[Federal Register Volume 71, Number 162 (Tuesday, August 22, 2006)]
[Proposed Rules]
[Pages 48982-49252]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-6843]
[[Page 48981]]
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Part II
Department of Health and Human Services
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Centers for Medicare & Medicaid Services
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42 CFR Parts 405, 410, et al.
Medicare Program; Revisions to Payment Policies Under the Physician
Fee Schedule for Calendar Year 2007 and Other Changes to Payment Under
Part B; Proposed Rule
Federal Register / Vol. 71, No. 162 / Tuesday, August 22, 2006 /
Proposed Rules
[[Page 48982]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 405, 410, 411, 414, 415, and 424
[CMS-1321-P]
RIN 0938-AO24
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule for Calendar Year 2007 and Other Changes to
Payment Under Part B
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule.
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SUMMARY: This proposed rule would address certain provisions of the
Deficit Reduction Act of 2005, as well as make other proposed changes
to Medicare Part B payment policy.
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. This proposed rule also discusses geographic
practice cost indices (GPCI) changes; requests for additions to the
list of telehealth services; payment for covered outpatient drugs and
biologicals; payment for renal dialysis services; policies related to
private contracts and opt-out; policies related to bone mass
measurement services, independent diagnostic testing facilities, the
physician self-referral prohibition; laboratory billing for the
technical component (TC) of physician pathology services; the clinical
laboratory fee schedule; certification of advanced practice nurses;
health information technology, and the health care information
transparency initiative.
DATES: Comment Date: Comments will be considered if we receive them at
one of the addresses provided below, no later than 5 p.m. on October
10, 2006.
ADDRESSES: In commenting, please refer to file code CMS-1321-P. Because
of staff and resource limitations, we cannot accept comments by
facsimile (fax) transmission.
You may submit comments in one of three ways (no duplicates,
please):
1. Electronically. You may submit electronic comments on specific
issues in this regulation to http://www.cms.hhs.gov/eRulemaking. Click
on the link ``Submit electronic comments on CMS regulations with an
open comment period.'' (Attachments should be in Microsoft Word,
WordPerfect, or Excel; however, we prefer Microsoft Word.)
2. By mail. You may 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-1321-
P, P.O. Box 8015, Baltimore, MD 21244-8015.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send 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-1321-P, Mail Stop C4-26-05, 7500 Security Boulevard,
Baltimore, MD 21244-1850.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments (one original and two copies) before the
close of the comment period to one of the following addresses. If you
intend to deliver your comments to the Baltimore address, please call
telephone number (410) 786-7197 in advance to schedule your arrival
with one of our staff members.
Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue,
SW., Washington, DC 20201; or 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 received after the comment
period.
Submission of comments on paperwork requirements. You may submit
comments on this document's paperwork requirements by mailing your
comments to the addresses provided at the end of the ``Collection of
Information Requirements'' section in this document.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Pam West, (410) 786-2302 (for issues
related to practice expense).
Stephanie Monroe, (410) 786-6864 (for issues related to the
geographic practice cost index).
Craig Dobyski, (410) 786-4584 (for issues related to list of
telehealth services).
Roberta Epps, (410) 786-4503 (for issues related to diagnostic
imaging services).
Bill Larson, (410) 786-4639 (for issues related to coverage of bone
mass measurement and addition of ultrasound screening for abdominal
aortic aneurysm to the ``Welcome to Medicare'' benefit).
Dorothy Shannon, (410) 786-3396 (for issues related to the
outpatient therapy cap).
Catherine Jansto, (410) 786-7762 (for issues related to payment for
covered outpatient drugs and biologicals).
Henry Richter, (410) 786-4562 (for issues related to payments for
end-stage renal disease facilities).
Fred Grabau, (410) 786-0206 (for issues related to private
contracts and opt-out provision).
Lisa Ohrin, (410) 786-4565 (for issues related to physician self-
referral prohibitions).
David Walczak (410) 786-4475 (for issues related to reassignment
provisions).
August Nemec (410) 786-0612 (for issues related to independent
diagnostic testing facilities).
Anita Greenberg, (410) 786-4601 (for issues related to the clinical
laboratory fee schedule).
James Menas (410) 786-4507 (for issues related to payment for
physician pathology services).
Diane Milstead, (410) 786-3355 or Gaysha Brooks (410) 786-9649 (for
all other issues).
SUPPLEMENTARY INFORMATION:
Submitting Comments: We welcome comments from the public on all
issues set forth in this rule to assist us in fully considering issues
and developing policies. You can assist us by referencing the file code
CMS-1321-P and the specific ``issue identifier'' that precedes the
section on which you choose to comment.
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment. We post all comments
received before the close of the comment period on the following Web
site as soon as possible after they have been received: http://www.cms.hhs.gov/eRulemaking. Click on the link ``Electronic Comments on
CMS Regulations'' on that Web site to view public comments.
Comments received timely will also be available for public
inspection as
[[Page 48983]]
they are received, 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 1-800-
743-3951.
Information on the physician fee schedule can be found on the CMS
homepage. You can access this data by using the following directions:
1. Go to the following Web site: http://www.cms.hhs.gov/PhysicianFeeSched/.
2. Select ``PFS Federal Regulation Notices.''
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 VI.
Table of Contents
I. Background
A. Development of the Relative Value System
1. Work RVUs
2. Practice Expense Relative Value Units (PE RVUs)
3. Resource-Based Malpractice RVUs
4. Refinements to the RVUs
5. Adjustments to RVUs Are Budget Neutral
B. Components of the Fee Schedule Payment Amounts
C. Most Recent Changes to the Fee Schedule
II. Provisions of the Proposed Rule
A. Resource-Based PE RVUs and Practice Expense Proposals for
Calendar Year 2007
B. Geographic Practice Cost Indices
C. Medicare Telehealth Services
D. Miscellaneous Coding Issues
1. Global Period for Remote Afterloading High Intensity
Brachytherapy Procedures
2. Assignment of RVUS to CPT Codes for Proton Beam Treatment
Delivery Services
E. Deficit Reduction Act (DRA) Related Proposals
1. Section 5102 of the DRA--Proposed Adjustments for Payments to
Imaging Services
2. Section 5107 of the DRA--Revisions to Payments for Therapy
Services
3. Section 5112 of the DRA--Proposed Addition of Ultrasound
Screening for Abdominal Aortic Aneurysm (AAA)
4. Section 5113 of the DRA--Proposed Non-Application of the Part
B Deductible for Colorectal Cancer Screening Tests
5. Section 5114--Proposed Addition of Diabetes Outpatient Self-
Management Training Services (DSMT) and Medical Nutrition Therapy
(MNT) for the FQHC Program
F. Proposed Payment for Covered Outpatient Drugs and Biologicals
(ASP Issues)
G. Proposed Provisions Related to Payment for Renal Dialysis
Services Furnished by End Stage Renal Disease (ESRD) Facilities
H. Private Contracts and Opt-Out Provision--Practitioner
Definition
I. Proposed Changes to Reassignment and Physician Self-Referral
Rules Relating to Diagnostic Tests
J. Supplier Access to Claims Billed on Reassignment
K. Coverage of Bone Mass Measurement Tests
L. Independent Diagnostic Testing Facility (IDTF) Issues
1. Proposed IDTF Changes in the Physician Fee Schedule Proposed
Rule
2. Proposed Performance Standards for IDTFs
3. Supervision
4. Place of Service
M. Independent Laboratory Billing for the Technical Component
(TC) of Physician Pathology Services to Hospital Patients
N. Public Consultation for Medicare Payment for New Outpatient
Clinical Diagnostic Laboratory Tests
O. Proposal To Establish Criteria for National Certifying Bodies
That Certify Advanced Practice Nurses
P. Chiropractic Services Demonstration
Q. Promoting Effective Use of Health Information Technology
R. Health Care Information Transparency Initiative
III. Collection of Information Requirements
IV. Response to Comments
V. Regulatory Impact Analysis
Regulation Text
Addendum A--Explanation and Use of Addendum B
Addendum B--2007 Relative Value Units and Related Information Used
in Determining Medicare Payments for 2007
Addendum C--Codes for Which We Received Practice Expense Review
Committee (PERC) Recommendations on Practice Expense Direct Cost
Inputs
Addendum D--2007 Geographic Practice Cost Indices (GPCIs) by
Medicare Carrier and Locality
Addendum E--2007 Geographic Adjustment Factors (GAF)
Addendum F--Proposed CPT/HCPCS Imaging Codes Defined by Section
5102(b) of the DRA
In addition, because of the many organizations and terms to
which we refer by acronym in this proposed final rule, we are
listing these acronyms and their corresponding terms in alphabetical
order below:
AADA American Academy of Dermatology Association
AAH American Association of Homecare
AAP Average acquisition price
ACC American College of Cardiology
ACG American College of Gastroenterology
ACHPN Advanced Certified Hospice and Palliative Nurse
ACOG American College of Obstetrics and Gynecology
ACR American College of Radiology
ADA American Dietetic Association
AFROC Association of Freestanding Radiation Oncology Centers
AGA American Gastroenterological Association
AHRQ Agency for Healthcare Research and Quality
AMA American Medical Association
AMP Average manufacturer price
ASA American Society of Anesthesiologists
ASGE American Society of Gastrointestinal Endoscopy
ASP Average sales price
ASTRO American Society for Therapeutic Radiation Oncology
ATA American Telemedicine Association
AUA American Urological Association
AWP Average wholesale price
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act of 1999
BES (Bureau of the Census) Business Expenditure Survey
BIPA Medicare, Medicaid, and SCHIP Benefits Improvement Protection
Act of 2000
BLS Bureau of Labor Statistics
BMD Bone mineral density
BMI Body mass index
BMM Bone mass measurement
BNF Budget neutrality factor
BP Best price
BSA Body surface area
CAH Critical access hospital
CAP College of American Pathologists
CBSA Core-Based Statistical Area
CCI Correct Coding Initiative
CF Conversion factor
CFR Code of Federal Regulations
CMA California Medical Association
CMS Centers for Medicare & Medicaid Services
CNS Clinical nurse specialist
CPEP Clinical Practice Expert Panel
CPI Consumer Price Index
CPO Care Plan Oversight
CPT (Physicians') Current Procedural Terminology (4th Edition, 2002,
copyrighted by the American Medical Association)
CRNA Certified Registered Nurse Anesthetist
CT Computed tomography
CTA Computed tomographic angiography
CY Calendar year
DHS Designated health services
DME Durable medical equipment
DMERC Durable Medical Equipment Regional Carrier
DRA Deficit Reduction Act
DSMT Diabetes outpatient self-management training services
DXA Dual energy x-ray absorptiometry
E&M Evaluation and management
EPO Erythopoeitin
ESRD End stage renal disease
FAX Facsimile
FI Fiscal intermediary
FR Federal Register
GAF Geographic adjustment factor
GAO General Accounting Office
GDP Gross domestic product
GPO Group purchasing organization
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GPCI Geographic practice cost index
HCPAC Health Care Professional Advisory Committee
HCPCS Healthcare Common Procedure Coding System
HCRIS Healthcare Cost Report Information System
HSA Health Savings Account
HHA Home health agency
HHS (Department of) Health and Human Services
HIT Health information technology
HOCM High osmolar contrast media
HPSA Health Professional Shortage Area
HRSA Health Resources Services Administration (HHS)
HUD (Department of) Housing and Urban Development
IDTF Independent diagnostic testing facility
IPF Inpatient psychiatric facility
IPPS Inpatient prospective payment system
IRF Inpatient rehabilitation facility
ISO Insurance Services Office
IVIG Intravenous immune globulin
JCAAI Joint Council of Allergy, Asthma, and Immunology
JUA Joint underwriting association
LCD Local coverage determination
LTCH Long-term care hospital
LOCM Low osmolar contrast media
LOINC[supreg] Logical Observation Identifiers Names and Codes
MA Medicare Advantage
MCAC Medicare Coverage Advisory Committee
MCG Medical College of Georgia
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MMA Medicare Prescription Drug, Improvement, and Modernization Act
of 2003
MNT Medical nutrition therapy
MRA Magnetic resonance angiography
MRI Magnetic resonance imaging
MSA Metropolitan statistical area
NCD National coverage determination
NCQDIS National Coalition of Quality Diagnostic Imaging Services
NDC National drug code
NECMA New England County Metropolitan Area
NECTA New England City and Town Area
NP Nurse practitioner
NPP Nonphysician practitioners
NPWP Nonphysician Work Pool
OBRA Omnibus Budget Reconciliation Act
OIG Office of Inspector General
OMB Office of Management and Budget
OPD Outpatient Department
OPPS Outpatient prospective payment system
OSCAR Online Survey and Certification and Reporting
PA Physician assistant
PBM Pharmacy benefit managers
PC Professional component
PE Practice Expense
PEAC Practice Expense Advisory Committee
PERC Practice Expense Review Committee
PET Positron emission tomography
PFS Physician Fee Schedule
PLI Professional liability insurance
PPI Producer price index
PPO Preferred provider organization
PPS Prospective payment system
PRA Paperwork Reduction Act
PT Physical therapy
QCT Quantitative computerized tomography
RFA Regulatory Flexibility Act
RIA Regulatory impact analysis
RN Registered nurse
RUC (AMA's Specialty Society) Relative (Value) Update Committee
RVU Relative value unit
SXA Single energy x-ray absorptiometry
SPA Single photon absorptiometry
SGR Sustainable growth rate
SMS (AMA's) Socioeconomic Monitoring System
SNF Skilled Nursing Facility
SNM Society for Nuclear Medicine
TA Technology Assessment
TC Technical Component
UAF Update adjustment factor
UPIN Unique Physician Identification Number
WAC Wholesale acquisition cost
WAMP Widely available market price
I. Background
[If you choose to comment on issues in this section, please include
the caption ``BACKGROUND'' at the beginning of your comments.]
Since January 1, 1992, Medicare has paid for physicians' services
under section 1848 of the Social Security Act (the Act), ``Payment for
Physicians' Services.'' The Act requires that payments under the
physician fee schedule (PFS) 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 (PE), and malpractice expense.
Before the establishment of the resource-based relative value system,
Medicare payment for physicians' services was based on reasonable
charges.
A. Development of the Relative Value System
1. Work RVUs
The concepts and methodology underlying the PFS were enacted as
part of the Omnibus Budget Reconciliation Act (OBRA) of 1989, Pub. L.
101-239, and OBRA 1990, (Pub. L. 101-508). The final rule, published
November 25, 1991 (56 FR 59502), set forth the fee schedule for payment
for physicians' services beginning January 1, 1992. Initially, only the
physician work RVUs were resource-based, and the PE and malpractice
RVUs were based on average allowable charges.
The physician work RVUs established for the implementation of the
fee schedule in January 1992 were developed with extensive input from
the physician community. A research team at the Harvard School of
Public Health developed the original physician work RVUs for most codes
in a cooperative agreement with the Department of Health and Human
Services (HHS). In constructing the code-specific vignettes for the
original physician work RVUs, Harvard worked with panels of experts,
both inside and outside the Federal government, and obtained input from
numerous physician specialty groups.
Section 1848(b)(2)(A) of the Act specifies that the RVUs for
radiology services are based on relative value scale we adopted under
section 1834(b)(1)(A) of the Act, (the American College of Radiology
(ACR) relative value scale), which we integrated into the overall PFS.
Section 1848(b)(2)(B) of the Act specifies that the RVUs for anesthesia
services are based on RVUs from a uniform relative value guide. We
established a separate conversion factor (CF) for anesthesia services,
and we continue to utilize time units as a factor in determining
payment for these services. As a result, there is a separate payment
methodology for anesthesia services.
We establish physician work RVUs for new and revised codes based on
recommendations received from the American Medical Association's (AMA)
Specialty Society Relative Value Update Committee (RUC).
2. Practice Expense Relative Value Units (PE RVUs)
Section 121 of the Social Security Act Amendments of 1994 (Pub. L.
103-432), enacted on October 31, 1994, amended section
1848(c)(2)(C)(ii) of the Act and required us to develop resource-based
PE RVUs for each physician's service beginning in 1998. We were to
consider general categories of expenses (such as office rent and wages
of personnel, but excluding malpractice expenses) comprising practice
expenses.
Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L.
105-33), amended section 1848(c)(2)(C)(ii) of the Act to delay
implementation of the resource-based PE RVU system until January 1,
1999. In addition, section 4505(b) of the BBA provided for a 4-year
transition period from charge-based PE RVUs to resource-based RVUs.
We established the resource-based PE RVUs for each physician's
service in a final rule, published November 2, 1998 (63 FR 58814),
effective for services furnished in 1999. Based on the requirement to
transition to a resource-based system for PE over a 4-year period,
resource-based PE RVUs did not become fully effective until 2002.
[[Page 48985]]
This resource-based system was based on two significant sources of
actual PE data: The Clinical Practice Expert Panel (CPEP) data and the
AMA's Socioeconomic Monitoring System (SMS) data. The CPEP data were
collected from panels of physicians, practice administrators, and
nonphysicians (for example, registered nurses) nominated by physician
specialty societies and other groups. The CPEP panels identified the
direct inputs required for each physician's service in both the office
setting and out-of-office setting. The AMA's SMS data provided
aggregate specialty-specific information on hours worked and practice
expenses.
Separate PE RVUs are established for procedures that can be
performed in both a nonfacility setting, such as a physician's office,
and a facility setting, such as a hospital outpatient department. The
difference between the facility and nonfacility RVUs reflects the fact
that a facility receives separate payment from Medicare for its costs
of providing the service, apart from payment under the PFS. The
nonfacility RVUs reflect all of the direct and indirect practice
expenses of providing a particular service.
Section 212 of the Balanced Budget Refinement Act of 1999 (BBRA)
(Pub. L. 106-113) directed the Secretary of Health and Human Services
(the Secretary) 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 to
supplement the data we normally collect in determining the PE
component. On May 3, 2000, we published the interim final rule (65 FR
25664) that set forth the criteria for the submission of these
supplemental PE survey data. The criteria were modified in response to
comments received, and published in the Federal Register (65 FR 65376)
as part of a November 1, 2000 final rule. The PFS final rules published
in 2001 and 2003, respectively, (66 FR 55246 and 68 FR 63196) extended
the period during which we would accept these supplemental data.
3. Resource-Based Malpractice RVUs
Section 4505(f) of the BBA amended section 1848(c) of the Act to
require us to implement resource-based malpractice RVUs for services
furnished on or after 2000. The resource-based malpractice RVUs were
implemented in the PFS final rule published November 2, 1999 (64 FR
59380). The malpractice RVUs were based on malpractice insurance
premium data collected from commercial and physician-owned insurers
from all the States, the District of Columbia, and Puerto Rico.
4. Refinements to the RVUs
Section 1848(c)(2)(B)(i) of the Act requires that we review all
RVUs no less often than every 5 years. The first 5-year review of the
physician work RVUs went into effect in 1997, published on November 22,
1996 (61 FR 59489). The second 5-year review went into effect in 2002,
published on November 1, 2001 (66 FR 55246). The next scheduled 5-year
review is scheduled to go into effect in 2007.
In 1999, the AMA's RUC established the Practice Expense Advisory
Committee (PEAC) for the purpose of refining the direct PE inputs.
Through March of 2004, the PEAC provided recommendations to CMS for
over 7,600 codes (all but a few hundred of the codes currently listed
in the AMA's Current Procedural Terminology (CPT) codes).
In the November 15, 2004, PFS final rule (69 FR 66236), we
implemented the first 5-year review of the malpractice RVUs (69 FR
66263).
5. Adjustments to RVUS Are Budget Neutral
Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments
in RVUs for a year may not cause total PFS payments to differ by more
than $20 million from what they would have been if the adjustments were
not made. In accordance with section 1848(c)(2)(B)(ii)(II) of the Act,
if adjustments to RVUs cause expenditures to change by more than $20
million, we make adjustments to ensure that expenditures do not
increase or decrease by more than $20 million.
B. Components of the Fee Schedule Payment Amounts
To calculate the payment for every physician service, the
components of the fee schedule (physician work, PE, and malpractice
RVUs) are adjusted by a geographic practice cost index (GPCI). The
GPCIs reflect the relative costs of physician work, PEs, and
malpractice insurance in an area compared to the national average costs
for each component.
Payments are converted to dollar amounts through the application of
a CF, which is calculated by the Office of the Actuary and is updated
annually for inflation.
The general formula for calculating the Medicare fee schedule
amount for a given service and fee schedule area can be expressed as:
Payment = [(RVU work x GPCI work) + (RVU PE x GPCI PE) + (RVU
malpractice x GPCI malpractice)] x CF.
(Note: As discussed in the June 29, 2006 proposed notice for the
Five-Year Review of Work Relative Value Units Under the Physician Fee
Schedule and Proposed Changes to the Practice Expense Methodology (71
FR 37170), we have proposed to establish a separate budget neutrality
adjustor that would be applied in the calculation of the work RVUs.
Application of this budget neutrality adjustor would enable us to meet
the budget neutrality provisions of section 1848(c)(2)(B)(ii) of the
Act.)
C. Most Recent Changes to the Fee Schedule
The final rule with comment period that appeared in the Federal
Register on November 21, 2005 (70 FR 70116) addressed Medicare Part B
payment policy, including the physician fee schedule, that is
applicable for calendar year (CY) 2006; and finalized certain
provisions of the interim final rule to implement the Competitive
Acquisition Program (CAP) for Part B Drugs.
It also revised Medicare Part B payment and related policies
regarding: Physician work, practice expense and malpractice RVUs;
Medicare telehealth services; multiple diagnostic imaging procedures;
covered outpatient drugs and biologicals; supplemental payments to
Federally Qualified Health Centers (FQHCs); renal dialysis services;
coverage for glaucoma screening services; National Coverage
Determination (NCD) timeframes; and physician referrals for nuclear
medicine services and supplies to health care entities with which
physicians have financial relationships.
In addition, the rule finalized the interim RVUs for CY 2005 and
issued interim RVUs for new and revised procedure codes for CY 2006.
The rule also updated the codes subject to the physician self-referral
prohibition and discussed payment policies relating to teaching
anesthesia services, therapy caps, private contracts and opt-out, and
chiropractic and oncology demonstrations.
In accordance with section 1848(d)(1)(E)(i) of the Act, we also
announced that the PFS update for CY 2006 would be -4.4 percent; the
initial estimate for the sustainable growth rate for CY 2006 would be
1.7; and the CF for CY 2006 would be $36.1770. However, subsequent to
publication of the CY 2005 PFS final rule with comment period, section
5104 of the Deficit Reduction Act (DRA) of 2005 (Pub. L. 109-171,
February 8, 2006), was enacted which amended section 1848(d)
[[Page 48986]]
of the statute to provide for a 0 percent update effective January 1,
2006.
We also note that the Five-Year Review of Work Relative Value Units
Under the Physician Fee Schedule and Proposed Changes to the Practice
Expense Methodology proposed notice appeared in the Federal Register on
June 29, 2006 (71 FR 37170). In that notice, we proposed revisions to
work RVUs affecting payment for physicians' services. The revisions
reflect changes in medical practice, coding changes, and new data on
relative value components that affect the relative amount of physician
work required to perform each service, as required by the statute. We
also proposed revisions to our methodology for calculating PE RVUs,
including changes based on supplemental survey data for PE. This
revised methodology would be used to establish payment for services
beginning January 1, 2007.
As indicated in the June 29, 2006 proposed notice, we will respond
to the comments received on that notice as part of the final Medicare
PFS rule for CY 2007 scheduled for publication this fall. If adopted,
the RVU revisions would be fully implemented for services furnished to
Medicare beneficiaries on or after January 1, 2007. The PE revisions
would be phased-in over a four-year period; although, as we gain
experience with the new methodology, we will reexamine this policy
beginning next year and propose necessary revisions through future
rulemaking.
II. Provisions of the Proposed Rule
[If you choose to comment on issues in this section, please include
the caption ``PROVISIONS'' at the beginning of your comments.]
A. Resource-Based Practice Expense (PE) RVU Proposals for CY 2007
Major changes to the PE methodology for 2007, as well as a detailed
discussion of the current PE methodology, are discussed in the June 29,
2006 proposed notice (71 FR 37170 through 37430).
This proposed rule contains proposals for direct PE including
clinical labor, medical supplies and medical equipment.
1. RUC Recommendations for Direct PE Inputs and Other PE Input Issues
The following discussions are proposals concerning direct PE
inputs.
(a) RUC Recommendations
The AMA's Relative Value Update Committee (RUC) established a new
committee, the Practice Expense Review Committee (PERC), to assist the
RUC in recommending direct PE inputs (clinical staff, supplies, and
equipment) for new and existing CPT codes.
The PERC reviewed the PE inputs for over 2000 existing codes, some
of which were unresolved PE issues from the CY 2006 PFS final rule with
comment period, at their meetings held in September 2005, February 2006
and April 2006. (A list of these reviewed codes can be found in
Addendum C of this proposed rule.)
We have reviewed the PERC-submitted recommendations and propose to
adopt all of them. We have worked with the AMA staff to make
corrections for any typographical errors and to ensure that previously
PEAC-accepted standards are incorporated in the recommendations.
The complete PERC recommendations and the revised PE database can
be found on our Web site. (See the SUPPLEMENTARY INFORMATION section of
this proposed rule for directions on accessing our Web site.)
(b) Standard Supplies and Equipment for 90-Day Global Codes
We are proposing to revise the CPEP supply and equipment inputs for
those 90-day global procedures for which the RUC has only refined the
clinical labor inputs. We are proposing to apply the standard supply
and equipment inputs for the facility setting for 90-day global
services to these remaining unrefined 90-day global procedure codes. As
recommended by the RUC, for supplies, we propose to include one minimum
supply visit package for each post-operative visit assigned to each
code and a post-surgical incision care kit (suture, staples, or both)
where appropriate, along with additional items recommended by the RUC
for certain procedures. For equipment, we are proposing to include an
exam table and light. However, there are several issues on which we
need input before we finalize the recommended standards. For example,
for many of the 90-day codes in question, the current supply input data
contain supplies in far larger quantities than are contained in either
the visit package or incision care kit. For other codes, the current
data includes items that are not contained in the package or kit. In
other cases, the recommendations from the RUC contain additional items
in quantities that appear excessive. We plan to work with all the
concerned specialties to ensure that the finalized inputs do represent
the typical supplies needed to perform each procedure.
Because the application of the 90-day global standard supplies and
equipment would result in the deletion of some original CPEP inputs, we
are requesting that all the medical specialties examine the direct PE
inputs on our Web site and let us know whether there are additional
items from the original CPEP data that are a necessary part of the
post-operative care and if the PE inputs listed are correct. (See the
SUPPLEMENTARY INFORMATION section of this proposed rule for directions
on accessing our Web site.)
2. Payment for Splint and Cast Supplies
In the PFS final rules published November 1999 (64 FR 59380) and
November 2000 (65 FR 65376), we removed splint and cast supplies from
the PE database for the CPT codes for fracture management and cast/
strapping application procedures. Because splint and cast supplies
could be separately billed using Healthcare Common Procedure Coding
System (HCPCS) codes (Q4001-Q4051) that were established for payment of
these supplies under section 1861(s)(5) of the Act, we did not want to
make duplicate payment under the PFS for these items.
In the CY 2006 PFS proposed rule (70 FR 70116), we proposed to
reinstate payment for all splints and cast supplies through the PE
component of the PFS because we believed we may have unintentionally
prohibited remuneration for these supplies when they are not used for
reduction of a fracture or dislocation (covered under section
1861(s)(5) of the Act), but rather are provided (and covered) as
``incident to'' a physician service under section 1861(s)(2)(A) of the
Act. This proposal was not finalized; however, in our final rule we
asked the medical specialties and the PERC to determine the typical
supplies for splints and casts necessary for each of the fracture
management codes and the cast/strapping application codes because we
wanted to make certain that the supply inputs were correct before we
proceeded with rulemaking for the CY 2007 PFS. At its February 2006
meeting, the PERC reviewed and approved the supply inputs submitted by
the AAOS for each CPT code for fracture management and cast/strapping
application and these were forwarded to us as PERC recommendations.
During this interim period we also reassessed the options for payment
of materials for splints and casts.
We believe that the majority of the splint and cast supplies that
are currently paid through the Q-codes are furnished in relationship to
cast/strapping procedures for the management of fractures and
dislocations. However, we did not intend for the medically necessary
[[Page 48987]]
splint and cast supplies used for other reasons (for example, serial
casting, wound care, or protection) not to be paid. Because it may be
difficult for the contractors to identify the purpose for the cast/
strapping application procedure on a claim form, we believe that
contractors may have been paying for the splint and cast supply Q-codes
when the service is performed for other purposes than treatment of
fractures and dislocations.
Since these splint and cast supplies can be covered under both
sections 1861(s)(5) and 1861(s)(2)(A) of the Act, we are proposing to
include payment for both statutory benefits using the separate HCPCS Q-
codes. This would allow for payment for these medically necessary
supplies whether based on sections 1861(s)(5) or 1861(s)(2)(A) of the
Act, while ensuring that no duplicate payments are made. Physicians
would continue to bill the HCPCS Q-codes, in addition to the cast/
strapping application procedure codes, to be paid for these materials.
The following supplies would continue to be paid separately using
the HCPCS Q-codes and would not be included in the PE database upon
adoption of this proposal:
Fiberglass roll.
Cast padding.
Cast shoe.
Stockingnet/stockinette.
Plaster bandage.
Denver splint.
Dome paste bandage.
Cast sole.
Elastoplast roll.
Fiberglass splint.
Ace wrap.
Kerlix.
Webril.
Malleable arch bars and elastics.
The splint and cast supplies would not be included in the PEs for
the following CPT codes:
24500 through 24685
25500 through 25695
26600 through 26785
27500 through 27566
27750 through 27848
28400 through 28675
29000 through 29750.
We are requesting input, specifically from medical specialties and
contractors on this proposal.
3. Medical Nutrition Therapy Services
In 2000, the Health Care Professional Advisory Committee (HCPAC)
recommended that we assign work RVUs to three new medical nutrition
therapy (MNT) CPT codes--97802 Medical nutrition therapy; initial
assessment and intervention, individual, face-to-face with the patient,
each 15 minutes at 0.45 RVUs, 97803 Medical nutrition therapy; re-
assessment and intervention, individual, face-to-face with the patient,
each 15 minutes at 0.37 RVUs, and 97804 Medical nutrition therapy;
group (two or more individuals), each 30 minutes at 0.25 RVUs. However,
during rulemaking for the CY 2001 PFS final rule, we indicated that MNT
was not covered because there was yet no statutory benefit category
that would allow medical nutritionists to bill these services. We also
did not accept the HCPAC recommendations for work RVUs for these MNT
services because the codes were designed for use only by nonphysicians.
The following year, section 105(c) of the Medicare, Medicaid, and SCHIP
Benefits Improvement Protection Act of 2000 (BIPA) provided for the
coverage of MNT services when furnished by registered dietitians or
nutritional professionals at 85 percent of the amount that a physician
would be paid for the same services. As a result, we established values
for these MNT services for the 2002 PFS. In keeping with our earlier
decision, we did not assign the HCPAC-recommended work values. However,
the associated work value for each code was utilized in the conversion
of work to clinical labor time for MNTs as part of the PE component. At
that time we received several comments, including one from the American
Dietetic Association (ADA), urging us to adopt the work values
recommended by the HCPAC.
More recently, the ADA has requested us to reconsider our decision
not to accept the HCPAC recommended work RVUs. The ADA contends that
the payment rate established by section 105(c) of BIPA, 85 percent of
the PFS amount that would be paid for the same service if furnished by
a physician, is based on the premise that work values are inherent to
these MNT services. The ADA believes that without work RVUs, the
payment for these services does not reflect 85 percent of what a
physician would be paid for performing the same service. Because these
MNT codes were created specifically for MNT professionals, the ADA
compared the work associated with their services to physician E/M
services of CPT 99203 and 99213, which have respective work RVUs of
1.34 and 0.67.
After reviewing the issues and relevant arguments raised by the
ADA, we are persuaded that it would be appropriate to include work RVUs
for the MNT services. Consequently, we are proposing to establish work
RVUs for each code at the level previously recommended by the HCPAC, as
follows:
CPT 97802 = 0.45 RVUs.
CPT 97803 = 0.37 RVUs.
CPT 97804 = 0.25.
Because we propose to add the work RVUs to these services, the MNT
clinical labor time in the direct input database would be removed with
the adoption of this proposal. Additionally, two HCPCS codes, G0270 MNT
subs tx for change dx and G0271 Group MNT 2 or more 30 mins were
created to track MNT services following the second referral in the same
year. These HCPCS codes correspond to CPT codes 97803 and 97804,
respectively. Therefore, we would also propose to add the same work
RVUs to these HCPCS codes and to delete the clinical labor inputs from
the PE database upon adoption of this policy. We encourage specialty
societies and other professional groups to comment on this proposal.
4. Surgical Pathology Codes
We heard from the College of American Pathologists (CAP) regarding
the equipment times assigned to CPT codes 88304 and 88305 in the basic
surgical pathology family of codes. While all six codes in this family
have been refined by the PEAC, this refinement occurred at 4 separate
PEAC meetings. CPT codes 88304 and 88305 were refined at the first PEAC
meeting in April 1999 before time standards were established for the
equipment at subsequent PEAC meetings when the other four CPT codes
88300, 88302, 88307, and 88309 were reviewed. Using our proposed
bottom-up PE methodology to value these codes, the lack of the
equipment time standards for CPT codes 88304 and 88305 create a rank-
order anomaly in this family. Consequently, CAP, after reviewing and
applying current standards for the equipment times, submitted suggested
revised equipment times to us. We are proposing to accept these times
and the proposed times will be reflected in the PE database on our Web
site (See the SUPPLEMENTARY INFORMATION section of this proposed notice
for directions on accessing our Web site.)
5. Other PE Issues
In the CY 2006 PFS final rule with comment period (70 FR 70116), we
explained that we were not implementing the PERC or other proposed PE
changes for CY 2006 due to issues with the PE methodology. In this
proposed rule, we are proposing that the PERC and other PE changes
originally proposed for CY 2006 would be implemented and effective with
the CY 2007 PFS. The following
[[Page 48988]]
subsections, (a) through (j), summarize the PE proposals from the CY
2006 PFS final rule with comment period that we are including in this
proposed rule. Additionally, we are including several other items which
concern inputs for PE that are discussed below in subsections (k)
through (n).
(a) PE Recommendations on CPEP Inputs for CY 2006
We are proposing to use a clinical labor time of 167 minutes for
the service period for CPT code 36522, Extracorporeal Photopheresis;
maintain the nonfacility setting PE RVUs for CPT code 78350, single
photon bone densitometry; and remove the PE inputs for the nonfacility
setting for CPT codes 76975, GI endoscopic ultrasound, and 15852,
Dressing change not for burn. (70 FR 70136 through 70137)
(b) Supply Items for CPT Code 95015 (Which Is Used for Intradermal
Allergy Tests With Drugs, Biologicals, or Venoms)
We are proposing to implement the allergy and immunology
specialty's recommendation to change the test substance in CPT code
95015 to venom, at $10.70 (from single antigen, at $5.18) and the
quantity to 0.3 ml (from 0.1 ml). (See 70 FR 70138.)
(c) Flow Cytometry Services
Based on information from the society representing independent
laboratories, we are proposing to implement the following direct PE
inputs:
Clinical Labor--We are proposing to change the staff type
in the service (intra) period in both CPT codes 88184 and 88185 to
cytotechnologist, at $0.45 per minute (currently lab technician, at
$0.33 per minute).
Supplies--We are proposing to change the antibody cost for
both CPT codes 88184 and 88185 to $8.50 (from $3.544).
Equipment--We are proposing to add the following equipment
to CPT code 88184:
+ Computer.
+ Printer.
+ Slide strainer.
+ Biohazard hood.
+ Wash assistant.
+ FAC loader.
+ We are proposing to add a computer and printer to the equipment
for CPT code 88185 (70 FR 70138).
(d) Low Osmolar Contrast Media (LOCM) and High Osmolar Contrast Media
(HOCM)
Because separate payment is available for both types of contrast
media, we are proposing to delete LOCM and HOCM from the PE database
with the CY 2007 PFS rule. (See 70 FR 70138).
(e) Imaging Rooms
We are proposing to implement the updates for the contents and
prices of 5 ``rooms'' used in imaging procedures including--
Basic radiology room;
Radiographic-fluoroscopic room;
Mammography room;
Computed tomography (CT) room; and
Magnetic resonance imaging (MRI) room (See 70 FR 70139).
(f) Equipment Pricing for Select Services and Procedures
We are proposing to accept the following equipment pricing
information provided by various specialty societies for select services
and procedures as discussed in the CY 2006 PFS final rule with comment
period. (See 70 FR 70139):
Equipment pricing for certain radiology services received
from the ACR as presented in Table 15 of the CY 2006 PFS proposed rule.
Equipment pricing on the ultrasound color doppler
transducers and vaginal probe received from the American College of
Obstetrics and Gynecology (ACOG).
For CPT 36522, extracorporeal photopheresis, equipment
pricing information specific to this procedure.
Pricing of EMG botox machine used in CPT code 92265 as
presented by the American Academy of Ophthalmology.
(g) Supply Item for In Situ Hybridization Codes (CPT Codes 88365,
88367, and 88368)
We are proposing to implement the Society for Clinical
Pathologists' request to change the probe quantity for CPT code 88367
In situ hybridization, auto to 1.5, equal to that of the other two
codes in the family.
(h) Supply Item for Percutaneous Vertebroplasty Procedures (CPT codes
22520 and 22525)
Based on documentation provided by the Society for Interventional
Radiology, we are proposing to implement a new price of $696.00 for the
vertebroplasty kit, to replace a temporary price of $660.50 that was a
placeholder price from the CY 2006 PFS final rule with comment period.
(See 70 FR 70139.)
(i) Clinical Labor for G-Codes Related to Home Health and Hospice
Physician Supervision, Certification and Recertification
We are proposing to apply the refinements made to the PE inputs to
CPT codes 99375 and 99378 for home health and hospice supervision to 4
G-codes that are related to home health and hospice physician
supervision, certification and recertification, G0179, GO180, GO181,
and GO182. These G-codes are incorrectly valued for clinical labor.
These G-codes are cross-walked from CPT codes 99375 and 99378, which
underwent PEAC refinement in January 2003 for the CY 2004 PFS. However,
at that time we inadvertently did not apply the new refinements to
these specific G-codes. (See 70 FR 70139 through 70140.)
(j) Programmers for Implantable Neurostimulators and Intrathecal Drug
Infusion Pumps
Although we had initially proposed, in the CY 2006 PFS proposed
rule, to remove two programmers from the PE database (EQ208 for
medication pump from two codes (CPT 62367 and 62368) and EQ209 for the
neurostimulator from 8 codes (CPT 95970-97979)), based on comments
received as discussed in the CY 2006 PFS final rule with comment period
(see 70 FR 70140), we determined that we will retain these programmers
in the database. In addition, we added ``with printer'' to the
description of EQ208 based on comments received. We are proposing to
implement these decisions for CY 2007.
(k) Cardiac Monitoring Services
We are requesting more specific PE information related to remote
cardiac monitoring services because these services do not fit the
direct PE model used for typical physician services. These services are
overwhelmingly performed by specialized independent diagnostic testing
facilities (IDTFs) that are paid under the PFS, but due to the
characteristics of cardiac monitoring services, frequently maintain
more extensive operating hours than the typical physician office.
Specifically, we are looking for data to indicate the typical number
and type of transmissions or other encounters per day between the
beneficiary and the IDTF for each of the remote monitoring services. We
would also like to know the number and type of clinical staff, as well
as the corresponding time, that are necessary to ensure appropriate
services are available for each patient. Additionally, we are
interested in identifying any other direct PE inputs for typical
supplies and equipment relating to these services, and any data that
would reflect indirect PEs, such as overhead and non-clinical payroll
expenses. We believe that the following codes represent atypical PE
scenarios
[[Page 48989]]
and would like to receive PE information regarding these services:
Cardiac event monitoring (CPT codes 93271, 93012 and
93270).
Pacemaker monitoring (CPT codes 93733 and 93736).
Holter monitoring (CPT codes 93232, 93226, 93231 and
93225).
INR monitoring (HCPCS codes G0248 and G0249).
(l) Clarification With Respect to Non-Facility PE RVUs
In the CY 2006 PFS final rule with comment (70 FR 70335) we
provided a clarification in Addendum A concerning use of ``NA'' in the
PE RVU columns for Addendum B. Commenters requested that further
clarification be made concerning the payment amount for procedures
performed in the non-facility setting if there is an ``NA'' in the non-
facility PE RVU column. Our policy is that if the Medicare carrier pays
for the service in the non-facility setting, the service will be paid
at the facility PE RVU rate. In this proposed rule, we are proposing
revisions to Addendum A to include this clarification.
(m) Supply for CPT Code 50384, Removal (via Snare/Capture) of
Internally Dwelling Ureteral Stent Via Percutaneous Approach, Including
Radiological Supervision and Interpretation
Upon review of the RUC-recommended direct PE inputs for CPT 50384,
a new procedure for CPT 2006, we identified the inappropriate inclusion
of a ureteral stent that we are proposing to delete for CY 2007. We
believe that the addition of the ureteral stent, valued by the
specialty at $162, to CPT code 50384, which is the procedure for the
removal of a stent, was an inadvertent error by the specialty during
the April 2005 RUC meeting.
(n) Supply and Equipment Items Needing Specialty Input
We have identified certain supply and equipment items for which we
were unable to verify the pricing information (see Table 1: Supply
Items Needing Specialty Input for Pricing and Table 2: Equipment Items
Needing Specialty Input for Pricing). During the CY 2006 rulemaking
process, we listed both supply and equipment items for which pricing
documentation was needed from the medical specialty societies and, for
many of these items, we received sufficient documentation in the form
of catalog listings, vendor Web sites, invoices, and manufacturer
quotes. We have accepted the documented prices for many of these items
and these prices are reflected in the PE RVUs in Addendum B of this
proposed rule. The items listed below in Tables 1 and 2 represent the
outstanding items from CY 2006 and new items added from the current RUC
recommendations. We are requesting that commenters provide pricing
information on items in these tables along with acceptable
documentation, as noted in the footnote to each table, to support
recommended prices. For supplies or equipment that have previously
appeared on this list, and for which we received no or inadequate
documentation, we are proposing to delete these items unless we receive
adequate information to support current pricing by the conclusion of
the comment period for this proposed rule.
BILLING CODE 4120-01-P
[[Page 48990]]
[GRAPHIC] [TIFF OMITTED] TP22AU06.000
[[Page 48991]]
[GRAPHIC] [TIFF OMITTED] TP22AU06.001
[[Page 48992]]
[GRAPHIC] [TIFF OMITTED] TP22AU06.002
BILLING CODE 4120-01-C
[[Page 48993]]
B. Geographic Practice Cost Indices (GPCI)
[If you choose to comment on issues in this section, please include
the caption ``GPCI'' at the beginning of your comments.]
Section 1848(e)(1)(A) of the Act requires us to develop separate
GPCIs to measure resource cost differences among localities compared to
the national average for each of the three fee schedule components.
While requiring that the PE and malpractice GPCIs reflect the full
relative cost differences, section 1848(e)(1)(A)(iii) of the Act
requires that the physician work GPCIs reflect only one-quarter of the
relative cost differences compared to the national average.
Section 1848(e)(1)(C) of the Act requires us, in consultation with
appropriate physician representatives, to review the GPCIs at least
every 3 years and allows us to make adjustments based on our review.
This section of the Act also requires us to phase-in the adjustment
over 2 years, implementing only one-half of any adjustment in the first
year if more than 1 year has elapsed since the last GPCI revision. The
GPCIs were first implemented in 1992. The first review and revision was
implemented in 1995 and the last GPCI revision was implemented in 2005.
The next update is scheduled to be implemented in January 2008.
We do not anticipate proposing significant changes to the GPCIs in
response to changes in the source data. There have been no new Census
data to affect the work GPCI, the PE GPCI will reflect any changes in
the Department of Housing and Urban Development (HUD) rental data, and
the malpractice GPCI (based on malpractice RVUs) will reflect the
national claims-based premium data for 2004 and 2005. Details of the
methodology, data sources, and adjustments to the GPCIs will be made
available for public comment in the CY 2008 PFS proposed rule.
In addition, section 412 of the MMA amended section 1848(e)(1) of
the Act to establish a floor of 1.0 for the work GPCI for any locality
where the GPCI would otherwise fall below 1.0 for purposes of payment
for services furnished on or after January 1, 2004 and before January
1, 2007. Beginning on January 1, 2007, the 1.00 floor will be removed
and the work GPCI will revert to the fully implemented value. The
values for the work GPCI and subsequent changes to the Geographic
Adjustment Factor (GAF) published in this proposed rule reflect the
removal of the 1.0 floor. For many payment localities this change had
no impact on the GAF; however, the GAFs for a number of payment
localities were reduced due to this change. The impact of this change
on the GAFs for those payment localities is shown below in Table 3.
The proposed GPCIs for 2007 are shown in Addendum D and the
proposed GAFs for 2007 are shown in Addendum E. The GPCIs shown in
Addendum D are fully implemented and reflect 2007 budget neutrality
scaling coefficients provided by the Office of the Actuary.
Table 3.--Payment Localities With Negative Percent Change in GAF 1
Between 2006 and 2007 Due to Removal of the 1.000 Work Floor
------------------------------------------------------------------------
Percent
Locality name 2006 GAF 2007 GAF change
------------------------------------------------------------------------
Fort Worth, TX......................... 0.998 0.996 -0.17
Rest of Michigan....................... 0.986 0.984 -0.20
Rest of New York....................... 0.952 0.950 -0.21
Rest of Maryland....................... 0.982 0.978 -0.36
Metropolitan St. Louis, MO............. 0.978 0.974 -0.41
Rest of Pennsylvania................... 0.950 0.946 -0.44
Ohio................................... 0.970 0.966 -0.44
Austin, TX............................. 1.020 1.015 -0.47
New Hampshire.......................... 1.010 1.005 -0.50
Minnesota.............................. 0.980 0.975 -0.53
Galveston, TX.......................... 0.991 0.986 -0.54
Metropolitan Kansas City, MO........... 0.987 0.981 -0.56
Fort Lauderdale, FL.................... 1.022 1.016 -0.59
Arizona................................ 0.999 0.993 -0.65
Wisconsin.............................. 0.956 0.950 -0.65
Colorado............................... 0.998 0.991 -0.67
East St. Louis, IL..................... 1.003 0.996 -0.68
New Orleans, LA........................ 0.984 0.977 -0.73
Rest of Washington..................... 0.984 0.976 -0.77
Indiana................................ 0.937 0.930 -0.79
Beaumont, TX........................... 0.951 0.942 -0.96
Alabama................................ 0.923 0.914 -0.99
Virginia............................... 0.958 0.948 -1.06
Southern Maine......................... 0.992 0.981 -1.09
Rest of Georgia........................ 0.943 0.932 -1.14
Tennessee.............................. 0.933 0.921 -1.27
Utah................................... 0.960 0.948 -1.30
South Carolina......................... 0.930 0.917 -1.41
Rest of Illinois....................... 0.952 0.938 -1.43
Rest of Florida........................ 0.982 0.968 -1.45
West Virginia.......................... 0.942 0.928 -1.47
North Carolina......................... 0.951 0.936 -1.55
New Mexico............................. 0.947 0.932 -1.57
Kansas*................................ 0.934 0.919 -1.60
Rest of Louisiana...................... 0.936 0.919 -1.78
Kentucky............................... 0.932 0.915 -1.80
Kansas*................................ 0.936 0.919 -1.81
Rest of Oregon......................... 0.946 0.929 -1.81
[[Page 48994]]
Vermont................................ 0.968 0.950 -1.82
Virgin Islands......................... 1.007 0.989 -1.83
Rest of Texas.......................... 0.947 0.929 -1.87
Idaho.................................. 0.922 0.904 -1.91
Iowa................................... 0.927 0.909 -1.97
Rest of Maine.......................... 0.936 0.916 -2.14
Oklahoma............................... 0.913 0.893 -2.14
Mississippi............................ 0.919 0.898 -2.31
Arkansas............................... 0.905 0.884 -2.34
Puerto Rico............................ 0.905 0.883 -2.44
Nebraska............................... 0.925 0.902 -2.44
Wyoming................................ 0.934 0.910 -2.55
Montana................................ 0.928 0.902 -2.83
Rest of Missouri *..................... 0.910 0.883 -2.97
North Dakota........................... 0.924 0.895 -3.16
South Dakota........................... 0.922 0.891 -3.35
------------------------------------------------------------------------
\1\ Calculation for the GAF: (.52466*work gpci) + (.03865*mp gpci) +
(.52466*pe gpci).
In the CY 2005 PFS proposed rule, published August 15, 2004, we
discussed the issue of changes to the GPCI payment localities (69 FR
47504). In that proposed rule, we noted that we look for the support of
a State medical society as the impetus for changes to existing payment
localities. Because the GPCIs for each locality are calculated using
the average of the county-specific data from all of the counties in the
locality, removing high cost counties from a locality will result in
lower GPCIs for the remaining counties. Therefore, because of this
redistributive impact, we have refrained, in the past, from making
changes to payment localities unless the State medical association
provides evidence that any proposed change has statewide support.
We would be interested in receiving suggestions on alternative ways
that we could administratively reconfigure payment localities that
could be developed and proposed in future rulemaking. In addition,
MEDPAC and the GAO have both expressed interest in studying the
physician payment localities. CMS intends to work with both groups to
study our current methodology and develop alternative options.
C. Medicare Telehealth Services
[If you choose to comment on issues in this section, please include
the caption ``TELEHEALTH'' at the beginning of your comments.]
1. Requests for Adding Services to the List of Medicare Telehealth
Services
Section 1834(m)(4)(F) of the Act defines telehealth services as
professional consultations, office visits, and office psychiatry
services (identified as of July 1, 2000 by CPT codes 99241 through
99275, 99201 through 99215, 90804 through 90809, and 90862) and any
additional service specified by the Secretary. In addition, the statute
requires us to establish a process for adding services to or deleting
services from the list of telehealth services on an annual basis.
In the December 31, 2002 Federal Register (67 FR 79988), we
established a process for adding services to or deleting services from
the list of Medicare telehealth services. This process provides the
public an ongoing opportunity to submit requests for adding services.
We assign any request to make additions to the list of Medicare
telehealth services to one of the following categories:
Category #1: Services that are similar to office and other
outpatient visits, consultation, and office psychiatry services. In
reviewing these requests, we look for similarities between the proposed
and existing telehealth services for the roles of, and interactions
among, the beneficiary, the physician (or other practitioner) at the
distant site and, if necessary, the telepresenter. We also look for
similarities in the telecommunications system used to deliver the
proposed service, for example, the use of interactive audio and video
equipment.
Category #2: Services that are not similar to the current
list of telehealth services. Our review of these requests includes an
assessment of whether the use of a telecommunications system to deliver
the service produces similar diagnostic findings or therapeutic
interventions as compared with the face[pi]to[pi]face ``hands on''
delivery of the same service. Requestors should submit evidence showing
that the use of a telecommunications system does not affect the
diagnosis or treatment plan as compared to a face[pi]to[pi]face
delivery of the requested service.
Since establishing the process, we have added the following to the
list of Medicare telehealth services: psychiatric diagnostic interview
examination; ESRD services with two to three visits per month and four
or more visits per month (although we require at least one visit a
month by a physician, CNS, NP, or PA to examine the vascular access
site); and individual medical nutritional therapy.
Requests to add services to the list of Medicare telehealth
services must be submitted and received no later than December 31 of
each CY to be considered for the next proposed rule. For example,
requests submitted before the end of CY 2005 are considered for the CY
2007 proposed rule. For more information on submitting a request for an
addition to the list of Medicare telehealth services, visit our Web
site at www.cms.hhs.gov/telehealth.
2. Submitted Requests for Addition to the List of Telehealth Services
We received the following requests for additional approved services
in CY 2005: (1) Nursing facility care; (2) speech language pathology;
(3) audiology; and (4) physical therapy services. The following is a
discussion of the requests submitted in CY 2005.
Nursing Facility Care
The American Telemedicine Association (ATA) and an individual
practitioner submitted a request to add the following services: Initial
nursing facility care (as represented by HCPCS
[[Page 48995]]
codes 99304 through 99306); subsequent nursing facility care (HCPCS
codes 99307 through 99310); nursing facility discharge services (HCPCS
codes 99315 and 99316); and other nursing facility services as
described by HCPCS code 99318. The requestors explained that the
primary purpose of using telehealth in the Skilled Nursing Facility
(SNF) setting is to provide urgent consultation when the patient has a
sudden change in his or her condition, and to provide increased
availability to primary and specialty care on days when the physician
is not present in the SNF or when traveling is a hardship. The
requestors believe that the current list of Medicare telehealth
services is not appropriate because the list does not include codes
that are specifically intended for nursing facility residents.
CMS Review
Nursing Facility Care
Section 1834(m)(C)(ii) of the Act defines a telehealth originating
site as a physician's or practitioner's office; or a hospital, critical
access hospital (CAH), rural health clinic, or FQHC. SNFs are not
defined in the statute as originating sites.
However, section 418 of the MMA required the Health Resources
Services Administration (HRSA), a component of HHS, in consultation
with CMS, to conduct an evaluation of demonstration projects under
which SNFs, as defined in section 1819(a) of the Act, are treated as
originating sites for Medicare telehealth services. The MMA also
required the Secretary to submit a report to the Congress that includes
recommendations on ``mechanisms to ensure that permitting a SNF to
serve as an originating site for the use of telehealth services or any
other service delivered via a telecommunications system does not serve
as a substitute for in-person visits furnished by a physician, or for
in-person visits furnished by a physician assistant (PA), nurse
practitioner (NP), or clinical nurse specialist (CNS), as is otherwise
required by the Secretary'' and provides the authority to include SNFs
as a Medicare telehealth originating site, if the Secretary concludes
in the report that it is advisable to do so and that mechanisms could
be established to ensure that the use of a telecommunications system
does not serve as a substitute for the required in-person physician or
practitioner SNF visits. This report is currently under review in DHHS.
Given that SNFs are not defined in the statute as a telehealth
originating site and the report to the Congress, as discussed above, is
currently being reviewed within DHHS, we cannot consider approving
nursing facility care for telehealth at this time. We will review and
consider the recommendations of the report to the Congress once it is
issued. If it is determined that SNFs should be added as an originating
site, this change will be considered in future rulemaking.
Speech Language Pathology, Audiology and Physical Therapy
The ATA and an individual practitioner submitted a request to add
various speech therapy, audiology and physical therapy services to the
list of Medicare telehealth services. The requestors also asked us to
add physical therapists, speech language pathologists and audiologists
to the list of approved telehealth practitioners.
CMS Review
Physical therapists, speech language pathologists and audiologists
are not permitted under current law to provide and receive payment for
Medicare telehealth services at the distant site. The statute permits
only a physician, as defined by section 1861(r) of the Act or a
practitioner as described in section 1842(b)(18)(C) of the Act (CNS,
NP, PA, nurse midwife, clinical psychologist, clinical social worker,
registered dietitian or other nutrition professional), to furnish
Medicare telehealth services. Since speech language pathologists,
audiologists and physical therapists are not permitted under current
law to provide and receive payment for Medicare telehealth services at
the distant site, we cannot fully consider the request to add speech
therapy, audiology services and physical therapy to the list of
Medicare telehealth services. We are exploring this issue as part of a
report to the Congress (required by section 223(d) of BIPA) on
additional sites and settings, geographic areas, and types of non-
physician practitioners that could be reimbursed for the provision of
telehealth services.
D. Miscellaneous Coding Issues
[If you choose to comment on issues in this section, please include
the caption ``Miscellaneous Coding Issues'' at the beginning of your
comments.]
The following sections address specific coding issues related to
payment for services under the PFS.
1. Global Period for Remote Afterloading High Intensity Brachytherapy
Procedures
CPT Code 77783, Remote afterloading high intensity brachytherapy;
9-12 source positions or catheters, resides in a family of codes with
varying numbers of source positions. All of the codes in the family,
CPT codes 77781-77784 are currently designated as 90-day global
services. CPT codes 77781-77784 are used to treat many clinical
conditions, but primarily patients with prostate cancer, breast cancer
and sarcoma. Patients with any of these conditions usually receive
several treatments (2-10) over a two to ten day period of time. Due to
the increasing variability in treatment regimens, it is difficult to
assign RVUs for a ``typical'' patient based on a global period of 90
days.
Therefore, we are proposing that this family of codes (CPT codes
77781, 77782, 77783 and 77784) be assigned a global period of ``XXX'',
which will permit separate payment each time the services are provided
and allow payment to be based on the actual service(s) provided. We
will request that the RUC revalue the work RVUs and the PE inputs for
these services if a change in the global period is finalized. However
we are proposing, on an interim basis, to revise the work RVUs and PE
inputs to reflect the removal of the postoperative visit, CPT code
99212, that is currently assigned to these services. The proposed
interim work RVUs for these services would be as follows:
77781 = 1.21
77782 = 2.04
77783 = 3.27
77784 = 5.15
We are also proposing to delete the registered nurse (RN) time in
the post-service period as well as the patient gowns for the post-
service visit. We would also note that, to the extent that these
services are performed as staged procedures, providers may make use of
applicable modifiers.
2. Assignment of RVUs to CPT Codes for Proton Beam Treatment Delivery
Services
We have received a request to assign PE inputs for the non-facility
setting to Proton Beam treatment delivery services represented by CPT
codes 77520 through 77525.
These services are currently carrier-priced; therefore, payment in
the facility or non-facility setting is established by each carrier. To
the extent that physicians and suppliers wish to have national RVUs
assigned for these services, there is an established process utilizing
the AMA-RUC to recommend work RVUs, as well as the direct PE inputs
used to compute the PE RVUs, to CMS. We would strongly encourage the
physicians and suppliers to use this established process, and would
also be
[[Page 48996]]
interested in receiving comments on this issue.
E. Deficit Reduction Act (DRA) Related Proposals
[If you choose to comment on issues in this section, please include
the caption ``DRA PROPOSALS'' at the beginning of your comments.]
The DRA of 2005 (Pub. L. 109-171), was enacted February 8, 2006 and
included provisions that affect the Medicare program. The following
section addresses the specific DRA provisions that are being addressed
in this proposed rule.
1. Section 5102--Proposed Adjustments for Payments to Imaging Services
Section 5102 of the DRA includes two provisions that affect payment
of imaging services under the Medicare physician fee schedule. The
first provision addresses payment for certain multiple imaging
procedures for CY 2007 and application of budget neutrality while the
second provision addresses limiting the payment amount under PFS to the
outpatient department (OPD) payment amount for the technical component
(TC) of certain imaging services.
(a) Payment for Multiple Imaging Procedures for 2007
In general, Medicare prices diagnostic imaging procedures in the
following three ways:
The professional component (PC) represents the physician's
interpretation (PC-only services are billed with the 26 modifier).
The TC represents PE and includes clinical staff,
supplies, and equipment (TC-only services are billed with the TC
modifier).
The global service represents both PC and TC.
As discussed in the CY 2006 PFS final rule with comment period (70
FR 70261), in the CY 2006 PFS proposed rule (70 FR 45764 through
46064), we had proposed to reduce payment for the TC of selected
diagnostic imaging procedures belonging to one of eleven imaging
families when the procedures are performed on contiguous body areas by
50 percent for CY 2006. However, in the final rule with comment period,
we stated that we would phase-in the 50 percent reduction over two
years, beginning with a 25 percent reduction in 2006. We also sought
additional data and comments on the appropriateness of 50 percent as
the final level of reduction. The reduction applies to the TC and the
technical portion of the global service, but does not apply to the PC
of the service. Currently, we make full payment for the highest priced
procedure and reduce payment for each additional procedure by 25
percent, when more than one procedure from the same imaging family is
performed during the same session on the same day.
As described in the CY 2006 PFS final rule with comment period, at
the time, the statute required us to make changes such as this in a
budget neutral manner, meaning that the estimated savings generated by
the application of the multiple imaging procedure payment reduction
were used to increase payment for other physician fee schedule
services. We increased the CY 2006 PE RVUs by 0.3 percent to offset the
estimated savings generated by the multiple imaging payment reduction
policy.
Subsequent to the publication of the CY 2006 PFS final rule with
comment period, section 5102(a) of the DRA (Multiple Procedure Payment
Reduction for Imaging Exempted From Budget Neutrality), required that
``effective for fee schedules established beginning with 2007, reduced
expenditures attributable to the multiple procedure payment reduction
for imaging under the final rule published by the Secretary in the
Federal Register on November 21, 2005 (42 CFR 405, et al.) insofar as
it relates to the physician fee schedules for 2006 and 2007'' are
exempted from the budget neutrality provision. As a result, we are
proposing to remove the 0.3 percent increase to the CY 2006 PE RVUs
from the CY 2007 PE RVUs in accordance with the statute.
In addition, in response to our request for data on the
appropriateness of the 50 percent reduction in the CY 2006 PFS final
rule with comment period (70 FR 70261), the ACR provided information
for 25 code combinations supporting a reduction of between 21 and 44
percent. Given the expected interaction between the multiple procedure
imaging policy and the further imaging payment reductions mandated by
section 5102(b) of the DRA described below, along with the new
information we have received from the ACR on the multiple imaging
procedure policy as it applies to common combinations of imaging
services, we believe it would be prudent to maintain the multiple
imaging payment reduction at its current 25 percent level while we
continue to examine the appropriate payment levels. Therefore, we are
proposing to continue the multiple imaging payment reduction for 2007
at the 25 percent level. We would proceed through future rulemaking in
the event we determine that revisions to the policy are warranted.
(b) Reduction in TC for Imaging Services Under the PFS to OPD Payment
Amount
Section 5102(b)(1) of the DRA amended section 1848 of the Act and
requires that, with respect to imaging services, if--
``(i) The technical component (including the technical component
portion of a global fee) of the service established for a year under
the fee schedule * * *, without application of the geographic
adjustment factor * * *, exceeds,
(ii) The Medicare OPD fee schedule amount established under the
prospective payment system for hospital outpatient department services
* * * for such service for such year, determined without regard to
geographic adjustment * * *, the Secretary shall substitute the amount
described in clause (ii), adjusted by the geographic adjustment factor
[under the PFS] * * *, for the fee schedule amount for such technical
component for such year.''
As required by the statute, for imaging services (described below)
furnished on or after January 1, 2007, we will cap the PFS payment
amount for the year (prior to geographic adjustment) by the CY 2007
outpatient prospective payment system (OPPS) payment amount (prior to
geographic adjustment). We will then apply the PFS geographic
adjustment to the capped payment amount.
Section 5102(b)(2) of the DRA exempts the estimated savings from
this provision from the PFS budget neutrality requirement. Section
5102(b)(1) of the DRA defines imaging services as ``* * * imaging and
computer-assisted imaging services, including X-ray, ultrasound
(including echocardiography), nuclear medicine (including positron
emission tomography), magnetic resonance imaging, computed tomography,
and fluoroscopy, but excluding diagnostic and screening mammography.''
In order to apply section 5102(b) of the DRA, we needed to
determine the CPT and alpha-numeric HCPCS codes that fall within the
scope of ``imaging services'' defined by the DRA provision. In general,
we believe that imaging services provide visual information regarding
areas of the body that are not normally visible, thereby assisting in
the diagnosis or treatment of illness or injury. We began by
considering the CPT 7XXXX series codes for radiology services and then
adding in other CPT codes and alpha-numeric HCPCS codes that describe
imaging services. We then excluded nuclear medicine services that were
either non-imaging diagnostic or treatment services. We also excluded
all
[[Page 48997]]
codes for unlisted procedures, since we would not know in advance of
any specific clinical scenario whether or not the unlisted procedure
was an imaging service. We excluded all mammography services,
consistent with the statute. We excluded radiation oncology services
that were not imaging or computer-assisted imaging services. We also
excluded all HCPCS codes for imaging services that are not separately
paid under the OPPS since there would be no corresponding OPPS payment
to serve as a TC cap. We excluded any service where the CPT code
describes a procedure for which fluoroscopy, ultrasound, or another
imaging modality is either included in the code whether or not it is
used or is employed peripherally in the performance of the main
procedure, for example, 31622 for bronchoscopy with or without
fluoroscopic guidance and 43242 for upper gastrointestinal endoscopy
with transendoscopic ultrasound-guided intramural or transmural fine
needle aspiration/biopsy(s). In these cases, we are unable to clearly
distinguish imaging from non-imaging services because, for example, a
specific procedure may or may not utilize an imaging modality, or the
use of an imaging technology cannot be segregated from the performance
of the main procedure. Note that we included carrier priced services
since these services are within the statutory definition of imaging
services and are also within the statutory definition of PFS services
(that is, carrier-priced TCs of PET scans).
Our proposed list of codes that identify imaging services defined
by the DRA OPPS cap provision can be found in Addendum F to this
proposed rule. Note that this is the list of imaging services for which
we propose to make the comparison between the PFS TC payment amount and
the OPPS payment amount used to establish OPD payment. Payment for an
individual service on this list would only be capped if the PFS TC
payment amount exceeds the OPPS payment amount.
To the extent changes are made to codes for services already on the
list, we propose to update the list through program instructions to our
contractors. To the extent that the same imaging service is coded
differently under the PFS and the OPPS, we propose to crosswalk the
code under the PFS to the appropriate code under the OPPS that could be
reported for the same service provided in the hospital outpatient
setting. Our proposed list of crosswalks is below:
------------------------------------------------------------------------
MFS code Descriptor OPPS code Desc
------------------------------------------------------------------------
74185........ Mri angio, abdom w or C8900....... MRA w/cont, abd.
w/o dye.
76093........ Magnetic image, C8905....... MRI w/o fol w/cont,
breast. brst, un.
76094........ Magnetic image, both C8908....... MRI w/o fol w/cont,
breasts. breast.
71555........ Mri angio chest w or C8909....... MRA w/cont, chest.
w/o dye.
73725........ Mr ang lwr ext w or w/ C8912....... MRA w/cont, lwr ext.
o dye.
72198........ Mr angio pelvis w/o & C8918....... MRA w/cont, pelvis.
w/dye.
------------------------------------------------------------------------
(c) Interaction of the Multiple Imaging Payment Reduction and the OPPS
Cap
For CY 2007 imaging services potentially subject to both the
multiple imaging reduction and the OPPS cap, we propose to first apply
the multiple imaging payment reduction and then apply the OPPS cap to
the reduced amount as illustrated in the following example.
----------------------------------------------------------------------------------------------------------------
25%
Pre-OPPS Multiple OPPS cap Final MPFS
HCPCS cap MPFS imaging rate payment
rate reduction
----------------------------------------------------------------------------------------------------------------
7XXX1....................................................... $341.89 $256.42 $316.55 $256.42
7XXX2....................................................... 552.86 414.65 391.83 391.83
----------------------------------------------------------------------------------------------------------------
We considered first applying the OPPS cap and then applying the
multiple procedure reduction. However, as indicated in the CY 2006 OPPS
final rule, we received public comments suggesting that the OPPS
payment rates may implicitly include at least some multiple imaging
discount. While we continue to examine this issue, we believe the most
appropriate policy is to apply the multiple imaging payment reduction
prior to the application of the OPPS cap.
2. Section 5107--Revisions to Payments for Therapy Services
Section 1833(g) of the Act applies an annual per beneficiary
combined cap beginning January 1, 1999, on outpatient physical therapy
and speech-language pathology services and a similar separate cap on
outpatient occupational therapy services. These caps apply to expenses
incurred for the respective therapy services under Medicare Part B,
with the exception of outpatient hospital services. The caps were in
effect from January 1, through December 31, 1999, from September 1,
2003 through December 7, 2003, and beginning January 1, 2006. In 2000
through 2002, and from December 8, 2003 through December 31, 2005, the
Congress placed moratoria on implementation of the caps. Section
1833(g)(2) of the Act provides that, for 1999 through 2001, the caps
were $1500, and for years after 2001, the caps are equal to the
preceding year's cap increased by the percentage increase in the
Medicare Economic Index (MEI) (except that if an increase for a year is
not a multiple of $10, it is rounded to the nearest multiple of $10).
We implemented the separate statutory limits of $1740 for
outpatient physical therapy and speech-language pathology services and
$1740 for occupational therapy on January 1, 2006. The DRA of 2005 was
enacted on February 8, 2006. Section 5107(a) of the DRA required the
Secretary to develop an exceptions process for the therapy caps
effective January 1, 2006. The exceptions process applies only to
expenses incurred in 2006. Details of the exceptions process were
published in a manual change on February 13, 2006 (CR4364). The change
request
[[Page 48998]]
consists of three transmittals with current numbers of--
Transmittal 855, CR 4364, Pub. L. 100-04;
Transmittal 47, CR 4365, Pub. L. 100-02; and
Transmittal 140, CR 4364, Pub. L. 100-08.
The transmittals are available on our Web site at http://www.cms.hhs.gov/Transmittals/.
In accordance with the statute, the therapy caps will remain in
effect, but without the exceptions process, with respect to expenses
incurred beginning on January 1, 2007. The dollar amount of the therapy
caps in 2007 will be the 2006 rate ($1740) increased by the percentage
increase in the MEI. As noted above, under current law, the exceptions
process will not apply to therapy services incurred after December 31,
2006, but the therapy caps will remain inapplicable to therapy services
provided in the outpatient hospital setting as provided in section
1833(g) of the Act.
Section 5107(b) of the DRA requires the Secretary to implement, by
July 1, 2006, edits for clinically illogical combinations of procedure
codes and other edits in order to limit inappropriate payment for
therapy services. In January 2006, we implemented Correct Coding
Initiative (CCI) edits for the therapy providers that bill to the
fiscal intermediaries, thus, addressing the section 5107 of the DRA
requirement with respect to edits for clinically illogical combinations
of procedure codes. Adoption of these code edits ensures that these
providers of outpatient Part B therapy services, including SNFs,
comprehensive outpatient rehabilitation facilities, certain outpatient
physical therapy and speech-language therapy providers (rehabilitation
agencies) and home health agencies (HHAs) (where beneficiary is not
under a Part A plan of care) meet the same CCI edit requirements as
those that have been in place for physicians, private practice
therapists, and OPPS hospitals. We are considering the implementation
of other edits in the future to further address concerns about
inappropriate payment for therapy services.
3. Section 5112-Proposed Addition of Ultrasound Screening for Abdominal
Aortic Aneurysm (AAA)
Section 5112 of the DRA of 2005 amended section 1861 of the Act to
provide for coverage under Part B of ultrasound screening for AAAs,
effective for services furnished on or after January 1, 2007, subject
to certain eligibility and other limitations. This screening test will
be available even if the qualifying patient does not present signs or
symptoms of disease or illness.
To conform the regulations to the statutory requirements of section
5112 of the DRA, we are proposing to include an exception in Sec.
411.15(a)(1) to permit coverage for ultrasound screening for AAAs that
meet the conditions for coverage that we are proposing to specify under
new Sec. 410.19(b) (Conditions for coverage of an ultrasound screening
for abdominal aortic aneurysms). We are also adding a new Sec.
411.15(k)(12).
As provided in the DRA, this new coverage allows payment for a one-
time only screening examination. We are proposing to add new Sec.
410.19(b) to provide for the coverage of the screening examinations for
AAAs as specified in section 5112 of the DRA. We are also proposing to
add new Sec. 410.19(c) (Limitation on coverage of ultrasound screening
for abdominal aortic aneurysms.) to provide the limitation on coverage
for an individual who is not an eligible beneficiary as defined in
proposed new Sec. 410.19(a).
We are proposing definitions set forth in new Sec. 410.19(a) of
this proposed rule that would be included to implement the statutory
provisions and to help the reader in understanding the provisions of
this regulation. The proposed definitions include the following terms:
Eligible beneficiary.
Ultrasound screening for abdominal aortic aneurysms.
Specifically, section 5112(a)(1) of the DRA amended section 1861 of
the Act to provide that coverage of ultrasound screening for AAAs will
be available for an individual--(i) who receives a referral for such an
ultrasound screening as a result of an initial preventive physical
examination (as defined in section 1861(ww)(1) of the Act); (ii) who
has not been previously furnished such an ultrasound screening under
this title; and (iii) who has a family history of AAA or manifests risk
factors included in a beneficiary category recommended for screening by
the United States Preventive Services Task Force regarding AAAs.
Section 5112(a)(2) of the DRA also adds a definition of the term
``ultrasound screening for an Abdominal Aortic Aneurysm'' to mean,
``(1) a procedure using sound waves (or other procedures using
alternative technologies, of commensurate accuracy and cost, that the
Secretary may specify) provided for the early detection of abdominal
aortic aneurysm; and (2) includes a physician's interpretation of the
results of the procedure.''
In developing the proposed rule based on this provision, we
reviewed the 2005 United States Preventive Services Task Force (USPSTF)
recommendations and related material on ultrasound screening for AAAs.
This includes--
A recommendation for a one-time ultrasound screening for
men aged 65 to 75 who have smoked at least 100 cigarettes in their
lifetime;
No recommendation for or against ultrasound screening for
AAAs for men who have not smoked at least 100 cigarettes in their
lifetime; and
A recommendation against routine screening for AAAs in
women.
Based on the statutory language and the USPSTF recommendations
outlined above, we are proposing to define the term ``eligible
beneficiary'' for coverage of ultrasound screening examinations for AAA
to mean an individual who--
Has received a referral for an ultrasound screening as a
result of an initial preventive physical examination (as defined in
section 1861(ww)(1) of the Act);
Has not been previously furnished such a covered
ultrasound screening examination under the Medicare program; and
Is included in at least one of the following risk
categories:
+ Has a family history of an AAA; or
+ Is a man age 65 to 75 years who smoked at least 100 cigarettes in
his lifetime; or
+ Is an individual who manifests other risk factors that are
described in a benefit category recommended by the USPSTF regarding an
AAA that has been determined by the Secretary through the NCD process.
To facilitate our consideration of possible expansions of coverage
in the future for identifying (1) other risk factors in a benefit
category recommended for screening for the early detection of AAAs by
the USPSTF, and (2) alternative screening technologies to ultrasound
screening for AAAs of commensurate accuracy and cost, we are proposing
to add language to our regulations that would allow us to make
determinations through the NCD process. The NCD process would allow the
Secretary to expand coverage more quickly following an assessment of
those subjects than is possible under the standard rulemaking process.
We intend to use the NCD process, which includes an opportunity for
public comments, for evaluating the medical and scientific issues
relating to the coverage of alternative screening technologies and the
identification of other risk factors for AAAs recommended by the USPSTF
that may be brought to our attention in the future. Use of an NCD to
establish
[[Page 48999]]
a change in the scope of benefits is authorized by section 1871(a)(2)
of the Act. An aggrieved party can challenge an NCD under the
procedures established by section 1869(f) of the Act. These proposed
coverage provisions would be set forth in proposed new Sec. 410.19
(a)(1)(i) and Sec. 410.19(a)(2)(iii)(C).
Section 5112(b) of DRA also amended section 1861(ww)(2) of the Act
(the initial preventive physical examination benefit) by adding the new
ultrasound screening benefit to the list of preventive services for
which physicians and other qualified nonphysician practitioners must
provide ``education, counseling and referral'' to new beneficiaries who
take advantage of the initial preventive physical examination benefit
within the first 6 months after the effective date of their first Part
B coverage period. Therefore, we are also proposing to amend Sec.
410.16(a)(7) of the regulations so that it reflects the additional
responsibilities that physicians and qualified nonphysician
practitioners will have under the initial preventive physical
examination benefit with respect to the new ultrasound screening
benefit.
Beginning January 1, 2007, we are proposing to pay for ultrasound
screening for AAAs through the use of a new HCPCS code GXXX1,
Ultrasound, B-scan and/or real time with image documentation; for
abdominal aortic aneurysm (AAA) screening. We are proposing that
payment for this service be made at the same level as CPT code 76775
Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), B-scan and/or
real time with image documentation; limited. CPT code 76775 is used to
bill for the service when it is provided as a diagnostic test, and we
believe the service associated with the proposed HCPCS code reflects
equivalent resources and work intensity to those contained in CPT code
76775.
In addition, since the DRA provides that the Medicare Part B
deductible will not apply with respect to ultrasound screening for
abdominal aortic aneurysm (as defined in section 1861(bbb) of the Act),
we are proposing to revise Sec. 410.160 to include an exception from
the Medicare Part B deductible for the ultrasound screening for
abdominal aortic aneurysm as described in proposed Sec. 410.19.
(Conditions for coverage of an ultrasound screening for abdominal
aortic aneurysms.)
4. Section 5113--Proposed Non-Application of the Part B Deductible for
Colorectal Cancer Screening Tests
Current Medicare policy requires that, with limited exceptions,
incurred expenses for covered part B services are subject to, and count
toward meeting the Part B annual deductible. Section 5113 of the DRA
amended section 1833(b) of the Act to provide for an exception to the
application of the Part B deductible with respect to colorectal cancer
screening tests. Beginning January 1, 2007, colorectal cancer screening
services, as described in section 1861(pp)(1) of the Act, are no longer
subject to the Part B deductible. The conditions for and limitations on
coverage for colorectal cancer screening tests under Medicare part B
are described in Sec. 410.37.
To conform our regulations to this statutory change, we are
proposing to revise Sec. 410.160 to include an exception from the Part
B annual deductible for the colorectal cancer screening services
described in Sec. 410.37.
5. Section 5114--Proposed Addition of Diabetes Outpatient Self-
Management Training Services (DSMT) and Medical Nutrition Therapy (MNT)
for the FQHC Program
Section 5114 of the DRA amended section 1861(aa)(3) of the Act to
add DSMT and MNT services to the list of Medicare covered and
reimbursed services under the Medicare FQHC benefit, effective for
services provided on or after January 1, 2006. Although this statutory
change has already been implemented in administrative instructions, we
are proposing to conform the regulations to the new statutory
requirement.
FQHCs certified as DSMT and MNT providers have been allowed to
bundle the cost of those services into their FQHC payment rates. But
before the enactment of the DRA, the provision of these services would
not generate a separate FQHC visit payment. Effective for services
furnished on or after January 1, 2006, FQHCs that are certified
providers of DSMT and MNT services can receive per visit payments for
covered services furnished by registered dietitians or nutrition
professionals. In other words, if all relevant program requirements are
met, these services are included under the Medicare FQHC benefit as
billable visits.
In order to conform the regulations, we are proposing to amend
Sec. 405.2446(b) to expand the scope of FQHC services to include
certified providers of DSMT and MNT services by adding a new paragraph
(10). We are also proposing to revise Sec. 405.2463 by--
Revising paragraph (a) to expand the definition of an FQHC
visit to include certified providers of DSMT and MNT services under new
sub-paragraph (a)(1)(ii)(B). We would also revise the definition of an
RHC visit in new subparagraph (a)(1)(i) to include a face-to-face
encounter between a patient and a clinical psychologist or clinical
social worker to conform to statutory language at section
1861(aa)(1)(B) of the Act. We are also proposing to redesignate and
revise paragraphs (b) and (c) as new paragraphs (a)(2) and (a)(3),
respectively.
We are proposing to incorporate paragraph (a)(2) into
(a)(1), and to redesignate and revise current paragraph (a)(3) as new
paragraph (b). We would also clarify that it is generally permissible
for both FQHCs and Rural Health Clinics to furnish, when necessary,
most types of medical and other health visits on the same day to the
same patient. We are also proposing to amend this paragraph to permit a
separate additional FQHC visit for DSMT and MNT services (which may
occur on the same date of service when the beneficiary receives care
from their FQHC physician or non-physician practitioner) when
reasonable and necessary, consistent with the Congressional mandate
under section 5114 of the DRA to provide coverage and adequate access
to these services in the FQHC setting.
We are proposing to redesignate and revise current
paragraph (a)(4) as new paragraph (c).
F. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP
Issues)
[If you choose to comment on issues in this section, please include
the caption ``ASP Issues'' at the beginning of your comments.]
Medicare Part B covers a limited number of prescription drugs and
biologicals. For the purposes of this proposed rule, the term ``drugs''
will hereafter refer to both drugs and biologicals. Medicare Part B
covered drugs not paid on a cost or prospective payment basis generally
fall into the following three categories:
Drugs furnished incident to a physician's service.
DME drugs.
Drugs specifically covered by statute (certain
immunosuppressive drugs, for example).
Beginning in CY 2005, the vast majority of Medicare Part B drugs
not paid on a cost or prospective payment basis are paid under the ASP
[[Page 49000]]
methodology. The ASP methodology is based on data submitted to us
quarterly by manufacturers. In addition to the payment for the drug,
Medicare currently pays a furnishing fee for blood clotting factors, a
dispensing fee for inhalation drugs, and a supplying fee to pharmacies
for certain Part B drugs.
In January 2006, the drug coverage available to Medicare
beneficiaries expanded with the implementation of Medicare Part D. The
Medicare Part D program does not change Medicare Part B drug coverage.
This section of the preamble discusses proposed changes and issues
related to the determination of the payment amounts for covered Part B
drugs and furnishing blood clotting factor. This section also discusses
proposed changes to how manufacturers calculate and report ASP data to
us.
1. ASP Issues
Section 303(c) of the MMA amended Title XVIII of the Act by adding
new section 1847A. This new section revised the payment methodology for
the vast majority of drugs and biologicals not paid on a cost or
prospective payment basis furnished on or after January 1, 2005. The
ASP reporting requirements are set forth in section 1927(b) of the Act.
Manufacturers must submit ASP data for each 11-digit National Drug Code
(NDC) to us quarterly. The manufacturers' submissions are due to us not
later than 30 days after the last day of each calendar quarter. The
methodology for developing Medicare drug payment allowances based on
the manufacturers' submitted ASP data is specified in the regulations
in part 414, subpart K. We update the Part B drug payment amounts
quarterly based on the data we receive.
In this section of the preamble, we discuss our intent to issue a
final rule to implement the provisions in the MMA related to the
calculation and submission of manufacturers' ASP data, and seek further
comments on specific issues related to price concessions and certain
fees.
On April 6, 2004, we published the Manufacturer's Submission of
Average Sales Price Data for Medicare Part B Drugs and Biologicals
(ASP) interim final rule with comment period (IFC) (69 FR 17935) to
implement the ASP calculation and reporting requirements. Manufacturers
were required to submit their initial quarterly ASP data to us shortly
thereafter, beginning April 30, 2004. We received comments from drug
manufacturers, pharmacies, physicians, national associations of the
pharmaceutical industry, national associations of physicians, and
consultants. These comments addressed a variety of aspects of
calculating and reporting ASPs. On September 16, 2004, we published the
Manufacturer's Submission of Average Sales Price Data for Medicare Part
B Drugs and Biologicals (ASP) final rule (69 FR 55763) addressing only
the comments pertaining to the methodology for estimating lagged price
concessions. We have also addressed ASP calculation and reporting
requirements in other proposed and final rules and information
collection notices, including rulemaking to implement the Competitive
Acquisition Program for Part B Drugs and Biologicals (CAP). (See 70 FR
39069, 70 FR 45842, 70 FR 70215, and 70 FR 70477.) In addition, we
posted official agency guidance, including responses to frequently
asked questions, on our Web site to implement the ASP provisions in
accordance with section 1847A(c)(5)(C) of the Act.
We intend to publish a final rule addressing comments on the April
6, 2004 IFC in the near future. We may publish the final rule as part
of this rulemaking, or we may publish a separate final rule, in either
case after the close of the comment period for this proposed rule.
Because the comments received during the comment period in response to
the April 6, 2004 IFC were made during the initial months of
manufacturers' experience with calculating and reporting ASPs and prior
to publication of payment amounts based on the ASP methodology, we
believe there is good reason to provide the public with the opportunity
for additional comments based on what is now more than a year and a
half of experience with the ASP reporting requirements. Therefore, we
seek comments on the ASP reporting provisions in the April 6, 2004 IFC.
In particular, we seek comments on the issues discussed in the sections
below.
We note that we received many comments in response to the April 6,
2004 interim final rule on the use and potential impacts of the ASP
payment methodology. As noted above, we are reopening the comment
period on the issue of ASP reporting. Thus, comments about the use or
appropriateness of the ASP payment methodology are outside the scope of
this rulemaking and the ASP reporting rule (CMS-1380-IFC). Therefore,
comments about the appropriateness and use of 106 percent of ASP as the
basis for the Medicare Part B drug payment rates will be outside the
scope of the comments considered for the final ASP reporting rule we
are preparing to publish.
a. Fees Not Considered Price Concessions
Section 1847A(c)(5)(A) of the Act states that the ASP is to be
calculated by the manufacturer on a quarterly basis. As a part of that
calculation, manufacturers are to take into account price concessions
such as--
Volume discounts;
Prompt pay discounts;
Cash discounts;
Free goods that are contingent on any purchase
requirement;
Chargebacks; and
Rebates (other than rebates under the Medicaid drug rebate
programs).
If the data on these price concessions are lagged, then the
manufacturer is required to estimate costs attributable to these price
concessions using the required ratio methodology as specified in 42 CFR
part 414, subpart J, Sec. 414.804(a)(3).
Among the comments from drug manufacturers and national
associations representing wholesalers and distributors, we received
requests for clarification and detailed guidance on the treatment of
administrative fees, service fees and fees paid to pharmacy benefit
managers (PBMs) in the ASP calculation. We posted guidance on our Web
site (http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=3323&p_created=1095344721&p_sid=Ghuscgci&p_accessibility=0&p_lva=&p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&p_li=&p_topview=1) to clarify that in the
absence of specific guidance in the Social Security Act or Federal
regulations, the manufacturer may make reasonable assumptions in its
calculations of ASP, consistent with the general requirements and
intent of the Social Security Act, Federal regulations, and its
customary business practices. These assumptions should be submitted
along with the ASP data. In December 2004, we posted further guidance
on our website addressing service fees and administrative fees paid to
buyers (http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=3318&p_created=1095343992&p_sid=a2qUcgci&p_accessibility=0&p_lva=&p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&p_li=&p_topview=1
[[Page 49001]]
and http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=4136&p_created=1109786814&p_sid=bxw-cgci&p_accessibility=0&p_lva=&p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&p_li=&p_topview=1).
On July 6, 2005, we restated our guidance on service fees in the
preamble of the Competitive Acquisition of Outpatient Drugs and
Biologicals Under Part B (CAP) interim final rule with comment (70 FR
39069). Subsequently, we have received requests for clarification on
how fees paid to entities such as group purchasing organizations (GPOs)
or PBMs must be treated for purposes of the ASP calculation.
We propose to further clarify in the final ASP reporting rule that,
beginning with the ASP reporting for sales during the first calendar
quarter of 2007, bona fide service fees that are paid by a manufacturer
to an entity, whether or not the entity takes title to the drug, are
not considered price concessions under Sec. 414.804(a)(2) insofar as,
and to the extent that, they satisfy the definition of a bona fide
service fee that we are proposing at Sec. 414.802. In Sec. 414.802,
we propose to define bona fide service fees as fees paid by a
manufacturer to an entity that represent fair market value for a bona
fide, itemized service actually performed on behalf of the manufacturer
that the manufacturer would otherwise perform (or contract for) in the
absence of the service arrangement, and that are not passed on, in
whole or in part, to a client or customer of an entity, whether or not
the entity takes title to the drug. Our current guidance, which
provides that bona fide service fees means expenses that would have
generally been paid for by the manufacturer at the same rate had these
services been performed by other entities, would continue unless we
provide an alternative approach as discussed below. Further, we propose
to clarify in the final ASP reporting rule that fees, including service
fees, administrative fees and other fees, paid to GPOs or PBMs are not
considered price concessions under Sec. 414.804(a)(2) insofar as, and
to the extent that, they satisfy the definition of a bona fide service
fee that we have proposed at Sec. 414.802.
In comments on the April 6, 2004 IFC, groups representing
wholesalers, distributors and specialty pharmacies provided some
insight into the types of activities that are performed in the
distribution of drugs. These commenters suggested that costs for
handling, storage, inventory reporting, shipping, receiving, patient
education, disease management and data should be borne by manufacturers
and be excluded from the ASP calculation as bona fide services.
However, these commenters did not provide detailed information about
whether and how one would determine the extent to which these
activities are bona fide services actually performed on behalf of the
manufacturer or otherwise.
Because the scope of appropriate services may vary across
categories of drugs, we are considering providing guidance on the types
of services that may qualify as bona fide services for purposes of the
ASP calculation. We are also considering providing further guidance on
or revising the approach or methodology manufacturers must use to
determine the fair market value of bona fide services performed on
their behalf and whether the service fee paid was passed on in whole or
in part. In either case, we may implement our policy through rulemaking
or through program instruction or other guidance (consistent with our
authority under section 1847A(c)(5)(C) of the Act).
We seek comments on the specific types of services entities perform
on behalf of manufacturers that a manufacturer would otherwise perform
(or contract for) and the necessity of those services in the efficient
distribution of drugs. We also seek comments on activities that should
not be considered bona fide services performed on behalf of
manufacturers. To better understand which services may be considered
bona fide services performed on behalf of the manufacturer that the
manufacturer would otherwise perform (or contract for), we seek to
understand the bona fide services that may be appropriate for all or
specific types of products, as well as the specific services that may
be applicable to unique products or circumstances. We also seek to
understand the costs and relative costs of services performed on behalf
of manufacturers.
To exclude a bona fide service fee from the ASP calculation, a
manufacturer must determine whether the fee paid to an entity
represents fair market value for a bona fide service actually performed
on behalf of the manufacturer that the manufacturer would otherwise
perform (or contract for), and that the fee is not passed on, in whole
or in part, to a client or customer of the entity. Our current guidance
provides that bona fide service fees means expenses that would have
generally been paid for by the manufacturer at the same rate had these
services been performed by other entities. We seek comments on
appropriate additional guidance or alternative methods for determining
fair market value for purposes of identifying bona fide service fees
that are excluded from the calculation of ASP, as well as comments on
whether, and the extent to which, fees tied to performance of a
service, fixed fee, revenue generated by product sales, or other basis
may represent fair market prices for purposes of identifying bona fide
service fees that are excluded from the calculation of ASP. In
addition, we seek comments on the appropriate methods for determining
whether a fee is passed on in whole or in part. We also seek comments
on how Medicare's guidance on the treatment of service fees for ASP
calculation purposes may differ with the treatment of service fees for
financial accounting or other purposes, and any implications that this
may have for manufacturers.
b. Estimation Methodology for Lagged Exempted Sales
Section 1847A(c)(2) of the Act requires manufacturers to exclude
from the calculation of ASP those sales that are exempt from the
Medicaid best price (BP) calculation (for example, Federal sales, sales
to State pharmacy assistance programs, sales to a prescription drug
plan for use under Medicare Part D). In the comments on the April 6,
2004 IFC, commenters requested more guidance on the method
manufacturers should use to exclude exempted sales that are known on a
lagged basis. Manufacturers identify exempted sales based on direct
sales and through chargeback and rebate data that may not be
sufficiently available at the time the ASP is calculated. In the
absence of specific guidance on how to account for lagged exempted
sales (that is, exempted sales identified through chargeback or rebate
processes), manufacturers have relied upon assumptions in accordance
with their customary business practices to develop their approach for
excluding these sales from the ASP calculation. In our work with
manufacturers that submit ASP data, we understand that some
manufacturers have used a ratio methodology for estimating exempted
sales known on a lagged basis which is similar to the ratio methodology
manufacturers must use to estimate
[[Page 49002]]
price concessions known on a lagged basis.
To establish a uniform approach, in Sec. 414.804(a)(4), we propose
to require, in the final ASP reporting rule, that all manufacturers use
a 12-month (or less, if applicable) rolling average ratio methodology
to estimate exempted sales known on a lagged basis (through chargebacks
or rebates) in order to more accurately exclude these sales from the
ASP calculation. Specifically, for exempted sales known on a lagged
basis, the manufacturer sums the lagged exempted sales for the most
recent 12-month period available (or the number of months the NDC has
been sold for NDCs with less than 12 months of sales, except for
redesignated NDCs as described in section d below). The manufacturer
then calculates a percentage using this summed amount as the numerator
and the sales (the number of units after non-lagged exempted sales have
been subtracted from total sales) for the same period (12 months or
less, if applicable) as the denominator. The result is a rolling
average percentage estimate for lagged exempted sales that is applied
to the sales (the number of units after non-lagged exempted sales have
been subtracted from total sales) for the quarter being reported. The
product that results from multiplying the rolling average percentage
estimate of lagged exempted sales and sales (the number of units after
non-lagged exempted sales have been subtracted from total sales)
determines the number of lagged exempted sales (in units) to be
excluded from the denominator of the ASP calculation. Manufacturers
must make a corresponding adjustment to the numerator of the ASP
calculation to ensure that the total in dollars for the reporting
quarter does not include revenue related to lagged exempted sales
excluded from the denominator using the proposed estimation
methodology. Further, manufacturers must remove the dollar value of
lagged exempted sales from their estimates of lagged price concessions
by subtracting the dollar value of estimated lagged exempted sales from
the denominator as specified in Sec. 414.804(a)(3)(i).
Our proposed methodology for excluding lagged exempted sales is
similar to the methodology manufacturers are required to use to
estimate price concessions known on a lagged basis, and was recommended
by manufacturers. We believe requiring similar methods to estimate both
lagged exempted sales and lagged price concessions is reasonable and
reduces potential errors in the manufacturers' ASP calculations, while
ensuring that exempted sales are appropriately removed from the ASP
calculation. In addition, using an estimation methodology to remove
lagged exempted sales reduces the likelihood of quarter to quarter
variations in the ASP.
We seek comments on the proposed methodology for excluding exempted
sales known on a lagged basis from the ASP calculation and estimate of
lagged price concessions. We also solicit suggestions on appropriate
alternative methodologies that may be less complex.
c. Nominal Sales
Section 1847A(c)(2)(B) of the Act requires manufacturers to exclude
from the ASP calculation sales that are merely nominal in amount, as
applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act,
except as the Secretary may otherwise provide. Effective January 1,
2007, the DRA (Pub. L. 109-171) modifies section 1927(c)(1)(C)(ii)(III)
of the Act. Limitations on nominal sales have been added in new section
1927(c)(1)(D) of the Act. The DRA also modified the average
manufacturer price (AMP) calculation and frequency of AMP reporting.
Therefore, we are proposing to clarify the method manufacturers must
follow, beginning in 2007, to identify nominal sales for ASP reporting
purposes and to exclude nominal sales from the calculation of the ASP.
We also are seeking comments on whether we should establish an
alternative definition of nominal sales for ASP purposes.
In the preamble to the ASP reporting interim final rule, we stated
sales to an entity that are nominal in amount are defined in the
Medicaid drug rebate agreement (see sample agreement at http://www.cms.hhs.gov/MedicaidDrugRebateProgram/downloads/rebateagreement.pdf). That is, for ASP purposes, a nominal sale is a
sale at a price less than 10 percent of the AMP in the same quarter for
which the AMP is computed. Effective January 1, 2007, the DRA revises
the AMP calculation (to omit customary prompt pay discounts extended to
wholesalers), added a monthly AMP reporting requirement, and
established limitations on nominal sales (only sales to certain
entities may qualify as nominal sales). Section 1927(c)(1)(D) of the
Act limits the nominal sales exclusion to nominal sales made to the
following entities:
340B covered entities as described in section 340B(a)(4)
of the Public Health Services Act (PHS Act).
Intermediate care facilities for the mentally retarded
(ICFs/MR).
State-owned or operated nursing facilities.
Any other facility or entity that the Secretary determines
is a safety net provider to which sales of such drugs at a nominal
price would be appropriate based on the factors described in section
1927(c)(1)(D)(ii) of the Act.
Because section 1847A(c)(2)(B) of the Act requires manufacturers to
exclude from the ASP calculation sales that are merely nominal in
amount, as applied for purposes of section 1927(c)(1)(C)(ii)(III) of
the Act, except as the Secretary may otherwise provide, the DRA changes
will have implications for ASP reporting beginning January 1, 2007
(unless we provide an alternative policy for determining nominal sales
as permitted under section 1847A(c)(2)(B) of the Act). One implication
is that the limitations set forth in section 1927(c)(1)(D) of the Act
will continue the exclusion of nominal sales to certain entities while
requiring that sales to entities not identified under section
1927(c)(1)(D) of the Act are included in the ASP calculation, even if
such sales are at very low prices. Another implication is the AMP
calculation will exclude customary prompt pay discounts extended to
wholesalers, yet prompt pay discounts will continue to be a type of
price concession that manufacturers must include in their ASP
calculations. The change in treatment of customary prompt pay discounts
extended to wholesalers in the AMP calculation may result in a higher
number of sales that are at less than 10 percent of the AMP than in
past ASP reporting periods (notwithstanding the new limitation on what
is considered a nominal sale under section 1927(c)(1)(D) of the Act).
Still another implication is that the frequency of AMP reporting will
include monthly reporting; thus, for ASP purposes, there is further
need to clarify how nominal sales are to be identified in 2007.
Separate Medicaid rulemaking will address the DRA provisions related to
AMP reporting.
We believe the DRA modifications to section 1927 of the Act noted
above will have minimal effect on reported ASPs. We would expect that
the exclusion of customary prompt pay discounts extended to wholesalers
from AMP would lead to a modest increase in AMP, and as a result a
modest increase in the number of sales that would qualify as nominal
under the current ASP reporting regulations. At the same time, we
anticipate that the limitation on nominal sales in section
1927(c)(1)(D) of the Act will result in a modest reduction in the
number of sales that qualify as nominal sales for
[[Page 49003]]
purposes of ASP reporting because we believe that the entities outlined
in section 1927(c)(1)(D) of the Act generally represent the types of
entities to which manufacturers may offer sales at a nominal amount.
Consequently, we would expect these two countervailing changes would
have a minimal overall impact on nominal sales that would be excluded
from the ASP calculation. For 2007 and beyond, we propose to revise
Sec. 414.804(a)(4) to clarify that manufacturers must continue to use
the Medicaid threshold (less than 10 percent of AMP) to determine
nominal sales that are excluded (subject to the limitations in section
1927(c)(1)(D) of the Act) from the ASP calculation. Further, we propose
that, in identifying nominal sales, manufacturers must use the AMP for
the calendar quarter that is the same calendar quarter for the ASP
reporting period. For these reasons, we are proposing to continue the
current methodology for identifying and excluding nominal sales (that
is, sales that are exempt from the Medicaid best price calculation
under section 1927(c)(1)(C)(ii)(III) of the Act) from the
manufacturer's calculation of the ASP. We believe this approach helps
maintain continuity in the ASP calculation and minimizes manufacturers'
reporting burden, as Medicare continues to follow the Medicaid approach
for identifying nominal sales and manufacturers can use a single method
for identifying nominal sales for both ASP and AMP purposes.
We seek comments on our proposal to continue use of the AMP as the
basis for identifying nominal sales excluded from the ASP calculation
and on whether an alternative threshold for identifying nominal sales
for ASP calculation purposes is necessary or desirable to ensure the
accuracy of the ASP payment methodology. Specifically, we seek comments
on whether sales at less than 10 percent of the ASP (instead of the
AMP) should be used to identify nominal sales for ASP purposes (with
the new requirement in section 1927(c)(1)(D) of the Act allowing only
sales to certain entities to be considered nominal sales still being
applicable). We also seek comments on our belief that the new
limitations on nominal sales and change to the AMP calculation will
have minimal impact on reported ASPs.
Subsequent to the April 6, 2004 IFC, we received requests for
clarification on a technical aspect related to the identification of
nominal sales. Specifically, some manufacturers have asked whether
nominal sales are identified by performing a series of calculations
once or whether the manufacturer repeats the series of calculations
until no remaining ASP eligible sales are below the nominal threshold.
Consistent with current Medicaid reporting, for 2005 and 2006,
manufacturers must identify nominal sales by performing the following
steps once:
The manufacturer calculates the AMP for the reporting
quarter to identify the dollar amount that represents 10 percent of the
AMP for that reporting period.
The manufacturer then identifies sales below this amount
and excludes these sales from the ASP calculation.
Beginning in 2007, the limitations in section
1927(c)(1)(D) of the Act must also be met to exclude the sale.
d. Other Price Concession Issues
In our ongoing work with manufacturers that submit ASP data, some
manufacturers have posed questions or raised concerns about how the
estimate of lagged price concessions is done prior to having 12 months
of data for a NDC and, when a product is redesignated with a new NDC,
whether price concessions from the prior NDC must be included in
calculating the ASP for the new NDC. Manufacturers and other
stakeholders have also asked us about how Medicare's ASP guidance
concerning price concessions is to be applied when drugs are sold under
bundling arrangements.
In response, we are proposing clarifications and seeking comment on
these issues.
(1) Price Concessions for NDCs With Less Than 12 Months of Sales
To address situations when a NDC with price concessions known on a
lagged basis has not been sold for a full 12 months, we propose to
revise Sec. 414.804(a)(3) to specify that the period used to estimate
lagged price concessions is the total number of months the NDC has been
sold. We propose to require that manufacturers use less than 12 months
of data in the estimation methodology for lagged price concessions for
NDCs with less than 12 months of sales (except when the manufacturer
has redesignated the product's NDC, as discussed below). Manufacturers
may include the current ASP reporting quarter in the most recent 12
month period (or less for NDCs with less than 12 months of sales) so
long as the manufacturer follows this approach in calculating the ASP
for all of its reported NDCs. Using less than 12 months in the
estimation methodology for lagged price concessions is consistent with
our proposal for estimating lagged excluded sales described in section
b. above.
(2) Redesignated NDCs
From time to time, a manufacturer may change the NDC assigned to a
specific product and package size while continuing or offering price
concessions that span across sales of the product under its prior and
redesignated NDCs. For example, an NDC may be changed to reflect a
change in the labeler code while lagged price concessions in place
under the prior NDC remain in effect and carry over to the redesignated
NDC. Another example would be a manufacturer that modifies its package
design or other non-drug feature of the NDC and assigns a new NDC to
reflect the revised packaging.
We propose to clarify in the final ASP reporting rule that, when an
NDC is changed (except when a product is repackaged or relabeled by a
different manufacturer or relabeler or is privately labeled) and lagged
price concessions offered for the prior NDC remain in effect, the
manufacturer must use 12 months (or the total number of months of sales
of the prior and redesignated NDCs if the total number of months of
sales is less than 12 months) of sales and price concession data from
the prior and redesignated NDCs to estimate lagged price concessions
applicable to the redesignated NDC. In establishing this methodology,
we are relying on our authority under section 1847A(c)(5)(A) of the
Act.
We seek comments on our proposed refinements to the estimation of
lagged price concessions for NDCs with less than 12 months of sales and
when a manufacturer redesignates the NDC assigned to a product. We also
solicit suggestions for potentially clarifying these policies further.
(3) Bundled Price Concessions
We have heard a few concerns about how Medicare's ASP guidance
concerning price concessions is to be applied when drugs are sold under
bundling arrangements (for example, when a purchaser's price for one or
more drugs is contingent upon the purchase of other drugs or items). We
would like to better understand how bundling affects sales of Part B
drugs and the ASP calculation, and any concerns stakeholders may have
on this issue. Therefore, we are soliciting comments on a number of
these issues. We note that we expect manufacturers of drugs reimbursed
by Medicare Part B to comply with all applicable laws, regulations, and
legal decisions including, but not limited to the Stark law, other
relevant anti-kickback laws,
[[Page 49004]]
antitrust laws, and laws governing fair trade practices. Our discussion
of this issue in this proposed rule should not be construed as an
endorsement or authorization of any pricing practices that contravene
any laws, legal decisions, or regulations.
Thus far, we have not provided specific guidance in the ASP context
on the issue of apportioning price concessions across drugs that are
sold under bundling arrangements. In the absence of specific guidance,
the manufacturer may make reasonable assumptions in its calculations of
ASP, consistent with the general requirements and the intent of the
Social Security Act, Federal regulations, and its customary business
practices. Manufacturers must include assumptions in their ASP
submissions. We are now considering providing guidance, through
rulemaking or through program instruction or other guidance (consistent
with our authority under section 1847A(c)(5)(C) of the Act) on the
methodology manufacturers must use for apportioning price concessions
across Part B drugs sold under bundling arrangements for purposes of
the calculation of ASP. As we consider this issue, our goal is to
ensure that the ASP is an accurate reflection of market prices for Part
B drugs and that the treatment of bundled price concessions in the ASP
calculation does not create inappropriate financial incentives.
We are soliciting comments on a number of issues, including how
frequently Part B drugs are sold under bundling arrangements, the
different structures of bundling arrangements that may exist (for
example, the number of products included in a bundling arrangement;
whether the price concessions are contingent on the purchase of only
one product, the purchase of multiple products, or the inclusion of one
or more products on a formulary; and the timing of the price
concessions), and the extent to which sales of Part B drugs are bundled
with sales of non-Part B drugs or non-drug products. We also seek
comment on what effect bundling arrangements may have on the ASP
calculation, on beneficiary access to high quality, appropriate care
(including access to drugs that may not have clinical alternatives),
and on costs to the Medicare program and beneficiaries. In addition, we
seek comments on whether additional guidance on apportioning bundled
price concessions for purposes of the calculation of ASP is needed and
potential methodologies that Medicare could consider requiring.
Furthermore, we seek comment on how variation in the structure of
bundling arrangements may affect the impact of potential apportionment
methodologies on the ASP calculation.
2. Clotting Factor Furnishing Fee
Section 303(e)(1) of the MMA added section 1842(o)(5) of the Act
which requires the Secretary, beginning in CY 2005, to pay a furnishing
fee, in an amount the Secretary determines to be appropriate, to
hemophilia treatment centers and homecare companies for the items and
services associated with the furnishing of blood clotting factor.
Section 1842(o)(5)(C) of the Act specifies that the furnishing fee for
clotting factor for years after CY 2006 and subsequent years will be
equal to the fee for the previous year increased by the percentage
increase in the consumer price index (CPI) for medical care for the 12
month period ending with June of the previous year. In the CY 2006 PFS
final rule, we announced that, based on the percentage increase in the
CPI of 4.2 percent for the 12-month period ending June 2005, the
furnishing fee is $0.146 per unit clotting factor for CY 2006.
The CPI data for the 12-month period ending in June 2006 is not yet
available. In the FY 2007 PFS final rule, we will include the actual
figure for the percent change in the CPI for medical care for the 12-
month period ending June 2006, and the updated furnishing fee for CY
2007 calculated based on that figure.
3. Widely Available Market Prices (WAMP) and AMP Threshold
Section 1847A(d)(1) of the Act states that ``the Inspector General
of HHS shall conduct studies, which may include surveys to determine
the widely available market prices (WAMP) of drugs and biologicals to
which this section applies, as the Inspector General, in consultation
with the Secretary, determines to be appropriate.'' Section 1847A(d)(2)
of the Act states that, ``Based upon such studies and other data for
drugs and biologicals, the Inspector General shall compare the ASP
under this section for drugs and biologicals with_
The widely available market price (WAMP) for these drugs
and biologicals (if any); and
The average manufacturer price (AMP) (as determined under
section 1927(k)(1) of the Act for such drugs and biologicals.''
Section 1847A(d)(3)(A) of the Act states that, ``The Secretary may
disregard the ASP for a drug or biological that exceeds the WAMP or the
AMP for such drug or biological by the applicable threshold percentage
(as defined in subparagraph (B)).'' The applicable threshold is
specified as 5 percent for CY 2005. For CY 2006 and subsequent years,
section 1847A(d)(3)(B) of the Act establishes that the applicable
threshold is ``the percentage applied under this subparagraph subject
to such adjustment as the Secretary may specify for the WAMP or the
AMP, or both.'' In CY 2006, we specified an applicable threshold
percentage of 5 percent for both the WAMP and AMP. We based this
decision on the limited data available to support a change in the
current threshold percentage.
For CY 2007, we propose to specify an applicable threshold
percentage of 5 percent for the WAMP and the AMP. At present, the OIG
is continuing its comparison of both the WAMP and the AMP. Since, at
this time we do not have data that suggest another level is more
appropriate, we believe that continuing the 5 percent applicable
threshold percentage for both the WAMP and AMP is appropriate.
There are a number of operational issues associated with Medicare's
authority to substitute a lower payment amount for a drug if the OIG
finds and informs the Secretary, at such times as the Secretary may
specify, that the ASP exceeds the WAMP or AMP by more than the
established threshold (currently 5 percent). We would welcome public
comment on operational issues such as the timing and frequency of the
ASP, AMP, and WAMP comparisons and effective date and duration of the
rate substitution.
4. Payment for Drugs Furnished During CY 2006 and Subsequent Years in
Connection With the Furnishing of Renal Dialysis Services if Separately
Billed by Renal Dialysis Facilities
In the November 21, 2005 PFS final rule (70 FR 70116), we stated
that payment for a drug furnished during CY 2006 in connection with
renal dialysis services and separately billed by freestanding renal
dialysis facilities and hospital-based facilities would be based on
section 1847A of the Act. We intended this to mean CY 2006 and
subsequent years. Therefore, in this proposed rule, we are not
proposing a policy change, but rather, we are clarifying that this
policy will apply to CY 2006 and subsequent years until otherwise
specified.
G. Proposed Provisions Related To Payment for Renal Dialysis Services
Furnished by End-Stage Renal Disease (ESRD) Facilities
[If you choose to comment on issues in this section, please include
the
[[Page 49005]]
caption ``ESRD PROVISIONS'' at the beginning of your comments.]
Since August 1, 1983, payment for dialysis services furnished by
ESRD facilities has been based on a composite rate payment system that
provides a fixed, prospectively determined amount per dialysis
treatment, adjusted for geographic differences in area wage levels. In
accordance with section 1881(b)(7) of the Act, separate composite rates
have been established for hospital-based and independent ESRD
facilities. The composite rate is designed to cover a package of goods
and services needed to furnish dialysis treatments that include certain
routinely provided drugs, laboratory tests, supplies, and equipment.
Unless specifically included in the composite rate, other injectable
drugs and laboratory tests medically necessary for the care of the
dialysis patient are separately billable. The base composite rates per
treatment, effective on August 1, 1983, were $123 for independent ESRD
facilities and $127 for hospital-based ESRD facilities. The Congress
has enacted a number of adjustments to the composite rate since that
time. The current 2006 base composite rates are $130.40 for independent
ESRD facilities and $134.53 for hospital-based ESRD facilities.
Section 623 of the MMA amended section 1881 of the Act to require
changes to the composite rate payment methodology, as well as to the
pricing methodology for separately billable drugs and biologicals
furnished by ESRD facilities.
Section 1881(b)(12) of the Act, as added by MMA, required the
establishment of a basic case-mix adjusted prospective payment system
(PPS) that would include the services comprising the composite rate and
an add-on to the composite rate component for the difference between
current payments for separately billed drugs and the revised drug
pricing specified in the statute. In addition, section 1881(b)(12) of
the Act required that the composite rate be adjusted for a limited
number of patient characteristics (case-mix) and section 1881(b)(12)(D)
of the Act gave the Secretary discretion to revise the wage indices and
the urban and rural definitions used to develop them. Finally, section
1881(b)(12)(E) of the Act imposed a budget neutrality requirement, so
that aggregate payments under the basic case-mix adjusted composite
payment system for 2005 would equal the aggregate payments that would
have been made for the same period if section 1881(b)(12) of the Act
did not apply.
Before January 1, 2005, payment to both independent and hospital-
based facilities for the anti-anemia drug, Erythropoietin (EPO) was
established pursuant to section 1881(b)(11) of the Act at $10.00 per
1,000 units. For independent ESRD facilities, payment for all other
separately billable drugs and biologicals was based on the lower of
actual charges or 95 percent of the average wholesale price (AWP).
Hospital-based ESRD facilities were paid based on the reasonable cost
methodology for separately billed drugs and biologicals (other than
EPO) furnished to dialysis patients. Changes to the payment methodology
for separately billed ESRD drugs and biologicals that were established
by the MMA and were effective January 1, 2005 are described in sections
G.1. and G.2. below. These changes affected payments in both CYs 2005
and 2006.
1. CY 2005 Revisions
On November 15, 2004, we published the CY 2005 PFS final rule with
comment period (69 FR 66319 through 66334), that revised payments to
ESRD facilities based on changes enacted by the MMA. The November 15,
2004 final rule with comment period implemented section 1881(b) of the
Act, as amended by section 623 of the MMA. Changes effective January 1,
2005, included implementation of a case-mix adjusted payment system
that incorporates services that comprise the composite rate; an update
of 1.6 percent to the composite rate component of the payment system;
and a drug add-on of 8.7 percent to the composite rate for the
difference between current payments for separately billable drugs and
payments based on the revised drug pricing for 2005 which used
acquisition costs. The final rule also implemented case-mix adjustments
to the composite rate for a limited number of patient characteristics
(age, low body mass index (BMI), and body surface area (BSA)),
effective April 1, 2005.
In addition, to implement section 1881(b)(13) of the Act, we
revised payments for drugs billed separately by independent ESRD
facilities, paying for the top 10 ESRD drugs based on acquisition costs
(as determined by the OIG) and for other separately billed drugs at the
average sales price +6 percent (hereafter referred to as ASP+6
percent). Hospital-based ESRD facilities continued to receive cost-
based payments for all separately billable drugs and biologicals except
for EPO which was paid based on average acquisition costs.
2. CY 2006 Revisions
In the November 21, 2005 Federal Register (70 FR 70161), we
published the CY 2006 PFS final rule with comment period (70 FR 70161)
implementing additional revisions to payments to ESRD facilities under
section 623 of the MMA. For CY 2006, we further revised the drug
payment methodology applicable to drugs furnished by ESRD facilities.
All separately billed drugs and biologicals furnished by both hospital-
based and independent ESRD facilities are now paid based on ASP+6
percent.
We recalculated the 2005 drug add-on adjustment to reflect the
difference in payments between the pre-MMA AWP pricing and the revised
pricing based on ASP+6 percent. The recalculation did not affect the
actual add-on adjustment applied to payments in 2005, but provided an
estimate of what the adjustment would have been had the 2006 payment
methodology been in effect in 2005. The drug add-on adjustment was then
updated to reflect the expected growth in expenditures for separately
billable drugs in CY 2006.
As of January 1, 2006, we also implemented a revised geographic
adjustment authorized by section 1881(b)(12) of the Act. As part of
that change, we--
Revised the labor market areas to incorporate the new CBSA
designations established by the Office of Management and Budget (OMB);
Eliminated the wage index ceiling and reduced the floor to
.8500; and
Revised the labor portion of the composite rate to which
the geographic adjustment is applied.
We also provided a 4-year transition from the previous wage-
adjusted composite rates to the current wage-adjusted rates. For CY
2006, only 25 percent of the payment is based on the revised geographic
adjustments, and the remaining 75 percent of payment is based on the
old Metropolitan Statistical Area-based (MSA-based) payments.
In addition, section 5106 of the DRA (Pub. L. 109-171), provided
for a 1.6 percent update to the composite rate component of the basic
case-mix adjusted payment system, effective January 1, 2006. As a
result, the current base composite rate is $130.40 for independent ESRD
facilities and $134.53 for hospital-based facilities. The drug add-on
adjustment (including the growth update) for 2006 is 14.5 percent.
3. Provisions of the Proposed Rule
For CY 2007, we are proposing the following provisions which are
described in more detail below:
[[Page 49006]]
A method to annually calculate the growth update to the
drug add-on adjustment required by section 1881(b)(12) of the Act, as
well as an estimated growth update adjustment to the add-on amount of
0.6 percent for CY 2007.
An update to the wage index adjustments to reflect the
latest hospital wage data, including a budget neutrality adjustment of
1.053069 to the wage index for CY 2007.
4. Proposed Growth Update to the Drug Add-On Adjustment to the
Composite Rates
Section 623(d) of the MMA added section 1881(b)(12)(B)(ii) of the
Act which required the establishment of an add-on to the composite rate
to account for changes in the drug payment methodology stemming from
enactment of the MMA. Section 1881(b)(12)(C) of the Act provides that
the drug add-on must reflect the difference in aggregate payments
between the revised drug payment methodology for separately billable
ESRD drugs (acquisition costs in CY 2005; ASP+6 percent in CY 2006) and
the AWP payment methodology in effect in CY 2004.
In addition, section 1881(b)(12)(F) of the Act requires that,
beginning in CY 2006, we establish an annual update to the drug add-on
to reflect estimated growth in expenditures for separately billable
drugs and biologicals furnished by ESRD facilities. This growth update
applies only to the drug add-on portion of the case-mix adjusted
payment system.
The CY 2006 drug add-on adjustment to the composite rate is 14.5
percent. The drug add-on adjustment for CY 2006 incorporates an
inflation adjustment of 1.4 percent. This computation is explained in
detail in the CY 2006 PFS final rule with comment period (70 FR 70162).
We note that the drug add-on adjustment of 14.7 percent that was
published in November 21, 2005 PFS final rule with comment period did
not account for the 1.6 percent update to the composite rate portion of
the basic case-mix adjustment payment system that was subsequently
enacted by the DRA, effective January 1, 2006. Since we compute the
drug add-on adjustment as a percentage of the weighted average base
composite rate, the drug add-on percentage was decreased to account for
the higher composite payment rate resulting in a 14.5 percent add-on
adjustment for CY 2006. This adjustment was necessary to ensure that
the total drug add-on dollars remained constant.
a. Estimating Growth in Expenditures for Drugs and Biologicals for CY
2007
In developing the growth update to the drug add-on for CY 2006 we
conducted a trend analysis of prior years' ESRD drug expenditure data
(2001 through 2004). All 4 years of data used for the trend analysis
reflected expenditures associated with payment for separately billed
drugs and biologicals under the AWP methodology. We could, therefore,
develop growth estimates for CY 2006 using comparable historical
expenditure data. To extend the trend analysis for CY 2007, we would
need to include drug expenditure data from CY 2005. However, in CY
2005, section 1881(b)(13)(A)(ii) of the Act required that we use a
different drug payment methodology, based on average acquisition costs,
rather than the AWP methodology used in prior years. Therefore, ESRD
drug expenditure data for CY 2005 are not comparable to expenditure
data for CY 2001 through CY 2004 for trend analysis purposes. This data
issue will extend to subsequent years' data as well, as we are now
paying for separately billable drugs using ASP+6 percent. Because we do
not have comparable data on which to base continuing trend analysis, we
believe it is necessary to re-evaluate our methodology for updating the
drug add-on adjustment.
In order to address the issue of data comparability described
above, we considered using available drug proxy measures to predict
growth in ESRD drug expenditures for CY 2007. We note that section
1881(b)(12)(F) of the Act specifies that the drug update must reflect
``the estimated growth in expenditures for drugs and biologicals that
are separately billable * * *.'' By referring to ``expenditures'', we
believe the statute contemplates that the update would account for both
increases in drug prices as well as increases in utilization of those
drugs.
One available proxy measure that reflects both price and
utilization is the national health expenditure projection for
prescription drugs that is developed by CMS. However, because of
uncertainties regarding the impact of the Medicare Part D prescription
drug program on expenditures, we are concerned that the current
estimates for CY 2007 will likely change, as actual Part D expenditure
data become available. Therefore, we do not believe this measure would
be an appropriate proxy measure for this purpose.
Another widely recognized proxy measure is the producer price index
(PPI) for prescription drugs. The PPI is a good measure of drug pricing
growth, but does not capture the growth in per patient drug utilization
that must also be part of an accurate estimate of growth in ESRD drug
expenditures. However, if the PPI is used in conjunction with an
estimate of per patient growth in drug utilization, we believe this
measure would provide a simple and accurate approach to updating the
drug add-on that could be readily used in subsequent years. Moreover,
using the PPI would significantly reduce any data bias that is inherent
in using historical drug expenditure data that do not reflect current
drug payment methodologies. As discussed in detail below, we are
proposing to estimate growth in per patient utilization of drugs by
using historical data from 2004 and 2005.
Another approach to estimating the growth in ESRD drug expenditures
is to continue using historical trend analysis by making adjustments to
the available data to permit year to year comparisons. This would be
accomplished by making an adjustment to the CY 2005 data based on
average acquisition price (AAP) using the weighted average difference
between AWP prices and AAP prices. We would use trend analysis to
project the growth in drug expenditures for CY 2007.
While we believe this approach is reasonably accurate for
developing the CY 2007 growth estimates, since only one year of data
would require adjustment, we are concerned about applying this
methodology to future updates. Future year updates would require
multiple year to year adjustments in prices. Moreover, historical AWP
data does not provide an accurate measure of price changes for EPO
under the revised drug payment methodology, since EPO pricing was held
constant during that historical period.
In addition, our estimate of the weighted average difference
between AAP prices and AWP prices (and ASP versus AWP prices in CY
2006) was based on a projection of price levels. It is likely that the
weighted average difference would change based on actual pricing data
for each of those years. To be consistent with the statute, we expect
to update the established adjustment to reflect estimated growth in
drug expenditures, but we do not anticipate re-computing the drug add-
on adjustment annually. Adjusting our assumptions to estimate projected
growth without changing the underlying assumptions in the add-on
adjustment would create inconsistencies between the two elements.
Therefore, we are proposing to discontinue use of older historical drug
spending data to
[[Page 49007]]
estimate the growth update to the drug add-on adjustment. We will
reconsider our methodology when we have sufficient historical data
reflecting the revised drug payment methodology using ASP pricing.
For the reasons discussed above, we are proposing to develop an
estimate of the growth in expenditures for ESRD drugs and biologicals
using the PPI for prescription drugs as a measure of price increases in
conjunction with two years of historical data from 2004 and 2005 as a
basis for estimating utilization growth at the per patient level. We
believe that this approach will best reflect the estimated growth in
expenditures for ESRD drugs and biologicals.
b. Estimating Growth in Per Patient Drug Utilization
To isolate and project the growth in per patient utilization of
ESRD drugs for CY 2007, we need to remove the enrollment and price
growth components from historical drug expenditure data and consider
the residual utilization growth. We propose to use total drug
expenditure data from CYs 2004 and 2005 to estimate per patient
utilization growth for CY 2007.
We first needed to estimate total drug expenditures. For this
proposed rule, we used the final CY 2004 ESRD claims data and the
latest available CY 2005 ESRD facility claims, updated through December
31, 2005, that is, claims with dates of service from January 1 through
December 31, 2005, that were received, processed, paid, and passed to
the National Claims History File as of December 31, 2005. For the final
rule, we will use more updated CY 2005 claims with dates of service for
the same time period. This updated CY 2005 data file will include
claims that are received, processed, paid, and passed to the National
Claims History File as of June 30, 2006.
While the December 2005 update of CY 2005 claims used in this
proposed rule is the most recently available claims data, we recognize
that it is not a fully complete year as claims with dates of service
towards the end of the year have not all been processed. To more
accurately estimate the update to the drug add-on, we need aggregate
drug expenditures. Based on an analysis of the 2004 claims data, we
inflated the CY 2005 drug expenditures to estimate the June 30, 2006
update of the 2005 claims file. We used the relationship between the
December 2004 and the June 2005 versions of 2004 claims to estimate the
more complete 2005 claims that will be available in June 2006. We
applied that ratio to the 2005 claims data from the December 2005
claims file. We did this for drug expenditures in aggregate, for each
of top ten separately billable drugs, and within each for independent
and hospital-based ESRD facilities. All components were then combined
to estimate aggregate CY 2005 ESRD drug expenditures. The net
adjustment to the CY 2005 claims data was an increase of 13 percent to
the 2005 expenditure data. This adjustment allows us to more accurately
compare the 2004 and 2005 data, to estimate utilization growth.
The next step is to remove the enrollment and price growth
components from that total. As discussed earlier in this section, in
developing the per patient utilization growth for this proposed rule,
we limited our analysis to the latest 2 years of available ESRD drug
data, that is, 2004 and 2005. We believe that per patient utilization
growth between these years would be a better proxy for future growth,
as it best represents current utilization trends. Furthermore, because
of the implementation of the new EPO utilization monitoring policy that
took effect on April 1, 2006 (Medicare Claims Processing Manual,
Chapter 8, section 60-4ff, p. 51-53), we believe that per patient
utilization of ESRD drugs will remain relatively stable or decline
slightly in future years. We note that EPO accounts for nearly 70
percent of ESRD drug expenditures.
To calculate the per patient utilization growth, we removed the
enrollment component by using the growth in enrollment data between
2004 and 2005. This was approximately 3 percent. To remove the price
effect we used a two-step process. First we calculated a weighted
average between EPO and non-EPO price growth factors to account for the
growth in pre-MMA pricing between 2004 and 2005. Since EPO was priced
at $10 per thousand units prior to the enactment of the MMA, there is
no growth for EPO. For the non-EPO drugs, we used the PPI as a proxy
for the growth between the 2 years to maintain consistency with the
established methodology for calculating the drug add-on adjustment
which used the PPI to estimate the price growth in separately billable
drugs (November 15, 2004, CY 2005 PFS final rule with comment period,
69 FR 66321). Next, we incorporated the estimated negative 13 percent
weighted price difference between 2005 AWP and 2005 AAP pricing as was
published in the CY 2005 PFS final rule with comment period (69 FR
66319 through 66334). This two-step process to account for the price
effect from 2004 to 2005 led to an overall 12 percent reduction in
price between 2004 and 2005.
After removing the enrollment and price effects from the
expenditure data, we believe the residual growth would reflect the per
patient utilization growth. To do this, we divided the product of the
enrollment growth of 3 percent (1.03) and the price reduction of 12
percent (1.00 - .12 = .88) into the total drug expenditure decrease
between 2004 and 2005 of 9 percent (1.00-.09 = .91). The result is a
utilization factor equal to 1.00 (.91/(1.03 * .88) = 1.00).
As we observed no growth in per patient utilization of drugs
between 2004 and 2005, we are, therefore, projecting no growth in per
patient utilization for CY 2007.
1. Applying the Proposed Growth Update to the Drug Add-on
Adjustment
In CY 2006, we estimated the growth update by trending drug
expenditures forward based on four years of AWP payment data (CY 2001
through CY 2004). We then applied the estimated growth update
percentage to the total amount of drug add-on dollars established for
CY 2005 to come up with a dollar amount for the CY 2006 growth update.
In addition, we projected the growth in dialysis treatments for CY 2006
based on the projected growth in ESRD enrollment. We divided the
projected total dialysis treatments for CY 2006 into the projected
dollar amount of the CY 2006 growth to develop the per treatment growth
update amount. This growth update amount, combined with the CY 2005 per
treatment drug add-on amount, resulted in an average drug add-on amount
per treatment of $18.88 (or a 14.5 percent adjustment to the composite
rate) for CY 2006.
Beginning in CY 2007, we are proposing to annually update the per
treatment drug add-on amount of $18.88 established in CY 2006 and
convert the update to an adjustment factor as stipulated in section
1881(b)(12)(F) of the Act. As explained above, we believe this approach
is more accurate than recalculating the per treatment add-on adjustment
each year using an estimate of growth in treatments. We note that we
had received comments that our projections of treatment growth used to
calculate the CY 2006 adjustment may have been overstated, however, we
believe that the use of enrollment data was and remains the best
measure available to predict treatment growth. By proposing to apply
the update to the CY 2006 per treatment add-on amount, this estimation
component is eliminated for CY 2007 and future years.
[[Page 49008]]
2. Proposed Update to the Drug Add-On Adjustment
As discussed above, we estimate no growth in per patient
utilization of ESRD drugs for CY 2007. Using the projected CY 2007 PPI
for prescription drugs of 4.9 percent, we are projecting that the
combined growth in per patient utilization and pricing for CY 2007
would result in an update equal to the PPI or 4.9 percent (1.0*1.049 =
1.049). This update factor would be applied to the CY 2006 average per
treatment drug add-on amount of $18.88 (reflecting a 14.5 percent
adjustment in CY 2006), resulting in a proposed weighted average
increase to the composite rate of $.93 for CY 2007 or a 0.6 percent
increase in the CY 2006 drug add-on percentage. Thus, the total
proposed drug add-on adjustment to the composite rate for CY 2007,
including the growth update, would be 15.2 percent (1.145*1.006 =
1.152).
