        3.89        N/A       7.12        0.16         N/A      11.17        090
                                                      cataract.
66821..............  ..............  A               After cataract laser       2.35       4.04       3.95        0.10        6.49       6.40        090
                                                      surgery.
66825..............  ..............  A               Reposition                 8.23        N/A      10.05        0.32         N/A      18.60        090
                                                      intraocular lens.
66830..............  ..............  A               Removal of lens            8.20        N/A       7.26        0.32         N/A      15.78        090
                                                      lesion.
66840..............  ..............  A               Removal of lens            7.91        N/A       7.17        0.31         N/A      15.39        090
                                                      material.
66850..............  ..............  A               Removal of lens            9.11        N/A       7.89        0.36         N/A      17.36        090
                                                      material.
66852..............  ..............  A               Removal of lens            9.97        N/A       8.35        0.39         N/A      18.71        090
                                                      material.
66920..............  ..............  A               Extraction of lens..       8.86        N/A       7.62        0.35         N/A      16.83        090
66930..............  ..............  A               Extraction of lens..      10.18        N/A       8.72        0.41         N/A      19.31        090
66940..............  ..............  A               Extraction of lens..       8.93        N/A       8.17        0.35         N/A      17.45        090
66982..............  ..............  A               Cataract surgery,         13.50        N/A      10.10        0.56         N/A      24.16        090
                                                      complex.
66983..............  ..............  A               Cataract surg w/iol,       8.99        N/A       6.31        0.37         N/A      15.67        090
                                                      1 stage.
66984..............  ..............  A               Cataract surg w/iol,      10.23        N/A       7.81        0.41         N/A      18.45        090
                                                      1 stage.
66985..............  ..............  A               Insert lens                8.39        N/A       7.60        0.33         N/A      16.32        090
                                                      prosthesis.
66986..............  ..............  A               Exchange lens             12.28        N/A       9.38        0.49         N/A      22.15        090
                                                      prosthesis.
66990..............  ..............  A               Ophthalmic endoscope       1.51        N/A       0.70        0.06         N/A       2.27        ZZZ
                                                      add-on.
66999..............  ..............  C               Eye surgery                0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
67005..............  ..............  A               Partial removal of         5.70        N/A       4.47        0.22         N/A      10.39        090
                                                      eye fluid.
67010..............  ..............  A               Partial removal of         6.87        N/A       5.02        0.27         N/A      12.16        090
                                                      eye fluid.

[[Page 49168]]

 
67015..............  ..............  A               Release of eye fluid       6.92        N/A       7.66        0.27         N/A      14.85        090
67025..............  ..............  A               Replace eye fluid...       6.84      14.24       7.49        0.27       21.35      14.60        090
67027..............  ..............  A               Implant eye drug          10.85      12.86       8.86        0.46       24.17      20.17        090
                                                      system.
67028..............  ..............  A               Injection eye drug..       2.52       6.59       1.16        0.11        9.22       3.79        000
67030..............  ..............  A               Incise inner eye           4.84        N/A       6.78        0.19         N/A      11.81        090
                                                      strands.
67031..............  ..............  A               Laser surgery, eye         3.67       4.77       4.11        0.15        8.59       7.93        090
                                                      strands.
67036..............  ..............  A               Removal of inner eye      11.89        N/A       9.53        0.47         N/A      21.89        090
                                                      fluid.
67038..............  ..............  A               Strip retinal             21.24        N/A      16.17        0.84         N/A      38.25        090
                                                      membrane.
67039..............  ..............  A               Laser treatment of        14.52        N/A      12.87        0.57         N/A      27.96        090
                                                      retina.
67040..............  ..............  A               Laser treatment of        17.23        N/A      14.33        0.68         N/A      32.24        090
                                                      retina.
67101..............  ..............  A               Repair detached            7.53      10.08       8.31        0.29       17.90      16.13        090
                                                      retina.
67105..............  ..............  A               Repair detached            7.41       8.14       6.35        0.29       15.84      14.05        090
                                                      retina.
67107..............  ..............  A               Repair detached           14.84        N/A      13.11        0.58         N/A      28.53        090
                                                      retina.
67108..............  ..............  A               Repair detached           20.82        N/A      17.42        0.82         N/A      39.06        090
                                                      retina.
67110..............  ..............  A               Repair detached            8.81      15.63       9.41        0.35       24.79      18.57        090
                                                      retina.
67112..............  ..............  A               Rerepair detached         16.86        N/A      14.89        0.66         N/A      32.41        090
                                                      retina.
67115..............  ..............  A               Release encircling         4.99        N/A       7.07        0.19         N/A      12.25        090
                                                      material.
67120..............  ..............  A               Remove eye implant         5.98      12.34       6.90        0.23       18.55      13.11        090
                                                      material.
67121..............  ..............  A               Remove eye implant        10.67        N/A      11.45        0.42         N/A      22.54        090
                                                      material.
67141..............  ..............  A               Treatment of retina.       5.20       7.28       6.51        0.20       12.68      11.91        090
67145..............  ..............  A               Treatment of retina.       5.37       5.87       5.04        0.21       11.45      10.62        090
67208..............  ..............  A               Treatment of retinal       6.70       6.06       5.48        0.26       13.02      12.44        090
                                                      lesion.
67210..............  ..............  A               Treatment of retinal       8.82       6.37       5.90        0.35       15.54      15.07        090
                                                      lesion.
67218..............  ..............  A               Treatment of retinal      18.53        N/A      14.52        0.53         N/A      33.58        090
                                                      lesion.
67220..............  ..............  A               Treatment of choroid      13.13      10.02       9.01        0.51       23.66      22.65        090
                                                      lesion.
67221..............  ..............  R               Ocular photodynamic        4.01       4.77       1.84        0.16        8.94       6.01        000
                                                      ther.
67225..............  ..............  A               Eye photodynamic           0.47       0.26       0.22        0.01        0.74       0.70        ZZZ
                                                      ther add-on.
67227..............  ..............  A               Treatment of retinal       6.58       6.55       5.48        0.26       13.39      12.32        090
                                                      lesion.
67228..............  ..............  A               Treatment of retinal      12.74      11.10       8.55        0.50       24.34      21.79        090
                                                      lesion.
67250..............  ..............  A               Reinforce eye wall..       8.66        N/A      10.53        0.36         N/A      19.55        090
67255..............  ..............  A               Reinforce/graft eye        8.90        N/A      11.13        0.35         N/A      20.38        090
                                                      wall.
67299..............  ..............  C               Eye surgery                0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
67311..............  ..............  A               Revise eye muscle...       6.65        N/A       6.52        0.27         N/A      13.44        090
67312..............  ..............  A               Revise two eye             8.54        N/A       7.54        0.35         N/A      16.43        090
                                                      muscles.
67314..............  ..............  A               Revise eye muscle...       7.52        N/A       7.25        0.30         N/A      15.07        090
67316..............  ..............  A               Revise two eye             9.66        N/A       8.23        0.40         N/A      18.29        090
                                                      muscles.
67318..............  ..............  A               Revise eye muscle(s)       7.85        N/A       7.63        0.31         N/A      15.79        090
67320..............  ..............  A               Revise eye muscle(s)       4.33        N/A       2.00        0.17         N/A       6.50        ZZZ
                                                      add-on.
67331..............  ..............  A               Eye surgery follow-        4.06        N/A       1.95        0.17         N/A       6.18        ZZZ
                                                      up add-on.
67332..............  ..............  A               Rerevise eye muscles       4.49        N/A       2.07        0.18         N/A       6.74        ZZZ
                                                      add-on.
67334..............  ..............  A               Revise eye muscle w/       3.98        N/A       1.84        0.16         N/A       5.98        ZZZ
                                                      suture.
67335..............  ..............  A               Eye suture during          2.49        N/A       1.15        0.10         N/A       3.74        ZZZ
                                                      surgery.
67340..............  ..............  A               Revise eye muscle          4.93        N/A       2.27        0.19         N/A       7.39        ZZZ
                                                      add-on.
67343..............  ..............  A               Release eye tissue..       7.35        N/A       7.33        0.30         N/A      14.98        090
67345..............  ..............  A               Destroy nerve of eye       2.96       4.46       1.40        0.13        7.55       4.49        010
                                                      muscle.
67350..............  ..............  A               Biopsy eye muscle...       2.87        N/A       1.91        0.13         N/A       4.91        000
67399..............  ..............  C               Eye muscle surgery         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
67400..............  ..............  A               Explore/biopsy eye         9.76        N/A      12.74        0.43         N/A      22.93        090
                                                      socket.
67405..............  ..............  A               Explore/drain eye          7.93        N/A      11.44        0.36         N/A      19.73        090
                                                      socket.
67412..............  ..............  A               Explore/treat eye          9.50        N/A      13.20        0.41         N/A      23.11        090
                                                      socket.
67413..............  ..............  A               Explore/treat eye         10.00        N/A      12.38        0.43         N/A      22.81        090
                                                      socket.
67414..............  ..............  A               Explr/decompress eye      11.13        N/A      14.33        0.48         N/A      25.94        090
                                                      socket.
67415..............  ..............  A               Aspiration, orbital        1.76        N/A       0.78        0.09         N/A       2.63        000
                                                      contents.
67420..............  ..............  A               Explore/treat eye         20.06        N/A      19.13        0.84         N/A      40.03        090
                                                      socket.

[[Page 49169]]

 
67430..............  ..............  A               Explore/treat eye         13.39        N/A      15.97        0.97         N/A      30.33        090
                                                      socket.
67440..............  ..............  A               Explore/drain eye         13.09        N/A      15.80        0.58         N/A      29.47        090
                                                      socket.
67445..............  ..............  A               Explr/decompress eye      14.42        N/A      16.00        0.63         N/A      31.05        090
                                                      socket.
67450..............  ..............  A               Explore/biopsy eye        13.51        N/A      16.16        0.56         N/A      30.23        090
                                                      socket.
67500..............  ..............  A               Inject/treat eye           0.79       0.84       0.19        0.04        1.67       1.02        000
                                                      socket.
67505..............  ..............  A               Inject/treat eye           0.82       0.93       0.21        0.04        1.79       1.07        000
                                                      socket.
67515..............  ..............  A               Inject/treat eye           0.61       0.84       0.28        0.02        1.47       0.91        000
                                                      socket.
67550..............  ..............  A               Insert eye socket         10.19        N/A      12.61        0.50         N/A      23.30        090
                                                      implant.
67560..............  ..............  A               Revise eye socket         10.60        N/A      12.57        0.47         N/A      23.64        090
                                                      implant.
67570..............  ..............  A               Decompress optic          13.58        N/A      15.48        0.69         N/A      29.75        090
                                                      nerve.
67599..............  ..............  C               Orbit surgery              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
67700..............  ..............  A               Drainage of eyelid         1.35       4.90       0.64        0.06        6.31       2.05        010
                                                      abscess.
67710..............  ..............  A               Incision of eyelid..       1.02       5.06       0.54        0.04        6.12       1.60        010
67715..............  ..............  A               Incision of eyelid         1.22       4.64       0.63        0.05        5.91       1.90        010
                                                      fold.
67800..............  ..............  A               Remove eyelid lesion       1.38       2.53       0.70        0.06        3.97       2.14        010
67801..............  ..............  A               Remove eyelid              1.88       5.41       0.94        0.08        7.37       2.90        010
                                                      lesions.
67805..............  ..............  A               Remove eyelid              2.22       5.56       1.09        0.09        7.87       3.40        010
                                                      lesions.
67808..............  ..............  A               Remove eyelid              3.80        N/A       5.28        0.17         N/A       9.25        090
                                                      lesion(s).
67810..............  ..............  A               Biopsy of eyelid....       1.48       3.71       0.69        0.06        5.25       2.23        000
67820..............  ..............  A               Revise eyelashes....       0.89       1.13       0.38        0.04        2.06       1.31        000
67825..............  ..............  A               Revise eyelashes....       1.38       1.61       1.09        0.06        3.05       2.53        010
67830..............  ..............  A               Revise eyelashes....       1.70       7.58       1.99        0.07        9.35       3.76        010
67835..............  ..............  A               Revise eyelashes....       5.56        N/A       5.10        0.22         N/A      10.88        090
67840..............  ..............  A               Remove eyelid lesion       2.04       5.39       1.01        0.08        7.51       3.13        010
67850..............  ..............  A               Treat eyelid lesion.       1.69       6.17       1.93        0.07        7.93       3.69        010
67875..............  ..............  A               Closure of eyelid by       1.35       7.71       1.26        0.06        9.12       2.67        000
                                                      suture.
67880..............  ..............  A               Revision of eyelid..       3.80       9.81       4.38        0.16       13.77       8.34        090
67882..............  ..............  A               Revision of eyelid..       5.07      11.09       5.50        0.21       16.37      10.78        090
67900..............  ..............  A               Repair brow defect..       6.14      10.72       6.39        0.30       17.16      12.83        090
67901..............  ..............  A               Repair eyelid defect       6.97        N/A       6.54        0.32         N/A      13.83        090
67902..............  ..............  A               Repair eyelid defect       7.03        N/A       6.61        0.34         N/A      13.98        090
67903..............  ..............  A               Repair eyelid defect       6.37      11.50       6.81        0.39       18.26      13.57        090
67904..............  ..............  A               Repair eyelid defect       6.26      12.71       7.30        0.26       19.23      13.82        090
67906..............  ..............  A               Repair eyelid defect       6.79       9.26       6.12        0.42       16.47      13.33        090
67908..............  ..............  A               Repair eyelid defect       5.13       8.99       5.78        0.20       14.32      11.11        090
67909..............  ..............  A               Revise eyelid defect       5.40       9.55       6.19        0.25       15.20      11.84        090
67911..............  ..............  A               Revise eyelid defect       5.27        N/A       6.16        0.23         N/A      11.66        090
67914..............  ..............  A               Repair eyelid defect       3.68       9.44       4.02        0.16       13.28       7.86        090
67915..............  ..............  A               Repair eyelid defect       3.18       8.02       2.63        0.13       11.33       5.94        090
67916..............  ..............  A               Repair eyelid defect       5.31      11.98       5.80        0.22       17.51      11.33        090
67917..............  ..............  A               Repair eyelid defect       6.02       9.90       6.26        0.25       16.17      12.53        090
67921..............  ..............  A               Repair eyelid defect       3.40       9.24       3.82        0.14       12.78       7.36        090
67922..............  ..............  A               Repair eyelid defect       3.06       7.97       3.55        0.13       11.16       6.74        090
67923..............  ..............  A               Repair eyelid defect       5.88      11.44       5.91        0.24       17.56      12.03        090
67924..............  ..............  A               Repair eyelid defect       5.79       9.26       5.76        0.23       15.28      11.78        090
67930..............  ..............  A               Repair eyelid wound.       3.61       8.54       3.00        0.17       12.32       6.78        010
67935..............  ..............  A               Repair eyelid wound.       6.22      11.46       5.97        0.29       17.97      12.48        090
67938..............  ..............  A               Remove eyelid              1.33       5.90       0.57        0.06        7.29       1.96        010
                                                      foreign body.
67950..............  ..............  A               Revision of eyelid..       5.82       8.42       6.70        0.30       14.54      12.82        090
67961..............  ..............  A               Revision of eyelid..       5.69      10.32       5.79        0.26       16.27      11.74        090
67966..............  ..............  A               Revision of eyelid..       6.57       8.50       5.78        0.33       15.40      12.68        090
67971..............  ..............  A               Reconstruction of          9.79        N/A       7.41        0.42         N/A      17.62        090
                                                      eyelid.
67973..............  ..............  A               Reconstruction of         12.87        N/A       9.41        0.59         N/A      22.87        090
                                                      eyelid.
67974..............  ..............  A               Reconstruction of         12.84        N/A       9.32        0.54         N/A      22.70        090
                                                      eyelid.
67975..............  ..............  A               Reconstruction of          9.13        N/A       7.08        0.38         N/A      16.59        090
                                                      eyelid.
67999..............  ..............  C               Revision of eyelid..       0.00       0.00       0.00        0.00        0.00       0.00        YYY
68020..............  ..............  A               Incise/drain eyelid        1.37       5.77       0.69        0.06        7.20       2.12        010
                                                      lining.
68040..............  ..............  A               Treatment of eyelid        0.85       4.88       0.39        0.03        5.76       1.27        000
                                                      lesions.
68100..............  ..............  A               Biopsy of eyelid           1.35       5.08       0.62        0.06        6.49       2.03        000
                                                      lining.
68110..............  ..............  A               Remove eyelid lining       1.77       6.14       1.43        0.07        7.98       3.27        010
                                                      lesion.

[[Page 49170]]

 
68115..............  ..............  A               Remove eyelid lining       2.36       5.63       1.16        0.10        8.09       3.62        010
                                                      lesion.
68130..............  ..............  A               Remove eyelid lining       4.93       8.01       4.03        0.19       13.13       9.15        090
                                                      lesion.
68135..............  ..............  A               Remove eyelid lining       1.84       5.39       0.92        0.07        7.30       2.83        010
                                                      lesion.
68200..............  ..............  A               Treat eyelid by            0.49       0.74       0.23        0.02        1.25       0.74        000
                                                      injection.
68320..............  ..............  A               Revise/graft eyelid        5.37       6.68       5.51        0.21       12.26      11.09        090
                                                      lining.
68325..............  ..............  A               Revise/graft eyelid        7.36        N/A       6.52        0.30         N/A      14.18        090
                                                      lining.
68326..............  ..............  A               Revise/graft eyelid        7.15        N/A       6.39        0.30         N/A      13.84        090
                                                      lining.
68328..............  ..............  A               Revise/graft eyelid        8.18        N/A       7.13        0.40         N/A      15.71        090
                                                      lining.
68330..............  ..............  A               Revise eyelid lining       4.83       7.37       6.16        0.19       12.39      11.18        090
68335..............  ..............  A               Revise/graft eyelid        7.19        N/A       6.92        0.29         N/A      14.40        090
                                                      lining.
68340..............  ..............  A               Separate eyelid            4.17      10.96       4.83        0.17       15.30       9.17        090
                                                      adhesions.
68360..............  ..............  A               Revise eyelid lining       4.37       6.72       5.68        0.17       11.26      10.22        090
68362..............  ..............  A               Revise eyelid lining       7.34        N/A       7.86        0.29         N/A      15.49        090
68399..............  ..............  C               Eyelid lining              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
68400..............  ..............  A               Incise/drain tear          1.69       7.73       2.09        0.07        9.49       3.85        010
                                                      gland.
68420..............  ..............  A               Incise/drain tear          2.30       8.07       2.38        0.10       10.47       4.78        010
                                                      sac.
68440..............  ..............  A               Incise tear duct           0.94       5.00       0.50        0.04        5.98       1.48        010
                                                      opening.
68500..............  ..............  A               Removal of tear           11.02        N/A      10.36        0.60         N/A      21.98        090
                                                      gland.
68505..............  ..............  A               Partial removal,          10.94        N/A      11.40        0.57         N/A      22.91        090
                                                      tear gland.
68510..............  ..............  A               Biopsy of tear gland       4.61       8.57       2.14        0.19       13.37       6.94        000
68520..............  ..............  A               Removal of tear sac.       7.51        N/A       7.94        0.33         N/A      15.78        090
68525..............  ..............  A               Biopsy of tear sac..       4.43        N/A       2.06        0.18         N/A       6.67        000
68530..............  ..............  A               Clearance of tear          3.66       9.59       2.90        0.16       13.41       6.72        010
                                                      duct.
68540..............  ..............  A               Remove tear gland         10.60        N/A      10.03        0.46         N/A      21.09        090
                                                      lesion.
68550..............  ..............  A               Remove tear gland         13.26        N/A      12.03        0.66         N/A      25.95        090
                                                      lesion.
68700..............  ..............  A               Repair tear ducts...       6.60        N/A       7.42        0.27         N/A      14.29        090
68705..............  ..............  A               Revise tear duct           2.06       5.52       1.02        0.08        7.66       3.16        010
                                                      opening.
68720..............  ..............  A               Create tear sac            8.96        N/A       8.43        0.38         N/A      17.77        090
                                                      drain.
68745..............  ..............  A               Create tear duct           8.63        N/A       8.40        0.38         N/A      17.41        090
                                                      drain.
68750..............  ..............  A               Create tear duct           8.66        N/A       8.85        0.37         N/A      17.88        090
                                                      drain.
68760..............  ..............  A               Close tear duct            1.73       4.05       1.26        0.07        5.85       3.06        010
                                                      opening.
68761..............  ..............  A               Close tear duct            1.36       3.48       1.00        0.06        4.90       2.42        010
                                                      opening.
68770..............  ..............  A               Close tear system          7.02      12.97       6.93        0.28       20.27      14.23        090
                                                      fistula.
68801..............  ..............  A               Dilate tear duct           0.94       0.95       0.61        0.04        1.93       1.59        010
                                                      opening.
68810..............  ..............  A               Probe nasolacrimal         1.90       2.36       0.94        0.08        4.34       2.92        010
                                                      duct.
68811..............  ..............  A               Probe nasolacrimal         2.35        N/A       2.40        0.10         N/A       4.85        010
                                                      duct.
68815..............  ..............  A               Probe nasolacrimal         3.20       8.29       2.73        0.14       11.63       6.07        010
                                                      duct.
68840..............  ..............  A               Explore/irrigate           1.25       1.67       0.98        0.05        2.97       2.28        010
                                                      tear ducts.
68850..............  ..............  A               Injection for tear         0.80      12.84       0.30        0.03       13.67       1.13        000
                                                      sac x-ray.
68899..............  ..............  C               Tear duct system           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
69000..............  ..............  A               Drain external ear         1.45       3.11       1.44        0.10        4.66       2.99        010
                                                      lesion.
69005..............  ..............  A               Drain external ear         2.11       3.10       1.90        0.16        5.37       4.17        010
                                                      lesion.
69020..............  ..............  A               Drain outer ear            1.48       3.11       1.91        0.11        4.70       3.50        010
                                                      canal lesion.
69100..............  ..............  A               Biopsy of external         0.81       1.78       0.40        0.04        2.63       1.25        000
                                                      ear.
69105..............  ..............  A               Biopsy of external         0.85       1.96       0.78        0.06        2.87       1.69        000
                                                      ear canal.
69110..............  ..............  A               Remove external ear,       3.44       4.17       3.11        0.24        7.85       6.79        090
                                                      partial.
69120..............  ..............  A               Removal of external        4.05        N/A       4.11        0.31         N/A       8.47        090
                                                      ear.
69140..............  ..............  A               Remove ear canal           7.97        N/A       6.99        0.56         N/A      15.52        090
                                                      lesion(s).
69145..............  ..............  A               Remove ear canal           2.62       3.73       2.69        0.18        6.53       5.49        090
                                                      lesion(s).
69150..............  ..............  A               Extensive ear canal       13.43        N/A      10.23        1.07         N/A      24.73        090
                                                      surgery.
69155..............  ..............  A               Extensive ear/neck        20.80        N/A      14.88        1.51         N/A      37.19        090
                                                      surgery.
69200..............  ..............  A               Clear outer ear            0.77       1.64       0.59        0.05        2.46       1.41        000
                                                      canal.
69205..............  ..............  A               Clear outer ear            1.20        N/A       1.31        0.09         N/A       2.60        010
                                                      canal.
69210..............  ..............  A               Remove impacted ear        0.61       0.66       0.24        0.04        1.31       0.89        000
                                                      wax.
69220..............  ..............  A               Clean out mastoid          0.83       1.72       0.75        0.06        2.61       1.64        000
                                                      cavity.
69222..............  ..............  A               Clean out mastoid          1.40       3.23       1.86        0.10        4.73       3.36        010
                                                      cavity.

[[Page 49171]]

 
69300..............  ..............  R               Revise external ear.       6.36        N/A       4.35        0.43         N/A      11.14        YYY
69310..............  ..............  A               Rebuild outer ear         10.79        N/A       8.70        0.77         N/A      20.26        090
                                                      canal.
69320..............  ..............  A               Rebuild outer ear         16.96        N/A      12.52        1.17         N/A      30.65        090
                                                      canal.
69399..............  ..............  C               Outer ear surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
69400..............  ..............  A               Inflate middle ear         0.83       2.14       0.69        0.06        3.03       1.58        000
                                                      canal.
69401..............  ..............  A               Inflate middle ear         0.63       1.04       0.66        0.04        1.71       1.33        000
                                                      canal.
69405..............  ..............  A               Catheterize middle         2.63       3.32       2.37        0.18        6.13       5.18        010
                                                      ear canal.
69410..............  ..............  A               Inset middle ear           0.33       1.41       0.50        0.02        1.76       0.85        000
                                                      (baffle).
69420..............  ..............  A               Incision of eardrum.       1.33       2.49       1.64        0.10        3.92       3.07        010
69421..............  ..............  A               Incision of eardrum.       1.73        N/A       1.89        0.13         N/A       3.75        010
69424..............  ..............  A               Remove ventilating         0.85       1.58       0.70        0.06        2.49       1.61        000
                                                      tube.
69433..............  ..............  A               Create eardrum             1.52       2.48       1.71        0.11        4.11       3.34        010
                                                      opening.
69436..............  ..............  A               Create eardrum             1.96        N/A       2.02        0.14         N/A       4.12        010
                                                      opening.
69440..............  ..............  A               Exploration of             7.57        N/A       6.54        0.53         N/A      14.64        090
                                                      middle ear.
69450..............  ..............  A               Eardrum revision....       5.57        N/A       5.26        0.39         N/A      11.22        090
69501..............  ..............  A               Mastoidectomy.......       9.07        N/A       7.34        0.65         N/A      17.06        090
69502..............  ..............  A               Mastoidectomy.......      12.38        N/A       9.61        0.86         N/A      22.85        090
69505..............  ..............  A               Remove mastoid            12.99        N/A       9.87        0.92         N/A      23.78        090
                                                      structures.
69511..............  ..............  A               Extensive mastoid         13.52        N/A      10.21        0.96         N/A      24.69        090
                                                      surgery.
69530..............  ..............  A               Extensive mastoid         19.19        N/A      13.44        1.32         N/A      33.95        090
                                                      surgery.
69535..............  ..............  A               Remove part of            36.14        N/A      22.99        2.59         N/A      61.72        090
                                                      temporal bone.
69540..............  ..............  A               Remove ear lesion...       1.20       3.17       1.75        0.09        4.46       3.04        010
69550..............  ..............  A               Remove ear lesion...      10.99        N/A       8.64        0.80         N/A      20.43        090
69552..............  ..............  A               Remove ear lesion...      19.46        N/A      13.33        1.36         N/A      34.15        090
69554..............  ..............  A               Remove ear lesion...      33.16        N/A      21.44        2.32         N/A      56.92        090
69601..............  ..............  A               Mastoid surgery           13.24        N/A      10.40        0.92         N/A      24.56        090
                                                      revision.
69602..............  ..............  A               Mastoid surgery           13.58        N/A      10.32        0.94         N/A      24.84        090
                                                      revision.
69603..............  ..............  A               Mastoid surgery           14.02        N/A      10.54        1.00         N/A      25.56        090
                                                      revision.
69604..............  ..............  A               Mastoid surgery           14.02        N/A      10.52        0.98         N/A      25.52        090
                                                      revision.
69605..............  ..............  A               Mastoid surgery           18.49        N/A      13.24        1.29         N/A      33.02        090
                                                      revision.
69610..............  ..............  A               Repair of eardrum...       4.43       4.59       3.36        0.31        9.33       8.10        010
69620..............  ..............  A               Repair of eardrum...       5.89       6.46       4.59        0.40       12.75      10.88        090
69631..............  ..............  A               Repair eardrum             9.86        N/A       8.18        0.69         N/A      18.73        090
                                                      structures.
69632..............  ..............  A               Rebuild eardrum           12.75        N/A      10.12        0.89         N/A      23.76        090
                                                      structures.
69633..............  ..............  A               Rebuild eardrum           12.10        N/A       9.78        0.84         N/A      22.72        090
                                                      structures.
69635..............  ..............  A               Repair eardrum            13.33        N/A       9.73        0.87         N/A      23.93        090
                                                      structures.
69636..............  ..............  A               Rebuild eardrum           15.22        N/A      11.58        1.07         N/A      27.87        090
                                                      structures.
69637..............  ..............  A               Rebuild eardrum           15.11        N/A      11.52        1.06         N/A      27.69        090
                                                      structures.
69641..............  ..............  A               Revise middle ear &       12.71        N/A       9.84        0.89         N/A      23.44        090
                                                      mastoid.
69642..............  ..............  A               Revise middle ear &       16.84        N/A      12.56        1.18         N/A      30.58        090
                                                      mastoid.
69643..............  ..............  A               Revise middle ear &       15.32        N/A      11.58        1.08         N/A      27.98        090
                                                      mastoid.
69644..............  ..............  A               Revise middle ear &       16.97        N/A      12.50        1.19         N/A      30.66        090
                                                      mastoid.
69645..............  ..............  A               Revise middle ear &       16.38        N/A      12.14        1.16         N/A      29.68        090
                                                      mastoid.
69646..............  ..............  A               Revise middle ear &       17.99        N/A      13.08        1.26         N/A      32.33        090
                                                      mastoid.
69650..............  ..............  A               Release middle ear         9.66        N/A       7.69        0.68         N/A      18.03        090
                                                      bone.
69660..............  ..............  A               Revise middle ear         11.90        N/A       8.92        0.84         N/A      21.66        090
                                                      bone.
69661..............  ..............  A               Revise middle ear         15.74        N/A      11.46        1.10         N/A      28.30        090
                                                      bone.
69662..............  ..............  A               Revise middle ear         15.44        N/A      11.17        1.08         N/A      27.69        090
                                                      bone.
69666..............  ..............  A               Repair middle ear          9.75        N/A       7.77        0.68         N/A      18.20        090
                                                      structures.
69667..............  ..............  A               Repair middle ear          9.76        N/A       7.75        0.72         N/A      18.23        090
                                                      structures.

[[Page 49172]]

 
69670..............  ..............  A               Remove mastoid air        11.51        N/A       8.97        0.78         N/A      21.26        090
                                                      cells.
69676..............  ..............  A               Remove middle ear          9.52        N/A       7.92        0.69         N/A      18.13        090
                                                      nerve.
69700..............  ..............  A               Close mastoid              8.23        N/A       6.03        0.55         N/A      14.81        090
                                                      fistula.
69711..............  ..............  A               Remove/repair             10.44        N/A       8.37        0.62         N/A      19.43        090
                                                      hearing aid.
69714..............  ..............  A               Implant temple bone       14.00        N/A      10.18        1.01         N/A      25.19        090
                                                      w/stimul.
69715..............  ..............  A               Temple bne implnt w/      18.25        N/A      12.72        1.32         N/A      32.29        090
                                                      stimulat.
69717..............  ..............  A               Temple bone implant       14.98        N/A       9.79        1.08         N/A      25.85        090
                                                      revision.
69718..............  ..............  A               Revise temple bone        18.50        N/A      12.61        1.34         N/A      32.45        090
                                                      implant.
69720..............  ..............  A               Release facial nerve      14.38        N/A      11.18        1.03         N/A      26.59        090
69725..............  ..............  A               Release facial nerve      25.38        N/A      17.37        1.78         N/A      44.53        090
69740..............  ..............  A               Repair facial nerve.      15.96        N/A      10.68        1.13         N/A      27.77        090
69745..............  ..............  A               Repair facial nerve.      16.69        N/A      11.71        1.00         N/A      29.40        090
69799..............  ..............  C               Middle ear surgery         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
69801..............  ..............  A               Incise inner ear....       8.56        N/A       7.09        0.60         N/A      16.25        090
69802..............  ..............  A               Incise inner ear....      13.10        N/A       9.96        0.91         N/A      23.97        090
69805..............  ..............  A               Explore inner ear...      13.82        N/A      10.38        0.97         N/A      25.17        090
69806..............  ..............  A               Explore inner ear...      12.35        N/A       9.52        0.86         N/A      22.73        090
69820..............  ..............  A               Establish inner ear       10.34        N/A       8.08        0.66         N/A      19.08        090
                                                      window.
69840..............  ..............  A               Revise inner ear          10.26        N/A       7.05        0.64         N/A      17.95        090
                                                      window.
69905..............  ..............  A               Remove inner ear....      11.10        N/A       8.63        0.77         N/A      20.50        090
69910..............  ..............  A               Remove inner ear &        13.63        N/A      10.06        0.94         N/A      24.63        090
                                                      mastoid.
69915..............  ..............  A               Incise inner ear          21.23        N/A      14.59        1.54         N/A      37.36        090
                                                      nerve.
69930..............  ..............  A               Implant cochlear          16.81        N/A      12.16        1.19         N/A      30.16        090
                                                      device.
69949..............  ..............  C               Inner ear surgery          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedure.
69950..............  ..............  A               Incise inner ear          25.64        N/A      16.47        2.90         N/A      45.01        090
                                                      nerve.
69955..............  ..............  A               Release facial nerve      27.04        N/A      18.10        1.89         N/A      47.03        090
69960..............  ..............  A               Release inner ear         27.04        N/A      17.53        2.43         N/A      47.00        090
                                                      canal.
69970..............  ..............  A               Remove inner ear          30.04        N/A      18.82        2.34         N/A      51.20        090
                                                      lesion.
69979..............  ..............  C               Temporal bone              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      surgery.
69990..............  ..............  R               Microsurgery add-on.       3.47        N/A       1.83        0.56         N/A       5.86        ZZZ
70010..............  ..............  A               Contrast x-ray of          1.19       4.74        N/A        0.24        6.17        N/A        XXX
                                                      brain.
70010..............  26............  A               Contrast x-ray of          1.19       0.40       0.40        0.06        1.65       1.65        XXX
                                                      brain.
70010..............  TC............  A               Contrast x-ray of          0.00       4.33        N/A        0.18        4.51        N/A        XXX
                                                      brain.
70015..............  ..............  A               Contrast x-ray of          1.19       1.76        N/A        0.12        3.07        N/A        XXX
                                                      brain.
70015..............  26............  A               Contrast x-ray of          1.19       0.40       0.40        0.05        1.64       1.64        XXX
                                                      brain.
70015..............  TC............  A               Contrast x-ray of          0.00       1.35        N/A        0.07        1.42        N/A        XXX
                                                      brain.
70030..............  ..............  A               X-ray eye for              0.17       0.47        N/A        0.03        0.67        N/A        XXX
                                                      foreign body.
70030..............  26............  A               X-ray eye for              0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      foreign body.
70030..............  TC............  A               X-ray eye for              0.00       0.42        N/A        0.02        0.44        N/A        XXX
                                                      foreign body.
70100..............  ..............  A               X-ray exam of jaw...       0.18       0.58        N/A        0.03        0.79        N/A        XXX
70100..............  26............  A               X-ray exam of jaw...       0.18       0.06       0.06        0.01        0.25       0.25        XXX
70100..............  TC............  A               X-ray exam of jaw...       0.00       0.52        N/A        0.02        0.54        N/A        XXX
70110..............  ..............  A               X-ray exam of jaw...       0.25       0.70        N/A        0.04        0.99        N/A        XXX
70110..............  26............  A               X-ray exam of jaw...       0.25       0.08       0.08        0.01        0.34       0.34        XXX
70110..............  TC............  A               X-ray exam of jaw...       0.00       0.62        N/A        0.03        0.65        N/A        XXX
70120..............  ..............  A               X-ray exam of              0.18       0.68        N/A        0.04        0.90        N/A        XXX
                                                      mastoids.
70120..............  26............  A               X-ray exam of              0.18       0.06       0.06        0.01        0.25       0.25        XXX
                                                      mastoids.
70120..............  TC............  A               X-ray exam of              0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      mastoids.
70130..............  ..............  A               X-ray exam of              0.34       0.90        N/A        0.05        1.29        N/A        XXX
                                                      mastoids.
70130..............  26............  A               X-ray exam of              0.34       0.11       0.11        0.01        0.46       0.46        XXX
                                                      mastoids.
70130..............  TC............  A               X-ray exam of              0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      mastoids.
70134..............  ..............  A               X-ray exam of middle       0.34       0.85        N/A        0.05        1.24        N/A        XXX
                                                      ear.
70134..............  26............  A               X-ray exam of middle       0.34       0.11       0.11        0.01        0.46       0.46        XXX
                                                      ear.
70134..............  TC............  A               X-ray exam of middle       0.00       0.73        N/A        0.04        0.77        N/A        XXX
                                                      ear.
70140..............  ..............  A               X-ray exam of facial       0.19       0.68        N/A        0.04        0.91        N/A        XXX
                                                      bones.
70140..............  26............  A               X-ray exam of facial       0.19       0.06       0.06        0.01        0.26       0.26        XXX
                                                      bones.
70140..............  TC............  A               X-ray exam of facial       0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      bones.
70150..............  ..............  A               X-ray exam of facial       0.26       0.87        N/A        0.05        1.18        N/A        XXX
                                                      bones.
70150..............  26............  A               X-ray exam of facial       0.26       0.09       0.09        0.01        0.36       0.36        XXX
                                                      bones.

[[Page 49173]]

 
70150..............  TC............  A               X-ray exam of facial       0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      bones.
70160..............  ..............  A               X-ray exam of nasal        0.17       0.58        N/A        0.03        0.78        N/A        XXX
                                                      bones.
70160..............  26............  A               X-ray exam of nasal        0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      bones.
70160..............  TC............  A               X-ray exam of nasal        0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      bones.
70170..............  ..............  A               X-ray exam of tear         0.30       1.05        N/A        0.06        1.41        N/A        XXX
                                                      duct.
70170..............  26............  A               X-ray exam of tear         0.30       0.10       0.10        0.01        0.41       0.41        XXX
                                                      duct.
70170..............  TC............  A               X-ray exam of tear         0.00       0.95        N/A        0.05        1.00        N/A        XXX
                                                      duct.
70190..............  ..............  A               X-ray exam of eye          0.21       0.69        N/A        0.04        0.94        N/A        XXX
                                                      sockets.
70190..............  26............  A               X-ray exam of eye          0.21       0.07       0.07        0.01        0.29       0.29        XXX
                                                      sockets.
70190..............  TC............  A               X-ray exam of eye          0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      sockets.
70200..............  ..............  A               X-ray exam of eye          0.28       0.88        N/A        0.05        1.21        N/A        XXX
                                                      sockets.
70200..............  26............  A               X-ray exam of eye          0.28       0.09       0.09        0.01        0.38       0.38        XXX
                                                      sockets.
70200..............  TC............  A               X-ray exam of eye          0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      sockets.
70210..............  ..............  A               X-ray exam of              0.17       0.68        N/A        0.04        0.89        N/A        XXX
                                                      sinuses.
70210..............  26............  A               X-ray exam of              0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      sinuses.
70210..............  TC............  A               X-ray exam of              0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      sinuses.
70220..............  ..............  A               X-ray exam of              0.25       0.87        N/A        0.05        1.17        N/A        XXX
                                                      sinuses.
70220..............  26............  A               X-ray exam of              0.25       0.08       0.08        0.01        0.34       0.34        XXX
                                                      sinuses.
70220..............  TC............  A               X-ray exam of              0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      sinuses.
70240..............  ..............  A               X-ray exam,                0.19       0.48        N/A        0.03        0.70        N/A        XXX
                                                      pituitary saddle.
70240..............  26............  A               X-ray exam,                0.19       0.06       0.06        0.01        0.26       0.26        XXX
                                                      pituitary saddle.
70240..............  TC............  A               X-ray exam,                0.00       0.42        N/A        0.02        0.44        N/A        XXX
                                                      pituitary saddle.
70250..............  ..............  A               X-ray exam of skull.       0.24       0.70        N/A        0.04        0.98        N/A        XXX
70250..............  26............  A               X-ray exam of skull.       0.24       0.08       0.08        0.01        0.33       0.33        XXX
70250..............  TC............  A               X-ray exam of skull.       0.00       0.62        N/A        0.03        0.65        N/A        XXX
70260..............  ..............  A               X-ray exam of skull.       0.34       1.00        N/A        0.06        1.40        N/A        XXX
70260..............  26............  A               X-ray exam of skull.       0.34       0.11       0.11        0.01        0.46       0.46        XXX
70260..............  TC............  A               X-ray exam of skull.       0.00       0.89        N/A        0.05        0.94        N/A        XXX
70300..............  ..............  A               X-ray exam of teeth.       0.10       0.31        N/A        0.03        0.44        N/A        XXX
70300..............  26............  A               X-ray exam of teeth.       0.10       0.05       0.05        0.01        0.16       0.16        XXX
70300..............  TC............  A               X-ray exam of teeth.       0.00       0.26        N/A        0.02        0.28        N/A        XXX
70310..............  ..............  A               X-ray exam of teeth.       0.16       0.50        N/A        0.03        0.69        N/A        XXX
70310..............  26............  A               X-ray exam of teeth.       0.16       0.08       0.08        0.01        0.25       0.25        XXX
70310..............  TC............  A               X-ray exam of teeth.       0.00       0.42        N/A        0.02        0.44        N/A        XXX
70320..............  ..............  A               Full mouth x-ray of        0.22       0.86        N/A        0.05        1.13        N/A        XXX
                                                      teeth.
70320..............  26............  A               Full mouth x-ray of        0.22       0.08       0.08        0.01        0.31       0.31        XXX
                                                      teeth.
70320..............  TC............  A               Full mouth x-ray of        0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      teeth.
70328..............  ..............  A               X-ray exam of jaw          0.18       0.55        N/A        0.03        0.76        N/A        XXX
                                                      joint.
70328..............  26............  A               X-ray exam of jaw          0.18       0.06       0.06        0.01        0.25       0.25        XXX
                                                      joint.
70328..............  TC............  A               X-ray exam of jaw          0.00       0.49        N/A        0.02        0.51        N/A        XXX
                                                      joint.
70330..............  ..............  A               X-ray exam of jaw          0.24       0.92        N/A        0.05        1.21        N/A        XXX
                                                      joints.
70330..............  26............  A               X-ray exam of jaw          0.24       0.08       0.08        0.01        0.33       0.33        XXX
                                                      joints.
70330..............  TC............  A               X-ray exam of jaw          0.00       0.84        N/A        0.04        0.88        N/A        XXX
                                                      joints.
70332..............  ..............  A               X-ray exam of jaw          0.54       2.30        N/A        0.12        2.96        N/A        XXX
                                                      joint.
70332..............  26............  A               X-ray exam of jaw          0.54       0.20       0.20        0.02        0.76       0.76        XXX
                                                      joint.
70332..............  TC............  A               X-ray exam of jaw          0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      joint.
70336..............  ..............  A               Magnetic image, jaw        1.48      11.71        N/A        0.56       13.75        N/A        XXX
                                                      joint.
70336..............  26............  A               Magnetic image, jaw        1.48       0.50       0.50        0.07        2.05       2.05        XXX
                                                      joint.
70336..............  TC............  A               Magnetic image, jaw        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      joint.
70350..............  ..............  A               X-ray head for             0.17       0.45        N/A        0.03        0.65        N/A        XXX
                                                      orthodontia.
70350..............  26............  A               X-ray head for             0.17       0.07       0.07        0.01        0.25       0.25        XXX
                                                      orthodontia.
70350..............  TC............  A               X-ray head for             0.00       0.38        N/A        0.02        0.40        N/A        XXX
                                                      orthodontia.
70355..............  ..............  A               Panoramic x-ray of         0.20       0.65        N/A        0.04        0.89        N/A        XXX
                                                      jaws.
70355..............  26............  A               Panoramic x-ray of         0.20       0.08       0.08        0.01        0.29       0.29        XXX
                                                      jaws.
70355..............  TC............  A               Panoramic x-ray of         0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      jaws.
70360..............  ..............  A               X-ray exam of neck..       0.17       0.47        N/A        0.03        0.67        N/A        XXX
70360..............  26............  A               X-ray exam of neck..       0.17       0.06       0.06        0.01        0.24       0.24        XXX
70360..............  TC............  A               X-ray exam of neck..       0.00       0.42        N/A        0.02        0.44        N/A        XXX
70370..............  ..............  A               Throat x-ray &             0.32       1.41        N/A        0.07        1.80        N/A        XXX
                                                      fluoroscopy.
70370..............  26............  A               Throat x-ray &             0.32       0.11       0.11        0.01        0.44       0.44        XXX
                                                      fluoroscopy.

[[Page 49174]]

 
70370..............  TC............  A               Throat x-ray &             0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      fluoroscopy.
70371..............  ..............  A               Speech evaluation,         0.84       2.38        N/A        0.14        3.36        N/A        XXX
                                                      complex.
70371..............  26............  A               Speech evaluation,         0.84       0.28       0.28        0.04        1.16       1.16        XXX
                                                      complex.
70371..............  TC............  A               Speech evaluation,         0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      complex.
70373..............  ..............  A               Contrast x-ray of          0.44       1.93        N/A        0.11        2.48        N/A        XXX
                                                      larynx.
70373..............  26............  A               Contrast x-ray of          0.44       0.15       0.15        0.02        0.61       0.61        XXX
                                                      larynx.
70373..............  TC............  A               Contrast x-ray of          0.00       1.78        N/A        0.09        1.87        N/A        XXX
                                                      larynx.
70380..............  ..............  A               X-ray exam of              0.17       0.72        N/A        0.04        0.93        N/A        XXX
                                                      salivary gland.
70380..............  26............  A               X-ray exam of              0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      salivary gland.
70380..............  TC............  A               X-ray exam of              0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      salivary gland.
70390..............  ..............  A               X-ray exam of              0.38       1.91        N/A        0.11        2.40        N/A        XXX
                                                      salivary duct.
70390..............  26............  A               X-ray exam of              0.38       0.13       0.13        0.02        0.53       0.53        XXX
                                                      salivary duct.
70390..............  TC............  A               X-ray exam of              0.00       1.78        N/A        0.09        1.87        N/A        XXX
                                                      salivary duct.
70450..............  ..............  A               Ct head/brain w/o          0.85       5.00        N/A        0.25        6.10        N/A        XXX
                                                      dye.
70450..............  26............  A               Ct head/brain w/o          0.85       0.28       0.28        0.04        1.17       1.17        XXX
                                                      dye.
70450..............  TC............  A               Ct head/brain w/o          0.00       4.72        N/A        0.21        4.93        N/A        XXX
                                                      dye.
70460..............  ..............  A               Ct head/brain w/dye.       1.13       6.04        N/A        0.30        7.47        N/A        XXX
70460..............  26............  A               Ct head/brain w/dye.       1.13       0.38       0.38        0.05        1.56       1.56        XXX
70460..............  TC............  A               Ct head/brain w/dye.       0.00       5.66        N/A        0.25        5.91        N/A        XXX
70470..............  ..............  A               Ct head/brain w/o&w        1.27       7.49        N/A        0.37        9.13        N/A        XXX
                                                      dye.
70470..............  26............  A               Ct head/brain w/o&w        1.27       0.43       0.43        0.06        1.76       1.76        XXX
                                                      dye.
70470..............  TC............  A               Ct head/brain w/o&w        0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      dye.
70480..............  ..............  A               Ct orbit/ear/fossa w/      1.28       5.15        N/A        0.27        6.70        N/A        XXX
                                                      o dye.
70480..............  26............  A               Ct orbit/ear/fossa w/      1.28       0.43       0.43        0.06        1.77       1.77        XXX
                                                      o dye.
70480..............  TC............  A               Ct orbit/ear/fossa w/      0.00       4.72        N/A        0.21        4.93        N/A        XXX
                                                      o dye.
70481..............  ..............  A               Ct orbit/ear/fossa w/      1.38       6.12        N/A        0.31        7.81        N/A        XXX
                                                      dye.
70481..............  26............  A               Ct orbit/ear/fossa w/      1.38       0.46       0.46        0.06        1.90       1.90        XXX
                                                      dye.
70481..............  TC............  A               Ct orbit/ear/fossa w/      0.00       5.66        N/A        0.25        5.91        N/A        XXX
                                                      dye.
70482..............  ..............  A               Ct orbit/ear/fossa w/      1.45       7.56        N/A        0.37        9.38        N/A        XXX
                                                      o&w dye.
70482..............  26............  A               Ct orbit/ear/fossa w/      1.45       0.49       0.49        0.06        2.00       2.00        XXX
                                                      o&w dye.
70482..............  TC............  A               Ct orbit/ear/fossa w/      0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      o&w dye.
70486..............  ..............  A               Ct maxillofacial w/o       1.14       5.10        N/A        0.26        6.50        N/A        XXX
                                                      dye.
70486..............  26............  A               Ct maxillofacial w/o       1.14       0.38       0.38        0.05        1.57       1.57        XXX
                                                      dye.
70486..............  TC............  A               Ct maxillofacial w/o       0.00       4.72        N/A        0.21        4.93        N/A        XXX
                                                      dye.
70487..............  ..............  A               Ct maxillofacial w/        1.30       6.09        N/A        0.31        7.70        N/A        XXX
                                                      dye.
70487..............  26............  A               Ct maxillofacial w/        1.30       0.44       0.44        0.06        1.80       1.80        XXX
                                                      dye.
70487..............  TC............  A               Ct maxillofacial w/        0.00       5.66        N/A        0.25        5.91        N/A        XXX
                                                      dye.
70488..............  ..............  A               Ct maxillofacial w/        1.42       7.54        N/A        0.37        9.33        N/A        XXX
                                                      o&w dye.
70488..............  26............  A               Ct maxillofacial w/        1.42       0.48       0.48        0.06        1.96       1.96        XXX
                                                      o&w dye.
70488..............  TC............  A               Ct maxillofacial w/        0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      o&w dye.
70490..............  ..............  A               Ct soft tissue neck        1.28       5.15        N/A        0.27        6.70        N/A        XXX
                                                      w/o dye.
70490..............  26............  A               Ct soft tissue neck        1.28       0.43       0.43        0.06        1.77       1.77        XXX
                                                      w/o dye.
70490..............  TC............  A               Ct soft tissue neck        0.00       4.72        N/A        0.21        4.93        N/A        XXX
                                                      w/o dye.
70491..............  ..............  A               Ct soft tissue neck        1.38       6.12        N/A        0.31        7.81        N/A        XXX
                                                      w/dye.
70491..............  26............  A               Ct soft tissue neck        1.38       0.46       0.46        0.06        1.90       1.90        XXX
                                                      w/dye.
70491..............  TC............  A               Ct soft tissue neck        0.00       5.66        N/A        0.25        5.91        N/A        XXX
                                                      w/dye.
70492..............  ..............  A               Ct sft tsue nck w/o        1.45       7.55        N/A        0.37        9.37        N/A        XXX
                                                      & w/dye.
70492..............  26............  A               Ct sft tsue nck w/o        1.45       0.49       0.49        0.06        2.00       2.00        XXX
                                                      & w/dye.

[[Page 49175]]

 
70492..............  TC............  A               Ct sft tsue nck w/o        0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      & w/dye.
70496..............  ..............  A               Ct angiography, head       1.75      11.19        N/A        0.56       13.50        N/A        XXX
70496..............  26............  A               Ct angiography, head       1.75       0.59       0.59        0.08        2.42       2.42        XXX
70496..............  TC............  A               Ct angiography, head       0.00      10.61        N/A        0.48       11.09        N/A        XXX
70498..............  ..............  A               Ct angiography, neck       1.75      11.20        N/A        0.56       13.51        N/A        XXX
70498..............  26............  A               Ct angiography, neck       1.75       0.59       0.59        0.08        2.42       2.42        XXX
70498..............  TC............  A               Ct angiography, neck       0.00      10.61        N/A        0.48       11.09        N/A        XXX
70540..............  ..............  A               Mri orbit/face/neck        1.35      11.66        N/A        0.36       13.37        N/A        XXX
                                                      w/o dye.
70540..............  26............  A               Mri orbit/face/neck        1.35       0.45       0.45        0.04        1.84       1.84        XXX
                                                      w/o dye.
70540..............  TC............  A               Mri orbit/face/neck        0.00      11.21        N/A        0.32       11.53        N/A        XXX
                                                      w/o dye.
70542..............  ..............  A               Mri orbit/face/neck        1.62      13.99        N/A        0.44       16.05        N/A        XXX
                                                      w/dye.
70542..............  26............  A               Mri orbit/face/neck        1.62       0.55       0.55        0.05        2.22       2.22        XXX
                                                      w/dye.
70542..............  TC............  A               Mri orbit/face/neck        0.00      13.44        N/A        0.39       13.83        N/A        XXX
                                                      w/dye.
70543..............  ..............  A               Mri orbt/fac/nck w/        2.15      25.62        N/A        0.77       28.54        N/A        XXX
                                                      o&w dye.
70543..............  26............  A               Mri orbt/fac/nck w/        2.15       0.72       0.72        0.07        2.94       2.94        XXX
                                                      o&w dye.
70543..............  TC............  A               Mri orbt/fac/nck w/        0.00      24.89        N/A        0.70       25.59        N/A        XXX
                                                      o&w dye.
70544..............  ..............  A               Mr angiography head        1.20      11.61        N/A        0.54       13.35        N/A        XXX
                                                      w/o dye.
70544..............  26............  A               Mr angiography head        1.20       0.40       0.40        0.05        1.65       1.65        XXX
                                                      w/o dye.
70544..............  TC............  A               Mr angiography head        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/o dye.
70545..............  ..............  A               Mr angiography head        1.20      11.61        N/A        0.54       13.35        N/A        XXX
                                                      w/dye.
70545..............  26............  A               Mr angiography head        1.20       0.40       0.40        0.05        1.65       1.65        XXX
                                                      w/dye.
70545..............  TC............  A               Mr angiography head        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/dye.
70546..............  ..............  A               Mr angiograph head w/      1.80      23.02        N/A        0.57       25.39        N/A        XXX
                                                      o&w dye.
70546..............  26............  A               Mr angiograph head w/      1.80       0.61       0.61        0.08        2.49       2.49        XXX
                                                      o&w dye.
70546..............  TC............  A               Mr angiograph head w/      0.00      22.42        N/A        0.49       22.91        N/A        XXX
                                                      o&w dye.
70547..............  ..............  A               Mr angiography neck        1.20      11.61        N/A        0.54       13.35        N/A        XXX
                                                      w/o dye.
70547..............  26............  A               Mr angiography neck        1.20       0.40       0.40        0.05        1.65       1.65        XXX
                                                      w/o dye.
70547..............  TC............  A               Mr angiography neck        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/o dye.
70548..............  ..............  A               Mr angiography neck        1.20      11.61        N/A        0.54       13.35        N/A        XXX
                                                      w/dye.
70548..............  26............  A               Mr angiography neck        1.20       0.40       0.40        0.05        1.65       1.65        XXX
                                                      w/dye.
70548..............  TC............  A               Mr angiography neck        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/dye.
70549..............  ..............  A               Mr angiograph neck w/      1.80      23.03        N/A        0.57       25.40        N/A        XXX
                                                      o&w dye.
70549..............  26............  A               Mr angiograph neck w/      1.80       0.61       0.61        0.08        2.49       2.49        XXX
                                                      o&w dye.
70549..............  TC............  A               Mr angiograph neck w/      0.00      22.42        N/A        0.49       22.91        N/A        XXX
                                                      o&w dye.
70551..............  ..............  A               Mri brain w/o dye...       1.48      11.71        N/A        0.56       13.75        N/A        XXX
70551..............  26............  A               Mri brain w/o dye...       1.48       0.50       0.50        0.07        2.05       2.05        XXX
70551..............  TC............  A               Mri brain w/o dye...       0.00      11.21        N/A        0.49       11.70        N/A        XXX
70552..............  ..............  A               Mri brain w/dye.....       1.78      14.05        N/A        0.66       16.49        N/A        XXX
70552..............  26............  A               Mri brain w/dye.....       1.78       0.61       0.61        0.08        2.47       2.47        XXX
70552..............  TC............  A               Mri brain w/dye.....       0.00      13.44        N/A        0.58       14.02        N/A        XXX
70553..............  ..............  A               Mri brain w/o&w dye.       2.36      25.69        N/A        1.19       29.24        N/A        XXX
70553..............  26............  A               Mri brain w/o&w dye.       2.36       0.79       0.79        0.10        3.25       3.25        XXX
70553..............  TC............  A               Mri brain w/o&w dye.       0.00      24.89        N/A        1.09       25.98        N/A        XXX
71010..............  ..............  A               Chest x-ray.........       0.18       0.53        N/A        0.03        0.74        N/A        XXX

[[Page 49176]]

 
71010..............  26............  A               Chest x-ray.........       0.18       0.06       0.06        0.01        0.25       0.25        XXX
71010..............  TC............  A               Chest x-ray.........       0.00       0.47        N/A        0.02        0.49        N/A        XXX
71015..............  ..............  A               Chest x-ray.........       0.21       0.59        N/A        0.03        0.83        N/A        XXX
71015..............  26............  A               Chest x-ray.........       0.21       0.07       0.07        0.01        0.29       0.29        XXX
71015..............  TC............  A               Chest x-ray.........       0.00       0.52        N/A        0.02        0.54        N/A        XXX
71020..............  ..............  A               Chest x-ray.........       0.22       0.69        N/A        0.04        0.95        N/A        XXX
71020..............  26............  A               Chest x-ray.........       0.22       0.07       0.07        0.01        0.30       0.30        XXX
71020..............  TC............  A               Chest x-ray.........       0.00       0.62        N/A        0.03        0.65        N/A        XXX
71021..............  ..............  A               Chest x-ray.........       0.27       0.83        N/A        0.05        1.15        N/A        XXX
71021..............  26............  A               Chest x-ray.........       0.27       0.09       0.09        0.01        0.37       0.37        XXX
71021..............  TC............  A               Chest x-ray.........       0.00       0.73        N/A        0.04        0.77        N/A        XXX
71022..............  ..............  A               Chest x-ray.........       0.31       0.84        N/A        0.06        1.21        N/A        XXX
71022..............  26............  A               Chest x-ray.........       0.31       0.10       0.10        0.02        0.43       0.43        XXX
71022..............  TC............  A               Chest x-ray.........       0.00       0.73        N/A        0.04        0.77        N/A        XXX
71023..............  ..............  A               Chest x-ray and            0.38       0.92        N/A        0.06        1.36        N/A        XXX
                                                      fluoroscopy.
71023..............  26............  A               Chest x-ray and            0.38       0.13       0.13        0.02        0.53       0.53        XXX
                                                      fluoroscopy.
71023..............  TC............  A               Chest x-ray and            0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      fluoroscopy.
71030..............  ..............  A               Chest x-ray.........       0.31       0.89        N/A        0.05        1.25        N/A        XXX
71030..............  26............  A               Chest x-ray.........       0.31       0.10       0.10        0.01        0.42       0.42        XXX
71030..............  TC............  A               Chest x-ray.........       0.00       0.78        N/A        0.04        0.82        N/A        XXX
71034..............  ..............  A               Chest x-ray and            0.46       1.60        N/A        0.09        2.15        N/A        XXX
                                                      fluoroscopy.
71034..............  26............  A               Chest x-ray and            0.46       0.16       0.16        0.02        0.64       0.64        XXX
                                                      fluoroscopy.
71034..............  TC............  A               Chest x-ray and            0.00       1.44        N/A        0.07        1.51        N/A        XXX
                                                      fluoroscopy.
71035..............  ..............  A               Chest x-ray.........       0.18       0.58        N/A        0.03        0.79        N/A        XXX
71035..............  26............  A               Chest x-ray.........       0.18       0.06       0.06        0.01        0.25       0.25        XXX
71035..............  TC............  A               Chest x-ray.........       0.00       0.52        N/A        0.02        0.54        N/A        XXX
71040..............  ..............  A               Contrast x-ray of          0.58       1.65        N/A        0.10        2.33        N/A        XXX
                                                      bronchi.
71040..............  26............  A               Contrast x-ray of          0.58       0.19       0.19        0.03        0.80       0.80        XXX
                                                      bronchi.
71040..............  TC............  A               Contrast x-ray of          0.00       1.46        N/A        0.07        1.53        N/A        XXX
                                                      bronchi.
71060..............  ..............  A               Contrast x-ray of          0.74       2.45        N/A        0.14        3.33        N/A        XXX
                                                      bronchi.
71060..............  26............  A               Contrast x-ray of          0.74       0.25       0.25        0.03        1.02       1.02        XXX
                                                      bronchi.
71060..............  TC............  A               Contrast x-ray of          0.00       2.20        N/A        0.11        2.31        N/A        XXX
                                                      bronchi.
71090..............  ..............  A               X-ray & pacemaker          0.54       1.89        N/A        0.11        2.54        N/A        XXX
                                                      insertion.
71090..............  26............  A               X-ray & pacemaker          0.54       0.21       0.21        0.02        0.77       0.77        XXX
                                                      insertion.
71090..............  TC............  A               X-ray & pacemaker          0.00       1.68        N/A        0.09        1.77        N/A        XXX
                                                      insertion.
71100..............  ..............  A               X-ray exam of ribs..       0.22       0.64        N/A        0.04        0.90        N/A        XXX
71100..............  26............  A               X-ray exam of ribs..       0.22       0.07       0.07        0.01        0.30       0.30        XXX
71100..............  TC............  A               X-ray exam of ribs..       0.00       0.57        N/A        0.03        0.60        N/A        XXX
71101..............  ..............  A               X-ray exam of ribs/        0.27       0.76        N/A        0.04        1.07        N/A        XXX
                                                      chest.
71101..............  26............  A               X-ray exam of ribs/        0.27       0.09       0.09        0.01        0.37       0.37        XXX
                                                      chest.
71101..............  TC............  A               X-ray exam of ribs/        0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      chest.
71110..............  ..............  A               X-ray exam of ribs..       0.27       0.87        N/A        0.05        1.19        N/A        XXX
71110..............  26............  A               X-ray exam of ribs..       0.27       0.09       0.09        0.01        0.37       0.37        XXX
71110..............  TC............  A               X-ray exam of ribs..       0.00       0.78        N/A        0.04        0.82        N/A        XXX
71111..............  ..............  A               X-ray exam of ribs/        0.32       1.00        N/A        0.06        1.38        N/A        XXX
                                                      chest.
71111..............  26............  A               X-ray exam of ribs/        0.32       0.11       0.11        0.01        0.44       0.44        XXX
                                                      chest.
71111..............  TC............  A               X-ray exam of ribs/        0.00       0.89        N/A        0.05        0.94        N/A        XXX
                                                      chest.
71120..............  ..............  A               X-ray exam of              0.20       0.71        N/A        0.04        0.95        N/A        XXX
                                                      breastbone.
71120..............  26............  A               X-ray exam of              0.20       0.07       0.07        0.01        0.28       0.28        XXX
                                                      breastbone.
71120..............  TC............  A               X-ray exam of              0.00       0.65        N/A        0.03        0.68        N/A        XXX
                                                      breastbone.
71130..............  ..............  A               X-ray exam of              0.22       0.78        N/A        0.04        1.04        N/A        XXX
                                                      breastbone.
71130..............  26............  A               X-ray exam of              0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      breastbone.
71130..............  TC............  A               X-ray exam of              0.00       0.71        N/A        0.03        0.74        N/A        XXX
                                                      breastbone.
71250..............  ..............  A               Ct thorax w/o dye...       1.16       6.30        N/A        0.31        7.77        N/A        XXX
71250..............  26............  A               Ct thorax w/o dye...       1.16       0.39       0.39        0.05        1.60       1.60        XXX
71250..............  TC............  A               Ct thorax w/o dye...       0.00       5.91        N/A        0.26        6.17        N/A        XXX
71260..............  ..............  A               Ct thorax w/dye.....       1.24       7.48        N/A        0.36        9.08        N/A        XXX

[[Page 49177]]

 
71260..............  26............  A               Ct thorax w/dye.....       1.24       0.41       0.41        0.05        1.70       1.70        XXX
71260..............  TC............  A               Ct thorax w/dye.....       0.00       7.07        N/A        0.31        7.38        N/A        XXX
71270..............  ..............  A               Ct thorax w/o&w dye.       1.38       9.31        N/A        0.44       11.13        N/A        XXX
71270..............  26............  A               Ct thorax w/o&w dye.       1.38       0.46       0.46        0.06        1.90       1.90        XXX
71270..............  TC............  A               Ct thorax w/o&w dye.       0.00       8.85        N/A        0.38        9.23        N/A        XXX
71275..............  ..............  A               Ct angiography,            1.92      13.03        N/A        0.38       15.33        N/A        XXX
                                                      chest.
71275..............  26............  A               Ct angiography,            1.92       0.64       0.64        0.06        2.62       2.62        XXX
                                                      chest.
71275..............  TC............  A               Ct angiography,            0.00      12.39        N/A        0.32       12.71        N/A        XXX
                                                      chest.
71550..............  ..............  A               Mri chest w/o dye...       1.46      11.70        N/A        0.41       13.57        N/A        XXX
71550..............  26............  A               Mri chest w/o dye...       1.46       0.49       0.49        0.04        1.99       1.99        XXX
71550..............  TC............  A               Mri chest w/o dye...       0.00      11.21        N/A        0.37       11.58        N/A        XXX
71551..............  ..............  A               Mri chest w/dye.....       1.73      14.02        N/A        0.49       16.24        N/A        XXX
71551..............  26............  A               Mri chest w/dye.....       1.73       0.58       0.58        0.06        2.37       2.37        XXX
71551..............  TC............  A               Mri chest w/dye.....       0.00      13.44        N/A        0.43       13.87        N/A        XXX
71552..............  ..............  A               Mri chest w/o&w/dye.       2.26      25.65        N/A        0.64       28.55        N/A        XXX
71552..............  26............  A               Mri chest w/o&w/dye.       2.26       0.76       0.76        0.08        3.10       3.10        XXX
71552..............  TC............  A               Mri chest w/o&w/dye.       0.00      24.89        N/A        0.56       25.45        N/A        XXX
71555..............  ..............  R               Mri angio chest w or       1.81      11.82        N/A        0.57       14.20        N/A        XXX
                                                      w/o dye.
71555..............  26............  R               Mri angio chest w or       1.81       0.61       0.61        0.08        2.50       2.50        XXX
                                                      w/o dye.
71555..............  TC............  R               Mri angio chest w or       0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/o dye.
72010..............  ..............  A               X-ray exam of spine.       0.45       1.18        N/A        0.08        1.71        N/A        XXX
72010..............  26............  A               X-ray exam of spine.       0.45       0.15       0.15        0.03        0.63       0.63        XXX
72010..............  TC............  A               X-ray exam of spine.       0.00       1.03        N/A        0.05        1.08        N/A        XXX
72020..............  ..............  A               X-ray exam of spine.       0.15       0.47        N/A        0.03        0.65        N/A        XXX
72020..............  26............  A               X-ray exam of spine.       0.15       0.05       0.05        0.01        0.21       0.21        XXX
72020..............  TC............  A               X-ray exam of spine.       0.00       0.42        N/A        0.02        0.44        N/A        XXX
72040..............  ..............  A               X-ray exam of neck         0.22       0.67        N/A        0.04        0.93        N/A        XXX
                                                      spine.
72040..............  26............  A               X-ray exam of neck         0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      spine.
72040..............  TC............  A               X-ray exam of neck         0.00       0.60        N/A        0.03        0.63        N/A        XXX
                                                      spine.
72050..............  ..............  A               X-ray exam of neck         0.31       0.99        N/A        0.07        1.37        N/A        XXX
                                                      spine.
72050..............  26............  A               X-ray exam of neck         0.31       0.10       0.10        0.02        0.43       0.43        XXX
                                                      spine.
72050..............  TC............  A               X-ray exam of neck         0.00       0.89        N/A        0.05        0.94        N/A        XXX
                                                      spine.
72052..............  ..............  A               X-ray exam of neck         0.36       1.25        N/A        0.07        1.68        N/A        XXX
                                                      spine.
72052..............  26............  A               X-ray exam of neck         0.36       0.12       0.12        0.02        0.50       0.50        XXX
                                                      spine.
72052..............  TC............  A               X-ray exam of neck         0.00       1.13        N/A        0.05        1.18        N/A        XXX
                                                      spine.
72069..............  ..............  A               X-ray exam of trunk        0.22       0.57        N/A        0.04        0.83        N/A        XXX
                                                      spine.
72069..............  26............  A               X-ray exam of trunk        0.22       0.08       0.08        0.02        0.32       0.32        XXX
                                                      spine.
72069..............  TC............  A               X-ray exam of trunk        0.00       0.49        N/A        0.02        0.51        N/A        XXX
                                                      spine.
72070..............  ..............  A               X-ray exam of              0.22       0.72        N/A        0.04        0.98        N/A        XXX
                                                      thoracic spine.
72070..............  26............  A               X-ray exam of              0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      thoracic spine.
72070..............  TC............  A               X-ray exam of              0.00       0.65        N/A        0.03        0.68        N/A        XXX
                                                      thoracic spine.
72072..............  ..............  A               X-ray exam of              0.22       0.81        N/A        0.05        1.08        N/A        XXX
                                                      thoracic spine.
72072..............  26............  A               X-ray exam of              0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      thoracic spine.
72072..............  TC............  A               X-ray exam of              0.00       0.73        N/A        0.04        0.77        N/A        XXX
                                                      thoracic spine.
72074..............  ..............  A               X-ray exam of              0.22       0.98        N/A        0.06        1.26        N/A        XXX
                                                      thoracic spine.
72074..............  26............  A               X-ray exam of              0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      thoracic spine.
72074..............  TC............  A               X-ray exam of              0.00       0.91        N/A        0.05        0.96        N/A        XXX
                                                      thoracic spine.
72080..............  ..............  A               X-ray exam of trunk        0.22       0.74        N/A        0.05        1.01        N/A        XXX
                                                      spine.
72080..............  26............  A               X-ray exam of trunk        0.22       0.07       0.07        0.02        0.31       0.31        XXX
                                                      spine.
72080..............  TC............  A               X-ray exam of trunk        0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      spine.
72090..............  ..............  A               X-ray exam of trunk        0.28       0.76        N/A        0.05        1.09        N/A        XXX
                                                      spine.
72090..............  26............  A               X-ray exam of trunk        0.28       0.10       0.10        0.02        0.40       0.40        XXX
                                                      spine.
72090..............  TC............  A               X-ray exam of trunk        0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      spine.
72100..............  ..............  A               X-ray exam of lower        0.22       0.74        N/A        0.05        1.01        N/A        XXX
                                                      spine.