In addition, we are proposing to continue to use this method to
estimate the growth update to the drug add-on component of the case-mix
adjusted payment system until we have at least three years worth of
ASP-based historical drug expenditure data that could be used to
conduct a trend analysis to estimate the growth in drug expenditures.
Given the time lag in the availability of ASP drug expenditure data, we
expect that the earliest we could consider using trend analysis to
update the drug add-on adjustment would be 2010. We propose to
reevaluate our methodology for estimating the growth update at that
time.
c. OIG Report on New Drug Codes
Section 623(c)(1) of the MMA mandated that the OIG conduct two
studies to determine the difference between the Medicare payment amount
for separately billable ESRD drugs and the facilities'' acquisition
costs for these drugs, as well as estimating the growth rate of
expenditures for these drugs. The initial study, ``Medicare
Reimbursement for Existing End Stage Renal Disease Drugs'' (OEI-03-04-
00120) was completed in May 2004, and reported on existing ESRD drugs.
This report was used to set the CY 2005 reimbursement rates for ESRD
drugs billed by independent dialysis facilities (69 FR 66322). The
second study (``Medicare Reimbursement for New ESRD Drugs'' (OEI-03-06-
00200)) focused on new drugs. New drugs for the purpose of this study
were defined as an ESRD drug that did not have a BILLING CODE prior to
January 1, 2004.
One drug, darbepoetin alfa (Aranesp) accounted for the majority of
all payments for new drugs. Therefore, this was the only new ESRD drug
studied. The OIG report found that use of this drug was limited to a
small number of facilities (only 157 facilities reported using this
drug with concentrated use in approximately 55 of these facilities).
Because of the recent changes we made to the drug payment methodology
and the lack of comparable historical data, the OIG report made no
estimate of an expenditure growth rate for this drug.
Darbepoetin alfa (Aranesp) is currently paid as a separately
billable drug at ASP+6 percent. Because of the recent (CY 2006)
implementation of the ASP+6 percent drug reimbursement methodology, the
small number of facilities using this drug for ESRD patients, and the
lack of historical data for trending purposes, we have no data to
indicate that any difference in payment methods for Aranesp (between
2004 and 2006) would affect our calculation of the drug add-on or of
the growth update. Moreover, since Aranesp was approved in 2001 for use
in ESRD patients, we believe that expenditures for Aranesp were
reflected in the historical data used to establish the 2005 drug add-on
under a generic drug code. Therefore, we are proposing to make no
additional changes to the drug add-on adjustment for CY 2007.
5. Proposed Update to the Geographic Adjustments to the Composite Rates
Section 1881(b)(12)(D) of the Act, as amended by section 623(d) of
the MMA, gave the Secretary the authority to revise the wage indexes
previously applied to the ESRD composite rates. The wage indexes are
calculated for each urban and rural area. The purpose of the wage index
is to adjust the composite rates for differing wage levels covering the
areas in which ESRD facilities are located.
a. Updates to CBSA Definitions
In the CY 2006 PFS final rule with comment period (70 FR 70167), we
announced our adoption of the OMB's CBSA-based geographic area
designations to develop revised urban/rural definitions and
corresponding wage index values for purposes of calculating ESRD
composite rates. OMB's CBSA-based geographic area designations were
described in Bulletin 03-04 originally issued June 6, 2003. On February
22, 2005 and December 5, 2005, OMB released Bulletins 05-02 and 06-01,
respectively. Those bulletins contained updates to the metropolitan and
micropolitan statistical area designations initially announced in
Bulletin 03-04. OMB's revisions had no effect on the classification of
counties which comprise the urban and rural areas used to develop the
ESRD wage index values. However, Bulletins 05-02 and 06-01 changed the
titles of several of the MSAs and Metropolitan Divisions used in
connection with the ESRD urban wage index. Table 5 below, which
contains the proposed wage index values for the ESRD urban areas,
includes all of the changes announced by OMB in the February 22, 2005
and December 5, 2005 bulletins.
b. Updated Wage Index Values
In the CY 2006 PFS final rule with comment period, we stated that
we intended to update the wage index values annually (70 FR 70167).
Current ESRD wage index values for CY 2006 were developed from FY 2002
wage and employment data obtained from the Medicare hospital cost
reports. The values are calculated without regard to geographic
reclassifications authorized under sections 1886(d)(8) and (d)(10) of
the Act and utilize pre-floor hospital data that is unadjusted for
occupational mix.
The methodology for calculating the CY 2006 wage index values was
described in the CY 2006 PFS final rule with comment period (70 FR
70168). We propose to use the same methodology for CY 2007, with the
exception that FY 2003 hospital data will be used to develop the CY
2007 ESRD wage index values. For a detailed description of the
development of the proposed CY 2007 ESRD wage index values based on FY
2003 hospital data, see the FY 2007 IPPS proposed rule entitled,
``Proposed Changes to the Hospital Inpatient Prospective Payment
Systems and Fiscal Year 2007 Rates,'' (April 25, 2006, 71 FR 24080).
Section III F. (Computation of the Proposed FY 2007 Unadjusted Wage
Index) of the preamble to that proposed rule describes the cost report
schedules, line items, data elements, adjustments, and wage index
computations. The wage index data affecting ESRD composite rates for
each urban and rural locale may also be accessed on the CMS website at:
http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp.
The wage data are located in the section entitled, ``FY 2007
Proposed Rule Occupational Mix Adjusted and Unadjusted Average Hourly
Wage and Pre-reclassified Wage Index by CBSA''.
(1) Wage Index Values for Areas With No Hospital Data
In CY 2006, while adopting the CBSA designations, we identified a
small number of ESRD facilities in both urban and rural geographic
areas where there
[[Page 49009]]
is no hospital wage data on which to base the calculations of the CY
2006 ESRD wage index values. Our CY 2005 policy and CY 2006 proposal
for each area are discussed separately below.
The first situation was rural Massachusetts. Because there were no
reasonable proxies for rural data within Massachusetts, we used the
prior year's acute care hospital wage index value for rural
Massachusetts. For CY 2007, we propose to continue to use this value
and request public input on an alternative methodology.
Since there may be additional rural areas in the future similarly
impacted by a lack of hospital wage data on which to derive a hospital
wage index, we are considering alternative methodologies for imputing a
rural wage index for areas in States where no hospital wage data are
available. We believe that an evaluation of alternative methodologies
for imputing a rural wage index in these areas should adhere to four
basic policy criteria. First, an alternative methodology should retain
our current longstanding policy to use pre-floor, pre-reclassified
hospital wage data to compute wage index values for post acute care
facilities, including ESRD facilities. Second, any methodology to
impute a rural wage index should use rural wage data to derive the
rural wage index value. Third, any methodology to impute a rural wage
index should be easy to evaluate. Fourth, any methodology to impute a
rural wage index would be able to update wage data from year-to-year.
We arrived at one alternative that meets all of the above policy
criteria. Under this alternative, we would impute a rural wage index
value by using a simple average CBSA-based rural wage index value at
the Census Division level. Census Divisions are defined by the U.S.
Census Bureau and may be found at (www.census.gov/geo/www/us_regdiv.pdf). As stated above, for CY 2007, hospital wage data are not
available to compute a rural wage index for ESRD facilities in rural
Massachusetts, and this alternative methodology could be applied in
this case. Massachusetts is located in Census Division I (New England).
The States in this Census Division, and their respective rural wage
index values (using hospital cost report wage data for FY 2003)
include--
Connecticut (1.1753);
Maine (0.8410);
New Hampshire (1.0800);
Vermont (0.9944)
Rhode Island (all five counties classified as urban); and
Massachusetts.
Under this alternative methodology, the States in Census Division I
for which rural wage index values are available, as shown above, would
be used; this would result in a simple average rural wage index value
of 1.0227 (1.0770 after applying budget neutrality factor (BNF)).
Although this methodology would result in a rural Massachusetts wage
index that is currently greater than the value under the current
proposed policy (1.0216, 1.0758 after applying BNF), we believe this
methodology may be able to accurately reflect future increases or
decreases of wage data for the States within the applicable Census
Division.
Rural Puerto Rico is similar to rural Massachusetts in that there
are ESRD facilities where there are no acute care hospitals and,
therefore, no hospital data. However, the situation for facilities in
rural Puerto Rico is different in that the floor would be applied to
rural Puerto Rico ESRD facilities. All areas in Puerto Rico that have
an index are eligible for the floor because they have wage-index values
that are below .8000. For CY 2007, we propose to apply the floor to
rural Puerto Rico.
The third situation involves an urban area in Hinesville, GA (CBSA
25980). For CY 2006, we used a wage index value based on wage index
values in all of the other urban areas within the same State to serve
as a reasonable proxy for the urban areas without hospital wage index
data. Specifically, we used the average wage index value for all urban
areas within the State of Georgia as the urban wage index for purposes
of calculating the value for Hinesville for CY 2006. For CY 2007, we
are proposing to continue using this method for Hinesville, GA (CBSA
25980).
We solicit comments on maintaining our current policy for
establishing wage index values for rural and urban areas without
hospitals, the alternative approach outlined above in developing wage
index values for rural areas without hospitals for CY 2007 and
subsequent years, and other methods that meet the policy criteria for
imputing wage index values. We will also continue to evaluate existing
hospital wage data and, possibly, wage data from other sources, such as
the Bureau of Labor Statistics, to determine if other methodologies of
imputing a wage index value where hospital wage data are not available
may be feasible.
(2) Second Year of the Transition
In the CY 2006 PFS final rule with comment period, we indicated
that we would apply a 4-year transition period to mitigate the impact
on composite rates resulting from our adoption of CBSA-based geographic
designations (70 FR 70169). Beginning January 1, 2006, during each year
of the transition, an ESRD facility's wage-adjusted composite rate
(that is, without regard to any case-mix adjustments) will be a blend
of its old MSA-based wage-adjusted payment rate and its new CBSA-based
wage adjusted payment rate for the transition year involved. For each
transition year, the share of the blended wage-adjusted base payment
rate that is derived from the MSA-based and CBSA-based wage index
values is shown in Table 4 below. In CY 2006, the first year of the
transition, we implemented a 75/25 blend. CY 2007 is the second year of
the 4-year transition period. Consistent with the transition blends
announced in the November 21, 2005 PFS final rule with comment period
(70 FR 70170), we are proposing a 50/50 blend between an ESRD
facility's MSA-based composite rate, and its CY 2007 CBSA-based rate
reflecting its revised wage index values.
In CY 2006, we also eliminated the wage index cap of 1.30, and
stated that we would implement a gradual reduction in the wage index
floor of .90. Prior to January 1, 2006, the wage indexes were
restricted to values no less than .90 and no greater than 1.30, meaning
that payments to facilities in areas where labor costs fell below 90
percent of the national average, or exceeded 130 percent of that
average, were not adjusted beyond the 90 percent or 130 percent level.
Although we stated that the ESRD wage index values should not be
constrained by the application of floors and ceilings, we also
expressed concern that the immediate elimination of the floor could
adversely affect ESRD beneficiary access to care. Therefore, we reduced
the floor to .85 in CY 2006.
For CY 2007, we are proposing to reduce the wage index floor to
.80. As we stated in the CY 2006 PFS final rule with comment period, we
intend to reassess the continuing need for a wage index floor in CY
2008 and CY 2009 (CY 2006 PFS final rule with comment period, November
21, 2005, 70 FR 70169 through 70170). The proposed wage index floors,
caps, and blended shares of the composite rates applicable to all ESRD
facilities during CYs 2007 through 2009 are shown in Table 4 below.
They are identical to the values shown in Table 20 of the CY 2006 PFS
final rule with comment period (70 FR 70170) for the applicable years.
[[Page 49010]]
Table 4.--Wage Index Transition Blend
----------------------------------------------------------------------------------------------------------------
Old MSA New CBSA
CY payment Floor Ceiling (percent) (percent)
----------------------------------------------------------------------------------------------------------------
2007.............................. .80 *................ None................. 50 50
2008.............................. Reassess............. None................. 25 75
2009.............................. Reassess............. None................. 0 100
----------------------------------------------------------------------------------------------------------------
* Each wage index floor is multiplied by a budget neutrality adjustment factor. For CY 2007 the budget
neutrality adjustment is 1.053069 resulting in an actual wage index floor of 0.8425.
An example of how the wage-adjusted composite rates would be
blended during CY 2007 and the two subsequent transition years follows.
Example: An ESRD facility has a wage-adjusted composite rate
(without regard to any case-mix adjustments) of $135.00 per
treatment in CY 2006. Using CBSA-based geographic area designations,
the facility's CY 2007 wage-adjusted composite rate, reflecting its
wage index value as shown in Table 5 below, would be $145.00. During
the remaining 3 years of the four-year transition period to the new
CBSA-based wage index values, this facility's blended rate through
2009 would be calculated as follows:
CY 2007 .50 x $135.00 + .50 x $145.00 = $140.00
CY 2008 .25 x $135.00 + .75 x $145.00 = $142.50
CY 2009 0 x $135.00 + 1.0 x $145.00 = $145.00
We note that this hypothetical example assumes that the calculated
wage-adjusted composite rate of $145.00 for CY 2007 does not change in
CYs 2008 and 2009. In actuality, the wage-adjusted composite rate would
change because of annual revisions to the wage index. However, the
example serves only to demonstrate the effect on the composite rate of
the CBSA-based wage index values which will be phased-in during the
remaining 3 years of the transition period.
c. Budget Neutrality Adjustment
Section 1881(b)(12)(E)(i) of the Act, as added by section 623(d) of
the MMA, requires that any revisions to the ESRD composite rate payment
system as a result of the MMA provision (including the geographic
adjustment) be made in a budget neutral manner. This means that
aggregate payments to ESRD facilities in CY 2007 should be the same as
aggregate payments that would have been made if we had not made any
changes to the geographic adjusters. We note that this budget
neutrality adjustment only addresses the impact of changes in the
geographic adjustments. A separate budget neutrality adjustment was
developed for the case-mix adjustments, currently in effect. Since we
are not proposing any changes to the case-mix measures for CY 2007, the
current case-mix budget neutrality will remain in effect for CY 2007.
For CY 2007, we again propose to apply a BNF directly to the ESRD wage
index values, as we did in CY 2006. As we explained in the CY 2006 PFS
final rule with comment period (70 FR 70170 through 70171), we believe
this is the simplest approach because it allows us to maintain our base
composite rates during the transition from the current wage adjustments
to the revised wage adjustments described earlier in this section.
Because the ESRD wage index is only applied to the labor-related
portion of the composite rate, we computed the BNF adjustment based on
that proportion (53.711 percent).
In order to compute the proposed CY 2007 wage index BNF, we used
the wage index values in Tables 5 and 6 below, 2005 outpatient claims
(paid and processed as of December 31, 2005), and geographic location
information for each facility which may be found through Dialysis
Facility Compare. Dialysis Facility Compare can be found by going to
the following Web site: http://www.cms.hhs.gov/DialysisFacilityCompare/.
Using treatment counts from the 2005 claims and facility-specific
CY 2006 composite rates, we computed the estimated total dollar amount
each ESRD provider would have received in CY 2006 (the first year of
the 4-year transition). The total of these payments became the target
amount of expenditures for all ESRD facilities for CY 2007. Next, we
computed the estimated dollar amount that would have been paid to the
same ESRD facilities using the proposed ESRD wage index for CY 2007
(the second year of the 4-year transition). The total of these payments
became the second year new amount of wage-adjusted composite rate
expenditures for all ESRD facilities.
After comparing these two dollar amounts (target amount divided by
second year new amount), we calculated an adjustment factor that, when
multiplied by the applicable CY 2007 ESRD wage index shown in Tables 5
and 6 below, will result in payments to each facility that will remain
within the target amount of composite rate expenditures when totaled
for all ESRD facilities. The proposed budget neutrality adjustment
factor for the CY 2007 wage index is 1.053069.
To ensure budget neutrality we also must apply the BNF to the wage
index floor of 0.8000 which results in a proposed adjusted wage index
floor of 0.8425 for CY 2007.
d. ESRD Wage Index Tables
The following two tables show the proposed CY 2007 ESRD wage index,
including the BNF adjustment, for urban areas (Table 5) and rural areas
(Table 6).
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Table 6.--Proposed CY 2007 ESRD Wage Index for Rural Areas Based on CBSA
Labor Market Areas
------------------------------------------------------------------------
CBSA code Nonurban area Wage index
------------------------------------------------------------------------
1.............................. Alabama................ 0.8425
2.............................. Alaska................. 1.1247
3.............................. Arizona................ 0.9398
4.............................. Arkansas............... 0.8425
5.............................. California............. 1.1902
6.............................. Colorado............... 0.9838
7.............................. Connecticut............ 1.2377
8.............................. Delaware............... 1.0239
10............................. Florida................ 0.9051
11............................. Georgia................ 0.8425
12............................. Hawaii................. 1.1022
13............................. Idaho.................. 0.8566
14............................. Illinois............... 0.8769
15............................. Indiana................ 0.8927
16............................. Iowa................... 0.9159
17............................. Kansas................. 0.8425
18............................. Kentucky............... 0.8425
19............................. Louisiana.............. 0.8425
20............................. Maine.................. 0.8856
21............................. Maryland............... 0.9417
22............................. Massachusetts.......... 1.0758
23............................. Michigan............... 0.9532
24............................. Minnesota.............. 0.9653
25............................. Mississippi............ 0.8425
26............................. Missouri............... 0.8425
27............................. Montana................ 0.9062
28............................. Nebraska............... 0.9154
29............................. Nevada................. 0.9435
30............................. New Hampshire.......... 1.1373
31............................. \1\ New Jersey......... ..............
32............................. New Mexico............. 0.8790
33............................. New York............... 0.8688
34............................. North Carolina......... 0.9055
35............................. North Dakota........... 0.8425
36............................. Ohio................... 0.9134
37............................. Oklahoma............... 0.8425
38............................. Oregon................. 1.0288
39............................. Pennsylvania........... 0.8774
41............................. \1\ Rhode Island....... ..............
42............................. South Carolina......... 0.8425
43............................. South Dakota........... 0.9038
44............................. Tennessee.............. 0.8425
45............................. Texas.................. 0.8425
46............................. Utah................... 0.8587
47............................. Vermont................ 1.0472
48............................. Virgin Islands......... 0.8425
49............................. Virginia............... 0.8425
50............................. Washington............. 1.0827
51............................. West Virginia.......... 0.8425
52............................. Wisconsin.............. 0.9970
53............................. Wyoming................ 0.9805
------------------------------------------------------------------------
\1\ All counties in the States of New Jersey and Rhode Island are urban.
H. Private Contracts and Opt-Out Provision--Practitioner Definition
[If you choose to comment on issues in this section, please include
the caption ``PRIVATE CONTRACTS AND OPT-OUT'' at the beginning of your
comments.]
Section 4507 of the BBA of 1997 amended section 1802 of the Act to
permit certain physicians and practitioners to opt-out of Medicare if
certain conditions were met, and to provide through private contracts
services that would otherwise be covered by Medicare. Before enactment
of BIPA (Pub.L. 106-554), section 1802(b)(5)(C) of the Act, which
refers to the definition of ``practitioner'' at section 1842(b)(18)(C)
of the Act, did not include registered dietitians or nutrition
professionals among the practitioners who may choose to opt-out of
Medicare. Section 105(d) of BIPA amended the definition of practitioner
located at section 1842(b)(18)(c) of the Act to include registered
dietitians or nutrition professionals. Because section 1802(b)(5)(C) of
the Act references section 1842(b)(18)(c) of the Act in order to define
the term practitioner for purposes of opting out of Medicare, current
law permits registered dietitians or nutrition professionals to opt-out
of Medicare. Because the definition of practitioner located in the
current regulations at Sec. 405.400 does not include registered
dietitians or nutrition professionals, we are proposing to amend that
section so that it is consistent with section 1802(b)(5)(C) of the Act.
[[Page 49054]]
I. Proposed Changes to Reassignment and Physician Self-Referral Rules
Relating to Diagnostic Tests
[If you choose to comment on issues in this section, please include
the caption ``REASSIGNMENT AND PHYSICIAN SELF-REFERRAL'' at the
beginning of your comments.]
Historically, Medicare rules have prohibited the markup of the TC
of certain diagnostic tests that are performed by outside suppliers and
billed to Medicare by a different individual or entity. In addition,
Medicare rules restrict who may bill Medicare for the PC (hereafter,
also referred to as the ``interpretation'') of diagnostic tests. Recent
changes to our rules on reassignment of the right to receive Medicare
payment may have led to some confusion as to whether the anti-markup
and purchased interpretation requirements apply to certain situations
where a reassignment has occurred pursuant to a contractual
arrangement.
Likewise, we are concerned about the existence of certain
arrangements that are not within the intended purpose of our physician
self-referral rules, which allow physician group practices to bill for
services furnished by a contractor physician in a ``centralized
building.'' We are concerned that allowing physician group practices or
other suppliers to purchase or otherwise contract for the provision of
diagnostic tests and then to realize a profit when billing Medicare may
lead to patient and program abuse in the form of overutilization of
services and result in higher costs to the Medicare program.
Therefore, we are proposing to amend our reassignment regulations
to clarify how the purchased test and purchased test interpretation
rules apply in the case of a reassignment made under the contractual
arrangement exception set forth at Sec. 424.80(d)(2). Specifically, in
our reassignment regulations, we propose to incorporate provisions
similar to those that currently appear in Sec. 414.50 of our
regulations on purchased tests, and we are considering incorporating
provisions on purchased test interpretations that currently appear in
our manual instructions. In addition, we are proposing to change the
definition of ``centralized building'' at Sec. 411.351 of the
physician self-referral regulations to place certain restrictions on
what types of space ownership or leasing arrangements will qualify for
purposes of the physician self-referral in-office ancillary services
exception and physician services exception.
Our proposals regarding the reassignment regulations are based on
existing requirements for purchased tests and purchased test
interpretations. Section 1842(n) of the Act contains certain
limitations on billing for the TC of diagnostic tests described in
section 1861(s)(3) of the Act (other than clinical diagnostic
laboratory tests paid under section 1833(a)(2)(D) of the Act, which are
subject to the special rules set forth in section 1833(h)(5)(A) of the
Act). Section 1842(n)(1)(A) of the Act provides that if the test was
not performed by the billing physician and also was not performed or
supervised by a physician with whom the billing physician shares a
practice, Medicare payment is the lower of the costs (net of any
discount) charged by the performing supplier to the billing physician,
or the performing supplier's reasonable charge (or other applicable
limit). This is commonly known as the anti-markup provision. Section
1842(n)(2) of the Act further provides that a physician may not bill a
beneficiary any amount other than the amount specified in section
1842(n)(1)(A) of the Act and any applicable deductible and coinsurance.
Under section 1842(n)(3) of the Act, if a physician knowingly,
willfully, and repeatedly bills a Medicare beneficiary for more than
the amount allowed under section 1842(n)(2) of the Act, he or she is
subject to civil monetary penalties and assessments, and exclusion from
Medicare and Medicaid for up to 5 years. Our regulations implementing
section 1842(n) of the Act appear at Sec. 414.50 and Sec.
402.1(c)(15).
In addition, our Claims Processing Manual (Pub. 100-4) outlines
certain conditions regarding who can submit a claim for purchased
diagnostic test intepretations. As set forth in Chapter 1, Section
30.2.9.1 of the Claims Processing Manual, the following requirements
must be satisfied in order to submit a claim for a purchased diagnostic
test interpretation:
The test must be ordered by a physician or medical group
that is independent of the person or entity performing the TC of the
test, and also must be independent of the physician or medical group
performing the interpretations.
The physician or medical group performing the
interpretations does not see the patient.
The purchaser (or employee, partner, or owner of the
purchaser) performs the TC of the test, and the interpreting physician
must be enrolled in the Medicare program.
Section 1842(b)(6) of the Act generally prohibits Medicare payment
to anyone other than the Medicare beneficiary or the physician or other
person who performed the service for the beneficiary. However, section
1842(b)(6) of the Act, also provides exceptions, known as the
reassignment exceptions, to this general rule. These exceptions allow
us to make payment to an individual or an entity other than the
beneficiary or the physician or other person who performed the service
for the beneficiary. For example, the reassignment exceptions allow us
to make payment to an employer of a physician, such as a group practice
or a hospital, to which the physician employee has reassigned his or
her right to payment.
Prior to the MMA, a physician or other individual supplier could
reassign his or her right to bill and receive payment under a
contractual arrangement, rather than an employee-employer relationship,
only if the services being paid for were performed on the premises of
the contracting hospital, critical access hospital, clinic, or other
facility. Section 952 of the MMA, however, amended section
1842(b)(6)(A)(ii) of the Act to extend the reassignment exception to
contractual arrangements regardless of whether the services are
performed on the premises of the billing entity. Section 952 of the MMA
permits us to recognize this type of reassignment to the extent that
the contractual arrangement between the physician or other individual
supplier and the billing entity (excluding a billing agent, which
cannot receive reassigned benefits) meets program integrity and other
safeguards as the Secretary may determine to be appropriate. A
motivating factor behind the passage of section 952 of the MMA appears
to have been the desire by the Congress to permit us to allow hospital
emergency department staffing companies that employ physicians on a
contract basis to bill Medicare (if the staffing companies enroll in
Medicare).
Our proposed implementation of section 952 of the MMA appeared in
the Revisions to Payment Policies Under the Physician Fee Schedule for
Calendar Year 2005 proposed rule, 69 FR 47488, 47524 through 47525
(August 5, 2004). We proposed program safeguards, whereby the parties
to the contractual arrangement would have joint and several liability
for any Medicare overpayments, and the physician or other individual
supplier would have unrestricted access to billings submitted on his or
her behalf by the entity receiving reassigned payments. In that
proposed rule, we stated our awareness that the changes to the
reassignment rules authorized by section 952 of the MMA may create new
fraud and abuse vulnerabilities, which may not become apparent until
the program has
[[Page 49055]]
experience with new contractual arrangements. We solicited comments on
these potential program vulnerabilities and on possible additional
safeguards to protect against such vulnerabilities.
Comments submitted in response to the CY 2005 PFS proposed rule
expressed concern over the recent growth of ``pod'' or ``condo''
laboratories (hereinafter ``pod labs''). In a typical pod lab
arrangement involving pathology services, an entity leases space in a
medical building and then subdivides the space into separate areas or
cubicles, which are equipped with microscopes and a minimal amount of
other laboratory equipment. The entity subleases each space to a
physician group practice, even though the space may be located many
miles away from any medical office of the group practice and is often
located in a different state. The entity hires a histologist who
performs the TC of the pathology service, by preparing a microscopic
slide of each specimen for review by a pathologist. The entity also
makes arrangements with a pathologist, who performs the PC of the
pathology service and who also supervises the pod lab.
In one type of arrangement, the pathologist and histologist perform
their services for the different group practices by moving from cubicle
to cubicle. Each group practice pays the pathologist a fee for every
slide reviewed and pays the entity a management fee, which covers the
rental of the pod lab and the histologist's salary. The group practice
then bills Medicare for the entire pathology service, typically at a
markup from what the group practice paid the pathologist for the
professional service and the entity for its services. In another common
arrangement, the histologist performs the TC of the pathology service
for the entity and the entity bills Medicare for that service, while
the group practice bills for the interpretation that was performed by
its independent contractor pathologist, who has reassigned to the group
practice his or her right to receive Medicare payment.
The commenters stated that pod lab arrangements are subject to
fraud, waste and abuse, including, but not limited to the following:
Generation of medically unnecessary biopsies.
Kickbacks.
Fee-splitting.
Referrals that would otherwise be prohibited under the
physician self-referral statute.
The commenters provided several suggestions. One commenter
suggested that we prohibit a physician from reassigning benefits to
another physician if the physicians do not practice in substantially
the same medical specialty. Some commenters also stated that our
regulations need to state more clearly that all requirements of the
purchased diagnostic test rules and purchased test interpretation rules
need to be met.
In the CY 2005 PFS final rule, we responded that we shared the
commenters concerns, although we declined to incorporate the suggested
revisions at that time. We said that we would be paying close attention
to this issue, and that we might initiate future rulemaking to address
arrangements that are fraudulent or abusive. (See 69 FR 66316, November
15, 2004.) In that final rule, we amended our reassignment regulation
at Sec. 424.80(a) to state that nothing in Sec. 424.80 alters an
individual's or entity's obligations under other Medicare statutes or
rules, including, but not limited to, the physician self-referral law
(section 1877 of the Act), the anti-kickback statute (section
1128B(b)(1) of the Act), the regulations regarding purchased diagnostic
tests, and the regulations regarding services and supplies provided
incident to a physician's service.
At about the same time as we published our proposed rule for
implementing section 952 of the MMA, we published an IFC concerning
exceptions to the physician self-referral law in section 1877 of the
Act (69 FR 16054). Section 1877 of the Act prohibits a physician from
making referrals for DHS, as defined in section 1877(h)(6) of the Act,
payable by Medicare to an entity with which he or she (or an immediate
family member) has a financial relationship (ownership or
compensation), and it prohibits the entity from billing Medicare,
another payor, or the beneficiary for those referred services, unless
an exception applies. The statute establishes a number of specific
exceptions to these prohibitions and grants the Secretary the authority
to create regulatory exceptions for financial relationships that pose
no risk of fraud or abuse.
One significant exception is at Sec. 411.355(a) for the provision
of ``physician services'' as defined in Sec. 410.20(a). Under this
exception, professional physician services that are DHS must be
furnished personally by another physician who is a member of the
referring physician's group practice, or by a physician in the same
group practice as the referring physician, or by someone under the
supervision of one of these physicians. A ``member'' of a group
practice is a physician owner, a physician employee, a locum tenens
physician, or an on-call physician while the physician is providing on-
call services for members of the group practice. ``Physician in the
group practice'' means a member of the group practice, as well as an
independent contractor physician during the time the independent
contractor is furnishing patient care services for the group practice
to the group practice's patients in the group practice's facilities.
(See Sec. 411.351.)
Another significant exception, at Sec. 411.355(b), is for the
provision of in-office ancillary services. This exception allows group
practice physicians to refer patients for DHS to other members of their
group or to nonphysician staff, provided that certain supervision,
location, and billing requirements are satisfied. Specifically, the DHS
must be furnished personally by the referring physician, a member of
the group practice, or an individual who is supervised by the referring
physician or by a physician in the group practice. In addition, the DHS
must be furnished in--(1) the ``same building'' where group physicians
perform a certain amount of physician services (as set forth in Sec.
411.355(b)(2)), including physician services unrelated to the provision
of DHS; or (2) in a ``centralized building.'' We define ``centralized
building,'' in pertinent part, as all or part of building that is owned
or leased on a full-time basis 24 hours per day, 7 days per week. In
the ``Phase II'' physician self-referral IFC, we reaffirmed our earlier
position, set forth in the ``Phase I'' final rule with comment period
that, a group practice may have more than one centralized building (69
FR at 16075).
In response to the Phase II IFC, several commenters strongly
criticized the centralized building prong of the in-office ancillary
services exception. They requested that the rule be changed to require
full-time use of the facility and the addition of a commercially
reasonable test. According to the commenters, the Phase II IFC
encourages numerous abusive arrangements that are designed solely to
permit medical groups to bill in circumvention of the prohibition in
section 1877 of the Act. Commenters objected to medical groups
establishing satellite DHS facilities, sometimes in different States,
specifically to capture ancillary income. Several commenters identified
pod labs that rent space to urology groups as among the types of
abusive arrangements that are proliferating. Several other commenters
requested clarification that the in-office ancillary services exception
did not
[[Page 49056]]
override our policies on reassignment and purchased diagnostic tests.
According to the comments, some of the arrangements do not satisfy the
rules regarding purchased diagnostic tests. On the other hand, a
professional association complained that the requirement that the
centralized building be occupied exclusively by the medical group is
too restrictive.
As noted above, we stated, in response to the comments on the
proposed rule implementing section 952 of the MMA, that we might
address suspect arrangements in a future rulemaking. After additional
consideration, including consideration of the comments we received in
response to the Phase II IFC, we are now proposing to amend our
regulations on reassignment and physician self-referral in this
proposed rule.
We are proposing to amend Sec. 424.80 of our regulations to
clarify that any reassignment pursuant to the contractual arrangement
exception is subject to program integrity safeguards that relate to the
right to payment for diagnostic tests. First, we would amend Sec.
424.80 of our regulations to provide that if the TC of a diagnostic
test (other than clinical diagnostic laboratory tests paid under
section 1833(a)(2)(D) of the Act, which are subject to the special
rules set forth in section 1833(h)(5)(A) of the Act) is billed by a
physician or medical group (the ``billing entity'') under a
reassignment involving a contractual arrangement with a physician or
other supplier who performs the service, the amount billed to Medicare
by the billing entity, less the applicable deductibles and coinsurance,
may not exceed the lowest of the following amounts:
The physician or other supplier's net charge to the
billing physician or medical group.
The billing physician's or medical group's actual charge.
The fee schedule amount for the service that would be
allowed if the physician or other supplier billed directly.
Second, we would also require that, in order to bill for the TC,
the billing entity would be required to perform the interpretation.
Third, we are considering further amendments to Sec. 424.80(d) that
would impose certain conditions on when a physician or medical group
can bill for a reassigned PC of a diagnostic test. We are considering
the following conditions:
The test must be ordered by a physician that is
financially independent of the person or entity performing the test and
also of the physician or medical group performing the interpretation.
The physician or medical group performing the
interpretation does not see the patient.
The physician or medical group billing for the
interpretation must have performed the TC of the test.
We believe that we are comfortably within our authority to place
the proposed restrictions on reassignments made before a contractual
arrangement, in order to guard against patient and program abuse, and
we also believe that we would be within our authority to adopt the
conditions on billing for a reassigned PC before a contractual
arrangement that we continue to consider.
We note that there is no right to effect a reassignment under
section 1842(b)(6) of the Act (rather, this section allows, but does
not require us to make payment to someone other than the beneficiary or
the physician or other person who performed the service), and that
section 952 of the MMA permits us to recognize reassignments under the
contractual arrangement exception only to the extent that the
arrangement meets program integrity and other safeguards as the
Secretary may determine to be appropriate. Moreover, we believe that
our current rules on purchased diagnostic tests generally should be
applicable to both situations in which the billing entity is purchasing
the test without a formal reassignment as well as situations in which
the physician performing the test has reassigned his or her right to
Medicare payment to the billing physician or medical group.
Although we welcome comments on all aspects of our proposals, we
are particularly interested in soliciting comments on the amendments we
have proposed, as well as those we are still considering involving
reassigned interpretations, to Sec. 424.80(d). In particular, we are
soliciting comments as to whether diagnostic tests in the DHS category
of radiology and certain other imaging services should be excepted from
any those provisions; whether the proposal in whole or in part should
apply only to pathology services; whether any of these provisions
should apply to services performed on the premises of the billing
entity and if so, how to define the premises appropriately. We are also
soliciting suggested regulatory text for the proposal under
consideration involving purchased test interpretations, as well as any
other comments regarding the appropriate scope of the provisions under
consideration.
In addition, we are soliciting comments on whether an anti-markup
provision should apply to the reassignment of the PC of diagnostic
tests performed under a contractual arrangement, and if so, how to
determine the correct amount that should be billed to the Medicare
program.
In addition to our proposed changes to the reassignment rules, we
are proposing to change the definition of ``centralized building'' in
Sec. 411.351 for purposes of our physician self-referral regulations.
We are persuaded by the commenters who responded to the Phase II IFC
that our present definition may encourage the unnecessary ordering of
ancillary services. Section 1877(b)(1) of the Act, in conjunction with
section 1877(h)(4)(vi) of the Act, states that the Secretary may define
by regulation what constitutes a ``group practice'' for purposes of the
physician services exception. Similarly, section 1877(b)(2) of the Act
authorizes the Secretary to determine additional terms and conditions
relating to the supervision and location requirements of the in-office
ancillary services exception as may be necessary to prevent a risk of
program or patient abuse. Accordingly, we propose to modify the
definition of ``centralized building'' to include a minimum square
footage requirement of 350 square feet. Our modified definition would
be relevant to both the physician services exception and the in-office
ancillary services exception. That is because, under Sec. 411.351, a
``physician in the group practice'' includes an independent contractor
physician during the time he or she is providing services to the
group's patients in the group's facilities. Thus, to the extent that an
independent contractor physician would qualify as a ``physician in the
group'' on the basis of furnishing services to a group's patients in a
centralized building, the space owned or leased by the group would need
to comply with the proposed modification to the definition of
``centralized building'' in order for the group to rely on the
physician services exception or the in-office ancillary services
exception when billing Medicare for services furnished by the
independent contractor physician.
Although we believe that the arrangements we seek to address
through our proposed change to the definition of ``centralized
building'' primarily involves independent contractor physicians, the
proposed definition would also apply to services performed by
physicians who are employees of a group practice.
The proposed minimum square footage requirement would not apply to
[[Page 49057]]
space owned or rented in a building in which no more than three group
practices own or lease space in the ``same building,'' as defined in
Sec. 411.351 (that is, in a building with the same street address) and
share the same ``physician in the group practice'' (as defined in Sec.
411.351). The purpose of the square foot minimum and the exception is
to prevent abusive arrangements such as pod labs, while not
disqualifying legitimate, stand-alone physician offices that are
unusually small. The following examples are intended to illustrate how
the proposed exception might apply:
+ Example 1--A space of 200 square feet located in a building in
which only two other group practices lease space could qualify as a
centralized building, irrespective of whether all three group practices
contract with the same individual as a ``physician in the group
practice.''
+ Example 2--A space of 200 square feet is located in a building in
which seven other group practices lease space. Dr. Jones has a
contractual relationship with three group practices as a ``physician in
the group practice.'' Dr. Smith also has a contractual relationship
with three group practices. No physician has a contractual relationship
as a ``physician in the group practice'' with four or more group
practices that are located in that building. The space could qualify as
a ``centralized building.''
We would also require the space to contain, on a permanent basis,
the necessary equipment to perform substantially all of the DHS that
are performed in this space, in order to meet the definition of a
``centralized building.'' That is, we wish to prevent the situation in
which an entity would routinely move equipment as needed from one
group's space to another group's space (for example, from cubicle to
cubicle). We believe these situations are abusive and contrary to the
purpose of concept of the ``centralized building'' concept, but we
recognize that there may be an occasional need to bring specialized
equipment into the space on a temporary basis.
We believe that the proposed clarification to our reassignment
rules, in tandem with our proposed changes to the definition of
``centralized building'' for purposes of our physician self-referral
rules would prevent abusive arrangements while preserving legitimate
small physician offices. In particular, we anticipate that restrictions
on marking up the TC of diagnostic tests as well as the limits we are
considering for who can bill for the PC of diagnostic tests, combined
with square footage limits and requirements of having necessary
equipment on site would make it not financially feasible for pod labs
to exist.
With respect to our proposed change to the definition of
``centralized building,'' we seek comments on whether there should be a
minimum square foot requirement, and if so, whether the minimum should
be 350 square feet or an amount more or less than that. In addition, we
seek comments regarding whether there should be an exception to any
minimum square foot requirement, and if so, the circumstances under
which an exception should apply.
With respect to our proposal that the ``centralized building''
permanently contain the necessary equipment to perform substantially
all of the DHS that is furnished in the ``centralized building,'' we
seek comments on whether this test should be imposed, and whether at
least 90 percent or some other minimum percentage or measurement is
appropriate. We are also considering whether to require that, for space
to qualify as a ``centralized building,'' the group practice must
employ, in that space, a nonphysician employee or independent
contractor who will perform services exclusively for the group for at
least 35 hours per week. We seek comments on whether we should have
this requirement or similar requirement, or whether this requirement
would be unduly burdensome on a small group practice, and whether this
requirement would be likely to reduce the number of existing pod labs
and to discourage the development of new pod labs. Finally, we seek
comments on whether a group practice should be allowed to maintain a
``centralized building'' in a State different from the State(s) in
which it has an office that meets the criteria of Sec.
411.355(b)(2)(i), and if so, whether space that is located in a
different State must be within a certain number of miles from an office
of the group practice that meets the criteria of Sec.
411.355(b)(2)(i), in order to qualify as a ``centralized building.''
J. Supplier Access to Claims Billed on Reassignment
Section 1833(e) of the Act provides that, ``no payment shall be
made to any provider of services or other person under this part unless
there has been furnished such information as may be necessary in order
to determine the amounts due such provider or other person under this
part for the period with respect to which the amounts are being paid or
for any prior period.'' Section 1842(b)(6) of the Act generally
provides that payment may not be made to anyone other than the
beneficiary or the physician or other person who provided the service.
There are certain exceptions to this prohibition whereby payment may be
made to others. These are commonly referred to as the reassignment
exceptions and are found at section 1842(b)(6)(A) of the Act.
Taking these two statutory provisions together, we are permitted,
but not required, to make payment to someone other than the
beneficiary, or the physician or other person who furnished the
service, but only if we have determined that Medicare has received all
necessary information to determine the amounts due the provider. Where
Medicare makes payment to an entity rather than to the physician or
other person who furnished the service, there is a heightened concern
that payment may not be correct. By allowing physicians and other
individual suppliers who reassign benefits to an entity such as a group
practice to have access to the billing information concerning the
services they allegedly furnish, we believe we will reduce the risk of
inappropriate billing.
Moreover, as noted in section I.2. of this proposed rule, section
952 of the MMA amended section 1842(b)(6)(A)(ii) of the Act to allow a
physician or other person who was in a contractual arrangement rather
than in an employee-employer relationship to reassign his or her right
to bill and receive payment, irrespective of whether the services were
performed on the premises of the entity. Section 952 of the MMA permits
reassignment to the extent that the contractual arrangement between the
physician or other individual supplier and the billing entity meets
program integrity and other safeguards that the Secretary may determine
to be appropriate.
In the FY 2005 Physician Fee Schedule proposed rule, published
August 5, 2005 (69 FR 47488, 47524 through 47525), we stated our
awareness that changes in the reassignment rules based on section 952
of the MMA may create new fraud and abuse vulnerabilities, which may
not become apparent until the program has experience with new
contractual arrangements. We proposed program safeguards, whereby the
parties to the contractual arrangement would have joint and several
liability for any Medicare overpayments, and the physician or other
individual supplier would have unrestricted access to billings
submitted on their behalf by the entity receiving reassigned payments.
In response to the August 5, 2005 proposed
[[Page 49058]]
rule, we received a comment that questioned the need for the two
program integrity safeguards (joint and several liability and
unrestricted access to billing records) as a requirement for a
reassignment of claims involving a contractual arrangement. The
commenter believed that it was premature for CMS to implement these
program safeguards, that CMS already imposes joint and several
liability through Medicare participation agreements and the signing of
the enrollment form for billing reassigned claims (the CMS-855-R form),
and questioned why the program safeguards applied only to independent
contractors and not to employees. (69 FR 66316 through 66317 (November
15, 2004).)
In response to the commenter, we stated that those program
integrity safeguards were necessary to monitor the billings of entities
with which we have had billing problems (for example, billing for
services never furnished and upcoding resulting in Medicare
overpayments) in the past, and that the reason the safeguards applied
to independent contractors and not to employees, was that the billing
problems identified thus far involved certain entities (which, for the
most part, contracted with, rather than employed, emergency room (ER)
physicians). We also stated that we would study whether the same
program integrity safeguards applicable to independent contractors
should also apply to employees.
Prior to January 1, 2005, the effective date of the program
integrity safeguards for the contractual arrangement reassignment
exception, we received public inquiries asking why employees do not
have unrestricted access to billing records. Since the January 1, 2005
effective date of the program integrity safeguards, we have received an
inquiry from an ER physician employee of a medium-sized ER physician
staffing company, who was denied access to billing records for services
that he claims to have furnished, and who had his employment
terminated. We also note that the MMA Conference Report, in its
discussion of section 952 of the MMA, states that the Conference
Committee supports appropriate program integrity efforts for any
entities billing the Medicare program, including entities with
independent contractors as well as employees. Having reconsidered the
issue, we find no valid reason why an employee should not have access
to records on billings for services furnished by that employee.
Therefore, we are proposing to change the title of Sec. 424.80(d) and
amend Sec. 424.80(d)(2) of our regulations to state that the supplier
who reassigns his or her right to bill and receive Medicare payment to
an entity has unrestricted access to claims information submitted by
that entity for services supposedly furnished by the individual
supplier, irrespective of whether the supplier is an employee or
independent contractor of the entity. If adopted, our proposal would
also mean that if an entity receiving the reassigned benefits were to
refuse to provide the billing information to the employee supplier
requesting the information, the entity's right to receive reassigned
benefits may be revoked under 42 CFR 424.82(c)(3) (which is currently
the case with respect to an entity's refusal to provide billing
information to an independent contractor supplier).
K. Coverage of Bone Mass Measurement (BMM) Tests
[If you choose to comment on issues in this section, please include
the caption ``BONE MASS MEASUREMENT TESTS'' at the beginning of your
comments.]
In an IFC entitled ``Medicare Coverage of and Payment for Bone Mass
Measurements'' published in the Federal Register on June 24, 1998 (63
FR 34320), we implemented section 4106 of the BBA by establishing a new
regulatory section, 42 CFR 410.31 (Bone Mass Measurement: Conditions
for Coverage and Frequency Standards). Section 4106 of the BBA
statutorily defined BMM and individuals that are qualified to receive a
BMM. The June 24, 1998 IFC, under the ``reasonable and necessary''
provisions of 1862(a)(1)(A) of the Act, also established conditions for
coverage of the tests that must be ordered by physicians or
nonphysician practitioners. Lastly, as directed by section 4106 of the
BBA, we established frequency standards governing the time period when
qualified individuals would be eligible to receive covered BMMs.
1. Provisions of the June 24, 1998 IFC
As stated earlier in this section, the June 24, 1998 IFC
implemented section 4106 of the BBA by establishing conditions for
coverage and frequency standards for BMMs to ensure that they are paid
for uniformly throughout the Medicare program and that they are
reasonable and necessary for Medicare beneficiaries who are eligible to
receive these measurements. This section summarizes the provisions
discussed in the June 24, 1998 IFC.
a. Coverage Conditions and Frequency Standards
We established conditions for coverage and frequency standards for
medically necessary BMMs for five categories of Medicare beneficiaries
in Sec. 410.31.
In Sec. 410.31(a), we defined ``bone mass measurement'' based on
the statutory definition in section 4106 of the BBA. In accordance with
the ``reasonable and necessary'' provisions of section 1862(a)(1)(A) of
the Act, we established the conditions for coverage of BMMs in Sec.
410.31(b) of the regulations. Consistent with Sec. 410.32 (Diagnostic
x-ray tests, diagnostic laboratory tests, and diagnostic tests:
Conditions), we provided that coverage be available for the BMM only if
it is ordered by the physician or a qualified nonphysician practitioner
(as defined in Sec. 410.32(a)) treating the beneficiary following an
evaluation of the beneficiary's need for the test, including a
determination as to the medically appropriate procedure to be used for
the beneficiary. We believed that BMMs were not demonstrably reasonable
and necessary unless (among other things) they are ordered by the
physician treating the beneficiary following a careful evaluation of
the beneficiary's medical need, and they are employed to manage the
beneficiary's care.
To ensure that the BMM is performed as accurately and consistently
in accordance with appropriate quality assurance guidelines as
possible, we required that it be performed under the appropriate
supervision of a physician as defined in Sec. 410.32(b)(3). To ensure
that the BMM is medically appropriate for the five categories specified
in the law, we provided that it be reasonable and necessary for
diagnosing, treating, or monitoring the condition of the beneficiary
who meets the coverage requirements specified in Sec. 410.31(d).
Furthermore, in Sec. 410.31(c), we set forth limitations on the
frequency for covering a BMM. Generally, we cover a BMM for a
beneficiary if at least 23 months have passed since the month the last
BMM was performed. However, we allow for coverage of follow-up BMMs
performed more frequently than once every 23 months when medically
necessary. We listed the following examples of situations where more
frequent BMMs procedures may be medically necessary to include:
Monitoring beneficiaries on long-term glucocorticoid
(steroid) therapy of more than 3 months.
Allowing for a confirmatory baseline bone mass measurement
(either central or peripheral) to permit
[[Page 49059]]
monitoring of beneficiaries in the future if the initial test was
performed with a technique that is different from the proposed
monitoring method.
b. Beneficiaries Who May Be Covered
In Sec. 410.31(d), we amended our regulations to conform to the
statutory requirement that the following categories of beneficiaries
may receive Medicare coverage for a medically necessary BMM:
A woman who has been determined by the physician or a
qualified nonphysician practitioner treating her to be estrogen-
deficient and at clinical risk for osteoporosis, based on her medical
history and other findings.
An individual with vertebral abnormalities as demonstrated
by an x-ray to be indicative of osteoporosis, osteopenia, or vertebral
fracture.
An individual receiving (or expecting to receive)
glucocorticoid (steroid) therapy equivalent to 7.5 mg of prednisone, or
greater, per day, for more than 3 months.
An individual with primary hyperparathyroidism.
An individual being monitored to assess the response to or
efficacy of an FDA-approved osteoporosis drug therapy.
c. Waiver of Liability
Section 410.31(e) provides that Medicare payment would be denied
for a BMM in accordance with section 1862(a)(1)(A) of the Act if the
regulatory standards are not satisfied. Existing regulations concerning
limitation on liability are set forth in Sec. Sec. 411.400 through
411.406 and are applicable to denial of BMMs under Sec. 410.31.
d. Payments for BMMs
Medicare payments for covered BMMs are paid for under the PFS (42
CFR part 414) as required by statute. In the June 24, 1998 IFC, we
revised the definition of ``physician services'' in Sec. 414.2 to
include bone mass measurements. When BMM procedures are furnished to
hospital inpatients and outpatients, the TCs of these procedures are
payable under existing payment methods for hospital services. These
methods include payments under the prospective payment system, on a
reasonable cost basis, or under a special provision for determining
payment rates for hospital outpatient radiology services.
In the June 24, 1998 IFC, we revised Sec. 414.50(a), regarding
physician billing for purchased diagnostic tests, to clarify that the
section does not apply to payment for BMMs.
e. Conforming Changes
In the June 24, 1998 IFC, to allow for appropriate placement in the
CFR of the BMM coverage requirements, we redesignated Sec. 410.31
(Prescription drugs used in immunosuppressive therapy) as Sec. 410.30.
2. Additional Scientific Evidence
In 2004, the Surgeon General issued a report, Bone Health and
Osteoporosis (U.S. Department of Health and Human Services, Bone Health
and Osteoporosis: A Report of the Surgeon General. Rockville, MD: U.S.
Department of Health and Human Services, Office of the Surgeon General,
2004). This report provides scientific evidence related to the
prevention, assessment, diagnosis, and treatment of bone disease. The
report states that identification of those at risk of bone disease and
fracture is important so that appropriate interventions can be
implemented. However, as the report states, ``Assessing the risk of
bone disease and fracture remains a challenge. Not all of the risk
factors have been identified, and the relative importance of those that
are known remains unclear.''
As bone strength is not measured directly, bone mineral density
(BMD) remains the single best predictor of fracture risk, with the most
widely accepted method for measuring BMD being the dual energy x-ray
absorptiometry (DXA) for a bone density study at the axial skeleton
(for example, hips and spine). As there are many sources of variability
in the measurement of BMD, a quality control system related to both the
methodology and reporting of test results is important to ensure the
validity of DXA analysis.
In addition to DXA of the axial skeleton, bone mass can also be
measured using other techniques. These other techniques include DXA
bone density study for the appendicular skeleton (for example, radius,
wrist, heel); quantitative computerized tomography (QCT), bone mineral
density study for the axial skeleton or appendicular skeleton;
radiographic absorptiometry (photodensitometry, radiogrammetry);
single-photon absorptiometry (SPA); single energy x-ray absorptiometry
(SXA) for the appendicular skeleton; and ultrasound bone mineral
density study for the appendicular skeleton. With regard to these
techniques (except for SPA which was not discussed), the 2004 Surgeon
General report states, ``While these methods do assess bone density and
may provide an indication of fracture risk, it is important to note
that the WHO [World Health Organization] recommendations and other
guidelines for using BMD and interpreting BMD results for diagnosis are
based on DXA measurements of the hip or spine.'' The report further
states, ``Incorporating these techniques for bone assessment into
future clinical trials and observational studies will help in better
understanding their appropriate use as a means of predicting the risk
of bone disease and fracture.''
3. Proposed Changes to the June 24, 1998 IFC
We received 18 public comments on the June 24, 1998 IFC. The
majority of the comments had specific recommendations for changes to
the IFC. In addition to responding to comments that we may receive on
our proposed revisions to Sec. 410.31, it is our intent to address all
these previous comments in the CY 2007 PFS final rule.
Based on the comments received on the IFC, the Surgeon General's
report, and other evidence, we are proposing changes to Sec. 410.31.
We encourage comments on these proposals.
a. Proposed ``BMM'' Definition (Sec. 410.31(a))
We are proposing to revise the definition of ``bone mass
measurement'' at Sec. 410.31(a)(2) to remove coverage for the use of
SPA, which uses isotope sources to measure BMD. Many medical experts
indicate that SPA has largely been replaced by the newer techniques of
DXA, which are believed to be superior in accuracy and precision.
Medicare claims data in recent years continue to show a steady decline
in the use of the SPA procedure by the beneficiary population. Further,
there is a lack of evidence to support continued use of SPA, an older
procedure where the metrics have not been correlated with fracture
rate.
We are proposing to revise the definition of a ``bone mass
measurement'' to read, ``Is performed with either a bone densitometer
(other than a single-photon or dual-photon absorptiometry) or with a
bone sonometer system that has been cleared for marketing for this use
by the FDA under 21 CFR part 807, or approved for marketing by the FDA
for this use under 21 CFR part 814.''
We are specifically requesting comments on this proposal regarding
the evidence of benefit for SPA, particularly in comparison with other
alternatives.
b. Conditions for Coverage (Sec. 410.31(b))
We are proposing to revise the conditions for coverage for BMMs in
[[Page 49060]]
Sec. 410.31(b) by requiring that for a medically necessary BMM to be
covered for an individual being monitored to assess the response to or
efficacy of an FDA-approved osteoporosis drug therapy (Sec.
410.31(d)(5)) the individual would be required to meet the present
conditions for coverage under Sec. 410.31(b), and the monitoring would
have to be performed by the use of an dual energy x-ray absorptiometry
system (axial system).
We recognize that in the June 24, 1998 IFC, we allowed the
physician or qualified nonphysician practitioner treating the
beneficiary more flexibility in ordering those diagnostic measurements,
but we are proposing to limit that flexibility with respect to the type
of BMM that is used for monitoring individuals receiving osteoporosis
drug therapy and other purposes (as discussed later in this section)
because of new evidence and other information received since
publication of the June 24, 1998 IFC that supports the need for
requiring the use of the DXA measurement (axial skeleton) in those
circumstances. In addition to the 2004 Surgeon General's Report that
recognized the superiority of the DXA (axial skeleton) for measuring
bone mass over time, the International Society for Clinical
Densitometry currently recommends that if an individual has a low bone
mass using a peripheral measurement (appendicular skeleton) he or she
should have a DXA (axial skeleton) performed for monitoring or
confirmatory diagnostic purposes.
Therefore, we are also proposing to revise Sec. 410.31(b) by
adding a requirement that in the case of any individual who qualifies
for a bone mass measurement as provided for in Sec. 410.31(d) and who
receives a confirmatory baseline BMM to permit monitoring in the
future, Medicare may cover a medically necessary BMM for that
individual, if the present conditions for coverage under Sec.
410.31(b) are met, and the BMM is performed by a dual energy x-ray
absorptiometry system (axial skeleton) (if the initial measurement was
not performed by this system).
As indicated previously, the most widely accepted method for
measuring bone mineral density (BMD) is the use of DXA (Surgeons
General's Report 2004) at axial skeletal sites. DXA (axial skeleton)
measures BMD at the hip and spine (sites likely to fracture in patients
who have osteoporosis). DXA is precise, safe, and low in radiation
exposure, and permits more accurate and reliable monitoring of
individuals over time. DXA of the femoral neck is the best validated
test to predict hip fracture and is comparable to forearm measurements
for predicting fractures at other sites (Evidence Report/Technology
Assessment No 28, Agency for Healthcare Research and Quality (AHRQ),
January 2001).
c. Bone Mass Measurement: Standards on Frequency of Coverage (Sec.
410.31(c))
To conform the examples of a BMM exception to the standards on
frequency of coverage in Sec. 410.31(c)(2) to the regulation change we
are proposing in Sec. 410.31(b)(3), we are proposing to revise the
confirmatory baseline test example in Sec. 410.31(c)(2)(ii) to read,
``Allowing for a confirmatory baseline measurement to permit monitoring
of beneficiaries in the future if the requirements of paragraph (b)(3)
of this section are met.''
d. Bone Mass Measurement: Beneficiaries Who May Be Covered (Sec.
410.31(d))
The Congress has recognized that individuals receiving long-term
glucocorticoid steroid therapy are qualified individuals for purposes
of section 1861(rr)(1) of the Act. Therapy to prevent bone loss in most
patients beginning long-term therapy has been recommended at a
prednisone equivalent of >= 5 mg/day for at least 3 months (McIlwain,
2003). Based on our review of the current evidence, we are proposing to
reduce the dosage equivalent in Sec. 410.31(d)(3) from an average of
7.5 mg/day of prednisone for at least 3 months to an average of 5.0 mg/
day of prednisone for the same period.
e. Use of the NCD Process (Sec. 410.31(f))
To facilitate future consideration of coverage of additional BMM
systems for purposes of proposed paragraphs Sec. 410.31(b)(2) and
(b)(3), which would limit coverage of BMMs for monitoring individuals
receiving osteoporosis drug therapy and for performing confirmatory
baseline measurements, we are proposing to allow CMS, through the NCD
process, to identify additional BMM systems for those purposes. By
using the NCD process, we could conduct a timely assessment of FDA-
approved BMMs. Use of an NCD to add coverage of effective BMM systems
for these purposes is authorized by the reasonable and necessary
provision of sections 1862(a)(1)(A) and 1871(a)(2) of the Act.
In summary, in view of the 18 comments and our review of the post-
1998 medical literature, we have decided to propose several revisions
to Sec. 410.31 relative to the definition of the term ``Bone Mass
Measurement'' (Sec. 410.31(a)(2)), the conditions for coverage (Sec.
410.31(b)), the examples of exceptions to the standards on frequency of
coverage (Sec. 410.31(c)(2)), the category of individuals receiving
(or expecting to receive) glucocorticoid (steroid) therapy (Sec.
410.31(d)(3)), and the addition of a new subparagraph (Sec. 410.31(f))
on use of the NCD process.
L. Independent Diagnostic Testing Facility (IDTF) Issues
[If you choose to comment on issues in this section, please include
the caption ``IDTF ISSUES'' at the beginning of your comments.]
1. Proposed IDTF Changes in the Physician Fee Schedule Proposed Rule
During the course of a national review in 2003-2004, the Office of
Inspector General (OIG) found a potential $71 million in improper
payments made to IDTFs (Review of Claims Billed by Independent
Diagnostic Testing Facilities for Services Provided to Medicare
Beneficiaries During Calendar Year 2001 (A-03-03-00002)). The OIG found
that erroneous payments were made as the result of poor or missing
documentation or the lack of medical necessity. Moreover, in recent
years, CMS and its contractors have determined that a number of IDTFs
in California and other States are perpetrating schemes to defraud the
Medicare program.
Since 2000, the number of IDTFs in California has increased by 40
percent, which is a far greater percentage increase than the Medicare
population in that State. The number of IDTFs billing Medicare in
California alone increased more than 400 percent from 2000 to 2005. The
increased use of IDTF services has not lowered the use of diagnostic
testing within other settings. The increased rates of utilization
within IDTFs is likely to be unrealistic due to an increase in the need
of diagnostic testing within California's Medicare population. Also,
these IDTFs are growing at a rate faster than CMS can survey these
facilities. The actual growth of IDTFs is not a problem, however, the
results of the OIG audit make it clear that we need to closely monitor
IDTFs and establish standards to ensure quality care for Medicare
beneficiaries. To address the erroneous payments identified by the OIG
above, we are proposing to establish IDTF supplier standards similar to
those we adopted for Durable Medical Equipment, Prosthetics, Orthotics,
and Supplies (DMEPOS) Suppliers on October 11, 2000 (see 42 CFR
424.57).
We are proposing that each IDTF be required to be in compliance
with the
[[Page 49061]]
proposed fourteen suppler standards discussed in section L.2. below in
order to obtain or retain enrollment in the Medicare program.
Accordingly, at proposed Sec. 410.33(h), we are proposing that if an
IDTF fails to meet one or more of the proposed standards at the time of
enrollment or at the time of re-enrollment, then its enrollment
application would be denied. Also, if at any time we determine that an
enrolled IDTF no longer meets the proposed supplier standards, its
billing privileges would be revoked.
We believe that these supplier standards are needed to ensure that
minimum quality standards are met to protect beneficiaries as well as
the Medicare Trust Fund. These standards are merely good business
practices which will help to ensure that suppliers are providing a
quality care to Medicare beneficiaries. Examples of the kind of
standards are a primary business phone number and address. Another
example is a posting of standards for review by patients and the
public.
We are proposing to adopt, for IDTFs, a number of standards we
adopted for DMEPOS suppliers, including supplier standard number 6
which requires a supplier to maintain a comprehensive liability
insurance policy of $300,000 or 20 percent of its average annual
Medicare billings, whichever amount is greater, that covers both the
place of business and all customers and employees of the IDTF.
Furthermore, we are proposing in the new performance standard
number 7 that an IDTF agrees not to directly solicit patients. This
provision does not preclude the IDTF from public advertisement or
marketing its services to physicians and other suppliers, however it
does prohibit recruitment of beneficiaries through direct solicitation.
Additionally, the IDTF would be required to grant CMS, or its
designated fee-for-service contractors, including our agents, to have
access to the IDTF physical location, all equipment, and beneficiary
medical records during normal business hours. For portable equipment,
an IDTF would be required to maintain a catalog of portable equipment
and be able to produce the cataloged equipment within two business
days. If the IDTF denies this access, the IDTF's Medicare enrollment
would be immediately revoked.
To ensure that equipment used by an IDTF is maintained and operates
properly, we are seeking public comment regarding IDTF supplier
standard number 11, which would require that an IDTF must have its
testing equipment calibrated per equipment instructions or in
compliance with applicable industry standards. Specifically, we are
seeking public comment regarding the organizations or entities that may
currently establish testing specifications for diagnostics equipment.
Further, if these organizations or entities do not exist, we invite
public comment regarding establishment of a supplier standard that
relies on the manufacturer's maintenance and calibration standards.
While we understand that these proposed additional standards could
lead certain IDTFs to withdraw from the Medicare program rather than
comply with the new standards, we believe that legitimate businesses
would not oppose these changes. Moreover, we emphasize that services
provided by an IDTF are also readily available to beneficiaries through
other avenues such as physicians' offices, outpatient laboratories,
outpatient radiology facilities, and outpatient clinics. We believe
that the implementation of these proposed standards would improve the
quality of services provided to Medicare beneficiaries by IDTFs without
any associated access concerns.
2. Proposed Performance Standards for IDTFs
The IDTF would be required to meet the following standards as of
January 1, 2007 and any newly or reenrolling IDTF would be required to
certify in its enrollment application that it meets and would continue
to meet the standards. At Sec. 410.33, we are proposing to revise the
regulation to specify that the IDTF would be required to--
Operate its business in compliance with all applicable
Federal, State, and local licensure and regulatory requirements with
regard to the health and safety of patients;
Provide complete and accurate information on its
enrollment application as stated in the ``Requirements for Providers
and Suppliers to Establish and Maintain Enrollment final rule'' (April
21, 2006 (42 FR 20754)). Any change in enrollment information would be
required to be reported to the designated fee-for-service contractor on
the Medicare enrollment application within 30 calendar days;
Maintain a physical facility on an appropriate site. For
the purposes of this proposed standard, a post office box or commercial
mailbox would not be considered a physical facility. The physical
facility would be required to contain space for equipment appropriate
to the services designated on the enrollment application, facilities
for hand washing, adequate patient privacy accommodations, and the
storage of both business records and current medical records;
Have all applicable testing equipment available at the
physical site, excluding portable equipment. A catalog of portable
equipment, including equipment serial numbers, would be maintained at
the physical site. In addition, portable equipment would be made
available for inspection within two business days of our inspection
request. The IDTF would be required to maintain a current inventory of
the equipment (including serial/registration numbers), provide this
information to the designated fee-for-service contractor and notify the
contractor of any changes in equipment;
Maintain a primary business phone under the name of the
business. The business phone would be located at the designated site of
the business. The telephone number or toll free numbers would be
available in a local directory and through directory assistance;
Have a comprehensive liability insurance policy of at
least $300,000 or 20 percent of its average annual Medicare billings,
whichever amount is greater, that covers both the place of business and
all customers and employees of the IDTF. The insurance policy would be
carried by a non-relative owned company. The policy would be required
to list the serial numbers of any and all equipment used by the IDTF;
Agree not to directly solicit patients, which includes,
but is not limited to, a prohibition on telephone, computer, or in-
person contracts. The IDTF would accept only those patients referred
for diagnostic testing by an attending physician, who is furnishing a
consultation or treating a beneficiary for a specific medical problem
and who uses the results in the management of the beneficiary's
specific medical problem. Nonphysician practictioners may order tests
as set forth in Sec. 410.32(a)(3);
Answer beneficiaries' questions and respond to their
complaints. Documentation of those contacts would be maintained at the
physical site;
Openly post these standards for review by patients and the
public;
Disclose to the government, any person having ownership,
financial or control interest, or any other legal interest in the
supplier at the time of enrollment or within 30 days of a change;
Have its testing equipment calibrated per equipment
instructions and in compliance with applicable national standards;
[[Page 49062]]
Have technical staff on duty with the appropriate
credentials to perform tests. The IDTF would be required to produce the
applicable Federal or State licenses and/or certifications of the
individuals performing these services;
Have proper medical record storage and be able to retrieve
medical records upon request from CMS or its designated fee-for-service
contractor within 2 business days; and
Permit CMS, including its agents or its designated fee-
for-service contractors, to conduct unannounced, on-site inspections to
confirm the IDTF's compliance with these proposed standards. The IDTF
would be required to provide access, during regular business hours, to
CMS and beneficiaries, as well as maintain a visible sign posting the
normal business hours of the IDTF.
3. Supervision
To ensure quality care is provided to Medicare beneficiaries, we
are proposing to revise Sec. 410.33(b)(1) to read that physicians will
be limited to providing supervision to ``no more than three (3) IDTF
sites.''
4. Place of Service
In addition to proposing the establishment of specific supplier
standards for IDTFs, at proposed Sec. 410.33(i), we are proposing to
define the ``point of the actual delivery of service'' as the correct
``Place of Service'' for the claim form in the case of diagnostic
testing performed outside the IDTF's physical location. For example,
when an IDTF performs a diagnostic test at a beneficiary's residence,
we believe that it is reasonable to establish the beneficiary's
residence as the ``Place of Service.'' Previously, there has been no
set procedure, so therefore, we believe that the information is
gathered at the collection point from the beneficiary, and this is the
point service. While most diagnostic tests are performed in an office
setting, we are seeking public comment regarding the types of services
that can be safely and appropriately used in a residential setting.
M. Independent Laboratory Billing for the TC of Physician Pathology
Services to Hospital Patients
[If you choose to comment on issues in this section, please include
the caption ``INDEPENDENT LAB BILLING'' at the beginning of your
comments.]
The TC of physician pathology services refers to the preparation of
the slide involving tissue or cells that a pathologist will interpret.
(In contrast, the pathologist's interpretation of the slide is the PC
service. If this service is furnished by the hospital pathologist for a
hospital patient, it is separately billable. If the independent
laboratory's pathologist furnishes the PC service, it is usually billed
with the TC service as a combined service.)
In the ``Revisions to Payment Policies Under the Physician Fee
Schedule for Calendar Year 2000'' final rule published in the Federal
Register on November 2, 1999 (64 FR 59380 and 59408 through 59409), we
stated that we would implement a policy to pay only the hospital for
the TC of physician pathology services furnished to hospital patients.
Before that proposal, any independent laboratory could bill the carrier
under the PFS for the TC of physician pathology services for hospital
patients. As pointed out in the November 2, 1999 final rule, this
policy has contributed to the Medicare program paying twice for the TC
service, first through the inpatient prospective payment rate to the
hospital where the patient is an inpatient and again to the independent
laboratory that bills the carrier, instead of the hospital, for the TC
service.
Therefore, in that final rule at Sec. 415.130, we provided that,
for services furnished on or after January 11, 2001, the carriers would
no longer pay claims to the independent laboratory under the physician
fee schedule for the TC of physician pathology services for hospital
patients.
Ordinarily, the provisions in the final PFS are implemented in the
following year. However, in this case, the change to Sec. 415.130 was
delayed one year (until January 1, 2001), at the request of the
industry, to allow independent laboratories and hospitals sufficient
time to negotiate arrangements. Moreover, our full implementation of
Sec. 415.130 was further delayed through CY 2006.
We continue to believe, however, that hospital prospective payment
amounts already compensate hospitals for the TC of physician pathology
tests and that additional payment under the PFS is inappropriate.
Therefore, we are proposing to amend Sec. 415.130 to provide that, for
services furnished after December 31, 2006, an independent laboratory
may not bill the carrier for physician pathology services furnished to
a hospital inpatient or outpatient. Under proposed Sec. 415.130(d), we
would pay under the PFS for the TC of a physician pathology service
furnished by an independent laboratory for services provided to an
inpatient or outpatient of a ``covered hospital'' on or before December
31, 2006. A ``covered hospital'' is defined in Sec. 415.130(a)(1).
N. Public Consultation for Medicare Payment for New Outpatient Clinical
Diagnostic Laboratory Tests
[If you choose to comment on issues in this section, please include
the caption ``CLINICAL DIAGNOSTIC LAB TESTS'' at the beginning of your
comments.]
Section 1833(h) of the Act requires the Secretary to establish fee
schedules for clinical laboratory tests under Medicare Part B. In this
section of the preamble, we are proposing to implement section 942(b)
of the MMA which specifies annual procedures for consulting the public
on how to establish payment for new clinical laboratory test codes to
be included in the annual update of the clinical laboratory fee
schedule.
1. BIPA (Pub. L. 106-554)
Section 531(b) of BIPA mandated that we establish, no later than 1
year after the date of enactment, procedures that permit public
consultation for payment determinations for new clinical diagnostic
laboratory tests under Medicare Part B in a manner consistent with the
procedures established for implementing ICD-9-CM coding modifications.
In the November 23, 2001 Federal Register (66 FR 58743), we specified
the procedures to implement section 531(b) of BIPA.
These procedures were most recently used to determine the payments
for new 2006 clinical laboratory fee schedule codes. First, we convened
a public meeting to solicit expert input on the nature of the new tests
before rate determinations were made. We have held these meetings each
year since 2002 to receive this expert input on the next year's codes.
Our most recent meeting was announced in the Federal Register on May
27, 2005 (70 FR 30734) and occurred on July 18, 2005. In that meeting,
we requested that presenters address the new test codes, each test's
purpose, method, cost, and a recommendation for one of two methods
(crosswalking or gapfilling) for determining payment for the new
clinical laboratory codes. Crosswalking and gapfilling are discussed
below in section N.2.d.
Following the public meeting, we posted, on our Website, a summary
of the new codes and the payment recommendations that were presented
during the public meeting. The summary also displayed our tentative
payment determinations and indicated a comment period for interested
parties to submit written comments. After reviewing the comments
received, we issued Medicare Transmittal 750, 2006 Annual Update for
Clinical Laboratory
[[Page 49063 ]]
Fee Schedule, which provided all instructions and final rate
determinations for the 2006 clinical laboratory fee schedule including
the new codes and fees, on November 18, 2005.
2. Medicare Prescription Drug, Improvement, and Modernization Act of
2003 (MMA) (Pub. L. 108-173)
Further legislation affecting public consultation for new clinical
laboratory tests was enacted at section 942(b) of the MMA (Pub. L. 108-
173), which added section 1833(h)(8) to the Act. Section 1833(h)(8)(A)
of the Act requires the Secretary to establish by regulation procedures
for determining the basis for and amount of payment for a clinical
diagnostic laboratory test that is assigned a new or substantially
revised Healthcare Common Procedure Coding System (HCPCS) code on or
after January 1, 2005. We refer to these tests as ``new tests.''
Section 1833(h)(8)(B) of the Act provides that determinations of
payment amounts for new tests shall be made only after the Secretary--
Makes available to the public (through an Internet Web
site and other appropriate mechanisms) a list that includes codes for
which establishment of a payment amount is being considered for the
next calendar year;
On the same day the list of codes is made available,
publishes a Federal Register notice of a meeting to receive public
comments and recommendations (and data on which recommendations are
based) on the appropriate basis for establishing payment amounts for
the list of codes made available to the public;
Not less than 30 days after publication of the notice in
the Federal Register, convenes a meeting that includes representatives
of CMS officials involved in determining payment amounts, to receive
public comments and recommendations (and data on which the
recommendations are based); and
Taking into account the comments and recommendations (and
accompanying data) received at the public meeting, develops and makes
available to the public (through an Internet Web site and other
appropriate mechanisms)--
+ A list of proposed determinations with respect to the appropriate
basis for establishing a payment amount for each code, together with an
explanation of the reasons for each determination, the data on which
the determinations are based, and a request for public written comments
on the proposed determination; and
+ A list of final determinations of the payment amounts for tests,
together with the rationale for each determination, the data on which
the determinations are based, and responses to comments and suggestions
from the public.
We believe that our current process for providing for public
consultation on the establishment of payment amounts for new clinical
laboratory tests is consistent with the requirements of section
1833(h)(8)(B) of the Act. We currently make available to the public
through a posting on the CMS Web site a list of new laboratory test
codes for the next calendar year. We publish a Federal Register notice
of a meeting to receive public comments and recommendations and convene
the meeting with appropriate CMS officials in attendance. We take into
account the input received at the public meeting and we make available
to the public on the CMS Web site a list of the proposed determinations
and seek comment. We then make available to the public our final
determinations in the instructions that we provide to our claims
processing contractors to implement the Medicare Part B clinical
laboratory fee schedule each year.
The most significant change required by section 1886(h)(8)(A) of
the Act with respect to our procedures for public consultation is that
we codify this process in regulations. Therefore, in this proposed
rule, we are proposing to codify our current process for public
consultation for new clinical diagnostic laboratory tests paid under
the Medicare Part B clinical laboratory fee schedule at proposed new
Subpart F--Payment for New Clinical Diagnostic Laboratory Tests (Sec.
414.402 through Sec. 414.406).
a. Proposed Basis and Scope (Sec. 414.400)
This proposed new subpart would implement provisions of section
1833(h)(8) of the Act--procedures for determining the basis for, and
amount of, payment for a new clinical diagnostic laboratory test with
respect to which a new or substantially revised Healthcare Common
Procedure Coding System code is assigned on or after January 1, 2005.
b. Proposed Definition (Sec. 414.402)
As specified in section 942(b) of the MMA, we propose to define the
term ``Substantially Revised Healthcare Common Procedure Coding System
Code'' to mean a code for which there has been a substantive change to
the definition of the test or procedure to which the code applies (such
as a new analyte or a new methodology for measuring an existing analyte
specific test).
c. Proposed Procedures for Public Consultation for Payment for a New
Clinical Diagnostic Laboratory Test (Sec. 414.406)
For a clinical laboratory test that is assigned a new or
substantially revised code on or after January 1, 2005, we would
establish a local fee schedule amount only after the following:
We make available to the public (through an Internet Web
site and other appropriate mechanisms) a list that includes codes for
which establishment of a payment amount is being considered for the
next calendar year.
We publish a Federal Register notice of a meeting to
receive public comments and recommendations (and data on which
recommendations are based) on the appropriate basis, as specified in
proposed new Sec. 414.408, for establishing payment amounts for the
list of codes made available to the public.
Not less than 30 days after publication of the notice in
the Federal Register, we convene a meeting, that includes
representatives of CMS officials involved in determining payment
amounts, to receive public comments and recommendations (and data on
which the recommendations are based).
Taking into account the comments and recommendations (and
accompanying data) received at the public meeting, we develop and make
available to the public (through an Internet Web site and other
appropriate mechanisms)--
+ A list of proposed determinations with respect to the appropriate
basis for establishing a payment amount for each code, together with an
explanation of the reasons for each determination, the data on which
the determinations are based, and a request for public written comments
on the proposed determination within a specified time period; and
+ A list of final determinations of the payment amounts for tests,
together with the rationale for each determination, the data on which
the determinations are based, and responses to comments and suggestions
from the public.
d. Proposed Payment for a New Clinical Diagnostic Laboratory Test--
Crosswalking and Gapfilling (Sec. 414.408)
We are proposing to add a new Sec. 414.408 to indicate when, in
establishing the payment amount for a new clinical laboratory test, one
of two payment methods can be utilized. The
[[Page 49064]]
first payment method, called ``crosswalking,'' is used if a new test is
determined to be comparable to an existing test, multiple existing test
codes, or a portion of an existing test code. We propose that a new
test code would be assigned the related existing local fee schedule
amounts and national limitation amount.
In new Sec. 414.408, we propose to use the second method, called
``gapfilling,'' when no comparable, existing test is available.
Currently when using this method, manual instructions are provided to
each Medicare carrier to determine a payment amount for its geographic
area(s) for use in the first year, and the carrier-specific amounts are
used to establish a national limitation amount for following years.
Consistent with our current process, the sources of information
carriers examine in determining gapfill amounts, if available,
include--
Charges for the test and routine discounts to charges;
Resources required to perform the test;
Payment amounts determined by other payers; and
Charges, payment amounts, and resources required for other
tests that may be comparable or otherwise relevant.
Currently, our manual instructions allow carriers to consider other
sources of information as appropriate, including clinical studies and
information provided by clinicians practicing in the area,
manufacturers, or other interested parties. Carriers are also
instructed to establish carrier specific amounts on or before March 31
of the year and to revise their carrier specific amount, if necessary,
on or before September 1 of the year. In this manner, a carrier may
revise its carrier specific amount based on additional information, but
there is also a specific time frame to perform this revision so that we
have adequate time to receive and use the carrier specific amounts for
the calculation of the next year's clinical laboratory fee schedule.
Currently for new gapfilled laboratory tests, the payment amount
beginning in the second year is based on the lower of the carrier
specific amount determined in the first year or the national limitation
amount. In accordance with section 1833(h) of the Act, the national
limitation amount is set at the median of the carrier-specific amounts.
In light of new MMA provisions, however, we are proposing, in new
Sec. 414.408, to prospectively eliminate payment of new gapfilled
tests at a carrier specific amount after the first year. Section
1833(h)(8)(A) of the Act gives the Secretary authority to establish
procedures for determining the payment amount for laboratory tests for
which new or substantially revised HCPCS codes were established on or
after January 1, 2005. Under this authority, we propose, in new Sec.
414.408(b), to pay for a new gapfilled laboratory test under our
existing methodology for the first year (the carrier would establish a
gapfill amount.) Beginning in the second year, the test would be paid
at the national limitation amount. This would result in consistent
payment in geographic areas for a new test using the median of the
carrier gapfill amounts.
3. Other Laboratory Issues
This section discusses other laboratory issues related to quality
and glucose monitoring in SNFs.
a. Quality
In addition to providing payments, Medicare's clinical laboratory
fee schedule for both new and existing tests should foster the
provision of quality care and the prevention of avoidable health care
costs. We are exploring the development of measures related to the
quality and efficiency of care, including those involving clinical
laboratory fee schedule services. Physicians' decisions are central to
the health care their patients receive and are informed by appropriate
clinical laboratory testing. We want to work with physicians, providers
and the clinical laboratory community to identify ways to promote
utilization decisions that clearly increase the quality of care while
avoiding unnecessary costs for beneficiaries and the Medicare program.
As part of its strategies to improve quality of care, CMS could
require those who perform laboratory tests to submit laboratory values
using common vocabulary standards, such as those found in the Logical
Observation Identifiers Names and Codes (LOINC[supreg]) database.
The LOINC[supreg] database currently contains about 41,000
observational terms, of which nearly 31,000 are observational terms
related to laboratory testing. The laboratory subset of the
LOINC[supreg] database provides universal names and codes for
identifying the results of clinical laboratory tests and it facilitates
the exchange and pooling of clinical laboratory results for clinical
care, outcomes management and research. Note that LOINC[supreg]
describes the test result, but does not provide it. It is, therefore,
only one possible component of a comprehensive system of collecting
clinical laboratory fee test results. Each LOINC[supreg] record
corresponds to a single test result or panel. The following are some
examples of LOINC records:
LOINC code LOINC name (component: property: timing: specimen: scale)
2951-2 SODIUM:SCNC:PT:SER/PLAS:QN
2955-2 SODIUM:SCNC:PT:UR:QN
2956-1 SODIUM:SRAT:24H:UR:QN
2164-2 CREATININE RENAL CLEARANCE:VRAT:24H:UR:QN
1514-9 GLUCOSE[caret]2H POST 100 G GLUCOSE
PO:MCNC:PT:SER/PLAS:QN
3665-7 GENTAMICIN[caret] TROUGH:MCNC:PT:SER/PLAS:QN
17863-2 CALCIUM.IONIZED: MCNC:PT:SER/PLAS:QN
2863-9 ALBUMIN:MCNC:PT:SNV: QN:ELECTROPHORESIS
The parts of the LOINC[supreg] name refer to different aspects of
the test result. The component is the analyte (for example, sodium).
The property is the characteristic of the analyte that is measured,
evaluated or observed (for example SCNC = substance concentration).
Timing indicates whether the measurement is an observation at a moment
of time, or an observation integrated over an extended duration of time
(for example, PT = point in time). The specimen is the type of sample
(for example, SER/PLAS = serum or plasma). The scale is the type of
scale (for example QN = quantitative). For further detail, please see
the LOINC[supreg] Web site at http://www.loinc.org.
On September 23, 2005 (70 FR 55900-56025), we published the
proposed rule ``HIPAA Administrative Simplification: Standards for
Electronic Health Care Claims Attachments.'' This rule proposed
standards for electronically requesting and supplying particular types
of additional health care information in the form of an electronic
attachment to support submitted health care claims data. The proposed
rule specified a standard attachment form for reporting laboratory
results (among other standards) and proposed adoption of LOINC[supreg]
as the standard code set for reporting such results.
While the laboratory claims attachment standard and use of
LOINC[supreg] could provide a means for reporting test result data, we
recognize that there are significant operational and other challenges
that would need to be addressed before Medicare could begin to collect
laboratory values in a comprehensive fashion using common vocabulary
standards and that these challenges need to be met in partnership with
the clinical laboratory community. We look forward to working
[[Page 49065]]
collaboratively with the clinical laboratory community on these issues.
b. Blood Glucose Monitoring in SNFs
In response to inquiries regarding our policy on blood glucose
monitoring in SNFs, we are taking this opportunity to restate our long-
standing policy on coverage of blood glucose monitoring services and to
propose to codify physician certification requirements for blood
glucose monitoring in SNFs.
Generally, section 1862(a)(1)(A) of the Act requires that a service
be reasonable and necessary for diagnosis and treatment in order to be
eligible for coverage by Medicare. Our regulations at Sec. 410.32(a)
already require that, for any diagnostic test, including a clinical
diagnostic laboratory test, to be considered reasonable and necessary,
it must be both ordered by the physician and the ordering physician
must use the result in the management of the beneficiary's specific
medical problem. Tests not ordered by the physician who is treating the
beneficiary are not reasonable and necessary.
In the context of blood glucose monitoring, we most recently stated
this policy in Transmittal AB-00-108, ``Glucose Monitoring'', which is
available on our Web site at http://www.cms.hhs.gov/transmittals/downloads/ab00108.pdf. This interpretation of Sec. 410.32 is also the
basis for our policy in Chapter 7 of the Medicare Claims Processing
Manual (``Skilled Nursing Facility Part B Billing'' available on our
Web site at http://www.cms.hhs.gov/manuals/downloads/clm104c07.pdf.)
In addition, section 1835(a)(2)(B) of the Act provides that, in the
case of certain ``medical and other health services'' (including
clinical diagnostic laboratory services), payment may be made for Part
B services that are furnished by a provider of services only if a
physician certifies--and recertifies where those services are furnished
over a period of time, with such frequency, and accompanied by such
supporting material, as may be provided by regulation--that those
services were medically necessary. The regulations currently
implementing this provision at Sec. 424.24 do not specifically address
the issue of blood glucose monitoring in SNFs. Therefore, we are
proposing to amend Sec. 424.24 to provide that, for each blood glucose
test furnished to a resident of a SNF, the physician must certify that
the test is medically necessary. We are also proposing to amend Sec.
424.24 to clarify that a physician's standing order is not sufficient
to order routine blood glucose monitoring.
c. Other Lab Issues--Proposed Clinical Diagnostic Laboratory Date of
Service (DOS) for Stored Specimens
We are proposing to add a new Sec. 414.410 to address concerns
that have been raised regarding the date of service of a clinical
diagnostic laboratory test that use a stored (or ``archived'')
specimen. In the final rule of coverage and administrative policies for
clinical diagnostic laboratory services that we published on November
23, 2001 (66 FR 58792), we adopted a policy under which the date of
service for clinical diagnostic laboratory services generally is the
date the specimen is collected. For laboratory tests that use an
archived specimen, however, the date of service is the date the
specimen was obtained from the storage. In 2002, we issued Program
Memorandum AB-02-134 which permitted contractors discretion in making
determinations regarding the length of time a specimen must be stored
to be considered archived. In response to comments requesting that we
issue a national standard to clarify when a stored specimen can be
considered ``archived,'' in the Procedures for Maintaining Code Lists
in the Negotiated National Coverage Determinations for Clinical
Diagnostic Laboratory Services final notice, published in the Federal
Register on February 25, 2005 (70 FR 9355), we defined an ``archived''
specimen as a specimen that is stored for more than 30 calendar days
before testing. The date of service for these archived specimens is the
date the specimen was obtained from storage. Specimens stored 30 days
or less have a date of service of the date the specimen was collected.
The February 25, 2005 final notice also clarified that the date of
service for tests when the collection spanned more than two calendar
days is the date the collection ended. Instructions that implemented
these policies were added to Chapter 16, section 40.8 of the Medicare
Claims Processing Manual (Pub. 100-04) with the issuance of Transmittal
800 (CR 4156), on December 30, 2005.
Recently, we have received correspondence that expressed concern
that our policies have created some unintended consequences, especially
in situations in which a specimen is taken in a hospital setting, but
then later used for a test after the patient has left the hospital.
Under the current manual instructions, if the specimen used for a test
ordered subsequent to the beneficiary's discharge is obtained less than
31 calendar days following the date the specimen was collected, the
date of service of the test is the date of collection. The date of
service of a test may affect payment because, if the date of service
falls during an inpatient stay or on a day on which the beneficiary had
an outpatient procedure, payment for the laboratory test usually is
bundled with the hospital service. To address these concerns, we are
proposing to change our current policy so that the date of service
would be the date the specimen is obtained from storage, even if the
specimen is obtained less than 31 days from the date it was collected,
without violating the unbundling rules as long as the following
conditions are met:
The test is ordered by the patient's physician at least 14
days following the date of the patient's discharge from the hospital.
The test could not reasonably have been ordered while the
patient was hospitalized.
The procedure performed while the beneficiary is a patient
of the hospital is for purposes other than collection of the specimen
needed for the test.
The test is reasonable and medically necessary.
These conditions are consistent with the guidance in Chapter 16,
sec 40.3 of the Claims Processing Manual, which states that ``When the
hospital obtains laboratory tests for outpatients under arrangements
with clinical laboratories or other hospital laboratories, only the
hospital can bill for the arranged services.''
In addition, Chapter 3 of the Program Integrity Manual contains
instructions for additional documentation if further development of
laboratory claims for pre-or postpay are required. Although we believe
these changes will help to maintain beneficiary access to care, we are
concerned about the potential for these policy changes creating
inappropriate incentives in the development of technology and the
implications for the unbundling of services. We solicit comment on the
proposed changes and these concerns.
O. Proposal to Establish Criteria for National Certifying Bodies That
Certify Advanced Practice Nurses
[If you choose to comment on issues in this section, please include
the caption ``Criteria for National Certifying Bodies-Advanced Practice
Nurses'' at the beginning of your comments.]
Federal regulatory qualifications for nurse practitioners (NPs) at
42 CFR 410.75 require that an individual be certified as an NP by a
recognized national certifying body that has established standards for
NPs. Similarly, Federal regulatory qualifications for clinical nurse
specialists (CNSs) at 42
[[Page 49066]]
CFR 410.76 require that an individual be certified as a CNS by a
national certifying body that has established standards for CNSs and
that is approved by the Secretary.
Currently, there is not a list of recognized or approved national
certifying bodies for NPs and CNSs in regulations. However, Chapter 15,
section 200 of the Benefit Policy Manual, Pub. 100-02 contains a list
of national certifying bodies that are recognized by Medicare as being
appropriate for certification of NPs. Although the manual provision
regarding CNS services at Chapter 15, section 210 of the Benefit Policy
Manual lists only the American Nurses Credentialing Center as an
approved national certifying body for CNSs, we indicated that the list
of recognized certifying bodies in the manual provision for NP services
would also apply for CNSs in the ``Revisions to Payment Policies Under
the CY 2003 Physician Fee Schedule and Inclusion of Registered Nurses
in the Personnel Provision of the Critical Access Hospital Emergency
Services Requirement for Frontier Areas and Remote Locations; Payment
Policies final rule (December 31, 2002, 67 FR 79987). The national
certifying bodies that are listed under the manual instruction at
section 200, and that currently apply for both NPs and CNSs
(collectively, advanced practice nurses) are as follows:
American Academy of Nurse Practitioners;
American Nurses Credentialing Center;
National Certification Corporation for Obstetric,
Gynecologic and Neonatal Nursing Specialties;
National Certification Board of Pediatric Nurse
Practitioners and Nurses;
Oncology Nurses Certification Corporation;
Critical Care Certification Corporation.
In the December 31, 2002 final rule, in response to a public
comment, we stated, ``it is not the agency's intention to be overly
restrictive in our program requirements and consequently prevent
qualified CNSs who specialize in areas of medicine other than those
certified by the American Nurses Credentialing Center (ANCC) from
participating under the CNS benefit and from rendering care to patients
in need of specialized services. Furthermore, the intent of the
revision to the certification requirement for CNSs is to recognize all
appropriate national certifying bodies for CNSs as the program does for
NPs.'' Accordingly, in an effort to recognize all appropriate national
certifying bodies for CNSs and NPs, we added, at that time, the
Oncology Nurses Certification Corporation (ONCC) and the Critical Care
Certification Corporation (CCCC) to the list of recognized national
certifying bodies for advanced practice nurses.
The National Board on Certification of Hospice and Palliative Care
Nurses (NBCHPN) has requested that we now follow the same course of
action as we did for the ONCC and the CCCC by adding its name to the
list of recognized national certifying bodies. That is, NBCHPN believes
that it is an appropriate national certifying body based on its
certification experience, principles, services, and the certification
exam that it administers to advanced practice nurses who specialize in
palliative care for hospice patients.
The NBCHPN stated in information it sent to the agency that its
organization is a well-established certification body with more than
12-years history of certification and that it has been certifying
advanced practice hospice and palliative nurses since 2003 in
partnership with the ANCC. Starting in 2005, the NBCHPN became sole
proprietor of the Advanced Certified Hospice and Palliative Nurse
(ACHPN) examination. Master's level nurse practitioners and clinical
nurse specialists sit for this ACHPN examination that is based on a
role delineation study for the advanced practice level of hospice and
palliative nursing. Additionally, the NBCHPN stated that it has met the
requirements of the American Board of Nursing Specialties and is an
active member of the Board of Specialties, as is the ANCC. The
Executive Director of the NBCHPN stated that she believes that the
absence of the NBCHPN from the current list of recognized national
certifying bodies presents a barrier for advanced practice nurses in
the hospice palliative care specialty because they are denied
enrollment on the basis that they do not meet the certification
qualification requirement. The Web site for the NBCHPN can be found at
www.nbchpn.com.
We are soliciting public comments on whether it would be
appropriate to include the NBCHPN under the list of recognized and
approved national certifying bodies for NPs and CNSs under manual
instructions for both NPs and CNSs. We are also soliciting public
comments on criteria or standards that we could use to determine
whether an organization is an appropriate national certifying body for
advanced practice nurses. CMS realizes that the agency may receive
other requests in the future from organizations that wish to be to be
added to the list of recognized or approved national certifying bodies.
In anticipation of those requests, the agency is interested in
developing certification standards that would facilitate the process
for making these decisions.
P. Chiropractic Services Demonstration
[If you choose to comment on issues in this section, please include
the caption ``Chiropractic Services Demonstration'' at the beginning of
your comments.]
In the FY 2006 PFS final rule (November 21, 2005), we included a
discussion of the 2-year demonstration authorized by section 651 of the
MMA to evaluate the feasibility and advisability of covering
chiropractic services under Medicare. These services extend beyond the
current coverage for manipulation to care for neuromusculoskeletal
conditions typical among eligible beneficiaries, and cover diagnostic
and other services that a chiropractor is legally authorized to perform
by the State or jurisdiction in which the treatment is provided. The
demonstration is being conducted in four sites, two rural and two
urban. The demonstration must be budget neutral as the statute requires
the Secretary to ensure that the aggregate payment made under the
Medicare program does not exceed the amount which would be paid in the
absence of the demonstration.
Ensuring budget neutrality requires that the Secretary develop a
strategy for recouping funds should the demonstration result in costs
higher than those that would occur in the absence of the demonstration.
As we stated in the FY 2006 PFS, we would make adjustments in the
national chiropractor fee schedule to recover the costs of the
demonstration in excess of the amount estimated to yield budget
neutrality. We will assess budget neutrality by determining the change
in costs based on a pre/post comparison of costs and the rate of change
for specific diagnoses that are treated by chiropractors and physicians
in the demonstration sites and control sites. We will not limit our
analysis to reviewing only chiropractor claims, because the costs of
the expanded chiropractor services may have an impact on other Medicare
costs.
Any needed reduction would be made in the 2010 and 2011 physician
fee schedules as it will take approximately 2 years to complete the
claims analysis. If we determine that the adjustment for budget
neutrality is greater than 2 percent of spending for the chiropractor
fee schedule codes (comprised of the 3
[[Page 49067]]
currently covered CPT codes 98940, 98941, and 98942), we would
implement the adjustment over a 2-year period. However, if the
adjustment is less than 2 percent of spending under the chiropractor
fee schedule codes, we would implement the adjustment over a 1-year
period. We will include the detailed analysis of budget neutrality and
the proposed offset during the 2009 rulemaking process. PT services
performed by chiropractors under the demonstration are subject to the
PT therapy cap. These services are included under the cap because
chiropractors are subject to the same rules as medical doctors for
therapy services under the demonstration.
Q. Promoting Effective Use of Health Information Technology (HIT)
(If you choose to comment on issues in this section, please include
the caption ``Promoting Effective Use of HIT'' at the beginning of your
comment.)
We recognize the potential for health information technology (HIT)
to facilitate improvements in the quality and efficiency of health care
services. One recent RAND study found that broad adoption of electronic
health records could save more than $81 billion annually and, at the
same time, improve quality of care.\1\ The largest potential savings
that the study identified was in the hospital setting because of
shorter hospital stays promoted by better coordinated care; less
nursing time spent on administrative tasks; better use of medications
in hospitals; and better utilization of drugs, laboratory services, and
radiology services in hospital outpatient settings. The study also
identified potential quality gains through enhanced patient safety,
decision support tools for evidence-based medicine, and reminder
mechanisms for screening and preventive care. Despite these large
potential benefits, the study found that only about 20 to 25 percent of
hospitals have adopted HIT systems.
---------------------------------------------------------------------------
\1\ RAND News Release: Rand Study Says Computerizing Medical
Records Could Save $81 Billion Annually and Improve the Quality of
Medical Care, September 14, 2005, available at http://rand.org/news/press.05/09.14.html.
---------------------------------------------------------------------------
It is important to note the caveats to the RAND study. The
projected savings are across the health care sector, and any Federal
savings would be a reduced percentage. In addition, there are
significant assumptions made in the RAND study. National savings are
projected in some cases based on one or two small studies. Also, the
study assumes patient compliance, in the form of participation in
disease management programs and following medical advice. For these
reasons, extreme caution should be used in interpreting these results.
In summary, there are mixed signals about the potential of HIT to
reduce costs. Some studies have indicated that HIT adoption does not
necessarily lead to lower costs and improved quality. In addition, some
industry experts have stated that factors such as an aging population,
medical advances, and increasing provider expenses would make any
projected savings impossible.
In his 2004 State of the Union Address, the President announced a
plan to ensure that most Americans have electronic health records
within 10 years.\2\ One part of this plan involves developing voluntary
standards and promoting the adoption of interoperable HIT systems that
use these standards. The 2007 Budget states that ``The Administration
supports the adoption of health information technology (IT) as a normal
cost of doing business to ensure patients receive high quality care.''
---------------------------------------------------------------------------
\2\ Transforming Health Care: The President's Health Information
Technology Plan, available at: http://www.whitehouse.gov/infocus/technology/economic_policy200404/chap3.html.
-------------------------------------------------------------------------
Over the past several years, we have undertaken several activities
to promote the adoption and effective use of HIT in coordination with
other Federal agencies and with the Office of the National Coordinator
for Health Information Technology. One of those activities is promotion
of data standards for clinical information, as well as for claims and
administrative data.
As noted above, the Administration supports the adoption of HIT as
a normal cost of doing business. The adoption and use of HIT may
contribute to improved processes and outcomes of care, including
shortened illnesses and the avoidance of adverse drug reactions.
R. Health Care Information Transparency Initiative
(If you choose to comment on issues in this section, please include
the caption ``Health Care Information Transparency Initiative'' at the
beginning of your comment.)
The United States (U.S.) faces a dilemma in health care. Although
the rate of increase in health care spending slowed last year, costs
are still growing at an unsustainable rate. The U.S. spends $1.9
trillion on health care, or 16 percent of the gross domestic product
(GDP). By 2015, projections are that health care will consume 20
percent of GDP. As indicated in the 2006 Annual Report of the Boards of
Trustees, the Medicare program alone consumes 3.2 percent of the GDP
and by 2040, it will consume 8.0 percent of the GDP.
Part of the reason health care costs are rising so quickly is that
most consumers of health care--the patients--are frequently not aware
of the actual cost of their care. Health insurance shields them from
the full cost of services, and they have only limited information about
the quality and costs of their care. Consequently, consumers do not
have the incentive or means to carefully shop for providers offering
the best value. Thus, providers of care are not subject to the
competitive pressures that exist in other markets for offering quality
services at the best possible price. Reducing the rate of increase in
health care prices and avoiding health services of little value could
help to stem the growth in health care spending, and potentially reduce
the number of individuals who are unable to afford health insurance.
Part of the President's health care agenda is to expand Health Savings
Accounts (HSAs), which would provide consumers with greater financial
incentives to compare providers in terms of price and quality, and
choose those that offer the best value.
In order to exercise those choices, consumers must have accessible
and useful information on the price and quality of health care items
and services. Typically, health care providers do not publicly quote or
publish their prices. Moreover, list prices, or charges, generally
differ from the actual prices negotiated and paid by different health
plans. Thus, even if consumers were financially motivated to shop for
the best price, it would be very difficult at the current time for them
to access usable information.
For these reasons, DHHS is launching a major health care
information transparency initiative in 2006. This effort builds on
steps taken by CMS to make quality and price information available. For
example, Medicare has provided unprecedented information about drug
prices in the Medicare drug benefit, and is now adding to these efforts
in other areas. Medicare payment information for common elective
procedures and other common admissions for all hospitals by county has
been posted on our Web site at: http://www.cms.hhs.gov/HealthCareConInit/01Overview.asp#TopOfP.
We will post geographically-based Medicare payment information for
common elective procedures for ambulatory surgery centers this summer
and for common hospital outpatient and physician services this fall.
[[Page 49068]]
In addition, a number of tools providing usable healthcare
information are already available to Medicare beneficiaries. Supported
by the public-private quality alliances, consumers can access
``Compare'' Web sites through www.medicare.gov where they can evaluate
important aspects of their health care options for care at a hospital,
nursing home, home health agency, and dialysis facility, as well as
compare their costs and coverage when choosing a prescription drug
plan.
We are developing a project with the goals of providing more
comprehensive information on quality and costs, including more complete
measures of health outcomes, satisfaction, and volume of services that
matter to consumers, and more comprehensive measures of costs for
entire episodes of care, not just payments for particular services and
admissions. We intend for the project to combine public and private
health care data to measure cost and quality of care information at the
physician and hospital levels. Quality, cost, pricing, and patient
information will be reported to consumers and purchasers of health care
in a meaningful and transparent way.
III. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995, we are required to
provide 60-day notice in the Federal Register and solicit public
comment before a collection of information requirement is submitted to
the Office of Management and Budget (OMB) for review and approval. In
order to fairly evaluate whether an information collection should be
approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act
of 1995 requires that we solicit comment on the following issues:
The need for the information collection and its usefulness
in carrying out the proper functions of our agency.
The accuracy of our estimate of the information collection
burden.
The quality, utility, and clarity of the information to be
collected.
Recommendations to minimize the information collection
burden on the affected public, including automated collection
techniques.
We are soliciting public comment on each of these issues for the
following sections of this document that contain information collection
requirements:
Section 410.33 Independent Diagnostic Testing Facility
Section 410.33(e)(1) imposes a recordkeeping requirement on multi-
state entities. Specifically, an independent diagnostic testing
facility (IDTF) that operates across State boundaries must maintain
documentation that its supervising physicians and technicians are
licensed and certified in each of the States in which it operates. The
burden associated with this requirement is the time and effort it takes
the IDTF to collect and maintain the aforementioned information.
While subject to the PRA, we believe this information collection
requirement is exempt as defined in 5 CFR 1320.3(b)(2), because the
time, effort, and financial resources necessary to comply with the
requirement would be incurred by persons in the normal course of their
activities (for example, in compiling and maintaining business records)
and is considered to be usual and customary.
Section 410.33(g) discusses the application certification standards
that an IDTF must meet. An IDTF must complete an enrollment application
and certify the information contained in the application. The
certification is part of an application that is subject to the PRA. The
burden associated with this requirement is the time and effort
necessary to complete the application. This requirement is currently
approved in OMB No. 0938-0685, with a current expiration date of April
30, 2009.
If you comment on these information collection and recordkeeping
requirements, please mail copies directly to the following:
Centers for Medicare & Medicaid Services, Office of Strategic
Operations and Regulatory Affairs, Regulations Development Group, Attn:
William N. Parham, III, [CMS-1321-P], Room C4-26-05, 7500 Security
Boulevard, Baltimore, MD 21244-1850; and
Office of Information and Regulatory Affairs, Office of Management and
Budget, Room 10235, New Executive Office Building, Washington, DC
20503, Attn: Carolyn Lovett, CMS Desk Officer, [CMS-1321-P], [email protected]. Fax (202) 395-6974.
IV. Response to Comments
Because of the large number of public comments we normally receive
on Federal Register documents, 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, when we proceed with a subsequent document, we will respond to the
comments in the preamble to that document.
V. Regulatory Impact Analysis
[If you choose to comment on issues in this section, please include
the caption ``IMPACT'' at the beginning of your comments.]
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 19, 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 (as amended by Executive Order 13258, which
merely reassigns responsibilities of duties) 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 one
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). As indicated in more detail below, we estimate that the
PFS provisions included in this proposed rule will redistribute more
than $100 million in one year. We are considering this proposed rule to
be economically significant because its provisions are estimated to
result in an increase, decrease or aggregate redistribution of Medicare
spending that will exceed $100 million. Therefore, this proposed rule
is a major rule and 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 with
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
[[Page 49069]]
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. We have determined that this proposed rule
would have minimal impact on small hospitals located in rural areas. Of
the 222 hospital-based ESRD facilities located in rural areas, only 40
are affiliated with hospitals with fewer than 100 beds.
For purposes of the RFA, physicians, nonphysician practitioners,
and suppliers are considered small businesses if they generate revenues
of $6 million or less. Approximately 95 percent of physicians are
considered to be small entities. There are about 980,000 physicians,
other practitioners and medical suppliers that receive Medicare payment
under the PFS.
For purposes of the RFA, approximately 80 percent of clinical
diagnostic laboratories are considered small businesses according to
the Small Business Administration's size standards.
In addition, most ESRD facilities are considered small entities,
either based on nonprofit status or by having revenues of $29 million
or less in any year. We consider a substantial number of entities to be
affected if the proposed rule is estimated to impact more than 5
percent of the total number of small entities. Based on our analysis of
the 927 nonprofit ESRD facilities considered small entities in
accordance with the above definitions, we estimate that the combined
impact of the proposed changes to payment for renal dialysis services
included in this proposed rule would have a 0.9 percent increase in
overall payments relative to current overall payments.
IDTFs are suppliers under the Medicare program. For purposes of the
RFA, suppliers with annual sales of $6 million or less are considered
to be small entities. (Individuals and States are not included in the
definition of a small entity.) We believe that our proposed standards
for IDTFs will help bar fraudulent suppliers from participating in the
Medicare program and provide an added level of protection to Medicare
beneficiaries. Therefore, we expect to have an impact on an unknown
number of persons and entities who will effectively be prevented from
practicing their aberrant billing activities. The vast majority of
suppliers would not be significantly affected by this proposed rule.
The reduction in program overpayments and the added level of protection
to beneficiaries that we expect to achieve as a result of this proposed
rule justifies the relatively small burden this proposed rule would
impose on all small entities.
The analysis and discussion provided in this section, as well as
elsewhere in this proposed rule, complies 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 expenditures in any year by State,
local, or tribal governments, in the aggregate, or by the private
sector, of $120 million. Medicare beneficiaries are considered to be
part of the private sector for this purpose.
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. A discussion concerning the impact of
this rule on beneficiaries is found later in this section.
We have prepared the following analysis, which, together with the
information provided in the rest of this preamble, meets all assessment
requirements. The analysis explains the rationale for and purposes of
this proposed 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 change our methodology for calculating
resource-based PE RVUs and make a variety of other changes to our
regulations, payments, or payment policies to ensure that our payment
systems reflect changes in medical practice and the relative value of
services. We provide information for each of the policy changes in the
relevant sections of this proposed rule. 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 if applicable.
A. Resource Based PE RVU Proposals for CY 2007 and Section 5102 of the
DRA-Proposed Adjustments for Payments for Imaging Services
As required by section 5102(a) of the DRA and described earlier in
section II.E.1. of this proposed rule, we are removing, from the PE
RVUs under the PFS the 0.3 percent increase made to the PE RVUs in the
CY 2006 PFS final rule with comment period to ensure the budget
neutrality of the impact of the multiple imaging policy adopted for CY
2006. Section 5102(a) of the DRA exempts the CY 2006 and 2007 impact of
the multiple imaging policy from budget neutrality. Because we are
proposing to maintain the current 25 percent payment reduction for
multiple imaging procedures in CY 2007, there is no additional impact
resulting from our proposals for CY 2007. Section 5102 of the DRA also
exempts the estimated savings from the application of the OPPS-based
payment limitation on PFS imaging services from the PFS budget
neutrality requirement. We estimate that the combined impact of the
budget neutrality exemptions in section 5102 of the DRA would reduce
PFS expenditures by approximately 1.3 percent in CY 2007.
Table 7 below shows the specialty-level impact of section 5102 of
the DRA and our most recent estimate (-5.1 percent) of the CY 2007
Medicare PFS update. For reference purposes, we have also included the
specialty-level impacts using the methodology from the separate June
29, 2006 proposed notice (71 FR 37170), which solicited comments on
proposed changes to the PE methodology as well as changes to work RVUs
for certain services based on the agency's completion of a five-year
review of work RVUs. The CY 2007 impact of the PE input changes
described in section II.A. of this proposed rule that were not included
in the June 29, 2006 proposed notice are minimal at the specialty
level. Additionally, the impacts in this proposed rule reflect the use
of updated physician time data from the AMA-RUC.
Our estimates of changes in Medicare revenues for PFS services
compare payment rates for CY 2006 with proposed payment rates for CY
2007 using CY 2005 Medicare utilization for all years. We are using CY
2005 Medicare claims processed and paid through March 30, 2005, that we
estimate are 98 percent complete. To the extent that there are year-to-
year changes in the volume and mix of services provided by physicians,
the actual impact on total Medicare revenues will be different than
those shown here. 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 because
physicians furnish services to both Medicare and non-Medicare patients
[[Page 49070]]
and specialties may receive substantial Medicare revenues for services
that are not paid under the PFS. For instance, independent laboratories
receive approximately 80 percent of their Medicare revenues from
clinical laboratory services that are not paid under the PFS.
Table 7 shows only the payment impact on PFS services. The
following is an explanation of the information represented in Table 7:
Specialty--The physician specialty or type of
practitioner/supplier.
Allowed Charges--Allowed charges are the Medicare Fee
Schedule amounts for covered services and include copayments and
deductibles (which are the financial responsibility of the
beneficiary.) These amounts have been summed across all services
provided by physicians, practitioners, or suppliers with a specialty to
arrive at the total allowed charges for the specialty.
Impact of Work and PE RVU Changes using the June 29, 2006
proposed notice methodology--For references purposes, the combined CY
2007 percentage increase or decrease in allowed charges attributed to
changes in the work and PE RVUs described in and republished from the
June 29, 2006 proposed notice methodology.
Impact of section 5102 of the DRA--The CY 2007 percentage
decrease in allowed charges attributed to section 5102 of the DRA.
Combined impact of the June 29, 2006 proposed notice
methodology and section 5102 of the DRA.
CY 2007 Update--The percentage decrease in allowed charges
attributed to the most recent estimate of the CY 2007 PFS conversion
factor update (-5.1 percent).
Combined impact with CY 2007 update--The CY 2007
percentage decrease in allowed charges attributed to the June 29, 2006
proposed notice methodology, section 5102 of the DRA, and the CY 2007
update.
[GRAPHIC] [TIFF OMITTED] TP22AU06.045
[[Page 49071]]
[GRAPHIC] [TIFF OMITTED] TP22AU06.046
Table 8 below shows the impact on total payments for selected high-
volume procedures of all of the changes previously discussed. We
selected these procedures because they are the most commonly provided
by a broad
[[Page 49072]]
spectrum of physician specialties. There are separate columns that show
the change in the facility rates and the nonfacility rates. For an
explanation of facility and nonfacility PE refer to Addendum A of this
proposed rule. If we change any of the proposed provisions following
the consideration of public comments, these figures may change.
[GRAPHIC] [TIFF OMITTED] TP22AU06.047
[[Page 49073]]
[GRAPHIC] [TIFF OMITTED] TP22AU06.048
B. Geographic Practice Cost Indices (GPCI)--Payment Localities
As discussed in section II.B. of the preamble to this proposed
rule, we are proposing new GPCIs for 2007. In the November 15, 2004 PFS
final rule, we published 2005 and 2006 GPCI and GAF values reflecting
the 2 year phase-in of updated GPCI data. In 2007, the proposed GPCI
and GAF values will reflect new budget neutrality scalers (developed by
the Office of the Actuary) and the removal of the 1.000 MMA floor from
the physician work GPCI. The negative impact of these changes on a
number of payment localities is shown in 4 of section II.B. in this
proposed rule.
C. Global Period for Remote Afterloading High Intensity Brachytherapy
Procedures
As discussed in section II.D.1. of this proposed rule, we are
proposing changes to the global period for these
[[Page 49074]]
services. We do not anticipate this proposed change will have a
significant impact on Medicare expenditures.
D. DRA 5112--Proposed Addition of the Ultrasound Screening for
Abdominal Aortic Aneurysm to Welcome to Medicare Benefit
As discussed earlier in section II.E.3. of this preamble, section
5112 of the DRA authorizes coverage of an ultrasound screening for
abdominal aortic aneurysms effective January 1, 2007, subject to
certain eligibility and other limitations. We estimate that this new
benefit would result in an increase in Medicare expenditures to
physicians and other practitioners and suppliers of ultrasound services
and related follow-up tests and treatment that may be required as a
result of the coverage of these screening examinations. However, this
is not expected to have a significant cost impact on the Medicare
program.
E. DRA 5113--Proposed Colorectal Screening Exemption From Part B
Deductible
As discussed earlier in section II.E.4. of this preamble, beginning
January 1, 2007, colorectal cancer screening services as described in
section 1861(pp)(1) of the Act are no longer subject to the Part B
deductible. While waiver of this deductible will be beneficial to
Medicare beneficiaries, we do not anticipate that this change will have
a significant cost impact on the Medicare program.
F. Section 5114--Proposed Addition of Diabetes Outpatient Self-
Management Training Services (DSMT) and Medical Nutrition Therapy (MNT)
for the FQHC Program
As discussed earlier in section E.4. of this preamble, section 5114
of the DRA amended section 1861(aa)(3) the Act to add DSMT and MNT to
the list of Medicare covered and reimbursed services under the Medicare
FQHC benefit, effective for services provided on or after January 1,
2006. Although this statutory change has already been implemented in
administrative instructions, we are proposing to conform the
regulations to meet the new statutory requirement. FQHCs certified as
DSMT and MNT providers have been allowed to bundle the cost of those
services into their FQHC payment rates. But before the enactment of the
DRA, the provision of these services would not generate a separate FQHC
visit payment. Effective for services furnished on or after January 1,
2006, FQHCs that are certified providers of DSMT and MNT services can
receive per visit payments for covered services furnished by registered
dietitians or nutrition professionals. In light of the fact there are a
limited number of qualified centers for DSMT and MNT services, the
increase in Medicare expenditures should be negligible.
G. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP
Issues)
The proposed changes discussed in section II.F. of this proposed
rule, with respect to payment for covered outpatient drugs and
biologicals, are estimated to have no impact on Medicare expenditures.
However, we believe the changes will assist in clarifying existing
policy with respect to ASP payment.
H. Proposed Provisions Related to Payment for Renal Dialysis Services
Furnished by End State Renal Disease (ESRD) Facilities
The ESRD related provisions in this proposed rule are discussed in
section II.G. of this preamble. In order to understand the impact of
the proposed changes affecting payments to different categories of ESRD
facilities, it is necessary to compare estimated payments under the
current year (current 2006 payments) to estimated payments under the
proposed revisions to the composite rate payment system as discussed in
II.G. of this proposed rule (proposed 2007 payments). To estimate the
impact among various classes of ESRD facilities, it is imperative that
the estimates of current payments and proposed payments contain similar
inputs. Therefore, we simulated payments only for those ESRD facilities
that we are able to calculate both current 2006 payments and proposed
2007 payments.
Due to data limitations, we are unable to estimate current and
proposed payments for 226 facilities that bill for ESRD dialysis
treatments. ESRD providers were grouped into the categories based on
characteristics provided in the Online Survey and Certification and
Reporting (OSCAR) file and the most recent cost report data from the
Healthcare Cost Report Information System (HCRIS). We also used the
December 2005 update of CY 2005 National Claims History file as a basis
for Medicare dialysis treatments and separately billable drugs and
biologicals. While the December 2005 update of the 2005 claims file is
not complete, we wanted to use the most recent data available, and plan
to use an updated version of the 2005 claims file for the final rule.
BILLING CODE 4120-01-P
[[Page 49075]]
[GRAPHIC] [TIFF OMITTED] TP22AU06.049
Table 9 above shows the impact of this year's proposed changes to
CY 2007 payments to hospital-based and independent ESRD facilities. The
first column of Table 9 identifies the type of ESRD provider, the
second column
[[Page 49076]]
indicates the number of ESRD facilities for each type, and the third
column indicates the number of dialysis treatments.
The fourth column shows the effect of CY 2007 proposed changes to
the ESRD wage index as it affects the composite rate payments to ESRD
facilities. The fourth column compares aggregate ESRD wage adjusted
composite rate payments in the second year of the transition (CY 2007)
to aggregate ESRD wage adjusted composite rate payments in first year
of the transition (CY 2006). In the second year of the transition (CY
2007), ESRD facilities receive 50 percent of the CBSA wage adjusted
composite rate and 50 percent of the MSA adjusted composite rate. In
the first year of the transition, ESRD facilities receive 25 percent of
the CBSA wage adjusted composite rate and 75 percent of the MSA
adjusted composite rate. The overall effect to all ESRD providers in
aggregate is zero because the proposed CY 2007 ESRD wage index has been
multiplied by a budget neutrality factor to comply with the statutory
requirement that any wage index revisions be done in a manner that
results in the same aggregate amount of expenditures as would have been
made without any changes in the wage index. The decreases shown among
census regions is primarily due to reducing the wage index floor, as
there were areas in these areas with wage index values below the
proposed floor.
The fifth column shows the overall effect of the proposed changes
in composite rate payments to ESRD providers. The overall effect is
measured as the difference between CY 2007 proposed payment with all
changes as proposed in this rule and CY 2006 current payment. This
amount is computed by multiplying the wage adjusted composite rate with
the drug add-on for each provider times dialysis treatments from 2005
claims. The CY 2007 proposed payment is transition year two wage
adjusted composite rate for each provider (with the proposed 15.2
percent drug add-on) times dialysis treatments from 2005 claims. The CY
2006 current payment is transition year one wage adjusted composite
rate for each provider (with the current 14.5 percent drug add on)
times dialysis treatments from 2005 claims.
The overall impact to ESRD providers in aggregate is 0.6 percent.
This increase corresponds to the proposed 0.6 percent increase to the
drug add-on. The variation seen in column 5 is due to variation in
change in the wage index (column 4). All provider types receive the
same 0.6 percent increase to the drug add on.
I. Private Contracts and Opt-Out Provision
The changes discussed in this proposed rule, with respect to
private contracts and the opt-out provision, are currently estimated to
have no significant impact on Medicare expenditures.
J. Proposals Related to Physician Self Referral Prohibitions
As discussed in section II.I of this proposed rule, we would
clarify in regulations at Sec. 424.80(d) under the contractual
arrangement reassignment exception that, if a physician or other
individual supplier reassigns his or her right to bill for the TC of a
diagnostic test, the entity to which the reassignment is made may not
be paid more than the physician or other individual supplier would have
been paid for the TC. In addition, in order to bill for the TC of the
diagnostic test, the entity to which the reassignment is made must
perform the PC. We also propose that, in order to bill for the PC of a
diagnostic test following a reassignment, the billing entity must meet
current requirements in our manual instructions.
In addition, as discussed in section II.I., we also propose to
revise Sec. Sec. 424.80(b) and (d) to provide that a physician or
other individual supplier who reassigns his or her right to benefits
has a right to review the bills for his or her services, irrespective
of whether the individual is an employee or an independent contractor
of the entity to which the reassignment is made.
We also propose the following changes to the physician self-
referral provisions:
A ``centralized building'' for purposes of the physician
services exception and the in-office ancillary services exception at
Sec. Sec. 411.355(a) and (b), respectively, would have to measure at
least 350 square feet and include permanent placement of the equipment
used in the provision of substantially all of the designated health
services. We believe that these changes would have little effect on
Medicare expenditures.
K. Supplier Access to Claims Billed on Reassignment
The reassignment provisions discussed in section II.J.2. of this
preamble are currently estimated to have no significant impact on
Medicare expenditures.
L. Proposed Coverage of Bone Mass Measurement
As discussed in section II.K. of this preamble, we have decided to
propose several revisions to Sec. 410.31 relative to the definition of
the term ``Bone Mass Measurement'' (Sec. 410.31(a)(2)), the conditions
for coverage (Sec. 410.31(b)), the examples of exceptions to the
standards on frequency of coverage (Sec. 410.31(c)(2)), and the
category of individuals receiving glucocorticoid (steroid) therapy
(Sec. 410.31(d)(3)). We are also proposing the addition of a new
paragraph (f) that would allow CMS, through the NCD process, to
identify additional BMM systems for monitoring individuals receiving
osteoporosis drug therapy and for performing confirmatory baseline
measurements. We do not expect that this addition would have a
significant cost impact on the Medicare program in the next several
years.
Based on the projected impact of the first three changes that would
place greater reliance on the use of the more expensive DXA (axial
skeleton) devices, we estimate that this revised benefit would result
in an increase in Medicare payments for providers who use the DXA
(axial skeleton) devices and a somewhat smaller decrease in payments to
providers who use QCT (axial skeleton) and peripheral devices. However,
we do not expect that these changes would have a significant cost
impact on the Medicare program due to the fact that at present a very
small percentage of our total Medicare payments for bone mass
measurements are being made to providers who use QCT or peripheral
devices. In addition, we estimate that lowering the eligibility
standard for coverage of individuals on steroid therapy from 7.5 mg/day
to 5.0 mg/day of prednisone (the fourth change) would result in an
increase in Medicare payment for testing of additional patients, but
this modest lowering of the steroid standard is not expected to have a
significant cost impact on the program.
M. Proposed IDTF Changes
The costs associated with these proposed changes would be as
follows:
1. Liability Insurance Requirement (Sec. 424.57(c)(10))
We estimate that only 10 percent of IDTFs do not already have
liability insurance that meets this requirement. Based on Medicare data
as of June 2005, 10 percent of the total number of IDTFs is
approximately 559 suppliers. Using the previously highest estimate
received ($1,800 annually), results in an approximate additional
liability insurance cost of $1 million annually (559 times $1,800) to
the IDTF industry due to this proposed rule.
[[Page 49077]]
2. Primary Business Telephone Listed Under the Name of the Business
Locally or Toll-free for Beneficiaries Proposed Requirement (Sec.
424.57(c)(9))
We estimate that only 1 percent of IDTFs do not already meet this
requirement. Based on Medicare data as of June 2005, we determined that
1 percent of IDTFs is approximately 56 suppliers. Therefore, 56 times
the approximate $600 annual cost of telephone service results in an
additional cost of $33,600 annually. Total Cost = $1 Million + $33,600
= approximately $1.04 million annually.
N. Independent Lab Billing for TC Component of Physician Pathology
Services for Hospital Patients
The most current information on the number of affected hospitals
and the impact on laboratories and hospitals comes from a report issued
by the General Accounting Office (GAO) in September 2003.
The GAO estimated that approximately 95 percent of the total of all
Medicare hospitals on the prospective payment system, as well as CAHs
sent the TC of physician pathology services to independent laboratories
and the independent laboratories billed the carrier under the PFS.
The GAO estimated that the median number of services sent by each
hospital to outside independent laboratories was small, approximately
81 services. The GAO was unable to identify the number of laboratories
billing for the TC service because a single laboratory may submit
claims under multiple provider numbers. In general, the impact on the
individual hospital is small; however, we do not know the impact on the
individual independent laboratory
If the independent laboratories had not received payments from the
carriers for these TC services for hospital patients, the GAO estimates
that Medicare spending would have been $42 million less in 2001 and
beneficiary cost sharing obligations for inpatient and outpatient
services would have been reduced by $2 million.
Based on what they learned from the hospital industry, the GAO
thought that Medicare beneficiaries' access to pathology services would
not likely be affected if independent laboratories could not longer
bill the carrier for these services. Hospital representatives indicated
that they would likely continue to use independent laboratories to
provide TC pathology services.
In is unclear if the hospitals contracting with independent
laboratories would pay the laboratories at the same rates that the
laboratories received by billing the Medicare carriers under the
physician fee schedule.
O. Public Consultation for Medicare Payment for New Outpatient Clinical
Diagnostic Laboratory Tests
This codification of our process for public consultation for new
clinical diagnostic laboratory tests paid under the Medicare Part B
clinical laboratory fee schedule, if adopted, would not increase or
decrease payment amounts for existing clinical diagnostic laboratory
tests because it would not alter our current methodology for
calculating payment amounts for existing clinical diagnostic laboratory
tests. For new tests, this proposal would primarily codify an existing
process for the determination of payment amounts. Because any new
laboratory tests to be gapfilled are unknown to us at the current time,
we do not have any data to estimate the impact of our proposal to pay
for new gapfilled lab tests at the median of the local carrier amounts
for all carriers rather than the lower of that amount and the local
carrier amount.
P. Alternatives Considered
This proposed rule contains a range of policies, including some
proposals related to specific MMA provisions. The preamble provides
descriptions of the statutory provisions that are addressed, identifies
those policies when discretion has been exercised, presents rationale
for our decisions and, where relevant, alternatives that were
considered.
Q. Impact on Beneficiaries
There are a number of changes made in this proposed rule that would
have an effect on beneficiaries. In general, we believe these proposed
changes, particularly the DRA provisions that provide for an exception
to the application of the Part B deductible with respect to colorectal
cancer screening tests and coverage of an ultrasound screening for the
early detection of AAAs, as part of the Initial Preventive Physical
Examination benefit (referred to as the Welcome to Medicare benefit)
would improve beneficiary access to services that are currently covered
or expand the Medicare benefit package to include new services. As
explained in more detail below, the regulatory provisions may affect
beneficiary liability in some cases. Any changes in aggregate
beneficiary liability from a particular provision would be a function
of the coinsurance (20 percent if applicable for the particular
provision after the beneficiary has met the deductible) and the effect
of the aggregate cost (savings) of the provision on the calculation of
the Medicare Part B premium rate (generally 25 percent of the
provision's cost or savings).
To illustrate this point, as shown in Table 8, the 2006 national
payment amount in the nonfacility setting for CPT code 99203 (Office/
outpatient visit, new), is $97.02 which means that currently a
beneficiary is responsible for 20 percent of this amount, or $19.40.
Based on the June 29, 2006 proposed notice (71 FR 37170) and this
proposed rule, the 2007 national payment amount in the nonfacility
setting for CPT code 99203, as shown in Table 8, is $91.71 which means
that, in 2007, the beneficiary coinsurance for this service would be
$18.34.
Very few of the changes we are proposing impact overall payments
and, therefore, would affect Medicare beneficiaries' coinsurance
liability. Proposals discussed above that do affect overall spending,
such as DRA 5102 imaging provisions, would similarly impact
beneficiaries' coinsurance.
R. Accounting Statement
As required by OMB Circular A-4 (available at http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf), in Table 10 below, we
have prepared an accounting statement showing the classification of the
expenditures associated with the provisions of this proposed rule. This
table includes the impact of the proposed changes in this rule on
providers and suppliers.
Expenditures are classified as transfers to Medicare providers/or
suppliers (that is, ESRD facilities and physicians, other
practitioners, clinical laboratories and medical suppliers that receive
payment under the physician fee schedule or Medicare Part B). Based on
the proposals contained in this proposed rule, there would be an
estimated decrease in expenditures from CY 2006 to 2007. This is a
result of the CY 2007 increased payment to ESRD facilities the
reduction to the payments for imaging services under the PFS required
by section 5102 of the DRA and the -5.1 percent Medicare PFS conversion
factor update required by the statutory update formula.
Table 10.--Accounting Statement: Classification of Estimated
Expenditures, From CY 2006 to the CY 2007 (in Millions)
------------------------------------------------------------------------
Category Transfers
------------------------------------------------------------------------
Annualized Monetized Transfers............ Estimated decrease in
expenditures of $3,600
[[Page 49078]]
From Whom To Whom? Federal Government To ESRD
Medicare Providers;
physicians, other
practitioners and suppliers
who receive payment under
the Medicare Physician Fee
Schedule; and Medicare
Suppliers billing for Part
B drugs.
------------------------------------------------------------------------
In accordance with the provisions of Executive Order 12866, this
final rule was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 405
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medical devices, Medicare, Reporting and
recordkeeping requirements, Rural areas, X-rays.
42 CFR Part 410
Health facilities, Health professions, Kidney diseases,
Laboratories, Medicare, Reporting and recordkeeping requirements, Rural
areas, X-rays.
42 CFR Part 411
Kidney diseases, Medicare, Physician Referral, Reporting and
recordkeeping requirements.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health
professions, Kidney diseases, Medicare, Reporting and recordkeeping.
42 CFR Part 415
Health facilities, Health professions, Medicare, Reporting and
recordkeeping requirements.
42 CFR Part 424
Emergency medical services, Health facilities, Health professions,
Medicare, Reporting and recordkeeping requirements.
For the reasons set forth in the preamble, the Centers for Medicare
& Medicaid Services proposes to amend 42 CFR chapter IV as set forth
below:
PART 405--FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
1. The authority citation for part 405 continues to read as
follows:
Authority: Secs. 1102, 1861, 1862(a), 1871, 1874, 1881, and
1886(k) of the Social Security Act (42 U.S.C. 1302, 1395x, 1395y(a),
1395hh, 1395kk, 1395rr, and 1395ww(k)), and sec. 353 of the Public
Health Service Act (42 U.S.C. 263a).
Subpart D--Private Contracts
2. Section 405.400 is amended by revising the definition of
``Practitioner'' to read as follows:
Sec. 405.400 Definitions.
* * * * *
Practitioner means a physician assistant, nurse practitioner,
clinical nurse specialist, certified registered nurse anesthetist,
certified nurse midwife, clinical psychologist, clinical social worker,
registered dietitian or nutrition professional, who is currently
legally authorized to practice in that capacity by each State in which
he or she furnishes services to patients or clients.
* * * * *
Subpart X--Rural Health Clinic and Federally Qualified Health
Center Services Payment for Rural Health Clinic and Federally
Qualified Health Center Services
3. Section 405.2446 is amended by adding paragraph (b)(10) to read
as follows:
Sec. 405.2446 Scope of services.
* * * * *
(b) * * *
(10) Medical nutrition therapy services as specified in part 410,
subpart G of this chapter, and diabetes outpatient self-management
training services as specified in part 410, subpart H of this chapter.
* * * * *
4. Section 405.2463 is revised to read as follows:
Sec. 405.2463 What constitutes a visit.
(a) Visit--(1) General. (i) For RHCs, a visit is a face-to-face
encounter between a clinic or center patient and a physician, physician
assistant, nurse practitioner, nurse midwife, visiting nurse, clinical
psychologist, or clinical social worker.
(ii) For FQHCs, a visit means--
(A) A face-to-face encounter, as described in paragraph (a)(1)(i)
of this section; or
(B) A face-to-face encounter between a patient and a qualified
provider of medical nutrition therapy services as defined in part 410,
subpart G of this chapter; or a qualified provider of outpatient
diabetes self-management training services as defined in part 410,
subpart H of this chapter.
(2) Medical visit. For purposes of this section, a medical visit is
a face-to-face encounter between a clinic or center patient and a
physician, physician assistant, nurse practitioner, nurse midwife, or a
visiting nurse; and for FQHCs only, a medical visit also includes a
separately billable medical nutrition therapy visit or a diabetes
outpatient self-management training visit.
(3) Other health visit. For purposes of this section, a other
health visit is a face-to-face encounter between a clinic or center
patient and a clinical psychologist, clinical social worker, or other
health professional for mental health services.
(b) Encounters. Encounters with more than one health professional
and multiple encounters with the same health professional that take
place on the same day and at a single location constitute a single
visit, except when one of the following conditions exist:
(1) After the first encounter, the patient suffers illness or
injury requiring additional diagnosis or treatment.
(2) The patient has a medical visit and other health visit(s), as
defined in paragraph (a) of this section.
(c) Payment. Medicare pays for more than one visit per day when the
conditions in paragraph (b) of this section are met or a separate visit
under paragraph (a)(1)(ii)(B) of this section is made.
PART 410--SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
5. The authority citation for part 410 continues to read as
follows:
Authority: Secs. 1102, 1834, and 1871 of the Social Security Act
(42 U.S.C. 1302, 1395m, and 1395hh).
Subpart B--Medical and Other Health Services
6. Section 410.16 is amended in paragraph (a) by revising paragraph
(7) of the definition of ``Initial preventive physical examination'' to
read as follows:
Sec. 410.16 Initial preventive physical examination: Conditions for
and limitations on coverage.
(a) * * *
* * * * *
[[Page 49079]]
Initial preventive physical examination * * *
* * * * *
(7) Education, counseling, and referral, including a written plan
such as a checklist provided to the beneficiary for obtaining the
appropriate screening and other preventive services that are covered as
separate Medicare Part B benefits as described in section 1861(s)(10),
section 1861(jj), section 1861(nn), section 1861(oo), section 1861(pp),
section 1861(qq)(1), section 1861(rr), section 1861(uu), section
1861(vv), section 1861(xx)(1), section 1861(yy), and section 1861(bbb)
of the Act.
* * * * *
7. A new Sec. 410.19 is added to read as follows:
Sec. 410.19 Ultrasound screening for abdominal aortic aneurysms:
Condition for and limitation on coverage.
(a) Definitions: As used in this section, the following definitions
apply:
Eligible beneficiary means an individual who--
(1) Has received a referral for an ultrasound screening for an
abdominal aortic aneurysm as a result of an initial preventive physical
examination (as defined in section 1861(ww)(1) of the Act);
(2) Has not been previously furnished an ultrasound screening for
an abdominal aortic aneurysm under the Medicare program; and
(3) Is included in at least one of the following risk categories:
(i) Has a family history of an abdominal aortic aneurysm.
(ii) Is a man age 65 to 75 who has smoked at least 100 cigarettes
in his lifetime.
(iii) Is an individual who manifests other risk factors in a
beneficiary category recommended for screening by the United States
Preventive Services Task Force regarding abdominal aortic aneurysms, as
specified by the Secretary through a national coverage determination
process.
Ultrasound screening for abdominal aortic aneurysms means the
following services furnished to an asymptomatic individual for the
early detection of an abdominal aortic aneurysm:
(1) A procedure using soundwaves (or other procedures using
alternative technologies of commensurate accuracy and cost, as
specified by the Secretary through a national coverage determination
process) provided for the early detection of abdominal aortic
aneurysms.
(2) Includes a physician's interpretation of the results of the
procedure.
(b) Conditions for coverage of an ultrasound screening for
abdominal aortic aneurysms. Medicare Part B pays for one ultrasound
screening for an abdominal aortic aneurysm provided to eligible
beneficiaries, as described in this section, after a referral from a
physician or a qualified nonphysician practitioner as defined in Sec.
410.16(a).
(c) Limitation on coverage of ultrasound screening for abdominal
aortic aneurysms. Payment may not be made for an ultrasound screening
for an abdominal aortic aneurysm that is performed for an individual
who is not an eligible beneficiary, as described in the definition of
``Eligible beneficiary'' in this section.
8. Section 410.31 is revised to read as follows:
Sec. 410.31 Bone mass measurement: Conditions for coverage and
frequency standards.
(a) Definition. As used in this section unless specified otherwise,
the following definition applies:
Bone mass measurement means a radiologic, radioisotopic, or other
procedure that meets the following conditions:
(1) Is performed for the purpose of identifying bone mass,
detecting bone loss, or determining bone quality.
(2) Is performed with either a bone densitometer (other than
single-photon or dual-photon absorptiometry) or with a bone sonometer
system that has been cleared for marketing for this use by the FDA
under 21 CFR part 807, or approved for marketing by the FDA for this
use under 21 CFR part 814.
(3) Includes a physician's interpretation of the results of the
procedure.
(b) Conditions for coverage. (1) Medicare covers a medically
necessary bone mass measurement if the following conditions are met:
(i) Following an evaluation of the beneficiary's need for the
measurement, including a determination as to the medically appropriate
procedure to be used for the beneficiary, it is ordered by the
physician or a qualified nonphysician practitioner (as these terms are
defined in Sec. 410.32(a)) treating the beneficiary.
(ii) It is performed under the appropriate level of supervision of
a physician (as set forth in Sec. 410.32(b)).
(iii) It is reasonable and necessary for diagnosing and treating
the condition of a beneficiary who meets the conditions described in
paragraph (d) of this section.
(2) Medicare covers a medically necessary bone mass measurement for
an individual defined under paragraph (d)(5) of this section if the
conditions under paragraph (b)(1) of this section are met and the
monitoring is performed by the use of a dual energy x-ray
absorptiometry system (axial skeleton).
(3) Medicare covers a medically necessary confirmatory baseline
bone mass measurement for an individual defined under paragraph (d) of
this section, if the conditions under paragraph (b)(1) of this section
are met and the confirmatory baseline bone mass measurement is
performed by a dual energy x-ray absorptiometry system (axial skeleton)
and the initial measurement was not performed by a dual energy x-ray
absorptiometry system (axial skeleton).
(c) Standards on frequency of coverage --(1) General rule. Except
as allowed under paragraph (c)(2) of this section, Medicare may cover a
bone mass measurement for a beneficiary if at least 23 months have
passed since the month the last bone mass measurement was performed.
(2) Exception. If medically necessary, Medicare may cover a bone
mass measurement for a beneficiary more frequently than allowed under
paragraph (c)(1) of this section. Examples of situations where more
frequent bone mass measurement procedures may be medically necessary
include, but are not limited to the following medical circumstances.
(i) Monitoring beneficiaries on long-term glucocorticoid (steroid)
therapy of more than 3 months.
(ii) Allowing for a confirmatory baseline measurement to permit
monitoring of beneficiaries in the future if the requirements of
paragraph (b)(3) of this section are met.
(d) Beneficiaries who may be covered. The following categories of
beneficiaries may receive Medicare coverage for a medically necessary
bone mass measurement:
(1) A woman who has been determined by the physician (or a
qualified nonphysician practitioner) treating her to be estrogen-
deficient and at clinical risk for osteoporosis, based on her medical
history and other findings.
(2) An individual with vertebral abnormalities as demonstrated by
an x-ray to be indicative of osteoporosis, osteopenia, or vertebral
fracture.
(3) An individual receiving (or expecting to receive)
glucocorticoid (steroid) therapy equivalent to an average of 5.0 mg of
prednisone, or greater, per day for more than 3 months.
(4) An individual with primary hyperparathyroidism.
(5) An individual being monitored to assess the response to or
efficacy of an
[[Page 49080]]
FDA-approved osteoporosis drug therapy.
(e) Denial as not reasonable and necessary. If CMS determines that
a bone mass measurement does not meet the conditions for coverage in
paragraphs (b) or (d) of this section, or the standards on frequency of
coverage in paragraph (c) of this section, it is excluded from Medicare
coverage as not ``reasonable'' and ``necessary'' under section
1862(a)(1)(A) of the Act and Sec. 411.15(k) of this chapter.
(f) Use of the National Coverage Determination Process. For the
purposes of paragraphs (b)(2) and (b)(3) of this section, CMS may
determine through the National Coverage Determination process that
additional bone mass measurement systems are reasonable and necessary
under section 1862(a)(1) of the Act for monitoring and confirming
baseline bone mass measurements.
* * * * *
9. Section 410.33 is amended by--
A. Revising paragraph (b)(1).
B. Revising paragraph (e).
C. Adding paragraphs (g), (h), and (i).
The revision and additions read as follows:
Sec. 410.33 Independent diagnostic testing facility.
* * * * * *
(b) Supervising physician. (1) Each supervising physician must be
limited to providing supervision to no more than three (3) IDTF sites.
The IDTF supervising physician is responsible for the overall operation
and administration of the IDTFs, including the employment of personnel
who are competent to perform test procedures, record and report test
results promptly, accurately and proficiently, and for assuring
compliance with the applicable regulations.
* * * * *
(e) Multi-State entities. (1) An IDTF that operates across State
boundaries must--
(i) Maintain documentation that its supervising physicians and
technicians are licensed and certified in each of the States in which
it operates; and
(ii) Operate in compliance with all applicable Federal, State, and
local licensure and regulatory requirements with regard to the health
and safety of patients.
(2) The point of the actual delivery of services is the Place of
Service on the claim form. When an IDTF performs a diagnostic test at
the beneficiary's residence, the beneficiary's residence is the Place
of Service.
* * * * *
(g) Application certification standards. The IDTF must certify in
its enrollment application that it meets the following standards:
(1) Operate its business in compliance with all applicable Federal
and State licensure and regulatory requirements.
(2) Provide complete and accurate information on their enrollment
application. Any change in enrollment information must be reported to
the designated fee-for-service contractor on the Medicare enrollment
application within 30 calendar days of the change.
(3) Maintain a physical facility on an appropriate site. For the
purposes of this standard, a post office box or commercial mail box is
not considered a physical facility. The physical facility must contain
space for equipment appropriate to the services designated on the
enrollment application, facilities for hand washing, adequate patient
privacy accommodations, and the storage of both business records and
current medical records.
(4) Have all applicable testing equipment available at the physical
site excluding portable equipment. A catalog of portable equipment,
including equipment serial numbers, must be maintained at the physical
site. In addition, portable equipment must be available for inspection
within two business days of a CMS inspection request. The IDTF must
maintain a current inventory of the equipment, including serial and
registration numbers, provide this information to the designated fee-
for-service contractor upon request, and notify the contractor of any
changes in equipment within 90 days.
(5) Maintain a primary business phone under the name of the
designated business. The business phone must be located at the
designated site of the business. The telephone number or toll free
numbers must be available in a local directory and through directory
assistance.
(6) Have a comprehensive liability insurance policy of at least
$300,000 or 20 percent of its average annual Medicare billings,
whichever amount is greater, that covers both the place of business and
all customers and employees of the IDTF. The policy must be carried by
a non-relative owned company and list the serial numbers of any and all
equipment used by the IDTF.
(7) Agree not to directly solicit patients through any means
including, but not limited to, a prohibition on telephone, computer, or
in-person contacts. The IDTF must accept only those patients referred
for diagnostic testing by an attending physician, who is furnishing a
consultation or treating a beneficiary for a specific medical problem
and who uses the results in the management of the beneficiary's
specific medical problem. Nonphysician practictioners may order tests
as set forth in Sec. 410.32(a)(3).
(8) Answer beneficiaries' questions and respond to their
complaints. Documentation of those contacts must be maintained at the
physical site.
(9) Openly post these standards for review by patients and the
public.
(10) Disclose to the government any person having ownership,
financial, or control interest or any other legal interest in the
supplier.
(11) Have its testing equipment calibrated per equipment
instructions and in compliance with applicable national standards.
(12) Have technical staff on duty with the appropriate credentials
to perform tests. The IDTF must be able to produce the applicable
Federal or State licenses or certifications of the individuals
performing these services.
(13) Have proper medical record storage and be able to retrieve
medical records upon request from CMS or its fee-for-service contractor
within 2 business days.
(14) Permit CMS, including its agents, or its designated fee-for-
service contractors, to conduct unannounced, on-site inspections to
confirm the IDTF's compliance with these standards. The IDTF must be
accessible during regular business hours to CMS and beneficiaries and
must maintain a visible sign posting the normal business hours of the
IDTF.
(h) Failure to meet standards. If an IDTF fails to meet one or more
of the standards in paragraph (g) of this section at the time of
enrollment, its enrollment will be denied. CMS will revoke a supplier's
billing privileges if and IDTF is found not to meet the standards in
paragraph (g) or (b)(1) of this section.
(i) Definition. For purposes of this section, the following
definition applies:
Point of actual delivery of service. The point of the actual
delivery of service means the Place of Service on the claim form. When
an IDTF performs a diagnostic test at the beneficiary's residence, the
beneficiary's residence is the Place of Service.
Subpart I--Payment of SMI Benefits
10. Section 410.160 is amended by adding paragraphs (b)(7) and
(b)(8) to read as follows:
Sec. 410.160 Part B annual deductible.
* * * * *
[[Page 49081]]
(b) * * *
(7) Beginning January 1, 2007, colorectal cancer screening tests as
described in Sec. 410.37.
(8) Beginning January 1, 2007, ultrasound screening for abdominal
aortic aneurysms described in Sec. 410.19.
* * * * *
PART 411--EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE
PAYMENT
11. The authority citation for part 411 is amended to read as
follows:
Authority: Secs. 1102, 1860D-1 through 1860D-42, 1871, and 1877
of the Social Security Act (42 U.S.C. 1302, 1395w-101 through 1395w-
152, 1395hh, and 1395nn).
Subpart A--General Exclusions and Exclusion of Particular Services
12. Section 411.15 is amended by--
A. Revising paragraph (a)(1).
B. Adding a new paragraph (k)(12).
C. Revising paragraph (o).
The revisions and addition read as follows:
Sec. 411.15 Particular services excluded from coverage.
* * * * *
(a) * * *
(1) Examinations performed for a purpose other than treatment or
diagnosis of a specific illness, symptoms, complaint, or injury, except
for screening mammography, colorectal cancer screening tests, screening
pelvic exams, prostate cancer screening tests, glaucoma screening
exams, initial preventive physical examinations, or ultrasound
screening for abdominal aortic aneurysms that meet the criteria
specified in paragraphs (k)(6) through (k)(12) of this section.
* * * * *
(k) * * *
(12) In the case of ultrasound screening for abdominal aortic
aneurysms, with the goal of early detection of abdominal aortic
aneurysms, subject to the conditions and limitation specified in Sec.
410.19 of this chapter.
* * * * *
(o) Experimental or investigational devices, except for certain
devices--
(1) Categorized by the FDA as a Category A or B device defined in
Sec. 405.201(b) of this chapter; and
(2) Furnished in accordance with the CMS clinical research policy.
Subpart J--Financial Relationships Between Physicians and Entities
Furnishing Designated Health Services
13. Section 411.351 is amended by--
A. Revising the definition ``Centralized building''.
B. Revising the definition ``Physician in the group practice''.
The revisions read as follows:
Sec. 411.351 Definitions.
* * * * *
Centralized building means all or part of a building, including,
for purposes of this subpart only, a mobile vehicle, van, or trailer
that is owned or leased on a full-time basis (that is, 24 hours per
day, 7 days per week, for a term of not less than 6 months) by a group
practice and that is used exclusively by the group practice. Space in a
building or a mobile vehicle, van, or trailer that is shared by more
than one group practice, by a group practice and one or more solo
practitioners, or by a group practice and another provider or supplier
(for example, a diagnostic imaging facility) is not a centralized
building for purposes of this subpart. This definition does not
preclude a group practice from providing services to other providers or
suppliers (for example, purchased diagnostic tests) in the group
practice's centralized building. A group practice may have more than
one centralized building. A centralized building does not include space
that is owned or leased by a group practice if that space is less than
350 square feet. This limitation does not apply to space owned or
rented in a building where no more than three group practices own or
lease space in the ``same building'' (as defined in this section) and
share the same ``physician in the group practice'' (as defined in this
section). A centralized building does not include space owned or leased
by a group practice if equipment needed to perform substantially all
(at least 90 percent) of the designated health services furnished in
that space in any given calendar year is not permanently located in
that space. That is, equipment needed to perform more than 10 percent
of the designated health services furnished in that space in a calendar
year cannot be temporarily moved into that space from another space in
the ``same building'' or from outside the ``same building'' (as defined
in this section).
* * * * *
Physician in the group practice means a member of the group
practice, as well as an independent contractor physician during the
time the independent contractor is furnishing patient care services (as
defined in this section) for the group practice under a contractual
arrangement with the group practice to provide services to the group
practice's patients in the group practice's facilities. The contract
must contain the same restrictions on compensation that apply to
members of the group practice under Sec. 411.352(g) (or the contract
must fit in the personal services exception in Sec. 411.357(d)), and
the independent contractor's arrangement with the group practice and
must comply with the reassignment rules at Sec. 424.80(d)(3) of this
chapter or section 30.2.9.1 of the CMS Internet-only manual,
publication 100-04, Claims Processing Manual, chapter 1 on general
billing requirements (as amended or replaced from time to time).
Referrals from an independent contractor who is a physician in the
group practice are subject to the prohibition on referrals in Sec.
411.353(a), and the group practice is subject to the limitation on
billing for those referrals in Sec. 411.353(b).
* * * * *
PART 414--PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
14. 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).
15. A new subpart F is added as follows:
Subpart F--Payment for New Clinical Diagnostic Laboratory Tests
Sec.
414.400 Basis and scope.
414.402 Definitions.
414.404 [Reserved]
414.406 Procedures for public consultation for payment for a new
clinical diagnostic laboratory test.
414.408 Payment for a new clinical diagnostic laboratory test.
414.410 Clinical Diagnostic Laboratory Date of Service for Specimens
Subpart F--Payment for New Clinical Diagnostic Laboratory Tests
Sec. 414.400 Basis and scope.
This subpart implements provisions of 1833(h)(8) of the Act
procedures for determining the basis for, and amount of, payment for a
new clinical diagnostic laboratory test with respect to which a new or
substantially revised Healthcare Common Procedure Coding System code is
assigned on or after January 1, 2005.
Sec. 414.402 Definitions.
For purposes of this subpart--
Substantially Revised Healthcare Common Procedure Coding System
Code means a code for which there has been a substantive change to the
definition of the test or procedure to which the code applies (such as
a new
[[Page 49082]]
analyte or a new methodology for measuring an existing analyte specific
test).
Sec. 414.404 [Reserved]
Sec. 414.406 Procedures for public consultation for payment for a new
clinical diagnostic laboratory test.
For a new clinical diagnostic laboratory test that is assigned a
new or substantially revised code on or after January 1, 2005, CMS
determines the payment after the performance of the following:
(a) CMS makes available to the public (through an Internet Web site
and other appropriate mechanisms) a list that includes codes for which
establishment of a payment amount is being considered for the next
calendar year.
(b) CMS publishes a Federal Register notice of a meeting to receive
public comments and recommendations (and data on which recommendations
are based) on the appropriate basis, as specified in Sec. 414.408, for
establishing payment amounts for the list of codes made available to
the public.
(c) Not fewer than 30 days after publication of the notice in the
Federal Register, CMS convenes a meeting that includes representatives
of CMS officials involved in determining payment amounts, to receive
public comments and recommendations (and data on which the
recommendations are based).
(d) Taking into account the comments and recommendations (and
accompanying data) received at the public meeting, CMS develops and
makes available to the public (through an Internet Web site and other
appropriate mechanisms)--
(1) A list of proposed determinations with respect to the
appropriate basis for establishing a payment amount for each code, with
an explanation of the reasons for each determination, the data on which
the determinations are based, and a request for public written comments
within a specified time period on the proposed determination; and
(2) A list of final determinations of the payment amounts for
tests, with the rationale for each determination, the data on which the
determinations are based, and responses to comments and suggestions
from the public.
Sec. 414.408 Payment for a new clinical diagnostic laboratory test.
For a new clinical diagnostic laboratory test that is assigned a
new or substantially revised code on or after January 1, 2005, CMS
determines the payment amount based on either of the following:
(a) Crosswalking. Crosswalking is used if it is determined that a
new test is comparable to an existing test, multiple existing test
codes, or a portion of an existing test code.
(1) CMS assigns to the new test code, the local fee schedule
amounts and national limitation amount of the existing test.
(2) Payment for the new test code is made at the lesser of the
local fee schedule amount or the national limitation amount.
(b) Gapfilling. Gapfilling is used when no comparable existing test
is available.
(1) Carrier-specific amounts are established for the new test code
for the first year using the following sources of information to
determine gapfill amounts, if available:
(i) Charges for the test and routine discounts to charges;
(ii) Resources required to perform the test;
(iii) Payment amounts determined by other payers; and
(iv) Charges, payment amounts, and resources required for other
tests that may be comparable or otherwise relevant.
(2) In the second year, the test code is paid at the national
limitation amount, which is the median of the carrier-specific amounts.
Sec. 414.410 Clinical Diagnostic Laboratory Date of Service for
Specimens.
The date of service for a laboratory test is as follows:
(a) Except as provided under paragraph (b) of this section, the
date of service of the test shall be the date the specimen was
collected.
(b)(1) If a specimen is collected over a period that spans two
calendar days, then the date of service shall be the date the
collection ended.
(2) If a specimen was stored for more than 30 calendar days before
testing (otherwise known as ``an archived specimen''), the date of
service of the test shall be the date the specimen was obtained from
storage.
(3) If a specimen was stored for less than or equal to 30 calendar
days from the date it was collected, the date of service of the test
must be the date the specimen was obtained from storage if--
(i) The test is ordered by the patient's physician at least 14 days
following the date of the patient's discharge from the hospital.
(ii) The test could not reasonably have been ordered while the
patient was hospitalized.
(iii) The procedure performed while the beneficiary is a patient of
the hospital is for purposes other than collection of the specimen
needed for the test.
(iv) The test is reasonable and medically necessary.
Subpart J--Submission of Manufacturer's Average Sales Price Data
16. Section 414.802 is amended by adding the definition of ``Bona
fide service fees'' in alphabetical order to read as follows:
Sec. 414.802 Definitions.
* * * * *
Bona fide service fees means fees paid by a manufacturer to an
entity, that represent fair market value for a bona fide, itemized
service actually performed on behalf of the manufacturer that the
manufacturer would otherwise perform (or contract for) in the absence
of the service arrangement, and that are not passed on in whole or in
part to a client or customer of an entity, whether or not the entity
takes title to the drug.
* * * * *
17. Section 414.804 is amended by revising paragraphs (a)(1),
(a)(2), (a)(3), and (a)(4).
The revisions read as follows:
Sec. 414.804 Basis of Payment.
(a) * * *
(1) The manufacturer's average sales price for a quarter for a drug
represented by a particular 11-digit National Drug Code must be
calculated as the manufacturer's sales to all purchasers in the United
States for that particular 11-digit National Drug Code (after excluding
sales as specified in paragraph (a)(4) of this section and then
deducting price concessions as specified in paragraphs (a)(2) and
(a)(3) of this section) divided by the total number of units sold by
the manufacturer in that quarter (after excluding units associated with
sales as specified in paragraph (a)(4) of this section).
(2) Price concessions. (i) In calculating the manufacturer's
average sales price, a manufacturer must deduct price concessions.
Price concessions include the following types of transactions and
items:
(A) Volume discounts.
(B) Prompt pay discounts.
(C) Cash discounts.
(D) Free goods that are contingent on any purchase requirement.
(E) Chargebacks and rebates (other than rebates under the Medicaid
program).
(ii) For the purposes of paragraph (a)(2)(i), bona fide services
fees are not considered price concessions.
(3) To the extent that data on price concessions, as described in
paragraph (a)(2) of this section, are available on a
[[Page 49083]]
lagged basis, the manufacturer must estimate this amount in accordance
with the methodology described in this paragraph.
(i)(A) For each National Drug Code with at least 12 months of sales
(including products for which the manufacturer has redesignated the
National Drug Code for the specific product and package size and has 12
months of sales across the prior and current National Drug Codes),
after adjusting for exempted sales, the manufacturer calculates a
percentage equal to the sum of the price concessions for the most
recent 12-month period available associated with sales subject to the
average sales price reporting requirement divided by the total in
dollars for the sales subject to the average sales price reporting
requirement for the same 12-month period.
(B) For each National Drug Code with less than 12 months of sales,
the calculation described in paragraph (i)(A) of this section is
performed for the time period equaling the total number of months of
sales.
(ii) The manufacturer multiplies the applicable percentage
described in paragraph (a)(3)(i)(A) or (a)(3)(i)(B) of this section by
the total in dollars for the sales subject to the average sales price
reporting requirement (after adjusting for exempted sales) for the
quarter being submitted. (The manufacturer must carry a sufficient
number of decimal places in the calculation of the price concessions
percentage in order to round accurately the net total sales amount for
the quarter to the nearest whole dollar.) The result of this
multiplication is then subtracted from the total in dollars for the
sales subject to the average sales price reporting requirement (after
adjusting for exempted sales) for the quarter being submitted.
(iii) The manufacturer uses the result of the calculation described
in paragraph (a)(3)(ii) of this section as the numerator and the number
of units sold in the quarter (after adjusting for exempted sales) as
the denominator to calculate the manufacturer's average sales price for
the National Drug Code for the quarter being submitted.
(iv) Example. After adjusting for exempted sales, the total lagged
price concessions (discounts, rebates, etc.) over the most recent 12-
month period available associated with sales for National Drug Code
12345-6789-01 subject to the ASP reporting requirement equal $200,000,
and the total in dollars for the sales subject to the average sales
price reporting requirement for the same period equals $600,000. The
lagged price concessions percentage for this period equals 200,000/
600,000 = .33333. The total in dollars for the sales subject to the
average sales price reporting requirement for the quarter being
reported, after accounting for non-lagged price concessions, equals
$50,000 for 10,000 units sold. The manufacturer's average sales price
calculation for this National Drug Code for this quarter is: $50,000 -
(0.33333 x 50,000) = $33,334 (net total sales amount); $33,334/10,000 =
$3.33 (average sales price).
(4) Exempted sales. (i) In calculating the manufacturer's average
sales price, a manufacturer must exclude sales that are exempt from the
Medicaid best price calculation under sections 1927(c)(1)(C)(i) and
1927(c)(1)(C)(ii)(III) of the Act as limited by section 1927(c)(1)(D)
of the Act.
(ii) In determining nominal sales exempted under section
1927(c)(1)(C)(ii)(III) of the Act, the manufacturer calculates the
average manufacturer price as defined in section 1927(k) of the Act and
then identifies sales that are eligible to be considered a nominal sale
under section 1927(c)(1)(D) of the Act and are at less than 10 percent
of the average manufacturer price. To identify nominal sales, the
manufacturer must use the average manufacturer price for the calendar
quarter that is the same calendar quarter as the average sales price
reporting period.
(iii) For exempted sales under section 1927(c)(1)(C)(i) of the Act
known on a lagged basis because of chargebacks or rebates,
manufacturers must estimate such lagged exempted sales using the ratio
methodology specified in this paragraph to exclude lagged exempted
sales before accounting for price concessions as specified in
paragraphs (a)(2) and (a)(3) of this section.
(A) For each National Drug Code with at least 12 months of sales
(including products for which the manufacturer has redesignated the
Nation Drug Code and has 12 months of sales across the prior and
current National Drug Codes), the manufacturer calculates a percentage
using the sum of lagged exempted sales (in units) for the most recent
12 month period available as the numerator and the sales (the number of
units after non-lagged exempted sales have been subtracted from total
sales) for the same 12 month period as the denominator. The result is a
rolling average percentage estimate of lagged exempted sales that is
applied to the sales (the number of units after non-lagged exempted
sales have been subtracted from total sales) for the quarter being
submitted. The product that results from the multiplication of the
rolling average percentage estimate of lagged exempted sales and the
sales for the quarter determines the estimated lagged exempted sales in
units to subtract from the denominator of the average sales price
calculation. Manufacturers must make a corresponding adjustment to the
numerator of the average sales price calculation to ensure that the
total in dollars for the reporting quarter does not include revenue
related to lagged exempted sales removed from the denominator using the
estimation methodology.
(B) For National Drug Codes with less than 12 months of sales, the
calculation described in paragraph (4)(iii)(A) of this section is
calculated based on the sales and exempted sales (lagged and non-
lagged) for the period equaling the total number of months of sales.
(C) Manufacturers must exclude lagged exempted sales (as calculated
using the ratio methodology in paragraph (a)(4)(iii)(A) of this
section) from their estimates of lagged price concessions described in
paragraph (a)(3) of this section.
* * * * *
Subpart K--Payment for Drugs and Biologicals Under Part B
18. Section 414.904 is amended by revising paragraphs (d)(2)(iii)
and (d)(3) to read as follows:
Sec. 414.904 Average sales price as the basis for payment.
* * * * *
(d) * * *
(2) * * *
(iii) Effective for drugs and biologicals furnished in CY 2006 and
subsequent calendar years, the payment for such drugs and biologicals
furnished in connection with renal dialysis services and separately
billed by freestanding and hospital-based renal dialysis facilities not
paid on a cost basis is 106 percent of the average sales price.
(3) Widely available market price and average manufacturer price.
If the Inspector General finds that the average sales price exceeds the
widely available market price or the average manufacturer price by 5
percent or more in CY 2007, the payment limit in the quarter following
the transmittal of this information to the Secretary is the lesser of
the widely available market price or 103 percent of the average
manufacturer price.
* * * * *
[[Page 49084]]
PART 415--SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS,
SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN
CERTAIN SETTINGS
19. The authority citation for part 415 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
Subpart C--Part B Carrier Payments for Physician Services to
Beneficiaries in Providers
20. Section 415.130 is amended by revising paragraph (d) to read as
follows:
Sec. 415.130 Conditions for payment: Physician pathology services.
* * * * *
(d) Physician pathology services furnished by an independent
laboratory. The technical component of physician pathology services
furnished by an independent laboratory to a hospital inpatient or
outpatient on or before December 31, 2006 may be paid to the laboratory
by the carrier under the physician fee schedule if the Medicare
beneficiary is a patient of a covered hospital as defined in paragraph
(a)(1) of this section. For services furnished after December 31, 2006,
an independent laboratory may not bill the carrier for physician
pathology services furnished to a hospital inpatient or outpatient.
* * * * *
PART 424--CONDITIONS FOR MEDICARE PAYMENT
21. The authority citation for part 424 continues to read as
follows:
Authority: Secs. 1102 and 1871 of the Social Security Act (42
U.S.C. 1302 and 1395hh).
Subpart B--Certification and Plan of Treatment Requirements
22. Section 424.24 is amended by--
A. Redesignating paragraph (f) as paragraph (g).
B. Adding a new paragraph (f).
The addition reads as follows:
Sec. 424.24 Requirements for medical and other health services
furnished by providers under Medicare Part B.
* * * * *
(f) Blood glucose monitoring in skilled nursing facilities. For
each blood glucose test furnished to a resident of a skilled nursing
facility, the physician must certify that the test is medically
necessary. A physician's standing order is not sufficient to order a
series of blood glucose tests.
* * * * *
Subpart F--Limitations on Assignment and Reassignment of Claims
23. Section 424.80 is amended by--
A. Revising the heading of paragraph (d).
B. Revising paragraph (d)(2)
C. Adding a new paragraph (d)(3).
The revisions and addition read as follows:
Sec. 424.80 Prohibition of reassignment of claims by suppliers.
* * * * *
(d) Reassignment to an entity under an employer-employee
relationship or under a contractual arrangement: Conditions and
limitations. (1) * * *
(2) Access to records. The supplier who furnishes the service has
unrestricted access to claims submitted by an entity for services
provided by that supplier. This paragraph applies irrespective of
whether the supplier is an employee or whether the service is provided
under a contractual arrangement. If an entity refuses to provide, upon
request, the billing information to the supplier performing the
service, the entity's right to receive reassigned benefits may be
revoked under Sec. 424.82(c)(3).
(3) Contractual arrangements for provision of diagnostic test
services. If a physician or medical group bills for the technical
component of a diagnostic test covered under section 1861(s)(3) of the
Act and paid for under part 414 of this chapter (other than clinical
diagnostic laboratory tests paid under section 1833(a)(2)(D) of the
Act, which are subject to the special rules set forth in section
1833(h)(5)(A) of the Act), following a reassignment involving a
contractual arrangement with the physician or other supplier who
performed the technical component, each of the following conditions
must be met:
(i) The payment to the billing physician, or medical group, less
the applicable deductibles and coinsurance, may not exceed the lowest
of the following amounts:
(A) The physician or other supplier's net charge to the billing
physician or medical group.
(B) The billing physician's or medical group's actual charge.
(C) The fee schedule amount for the service that would be allowed
if the physician or other supplier billed directly.
(ii) The physician or medical group billing for the test must
identify the physician or other supplier that performed the test and
indicate the supplier's net charge for the test. If the physician or
medical group billing for the test fails to provide this information,
CMS will not make any payment to the physician or medical group billing
for the test and the billing physician or medical group can not bill
the beneficiary.
(iii) In order to bill for the technical component of the service,
the physician or medical group must directly perform the professional
component of the service.
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: June 29, 2006.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
Approved: August 3, 2006.
Michael O. Leavitt,
Secretary.
Note: These addenda will not appear in the Code of Federal
Regulations.
Addendum A: Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining
to the Medicare fee schedule for physicians' services furnished in
2007. Addendum B contains the RVUs for work, non-facility PE, facility
PE, and malpractice expense, and other information for all services
included in the PFS.
In previous years, we have listed many services in Addendum B that
are not paid under the PFS. To avoid publishing as many pages of codes
for these services, we are not including clinical laboratory codes or
the alphanumeric codes (Healthcare Common Procedure Coding System
(HCPCS) codes not included in CPT) not paid under the PFS in Addendum
B.
Addendum B--2007 Relative Value Units and Related Information Used in
Determining Medicare Payments for 2007
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 stcodes for nonphysicians' services or items), or L
(orthotics); and codes for anesthesiology. Please also note the
following:
An ``NA'' in the ``Non-facility PE RVUs'' column of
Addendum B means that CMS has not developed a PE RVU
[[Page 49085]]
in the non-facility setting for the service because it is typically
performed in the hospital (for example, an open heart surgery is
generally performed in the hospital setting and not a physician's
office). If there is an ``NA'' in the non-facility PE RVU column, and
the contractor determines that this service can be performed in the
non-facility setting, the service will be paid at the facility PE RVU
rate.
Services that have an ``NA'' in the ``Facility PE RVUs''
column of Addendum B are typically not paid using the PFS when provided
in a facility setting. These services (which include ``incident to''
services and the technical portion of diagnostic tests) are generally
paid under either the outpatient hospital prospective payment system or
bundled into the hospital inpatient prospective payment system payment.
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. A code for: the global values (both
professional and technical); modifier -26 (PC); and, 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, for example, a
colonoscopy that is not completed. There will be RVUs for a code with
this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS
code is in the PFS and whether it is separately payable if the service
is covered.
A = Active code. These codes are separately payable under the PFS
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
coverage determination regarding the service. Carriers remain
responsible for coverage decisions in the absence of a national
Medicare policy.
B = Bundled code. Payments for covered services are 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 = Carriers price the code. Carriers will establish RVUs and
payment amounts for these services, generally on an individual case
basis following review of documentation, such as an operative report.
D* = Deleted/discontinued code.
E = Excluded from the PFS by regulation. These codes are for items
and services that CMS chose to exclude from the fee schedule payment by
regulation. No RVUs are shown, and no payment may be made under the PFS
for these codes. Payment for them, when covered, continues under
reasonable charge procedures.
F = Deleted/discontinued codes. (Code not subject to a 90-day grace
period.) These codes are deleted effective with the beginning of the
year and are never subject to a grace period. This indicator is no
longer effective beginning with the 2005 fee schedule as of January 1,
2005.
G = Code not valid for Medicare purposes. Medicare uses another
code for reporting of, and payment for, these services. (Codes subject
to a 90-day grace period.) This indicator is no longer effective with
the 2005 PFS as of January 1, 2005.
H* = Deleted modifier. For 2000 and later years, either the TC or
PC component shown for the code has been deleted and the deleted
component is shown in the database with the H status indicator.
I = Not valid for Medicare purposes. Medicare uses another code for
the reporting of, and the payment for these services. (Codes not
subject to a 90-day grace period.)
L = Local codes. Carriers will apply this status to all local codes
in effect on January 1, 1998 or subsequently approved by central office
for use. Carriers will complete the RVUs and payment amounts for these
codes.
M = Measurement codes, used for reporting purposes only. There are
no RVUs and no payment amounts for these codes. Medicare uses them to
aid with performance measurement. No separate payment is made. These
codes should be billed with a zero (($0.00) charge and are denied) on
the MPFSDB.
N = Non-covered 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.
R = Restricted coverage. Special coverage instructions apply. If
the service is covered and no RVUs are shown, it is carrier-priced.
T = There are RVUs for these services, but they are only paid if
there are no other services payable under the PFS billed on the same
date by the same provider. If any other services payable under the PFS
are billed on the same date by the same provider, these services are
bundled into the service(s) for which payment is made.
X = Statutory exclusion. These codes represent an item or service
that is not within the statutory definition of ``physicians' services''
for PFS payment purposes. No RVUs are shown for these codes, and no
payment may be made under the PFS. (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 2007. As stated in the June 29, 2006 proposed
notice, the RVUs for codes with a 10- or 90-day global period reflect
the application of the RUC-recommended values for the E/M services that
are included as part of the global period for the service.
Note: The separate budget neutrality adjustor is not reflected in
these physician work RVUs.
6. Fully implemented non-facility practice expense RVUs. These are
the fully implemented resource-based PE RVUs for non-facility settings.
7. Transitional Non-facility practice expense RVUs. These are the
2007 resource-based PE RVUs for non-facility settings.
8. Fully implemented facility practice expense RVUs. These are the
fully implemented resource-based PE RVUs for facility settings.
9. Transitional facility practice expense RVUs. These are the 2007
resource-based PE RVUs for facility settings.
10. Malpractice expense RVUs. These are the RVUs for the
malpractice expense for the service for 2006.
11. Non-facility total. This is the sum of the work, fully
implemented non-facility PE, and malpractice expense RVUs.
12. Transitional non-facility total. This is the sum of the work,
2007 transitional non-facility PE, and malpractice expense RVUs.
13. Facility total. This is the sum of the work, fully implemented
facility PE, and malpractice expense RVUs.
14. Transitional facility total. This is the sum of the work, 2007
transitional facility PE, and malpractice expense RVUs.
15. Global period. This indicator shows the number of days in the
global period for the code (0, 10, or 90 days).
[[Page 49086]]
An explanation of the alpha codes follows:
MMM = 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 PE
are associated with intra service time and in some instances in the
post service time.
*Codes with these indicators had a 90-day grace period before
January 1, 2005.
[[Page 49087]]
Addendum B.--Relative Value Units (RVUs) and Related Information Used In Determining Medicare Payments For 2007
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fully Fully
Implemented Year 2007 Fully Year 2007 Mal- Implemented Year 2007 Fully Year 2007
CPT\1\/ Mod Status Description Physician Non- Transitional Implemented Transitional Practice Non- Transitional Implemented Transitional Global
HCPCS\2\ Work RVUs Facility PE Non-Facility Facility PE Facility PE RVUs Facility Non-Facility Facility Facility
RVUs PE RVUs RVUs RVUs Total Total Total Total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
0003T......... ........ C Cervicography.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0008T......... ........ C Upper gi 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endoscopy w/
suture.
0016T......... ........ C Thermotx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
choroid vasc
lesion.
0017T......... ........ C Photocoagulat 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX
magnetic
stimul.
0019T......... ........ C Extracorp shock 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
wv tx,ms nos.
0021T......... ........ C Fetal oximetry, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
trnsvag/cerv.
0024T......... ........ C Transcath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cardiac
reduction.
0026T......... ........ C Measure remnant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
0027T......... ........ C Endoscopic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
epidural lysis.
0028T......... ........ C Dexa body 0.00 0.00 0.00 0.00 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 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 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 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 0.00 0.00 0.00 0.00 XXX
direct sample.
0041T......... ........ C Detect ur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
infect agnt w/
cpas.
0042T......... ........ C Ct perfusion w/ 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX
photography.
0045T......... ........ C Whole body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
photography.
0046T......... ........ C Cath lavage, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mammary duct(s.
0047T......... ........ C Cath lavage, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mammary
duct(s).
0048T......... ........ C Implant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ventricular
device.
0049T......... ........ C External 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
circulation
assist.
0050T......... ........ C Removal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
circulation
assist.
0051T......... ........ C Implant total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart system.
0052T......... ........ C Replace 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
component
heart syst.
0053T......... ........ C Replace 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
component
heart syst.
0054T......... ........ C Bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
using computer.
0055T......... ........ C Bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
using computer.
0056T......... ........ C Bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
using computer.
0058T......... ........ C Cryopreservatio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
n, ovary tiss.
0059T......... ........ C Cryopreservatio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
n, oocyte.
0060T......... ........ C Electrical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impedance scan.
0061T......... ........ C Destruction of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tumor, breast.
0062T......... ........ C Rep intradisc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
annulus;1 lev.
0063T......... ........ C Rep intradisc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
annulus;>1lev.
0064T......... ........ C Spectroscop 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eval expired
gas.
0065T......... ........ C Ocular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
photoscreen
bilat.
0067T......... ........ C Ct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colonography;d
x.
0067T......... 26...... C Ct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colonography;d
x.
0067T......... TC...... C Ct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colonography;d
x.
0068T......... ........ C Interp/rept 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart sound.
0069T......... ........ C Analysis only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart sound.
0070T......... ........ C Interp only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart sound.
0071T......... ........ C U/s leiomyomata 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablate <200.
0072T......... ........ C U/s leiomyomata 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablate >200.
0073T......... ........ A Delivery, comp 0.00 13.02 16.77 NA NA 0.13 13.15 16.90 NA NA XXX
imrt.
0075T......... ........ C Perq stent/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chest vert art.
0075T......... 26...... C Perq stent/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chest vert art.
0075T......... TC...... C Perq stent/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
chest vert art.
0076T......... ........ C S&i stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0076T......... 26...... C S&i stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0076T......... TC...... C S&i stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0077T......... ........ C Cereb therm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perfusion
probe.
0078T......... ........ C Endovasc aort 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
repr w/device.
[[Page 49088]]
0079T......... ........ C Endovasc visc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extnsn repr.
0080T......... ........ C Endovasc aort 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
repr rad s&i.
0081T......... ........ C Endovasc visc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extnsn s&i.
0082T......... ........ C Stereotactic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rad delivery.
0083T......... ........ C Stereotactic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rad tx mngmt.
0084T......... ........ C Temp prostate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urethral stent.
0085T......... ........ C Breath test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart reject.
0086T......... ........ C L ventricle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fill pressure.
0087T......... ........ C Sperm eval 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hyaluronan.
0088T......... ........ C Rf tongue base 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vol reduxn.
0089T......... ........ C Actigraphy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing, 3-day.
0090T......... ........ C Cervical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artific disc.
0091T......... ........ C Lumbar artific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc.
0092T......... ........ C Artific disc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl.
0093T......... ........ C Cervical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artific
diskectomy.
0094T......... ........ C Lumbar artific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diskectomy.
0095T......... ........ C Artific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diskectomy
addl.
0096T......... ........ C Rev cervical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artific disc.
0097T......... ........ C Rev lumbar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artific disc.
0098T......... ........ C Rev artific 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc addl.
0099T......... ........ C Implant corneal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ring.
0100T......... ........ C Prosth retina 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
receive&gen.
0101T......... ........ C Extracorp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shockwv tx,hi
enrg.
0102T......... ........ C Extracorp 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
shockwv
tx,anesth.
0103T......... ........ C Holotranscobala 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
min.
0104T......... ........ C At rest cardio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gas rebreathe.
0105T......... ........ C Exerc cardio 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
gas rebreathe.
0106T......... ........ C Touch quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0107T......... ........ C Vibrate quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0108T......... ........ C Cool quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0109T......... ........ C Heat quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0110T......... ........ C Nos quant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0111T......... ........ C Rbc membranes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fatty acids.
0115T......... ........ C Med tx mngmt 15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
min.
0116T......... ........ C Med tx mngmt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
subsqt.
0117T......... ........ C Med tx mngmt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl 15 min.
0120T......... ........ C Fibroadenoma 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cryoablate, ea.
0123T......... ........ C Scleral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fistulization.
0124T......... ........ C Conjunctival 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug placement.
0126T......... ........ C Chd risk imt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
0130T......... ........ C Chron care drug 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
investigatn.
0133T......... ........ C Esophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
implant injexn.
0135T......... ........ C Perq cryoablate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
renal tumor.
0137T......... ........ C Prostate 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saturation
sampling.
0140T......... ........ C Exhaled breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condensate ph.
0144T......... ........ C CT heart wo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye; qual calc.
0144T......... 26...... C CT heart wo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye; qual calc.
0144T......... TC...... C CT heart wo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye; qual calc.
0145T......... ........ C CT heart w/wo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye funct.
0145T......... 26...... C CT heart w/wo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye funct.
0145T......... TC...... C CT heart w/wo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye funct.
0146T......... ........ C CCTA w/wo dye.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0146T......... 26...... C CCTA w/wo dye.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0146T......... TC...... C CCTA w/wo dye.. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0147T......... ........ C CCTA w/wo, quan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calcium.
0147T......... 26...... C CCTA w/wo, quan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calcium.
[[Page 49089]]
0147T......... TC...... C CCTA w/wo, quan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calcium.
0148T......... ........ C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr.
0148T......... 26...... C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr.
0148T......... TC...... C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr.
0149T......... ........ C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr quan
calc.
0149T......... 26...... C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr quan
calc.
0149T......... TC...... C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr quan
calc.
0150T......... ........ C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disease strxr.
0150T......... 26...... C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disease strxr.
0150T......... TC...... C CCTA w/wo, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disease strxr.
0151T......... ........ C CT heart funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
add-on.
0151T......... 26...... C CT heart funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
add-on.
0151T......... TC...... C CT heart funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
add-on.
0152T......... ........ C Computer chest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
add-on.
0153T......... ........ C Implant aneur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensor add-on.
0154T......... ........ C Implant aneur 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensor study.
0155T......... ........ C Lap ins gastr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eltrd for mo.
0156T......... ........ C Lap redo gastr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eltrd for mo.
0157T......... ........ C Opn ins gastr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eltrd for mo.
0158T......... ........ C Opn redo gastr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
eltrd for mo.
0159T......... ........ C Computer breast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
MRI add-on.
0159T......... 26...... C Computer breast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
MRI add-on.
0159T......... TC...... C Computer breast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
MRI add-on.
0160T......... ........ C Transcran mag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stim planning.
0161T......... ........ C Transcran mag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
stim delivery.
10021......... ........ A Fna w/o image.. 1.27 2.13 2.15 0.36 0.50 0.10 3.50 3.52 1.73 1.87 XXX
10022......... ........ A Fna w/image.... 1.27 2.13 2.44 0.38 0.41 0.08 3.48 3.79 1.73 1.76 XXX
10040......... ........ A Acne surgery... 1.18 1.26 1.07 0.93 0.83 0.05 2.49 2.30 2.16 2.06 010
10060......... ........ A Drainage of 1.17 1.50 1.28 1.08 0.97 0.12 2.79 2.57 2.37 2.26 010
skin abscess.
10061......... ........ A Drainage of 2.40 2.07 1.88 1.51 1.50 0.26 4.73 4.54 4.17 4.16 010
skin abscess.
10080......... ........ A Drainage of 1.17 2.65 2.99 1.09 1.11 0.11 3.93 4.27 2.37 2.39 010
pilonidal cyst.
10081......... ........ A Drainage of 2.45 3.49 3.93 1.44 1.49 0.24 6.18 6.62 4.13 4.18 010
pilonidal cyst.
10120......... ........ A Remove foreign 1.22 2.10 2.15 0.94 0.96 0.12 3.44 3.49 2.28 2.30 010
body.
10121......... ........ A Remove foreign 2.69 3.52 3.51 1.65 1.75 0.33 6.54 6.53 4.67 4.77 010
body.
10140......... ........ A Drainage of 1.53 2.27 1.90 1.29 1.29 0.19 3.99 3.62 3.01 3.01 010
hematoma/fluid.
10160......... ........ A Puncture 1.20 1.85 1.66 1.07 1.08 0.14 3.19 3.00 2.41 2.42 010
drainage of
lesion.
10180......... ........ A Complex 2.25 3.30 3.06 1.83 1.94 0.35 5.90 5.66 4.43 4.54 010
drainage,
wound.
11000......... ........ A Debride 0.60 0.73 0.62 0.16 0.21 0.07 1.40 1.29 0.83 0.88 000
infected skin.
11001......... ........ A Debride 0.30 0.23 0.23 0.08 0.10 0.04 0.57 0.57 0.42 0.44 ZZZ
infected skin
add-on.
11004......... ........ A Debride 10.31 NA NA 3.04 3.69 0.67 NA NA 14.02 14.67 000
genitalia &
perineum.
11005......... ........ A Debride abdom 13.75 NA NA 4.06 5.19 0.96 NA NA 18.77 19.90 000
wall.
11006......... ........ A Debride genit/ 12.61 NA NA 3.61 4.54 1.28 NA NA 17.50 18.43 000
per/abdom wall.
11008......... ........ A Remove mesh 5.00 NA NA 1.36 1.86 0.61 NA NA 6.97 7.47 ZZZ
from abd wall.
11010......... ........ A Debride skin, 4.19 6.77 6.85 2.33 2.55 0.66 11.62 11.70 7.18 7.40 010
fx.
11011......... ........ A Debride skin/ 4.94 7.09 7.89 2.04 2.27 0.74 12.77 13.57 7.72 7.95 000
muscle, fx.
11012......... ........ A Debride skin/ 6.87 9.03 11.33 3.12 3.66 1.16 17.06 19.36 11.15 11.69 000
muscle/bone,
fx.
11040......... ........ A Debride skin, 0.48 0.68 0.56 0.16 0.20 0.06 1.22 1.10 0.70 0.74 000
partial.
11041......... ........ A Debride skin, 0.60 0.73 0.68 0.19 0.30 0.10 1.43 1.38 0.89 1.00 000
full.
11042......... ........ A Debride skin/ 0.80 0.96 0.97 0.25 0.39 0.13 1.89 1.90 1.18 1.32 000
tissue.
11043......... ........ A Debride tissue/ 3.00 3.64 3.45 2.71 2.62 0.32 6.96 6.77 6.03 5.94 010
muscle.
11044......... ........ A Debride tissue/ 4.05 4.96 4.58 3.67 3.73 0.43 9.44 9.06 8.15 8.21 010
muscle/bone.
11055......... ........ R Trim skin 0.43 0.82 0.63 0.11 0.16 0.05 1.30 1.11 0.59 0.64 000
lesion.
11056......... ........ R Trim skin 0.61 0.89 0.70 0.16 0.21 0.07 1.57 1.38 0.84 0.89 000
lesions, 2 to
4.
11057......... ........ R Trim skin 0.79 1.00 0.81 0.21 0.28 0.10 1.89 1.70 1.10 1.17 000
lesions, over
4.
11100......... ........ A Biopsy, skin 0.81 1.83 1.40 0.37 0.37 0.03 2.67 2.24 1.21 1.21 000
lesion.
11101......... ........ A Biopsy, skin 0.41 0.40 0.35 0.19 0.19 0.02 0.83 0.78 0.62 0.62 ZZZ
add-on.
11200......... ........ A Removal of skin 0.77 1.20 1.08 0.88 0.79 0.04 2.01 1.89 1.69 1.60 010
tags.
11201......... ........ A Remove skin 0.29 0.16 0.16 0.11 0.12 0.02 0.47 0.47 0.42 0.43 ZZZ
tags add-on.
11300......... ........ A Shave skin 0.51 1.17 1.04 0.20 0.21 0.03 1.71 1.58 0.74 0.75 000
lesion.
11301......... ........ A Shave skin 0.85 1.47 1.20 0.37 0.38 0.04 2.36 2.09 1.26 1.27 000
lesion.
11302......... ........ A Shave skin 1.05 1.73 1.41 0.47 0.46 0.05 2.83 2.51 1.57 1.56 000
lesion.
11303......... ........ A Shave skin 1.24 1.97 1.68 0.53 0.52 0.07 3.28 2.99 1.84 1.83 000
lesion.
11305......... ........ A Shave skin 0.67 1.06 0.90 0.20 0.25 0.07 1.80 1.64 0.94 0.99 000
lesion.
11306......... ........ A Shave skin 0.99 1.39 1.17 0.37 0.41 0.07 2.45 2.23 1.43 1.47 000
lesion.
11307......... ........ A Shave skin 1.14 1.66 1.38 0.46 0.48 0.07 2.87 2.59 1.67 1.69 000
lesion.
11308......... ........ A Shave skin 1.41 1.71 1.52 0.50 0.57 0.13 3.25 3.06 2.04 2.11 000
lesion.
[[Page 49090]]
11310......... ........ A Shave skin 0.73 1.35 1.17 0.30 0.32 0.04 2.12 1.94 1.07 1.09 000
lesion.
11311......... ........ A Shave skin 1.05 1.60 1.32 0.46 0.48 0.05 2.70 2.42 1.56 1.58 000
lesion.
11312......... ........ A Shave skin 1.20 1.87 1.53 0.54 0.55 0.06 3.13 2.79 1.80 1.81 000
lesion.
11313......... ........ A Shave skin 1.62 2.13 1.88 0.71 0.72 0.10 3.85 3.60 2.43 2.44 000
lesion.
11400......... ........ A Exc tr-ext 0.85 1.86 1.96 0.92 0.89 0.06 2.77 2.87 1.83 1.80 010
b9+marg 0.5 <
cm.
11401......... ........ A Exc tr-ext 1.23 2.14 2.07 1.12 1.05 0.10 3.47 3.40 2.45 2.38 010
b9+marg 0.6-1
cm.
11402......... ........ A Exc tr-ext 1.40 2.35 2.25 1.18 1.11 0.13 3.88 3.78 2.71 2.64 010
b9+marg 1.1-2
cm.
11403......... ........ A Exc tr-ext 1.79 2.52 2.42 1.54 1.38 0.17 4.48 4.38 3.50 3.34 010
b9+marg 2.1-3
cm.
11404......... ........ A Exc tr-ext 2.06 2.84 2.74 1.61 1.45 0.21 5.11 5.01 3.88 3.72 010
b9+marg 3.1-4
cm.
11406......... ........ A Exc tr-ext 3.45 3.50 3.17 2.07 1.76 0.32 7.27 6.94 5.84 5.53 010
b9+marg > 4.0
cm.
11420......... ........ A Exc h-f-nk-sp 0.98 1.82 1.78 0.92 0.93 0.09 2.89 2.85 1.99 2.00 010
b9+marg 0.5 <.
11421......... ........ A Exc h-f-nk-sp 1.42 2.18 2.09 1.14 1.12 0.13 3.73 3.64 2.69 2.67 010
b9+marg 0.6-1.
11422......... ........ A Exc h-f-nk-sp 1.63 2.39 2.29 1.50 1.37 0.16 4.18 4.08 3.29 3.16 010
b9+marg 1.1-2.
11423......... ........ A Exc h-f-nk-sp 2.01 2.62 2.59 1.62 1.49 0.20 4.83 4.80 3.83 3.70 010
b9+marg 2.1-3.
11424......... ........ A Exc h-f-nk-sp 2.43 2.94 2.84 1.75 1.64 0.25 5.62 5.52 4.43 4.32 010
b9+marg 3.1-4.
11426......... ........ A Exc h-f-nk-sp 4.02 3.58 3.51 2.29 2.15 0.44 8.04 7.97 6.75 6.61 010
b9+marg > 4 cm.
11440......... ........ A Exc face-mm 1.00 1.99 2.15 1.30 1.31 0.08 3.07 3.23 2.38 2.39 010
b9+marg 0.5 <
cm.
11441......... ........ A Exc face-mm 1.48 2.34 2.33 1.52 1.50 0.13 3.95 3.94 3.13 3.11 010
b9+marg 0.6-1
cm.
11442......... ........ A Exc face-mm 1.72 2.59 2.55 1.62 1.58 0.16 4.47 4.43 3.50 3.46 010
b9+marg 1.1-2
cm.
11443......... ........ A Exc face-mm 2.29 2.82 2.89 1.79 1.81 0.22 5.33 5.40 4.30 4.32 010
b9+marg 2.1-3
cm.
11444......... ........ A Exc face-mm 3.14 3.23 3.41 2.04 2.15 0.30 6.67 6.85 5.48 5.59 010
b9+marg 3.1-4
cm.
11446......... ........ A Exc face-mm 4.73 4.01 4.03 2.62 2.73 0.43 9.17 9.19 7.78 7.89 010
b9+marg > 4 cm.
11450......... ........ A Removal, sweat 3.11 5.19 5.07 2.44 2.13 0.34 8.64 8.52 5.89 5.58 090
gland lesion.
11451......... ........ A Removal, sweat 4.32 6.17 6.49 2.79 2.60 0.53 11.02 11.34 7.64 7.45 090
gland lesion.
11462......... ........ A Removal, sweat 2.89 5.33 5.17 2.47 2.13 0.32 8.54 8.38 5.68 5.34 090
gland lesion.
11463......... ........ A Removal, sweat 4.32 6.64 6.78 2.98 2.76 0.54 11.50 11.64 7.84 7.62 090
gland lesion.
11470......... ........ A Removal, sweat 3.63 5.61 5.20 2.70 2.37 0.40 9.64 9.23 6.73 6.40 090
gland lesion.
11471......... ........ A Removal, sweat 4.78 6.48 6.65 2.99 2.82 0.58 11.84 12.01 8.35 8.18 090
gland lesion.
11600......... ........ A Exc tr-ext 1.56 2.71 2.65 1.12 1.01 0.10 4.37 4.31 2.78 2.67 010
mlg+marg 0.5 <
cm.
11601......... ........ A Exc tr-ext 2.00 3.37 2.87 1.47 1.28 0.12 5.49 4.99 3.59 3.40 010
mlg+marg 0.6-1
cm.
11602......... ........ A Exc tr-ext 2.20 3.74 3.05 1.63 1.35 0.12 6.06 5.37 3.95 3.67 010
mlg+marg 1.1-2
cm.
11603......... ........ A Exc tr-ext 2.75 3.95 3.29 1.81 1.45 0.16 6.86 6.20 4.72 4.36 010
mlg+marg 2.1-3
cm.
11604......... ........ A Exc tr-ext 3.10 4.26 3.59 1.88 1.51 0.20 7.56 6.89 5.18 4.81 010
mlg+marg 3.1-4
cm.
11606......... ........ A Exc tr-ext 4.95 5.41 4.40 2.41 1.90 0.36 10.72 9.71 7.72 7.21 010
mlg+marg > 4
cm.
11620......... ........ A Exc h-f-nk-sp 1.57 2.81 2.65 1.17 1.01 0.09 4.47 4.31 2.83 2.67 010
mlg+marg 0.5 <.
11621......... ........ A Exc h-f-nk-sp 2.01 3.42 2.88 1.49 1.30 0.12 5.55 5.01 3.62 3.43 010
mlg+marg 0.6-1.
11622......... ........ A Exc h-f-nk-sp 2.34 3.80 3.17 1.69 1.47 0.14 6.28 5.65 4.17 3.95 010
mlg+marg 1.1-2.
11623......... ........ A Exc h-f-nk-sp 3.04 4.03 3.51 1.90 1.66 0.20 7.27 6.75 5.14 4.90 010
mlg+marg 2.1-3.
11624......... ........ A Exc h-f-nk-sp 3.55 4.35 3.89 2.03 1.84 0.27 8.17 7.71 5.85 5.66 010
mlg+marg 3.1-4.
11626......... ........ A Exc h-f-nk-sp 4.54 4.90 4.70 2.28 2.36 0.45 9.89 9.69 7.27 7.35 010
mlg+mar > 4 cm.
11640......... ........ A Exc face-mm 1.60 3.00 2.74 1.26 1.15 0.11 4.71 4.45 2.97 2.86 010
malig+marg 0.5
<.
11641......... ........ A Exc face-mm 2.10 3.55 3.15 1.56 1.54 0.16 5.81 5.41 3.82 3.80 010
malig+marg 0.6-
1.
11642......... ........ A Exc face-mm 2.55 3.93 3.53 1.78 1.73 0.19 6.67 6.27 4.52 4.47 010
malig+marg 1.1-
2.
11643......... ........ A Exc face-mm 3.35 4.18 3.90 2.04 1.98 0.26 7.79 7.51 5.65 5.59 010
malig+marg 2.1-
3.
11644......... ........ A Exc face-mm 4.27 4.95 4.75 2.38 2.43 0.37 9.59 9.39 7.02 7.07 010
malig+marg 3.1-
4.
11646......... ........ A Exc face-mm 6.19 5.76 5.75 3.03 3.36 0.61 12.56 12.55 9.83 10.16 010
mlg+marg > 4
cm.
11719......... ........ R Trim nail(s)... 0.17 0.38 0.28 0.04 0.06 0.02 0.57 0.47 0.23 0.25 000
11720......... ........ A Debride nail, 1- 0.32 0.47 0.37 0.08 0.11 0.04 0.83 0.73 0.44 0.47 000
5.
11721......... ........ A Debride nail, 6 0.54 0.55 0.47 0.14 0.19 0.07 1.16 1.08 0.75 0.80 000
or more.
11730......... ........ A Removal of nail 1.10 1.35 1.11 0.29 0.40 0.14 2.59 2.35 1.53 1.64 000
plate.
11732......... ........ A Remove nail 0.57 0.55 0.47 0.15 0.20 0.07 1.19 1.11 0.79 0.84 ZZZ
plate, add-on.
11740......... ........ A Drain blood 0.37 0.80 0.61 0.44 0.37 0.04 1.21 1.02 0.85 0.78 000
from under
nail.
11750......... ........ A Removal of nail 2.36 2.98 2.37 1.89 1.79 0.22 5.56 4.95 4.47 4.37 010
bed.
11752......... ........ A Remove nail bed/ 3.42 4.12 3.27 2.82 2.95 0.35 7.89 7.04 6.59 6.72 010
finger tip.
11755......... ........ A Biopsy, nail 1.31 2.02 1.68 0.76 0.77 0.14 3.47 3.13 2.21 2.22 000
unit.
11760......... ........ A Repair of nail 1.58 3.45 2.83 1.44 1.70 0.21 5.24 4.62 3.23 3.49 010
bed.
[[Page 49091]]
11762......... ........ A Reconstruction 2.89 3.72 3.09 1.69 2.18 0.36 6.97 6.34 4.94 5.43 010
of nail bed.
11765......... ........ A Excision of 0.69 2.69 2.01 1.01 0.82 0.08 3.46 2.78 1.78 1.59 010
nail fold, toe.
11770......... ........ A Removal of 2.61 3.49 3.48 1.53 1.51 0.33 6.43 6.42 4.47 4.45 010
pilonidal
lesion.
11771......... ........ A Removal of 5.91 6.72 5.91 3.74 3.42 0.74 13.37 12.56 10.39 10.07 090
pilonidal
lesion.
11772......... ........ A Removal of 7.15 8.06 7.64 5.56 5.19 0.89 16.10 15.68 13.60 13.23 090
pilonidal
lesion.
11900......... ........ A Injection into 0.52 0.89 0.71 0.24 0.22 0.02 1.43 1.25 0.78 0.76 000
skin lesions.
11901......... ........ A Added skin 0.80 0.98 0.74 0.38 0.36 0.03 1.81 1.57 1.21 1.19 000
lesions
injection.
11920......... ........ R Correct skin 1.61 2.40 3.38 1.12 1.10 0.24 4.25 5.23 2.97 2.95 000
color defects.
11921......... ........ R Correct skin 1.93 2.67 3.64 1.26 1.27 0.29 4.89 5.86 3.48 3.49 000
color defects.
11922......... ........ R Correct skin 0.49 0.93 1.09 0.22 0.24 0.07 1.49 1.65 0.78 0.80 ZZZ
color defects.
11950......... ........ R Therapy for 0.84 0.86 1.07 0.35 0.38 0.06 1.76 1.97 1.25 1.28 000
contour
defects.
11951......... ........ R Therapy for 1.19 1.18 1.41 0.53 0.52 0.11 2.48 2.71 1.83 1.82 000
contour
defects.
11952......... ........ R Therapy for 1.69 1.71 1.82 0.81 0.71 0.16 3.56 3.67 2.66 2.56 000
contour
defects.
11954......... ........ R Therapy for 1.85 1.76 2.27 0.76 0.87 0.25 3.86 4.37 2.86 2.97 000
contour
defects.
11960......... ........ A Insert tissue 10.85 NA NA 10.58 10.44 1.31 NA NA 22.74 22.60 090
expander(s).
11970......... ........ A Replace tissue 7.80 NA NA 6.20 6.15 1.05 NA NA 15.05 15.00 090
expander.
11971......... ........ A Remove tissue 3.13 7.42 8.69 4.01 3.85 0.32 10.87 12.14 7.46 7.30 090
expander(s).
11975......... ........ N Insert 1.48 1.55 1.45 0.34 0.51 0.17 3.20 3.10 1.99 2.16 XXX
contraceptive
cap.
11976......... ........ R Removal of 1.78 1.71 1.72 0.47 0.63 0.21 3.70 3.71 2.46 2.62 000
contraceptive
cap.
11977......... ........ N Removal/ 3.30 2.00 2.20 0.77 1.14 0.37 5.67 5.87 4.44 4.81 XXX
reinsert
contra cap.
11980......... ........ A Implant hormone 1.48 1.17 1.10 0.55 0.54 0.13 2.78 2.71 2.16 2.15 000
pellet(s).
11981......... ........ A Insert drug 1.48 1.92 1.76 0.59 0.66 0.12 3.52 3.36 2.19 2.26 XXX
implant device.
11982......... ........ A Remove drug 1.78 2.05 1.97 0.71 0.80 0.17 4.00 3.92 2.66 2.75 XXX
implant device.
11983......... ........ A Remove/insert 3.30 2.67 2.38 1.34 1.44 0.23 6.20 5.91 4.87 4.97 XXX
drug implant.
12001......... ........ A Repair 1.70 1.73 1.92 0.72 0.76 0.15 3.58 3.77 2.57 2.61 010
superficial
wound(s).
12002......... ........ A Repair 1.86 1.79 1.98 0.83 0.88 0.17 3.82 4.01 2.86 2.91 010
superficial
wound(s).
12004......... ........ A Repair 2.24 2.07 2.26 0.92 0.99 0.21 4.52 4.71 3.37 3.44 010
superficial
wound(s).
12005......... ........ A Repair 2.86 2.52 2.75 1.06 1.17 0.27 5.65 5.88 4.19 4.30 010
superficial
wound(s).
12006......... ........ A Repair 3.66 3.03 3.30 1.30 1.46 0.35 7.04 7.31 5.31 5.47 010
superficial
wound(s).
12007......... ........ A Repair 4.11 3.40 3.72 1.49 1.73 0.45 7.96 8.28 6.05 6.29 010
superficial
wound(s).
12011......... ........ A Repair 1.76 1.89 2.07 0.75 0.77 0.16 3.81 3.99 2.67 2.69 010
superficial
wound(s).
12013......... ........ A Repair 1.99 2.05 2.22 0.88 0.92 0.18 4.22 4.39 3.05 3.09 010
superficial
wound(s).
12014......... ........ A Repair 2.46 2.28 2.50 0.97 1.04 0.23 4.97 5.19 3.66 3.73 010
superficial
wound(s).
12015......... ........ A Repair 3.19 2.76 3.04 1.11 1.22 0.29 6.24 6.52 4.59 4.70 010
superficial
wound(s).
12016......... ........ A Repair 3.92 3.16 3.45 1.29 1.46 0.37 7.45 7.74 5.58 5.75 010
superficial
wound(s).
12017......... ........ A Repair 4.70 NA NA 1.48 1.79 0.47 NA NA 6.65 6.96 010
superficial
wound(s).
12018......... ........ A Repair 5.52 NA NA 1.96 2.18 0.64 NA NA 8.12 8.34 010
superficial
wound(s).
12020......... ........ A Closure of 2.62 3.75 3.80 1.77 1.88 0.30 6.67 6.72 4.69 4.80 010
split wound.
12021......... ........ A Closure of 1.84 1.86 1.83 1.33 1.39 0.24 3.94 3.91 3.41 3.47 010
split wound.
12031......... ........ A Layer closure 2.15 3.82 2.67 1.73 1.15 0.17 6.14 4.99 4.05 3.47 010
of wound(s).
12032......... ........ A Layer closure 2.47 5.08 4.15 2.21 1.90 0.16 7.71 6.78 4.84 4.53 010
of wound(s).
12034......... ........ A Layer closure 2.92 4.50 3.52 1.93 1.57 0.25 7.67 6.69 5.10 4.74 010
of wound(s).
12035......... ........ A Layer closure 3.42 5.25 5.21 2.08 2.13 0.39 9.06 9.02 5.89 5.94 010
of wound(s).
12036......... ........ A Layer closure 4.04 5.38 5.51 2.22 2.46 0.55 9.97 10.10 6.81 7.05 010
of wound(s).
12037......... ........ A Layer closure 4.66 5.94 6.05 2.59 2.87 0.66 11.26 11.37 7.91 8.19 010
of wound(s).
12041......... ........ A Layer closure 2.37 3.77 2.85 1.72 1.28 0.19 6.33 5.41 4.28 3.84 010
of wound(s).
12042......... ........ A Layer closure 2.74 4.36 3.54 2.04 1.61 0.17 7.27 6.45 4.95 4.52 010
of wound(s).
12044......... ........ A Layer closure 3.14 5.27 3.73 1.89 1.67 0.27 8.68 7.14 5.30 5.08 010
of wound(s).
12045......... ........ A Layer closure 3.63 5.07 5.21 2.06 2.23 0.41 9.11 9.25 6.10 6.27 010
of wound(s).
12046......... ........ A Layer closure 4.24 5.64 6.29 2.27 2.63 0.54 10.42 11.07 7.05 7.41 010
of wound(s).
12047......... ........ A Layer closure 4.64 6.16 6.30 2.51 2.94 0.58 11.38 11.52 7.73 8.16 010
of wound(s).
12051......... ........ A Layer closure 2.47 4.01 3.46 1.86 1.55 0.20 6.68 6.13 4.53 4.22 010
of wound(s).
12052......... ........ A Layer closure 2.77 4.69 3.59 2.44 1.68 0.17 7.63 6.53 5.38 4.62 010
of wound(s).
12053......... ........ A Layer closure 3.12 5.23 3.74 2.05 1.66 0.23 8.58 7.09 5.40 5.01 010
of wound(s).
12054......... ........ A Layer closure 3.45 5.30 4.00 2.01 1.73 0.30 9.05 7.75 5.76 5.48 010
of wound(s).
12055......... ........ A Layer closure 4.42 6.00 4.86 2.10 2.12 0.45 10.87 9.73 6.97 6.99 010
of wound(s).
12056......... ........ A Layer closure 5.23 6.21 6.62 2.38 2.88 0.59 12.03 12.44 8.20 8.70 010
of wound(s).
12057......... ........ A Layer closure 5.95 7.45 6.46 2.79 3.51 0.56 13.96 12.97 9.30 10.02 010
of wound(s).
13100......... ........ A Repair of wound 3.12 4.32 4.12 2.39 2.32 0.26 7.70 7.50 5.77 5.70 010
or lesion.
13101......... ........ A Repair of wound 3.91 5.79 4.94 2.88 2.73 0.26 9.96 9.11 7.05 6.90 010
or lesion.
13102......... ........ A Repair wound/ 1.24 1.34 1.21 0.52 0.56 0.13 2.71 2.58 1.89 1.93 ZZZ
lesion add-on.
13120......... ........ A Repair of wound 3.30 4.46 4.22 2.50 2.38 0.26 8.02 7.78 6.06 5.94 010
or lesion.
13121......... ........ A Repair of wound 4.32 6.47 5.26 3.46 2.96 0.25 11.04 9.83 8.03 7.53 010
or lesion.
13122......... ........ A Repair wound/ 1.44 1.37 1.48 0.58 0.62 0.15 2.96 3.07 2.17 2.21 ZZZ
lesion add-on.
13131......... ........ A Repair of wound 3.78 4.86 4.49 2.78 2.71 0.26 8.90 8.53 6.82 6.75 010
or lesion.
13132......... ........ A Repair of wound 6.44 7.64 6.34 4.77 4.31 0.32 14.40 13.10 11.53 11.07 010
or lesion.
[[Page 49092]]
13133......... ........ A Repair wound/ 2.19 1.82 1.70 0.94 1.01 0.18 4.19 4.07 3.31 3.38 ZZZ
lesion add-on.
13150......... ........ A Repair of wound 3.80 4.59 4.80 2.64 2.73 0.34 8.73 8.94 6.78 6.87 010
or lesion.
13151......... ........ A Repair of wound 4.44 5.35 4.94 3.11 3.13 0.31 10.10 9.69 7.86 7.88 010
or lesion.
13152......... ........ A Repair of wound 6.32 7.31 6.35 3.77 3.97 0.40 14.03 13.07 10.49 10.69 010
or lesion.
13153......... ........ A Repair wound/ 2.38 1.98 1.94 0.98 1.10 0.24 4.60 4.56 3.60 3.72 ZZZ
lesion add-on.
13160......... ........ A Late closure of 11.76 NA NA 7.07 7.14 1.54 NA NA 20.37 20.44 090
wound.
14000......... ........ A Skin tissue 6.76 8.78 8.08 5.92 5.58 0.59 16.13 15.43 13.27 12.93 090
rearrangement.
14001......... ........ A Skin tissue 9.52 10.90 9.78 7.40 7.15 0.82 21.24 20.12 17.74 17.49 090
rearrangement.
14020......... ........ A Skin tissue 7.58 9.79 8.91 6.70 6.57 0.64 18.01 17.13 14.92 14.79 090
rearrangement.
14021......... ........ A Skin tissue 11.10 12.13 10.52 8.40 8.31 0.81 24.04 22.43 20.31 20.22 090
rearrangement.
14040......... ........ A Skin tissue 8.36 9.92 9.08 6.77 7.09 0.62 18.90 18.06 15.75 16.07 090
rearrangement.
14041......... ........ A Skin tissue 12.59 13.17 11.24 9.03 8.76 0.73 26.49 24.56 22.35 22.08 090
rearrangement.
14060......... ........ A Skin tissue 8.99 9.40 8.94 6.94 7.31 0.68 19.07 18.61 16.61 16.98 090
rearrangement.
14061......... ........ A Skin tissue 13.58 14.41 12.30 9.84 9.59 0.76 28.75 26.64 24.18 23.93 090
rearrangement.
14300......... ........ A Skin tissue 13.17 13.26 11.66 9.24 9.19 1.16 27.59 25.99 23.57 23.52 090
rearrangement.
14350......... ........ A Skin tissue 10.73 NA NA 6.92 7.09 1.34 NA NA 18.99 19.16 090
rearrangement.
15000......... ........ A Wound prep, 1st 3.99 4.24 3.90 1.73 2.07 0.54 8.77 8.43 6.26 6.60 000
100 sq cm.
15001......... ........ A Wound prep, 1.00 0.56 1.15 0.35 0.40 0.14 1.70 2.29 1.49 1.54 ZZZ
addl 100 sq cm.
15040......... ........ A Harvest 2.00 3.86 4.39 1.03 1.11 0.24 6.10 6.63 3.27 3.35 000
cultured skin
graft.
15050......... ........ A Skin pinch 5.29 7.65 7.10 5.02 5.09 0.57 13.51 12.96 10.88 10.95 090
graft.
15100......... ........ A Skin splt grft, 9.66 9.84 11.90 6.73 7.55 1.28 20.78 22.84 17.67 18.49 090
trnk/arm/leg.
15101......... ........ A Skin splt grft 1.72 2.51 3.43 0.87 1.10 0.24 4.47 5.39 2.83 3.06 ZZZ
t/a/l, add-on.
15110......... ........ A Epidrm autogrft 10.82 8.92 10.23 6.50 6.88 1.31 21.05 22.36 18.63 19.01 090
trnk/arm/leg.
15111......... ........ A Epidrm autogrft 1.85 0.89 1.19 0.64 0.75 0.26 3.00 3.30 2.75 2.86 ZZZ
t/a/l add-on.
15115......... ........ A Epidrm a-grft 11.13 9.16 9.21 6.68 7.18 1.15 21.44 21.49 18.96 19.46 090
face/nck/hf/g.
15116......... ........ A Epidrm a-grft f/ 2.50 1.22 1.49 0.89 1.06 0.33 4.05 4.32 3.72 3.89 ZZZ
n/hf/g addl.
15120......... ........ A Skn splt a-grft 10.88 11.18 10.84 7.32 7.67 1.16 23.22 22.88 19.36 19.71 090
fac/nck/hf/g.
15121......... ........ A Skn splt a-grft 2.67 3.47 4.24 1.33 1.71 0.36 6.50 7.27 4.36 4.74 ZZZ
f/n/hf/g add.
15130......... ........ A Derm autograft, 7.33 8.03 9.40 5.64 6.17 0.97 16.33 17.70 13.94 14.47 090
trnk/arm/leg.
15131......... ........ A Derm autograft 1.50 0.70 0.98 0.52 0.61 0.21 2.41 2.69 2.23 2.32 ZZZ
t/a/l add-on.
15135......... ........ A Derm autograft 10.83 9.41 9.76 6.98 7.84 1.23 21.47 21.82 19.04 19.90 090
face/nck/hf/g.
15136......... ........ A Derm autograft, 1.50 0.68 0.84 0.53 0.64 0.20 2.38 2.54 2.23 2.34 ZZZ
f/n/hf/g add.
15150......... ........ A Cult epiderm 9.24 7.22 8.15 5.92 6.31 1.14 17.60 18.53 16.30 16.69 090
grft t/arm/leg.
15151......... ........ A Cult epiderm 2.00 0.90 1.21 0.70 0.81 0.28 3.18 3.49 2.98 3.09 ZZZ
grft t/a/l
addl.
15152......... ........ A Cult epiderm 2.50 1.08 1.44 0.87 1.01 0.35 3.93 4.29 3.72 3.86 ZZZ
graft t/a/l +%.
15155......... ........ A Cult epiderm 9.99 7.60 7.77 6.25 6.78 1.05 18.64 18.81 17.29 17.82 090
graft, f/n/hf/
g.
15156......... ........ A Cult epidrm 2.75 1.18 1.47 0.98 1.18 0.36 4.29 4.58 4.09 4.29 ZZZ
grft f/n/hfg
add.
15157......... ........ A Cult epiderm 3.00 1.37 1.67 1.07 1.28 0.39 4.76 5.06 4.46 4.67 ZZZ
grft f/n/hfg
+%.
15170......... ........ A Acell graft 5.99 3.65 3.79 2.36 2.36 0.55 10.19 10.33 8.90 8.90 090
trunk/arms/
legs.
15171......... ........ A Acell graft t/ 1.55 0.65 0.67 0.51 0.59 0.19 2.39 2.41 2.25 2.33 ZZZ
arm/leg add-on.
15175......... ........ A Acellular 7.99 5.24 5.38 3.75 3.94 0.82 14.05 14.19 12.56 12.75 090
graft, f/n/hf/
g.
15176......... ........ A Acell graft, f/ 2.45 1.07 1.10 0.81 0.95 0.29 3.81 3.84 3.55 3.69 ZZZ
n/hf/g add-on.
15200......... ........ A Skin full 8.90 9.85 9.51 6.29 6.22 0.98 19.73 19.39 16.17 16.10 090
graft, trunk.
15201......... ........ A Skin full graft 1.32 2.11 2.45 0.56 0.61 0.19 3.62 3.96 2.07 2.12 ZZZ
trunk add-on.
15220......... ........ A Skin full graft 7.86 10.21 9.44 6.51 6.64 0.84 18.91 18.14 15.21 15.34 090
sclp/arm/leg.
15221......... ........ A Skin full graft 1.19 2.01 2.24 0.50 0.55 0.16 3.36 3.59 1.85 1.90 ZZZ
add-on.
15240......... ........ A Skin full grft 10.03 11.73 10.58 8.64 8.12 0.92 22.68 21.53 19.59 19.07 090
face/genit/hf.
15241......... ........ A Skin full graft 1.86 2.51 2.46 0.79 0.88 0.23 4.60 4.55 2.88 2.97 ZZZ
add-on.
15260......... ........ A Skin full graft 11.29 12.63 10.82 9.02 8.69 0.69 24.61 22.80 21.00 20.67 090
een & lips.
15261......... ........ A Skin full graft 2.23 2.91 2.75 1.12 1.33 0.21 5.35 5.19 3.56 3.77 ZZZ
add-on.
15300......... ........ A Apply 4.65 3.36 3.24 2.10 2.20 0.49 8.50 8.38 7.24 7.34 090
skinallogrft,
t/arm/lg.
15301......... ........ A Apply 1.00 0.47 0.47 0.34 0.39 0.14 1.61 1.61 1.48 1.53 ZZZ
sknallogrft t/
a/l addl.
15320......... ........ A Apply skin 5.36 3.75 3.65 2.32 2.48 0.58 9.69 9.59 8.26 8.42 090
allogrft f/n/
hf/g.
15321......... ........ A Aply 1.50 0.68 0.69 0.50 0.57 0.21 2.39 2.40 2.21 2.28 ZZZ
sknallogrft f/
n/hfg add.
15330......... ........ A Aply acell 3.99 3.14 3.18 1.90 2.14 0.49 7.62 7.66 6.38 6.62 090
alogrft t/arm/
leg.
15331......... ........ A Aply acell grft 1.00 0.46 0.46 0.34 0.39 0.14 1.60 1.60 1.48 1.53 ZZZ
t/a/l add-on.
[[Page 49093]]
15335......... ........ A Apply acell 4.50 3.40 3.45 2.06 2.35 0.55 8.45 8.50 7.11 7.40 090
graft, f/n/hf/
g.
15336......... ........ A Aply acell grft 1.43 0.72 0.70 0.48 0.55 0.20 2.35 2.33 2.11 2.18 ZZZ
f/n/hf/g add.
15340......... ........ A Apply cult skin 3.72 3.79 3.95 2.72 2.74 0.41 7.92 8.08 6.85 6.87 010
substitute.
15341......... ........ A Apply cult skin 0.50 0.72 0.64 0.17 0.19 0.06 1.28 1.20 0.73 0.75 ZZZ
sub add-on.
15360......... ........ A Apply cult derm 3.87 4.31 4.43 3.11 3.09 0.43 8.61 8.73 7.41 7.39 090
sub, t/a/l.
15361......... ........ A Aply cult derm 1.15 0.57 0.58 0.38 0.44 0.14 1.86 1.87 1.67 1.73 ZZZ
sub t/a/l add.
15365......... ........ A Apply cult derm 4.15 4.35 4.50 3.19 3.19 0.46 8.96 9.11 7.80 7.80 090
sub f/n/hf/g.
15366......... ........ A Apply cult derm 1.45 0.69 0.70 0.48 0.56 0.17 2.31 2.32 2.10 2.18 ZZZ
f/hf/g add.
15400......... ........ A Apply skin 4.32 4.91 4.24 3.69 3.93 0.47 9.70 9.03 8.48 8.72 090
xenograft, t/a/
l.
15401......... ........ A Apply skn 1.00 1.02 1.67 0.35 0.42 0.14 2.16 2.81 1.49 1.56 ZZZ
xenogrft t/a/l
add.
15420......... ........ A Apply skin 4.83 5.04 4.85 3.86 3.81 0.52 10.39 10.20 9.21 9.16 090
xgraft, f/n/hf/
g.
15421......... ........ A Apply skn xgrft 1.50 1.20 1.29 0.52 0.60 0.21 2.91 3.00 2.23 2.31 ZZZ
f/n/hf/g add.
15430......... ........ A Apply acellular 5.75 7.01 6.93 6.44 6.57 0.66 13.42 13.34 12.85 12.98 090
xenograft.
15431......... ........ C Apply acellular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
xgraft add.
15570......... ........ A Form skin 9.94 10.36 11.07 6.46 6.69 1.34 21.64 22.35 17.74 17.97 090
pedicle flap.
15572......... ........ A Form skin 9.88 9.74 9.55 6.62 6.49 1.20 20.82 20.63 17.70 17.57 090
pedicle flap.
15574......... ........ A Form skin 10.48 10.36 10.60 6.89 7.57 1.20 22.04 22.28 18.57 19.25 090
pedicle flap.
15576......... ........ A Form skin 9.18 9.50 9.69 6.39 6.76 0.87 19.55 19.74 16.44 16.81 090
pedicle flap.
15600......... ........ A Skin graft..... 1.91 5.28 7.02 2.71 2.97 0.27 7.46 9.20 4.89 5.15 090
15610......... ........ A Skin graft..... 2.42 5.55 4.91 3.03 3.32 0.35 8.32 7.68 5.80 6.09 090
15620......... ........ A Skin graft..... 3.57 6.33 7.42 3.80 3.86 0.35 10.25 11.34 7.72 7.78 090
15630......... ........ A Skin graft..... 3.90 6.89 7.00 4.18 4.16 0.34 11.13 11.24 8.42 8.40 090
15650......... ........ A Transfer skin 4.59 7.02 7.11 4.20 4.21 0.42 12.03 12.12 9.21 9.22 090
pedicle flap.
15732......... ........ A Muscle-skin 19.62 14.71 17.21 11.13 11.94 1.99 36.32 38.82 32.74 33.55 090
graft, head/
neck.
15734......... ........ A Muscle-skin 19.52 15.75 17.52 11.89 12.25 2.61 37.88 39.65 34.02 34.38 090
graft, trunk.
15736......... ........ A Muscle-skin 16.86 13.77 17.12 9.95 10.90 2.45 33.08 36.43 29.26 30.21 090
graft, arm.
15738......... ........ A Muscle-skin 18.86 14.03 16.99 10.41 11.39 2.65 35.54 38.50 31.92 32.90 090
graft, leg.
15740......... ........ A Island pedicle 11.48 13.10 10.87 9.05 8.46 0.63 25.21 22.98 21.16 20.57 090
flap graft.
15750......... ........ A Neurovascular 12.64 NA NA 8.80 8.98 1.42 NA NA 22.86 23.04 090
pedicle graft.
15756......... ........ A Free myo/skin 36.64 NA NA 18.38 20.02 4.61 NA NA 59.63 61.27 090
flap microvasc.
15757......... ........ A Free skin flap, 36.85 NA NA 16.63 20.35 3.89 NA NA 57.37 61.09 090
microvasc.
15758......... ........ A Free fascial 36.60 NA NA 16.47 20.30 4.23 NA NA 57.30 61.13 090
flap,
microvasc.
15760......... ........ A Composite skin 9.61 10.14 10.05 6.84 7.16 0.85 20.60 20.51 17.30 17.62 090
graft.
15770......... ........ A Derma-fat- 8.64 NA NA 6.56 6.65 1.05 NA NA 16.25 16.34 090
fascia graft.
15775......... ........ R Hair transplant 3.95 3.50 4.05 1.70 1.40 0.52 7.97 8.52 6.17 5.87 000
punch grafts.
15776......... ........ R Hair transplant 5.53 3.98 5.01 1.61 2.50 0.72 10.23 11.26 7.86 8.75 000
punch grafts.
15780......... ........ A Abrasion 8.41 11.65 11.55 6.74 7.87 0.67 20.73 20.63 15.82 16.95 090
treatment of
skin.
15781......... ........ A Abrasion 4.84 8.43 7.29 5.47 5.39 0.34 13.61 12.47 10.65 10.57 090
treatment of
skin.
15782......... ........ A Abrasion 4.31 9.44 9.75 5.43 6.27 0.34 14.09 14.40 10.08 10.92 090
treatment of
skin.
15783......... ........ A Abrasion 4.28 7.83 7.11 4.89 4.36 0.28 12.39 11.67 9.45 8.92 090
treatment of
skin.
15786......... ........ A Abrasion, 2.03 3.76 3.45 1.22 1.30 0.11 5.90 5.59 3.36 3.44 010
lesion, single.
15787......... ........ A Abrasion, 0.33 0.83 1.03 0.10 0.15 0.04 1.20 1.40 0.47 0.52 ZZZ
lesions, add-
on.
15788......... ........ R Chemical peel, 2.09 8.43 7.14 3.66 3.23 0.11 10.63 9.34 5.86 5.43 090
face, epiderm.
15789......... ........ R Chemical peel, 4.91 9.00 8.32 5.56 4.99 0.20 14.11 13.43 10.67 10.10 090
face, dermal.
15792......... ........ R Chemical peel, 1.86 6.85 7.03 3.46 4.20 0.13 8.84 9.02 5.45 6.19 090
nonfacial.
15793......... ........ A Chemical peel, 3.73 5.54 6.10 3.27 4.10 0.19 9.46 10.02 7.19 8.02 090
nonfacial.
15819......... ........ A Plastic 10.37 NA NA 6.67 7.05 0.97 NA NA 18.01 18.39 090
surgery, neck.
15820......... ........ A Revision of 6.02 6.47 6.85 5.25 5.48 0.40 12.89 13.27 11.67 11.90 090
lower eyelid.
15821......... ........ A Revision of 6.59 6.73 7.20 5.41 5.64 0.45 13.77 14.24 12.45 12.68 090
lower eyelid.
15822......... ........ A Revision of 4.44 5.34 5.71 4.18 4.41 0.37 10.15 10.52 8.99 9.22 090
upper eyelid.
15823......... ........ A Revision of 8.04 7.59 7.79 6.29 6.40 0.50 16.13 16.33 14.83 14.94 090
upper eyelid.
15831......... ........ A Excise 13.57 NA NA 8.73 8.30 1.75 NA NA 24.05 23.62 090
excessive skin
tissue.
15832......... ........ A Excise 12.57 NA NA 8.30 8.33 1.66 NA NA 22.53 22.56 090
excessive skin
tissue.
15833......... ........ A Excise 11.62 NA NA 7.09 7.93 1.49 NA NA 20.20 21.04 090
excessive skin
tissue.
15834......... ........ A Excise 11.89 NA NA 7.73 7.70 1.61 NA NA 21.23 21.20 090
excessive skin
tissue.
15835......... ........ A Excise 12.71 NA NA 7.81 7.61 1.60 NA NA 22.12 21.92 090
excessive skin
tissue.
15836......... ........ A Excise 10.33 NA NA 7.02 6.84 1.34 NA NA 18.69 18.51 090
excessive skin
tissue.
15837......... ........ A Excise 9.30 8.79 8.61 5.78 6.97 1.18 19.27 19.09 16.26 17.45 090
excessive skin
tissue.
15838......... ........ A Excise 8.00 NA NA 4.88 5.77 0.58 NA NA 13.46 14.35 090
excessive skin
tissue.
15839......... ........ A Excise 10.25 9.40 8.97 6.19 6.34 1.22 20.87 20.44 17.66 17.81 090
excessive skin
tissue.
15840......... ........ A Graft for face 14.67 NA NA 8.55 9.62 1.32 NA NA 24.54 25.61 090
nerve palsy.
15841......... ........ A Graft for face 25.57 NA NA 13.05 14.51 2.54 NA NA 41.16 42.62 090
nerve palsy.
15842......... ........ A Flap for face 40.55 NA NA 21.01 22.44 4.93 NA NA 66.49 67.92 090
nerve palsy.
15845......... ........ A Skin and muscle 13.93 NA NA 8.77 9.17 0.81 NA NA 23.51 23.91 090
repair, face.
15850......... ........ B Removal of 0.78 1.21 1.47 0.18 0.27 0.05 2.04 2.30 1.01 1.10 XXX
sutures.
15851......... ........ A Removal of 0.86 1.33 1.59 0.24 0.29 0.06 2.25 2.51 1.16 1.21 000
sutures.
[[Page 49094]]
15852......... ........ A Dressing change 0.86 1.62 1.79 0.25 0.31 0.09 2.57 2.74 1.20 1.26 000
not for burn.
15860......... ........ A Test for blood 1.95 NA NA 0.70 0.76 0.27 NA NA 2.92 2.98 000
flow in graft.
15920......... ........ A Removal of tail 8.06 NA NA 5.83 5.62 1.04 NA NA 14.93 14.72 090
bone ulcer.
15922......... ........ A Removal of tail 10.13 NA NA 7.01 7.16 1.42 NA NA 18.56 18.71 090
bone ulcer.
15931......... ........ A Remove sacrum 9.89 NA NA 5.55 5.65 1.25 NA NA 16.69 16.79 090
pressure sore.
15933......... ........ A Remove sacrum 11.49 NA NA 7.34 7.72 1.52 NA NA 20.35 20.73 090
pressure sore.
15934......... ........ A Remove sacrum 13.45 NA NA 7.61 7.93 1.78 NA NA 22.84 23.16 090
pressure sore.
15935......... ........ A Remove sacrum 15.45 NA NA 10.14 10.28 2.09 NA NA 27.68 27.82 090
pressure sore.
15936......... ........ A Remove sacrum 12.96 NA NA 7.49 8.04 1.76 NA NA 22.21 22.76 090
pressure sore.
15937......... ........ A Remove sacrum 14.91 NA NA 8.96 9.61 2.06 NA NA 25.93 26.58 090
pressure sore.
15940......... ........ A Remove hip 10.05 NA NA 5.84 6.09 1.31 NA NA 17.20 17.45 090
pressure sore.
15941......... ........ A Remove hip 12.13 NA NA 8.51 9.22 1.66 NA NA 22.30 23.01 090
pressure sore.
15944......... ........ A Remove hip 12.16 NA NA 8.24 8.51 1.65 NA NA 22.05 22.32 090
pressure sore.
15945......... ........ A Remove hip 13.45 NA NA 9.15 9.52 1.84 NA NA 24.44 24.81 090
pressure sore.
15946......... ........ A Remove hip 23.72 NA NA 13.95 14.27 3.16 NA NA 40.83 41.15 090
pressure sore.
15950......... ........ A Remove thigh 7.83 NA NA 5.40 5.41 1.04 NA NA 14.27 14.28 090
pressure sore.
15951......... ........ A Remove thigh 11.30 NA NA 8.00 7.90 1.49 NA NA 20.79 20.69 090
pressure sore.
15952......... ........ A Remove thigh 12.03 NA NA 7.77 7.76 1.60 NA NA 21.40 21.39 090
pressure sore.
15953......... ........ A Remove thigh 13.27 NA NA 9.10 9.02 1.79 NA NA 24.16 24.08 090
pressure sore.
15956......... ........ A Remove thigh 16.46 NA NA 9.66 10.49 2.21 NA NA 28.33 29.16 090
pressure sore.
15958......... ........ A Remove thigh 16.42 NA NA 10.28 10.85 2.25 NA NA 28.95 29.52 090
pressure sore.
15999......... ........ C Removal of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
pressure sore.
16000......... ........ A Initial 0.89 0.73 0.83 0.24 0.26 0.08 1.70 1.80 1.21 1.23 000
treatment of
burn(s).
16020......... ........ A Dress/debrid p- 0.80 1.11 1.25 0.56 0.58 0.08 1.99 2.13 1.44 1.46 000
thick burn, s.
16025......... ........ A Dress/debrid p- 1.85 1.61 1.72 0.88 0.94 0.19 3.65 3.76 2.92 2.98 000
thick burn, m.
16030......... ........ A Dress/debrid p- 2.08 1.98 2.12 0.96 1.08 0.24 4.30 4.44 3.28 3.40 000
thick burn, l.
16035......... ........ A Incision of 3.74 NA NA 1.27 1.50 0.46 NA NA 5.47 5.70 090
burn scab,
initi.
16036......... ........ A Escharotomy; 1.50 NA NA 0.49 0.57 0.20 NA NA 2.19 2.27 ZZZ
addIl incision.
17000......... ........ A Destroy benign/ 0.60 1.36 1.07 0.71 0.58 0.03 1.99 1.70 1.34 1.21 010
premlg lesion.
17003......... ........ A Destroy 0.07 0.10 0.11 0.03 0.06 0.01 0.18 0.19 0.11 0.14 ZZZ
lesions, 2-14.
17004......... ........ A Destroy 1.58 2.23 2.28 1.20 1.49 0.11 3.92 3.97 2.89 3.18 010
lesions, 15 or
more.
17106......... ........ A Destruction of 4.58 4.56 4.59 3.18 3.29 0.35 9.49 9.52 8.11 8.22 090
skin lesions.
17107......... ........ A Destruction of 9.15 7.08 7.17 5.01 5.34 0.63 16.86 16.95 14.79 15.12 090
skin lesions.
17108......... ........ A Destruction of 13.18 9.19 9.24 6.64 7.41 0.54 22.91 22.96 20.36 21.13 090
skin lesions.
17110......... ........ A Destruct 0.65 1.74 1.65 0.85 0.74 0.05 2.44 2.35 1.55 1.44 010
lesion, 1-14.
17111......... ........ A Destruct 0.92 2.23 1.81 1.09 0.88 0.05 3.20 2.78 2.06 1.85 010
lesion, 15 or
more.
17250......... ........ A Chemical 0.50 1.32 1.25 0.38 0.35 0.06 1.88 1.81 0.94 0.91 000
cautery,
tissue.
17260......... ........ A Destruction of 0.91 1.37 1.30 0.68 0.67 0.04 2.32 2.25 1.63 1.62 010
skin lesions.
17261......... ........ A Destruction of 1.17 2.42 1.81 1.02 0.88 0.05 3.64 3.03 2.24 2.10 010
skin lesions.
17262......... ........ A Destruction of 1.58 2.74 2.10 1.22 1.07 0.06 4.38 3.74 2.86 2.71 010
skin lesions.
17263......... ........ A Destruction of 1.79 2.97 2.28 1.31 1.15 0.07 4.83 4.14 3.17 3.01 010
skin lesions.
17264......... ........ A Destruction of 1.94 3.17 2.46 1.38 1.19 0.08 5.19 4.48 3.40 3.21 010
skin lesions.
17266......... ........ A Destruction of 2.34 3.42 2.73 1.54 1.30 0.09 5.85 5.16 3.97 3.73 010
skin lesions.
17270......... ........ A Destruction of 1.32 2.36 1.87 1.05 0.92 0.05 3.73 3.24 2.42 2.29 010
skin lesions.
17271......... ........ A Destruction of 1.49 2.58 1.97 1.17 1.03 0.06 4.13 3.52 2.72 2.58 010
skin lesions.
17272......... ........ A Destruction of 1.77 2.88 2.21 1.31 1.16 0.07 4.72 4.05 3.15 3.00 010
skin lesions.
17273......... ........ A Destruction of 2.05 3.12 2.43 1.43 1.27 0.08 5.25 4.56 3.56 3.40 010
skin lesions.
17274......... ........ A Destruction of 2.59 3.50 2.80 1.68 1.50 0.10 6.19 5.49 4.37 4.19 010
skin lesions.
17276......... ........ A Destruction of 3.20 3.78 3.15 1.91 1.74 0.16 7.14 6.51 5.27 5.10 010
skin lesions.
17280......... ........ A Destruction of 1.17 2.29 1.78 0.99 0.86 0.05 3.51 3.00 2.21 2.08 010
skin lesions.
17281......... ........ A Destruction of 1.72 2.65 2.09 1.28 1.14 0.07 4.44 3.88 3.07 2.93 010
skin lesions.
17282......... ........ A Destruction of 2.04 3.04 2.37 1.43 1.29 0.08 5.16 4.49 3.55 3.41 010
skin lesions.
17283......... ........ A Destruction of 2.64 3.45 2.77 1.70 1.54 0.11 6.20 5.52 4.45 4.29 010
skin lesions.
17284......... ........ A Destruction of 3.21 3.86 3.16 1.95 1.80 0.13 7.20 6.50 5.29 5.14 010
skin lesions.
17286......... ........ A Destruction of 4.43 4.28 3.82 2.38 2.43 0.23 8.94 8.48 7.04 7.09 010
skin lesions.
17304......... ........ A 1 stage mohs, 7.59 11.63 9.09 3.58 3.57 0.30 19.52 16.98 11.47 11.46 000
up to 5 spec.
[[Page 49095]]
17305......... ........ A 2 stage mohs, 2.85 6.74 4.60 1.34 1.34 0.11 9.70 7.56 4.30 4.30 000
up to 5 spec.
17306......... ........ A 3 stage mohs, 2.85 6.99 4.68 1.33 1.35 0.11 9.95 7.64 4.29 4.31 000
up to 5 spec.
17307......... ........ A Mohs addl stage 2.85 6.74 4.36 1.34 1.36 0.11 9.70 7.32 4.30 4.32 000
up to 5 spec.
17310......... ........ A Mohs any stage 0.95 1.94 1.70 0.45 0.46 0.03 2.92 2.68 1.43 1.44 ZZZ
> 5 spec each.
17340......... ........ A Cryotherapy of 0.76 0.33 0.36 0.36 0.36 0.05 1.14 1.17 1.17 1.17 010
skin.
17360......... ........ A Skin peel 1.43 1.38 1.43 0.95 0.89 0.06 2.87 2.92 2.44 2.38 010
therapy.
17999......... ........ C Skin tissue 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
19000......... ........ A Drainage of 0.84 1.90 1.96 0.24 0.29 0.08 2.82 2.88 1.16 1.21 000
breast lesion.
19001......... ........ A Drain breast 0.42 0.24 0.25 0.12 0.14 0.04 0.70 0.71 0.58 0.60 ZZZ
lesion add-on.
19020......... ........ A Incision of 3.68 6.67 6.42 3.05 2.77 0.45 10.80 10.55 7.18 6.90 090
breast lesion.
19030......... ........ A Injection for 1.53 2.62 2.80 0.48 0.50 0.09 4.24 4.42 2.10 2.12 000
breast x-ray.
19100......... ........ A Bx breast 1.27 2.09 2.08 0.33 0.40 0.16 3.52 3.51 1.76 1.83 000
percut w/o
image.
19101......... ........ A Biopsy of 3.18 4.35 4.46 1.77 1.88 0.39 7.92 8.03 5.34 5.45 010
breast, open.
19102......... ........ A Bx breast 2.00 3.41 3.73 0.61 0.65 0.14 5.55 5.87 2.75 2.79 000
percut w/image.
19103......... ........ A Bx breast 3.69 10.05 11.13 1.09 1.20 0.30 14.04 15.12 5.08 5.19 000
percut w/
device.
19110......... ........ A Nipple 4.29 6.45 5.96 3.28 2.97 0.57 11.31 10.82 8.14 7.83 090
exploration.
19112......... ........ A Excise breast 3.66 6.31 6.12 3.17 2.80 0.48 10.45 10.26 7.31 6.94 090
duct fistula.
19120......... ........ A Removal of 5.80 5.12 4.69 3.39 3.14 0.73 11.65 11.22 9.92 9.67 090
breast lesion.
19125......... ........ A Excision, 6.55 5.60 4.99 3.68 3.38 0.80 12.95 12.34 11.03 10.73 090
breast lesion.
19126......... ........ A Excision, addl 2.93 NA NA 0.76 0.94 0.38 NA NA 4.07 4.25 ZZZ
breast lesion.
19140......... ........ A Removal of 5.13 8.06 7.37 3.85 3.51 0.69 13.88 13.19 9.67 9.33 090
breast tissue.
19160......... ........ A Partial 5.98 NA NA 3.64 3.48 0.79 NA NA 10.41 10.25 090
mastectomy.
19162......... ........ A P-mastectomy w/ 13.81 NA NA 6.16 6.29 1.79 NA NA 21.76 21.89 090
ln removal.
19180......... ........ A Removal of 15.61 NA NA 7.07 5.53 1.18 NA NA 23.86 22.32 090
breast.
19182......... ........ A Removal of 7.72 NA NA 5.01 4.82 1.04 NA NA 13.77 13.58 090
breast.
19200......... ........ A Removal of 17.14 NA NA 8.22 8.03 1.92 NA NA 27.28 27.09 090
breast.
19220......... ........ A Removal of 17.74 NA NA 8.69 8.35 2.07 NA NA 28.50 28.16 090
breast.
19240......... ........ A Removal of 17.84 NA NA 8.85 8.36 2.12 NA NA 28.81 28.32 090
breast.
19260......... ........ A Removal of 17.53 NA NA 10.33 10.95 2.13 NA NA 29.99 30.61 090
chest wall
lesion.
19271......... ........ A Revision of 21.73 NA NA 16.03 17.47 2.62 NA NA 40.38 41.82 090
chest wall.
19272......... ........ A Extensive chest 24.68 NA NA 17.13 18.48 2.99 NA NA 44.80 46.15 090
wall surgery.
19290......... ........ A Place needle 1.27 2.85 2.85 0.39 0.41 0.07 4.19 4.19 1.73 1.75 000
wire, breast.
19291......... ........ A Place needle 0.63 1.12 1.19 0.20 0.21 0.04 1.79 1.86 0.87 0.88 ZZZ
wire, breast.
19295......... ........ A Place breast 0.00 2.30 2.59 0.00 2.02 0.01 2.31 2.60 0.01 2.03 ZZZ
clip, percut.
19296......... ........ A Place po breast 3.63 85.32 115.4 1.21 1.45 0.36 89.31 119.4 5.20 5.44 000
cath for rad.
19297......... ........ A Place breast 1.72 NA NA 0.47 0.60 0.17 NA NA 2.36 2.49 ZZZ
cath for rad.
19298......... ........ A Place breast 6.00 22.79 37.32 1.92 2.29 0.43 29.22 43.75 8.35 8.72 000
rad tube/caths.
19316......... ........ A Suspension of 10.92 NA NA 7.10 7.41 1.64 NA NA 19.66 19.97 090
breast.
19318......... ........ A Reduction of 15.85 NA NA 9.99 10.88 2.92 NA NA 28.76 29.65 090
large breast.
19324......... ........ A Enlarge breast. 6.59 NA NA 4.67 4.84 0.84 NA NA 12.10 12.27 090
19325......... ........ A Enlarge breast 8.44 NA NA 6.46 6.51 1.33 NA NA 16.23 16.28 090
with implant.
19328......... ........ A Removal of 6.30 NA NA 5.03 5.02 0.91 NA NA 12.24 12.23 090
breast implant.
19330......... ........ A Removal of 8.33 NA NA 6.21 6.08 1.26 NA NA 15.80 15.67 090
implant
material.
19340......... ........ A Immediate 6.32 NA NA 2.86 3.05 1.06 NA NA 10.24 10.43 ZZZ
breast
prosthesis.
19342......... ........ A Delayed breast 12.31 NA NA 9.01 8.94 1.83 NA NA 23.15 23.08 090
prosthesis.
19350......... ........ A Breast 8.91 9.93 12.86 6.61 7.03 1.41 20.25 23.18 16.93 17.35 090
reconstruction.
19355......... ........ A Correct 8.31 7.78 9.63 4.93 4.76 0.92 17.01 18.86 14.16 13.99 090
inverted
nipple(s).
19357......... ........ A Breast 20.33 NA NA 15.50 15.58 2.93 NA NA 38.76 38.84 090
reconstruction.
19361......... ........ A Breast 20.63 NA NA 12.36 12.41 2.92 NA NA 35.91 35.96 090
reconstruction.
19364......... ........ A Breast 42.30 NA NA 22.88 23.38 6.22 NA NA 71.40 71.90 090
reconstruction.
19366......... ........ A Breast 21.62 NA NA 10.10 11.21 3.24 NA NA 34.96 36.07 090
reconstruction.
19367......... ........ A Breast 26.51 NA NA 15.33 16.35 4.03 NA NA 45.87 46.89 090
reconstruction.
19368......... ........ A Breast 33.51 NA NA 18.23 18.75 5.52 NA NA 57.26 57.78 090
reconstruction.
19369......... ........ A Breast 30.92 NA NA 15.98 17.80 4.50 NA NA 51.40 53.22 090
reconstruction.
19370......... ........ A Surgery of 8.92 NA NA 6.86 6.89 1.29 NA NA 17.07 17.10 090
breast capsule.
19371......... ........ A Removal of 10.34 NA NA 7.74 7.80 1.62 NA NA 19.70 19.76 090
breast capsule.
19380......... ........ A Revise breast 10.13 NA NA 7.67 7.69 1.44 NA NA 19.24 19.26 090
reconstruction.
19396......... ........ A Design custom 2.17 4.52 1.94 1.24 1.05 0.30 6.99 4.41 3.71 3.52 000
breast implant.
19499......... ........ C Breast surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
20000......... ........ A Incision of 2.12 2.79 2.72 1.53 1.68 0.25 5.16 5.09 3.90 4.05 010
abscess.
20005......... ........ A Incision of 3.53 3.72 3.55 2.04 2.20 0.46 7.71 7.54 6.03 6.19 010
deep abscess.
20100......... ........ A Explore wound, 10.31 NA NA 3.63 4.25 1.21 NA NA 15.15 15.77 010
neck.
20101......... ........ A Explore wound, 3.22 6.46 6.06 1.52 1.60 0.44 10.12 9.72 5.18 5.26 010
chest.
20102......... ........ A Explore wound, 3.93 6.99 7.34 1.85 1.89 0.49 11.41 11.76 6.27 6.31 010
abdomen.
20103......... ........ A Explore wound, 5.29 7.72 8.37 2.73 3.23 0.75 13.76 14.41 8.77 9.27 010
extremity.
20150......... ........ A Excise 14.54 NA NA 7.73 7.21 2.03 NA NA 24.30 23.78 090
epiphyseal bar.
[[Page 49096]]
20200......... ........ A Muscle biopsy.. 1.46 3.17 3.07 0.70 0.74 0.23 4.86 4.76 2.39 2.43 000
20205......... ........ A Deep muscle 2.35 3.86 3.88 1.11 1.17 0.33 6.54 6.56 3.79 3.85 000
biopsy.
20206......... ........ A Needle biopsy, 0.99 5.25 6.19 0.54 0.61 0.07 6.31 7.25 1.60 1.67 000
muscle.
20220......... ........ A Bone biopsy, 1.27 2.71 4.10 0.65 0.76 0.08 4.06 5.45 2.00 2.11 000
trocar/needle.
20225......... ........ A Bone biopsy, 1.87 13.16 21.63 1.03 1.11 0.22 15.25 23.72 3.12 3.20 000
trocar/needle.
20240......... ........ A Bone biopsy, 3.23 NA NA 2.07 2.43 0.44 NA NA 5.74 6.10 010
excisional.
20245......... ........ A Bone biopsy, 8.71 NA NA 5.79 6.38 1.31 NA NA 15.81 16.40 010
excisional.
20250......... ........ A Open bone 5.14 NA NA 3.74 3.56 1.02 NA NA 9.90 9.72 010
biopsy.
20251......... ........ A Open bone 5.67 NA NA 3.91 4.10 1.15 NA NA 10.73 10.92 010
biopsy.
20500......... ........ A Injection of 1.23 1.30 2.02 0.85 1.36 0.12 2.65 3.37 2.20 2.71 010
sinus tract.
20501......... ........ A Inject sinus 0.76 2.35 2.77 0.24 0.25 0.04 3.15 3.57 1.04 1.05 000
tract for x-
ray.
20520......... ........ A Removal of 1.85 2.59 2.83 1.44 1.68 0.21 4.65 4.89 3.50 3.74 010
foreign body.
20525......... ........ A Removal of 3.49 7.09 8.63 2.20 2.52 0.51 11.09 12.63 6.20 6.52 010
foreign body.
20526......... ........ A Ther injection, 0.94 0.82 0.93 0.41 0.49 0.13 1.89 2.00 1.48 1.56 000
carp tunnel.
20550......... ........ A Inj tendon 0.75 0.63 0.69 0.28 0.24 0.09 1.47 1.53 1.12 1.08 000
sheath/
ligament.
20551......... ........ A Inj tendon 0.75 0.64 0.67 0.29 0.32 0.08 1.47 1.50 1.12 1.15 000
origin/
insertion.
20552......... ........ A Inj trigger 0.66 0.58 0.69 0.25 0.21 0.05 1.29 1.40 0.96 0.92 000
point, 1/2
muscl.
20553......... ........ A Inject trigger 0.75 0.65 0.78 0.27 0.23 0.04 1.44 1.57 1.06 1.02 000
points, =/> 3.
20600......... ........ A Drain/inject, 0.66 0.67 0.66 0.31 0.34 0.08 1.41 1.40 1.05 1.08 000
joint/bursa.
20605......... ........ A Drain/inject, 0.68 0.74 0.76 0.33 0.35 0.08 1.50 1.52 1.09 1.11 000
joint/bursa.
20610......... ........ A Drain/inject, 0.79 1.07 0.98 0.40 0.42 0.11 1.97 1.88 1.30 1.32 000
joint/bursa.
20612......... ........ A Aspirate/inj 0.70 0.70 0.71 0.32 0.35 0.10 1.50 1.51 1.12 1.15 000
ganglion cyst.
20615......... ........ A Treatment of 2.28 2.72 3.31 1.41 1.73 0.20 5.20 5.79 3.89 4.21 010
bone cyst.
20650......... ........ A Insert and 2.23 2.51 2.40 1.48 1.53 0.31 5.05 4.94 4.02 4.07 010
remove bone
pin.
20660......... ........ A Apply, rem 2.51 3.39 3.14 1.50 1.58 0.59 6.49 6.24 4.60 4.68 000
fixation
device.
20661......... ........ A Application of 5.06 NA NA 6.00 5.18 1.14 NA NA 12.20 11.38 090
head brace.
20662......... ........ A Application of 6.18 NA NA 4.85 5.35 0.56 NA NA 11.59 12.09 090
pelvis brace.
20663......... ........ A Application of 5.54 NA NA 5.14 4.91 0.94 NA NA 11.62 11.39 090
thigh brace.
20664......... ........ A Halo brace 9.78 NA NA 8.13 7.31 1.74 NA NA 19.65 18.83 090
application.
20665......... ........ A Removal of 1.31 1.38 1.96 0.97 1.26 0.19 2.88 3.46 2.47 2.76 010
fixation
device.
20670......... ........ A Removal of 1.74 6.70 10.33 1.68 2.00 0.28 8.72 12.35 3.70 4.02 010
support
implant.
20680......... ........ A Removal of 5.86 8.20 8.64 4.10 3.82 0.56 14.62 15.06 10.52 10.24 090
support
implant.
20690......... ........ A Apply bone 3.63 NA NA 2.27 2.45 0.59 NA NA 6.49 6.67 090
fixation
device.
20692......... ........ A Apply bone 6.40 NA NA 3.29 3.65 1.05 NA NA 10.74 11.10 090
fixation
device.
20693......... ........ A Adjust bone 5.91 NA NA 4.54 5.22 0.98 NA NA 11.43 12.11 090
fixation
device.
20694......... ........ A Remove bone 4.15 5.37 6.70 3.56 3.92 0.71 10.23 11.56 8.42 8.78 090
fixation
device.
20802......... ........ A Replantation, 42.16 NA NA 24.05 21.73 3.81 NA NA 70.02 67.70 090
arm, complete.
20805......... ........ A Replant 51.00 NA NA 25.95 32.22 4.84 NA NA 81.79 88.06 090
forearm,
complete.
20808......... ........ A Replantation 62.63 NA NA 38.79 41.36 6.86 NA NA 108.28 110.85 090
hand, complete.
20816......... ........ A Replantation 31.64 NA NA 24.53 34.48 4.52 NA NA 60.69 70.64 090
digit,
complete.
20822......... ........ A Replantation 26.30 NA NA 22.24 31.50 4.18 NA NA 52.72 61.98 090
digit,
complete.
20824......... ........ A Replantation 31.64 NA NA 25.77 33.85 4.61 NA NA 62.02 70.10 090
thumb,
complete.
20827......... ........ A Replantation 27.12 NA NA 23.90 33.33 3.66 NA NA 54.68 64.11 090
thumb,
complete.
20838......... ........ A Replantation 42.42 NA NA 13.65 20.12 1.12 NA NA 57.19 63.66 090
foot, complete.
20900......... ........ A Removal of bone 5.69 9.33 8.66 4.95 5.49 0.94 15.96 15.29 11.58 12.12 090
for graft.
20902......... ........ A Removal of bone 7.90 NA NA 5.84 6.62 1.30 NA NA 15.04 15.82 090
for graft.
20910......... ........ A Remove 5.33 NA NA 4.62 5.04 0.71 NA NA 10.66 11.08 090
cartilage for
graft.
20912......... ........ A Remove 6.34 NA NA 4.67 5.51 0.69 NA NA 11.70 12.54 090
cartilage for
graft.
20920......... ........ A Removal of 5.36 NA NA 4.36 4.26 0.66 NA NA 10.38 10.28 090
fascia for
graft.
20922......... ........ A Removal of 6.78 7.52 7.54 4.96 4.89 0.70 15.00 15.02 12.44 12.37 090
fascia for
graft.
20924......... ........ A Removal of 6.53 NA NA 5.00 5.66 1.04 NA NA 12.57 13.23 090
tendon for
graft.
20926......... ........ A Removal of 5.64 NA NA 4.41 4.67 0.87 NA NA 10.92 11.18 090
tissue for
graft.
20931......... ........ A Spinal bone 1.81 NA NA 0.69 0.87 0.43 NA NA 2.93 3.11 ZZZ
allograft.
20937......... ........ A Spinal bone 2.79 NA NA 1.09 1.36 0.54 NA NA 4.42 4.69 ZZZ
autograft.
20938......... ........ A Spinal bone 3.02 NA NA 1.16 1.46 0.64 NA NA 4.82 5.12 ZZZ
autograft.
20950......... ........ A Fluid pressure, 1.26 4.19 6.18 0.88 0.96 0.20 5.65 7.64 2.34 2.42 000
muscle.
[[Page 49097]]
20955......... ........ A Fibula bone 39.90 NA NA 18.08 22.72 4.89 NA NA 62.87 67.51 090
graft,
microvasc.
20956......... ........ A Iliac bone 40.79 NA NA 20.77 23.75 7.01 NA NA 68.57 71.55 090
graft,
microvasc.
20957......... ........ A Mt bone graft, 42.17 NA NA 19.43 19.06 7.05 NA NA 68.65 68.28 090
microvasc.
20962......... ........ A Other bone 39.21 NA NA 21.28 25.21 6.55 NA NA 67.04 70.97 090
graft,
microvasc.
20969......... ........ A Bone/skin 44.99 NA NA 20.27 25.04 4.79 NA NA 70.05 74.82 090
graft,
microvasc.
20970......... ........ A Bone/skin 44.14 NA NA 20.21 24.09 6.60 NA NA 70.95 74.83 090
graft, iliac
crest.
20972......... ........ A Bone/skin 44.07 NA NA 17.61 19.84 5.30 NA NA 66.98 69.21 090
graft,
metatarsal.
20973......... ........ A Bone/skin 46.83 NA NA 15.05 22.63 5.54 NA NA 67.42 75.00 090
graft, great
toe.
20974......... ........ A Electrical bone 0.62 0.99 0.77 0.49 0.53 0.11 1.72 1.50 1.22 1.26 000
stimulation.
20975......... ........ A Electrical bone 2.60 NA NA 1.48 1.65 0.51 NA NA 4.59 4.76 000
stimulation.
20979......... ........ A Us bone 0.62 0.58 0.75 0.19 0.30 0.09 1.29 1.46 0.90 1.01 000
stimulation.
20982......... ........ A Ablate, bone 7.27 83.20 103.0 2.62 2.88 0.69 91.16 110.9 10.58 10.84 000
tumor(s) perq.
20999......... ........ C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
21010......... ........ A Incision of jaw 10.82 NA NA 5.85 6.78 1.11 NA NA 17.78 18.71 090
joint.
21015......... ........ A Resection of 5.53 NA NA 4.30 4.83 0.70 NA NA 10.53 11.06 090
facial tumor.
21025......... ........ A Excision of 10.99 12.48 12.30 8.68 9.18 1.32 24.79 24.61 20.99 21.49 090
bone, lower
jaw.
21026......... ........ A Excision of 5.46 8.70 8.07 5.84 6.20 0.60 14.76 14.13 11.90 12.26 090
facial bone(s).
21029......... ........ A Contour of face 8.20 9.26 9.34 6.27 6.83 0.94 18.40 18.48 15.41 15.97 090
bone lesion.
21030......... ........ A Excise max/ 4.74 7.18 6.54 4.67 4.94 0.54 12.46 11.82 9.95 10.22 090
zygoma b9
tumor.
21031......... ........ A Remove 3.24 5.99 5.38 3.51 3.59 0.48 9.71 9.10 7.23 7.31 090
exostosis,
mandible.
21032......... ........ A Remove 3.24 6.07 5.52 3.37 3.48 0.47 9.78 9.23 7.08 7.19 090
exostosis,
maxilla.
21034......... ........ A Excise max/ 17.09 13.17 15.23 9.51 11.87 1.71 31.97 34.03 28.31 30.67 090
zygoma mlg
tumor.
21040......... ........ A Excise mandible 4.74 7.25 6.61 4.67 4.71 0.54 12.53 11.89 9.95 9.99 090
lesion.
21044......... ........ A Removal of jaw 12.53 NA NA 7.48 8.90 1.12 NA NA 21.13 22.55 090
bone lesion.
21045......... ........ A Extensive jaw 18.03 NA NA 10.01 11.77 1.52 NA NA 29.56 31.32 090
surgery.
21046......... ........ A Remove mandible 13.85 NA NA 11.62 11.83 1.85 NA NA 27.32 27.53 090
cyst complex.
21047......... ........ A Excise lwr jaw 19.71 NA NA 9.74 12.52 2.12 NA NA 31.57 34.35 090
cyst w/repair.
21048......... ........ A Remove maxilla 14.35 NA NA 11.37 11.94 1.76 NA NA 27.48 28.05 090
cyst complex.
21049......... ........ A Excis uppr jaw 18.96 NA NA 9.09 12.04 1.59 NA NA 29.64 32.59 090
cyst w/repair.
21050......... ........ A Removal of jaw 11.44 NA NA 8.18 9.13 1.47 NA NA 21.09 22.04 090
joint.
21060......... ........ A Remove jaw 10.83 NA NA 7.52 8.34 1.38 NA NA 19.73 20.55 090
joint
cartilage.
21070......... ........ A Remove coronoid 8.44 NA NA 6.15 6.86 1.27 NA NA 15.86 16.57 090
process.
21076......... ........ A Prepare face/ 13.40 7.85 11.23 4.80 8.70 1.99 23.24 26.62 20.19 24.09 010
oral
prosthesis.
21077......... ........ A Prepare face/ 33.70 18.26 28.06 12.31 22.58 4.55 56.51 66.31 50.56 60.83 090
oral
prosthesis.
21079......... ........ A Prepare face/ 22.31 13.35 19.46 8.28 14.93 3.15 38.81 44.92 33.74 40.39 090
oral
prosthesis.
21080......... ........ A Prepare face/ 25.06 15.43 22.23 9.22 16.83 3.74 44.23 51.03 38.02 45.63 090
oral
prosthesis.
21081......... ........ A Prepare face/ 22.85 14.17 20.27 8.48 15.24 3.20 40.22 46.32 34.53 41.29 090
oral
prosthesis.
21082......... ........ A Prepare face/ 20.84 14.12 18.04 8.42 13.90 3.11 38.07 41.99 32.37 37.85 090
oral
prosthesis.
21083......... ........ A Prepare face/ 19.27 14.06 17.61 7.91 12.80 2.88 36.21 39.76 30.06 34.95 090
oral
prosthesis.
21084......... ........ A Prepare face/ 22.48 15.56 20.71 8.82 15.48 2.18 40.22 45.37 33.48 40.14 090
oral
prosthesis.
21085......... ........ A Prepare face/ 8.99 6.54 7.85 3.57 5.98 1.27 16.80 18.11 13.83 16.24 010
oral
prosthesis.
21086......... ........ A Prepare face/ 24.88 12.62 20.96 8.63 16.73 3.71 41.21 49.55 37.22 45.32 090
oral
prosthesis.
21087......... ........ A Prepare face/ 24.88 12.85 20.67 8.82 16.60 3.44 41.17 48.99 37.14 44.92 090
oral
prosthesis.
21088......... ........ C Prepare face/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
oral
prosthesis.
21089......... ........ C Prepare face/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
oral
prosthesis.
21100......... ........ A Maxillofacial 4.46 13.75 12.09 5.05 4.82 0.34 18.55 16.89 9.85 9.62 090
fixation.
21110......... ........ A Interdental 5.70 13.26 10.49 9.89 8.74 0.72 19.68 16.91 16.31 15.16 090
fixation.
21116......... ........ A Injection, jaw 0.81 2.44 3.86 0.22 0.30 0.06 3.31 4.73 1.09 1.17 000
joint x-ray.
21120......... ........ A Reconstruction 4.92 10.02 10.44 6.88 7.34 0.60 15.54 15.96 12.40 12.86 090
of chin.
21121......... ........ A Reconstruction 7.63 10.59 9.95 7.50 7.74 0.90 19.12 18.48 16.03 16.27 090
of chin.
21122......... ........ A Reconstruction 8.51 NA NA 7.64 8.38 1.07 NA NA 17.22 17.96 090
of chin.
21123......... ........ A Reconstruction 11.14 NA NA 10.06 10.62 1.40 NA NA 22.60 23.16 090
of chin.
21125......... ........ A Augmentation, 10.60 68.89 58.64 7.04 8.00 0.79 80.28 70.03 18.43 19.39 090
lower jaw bone.
21127......... ........ A Augmentation, 12.16 86.74 53.79 7.70 9.01 1.52 100.4 67.47 21.38 22.69 090
lower jaw bone.
21137......... ........ A Reduction of 10.06 NA NA 6.30 7.37 1.32 NA NA 17.68 18.75 090
forehead.