[[Page 49178]]

 
72100..............  26............  A               X-ray exam of lower        0.22       0.07       0.07        0.02        0.31       0.31        XXX
                                                      spine.
72100..............  TC............  A               X-ray exam of lower        0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      spine.
72110..............  ..............  A               X-ray exam of lower        0.31       1.01        N/A        0.07        1.39        N/A        XXX
                                                      spine.
72110..............  26............  A               X-ray exam of lower        0.31       0.10       0.10        0.02        0.43       0.43        XXX
                                                      spine.
72110..............  TC............  A               X-ray exam of lower        0.00       0.91        N/A        0.05        0.96        N/A        XXX
                                                      spine.
72114..............  ..............  A               X-ray exam of lower        0.36       1.31        N/A        0.08        1.75        N/A        XXX
                                                      spine.
72114..............  26............  A               X-ray exam of lower        0.36       0.12       0.12        0.03        0.51       0.51        XXX
                                                      spine.
72114..............  TC............  A               X-ray exam of lower        0.00       1.19        N/A        0.05        1.24        N/A        XXX
                                                      spine.
72120..............  ..............  A               X-ray exam of lower        0.22       0.96        N/A        0.07        1.25        N/A        XXX
                                                      spine.
72120..............  26............  A               X-ray exam of lower        0.22       0.07       0.07        0.02        0.31       0.31        XXX
                                                      spine.
72120..............  TC............  A               X-ray exam of lower        0.00       0.89        N/A        0.05        0.94        N/A        XXX
                                                      spine.
72125..............  ..............  A               Ct neck spine w/o          1.16       6.30        N/A        0.31        7.77        N/A        XXX
                                                      dye.
72125..............  26............  A               Ct neck spine w/o          1.16       0.39       0.39        0.05        1.60       1.60        XXX
                                                      dye.
72125..............  TC............  A               Ct neck spine w/o          0.00       5.91        N/A        0.26        6.17        N/A        XXX
                                                      dye.
72126..............  ..............  A               Ct neck spine w/dye.       1.22       7.48        N/A        0.36        9.06        N/A        XXX
72126..............  26............  A               Ct neck spine w/dye.       1.22       0.41       0.41        0.05        1.68       1.68        XXX
72126..............  TC............  A               Ct neck spine w/dye.       0.00       7.07        N/A        0.31        7.38        N/A        XXX
72127..............  ..............  A               Ct neck spine w/o&w/       1.27       9.28        N/A        0.44       10.99        N/A        XXX
                                                      dye.
72127..............  26............  A               Ct neck spine w/o&w/       1.27       0.43       0.43        0.06        1.76       1.76        XXX
                                                      dye.
72127..............  TC............  A               Ct neck spine w/o&w/       0.00       8.85        N/A        0.38        9.23        N/A        XXX
                                                      dye.
72128..............  ..............  A               Ct chest spine w/o         1.16       6.30        N/A        0.31        7.77        N/A        XXX
                                                      dye.
72128..............  26............  A               Ct chest spine w/o         1.16       0.39       0.39        0.05        1.60       1.60        XXX
                                                      dye.
72128..............  TC............  A               Ct chest spine w/o         0.00       5.91        N/A        0.26        6.17        N/A        XXX
                                                      dye.
72129..............  ..............  A               Ct chest spine w/dye       1.22       7.48        N/A        0.36        9.06        N/A        XXX
72129..............  26............  A               Ct chest spine w/dye       1.22       0.41       0.41        0.05        1.68       1.68        XXX
72129..............  TC............  A               Ct chest spine w/dye       0.00       7.07        N/A        0.31        7.38        N/A        XXX
72130..............  ..............  A               Ct chest spine w/o&w/      1.27       9.27        N/A        0.44       10.98        N/A        XXX
                                                      dye.
72130..............  26............  A               Ct chest spine w/o&w/      1.27       0.43       0.43        0.06        1.76       1.76        XXX
                                                      dye.
72130..............  TC............  A               Ct chest spine w/o&w/      0.00       8.85        N/A        0.38        9.23        N/A        XXX
                                                      dye.
72131..............  ..............  A               Ct lumbar spine w/o        1.16       6.30        N/A        0.31        7.77        N/A        XXX
                                                      dye.
72131..............  26............  A               Ct lumbar spine w/o        1.16       0.39       0.39        0.05        1.60       1.60        XXX
                                                      dye.
72131..............  TC............  A               Ct lumbar spine w/o        0.00       5.91        N/A        0.26        6.17        N/A        XXX
                                                      dye.
72132..............  ..............  A               Ct lumbar spine w/         1.22       7.48        N/A        0.37        9.07        N/A        XXX
                                                      dye.
72132..............  26............  A               Ct lumbar spine w/         1.22       0.41       0.41        0.06        1.69       1.69        XXX
                                                      dye.
72132..............  TC............  A               Ct lumbar spine w/         0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      dye.
72133..............  ..............  A               Ct lumbar spine w/         1.27       9.28        N/A        0.44       10.99        N/A        XXX
                                                      o&w/dye.
72133..............  26............  A               Ct lumbar spine w/         1.27       0.43       0.43        0.06        1.76       1.76        XXX
                                                      o&w/dye.
72133..............  TC............  A               Ct lumbar spine w/         0.00       8.85        N/A        0.38        9.23        N/A        XXX
                                                      o&w/dye.
72141..............  ..............  A               Mri neck spine w/o         1.60      11.75        N/A        0.56       13.91        N/A        XXX
                                                      dye.
72141..............  26............  A               Mri neck spine w/o         1.60       0.54       0.54        0.07        2.21       2.21        XXX
                                                      dye.
72141..............  TC............  A               Mri neck spine w/o         0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      dye.
72142..............  ..............  A               Mri neck spine w/dye       1.92      14.10        N/A        0.67       16.69        N/A        XXX
72142..............  26............  A               Mri neck spine w/dye       1.92       0.66       0.66        0.09        2.67       2.67        XXX
72142..............  TC............  A               Mri neck spine w/dye       0.00      13.44        N/A        0.58       14.02        N/A        XXX
72146..............  ..............  A               Mri chest spine w/o        1.60      12.98        N/A        0.60       15.18        N/A        XXX
                                                      dye.
72146..............  26............  A               Mri chest spine w/o        1.60       0.54       0.54        0.07        2.21       2.21        XXX
                                                      dye.
72146..............  TC............  A               Mri chest spine w/o        0.00      12.45        N/A        0.53       12.98        N/A        XXX
                                                      dye.
72147..............  ..............  A               Mri chest spine w/         1.92      14.09        N/A        0.67       16.68        N/A        XXX
                                                      dye.
72147..............  26............  A               Mri chest spine w/         1.92       0.65       0.65        0.09        2.66       2.66        XXX
                                                      dye.
72147..............  TC............  A               Mri chest spine w/         0.00      13.44        N/A        0.58       14.02        N/A        XXX
                                                      dye.
72148..............  ..............  A               Mri lumbar spine w/o       1.48      12.95        N/A        0.60       15.03        N/A        XXX
                                                      dye.
72148..............  26............  A               Mri lumbar spine w/o       1.48       0.50       0.50        0.07        2.05       2.05        XXX
                                                      dye.
72148..............  TC............  A               Mri lumbar spine w/o       0.00      12.45        N/A        0.53       12.98        N/A        XXX
                                                      dye.
72149..............  ..............  A               Mri lumbar spine w/        1.78      14.05        N/A        0.67       16.50        N/A        XXX
                                                      dye.
72149..............  26............  A               Mri lumbar spine w/        1.78       0.61       0.61        0.09        2.48       2.48        XXX
                                                      dye.
72149..............  TC............  A               Mri lumbar spine w/        0.00      13.44        N/A        0.58       14.02        N/A        XXX
                                                      dye.
72156..............  ..............  A               Mri neck spine w/o&w/      2.57      25.76        N/A        1.20       29.53        N/A        XXX
                                                      dye.
72156..............  26............  A               Mri neck spine w/o&w/      2.57       0.87       0.87        0.11        3.55       3.55        XXX
                                                      dye.
72156..............  TC............  A               Mri neck spine w/o&w/      0.00      24.89        N/A        1.09       25.98        N/A        XXX
                                                      dye.
72157..............  ..............  A               Mri chest spine w/         2.57      25.76        N/A        1.20       29.53        N/A        XXX
                                                      o&w/dye.
72157..............  26............  A               Mri chest spine w/         2.57       0.86       0.86        0.11        3.54       3.54        XXX
                                                      o&w/dye.
72157..............  TC............  A               Mri chest spine w/         0.00      24.89        N/A        1.09       25.98        N/A        XXX
                                                      o&w/dye.

[[Page 49179]]

 
72158..............  ..............  A               Mri lumbar spine w/        2.36      25.69        N/A        1.20       29.25        N/A        XXX
                                                      o&w/dye.
72158..............  26............  A               Mri lumbar spine w/        2.36       0.79       0.79        0.11        3.26       3.26        XXX
                                                      o&w/dye.
72158..............  TC............  A               Mri lumbar spine w/        0.00      24.89        N/A        1.09       25.98        N/A        XXX
                                                      o&w/dye.
72159..............  ..............  N               Mr angio spine w/o&w/      1.80      13.14        N/A        0.61       15.55        N/A        XXX
                                                      dye.
72159..............  26............  N               Mr angio spine w/o&w/      1.80       0.70       0.70        0.08        2.58       2.58        XXX
                                                      dye.
72159..............  TC............  N               Mr angio spine w/o&w/      0.00      12.45        N/A        0.53       12.98        N/A        XXX
                                                      dye.
72170..............  ..............  A               X-ray exam of pelvis       0.17       0.58        N/A        0.03        0.78        N/A        XXX
72170..............  26............  A               X-ray exam of pelvis       0.17       0.06       0.06        0.01        0.24       0.24        XXX
72170..............  TC............  A               X-ray exam of pelvis       0.00       0.52        N/A        0.02        0.54        N/A        XXX
72190..............  ..............  A               X-ray exam of pelvis       0.21       0.74        N/A        0.04        0.99        N/A        XXX
72190..............  26............  A               X-ray exam of pelvis       0.21       0.07       0.07        0.01        0.29       0.29        XXX
72190..............  TC............  A               X-ray exam of pelvis       0.00       0.67        N/A        0.03        0.70        N/A        XXX
72191..............  ..............  A               Ct angiograph pelv w/      1.81      12.64        N/A        0.38       14.83        N/A        XXX
                                                      o&w/dye.
72191..............  26............  A               Ct angiograph pelv w/      1.81       0.61       0.61        0.06        2.48       2.48        XXX
                                                      o&w/dye.
72191..............  TC............  A               Ct angiograph pelv w/      0.00      12.03        N/A        0.32       12.35        N/A        XXX
                                                      o&w/dye.
72192..............  ..............  A               Ct pelvis w/o dye...       1.09       6.27        N/A        0.31        7.67        N/A        XXX
72192..............  26............  A               Ct pelvis w/o dye...       1.09       0.36       0.36        0.05        1.50       1.50        XXX
72192..............  TC............  A               Ct pelvis w/o dye...       0.00       5.91        N/A        0.26        6.17        N/A        XXX
72193..............  ..............  A               Ct pelvis w/dye.....       1.16       7.23        N/A        0.35        8.74        N/A        XXX
72193..............  26............  A               Ct pelvis w/dye.....       1.16       0.39       0.39        0.05        1.60       1.60        XXX
72193..............  TC............  A               Ct pelvis w/dye.....       0.00       6.85        N/A        0.30        7.15        N/A        XXX
72194..............  ..............  A               Ct pelvis w/o&w/dye.       1.22       8.90        N/A        0.41       10.53        N/A        XXX
72194..............  26............  A               Ct pelvis w/o&w/dye.       1.22       0.41       0.41        0.05        1.68       1.68        XXX
72194..............  TC............  A               Ct pelvis w/o&w/dye.       0.00       8.49        N/A        0.36        8.85        N/A        XXX
72195..............  ..............  A               Mri pelvis w/o dye..       1.46      11.70        N/A        0.42       13.58        N/A        XXX
72195..............  26............  A               Mri pelvis w/o dye..       1.46       0.49       0.49        0.05        2.00       2.00        XXX
72195..............  TC............  A               Mri pelvis w/o dye..       0.00      11.21        N/A        0.37       11.58        N/A        XXX
72196..............  ..............  A               Mri pelvis w/dye....       1.73      14.02        N/A        0.48       16.23        N/A        XXX
72196..............  26............  A               Mri pelvis w/dye....       1.73       0.58       0.58        0.05        2.36       2.36        XXX
72196..............  TC............  A               Mri pelvis w/dye....       0.00      13.44        N/A        0.43       13.87        N/A        XXX
72197..............  ..............  A               Mri pelvis w/o & w/        2.26      25.65        N/A        0.84       28.75        N/A        XXX
                                                      dye.
72197..............  26............  A               Mri pelvis w/o & w/        2.26       0.76       0.76        0.08        3.10       3.10        XXX
                                                      dye.
72197..............  TC............  A               Mri pelvis w/o & w/        0.00      24.89        N/A        0.76       25.65        N/A        XXX
                                                      dye.
72198..............  ..............  A               Mr angio pelvis w/         1.80      11.91        N/A        0.57       14.28        N/A        XXX
                                                      o&w/dye.
72198..............  26............  A               Mr angio pelvis w/         1.80       0.70       0.70        0.08        2.58       2.58        XXX
                                                      o&w/dye.
72198..............  TC............  A               Mr angio pelvis w/         0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      o&w/dye.
72200..............  ..............  A               X-ray exam                 0.17       0.58        N/A        0.03        0.78        N/A        XXX
                                                      sacroiliac joints.
72200..............  26............  A               X-ray exam                 0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      sacroiliac joints.
72200..............  TC............  A               X-ray exam                 0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      sacroiliac joints.
72202..............  ..............  A               X-ray exam                 0.19       0.68        N/A        0.04        0.91        N/A        XXX
                                                      sacroiliac joints.
72202..............  26............  A               X-ray exam                 0.19       0.06       0.06        0.01        0.26       0.26        XXX
                                                      sacroiliac joints.
72202..............  TC............  A               X-ray exam                 0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      sacroiliac joints.
72220..............  ..............  A               X-ray exam of              0.17       0.63        N/A        0.04        0.84        N/A        XXX
                                                      tailbone.
72220..............  26............  A               X-ray exam of              0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      tailbone.
72220..............  TC............  A               X-ray exam of              0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      tailbone.
72240..............  ..............  A               Contrast x-ray of          0.91       5.04        N/A        0.25        6.20        N/A        XXX
                                                      neck spine.
72240..............  26............  A               Contrast x-ray of          0.91       0.29       0.29        0.04        1.24       1.24        XXX
                                                      neck spine.
72240..............  TC............  A               Contrast x-ray of          0.00       4.75        N/A        0.21        4.96        N/A        XXX
                                                      neck spine.
72255..............  ..............  A               Contrast x-ray,            0.91       4.61        N/A        0.22        5.74        N/A        XXX
                                                      thorax spine.

[[Page 49180]]

 
72255..............  26............  A               Contrast x-ray,            0.91       0.28       0.28        0.04        1.23       1.23        XXX
                                                      thorax spine.
72255..............  TC............  A               Contrast x-ray,            0.00       4.33        N/A        0.18        4.51        N/A        XXX
                                                      thorax spine.
72265..............  ..............  A               Contrast x-ray,            0.83       4.33        N/A        0.22        5.38        N/A        XXX
                                                      lower spine.
72265..............  26............  A               Contrast x-ray,            0.83       0.26       0.26        0.04        1.13       1.13        XXX
                                                      lower spine.
72265..............  TC............  A               Contrast x-ray,            0.00       4.07        N/A        0.18        4.25        N/A        XXX
                                                      lower spine.
72270..............  ..............  A               Contrast x-ray of          1.33       6.53        N/A        0.34        8.20        N/A        XXX
                                                      spine.
72270..............  26............  A               Contrast x-ray of          1.33       0.43       0.43        0.07        1.83       1.83        XXX
                                                      spine.
72270..............  TC............  A               Contrast x-ray of          0.00       6.10        N/A        0.27        6.37        N/A        XXX
                                                      spine.
72275..............  ..............  A               Epidurography.......       0.76       2.30        N/A        0.21        3.27        N/A        XXX
72275..............  26............  A               Epidurography.......       0.76       0.20       0.20        0.03        0.99       0.99        XXX
72275..............  TC............  A               Epidurography.......       0.00       2.10        N/A        0.18        2.28        N/A        XXX
72285..............  ..............  A               X-ray c/t spine disk       1.16       8.75        N/A        0.42       10.33        N/A        XXX
72285..............  26............  A               X-ray c/t spine disk       1.16       0.36       0.36        0.06        1.58       1.58        XXX
72285..............  TC............  A               X-ray c/t spine disk       0.00       8.38        N/A        0.36        8.74        N/A        XXX
72295..............  ..............  A               X-ray of lower spine       0.83       8.14        N/A        0.37        9.34        N/A        XXX
                                                      disk.
72295..............  26............  A               X-ray of lower spine       0.83       0.27       0.27        0.04        1.14       1.14        XXX
                                                      disk.
72295..............  TC............  A               X-ray of lower spine       0.00       7.86        N/A        0.33        8.19        N/A        XXX
                                                      disk.
73000..............  ..............  A               X-ray exam of collar       0.16       0.58        N/A        0.03        0.77        N/A        XXX
                                                      bone.
73000..............  26............  A               X-ray exam of collar       0.16       0.05       0.05        0.01        0.22       0.22        XXX
                                                      bone.
73000..............  TC............  A               X-ray exam of collar       0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      bone.
73010..............  ..............  A               X-ray exam of              0.17       0.58        N/A        0.03        0.78        N/A        XXX
                                                      shoulder blade.
73010..............  26............  A               X-ray exam of              0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      shoulder blade.
73010..............  TC............  A               X-ray exam of              0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      shoulder blade.
73020..............  ..............  A               X-ray exam of              0.15       0.52        N/A        0.03        0.70        N/A        XXX
                                                      shoulder.
73020..............  26............  A               X-ray exam of              0.15       0.05       0.05        0.01        0.21       0.21        XXX
                                                      shoulder.
73020..............  TC............  A               X-ray exam of              0.00       0.47        N/A        0.02        0.49        N/A        XXX
                                                      shoulder.
73030..............  ..............  A               X-ray exam of              0.18       0.63        N/A        0.04        0.85        N/A        XXX
                                                      shoulder.
73030..............  26............  A               X-ray exam of              0.18       0.06       0.06        0.01        0.25       0.25        XXX
                                                      shoulder.
73030..............  TC............  A               X-ray exam of              0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      shoulder.
73040..............  ..............  A               Contrast x-ray of          0.54       2.28        N/A        0.13        2.95        N/A        XXX
                                                      shoulder.
73040..............  26............  A               Contrast x-ray of          0.54       0.18       0.18        0.03        0.75       0.75        XXX
                                                      shoulder.
73040..............  TC............  A               Contrast x-ray of          0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      shoulder.
73050..............  ..............  A               X-ray exam of              0.20       0.74        N/A        0.05        0.99        N/A        XXX
                                                      shoulders.
73050..............  26............  A               X-ray exam of              0.20       0.07       0.07        0.02        0.29       0.29        XXX
                                                      shoulders.
73050..............  TC............  A               X-ray exam of              0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      shoulders.
73060..............  ..............  A               X-ray exam of              0.17       0.63        N/A        0.04        0.84        N/A        XXX
                                                      humerus.
73060..............  26............  A               X-ray exam of              0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      humerus.
73060..............  TC............  A               X-ray exam of              0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      humerus.
73070..............  ..............  A               X-ray exam of elbow.       0.15       0.57        N/A        0.03        0.75        N/A        XXX
73070..............  26............  A               X-ray exam of elbow.       0.15       0.05       0.05        0.01        0.21       0.21        XXX
73070..............  TC............  A               X-ray exam of elbow.       0.00       0.52        N/A        0.02        0.54        N/A        XXX
73080..............  ..............  A               X-ray exam of elbow.       0.17       0.63        N/A        0.04        0.84        N/A        XXX
73080..............  26............  A               X-ray exam of elbow.       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73080..............  TC............  A               X-ray exam of elbow.       0.00       0.57        N/A        0.03        0.60        N/A        XXX
73085..............  ..............  A               Contrast x-ray of          0.54       2.29        N/A        0.13        2.96        N/A        XXX
                                                      elbow.
73085..............  26............  A               Contrast x-ray of          0.54       0.19       0.19        0.03        0.76       0.76        XXX
                                                      elbow.
73085..............  TC............  A               Contrast x-ray of          0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      elbow.
73090..............  ..............  A               X-ray exam of              0.16       0.58        N/A        0.03        0.77        N/A        XXX
                                                      forearm.
73090..............  26............  A               X-ray exam of              0.16       0.05       0.05        0.01        0.22       0.22        XXX
                                                      forearm.
73090..............  TC............  A               X-ray exam of              0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      forearm.
73092..............  ..............  A               X-ray exam of arm,         0.16       0.55        N/A        0.03        0.74        N/A        XXX
                                                      infant.
73092..............  26............  A               X-ray exam of arm,         0.16       0.05       0.05        0.01        0.22       0.22        XXX
                                                      infant.
73092..............  TC............  A               X-ray exam of arm,         0.00       0.49        N/A        0.02        0.51        N/A        XXX
                                                      infant.
73100..............  ..............  A               X-ray exam of wrist.       0.16       0.55        N/A        0.04        0.75        N/A        XXX
73100..............  26............  A               X-ray exam of wrist.       0.16       0.06       0.06        0.02        0.24       0.24        XXX
73100..............  TC............  A               X-ray exam of wrist.       0.00       0.49        N/A        0.02        0.51        N/A        XXX
73110..............  ..............  A               X-ray exam of wrist.       0.17       0.59        N/A        0.03        0.79        N/A        XXX
73110..............  26............  A               X-ray exam of wrist.       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73110..............  TC............  A               X-ray exam of wrist.       0.00       0.53        N/A        0.02        0.55        N/A        XXX
73115..............  ..............  A               Contrast x-ray of          0.54       1.76        N/A        0.11        2.41        N/A        XXX
                                                      wrist.
73115..............  26............  A               Contrast x-ray of          0.54       0.19       0.19        0.03        0.76       0.76        XXX
                                                      wrist.

[[Page 49181]]

 
73115..............  TC............  A               Contrast x-ray of          0.00       1.58        N/A        0.08        1.66        N/A        XXX
                                                      wrist.
73120..............  ..............  A               X-ray exam of hand..       0.16       0.55        N/A        0.03        0.74        N/A        XXX
73120..............  26............  A               X-ray exam of hand..       0.16       0.06       0.06        0.01        0.23       0.23        XXX
73120..............  TC............  A               X-ray exam of hand..       0.00       0.49        N/A        0.02        0.51        N/A        XXX
73130..............  ..............  A               X-ray exam of hand..       0.17       0.59        N/A        0.03        0.79        N/A        XXX
73130..............  26............  A               X-ray exam of hand..       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73130..............  TC............  A               X-ray exam of hand..       0.00       0.53        N/A        0.02        0.55        N/A        XXX
73140..............  ..............  A               X-ray exam of              0.13       0.46        N/A        0.03        0.62        N/A        XXX
                                                      finger(s).
73140..............  26............  A               X-ray exam of              0.13       0.04       0.04        0.01        0.18       0.18        XXX
                                                      finger(s).
73140..............  TC............  A               X-ray exam of              0.00       0.42        N/A        0.02        0.44        N/A        XXX
                                                      finger(s).
73200..............  ..............  A               Ct upper extremity w/      1.09       5.33        N/A        0.26        6.68        N/A        XXX
                                                      o dye.
73200..............  26............  A               Ct upper extremity w/      1.09       0.37       0.37        0.05        1.51       1.51        XXX
                                                      o dye.
73200..............  TC............  A               Ct upper extremity w/      0.00       4.96        N/A        0.21        5.17        N/A        XXX
                                                      o dye.
73201..............  ..............  A               Ct upper extremity w/      1.16       6.30        N/A        0.31        7.77        N/A        XXX
                                                      dye.
73201..............  26............  A               Ct upper extremity w/      1.16       0.39       0.39        0.05        1.60       1.60        XXX
                                                      dye.
73201..............  TC............  A               Ct upper extremity w/      0.00       5.91        N/A        0.26        6.17        N/A        XXX
                                                      dye.
73202..............  ..............  A               Ct uppr extremity w/       1.22       7.84        N/A        0.38        9.44        N/A        XXX
                                                      o&w/dye.
73202..............  26............  A               Ct uppr extremity w/       1.22       0.41       0.41        0.06        1.69       1.69        XXX
                                                      o&w/dye.
73202..............  TC............  A               Ct uppr extremity w/       0.00       7.43        N/A        0.32        7.75        N/A        XXX
                                                      o&w/dye.
73206..............  ..............  A               Ct angio upr extrm w/      1.81      11.57        N/A        0.38       13.76        N/A        XXX
                                                      o&w/dye.
73206..............  26............  A               Ct angio upr extrm w/      1.81       0.61       0.61        0.06        2.48       2.48        XXX
                                                      o&w/dye.
73206..............  TC............  A               Ct angio upr extrm w/      0.00      10.97        N/A        0.32       11.29        N/A        XXX
                                                      o&w/dye.
73218..............  ..............  A               Mri upper extremity        1.35      11.66        N/A        0.36       13.37        N/A        XXX
                                                      w/o dye.
73218..............  26............  A               Mri upper extremity        1.35       0.45       0.45        0.04        1.84       1.84        XXX
                                                      w/o dye.
73218..............  TC............  A               Mri upper extremity        0.00      11.21        N/A        0.32       11.53        N/A        XXX
                                                      w/o dye.
73219..............  ..............  A               Mri upper extremity        1.62      13.99        N/A        0.44       16.05        N/A        XXX
                                                      w/dye.
73219..............  26............  A               Mri upper extremity        1.62       0.55       0.55        0.05        2.22       2.22        XXX
                                                      w/dye.
73219..............  TC............  A               Mri upper extremity        0.00      13.44        N/A        0.39       13.83        N/A        XXX
                                                      w/dye.
73220..............  ..............  A               Mri uppr extremity w/      2.15      25.62        N/A        0.78       28.55        N/A        XXX
                                                      o&w/dye.
73220..............  26............  A               Mri uppr extremity w/      2.15       0.73       0.73        0.08        2.96       2.96        XXX
                                                      o&w/dye.
73220..............  TC............  A               Mri uppr extremity w/      0.00      24.89        N/A        0.70       25.59        N/A        XXX
                                                      o&w/dye.
73221..............  ..............  A               Mri joint upr extrem       1.35      11.66        N/A        0.36       13.37        N/A        XXX
                                                      w/o dye.
73221..............  26............  A               Mri joint upr extrem       1.35       0.46       0.46        0.04        1.85       1.85        XXX
                                                      w/o dye.
73221..............  TC............  A               Mri joint upr extrem       0.00      11.21        N/A        0.32       11.53        N/A        XXX
                                                      w/o dye.
73222..............  ..............  A               Mri joint upr extrem       1.62      13.99        N/A        0.44       16.05        N/A        XXX
                                                      w/dye.
73222..............  26............  A               Mri joint upr extrem       1.62       0.54       0.54        0.05        2.21       2.21        XXX
                                                      w/dye.
73222..............  TC............  A               Mri joint upr extrem       0.00      13.44        N/A        0.39       13.83        N/A        XXX
                                                      w/dye.
73223..............  ..............  A               Mri joint upr extr w/      2.15      25.62        N/A        0.77       28.54        N/A        XXX
                                                      o&w/dye.
73223..............  26............  A               Mri joint upr extr w/      2.15       0.73       0.73        0.07        2.95       2.95        XXX
                                                      o&w/dye.
73223..............  TC............  A               Mri joint upr extr w/      0.00      24.89        N/A        0.70       25.59        N/A        XXX
                                                      o&w/dye.
73225..............  ..............  N               Mr angio upr extr w/       1.73      11.88        N/A        0.57       14.18        N/A        XXX
                                                      o&w/dye.
73225..............  26............  N               Mr angio upr extr w/       1.73       0.67       0.67        0.08        2.48       2.48        XXX
                                                      o&w/dye.

[[Page 49182]]

 
73225..............  TC............  N               Mr angio upr extr w/       0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      o&w/dye.
73500..............  ..............  A               X-ray exam of hip...       0.17       0.53        N/A        0.03        0.73        N/A        XXX
73500..............  26............  A               X-ray exam of hip...       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73500..............  TC............  A               X-ray exam of hip...       0.00       0.47        N/A        0.02        0.49        N/A        XXX
73510..............  ..............  A               X-ray exam of hip...       0.21       0.64        N/A        0.05        0.90        N/A        XXX
73510..............  26............  A               X-ray exam of hip...       0.21       0.07       0.07        0.02        0.30       0.30        XXX
73510..............  TC............  A               X-ray exam of hip...       0.00       0.57        N/A        0.03        0.60        N/A        XXX
73520..............  ..............  A               X-ray exam of hips..       0.26       0.76        N/A        0.05        1.07        N/A        XXX
73520..............  26............  A               X-ray exam of hips..       0.26       0.09       0.09        0.02        0.37       0.37        XXX
73520..............  TC............  A               X-ray exam of hips..       0.00       0.67        N/A        0.03        0.70        N/A        XXX
73525..............  ..............  A               Contrast x-ray of          0.54       2.28        N/A        0.13        2.95        N/A        XXX
                                                      hip.
73525..............  26............  A               Contrast x-ray of          0.54       0.18       0.18        0.03        0.75       0.75        XXX
                                                      hip.
73525..............  TC............  A               Contrast x-ray of          0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      hip.
73530..............  ..............  A               X-ray exam of hip...       0.29       0.62        N/A        0.03        0.94        N/A        XXX
73530..............  26............  A               X-ray exam of hip...       0.29       0.10       0.10        0.01        0.40       0.40        XXX
73530..............  TC............  A               X-ray exam of hip...       0.00       0.52        N/A        0.02        0.54        N/A        XXX
73540..............  ..............  A               X-ray exam of pelvis       0.20       0.64        N/A        0.05        0.89        N/A        XXX
                                                      & hips.
73540..............  26............  A               X-ray exam of pelvis       0.20       0.07       0.07        0.02        0.29       0.29        XXX
                                                      & hips.
73540..............  TC............  A               X-ray exam of pelvis       0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      & hips.
73542..............  ..............  A               X-ray exam,                0.59       2.26        N/A        0.13        2.98        N/A        XXX
                                                      sacroiliac joint.
73542..............  26............  A               X-ray exam,                0.59       0.16       0.16        0.03        0.78       0.78        XXX
                                                      sacroiliac joint.
73542..............  TC............  A               X-ray exam,                0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      sacroiliac joint.
73550..............  ..............  A               X-ray exam of thigh.       0.17       0.63        N/A        0.04        0.84        N/A        XXX
73550..............  26............  A               X-ray exam of thigh.       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73550..............  TC............  A               X-ray exam of thigh.       0.00       0.57        N/A        0.03        0.60        N/A        XXX
73560..............  ..............  A               X-ray exam of knee,        0.17       0.58        N/A        0.04        0.79        N/A        XXX
                                                      1 or 2.
73560..............  26............  A               X-ray exam of knee,        0.17       0.06       0.06        0.02        0.25       0.25        XXX
                                                      1 or 2.
73560..............  TC............  A               X-ray exam of knee,        0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      1 or 2.
73562..............  ..............  A               X-ray exam of knee,        0.18       0.63        N/A        0.05        0.86        N/A        XXX
                                                      3.
73562..............  26............  A               X-ray exam of knee,        0.18       0.06       0.06        0.02        0.26       0.26        XXX
                                                      3.
73562..............  TC............  A               X-ray exam of knee,        0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      3.
73564..............  ..............  A               X-ray exam, knee, 4        0.22       0.70        N/A        0.05        0.97        N/A        XXX
                                                      or more.
73564..............  26............  A               X-ray exam, knee, 4        0.22       0.08       0.08        0.02        0.32       0.32        XXX
                                                      or more.
73564..............  TC............  A               X-ray exam, knee, 4        0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      or more.
73565..............  ..............  A               X-ray exam of knees.       0.17       0.56        N/A        0.04        0.77        N/A        XXX
73565..............  26............  A               X-ray exam of knees.       0.17       0.06       0.06        0.02        0.25       0.25        XXX
73565..............  TC............  A               X-ray exam of knees.       0.00       0.49        N/A        0.02        0.51        N/A        XXX
73580..............  ..............  A               Contrast x-ray of          0.54       2.80        N/A        0.15        3.49        N/A        XXX
                                                      knee joint.
73580..............  26............  A               Contrast x-ray of          0.54       0.18       0.18        0.03        0.75       0.75        XXX
                                                      knee joint.
73580..............  TC............  A               Contrast x-ray of          0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      knee joint.
73590..............  ..............  A               X-ray exam of lower        0.17       0.58        N/A        0.03        0.78        N/A        XXX
                                                      leg.
73590..............  26............  A               X-ray exam of lower        0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      leg.
73590..............  TC............  A               X-ray exam of lower        0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      leg.
73592..............  ..............  A               X-ray exam of leg,         0.16       0.55        N/A        0.03        0.74        N/A        XXX
                                                      infant.
73592..............  26............  A               X-ray exam of leg,         0.16       0.06       0.06        0.01        0.23       0.23        XXX
                                                      infant.
73592..............  TC............  A               X-ray exam of leg,         0.00       0.49        N/A        0.02        0.51        N/A        XXX
                                                      infant.
73600..............  ..............  A               X-ray exam of ankle.       0.16       0.55        N/A        0.03        0.74        N/A        XXX
73600..............  26............  A               X-ray exam of ankle.       0.16       0.06       0.06        0.01        0.23       0.23        XXX
73600..............  TC............  A               X-ray exam of ankle.       0.00       0.49        N/A        0.02        0.51        N/A        XXX
73610..............  ..............  A               X-ray exam of ankle.       0.17       0.59        N/A        0.03        0.79        N/A        XXX

[[Page 49183]]

 
73610..............  26............  A               X-ray exam of ankle.       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73610..............  TC............  A               X-ray exam of ankle.       0.00       0.53        N/A        0.02        0.55        N/A        XXX
73615..............  ..............  A               Contrast x-ray of          0.54       2.29        N/A        0.13        2.96        N/A        XXX
                                                      ankle.
73615..............  26............  A               Contrast x-ray of          0.54       0.19       0.19        0.03        0.76       0.76        XXX
                                                      ankle.
73615..............  TC............  A               Contrast x-ray of          0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      ankle.
73620..............  ..............  A               X-ray exam of foot..       0.16       0.55        N/A        0.03        0.74        N/A        XXX
73620..............  26............  A               X-ray exam of foot..       0.16       0.05       0.05        0.01        0.22       0.22        XXX
73620..............  TC............  A               X-ray exam of foot..       0.00       0.49        N/A        0.02        0.51        N/A        XXX
73630..............  ..............  A               X-ray exam of foot..       0.17       0.59        N/A        0.03        0.79        N/A        XXX
73630..............  26............  A               X-ray exam of foot..       0.17       0.06       0.06        0.01        0.24       0.24        XXX
73630..............  TC............  A               X-ray exam of foot..       0.00       0.53        N/A        0.02        0.55        N/A        XXX
73650..............  ..............  A               X-ray exam of heel..       0.16       0.53        N/A        0.03        0.72        N/A        XXX
73650..............  26............  A               X-ray exam of heel..       0.16       0.05       0.05        0.01        0.22       0.22        XXX
73650..............  TC............  A               X-ray exam of heel..       0.00       0.47        N/A        0.02        0.49        N/A        XXX
73660..............  ..............  A               X-ray exam of toe(s)       0.13       0.46        N/A        0.03        0.62        N/A        XXX
73660..............  26............  A               X-ray exam of toe(s)       0.13       0.04       0.04        0.01        0.18       0.18        XXX
73660..............  TC............  A               X-ray exam of toe(s)       0.00       0.42        N/A        0.02        0.44        N/A        XXX
73700..............  ..............  A               Ct lower extremity w/      1.09       5.33        N/A        0.26        6.68        N/A        XXX
                                                      o dye.
73700..............  26............  A               Ct lower extremity w/      1.09       0.36       0.36        0.05        1.50       1.50        XXX
                                                      o dye.
73700..............  TC............  A               Ct lower extremity w/      0.00       4.96        N/A        0.21        5.17        N/A        XXX
                                                      o dye.
73701..............  ..............  A               Ct lower extremity w/      1.16       6.30        N/A        0.31        7.77        N/A        XXX
                                                      dye.
73701..............  26............  A               Ct lower extremity w/      1.16       0.39       0.39        0.05        1.60       1.60        XXX
                                                      dye.
73701..............  TC............  A               Ct lower extremity w/      0.00       5.91        N/A        0.26        6.17        N/A        XXX
                                                      dye.
73702..............  ..............  A               Ct lwr extremity w/        1.22       7.84        N/A        0.37        9.43        N/A        XXX
                                                      o&w/dye.
73702..............  26............  A               Ct lwr extremity w/        1.22       0.41       0.41        0.05        1.68       1.68        XXX
                                                      o&w/dye.
73702..............  TC............  A               Ct lwr extremity w/        0.00       7.43        N/A        0.32        7.75        N/A        XXX
                                                      o&w/dye.
73706..............  ..............  A               Ct angio lwr extr w/       1.90      11.60        N/A        0.38       13.88        N/A        XXX
                                                      o&w/dye.
73706..............  26............  A               Ct angio lwr extr w/       1.90       0.64       0.64        0.06        2.60       2.60        XXX
                                                      o&w/dye.
73706..............  TC............  A               Ct angio lwr extr w/       0.00      10.97        N/A        0.32       11.29        N/A        XXX
                                                      o&w/dye.
73718..............  ..............  A               Mri lower extremity        1.35      11.66        N/A        0.36       13.37        N/A        XXX
                                                      w/o dye.
73718..............  26............  A               Mri lower extremity        1.35       0.45       0.45        0.04        1.84       1.84        XXX
                                                      w/o dye.
73718..............  TC............  A               Mri lower extremity        0.00      11.21        N/A        0.32       11.53        N/A        XXX
                                                      w/o dye.
73719..............  ..............  A               Mri lower extremity        1.62      13.99        N/A        0.44       16.05        N/A        XXX
                                                      w/dye.
73719..............  26............  A               Mri lower extremity        1.62       0.54       0.54        0.05        2.21       2.21        XXX
                                                      w/dye.
73719..............  TC............  A               Mri lower extremity        0.00      13.44        N/A        0.39       13.83        N/A        XXX
                                                      w/dye.
73720..............  ..............  A               Mri lwr extremity w/       2.15      25.61        N/A        0.78       28.54        N/A        XXX
                                                      o&w/dye.
73720..............  26............  A               Mri lwr extremity w/       2.15       0.72       0.72        0.08        2.95       2.95        XXX
                                                      o&w/dye.
73720..............  TC............  A               Mri lwr extremity w/       0.00      24.89        N/A        0.70       25.59        N/A        XXX
                                                      o&w/dye.
73721..............  ..............  A               Mri jnt of lwr extre       1.35      11.66        N/A        0.36       13.37        N/A        XXX
                                                      w/o dye.
73721..............  26............  A               Mri jnt of lwr extre       1.35       0.46       0.46        0.04        1.85       1.85        XXX
                                                      w/o dye.
73721..............  TC............  A               Mri jnt of lwr extre       0.00      11.21        N/A        0.32       11.53        N/A        XXX
                                                      w/o dye.
73722..............  ..............  A               Mri joint of lwr           1.62      13.99        N/A        0.45       16.06        N/A        XXX
                                                      extr w/dye.
73722..............  26............  A               Mri joint of lwr           1.62       0.55       0.55        0.06        2.23       2.23        XXX
                                                      extr w/dye.
73722..............  TC............  A               Mri joint of lwr           0.00      13.44        N/A        0.39       13.83        N/A        XXX
                                                      extr w/dye.
73723..............  ..............  A               Mri joint lwr extr w/      2.15      25.62        N/A        0.77       28.54        N/A        XXX
                                                      o&w/dye.
73723..............  26............  A               Mri joint lwr extr w/      2.15       0.73       0.73        0.07        2.95       2.95        XXX
                                                      o&w/dye.
73723..............  TC............  A               Mri joint lwr extr w/      0.00      24.89        N/A        0.70       25.59        N/A        XXX
                                                      o&w/dye.
73725..............  ..............  R               Mr ang lwr ext w or        1.82      11.82        N/A        0.57       14.21        N/A        XXX
                                                      w/o dye.
73725..............  26............  R               Mr ang lwr ext w or        1.82       0.61       0.61        0.08        2.51       2.51        XXX
                                                      w/o dye.

[[Page 49184]]

 
73725..............  TC............  R               Mr ang lwr ext w or        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/o dye.
74000..............  ..............  A               X-ray exam of              0.18       0.58        N/A        0.03        0.79        N/A        XXX
                                                      abdomen.
74000..............  26............  A               X-ray exam of              0.18       0.06       0.06        0.01        0.25       0.25        XXX
                                                      abdomen.
74000..............  TC............  A               X-ray exam of              0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      abdomen.
74010..............  ..............  A               X-ray exam of              0.23       0.65        N/A        0.04        0.92        N/A        XXX
                                                      abdomen.
74010..............  26............  A               X-ray exam of              0.23       0.08       0.08        0.01        0.32       0.32        XXX
                                                      abdomen.
74010..............  TC............  A               X-ray exam of              0.00       0.57        N/A        0.03        0.60        N/A        XXX
                                                      abdomen.
74020..............  ..............  A               X-ray exam of              0.27       0.71        N/A        0.04        1.02        N/A        XXX
                                                      abdomen.
74020..............  26............  A               X-ray exam of              0.27       0.09       0.09        0.01        0.37       0.37        XXX
                                                      abdomen.
74020..............  TC............  A               X-ray exam of              0.00       0.62        N/A        0.03        0.65        N/A        XXX
                                                      abdomen.
74022..............  ..............  A               X-ray exam series,         0.32       0.84        N/A        0.05        1.21        N/A        XXX
                                                      abdomen.
74022..............  26............  A               X-ray exam series,         0.32       0.11       0.11        0.01        0.44       0.44        XXX
                                                      abdomen.
74022..............  TC............  A               X-ray exam series,         0.00       0.73        N/A        0.04        0.77        N/A        XXX
                                                      abdomen.
74150..............  ..............  A               Ct abdomen w/o dye..       1.19       6.06        N/A        0.30        7.55        N/A        XXX
74150..............  26............  A               Ct abdomen w/o dye..       1.19       0.40       0.40        0.05        1.64       1.64        XXX
74150..............  TC............  A               Ct abdomen w/o dye..       0.00       5.66        N/A        0.25        5.91        N/A        XXX
74160..............  ..............  A               Ct abdomen w/dye....       1.27       7.27        N/A        0.36        8.90        N/A        XXX
74160..............  26............  A               Ct abdomen w/dye....       1.27       0.42       0.42        0.06        1.75       1.75        XXX
74160..............  TC............  A               Ct abdomen w/dye....       0.00       6.85        N/A        0.30        7.15        N/A        XXX
74170..............  ..............  A               Ct abdomen w/o&w/dye       1.40       8.96        N/A        0.42       10.78        N/A        XXX
74170..............  26............  A               Ct abdomen w/o&w/dye       1.40       0.47       0.47        0.06        1.93       1.93        XXX
74170..............  TC............  A               Ct abdomen w/o&w/dye       0.00       8.49        N/A        0.36        8.85        N/A        XXX
74175..............  ..............  A               Ct angio abdom w/o&w/      1.90      12.67        N/A        0.38       14.95        N/A        XXX
                                                      dye.
74175..............  26............  A               Ct angio abdom w/o&w/      1.90       0.64       0.64        0.06        2.60       2.60        XXX
                                                      dye.
74175..............  TC............  A               Ct angio abdom w/o&w/      0.00      12.03        N/A        0.32       12.35        N/A        XXX
                                                      dye.
74181..............  ..............  A               Mri abdomen w/o dye.       1.46      11.70        N/A        0.43       13.59        N/A        XXX
74181..............  26............  A               Mri abdomen w/o dye.       1.46       0.49       0.49        0.06        2.01       2.01        XXX
74181..............  TC............  A               Mri abdomen w/o dye.       0.00      11.21        N/A        0.37       11.58        N/A        XXX
74182..............  ..............  A               Mri abdomen w/dye...       1.73      14.02        N/A        0.49       16.24        N/A        XXX
74182..............  26............  A               Mri abdomen w/dye...       1.73       0.58       0.58        0.06        2.37       2.37        XXX
74182..............  TC............  A               Mri abdomen w/dye...       0.00      13.44        N/A        0.43       13.87        N/A        XXX
74183..............  ..............  A               Mri abdomen w/o&w/         2.26      25.65        N/A        0.84       28.75        N/A        XXX
                                                      dye.
74183..............  26............  A               Mri abdomen w/o&w/         2.26       0.76       0.76        0.08        3.10       3.10        XXX
                                                      dye.
74183..............  TC............  A               Mri abdomen w/o&w/         0.00      24.89        N/A        0.76       25.65        N/A        XXX
                                                      dye.
74185..............  ..............  R               Mri angio, abdom w         1.80      11.81        N/A        0.57       14.18        N/A        XXX
                                                      or w/o dy.
74185..............  26............  R               Mri angio, abdom w         1.80       0.60       0.60        0.08        2.48       2.48        XXX
                                                      or w/o dy.
74185..............  TC............  R               Mri angio, abdom w         0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      or w/o dy.
74190..............  ..............  A               X-ray exam of              0.48       1.47        N/A        0.08        2.03        N/A        XXX
                                                      peritoneum.
74190..............  26............  A               X-ray exam of              0.48       0.16       0.16        0.02        0.66       0.66        XXX
                                                      peritoneum.
74190..............  TC............  A               X-ray exam of              0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      peritoneum.
74210..............  ..............  A               Contrst x-ray exam         0.36       1.31        N/A        0.07        1.74        N/A        XXX
                                                      of throat.
74210..............  26............  A               Contrst x-ray exam         0.36       0.12       0.12        0.02        0.50       0.50        XXX
                                                      of throat.
74210..............  TC............  A               Contrst x-ray exam         0.00       1.19        N/A        0.05        1.24        N/A        XXX
                                                      of throat.
74220..............  ..............  A               Contrast x-ray,            0.46       1.34        N/A        0.07        1.87        N/A        XXX
                                                      esophagus.
74220..............  26............  A               Contrast x-ray,            0.46       0.15       0.15        0.02        0.63       0.63        XXX
                                                      esophagus.
74220..............  TC............  A               Contrast x-ray,            0.00       1.19        N/A        0.05        1.24        N/A        XXX
                                                      esophagus.
74230..............  ..............  A               Cine/vid x-ray,            0.53       1.48        N/A        0.08        2.09        N/A        XXX
                                                      throat/esoph.
74230..............  26............  A               Cine/vid x-ray,            0.53       0.18       0.18        0.02        0.73       0.73        XXX
                                                      throat/esoph.
74230..............  TC............  A               Cine/vid x-ray,            0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      throat/esoph.

[[Page 49185]]

 
74235..............  ..............  A               Remove esophagus           1.19       3.02        N/A        0.17        4.38        N/A        XXX
                                                      obstruction.
74235..............  26............  A               Remove esophagus           1.19       0.40       0.40        0.05        1.64       1.64        XXX
                                                      obstruction.
74235..............  TC............  A               Remove esophagus           0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      obstruction.
74240..............  ..............  A               X-ray exam, upper gi       0.69       1.69        N/A        0.10        2.48        N/A        XXX
                                                      tract.
74240..............  26............  A               X-ray exam, upper gi       0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      tract.
74240..............  TC............  A               X-ray exam, upper gi       0.00       1.46        N/A        0.07        1.53        N/A        XXX
                                                      tract.
74241..............  ..............  A               X-ray exam, upper gi       0.69       1.72        N/A        0.10        2.51        N/A        XXX
                                                      tract.
74241..............  26............  A               X-ray exam, upper gi       0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      tract.
74241..............  TC............  A               X-ray exam, upper gi       0.00       1.49        N/A        0.07        1.56        N/A        XXX
                                                      tract.
74245..............  ..............  A               X-ray exam, upper gi       0.91       2.68        N/A        0.15        3.74        N/A        XXX
                                                      tract.
74245..............  26............  A               X-ray exam, upper gi       0.91       0.30       0.30        0.04        1.25       1.25        XXX
                                                      tract.
74245..............  TC............  A               X-ray exam, upper gi       0.00       2.38        N/A        0.11        2.49        N/A        XXX
                                                      tract.
74246..............  ..............  A               Contrst x-ray uppr         0.69       1.87        N/A        0.11        2.67        N/A        XXX
                                                      gi tract.
74246..............  26............  A               Contrst x-ray uppr         0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      gi tract.
74246..............  TC............  A               Contrst x-ray uppr         0.00       1.64        N/A        0.08        1.72        N/A        XXX
                                                      gi tract.
74247..............  ..............  A               Contrst x-ray uppr         0.69       1.91        N/A        0.12        2.72        N/A        XXX
                                                      gi tract.
74247..............  26............  A               Contrst x-ray uppr         0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      gi tract.
74247..............  TC............  A               Contrst x-ray uppr         0.00       1.68        N/A        0.09        1.77        N/A        XXX
                                                      gi tract.
74249..............  ..............  A               Contrst x-ray uppr         0.91       2.88        N/A        0.16        3.95        N/A        XXX
                                                      gi tract.
74249..............  26............  A               Contrst x-ray uppr         0.91       0.30       0.30        0.04        1.25       1.25        XXX
                                                      gi tract.
74249..............  TC............  A               Contrst x-ray uppr         0.00       2.57        N/A        0.12        2.69        N/A        XXX
                                                      gi tract.
74250..............  ..............  A               X-ray exam of small        0.47       1.46        N/A        0.08        2.01        N/A        XXX
                                                      bowel.
74250..............  26............  A               X-ray exam of small        0.47       0.16       0.16        0.02        0.65       0.65        XXX
                                                      bowel.
74250..............  TC............  A               X-ray exam of small        0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      bowel.
74251..............  ..............  A               X-ray exam of small        0.69       1.54        N/A        0.09        2.32        N/A        XXX
                                                      bowel.
74251..............  26............  A               X-ray exam of small        0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      bowel.
74251..............  TC............  A               X-ray exam of small        0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      bowel.
74260..............  ..............  A               X-ray exam of small        0.50       1.66        N/A        0.09        2.25        N/A        XXX
                                                      bowel.
74260..............  26............  A               X-ray exam of small        0.50       0.17       0.17        0.02        0.69       0.69        XXX
                                                      bowel.
74260..............  TC............  A               X-ray exam of small        0.00       1.49        N/A        0.07        1.56        N/A        XXX
                                                      bowel.
74270..............  ..............  A               Contrast x-ray exam        0.69       1.93        N/A        0.12        2.74        N/A        XXX
                                                      of colon.
74270..............  26............  A               Contrast x-ray exam        0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      of colon.
74270..............  TC............  A               Contrast x-ray exam        0.00       1.70        N/A        0.09        1.79        N/A        XXX
                                                      of colon.
74280..............  ..............  A               Contrast x-ray exam        0.99       2.57        N/A        0.15        3.71        N/A        XXX
                                                      of colon.
74280..............  26............  A               Contrast x-ray exam        0.99       0.33       0.33        0.04        1.36       1.36        XXX
                                                      of colon.
74280..............  TC............  A               Contrast x-ray exam        0.00       2.23        N/A        0.11        2.34        N/A        XXX
                                                      of colon.
74283..............  ..............  A               Contrast x-ray exam        2.02       3.24        N/A        0.21        5.47        N/A        XXX
                                                      of colon.
74283..............  26............  A               Contrast x-ray exam        2.02       0.68       0.68        0.09        2.79       2.79        XXX
                                                      of colon.
74283..............  TC............  A               Contrast x-ray exam        0.00       2.56        N/A        0.12        2.68        N/A        XXX
                                                      of colon.
74290..............  ..............  A               Contrast x-ray,            0.32       0.84        N/A        0.05        1.21        N/A        XXX
                                                      gallbladder.
74290..............  26............  A               Contrast x-ray,            0.32       0.11       0.11        0.01        0.44       0.44        XXX
                                                      gallbladder.
74290..............  TC............  A               Contrast x-ray,            0.00       0.73        N/A        0.04        0.77        N/A        XXX
                                                      gallbladder.
74291..............  ..............  A               Contrast x-rays,           0.20       0.48        N/A        0.03        0.71        N/A        XXX
                                                      gallbladder.
74291..............  26............  A               Contrast x-rays,           0.20       0.07       0.07        0.01        0.28       0.28        XXX
                                                      gallbladder.
74291..............  TC............  A               Contrast x-rays,           0.00       0.42        N/A        0.02        0.44        N/A        XXX
                                                      gallbladder.
74300..............  ..............  C               X-ray bile ducts/          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      pancreas.
74300..............  26............  A               X-ray bile ducts/          0.36       0.12       0.12        0.02        0.50       0.50        XXX
                                                      pancreas.
74300..............  TC............  C               X-ray bile ducts/          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       0.00        ZZZ
                                                      add-on.
74301..............  26............  A               X-rays at surgery          0.21       0.07       0.07        0.01        0.29       0.29        ZZZ
                                                      add-on.
74301..............  TC............  C               X-rays at surgery          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      add-on.

[[Page 49186]]

 
74305..............  ..............  A               X-ray bile ducts/          0.42       0.92        N/A        0.06        1.40        N/A        XXX
                                                      pancreas.
74305..............  26............  A               X-ray bile ducts/          0.42       0.14       0.14        0.02        0.58       0.58        XXX
                                                      pancreas.
74305..............  TC............  A               X-ray bile ducts/          0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      pancreas.
74320..............  ..............  A               Contrast x-ray of          0.54       3.33        N/A        0.16        4.03        N/A        XXX
                                                      bile ducts.
74320..............  26............  A               Contrast x-ray of          0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      bile ducts.
74320..............  TC............  A               Contrast x-ray of          0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      bile ducts.
74327..............  ..............  A               X-ray bile stone           0.70       1.99        N/A        0.12        2.81        N/A        XXX
                                                      removal.
74327..............  26............  A               X-ray bile stone           0.70       0.23       0.23        0.03        0.96       0.96        XXX
                                                      removal.
74327..............  TC............  A               X-ray bile stone           0.00       1.76        N/A        0.09        1.85        N/A        XXX
                                                      removal.
74328..............  ..............  A               X-ray bile duct            0.70       3.39        N/A        0.17        4.26        N/A        XXX
                                                      endoscopy.
74328..............  26............  A               X-ray bile duct            0.70       0.24       0.24        0.03        0.97       0.97        XXX
                                                      endoscopy.
74328..............  TC............  A               X-ray bile duct            0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      endoscopy.
74329..............  ..............  A               X-ray for pancreas         0.70       3.39        N/A        0.17        4.26        N/A        XXX
                                                      endoscopy.
74329..............  26............  A               X-ray for pancreas         0.70       0.23       0.23        0.03        0.96       0.96        XXX
                                                      endoscopy.
74329..............  TC............  A               X-ray for pancreas         0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      endoscopy.
74330..............  ..............  A               X-ray bile/panc            0.90       3.45        N/A        0.18        4.53        N/A        XXX
                                                      endoscopy.
74330..............  26............  A               X-ray bile/panc            0.90       0.30       0.30        0.04        1.24       1.24        XXX
                                                      endoscopy.
74330..............  TC............  A               X-ray bile/panc            0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      endoscopy.
74340..............  ..............  A               X-ray guide for GI         0.54       2.80        N/A        0.14        3.48        N/A        XXX
                                                      tube.
74340..............  26............  A               X-ray guide for GI         0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      tube.
74340..............  TC............  A               X-ray guide for GI         0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      tube.
74350..............  ..............  A               X-ray guide, stomach       0.76       3.41        N/A        0.17        4.34        N/A        XXX
                                                      tube.
74350..............  26............  A               X-ray guide, stomach       0.76       0.25       0.25        0.03        1.04       1.04        XXX
                                                      tube.
74350..............  TC............  A               X-ray guide, stomach       0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      tube.
74355..............  ..............  A               X-ray guide,               0.76       2.87        N/A        0.15        3.78        N/A        XXX
                                                      intestinal tube.
74355..............  26............  A               X-ray guide,               0.76       0.25       0.25        0.03        1.04       1.04        XXX
                                                      intestinal tube.
74355..............  TC............  A               X-ray guide,               0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      intestinal tube.
74360..............  ..............  A               X-ray guide, GI            0.54       3.34        N/A        0.16        4.04        N/A        XXX
                                                      dilation.
74360..............  26............  A               X-ray guide, GI            0.54       0.19       0.19        0.02        0.75       0.75        XXX
                                                      dilation.
74360..............  TC............  A               X-ray guide, GI            0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      dilation.
74363..............  ..............  A               X-ray, bile duct           0.88       6.39        N/A        0.31        7.58        N/A        XXX
                                                      dilation.
74363..............  26............  A               X-ray, bile duct           0.88       0.29       0.29        0.04        1.21       1.21        XXX
                                                      dilation.
74363..............  TC............  A               X-ray, bile duct           0.00       6.10        N/A        0.27        6.37        N/A        XXX
                                                      dilation.
74400..............  ..............  A               Contrst x-ray,             0.49       1.85        N/A        0.11        2.45        N/A        XXX
                                                      urinary tract.
74400..............  26............  A               Contrst x-ray,             0.49       0.16       0.16        0.02        0.67       0.67        XXX
                                                      urinary tract.
74400..............  TC............  A               Contrst x-ray,             0.00       1.68        N/A        0.09        1.77        N/A        XXX
                                                      urinary tract.
74410..............  ..............  A               Contrst x-ray,             0.49       2.12        N/A        0.11        2.72        N/A        XXX
                                                      urinary tract.
74410..............  26............  A               Contrst x-ray,             0.49       0.16       0.16        0.02        0.67       0.67        XXX
                                                      urinary tract.
74410..............  TC............  A               Contrst x-ray,             0.00       1.95        N/A        0.09        2.04        N/A        XXX
                                                      urinary tract.
74415..............  ..............  A               Contrst x-ray,             0.49       2.28        N/A        0.12        2.89        N/A        XXX
                                                      urinary tract.
74415..............  26............  A               Contrst x-ray,             0.49       0.16       0.16        0.02        0.67       0.67        XXX
                                                      urinary tract.
74415..............  TC............  A               Contrst x-ray,             0.00       2.12        N/A        0.10        2.22        N/A        XXX
                                                      urinary tract.
74420..............  ..............  A               Contrst x-ray,             0.36       2.74        N/A        0.14        3.24        N/A        XXX
                                                      urinary tract.
74420..............  26............  A               Contrst x-ray,             0.36       0.12       0.12        0.02        0.50       0.50        XXX
                                                      urinary tract.
74420..............  TC............  A               Contrst x-ray,             0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      urinary tract.
74425..............  ..............  A               Contrst x-ray,             0.36       1.43        N/A        0.08        1.87        N/A        XXX
                                                      urinary tract.
74425..............  26............  A               Contrst x-ray,             0.36       0.12       0.12        0.02        0.50       0.50        XXX
                                                      urinary tract.
74425..............  TC............  A               Contrst x-ray,             0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      urinary tract.
74430..............  ..............  A               Contrast x-ray,            0.32       1.16        N/A        0.07        1.55        N/A        XXX
                                                      bladder.
74430..............  26............  A               Contrast x-ray,            0.32       0.11       0.11        0.02        0.45       0.45        XXX
                                                      bladder.
74430..............  TC............  A               Contrast x-ray,            0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      bladder.
74440..............  ..............  A               X-ray, male genital        0.38       1.26        N/A        0.07        1.71        N/A        XXX
                                                      tract.
74440..............  26............  A               X-ray, male genital        0.38       0.12       0.12        0.02        0.52       0.52        XXX
                                                      tract.
74440..............  TC............  A               X-ray, male genital        0.00       1.13        N/A        0.05        1.18        N/A        XXX
                                                      tract.
74445..............  ..............  A               X-ray exam of penis.       1.14       1.51        N/A        0.10        2.75        N/A        XXX
74445..............  26............  A               X-ray exam of penis.       1.14       0.38       0.38        0.05        1.57       1.57        XXX
74445..............  TC............  A               X-ray exam of penis.       0.00       1.13        N/A        0.05        1.18        N/A        XXX
74450..............  ..............  A               X-ray, urethra/            0.33       1.57        N/A        0.09        1.99        N/A        XXX
                                                      bladder.
74450..............  26............  A               X-ray, urethra/            0.33       0.11       0.11        0.02        0.46       0.46        XXX
                                                      bladder.
74450..............  TC............  A               X-ray, urethra/            0.00       1.46        N/A        0.07        1.53        N/A        XXX
                                                      bladder.