21138......... ........ A Reduction of 12.67 NA NA 8.50 9.27 1.74 NA NA 22.91 23.68 090
forehead.
21139......... ........ A Reduction of 14.84 NA NA 8.49 10.42 1.18 NA NA 24.51 26.44 090
forehead.
21141......... ........ A Reconstruct 19.13 NA NA 11.47 13.11 2.35 NA NA 32.95 34.59 090
midface,
lefort.
21142......... ........ A Reconstruct 19.84 NA NA 10.53 12.25 2.38 NA NA 32.75 34.47 090
midface,
lefort.
21143......... ........ A Reconstruct 20.61 NA NA 8.90 12.96 1.66 NA NA 31.17 35.23 090
midface,
lefort.
21145......... ........ A Reconstruct 23.52 NA NA 12.75 13.61 2.84 NA NA 39.11 39.97 090
midface,
lefort.
21146......... ........ A Reconstruct 24.42 NA NA 9.45 13.86 3.09 NA NA 36.96 41.37 090
midface,
lefort.
21147......... ........ A Reconstruct 26.01 NA NA 13.58 14.68 1.84 NA NA 41.43 42.53 090
midface,
lefort.
21150......... ........ A Reconstruct 25.70 NA NA 13.25 15.88 2.55 NA NA 41.50 44.13 090
midface,
lefort.
21151......... ........ A Reconstruct 28.76 NA NA 11.72 20.14 2.30 NA NA 42.78 51.20 090
midface,
lefort.
21154......... ........ A Reconstruct 30.95 NA NA 21.25 22.65 2.48 NA NA 54.68 56.08 090
midface,
lefort.
[[Page 49098]]
21155......... ........ A Reconstruct 34.88 NA NA 13.43 21.28 6.64 NA NA 54.95 62.80 090
midface,
lefort.
21159......... ........ A Reconstruct 42.80 NA NA 15.27 25.63 8.18 NA NA 66.25 76.61 090
midface,
lefort.
21160......... ........ A Reconstruct 46.85 NA NA 23.11 26.38 4.13 NA NA 74.09 77.36 090
midface,
lefort.
21172......... ........ A Reconstruct 28.01 NA NA 13.59 13.71 3.55 NA NA 45.15 45.27 090
orbit/forehead.
21175......... ........ A Reconstruct 33.37 NA NA 12.92 16.57 4.83 NA NA 51.12 54.77 090
orbit/forehead.
21179......... ........ A Reconstruct 22.47 NA NA 10.96 13.34 2.80 NA NA 36.23 38.61 090
entire
forehead.
21180......... ........ A Reconstruct 25.40 NA NA 13.01 14.79 3.48 NA NA 41.89 43.67 090
entire
forehead.
21181......... ........ A Contour cranial 10.14 NA NA 7.05 7.36 1.32 NA NA 18.51 18.82 090
bone lesion.
21182......... ........ A Reconstruct 32.39 NA NA 14.29 17.91 2.80 NA NA 49.48 53.10 090
cranial bone.
21183......... ........ A Reconstruct 35.51 NA NA 15.48 19.49 4.47 NA NA 55.46 59.47 090
cranial bone.
21184......... ........ A Reconstruct 38.43 NA NA 21.02 21.71 5.70 NA NA 65.15 65.84 090
cranial bone.
21188......... ........ A Reconstruction 22.91 NA NA 14.82 17.86 1.69 NA NA 39.42 42.46 090
of midface.
21193......... ........ A Reconst lwr jaw 18.55 NA NA 10.06 12.00 2.23 NA NA 30.84 32.78 090
w/o graft.
21194......... ........ A Reconst lwr jaw 21.43 NA NA 11.45 13.18 2.02 NA NA 34.90 36.63 090
w/graft.
21195......... ........ A Reconst lwr jaw 18.77 NA NA 13.26 14.43 1.64 NA NA 33.67 34.84 090
w/o fixation.
21196......... ........ A Reconst lwr jaw 20.44 NA NA 13.20 15.07 2.07 NA NA 35.71 37.58 090
w/fixation.
21198......... ........ A Reconstr lwr 15.39 NA NA 11.05 12.29 1.44 NA NA 27.88 29.12 090
jaw segment.
21199......... ........ A Reconstr lwr 16.56 NA NA 6.79 8.53 1.39 NA NA 24.74 26.48 090
jaw w/advance.
21206......... ........ A Reconstruct 15.27 NA NA 11.15 12.26 1.33 NA NA 27.75 28.86 090
upper jaw bone.
21208......... ........ A Augmentation of 11.03 32.43 24.86 7.71 9.11 1.09 44.55 36.98 19.83 21.23 090
facial bones.
21209......... ........ A Reduction of 7.46 12.33 11.18 7.42 7.91 0.90 20.69 19.54 15.78 16.27 090
facial bones.
21210......... ........ A Face bone graft 11.28 43.84 29.61 7.70 8.94 1.30 56.42 42.19 20.28 21.52 090
21215......... ........ A Lower jaw bone 11.82 86.57 53.05 7.99 9.02 1.53 99.92 66.40 21.34 22.37 090
graft.
21230......... ........ A Rib cartilage 11.00 NA NA 6.94 7.77 1.29 NA NA 19.23 20.06 090
graft.
21235......... ........ A Ear cartilage 7.21 9.70 9.81 5.89 6.28 0.61 17.52 17.63 13.71 14.10 090
graft.
21240......... ........ A Reconstruction 15.65 NA NA 11.31 11.87 2.24 NA NA 29.20 29.76 090
of jaw joint.
21242......... ........ A Reconstruction 14.20 NA NA 10.64 11.29 1.78 NA NA 26.62 27.27 090
of jaw joint.
21243......... ........ A Reconstruction 23.83 NA NA 15.77 17.02 3.25 NA NA 42.85 44.10 090
of jaw joint.
21244......... ........ A Reconstruction 13.23 NA NA 10.93 11.80 1.25 NA NA 25.41 26.28 090
of lower jaw.
21245......... ........ A Reconstruction 12.78 13.37 14.14 7.99 9.39 1.19 27.34 28.11 21.96 23.36 090
of jaw.
21246......... ........ A Reconstruction 12.70 NA NA 6.67 8.45 1.35 NA NA 20.72 22.50 090
of jaw.
21247......... ........ A Reconstruct 23.91 NA NA 13.59 16.41 2.83 NA NA 40.33 43.15 090
lower jaw bone.
21248......... ........ A Reconstruction 12.46 12.60 12.25 7.51 8.93 1.55 26.61 26.26 21.52 22.94 090
of jaw.
21249......... ........ A Reconstruction 18.49 16.13 16.57 9.94 12.00 2.48 37.10 37.54 30.91 32.97 090
of jaw.
21255......... ........ A Reconstruct 18.00 NA NA 13.33 15.43 2.38 NA NA 33.71 35.81 090
lower jaw bone.
21256......... ........ A Reconstruction 17.32 NA NA 9.98 11.36 1.50 NA NA 28.80 30.18 090
of orbit.
21260......... ........ A Revise eye 17.66 NA NA 9.51 11.95 0.97 NA NA 28.14 30.58 090
sockets.
21261......... ........ A Revise eye 33.66 NA NA 14.88 21.89 3.42 NA NA 51.96 58.97 090
sockets.
21263......... ........ A Revise eye 30.60 NA NA 14.17 17.85 2.62 NA NA 47.39 51.07 090
sockets.
21267......... ........ A Revise eye 20.35 NA NA 16.14 18.86 1.70 NA NA 38.19 40.91 090
sockets.
21268......... ........ A Revise eye 26.66 NA NA 15.74 19.09 3.65 NA NA 46.05 49.40 090
sockets.
21270......... ........ A Augmentation, 10.46 11.17 11.53 5.89 6.91 0.72 22.35 22.71 17.07 18.09 090
cheek bone.
21275......... ........ A Revision, 11.59 NA NA 7.41 7.97 1.29 NA NA 20.29 20.85 090
orbitofacial
bones.
21280......... ........ A Revision of 6.84 NA NA 5.84 5.90 0.42 NA NA 13.10 13.16 090
eyelid.
21282......... ........ A Revision of 4.05 NA NA 4.26 4.43 0.26 NA NA 8.57 8.74 090
eyelid.
21295......... ........ A Revision of jaw 1.78 NA NA 2.61 2.55 0.16 NA NA 4.55 4.49 090
muscle/bone.
21296......... ........ A Revision of jaw 4.61 NA NA 5.46 5.05 0.34 NA NA 10.41 10.00 090
muscle/bone.
21299......... ........ C Cranio/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
maxillofacial
surgery.
21300......... ........ A Treatment of 0.72 0.28 1.84 0.28 0.27 0.13 1.13 2.69 1.13 1.12 000
skull fracture.
21310......... ........ A Treatment of 0.58 1.97 2.20 0.11 0.14 0.05 2.60 2.83 0.74 0.77 000
nose fracture.
21315......... ........ A Treatment of 1.76 4.46 4.29 1.65 1.82 0.14 6.36 6.19 3.55 3.72 010
nose fracture.
21320......... ........ A Treatment of 1.85 4.05 3.95 1.25 1.53 0.18 6.08 5.98 3.28 3.56 010
nose fracture.
21325......... ........ A Treatment of 4.01 NA NA 6.72 8.15 0.31 NA NA 11.04 12.47 090
nose fracture.
21330......... ........ A Treatment of 5.62 NA NA 7.44 9.14 0.56 NA NA 13.62 15.32 090
nose fracture.
21335......... ........ A Treatment of 8.85 NA NA 7.74 9.15 0.74 NA NA 17.33 18.74 090
nose fracture.
21336......... ........ A Treat nasal 6.46 NA NA 8.16 9.25 0.55 NA NA 15.17 16.26 090
septal
fracture.
[[Page 49099]]
21337......... ........ A Treat nasal 3.20 5.87 6.06 3.36 3.52 0.28 9.35 9.54 6.84 7.00 090
septal
fracture.
21338......... ........ A Treat 6.70 NA NA 9.66 12.93 0.82 NA NA 17.18 20.45 090
nasoethmoid
fracture.
21339......... ........ A Treat 8.33 NA NA 10.63 13.08 0.96 NA NA 19.92 22.37 090
nasoethmoid
fracture.
21340......... ........ A Treatment of 11.25 NA NA 7.36 8.14 1.15 NA NA 19.76 20.54 090
nose fracture.
21343......... ........ A Treatment of 14.01 NA NA 12.51 14.73 1.47 NA NA 27.99 30.21 090
sinus fracture.
21344......... ........ A Treatment of 21.26 NA NA 13.04 15.64 2.43 NA NA 36.73 39.33 090
sinus fracture.
21345......... ........ A Treat nose/jaw 8.77 9.69 9.80 5.98 6.87 0.92 19.38 19.49 15.67 16.56 090
fracture.
21346......... ........ A Treat nose/jaw 11.21 NA NA 10.76 11.84 1.21 NA NA 23.18 24.26 090
fracture.
21347......... ........ A Treat nose/jaw 13.29 NA NA 11.56 15.03 1.47 NA NA 26.32 29.79 090
fracture.
21348......... ........ A Treat nose/jaw 17.28 NA NA 6.42 9.94 2.48 NA NA 26.18 29.70 090
fracture.
21355......... ........ A Treat cheek 4.26 5.61 6.08 3.00 3.36 0.34 10.21 10.68 7.60 7.96 010
bone fracture.
21356......... ........ A Treat cheek 4.64 6.78 7.04 3.92 4.39 0.46 11.88 12.14 9.02 9.49 010
bone fracture.
21360......... ........ A Treat cheek 6.95 NA NA 5.25 5.76 0.74 NA NA 12.94 13.45 090
bone fracture.
21365......... ........ A Treat cheek 16.42 NA NA 8.90 10.35 1.69 NA NA 27.01 28.46 090
bone fracture.
21366......... ........ A Treat cheek 18.36 NA NA 10.35 11.09 2.49 NA NA 31.20 31.94 090
bone fracture.
21385......... ........ A Treat eye 9.40 NA NA 6.90 7.94 0.97 NA NA 17.27 18.31 090
socket
fracture.
21386......... ........ A Treat eye 9.40 NA NA 5.69 6.73 0.97 NA NA 16.06 17.10 090
socket
fracture.
21387......... ........ A Treat eye 9.94 NA NA 7.25 8.53 1.08 NA NA 18.27 19.55 090
socket
fracture.
21390......... ........ A Treat eye 11.01 NA NA 7.05 7.61 0.90 NA NA 18.96 19.52 090
socket
fracture.
21395......... ........ A Treat eye 14.58 NA NA 7.78 8.71 1.44 NA NA 23.80 24.73 090
socket
fracture.
21400......... ........ A Treat eye 1.40 2.74 2.64 1.98 1.90 0.15 4.29 4.19 3.53 3.45 090
socket
fracture.
21401......... ........ A Treat eye 3.51 7.21 7.80 3.10 3.39 0.38 11.10 11.69 6.99 7.28 090
socket
fracture.
21406......... ........ A Treat eye 7.25 NA NA 5.08 5.83 0.73 NA NA 13.06 13.81 090
socket
fracture.
21407......... ........ A Treat eye 8.85 NA NA 5.89 6.62 0.94 NA NA 15.68 16.41 090
socket
fracture.
21408......... ........ A Treat eye 12.61 NA NA 7.91 8.64 1.44 NA NA 21.96 22.69 090
socket
fracture.
21421......... ........ A Treat mouth 5.70 12.09 10.02 8.96 8.47 0.73 18.52 16.45 15.39 14.90 090
roof fracture.
21422......... ........ A Treat mouth 8.56 NA NA 6.79 7.76 0.99 NA NA 16.34 17.31 090
roof fracture.
21423......... ........ A Treat mouth 10.63 NA NA 7.28 8.81 1.27 NA NA 19.18 20.71 090
roof fracture.
21431......... ........ A Treat 7.66 NA NA 9.34 9.48 0.70 NA NA 17.70 17.84 090
craniofacial
fracture.
21432......... ........ A Treat 8.72 NA NA 7.18 7.84 0.81 NA NA 16.71 17.37 090
craniofacial
fracture.
21433......... ........ A Treat 26.05 NA NA 12.51 15.43 2.78 NA NA 41.34 44.26 090
craniofacial
fracture.
21435......... ........ A Treat 19.92 NA NA 10.77 12.22 1.98 NA NA 32.67 34.12 090
craniofacial
fracture.
21436......... ........ A Treat 29.89 NA NA 14.38 17.26 3.09 NA NA 47.36 50.24 090
craniofacial
fracture.
21440......... ........ A Treat dental 3.20 10.31 7.90 7.63 6.53 0.38 13.89 11.48 11.21 10.11 090
ridge fracture.
21445......... ........ A Treat dental 5.94 12.48 10.43 8.61 8.43 0.78 19.20 17.15 15.33 15.15 090
ridge fracture.
21450......... ........ A Treat lower jaw 3.47 10.41 8.14 7.64 7.06 0.33 14.21 11.94 11.44 10.86 090
fracture.
21451......... ........ A Treat lower jaw 5.36 12.93 10.25 9.63 8.71 0.63 18.92 16.24 15.62 14.70 090
fracture.
21452......... ........ A Treat lower jaw 2.23 11.77 12.71 5.89 4.93 0.27 14.27 15.21 8.39 7.43 090
fracture.
21453......... ........ A Treat lower jaw 6.28 14.74 11.74 11.59 10.95 0.74 21.76 18.76 18.61 17.97 090
fracture.
21454......... ........ A Treat lower jaw 7.07 NA NA 5.64 6.11 0.82 NA NA 13.53 14.00 090
fracture.
21461......... ........ A Treat lower jaw 8.95 41.23 28.65 12.59 12.64 0.98 51.16 38.58 22.52 22.57 090
fracture.
21462......... ........ A Treat lower jaw 10.65 42.46 31.32 13.17 12.83 1.27 54.38 43.24 25.09 24.75 090
fracture.
21465......... ........ A Treat lower jaw 12.76 NA NA 8.26 9.42 1.50 NA NA 22.52 23.68 090
fracture.
21470......... ........ A Treat lower jaw 17.12 NA NA 10.05 11.53 1.96 NA NA 29.13 30.61 090
fracture.
21480......... ........ A Reset 0.61 1.51 1.71 0.18 0.19 0.06 2.18 2.38 0.85 0.86 000
dislocated jaw.
21485......... ........ A Reset 4.48 12.20 9.22 9.18 8.04 0.51 17.19 14.21 14.17 13.03 090
dislocated jaw.
21490......... ........ A Repair 12.59 NA NA 7.86 9.23 1.96 NA NA 22.41 23.78 090
dislocated jaw.
21495......... ........ A Treat hyoid 6.43 NA NA 9.57 8.71 0.46 NA NA 16.46 15.60 090
bone fracture.
21497......... ........ A Interdental 4.35 11.96 9.33 9.14 8.02 0.50 16.81 14.18 13.99 12.87 090
wiring.
21499......... ........ C Head surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
21501......... ........ A Drain neck/ 3.80 6.42 6.42 3.43 3.72 0.43 10.65 10.65 7.66 7.95 090
chest lesion.
21502......... ........ A Drain chest 7.35 NA NA 4.77 5.42 0.97 NA NA 13.09 13.74 090
lesion.
21510......... ........ A Drainage of 5.97 NA NA 4.71 5.42 0.80 NA NA 11.48 12.19 090
bone lesion.
21550......... ........ A Biopsy of neck/ 2.06 4.28 3.76 1.73 1.72 0.16 6.50 5.98 3.95 3.94 010
chest.
21555......... ........ A Remove lesion, 4.34 5.76 5.57 3.41 3.25 0.56 10.66 10.47 8.31 8.15 090
neck/chest.
21556......... ........ A Remove lesion, 5.56 NA NA 4.01 4.08 0.65 NA NA 10.22 10.29 090
neck/chest.
21557......... ........ A Remove tumor, 8.87 NA NA 4.42 5.12 1.08 NA NA 14.37 15.07 090
neck/chest.
21600......... ........ A Partial removal 7.06 NA NA 5.79 5.75 0.99 NA NA 13.84 13.80 090
of rib.
21610......... ........ A Partial removal 15.70 NA NA 8.13 8.68 3.07 NA NA 26.90 27.45 090
of rib.
21615......... ........ A Removal of rib. 10.22 NA NA 5.46 6.38 1.45 NA NA 17.13 18.05 090
21616......... ........ A Removal of rib 12.44 NA NA 7.15 7.80 1.86 NA NA 21.45 22.10 090
and nerves.
21620......... ........ A Partial removal 7.08 NA NA 4.88 5.70 0.98 NA NA 12.94 13.76 090
of sternum.
21627......... ........ A Sternal 7.10 NA NA 5.62 6.13 1.02 NA NA 13.74 14.25 090
debridement.
21630......... ........ A Extensive 18.90 NA NA 10.55 11.52 2.58 NA NA 32.03 33.00 090
sternum
surgery.
21632......... ........ A Extensive 19.40 NA NA 9.62 10.74 2.65 NA NA 31.67 32.79 090
sternum
surgery.
21685......... ........ A Hyoid myotomy & 14.77 NA NA 7.81 9.43 1.06 NA NA 23.64 25.26 090
suspension.
[[Page 49100]]
21700......... ........ A Revision of 6.18 NA NA 3.93 4.31 0.32 NA NA 10.43 10.81 090
neck muscle.
21705......... ........ A Revision of 9.77 NA NA 4.71 5.36 1.43 NA NA 15.91 16.56 090
neck muscle/
rib.
21720......... ........ A Revision of 5.67 NA NA 4.32 2.93 0.91 NA NA 10.90 9.51 090
neck muscle.
21725......... ........ A Revision of 7.04 NA NA 4.60 5.23 1.21 NA NA 12.85 13.48 090
neck muscle.
21740......... ........ A Reconstruction 17.43 NA NA 8.77 8.58 2.36 NA NA 28.56 28.37 090
of sternum.
21742......... ........ C Repair stern/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
nuss w/o scope.
21743......... ........ C Repair sternum/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
nuss w/scope.
21750......... ........ A Repair of 11.33 NA NA 5.45 5.95 1.63 NA NA 18.41 18.91 090
sternum
separation.
21800......... ........ A Treatment of 0.96 1.35 1.34 1.42 1.36 0.09 2.40 2.39 2.47 2.41 090
rib fracture.
21805......... ........ A Treatment of 2.75 NA NA 3.56 3.29 0.38 NA NA 6.69 6.42 090
rib fracture.
21810......... ........ A Treatment of 6.85 NA NA 5.27 5.05 0.94 NA NA 13.06 12.84 090
rib
fracture(s).
21820......... ........ A Treat sternum 1.28 1.80 1.82 1.87 1.79 0.16 3.24 3.26 3.31 3.23 090
fracture.
21825......... ........ A Treat sternum 7.58 NA NA 5.46 6.16 1.11 NA NA 14.15 14.85 090
fracture.
21899......... ........ C Neck/chest 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
21920......... ........ A Biopsy soft 2.06 4.32 3.54 1.82 1.56 0.14 6.52 5.74 4.02 3.76 010
tissue of back.
21925......... ........ A Biopsy soft 4.48 5.50 5.25 3.45 3.29 0.60 10.58 10.33 8.53 8.37 090
tissue of back.
21930......... ........ A Remove lesion, 4.99 6.05 5.80 3.77 3.49 0.66 11.70 11.45 9.42 9.14 090
back or flank.
21935......... ........ A Remove tumor, 18.29 NA NA 8.56 9.36 2.47 NA NA 29.32 30.12 090
back.
22010......... ........ A I&d, p-spine, c/ 12.49 NA NA 8.06 8.68 1.73 NA NA 22.28 22.90 090
t/cerv-thor.
22015......... ........ A I&d, p-spine, l/ 12.38 NA NA 8.02 8.62 1.71 NA NA 22.11 22.71 090
s/ls.
22100......... ........ A Remove part of 10.72 NA NA 8.01 7.65 2.13 NA NA 20.86 20.50 090
neck vertebra.
22101......... ........ A Remove part, 10.80 NA NA 7.94 7.80 1.90 NA NA 20.64 20.50 090
thorax
vertebra.
22102......... ........ A Remove part, 10.80 NA NA 7.24 7.89 1.87 NA NA 19.91 20.56 090
lumbar
vertebra.
22103......... ........ A Remove extra 2.34 NA NA 0.89 1.13 0.44 NA NA 3.67 3.91 ZZZ
spine segment.
22110......... ........ A Remove part of 13.72 NA NA 9.09 9.14 2.76 NA NA 25.57 25.62 090
neck vertebra.
22112......... ........ A Remove part, 13.79 NA NA 8.97 9.20 2.52 NA NA 25.28 25.51 090
thorax
vertebra.
22114......... ........ A Remove part, 13.79 NA NA 9.08 9.21 2.63 NA NA 25.50 25.63 090
lumbar
vertebra.
22116......... ........ A Remove extra 2.32 NA NA 0.87 1.10 0.50 NA NA 3.69 3.92 ZZZ
spine segment.
22210......... ........ A Revision of 25.03 NA NA 14.74 15.24 5.44 NA NA 45.21 45.71 090
neck spine.
22212......... ........ A Revision of 20.64 NA NA 12.49 13.08 3.90 NA NA 37.03 37.62 090
thorax spine.
22214......... ........ A Revision of 20.67 NA NA 12.59 13.51 3.91 NA NA 37.17 38.09 090
lumbar spine.
22216......... ........ A Revise, extra 6.03 NA NA 2.37 2.94 1.29 NA NA 9.69 10.26 ZZZ
spine segment.
22220......... ........ A Revision of 22.59 NA NA 13.42 13.57 5.06 NA NA 41.07 41.22 090
neck spine.
22222......... ........ A Revision of 22.74 NA NA 12.19 11.40 4.12 NA NA 39.05 38.26 090
thorax spine.
22224......... ........ A Revision of 22.74 NA NA 13.17 13.96 4.18 NA NA 40.09 40.88 090
lumbar spine.
22226......... ........ A Revise, extra 6.03 NA NA 2.15 2.86 1.29 NA NA 9.47 10.18 ZZZ
spine segment.
22305......... ........ A Treat spine 2.05 2.16 2.27 1.81 1.89 0.39 4.60 4.71 4.25 4.33 090
process
fracture.
22310......... ........ A Treat spine 3.61 2.99 2.85 2.50 2.39 0.50 7.10 6.96 6.61 6.50 090
fracture.
22315......... ........ A Treat spine 9.83 9.81 9.71 7.39 7.35 1.85 21.49 21.39 19.07 19.03 090
fracture.
22318......... ........ A Treat odontoid 22.46 NA NA 13.25 13.35 5.28 NA NA 40.99 41.09 090
fx w/o graft.
22319......... ........ A Treat odontoid 25.07 NA NA 14.00 14.53 6.03 NA NA 45.10 45.63 090
fx w/graft.
22325......... ........ A Treat spine 19.52 NA NA 12.03 12.06 3.87 NA NA 35.42 35.45 090
fracture.
22326......... ........ A Treat neck 20.56 NA NA 12.13 12.56 4.42 NA NA 37.11 37.54 090
spine fracture.
22327......... ........ A Treat thorax 20.42 NA NA 12.07 12.29 3.98 NA NA 36.47 36.69 090
spine fracture.
22328......... ........ A Treat each add 4.60 NA NA 1.80 2.15 0.94 NA NA 7.34 7.69 ZZZ
spine fx.
22505......... ........ A Manipulation of 1.87 NA NA 1.06 0.97 0.36 NA NA 3.29 3.20 010
spine.
22520......... ........ A Percut 9.15 44.71 57.42 4.39 4.92 1.71 55.57 68.28 15.25 15.78 010
vertebroplasty
thor.
22521......... ........ A Percut 8.58 45.98 53.47 4.20 4.76 1.60 56.16 63.65 14.38 14.94 010
vertebroplasty
lumb.
22522......... ........ A Percut 4.30 NA NA 1.41 1.61 0.82 NA NA 6.53 6.73 ZZZ
vertebroplasty
addIl.
22523......... ........ A Percut 9.19 NA NA 4.75 5.61 1.71 NA NA 15.65 16.51 010
kyphoplasty,
thor.
22524......... ........ A Percut 8.79 NA NA 4.60 5.42 1.60 NA NA 14.99 15.81 010
kyphoplasty,
lumbar.
22525......... ........ A Percut 4.47 NA NA 1.68 2.12 0.82 NA NA 6.97 7.41 ZZZ
kyphoplasty,
add-on.
22532......... ........ A Lat thorax 25.73 NA NA 13.79 14.56 4.34 NA NA 43.86 44.63 090
spine fusion.
22533......... ........ A Lat lumbar 24.53 NA NA 13.43 13.55 3.15 NA NA 41.11 41.23 090
spine fusion.
22534......... ........ A Lat thor/lumb, 5.99 NA NA 2.31 2.85 1.25 NA NA 9.55 10.09 ZZZ
addIl seg.
22548......... ........ A Neck spine 26.78 NA NA 15.08 15.62 5.59 NA NA 47.45 47.99 090
fusion.
[[Page 49101]]
22554......... ........ A Neck spine 17.48 NA NA 10.74 11.94 4.45 NA NA 32.67 33.87 090
fusion.
22556......... ........ A Thorax spine 24.42 NA NA 13.07 14.32 4.34 NA NA 41.83 43.08 090
fusion.
22558......... ........ A Lumbar spine 23.25 NA NA 11.53 12.85 3.15 NA NA 37.93 39.25 090
fusion.
22585......... ........ A Additional 5.52 NA NA 2.09 2.62 1.25 NA NA 8.86 9.39 ZZZ
spinal fusion.
22590......... ........ A Spine & skull 21.48 NA NA 13.10 13.27 4.78 NA NA 39.36 39.53 090
spinal fusion.
22595......... ........ A Neck spinal 20.36 NA NA 12.61 12.78 4.40 NA NA 37.37 37.54 090
fusion.
22600......... ........ A Neck spine 17.12 NA NA 11.28 11.21 3.72 NA NA 32.12 32.05 090
fusion.
22610......... ........ A Thorax spine 17.00 NA NA 10.88 11.28 3.52 NA NA 31.40 31.80 090
fusion.
22612......... ........ A Lumbar spine 22.50 NA NA 12.92 13.88 4.46 NA NA 39.88 40.84 090
fusion.
22614......... ........ A Spine fusion, 6.43 NA NA 2.49 3.14 1.38 NA NA 10.30 10.95 ZZZ
extra segment.
22630......... ........ A Lumbar spine 21.81 NA NA 12.64 13.36 4.72 NA NA 39.17 39.89 090
fusion.
22632......... ........ A Spine fusion, 5.22 NA NA 2.01 2.50 1.16 NA NA 8.39 8.88 ZZZ
extra segment.
22800......... ........ A Fusion of spine 19.22 NA NA 11.15 12.37 3.75 NA NA 34.12 35.34 090
22802......... ........ A Fusion of spine 31.83 NA NA 16.17 18.74 6.15 NA NA 54.15 56.72 090
22804......... ........ A Fusion of spine 37.22 NA NA 18.20 21.57 6.98 NA NA 62.40 65.77 090
22808......... ........ A Fusion of spine 27.23 NA NA 13.85 15.69 4.92 NA NA 46.00 47.84 090
22810......... ........ A Fusion of spine 31.22 NA NA 14.93 17.50 5.13 NA NA 51.28 53.85 090
22812......... ........ A Fusion of spine 33.90 NA NA 16.75 19.23 5.28 NA NA 55.93 58.41 090
22818......... ........ A Kyphectomy, 1-2 34.12 NA NA 16.65 18.32 6.45 NA NA 57.22 58.89 090
segments.
22819......... ........ A Kyphectomy, 3 39.10 NA NA 19.45 19.90 7.65 NA NA 66.20 66.65 090
or more.
22830......... ........ A Exploration of 11.07 NA NA 7.11 7.75 2.29 NA NA 20.47 21.11 090
spinal fusion.
22840......... ........ A Insert spine 12.52 NA NA 4.84 6.08 2.78 NA NA 20.14 21.38 ZZZ
fixation
device.
22842......... ........ A Insert spine 12.56 NA NA 4.86 6.09 2.74 NA NA 20.16 21.39 ZZZ
fixation
device.
22843......... ........ A Insert spine 13.44 NA NA 5.26 6.27 2.85 NA NA 21.55 22.56 ZZZ
fixation
device.
22844......... ........ A Insert spine 16.42 NA NA 6.47 8.18 3.18 NA NA 26.07 27.78 ZZZ
fixation
device.
22845......... ........ A Insert spine 11.94 NA NA 4.55 5.69 2.85 NA NA 19.34 20.48 ZZZ
fixation
device.
22846......... ........ A Insert spine 12.40 NA NA 4.72 5.93 2.95 NA NA 20.07 21.28 ZZZ
fixation
device.
22847......... ........ A Insert spine 13.78 NA NA 5.34 6.60 2.99 NA NA 22.11 23.37 ZZZ
fixation
device.
22848......... ........ A Insert pelv 5.99 NA NA 2.37 2.98 1.15 NA NA 9.51 10.12 ZZZ
fixation
device.
22849......... ........ A Reinsert spinal 19.02 NA NA 10.28 11.37 3.89 NA NA 33.19 34.28 090
fixation.
22850......... ........ A Remove spine 9.69 NA NA 6.51 6.87 2.04 NA NA 18.24 18.60 090
fixation
device.
22851......... ........ A Apply spine 6.70 NA NA 2.58 3.17 1.49 NA NA 10.77 11.36 ZZZ
prosth device.
22852......... ........ A Remove spine 9.24 NA NA 6.23 6.65 1.89 NA NA 17.36 17.78 090
fixation
device.
22855......... ........ A Remove spine 15.71 NA NA 9.28 9.57 3.51 NA NA 28.50 28.79 090
fixation
device.
22899......... ........ C Spine surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
22900......... ........ A Remove 6.09 NA NA 3.56 3.31 0.76 NA NA 10.41 10.16 090
abdominal wall
lesion.
22999......... ........ C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
23000......... ........ A Removal of 4.35 7.83 8.36 3.68 4.24 0.68 12.86 13.39 8.71 9.27 090
calcium
deposits.
23020......... ........ A Release 9.16 NA NA 6.51 7.30 1.54 NA NA 17.21 18.00 090
shoulder joint.
23030......... ........ A Drain shoulder 3.42 6.32 7.12 2.41 2.78 0.57 10.31 11.11 6.40 6.77 010
lesion.
23031......... ........ A Drain shoulder 2.74 6.53 7.53 2.23 2.60 0.46 9.73 10.73 5.43 5.80 010
bursa.
23035......... ........ A Drain shoulder 8.96 NA NA 7.02 7.96 1.47 NA NA 17.45 18.39 090
bone lesion.
23040......... ........ A Exploratory 9.55 NA NA 6.80 7.60 1.60 NA NA 17.95 18.75 090
shoulder
surgery.
23044......... ........ A Exploratory 7.41 NA NA 5.59 6.22 1.24 NA NA 14.24 14.87 090
shoulder
surgery.
23065......... ........ A Biopsy shoulder 2.27 2.91 2.59 1.70 1.64 0.20 5.38 5.06 4.17 4.11 010
tissues.
23066......... ........ A Biopsy shoulder 4.15 7.72 7.68 3.60 3.89 0.63 12.50 12.46 8.38 8.67 090
tissues.
23075......... ........ A Removal of 2.39 3.74 3.68 1.74 1.77 0.34 6.47 6.41 4.47 4.50 010
shoulder
lesion.
23076......... ........ A Removal of 7.68 NA NA 5.33 5.50 1.13 NA NA 14.14 14.31 090
shoulder
lesion.
23077......... ........ A Remove tumor of 17.98 NA NA 9.81 10.11 2.33 NA NA 30.12 30.42 090
shoulder.
23100......... ........ A Biopsy of 6.02 NA NA 5.15 5.53 1.04 NA NA 12.21 12.59 090
shoulder joint.
23101......... ........ A Shoulder joint 5.57 NA NA 4.58 5.14 0.96 NA NA 11.11 11.67 090
surgery.
23105......... ........ A Remove shoulder 8.28 NA NA 6.12 6.87 1.42 NA NA 15.82 16.57 090
joint lining.
23106......... ........ A Incision of 5.95 NA NA 4.62 5.43 0.99 NA NA 11.56 12.37 090
collarbone
joint.
23107......... ........ A Explore treat 8.67 NA NA 6.27 7.11 1.49 NA NA 16.43 17.27 090
shoulder joint.
23120......... ........ A Partial 7.16 NA NA 5.50 6.22 1.23 NA NA 13.89 14.61 090
removal,
collar bone.
23125......... ........ A Removal of 9.44 NA NA 6.38 7.27 1.62 NA NA 17.44 18.33 090
collar bone.
23130......... ........ A Remove shoulder 7.54 NA NA 6.10 6.87 1.30 NA NA 14.94 15.71 090
bone, part.
23140......... ........ A Removal of bone 6.94 NA NA 4.82 5.12 1.08 NA NA 12.84 13.14 090
lesion.
23145......... ........ A Removal of bone 9.20 NA NA 5.83 7.04 1.49 NA NA 16.52 17.73 090
lesion.
23146......... ........ A Removal of bone 7.88 NA NA 5.99 6.83 1.35 NA NA 15.22 16.06 090
lesion.
23150......... ........ A Removal of 8.71 NA NA 6.06 6.71 1.32 NA NA 16.09 16.74 090
humerus lesion.
23155......... ........ A Removal of 10.63 NA NA 7.36 8.09 1.80 NA NA 19.79 20.52 090
humerus lesion.
23156......... ........ A Removal of 8.91 NA NA 6.42 7.14 1.50 NA NA 16.83 17.55 090
humerus lesion.
23170......... ........ A Remove collar 7.03 NA NA 5.08 5.79 1.12 NA NA 13.23 13.94 090
bone lesion.
23172......... ........ A Remove shoulder 7.13 NA NA 4.98 5.96 1.01 NA NA 13.12 14.10 090
blade lesion.
23174......... ........ A Remove humerus 9.80 NA NA 7.30 8.10 1.65 NA NA 18.75 19.55 090
lesion.
[[Page 49102]]
23180......... ........ A Remove collar 8.76 NA NA 7.08 8.51 1.47 NA NA 17.31 18.74 090
bone lesion.
23182......... ........ A Remove shoulder 8.38 NA NA 6.91 8.14 1.37 NA NA 16.66 17.89 090
blade lesion.
23184......... ........ A Remove humerus 9.67 NA NA 7.55 8.87 1.63 NA NA 18.85 20.17 090
lesion.
23190......... ........ A Partial removal 7.29 NA NA 5.43 5.99 1.17 NA NA 13.89 14.45 090
of scapula.
23195......... ........ A Removal of head 10.16 NA NA 6.80 7.50 1.70 NA NA 18.66 19.36 090
of humerus.
23200......... ........ A Removal of 12.60 NA NA 7.51 8.42 1.93 NA NA 22.04 22.95 090
collar bone.
23210......... ........ A Removal of 13.07 NA NA 8.24 8.80 2.02 NA NA 23.33 23.89 090
shoulder blade.
23220......... ........ A Partial removal 15.26 NA NA 9.09 10.39 2.48 NA NA 26.83 28.13 090
of humerus.
23221......... ........ A Partial removal 18.31 NA NA 6.67 10.46 3.05 NA NA 28.03 31.82 090
of humerus.
23222......... ........ A Partial removal 25.36 NA NA 13.58 15.23 3.94 NA NA 42.88 44.53 090
of humerus.
23330......... ........ A Remove shoulder 1.85 3.37 3.60 1.53 1.79 0.24 5.46 5.69 3.62 3.88 010
foreign body.
23331......... ........ A Remove shoulder 7.43 NA NA 5.89 6.57 1.27 NA NA 14.59 15.27 090
foreign body.
23332......... ........ A Remove shoulder 12.14 NA NA 8.03 9.00 2.02 NA NA 22.19 23.16 090
foreign body.
23350......... ........ A Injection for 1.00 2.72 3.28 0.32 0.33 0.06 3.78 4.34 1.38 1.39 000
shoulder x-ray.
23395......... ........ A Muscle 18.19 NA NA 11.26 12.46 2.93 NA NA 32.38 33.58 090
transfer,shoul
der/arm.
23397......... ........ A Muscle 16.53 NA NA 9.70 10.95 2.73 NA NA 28.96 30.21 090
transfers.
23400......... ........ A Fixation of 13.64 NA NA 8.57 9.70 2.29 NA NA 24.50 25.63 090
shoulder blade.
23405......... ........ A Incision of 8.36 NA NA 5.97 6.68 1.45 NA NA 15.78 16.49 090
tendon &
muscle.
23406......... ........ A Incise 10.83 NA NA 6.95 7.99 1.87 NA NA 19.65 20.69 090
tendon(s) &
muscle(s).
23410......... ........ A Repair rotator 12.55 NA NA 7.84 9.01 2.16 NA NA 22.55 23.72 090
cuff, acute.
23412......... ........ A Repair rotator 13.47 NA NA 8.23 9.48 2.31 NA NA 24.01 25.26 090
cuff, chronic.
23415......... ........ A Release of 10.02 NA NA 6.62 7.65 1.73 NA NA 18.37 19.40 090
shoulder
ligament.
23420......... ........ A Repair of 14.65 NA NA 9.78 10.58 2.31 NA NA 26.74 27.54 090
shoulder.
23430......... ........ A Repair biceps 9.97 NA NA 6.81 7.78 1.73 NA NA 18.51 19.48 090
tendon.
23440......... ........ A Remove/ 10.46 NA NA 6.82 7.90 1.82 NA NA 19.10 20.18 090
transplant
tendon.
23450......... ........ A Repair shoulder 13.50 NA NA 8.21 9.43 2.32 NA NA 24.03 25.25 090
capsule.
23455......... ........ A Repair shoulder 14.47 NA NA 8.60 9.98 2.49 NA NA 25.56 26.94 090
capsule.
23460......... ........ A Repair shoulder 15.59 NA NA 9.36 10.87 2.66 NA NA 27.61 29.12 090
capsule.
23462......... ........ A Repair shoulder 15.52 NA NA 9.11 10.34 2.59 NA NA 27.22 28.45 090
capsule.
23465......... ........ A Repair shoulder 16.07 NA NA 9.61 10.79 2.76 NA NA 28.44 29.62 090
capsule.
23466......... ........ A Repair shoulder 15.45 NA NA 10.11 11.06 2.46 NA NA 28.02 28.97 090
capsule.
23470......... ........ A Reconstruct 17.66 NA NA 10.20 11.74 2.98 NA NA 30.84 32.38 090
shoulder joint.
23472......... ........ A Reconstruct 22.39 NA NA 12.25 13.87 3.66 NA NA 38.30 39.92 090
shoulder joint.
23480......... ........ A Revision of 11.34 NA NA 7.37 8.42 1.94 NA NA 20.65 21.70 090
collar bone.
23485......... ........ A Revision of 13.71 NA NA 8.33 9.50 2.33 NA NA 24.37 25.54 090
collar bone.
23490......... ........ A Reinforce 11.96 NA NA 6.69 8.19 1.47 NA NA 20.12 21.62 090
clavicle.
23491......... ........ A Reinforce 14.31 NA NA 8.89 10.26 2.46 NA NA 25.66 27.03 090
shoulder bones.
23500......... ........ A Treat clavicle 2.08 2.64 2.81 2.71 2.57 0.30 5.02 5.19 5.09 4.95 090
fracture.
23505......... ........ A Treat clavicle 3.68 4.03 4.32 3.63 3.79 0.61 8.32 8.61 7.92 8.08 090
fracture.
23515......... ........ A Treat clavicle 7.40 NA NA 5.59 6.31 1.28 NA NA 14.27 14.99 090
fracture.
23520......... ........ A Treat clavicle 2.16 2.65 2.80 2.72 2.74 0.34 5.15 5.30 5.22 5.24 090
dislocation.
23525......... ........ A Treat clavicle 3.59 4.51 4.53 3.92 3.94 0.46 8.56 8.58 7.97 7.99 090
dislocation.
23530......... ........ A Treat clavicle 7.30 NA NA 5.28 5.77 1.20 NA NA 13.78 14.27 090
dislocation.
23532......... ........ A Treat clavicle 8.00 NA NA 6.08 6.75 1.38 NA NA 15.46 16.13 090
dislocation.
23540......... ........ A Treat clavicle 2.23 2.62 2.80 2.70 2.45 0.29 5.14 5.32 5.22 4.97 090
dislocation.
23545......... ........ A Treat clavicle 3.25 3.75 4.08 3.27 3.34 0.35 7.35 7.68 6.87 6.94 090
dislocation.
23550......... ........ A Treat clavicle 7.41 NA NA 5.54 6.16 1.25 NA NA 14.20 14.82 090
dislocation.
23552......... ........ A Treat clavicle 8.62 NA NA 6.28 7.06 1.46 NA NA 16.36 17.14 090
dislocation.
23570......... ........ A Treat shoulder 2.23 2.80 2.96 2.94 2.90 0.36 5.39 5.55 5.53 5.49 090
blade fx.
23575......... ........ A Treat shoulder 4.05 4.36 4.75 3.86 4.20 0.59 9.00 9.39 8.50 8.84 090
blade fx.
23585......... ........ A Treat scapula 9.07 NA NA 6.52 7.36 1.54 NA NA 17.13 17.97 090
fracture.
23600......... ........ A Treat humerus 2.93 4.08 4.43 3.66 3.58 0.48 7.49 7.84 7.07 6.99 090
fracture.
23605......... ........ A Treat humerus 4.86 5.42 5.97 4.63 4.99 0.84 11.12 11.67 10.33 10.69 090
fracture.
23615......... ........ A Treat humerus 10.83 NA NA 8.33 8.71 1.62 NA NA 20.78 21.16 090
fracture.
23616......... ........ A Treat humerus 21.60 NA NA 11.56 13.50 3.69 NA NA 36.85 38.79 090
fracture.
23620......... ........ A Treat humerus 2.40 3.42 3.56 3.16 3.03 0.40 6.22 6.36 5.96 5.83 090
fracture.
[[Page 49103]]
23625......... ........ A Treat humerus 3.92 4.44 4.82 3.91 4.19 0.67 9.03 9.41 8.50 8.78 090
fracture.
23630......... ........ A Treat humerus 7.40 NA NA 5.69 6.40 1.27 NA NA 14.36 15.07 090
fracture.
23650......... ........ A Treat shoulder 3.38 3.27 3.65 2.80 2.77 0.30 6.95 7.33 6.48 6.45 090
dislocation.
23655......... ........ A Treat shoulder 4.56 NA NA 4.17 4.17 0.69 NA NA 9.42 9.42 090
dislocation.
23660......... ........ A Treat shoulder 7.48 NA NA 5.63 6.19 1.29 NA NA 14.40 14.96 090
dislocation.
23665......... ........ A Treat 4.46 4.85 5.21 4.26 4.61 0.71 10.02 10.38 9.43 9.78 090
dislocation/
fracture.
23670......... ........ A Treat 7.95 NA NA 5.89 6.60 1.36 NA NA 15.20 15.91 090
dislocation/
fracture.
23675......... ........ A Treat 6.04 6.16 6.66 5.16 5.66 1.01 13.21 13.71 12.21 12.71 090
dislocation/
fracture.
23680......... ........ A Treat 10.22 NA NA 7.02 7.84 1.75 NA NA 18.99 19.81 090
dislocation/
fracture.
23700......... ........ A Fixation of 2.52 NA NA 1.92 2.11 0.44 NA NA 4.88 5.07 010
shoulder.
23800......... ........ A Fusion of 14.50 NA NA 7.55 9.70 2.35 NA NA 24.40 26.55 090
shoulder joint.
23802......... ........ A Fusion of 18.07 NA NA 10.99 10.38 2.70 NA NA 31.76 31.15 090
shoulder joint.
23900......... ........ A Amputation of 20.47 NA NA 10.72 11.46 3.18 NA NA 34.37 35.11 090
arm & girdle.
23920......... ........ A Amputation at 15.95 NA NA 9.56 9.83 2.46 NA NA 27.97 28.24 090
shoulder joint.
23921......... ........ A Amputation 5.54 NA NA 4.88 5.03 0.78 NA NA 11.20 11.35 090
follow-up
surgery.
23929......... ........ C Shoulder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
23930......... ........ A Drainage of arm 2.94 5.00 5.99 1.99 2.23 0.43 8.37 9.36 5.36 5.60 010
lesion.
23931......... ........ A Drainage of arm 1.79 4.34 5.52 1.75 2.07 0.28 6.41 7.59 3.82 4.14 010
bursa.
23935......... ........ A Drain arm/elbow 6.20 NA NA 5.14 5.72 1.05 NA NA 12.39 12.97 090
bone lesion.
24000......... ........ A Exploratory 5.93 NA NA 4.78 5.25 0.97 NA NA 11.68 12.15 090
elbow surgery.
24006......... ........ A Release elbow 9.54 NA NA 6.67 7.48 1.50 NA NA 17.71 18.52 090
joint.
24065......... ........ A Biopsy arm/ 2.08 4.08 3.43 1.87 1.77 0.17 6.33 5.68 4.12 4.02 010
elbow soft
tissue.
24066......... ........ A Biopsy arm/ 5.20 8.33 8.78 3.94 4.08 0.80 14.33 14.78 9.94 10.08 090
elbow soft
tissue.
24075......... ........ A Remove arm/ 3.91 7.22 7.32 3.27 3.37 0.56 11.69 11.79 7.74 7.84 090
elbow lesion.
24076......... ........ A Remove arm/ 6.29 NA NA 4.59 4.79 0.95 NA NA 11.83 12.03 090
elbow lesion.
24077......... ........ A Remove tumor of 11.86 NA NA 6.96 7.55 1.72 NA NA 20.54 21.13 090
arm/elbow.
24100......... ........ A Biopsy elbow 4.92 NA NA 4.28 4.46 0.85 NA NA 10.05 10.23 090
joint lining.
24101......... ........ A Explore/treat 6.12 NA NA 5.08 5.72 1.03 NA NA 12.23 12.87 090
elbow joint.
24102......... ........ A Remove elbow 8.08 NA NA 5.82 6.60 1.33 NA NA 15.23 16.01 090
joint lining.
24105......... ........ A Removal of 3.60 NA NA 4.04 4.30 0.61 NA NA 8.25 8.51 090
elbow bursa.
24110......... ........ A Remove humerus 7.38 NA NA 5.66 6.41 1.28 NA NA 14.32 15.07 090
lesion.
24115......... ........ A Remove/graft 9.92 NA NA 6.83 7.12 1.67 NA NA 18.42 18.71 090
bone lesion.
24116......... ........ A Remove/graft 12.03 NA NA 7.67 8.72 2.05 NA NA 21.75 22.80 090
bone lesion.
24120......... ........ A Remove elbow 6.64 NA NA 5.22 5.75 1.10 NA NA 12.96 13.49 090
lesion.
24125......... ........ A Remove/graft 7.94 NA NA 6.03 6.13 1.06 NA NA 15.03 15.13 090
bone lesion.
24126......... ........ A Remove/graft 8.42 NA NA 6.22 6.82 1.16 NA NA 15.80 16.40 090
bone lesion.
24130......... ........ A Removal of head 6.24 NA NA 5.13 5.80 1.04 NA NA 12.41 13.08 090
of radius.
24134......... ........ A Removal of arm 10.02 NA NA 7.49 8.51 1.64 NA NA 19.15 20.17 090
bone lesion.
24136......... ........ A Remove radius 8.22 NA NA 5.67 6.83 1.38 NA NA 15.27 16.43 090
bone lesion.
24138......... ........ A Remove elbow 8.22 NA NA 6.71 7.51 1.34 NA NA 16.27 17.07 090
bone lesion.
24140......... ........ A Partial removal 9.35 NA NA 7.20 8.63 1.51 NA NA 18.06 19.49 090
of arm bone.
24145......... ........ A Partial removal 7.63 NA NA 6.30 7.62 1.25 NA NA 15.18 16.50 090
of radius.
24147......... ........ A Partial removal 7.59 NA NA 6.90 8.18 1.30 NA NA 15.79 17.07 090
of elbow.
24149......... ........ A Radical 15.80 NA NA 10.86 11.43 2.34 NA NA 29.00 29.57 090
resection of
elbow.
24150......... ........ A Extensive 13.61 NA NA 8.54 9.63 2.32 NA NA 24.47 25.56 090
humerus
surgery.
24151......... ........ A Extensive 15.98 NA NA 9.77 11.08 2.59 NA NA 28.34 29.65 090
humerus
surgery.
24152......... ........ A Extensive 10.16 NA NA 6.29 7.37 1.48 NA NA 17.93 19.01 090
radius surgery.
24153......... ........ A Extensive 11.64 NA NA 4.92 5.41 0.74 NA NA 17.30 17.79 090
radius surgery.
24155......... ........ A Removal of 11.89 NA NA 7.61 8.20 1.92 NA NA 21.42 22.01 090
elbow joint.
24160......... ........ A Remove elbow 7.82 NA NA 5.82 6.62 1.30 NA NA 14.94 15.74 090
joint implant.
24164......... ........ A Remove radius 6.28 NA NA 4.92 5.56 1.03 NA NA 12.23 12.87 090
head implant.
24200......... ........ A Removal of arm 1.76 2.78 3.25 1.38 1.57 0.20 4.74 5.21 3.34 3.53 010
foreign body.
24201......... ........ A Removal of arm 4.55 7.92 9.34 3.71 4.10 0.72 13.19 14.61 8.98 9.37 090
foreign body.
24220......... ........ A Injection for 1.31 2.64 3.38 0.43 0.44 0.08 4.03 4.77 1.82 1.83 000
elbow x-ray.
24300......... ........ A Manipulate 3.74 NA NA 5.18 5.58 0.65 NA NA 9.57 9.97 090
elbow w/anesth.
24301......... ........ A Muscle/tendon 10.18 NA NA 6.85 7.85 1.66 NA NA 18.69 19.69 090
transfer.
24305......... ........ A Arm tendon 7.44 NA NA 5.66 6.45 1.15 NA NA 14.25 15.04 090
lengthening.
24310......... ........ A Revision of arm 5.97 NA NA 4.78 5.38 0.96 NA NA 11.71 12.31 090
tendon.
24320......... ........ A Repair of arm 10.66 NA NA 7.11 7.43 1.73 NA NA 19.50 19.82 090
tendon.
24330......... ........ A Revision of arm 9.59 NA NA 6.64 7.57 1.60 NA NA 17.83 18.76 090
muscles.
24331......... ........ A Revision of arm 10.75 NA NA 6.52 8.13 1.77 NA NA 19.04 20.65 090
muscles.
24332......... ........ A Tenolysis, 7.69 NA NA 5.75 6.52 1.23 NA NA 14.67 15.44 090
triceps.
24340......... ........ A Repair of 7.88 NA NA 6.00 6.74 1.36 NA NA 15.24 15.98 090
biceps tendon.
24341......... ........ A Repair arm 9.14 NA NA 7.52 7.82 1.36 NA NA 18.02 18.32 090
tendon/muscle.
24342......... ........ A Repair of 10.66 NA NA 7.11 8.17 1.85 NA NA 19.62 20.68 090
ruptured
tendon.
24343......... ........ A Repr elbow lat 8.89 NA NA 7.02 7.87 1.43 NA NA 17.34 18.19 090
ligmnt w/tiss.
[[Page 49104]]
24344......... ........ A Reconstruct 14.85 NA NA 10.06 11.16 2.36 NA NA 27.27 28.37 090
elbow lat
ligmnt.
24345......... ........ A Repr elbw med 8.89 NA NA 6.98 7.76 1.44 NA NA 17.31 18.09 090
ligmnt w/tissu.
24346......... ........ A Reconstruct 14.85 NA NA 10.06 11.02 2.33 NA NA 27.24 28.20 090
elbow med
ligmnt.
24350......... ........ A Repair of 5.24 NA NA 4.89 5.41 0.87 NA NA 11.00 11.52 090
tennis elbow.
24351......... ........ A Repair of 5.90 NA NA 5.01 5.69 1.02 NA NA 11.93 12.61 090
tennis elbow.
24352......... ........ A Repair of 6.42 NA NA 5.23 5.94 1.10 NA NA 12.75 13.46 090
tennis elbow.
24354......... ........ A Repair of 6.47 NA NA 5.25 5.93 1.07 NA NA 12.79 13.47 090
tennis elbow.
24356......... ........ A Revision of 6.67 NA NA 5.32 6.06 1.11 NA NA 13.10 13.84 090
tennis elbow.
24360......... ........ A Reconstruct 12.44 NA NA 7.97 9.10 2.05 NA NA 22.46 23.59 090
elbow joint.
24361......... ........ A Reconstruct 14.18 NA NA 8.78 10.13 2.18 NA NA 25.14 26.49 090
elbow joint.
24362......... ........ A Reconstruct 15.09 NA NA 9.30 9.86 2.60 NA NA 26.99 27.55 090
elbow joint.
24363......... ........ A Replace elbow 22.39 NA NA 12.26 13.35 3.01 NA NA 37.66 38.75 090
joint.
24365......... ........ A Reconstruct 8.44 NA NA 5.94 6.89 1.41 NA NA 15.79 16.74 090
head of radius.
24366......... ........ A Reconstruct 9.18 NA NA 6.31 7.23 1.52 NA NA 17.01 17.93 090
head of radius.
24400......... ........ A Revision of 11.10 NA NA 7.62 8.54 1.92 NA NA 20.64 21.56 090
humerus.
24410......... ........ A Revision of 14.86 NA NA 9.32 10.06 2.57 NA NA 26.75 27.49 090
humerus.
24420......... ........ A Revision of 13.48 NA NA 8.88 10.13 2.17 NA NA 24.53 25.78 090
humerus.
24430......... ........ A Repair of 14.99 NA NA 9.30 9.63 2.21 NA NA 26.50 26.83 090
humerus.
24435......... ........ A Repair humerus 14.64 NA NA 9.86 10.63 2.27 NA NA 26.77 27.54 090
with graft.
24470......... ........ A Revision of 8.73 NA NA 6.43 7.40 1.48 NA NA 16.64 17.61 090
elbow joint.
24495......... ........ A Decompression 8.23 NA NA 6.68 8.23 1.18 NA NA 16.09 17.64 090
of forearm.
24498......... ........ A Reinforce 12.08 NA NA 7.75 8.88 2.06 NA NA 21.89 23.02 090
humerus.
24500......... ........ A Treat humerus 3.21 4.45 4.75 3.80 3.71 0.50 8.16 8.46 7.51 7.42 090
fracture.
24505......... ........ A Treat humerus 5.16 5.87 6.42 4.90 5.27 0.89 11.92 12.47 10.95 11.32 090
fracture.
24515......... ........ A Treat humerus 11.87 NA NA 8.09 9.06 2.02 NA NA 21.98 22.95 090
fracture.
24516......... ........ A Treat humerus 11.99 NA NA 7.71 8.76 2.02 NA NA 21.72 22.77 090
fracture.
24530......... ........ A Treat humerus 3.49 4.74 5.09 4.00 4.03 0.57 8.80 9.15 8.06 8.09 090
fracture.
24535......... ........ A Treat humerus 6.86 6.82 7.59 5.86 6.43 1.18 14.86 15.63 13.90 14.47 090
fracture.
24538......... ........ A Treat humerus 9.54 NA NA 7.22 8.33 1.64 NA NA 18.40 19.51 090
fracture.
24545......... ........ A Treat humerus 10.80 NA NA 7.24 8.15 1.82 NA NA 19.86 20.77 090
fracture.
24546......... ........ A Treat humerus 15.91 NA NA 9.50 10.87 2.73 NA NA 28.14 29.51 090
fracture.
24560......... ........ A Treat humerus 2.80 4.05 4.37 3.38 3.24 0.44 7.29 7.61 6.62 6.48 090
fracture.
24565......... ........ A Treat humerus 5.55 5.86 6.42 4.97 5.38 0.93 12.34 12.90 11.45 11.86 090
fracture.
24566......... ........ A Treat humerus 8.78 NA NA 6.97 7.86 1.30 NA NA 17.05 17.94 090
fracture.
24575......... ........ A Treat humerus 10.94 NA NA 7.27 8.12 1.86 NA NA 20.07 20.92 090
fracture.
24576......... ........ A Treat humerus 2.86 4.45 4.68 3.74 3.72 0.46 7.77 8.00 7.06 7.04 090
fracture.
24577......... ........ A Treat humerus 5.78 6.01 6.70 5.08 5.65 0.95 12.74 13.43 11.81 12.38 090
fracture.
24579......... ........ A Treat humerus 11.88 NA NA 7.87 8.59 2.02 NA NA 21.77 22.49 090
fracture.
24582......... ........ A Treat humerus 9.79 NA NA 8.21 8.89 1.48 NA NA 19.48 20.16 090
fracture.
24586......... ........ A Treat elbow 15.55 NA NA 9.36 10.76 2.64 NA NA 27.55 28.95 090
fracture.
24587......... ........ A Treat elbow 15.56 NA NA 9.37 10.61 2.52 NA NA 27.45 28.69 090
fracture.
24600......... ........ A Treat elbow 4.22 3.87 4.61 3.29 3.45 0.50 8.59 9.33 8.01 8.17 090
dislocation.
24605......... ........ A Treat elbow 5.41 NA NA 4.96 5.26 0.89 NA NA 11.26 11.56 090
dislocation.
24615......... ........ A Treat elbow 9.65 NA NA 6.59 7.51 1.60 NA NA 17.84 18.76 090
dislocation.
24620......... ........ A Treat elbow 6.97 NA NA 5.48 6.06 1.07 NA NA 13.52 14.10 090
fracture.
24635......... ........ A Treat elbow 13.47 NA NA 10.23 13.10 2.28 NA NA 25.98 28.85 090
fracture.
24640......... ........ A Treat elbow 1.20 1.48 1.75 0.80 0.80 0.12 2.80 3.07 2.12 2.12 010
dislocation.
24650......... ........ A Treat radius 2.16 3.44 3.70 3.00 2.81 0.35 5.95 6.21 5.51 5.32 090
fracture.
24655......... ........ A Treat radius 4.39 5.20 5.76 4.41 4.70 0.70 10.29 10.85 9.50 9.79 090
fracture.
24665......... ........ A Treat radius 8.13 NA NA 6.53 7.27 1.41 NA NA 16.07 16.81 090
fracture.
24666......... ........ A Treat radius 9.66 NA NA 7.00 7.80 1.62 NA NA 18.28 19.08 090
fracture.
24670......... ........ A Treat ulnar 2.54 3.74 4.02 3.16 3.09 0.41 6.69 6.97 6.11 6.04 090
fracture.
24675......... ........ A Treat ulnar 4.71 5.30 5.83 4.50 4.85 0.81 10.82 11.35 10.02 10.37 090
fracture.
24685......... ........ A Treat ulnar 8.85 NA NA 6.48 7.26 1.52 NA NA 16.85 17.63 090
fracture.
24800......... ........ A Fusion of elbow 11.18 NA NA 7.66 8.47 1.63 NA NA 20.47 21.28 090
joint.
24802......... ........ A Fusion/graft of 14.09 NA NA 8.56 9.93 2.37 NA NA 25.02 26.39 090
elbow joint.
[[Page 49105]]
24900......... ........ A Amputation of 9.95 NA NA 6.47 6.91 1.53 NA NA 17.95 18.39 090
upper arm.
24920......... ........ A Amputation of 9.95 NA NA 6.45 6.82 1.61 NA NA 18.01 18.38 090
upper arm.
24925......... ........ A Amputation 7.12 NA NA 4.95 5.80 1.14 NA NA 13.21 14.06 090
follow-up
surgery.
24930......... ........ A Amputation 10.65 NA NA 5.90 6.91 1.67 NA NA 18.22 19.23 090
follow-up
surgery.
24931......... ........ A Amputate upper 13.24 NA NA 8.23 6.35 1.89 NA NA 23.36 21.48 090
arm & implant.
24935......... ........ A Revision of 16.20 NA NA 8.90 8.24 2.13 NA NA 27.23 26.57 090
amputation.
24940......... ........ C Revision of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
upper arm.
24999......... ........ C Upper arm/elbow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
25000......... ........ A Incision of 3.37 NA NA 5.06 6.42 0.55 NA NA 8.98 10.34 090
tendon sheath.
25001......... ........ A Incise flexor 3.62 NA NA 3.85 4.14 0.55 NA NA 8.02 8.31 090
carpi radialis.
25020......... ........ A Decompress 5.91 NA NA 6.90 8.90 0.93 NA NA 13.74 15.74 090
forearm 1
space.
25023......... ........ A Decompress 13.60 NA NA 11.48 14.08 2.03 NA NA 27.11 29.71 090
forearm 1
space.
25024......... ........ A Decompress 10.52 NA NA 7.20 7.40 1.36 NA NA 19.08 19.28 090
forearm 2
spaces.
25025......... ........ A Decompress 17.67 NA NA 9.03 9.74 1.82 NA NA 28.52 29.23 090
forearm 2
spaces.
25028......... ........ A Drainage of 5.24 NA NA 6.25 7.68 0.81 NA NA 12.30 13.73 090
forearm lesion.
25031......... ........ A Drainage of 4.13 NA NA 5.47 7.31 0.63 NA NA 10.23 12.07 090
forearm bursa.
25035......... ........ A Treat forearm 7.47 NA NA 8.88 12.41 1.24 NA NA 17.59 21.12 090
bone lesion.
25040......... ........ A Explore/treat 7.35 NA NA 5.90 6.95 1.15 NA NA 14.40 15.45 090
wrist joint.
25065......... ........ A Biopsy forearm 1.99 4.19 3.46 1.90 1.90 0.15 6.33 5.60 4.04 4.04 010
soft tissues.
25066......... ........ A Biopsy forearm 4.12 NA NA 5.46 6.66 0.64 NA NA 10.22 11.42 090
soft tissues.
25075......... ........ A Removal forearm 3.73 NA NA 4.90 5.64 0.55 NA NA 9.18 9.92 090
lesion subcu.
25076......... ........ A Removal forearm 4.91 NA NA 6.92 8.89 0.74 NA NA 12.57 14.54 090
lesion deep.
25077......... ........ A Remove tumor, 9.81 NA NA 8.95 11.30 1.42 NA NA 20.18 22.53 090
forearm/wrist.
25085......... ........ A Incision of 5.49 NA NA 5.44 6.70 0.85 NA NA 11.78 13.04 090
wrist capsule.
25100......... ........ A Biopsy of wrist 3.89 NA NA 4.28 5.02 0.59 NA NA 8.76 9.50 090
joint.
25101......... ........ A Explore/treat 4.68 NA NA 4.83 5.63 0.75 NA NA 10.26 11.06 090
wrist joint.
25105......... ........ A Remove wrist 5.84 NA NA 5.82 6.93 0.92 NA NA 12.58 13.69 090
joint lining.
25107......... ........ A Remove wrist 7.42 NA NA 7.16 8.05 0.99 NA NA 15.57 16.46 090
joint
cartilage.
25110......... ........ A Remove wrist 3.91 NA NA 5.29 6.61 0.62 NA NA 9.82 11.14 090
tendon lesion.
25111......... ........ A Remove wrist 3.38 NA NA 4.10 4.55 0.53 NA NA 8.01 8.46 090
tendon lesion.
25112......... ........ A Reremove wrist 4.52 NA NA 4.54 5.07 0.70 NA NA 9.76 10.29 090
tendon lesion.
25115......... ........ A Remove wrist/ 9.81 NA NA 10.21 13.08 1.31 NA NA 21.33 24.20 090
forearm lesion.
25116......... ........ A Remove wrist/ 7.28 NA NA 9.08 12.13 1.11 NA NA 17.47 20.52 090
forearm lesion.
25118......... ........ A Excise wrist 4.36 NA NA 4.63 5.46 0.68 NA NA 9.67 10.50 090
tendon sheath.
25119......... ........ A Partial removal 6.03 NA NA 5.86 7.17 0.96 NA NA 12.85 14.16 090
of ulna.
25120......... ........ A Removal of 6.09 NA NA 7.93 11.04 1.00 NA NA 15.02 18.13 090
forearm lesion.
25125......... ........ A Remove/graft 7.47 NA NA 8.75 11.82 1.06 NA NA 17.28 20.35 090
forearm lesion.
25126......... ........ A Remove/graft 7.54 NA NA 8.78 11.95 1.27 NA NA 17.59 20.76 090
forearm lesion.
25130......... ........ A Removal of 5.25 NA NA 5.21 6.12 0.80 NA NA 11.26 12.17 090
wrist lesion.
25135......... ........ A Remove & graft 6.88 NA NA 6.12 7.16 1.02 NA NA 14.02 15.06 090
wrist lesion.
25136......... ........ A Remove & graft 5.96 NA NA 5.53 6.33 1.03 NA NA 12.52 13.32 090
wrist lesion.
25145......... ........ A Remove forearm 6.36 NA NA 8.12 11.08 1.01 NA NA 15.49 18.45 090
bone lesion.
25150......... ........ A Partial removal 7.20 NA NA 6.38 7.75 1.14 NA NA 14.72 16.09 090
of ulna.
25151......... ........ A Partial removal 7.50 NA NA 8.52 11.67 1.18 NA NA 17.20 20.35 090
of radius.
25170......... ........ A Extensive 11.25 NA NA 10.52 13.99 1.77 NA NA 23.54 27.01 090
forearm
surgery.
25210......... ........ A Removal of 5.94 NA NA 5.53 6.48 0.88 NA NA 12.35 13.30 090
wrist bone.
25215......... ........ A Removal of 7.94 NA NA 6.83 8.27 1.19 NA NA 15.96 17.40 090
wrist bones.
25230......... ........ A Partial removal 5.22 NA NA 4.96 5.85 0.79 NA NA 10.97 11.86 090
of radius.
25240......... ........ A Partial removal 5.16 NA NA 5.27 6.53 0.81 NA NA 11.24 12.50 090
of ulna.
25246......... ........ A Injection for 1.45 2.70 3.26 0.48 0.48 0.09 4.24 4.80 2.02 2.02 000
wrist x-ray.
25248......... ........ A Remove forearm 5.13 NA NA 6.57 8.03 0.72 NA NA 12.42 13.88 090
foreign body.
25250......... ........ A Removal of 6.59 NA NA 5.32 5.91 1.01 NA NA 12.92 13.51 090
wrist
prosthesis.
25251......... ........ A Removal of 9.62 NA NA 6.71 7.62 1.26 NA NA 17.59 18.50 090
wrist
prosthesis.
25259......... ........ A Manipulate 3.74 NA NA 5.14 5.58 0.62 NA NA 9.50 9.94 090
wrist w/
anesthes.
25260......... ........ A Repair forearm 7.79 NA NA 9.22 12.29 1.19 NA NA 18.20 21.27 090
tendon/muscle.
25263......... ........ A Repair forearm 7.81 NA NA 8.96 12.19 1.18 NA NA 17.95 21.18 090
tendon/muscle.
25265......... ........ A Repair forearm 9.87 NA NA 10.00 13.23 1.47 NA NA 21.34 24.57 090
tendon/muscle.
25270......... ........ A Repair forearm 5.99 NA NA 7.90 11.00 0.95 NA NA 14.84 17.94 090
tendon/muscle.
25272......... ........ A Repair forearm 7.03 NA NA 8.37 11.69 1.11 NA NA 16.51 19.83 090
tendon/muscle.
25274......... ........ A Repair forearm 8.74 NA NA 9.20 12.52 1.36 NA NA 19.30 22.62 090
tendon/muscle.
25275......... ........ A Repair forearm 8.74 NA NA 6.50 7.31 1.31 NA NA 16.55 17.36 090
tendon sheath.
25280......... ........ A Revise wrist/ 7.21 NA NA 8.47 11.59 1.08 NA NA 16.76 19.88 090
forearm tendon.
25290......... ........ A Incise wrist/ 5.28 NA NA 9.17 13.54 0.82 NA NA 15.27 19.64 090
forearm tendon.
25295......... ........ A Release wrist/ 6.54 NA NA 8.14 11.15 1.00 NA NA 15.68 18.69 090
forearm tendon.
25300......... ........ A Fusion of 8.79 NA NA 7.19 8.14 1.26 NA NA 17.24 18.19 090
tendons at
wrist.
25301......... ........ A Fusion of 8.39 NA NA 6.73 7.73 1.29 NA NA 16.41 17.41 090
tendons at
wrist.
[[Page 49106]]
25310......... ........ A Transplant 8.19 NA NA 8.82 11.98 1.21 NA NA 18.22 21.38 090
forearm tendon.
25312......... ........ A Transplant 9.62 NA NA 9.60 12.86 1.41 NA NA 20.63 23.89 090
forearm tendon.
25315......... ........ A Revise palsy 10.48 NA NA 10.00 13.30 1.58 NA NA 22.06 25.36 090
hand tendon(s).
25316......... ........ A Revise palsy 12.67 NA NA 11.08 14.94 1.74 NA NA 25.49 29.35 090
hand tendon(s).
25320......... ........ A Repair/revise 12.28 NA NA 10.38 11.14 1.61 NA NA 24.27 25.03 090
wrist joint.
25332......... ........ A Revise wrist 11.51 NA NA 7.74 8.81 1.83 NA NA 21.08 22.15 090
joint.
25335......... ........ A Realignment of 13.16 NA NA 7.01 10.45 1.92 NA NA 22.09 25.53 090
hand.
25337......... ........ A Reconstruct 11.36 NA NA 9.39 10.66 1.61 NA NA 22.36 23.63 090
ulna/
radioulnar.
25350......... ........ A Revision of 8.89 NA NA 9.27 12.80 1.46 NA NA 19.62 23.15 090
radius.
25355......... ........ A Revision of 10.33 NA NA 10.03 13.47 1.73 NA NA 22.09 25.53 090
radius.
25360......... ........ A Revision of 8.54 NA NA 9.13 12.69 1.41 NA NA 19.08 22.64 090
ulna.
25365......... ........ A Revise radius & 12.68 NA NA 11.06 14.50 2.15 NA NA 25.89 29.33 090
ulna.
25370......... ........ A Revise radius 13.82 NA NA 11.97 15.05 2.28 NA NA 28.07 31.15 090
or ulna.
25375......... ........ A Revise radius & 13.32 NA NA 11.33 15.15 2.26 NA NA 26.91 30.73 090
ulna.
25390......... ........ A Shorten radius 10.50 NA NA 9.94 13.42 1.65 NA NA 22.09 25.57 090
or ulna.
25391......... ........ A Lengthen radius 14.05 NA NA 11.65 15.33 2.21 NA NA 27.91 31.59 090
or ulna.
25392......... ........ A Shorten radius 14.35 NA NA 11.78 14.92 2.10 NA NA 28.23 31.37 090
& ulna.
25393......... ........ A Lengthen radius 16.33 NA NA 13.18 16.48 2.76 NA NA 32.27 35.57 090
& ulna.
25394......... ........ A Repair carpal 10.63 NA NA 6.80 7.75 1.59 NA NA 19.02 19.97 090
bone, shorten.
25400......... ........ A Repair radius 11.08 NA NA 10.18 13.94 1.82 NA NA 23.08 26.84 090
or ulna.
25405......... ........ A Repair/graft 14.78 NA NA 11.92 15.93 2.32 NA NA 29.02 33.03 090
radius or ulna.
25415......... ........ A Repair radius & 13.57 NA NA 11.02 15.14 2.17 NA NA 26.76 30.88 090
ulna.
25420......... ........ A Repair/graft 16.79 NA NA 12.79 16.90 2.61 NA NA 32.19 36.30 090
radius & ulna.
25425......... ........ A Repair/graft 13.49 NA NA 14.14 19.58 2.08 NA NA 29.71 35.15 090
radius or ulna.
25426......... ........ A Repair/graft 16.22 NA NA 12.50 15.54 2.54 NA NA 31.26 34.30 090
radius & ulna.
25430......... ........ A Vasc graft into 9.49 NA NA 7.04 7.27 1.27 NA NA 17.80 18.03 090
carpal bone.
25431......... ........ A Repair nonunion 10.67 NA NA 7.26 8.12 1.90 NA NA 19.83 20.69 090
carpal bone.
25440......... ........ A Repair/graft 10.48 NA NA 7.53 8.93 1.63 NA NA 19.64 21.04 090
wrist bone.
25441......... ........ A Reconstruct 13.06 NA NA 8.50 9.63 2.07 NA NA 23.63 24.76 090
wrist joint.
25442......... ........ A Reconstruct 10.89 NA NA 7.32 8.49 1.53 NA NA 19.74 20.91 090
wrist joint.
25443......... ........ A Reconstruct 10.43 NA NA 6.61 8.23 1.37 NA NA 18.41 20.03 090
wrist joint.
25444......... ........ A Reconstruct 11.19 NA NA 7.65 8.69 1.71 NA NA 20.55 21.59 090
wrist joint.
25445......... ........ A Reconstruct 9.68 NA NA 6.72 7.67 1.55 NA NA 17.95 18.90 090
wrist joint.
25446......... ........ A Wrist 17.07 NA NA 9.88 11.41 2.47 NA NA 29.42 30.95 090
replacement.
25447......... ........ A Repair wrist 10.85 NA NA 7.88 8.46 1.61 NA NA 20.34 20.92 090
joint(s).
25449......... ........ A Remove wrist 14.71 NA NA 9.05 10.27 2.21 NA NA 25.97 27.19 090
joint implant.
25450......... ........ A Revision of 7.86 NA NA 7.34 9.48 1.36 NA NA 16.56 18.70 090
wrist joint.
25455......... ........ A Revision of 9.48 NA NA 6.50 9.77 0.96 NA NA 16.94 20.21 090
wrist joint.
25490......... ........ A Reinforce 9.53 NA NA 9.47 12.67 1.43 NA NA 20.43 23.63 090
radius.
25491......... ........ A Reinforce ulna. 9.95 NA NA 9.73 13.28 1.60 NA NA 21.28 24.83 090
25492......... ........ A Reinforce 12.43 NA NA 10.59 14.12 2.14 NA NA 25.16 28.69 090
radius and
ulna.
25500......... ........ A Treat fracture 2.45 3.33 3.51 2.89 2.76 0.35 6.13 6.31 5.69 5.56 090
of radius.
25505......... ........ A Treat fracture 5.20 5.87 6.37 5.01 5.32 0.90 11.97 12.47 11.11 11.42 090
of radius.
25515......... ........ A Treat fracture 9.29 NA NA 6.75 7.28 1.59 NA NA 17.63 18.16 090
of radius.
25520......... ........ A Treat fracture 6.25 6.02 6.65 5.43 5.90 1.08 13.35 13.98 12.76 13.23 090
of radius.
25525......... ........ A Treat fracture 12.59 NA NA 8.74 9.68 2.12 NA NA 23.45 24.39 090
of radius.
25526......... ........ A Treat fracture 13.33 NA NA 10.23 12.68 2.19 NA NA 25.75 28.20 090
of radius.
25530......... ........ A Treat fracture 2.09 3.48 3.69 2.97 2.89 0.34 5.91 6.12 5.40 5.32 090
of ulna.
25535......... ........ A Treat fracture 5.13 5.68 5.93 4.93 5.20 0.89 11.70 11.95 10.95 11.22 090
of ulna.
25545......... ........ A Treat fracture 9.01 NA NA 6.64 7.41 1.53 NA NA 17.18 17.95 090
of ulna.
25560......... ........ A Treat fracture 2.44 3.40 3.62 2.87 2.67 0.35 6.19 6.41 5.66 5.46 090
radius & ulna.
25565......... ........ A Treat fracture 5.62 5.97 6.52 4.99 5.31 0.93 12.52 13.07 11.54 11.86 090
radius & ulna.
25574......... ........ A Treat fracture 7.37 NA NA 6.64 7.06 1.21 NA NA 15.22 15.64 090
radius & ulna.
25575......... ........ A Treat fracture 11.92 NA NA 9.00 9.38 1.81 NA NA 22.73 23.11 090
radius/ulna.
25600......... ........ A Treat fracture 2.63 3.69 3.99 3.18 3.02 0.42 6.74 7.04 6.23 6.07 090
radius/ulna.
25605......... ........ A Treat fracture 6.93 6.91 7.15 6.18 6.21 1.00 14.84 15.08 14.11 14.14 090
radius/ulna.
[[Page 49107]]
25611......... ........ A Treat fracture 9.14 NA NA 8.34 8.81 1.34 NA NA 18.82 19.29 090
radius/ulna.
25620......... ........ A Treat fracture 8.54 NA NA 6.27 7.01 1.42 NA NA 16.23 16.97 090
radius/ulna.
25622......... ........ A Treat wrist 2.61 3.91 4.18 3.36 3.17 0.41 6.93 7.20 6.38 6.19 090
bone fracture.
25624......... ........ A Treat wrist 4.52 5.58 6.12 4.73 4.99 0.76 10.86 11.40 10.01 10.27 090
bone fracture.
25628......... ........ A Treat wrist 9.42 NA NA 7.34 7.70 1.37 NA NA 18.13 18.49 090
bone fracture.
25630......... ........ A Treat wrist 2.88 3.76 4.08 3.25 3.02 0.45 7.09 7.41 6.58 6.35 090
bone fracture.
25635......... ........ A Treat wrist 4.38 5.38 5.80 4.56 4.07 0.74 10.50 10.92 9.68 9.19 090
bone fracture.
25645......... ........ A Treat wrist 7.24 NA NA 5.80 6.42 1.20 NA NA 14.24 14.86 090
bone fracture.
25650......... ........ A Treat wrist 3.05 3.86 4.20 3.46 3.24 0.45 7.36 7.70 6.96 6.74 090
bone fracture.
25651......... ........ A Pin ulnar 5.60 NA NA 5.13 5.39 0.86 NA NA 11.59 11.85 090
styloid
fracture.
25652......... ........ A Treat fracture 7.84 NA NA 6.21 6.80 1.21 NA NA 15.26 15.85 090
ulnar styloid.
25660......... ........ A Treat wrist 4.75 NA NA 4.48 4.65 0.58 NA NA 9.81 9.98 090
dislocation.
25670......... ........ A Treat wrist 7.91 NA NA 5.99 6.74 1.28 NA NA 15.18 15.93 090
dislocation.
25671......... ........ A Pin radioulnar 6.24 NA NA 5.53 6.00 1.00 NA NA 12.77 13.24 090
dislocation.
25675......... ........ A Treat wrist 4.66 4.88 5.46 4.14 4.52 0.62 10.16 10.74 9.42 9.80 090
dislocation.
25676......... ........ A Treat wrist 8.09 NA NA 6.28 7.05 1.34 NA NA 15.71 16.48 090
dislocation.
25680......... ........ A Treat wrist 5.98 NA NA 4.37 4.65 0.78 NA NA 11.13 11.41 090
fracture.
25685......... ........ A Treat wrist 9.89 NA NA 6.70 7.53 1.60 NA NA 18.19 19.02 090
fracture.
25690......... ........ A Treat wrist 5.49 NA NA 4.82 5.33 0.88 NA NA 11.19 11.70 090
dislocation.
25695......... ........ A Treat wrist 8.33 NA NA 6.19 6.87 1.32 NA NA 15.84 16.52 090
dislocation.
25800......... ........ A Fusion of wrist 9.87 NA NA 7.28 8.64 1.57 NA NA 18.72 20.08 090
joint.
25805......... ........ A Fusion/graft of 11.50 NA NA 8.17 9.73 1.80 NA NA 21.47 23.03 090
wrist joint.
25810......... ........ A Fusion/graft of 11.67 NA NA 8.56 9.57 1.67 NA NA 21.90 22.91 090
wrist joint.
25820......... ........ A Fusion of hand 7.44 NA NA 6.28 7.46 1.22 NA NA 14.94 16.12 090
bones.
25825......... ........ A Fuse hand bones 9.44 NA NA 7.56 8.81 1.41 NA NA 18.41 19.66 090
with graft.
25830......... ........ A Fusion, 10.61 NA NA 10.46 13.42 1.55 NA NA 22.62 25.58 090
radioulnar jnt/
ulna.
25900......... ........ A Amputation of 9.36 NA NA 9.27 11.74 1.30 NA NA 19.93 22.40 090
forearm.
25905......... ........ A Amputation of 9.41 NA NA 8.44 11.33 1.40 NA NA 19.25 22.14 090
forearm.
25907......... ........ A Amputation 7.91 NA NA 7.81 10.77 1.10 NA NA 16.82 19.78 090
follow-up
surgery.
25909......... ........ A Amputation 9.13 NA NA 9.04 11.46 1.44 NA NA 19.61 22.03 090
follow-up
surgery.
25915......... ........ A Amputation of 17.30 NA NA 8.23 16.22 2.93 NA NA 28.46 36.45 090
forearm.
25920......... ........ A Amputate hand 8.85 NA NA 6.72 7.57 1.35 NA NA 16.92 17.77 090
at wrist.
25922......... ........ A Amputate hand 7.47 NA NA 6.40 6.89 1.12 NA NA 14.99 15.48 090
at wrist.
25924......... ........ A Amputation 8.63 NA NA 6.71 7.75 1.32 NA NA 16.66 17.70 090
follow-up
surgery.
25927......... ........ A Amputation of 8.91 NA NA 8.62 10.92 1.27 NA NA 18.80 21.10 090
hand.
25929......... ........ A Amputation 7.64 NA NA 5.42 5.76 1.14 NA NA 14.20 14.54 090
follow-up
surgery.
25931......... ........ A Amputation 7.86 NA NA 8.53 10.73 1.15 NA NA 17.54 19.74 090
follow-up
surgery.
25999......... ........ C Forearm or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
wrist surgery.
26010......... ........ A Drainage of 1.54 4.02 5.18 1.51 1.60 0.18 5.74 6.90 3.23 3.32 010
finger abscess.
26011......... ........ A Drainage of 2.19 6.29 8.18 1.98 2.24 0.33 8.81 10.70 4.50 4.76 010
finger abscess.
26020......... ........ A Drain hand 4.90 NA NA 4.75 5.20 0.73 NA NA 10.38 10.83 090
tendon sheath.
26025......... ........ A Drainage of 4.93 NA NA 4.46 4.96 0.76 NA NA 10.15 10.65 090
palm bursa.
26030......... ........ A Drainage of 6.10 NA NA 4.99 5.54 0.92 NA NA 12.01 12.56 090
palm bursa(s).
26034......... ........ A Treat hand bone 6.40 NA NA 5.55 6.15 1.01 NA NA 12.96 13.56 090
lesion.
26035......... ........ A Decompress 11.05 NA NA 8.01 7.91 1.47 NA NA 20.53 20.43 090
fingers/hand.
26037......... ........ A Decompress 7.42 NA NA 5.51 6.12 1.13 NA NA 14.06 14.67 090
fingers/hand.
26040......... ........ A Release palm 3.33 NA NA 3.60 3.94 0.53 NA NA 7.46 7.80 090
contracture.
26045......... ........ A Release palm 5.55 NA NA 4.88 5.45 0.93 NA NA 11.36 11.93 090
contracture.
26055......... ........ A Incise finger 2.94 9.07 13.03 3.83 3.91 0.43 12.44 16.40 7.20 7.28 090
tendon sheath.
26060......... ........ A Incision of 2.81 NA NA 3.06 3.40 0.45 NA NA 6.32 6.66 090
finger tendon.
26070......... ........ A Explore/treat 3.68 NA NA 3.04 3.28 0.48 NA NA 7.20 7.44 090
hand joint.
26075......... ........ A Explore/treat 3.78 NA NA 3.41 3.69 0.53 NA NA 7.72 8.00 090
finger joint.
26080......... ........ A Explore/treat 4.29 NA NA 4.34 4.72 0.66 NA NA 9.29 9.67 090
finger joint.
26100......... ........ A Biopsy hand 3.66 NA NA 3.56 3.99 0.54 NA NA 7.76 8.19 090
joint lining.
26105......... ........ A Biopsy finger 3.70 NA NA 3.74 4.11 0.59 NA NA 8.03 8.40 090
joint lining.
26110......... ........ A Biopsy finger 3.52 NA NA 3.60 3.93 0.53 NA NA 7.65 7.98 090
joint lining.
26115......... ........ A Removal hand 3.85 9.84 12.28 4.21 4.63 0.59 14.28 16.72 8.65 9.07 090
lesion subcut.
26116......... ........ A Removal hand 5.52 NA NA 5.29 5.82 0.84 NA NA 11.65 12.18 090
lesion, deep.
26117......... ........ A Remove tumor, 8.54 NA NA 6.21 6.85 1.26 NA NA 16.01 16.65 090
hand/finger.
26121......... ........ A Release palm 7.53 NA NA 5.94 6.71 1.17 NA NA 14.64 15.41 090
contracture.
26123......... ........ A Release palm 10.53 NA NA 8.23 8.70 1.43 NA NA 20.19 20.66 090
contracture.
26125......... ........ A Release palm 4.60 NA NA 1.89 2.30 0.70 NA NA 7.19 7.60 ZZZ
contracture.
26130......... ........ A Remove wrist 5.41 NA NA 4.85 5.22 0.94 NA NA 11.20 11.57 090
joint lining.
26135......... ........ A Revise finger 6.95 NA NA 5.49 6.22 1.07 NA NA 13.51 14.24 090
joint, each.
26140......... ........ A Revise finger 6.16 NA NA 5.17 5.82 0.92 NA NA 12.25 12.90 090
joint, each.
26145......... ........ A Tendon 6.31 NA NA 5.19 5.84 0.97 NA NA 12.47 13.12 090
excision, palm/
finger.
[[Page 49108]]
26160......... ........ A Remove tendon 3.40 9.02 11.53 3.92 4.07 0.49 12.91 15.42 7.81 7.96 090
sheath lesion.
26170......... ........ A Removal of palm 4.76 NA NA 4.36 4.80 0.69 NA NA 9.81 10.25 090
tendon, each.
26180......... ........ A Removal of 5.17 NA NA 4.77 5.25 0.78 NA NA 10.72 11.20 090
finger tendon.
26185......... ........ A Remove finger 6.24 NA NA 5.81 5.98 0.81 NA NA 12.86 13.03 090
bone.
26200......... ........ A Remove hand 5.50 NA NA 4.58 5.16 0.88 NA NA 10.96 11.54 090
bone lesion.
26205......... ........ A Remove/graft 7.75 NA NA 5.85 6.63 1.20 NA NA 14.80 15.58 090
bone lesion.
26210......... ........ A Removal of 5.14 NA NA 4.74 5.25 0.79 NA NA 10.67 11.18 090
finger lesion.
26215......... ........ A Remove/graft 7.09 NA NA 5.53 6.12 0.98 NA NA 13.60 14.19 090
finger lesion.
26230......... ........ A Partial removal 6.32 NA NA 5.01 5.69 1.01 NA NA 12.34 13.02 090
of hand bone.
26235......... ........ A Partial 6.18 NA NA 4.96 5.60 0.95 NA NA 12.09 12.73 090
removal,
finger bone.
26236......... ........ A Partial 5.31 NA NA 4.55 5.13 0.81 NA NA 10.67 11.25 090
removal,
finger bone.
26250......... ........ A Extensive hand 7.54 NA NA 5.21 6.13 1.07 NA NA 13.82 14.74 090
surgery.
26255......... ........ A Extensive hand 12.71 NA NA 8.39 9.13 1.68 NA NA 22.78 23.52 090
surgery.
26260......... ........ A Extensive 7.02 NA NA 5.36 5.98 1.01 NA NA 13.39 14.01 090
finger surgery.
26261......... ........ A Extensive 9.20 NA NA 6.88 6.35 1.14 NA NA 17.22 16.69 090
finger surgery.
26262......... ........ A Partial removal 5.66 NA NA 4.66 5.16 0.88 NA NA 11.20 11.70 090
of finger.
26320......... ........ A Removal of 3.97 NA NA 3.78 4.18 0.59 NA NA 8.34 8.74 090
implant from
hand.
26340......... ........ A Manipulate 2.50 NA NA 4.60 4.81 0.39 NA NA 7.49 7.70 090
finger w/
anesth.
26350......... ........ A Repair finger/ 5.98 NA NA 9.45 13.32 0.93 NA NA 16.36 20.23 090
hand tendon.
26352......... ........ A Repair/graft 7.67 NA NA 10.04 14.03 1.13 NA NA 18.84 22.83 090
hand tendon.
26356......... ........ A Repair finger/ 10.06 NA NA 13.68 17.20 1.21 NA NA 24.95 28.47 090
hand tendon.
26357......... ........ A Repair finger/ 8.57 NA NA 10.26 14.29 1.33 NA NA 20.16 24.19 090
hand tendon.
26358......... ........ A Repair/graft 9.13 NA NA 10.81 15.18 1.38 NA NA 21.32 25.69 090
hand tendon.
26370......... ........ A Repair finger/ 7.10 NA NA 9.50 13.71 1.12 NA NA 17.72 21.93 090
hand tendon.
26372......... ........ A Repair/graft 8.81 NA NA 10.48 15.02 1.40 NA NA 20.69 25.23 090
hand tendon.
26373......... ........ A Repair finger/ 8.21 NA NA 10.16 14.57 1.23 NA NA 19.60 24.01 090
hand tendon.
26390......... ........ A Revise hand/ 9.24 NA NA 9.08 12.23 1.40 NA NA 19.72 22.87 090
finger tendon.
26392......... ........ A Repair/graft 10.30 NA NA 11.02 15.30 1.57 NA NA 22.89 27.17 090
hand tendon.
26410......... ........ A Repair hand 4.62 NA NA 7.56 10.85 0.73 NA NA 12.91 16.20 090
tendon.
26412......... ........ A Repair/graft 6.30 NA NA 8.57 12.10 0.97 NA NA 15.84 19.37 090
hand tendon.
26415......... ........ A Excision, hand/ 8.33 NA NA 6.71 10.51 0.98 NA NA 16.02 19.82 090
finger tendon.
26416......... ........ A Graft hand or 9.36 NA NA 8.70 13.12 0.79 NA NA 18.85 23.27 090
finger tendon.
26418......... ........ A Repair finger 4.24 NA NA 8.07 11.26 0.67 NA NA 12.98 16.17 090
tendon.
26420......... ........ A Repair/graft 6.76 NA NA 8.75 12.41 1.07 NA NA 16.58 20.24 090
finger tendon.
26426......... ........ A Repair finger/ 6.14 NA NA 8.52 12.00 0.95 NA NA 15.61 19.09 090
hand tendon.
26428......... ........ A Repair/graft 7.20 NA NA 9.19 12.69 1.09 NA NA 17.48 20.98 090
finger tendon.
26432......... ........ A Repair finger 4.01 NA NA 6.71 9.37 0.64 NA NA 11.36 14.02 090
tendon.
26433......... ........ A Repair finger 4.55 NA NA 6.93 9.83 0.72 NA NA 12.20 15.10 090
tendon.
26434......... ........ A Repair/graft 6.08 NA NA 7.87 10.62 0.93 NA NA 14.88 17.63 090
finger tendon.
26437......... ........ A Realignment of 5.81 NA NA 7.71 10.61 0.89 NA NA 14.41 17.31 090
tendons.
26440......... ........ A Release palm/ 5.01 NA NA 8.43 12.18 0.75 NA NA 14.19 17.94 090
finger tendon.
26442......... ........ A Release palm & 9.40 NA NA 11.61 14.86 1.20 NA NA 22.21 25.46 090
finger tendon.
26445......... ........ A Release hand/ 4.30 NA NA 8.10 11.88 0.65 NA NA 13.05 16.83 090
finger tendon.
26449......... ........ A Release forearm/ 8.24 NA NA 11.30 14.65 1.06 NA NA 20.60 23.95 090
hand tendon.
26450......... ........ A Incision of 3.66 NA NA 5.11 6.78 0.59 NA NA 9.36 11.03 090
palm tendon.
26455......... ........ A Incision of 3.63 NA NA 5.07 6.73 0.58 NA NA 9.28 10.94 090
finger tendon.
26460......... ........ A Incise hand/ 3.45 NA NA 5.01 6.61 0.55 NA NA 9.01 10.61 090
finger tendon.
26471......... ........ A Fusion of 5.72 NA NA 7.66 10.35 0.88 NA NA 14.26 16.95 090
finger tendons.
26474......... ........ A Fusion of 5.31 NA NA 7.48 10.41 0.76 NA NA 13.55 16.48 090
finger tendons.
26476......... ........ A Tendon 5.17 NA NA 7.39 10.05 0.79 NA NA 13.35 16.01 090
lengthening.
26477......... ........ A Tendon 5.14 NA NA 7.47 10.16 0.81 NA NA 13.42 16.11 090
shortening.
26478......... ........ A Lengthening of 5.79 NA NA 7.67 10.80 0.90 NA NA 14.36 17.49 090
hand tendon.
26479......... ........ A Shortening of 5.73 NA NA 7.66 10.59 0.92 NA NA 14.31 17.24 090
hand tendon.
26480......... ........ A Transplant hand 6.68 NA NA 9.57 13.67 1.02 NA NA 17.27 21.37 090
tendon.
26483......... ........ A Transplant/ 8.28 NA NA 10.22 14.18 1.26 NA NA 19.76 23.72 090
graft hand
tendon.
26485......... ........ A Transplant palm 7.69 NA NA 9.94 14.01 1.15 NA NA 18.78 22.85 090
tendon.
[[Page 49109]]
26489......... ........ A Transplant/ 9.66 NA NA 10.29 11.62 1.26 NA NA 21.21 22.54 090
graft palm
tendon.
26490......... ........ A Revise thumb 8.40 NA NA 8.89 11.84 1.21 NA NA 18.50 21.45 090
tendon.
26492......... ........ A Tendon transfer 9.61 NA NA 9.77 12.64 1.40 NA NA 20.78 23.65 090
with graft.
26494......... ........ A Hand tendon/ 8.46 NA NA 9.01 11.98 1.28 NA NA 18.75 21.72 090
muscle
transfer.
26496......... ........ A Revise thumb 9.58 NA NA 9.46 12.29 1.45 NA NA 20.49 23.32 090
tendon.
26497......... ........ A Finger tendon 9.56 NA NA 9.42 12.53 1.41 NA NA 20.39 23.50 090
transfer.
26498......... ........ A Finger tendon 13.98 NA NA 11.48 14.99 2.10 NA NA 27.56 31.07 090
transfer.
26499......... ........ A Revision of 8.97 NA NA 8.72 11.96 1.35 NA NA 19.04 22.28 090
finger.
26500......... ........ A Hand tendon 5.95 NA NA 7.75 10.52 0.90 NA NA 14.60 17.37 090
reconstruction.
26502......... ........ A Hand tendon 7.13 NA NA 8.34 11.10 1.13 NA NA 16.60 19.36 090
reconstruction.
26504......... ........ A Hand tendon 7.46 NA NA 8.59 11.58 1.24 NA NA 17.29 20.28 090
reconstruction.
26508......... ........ A Release thumb 6.00 NA NA 7.75 10.70 0.98 NA NA 14.73 17.68 090
contracture.
26510......... ........ A Thumb tendon 5.42 NA NA 7.56 10.40 0.79 NA NA 13.77 16.61 090
transfer.
26516......... ........ A Fusion of 7.14 NA NA 8.22 11.23 1.10 NA NA 16.46 19.47 090
knuckle joint.
26517......... ........ A Fusion of 8.88 NA NA 9.21 12.43 1.41 NA NA 19.50 22.72 090
knuckle joints.
26518......... ........ A Fusion of 9.07 NA NA 9.24 12.35 1.35 NA NA 19.66 22.77 090
knuckle joints.
26520......... ........ A Release knuckle 5.29 NA NA 8.81 12.62 0.80 NA NA 14.90 18.71 090
contracture.
26525......... ........ A Release finger 5.32 NA NA 8.82 12.68 0.81 NA NA 14.95 18.81 090
contracture.
26530......... ........ A Revise knuckle 6.68 NA NA 5.43 5.96 1.04 NA NA 13.15 13.68 090
joint.
26531......... ........ A Revise knuckle 7.90 NA NA 6.15 6.88 1.17 NA NA 15.22 15.95 090
with implant.
26535......... ........ A Revise finger 5.23 NA NA 4.04 3.82 0.71 NA NA 9.98 9.76 090
joint.
26536......... ........ A Revise/implant 6.36 NA NA 9.14 9.52 0.96 NA NA 16.46 16.84 090
finger joint.
26540......... ........ A Repair hand 6.42 NA NA 7.98 10.90 0.99 NA NA 15.39 18.31 090
joint.
26541......... ........ A Repair hand 8.61 NA NA 9.04 12.30 1.28 NA NA 18.93 22.19 090
joint with
graft.
26542......... ........ A Repair hand 6.77 NA NA 8.13 11.06 1.02 NA NA 15.92 18.85 090
joint with
graft.
26545......... ........ A Reconstruct 6.91 NA NA 8.32 11.18 1.05 NA NA 16.28 19.14 090
finger joint.
26546......... ........ A Repair nonunion 10.41 NA NA 11.42 14.13 1.44 NA NA 23.27 25.98 090
hand.
26548......... ........ A Reconstruct 8.02 NA NA 8.78 11.83 1.20 NA NA 18.00 21.05 090
finger joint.
26550......... ........ A Construct thumb 21.46 NA NA 15.40 17.04 2.45 NA NA 39.31 40.95 090
replacement.
26551......... ........ A Great toe-hand 48.09 NA NA 21.71 29.76 7.96 NA NA 77.76 85.81 090
transfer.
26553......... ........ A Single 47.78 NA NA 20.29 22.08 2.41 NA NA 70.48 72.27 090
transfer, toe-
hand.
26554......... ........ A Double 56.57 NA NA 19.56 33.04 9.41 NA NA 85.54 99.02 090
transfer, toe-
hand.
26555......... ........ A Positional 16.86 NA NA 13.88 17.11 2.48 NA NA 33.22 36.45 090
change of
finger.
26556......... ........ A Toe joint 49.27 NA NA 17.86 29.46 2.57 NA NA 69.70 81.30 090
transfer.
26560......... ........ A Repair of web 5.37 NA NA 7.09 9.12 0.85 NA NA 13.31 15.34 090
finger.
26561......... ........ A Repair of web 10.90 NA NA 9.41 11.61 1.45 NA NA 21.76 23.96 090
finger.
26562......... ........ A Repair of web 16.30 NA NA 13.88 16.33 2.23 NA NA 32.41 34.86 090
finger.
26565......... ........ A Correct 6.73 NA NA 7.90 10.98 1.00 NA NA 15.63 18.71 090
metacarpal
flaw.
26567......... ........ A Correct finger 6.81 NA NA 8.15 11.00 1.04 NA NA 16.00 18.85 090
deformity.
26568......... ........ A Lengthen 9.07 NA NA 10.13 14.11 1.49 NA NA 20.69 24.67 090
metacarpal/
finger.
26580......... ........ A Repair hand 19.40 NA NA 11.01 12.98 2.28 NA NA 32.69 34.66 090
deformity.
26587......... ........ A Reconstruct 14.28 NA NA 8.43 9.02 1.53 NA NA 24.24 24.83 090
extra finger.
26590......... ........ A Repair finger 18.43 NA NA 10.52 13.09 2.77 NA NA 31.72 34.29 090
deformity.
26591......... ........ A Repair muscles 3.25 NA NA 6.26 8.78 0.48 NA NA 9.99 12.51 090
of hand.
26593......... ........ A Release muscles 5.30 NA NA 7.73 10.28 0.78 NA NA 13.81 16.36 090
of hand.
26596......... ........ A Excision 8.94 NA NA 7.48 8.49 1.43 NA NA 17.85 18.86 090
constricting
tissue.
26600......... ........ A Treat 2.40 3.83 3.67 3.48 2.86 0.30 6.53 6.37 6.18 5.56 090
metacarpal
fracture.
26605......... ........ A Treat 2.85 4.09 4.44 3.50 3.61 0.49 7.43 7.78 6.84 6.95 090
metacarpal
fracture.
26607......... ........ A Treat 5.35 NA NA 4.88 5.92 0.87 NA NA 11.10 12.14 090
metacarpal
fracture.
26608......... ........ A Treat 5.35 NA NA 5.25 6.00 0.88 NA NA 11.48 12.23 090
metacarpal
fracture.
26615......... ........ A Treat 5.32 NA NA 4.75 5.16 0.86 NA NA 10.93 11.34 090
metacarpal
fracture.
26641......... ........ A Treat thumb 3.93 4.17 4.47 3.52 3.53 0.39 8.49 8.79 7.84 7.85 090
dislocation.
26645......... ........ A Treat thumb 4.40 4.62 5.03 3.93 4.13 0.67 9.69 10.10 9.00 9.20 090
fracture.
26650......... ........ A Treat thumb 5.71 NA NA 5.62 6.42 0.94 NA NA 12.27 13.07 090
fracture.
26665......... ........ A Treat thumb 7.65 NA NA 5.87 6.43 0.90 NA NA 14.42 14.98 090
fracture.
26670......... ........ A Treat hand 3.68 3.55 4.08 2.96 2.95 0.39 7.62 8.15 7.03 7.02 090
dislocation.
26675......... ........ A Treat hand 4.63 4.85 5.32 4.15 4.39 0.77 10.25 10.72 9.55 9.79 090
dislocation.
26676......... ........ A Pin hand 5.51 NA NA 5.57 6.41 0.91 NA NA 11.99 12.83 090
dislocation.
26685......... ........ A Treat hand 7.03 NA NA 5.44 5.97 1.09 NA NA 13.56 14.09 090
dislocation.
26686......... ........ A Treat hand 7.99 NA NA 6.12 6.71 1.24 NA NA 15.35 15.94 090
dislocation.
26700......... ........ A Treat knuckle 3.68 3.32 3.65 2.95 2.88 0.35 7.35 7.68 6.98 6.91 090
dislocation.
26705......... ........ A Treat knuckle 4.18 4.82 5.20 4.10 4.25 0.66 9.66 10.04 8.94 9.09 090
dislocation.
26706......... ........ A Pin knuckle 5.11 NA NA 4.69 4.99 0.81 NA NA 10.61 10.91 090
dislocation.
26715......... ........ A Treat knuckle 5.73 NA NA 4.92 5.36 0.91 NA NA 11.56 12.00 090
dislocation.
26720......... ........ A Treat finger 1.66 2.59 2.73 2.31 2.12 0.24 4.49 4.63 4.21 4.02 090
fracture, each.
26725......... ........ A Treat finger 3.33 4.10 4.60 3.42 3.48 0.53 7.96 8.46 7.28 7.34 090
fracture, each.
[[Page 49110]]
26727......... ........ A Treat finger 5.22 NA NA 5.21 5.98 0.84 NA NA 11.27 12.04 090
fracture, each.
26735......... ........ A Treat finger 5.97 NA NA 5.00 5.41 0.95 NA NA 11.92 12.33 090
fracture, each.
26740......... ........ A Treat finger 1.94 2.95 3.09 2.66 2.69 0.31 5.20 5.34 4.91 4.94 090
fracture, each.
26742......... ........ A Treat finger 3.84 4.33 4.83 3.62 3.82 0.58 8.75 9.25 8.04 8.24 090
fracture, each.
26746......... ........ A Treat finger 5.80 NA NA 4.96 5.41 0.91 NA NA 11.67 12.12 090
fracture, each.
26750......... ........ A Treat finger 1.70 2.25 2.42 2.26 2.07 0.22 4.17 4.34 4.18 3.99 090
fracture, each.
26755......... ........ A Treat finger 3.10 3.79 4.26 2.98 3.00 0.42 7.31 7.78 6.50 6.52 090
fracture, each.
26756......... ........ A Pin finger 4.38 NA NA 4.86 5.51 0.71 NA NA 9.95 10.60 090
fracture, each.
26765......... ........ A Treat finger 4.16 NA NA 4.02 4.30 0.66 NA NA 8.84 9.12 090
fracture, each.
26770......... ........ A Treat finger 3.02 2.91 3.30 2.53 2.44 0.27 6.20 6.59 5.82 5.73 090
dislocation.
26775......... ........ A Treat finger 3.70 4.54 5.03 3.81 3.81 0.54 8.78 9.27 8.05 8.05 090
dislocation.
26776......... ........ A Pin finger 4.79 NA NA 5.01 5.75 0.77 NA NA 10.57 11.31 090
dislocation.
26785......... ........ A Treat finger 4.20 NA NA 4.08 4.42 0.68 NA NA 8.96 9.30 090
dislocation.
26820......... ........ A Thumb fusion 8.25 NA NA 8.71 12.12 1.30 NA NA 18.26 21.67 090
with graft.
26841......... ........ A Fusion of thumb 7.12 NA NA 8.69 12.10 1.18 NA NA 16.99 20.40 090
26842......... ........ A Thumb fusion 8.29 NA NA 8.95 12.27 1.32 NA NA 18.56 21.88 090
with graft.
26843......... ........ A Fusion of hand 7.60 NA NA 8.17 11.31 1.15 NA NA 16.92 20.06 090
joint.
26844......... ........ A Fusion/graft of 8.78 NA NA 9.14 12.31 1.33 NA NA 19.25 22.42 090
hand joint.
26850......... ........ A Fusion of 6.96 NA NA 8.29 11.22 1.06 NA NA 16.31 19.24 090
knuckle.
26852......... ........ A Fusion of 8.51 NA NA 9.12 11.95 1.22 NA NA 18.85 21.68 090
knuckle with
graft.
26860......... ........ A Fusion of 4.68 NA NA 7.54 10.28 0.73 NA NA 12.95 15.69 090
finger joint.
26861......... ........ A Fusion of 1.74 NA NA 0.71 0.88 0.27 NA NA 2.72 2.89 ZZZ
finger jnt,
add-on.
26862......... ........ A Fusion/graft of 7.36 NA NA 8.68 11.43 1.10 NA NA 17.14 19.89 090
finger joint.
26863......... ........ A Fuse/graft 3.89 NA NA 1.58 1.98 0.56 NA NA 6.03 6.43 ZZZ
added joint.
26910......... ........ A Amputate 7.59 NA NA 8.30 10.49 1.16 NA NA 17.05 19.24 090
metacarpal
bone.
26951......... ........ A Amputation of 5.75 NA NA 8.39 9.71 0.71 NA NA 14.85 16.17 090
finger/thumb.
26952......... ........ A Amputation of 6.30 NA NA 7.94 10.73 0.95 NA NA 15.19 17.98 090
finger/thumb.
26989......... ........ C Hand/finger 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
26990......... ........ A Drainage of 7.77 NA NA 6.29 6.98 1.22 NA NA 15.28 15.97 090
pelvis lesion.
26991......... ........ A Drainage of 6.91 8.60 10.52 4.85 5.29 1.11 16.62 18.54 12.87 13.31 090
pelvis bursa.
26992......... ........ A Drainage of 13.30 NA NA 8.64 9.95 2.16 NA NA 24.10 25.41 090
bone lesion.
27000......... ........ A Incision of hip 5.61 NA NA 4.55 5.10 0.98 NA NA 11.14 11.69 090
tendon.
27001......... ........ A Incision of hip 6.99 NA NA 5.23 5.88 1.24 NA NA 13.46 14.11 090
tendon.
27003......... ........ A Incision of hip 7.63 NA NA 5.82 6.32 1.12 NA NA 14.57 15.07 090
tendon.
27005......... ........ A Incision of hip 9.89 NA NA 6.79 7.56 1.72 NA NA 18.40 19.17 090
tendon.
27006......... ........ A Incision of hip 9.91 NA NA 6.84 7.70 1.69 NA NA 18.44 19.30 090
tendons.
27025......... ........ A Incision of hip/ 12.57 NA NA 8.10 8.44 1.84 NA NA 22.51 22.85 090
thigh fascia.
27030......... ........ A Drainage of hip 13.47 NA NA 8.10 9.26 2.26 NA NA 23.83 24.99 090
joint.
27033......... ........ A Exploration of 13.91 NA NA 8.45 9.55 2.32 NA NA 24.68 25.78 090
hip joint.
27035......... ........ A Denervation of 17.14 NA NA 9.53 10.81 2.15 NA NA 28.82 30.10 090
hip joint.
27036......... ........ A Excision of hip 14.10 NA NA 8.98 9.75 2.26 NA NA 25.34 26.11 090
joint/muscle.
27040......... ........ A Biopsy of soft 2.87 5.14 5.21 1.81 1.96 0.27 8.28 8.35 4.95 5.10 010
tissues.
27041......... ........ A Biopsy of soft 10.00 NA NA 5.79 6.43 1.35 NA NA 17.14 17.78 090
tissues.
27047......... ........ A Remove hip/ 7.44 7.12 7.11 4.57 4.72 1.03 15.59 15.58 13.04 13.19 090
pelvis lesion.
27048......... ........ A Remove hip/ 6.36 NA NA 4.65 4.76 0.92 NA NA 11.93 12.04 090
pelvis lesion.
27049......... ........ A Remove tumor, 15.12 NA NA 8.24 8.36 2.06 NA NA 25.42 25.54 090
hip/pelvis.
27050......... ........ A Biopsy of 4.59 NA NA 3.79 4.26 0.60 NA NA 8.98 9.45 090
sacroiliac
joint.
27052......... ........ A Biopsy of hip 7.21 NA NA 5.68 5.83 1.08 NA NA 13.97 14.12 090
joint.
27054......... ........ A Removal of hip 9.01 NA NA 6.49 7.13 1.47 NA NA 16.97 17.61 090
joint lining.
27060......... ........ A Removal of 5.72 NA NA 4.38 4.37 0.80 NA NA 10.90 10.89 090
ischial bursa.
27062......... ........ A Remove femur 5.60 NA NA 4.63 5.05 0.93 NA NA 11.16 11.58 090
lesion/bursa.
27065......... ........ A Removal of hip 6.37 NA NA 5.12 5.36 1.01 NA NA 12.50 12.74 090
bone lesion.
27066......... ........ A Removal of hip 10.97 NA NA 7.46 8.20 1.79 NA NA 20.22 20.96 090
bone lesion.
27067......... ........ A Remove/graft 14.47 NA NA 8.80 10.20 1.84 NA NA 25.11 26.51 090
hip bone
lesion.
27070......... ........ A Partial removal 11.36 NA NA 7.94 8.83 1.74 NA NA 21.04 21.93 090
of hip bone.
27071......... ........ A Partial removal 12.16 NA NA 8.54 9.73 1.92 NA NA 22.62 23.81 090
of hip bone.
[[Page 49111]]
27075......... ........ A Extensive hip 36.71 NA NA 16.62 18.56 5.64 NA NA 58.97 60.91 090
surgery.
27076......... ........ A Extensive hip 24.17 NA NA 12.75 14.07 3.70 NA NA 40.62 41.94 090
surgery.
27077......... ........ A Extensive hip 42.48 NA NA 19.99 21.99 6.12 NA NA 68.59 70.59 090
surgery.
27078......... ........ A Extensive hip 14.44 NA NA 8.79 9.65 2.22 NA NA 25.45 26.31 090
surgery.
27079......... ........ A Extensive hip 14.81 NA NA 7.52 9.04 1.94 NA NA 24.27 25.79 090
surgery.
27080......... ........ A Removal of tail 6.74 NA NA 4.72 4.80 0.93 NA NA 12.39 12.47 090
bone.
27086......... ........ A Remove hip 1.87 3.78 4.36 1.54 1.75 0.25 5.90 6.48 3.66 3.87 010
foreign body.
27087......... ........ A Remove hip 8.65 NA NA 5.66 6.41 1.35 NA NA 15.66 16.41 090
foreign body.
27090......... ........ A Removal of hip 11.49 NA NA 7.44 8.45 1.94 NA NA 20.87 21.88 090
prosthesis.
27091......... ........ A Removal of hip 24.07 NA NA 13.05 13.76 3.84 NA NA 40.96 41.67 090
prosthesis.
27093......... ........ A Injection for 1.30 3.09 4.12 0.44 0.47 0.13 4.52 5.55 1.87 1.90 000
hip x-ray.
27095......... ........ A Injection for 1.50 3.73 5.22 0.50 0.52 0.14 5.37 6.86 2.14 2.16 000
hip x-ray.
27096......... ........ A Inject 1.40 2.54 3.90 0.33 0.33 0.08 4.02 5.38 1.81 1.81 000
sacroiliac
joint.
27097......... ........ A Revision of hip 9.09 NA NA 6.35 6.40 1.57 NA NA 17.01 17.06 090
tendon.
27098......... ........ A Transfer tendon 9.12 NA NA 4.96 6.51 0.95 NA NA 15.03 16.58 090
to pelvis.
27100......... ........ A Transfer of 11.12 NA NA 7.39 8.34 1.85 NA NA 20.36 21.31 090
abdominal
muscle.
27105......... ........ A Transfer of 11.81 NA NA 7.93 8.85 1.72 NA NA 21.46 22.38 090
spinal muscle.
27110......... ........ A Transfer of 13.54 NA NA 8.61 8.99 2.18 NA NA 24.33 24.71 090
iliopsoas
muscle.
27111......... ........ A Transfer of 12.37 NA NA 8.13 8.88 1.94 NA NA 22.44 23.19 090
iliopsoas
muscle.
27120......... ........ A Reconstruction 19.00 NA NA 10.79 11.58 3.08 NA NA 32.87 33.66 090
of hip socket.
27122......... ........ A Reconstruction 15.86 NA NA 9.49 10.65 2.61 NA NA 27.96 29.12 090
of hip socket.
27125......... ........ A Partial hip 16.39 NA NA 9.69 10.39 2.54 NA NA 28.62 29.32 090
replacement.
27130......... ........ A Total hip 17.40 NA NA 10.24 12.54 3.50 NA NA 31.14 33.44 090
arthroplasty.
27132......... ........ A Total hip 25.41 NA NA 13.57 15.12 4.04 NA NA 43.02 44.57 090
arthroplasty.
27134......... ........ A Revise hip 30.07 NA NA 14.86 17.06 4.94 NA NA 49.87 52.07 090
joint
replacement.
27137......... ........ A Revise hip 22.49 NA NA 11.85 13.41 3.67 NA NA 38.01 39.57 090
joint
replacement.
27138......... ........ A Revise hip 23.49 NA NA 12.24 13.85 3.84 NA NA 39.57 41.18 090
joint
replacement.
27140......... ........ A Transplant 12.58 NA NA 7.81 9.01 2.11 NA NA 22.50 23.70 090
femur ridge.
27146......... ........ A Incision of hip 18.64 NA NA 10.74 11.78 2.96 NA NA 32.34 33.38 090
bone.
27147......... ........ A Revision of hip 21.79 NA NA 11.94 12.92 3.57 NA NA 37.30 38.28 090
bone.
27151......... ........ A Incision of hip 23.84 NA NA 12.44 9.07 3.91 NA NA 40.19 36.82 090
bones.
27156......... ........ A Revision of hip 25.95 NA NA 13.54 15.43 4.21 NA NA 43.70 45.59 090
bones.
27158......... ........ A Revision of 20.79 NA NA 7.19 10.03 3.16 NA NA 31.14 33.98 090
pelvis.
27161......... ........ A Incision of 17.64 NA NA 10.42 11.68 2.94 NA NA 31.00 32.26 090
neck of femur.
27165......... ........ A Incision/ 19.97 NA NA 11.73 12.62 3.10 NA NA 34.80 35.69 090
fixation of
femur.
27170......... ........ A Repair/graft 17.40 NA NA 9.82 10.93 2.81 NA NA 30.03 31.14 090
femur head/
neck.
27175......... ........ A Treat slipped 9.23 NA NA 5.80 6.45 1.46 NA NA 16.49 17.14 090
epiphysis.
27176......... ........ A Treat slipped 12.69 NA NA 8.26 8.82 2.22 NA NA 23.17 23.73 090
epiphysis.
27177......... ........ A Treat slipped 15.84 NA NA 9.69 10.59 2.61 NA NA 28.14 29.04 090
epiphysis.
27178......... ........ A Treat slipped 12.69 NA NA 8.26 8.38 2.08 NA NA 23.03 23.15 090
epiphysis.
27179......... ........ A Revise head/ 13.74 NA NA 8.56 9.63 2.25 NA NA 24.55 25.62 090
neck of femur.
27181......... ........ A Treat slipped 15.90 NA NA 9.83 10.11 1.57 NA NA 27.30 27.58 090
epiphysis.
27185......... ........ A Revision of 9.59 NA NA 6.69 7.31 2.39 NA NA 18.67 19.29 090
femur
epiphysis.
27187......... ........ A Reinforce hip 14.00 NA NA 8.72 9.92 2.37 NA NA 25.09 26.29 090
bones.
27193......... ........ A Treat pelvic 5.92 4.65 4.98 4.78 5.01 0.96 11.53 11.86 11.66 11.89 090
ring fracture.
27194......... ........ A Treat pelvic 10.00 NA NA 6.62 7.39 1.65 NA NA 18.27 19.04 090
ring fracture.
27200......... ........ A Treat tail bone 1.84 2.09 2.19 2.24 2.17 0.28 4.21 4.31 4.36 4.29 090
fracture.
27202......... ........ A Treat tail bone 7.21 NA NA 11.28 15.47 1.06 NA NA 19.55 23.74 090
fracture.
27215......... ........ A Treat pelvic 10.39 NA NA 6.53 6.94 1.97 NA NA 18.89 19.30 090
fracture(s).
27216......... ........ A Treat pelvic 15.65 NA NA 9.25 9.51 2.63 NA NA 27.53 27.79 090
ring fracture.
27217......... ........ A Treat pelvic 14.57 NA NA 8.70 9.78 2.41 NA NA 25.68 26.76 090
ring fracture.
27218......... ........ A Treat pelvic 20.85 NA NA 11.41 11.40 3.48 NA NA 35.74 35.73 090
ring fracture.
27220......... ........ A Treat hip 6.65 5.28 5.61 5.18 5.52 1.07 13.00 13.33 12.90 13.24 090
socket
fracture.
27222......... ........ A Treat hip 13.88 NA NA 8.50 9.60 2.19 NA NA 24.57 25.67 090
socket
fracture.
27226......... ........ A Treat hip wall 15.37 NA NA 9.00 8.11 2.48 NA NA 26.85 25.96 090
fracture.
27227......... ........ A Treat hip 25.13 NA NA 13.44 14.91 4.05 NA NA 42.62 44.09 090
fracture(s).
27228......... ........ A Treat hip 29.05 NA NA 15.03 16.97 4.66 NA NA 48.74 50.68 090
fracture(s).
27230......... ........ A Treat thigh 5.61 4.98 5.38 4.91 5.05 0.95 11.54 11.94 11.47 11.61 090
fracture.
27232......... ........ A Treat thigh 11.62 NA NA 6.00 6.88 1.85 NA NA 19.47 20.35 090
fracture.
27235......... ........ A Treat thigh 12.80 NA NA 8.05 9.10 2.11 NA NA 22.96 24.01 090
fracture.
27236......... ........ A Treat thigh 14.54 NA NA 9.10 10.56 2.71 NA NA 26.35 27.81 090
fracture.
27238......... ........ A Treat thigh 5.57 NA NA 4.69 5.03 0.89 NA NA 11.15 11.49 090
fracture.
27240......... ........ A Treat thigh 13.56 NA NA 8.10 9.13 2.16 NA NA 23.82 24.85 090
fracture.
27244......... ........ A Treat thigh 17.00 NA NA 9.71 10.90 2.77 NA NA 29.48 30.67 090
fracture.
27245......... ........ A Treat thigh 21.01 NA NA 11.46 13.17 3.52 NA NA 35.99 37.70 090
fracture.
27246......... ........ A Treat thigh 4.70 3.93 4.33 3.97 4.31 0.81 9.44 9.84 9.48 9.82 090
fracture.
[[Page 49112]]
27248......... ........ A Treat thigh 10.73 NA NA 7.01 7.91 1.81 NA NA 19.55 20.45 090
fracture.
27250......... ........ A Treat hip 7.12 NA NA 4.27 4.53 0.62 NA NA 12.01 12.27 090
dislocation.
27252......... ........ A Treat hip 10.85 NA NA 6.52 7.20 1.66 NA NA 19.03 19.71 090
dislocation.
27253......... ........ A Treat hip 13.38 NA NA 8.26 9.40 2.24 NA NA 23.88 25.02 090
dislocation.
27254......... ........ A Treat hip 18.71 NA NA 10.56 11.66 3.17 NA NA 32.44 33.54 090
dislocation.
27256......... ........ A Treat hip 4.23 2.39 3.24 1.39 1.91 0.46 7.08 7.93 6.08 6.60 010
dislocation.
27257......... ........ A Treat hip 5.33 NA NA 2.57 2.75 0.69 NA NA 8.59 8.77 010
dislocation.
27258......... ........ A Treat hip 15.95 NA NA 9.45 10.52 2.64 NA NA 28.04 29.11 090
dislocation.
27259......... ........ A Treat hip 22.95 NA NA 12.91 13.82 3.74 NA NA 39.60 40.51 090
dislocation.
27265......... ........ A Treat hip 5.04 NA NA 3.98 4.59 0.63 NA NA 9.65 10.26 090
dislocation.
27266......... ........ A Treat hip 7.60 NA NA 5.55 6.14 1.29 NA NA 14.44 15.03 090
dislocation.
27275......... ........ A Manipulation of 2.27 NA NA 1.89 2.05 0.39 NA NA 4.55 4.71 010
hip joint.
27280......... ........ A Fusion of 14.39 NA NA 9.05 9.96 2.53 NA NA 25.97 26.88 090
sacroiliac
joint.
27282......... ........ A Fusion of pubic 11.62 NA NA 7.83 7.96 1.86 NA NA 21.31 21.44 090
bones.
27284......... ........ A Fusion of hip 24.85 NA NA 12.86 14.29 3.92 NA NA 41.63 43.06 090
joint.
27286......... ........ A Fusion of hip 24.89 NA NA 13.47 15.21 3.12 NA NA 41.48 43.22 090
joint.
27290......... ........ A Amputation of 24.27 NA NA 12.53 13.68 3.43 NA NA 40.23 41.38 090
leg at hip.
27295......... ........ A Amputation of 19.46 NA NA 9.79 10.93 2.95 NA NA 32.20 33.34 090
leg at hip.
27299......... ........ C Pelvis/hip 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
joint surgery.
27301......... ........ A Drain thigh/ 6.60 8.23 9.61 4.66 5.02 1.04 15.87 17.25 12.30 12.66 090
knee lesion.
27303......... ........ A Drainage of 8.45 NA NA 6.07 6.75 1.43 NA NA 15.95 16.63 090
bone lesion.
27305......... ........ A Incise thigh 6.03 NA NA 4.63 5.04 1.01 NA NA 11.67 12.08 090
tendon &
fascia.
27306......... ........ A Incision of 4.61 NA NA 4.07 4.56 0.85 NA NA 9.53 10.02 090
thigh tendon.
27307......... ........ A Incision of 5.91 NA NA 4.81 5.24 1.04 NA NA 11.76 12.19 090
thigh tendons.
27310......... ........ A Exploration of 9.80 NA NA 6.83 7.39 1.61 NA NA 18.24 18.80 090
knee joint.
27315......... ........ A Partial 7.02 NA NA 5.44 5.07 1.09 NA NA 13.55 13.18 090
removal, thigh
nerve.
27320......... ........ A Partial 6.29 NA NA 4.75 5.11 1.06 NA NA 12.10 12.46 090
removal, thigh
nerve.
27323......... ........ A Biopsy, thigh 2.28 4.09 3.66 1.87 1.88 0.24 6.61 6.18 4.39 4.40 010
soft tissues.
27324......... ........ A Biopsy, thigh 4.89 NA NA 3.85 4.10 0.75 NA NA 9.49 9.74 090
soft tissues.
27327......... ........ A Removal of 4.46 6.08 6.01 3.61 3.69 0.64 11.18 11.11 8.71 8.79 090
thigh lesion.
27328......... ........ A Removal of 5.56 NA NA 4.07 4.30 0.84 NA NA 10.47 10.70 090
thigh lesion.
27329......... ........ A Remove tumor, 15.60 NA NA 8.58 8.91 2.14 NA NA 26.32 26.65 090
thigh/knee.
27330......... ........ A Biopsy, knee 4.96 NA NA 4.12 4.46 0.86 NA NA 9.94 10.28 090
joint lining.
27331......... ........ A Explore/treat 5.87 NA NA 4.84 5.35 1.02 NA NA 11.73 12.24 090
knee joint.
27332......... ........ A Removal of knee 8.26 NA NA 6.15 6.88 1.43 NA NA 15.84 16.57 090
cartilage.
27333......... ........ A Removal of knee 7.35 NA NA 5.73 6.44 1.26 NA NA 14.34 15.05 090
cartilage.
27334......... ........ A Remove knee 8.99 NA NA 6.49 7.18 1.51 NA NA 16.99 17.68 090
joint lining.
27335......... ........ A Remove knee 10.35 NA NA 7.06 7.93 1.74 NA NA 19.15 20.02 090
joint lining.
27340......... ........ A Removal of 4.17 NA NA 4.05 4.43 0.72 NA NA 8.94 9.32 090
kneecap bursa.
27345......... ........ A Removal of knee 5.91 NA NA 4.89 5.44 1.00 NA NA 11.80 12.35 090
cyst.
27347......... ........ A Remove knee 6.52 NA NA 5.26 5.38 0.98 NA NA 12.76 12.88 090
cyst.
27350......... ........ A Removal of 8.46 NA NA 6.29 7.00 1.41 NA NA 16.16 16.87 090
kneecap.
27355......... ........ A Remove femur 7.82 NA NA 5.87 6.55 1.32 NA NA 15.01 15.69 090
lesion.
27356......... ........ A Remove femur 9.89 NA NA 6.86 7.60 1.65 NA NA 18.40 19.14 090
lesion/graft.
27357......... ........ A Remove femur 10.93 NA NA 7.54 8.41 1.95 NA NA 20.42 21.29 090
lesion/graft.
27358......... ........ A Remove femur 4.73 NA NA 1.90 2.37 0.82 NA NA 7.45 7.92 ZZZ
lesion/
fixation.
27360......... ........ A Partial 11.26 NA NA 8.13 9.20 1.83 NA NA 21.22 22.29 090
removal, leg
bone(s).