[[Page 49187]]

 
74455..............  ..............  A               X-ray, urethra/            0.33       1.69        N/A        0.10        2.12        N/A        XXX
                                                      bladder.
74455..............  26............  A               X-ray, urethra/            0.33       0.11       0.11        0.02        0.46       0.46        XXX
                                                      bladder.
74455..............  TC............  A               X-ray, urethra/            0.00       1.58        N/A        0.08        1.66        N/A        XXX
                                                      bladder.
74470..............  ..............  A               X-ray exam of kidney       0.54       1.43        N/A        0.08        2.05        N/A        XXX
                                                      lesion.
74470..............  26............  A               X-ray exam of kidney       0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      lesion.
74470..............  TC............  A               X-ray exam of kidney       0.00       1.25        N/A        0.06        1.31        N/A        XXX
                                                      lesion.
74475..............  ..............  A               X-ray control, cath        0.54       4.25        N/A        0.20        4.99        N/A        XXX
                                                      insert.
74475..............  26............  A               X-ray control, cath        0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      insert.
74475..............  TC............  A               X-ray control, cath        0.00       4.07        N/A        0.18        4.25        N/A        XXX
                                                      insert.
74480..............  ..............  A               X-ray control, cath        0.54       4.25        N/A        0.20        4.99        N/A        XXX
                                                      insert.
74480..............  26............  A               X-ray control, cath        0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      insert.
74480..............  TC............  A               X-ray control, cath        0.00       4.07        N/A        0.18        4.25        N/A        XXX
                                                      insert.
74485..............  ..............  A               X-ray guide, GU            0.54       3.33        N/A        0.17        4.04        N/A        XXX
                                                      dilation.
74485..............  26............  A               X-ray guide, GU            0.54       0.18       0.18        0.03        0.75       0.75        XXX
                                                      dilation.
74485..............  TC............  A               X-ray guide, GU            0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      dilation.
74710..............  ..............  A               X-ray measurement of       0.34       1.17        N/A        0.07        1.58        N/A        XXX
                                                      pelvis.
74710..............  26............  A               X-ray measurement of       0.34       0.11       0.11        0.02        0.47       0.47        XXX
                                                      pelvis.
74710..............  TC............  A               X-ray measurement of       0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      pelvis.
74740..............  ..............  A               X-ray, female              0.38       1.43        N/A        0.08        1.89        N/A        XXX
                                                      genital tract.
74740..............  26............  A               X-ray, female              0.38       0.13       0.13        0.02        0.53       0.53        XXX
                                                      genital tract.
74740..............  TC............  A               X-ray, female              0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      genital tract.
74742..............  ..............  A               X-ray, fallopian           0.61       3.36        N/A        0.16        4.13        N/A        XXX
                                                      tube.
74742..............  26............  A               X-ray, fallopian           0.61       0.21       0.21        0.02        0.84       0.84        XXX
                                                      tube.
74742..............  TC............  A               X-ray, fallopian           0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      tube.
74775..............  ..............  A               X-ray exam of              0.62       1.67        N/A        0.10        2.39        N/A        XXX
                                                      perineum.
74775..............  26............  A               X-ray exam of              0.62       0.21       0.21        0.03        0.86       0.86        XXX
                                                      perineum.
74775..............  TC............  A               X-ray exam of              0.00       1.46        N/A        0.07        1.53        N/A        XXX
                                                      perineum.
75552..............  ..............  A               Heart mri for morph        1.60      11.75        N/A        0.56       13.91        N/A        XXX
                                                      w/o dye.
75552..............  26............  A               Heart mri for morph        1.60       0.54       0.54        0.07        2.21       2.21        XXX
                                                      w/o dye.
75552..............  TC............  A               Heart mri for morph        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/o dye.
75553..............  ..............  A               Heart mri for morph        2.00      11.88        N/A        0.58       14.46        N/A        XXX
                                                      w/dye.
75553..............  26............  A               Heart mri for morph        2.00       0.67       0.67        0.09        2.76       2.76        XXX
                                                      w/dye.
75553..............  TC............  A               Heart mri for morph        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      w/dye.
75554..............  ..............  A               Cardiac MRI/function       1.83      11.87        N/A        0.56       14.26        N/A        XXX
75554..............  26............  A               Cardiac MRI/function       1.83       0.66       0.66        0.07        2.56       2.56        XXX
75554..............  TC............  A               Cardiac MRI/function       0.00      11.21        N/A        0.49       11.70        N/A        XXX
75555..............  ..............  A               Cardiac MRI/limited        1.74      11.86        N/A        0.56       14.16        N/A        XXX
                                                      study.
75555..............  26............  A               Cardiac MRI/limited        1.74       0.65       0.65        0.07        2.46       2.46        XXX
                                                      study.
75555..............  TC............  A               Cardiac MRI/limited        0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      study.
75600..............  ..............  A               Contrast x-ray exam        0.49      12.79        N/A        0.56       13.84        N/A        XXX
                                                      of aorta.
75600..............  26............  A               Contrast x-ray exam        0.49       0.19       0.19        0.02        0.70       0.70        XXX
                                                      of aorta.
75600..............  TC............  A               Contrast x-ray exam        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      of aorta.
75605..............  ..............  A               Contrast x-ray exam        1.14      13.01        N/A        0.59       14.74        N/A        XXX
                                                      of aorta.
75605..............  26............  A               Contrast x-ray exam        1.14       0.41       0.41        0.05        1.60       1.60        XXX
                                                      of aorta.
75605..............  TC............  A               Contrast x-ray exam        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      of aorta.
75625..............  ..............  A               Contrast x-ray exam        1.14      12.99        N/A        0.59       14.72        N/A        XXX
                                                      of aorta.
75625..............  26............  A               Contrast x-ray exam        1.14       0.39       0.39        0.05        1.58       1.58        XXX
                                                      of aorta.
75625..............  TC............  A               Contrast x-ray exam        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      of aorta.

[[Page 49188]]

 
75630..............  ..............  A               X-ray aorta, leg           1.79      13.76        N/A        0.65       16.20        N/A        XXX
                                                      arteries.
75630..............  26............  A               X-ray aorta, leg           1.79       0.63       0.63        0.08        2.50       2.50        XXX
                                                      arteries.
75630..............  TC............  A               X-ray aorta, leg           0.00      13.13        N/A        0.57       13.70        N/A        XXX
                                                      arteries.
75635..............  ..............  A               Ct angio abdominal         2.40      16.73        N/A        0.41       19.54        N/A        XXX
                                                      arteries.
75635..............  26............  A               Ct angio abdominal         2.40       0.81       0.81        0.09        3.30       3.30        XXX
                                                      arteries.
75635..............  TC............  A               Ct angio abdominal         0.00      15.92        N/A        0.32       16.24        N/A        XXX
                                                      arteries.
75650..............  ..............  A               Artery x-rays, head        1.49      13.10        N/A        0.61       15.20        N/A        XXX
                                                      & neck.
75650..............  26............  A               Artery x-rays, head        1.49       0.50       0.50        0.07        2.06       2.06        XXX
                                                      & neck.
75650..............  TC............  A               Artery x-rays, head        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      & neck.
75658..............  ..............  A               Artery x-rays, arm..       1.31      13.08        N/A        0.60       14.99        N/A        XXX
75658..............  26............  A               Artery x-rays, arm..       1.31       0.48       0.48        0.06        1.85       1.85        XXX
75658..............  TC............  A               Artery x-rays, arm..       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75660..............  ..............  A               Artery x-rays, head        1.31      13.05        N/A        0.60       14.96        N/A        XXX
                                                      & neck.
75660..............  26............  A               Artery x-rays, head        1.31       0.45       0.45        0.06        1.82       1.82        XXX
                                                      & neck.
75660..............  TC............  A               Artery x-rays, head        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      & neck.
75662..............  ..............  A               Artery x-rays, head        1.66      13.21        N/A        0.62       15.49        N/A        XXX
                                                      & neck.
75662..............  26............  A               Artery x-rays, head        1.66       0.61       0.61        0.08        2.35       2.35        XXX
                                                      & neck.
75662..............  TC............  A               Artery x-rays, head        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      & neck.
75665..............  ..............  A               Artery x-rays, head        1.31      13.05        N/A        0.61       14.97        N/A        XXX
                                                      & neck.
75665..............  26............  A               Artery x-rays, head        1.31       0.45       0.45        0.07        1.83       1.83        XXX
                                                      & neck.
75665..............  TC............  A               Artery x-rays, head        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      & neck.
75671..............  ..............  A               Artery x-rays, head        1.66      13.16        N/A        0.62       15.44        N/A        XXX
                                                      & neck.
75671..............  26............  A               Artery x-rays, head        1.66       0.56       0.56        0.08        2.30       2.30        XXX
                                                      & neck.
75671..............  TC............  A               Artery x-rays, head        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      & neck.
75676..............  ..............  A               Artery x-rays, neck.       1.31      13.05        N/A        0.61       14.97        N/A        XXX
75676..............  26............  A               Artery x-rays, neck.       1.31       0.45       0.45        0.07        1.83       1.83        XXX
75676..............  TC............  A               Artery x-rays, neck.       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75680..............  ..............  A               Artery x-rays, neck.       1.66      13.16        N/A        0.62       15.44        N/A        XXX
75680..............  26............  A               Artery x-rays, neck.       1.66       0.56       0.56        0.08        2.30       2.30        XXX
75680..............  TC............  A               Artery x-rays, neck.       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75685..............  ..............  A               Artery x-rays, spine       1.31      13.05        N/A        0.60       14.96        N/A        XXX
75685..............  26............  A               Artery x-rays, spine       1.31       0.44       0.44        0.06        1.81       1.81        XXX
75685..............  TC............  A               Artery x-rays, spine       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75705..............  ..............  A               Artery x-rays, spine       2.18      13.35        N/A        0.65       16.18        N/A        XXX
75705..............  26............  A               Artery x-rays, spine       2.18       0.75       0.75        0.11        3.04       3.04        XXX
75705..............  TC............  A               Artery x-rays, spine       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75710..............  ..............  A               Artery x-rays, arm/        1.14      13.00        N/A        0.60       14.74        N/A        XXX
                                                      leg.
75710..............  26............  A               Artery x-rays, arm/        1.14       0.39       0.39        0.06        1.59       1.59        XXX
                                                      leg.
75710..............  TC............  A               Artery x-rays, arm/        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      leg.
75716..............  ..............  A               Artery x-rays, arms/       1.31      13.04        N/A        0.60       14.95        N/A        XXX
                                                      legs.
75716..............  26............  A               Artery x-rays, arms/       1.31       0.44       0.44        0.06        1.81       1.81        XXX
                                                      legs.
75716..............  TC............  A               Artery x-rays, arms/       0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      legs.
75722..............  ..............  A               Artery x-rays,             1.14      13.01        N/A        0.59       14.74        N/A        XXX
                                                      kidney.
75722..............  26............  A               Artery x-rays,             1.14       0.41       0.41        0.05        1.60       1.60        XXX
                                                      kidney.
75722..............  TC............  A               Artery x-rays,             0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      kidney.
75724..............  ..............  A               Artery x-rays,             1.49      13.17        N/A        0.59       15.25        N/A        XXX
                                                      kidneys.
75724..............  26............  A               Artery x-rays,             1.49       0.57       0.57        0.05        2.11       2.11        XXX
                                                      kidneys.
75724..............  TC............  A               Artery x-rays,             0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      kidneys.
75726..............  ..............  A               Artery x-rays,             1.14      12.98        N/A        0.59       14.71        N/A        XXX
                                                      abdomen.
75726..............  26............  A               Artery x-rays,             1.14       0.38       0.38        0.05        1.57       1.57        XXX
                                                      abdomen.
75726..............  TC............  A               Artery x-rays,             0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      abdomen.
75731..............  ..............  A               Artery x-rays,             1.14      12.98        N/A        0.59       14.71        N/A        XXX
                                                      adrenal gland.
75731..............  26............  A               Artery x-rays,             1.14       0.38       0.38        0.05        1.57       1.57        XXX
                                                      adrenal gland.
75731..............  TC............  A               Artery x-rays,             0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      adrenal gland.
75733..............  ..............  A               Artery x-rays,             1.31      13.05        N/A        0.60       14.96        N/A        XXX
                                                      adrenals.
75733..............  26............  A               Artery x-rays,             1.31       0.45       0.45        0.06        1.82       1.82        XXX
                                                      adrenals.
75733..............  TC............  A               Artery x-rays,             0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      adrenals.
75736..............  ..............  A               Artery x-rays,             1.14      12.99        N/A        0.59       14.72        N/A        XXX
                                                      pelvis.
75736..............  26............  A               Artery x-rays,             1.14       0.38       0.38        0.05        1.57       1.57        XXX
                                                      pelvis.
75736..............  TC............  A               Artery x-rays,             0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      pelvis.

[[Page 49189]]

 
75741..............  ..............  A               Artery x-rays, lung.       1.31      13.04        N/A        0.60       14.95        N/A        XXX
75741..............  26............  A               Artery x-rays, lung.       1.31       0.44       0.44        0.06        1.81       1.81        XXX
75741..............  TC............  A               Artery x-rays, lung.       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75743..............  ..............  A               Artery x-rays, lungs       1.66      13.16        N/A        0.61       15.43        N/A        XXX
75743..............  26............  A               Artery x-rays, lungs       1.66       0.56       0.56        0.07        2.29       2.29        XXX
75743..............  TC............  A               Artery x-rays, lungs       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75746..............  ..............  A               Artery x-rays, lung.       1.14      12.99        N/A        0.59       14.72        N/A        XXX
75746..............  26............  A               Artery x-rays, lung.       1.14       0.39       0.39        0.05        1.58       1.58        XXX
75746..............  TC............  A               Artery x-rays, lung.       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75756..............  ..............  A               Artery x-rays, chest       1.14      13.06        N/A        0.58       14.78        N/A        XXX
75756..............  26............  A               Artery x-rays, chest       1.14       0.46       0.46        0.04        1.64       1.64        XXX
75756..............  TC............  A               Artery x-rays, chest       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75774..............  ..............  A               Artery x-ray, each         0.36      12.73        N/A        0.56       13.65        N/A        ZZZ
                                                      vessel.
75774..............  26............  A               Artery x-ray, each         0.36       0.13       0.13        0.02        0.51       0.51        ZZZ
                                                      vessel.
75774..............  TC............  A               Artery x-ray, each         0.00      12.60        N/A        0.54       13.14        N/A        ZZZ
                                                      vessel.
75790..............  ..............  A               Visualize A-V shunt.       1.84       1.97        N/A        0.16        3.97        N/A        XXX
75790..............  26............  A               Visualize A-V shunt.       1.84       0.62       0.62        0.09        2.55       2.55        XXX
75790..............  TC............  A               Visualize A-V shunt.       0.00       1.35        N/A        0.07        1.42        N/A        XXX
75801..............  ..............  A               Lymph vessel x-ray,        0.81       5.69        N/A        0.29        6.79        N/A        XXX
                                                      arm/leg.
75801..............  26............  A               Lymph vessel x-ray,        0.81       0.27       0.27        0.05        1.13       1.13        XXX
                                                      arm/leg.
75801..............  TC............  A               Lymph vessel x-ray,        0.00       5.42        N/A        0.24        5.66        N/A        XXX
                                                      arm/leg.
75803..............  ..............  A               Lymph vessel x-            1.17       5.81        N/A        0.29        7.27        N/A        XXX
                                                      ray,arms/legs.
75803..............  26............  A               Lymph vessel x-            1.17       0.39       0.39        0.05        1.61       1.61        XXX
                                                      ray,arms/legs.
75803..............  TC............  A               Lymph vessel x-            0.00       5.42        N/A        0.24        5.66        N/A        XXX
                                                      ray,arms/legs.
75805..............  ..............  A               Lymph vessel x-ray,        0.81       6.38        N/A        0.31        7.50        N/A        XXX
                                                      trunk.
75805..............  26............  A               Lymph vessel x-ray,        0.81       0.27       0.27        0.04        1.12       1.12        XXX
                                                      trunk.
75805..............  TC............  A               Lymph vessel x-ray,        0.00       6.10        N/A        0.27        6.37        N/A        XXX
                                                      trunk.
75807..............  ..............  A               Lymph vessel x-ray,        1.17       6.49        N/A        0.32        7.98        N/A        XXX
                                                      trunk.
75807..............  26............  A               Lymph vessel x-ray,        1.17       0.39       0.39        0.05        1.61       1.61        XXX
                                                      trunk.
75807..............  TC............  A               Lymph vessel x-ray,        0.00       6.10        N/A        0.27        6.37        N/A        XXX
                                                      trunk.
75809..............  ..............  A               Nonvascular shunt, x-      0.47       0.94        N/A        0.06        1.47        N/A        XXX
                                                      ray.
75809..............  26............  A               Nonvascular shunt, x-      0.47       0.16       0.16        0.02        0.65       0.65        XXX
                                                      ray.
75809..............  TC............  A               Nonvascular shunt, x-      0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      ray.
75810..............  ..............  A               Vein x-ray, spleen/        1.14      12.98        N/A        0.60       14.72        N/A        XXX
                                                      liver.
75810..............  26............  A               Vein x-ray, spleen/        1.14       0.38       0.38        0.06        1.58       1.58        XXX
                                                      liver.
75810..............  TC............  A               Vein x-ray, spleen/        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      liver.
75820..............  ..............  A               Vein x-ray, arm/leg.       0.70       1.18        N/A        0.08        1.96        N/A        XXX
75820..............  26............  A               Vein x-ray, arm/leg.       0.70       0.23       0.23        0.03        0.96       0.96        XXX
75820..............  TC............  A               Vein x-ray, arm/leg.       0.00       0.95        N/A        0.05        1.00        N/A        XXX
75822..............  ..............  A               Vein x-ray, arms/          1.06       1.83        N/A        0.12        3.01        N/A        XXX
                                                      legs.
75822..............  26............  A               Vein x-ray, arms/          1.06       0.35       0.35        0.05        1.46       1.46        XXX
                                                      legs.
75822..............  TC............  A               Vein x-ray, arms/          0.00       1.48        N/A        0.07        1.55        N/A        XXX
                                                      legs.
75825..............  ..............  A               Vein x-ray, trunk...       1.14      12.98        N/A        0.60       14.72        N/A        XXX
75825..............  26............  A               Vein x-ray, trunk...       1.14       0.38       0.38        0.06        1.58       1.58        XXX
75825..............  TC............  A               Vein x-ray, trunk...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75827..............  ..............  A               Vein x-ray, chest...       1.14      12.98        N/A        0.59       14.71        N/A        XXX
75827..............  26............  A               Vein x-ray, chest...       1.14       0.38       0.38        0.05        1.57       1.57        XXX
75827..............  TC............  A               Vein x-ray, chest...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75831..............  ..............  A               Vein x-ray, kidney..       1.14      12.98        N/A        0.59       14.71        N/A        XXX
75831..............  26............  A               Vein x-ray, kidney..       1.14       0.38       0.38        0.05        1.57       1.57        XXX
75831..............  TC............  A               Vein x-ray, kidney..       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75833..............  ..............  A               Vein x-ray, kidneys.       1.49      13.10        N/A        0.61       15.20        N/A        XXX
75833..............  26............  A               Vein x-ray, kidneys.       1.49       0.50       0.50        0.07        2.06       2.06        XXX
75833..............  TC............  A               Vein x-ray, kidneys.       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75840..............  ..............  A               Vein x-ray, adrenal        1.14      12.99        N/A        0.61       14.74        N/A        XXX
                                                      gland.
75840..............  26............  A               Vein x-ray, adrenal        1.14       0.39       0.39        0.07        1.60       1.60        XXX
                                                      gland.
75840..............  TC............  A               Vein x-ray, adrenal        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      gland.
75842..............  ..............  A               Vein x-ray, adrenal        1.49      13.10        N/A        0.61       15.20        N/A        XXX
                                                      glands.
75842..............  26............  A               Vein x-ray, adrenal        1.49       0.50       0.50        0.07        2.06       2.06        XXX
                                                      glands.
75842..............  TC............  A               Vein x-ray, adrenal        0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      glands.

[[Page 49190]]

 
75860..............  ..............  A               Vein x-ray, neck....       1.14      13.00        N/A        0.60       14.74        N/A        XXX
75860..............  26............  A               Vein x-ray, neck....       1.14       0.40       0.40        0.06        1.60       1.60        XXX
75860..............  TC............  A               Vein x-ray, neck....       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75870..............  ..............  A               Vein x-ray, skull...       1.14      13.00        N/A        0.60       14.74        N/A        XXX
75870..............  26............  A               Vein x-ray, skull...       1.14       0.40       0.40        0.06        1.60       1.60        XXX
75870..............  TC............  A               Vein x-ray, skull...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75872..............  ..............  A               Vein x-ray, skull...       1.14      12.98        N/A        0.59       14.71        N/A        XXX
75872..............  26............  A               Vein x-ray, skull...       1.14       0.38       0.38        0.05        1.57       1.57        XXX
75872..............  TC............  A               Vein x-ray, skull...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75880..............  ..............  A               Vein x-ray, eye            0.70       1.18        N/A        0.08        1.96        N/A        XXX
                                                      socket.
75880..............  26............  A               Vein x-ray, eye            0.70       0.24       0.24        0.03        0.97       0.97        XXX
                                                      socket.
75880..............  TC............  A               Vein x-ray, eye            0.00       0.95        N/A        0.05        1.00        N/A        XXX
                                                      socket.
75885..............  ..............  A               Vein x-ray, liver...       1.44      13.08        N/A        0.60       15.12        N/A        XXX
75885..............  26............  A               Vein x-ray, liver...       1.44       0.48       0.48        0.06        1.98       1.98        XXX
75885..............  TC............  A               Vein x-ray, liver...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75887..............  ..............  A               Vein x-ray, liver...       1.44      13.08        N/A        0.60       15.12        N/A        XXX
75887..............  26............  A               Vein x-ray, liver...       1.44       0.48       0.48        0.06        1.98       1.98        XXX
75887..............  TC............  A               Vein x-ray, liver...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75889..............  ..............  A               Vein x-ray, liver...       1.14      12.98        N/A        0.59       14.71        N/A        XXX
75889..............  26............  A               Vein x-ray, liver...       1.14       0.38       0.38        0.05        1.57       1.57        XXX
75889..............  TC............  A               Vein x-ray, liver...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75891..............  ..............  A               Vein x-ray, liver...       1.14      12.98        N/A        0.59       14.71        N/A        XXX
75891..............  26............  A               Vein x-ray, liver...       1.14       0.38       0.38        0.05        1.57       1.57        XXX
75891..............  TC............  A               Vein x-ray, liver...       0.00      12.60        N/A        0.54       13.14        N/A        XXX
75893..............  ..............  A               Venous sampling by         0.54      12.78        N/A        0.56       13.88        N/A        XXX
                                                      catheter.
75893..............  26............  A               Venous sampling by         0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      catheter.
75893..............  TC............  A               Venous sampling by         0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      catheter.
75894..............  ..............  A               X-rays, transcath          1.31      24.58        N/A        1.12       27.01        N/A        XXX
                                                      therapy.
75894..............  26............  A               X-rays, transcath          1.31       0.44       0.44        0.07        1.82       1.82        XXX
                                                      therapy.
75894..............  TC............  A               X-rays, transcath          0.00      24.14        N/A        1.05       25.19        N/A        XXX
                                                      therapy.
75896..............  ..............  A               X-rays, transcath          1.31      21.45        N/A        0.97       23.73        N/A        XXX
                                                      therapy.
75896..............  26............  A               X-rays, transcath          1.31       0.46       0.46        0.06        1.83       1.83        XXX
                                                      therapy.
75896..............  TC............  A               X-rays, transcath          0.00      20.99        N/A        0.91       21.90        N/A        XXX
                                                      therapy.
75898..............  ..............  A               Follow-up                  1.65       1.62        N/A        0.12        3.39        N/A        XXX
                                                      angiography.
75898..............  26............  A               Follow-up                  1.65       0.56       0.56        0.07        2.28       2.28        XXX
                                                      angiography.
75898..............  TC............  A               Follow-up                  0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      angiography.
75900..............  ..............  A               Arterial catheter          0.49      21.14        N/A        0.94       22.57        N/A        XXX
                                                      exchange.
75900..............  26............  A               Arterial catheter          0.49       0.16       0.16        0.02        0.67       0.67        XXX
                                                      exchange.
75900..............  TC............  A               Arterial catheter          0.00      20.98        N/A        0.92       21.90        N/A        XXX
                                                      exchange.
75901..............  ..............  A               Remove cva device          0.49       1.47        N/A        0.71        2.67        N/A        XXX
                                                      obstruct.
75901..............  26............  A               Remove cva device          0.49       0.16       0.16        0.02        0.67       0.67        XXX
                                                      obstruct.
75901..............  TC............  A               Remove cva device          0.00       1.31        N/A        0.69        2.00        N/A        XXX
                                                      obstruct.
75902..............  ..............  A               Remove cva lumen           0.39       1.44        N/A        0.71        2.54        N/A        XXX
                                                      obstruct.
75902..............  26............  A               Remove cva lumen           0.39       0.13       0.13        0.02        0.54       0.54        XXX
                                                      obstruct.
75902..............  TC............  A               Remove cva lumen           0.00       1.31        N/A        0.69        2.00        N/A        XXX
                                                      obstruct.
75940..............  ..............  A               X-ray placement,           0.54      12.78        N/A        0.57       13.89        N/A        XXX
                                                      vein filter.
75940..............  26............  A               X-ray placement,           0.54       0.18       0.18        0.03        0.75       0.75        XXX
                                                      vein filter.
75940..............  TC............  A               X-ray placement,           0.00      12.60        N/A        0.54       13.14        N/A        XXX
                                                      vein filter.
75945..............  ..............  A               Intravascular us....       0.40       4.71        N/A        0.23        5.34        N/A        XXX
75945..............  26............  A               Intravascular us....       0.40       0.14       0.14        0.03        0.57       0.57        XXX
75945..............  TC............  A               Intravascular us....       0.00       4.56        N/A        0.20        4.76        N/A        XXX
75946..............  ..............  A               Intravascular us add-      0.40       2.43        N/A        0.14        2.97        N/A        ZZZ
                                                      on.
75946..............  26............  A               Intravascular us add-      0.40       0.14       0.14        0.03        0.57       0.57        ZZZ
                                                      on.
75946..............  TC............  A               Intravascular us add-      0.00       2.29        N/A        0.11        2.40        N/A        ZZZ
                                                      on.
75952..............  ..............  C               Endovasc repair            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      abdom aorta.

[[Page 49191]]

 
75952..............  26............  A               Endovasc repair            4.50       1.52       1.52        0.68        6.70       6.70        XXX
                                                      abdom aorta.
75952..............  TC............  C               Endovasc repair            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      abdom aorta.
75953..............  ..............  C               Abdom aneurysm             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      endovas rpr.
75953..............  26............  A               Abdom aneurysm             1.36       0.46       0.46        0.68        2.50       2.50        XXX
                                                      endovas rpr.
75953..............  TC............  C               Abdom aneurysm             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      endovas rpr.
75954..............  ..............  C               Iliac aneurysm             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      endovas rpr.
75954..............  26............  A               Iliac aneurysm             1.36       0.48       0.48        0.68        2.52       2.52        XXX
                                                      endovas rpr.
75954..............  TC............  C               Iliac aneurysm             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      endovas rpr.
75960..............  ..............  A               Transcatheter intro,       0.82      15.19        N/A        0.68       16.69        N/A        XXX
                                                      stent.
75960..............  26............  A               Transcatheter intro,       0.82       0.29       0.29        0.04        1.15       1.15        XXX
                                                      stent.
75960..............  TC............  A               Transcatheter intro,       0.00      14.90        N/A        0.64       15.54        N/A        XXX
                                                      stent.
75961..............  ..............  A               Retrieval, broken          4.25      11.93        N/A        0.64       16.82        N/A        XXX
                                                      catheter.
75961..............  26............  A               Retrieval, broken          4.25       1.43       1.43        0.18        5.86       5.86        XXX
                                                      catheter.
75961..............  TC............  A               Retrieval, broken          0.00      10.50        N/A        0.46       10.96        N/A        XXX
                                                      catheter.
75962..............  ..............  A               Repair arterial            0.54      15.93        N/A        0.72       17.19        N/A        XXX
                                                      blockage.
75962..............  26............  A               Repair arterial            0.54       0.19       0.19        0.03        0.76       0.76        XXX
                                                      blockage.
75962..............  TC............  A               Repair arterial            0.00      15.74        N/A        0.69       16.43        N/A        XXX
                                                      blockage.
75964..............  ..............  A               Repair artery              0.36       8.52        N/A        0.38        9.26        N/A        ZZZ
                                                      blockage, each.
75964..............  26............  A               Repair artery              0.36       0.12       0.12        0.02        0.50       0.50        ZZZ
                                                      blockage, each.
75964..............  TC............  A               Repair artery              0.00       8.39        N/A        0.36        8.75        N/A        ZZZ
                                                      blockage, each.
75966..............  ..............  A               Repair arterial            1.31      16.22        N/A        0.75       18.28        N/A        XXX
                                                      blockage.
75966..............  26............  A               Repair arterial            1.31       0.47       0.47        0.06        1.84       1.84        XXX
                                                      blockage.
75966..............  TC............  A               Repair arterial            0.00      15.74        N/A        0.69       16.43        N/A        XXX
                                                      blockage.
75968..............  ..............  A               Repair artery              0.36       8.53        N/A        0.37        9.26        N/A        ZZZ
                                                      blockage, each.
75968..............  26............  A               Repair artery              0.36       0.13       0.13        0.01        0.50       0.50        ZZZ
                                                      blockage, each.
75968..............  TC............  A               Repair artery              0.00       8.39        N/A        0.36        8.75        N/A        ZZZ
                                                      blockage, each.
75970..............  ..............  A               Vascular biopsy.....       0.83      11.83        N/A        0.54       13.20        N/A        XXX
75970..............  26............  A               Vascular biopsy.....       0.83       0.29       0.29        0.04        1.16       1.16        XXX
75970..............  TC............  A               Vascular biopsy.....       0.00      11.55        N/A        0.50       12.05        N/A        XXX
75978..............  ..............  A               Repair venous              0.54      15.92        N/A        0.71       17.17        N/A        XXX
                                                      blockage.
75978..............  26............  A               Repair venous              0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      blockage.
75978..............  TC............  A               Repair venous              0.00      15.74        N/A        0.69       16.43        N/A        XXX
                                                      blockage.
75980..............  ..............  A               Contrast xray exam         1.44       5.89        N/A        0.30        7.63        N/A        XXX
                                                      bile duct.
75980..............  26............  A               Contrast xray exam         1.44       0.48       0.48        0.06        1.98       1.98        XXX
                                                      bile duct.
75980..............  TC............  A               Contrast xray exam         0.00       5.42        N/A        0.24        5.66        N/A        XXX
                                                      bile duct.
75982..............  ..............  A               Contrast xray exam         1.44       6.58        N/A        0.33        8.35        N/A        XXX
                                                      bile duct.
75982..............  26............  A               Contrast xray exam         1.44       0.48       0.48        0.06        1.98       1.98        XXX
                                                      bile duct.
75982..............  TC............  A               Contrast xray exam         0.00       6.10        N/A        0.27        6.37        N/A        XXX
                                                      bile duct.
75984..............  ..............  A               Xray control               0.72       2.19        N/A        0.12        3.03        N/A        XXX
                                                      catheter change.
75984..............  26............  A               Xray control               0.72       0.24       0.24        0.03        0.99       0.99        XXX
                                                      catheter change.
75984..............  TC............  A               Xray control               0.00       1.95        N/A        0.09        2.04        N/A        XXX
                                                      catheter change.
75989..............  ..............  A               Abscess drainage           1.19       3.55        N/A        0.19        4.93        N/A        XXX
                                                      under x-ray.

[[Page 49192]]

 
75989..............  26............  A               Abscess drainage           1.19       0.40       0.40        0.05        1.64       1.64        XXX
                                                      under x-ray.
75989..............  TC............  A               Abscess drainage           0.00       3.15        N/A        0.14        3.29        N/A        XXX
                                                      under x-ray.
75992..............  ..............  A               Atherectomy, x-ray         0.54      15.94        N/A        0.71       17.19        N/A        XXX
                                                      exam.
75992..............  26............  A               Atherectomy, x-ray         0.54       0.19       0.19        0.02        0.75       0.75        XXX
                                                      exam.
75992..............  TC............  A               Atherectomy, x-ray         0.00      15.74        N/A        0.69       16.43        N/A        XXX
                                                      exam.
75993..............  ..............  A               Atherectomy, x-ray         0.36       8.53        N/A        0.37        9.26        N/A        ZZZ
                                                      exam.
75993..............  26............  A               Atherectomy, x-ray         0.36       0.14       0.14        0.01        0.51       0.51        ZZZ
                                                      exam.
75993..............  TC............  A               Atherectomy, x-ray         0.00       8.39        N/A        0.36        8.75        N/A        ZZZ
                                                      exam.
75994..............  ..............  A               Atherectomy, x-ray         1.31      16.22        N/A        0.75       18.28        N/A        XXX
                                                      exam.
75994..............  26............  A               Atherectomy, x-ray         1.31       0.47       0.47        0.06        1.84       1.84        XXX
                                                      exam.
75994..............  TC............  A               Atherectomy, x-ray         0.00      15.74        N/A        0.69       16.43        N/A        XXX
                                                      exam.
75995..............  ..............  A               Atherectomy, x-ray         1.31      16.23        N/A        0.75       18.29        N/A        XXX
                                                      exam.
75995..............  26............  A               Atherectomy, x-ray         1.31       0.48       0.48        0.06        1.85       1.85        XXX
                                                      exam.
75995..............  TC............  A               Atherectomy, x-ray         0.00      15.74        N/A        0.69       16.43        N/A        XXX
                                                      exam.
75996..............  ..............  A               Atherectomy, x-ray         0.36       8.52        N/A        0.37        9.25        N/A        ZZZ
                                                      exam.
75996..............  26............  A               Atherectomy, x-ray         0.36       0.12       0.12        0.01        0.49       0.49        ZZZ
                                                      exam.
75996..............  TC............  A               Atherectomy, x-ray         0.00       8.39        N/A        0.36        8.75        N/A        ZZZ
                                                      exam.
76000..............  ..............  A               Fluoroscope                0.17       1.36        N/A        0.07        1.60        N/A        XXX
                                                      examination.
76000..............  26............  A               Fluoroscope                0.17       0.05       0.05        0.01        0.23       0.23        XXX
                                                      examination.
76000..............  TC............  A               Fluoroscope                0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      examination.
76001..............  ..............  A               Fluoroscope exam,          0.67       2.85        N/A        0.15        3.67        N/A        XXX
                                                      extensive.
76001..............  26............  A               Fluoroscope exam,          0.67       0.23       0.23        0.03        0.93       0.93        XXX
                                                      extensive.
76001..............  TC............  A               Fluoroscope exam,          0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      extensive.
76003..............  ..............  A               Needle localization        0.54       1.48        N/A        0.09        2.11        N/A        XXX
                                                      by x-ray.
76003..............  26............  A               Needle localization        0.54       0.17       0.17        0.03        0.74       0.74        XXX
                                                      by x-ray.
76003..............  TC............  A               Needle localization        0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      by x-ray.
76005..............  ..............  A               Fluoroguide for            0.60       1.46        N/A        0.09        2.15        N/A        XXX
                                                      spine inject.
76005..............  26............  A               Fluoroguide for            0.60       0.16       0.16        0.03        0.79       0.79        XXX
                                                      spine inject.
76005..............  TC............  A               Fluoroguide for            0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      spine inject.
76006..............  ..............  A               X-ray stress view...       0.41       0.19       0.19        0.04        0.64       0.64        XXX
76010..............  ..............  A               X-ray, nose to             0.18       0.58        N/A        0.03        0.79        N/A        XXX
                                                      rectum.
76010..............  26............  A               X-ray, nose to             0.18       0.06       0.06        0.01        0.25       0.25        XXX
                                                      rectum.
76010..............  TC............  A               X-ray, nose to             0.00       0.52        N/A        0.02        0.54        N/A        XXX
                                                      rectum.
76012..............  ..............  C               Percut                     0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vertebroplasty
                                                      fluor.
76012..............  26............  A               Percut                     1.31       0.48       0.48        0.23        2.02       2.02        XXX
                                                      vertebroplasty
                                                      fluor.
76012..............  TC............  C               Percut                     0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vertebroplasty
                                                      fluor.
76013..............  ..............  C               Percut                     0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vertebroplasty, ct.
76013..............  26............  A               Percut                     1.38       0.49       0.49        0.48        2.35       2.35        XXX
                                                      vertebroplasty, ct.
76013..............  TC............  C               Percut                     0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vertebroplasty, ct.
76020..............  ..............  A               X-rays for bone age.       0.19       0.59        N/A        0.03        0.81        N/A        XXX
76020..............  26............  A               X-rays for bone age.       0.19       0.06       0.06        0.01        0.26       0.26        XXX
76020..............  TC............  A               X-rays for bone age.       0.00       0.52        N/A        0.02        0.54        N/A        XXX
76040..............  ..............  A               X-rays, bone               0.27       0.88        N/A        0.07        1.22        N/A        XXX
                                                      evaluation.
76040..............  26............  A               X-rays, bone               0.27       0.09       0.09        0.03        0.39       0.39        XXX
                                                      evaluation.
76040..............  TC............  A               X-rays, bone               0.00       0.78        N/A        0.04        0.82        N/A        XXX
                                                      evaluation.
76061..............  ..............  A               X-rays, bone survey.       0.45       1.15        N/A        0.07        1.67        N/A        XXX
76061..............  26............  A               X-rays, bone survey.       0.45       0.15       0.15        0.02        0.62       0.62        XXX
76061..............  TC............  A               X-rays, bone survey.       0.00       1.00        N/A        0.05        1.05        N/A        XXX
76062..............  ..............  A               X-rays, bone survey.       0.54       1.62        N/A        0.09        2.25        N/A        XXX
76062..............  26............  A               X-rays, bone survey.       0.54       0.18       0.18        0.02        0.74       0.74        XXX
76062..............  TC............  A               X-rays, bone survey.       0.00       1.44        N/A        0.07        1.51        N/A        XXX
76065..............  ..............  A               X-rays, bone               0.70       0.97        N/A        0.05        1.72        N/A        XXX
                                                      evaluation.
76065..............  26............  A               X-rays, bone               0.70       0.24       0.24        0.01        0.95       0.95        XXX
                                                      evaluation.
76065..............  TC............  A               X-rays, bone               0.00       0.73        N/A        0.04        0.77        N/A        XXX
                                                      evaluation.
76066..............  ..............  A               Joint survey, single       0.31       1.22        N/A        0.07        1.60        N/A        XXX
                                                      view.

[[Page 49193]]

 
76066..............  26............  A               Joint survey, single       0.31       0.11       0.11        0.02        0.44       0.44        XXX
                                                      view.
76066..............  TC............  A               Joint survey, single       0.00       1.11        N/A        0.05        1.16        N/A        XXX
                                                      view.
76070..............  ..............  A               Ct bone density,           0.25       3.03        N/A        0.14        3.42        N/A        XXX
                                                      axial.
76070..............  26............  A               Ct bone density,           0.25       0.08       0.08        0.01        0.34       0.34        XXX
                                                      axial.
76070..............  TC............  A               Ct bone density,           0.00       2.95        N/A        0.13        3.08        N/A        XXX
                                                      axial.
76071..............  ..............  A               Ct bone density,           0.22       3.02        N/A        0.05        3.29        N/A        XXX
                                                      peripheral.
76071..............  26............  A               Ct bone density,           0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      peripheral.
76071..............  TC............  A               Ct bone density,           0.00       2.95        N/A        0.04        2.99        N/A        XXX
                                                      peripheral.
76075..............  ..............  A               Dexa, axial skeleton       0.30       3.20        N/A        0.15        3.65        N/A        XXX
                                                      study.
76075..............  26............  A               Dexa, axial skeleton       0.30       0.10       0.10        0.01        0.41       0.41        XXX
                                                      study.
76075..............  TC............  A               Dexa, axial skeleton       0.00       3.09        N/A        0.14        3.23        N/A        XXX
                                                      study.
76076..............  ..............  A               Dexa, peripheral           0.22       0.83        N/A        0.05        1.10        N/A        XXX
                                                      study.
76076..............  26............  A               Dexa, peripheral           0.22       0.08       0.08        0.01        0.31       0.31        XXX
                                                      study.
76076..............  TC............  A               Dexa, peripheral           0.00       0.75        N/A        0.04        0.79        N/A        XXX
                                                      study.
76078..............  ..............  A               Radiographic               0.20       0.83        N/A        0.05        1.08        N/A        XXX
                                                      absorptiometry.
76078..............  26............  A               Radiographic               0.20       0.07       0.07        0.01        0.28       0.28        XXX
                                                      absorptiometry.
76078..............  TC............  A               Radiographic               0.00       0.75        N/A        0.04        0.79        N/A        XXX
                                                      absorptiometry.
76080..............  ..............  A               X-ray exam of              0.54       1.23        N/A        0.07        1.84        N/A        XXX
                                                      fistula.
76080..............  26............  A               X-ray exam of              0.54       0.18       0.18        0.02        0.74       0.74        XXX
                                                      fistula.
76080..............  TC............  A               X-ray exam of              0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      fistula.
76085..............  ..............  A               Computer mammogram         0.06       0.44        N/A        0.02        0.52        N/A        ZZZ
                                                      add-on.
76085..............  26............  A               Computer mammogram         0.06       0.02       0.02        0.01        0.09       0.09        ZZZ
                                                      add-on.
76085..............  TC............  A               Computer mammogram         0.00       0.42        N/A        0.01        0.43        N/A        ZZZ
                                                      add-on.
76086..............  ..............  A               X-ray of mammary           0.36       2.74        N/A        0.14        3.24        N/A        XXX
                                                      duct.
76086..............  26............  A               X-ray of mammary           0.36       0.12       0.12        0.02        0.50       0.50        XXX
                                                      duct.
76086..............  TC............  A               X-ray of mammary           0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      duct.
76088..............  ..............  A               X-ray of mammary           0.45       3.82        N/A        0.18        4.45        N/A        XXX
                                                      ducts.
76088..............  26............  A               X-ray of mammary           0.45       0.15       0.15        0.02        0.62       0.62        XXX
                                                      ducts.
76088..............  TC............  A               X-ray of mammary           0.00       3.67        N/A        0.16        3.83        N/A        XXX
                                                      ducts.
76090..............  ..............  A               Mammogram, one             0.70       1.29        N/A        0.08        2.07        N/A        XXX
                                                      breast.
76090..............  26............  A               Mammogram, one             0.70       0.23       0.23        0.03        0.96       0.96        XXX
                                                      breast.
76090..............  TC............  A               Mammogram, one             0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      breast.
76091..............  ..............  A               Mammogram, both            0.87       1.60        N/A        0.09        2.56        N/A        XXX
                                                      breasts.
76091..............  26............  A               Mammogram, both            0.87       0.29       0.29        0.03        1.19       1.19        XXX
                                                      breasts.
76091..............  TC............  A               Mammogram, both            0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      breasts.
76092..............  ..............  A               Mammogram, screening       0.70       1.46        N/A        0.09        2.25        N/A        XXX
76092..............  26............  A               Mammogram, screening       0.70       0.23       0.23        0.03        0.96       0.96        XXX
76092..............  TC............  A               Mammogram, screening       0.00       1.23        N/A        0.06        1.29        N/A        XXX
76093..............  ..............  A               Magnetic image,            1.63      18.18        N/A        0.83       20.64        N/A        XXX
                                                      breast.
76093..............  26............  A               Magnetic image,            1.63       0.55       0.55        0.07        2.25       2.25        XXX
                                                      breast.
76093..............  TC............  A               Magnetic image,            0.00      17.63        N/A        0.76       18.39        N/A        XXX
                                                      breast.
76094..............  ..............  A               Magnetic image, both       1.63      24.46        N/A        1.10       27.19        N/A        XXX
                                                      breasts.
76094..............  26............  A               Magnetic image, both       1.63       0.55       0.55        0.07        2.25       2.25        XXX
                                                      breasts.
76094..............  TC............  A               Magnetic image, both       0.00      23.92        N/A        1.03       24.95        N/A        XXX
                                                      breasts.
76095..............  ..............  A               Stereotactic breast        1.59       7.70        N/A        0.40        9.69        N/A        XXX
                                                      biopsy.
76095..............  26............  A               Stereotactic breast        1.59       0.54       0.54        0.09        2.22       2.22        XXX
                                                      biopsy.
76095..............  TC............  A               Stereotactic breast        0.00       7.17        N/A        0.31        7.48        N/A        XXX
                                                      biopsy.
76096..............  ..............  A               X-ray of needle            0.56       1.49        N/A        0.09        2.14        N/A        XXX
                                                      wire, breast.
76096..............  26............  A               X-ray of needle            0.56       0.19       0.19        0.03        0.78       0.78        XXX
                                                      wire, breast.
76096..............  TC............  A               X-ray of needle            0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      wire, breast.

[[Page 49194]]

 
76098..............  ..............  A               X-ray exam, breast         0.16       0.47        N/A        0.03        0.66        N/A        XXX
                                                      specimen.
76098..............  26............  A               X-ray exam, breast         0.16       0.05       0.05        0.01        0.22       0.22        XXX
                                                      specimen.
76098..............  TC............  A               X-ray exam, breast         0.00       0.42        N/A        0.02        0.44        N/A        XXX
                                                      specimen.
76100..............  ..............  A               X-ray exam of body         0.58       1.44        N/A        0.09        2.11        N/A        XXX
                                                      section.
76100..............  26............  A               X-ray exam of body         0.58       0.19       0.19        0.03        0.80       0.80        XXX
                                                      section.
76100..............  TC............  A               X-ray exam of body         0.00       1.25        N/A        0.06        1.31        N/A        XXX
                                                      section.
76101..............  ..............  A               Complex body section       0.58       1.62        N/A        0.10        2.30        N/A        XXX
                                                      x-ray.
76101..............  26............  A               Complex body section       0.58       0.19       0.19        0.03        0.80       0.80        XXX
                                                      x-ray.
76101..............  TC............  A               Complex body section       0.00       1.42        N/A        0.07        1.49        N/A        XXX
                                                      x-ray.
76102..............  ..............  A               Complex body section       0.58       1.93        N/A        0.12        2.63        N/A        XXX
                                                      x-rays.
76102..............  26............  A               Complex body section       0.58       0.20       0.20        0.03        0.81       0.81        XXX
                                                      x-rays.
76102..............  TC............  A               Complex body section       0.00       1.73        N/A        0.09        1.82        N/A        XXX
                                                      x-rays.
76120..............  ..............  A               Cine/video x-rays...       0.38       1.19        N/A        0.07        1.64        N/A        XXX
76120..............  26............  A               Cine/video x-rays...       0.38       0.13       0.13        0.02        0.53       0.53        XXX
76120..............  TC............  A               Cine/video x-rays...       0.00       1.05        N/A        0.05        1.10        N/A        XXX
76125..............  ..............  A               Cine/video x-rays          0.27       0.88        N/A        0.05        1.20        N/A        ZZZ
                                                      add-on.
76125..............  26............  A               Cine/video x-rays          0.27       0.09       0.09        0.01        0.37       0.37        ZZZ
                                                      add-on.
76125..............  TC............  A               Cine/video x-rays          0.00       0.78        N/A        0.04        0.82        N/A        ZZZ
                                                      add-on.
76140..............  ..............  I               X-ray consultation..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76150..............  ..............  A               X-ray exam, dry            0.00       0.42        N/A        0.02        0.44        N/A        XXX
                                                      process.
76350..............  ..............  C               Special x-ray              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      contrast study.
76355..............  ..............  A               CAT scan for               1.21       8.67        N/A        0.41       10.29        N/A        XXX
                                                      localization.
76355..............  26............  A               CAT scan for               1.21       0.41       0.41        0.06        1.68       1.68        XXX
                                                      localization.
76355..............  TC............  A               CAT scan for               0.00       8.26        N/A        0.35        8.61        N/A        XXX
                                                      localization.
76360..............  ..............  A               CAT scan for needle        1.16       8.65        N/A        0.40       10.21        N/A        XXX
                                                      biopsy.
76360..............  26............  A               CAT scan for needle        1.16       0.39       0.39        0.05        1.60       1.60        XXX
                                                      biopsy.
76360..............  TC............  A               CAT scan for needle        0.00       8.26        N/A        0.35        8.61        N/A        XXX
                                                      biopsy.
76362..............  ..............  A               Cat scan for tissue        4.00       9.59        N/A        1.39       14.98        N/A        XXX
                                                      ablation.
76362..............  26............  A               Cat scan for tissue        4.00       1.33       1.33        0.18        5.51       5.51        XXX
                                                      ablation.
76362..............  TC............  A               Cat scan for tissue        0.00       8.26        N/A        1.21        9.47        N/A        XXX
                                                      ablation.
76370..............  ..............  A               CAT scan for therapy       0.85       3.23        N/A        0.17        4.25        N/A        XXX
                                                      guide.
76370..............  26............  A               CAT scan for therapy       0.85       0.28       0.28        0.04        1.17       1.17        XXX
                                                      guide.
76370..............  TC............  A               CAT scan for therapy       0.00       2.95        N/A        0.13        3.08        N/A        XXX
                                                      guide.
76375..............  ..............  A               3d/holograph               0.16       3.59        N/A        0.16        3.91        N/A        XXX
                                                      reconstr add-on.
76375..............  26............  A               3d/holograph               0.16       0.05       0.05        0.01        0.22       0.22        XXX
                                                      reconstr add-on.
76375..............  TC............  A               3d/holograph               0.00       3.54        N/A        0.15        3.69        N/A        XXX
                                                      reconstr add-on.
76380..............  ..............  A               CAT scan follow-up         0.98       3.83        N/A        0.19        5.00        N/A        XXX
                                                      study.
76380..............  26............  A               CAT scan follow-up         0.98       0.33       0.33        0.04        1.35       1.35        XXX
                                                      study.
76380..............  TC............  A               CAT scan follow-up         0.00       3.50        N/A        0.15        3.65        N/A        XXX
                                                      study.
76390..............  ..............  N               Mr spectroscopy.....       1.40      11.68        N/A        0.55       13.63        N/A        XXX
76390..............  26............  N               Mr spectroscopy.....       1.40       0.47       0.47        0.06        1.93       1.93        XXX

[[Page 49195]]

 
76390..............  TC............  N               Mr spectroscopy.....       0.00      11.21        N/A        0.49       11.70        N/A        XXX
76393..............  ..............  A               Mr guidance for            1.50      11.72        N/A        0.53       13.75        N/A        XXX
                                                      needle place.
76393..............  26............  A               Mr guidance for            1.50       0.51       0.51        0.07        2.08       2.08        XXX
                                                      needle place.
76393..............  TC............  A               Mr guidance for            0.00      11.21        N/A        0.46       11.67        N/A        XXX
                                                      needle place.
76394..............  ..............  A               Mri for tissue             4.25      12.63        N/A        1.48       18.36        N/A        XXX
                                                      ablation.
76394..............  26............  A               Mri for tissue             4.25       1.42       1.42        0.19        5.86       5.86        XXX
                                                      ablation.
76394..............  TC............  A               Mri for tissue             0.00      11.21        N/A        1.29       12.50        N/A        XXX
                                                      ablation.
76400..............  ..............  A               Magnetic image, bone       1.60      11.74        N/A        0.56       13.90        N/A        XXX
                                                      marrow.
76400..............  26............  A               Magnetic image, bone       1.60       0.54       0.54        0.07        2.21       2.21        XXX
                                                      marrow.
76400..............  TC............  A               Magnetic image, bone       0.00      11.21        N/A        0.49       11.70        N/A        XXX
                                                      marrow.
76490..............  ..............  A               Us for tissue              4.00       2.85        N/A        0.35        7.20        N/A        XXX
                                                      ablation.
76490..............  26............  A               Us for tissue              4.00       1.33       1.33        0.11        5.44       5.44        XXX
                                                      ablation.
76490..............  TC............  A               Us for tissue              0.00       1.52        N/A        0.24        1.76        N/A        XXX
                                                      ablation.
76496..............  ..............  C               Fluoroscopic               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
76496..............  26............  C               Fluoroscopic               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
76496..............  TC............  C               Fluoroscopic               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
76497..............  ..............  C               Ct procedure........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76497..............  26............  C               Ct procedure........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76497..............  TC............  C               Ct procedure........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76498..............  ..............  C               Mri procedure.......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76498..............  26............  C               Mri procedure.......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76498..............  TC............  C               Mri procedure.......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
76499..............  ..............  C               Radiographic               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        XXX
                                                      procedure.
76499..............  TC............  C               Radiographic               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
76506..............  ..............  A               Echo exam of head...       0.63       1.67        N/A        0.10        2.40        N/A        XXX
76506..............  26............  A               Echo exam of head...       0.63       0.25       0.25        0.03        0.91       0.91        XXX
76506..............  TC............  A               Echo exam of head...       0.00       1.42        N/A        0.07        1.49        N/A        XXX
76511..............  ..............  A               Echo exam of eye....       0.94       1.12        N/A        0.08        2.14        N/A        XXX
76511..............  26............  A               Echo exam of eye....       0.94       0.41       0.41        0.02        1.37       1.37        XXX
76511..............  TC............  A               Echo exam of eye....       0.00       0.71        N/A        0.06        0.77        N/A        XXX
76512..............  ..............  A               Echo exam of eye....       0.66       1.04        N/A        0.09        1.79        N/A        XXX
76512..............  26............  A               Echo exam of eye....       0.66       0.30       0.30        0.01        0.97       0.97        XXX
76512..............  TC............  A               Echo exam of eye....       0.00       0.74        N/A        0.08        0.82        N/A        XXX
76513..............  ..............  A               Echo exam of eye,          0.66       1.12        N/A        0.09        1.87        N/A        XXX
                                                      water bath.
76513..............  26............  A               Echo exam of eye,          0.66       0.30       0.30        0.01        0.97       0.97        XXX
                                                      water bath.
76513..............  TC............  A               Echo exam of eye,          0.00       0.82        N/A        0.08        0.90        N/A        XXX
                                                      water bath.
76516..............  ..............  A               Echo exam of eye....       0.54       0.74        N/A        0.07        1.35        N/A        XXX
76516..............  26............  A               Echo exam of eye....       0.54       0.25       0.25        0.01        0.80       0.80        XXX
76516..............  TC............  A               Echo exam of eye....       0.00       0.49        N/A        0.06        0.55        N/A        XXX
76519..............  ..............  A               Echo exam of eye....       0.54       0.83        N/A        0.07        1.44        N/A        XXX
76519..............  26............  A               Echo exam of eye....       0.54       0.25       0.25        0.01        0.80       0.80        XXX
76519..............  TC............  A               Echo exam of eye....       0.00       0.58        N/A        0.06        0.64        N/A        XXX
76529..............  ..............  A               Echo exam of eye....       0.57       0.78        N/A        0.08        1.43        N/A        XXX
76529..............  26............  A               Echo exam of eye....       0.57       0.25       0.25        0.01        0.83       0.83        XXX
76529..............  TC............  A               Echo exam of eye....       0.00       0.53        N/A        0.07        0.60        N/A        XXX
76536..............  ..............  A               Us exam of head and        0.56       1.61        N/A        0.09        2.26        N/A        XXX
                                                      neck.
76536..............  26............  A               Us exam of head and        0.56       0.19       0.19        0.02        0.77       0.77        XXX
                                                      neck.
76536..............  TC............  A               Us exam of head and        0.00       1.42        N/A        0.07        1.49        N/A        XXX
                                                      neck.
76604..............  ..............  A               Us exam, chest, b-         0.55       1.49        N/A        0.08        2.12        N/A        XXX
                                                      scan.
76604..............  26............  A               Us exam, chest, b-         0.55       0.18       0.18        0.02        0.75       0.75        XXX
                                                      scan.
76604..............  TC............  A               Us exam, chest, b-         0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      scan.
76645..............  ..............  A               Us exam, breast(s)..       0.54       1.23        N/A        0.08        1.85        N/A        XXX
76645..............  26............  A               Us exam, breast(s)..       0.54       0.18       0.18        0.03        0.75       0.75        XXX

[[Page 49196]]

 
76645..............  TC............  A               Us exam, breast(s)..       0.00       1.05        N/A        0.05        1.10        N/A        XXX
76700..............  ..............  A               Us exam, abdom,            0.81       2.24        N/A        0.13        3.18        N/A        XXX
                                                      complete.
76700..............  26............  A               Us exam, abdom,            0.81       0.27       0.27        0.04        1.12       1.12        XXX
                                                      complete.
76700..............  TC............  A               Us exam, abdom,            0.00       1.97        N/A        0.09        2.06        N/A        XXX
                                                      complete.
76705..............  ..............  A               Echo exam of abdomen       0.59       1.62        N/A        0.10        2.31        N/A        XXX
76705..............  26............  A               Echo exam of abdomen       0.59       0.20       0.20        0.03        0.82       0.82        XXX
76705..............  TC............  A               Echo exam of abdomen       0.00       1.42        N/A        0.07        1.49        N/A        XXX
76770..............  ..............  A               Us exam abdo back          0.74       2.22        N/A        0.12        3.08        N/A        XXX
                                                      wall, comp.
76770..............  26............  A               Us exam abdo back          0.74       0.25       0.25        0.03        1.02       1.02        XXX
                                                      wall, comp.
76770..............  TC............  A               Us exam abdo back          0.00       1.97        N/A        0.09        2.06        N/A        XXX
                                                      wall, comp.
76775..............  ..............  A               Us eam abdo back           0.58       1.62        N/A        0.10        2.30        N/A        XXX
                                                      wall, lim.
76775..............  26............  A               Us eam abdo back           0.58       0.19       0.19        0.03        0.80       0.80        XXX
                                                      wall, lim.
76775..............  TC............  A               Us eam abdo back           0.00       1.42        N/A        0.07        1.49        N/A        XXX
                                                      wall, lim.
76778..............  ..............  A               Us exam kidney             0.74       2.22        N/A        0.12        3.08        N/A        XXX
                                                      transplant.
76778..............  26............  A               Us exam kidney             0.74       0.25       0.25        0.03        1.02       1.02        XXX
                                                      transplant.
76778..............  TC............  A               Us exam kidney             0.00       1.97        N/A        0.09        2.06        N/A        XXX
                                                      transplant.
76800..............  ..............  A               Us exam, spinal            1.13       1.77        N/A        0.11        3.01        N/A        XXX
                                                      canal.
76800..............  26............  A               Us exam, spinal            1.13       0.35       0.35        0.04        1.52       1.52        XXX
                                                      canal.
76800..............  TC............  A               Us exam, spinal            0.00       1.42        N/A        0.07        1.49        N/A        XXX
                                                      canal.
76801..............  ..............  A               Ob us < 14 wks,            0.99       2.45        N/A        0.14        3.58        N/A        XXX
                                                      single fetus.
76801..............  26............  A               Ob us < 14 wks,            0.99       0.35       0.35        0.04        1.38       1.38        XXX
                                                      single fetus.
76801..............  TC............  A               Ob us < 14 wks,            0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      single fetus.
76802..............  ..............  A               Ob us < 14 wks, addl       0.83       1.35        N/A        0.14        2.32        N/A        ZZZ
                                                      fetus.
76802..............  26............  A               Ob us < 14 wks, addl       0.83       0.29       0.29        0.04        1.16       1.16        ZZZ
                                                      fetus.
76802..............  TC............  A               Ob us < 14 wks, addl       0.00       1.05        N/A        0.10        1.15        N/A        ZZZ
                                                      fetus.
76805..............  ..............  A               Ob us /=        0.99       2.45        N/A        0.14        3.58        N/A        XXX
                                                      14 wks, sngl fetus.
76805..............  26............  A               Ob us /=        0.99       0.35       0.35        0.04        1.38       1.38        XXX
                                                      14 wks, sngl fetus.
76805..............  TC............  A               Ob us /=        0.00       2.10        N/A        0.10        2.20        N/A        XXX
                                                      14 wks, sngl fetus.
76810..............  ..............  A               Ob us /=        0.98       1.41        N/A        0.25        2.64        N/A        ZZZ
                                                      14 wks, addl fetus.
76810..............  26............  A               Ob us /=        0.98       0.35       0.35        0.07        1.40       1.40        ZZZ
                                                      14 wks, addl fetus.
76810..............  TC............  A               Ob us /=        0.00       1.05        N/A        0.18        1.23        N/A        ZZZ
                                                      14 wks, addl fetus.
76811..............  ..............  A               Ob us, detailed,           1.90       4.20        N/A        0.51        6.61        N/A        XXX
                                                      sngl fetus.
76811..............  26............  A               Ob us, detailed,           1.90       0.67       0.67        0.15        2.72       2.72        XXX
                                                      sngl fetus.
76811..............  TC............  A               Ob us, detailed,           0.00       3.53        N/A        0.36        3.89        N/A        XXX
                                                      sngl fetus.
76812..............  ..............  A               Ob us, detailed,           1.78       1.70        N/A        0.46        3.94        N/A        ZZZ
                                                      addl fetus.
76812..............  26............  A               Ob us, detailed,           1.78       0.64       0.64        0.12        2.54       2.54        ZZZ
                                                      addl fetus.
76812..............  TC............  A               Ob us, detailed,           0.00       1.05        N/A        0.34        1.39        N/A        ZZZ
                                                      addl fetus.
76815..............  ..............  A               Ob us, limited,            0.65       1.66        N/A        0.09        2.40        N/A        XXX
                                                      fetus(s).
76815..............  26............  A               Ob us, limited,            0.65       0.24       0.24        0.02        0.91       0.91        XXX
                                                      fetus(s).
76815..............  TC............  A               Ob us, limited,            0.00       1.42        N/A        0.07        1.49        N/A        XXX
                                                      fetus(s).
76816..............  ..............  A               Ob us, follow-up,          0.85       1.43        N/A        0.07        2.35        N/A        XXX
                                                      per fetus.
76816..............  26............  A               Ob us, follow-up,          0.85       0.32       0.32        0.02        1.19       1.19        XXX
                                                      per fetus.
76816..............  TC............  A               Ob us, follow-up,          0.00       1.11        N/A        0.05        1.16        N/A        XXX
                                                      per fetus.
76817..............  ..............  A               Transvaginal us,           0.75       1.80        N/A        0.07        2.62        N/A        XXX
                                                      obstetric.
76817..............  26............  A               Transvaginal us,           0.75       0.28       0.28        0.02        1.05       1.05        XXX
                                                      obstetric.

[[Page 49197]]

 
76817..............  TC............  A               Transvaginal us,           0.00       1.52        N/A        0.05        1.57        N/A        XXX
                                                      obstetric.
76818..............  ..............  A               Fetal biophys              1.05       2.01        N/A        0.12        3.18        N/A        XXX
                                                      profile w/nst.
76818..............  26............  A               Fetal biophys              1.05       0.40       0.40        0.04        1.49       1.49        XXX
                                                      profile w/nst.
76818..............  TC............  A               Fetal biophys              0.00       1.61        N/A        0.08        1.69        N/A        XXX
                                                      profile w/nst.
76819..............  ..............  A               Fetal biophys profil       0.77       1.90        N/A        0.10        2.77        N/A        XXX
                                                      w/o nst.
76819..............  26............  A               Fetal biophys profil       0.77       0.29       0.29        0.02        1.08       1.08        XXX
                                                      w/o nst.
76819..............  TC............  A               Fetal biophys profil       0.00       1.61        N/A        0.08        1.69        N/A        XXX
                                                      w/o nst.
76825..............  ..............  A               Echo exam of fetal         1.67       2.59        N/A        0.15        4.41        N/A        XXX
                                                      heart.
76825..............  26............  A               Echo exam of fetal         1.67       0.62       0.62        0.06        2.35       2.35        XXX
                                                      heart.
76825..............  TC............  A               Echo exam of fetal         0.00       1.97        N/A        0.09        2.06        N/A        XXX
                                                      heart.
76826..............  ..............  A               Echo exam of fetal         0.83       1.00        N/A        0.07        1.90        N/A        XXX
                                                      heart.
76826..............  26............  A               Echo exam of fetal         0.83       0.30       0.30        0.03        1.16       1.16        XXX
                                                      heart.
76826..............  TC............  A               Echo exam of fetal         0.00       0.71        N/A        0.04        0.75        N/A        XXX
                                                      heart.
76827..............  ..............  A               Echo exam of fetal         0.58       1.94        N/A        0.12        2.64        N/A        XXX
                                                      heart.
76827..............  26............  A               Echo exam of fetal         0.58       0.22       0.22        0.02        0.82       0.82        XXX
                                                      heart.
76827..............  TC............  A               Echo exam of fetal         0.00       1.72        N/A        0.10        1.82        N/A        XXX
                                                      heart.
76828..............  ..............  A               Echo exam of fetal         0.56       1.33        N/A        0.09        1.98        N/A        XXX
                                                      heart.
76828..............  26............  A               Echo exam of fetal         0.56       0.22       0.22        0.02        0.80       0.80        XXX
                                                      heart.
76828..............  TC............  A               Echo exam of fetal         0.00       1.11        N/A        0.07        1.18        N/A        XXX
                                                      heart.
76830..............  ..............  A               Transvaginal us, non-      0.69       1.75        N/A        0.11        2.55        N/A        XXX
                                                      ob.
76830..............  26............  A               Transvaginal us, non-      0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      ob.
76830..............  TC............  A               Transvaginal us, non-      0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      ob.
76831..............  ..............  A               Echo exam, uterus...       0.72       1.78        N/A        0.10        2.60        N/A        XXX
76831..............  26............  A               Echo exam, uterus...       0.72       0.26       0.26        0.02        1.00       1.00        XXX
76831..............  TC............  A               Echo exam, uterus...       0.00       1.52        N/A        0.08        1.60        N/A        XXX
76856..............  ..............  A               Us exam, pelvic,           0.69       1.75        N/A        0.11        2.55        N/A        XXX
                                                      complete.
76856..............  26............  A               Us exam, pelvic,           0.69       0.23       0.23        0.03        0.95       0.95        XXX
                                                      complete.
76856..............  TC............  A               Us exam, pelvic,           0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      complete.
76857..............  ..............  A               Us exam, pelvic,           0.38       1.68        N/A        0.07        2.13        N/A        XXX
                                                      limited.
76857..............  26............  A               Us exam, pelvic,           0.38       0.13       0.13        0.02        0.53       0.53        XXX
                                                      limited.
76857..............  TC............  A               Us exam, pelvic,           0.00       1.55        N/A        0.05        1.60        N/A        XXX
                                                      limited.
76870..............  ..............  A               Us exam, scrotum....       0.64       1.73        N/A        0.11        2.48        N/A        XXX
76870..............  26............  A               Us exam, scrotum....       0.64       0.21       0.21        0.03        0.88       0.88        XXX
76870..............  TC............  A               Us exam, scrotum....       0.00       1.52        N/A        0.08        1.60        N/A        XXX
76872..............  ..............  A               Echo exam,                 0.69       1.97        N/A        0.12        2.78        N/A        XXX
                                                      transrectal.
76872..............  26............  A               Echo exam,                 0.69       0.23       0.23        0.04        0.96       0.96        XXX
                                                      transrectal.
76872..............  TC............  A               Echo exam,                 0.00       1.75        N/A        0.08        1.83        N/A        XXX
                                                      transrectal.
76873..............  ..............  A               Echograp trans r,          1.55       2.61        N/A        0.21        4.37        N/A        XXX
                                                      pros study.
76873..............  26............  A               Echograp trans r,          1.55       0.51       0.51        0.08        2.14       2.14        XXX
                                                      pros study.
76873..............  TC............  A               Echograp trans r,          0.00       2.10        N/A        0.13        2.23        N/A        XXX
                                                      pros study.
76880..............  ..............  A               Us exam, extremity..       0.59       1.62        N/A        0.10        2.31        N/A        XXX
76880..............  26............  A               Us exam, extremity..       0.59       0.20       0.20        0.03        0.82       0.82        XXX
76880..............  TC............  A               Us exam, extremity..       0.00       1.42        N/A        0.07        1.49        N/A        XXX
76885..............  ..............  A               Us exam infant hips,       0.74       1.77        N/A        0.11        2.62        N/A        XXX
                                                      dynamic.
76885..............  26............  A               Us exam infant hips,       0.74       0.25       0.25        0.03        1.02       1.02        XXX
                                                      dynamic.
76885..............  TC............  A               Us exam infant hips,       0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      dynamic.
76886..............  ..............  A               Us exam infant hips,       0.62       1.63        N/A        0.10        2.35        N/A        XXX
                                                      static.
76886..............  26............  A               Us exam infant hips,       0.62       0.21       0.21        0.03        0.86       0.86        XXX
                                                      static.
76886..............  TC............  A               Us exam infant hips,       0.00       1.42        N/A        0.07        1.49        N/A        XXX
                                                      static.
76930..............  ..............  A               Echo guide,                0.67       1.78        N/A        0.10        2.55        N/A        XXX
                                                      cardiocentesis.
76930..............  26............  A               Echo guide,                0.67       0.26       0.26        0.02        0.95       0.95        XXX
                                                      cardiocentesis.
76930..............  TC............  A               Echo guide,                0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      cardiocentesis.
76932..............  ..............  A               Echo guide for heart       0.67       1.78        N/A        0.10        2.55        N/A        XXX
                                                      biopsy.
76932..............  26............  A               Echo guide for heart       0.67       0.26       0.26        0.02        0.95       0.95        XXX
                                                      biopsy.
76932..............  TC............  A               Echo guide for heart       0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      biopsy.
76936..............  ..............  A               Echo guide for             1.99       6.97        N/A        0.39        9.35        N/A        XXX
                                                      artery repair.

[[Page 49198]]

 
76936..............  26............  A               Echo guide for             1.99       0.68       0.68        0.11        2.78       2.78        XXX
                                                      artery repair.
76936..............  TC............  A               Echo guide for             0.00       6.30        N/A        0.28        6.58        N/A        XXX
                                                      artery repair.
76941..............  ..............  A               Echo guide for             1.34       2.01        N/A        0.13        3.48        N/A        XXX
                                                      transfusion.
76941..............  26............  A               Echo guide for             1.34       0.49       0.49        0.06        1.89       1.89        XXX
                                                      transfusion.
76941..............  TC............  A               Echo guide for             0.00       1.53        N/A        0.07        1.60        N/A        XXX
                                                      transfusion.
76942..............  ..............  A               Echo guide for             0.67       3.40        N/A        0.12        4.19        N/A        XXX
                                                      biopsy.
76942..............  26............  A               Echo guide for             0.67       0.22       0.22        0.04        0.93       0.93        XXX
                                                      biopsy.
76942..............  TC............  A               Echo guide for             0.00       3.18        N/A        0.08        3.26        N/A        XXX
                                                      biopsy.
76945..............  ..............  A               Echo guide, villus         0.67       1.76        N/A        0.10        2.53        N/A        XXX
                                                      sampling.
76945..............  26............  A               Echo guide, villus         0.67       0.23       0.23        0.03        0.93       0.93        XXX
                                                      sampling.
76945..............  TC............  A               Echo guide, villus         0.00       1.53        N/A        0.07        1.60        N/A        XXX
                                                      sampling.
76946..............  ..............  A               Echo guide for             0.38       1.66        N/A        0.09        2.13        N/A        XXX
                                                      amniocentesis.
76946..............  26............  A               Echo guide for             0.38       0.14       0.14        0.01        0.53       0.53        XXX
                                                      amniocentesis.
76946..............  TC............  A               Echo guide for             0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      amniocentesis.
76948..............  ..............  A               Echo guide, ova            0.38       1.65        N/A        0.10        2.13        N/A        XXX
                                                      aspiration.
76948..............  26............  A               Echo guide, ova            0.38       0.13       0.13        0.02        0.53       0.53        XXX
                                                      aspiration.
76948..............  TC............  A               Echo guide, ova            0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      aspiration.
76950..............  ..............  A               Echo guidance              0.58       1.49        N/A        0.09        2.16        N/A        XXX
                                                      radiotherapy.
76950..............  26............  A               Echo guidance              0.58       0.19       0.19        0.03        0.80       0.80        XXX
                                                      radiotherapy.
76950..............  TC............  A               Echo guidance              0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      radiotherapy.
76965..............  ..............  A               Echo guidance              1.34       6.01        N/A        0.31        7.66        N/A        XXX
                                                      radiotherapy.
76965..............  26............  A               Echo guidance              1.34       0.44       0.44        0.07        1.85       1.85        XXX
                                                      radiotherapy.
76965..............  TC............  A               Echo guidance              0.00       5.57        N/A        0.24        5.81        N/A        XXX
                                                      radiotherapy.
76970..............  ..............  A               Ultrasound exam            0.40       1.19        N/A        0.07        1.66        N/A        XXX
                                                      follow-up.
76970..............  26............  A               Ultrasound exam            0.40       0.14       0.14        0.02        0.56       0.56        XXX
                                                      follow-up.
76970..............  TC............  A               Ultrasound exam            0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      follow-up.
76975..............  ..............  A               GI endoscopic              0.81       1.80        N/A        0.11        2.72        N/A        XXX
                                                      ultrasound.
76975..............  26............  A               GI endoscopic              0.81       0.28       0.28        0.03        1.12       1.12        XXX
                                                      ultrasound.
76975..............  TC............  A               GI endoscopic              0.00       1.52        N/A        0.08        1.60        N/A        XXX
                                                      ultrasound.
76977..............  ..............  A               Us bone density            0.05       0.84        N/A        0.05        0.94        N/A        XXX
                                                      measure.
76977..............  26............  A               Us bone density            0.05       0.02       0.02        0.01        0.08       0.08        XXX
                                                      measure.
76977..............  TC............  A               Us bone density            0.00       0.82        N/A        0.04        0.86        N/A        XXX
                                                      measure.
76986..............  ..............  A               Ultrasound guide           1.20       3.03        N/A        0.19        4.42        N/A        XXX
                                                      intraoper.
76986..............  26............  A               Ultrasound guide           1.20       0.41       0.41        0.07        1.68       1.68        XXX
                                                      intraoper.
76986..............  TC............  A               Ultrasound guide           0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      intraoper.
76999..............  ..............  C               Echo examination           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
76999..............  26............  C               Echo examination           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
76999..............  TC............  C               Echo examination           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
77261..............  ..............  A               Radiation therapy          1.39       0.52       0.52        0.06        1.97       1.97        XXX
                                                      planning.
77262..............  ..............  A               Radiation therapy          2.11       0.77       0.77        0.09        2.97       2.97        XXX
                                                      planning.
77263..............  ..............  A               Radiation therapy          3.14       1.13       1.13        0.13        4.40       4.40        XXX
                                                      planning.
77280..............  ..............  A               Set radiation              0.70       3.70        N/A        0.18        4.58        N/A        XXX
                                                      therapy field.
77280..............  26............  A               Set radiation              0.70       0.23       0.23        0.03        0.96       0.96        XXX
                                                      therapy field.
77280..............  TC............  A               Set radiation              0.00       3.47        N/A        0.15        3.62        N/A        XXX
                                                      therapy field.
77285..............  ..............  A               Set radiation              1.05       5.91        N/A        0.29        7.25        N/A        XXX
                                                      therapy field.
77285..............  26............  A               Set radiation              1.05       0.34       0.34        0.04        1.43       1.43        XXX
                                                      therapy field.
77285..............  TC............  A               Set radiation              0.00       5.57        N/A        0.25        5.82        N/A        XXX
                                                      therapy field.
77290..............  ..............  A               Set radiation              1.56       7.01        N/A        0.35        8.92        N/A        XXX
                                                      therapy field.
77290..............  26............  A               Set radiation              1.56       0.50       0.50        0.06        2.12       2.12        XXX
                                                      therapy field.

[[Page 49199]]

 
77290..............  TC............  A               Set radiation              0.00       6.51        N/A        0.29        6.80        N/A        XXX
                                                      therapy field.
77295..............  ..............  A               Set radiation              4.57      29.41        N/A        1.41       35.39        N/A        XXX
                                                      therapy field.
77295..............  26............  A               Set radiation              4.57       1.48       1.48        0.18        6.23       6.23        XXX
                                                      therapy field.
77295..............  TC............  A               Set radiation              0.00      27.94        N/A        1.23       29.17        N/A        XXX
                                                      therapy field.
77299..............  ..............  C               Radiation therapy          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      planning.
77299..............  26............  C               Radiation therapy          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      planning.
77299..............  TC............  C               Radiation therapy          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      planning.
77300..............  ..............  A               Radiation therapy          0.62       1.54        N/A        0.09        2.25        N/A        XXX
                                                      dose plan.
77300..............  26............  A               Radiation therapy          0.62       0.20       0.20        0.03        0.85       0.85        XXX
                                                      dose plan.
77300..............  TC............  A               Radiation therapy          0.00       1.34        N/A        0.06        1.40        N/A        XXX
                                                      dose plan.
77301..............  ..............  A               Radiotherapy dose          8.00      30.52        N/A        1.41       39.93        N/A        XXX
                                                      plan, imrt.
77301..............  26............  A               Radiotherapy dose          8.00       2.59       2.59        0.18       10.77      10.77        XXX
                                                      plan, imrt.
77301..............  TC............  A               Radiotherapy dose          0.00      27.94        N/A        1.23       29.17        N/A        XXX
                                                      plan, imrt.
77305..............  ..............  A               Teletx isodose plan        0.70       2.08        N/A        0.12        2.90        N/A        XXX
                                                      simple.
77305..............  26............  A               Teletx isodose plan        0.70       0.23       0.23        0.03        0.96       0.96        XXX
                                                      simple.
77305..............  TC............  A               Teletx isodose plan        0.00       1.86        N/A        0.09        1.95        N/A        XXX
                                                      simple.
77310..............  ..............  A               Teletx isodose plan        1.05       2.67        N/A        0.15        3.87        N/A        XXX
                                                      intermed.
77310..............  26............  A               Teletx isodose plan        1.05       0.34       0.34        0.04        1.43       1.43        XXX
                                                      intermed.
77310..............  TC............  A               Teletx isodose plan        0.00       2.33        N/A        0.11        2.44        N/A        XXX
                                                      intermed.
77315..............  ..............  A               Teletx isodose plan        1.56       3.16        N/A        0.18        4.90        N/A        XXX
                                                      complex.
77315..............  26............  A               Teletx isodose plan        1.56       0.50       0.50        0.06        2.12       2.12        XXX
                                                      complex.
77315..............  TC............  A               Teletx isodose plan        0.00       2.66        N/A        0.12        2.78        N/A        XXX
                                                      complex.
77321..............  ..............  A               Special teletx port        0.95       4.35        N/A        0.21        5.51        N/A        XXX
                                                      plan.
77321..............  26............  A               Special teletx port        0.95       0.31       0.31        0.04        1.30       1.30        XXX
                                                      plan.
77321..............  TC............  A               Special teletx port        0.00       4.04        N/A        0.17        4.21        N/A        XXX
                                                      plan.
77326..............  ..............  A               Brachytx isodose           0.93       2.66        N/A        0.15        3.74        N/A        XXX
                                                      calc simp.
77326..............  26............  A               Brachytx isodose           0.93       0.30       0.30        0.04        1.27       1.27        XXX
                                                      calc simp.
77326..............  TC............  A               Brachytx isodose           0.00       2.36        N/A        0.11        2.47        N/A        XXX
                                                      calc simp.
77327..............  ..............  A               Brachytx isodose           1.39       3.92        N/A        0.21        5.52        N/A        XXX
                                                      calc interm.
77327..............  26............  A               Brachytx isodose           1.39       0.45       0.45        0.06        1.90       1.90        XXX
                                                      calc interm.
77327..............  TC............  A               Brachytx isodose           0.00       3.47        N/A        0.15        3.62        N/A        XXX
                                                      calc interm.
77328..............  ..............  A               Brachytx isodose           2.09       5.64        N/A        0.30        8.03        N/A        XXX
                                                      plan compl.
77328..............  26............  A               Brachytx isodose           2.09       0.68       0.68        0.09        2.86       2.86        XXX
                                                      plan compl.
77328..............  TC............  A               Brachytx isodose           0.00       4.96        N/A        0.21        5.17        N/A        XXX
                                                      plan compl.
77331..............  ..............  A               Special radiation          0.87       0.78        N/A        0.06        1.71        N/A        XXX
                                                      dosimetry.
77331..............  26............  A               Special radiation          0.87       0.28       0.28        0.04        1.19       1.19        XXX
                                                      dosimetry.
77331..............  TC............  A               Special radiation          0.00       0.50        N/A        0.02        0.52        N/A        XXX
                                                      dosimetry.
77332..............  ..............  A               Radiation treatment        0.54       1.52        N/A        0.08        2.14        N/A        XXX
                                                      aid(s).
77332..............  26............  A               Radiation treatment        0.54       0.17       0.17        0.02        0.73       0.73        XXX
                                                      aid(s).
77332..............  TC............  A               Radiation treatment        0.00       1.34        N/A        0.06        1.40        N/A        XXX
                                                      aid(s).
77333..............  ..............  A               Radiation treatment        0.84       2.17        N/A        0.13        3.14        N/A        XXX
                                                      aid(s).
77333..............  26............  A               Radiation treatment        0.84       0.27       0.27        0.04        1.15       1.15        XXX
                                                      aid(s).

[[Page 49200]]

 
77333..............  TC............  A               Radiation treatment        0.00       1.90        N/A        0.09        1.99        N/A        XXX
                                                      aid(s).
77334..............  ..............  A               Radiation treatment        1.24       3.65        N/A        0.19        5.08        N/A        XXX
                                                      aid(s).
77334..............  26............  A               Radiation treatment        1.24       0.40       0.40        0.05        1.69       1.69        XXX
                                                      aid(s).
77334..............  TC............  A               Radiation treatment        0.00       3.25        N/A        0.14        3.39        N/A        XXX
                                                      aid(s).
77336..............  ..............  A               Radiation physics          0.00       2.98        N/A        0.13        3.11        N/A        XXX
                                                      consult.
77370..............  ..............  A               Radiation physics          0.00       3.49        N/A        0.15        3.64        N/A        XXX
                                                      consult.
77399..............  ..............  C               External radiation         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dosimetry.
77399..............  26............  C               External radiation         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dosimetry.
77399..............  TC............  C               External radiation         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dosimetry.
77401..............  ..............  A               Radiation treatment        0.00       1.77        N/A        0.09        1.86        N/A        XXX
                                                      delivery.
77402..............  ..............  A               Radiation treatment        0.00       1.77        N/A        0.09        1.86        N/A        XXX
                                                      delivery.
77403..............  ..............  A               Radiation treatment        0.00       1.77        N/A        0.09        1.86        N/A        XXX
                                                      delivery.
77404..............  ..............  A               Radiation treatment        0.00       1.77        N/A        0.09        1.86        N/A        XXX
                                                      delivery.
77406..............  ..............  A               Radiation treatment        0.00       1.77        N/A        0.09        1.86        N/A        XXX
                                                      delivery.
77407..............  ..............  A               Radiation treatment        0.00       2.09        N/A        0.10        2.19        N/A        XXX
                                                      delivery.
77408..............  ..............  A               Radiation treatment        0.00       2.09        N/A        0.10        2.19        N/A        XXX
                                                      delivery.
77409..............  ..............  A               Radiation treatment        0.00       2.09        N/A        0.10        2.19        N/A        XXX
                                                      delivery.
77411..............  ..............  A               Radiation treatment        0.00       2.09        N/A        0.10        2.19        N/A        XXX
                                                      delivery.
77412..............  ..............  A               Radiation treatment        0.00       2.33        N/A        0.11        2.44        N/A        XXX
                                                      delivery.
77413..............  ..............  A               Radiation treatment        0.00       2.33        N/A        0.11        2.44        N/A        XXX
                                                      delivery.
77414..............  ..............  A               Radiation treatment        0.00       2.33        N/A        0.11        2.44        N/A        XXX
                                                      delivery.
77416..............  ..............  A               Radiation treatment        0.00       2.33        N/A        0.11        2.44        N/A        XXX
                                                      delivery.
77417..............  ..............  A               Radiology port             0.00       0.59        N/A        0.03        0.62        N/A        XXX
                                                      film(s).
77418..............  ..............  A               Radiation tx               0.00      11.61        N/A        0.11       11.72        N/A        XXX
                                                      delivery, imrt.
77427..............  ..............  A               Radiation tx               3.31       1.07       1.07        0.14        4.52       4.52        XXX
                                                      management, x5.
77431..............  ..............  A               Radiation therapy          1.81       0.69       0.69        0.07        2.57       2.57        XXX
                                                      management.
77432..............  ..............  A               Stereotactic               7.93       2.95       2.95        0.33       11.21      11.21        XXX
                                                      radiation trmt.
77470..............  ..............  A               Special radiation          2.09      11.82        N/A        0.58       14.49        N/A        XXX
                                                      treatment.
77470..............  26............  A               Special radiation          2.09       0.67       0.67        0.09        2.85       2.85        XXX
                                                      treatment.
77470..............  TC............  A               Special radiation          0.00      11.15        N/A        0.49       11.64        N/A        XXX
                                                      treatment.
77499..............  ..............  C               Radiation therapy          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      management.
77499..............  26............  C               Radiation therapy          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      management.
77499..............  TC............  C               Radiation therapy          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      management.
77520..............  ..............  C               Proton trmt, simple        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      w/o comp.
77522..............  ..............  C               Proton trmt, simple        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      w/comp.
77523..............  ..............  C               Proton trmt,               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      intermediate.
77525..............  ..............  C               Proton treatment,          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      complex.
77600..............  ..............  R               Hyperthermia               1.56       3.55        N/A        0.21        5.32        N/A        XXX
                                                      treatment.
77600..............  26............  R               Hyperthermia               1.56       0.50       0.50        0.08        2.14       2.14        XXX
                                                      treatment.
77600..............  TC............  R               Hyperthermia               0.00       3.05        N/A        0.13        3.18        N/A        XXX
                                                      treatment.
77605..............  ..............  R               Hyperthermia               2.09       4.73        N/A        0.31        7.13        N/A        XXX
                                                      treatment.
77605..............  26............  R               Hyperthermia               2.09       0.67       0.67        0.13        2.89       2.89        XXX
                                                      treatment.
77605..............  TC............  R               Hyperthermia               0.00       4.06        N/A        0.18        4.24        N/A        XXX
                                                      treatment.

[[Page 49201]]

 
77610..............  ..............  R               Hyperthermia               1.56       3.56        N/A        0.20        5.32        N/A        XXX
                                                      treatment.
77610..............  26............  R               Hyperthermia               1.56       0.52       0.52        0.07        2.15       2.15        XXX
                                                      treatment.
77610..............  TC............  R               Hyperthermia               0.00       3.05        N/A        0.13        3.18        N/A        XXX
                                                      treatment.
77615..............  ..............  R               Hyperthermia               2.09       4.73        N/A        0.27        7.09        N/A        XXX
                                                      treatment.
77615..............  26............  R               Hyperthermia               2.09       0.67       0.67        0.09        2.85       2.85        XXX
                                                      treatment.
77615..............  TC............  R               Hyperthermia               0.00       4.06        N/A        0.18        4.24        N/A        XXX
                                                      treatment.
77620..............  ..............  R               Hyperthermia               1.56       3.57        N/A        0.19        5.32        N/A        XXX
                                                      treatment.
77620..............  26............  R               Hyperthermia               1.56       0.53       0.53        0.06        2.15       2.15        XXX
                                                      treatment.
77620..............  TC............  R               Hyperthermia               0.00       3.05        N/A        0.13        3.18        N/A        XXX
                                                      treatment.
77750..............  ..............  A               Infuse radioactive         4.91       2.93        N/A        0.23        8.07        N/A        090
                                                      materials.
77750..............  26............  A               Infuse radioactive         4.91       1.60       1.60        0.17        6.68       6.68        090
                                                      materials.
77750..............  TC............  A               Infuse radioactive         0.00       1.33        N/A        0.06        1.39        N/A        090
                                                      materials.
77761..............  ..............  A               Apply intrcav radiat       3.81       3.62        N/A        0.28        7.71        N/A        090
                                                      simple.
77761..............  26............  A               Apply intrcav radiat       3.81       1.11       1.11        0.16        5.08       5.08        090
                                                      simple.
77761..............  TC............  A               Apply intrcav radiat       0.00       2.50        N/A        0.12        2.62        N/A        090
                                                      simple.
77762..............  ..............  A               Apply intrcav radiat       5.72       5.46        N/A        0.38       11.56        N/A        090
                                                      interm.
77762..............  26............  A               Apply intrcav radiat       5.72       1.86       1.86        0.22        7.80       7.80        090
                                                      interm.
77762..............  TC............  A               Apply intrcav radiat       0.00       3.61        N/A        0.16        3.77        N/A        090
                                                      interm.
77763..............  ..............  A               Apply intrcav radiat       8.57       7.26        N/A        0.53       16.36        N/A        090
                                                      compl.
77763..............  26............  A               Apply intrcav radiat       8.57       2.77       2.77        0.34       11.68      11.68        090
                                                      compl.
77763..............  TC............  A               Apply intrcav radiat       0.00       4.49        N/A        0.19        4.68        N/A        090
                                                      compl.
77776..............  ..............  A               Apply interstit            4.66       3.14        N/A        0.35        8.15        N/A        090
                                                      radiat simpl.
77776..............  26............  A               Apply interstit            4.66       0.97       0.97        0.24        5.87       5.87        090
                                                      radiat simpl.
77776..............  TC............  A               Apply interstit            0.00       2.18        N/A        0.11        2.29        N/A        090
                                                      radiat simpl.
77777..............  ..............  A               Apply interstit            7.48       6.63        N/A        0.50       14.61        N/A        090
                                                      radiat inter.
77777..............  26............  A               Apply interstit            7.48       2.39       2.39        0.32       10.19      10.19        090
                                                      radiat inter.
77777..............  TC............  A               Apply interstit            0.00       4.24        N/A        0.18        4.42        N/A        090
                                                      radiat inter.
77778..............  ..............  A               Apply interstit           11.19       8.74        N/A        0.69       20.62        N/A        090
                                                      radiat compl.
77778..............  26............  A               Apply interstit           11.19       3.61       3.61        0.47       15.27      15.27        090
                                                      radiat compl.
77778..............  TC............  A               Apply interstit            0.00       5.14        N/A        0.22        5.36        N/A        090
                                                      radiat compl.
77781..............  ..............  A               High intensity             1.66      20.85        N/A        0.95       23.46        N/A        090
                                                      brachytherapy.
77781..............  26............  A               High intensity             1.66       0.54       0.54        0.07        2.27       2.27        090
                                                      brachytherapy.
77781..............  TC............  A               High intensity             0.00      20.31        N/A        0.88       21.19        N/A        090
                                                      brachytherapy.
77782..............  ..............  A               High intensity             2.49      21.11        N/A        0.98       24.58        N/A        090
                                                      brachytherapy.
77782..............  26............  A               High intensity             2.49       0.81       0.81        0.10        3.40       3.40        090
                                                      brachytherapy.
77782..............  TC............  A               High intensity             0.00      20.31        N/A        0.88       21.19        N/A        090
                                                      brachytherapy.
77783..............  ..............  A               High intensity             3.73      21.51        N/A        1.03       26.27        N/A        090
                                                      brachytherapy.
77783..............  26............  A               High intensity             3.73       1.20       1.20        0.15        5.08       5.08        090
                                                      brachytherapy.
77783..............  TC............  A               High intensity             0.00      20.31        N/A        0.88       21.19        N/A        090
                                                      brachytherapy.
77784..............  ..............  A               High intensity             5.61      22.11        N/A        1.10       28.82        N/A        090
                                                      brachytherapy.
77784..............  26............  A               High intensity             5.61       1.81       1.81        0.22        7.64       7.64        090
                                                      brachytherapy.
77784..............  TC............  A               High intensity             0.00      20.31        N/A        0.88       21.19        N/A        090
                                                      brachytherapy.
77789..............  ..............  A               Apply surface              1.12       0.83        N/A        0.05        2.00        N/A        000
                                                      radiation.
77789..............  26............  A               Apply surface              1.12       0.37       0.37        0.03        1.52       1.52        000
                                                      radiation.
77789..............  TC............  A               Apply surface              0.00       0.45        N/A        0.02        0.47        N/A        000
                                                      radiation.
77790..............  ..............  A               Radiation handling..       1.05       0.84        N/A        0.06        1.95        N/A        XXX
77790..............  26............  A               Radiation handling..       1.05       0.34       0.34        0.04        1.43       1.43        XXX
77790..............  TC............  A               Radiation handling..       0.00       0.50        N/A        0.02        0.52        N/A        XXX
77799..............  ..............  C               Radium/radioisotope        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.

[[Page 49202]]

 
77799..............  26............  C               Radium/radioisotope        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
77799..............  TC............  C               Radium/radioisotope        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
78000..............  ..............  A               Thyroid, single            0.19       1.03        N/A        0.06        1.28        N/A        XXX
                                                      uptake.
78000..............  26............  A               Thyroid, single            0.19       0.07       0.07        0.01        0.27       0.27        XXX
                                                      uptake.
78000..............  TC............  A               Thyroid, single            0.00       0.97        N/A        0.05        1.02        N/A        XXX
                                                      uptake.
78001..............  ..............  A               Thyroid, multiple          0.26       1.40        N/A        0.07        1.73        N/A        XXX
                                                      uptakes.
78001..............  26............  A               Thyroid, multiple          0.26       0.09       0.09        0.01        0.36       0.36        XXX
                                                      uptakes.
78001..............  TC............  A               Thyroid, multiple          0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      uptakes.
78003..............  ..............  A               Thyroid suppress/          0.33       1.08        N/A        0.06        1.47        N/A        XXX
                                                      stimul.
78003..............  26............  A               Thyroid suppress/          0.33       0.11       0.11        0.01        0.45       0.45        XXX
                                                      stimul.
78003..............  TC............  A               Thyroid suppress/          0.00       0.97        N/A        0.05        1.02        N/A        XXX
                                                      stimul.
78006..............  ..............  A               Thyroid imaging with       0.49       2.55        N/A        0.13        3.17        N/A        XXX
                                                      uptake.
78006..............  26............  A               Thyroid imaging with       0.49       0.17       0.17        0.02        0.68       0.68        XXX
                                                      uptake.
78006..............  TC............  A               Thyroid imaging with       0.00       2.38        N/A        0.11        2.49        N/A        XXX
                                                      uptake.
78007..............  ..............  A               Thyroid image, mult        0.50       2.74        N/A        0.14        3.38        N/A        XXX
                                                      uptakes.
78007..............  26............  A               Thyroid image, mult        0.50       0.17       0.17        0.02        0.69       0.69        XXX
                                                      uptakes.
78007..............  TC............  A               Thyroid image, mult        0.00       2.57        N/A        0.12        2.69        N/A        XXX
                                                      uptakes.
78010..............  ..............  A               Thyroid imaging.....       0.39       1.95        N/A        0.11        2.45        N/A        XXX
78010..............  26............  A               Thyroid imaging.....       0.39       0.13       0.13        0.02        0.54       0.54        XXX
78010..............  TC............  A               Thyroid imaging.....       0.00       1.82        N/A        0.09        1.91        N/A        XXX
78011..............  ..............  A               Thyroid imaging with       0.45       2.56        N/A        0.13        3.14        N/A        XXX
                                                      flow.
78011..............  26............  A               Thyroid imaging with       0.45       0.16       0.16        0.02        0.63       0.63        XXX
                                                      flow.
78011..............  TC............  A               Thyroid imaging with       0.00       2.41        N/A        0.11        2.52        N/A        XXX
                                                      flow.
78015..............  ..............  A               Thyroid met imaging.       0.67       2.80        N/A        0.15        3.62        N/A        XXX
78015..............  26............  A               Thyroid met imaging.       0.67       0.23       0.23        0.03        0.93       0.93        XXX
78015..............  TC............  A               Thyroid met imaging.       0.00       2.57        N/A        0.12        2.69        N/A        XXX
78016..............  ..............  A               Thyroid met imaging/       0.82       3.77        N/A        0.18        4.77        N/A        XXX
                                                      studies.
78016..............  26............  A               Thyroid met imaging/       0.82       0.29       0.29        0.03        1.14       1.14        XXX
                                                      studies.
78016..............  TC............  A               Thyroid met imaging/       0.00       3.48        N/A        0.15        3.63        N/A        XXX
                                                      studies.
78018..............  ..............  A               Thyroid met imaging,       0.86       5.73        N/A        0.27        6.86        N/A        XXX
                                                      body.
78018..............  26............  A               Thyroid met imaging,       0.86       0.30       0.30        0.03        1.19       1.19        XXX
                                                      body.
78018..............  TC............  A               Thyroid met imaging,       0.00       5.43        N/A        0.24        5.67        N/A        XXX
                                                      body.
78020..............  ..............  A               Thyroid met uptake..       0.60       1.52        N/A        0.14        2.26        N/A        ZZZ
78020..............  26............  A               Thyroid met uptake..       0.60       0.21       0.21        0.02        0.83       0.83        ZZZ
78020..............  TC............  A               Thyroid met uptake..       0.00       1.31        N/A        0.12        1.43        N/A        ZZZ
78070..............  ..............  A               Parathyroid nuclear        0.82       2.10        N/A        0.12        3.04        N/A        XXX
                                                      imaging.
78070..............  26............  A               Parathyroid nuclear        0.82       0.28       0.28        0.03        1.13       1.13        XXX
                                                      imaging.
78070..............  TC............  A               Parathyroid nuclear        0.00       1.82        N/A        0.09        1.91        N/A        XXX
                                                      imaging.
78075..............  ..............  A               Adrenal nuclear            0.74       5.69        N/A        0.27        6.70        N/A        XXX
                                                      imaging.
78075..............  26............  A               Adrenal nuclear            0.74       0.27       0.27        0.03        1.04       1.04        XXX
                                                      imaging.
78075..............  TC............  A               Adrenal nuclear            0.00       5.43        N/A        0.24        5.67        N/A        XXX
                                                      imaging.
78099..............  ..............  C               Endocrine nuclear          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
78099..............  26............  C               Endocrine nuclear          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
78099..............  TC............  C               Endocrine nuclear          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
78102..............  ..............  A               Bone marrow imaging,       0.55       2.24        N/A        0.12        2.91        N/A        XXX
                                                      ltd.
78102..............  26............  A               Bone marrow imaging,       0.55       0.20       0.20        0.02        0.77       0.77        XXX
                                                      ltd.
78102..............  TC............  A               Bone marrow imaging,       0.00       2.04        N/A        0.10        2.14        N/A        XXX
                                                      ltd.
78103..............  ..............  A               Bone marrow imaging,       0.75       3.43        N/A        0.17        4.35        N/A        XXX
                                                      mult.

[[Page 49203]]

 
78103..............  26............  A               Bone marrow imaging,       0.75       0.26       0.26        0.03        1.04       1.04        XXX
                                                      mult.
78103..............  TC............  A               Bone marrow imaging,       0.00       3.17        N/A        0.14        3.31        N/A        XXX
                                                      mult.
78104..............  ..............  A               Bone marrow imaging,       0.80       4.35        N/A        0.21        5.36        N/A        XXX
                                                      body.
78104..............  26............  A               Bone marrow imaging,       0.80       0.28       0.28        0.03        1.11       1.11        XXX
                                                      body.
78104..............  TC............  A               Bone marrow imaging,       0.00       4.07        N/A        0.18        4.25        N/A        XXX
                                                      body.
78110..............  ..............  A               Plasma volume,             0.19       1.02        N/A        0.06        1.27        N/A        XXX
                                                      single.
78110..............  26............  A               Plasma volume,             0.19       0.07       0.07        0.01        0.27       0.27        XXX
                                                      single.
78110..............  TC............  A               Plasma volume,             0.00       0.95        N/A        0.05        1.00        N/A        XXX
                                                      single.
78111..............  ..............  A               Plasma volume,             0.22       2.65        N/A        0.13        3.00        N/A        XXX
                                                      multiple.
78111..............  26............  A               Plasma volume,             0.22       0.08       0.08        0.01        0.31       0.31        XXX
                                                      multiple.
78111..............  TC............  A               Plasma volume,             0.00       2.57        N/A        0.12        2.69        N/A        XXX
                                                      multiple.
78120..............  ..............  A               Red cell mass,             0.23       1.81        N/A        0.10        2.14        N/A        XXX
                                                      single.
78120..............  26............  A               Red cell mass,             0.23       0.08       0.08        0.01        0.32       0.32        XXX
                                                      single.
78120..............  TC............  A               Red cell mass,             0.00       1.73        N/A        0.09        1.82        N/A        XXX
                                                      single.
78121..............  ..............  A               Red cell mass,             0.32       3.03        N/A        0.13        3.48        N/A        XXX
                                                      multiple.
78121..............  26............  A               Red cell mass,             0.32       0.12       0.12        0.01        0.45       0.45        XXX
                                                      multiple.
78121..............  TC............  A               Red cell mass,             0.00       2.91        N/A        0.12        3.03        N/A        XXX
                                                      multiple.
78122..............  ..............  A               Blood volume........       0.45       4.76        N/A        0.22        5.43        N/A        XXX
78122..............  26............  A               Blood volume........       0.45       0.16       0.16        0.02        0.63       0.63        XXX
78122..............  TC............  A               Blood volume........       0.00       4.60        N/A        0.20        4.80        N/A        XXX
78130..............  ..............  A               Red cell survival          0.61       3.07        N/A        0.15        3.83        N/A        XXX
                                                      study.
78130..............  26............  A               Red cell survival          0.61       0.21       0.21        0.03        0.85       0.85        XXX
                                                      study.
78130..............  TC............  A               Red cell survival          0.00       2.85        N/A        0.12        2.97        N/A        XXX
                                                      study.
78135..............  ..............  A               Red cell survival          0.64       5.10        N/A        0.24        5.98        N/A        XXX
                                                      kinetics.
78135..............  26............  A               Red cell survival          0.64       0.22       0.22        0.03        0.89       0.89        XXX
                                                      kinetics.
78135..............  TC............  A               Red cell survival          0.00       4.87        N/A        0.21        5.08        N/A        XXX
                                                      kinetics.
78140..............  ..............  A               Red cell                   0.61       4.14        N/A        0.20        4.95        N/A        XXX
                                                      sequestration.
78140..............  26............  A               Red cell                   0.61       0.21       0.21        0.03        0.85       0.85        XXX
                                                      sequestration.
78140..............  TC............  A               Red cell                   0.00       3.94        N/A        0.17        4.11        N/A        XXX
                                                      sequestration.
78160..............  ..............  A               Plasma iron turnover       0.33       3.79        N/A        0.19        4.31        N/A        XXX
78160..............  26............  A               Plasma iron turnover       0.33       0.12       0.12        0.03        0.48       0.48        XXX
78160..............  TC............  A               Plasma iron turnover       0.00       3.67        N/A        0.16        3.83        N/A        XXX
78162..............  ..............  A               Radioiron absorption       0.45       3.39        N/A        0.15        3.99        N/A        XXX
                                                      exam.
78162..............  26............  A               Radioiron absorption       0.45       0.19       0.19        0.01        0.65       0.65        XXX
                                                      exam.
78162..............  TC............  A               Radioiron absorption       0.00       3.20        N/A        0.14        3.34        N/A        XXX
                                                      exam.
78170..............  ..............  A               Red cell iron              0.41       5.45        N/A        0.27        6.13        N/A        XXX
                                                      utilization.
78170..............  26............  A               Red cell iron              0.41       0.14       0.14        0.04        0.59       0.59        XXX
                                                      utilization.
78170..............  TC............  A               Red cell iron              0.00       5.31        N/A        0.23        5.54        N/A        XXX
                                                      utilization.
78172..............  ..............  C               Total body iron            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      estimation.
78172..............  26............  A               Total body iron            0.53       0.18       0.18        0.02        0.73       0.73        XXX
                                                      estimation.
78172..............  TC............  C               Total body iron            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      estimation.
78185..............  ..............  A               Spleen imaging......       0.40       2.50        N/A        0.13        3.03        N/A        XXX
78185..............  26............  A               Spleen imaging......       0.40       0.14       0.14        0.02        0.56       0.56        XXX
78185..............  TC............  A               Spleen imaging......       0.00       2.36        N/A        0.11        2.47        N/A        XXX
78190..............  ..............  A               Platelet survival,         1.09       6.10        N/A        0.31        7.50        N/A        XXX
                                                      kinetics.
78190..............  26............  A               Platelet survival,         1.09       0.39       0.39        0.06        1.54       1.54        XXX
                                                      kinetics.
78190..............  TC............  A               Platelet survival,         0.00       5.72        N/A        0.25        5.97        N/A        XXX
                                                      kinetics.
78191..............  ..............  A               Platelet survival...       0.61       7.55        N/A        0.34        8.50        N/A        XXX
78191..............  26............  A               Platelet survival...       0.61       0.21       0.21        0.03        0.85       0.85        XXX
78191..............  TC............  A               Platelet survival...       0.00       7.34        N/A        0.31        7.65        N/A        XXX
78195..............  ..............  A               Lymph system imaging       1.20       4.49        N/A        0.23        5.92        N/A        XXX
78195..............  26............  A               Lymph system imaging       1.20       0.42       0.42        0.05        1.67       1.67        XXX
78195..............  TC............  A               Lymph system imaging       0.00       4.07        N/A        0.18        4.25        N/A        XXX
78199..............  ..............  C               Blood/lymph nuclear        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      exam.
78199..............  26............  C               Blood/lymph nuclear        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      exam.
78199..............  TC............  C               Blood/lymph nuclear        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      exam.
78201..............  ..............  A               Liver imaging.......       0.44       2.51        N/A        0.13        3.08        N/A        XXX
78201..............  26............  A               Liver imaging.......       0.44       0.15       0.15        0.02        0.61       0.61        XXX
78201..............  TC............  A               Liver imaging.......       0.00       2.36        N/A        0.11        2.47        N/A        XXX
78202..............  ..............  A               Liver imaging with         0.51       3.06        N/A        0.14        3.71        N/A        XXX
                                                      flow.
78202..............  26............  A               Liver imaging with         0.51       0.18       0.18        0.02        0.71       0.71        XXX
                                                      flow.

[[Page 49204]]

 
78202..............  TC............  A               Liver imaging with         0.00       2.88        N/A        0.12        3.00        N/A        XXX
                                                      flow.
78205..............  ..............  A               Liver imaging (3D)..       0.71       6.16        N/A        0.29        7.16        N/A        XXX
78205..............  26............  A               Liver imaging (3D)..       0.71       0.25       0.25        0.03        0.99       0.99        XXX
78205..............  TC............  A               Liver imaging (3D)..       0.00       5.91        N/A        0.26        6.17        N/A        XXX
78206..............  ..............  A               Liver image (3d)           0.96       6.25        N/A        0.13        7.34        N/A        XXX
                                                      with flow.
78206..............  26............  A               Liver image (3d)           0.96       0.34       0.34        0.04        1.34       1.34        XXX
                                                      with flow.
78206..............  TC............  A               Liver image (3d)           0.00       5.91        N/A        0.09        6.00        N/A        XXX
                                                      with flow.
78215..............  ..............  A               Liver and spleen           0.49       3.11        N/A        0.14        3.74        N/A        XXX
                                                      imaging.
78215..............  26............  A               Liver and spleen           0.49       0.17       0.17        0.02        0.68       0.68        XXX
                                                      imaging.
78215..............  TC............  A               Liver and spleen           0.00       2.94        N/A        0.12        3.06        N/A        XXX
                                                      imaging.
78216..............  ..............  A               Liver & spleen image/      0.57       3.68        N/A        0.17        4.42        N/A        XXX
                                                      flow.
78216..............  26............  A               Liver & spleen image/      0.57       0.20       0.20        0.02        0.79       0.79        XXX
                                                      flow.
78216..............  TC............  A               Liver & spleen image/      0.00       3.48        N/A        0.15        3.63        N/A        XXX
                                                      flow.
78220..............  ..............  A               Liver function study       0.49       3.89        N/A        0.18        4.56        N/A        XXX
78220..............  26............  A               Liver function study       0.49       0.17       0.17        0.02        0.68       0.68        XXX
78220..............  TC............  A               Liver function study       0.00       3.72        N/A        0.16        3.88        N/A        XXX
78223..............  ..............  A               Hepatobiliary              0.84       3.95        N/A        0.20        4.99        N/A        XXX
                                                      imaging.
78223..............  26............  A               Hepatobiliary              0.84       0.29       0.29        0.04        1.17       1.17        XXX
                                                      imaging.
78223..............  TC............  A               Hepatobiliary              0.00       3.67        N/A        0.16        3.83        N/A        XXX
                                                      imaging.
78230..............  ..............  A               Salivary gland             0.45       2.33        N/A        0.13        2.91        N/A        XXX
                                                      imaging.
78230..............  26............  A               Salivary gland             0.45       0.15       0.15        0.02        0.62       0.62        XXX
                                                      imaging.
78230..............  TC............  A               Salivary gland             0.00       2.18        N/A        0.11        2.29        N/A        XXX
                                                      imaging.
78231..............  ..............  A               Serial salivary            0.52       3.36        N/A        0.16        4.04        N/A        XXX
                                                      imaging.
78231..............  26............  A               Serial salivary            0.52       0.19       0.19        0.02        0.73       0.73        XXX
                                                      imaging.
78231..............  TC............  A               Serial salivary            0.00       3.17        N/A        0.14        3.31        N/A        XXX
                                                      imaging.
78232..............  ..............  A               Salivary gland             0.47       3.71        N/A        0.16        4.34        N/A        XXX
                                                      function exam.
78232..............  26............  A               Salivary gland             0.47       0.17       0.17        0.01        0.65       0.65        XXX
                                                      function exam.
78232..............  TC............  A               Salivary gland             0.00       3.54        N/A        0.15        3.69        N/A        XXX
                                                      function exam.
78258..............  ..............  A               Esophageal motility        0.74       3.13        N/A        0.15        4.02        N/A        XXX
                                                      study.
78258..............  26............  A               Esophageal motility        0.74       0.25       0.25        0.03        1.02       1.02        XXX
                                                      study.
78258..............  TC............  A               Esophageal motility        0.00       2.88        N/A        0.12        3.00        N/A        XXX
                                                      study.
78261..............  ..............  A               Gastric mucosa             0.69       4.35        N/A        0.21        5.25        N/A        XXX
                                                      imaging.
78261..............  26............  A               Gastric mucosa             0.69       0.25       0.25        0.03        0.97       0.97        XXX
                                                      imaging.
78261..............  TC............  A               Gastric mucosa             0.00       4.10        N/A        0.18        4.28        N/A        XXX
                                                      imaging.
78262..............  ..............  A               Gastroesophageal           0.68       4.49        N/A        0.21        5.38        N/A        XXX
                                                      reflux exam.
78262..............  26............  A               Gastroesophageal           0.68       0.24       0.24        0.03        0.95       0.95        XXX
                                                      reflux exam.
78262..............  TC............  A               Gastroesophageal           0.00       4.26        N/A        0.18        4.44        N/A        XXX
                                                      reflux exam.
78264..............  ..............  A               Gastric emptying           0.78       4.40        N/A        0.21        5.39        N/A        XXX
                                                      study.
78264..............  26............  A               Gastric emptying           0.78       0.27       0.27        0.03        1.08       1.08        XXX
                                                      study.
78264..............  TC............  A               Gastric emptying           0.00       4.13        N/A        0.18        4.31        N/A        XXX
                                                      study.
78270..............  ..............  A               Vit B-12 absorption        0.20       1.62        N/A        0.09        1.91        N/A        XXX
                                                      exam.
78270..............  26............  A               Vit B-12 absorption        0.20       0.07       0.07        0.01        0.28       0.28        XXX
                                                      exam.
78270..............  TC............  A               Vit B-12 absorption        0.00       1.55        N/A        0.08        1.63        N/A        XXX
                                                      exam.
78271..............  ..............  A               Vit b-12 absrp exam,       0.20       1.71        N/A        0.09        2.00        N/A        XXX
                                                      int fac.
78271..............  26............  A               Vit b-12 absrp exam,       0.20       0.07       0.07        0.01        0.28       0.28        XXX
                                                      int fac.
78271..............  TC............  A               Vit b-12 absrp exam,       0.00       1.64        N/A        0.08        1.72        N/A        XXX
                                                      int fac.
78272..............  ..............  A               Vit B-12 absorp,           0.27       2.42        N/A        0.12        2.81        N/A        XXX
                                                      combined.
78272..............  26............  A               Vit B-12 absorp,           0.27       0.10       0.10        0.01        0.38       0.38        XXX
                                                      combined.
78272..............  TC............  A               Vit B-12 absorp,           0.00       2.32        N/A        0.11        2.43        N/A        XXX
                                                      combined.
78278..............  ..............  A               Acute GI blood loss        0.99       5.21        N/A        0.25        6.45        N/A        XXX
                                                      imaging.
78278..............  26............  A               Acute GI blood loss        0.99       0.34       0.34        0.04        1.37       1.37        XXX
                                                      imaging.
78278..............  TC............  A               Acute GI blood loss        0.00       4.87        N/A        0.21        5.08        N/A        XXX
                                                      imaging.
78282..............  ..............  C               GI protein loss exam       0.00       0.00       0.00        0.00        0.00       0.00        XXX
78282..............  26............  A               GI protein loss exam       0.38       0.13       0.13        0.02        0.53       0.53        XXX

[[Page 49205]]

 
78282..............  TC............  C               GI protein loss exam       0.00       0.00       0.00        0.00        0.00       0.00        XXX
78290..............  ..............  A               Meckel's divert exam       0.68       3.28        N/A        0.16        4.12        N/A        XXX
78290..............  26............  A               Meckel's divert exam       0.68       0.23       0.23        0.03        0.94       0.94        XXX
78290..............  TC............  A               Meckel's divert exam       0.00       3.05        N/A        0.13        3.18        N/A        XXX
78291..............  ..............  A               Leveen/shunt patency       0.88       3.37        N/A        0.17        4.42        N/A        XXX
                                                      exam.
78291..............  26............  A               Leveen/shunt patency       0.88       0.31       0.31        0.04        1.23       1.23        XXX
                                                      exam.
78291..............  TC............  A               Leveen/shunt patency       0.00       3.07        N/A        0.13        3.20        N/A        XXX
                                                      exam.
78299..............  ..............  C               GI nuclear procedure       0.00       0.00       0.00        0.00        0.00       0.00        XXX
78299..............  26............  C               GI nuclear procedure       0.00       0.00       0.00        0.00        0.00       0.00        XXX
78299..............  TC............  C               GI nuclear procedure       0.00       0.00       0.00        0.00        0.00       0.00        XXX
78300..............  ..............  A               Bone imaging,              0.62       2.70        N/A        0.15        3.47        N/A        XXX
                                                      limited area.
78300..............  26............  A               Bone imaging,              0.62       0.21       0.21        0.03        0.86       0.86        XXX
                                                      limited area.
78300..............  TC............  A               Bone imaging,              0.00       2.49        N/A        0.12        2.61        N/A        XXX
                                                      limited area.
78305..............  ..............  A               Bone imaging,              0.83       3.95        N/A        0.19        4.97        N/A        XXX
                                                      multiple areas.
78305..............  26............  A               Bone imaging,              0.83       0.28       0.28        0.03        1.14       1.14        XXX
                                                      multiple areas.
78305..............  TC............  A               Bone imaging,              0.00       3.67        N/A        0.16        3.83        N/A        XXX
                                                      multiple areas.
78306..............  ..............  A               Bone imaging, whole        0.86       4.57        N/A        0.22        5.65        N/A        XXX
                                                      body.
78306..............  26............  A               Bone imaging, whole        0.86       0.29       0.29        0.04        1.19       1.19        XXX
                                                      body.
78306..............  TC............  A               Bone imaging, whole        0.00       4.27        N/A        0.18        4.45        N/A        XXX
                                                      body.
78315..............  ..............  A               Bone imaging, 3            1.02       5.13        N/A        0.25        6.40        N/A        XXX
                                                      phase.
78315..............  26............  A               Bone imaging, 3            1.02       0.35       0.35        0.04        1.41       1.41        XXX
                                                      phase.
78315..............  TC............  A               Bone imaging, 3            0.00       4.78        N/A        0.21        4.99        N/A        XXX
                                                      phase.
78320..............  ..............  A               Bone imaging (3D)...       1.04       6.28        N/A        0.30        7.62        N/A        XXX
78320..............  26............  A               Bone imaging (3D)...       1.04       0.37       0.37        0.04        1.45       1.45        XXX
78320..............  TC............  A               Bone imaging (3D)...       0.00       5.91        N/A        0.26        6.17        N/A        XXX
78350..............  ..............  A               Bone mineral, single       0.22       0.83        N/A        0.05        1.10        N/A        XXX
                                                      photon.
78350..............  26............  A               Bone mineral, single       0.22       0.08       0.08        0.01        0.31       0.31        XXX
                                                      photon.
78350..............  TC............  A               Bone mineral, single       0.00       0.75        N/A        0.04        0.79        N/A        XXX
                                                      photon.
78351..............  ..............  N               Bone mineral, dual         0.30       1.76       0.12        0.01        2.07       0.43        XXX
                                                      photon.
78399..............  ..............  C               Musculoskeletal            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        XXX
                                                      nuclear exam.
78399..............  TC............  C               Musculoskeletal            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       0.00        XXX
                                                      function.
78414..............  26............  A               Non-imaging heart          0.45       0.16       0.16        0.02        0.63       0.63        XXX
                                                      function.
78414..............  TC............  C               Non-imaging heart          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      function.
78428..............  ..............  A               Cardiac shunt              0.78       2.55        N/A        0.14        3.47        N/A        XXX
                                                      imaging.
78428..............  26............  A               Cardiac shunt              0.78       0.30       0.30        0.03        1.11       1.11        XXX
                                                      imaging.
78428..............  TC............  A               Cardiac shunt              0.00       2.25        N/A        0.11        2.36        N/A        XXX
                                                      imaging.
78445..............  ..............  A               Vascular flow              0.49       2.03        N/A        0.11        2.63        N/A        XXX
                                                      imaging.
78445..............  26............  A               Vascular flow              0.49       0.17       0.17        0.02        0.68       0.68        XXX
                                                      imaging.
78445..............  TC............  A               Vascular flow              0.00       1.86        N/A        0.09        1.95        N/A        XXX
                                                      imaging.
78455..............  ..............  A               Venous thrombosis          0.73       4.24        N/A        0.20        5.17        N/A        XXX
                                                      study.
78455..............  26............  A               Venous thrombosis          0.73       0.25       0.25        0.03        1.01       1.01        XXX
                                                      study.
78455..............  TC............  A               Venous thrombosis          0.00       3.98        N/A        0.17        4.15        N/A        XXX
                                                      study.
78456..............  ..............  A               Acute venous               1.00       4.34        N/A        0.28        5.62        N/A        XXX
                                                      thrombus image.
78456..............  26............  A               Acute venous               1.00       0.35       0.35        0.04        1.39       1.39        XXX
                                                      thrombus image.
78456..............  TC............  A               Acute venous               0.00       3.98        N/A        0.24        4.22        N/A        XXX
                                                      thrombus image.

[[Page 49206]]

 
78457..............  ..............  A               Venous thrombosis          0.77       2.92        N/A        0.15        3.84        N/A        XXX
                                                      imaging.
78457..............  26............  A               Venous thrombosis          0.77       0.27       0.27        0.03        1.07       1.07        XXX
                                                      imaging.
78457..............  TC............  A               Venous thrombosis          0.00       2.66        N/A        0.12        2.78        N/A        XXX
                                                      imaging.
78458..............  ..............  A               Ven thrombosis             0.90       4.35        N/A        0.20        5.45        N/A        XXX
                                                      images, bilat.
78458..............  26............  A               Ven thrombosis             0.90       0.33       0.33        0.03        1.26       1.26        XXX
                                                      images, bilat.
78458..............  TC............  A               Ven thrombosis             0.00       4.02        N/A        0.17        4.19        N/A        XXX
                                                      images, bilat.
78459..............  ..............  C               Heart muscle imaging       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      (PET).
78459..............  26............  R               Heart muscle imaging       1.50       0.58       0.58        0.04        2.12       2.12        XXX
                                                      (PET).
78459..............  TC............  C               Heart muscle imaging       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      (PET).
78460..............  ..............  A               Heart muscle blood,        0.86       2.66        N/A        0.14        3.66        N/A        XXX
                                                      single.
78460..............  26............  A               Heart muscle blood,        0.86       0.30       0.30        0.03        1.19       1.19        XXX
                                                      single.
78460..............  TC............  A               Heart muscle blood,        0.00       2.36        N/A        0.11        2.47        N/A        XXX
                                                      single.
78461..............  ..............  A               Heart muscle blood,        1.23       5.16        N/A        0.26        6.65        N/A        XXX
                                                      multiple.
78461..............  26............  A               Heart muscle blood,        1.23       0.44       0.44        0.05        1.72       1.72        XXX
                                                      multiple.
78461..............  TC............  A               Heart muscle blood,        0.00       4.72        N/A        0.21        4.93        N/A        XXX
                                                      multiple.
78464..............  ..............  A               Heart image (3d),          1.09       7.46        N/A        0.35        8.90        N/A        XXX
                                                      single.
78464..............  26............  A               Heart image (3d),          1.09       0.39       0.39        0.04        1.52       1.52        XXX
                                                      single.
78464..............  TC............  A               Heart image (3d),          0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      single.
78465..............  ..............  A               Heart image (3d),          1.46      12.33        N/A        0.56       14.35        N/A        XXX
                                                      multiple.
78465..............  26............  A               Heart image (3d),          1.46       0.53       0.53        0.05        2.04       2.04        XXX
                                                      multiple.
78465..............  TC............  A               Heart image (3d),          0.00      11.80        N/A        0.51       12.31        N/A        XXX
                                                      multiple.
78466..............  ..............  A               Heart infarct image.       0.69       2.87        N/A        0.15        3.71        N/A        XXX
78466..............  26............  A               Heart infarct image.       0.69       0.25       0.25        0.03        0.97       0.97        XXX
78466..............  TC............  A               Heart infarct image.       0.00       2.62        N/A        0.12        2.74        N/A        XXX
78468..............  ..............  A               Heart infarct image        0.80       3.95        N/A        0.19        4.94        N/A        XXX
                                                      (ef).
78468..............  26............  A               Heart infarct image        0.80       0.28       0.28        0.03        1.11       1.11        XXX
                                                      (ef).
78468..............  TC............  A               Heart infarct image        0.00       3.67        N/A        0.16        3.83        N/A        XXX
                                                      (ef).
78469..............  ..............  A               Heart infarct image        0.92       5.54        N/A        0.26        6.72        N/A        XXX
                                                      (3D).
78469..............  26............  A               Heart infarct image        0.92       0.32       0.32        0.03        1.27       1.27        XXX
                                                      (3D).
78469..............  TC............  A               Heart infarct image        0.00       5.22        N/A        0.23        5.45        N/A        XXX
                                                      (3D).
78472..............  ..............  A               Gated heart, planar,       0.98       5.86        N/A        0.29        7.13        N/A        XXX
                                                      single.
78472..............  26............  A               Gated heart, planar,       0.98       0.35       0.35        0.04        1.37       1.37        XXX
                                                      single.
78472..............  TC............  A               Gated heart, planar,       0.00       5.51        N/A        0.25        5.76        N/A        XXX
                                                      single.
78473..............  ..............  A               Gated heart,               1.47       8.78        N/A        0.40       10.65        N/A        XXX
                                                      multiple.
78473..............  26............  A               Gated heart,               1.47       0.52       0.52        0.05        2.04       2.04        XXX
                                                      multiple.
78473..............  TC............  A               Gated heart,               0.00       8.26        N/A        0.35        8.61        N/A        XXX
                                                      multiple.
78478..............  ..............  A               Heart wall motion          0.62       1.79        N/A        0.10        2.51        N/A        XXX
                                                      add-on.
78478..............  26............  A               Heart wall motion          0.62       0.23       0.23        0.02        0.87       0.87        XXX
                                                      add-on.
78478..............  TC............  A               Heart wall motion          0.00       1.56        N/A        0.08        1.64        N/A        XXX
                                                      add-on.
78480..............  ..............  A               Heart function add-        0.62       1.79        N/A        0.10        2.51        N/A        XXX
                                                      on.
78480..............  26............  A               Heart function add-        0.62       0.23       0.23        0.02        0.87       0.87        XXX
                                                      on.
78480..............  TC............  A               Heart function add-        0.00       1.56        N/A        0.08        1.64        N/A        XXX
                                                      on.
78481..............  ..............  A               Heart first pass,          0.98       5.59        N/A        0.26        6.83        N/A        XXX
                                                      single.
78481..............  26............  A               Heart first pass,          0.98       0.37       0.37        0.03        1.38       1.38        XXX
                                                      single.
78481..............  TC............  A               Heart first pass,          0.00       5.22        N/A        0.23        5.45        N/A        XXX
                                                      single.
78483..............  ..............  A               Heart first pass,          1.47       8.42        N/A        0.39       10.28        N/A        XXX
                                                      multiple.
78483..............  26............  A               Heart first pass,          1.47       0.55       0.55        0.05        2.07       2.07        XXX
                                                      multiple.
78483..............  TC............  A               Heart first pass,          0.00       7.87        N/A        0.34        8.21        N/A        XXX
                                                      multiple.
78491..............  ..............  I               Heart image (pet),         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      single.
78491..............  26............  I               Heart image (pet),         1.50       0.60       0.60        0.05        2.15       2.15        XXX
                                                      single.
78491..............  TC............  I               Heart image (pet),         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       0.00        XXX
                                                      multiple.
78492..............  26............  I               Heart image (pet),         1.87       0.75       0.75        0.06        2.68       2.68        XXX
                                                      multiple.
78492..............  TC............  I               Heart image (pet),         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      multiple.