27365......... ........ A Extensive leg 17.85 NA NA 10.52 11.39 2.79 NA NA 31.16 32.03 090
surgery.
27370......... ........ A Injection for 0.96 2.82 3.50 0.33 0.32 0.08 3.86 4.54 1.37 1.36 000
knee x-ray.
27372......... ........ A Removal of 5.06 8.34 9.62 4.05 4.53 0.84 14.24 15.52 9.95 10.43 090
foreign body.
27380......... ........ A Repair of 7.27 NA NA 6.08 6.98 1.24 NA NA 14.59 15.49 090
kneecap tendon.
27381......... ........ A Repair/graft 10.56 NA NA 7.56 8.71 1.79 NA NA 19.91 21.06 090
kneecap tendon.
27385......... ........ A Repair of thigh 7.93 NA NA 6.36 7.31 1.36 NA NA 15.65 16.60 090
muscle.
27386......... ........ A Repair/graft of 10.90 NA NA 7.98 9.13 1.85 NA NA 20.73 21.88 090
thigh muscle.
27390......... ........ A Incision of 5.38 NA NA 4.57 4.98 0.92 NA NA 10.87 11.28 090
thigh tendon.
27391......... ........ A Incision of 7.31 NA NA 5.52 6.30 1.23 NA NA 14.06 14.84 090
thigh tendons.
[[Page 49113]]
27392......... ........ A Incision of 9.43 NA NA 6.72 7.37 1.57 NA NA 17.72 18.37 090
thigh tendons.
27393......... ........ A Lengthening of 6.44 NA NA 5.01 5.63 1.10 NA NA 12.55 13.17 090
thigh tendon.
27394......... ........ A Lengthening of 8.61 NA NA 6.19 6.96 1.47 NA NA 16.27 17.04 090
thigh tendons.
27395......... ........ A Lengthening of 12.01 NA NA 7.99 8.99 2.04 NA NA 22.04 23.04 090
thigh tendons.
27396......... ........ A Transplant of 7.97 NA NA 5.93 6.73 1.34 NA NA 15.24 16.04 090
thigh tendon.
27397......... ........ A Transplants of 12.38 NA NA 8.42 8.89 1.82 NA NA 22.62 23.09 090
thigh tendons.
27400......... ........ A Revise thigh 9.13 NA NA 6.17 6.98 1.31 NA NA 16.61 17.42 090
muscles/
tendons.
27403......... ........ A Repair of knee 8.44 NA NA 6.09 6.91 1.44 NA NA 15.97 16.79 090
cartilage.
27405......... ........ A Repair of knee 8.88 NA NA 6.44 7.23 1.51 NA NA 16.83 17.62 090
ligament.
27407......... ........ A Repair of knee 10.62 NA NA 6.67 7.91 1.78 NA NA 19.07 20.31 090
ligament.
27409......... ........ A Repair of knee 13.48 NA NA 8.44 9.57 2.24 NA NA 24.16 25.29 090
ligaments.
27412......... ........ A Autochondrocyte 24.43 NA NA 13.66 14.52 4.35 NA NA 42.44 43.30 090
implant knee.
27415......... ........ A Osteochondral 19.69 NA NA 11.86 12.38 4.35 NA NA 35.90 36.42 090
knee allograft.
27418......... ........ A Repair 11.37 NA NA 7.61 8.58 1.88 NA NA 20.86 21.83 090
degenerated
kneecap.
27420......... ........ A Revision of 10.06 NA NA 6.96 7.82 1.71 NA NA 18.73 19.59 090
unstable
kneecap.
27422......... ........ A Revision of 10.01 NA NA 6.91 7.82 1.70 NA NA 18.62 19.53 090
unstable
kneecap.
27424......... ........ A Revision/ 10.04 NA NA 6.92 7.80 1.70 NA NA 18.66 19.54 090
removal of
kneecap.
27425......... ........ A Lat retinacular 5.21 NA NA 4.71 5.32 0.90 NA NA 10.82 11.43 090
release open.
27427......... ........ A Reconstruction, 9.59 NA NA 6.70 7.53 1.63 NA NA 17.92 18.75 090
knee.
27428......... ........ A Reconstruction, 15.23 NA NA 10.13 10.96 2.42 NA NA 27.78 28.61 090
knee.
27429......... ........ A Reconstruction, 17.12 NA NA 11.33 12.14 2.70 NA NA 31.15 31.96 090
knee.
27430......... ........ A Revision of 9.96 NA NA 6.89 7.72 1.69 NA NA 18.54 19.37 090
thigh muscles.
27435......... ........ A Incision of 10.60 NA NA 7.69 8.28 1.69 NA NA 19.98 20.57 090
knee joint.
27437......... ........ A Revise kneecap. 8.75 NA NA 6.24 6.99 1.49 NA NA 16.48 17.23 090
27438......... ........ A Revise kneecap 11.69 NA NA 7.57 8.30 1.95 NA NA 21.21 21.94 090
with implant.
27440......... ........ A Revision of 10.89 NA NA 7.16 6.28 1.81 NA NA 19.86 18.98 090
knee joint.
27441......... ........ A Revision of 11.34 NA NA 7.50 6.91 1.88 NA NA 20.72 20.13 090
knee joint.
27442......... ........ A Revision of 12.17 NA NA 7.78 8.63 2.09 NA NA 22.04 22.89 090
knee joint.
27443......... ........ A Revision of 11.21 NA NA 7.40 8.39 1.90 NA NA 20.51 21.50 090
knee joint.
27445......... ........ A Revision of 18.43 NA NA 10.53 11.90 3.08 NA NA 32.04 33.41 090
knee joint.
27446......... ........ A Revision of 16.18 NA NA 9.37 10.80 2.80 NA NA 28.35 29.78 090
knee joint.
27447......... ........ A Total knee 20.81 NA NA 11.84 13.91 3.79 NA NA 36.44 38.51 090
arthroplasty.
27448......... ........ A Incision of 11.40 NA NA 7.43 8.31 1.94 NA NA 20.77 21.65 090
thigh.
27450......... ........ A Incision of 14.38 NA NA 8.85 10.15 2.42 NA NA 25.65 26.95 090
thigh.
27454......... ........ A Realignment of 18.89 NA NA 10.74 12.06 3.12 NA NA 32.75 34.07 090
thigh bone.
27455......... ........ A Realignment of 13.16 NA NA 8.40 9.51 2.24 NA NA 23.80 24.91 090
knee.
27457......... ........ A Realignment of 13.85 NA NA 8.26 9.51 2.34 NA NA 24.45 25.70 090
knee.
27465......... ........ A Shortening of 18.36 NA NA 10.30 10.24 2.47 NA NA 31.13 31.07 090
thigh bone.
27466......... ........ A Lengthening of 17.03 NA NA 10.15 11.41 2.77 NA NA 29.95 31.21 090
thigh bone.
27468......... ........ A Shorten/ 19.72 NA NA 11.28 12.08 3.30 NA NA 34.30 35.10 090
lengthen
thighs.
27470......... ........ A Repair of thigh 16.87 NA NA 10.22 11.40 2.79 NA NA 29.88 31.06 090
27472......... ........ A Repair/graft of 18.47 NA NA 10.72 12.19 3.07 NA NA 32.26 33.73 090
thigh.
27475......... ........ A Surgery to stop 8.75 NA NA 6.65 7.07 1.36 NA NA 16.76 17.18 090
leg growth.
27477......... ........ A Surgery to stop 9.96 NA NA 6.65 7.46 1.73 NA NA 18.34 19.15 090
leg growth.
27479......... ........ A Surgery to stop 12.96 NA NA 5.11 8.51 2.78 NA NA 20.85 24.25 090
leg growth.
27485......... ........ A Surgery to stop 8.95 NA NA 6.24 7.11 1.53 NA NA 16.72 17.59 090
leg growth.
27486......... ........ A Revise/replace 20.84 NA NA 11.74 13.05 3.36 NA NA 35.94 37.25 090
knee joint.
27487......... ........ A Revise/replace 26.83 NA NA 14.14 15.95 4.39 NA NA 45.36 47.17 090
knee joint.
27488......... ........ A Removal of knee 17.32 NA NA 10.34 11.36 2.74 NA NA 30.40 31.42 090
prosthesis.
27495......... ........ A Reinforce thigh 16.31 NA NA 9.70 10.98 2.71 NA NA 28.72 30.00 090
27496......... ........ A Decompression 6.58 NA NA 5.02 5.46 0.99 NA NA 12.59 13.03 090
of thigh/knee.
27497......... ........ A Decompression 7.64 NA NA 4.68 5.24 1.15 NA NA 13.47 14.03 090
of thigh/knee.
27498......... ........ A Decompression 8.46 NA NA 5.37 5.81 1.24 NA NA 15.07 15.51 090
of thigh/knee.
27499......... ........ A Decompression 9.23 NA NA 5.83 6.57 1.47 NA NA 16.53 17.27 090
of thigh/knee.
27500......... ........ A Treatment of 6.15 5.44 5.95 4.65 4.91 1.02 12.61 13.12 11.82 12.08 090
thigh fracture.
27501......... ........ A Treatment of 6.28 5.04 5.60 4.95 5.27 1.03 12.35 12.91 12.26 12.58 090
thigh fracture.
27502......... ........ A Treatment of 11.16 NA NA 6.92 7.81 1.78 NA NA 19.86 20.75 090
thigh fracture.
27503......... ........ A Treatment of 11.05 NA NA 7.26 8.03 1.84 NA NA 20.15 20.92 090
thigh fracture.
27506......... ........ A Treatment of 19.33 NA NA 11.21 12.39 3.03 NA NA 33.57 34.75 090
thigh fracture.
27507......... ........ A Treatment of 14.33 NA NA 8.20 9.43 2.42 NA NA 24.95 26.18 090
thigh fracture.
27508......... ........ A Treatment of 6.00 5.71 6.27 5.07 5.38 0.97 12.68 13.24 12.04 12.35 090
thigh fracture.
27509......... ........ A Treatment of 7.94 NA NA 6.57 7.61 1.34 NA NA 15.85 16.89 090
thigh fracture.
27510......... ........ A Treatment of 9.60 NA NA 6.34 7.08 1.53 NA NA 17.47 18.21 090
thigh fracture.
27511......... ........ A Treatment of 13.86 NA NA 9.11 10.68 2.37 NA NA 25.34 26.91 090
thigh fracture.
27513......... ........ A Treatment of 19.37 NA NA 11.85 13.37 3.12 NA NA 34.34 35.86 090
thigh fracture.
27514......... ........ A Treatment of 19.00 NA NA 11.98 13.01 3.00 NA NA 33.98 35.01 090
thigh fracture.
[[Page 49114]]
27516......... ........ A Treat thigh fx 5.36 5.69 6.19 5.05 5.40 0.81 11.86 12.36 11.22 11.57 090
growth plate.
27517......... ........ A Treat thigh fx 8.89 NA NA 6.04 7.10 1.22 NA NA 16.15 17.21 090
growth plate.
27519......... ........ A Treat thigh fx 15.72 NA NA 9.88 11.16 2.55 NA NA 28.15 29.43 090
growth plate.
27520......... ........ A Treat kneecap 2.86 4.11 4.43 3.53 3.46 0.47 7.44 7.76 6.86 6.79 090
fracture.
27524......... ........ A Treat kneecap 10.17 NA NA 6.98 7.92 1.74 NA NA 18.89 19.83 090
fracture.
27530......... ........ A Treat knee 3.89 4.83 5.19 4.27 4.38 0.65 9.37 9.73 8.81 8.92 090
fracture.
27532......... ........ A Treat knee 7.35 6.45 7.13 5.67 6.26 1.26 15.06 15.74 14.28 14.87 090
fracture.
27535......... ........ A Treat knee 11.72 NA NA 8.26 9.65 2.00 NA NA 21.98 23.37 090
fracture.
27536......... ........ A Treat knee 17.11 NA NA 10.29 11.28 2.73 NA NA 30.13 31.12 090
fracture.
27538......... ........ A Treat knee 4.86 5.54 5.98 4.92 5.12 0.84 11.24 11.68 10.62 10.82 090
fracture(s).
27540......... ........ A Treat knee 13.38 NA NA 8.02 9.14 2.27 NA NA 23.67 24.79 090
fracture.
27550......... ........ A Treat knee 5.75 5.31 5.84 4.59 4.85 0.76 11.82 12.35 11.10 11.36 090
dislocation.
27552......... ........ A Treat knee 7.95 NA NA 6.12 6.74 1.36 NA NA 15.43 16.05 090
dislocation.
27556......... ........ A Treat knee 14.87 NA NA 9.31 11.07 2.50 NA NA 26.68 28.44 090
dislocation.
27557......... ........ A Treat knee 17.22 NA NA 10.58 12.49 2.97 NA NA 30.77 32.68 090
dislocation.
27558......... ........ A Treat knee 17.93 NA NA 10.62 12.44 3.08 NA NA 31.63 33.45 090
dislocation.
27560......... ........ A Treat kneecap 3.81 3.93 4.61 3.41 3.24 0.40 8.14 8.82 7.62 7.45 090
dislocation.
27562......... ........ A Treat kneecap 5.78 NA NA 4.45 4.69 0.94 NA NA 11.17 11.41 090
dislocation.
27566......... ........ A Treat kneecap 12.51 NA NA 7.85 8.95 2.12 NA NA 22.48 23.58 090
dislocation.
27570......... ........ A Fixation of 1.74 NA NA 1.62 1.73 0.30 NA NA 3.66 3.77 010
knee joint.
27580......... ........ A Fusion of knee. 20.82 NA NA 12.34 14.19 3.37 NA NA 36.53 38.38 090
27590......... ........ A Amputate leg at 13.27 NA NA 6.14 6.54 1.74 NA NA 21.15 21.55 090
thigh.
27591......... ........ A Amputate leg at 13.74 NA NA 7.43 8.34 2.02 NA NA 23.19 24.10 090
thigh.
27592......... ........ A Amputate leg at 10.78 NA NA 5.50 6.00 1.45 NA NA 17.73 18.23 090
thigh.
27594......... ........ A Amputation 7.09 NA NA 4.76 5.07 1.02 NA NA 12.87 13.18 090
follow-up
surgery.
27596......... ........ A Amputation 11.06 NA NA 6.06 6.62 1.57 NA NA 18.69 19.25 090
follow-up
surgery.
27598......... ........ A Amputate lower 10.99 NA NA 6.34 6.85 1.65 NA NA 18.98 19.49 090
leg at knee.
27599......... ........ C Leg surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
27600......... ........ A Decompression 5.88 NA NA 3.85 4.36 0.86 NA NA 10.59 11.10 090
of lower leg.
27601......... ........ A Decompression 5.87 NA NA 4.26 4.70 0.80 NA NA 10.93 11.37 090
of lower leg.
27602......... ........ A Decompression 7.64 NA NA 4.39 4.95 1.10 NA NA 13.13 13.69 090
of lower leg.
27603......... ........ A Drain lower leg 5.05 7.05 7.38 3.90 4.10 0.74 12.84 13.17 9.69 9.89 090
lesion.
27604......... ........ A Drain lower leg 4.46 6.47 6.18 3.42 3.83 0.69 11.62 11.33 8.57 8.98 090
bursa.
27605......... ........ A Incision of 2.87 5.28 7.08 1.78 2.19 0.41 8.56 10.36 5.06 5.47 010
achilles
tendon.
27606......... ........ A Incision of 4.13 NA NA 2.67 3.19 0.69 NA NA 7.49 8.01 010
achilles
tendon.
27607......... ........ A Treat lower leg 8.44 NA NA 5.76 6.07 1.31 NA NA 15.51 15.82 090
bone lesion.
27610......... ........ A Explore/treat 8.93 NA NA 6.17 6.79 1.40 NA NA 16.50 17.12 090
ankle joint.
27612......... ........ A Exploration of 7.92 NA NA 5.35 5.91 1.13 NA NA 14.40 14.96 090
ankle joint.
27613......... ........ A Biopsy lower 2.17 3.81 3.38 1.72 1.78 0.20 6.18 5.75 4.09 4.15 010
leg soft
tissue.
27614......... ........ A Biopsy lower 5.65 7.88 7.32 4.00 4.33 0.78 14.31 13.75 10.43 10.76 090
leg soft
tissue.
27615......... ........ A Remove tumor, 12.84 NA NA 8.04 9.05 1.83 NA NA 22.71 23.72 090
lower leg.
27618......... ........ A Remove lower 5.08 6.40 6.11 3.77 3.94 0.72 12.20 11.91 9.57 9.74 090
leg lesion.
27619......... ........ A Remove lower 8.39 10.08 9.65 5.29 5.79 1.25 19.72 19.29 14.93 15.43 090
leg lesion.
27620......... ........ A Explore/treat 5.97 NA NA 4.61 5.25 0.97 NA NA 11.55 12.19 090
ankle joint.
27625......... ........ A Remove ankle 8.29 NA NA 5.59 6.24 1.28 NA NA 15.16 15.81 090
joint lining.
27626......... ........ A Remove ankle 8.90 NA NA 5.95 6.68 1.48 NA NA 16.33 17.06 090
joint lining.
27630......... ........ A Removal of 4.79 7.98 7.67 3.80 4.24 0.74 13.51 13.20 9.33 9.77 090
tendon lesion.
27635......... ........ A Remove lower 7.83 NA NA 5.67 6.47 1.31 NA NA 14.81 15.61 090
leg bone
lesion.
27637......... ........ A Remove/graft 10.08 NA NA 7.16 8.01 1.66 NA NA 18.90 19.75 090
leg bone
lesion.
27638......... ........ A Remove/graft 10.79 NA NA 6.98 7.96 1.84 NA NA 19.61 20.59 090
leg bone
lesion.
27640......... ........ A Partial removal 12.01 NA NA 8.19 9.78 1.88 NA NA 22.08 23.67 090
of tibia.
27641......... ........ A Partial removal 9.65 NA NA 6.78 7.95 1.46 NA NA 17.89 19.06 090
of fibula.
27645......... ........ A Extensive lower 14.69 NA NA 9.51 11.42 2.41 NA NA 26.61 28.52 090
leg surgery.
27646......... ........ A Extensive lower 13.12 NA NA 8.41 10.38 2.05 NA NA 23.58 25.55 090
leg surgery.
27647......... ........ A Extensive ankle/ 12.76 NA NA 6.61 7.36 1.75 NA NA 21.12 21.87 090
heel surgery.
27648......... ........ A Injection for 0.96 2.71 3.32 0.31 0.33 0.08 3.75 4.36 1.35 1.37 000
ankle x-ray.
[[Page 49115]]
27650......... ........ A Repair achilles 9.86 NA NA 6.30 7.21 1.59 NA NA 17.75 18.66 090
tendon.
27652......... ........ A Repair/graft 10.55 NA NA 6.45 7.64 1.71 NA NA 18.71 19.90 090
achilles
tendon.
27654......... ........ A Repair of 10.24 NA NA 5.96 6.85 1.58 NA NA 17.78 18.67 090
achilles
tendon.
27656......... ........ A Repair leg 4.56 8.06 8.41 3.65 3.74 0.69 13.31 13.66 8.90 8.99 090
fascia defect.
27658......... ........ A Repair of leg 4.97 NA NA 3.91 4.40 0.79 NA NA 9.67 10.16 090
tendon, each.
27659......... ........ A Repair of leg 6.92 NA NA 4.87 5.45 1.09 NA NA 12.88 13.46 090
tendon, each.
27664......... ........ A Repair of leg 4.58 NA NA 3.95 4.40 0.76 NA NA 9.29 9.74 090
tendon, each.
27665......... ........ A Repair of leg 5.39 NA NA 4.50 4.85 0.89 NA NA 10.78 11.13 090
tendon, each.
27675......... ........ A Repair lower 7.17 NA NA 4.75 5.49 1.11 NA NA 13.03 13.77 090
leg tendons.
27676......... ........ A Repair lower 8.53 NA NA 5.79 6.51 1.37 NA NA 15.69 16.41 090
leg tendons.
27680......... ........ A Release of 5.73 NA NA 4.37 4.93 0.93 NA NA 11.03 11.59 090
lower leg
tendon.
27681......... ........ A Release of 6.87 NA NA 4.77 5.63 1.15 NA NA 12.79 13.65 090
lower leg
tendons.
27685......... ........ A Revision of 6.49 8.82 7.67 4.59 5.24 0.97 16.28 15.13 12.05 12.70 090
lower leg
tendon.
27686......... ........ A Revise lower 7.57 NA NA 5.38 6.21 1.24 NA NA 14.19 15.02 090
leg tendons.
27687......... ........ A Revision of 6.23 NA NA 4.54 5.12 1.00 NA NA 11.77 12.35 090
calf tendon.
27690......... ........ A Revise lower 8.88 NA NA 5.47 6.13 1.33 NA NA 15.68 16.34 090
leg tendon.
27691......... ........ A Revise lower 10.19 NA NA 6.72 7.50 1.64 NA NA 18.55 19.33 090
leg tendon.
27692......... ........ A Revise 1.87 NA NA 0.73 0.88 0.32 NA NA 2.92 3.07 ZZZ
additional leg
tendon.
27695......... ........ A Repair of ankle 6.50 NA NA 5.00 5.65 1.05 NA NA 12.55 13.20 090
ligament.
27696......... ........ A Repair of ankle 8.38 NA NA 5.39 6.17 1.28 NA NA 15.05 15.83 090
ligaments.
27698......... ........ A Repair of ankle 9.41 NA NA 5.93 6.69 1.47 NA NA 16.81 17.57 090
ligament.
27700......... ........ A Revision of 9.46 NA NA 5.14 5.55 1.30 NA NA 15.90 16.31 090
ankle joint.
27702......... ........ A Reconstruct 14.19 NA NA 8.73 10.03 2.37 NA NA 25.29 26.59 090
ankle joint.
27703......... ........ A Reconstruction, 16.69 NA NA 9.89 10.90 2.76 NA NA 29.34 30.35 090
ankle joint.
27704......... ........ A Removal of 7.61 NA NA 5.70 5.62 1.27 NA NA 14.58 14.50 090
ankle implant.
27705......... ........ A Incision of 10.66 NA NA 6.91 7.86 1.80 NA NA 19.37 20.32 090
tibia.
27707......... ........ A Incision of 4.60 NA NA 4.50 4.83 0.76 NA NA 9.86 10.19 090
fibula.
27709......... ........ A Incision of 17.24 NA NA 9.94 8.58 1.73 NA NA 28.91 27.55 090
tibia & fibula.
27712......... ........ A Realignment of 15.59 NA NA 9.18 10.35 2.47 NA NA 27.24 28.41 090
lower leg.
27715......... ........ A Revision of 15.27 NA NA 9.07 10.35 2.49 NA NA 26.83 28.11 090
lower leg.
27720......... ........ A Repair of tibia 12.13 NA NA 7.97 9.04 2.04 NA NA 22.14 23.21 090
27722......... ........ A Repair/graft of 12.22 NA NA 8.07 8.87 2.05 NA NA 22.34 23.14 090
tibia.
27724......... ........ A Repair/graft of 19.12 NA NA 10.34 11.86 3.16 NA NA 32.62 34.14 090
tibia.
27725......... ........ A Repair of lower 17.07 NA NA 10.61 11.59 2.71 NA NA 30.39 31.37 090
leg.
27727......... ........ A Repair of lower 14.59 NA NA 8.59 9.90 2.43 NA NA 25.61 26.92 090
leg.
27730......... ........ A Repair of tibia 7.52 NA NA 5.30 6.14 1.72 NA NA 14.54 15.38 090
epiphysis.
27732......... ........ A Repair of 5.31 NA NA 4.68 4.87 0.77 NA NA 10.76 10.95 090
fibula
epiphysis.
27734......... ........ A Repair lower 8.65 NA NA 6.20 6.26 1.35 NA NA 16.20 16.26 090
leg epiphyses.
27740......... ........ A Repair of leg 9.41 NA NA 6.65 7.66 1.62 NA NA 17.68 18.69 090
epiphyses.
27742......... ........ A Repair of leg 10.40 NA NA 5.20 5.47 1.79 NA NA 17.39 17.66 090
epiphyses.
27745......... ........ A Reinforce tibia 10.29 NA NA 7.01 7.88 1.75 NA NA 19.05 19.92 090
27750......... ........ A Treatment of 3.19 4.33 4.65 3.74 3.82 0.55 8.07 8.39 7.48 7.56 090
tibia fracture.
27752......... ........ A Treatment of 6.07 5.98 6.48 5.14 5.54 1.01 13.06 13.56 12.22 12.62 090
tibia fracture.
27756......... ........ A Treatment of 7.25 NA NA 5.77 6.29 1.17 NA NA 14.19 14.71 090
tibia fracture.
27758......... ........ A Treatment of 12.31 NA NA 8.07 8.90 2.03 NA NA 22.41 23.24 090
tibia fracture.
27759......... ........ A Treatment of 14.23 NA NA 8.73 9.92 2.38 NA NA 25.34 26.53 090
tibia fracture.
27760......... ........ A Treatment of 3.01 4.29 4.58 3.68 3.61 0.48 7.78 8.07 7.17 7.10 090
ankle fracture.
27762......... ........ A Treatment of 5.24 5.58 6.14 4.75 5.14 0.85 11.67 12.23 10.84 11.23 090
ankle fracture.
27766......... ........ A Treatment of 8.65 NA NA 6.29 6.99 1.44 NA NA 16.38 17.08 090
ankle fracture.
27780......... ........ A Treatment of 2.65 3.89 4.11 3.33 3.24 0.41 6.95 7.17 6.39 6.30 090
fibula
fracture.
27781......... ........ A Treatment of 4.39 4.97 5.36 4.34 4.57 0.73 10.09 10.48 9.46 9.69 090
fibula
fracture.
27784......... ........ A Treatment of 7.34 NA NA 5.62 6.26 1.23 NA NA 14.19 14.83 090
fibula
fracture.
27786......... ........ A Treatment of 2.84 4.07 4.36 3.44 3.36 0.46 7.37 7.66 6.74 6.66 090
ankle fracture.
27788......... ........ A Treatment of 4.44 5.00 5.48 4.26 4.55 0.74 10.18 10.66 9.44 9.73 090
ankle fracture.
27792......... ........ A Treatment of 7.83 NA NA 5.95 6.71 1.32 NA NA 15.10 15.86 090
ankle fracture.
27808......... ........ A Treatment of 2.83 4.40 4.70 3.70 3.70 0.46 7.69 7.99 6.99 6.99 090
ankle fracture.
27810......... ........ A Treatment of 5.12 5.46 6.05 4.60 5.01 0.82 11.40 11.99 10.54 10.95 090
ankle fracture.
27814......... ........ A Treatment of 11.02 NA NA 7.28 8.24 1.85 NA NA 20.15 21.11 090
ankle fracture.
27816......... ........ A Treatment of 2.89 4.03 4.29 3.36 3.40 0.43 7.35 7.61 6.68 6.72 090
ankle fracture.
27818......... ........ A Treatment of 5.49 5.44 6.14 4.47 5.00 0.82 11.75 12.45 10.78 11.31 090
ankle fracture.
27822......... ........ A Treatment of 12.04 NA NA 8.87 10.21 1.91 NA NA 22.82 24.16 090
ankle fracture.
27823......... ........ A Treatment of 14.18 NA NA 9.51 10.98 2.25 NA NA 25.94 27.41 090
ankle fracture.
27824......... ........ A Treat lower leg 3.14 3.74 3.98 3.55 3.56 0.45 7.33 7.57 7.14 7.15 090
fracture.
27825......... ........ A Treat lower leg 6.54 5.88 6.42 4.84 5.25 1.02 13.44 13.98 12.40 12.81 090
fracture.
27826......... ........ A Treat lower leg 8.89 NA NA 7.01 8.37 1.47 NA NA 17.37 18.73 090
fracture.
27827......... ........ A Treat lower leg 15.65 NA NA 10.82 12.28 2.43 NA NA 28.90 30.36 090
fracture.
[[Page 49116]]
27828......... ........ A Treat lower leg 18.07 NA NA 12.36 13.54 2.81 NA NA 33.24 34.42 090
fracture.
27829......... ........ A Treat lower leg 5.60 NA NA 5.53 6.47 0.95 NA NA 12.08 13.02 090
joint.
27830......... ........ A Treat lower leg 3.78 4.32 4.37 3.76 3.83 0.54 8.64 8.69 8.08 8.15 090
dislocation.
27831......... ........ A Treat lower leg 4.55 NA NA 3.99 4.34 0.73 NA NA 9.27 9.62 090
dislocation.
27832......... ........ A Treat lower leg 6.60 NA NA 4.75 5.82 1.03 NA NA 12.38 13.45 090
dislocation.
27840......... ........ A Treat ankle 4.57 NA NA 3.62 3.73 0.46 NA NA 8.65 8.76 090
dislocation.
27842......... ........ A Treat ankle 6.26 NA NA 4.90 5.07 1.00 NA NA 12.16 12.33 090
dislocation.
27846......... ........ A Treat ankle 10.08 NA NA 6.87 7.67 1.70 NA NA 18.65 19.45 090
dislocation.
27848......... ........ A Treat ankle 11.48 NA NA 7.72 9.21 1.94 NA NA 21.14 22.63 090
dislocation.
27860......... ........ A Fixation of 2.34 NA NA 1.70 1.91 0.39 NA NA 4.43 4.64 010
ankle joint.
27870......... ........ A Fusion of ankle 15.13 NA NA 9.19 10.19 2.36 NA NA 26.68 27.68 090
joint, open.
27871......... ........ A Fusion of 9.34 NA NA 6.54 7.32 1.59 NA NA 17.47 18.25 090
tibiofibular
joint.
27880......... ........ A Amputation of 15.18 NA NA 6.78 7.04 1.75 NA NA 23.71 23.97 090
lower leg.
27881......... ........ A Amputation of 13.22 NA NA 7.45 8.49 1.98 NA NA 22.65 23.69 090
lower leg.
27882......... ........ A Amputation of 9.59 NA NA 5.55 6.25 1.29 NA NA 16.43 17.13 090
lower leg.
27884......... ........ A Amputation 8.56 NA NA 5.11 5.59 1.22 NA NA 14.89 15.37 090
follow-up
surgery.
27886......... ........ A Amputation 9.79 NA NA 5.75 6.32 1.40 NA NA 16.94 17.51 090
follow-up
surgery.
27888......... ........ A Amputation of 10.14 NA NA 6.25 7.19 1.51 NA NA 17.90 18.84 090
foot at ankle.
27889......... ........ A Amputation of 10.63 NA NA 5.35 6.19 1.46 NA NA 17.44 18.28 090
foot at ankle.
27892......... ........ A Decompression 7.74 NA NA 4.88 5.41 1.10 NA NA 13.72 14.25 090
of leg.
27893......... ........ A Decompression 7.70 NA NA 5.14 5.38 1.10 NA NA 13.94 14.18 090
of leg.
27894......... ........ A Decompression 12.32 NA NA 7.36 7.67 1.65 NA NA 21.33 21.64 090
of leg.
27899......... ........ C Leg/ankle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
28001......... ........ A Drainage of 2.73 4.04 3.25 1.63 1.87 0.33 7.10 6.31 4.69 4.93 010
bursa of foot.
28002......... ........ A Treatment of 5.72 6.77 5.44 3.62 3.73 0.61 13.10 11.77 9.95 10.06 010
foot infection.
28003......... ........ A Treatment of 8.88 7.86 6.64 4.61 5.07 1.12 17.86 16.64 14.61 15.07 090
foot infection.
28005......... ........ A Treat foot bone 9.21 NA NA 5.48 5.90 1.16 NA NA 15.85 16.27 090
lesion.
28008......... ........ A Incision of 4.44 6.22 4.97 3.02 3.16 0.57 11.23 9.98 8.03 8.17 090
foot fascia.
28010......... ........ A Incision of toe 2.84 2.87 2.50 2.35 2.37 0.36 6.07 5.70 5.55 5.57 090
tendon.
28011......... ........ A Incision of toe 4.13 3.83 3.43 3.05 3.24 0.59 8.55 8.15 7.77 7.96 090
tendons.
28020......... ........ A Exploration of 5.00 7.57 6.40 3.68 4.02 0.72 13.29 12.12 9.40 9.74 090
foot joint.
28022......... ........ A Exploration of 4.66 6.94 5.63 3.33 3.72 0.62 12.22 10.91 8.61 9.00 090
foot joint.
28024......... ........ A Exploration of 4.37 6.71 5.59 3.19 3.74 0.58 11.66 10.54 8.14 8.69 090
toe joint.
28030......... ........ A Removal of foot 6.14 NA NA 3.47 3.61 0.74 NA NA 10.35 10.49 090
nerve.
28035......... ........ A Decompression 5.08 7.52 6.27 3.68 3.99 0.70 13.30 12.05 9.46 9.77 090
of tibia nerve.
28043......... ........ A Excision of 3.53 4.84 4.07 2.76 3.07 0.46 8.83 8.06 6.75 7.06 090
foot lesion.
28045......... ........ A Excision of 4.71 7.12 5.81 3.29 3.52 0.63 12.46 11.15 8.63 8.86 090
foot lesion.
28046......... ........ A Resection of 10.46 10.49 9.19 5.84 6.31 1.36 22.31 21.01 17.66 18.13 090
tumor, foot.
28050......... ........ A Biopsy of foot 4.24 6.93 5.40 3.28 3.51 0.60 11.77 10.24 8.12 8.35 090
joint lining.
28052......... ........ A Biopsy of foot 3.93 6.49 5.31 2.96 3.31 0.53 10.95 9.77 7.42 7.77 090
joint lining.
28054......... ........ A Biopsy of toe 3.44 6.25 5.10 2.78 3.12 0.46 10.15 9.00 6.68 7.02 090
joint lining.
28060......... ........ A Partial 5.22 7.19 5.90 3.60 3.80 0.70 13.11 11.82 9.52 9.72 090
removal, foot
fascia.
28062......... ........ A Removal of foot 6.51 7.91 6.86 3.86 3.97 0.83 15.25 14.20 11.20 11.31 090
fascia.
28070......... ........ A Removal of foot 5.09 7.27 5.73 3.48 3.73 0.73 13.09 11.55 9.30 9.55 090
joint lining.
28072......... ........ A Removal of foot 4.57 7.66 6.06 3.65 4.14 0.68 12.91 11.31 8.90 9.39 090
joint lining.
28080......... ........ A Removal of foot 4.57 7.73 5.77 4.22 3.82 0.47 12.77 10.81 9.26 8.86 090
lesion.
28086......... ........ A Excise foot 4.77 7.85 7.95 3.80 4.46 0.76 13.38 13.48 9.33 9.99 090
tendon sheath.
28088......... ........ A Excise foot 3.85 7.00 6.06 3.18 3.71 0.61 11.46 10.52 7.64 8.17 090
tendon sheath.
28090......... ........ A Removal of foot 4.40 6.84 5.57 3.21 3.39 0.59 11.83 10.56 8.20 8.38 090
lesion.
28092......... ........ A Removal of toe 3.63 6.55 5.55 3.02 3.40 0.49 10.67 9.67 7.14 7.52 090
lesions.
28100......... ........ A Removal of 5.65 8.29 8.04 4.10 4.54 0.82 14.76 14.51 10.57 11.01 090
ankle/heel
lesion.
28102......... ........ A Remove/graft 7.72 NA NA 4.97 5.70 1.14 NA NA 13.83 14.56 090
foot lesion.
28103......... ........ A Remove/graft 6.49 NA NA 4.17 4.50 0.91 NA NA 11.57 11.90 090
foot lesion.
28104......... ........ A Removal of foot 5.11 7.31 5.94 3.50 3.82 0.70 13.12 11.75 9.31 9.63 090
lesion.
28106......... ........ A Remove/graft 7.15 NA NA 4.46 4.44 0.97 NA NA 12.58 12.56 090
foot lesion.
28107......... ........ A Remove/graft 5.55 7.90 6.87 3.76 4.09 0.74 14.19 13.16 10.05 10.38 090
foot lesion.
[[Page 49117]]
28108......... ........ A Removal of toe 4.15 6.42 5.05 3.01 3.19 0.53 11.10 9.73 7.69 7.87 090
lesions.
28110......... ........ A Part removal of 4.07 7.02 5.66 3.10 3.19 0.54 11.63 10.27 7.71 7.80 090
metatarsal.
28111......... ........ A Part removal of 5.00 7.37 6.55 3.33 3.57 0.67 13.04 12.22 9.00 9.24 090
metatarsal.
28112......... ........ A Part removal of 4.48 7.31 6.18 3.30 3.50 0.61 12.40 11.27 8.39 8.59 090
metatarsal.
28113......... ........ A Part removal of 5.78 8.48 6.66 4.67 4.40 0.63 14.89 13.07 11.08 10.81 090
metatarsal.
28114......... ........ A Removal of 11.49 13.43 12.07 8.31 8.36 1.42 26.34 24.98 21.22 21.27 090
metatarsal
heads.
28116......... ........ A Revision of 8.86 9.58 7.49 5.41 5.23 1.03 19.47 17.38 15.30 15.12 090
foot.
28118......... ........ A Removal of heel 5.95 8.00 6.68 4.05 4.27 0.84 14.79 13.47 10.84 11.06 090
bone.
28119......... ........ A Removal of heel 5.38 7.28 5.89 3.60 3.69 0.70 13.36 11.97 9.68 9.77 090
spur.
28120......... ........ A Part removal of 5.57 8.14 7.50 3.98 4.30 0.77 14.48 13.84 10.32 10.64 090
ankle/heel.
28122......... ........ A Partial removal 7.46 8.57 7.27 4.83 5.15 0.98 17.01 15.71 13.27 13.59 090
of foot bone.
28124......... ........ A Partial removal 4.80 6.82 5.45 3.47 3.61 0.60 12.22 10.85 8.87 9.01 090
of toe.
28126......... ........ A Partial removal 3.51 6.00 4.66 2.67 2.91 0.45 9.96 8.62 6.63 6.87 090
of toe.
28130......... ........ A Removal of 9.22 NA NA 5.91 6.51 1.26 NA NA 16.39 16.99 090
ankle bone.
28140......... ........ A Removal of 6.96 7.91 7.39 4.16 4.61 0.92 15.79 15.27 12.04 12.49 090
metatarsal.
28150......... ........ A Removal of toe. 4.08 6.46 5.24 3.03 3.22 0.53 11.07 9.85 7.64 7.83 090
28153......... ........ A Partial removal 3.65 6.23 4.79 2.89 2.73 0.47 10.35 8.91 7.01 6.85 090
of toe.
28160......... ........ A Partial removal 3.73 6.41 5.02 2.97 3.24 0.49 10.63 9.24 7.19 7.46 090
of toe.
28171......... ........ A Extensive foot 9.77 NA NA 5.34 5.40 1.33 NA NA 16.44 16.50 090
surgery.
28173......... ........ A Extensive foot 8.97 8.85 7.91 4.68 5.06 1.12 18.94 18.00 14.77 15.15 090
surgery.
28175......... ........ A Extensive foot 6.10 7.18 6.07 3.64 3.69 0.73 14.01 12.90 10.47 10.52 090
surgery.
28190......... ........ A Removal of foot 1.96 4.04 3.55 1.34 1.45 0.22 6.22 5.73 3.52 3.63 010
foreign body.
28192......... ........ A Removal of foot 4.63 6.79 5.80 3.22 3.54 0.61 12.03 11.04 8.46 8.78 090
foreign body.
28193......... ........ A Removal of foot 5.72 7.38 6.05 3.64 3.85 0.73 13.83 12.50 10.09 10.30 090
foreign body.
28200......... ........ A Repair of foot 4.59 6.95 5.56 3.26 3.48 0.61 12.15 10.76 8.46 8.68 090
tendon.
28202......... ........ A Repair/graft of 6.89 8.03 7.42 4.09 4.39 0.91 15.83 15.22 11.89 12.19 090
foot tendon.
28208......... ........ A Repair of foot 4.36 6.73 5.29 3.19 3.27 0.58 11.67 10.23 8.13 8.21 090
tendon.
28210......... ........ A Repair/graft of 6.34 7.59 6.56 3.91 3.99 0.81 14.74 13.71 11.06 11.14 090
foot tendon.
28220......... ........ A Release of foot 4.52 6.45 5.12 3.09 3.34 0.57 11.54 10.21 8.18 8.43 090
tendon.
28222......... ........ A Release of foot 5.61 6.93 5.66 3.34 3.93 0.69 13.23 11.96 9.64 10.23 090
tendons.
28225......... ........ A Release of foot 3.65 6.09 4.73 2.75 2.86 0.46 10.20 8.84 6.86 6.97 090
tendon.
28226......... ........ A Release of foot 4.52 7.01 5.35 3.32 3.64 0.58 12.11 10.45 8.42 8.74 090
tendons.
28230......... ........ A Incision of 4.23 6.34 5.09 2.91 3.48 0.55 11.12 9.87 7.69 8.26 090
foot tendon(s).
28232......... ........ A Incision of toe 3.38 5.99 4.89 2.70 3.16 0.44 9.81 8.71 6.52 6.98 090
tendon.
28234......... ........ A Incision of 3.36 6.32 5.08 3.06 3.28 0.44 10.12 8.88 6.86 7.08 090
foot tendon.
28238......... ........ A Revision of 7.78 8.40 7.53 4.37 4.79 1.06 17.24 16.37 13.21 13.63 090
foot tendon.
28240......... ........ A Release of big 4.35 6.47 5.09 3.00 3.36 0.58 11.40 10.02 7.93 8.29 090
toe.
28250......... ........ A Revision of 5.91 7.49 6.09 3.78 4.04 0.82 14.22 12.82 10.51 10.77 090
foot fascia.
28260......... ........ A Release of 8.01 8.65 6.90 4.73 4.93 1.14 17.80 16.05 13.88 14.08 090
midfoot joint.
28261......... ........ A Revision of 12.83 10.79 9.16 6.40 7.08 1.57 25.19 23.56 20.80 21.48 090
foot tendon.
28262......... ........ A Revision of 16.93 15.68 14.08 9.83 10.64 2.59 35.20 33.60 29.35 30.16 090
foot and ankle.
28264......... ........ A Release of 10.45 10.45 8.41 6.03 6.97 1.54 22.44 20.40 18.02 18.96 090
midfoot joint.
28270......... ........ A Release of foot 4.75 6.97 5.41 3.46 3.66 0.62 12.34 10.78 8.83 9.03 090
contracture.
28272......... ........ A Release of toe 3.79 5.87 4.60 2.66 2.80 0.46 10.12 8.85 6.91 7.05 090
joint, each.
28280......... ........ A Fusion of toes. 5.18 7.41 6.53 3.60 4.26 0.73 13.32 12.44 9.51 10.17 090
28285......... ........ A Repair of 4.58 6.77 5.34 3.37 3.41 0.59 11.94 10.51 8.54 8.58 090
hammertoe.
28286......... ........ A Repair of 4.55 6.54 5.23 3.05 3.20 0.57 11.66 10.35 8.17 8.32 090
hammertoe.
28288......... ........ A Partial removal 5.73 8.69 6.62 4.74 4.85 0.65 15.07 13.00 11.12 11.23 090
of foot bone.
28289......... ........ A Repair hallux 8.03 9.52 8.37 5.39 5.67 1.02 18.57 17.42 14.44 14.72 090
rigidus.
28290......... ........ A Correction of 5.65 8.24 6.75 3.98 4.54 0.82 14.71 13.22 10.45 11.01 090
bunion.
28292......... ........ A Correction of 8.60 10.42 8.20 6.19 5.70 0.91 19.93 17.71 15.70 15.21 090
bunion.
28293......... ........ A Correction of 10.96 14.60 11.71 6.97 6.32 1.13 26.69 23.80 19.06 18.41 090
bunion.
28294......... ........ A Correction of 8.55 9.19 7.87 4.61 4.69 1.09 18.83 17.51 14.25 14.33 090
bunion.
28296......... ........ A Correction of 9.23 9.66 8.53 4.83 5.27 1.19 20.08 18.95 15.25 15.69 090
bunion.
28297......... ........ A Correction of 9.23 10.54 9.34 5.36 6.03 1.32 21.09 19.89 15.91 16.58 090
bunion.
28298......... ........ A Correction of 7.93 9.30 7.73 4.58 4.90 1.05 18.28 16.71 13.56 13.88 090
bunion.
28299......... ........ A Correction of 11.31 10.63 9.23 5.77 5.99 1.37 23.31 21.91 18.45 18.67 090
bunion.
28300......... ........ A Incision of 9.53 NA NA 6.11 6.80 1.54 NA NA 17.18 17.87 090
heel bone.
28302......... ........ A Incision of 9.54 NA NA 5.72 6.59 1.42 NA NA 16.68 17.55 090
ankle bone.
28304......... ........ A Incision of 9.21 9.57 8.35 5.09 5.57 1.27 20.05 18.83 15.57 16.05 090
midfoot bones.
28305......... ........ A Incise/graft 10.54 NA NA 5.61 6.44 1.27 NA NA 17.42 18.25 090
midfoot bones.
28306......... ........ A Incision of 5.85 8.39 7.22 3.87 4.10 0.84 15.08 13.91 10.56 10.79 090
metatarsal.
28307......... ........ A Incision of 6.32 9.57 10.66 4.48 5.08 0.90 16.79 17.88 11.70 12.30 090
metatarsal.
28308......... ........ A Incision of 5.28 7.95 6.29 3.83 3.72 0.70 13.93 12.27 9.81 9.70 090
metatarsal.
28309......... ........ A Incision of 13.88 NA NA 7.79 7.91 2.04 NA NA 23.71 23.83 090
metatarsals.
28310......... ........ A Revision of big 5.42 7.56 6.20 3.42 3.52 0.70 13.68 12.32 9.54 9.64 090
toe.
[[Page 49118]]
28312......... ........ A Revision of toe 4.54 7.41 5.93 3.24 3.53 0.63 12.58 11.10 8.41 8.70 090
28313......... ........ A Repair 5.00 7.39 5.80 3.67 4.54 0.73 13.12 11.53 9.40 10.27 090
deformity of
toe.
28315......... ........ A Removal of 4.85 6.74 5.35 3.25 3.31 0.63 12.22 10.83 8.73 8.79 090
sesamoid bone.
28320......... ........ A Repair of foot 9.17 NA NA 5.78 6.48 1.43 NA NA 16.38 17.08 090
bones.
28322......... ........ A Repair of 8.33 10.03 9.39 5.48 6.12 1.27 19.63 18.99 15.08 15.72 090
metatarsals.
28340......... ........ A Resect enlarged 6.97 8.08 6.85 4.07 4.20 0.84 15.89 14.66 11.88 12.01 090
toe tissue.
28341......... ........ A Resect enlarged 8.52 8.70 7.37 4.47 4.73 1.01 18.23 16.90 14.00 14.26 090
toe.
28344......... ........ A Repair extra 4.25 6.83 6.01 3.19 3.52 0.51 11.59 10.77 7.95 8.28 090
toe(s).
28345......... ........ A Repair webbed 5.91 7.82 6.60 3.89 4.48 0.80 14.53 13.31 10.60 11.19 090
toe(s).
28360......... ........ A Reconstruct 14.57 NA NA 6.39 9.47 2.28 NA NA 23.24 26.32 090
cleft foot.
28400......... ........ A Treatment of 2.16 3.39 3.57 2.93 3.02 0.35 5.90 6.08 5.44 5.53 090
heel fracture.
28405......... ........ A Treatment of 4.56 4.53 4.76 3.76 4.41 0.73 9.82 10.05 9.05 9.70 090
heel fracture.
28406......... ........ A Treatment of 6.36 NA NA 5.69 6.52 1.11 NA NA 13.16 13.99 090
heel fracture.
28415......... ........ A Treat heel 17.44 NA NA 10.92 12.69 2.66 NA NA 31.02 32.79 090
fracture.
28420......... ........ A Treat/graft 16.98 NA NA 10.21 12.24 2.80 NA NA 29.99 32.02 090
heel fracture.
28430......... ........ A Treatment of 2.09 3.15 3.33 2.59 2.57 0.31 5.55 5.73 4.99 4.97 090
ankle fracture.
28435......... ........ A Treatment of 3.39 3.76 3.85 3.07 3.57 0.55 7.70 7.79 7.01 7.51 090
ankle fracture.
28436......... ........ A Treatment of 4.70 NA NA 5.00 5.68 0.81 NA NA 10.51 11.19 090
ankle fracture.
28445......... ........ A Treat ankle 16.99 NA NA 9.79 10.72 2.58 NA NA 29.36 30.29 090
fracture.
28450......... ........ A Treat midfoot 1.90 2.95 3.07 2.44 2.46 0.28 5.13 5.25 4.62 4.64 090
fracture, each.
28455......... ........ A Treat midfoot 3.09 3.68 3.49 3.05 3.33 0.44 7.21 7.02 6.58 6.86 090
fracture, each.
28456......... ........ A Treat midfoot 2.68 NA NA 3.63 4.02 0.44 NA NA 6.75 7.14 090
fracture.
28465......... ........ A Treat midfoot 7.06 NA NA 5.09 6.01 1.10 NA NA 13.25 14.17 090
fracture, each.
28470......... ........ A Treat 1.99 2.84 3.05 2.40 2.43 0.30 5.13 5.34 4.69 4.72 090
metatarsal
fracture.
28475......... ........ A Treat 2.97 3.18 3.29 2.56 3.05 0.44 6.59 6.70 5.97 6.46 090
metatarsal
fracture.
28476......... ........ A Treat 3.37 NA NA 4.35 4.82 0.54 NA NA 8.26 8.73 090
metatarsal
fracture.
28485......... ........ A Treat 5.70 NA NA 4.57 5.22 0.83 NA NA 11.10 11.75 090
metatarsal
fracture.
28490......... ........ A Treat big toe 1.09 2.11 2.04 1.69 1.65 0.14 3.34 3.27 2.92 2.88 090
fracture.
28495......... ........ A Treat big toe 1.58 2.48 2.25 1.88 2.02 0.20 4.26 4.03 3.66 3.80 090
fracture.
28496......... ........ A Treat big toe 2.33 7.22 7.99 2.90 3.12 0.36 9.91 10.68 5.59 5.81 090
fracture.
28505......... ........ A Treat big toe 3.80 7.53 7.96 3.28 3.75 0.56 11.89 12.32 7.64 8.11 090
fracture.
28510......... ........ A Treatment of 1.09 1.68 1.57 1.61 1.55 0.14 2.91 2.80 2.84 2.78 090
toe fracture.
28515......... ........ A Treatment of 1.46 2.25 1.98 1.84 1.88 0.18 3.89 3.62 3.48 3.52 090
toe fracture.
28525......... ........ A Treat toe 3.32 6.93 7.37 2.92 3.30 0.49 10.74 11.18 6.73 7.11 090
fracture.
28530......... ........ A Treat sesamoid 1.06 1.65 1.49 1.36 1.42 0.14 2.85 2.69 2.56 2.62 090
bone fracture.
28531......... ........ A Treat sesamoid 2.47 5.84 6.91 2.13 2.08 0.34 8.65 9.72 4.94 4.89 090
bone fracture.
28540......... ........ A Treat foot 2.04 2.78 2.50 2.33 2.38 0.26 5.08 4.80 4.63 4.68 090
dislocation.
28545......... ........ A Treat foot 2.45 3.25 2.57 2.66 2.42 0.37 6.07 5.39 5.48 5.24 090
dislocation.
28546......... ........ A Treat foot 3.20 7.69 7.11 3.45 4.15 0.52 11.41 10.83 7.17 7.87 090
dislocation.
28555......... ........ A Repair foot 6.35 9.82 9.88 4.96 5.49 1.04 17.21 17.27 12.35 12.88 090
dislocation.
28570......... ........ A Treat foot 1.66 2.59 2.46 2.00 2.25 0.23 4.48 4.35 3.89 4.14 090
dislocation.
28575......... ........ A Treat foot 3.31 4.38 3.89 3.68 3.71 0.56 8.25 7.76 7.55 7.58 090
dislocation.
28576......... ........ A Treat foot 4.40 NA NA 4.01 4.13 0.69 NA NA 9.10 9.22 090
dislocation.
28585......... ........ A Repair foot 8.10 9.98 7.99 5.29 5.70 1.25 19.33 17.34 14.64 15.05 090
dislocation.
28600......... ........ A Treat foot 1.89 3.06 2.87 2.40 2.61 0.27 5.22 5.03 4.56 4.77 090
dislocation.
28605......... ........ A Treat foot 2.71 3.76 3.28 3.16 3.13 0.40 6.87 6.39 6.27 6.24 090
dislocation.
28606......... ........ A Treat foot 4.89 NA NA 4.31 4.60 0.82 NA NA 10.02 10.31 090
dislocation.
28615......... ........ A Repair foot 8.88 NA NA 7.00 7.78 1.30 NA NA 17.18 17.96 090
dislocation.
28630......... ........ A Treat toe 1.70 1.96 1.67 0.95 0.99 0.20 3.86 3.57 2.85 2.89 010
dislocation.
28635......... ........ A Treat toe 1.91 2.27 2.08 1.33 1.48 0.26 4.44 4.25 3.50 3.65 010
dislocation.
28636......... ........ A Treat toe 2.77 4.38 4.00 2.05 2.48 0.43 7.58 7.20 5.25 5.68 010
dislocation.
28645......... ........ A Repair toe 4.21 6.90 5.44 3.20 3.25 0.57 11.68 10.22 7.98 8.03 090
dislocation.
28660......... ........ A Treat toe 1.23 1.31 1.27 0.79 0.79 0.13 2.67 2.63 2.15 2.15 010
dislocation.
28665......... ........ A Treat toe 1.92 1.85 1.54 1.34 1.41 0.26 4.03 3.72 3.52 3.59 010
dislocation.
28666......... ........ A Treat toe 2.66 NA NA 1.92 2.42 0.43 NA NA 5.01 5.51 010
dislocation.
28675......... ........ A Repair of toe 2.92 6.72 7.04 2.87 3.23 0.45 10.09 10.41 6.24 6.60 090
dislocation.
[[Page 49119]]
28705......... ........ A Fusion of foot 20.04 NA NA 10.77 12.02 3.08 NA NA 33.89 35.14 090
bones.
28715......... ........ A Fusion of foot 14.32 NA NA 8.54 9.45 2.16 NA NA 25.02 25.93 090
bones.
28725......... ........ A Fusion of foot 11.89 NA NA 6.95 7.92 1.86 NA NA 20.70 21.67 090
bones.
28730......... ........ A Fusion of foot 12.11 NA NA 7.79 8.31 1.70 NA NA 21.60 22.12 090
bones.
28735......... ........ A Fusion of foot 11.95 NA NA 6.99 7.61 1.68 NA NA 20.62 21.24 090
bones.
28737......... ........ A Revision of 10.75 NA NA 6.13 6.63 1.47 NA NA 18.35 18.85 090
foot bones.
28740......... ........ A Fusion of foot 9.01 10.96 10.89 6.04 6.36 1.22 21.19 21.12 16.27 16.59 090
bones.
28750......... ........ A Fusion of big 8.29 10.90 11.66 5.95 6.48 1.13 20.32 21.08 15.37 15.90 090
toe joint.
28755......... ........ A Fusion of big 4.73 7.30 6.40 3.37 3.66 0.65 12.68 11.78 8.75 9.04 090
toe joint.
28760......... ........ A Fusion of big 8.86 10.01 8.48 5.34 5.47 1.05 19.92 18.39 15.25 15.38 090
toe joint.
28800......... ........ A Amputation of 8.56 NA NA 5.08 5.61 1.15 NA NA 14.79 15.32 090
midfoot.
28805......... ........ A Amputation thru 12.47 NA NA 6.02 5.74 1.18 NA NA 19.67 19.39 090
metatarsal.
28810......... ........ A Amputation toe 6.44 NA NA 4.13 4.39 0.86 NA NA 11.43 11.69 090
& metatarsal.
28820......... ........ A Amputation of 4.82 7.78 7.61 3.60 3.74 0.61 13.21 13.04 9.03 9.17 090
toe.
28825......... ........ A Partial 3.64 7.23 7.05 3.16 3.40 0.50 11.37 11.19 7.30 7.54 090
amputation of
toe.
28890......... ........ A High energy 3.30 4.65 5.45 2.31 2.14 0.41 8.36 9.16 6.02 5.85 090
eswt, plantar
f.
28899......... ........ C Foot/toes 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
29000......... ........ A Application of 2.25 4.76 3.41 1.85 1.76 0.41 7.42 6.07 4.51 4.42 000
body cast.
29010......... ........ A Application of 2.06 3.37 3.30 1.33 1.66 0.45 5.88 5.81 3.84 4.17 000
body cast.
29015......... ........ A Application of 2.41 3.37 3.07 1.48 1.57 0.28 6.06 5.76 4.17 4.26 000
body cast.
29020......... ........ A Application of 2.11 3.79 3.33 1.48 1.43 0.28 6.18 5.72 3.87 3.82 000
body cast.
29025......... ........ A Application of 2.40 3.62 3.26 1.59 1.79 0.44 6.46 6.10 4.43 4.63 000
body cast.
29035......... ........ A Application of 1.77 3.71 3.64 1.48 1.56 0.28 5.76 5.69 3.53 3.61 000
body cast.
29040......... ........ A Application of 2.22 3.63 2.75 1.50 1.51 0.36 6.21 5.33 4.08 4.09 000
body cast.
29044......... ........ A Application of 2.12 3.98 3.97 1.66 1.84 0.35 6.45 6.44 4.13 4.31 000
body cast.
29046......... ........ A Application of 2.41 4.21 3.48 1.80 2.02 0.42 7.04 6.31 4.63 4.85 000
body cast.
29049......... ........ A Application of 0.89 1.13 1.26 0.60 0.55 0.13 2.15 2.28 1.62 1.57 000
figure eight.
29055......... ........ A Application of 1.78 2.92 2.97 1.31 1.43 0.30 5.00 5.05 3.39 3.51 000
shoulder cast.
29058......... ........ A Application of 1.31 1.25 1.48 0.68 0.71 0.17 2.73 2.96 2.16 2.19 000
shoulder cast.
29065......... ........ A Application of 0.87 1.28 1.32 0.71 0.74 0.15 2.30 2.34 1.73 1.76 000
long arm cast.
29075......... ........ A Application of 0.77 1.24 1.26 0.67 0.68 0.13 2.14 2.16 1.57 1.58 000
forearm cast.
29085......... ........ A Apply hand/ 0.87 1.26 1.28 0.69 0.65 0.14 2.27 2.29 1.70 1.66 000
wrist cast.
29086......... ........ A Apply finger 0.62 1.03 0.98 0.53 0.50 0.07 1.72 1.67 1.22 1.19 000
cast.
29105......... ........ A Apply long arm 0.87 1.10 1.20 0.53 0.52 0.12 2.09 2.19 1.52 1.51 000
splint.
29125......... ........ A Apply forearm 0.59 0.97 1.01 0.43 0.40 0.07 1.63 1.67 1.09 1.06 000
splint.
29126......... ........ A Apply forearm 0.77 1.02 1.16 0.48 0.47 0.07 1.86 2.00 1.32 1.31 000
splint.
29130......... ........ A Application of 0.50 0.43 0.46 0.18 0.17 0.06 0.99 1.02 0.74 0.73 000
finger splint.
29131......... ........ A Application of 0.55 0.63 0.71 0.26 0.25 0.03 1.21 1.29 0.84 0.83 000
finger splint.
29200......... ........ A Strapping of 0.65 0.62 0.70 0.35 0.34 0.04 1.31 1.39 1.04 1.03 000
chest.
29220......... ........ A Strapping of 0.64 0.62 0.70 0.35 0.38 0.04 1.30 1.38 1.03 1.06 000
low back.
29240......... ........ A Strapping of 0.71 0.67 0.81 0.39 0.37 0.06 1.44 1.58 1.16 1.14 000
shoulder.
29260......... ........ A Strapping of 0.55 0.65 0.72 0.36 0.33 0.05 1.25 1.32 0.96 0.93 000
elbow or wrist.
29280......... ........ A Strapping of 0.51 0.66 0.77 0.37 0.33 0.03 1.20 1.31 0.91 0.87 000
hand or finger.
29305......... ........ A Application of 2.03 3.40 3.36 1.61 1.72 0.35 5.78 5.74 3.99 4.10 000
hip cast.
29325......... ........ A Application of 2.32 3.70 3.57 1.75 1.90 0.40 6.42 6.29 4.47 4.62 000
hip casts.
29345......... ........ A Application of 1.40 1.67 1.74 0.95 1.03 0.24 3.31 3.38 2.59 2.67 000
long leg cast.
29355......... ........ A Application of 1.53 1.64 1.69 0.95 1.08 0.26 3.43 3.48 2.74 2.87 000
long leg cast.
29358......... ........ A Apply long leg 1.43 2.06 2.06 0.94 1.05 0.25 3.74 3.74 2.62 2.73 000
cast brace.
29365......... ........ A Application of 1.18 1.58 1.64 0.86 0.93 0.20 2.96 3.02 2.24 2.31 000
long leg cast.
29405......... ........ A Apply short leg 0.86 1.21 1.22 0.66 0.70 0.14 2.21 2.22 1.66 1.70 000
cast.
29425......... ........ A Apply short leg 1.01 1.24 1.23 0.67 0.72 0.15 2.40 2.39 1.83 1.88 000
cast.
29435......... ........ A Apply short leg 1.18 1.54 1.56 0.82 0.90 0.20 2.92 2.94 2.20 2.28 000
cast.
29440......... ........ A Addition of 0.57 0.62 0.67 0.25 0.27 0.08 1.27 1.32 0.90 0.92 000
walker to cast.
29445......... ........ A Apply rigid leg 1.78 1.62 1.76 0.93 0.95 0.27 3.67 3.81 2.98 3.00 000
cast.
29450......... ........ A Application of 2.08 1.53 1.49 0.86 1.03 0.27 3.88 3.84 3.21 3.38 000
leg cast.
29505......... ........ A Application, 0.69 1.06 1.15 0.45 0.45 0.08 1.83 1.92 1.22 1.22 000
long leg
splint.
29515......... ........ A Application 0.73 0.96 0.89 0.46 0.46 0.09 1.78 1.71 1.28 1.28 000
lower leg
splint.
29520......... ........ A Strapping of 0.54 0.68 0.81 0.38 0.45 0.03 1.25 1.38 0.95 1.02 000
hip.
29530......... ........ A Strapping of 0.57 0.65 0.76 0.36 0.34 0.05 1.27 1.38 0.98 0.96 000
knee.
29540......... ........ A Strapping of 0.51 0.55 0.45 0.31 0.31 0.06 1.12 1.02 0.88 0.88 000
ankle and/or
ft.
29550......... ........ A Strapping of 0.47 0.57 0.46 0.30 0.29 0.06 1.10 0.99 0.83 0.82 000
toes.
29580......... ........ A Application of 0.55 0.73 0.67 0.34 0.35 0.07 1.35 1.29 0.96 0.97 000
paste boot.
29590......... ........ A Application of 0.76 0.60 0.53 0.26 0.28 0.09 1.45 1.38 1.11 1.13 000
foot splint.
29700......... ........ A Removal/ 0.57 0.97 0.91 0.26 0.28 0.08 1.62 1.56 0.91 0.93 000
revision of
cast.
29705......... ........ A Removal/ 0.76 0.77 0.81 0.37 0.38 0.13 1.66 1.70 1.26 1.27 000
revision of
cast.
29710......... ........ A Removal/ 1.34 1.45 1.51 0.63 0.68 0.20 2.99 3.05 2.17 2.22 000
revision of
cast.
[[Page 49120]]
29715......... ........ A Removal/ 0.94 1.14 1.16 0.41 0.40 0.09 2.17 2.19 1.44 1.43 000
revision of
cast.
29720......... ........ A Repair of body 0.68 1.15 1.16 0.34 0.38 0.12 1.95 1.96 1.14 1.18 000
cast.
29730......... ........ A Windowing of 0.75 0.76 0.80 0.35 0.35 0.12 1.63 1.67 1.22 1.22 000
cast.
29740......... ........ A Wedging of cast 1.12 1.05 1.13 0.49 0.49 0.18 2.35 2.43 1.79 1.79 000
29750......... ........ A Wedging of 1.26 0.91 1.02 0.44 0.55 0.21 2.38 2.49 1.91 2.02 000
clubfoot cast.
29799......... ........ C Casting/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
strapping
procedure.
29800......... ........ A Jaw arthroscopy/ 6.67 NA NA 5.72 6.66 0.99 NA NA 13.38 14.32 090
surgery.
29804......... ........ A Jaw arthroscopy/ 8.63 NA NA 7.34 7.55 1.38 NA NA 17.35 17.56 090
surgery.
29805......... ........ A Shoulder 5.88 NA NA 4.74 5.44 1.02 NA NA 11.64 12.34 090
arthroscopy,
dx.
29806......... ........ A Shoulder 14.85 NA NA 9.41 10.72 2.49 NA NA 26.75 28.06 090
arthroscopy/
surgery.
29807......... ........ A Shoulder 14.38 NA NA 9.28 10.56 2.41 NA NA 26.07 27.35 090
arthroscopy/
surgery.
29819......... ........ A Shoulder 7.61 NA NA 5.66 6.51 1.32 NA NA 14.59 15.44 090
arthroscopy/
surgery.
29820......... ........ A Shoulder 7.06 NA NA 5.21 5.97 1.22 NA NA 13.49 14.25 090
arthroscopy/
surgery.
29821......... ........ A Shoulder 7.71 NA NA 5.68 6.52 1.33 NA NA 14.72 15.56 090
arthroscopy/
surgery.
29822......... ........ A Shoulder 7.42 NA NA 5.61 6.42 1.28 NA NA 14.31 15.12 090
arthroscopy/
surgery.
29823......... ........ A Shoulder 8.16 NA NA 6.07 6.93 1.41 NA NA 15.64 16.50 090
arthroscopy/
surgery.
29824......... ........ A Shoulder 8.74 NA NA 6.57 7.29 1.42 NA NA 16.73 17.45 090
arthroscopy/
surgery.
29825......... ........ A Shoulder 7.61 NA NA 5.67 6.49 1.32 NA NA 14.60 15.42 090
arthroscopy/
surgery.
29826......... ........ A Shoulder 8.98 NA NA 6.22 7.20 1.55 NA NA 16.75 17.73 090
arthroscopy/
surgery.
29827......... ........ A Arthroscop 15.34 NA NA 9.38 10.99 2.66 NA NA 27.38 28.99 090
rotator cuff
repr.
29830......... ........ A Elbow 5.75 NA NA 4.52 5.14 0.99 NA NA 11.26 11.88 090
arthroscopy.
29834......... ........ A Elbow 6.27 NA NA 4.87 5.59 1.08 NA NA 12.22 12.94 090
arthroscopy/
surgery.
29835......... ........ A Elbow 6.47 NA NA 4.99 5.66 1.13 NA NA 12.59 13.26 090
arthroscopy/
surgery.
29836......... ........ A Elbow 7.54 NA NA 5.59 6.49 1.22 NA NA 14.35 15.25 090
arthroscopy/
surgery.
29837......... ........ A Elbow 6.86 NA NA 5.15 5.89 1.19 NA NA 13.20 13.94 090
arthroscopy/
surgery.
29838......... ........ A Elbow 7.70 NA NA 5.70 6.59 1.30 NA NA 14.70 15.59 090
arthroscopy/
surgery.
29840......... ........ A Wrist 5.53 NA NA 4.62 5.15 0.84 NA NA 10.99 11.52 090
arthroscopy.
29843......... ........ A Wrist 6.00 NA NA 4.92 5.45 0.92 NA NA 11.84 12.37 090
arthroscopy/
surgery.
29844......... ........ A Wrist 6.36 NA NA 4.96 5.61 1.04 NA NA 12.36 13.01 090
arthroscopy/
surgery.
29845......... ........ A Wrist 7.51 NA NA 5.51 6.23 0.99 NA NA 14.01 14.73 090
arthroscopy/
surgery.
29846......... ........ A Wrist 6.74 NA NA 5.10 5.81 1.07 NA NA 12.91 13.62 090
arthroscopy/
surgery.
29847......... ........ A Wrist 7.07 NA NA 5.17 5.94 1.08 NA NA 13.32 14.09 090
arthroscopy/
surgery.
29848......... ........ A Wrist endoscopy/ 6.18 NA NA 5.29 5.52 0.86 NA NA 12.33 12.56 090
surgery.
29850......... ........ A Knee 8.18 NA NA 5.13 5.07 1.25 NA NA 14.56 14.50 090
arthroscopy/
surgery.
29851......... ........ A Knee 13.08 NA NA 8.32 9.42 2.34 NA NA 23.74 24.84 090
arthroscopy/
surgery.
29855......... ........ A Tibial 10.60 NA NA 7.39 8.42 1.84 NA NA 19.83 20.86 090
arthroscopy/
surgery.
29856......... ........ A Tibial 14.12 NA NA 8.76 10.19 2.39 NA NA 25.27 26.70 090
arthroscopy/
surgery.
29860......... ........ A Hip 8.79 NA NA 6.23 6.77 1.36 NA NA 16.38 16.92 090
arthroscopy,
dx.
29861......... ........ A Hip arthroscopy/ 9.89 NA NA 6.64 7.17 1.59 NA NA 18.12 18.65 090
surgery.
29862......... ........ A Hip arthroscopy/ 10.89 NA NA 7.62 8.33 1.62 NA NA 20.13 20.84 090
surgery.
29863......... ........ A Hip arthroscopy/ 10.89 NA NA 7.53 8.27 1.42 NA NA 19.84 20.58 090
surgery.
29866......... ........ A Autgrft implnt, 14.38 NA NA 9.54 10.90 2.39 NA NA 26.31 27.67 090
knee w/scope.
29867......... ........ A Allgrft implnt, 18.08 NA NA 11.24 12.73 2.78 NA NA 32.10 33.59 090
knee w/scope.
29868......... ........ A Meniscal 24.79 NA NA 13.94 16.08 4.35 NA NA 43.08 45.22 090
trnspl, knee w/
scpe.
29870......... ........ A Knee 5.06 NA NA 4.18 4.71 0.85 NA NA 10.09 10.62 090
arthroscopy,
dx.
29871......... ........ A Knee 6.54 NA NA 5.03 5.66 1.14 NA NA 12.71 13.34 090
arthroscopy/
drainage.
29873......... ........ A Knee 5.99 NA NA 5.61 6.33 1.04 NA NA 12.64 13.36 090
arthroscopy/
surgery.
29874......... ........ A Knee 7.04 NA NA 5.18 5.85 1.11 NA NA 13.33 14.00 090
arthroscopy/
surgery.
29875......... ........ A Knee 6.30 NA NA 4.92 5.62 1.09 NA NA 12.31 13.01 090
arthroscopy/
surgery.
29876......... ........ A Knee 8.66 NA NA 6.23 6.82 1.37 NA NA 16.26 16.85 090
arthroscopy/
surgery.
29877......... ........ A Knee 8.09 NA NA 5.99 6.55 1.28 NA NA 15.36 15.92 090
arthroscopy/
surgery.
29879......... ........ A Knee 8.78 NA NA 6.28 6.91 1.39 NA NA 16.45 17.08 090
arthroscopy/
surgery.
29880......... ........ A Knee 9.24 NA NA 6.48 7.14 1.47 NA NA 17.19 17.85 090
arthroscopy/
surgery.
29881......... ........ A Knee 8.50 NA NA 6.18 6.77 1.34 NA NA 16.02 16.61 090
arthroscopy/
surgery.
29882......... ........ A Knee 9.39 NA NA 6.52 7.06 1.50 NA NA 17.41 17.95 090
arthroscopy/
surgery.
29883......... ........ A Knee 11.53 NA NA 7.65 8.71 1.92 NA NA 21.10 22.16 090
arthroscopy/
surgery.
[[Page 49121]]
29884......... ........ A Knee 8.07 NA NA 6.01 6.53 1.27 NA NA 15.35 15.87 090
arthroscopy/
surgery.
29885......... ........ A Knee 9.96 NA NA 7.05 7.74 1.58 NA NA 18.58 19.28 090
arthroscopy/
surgery.
29886......... ........ A Knee 8.28 NA NA 6.08 6.66 1.30 NA NA 15.66 16.24 090
arthroscopy/
surgery.
29887......... ........ A Knee 9.91 NA NA 7.04 7.71 1.57 NA NA 18.52 19.19 090
arthroscopy/
surgery.
29888......... ........ A Knee 14.06 NA NA 8.34 9.74 2.41 NA NA 24.81 26.21 090
arthroscopy/
surgery.
29889......... ........ A Knee 17.05 NA NA 10.75 12.01 2.78 NA NA 30.58 31.84 090
arthroscopy/
surgery.
29891......... ........ A Ankle 9.39 NA NA 6.69 7.31 1.39 NA NA 17.47 18.09 090
arthroscopy/
surgery.
29892......... ........ A Ankle 9.99 NA NA 6.58 7.45 1.41 NA NA 17.98 18.85 090
arthroscopy/
surgery.
29893......... ........ A Scope, plantar 5.96 8.86 6.93 4.67 4.16 0.63 15.45 13.52 11.26 10.75 090
fasciotomy.
29894......... ........ A Ankle 7.20 NA NA 4.72 5.28 1.15 NA NA 13.07 13.63 090
arthroscopy/
surgery.
29895......... ........ A Ankle 6.98 NA NA 4.54 5.24 1.11 NA NA 12.63 13.33 090
arthroscopy/
surgery.
29897......... ........ A Ankle 7.17 NA NA 4.96 5.65 1.17 NA NA 13.30 13.99 090
arthroscopy/
surgery.
29898......... ........ A Ankle 8.31 NA NA 5.29 5.97 1.28 NA NA 14.88 15.56 090
arthroscopy/
surgery.
29899......... ........ A Ankle 15.13 NA NA 9.30 10.23 2.40 NA NA 26.83 27.76 090
arthroscopy/
surgery.
29900......... ........ A Mcp joint 5.66 NA NA 4.74 5.58 0.94 NA NA 11.34 12.18 090
arthroscopy,
dx.
29901......... ........ A Mcp joint 6.37 NA NA 5.50 6.07 1.06 NA NA 12.93 13.50 090
arthroscopy,
surg.
29902......... ........ A Mcp joint 6.94 NA NA 3.68 5.83 1.12 NA NA 11.74 13.89 090
arthroscopy,
surg.
29999......... ........ C Arthroscopy of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
joint.
30000......... ........ A Drainage of 1.43 3.73 3.99 1.23 1.35 0.12 5.28 5.54 2.78 2.90 010
nose lesion.
30020......... ........ A Drainage of 1.43 3.86 3.42 1.26 1.42 0.12 5.41 4.97 2.81 2.97 010
nose lesion.
30100......... ........ A Intranasal 0.94 2.40 2.08 0.68 0.79 0.07 3.41 3.09 1.69 1.80 000
biopsy.
30110......... ........ A Removal of nose 1.63 3.62 3.34 1.32 1.51 0.14 5.39 5.11 3.09 3.28 010
polyp(s).
30115......... ........ A Removal of nose 4.34 NA NA 5.47 5.69 0.41 NA NA 10.22 10.44 090
polyp(s).
30117......... ........ A Removal of 3.16 16.90 14.08 4.51 4.60 0.26 20.32 17.50 7.93 8.02 090
intranasal
lesion.
30118......... ........ A Removal of 9.74 NA NA 7.73 8.83 0.78 NA NA 18.25 19.35 090
intranasal
lesion.
30120......... ........ A Revision of 5.26 6.78 6.56 4.84 5.71 0.52 12.56 12.34 10.62 11.49 090
nose.
30124......... ........ A Removal of nose 3.10 NA NA 3.59 3.61 0.25 NA NA 6.94 6.96 090
lesion.
30125......... ........ A Removal of nose 7.15 NA NA 7.00 7.99 0.63 NA NA 14.78 15.77 090
lesion.
30130......... ........ A Excise inferior 3.37 NA NA 5.28 5.51 0.31 NA NA 8.96 9.19 090
turbinate.
30140......... ........ A Resect inferior 3.42 NA NA 6.54 6.28 0.35 NA NA 10.31 10.05 090
turbinate.
30150......... ........ A Partial removal 9.37 NA NA 8.50 10.38 0.93 NA NA 18.80 20.68 090
of nose.
30160......... ........ A Removal of nose 9.81 NA NA 8.12 9.69 0.88 NA NA 18.81 20.38 090
30200......... ........ A Injection 0.78 1.87 1.68 0.61 0.71 0.06 2.71 2.52 1.45 1.55 000
treatment of
nose.
30210......... ........ A Nasal sinus 1.08 2.31 2.15 1.15 1.27 0.09 3.48 3.32 2.32 2.44 010
therapy.
30220......... ........ A Insert nasal 1.54 5.41 4.53 1.29 1.47 0.12 7.07 6.19 2.95 3.13 010
septal button.
30300......... ........ A Remove nasal 1.04 4.14 4.51 1.79 1.88 0.08 5.26 5.63 2.91 3.00 010
foreign body.
30310......... ........ A Remove nasal 1.96 NA NA 2.71 3.00 0.16 NA NA 4.83 5.12 010
foreign body.
30320......... ........ A Remove nasal 4.51 NA NA 5.93 6.76 0.39 NA NA 10.83 11.66 090
foreign body.
30400......... ........ R Reconstruction 10.46 NA NA 13.64 15.03 1.04 NA NA 25.14 26.53 090
of nose.
30410......... ........ R Reconstruction 13.60 NA NA 14.27 17.35 1.42 NA NA 29.29 32.37 090
of nose.
30420......... ........ R Reconstruction 16.50 NA NA 14.69 17.11 1.46 NA NA 32.65 35.07 090
of nose.
30430......... ........ R Revision of 7.84 NA NA 12.76 15.20 0.77 NA NA 21.37 23.81 090
nose.
30435......... ........ R Revision of 12.33 NA NA 14.67 18.18 1.22 NA NA 28.22 31.73 090
nose.
30450......... ........ R Revision of 19.26 NA NA 16.12 20.45 1.96 NA NA 37.34 41.67 090
nose.
30460......... ........ A Revision of 10.20 NA NA 7.13 9.24 1.03 NA NA 18.36 20.47 090
nose.
30462......... ........ A Revision of 20.04 NA NA 14.29 18.75 2.53 NA NA 36.86 41.32 090
nose.
30465......... ........ A Repair nasal 12.12 NA NA 10.25 11.54 1.06 NA NA 23.43 24.72 090
stenosis.
30520......... ........ A Repair of nasal 7.63 NA NA 7.58 6.89 0.46 NA NA 15.67 14.98 090
septum.
30540......... ........ A Repair nasal 7.74 NA NA 7.01 8.71 0.67 NA NA 15.42 17.12 090
defect.
30545......... ........ A Repair nasal 11.42 NA NA 10.02 11.43 1.70 NA NA 23.14 24.55 090
defect.
30560......... ........ A Release of 1.26 4.93 4.81 1.87 2.07 0.10 6.29 6.17 3.23 3.43 010
nasal
adhesions.
30580......... ........ A Repair upper 6.68 8.15 7.87 4.69 5.52 0.89 15.72 15.44 12.26 13.09 090
jaw fistula.
30600......... ........ A Repair mouth/ 6.01 7.47 7.51 4.04 4.78 0.70 14.18 14.22 10.75 11.49 090
nose fistula.
30620......... ........ A Intranasal 5.96 NA NA 8.08 8.64 0.57 NA NA 14.61 15.17 090
reconstruction.
30630......... ........ A Repair nasal 7.11 NA NA 7.05 7.73 0.61 NA NA 14.77 15.45 090
septum defect.
30801......... ........ A Ablate inf 1.09 4.03 4.11 1.97 1.93 0.09 5.21 5.29 3.15 3.11 010
turbinate,
superf.
30802......... ........ A Cauterization, 2.03 4.60 4.61 2.30 2.35 0.16 6.79 6.80 4.49 4.54 010
inner nose.
30901......... ........ A Control of 1.21 1.20 1.32 0.28 0.31 0.11 2.52 2.64 1.60 1.63 000
nosebleed.
30903......... ........ A Control of 1.54 3.07 2.80 0.38 0.47 0.13 4.74 4.47 2.05 2.14 000
nosebleed.
30905......... ........ A Control of 1.97 3.73 3.57 0.46 0.69 0.17 5.87 5.71 2.60 2.83 000
nosebleed.
30906......... ........ A Repeat control 2.45 3.96 3.91 0.66 1.07 0.20 6.61 6.56 3.31 3.72 000
of nosebleed.
30915......... ........ A Ligation, nasal 7.31 NA NA 5.80 6.47 0.58 NA NA 13.69 14.36 090
sinus artery.
30920......... ........ A Ligation, upper 10.97 NA NA 8.11 8.76 0.80 NA NA 19.88 20.53 090
jaw artery.
30930......... ........ A Ther fx, nasal 1.26 NA NA 1.52 1.60 0.12 NA NA 2.90 2.98 010
inf turbinate.
30999......... ........ C Nasal surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31000......... ........ A Irrigation, 1.15 3.00 2.88 1.23 1.36 0.09 4.24 4.12 2.47 2.60 010
maxillary
sinus.
[[Page 49122]]
31002......... ........ A Irrigation, 1.91 NA NA 2.51 3.06 0.15 NA NA 4.57 5.12 010
sphenoid sinus.
31020......... ........ A Exploration, 2.94 8.06 8.41 5.16 5.18 0.29 11.29 11.64 8.39 8.41 090
maxillary
sinus.
31030......... ........ A Exploration, 5.91 9.77 11.07 6.01 6.50 0.60 16.28 17.58 12.52 13.01 090
maxillary
sinus.
31032......... ........ A Explore sinus, 6.56 NA NA 6.46 7.04 0.59 NA NA 13.61 14.19 090
remove polyps.
31040......... ........ A Exploration 9.59 NA NA 7.26 9.18 0.87 NA NA 17.72 19.64 090
behind upper
jaw.
31050......... ........ A Exploration, 5.27 NA NA 6.12 6.29 0.49 NA NA 11.88 12.05 090
sphenoid sinus.
31051......... ........ A Sphenoid sinus 7.10 NA NA 7.68 8.10 0.62 NA NA 15.40 15.82 090
surgery.
31070......... ........ A Exploration of 4.27 NA NA 5.68 5.87 0.38 NA NA 10.33 10.52 090
frontal sinus.
31075......... ........ A Exploration of 9.33 NA NA 8.49 9.42 0.75 NA NA 18.57 19.50 090
frontal sinus.
31080......... ........ A Removal of 12.46 NA NA 10.39 12.75 1.23 NA NA 24.08 26.44 090
frontal sinus.
31081......... ........ A Removal of 13.91 NA NA 14.59 14.15 2.46 NA NA 30.96 30.52 090
frontal sinus.
31084......... ........ A Removal of 14.67 NA NA 11.82 13.08 1.19 NA NA 27.68 28.94 090
frontal sinus.
31085......... ........ A Removal of 15.36 NA NA 12.90 13.70 1.72 NA NA 29.98 30.78 090
frontal sinus.
31086......... ........ A Removal of 14.08 NA NA 11.66 12.88 1.07 NA NA 26.81 28.03 090
frontal sinus.
31087......... ........ A Removal of 14.32 NA NA 10.69 12.07 1.44 NA NA 26.45 27.83 090
frontal sinus.
31090......... ........ A Exploration of 10.78 NA NA 12.26 12.48 0.94 NA NA 23.98 24.20 090
sinuses.
31200......... ........ A Removal of 4.96 NA NA 7.42 8.76 0.29 NA NA 12.67 14.01 090
ethmoid sinus.
31201......... ........ A Removal of 8.42 NA NA 8.22 8.93 0.82 NA NA 17.46 18.17 090
ethmoid sinus.
31205......... ........ A Removal of 10.40 NA NA 9.52 11.29 0.67 NA NA 20.59 22.36 090
ethmoid sinus.
31225......... ........ A Removal of 26.34 NA NA 16.28 17.44 1.59 NA NA 44.21 45.37 090
upper jaw.
31230......... ........ A Removal of 30.46 NA NA 16.95 18.76 1.77 NA NA 49.18 50.99 090
upper jaw.
31231......... ........ A Nasal 1.10 3.34 3.37 0.69 0.83 0.09 4.53 4.56 1.88 2.02 000
endoscopy, dx.
31233......... ........ A Nasal/sinus 2.18 3.94 4.21 0.99 1.36 0.20 6.32 6.59 3.37 3.74 000
endoscopy, dx.
31235......... ........ A Nasal/sinus 2.64 4.28 4.75 1.12 1.57 0.26 7.18 7.65 4.02 4.47 000
endoscopy, dx.
31237......... ........ A Nasal/sinus 2.98 4.51 5.02 1.22 1.72 0.28 7.77 8.28 4.48 4.98 000
endoscopy,
surg.
31238......... ........ A Nasal/sinus 3.26 4.43 5.03 1.30 1.89 0.27 7.96 8.56 4.83 5.42 000
endoscopy,
surg.
31239......... ........ A Nasal/sinus 9.19 NA NA 6.27 7.57 0.62 NA NA 16.08 17.38 010
endoscopy,
surg.
31240......... ........ A Nasal/sinus 2.61 NA NA 1.12 1.58 0.24 NA NA 3.97 4.43 000
endoscopy,
surg.
31254......... ........ A Revision of 4.64 NA NA 1.70 2.56 0.45 NA NA 6.79 7.65 000
ethmoid sinus.
31255......... ........ A Removal of 6.95 NA NA 2.34 3.67 0.73 NA NA 10.02 11.35 000
ethmoid sinus.
31256......... ........ A Exploration 3.29 NA NA 1.31 1.91 0.33 NA NA 4.93 5.53 000
maxillary
sinus.
31267......... ........ A Endoscopy, 5.45 NA NA 1.92 2.95 0.55 NA NA 7.92 8.95 000
maxillary
sinus.
31276......... ........ A Sinus 8.84 NA NA 2.87 4.56 0.92 NA NA 12.63 14.32 000
endoscopy,
surgical.
31287......... ........ A Nasal/sinus 3.91 NA NA 1.48 2.21 0.39 NA NA 5.78 6.51 000
endoscopy,
surg.
31288......... ........ A Nasal/sinus 4.57 NA NA 1.67 2.53 0.46 NA NA 6.70 7.56 000
endoscopy,
surg.
31290......... ........ A Nasal/sinus 18.46 NA NA 7.99 11.04 1.40 NA NA 27.85 30.90 010
endoscopy,
surg.
31291......... ........ A Nasal/sinus 19.41 NA NA 8.60 11.50 1.68 NA NA 29.69 32.59 010
endoscopy,
surg.
31292......... ........ A Nasal/sinus 15.75 NA NA 7.20 9.76 1.21 NA NA 24.16 26.72 010
endoscopy,
surg.
31293......... ........ A Nasal/sinus 17.32 NA NA 7.82 10.49 1.28 NA NA 26.42 29.09 010
endoscopy,
surg.
31294......... ........ A Nasal/sinus 20.16 NA NA 8.72 11.83 1.53 NA NA 30.41 33.52 010
endoscopy,
surg.
31299......... ........ C Sinus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31300......... ........ A Removal of 15.63 NA NA 13.43 14.59 1.17 NA NA 30.23 31.39 090
larynx lesion.
31320......... ........ A Diagnostic 5.55 NA NA 9.17 10.02 0.46 NA NA 15.18 16.03 090
incision,
larynx.
31360......... ........ A Removal of 27.23 NA NA 17.39 16.89 1.38 NA NA 46.00 45.50 090
larynx.
31365......... ........ A Removal of 34.85 NA NA 19.55 20.16 1.97 NA NA 56.37 56.98 090
larynx.
31367......... ........ A Partial removal 27.11 NA NA 19.32 21.25 1.78 NA NA 48.21 50.14 090
of larynx.
31368......... ........ A Partial removal 33.73 NA NA 22.12 24.65 2.20 NA NA 58.05 60.58 090
of larynx.
31370......... ........ A Partial removal 27.11 NA NA 20.11 21.72 1.74 NA NA 48.96 50.57 090
of larynx.
31375......... ........ A Partial removal 25.61 NA NA 19.22 20.09 1.63 NA NA 46.46 47.33 090
of larynx.
31380......... ........ A Partial removal 25.11 NA NA 18.90 20.18 1.70 NA NA 45.71 46.99 090
of larynx.
31382......... ........ A Partial removal 28.11 NA NA 20.41 21.31 1.67 NA NA 50.19 51.09 090
of larynx.
31390......... ........ A Removal of 38.72 NA NA 22.29 23.86 2.23 NA NA 63.24 64.81 090
larynx &
pharynx.
31395......... ........ A Reconstruct 43.34 NA NA 25.53 27.61 2.48 NA NA 71.35 73.43 090
larynx &
pharynx.
31400......... ........ A Revision of 11.40 NA NA 11.42 13.18 0.83 NA NA 23.65 25.41 090
larynx.
31420......... ........ A Removal of 11.25 NA NA 7.82 9.11 0.83 NA NA 19.90 21.19 090
epiglottis.
31500......... ........ A Insert 2.33 NA NA 0.43 0.52 0.17 NA NA 2.93 3.02 000
emergency
airway.
[[Page 49123]]
31502......... ........ A Change of 0.65 NA NA 0.20 0.26 0.05 NA NA 0.90 0.96 000
windpipe
airway.
31505......... ........ A Diagnostic 0.61 1.33 1.42 0.54 0.59 0.05 1.99 2.08 1.20 1.25 000
laryngoscopy.
31510......... ........ A Laryngoscopy 1.92 2.98 3.22 0.91 1.17 0.16 5.06 5.30 2.99 3.25 000
with biopsy.
31511......... ........ A Remove foreign 2.16 2.75 3.03 0.93 1.03 0.19 5.10 5.38 3.28 3.38 000
body, larynx.
31512......... ........ A Removal of 2.07 2.73 3.08 0.95 1.26 0.18 4.98 5.33 3.20 3.51 000
larynx lesion.
31513......... ........ A Injection into 2.10 NA NA 0.97 1.34 0.17 NA NA 3.24 3.61 000
vocal cord.
31515......... ........ A Laryngoscopy 1.80 3.06 3.42 0.83 1.00 0.14 5.00 5.36 2.77 2.94 000
for aspiration.
31520......... ........ A Dx 2.56 NA NA 1.09 1.44 0.20 NA NA 3.85 4.20 000
laryngoscopy,
newborn.
31525......... ........ A Dx laryngoscopy 2.63 3.22 3.54 1.10 1.52 0.21 6.06 6.38 3.94 4.36 000
excl nb.
31526......... ........ A Dx laryngoscopy 2.57 NA NA 1.10 1.57 0.21 NA NA 3.88 4.35 000
w/oper scope.
31527......... ........ A Laryngoscopy 3.27 NA NA 1.29 1.73 0.26 NA NA 4.82 5.26 000
for treatment.
31528......... ........ A Laryngoscopy 2.37 NA NA 0.97 1.34 0.19 NA NA 3.53 3.90 000
and dilation.
31529......... ........ A Laryngoscopy 2.68 NA NA 1.09 1.56 0.22 NA NA 3.99 4.46 000
and dilation.
31530......... ........ A Laryngoscopy w/ 3.38 NA NA 1.29 1.79 0.29 NA NA 4.96 5.46 000
fb removal.
31531......... ........ A Laryngoscopy w/ 3.58 NA NA 1.39 2.05 0.29 NA NA 5.26 5.92 000
fb & op scope.
31535......... ........ A Laryngoscopy w/ 3.16 NA NA 1.27 1.81 0.26 NA NA 4.69 5.23 000
biopsy.
31536......... ........ A Laryngoscopy w/ 3.55 NA NA 1.38 2.03 0.29 NA NA 5.22 5.87 000
bx & op scope.
31540......... ........ A Laryngoscopy w/ 4.12 NA NA 1.54 2.29 0.33 NA NA 5.99 6.74 000
exc of tumor.
31541......... ........ A Larynscop w/ 4.52 NA NA 1.66 2.50 0.37 NA NA 6.55 7.39 000
tumr exc +
scope.
31545......... ........ A Remove vc 6.30 NA NA 2.19 3.15 0.37 NA NA 8.86 9.82 000
lesion w/scope.
31546......... ........ A Remove vc 9.73 NA NA 3.71 4.66 0.78 NA NA 14.22 15.17 000
lesion scope/
graft.
31560......... ........ A Laryngoscop w/ 5.45 NA NA 1.87 2.83 0.43 NA NA 7.75 8.71 000
arytenoidectom.
31561......... ........ A Larynscop, 5.99 NA NA 2.02 3.03 0.49 NA NA 8.50 9.51 000
remve cart +
scop.
31570......... ........ A Laryngoscope w/ 3.86 3.93 5.24 1.46 2.15 0.31 8.10 9.41 5.63 6.32 000
vc inj.
31571......... ........ A Laryngoscop w/ 4.26 NA NA 1.58 2.35 0.35 NA NA 6.19 6.96 000
vc inj + scope.
31575......... ........ A Diagnostic 1.10 1.56 1.82 0.69 0.84 0.09 2.75 3.01 1.88 2.03 000
laryngoscopy.
31576......... ........ A Laryngoscopy 1.97 3.26 3.56 0.94 1.20 0.14 5.37 5.67 3.05 3.31 000
with biopsy.
31577......... ........ A Remove foreign 2.47 3.22 3.63 1.09 1.42 0.21 5.90 6.31 3.77 4.10 000
body, larynx.
31578......... ........ A Removal of 2.84 3.66 4.13 1.18 1.44 0.23 6.73 7.20 4.25 4.51 000
larynx lesion.
31579......... ........ A Diagnostic 2.26 2.63 3.49 1.02 1.37 0.18 5.07 5.93 3.46 3.81 000
laryngoscopy.
31580......... ........ A Revision of 14.38 NA NA 13.35 15.27 1.00 NA NA 28.73 30.65 090
larynx.
31582......... ........ A Revision of 22.73 NA NA 20.27 24.42 1.75 NA NA 44.75 48.90 090
larynx.
31584......... ........ A Treat larynx 20.27 NA NA 14.11 17.14 1.71 NA NA 36.09 39.12 090
fracture.
31587......... ........ A Revision of 15.06 NA NA 7.88 8.92 0.97 NA NA 23.91 24.95 090
larynx.
31588......... ........ A Revision of 14.48 NA NA 11.28 13.03 1.06 NA NA 26.82 28.57 090
larynx.
31590......... ........ A Reinnervate 7.53 NA NA 11.98 14.64 0.84 NA NA 20.35 23.01 090
larynx.
31595......... ........ A Larynx nerve 8.69 NA NA 8.86 10.13 0.68 NA NA 18.23 19.50 090
surgery.
31599......... ........ C Larynx surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
31600......... ........ A Incision of 7.17 NA NA 2.19 2.94 0.80 NA NA 10.16 10.91 000
windpipe.
31601......... ........ A Incision of 4.44 NA NA 1.61 2.20 0.40 NA NA 6.45 7.04 000
windpipe.
31603......... ........ A Incision of 4.14 NA NA 1.11 1.56 0.44 NA NA 5.69 6.14 000
windpipe.
31605......... ........ A Incision of 3.57 NA NA 0.82 1.10 0.40 NA NA 4.79 5.07 000
windpipe.
31610......... ........ A Incision of 9.23 NA NA 7.12 7.98 0.79 NA NA 17.14 18.00 090
windpipe.
31611......... ........ A Surgery/speech 5.87 NA NA 6.44 6.91 0.46 NA NA 12.77 13.24 090
prosthesis.
31612......... ........ A Puncture/clear 0.91 1.07 1.09 0.24 0.32 0.08 2.06 2.08 1.23 1.31 000
windpipe.
31613......... ........ A Repair windpipe 4.58 NA NA 5.79 5.94 0.42 NA NA 10.79 10.94 090
opening.
31614......... ........ A Repair windpipe 8.39 NA NA 8.81 8.74 0.58 NA NA 17.78 17.71 090
opening.
31615......... ........ A Visualization 2.09 2.21 2.50 0.95 1.14 0.16 4.46 4.75 3.20 3.39 000
of windpipe.
31620......... ........ A Endobronchial 1.40 6.04 5.74 0.34 0.50 0.11 7.55 7.25 1.85 2.01 ZZZ
us add-on.
31622......... ........ A Dx bronchoscope/ 2.78 5.26 5.55 0.90 1.02 0.18 8.22 8.51 3.86 3.98 000
wash.
31623......... ........ A Dx bronchoscope/ 2.88 6.03 6.32 0.90 1.01 0.13 9.04 9.33 3.91 4.02 000
brush.
31624......... ........ A Dx bronchoscope/ 2.88 5.38 5.67 0.90 1.01 0.13 8.39 8.68 3.91 4.02 000
lavage.
31625......... ........ A Bronchoscopy w/ 3.36 5.52 5.74 1.02 1.16 0.18 9.06 9.28 4.56 4.70 000
biopsy(s).
31628......... ........ A Bronchoscopy/ 3.80 7.02 7.02 1.11 1.25 0.18 11.00 11.00 5.09 5.23 000
lung bx, each.
31629......... ........ A Bronchoscopy/ 4.09 12.10 13.71 1.19 1.35 0.16 16.35 17.96 5.44 5.60 000
needle bx,
each.
31630......... ........ A Bronchoscopy 3.81 NA NA 1.25 1.60 0.32 NA NA 5.38 5.73 000
dilate/fx repr.
31631......... ........ A Bronchoscopy, 4.36 NA NA 1.39 1.67 0.34 NA NA 6.09 6.37 000
dilate w/stent.
31632......... ........ A Bronchoscopy/ 1.03 0.86 0.82 0.24 0.29 0.18 2.07 2.03 1.45 1.50 ZZZ
lung bx, addIl.
31633......... ........ A Bronchoscopy/ 1.32 0.99 0.94 0.31 0.38 0.16 2.47 2.42 1.79 1.86 ZZZ
needle bx
addIl.
31635......... ........ A Bronchoscopy w/ 3.67 5.20 5.88 1.13 1.36 0.24 9.11 9.79 5.04 5.27 000
fb removal.
31636......... ........ A Bronchoscopy, 4.30 NA NA 1.37 1.66 0.31 NA NA 5.98 6.27 000
bronch stents.
31637......... ........ A Bronchoscopy, 1.58 NA NA 0.42 0.53 0.13 NA NA 2.13 2.24 ZZZ
stent add-on.
31638......... ........ A Bronchoscopy, 4.88 NA NA 1.55 1.87 0.22 NA NA 6.65 6.97 000
revise stent.
31640......... ........ A Bronchoscopy w/ 4.93 NA NA 1.52 1.93 0.46 NA NA 6.91 7.32 000
tumor excise.
31641......... ........ A Bronchoscopy, 5.02 NA NA 1.49 1.78 0.35 NA NA 6.86 7.15 000
treat blockage.
31643......... ........ A Diag 3.49 NA NA 1.05 1.19 0.20 NA NA 4.74 4.88 000
bronchoscope/
catheter.
[[Page 49124]]
31645......... ........ A Bronchoscopy, 3.16 4.77 5.05 0.97 1.08 0.16 8.09 8.37 4.29 4.40 000
clear airways.
31646......... ........ A Bronchoscopy, 2.72 4.48 4.77 0.86 0.97 0.14 7.34 7.63 3.72 3.83 000
reclear airway.
31656......... ........ A Bronchoscopy, 2.17 5.31 6.80 0.65 0.79 0.15 7.63 9.12 2.97 3.11 000
inj for x-ray.
31700......... ........ A Insertion of 1.34 2.30 2.19 0.68 0.68 0.08 3.72 3.61 2.10 2.10 000
airway
catheter.
31708......... ........ A Instill airway 1.41 NA NA 0.40 0.45 0.07 NA NA 1.88 1.93 000
contrast dye.
31710......... ........ A Insertion of 1.30 NA NA 0.42 0.41 0.12 NA NA 1.84 1.83 000
airway
catheter.
31715......... ........ A Injection for 1.11 NA NA 0.29 0.33 0.07 NA NA 1.47 1.51 000
bronchus x-ray.
31717......... ........ A Bronchial brush 2.12 5.86 7.65 0.76 0.78 0.14 8.12 9.91 3.02 3.04 000
biopsy.
31720......... ........ A Clearance of 1.06 NA NA 0.25 0.31 0.07 NA NA 1.38 1.44 000
airways.
31725......... ........ A Clearance of 1.96 NA NA 0.45 0.55 0.14 NA NA 2.55 2.65 000
airways.
31730......... ........ A Intro, windpipe 2.85 25.67 8.06 0.72 0.93 0.21 28.73 11.12 3.78 3.99 000
wire/tube.
31750......... ........ A Repair of 15.11 NA NA 16.11 17.19 1.05 NA NA 32.27 33.35 090
windpipe.
31755......... ........ A Repair of 17.05 NA NA 22.15 23.93 1.29 NA NA 40.49 42.27 090
windpipe.
31760......... ........ A Repair of 23.28 NA NA 9.76 10.47 2.94 NA NA 35.98 36.69 090
windpipe.
31766......... ........ A Reconstruction 31.52 NA NA 11.44 13.10 4.52 NA NA 47.48 49.14 090
of windpipe.
31770......... ........ A Repair/graft of 23.44 NA NA 8.83 9.89 2.83 NA NA 35.10 36.16 090
bronchus.
31775......... ........ A Reconstruct 24.46 NA NA 9.07 11.11 3.01 NA NA 36.54 38.58 090
bronchus.
31780......... ........ A Reconstruct 19.62 NA NA 7.98 10.28 1.65 NA NA 29.25 31.55 090
windpipe.
31781......... ........ A Reconstruct 24.72 NA NA 9.17 11.38 2.24 NA NA 36.13 38.34 090
windpipe.
31785......... ........ A Remove windpipe 18.25 NA NA 5.49 9.01 1.59 NA NA 25.33 28.85 090
lesion.
31786......... ........ A Remove windpipe 25.29 NA NA 9.74 12.25 3.29 NA NA 38.32 40.83 090
lesion.
31800......... ........ A Repair of 8.05 NA NA 8.35 9.02 0.79 NA NA 17.19 17.86 090
windpipe
injury.
31805......... ........ A Repair of 13.29 NA NA 6.24 6.97 1.82 NA NA 21.35 22.08 090
windpipe
injury.
31820......... ........ A Closure of 4.54 5.43 5.60 2.98 3.48 0.38 10.35 10.52 7.90 8.40 090
windpipe
lesion.
31825......... ........ A Repair of 6.92 6.78 7.44 4.00 5.03 0.53 14.23 14.89 11.45 12.48 090
windpipe
defect.
31830......... ........ A Revise windpipe 4.49 5.60 5.72 3.33 3.82 0.44 10.53 10.65 8.26 8.75 090
scar.
31899......... ........ C Airways 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgical
procedure.
32000......... ........ A Drainage of 1.54 2.39 2.89 0.43 0.47 0.08 4.01 4.51 2.05 2.09 000
chest.
32002......... ........ A Treatment of 2.19 2.85 3.12 0.99 1.04 0.12 5.16 5.43 3.30 3.35 000
collapsed lung.
32005......... ........ A Treat lung 2.19 5.11 6.12 0.59 0.67 0.23 7.53 8.54 3.01 3.09 000
lining
chemically.
32019......... ........ A Insert pleural 4.17 15.54 18.86 1.45 1.60 0.42 20.13 23.45 6.04 6.19 000
catheter.
32020......... ........ A Insertion of 3.97 NA NA 1.14 1.30 0.43 NA NA 5.54 5.70 000
chest tube.
32035......... ........ A Exploration of 11.14 NA NA 6.11 5.92 1.26 NA NA 18.50 18.32 090
chest.
32036......... ........ A Exploration of 12.15 NA NA 6.43 6.43 1.43 NA NA 20.01 20.01 090
chest.
32095......... ........ A Biopsy through 10.03 NA NA 5.22 5.33 1.22 NA NA 16.47 16.58 090
chest wall.
32100......... ........ A Exploration/ 16.04 NA NA 7.09 7.64 2.23 NA NA 25.36 25.91 090
biopsy of
chest.
32110......... ........ A Explore/repair 25.11 NA NA 10.03 10.56 3.21 NA NA 38.35 38.88 090
chest.
32120......... ........ A Re-exploration 14.24 NA NA 6.91 7.03 1.63 NA NA 22.78 22.90 090
of chest.
32124......... ........ A Explore chest 15.30 NA NA 7.09 7.18 1.89 NA NA 24.28 24.37 090
free adhesions.
32140......... ........ A Removal of lung 16.51 NA NA 7.48 7.63 1.96 NA NA 25.95 26.10 090
lesion(s).
32141......... ........ A Remove/treat 17.14 NA NA 7.69 7.59 2.00 NA NA 26.83 26.73 090
lung lesions.
32150......... ........ A Removal of lung 16.67 NA NA 7.54 7.59 2.00 NA NA 26.21 26.26 090
lesion(s).
32151......... ........ A Remove lung 16.79 NA NA 8.73 8.18 2.03 NA NA 27.55 27.00 090
foreign body.
32160......... ........ A Open chest 13.00 NA NA 5.89 5.42 1.31 NA NA 20.20 19.73 090
heart massage.
32200......... ........ A Drain, open, 18.43 NA NA 8.91 8.69 2.13 NA NA 29.47 29.25 090
lung lesion.
32201......... ........ A Drain, percut, 3.99 19.87 20.49 1.26 1.29 0.24 24.10 24.72 5.49 5.52 000
lung lesion.
32215......... ........ A Treat chest 12.90 NA NA 6.43 6.78 1.68 NA NA 21.01 21.36 090
lining.
32220......... ........ A Release of lung 26.31 NA NA 12.11 12.74 3.56 NA NA 41.98 42.61 090
32225......... ........ A Partial release 16.60 NA NA 7.54 7.62 2.06 NA NA 26.20 26.28 090
of lung.
32310......... ........ A Removal of 15.13 NA NA 6.98 7.29 1.99 NA NA 24.10 24.41 090
chest lining.
32320......... ........ A Free/remove 26.96 NA NA 11.63 12.02 3.51 NA NA 42.10 42.49 090
chest lining.
32400......... ........ A Needle biopsy 1.76 2.12 2.12 0.52 0.54 0.10 3.98 3.98 2.38 2.40 000
chest lining.
32402......... ........ A Open biopsy 8.86 NA NA 4.81 5.04 1.07 NA NA 14.74 14.97 090
chest lining.
32405......... ........ A Biopsy, lung or 1.93 0.61 0.66 0.61 0.63 0.11 2.65 2.70 2.65 2.67 000
mediastinum.
32420......... ........ A Puncture/clear 2.18 NA NA 0.68 0.68 0.12 NA NA 2.98 2.98 000
lung.
32440......... ........ A Removal of lung 27.11 NA NA 11.11 12.45 3.68 NA NA 41.90 43.24 090
[[Page 49125]]
32442......... ........ A Sleeve 37.74 NA NA 13.28 14.39 3.84 NA NA 54.86 55.97 090
pneumonectomy.
32445......... ........ A Removal of lung 40.73 NA NA 16.31 14.62 3.71 NA NA 60.75 59.06 090
32480......... ........ A Partial removal 25.65 NA NA 10.37 11.64 3.49 NA NA 39.51 40.78 090
of lung.
32482......... ........ A Bilobectomy.... 27.22 NA NA 11.22 12.49 3.66 NA NA 42.10 43.37 090
32484......... ........ A Segmentectomy.. 22.67 NA NA 8.92 10.77 3.03 NA NA 34.62 36.47 090
32486......... ........ A Sleeve 31.72 NA NA 11.89 12.90 3.51 NA NA 47.12 48.13 090
lobectomy.
32488......... ........ A Completion 32.69 NA NA 12.78 13.53 3.80 NA NA 49.27 50.02 090
pneumonectomy.
32491......... ........ R Lung volume 25.03 NA NA 10.69 12.14 2.98 NA NA 38.70 40.15 090
reduction.
32500......... ........ A Partial removal 24.42 NA NA 10.43 11.87 3.25 NA NA 38.10 39.54 090
of lung.
32501......... ........ A Repair bronchus 4.68 NA NA 1.37 1.50 0.65 NA NA 6.70 6.83 ZZZ
add-on.
32503......... ........ A Resect apical 31.55 NA NA 12.31 14.38 4.37 NA NA 48.23 50.30 090
lung tumor.
32504......... ........ A Resect apical 36.35 NA NA 13.73 15.94 5.07 NA NA 55.15 57.36 090
lung tum/chest.
32540......... ........ A Removal of lung 23.68 NA NA 10.25 9.79 2.07 NA NA 36.00 35.54 090
lesion.
32601......... ........ A Thoracoscopy, 5.45 NA NA 2.11 2.29 0.80 NA NA 8.36 8.54 000
diagnostic.
32602......... ........ A Thoracoscopy, 5.95 NA NA 2.25 2.45 0.87 NA NA 9.07 9.27 000
diagnostic.
32603......... ........ A Thoracoscopy, 7.80 NA NA 2.99 3.02 1.14 NA NA 11.93 11.96 000
diagnostic.
32604......... ........ A Thoracoscopy, 8.77 NA NA 3.08 3.36 1.25 NA NA 13.10 13.38 000
diagnostic.
32605......... ........ A Thoracoscopy, 6.92 NA NA 2.56 2.82 1.00 NA NA 10.48 10.74 000
diagnostic.
32606......... ........ A Thoracoscopy, 8.39 NA NA 3.02 3.25 1.22 NA NA 12.63 12.86 000
diagnostic.
32650......... ........ A Thoracoscopy, 10.73 NA NA 5.32 6.40 1.58 NA NA 17.63 18.71 090
surgical.
32651......... ........ A Thoracoscopy, 16.28 NA NA 7.09 7.20 1.86 NA NA 25.23 25.34 090
surgical.
32652......... ........ A Thoracoscopy, 23.34 NA NA 9.65 10.02 2.72 NA NA 35.71 36.08 090
surgical.
32653......... ........ A Thoracoscopy, 19.86 NA NA 8.01 7.23 1.88 NA NA 29.75 28.97 090
surgical.
32654......... ........ A Thoracoscopy, 18.49 NA NA 7.47 7.52 1.63 NA NA 27.59 27.64 090
surgical.
32655......... ........ A Thoracoscopy, 14.95 NA NA 6.74 7.12 1.89 NA NA 23.58 23.96 090
surgical.
32656......... ........ A Thoracoscopy, 13.14 NA NA 6.04 7.47 1.89 NA NA 21.07 22.50 090
surgical.
32657......... ........ A Thoracoscopy, 14.54 NA NA 6.47 7.38 1.99 NA NA 23.00 23.91 090
surgical.
32658......... ........ A Thoracoscopy, 11.61 NA NA 5.64 6.92 1.69 NA NA 18.94 20.22 090
surgical.
32659......... ........ A Thoracoscopy, 11.82 NA NA 5.95 7.08 1.62 NA NA 19.39 20.52 090
surgical.
32660......... ........ A Thoracoscopy, 17.65 NA NA 7.52 8.99 2.08 NA NA 27.25 28.72 090
surgical.
32661......... ........ A Thoracoscopy, 13.23 NA NA 6.22 7.40 1.92 NA NA 21.37 22.55 090
surgical.
32662......... ........ A Thoracoscopy, 17.00 NA NA 7.23 8.42 2.17 NA NA 26.40 27.59 090
surgical.
32663......... ........ A Thoracoscopy, 19.96 NA NA 8.91 10.30 2.72 NA NA 31.59 32.98 090
surgical.
32664......... ........ A Thoracoscopy, 14.18 NA NA 6.42 7.33 2.32 NA NA 22.92 23.83 090
surgical.
32665......... ........ A Thoracoscopy, 17.37 NA NA 7.66 8.01 2.15 NA NA 27.18 27.53 090
surgical.
32800......... ........ A Repair lung 15.56 NA NA 7.13 7.34 1.98 NA NA 24.67 24.88 090
hernia.
32810......... ........ A Close chest 14.80 NA NA 7.12 7.42 1.93 NA NA 23.85 24.15 090
after drainage.
32815......... ........ A Close bronchial 37.94 NA NA 15.43 12.09 3.27 NA NA 56.64 53.30 090
fistula.
32820......... ........ A Reconstruct 22.27 NA NA 11.75 12.06 2.52 NA NA 36.54 36.85 090
injured chest.
32851......... ........ A Lung 40.72 NA NA 20.99 25.99 5.56 NA NA 67.27 72.27 090
transplant,
single.
32852......... ........ A Lung transplant 44.37 NA NA 23.82 30.83 6.00 NA NA 74.19 81.20 090
with bypass.
32853......... ........ A Lung 49.89 NA NA 23.39 29.66 7.05 NA NA 80.33 86.60 090
transplant,
double.
32854......... ........ A Lung transplant 53.60 NA NA 26.62 32.70 7.20 NA NA 87.42 93.50 090
with bypass.
32855......... ........ C Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lung, single.
32856......... ........ C Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lung, double.
32900......... ........ A Removal of 23.66 NA NA 9.81 9.86 2.93 NA NA 36.40 36.45 090
rib(s).
32905......... ........ A Revise & repair 23.14 NA NA 9.64 10.01 3.15 NA NA 35.93 36.30 090
chest wall.
32906......... ........ A Revise & repair 29.15 NA NA 11.34 11.88 3.97 NA NA 44.46 45.00 090
chest wall.
32940......... ........ A Revision of 21.19 NA NA 8.66 9.27 2.88 NA NA 32.73 33.34 090
lung.
32960......... ........ A Therapeutic 1.84 1.59 1.70 0.67 0.59 0.16 3.59 3.70 2.67 2.59 000
pneumothorax.
32997......... ........ A Total lung 5.99 NA NA 1.51 1.81 0.55 NA NA 8.05 8.35 000
lavage.
32999......... ........ C Chest surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
33010......... ........ A Drainage of 2.24 NA NA 1.02 0.84 0.14 NA NA 3.40 3.22 000
heart sac.
33011......... ........ A Repeat drainage 2.24 NA NA 1.10 0.88 0.15 NA NA 3.49 3.27 000
of heart sac.
33015......... ........ A Incision of 8.41 NA NA 5.08 4.98 0.65 NA NA 14.14 14.04 090
heart sac.
33020......... ........ A Incision of 14.85 NA NA 6.54 6.72 1.79 NA NA 23.18 23.36 090
heart sac.
33025......... ........ A Incision of 13.63 NA NA 5.98 6.26 1.80 NA NA 21.41 21.69 090
heart sac.
33030......... ........ A Partial removal 22.24 NA NA 9.26 9.46 2.83 NA NA 34.33 34.53 090
of heart sac.
33031......... ........ A Partial removal 25.28 NA NA 9.96 10.01 3.13 NA NA 38.37 38.42 090
of heart sac.
33050......... ........ A Removal of 16.82 NA NA 7.63 7.79 2.14 NA NA 26.59 26.75 090
heart sac
lesion.
33120......... ........ A Removal of 27.30 NA NA 10.79 11.38 3.69 NA NA 41.78 42.37 090
heart lesion.
33130......... ........ A Removal of 24.02 NA NA 9.48 9.95 3.00 NA NA 36.50 36.97 090
heart lesion.
33140......... ........ A Heart 22.72 NA NA 10.09 10.68 2.85 NA NA 35.66 36.25 090
revascularize
(tmr).
33141......... ........ A Heart tmr w/ 4.83 NA NA 1.52 1.57 0.69 NA NA 7.04 7.09 ZZZ
other
procedure.
33200......... ........ A Insertion of 14.70 NA NA 7.45 6.99 1.70 NA NA 23.85 23.39 090
heart
pacemaker.
33201......... ........ A Insertion of 12.08 NA NA 6.40 6.54 1.36 NA NA 19.84 19.98 090
heart
pacemaker.
[[Page 49126]]
33206......... ........ A Insertion of 7.28 NA NA 5.13 4.63 0.52 NA NA 12.92 12.42 090
heart
pacemaker.
33207......... ........ A Insertion of 9.03 NA NA 5.78 4.94 0.59 NA NA 15.40 14.56 090
heart
pacemaker.
33208......... ........ A Insertion of 8.12 NA NA 5.43 4.94 0.56 NA NA 14.11 13.62 090
heart
pacemaker.
33210......... ........ A Insertion of 3.30 NA NA 1.70 1.36 0.18 NA NA 5.18 4.84 000
heart
electrode.
33211......... ........ A Insertion of 3.39 NA NA 1.67 1.40 0.21 NA NA 5.27 5.00 000
heart
electrode.
33212......... ........ A Insertion of 5.51 NA NA 3.75 3.46 0.43 NA NA 9.69 9.40 090
pulse
generator.
33213......... ........ A Insertion of 6.36 NA NA 4.17 3.83 0.45 NA NA 10.98 10.64 090
pulse
generator.
33214......... ........ A Upgrade of 7.74 NA NA 5.38 5.01 0.58 NA NA 13.70 13.33 090
pacemaker
system.
33215......... ........ A Reposition 4.87 NA NA 3.52 3.27 0.37 NA NA 8.76 8.51 090
pacing-defib
lead.
33216......... ........ A Insert lead 5.77 NA NA 4.58 4.30 0.36 NA NA 10.71 10.43 090
pace-defib,
one.
33217......... ........ A Insert lead 5.74 NA NA 4.50 4.30 0.39 NA NA 10.63 10.43 090
pace-defib,
dual.
33218......... ........ A Repair lead 5.93 NA NA 4.83 4.43 0.37 NA NA 11.13 10.73 090
pace-defib,
one.
33220......... ........ A Repair lead 6.01 NA NA 4.89 4.43 0.37 NA NA 11.27 10.81 090
pace-defib,
dual.
33222......... ........ A Revise pocket, 4.95 NA NA 4.33 4.30 0.42 NA NA 9.70 9.67 090
pacemaker.
33223......... ........ A Revise pocket, 6.45 NA NA 4.97 4.69 0.45 NA NA 11.87 11.59 090
pacing-defib.
33224......... ........ A Insert pacing 9.04 NA NA 5.03 4.26 0.54 NA NA 14.61 13.84 000
lead & connect.
33225......... ........ A L ventric 8.33 NA NA 4.45 3.55 0.45 NA NA 13.23 12.33 ZZZ
pacing lead
add-on.
33226......... ........ A Reposition l 8.68 NA NA 4.87 4.08 0.59 NA NA 14.14 13.35 000
ventric lead.
33233......... ........ A Removal of 3.29 NA NA 3.29 3.28 0.22 NA NA 6.80 6.79 090
pacemaker
system.
33234......... ........ A Removal of 7.81 NA NA 5.52 5.06 0.56 NA NA 13.89 13.43 090
pacemaker
system.
33235......... ........ A Removal 9.85 NA NA 7.32 6.94 0.73 NA NA 17.90 17.52 090
pacemaker
electrode.
33236......... ........ A Remove 12.58 NA NA 6.70 7.25 1.68 NA NA 20.96 21.51 090
electrode/
thoracotomy.
33237......... ........ A Remove 13.69 NA NA 7.68 7.76 1.59 NA NA 22.96 23.04 090
electrode/
thoracotomy.
33238......... ........ A Remove 15.20 NA NA 8.35 8.24 2.02 NA NA 25.57 25.46 090
electrode/
thoracotomy.
33240......... ........ A Insert pulse 7.59 NA NA 5.34 4.77 0.41 NA NA 13.34 12.77 090
generator.
33241......... ........ A Remove pulse 3.24 NA NA 3.04 2.98 0.18 NA NA 6.46 6.40 090
generator.
33243......... ........ A Remove eltrd/ 23.36 NA NA 11.00 11.35 2.09 NA NA 36.45 36.80 090
thoracotomy.
33244......... ........ A Remove eltrd, 13.74 NA NA 9.53 9.05 0.99 NA NA 24.26 23.78 090
transven.
33245......... ........ A Insert epic 16.82 NA NA 7.96 7.92 2.01 NA NA 26.79 26.75 090
eltrd pace-
defib.
33246......... ........ A Insert epic 23.11 NA NA 10.73 10.39 2.63 NA NA 36.47 36.13 090
eltrd/
generator.
33249......... ........ A Eltrd/insert 14.96 NA NA 10.33 8.85 0.77 NA NA 26.06 24.58 090
pace-defib.
33250......... ........ A Ablate heart 25.75 NA NA 10.16 10.81 3.18 NA NA 39.09 39.74 090
dysrhythm
focus.
33251......... ........ A Ablate heart 28.77 NA NA 11.15 11.53 3.59 NA NA 43.51 43.89 090
dysrhythm
focus.
33253......... ........ A Reconstruct 31.33 NA NA 12.15 13.40 4.52 NA NA 48.00 49.25 090
atria.
33261......... ........ A Ablate heart 28.77 NA NA 11.33 11.66 3.45 NA NA 43.55 43.88 090
dysrhythm
focus.
33282......... ........ A Implant pat- 4.66 NA NA 4.29 4.09 0.23 NA NA 9.18 8.98 090
active ht
record.
33284......... ........ A Remove pat- 3.00 NA NA 3.40 3.50 0.14 NA NA 6.54 6.64 090
active ht
record.
33300......... ........ A Repair of heart 29.93 NA NA 11.14 9.71 2.65 NA NA 43.72 42.29 090
wound.
33305......... ........ A Repair of heart 33.67 NA NA 12.24 11.02 3.12 NA NA 49.03 47.81 090
wound.
33310......... ........ A Exploratory 20.19 NA NA 8.83 9.39 2.58 NA NA 31.60 32.16 090
heart surgery.
33315......... ........ A Exploratory 26.02 NA NA 10.46 10.78 3.27 NA NA 39.75 40.07 090
heart surgery.
33320......... ........ A Repair major 18.43 NA NA 8.69 8.34 2.07 NA NA 29.19 28.84 090
blood
vessel(s).
33321......... ........ A Repair major 20.67 NA NA 10.28 9.91 2.90 NA NA 33.85 33.48 090
vessel.
33322......... ........ A Repair major 24.27 NA NA 9.83 10.23 2.85 NA NA 36.95 37.35 090
blood
vessel(s).
33330......... ........ A Insert major 25.14 NA NA 9.80 10.15 2.81 NA NA 37.75 38.10 090
vessel graft.
33332......... ........ A Insert major 24.42 NA NA 9.65 10.30 3.02 NA NA 37.09 37.74 090
vessel graft.
33335......... ........ A Insert major 33.76 NA NA 12.97 13.24 4.27 NA NA 51.00 51.27 090
vessel graft.
33400......... ........ A Repair of 39.23 NA NA 14.57 15.39 4.10 NA NA 57.90 58.72 090
aortic valve.
33401......... ........ A Valvuloplasty, 24.33 NA NA 9.83 12.58 3.56 NA NA 37.72 40.47 090
open.
33403......... ........ A Valvuloplasty, 25.31 NA NA 10.53 13.36 3.54 NA NA 39.38 42.21 090
w/cp bypass.
33404......... ........ A Prepare heart- 31.22 NA NA 12.26 13.97 4.32 NA NA 47.80 49.51 090
aorta conduit.
33405......... ........ A Replacement of 39.97 NA NA 15.12 17.50 5.31 NA NA 60.40 62.78 090
aortic valve.
33406......... ........ A Replacement of 48.87 NA NA 17.72 18.77 5.43 NA NA 72.02 73.07 090
aortic valve.
33410......... ........ A Replacement of 38.69 NA NA 14.63 16.09 4.68 NA NA 58.00 59.46 090
aortic valve.
33411......... ........ A Replacement of 57.11 NA NA 20.12 19.09 5.46 NA NA 82.69 81.66 090
aortic valve.
33412......... ........ A Replacement of 43.71 NA NA 16.57 19.44 6.37 NA NA 66.65 69.52 090
aortic valve.
[[Page 49127]]
33413......... ........ A Replacement of 55.27 NA NA 19.33 20.44 6.51 NA NA 81.11 82.22 090
aortic valve.
33414......... ........ A Repair of 39.27 NA NA 15.20 14.40 4.56 NA NA 59.03 58.23 090
aortic valve.
33415......... ........ A Revision, 29.70 NA NA 11.14 11.80 4.13 NA NA 44.97 45.63 090
subvalvular
tissue.
33416......... ........ A Revise 36.39 NA NA 13.63 13.53 4.56 NA NA 54.58 54.48 090
ventricle
muscle.
33417......... ........ A Repair of 29.13 NA NA 12.14 13.24 4.09 NA NA 45.36 46.46 090
aortic valve.
33420......... ........ A Revision of 25.64 NA NA 8.85 9.38 1.81 NA NA 36.30 36.83 090
mitral valve.
33422......... ........ A Revision of 29.58 NA NA 12.50 13.36 3.93 NA NA 46.01 46.87 090
mitral valve.
33425......... ........ A Repair of 38.37 NA NA 14.50 13.41 4.06 NA NA 56.93 55.84 090
mitral valve.
33426......... ........ A Repair of 41.28 NA NA 15.51 16.73 5.01 NA NA 61.80 63.02 090
mitral valve.
33427......... ........ A Repair of 42.78 NA NA 16.33 18.60 6.07 NA NA 65.18 67.45 090
mitral valve.
33430......... ........ A Replacement of 49.81 NA NA 18.75 17.66 5.08 NA NA 73.64 72.55 090
mitral valve.
33460......... ........ A Revision of 27.97 NA NA 10.98 11.22 3.44 NA NA 42.39 42.63 090
tricuspid
valve.
33463......... ........ A Valvuloplasty, 42.57 NA NA 15.50 13.56 3.86 NA NA 61.93 59.99 090
tricuspid.
33464......... ........ A Valvuloplasty, 30.93 NA NA 12.13 13.17 4.14 NA NA 47.20 48.24 090
tricuspid.
33465......... ........ A Replace 33.58 NA NA 12.60 12.87 4.38 NA NA 50.56 50.83 090
tricuspid
valve.
33468......... ........ A Revision of 32.79 NA NA 15.30 14.06 4.06 NA NA 52.15 50.91 090
tricuspid
valve.
33470......... ........ A Revision of 21.24 NA NA 8.74 10.20 1.03 NA NA 31.01 32.47 090
pulmonary
valve.
33471......... ........ A Valvotomy, 22.79 NA NA 7.77 9.26 3.38 NA NA 33.94 35.43 090
pulmonary
valve.
33472......... ........ A Revision of 22.86 NA NA 7.28 10.72 3.54 NA NA 33.68 37.12 090
pulmonary
valve.
33474......... ........ A Revision of 25.85 NA NA 12.10 11.19 3.21 NA NA 41.16 40.25 090
pulmonary
valve.
33475......... ........ A Replacement, 44.81 NA NA 16.54 15.66 4.92 NA NA 66.27 65.39 090
pulmonary
valve.
33476......... ........ A Revision of 26.37 NA NA 11.78 11.92 2.41 NA NA 40.56 40.70 090
heart chamber.
33478......... ........ A Revision of 27.34 NA NA 11.04 12.55 3.88 NA NA 42.26 43.77 090
heart chamber.
33496......... ........ A Repair, prosth 29.67 NA NA 11.51 12.43 4.12 NA NA 45.30 46.22 090
valve clot.
33500......... ........ A Repair heart 27.79 NA NA 11.08 11.37 3.86 NA NA 42.73 43.02 090
vessel fistula.
33501......... ........ A Repair heart 19.39 NA NA 8.25 8.27 1.90 NA NA 29.54 29.56 090
vessel fistula.
33502......... ........ A Coronary artery 21.65 NA NA 9.32 10.63 2.99 NA NA 33.96 35.27 090
correction.
33503......... ........ A Coronary artery 22.21 NA NA 10.61 9.95 1.77 NA NA 34.59 33.93 090
graft.
33504......... ........ A Coronary artery 25.26 NA NA 10.18 11.40 3.35 NA NA 38.79 40.01 090
graft.
33505......... ........ A Repair artery w/ 38.33 NA NA 12.33 12.76 2.18 NA NA 52.84 53.27 090
tunnel.
33506......... ........ A Repair artery, 37.78 NA NA 15.51 14.80 4.65 NA NA 57.94 57.23 090
translocation.
33507......... ........ A Repair art, 31.33 NA NA 11.78 13.18 4.05 NA NA 47.16 48.56 090
intramural.