[[Page 49207]]

 
78494..............  ..............  A               Heart image, spect..       1.19       7.49        N/A        0.29        8.97        N/A        XXX
78494..............  26............  A               Heart image, spect..       1.19       0.43       0.43        0.04        1.66       1.66        XXX
78494..............  TC............  A               Heart image, spect..       0.00       7.07        N/A        0.25        7.32        N/A        XXX
78496..............  ..............  A               Heart first pass add-      0.50       7.25        N/A        0.27        8.02        N/A        ZZZ
                                                      on.
78496..............  26............  A               Heart first pass add-      0.50       0.19       0.19        0.02        0.71       0.71        ZZZ
                                                      on.
78496..............  TC............  A               Heart first pass add-      0.00       7.07        N/A        0.25        7.32        N/A        ZZZ
                                                      on.
78499..............  ..............  C               Cardiovascular             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        XXX
                                                      nuclear exam.
78499..............  TC............  C               Cardiovascular             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nuclear exam.
78580..............  ..............  A               Lung perfusion             0.74       3.69        N/A        0.18        4.61        N/A        XXX
                                                      imaging.
78580..............  26............  A               Lung perfusion             0.74       0.25       0.25        0.03        1.02       1.02        XXX
                                                      imaging.
78580..............  TC............  A               Lung perfusion             0.00       3.43        N/A        0.15        3.58        N/A        XXX
                                                      imaging.
78584..............  ..............  A               Lung V/Q image             0.99       3.53        N/A        0.18        4.70        N/A        XXX
                                                      single breath.
78584..............  26............  A               Lung V/Q image             0.99       0.33       0.33        0.04        1.36       1.36        XXX
                                                      single breath.
78584..............  TC............  A               Lung V/Q image             0.00       3.20        N/A        0.14        3.34        N/A        XXX
                                                      single breath.
78585..............  ..............  A               Lung V/Q imaging....       1.09       6.01        N/A        0.30        7.40        N/A        XXX
78585..............  26............  A               Lung V/Q imaging....       1.09       0.37       0.37        0.05        1.51       1.51        XXX
78585..............  TC............  A               Lung V/Q imaging....       0.00       5.64        N/A        0.25        5.89        N/A        XXX
78586..............  ..............  A               Aerosol lung image,        0.40       2.73        N/A        0.14        3.27        N/A        XXX
                                                      single.
78586..............  26............  A               Aerosol lung image,        0.40       0.13       0.13        0.02        0.55       0.55        XXX
                                                      single.
78586..............  TC............  A               Aerosol lung image,        0.00       2.59        N/A        0.12        2.71        N/A        XXX
                                                      single.
78587..............  ..............  A               Aerosol lung image,        0.49       2.97        N/A        0.14        3.60        N/A        XXX
                                                      multiple.
78587..............  26............  A               Aerosol lung image,        0.49       0.17       0.17        0.02        0.68       0.68        XXX
                                                      multiple.
78587..............  TC............  A               Aerosol lung image,        0.00       2.80        N/A        0.12        2.92        N/A        XXX
                                                      multiple.
78588..............  ..............  A               Perfusion lung image       1.09       3.57        N/A        0.20        4.86        N/A        XXX
78588..............  26............  A               Perfusion lung image       1.09       0.37       0.37        0.05        1.51       1.51        XXX
78588..............  TC............  A               Perfusion lung image       0.00       3.20        N/A        0.15        3.35        N/A        XXX
78591..............  ..............  A               Vent image, 1              0.40       2.99        N/A        0.14        3.53        N/A        XXX
                                                      breath, 1 proj.
78591..............  26............  A               Vent image, 1              0.40       0.14       0.14        0.02        0.56       0.56        XXX
                                                      breath, 1 proj.
78591..............  TC............  A               Vent image, 1              0.00       2.85        N/A        0.12        2.97        N/A        XXX
                                                      breath, 1 proj.
78593..............  ..............  A               Vent image, 1 proj,        0.49       3.62        N/A        0.17        4.28        N/A        XXX
                                                      gas.
78593..............  26............  A               Vent image, 1 proj,        0.49       0.17       0.17        0.02        0.68       0.68        XXX
                                                      gas.
78593..............  TC............  A               Vent image, 1 proj,        0.00       3.45        N/A        0.15        3.60        N/A        XXX
                                                      gas.
78594..............  ..............  A               Vent image, mult           0.53       5.17        N/A        0.23        5.93        N/A        XXX
                                                      proj, gas.
78594..............  26............  A               Vent image, mult           0.53       0.18       0.18        0.02        0.73       0.73        XXX
                                                      proj, gas.
78594..............  TC............  A               Vent image, mult           0.00       4.98        N/A        0.21        5.19        N/A        XXX
                                                      proj, gas.
78596..............  ..............  A               Lung differential          1.27       7.50        N/A        0.36        9.13        N/A        XXX
                                                      function.
78596..............  26............  A               Lung differential          1.27       0.43       0.43        0.05        1.75       1.75        XXX
                                                      function.
78596..............  TC............  A               Lung differential          0.00       7.07        N/A        0.31        7.38        N/A        XXX
                                                      function.
78599..............  ..............  C               Respiratory nuclear        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      exam.
78599..............  26............  C               Respiratory nuclear        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      exam.
78599..............  TC............  C               Respiratory nuclear        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      exam.
78600..............  ..............  A               Brain imaging, ltd         0.44       3.04        N/A        0.14        3.62        N/A        XXX
                                                      static.
78600..............  26............  A               Brain imaging, ltd         0.44       0.16       0.16        0.02        0.62       0.62        XXX
                                                      static.
78600..............  TC............  A               Brain imaging, ltd         0.00       2.88        N/A        0.12        3.00        N/A        XXX
                                                      static.
78601..............  ..............  A               Brain imaging, ltd w/      0.51       3.58        N/A        0.17        4.26        N/A        XXX
                                                       flow.
78601..............  26............  A               Brain imaging, ltd w/      0.51       0.18       0.18        0.02        0.71       0.71        XXX
                                                       flow.
78601..............  TC............  A               Brain imaging, ltd w/      0.00       3.40        N/A        0.15        3.55        N/A        XXX
                                                       flow.
78605..............  ..............  A               Brain imaging,             0.53       3.59        N/A        0.17        4.29        N/A        XXX
                                                      complete.
78605..............  26............  A               Brain imaging,             0.53       0.19       0.19        0.02        0.74       0.74        XXX
                                                      complete.
78605..............  TC............  A               Brain imaging,             0.00       3.40        N/A        0.15        3.55        N/A        XXX
                                                      complete.
78606..............  ..............  A               Brain imaging, compl       0.64       4.09        N/A        0.20        4.93        N/A        XXX
                                                      w/flow.

[[Page 49208]]

 
78606..............  26............  A               Brain imaging, compl       0.64       0.22       0.22        0.03        0.89       0.89        XXX
                                                      w/flow.
78606..............  TC............  A               Brain imaging, compl       0.00       3.87        N/A        0.17        4.04        N/A        XXX
                                                      w/flow.
78607..............  ..............  A               Brain imaging (3D)..       1.23       7.00        N/A        0.34        8.57        N/A        XXX
78607..............  26............  A               Brain imaging (3D)..       1.23       0.44       0.44        0.05        1.72       1.72        XXX
78607..............  TC............  A               Brain imaging (3D)..       0.00       6.56        N/A        0.29        6.85        N/A        XXX
78608..............  ..............  N               Brain imaging (PET).       0.00       0.00       0.00        0.00        0.00       0.00        XXX
78610..............  ..............  A               Brain flow imaging         0.30       1.69        N/A        0.09        2.08        N/A        XXX
                                                      only.
78610..............  26............  A               Brain flow imaging         0.30       0.11       0.11        0.01        0.42       0.42        XXX
                                                      only.
78610..............  TC............  A               Brain flow imaging         0.00       1.58        N/A        0.08        1.66        N/A        XXX
                                                      only.
78615..............  ..............  A               Cerebral vascular          0.42       4.00        N/A        0.19        4.61        N/A        XXX
                                                      flow image.
78615..............  26............  A               Cerebral vascular          0.42       0.16       0.16        0.02        0.60       0.60        XXX
                                                      flow image.
78615..............  TC............  A               Cerebral vascular          0.00       3.85        N/A        0.17        4.02        N/A        XXX
                                                      flow image.
78630..............  ..............  A               Cerebrospinal fluid        0.68       5.27        N/A        0.25        6.20        N/A        XXX
                                                      scan.
78630..............  26............  A               Cerebrospinal fluid        0.68       0.23       0.23        0.03        0.94       0.94        XXX
                                                      scan.
78630..............  TC............  A               Cerebrospinal fluid        0.00       5.04        N/A        0.22        5.26        N/A        XXX
                                                      scan.
78635..............  ..............  A               CSF ventriculography       0.61       2.78        N/A        0.14        3.53        N/A        XXX
78635..............  26............  A               CSF ventriculography       0.61       0.24       0.24        0.02        0.87       0.87        XXX
78635..............  TC............  A               CSF ventriculography       0.00       2.54        N/A        0.12        2.66        N/A        XXX
78645..............  ..............  A               CSF shunt evaluation       0.57       3.63        N/A        0.17        4.37        N/A        XXX
78645..............  26............  A               CSF shunt evaluation       0.57       0.20       0.20        0.02        0.79       0.79        XXX
78645..............  TC............  A               CSF shunt evaluation       0.00       3.43        N/A        0.15        3.58        N/A        XXX
78647..............  ..............  A               Cerebrospinal fluid        0.90       6.23        N/A        0.29        7.42        N/A        XXX
                                                      scan.
78647..............  26............  A               Cerebrospinal fluid        0.90       0.32       0.32        0.03        1.25       1.25        XXX
                                                      scan.
78647..............  TC............  A               Cerebrospinal fluid        0.00       5.91        N/A        0.26        6.17        N/A        XXX
                                                      scan.
78650..............  ..............  A               CSF leakage imaging.       0.61       4.86        N/A        0.22        5.69        N/A        XXX
78650..............  26............  A               CSF leakage imaging.       0.61       0.21       0.21        0.02        0.84       0.84        XXX
78650..............  TC............  A               CSF leakage imaging.       0.00       4.64        N/A        0.20        4.84        N/A        XXX
78660..............  ..............  A               Nuclear exam of tear       0.53       2.30        N/A        0.12        2.95        N/A        XXX
                                                      flow.
78660..............  26............  A               Nuclear exam of tear       0.53       0.18       0.18        0.02        0.73       0.73        XXX
                                                      flow.
78660..............  TC............  A               Nuclear exam of tear       0.00       2.12        N/A        0.10        2.22        N/A        XXX
                                                      flow.
78699..............  ..............  C               Nervous system             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        XXX
                                                      nuclear exam.
78699..............  TC............  C               Nervous system             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nuclear exam.
78700..............  ..............  A               Kidney imaging,            0.45       3.20        N/A        0.15        3.80        N/A        XXX
                                                      static.
78700..............  26............  A               Kidney imaging,            0.45       0.15       0.15        0.02        0.62       0.62        XXX
                                                      static.
78700..............  TC............  A               Kidney imaging,            0.00       3.05        N/A        0.13        3.18        N/A        XXX
                                                      static.
78701..............  ..............  A               Kidney imaging with        0.49       3.73        N/A        0.17        4.39        N/A        XXX
                                                      flow.
78701..............  26............  A               Kidney imaging with        0.49       0.17       0.17        0.02        0.68       0.68        XXX
                                                      flow.
78701..............  TC............  A               Kidney imaging with        0.00       3.56        N/A        0.15        3.71        N/A        XXX
                                                      flow.
78704..............  ..............  A               Imaging renogram....       0.74       4.21        N/A        0.20        5.15        N/A        XXX
78704..............  26............  A               Imaging renogram....       0.74       0.25       0.25        0.03        1.02       1.02        XXX
78704..............  TC............  A               Imaging renogram....       0.00       3.96        N/A        0.17        4.13        N/A        XXX
78707..............  ..............  A               Kidney flow/function       0.96       4.80        N/A        0.23        5.99        N/A        XXX
                                                      image.
78707..............  26............  A               Kidney flow/function       0.96       0.33       0.33        0.04        1.33       1.33        XXX
                                                      image.
78707..............  TC............  A               Kidney flow/function       0.00       4.47        N/A        0.19        4.66        N/A        XXX
                                                      image.
78708..............  ..............  A               Kidney flow/function       1.21       4.89        N/A        0.24        6.34        N/A        XXX
                                                      image.
78708..............  26............  A               Kidney flow/function       1.21       0.42       0.42        0.05        1.68       1.68        XXX
                                                      image.
78708..............  TC............  A               Kidney flow/function       0.00       4.47        N/A        0.19        4.66        N/A        XXX
                                                      image.
78709..............  ..............  A               Kidney flow/function       1.41       4.95        N/A        0.25        6.61        N/A        XXX
                                                      image.
78709..............  26............  A               Kidney flow/function       1.41       0.48       0.48        0.06        1.95       1.95        XXX
                                                      image.
78709..............  TC............  A               Kidney flow/function       0.00       4.47        N/A        0.19        4.66        N/A        XXX
                                                      image.
78710..............  ..............  A               Kidney imaging (3D).       0.66       6.13        N/A        0.29        7.08        N/A        XXX
78710..............  26............  A               Kidney imaging (3D).       0.66       0.23       0.23        0.03        0.92       0.92        XXX
78710..............  TC............  A               Kidney imaging (3D).       0.00       5.91        N/A        0.26        6.17        N/A        XXX
78715..............  ..............  A               Renal vascular flow        0.30       1.69        N/A        0.09        2.08        N/A        XXX
                                                      exam.
78715..............  26............  A               Renal vascular flow        0.30       0.11       0.11        0.01        0.42       0.42        XXX
                                                      exam.
78715..............  TC............  A               Renal vascular flow        0.00       1.58        N/A        0.08        1.66        N/A        XXX
                                                      exam.
78725..............  ..............  A               Kidney function            0.38       1.91        N/A        0.10        2.39        N/A        XXX
                                                      study.

[[Page 49209]]

 
78725..............  26............  A               Kidney function            0.38       0.13       0.13        0.01        0.52       0.52        XXX
                                                      study.
78725..............  TC............  A               Kidney function            0.00       1.78        N/A        0.09        1.87        N/A        XXX
                                                      study.
78730..............  ..............  A               Urinary bladder            0.36       1.59        N/A        0.09        2.04        N/A        XXX
                                                      retention.
78730..............  26............  A               Urinary bladder            0.36       0.13       0.13        0.02        0.51       0.51        XXX
                                                      retention.
78730..............  TC............  A               Urinary bladder            0.00       1.46        N/A        0.07        1.53        N/A        XXX
                                                      retention.
78740..............  ..............  A               Ureteral reflux            0.57       2.31        N/A        0.12        3.00        N/A        XXX
                                                      study.
78740..............  26............  A               Ureteral reflux            0.57       0.19       0.19        0.02        0.78       0.78        XXX
                                                      study.
78740..............  TC............  A               Ureteral reflux            0.00       2.12        N/A        0.10        2.22        N/A        XXX
                                                      study.
78760..............  ..............  A               Testicular imaging..       0.66       2.90        N/A        0.15        3.71        N/A        XXX
78760..............  26............  A               Testicular imaging..       0.66       0.22       0.22        0.03        0.91       0.91        XXX
78760..............  TC............  A               Testicular imaging..       0.00       2.68        N/A        0.12        2.80        N/A        XXX
78761..............  ..............  A               Testicular imaging/        0.71       3.44        N/A        0.17        4.32        N/A        XXX
                                                      flow.
78761..............  26............  A               Testicular imaging/        0.71       0.24       0.24        0.03        0.98       0.98        XXX
                                                      flow.
78761..............  TC............  A               Testicular imaging/        0.00       3.20        N/A        0.14        3.34        N/A        XXX
                                                      flow.
78799..............  ..............  C               Genitourinary              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        XXX
                                                      nuclear exam.
78799..............  TC............  C               Genitourinary              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nuclear exam.
78800..............  ..............  A               Tumor imaging,             0.66       3.63        N/A        0.18        4.47        N/A        XXX
                                                      limited area.
78800..............  26............  A               Tumor imaging,             0.66       0.22       0.22        0.03        0.91       0.91        XXX
                                                      limited area.
78800..............  TC............  A               Tumor imaging,             0.00       3.40        N/A        0.15        3.55        N/A        XXX
                                                      limited area.
78801..............  ..............  A               Tumor imaging, mult        0.79       4.50        N/A        0.21        5.50        N/A        XXX
                                                      areas.
78801..............  26............  A               Tumor imaging, mult        0.79       0.27       0.27        0.03        1.09       1.09        XXX
                                                      areas.
78801..............  TC............  A               Tumor imaging, mult        0.00       4.23        N/A        0.18        4.41        N/A        XXX
                                                      areas.
78802..............  ..............  A               Tumor imaging, whole       0.86       5.83        N/A        0.28        6.97        N/A        XXX
                                                      body.
78802..............  26............  A               Tumor imaging, whole       0.86       0.30       0.30        0.03        1.19       1.19        XXX
                                                      body.
78802..............  TC............  A               Tumor imaging, whole       0.00       5.53        N/A        0.25        5.78        N/A        XXX
                                                      body.
78803..............  ..............  A               Tumor imaging (3D)..       1.09       6.95        N/A        0.33        8.37        N/A        XXX
78803..............  26............  A               Tumor imaging (3D)..       1.09       0.39       0.39        0.04        1.52       1.52        XXX
78803..............  TC............  A               Tumor imaging (3D)..       0.00       6.56        N/A        0.29        6.85        N/A        XXX
78805..............  ..............  A               Abscess imaging, ltd       0.73       3.66        N/A        0.18        4.57        N/A        XXX
                                                      area.
78805..............  26............  A               Abscess imaging, ltd       0.73       0.26       0.26        0.03        1.02       1.02        XXX
                                                      area.
78805..............  TC............  A               Abscess imaging, ltd       0.00       3.40        N/A        0.15        3.55        N/A        XXX
                                                      area.
78806..............  ..............  A               Abscess imaging,           0.86       6.73        N/A        0.32        7.91        N/A        XXX
                                                      whole body.
78806..............  26............  A               Abscess imaging,           0.86       0.30       0.30        0.03        1.19       1.19        XXX
                                                      whole body.
78806..............  TC............  A               Abscess imaging,           0.00       6.43        N/A        0.29        6.72        N/A        XXX
                                                      whole body.
78807..............  ..............  A               Nuclear localization/      1.09       6.96        N/A        0.33        8.38        N/A        XXX
                                                      abscess.
78807..............  26............  A               Nuclear localization/      1.09       0.40       0.40        0.04        1.53       1.53        XXX
                                                      abscess.
78807..............  TC............  A               Nuclear localization/      0.00       6.56        N/A        0.29        6.85        N/A        XXX
                                                      abscess.
78810..............  26............  N               Tumor imaging (PET).       1.93       0.75       0.75        0.09        2.77       2.77        XXX
78890..............  ..............  B               Nuclear medicine           0.05       1.32        N/A        0.06        1.43        N/A        XXX
                                                      data proc.
78890..............  26............  B               Nuclear medicine           0.05       0.02       0.02        0.01        0.08       0.08        XXX
                                                      data proc.
78890..............  TC............  B               Nuclear medicine           0.00       1.31        N/A        0.05        1.36        N/A        XXX
                                                      data proc.
78891..............  ..............  B               Nuclear med data           0.10       2.66        N/A        0.12        2.88        N/A        XXX
                                                      proc.
78891..............  26............  B               Nuclear med data           0.10       0.04       0.04        0.01        0.15       0.15        XXX
                                                      proc.
78891..............  TC............  B               Nuclear med data           0.00       2.62        N/A        0.11        2.73        N/A        XXX
                                                      proc.
78990..............  ..............  I               Provide diag               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        XXX
                                                      exam.

[[Page 49210]]

 
78999..............  26............  C               Nuclear diagnostic         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        XXX
                                                      exam.
79000..............  ..............  A               Init hyperthyroid          1.80       3.24        N/A        0.19        5.23        N/A        XXX
                                                      therapy.
79000..............  26............  A               Init hyperthyroid          1.80       0.62       0.62        0.07        2.49       2.49        XXX
                                                      therapy.
79000..............  TC............  A               Init hyperthyroid          0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      therapy.
79001..............  ..............  A               Repeat hyperthyroid        1.05       1.67        N/A        0.10        2.82        N/A        XXX
                                                      therapy.
79001..............  26............  A               Repeat hyperthyroid        1.05       0.36       0.36        0.04        1.45       1.45        XXX
                                                      therapy.
79001..............  TC............  A               Repeat hyperthyroid        0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      therapy.
79020..............  ..............  A               Thyroid ablation....       1.81       3.23        N/A        0.19        5.23        N/A        XXX
79020..............  26............  A               Thyroid ablation....       1.81       0.61       0.61        0.07        2.49       2.49        XXX
79020..............  TC............  A               Thyroid ablation....       0.00       2.62        N/A        0.12        2.74        N/A        XXX
79030..............  ..............  A               Thyroid ablation,          2.10       3.34        N/A        0.20        5.64        N/A        XXX
                                                      carcinoma.
79030..............  26............  A               Thyroid ablation,          2.10       0.72       0.72        0.08        2.90       2.90        XXX
                                                      carcinoma.
79030..............  TC............  A               Thyroid ablation,          0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      carcinoma.
79035..............  ..............  A               Thyroid metastatic         2.52       3.51        N/A        0.21        6.24        N/A        XXX
                                                      therapy.
79035..............  26............  A               Thyroid metastatic         2.52       0.89       0.89        0.09        3.50       3.50        XXX
                                                      therapy.
79035..............  TC............  A               Thyroid metastatic         0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      therapy.
79100..............  ..............  A               Hematopoetic nuclear       1.32       3.09        N/A        0.17        4.58        N/A        XXX
                                                      therapy.
79100..............  26............  A               Hematopoetic nuclear       1.32       0.47       0.47        0.05        1.84       1.84        XXX
                                                      therapy.
79100..............  TC............  A               Hematopoetic nuclear       0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      therapy.
79200..............  ..............  A               Intracavitary              1.99       3.33        N/A        0.19        5.51        N/A        XXX
                                                      nuclear trmt.
79200..............  26............  A               Intracavitary              1.99       0.71       0.71        0.07        2.77       2.77        XXX
                                                      nuclear trmt.
79200..............  TC............  A               Intracavitary              0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      nuclear trmt.
79300..............  ..............  C               Interstitial nuclear       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
79300..............  26............  A               Interstitial nuclear       1.60       0.57       0.57        0.07        2.24       2.24        XXX
                                                      therapy.
79300..............  TC............  C               Interstitial nuclear       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
79400..............  ..............  A               Nonhemato nuclear          1.96       3.31        N/A        0.20        5.47        N/A        XXX
                                                      therapy.
79400..............  26............  A               Nonhemato nuclear          1.96       0.68       0.68        0.08        2.72       2.72        XXX
                                                      therapy.
79400..............  TC............  A               Nonhemato nuclear          0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      therapy.
79420..............  ..............  C               Intravascular              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nuclear ther.
79420..............  26............  A               Intravascular              1.51       0.50       0.50        0.06        2.07       2.07        XXX
                                                      nuclear ther.
79420..............  TC............  C               Intravascular              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nuclear ther.
79440..............  ..............  A               Nuclear joint              1.99       3.36        N/A        0.20        5.55        N/A        XXX
                                                      therapy.
79440..............  26............  A               Nuclear joint              1.99       0.74       0.74        0.08        2.81       2.81        XXX
                                                      therapy.
79440..............  TC............  A               Nuclear joint              0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      therapy.
79900..............  ..............  C               Provide ther               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        XXX
                                                      therapy.
79999..............  26............  C               Nuclear medicine           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        XXX
                                                      therapy.
80055..............  ..............  I               Obstetric panel.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
80500..............  ..............  A               Lab pathology              0.37       0.22       0.16        0.01        0.60       0.54        XXX
                                                      consultation.
80502..............  ..............  A               Lab pathology              1.33       0.64       0.59        0.05        2.02       1.97        XXX
                                                      consultation.
83020..............  26............  A               Hemoglobin                 0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      electrophoresis.
83912..............  26............  A               Genetic examination.       0.37       0.15       0.15        0.01        0.53       0.53        XXX
84165..............  26............  A               Assay of serum             0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      proteins.
84181..............  26............  A               Western blot test...       0.37       0.14       0.14        0.01        0.52       0.52        XXX
84182..............  26............  A               Protein, western           0.37       0.17       0.17        0.01        0.55       0.55        XXX
                                                      blot test.
85060..............  ..............  A               Blood smear                0.45       0.19       0.19        0.02        0.66       0.66        XXX
                                                      interpretation.
85097..............  ..............  A               Bone marrow                0.94       1.65       0.41        0.03        2.62       1.38        XXX
                                                      interpretation.
85390..............  26............  A               Fibrinolysins screen       0.37       0.12       0.12        0.01        0.50       0.50        XXX
85576..............  26............  A               Blood platelet             0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      aggregation.

[[Page 49211]]

 
86077..............  ..............  A               Physician blood bank       0.94       0.47       0.41        0.03        1.44       1.38        XXX
                                                      service.
86078..............  ..............  A               Physician blood bank       0.94       0.50       0.42        0.03        1.47       1.39        XXX
                                                      service.
86079..............  ..............  A               Physician blood bank       0.94       0.50       0.42        0.03        1.47       1.39        XXX
                                                      service.
86255..............  26............  A               Fluorescent                0.37       0.17       0.16        0.01        0.55       0.54        XXX
                                                      antibody, screen.
86256..............  26............  A               Fluorescent                0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      antibody, titer.
86320..............  26............  A               Serum                      0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      immunoelectrophores
                                                      is.
86325..............  26............  A               Other                      0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      immunoelectrophores
                                                      is.
86327..............  26............  A               Immunoelectrophoresi       0.42       0.19       0.19        0.01        0.62       0.62        XXX
                                                      s assay.
86334..............  26............  A               Immunofixation             0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      procedure.
86485..............  ..............  C               Skin test, candida..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
86490..............  ..............  A               Coccidioidomycosis         0.00       0.29        N/A        0.02        0.31        N/A        XXX
                                                      skin test.
86510..............  ..............  A               Histoplasmosis skin        0.00       0.32        N/A        0.02        0.34        N/A        XXX
                                                      test.
86580..............  ..............  A               TB intradermal test.       0.00       0.25        N/A        0.02        0.27        N/A        XXX
86585..............  ..............  A               TB tine test........       0.00       0.20        N/A        0.01        0.21        N/A        XXX
86586..............  ..............  C               Skin test, unlisted.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
87164..............  26............  A               Dark field                 0.37       0.12       0.12        0.01        0.50       0.50        XXX
                                                      examination.
87207..............  26............  A               Smear, special stain       0.37       0.17       0.16        0.01        0.55       0.54        XXX
88104..............  ..............  A               Cytopathology,             0.56       0.76        N/A        0.04        1.36        N/A        XXX
                                                      fluids.
88104..............  26............  A               Cytopathology,             0.56       0.25       0.25        0.02        0.83       0.83        XXX
                                                      fluids.
88104..............  TC............  A               Cytopathology,             0.00       0.51        N/A        0.02        0.53        N/A        XXX
                                                      fluids.
88106..............  ..............  A               Cytopathology,             0.56       0.62        N/A        0.04        1.22        N/A        XXX
                                                      fluids.
88106..............  26............  A               Cytopathology,             0.56       0.25       0.25        0.02        0.83       0.83        XXX
                                                      fluids.
88106..............  TC............  A               Cytopathology,             0.00       0.37        N/A        0.02        0.39        N/A        XXX
                                                      fluids.
88107..............  ..............  A               Cytopathology,             0.76       0.99        N/A        0.05        1.80        N/A        XXX
                                                      fluids.
88107..............  26............  A               Cytopathology,             0.76       0.34       0.34        0.03        1.13       1.13        XXX
                                                      fluids.
88107..............  TC............  A               Cytopathology,             0.00       0.65        N/A        0.02        0.67        N/A        XXX
                                                      fluids.
88108..............  ..............  A               Cytopath,                  0.56       0.83        N/A        0.04        1.43        N/A        XXX
                                                      concentrate tech.
88108..............  26............  A               Cytopath,                  0.56       0.25       0.25        0.02        0.83       0.83        XXX
                                                      concentrate tech.
88108..............  TC............  A               Cytopath,                  0.00       0.58        N/A        0.02        0.60        N/A        XXX
                                                      concentrate tech.
88125..............  ..............  A               Forensic                   0.26       0.26        N/A        0.02        0.54        N/A        XXX
                                                      cytopathology.
88125..............  26............  A               Forensic                   0.26       0.12       0.12        0.01        0.39       0.39        XXX
                                                      cytopathology.
88125..............  TC............  A               Forensic                   0.00       0.15        N/A        0.01        0.16        N/A        XXX
                                                      cytopathology.
88141..............  ..............  A               Cytopath, c/v,             0.42       0.18       0.18        0.01        0.61       0.61        XXX
                                                      interpret.
88160..............  ..............  A               Cytopath smear,            0.50       0.94        N/A        0.04        1.48        N/A        XXX
                                                      other source.
88160..............  26............  A               Cytopath smear,            0.50       0.22       0.22        0.02        0.74       0.74        XXX
                                                      other source.
88160..............  TC............  A               Cytopath smear,            0.00       0.72        N/A        0.02        0.74        N/A        XXX
                                                      other source.
88161..............  ..............  A               Cytopath smear,            0.50       0.89        N/A        0.04        1.43        N/A        XXX
                                                      other source.
88161..............  26............  A               Cytopath smear,            0.50       0.22       0.22        0.02        0.74       0.74        XXX
                                                      other source.
88161..............  TC............  A               Cytopath smear,            0.00       0.67        N/A        0.02        0.69        N/A        XXX
                                                      other source.
88162..............  ..............  A               Cytopath smear,            0.76       0.69        N/A        0.05        1.50        N/A        XXX
                                                      other source.
88162..............  26............  A               Cytopath smear,            0.76       0.34       0.34        0.03        1.13       1.13        XXX
                                                      other source.
88162..............  TC............  A               Cytopath smear,            0.00       0.35        N/A        0.02        0.37        N/A        XXX
                                                      other source.
88172..............  ..............  A               Cytopathology eval         0.60       0.67        N/A        0.04        1.31        N/A        XXX
                                                      of fna.
88172..............  26............  A               Cytopathology eval         0.60       0.27       0.27        0.02        0.89       0.89        XXX
                                                      of fna.
88172..............  TC............  A               Cytopathology eval         0.00       0.40        N/A        0.02        0.42        N/A        XXX
                                                      of fna.
88173..............  ..............  A               Cytopath eval, fna,        1.39       1.80        N/A        0.07        3.26        N/A        XXX
                                                      report.
88173..............  26............  A               Cytopath eval, fna,        1.39       0.62       0.62        0.05        2.06       2.06        XXX
                                                      report.
88173..............  TC............  A               Cytopath eval, fna,        0.00       1.18        N/A        0.02        1.20        N/A        XXX
                                                      report.
88180..............  ..............  A               Cell marker study...       0.36       1.46        N/A        0.03        1.85        N/A        XXX

[[Page 49212]]

 
88180..............  26............  A               Cell marker study...       0.36       0.16       0.16        0.01        0.53       0.53        XXX
88180..............  TC............  A               Cell marker study...       0.00       1.30        N/A        0.02        1.32        N/A        XXX
88182..............  ..............  A               Cell marker study...       0.77       1.63        N/A        0.06        2.46        N/A        XXX
88182..............  26............  A               Cell marker study...       0.77       0.34       0.34        0.03        1.14       1.14        XXX
88182..............  TC............  A               Cell marker study...       0.00       1.28        N/A        0.03        1.31        N/A        XXX
88199..............  ..............  C               Cytopathology              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        XXX
                                                      procedure.
88199..............  TC............  C               Cytopathology              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
88291..............  ..............  A               Cyto/molecular             0.52       0.28       0.28        0.02        0.82       0.82        XXX
                                                      report.
88299..............  ..............  C               Cytogenetic study...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
88300..............  ..............  A               Surgical path, gross       0.08       0.28        N/A        0.02        0.38        N/A        XXX
88300..............  26............  A               Surgical path, gross       0.08       0.04       0.04        0.01        0.13       0.13        XXX
88300..............  TC............  A               Surgical path, gross       0.00       0.25        N/A        0.01        0.26        N/A        XXX
88302..............  ..............  A               Tissue exam by             0.13       0.71        N/A        0.03        0.87        N/A        XXX
                                                      pathologist.
88302..............  26............  A               Tissue exam by             0.13       0.06       0.06        0.01        0.20       0.20        XXX
                                                      pathologist.
88302..............  TC............  A               Tissue exam by             0.00       0.65        N/A        0.02        0.67        N/A        XXX
                                                      pathologist.
88304..............  ..............  A               Tissue exam by             0.22       0.89        N/A        0.03        1.14        N/A        XXX
                                                      pathologist.
88304..............  26............  A               Tissue exam by             0.22       0.10       0.10        0.01        0.33       0.33        XXX
                                                      pathologist.
88304..............  TC............  A               Tissue exam by             0.00       0.79        N/A        0.02        0.81        N/A        XXX
                                                      pathologist.
88305..............  ..............  A               Tissue exam by             0.75       1.77        N/A        0.05        2.57        N/A        XXX
                                                      pathologist.
88305..............  26............  A               Tissue exam by             0.75       0.34       0.34        0.02        1.11       1.11        XXX
                                                      pathologist.
88305..............  TC............  A               Tissue exam by             0.00       1.43        N/A        0.03        1.46        N/A        XXX
                                                      pathologist.
88307..............  ..............  A               Tissue exam by             1.59       2.71        N/A        0.11        4.41        N/A        XXX
                                                      pathologist.
88307..............  26............  A               Tissue exam by             1.59       0.71       0.71        0.06        2.36       2.36        XXX
                                                      pathologist.
88307..............  TC............  A               Tissue exam by             0.00       2.00        N/A        0.05        2.05        N/A        XXX
                                                      pathologist.
88309..............  ..............  A               Tissue exam by             2.28       3.32        N/A        0.13        5.73        N/A        XXX
                                                      pathologist.
88309..............  26............  A               Tissue exam by             2.28       1.01       1.01        0.08        3.37       3.37        XXX
                                                      pathologist.
88309..............  TC............  A               Tissue exam by             0.00       2.30        N/A        0.05        2.35        N/A        XXX
                                                      pathologist.
88311..............  ..............  A               Decalcify tissue....       0.24       0.19        N/A        0.02        0.45        N/A        XXX
88311..............  26............  A               Decalcify tissue....       0.24       0.11       0.11        0.01        0.36       0.36        XXX
88311..............  TC............  A               Decalcify tissue....       0.00       0.09        N/A        0.01        0.10        N/A        XXX
88312..............  ..............  A               Special stains......       0.54       1.37        N/A        0.03        1.94        N/A        XXX
88312..............  26............  A               Special stains......       0.54       0.24       0.24        0.02        0.80       0.80        XXX
88312..............  TC............  A               Special stains......       0.00       1.13        N/A        0.01        1.14        N/A        XXX
88313..............  ..............  A               Special stains......       0.24       1.11        N/A        0.02        1.37        N/A        XXX
88313..............  26............  A               Special stains......       0.24       0.11       0.11        0.01        0.36       0.36        XXX
88313..............  TC............  A               Special stains......       0.00       1.00        N/A        0.01        1.01        N/A        XXX
88314..............  ..............  A               Histochemical stain.       0.45       0.90        N/A        0.04        1.39        N/A        XXX
88314..............  26............  A               Histochemical stain.       0.45       0.20       0.20        0.02        0.67       0.67        XXX
88314..............  TC............  A               Histochemical stain.       0.00       0.71        N/A        0.02        0.73        N/A        XXX
88318..............  ..............  A               Chemical                   0.42       0.82        N/A        0.02        1.26        N/A        XXX
                                                      histochemistry.
88318..............  26............  A               Chemical                   0.42       0.19       0.19        0.01        0.62       0.62        XXX
                                                      histochemistry.
88318..............  TC............  A               Chemical                   0.00       0.63        N/A        0.01        0.64        N/A        XXX
                                                      histochemistry.
88319..............  ..............  A               Enzyme                     0.53       1.92        N/A        0.04        2.49        N/A        XXX
                                                      histochemistry.
88319..............  26............  A               Enzyme                     0.53       0.23       0.23        0.02        0.78       0.78        XXX
                                                      histochemistry.
88319..............  TC............  A               Enzyme                     0.00       1.69        N/A        0.02        1.71        N/A        XXX
                                                      histochemistry.
88321..............  ..............  A               Microslide                 1.30       0.83       0.58        0.04        2.17       1.92        XXX
                                                      consultation.
88323..............  ..............  A               Microslide                 1.35       1.47        N/A        0.07        2.89        N/A        XXX
                                                      consultation.
88323..............  26............  A               Microslide                 1.35       0.60       0.60        0.05        2.00       2.00        XXX
                                                      consultation.
88323..............  TC............  A               Microslide                 0.00       0.86        N/A        0.02        0.88        N/A        XXX
                                                      consultation.

[[Page 49213]]

 
88325..............  ..............  A               Comprehensive review       2.22       3.02       0.98        0.08        5.32       3.28        XXX
                                                      of data.
88329..............  ..............  A               Path consult introp.       0.67       0.64       0.30        0.02        1.33       0.99        XXX
88331..............  ..............  A               Path consult               1.19       1.01        N/A        0.07        2.27        N/A        XXX
                                                      intraop, 1 bloc.
88331..............  26............  A               Path consult               1.19       0.53       0.53        0.04        1.76       1.76        XXX
                                                      intraop, 1 bloc.
88331..............  TC............  A               Path consult               0.00       0.48        N/A        0.03        0.51        N/A        XXX
                                                      intraop, 1 bloc.
88332..............  ..............  A               Path consult               0.59       0.51        N/A        0.04        1.14        N/A        XXX
                                                      intraop, addl.
88332..............  26............  A               Path consult               0.59       0.26       0.26        0.02        0.87       0.87        XXX
                                                      intraop, addl.
88332..............  TC............  A               Path consult               0.00       0.24        N/A        0.02        0.26        N/A        XXX
                                                      intraop, addl.
88342..............  ..............  A               Immunocytochemistry.       0.85       1.38        N/A        0.05        2.28        N/A        XXX
88342..............  26............  A               Immunocytochemistry.       0.85       0.38       0.38        0.03        1.26       1.26        XXX
88342..............  TC............  A               Immunocytochemistry.       0.00       1.00        N/A        0.02        1.02        N/A        XXX
88346..............  ..............  A               Immunofluorescent          0.86       1.47        N/A        0.05        2.38        N/A        XXX
                                                      study.
88346..............  26............  A               Immunofluorescent          0.86       0.38       0.38        0.03        1.27       1.27        XXX
                                                      study.
88346..............  TC............  A               Immunofluorescent          0.00       1.09        N/A        0.02        1.11        N/A        XXX
                                                      study.
88347..............  ..............  A               Immunofluorescent          0.86       1.79        N/A        0.05        2.70        N/A        XXX
                                                      study.
88347..............  26............  A               Immunofluorescent          0.86       0.36       0.36        0.03        1.25       1.25        XXX
                                                      study.
88347..............  TC............  A               Immunofluorescent          0.00       1.43        N/A        0.02        1.45        N/A        XXX
                                                      study.
88348..............  ..............  A               Electron microscopy.       1.51       8.66        N/A        0.11       10.28        N/A        XXX
88348..............  26............  A               Electron microscopy.       1.51       0.67       0.67        0.05        2.23       2.23        XXX
88348..............  TC............  A               Electron microscopy.       0.00       7.99        N/A        0.06        8.05        N/A        XXX
88349..............  ..............  A               Scanning electron          0.76      10.02        N/A        0.08       10.86        N/A        XXX
                                                      microscopy.
88349..............  26............  A               Scanning electron          0.76       0.34       0.34        0.03        1.13       1.13        XXX
                                                      microscopy.
88349..............  TC............  A               Scanning electron          0.00       9.68        N/A        0.05        9.73        N/A        XXX
                                                      microscopy.
88355..............  ..............  A               Analysis, skeletal         1.85       2.66        N/A        0.12        4.63        N/A        XXX
                                                      muscle.
88355..............  26............  A               Analysis, skeletal         1.85       0.82       0.82        0.07        2.74       2.74        XXX
                                                      muscle.
88355..............  TC............  A               Analysis, skeletal         0.00       1.84        N/A        0.05        1.89        N/A        XXX
                                                      muscle.
88356..............  ..............  A               Analysis, nerve.....       3.02       2.93        N/A        0.16        6.11        N/A        XXX
88356..............  26............  A               Analysis, nerve.....       3.02       1.30       1.30        0.10        4.42       4.42        XXX
88356..............  TC............  A               Analysis, nerve.....       0.00       1.63        N/A        0.06        1.69        N/A        XXX
88358..............  ..............  A               Analysis, tumor.....       2.82       1.76        N/A        0.16        4.74        N/A        XXX
88358..............  26............  A               Analysis, tumor.....       2.82       1.25       1.25        0.10        4.17       4.17        XXX
88358..............  TC............  A               Analysis, tumor.....       0.00       0.50        N/A        0.06        0.56        N/A        XXX
88362..............  ..............  A               Nerve teasing              2.17       4.49        N/A        0.12        6.78        N/A        XXX
                                                      preparations.
88362..............  26............  A               Nerve teasing              2.17       0.95       0.95        0.07        3.19       3.19        XXX
                                                      preparations.
88362..............  TC............  A               Nerve teasing              0.00       3.54        N/A        0.05        3.59        N/A        XXX
                                                      preparations.
88365..............  ..............  A               Tissue hybridization       0.93       2.25        N/A        0.05        3.23        N/A        XXX
88365..............  26............  A               Tissue hybridization       0.93       0.41       0.41        0.03        1.37       1.37        XXX
88365..............  TC............  A               Tissue hybridization       0.00       1.84        N/A        0.02        1.86        N/A        XXX
88371..............  26............  A               Protein, western           0.37       0.13       0.13        0.01        0.51       0.51        XXX
                                                      blot tissue.
88372..............  26............  A               Protein analysis w/        0.37       0.17       0.17        0.01        0.55       0.55        XXX
                                                      probe.
88380..............  ..............  C               Microdissection.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
88380..............  26............  C               Microdissection.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
88380..............  TC............  C               Microdissection.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
88399..............  ..............  C               Surgical pathology         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
88399..............  26............  C               Surgical pathology         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
88399..............  TC............  C               Surgical pathology         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
89060..............  26............  A               Exam,synovial fluid        0.37       0.17       0.17        0.01        0.55       0.55        XXX
                                                      crystals.
89100..............  ..............  A               Sample intestinal          0.60       1.64       0.22        0.02        2.26       0.84        XXX
                                                      contents.
89105..............  ..............  A               Sample intestinal          0.50       2.28       0.17        0.02        2.80       0.69        XXX
                                                      contents.
89130..............  ..............  A               Sample stomach             0.45       1.78       0.13        0.02        2.25       0.60        XXX
                                                      contents.
89132..............  ..............  A               Sample stomach             0.19       1.53       0.06        0.01        1.73       0.26        XXX
                                                      contents.

[[Page 49214]]

 
89135..............  ..............  A               Sample stomach             0.79       1.62       0.25        0.03        2.44       1.07        XXX
                                                      contents.
89136..............  ..............  A               Sample stomach             0.21       1.68       0.09        0.01        1.90       0.31        XXX
                                                      contents.
89140..............  ..............  A               Sample stomach             0.94       2.13       0.28        0.03        3.10       1.25        XXX
                                                      contents.
89141..............  ..............  A               Sample stomach             0.85       2.78       0.34        0.03        3.66       1.22        XXX
                                                      contents.
89350..............  ..............  A               Sputum specimen            0.00       0.41        N/A        0.02        0.43        N/A        XXX
                                                      collection.
89360..............  ..............  A               Collect sweat for          0.00       0.45        N/A        0.02        0.47        N/A        XXX
                                                      test.
89399..............  ..............  C               Pathology lab              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        XXX
                                                      procedure.
89399..............  TC............  C               Pathology lab              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        XXX
90283..............  ..............  I               Human ig, iv........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90287..............  ..............  I               Botulinum antitoxin.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90288..............  ..............  I               Botulism ig, iv.....       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        XXX
90379..............  ..............  I               Rsv ig, iv..........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90384..............  ..............  I               Rh ig, full-dose, im       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90386..............  ..............  I               Rh ig, iv...........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90389..............  ..............  I               Tetanus ig, im......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90399..............  ..............  I               Immune globulin.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
90471..............  ..............  A               Immunization admin..       0.00       0.13        N/A        0.01        0.14        N/A        XXX
90472..............  ..............  A               Immunization admin,        0.00       0.08        N/A        0.01        0.09        N/A        ZZZ
                                                      each add.
90723..............  ..............  I               Dtap-hep b-ipv             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vaccine, im.
90748..............  ..............  I               Hep b/hib vaccine,         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      im.
90780..............  ..............  A               IV infusion therapy,       0.00       1.11        N/A        0.06        1.17        N/A        XXX
                                                      1 hour.
90781..............  ..............  A               IV infusion,               0.00       0.56        N/A        0.03        0.59        N/A        ZZZ
                                                      additional hour.
90782..............  ..............  T               Injection, sc/im....       0.00       0.11        N/A        0.01        0.12        N/A        XXX
90783..............  ..............  T               Injection, ia.......       0.00       0.41        N/A        0.02        0.43        N/A        XXX
90784..............  ..............  T               Injection, iv.......       0.00       0.47        N/A        0.03        0.50        N/A        XXX
90788..............  ..............  T               Injection of               0.00       0.12        N/A        0.01        0.13        N/A        XXX
                                                      antibiotic.
90799..............  ..............  C               Ther/prophylactic/dx       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      inject.
90801..............  ..............  A               Psy dx interview....       2.80       1.20       0.95        0.06        4.06       3.81        XXX
90802..............  ..............  A               Intac psy dx               3.01       1.23       1.00        0.07        4.31       4.08        XXX
                                                      interview.
90804..............  ..............  A               Psytx, office, 20-30       1.21       0.51       0.39        0.03        1.75       1.63        XXX
                                                      min.
90805..............  ..............  A               Psytx, off, 20-30          1.37       0.51       0.43        0.03        1.91       1.83        XXX
                                                      min w/e&m.
90806..............  ..............  A               Psytx, off, 45-50          1.86       0.72       0.62        0.04        2.62       2.52        XXX
                                                      min.
90807..............  ..............  A               Psytx, off, 45-50          2.02       0.71       0.65        0.05        2.78       2.72        XXX
                                                      min w/e&m.
90808..............  ..............  A               Psytx, office, 75-80       2.79       1.05       0.92        0.07        3.91       3.78        XXX
                                                      min.
90809..............  ..............  A               Psytx, off, 75-80, w/      2.95       1.02       0.94        0.07        4.04       3.96        XXX
                                                      e&m.
90810..............  ..............  A               Intac psytx, off, 20-      1.32       0.52       0.43        0.03        1.87       1.78        XXX
                                                      30 min.
90811..............  ..............  A               Intac psytx, 20-30,        1.48       0.58       0.47        0.03        2.09       1.98        XXX
                                                      w/e&m.
90812..............  ..............  A               Intac psytx, off, 45-      1.97       0.81       0.66        0.05        2.83       2.68        XXX
                                                      50 min.
90813..............  ..............  A               Intac psytx, 45-50         2.13       0.79       0.68        0.05        2.97       2.86        XXX
                                                      min w/e&m.
90814..............  ..............  A               Intac psytx, off, 75-      2.90       1.12       1.01        0.07        4.09       3.98        XXX
                                                      80 min.
90815..............  ..............  A               Intac psytx, 75-80 w/      3.06       1.07       0.97        0.07        4.20       4.10        XXX
                                                      e&m.
90816..............  ..............  A               Psytx, hosp, 20-30         1.25        N/A       0.47        0.03         N/A       1.75        XXX
                                                      min.
90817..............  ..............  A               Psytx, hosp, 20-30         1.41        N/A       0.47        0.03         N/A       1.91        XXX
                                                      min w/e&m.
90818..............  ..............  A               Psytx, hosp, 45-50         1.89        N/A       0.70        0.04         N/A       2.63        XXX
                                                      min.
90819..............  ..............  A               Psytx, hosp, 45-50         2.05        N/A       0.67        0.05         N/A       2.77        XXX
                                                      min w/e&m.
90821..............  ..............  A               Psytx, hosp, 75-80         2.83        N/A       1.03        0.06         N/A       3.92        XXX
                                                      min.
90822..............  ..............  A               Psytx, hosp, 75-80         2.99        N/A       0.97        0.07         N/A       4.03        XXX
                                                      min w/e&m.
90823..............  ..............  A               Intac psytx, hosp,         1.36        N/A       0.49        0.03         N/A       1.88        XXX
                                                      20-30 min.
90824..............  ..............  A               Intac psytx, hsp 20-       1.52        N/A       0.50        0.03         N/A       2.05        XXX
                                                      30 w/e&m.
90826..............  ..............  A               Intac psytx, hosp,         2.01        N/A       0.74        0.04         N/A       2.79        XXX
                                                      45-50 min.
90827..............  ..............  A               Intac psytx, hsp 45-       2.16        N/A       0.70        0.05         N/A       2.91        XXX
                                                      50 w/e&m.

[[Page 49215]]

 
90828..............  ..............  A               Intac psytx, hosp,         2.94        N/A       1.09        0.07         N/A       4.10        XXX
                                                      75-80 min.
90829..............  ..............  A               Intac psytx, hsp 75-       3.10        N/A       1.00        0.07         N/A       4.17        XXX
                                                      80 w/e&m.
90845..............  ..............  A               Psychoanalysis......       1.79       0.59       0.57        0.04        2.42       2.40        XXX
90846..............  ..............  R               Family psytx w/o           1.83       0.67       0.66        0.04        2.54       2.53        XXX
                                                      patient.
90847..............  ..............  R               Family psytx w/            2.21       0.83       0.78        0.05        3.09       3.04        XXX
                                                      patient.
90849..............  ..............  R               Multiple family            0.59       0.28       0.24        0.01        0.88       0.84        XXX
                                                      group psytx.
90853..............  ..............  A               Group psychotherapy.       0.59       0.25       0.24        0.01        0.85       0.84        XXX
90857..............  ..............  A               Intac group psytx...       0.63       0.30       0.26        0.02        0.95       0.91        XXX
90862..............  ..............  A               Medication                 0.95       0.41       0.33        0.02        1.38       1.30        XXX
                                                      management.
90865..............  ..............  A               Narcosynthesis......       2.84       1.64       0.91        0.07        4.55       3.82        XXX
90870..............  ..............  A               Electroconvulsive          1.88       0.80       0.80        0.04        2.72       2.72        000
                                                      therapy.
90871..............  ..............  N               Electroconvulsive          2.72        N/A       1.08        0.06         N/A       3.86        000
                                                      therapy.
90875..............  ..............  N               Psychophysiological        1.20       0.92       0.46        0.03        2.15       1.69        XXX
                                                      therapy.
90876..............  ..............  N               Psychophysiological        1.90       1.20       0.74        0.04        3.14       2.68        XXX
                                                      therapy.
90880..............  ..............  A               Hypnotherapy........       2.19       1.06       0.70        0.05        3.30       2.94        XXX
90885..............  ..............  B               Psy evaluation of          0.97       0.38       0.38        0.02        1.37       1.37        XXX
                                                      records.
90887..............  ..............  B               Consultation with          1.48       0.84       0.57        0.03        2.35       2.08        XXX
                                                      family.
90899..............  ..............  C               Psychiatric service/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
90901..............  ..............  A               Biofeedback train,         0.41       0.60       0.14        0.02        1.03       0.57        000
                                                      any meth.
90911..............  ..............  A               Biofeedback peri/uro/      0.89       3.95       0.32        0.04        4.88       1.25        000
                                                      rectal.
90918..............  ..............  I               ESRD related              11.18       7.52       7.52        0.30       19.00      19.00        XXX
                                                      services, month.
90919..............  ..............  I               ESRD related               8.54       4.15       4.15        0.24       12.93      12.93        XXX
                                                      services, month.
90920..............  ..............  I               ESRD related               7.27       3.89       3.89        0.19       11.35      11.35        XXX
                                                      services, month.
90921..............  ..............  I               ESRD related               4.47       2.52       2.52        0.12        7.11       7.11        XXX
                                                      services, month.
90922..............  ..............  A               ESRD related               0.37       0.22       0.22        0.01        0.60       0.60        XXX
                                                      services, day.
90923..............  ..............  A               Esrd related               0.28       0.13       0.13        0.01        0.42       0.42        XXX
                                                      services, day.
90924..............  ..............  A               Esrd related               0.24       0.12       0.12        0.01        0.37       0.37        XXX
                                                      services, day.
90925..............  ..............  A               Esrd related               0.15       0.08       0.08        0.01        0.24       0.24        XXX
                                                      services, day.
90935..............  ..............  A               Hemodialysis, one          1.22        N/A       0.69        0.03         N/A       1.94        000
                                                      evaluation.
90937..............  ..............  A               Hemodialysis,              2.11        N/A       1.00        0.06         N/A       3.17        000
                                                      repeated eval.
90945..............  ..............  A               Dialysis, one              1.28        N/A       0.71        0.04         N/A       2.03        000
                                                      evaluation.
90947..............  ..............  A               Dialysis, repeated         2.16        N/A       1.02        0.06         N/A       3.24        000
                                                      eval.
90997..............  ..............  A               Hemoperfusion.......       1.84        N/A       1.43        0.05         N/A       3.32        000
90999..............  ..............  C               Dialysis procedure..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
91000..............  ..............  A               Esophageal                 0.73       0.33        N/A        0.04        1.10        N/A        000
                                                      intubation.
91000..............  26............  A               Esophageal                 0.73       0.25       0.25        0.03        1.01       1.01        000
                                                      intubation.
91000..............  TC............  A               Esophageal                 0.00       0.08        N/A        0.01        0.09        N/A        000
                                                      intubation.
91010..............  ..............  A               Esophagus motility         1.25       2.78        N/A        0.10        4.13        N/A        000
                                                      study.
91010..............  26............  A               Esophagus motility         1.25       0.45       0.45        0.05        1.75       1.75        000
                                                      study.
91010..............  TC............  A               Esophagus motility         0.00       2.33        N/A        0.05        2.38        N/A        000
                                                      study.
91011..............  ..............  A               Esophagus motility         1.50       3.28        N/A        0.10        4.88        N/A        000
                                                      study.
91011..............  26............  A               Esophagus motility         1.50       0.54       0.54        0.05        2.09       2.09        000
                                                      study.
91011..............  TC............  A               Esophagus motility         0.00       2.74        N/A        0.05        2.79        N/A        000
                                                      study.
91012..............  ..............  A               Esophagus motility         1.46       3.42        N/A        0.12        5.00        N/A        000
                                                      study.
91012..............  26............  A               Esophagus motility         1.46       0.52       0.52        0.06        2.04       2.04        000
                                                      study.
91012..............  TC............  A               Esophagus motility         0.00       2.89        N/A        0.06        2.95        N/A        000
                                                      study.
91020..............  ..............  A               Gastric motility....       1.44       3.03        N/A        0.11        4.58        N/A        000
91020..............  26............  A               Gastric motility....       1.44       0.50       0.50        0.06        2.00       2.00        000
91020..............  TC............  A               Gastric motility....       0.00       2.53        N/A        0.05        2.58        N/A        000
91030..............  ..............  A               Acid perfusion of          0.91       2.45        N/A        0.05        3.41        N/A        000
                                                      esophagus.
91030..............  26............  A               Acid perfusion of          0.91       0.33       0.33        0.03        1.27       1.27        000
                                                      esophagus.

[[Page 49216]]

 
91030..............  TC............  A               Acid perfusion of          0.00       2.12        N/A        0.02        2.14        N/A        000
                                                      esophagus.
91032..............  ..............  A               Esophagus, acid            1.21       4.24        N/A        0.10        5.55        N/A        000
                                                      reflux test.
91032..............  26............  A               Esophagus, acid            1.21       0.43       0.43        0.05        1.69       1.69        000
                                                      reflux test.
91032..............  TC............  A               Esophagus, acid            0.00       3.82        N/A        0.05        3.87        N/A        000
                                                      reflux test.
91033..............  ..............  A               Prolonged acid             1.30       4.27        N/A        0.14        5.71        N/A        000
                                                      reflux test.
91033..............  26............  A               Prolonged acid             1.30       0.46       0.46        0.05        1.81       1.81        000
                                                      reflux test.
91033..............  TC............  A               Prolonged acid             0.00       3.81        N/A        0.09        3.90        N/A        000
                                                      reflux test.
91052..............  ..............  A               Gastric analysis           0.79       2.24        N/A        0.05        3.08        N/A        000
                                                      test.
91052..............  26............  A               Gastric analysis           0.79       0.28       0.28        0.03        1.10       1.10        000
                                                      test.
91052..............  TC............  A               Gastric analysis           0.00       1.96        N/A        0.02        1.98        N/A        000
                                                      test.
91055..............  ..............  A               Gastric intubation         0.94       2.42        N/A        0.06        3.42        N/A        000
                                                      for smear.
91055..............  26............  A               Gastric intubation         0.94       0.27       0.27        0.04        1.25       1.25        000
                                                      for smear.
91055..............  TC............  A               Gastric intubation         0.00       2.15        N/A        0.02        2.17        N/A        000
                                                      for smear.
91060..............  ..............  A               Gastric saline load        0.45       0.30        N/A        0.04        0.79        N/A        000
                                                      test.
91060..............  26............  A               Gastric saline load        0.45       0.14       0.14        0.02        0.61       0.61        000
                                                      test.
91060..............  TC............  A               Gastric saline load        0.00       0.16        N/A        0.02        0.18        N/A        000
                                                      test.
91065..............  ..............  A               Breath hydrogen test       0.20       2.02        N/A        0.03        2.25        N/A        000
91065..............  26............  A               Breath hydrogen test       0.20       0.07       0.07        0.01        0.28       0.28        000
91065..............  TC............  A               Breath hydrogen test       0.00       1.95        N/A        0.02        1.97        N/A        000
91100..............  ..............  A               Pass intestine             1.08        N/A       0.29        0.06         N/A       1.43        000
                                                      bleeding tube.
91105..............  ..............  A               Gastric intubation         0.37        N/A       0.09        0.02         N/A       0.48        000
                                                      treatment.
91122..............  ..............  A               Anal pressure record       1.77       6.20        N/A        0.17        8.14        N/A        000
91122..............  26............  A               Anal pressure record       1.77       0.62       0.62        0.10        2.49       2.49        000
91122..............  TC............  A               Anal pressure record       0.00       5.58        N/A        0.07        5.65        N/A        000
91132..............  ..............  C               Electrogastrography.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
91132..............  26............  A               Electrogastrography.       0.52       0.19        N/A        0.03        0.74        N/A        XXX
91132..............  TC............  C               Electrogastrography.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
91133..............  ..............  C               Electrogastrography        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      w/test.
91133..............  26............  A               Electrogastrography        0.66       0.24        N/A        0.03        0.93        N/A        XXX
                                                      w/test.
91133..............  TC............  C               Electrogastrography        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      w/test.
91299..............  ..............  C               Gastroenterology           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
91299..............  26............  C               Gastroenterology           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
91299..............  TC............  C               Gastroenterology           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
92002..............  ..............  A               Eye exam, new              0.88       0.98       0.35        0.02        1.88       1.25        XXX
                                                      patient.
92004..............  ..............  A               Eye exam, new              1.67       1.71       0.69        0.03        3.41       2.39        XXX
                                                      patient.
92012..............  ..............  A               Eye exam established       0.67       1.04       0.29        0.01        1.72       0.97        XXX
                                                      pat.
92014..............  ..............  A               Eye exam & treatment       1.10       1.41       0.48        0.02        2.53       1.60        XXX
92015..............  ..............  N               Refraction..........       0.38       1.19       0.15        0.01        1.58       0.54        XXX
92018..............  ..............  A               New eye exam &             2.50        N/A       1.10        0.03         N/A       3.63        XXX
                                                      treatment.
92019..............  ..............  A               Eye exam & treatment       1.31        N/A       0.58        0.03         N/A       1.92        XXX
92020..............  ..............  A               Special eye                0.37       0.33       0.16        0.01        0.71       0.54        XXX
                                                      evaluation.
92060..............  ..............  A               Special eye                0.69       0.74        N/A        0.02        1.45        N/A        XXX
                                                      evaluation.
92060..............  26............  A               Special eye                0.69       0.29       0.29        0.01        0.99       0.99        XXX
                                                      evaluation.
92060..............  TC............  A               Special eye                0.00       0.44        N/A        0.01        0.45        N/A        XXX
                                                      evaluation.
92065..............  ..............  A               Orthoptic/pleoptic         0.37       0.56        N/A        0.02        0.95        N/A        XXX
                                                      training.
92065..............  26............  A               Orthoptic/pleoptic         0.37       0.15       0.15        0.01        0.53       0.53        XXX
                                                      training.
92065..............  TC............  A               Orthoptic/pleoptic         0.00       0.40        N/A        0.01        0.41        N/A        XXX
                                                      training.
92070..............  ..............  A               Fitting of contact         0.70       1.09       0.32        0.01        1.80       1.03        XXX
                                                      lens.
92081..............  ..............  A               Visual field               0.36       0.87        N/A        0.02        1.25        N/A        XXX
                                                      examination(s).
92081..............  26............  A               Visual field               0.36       0.16       0.16        0.01        0.53       0.53        XXX
                                                      examination(s).
92081..............  TC............  A               Visual field               0.00       0.72        N/A        0.01        0.73        N/A        XXX
                                                      examination(s).
92082..............  ..............  A               Visual field               0.44       1.16        N/A        0.02        1.62        N/A        XXX
                                                      examination(s).
92082..............  26............  A               Visual field               0.44       0.19       0.19        0.01        0.64       0.64        XXX
                                                      examination(s).

[[Page 49217]]

 
92082..............  TC............  A               Visual field               0.00       0.97        N/A        0.01        0.98        N/A        XXX
                                                      examination(s).
92083..............  ..............  A               Visual field               0.50       1.35        N/A        0.02        1.87        N/A        XXX
                                                      examination(s).
92083..............  26............  A               Visual field               0.50       0.22       0.22        0.01        0.73       0.73        XXX
                                                      examination(s).
92083..............  TC............  A               Visual field               0.00       1.13        N/A        0.01        1.14        N/A        XXX
                                                      examination(s).
92100..............  ..............  A               Serial tonometry           0.92       1.28       0.37        0.02        2.22       1.31        XXX
                                                      exam(s).
92120..............  ..............  A               Tonography & eye           0.81       1.06       0.32        0.02        1.89       1.15        XXX
                                                      evaluation.
92130..............  ..............  A               Water provocation          0.81       1.26       0.38        0.02        2.09       1.21        XXX
                                                      tonography.
92135..............  ..............  A               Opthalmic dx imaging       0.35       0.80        N/A        0.02        1.17        N/A        XXX
92135..............  26............  A               Opthalmic dx imaging       0.35       0.16       0.16        0.01        0.52       0.52        XXX
92135..............  TC............  A               Opthalmic dx imaging       0.00       0.64        N/A        0.01        0.65        N/A        XXX
92136..............  ..............  A               Ophthalmic biometry.       0.54       1.78        N/A        0.07        2.39        N/A        XXX
92136..............  26............  A               Ophthalmic biometry.       0.54       0.25       0.25        0.01        0.80       0.80        XXX
92136..............  TC............  A               Ophthalmic biometry.       0.00       1.53        N/A        0.06        1.59        N/A        XXX
92140..............  ..............  A               Glaucoma provocative       0.50       0.95       0.22        0.01        1.46       0.73        XXX
                                                      tests.
92225..............  ..............  A               Special eye exam,          0.38       0.22       0.16        0.01        0.61       0.55        XXX
                                                      initial.
92226..............  ..............  A               Special eye exam,          0.33       0.21       0.15        0.01        0.55       0.49        XXX
                                                      subsequent.
92230..............  ..............  A               Eye exam with photos       0.60       1.70       0.20        0.02        2.32       0.82        XXX
92235..............  ..............  A               Eye exam with photos       0.81       2.97        N/A        0.07        3.85        N/A        XXX
92235..............  26............  A               Eye exam with photos       0.81       0.37       0.37        0.02        1.20       1.20        XXX
92235..............  TC............  A               Eye exam with photos       0.00       2.60        N/A        0.05        2.65        N/A        XXX
92240..............  ..............  A               Icg angiography.....       1.10       7.13        N/A        0.07        8.30        N/A        XXX
92240..............  26............  A               Icg angiography.....       1.10       0.51       0.51        0.02        1.63       1.63        XXX
92240..............  TC............  A               Icg angiography.....       0.00       6.63        N/A        0.05        6.68        N/A        XXX
92250..............  ..............  A               Eye exam with photos       0.44       1.75        N/A        0.02        2.21        N/A        XXX
92250..............  26............  A               Eye exam with photos       0.44       0.20       0.20        0.01        0.65       0.65        XXX
92250..............  TC............  A               Eye exam with photos       0.00       1.55        N/A        0.01        1.56        N/A        XXX
92260..............  ..............  A               Ophthalmoscopy/            0.20       0.29       0.09        0.01        0.50       0.30        XXX
                                                      dynamometry.
92265..............  ..............  A               Eye muscle                 0.81       1.89        N/A        0.04        2.74        N/A        XXX
                                                      evaluation.
92265..............  26............  A               Eye muscle                 0.81       0.29       0.29        0.02        1.12       1.12        XXX
                                                      evaluation.
92265..............  TC............  A               Eye muscle                 0.00       1.61        N/A        0.02        1.63        N/A        XXX
                                                      evaluation.
92270..............  ..............  A               Electro-oculography.       0.81       1.72        N/A        0.05        2.58        N/A        XXX
92270..............  26............  A               Electro-oculography.       0.81       0.34       0.34        0.03        1.18       1.18        XXX
92270..............  TC............  A               Electro-oculography.       0.00       1.37        N/A        0.02        1.39        N/A        XXX
92275..............  ..............  A               Electroretinography.       1.01       1.98        N/A        0.04        3.03        N/A        XXX
92275..............  26............  A               Electroretinography.       1.01       0.44       0.44        0.02        1.47       1.47        XXX
92275..............  TC............  A               Electroretinography.       0.00       1.54        N/A        0.02        1.56        N/A        XXX
92283..............  ..............  A               Color vision               0.17       0.85        N/A        0.02        1.04        N/A        XXX
                                                      examination.
92283..............  26............  A               Color vision               0.17       0.07       0.07        0.01        0.25       0.25        XXX
                                                      examination.
92283..............  TC............  A               Color vision               0.00       0.78        N/A        0.01        0.79        N/A        XXX
                                                      examination.
92284..............  ..............  A               Dark adaptation eye        0.24       2.35        N/A        0.02        2.61        N/A        XXX
                                                      exam.
92284..............  26............  A               Dark adaptation eye        0.24       0.09       0.09        0.01        0.34       0.34        XXX
                                                      exam.
92284..............  TC............  A               Dark adaptation eye        0.00       2.26        N/A        0.01        2.27        N/A        XXX
                                                      exam.
92285..............  ..............  A               Eye photography.....       0.20       1.07        N/A        0.02        1.29        N/A        XXX
92285..............  26............  A               Eye photography.....       0.20       0.09       0.09        0.01        0.30       0.30        XXX
92285..............  TC............  A               Eye photography.....       0.00       0.99        N/A        0.01        1.00        N/A        XXX
92286..............  ..............  A               Internal eye               0.66       3.40        N/A        0.03        4.09        N/A        XXX
                                                      photography.
92286..............  26............  A               Internal eye               0.66       0.30       0.30        0.01        0.97       0.97        XXX
                                                      photography.
92286..............  TC............  A               Internal eye               0.00       3.10        N/A        0.02        3.12        N/A        XXX
                                                      photography.
92287..............  ..............  A               Internal eye               0.81       2.74       0.31        0.02        3.57       1.14        XXX
                                                      photography.
92310..............  ..............  N               Contact lens fitting       1.17       1.17       0.45        0.03        2.37       1.65        XXX
92311..............  ..............  A               Contact lens fitting       1.08       1.21       0.35        0.03        2.32       1.46        XXX
92312..............  ..............  A               Contact lens fitting       1.26       1.18       0.50        0.03        2.47       1.79        XXX
92313..............  ..............  A               Contact lens fitting       0.92       1.18       0.29        0.02        2.12       1.23        XXX
92314..............  ..............  N               Prescription of            0.69       0.98       0.27        0.01        1.68       0.97        XXX
                                                      contact lens.
92315..............  ..............  A               Prescription of            0.45       0.96       0.16        0.01        1.42       0.62        XXX
                                                      contact lens.
92316..............  ..............  A               Prescription of            0.68       1.01       0.30        0.01        1.70       0.99        XXX
                                                      contact lens.
92317..............  ..............  A               Prescription of            0.45       1.07       0.14        0.01        1.53       0.60        XXX
                                                      contact lens.

[[Page 49218]]

 
92325..............  ..............  A               Modification of            0.00       0.40        N/A        0.01        0.41        N/A        XXX
                                                      contact lens.
92326..............  ..............  A               Replacement of             0.00       1.63        N/A        0.05        1.68        N/A        XXX
                                                      contact lens.
92330..............  ..............  A               Fitting of                 1.08       1.09       0.33        0.04        2.21       1.45        XXX
                                                      artificial eye.
92335..............  ..............  A               Fitting of                 0.45       1.02       0.17        0.01        1.48       0.63        XXX
                                                      artificial eye.
92340..............  ..............  N               Fitting of                 0.37       0.74       0.14        0.01        1.12       0.52        XXX
                                                      spectacles.
92341..............  ..............  N               Fitting of                 0.47       0.78       0.18        0.01        1.26       0.66        XXX
                                                      spectacles.
92342..............  ..............  N               Fitting of                 0.53       0.80       0.21        0.01        1.34       0.75        XXX
                                                      spectacles.
92352..............  ..............  B               Special spectacles         0.37       0.74       0.14        0.01        1.12       0.52        XXX
                                                      fitting.
92353..............  ..............  B               Special spectacles         0.50       0.79       0.19        0.02        1.31       0.71        XXX
                                                      fitting.
92354..............  ..............  B               Special spectacles         0.00       8.86        N/A        0.08        8.94        N/A        XXX
                                                      fitting.
92355..............  ..............  B               Special spectacles         0.00       4.33        N/A        0.01        4.34        N/A        XXX
                                                      fitting.
92358..............  ..............  B               Eye prosthesis             0.00       0.97        N/A        0.04        1.01        N/A        XXX
                                                      service.
92370..............  ..............  N               Repair & adjust            0.32       0.60       0.12        0.02        0.94       0.46        XXX
                                                      spectacles.
92371..............  ..............  B               Repair & adjust            0.00       0.62        N/A        0.02        0.64        N/A        XXX
                                                      spectacles.
92392..............  ..............  I               Supply of low vision       0.00       3.84       3.84        0.02        3.86       3.86        XXX
                                                      aids.
92393..............  ..............  I               Supply of artificial       0.00      11.92      11.92        0.47       12.39      12.39        XXX
                                                      eye.
92395..............  ..............  I               Supply of spectacles       0.00       1.30       1.30        0.08        1.38       1.38        XXX
92396..............  ..............  I               Supply of contact          0.00       2.19       2.19        0.06        2.25       2.25        XXX
                                                      lenses.
92499..............  ..............  C               Eye service or             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        XXX
                                                      procedure.
92499..............  TC............  C               Eye service or             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
92502..............  ..............  A               Ear and throat             1.51        N/A       1.16        0.06         N/A       2.73        000
                                                      examination.
92504..............  ..............  A               Ear microscopy             0.18       0.53       0.09        0.01        0.72       0.28        XXX
                                                      examination.
92506..............  ..............  A               Speech/hearing             0.86       2.65       0.41        0.04        3.55       1.31        XXX
                                                      evaluation.
92507..............  ..............  A               Speech/hearing             0.52       0.97       0.24        0.02        1.51       0.78        XXX
                                                      therapy.
92508..............  ..............  A               Speech/hearing             0.26       0.53       0.12        0.01        0.80       0.39        XXX
                                                      therapy.
92510..............  ..............  I               Rehab for ear              1.50       2.11       0.83        0.06        3.67       2.39        XXX
                                                      implant.
92511..............  ..............  A               Nasopharyngoscopy...       0.84       2.50       0.79        0.03        3.37       1.66        000
92512..............  ..............  A               Nasal function             0.55       1.13       0.18        0.02        1.70       0.75        XXX
                                                      studies.
92516..............  ..............  A               Facial nerve               0.43       0.95       0.22        0.02        1.40       0.67        XXX
                                                      function test.
92520..............  ..............  A               Laryngeal function         0.76       0.52       0.40        0.03        1.31       1.19        XXX
                                                      studies.
92526..............  ..............  A               Oral function              0.55       1.67       0.20        0.02        2.24       0.77        XXX
                                                      therapy.
92541..............  ..............  A               Spontaneous                0.40       1.05        N/A        0.04        1.49        N/A        XXX
                                                      nystagmus test.
92541..............  26............  A               Spontaneous                0.40       0.19       0.19        0.02        0.61       0.61        XXX
                                                      nystagmus test.
92541..............  TC............  A               Spontaneous                0.00       0.86        N/A        0.02        0.88        N/A        XXX
                                                      nystagmus test.
92542..............  ..............  A               Positional nystagmus       0.33       1.16        N/A        0.03        1.52        N/A        XXX
                                                      test.
92542..............  26............  A               Positional nystagmus       0.33       0.16       0.16        0.01        0.50       0.50        XXX
                                                      test.
92542..............  TC............  A               Positional nystagmus       0.00       1.00        N/A        0.02        1.02        N/A        XXX
                                                      test.
92543..............  ..............  A               Caloric vestibular         0.10       0.59        N/A        0.02        0.71        N/A        XXX
                                                      test.
92543..............  26............  A               Caloric vestibular         0.10       0.05       0.05        0.01        0.16       0.16        XXX
                                                      test.
92543..............  TC............  A               Caloric vestibular         0.00       0.54        N/A        0.01        0.55        N/A        XXX
                                                      test.
92544..............  ..............  A               Optokinetic                0.26       0.92        N/A        0.03        1.21        N/A        XXX
                                                      nystagmus test.
92544..............  26............  A               Optokinetic                0.26       0.13       0.13        0.01        0.40       0.40        XXX
                                                      nystagmus test.
92544..............  TC............  A               Optokinetic                0.00       0.79        N/A        0.02        0.81        N/A        XXX
                                                      nystagmus test.
92545..............  ..............  A               Oscillating tracking       0.23       0.86        N/A        0.03        1.12        N/A        XXX
                                                      test.
92545..............  26............  A               Oscillating tracking       0.23       0.11       0.11        0.01        0.35       0.35        XXX
                                                      test.
92545..............  TC............  A               Oscillating tracking       0.00       0.74        N/A        0.02        0.76        N/A        XXX
                                                      test.
92546..............  ..............  A               Sinusoidal                 0.29       2.14        N/A        0.03        2.46        N/A        XXX
                                                      rotational test.
92546..............  26............  A               Sinusoidal                 0.29       0.13       0.13        0.01        0.43       0.43        XXX
                                                      rotational test.
92546..............  TC............  A               Sinusoidal                 0.00       2.01        N/A        0.02        2.03        N/A        XXX
                                                      rotational test.
92547..............  ..............  A               Supplemental               0.00       1.30        N/A        0.05        1.35        N/A        ZZZ
                                                      electrical test.
92548..............  ..............  A               Posturography.......       0.50       3.83        N/A        0.13        4.46        N/A        XXX
92548..............  26............  A               Posturography.......       0.50       0.26       0.26        0.02        0.78       0.78        XXX
92548..............  TC............  A               Posturography.......       0.00       3.56        N/A        0.11        3.67        N/A        XXX
92552..............  ..............  A               Pure tone                  0.00       0.44        N/A        0.03        0.47        N/A        XXX
                                                      audiometry, air.

[[Page 49219]]

 
92553..............  ..............  A               Audiometry, air &          0.00       0.66        N/A        0.05        0.71        N/A        XXX
                                                      bone.
92555..............  ..............  A               Speech threshold           0.00       0.38        N/A        0.03        0.41        N/A        XXX
                                                      audiometry.
92556..............  ..............  A               Speech audiometry,         0.00       0.57        N/A        0.05        0.62        N/A        XXX
                                                      complete.
92557..............  ..............  A               Comprehensive              0.00       1.19        N/A        0.10        1.29        N/A        XXX
                                                      hearing test.
92561..............  ..............  A               Bekesy audiometry,         0.00       0.72        N/A        0.05        0.77        N/A        XXX
                                                      diagnosis.
92562..............  ..............  A               Loudness balance           0.00       0.41        N/A        0.03        0.44        N/A        XXX
                                                      test.
92563..............  ..............  A               Tone decay hearing         0.00       0.38        N/A        0.03        0.41        N/A        XXX
                                                      test.
92564..............  ..............  A               Sisi hearing test...       0.00       0.47        N/A        0.04        0.51        N/A        XXX
92565..............  ..............  A               Stenger test, pure         0.00       0.40        N/A        0.03        0.43        N/A        XXX
                                                      tone.
92567..............  ..............  A               Tympanometry........       0.00       0.52        N/A        0.05        0.57        N/A        XXX
92568..............  ..............  A               Acoustic reflex            0.00       0.38        N/A        0.03        0.41        N/A        XXX
                                                      testing.
92569..............  ..............  A               Acoustic reflex            0.00       0.41        N/A        0.03        0.44        N/A        XXX
                                                      decay test.
92571..............  ..............  A               Filtered speech            0.00       0.39        N/A        0.03        0.42        N/A        XXX
                                                      hearing test.
92572..............  ..............  A               Staggered spondaic         0.00       0.09        N/A        0.01        0.10        N/A        XXX
                                                      word test.
92573..............  ..............  A               Lombard test........       0.00       0.35        N/A        0.03        0.38        N/A        XXX
92575..............  ..............  A               Sensorineural acuity       0.00       0.30        N/A        0.02        0.32        N/A        XXX
                                                      test.
92576..............  ..............  A               Synthetic sentence         0.00       0.44        N/A        0.04        0.48        N/A        XXX
                                                      test.
92577..............  ..............  A               Stenger test, speech       0.00       0.72        N/A        0.06        0.78        N/A        XXX
92579..............  ..............  A               Visual audiometry          0.00       0.73        N/A        0.05        0.78        N/A        XXX
                                                      (vra).
92582..............  ..............  A               Conditioning play          0.00       0.73        N/A        0.05        0.78        N/A        XXX
                                                      audiometry.
92583..............  ..............  A               Select picture             0.00       0.89        N/A        0.07        0.96        N/A        XXX
                                                      audiometry.
92584..............  ..............  A               Electrocochleography       0.00       2.48        N/A        0.17        2.65        N/A        XXX
92585..............  ..............  A               Auditor evoke              0.50       2.07        N/A        0.14        2.71        N/A        XXX
                                                      potent, compre.
92585..............  26............  A               Auditor evoke              0.50       0.22       0.22        0.02        0.74       0.74        XXX
                                                      potent, compre.
92585..............  TC............  A               Auditor evoke              0.00       1.85        N/A        0.12        1.97        N/A        XXX
                                                      potent, compre.
92586..............  ..............  A               Auditor evoke              0.00       1.85        N/A        0.12        1.97        N/A        XXX
                                                      potent, limit.
92587..............  ..............  A               Evoked auditory test       0.13       1.37        N/A        0.10        1.60        N/A        XXX
92587..............  26............  A               Evoked auditory test       0.13       0.07       0.07        0.01        0.21       0.21        XXX
92587..............  TC............  A               Evoked auditory test       0.00       1.31        N/A        0.09        1.40        N/A        XXX
92588..............  ..............  A               Evoked auditory test       0.36       1.64        N/A        0.12        2.12        N/A        XXX
92588..............  26............  A               Evoked auditory test       0.36       0.17       0.17        0.01        0.54       0.54        XXX
92588..............  TC............  A               Evoked auditory test       0.00       1.47        N/A        0.11        1.58        N/A        XXX
92589..............  ..............  A               Auditory function          0.00       0.53        N/A        0.05        0.58        N/A        XXX
                                                      test(s).
92596..............  ..............  A               Ear protector              0.00       0.59        N/A        0.05        0.64        N/A        XXX
                                                      evaluation.
92597..............  ..............  A               Oral speech device         0.86       1.77       0.46        0.04        2.67       1.36        XXX
                                                      eval.
92601..............  ..............  A               Cochlear implt f/up        0.00       3.64        N/A        0.06        3.70        N/A        XXX
                                                      exam < 7.
92602..............  ..............  A               Reprogram cochlear         0.00       2.52        N/A        0.06        2.58        N/A        XXX
                                                      implt < 7.
92603..............  ..............  A               Cochlear implt f/up        0.00       2.38        N/A        0.06        2.44        N/A        XXX
                                                      exam 7 .
92604..............  ..............  A               Reprogram cochlear         0.00       1.57        N/A        0.06        1.63        N/A        XXX
                                                      implt 7 .
92607..............  ..............  A               Ex for speech device       0.00       3.10        N/A        0.04        3.14        N/A        XXX
                                                      rx, 1hr.
92608..............  ..............  A               Ex for speech device       0.00       0.72        N/A        0.04        0.76        N/A        XXX
                                                      rx addl.
92609..............  ..............  A               Use of speech device       0.00       1.67        N/A        0.03        1.70        N/A        XXX
                                                      service.
92610..............  ..............  A               Evaluate swallowing        0.00       1.27        N/A        0.07        1.34        N/A        XXX
                                                      function.
92611..............  ..............  A               Motion fluoroscopy/        0.00       1.80        N/A        0.07        1.87        N/A        XXX
                                                      swallow.
92612..............  ..............  A               Endoscopy swallow          1.27       3.16       0.68        0.07        4.50       2.02        XXX
                                                      tst (fees).

[[Page 49220]]

 
92614..............  ..............  A               Laryngoscopic              1.27       2.87       0.62        0.07        4.21       1.96        XXX
                                                      sensory test.
92616..............  ..............  A               Fees w/laryngeal           1.88       3.96       0.98        0.07        5.91       2.93        XXX
                                                      sense test.
92700..............  ..............  C               Ent procedure/             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      service.
92950..............  ..............  A               Heart/lung                 3.80        N/A       1.00        0.21         N/A       5.01        000
                                                      resuscitation cpr.
92953..............  ..............  A               Temporary external         0.23        N/A       0.23        0.01         N/A       0.47        000
                                                      pacing.
92960..............  ..............  A               Cardioversion              2.25       6.82       1.20        0.08        9.15       3.53        000
                                                      electric, ext.
92961..............  ..............  A               Cardioversion,             4.60        N/A       2.12        0.17         N/A       6.89        000
                                                      electric, int.
92970..............  ..............  A               Cardioassist,              3.52        N/A       1.08        0.17         N/A       4.77        000
                                                      internal.
92971..............  ..............  A               Cardioassist,              1.77        N/A       0.87        0.06         N/A       2.70        000
                                                      external.
92973..............  ..............  A               Percut coronary            3.28        N/A       1.32        0.12         N/A       4.72        ZZZ
                                                      thrombectomy.
92974..............  ..............  A               Cath place, cardio         3.00        N/A       1.21        0.14         N/A       4.35        ZZZ
                                                      brachytx.
92975..............  ..............  A               Dissolve clot, heart       7.25        N/A       2.87        0.22         N/A      10.34        000
                                                      vessel.
92977..............  ..............  A               Dissolve clot, heart       0.00       8.06        N/A        0.38        8.44        N/A        XXX
                                                      vessel.
92978..............  ..............  A               Intravasc us, heart        1.80       5.29        N/A        0.26        7.35        N/A        ZZZ
                                                      add-on.
92978..............  26............  A               Intravasc us, heart        1.80       0.72       0.72        0.06        2.58       2.58        ZZZ
                                                      add-on.
92978..............  TC............  A               Intravasc us, heart        0.00       4.56        N/A        0.20        4.76        N/A        ZZZ
                                                      add-on.
92979..............  ..............  A               Intravasc us, heart        1.44       2.86        N/A        0.15        4.45        N/A        ZZZ
                                                      add-on.
92979..............  26............  A               Intravasc us, heart        1.44       0.57       0.57        0.04        2.05       2.05        ZZZ
                                                      add-on.
92979..............  TC............  A               Intravasc us, heart        0.00       2.29        N/A        0.11        2.40        N/A        ZZZ
                                                      add-on.
92980..............  ..............  A               Insert intracoronary      14.84        N/A       6.19        0.71         N/A      21.74        000
                                                      stent.
92981..............  ..............  A               Insert intracoronary       4.17        N/A       1.67        0.20         N/A       6.04        ZZZ
                                                      stent.
92982..............  ..............  A               Coronary artery           10.98        N/A       4.64        0.52         N/A      16.14        000
                                                      dilation.
92984..............  ..............  A               Coronary artery            2.97        N/A       1.19        0.14         N/A       4.30        ZZZ
                                                      dilation.
92986..............  ..............  A               Revision of aortic        21.80        N/A      12.00        1.14         N/A      34.94        090
                                                      valve.
92987..............  ..............  A               Revision of mitral        22.70        N/A      12.40        1.18         N/A      36.28        090
                                                      valve.
92990..............  ..............  A               Revision of               17.34        N/A       9.95        0.90         N/A      28.19        090
                                                      pulmonary valve.
92992..............  ..............  C               Revision of heart          0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      chamber.
92993..............  ..............  C               Revision of heart          0.00       0.00       0.00        0.00        0.00       0.00        090
                                                      chamber.
92995..............  ..............  A               Coronary atherectomy      12.09        N/A       5.08        0.58         N/A      17.75        000
92996..............  ..............  A               Coronary atherectomy       3.26        N/A       1.30        0.16         N/A       4.72        ZZZ
                                                      add-on.
92997..............  ..............  A               Pul art balloon           12.00        N/A       4.93        0.63         N/A      17.56        000
                                                      repr, percut.
92998..............  ..............  A               Pul art balloon            6.00        N/A       2.25        0.31         N/A       8.56        ZZZ
                                                      repr, percut.
93000..............  ..............  A               Electrocardiogram,         0.17       0.52        N/A        0.03        0.72        N/A        XXX
                                                      complete.
93005..............  ..............  A               Electrocardiogram,         0.00       0.45        N/A        0.02        0.47        N/A        XXX
                                                      tracing.
93010..............  ..............  A               Electrocardiogram          0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      report.
93012..............  ..............  A               Transmission of ecg.       0.00       6.02        N/A        0.15        6.17        N/A        XXX
93014..............  ..............  A               Report on                  0.52       0.19       0.19        0.02        0.73       0.73        XXX
                                                      transmitted ecg.
93015..............  ..............  A               Cardiovascular             0.75       1.97        N/A        0.11        2.83        N/A        XXX
                                                      stress test.
93016..............  ..............  A               Cardiovascular             0.45       0.17       0.17        0.01        0.63       0.63        XXX
                                                      stress test.
93017..............  ..............  A               Cardiovascular             0.00       1.68        N/A        0.09        1.77        N/A        XXX
                                                      stress test.
93018..............  ..............  A               Cardiovascular             0.30       0.12       0.12        0.01        0.43       0.43        XXX
                                                      stress test.
93024..............  ..............  A               Cardiac drug stress        1.17       1.58        N/A        0.11        2.86        N/A        XXX
                                                      test.
93024..............  26............  A               Cardiac drug stress        1.17       0.46       0.46        0.04        1.67       1.67        XXX
                                                      test.
93024..............  TC............  A               Cardiac drug stress        0.00       1.12        N/A        0.07        1.19        N/A        XXX
                                                      test.
93025..............  ..............  A               Microvolt t-wave           0.75       8.37        N/A        0.11        9.23        N/A        XXX
                                                      assess.
93025..............  26............  A               Microvolt t-wave           0.75       0.30       0.30        0.02        1.07       1.07        XXX
                                                      assess.
93025..............  TC............  A               Microvolt t-wave           0.00       8.08        N/A        0.09        8.17        N/A        XXX
                                                      assess.
93040..............  ..............  A               Rhythm ECG with            0.16       0.20        N/A        0.02        0.38        N/A        XXX
                                                      report.
93041..............  ..............  A               Rhythm ECG, tracing.       0.00       0.15        N/A        0.01        0.16        N/A        XXX
93042..............  ..............  A               Rhythm ECG, report..       0.16       0.05       0.05        0.01        0.22       0.22        XXX
93224..............  ..............  A               ECG monitor/report,        0.52       3.62        N/A        0.21        4.35        N/A        XXX
                                                      24 hrs.
93225..............  ..............  A               ECG monitor/record,        0.00       1.24        N/A        0.07        1.31        N/A        XXX
                                                      24 hrs.
93226..............  ..............  A               ECG monitor/report,        0.00       2.19        N/A        0.12        2.31        N/A        XXX
                                                      24 hrs.
93227..............  ..............  A               ECG monitor/review,        0.52       0.20       0.20        0.02        0.74       0.74        XXX
                                                      24 hrs.

[[Page 49221]]

 
93230..............  ..............  A               ECG monitor/report,        0.52       3.89        N/A        0.22        4.63        N/A        XXX
                                                      24 hrs.
93231..............  ..............  A               Ecg monitor/record,        0.00       1.52        N/A        0.09        1.61        N/A        XXX
                                                      24 hrs.
93232..............  ..............  A               ECG monitor/report,        0.00       2.18        N/A        0.11        2.29        N/A        XXX
                                                      24 hrs.
93233..............  ..............  A               ECG monitor/review,        0.52       0.20       0.20        0.02        0.74       0.74        XXX
                                                      24 hrs.
93235..............  ..............  A               ECG monitor/report,        0.45       2.79        N/A        0.13        3.37        N/A        XXX
                                                      24 hrs.
93236..............  ..............  A               ECG monitor/report,        0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      24 hrs.
93237..............  ..............  A               ECG monitor/review,        0.45       0.17       0.17        0.01        0.63       0.63        XXX
                                                      24 hrs.
93268..............  ..............  A               ECG record/review...       0.52       7.45        N/A        0.24        8.21        N/A        XXX
93270..............  ..............  A               ECG recording.......       0.00       1.24        N/A        0.07        1.31        N/A        XXX
93271..............  ..............  A               Ecg/monitoring and         0.00       6.02        N/A        0.15        6.17        N/A        XXX
                                                      analysis.
93272..............  ..............  A               Ecg/review,                0.52       0.19       0.19        0.02        0.73       0.73        XXX
                                                      interpret only.
93278..............  ..............  A               ECG/signal-averaged.       0.25       1.25        N/A        0.10        1.60        N/A        XXX
93278..............  26............  A               ECG/signal-averaged.       0.25       0.10       0.10        0.01        0.36       0.36        XXX
93278..............  TC............  A               ECG/signal-averaged.       0.00       1.15        N/A        0.09        1.24        N/A        XXX
93303..............  ..............  A               Echo transthoracic..       1.30       4.35        N/A        0.23        5.88        N/A        XXX
93303..............  26............  A               Echo transthoracic..       1.30       0.49       0.49        0.04        1.83       1.83        XXX
93303..............  TC............  A               Echo transthoracic..       0.00       3.86        N/A        0.19        4.05        N/A        XXX
93304..............  ..............  A               Echo transthoracic..       0.75       2.23        N/A        0.13        3.11        N/A        XXX
93304..............  26............  A               Echo transthoracic..       0.75       0.29       0.29        0.02        1.06       1.06        XXX
93304..............  TC............  A               Echo transthoracic..       0.00       1.94        N/A        0.11        2.05        N/A        XXX
93307..............  ..............  A               Echo exam of heart..       0.92       4.22        N/A        0.22        5.36        N/A        XXX
93307..............  26............  A               Echo exam of heart..       0.92       0.36       0.36        0.03        1.31       1.31        XXX
93307..............  TC............  A               Echo exam of heart..       0.00       3.86        N/A        0.19        4.05        N/A        XXX
93308..............  ..............  A               Echo exam of heart..       0.53       2.15        N/A        0.13        2.81        N/A        XXX
93308..............  26............  A               Echo exam of heart..       0.53       0.21       0.21        0.02        0.76       0.76        XXX
93308..............  TC............  A               Echo exam of heart..       0.00       1.94        N/A        0.11        2.05        N/A        XXX
93312..............  ..............  A               Echo transesophageal       2.20       4.58        N/A        0.32        7.10        N/A        XXX
93312..............  26............  A               Echo transesophageal       2.20       0.80       0.80        0.08        3.08       3.08        XXX
93312..............  TC............  A               Echo transesophageal       0.00       3.78        N/A        0.24        4.02        N/A        XXX
93313..............  ..............  A               Echo transesophageal       0.95        N/A       0.21        0.05         N/A       1.21        XXX
93314..............  ..............  A               Echo transesophageal       1.25       4.26        N/A        0.28        5.79        N/A        XXX
93314..............  26............  A               Echo transesophageal       1.25       0.48       0.48        0.04        1.77       1.77        XXX
93314..............  TC............  A               Echo transesophageal       0.00       3.78        N/A        0.24        4.02        N/A        XXX
93315..............  ..............  C               Echo transesophageal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
93315..............  26............  A               Echo transesophageal       2.78       1.03       1.03        0.10        3.91       3.91        XXX
93315..............  TC............  C               Echo transesophageal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
93316..............  ..............  A               Echo transesophageal       0.95        N/A       0.24        0.05         N/A       1.24        XXX
93317..............  ..............  C               Echo transesophageal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
93317..............  26............  A               Echo transesophageal       1.83       0.68       0.68        0.06        2.57       2.57        XXX
93317..............  TC............  C               Echo transesophageal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
93318..............  ..............  C               Echo transesophageal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      intraop.
93318..............  26............  A               Echo transesophageal       2.20       0.48        N/A        0.06        2.74        N/A        XXX
                                                      intraop.
93318..............  TC............  C               Echo transesophageal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      intraop.
93320..............  ..............  A               Doppler echo exam,         0.38       1.86        N/A        0.11        2.35        N/A        ZZZ
                                                      heart.
93320..............  26............  A               Doppler echo exam,         0.38       0.15       0.15        0.01        0.54       0.54        ZZZ
                                                      heart.
93320..............  TC............  A               Doppler echo exam,         0.00       1.71        N/A        0.10        1.81        N/A        ZZZ
                                                      heart.
93321..............  ..............  A               Doppler echo exam,         0.15       1.17        N/A        0.08        1.40        N/A        ZZZ
                                                      heart.
93321..............  26............  A               Doppler echo exam,         0.15       0.06       0.06        0.01        0.22       0.22        ZZZ
                                                      heart.
93321..............  TC............  A               Doppler echo exam,         0.00       1.11        N/A        0.07        1.18        N/A        ZZZ
                                                      heart.
93325..............  ..............  A               Doppler color flow         0.07       2.93        N/A        0.18        3.18        N/A        ZZZ
                                                      add-on.
93325..............  26............  A               Doppler color flow         0.07       0.03       0.03        0.01        0.11       0.11        ZZZ
                                                      add-on.
93325..............  TC............  A               Doppler color flow         0.00       2.90        N/A        0.17        3.07        N/A        ZZZ
                                                      add-on.
93350..............  ..............  A               Echo transthoracic..       1.48       2.34        N/A        0.13        3.95        N/A        XXX
93350..............  26............  A               Echo transthoracic..       1.48       0.58       0.58        0.02        2.08       2.08        XXX
93350..............  TC............  A               Echo transthoracic..       0.00       1.76        N/A        0.11        1.87        N/A        XXX
93501..............  ..............  A               Right heart                3.02      18.08        N/A        1.03       22.13        N/A        000
                                                      catheterization.

[[Page 49222]]

 
93501..............  26............  A               Right heart                3.02       1.18       1.18        0.16        4.36       4.36        000
                                                      catheterization.
93501..............  TC............  A               Right heart                0.00      16.90        N/A        0.87       17.77        N/A        000
                                                      catheterization.
93503..............  ..............  A               Insert/place heart         2.91        N/A       0.69        0.16         N/A       3.76        000
                                                      catheter.
93505..............  ..............  A               Biopsy of heart            4.38       3.70        N/A        0.36        8.44        N/A        000
                                                      lining.
93505..............  26............  A               Biopsy of heart            4.38       1.72       1.72        0.23        6.33       6.33        000
                                                      lining.
93505..............  TC............  A               Biopsy of heart            0.00       1.98        N/A        0.13        2.11        N/A        000
                                                      lining.
93508..............  ..............  A               Cath placement,            4.10      14.73        N/A        0.75       19.58        N/A        000
                                                      angiography.
93508..............  26............  A               Cath placement,            4.10       2.13       2.13        0.21        6.44       6.44        000
                                                      angiography.
93508..............  TC............  A               Cath placement,            0.00      12.60        N/A        0.54       13.14        N/A        000
                                                      angiography.
93510..............  ..............  A               Left heart                 4.33      39.18        N/A        2.13       45.64        N/A        000
                                                      catheterization.
93510..............  26............  A               Left heart                 4.33       2.22       2.22        0.22        6.77       6.77        000
                                                      catheterization.
93510..............  TC............  A               Left heart                 0.00      36.96        N/A        1.91       38.87        N/A        000
                                                      catheterization.
93511..............  ..............  A               Left heart                 5.03      38.48        N/A        2.11       45.62        N/A        000
                                                      catheterization.
93511..............  26............  A               Left heart                 5.03       2.50       2.50        0.26        7.79       7.79        000
                                                      catheterization.
93511..............  TC............  A               Left heart                 0.00      35.98        N/A        1.85       37.83        N/A        000
                                                      catheterization.
93514..............  ..............  A               Left heart                 7.05      39.18        N/A        2.22       48.45        N/A        000
                                                      catheterization.
93514..............  26............  A               Left heart                 7.05       3.20       3.20        0.37       10.62      10.62        000
                                                      catheterization.
93514..............  TC............  A               Left heart                 0.00      35.98        N/A        1.85       37.83        N/A        000
                                                      catheterization.
93524..............  ..............  A               Left heart                 6.95      50.27        N/A        2.79       60.01        N/A        000
                                                      catheterization.
93524..............  26............  A               Left heart                 6.95       3.25       3.25        0.36       10.56      10.56        000
                                                      catheterization.
93524..............  TC............  A               Left heart                 0.00      47.02        N/A        2.43       49.45        N/A        000
                                                      catheterization.
93526..............  ..............  A               Rt & Lt heart              5.99      51.18        N/A        2.81       59.98        N/A        000
                                                      catheters.
93526..............  26............  A               Rt & Lt heart              5.99       2.88       2.88        0.31        9.18       9.18        000
                                                      catheters.
93526..............  TC............  A               Rt & Lt heart              0.00      48.30        N/A        2.50       50.80        N/A        000
                                                      catheters.
93527..............  ..............  A               Rt & Lt heart              7.28      50.41        N/A        2.81       60.50        N/A        000
                                                      catheters.
93527..............  26............  A               Rt & Lt heart              7.28       3.39       3.39        0.38       11.05      11.05        000
                                                      catheters.
93527..............  TC............  A               Rt & Lt heart              0.00      47.02        N/A        2.43       49.45        N/A        000
                                                      catheters.
93528..............  ..............  A               Rt & Lt heart              9.00      51.14        N/A        2.90       63.04        N/A        000
                                                      catheters.
93528..............  26............  A               Rt & Lt heart              9.00       4.12       4.12        0.47       13.59      13.59        000
                                                      catheters.
93528..............  TC............  A               Rt & Lt heart              0.00      47.02        N/A        2.43       49.45        N/A        000
                                                      catheters.
93529..............  ..............  A               Rt, lt heart               4.80      49.35        N/A        2.68       56.83        N/A        000
                                                      catheterization.
93529..............  26............  A               Rt, lt heart               4.80       2.33       2.33        0.25        7.38       7.38        000
                                                      catheterization.
93529..............  TC............  A               Rt, lt heart               0.00      47.02        N/A        2.43       49.45        N/A        000
                                                      catheterization.
93530..............  ..............  A               Rt heart cath,             4.23      18.89        N/A        1.11       24.23        N/A        000
                                                      congenital.
93530..............  26............  A               Rt heart cath,             4.23       1.98       1.98        0.24        6.45       6.45        000
                                                      congenital.
93530..............  TC............  A               Rt heart cath,             0.00      16.90        N/A        0.87       17.77        N/A        000
                                                      congenital.
93531..............  ..............  A               R & l heart cath,          8.35      51.97        N/A        2.96       63.28        N/A        000
                                                      congenital.
93531..............  26............  A               R & l heart cath,          8.35       3.67       3.67        0.46       12.48      12.48        000
                                                      congenital.
93531..............  TC............  A               R & l heart cath,          0.00      48.30        N/A        2.50       50.80        N/A        000
                                                      congenital.
93532..............  ..............  A               R & l heart cath,         10.00      51.37        N/A        2.95       64.32        N/A        000
                                                      congenital.
93532..............  26............  A               R & l heart cath,         10.00       4.36       4.36        0.52       14.88      14.88        000
                                                      congenital.
93532..............  TC............  A               R & l heart cath,          0.00      47.02        N/A        2.43       49.45        N/A        000
                                                      congenital.
93533..............  ..............  A               R & l heart cath,          6.70      49.89        N/A        2.86       59.45        N/A        000
                                                      congenital.
93533..............  26............  A               R & l heart cath,          6.70       2.87       2.87        0.43       10.00      10.00        000
                                                      congenital.
93533..............  TC............  A               R & l heart cath,          0.00      47.02        N/A        2.43       49.45        N/A        000
                                                      congenital.
93539..............  ..............  A               Injection, cardiac         0.40        N/A       0.16        0.01         N/A       0.57        000
                                                      cath.
93540..............  ..............  A               Injection, cardiac         0.43        N/A       0.17        0.01         N/A       0.61        000
                                                      cath.
93541..............  ..............  A               Injection for lung         0.29        N/A       0.12        0.01         N/A       0.42        000
                                                      angiogram.
93542..............  ..............  A               Injection for heart        0.29        N/A       0.11        0.01         N/A       0.41        000
                                                      x-rays.
93543..............  ..............  A               Injection for heart        0.29        N/A       0.12        0.01         N/A       0.42        000
                                                      x-rays.
93544..............  ..............  A               Injection for              0.25        N/A       0.10        0.01         N/A       0.36        000
                                                      aortography.
93545..............  ..............  A               Inject for coronary        0.40        N/A       0.16        0.01         N/A       0.57        000
                                                      x-rays.
93555..............  ..............  A               Imaging, cardiac           0.81       6.60        N/A        0.31        7.72        N/A        XXX
                                                      cath.

[[Page 49223]]

 
93555..............  26............  A               Imaging, cardiac           0.81       0.32       0.32        0.03        1.16       1.16        XXX
                                                      cath.
93555..............  TC............  A               Imaging, cardiac           0.00       6.28        N/A        0.28        6.56        N/A        XXX
                                                      cath.
93556..............  ..............  A               Imaging, cardiac           0.83      10.22        N/A        0.45       11.50        N/A        XXX
                                                      cath.
93556..............  26............  A               Imaging, cardiac           0.83       0.33       0.33        0.03        1.19       1.19        XXX
                                                      cath.
93556..............  TC............  A               Imaging, cardiac           0.00       9.89        N/A        0.42       10.31        N/A        XXX
                                                      cath.
93561..............  ..............  A               Cardiac output             0.50       0.69        N/A        0.07        1.26        N/A        000
                                                      measurement.
93561..............  26............  A               Cardiac output             0.50       0.16       0.16        0.02        0.68       0.68        000
                                                      measurement.
93561..............  TC............  A               Cardiac output             0.00       0.52        N/A        0.05        0.57        N/A        000
                                                      measurement.
93562..............  ..............  A               Cardiac output             0.16       0.37        N/A        0.04        0.57        N/A        000
                                                      measurement.
93562..............  26............  A               Cardiac output             0.16       0.05       0.05        0.01        0.22       0.22        000
                                                      measurement.
93562..............  TC............  A               Cardiac output             0.00       0.32        N/A        0.03        0.35        N/A        000
                                                      measurement.
93571..............  ..............  A               Heart flow reserve         1.80       5.26        N/A        0.31        7.37        N/A        ZZZ
                                                      measure.
93571..............  26............  A               Heart flow reserve         1.80       0.69       0.69        0.11        2.60       2.60        ZZZ
                                                      measure.
93571..............  TC............  A               Heart flow reserve         0.00       4.56        N/A        0.20        4.76        N/A        ZZZ
                                                      measure.
93572..............  ..............  A               Heart flow reserve         1.44       2.79        N/A        0.28        4.51        N/A        ZZZ
                                                      measure.
93572..............  26............  A               Heart flow reserve         1.44       0.50       0.50        0.17        2.11       2.11        ZZZ
                                                      measure.
93572..............  TC............  A               Heart flow reserve         0.00       2.29        N/A        0.11        2.40        N/A        ZZZ
                                                      measure.
93580..............  ..............  A               Transcath closure of      18.00        N/A       7.33        1.14         N/A      26.47        000
                                                      asd.
93581..............  ..............  A               Transcath closure of      24.43        N/A       9.82        1.14         N/A      35.39        000
                                                      vsd.
93600..............  ..............  A               Bundle of His              2.12       2.80        N/A        0.22        5.14        N/A        000
                                                      recording.
93600..............  26............  A               Bundle of His              2.12       0.85       0.85        0.11        3.08       3.08        000
                                                      recording.
93600..............  TC............  A               Bundle of His              0.00       1.95        N/A        0.11        2.06        N/A        000
                                                      recording.
93602..............  ..............  A               Intra-atrial               2.12       1.95        N/A        0.18        4.25        N/A        000
                                                      recording.
93602..............  26............  A               Intra-atrial               2.12       0.84       0.84        0.12        3.08       3.08        000
                                                      recording.
93602..............  TC............  A               Intra-atrial               0.00       1.11        N/A        0.06        1.17        N/A        000
                                                      recording.
93603..............  ..............  A               Right ventricular          2.12       2.51        N/A        0.20        4.83        N/A        000
                                                      recording.
93603..............  26............  A               Right ventricular          2.12       0.83       0.83        0.11        3.06       3.06        000
                                                      recording.
93603..............  TC............  A               Right ventricular          0.00       1.68        N/A        0.09        1.77        N/A        000
                                                      recording.
93609..............  ..............  A               Map tachycardia, add-      5.00       4.71        N/A        0.66       10.37        N/A        ZZZ
                                                      on.
93609..............  26............  A               Map tachycardia, add-      5.00       1.99       1.99        0.52        7.51       7.51        ZZZ
                                                      on.
93609..............  TC............  A               Map tachycardia, add-      0.00       2.72        N/A        0.14        2.86        N/A        ZZZ
                                                      on.
93610..............  ..............  A               Intra-atrial pacing.       3.02       2.54        N/A        0.25        5.81        N/A        000
93610..............  26............  A               Intra-atrial pacing.       3.02       1.18       1.18        0.17        4.37       4.37        000
93610..............  TC............  A               Intra-atrial pacing.       0.00       1.35        N/A        0.08        1.43        N/A        000
93612..............  ..............  A               Intraventricular           3.02       2.79        N/A        0.26        6.07        N/A        000
                                                      pacing.
93612..............  26............  A               Intraventricular           3.02       1.18       1.18        0.17        4.37       4.37        000
                                                      pacing.
93612..............  TC............  A               Intraventricular           0.00       1.61        N/A        0.09        1.70        N/A        000
                                                      pacing.
93613..............  ..............  A               Electrophys map 3d,        7.00        N/A       2.82        0.52         N/A      10.34        ZZZ
                                                      add-on.
93615..............  ..............  A               Esophageal recording       0.99       0.59        N/A        0.05        1.63        N/A        000
93615..............  26............  A               Esophageal recording       0.99       0.27       0.27        0.03        1.29       1.29        000
93615..............  TC............  A               Esophageal recording       0.00       0.32        N/A        0.02        0.34        N/A        000
93616..............  ..............  A               Esophageal recording       1.49       0.75        N/A        0.08        2.32        N/A        000
93616..............  26............  A               Esophageal recording       1.49       0.43       0.43        0.06        1.98       1.98        000
93616..............  TC............  A               Esophageal recording       0.00       0.32        N/A        0.02        0.34        N/A        000
93618..............  ..............  A               Heart rhythm pacing.       4.26       5.67        N/A        0.42       10.35        N/A        000
93618..............  26............  A               Heart rhythm pacing.       4.26       1.71       1.71        0.22        6.19       6.19        000
93618..............  TC............  A               Heart rhythm pacing.       0.00       3.96        N/A        0.20        4.16        N/A        000
93619..............  ..............  A               Electrophysiology          7.32      10.61        N/A        0.77       18.70        N/A        000
                                                      evaluation.
93619..............  26............  A               Electrophysiology          7.32       2.91       2.91        0.38       10.61      10.61        000
                                                      evaluation.
93619..............  TC............  A               Electrophysiology          0.00       7.71        N/A        0.39        8.10        N/A        000
                                                      evaluation.

[[Page 49224]]

 
93620..............  ..............  C               Electrophysiology          0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      evaluation.
93620..............  26............  A               Electrophysiology         11.59       4.61       4.61        0.60       16.80      16.80        000
                                                      evaluation.
93620..............  TC............  C               Electrophysiology          0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      evaluation.
93621..............  ..............  C               Electrophysiology          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      evaluation.
93621..............  26............  A               Electrophysiology          2.10       0.84       0.84        0.15        3.09       3.09        ZZZ
                                                      evaluation.
93621..............  TC............  C               Electrophysiology          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      evaluation.
93622..............  ..............  C               Electrophysiology          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      evaluation.
93622..............  26............  A               Electrophysiology          3.10       1.23       1.23        0.67        5.00       5.00        ZZZ
                                                      evaluation.
93622..............  TC............  C               Electrophysiology          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      evaluation.
93623..............  ..............  C               Stimulation, pacing        0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      heart.
93623..............  26............  A               Stimulation, pacing        2.85       1.13       1.13        0.15        4.13       4.13        ZZZ
                                                      heart.
93623..............  TC............  C               Stimulation, pacing        0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      heart.
93624..............  ..............  A               Electrophysiologic         4.81       4.23        N/A        0.36        9.40        N/A        000
                                                      study.
93624..............  26............  A               Electrophysiologic         4.81       2.25       2.25        0.25        7.31       7.31        000
                                                      study.
93624..............  TC............  A               Electrophysiologic         0.00       1.98        N/A        0.11        2.09        N/A        000
                                                      study.
93631..............  ..............  A               Heart pacing,              7.60       8.95        N/A        1.17       17.72        N/A        000
                                                      mapping.
93631..............  26............  A               Heart pacing,              7.60       2.80       2.80        0.66       11.06      11.06        000
                                                      mapping.
93631..............  TC............  A               Heart pacing,              0.00       6.15        N/A        0.51        6.66        N/A        000
                                                      mapping.
93640..............  ..............  A               Evaluation heart           3.52       8.57        N/A        0.53       12.62        N/A        000
                                                      device.
93640..............  26............  A               Evaluation heart           3.52       1.39       1.39        0.18        5.09       5.09        000
                                                      device.
93640..............  TC............  A               Evaluation heart           0.00       7.18        N/A        0.35        7.53        N/A        000
                                                      device.
93641..............  ..............  A               Electrophysiology          5.93       9.54        N/A        0.66       16.13        N/A        000
                                                      evaluation.
93641..............  26............  A               Electrophysiology          5.93       2.36       2.36        0.31        8.60       8.60        000
                                                      evaluation.
93641..............  TC............  A               Electrophysiology          0.00       7.18        N/A        0.35        7.53        N/A        000
                                                      evaluation.
93642..............  ..............  A               Electrophysiology          4.89       9.10        N/A        0.51       14.50        N/A        000
                                                      evaluation.
93642..............  26............  A               Electrophysiology          4.89       1.92       1.92        0.16        6.97       6.97        000
                                                      evaluation.
93642..............  TC............  A               Electrophysiology          0.00       7.18        N/A        0.35        7.53        N/A        000
                                                      evaluation.
93650..............  ..............  A               Ablate heart              10.51        N/A       4.53        0.55         N/A      15.59        000
                                                      dysrhythm focus.
93651..............  ..............  A               Ablate heart              16.25        N/A       6.47        0.85         N/A      23.57        000
                                                      dysrhythm focus.
93652..............  ..............  A               Ablate heart              17.68        N/A       7.04        0.92         N/A      25.64        000
                                                      dysrhythm focus.
93660..............  ..............  A               Tilt table                 1.89       2.44        N/A        0.08        4.41        N/A        000
                                                      evaluation.
93660..............  26............  A               Tilt table                 1.89       0.76       0.76        0.06        2.71       2.71        000
                                                      evaluation.
93660..............  TC............  A               Tilt table                 0.00       1.68        N/A        0.02        1.70        N/A        000
                                                      evaluation.
93662..............  ..............  C               Intracardiac ecg           0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      (ice).
93662..............  26............  A               Intracardiac ecg           2.80       1.13       1.13        0.41        4.34       4.34        ZZZ
                                                      (ice).
93662..............  TC............  C               Intracardiac ecg           0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      (ice).
93701..............  ..............  A               Bioimpedance,              0.17       1.04        N/A        0.02        1.23        N/A        XXX
                                                      thoracic.
93701..............  26............  A               Bioimpedance,              0.17       0.07       0.07        0.01        0.25       0.25        XXX
                                                      thoracic.
93701..............  TC............  A               Bioimpedance,              0.00       0.97        N/A        0.01        0.98        N/A        XXX
                                                      thoracic.
93720..............  ..............  A               Total body                 0.17       1.14        N/A        0.06        1.37        N/A        XXX
                                                      plethysmography.
93721..............  ..............  A               Plethysmography            0.00       0.71        N/A        0.05        0.76        N/A        XXX
                                                      tracing.
93722..............  ..............  A               Plethysmography            0.17       0.05       0.05        0.01        0.23       0.23        XXX
                                                      report.
93724..............  ..............  A               Analyze pacemaker          4.89       5.92        N/A        0.38       11.19        N/A        000
                                                      system.
93724..............  26............  A               Analyze pacemaker          4.89       1.95       1.95        0.18        7.02       7.02        000
                                                      system.

[[Page 49225]]

 
93724..............  TC............  A               Analyze pacemaker          0.00       3.96        N/A        0.20        4.16        N/A        000
                                                      system.
93727..............  ..............  A               Analyze ilr system..       0.52       0.20       0.20        0.05        0.77       0.77        XXX
93731..............  ..............  A               Analyze pacemaker          0.45       0.67        N/A        0.05        1.17        N/A        XXX
                                                      system.
93731..............  26............  A               Analyze pacemaker          0.45       0.18       0.18        0.02        0.65       0.65        XXX
                                                      system.
93731..............  TC............  A               Analyze pacemaker          0.00       0.49        N/A        0.03        0.52        N/A        XXX
                                                      system.
93732..............  ..............  A               Analyze pacemaker          0.92       0.87        N/A        0.06        1.85        N/A        XXX
                                                      system.
93732..............  26............  A               Analyze pacemaker          0.92       0.36       0.36        0.03        1.31       1.31        XXX
                                                      system.
93732..............  TC............  A               Analyze pacemaker          0.00       0.51        N/A        0.03        0.54        N/A        XXX
                                                      system.
93733..............  ..............  A               Telephone analy,           0.17       0.79        N/A        0.06        1.02        N/A        XXX
                                                      pacemaker.
93733..............  26............  A               Telephone analy,           0.17       0.07       0.07        0.01        0.25       0.25        XXX
                                                      pacemaker.
93733..............  TC............  A               Telephone analy,           0.00       0.73        N/A        0.05        0.78        N/A        XXX
                                                      pacemaker.
93734..............  ..............  A               Analyze pacemaker          0.38       0.50        N/A        0.03        0.91        N/A        XXX
                                                      system.
93734..............  26............  A               Analyze pacemaker          0.38       0.15       0.15        0.01        0.54       0.54        XXX
                                                      system.
93734..............  TC............  A               Analyze pacemaker          0.00       0.35        N/A        0.02        0.37        N/A        XXX
                                                      system.
93735..............  ..............  A               Analyze pacemaker          0.74       0.74        N/A        0.06        1.54        N/A        XXX
                                                      system.
93735..............  26............  A               Analyze pacemaker          0.74       0.29       0.29        0.03        1.06       1.06        XXX
                                                      system.
93735..............  TC............  A               Analyze pacemaker          0.00       0.44        N/A        0.03        0.47        N/A        XXX
                                                      system.
93736..............  ..............  A               Telephone analy,           0.15       0.69        N/A        0.06        0.90        N/A        XXX
                                                      pacemaker.
93736..............  26............  A               Telephone analy,           0.15       0.06       0.06        0.01        0.22       0.22        XXX
                                                      pacemaker.
93736..............  TC............  A               Telephone analy,           0.00       0.63        N/A        0.05        0.68        N/A        XXX
                                                      pacemaker.
93740..............  ..............  B               Temperature gradient       0.16       0.20        N/A        0.02        0.38        N/A        XXX
                                                      studies.
93740..............  26............  B               Temperature gradient       0.16       0.04       0.04        0.01        0.21       0.21        XXX
                                                      studies.
93740..............  TC............  B               Temperature gradient       0.00       0.15        N/A        0.01        0.16        N/A        XXX
                                                      studies.
93741..............  ..............  A               Analyze ht pace            0.80       0.99        N/A        0.05        1.84        N/A        XXX
                                                      device sngl.
93741..............  26............  A               Analyze ht pace            0.80       0.32       0.32        0.02        1.14       1.14        XXX
                                                      device sngl.
93741..............  TC............  A               Analyze ht pace            0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      device sngl.
93742..............  ..............  A               Analyze ht pace            0.91       1.03        N/A        0.05        1.99        N/A        XXX
                                                      device sngl.
93742..............  26............  A               Analyze ht pace            0.91       0.36       0.36        0.02        1.29       1.29        XXX
                                                      device sngl.
93742..............  TC............  A               Analyze ht pace            0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      device sngl.
93743..............  ..............  A               Analyze ht pace            1.03       1.14        N/A        0.06        2.23        N/A        XXX
                                                      device dual.
93743..............  26............  A               Analyze ht pace            1.03       0.41       0.41        0.03        1.47       1.47        XXX
                                                      device dual.
93743..............  TC............  A               Analyze ht pace            0.00       0.73        N/A        0.03        0.76        N/A        XXX
                                                      device dual.
93744..............  ..............  A               Analyze ht pace            1.18       1.14        N/A        0.06        2.38        N/A        XXX
                                                      device dual.

[[Page 49226]]

 
93744..............  26............  A               Analyze ht pace            1.18       0.47       0.47        0.03        1.68       1.68        XXX
                                                      device dual.
93744..............  TC............  A               Analyze ht pace            0.00       0.67        N/A        0.03        0.70        N/A        XXX
                                                      device dual.
93770..............  ..............  B               Measure venous             0.16       0.08        N/A        0.02        0.26        N/A        XXX
                                                      pressure.
93770..............  26............  B               Measure venous             0.16       0.05       0.05        0.01        0.22       0.22        XXX
                                                      pressure.
93770..............  TC............  B               Measure venous             0.00       0.03        N/A        0.01        0.04        N/A        XXX
                                                      pressure.
93784..............  ..............  A               Ambulatory BP              0.17       0.97        N/A        0.02        1.16        N/A        XXX
                                                      monitoring.
93786..............  ..............  A               Ambulatory BP              0.00       0.91        N/A        0.01        0.92        N/A        XXX
                                                      recording.
93790..............  ..............  A               Review/report BP           0.17       0.06       0.06        0.01        0.24       0.24        XXX
                                                      recording.
93797..............  ..............  A               Cardiac rehab.......       0.18       0.39       0.07        0.01        0.58       0.26        000
93798..............  ..............  A               Cardiac rehab/             0.28       0.51       0.11        0.01        0.80       0.40        000
                                                      monitor.
93799..............  ..............  C               Cardiovascular             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        XXX
                                                      procedure.
93799..............  TC............  C               Cardiovascular             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
93875..............  ..............  A               Extracranial study..       0.22       1.67        N/A        0.10        1.99        N/A        XXX
93875..............  26............  A               Extracranial study..       0.22       0.08       0.08        0.01        0.31       0.31        XXX
93875..............  TC............  A               Extracranial study..       0.00       1.59        N/A        0.09        1.68        N/A        XXX
93880..............  ..............  A               Extracranial study..       0.60       4.20        N/A        0.33        5.13        N/A        XXX
93880..............  26............  A               Extracranial study..       0.60       0.21       0.21        0.04        0.85       0.85        XXX
93880..............  TC............  A               Extracranial study..       0.00       3.99        N/A        0.29        4.28        N/A        XXX
93882..............  ..............  A               Extracranial study..       0.40       3.03        N/A        0.22        3.65        N/A        XXX
93882..............  26............  A               Extracranial study..       0.40       0.14       0.14        0.04        0.58       0.58        XXX
93882..............  TC............  A               Extracranial study..       0.00       2.88        N/A        0.18        3.06        N/A        XXX
93886..............  ..............  A               Intracranial study..       0.94       4.54        N/A        0.37        5.85        N/A        XXX
93886..............  26............  A               Intracranial study..       0.94       0.38       0.38        0.05        1.37       1.37        XXX
93886..............  TC............  A               Intracranial study..       0.00       4.17        N/A        0.32        4.49        N/A        XXX
93888..............  ..............  A               Intracranial study..       0.62       3.07        N/A        0.26        3.95        N/A        XXX
93888..............  26............  A               Intracranial study..       0.62       0.23       0.23        0.04        0.89       0.89        XXX
93888..............  TC............  A               Intracranial study..       0.00       2.84        N/A        0.22        3.06        N/A        XXX
93922..............  ..............  A               Extremity study.....       0.25       1.94        N/A        0.13        2.32        N/A        XXX
93922..............  26............  A               Extremity study.....       0.25       0.09       0.09        0.02        0.36       0.36        XXX
93922..............  TC............  A               Extremity study.....       0.00       1.85        N/A        0.11        1.96        N/A        XXX
93923..............  ..............  A               Extremity study.....       0.45       3.04        N/A        0.22        3.71        N/A        XXX
93923..............  26............  A               Extremity study.....       0.45       0.16       0.16        0.04        0.65       0.65        XXX
93923..............  TC............  A               Extremity study.....       0.00       2.88        N/A        0.18        3.06        N/A        XXX
93924..............  ..............  A               Extremity study.....       0.50       3.79        N/A        0.26        4.55        N/A        XXX
93924..............  26............  A               Extremity study.....       0.50       0.17       0.17        0.05        0.72       0.72        XXX
93924..............  TC............  A               Extremity study.....       0.00       3.62        N/A        0.21        3.83        N/A        XXX
93925..............  ..............  A               Lower extremity            0.58       4.91        N/A        0.33        5.82        N/A        XXX
                                                      study.
93925..............  26............  A               Lower extremity            0.58       0.20       0.20        0.04        0.82       0.82        XXX
                                                      study.
93925..............  TC............  A               Lower extremity            0.00       4.71        N/A        0.29        5.00        N/A        XXX
                                                      study.
93926..............  ..............  A               Lower extremity            0.39       3.51        N/A        0.22        4.12        N/A        XXX
                                                      study.
93926..............  26............  A               Lower extremity            0.39       0.13       0.13        0.03        0.55       0.55        XXX
                                                      study.
93926..............  TC............  A               Lower extremity            0.00       3.37        N/A        0.19        3.56        N/A        XXX
                                                      study.
93930..............  ..............  A               Upper extremity            0.46       3.90        N/A        0.34        4.70        N/A        XXX
                                                      study.
93930..............  26............  A               Upper extremity            0.46       0.16       0.16        0.03        0.65       0.65        XXX
                                                      study.
93930..............  TC............  A               Upper extremity            0.00       3.74        N/A        0.31        4.05        N/A        XXX
                                                      study.
93931..............  ..............  A               Upper extremity            0.31       2.84        N/A        0.22        3.37        N/A        XXX
                                                      study.
93931..............  26............  A               Upper extremity            0.31       0.11       0.11        0.02        0.44       0.44        XXX
                                                      study.
93931..............  TC............  A               Upper extremity            0.00       2.74        N/A        0.20        2.94        N/A        XXX
                                                      study.
93965..............  ..............  A               Extremity study.....       0.35       1.88        N/A        0.12        2.35        N/A        XXX
93965..............  26............  A               Extremity study.....       0.35       0.12       0.12        0.02        0.49       0.49        XXX
93965..............  TC............  A               Extremity study.....       0.00       1.76        N/A        0.10        1.86        N/A        XXX
93970..............  ..............  A               Extremity study.....       0.68       4.00        N/A        0.38        5.06        N/A        XXX
93970..............  26............  A               Extremity study.....       0.68       0.23       0.23        0.05        0.96       0.96        XXX
93970..............  TC............  A               Extremity study.....       0.00       3.77        N/A        0.33        4.10        N/A        XXX
93971..............  ..............  A               Extremity study.....       0.45       2.88        N/A        0.25        3.58        N/A        XXX
93971..............  26............  A               Extremity study.....       0.45       0.15       0.15        0.03        0.63       0.63        XXX
93971..............  TC............  A               Extremity study.....       0.00       2.73        N/A        0.22        2.95        N/A        XXX
93975..............  ..............  A               Vascular study......       1.80       5.86        N/A        0.47        8.13        N/A        XXX
93975..............  26............  A               Vascular study......       1.80       0.61       0.61        0.11        2.52       2.52        XXX
93975..............  TC............  A               Vascular study......       0.00       5.25        N/A        0.36        5.61        N/A        XXX
93976..............  ..............  A               Vascular study......       1.21       3.48        N/A        0.31        5.00        N/A        XXX
93976..............  26............  A               Vascular study......       1.21       0.41       0.41        0.06        1.68       1.68        XXX

[[Page 49227]]

 
93976..............  TC............  A               Vascular study......       0.00       3.08        N/A        0.25        3.33        N/A        XXX
93978..............  ..............  A               Vascular study......       0.65       3.62        N/A        0.36        4.63        N/A        XXX
93978..............  26............  A               Vascular study......       0.65       0.22       0.22        0.05        0.92       0.92        XXX
93978..............  TC............  A               Vascular study......       0.00       3.39        N/A        0.31        3.70        N/A        XXX
93979..............  ..............  A               Vascular study......       0.44       2.67        N/A        0.24        3.35        N/A        XXX
93979..............  26............  A               Vascular study......       0.44       0.16       0.16        0.04        0.64       0.64        XXX
93979..............  TC............  A               Vascular study......       0.00       2.51        N/A        0.20        2.71        N/A        XXX
93980..............  ..............  A               Penile vascular            1.25       4.77        N/A        0.35        6.37        N/A        XXX
                                                      study.
93980..............  26............  A               Penile vascular            1.25       0.42       0.42        0.07        1.74       1.74        XXX
                                                      study.
93980..............  TC............  A               Penile vascular            0.00       4.35        N/A        0.28        4.63        N/A        XXX
                                                      study.
93981..............  ..............  A               Penile vascular            0.44       4.65        N/A        0.28        5.37        N/A        XXX
                                                      study.
93981..............  26............  A               Penile vascular            0.44       0.15       0.15        0.02        0.61       0.61        XXX
                                                      study.
93981..............  TC............  A               Penile vascular            0.00       4.51        N/A        0.26        4.77        N/A        XXX
                                                      study.
93990..............  ..............  A               Doppler flow testing       0.25       3.44        N/A        0.21        3.90        N/A        XXX
93990..............  26............  A               Doppler flow testing       0.25       0.09       0.09        0.02        0.36       0.36        XXX
93990..............  TC............  A               Doppler flow testing       0.00       3.35        N/A        0.19        3.54        N/A        XXX
94010..............  ..............  A               Breathing capacity         0.17       0.69        N/A        0.03        0.89        N/A        XXX
                                                      test.
94010..............  26............  A               Breathing capacity         0.17       0.05       0.05        0.01        0.23       0.23        XXX
                                                      test.
94010..............  TC............  A               Breathing capacity         0.00       0.64        N/A        0.02        0.66        N/A        XXX
                                                      test.
94014..............  ..............  A               Patient recorded           0.52       0.78        N/A        0.03        1.33        N/A        XXX
                                                      spirometry.
94015..............  ..............  A               Patient recorded           0.00       0.61        N/A        0.01        0.62        N/A        XXX
                                                      spirometry.
94016..............  ..............  A               Review patient             0.52       0.17       0.17        0.02        0.71       0.71        XXX
                                                      spirometry.
94060..............  ..............  A               Evaluation of              0.31       1.14        N/A        0.06        1.51        N/A        XXX
                                                      wheezing.
94060..............  26............  A               Evaluation of              0.31       0.10       0.10        0.01        0.42       0.42        XXX
                                                      wheezing.
94060..............  TC............  A               Evaluation of              0.00       1.05        N/A        0.05        1.10        N/A        XXX
                                                      wheezing.
94070..............  ..............  A               Evaluation of              0.60       1.25        N/A        0.10        1.95        N/A        XXX
                                                      wheezing.
94070..............  26............  A               Evaluation of              0.60       0.19       0.19        0.02        0.81       0.81        XXX
                                                      wheezing.
94070..............  TC............  A               Evaluation of              0.00       1.06        N/A        0.08        1.14        N/A        XXX
                                                      wheezing.
94150..............  ..............  B               Vital capacity test.       0.07       0.48        N/A        0.02        0.57        N/A        XXX
94150..............  26............  B               Vital capacity test.       0.07       0.03       0.03        0.01        0.11       0.11        XXX
94150..............  TC............  B               Vital capacity test.       0.00       0.46        N/A        0.01        0.47        N/A        XXX
94200..............  ..............  A               Lung function test         0.11       0.46        N/A        0.03        0.60        N/A        XXX
                                                      (MBC/MVV).
94200..............  26............  A               Lung function test         0.11       0.03       0.03        0.01        0.15       0.15        XXX
                                                      (MBC/MVV).
94200..............  TC............  A               Lung function test         0.00       0.43        N/A        0.02        0.45        N/A        XXX
                                                      (MBC/MVV).
94240..............  ..............  A               Residual lung              0.26       0.59        N/A        0.05        0.90        N/A        XXX
                                                      capacity.
94240..............  26............  A               Residual lung              0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      capacity.
94240..............  TC............  A               Residual lung              0.00       0.51        N/A        0.04        0.55        N/A        XXX
                                                      capacity.
94250..............  ..............  A               Expired gas                0.11       0.68        N/A        0.02        0.81        N/A        XXX
                                                      collection.
94250..............  26............  A               Expired gas                0.11       0.03       0.03        0.01        0.15       0.15        XXX
                                                      collection.
94250..............  TC............  A               Expired gas                0.00       0.64        N/A        0.01        0.65        N/A        XXX
                                                      collection.
94260..............  ..............  A               Thoracic gas volume.       0.13       0.51        N/A        0.04        0.68        N/A        XXX
94260..............  26............  A               Thoracic gas volume.       0.13       0.04       0.04        0.01        0.18       0.18        XXX
94260..............  TC............  A               Thoracic gas volume.       0.00       0.47        N/A        0.03        0.50        N/A        XXX
94350..............  ..............  A               Lung nitrogen              0.26       0.77        N/A        0.04        1.07        N/A        XXX
                                                      washout curve.
94350..............  26............  A               Lung nitrogen              0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      washout curve.
94350..............  TC............  A               Lung nitrogen              0.00       0.69        N/A        0.03        0.72        N/A        XXX
                                                      washout curve.
94360..............  ..............  A               Measure airflow            0.26       0.61        N/A        0.06        0.93        N/A        XXX
                                                      resistance.
94360..............  26............  A               Measure airflow            0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      resistance.
94360..............  TC............  A               Measure airflow            0.00       0.53        N/A        0.05        0.58        N/A        XXX
                                                      resistance.
94370..............  ..............  A               Breath airway              0.26       0.74        N/A        0.03        1.03        N/A        XXX
                                                      closing volume.
94370..............  26............  A               Breath airway              0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      closing volume.
94370..............  TC............  A               Breath airway              0.00       0.66        N/A        0.02        0.68        N/A        XXX
                                                      closing volume.
94375..............  ..............  A               Respiratory flow           0.31       0.56        N/A        0.03        0.90        N/A        XXX
                                                      volume loop.