33508......... ........ A Endoscopic vein 0.31 NA NA 0.10 0.10 0.04 NA NA 0.45 0.45 ZZZ
harvest.
33510......... ........ A CABG, vein, 33.45 NA NA 12.81 15.45 4.40 NA NA 50.66 53.30 090
single.
33511......... ........ A CABG, vein, two 34.59 NA NA 13.37 16.15 4.55 NA NA 52.51 55.29 090
33512......... ........ A CABG, vein, 38.73 NA NA 14.72 16.88 4.66 NA NA 58.11 60.27 090
three.
33513......... ........ A CABG, vein, 39.69 NA NA 15.13 17.12 4.87 NA NA 59.69 61.68 090
four.
33514......... ........ A CABG, vein, 40.50 NA NA 15.38 17.38 4.76 NA NA 60.64 62.64 090
five.
33516......... ........ A Cabg, vein, six 41.96 NA NA 16.16 18.14 5.11 NA NA 63.23 65.21 090
or more.
33517......... ........ A CABG, artery- 2.57 NA NA 0.79 0.83 0.39 NA NA 3.75 3.79 ZZZ
vein, single.
33518......... ........ A CABG, artery- 4.84 NA NA 1.48 1.56 0.73 NA NA 7.05 7.13 ZZZ
vein, two.
33519......... ........ A CABG, artery- 7.11 NA NA 2.18 2.29 1.04 NA NA 10.33 10.44 ZZZ
vein, three.
33521......... ........ A CABG, artery- 9.39 NA NA 2.89 3.03 1.37 NA NA 13.65 13.79 ZZZ
vein, four.
33522......... ........ A CABG, artery- 11.65 NA NA 3.56 3.75 1.77 NA NA 16.98 17.17 ZZZ
vein, five.
33523......... ........ A Cabg, art-vein, 13.93 NA NA 4.29 4.47 2.12 NA NA 20.34 20.52 ZZZ
six or more.
33530......... ........ A Coronary 5.85 NA NA 1.79 1.88 0.88 NA NA 8.52 8.61 ZZZ
artery, bypass/
reop.
33533......... ........ A CABG, arterial, 37.38 NA NA 14.00 15.85 4.55 NA NA 55.93 57.78 090
single.
33534......... ........ A CABG, arterial, 38.81 NA NA 14.74 16.97 4.69 NA NA 58.24 60.47 090
two.
33535......... ........ A CABG, arterial, 41.48 NA NA 15.68 17.52 5.01 NA NA 62.17 64.01 090
three.
33536......... ........ A Cabg, arterial, 40.79 NA NA 15.30 17.54 5.42 NA NA 61.51 63.75 090
four or more.
33542......... ........ A Removal of 32.65 NA NA 12.64 12.90 4.37 NA NA 49.66 49.92 090
heart lesion.
33545......... ........ A Repair of heart 41.12 NA NA 15.46 15.58 5.19 NA NA 61.77 61.89 090
damage.
33548......... ........ A Restore/ 42.46 NA NA 16.52 18.60 5.51 NA NA 64.49 66.57 090
remodel,
ventricle.
33572......... ........ A Open coronary 4.44 NA NA 1.34 1.42 0.65 NA NA 6.43 6.51 ZZZ
endarterectomy.
33600......... ........ A Closure of 30.11 NA NA 12.44 12.49 4.41 NA NA 46.96 47.01 090
valve.
33602......... ........ A Closure of 29.14 NA NA 13.30 12.66 3.81 NA NA 46.25 45.61 090
valve.
33606......... ........ A Anastomosis/ 31.33 NA NA 12.17 13.30 4.40 NA NA 47.90 49.03 090
artery-aorta.
33608......... ........ A Repair anomaly 31.68 NA NA 13.41 13.93 4.73 NA NA 49.82 50.34 090
w/conduit.
33610......... ........ A Repair by 31.20 NA NA 11.20 13.00 4.55 NA NA 46.95 48.75 090
enlargement.
33611......... ........ A Repair double 35.47 NA NA 12.37 13.69 4.36 NA NA 52.20 53.52 090
ventricle.
33612......... ........ A Repair double 36.47 NA NA 12.97 14.61 5.28 NA NA 54.72 56.36 090
ventricle.
33615......... ........ A Repair, 35.72 NA NA 12.49 12.98 4.31 NA NA 52.52 53.01 090
modified
fontan.
33617......... ........ A Repair single 38.92 NA NA 16.37 16.09 5.64 NA NA 60.93 60.65 090
ventricle.
33619......... ........ A Repair single 48.56 NA NA 18.36 20.19 6.44 NA NA 73.36 75.19 090
ventricle.
33641......... ........ A Repair heart 28.47 NA NA 10.73 9.86 3.22 NA NA 42.42 41.55 090
septum defect.
33645......... ........ A Revision of 27.95 NA NA 11.02 11.58 3.78 NA NA 42.75 43.31 090
heart veins.
[[Page 49128]]
33647......... ........ A Repair heart 29.33 NA NA 12.34 13.41 3.31 NA NA 44.98 46.05 090
septum defects.
33660......... ........ A Repair of heart 31.73 NA NA 11.49 12.98 4.48 NA NA 47.70 49.19 090
defects.
33665......... ........ A Repair of heart 34.75 NA NA 12.45 13.49 3.99 NA NA 51.19 52.23 090
defects.
33670......... ........ A Repair of heart 36.56 NA NA 12.28 12.95 4.64 NA NA 53.48 54.15 090
chambers.
33681......... ........ A Repair heart 32.10 NA NA 13.28 14.33 4.44 NA NA 49.82 50.87 090
septum defect.
33684......... ........ A Repair heart 34.27 NA NA 19.40 15.07 3.38 NA NA 57.05 52.72 090
septum defect.
33688......... ........ A Repair heart 34.65 NA NA 9.50 10.23 4.72 NA NA 48.87 49.60 090
septum defect.
33690......... ........ A Reinforce 20.16 NA NA 8.63 9.78 1.96 NA NA 30.75 31.90 090
pulmonary
artery.
33692......... ........ A Repair of heart 31.34 NA NA 9.29 12.76 4.57 NA NA 45.20 48.67 090
defects.
33694......... ........ A Repair of heart 35.47 NA NA 10.16 13.21 5.26 NA NA 50.89 53.94 090
defects.
33697......... ........ A Repair of heart 37.47 NA NA 21.66 16.57 4.08 NA NA 63.21 58.12 090
defects.
33702......... ........ A Repair of heart 27.07 NA NA 11.48 12.29 3.67 NA NA 42.22 43.03 090
defects.
33710......... ........ A Repair of heart 30.24 NA NA 11.69 13.39 4.42 NA NA 46.35 48.05 090
defects.
33720......... ........ A Repair of heart 27.09 NA NA 11.17 12.00 3.83 NA NA 42.09 42.92 090
defect.
33722......... ........ A Repair of heart 29.01 NA NA 8.75 12.58 1.30 NA NA 39.06 42.89 090
defect.
33730......... ........ A Repair heart- 35.97 NA NA 13.35 13.93 5.01 NA NA 54.33 54.91 090
vein defect(s).
33732......... ........ A Repair heart- 28.76 NA NA 14.75 13.72 3.67 NA NA 47.18 46.15 090
vein defect.
33735......... ........ A Revision of 22.00 NA NA 9.50 9.09 1.91 NA NA 33.41 33.00 090
heart chamber.
33736......... ........ A Revision of 24.12 NA NA 10.80 11.59 3.08 NA NA 38.00 38.79 090
heart chamber.
33737......... ........ A Revision of 22.30 NA NA 7.62 10.10 3.24 NA NA 33.16 35.64 090
heart chamber.
33750......... ........ A Major vessel 22.02 NA NA 11.30 10.48 1.16 NA NA 34.48 33.66 090
shunt.
33755......... ........ A Major vessel 22.40 NA NA 7.87 8.57 3.25 NA NA 33.52 34.22 090
shunt.
33762......... ........ A Major vessel 22.40 NA NA 7.21 9.42 3.13 NA NA 32.74 34.95 090
shunt.
33764......... ........ A Major vessel 22.40 NA NA 9.29 9.99 3.00 NA NA 34.69 35.39 090
shunt & graft.
33766......... ........ A Major vessel 23.37 NA NA 8.58 10.90 3.69 NA NA 35.64 37.96 090
shunt.
33767......... ........ A Major vessel 25.10 NA NA 9.47 11.16 3.81 NA NA 38.38 40.07 090
shunt.
33768......... ........ A Cavopulmonary 8.00 NA NA 2.22 2.55 1.19 NA NA 11.41 11.74 ZZZ
shunting.
33770......... ........ A Repair great 39.00 NA NA 10.67 13.68 5.72 NA NA 55.39 58.40 090
vessels defect.
33771......... ........ A Repair great 40.56 NA NA 10.65 11.95 5.66 NA NA 56.87 58.17 090
vessels defect.
33774......... ........ A Repair great 31.48 NA NA 12.45 14.11 4.80 NA NA 48.73 50.39 090
vessels defect.
33775......... ........ A Repair great 32.79 NA NA 10.21 13.80 4.98 NA NA 47.98 51.57 090
vessels defect.
33776......... ........ A Repair great 34.45 NA NA 13.39 15.20 5.07 NA NA 52.91 54.72 090
vessels defect.
33777......... ........ A Repair great 33.87 NA NA 10.02 14.21 5.47 NA NA 49.36 53.55 090
vessels defect.
33778......... ........ A Repair great 42.58 NA NA 15.26 16.48 6.18 NA NA 64.02 65.24 090
vessels defect.
33779......... ........ A Repair great 43.13 NA NA 11.48 14.40 2.91 NA NA 57.52 60.44 090
vessels defect.
33780......... ........ A Repair great 43.83 NA NA 11.79 17.26 3.67 NA NA 59.29 64.76 090
vessels defect.
33781......... ........ A Repair great 43.14 NA NA 14.18 13.54 5.95 NA NA 63.27 62.63 090
vessels defect.
33786......... ........ A Repair arterial 41.70 NA NA 11.53 15.42 5.69 NA NA 58.92 62.81 090
trunk.
33788......... ........ A Revision of 27.22 NA NA 9.69 11.39 4.02 NA NA 40.93 42.63 090
pulmonary
artery.
33800......... ........ A Aortic 17.21 NA NA 7.32 7.91 2.45 NA NA 26.98 27.57 090
suspension.
33802......... ........ A Repair vessel 18.20 NA NA 7.50 8.79 2.26 NA NA 27.96 29.25 090
defect.
33803......... ........ A Repair vessel 20.14 NA NA 7.95 9.31 3.19 NA NA 31.28 32.64 090
defect.
33813......... ........ A Repair septal 21.19 NA NA 9.00 10.43 3.12 NA NA 33.31 34.74 090
defect.
33814......... ........ A Repair septal 26.37 NA NA 10.48 12.10 3.84 NA NA 40.69 42.31 090
defect.
33820......... ........ A Revise major 16.59 NA NA 8.39 8.37 2.34 NA NA 27.32 27.30 090
vessel.
33822......... ........ A Revise major 17.61 NA NA 6.00 8.21 2.67 NA NA 26.28 28.49 090
vessel.
33824......... ........ A Revise major 20.06 NA NA 8.62 9.64 2.88 NA NA 31.56 32.58 090
vessel.
33840......... ........ A Remove aorta 21.17 NA NA 8.99 9.97 2.15 NA NA 32.31 33.29 090
constriction.
33845......... ........ A Remove aorta 22.73 NA NA 9.64 10.92 3.21 NA NA 35.58 36.86 090
constriction.
33851......... ........ A Remove aorta 21.81 NA NA 9.17 10.30 3.17 NA NA 34.15 35.28 090
constriction.
33852......... ........ A Repair septal 24.24 NA NA 9.90 11.00 2.15 NA NA 36.29 37.39 090
defect.
33853......... ........ A Repair septal 32.31 NA NA 13.03 14.37 4.47 NA NA 49.81 51.15 090
defect.
33860......... ........ A Ascending 43.13 NA NA 15.73 16.27 5.74 NA NA 64.60 65.14 090
aortic graft.
33861......... ........ A Ascending 43.88 NA NA 16.12 17.31 6.35 NA NA 66.35 67.54 090
aortic graft.
33863......... ........ A Ascending 48.52 NA NA 17.69 18.44 6.57 NA NA 72.78 73.53 090
aortic graft.
33870......... ........ A Transverse 45.87 NA NA 16.67 17.95 6.60 NA NA 69.14 70.42 090
aortic arch
graft.
[[Page 49129]]
33875......... ........ A Thoracic aortic 35.64 NA NA 13.16 13.86 4.88 NA NA 53.68 54.38 090
graft.
33877......... ........ A Thoracoabdomina 57.75 NA NA 18.83 16.94 5.92 NA NA 82.50 80.61 090
l graft.
33880......... ........ A Endovasc taa 34.44 NA NA 10.59 12.75 2.74 NA NA 47.77 49.93 090
repr incl
subcl.
33881......... ........ A Endovasc taa 29.44 NA NA 9.35 11.31 2.32 NA NA 41.11 43.07 090
repr w/o subcl.
33883......... ........ A Insert endovasc 20.95 NA NA 7.01 8.64 2.10 NA NA 30.06 31.69 090
prosth, taa.
33884......... ........ A Endovasc 8.20 NA NA 2.01 2.43 0.86 NA NA 11.07 11.49 ZZZ
prosth, taa,
add-on.
33886......... ........ A Endovasc 17.95 NA NA 6.25 7.74 1.79 NA NA 25.99 27.48 090
prosth,
delayed.
33889......... ........ A Artery 15.92 NA NA 4.17 4.92 2.17 NA NA 22.26 23.01 000
transpose/
endovas taa.
33891......... ........ A Car-car bp grft/ 20.00 NA NA 6.45 6.83 2.72 NA NA 29.17 29.55 000
endovas taa.
33910......... ........ A Remove lung 29.56 NA NA 11.34 11.41 3.69 NA NA 44.59 44.66 090
artery emboli.
33915......... ........ A Remove lung 24.80 NA NA 10.04 9.73 1.44 NA NA 36.28 35.97 090
artery emboli.
33916......... ........ A Surgery of 28.27 NA NA 10.92 11.24 3.66 NA NA 42.85 43.17 090
great vessel.
33917......... ........ A Repair 25.10 NA NA 10.43 11.74 3.69 NA NA 39.22 40.53 090
pulmonary
artery.
33920......... ........ A Repair 32.54 NA NA 11.39 13.21 4.37 NA NA 48.30 50.12 090
pulmonary
atresia.
33922......... ........ A Transect 24.05 NA NA 11.44 11.04 3.09 NA NA 38.58 38.18 090
pulmonary
artery.
33924......... ........ A Remove 5.49 NA NA 2.12 1.91 0.82 NA NA 8.43 8.22 ZZZ
pulmonary
shunt.
33925......... ........ A Rpr pul art 31.23 NA NA 10.21 13.55 4.60 NA NA 46.04 49.38 090
unifocal w/o
cpb.
33926......... ........ A Repr pul art, 44.66 NA NA 14.38 16.86 6.20 NA NA 65.24 67.72 090
unifocal w/cpb.
33933......... ........ C Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart/lung.
33935......... ........ R Transplantation 61.56 NA NA 23.37 27.42 9.03 NA NA 93.96 98.01 090
, heart/lung.
33944......... ........ C Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart.
33945......... ........ R Transplantation 50.14 NA NA 19.01 20.80 6.24 NA NA 75.39 77.18 090
of heart.
33960......... ........ A External 19.33 NA NA 5.60 5.08 2.66 NA NA 27.59 27.07 000
circulation
assist.
33961......... ........ A External 10.91 NA NA 2.91 3.44 0.88 NA NA 14.70 15.23 ZZZ
circulation
assist.
33967......... ........ A Insert ia 4.84 NA NA 2.44 1.99 0.35 NA NA 7.63 7.18 000
percut device.
33968......... ........ A Remove aortic 0.64 NA NA 0.27 0.24 0.07 NA NA 0.98 0.95 000
assist device.
33970......... ........ A Aortic 6.74 NA NA 2.54 2.35 0.82 NA NA 10.10 9.91 000
circulation
assist.
33971......... ........ A Aortic 11.89 NA NA 6.09 6.02 1.25 NA NA 19.23 19.16 090
circulation
assist.
33973......... ........ A Insert balloon 9.75 NA NA 3.88 3.45 1.26 NA NA 14.89 14.46 000
device.
33974......... ........ A Remove intra- 14.89 NA NA 7.79 7.86 1.73 NA NA 24.41 24.48 090
aortic balloon.
33975......... ........ A Implant 20.97 NA NA 6.63 6.37 3.06 NA NA 30.66 30.40 XXX
ventricular
device.
33976......... ........ A Implant 22.97 NA NA 7.92 7.64 3.25 NA NA 34.14 33.86 XXX
ventricular
device.
33977......... ........ A Remove 19.99 NA NA 9.37 10.65 2.80 NA NA 32.16 33.44 090
ventricular
device.
33978......... ........ A Remove 22.43 NA NA 10.52 11.44 3.30 NA NA 36.25 37.17 090
ventricular
device.
33979......... ........ A Insert 45.93 NA NA 14.38 14.79 6.95 NA NA 67.26 67.67 XXX
intracorporeal
device.
33980......... ........ A Remove 64.76 NA NA 25.09 25.20 8.56 NA NA 98.41 98.52 090
intracorporeal
device.
33999......... ........ C Cardiac surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
34001......... ........ A Removal of 17.74 NA NA 6.68 6.70 1.84 NA NA 26.26 26.28 090
artery clot.
34051......... ........ A Removal of 16.86 NA NA 6.93 7.57 2.20 NA NA 25.99 26.63 090
artery clot.
34101......... ........ A Removal of 10.81 NA NA 4.44 5.12 1.41 NA NA 16.66 17.34 090
artery clot.
34111......... ........ A Removal of arm 10.81 NA NA 4.50 5.14 1.40 NA NA 16.71 17.35 090
artery clot.
34151......... ........ A Removal of 26.35 NA NA 8.87 10.02 3.55 NA NA 38.77 39.92 090
artery clot.
34201......... ........ A Removal of 18.40 NA NA 6.57 5.70 1.45 NA NA 26.42 25.55 090
artery clot.
34203......... ........ A Removal of leg 17.67 NA NA 6.57 7.69 2.35 NA NA 26.59 27.71 090
artery clot.
34401......... ........ A Removal of vein 26.35 NA NA 9.64 10.41 3.09 NA NA 39.08 39.85 090
clot.
34421......... ........ A Removal of vein 13.25 NA NA 5.36 6.06 1.55 NA NA 20.16 20.86 090
clot.
34451......... ........ A Removal of vein 28.35 NA NA 9.71 11.01 3.83 NA NA 41.89 43.19 090
clot.
34471......... ........ A Removal of vein 20.94 NA NA 7.73 5.91 1.18 NA NA 29.85 28.03 090
clot.
34490......... ........ A Removal of vein 10.79 NA NA 4.54 5.20 1.41 NA NA 16.74 17.40 090
clot.
34501......... ........ A Repair valve, 16.68 NA NA 6.96 8.11 2.34 NA NA 25.98 27.13 090
femoral vein.
34502......... ........ A Reconstruct 27.80 NA NA 10.78 11.91 3.62 NA NA 42.20 43.33 090
vena cava.
34510......... ........ A Transposition 19.74 NA NA 7.25 8.87 2.32 NA NA 29.31 30.93 090
of vein valve.
34520......... ........ A Cross-over vein 18.99 NA NA 9.19 8.64 2.28 NA NA 30.46 29.91 090
graft.
34530......... ........ A Leg vein fusion 17.69 NA NA 7.88 8.43 1.73 NA NA 27.30 27.85 090
34800......... ........ A Endovas aaa 21.42 NA NA 7.49 8.74 2.45 NA NA 31.36 32.61 090
repr w/sm tube.
34802......... ........ A Endovas aaa 23.67 NA NA 8.32 9.42 2.32 NA NA 34.31 35.41 090
repr w/2-p
part.
34803......... ........ A Endovas aaa 24.70 NA NA 8.25 9.72 2.00 NA NA 34.95 36.42 090
repr w/3-p
part.
34804......... ........ A Endovas aaa 23.67 NA NA 8.18 9.40 2.29 NA NA 34.14 35.36 090
repr w/1-p
part.
34805......... ........ A Endovas aaa 22.55 NA NA 7.34 9.07 2.00 NA NA 31.89 33.62 090
repr w/long
tube.
34808......... ........ A Endovas iliac a 4.12 NA NA 1.11 1.31 0.59 NA NA 5.82 6.02 ZZZ
device addon.
34812......... ........ A Xpose for 6.74 NA NA 1.73 2.11 1.18 NA NA 9.65 10.03 000
endoprosth,
femorl.
34813......... ........ A Femoral endovas 4.79 NA NA 1.21 1.48 0.67 NA NA 6.67 6.94 ZZZ
graft add-on.
34820......... ........ A Xpose for 9.74 NA NA 2.47 3.04 1.50 NA NA 13.71 14.28 000
endoprosth,
iliac.
34825......... ........ A Endovasc extend 12.68 NA NA 5.23 5.91 1.28 NA NA 19.19 19.87 090
prosth, init.
34826......... ........ A Endovasc exten 4.12 NA NA 1.16 1.32 0.44 NA NA 5.72 5.88 ZZZ
prosth, addIl.
34830......... ........ A Open aortic 35.04 NA NA 10.82 12.97 4.54 NA NA 50.40 52.55 090
tube prosth
repr.
[[Page 49130]]
34831......... ........ A Open aortoiliac 37.79 NA NA 12.15 11.84 4.88 NA NA 54.82 54.51 090
prosth repr.
34832......... ........ A Open aortofemor 37.79 NA NA 11.68 13.89 4.84 NA NA 54.31 56.52 090
prosth repr.
34833......... ........ A Xpose for 11.98 NA NA 3.32 4.15 1.69 NA NA 16.99 17.82 000
endoprosth,
iliac.
34834......... ........ A Xpose, 5.34 NA NA 1.62 2.05 0.76 NA NA 7.72 8.15 000
endoprosth,
brachial.
34900......... ........ A Endovasc iliac 16.73 NA NA 6.34 7.27 1.99 NA NA 25.06 25.99 090
repr w/graft.
35001......... ........ A Repair defect 20.63 NA NA 7.64 9.07 2.80 NA NA 31.07 32.50 090
of artery.
35002......... ........ A Repair artery 22.05 NA NA 7.82 9.22 2.99 NA NA 32.86 34.26 090
rupture, neck.
35005......... ........ A Repair defect 19.11 NA NA 8.14 8.67 1.76 NA NA 29.01 29.54 090
of artery.
35011......... ........ A Repair defect 18.46 NA NA 6.43 7.59 2.54 NA NA 27.43 28.59 090
of artery.
35013......... ........ A Repair artery 23.04 NA NA 7.96 9.24 3.09 NA NA 34.09 35.37 090
rupture, arm.
35021......... ........ A Repair defect 22.04 NA NA 8.70 9.23 2.86 NA NA 33.60 34.13 090
of artery.
35022......... ........ A Repair artery 25.57 NA NA 9.50 9.76 3.16 NA NA 38.23 38.49 090
rupture, chest.
35045......... ........ A Repair defect 17.91 NA NA 6.42 7.23 2.44 NA NA 26.77 27.58 090
of arm artery.
35081......... ........ A Repair defect 33.31 NA NA 11.10 11.37 4.00 NA NA 48.41 48.68 090
of artery.
35082......... ........ A Repair artery 41.87 NA NA 13.19 14.77 5.42 NA NA 60.48 62.06 090
rupture, aorta.
35091......... ........ A Repair defect 35.35 NA NA 10.46 12.79 5.12 NA NA 50.93 53.26 090
of artery.
35092......... ........ A Repair artery 50.75 NA NA 15.09 17.00 6.38 NA NA 72.22 74.13 090
rupture, aorta.
35102......... ........ A Repair defect 36.31 NA NA 11.68 12.18 4.47 NA NA 52.46 52.96 090
of artery.
35103......... ........ A Repair artery 43.43 NA NA 13.31 15.21 5.74 NA NA 62.48 64.38 090
rupture, groin.
35111......... ........ A Repair defect 26.11 NA NA 8.62 10.00 3.46 NA NA 38.19 39.57 090
of artery.
35112......... ........ A Repair artery 32.38 NA NA 10.53 11.60 4.07 NA NA 46.98 48.05 090
rupture,spleen.
35121......... ........ A Repair defect 31.35 NA NA 10.51 11.90 4.29 NA NA 46.15 47.54 090
of artery.
35122......... ........ A Repair artery 37.70 NA NA 12.17 13.39 4.74 NA NA 54.61 55.83 090
rupture, belly.
35131......... ........ A Repair defect 26.23 NA NA 8.92 10.29 3.79 NA NA 38.94 40.31 090
of artery.
35132......... ........ A Repair artery 32.38 NA NA 10.33 11.86 4.29 NA NA 47.00 48.53 090
rupture, groin.
35141......... ........ A Repair defect 20.79 NA NA 7.15 8.47 2.89 NA NA 30.83 32.15 090
of artery.
35142......... ........ A Repair artery 24.97 NA NA 8.46 9.89 3.35 NA NA 36.78 38.21 090
rupture, thigh.
35151......... ........ A Repair defect 23.55 NA NA 7.96 9.48 3.23 NA NA 34.74 36.26 090
of artery.
35152......... ........ A Repair artery 27.47 NA NA 9.15 10.82 3.60 NA NA 40.22 41.89 090
rupture, knee.
35180......... ........ A Repair blood 14.95 NA NA 6.15 6.74 1.00 NA NA 22.10 22.69 090
vessel lesion.
35182......... ........ A Repair blood 31.52 NA NA 11.82 12.55 4.35 NA NA 47.69 48.42 090
vessel lesion.
35184......... ........ A Repair blood 18.67 NA NA 6.96 7.96 2.52 NA NA 28.15 29.15 090
vessel lesion.
35188......... ........ A Repair blood 14.98 NA NA 6.23 7.28 2.15 NA NA 23.36 24.41 090
vessel lesion.
35189......... ........ A Repair blood 29.79 NA NA 10.15 11.50 4.00 NA NA 43.94 45.29 090
vessel lesion.
35190......... ........ A Repair blood 13.27 NA NA 5.34 6.19 1.79 NA NA 20.40 21.25 090
vessel lesion.
35201......... ........ A Repair blood 16.78 NA NA 6.45 7.61 2.33 NA NA 25.56 26.72 090
vessel lesion.
35206......... ........ A Repair blood 13.72 NA NA 5.42 6.27 1.86 NA NA 21.00 21.85 090
vessel lesion.
35207......... ........ A Repair blood 10.79 NA NA 6.60 7.16 1.48 NA NA 18.87 19.43 090
vessel lesion.
35211......... ........ A Repair blood 24.45 NA NA 10.11 10.49 3.19 NA NA 37.75 38.13 090
vessel lesion.
35216......... ........ A Repair blood 36.43 NA NA 13.90 10.20 2.64 NA NA 52.97 49.27 090
vessel lesion.
35221......... ........ A Repair blood 26.50 NA NA 8.59 9.60 3.36 NA NA 38.45 39.46 090
vessel lesion.
35226......... ........ A Repair blood 15.18 NA NA 5.91 7.05 2.01 NA NA 23.10 24.24 090
vessel lesion.
35231......... ........ A Repair blood 21.04 NA NA 7.70 9.25 2.88 NA NA 31.62 33.17 090
vessel lesion.
35236......... ........ A Repair blood 17.90 NA NA 6.50 7.54 2.42 NA NA 26.82 27.86 090
vessel lesion.
35241......... ........ A Repair blood 25.45 NA NA 9.97 10.83 3.52 NA NA 38.94 39.80 090
vessel lesion.
35246......... ........ A Repair blood 28.11 NA NA 11.95 11.55 3.85 NA NA 43.91 43.51 090
vessel lesion.
35251......... ........ A Repair blood 31.79 NA NA 9.83 11.30 4.12 NA NA 45.74 47.21 090
vessel lesion.
35256......... ........ A Repair blood 18.94 NA NA 6.65 7.93 2.62 NA NA 28.21 29.49 090
vessel lesion.
35261......... ........ A Repair blood 18.84 NA NA 7.26 7.82 2.60 NA NA 28.70 29.26 090
vessel lesion.
35266......... ........ A Repair blood 15.71 NA NA 5.72 6.68 2.09 NA NA 23.52 24.48 090
vessel lesion.
35271......... ........ A Repair blood 24.45 NA NA 9.69 10.31 3.15 NA NA 37.29 37.91 090
vessel lesion.
35276......... ........ A Repair blood 25.67 NA NA 9.66 10.82 3.48 NA NA 38.81 39.97 090
vessel lesion.
35281......... ........ A Repair blood 29.87 NA NA 9.81 11.23 3.96 NA NA 43.64 45.06 090
vessel lesion.
35286......... ........ A Repair blood 17.00 NA NA 6.47 7.66 2.34 NA NA 25.81 27.00 090
vessel lesion.
35301......... ........ A Rechanneling of 19.49 NA NA 6.90 8.05 2.67 NA NA 29.06 30.21 090
artery.
35311......... ........ A Rechanneling of 28.48 NA NA 9.69 11.23 3.41 NA NA 41.58 43.12 090
artery.
[[Page 49131]]
35321......... ........ A Rechanneling of 16.47 NA NA 6.00 7.04 2.24 NA NA 24.71 25.75 090
artery.
35331......... ........ A Rechanneling of 27.55 NA NA 9.04 10.68 3.82 NA NA 40.41 42.05 090
artery.
35341......... ........ A Rechanneling of 26.03 NA NA 8.58 10.29 3.77 NA NA 38.38 40.09 090
artery.
35351......... ........ A Rechanneling of 24.49 NA NA 7.98 9.19 3.34 NA NA 35.81 37.02 090
artery.
35355......... ........ A Rechanneling of 19.74 NA NA 6.57 7.70 2.66 NA NA 28.97 30.10 090
artery.
35361......... ........ A Rechanneling of 30.05 NA NA 9.75 11.21 4.14 NA NA 43.94 45.40 090
artery.
35363......... ........ A Rechanneling of 32.16 NA NA 10.60 12.09 4.32 NA NA 47.08 48.57 090
artery.
35371......... ........ A Rechanneling of 15.19 NA NA 5.51 6.59 2.13 NA NA 22.83 23.91 090
artery.
35372......... ........ A Rechanneling of 18.46 NA NA 6.33 7.61 2.62 NA NA 27.41 28.69 090
artery.
35381......... ........ A Rechanneling of 16.63 NA NA 6.33 7.44 2.25 NA NA 25.21 26.32 090
artery.
35390......... ........ A Reoperation, 3.19 NA NA 0.85 1.01 0.46 NA NA 4.50 4.66 ZZZ
carotid add-on.
35400......... ........ A Angioscopy..... 3.00 NA NA 0.75 1.02 0.43 NA NA 4.18 4.45 ZZZ
35450......... ........ A Repair arterial 10.05 NA NA 3.22 3.48 1.25 NA NA 14.52 14.78 000
blockage.
35452......... ........ A Repair arterial 6.90 NA NA 2.12 2.48 0.94 NA NA 9.96 10.32 000
blockage.
35454......... ........ A Repair arterial 6.03 NA NA 1.83 2.19 0.87 NA NA 8.73 9.09 000
blockage.
35456......... ........ A Repair arterial 7.34 NA NA 2.30 2.65 1.04 NA NA 10.68 11.03 000
blockage.
35458......... ........ A Repair arterial 9.48 NA NA 2.91 3.33 1.26 NA NA 13.65 14.07 000
blockage.
35459......... ........ A Repair arterial 8.62 NA NA 2.53 3.01 1.21 NA NA 12.36 12.84 000
blockage.
35460......... ........ A Repair venous 6.03 NA NA 1.79 2.15 0.83 NA NA 8.65 9.01 000
blockage.
35470......... ........ A Repair arterial 8.62 62.11 82.17 3.47 3.38 0.69 71.42 91.48 12.78 12.69 000
blockage.
35471......... ........ A Repair arterial 10.05 66.97 91.94 4.70 4.14 0.67 77.69 102.7 15.42 14.86 000
blockage.
35472......... ........ A Repair arterial 6.90 48.34 60.35 2.81 2.76 0.58 55.82 67.83 10.29 10.24 000
blockage.
35473......... ........ A Repair arterial 6.03 47.23 56.69 2.51 2.44 0.51 53.77 63.23 9.05 8.98 000
blockage.
35474......... ........ A Repair arterial 7.35 61.24 81.11 3.00 2.92 0.57 69.16 89.03 10.92 10.84 000
blockage.
35475......... ........ R Repair arterial 9.48 49.26 54.39 3.40 3.52 0.62 59.36 64.49 13.50 13.62 000
blockage.
35476......... ........ A Repair venous 6.03 37.43 42.91 2.13 2.30 0.34 43.80 49.28 8.50 8.67 000
blockage.
35480......... ........ A Atherectomy, 11.06 NA NA 3.96 4.02 1.28 NA NA 16.30 16.36 000
open.
35481......... ........ A Atherectomy, 7.60 NA NA 2.50 2.78 1.13 NA NA 11.23 11.51 000
open.
35482......... ........ A Atherectomy, 6.64 NA NA 2.13 2.45 0.89 NA NA 9.66 9.98 000
open.
35483......... ........ A Atherectomy, 8.09 NA NA 2.79 2.96 1.15 NA NA 12.03 12.20 000
open.
35484......... ........ A Atherectomy, 10.42 NA NA 3.08 3.60 1.27 NA NA 14.77 15.29 000
open.
35485......... ........ A Atherectomy, 9.48 NA NA 3.00 3.40 1.35 NA NA 13.83 14.23 000
open.
35490......... ........ A Atherectomy, 11.06 NA NA 6.27 5.09 0.71 NA NA 18.04 16.86 000
percutaneous.
35491......... ........ A Atherectomy, 7.60 NA NA 3.97 3.46 0.74 NA NA 12.31 11.80 000
percutaneous.
35492......... ........ A Atherectomy, 6.64 NA NA 3.63 3.30 0.43 NA NA 10.70 10.37 000
percutaneous.
35493......... ........ A Atherectomy, 8.09 NA NA 4.15 3.89 0.56 NA NA 12.80 12.54 000
percutaneous.
35494......... ........ A Atherectomy, 10.42 NA NA 5.23 4.65 0.59 NA NA 16.24 15.66 000
percutaneous.
35495......... ........ A Atherectomy, 9.48 NA NA 4.64 4.45 0.69 NA NA 14.81 14.62 000
percutaneous.
35500......... ........ A Harvest vein 6.44 NA NA 1.69 1.94 0.93 NA NA 9.06 9.31 ZZZ
for bypass.
35501......... ........ A Artery bypass 19.70 NA NA 7.29 8.17 2.80 NA NA 29.79 30.67 090
graft.
35506......... ........ A Artery bypass 25.19 NA NA 8.48 9.22 2.86 NA NA 36.53 37.27 090
graft.
35507......... ........ A Artery bypass 20.60 NA NA 7.54 8.95 2.84 NA NA 30.98 32.39 090
graft.
35508......... ........ A Artery bypass 25.95 NA NA 9.15 9.37 2.77 NA NA 37.87 38.09 090
graft.
35509......... ........ A Artery bypass 18.94 NA NA 6.78 8.27 2.61 NA NA 28.33 29.82 090
graft.
35510......... ........ A Artery bypass 24.25 NA NA 7.80 9.58 2.11 NA NA 34.16 35.94 090
graft.
35511......... ........ A Artery bypass 22.08 NA NA 7.33 8.85 2.90 NA NA 32.31 33.83 090
graft.
35512......... ........ A Artery bypass 23.75 NA NA 7.53 9.38 2.11 NA NA 33.39 35.24 090
graft.
35515......... ........ A Artery bypass 25.95 NA NA 8.45 9.07 2.77 NA NA 37.17 37.79 090
graft.
35516......... ........ A Artery bypass 24.07 NA NA 7.80 7.05 2.33 NA NA 34.20 33.45 090
graft.
35518......... ........ A Artery bypass 22.53 NA NA 7.54 8.61 3.02 NA NA 33.09 34.16 090
graft.
35521......... ........ A Artery bypass 23.94 NA NA 8.15 9.41 3.12 NA NA 35.21 36.47 090
graft.
35522......... ........ A Artery bypass 23.01 NA NA 7.51 9.19 2.11 NA NA 32.63 34.31 090
graft.
35525......... ........ A Artery bypass 21.55 NA NA 7.19 8.83 2.11 NA NA 30.85 32.49 090
graft.
35526......... ........ A Artery bypass 31.43 NA NA 18.22 13.93 3.62 NA NA 53.27 48.98 090
graft.
35531......... ........ A Artery bypass 38.92 NA NA 11.95 13.84 5.16 NA NA 56.03 57.92 090
graft.
35533......... ........ A Artery bypass 29.73 NA NA 9.99 11.29 3.84 NA NA 43.56 44.86 090
graft.
35536......... ........ A Artery bypass 33.54 NA NA 10.69 12.38 4.61 NA NA 48.84 50.53 090
graft.
35541......... ........ A Artery bypass 26.90 NA NA 9.26 10.72 3.70 NA NA 39.86 41.32 090
graft.
35546......... ........ A Artery bypass 26.40 NA NA 9.07 10.41 3.69 NA NA 39.16 40.50 090
graft.
35548......... ........ A Artery bypass 22.50 NA NA 7.97 9.06 2.97 NA NA 33.44 34.53 090
graft.
35549......... ........ A Artery bypass 24.27 NA NA 9.18 10.07 3.29 NA NA 36.74 37.63 090
graft.
35551......... ........ A Artery bypass 27.65 NA NA 9.90 11.09 3.74 NA NA 41.29 42.48 090
graft.
35556......... ........ A Artery bypass 26.56 NA NA 8.93 9.52 3.09 NA NA 38.58 39.17 090
graft.
35558......... ........ A Artery bypass 22.94 NA NA 8.09 9.18 2.99 NA NA 34.02 35.11 090
graft.
35560......... ........ A Artery bypass 33.84 NA NA 10.79 12.68 4.74 NA NA 49.37 51.26 090
graft.
35563......... ........ A Artery bypass 25.93 NA NA 8.62 10.05 3.51 NA NA 38.06 39.49 090
graft.
[[Page 49132]]
35565......... ........ A Artery bypass 24.94 NA NA 8.51 9.73 3.29 NA NA 36.74 37.96 090
graft.
35566......... ........ A Artery bypass 32.16 NA NA 10.20 11.09 3.82 NA NA 46.18 47.07 090
graft.
35571......... ........ A Artery bypass 25.33 NA NA 8.45 10.24 3.42 NA NA 37.20 38.99 090
graft.
35572......... ........ A Harvest 6.81 NA NA 1.88 2.15 0.99 NA NA 9.68 9.95 ZZZ
femoropoplitea
l vein.
35583......... ........ A Vein bypass 27.56 NA NA 9.01 9.87 3.16 NA NA 39.73 40.59 090
graft.
35585......... ........ A Vein bypass 32.16 NA NA 10.15 11.70 4.01 NA NA 46.32 47.87 090
graft.
35587......... ........ A Vein bypass 26.02 NA NA 8.69 10.76 3.51 NA NA 38.22 40.29 090
graft.
35600......... ........ A Harvest artery 4.94 NA NA 1.54 1.60 0.73 NA NA 7.21 7.27 ZZZ
for cabg.
35601......... ........ A Artery bypass 18.31 NA NA 6.63 8.12 2.49 NA NA 27.43 28.92 090
graft.
35606......... ........ A Artery bypass 22.32 NA NA 7.68 8.68 2.69 NA NA 32.69 33.69 090
graft.
35612......... ........ A Artery bypass 16.64 NA NA 6.40 7.51 2.08 NA NA 25.12 26.23 090
graft.
35616......... ........ A Artery bypass 21.70 NA NA 7.14 7.86 2.19 NA NA 31.03 31.75 090
graft.
35621......... ........ A Artery bypass 20.91 NA NA 7.04 8.26 2.91 NA NA 30.86 32.08 090
graft.
35623......... ........ A Bypass graft, 25.73 NA NA 8.65 10.03 3.45 NA NA 37.83 39.21 090
not vein.
35626......... ........ A Artery bypass 29.02 NA NA 10.25 11.54 4.07 NA NA 43.34 44.63 090
graft.
35631......... ........ A Artery bypass 35.84 NA NA 11.04 13.13 4.95 NA NA 51.83 53.92 090
graft.
35636......... ........ A Artery bypass 31.56 NA NA 9.94 11.70 4.09 NA NA 45.59 47.35 090
graft.
35641......... ........ A Artery bypass 26.24 NA NA 9.23 10.60 3.53 NA NA 39.00 40.37 090
graft.
35642......... ........ A Artery bypass 18.79 NA NA 7.70 8.44 2.27 NA NA 28.76 29.50 090
graft.
35645......... ........ A Artery bypass 18.28 NA NA 7.32 8.03 2.49 NA NA 28.09 28.80 090
graft.
35646......... ........ A Artery bypass 32.78 NA NA 10.78 12.52 4.43 NA NA 47.99 49.73 090
graft.
35647......... ........ A Artery bypass 29.56 NA NA 9.79 11.28 3.98 NA NA 43.33 44.82 090
graft.
35650......... ........ A Artery bypass 20.04 NA NA 6.80 7.97 2.71 NA NA 29.55 30.72 090
graft.
35651......... ........ A Artery bypass 25.90 NA NA 8.84 10.25 3.35 NA NA 38.09 39.50 090
graft.
35654......... ........ A Artery bypass 26.11 NA NA 8.59 10.14 3.52 NA NA 38.22 39.77 090
graft.
35656......... ........ A Artery bypass 20.35 NA NA 7.05 8.21 2.79 NA NA 30.19 31.35 090
graft.
35661......... ........ A Artery bypass 20.16 NA NA 7.30 8.52 2.71 NA NA 30.17 31.39 090
graft.
35663......... ........ A Artery bypass 23.74 NA NA 8.13 9.51 3.10 NA NA 34.97 36.35 090
graft.
35665......... ........ A Artery bypass 22.16 NA NA 7.65 8.99 3.00 NA NA 32.81 34.15 090
graft.
35666......... ........ A Artery bypass 23.47 NA NA 8.78 10.18 3.15 NA NA 35.40 36.80 090
graft.
35671......... ........ A Artery bypass 20.58 NA NA 7.98 9.02 2.77 NA NA 31.33 32.37 090
graft.
35681......... ........ A Composite 1.60 NA NA 0.42 0.50 0.23 NA NA 2.25 2.33 ZZZ
bypass graft.
35682......... ........ A Composite 7.19 NA NA 1.78 2.23 1.03 NA NA 10.00 10.45 ZZZ
bypass graft.
35683......... ........ A Composite 8.49 NA NA 2.12 2.65 1.20 NA NA 11.81 12.34 ZZZ
bypass graft.
35685......... ........ A Bypass graft 4.04 NA NA 1.01 1.27 0.58 NA NA 5.63 5.89 ZZZ
patency/patch.
35686......... ........ A Bypass graft/av 3.34 NA NA 0.85 1.06 0.47 NA NA 4.66 4.87 ZZZ
fist patency.
35691......... ........ A Arterial 18.26 NA NA 6.33 7.88 2.58 NA NA 27.17 28.72 090
transposition.
35693......... ........ A Arterial 15.58 NA NA 6.09 7.31 2.21 NA NA 23.88 25.10 090
transposition.
35694......... ........ A Arterial 19.13 NA NA 6.59 8.10 2.69 NA NA 28.41 29.92 090
transposition.
35695......... ........ A Arterial 19.91 NA NA 6.64 8.07 2.73 NA NA 29.28 30.71 090
transposition.
35697......... ........ A Reimplant 3.00 NA NA 0.77 0.96 0.41 NA NA 4.18 4.37 ZZZ
artery each.
35700......... ........ A Reoperation, 3.08 NA NA 0.80 0.97 0.44 NA NA 4.32 4.49 ZZZ
bypass graft.
35701......... ........ A Exploration, 9.07 NA NA 4.26 4.93 1.12 NA NA 14.45 15.12 090
carotid artery.
35721......... ........ A Exploration, 7.62 NA NA 3.76 4.26 1.03 NA NA 12.41 12.91 090
femoral artery.
35741......... ........ A Exploration 8.57 NA NA 3.98 4.49 1.12 NA NA 13.67 14.18 090
popliteal
artery.
35761......... ........ A Exploration of 5.78 NA NA 3.49 3.88 0.75 NA NA 10.02 10.41 090
artery/vein.
35800......... ........ A Explore neck 7.94 NA NA 3.96 4.48 0.95 NA NA 12.85 13.37 090
vessels.
35820......... ........ A Explore chest 30.08 NA NA 11.17 8.19 1.94 NA NA 43.19 40.21 090
vessels.
35840......... ........ A Explore 10.81 NA NA 4.89 5.18 1.34 NA NA 17.04 17.33 090
abdominal
vessels.
35860......... ........ A Explore limb 6.67 NA NA 3.49 3.90 0.78 NA NA 10.94 11.35 090
vessels.
35870......... ........ A Repair vessel 24.32 NA NA 8.25 9.38 3.00 NA NA 35.57 36.70 090
graft defect.
35875......... ........ A Removal of clot 10.60 NA NA 4.43 4.99 1.41 NA NA 16.44 17.00 090
in graft.
35876......... ........ A Removal of clot 17.70 NA NA 6.16 7.17 2.39 NA NA 26.25 27.26 090
in graft.
35879......... ........ A Revise graft w/ 17.24 NA NA 6.17 7.31 2.27 NA NA 25.68 26.82 090
vein.
35881......... ........ A Revise graft w/ 19.16 NA NA 6.72 8.18 2.55 NA NA 28.43 29.89 090
vein.
35901......... ........ A Excision, 8.18 NA NA 4.32 5.06 1.15 NA NA 13.65 14.39 090
graft, neck.
[[Page 49133]]
35903......... ........ A Excision, 9.38 NA NA 4.72 5.79 1.30 NA NA 15.40 16.47 090
graft,
extremity.
35905......... ........ A Excision, 33.33 NA NA 10.76 12.58 4.43 NA NA 48.52 50.34 090
graft, thorax.
35907......... ........ A Excision, 37.08 NA NA 11.35 13.46 4.91 NA NA 53.34 55.45 090
graft, abdomen.
36000......... ........ A Place needle in 0.18 0.46 0.54 0.06 0.05 0.01 0.65 0.73 0.25 0.24 XXX
vein.
36002......... ........ A Pseudoaneurysm 1.96 2.23 2.70 0.82 0.93 0.17 4.36 4.83 2.95 3.06 000
injection trt.
36005......... ........ A Injection ext 0.95 8.54 7.87 0.37 0.33 0.05 9.54 8.87 1.37 1.33 000
venography.
36010......... ........ A Place catheter 2.43 11.23 17.28 0.75 0.78 0.20 13.86 19.91 3.38 3.41 XXX
in vein.
36011......... ........ A Place catheter 3.14 19.70 25.79 0.97 1.04 0.27 23.11 29.20 4.38 4.45 XXX
in vein.
36012......... ........ A Place catheter 3.51 20.46 19.33 1.20 1.19 0.23 24.20 23.07 4.94 4.93 XXX
in vein.
36013......... ........ A Place catheter 2.52 19.36 20.86 0.96 0.76 0.25 22.13 23.63 3.73 3.53 XXX
in artery.
36014......... ........ A Place catheter 3.02 19.16 19.88 1.03 1.03 0.19 22.37 23.09 4.24 4.24 XXX
in artery.
36015......... ........ A Place catheter 3.51 18.23 22.30 0.94 1.13 0.21 21.95 26.02 4.66 4.85 XXX
in artery.
36100......... ........ A Establish 3.02 11.30 11.88 1.20 1.13 0.26 14.58 15.16 4.48 4.41 XXX
access to
artery.
36120......... ........ A Establish 2.01 9.35 10.36 0.58 0.63 0.14 11.50 12.51 2.73 2.78 XXX
access to
artery.
36140......... ........ A Establish 2.01 10.55 12.22 0.70 0.66 0.16 12.72 14.39 2.87 2.83 XXX
access to
artery.
36145......... ........ A Artery to vein 2.01 10.36 12.00 0.62 0.65 0.11 12.48 14.12 2.74 2.77 XXX
shunt.
36160......... ........ A Establish 2.52 11.88 13.08 0.76 0.82 0.26 14.66 15.86 3.54 3.60 XXX
access to
aorta.
36200......... ........ A Place catheter 3.02 13.76 15.82 1.00 1.01 0.24 17.02 19.08 4.26 4.27 XXX
in aorta.
36215......... ........ A Place catheter 4.67 26.10 26.80 1.83 1.67 0.27 31.04 31.74 6.77 6.61 XXX
in artery.
36216......... ........ A Place catheter 5.27 28.11 28.84 1.99 1.84 0.31 33.69 34.42 7.57 7.42 XXX
in artery.
36217......... ........ A Place catheter 6.29 46.29 53.15 2.30 2.20 0.44 53.02 59.88 9.03 8.93 XXX
in artery.
36218......... ........ A Place catheter 1.01 3.78 4.76 0.36 0.35 0.07 4.86 5.84 1.44 1.43 ZZZ
in artery.
36245......... ........ A Place catheter 4.67 29.09 31.34 2.09 1.78 0.31 34.07 36.32 7.07 6.76 XXX
in artery.
36246......... ........ A Place catheter 5.27 27.75 29.41 1.96 1.86 0.38 33.40 35.06 7.61 7.51 XXX
in artery.
36247......... ........ A Place catheter 6.29 45.77 48.58 2.34 2.19 0.47 52.53 55.34 9.10 8.95 XXX
in artery.
36248......... ........ A Place catheter 1.01 3.21 3.83 0.37 0.35 0.07 4.29 4.91 1.45 1.43 ZZZ
in artery.
36260......... ........ A Insertion of 9.76 NA NA 4.86 4.88 1.29 NA NA 15.91 15.93 090
infusion pump.
36261......... ........ A Revision of 5.50 NA NA 3.25 3.56 0.70 NA NA 9.45 9.76 090
infusion pump.
36262......... ........ A Removal of 4.01 NA NA 2.69 2.74 0.54 NA NA 7.24 7.29 090
infusion pump.
36299......... ........ C Vessel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
injection
procedure.
36400......... ........ A Bl draw < 3 yrs 0.38 0.33 0.29 0.11 0.10 0.03 0.74 0.70 0.52 0.51 XXX
fem/jugular.
36405......... ........ A Bl draw < 3 yrs 0.31 0.29 0.27 0.08 0.08 0.03 0.63 0.61 0.42 0.42 XXX
scalp vein.
36406......... ........ A Bl draw < 3 yrs 0.18 0.30 0.29 0.08 0.06 0.01 0.49 0.48 0.27 0.25 XXX
other vein.
36410......... ........ A Non-routine bl 0.18 0.32 0.30 0.05 0.05 0.01 0.51 0.49 0.24 0.24 XXX
draw > 3 yrs.
36420......... ........ A Vein access 1.01 NA NA 0.21 0.26 0.07 NA NA 1.29 1.34 XXX
cutdown < 1 yr.
36425......... ........ A Vein access 0.76 NA NA 0.22 0.22 0.06 NA NA 1.04 1.04 XXX
cutdown > 1 yr.
36430......... ........ A Blood 0.00 0.93 0.99 0.00 0.76 0.06 0.99 1.05 0.06 0.82 XXX
transfusion
service.
36440......... ........ A Bl push 1.03 NA NA 0.43 0.33 0.10 NA NA 1.56 1.46 XXX
transfuse, 2
yr or <.
36450......... ........ A Bl exchange/ 2.23 NA NA 0.78 0.73 0.21 NA NA 3.22 3.17 XXX
transfuse, nb.
36455......... ........ A Bl exchange/ 2.43 NA NA 0.74 0.94 0.15 NA NA 3.32 3.52 XXX
transfuse non-
nb.
36460......... ........ A Transfusion 6.58 NA NA 1.70 2.11 0.79 NA NA 9.07 9.48 XXX
service, fetal.
36470......... ........ A Injection 1.09 2.46 2.63 0.66 0.71 0.12 3.67 3.84 1.87 1.92 010
therapy of
vein.
36471......... ........ A Injection 1.57 2.58 2.95 0.80 0.92 0.19 4.34 4.71 2.56 2.68 010
therapy of
veins.
36475......... ........ A Endovenous rf, 6.72 36.90 47.77 1.97 2.39 0.37 43.99 54.86 9.06 9.48 000
1st vein.
36476......... ........ A Endovenous rf, 3.38 6.04 7.42 0.89 1.08 0.18 9.60 10.98 4.45 4.64 ZZZ
vein add-on.
36478......... ........ A Endovenous 6.72 33.79 43.53 2.08 2.42 0.37 40.88 50.62 9.17 9.51 000
laser, 1st
vein.
36479......... ........ A Endovenous 3.38 6.55 7.63 1.01 1.11 0.18 10.11 11.19 4.57 4.67 ZZZ
laser vein
addon.
36481......... ........ A Insertion of 6.98 NA NA 2.14 2.48 0.55 NA NA 9.67 10.01 000
catheter, vein.
36500......... ........ A Insertion of 3.51 NA NA 1.25 1.34 0.20 NA NA 4.96 5.05 000
catheter, vein.
36510......... ........ A Insertion of 1.09 1.09 3.19 0.31 0.54 0.10 2.28 4.38 1.50 1.73 000
catheter, vein.
36511......... ........ A Apheresis wbc.. 1.74 NA NA 0.58 0.69 0.08 NA NA 2.40 2.51 000
36512......... ........ A Apheresis rbc.. 1.74 NA NA 0.61 0.71 0.08 NA NA 2.43 2.53 000
36513......... ........ A Apheresis 1.74 NA NA 0.52 0.68 0.17 NA NA 2.43 2.59 000
platelets.
36514......... ........ A Apheresis 1.74 10.54 15.36 0.53 0.67 0.08 12.36 17.18 2.35 2.49 000
plasma.
36515......... ........ A Apheresis, 1.74 45.31 61.05 0.51 0.62 0.08 47.13 62.87 2.33 2.44 000
adsorp/
reinfuse.
36516......... ........ A Apheresis, 1.22 49.90 75.51 0.38 0.46 0.08 51.20 76.81 1.68 1.76 000
selective.
36522......... ........ A Photopheresis.. 1.67 35.02 33.03 0.85 0.93 0.13 36.82 34.83 2.65 2.73 000
36550......... ........ A Declot vascular 0.00 0.33 0.38 0.06 0.31 0.37 0.70 0.75 0.43 0.68 XXX
device.
36555......... ........ A Insert non- 2.68 4.16 5.35 0.62 0.76 0.11 6.95 8.14 3.41 3.55 000
tunnel cv cath.
36556......... ........ A Insert non- 2.50 2.91 4.94 0.57 0.70 0.19 5.60 7.63 3.26 3.39 000
tunnel cv cath.
36557......... ........ A Insert tunneled 5.09 14.96 19.60 2.37 2.58 0.57 20.62 25.26 8.03 8.24 010
cv cath.
36558......... ........ A Insert tunneled 4.79 15.00 19.53 2.30 2.49 0.57 20.36 24.89 7.66 7.85 010
cv cath.
36560......... ........ A Insert tunneled 6.24 21.22 27.56 2.55 2.91 0.57 28.03 34.37 9.36 9.72 010
cv cath.
36561......... ........ A Insert tunneled 5.99 22.48 27.81 2.61 2.87 0.57 29.04 34.37 9.17 9.43 010
cv cath.
36563......... ........ A Insert tunneled 6.19 23.25 25.87 2.62 2.89 0.84 30.28 32.90 9.65 9.92 010
cv cath.
36565......... ........ A Insert tunneled 5.99 17.83 22.98 2.51 2.84 0.57 24.39 29.54 9.07 9.40 010
cv cath.
[[Page 49134]]
36566......... ........ A Insert tunneled 6.49 114.71 47.80 2.67 3.00 0.57 121.77 54.86 9.73 10.06 010
cv cath.
36568......... ........ A Insert picc 1.92 5.73 7.08 0.57 0.58 0.11 7.76 9.11 2.60 2.61 000
cath.
36569......... ........ A Insert picc 1.82 4.46 6.62 0.61 0.58 0.19 6.47 8.63 2.62 2.59 000
cath.
36570......... ........ A Insert picvad 5.31 23.19 30.68 2.34 2.63 0.57 29.07 36.56 8.22 8.51 010
cath.
36571......... ........ A Insert picvad 5.29 25.04 31.19 2.42 2.64 0.57 30.90 37.05 8.28 8.50 010
cath.
36575......... ........ A Repair tunneled 0.67 3.33 3.87 0.23 0.25 0.20 4.20 4.74 1.10 1.12 000
cv cath.
36576......... ........ A Repair tunneled 3.19 5.88 6.68 1.55 1.77 0.19 9.26 10.06 4.93 5.15 010
cv cath.
36578......... ........ A Replace 3.49 9.11 10.63 1.91 2.20 0.19 12.79 14.31 5.59 5.88 010
tunneled cv
cath.
36580......... ........ A Replace cvad 1.31 3.99 6.20 0.41 0.41 0.19 5.49 7.70 1.91 1.91 000
cath.
36581......... ........ A Replace 3.43 15.64 18.53 1.66 1.86 0.19 19.26 22.15 5.28 5.48 010
tunneled cv
cath.
36582......... ........ A Replace 5.19 20.79 24.71 2.29 2.72 0.19 26.17 30.09 7.67 8.10 010
tunneled cv
cath.
36583......... ........ A Replace 5.24 21.00 24.77 2.41 2.76 0.19 26.43 30.20 7.84 8.19 010
tunneled cv
cath.
36584......... ........ A Replace picc 1.20 3.97 6.22 0.57 0.56 0.19 5.36 7.61 1.96 1.95 000
cath.
36585......... ........ A Replace picvad 4.79 22.75 26.55 2.30 2.62 0.19 27.73 31.53 7.28 7.60 010
cath.
36589......... ........ A Removal 2.27 1.86 2.15 1.22 1.35 0.24 4.37 4.66 3.73 3.86 010
tunneled cv
cath.
36590......... ........ A Removal 3.30 3.64 3.44 1.59 1.69 0.44 7.38 7.18 5.33 5.43 010
tunneled cv
cath.
36595......... ........ A Mech remov 3.59 10.85 15.65 1.31 1.42 0.21 14.65 19.45 5.11 5.22 000
tunneled cv
cath.
36596......... ........ A Mech remov 0.75 2.59 3.42 0.42 0.48 0.05 3.39 4.22 1.22 1.28 000
tunneled cv
cath.
36597......... ........ A Reposition 1.21 2.02 2.31 0.42 0.44 0.07 3.30 3.59 1.70 1.72 000
venous
catheter.
36598......... ........ T Inj w/fluor, 0.74 2.25 2.54 0.26 2.05 0.05 3.04 3.33 1.05 2.84 000
eval cv device.
36600......... ........ A Withdrawal of 0.32 0.50 0.49 0.08 0.09 0.02 0.84 0.83 0.42 0.43 XXX
arterial blood.
36620......... ........ A Insertion 1.15 NA NA 0.17 0.22 0.07 NA NA 1.39 1.44 000
catheter,
artery.
36625......... ........ A Insertion 2.11 NA NA 0.49 0.52 0.26 NA NA 2.86 2.89 000
catheter,
artery.
36640......... ........ A Insertion 2.10 NA NA 0.91 1.01 0.21 NA NA 3.22 3.32 000
catheter,
artery.
36660......... ........ A Insertion 1.40 NA NA 0.20 0.38 0.14 NA NA 1.74 1.92 000
catheter,
artery.
36680......... ........ A Insert needle, 1.20 NA NA 0.33 0.45 0.11 NA NA 1.64 1.76 000
bone cavity.
36800......... ........ A Insertion of 2.43 NA NA 1.55 1.74 0.25 NA NA 4.23 4.42 000
cannula.
36810......... ........ A Insertion of 3.96 NA NA 1.36 1.60 0.45 NA NA 5.77 6.01 000
cannula.
36815......... ........ A Insertion of 2.62 NA NA 1.04 1.14 0.35 NA NA 4.01 4.11 000
cannula.
36818......... ........ A Av fuse, uppr 11.77 NA NA 4.88 5.74 1.89 NA NA 18.54 19.40 090
arm, cephalic.
36819......... ........ A Av fuse, uppr 14.35 NA NA 5.26 6.09 1.95 NA NA 21.56 22.39 090
arm, basilic.
36820......... ........ A Av fusion/ 14.35 NA NA 5.34 6.12 1.94 NA NA 21.63 22.41 090
forearm vein.
36821......... ........ A Av fusion 9.10 NA NA 4.04 4.50 1.23 NA NA 14.37 14.83 090
direct any
site.
36822......... ........ A Insertion of 5.47 NA NA 3.82 4.24 0.79 NA NA 10.08 10.50 090
cannula(s).
36823......... ........ A Insertion of 22.74 NA NA 8.91 9.26 2.88 NA NA 34.53 34.88 090
cannula(s).
36825......... ........ A Artery-vein 9.95 NA NA 4.34 4.87 1.35 NA NA 15.64 16.17 090
autograft.
36830......... ........ A Artery-vein 11.98 NA NA 4.25 4.99 1.66 NA NA 17.89 18.63 090
nonautograft.
36831......... ........ A Open thrombect 7.99 NA NA 3.28 3.78 1.09 NA NA 12.36 12.86 090
av fistula.
36832......... ........ A Av fistula 10.48 NA NA 3.87 4.51 1.44 NA NA 15.79 16.43 090
revision, open.
36833......... ........ A Av fistula 11.93 NA NA 4.25 4.96 1.65 NA NA 17.83 18.54 090
revision.
36834......... ........ A Repair A-V 11.07 NA NA 4.35 4.68 1.37 NA NA 16.79 17.12 090
aneurysm.
36835......... ........ A Artery to vein 7.38 NA NA 3.90 4.22 0.98 NA NA 12.26 12.58 090
shunt.
36838......... ........ A Dist revas 21.55 NA NA 7.14 8.82 3.01 NA NA 31.70 33.38 090
ligation, hemo.
36860......... ........ A External 2.01 3.35 2.17 0.62 0.67 0.11 5.47 4.29 2.74 2.79 000
cannula
declotting.
36861......... ........ A Cannula 2.52 NA NA 1.25 1.43 0.27 NA NA 4.04 4.22 000
declotting.
36870......... ........ A Percut 5.15 41.10 50.05 2.67 3.03 0.29 46.54 55.49 8.11 8.47 090
thrombect av
fistula.
37140......... ........ A Revision of 25.05 NA NA 9.04 10.12 2.01 NA NA 36.10 37.18 090
circulation.
37145......... ........ A Revision of 26.06 NA NA 9.10 10.42 3.25 NA NA 38.41 39.73 090
circulation.
37160......... ........ A Revision of 23.06 NA NA 8.16 8.98 2.81 NA NA 34.03 34.85 090
circulation.
37180......... ........ A Revision of 26.06 NA NA 9.00 9.97 3.34 NA NA 38.40 39.37 090
circulation.
37181......... ........ A Splice spleen/ 28.19 NA NA 9.34 10.59 3.40 NA NA 40.92 42.17 090
kidney veins.
37182......... ........ A Insert hepatic 16.97 NA NA 5.73 5.98 1.00 NA NA 23.70 23.95 000
shunt (tips).
37183......... ........ A Remove hepatic 7.99 NA NA 2.80 2.96 0.47 NA NA 11.26 11.42 000
shunt (tips).
37184......... ........ A Prim art mech 8.66 49.86 66.23 3.00 3.26 0.55 59.07 75.44 12.21 12.47 000
thrombectomy.
37185......... ........ A Prim art m- 3.28 16.20 21.21 1.02 1.09 0.21 19.69 24.70 4.51 4.58 ZZZ
thrombect add-
on.
37186......... ........ A Sec art m- 4.92 34.21 45.60 1.53 1.63 0.32 39.45 50.84 6.77 6.87 ZZZ
thrombect add-
on.
[[Page 49135]]
37187......... ........ A Venous mech 8.03 48.71 64.81 2.81 3.06 0.51 57.25 73.35 11.35 11.60 000
thrombectomy.
37188......... ........ A Venous m- 5.71 42.51 57.11 2.09 2.29 0.37 48.59 63.19 8.17 8.37 000
thrombectomy
add-on.
37195......... ........ C Thrombolytic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy,
stroke.
37200......... ........ A Transcatheter 4.55 NA NA 1.49 1.50 0.27 NA NA 6.31 6.32 000
biopsy.
37201......... ........ A Transcatheter 4.99 NA NA 2.25 2.47 0.33 NA NA 7.57 7.79 000
therapy infuse.
37202......... ........ A Transcatheter 5.67 NA NA 3.40 3.12 0.43 NA NA 9.50 9.22 000
therapy infuse.
37203......... ........ A Transcatheter 5.02 30.34 32.24 1.95 2.01 0.29 35.65 37.55 7.26 7.32 000
retrieval.
37204......... ........ A Transcatheter 18.11 NA NA 5.79 5.87 1.48 NA NA 25.38 25.46 000
occlusion.
37205......... ........ A Transcath iv 8.27 NA NA 3.90 3.79 0.60 NA NA 12.77 12.66 000
stent, percut.
37206......... ........ A Transcath iv 4.12 NA NA 1.59 1.47 0.31 NA NA 6.02 5.90 ZZZ
stent/perc
addl.
37207......... ........ A Transcath iv 8.27 NA NA 2.45 2.98 1.17 NA NA 11.89 12.42 000
stent, open.
37208......... ........ A Transcath iv 4.12 NA NA 1.05 1.30 0.59 NA NA 5.76 6.01 ZZZ
stent/open
addl.
37209......... ........ A Change iv cath 2.27 NA NA 0.73 0.74 0.15 NA NA 3.15 3.16 000
at thromb tx.
37215......... ........ R Transcath 19.54 NA NA 10.12 9.35 1.09 NA NA 30.75 29.98 090
stent, cca w/
eps.
37216......... ........ N Transcath 18.81 NA NA 8.74 8.79 1.04 NA NA 28.59 28.64 090
stent, cca w/o
eps.
37250......... ........ A Iv us first 2.10 NA NA 0.81 0.77 0.21 NA NA 3.12 3.08 ZZZ
vessel add-on.
37251......... ........ A Iv us each add 1.60 NA NA 0.52 0.54 0.19 NA NA 2.31 2.33 ZZZ
vessel add-on.
37500......... ........ A Endoscopy 11.48 NA NA 5.46 6.50 1.54 NA NA 18.48 19.52 090
ligate perf
veins.
37501......... ........ C Vascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
endoscopy
procedure.
37565......... ........ A Ligation of 11.93 NA NA 5.10 5.49 1.33 NA NA 18.36 18.75 090
neck vein.
37600......... ........ A Ligation of 12.30 NA NA 4.80 6.17 1.41 NA NA 18.51 19.88 090
neck artery.
37605......... ........ A Ligation of 14.16 NA NA 5.57 6.57 1.98 NA NA 21.71 22.71 090
neck artery.
37606......... ........ A Ligation of 8.66 NA NA 4.87 4.64 1.23 NA NA 14.76 14.53 090
neck artery.
37607......... ........ A Ligation of a-v 6.15 NA NA 3.11 3.45 0.85 NA NA 10.11 10.45 090
fistula.
37609......... ........ A Temporal artery 3.00 4.24 4.44 1.84 1.93 0.36 7.60 7.80 5.20 5.29 010
procedure.
37615......... ........ A Ligation of 7.67 NA NA 3.98 4.08 0.68 NA NA 12.33 12.43 090
neck artery.
37616......... ........ A Ligation of 18.84 NA NA 7.94 8.05 2.32 NA NA 29.10 29.21 090
chest artery.
37617......... ........ A Ligation of 23.67 NA NA 7.92 8.86 2.97 NA NA 34.56 35.50 090
abdomen artery.
37618......... ........ A Ligation of 5.90 NA NA 3.40 3.56 0.67 NA NA 9.97 10.13 090
extremity
artery.
37620......... ........ A Revision of 11.44 NA NA 5.24 5.59 0.91 NA NA 17.59 17.94 090
major vein.
37650......... ........ A Revision of 8.37 NA NA 4.22 4.57 1.01 NA NA 13.60 13.95 090
major vein.
37660......... ........ A Revision of 22.16 NA NA 8.13 8.82 2.48 NA NA 32.77 33.46 090
major vein.
37700......... ........ A Revise leg vein 3.72 NA NA 2.45 2.71 0.53 NA NA 6.70 6.96 090
37718......... ........ A Ligate/strip 7.01 NA NA 3.53 3.93 0.14 NA NA 10.68 11.08 090
short leg vein.
37722......... ........ A Ligate/strip 8.04 NA NA 3.80 4.26 0.86 NA NA 12.70 13.16 090
long leg vein.
37735......... ........ A Removal of leg 10.75 NA NA 4.67 5.29 1.48 NA NA 16.90 17.52 090
veins/lesion.
37760......... ........ A Ligation, leg 10.63 NA NA 4.55 5.14 1.44 NA NA 16.62 17.21 090
veins, open.
37765......... ........ A Phleb veins-- 7.59 NA NA 3.60 4.37 0.48 NA NA 11.67 12.44 090
extrem--to 20.
37766......... ........ A Phleb veins-- 9.54 NA NA 4.15 5.03 0.48 NA NA 14.17 15.05 090
extrem 20+.
37780......... ........ A Revision of leg 3.83 NA NA 2.50 2.76 0.53 NA NA 6.86 7.12 090
vein.
37785......... ........ A Ligate/divide/ 3.83 4.96 5.13 2.59 2.69 0.54 9.33 9.50 6.96 7.06 090
excise vein.
37788......... ........ A Revascularizati 23.13 NA NA 11.95 9.80 2.25 NA NA 37.33 35.18 090
on, penis.
37790......... ........ A Penile venous 8.33 NA NA 5.09 4.55 0.59 NA NA 14.01 13.47 090
occlusion.
37799......... ........ C Vascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
38100......... ........ A Removal of 19.43 NA NA 6.94 6.36 1.91 NA NA 28.28 27.70 090
spleen, total.
38101......... ........ A Removal of 19.43 NA NA 7.36 6.73 2.04 NA NA 28.83 28.20 090
spleen,
partial.
38102......... ........ A Removal of 4.79 NA NA 1.27 1.55 0.63 NA NA 6.69 6.97 ZZZ
spleen, total.
38115......... ........ A Repair of 21.76 NA NA 7.59 6.88 2.08 NA NA 31.43 30.72 090
ruptured
spleen.
38120......... ........ A Laparoscopy, 16.97 NA NA 7.00 7.29 2.24 NA NA 26.21 26.50 090
splenectomy.
38129......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, spleen.
38200......... ........ A Injection for 2.64 NA NA 1.00 0.92 0.14 NA NA 3.78 3.70 000
spleen x-ray.
38205......... ........ R Harvest 1.50 NA NA 0.54 0.64 0.07 NA NA 2.11 2.21 000
allogenic stem
cells.
38206......... ........ R Harvest auto 1.50 NA NA 0.54 0.64 0.07 NA NA 2.11 2.21 000
stem cells.
38220......... ........ A Bone marrow 1.08 2.67 3.46 0.44 0.50 0.05 3.80 4.59 1.57 1.63 XXX
aspiration.
38221......... ........ A Bone marrow 1.37 2.79 3.65 0.57 0.63 0.07 4.23 5.09 2.01 2.07 XXX
biopsy.
38230......... ........ R Bone marrow 4.78 NA NA 2.76 3.11 0.48 NA NA 8.02 8.37 010
collection.
38240......... ........ R Bone marrow/ 2.24 NA NA 0.93 1.01 0.11 NA NA 3.28 3.36 XXX
stem
transplant.
38241......... ........ R Bone marrow/ 2.24 NA NA 0.93 1.01 0.11 NA NA 3.28 3.36 XXX
stem
transplant.
38242......... ........ A Lymphocyte 1.71 NA NA 0.69 0.76 0.08 NA NA 2.48 2.55 000
infuse
transplant.
38300......... ........ A Drainage, lymph 2.24 3.63 4.13 1.75 1.98 0.25 6.12 6.62 4.24 4.47 010
node lesion.
38305......... ........ A Drainage, lymph 6.49 NA NA 3.42 4.19 0.88 NA NA 10.79 11.56 090
node lesion.
38308......... ........ A Incision of 6.69 NA NA 3.59 3.70 0.85 NA NA 11.13 11.24 090
lymph channels.
38380......... ........ A Thoracic duct 8.26 NA NA 4.64 5.42 0.74 NA NA 13.64 14.42 090
procedure.
38381......... ........ A Thoracic duct 13.28 NA NA 6.11 6.69 1.84 NA NA 21.23 21.81 090
procedure.
38382......... ........ A Thoracic duct 10.42 NA NA 5.47 5.68 1.37 NA NA 17.26 17.47 090
procedure.
38500......... ........ A Biopsy/removal, 3.74 3.78 3.71 2.04 2.07 0.49 8.01 7.94 6.27 6.30 010
lymph nodes.
[[Page 49136]]
38505......... ........ A Needle biopsy, 1.14 2.08 2.06 0.70 0.76 0.09 3.31 3.29 1.93 1.99 000
lymph nodes.
38510......... ........ A Biopsy/removal, 6.67 5.21 5.46 2.96 3.35 0.72 12.60 12.85 10.35 10.74 010
lymph nodes.
38520......... ........ A Biopsy/removal, 6.91 NA NA 3.71 3.97 0.84 NA NA 11.46 11.72 090
lymph nodes.
38525......... ........ A Biopsy/removal, 6.31 NA NA 3.50 3.34 0.80 NA NA 10.61 10.45 090
lymph nodes.
38530......... ........ A Biopsy/removal, 8.22 NA NA 4.12 4.32 1.12 NA NA 13.46 13.66 090
lymph nodes.
38542......... ........ A Explore deep 6.02 NA NA 3.73 4.29 0.60 NA NA 10.35 10.91 090
node(s), neck.
38550......... ........ A Removal, neck/ 6.91 NA NA 4.24 3.99 0.88 NA NA 12.03 11.78 090
armpit lesion.
38555......... ........ A Removal, neck/ 15.31 NA NA 7.25 8.21 1.75 NA NA 24.31 25.27 090
armpit lesion.
38562......... ........ A Removal, pelvic 10.83 NA NA 5.77 5.77 1.20 NA NA 17.80 17.80 090
lymph nodes.
38564......... ........ A Removal, 11.23 NA NA 5.25 5.24 1.32 NA NA 17.80 17.79 090
abdomen lymph
nodes.
38570......... ........ A Laparoscopy, 9.24 NA NA 3.98 3.97 1.13 NA NA 14.35 14.34 010
lymph node
biop.
38571......... ........ A Laparoscopy, 14.66 NA NA 6.86 5.95 1.15 NA NA 22.67 21.76 010
lymphadenectom
y.
38572......... ........ A Laparoscopy, 16.82 NA NA 6.16 6.84 1.90 NA NA 24.88 25.56 010
lymphadenectom
y.
38589......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc,
lymphatic.
38700......... ........ A Removal of 12.62 NA NA 5.91 6.15 0.72 NA NA 19.25 19.49 090
lymph nodes,
neck.
38720......... ........ A Removal of 21.64 NA NA 9.21 9.32 1.20 NA NA 32.05 32.16 090
lymph nodes,
neck.
38724......... ........ A Removal of 23.64 NA NA 9.79 9.82 1.28 NA NA 34.71 34.74 090
lymph nodes,
neck.
38740......... ........ A Remove armpit 10.51 NA NA 5.07 4.97 1.32 NA NA 16.90 16.80 090
lymph nodes.
38745......... ........ A Remove armpit 13.65 NA NA 6.12 6.08 1.73 NA NA 21.50 21.46 090
lymph nodes.
38746......... ........ A Remove thoracic 4.88 NA NA 1.45 1.57 0.72 NA NA 7.05 7.17 ZZZ
lymph nodes.
38747......... ........ A Remove 4.88 NA NA 1.28 1.57 0.64 NA NA 6.80 7.09 ZZZ
abdominal
lymph nodes.
38760......... ........ A Remove groin 13.43 NA NA 6.01 6.09 1.71 NA NA 21.15 21.23 090
lymph nodes.
38765......... ........ A Remove groin 21.72 NA NA 8.72 8.78 2.47 NA NA 32.91 32.97 090
lymph nodes.
38770......... ........ A Remove pelvis 13.93 NA NA 6.91 6.03 1.40 NA NA 22.24 21.36 090
lymph nodes.
38780......... ........ A Remove abdomen 17.47 NA NA 8.00 8.15 1.88 NA NA 27.35 27.50 090
lymph nodes.
38790......... ........ A Inject for 1.29 NA NA 0.73 0.75 0.13 NA NA 2.15 2.17 000
lymphatic x-
ray.
38792......... ........ A Identify 0.52 NA NA 0.48 0.45 0.06 NA NA 1.06 1.03 000
sentinel node.
38794......... ........ A Access thoracic 4.44 NA NA 3.04 3.35 0.32 NA NA 7.80 8.11 090
lymph duct.
38999......... ........ C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
system
procedure.
39000......... ........ A Exploration of 7.46 NA NA 4.36 4.58 0.89 NA NA 12.71 12.93 090
chest.
39010......... ........ A Exploration of 13.08 NA NA 6.17 7.20 1.75 NA NA 21.00 22.03 090
chest.
39200......... ........ A Removal chest 15.02 NA NA 6.29 7.22 2.02 NA NA 23.33 24.26 090
lesion.
39220......... ........ A Removal chest 18.42 NA NA 7.64 8.93 2.45 NA NA 28.51 29.80 090
lesion.
39400......... ........ A Visualization 5.97 NA NA 3.62 4.54 0.82 NA NA 10.41 11.33 010
of chest.
39499......... ........ C Chest procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
39501......... ........ A Repair 13.83 NA NA 5.93 6.32 1.77 NA NA 21.53 21.92 090
diaphragm
laceration.
39502......... ........ A Repair 17.03 NA NA 6.66 7.02 2.16 NA NA 25.85 26.21 090
paraesophageal
hernia.
39503......... ........ A Repair of 108.57 NA NA 30.95 32.77 10.95 NA NA 150.47 152.29 090
diaphragm
hernia.
39520......... ........ A Repair of 16.56 NA NA 6.93 7.76 2.23 NA NA 25.72 26.55 090
diaphragm
hernia.
39530......... ........ A Repair of 16.17 NA NA 6.43 6.96 2.10 NA NA 24.70 25.23 090
diaphragm
hernia.
39531......... ........ A Repair of 17.18 NA NA 6.63 7.19 2.21 NA NA 26.02 26.58 090
diaphragm
hernia.
39540......... ........ A Repair of 14.47 NA NA 5.65 6.08 1.79 NA NA 21.91 22.34 090
diaphragm
hernia.
39541......... ........ A Repair of 15.62 NA NA 6.21 6.49 1.92 NA NA 23.75 24.03 090
diaphragm
hernia.
39545......... ........ A Revision of 14.52 NA NA 7.23 7.46 1.83 NA NA 23.58 23.81 090
diaphragm.
39560......... ........ A Resect 12.91 NA NA 5.58 6.11 1.59 NA NA 20.08 20.61 090
diaphragm,
simple.
39561......... ........ A Resect 19.69 NA NA 9.42 9.35 2.44 NA NA 31.55 31.48 090
diaphragm,
complex.
39599......... ........ C Diaphragm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
40490......... ........ A Biopsy of lip.. 1.22 2.02 1.73 0.55 0.60 0.05 3.29 3.00 1.82 1.87 000
40500......... ........ A Partial 4.27 7.65 7.08 4.18 4.29 0.38 12.30 11.73 8.83 8.94 090
excision of
lip.
40510......... ........ A Partial 4.69 6.52 6.59 3.48 3.88 0.49 11.70 11.77 8.66 9.06 090
excision of
lip.
40520......... ........ A Partial 4.66 6.79 7.35 3.68 4.00 0.52 11.97 12.53 8.86 9.18 090
excision of
lip.
40525......... ........ A Reconstruct lip 7.54 NA NA 5.23 6.03 0.85 NA NA 13.62 14.42 090
with flap.
40527......... ........ A Reconstruct lip 9.12 NA NA 5.84 6.97 0.97 NA NA 15.93 17.06 090
with flap.
40530......... ........ A Partial removal 5.39 7.28 7.68 4.07 4.45 0.55 13.22 13.62 10.01 10.39 090
of lip.
40650......... ........ A Repair lip..... 3.63 5.91 6.57 3.12 3.25 0.38 9.92 10.58 7.13 7.26 090
40652......... ........ A Repair lip..... 4.25 6.97 7.55 3.94 4.18 0.52 11.74 12.32 8.71 8.95 090
[[Page 49137]]
40654......... ........ A Repair lip..... 5.30 7.98 8.45 4.60 4.85 0.60 13.88 14.35 10.50 10.75 090
40700......... ........ A Repair cleft 13.89 NA NA 9.13 9.09 0.95 NA NA 23.97 23.93 090
lip/nasal.
40701......... ........ A Repair cleft 16.95 NA NA 11.13 11.28 1.65 NA NA 29.73 29.88 090
lip/nasal.
40702......... ........ A Repair cleft 14.02 NA NA 7.21 7.99 1.23 NA NA 22.46 23.24 090
lip/nasal.
40720......... ........ A Repair cleft 14.47 NA NA 9.01 9.67 1.79 NA NA 25.27 25.93 090
lip/nasal.
40761......... ........ A Repair cleft 15.63 NA NA 8.82 9.91 1.93 NA NA 26.38 27.47 090
lip/nasal.
40799......... ........ C Lip surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
40800......... ........ A Drainage of 1.17 3.84 3.18 1.88 1.80 0.13 5.14 4.48 3.18 3.10 010
mouth lesion.
40801......... ........ A Drainage of 2.53 4.85 4.23 2.55 2.69 0.31 7.69 7.07 5.39 5.53 010
mouth lesion.
40804......... ........ A Removal, 1.24 3.63 3.45 1.75 1.83 0.11 4.98 4.80 3.10 3.18 010
foreign body,
mouth.
40805......... ........ A Removal, 2.69 5.04 4.62 2.56 2.75 0.32 8.05 7.63 5.57 5.76 010
foreign body,
mouth.
40806......... ........ A Incision of lip 0.31 2.38 1.97 0.50 0.50 0.04 2.73 2.32 0.85 0.85 000
fold.
40808......... ........ A Biopsy of mouth 0.96 3.51 2.87 1.57 1.50 0.10 4.57 3.93 2.63 2.56 010
lesion.
40810......... ........ A Excision of 1.31 3.57 3.05 1.66 1.66 0.13 5.01 4.49 3.10 3.10 010
mouth lesion.
40812......... ........ A Excise/repair 2.31 4.51 3.92 2.26 2.37 0.28 7.10 6.51 4.85 4.96 010
mouth lesion.
40814......... ........ A Excise/repair 3.41 5.62 5.11 3.64 3.83 0.41 9.44 8.93 7.46 7.65 090
mouth lesion.
40816......... ........ A Excision of 3.66 5.79 5.33 3.68 3.92 0.40 9.85 9.39 7.74 7.98 090
mouth lesion.
40818......... ........ A Excise oral 2.66 5.77 5.32 3.70 3.90 0.21 8.64 8.19 6.57 6.77 090
mucosa for
graft.
40819......... ........ A Excise lip or 2.41 4.87 4.28 3.06 3.08 0.29 7.57 6.98 5.76 5.78 090
cheek fold.
40820......... ........ A Treatment of 1.28 5.11 4.23 2.82 2.54 0.11 6.50 5.62 4.21 3.93 010
mouth lesion.
40830......... ........ A Repair mouth 1.76 4.11 3.82 2.02 2.07 0.19 6.06 5.77 3.97 4.02 010
laceration.
40831......... ........ A Repair mouth 2.46 5.33 4.83 2.73 2.97 0.30 8.09 7.59 5.49 5.73 010
laceration.
40840......... ........ R Reconstruction 8.97 9.99 9.83 5.53 6.61 1.08 20.04 19.88 15.58 16.66 090
of mouth.
40842......... ........ R Reconstruction 8.97 9.71 9.97 5.32 6.42 1.08 19.76 20.02 15.37 16.47 090
of mouth.
40843......... ........ R Reconstruction 12.56 11.76 11.90 6.01 7.36 1.39 25.71 25.85 19.96 21.31 090
of mouth.
40844......... ........ R Reconstruction 16.47 14.78 15.52 8.75 10.86 1.99 33.24 33.98 27.21 29.32 090
of mouth.
40845......... ........ R Reconstruction 19.03 15.15 16.58 9.55 12.30 2.00 36.18 37.61 30.58 33.33 090
of mouth.
40899......... ........ C Mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
41000......... ........ A Drainage of 1.30 2.49 2.36 1.29 1.38 0.12 3.91 3.78 2.71 2.80 010
mouth lesion.
41005......... ........ A Drainage of 1.26 4.23 3.56 1.71 1.72 0.12 5.61 4.94 3.09 3.10 010
mouth lesion.
41006......... ........ A Drainage of 3.24 5.29 4.92 2.73 3.06 0.35 8.88 8.51 6.32 6.65 090
mouth lesion.
41007......... ........ A Drainage of 3.10 5.33 5.19 2.71 2.94 0.31 8.74 8.60 6.12 6.35 090
mouth lesion.
41008......... ........ A Drainage of 3.36 5.41 4.86 2.78 3.10 0.42 9.19 8.64 6.56 6.88 090
mouth lesion.
41009......... ........ A Drainage of 3.58 5.80 5.18 3.11 3.46 0.47 9.85 9.23 7.16 7.51 090
mouth lesion.
41010......... ........ A Incision of 1.06 3.44 3.43 1.37 1.54 0.07 4.57 4.56 2.50 2.67 010
tongue fold.
41015......... ........ A Drainage of 3.95 6.21 5.60 3.93 4.09 0.46 10.62 10.01 8.34 8.50 090
mouth lesion.
41016......... ........ A Drainage of 4.06 6.16 5.75 4.02 4.17 0.53 10.75 10.34 8.61 8.76 090
mouth lesion.
41017......... ........ A Drainage of 4.06 6.31 5.80 4.08 4.25 0.53 10.90 10.39 8.67 8.84 090
mouth lesion.
41018......... ........ A Drainage of 5.09 6.54 6.23 4.32 4.51 0.68 12.31 12.00 10.09 10.28 090
mouth lesion.
41100......... ........ A Biopsy of 1.37 2.57 2.46 1.11 1.34 0.15 4.09 3.98 2.63 2.86 010
tongue.
41105......... ........ A Biopsy of 1.42 2.56 2.37 1.13 1.27 0.13 4.11 3.92 2.68 2.82 010
tongue.
41108......... ........ A Biopsy of floor 1.05 2.40 2.15 1.02 1.10 0.10 3.55 3.30 2.17 2.25 010
of mouth.
41110......... ........ A Excision of 1.51 3.46 3.10 1.54 1.62 0.13 5.10 4.74 3.18 3.26 010
tongue lesion.
41112......... ........ A Excision of 2.73 5.11 4.63 3.14 3.20 0.28 8.12 7.64 6.15 6.21 090
tongue lesion.
41113......... ........ A Excision of 3.19 5.38 4.90 3.29 3.43 0.34 8.91 8.43 6.82 6.96 090
tongue lesion.
41114......... ........ A Excision of 8.64 NA NA 5.94 6.88 0.83 NA NA 15.41 16.35 090
tongue lesion.
41115......... ........ A Excision of 1.74 4.27 3.54 1.75 1.83 0.18 6.19 5.46 3.67 3.75 010
tongue fold.
41116......... ........ A Excision of 2.44 5.31 4.59 2.65 2.76 0.23 7.98 7.26 5.32 5.43 090
mouth lesion.
41120......... ........ A Partial removal 10.83 NA NA 13.22 14.79 0.79 NA NA 24.84 26.41 090
of tongue.
41130......... ........ A Partial removal 15.43 NA NA 14.55 15.78 0.93 NA NA 30.91 32.14 090
of tongue.
41135......... ........ A Tongue and neck 29.71 NA NA 19.86 22.38 1.88 NA NA 51.45 53.97 090
surgery.
41140......... ........ A Removal of 28.69 NA NA 21.36 25.34 2.26 NA NA 52.31 56.29 090
tongue.
41145......... ........ A Tongue removal, 37.47 NA NA 26.29 29.48 2.54 NA NA 66.30 69.49 090
neck surgery.
41150......... ........ A Tongue, mouth, 29.40 NA NA 21.09 23.81 1.94 NA NA 52.43 55.15 090
jaw surgery.
41153......... ........ A Tongue, mouth, 33.16 NA NA 21.82 24.22 2.00 NA NA 56.98 59.38 090
neck surgery.
41155......... ........ A Tongue, jaw, & 39.84 NA NA 23.98 26.10 2.33 NA NA 66.15 68.27 090
neck surgery.
41250......... ........ A Repair tongue 1.91 3.79 3.00 1.58 1.28 0.18 5.88 5.09 3.67 3.37 010
laceration.
41251......... ........ A Repair tongue 2.27 3.15 3.24 1.63 1.57 0.22 5.64 5.73 4.12 4.06 010
laceration.
41252......... ........ A Repair tongue 2.97 4.34 4.00 1.96 2.18 0.29 7.60 7.26 5.22 5.44 010
laceration.
41500......... ........ A Fixation of 3.70 NA NA 6.54 7.22 0.30 NA NA 10.54 11.22 090
tongue.
41510......... ........ A Tongue to lip 3.41 NA NA 7.02 7.70 0.20 NA NA 10.63 11.31 090
surgery.
41520......... ........ A Reconstruction, 2.73 5.71 4.89 3.20 3.52 0.27 8.71 7.89 6.20 6.52 090
tongue fold.
41599......... ........ C Tongue and 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
mouth surgery.
41800......... ........ A Drainage of gum 1.17 4.76 3.13 2.09 1.48 0.12 6.05 4.42 3.38 2.77 010
lesion.
41805......... ........ A Removal foreign 1.24 4.73 3.19 2.75 2.35 0.13 6.10 4.56 4.12 3.72 010
body, gum.
41806......... ........ A Removal foreign 2.69 5.91 4.16 3.39 3.12 0.37 8.97 7.22 6.45 6.18 010
body,jawbone.
[[Page 49138]]
41822......... ........ R Excision of gum 2.31 4.65 4.08 1.77 1.85 0.31 7.27 6.70 4.39 4.47 010
lesion.
41823......... ........ R Excision of gum 3.55 6.48 5.79 3.74 3.94 0.47 10.50 9.81 7.76 7.96 090
lesion.
41825......... ........ A Excision of gum 1.31 3.62 3.20 1.43 2.04 0.15 5.08 4.66 2.89 3.50 010
lesion.
41826......... ........ A Excision of gum 2.31 5.12 3.10 2.59 2.22 0.30 7.73 5.71 5.20 4.83 010
lesion.
41827......... ........ A Excision of gum 3.66 6.60 5.78 3.35 3.58 0.35 10.61 9.79 7.36 7.59 090
lesion.
41828......... ........ R Excision of gum 3.09 4.12 3.88 1.65 2.63 0.44 7.65 7.41 5.18 6.16 010
lesion.
41830......... ........ R Removal of gum 3.34 6.03 5.23 3.13 3.50 0.44 9.81 9.01 6.91 7.28 010
tissue.
41872......... ........ R Repair gum..... 2.84 5.87 5.23 3.25 3.41 0.30 9.01 8.37 6.39 6.55 090
41874......... ........ R Repair tooth 3.09 5.76 5.07 2.76 3.07 0.45 9.30 8.61 6.30 6.61 090
socket.
41899......... ........ C Dental surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
42000......... ........ A Drainage mouth 1.23 2.34 2.51 1.14 1.22 0.12 3.69 3.86 2.49 2.57 010
roof lesion.
42100......... ........ A Biopsy roof of 1.31 2.18 2.11 1.20 1.32 0.13 3.62 3.55 2.64 2.76 010
mouth.
42104......... ........ A Excision 1.64 3.43 2.76 1.58 1.56 0.16 5.23 4.56 3.38 3.36 010
lesion, mouth
roof.
42106......... ........ A Excision 2.10 4.41 3.52 2.04 2.34 0.25 6.76 5.87 4.39 4.69 010
lesion, mouth
roof.
42107......... ........ A Excision 4.43 6.31 5.86 3.53 3.85 0.44 11.18 10.73 8.40 8.72 090
lesion, mouth
roof.
42120......... ........ A Remove palate/ 11.62 NA NA 11.41 11.68 0.52 NA NA 23.55 23.82 090
lesion.
42140......... ........ A Excision of 1.62 4.22 3.85 1.93 2.05 0.13 5.97 5.60 3.68 3.80 090
uvula.
42145......... ........ A Repair palate, 9.57 NA NA 6.75 7.31 0.65 NA NA 16.97 17.53 090
pharynx/uvula.
42160......... ........ A Treatment mouth 1.80 3.61 4.09 1.60 2.12 0.17 5.58 6.06 3.57 4.09 010
roof lesion.
42180......... ........ A Repair palate.. 2.50 3.21 3.11 1.76 2.02 0.21 5.92 5.82 4.47 4.73 010
42182......... ........ A Repair palate.. 3.82 4.01 3.91 2.36 2.86 0.40 8.23 8.13 6.58 7.08 010
42200......... ........ A Reconstruct 12.35 NA NA 8.11 9.69 1.27 NA NA 21.73 23.31 090
cleft palate.
42205......... ........ A Reconstruct 13.51 NA NA 7.46 9.42 1.58 NA NA 22.55 24.51 090
cleft palate.
42210......... ........ A Reconstruct 14.85 NA NA 9.72 11.03 2.16 NA NA 26.73 28.04 090
cleft palate.
42215......... ........ A Reconstruct 8.81 NA NA 7.21 8.61 1.31 NA NA 17.33 18.73 090
cleft palate.
42220......... ........ A Reconstruct 7.01 NA NA 6.71 6.76 0.73 NA NA 14.45 14.50 090
cleft palate.
42225......... ........ A Reconstruct 9.59 NA NA 12.00 15.80 0.86 NA NA 22.45 26.25 090
cleft palate.
42226......... ........ A Lengthening of 10.17 NA NA 11.33 13.86 1.01 NA NA 22.51 25.04 090
palate.
42227......... ........ A Lengthening of 9.75 NA NA 9.68 14.08 0.98 NA NA 20.41 24.81 090
palate.
42235......... ........ A Repair palate.. 7.86 NA NA 10.27 11.46 0.72 NA NA 18.85 20.04 090
42260......... ........ A Repair nose to 10.04 9.54 10.03 5.81 6.75 1.26 20.84 21.33 17.11 18.05 090
lip fistula.
42280......... ........ A Preparation, 1.54 2.25 2.03 0.84 1.07 0.19 3.98 3.76 2.57 2.80 010
palate mold.
42281......... ........ A Insertion, 1.93 2.82 2.68 1.56 1.79 0.17 4.92 4.78 3.66 3.89 010
palate
prosthesis.
42299......... ........ C Palate/uvula 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
42300......... ........ A Drainage of 1.93 2.92 2.85 1.59 1.76 0.16 5.01 4.94 3.68 3.85 010
salivary gland.
42305......... ........ A Drainage of 6.18 NA NA 3.65 4.45 0.51 NA NA 10.34 11.14 090
salivary gland.
42310......... ........ A Drainage of 1.56 2.18 2.24 1.31 1.48 0.13 3.87 3.93 3.00 3.17 010
salivary gland.
42320......... ........ A Drainage of 2.35 3.54 3.34 1.76 2.01 0.21 6.10 5.90 4.32 4.57 010
salivary gland.
42330......... ........ A Removal of 2.21 3.19 3.15 1.59 1.78 0.19 5.59 5.55 3.99 4.18 010
salivary stone.
42335......... ........ A Removal of 3.31 5.43 5.03 2.65 3.02 0.29 9.03 8.63 6.25 6.62 090
salivary stone.
42340......... ........ A Removal of 4.59 6.27 6.10 3.21 3.75 0.42 11.28 11.11 8.22 8.76 090
salivary stone.
42400......... ........ A Biopsy of 0.78 1.90 1.71 0.60 0.69 0.06 2.74 2.55 1.44 1.53 000
salivary gland.
42405......... ........ A Biopsy of 3.29 3.71 3.93 1.99 2.34 0.28 7.28 7.50 5.56 5.91 010
salivary gland.
42408......... ........ A Excision of 4.53 6.07 5.95 3.05 3.47 0.45 11.05 10.93 8.03 8.45 090
salivary cyst.
42409......... ........ A Drainage of 2.81 5.05 4.65 2.37 2.66 0.27 8.13 7.73 5.45 5.74 090
salivary cyst.
42410......... ........ A Excise parotid 9.39 NA NA 4.90 5.89 0.91 NA NA 15.20 16.19 090
gland/lesion.
42415......... ........ A Excise parotid 17.92 NA NA 7.69 10.07 1.43 NA NA 27.04 29.42 090
gland/lesion.
42420......... ........ A Excise parotid 20.80 NA NA 8.50 11.40 1.65 NA NA 30.95 33.85 090
gland/lesion.
42425......... ........ A Excise parotid 13.24 NA NA 6.03 7.97 1.05 NA NA 20.32 22.26 090
gland/lesion.
42426......... ........ A Excise parotid 22.46 NA NA 8.77 11.95 1.80 NA NA 33.03 36.21 090
gland/lesion.
42440......... ........ A Excise 7.02 NA NA 3.46 4.46 0.59 NA NA 11.07 12.07 090
submaxillary
gland.
42450......... ........ A Excise 4.61 5.87 5.89 3.66 4.10 0.42 10.90 10.92 8.69 9.13 090
sublingual
gland.
42500......... ........ A Repair salivary 4.29 5.79 5.71 3.62 4.04 0.41 10.49 10.41 8.32 8.74 090
duct.
42505......... ........ A Repair salivary 6.17 6.73 7.02 4.32 5.10 0.55 13.45 13.74 11.04 11.82 090
duct.
42507......... ........ A Parotid duct 6.10 NA NA 5.90 6.37 0.49 NA NA 12.49 12.96 090
diversion.
42508......... ........ A Parotid duct 9.15 NA NA 7.50 8.13 1.04 NA NA 17.69 18.32 090
diversion.
[[Page 49139]]
42509......... ........ A Parotid duct 11.58 NA NA 8.70 9.82 0.93 NA NA 21.21 22.33 090
diversion.
42510......... ........ A Parotid duct 8.20 NA NA 6.33 7.43 0.66 NA NA 15.19 16.29 090
diversion.
42550......... ........ A Injection for 1.25 2.24 2.97 0.39 0.41 0.07 3.56 4.29 1.71 1.73 000
salivary x-ray.
42600......... ........ A Closure of 4.81 6.46 6.55 3.32 3.92 0.43 11.70 11.79 8.56 9.16 090
salivary
fistula.
42650......... ........ A Dilation of 0.77 1.20 1.13 0.61 0.69 0.07 2.04 1.97 1.45 1.53 000
salivary duct.
42660......... ........ A Dilation of 1.13 1.43 1.37 0.73 0.82 0.09 2.65 2.59 1.95 2.04 000
salivary duct.
42665......... ........ A Ligation of 2.53 4.71 4.31 2.20 2.49 0.23 7.47 7.07 4.96 5.25 090
salivary duct.
42699......... ........ C Salivary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
42700......... ........ A Drainage of 1.62 2.74 2.67 1.51 1.65 0.13 4.49 4.42 3.26 3.40 010
tonsil abscess.
42720......... ........ A Drainage of 6.31 4.28 4.69 2.84 3.55 0.44 11.03 11.44 9.59 10.30 010
throat abscess.
42725......... ........ A Drainage of 12.22 NA NA 6.56 7.81 0.91 NA NA 19.69 20.94 090
throat abscess.
42800......... ........ A Biopsy of 1.39 2.27 2.20 1.17 1.34 0.11 3.77 3.70 2.67 2.84 010
throat.
42802......... ........ A Biopsy of 1.54 3.83 4.53 1.52 1.93 0.12 5.49 6.19 3.18 3.59 010
throat.
42804......... ........ A Biopsy of upper 1.24 3.33 3.64 1.37 1.64 0.10 4.67 4.98 2.71 2.98 010
nose/throat.
42806......... ........ A Biopsy of upper 1.58 3.55 3.94 1.47 1.82 0.13 5.26 5.65 3.18 3.53 010
nose/throat.
42808......... ........ A Excise pharynx 2.30 2.96 3.06 1.44 1.81 0.19 5.45 5.55 3.93 4.30 010
lesion.
42809......... ........ A Remove pharynx 1.81 2.12 2.28 1.25 1.31 0.16 4.09 4.25 3.22 3.28 010
foreign body.
42810......... ........ A Excision of 3.25 5.73 5.72 3.40 3.51 0.29 9.27 9.26 6.94 7.05 090
neck cyst.
42815......... ........ A Excision of 7.18 NA NA 5.70 6.23 0.61 NA NA 13.49 14.02 090
neck cyst.
42820......... ........ A Remove tonsils 4.15 NA NA 2.53 3.10 0.31 NA NA 6.99 7.56 090
and adenoids.
42821......... ........ A Remove tonsils 4.28 NA NA 2.68 3.30 0.35 NA NA 7.31 7.93 090
and adenoids.
42825......... ........ A Removal of 3.41 NA NA 2.42 2.98 0.25 NA NA 6.08 6.64 090
tonsils.
42826......... ........ A Removal of 3.37 NA NA 2.42 2.88 0.27 NA NA 6.06 6.52 090
tonsils.
42830......... ........ A Removal of 2.57 NA NA 2.19 2.47 0.20 NA NA 4.96 5.24 090
adenoids.
42831......... ........ A Removal of 2.71 NA NA 2.41 2.73 0.22 NA NA 5.34 5.66 090
adenoids.
42835......... ........ A Removal of 2.30 NA NA 1.79 2.29 0.21 NA NA 4.30 4.80 090
adenoids.
42836......... ........ A Removal of 3.18 NA NA 2.40 2.82 0.26 NA NA 5.84 6.26 090
adenoids.
42842......... ........ A Extensive 11.94 NA NA 10.96 10.98 0.71 NA NA 23.61 23.63 090
surgery of
throat.
42844......... ........ A Extensive 17.49 NA NA 13.99 15.67 1.16 NA NA 32.64 34.32 090
surgery of
throat.
42845......... ........ A Extensive 32.27 NA NA 19.00 22.14 1.98 NA NA 53.25 56.39 090
surgery of
throat.
42860......... ........ A Excision of 2.22 NA NA 2.10 2.33 0.18 NA NA 4.50 4.73 090
tonsil tags.
42870......... ........ A Excision of 5.39 NA NA 7.97 8.42 0.44 NA NA 13.80 14.25 090
lingual tonsil.
42890......... ........ A Partial removal 18.84 NA NA 13.79 14.06 1.05 NA NA 33.68 33.95 090
of pharynx.
42892......... ........ A Revision of 25.67 NA NA 17.34 17.21 1.28 NA NA 44.29 44.16 090
pharyngeal
walls.
42894......... ........ A Revision of 33.49 NA NA 21.04 21.78 1.86 NA NA 56.39 57.13 090
pharyngeal
walls.
42900......... ........ A Repair throat 5.24 NA NA 2.70 3.42 0.50 NA NA 8.44 9.16 010
wound.
42950......... ........ A Reconstruction 8.09 NA NA 10.21 11.46 0.72 NA NA 19.02 20.27 090
of throat.
42953......... ........ A Repair throat, 9.25 NA NA 12.87 16.22 0.88 NA NA 23.00 26.35 090
esophagus.
42955......... ........ A Surgical 7.86 NA NA 9.37 10.35 0.80 NA NA 18.03 19.01 090
opening of
throat.
42960......... ........ A Control throat 2.33 NA NA 1.59 1.87 0.19 NA NA 4.11 4.39 010
bleeding.
42961......... ........ A Control throat 5.64 NA NA 4.08 4.74 0.45 NA NA 10.17 10.83 090
bleeding.
42962......... ........ A Control throat 7.25 NA NA 4.69 5.61 0.58 NA NA 12.52 13.44 090
bleeding.
42970......... ........ A Control nose/ 5.72 NA NA 3.49 4.01 0.39 NA NA 9.60 10.12 090
throat
bleeding.
42971......... ........ A Control nose/ 6.50 NA NA 4.08 4.86 0.51 NA NA 11.09 11.87 090
throat
bleeding.
42972......... ........ A Control nose/ 7.49 NA NA 4.42 5.38 0.62 NA NA 12.53 13.49 090
throat
bleeding.
42999......... ........ C Throat surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
43020......... ........ A Incision of 8.08 NA NA 4.32 5.14 0.87 NA NA 13.27 14.09 090
esophagus.
43030......... ........ A Throat muscle 7.86 NA NA 4.13 5.15 0.70 NA NA 12.69 13.71 090
surgery.
43045......... ........ A Incision of 21.63 NA NA 10.07 10.54 2.58 NA NA 34.28 34.75 090
esophagus.
43100......... ........ A Excision of 9.48 NA NA 5.07 5.93 0.93 NA NA 15.48 16.34 090
esophagus
lesion.
43101......... ........ A Excision of 16.94 NA NA 7.27 7.73 2.31 NA NA 26.52 26.98 090
esophagus
lesion.
43107......... ........ A Removal of 43.89 NA NA 16.66 17.86 5.22 NA NA 65.77 66.97 090
esophagus.
43108......... ........ A Removal of 63.23 NA NA 20.50 15.78 4.07 NA NA 87.80 83.08 090
esophagus.
43112......... ........ A Removal of 47.21 NA NA 17.15 18.81 5.79 NA NA 70.15 71.81 090
esophagus.
43113......... ........ A Removal of 46.95 NA NA 17.99 15.83 4.42 NA NA 69.36 67.20 090
esophagus.
43116......... ........ A Partial removal 71.39 NA NA 22.74 18.20 3.05 NA NA 97.18 92.64 090
of esophagus.
43117......... ........ A Partial removal 43.46 NA NA 15.40 16.80 5.17 NA NA 64.03 65.43 090
of esophagus.
43118......... ........ A Partial removal 52.07 NA NA 17.39 14.68 4.10 NA NA 73.56 70.85 090
of esophagus.
43121......... ........ A Partial removal 46.35 NA NA 17.01 14.51 3.90 NA NA 67.26 64.76 090
of esophagus.
43122......... ........ A Partial removal 43.89 NA NA 15.83 17.00 5.40 NA NA 65.12 66.29 090
of esophagus.
43123......... ........ A Partial removal 63.83 NA NA 21.00 15.83 4.15 NA NA 88.98 83.81 090
of esophagus.
43124......... ........ A Removal of 64.63 NA NA 22.76 15.50 3.73 NA NA 91.12 83.86 090
esophagus.
43130......... ........ A Removal of 12.33 NA NA 5.93 7.15 1.16 NA NA 19.42 20.64 090
esophagus
pouch.
43135......... ........ A Removal of 22.37 NA NA 8.93 8.30 2.33 NA NA 33.63 33.00 090
esophagus
pouch.
43200......... ........ A Esophagus 1.59 3.53 3.98 0.91 1.03 0.13 5.25 5.70 2.63 2.75 000
endoscopy.
43201......... ........ A Esoph scope w/ 2.09 5.56 4.86 1.18 1.12 0.15 7.80 7.10 3.42 3.36 000
submucous inj.
[[Page 49140]]
43202......... ........ A Esophagus 1.89 5.13 5.44 0.97 0.95 0.15 7.17 7.48 3.01 2.99 000
endoscopy,
biopsy.
43204......... ........ A Esoph scope w/ 3.76 NA NA 1.93 1.62 0.30 NA NA 5.99 5.68 000
sclerosis inj.
43205......... ........ A Esophagus 3.78 NA NA 2.02 1.65 0.28 NA NA 6.08 5.71 000
endoscopy/
ligation.
43215......... ........ A Esophagus 2.60 NA NA 1.25 1.21 0.22 NA NA 4.07 4.03 000
endoscopy.
43216......... ........ A Esophagus 2.40 3.00 1.55 1.21 1.10 0.20 5.60 4.15 3.81 3.70 000
endoscopy/
lesion.
43217......... ........ A Esophagus 2.90 6.58 6.86 1.40 1.24 0.26 9.74 10.02 4.56 4.40 000
endoscopy.
43219......... ........ A Esophagus 2.80 NA NA 1.53 1.40 0.24 NA NA 4.57 4.44 000
endoscopy.
43220......... ........ A Esoph 2.10 NA NA 1.12 1.01 0.17 NA NA 3.39 3.28 000
endoscopy,
dilation.
43226......... ........ A Esoph 2.34 NA NA 1.27 1.09 0.19 NA NA 3.80 3.62 000
endoscopy,
dilation.
43227......... ........ A Esoph 3.59 NA NA 1.81 1.54 0.28 NA NA 5.68 5.41 000
endoscopy,
repair.
43228......... ........ A Esoph 3.76 NA NA 1.84 1.62 0.34 NA NA 5.94 5.72 000
endoscopy,
ablation.
43231......... ........ A Esoph endoscopy 3.19 NA NA 1.72 1.41 0.23 NA NA 5.14 4.83 000
w/us exam.
43232......... ........ A Esoph endoscopy 4.47 NA NA 2.34 1.94 0.34 NA NA 7.15 6.75 000
w/us fn bx.
43234......... ........ A Upper GI 2.01 4.98 5.24 1.01 0.91 0.17 7.16 7.42 3.19 3.09 000
endoscopy,
exam.
43235......... ........ A Uppr gi 2.39 5.26 5.19 1.34 1.10 0.19 7.84 7.77 3.92 3.68 000
endoscopy,
diagnosis.
43236......... ........ A Uppr gi scope w/ 2.92 6.67 6.47 1.64 1.33 0.21 9.80 9.60 4.77 4.46 000
submuc inj.
43237......... ........ A Endoscopic us 3.98 NA NA 2.12 1.72 0.43 NA NA 6.53 6.13 000
exam, esoph.
43238......... ........ A Uppr gi 5.02 NA NA 2.52 2.10 0.43 NA NA 7.97 7.55 000
endoscopy w/us
fn bx.
43239......... ........ A Upper GI 2.87 6.01 5.79 1.54 1.28 0.22 9.10 8.88 4.63 4.37 000
endoscopy,
biopsy.
43240......... ........ A Esoph endoscope 6.85 NA NA 3.41 2.80 0.56 NA NA 10.82 10.21 000
w/drain cyst.
43241......... ........ A Upper GI 2.59 NA NA 1.40 1.18 0.21 NA NA 4.20 3.98 000
endoscopy with
tube.
43242......... ........ A Uppr gi 7.30 NA NA 3.65 2.96 0.53 NA NA 11.48 10.79 000
endoscopy w/us
fn bx.
43243......... ........ A Upper gi 4.56 NA NA 2.34 1.93 0.33 NA NA 7.23 6.82 000
endoscopy &
inject.
43244......... ........ A Upper GI 5.04 NA NA 2.62 2.13 0.37 NA NA 8.03 7.54 000
endoscopy/
ligation.
43245......... ........ A Uppr gi scope 3.18 NA NA 1.62 1.38 0.26 NA NA 5.06 4.82 000
dilate strictr.
43246......... ........ A Place 4.32 NA NA 2.10 1.79 0.34 NA NA 6.76 6.45 000
gastrostomy
tube.
43247......... ........ A Operative upper 3.38 NA NA 1.77 1.47 0.27 NA NA 5.42 5.12 000
GI endoscopy.
43248......... ........ A Uppr gi 3.15 NA NA 1.76 1.42 0.23 NA NA 5.14 4.80 000
endoscopy/
guide wire.
43249......... ........ A Esoph 2.90 NA NA 1.61 1.31 0.22 NA NA 4.73 4.43 000
endoscopy,
dilation.
43250......... ........ A Upper GI 3.20 NA NA 1.62 1.39 0.26 NA NA 5.08 4.85 000
endoscopy/
tumor.
43251......... ........ A Operative upper 3.69 NA NA 1.91 1.59 0.29 NA NA 5.89 5.57 000
GI endoscopy.
43255......... ........ A Operative upper 4.81 NA NA 2.50 2.04 0.35 NA NA 7.66 7.20 000
GI endoscopy.
43256......... ........ A Uppr gi 4.34 NA NA 2.23 1.84 0.32 NA NA 6.89 6.50 000
endoscopy w/
stent.
43257......... ........ A Uppr gi scope w/ 5.50 NA NA 2.05 2.16 0.36 NA NA 7.91 8.02 000
thrml txmnt.
43258......... ........ A Operative upper 4.54 NA NA 2.36 1.93 0.33 NA NA 7.23 6.80 000
GI endoscopy.
43259......... ........ A Endoscopic 5.19 NA NA 2.66 2.16 0.35 NA NA 8.20 7.70 000
ultrasound
exam.
43260......... ........ A Endo 5.95 NA NA 3.04 2.47 0.43 NA NA 9.42 8.85 000
cholangiopancr
eatograph.
43261......... ........ A Endo 6.26 NA NA 3.19 2.59 0.46 NA NA 9.91 9.31 000
cholangiopancr
eatograph.
43262......... ........ A Endo 7.38 NA NA 3.69 3.01 0.54 NA NA 11.61 10.93 000
cholangiopancr
eatograph.
43263......... ........ A Endo 7.28 NA NA 3.70 3.00 0.54 NA NA 11.52 10.82 000
cholangiopancr
eatograph.
43264......... ........ A Endo 8.89 NA NA 4.41 3.59 0.65 NA NA 13.95 13.13 000
cholangiopancr
eatograph.
43265......... ........ A Endo 10.00 NA NA 4.90 3.99 0.73 NA NA 15.63 14.72 000
cholangiopancr
eatograph.
43267......... ........ A Endo 7.38 NA NA 3.60 2.99 0.54 NA NA 11.52 10.91 000
cholangiopancr
eatograph.
43268......... ........ A Endo 7.38 NA NA 3.85 3.12 0.54 NA NA 11.77 11.04 000
cholangiopancr
eatograph.
43269......... ........ A Endo 8.20 NA NA 4.07 3.32 0.60 NA NA 12.87 12.12 000
cholangiopancr
eatograph.
43271......... ........ A Endo 7.38 NA NA 3.70 3.01 0.54 NA NA 11.62 10.93 000
cholangiopancr
eatograph.
43272......... ........ A Endo 7.38 NA NA 3.77 3.03 0.54 NA NA 11.69 10.95 000
cholangiopancr
eatograph.
43280......... ........ A Laparoscopy, 17.96 NA NA 6.73 7.14 2.27 NA NA 26.96 27.37 090
fundoplasty.
43289......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, esoph.
43300......... ........ A Repair of 9.13 NA NA 5.17 6.07 1.12 NA NA 15.42 16.32 090
esophagus.
43305......... ........ A Repair 17.90 NA NA 7.46 9.88 1.54 NA NA 26.90 29.32 090
esophagus and
fistula.
43310......... ........ A Repair of 26.13 NA NA 10.13 10.83 3.60 NA NA 39.86 40.56 090
esophagus.
43312......... ........ A Repair 29.22 NA NA 9.96 11.41 4.00 NA NA 43.18 44.63 090
esophagus and
fistula.
43313......... ........ A Esophagoplasty 48.07 NA NA 17.38 18.45 5.45 NA NA 70.90 71.97 090
congenital.
43314......... ........ A Tracheo- 53.05 NA NA 18.43 18.99 6.63 NA NA 78.11 78.67 090
esophagoplasty
cong.
43320......... ........ A Fuse esophagus 23.12 NA NA 8.85 9.11 2.73 NA NA 34.70 34.96 090
& stomach.
[[Page 49141]]
43324......... ........ A Revise 22.80 NA NA 8.42 8.68 2.75 NA NA 33.97 34.23 090
esophagus &
stomach.
43325......... ........ A Revise 22.41 NA NA 8.39 8.68 2.59 NA NA 33.39 33.68 090
esophagus &
stomach.
43326......... ........ A Revise 22.09 NA NA 9.37 9.31 2.84 NA NA 34.30 34.24 090
esophagus &
stomach.
43330......... ........ A Repair of 22.00 NA NA 8.27 8.47 2.62 NA NA 32.89 33.09 090
esophagus.
43331......... ........ A Repair of 22.87 NA NA 9.58 9.73 2.93 NA NA 35.38 35.53 090
esophagus.
43340......... ........ A Fuse esophagus 22.80 NA NA 9.09 8.99 2.45 NA NA 34.34 34.24 090
& intestine.
43341......... ........ A Fuse esophagus 24.04 NA NA 10.12 10.04 2.91 NA NA 37.07 36.99 090
& intestine.
43350......... ........ A Surgical 19.23 NA NA 8.06 8.35 1.42 NA NA 28.71 29.00 090
opening,
esophagus.
43351......... ........ A Surgical 21.79 NA NA 9.60 9.74 2.46 NA NA 33.85 33.99 090
opening,
esophagus.
43352......... ........ A Surgical 17.62 NA NA 8.19 8.33 2.05 NA NA 27.86 28.00 090
opening,
esophagus.
43360......... ........ A Gastrointestina 39.82 NA NA 15.81 15.26 4.96 NA NA 60.59 60.04 090
l repair.
43361......... ........ A Gastrointestina 45.42 NA NA 16.89 16.88 4.49 NA NA 66.80 66.79 090
l repair.
43400......... ........ A Ligate 25.41 NA NA 13.74 10.51 1.95 NA NA 41.10 37.87 090
esophagus
veins.
43401......... ........ A Esophagus 26.30 NA NA 9.49 9.48 3.04 NA NA 38.83 38.82 090
surgery for
veins.
43405......... ........ A Ligate/staple 24.47 NA NA 10.42 9.79 2.83 NA NA 37.72 37.09 090
esophagus.
43410......... ........ A Repair 16.22 NA NA 7.53 7.61 1.71 NA NA 25.46 25.54 090
esophagus
wound.
43415......... ........ A Repair 28.62 NA NA 11.99 11.80 3.52 NA NA 44.13 43.94 090
esophagus
wound.
43420......... ........ A Repair 16.59 NA NA 6.86 7.27 1.43 NA NA 24.88 25.29 090
esophagus
opening.
43425......... ........ A Repair 24.85 NA NA 10.38 10.07 3.02 NA NA 38.25 37.94 090
esophagus
opening.
43450......... ........ A Dilate 1.38 2.66 2.64 0.92 0.75 0.11 4.15 4.13 2.41 2.24 000
esophagus.
43453......... ........ A Dilate 1.51 6.29 6.12 1.00 0.80 0.11 7.91 7.74 2.62 2.42 000
esophagus.
43456......... ........ A Dilate 2.57 12.99 13.55 1.45 1.19 0.20 15.76 16.32 4.22 3.96 000
esophagus.
43458......... ........ A Dilate 3.06 6.93 6.72 1.61 1.36 0.24 10.23 10.02 4.91 4.66 000
esophagus.
43460......... ........ A Pressure 3.79 NA NA 1.70 1.54 0.31 NA NA 5.80 5.64 000
treatment
esophagus.
43496......... ........ C Free jejunum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
flap,
microvasc.
43499......... ........ C Esophagus 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
43500......... ........ A Surgical 12.67 NA NA 5.27 5.05 1.45 NA NA 19.39 19.17 090
opening of
stomach.
43501......... ........ A Surgical repair 22.41 NA NA 8.18 8.27 2.64 NA NA 33.23 33.32 090
of stomach.
43502......... ........ A Surgical repair 25.50 NA NA 9.04 9.35 3.09 NA NA 37.63 37.94 090
of stomach.
43510......... ........ A Surgical 14.95 NA NA 6.89 6.66 1.48 NA NA 23.32 23.09 090
opening of
stomach.
43520......... ........ A Incision of 11.17 NA NA 4.89 5.16 1.36 NA NA 17.42 17.69 090
pyloric muscle.
43600......... ........ A Biopsy of 1.91 NA NA 0.80 0.70 0.14 NA NA 2.85 2.75 000
stomach.
43605......... ........ A Biopsy of 13.60 NA NA 5.46 5.33 1.58 NA NA 20.64 20.51 090
stomach.
43610......... ........ A Excision of 16.22 NA NA 6.11 6.13 1.93 NA NA 24.26 24.28 090
stomach lesion.
43611......... ........ A Excision of 20.19 NA NA 7.61 7.57 2.35 NA NA 30.15 30.11 090
stomach lesion.
43620......... ........ A Removal of 33.85 NA NA 11.16 11.63 3.95 NA NA 48.96 49.43 090
stomach.
43621......... ........ A Removal of 39.34 NA NA 12.57 12.12 4.03 NA NA 55.94 55.49 090
stomach.
43622......... ........ A Removal of 39.84 NA NA 12.71 12.61 4.29 NA NA 56.84 56.74 090
stomach.
43631......... ........ A Removal of 24.32 NA NA 8.68 9.03 2.98 NA NA 35.98 36.33 090
stomach,
partial.
43632......... ........ A Removal of 34.95 NA NA 11.43 9.72 2.98 NA NA 49.36 47.65 090
stomach,
partial.
43633......... ........ A Removal of 32.95 NA NA 10.92 9.72 3.05 NA NA 46.92 45.72 090
stomach,
partial.
43634......... ........ A Removal of 36.45 NA NA 11.97 10.55 3.32 NA NA 51.74 50.32 090
stomach,
partial.
43635......... ........ A Removal of 2.06 NA NA 0.53 0.66 0.27 NA NA 2.86 2.99 ZZZ
stomach,
partial.
43640......... ........ A Vagotomy & 19.37 NA NA 7.42 7.29 2.25 NA NA 29.04 28.91 090
pylorus repair.
43641......... ........ A Vagotomy & 19.62 NA NA 7.72 7.45 2.24 NA NA 29.58 29.31 090
pylorus repair.
43644......... ........ A Lap gastric 29.18 NA NA 10.29 10.98 3.15 NA NA 42.62 43.31 090
bypass/roux-en-
y.
43645......... ........ A Lap gastr 31.31 NA NA 11.27 11.83 3.53 NA NA 46.11 46.67 090
bypass incl
smll i.
43651......... ........ A Laparoscopy, 10.13 NA NA 4.67 4.74 1.33 NA NA 16.13 16.20 090
vagus nerve.
43652......... ........ A Laparoscopy, 12.13 NA NA 5.23 5.62 1.55 NA NA 18.91 19.30 090
vagus nerve.
43653......... ........ A Laparoscopy, 8.34 NA NA 4.43 4.24 1.01 NA NA 13.78 13.59 090
gastrostomy.
43659......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, stom.
43750......... ........ A Place 4.60 NA NA 1.96 2.13 0.43 NA NA 6.99 7.16 010
gastrostomy
tube.
43752......... ........ A Nasal/ 0.81 NA NA 0.24 0.26 0.02 NA NA 1.07 1.09 000
orogastric w/
stent.
43760......... ........ A Change 1.10 13.09 4.83 0.39 0.44 0.09 14.28 6.02 1.58 1.63 000
gastrostomy
tube.
43761......... ........ A Reposition 2.01 0.98 1.12 0.64 0.66 0.13 3.12 3.26 2.78 2.80 000
gastrostomy
tube.
43770......... ........ A Lap, place 17.79 NA NA 7.57 7.68 2.18 NA NA 27.54 27.65 090
gastr adjust
band.
43771......... ........ A Lap, revise 20.58 NA NA 8.22 8.50 2.54 NA NA 31.34 31.62 090
adjust gast
band.
43772......... ........ A Lap, remove 15.58 NA NA 6.03 6.32 1.92 NA NA 23.53 23.82 090
adjust gast
band.
43773......... ........ A Lap, change 20.58 NA NA 8.22 8.50 2.55 NA NA 31.35 31.63 090
adjust gast
band.
43774......... ........ A Lap remov adj 15.62 NA NA 6.22 6.48 1.84 NA NA 23.68 23.94 090
gast band/port.
43800......... ........ A Reconstruction 15.31 NA NA 5.91 5.90 1.81 NA NA 23.03 23.02 090
of pylorus.
43810......... ........ A Fusion of 16.76 NA NA 6.28 6.20 1.93 NA NA 24.97 24.89 090
stomach and
bowel.
43820......... ........ A Fusion of 22.34 NA NA 8.19 6.85 2.03 NA NA 32.56 31.22 090
stomach and
bowel.
43825......... ........ A Fusion of 21.57 NA NA 7.96 8.00 2.53 NA NA 32.06 32.10 090
stomach and
bowel.
43830......... ........ A Place 10.71 NA NA 5.22 4.94 1.25 NA NA 17.18 16.90 090
gastrostomy
tube.
43831......... ........ A Place 8.31 NA NA 5.17 4.68 1.03 NA NA 14.51 14.02 090
gastrostomy
tube.
[[Page 49142]]
43832......... ........ A Place 17.22 NA NA 7.15 6.92 1.97 NA NA 26.34 26.11 090
gastrostomy
tube.
43840......... ........ A Repair of 22.64 NA NA 8.26 7.14 2.05 NA NA 32.95 31.83 090
stomach lesion.
43842......... ........ N V-band 20.84 NA NA 7.81 7.80 2.44 NA NA 31.09 31.08 090
gastroplasty.
43843......... ........ A Gastroplasty w/ 21.02 NA NA 7.88 7.79 2.45 NA NA 31.35 31.26 090
o v-band.
43845......... ........ A Gastroplasty 33.04 NA NA 12.63 11.24 4.05 NA NA 49.72 48.33 090
duodenal
switch.
43846......... ........ A Gastric bypass 27.15 NA NA 10.09 10.04 3.18 NA NA 40.42 40.37 090
for obesity.
43847......... ........ A Gastric bypass 30.02 NA NA 10.72 10.85 3.55 NA NA 44.29 44.42 090
incl small i.
43848......... ........ A Revision 32.49 NA NA 11.41 11.71 3.87 NA NA 47.77 48.07 090
gastroplasty.
43850......... ........ A Revise stomach- 27.39 NA NA 9.48 9.73 3.27 NA NA 40.14 40.39 090
bowel fusion.
43855......... ........ A Revise stomach- 28.50 NA NA 9.83 10.20 3.46 NA NA 41.79 42.16 090
bowel fusion.
43860......... ........ A Revise stomach- 27.70 NA NA 9.57 9.86 3.30 NA NA 40.57 40.86 090
bowel fusion.
43865......... ........ A Revise stomach- 28.86 NA NA 10.17 10.42 3.50 NA NA 42.53 42.78 090
bowel fusion.
43870......... ........ A Repair stomach 11.32 NA NA 5.05 4.65 1.27 NA NA 17.64 17.24 090
opening.
43880......... ........ A Repair stomach- 26.99 NA NA 9.42 9.77 3.26 NA NA 39.67 40.02 090
bowel fistula.
43886......... ........ A Revise gastric 4.50 NA NA 3.45 3.21 0.25 NA NA 8.20 7.96 090
port, open.
43887......... ........ A Remove gastric 4.20 NA NA 3.00 2.83 0.51 NA NA 7.71 7.54 090
port, open.
43888......... ........ A Change gastric 6.30 NA NA 3.94 3.81 0.70 NA NA 10.94 10.81 090
port, open.
43999......... ........ C Stomach surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44005......... ........ A Freeing of 18.34 NA NA 6.67 6.70 2.14 NA NA 27.15 27.18 090
bowel adhesion.
44010......... ........ A Incision of 14.14 NA NA 5.58 5.48 1.64 NA NA 21.36 21.26 090
small bowel.
44015......... ........ A Insert needle 2.62 NA NA 0.69 0.83 0.35 NA NA 3.66 3.80 ZZZ
cath bowel.
44020......... ........ A Explore small 16.10 NA NA 6.06 5.96 1.85 NA NA 24.01 23.91 090
intestine.
44021......... ........ A Decompress 16.19 NA NA 6.33 6.05 1.86 NA NA 24.38 24.10 090
small bowel.
44025......... ........ A Incision of 16.39 NA NA 6.19 6.06 1.89 NA NA 24.47 24.34 090
large bowel.
44050......... ........ A Reduce bowel 15.40 NA NA 5.89 5.94 1.85 NA NA 23.14 23.19 090
obstruction.