[[Page 49228]]

 
94375..............  26............  A               Respiratory flow           0.31       0.10       0.10        0.01        0.42       0.42        XXX
                                                      volume loop.
94375..............  TC............  A               Respiratory flow           0.00       0.47        N/A        0.02        0.49        N/A        XXX
                                                      volume loop.
94400..............  ..............  A               CO2 breathing              0.40       0.86        N/A        0.06        1.32        N/A        XXX
                                                      response curve.
94400..............  26............  A               CO2 breathing              0.40       0.13       0.13        0.01        0.54       0.54        XXX
                                                      response curve.
94400..............  TC............  A               CO2 breathing              0.00       0.74        N/A        0.05        0.79        N/A        XXX
                                                      response curve.
94450..............  ..............  A               Hypoxia response           0.40       0.69        N/A        0.04        1.13        N/A        XXX
                                                      curve.
94450..............  26............  A               Hypoxia response           0.40       0.12       0.12        0.02        0.54       0.54        XXX
                                                      curve.
94450..............  TC............  A               Hypoxia response           0.00       0.57        N/A        0.02        0.59        N/A        XXX
                                                      curve.
94620..............  ..............  A               Pulmonary stress           0.64       2.49        N/A        0.10        3.23        N/A        XXX
                                                      test/simple.
94620..............  26............  A               Pulmonary stress           0.64       0.20       0.20        0.02        0.86       0.86        XXX
                                                      test/simple.
94620..............  TC............  A               Pulmonary stress           0.00       2.29        N/A        0.08        2.37        N/A        XXX
                                                      test/simple.
94621..............  ..............  A               Pulm stress test/          1.42       2.11        N/A        0.13        3.66        N/A        XXX
                                                      complex.
94621..............  26............  A               Pulm stress test/          1.42       0.44       0.44        0.05        1.91       1.91        XXX
                                                      complex.
94621..............  TC............  A               Pulm stress test/          0.00       1.67        N/A        0.08        1.75        N/A        XXX
                                                      complex.
94640..............  ..............  A               Airway inhalation          0.00       0.35        N/A        0.02        0.37        N/A        XXX
                                                      treatment.
94642..............  ..............  C               Aerosol inhalation         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      treatment.
94656..............  ..............  A               Initial ventilator         1.22       1.23       0.32        0.06        2.51       1.60        XXX
                                                      mgmt.
94657..............  ..............  A               Continued ventilator       0.83       1.04       0.25        0.03        1.90       1.11        XXX
                                                      mgmt.
94660..............  ..............  A               Pos airway pressure,       0.76       0.67       0.24        0.03        1.46       1.03        XXX
                                                      CPAP.
94662..............  ..............  A               Neg press                  0.76        N/A       0.24        0.02         N/A       1.02        XXX
                                                      ventilation, cnp.
94664..............  ..............  A               Evaluate pt use of         0.00       0.34        N/A        0.03        0.37        N/A        XXX
                                                      inhaler.
94667..............  ..............  A               Chest wall                 0.00       0.56        N/A        0.04        0.60        N/A        XXX
                                                      manipulation.
94668..............  ..............  A               Chest wall                 0.00       0.48        N/A        0.02        0.50        N/A        XXX
                                                      manipulation.
94680..............  ..............  A               Exhaled air                0.26       1.97        N/A        0.06        2.29        N/A        XXX
                                                      analysis, o2.
94680..............  26............  A               Exhaled air                0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      analysis, o2.
94680..............  TC............  A               Exhaled air                0.00       1.89        N/A        0.05        1.94        N/A        XXX
                                                      analysis, o2.
94681..............  ..............  A               Exhaled air                0.20       2.69        N/A        0.11        3.00        N/A        XXX
                                                      analysis, o2/co2.
94681..............  26............  A               Exhaled air                0.20       0.07       0.07        0.01        0.28       0.28        XXX
                                                      analysis, o2/co2.
94681..............  TC............  A               Exhaled air                0.00       2.62        N/A        0.10        2.72        N/A        XXX
                                                      analysis, o2/co2.
94690..............  ..............  A               Exhaled air analysis       0.07       2.06        N/A        0.04        2.17        N/A        XXX
94690..............  26............  A               Exhaled air analysis       0.07       0.02       0.02        0.01        0.10       0.10        XXX
94690..............  TC............  A               Exhaled air analysis       0.00       2.04        N/A        0.03        2.07        N/A        XXX
94720..............  ..............  A               Monoxide diffusing         0.26       1.02        N/A        0.06        1.34        N/A        XXX
                                                      capacity.
94720..............  26............  A               Monoxide diffusing         0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      capacity.
94720..............  TC............  A               Monoxide diffusing         0.00       0.94        N/A        0.05        0.99        N/A        XXX
                                                      capacity.
94725..............  ..............  A               Membrane diffusion         0.26       3.07        N/A        0.11        3.44        N/A        XXX
                                                      capacity.
94725..............  26............  A               Membrane diffusion         0.26       0.08       0.08        0.01        0.35       0.35        XXX
                                                      capacity.
94725..............  TC............  A               Membrane diffusion         0.00       2.99        N/A        0.10        3.09        N/A        XXX
                                                      capacity.
94750..............  ..............  A               Pulmonary compliance       0.23       1.41        N/A        0.04        1.68        N/A        XXX
                                                      study.
94750..............  26............  A               Pulmonary compliance       0.23       0.07       0.07        0.01        0.31       0.31        XXX
                                                      study.
94750..............  TC............  A               Pulmonary compliance       0.00       1.33        N/A        0.03        1.36        N/A        XXX
                                                      study.
94760..............  ..............  T               Measure blood oxygen       0.00       0.09        N/A        0.02        0.11        N/A        XXX
                                                      level.

[[Page 49229]]

 
94761..............  ..............  T               Measure blood oxygen       0.00       0.12        N/A        0.05        0.17        N/A        XXX
                                                      level.
94762..............  ..............  A               Measure blood oxygen       0.00       0.41        N/A        0.08        0.49        N/A        XXX
                                                      level.
94770..............  ..............  A               Exhaled carbon             0.15       1.72        N/A        0.07        1.94        N/A        XXX
                                                      dioxide test.
94770..............  26............  A               Exhaled carbon             0.15       0.04       0.04        0.01        0.20       0.20        XXX
                                                      dioxide test.
94770..............  TC............  A               Exhaled carbon             0.00       1.68        N/A        0.06        1.74        N/A        XXX
                                                      dioxide test.
94772..............  ..............  C               Breath recording,          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        XXX
                                                      infant.
94772..............  TC............  C               Breath recording,          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        XXX
                                                      procedure.
94799..............  26............  C               Pulmonary service/         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
94799..............  TC............  C               Pulmonary service/         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
95004..............  ..............  A               Percut allergy skin        0.00       0.10        N/A        0.01        0.11        N/A        XXX
                                                      tests.
95010..............  ..............  A               Percut allergy             0.15       0.33       0.06        0.01        0.49       0.22        XXX
                                                      titrate test.
95015..............  ..............  A               Id allergy titrate-        0.15       0.15       0.06        0.01        0.31       0.22        XXX
                                                      drug/bug.
95024..............  ..............  A               Id allergy test,           0.00       0.15        N/A        0.01        0.16        N/A        XXX
                                                      drug/bug.
95027..............  ..............  A               Id allergy titrate-        0.00       0.15        N/A        0.01        0.16        N/A        XXX
                                                      airborne.
95028..............  ..............  A               Id allergy test-           0.00       0.23        N/A        0.01        0.24        N/A        XXX
                                                      delayed type.
95044..............  ..............  A               Allergy patch tests.       0.00       0.20        N/A        0.01        0.21        N/A        XXX
95052..............  ..............  A               Photo patch test....       0.00       0.25        N/A        0.01        0.26        N/A        XXX
95056..............  ..............  A               Photosensitivity           0.00       0.17        N/A        0.01        0.18        N/A        XXX
                                                      tests.
95060..............  ..............  A               Eye allergy tests...       0.00       0.35        N/A        0.02        0.37        N/A        XXX
95065..............  ..............  A               Nose allergy test...       0.00       0.20        N/A        0.01        0.21        N/A        XXX
95070..............  ..............  A               Bronchial allergy          0.00       2.28        N/A        0.02        2.30        N/A        XXX
                                                      tests.
95071..............  ..............  A               Bronchial allergy          0.00       2.92        N/A        0.02        2.94        N/A        XXX
                                                      tests.
95075..............  ..............  A               Ingestion challenge        0.95       0.84       0.39        0.03        1.82       1.37        XXX
                                                      test.
95078..............  ..............  A               Provocative testing.       0.00       0.25        N/A        0.02        0.27        N/A        XXX
95115..............  ..............  A               Immunotherapy, one         0.00       0.39        N/A        0.02        0.41        N/A        000
                                                      injection.
95117..............  ..............  A               Immunotherapy              0.00       0.50        N/A        0.02        0.52        N/A        000
                                                      injections.
95120..............  ..............  I               Immunotherapy, one         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      injection.
95125..............  ..............  I               Immunotherapy, many        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      antigens.
95130..............  ..............  I               Immunotherapy,             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        XXX
                                                      insect venoms.
95132..............  ..............  I               Immunotherapy,             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        XXX
                                                      insect venoms.
95134..............  ..............  I               Immunotherapy,             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      insect venoms.
95144..............  ..............  A               Antigen therapy            0.06       0.16       0.02        0.01        0.23       0.09        000
                                                      services.
95145..............  ..............  A               Antigen therapy            0.06       0.20       0.02        0.01        0.27       0.09        000
                                                      services.
95146..............  ..............  A               Antigen therapy            0.06       0.27       0.03        0.01        0.34       0.10        000
                                                      services.
95147..............  ..............  A               Antigen therapy            0.06       0.34       0.02        0.01        0.41       0.09        000
                                                      services.
95148..............  ..............  A               Antigen therapy            0.06       0.42       0.03        0.01        0.49       0.10        000
                                                      services.
95149..............  ..............  A               Antigen therapy            0.06       0.56       0.03        0.01        0.63       0.10        000
                                                      services.
95165..............  ..............  A               Antigen therapy            0.06       0.21       0.02        0.01        0.28       0.09        000
                                                      services.
95170..............  ..............  A               Antigen therapy            0.06       0.14       0.02        0.01        0.21       0.09        000
                                                      services.
95180..............  ..............  A               Rapid                      2.01       1.56       0.84        0.04        3.61       2.89        000
                                                      desensitization.
95199..............  ..............  C               Allergy immunology         0.00       0.00       0.00        0.00        0.00       0.00        000
                                                      services.
95250..............  ..............  A               Glucose monitoring,        0.00       3.93        N/A        0.01        3.94        N/A        XXX
                                                      cont.
95805..............  ..............  A               Multiple sleep             1.88      16.80        N/A        0.34       19.02        N/A        XXX
                                                      latency test.
95805..............  26............  A               Multiple sleep             1.88       0.67       0.67        0.06        2.61       2.61        XXX
                                                      latency test.

[[Page 49230]]

 
95805..............  TC............  A               Multiple sleep             0.00      16.12        N/A        0.28       16.40        N/A        XXX
                                                      latency test.
95806..............  ..............  A               Sleep study,               1.66       3.94        N/A        0.32        5.92        N/A        XXX
                                                      unattended.
95806..............  26............  A               Sleep study,               1.66       0.55       0.55        0.06        2.27       2.27        XXX
                                                      unattended.
95806..............  TC............  A               Sleep study,               0.00       3.40        N/A        0.26        3.66        N/A        XXX
                                                      unattended.
95807..............  ..............  A               Sleep study,               1.66      12.35        N/A        0.40       14.41        N/A        XXX
                                                      attended.
95807..............  26............  A               Sleep study,               1.66       0.54       0.54        0.05        2.25       2.25        XXX
                                                      attended.
95807..............  TC............  A               Sleep study,               0.00      11.81        N/A        0.35       12.16        N/A        XXX
                                                      attended.
95808..............  ..............  A               Polysomnography, 1-3       2.65      13.34        N/A        0.44       16.43        N/A        XXX
95808..............  26............  A               Polysomnography, 1-3       2.65       0.94       0.94        0.09        3.68       3.68        XXX
95808..............  TC............  A               Polysomnography, 1-3       0.00      12.39        N/A        0.35       12.74        N/A        XXX
95810..............  ..............  A               Polysomnography, 4         3.53      17.59        N/A        0.47       21.59        N/A        XXX
                                                      or more.
95810..............  26............  A               Polysomnography, 4         3.53       1.21       1.21        0.12        4.86       4.86        XXX
                                                      or more.
95810..............  TC............  A               Polysomnography, 4         0.00      16.38        N/A        0.35       16.73        N/A        XXX
                                                      or more.
95811..............  ..............  A               Polysomnography w/         3.80      19.01        N/A        0.49       23.30        N/A        XXX
                                                      cpap.
95811..............  26............  A               Polysomnography w/         3.80       1.30       1.30        0.13        5.23       5.23        XXX
                                                      cpap.
95811..............  TC............  A               Polysomnography w/         0.00      17.72        N/A        0.36       18.08        N/A        XXX
                                                      cpap.
95812..............  ..............  A               Eeg, 41-60 minutes..       1.08       3.96        N/A        0.13        5.17        N/A        XXX
95812..............  26............  A               Eeg, 41-60 minutes..       1.08       0.46       0.46        0.04        1.58       1.58        XXX
95812..............  TC............  A               Eeg, 41-60 minutes..       0.00       3.50        N/A        0.09        3.59        N/A        XXX
95813..............  ..............  A               Eeg, over 1 hour....       1.73       5.00        N/A        0.15        6.88        N/A        XXX
95813..............  26............  A               Eeg, over 1 hour....       1.73       0.71       0.71        0.06        2.50       2.50        XXX
95813..............  TC............  A               Eeg, over 1 hour....       0.00       4.28        N/A        0.09        4.37        N/A        XXX
95816..............  ..............  A               Eeg, awake and             1.08       3.16        N/A        0.12        4.36        N/A        XXX
                                                      drowsy.
95816..............  26............  A               Eeg, awake and             1.08       0.47       0.47        0.04        1.59       1.59        XXX
                                                      drowsy.
95816..............  TC............  A               Eeg, awake and             0.00       2.70        N/A        0.08        2.78        N/A        XXX
                                                      drowsy.
95819..............  ..............  A               Eeg, awake and             1.08       3.71        N/A        0.12        4.91        N/A        XXX
                                                      asleep.
95819..............  26............  A               Eeg, awake and             1.08       0.47       0.47        0.04        1.59       1.59        XXX
                                                      asleep.
95819..............  TC............  A               Eeg, awake and             0.00       3.24        N/A        0.08        3.32        N/A        XXX
                                                      asleep.
95822..............  ..............  A               Eeg, coma or sleep         1.08       4.40        N/A        0.15        5.63        N/A        XXX
                                                      only.
95822..............  26............  A               Eeg, coma or sleep         1.08       0.47       0.47        0.04        1.59       1.59        XXX
                                                      only.
95822..............  TC............  A               Eeg, coma or sleep         0.00       3.93        N/A        0.11        4.04        N/A        XXX
                                                      only.
95824..............  ..............  C               Eeg, cerebral death        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      only.
95824..............  26............  A               Eeg, cerebral death        0.74       0.32       0.32        0.05        1.11       1.11        XXX
                                                      only.
95824..............  TC............  C               Eeg, cerebral death        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      only.
95827..............  ..............  A               Eeg, all night             1.08       2.71        N/A        0.15        3.94        N/A        XXX
                                                      recording.
95827..............  26............  A               Eeg, all night             1.08       0.42       0.42        0.03        1.53       1.53        XXX
                                                      recording.
95827..............  TC............  A               Eeg, all night             0.00       2.29        N/A        0.12        2.41        N/A        XXX
                                                      recording.
95829..............  ..............  A               Surgery                    6.21      32.94        N/A        0.33       39.48        N/A        XXX
                                                      electrocorticogram.
95829..............  26............  A               Surgery                    6.21       2.37       2.37        0.31        8.89       8.89        XXX
                                                      electrocorticogram.
95829..............  TC............  A               Surgery                    0.00      30.57        N/A        0.02       30.59        N/A        XXX
                                                      electrocorticogram.
95830..............  ..............  A               Insert electrodes          1.70       3.50       0.75        0.07        5.27       2.52        XXX
                                                      for EEG.
95831..............  ..............  A               Limb muscle testing,       0.28       0.33       0.13        0.01        0.62       0.42        XXX
                                                      manual.
95832..............  ..............  A               Hand muscle testing,       0.29       0.25       0.12        0.01        0.55       0.42        XXX
                                                      manual.
95833..............  ..............  A               Body muscle testing,       0.47       0.44       0.23        0.01        0.92       0.71        XXX
                                                      manual.
95834..............  ..............  A               Body muscle testing,       0.60       0.50       0.28        0.02        1.12       0.90        XXX
                                                      manual.
95851..............  ..............  A               Range of motion            0.16       0.34       0.08        0.01        0.51       0.25        XXX
                                                      measurements.
95852..............  ..............  A               Range of motion            0.11       0.24       0.05        0.01        0.36       0.17        XXX
                                                      measurements.
95857..............  ..............  A               Tensilon test.......       0.53       0.62       0.23        0.02        1.17       0.78        XXX
95858..............  ..............  A               Tensilon test &            1.56       1.08        N/A        0.07        2.71        N/A        XXX
                                                      myogram.
95858..............  26............  A               Tensilon test &            1.56       0.68       0.68        0.04        2.28       2.28        XXX
                                                      myogram.
95858..............  TC............  A               Tensilon test &            0.00       0.40        N/A        0.03        0.43        N/A        XXX
                                                      myogram.
95860..............  ..............  A               Muscle test, one           0.96       1.47        N/A        0.05        2.48        N/A        XXX
                                                      limb.
95860..............  26............  A               Muscle test, one           0.96       0.43       0.43        0.03        1.42       1.42        XXX
                                                      limb.
95860..............  TC............  A               Muscle test, one           0.00       1.04        N/A        0.02        1.06        N/A        XXX
                                                      limb.
95861..............  ..............  A               Muscle test, 2 limbs       1.54       1.43        N/A        0.10        3.07        N/A        XXX
95861..............  26............  A               Muscle test, 2 limbs       1.54       0.69       0.69        0.05        2.28       2.28        XXX
95861..............  TC............  A               Muscle test, 2 limbs       0.00       0.73        N/A        0.05        0.78        N/A        XXX

[[Page 49231]]

 
95863..............  ..............  A               Muscle test, 3 limbs       1.87       1.76        N/A        0.11        3.74        N/A        XXX
95863..............  26............  A               Muscle test, 3 limbs       1.87       0.82       0.82        0.06        2.75       2.75        XXX
95863..............  TC............  A               Muscle test, 3 limbs       0.00       0.94        N/A        0.05        0.99        N/A        XXX
95864..............  ..............  A               Muscle test, 4 limbs       1.99       2.67        N/A        0.16        4.82        N/A        XXX
95864..............  26............  A               Muscle test, 4 limbs       1.99       0.89       0.89        0.06        2.94       2.94        XXX
95864..............  TC............  A               Muscle test, 4 limbs       0.00       1.78        N/A        0.10        1.88        N/A        XXX
95867..............  ..............  A               Muscle test cran           0.79       0.93        N/A        0.06        1.78        N/A        XXX
                                                      nerv unilat.
95867..............  26............  A               Muscle test cran           0.79       0.35       0.35        0.03        1.17       1.17        XXX
                                                      nerv unilat.
95867..............  TC............  A               Muscle test cran           0.00       0.58        N/A        0.03        0.61        N/A        XXX
                                                      nerv unilat.
95868..............  ..............  A               Muscle test cran           1.18       1.22        N/A        0.08        2.48        N/A        XXX
                                                      nerve bilat.
95868..............  26............  A               Muscle test cran           1.18       0.52       0.52        0.04        1.74       1.74        XXX
                                                      nerve bilat.
95868..............  TC............  A               Muscle test cran           0.00       0.70        N/A        0.04        0.74        N/A        XXX
                                                      nerve bilat.
95869..............  ..............  A               Muscle test, thor          0.37       0.38        N/A        0.03        0.78        N/A        XXX
                                                      paraspinal.
95869..............  26............  A               Muscle test, thor          0.37       0.17       0.17        0.01        0.55       0.55        XXX
                                                      paraspinal.
95869..............  TC............  A               Muscle test, thor          0.00       0.21        N/A        0.02        0.23        N/A        XXX
                                                      paraspinal.
95870..............  ..............  A               Muscle test,               0.37       0.37        N/A        0.03        0.77        N/A        XXX
                                                      nonparaspinal.
95870..............  26............  A               Muscle test,               0.37       0.16       0.16        0.01        0.54       0.54        XXX
                                                      nonparaspinal.
95870..............  TC............  A               Muscle test,               0.00       0.21        N/A        0.02        0.23        N/A        XXX
                                                      nonparaspinal.
95872..............  ..............  A               Muscle test, one           1.50       1.25        N/A        0.08        2.83        N/A        XXX
                                                      fiber.
95872..............  26............  A               Muscle test, one           1.50       0.65       0.65        0.04        2.19       2.19        XXX
                                                      fiber.
95872..............  TC............  A               Muscle test, one           0.00       0.60        N/A        0.04        0.64        N/A        XXX
                                                      fiber.
95875..............  ..............  A               Limb exercise test..       1.10       1.50        N/A        0.09        2.69        N/A        XXX
95875..............  26............  A               Limb exercise test..       1.10       0.48       0.48        0.04        1.62       1.62        XXX
95875..............  TC............  A               Limb exercise test..       0.00       1.02        N/A        0.05        1.07        N/A        XXX
95900..............  ..............  A               Motor nerve                0.42       1.30        N/A        0.03        1.75        N/A        XXX
                                                      conduction test.
95900..............  26............  A               Motor nerve                0.42       0.19       0.19        0.01        0.62       0.62        XXX
                                                      conduction test.
95900..............  TC............  A               Motor nerve                0.00       1.12        N/A        0.02        1.14        N/A        XXX
                                                      conduction test.
95903..............  ..............  A               Motor nerve                0.60       1.23        N/A        0.04        1.87        N/A        XXX
                                                      conduction test.
95903..............  26............  A               Motor nerve                0.60       0.26       0.26        0.02        0.88       0.88        XXX
                                                      conduction test.
95903..............  TC............  A               Motor nerve                0.00       0.97        N/A        0.02        0.99        N/A        XXX
                                                      conduction test.
95904..............  ..............  A               Sense nerve                0.34       1.13        N/A        0.03        1.50        N/A        XXX
                                                      conduction test.
95904..............  26............  A               Sense nerve                0.34       0.15       0.15        0.01        0.50       0.50        XXX
                                                      conduction test.
95904..............  TC............  A               Sense nerve                0.00       0.98        N/A        0.02        1.00        N/A        XXX
                                                      conduction test.
95920..............  ..............  A               Intraop nerve test         2.11       2.26        N/A        0.20        4.57        N/A        ZZZ
                                                      add-on.
95920..............  26............  A               Intraop nerve test         2.11       0.95       0.95        0.14        3.20       3.20        ZZZ
                                                      add-on.
95920..............  TC............  A               Intraop nerve test         0.00       1.31        N/A        0.06        1.37        N/A        ZZZ
                                                      add-on.
95921..............  ..............  A               Autonomic nerv             0.90       0.71        N/A        0.05        1.66        N/A        XXX
                                                      function test.
95921..............  26............  A               Autonomic nerv             0.90       0.33       0.33        0.03        1.26       1.26        XXX
                                                      function test.
95921..............  TC............  A               Autonomic nerv             0.00       0.38        N/A        0.02        0.40        N/A        XXX
                                                      function test.
95922..............  ..............  A               Autonomic nerv             0.96       0.79        N/A        0.05        1.80        N/A        XXX
                                                      function test.
95922..............  26............  A               Autonomic nerv             0.96       0.41       0.41        0.03        1.40       1.40        XXX
                                                      function test.
95922..............  TC............  A               Autonomic nerv             0.00       0.38        N/A        0.02        0.40        N/A        XXX
                                                      function test.

[[Page 49232]]

 
95923..............  ..............  A               Autonomic nerv             0.90       2.14        N/A        0.05        3.09        N/A        XXX
                                                      function test.
95923..............  26............  A               Autonomic nerv             0.90       0.39       0.39        0.03        1.32       1.32        XXX
                                                      function test.
95923..............  TC............  A               Autonomic nerv             0.00       1.76        N/A        0.02        1.78        N/A        XXX
                                                      function test.
95925..............  ..............  A               Somatosensory              0.54       1.14        N/A        0.07        1.75        N/A        XXX
                                                      testing.
95925..............  26............  A               Somatosensory              0.54       0.23       0.23        0.02        0.79       0.79        XXX
                                                      testing.
95925..............  TC............  A               Somatosensory              0.00       0.91        N/A        0.05        0.96        N/A        XXX
                                                      testing.
95926..............  ..............  A               Somatosensory              0.54       1.15        N/A        0.07        1.76        N/A        XXX
                                                      testing.
95926..............  26............  A               Somatosensory              0.54       0.24       0.24        0.02        0.80       0.80        XXX
                                                      testing.
95926..............  TC............  A               Somatosensory              0.00       0.91        N/A        0.05        0.96        N/A        XXX
                                                      testing.
95927..............  ..............  A               Somatosensory              0.54       1.16        N/A        0.08        1.78        N/A        XXX
                                                      testing.
95927..............  26............  A               Somatosensory              0.54       0.25       0.25        0.03        0.82       0.82        XXX
                                                      testing.
95927..............  TC............  A               Somatosensory              0.00       0.91        N/A        0.05        0.96        N/A        XXX
                                                      testing.
95930..............  ..............  A               Visual evoked              0.35       1.44        N/A        0.02        1.81        N/A        XXX
                                                      potential test.
95930..............  26............  A               Visual evoked              0.35       0.15       0.15        0.01        0.51       0.51        XXX
                                                      potential test.
95930..............  TC............  A               Visual evoked              0.00       1.29        N/A        0.01        1.30        N/A        XXX
                                                      potential test.
95933..............  ..............  A               Blink reflex test...       0.59       1.03        N/A        0.07        1.69        N/A        XXX
95933..............  26............  A               Blink reflex test...       0.59       0.25       0.25        0.02        0.86       0.86        XXX
95933..............  TC............  A               Blink reflex test...       0.00       0.78        N/A        0.05        0.83        N/A        XXX
95934..............  ..............  A               H-reflex test.......       0.51       0.44        N/A        0.04        0.99        N/A        XXX
95934..............  26............  A               H-reflex test.......       0.51       0.23       0.23        0.02        0.76       0.76        XXX
95934..............  TC............  A               H-reflex test.......       0.00       0.21        N/A        0.02        0.23        N/A        XXX
95936..............  ..............  A               H-reflex test.......       0.55       0.46        N/A        0.04        1.05        N/A        XXX
95936..............  26............  A               H-reflex test.......       0.55       0.25       0.25        0.02        0.82       0.82        XXX
95936..............  TC............  A               H-reflex test.......       0.00       0.21        N/A        0.02        0.23        N/A        XXX
95937..............  ..............  A               Neuromuscular              0.65       0.61        N/A        0.04        1.30        N/A        XXX
                                                      junction test.
95937..............  26............  A               Neuromuscular              0.65       0.27       0.27        0.02        0.94       0.94        XXX
                                                      junction test.
95937..............  TC............  A               Neuromuscular              0.00       0.34        N/A        0.02        0.36        N/A        XXX
                                                      junction test.
95950..............  ..............  A               Ambulatory eeg             1.51       4.57        N/A        0.44        6.52        N/A        XXX
                                                      monitoring.
95950..............  26............  A               Ambulatory eeg             1.51       0.65       0.65        0.08        2.24       2.24        XXX
                                                      monitoring.
95950..............  TC............  A               Ambulatory eeg             0.00       3.93        N/A        0.36        4.29        N/A        XXX
                                                      monitoring.
95951..............  ..............  C               EEG monitoring/            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      videorecord.
95951..............  26............  A               EEG monitoring/            6.00       2.61       2.61        0.20        8.81       8.81        XXX
                                                      videorecord.
95951..............  TC............  C               EEG monitoring/            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      videorecord.
95953..............  ..............  A               EEG monitoring/            3.08       7.65        N/A        0.46       11.19        N/A        XXX
                                                      computer.
95953..............  26............  A               EEG monitoring/            3.08       1.32       1.32        0.10        4.50       4.50        XXX
                                                      computer.
95953..............  TC............  A               EEG monitoring/            0.00       6.33        N/A        0.36        6.69        N/A        XXX
                                                      computer.
95954..............  ..............  A               EEG monitoring/            2.45       4.39        N/A        0.15        6.99        N/A        XXX
                                                      giving drugs.
95954..............  26............  A               EEG monitoring/            2.45       1.07       1.07        0.10        3.62       3.62        XXX
                                                      giving drugs.
95954..............  TC............  A               EEG monitoring/            0.00       3.33        N/A        0.05        3.38        N/A        XXX
                                                      giving drugs.
95955..............  ..............  A               EEG during surgery..       1.01       2.33        N/A        0.19        3.53        N/A        XXX
95955..............  26............  A               EEG during surgery..       1.01       0.37       0.37        0.05        1.43       1.43        XXX
95955..............  TC............  A               EEG during surgery..       0.00       1.96        N/A        0.14        2.10        N/A        XXX
95956..............  ..............  A               Eeg monitoring,            3.08      14.44        N/A        0.47       17.99        N/A        XXX
                                                      cable/radio.
95956..............  26............  A               Eeg monitoring,            3.08       1.33       1.33        0.11        4.52       4.52        XXX
                                                      cable/radio.
95956..............  TC............  A               Eeg monitoring,            0.00      13.11        N/A        0.36       13.47        N/A        XXX
                                                      cable/radio.
95957..............  ..............  A               EEG digital analysis       1.98       2.57        N/A        0.17        4.72        N/A        XXX
95957..............  26............  A               EEG digital analysis       1.98       0.87       0.87        0.07        2.92       2.92        XXX
95957..............  TC............  A               EEG digital analysis       0.00       1.70        N/A        0.10        1.80        N/A        XXX

[[Page 49233]]

 
95958..............  ..............  A               EEG monitoring/            4.25       3.52        N/A        0.29        8.06        N/A        XXX
                                                      function test.
95958..............  26............  A               EEG monitoring/            4.25       1.78       1.78        0.18        6.21       6.21        XXX
                                                      function test.
95958..............  TC............  A               EEG monitoring/            0.00       1.74        N/A        0.11        1.85        N/A        XXX
                                                      function test.
95961..............  ..............  A               Electrode                  2.97       2.65        N/A        0.24        5.86        N/A        XXX
                                                      stimulation, brain.
95961..............  26............  A               Electrode                  2.97       1.35       1.35        0.18        4.50       4.50        XXX
                                                      stimulation, brain.
95961..............  TC............  A               Electrode                  0.00       1.31        N/A        0.06        1.37        N/A        XXX
                                                      stimulation, brain.
95962..............  ..............  A               Electrode stim,            3.21       2.72        N/A        0.23        6.16        N/A        ZZZ
                                                      brain add-on.
95962..............  26............  A               Electrode stim,            3.21       1.42       1.42        0.17        4.80       4.80        ZZZ
                                                      brain add-on.
95962..............  TC............  A               Electrode stim,            0.00       1.31        N/A        0.06        1.37        N/A        ZZZ
                                                      brain add-on.
95965..............  ..............  C               Meg, spontaneous....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
95965..............  26............  A               Meg, spontaneous....       8.00       3.49       3.49        0.31       11.80      11.80        XXX
95965..............  TC............  C               Meg, spontaneous....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
95966..............  ..............  C               Meg, evoked, single.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
95966..............  26............  A               Meg, evoked, single.       4.00       1.76       1.76        0.15        5.91       5.91        XXX
95966..............  TC............  C               Meg, evoked, single.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
95967..............  ..............  C               Meg, evoked, each          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      addl.
95967..............  26............  A               Meg, evoked, each          3.50       1.36       1.36        0.13        4.99       4.99        ZZZ
                                                      addl.
95967..............  TC............  C               Meg, evoked, each          0.00       0.00       0.00        0.00        0.00       0.00        ZZZ
                                                      addl.
95970..............  ..............  A               Analyze neurostim,         0.45       0.17       0.15        0.03        0.65       0.63        XXX
                                                      no prog.
95971..............  ..............  A               Analyze neurostim,         0.78       0.28       0.23        0.06        1.12       1.07        XXX
                                                      simple.
95972..............  ..............  A               Analyze neurostim,         1.50       0.60       0.50        0.17        2.27       2.17        XXX
                                                      complex.
95973..............  ..............  A               Analyze neurostim,         0.92       0.40       0.35        0.07        1.39       1.34        ZZZ
                                                      complex.
95974..............  ..............  A               Cranial neurostim,         3.00       1.32       1.32        0.15        4.47       4.47        XXX
                                                      complex.
95975..............  ..............  A               Cranial neurostim,         1.70       0.74       0.74        0.07        2.51       2.51        ZZZ
                                                      complex.
95990..............  ..............  A               Spin/brain pump            0.00       1.50        N/A        0.05        1.55        N/A        XXX
                                                      refil & main.
95999..............  ..............  C               Neurological               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
96000..............  ..............  A               Motion analysis,           1.80        N/A       0.57        0.02         N/A       2.39        XXX
                                                      video/3d.
96001..............  ..............  A               Motion test w/ft           2.15        N/A       0.83        0.02         N/A       3.00        XXX
                                                      press meas.
96002..............  ..............  A               Dynamic surface emg.       0.41        N/A       0.16        0.02         N/A       0.59        XXX
96003..............  ..............  A               Dynamic fine wire          0.37        N/A       0.14        0.03         N/A       0.54        XXX
                                                      emg.
96004..............  ..............  A               Phys review of             2.14       0.97       0.97        0.08        3.19       3.19        XXX
                                                      motion tests.
96100..............  ..............  A               Psychological              0.00       1.76        N/A        0.15        1.91        N/A        XXX
                                                      testing.
96105..............  ..............  A               Assessment of              0.00       1.76        N/A        0.15        1.91        N/A        XXX
                                                      aphasia.
96110..............  ..............  C               Developmental test,        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lim.
96111..............  ..............  A               Developmental test,        0.00       1.76        N/A        0.15        1.91        N/A        XXX
                                                      extend.
96115..............  ..............  A               Neurobehavior status       0.00       1.76        N/A        0.15        1.91        N/A        XXX
                                                      exam.
96117..............  ..............  A               Neuropsych test            0.00       1.76        N/A        0.15        1.91        N/A        XXX
                                                      battery.
96150..............  ..............  A               Assess lth/behave,         0.50       0.19       0.18        0.02        0.71       0.70        XXX
                                                      init.
96151..............  ..............  A               Assess hlth/behave,        0.48       0.18       0.17        0.02        0.68       0.67        XXX
                                                      subseq.
96152..............  ..............  A               Intervene hlth/            0.46       0.18       0.17        0.02        0.66       0.65        XXX
                                                      behave, indiv.
96153..............  ..............  A               Intervene hlth/            0.10       0.04       0.04        0.01        0.15       0.15        XXX
                                                      behave, group.
96154..............  ..............  A               Interv hlth/behav,         0.45       0.17       0.16        0.02        0.64       0.63        XXX
                                                      fam w/pt.
96155..............  ..............  N               Interv hlth/behav          0.44       0.16       0.16        0.02        0.62       0.62        XXX
                                                      fam no pt.
96400..............  ..............  A               Chemotherapy, sc/im.       0.00       0.89        N/A        0.01        0.90        N/A        XXX

[[Page 49234]]

 
96405..............  ..............  A               Intralesional chemo        0.52       1.96       0.23        0.02        2.50       0.77        000
                                                      admin.
96406..............  ..............  A               Intralesional chemo        0.80       2.60       0.30        0.02        3.42       1.12        000
                                                      admin.
96408..............  ..............  A               Chemotherapy, push         0.00       0.97        N/A        0.05        1.02        N/A        XXX
                                                      technique.
96410..............  ..............  A               Chemotherapy,infusio       0.00       1.55        N/A        0.07        1.62        N/A        XXX
                                                      n method.
96412..............  ..............  A               Chemo, infuse method       0.00       1.15        N/A        0.06        1.21        N/A        ZZZ
                                                      add-on.
96414..............  ..............  A               Chemo, infuse method       0.00       1.33        N/A        0.07        1.40        N/A        XXX
                                                      add-on.
96420..............  ..............  A               Chemotherapy, push         0.00       1.25        N/A        0.07        1.32        N/A        XXX
                                                      technique.
96422..............  ..............  A               Chemotherapy,infusio       0.00       1.23        N/A        0.07        1.30        N/A        XXX
                                                      n method.
96423..............  ..............  A               Chemo, infuse method       0.00       0.48        N/A        0.02        0.50        N/A        ZZZ
                                                      add-on.
96425..............  ..............  A               Chemotherapy,infusio       0.00       1.43        N/A        0.07        1.50        N/A        XXX
                                                      n method.
96440..............  ..............  A               Chemotherapy,              2.37       7.46       1.05        0.12        9.95       3.54        000
                                                      intracavitary.
96445..............  ..............  A               Chemotherapy,              2.20       7.43       1.03        0.07        9.70       3.30        000
                                                      intracavitary.
96450..............  ..............  A               Chemotherapy, into         1.89       6.30       0.92        0.06        8.25       2.87        000
                                                      CNS.
96520..............  ..............  A               Port pump refill &         0.00       0.89        N/A        0.05        0.94        N/A        XXX
                                                      main.
96530..............  ..............  A               Syst pump refill &         0.00       1.06        N/A        0.05        1.11        N/A        XXX
                                                      main.
96542..............  ..............  A               Chemotherapy               1.42       3.83       0.55        0.05        5.30       2.02        XXX
                                                      injection.
96549..............  ..............  C               Chemotherapy,              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      unspecified.
96567..............  ..............  A               Photodynamic tx,           0.00       2.79        N/A        0.03        2.82        N/A        XXX
                                                      skin.
96570..............  ..............  A               Photodynamic tx, 30        1.10        N/A       0.37        0.04         N/A       1.51        ZZZ
                                                      min.
96571..............  ..............  A               Photodynamic tx,           0.55        N/A       0.20        0.02         N/A       0.77        ZZZ
                                                      addl 15 min.
96900..............  ..............  A               Ultraviolet light          0.00       0.49        N/A        0.02        0.51        N/A        XXX
                                                      therapy.
96902..............  ..............  B               Trichogram..........       0.41       0.25       0.16        0.01        0.67       0.58        XXX
96910..............  ..............  A               Photochemotherapy          0.00       1.09        N/A        0.03        1.12        N/A        XXX
                                                      with UV-B.
96912..............  ..............  A               Photochemotherapy          0.00       1.38        N/A        0.04        1.42        N/A        XXX
                                                      with UV-A.
96913..............  ..............  A               Photochemotherapy,         0.00       1.82        N/A        0.08        1.90        N/A        XXX
                                                      UV-A or B.
96920..............  ..............  A               Laser tx, skin < 250       1.15      14.89       0.45        0.09       16.13       1.69        000
                                                      sq cm.
96921..............  ..............  A               Laser tx, skin 250-        1.17      14.96       0.45        0.09       16.22       1.71        000
                                                      500 sq cm.
96922..............  ..............  A               Laser tx, skin  500 sq cm.
96999..............  ..............  C               Dermatological             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
97001..............  ..............  A               Pt evaluation.......       1.20       0.75       0.46        0.05        2.00       1.71        XXX
97002..............  ..............  A               Pt re-evaluation....       0.60       0.45       0.24        0.02        1.07       0.86        XXX
97003..............  ..............  A               Ot evaluation.......       1.20       0.88       0.41        0.05        2.13       1.66        XXX
97004..............  ..............  A               Ot re-evaluation....       0.60       0.63       0.20        0.02        1.25       0.82        XXX
97005..............  ..............  I               Athletic train eval.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
97006..............  ..............  I               Athletic train             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      reeval.
97010..............  ..............  B               Hot or cold packs          0.06       0.05        N/A        0.01        0.12        N/A        XXX
                                                      therapy.
97012..............  ..............  A               Mechanical traction        0.25       0.14        N/A        0.01        0.40        N/A        XXX
                                                      therapy.
97014..............  ..............  I               Electric stimulation       0.18       0.14        N/A        0.01        0.33        N/A        XXX
                                                      therapy.
97016..............  ..............  A               Vasopneumatic device       0.18       0.19        N/A        0.01        0.38        N/A        XXX
                                                      therapy.
97018..............  ..............  A               Paraffin bath              0.06       0.11        N/A        0.01        0.18        N/A        XXX
                                                      therapy.
97020..............  ..............  A               Microwave therapy...       0.06       0.06        N/A        0.01        0.13        N/A        XXX
97022..............  ..............  A               Whirlpool therapy...       0.17       0.22        N/A        0.01        0.40        N/A        XXX
97024..............  ..............  A               Diathermy treatment.       0.06       0.06        N/A        0.01        0.13        N/A        XXX
97026..............  ..............  A               Infrared therapy....       0.06       0.06        N/A        0.01        0.13        N/A        XXX
97028..............  ..............  A               Ultraviolet therapy.       0.08       0.07        N/A        0.01        0.16        N/A        XXX
97032..............  ..............  A               Electrical                 0.25       0.16        N/A        0.01        0.42        N/A        XXX
                                                      stimulation.
97033..............  ..............  A               Electric current           0.26       0.41        N/A        0.02        0.69        N/A        XXX
                                                      therapy.
97034..............  ..............  A               Contrast bath              0.21       0.16        N/A        0.01        0.38        N/A        XXX
                                                      therapy.

[[Page 49235]]

 
97035..............  ..............  A               Ultrasound therapy..       0.21       0.11        N/A        0.01        0.33        N/A        XXX
97036..............  ..............  A               Hydrotherapy........       0.28       0.33        N/A        0.01        0.62        N/A        XXX
97039..............  ..............  A               Physical therapy           0.20       0.11        N/A        0.01        0.32        N/A        XXX
                                                      treatment.
97110..............  ..............  A               Therapeutic                0.45       0.28        N/A        0.03        0.76        N/A        XXX
                                                      exercises.
97112..............  ..............  A               Neuromuscular              0.45       0.31        N/A        0.02        0.78        N/A        XXX
                                                      reeducation.
97113..............  ..............  A               Aquatic therapy/           0.44       0.41        N/A        0.03        0.88        N/A        XXX
                                                      exercises.
97116..............  ..............  A               Gait training              0.40       0.24        N/A        0.02        0.66        N/A        XXX
                                                      therapy.
97124..............  ..............  A               Massage therapy.....       0.35       0.23        N/A        0.01        0.59        N/A        XXX
97139..............  ..............  A               Physical medicine          0.21       0.21        N/A        0.01        0.43        N/A        XXX
                                                      procedure.
97140..............  ..............  A               Manual therapy......       0.43       0.26        N/A        0.02        0.71        N/A        XXX
97150..............  ..............  A               Group therapeutic          0.27       0.16        N/A        0.02        0.45        N/A        XXX
                                                      procedures.
97504..............  ..............  A               Orthotic training...       0.45       0.33        N/A        0.03        0.81        N/A        XXX
97520..............  ..............  A               Prosthetic training.       0.45       0.28        N/A        0.02        0.75        N/A        XXX
97530..............  ..............  A               Therapeutic                0.44       0.32        N/A        0.02        0.78        N/A        XXX
                                                      activities.
97532..............  ..............  A               Cognitive skills           0.44       0.21        N/A        0.01        0.66        N/A        XXX
                                                      development.
97533..............  ..............  A               Sensory integration.       0.44       0.24        N/A        0.01        0.69        N/A        XXX
97535..............  ..............  A               Self care mngment          0.45       0.34        N/A        0.02        0.81        N/A        XXX
                                                      training.
97537..............  ..............  A               Community/work             0.45       0.27        N/A        0.01        0.73        N/A        XXX
                                                      reintegration.
97542..............  ..............  A               Wheelchair mngment         0.45       0.28        N/A        0.01        0.74        N/A        XXX
                                                      training.
97545..............  ..............  R               Work hardening......       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        ZZZ
                                                      on.
97601..............  ..............  A               Wound(s) care,             0.50       0.50        N/A        0.04        1.04        N/A        XXX
                                                      selective.
97703..............  ..............  A               Prosthetic checkout.       0.25       0.42        N/A        0.02        0.69        N/A        XXX
97750..............  ..............  A               Physical performance       0.45       0.30        N/A        0.02        0.77        N/A        XXX
                                                      test.
97799..............  ..............  C               Physical medicine          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
97802..............  ..............  A               Medical nutrition,         0.00       0.47        N/A        0.01        0.48        N/A        XXX
                                                      indiv, in.
97803..............  ..............  A               Med nutrition,             0.00       0.47        N/A        0.01        0.48        N/A        XXX
                                                      indiv, subseq.
97804..............  ..............  A               Medical nutrition,         0.00       0.18        N/A        0.01        0.19        N/A        XXX
                                                      group.
98925..............  ..............  A               Osteopathic                0.45       0.33       0.14        0.01        0.79       0.60        000
                                                      manipulation.
98926..............  ..............  A               Osteopathic                0.65       0.43       0.25        0.02        1.10       0.92        000
                                                      manipulation.
98927..............  ..............  A               Osteopathic                0.87       0.52       0.30        0.03        1.42       1.20        000
                                                      manipulation.
98928..............  ..............  A               Osteopathic                1.03       0.61       0.35        0.03        1.67       1.41        000
                                                      manipulation.
98929..............  ..............  A               Osteopathic                1.19       0.69       0.37        0.04        1.92       1.60        000
                                                      manipulation.
98940..............  ..............  A               Chiropractic               0.45       0.24       0.12        0.01        0.70       0.58        000
                                                      manipulation.
98941..............  ..............  A               Chiropractic               0.65       0.30       0.18        0.02        0.97       0.85        000
                                                      manipulation.
98942..............  ..............  A               Chiropractic               0.87       0.37       0.24        0.03        1.27       1.14        000
                                                      manipulation.
98943..............  ..............  N               Chiropractic               0.40       0.25       0.15        0.01        0.66       0.56        XXX
                                                      manipulation.
99082..............  ..............  C               Unusual physician          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      travel.
99141..............  ..............  B               Sedation, iv/im or         0.80       1.99       0.39        0.04        2.83       1.23        XXX
                                                      inhalant.
99142..............  ..............  B               Sedation, oral/            0.60       1.03       0.31        0.03        1.66       0.94        XXX
                                                      rectal/nasal.
99170..............  ..............  A               Anogenital exam,           1.75       1.72       0.53        0.07        3.54       2.35        000
                                                      child.
99175..............  ..............  A               Induction of               0.00       1.39        N/A        0.08        1.47        N/A        XXX
                                                      vomiting.
99183..............  ..............  A               Hyperbaric oxygen          2.34       4.83       0.74        0.12        7.29       3.20        XXX
                                                      therapy.
99185..............  ..............  A               Regional hypothermia       0.00       0.64        N/A        0.03        0.67        N/A        XXX
99186..............  ..............  A               Total body                 0.00       1.78        N/A        0.37        2.15        N/A        XXX
                                                      hypothermia.
99195..............  ..............  A               Phlebotomy..........       0.00       0.44        N/A        0.02        0.46        N/A        XXX
99199..............  ..............  C               Special service/proc/      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      report.
99201..............  ..............  A               Office/outpatient          0.45       0.51       0.16        0.02        0.98       0.63        XXX
                                                      visit, new.
99202..............  ..............  A               Office/outpatient          0.88       0.81       0.32        0.05        1.74       1.25        XXX
                                                      visit, new.
99203..............  ..............  A               Office/outpatient          1.34       1.16       0.49        0.08        2.58       1.91        XXX
                                                      visit, new.
99204..............  ..............  A               Office/outpatient          2.00       1.54       0.72        0.10        3.64       2.82        XXX
                                                      visit, new.
99205..............  ..............  A               Office/outpatient          2.67       1.83       0.94        0.12        4.62       3.73        XXX
                                                      visit, new.
99211..............  ..............  A               Office/outpatient          0.17       0.41       0.06        0.01        0.59       0.24        XXX
                                                      visit, est.
99212..............  ..............  A               Office/outpatient          0.45       0.56       0.16        0.02        1.03       0.63        XXX
                                                      visit, est.
99213..............  ..............  A               Office/outpatient          0.67       0.72       0.23        0.03        1.42       0.93        XXX
                                                      visit, est.
99214..............  ..............  A               Office/outpatient          1.10       1.07       0.39        0.04        2.21       1.53        XXX
                                                      visit, est.
99215..............  ..............  A               Office/outpatient          1.77       1.37       0.63        0.07        3.21       2.47        XXX
                                                      visit, est.

[[Page 49236]]

 
99217..............  ..............  A               Observation care           1.28        N/A       0.54        0.05         N/A       1.87        XXX
                                                      discharge.
99218..............  ..............  A               Observation care....       1.28        N/A       0.44        0.05         N/A       1.77        XXX
99219..............  ..............  A               Observation care....       2.14        N/A       0.72        0.08         N/A       2.94        XXX
99220..............  ..............  A               Observation care....       2.99        N/A       1.03        0.11         N/A       4.13        XXX
99221..............  ..............  A               Initial hospital           1.28        N/A       0.45        0.05         N/A       1.78        XXX
                                                      care.
99222..............  ..............  A               Initial hospital           2.14        N/A       0.75        0.08         N/A       2.97        XXX
                                                      care.
99223..............  ..............  A               Initial hospital           2.99        N/A       1.04        0.10         N/A       4.13        XXX
                                                      care.
99231..............  ..............  A               Subsequent hospital        0.64        N/A       0.23        0.02         N/A       0.89        XXX
                                                      care.
99232..............  ..............  A               Subsequent hospital        1.06        N/A       0.37        0.03         N/A       1.46        XXX
                                                      care.
99233..............  ..............  A               Subsequent hospital        1.51        N/A       0.53        0.05         N/A       2.09        XXX
                                                      care.
99234..............  ..............  A               Observ/hosp same           2.56        N/A       1.00        0.11         N/A       3.67        XXX
                                                      date.
99235..............  ..............  A               Observ/hosp same           3.42        N/A       1.30        0.13         N/A       4.85        XXX
                                                      date.
99236..............  ..............  A               Observ/hosp same           4.27        N/A       1.59        0.17         N/A       6.03        XXX
                                                      date.
99238..............  ..............  A               Hospital discharge         1.28        N/A       0.55        0.04         N/A       1.87        XXX
                                                      day.
99239..............  ..............  A               Hospital discharge         1.75        N/A       0.74        0.05         N/A       2.54        XXX
                                                      day.
99241..............  ..............  A               Office consultation.       0.64       0.66       0.22        0.04        1.34       0.90        XXX
99242..............  ..............  A               Office consultation.       1.29       1.07       0.47        0.09        2.45       1.85        XXX
99243..............  ..............  A               Office consultation.       1.72       1.42       0.63        0.10        3.24       2.45        XXX
99244..............  ..............  A               Office consultation.       2.58       1.85       0.92        0.13        4.56       3.63        XXX
99245..............  ..............  A               Office consultation.       3.43       2.30       1.23        0.16        5.89       4.82        XXX
99251..............  ..............  A               Initial inpatient          0.66        N/A       0.25        0.04         N/A       0.95        XXX
                                                      consult.
99252..............  ..............  A               Initial inpatient          1.32        N/A       0.51        0.08         N/A       1.91        XXX
                                                      consult.
99253..............  ..............  A               Initial inpatient          1.82        N/A       0.69        0.09         N/A       2.60        XXX
                                                      consult.
99254..............  ..............  A               Initial inpatient          2.64        N/A       0.99        0.11         N/A       3.74        XXX
                                                      consult.
99255..............  ..............  A               Initial inpatient          3.65        N/A       1.36        0.15         N/A       5.16        XXX
                                                      consult.
99261..............  ..............  A               Follow-up inpatient        0.42        N/A       0.15        0.02         N/A       0.59        XXX
                                                      consult.
99262..............  ..............  A               Follow-up inpatient        0.85        N/A       0.31        0.03         N/A       1.19        XXX
                                                      consult.
99263..............  ..............  A               Follow-up inpatient        1.27        N/A       0.46        0.04         N/A       1.77        XXX
                                                      consult.
99271..............  ..............  A               Confirmatory               0.45       0.56       0.16        0.03        1.04       0.64        XXX
                                                      consultation.
99272..............  ..............  A               Confirmatory               0.84       0.83       0.31        0.06        1.73       1.21        XXX
                                                      consultation.
99273..............  ..............  A               Confirmatory               1.19       1.12       0.45        0.07        2.38       1.71        XXX
                                                      consultation.
99274..............  ..............  A               Confirmatory               1.73       1.38       0.65        0.09        3.20       2.47        XXX
                                                      consultation.
99275..............  ..............  A               Confirmatory               2.31       1.65       0.83        0.10        4.06       3.24        XXX
                                                      consultation.
99281..............  ..............  A               Emergency dept visit       0.33        N/A       0.09        0.02         N/A       0.44        XXX
99282..............  ..............  A               Emergency dept visit       0.55        N/A       0.15        0.03         N/A       0.73        XXX
99283..............  ..............  A               Emergency dept visit       1.24        N/A       0.31        0.08         N/A       1.63        XXX
99284..............  ..............  A               Emergency dept visit       1.95        N/A       0.48        0.12         N/A       2.55        XXX
99285..............  ..............  A               Emergency dept visit       3.06        N/A       0.73        0.19         N/A       3.98        XXX
99289..............  ..............  A               Ped crit care              4.80        N/A       1.70        0.14         N/A       6.64        XXX
                                                      transport.
99290..............  ..............  A               Ped crit care              2.40        N/A       0.84        0.07         N/A       3.31        ZZZ
                                                      transport addl.
99291..............  ..............  A               Critical care, first       4.00       2.39       1.30        0.14        6.53       5.44        XXX
                                                      hour.
99292..............  ..............  A               Critical care, addl        2.00       0.82       0.65        0.07        2.89       2.72        ZZZ
                                                      30 min.
99293..............  ..............  A               Ped critical care,        16.00        N/A       5.04        0.70         N/A      21.74        XXX
                                                      initial.
99294..............  ..............  A               Ped critical care,         8.00        N/A       2.52        0.23         N/A      10.75        XXX
                                                      subseq.
99295..............  ..............  A               Neonate crit care,        18.49        N/A       5.47        0.70         N/A      24.66        XXX
                                                      initial.
99296..............  ..............  A               Neonate critical           8.00        N/A       2.60        0.23         N/A      10.83        XXX
                                                      care subseq.
99298..............  ..............  A               Ic for lbw infant <        2.75        N/A       0.95        0.10         N/A       3.80        XXX
                                                      1500 gm.
99299..............  ..............  A               Ic, lbw infant 1500-       2.50        N/A       0.97        0.10         N/A       3.57        XXX
                                                      2500 gm.
99301..............  ..............  A               Nursing facility           1.20       0.43       0.43        0.04        1.67       1.67        XXX
                                                      care.
99302..............  ..............  A               Nursing facility           1.61       0.59       0.59        0.05        2.25       2.25        XXX
                                                      care.
99303..............  ..............  A               Nursing facility           2.01       0.72       0.72        0.06        2.79       2.79        XXX
                                                      care.
99311..............  ..............  A               Nursing fac care,          0.60       0.29       0.29        0.02        0.91       0.91        XXX
                                                      subseq.
99312..............  ..............  A               Nursing fac care,          1.00       0.47       0.47        0.03        1.50       1.50        XXX
                                                      subseq.
99313..............  ..............  A               Nursing fac care,          1.42       0.61       0.61        0.04        2.07       2.07        XXX
                                                      subseq.
99315..............  ..............  A               Nursing fac                1.13       0.47       0.38        0.04        1.64       1.55        XXX
                                                      discharge day.
99316..............  ..............  A               Nursing fac                1.50       0.63       0.52        0.05        2.18       2.07        XXX
                                                      discharge day.
99321..............  ..............  A               Rest home visit, new       0.71       0.35        N/A        0.02        1.08        N/A        XXX
                                                      patient.
99322..............  ..............  A               Rest home visit, new       1.01       0.47        N/A        0.03        1.51        N/A        XXX
                                                      patient.

[[Page 49237]]

 
99323..............  ..............  A               Rest home visit, new       1.28       0.57        N/A        0.04        1.89        N/A        XXX
                                                      patient.
99331..............  ..............  A               Rest home visit, est       0.60       0.33        N/A        0.02        0.95        N/A        XXX
                                                      pat.
99332..............  ..............  A               Rest home visit, est       0.80       0.40        N/A        0.03        1.23        N/A        XXX
                                                      pat.
99333..............  ..............  A               Rest home visit, est       1.00       0.47        N/A        0.03        1.50        N/A        XXX
                                                      pat.
99341..............  ..............  A               Home visit, new            1.01       0.49        N/A        0.05        1.55        N/A        XXX
                                                      patient.
99342..............  ..............  A               Home visit, new            1.52       0.69        N/A        0.05        2.26        N/A        XXX
                                                      patient.
99343..............  ..............  A               Home visit, new            2.27       0.96        N/A        0.07        3.30        N/A        XXX
                                                      patient.
99344..............  ..............  A               Home visit, new            3.03       1.21        N/A        0.10        4.34        N/A        XXX
                                                      patient.
99345..............  ..............  A               Home visit, new            3.79       1.47        N/A        0.12        5.38        N/A        XXX
                                                      patient.
99347..............  ..............  A               Home visit, est            0.76       0.41        N/A        0.03        1.20        N/A        XXX
                                                      patient.
99348..............  ..............  A               Home visit, est            1.26       0.59        N/A        0.04        1.89        N/A        XXX
                                                      patient.
99349..............  ..............  A               Home visit, est            2.02       0.86        N/A        0.06        2.94        N/A        XXX
                                                      patient.
99350..............  ..............  A               Home visit, est            3.03       1.21        N/A        0.10        4.34        N/A        XXX
                                                      patient.
99354..............  ..............  A               Prolonged service,         1.77       0.75       0.61        0.06        2.58       2.44        ZZZ
                                                      office.
99355..............  ..............  A               Prolonged service,         1.77       0.73       0.58        0.06        2.56       2.41        ZZZ
                                                      office.
99356..............  ..............  A               Prolonged service,         1.71        N/A       0.62        0.06         N/A       2.39        ZZZ
                                                      inpatient.
99357..............  ..............  A               Prolonged service,         1.71        N/A       0.64        0.06         N/A       2.41        ZZZ
                                                      inpatient.
99374..............  ..............  B               Home health care           1.10       0.71       0.43        0.04        1.85       1.57        XXX
                                                      supervision.
99375..............  ..............  I               Home health care           1.73       1.57       1.57        0.06        3.36       3.36        XXX
                                                      supervision.
99377..............  ..............  B               Hospice care               1.10       0.71       0.43        0.04        1.85       1.57        XXX
                                                      supervision.
99378..............  ..............  I               Hospice care               1.73       1.97       1.97        0.06        3.76       3.76        XXX
                                                      supervision.
99379..............  ..............  B               Nursing fac care           1.10       0.71       0.71        0.03        1.84       1.84        XXX
                                                      supervision.
99380..............  ..............  B               Nursing fac care           1.73       1.01       1.01        0.05        2.79       2.79        XXX
                                                      supervision.
99381..............  ..............  N               Prev visit, new,           1.19       1.19       0.46        0.04        2.42       1.69        XXX
                                                      infant.
99382..............  ..............  N               Prev visit, new, age       1.36       1.25       0.53        0.04        2.65       1.93        XXX
                                                      1-4.
99383..............  ..............  N               Prev visit, new, age       1.36       1.25       0.53        0.04        2.65       1.93        XXX
                                                      5-11.
99384..............  ..............  N               Prev visit, new, age       1.53       1.31       0.59        0.05        2.89       2.17        XXX
                                                      12-17.
99385..............  ..............  N               Prev visit, new, age       1.53       1.31       0.59        0.05        2.89       2.17        XXX
                                                      18-39.
99386..............  ..............  N               Prev visit, new, age       1.88       1.45       0.73        0.06        3.39       2.67        XXX
                                                      40-64.
99387..............  ..............  N               Prev visit, new, 65        2.06       1.61       0.80        0.06        3.73       2.92        XXX
                                                      & over.
99391..............  ..............  N               Prev visit, est,           1.02       1.03       0.40        0.03        2.08       1.45        XXX
                                                      infant.
99392..............  ..............  N               Prev visit, est, age       1.19       1.10       0.46        0.04        2.33       1.69        XXX
                                                      1-4.
99393..............  ..............  N               Prev visit, est, age       1.19       1.10       0.46        0.04        2.33       1.69        XXX
                                                      5-11.
99394..............  ..............  N               Prev visit, est, age       1.36       1.16       0.53        0.04        2.56       1.93        XXX
                                                      12-17.
99395..............  ..............  N               Prev visit, est, age       1.36       1.16       0.53        0.04        2.56       1.93        XXX
                                                      18-39.
99396..............  ..............  N               Prev visit, est, age       1.53       1.23       0.59        0.05        2.81       2.17        XXX
                                                      40-64.
99397..............  ..............  N               Prev visit, est, 65        1.71       1.27       0.66        0.05        3.03       2.42        XXX
                                                      & over.
99401..............  ..............  N               Preventive                 0.48       0.41       0.19        0.01        0.90       0.68        XXX
                                                      counseling, indiv.
99402..............  ..............  N               Preventive                 0.98       0.60       0.38        0.02        1.60       1.38        XXX
                                                      counseling, indiv.
99403..............  ..............  N               Preventive                 1.46       0.79       0.57        0.03        2.28       2.06        XXX
                                                      counseling, indiv.
99404..............  ..............  N               Preventive                 1.95       0.98       0.76        0.04        2.97       2.75        XXX
                                                      counseling, indiv.
99411..............  ..............  N               Preventive                 0.15       0.19       0.06        0.01        0.35       0.22        XXX
                                                      counseling, group.
99412..............  ..............  N               Preventive                 0.25       0.22       0.10        0.01        0.48       0.36        XXX
                                                      counseling, group.
99431..............  ..............  A               Initial care, normal       1.17        N/A       0.39        0.04         N/A       1.60        XXX
                                                      newborn.
99432..............  ..............  A               Newborn care, not in       1.26       0.92       0.41        0.06        2.24       1.73        XXX
                                                      hosp.
99433..............  ..............  A               Normal newborn care/       0.62        N/A       0.20        0.02         N/A       0.84        XXX
                                                      hospital.
99435..............  ..............  A               Newborn discharge          1.50        N/A       0.51        0.05         N/A       2.06        XXX
                                                      day hosp.
99436..............  ..............  A               Attendance, birth...       1.50        N/A       0.48        0.05         N/A       2.03        XXX
99440..............  ..............  A               Newborn                    2.93        N/A       0.94        0.11         N/A       3.98        XXX
                                                      resuscitation.
99455..............  ..............  R               Disability                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      examination.

[[Page 49238]]

 
99456..............  ..............  R               Disability                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      examination.
99499..............  ..............  C               Unlisted e&m service       0.00       0.00       0.00        0.00        0.00       0.00        XXX
99500..............  ..............  I               Home visit, prenatal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
99501..............  ..............  I               Home visit,                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      postnatal.
99502..............  ..............  I               Home visit, nb care.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
99503..............  ..............  I               Home visit, resp           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
99504..............  ..............  I               Home visit mech            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ventilator.
99505..............  ..............  I               Home visit, stoma          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      care.
99506..............  ..............  I               Home visit, im             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      injection.
99507..............  ..............  I               Home visit, cath           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maintain.
99509..............  ..............  I               Home visit day life        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      activity.
99510..............  ..............  I               Home visit, sing/m/        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      fam couns.
99511..............  ..............  I               Home visit, fecal/         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      enema mgmt.
99512..............  ..............  I               Home visit,                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hemodialysis.
99551..............  ..............  I               Home infus, pain           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mgmt, iv/sc.
99552..............  ..............  I               Hm infus pain mgmt,        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      epid/ith.
99553..............  ..............  I               Home infuse,               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tocolytic tx.
99554..............  ..............  I               Home infus, hormone/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      platelet.
99555..............  ..............  I               Home infuse,               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      chemotheraphy.
99556..............  ..............  I               Home infus, antibio/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      fung/vir.
99557..............  ..............  I               Home infuse,               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anticoagulant.
99558..............  ..............  I               Home infuse,               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      immunotherapy.
99559..............  ..............  I               Home infus, periton        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dialysis.
99560..............  ..............  I               Home infus, entero         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nutrition.
99561..............  ..............  I               Home infuse,               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hydration tx.
99562..............  ..............  I               Home infus, parent         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nutrition.
99563..............  ..............  I               Home admin,                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      pentamidine.
99564..............  ..............  I               Hme infus,                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      antihemophil agnt.
99565..............  ..............  I               Home infus,                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      proteinase inhib.
99566..............  ..............  I               Home infuse, iv            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      therapy.
99567..............  ..............  I               Home infuse, sympath       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      agent.
99568..............  ..............  I               Home infus, misc           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      drug, daily.
99569..............  ..............  I               Home infuse, each          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      addl tx.
99600..............  ..............  I               Home visit nos......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
A4890..............  ..............  R               Repair/maint cont          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hemo equip.
D0120..............  ..............  N               Periodic oral              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        XXX
                                                      problm focus.
D0150..............  ..............  R               Comprehensve oral          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        XXX
                                                      prob focus.
D0170..............  ..............  N               Re-eval,est                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      pt,problem focus.
D0180..............  ..............  N               Comp periodontal           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      evaluation.
D0210..............  ..............  I               Intraor complete           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      film series.
D0220..............  ..............  I               Intraoral periapical       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      first f.

[[Page 49239]]

 
D0230..............  ..............  I               Intraoral periapical       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ea add.
D0240..............  ..............  R               Intraoral occlusal         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      film.
D0250..............  ..............  R               Extraoral first film       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D0260..............  ..............  R               Extraoral ea               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        YYY
                                                      single film.
D0272..............  ..............  R               Dental bitewings two       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      films.
D0274..............  ..............  R               Dental bitewings           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      four films.
D0277..............  ..............  R               Vert bitewings-sev         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      to eight.
D0290..............  ..............  I               Dental film skull/         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      facial bon.
D0310..............  ..............  I               Dental saliography..       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        XXX
                                                      arthrogram incl i.
D0321..............  ..............  I               Dental other tmj           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        XXX
                                                      survey.
D0330..............  ..............  I               Dental panoramic           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      film.
D0340..............  ..............  I               Dental cephalometric       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      film.
D0350..............  ..............  I               Oral/facial images..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D0415..............  ..............  N               Bacteriologic study.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D0425..............  ..............  N               Caries                     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        YYY
D0470..............  ..............  N               Diagnostic casts....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D0472..............  ..............  R               Gross exam, prep &         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      report.
D0473..............  ..............  R               Micro exam, prep &         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      report.
D0474..............  ..............  R               Micro w exam of surg       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      margins.
D0480..............  ..............  R               Cytopath smear prep        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      & report.
D0502..............  ..............  R               Other oral pathology       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      procedu.
D0999..............  ..............  R               Unspecified                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        XXX
                                                      adult.
D1120..............  ..............  N               Dental prophylaxis         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        XXX
                                                      prophy child.
D1203..............  ..............  N               Topical fluor w/o          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        XXX
                                                      prophy adu.
D1205..............  ..............  N               Topical fluoride w/        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prophy a.
D1310..............  ..............  N               Nutri counsel-             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        XXX
D1330..............  ..............  N               Oral hygiene               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        XXX
                                                      tooth.
D1510..............  ..............  R               Space maintainer fxd       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      unilat.
D1515..............  ..............  R               Fixed bilat space          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      maintainer.
D1520..............  ..............  R               Remove unilat space        0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      maintain.
D1525..............  ..............  R               Remove bilat space         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        YYY
                                                      maintainer.
D2140..............  ..............  N               Amalgam one surface        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      permanen.
D2150..............  ..............  N               Amalgam two surfaces       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      permane.
D2160..............  ..............  N               Amalgam three              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surfaces perma.
D2161..............  ..............  N               Amalgam 4 or  surfaces perm.
D2330..............  ..............  N               Resin one surface-         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anterior.

[[Page 49240]]

 
D2331..............  ..............  N               Resin two surfaces-        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anterior.
D2332..............  ..............  N               Resin three surfaces-      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anterio.
D2335..............  ..............  N               Resin 4/        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surf or w incis an.
D2390..............  ..............  N               Ant resin-based            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      cmpst crown.
D2391..............  ..............  N               Post 1 srfc                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resinbased cmpst.
D2392..............  ..............  N               Post 2 srfc                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resinbased cmpst.
D2393..............  ..............  N               Post 3 srfc                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resinbased cmpst.
D2394..............  ..............  N               Post =4srfc resinbase
                                                      cmpst.
D2410..............  ..............  N               Dental gold foil one       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surface.
D2420..............  ..............  N               Dental gold foil two       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surface.
D2430..............  ..............  N               Dental gold foil           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      three surfa.
D2510..............  ..............  N               Dental inlay metalic       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      1 surf.
D2520..............  ..............  N               Dental inlay               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metallic 2 surf.
D2530..............  ..............  N               Dental inlay metl 3/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      more sur.
D2542..............  ..............  N               Dental onlay               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metallic 2 surf.
D2543..............  ..............  N               Dental onlay               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metallic 3 surf.
D2544..............  ..............  N               Dental onlay metl 4/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      more sur.
D2610..............  ..............  N               Inlay porcelain/           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        XXX
                                                      ceramic 2 su.
D2630..............  ..............  N               Dental onlay porc 3/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      more sur.
D2642..............  ..............  N               Dental onlay               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        XXX
                                                      porcelin 3 surf.
D2644..............  ..............  N               Dental onlay porc 4/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      more sur.
D2650..............  ..............  N               Inlay composite/           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        XXX
                                                      resin two su.
D2652..............  ..............  N               Dental inlay resin 3/      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mre sur.
D2662..............  ..............  N               Dental onlay resin 2       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surface.
D2663..............  ..............  N               Dental onlay resin 3       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surface.
D2664..............  ..............  N               Dental onlay resin 4/      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mre sur.
D2710..............  ..............  N               Crown resin                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      laboratory.
D2720..............  ..............  N               Crown resin w/ high        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble me.
D2721..............  ..............  N               Crown resin w/ base        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D2722..............  ..............  N               Crown resin w/ noble       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D2740..............  ..............  N               Crown porcelain/           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ceramic subs.
D2750..............  ..............  N               Crown porcelain w/ h       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble m.

[[Page 49241]]

 
D2751..............  ..............  N               Crown porcelain            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        XXX
                                                      noble met.
D2780..............  ..............  N               Crown 3/4 cast hi          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble met.
D2781..............  ..............  N               Crown 3/4 cast base        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D2782..............  ..............  N               Crown 3/4 cast noble       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D2783..............  ..............  N               Crown 3/4 porcelain/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ceramic.
D2790..............  ..............  N               Crown full cast high       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble m.
D2791..............  ..............  N               Crown full cast base       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D2792..............  ..............  N               Crown full cast            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble metal.
D2799..............  ..............  N               Provisional crown...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D2910..............  ..............  N               Dental recement            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        XXX
                                                      crown.
D2930..............  ..............  N               Prefab stnlss steel        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crwn pri.
D2931..............  ..............  N               Prefab stnlss steel        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crown pe.
D2932..............  ..............  N               Prefabricated resin        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crown.
D2933..............  ..............  N               Prefab stainless           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        XXX
                                                      filling.
D2950..............  ..............  N               Core build-up incl         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      any pins.
D2951..............  ..............  N               Tooth pin retention.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D2952..............  ..............  N               Post and core cast +       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crown.
D2953..............  ..............  N               Each addtnl cast           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      post.
D2954..............  ..............  N               Prefab post/core +         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        XXX
D2957..............  ..............  N               Each addtnl prefab         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      post.
D2960..............  ..............  N               Laminate labial            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        XXX
                                                      resin.
D2962..............  ..............  N               Lab labial veneer          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      porcelain.
D2970..............  ..............  R               Temporary- fractured       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      tooth.
D2980..............  ..............  N               Crown repair........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D2999..............  ..............  R               Dental unspec              0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      restorative pr.
D3110..............  ..............  N               Pulp cap direct.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3120..............  ..............  N               Pulp cap indirect...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3220..............  ..............  N               Therapeutic                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      pulpotomy.
D3221..............  ..............  N               Gross pulpal               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      debridement.
D3230..............  ..............  N               Pulpal therapy             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        XXX
                                                      posterior pri.
D3310..............  ..............  N               Anterior............       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3320..............  ..............  N               Root canal therapy 2       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      canals.
D3330..............  ..............  N               Root canal therapy 3       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      canals.
D3331..............  ..............  N               Non-surg tx root           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      canal obs.
D3332..............  ..............  N               Incomplete                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      endodontic tx.
D3333..............  ..............  N               Internal root repair       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3346..............  ..............  N               Retreat root canal         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anterior.
D3347..............  ..............  N               Retreat root canal         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      bicuspid.
D3348..............  ..............  N               Retreat root canal         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      molar.
D3351..............  ..............  N               Apexification/recalc       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      initial.
D3352..............  ..............  N               Apexification/recalc       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      interim.
D3353..............  ..............  N               Apexification/recalc       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      final.

[[Page 49242]]

 
D3410..............  ..............  N               Apicoect/perirad           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        XXX
                                                      bicuspid.
D3425..............  ..............  N               Root surgery molar..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3426..............  ..............  N               Root surgery ea add        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      root.
D3430..............  ..............  N               Retrograde filling..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3450..............  ..............  N               Root amputation.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D3460..............  ..............  R               Endodontic                 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        XXX
                                                      replantation.
D3910..............  ..............  N               Isolation- tooth w         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        XXX
D3950..............  ..............  N               Canal prep/fitting         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      of dowel.
D3999..............  ..............  R               Endodontic procedure       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D4210..............  ..............  I               Gingivectomy/plasty        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      per quad.
D4211..............  ..............  I               Gingivectomy/plasty        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      per toot.
D4240..............  ..............  N               Gingival flap proc w/      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                       planin.
D4241..............  ..............  N               Gngvl flap w               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      rootplan 1-3 th.
D4245..............  ..............  N               Apically positioned        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      flap.
D4249..............  ..............  N               Crown lengthen hard        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tissue.
D4260..............  ..............  R               Osseous surgery per        0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      quadrant.
D4261..............  ..............  N               Osseous surgl-             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      3teethperquad.
D4263..............  ..............  R               Bone replce graft          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        YYY
                                                      each add.
D4265..............  ..............  N               Bio mtrls to aid           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      soft/os reg.
D4266..............  ..............  N               Guided tiss regen          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resorble.
D4267..............  ..............  N               Guided tiss regen          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nonresorb.
D4268..............  ..............  R               Surgical revision          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
D4270..............  ..............  R               Pedicle soft tissue        0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      graft pr.
D4271..............  ..............  R               Free soft tissue           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      graft proc.
D4273..............  ..............  R               Subepithelial tissue       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      graft.
D4274..............  ..............  N               Distal/proximal            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      wedge proc.
D4275..............  ..............  N               Soft tissue                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      allograft.
D4276..............  ..............  N               Con tissue w dble          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ped graft.
D4320..............  ..............  N               Provision splnt            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      intracoronal.
D4321..............  ..............  N               Provisional splint         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      extracoro.
D4341..............  ..............  N               Periodontal scaling        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      & root.
D4342..............  ..............  N               Periodontal scaling        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      1-3teeth.
D4355..............  ..............  R               Full mouth                 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        YYY
                                                      delivery.
D4910..............  ..............  N               Periodontal maint          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedures.
D4920..............  ..............  N               Unscheduled dressing       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      change.
D4999..............  ..............  N               Unspecified                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        XXX
                                                      maxillary.
D5120..............  ..............  N               Dentures complete          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandible.

[[Page 49243]]

 
D5130..............  ..............  N               Dentures immediat          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxillary.
D5140..............  ..............  N               Dentures immediat          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandible.
D5211..............  ..............  N               Dentures maxill part       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resin.
D5212..............  ..............  N               Dentures mand part         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resin.
D5213..............  ..............  N               Dentures maxill part       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D5214..............  ..............  N               Dentures mandibl           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        XXX
                                                      denture.
D5410..............  ..............  N               Dentures adjust            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        XXX
                                                      cmplt mand.
D5421..............  ..............  N               Dentures adjust part       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxill.
D5422..............  ..............  N               Dentures adjust part       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandbl.
D5510..............  ..............  N               Dentur repr broken         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        XXX
                                                      teeth complt.
D5610..............  ..............  N               Dentures repair            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        XXX
                                                      cast frame.
D5630..............  ..............  N               Rep partial denture        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      clasp.
D5640..............  ..............  N               Replace part denture       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      teeth.
D5650..............  ..............  N               Add tooth to partial       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      denture.
D5660..............  ..............  N               Add clasp to partial       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      denture.
D5670..............  ..............  N               Replc tth&acrlc on         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl frmwk.
D5671..............  ..............  N               Replc tth&acrlc            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandibular.
D5710..............  ..............  N               Dentures rebase            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        XXX
                                                      cmplt mand.
D5720..............  ..............  N               Dentures rebase part       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxill.
D5721..............  ..............  N               Dentures rebase part       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandbl.
D5730..............  ..............  N               Denture reln cmplt         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        XXX
                                                      mand chr.
D5740..............  ..............  N               Denture reln part          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        XXX
                                                      mand chr.
D5750..............  ..............  N               Denture reln cmplt         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        XXX
                                                      mand lab.
D5760..............  ..............  N               Denture reln part          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        XXX
                                                      mand lab.
D5810..............  ..............  N               Denture interm cmplt       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxill.
D5811..............  ..............  N               Denture interm cmplt       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandbl.
D5820..............  ..............  N               Denture interm part        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxill.
D5821..............  ..............  N               Denture interm part        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandbl.
D5850..............  ..............  N               Denture tiss conditn       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxill.
D5851..............  ..............  N               Denture tiss condtin       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandbl.
D5860..............  ..............  N               Overdenture complete       0.00       0.00       0.00        0.00        0.00       0.00        XXX

[[Page 49244]]

 
D5861..............  ..............  N               Overdenture partial.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5862..............  ..............  N               Precision attachment       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5867..............  ..............  N               Replacement of             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      precision att.
D5875..............  ..............  N               Prosthesis                 0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      modification.
D5899..............  ..............  N               Removable                  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        YYY
                                                      sectional.
D5912..............  ..............  R               Facial moulage             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        XXX
D5914..............  ..............  I               Auricular prosthesis       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5915..............  ..............  I               Orbital prosthesis..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5916..............  ..............  I               Ocular prosthesis...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5919..............  ..............  I               Facial prosthesis...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5922..............  ..............  I               Nasal septal               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        XXX
                                                      interim.
D5924..............  ..............  I               Cranial prosthesis..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5925..............  ..............  I               Facial augmentation        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      implant.
D5926..............  ..............  I               Replacement nasal          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prosthesis.
D5927..............  ..............  I               Auricular                  0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      replacement.
D5928..............  ..............  I               Orbital replacement.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5929..............  ..............  I               Facial replacement..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5931..............  ..............  I               Surgical obturator..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5932..............  ..............  I               Postsurgical               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        XXX
                                                      obturator.
D5934..............  ..............  I               Mandibular flange          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prosthesis.
D5935..............  ..............  I               Mandibular denture         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prosth.
D5936..............  ..............  I               Temp obturator             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prosthesis.
D5937..............  ..............  I               Trismus appliance...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5951..............  ..............  R               Feeding aid.........       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D5952..............  ..............  I               Pediatric speech aid       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5953..............  ..............  I               Adult speech aid....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5954..............  ..............  I               Superimposed               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        XXX
                                                      prosthesis.
D5958..............  ..............  I               Intraoral con def          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        XXX
                                                      mod palat.
D5960..............  ..............  I               Modify speech aid          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      prosthesis.
D5982..............  ..............  I               Surgical stent......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5983..............  ..............  R               Radiation applicator       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D5984..............  ..............  R               Radiation shield....       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D5985..............  ..............  R               Radiation cone             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      locator.
D5986..............  ..............  N               Fluoride applicator.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5987..............  ..............  R               Commissure splint...       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D5988..............  ..............  I               Surgical splint.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D5999..............  ..............  I               Maxillofacial              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        XXX
                                                      implant.
D6020..............  ..............  I               Odontics abutment          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      placement.
D6040..............  ..............  I               Odontics eposteal          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      implant.
D6050..............  ..............  I               Odontics transosteal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      implnt.
D6053..............  ..............  N               Implnt/abtmnt spprt        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      remv dnt.
D6054..............  ..............  N               Implnt/abtmnt spprt        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      remvprtl.
D6055..............  ..............  I               Implant connecting         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      bar.
D6056..............  ..............  N               Prefabricated              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      abutment.
D6057..............  ..............  N               Custom abutment.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6058..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crown.

[[Page 49245]]

 
D6059..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6060..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6061..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6062..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6063..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6064..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6065..............  ..............  N               Implant supported          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crown.
D6066..............  ..............  N               Implant supported          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6067..............  ..............  N               Implant supported          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl crown.
D6068..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6069..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6070..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6071..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6072..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6073..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6074..............  ..............  N               Abutment supported         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6075..............  ..............  N               Implant supported          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6076..............  ..............  N               Implant supported          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6077..............  ..............  N               Implant supported          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6078..............  ..............  N               Implnt/abut suprtd         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      fixd dent.
D6079..............  ..............  N               Implnt/abut suprtd         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      fixd dent.
D6080..............  ..............  I               Implant maintenance.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6090..............  ..............  I               Repair implant......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6095..............  ..............  I               Odontics repr              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        XXX
D6199..............  ..............  I               Implant procedure...       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        XXX
                                                      noble metal.
D6211..............  ..............  N               Bridge base metal          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        XXX
                                                      cast.
D6240..............  ..............  N               Bridge porcelain           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        XXX
                                                      base metal.
D6242..............  ..............  N               Bridge porcelain           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nobel metal.
D6245..............  ..............  N               Bridge porcelain/          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ceramic.
D6250..............  ..............  N               Bridge resin w/high        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble.
D6251..............  ..............  N               Bridge resin base          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6252..............  ..............  N               Bridge resin w/noble       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6253..............  ..............  N               Provisional pontic..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6545..............  ..............  N               Dental retainr cast        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metl.
D6548..............  ..............  N               Porcelain/ceramic          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6600..............  ..............  N               Porcelain/ceramic          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      inlay 2srf.
D6601..............  ..............  N               Porc/ceram inlay = 3 surfac.
D6602..............  ..............  N               Cst hgh nble mtl           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      inlay 2 srf.

[[Page 49246]]

 
D6603..............  ..............  N               Cst hgh nble mtl           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      inlay =3sr.
D6604..............  ..............  N               Cst bse mtl inlay 2        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surfaces.
D6605..............  ..............  N               Cst bse mtl inlay          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      = 3
                                                      surfa.
D6606..............  ..............  N               Cast noble metal           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      inlay 2 sur.
D6607..............  ..............  N               Cst noble mtl inlay        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      =3 surf.
D6608..............  ..............  N               Onlay porc/crmc 2          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surfaces.
D6609..............  ..............  N               Onlay porc/crmc =3 surfaces.
D6610..............  ..............  N               Onlay cst hgh nbl          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl 2 srfc.
D6611..............  ..............  N               Onlay cst hgh nbl          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mtl =3srf.
D6612..............  ..............  N               Onlay cst base mtl 2       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surface.
D6613..............  ..............  N               Onlay cst base mtl         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      =3 surfa.
D6614..............  ..............  N               Onlay cst nbl mtl 2        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surfaces.
D6615..............  ..............  N               Onlay cst nbl mtl          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      =3
                                                      surfac.
D6720..............  ..............  N               Retain crown resin w       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hi nble.
D6721..............  ..............  N               Crown resin w/base         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6722..............  ..............  N               Crown resin w/noble        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6740..............  ..............  N               Crown porcelain/           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ceramic.
D6750..............  ..............  N               Crown porcelain high       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble.
D6751..............  ..............  N               Crown porcelain base       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6752..............  ..............  N               Crown porcelain            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      noble metal.
D6780..............  ..............  N               Crown 3/4 high noble       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6781..............  ..............  N               Crown 3/4 cast based       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6782..............  ..............  N               Crown 3/4 cast noble       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal.
D6783..............  ..............  N               Crown 3/4 porcelain/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ceramic.
D6790..............  ..............  N               Crown full high            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        XXX
                                                      metal cast.
D6792..............  ..............  N               Crown full noble           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      metal cast.
D6793..............  ..............  N               Provisional retainer       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      crown.
D6920..............  ..............  R               Dental connector bar       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D6930..............  ..............  N               Dental recement            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        XXX
D6950..............  ..............  N               Precision attachment       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6970..............  ..............  N               Post & core plus           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6971..............  ..............  N               Cast post bridge           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      retainer.
D6972..............  ..............  N               Prefab post & core         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        XXX
                                                      retainer.
D6975..............  ..............  N               Coping metal........       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6976..............  ..............  N               Each addtnl cast           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      post.
D6977..............  ..............  N               Each addtl prefab          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      post.
D6980..............  ..............  N               Bridge repair.......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D6985..............  ..............  N               Pediatric partial          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      denture fx.
D6999..............  ..............  N               Fixed prosthodontic        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      proc.

[[Page 49247]]

 
D7111..............  ..............  R               Coronal remnants           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      deciduous t.
D7140..............  ..............  R               Extraction erupted         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tooth/exr.
D7210..............  ..............  R               Rem imp tooth w            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        YYY
                                                      soft tiss.
D7230..............  ..............  R               Impact tooth remov         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        YYY
                                                      comp bony.
D7241..............  ..............  R               Impact tooth rem           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        YYY
D7260..............  ..............  R               Oral antral fistula        0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      closure.
D7261..............  ..............  R               Primary closure            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      sinus perf.
D7270..............  ..............  N               Tooth reimplantation       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D7272..............  ..............  N               Tooth                      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        XXX
                                                      tooth orthod.
D7281..............  ..............  N               Exposure tooth aid         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      eruption.
D7282..............  ..............  N               Mobilize erupted/          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      malpos toot.
D7285..............  ..............  I               Biopsy of oral             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        XXX
                                                      tissue soft.
D7287..............  ..............  I               Cytology sample            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      collection.
D7290..............  ..............  N               Repositioning of           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        YYY
                                                      fiberotomy.
D7310..............  ..............  I               Alveoplasty w/             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        XXX
                                                      extraction.
D7340..............  ..............  I               Vestibuloplasty            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        XXX
                                                      exten graft.
D7410..............  ..............  I               Rad exc lesion up to       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      1.25 cm.
D7411..............  ..............  I               Excision benign            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lesion1.
                                                      25c.
D7412..............  ..............  I               Excision benign            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lesion compl.
D7413..............  ..............  I               Excision malig             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lesion<=1.25c.
D7414..............  ..............  I               Excision malig             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lesion1.
                                                      25cm.
D7415..............  ..............  I               Excision malig les         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      complicat.
D7440..............  ..............  I               Malig tumor exc to         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        XXX
                                                      to 1.25cm.
D7451..............  ..............  I               Rem odontogen cyst         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        XXX
                                                      to 1.25cm.
D7461..............  ..............  I               Rem nonodonto cyst         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        XXX
D7471..............  ..............  I               Rem exostosis any          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      site.
D7472..............  ..............  I               Removal of torus           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      palatinus.
D7473..............  ..............  I               Remove torus               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandibularis.
D7485..............  ..............  I               Surg reduct                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      osseoustuberosit.
D7490..............  ..............  I               Mandible resection..       0.00       0.00       0.00        0.00        0.00       0.00        XXX

[[Page 49248]]

 
D7510..............  ..............  I               I&d absc intraoral         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        XXX
                                                      extraoral.
D7530..............  ..............  I               Removal fb skin/           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        XXX
                                                      reaction.
D7550..............  ..............  I               Removal of sloughed        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      off bone.
D7560..............  ..............  I               Maxillary sinusotomy       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D7610..............  ..............  I               Maxilla open reduct        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      simple.
D7620..............  ..............  I               Clsd reduct simpl          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxilla fx.
D7630..............  ..............  I               Open red simpl             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        XXX
                                                      mandible fx.
D7650..............  ..............  I               Open red simp malar/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      zygom fx.
D7660..............  ..............  I               Clsd red simp malar/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      zygom fx.
D7670..............  ..............  I               Closd rductn splint        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      alveolus.
D7671..............  ..............  I               Alveolus open              0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      reduction.
D7680..............  ..............  I               Reduct simple facial       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      bone fx.
D7710..............  ..............  I               Maxilla open reduct        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      compound.
D7720..............  ..............  I               Clsd reduct compd          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxilla fx.
D7730..............  ..............  I               Open reduct compd          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandble fx.
D7740..............  ..............  I               Clsd reduct compd          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      mandble fx.
D7750..............  ..............  I               Open red comp malar/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      zygma fx.
D7760..............  ..............  I               Clsd red comp malar/       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      zygma fx.
D7770..............  ..............  I               Open reduc compd           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      alveolus fx.
D7771..............  ..............  I               Alveolus clsd reduc        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      stblz te.
D7780..............  ..............  I               Reduct compnd facial       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      bone fx.
D7810..............  ..............  I               Tmj open reduct-           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dislocation.
D7820..............  ..............  I               Closed tmp                 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        XXX
                                                      under anest.
D7840..............  ..............  I               Removal of tmj             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        XXX
D7852..............  ..............  I               Tmj repair of joint        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      disc.
D7854..............  ..............  I               Tmj excisn of joint        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      membrane.
D7856..............  ..............  I               Tmj cutting of a           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        XXX
D7860..............  ..............  I               Tmj cutting into           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        XXX
                                                      components.
D7870..............  ..............  I               Tmj aspiration joint       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      fluid.
D7871..............  ..............  N               Lysis + lavage w           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      catheters.
D7872..............  ..............  I               Tmj diagnostic             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        XXX
                                                      lysis adhesn.
D7874..............  ..............  I               Tmj arthroscopy disc       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      reposit.
D7875..............  ..............  I               Tmj arthroscopy            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      synovectomy.

[[Page 49249]]

 
D7876..............  ..............  I               Tmj arthroscopy            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      discectomy.
D7877..............  ..............  I               Tmj arthroscopy            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      debridement.
D7880..............  ..............  I               Occlusal orthotic          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      appliance.
D7899..............  ..............  I               Tmj unspecified            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        XXX
                                                      wnd to 5cm.
D7911..............  ..............  I               Dental suture wound        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      to 5 cm.
D7912..............  ..............  I               Suture complicate          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        XXX
D7940..............  ..............  R               Reshaping bone             0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      orthognathic.
D7941..............  ..............  I               Bone cutting ramus         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      closed.
D7943..............  ..............  I               Cutting ramus open w/      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      graft.
D7944..............  ..............  I               Bone cutting               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        XXX
                                                      mandible.
D7946..............  ..............  I               Reconstruction             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      maxilla total.
D7947..............  ..............  I               Reconstruct maxilla        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      segment.
D7948..............  ..............  I               Reconstruct midface        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      no graft.
D7949..............  ..............  I               Reconstruct midface        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      w/graft.
D7950..............  ..............  I               Mandible graft......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D7955..............  ..............  I               Repair maxillofacial       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      defects.
D7960..............  ..............  I               Frenulectomy/              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        XXX
                                                      hyperplastic tissue.
D7971..............  ..............  I               Excision pericoronal       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gingiva.
D7972..............  ..............  I               Surg redct fibrous         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tuberosit.
D7980..............  ..............  I               Sialolithotomy......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D7981..............  ..............  I               Excision of salivary       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gland.
D7982..............  ..............  I               Sialodochoplasty....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D7983..............  ..............  I               Closure of salivary        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      fistula.
D7990..............  ..............  I               Emergency                  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        XXX
                                                      coronoidectomy.
D7995..............  ..............  I               Synthetic graft            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      facial bones.
D7996..............  ..............  I               Implant mandible for       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      augment.
D7997..............  ..............  N               Appliance removal...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D7999..............  ..............  I               Oral surgery               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        XXX
                                                      primary.
D8020..............  ..............  N               Limited dental tx          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      transition.
D8030..............  ..............  N               Limited dental tx          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      adolescent.
D8040..............  ..............  N               Limited dental tx          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        XXX
                                                      primary.
D8060..............  ..............  N               Intercep dental tx         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      transitn.
D8070..............  ..............  N               Compre dental tx           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      transition.
D8080..............  ..............  N               Compre dental tx           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      adolescent.
D8090..............  ..............  N               Compre dental tx           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        XXX
                                                      appliance tx.

[[Page 49250]]

 
D8220..............  ..............  N               Fixed appliance            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        XXX
                                                      visit.
D8670..............  ..............  N               Periodic orthodontc        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tx visit.
D8680..............  ..............  N               Orthodontic                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        XXX
                                                      treatment.
D8691..............  ..............  N               Repair ortho               0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      appliance.
D8692..............  ..............  N               Replacement retainer       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D8999..............  ..............  N               Orthodontic                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      procedure.
D9110..............  ..............  R               Tx dental pain minor       0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      proc.
D9210..............  ..............  I               Dent anesthesia w/o        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      surgery.
D9211..............  ..............  I               Regional block             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anesthesia.
D9212..............  ..............  I               Trigeminal block           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      anesthesia.
D9215..............  ..............  I               Local anesthesia....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9220..............  ..............  I               General anesthesia..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9221..............  ..............  I               General anesthesia         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        YYY
D9241..............  ..............  I               Intravenous sedation       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9242..............  ..............  I               IV sedation ea ad 30       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      m.
D9248..............  ..............  R               Sedation (non-iv)...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9310..............  ..............  I               Dental consultation.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9410..............  ..............  I               Dental house call...       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9420..............  ..............  I               Hospital call.......       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9430..............  ..............  I               Office visit during        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hours.
D9440..............  ..............  I               Office visit after         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      hours.
D9450..............  ..............  I               Case presentation tx       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      plan.
D9610..............  ..............  I               Dent therapeutic           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        YYY
                                                      medicaments.
D9910..............  ..............  N               Dent appl                  0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      desensitizing med.
D9911..............  ..............  N               Appl desensitizing         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resin.
D9920..............  ..............  N               Behavior management.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9930..............  ..............  R               Treatment of               0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      complications.
D9940..............  ..............  R               Dental occlusal            0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      guard.
D9941..............  ..............  N               Fabrication athletic       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      guard.
D9950..............  ..............  R               Occlusion analysis..       0.00       0.00       0.00        0.00        0.00       0.00        YYY
D9951..............  ..............  R               Limited occlusal           0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      adjustment.
D9952..............  ..............  R               Complete occlusal          0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      adjustment.
D9970..............  ..............  N               Enamel microabrasion       0.00       0.00       0.00        0.00        0.00       0.00        XXX
D9971..............  ..............  N               Odontoplasty 1-2           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      teeth.
D9972..............  ..............  N               Extrnl bleaching per       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      arch.
D9973..............  ..............  N               Extrnl bleaching per       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tooth.
D9974..............  ..............  N               Intrnl bleaching per       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      tooth.
D9999..............  ..............  I               Adjunctive procedure       0.00       0.00       0.00        0.00        0.00       0.00        XXX
G0001..............  ..............  X               Drawing blood for          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      specimen.
G0008..............  ..............  X               Admin influenza            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        XXX
                                                      vaccine.
G0010..............  ..............  X               Admin hepatitis b          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      vaccine.
G0030..............  ..............  C               PET imaging prev PET       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      single.
G0030..............  26............  A               PET imaging prev PET       1.50       0.60       0.60        0.04        2.14       2.14        XXX
                                                      single.
G0030..............  TC............  C               PET imaging prev PET       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      single.
G0031..............  ..............  C               PET imaging prev PET       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      multple.

[[Page 49251]]

 
G0031..............  26............  A               PET imaging prev PET       1.87       0.74       0.74        0.06        2.67       2.67        XXX
                                                      multple.
G0031..............  TC............  C               PET imaging prev PET       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      multple.
G0032..............  ..............  C               PET follow SPECT           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      78464 singl.
G0032..............  26............  A               PET follow SPECT           1.50       0.56       0.56        0.05        2.11       2.11        XXX
                                                      78464 singl.
G0032..............  TC............  C               PET follow SPECT           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       0.00        XXX
                                                      78464 mult.
G0033..............  26............  A               PET follow SPECT           1.87       0.75       0.75        0.06        2.68       2.68        XXX
                                                      78464 mult.
G0033..............  TC............  C               PET follow SPECT           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       0.00        XXX
                                                      76865 singl.
G0034..............  26............  A               PET follow SPECT           1.50       0.58       0.58        0.05        2.13       2.13        XXX
                                                      76865 singl.
G0034..............  TC............  C               PET follow SPECT           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       0.00        XXX
                                                      78465 mult.
G0035..............  26............  A               PET follow SPECT           1.87       0.74       0.74        0.06        2.67       2.67        XXX
                                                      78465 mult.
G0035..............  TC............  C               PET follow SPECT           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       0.00        XXX
                                                      angio sing.
G0036..............  26............  A               PET follow cornry          1.50       0.58       0.58        0.04        2.12       2.12        XXX
                                                      angio sing.
G0036..............  TC............  C               PET follow cornry          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       0.00        XXX
                                                      angio mult.
G0037..............  26............  A               PET follow cornry          1.87       0.73       0.73        0.06        2.66       2.66        XXX
                                                      angio mult.
G0037..............  TC............  C               PET follow cornry          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       0.00        XXX
                                                      perf sing.
G0038..............  26............  A               PET follow myocard         1.50       0.54       0.54        0.04        2.08       2.08        XXX
                                                      perf sing.
G0038..............  TC............  C               PET follow myocard         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       0.00        XXX
                                                      perf mult.
G0039..............  26............  A               PET follow myocard         1.87       0.73       0.73        0.07        2.67       2.67        XXX
                                                      perf mult.
G0039..............  TC............  C               PET follow myocard         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       0.00        XXX
                                                      echo singl.
G0040..............  26............  A               PET follow stress          1.50       0.61       0.61        0.04        2.15       2.15        XXX
                                                      echo singl.
G0040..............  TC............  C               PET follow stress          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       0.00        XXX
                                                      echo mult.
G0041..............  26............  A               PET follow stress          1.87       0.75       0.75        0.05        2.67       2.67        XXX
                                                      echo mult.
G0041..............  TC............  C               PET follow stress          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       0.00        XXX
                                                      ventriculogm sing.

[[Page 49252]]

 
G0042..............  26............  A               PET follow                 1.50       0.62       0.62        0.04        2.16       2.16        XXX
                                                      ventriculogm sing.
G0042..............  TC............  C               PET follow                 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       0.00        XXX
                                                      ventriculogm mult.
G0043..............  26............  A               PET follow                 1.87       0.76       0.76        0.06        2.69       2.69        XXX
                                                      ventriculogm mult.
G0043..............  TC............  C               PET follow                 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       0.00        XXX
                                                      ECG singl.
G0044..............  26............  A               PET following rest         1.50       0.61       0.61        0.04        2.15       2.15        XXX
                                                      ECG singl.
G0044..............  TC............  C               PET following rest         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       0.00        XXX
                                                      ECG mult.
G0045..............  26............  A               PET following rest         1.87       0.74       0.74        0.06        2.67       2.67        XXX
                                                      ECG mult.
G0045..............  TC............  C               PET following rest         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       0.00        XXX
                                                      ECG singl.
G0046..............  26............  A               PET follow stress          1.50       0.61       0.61        0.04        2.15       2.15        XXX
                                                      ECG singl.
G0046..............  TC............  C               PET follow stress          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       0.00        XXX
                                                      ECG mult.
G0047..............  26............  A               PET follow stress          1.87       0.75       0.75        0.06        2.68       2.68        XXX
                                                      ECG mult.
G0047..............  TC............  C               PET follow stress          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ECG mult.
G0101..............  ..............  A               CA screen;pelvic/          0.45       0.54       0.17        0.01        1.00       0.63        XXX
                                                      breast exam.
G0102..............  ..............  A               Prostate ca                0.17       0.41       0.06        0.01        0.59       0.24        XXX
                                                      screening; dre.
G0104..............  ..............  A               CA screen;flexi            0.96       2.25       0.53        0.05        3.26       1.54        000
                                                      sigmoidscope.
G0105..............  ..............  A               Colorectal scrn; hi        3.70       6.30       1.68        0.20       10.20       5.58        000
                                                      risk ind.
G0106..............  ..............  A               Colon CA                   0.99       2.57        N/A        0.15        3.71        N/A        XXX
                                                      screen;barium enema.
G0106..............  26............  A               Colon CA                   0.99       0.33       0.33        0.04        1.36       1.36        XXX
                                                      screen;barium enema.
G0106..............  TC............  A               Colon CA                   0.00       2.23        N/A        0.11        2.34        N/A        XXX
                                                      screen;barium enema.
G0108..............  ..............  A               Diab manage trn per        0.00       0.83        N/A        0.01        0.84        N/A        XXX
                                                      indiv.
G0109..............  ..............  A               Diab manage trn ind/       0.00       0.48        N/A        0.01        0.49        N/A        XXX
                                                      group.
G0110..............  ..............  R               Nett pulm-rehab            0.90       0.72       0.29        0.03        1.65       1.22        XXX
                                                      educ; ind.
G0111..............  ..............  R               Nett pulm-rehab            0.27       0.30       0.14        0.01        0.58       0.42        XXX
                                                      educ; group.
G0112..............  ..............  R               Nett;nutrition guid,       1.72       1.25       0.67        0.05        3.02       2.44        XXX
                                                      initial.
G0113..............  ..............  R               Nett;nutrition             1.29       0.85       0.42        0.04        2.18       1.75        XXX
                                                      guid,subseqnt.
G0114..............  ..............  R               Nett; psychosocial         1.20       0.49       0.38        0.03        1.72       1.61        XXX
                                                      consult.
G0115..............  ..............  R               Nett; psychological        1.20       0.64       0.38        0.04        1.88       1.62        XXX
                                                      testing.
G0116..............  ..............  R               Nett; psychosocial         1.11       1.02       0.34        0.04        2.17       1.49        XXX
                                                      counsel.
G0117..............  ..............  T               Glaucoma scrn hgh          0.45       0.72       0.19        0.02        1.19       0.66        XXX
                                                      risk direc.
G0118..............  ..............  T               Glaucoma scrn hgh          0.17       0.53       0.07        0.01        0.71       0.25        XXX
                                                      risk direc.
G0120..............  ..............  A               Colon ca scrn;             0.99       2.57        N/A        0.15        3.71        N/A        XXX
                                                      barium enema.
G0120..............  26............  A               Colon ca scrn;             0.99       0.33       0.33        0.04        1.36       1.36        XXX
                                                      barium enema.

[[Page 49253]]

 
G0120..............  TC............  A               Colon ca scrn;             0.00       2.23        N/A        0.11        2.34        N/A        XXX
                                                      barium enema.
G0121..............  ..............  A               Colon ca scrn not hi       3.70       6.30       1.68        0.20       10.20       5.58        000
                                                      rsk ind.
G0122..............  ..............  N               Colon ca scrn;             0.99       2.62        N/A        0.15        3.76        N/A        XXX
                                                      barium enema.
G0122..............  26............  N               Colon ca scrn;             0.99       0.38       0.38        0.04        1.41       1.41        XXX
                                                      barium enema.
G0122..............  TC............  N               Colon ca scrn;             0.00       2.23        N/A        0.11        2.34        N/A        XXX
                                                      barium enema.
G0124..............  ..............  A               Screen c/v thin            0.42       0.18       0.18        0.01        0.61       0.61        XXX
                                                      layer by MD.
G0125..............  ..............  C               PET image pulmonary        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nodule.
G0125..............  26............  A               PET image pulmonary        1.50       0.54       0.54        0.05        2.09       2.09        XXX
                                                      nodule.
G0125..............  TC............  C               PET image pulmonary        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      nodule.
G0127..............  ..............  R               Trim nail(s)........       0.17       0.26       0.07        0.01        0.44       0.25        000
G0128..............  ..............  R               CORF skilled nursing       0.08       0.03       0.03        0.01        0.12       0.12        XXX
                                                      service.
G0130..............  ..............  A               Single energy x-ray        0.22       0.88        N/A        0.05        1.15        N/A        XXX
                                                      study.
G0130..............  26............  A               Single energy x-ray        0.22       0.07       0.07        0.01        0.30       0.30        XXX
                                                      study.
G0130..............  TC............  A               Single energy x-ray        0.00       0.80        N/A        0.04        0.84        N/A        XXX
                                                      study.
G0141..............  ..............  A               Scr c/v cyto,autosys       0.42       0.18       0.18        0.01        0.61       0.61        XXX
                                                      and md.
G0166..............  ..............  A               Extrnl counterpulse,       0.07       2.93       0.03        0.01        3.01       0.11        XXX
                                                      per tx.
G0167..............  ..............  C               Hyperbaric oz tx;no        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      md reqrd.
G0168..............  ..............  A               Wound closure by           0.45       2.03       0.16        0.01        2.49       0.62        000
                                                      adhesive.
G0179..............  ..............  A               MD recertification         0.45       1.09        N/A        0.01        1.55        N/A        XXX
                                                      HHA PT.
G0180..............  ..............  A               MD certification HHA       0.67       1.32        N/A        0.02        2.01        N/A        XXX
                                                      patient.
G0181..............  ..............  A               Home health care           1.73       1.56        N/A        0.06        3.35        N/A        XXX
                                                      supervision.
G0182..............  ..............  A               Hospice care               1.73       1.75        N/A        0.06        3.54        N/A        XXX
                                                      supervision.
G0186..............  ..............  C               Dstry eye lesn,fdr         0.00       0.00       0.00        0.00        0.00       0.00        YYY
                                                      vssl tech.
G0202..............  ..............  A               Screeningmammography       0.70       2.78        N/A        0.09        3.57        N/A        XXX
                                                      digital.
G0202..............  26............  A               Screeningmammography       0.70       0.23       0.23        0.03        0.96       0.96        XXX
                                                      digital.
G0202..............  TC............  A               Screeningmammography       0.00       2.54        N/A        0.06        2.60        N/A        XXX
                                                      digital.
G0204..............  ..............  A               Diagnosticmammograph       0.87       2.80        N/A        0.10        3.77        N/A        XXX
                                                      ydigital.
G0204..............  26............  A               Diagnosticmammograph       0.87       0.29       0.29        0.04        1.20       1.20        XXX
                                                      ydigital.
G0204..............  TC............  A               Diagnosticmammograph       0.00       2.50        N/A        0.06        2.56        N/A        XXX
                                                      ydigital.
G0206..............  ..............  A               Diagnosticmammograph       0.70       2.26        N/A        0.09        3.05        N/A        XXX
                                                      ydigital.
G0206..............  26............  A               Diagnosticmammograph       0.70       0.23       0.23        0.04        0.97       0.97        XXX
                                                      ydigital.
G0206..............  TC............  A               Diagnosticmammograph       0.00       2.02        N/A        0.05        2.07        N/A        XXX
                                                      ydigital.
G0210..............  ..............  C               PET img wholebody          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dxlung.
G0210..............  26............  A               PET img wholebody          1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      dxlung.
G0210..............  TC............  C               PET img wholebody          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dxlung.
G0211..............  ..............  C               PET img wholbody           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init lung.

[[Page 49254]]

 
G0211..............  26............  A               PET img wholbody           1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      init lung.
G0211..............  TC............  C               PET img wholbody           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init lung.
G0212..............  ..............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restag lung.
G0212..............  26............  A               PET img wholebod           1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      restag lung.
G0212..............  TC............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restag lung.
G0213..............  ..............  C               PET img wholbody dx.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
G0213..............  26............  A               PET img wholbody dx.       1.50       0.52       0.52        0.04        2.06       2.06        XXX
G0213..............  TC............  C               PET img wholbody dx.       0.00       0.00       0.00        0.00        0.00       0.00        XXX
G0214..............  ..............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init.
G0214..............  26............  A               PET img wholebod           1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      init.
G0214..............  TC............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init.
G0215..............  ..............  C               PETimg wholebod            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restag.
G0215..............  26............  A               PETimg wholebod            1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      restag.
G0215..............  TC............  C               PETimg wholebod            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restag.
G0216..............  ..............  C               PET img wholebod dx        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      melanoma.
G0216..............  26............  A               PET img wholebod dx        1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      melanoma.
G0216..............  TC............  C               PET img wholebod dx        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      melanoma.
G0217..............  ..............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init melan.
G0217..............  26............  A               PET img wholebod           1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      init melan.
G0217..............  TC............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init melan.
G0218..............  ..............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restag mela.
G0218..............  26............  A               PET img wholebod           1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      restag mela.
G0218..............  TC............  C               PET img wholebod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restag mela.
G0220..............  ..............  C               PET img wholebod dx        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lymphoma.
G0220..............  26............  A               PET img wholebod dx        1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      lymphoma.
G0220..............  TC............  C               PET img wholebod dx        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      lymphoma.
G0221..............  ..............  C               PET imag wholbod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init lympho.
G0221..............  26............  A               PET imag wholbod           1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      init lympho.
G0221..............  TC............  C               PET imag wholbod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      init lympho.
G0222..............  ..............  C               PET imag wholbod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resta lymph.
G0222..............  26............  A               PET imag wholbod           1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      resta lymph.
G0222..............  TC............  C               PET imag wholbod           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      resta lymph.
G0223..............  ..............  C               PET imag wholbod reg       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dx head.
G0223..............  26............  A               PET imag wholbod reg       1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      dx head.
G0223..............  TC............  C               PET imag wholbod reg       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dx head.
G0224..............  ..............  C               PET imag wholbod reg       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ini hea.
G0224..............  26............  A               PET imag wholbod reg       1.50       0.52       0.52        0.04        2.06       2.06        XXX
                                                      ini hea.

[[Page 49255]]

 
G0224..............  TC............  C               PET imag wholbod reg       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ini hea.
G0225..............  ..............  C               PET whol restag            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      headneckonly.
G0225..............  26............  A               PET whol restag            1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      headneckonly.
G0225..............  TC............  C               PET whol restag            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      headneckonly.
G0226..............  ..............  C               PET img wholbody dx        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      esophagl.
G0226..............  26............  A               PET img wholbody dx        1.50       0.54       0.54        0.04        2.08       2.08        XXX
                                                      esophagl.
G0226..............  TC............  C               PET img wholbody dx        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      esophagl.
G0227..............  ..............  C               PET img wholbod ini        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      esophage.
G0227..............  26............  A               PET img wholbod ini        1.50       0.54       0.54        0.04        2.08       2.08        XXX
                                                      esophage.
G0227..............  TC............  C               PET img wholbod ini        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      esophage.
G0228..............  ..............  C               PET img wholbod            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restg esopha.
G0228..............  26............  A               PET img wholbod            1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      restg esopha.
G0228..............  TC............  C               PET img wholbod            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      restg esopha.
G0229..............  ..............  C               PET img metaboloc          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      brain pres.
G0229..............  26............  A               PET img metaboloc          1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      brain pres.
G0229..............  TC............  C               PET img metaboloc          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      brain pres.
G0230..............  ..............  C               PET myocard                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      viability post.
G0230..............  26............  A               PET myocard                1.50       0.55       0.55        0.04        2.09       2.09        XXX
                                                      viability post.
G0230..............  TC............  C               PET myocard                0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      viability post.
G0231..............  ..............  C               PET WhBD colorec;          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0231..............  26............  A               PET WhBD colorec;          1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      gamma cam.
G0231..............  TC............  C               PET WhBD colorec;          0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0232..............  ..............  C               PET whbd lymphoma;         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0232..............  26............  A               PET whbd lymphoma;         1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      gamma cam.
G0232..............  TC............  C               PET whbd lymphoma;         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0233..............  ..............  C               PET whbd melanoma;         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0233..............  26............  A               PET whbd melanoma;         1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      gamma cam.
G0233..............  TC............  C               PET whbd melanoma;         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0234..............  ..............  C               PET WhBD pulm nod;         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0234..............  26............  A               PET WhBD pulm nod;         1.50       0.53       0.53        0.04        2.07       2.07        XXX
                                                      gamma cam.
G0234..............  TC............  C               PET WhBD pulm nod;         0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      gamma cam.
G0236..............  ..............  A               Digital film convert       0.06       0.44        N/A        0.02        0.52        N/A        ZZZ
                                                      diag ma.
G0236..............  26............  A               Digital film convert       0.06       0.02       0.02        0.01        0.09       0.09        ZZZ
                                                      diag ma.
G0236..............  TC............  A               Digital film convert       0.00       0.42        N/A        0.01        0.43        N/A        ZZZ
                                                      diag ma.

[[Page 49256]]

 
G0237..............  ..............  A               Therapeutic procd          0.00       0.47        N/A        0.02        0.49        N/A        XXX
                                                      strg endur.
G0238..............  ..............  C               Oth resp proc, indiv       0.00       0.00       0.00        0.00        0.00       0.00        XXX
G0239..............  ..............  C               Oth resp proc, group       0.00       0.00       0.00        0.00        0.00       0.00        XXX
G0245..............  ..............  R               Initial foot exam pt       0.88       0.81       0.32        0.05        1.74       1.25        XXX
                                                      lops.
G0246..............  ..............  R               Followup eval of           0.45       0.56       0.16        0.02        1.03       0.63        XXX
                                                      foot pt lop.
G0247..............  ..............  R               Routine footcare pt        0.50       0.54       0.21        0.05        1.09       0.76        ZZZ
                                                      w lops.
G0248..............  ..............  R               Demonstrate use home       0.00       6.92        N/A        0.01        6.93        N/A        XXX
                                                      inr mon.
G0249..............  ..............  R               Provide test               0.00       4.12        N/A        0.01        4.13        N/A        XXX
                                                      material,equipm.
G0250..............  ..............  R               MD review interpret        0.18       0.06       0.06        0.01        0.25       0.25        XXX
                                                      of test.
G0252..............  26............  N               PET imaging initial        1.50       0.58       0.58        0.04        2.12       2.12        XXX
                                                      dx.
G0253..............  ..............  C               PET image brst             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dection recur.
G0253..............  26............  A               PET image brst             1.87       0.72       0.72        0.07        2.66       2.66        XXX
                                                      dection recur.
G0253..............  TC............  C               PET image brst             0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      dection recur.
G0254..............  ..............  C               PET image brst eval        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      to tx.
G0254..............  26............  A               PET image brst eval        1.87       0.72       0.72        0.07        2.66       2.66        XXX
                                                      to tx.
G0254..............  TC............  C               PET image brst eval        0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      to tx.
G0262..............  ..............  A               Sm intestinal image        2.12      20.88        N/A        0.08       23.08        N/A        XXX
                                                      capsule.
G0262..............  26............  A               Sm intestinal image        2.12       0.82       0.82        0.02        2.96       2.96        XXX
                                                      capsule.
G0262..............  TC............  A               Sm intestinal image        0.00      20.06        N/A        0.06       20.12        N/A        XXX
                                                      capsule.
G0268..............  ..............  A               Removal of impacted        0.61       0.66       0.25        0.04        1.31       0.90        000
                                                      wax md.
G0270..............  ..............  A               MNT subs tx for            0.00       0.47        N/A        0.01        0.48        N/A        XXX
                                                      change dx.
G0271..............  ..............  A               Group MNT 2 or more        0.00       0.18        N/A        0.01        0.19        N/A        XXX
                                                      30 mins.
G0272..............  ..............  A               Naso/oro gastric           0.32        N/A       0.12        0.02         N/A       0.46        000
                                                      tube pl MD.
G0273..............  ..............  A               Pretx planning, non-       0.86      11.40        N/A        0.28       12.54        N/A        XXX
                                                      Hodgkins.
G0273..............  26............  A               Pretx planning, non-       0.86       0.33       0.33        0.03        1.22       1.22        XXX
                                                      Hodgkins.
G0273..............  TC............  A               Pretx planning, non-       0.00      11.06        N/A        0.25       11.31        N/A        XXX
                                                      Hodgkins.
G0274..............  ..............  A               Radiopharm tx, non-        2.07       3.42        N/A        0.20        5.69        N/A        XXX
                                                      Hodgkins.
G0274..............  26............  A               Radiopharm tx, non-        2.07       0.80       0.80        0.08        2.95       2.95        XXX
                                                      Hodgkins.
G0274..............  TC............  A               Radiopharm tx, non-        0.00       2.62        N/A        0.12        2.74        N/A        XXX
                                                      Hodgkins.
G0275..............  ..............  A               Renal angio, cardiac       0.25        N/A       0.10        0.01         N/A       0.36        ZZZ
                                                      cath.
G0278..............  ..............  A               Iliac art                  0.25        N/A       0.10        0.01         N/A       0.36        ZZZ
                                                      angio,cardiac cath.
G0279..............  ..............  C               Excorp shock tx,           0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      elbow epi.
G0280..............  ..............  C               Excorp shock tx            0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      other than.
G0281..............  ..............  A               Elec stim unattend         0.18       0.11        N/A        0.01        0.30        N/A        XXX
                                                      for press.
G0283..............  ..............  A               Elec stim other than       0.18       0.11        N/A        0.01        0.30        N/A        XXX
                                                      wound.
G0288..............  ..............  A               Recon, CTA for surg        0.00      10.62        N/A        0.15       10.77        N/A        XXX
                                                      plan.
G0289..............  ..............  A               Arthro, loose body +       1.48        N/A       0.57        0.27         N/A       2.32        ZZZ
                                                      chondro.
Gxx10..............  ..............  A               ESRDrelsvc 1/mo; 2-        2.32       1.14       1.14        0.10        3.56       3.56        XXX
                                                      11yr.
Gxx11..............  ..............  A               ESRDrelsvc 4+/mo; 12-      8.47       4.54       4.54        0.35       13.36      13.36        XXX
                                                      19yr.
Gxx12..............  ..............  A               ESRDrelsvc 2-3/mo;         3.14       1.68       1.68        0.13        4.95       4.95        XXX
                                                      12-19yr.
Gxx13..............  ..............  A               ESRDrelsvc 1/mo; 12-       2.05       1.10       1.10        0.08        3.23       3.23        XXX
                                                      19yr.

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Gxx14..............  ..............  A               ESRDrelsvc 4+/mo;          5.16       2.94       2.94        0.22        8.32       8.32        XXX
                                                      20+yr.
Gxx15..............  ..............  A               ESRDrelsvc 2-3/mo;         1.94       1.10       1.10        0.08        3.12       3.12        XXX
                                                      20+yr.
Gxx16..............  ..............  A               ESRDrelsvc 1/mo;           1.27       0.73       0.73        0.06        2.06       2.06        XXX
                                                      20+yr.
Gxxx1..............  ..............  A               Monitor arrhyth/           0.52       7.45        N/A        0.24        8.21        N/A        XXX
                                                      30day.
Gxxx2..............  ..............  A               Monitor arrhyth/           0.00       1.24        N/A        0.07        1.31        N/A        XXX
                                                      30day;rec.
Gxxx3..............  ..............  A               Monitor arrhyth/           0.00       6.02        N/A        0.15        6.17        N/A        XXX
                                                      30day;analy.
Gxxx4..............  ..............  A               Monitor arrhyth/           0.52       0.19       0.19        0.02        0.73       0.73        XXX
                                                      30day;interp.
Gxxx5..............  ..............  A               ESRDrelsvc 4+/mo;         12.92       8.70       8.70        0.60       22.22      22.22        XXX
                                                      undr2.
Gxxx6..............  ..............  A               ESRDrelsvc 2-3/mo;         5.19       3.49       3.49        0.24        8.92       8.92        XXX
                                                      undr2.
Gxxx7..............  ..............  A               ESRDrelsvc 1/mo;           3.39       2.29       2.29        0.16        5.84       5.84        XXX
                                                      undr2.
Gxxx8..............  ..............  A               ESRDrelsvc 4+/mo; 2-       9.91       4.86       4.86        0.43       15.20      15.20        XXX
                                                      11yr.
Gxxx9..............  ..............  A               ESRDrelsvc 2-3/mo; 2-      3.55       1.74       1.74        0.15        5.44       5.44        XXX
                                                      11yr.
M0064..............  ..............  A               Visit for drug             0.37       0.34       0.12        0.01        0.72       0.50        XXX
                                                      monitoring.
P3001..............  ..............  A               Screening pap smear        0.42       0.18       0.18        0.01        0.61       0.61        XXX
                                                      by phys.
Q0035..............  ..............  A               Cardiokymography....       0.17       0.45        N/A        0.03        0.65        N/A        XXX
Q0035..............  26............  A               Cardiokymography....       0.17       0.07       0.07        0.01        0.25       0.25        XXX
Q0035..............  TC............  A               Cardiokymography....       0.00       0.39        N/A        0.02        0.41        N/A        XXX
Q0091..............  ..............  A               Obtaining screen pap       0.37       0.68       0.14        0.01        1.06       0.52        XXX
                                                      smear.
Q0092..............  ..............  A               Set up port xray           0.00       0.32        N/A        0.01        0.33        N/A        XXX
                                                      equipment.
R0070..............  ..............  C               Transport portable x-      0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      ray.
R0075..............  ..............  C               Transport port x-ray       0.00       0.00       0.00        0.00        0.00       0.00        XXX
                                                      multipl.
V5299..............  ..............  R               Hearing service.....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
V5362..............  ..............  R               Speech screening....       0.00       0.00       0.00        0.00        0.00       0.00        XXX
V5363..............  ..............  R               Language screening..       0.00       0.00       0.00        0.00        0.00       0.00        XXX
V5364..............  ..............  R               Dysphagia screening.       0.00       0.00       0.00        0.00        0.00       0.00       XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright American Medical Association. All Right Reserved. Applicable FARS/DFARS Apply.
\2\ Copyright American Dental Association. All right reserved.






  Federal Register / Vol. 68, No. 158 / Friday, August 15, 2003 / 
Proposed Rules  

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[FR Doc. 03-20662 Filed 8-8-03; 3:56 pm]
BILLING CODE 4120-01-C