44055......... ........ A Correct 25.49 NA NA 8.60 8.69 2.90 NA NA 36.99 37.08 090
malrotation of
bowel.
44100......... ........ A Biopsy of bowel 2.01 NA NA 0.88 0.75 0.17 NA NA 3.06 2.93 000
44110......... ........ A Excise 13.92 NA NA 5.58 5.31 1.55 NA NA 21.05 20.78 090
intestine
lesion(s).
44111......... ........ A Excision of 16.40 NA NA 6.20 6.13 1.86 NA NA 24.46 24.39 090
bowel
lesion(s).
44120......... ........ A Removal of 20.70 NA NA 7.24 7.11 2.24 NA NA 30.18 30.05 090
small
intestine.
44121......... ........ A Removal of 4.44 NA NA 1.14 1.43 0.58 NA NA 6.16 6.45 ZZZ
small
intestine.
44125......... ........ A Removal of 19.89 NA NA 7.10 7.21 2.26 NA NA 29.25 29.36 090
small
intestine.
44126......... ........ A Enterectomy w/o 41.94 NA NA 13.97 14.08 4.68 NA NA 60.59 60.70 090
taper, cong.
44127......... ........ A Enterectomy w/ 49.01 NA NA 14.84 15.49 5.75 NA NA 69.60 70.25 090
taper, cong.
44128......... ........ A Enterectomy 4.44 NA NA 1.07 1.42 0.61 NA NA 6.12 6.47 ZZZ
cong, add-on.
44130......... ........ A Bowel to bowel 21.92 NA NA 8.05 6.67 1.87 NA NA 31.84 30.46 090
fusion.
44137......... ........ C Remove 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intestinal
allograft.
44139......... ........ A Mobilization of 2.23 NA NA 0.56 0.71 0.28 NA NA 3.07 3.22 ZZZ
colon.
44140......... ........ A Partial removal 22.40 NA NA 8.17 8.52 2.70 NA NA 33.27 33.62 090
of colon.
44141......... ........ A Partial removal 29.69 NA NA 11.96 10.52 2.52 NA NA 44.17 42.73 090
of colon.
44143......... ........ A Partial removal 27.57 NA NA 10.40 10.61 3.04 NA NA 41.01 41.22 090
of colon.
44144......... ........ A Partial removal 29.69 NA NA 10.75 9.90 2.85 NA NA 43.29 42.44 090
of colon.
44145......... ........ A Partial removal 28.39 NA NA 9.58 10.50 3.28 NA NA 41.25 42.17 090
of colon.
44146......... ........ A Partial removal 35.08 NA NA 13.46 13.00 3.40 NA NA 51.94 51.48 090
of colon.
44147......... ........ A Partial removal 33.50 NA NA 11.06 9.28 2.55 NA NA 47.11 45.33 090
of colon.
44150......... ........ A Removal of 29.91 NA NA 12.74 12.20 3.03 NA NA 45.68 45.14 090
colon.
44151......... ........ A Removal of 34.65 NA NA 14.19 13.59 3.48 NA NA 52.32 51.72 090
colon/
ileostomy.
44152......... ........ A Removal of 29.91 NA NA 10.53 11.33 3.51 NA NA 43.95 44.75 090
colon/
ileostomy.
44153......... ........ A Removal of 33.18 NA NA 14.40 14.38 3.54 NA NA 51.12 51.10 090
colon/
ileostomy.
44155......... ........ A Removal of 34.15 NA NA 13.59 13.37 3.27 NA NA 51.01 50.79 090
colon/
ileostomy.
44156......... ........ A Removal of 37.15 NA NA 14.84 14.98 3.94 NA NA 55.93 56.07 090
colon/
ileostomy.
44160......... ........ A Removal of 20.72 NA NA 7.60 7.71 2.36 NA NA 30.68 30.79 090
colon.
44180......... ........ A Lap, 15.15 NA NA 5.87 6.14 1.85 NA NA 22.87 23.14 090
enterolysis.
44186......... ........ A Lap, 10.26 NA NA 4.63 4.75 1.27 NA NA 16.16 16.28 090
jejunostomy.
44187......... ........ A Lap, ileo/ 17.21 NA NA 8.25 8.27 1.95 NA NA 27.41 27.43 090
jejuno-stomy.
44188......... ........ A Lap, colostomy. 19.14 NA NA 8.82 8.84 2.23 NA NA 30.19 30.21 090
[[Page 49143]]
44202......... ........ A Lap, 23.20 NA NA 8.41 8.79 2.84 NA NA 34.45 34.83 090
enterectomy.
44203......... ........ A Lap resect s/ 4.44 NA NA 1.14 1.41 0.57 NA NA 6.15 6.42 ZZZ
intestine,
addl.
44204......... ........ A Laparo partial 26.23 NA NA 9.00 9.71 3.10 NA NA 38.33 39.04 090
colectomy.
44205......... ........ A Lap colectomy 22.80 NA NA 7.89 8.60 2.74 NA NA 33.43 34.14 090
part w/ileum.
44206......... ........ A Lap part 29.57 NA NA 10.60 11.09 3.45 NA NA 43.62 44.11 090
colectomy w/
stoma.
44207......... ........ A L colectomy/ 31.73 NA NA 10.22 11.17 3.66 NA NA 45.61 46.56 090
coloproctostom
y.
44208......... ........ A L colectomy/ 33.80 NA NA 12.15 12.89 3.87 NA NA 49.82 50.56 090
coloproctostom
y.
44210......... ........ A Laparo total 29.80 NA NA 11.27 11.72 3.41 NA NA 44.48 44.93 090
proctocolectom
y.
44211......... ........ A Laparo total 36.79 NA NA 13.90 14.48 4.16 NA NA 54.85 55.43 090
proctocolectom
y.
44212......... ........ A Laparo total 34.29 NA NA 13.27 13.58 3.77 NA NA 51.33 51.64 090
proctocolectom
y.
44213......... ........ A Lap, mobil 3.50 NA NA 0.89 1.14 0.44 NA NA 4.83 5.08 ZZZ
splenic fl add-
on.
44227......... ........ A Lap, close 28.43 NA NA 9.59 10.36 3.37 NA NA 41.39 42.16 090
enterostomy.
44238......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc,
intestine.
44300......... ........ A Open bowel to 13.61 NA NA 5.63 5.52 1.60 NA NA 20.84 20.73 090
skin.
44310......... ........ A Ileostomy/ 17.45 NA NA 6.46 6.63 1.98 NA NA 25.89 26.06 090
jejunostomy.
44312......... ........ A Revision of 9.29 NA NA 4.66 4.16 0.92 NA NA 14.87 14.37 090
ileostomy.
44314......... ........ A Revision of 16.55 NA NA 6.88 6.63 1.74 NA NA 25.17 24.92 090
ileostomy.
44316......... ........ A Devise bowel 23.40 NA NA 9.34 8.74 2.37 NA NA 35.11 34.51 090
pouch.
44320......... ........ A Colostomy...... 19.69 NA NA 7.69 7.66 2.25 NA NA 29.63 29.60 090
44322......... ........ A Colostomy with 13.04 NA NA 9.47 8.80 1.54 NA NA 24.05 23.38 090
biopsies.
44340......... ........ A Revision of 9.06 NA NA 4.99 4.44 0.99 NA NA 15.04 14.49 090
colostomy.
44345......... ........ A Revision of 17.00 NA NA 6.98 6.91 1.96 NA NA 25.94 25.87 090
colostomy.
44346......... ........ A Revision of 19.41 NA NA 7.60 7.44 2.12 NA NA 29.13 28.97 090
colostomy.
44360......... ........ A Small bowel 2.59 NA NA 1.50 1.20 0.19 NA NA 4.28 3.98 000
endoscopy.
44361......... ........ A Small bowel 2.87 NA NA 1.63 1.31 0.21 NA NA 4.71 4.39 000
endoscopy/
biopsy.
44363......... ........ A Small bowel 3.49 NA NA 1.92 1.52 0.27 NA NA 5.68 5.28 000
endoscopy.
44364......... ........ A Small bowel 3.73 NA NA 2.00 1.62 0.27 NA NA 6.00 5.62 000
endoscopy.
44365......... ........ A Small bowel 3.31 NA NA 1.77 1.46 0.24 NA NA 5.32 5.01 000
endoscopy.
44366......... ........ A Small bowel 4.40 NA NA 2.37 1.89 0.32 NA NA 7.09 6.61 000
endoscopy.
44369......... ........ A Small bowel 4.51 NA NA 2.40 1.90 0.33 NA NA 7.24 6.74 000
endoscopy.
44370......... ........ A Small bowel 4.79 NA NA 2.53 2.11 0.37 NA NA 7.69 7.27 000
endoscopy/
stent.
44372......... ........ A Small bowel 4.40 NA NA 2.12 1.83 0.35 NA NA 6.87 6.58 000
endoscopy.
44373......... ........ A Small bowel 3.49 NA NA 1.73 1.50 0.27 NA NA 5.49 5.26 000
endoscopy.
44376......... ........ A Small bowel 5.25 NA NA 2.44 2.13 0.42 NA NA 8.11 7.80 000
endoscopy.
44377......... ........ A Small bowel 5.52 NA NA 2.77 2.29 0.40 NA NA 8.69 8.21 000
endoscopy/
biopsy.
44378......... ........ A Small bowel 7.12 NA NA 3.52 2.90 0.52 NA NA 11.16 10.54 000
endoscopy.
44379......... ........ A S bowel 7.46 NA NA 3.28 3.00 0.62 NA NA 11.36 11.08 000
endoscope w/
stent.
44380......... ........ A Small bowel 1.05 NA NA 0.75 0.60 0.08 NA NA 1.88 1.73 000
endoscopy.
44382......... ........ A Small bowel 1.27 NA NA 0.79 0.67 0.12 NA NA 2.18 2.06 000
endoscopy.
44383......... ........ A Ileoscopy w/ 2.94 NA NA 1.63 1.36 0.21 NA NA 4.78 4.51 000
stent.
44385......... ........ A Endoscopy of 1.82 4.90 3.74 0.89 0.79 0.15 6.87 5.71 2.86 2.76 000
bowel pouch.
44386......... ........ A Endoscopy, 2.12 6.75 6.67 1.04 0.92 0.20 9.07 8.99 3.36 3.24 000
bowel pouch/
biop.
44388......... ........ A Colonoscopy.... 2.82 6.11 5.34 1.34 1.20 0.26 9.19 8.42 4.42 4.28 000
44389......... ........ A Colonoscopy 3.13 7.07 6.73 1.56 1.34 0.27 10.47 10.13 4.96 4.74 000
with biopsy.
44390......... ........ A Colonoscopy for 3.82 7.98 7.33 1.78 1.56 0.32 12.12 11.47 5.92 5.70 000
foreign body.
44391......... ........ A Colonoscopy for 4.31 8.93 8.77 2.19 1.82 0.34 13.58 13.42 6.84 6.47 000
bleeding.
44392......... ........ A Colonoscopy & 3.81 7.38 6.78 1.71 1.55 0.34 11.53 10.93 5.86 5.70 000
polypectomy.
44393......... ........ A Colonoscopy, 4.83 7.89 7.15 2.04 1.91 0.42 13.14 12.40 7.29 7.16 000
lesion removal.
44394......... ........ A Colonoscopy w/ 4.42 8.47 7.98 2.05 1.80 0.38 13.27 12.78 6.85 6.60 000
snare.
44397......... ........ A Colonoscopy w/ 4.70 NA NA 2.28 1.91 0.39 NA NA 7.37 7.00 000
stent.
44500......... ........ A Intro, 0.49 NA NA 0.15 0.16 0.03 NA NA 0.67 0.68 000
gastrointestin
al tube.
44602......... ........ A Suture, small 24.60 NA NA 7.73 6.73 2.11 NA NA 34.44 33.44 090
intestine.
44603......... ........ A Suture, small 27.97 NA NA 9.10 7.73 2.41 NA NA 39.48 38.11 090
intestine.
44604......... ........ A Suture, large 18.02 NA NA 6.14 6.37 2.11 NA NA 26.27 26.50 090
intestine.
44605......... ........ A Repair of bowel 21.96 NA NA 7.98 8.29 2.51 NA NA 32.45 32.76 090
lesion.
44615......... ........ A Intestinal 18.04 NA NA 6.64 6.66 2.06 NA NA 26.74 26.76 090
stricturoplast
y.
44620......... ........ A Repair bowel 14.31 NA NA 5.55 5.38 1.51 NA NA 21.37 21.20 090
opening.
44625......... ........ A Repair bowel 17.16 NA NA 6.22 6.28 1.85 NA NA 25.23 25.29 090
opening.
44626......... ........ A Repair bowel 27.78 NA NA 9.02 9.61 3.26 NA NA 40.06 40.65 090
opening.
44640......... ........ A Repair bowel- 24.08 NA NA 8.15 8.47 2.77 NA NA 35.00 35.32 090
skin fistula.
44650......... ........ A Repair bowel 25.00 NA NA 8.40 8.76 2.92 NA NA 36.32 36.68 090
fistula.
44660......... ........ A Repair bowel- 23.79 NA NA 9.72 8.69 2.13 NA NA 35.64 34.61 090
bladder
fistula.
44661......... ........ A Repair bowel- 27.23 NA NA 9.46 9.53 2.80 NA NA 39.49 39.56 090
bladder
fistula.
44680......... ........ A Surgical 17.84 NA NA 6.64 6.49 1.99 NA NA 26.47 26.32 090
revision,
intestine.
44700......... ........ A Suspend bowel w/ 17.36 NA NA 6.27 6.56 1.83 NA NA 25.46 25.75 090
prosthesis.
44701......... ........ A Intraop colon 3.10 NA NA 0.78 0.99 0.37 NA NA 4.25 4.46 ZZZ
lavage add-on.
[[Page 49144]]
44715......... ........ C Prepare donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intestine.
44720......... ........ A Prep donor 5.00 NA NA 1.25 1.60 0.37 NA NA 6.62 6.97 XXX
intestine/
venous.
44721......... ........ A Prep donor 7.00 NA NA 1.81 2.25 0.97 NA NA 9.78 10.22 XXX
intestine/
artery.
44799......... ........ C Unlisted 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure
intestine.
44800......... ........ A Excision of 11.87 NA NA 5.56 5.43 1.47 NA NA 18.90 18.77 090
bowel pouch.
44820......... ........ A Excision of 13.59 NA NA 5.66 5.53 1.59 NA NA 20.84 20.71 090
mesentery
lesion.
44850......... ........ A Repair of 11.99 NA NA 5.06 5.02 1.39 NA NA 18.44 18.40 090
mesentery.
44899......... ........ C Bowel surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
44900......... ........ A Drain app 12.38 NA NA 5.07 4.79 1.33 NA NA 18.78 18.50 090
abscess, open.
44901......... ........ A Drain app 3.37 19.86 25.88 1.05 1.10 0.22 23.45 29.47 4.64 4.69 000
abscess,
percut.
44950......... ........ A Appendectomy... 10.48 NA NA 4.09 4.26 1.31 NA NA 15.88 16.05 090
44955......... ........ A Appendectomy 1.53 NA NA 0.40 0.51 0.20 NA NA 2.13 2.24 ZZZ
add-on.
44960......... ........ A Appendectomy... 14.33 NA NA 5.47 5.37 1.63 NA NA 21.43 21.33 090
44970......... ........ A Laparoscopy, 9.31 NA NA 4.24 4.12 1.14 NA NA 14.69 14.57 090
appendectomy.
44979......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, app.
45000......... ........ A Drainage of 6.16 NA NA 3.56 3.11 0.52 NA NA 10.24 9.79 090
pelvic abscess.
45005......... ........ A Drainage of 1.99 4.00 4.04 1.60 1.59 0.25 6.24 6.28 3.84 3.83 010
rectal abscess.
45020......... ........ A Drainage of 8.37 NA NA 4.58 3.60 0.55 NA NA 13.50 12.52 090
rectal abscess.
45100......... ........ A Biopsy of 3.92 NA NA 2.84 2.48 0.44 NA NA 7.20 6.84 090
rectum.
45108......... ........ A Removal of 5.00 NA NA 3.08 2.85 0.59 NA NA 8.67 8.44 090
anorectal
lesion.
45110......... ........ A Removal of 30.49 NA NA 11.98 12.29 3.35 NA NA 45.82 46.13 090
rectum.
45111......... ........ A Partial removal 17.81 NA NA 7.08 7.14 2.06 NA NA 26.95 27.01 090
of rectum.
45112......... ........ A Removal of 32.99 NA NA 10.39 11.42 3.42 NA NA 46.80 47.83 090
rectum.
45113......... ........ A Partial 33.03 NA NA 11.60 12.34 3.48 NA NA 48.11 48.85 090
proctectomy.
45114......... ........ A Partial removal 30.57 NA NA 10.45 10.77 3.35 NA NA 44.37 44.69 090
of rectum.
45116......... ........ A Partial removal 27.50 NA NA 9.50 9.89 2.87 NA NA 39.87 40.26 090
of rectum.
45119......... ........ A Remove rectum w/ 33.29 NA NA 11.71 12.27 3.35 NA NA 48.35 48.91 090
reservoir.
45120......... ........ A Removal of 26.15 NA NA 9.44 9.95 2.89 NA NA 38.48 38.99 090
rectum.
45121......... ........ A Removal of 28.83 NA NA 10.34 10.91 3.24 NA NA 42.41 42.98 090
rectum and
colon.
45123......... ........ A Partial 18.64 NA NA 7.07 6.91 1.85 NA NA 27.56 27.40 090
proctectomy.
45126......... ........ A Pelvic 48.81 NA NA 17.39 18.75 4.32 NA NA 70.52 71.88 090
exenteration.
45130......... ........ A Excision of 18.31 NA NA 6.73 6.75 1.79 NA NA 26.83 26.85 090
rectal
prolapse.
45135......... ........ A Excision of 22.07 NA NA 9.28 8.63 2.35 NA NA 33.70 33.05 090
rectal
prolapse.
45136......... ........ A Excise ileoanal 30.55 NA NA 11.86 12.35 2.81 NA NA 45.22 45.71 090
reservior.
45150......... ........ A Excision of 5.72 NA NA 3.40 3.07 0.61 NA NA 9.73 9.40 090
rectal
stricture.
45160......... ........ A Excision of 16.11 NA NA 6.59 6.63 1.67 NA NA 24.37 24.41 090
rectal lesion.
45170......... ........ A Excision of 12.42 NA NA 5.41 5.28 1.35 NA NA 19.18 19.05 090
rectal lesion.
45190......... ........ A Destruction, 10.23 NA NA 5.55 4.85 1.13 NA NA 16.91 16.21 090
rectal tumor.
45300......... ........ A Proctosigmoidos 0.38 2.00 1.65 0.35 0.30 0.04 2.42 2.07 0.77 0.72 000
copy dx.
45303......... ........ A Proctosigmoidos 0.44 19.63 18.92 0.38 0.34 0.05 20.12 19.41 0.87 0.83 000
copy dilate.
45305......... ........ A Proctosigmoidos 1.01 3.31 2.80 0.53 0.51 0.11 4.43 3.92 1.65 1.63 000
copy w/bx.
45307......... ........ A Proctosigmoidos 0.94 3.52 3.15 0.51 0.49 0.11 4.57 4.20 1.56 1.54 000
copy fb.
45308......... ........ A Proctosigmoidos 0.83 3.30 2.32 0.49 0.45 0.09 4.22 3.24 1.41 1.37 000
copy removal.
45309......... ........ A Proctosigmoidos 2.01 3.73 3.04 0.83 0.84 0.22 5.96 5.27 3.06 3.07 000
copy removal.
45315......... ........ A Proctosigmoidos 1.40 3.74 3.08 0.65 0.64 0.15 5.29 4.63 2.20 2.19 000
copy removal.
45317......... ........ A Proctosigmoidos 1.50 3.83 2.78 0.66 0.66 0.15 5.48 4.43 2.31 2.31 000
copy bleed.
45320......... ........ A Proctosigmoidos 1.58 4.49 3.31 0.75 0.72 0.16 6.23 5.05 2.49 2.46 000
copy ablate.
45321......... ........ A Proctosigmoidos 1.17 NA NA 0.65 0.58 0.13 NA NA 1.95 1.88 000
copy volvul.
45327......... ........ A Proctosigmoidos 1.65 NA NA 0.83 0.73 0.16 NA NA 2.64 2.54 000
copy w/stent.
45330......... ........ A Diagnostic 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000
sigmoidoscopy.
45331......... ........ A Sigmoidoscopy 1.15 3.24 3.11 0.78 0.64 0.09 4.48 4.35 2.02 1.88 000
and biopsy.
45332......... ........ A Sigmoidoscopy w/ 1.79 5.62 5.16 1.02 0.86 0.16 7.57 7.11 2.97 2.81 000
fb removal.
45333......... ........ A Sigmoidoscopy & 1.79 5.63 5.06 0.98 0.85 0.15 7.57 7.00 2.92 2.79 000
polypectomy.
45334......... ........ A Sigmoidoscopy 2.73 NA NA 1.52 1.24 0.20 NA NA 4.45 4.17 000
for bleeding.
45335......... ........ A Sigmoidoscopy w/ 1.46 5.32 3.74 0.90 0.74 0.11 6.89 5.31 2.47 2.31 000
submuc inj.
45337......... ........ A Sigmoidoscopy & 2.36 NA NA 1.23 1.06 0.21 NA NA 3.80 3.63 000
decompress.
[[Page 49145]]
45338......... ........ A Sigmoidoscopy w/ 2.34 5.85 5.37 1.26 1.07 0.19 8.38 7.90 3.79 3.60 000
tumr remove.
45339......... ........ A Sigmoidoscopy w/ 3.14 5.73 4.03 1.66 1.38 0.26 9.13 7.43 5.06 4.78 000
ablate tumr.
45340......... ........ A Sig w/balloon 1.89 10.25 7.19 1.03 0.88 0.15 12.29 9.23 3.07 2.92 000
dilation.
45341......... ........ A Sigmoidoscopy w/ 2.60 NA NA 1.45 1.17 0.19 NA NA 4.24 3.96 000
ultrasound.
45342......... ........ A Sigmoidoscopy w/ 4.05 NA NA 2.15 1.69 0.30 NA NA 6.50 6.04 000
us guide bx.
45345......... ........ A Sigmoidoscopy w/ 2.92 NA NA 1.53 1.25 0.23 NA NA 4.68 4.40 000
stent.
45355......... ........ A Surgical 3.51 NA NA 1.55 1.42 0.36 NA NA 5.42 5.29 000
colonoscopy.
45378......... ........ A Diagnostic 3.69 6.36 6.20 1.81 1.56 0.30 10.35 10.19 5.80 5.55 000
colonoscopy.
45378......... 53...... A Diagnostic 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000
colonoscopy.
45379......... ........ A Colonoscopy w/ 4.68 8.14 7.78 2.20 1.91 0.39 13.21 12.85 7.27 6.98 000
fb removal.
45380......... ........ A Colonoscopy and 4.43 7.71 7.32 2.22 1.85 0.35 12.49 12.10 7.00 6.63 000
biopsy.
45381......... ........ A Colonoscopy, 4.19 7.68 7.25 2.14 1.77 0.30 12.17 11.74 6.63 6.26 000
submucous inj.
45382......... ........ A Colonoscopy/ 5.68 10.31 10.03 2.87 2.35 0.41 16.40 16.12 8.96 8.44 000
control
bleeding.
45383......... ........ A Lesion removal 5.86 8.54 8.08 2.63 2.32 0.48 14.88 14.42 8.97 8.66 000
colonoscopy.
45384......... ........ A Lesion remove 4.69 7.20 6.90 2.19 1.91 0.38 12.27 11.97 7.26 6.98 000
colonoscopy.
45385......... ........ A Lesion removal 5.30 8.33 7.93 2.57 2.17 0.42 14.05 13.65 8.29 7.89 000
colonoscopy.
45386......... ........ A Colonoscopy 4.57 12.31 12.38 2.16 1.88 0.39 17.27 17.34 7.12 6.84 000
dilate
stricture.
45387......... ........ A Colonoscopy w/ 5.90 NA NA 2.89 2.47 0.48 NA NA 9.27 8.85 000
stent.
45391......... ........ A Colonoscopy w/ 5.09 NA NA 2.54 2.11 0.42 NA NA 8.05 7.62 000
endoscope us.
45392......... ........ A Colonoscopy w/ 6.54 NA NA 3.10 2.64 0.42 NA NA 10.06 9.60 000
endoscopic fnb.
45395......... ........ A Lap, removal of 32.71 NA NA 13.06 13.52 3.62 NA NA 49.39 49.85 090
rectum.
45397......... ........ A Lap, remove 36.21 NA NA 13.59 14.09 3.66 NA NA 53.46 53.96 090
rectum w/pouch.
45400......... ........ A Laparoscopic 19.25 NA NA 7.18 7.67 2.02 NA NA 28.45 28.94 090
proctopexy.
45402......... ........ A Lap proctopexy 26.32 NA NA 8.87 9.70 2.81 NA NA 38.00 38.83 090
w/sig resect.
45499......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, rectum.
45500......... ........ A Repair of 7.58 NA NA 4.35 3.74 0.75 NA NA 12.68 12.07 090
rectum.
45505......... ........ A Repair of 8.14 NA NA 5.11 4.17 0.86 NA NA 14.11 13.17 090
rectum.
45520......... ........ A Treatment of 0.55 3.07 2.00 0.41 0.38 0.05 3.67 2.60 1.01 0.98 000
rectal
prolapse.
45540......... ........ A Correct rectal 17.98 NA NA 5.89 6.57 1.84 NA NA 25.71 26.39 090
prolapse.
45541......... ........ A Correct rectal 14.66 NA NA 6.59 6.10 1.55 NA NA 22.80 22.31 090
prolapse.
45550......... ........ A Repair rectum/ 24.61 NA NA 9.02 9.16 2.61 NA NA 36.24 36.38 090
remove sigmoid.
45560......... ........ A Repair of 11.38 NA NA 5.52 5.17 1.13 NA NA 18.03 17.68 090
rectocele.
45562......... ........ A Exploration/ 17.74 NA NA 8.17 7.28 1.83 NA NA 27.74 26.85 090
repair of
rectum.
45563......... ........ A Exploration/ 26.14 NA NA 10.97 10.63 3.10 NA NA 40.21 39.87 090
repair of
rectum.
45800......... ........ A Repair rect/ 20.12 NA NA 9.23 7.87 1.85 NA NA 31.20 29.84 090
bladder
fistula.
45805......... ........ A Repair fistula 23.13 NA NA 9.26 9.44 2.02 NA NA 34.41 34.59 090
w/colostomy.
45820......... ........ A Repair 20.18 NA NA 9.29 8.04 1.58 NA NA 31.05 29.80 090
rectourethral
fistula.
45825......... ........ A Repair fistula 23.93 NA NA 10.94 10.09 2.31 NA NA 37.18 36.33 090
w/colostomy.
45900......... ........ A Reduction of 2.94 NA NA 1.70 1.55 0.30 NA NA 4.94 4.79 010
rectal
prolapse.
45905......... ........ A Dilation of 2.30 NA NA 1.65 1.49 0.27 NA NA 4.22 4.06 010
anal sphincter.
45910......... ........ A Dilation of 2.80 NA NA 1.80 1.70 0.30 NA NA 4.90 4.80 010
rectal
narrowing.
45915......... ........ A Remove rectal 3.14 4.26 4.31 2.04 2.08 0.30 7.70 7.75 5.48 5.52 010
obstruction.
45990......... ........ A Surg dx exam, 1.80 NA NA 0.78 0.79 0.17 NA NA 2.75 2.76 000
anorectal.
45999......... ........ C Rectum surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
46020......... ........ A Placement of 2.90 3.29 2.57 2.37 1.98 0.31 6.50 5.78 5.58 5.19 010
seton.
46030......... ........ A Removal of 1.23 1.90 1.49 0.81 0.74 0.14 3.27 2.86 2.18 2.11 010
rectal marker.
46040......... ........ A Incision of 5.20 6.58 5.76 4.01 3.69 0.62 12.40 11.58 9.83 9.51 090
rectal abscess.
46045......... ........ A Incision of 5.75 NA NA 3.93 3.15 0.54 NA NA 10.22 9.44 090
rectal abscess.
46050......... ........ A Incision of 1.19 3.21 2.71 0.98 0.88 0.14 4.54 4.04 2.31 2.21 010
anal abscess.
46060......... ........ A Incision of 6.18 NA NA 3.99 3.43 0.67 NA NA 10.84 10.28 090
rectal abscess.
46070......... ........ A Incision of 2.71 NA NA 2.35 1.96 0.36 NA NA 5.42 5.03 090
anal septum.
46080......... ........ A Incision of 2.49 3.09 2.54 1.13 1.13 0.30 5.88 5.33 3.92 3.92 010
anal sphincter.
46083......... ........ A Incise external 1.40 2.36 2.48 0.95 0.93 0.15 3.91 4.03 2.50 2.48 010
hemorrhoid.
46200......... ........ A Removal of anal 3.41 6.32 4.47 3.74 3.08 0.39 10.12 8.27 7.54 6.88 090
fissure.
46210......... ........ A Removal of anal 2.67 6.00 5.33 3.39 2.81 0.31 8.98 8.31 6.37 5.79 090
crypt.
46211......... ........ A Removal of anal 4.24 7.18 5.85 4.13 3.66 0.48 11.90 10.57 8.85 8.38 090
crypts.
46220......... ........ A Removal of anal 1.56 3.01 2.47 1.10 0.99 0.17 4.74 4.20 2.83 2.72 010
tag.
46221......... ........ A Ligation of 2.29 3.75 2.92 2.00 1.81 0.23 6.27 5.44 4.52 4.33 010
hemorrhoid(s).
46230......... ........ A Removal of anal 2.57 3.52 3.18 1.34 1.30 0.30 6.39 6.05 4.21 4.17 010
tags.
46250......... ........ A Hemorrhoidectom 4.13 6.02 5.48 2.86 2.67 0.48 10.63 10.09 7.47 7.28 090
y.
46255......... ........ A Hemorrhoidectom 4.84 6.44 5.98 3.12 2.90 0.58 11.86 11.40 8.54 8.32 090
y.
46257......... ........ A Remove 5.64 NA NA 3.80 3.10 0.64 NA NA 10.08 9.38 090
hemorrhoids &
fissure.
46258......... ........ A Remove 6.22 NA NA 4.01 3.46 0.68 NA NA 10.91 10.36 090
hemorrhoids &
fistula.
46260......... ........ A Hemorrhoidectom 6.61 NA NA 4.06 3.40 0.76 NA NA 11.43 10.77 090
y.
46261......... ........ A Remove 7.57 NA NA 4.32 3.78 0.79 NA NA 12.68 12.14 090
hemorrhoids &
fissure.
46262......... ........ A Remove 7.74 NA NA 4.68 3.97 0.83 NA NA 13.25 12.54 090
hemorrhoids &
fistula.
[[Page 49146]]
46270......... ........ A Removal of anal 4.75 6.33 5.33 3.91 3.10 0.46 11.54 10.54 9.12 8.31 090
fistula.
46275......... ........ A Removal of anal 5.25 6.66 5.14 4.00 3.23 0.52 12.43 10.91 9.77 9.00 090
fistula.
46280......... ........ A Removal of anal 6.22 NA NA 4.26 3.50 0.66 NA NA 11.14 10.38 090
fistula.
46285......... ........ A Removal of anal 5.25 6.54 4.46 3.95 3.04 0.44 12.23 10.15 9.64 8.73 090
fistula.
46288......... ........ A Repair anal 7.62 NA NA 4.67 3.92 0.79 NA NA 13.08 12.33 090
fistula.
46320......... ........ A Removal of 1.61 2.42 2.20 0.89 0.86 0.18 4.21 3.99 2.68 2.65 010
hemorrhoid
clot.
46500......... ........ A Injection into 1.61 3.61 2.49 1.25 1.18 0.16 5.38 4.26 3.02 2.95 010
hemorrhoid(s).
46505......... ........ A Chemodenervatio 3.11 3.30 3.11 2.31 2.05 0.14 6.55 6.36 5.56 5.30 010
n anal musc.
46600......... ........ A Diagnostic 0.50 1.48 1.54 0.37 0.35 0.05 2.03 2.09 0.92 0.90 000
anoscopy.
46604......... ........ A Anoscopy and 1.31 12.65 10.00 0.58 0.61 0.12 14.08 11.43 2.01 2.04 000
dilation.
46606......... ........ A Anoscopy and 0.81 4.02 3.84 0.48 0.44 0.09 4.92 4.74 1.38 1.34 000
biopsy.
46608......... ........ A Anoscopy, 1.51 4.06 4.32 0.62 0.64 0.16 5.73 5.99 2.29 2.31 000
remove for
body.
46610......... ........ A Anoscopy, 1.32 4.29 4.10 0.66 0.62 0.15 5.76 5.57 2.13 2.09 000
remove lesion.
46611......... ........ A Anoscopy....... 1.81 2.88 3.22 0.72 0.77 0.19 4.88 5.22 2.72 2.77 000
46612......... ........ A Anoscopy, 2.34 5.51 5.26 0.95 0.97 0.28 8.13 7.88 3.57 3.59 000
remove lesions.
46614......... ........ A Anoscopy, 2.01 2.78 2.44 0.82 0.84 0.20 4.99 4.65 3.03 3.05 000
control
bleeding.
46615......... ........ A Anoscopy....... 2.68 2.43 2.47 0.97 1.05 0.33 5.44 5.48 3.98 4.06 000
46700......... ........ A Repair of anal 9.62 NA NA 4.72 4.33 0.94 NA NA 15.28 14.89 090
stricture.
46705......... ........ A Repair of anal 7.25 NA NA 4.08 3.78 0.91 NA NA 12.24 11.94 090
stricture.
46706......... ........ A Repr of anal 2.39 NA NA 1.45 1.30 0.28 NA NA 4.12 3.97 010
fistula w/glue.
46710......... ........ A Repr per/vag 16.95 NA NA 7.79 7.76 1.38 NA NA 26.12 26.09 090
pouch sngl
proc.
46712......... ........ A Repr per/vag 36.26 NA NA 14.16 14.82 3.66 NA NA 54.08 54.74 090
pouch dbl proc.
46715......... ........ A Rep perf anoper 7.49 NA NA 3.77 3.62 0.92 NA NA 12.18 12.03 090
fistu.
46716......... ........ A Rep perf anoper/ 17.04 NA NA 9.66 8.39 1.58 NA NA 28.28 27.01 090
vestib fistu.
46730......... ........ A Construction of 30.05 NA NA 11.66 11.93 2.46 NA NA 44.17 44.44 090
absent anus.
46735......... ........ A Construction of 35.54 NA NA 13.36 13.50 3.20 NA NA 52.10 52.24 090
absent anus.
46740......... ........ A Construction of 33.30 NA NA 14.66 13.58 2.41 NA NA 50.37 49.29 090
absent anus.
46742......... ........ A Repair of 39.54 NA NA 16.19 17.08 3.19 NA NA 58.92 59.81 090
imperforated
anus.
46744......... ........ A Repair of 58.34 NA NA 21.08 21.10 6.38 NA NA 85.80 85.82 090
cloacal
anomaly.
46746......... ........ A Repair of 64.79 NA NA 19.85 23.82 7.68 NA NA 92.32 96.29 090
cloacal
anomaly.
46748......... ........ A Repair of 70.77 NA NA 21.25 23.04 3.36 NA NA 95.38 97.17 090
cloacal
anomaly.
46750......... ........ A Repair of anal 11.96 NA NA 5.81 5.24 1.10 NA NA 18.87 18.30 090
sphincter.
46751......... ........ A Repair of anal 9.12 NA NA 4.45 5.17 0.94 NA NA 14.51 15.23 090
sphincter.
46753......... ........ A Reconstruction 8.77 NA NA 4.61 4.03 0.94 NA NA 14.32 13.74 090
of anus.
46754......... ........ A Removal of 2.82 3.73 3.63 2.27 1.82 0.19 6.74 6.64 5.28 4.83 010
suture from
anus.
46760......... ........ A Repair of anal 17.11 NA NA 8.26 7.38 1.59 NA NA 26.96 26.08 090
sphincter.
46761......... ........ A Repair of anal 15.10 NA NA 6.45 6.11 1.43 NA NA 22.98 22.64 090
sphincter.
46762......... ........ A Implant 14.58 NA NA 6.79 5.83 1.24 NA NA 22.61 21.65 090
artificial
sphincter.
46900......... ........ A Destruction, 1.91 3.62 2.84 1.30 1.28 0.17 5.70 4.92 3.38 3.36 010
anal lesion(s).
46910......... ........ A Destruction, 1.86 3.88 3.15 1.20 1.10 0.19 5.93 5.20 3.25 3.15 010
anal lesion(s).
46916......... ........ A Cryosurgery, 1.86 3.70 3.29 1.54 1.43 0.11 5.67 5.26 3.51 3.40 010
anal lesion(s).
46917......... ........ A Laser surgery, 1.86 8.73 9.02 1.21 1.14 0.21 10.80 11.09 3.28 3.21 010
anal lesions.
46922......... ........ A Excision of 1.86 4.15 3.49 1.20 1.10 0.22 6.23 5.57 3.28 3.18 010
anal lesion(s).
46924......... ........ A Destruction, 2.76 9.61 8.91 1.52 1.39 0.26 12.63 11.93 4.54 4.41 010
anal lesion(s).
46934......... ........ A Destruction of 3.75 5.41 5.16 2.80 2.91 0.32 9.48 9.23 6.87 6.98 090
hemorrhoids.
46935......... ........ A Destruction of 2.43 3.70 3.52 1.08 1.18 0.23 6.36 6.18 3.74 3.84 010
hemorrhoids.
46936......... ........ A Destruction of 3.68 6.16 5.19 2.60 2.52 0.34 10.18 9.21 6.62 6.54 090
hemorrhoids.
46937......... ........ A Cryotherapy of 2.69 4.01 3.08 1.80 1.37 0.14 6.84 5.91 4.63 4.20 010
rectal lesion.
46938......... ........ A Cryotherapy of 4.65 5.85 4.46 3.66 3.20 0.58 11.08 9.69 8.89 8.43 090
rectal lesion.
46940......... ........ A Treatment of 2.32 2.85 2.21 1.04 1.08 0.23 5.40 4.76 3.59 3.63 010
anal fissure.
46942......... ........ A Treatment of 2.04 2.80 2.07 0.95 1.00 0.19 5.03 4.30 3.18 3.23 010
anal fissure.
46945......... ........ A Ligation of 2.09 4.83 3.65 3.00 2.60 0.19 7.11 5.93 5.28 4.88 090
hemorrhoids.
46946......... ........ A Ligation of 2.58 4.65 3.95 2.66 2.46 0.27 7.50 6.80 5.51 5.31 090
hemorrhoids.
46947......... ........ A Hemorrhoidopexy 5.45 NA NA 3.12 2.81 0.75 NA NA 9.32 9.01 090
by stapling.
46999......... ........ C Anus surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47000......... ........ A Needle biopsy 1.90 7.68 4.22 0.63 0.63 0.12 9.70 6.24 2.65 2.65 000
of liver.
[[Page 49147]]
47001......... ........ A Needle biopsy, 1.90 NA NA 0.49 0.61 0.25 NA NA 2.64 2.76 ZZZ
liver add-on.
47010......... ........ A Open drainage, 19.21 NA NA 8.34 8.38 1.80 NA NA 29.35 29.39 090
liver lesion.
47011......... ........ A Percut drain, 3.69 NA NA 1.18 1.20 0.22 NA NA 5.09 5.11 000
liver lesion.
47015......... ........ A Inject/aspirate 18.31 NA NA 7.92 7.59 1.83 NA NA 28.06 27.73 090
liver cyst.
47100......... ........ A Wedge biopsy of 12.72 NA NA 6.39 6.12 1.53 NA NA 20.64 20.37 090
liver.
47120......... ........ A Partial removal 38.74 NA NA 14.23 14.91 4.65 NA NA 57.62 58.30 090
of liver.
47122......... ........ A Extensive 59.29 NA NA 19.03 20.84 7.19 NA NA 85.51 87.32 090
removal of
liver.
47125......... ........ A Partial removal 52.85 NA NA 17.27 18.94 6.45 NA NA 76.57 78.24 090
of liver.
47130......... ........ A Partial removal 57.00 NA NA 18.28 20.29 6.94 NA NA 82.22 84.23 090
of liver.
47135......... ........ R Transplantation 83.15 NA NA 28.01 30.63 9.93 NA NA 121.09 123.71 090
of liver.
47136......... ........ R Transplantation 70.25 NA NA 23.80 26.21 8.41 NA NA 102.46 104.87 090
of liver.
47140......... ........ A Partial 59.14 NA NA 21.89 22.18 5.17 NA NA 86.20 86.49 090
removal, donor
liver.
47141......... ........ A Partial 71.17 NA NA 25.67 26.59 5.17 NA NA 102.01 102.93 090
removal, donor
liver.
47142......... ........ A Partial 79.11 NA NA 27.72 29.03 5.17 NA NA 112.00 113.31 090
removal, donor
liver.
47143......... ........ C Prep donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
liver, whole.
47144......... ........ C Prep donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
liver, 3-
segment.
47145......... ........ C Prep donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
liver, lobe
split.
47146......... ........ A Prep donor 6.00 NA NA 1.54 1.92 0.83 NA NA 8.37 8.75 XXX
liver/venous.
47147......... ........ A Prep donor 7.00 NA NA 1.80 2.24 0.97 NA NA 9.77 10.21 XXX
liver/arterial.
47300......... ........ A Surgery for 17.95 NA NA 7.71 7.34 1.98 NA NA 27.64 27.27 090
liver lesion.
47350......... ........ A Repair liver 22.30 NA NA 8.95 8.88 2.58 NA NA 33.83 33.76 090
wound.
47360......... ........ A Repair liver 31.12 NA NA 11.51 11.56 3.37 NA NA 46.00 46.05 090
wound.
47361......... ........ A Repair liver 52.41 NA NA 16.93 18.12 5.85 NA NA 75.19 76.38 090
wound.
47362......... ........ A Repair liver 23.35 NA NA 9.35 8.87 2.50 NA NA 35.20 34.72 090
wound.
47370......... ........ A Laparo ablate 20.61 NA NA 7.75 8.04 2.55 NA NA 30.91 31.20 090
liver tumor rf.
47371......... ........ A Laparo ablate 20.61 NA NA 8.16 8.15 2.60 NA NA 31.37 31.36 090
liver cryosurg.
47379......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure,
liver.
47380......... ........ A Open ablate 24.37 NA NA 8.69 9.19 2.86 NA NA 35.92 36.42 090
liver tumor rf.
47381......... ........ A Open ablate 24.64 NA NA 9.23 9.49 2.84 NA NA 36.71 36.97 090
liver tumor
cryo.
47382......... ........ A Percut ablate 15.17 NA NA 5.68 5.97 0.96 NA NA 21.81 22.10 010
liver rf.
47399......... ........ C Liver surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
47400......... ........ A Incision of 36.17 NA NA 13.24 13.38 3.07 NA NA 52.48 52.62 090
liver duct.
47420......... ........ A Incision of 21.86 NA NA 8.69 8.74 2.62 NA NA 33.17 33.22 090
bile duct.
47425......... ........ A Incision of 22.14 NA NA 8.70 8.78 2.61 NA NA 33.45 33.53 090
bile duct.
47460......... ........ A Incise bile 20.35 NA NA 9.06 8.54 2.20 NA NA 31.61 31.09 090
duct sphincter.
47480......... ........ A Incision of 13.06 NA NA 6.72 6.11 1.42 NA NA 21.20 20.59 090
gallbladder.
47490......... ........ A Incision of 8.00 NA NA 5.02 5.43 0.43 NA NA 13.45 13.86 090
gallbladder.
47500......... ........ A Injection for 1.96 NA NA 0.64 0.64 0.12 NA NA 2.72 2.72 000
liver x-rays.
47505......... ........ A Injection for 0.76 NA NA 0.25 0.25 0.04 NA NA 1.05 1.05 000
liver x-rays.
47510......... ........ A Insert 7.88 NA NA 4.35 4.85 0.46 NA NA 12.69 13.19 090
catheter, bile
duct.
47511......... ........ A Insert bile 10.72 NA NA 4.67 4.98 0.62 NA NA 16.01 16.32 090
duct drain.
47525......... ........ A Change bile 5.54 14.92 15.05 2.51 2.73 0.33 20.79 20.92 8.38 8.60 010
duct catheter.
47530......... ........ A Revise/reinsert 5.90 30.79 33.03 3.26 3.60 0.37 37.06 39.30 9.53 9.87 090
bile tube.
47550......... ........ A Bile duct 3.02 NA NA 0.79 0.96 0.40 NA NA 4.21 4.38 ZZZ
endoscopy add-
on.
47552......... ........ A Biliary 6.03 NA NA 2.32 2.36 0.42 NA NA 8.77 8.81 000
endoscopy thru
skin.
47553......... ........ A Biliary 6.34 NA NA 2.05 2.06 0.37 NA NA 8.76 8.77 000
endoscopy thru
skin.
47554......... ........ A Biliary 9.05 NA NA 3.12 3.29 0.96 NA NA 13.13 13.30 000
endoscopy thru
skin.
47555......... ........ A Biliary 7.55 NA NA 2.50 2.47 0.45 NA NA 10.50 10.47 000
endoscopy thru
skin.
47556......... ........ A Biliary 8.55 NA NA 2.77 2.78 0.50 NA NA 11.82 11.83 000
endoscopy thru
skin.
47560......... ........ A Laparoscopy w/ 4.88 NA NA 1.26 1.57 0.65 NA NA 6.79 7.10 000
cholangio.
47561......... ........ A Laparo w/ 5.17 NA NA 1.57 1.83 0.66 NA NA 7.40 7.66 000
cholangio/
biopsy.
47562......... ........ A Laparoscopic 11.57 NA NA 5.32 5.07 1.46 NA NA 18.35 18.10 090
cholecystectom
y.
47563......... ........ A Laparo 11.98 NA NA 5.13 5.25 1.58 NA NA 18.69 18.81 090
cholecystectom
y/graph.
47564......... ........ A Laparo 14.21 NA NA 5.50 5.83 1.88 NA NA 21.59 21.92 090
cholecystectom
y/explr.
47570......... ........ A Laparo 12.56 NA NA 5.10 5.30 1.65 NA NA 19.31 19.51 090
cholecystoente
rostomy.
47579......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, biliary.
47600......... ........ A Removal of 15.44 NA NA 6.82 6.30 1.79 NA NA 24.05 23.53 090
gallbladder.
47605......... ........ A Removal of 15.86 NA NA 6.46 6.48 1.94 NA NA 24.26 24.28 090
gallbladder.
47610......... ........ A Removal of 20.80 NA NA 7.78 7.89 2.48 NA NA 31.06 31.17 090
gallbladder.
47612......... ........ A Removal of 21.09 NA NA 7.78 7.85 2.47 NA NA 31.34 31.41 090
gallbladder.
47620......... ........ A Removal of 22.95 NA NA 8.29 8.46 2.73 NA NA 33.97 34.14 090
gallbladder.
47630......... ........ A Remove bile 9.52 NA NA 4.55 4.80 0.65 NA NA 14.72 14.97 090
duct stone.
47700......... ........ A Exploration of 16.32 NA NA 7.33 7.38 2.06 NA NA 25.71 25.76 090
bile ducts.
47701......... ........ A Bile duct 28.55 NA NA 10.18 11.15 3.67 NA NA 42.40 43.37 090
revision.
47711......... ........ A Excision of 25.71 NA NA 9.68 9.85 3.04 NA NA 38.43 38.60 090
bile duct
tumor.
47712......... ........ A Excision of 33.53 NA NA 11.69 12.22 3.92 NA NA 49.14 49.67 090
bile duct
tumor.
[[Page 49148]]
47715......... ........ A Excision of 21.36 NA NA 8.64 8.48 2.48 NA NA 32.48 32.32 090
bile duct cyst.
47716......... ........ A Fusion of bile 19.01 NA NA 7.99 7.86 2.14 NA NA 29.14 29.01 090
duct cyst.
47720......... ........ A Fuse 18.15 NA NA 7.80 7.55 2.10 NA NA 28.05 27.80 090
gallbladder &
bowel.
47721......... ........ A Fuse upper gi 21.80 NA NA 8.69 8.59 2.52 NA NA 33.01 32.91 090
structures.
47740......... ........ A Fuse 21.04 NA NA 8.56 8.41 2.41 NA NA 32.01 31.86 090
gallbladder &
bowel.
47741......... ........ A Fuse 24.02 NA NA 9.33 9.29 2.82 NA NA 36.17 36.13 090
gallbladder &
bowel.
47760......... ........ A Fuse bile ducts 38.08 NA NA 13.24 11.43 3.41 NA NA 54.73 52.92 090
and bowel.
47765......... ........ A Fuse liver 51.95 NA NA 17.09 12.36 3.29 NA NA 72.33 67.60 090
ducts & bowel.
47780......... ........ A Fuse bile ducts 42.08 NA NA 14.27 11.96 3.49 NA NA 59.84 57.53 090
and bowel.
47785......... ........ A Fuse bile ducts 55.95 NA NA 18.09 14.19 4.09 NA NA 78.13 74.23 090
and bowel.
47800......... ........ A Reconstruction 25.98 NA NA 9.84 9.99 3.07 NA NA 38.89 39.04 090
of bile ducts.
47801......... ........ A Placement, bile 17.41 NA NA 8.19 8.15 1.16 NA NA 26.76 26.72 090
duct support.
47802......... ........ A Fuse liver duct 24.74 NA NA 9.64 9.65 2.85 NA NA 37.23 37.24 090
& intestine.
47900......... ........ A Suture bile 22.25 NA NA 8.82 8.84 2.64 NA NA 33.71 33.73 090
duct injury.
47999......... ........ C Bile tract 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
48000......... ........ A Drainage of 31.76 NA NA 11.07 11.39 3.47 NA NA 46.30 46.62 090
abdomen.
48001......... ........ A Placement of 39.50 NA NA 12.81 13.60 4.68 NA NA 56.99 57.78 090
drain,
pancreas.
48005......... ........ A Resect/debride 48.97 NA NA 16.10 16.43 5.54 NA NA 70.61 70.94 090
pancreas.
48020......... ........ A Removal of 18.90 NA NA 7.68 7.39 2.12 NA NA 28.70 28.41 090
pancreatic
stone.
48100......... ........ A Biopsy of 14.34 NA NA 5.96 5.68 1.62 NA NA 21.92 21.64 090
pancreas, open.
48102......... ........ A Needle biopsy, 4.67 9.57 8.36 1.74 1.89 0.28 14.52 13.31 6.69 6.84 010
pancreas.
48120......... ........ A Removal of 18.29 NA NA 6.98 6.88 2.09 NA NA 27.36 27.26 090
pancreas
lesion.
48140......... ........ A Partial removal 26.13 NA NA 9.48 9.51 3.02 NA NA 38.63 38.66 090
of pancreas.
48145......... ........ A Partial removal 27.20 NA NA 9.83 9.82 3.17 NA NA 40.20 40.19 090
of pancreas.
48146......... ........ A Pancreatectomy. 30.34 NA NA 12.02 11.98 3.49 NA NA 45.85 45.81 090
48148......... ........ A Removal of 20.20 NA NA 8.14 7.73 2.29 NA NA 30.63 30.22 090
pancreatic
duct.
48150......... ........ A Partial removal 52.55 NA NA 18.29 19.18 6.30 NA NA 77.14 78.03 090
of pancreas.
48152......... ........ A Pancreatectomy. 48.39 NA NA 16.84 17.85 5.78 NA NA 71.01 72.02 090
48153......... ........ A Pancreatectomy. 52.53 NA NA 18.15 19.18 6.29 NA NA 76.97 78.00 090
48154......... ........ A Pancreatectomy. 48.62 NA NA 17.15 17.95 5.82 NA NA 71.59 72.39 090
48155......... ........ A Removal of 29.19 NA NA 12.09 11.76 3.26 NA NA 44.54 44.21 090
pancreas.
48180......... ........ A Fuse pancreas 27.90 NA NA 10.01 10.11 3.27 NA NA 41.18 41.28 090
and bowel.
48400......... ........ A Injection, 1.95 NA NA 0.84 0.69 0.15 NA NA 2.94 2.79 ZZZ
intraop add-on.
48500......... ........ A Surgery of 17.97 NA NA 8.12 7.52 2.02 NA NA 28.11 27.51 090
pancreatic
cyst.
48510......... ........ A Drain 17.00 NA NA 7.64 7.48 1.82 NA NA 26.46 26.30 090
pancreatic
pseudocyst.
48511......... ........ A Drain 3.99 20.24 20.73 1.27 1.30 0.24 24.47 24.96 5.50 5.53 000
pancreatic
pseudocyst.
48520......... ........ A Fuse pancreas 18.03 NA NA 6.85 6.73 2.05 NA NA 26.93 26.81 090
cyst and bowel.
48540......... ........ A Fuse pancreas 21.82 NA NA 7.81 8.03 2.60 NA NA 32.23 32.45 090
cyst and bowel.
48545......... ........ A Pancreatorrhaph 22.04 NA NA 8.16 8.02 2.37 NA NA 32.57 32.43 090
y.
48547......... ........ A Duodenal 30.19 NA NA 10.36 10.44 3.41 NA NA 43.96 44.04 090
exclusion.
48551......... ........ C Prep donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas.
48552......... ........ A Prep donor 4.30 NA NA 1.14 1.38 0.31 NA NA 5.75 5.99 XXX
pancreas/
venous.
48554......... ........ R Transpl 36.77 NA NA 20.69 18.86 4.18 NA NA 61.64 59.81 090
allograft
pancreas.
48556......... ........ A Removal, 19.16 NA NA 9.48 8.42 2.07 NA NA 30.71 29.65 090
allograft
pancreas.
48999......... ........ C Pancreas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
49000......... ........ A Exploration of 12.40 NA NA 5.25 5.34 1.52 NA NA 19.17 19.26 090
abdomen.
49002......... ........ A Reopening of 17.51 NA NA 6.47 5.38 1.37 NA NA 25.35 24.26 090
abdomen.
49010......... ........ A Exploration 15.94 NA NA 6.36 6.01 1.51 NA NA 23.81 23.46 090
behind abdomen.
49020......... ........ A Drain abdominal 26.38 NA NA 9.95 10.12 2.84 NA NA 39.17 39.34 090
abscess.
49021......... ........ A Drain abdominal 3.37 19.73 20.72 1.08 1.10 0.20 23.30 24.29 4.65 4.67 000
abscess.
49040......... ........ A Drain, open, 16.35 NA NA 6.57 6.45 1.69 NA NA 24.61 24.49 090
abdom abscess.
49041......... ........ A Drain, percut, 3.99 19.97 19.63 1.28 1.30 0.24 24.20 23.86 5.51 5.53 000
abdom abscess.
49060......... ........ A Drain, open, 18.36 NA NA 7.30 7.39 1.74 NA NA 27.40 27.49 090
retrop abscess.
49061......... ........ A Drain, percut, 3.69 19.83 19.67 1.18 1.20 0.22 23.74 23.58 5.09 5.11 000
retroper absc.
49062......... ........ A Drain to 12.08 NA NA 5.26 5.38 1.39 NA NA 18.73 18.85 090
peritoneal
cavity.
49080......... ........ A Puncture, 1.35 2.72 3.67 0.44 0.46 0.08 4.15 5.10 1.87 1.89 000
peritoneal
cavity.
[[Page 49149]]
49081......... ........ A Removal of 1.26 2.93 2.67 0.44 0.43 0.09 4.28 4.02 1.79 1.78 000
abdominal
fluid.
49085......... ........ A Remove abdomen 13.97 NA NA 5.61 5.52 1.62 NA NA 21.20 21.11 090
foreign body.
49180......... ........ A Biopsy, 1.73 2.43 2.93 0.55 0.57 0.10 4.26 4.76 2.38 2.40 000
abdominal mass.
49200......... ........ A Removal of 10.89 NA NA 4.90 4.99 1.24 NA NA 17.03 17.12 090
abdominal
lesion.
49201......... ........ A Remove abdom 15.60 NA NA 6.48 6.89 1.87 NA NA 23.95 24.36 090
lesion,
complex.
49215......... ........ A Excise sacral 37.60 NA NA 12.80 13.73 4.37 NA NA 54.77 55.70 090
spine tumor.
49220......... ........ A Multiple 15.64 NA NA 6.30 6.54 1.88 NA NA 23.82 24.06 090
surgery,
abdomen.
49250......... ........ A Excision of 8.88 NA NA 4.32 4.28 1.08 NA NA 14.28 14.24 090
umbilicus.
49255......... ........ A Removal of 12.35 NA NA 5.68 5.62 1.43 NA NA 19.46 19.40 090
omentum.
49320......... ........ A Diag laparo 5.34 NA NA 2.54 2.61 0.65 NA NA 8.53 8.60 010
separate proc.
49321......... ........ A Laparoscopy, 5.39 NA NA 2.59 2.63 0.70 NA NA 8.68 8.72 010
biopsy.
49322......... ........ A Laparoscopy, 5.94 NA NA 2.66 2.91 0.71 NA NA 9.31 9.56 010
aspiration.
49323......... ........ A Laparo drain 10.09 NA NA 4.72 4.55 1.20 NA NA 16.01 15.84 090
lymphocele.
49329......... ........ C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
abdm/per/oment.
49400......... ........ A Air injection 1.88 2.44 2.91 0.57 0.61 0.15 4.47 4.94 2.60 2.64 000
into abdomen.
49419......... ........ A Insrt abdom 7.01 NA NA 3.49 3.54 0.81 NA NA 11.31 11.36 090
cath for
chemotx.
49420......... ........ A Insert abdom 2.22 NA NA 1.16 1.11 0.21 NA NA 3.59 3.54 000
drain, temp.
49421......... ........ A Insert abdom 5.83 NA NA 3.16 3.15 0.74 NA NA 9.73 9.72 090
drain, perm.
49422......... ........ A Remove perm 6.24 NA NA 2.64 2.83 0.83 NA NA 9.71 9.90 010
cannula/
catheter.
49423......... ........ A Exchange 1.46 13.26 13.87 0.51 0.52 0.09 14.81 15.42 2.06 2.07 000
drainage
catheter.
49424......... ........ A Assess cyst, 0.76 3.09 3.56 0.28 0.29 0.04 3.89 4.36 1.08 1.09 000
contrast
inject.
49425......... ........ A Insert abdomen- 12.07 NA NA 5.32 5.52 1.54 NA NA 18.93 19.13 090
venous drain.
49426......... ........ A Revise abdomen- 10.28 NA NA 4.55 4.71 1.28 NA NA 16.11 16.27 090
venous shunt.
49427......... ........ A Injection, 0.89 NA NA 0.28 0.30 0.07 NA NA 1.24 1.26 000
abdominal
shunt.
49428......... ........ A Ligation of 6.75 NA NA 3.08 3.71 0.80 NA NA 10.63 11.26 010
shunt.
49429......... ........ A Removal of 7.39 NA NA 3.01 3.32 1.02 NA NA 11.42 11.73 010
shunt.
49491......... ........ A Rpr hern 12.36 NA NA 5.47 5.16 1.40 NA NA 19.23 18.92 090
preemie reduc.
49492......... ........ A Rpr ing hern 15.26 NA NA 5.86 6.04 1.80 NA NA 22.92 23.10 090
premie,
blocked.
49495......... ........ A Rpr ing hernia 6.13 NA NA 3.00 2.96 0.74 NA NA 9.87 9.83 090
baby, reduc.
49496......... ........ A Rpr ing hernia 9.28 NA NA 4.39 4.30 1.07 NA NA 14.74 14.65 090
baby, blocked.
49500......... ........ A Rpr ing hernia, 5.72 NA NA 3.62 3.24 0.71 NA NA 10.05 9.67 090
init, reduce.
49501......... ........ A Rpr ing hernia, 9.24 NA NA 4.28 4.22 1.12 NA NA 14.64 14.58 090
init blocked.
49505......... ........ A Prp i/hern init 7.84 NA NA 3.92 3.79 1.03 NA NA 12.79 12.66 090
reduc >5 yr.
49507......... ........ A Prp i/hern init 9.93 NA NA 4.50 4.46 1.27 NA NA 15.70 15.66 090
block >5 yr.
49520......... ........ A Rerepair ing 9.87 NA NA 4.42 4.43 1.28 NA NA 15.57 15.58 090
hernia, reduce.
49521......... ........ A Rerepair ing 12.32 NA NA 5.04 5.18 1.59 NA NA 18.95 19.09 090
hernia,
blocked.
49525......... ........ A Repair ing 8.81 NA NA 4.17 4.10 1.13 NA NA 14.11 14.04 090
hernia,
sliding.
49540......... ........ A Repair lumbar 10.62 NA NA 4.67 4.72 1.37 NA NA 16.66 16.71 090
hernia.
49550......... ........ A Rpr rem hernia, 8.87 NA NA 4.15 4.13 1.14 NA NA 14.16 14.14 090
init, reduce.
49553......... ........ A Rpr fem hernia, 9.80 NA NA 4.45 4.42 1.24 NA NA 15.49 15.46 090
init blocked.
49555......... ........ A Rerepair fem 9.27 NA NA 4.26 4.26 1.20 NA NA 14.73 14.73 090
hernia, reduce.
49557......... ........ A Rerepair fem 11.50 NA NA 4.90 4.96 1.47 NA NA 17.87 17.93 090
hernia,
blocked.
49560......... ........ A Rpr ventral 11.80 NA NA 4.93 5.09 1.52 NA NA 18.25 18.41 090
hern init,
reduc.
49561......... ........ A Rpr ventral 15.26 NA NA 5.86 6.00 1.88 NA NA 23.00 23.14 090
hern init,
block.
49565......... ........ A Rerepair ventrl 12.25 NA NA 5.17 5.20 1.52 NA NA 18.94 18.97 090
hern, reduce.
49566......... ........ A Rerepair ventrl 15.41 NA NA 5.92 6.07 1.90 NA NA 23.23 23.38 090
hern, block.
49568......... ........ A Hernia repair w/ 4.88 NA NA 1.26 1.57 0.64 NA NA 6.78 7.09 ZZZ
mesh.
49570......... ........ A Rpr epigastric 5.93 NA NA 3.36 3.21 0.75 NA NA 10.04 9.89 090
hern, reduce.
49572......... ........ A Rpr epigastric 7.75 NA NA 3.87 3.56 0.88 NA NA 12.50 12.19 090
hern, blocked.
49580......... ........ A Rpr umbil hern, 4.35 NA NA 3.03 2.70 0.54 NA NA 7.92 7.59 090
reduc < 5 yr.
49582......... ........ A Rpr umbil hern, 7.01 NA NA 3.64 3.51 0.88 NA NA 11.53 11.40 090
block < 5 yr.
49585......... ........ A Rpr umbil hern, 6.47 NA NA 3.54 3.35 0.82 NA NA 10.83 10.64 090
reduc > 5 yr.
49587......... ........ A Rpr umbil hern, 7.92 NA NA 3.90 3.77 0.99 NA NA 12.81 12.68 090
block > 5 yr.
49590......... ........ A Repair 8.78 NA NA 4.14 4.10 1.13 NA NA 14.05 14.01 090
spigelian
hernia.
49600......... ........ A Repair 11.42 NA NA 5.20 5.29 1.32 NA NA 17.94 18.03 090
umbilical
lesion.
49605......... ........ A Repair 86.79 NA NA 26.58 28.02 9.36 NA NA 122.73 124.17 090
umbilical
lesion.
49606......... ........ A Repair 18.87 NA NA 6.66 7.43 2.45 NA NA 27.98 28.75 090
umbilical
lesion.
49610......... ........ A Repair 10.78 NA NA 4.73 5.08 1.07 NA NA 16.58 16.93 090
umbilical
lesion.
49611......... ........ A Repair 9.21 NA NA 3.66 6.14 0.78 NA NA 13.65 16.13 090
umbilical
lesion.
49650......... ........ A Laparo hernia 6.26 NA NA 3.37 3.24 0.93 NA NA 10.56 10.43 090
repair initial.
49651......... ........ A Laparo hernia 8.23 NA NA 4.26 4.10 1.14 NA NA 13.63 13.47 090
repair recur.
49659......... ........ C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
hernia repair.
49900......... ........ A Repair of 12.26 NA NA 6.35 6.25 1.62 NA NA 20.23 20.13 090
abdominal wall.
49904......... ........ A Omental flap, 22.06 NA NA 12.17 14.45 2.69 NA NA 36.92 39.20 090
extra-abdom.
49905......... ........ A Omental flap, 6.54 NA NA 1.74 2.15 0.75 NA NA 9.03 9.44 ZZZ
intra-abdom.
49906......... ........ C Free omental 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
flap,
microvasc.
[[Page 49150]]
49999......... ........ C Abdomen surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
50010......... ........ A Exploration of 12.07 NA NA 6.90 5.63 0.93 NA NA 19.90 18.63 090
kidney.
50020......... ........ A Renal abscess, 17.80 NA NA 8.63 7.96 1.34 NA NA 27.77 27.10 090
open drain.
50021......... ........ A Renal abscess, 3.37 21.26 21.55 1.09 1.10 0.20 24.83 25.12 4.66 4.67 000
percut drain.
50040......... ........ A Drainage of 16.40 NA NA 8.91 7.33 1.03 NA NA 26.34 24.76 090
kidney.
50045......... ........ A Exploration of 16.61 NA NA 8.55 7.08 1.24 NA NA 26.40 24.93 090
kidney.
50060......... ........ A Removal of 20.74 NA NA 11.10 8.64 1.36 NA NA 33.20 30.74 090
kidney stone.
50065......... ........ A Incision of 22.11 NA NA 11.69 7.48 1.59 NA NA 35.39 31.18 090
kidney.
50070......... ........ A Incision of 21.64 NA NA 11.49 9.03 1.44 NA NA 34.57 32.11 090
kidney.
50075......... ........ A Removal of 26.84 NA NA 13.79 10.87 1.80 NA NA 42.43 39.51 090
kidney stone.
50080......... ........ A Removal of 15.56 NA NA 8.64 6.86 1.04 NA NA 25.24 23.46 090
kidney stone.
50081......... ........ A Removal of 23.25 NA NA 12.32 9.64 1.54 NA NA 37.11 34.43 090
kidney stone.
50100......... ........ A Revise kidney 17.24 NA NA 7.34 7.67 2.06 NA NA 26.64 26.97 090
blood vessels.
50120......... ........ A Exploration of 17.00 NA NA 8.80 7.27 1.21 NA NA 27.01 25.48 090
kidney.
50125......... ........ A Explore and 17.61 NA NA 9.85 7.68 1.43 NA NA 28.89 26.72 090
drain kidney.
50130......... ........ A Removal of 18.61 NA NA 10.12 7.90 1.22 NA NA 29.95 27.73 090
kidney stone.
50135......... ........ A Exploration of 20.38 NA NA 10.81 8.53 1.33 NA NA 32.52 30.24 090
kidney.
50200......... ........ A Biopsy of 2.63 NA NA 1.13 1.25 0.16 NA NA 3.92 4.04 000
kidney.
50205......... ........ A Biopsy of 12.15 NA NA 5.62 5.16 1.30 NA NA 19.07 18.61 090
kidney.
50220......... ........ A Remove kidney, 18.47 NA NA 9.64 7.83 1.35 NA NA 29.46 27.65 090
open.
50225......... ........ A Removal kidney 21.67 NA NA 11.14 8.89 1.50 NA NA 34.31 32.06 090
open, complex.
50230......... ........ A Removal kidney 23.63 NA NA 11.81 9.38 1.55 NA NA 36.99 34.56 090
open, radical.
50234......... ........ A Removal of 23.84 NA NA 12.20 9.67 1.59 NA NA 37.63 35.10 090
kidney &
ureter.
50236......... ........ A Removal of 26.66 NA NA 14.10 11.21 1.76 NA NA 42.52 39.63 090
kidney &
ureter.
50240......... ........ A Partial removal 23.93 NA NA 12.78 9.95 1.55 NA NA 38.26 35.43 090
of kidney.
50250......... ........ A Cryoablate 21.98 NA NA 11.01 9.62 1.39 NA NA 34.38 32.99 090
renal mass
open.
50280......... ........ A Removal of 16.88 NA NA 9.35 7.35 1.19 NA NA 27.42 25.42 090
kidney lesion.
50290......... ........ A Removal of 15.94 NA NA 8.19 6.89 1.41 NA NA 25.54 24.24 090
kidney lesion.
50320......... ........ A Remove kidney, 22.18 NA NA 12.52 11.12 2.35 NA NA 37.05 35.65 090
living donor.
50323......... ........ C Prep cadaver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
renal
allograft.
50325......... ........ C Prep donor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
renal graft.
50327......... ........ A Prep renal 4.00 NA NA 1.10 1.29 0.29 NA NA 5.39 5.58 XXX
graft/venous.
50328......... ........ A Prep renal 3.50 NA NA 0.98 1.13 0.26 NA NA 4.74 4.89 XXX
graft/arterial.
50329......... ........ A Prep renal 3.34 NA NA 0.97 1.09 0.25 NA NA 4.56 4.68 XXX
graft/ureteral.
50340......... ........ A Removal of 13.79 NA NA 7.70 6.79 1.65 NA NA 23.14 22.23 090
kidney.
50360......... ........ A Transplantation 40.27 NA NA 18.95 16.34 3.81 NA NA 63.03 60.42 090
of kidney.
50365......... ........ A Transplantation 45.50 NA NA 19.63 18.55 4.42 NA NA 69.55 68.47 090
of kidney.
50370......... ........ A Remove 18.60 NA NA 9.35 7.69 1.67 NA NA 29.62 27.96 090
transplanted
kidney.
50380......... ........ A Reimplantation 29.48 NA NA 16.43 13.12 2.50 NA NA 48.41 45.10 090
of kidney.
50382......... ........ A Change ureter 5.50 26.41 33.69 1.86 1.86 0.34 32.25 39.53 7.70 7.70 000
stent, percut.
50384......... ........ A Remove ureter 5.00 20.77 31.61 1.69 1.71 0.31 26.08 36.92 7.00 7.02 000
stent, percut.
50387......... ........ A Change ext/int 2.00 12.75 16.85 0.66 0.67 0.12 14.87 18.97 2.78 2.79 000
ureter stent.
50389......... ........ A Remove renal 1.10 6.75 11.24 0.36 0.37 0.07 7.92 12.41 1.53 1.54 000
tube w/fluoro.
50390......... ........ A Drainage of 1.96 NA NA 0.64 0.64 0.12 NA NA 2.72 2.72 000
kidney lesion.
50391......... ........ A Instll rx agnt 1.96 1.51 1.56 0.79 0.67 0.14 3.61 3.66 2.89 2.77 000
into rnal tub.
50392......... ........ A Insert kidney 3.37 NA NA 1.40 1.49 0.20 NA NA 4.97 5.06 000
drain.
50393......... ........ A Insert ureteral 4.15 NA NA 1.66 1.75 0.25 NA NA 6.06 6.15 000
tube.
50394......... ........ A Injection for 0.76 1.88 2.48 0.56 0.64 0.05 2.69 3.29 1.37 1.45 000
kidney x-ray.
50395......... ........ A Create passage 3.37 NA NA 1.48 1.50 0.21 NA NA 5.06 5.08 000
to kidney.
50396......... ........ A Measure kidney 2.09 NA NA 1.02 1.07 0.13 NA NA 3.24 3.29 000
pressure.
50398......... ........ A Change kidney 1.46 11.99 15.23 0.52 0.52 0.09 13.54 16.78 2.07 2.07 000
tube.
50400......... ........ A Revision of 21.06 NA NA 11.12 8.68 1.38 NA NA 33.56 31.12 090
kidney/ureter.
50405......... ........ A Revision of 25.61 NA NA 13.16 10.06 1.78 NA NA 40.55 37.45 090
kidney/ureter.
50500......... ........ A Repair of 21.01 NA NA 9.29 8.61 2.01 NA NA 32.31 31.63 090
kidney wound.
50520......... ........ A Close kidney- 18.67 NA NA 9.40 7.92 1.49 NA NA 29.56 28.08 090
skin fistula.
50525......... ........ A Repair renal- 24.14 NA NA 10.99 9.49 1.83 NA NA 36.96 35.46 090
abdomen
fistula.
[[Page 49151]]
50526......... ........ A Repair renal- 26.06 NA NA 8.23 9.45 1.96 NA NA 36.25 37.47 090
abdomen
fistula.
50540......... ........ A Revision of 20.89 NA NA 10.79 8.94 1.36 NA NA 33.04 31.19 090
horseshoe
kidney.
50541......... ........ A Laparo ablate 16.72 NA NA 8.81 7.06 1.13 NA NA 26.66 24.91 090
renal cyst.
50542......... ........ A Laparo ablate 21.12 NA NA 11.24 8.91 1.39 NA NA 33.75 31.42 090
renal mass.
50543......... ........ A Laparo partial 27.10 NA NA 14.20 11.19 1.80 NA NA 43.10 40.09 090
nephrectomy.
50544......... ........ A Laparoscopy, 23.23 NA NA 11.51 9.27 1.58 NA NA 36.32 34.08 090
pyeloplasty.
50545......... ........ A Laparo radical 24.89 NA NA 12.35 9.97 1.70 NA NA 38.94 36.56 090
nephrectomy.
50546......... ........ A Laparoscopic 21.63 NA NA 11.39 9.12 1.57 NA NA 34.59 32.32 090
nephrectomy.
50547......... ........ A Laparo removal 26.20 NA NA 12.68 11.50 2.76 NA NA 41.64 40.46 090
donor kidney.
50548......... ........ A Laparo remove w/ 25.22 NA NA 12.27 9.95 1.72 NA NA 39.21 36.89 090
ureter.
50549......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, renal.
50551......... ........ A Kidney 5.59 4.61 4.26 2.66 2.14 0.40 10.60 10.25 8.65 8.13 000
endoscopy.
50553......... ........ A Kidney 5.98 4.45 4.38 2.55 2.27 0.39 10.82 10.75 8.92 8.64 000
endoscopy.
50555......... ........ A Kidney 6.52 5.12 4.89 3.03 2.51 0.45 12.09 11.86 10.00 9.48 000
endoscopy &
biopsy.
50557......... ........ A Kidney 6.61 5.28 4.76 3.07 2.49 0.47 12.36 11.84 10.15 9.57 000
endoscopy &
treatment.
50561......... ........ A Kidney 7.58 5.80 5.26 3.42 2.84 0.54 13.92 13.38 11.54 10.96 000
endoscopy &
treatment.
50562......... ........ A Renal scope w/ 10.90 NA NA 5.42 4.59 0.73 NA NA 17.05 16.22 090
tumor resect.
50570......... ........ A Kidney 9.53 NA NA 4.27 3.48 0.68 NA NA 14.48 13.69 000
endoscopy.
50572......... ........ A Kidney 10.33 NA NA 4.60 3.78 0.85 NA NA 15.78 14.96 000
endoscopy.
50574......... ........ A Kidney 11.00 NA NA 4.78 4.00 0.77 NA NA 16.55 15.77 000
endoscopy &
biopsy.
50575......... ........ A Kidney 13.96 NA NA 6.06 4.99 0.99 NA NA 21.01 19.94 000
endoscopy.
50576......... ........ A Kidney 10.97 NA NA 4.86 3.96 0.78 NA NA 16.61 15.71 000
endoscopy &
treatment.
50580......... ........ A Kidney 11.84 NA NA 5.17 4.26 0.83 NA NA 17.84 16.93 000
endoscopy &
treatment.
50590......... ........ A Fragmenting of 9.58 17.26 13.61 6.19 4.63 0.65 27.49 23.84 16.42 14.86 090
kidney stone.
50592......... ........ A Perc rf ablate 6.75 77.05 131.0 2.81 2.94 0.43 84.23 138.2 9.99 10.12 010
renal tumor.
50600......... ........ A Exploration of 16.99 NA NA 8.60 7.15 1.13 NA NA 26.72 25.27 090
ureter.
50605......... ........ A Insert ureteral 16.61 NA NA 8.00 7.05 1.45 NA NA 26.06 25.11 090
support.
50610......... ........ A Removal of 17.07 NA NA 9.12 7.50 1.43 NA NA 27.62 26.00 090
ureter stone.
50620......... ........ A Removal of 16.25 NA NA 8.97 6.99 1.07 NA NA 26.29 24.31 090
ureter stone.
50630......... ........ A Removal of 16.03 NA NA 8.30 6.78 1.09 NA NA 25.42 23.90 090
ureter stone.
50650......... ........ A Removal of 18.61 NA NA 10.15 7.95 1.23 NA NA 29.99 27.79 090
ureter.
50660......... ........ A Removal of 20.81 NA NA 10.87 8.68 1.38 NA NA 33.06 30.87 090
ureter.
50684......... ........ A Injection for 0.76 4.12 4.76 0.64 0.51 0.05 4.93 5.57 1.45 1.32 000
ureter x-ray.
50686......... ........ A Measure ureter 1.51 2.07 3.10 0.71 0.79 0.11 3.69 4.72 2.33 2.41 000
pressure.
50688......... ........ A Change of 1.17 NA NA 0.92 1.03 0.07 NA NA 2.16 2.27 010
ureter tube/
stent.
50690......... ........ A Injection for 1.16 1.43 1.72 0.72 0.72 0.07 2.66 2.95 1.95 1.95 000
ureter x-ray.
50700......... ........ A Revision of 16.48 NA NA 8.46 7.45 1.27 NA NA 26.21 25.20 090
ureter.
50715......... ........ A Release of 20.43 NA NA 8.65 8.71 2.13 NA NA 31.21 31.27 090
ureter.
50722......... ........ A Release of 17.74 NA NA 8.02 7.86 1.90 NA NA 27.66 27.50 090
ureter.
50725......... ........ A Release/revise 19.99 NA NA 9.70 8.46 1.52 NA NA 31.21 29.97 090
ureter.
50727......... ........ A Revise ureter.. 8.17 NA NA 5.78 4.65 0.61 NA NA 14.56 13.43 090
50728......... ........ A Revise ureter.. 12.00 NA NA 7.21 5.97 1.00 NA NA 20.21 18.97 090
50740......... ........ A Fusion of 19.86 NA NA 9.03 8.06 1.96 NA NA 30.85 29.88 090
ureter &
kidney.
50750......... ........ A Fusion of 21.01 NA NA 9.84 8.45 1.38 NA NA 32.23 30.84 090
ureter &
kidney.
50760......... ........ A Fusion of 19.86 NA NA 9.84 8.21 1.55 NA NA 31.25 29.62 090
ureters.
50770......... ........ A Splicing of 21.01 NA NA 10.70 8.65 1.45 NA NA 33.16 31.11 090
ureters.
50780......... ........ A Reimplant 19.74 NA NA 10.14 8.22 1.51 NA NA 31.39 29.47 090
ureter in
bladder.
50782......... ........ A Reimplant 19.51 NA NA 8.30 8.65 1.61 NA NA 29.42 29.77 090
ureter in
bladder.
50783......... ........ A Reimplant 20.52 NA NA 10.07 8.68 1.98 NA NA 32.57 31.18 090
ureter in
bladder.
50785......... ........ A Reimplant 22.02 NA NA 11.19 9.02 1.45 NA NA 34.66 32.49 090
ureter in
bladder.
50800......... ........ A Implant ureter 16.16 NA NA 9.32 7.18 1.19 NA NA 26.67 24.53 090
in bowel.
50810......... ........ A Fusion of 22.29 NA NA 9.65 9.22 2.31 NA NA 34.25 33.82 090
ureter & bowel.
50815......... ........ A Urine shunt to 21.98 NA NA 11.63 9.24 1.54 NA NA 35.15 32.76 090
intestine.
50820......... ........ A Construct bowel 23.82 NA NA 12.00 9.47 1.89 NA NA 37.71 35.18 090
bladder.
50825......... ........ A Construct bowel 30.40 NA NA 15.09 12.11 2.07 NA NA 47.56 44.58 090
bladder.
50830......... ........ A Revise urine 33.49 NA NA 15.92 13.10 2.37 NA NA 51.78 48.96 090
flow.
50840......... ........ A Replace ureter 22.11 NA NA 11.93 9.30 1.47 NA NA 35.51 32.88 090
by bowel.
50845......... ........ A Appendico- 22.11 NA NA 12.42 9.77 1.57 NA NA 36.10 33.45 090
vesicostomy.
50860......... ........ A Transplant 16.87 NA NA 9.05 7.22 1.29 NA NA 27.21 25.38 090
ureter to skin.
50900......... ........ A Repair of 14.83 NA NA 8.10 6.62 1.14 NA NA 24.07 22.59 090
ureter.
50920......... ........ A Closure ureter/ 15.60 NA NA 8.54 7.06 1.01 NA NA 25.15 23.67 090
skin fistula.
50930......... ........ A Closure ureter/ 19.98 NA NA 10.29 8.54 1.28 NA NA 31.55 29.80 090
bowel fistula.
50940......... ........ A Release of 15.72 NA NA 8.27 6.86 1.26 NA NA 25.25 23.84 090
ureter.
50945......... ........ A Laparoscopy 17.83 NA NA 8.78 7.47 1.36 NA NA 27.97 26.66 090
ureterolithoto
my.
50947......... ........ A Laparo new 25.57 NA NA 12.50 10.39 2.16 NA NA 40.23 38.12 090
ureter/bladder.
50948......... ........ A Laparo new 23.65 NA NA 12.02 9.52 1.70 NA NA 37.37 34.87 090
ureter/bladder.
[[Page 49152]]
50949......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, ureter.
50951......... ........ A Endoscopy of 5.83 4.87 4.44 2.79 2.24 0.41 11.11 10.68 9.03 8.48 000
ureter.
50953......... ........ A Endoscopy of 6.23 5.05 4.56 3.31 2.60 0.43 11.71 11.22 9.97 9.26 000
ureter.
50955......... ........ A Ureter 6.74 5.28 6.13 3.52 2.89 0.48 12.50 13.35 10.74 10.11 000
endoscopy &
biopsy.
50957......... ........ A Ureter 6.78 5.37 4.76 3.15 2.57 0.48 12.63 12.02 10.41 9.83 000
endoscopy &
treatment.
50961......... ........ A Ureter 6.04 4.85 4.48 2.82 2.34 0.41 11.30 10.93 9.27 8.79 000
endoscopy &
treatment.
50970......... ........ A Ureter 7.13 NA NA 3.30 2.67 0.52 NA NA 10.95 10.32 000
endoscopy.
50972......... ........ A Ureter 6.88 NA NA 3.14 2.63 0.49 NA NA 10.51 10.00 000
endoscopy &
catheter.
50974......... ........ A Ureter 9.16 NA NA 3.97 3.32 0.64 NA NA 13.77 13.12 000
endoscopy &
biopsy.
50976......... ........ A Ureter 9.03 NA NA 3.76 3.24 0.66 NA NA 13.45 12.93 000
endoscopy &
treatment.
50980......... ........ A Ureter 6.84 NA NA 3.13 2.56 0.48 NA NA 10.45 9.88 000
endoscopy &
treatment.
51000......... ........ A Drainage of 0.78 0.94 1.69 0.28 0.25 0.05 1.77 2.52 1.11 1.08 000
bladder.
51005......... ........ A Drainage of 1.02 2.43 4.13 0.30 0.33 0.10 3.55 5.25 1.42 1.45 000
bladder.
51010......... ........ A Drainage of 4.25 4.78 5.40 2.38 2.00 0.28 9.31 9.93 6.91 6.53 010
bladder.
51020......... ........ A Incise & treat 7.51 NA NA 5.35 4.23 0.47 NA NA 13.33 12.21 090
bladder.
51030......... ........ A Incise & treat 7.63 NA NA 4.80 4.18 0.58 NA NA 13.01 12.39 090
bladder.
51040......... ........ A Incise & drain 4.39 NA NA 3.72 3.00 0.31 NA NA 8.42 7.70 090
bladder.
51045......... ........ A Incise bladder/ 7.63 NA NA 5.23 4.25 0.52 NA NA 13.38 12.40 090
drain ureter.
51050......... ........ A Removal of 7.83 NA NA 5.38 4.08 0.49 NA NA 13.70 12.40 090
bladder stone.
51060......... ........ A Removal of 9.77 NA NA 6.42 4.98 0.62 NA NA 16.81 15.37 090
ureter stone.
51065......... ........ A Remove ureter 9.77 NA NA 6.35 4.85 0.63 NA NA 16.75 15.25 090
calculus.
51080......... ........ A Drainage of 6.57 NA NA 4.35 3.74 0.43 NA NA 11.35 10.74 090
bladder
abscess.
51500......... ........ A Removal of 10.87 NA NA 5.85 5.21 1.03 NA NA 17.75 17.11 090
bladder cyst.
51520......... ........ A Removal of 10.03 NA NA 6.51 5.13 0.69 NA NA 17.23 15.85 090
bladder lesion.
51525......... ........ A Removal of 15.24 NA NA 8.66 6.76 0.99 NA NA 24.89 22.99 090
bladder lesion.
51530......... ........ A Removal of 13.53 NA NA 7.33 6.14 1.05 NA NA 21.91 20.72 090
bladder lesion.
51535......... ........ A Repair of 13.72 NA NA 7.54 6.46 1.23 NA NA 22.49 21.41 090
ureter lesion.
51550......... ........ A Partial removal 17.05 NA NA 8.91 7.27 1.31 NA NA 27.27 25.63 090
of bladder.
51555......... ........ A Partial removal 22.97 NA NA 11.51 9.37 1.69 NA NA 36.17 34.03 090
of bladder.
51565......... ........ A Revise bladder 23.43 NA NA 12.07 9.73 1.63 NA NA 37.13 34.79 090
& ureter(s).
51570......... ........ A Removal of 27.25 NA NA 13.39 10.65 1.71 NA NA 42.35 39.61 090
bladder.
51575......... ........ A Removal of 33.93 NA NA 16.79 13.21 2.16 NA NA 52.88 49.30 090
bladder &
nodes.
51580......... ........ A Remove bladder/ 35.05 NA NA 17.64 13.77 2.24 NA NA 54.93 51.06 090
revise tract.
51585......... ........ A Removal of 39.32 NA NA 19.63 15.18 2.48 NA NA 61.43 56.98 090
bladder &
nodes.
51590......... ........ A Remove bladder/ 36.08 NA NA 17.47 13.82 2.27 NA NA 55.82 52.17 090
revise tract.
51595......... ........ A Remove bladder/ 41.04 NA NA 19.79 15.54 2.59 NA NA 63.42 59.17 090
revise tract.
51596......... ........ A Remove bladder/ 43.91 NA NA 21.37 16.76 2.77 NA NA 68.04 63.44 090
create pouch.
51597......... ........ A Removal of 42.51 NA NA 20.13 16.15 2.81 NA NA 65.45 61.47 090
pelvic
structures.
51600......... ........ A Injection for 0.88 4.25 4.85 0.31 0.30 0.06 5.19 5.79 1.25 1.24 000
bladder x-ray.
51605......... ........ A Preparation for 0.64 NA NA 0.42 0.37 0.04 NA NA 1.10 1.05 000
bladder xray.
51610......... ........ A Injection for 1.05 1.93 2.19 0.70 0.63 0.07 3.05 3.31 1.82 1.75 000
bladder x-ray.
51700......... ........ A Irrigation of 0.88 1.52 1.58 0.34 0.30 0.06 2.46 2.52 1.28 1.24 000
bladder.
51701......... ........ A Insert bladder 0.50 1.05 1.45 0.25 0.21 0.04 1.59 1.99 0.79 0.75 000
catheter.
51702......... ........ A Insert temp 0.50 1.54 1.95 0.34 0.27 0.04 2.08 2.49 0.88 0.81 000
bladder cath.
51703......... ........ A Insert bladder 1.47 2.29 2.62 0.81 0.62 0.10 3.86 4.19 2.38 2.19 000
cath, complex.
51705......... ........ A Change of 1.02 2.04 2.21 0.85 0.67 0.07 3.13 3.30 1.94 1.76 010
bladder tube.
51710......... ........ A Change of 1.49 2.75 3.19 1.19 0.88 0.11 4.35 4.79 2.79 2.48 010
bladder tube.
51715......... ........ A Endoscopic 3.73 4.47 4.04 1.76 1.45 0.29 8.49 8.06 5.78 5.47 000
injection/
implant.
51720......... ........ A Treatment of 1.50 1.64 1.72 0.75 0.71 0.14 3.28 3.36 2.39 2.35 000
bladder lesion.
51725......... ........ A Simple 1.51 4.32 5.27 4.32 5.27 0.16 5.99 6.94 5.99 6.94 000
cystometrogram.
51725......... 26...... A Simple 1.51 0.57 0.51 0.57 0.51 0.12 2.20 2.14 2.20 2.14 000
cystometrogram.
51725......... TC...... A Simple 0.00 3.75 4.76 3.75 4.76 0.04 3.79 4.80 3.79 4.80 000
cystometrogram.
51726......... ........ A Complex 1.71 7.18 7.42 7.18 7.42 0.18 9.07 9.31 9.07 9.31 000
cystometrogram.
51726......... 26...... A Complex 1.71 0.65 0.58 0.65 0.58 0.13 2.49 2.42 2.49 2.42 000
cystometrogram.
51726......... TC...... A Complex 0.00 6.53 6.84 6.53 6.84 0.05 6.58 6.89 6.58 6.89 000
cystometrogram.
51736......... ........ A Urine flow 0.61 0.91 0.66 0.91 0.66 0.06 1.58 1.33 1.58 1.33 000
measurement.
[[Page 49153]]
51736......... 26...... A Urine flow 0.61 0.23 0.21 0.23 0.21 0.05 0.89 0.87 0.89 0.87 000
measurement.
51736......... TC...... A Urine flow 0.00 0.68 0.46 0.68 0.46 0.01 0.69 0.47 0.69 0.47 000
measurement.
51741......... ........ A Electro- 1.14 1.27 0.91 1.27 0.91 0.11 2.52 2.16 2.52 2.16 000
uroflowmetry,
first.
51741......... 26...... A Electro- 1.14 0.44 0.39 0.44 0.39 0.09 1.67 1.62 1.67 1.62 000
uroflowmetry,
first.
51741......... TC...... A Electro- 0.00 0.83 0.52 0.83 0.52 0.02 0.85 0.54 0.85 0.54 000
uroflowmetry,
first.
51772......... ........ A Urethra 1.61 5.09 5.45 5.09 5.45 0.20 6.90 7.26 6.90 7.26 000
pressure
profile.
51772......... 26...... A Urethra 1.61 0.55 0.55 0.55 0.55 0.15 2.31 2.31 2.31 2.31 000
pressure
profile.
51772......... TC...... A Urethra 0.00 4.54 4.91 4.54 4.91 0.05 4.59 4.96 4.59 4.96 000
pressure
profile.
51784......... ........ A Anal/urinary 1.53 3.85 3.95 3.85 3.95 0.16 5.54 5.64 5.54 5.64 000
muscle study.
51784......... 26...... A Anal/urinary 1.53 0.52 0.51 0.52 0.51 0.12 2.17 2.16 2.17 2.16 000
muscle study.
51784......... TC...... A Anal/urinary 0.00 3.33 3.44 3.33 3.44 0.04 3.37 3.48 3.37 3.48 000
muscle study.
51785......... ........ A Anal/urinary 1.53 4.54 4.47 4.54 4.47 0.15 6.22 6.15 6.22 6.15 000
muscle study.
51785......... 26...... A Anal/urinary 1.53 0.56 0.52 0.56 0.52 0.11 2.20 2.16 2.20 2.16 000
muscle study.
51785......... TC...... A Anal/urinary 0.00 3.97 3.95 3.97 3.95 0.04 4.01 3.99 4.01 3.99 000
muscle study.
51792......... ........ A Urinary reflex 1.10 5.01 5.75 5.01 5.75 0.20 6.31 7.05 6.31 7.05 000
study.
51792......... 26...... A Urinary reflex 1.10 0.40 0.41 0.40 0.41 0.07 1.57 1.58 1.57 1.58 000
study.
51792......... TC...... A Urinary reflex 0.00 4.61 5.34 4.61 5.34 0.13 4.74 5.47 4.74 5.47 000
study.
51795......... ........ A Urine voiding 1.53 6.78 7.16 6.78 7.16 0.22 8.53 8.91 8.53 8.91 000
pressure study.
51795......... 26...... A Urine voiding 1.53 0.58 0.52 0.58 0.52 0.12 2.23 2.17 2.23 2.17 000
pressure study.
51795......... TC...... A Urine voiding 0.00 6.21 6.65 6.21 6.65 0.10 6.31 6.75 6.31 6.75 000
pressure study.
51797......... ........ A Intraabdominal 1.60 4.88 5.56 4.88 5.56 0.17 6.65 7.33 6.65 7.33 000
pressure test.
51797......... 26...... A Intraabdominal 1.60 0.60 0.55 0.60 0.55 0.12 2.32 2.27 2.32 2.27 000
pressure test.
51797......... TC...... A Intraabdominal 0.00 4.28 5.01 4.28 5.01 0.05 4.33 5.06 4.33 5.06 000
pressure test.
51798......... ........ A Us urine 0.00 0.60 0.41 NA NA 0.08 0.68 0.49 NA NA XXX
capacity
measure.
51800......... ........ A Revision of 18.68 NA NA 10.11 8.20 1.32 NA NA 30.11 28.20 090
bladder/
urethra.
51820......... ........ A Revision of 19.34 NA NA 10.54 8.85 1.74 NA NA 31.62 29.93 090
urinary tract.
51840......... ........ A Attach bladder/ 11.23 NA NA 5.81 5.62 1.06 NA NA 18.10 17.91 090
urethra.
51841......... ........ A Attach bladder/ 13.55 NA NA 6.85 6.49 1.24 NA NA 21.64 21.28 090
urethra.
51845......... ........ A Repair bladder 10.02 NA NA 5.88 5.03 0.79 NA NA 16.69 15.84 090
neck.
51860......... ........ A Repair of 12.42 NA NA 6.83 6.02 1.16 NA NA 20.41 19.60 090
bladder wound.
51865......... ........ A Repair of 15.62 NA NA 8.47 7.12 1.23 NA NA 25.32 23.97 090
bladder wound.
51880......... ........ A Repair of 7.77 NA NA 4.73 4.15 0.72 NA NA 13.22 12.64 090
bladder
opening.
51900......... ........ A Repair bladder/ 14.42 NA NA 8.04 6.56 1.21 NA NA 23.67 22.19 090
vagina lesion.
51920......... ........ A Close bladder- 13.20 NA NA 7.77 6.17 1.18 NA NA 22.15 20.55 090
uterus fistula.
51925......... ........ A Hysterectomy/ 17.28 NA NA 10.27 9.03 2.03 NA NA 29.58 28.34 090
bladder repair.
51940......... ........ A Correction of 30.41 NA NA 11.41 11.91 2.14 NA NA 43.96 44.46 090
bladder defect.
51960......... ........ A Revision of 25.12 NA NA 13.18 10.52 1.63 NA NA 39.93 37.27 090
bladder &
bowel.
51980......... ........ A Construct 12.39 NA NA 7.29 5.85 0.86 NA NA 20.54 19.10 090
bladder
opening.
51990......... ........ A Laparo urethral 13.22 NA NA 5.99 6.10 1.39 NA NA 20.60 20.71 090
suspension.
51992......... ........ A Laparo sling 14.73 NA NA 6.65 6.31 1.41 NA NA 22.79 22.45 090
operation.
51999......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, bladder.
52000......... ........ A Cystoscopy..... 2.23 3.70 3.40 1.33 0.90 0.14 6.07 5.77 3.70 3.27 000
52001......... ........ A Cystoscopy, 5.44 5.14 5.09 2.62 2.05 0.39 10.97 10.92 8.45 7.88 000
removal of
clots.
52005......... ........ A Cystoscopy & 2.37 5.79 5.62 1.39 1.02 0.17 8.33 8.16 3.93 3.56 000
ureter
catheter.
52007......... ........ A Cystoscopy and 3.02 10.83 15.04 1.64 1.27 0.22 14.07 18.28 4.88 4.51 000
biopsy.
52010......... ........ A Cystoscopy & 3.02 8.20 10.11 1.65 1.28 0.21 11.43 13.34 4.88 4.51 000
duct catheter.
52204......... ........ A Cystoscopy..... 2.59 8.39 12.98 1.40 1.03 0.17 11.15 15.74 4.16 3.79 000
52214......... ........ A Cystoscopy and 3.70 20.07 33.59 1.86 1.46 0.26 24.03 37.55 5.82 5.42 000
treatment.
52224......... ........ A Cystoscopy and 3.14 19.25 32.15 1.63 1.27 0.22 22.61 35.51 4.99 4.63 000
treatment.
52234......... ........ A Cystoscopy and 4.62 NA NA 2.31 1.82 0.33 NA NA 7.26 6.77 000
treatment.
52235......... ........ A Cystoscopy and 5.44 NA NA 2.68 2.12 0.39 NA NA 8.51 7.95 000
treatment.
52240......... ........ A Cystoscopy and 9.71 NA NA 4.42 3.58 0.69 NA NA 14.82 13.98 000
treatment.
52250......... ........ A Cystoscopy and 4.49 NA NA 2.35 1.83 0.32 NA NA 7.16 6.64 000
radiotracer.
52260......... ........ A Cystoscopy and 3.91 NA NA 1.97 1.56 0.28 NA NA 6.16 5.75 000
treatment.
52265......... ........ A Cystoscopy and 2.94 7.74 11.94 1.53 1.22 0.22 10.90 15.10 4.69 4.38 000
treatment.
52270......... ........ A Cystoscopy & 3.36 7.08 10.04 1.77 1.37 0.24 10.68 13.64 5.37 4.97 000
revise urethra.
52275......... ........ A Cystoscopy & 4.69 9.39 14.01 2.31 1.82 0.33 14.41 19.03 7.33 6.84 000
revise urethra.
52276......... ........ A Cystoscopy and 4.99 NA NA 2.48 1.96 0.35 NA NA 7.82 7.30 000
treatment.
52277......... ........ A Cystoscopy and 6.16 NA NA 2.91 2.39 0.44 NA NA 9.51 8.99 000
treatment.
52281......... ........ A Cystoscopy and 2.80 5.34 6.65 1.56 1.20 0.20 8.34 9.65 4.56 4.20 000
treatment.
52282......... ........ A Cystoscopy, 6.39 NA NA 3.01 2.43 0.45 NA NA 9.85 9.27 000
implant stent.
52283......... ........ A Cystoscopy and 3.73 4.14 3.99 1.90 1.51 0.26 8.13 7.98 5.89 5.50 000
treatment.
52285......... ........ A Cystoscopy and 3.60 4.40 4.11 1.87 1.47 0.26 8.26 7.97 5.73 5.33 000
treatment.
52290......... ........ A Cystoscopy and 4.58 NA NA 2.30 1.81 0.32 NA NA 7.20 6.71 000
treatment.
52300......... ........ A Cystoscopy and 5.30 NA NA 2.65 2.09 0.38 NA NA 8.33 7.77 000
treatment.
52301......... ........ A Cystoscopy and 5.50 NA NA 2.13 2.02 0.46 NA NA 8.09 7.98 000
treatment.
[[Page 49154]]
52305......... ........ A Cystoscopy and 5.30 NA NA 2.53 2.02 0.38 NA NA 8.21 7.70 000
treatment.
52310......... ........ A Cystoscopy and 2.81 4.05 4.53 1.45 1.14 0.20 7.06 7.54 4.46 4.15 000
treatment.
52315......... ........ A Cystoscopy and 5.20 6.70 8.17 2.51 2.00 0.37 12.27 13.74 8.08 7.57 000
treatment.
52317......... ........ A Remove bladder 6.71 17.25 26.02 3.04 2.47 0.48 24.44 33.21 10.23 9.66 000
stone.
52318......... ........ A Remove bladder 9.18 NA NA 4.11 3.35 0.65 NA NA 13.94 13.18 000
stone.
52320......... ........ A Cystoscopy and 4.69 NA NA 2.24 1.78 0.33 NA NA 7.26 6.80 000
treatment.
52325......... ........ A Cystoscopy, 6.15 NA NA 2.86 2.30 0.44 NA NA 9.45 8.89 000
stone removal.
52327......... ........ A Cystoscopy, 5.18 17.98 28.35 2.36 1.95 0.37 23.53 33.90 7.91 7.50 000
inject
material.
52330......... ........ A Cystoscopy and 5.03 20.61 34.27 2.38 1.91 0.36 26.00 39.66 7.77 7.30 000
treatment.
52332......... ........ A Cystoscopy and 2.83 12.54 7.44 1.58 1.18 0.21 15.58 10.48 4.62 4.22 000
treatment.
52334......... ........ A Create passage 4.82 NA NA 2.34 1.88 0.35 NA NA 7.51 7.05 000
to kidney.
52341......... ........ A Cysto w/ureter 5.99 NA NA 3.04 2.42 0.43 NA NA 9.46 8.84 000
stricture tx.
52342......... ........ A Cysto w/up 6.49 NA NA 3.26 2.57 0.46 NA NA 10.21 9.52 000
stricture tx.
52343......... ........ A Cysto w/renal 7.19 NA NA 3.54 2.82 0.51 NA NA 11.24 10.52 000
stricture tx.
52344......... ........ A Cysto/uretero, 7.69 NA NA 3.91 3.07 0.55 NA NA 12.15 11.31 000
stricture tx.
52345......... ........ A Cysto/uretero w/ 8.19 NA NA 4.12 3.24 0.58 NA NA 12.89 12.01 000
up stricture.
52346......... ........ A Cystouretero w/ 9.22 NA NA 4.52 3.59 0.65 NA NA 14.39 13.46 000
renal strict.
52351......... ........ A Cystouretero & 5.85 NA NA 3.00 2.36 0.41 NA NA 9.26 8.62 000
or pyeloscope.
52352......... ........ A Cystouretero w/ 6.87 NA NA 3.52 2.76 0.49 NA NA 10.88 10.12 000
stone remove.
52353......... ........ A Cystouretero w/ 7.96 NA NA 3.96 3.13 0.57 NA NA 12.49 11.66 000
lithotripsy.
52354......... ........ A Cystouretero w/ 7.33 NA NA 3.71 2.93 0.52 NA NA 11.56 10.78 000
biopsy.
52355......... ........ A Cystouretero w/ 8.81 NA NA 4.30 3.43 0.63 NA NA 13.74 12.87 000
excise tumor.
52400......... ........ A Cystouretero w/ 10.04 NA NA 5.47 4.17 0.68 NA NA 16.19 14.89 090
congen repr.
52402......... ........ A Cystourethro 5.27 NA NA 2.20 1.83 0.40 NA NA 7.87 7.50 000
cut ejacul
duct.
52450......... ........ A Incision of 7.63 NA NA 5.56 4.14 0.54 NA NA 13.73 12.31 090
prostate.
52500......... ........ A Revision of 9.33 NA NA 6.24 4.50 0.60 NA NA 16.17 14.43 090
bladder neck.
52510......... ........ A Dilation 7.45 NA NA 4.95 3.57 0.48 NA NA 12.88 11.50 090
prostatic
urethra.
52601......... ........ A Prostatectomy 15.07 NA NA 8.54 5.96 0.87 NA NA 24.48 21.90 090
(TURP).
52606......... ........ A Control postop 8.80 NA NA 5.57 4.06 0.57 NA NA 14.94 13.43 090
bleeding.
52612......... ........ A Prostatectomy, 9.02 NA NA 5.94 4.28 0.56 NA NA 15.52 13.86 090
first stage.
52614......... ........ A Prostatectomy, 7.76 NA NA 5.44 3.87 0.48 NA NA 13.68 12.11 090
second stage.
52620......... ........ A Remove residual 7.16 NA NA 4.64 3.40 0.47 NA NA 12.27 11.03 090
prostate.
52630......... ........ A Remove prostate 7.61 NA NA 4.85 3.61 0.51 NA NA 12.97 11.73 090
regrowth.
52640......... ........ A Relieve bladder 6.85 NA NA 4.45 3.33 0.47 NA NA 11.77 10.65 090
contracture.
52647......... ........ A Laser surgery 11.09 42.33 66.04 6.97 5.14 0.73 54.15 77.86 18.79 16.96 090
of prostate.
52648......... ........ A Laser surgery 11.94 42.86 66.17 7.30 5.42 0.79 55.59 78.90 20.03 18.15 090
of prostate.
52700......... ........ A Drainage of 7.35 NA NA 5.00 3.64 0.48 NA NA 12.83 11.47 090
prostate
abscess.
53000......... ........ A Incision of 2.28 NA NA 1.81 1.61 0.16 NA NA 4.25 4.05 010
urethra.
53010......... ........ A Incision of 4.31 NA NA 3.83 3.14 0.24 NA NA 8.38 7.69 090
urethra.
53020......... ........ A Incision of 1.77 NA NA 0.96 0.74 0.13 NA NA 2.86 2.64 000
urethra.
53025......... ........ A Incision of 1.13 NA NA 0.68 0.55 0.08 NA NA 1.89 1.76 000
urethra.
53040......... ........ A Drainage of 6.45 NA NA 4.45 3.69 0.45 NA NA 11.35 10.59 090
urethra
abscess.
53060......... ........ A Drainage of 2.63 2.01 2.06 1.47 1.40 0.28 4.92 4.97 4.38 4.31 010
urethra
abscess.
53080......... ........ A Drainage of 6.78 NA NA 4.94 5.70 0.52 NA NA 12.24 13.00 090
urinary
leakage.
53085......... ........ A Drainage of 11.00 NA NA 4.54 6.69 0.92 NA NA 16.46 18.60 090
urinary
leakage.
53200......... ........ A Biopsy of 2.59 1.71 1.42 1.30 1.06 0.20 4.50 4.21 4.09 3.85 000
urethra.
53210......... ........ A Removal of 13.54 NA NA 7.80 6.32 0.89 NA NA 22.23 20.75 090
urethra.
53215......... ........ A Removal of 16.67 NA NA 9.22 7.27 1.10 NA NA 26.99 25.04 090
urethra.
53220......... ........ A Treatment of 7.49 NA NA 5.04 4.04 0.49 NA NA 13.02 12.02 090
urethra lesion.
53230......... ........ A Removal of 10.26 NA NA 6.49 5.16 0.73 NA NA 17.48 16.15 090
urethra lesion.
53235......... ........ A Removal of 10.81 NA NA 6.96 5.42 0.72 NA NA 18.49 16.95 090
urethra lesion.
53240......... ........ A Surgery for 6.94 NA NA 4.80 3.84 0.52 NA NA 12.26 11.30 090
urethra pouch.
53250......... ........ A Removal of 6.38 NA NA 4.72 3.65 0.49 NA NA 11.59 10.52 090
urethra gland.
53260......... ........ A Treatment of 2.98 2.48 2.30 1.86 1.53 0.25 5.71 5.53 5.09 4.76 010
urethra lesion.
53265......... ........ A Treatment of 3.12 2.98 2.78 2.02 1.57 0.24 6.34 6.14 5.38 4.93 010
urethra lesion.
53270......... ........ A Removal of 3.09 2.31 2.23 1.72 1.59 0.30 5.70 5.62 5.11 4.98 010
urethra gland.
[[Page 49155]]
53275......... ........ A Repair of 4.52 NA NA 2.79 2.39 0.32 NA NA 7.63 7.23 010
urethra defect.
53400......... ........ A Revise urethra, 13.92 NA NA 8.23 6.57 0.98 NA NA 23.13 21.47 090
stage 1.
53405......... ........ A Revise urethra, 15.45 NA NA 8.96 6.97 1.10 NA NA 25.51 23.52 090
stage 2.
53410......... ........ A Reconstruction 17.47 NA NA 9.84 7.75 1.16 NA NA 28.47 26.38 090
of urethra.
53415......... ........ A Reconstruction 20.49 NA NA 11.00 8.25 1.37 NA NA 32.86 30.11 090
of urethra.
53420......... ........ A Reconstruct 14.99 NA NA 6.51 6.34 0.96 NA NA 22.46 22.29 090
urethra, stage
1.
53425......... ........ A Reconstruct 16.89 NA NA 9.30 7.49 1.13 NA NA 27.32 25.51 090
urethra, stage
2.
53430......... ........ A Reconstruction 17.25 NA NA 8.73 7.43 1.15 NA NA 27.13 25.83 090
of urethra.
53431......... ........ A Reconstruct 20.97 NA NA 11.08 8.81 1.41 NA NA 33.46 31.19 090
urethra/
bladder.
53440......... ........ A Male sling 15.33 NA NA 9.31 6.81 0.96 NA NA 25.60 23.10 090
procedure.
53442......... ........ A Remove/revise 13.28 NA NA 8.50 6.20 0.82 NA NA 22.60 20.30 090
male sling.
53444......... ........ A Insert tandem 14.00 NA NA 8.09 6.43 0.94 NA NA 23.03 21.37 090
cuff.
53445......... ........ A Insert uro/ves 15.15 NA NA 8.86 7.53 0.99 NA NA 25.00 23.67 090
nck sphincter.
53446......... ........ A Remove uro 10.83 NA NA 7.10 5.68 0.72 NA NA 18.65 17.23 090
sphincter.
53447......... ........ A Remove/replace 14.09 NA NA 8.48 6.94 0.95 NA NA 23.52 21.98 090
ur sphincter.
53448......... ........ A Remov/replc ur 23.20 NA NA 12.52 9.91 1.50 NA NA 37.22 34.61 090
sphinctr comp.
53449......... ........ A Repair uro 10.38 NA NA 6.70 5.22 0.68 NA NA 17.76 16.28 090
sphincter.
53450......... ........ A Revision of 6.63 NA NA 4.81 3.67 0.43 NA NA 11.87 10.73 090
urethra.
53460......... ........ A Revision of 7.61 NA NA 5.17 4.06 0.50 NA NA 13.28 12.17 090
urethra.
53500......... ........ A Urethrlys, 12.81 NA NA 7.47 6.52 0.90 NA NA 21.18 20.23 090
transvag w/
scope.
53502......... ........ A Repair of 8.12 NA NA 5.06 4.25 0.62 NA NA 13.80 12.99 090
urethra injury.
53505......... ........ A Repair of 8.12 NA NA 5.45 4.26 0.54 NA NA 14.11 12.92 090
urethra injury.
53510......... ........ A Repair of 10.78 NA NA 6.78 5.57 0.74 NA NA 18.30 17.08 090
urethra injury.
53515......... ........ A Repair of 14.04 NA NA 7.89 6.41 1.05 NA NA 22.98 21.50 090
urethra injury.
53520......... ........ A Repair of 9.30 NA NA 6.17 4.90 0.61 NA NA 16.08 14.81 090
urethra defect.
53600......... ........ A Dilate urethra 1.21 1.16 1.15 0.57 0.47 0.09 2.46 2.45 1.87 1.77 000
stricture.
53601......... ........ A Dilate urethra 0.98 1.38 1.30 0.53 0.41 0.07 2.43 2.35 1.58 1.46 000
stricture.
53605......... ........ A Dilate urethra 1.28 NA NA 0.52 0.44 0.09 NA NA 1.89 1.81 000
stricture.
53620......... ........ A Dilate urethra 1.62 1.72 1.92 0.84 0.65 0.11 3.45 3.65 2.57 2.38 000
stricture.
53621......... ........ A Dilate urethra 1.35 1.83 2.01 0.68 0.54 0.10 3.28 3.46 2.13 1.99 000
stricture.
53660......... ........ A Dilation of 0.71 1.33 1.32 0.46 0.35 0.05 2.09 2.08 1.22 1.11 000
urethra.
53661......... ........ A Dilation of 0.72 1.31 1.30 0.42 0.32 0.05 2.08 2.07 1.19 1.09 000
urethra.
53665......... ........ A Dilation of 0.76 NA NA 0.27 0.26 0.06 NA NA 1.09 1.08 000
urethra.
53850......... ........ A Prostatic 9.94 49.68 82.97 5.94 4.44 0.67 60.29 93.58 16.55 15.05 090
microwave
thermotx.
53852......... ........ A Prostatic rf 10.62 46.82 78.28 6.74 4.96 0.70 58.14 89.60 18.06 16.28 090
thermotx.
53853......... ........ A Prostatic water 5.48 29.37 48.85 4.39 3.24 0.37 35.22 54.70 10.24 9.09 090
thermother.
53899......... ........ C Urology surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
54000......... ........ A Slitting of 1.54 2.72 2.86 1.49 1.07 0.11 4.37 4.51 3.14 2.72 010
prepuce.
54001......... ........ A Slitting of 2.19 3.07 3.15 1.67 1.25 0.15 5.41 5.49 4.01 3.59 010
prepuce.
54015......... ........ A Drain penis 5.31 NA NA 3.22 2.72 0.38 NA NA 8.91 8.41 010
lesion.
54050......... ........ A Destruction, 1.24 2.05 1.76 1.35 1.11 0.08 3.37 3.08 2.67 2.43 010
penis
lesion(s).
54055......... ........ A Destruction, 1.22 1.97 1.67 1.23 0.91 0.08 3.27 2.97 2.53 2.21 010
penis
lesion(s).
54056......... ........ A Cryosurgery, 1.24 2.29 1.84 1.48 1.22 0.06 3.59 3.14 2.78 2.52 010
penis
lesion(s).
54057......... ........ A Laser surg, 1.24 2.61 2.31 1.36 0.96 0.09 3.94 3.64 2.69 2.29 010
penis
lesion(s).
54060......... ........ A Excision of 1.93 3.11 3.10 1.64 1.21 0.13 5.17 5.16 3.70 3.27 010
penis
lesion(s).
54065......... ........ A Destruction, 2.42 3.22 2.78 1.94 1.41 0.13 5.77 5.33 4.49 3.96 010
penis
lesion(s).
54100......... ........ A Biopsy of penis 1.90 3.30 2.93 1.34 0.95 0.10 5.30 4.93 3.34 2.95 000
54105......... ........ A Biopsy of penis 3.49 4.03 4.22 2.47 2.07 0.25 7.77 7.96 6.21 5.81 010
54110......... ........ A Treatment of 10.74 NA NA 6.58 5.21 0.72 NA NA 18.03 16.67 090
penis lesion.
54111......... ........ A Treat penis 14.24 NA NA 8.13 6.35 0.96 NA NA 23.33 21.55 090
lesion, graft.
54112......... ........ A Treat penis 16.77 NA NA 9.42 7.45 1.11 NA NA 27.30 25.33 090
lesion, graft.
54115......... ........ A Treatment of 6.77 5.87 4.75 5.03 3.85 0.43 13.07 11.95 12.23 11.05 090
penis lesion.
54120......... ........ A Partial removal 10.83 NA NA 6.81 5.21 0.68 NA NA 18.32 16.72 090
of penis.
54125......... ........ A Removal of 14.38 NA NA 8.25 6.43 0.95 NA NA 23.58 21.76 090
penis.
54130......... ........ A Remove penis & 21.59 NA NA 11.40 8.98 1.52 NA NA 34.51 32.09 090
nodes.
54135......... ........ A Remove penis & 27.92 NA NA 14.31 11.20 1.87 NA NA 44.10 40.99 090
nodes.
54150......... ........ A Circumcision... 1.81 2.56 3.90 0.57 0.67 0.16 4.53 5.87 2.54 2.64 000
54152......... ........ A Circumcision... 2.31 NA NA 1.72 1.33 0.19 NA NA 4.22 3.83 010
54160......... ........ A Circumcision... 2.48 3.69 4.03 1.45 1.18 0.19 6.36 6.70 4.12 3.85 010
54161......... ........ A Circumcision... 3.27 NA NA 2.22 1.73 0.23 NA NA 5.72 5.23 010
54162......... ........ A Lysis penil 3.25 4.02 4.49 2.27 1.65 0.21 7.48 7.95 5.73 5.11 010
circumic
lesion.
54163......... ........ A Repair of 3.25 NA NA 2.89 2.22 0.21 NA NA 6.35 5.68 010
circumcision.
54164......... ........ A Frenulotomy of 2.75 NA NA 2.65 2.04 0.18 NA NA 5.58 4.97 010
penis.
54200......... ........ A Treatment of 1.06 2.03 1.85 1.31 1.06 0.08 3.17 2.99 2.45 2.20 010
penis lesion.
54205......... ........ A Treatment of 8.79 NA NA 6.12 5.04 0.56 NA NA 15.47 14.39 090
penis lesion.
54220......... ........ A Treatment of 2.42 3.35 3.72 1.37 1.06 0.17 5.94 6.31 3.96 3.65 000
penis lesion.
[[Page 49156]]
54230......... ........ A Prepare penis 1.34 1.41 1.16 0.91 0.70 0.09 2.84 2.59 2.34 2.13 000
study.
54231......... ........ A Dynamic 2.04 1.87 1.50 1.18 0.95 0.16 4.07 3.70 3.38 3.15 000
cavernosometry.
54235......... ........ A Penile 1.19 1.40 1.07 0.90 0.66 0.08 2.67 2.34 2.17 1.93 000
injection.
54240......... ........ A Penis study.... 1.31 1.55 1.16 1.55 1.16 0.17 3.03 2.64 3.03 2.64 000
54240......... 26...... A Penis study.... 1.31 0.50 0.45 0.50 0.45 0.11 1.92 1.87 1.92 1.87 000
54240......... TC...... A Penis study.... 0.00 1.05 0.71 1.05 0.71 0.06 1.11 0.77 1.11 0.77 000
54250......... ........ A Penis study.... 2.22 1.25 1.00 1.25 1.00 0.18 3.65 3.40 3.65 3.40 000
54250......... 26...... A Penis study.... 2.22 0.88 0.75 0.88 0.75 0.16 3.26 3.13 3.26 3.13 000
54250......... TC...... A Penis study.... 0.00 0.37 0.24 0.37 0.24 0.02 0.39 0.26 0.39 0.26 000
54300......... ........ A Revision of 11.02 NA NA 6.80 5.87 0.76 NA NA 18.58 17.65 090
penis.
54304......... ........ A Revision of 13.10 NA NA 7.89 6.71 0.88 NA NA 21.87 20.69 090
penis.
54308......... ........ A Reconstruction 12.44 NA NA 7.58 6.36 0.84 NA NA 20.86 19.64 090
of urethra.
54312......... ........ A Reconstruction 14.30 NA NA 8.58 7.38 1.24 NA NA 24.12 22.92 090
of urethra.
54316......... ........ A Reconstruction 17.84 NA NA 10.07 8.47 1.21 NA NA 29.12 27.52 090
of urethra.
54318......... ........ A Reconstruction 12.22 NA NA 6.25 5.90 1.39 NA NA 19.86 19.51 090
of urethra.
54322......... ........ A Reconstruction 13.80 NA NA 7.94 6.82 0.92 NA NA 22.66 21.54 090
of urethra.
54324......... ........ A Reconstruction 17.34 NA NA 9.83 8.42 1.14 NA NA 28.31 26.90 090
of urethra.
54326......... ........ A Reconstruction 16.81 NA NA 9.65 8.24 1.11 NA NA 27.57 26.16 090
of urethra.
54328......... ........ A Revise penis/ 16.68 NA NA 9.73 7.86 0.98 NA NA 27.39 25.52 090
urethra.
54332......... ........ A Revise penis/ 18.16 NA NA 10.20 8.34 1.21 NA NA 29.57 27.71 090
urethra.
54336......... ........ A Revise penis/ 21.37 NA NA 11.88 10.68 2.20 NA NA 35.45 34.25 090
urethra.
54340......... ........ A Secondary 9.53 NA NA 6.43 5.38 0.63 NA NA 16.58 15.54 090
urethral
surgery.
54344......... ........ A Secondary 16.85 NA NA 9.79 8.25 1.54 NA NA 28.18 26.64 090
urethral
surgery.
54348......... ........ A Secondary 18.11 NA NA 6.40 7.86 1.23 NA NA 25.74 27.20 090
urethral
surgery.
54352......... ........ A Reconstruct 25.88 NA NA 13.72 11.81 2.24 NA NA 41.84 39.93 090
urethra/penis.
54360......... ........ A Penis plastic 12.60 NA NA 7.54 6.40 0.84 NA NA 20.98 19.84 090
surgery.
54380......... ........ A Repair penis... 13.97 NA NA 5.59 6.35 0.93 NA NA 20.49 21.25 090
54385......... ........ A Repair penis... 16.31 NA NA 8.37 8.28 0.86 NA NA 25.54 25.45 090
54390......... ........ A Repair penis 22.52 NA NA 7.49 8.92 1.54 NA NA 31.55 32.98 090
and bladder.
54400......... ........ A Insert semi- 9.04 NA NA 5.80 4.71 0.64 NA NA 15.48 14.39 090
rigid
prosthesis.
54401......... ........ A Insert self- 10.26 NA NA 8.26 6.36 0.73 NA NA 19.25 17.35 090
contd
prosthesis.
54405......... ........ A Insert multi- 14.34 NA NA 8.22 6.49 0.95 NA NA 23.51 21.78 090
comp penis
pros.
54406......... ........ A Remove muti- 12.70 NA NA 7.70 5.98 0.86 NA NA 21.26 19.54 090
comp penis
pros.
54408......... ........ A Repair multi- 13.67 NA NA 8.31 6.37 0.90 NA NA 22.88 20.94 090
comp penis
pros.
54410......... ........ A Remove/replace 16.42 NA NA 9.45 7.32 1.10 NA NA 26.97 24.84 090
penis prosth.
54411......... ........ A Remov/replc 18.06 NA NA 10.50 7.90 1.13 NA NA 29.69 27.09 090
penis pros,
comp.
54415......... ........ A Remove self- 8.69 NA NA 6.06 4.66 0.58 NA NA 15.33 13.93 090
contd penis
pros.
54416......... ........ A Remv/repl penis 11.79 NA NA 7.96 6.01 0.77 NA NA 20.52 18.57 090
contain pros.
54417......... ........ A Remv/replc 15.88 NA NA 9.22 6.93 1.00 NA NA 26.10 23.81 090
penis pros,
compl.
54420......... ........ A Revision of 12.21 NA NA 7.61 6.07 0.81 NA NA 20.63 19.08 090
penis.
54430......... ........ A Revision of 10.88 NA NA 6.99 5.57 0.72 NA NA 18.58 17.17 090
penis.
54435......... ........ A Revision of 6.67 NA NA 4.98 3.95 0.43 NA NA 12.08 11.05 090
penis.
54440......... ........ C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
54450......... ........ A Preputial 1.12 0.86 0.93 0.49 0.45 0.08 2.06 2.13 1.69 1.65 000
stretching.
54500......... ........ A Biopsy of 1.31 NA NA 0.80 0.62 0.10 NA NA 2.21 2.03 000
testis.
54505......... ........ A Biopsy of 3.45 NA NA 2.41 2.04 0.27 NA NA 6.13 5.76 010
testis.
54512......... ........ A Excise lesion 9.19 NA NA 5.72 4.52 0.67 NA NA 15.58 14.38 090
testis.
54520......... ........ A Removal of 5.22 NA NA 3.76 3.03 0.50 NA NA 9.48 8.75 090
testis.
54522......... ........ A Orchiectomy, 10.11 NA NA 5.80 5.10 0.89 NA NA 16.80 16.10 090
partial.
54530......... ........ A Removal of 9.26 NA NA 6.13 4.71 0.66 NA NA 16.05 14.63 090
testis.
54535......... ........ A Extensive 13.01 NA NA 7.59 6.05 0.95 NA NA 21.55 20.01 090
testis surgery.
54550......... ........ A Exploration for 8.27 NA NA 5.38 4.20 0.59 NA NA 14.24 13.06 090
testis.
54560......... ........ A Exploration for 11.92 NA NA 6.32 5.44 0.90 NA NA 19.14 18.26 090
testis.
54600......... ........ A Reduce testis 7.50 NA NA 5.18 3.95 0.51 NA NA 13.19 11.96 090
torsion.
54620......... ........ A Suspension of 5.14 NA NA 3.28 2.64 0.37 NA NA 8.79 8.15 010
testis.
54640......... ........ A Suspension of 7.53 NA NA 5.50 4.17 0.62 NA NA 13.65 12.32 090
testis.
[[Page 49157]]
54650......... ........ A Orchiopexy 12.18 NA NA 7.72 5.97 1.16 NA NA 21.06 19.31 090
(Fowler-
Stephens).
54660......... ........ A Revision of 5.60 NA NA 4.44 3.35 0.44 NA NA 10.48 9.39 090
testis.
54670......... ........ A Repair testis 6.52 NA NA 4.84 3.86 0.47 NA NA 11.83 10.85 090
injury.
54680......... ........ A Relocation of 13.86 NA NA 7.78 6.55 1.16 NA NA 22.80 21.57 090
testis(es).
54690......... ........ A Laparoscopy, 11.56 NA NA 6.20 5.25 1.02 NA NA 18.78 17.83 090
orchiectomy.
54692......... ........ A Laparoscopy, 13.60 NA NA 7.66 5.98 1.30 NA NA 22.56 20.88 090
orchiopexy.
54699......... ........ C Laparoscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
proc, testis.
54700......... ........ A Drainage of 3.42 NA NA 2.40 2.05 0.28 NA NA 6.10 5.75 010
scrotum.
54800......... ........ A Biopsy of 2.33 NA NA 1.00 0.93 0.23 NA NA 3.56 3.49 000
epididymis.
54820......... ........ A Exploration of 5.63 NA NA 4.32 3.28 0.40 NA NA 10.35 9.31 090
epididymis.
54830......... ........ A Remove 5.87 NA NA 4.48 3.38 0.41 NA NA 10.76 9.66 090
epididymis
lesion.
54840......... ........ A Remove 5.19 NA NA 3.84 3.04 0.37 NA NA 9.40 8.60 090
epididymis
lesion.
54860......... ........ A Removal of 6.81 NA NA 4.92 3.71 0.45 NA NA 12.18 10.97 090
epididymis.
54861......... ........ A Removal of 9.52 NA NA 6.32 4.81 0.63 NA NA 16.47 14.96 090
epididymis.
54900......... ........ A Fusion of 13.99 NA NA 5.29 5.66 0.93 NA NA 20.21 20.58 090
spermatic
ducts.
54901......... ........ A Fusion of 18.85 NA NA 6.64 7.29 1.82 NA NA 27.31 27.96 090
spermatic
ducts.
55000......... ........ A Drainage of 1.43 1.86 2.01 0.92 0.72 0.11 3.40 3.55 2.46 2.26 000
hydrocele.
55040......... ........ A Removal of 5.35 NA NA 3.98 3.16 0.43 NA NA 9.76 8.94 090
hydrocele.
55041......... ........ A Removal of 8.36 NA NA 5.74 4.41 0.60 NA NA 14.70 13.37 090
hydroceles.
55060......... ........ A Repair of 6.01 NA NA 4.47 3.42 0.46 NA NA 10.94 9.89 090
hydrocele.
55100......... ........ A Drainage of 2.38 3.52 3.63 2.12 1.70 0.17 6.07 6.18 4.67 4.25 010
scrotum
abscess.
55110......... ........ A Explore scrotum 6.19 NA NA 4.52 3.47 0.43 NA NA 11.14 10.09 090
55120......... ........ A Removal of 5.58 NA NA 4.30 3.28 0.39 NA NA 10.27 9.25 090
scrotum lesion.
55150......... ........ A Removal of 7.96 NA NA 5.49 4.25 0.56 NA NA 14.01 12.77 090
scrotum.
55175......... ........ A Revision of 5.73 NA NA 4.38 3.35 0.37 NA NA 10.48 9.45 090
scrotum.
55180......... ........ A Revision of 11.57 NA NA 7.32 5.84 0.90 NA NA 19.79 18.31 090
scrotum.
55200......... ........ A Incision of 4.48 8.27 11.30 3.38 2.62 0.33 13.08 16.11 8.19 7.43 090
sperm duct.
55250......... ........ A Removal of 3.29 7.74 10.54 3.00 2.41 0.25 11.28 14.08 6.54 5.95 090
sperm duct(s).
55300......... ........ A Prepare, sperm 3.50 NA NA 1.63 1.39 0.25 NA NA 5.38 5.14 000
duct x-ray.
55400......... ........ A Repair of sperm 8.48 NA NA 5.50 4.41 0.64 NA NA 14.62 13.53 090
duct.
55450......... ........ A Ligation of 4.36 6.00 6.74 2.86 2.11 0.29 10.65 11.39 7.51 6.76 010
sperm duct.
55500......... ........ A Removal of 6.08 NA NA 4.26 3.38 0.55 NA NA 10.89 10.01 090
hydrocele.
55520......... ........ A Removal of 6.52 NA NA 3.86 3.40 0.75 NA NA 11.13 10.67 090
sperm cord
lesion.
55530......... ........ A Revise 5.65 NA NA 4.16 3.29 0.45 NA NA 10.26 9.39 090
spermatic cord
veins.
55535......... ........ A Revise 7.05 NA NA 4.88 3.76 0.47 NA NA 12.40 11.28 090
spermatic cord
veins.
55540......... ........ A Revise hernia & 8.16 NA NA 4.32 3.92 0.94 NA NA 13.42 13.02 090
sperm veins.
55550......... ........ A Laparo ligate 7.06 NA NA 4.58 3.61 0.57 NA NA 12.21 11.24 090
spermatic vein.
55559......... ........ C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
spermatic cord.
55600......... ........ A Incise sperm 6.87 NA NA 4.95 3.73 0.62 NA NA 12.44 11.22 090
duct pouch.
55605......... ........ A Incise sperm 8.58 NA NA 4.94 4.45 0.64 NA NA 14.16 13.67 090
duct pouch.
55650......... ........ A Remove sperm 12.47 NA NA 7.31 5.77 0.92 NA NA 20.70 19.16 090
duct pouch.
55680......... ........ A Remove sperm 5.56 NA NA 3.90 3.20 0.47 NA NA 9.93 9.23 090
pouch lesion.
55700......... ........ A Biopsy of 2.58 3.75 4.08 1.34 0.82 0.11 6.44 6.77 4.03 3.51 000
prostate.
55705......... ........ A Biopsy of 4.56 NA NA 2.89 2.44 0.32 NA NA 7.77 7.32 010
prostate.
55720......... ........ A Drainage of 7.63 NA NA 4.84 4.07 0.95 NA NA 13.42 12.65 090
prostate
abscess.
55725......... ........ A Drainage of 9.84 NA NA 6.41 4.96 0.70 NA NA 16.95 15.50 090
prostate
abscess.
55801......... ........ A Removal of 19.55 NA NA 10.68 8.37 1.34 NA NA 31.57 29.26 090
prostate.
55810......... ........ A Extensive 24.08 NA NA 12.49 9.81 1.60 NA NA 38.17 35.49 090
prostate
surgery.
55812......... ........ A Extensive 29.61 NA NA 15.07 11.99 2.04 NA NA 46.72 43.64 090
prostate
surgery.
55815......... ........ A Extensive 32.67 NA NA 16.50 13.03 2.16 NA NA 51.33 47.86 090
prostate
surgery.
55821......... ........ A Removal of 15.58 NA NA 8.79 6.84 1.01 NA NA 25.38 23.43 090
prostate.
55831......... ........ A Removal of 17.01 NA NA 9.37 7.32 1.10 NA NA 27.48 25.43 090
prostate.
55840......... ........ A Extensive 24.38 NA NA 12.82 10.15 1.61 NA NA 38.81 36.14 090
prostate
surgery.
55842......... ........ A Extensive 26.24 NA NA 13.67 10.78 1.72 NA NA 41.63 38.74 090
prostate
surgery.
55845......... ........ A Extensive 30.46 NA NA 14.90 11.91 2.02 NA NA 47.38 44.39 090
prostate
surgery.
55859......... ........ A Percut/needle 13.25 NA NA 7.90 6.35 0.89 NA NA 22.04 20.49 090
insert, pros.
55860......... ........ A Surgical 15.66 NA NA 8.73 6.98 1.02 NA NA 25.41 23.66 090
exposure,
prostate.
55862......... ........ A Extensive 19.83 NA NA 10.84 8.58 1.49 NA NA 32.16 29.90 090
prostate
surgery.
55865......... ........ A Extensive 24.32 NA NA 12.97 10.17 1.63 NA NA 38.92 36.12 090
prostate
surgery.
55866......... ........ A Laparo radical 32.17 NA NA 16.15 12.81 2.16 NA NA 50.48 47.14 090
prostatectomy.
55870......... ........ A Electroejaculat 2.58 2.47 1.77 1.44 1.17 0.16 5.21 4.51 4.18 3.91 000
ion.
55873......... ........ A Cryoablate 20.19 NA NA 11.44 9.56 1.38 NA NA 33.01 31.13 090
prostate.
55899......... ........ C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
56405......... ........ A I & D of vulva/ 1.44 1.18 1.29 1.16 1.15 0.17 2.79 2.90 2.77 2.76 010
perineum.
56420......... ........ A Drainage of 1.39 1.52 2.08 0.78 0.98 0.16 3.07 3.63 2.33 2.53 010
gland abscess.
56440......... ........ A Surgery for 2.84 NA NA 1.54 1.67 0.34 NA NA 4.72 4.85 010
vulva lesion.
[[Page 49158]]
56441......... ........ A Lysis of labial 1.97 1.71 1.79 1.56 1.45 0.20 3.88 3.96 3.73 3.62 010
lesion(s).
56501......... ........ A Destroy, vulva 1.53 1.64 1.75 1.22 1.24 0.18 3.35 3.46 2.93 2.95 010
lesions, sim.
56515......... ........ A Destroy vulva 3.01 2.37 2.50 1.73 1.79 0.33 5.71 5.84 5.07 5.13 010
lesion/s compl.
56605......... ........ A Biopsy of vulva/ 1.10 0.91 1.03 0.35 0.43 0.13 2.14 2.26 1.58 1.66 000
perineum.
56606......... ........ A Biopsy of vulva/ 0.55 0.36 0.46 0.16 0.21 0.07 0.98 1.08 0.78 0.83 ZZZ
perineum.
56620......... ........ A Partial removal 8.39 NA NA 4.41 4.70 0.90 NA NA 13.70 13.99 090
of vulva.
56625......... ........ A Complete 9.50 NA NA 4.77 5.18 1.02 NA NA 15.28 15.70 090
removal of
vulva.
56630......... ........ A Extensive vulva 14.62 NA NA 6.28 6.69 1.49 NA NA 22.39 22.80 090
surgery.
56631......... ........ A Extensive vulva 18.75 NA NA 7.74 8.54 1.95 NA NA 28.44 29.24 090
surgery.
56632......... ........ A Extensive vulva 21.51 NA NA 9.30 9.46 2.38 NA NA 33.19 33.35 090
surgery.
56633......... ........ A Extensive vulva 19.41 NA NA 7.79 8.39 1.97 NA NA 29.17 29.77 090
surgery.
56634......... ........ A Extensive vulva 20.42 NA NA 8.18 9.11 2.16 NA NA 30.76 31.69 090
surgery.
56637......... ........ A Extensive vulva 24.51 NA NA 9.20 10.60 2.60 NA NA 36.31 37.71 090
surgery.
56640......... ........ A Extensive vulva 24.60 NA NA 9.07 10.23 2.88 NA NA 36.55 37.71 090
surgery.
56700......... ........ A Partial removal 2.77 NA NA 1.77 1.82 0.30 NA NA 4.84 4.89 010
of hymen.
56720......... ........ A Incision of 0.68 NA NA 0.52 0.51 0.08 NA NA 1.28 1.27 000
hymen.
56740......... ........ A Remove vagina 4.81 NA NA 2.32 2.50 0.56 NA NA 7.69 7.87 010
gland lesion.
56800......... ........ A Repair of 3.88 NA NA 2.00 2.14 0.44 NA NA 6.32 6.46 010
vagina.
56805......... ........ A Repair clitoris 19.69 NA NA 9.28 9.38 2.14 NA NA 31.11 31.21 090
56810......... ........ A Repair of 4.24 NA NA 2.06 2.23 0.49 NA NA 6.79 6.96 010
perineum.
56820......... ........ A Exam of vulva w/ 1.50 1.20 1.28 0.53 0.62 0.18 2.88 2.96 2.21 2.30 000
scope.
56821......... ........ A Exam/biopsy of 2.05 1.55 1.70 0.69 0.86 0.25 3.85 4.00 2.99 3.16 000
vulva w/scope.
57000......... ........ A Exploration of 2.97 NA NA 1.72 1.72 0.31 NA NA 5.00 5.00 010
vagina.
57010......... ........ A Drainage of 6.70 NA NA 3.85 3.81 0.71 NA NA 11.26 11.22 090
pelvic abscess.
57020......... ........ A Drainage of 1.50 0.76 0.90 0.45 0.56 0.18 2.44 2.58 2.13 2.24 000
pelvic fluid.
57022......... ........ A I & d vaginal 2.68 NA NA 1.44 1.48 0.26 NA NA 4.38 4.42 010
hematoma, pp.
57023......... ........ A I & d vag 5.11 NA NA 2.40 2.53 0.58 NA NA 8.09 8.22 010
hematoma, non-
ob.
57061......... ........ A Destroy vag 1.25 1.52 1.62 1.12 1.12 0.15 2.92 3.02 2.52 2.52 010
lesions,
simple.
57065......... ........ A Destroy vag 2.61 2.03 2.23 1.49 1.63 0.31 4.95 5.15 4.41 4.55 010
lesions,
complex.
57100......... ........ A Biopsy of 1.20 0.93 1.04 0.37 0.45 0.14 2.27 2.38 1.71 1.79 000
vagina.
57105......... ........ A Biopsy of 1.69 1.59 1.74 1.34 1.40 0.20 3.48 3.63 3.23 3.29 010
vagina.
57106......... ........ A Remove vagina 7.29 NA NA 4.26 4.20 0.73 NA NA 12.28 12.22 090
wall, partial.
57107......... ........ A Remove vagina 24.37 NA NA 9.11 10.12 2.71 NA NA 36.19 37.20 090
tissue, part.
57109......... ........ A Vaginectomy 28.19 NA NA 10.34 11.02 3.21 NA NA 41.74 42.42 090
partial w/
nodes.
57110......... ........ A Remove vagina 15.34 NA NA 6.27 7.02 1.73 NA NA 23.34 24.09 090
wall, complete.
57111......... ........ A Remove vagina 28.19 NA NA 10.26 12.02 3.17 NA NA 41.62 43.38 090
tissue, compl.
57112......... ........ A Vaginectomy w/ 30.31 NA NA 11.58 11.96 3.07 NA NA 44.96 45.34 090
nodes, compl.
57120......... ........ A Closure of 8.14 NA NA 4.21 4.50 0.89 NA NA 13.24 13.53 090
vagina.
57130......... ........ A Remove vagina 2.43 1.99 2.11 1.49 1.53 0.29 4.71 4.83 4.21 4.25 010
lesion.
57135......... ........ A Remove vagina 2.67 2.03 2.20 1.54 1.62 0.31 5.01 5.18 4.52 4.60 010
lesion.
57150......... ........ A Treat vagina 0.55 0.58 0.97 0.16 0.20 0.07 1.20 1.59 0.78 0.82 000
infection.
57155......... ........ A Insert uteri 6.75 NA NA 3.11 4.20 0.43 NA NA 10.29 11.38 090
tandems/ovoids.
57160......... ........ A Insert pessary/ 0.89 1.05 1.02 0.26 0.32 0.10 2.04 2.01 1.25 1.31 000
other device.
57170......... ........ A Fitting of 0.91 0.57 1.25 0.25 0.31 0.11 1.59 2.27 1.27 1.33 000
diaphragm/cap.
57180......... ........ A Treat vaginal 1.58 1.85 2.08 0.92 1.18 0.19 3.62 3.85 2.69 2.95 010
bleeding.
57200......... ........ A Repair of 4.31 NA NA 2.95 2.91 0.46 NA NA 7.72 7.68 090
vagina.
57210......... ........ A Repair vagina/ 5.60 NA NA 3.28 3.39 0.62 NA NA 9.50 9.61 090
perineum.
57220......... ........ A Revision of 4.74 NA NA 3.03 3.08 0.51 NA NA 8.28 8.33 090
urethra.
57230......... ........ A Repair of 6.19 NA NA 3.78 3.50 0.54 NA NA 10.51 10.23 090
urethral
lesion.
57240......... ........ A Repair bladder 11.38 NA NA 5.47 4.23 0.62 NA NA 17.47 16.23 090
& vagina.
57250......... ........ A Repair rectum & 11.38 NA NA 5.04 3.94 0.65 NA NA 17.07 15.97 090
vagina.
57260......... ........ A Repair of 14.32 NA NA 5.86 5.09 0.97 NA NA 21.15 20.38 090
vagina.
57265......... ........ A Extensive 15.82 NA NA 6.33 6.11 1.32 NA NA 23.47 23.25 090
repair of
vagina.
57267......... ........ A Insert mesh/ 4.88 NA NA 1.52 1.86 0.64 NA NA 7.04 7.38 ZZZ
pelvic flr
addon.
57268......... ........ A Repair of bowel 7.43 NA NA 4.31 4.22 0.79 NA NA 12.53 12.44 090
bulge.
57270......... ........ A Repair of bowel 13.53 NA NA 5.71 6.11 1.42 NA NA 20.66 21.06 090
pouch.
[[Page 49159]]
57280......... ........ A Suspension of 16.58 NA NA 7.02 7.28 1.67 NA NA 25.27 25.53 090
vagina.
57282......... ........ A Colpopexy, 7.79 NA NA 4.43 4.48 1.02 NA NA 13.24 13.29 090
extraperitonea
l.
57283......... ........ A Colpopexy, 11.54 NA NA 5.24 5.74 1.02 NA NA 17.80 18.30 090
intraperitonea
l.
57284......... ........ A Repair 13.43 NA NA 6.77 7.05 1.41 NA NA 21.61 21.89 090
paravaginal
defect.
57287......... ........ A Revise/remove 11.43 NA NA 6.47 5.72 0.90 NA NA 18.80 18.05 090
sling repair.
57288......... ........ A Repair bladder 13.95 NA NA 7.09 6.20 1.12 NA NA 22.16 21.27 090
defect.
57289......... ........ A Repair bladder 12.63 NA NA 6.23 6.08 1.21 NA NA 20.07 19.92 090
& vagina.
57291......... ........ A Construction of 8.50 NA NA 4.39 4.79 0.93 NA NA 13.82 14.22 090
vagina.
57292......... ........ A Construct 13.87 NA NA 5.99 6.70 1.58 NA NA 21.44 22.15 090
vagina with
graft.
57295......... ........ A Change vaginal 7.70 NA NA 3.77 4.27 0.91 NA NA 12.38 12.88 090
graft.
57300......... ........ A Repair rectum- 8.53 NA NA 4.48 4.33 0.87 NA NA 13.88 13.73 090
vagina fistula.
57305......... ........ A Repair rectum- 15.18 NA NA 6.20 6.25 1.72 NA NA 23.10 23.15 090
vagina fistula.
57307......... ........ A Fistula repair 16.96 NA NA 7.04 7.00 2.01 NA NA 26.01 25.97 090
& colostomy.
57308......... ........ A Fistula repair, 10.42 NA NA 4.88 5.04 1.14 NA NA 16.44 16.60 090
transperine.
57310......... ........ A Repair 7.51 NA NA 5.05 4.14 0.54 NA NA 13.10 12.19 090
urethrovaginal
lesion.
57311......... ........ A Repair 8.77 NA NA 5.16 4.37 0.65 NA NA 14.58 13.79 090
urethrovaginal
lesion.
57320......... ........ A Repair bladder- 8.74 NA NA 5.34 4.61 0.69 NA NA 14.77 14.04 090
vagina lesion.
57330......... ........ A Repair bladder- 13.07 NA NA 7.18 6.07 1.06 NA NA 21.31 20.20 090
vagina lesion.
57335......... ........ A Repair vagina.. 19.81 NA NA 8.80 8.97 1.91 NA NA 30.52 30.69 090
57400......... ........ A Dilation of 2.27 NA NA 0.99 1.08 0.26 NA NA 3.52 3.61 000
vagina.
57410......... ........ A Pelvic 1.75 NA NA 0.92 0.90 0.18 NA NA 2.85 2.83 000
examination.
57415......... ........ A Remove vaginal 2.42 NA NA 1.51 1.44 0.24 NA NA 4.17 4.10 010
foreign body.
57420......... ........ A Exam of vagina 1.60 1.24 1.32 0.57 0.65 0.19 3.03 3.11 2.36 2.44 000
w/scope.
57421......... ........ A Exam/biopsy of 2.20 1.60 1.78 0.73 0.90 0.27 4.07 4.25 3.20 3.37 000
vag w/scope.
57425......... ........ A Laparoscopy, 16.89 NA NA 7.00 6.72 1.75 NA NA 25.64 25.36 090
surg,
colpopexy.
57452......... ........ A Exam of cervix 1.50 1.19 1.26 0.75 0.76 0.18 2.87 2.94 2.43 2.44 000
w/scope.
57454......... ........ A Bx/curett of 2.33 1.41 1.58 0.97 1.11 0.28 4.02 4.19 3.58 3.72 000
cervix w/scope.
57455......... ........ A Biopsy of 1.99 1.51 1.67 0.67 0.82 0.24 3.74 3.90 2.90 3.05 000
cervix w/scope.
57456......... ........ A Endocerv 1.85 1.47 1.61 0.63 0.77 0.22 3.54 3.68 2.70 2.84 000
curettage w/
scope.
57460......... ........ A Bx of cervix w/ 2.83 4.33 5.46 1.11 1.31 0.34 7.50 8.63 4.28 4.48 000
scope, leep.
57461......... ........ A Conz of cervix 3.43 4.63 5.73 1.08 1.37 0.41 8.47 9.57 4.92 5.21 000
w/scope, leep.
57500......... ........ A Biopsy of 1.20 2.03 2.41 0.65 0.64 0.12 3.35 3.73 1.97 1.96 000
cervix.
57505......... ........ A Endocervical 1.14 1.32 1.43 1.07 1.09 0.14 2.60 2.71 2.35 2.37 010
curettage.
57510......... ........ A Cauterization 1.90 1.32 1.50 0.91 1.01 0.23 3.45 3.63 3.04 3.14 010
of cervix.
57511......... ........ A Cryocautery of 1.90 1.61 1.77 1.27 1.35 0.23 3.74 3.90 3.40 3.48 010
cervix.
57513......... ........ A Laser surgery 1.90 1.57 1.68 1.28 1.37 0.23 3.70 3.81 3.41 3.50 010
of cervix.
57520......... ........ A Conization of 4.03 3.39 3.80 2.52 2.78 0.49 7.91 8.32 7.04 7.30 090
cervix.
57522......... ........ A Conization of 3.60 2.79 3.06 2.27 2.41 0.41 6.80 7.07 6.28 6.42 090
cervix.
57530......... ........ A Removal of 5.16 NA NA 3.12 3.32 0.58 NA NA 8.86 9.06 090
cervix.
57531......... ........ A Removal of 29.71 NA NA 10.66 12.54 3.34 NA NA 43.71 45.59 090
cervix,
radical.
57540......... ........ A Removal of 13.15 NA NA 5.61 6.08 1.49 NA NA 20.25 20.72 090
residual
cervix.
57545......... ........ A Remove cervix/ 13.96 NA NA 6.23 6.56 1.52 NA NA 21.71 22.04 090
repair pelvis.
57550......... ........ A Removal of 6.20 NA NA 3.65 3.78 0.67 NA NA 10.52 10.65 090
residual
cervix.
57555......... ........ A Remove cervix/ 9.80 NA NA 4.80 5.01 1.09 NA NA 15.69 15.90 090
repair vagina.
57556......... ........ A Remove cervix, 9.22 NA NA 4.68 4.81 0.92 NA NA 14.82 14.95 090
repair bowel.
57700......... ........ A Revision of 4.17 NA NA 3.31 3.15 0.41 NA NA 7.89 7.73 090
cervix.
57720......... ........ A Revision of 4.50 NA NA 2.92 3.06 0.49 NA NA 7.91 8.05 090
cervix.
57800......... ........ A Dilation of 0.77 0.71 0.75 0.42 0.46 0.09 1.57 1.61 1.28 1.32 000
cervical canal.
57820......... ........ A D & c of 1.67 1.35 1.44 1.05 1.12 0.20 3.22 3.31 2.92 2.99 010
residual
cervix.
58100......... ........ A Biopsy of 1.53 1.14 1.28 0.59 0.69 0.18 2.85 2.99 2.30 2.40 000
uterus lining.
58110......... ........ A Bx done w/ 0.77 0.40 0.51 0.21 0.29 0.09 1.26 1.37 1.07 1.15 ZZZ
colposcopy add-
on.
58120......... ........ A Dilation and 3.52 2.72 2.41 1.67 1.82 0.39 6.63 6.32 5.58 5.73 010
curettage.
58140......... ........ A Myomectomy 15.65 NA NA 6.25 6.89 1.81 NA NA 23.71 24.35 090
abdom method.
58145......... ........ A Myomectomy vag 8.77 NA NA 4.28 4.66 0.97 NA NA 14.02 14.40 090
method.
58146......... ........ A Myomectomy 20.20 NA NA 7.36 8.59 2.32 NA NA 29.88 31.11 090
abdom complex.
58150......... ........ A Total 17.17 NA NA 6.59 7.26 1.84 NA NA 25.60 26.27 090
hysterectomy.
58152......... ........ A Total 21.68 NA NA 8.18 9.43 2.47 NA NA 32.33 33.58 090
hysterectomy.
58180......... ........ A Partial 16.46 NA NA 6.38 7.18 1.64 NA NA 24.48 25.28 090
hysterectomy.
58200......... ........ A Extensive 22.96 NA NA 8.15 9.53 2.54 NA NA 33.65 35.03 090
hysterectomy.
58210......... ........ A Extensive 30.70 NA NA 10.71 12.57 3.37 NA NA 44.78 46.64 090
hysterectomy.
58240......... ........ A Removal of 43.13 NA NA 15.92 17.19 4.22 NA NA 63.27 64.54 090
pelvis
contents.
58260......... ........ A Vaginal 13.98 NA NA 5.83 6.48 1.57 NA NA 21.38 22.03 090
hysterectomy.
58262......... ........ A Vag hyst 15.77 NA NA 6.31 7.11 1.79 NA NA 23.87 24.67 090
including t/o.
58263......... ........ A Vag hyst w/t/o 17.06 NA NA 6.67 7.58 1.94 NA NA 25.67 26.58 090
& vag repair.
58267......... ........ A Vag hyst w/ 18.18 NA NA 7.06 8.04 2.06 NA NA 27.30 28.28 090
urinary repair.
58270......... ........ A Vag hyst w/ 15.16 NA NA 5.99 6.79 1.73 NA NA 22.88 23.68 090
enterocele
repair.
[[Page 49160]]
58275......... ........ A Hysterectomy/ 16.85 NA NA 6.70 7.50 1.91 NA NA 25.46 26.26 090
revise vagina.
58280......... ........ A Hysterectomy/ 18.15 NA NA 7.08 7.96 2.06 NA NA 27.28 28.17 090
revise vagina.
58285......... ........ A Extensive 23.26 NA NA 7.96 9.45 2.70 NA NA 33.92 35.41 090
hysterectomy.
58290......... ........ A Vag hyst 20.13 NA NA 7.44 8.70 2.29 NA NA 29.86 31.12 090
complex.
58291......... ........ A Vag hyst incl t/ 21.92 NA NA 7.87 9.37 2.52 NA NA 32.31 33.81 090
o, complex.
58292......... ........ A Vag hyst t/o & 23.21 NA NA 8.34 9.86 2.67 NA NA 34.22 35.74 090
repair, compl.
58293......... ........ A Vag hyst w/uro 24.19 NA NA 8.55 10.13 2.78 NA NA 35.52 37.10 090
repair, compl.
58294......... ........ A Vag hyst w/ 21.41 NA NA 7.22 8.97 2.39 NA NA 31.02 32.77 090
enterocele,
compl.
58300......... ........ N Insert 1.01 0.63 1.22 0.24 0.35 0.12 1.76 2.35 1.37 1.48 XXX
intrauterine
device.
58301......... ........ A Remove 1.27 1.06 1.26 0.35 0.45 0.15 2.48 2.68 1.77 1.87 000
intrauterine
device.
58321......... ........ A Artificial 0.92 0.98 1.11 0.25 0.34 0.10 2.00 2.13 1.27 1.36 000
insemination.
58322......... ........ A Artificial 1.10 1.05 1.16 0.31 0.39 0.13 2.28 2.39 1.54 1.62 000
insemination.
58323......... ........ A Sperm washing.. 0.23 0.15 0.44 0.07 0.09 0.03 0.41 0.70 0.33 0.35 000
58340......... ........ A Catheter for 0.88 2.17 2.91 0.57 0.63 0.09 3.14 3.88 1.54 1.60 000
hysterography.
58345......... ........ A Reopen 4.65 NA NA 2.08 2.34 0.41 NA NA 7.14 7.40 010
fallopian tube.
58346......... ........ A Insert heyman 7.44 NA NA 3.34 3.78 0.56 NA NA 11.34 11.78 090
uteri capsule.
58350......... ........ A Reopen 1.01 1.34 1.45 0.87 0.91 0.12 2.47 2.58 2.00 2.04 010
fallopian tube.
58353......... ........ A Endometr 3.55 23.12 32.53 1.72 1.97 0.43 27.10 36.51 5.70 5.95 010
ablate,
thermal.
58356......... ........ A Endometrial 6.36 43.78 57.02 1.86 2.48 0.82 50.96 64.20 9.04 9.66 010
cryoablation.
58400......... ........ A Suspension of 7.03 NA NA 3.85 3.91 0.75 NA NA 11.63 11.69 090
uterus.
58410......... ........ A Suspension of 13.66 NA NA 5.91 6.30 1.45 NA NA 21.02 21.41 090
uterus.
58520......... ........ A Repair of 13.34 NA NA 5.48 5.89 1.47 NA NA 20.29 20.70 090
ruptured
uterus.
58540......... ........ A Revision of 15.57 NA NA 6.25 6.78 1.78 NA NA 23.60 24.13 090
uterus.
58545......... ........ A Laparoscopic 15.65 NA NA 6.03 6.89 1.77 NA NA 23.45 24.31 090
myomectomy.
58546......... ........ A Laparo- 20.20 NA NA 7.26 8.50 2.30 NA NA 29.76 31.00 090
myomectomy,
complex.
58550......... ........ A Laparo-asst vag 14.91 NA NA 6.20 7.02 1.72 NA NA 22.83 23.65 090
hysterectomy.
58552......... ........ A Laparo-vag hyst 16.23 NA NA 6.49 7.63 1.72 NA NA 24.44 25.58 090
incl t/o.
58553......... ........ A Laparo-vag 20.13 NA NA 7.24 8.49 2.30 NA NA 29.67 30.92 090
hyst, complex.
58554......... ........ A Laparo-vag hyst 23.13 NA NA 8.41 9.90 2.27 NA NA 33.81 35.30 090
w/t/o, compl.
58555......... ........ A Hysteroscopy, 3.33 2.76 2.33 1.25 1.48 0.40 6.49 6.06 4.98 5.21 000
dx, sep proc.
58558......... ........ A Hysteroscopy, 4.74 3.63 2.54 1.68 2.05 0.57 8.94 7.85 6.99 7.36 000
biopsy.
58559......... ........ A Hysteroscopy, 6.16 NA NA 2.07 2.57 0.74 NA NA 8.97 9.47 000
lysis.
58560......... ........ A Hysteroscopy, 6.99 NA NA 2.31 2.89 0.84 NA NA 10.14 10.72 000
resect septum.
58561......... ........ A Hysteroscopy, 9.99 NA NA 3.16 4.00 1.21 NA NA 14.36 15.20 000
remove myoma.
58562......... ........ A Hysteroscopy, 5.20 3.53 2.65 1.78 2.21 0.63 9.36 8.48 7.61 8.04 000
remove fb.
58563......... ........ A Hysteroscopy, 6.16 37.70 51.57 2.08 2.58 0.74 44.60 58.47 8.98 9.48 000
ablation.
58565......... ........ A Hysteroscopy, 7.02 34.73 45.85 3.39 3.77 1.19 42.94 54.06 11.60 11.98 090
sterilization.
58578......... ........ C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
uterus.
58579......... ........ C Hysteroscope 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
58600......... ........ A Division of 5.84 NA NA 2.94 3.23 0.66 NA NA 9.44 9.73 090
fallopian tube.
58605......... ........ A Division of 5.23 NA NA 2.69 3.01 0.59 NA NA 8.51 8.83 090
fallopian tube.
58611......... ........ A Ligate 1.45 NA NA 0.40 0.53 0.18 NA NA 2.03 2.16 ZZZ
oviduct(s) add-
on.
58615......... ........ A Occlude 3.89 NA NA 2.00 2.53 0.47 NA NA 6.36 6.89 010
fallopian
tube(s).
58660......... ........ A Laparoscopy, 11.52 NA NA 4.56 5.08 1.40 NA NA 17.48 18.00 090
lysis.
58661......... ........ A Laparoscopy, 11.28 NA NA 4.04 4.85 1.34 NA NA 16.66 17.47 010
remove adnexa.
58662......... ........ A Laparoscopy, 12.06 NA NA 4.83 5.54 1.43 NA NA 18.32 19.03 090
excise lesions.
58670......... ........ A Laparoscopy, 5.84 NA NA 2.98 3.20 0.67 NA NA 9.49 9.71 090
tubal cautery.
58671......... ........ A Laparoscopy, 5.84 NA NA 2.97 3.20 0.68 NA NA 9.49 9.72 090
tubal block.
58672......... ........ A Laparoscopy, 12.86 NA NA 4.79 5.83 1.60 NA NA 19.25 20.29 090
fimbrioplasty.
58673......... ........ A Laparoscopy, 13.97 NA NA 5.23 6.24 1.69 NA NA 20.89 21.90 090
salpingostomy.
58679......... ........ C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
oviduct-ovary.
58700......... ........ A Removal of 12.80 NA NA 5.56 5.88 1.51 NA NA 19.87 20.19 090
fallopian tube.
58720......... ........ A Removal of 12.04 NA NA 5.13 5.61 1.39 NA NA 18.56 19.04 090
ovary/tube(s).
58740......... ........ A Revise 14.75 NA NA 6.11 6.88 1.71 NA NA 22.57 23.34 090
fallopian
tube(s).
58750......... ........ A Repair oviduct. 15.52 NA NA 6.14 7.06 1.84 NA NA 23.50 24.42 090
58752......... ........ A Revise ovarian 15.52 NA NA 6.04 6.72 1.80 NA NA 23.36 24.04 090
tube(s).
[[Page 49161]]
58760......... ........ A Remove tubal 13.81 NA NA 5.66 6.45 1.79 NA NA 21.26 22.05 090
obstruction.
58770......... ........ A Create new 14.65 NA NA 5.81 6.63 1.73 NA NA 22.19 23.01 090
tubal opening.
58800......... ........ A Drainage of 4.51 3.20 3.53 2.68 2.85 0.43 8.14 8.47 7.62 7.79 090
ovarian
cyst(s).
58805......... ........ A Drainage of 6.31 NA NA 3.49 3.50 0.69 NA NA 10.49 10.50 090
ovarian
cyst(s).
58820......... ........ A Drain ovary 4.59 NA NA 2.89 3.19 0.52 NA NA 8.00 8.30 090
abscess, open.
58822......... ........ A Drain ovary 11.67 NA NA 5.18 5.20 1.16 NA NA 18.01 18.03 090
abscess,
percut.
58823......... ........ A Drain pelvic 3.37 20.10 21.02 1.04 1.10 0.24 23.71 24.63 4.65 4.71 000
abscess,
percut.
58825......... ........ A Transposition, 11.66 NA NA 4.98 5.59 1.32 NA NA 17.96 18.57 090
ovary(s).
58900......... ........ A Biopsy of 6.48 NA NA 3.49 3.55 0.69 NA NA 10.66 10.72 090
ovary(s).
58920......... ........ A Partial removal 11.84 NA NA 5.24 5.49 1.43 NA NA 18.51 18.76 090
of ovary(s).
58925......... ........ A Removal of 12.29 NA NA 5.31 5.59 1.41 NA NA 19.01 19.29 090
ovarian
cyst(s).
58940......... ........ A Removal of 8.08 NA NA 4.07 4.09 0.91 NA NA 13.06 13.08 090
ovary(s).
58943......... ........ A Removal of 19.38 NA NA 7.25 8.29 2.22 NA NA 28.85 29.89 090
ovary(s).
58950......... ........ A Resect ovarian 18.18 NA NA 7.29 8.12 2.04 NA NA 27.51 28.34 090
malignancy.
58951......... ........ A Resect ovarian 24.11 NA NA 8.61 9.98 2.63 NA NA 35.35 36.72 090
malignancy.
58952......... ........ A Resect ovarian 27.09 NA NA 9.81 11.27 3.02 NA NA 39.92 41.38 090
malignancy.
58953......... ........ A Tah, rad 33.91 NA NA 11.63 13.81 3.83 NA NA 49.37 51.55 090
dissect for
debulk.
58954......... ........ A Tah rad debulk/ 36.91 NA NA 12.49 14.90 4.17 NA NA 53.57 55.98 090
lymph remove.
58956......... ........ A Bso, 22.59 NA NA 8.59 9.88 4.00 NA NA 35.18 36.47 090
omentectomy w/
tah.
58960......... ........ A Exploration of 15.64 NA NA 6.29 7.09 1.79 NA NA 23.72 24.52 090
abdomen.
58970......... ........ A Retrieval of 3.52 1.83 2.19 1.26 1.43 0.43 5.78 6.14 5.21 5.38 000
oocyte.
58974......... ........ C Transfer of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
embryo.
58976......... ........ A Transfer of 3.82 1.96 2.50 1.22 1.67 0.47 6.25 6.79 5.51 5.96 000
embryo.
58999......... ........ C Genital surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
59000......... ........ A Amniocentesis, 1.30 1.75 1.99 0.56 0.64 0.31 3.36 3.60 2.17 2.25 000
diagnostic.
59001......... ........ A Amniocentesis, 3.00 NA NA 1.09 1.33 0.71 NA NA 4.80 5.04 000
therapeutic.
59012......... ........ A Fetal cord 3.44 NA NA 1.16 1.45 0.82 NA NA 5.42 5.71 000
puncture,prena
tal.
59015......... ........ A Chorion biopsy. 2.20 1.43 1.52 0.81 0.98 0.52 4.15 4.24 3.53 3.70 000
59020......... ........ A Fetal contract 0.66 1.08 0.86 1.08 0.86 0.26 2.00 1.78 2.00 1.78 000
stress test.
59020......... 26...... A Fetal contract 0.66 0.19 0.24 0.19 0.24 0.16 1.01 1.06 1.01 1.06 000
stress test.
59020......... TC...... A Fetal contract 0.00 0.90 0.62 0.90 0.62 0.10 1.00 0.72 1.00 0.72 000
stress test.
59025......... ........ A Fetal non- 0.53 0.63 0.49 0.63 0.49 0.15 1.31 1.17 1.31 1.17 000
stress test.
59025......... 26...... A Fetal non- 0.53 0.15 0.20 0.15 0.20 0.13 0.81 0.86 0.81 0.86 000
stress test.
59025......... TC...... A Fetal non- 0.00 0.49 0.30 0.49 0.30 0.02 0.51 0.32 0.51 0.32 000
stress test.
59030......... ........ A Fetal scalp 1.99 NA NA 0.56 0.72 0.47 NA NA 3.02 3.18 000
blood sample.
59050......... ........ A Fetal monitor w/ 0.89 NA NA 0.26 0.33 0.21 NA NA 1.36 1.43 XXX
report.
59051......... ........ A Fetal monitor/ 0.74 NA NA 0.21 0.27 0.17 NA NA 1.12 1.18 XXX
interpret only.
59070......... ........ A Transabdom 5.24 4.48 4.98 1.83 2.19 0.28 10.00 10.50 7.35 7.71 000
amnioinfus w/
us.
59072......... ........ A Umbilical cord 8.99 NA NA 2.88 3.06 0.16 NA NA 12.03 12.21 000
occlud w/us.
59074......... ........ A Fetal fluid 5.24 3.91 4.41 1.71 2.16 0.28 9.43 9.93 7.23 7.68 000
drainage w/us.
59076......... ........ A Fetal shunt 8.99 NA NA 2.42 2.95 0.16 NA NA 11.57 12.10 000
placement, w/
us.
59100......... ........ A Remove uterus 13.22 NA NA 5.80 6.29 2.94 NA NA 21.96 22.45 090
lesion.
59120......... ........ A Treat ectopic 12.52 NA NA 5.47 6.05 2.72 NA NA 20.71 21.29 090
pregnancy.
59121......... ........ A Treat ectopic 12.60 NA NA 5.42 6.10 2.78 NA NA 20.80 21.48 090
pregnancy.
59130......... ........ A Treat ectopic 14.94 NA NA 6.09 5.12 3.38 NA NA 24.41 23.44 090
pregnancy.
59135......... ........ A Treat ectopic 14.78 NA NA 5.12 6.70 3.30 NA NA 23.20 24.78 090
pregnancy.
59136......... ........ A Treat ectopic 14.11 NA NA 5.77 6.39 3.13 NA NA 23.01 23.63 090
pregnancy.
59140......... ........ A Treat ectopic 5.83 NA NA 2.91 2.39 1.29 NA NA 10.03 9.51 090
pregnancy.
59150......... ........ A Treat ectopic 12.15 NA NA 5.26 5.81 2.78 NA NA 20.19 20.74 090
pregnancy.
59151......... ........ A Treat ectopic 11.97 NA NA 4.93 5.77 2.73 NA NA 19.63 20.47 090
pregnancy.
59160......... ........ A D & c after 2.71 2.00 2.97 1.19 1.90 0.64 5.35 6.32 4.54 5.25 010
delivery.
59200......... ........ A Insert cervical 0.79 0.95 1.13 0.22 0.28 0.19 1.93 2.11 1.20 1.26 000
dilator.
59300......... ........ A Episiotomy or 2.41 2.21 2.18 1.03 0.98 0.57 5.19 5.16 4.01 3.96 000
vaginal repair.
59320......... ........ A Revision of 2.48 NA NA 1.02 1.19 0.59 NA NA 4.09 4.26 000
cervix.
59325......... ........ A Revision of 4.06 NA NA 1.24 1.73 0.88 NA NA 6.18 6.67 000
cervix.
59350......... ........ A Repair of 4.94 NA NA 1.41 1.76 1.17 NA NA 7.52 7.87 000
uterus.
59400......... ........ A Obstetrical 26.53 NA NA 14.36 15.08 5.48 NA NA 46.37 47.09 MMM
care.
59409......... ........ A Obstetrical 13.48 NA NA 3.76 4.92 3.21 NA NA 20.45 21.61 MMM
care.
59410......... ........ A Obstetrical 15.26 NA NA 4.97 5.97 3.51 NA NA 23.74 24.74 MMM
care.
59412......... ........ A Antepartum 1.71 NA NA 0.65 0.77 0.40 NA NA 2.76 2.88 MMM
manipulation.
59414......... ........ A Deliver 1.61 NA NA 0.44 0.59 0.38 NA NA 2.43 2.58 MMM
placenta.
59425......... ........ A Antepartum care 6.12 4.25 4.21 1.68 1.81 1.14 11.51 11.47 8.94 9.07 MMM
only.
59426......... ........ A Antepartum care 10.84 7.82 7.61 2.97 3.16 1.97 20.63 20.42 15.78 15.97 MMM
only.
59430......... ........ A Care after 2.13 1.04 1.18 0.66 0.87 0.50 3.67 3.81 3.29 3.50 MMM
delivery.
59510......... ........ A Cesarean 30.05 NA NA 16.03 16.95 6.23 NA NA 52.31 53.23 MMM
delivery.
59514......... ........ A Cesarean 15.95 NA NA 4.51 5.79 3.79 NA NA 24.25 25.53 MMM
delivery only.
[[Page 49162]]
59515......... ........ A Cesarean 18.21 NA NA 6.25 7.44 4.12 NA NA 28.58 29.77 MMM
delivery.
59525......... ........ A Remove uterus 8.53 NA NA 2.40 3.08 1.94 NA NA 12.87 13.55 ZZZ
after cesarean.
59610......... ........ A Vbac delivery.. 27.95 NA NA 14.66 15.56 5.85 NA NA 48.46 49.36 MMM
59612......... ........ A Vbac delivery 15.04 NA NA 4.28 5.61 3.58 NA NA 22.90 24.23 MMM
only.
59614......... ........ A Vbac care after 16.57 NA NA 5.19 6.50 3.88 NA NA 25.64 26.95 MMM
delivery.
59618......... ........ A Attempted vbac 31.48 NA NA 16.38 17.77 6.59 NA NA 54.45 55.84 MMM
delivery.
59620......... ........ A Attempted vbac 17.50 NA NA 4.80 6.27 4.16 NA NA 26.46 27.93 MMM
delivery only.
59622......... ........ A Attempted vbac 19.64 NA NA 6.69 8.15 4.49 NA NA 30.82 32.28 MMM
after care.
59812......... ........ A Treatment of 4.37 3.12 2.69 2.38 2.50 0.95 8.44 8.01 7.70 7.82 090
miscarriage.
59820......... ........ A Care of 4.64 4.10 4.34 3.49 3.54 0.95 9.69 9.93 9.08 9.13 090
miscarriage.
59821......... ........ A Treatment of 4.94 3.85 4.17 3.19 3.35 1.06 9.85 10.17 9.19 9.35 090
miscarriage.
59830......... ........ A Treat uterus 6.48 NA NA 3.47 3.85 1.44 NA NA 11.39 11.77 090
infection.
59840......... ........ R Abortion....... 3.01 2.04 2.10 1.81 2.04 0.71 5.76 5.82 5.53 5.76 010
59841......... ........ R Abortion....... 5.55 3.19 3.42 2.61 2.88 1.24 9.98 10.21 9.40 9.67 010
59850......... ........ R Abortion....... 5.90 NA NA 2.66 3.10 1.28 NA NA 9.84 10.28 090
59851......... ........ R Abortion....... 5.92 NA NA 3.33 3.64 1.28 NA NA 10.53 10.84 090
59852......... ........ R Abortion....... 8.23 NA NA 3.84 4.74 1.80 NA NA 13.87 14.77 090
59855......... ........ R Abortion....... 6.36 NA NA 3.00 3.41 1.45 NA NA 10.81 11.22 090
59856......... ........ R Abortion....... 7.72 NA NA 3.85 4.01 1.78 NA NA 13.35 13.51 090
59857......... ........ R Abortion....... 9.28 NA NA 3.17 4.33 2.01 NA NA 14.46 15.62 090
59866......... ........ R Abortion (mpr). 3.99 NA NA 1.26 1.73 0.87 NA NA 6.12 6.59 000
59870......... ........ A Evacuate mole 6.32 NA NA 4.31 4.44 1.42 NA NA 12.05 12.18 090
of uterus.
59871......... ........ A Remove cerclage 2.13 NA NA 0.94 1.08 0.50 NA NA 3.57 3.71 000
suture.
59897......... ........ C Fetal invas px 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
w/us.
59898......... ........ C Laparo proc, ob 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
care/deliver.
59899......... ........ C Maternity care 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
60000......... ........ A Drain thyroid/ 1.76 2.06 1.96 1.67 1.70 0.15 3.97 3.87 3.58 3.61 010
tongue cyst.
60001......... ........ A Aspirate/inject 0.97 1.93 1.54 0.28 0.32 0.07 2.97 2.58 1.32 1.36 000
thyriod cyst.
60100......... ........ A Biopsy of 1.56 1.27 1.37 0.47 0.52 0.10 2.93 3.03 2.13 2.18 000
thyroid.
60200......... ........ A Remove thyroid 9.84 NA NA 5.20 5.79 1.01 NA NA 16.05 16.64 090
lesion.
60210......... ........ A Partial thyroid 11.11 NA NA 5.04 5.48 1.23 NA NA 17.38 17.82 090
excision.
60212......... ........ A Partial thyroid 16.26 NA NA 6.55 7.39 1.94 NA NA 24.75 25.59 090
excision.
60220......... ........ A Partial removal 12.25 NA NA 5.37 5.95 1.32 NA NA 18.94 19.52 090
of thyroid.
60225......... ........ A Partial removal 14.59 NA NA 6.65 7.21 1.64 NA NA 22.88 23.44 090
of thyroid.
60240......... ........ A Removal of 16.16 NA NA 6.14 7.22 1.85 NA NA 24.15 25.23 090
thyroid.
60252......... ........ A Removal of 21.82 NA NA 8.38 9.66 2.29 NA NA 32.49 33.77 090
thyroid.
60254......... ........ A Extensive 28.23 NA NA 10.28 13.18 2.60 NA NA 41.11 44.01 090
thyroid
surgery.
60260......... ........ A Repeat thyroid 18.14 NA NA 6.96 8.22 1.93 NA NA 27.03 28.29 090
surgery.
60270......... ........ A Removal of 23.01 NA NA 8.90 10.06 2.32 NA NA 34.23 35.39 090
thyroid.
60271......... ........ A Removal of 17.50 NA NA 6.77 8.13 1.74 NA NA 26.01 27.37 090
thyroid.
60280......... ........ A Remove thyroid 5.98 NA NA 4.07 4.51 0.54 NA NA 10.59 11.03 090
duct lesion.
60281......... ........ A Remove thyroid 8.64 NA NA 4.63 5.53 0.73 NA NA 14.00 14.90 090
duct lesion.
60500......... ........ A Explore 16.63 NA NA 6.74 7.24 2.00 NA NA 25.37 25.87 090
parathyroid
glands.
60502......... ........ A Re-explore 20.92 NA NA 8.47 9.13 2.53 NA NA 31.92 32.58 090
parathyroids.
60505......... ........ A Explore 22.81 NA NA 9.23 10.50 2.64 NA NA 34.68 35.95 090
parathyroid
glands.
60512......... ........ A Autotransplant 4.44 NA NA 1.18 1.51 0.53 NA NA 6.15 6.48 ZZZ
parathyroid.
60520......... ........ A Removal of 17.03 NA NA 6.97 7.96 2.19 NA NA 26.19 27.18 090
thymus gland.
60521......... ........ A Removal of 19.09 NA NA 8.31 9.23 2.81 NA NA 30.21 31.13 090
thymus gland.
60522......... ........ A Removal of 23.31 NA NA 9.80 10.90 3.26 NA NA 36.37 37.47 090
thymus gland.
60540......... ........ A Explore adrenal 17.84 NA NA 8.14 7.72 1.74 NA NA 27.72 27.30 090
gland.
60545......... ........ A Explore adrenal 20.75 NA NA 8.92 8.63 2.07 NA NA 31.74 31.45 090
gland.
60600......... ........ A Remove carotid 24.95 NA NA 8.78 10.42 2.19 NA NA 35.92 37.56 090
body lesion.
60605......... ........ A Remove carotid 31.82 NA NA 12.29 12.26 2.49 NA NA 46.60 46.57 090
body lesion.
60650......... ........ A Laparoscopy 20.59 NA NA 8.20 8.04 2.28 NA NA 31.07 30.91 090
adrenalectomy.
60659......... ........ C Laparo proc, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
endocrine.
60699......... ........ C Endocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
[[Page 49163]]
61000......... ........ A Remove cranial 1.58 NA NA 1.23 1.02 0.13 NA NA 2.94 2.73 000
cavity fluid.
61001......... ........ A Remove cranial 1.49 NA NA 1.20 1.10 0.16 NA NA 2.85 2.75 000
cavity fluid.
61020......... ........ A Remove brain 1.51 NA NA 1.58 1.40 0.34 NA NA 3.43 3.25 000
cavity fluid.
61026......... ........ A Injection into 1.69 NA NA 1.49 1.42 0.33 NA NA 3.51 3.44 000
brain canal.
61050......... ........ A Remove brain 1.51 NA NA 1.13 1.24 0.11 NA NA 2.75 2.86 000
canal fluid.
61055......... ........ A Injection into 2.10 NA NA 1.29 1.39 0.17 NA NA 3.56 3.66 000
brain canal.
61070......... ........ A Brain canal 0.89 NA NA 1.17 1.05 0.17 NA NA 2.23 2.11 000
shunt
procedure.
61105......... ........ A Twist drill 5.38 NA NA 4.89 4.17 1.32 NA NA 11.59 10.87 090
hole.
61107......... ........ A Drill skull for 4.99 NA NA 1.85 2.36 1.29 NA NA 8.13 8.64 000
implantation.
61108......... ........ A Drill skull for 11.46 NA NA 8.43 7.46 2.63 NA NA 22.52 21.55 090
drainage.
61120......... ........ A Burr hole for 9.49 NA NA 6.69 6.17 2.09 NA NA 18.27 17.75 090
puncture.
61140......... ........ A Pierce skull 17.05 NA NA 10.39 10.01 4.11 NA NA 31.55 31.17 090
for biopsy.
61150......... ........ A Pierce skull 18.76 NA NA 10.73 10.46 4.31 NA NA 33.80 33.53 090
for drainage.
61151......... ........ A Pierce skull 13.38 NA NA 8.49 7.98 3.00 NA NA 24.87 24.36 090
for drainage.
61154......... ........ A Pierce skull & 16.86 NA NA 10.76 9.80 4.20 NA NA 31.82 30.86 090
remove clot.
61156......... ........ A Pierce skull 17.34 NA NA 9.88 9.84 4.22 NA NA 31.44 31.40 090
for drainage.
61210......... ........ A Pierce skull, 5.83 NA NA 2.18 2.73 1.50 NA NA 9.51 10.06 000
implant device.
61215......... ........ A Insert brain- 5.74 NA NA 5.44 4.36 1.26 NA NA 12.44 11.36 090
fluid device.
61250......... ........ A Pierce skull & 11.38 NA NA 7.49 7.01 2.76 NA NA 21.63 21.15 090
explore.
61253......... ........ A Pierce skull & 13.38 NA NA 7.80 7.74 2.61 NA NA 23.79 23.73 090
explore.
61304......... ........ A Open skull for 23.27 NA NA 12.61 12.78 5.61 NA NA 41.49 41.66 090
exploration.
61305......... ........ A Open skull for 28.46 NA NA 15.07 15.25 6.07 NA NA 49.60 49.78 090
exploration.
61312......... ........ A Open skull for 30.03 NA NA 15.34 15.12 6.34 NA NA 51.71 51.49 090
drainage.
61313......... ........ A Open skull for 27.88 NA NA 15.48 14.97 6.43 NA NA 49.79 49.28 090
drainage.
61314......... ........ A Open skull for 25.72 NA NA 14.22 13.33 6.26 NA NA 46.20 45.31 090
drainage.
61315......... ........ A Open skull for 29.47 NA NA 15.56 15.90 7.14 NA NA 52.17 52.51 090
drainage.
61316......... ........ A Implt cran bone 1.39 NA NA 0.52 0.58 0.35 NA NA 2.26 2.32 ZZZ
flap to abdo.
61320......... ........ A Open skull for 27.28 NA NA 14.29 14.64 6.60 NA NA 48.17 48.52 090
drainage.
61321......... ........ A Open skull for 30.35 NA NA 14.29 15.66 7.12 NA NA 51.76 53.13 090
drainage.
61322......... ........ A Decompressive 34.00 NA NA 17.78 16.19 7.61 NA NA 59.39 57.80 090
craniotomy.
61323......... ........ A Decompressive 34.87 NA NA 17.00 16.31 8.01 NA NA 59.88 59.19 090
lobectomy.
61330......... ........ A Decompress eye 25.12 NA NA 11.88 13.26 2.31 NA NA 39.31 40.69 090
socket.
61332......... ........ A Explore/biopsy 28.46 NA NA 13.45 15.06 4.82 NA NA 46.73 48.34 090
eye socket.
61333......... ........ A Explore orbit/ 29.13 NA NA 13.31 15.01 3.91 NA NA 46.35 48.05 090
remove lesion.
61334......... ........ A Explore orbit/ 19.46 NA NA 9.11 10.25 1.74 NA NA 30.31 31.45 090
remove object.
61340......... ........ A Subtemporal 19.97 NA NA 11.40 11.19 4.83 NA NA 36.20 35.99 090
decompression.
61343......... ........ A Incise skull 31.68 NA NA 16.14 16.64 7.62 NA NA 55.44 55.94 090
(press relief).
61345......... ........ A Relieve cranial 29.05 NA NA 15.24 15.35 7.02 NA NA 51.31 51.42 090
pressure.
61440......... ........ A Incise skull 28.48 NA NA 14.06 14.17 6.88 NA NA 49.42 49.53 090
for surgery.
61450......... ........ A Incise skull 27.55 NA NA 12.70 13.89 5.77 NA NA 46.02 47.21 090
for surgery.
61458......... ........ A Incise skull 28.66 NA NA 15.01 15.39 7.01 NA NA 50.68 51.06 090
for brain
wound.
61460......... ........ A Incise skull 30.06 NA NA 15.14 16.09 6.02 NA NA 51.22 52.17 090
for surgery.
61470......... ........ A Incise skull 27.48 NA NA 13.11 13.67 5.88 NA NA 46.47 47.03 090
for surgery.
61480......... ........ A Incise skull 27.91 NA NA 8.23 13.51 6.71 NA NA 42.85 48.13 090
for surgery.
61490......... ........ A Incise skull 27.08 NA NA 14.34 14.33 6.90 NA NA 48.32 48.31 090
for surgery.
61500......... ........ A Removal of 19.00 NA NA 10.64 10.76 4.10 NA NA 33.74 33.86 090
skull lesion.
61501......... ........ A Remove infected 16.17 NA NA 9.52 9.28 3.21 NA NA 28.90 28.66 090
skull bone.
61510......... ........ A Removal of 30.55 NA NA 17.08 16.79 7.33 NA NA 54.96 54.67 090
brain lesion.
61512......... ........ A Remove brain 36.93 NA NA 18.56 19.39 9.05 NA NA 64.54 65.37 090
lining lesion.
61514......... ........ A Removal of 27.05 NA NA 14.53 14.46 6.52 NA NA 48.10 48.03 090
brain abscess.
61516......... ........ A Removal of 26.40 NA NA 14.28 14.27 6.33 NA NA 47.01 47.00 090
brain lesion.
61517......... ........ A Implt brain 1.38 NA NA 0.51 0.61 0.35 NA NA 2.24 2.34 ZZZ
chemotx add-on.
61518......... ........ A Removal of 39.61 NA NA 20.45 20.93 9.62 NA NA 69.68 70.16 090
brain lesion.
61519......... ........ A Remove brain 43.22 NA NA 20.82 22.19 10.60 NA NA 74.64 76.01 090
lining lesion.
61520......... ........ A Removal of 56.81 NA NA 25.64 29.15 11.18 NA NA 93.63 97.14 090
brain lesion.
61521......... ........ A Removal of 46.78 NA NA 22.16 23.70 11.36 NA NA 80.30 81.84 090
brain lesion.
61522......... ........ A Removal of 31.36 NA NA 15.56 16.20 7.60 NA NA 54.52 55.16 090
brain abscess.
61524......... ........ A Removal of 29.71 NA NA 15.78 15.69 7.14 NA NA 52.63 52.54 090
brain lesion.
61526......... ........ A Removal of 53.84 NA NA 21.66 27.53 7.05 NA NA 82.55 88.42 090
brain lesion.
61530......... ........ A Removal of 45.38 NA NA 18.18 23.33 6.13 NA NA 69.69 74.84 090
brain lesion.
61531......... ........ A Implant brain 16.24 NA NA 10.26 9.41 3.78 NA NA 30.28 29.43 090
electrodes.
61533......... ........ A Implant brain 21.32 NA NA 11.76 11.59 5.10 NA NA 38.18 38.01 090
electrodes.
61534......... ........ A Removal of 22.83 NA NA 13.21 12.36 5.42 NA NA 41.46 40.61 090
brain lesion.
61535......... ........ A Remove brain 13.01 NA NA 8.93 7.80 3.01 NA NA 24.95 23.82 090
electrodes.
61536......... ........ A Removal of 37.54 NA NA 18.46 19.45 9.18 NA NA 65.18 66.17 090
brain lesion.
61537......... ........ A Removal of 36.31 NA NA 17.52 15.44 6.92 NA NA 60.75 58.67 090
brain tissue.
[[Page 49164]]
61538......... ........ A Removal of 39.31 NA NA 18.80 16.18 6.92 NA NA 65.03 62.41 090
brain tissue.
61539......... ........ A Removal of 34.10 NA NA 15.51 17.20 8.30 NA NA 57.91 59.60 090
brain tissue.
61540......... ........ A Removal of 31.24 NA NA 15.91 16.91 8.30 NA NA 55.45 56.45 090
brain tissue.
61541......... ........ A Incision of 30.76 NA NA 16.10 16.18 6.58 NA NA 53.44 53.52 090
brain tissue.
61542......... ........ A Removal of 32.98 NA NA 16.23 17.42 8.01 NA NA 57.22 58.41 090
brain tissue.
61543......... ........ A Removal of 31.13 NA NA 16.35 16.37 7.54 NA NA 55.02 55.04 090
brain tissue.
61544......... ........ A Remove & treat 27.22 NA NA 14.39 13.96 5.95 NA NA 47.56 47.13 090
brain lesion.
61545......... ........ A Excision of 46.15 NA NA 22.36 23.75 10.60 NA NA 79.11 80.50 090
brain tumor.
61546......... ........ A Removal of 33.26 NA NA 16.62 17.27 7.65 NA NA 57.53 58.17 090
pituitary
gland.
61548......... ........ A Removal of 23.23 NA NA 11.37 12.43 3.42 NA NA 38.02 39.08 090
pituitary
gland.
61550......... ........ A Release of 15.38 NA NA 5.70 6.62 0.98 NA NA 22.06 22.98 090
skull seams.
61552......... ........ A Release of 20.22 NA NA 6.71 8.51 1.06 NA NA 27.99 29.78 090
skull seams.
61556......... ........ A Incise skull/ 23.96 NA NA 12.76 11.71 4.64 NA NA 41.36 40.31 090
sutures.
61557......... ........ A Incise skull/ 23.10 NA NA 13.73 13.65 5.78 NA NA 42.61 42.53 090
sutures.
61558......... ........ A Excision of 26.29 NA NA 8.24 12.70 1.36 NA NA 35.89 40.35 090
skull/sutures.
61559......... ........ A Excision of 33.74 NA NA 18.83 19.19 8.48 NA NA 61.05 61.41 090
skull/sutures.
61563......... ........ A Excision of 28.31 NA NA 14.31 15.01 5.15 NA NA 47.77 48.47 090
skull tumor.
61564......... ........ A Excision of 34.53 NA NA 16.25 17.77 8.75 NA NA 59.53 61.05 090
skull tumor.
61566......... ........ A Removal of 32.26 NA NA 16.65 17.49 6.92 NA NA 55.83 56.67 090
brain tissue.
61567......... ........ A Incision of 36.76 NA NA 16.84 19.71 6.52 NA NA 60.12 62.99 090
brain tissue.
61570......... ........ A Remove foreign 26.33 NA NA 14.16 13.97 5.86 NA NA 46.35 46.16 090
body, brain.
61571......... ........ A Incise skull 28.24 NA NA 15.21 15.16 6.77 NA NA 50.22 50.17 090
for brain
wound.
61575......... ........ A Skull base/ 36.38 NA NA 15.53 18.61 5.32 NA NA 57.23 60.31 090
brainstem
surgery.
61576......... ........ A Skull base/ 55.03 NA NA 25.88 32.52 5.56 NA NA 86.47 93.11 090
brainstem
surgery.
61580......... ........ A Craniofacial 34.26 NA NA 20.69 24.36 3.36 NA NA 58.31 61.98 090
approach,
skull.
61581......... ........ A Craniofacial 38.78 NA NA 24.86 23.80 3.91 NA NA 67.55 66.49 090
approach,
skull.
61582......... ........ A Craniofacial 34.83 NA NA 30.37 28.07 7.19 NA NA 72.39 70.09 090
approach,
skull.
61583......... ........ A Craniofacial 38.37 NA NA 25.79 25.28 9.18 NA NA 73.34 72.83 090
approach,
skull.
61584......... ........ A Orbitocranial 37.57 NA NA 25.56 24.78 8.16 NA NA 71.29 70.51 090
approach/skull.
61585......... ........ A Orbitocranial 42.40 NA NA 24.83 26.08 7.01 NA NA 74.24 75.49 090
approach/skull.
61586......... ........ A Resect 27.20 NA NA 23.97 22.93 4.36 NA NA 55.53 54.49 090
nasopharynx,
skull.
61590......... ........ A Infratemporal 46.79 NA NA 23.16 27.26 5.29 NA NA 75.24 79.34 090
approach/skull.
61591......... ........ A Infratemporal 46.81 NA NA 23.73 28.07 5.64 NA NA 76.18 80.52 090
approach/skull.
61592......... ........ A Orbitocranial 42.94 NA NA 27.58 26.77 10.04 NA NA 80.56 79.75 090
approach/skull.
61595......... ........ A Transtemporal 33.49 NA NA 19.29 21.59 3.97 NA NA 56.75 59.05 090
approach/skull.
61596......... ........ A Transcochlear 39.25 NA NA 18.52 22.96 3.39 NA NA 61.16 65.60 090
approach/skull.
61597......... ........ A Transcondylar 40.67 NA NA 22.86 22.96 8.81 NA NA 72.34 72.44 090
approach/skull.
61598......... ........ A Transpetrosal 36.35 NA NA 20.81 22.63 5.68 NA NA 62.84 64.66 090
approach/skull.
61600......... ........ A Resect/excise 29.76 NA NA 18.31 19.41 3.78 NA NA 51.85 52.95 090
cranial lesion.
61601......... ........ A Resect/excise 31.00 NA NA 22.32 20.95 6.61 NA NA 59.93 58.56 090
cranial lesion.
61605......... ........ A Resect/excise 32.32 NA NA 17.57 20.86 2.85 NA NA 52.74 56.03 090
cranial lesion.
61606......... ........ A Resect/excise 41.88 NA NA 24.31 24.94 8.94 NA NA 75.13 75.76 090
cranial lesion.
61607......... ........ A Resect/excise 40.76 NA NA 20.51 22.96 6.88 NA NA 68.15 70.60 090
cranial lesion.
61608......... ........ A Resect/excise 45.39 NA NA 26.51 26.56 10.72 NA NA 82.62 82.67 090
cranial lesion.
61609......... ........ A Transect 9.88 NA NA 3.73 4.57 2.55 NA NA 16.16 17.00 ZZZ
artery, sinus.
61610......... ........ A Transect 29.63 NA NA 11.19 12.65 7.66 NA NA 48.48 49.94 ZZZ
artery, sinus.
61611......... ........ A Transect 7.41 NA NA 2.80 3.57 1.88 NA NA 12.09 12.86 ZZZ
artery, sinus.
61612......... ........ A Transect 27.84 NA NA 8.15 12.02 4.30 NA NA 40.29 44.16 ZZZ
artery, sinus.
61613......... ........ A Remove 44.88 NA NA 27.54 26.58 8.42 NA NA 80.84 79.88 090
aneurysm,
sinus.
61615......... ........ A Resect/excise 35.57 NA NA 19.35 21.88 4.72 NA NA 59.64 62.17 090
lesion, skull.
61616......... ........ A Resect/excise 46.54 NA NA 26.45 28.10 8.24 NA NA 81.23 82.88 090
lesion, skull.
61618......... ........ A Repair dura.... 18.52 NA NA 10.11 10.36 3.71 NA NA 32.34 32.59 090
61619......... ........ A Repair dura.... 21.95 NA NA 10.97 11.92 3.94 NA NA 36.86 37.81 090
61623......... ........ A Endovasc 9.95 NA NA 3.40 3.91 1.05 NA NA 14.40 14.91 000
tempory vessel
occl.
61624......... ........ A Transcath 20.12 NA NA 6.80 6.87 1.95 NA NA 28.87 28.94 000
occlusion, cns.
61626......... ........ A Transcath 16.60 NA NA 5.43 5.49 1.24 NA NA 23.27 23.33 000
occlusion, non-
cns.
[[Page 49165]]
61630......... ........ N Intracranial 22.03 NA NA 6.50 10.99 2.01 NA NA 30.54 35.03 090
angioplasty.
61635......... ........ N Intracran 24.24 NA NA 7.02 11.91 2.20 NA NA 33.46 38.35 090
angioplsty w/
stent.
61680......... ........ A Intracranial 32.34 NA NA 16.85 17.29 7.93 NA NA 57.12 57.56 090
vessel surgery.
61682......... ........ A Intracranial 63.27 NA NA 27.31 30.99 15.85 NA NA 106.43 110.11 090
vessel surgery.
61684......... ........ A Intracranial 41.43 NA NA 20.46 21.62 10.28 NA NA 72.17 73.33 090
vessel surgery.
61686......... ........ A Intracranial 67.26 NA NA 30.29 33.61 16.66 NA NA 114.21 117.53 090
vessel surgery.
61690......... ........ A Intracranial 31.14 NA NA 15.88 16.51 6.92 NA NA 53.94 54.57 090
vessel surgery.
61692......... ........ A Intracranial 54.39 NA NA 24.71 26.78 13.39 NA NA 92.49 94.56 090
vessel surgery.
61697......... ........ A Brain aneurysm 63.16 NA NA 28.85 28.22 12.81 NA NA 104.82 104.19 090
repr, complx.
61698......... ........ A Brain aneurysm 69.39 NA NA 30.92 27.75 12.50 NA NA 112.81 109.64 090
repr, complx.
61700......... ........ A Brain aneurysm 50.44 NA NA 24.03 26.86 12.98 NA NA 87.45 90.28 090
repr, simple.
61702......... ........ A Inner skull 59.80 NA NA 27.94 26.51 10.76 NA NA 98.50 97.07 090
vessel surgery.
61703......... ........ A Clamp neck 18.66 NA NA 10.84 10.56 4.05 NA NA 33.55 33.27 090
artery.
61705......... ........ A Revise 37.92 NA NA 17.61 18.84 8.84 NA NA 64.37 65.60 090
circulation to
head.
61708......... ........ A Revise 37.02 NA NA 13.19 14.66 2.50 NA NA 52.71 54.18 090
circulation to
head.
61710......... ........ A Revise 31.15 NA NA 13.35 13.57 4.51 NA NA 49.01 49.23 090
circulation to
head.
61711......... ........ A Fusion of skull 38.05 NA NA 18.57 19.49 9.39 NA NA 66.01 66.93 090
arteries.
61720......... ........ A Incise skull/ 17.48 NA NA 8.13 9.51 2.78 NA NA 28.39 29.77 090
brain surgery.
61735......... ........ A Incise skull/ 22.17 NA NA 11.32 11.95 2.72 NA NA 36.21 36.84 090
brain surgery.
61750......... ........ A Incise skull/ 19.69 NA NA 10.97 10.70 4.71 NA NA 35.37 35.10 090
brain biopsy.
61751......... ........ A Brain biopsy w/ 18.58 NA NA 11.42 10.97 4.55 NA NA 34.55 34.10 090
ct/mr guide.
61760......... ........ A Implant brain 22.24 NA NA 11.94 9.52 5.40 NA NA 39.58 37.16 090
electrodes.
61770......... ........ A Incise skull 23.05 NA NA 9.87 11.66 3.54 NA NA 36.46 38.25 090
for treatment.
61790......... ........ A Treat 11.46 NA NA 7.79 6.38 2.81 NA NA 22.06 20.65 090
trigeminal
nerve.
61791......... ........ A Treat 15.27 NA NA 7.61 8.59 3.39 NA NA 26.27 27.25 090
trigeminal
tract.
61793......... ........ A Focus radiation 17.71 NA NA 9.79 10.04 4.45 NA NA 31.95 32.20 090
beam.
61795......... ........ A Brain surgery 4.03 NA NA 1.37 1.87 0.79 NA NA 6.19 6.69 ZZZ
using computer.
61850......... ........ A Implant 13.23 NA NA 5.56 7.14 3.21 NA NA 22.00 23.58 090
neuroelectrode
s.
61860......... ........ A Implant 22.12 NA NA 11.19 11.84 4.94 NA NA 38.25 38.90 090
neuroelectrode
s.
61863......... ........ A Implant 20.50 NA NA 12.48 11.95 5.41 NA NA 38.39 37.86 090
neuroelectrode.
61864......... ........ A Implant 4.49 NA NA 1.70 2.14 5.41 NA NA 11.60 12.04 ZZZ
neuroelectrde,
addl.
61867......... ........ A Implant 32.82 NA NA 16.69 17.69 5.41 NA NA 54.92 55.92 090
neuroelectrode.
61868......... ........ A Implant 7.91 NA NA 2.96 3.75 5.41 NA NA 16.28 17.07 ZZZ
neuroelectrde,
addIl.
61870......... ........ A Implant 16.20 NA NA 8.63 9.43 3.86 NA NA 28.69 29.49 090
neuroelectrode
s.
61875......... ........ A Implant 16.32 NA NA 5.38 7.77 2.94 NA NA 24.64 27.03 090
neuroelectrode
s.
61880......... ........ A Revise/remove 6.84 NA NA 5.47 4.80 1.66 NA NA 13.97 13.30 090
neuroelectrode.
61885......... ........ A Insrt/redo 7.29 NA NA 7.42 5.83 1.59 NA NA 16.30 14.71 090
neurostim 1
array.
61886......... ........ A Implant 9.65 NA NA 8.74 6.95 1.96 NA NA 20.35 18.56 090
neurostim
arrays.
61888......... ........ A Revise/remove 5.18 NA NA 3.59 3.65 1.33 NA NA 10.10 10.16 010
neuroreceiver.
62000......... ........ A Treat skull 13.79 NA NA 7.21 5.94 1.06 NA NA 22.06 20.79 090
fracture.
62005......... ........ A Treat skull 17.49 NA NA 9.47 8.96 3.86 NA NA 30.82 30.31 090
fracture.
62010......... ........ A Treatment of 21.25 NA NA 11.91 11.76 5.12 NA NA 38.28 38.13 090
head injury.
62100......... ........ A Repair brain 23.35 NA NA 11.84 12.55 4.83 NA NA 40.02 40.73 090
fluid leakage.
62115......... ........ A Reduction of 22.63 NA NA 13.97 12.22 5.49 NA NA 42.09 40.34 090
skull defect.
62116......... ........ A Reduction of 24.82 NA NA 13.12 13.30 6.09 NA NA 44.03 44.21 090
skull defect.
62117......... ........ A Reduction of 28.20 NA NA 14.69 15.20 4.52 NA NA 47.41 47.92 090
skull defect.
62120......... ........ A Repair skull 24.31 NA NA 15.76 17.80 2.99 NA NA 43.06 45.10 090
cavity lesion.
62121......... ........ A Incise skull 22.89 NA NA 14.03 15.10 4.16 NA NA 41.08 42.15 090
repair.
62140......... ........ A Repair of skull 14.41 NA NA 8.60 8.39 3.46 NA NA 26.47 26.26 090
defect.
62141......... ........ A Repair of skull 15.93 NA NA 9.30 9.11 3.75 NA NA 28.98 28.79 090
defect.
62142......... ........ A Remove skull 11.69 NA NA 7.72 7.17 2.72 NA NA 22.13 21.58 090
plate/flap.
62143......... ........ A Replace skull 14.01 NA NA 8.79 8.23 3.36 NA NA 26.16 25.60 090
plate/flap.
62145......... ........ A Repair of skull 19.95 NA NA 10.20 10.72 4.49 NA NA 34.64 35.16 090
& brain.
62146......... ........ A Repair of skull 17.14 NA NA 9.04 9.48 3.61 NA NA 29.79 30.23 090
with graft.
62147......... ........ A Repair of skull 20.53 NA NA 10.59 11.12 4.31 NA NA 35.43 35.96 090
with graft.
62148......... ........ A Retr bone flap 2.00 NA NA 0.76 0.84 0.48 NA NA 3.24 3.32 ZZZ
to fix skull.
62160......... ........ A Neuroendoscopy 3.00 NA NA 1.12 1.43 0.77 NA NA 4.89 5.20 ZZZ
add-on.
62161......... ........ A Dissect brain w/ 21.04 NA NA 12.12 12.10 5.17 NA NA 38.33 38.31 090
scope.
62162......... ........ A Remove colloid 26.61 NA NA 13.85 14.60 5.89 NA NA 46.35 47.10 090
cyst w/scope.
62163......... ........ A Neuroendoscopy 16.34 NA NA 10.53 10.07 4.00 NA NA 30.87 30.41 090
w/fb removal.
62164......... ........ A Remove brain 29.19 NA NA 14.93 14.95 5.36 NA NA 49.48 49.50 090
tumor w/scope.
62165......... ........ A Remove pituit 23.04 NA NA 11.46 12.90 3.00 NA NA 37.50 38.94 090
tumor w/scope.
62180......... ........ A Establish brain 22.41 NA NA 12.00 12.21 4.97 NA NA 39.38 39.59 090
cavity shunt.
62190......... ........ A Establish brain 12.03 NA NA 7.67 7.23 2.79 NA NA 22.49 22.05 090
cavity shunt.
62192......... ........ A Establish brain 13.21 NA NA 8.40 7.82 3.01 NA NA 24.62 24.04 090
cavity shunt.
62194......... ........ A Replace/ 5.64 NA NA 3.81 2.78 0.92 NA NA 10.37 9.34 010
irrigate
catheter.
[[Page 49166]]
62200......... ........ A Establish brain 19.15 NA NA 10.69 10.80 4.64 NA NA 34.48 34.59 090
cavity shunt.
62201......... ........ A Brain cavity 15.83 NA NA 10.52 9.71 3.67 NA NA 30.02 29.21 090
shunt w/scope.
62220......... ........ A Establish brain 13.96 NA NA 8.39 8.08 3.34 NA NA 25.69 25.38 090
cavity shunt.
62223......... ........ A Establish brain 13.84 NA NA 9.42 8.54 3.13 NA NA 26.39 25.51 090
cavity shunt.
62225......... ........ A Replace/ 6.08 NA NA 5.49 4.44 1.39 NA NA 12.96 11.91 090
irrigate
catheter.
62230......... ........ A Replace/revise 11.32 NA NA 7.28 6.68 2.70 NA NA 21.30 20.70 090
brain shunt.
62252......... ........ A Csf shunt 0.74 1.78 1.55 NA NA 0.21 2.73 2.50 NA NA XXX
reprogram.
62252......... 26...... A Csf shunt 0.74 0.27 0.35 0.27 0.35 0.19 1.20 1.28 1.20 1.28 XXX
reprogram.
62252......... TC...... A Csf shunt 0.00 1.51 1.20 NA NA 0.02 1.53 1.22 NA NA XXX
reprogram.
62256......... ........ A Remove brain 7.27 NA NA 5.88 4.99 1.71 NA NA 14.86 13.97 090
cavity shunt.
62258......... ........ A Replace brain 15.50 NA NA 9.25 8.85 3.73 NA NA 28.48 28.08 090
cavity shunt.
62263......... ........ A Epidural lysis 6.37 9.18 11.81 2.88 3.11 0.41 15.96 18.59 9.66 9.89 010
mult sessions.
62264......... ........ A Epidural lysis 4.42 5.78 7.24 1.31 1.39 0.27 10.47 11.93 6.00 6.08 010
on single day.
62268......... ........ A Drain spinal 4.73 6.76 10.34 1.74 2.04 0.43 11.92 15.50 6.90 7.20 000
cord cyst.
62269......... ........ A Needle biopsy, 5.01 6.84 12.72 1.67 1.90 0.37 12.22 18.10 7.05 7.28 000
spinal cord.
62270......... ........ A Spinal fluid 1.37 2.38 2.84 0.55 0.56 0.08 3.83 4.29 2.00 2.01 000
tap,
diagnostic.
62272......... ........ A Drain cerebro 1.35 3.14 3.49 0.61 0.69 0.18 4.67 5.02 2.14 2.22 000
spinal fluid.
62273......... ........ A Inject epidural 2.15 1.70 2.46 0.58 0.68 0.13 3.98 4.74 2.86 2.96 000
patch.
62280......... ........ A Treat spinal 2.63 4.30 6.27 1.07 1.03 0.30 7.23 9.20 4.00 3.96 010
cord lesion.
62281......... ........ A Treat spinal 2.66 3.79 5.19 0.91 0.90 0.19 6.64 8.04 3.76 3.75 010
cord lesion.
62282......... ........ A Treat spinal 2.33 3.97 7.26 1.07 0.96 0.17 6.47 9.76 3.57 3.46 010
canal lesion.
62284......... ........ A Injection for 1.54 3.79 4.67 0.67 0.68 0.13 5.46 6.34 2.34 2.35 000
myelogram.
62287......... ........ A Percutaneous 8.82 NA NA 4.24 5.22 0.58 NA NA 13.64 14.62 090
diskectomy.
62290......... ........ A Inject for 3.00 4.46 6.46 1.13 1.32 0.23 7.69 9.69 4.36 4.55 000
spine disk x-
ray.
62291......... ........ A Inject for 2.91 4.25 5.51 1.07 1.19 0.26 7.42 8.68 4.24 4.36 000
spine disk x-
ray.
62292......... ........ A Injection into 9.10 NA NA 3.19 4.15 0.82 NA NA 13.11 14.07 090
disk lesion.
62294......... ........ A Injection into 12.73 NA NA 5.63 5.59 1.24 NA NA 19.60 19.56 090
spinal artery.
62310......... ........ A Inject spine c/ 1.91 3.06 4.37 0.58 0.63 0.12 5.09 6.40 2.61 2.66 000
t.
62311......... ........ A Inject spine l/ 1.54 2.70 4.37 0.54 0.58 0.09 4.33 6.00 2.17 2.21 000
s (cd).
62318......... ........ A Inject spine w/ 2.04 3.24 5.10 0.48 0.61 0.12 5.40 7.26 2.64 2.77 000
cath, c/t.
62319......... ........ A Inject spine w/ 1.87 2.90 4.46 0.47 0.58 0.11 4.88 6.44 2.45 2.56 000
cath l/s (cd).
62350......... ........ A Implant spinal 7.96 NA NA 4.19 4.00 1.02 NA NA 13.17 12.98 090
canal cath.
62351......... ........ A Implant spinal 11.46 NA NA 7.73 7.27 2.24 NA NA 21.43 20.97 090
canal cath.
62355......... ........ A Remove spinal 6.54 NA NA 3.61 3.27 0.71 NA NA 10.86 10.52 090
canal catheter.
62360......... ........ A Insert spine 3.60 NA NA 3.46 2.88 0.34 NA NA 7.40 6.82 090
infusion
device.
62361......... ........ A Implant spine 6.51 NA NA 4.00 3.94 0.80 NA NA 11.31 11.25 090
infusion pump.
62362......... ........ A Implant spine 8.50 NA NA 4.78 4.47 1.18 NA NA 14.46 14.15 090
infusion pump.
62365......... ........ A Remove spine 6.51 NA NA 3.85 3.65 0.86 NA NA 11.22 11.02 090
infusion
device.
62367......... ........ A Analyze spine 0.48 0.41 0.56 0.11 0.10 0.03 0.92 1.07 0.62 0.61 XXX
infusion pump.
62368......... ........ A Analyze spine 0.75 0.60 0.67 0.19 0.18 0.06 1.41 1.48 1.00 0.99 XXX
infusion pump.
63001......... ........ A Removal of 17.47 NA NA 9.89 9.61 3.76 NA NA 31.12 30.84 090
spinal lamina.
63003......... ........ A Removal of 17.60 NA NA 9.80 9.85 3.72 NA NA 31.12 31.17 090
spinal lamina.
63005......... ........ A Removal of 16.22 NA NA 9.78 9.92 3.34 NA NA 29.34 29.48 090
spinal lamina.
63011......... ........ A Removal of 15.73 NA NA 9.22 8.51 3.37 NA NA 28.32 27.61 090
spinal lamina.
63012......... ........ A Removal of 16.67 NA NA 9.84 10.05 3.48 NA NA 29.99 30.20 090
spinal lamina.
63015......... ........ A Removal of 20.64 NA NA 12.01 11.91 4.75 NA NA 37.40 37.30 090
spinal lamina.
63016......... ........ A Removal of 21.85 NA NA 11.95 11.82 4.58 NA NA 38.38 38.25 090
spinal lamina.
63017......... ........ A Removal of 17.12 NA NA 10.43 10.40 3.63 NA NA 31.18 31.15 090
spinal lamina.
63020......... ........ A Neck spine disk 15.99 NA NA 9.99 9.75 3.71 NA NA 29.69 29.45 090
surgery.
63030......... ........ A Low back disk 12.97 NA NA 8.67 8.48 3.00 NA NA 24.64 24.45 090
surgery.
63035......... ........ A Spinal disk 3.15 NA NA 1.21 1.50 0.79 NA NA 5.15 5.44 ZZZ
surgery add-on.
63040......... ........ A Laminotomy, 20.13 NA NA 11.08 11.40 4.67 NA NA 35.88 36.20 090
single
cervical.
63042......... ........ A Laminotomy, 18.55 NA NA 10.68 11.18 4.25 NA NA 33.48 33.98 090
single lumbar.
63043......... ........ C Laminotomy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
addIl cervical.
63044......... ........ C Laminotomy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
addIl lumbar.
63045......... ........ A Removal of 17.77 NA NA 10.41 10.37 3.98 NA NA 32.16 32.12 090
spinal lamina.
[[Page 49167]]
63046......... ........ A Removal of 17.07 NA NA 9.88 10.11 3.55 NA NA 30.50 30.73 090
spinal lamina.
63047......... ........ A Removal of 15.16 NA NA 9.41 9.77 3.23 NA NA 27.80 28.16 090
spinal lamina.
63048......... ........ A Remove spinal 3.26 NA NA 1.25 1.56 0.72 NA NA 5.23 5.54 ZZZ
lamina add-on.
63050......... ........ A Cervical 21.82 NA NA 8.87 11.10 4.66 NA NA 35.35 37.58 090
laminoplasty.
63051......... ........ A C-laminoplasty 25.32 NA NA 11.71 13.03 4.66 NA NA 41.69 43.01 090
w/graft/plate.
63055......... ........ A Decompress 23.37 NA NA 12.40 12.95 5.27 NA NA 41.04 41.59 090
spinal cord.
63056......... ........ A Decompress 21.68 NA NA 11.41 12.27 4.75 NA NA 37.84 38.70 090
spinal cord.
63057......... ........ A Decompress 5.25 NA NA 1.97 2.47 1.22 NA NA 8.44 8.94 ZZZ
spine cord add-
on.
63064......... ........ A Decompress 26.04 NA NA 13.41 14.17 5.69 NA NA 45.14 45.90 090
spinal cord.
63066......... ........ A Decompress 3.26 NA NA 1.24 1.56 0.69 NA NA 5.19 5.51 ZZZ
spine cord add-
on.
63075......... ........ A Neck spine disk 19.41 NA NA 11.11 11.84 4.62 NA NA 35.14 35.87 090
surgery.
63076......... ........ A Neck spine disk 4.04 NA NA 1.53 1.92 0.96 NA NA 6.53 6.92 ZZZ
surgery.
63077......... ........ A Spine disk 22.70 NA NA 11.20 12.39 3.98 NA NA 37.88 39.07 090
surgery,
thorax.
63078......... ........ A Spine disk 3.28 NA NA 1.20 1.53 0.66 NA NA 5.14 5.47 ZZZ
surgery,
thorax.
63081......... ........ A Removal of 25.92 NA NA 13.62 14.15 5.54 NA NA 45.08 45.61 090
vertebral body.
63082......... ........ A Remove 4.36 NA NA 1.66 2.08 1.02 NA NA 7.04 7.46 ZZZ
vertebral body
add-on.
63085......... ........ A Removal of 29.29 NA NA 13.77 15.05 4.48 NA NA 47.54 48.82 090
vertebral body.
63086......... ........ A Remove 3.19 NA NA 1.17 1.49 0.59 NA NA 4.95 5.27 ZZZ
vertebral body
add-on.
63087......... ........ A Removal of 37.32 NA NA 16.85 18.80 6.20 NA NA 60.37 62.32 090
vertebral body.
63088......... ........ A Remove 4.32 NA NA 1.64 2.04 0.82 NA NA 6.78 7.18 ZZZ
vertebral body
add-on.
63090......... ........ A Removal of 30.72 NA NA 14.16 15.56 4.21 NA NA 49.09 50.49 090
vertebral body.
63091......... ........ A Remove 3.03 NA NA 1.13 1.38 0.48 NA NA 4.64 4.89 ZZZ
vertebral body
add-on.
63101......... ........ A Removal of 33.84 NA NA 17.18 18.75 5.69 NA NA 56.71 58.28 090
vertebral body.
63102......... ........ A Removal of 33.84 NA NA 16.90 18.68 5.69 NA NA 56.43 58.21 090
vertebral body.
63103......... ........ A Remove 4.82 NA NA 1.78 2.32 0.69 NA NA 7.29 7.83 ZZZ
vertebral body
add-on.
63170......... ........ A Incise spinal 22.03 NA NA 12.64 12.06 4.86 NA NA 39.53 38.95 090
cord tract(s).
63172......... ........ A Drainage of 19.62 NA NA 11.31 10.81 4.48 NA NA 35.41 34.91 090
spinal cyst.
63173......... ........ A Drainage of 24.13 NA NA 13.38 12.95 5.68 NA NA 43.19 42.76 090
spinal cyst.
63180......... ........ A Revise spinal 20.35 NA NA 10.94 10.97 3.95 NA NA 35.24 35.27 090
cord ligaments.
63182......... ........ A Revise spinal 22.64 NA NA 7.25 10.03 5.30 NA NA 35.19 37.97 090
cord ligaments.
63185......... ........ A Incise spinal 16.31 NA NA 10.11 8.60 2.79 NA NA 29.21 27.70 090
column/nerves.
63190......... ........ A Incise spinal 18.71 NA NA 10.16 10.14 3.24 NA NA 32.11 32.09 090
column/nerves.
63191......... ........ A Incise spinal 18.74 NA NA 10.78 10.55 6.34 NA NA 35.86 35.63 090
column/nerves.
63194......... ........ A Incise spinal 21.92 NA NA 8.65 10.95 3.26 NA NA 33.83 36.13 090
column & cord.
63195......... ........ A Incise spinal 21.50 NA NA 12.18 11.33 4.87 NA NA 38.55 37.70 090
column & cord.
63196......... ........ A Incise spinal 25.09 NA NA 13.88 13.51 5.76 NA NA 44.73 44.36 090
column & cord.
63197......... ........ A Incise spinal 23.90 NA NA 13.43 12.51 5.36 NA NA 42.69 41.77 090
column & cord.
63198......... ........ A Incise spinal 29.69 NA NA 9.01 8.58 6.43 NA NA 45.13 44.70 090
column & cord.
63199......... ........ A Incise spinal 31.26 NA NA 9.38 13.62 1.40 NA NA 42.04 46.28 090
column & cord.
63200......... ........ A Release of 21.26 NA NA 11.74 11.40 4.96 NA NA 37.96 37.62 090
spinal cord.
63250......... ........ A Revise spinal 43.68 NA NA 21.09 20.21 9.01 NA NA 73.78 72.90 090
cord vessels.
63251......... ........ A Revise spinal 44.43 NA NA 21.36 22.28 10.41 NA NA 76.20 77.12 090
cord vessels.
63252......... ........ A Revise spinal 44.42 NA NA 21.41 22.03 10.64 NA NA 76.47 77.09 090
cord vessels.
63265......... ........ A Excise 23.64 NA NA 13.10 12.85 5.43 NA NA 42.17 41.92 090
intraspinal
lesion.
63266......... ........ A Excise 24.50 NA NA 13.27 13.20 5.54 NA NA 43.31 43.24 090
intraspinal
lesion.
63267......... ........ A Excise 19.27 NA NA 11.22 11.11 4.37 NA NA 34.86 34.75 090
intraspinal
lesion.
63268......... ........ A Excise 19.84 NA NA 10.84 10.48 3.69 NA NA 34.37 34.01 090
intraspinal
lesion.
63270......... ........ A Excise 29.62 NA NA 15.73 15.53 6.82 NA NA 52.17 51.97 090
intraspinal
lesion.
63271......... ........ A Excise 29.74 NA NA 15.34 15.51 6.90 NA NA 51.98 52.15 090
intraspinal
lesion.
63272......... ........ A Excise 27.32 NA NA 14.33 14.59 6.18 NA NA 47.83 48.09 090
intraspinal
lesion.
63273......... ........ A Excise 26.29 NA NA 13.84 14.21 5.74 NA NA 45.87 46.24 090
intraspinal
lesion.
63275......... ........ A Biopsy/excise 25.68 NA NA 13.51 13.70 5.80 NA NA 44.99 45.18 090
spinal tumor.
63276......... ........ A Biopsy/excise 25.51 NA NA 13.73 13.69 5.83 NA NA 45.07 45.03 090
spinal tumor.
63277......... ........ A Biopsy/excise 22.21 NA NA 12.17 12.43 5.01 NA NA 39.39 39.65 090
spinal tumor.
63278......... ........ A Biopsy/excise 21.94 NA NA 12.07 12.30 4.55 NA NA 38.56 38.79 090
spinal tumor.
63280......... ........ A Biopsy/excise 30.08 NA NA 16.02 16.23 7.27 NA NA 53.37 53.58 090
spinal tumor.
63281......... ........ A Biopsy/excise 29.78 NA NA 15.82 16.08 7.17 NA NA 52.77 53.03 090
spinal tumor.
63282......... ........ A Biopsy/excise 27.94 NA NA 15.14 15.28 6.76 NA NA 49.84 49.98 090
spinal tumor.
63283......... ........ A Biopsy/excise 26.55 NA NA 14.20 14.54 6.26 NA NA 47.01 47.35 090
spinal tumor.
63285......... ........ A Biopsy/excise 37.84 NA NA 19.05 19.71 9.18 NA NA 66.07 66.73 090
spinal tumor.
63286......... ........ A Biopsy/excise 37.41 NA NA 18.80 19.62 9.21 NA NA 65.42 66.24 090
spinal tumor.
63287......... ........ A Biopsy/excise 39.87 NA NA 19.48 20.18 9.39 NA NA 68.74 69.43 090
spinal tumor.
63290......... ........ A Biopsy/excise 40.61 NA NA 20.06 20.45 9.02 NA NA 69.68 70.07 090
spinal tumor.
63295......... ........ A Repair of 5.25 NA NA 1.33 1.94 1.03 NA NA 7.61 8.22 ZZZ
laminectomy
defect.
63300......... ........ A Removal of 26.62 NA NA 13.54 14.10 5.97 NA NA 46.13 46.69 090
vertebral body.
63301......... ........ A Removal of 31.36 NA NA 15.06 15.42 5.39 NA NA 51.81 52.17 090
vertebral body.
[[Page 49168]]
63302......... ........ A Removal of 30.94 NA NA 14.83 15.59 5.53 NA NA 51.30 52.06 090
vertebral body.
63303......... ........ A Removal of 33.37 NA NA 14.68 16.35 4.68 NA NA 52.73 54.40 090
vertebral body.
63304......... ........ A Removal of 33.64 NA NA 17.05 17.21 6.41 NA NA 57.10 57.26 090
vertebral body.
63305......... ........ A Removal of 36.03 NA NA 17.60 17.93 5.71 NA NA 59.34 59.67 090
vertebral body.
63306......... ........ A Removal of 35.34 NA NA 15.77 17.29 8.33 NA NA 59.43 60.96 090
vertebral body.
63307......... ........ A Removal of 34.75 NA NA 17.66 17.02 4.46 NA NA 56.87 56.23 090
vertebral body.
63308......... ........ A Remove 5.24 NA NA 1.93 2.43 1.29 NA NA 8.46 8.96 ZZZ
vertebral body
add-on.
63600......... ........ A Remove spinal 14.98 NA NA 4.61 5.20 1.52 NA NA 21.11 21.70 090
cord lesion.
63610......... ........ A Stimulation of 8.72 14.20 48.31 1.58 2.08 0.86 23.78 57.89 11.16 11.66 000
spinal cord.
63615......... ........ A Remove lesion 17.18 NA NA 5.98 8.44 2.84 NA NA 26.00 28.46 090
of spinal cord.
63650......... ........ A Implant 7.53 NA NA 2.98 3.12 0.53 NA NA 11.04 11.18 090
neuroelectrode
s.
63655......... ........ A Implant 11.38 NA NA 7.84 7.13 2.43 NA NA 21.65 20.94 090
neuroelectrode
s.
63660......... ........ A Revise/remove 6.83 NA NA 3.36 3.55 0.78 NA NA 10.97 11.16 090
neuroelectrode.
63685......... ........ A Insrt/redo 7.83 NA NA 3.74 4.04 1.05 NA NA 12.62 12.92 090
spine n
generator.
63688......... ........ A Revise/remove 6.06 NA NA 3.60 3.56 0.89 NA NA 10.55 10.51 090
neuroreceiver.
63700......... ........ A Repair of 17.26 NA NA 9.78 10.17 3.52 NA NA 30.56 30.95 090
spinal
herniation.
63702......... ........ A Repair of 19.20 NA NA 10.93 11.01 4.12 NA NA 34.25 34.33 090
spinal
herniation.
63704......... ........ A Repair of 22.15 NA NA 12.60 12.83 4.57 NA NA 39.32 39.55 090
spinal
herniation.
63706......... ........ A Repair of 25.07 NA NA 15.07 13.95 6.23 NA NA 46.37 45.25 090
spinal
herniation.
63707......... ........ A Repair spinal 12.47 NA NA 7.90 7.75 2.51 NA NA 22.88 22.73 090
fluid leakage.
63709......... ........ A Repair spinal 15.47 NA NA 9.06 9.31 3.09 NA NA 27.62 27.87 090
fluid leakage.
63710......... ........ A Graft repair of 15.22 NA NA 9.26 9.09 3.40 NA NA 27.88 27.71 090
spine defect.
63740......... ........ A Install spinal 12.45 NA NA 8.25 7.57 2.93 NA NA 23.63 22.95 090
shunt.
63741......... ........ A Install spinal 8.98 NA NA 4.85 4.78 1.66 NA NA 15.49 15.42 090
shunt.
63744......... ........ A Revision of 8.83 NA NA 6.06 5.45 1.89 NA NA 16.78 16.17 090
spinal shunt.
63746......... ........ A Removal of 7.22 NA NA 4.75 4.02 1.53 NA NA 13.50 12.77 090
spinal shunt.
64400......... ........ A N block inj, 1.11 1.41 1.77 0.45 0.44 0.07 2.59 2.95 1.63 1.62 000
trigeminal.
64402......... ........ A N block inj, 1.25 1.46 1.57 0.53 0.58 0.09 2.80 2.91 1.87 1.92 000
facial.
64405......... ........ A N block inj, 1.32 1.17 1.39 0.51 0.47 0.08 2.57 2.79 1.91 1.87 000
occipital.
64408......... ........ A N block inj, 1.41 1.45 1.55 0.70 0.81 0.10 2.96 3.06 2.21 2.32 000
vagus.
64410......... ........ A N block inj, 1.43 1.82 2.33 0.52 0.48 0.09 3.34 3.85 2.04 2.00 000
phrenic.
64412......... ........ A N block inj, 1.18 2.05 2.50 0.55 0.46 0.08 3.31 3.76 1.81 1.72 000
spinal
accessor.
64413......... ........ A N block inj, 1.40 1.30 1.71 0.47 0.49 0.08 2.78 3.19 1.95 1.97 000
cervical
plexus.
64415......... ........ A N block inj, 1.48 1.50 2.48 0.34 0.43 0.09 3.07 4.05 1.91 2.00 000
brachial
plexus.
64416......... ........ A N block cont 3.85 NA NA 0.57 0.74 0.31 NA NA 4.73 4.90 010
infuse, b plex.
64417......... ........ A N block inj, 1.44 1.51 2.65 0.35 0.46 0.11 3.06 4.20 1.90 2.01 000
axillary.
64418......... ........ A N block inj, 1.32 1.90 2.44 0.52 0.46 0.07 3.29 3.83 1.91 1.85 000
suprascapular.
64420......... ........ A N block inj, 1.18 2.40 3.51 0.44 0.43 0.08 3.66 4.77 1.70 1.69 000
intercost, sng.
64421......... ........ A N block inj, 1.68 3.55 5.45 0.53 0.52 0.11 5.34 7.24 2.32 2.31 000
intercost, mlt.
64425......... ........ A N block inj, 1.75 1.34 1.57 0.56 0.55 0.13 3.22 3.45 2.44 2.43 000
ilio-ing/
hypogi.
64430......... ........ A N block inj, 1.46 2.41 2.49 0.78 0.61 0.10 3.97 4.05 2.34 2.17 000
pudendal.
64435......... ........ A N block inj, 1.45 2.00 2.39 0.56 0.66 0.16 3.61 4.00 2.17 2.27 000
paracervical.
64445......... ........ A N block inj, 1.48 1.67 2.42 0.52 0.51 0.10 3.25 4.00 2.10 2.09 000
sciatic, sng.
64446......... ........ A N blk inj, 3.61 NA NA 0.59 0.90 0.20 NA NA 4.40 4.71 010
sciatic, cont
inf.
64447......... ........ A N block inj 1.50 NA NA 0.21 0.38 0.09 NA NA 1.80 1.97 000
fem, single.
64448......... ........ A N block inj 3.36 NA NA 0.47 0.73 0.18 NA NA 4.01 4.27 010
fem, cont inf.
64449......... ........ A N block inj, 3.24 NA NA 0.49 0.84 0.15 NA NA 3.88 4.23 010
lumbar plexus.
64450......... ........ A N block, other 1.27 1.29 1.25 0.50 0.49 0.13 2.69 2.65 1.90 1.89 000
peripheral.
64470......... ........ A Inj 1.85 3.87 6.39 0.71 0.71 0.11 5.83 8.35 2.67 2.67 000
paravertebral
c/t.
64472......... ........ A Inj 1.29 1.23 2.06 0.34 0.34 0.08 2.60 3.43 1.71 1.71 ZZZ
paravertebral
c/t add-on.
64475......... ........ A Inj 1.41 3.72 6.09 0.60 0.62 0.10 5.23 7.60 2.11 2.13 000
paravertebral
l/s.
64476......... ........ A Inj 0.98 1.12 1.87 0.23 0.24 0.07 2.17 2.92 1.28 1.29 ZZZ
paravertebral
l/s add-on.
64479......... ........ A Inj foramen 2.20 3.81 6.57 0.82 0.87 0.12 6.13 8.89 3.14 3.19 000
epidural c/t.
64480......... ........ A Inj foramen 1.54 1.50 2.51 0.38 0.45 0.10 3.14 4.15 2.02 2.09 ZZZ
epidural add-
on.
64483......... ........ A Inj foramen 1.90 3.85 6.88 0.76 0.81 0.11 5.86 8.89 2.77 2.82 000
epidural l/s.
64484......... ........ A Inj foramen 1.33 1.63 2.87 0.32 0.36 0.08 3.04 4.28 1.73 1.77 ZZZ
epidural add-
on.
[[Page 49169]]
64505......... ........ A N block, 1.36 1.11 1.21 0.73 0.68 0.10 2.57 2.67 2.19 2.14 000
spenopalatine
gangl.
64508......... ........ A N block, 1.12 1.89 2.96 0.48 0.68 0.07 3.08 4.15 1.67 1.87 000
carotid sinus
s/p.
64510......... ........ A N block, 1.22 1.92 3.07 0.44 0.49 0.07 3.21 4.36 1.73 1.78 000
stellate
ganglion.
64517......... ........ A N block inj, 2.20 1.70 2.47 0.67 0.82 0.11 4.01 4.78 2.98 3.13 000
hypogas plxs.
64520......... ........ A N block, lumbar/ 1.35 2.62 4.51 0.52 0.54 0.08 4.05 5.94 1.95 1.97 000
thoracic.
64530......... ........ A N block inj, 1.58 2.65 4.00 0.60 0.64 0.10 4.33 5.68 2.28 2.32 000
celiac pelus.
64550......... ........ A Apply 0.18 0.20 0.26 0.06 0.05 0.01 0.39 0.45 0.25 0.24 000
neurostimulato
r.
64553......... ........ A Implant 2.31 2.50 2.75 1.35 1.73 0.18 4.99 5.24 3.84 4.22 010
neuroelectrode
s.
64555......... ........ A Implant 2.27 2.57 2.97 1.36 1.23 0.19 5.03 5.43 3.82 3.69 010
neuroelectrode
s.
64560......... ........ A Implant 2.36 2.49 2.60 1.33 1.29 0.22 5.07 5.18 3.91 3.87 010
neuroelectrode
s.
64561......... ........ A Implant 7.05 20.04 27.55 3.87 3.05 0.51 27.60 35.11 11.43 10.61 010
neuroelectrode
s.
64565......... ........ A Implant 1.76 2.47 3.08 1.28 1.27 0.13 4.36 4.97 3.17 3.16 010
neuroelectrode
s.
64573......... ........ A Implant 8.11 NA NA 5.44 5.29 1.60 NA NA 15.15 15.00 090
neuroelectrode
s.
64575......... ........ A Implant 4.34 NA NA 2.00 2.50 0.61 NA NA 6.95 7.45 090
neuroelectrode
s.
64577......... ........ A Implant 4.61 NA NA 2.87 3.18 1.04 NA NA 8.52 8.83 090
neuroelectrode
s.
64580......... ........ A Implant 4.11 NA NA 2.69 3.34 0.36 NA NA 7.16 7.81 090
neuroelectrode
s.
64581......... ........ A Implant 14.13 NA NA 6.72 5.71 1.05 NA NA 21.90 20.89 090
neuroelectrode
s.
64585......... ........ A Revise/remove 2.06 5.79 9.91 2.24 2.16 0.20 8.05 12.17 4.50 4.42 010
neuroelectrode.
64590......... ........ A Insrt/redo 2.40 6.44 6.97 2.47 2.33 0.19 9.03 9.56 5.06 4.92 010
perph n
generator.
64595......... ........ A Revise/remove 1.73 6.52 9.42 2.20 1.99 0.19 8.44 11.34 4.12 3.91 010
neuroreceiver.
64600......... ........ A Injection 3.44 5.28 8.33 1.58 1.63 0.34 9.06 12.11 5.36 5.41 010
treatment of
nerve.
64605......... ........ A Injection 5.60 7.65 9.08 2.39 2.23 0.79 14.04 15.47 8.78 8.62 010
treatment of
nerve.
64610......... ........ A Injection 7.15 9.41 9.00 3.52 3.66 1.58 18.14 17.73 12.25 12.39 010
treatment of
nerve.
64612......... ........ A Destroy nerve, 1.96 1.61 2.26 1.36 1.33 0.11 3.68 4.33 3.43 3.40 010
face muscle.
64613......... ........ A Destroy nerve, 1.96 1.36 2.54 1.13 1.20 0.11 3.43 4.61 3.20 3.27 010
neck muscle.
64614......... ........ A Destroy nerve, 2.20 1.62 2.82 1.31 1.31 0.10 3.92 5.12 3.61 3.61 010
extrem musc.
64620......... ........ A Injection 2.84 3.44 4.66 1.17 1.29 0.20 6.48 7.70 4.21 4.33 010
treatment of
nerve.
64622......... ........ A Destr 3.00 4.10 6.85 1.27 1.35 0.18 7.28 10.03 4.45 4.53 010
paravertebrl
nerve l/s.
64623......... ........ A Destr 0.99 1.65 2.63 0.22 0.22 0.06 2.70 3.68 1.27 1.27 ZZZ
paravertebral
n add-on.
64626......... ........ A Destr 3.78 4.74 7.02 1.87 1.94 0.20 8.72 11.00 5.85 5.92 010
paravertebrl
nerve c/t.
64627......... ........ A Destr 1.16 2.38 3.99 0.25 0.27 0.07 3.61 5.22 1.48 1.50 ZZZ
paravertebral
n add-on.
64630......... ........ A Injection 3.00 2.81 2.75 1.88 1.53 0.22 6.03 5.97 5.10 4.75 010
treatment of
nerve.
64640......... ........ A Injection 2.76 2.45 3.75 1.44 1.74 0.29 5.50 6.80 4.49 4.79 010
treatment of
nerve.
64650......... ........ A Chemodenerv 0.70 0.78 0.85 0.18 0.27 0.06 1.54 1.61 0.94 1.03 000
eccrine glands.
64653......... ........ A Chemodenerv 0.88 0.83 0.90 0.22 0.34 0.08 1.79 1.86 1.18 1.30 000
eccrine glands.
64680......... ........ A Injection 2.62 4.01 6.04 1.09 1.35 0.18 6.81 8.84 3.89 4.15 010
treatment of
nerve.
64681......... ........ A Injection 3.78 4.92 8.20 1.32 1.88 0.28 8.98 12.26 5.38 5.94 010
treatment of
nerve.
64702......... ........ A Revise finger/ 6.02 NA NA 5.27 4.21 0.61 NA NA 11.90 10.84 090
toe nerve.
64704......... ........ A Revise hand/ 4.56 NA NA 3.20 3.28 0.61 NA NA 8.37 8.45 090
foot nerve.
64708......... ........ A Revise arm/leg 6.17 NA NA 4.29 4.72 0.96 NA NA 11.42 11.85 090
nerve.
64712......... ........ A Revision of 7.92 NA NA 4.55 4.86 0.95 NA NA 13.42 13.73 090
sciatic nerve.
64713......... ........ A Revision of arm 11.22 NA NA 6.47 6.02 1.82 NA NA 19.51 19.06 090
nerve(s).
64714......... ........ A Revise low back 10.37 NA NA 4.91 4.38 1.19 NA NA 16.47 15.94 090
nerve(s).
64716......... ........ A Revision of 6.80 NA NA 5.15 5.77 0.63 NA NA 12.58 13.20 090
cranial nerve.
64718......... ........ A Revise ulnar 6.98 NA NA 6.23 6.05 1.05 NA NA 14.26 14.08 090
nerve at elbow.
64719......... ........ A Revise ulnar 4.84 NA NA 4.16 4.43 0.77 NA NA 9.77 10.04 090
nerve at wrist.
64721......... ........ A Carpal tunnel 4.78 4.72 5.20 4.66 5.19 0.73 10.23 10.71 10.17 10.70 090
surgery.
64722......... ........ A Relieve 4.69 NA NA 2.83 2.99 0.48 NA NA 8.00 8.16 090
pressure on
nerve(s).
64726......... ........ A Release foot/ 4.17 NA NA 2.73 2.78 0.54 NA NA 7.44 7.49 090
toe nerve.
64727......... ........ A Internal nerve 3.10 NA NA 1.23 1.43 0.48 NA NA 4.81 5.01 ZZZ
revision.
64732......... ........ A Incision of 4.78 NA NA 4.27 3.69 0.98 NA NA 10.03 9.45 090
brow nerve.
64734......... ........ A Incision of 5.41 NA NA 4.64 4.20 0.89 NA NA 10.94 10.50 090
cheek nerve.
64736......... ........ A Incision of 5.09 NA NA 3.87 3.98 0.52 NA NA 9.48 9.59 090
chin nerve.
64738......... ........ A Incision of jaw 6.22 NA NA 4.22 4.51 1.08 NA NA 11.52 11.81 090
nerve.
64740......... ........ A Incision of 6.08 NA NA 4.41 4.94 0.69 NA NA 11.18 11.71 090
tongue nerve.
64742......... ........ A Incision of 6.71 NA NA 4.35 4.61 0.73 NA NA 11.79 12.05 090
facial nerve.
64744......... ........ A Incise nerve, 5.61 NA NA 4.59 3.98 1.16 NA NA 11.36 10.75 090
back of head.
64746......... ........ A Incise 6.42 NA NA 3.88 4.35 0.82 NA NA 11.12 11.59 090
diaphragm
nerve.
64752......... ........ A Incision of 7.55 NA NA 4.06 4.23 0.93 NA NA 12.54 12.71 090
vagus nerve.
64755......... ........ A Incision of 14.93 NA NA 5.84 5.68 1.83 NA NA 22.60 22.44 090
stomach nerves.
64760......... ........ A Incision of 7.45 NA NA 3.85 3.55 0.81 NA NA 12.11 11.81 090
vagus nerve.
64761......... ........ A Incision of 6.90 NA NA 3.99 3.64 0.53 NA NA 11.42 11.07 090
pelvis nerve.
64763......... ........ A Incise hip/ 7.42 NA NA 5.07 5.16 0.94 NA NA 13.43 13.52 090
thigh nerve.
64766......... ........ A Incise hip/ 9.29 NA NA 5.31 5.26 1.06 NA NA 15.66 15.61 090
thigh nerve.
64771......... ........ A Sever cranial 7.97 NA NA 5.28 5.48 1.23 NA NA 14.48 14.68 090
nerve.
64772......... ........ A Incision of 7.70 NA NA 5.32 5.02 1.40 NA NA 14.42 14.12 090
spinal nerve.
[[Page 49170]]
64774......... ........ A Remove skin 5.66 NA NA 3.97 3.87 0.74 NA NA 10.37 10.27 090
nerve lesion.
64776......... ........ A Remove digit 5.49 NA NA 3.73 3.69 0.76 NA NA 9.98 9.94 090
nerve lesion.
64778......... ........ A Digit nerve 3.11 NA NA 1.19 1.42 0.46 NA NA 4.76 4.99 ZZZ
surgery add-on.
64782......... ........ A Remove limb 6.72 NA NA 4.11 3.86 0.86 NA NA 11.69 11.44 090
nerve lesion.
64783......... ........ A Limb nerve 3.71 NA NA 1.41 1.73 0.51 NA NA 5.63 5.95 ZZZ
surgery add-on.
64784......... ........ A Remove nerve 10.44 NA NA 6.20 6.49 1.38 NA NA 18.01 18.30 090
lesion.
64786......... ........ A Remove sciatic 16.07 NA NA 8.97 9.62 2.60 NA NA 27.64 28.29 090
nerve lesion.
64787......... ........ A Implant nerve 4.29 NA NA 1.60 1.99 0.58 NA NA 6.47 6.86 ZZZ
end.
64788......... ........ A Remove skin 5.10 NA NA 3.87 3.56 0.73 NA NA 9.70 9.39 090
nerve lesion.
64790......... ........ A Removal of 11.92 NA NA 6.81 7.10 2.10 NA NA 20.83 21.12 090
nerve lesion.
64792......... ........ A Removal of 15.65 NA NA 8.40 8.72 2.48 NA NA 26.53 26.85 090
nerve lesion.
64795......... ........ A Biopsy of nerve 3.01 NA NA 1.44 1.53 0.52 NA NA 4.97 5.06 000
64802......... ........ A Remove 10.19 NA NA 4.22 4.90 1.29 NA NA 15.70 16.38 090
sympathetic
nerves.
64804......... ........ A Remove 15.73 NA NA 6.10 6.90 2.14 NA NA 23.97 24.77 090
sympathetic
nerves.
64809......... ........ A Remove 14.57 NA NA 6.60 5.97 1.50 NA NA 22.67 22.04 090
sympathetic
nerves.
64818......... ........ A Remove 11.20 NA NA 4.36 5.05 1.33 NA NA 16.89 17.58 090
sympathetic
nerves.
64820......... ........ A Remove 10.60 NA NA 7.04 7.10 1.49 NA NA 19.13 19.19 090
sympathetic
nerves.
64821......... ........ A Remove 9.11 NA NA 6.64 7.17 1.24 NA NA 16.99 17.52 090
sympathetic
nerves.
64822......... ........ A Remove 9.11 NA NA 6.45 7.04 1.30 NA NA 16.86 17.45 090
sympathetic
nerves.
64823......... ........ A Remove 10.72 NA NA 7.11 7.88 1.57 NA NA 19.40 20.17 090
sympathetic
nerves.
64831......... ........ A Repair of digit 10.18 NA NA 6.67 6.97 1.41 NA NA 18.26 18.56 090
nerve.
64832......... ........ A Repair nerve 5.65 NA NA 2.36 2.79 0.85 NA NA 8.86 9.29 ZZZ
add-on.
64834......... ........ A Repair of hand 10.67 NA NA 6.57 6.96 1.54 NA NA 18.78 19.17 090
or foot nerve.
64835......... ........ A Repair of hand 11.55 NA NA 7.32 7.60 1.73 NA NA 20.60 20.88 090
or foot nerve.
64836......... ........ A Repair of hand 11.55 NA NA 7.04 7.51 1.67 NA NA 20.26 20.73 090
or foot nerve.
64837......... ........ A Repair nerve 6.25 NA NA 2.67 3.09 0.97 NA NA 9.89 10.31 ZZZ
add-on.
64840......... ........ A Repair of leg 13.81 NA NA 5.07 7.46 1.37 NA NA 20.25 22.64 090
nerve.
64856......... ........ A Repair/ 14.89 NA NA 8.60 9.04 2.12 NA NA 25.61 26.05 090
transpose
nerve.
64857......... ........ A Repair arm/leg 15.64 NA NA 8.93 9.46 2.21 NA NA 26.78 27.31 090
nerve.
64858......... ........ A Repair sciatic 17.64 NA NA 10.15 10.62 3.33 NA NA 31.12 31.58 090
nerve.
64859......... ........ A Nerve surgery.. 4.25 NA NA 1.88 2.11 0.67 NA NA 6.80 7.03 ZZZ
64861......... ........ A Repair of arm 20.68 NA NA 10.04 11.34 4.08 NA NA 34.80 36.10 090
nerves.
64862......... ........ A Repair of low 20.88 NA NA 6.83 10.66 4.31 NA NA 32.02 35.85 090
back nerves.
64864......... ........ A Repair of 13.27 NA NA 7.03 8.33 1.26 NA NA 21.56 22.86 090
facial nerve.
64865......... ........ A Repair of 15.91 NA NA 9.89 12.61 1.50 NA NA 27.30 30.02 090
facial nerve.
64866......... ........ A Fusion of 16.65 NA NA 12.27 12.94 2.04 NA NA 30.96 31.63 090
facial/other
nerve.
64868......... ........ A Fusion of 14.76 NA NA 9.07 10.84 1.43 NA NA 25.26 27.03 090
facial/other
nerve.
64870......... ........ A Fusion of 16.90 NA NA 8.42 8.65 1.30 NA NA 26.62 26.85 090
facial/other
nerve.
64872......... ........ A Subsequent 1.99 NA NA 0.81 1.01 0.29 NA NA 3.09 3.29 ZZZ
repair of
nerve.
64874......... ........ A Repair & revise 2.98 NA NA 1.21 1.45 0.42 NA NA 4.61 4.85 ZZZ
nerve add-on.
64876......... ........ A Repair nerve/ 3.37 NA NA 0.78 1.50 0.47 NA NA 4.62 5.34 ZZZ
shorten bone.
64885......... ........ A Nerve graft, 17.50 NA NA 8.84 10.91 1.63 NA NA 27.97 30.04 090
head or neck.
64886......... ........ A Nerve graft, 20.72 NA NA 9.68 12.58 2.08 NA NA 32.48 35.38 090
head or neck.
64890......... ........ A Nerve graft, 16.06 NA NA 9.05 9.76 2.29 NA NA 27.40 28.11 090
hand or foot.
64891......... ........ A Nerve graft, 17.17 NA NA 9.87 8.15 1.63 NA NA 28.67 26.95 090
hand or foot.
64892......... ........ A Nerve graft, 15.56 NA NA 8.95 8.88 2.47 NA NA 26.98 26.91 090
arm or leg.
64893......... ........ A Nerve graft, 16.69 NA NA 9.67 9.81 2.61 NA NA 28.97 29.11 090
arm or leg.
64895......... ........ A Nerve graft, 20.21 NA NA 10.02 9.74 2.57 NA NA 32.80 32.52 090
hand or foot.
64896......... ........ A Nerve graft, 21.75 NA NA 11.89 11.21 3.16 NA NA 36.80 36.12 090
hand or foot.
64897......... ........ A Nerve graft, 19.20 NA NA 10.43 10.63 2.54 NA NA 32.17 32.37 090
arm or leg.
64898......... ........ A Nerve graft, 20.76 NA NA 11.28 11.66 2.77 NA NA 34.81 35.19 090
arm or leg.
64901......... ........ A Nerve graft add- 10.20 NA NA 3.82 4.90 1.37 NA NA 15.39 16.47 ZZZ
on.
64902......... ........ A Nerve graft add- 11.81 NA NA 4.25 5.53 1.55 NA NA 17.61 18.89 ZZZ
on.
64905......... ........ A Nerve pedicle 14.93 NA NA 6.84 8.08 2.00 NA NA 23.77 25.01 090
transfer.
64907......... ........ A Nerve pedicle 19.85 NA NA 6.41 10.99 3.16 NA NA 29.42 34.00 090
transfer.
64999......... ........ C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
[[Page 49171]]
65091......... ........ A Revise eye..... 7.08 NA NA 6.91 7.99 0.32 NA NA 14.31 15.39 090
65093......... ........ A Revise eye with 6.86 NA NA 7.00 8.28 0.34 NA NA 14.20 15.48 090
implant.
65101......... ........ A Removal of eye. 8.02 NA NA 8.15 9.18 0.35 NA NA 16.52 17.55 090
65103......... ........ A Remove eye/ 8.56 NA NA 8.37 9.39 0.37 NA NA 17.30 18.32 090
insert implant.
65105......... ........ A Remove eye/ 9.61 NA NA 9.06 10.11 0.42 NA NA 19.09 20.14 090
attach implant.
65110......... ........ A Removal of eye. 15.31 NA NA 11.58 13.15 0.81 NA NA 27.70 29.27 090
65112......... ........ A Remove eye/ 18.05 NA NA 13.05 15.36 1.30 NA NA 32.40 34.71 090
revise socket.
65114......... ........ A Remove eye/ 19.19 NA NA 13.69 15.68 1.02 NA NA 33.90 35.89 090
revise socket.
65125......... ........ A Revise ocular 3.12 6.82 8.31 3.18 3.50 0.19 10.13 11.62 6.49 6.81 090
implant.
65130......... ........ A Insert ocular 8.14 NA NA 7.92 8.85 0.35 NA NA 16.41 17.34 090
implant.
65135......... ........ A Insert ocular 8.32 NA NA 7.97 8.98 0.36 NA NA 16.65 17.66 090
implant.
65140......... ........ A Attach ocular 9.14 NA NA 8.59 9.55 0.40 NA NA 18.13 19.09 090
implant.
65150......... ........ A Revise ocular 6.25 NA NA 6.47 7.60 0.31 NA NA 13.03 14.16 090
implant.
65155......... ........ A Reinsert ocular 9.78 NA NA 8.85 10.07 0.50 NA NA 19.13 20.35 090
implant.
65175......... ........ A Removal of 7.15 NA NA 7.27 8.18 0.31 NA NA 14.73 15.64 090
ocular implant.
65205......... ........ A Remove foreign 0.71 0.59 0.63 0.33 0.30 0.03 1.33 1.37 1.07 1.04 000
body from eye.
65210......... ........ A Remove foreign 0.84 0.74 0.79 0.41 0.39 0.04 1.62 1.67 1.29 1.27 000
body from eye.
65220......... ........ A Remove foreign 0.71 0.60 0.63 0.29 0.28 0.05 1.36 1.39 1.05 1.04 000
body from eye.
65222......... ........ A Remove foreign 0.93 0.81 0.87 0.43 0.39 0.04 1.78 1.84 1.40 1.36 000
body from eye.
65235......... ........ A Remove foreign 8.69 NA NA 6.99 6.80 0.37 NA NA 16.05 15.86 090
body from eye.
65260......... ........ A Remove foreign 12.19 NA NA 9.03 9.50 0.57 NA NA 21.79 22.26 090
body from eye.
65265......... ........ A Remove foreign 13.95 NA NA 9.90 10.44 0.62 NA NA 24.47 25.01 090
body from eye.
65270......... ........ A Repair of eye 1.90 3.88 4.89 1.22 1.35 0.09 5.87 6.88 3.21 3.34 010
wound.
65272......... ........ A Repair of eye 4.44 6.50 7.41 3.27 3.29 0.19 11.13 12.04 7.90 7.92 090
wound.
65273......... ........ A Repair of eye 4.98 NA NA 3.43 3.54 0.22 NA NA 8.63 8.74 090
wound.
65275......... ........ A Repair of eye 6.08 6.43 6.34 3.99 3.95 0.26 12.77 12.68 10.33 10.29 090
wound.
65280......... ........ A Repair of eye 8.78 NA NA 6.02 6.18 0.38 NA NA 15.18 15.34 090
wound.
65285......... ........ A Repair of eye 14.32 NA NA 8.70 9.08 0.64 NA NA 23.66 24.04 090
wound.
65286......... ........ A Repair of eye 6.38 8.96 10.60 4.53 4.60 0.27 15.61 17.25 11.18 11.25 090
wound.
65290......... ........ A Repair of eye 6.28 NA NA 4.55 4.69 0.31 NA NA 11.14 11.28 090
socket wound.
65400......... ........ A Removal of eye 7.18 7.66 8.16 6.03 6.10 0.30 15.14 15.64 13.51 13.58 090
lesion.
65410......... ........ A Biopsy of 1.47 1.72 2.01 0.90 0.95 0.07 3.26 3.55 2.44 2.49 000
cornea.
65420......... ........ A Removal of eye 4.16 7.03 8.40 4.07 4.35 0.21 11.40 12.77 8.44 8.72 090
lesion.
65426......... ........ A Removal of eye 5.85 8.41 9.73 4.71 4.87 0.25 14.51 15.83 10.81 10.97 090
lesion.
65430......... ........ A Corneal smear.. 1.47 1.13 1.25 0.90 0.96 0.07 2.67 2.79 2.44 2.50 000
65435......... ........ A Curette/treat 0.92 0.89 0.97 0.67 0.70 0.04 1.85 1.93 1.63 1.66 000
cornea.
65436......... ........ A Curette/treat 4.68 3.88 4.04 3.55 3.64 0.21 8.77 8.93 8.44 8.53 090
cornea.
65450......... ........ A Treatment of 3.27 3.76 3.99 3.68 3.88 0.16 7.19 7.42 7.11 7.31 090
corneal lesion.
65600......... ........ A Revision of 4.02 4.58 4.90 3.51 3.39 0.17 8.77 9.09 7.70 7.58 090
cornea.
65710......... ........ A Corneal 13.97 NA NA 10.49 11.02 0.61 NA NA 25.07 25.60 090
transplant.
65730......... ........ A Corneal 15.87 NA NA 11.29 11.84 0.70 NA NA 27.86 28.41 090
transplant.
65750......... ........ A Corneal 16.48 NA NA 11.00 11.73 0.74 NA NA 28.22 28.95 090
transplant.
65755......... ........ A Corneal 16.37 NA NA 10.97 11.66 0.73 NA NA 28.07 28.76 090
transplant.
65770......... ........ A Revise cornea 19.28 NA NA 12.09 12.92 0.87 NA NA 32.24 33.07 090
with implant.
65772......... ........ A Correction of 4.91 4.99 5.40 4.04 4.11 0.21 10.11 10.52 9.16 9.23 090
astigmatism.
65775......... ........ A Correction of 6.66 NA NA 5.46 5.83 0.28 NA NA 12.40 12.77 090
astigmatism.
65780......... ........ A Ocular reconst, 10.23 NA NA 9.18 10.01 0.44 NA NA 19.85 20.68 090
transplant.
65781......... ........ A Ocular reconst, 17.64 NA NA 11.94 13.24 0.44 NA NA 30.02 31.32 090
transplant.
65782......... ........ A Ocular reconst, 14.98 NA NA 10.53 11.63 0.44 NA NA 25.95 27.05 090
transplant.
65800......... ........ A Drainage of eye 1.91 1.45 1.71 1.07 1.15 0.09 3.45 3.71 3.07 3.15 000
65805......... ........ A Drainage of eye 1.91 1.76 2.07 1.07 1.16 0.09 3.76 4.07 3.07 3.16 000
65810......... ........ A Drainage of eye 5.61 NA NA 4.82 4.73 0.24 NA NA 10.67 10.58 090
65815......... ........ A Drainage of eye 5.79 8.14 9.54 4.72 4.79 0.25 14.18 15.58 10.76 10.83 090
65820......... ........ A Relieve inner 8.62 NA NA 7.88 8.76 0.40 NA NA 16.90 17.78 090
eye pressure.
65850......... ........ A Incision of eye 11.14 NA NA 7.56 8.22 0.52 NA NA 19.22 19.88 090
65855......... ........ A Laser surgery 3.84 3.59 4.13 2.71 3.00 0.19 7.62 8.16 6.74 7.03 010
of eye.
65860......... ........ A Incise inner 3.54 3.37 3.87 2.16 2.42 0.18 7.09 7.59 5.88 6.14 090
eye adhesions.
65865......... ........ A Incise inner 5.59 NA NA 4.84 5.43 0.28 NA NA 10.71 11.30 090
eye adhesions.
65870......... ........ A Incise inner 7.14 NA NA 5.88 6.28 0.31 NA NA 13.33 13.73 090
eye adhesions.
65875......... ........ A Incise inner 7.53 NA NA 6.33 6.68 0.32 NA NA 14.18 14.53 090
eye adhesions.
65880......... ........ A Incise inner 8.08 NA NA 6.54 6.91 0.35 NA NA 14.97 15.34 090
eye adhesions.
65900......... ........ A Remove eye 12.16 NA NA 9.15 9.98 0.54 NA NA 21.85 22.68 090
lesion.
65920......... ........ A Remove implant 9.64 NA NA 7.72 8.06 0.41 NA NA 17.77 18.11 090
of eye.
65930......... ........ A Remove blood 8.18 NA NA 5.98 6.62 0.37 NA NA 14.53 15.17 090
clot from eye.
66020......... ........ A Injection 1.59 2.49 2.96 1.31 1.41 0.08 4.16 4.63 2.98 3.08 010
treatment of
eye.
66030......... ........ A Injection 1.25 2.36 2.81 1.18 1.26 0.06 3.67 4.12 2.49 2.57 010
treatment of
eye.
[[Page 49172]]
66130......... ........ A Remove eye 7.68 7.75 9.15 5.04 5.47 0.38 15.81 17.21 13.10 13.53 090
lesion.
66150......... ........ A Glaucoma 10.04 NA NA 9.04 9.31 0.46 NA NA 19.54 19.81 090
surgery.
66155......... ........ A Glaucoma 10.03 NA NA 9.02 9.27 0.41 NA NA 19.46 19.71 090
surgery.
66160......... ........ A Glaucoma 11.90 NA NA 9.78 10.09 0.50 NA NA 22.18 22.49 090
surgery.
66165......... ........ A Glaucoma 9.75 NA NA 8.97 9.17 0.40 NA NA 19.12 19.32 090
surgery.
66170......... ........ A Glaucoma 14.39 NA NA 11.90 12.14 0.60 NA NA 26.89 27.13 090
surgery.
66172......... ........ A Incision of eye 18.02 NA NA 15.09 15.17 0.74 NA NA 33.85 33.93 090
66180......... ........ A Implant eye 15.91 NA NA 10.05 10.58 0.71 NA NA 26.67 27.20 090
shunt.
66185......... ........ A Revise eye 9.26 NA NA 7.28 7.36 0.40 NA NA 16.94 17.01 090
shunt.
66220......... ........ A Repair eye 8.89 NA NA 7.21 7.13 0.40 NA NA 16.50 16.42 090
lesion.
66225......... ........ A Repair/graft 12.28 NA NA 8.41 8.65 0.55 NA NA 21.24 21.48 090
eye lesion.
66250......... ........ A Follow-up 6.85 9.51 11.15 5.42 5.47 0.30 16.66 18.30 12.57 12.62 090
surgery of eye.
66500......... ........ A Incision of 3.70 NA NA 4.07 4.50 0.18 NA NA 7.95 8.38 090
iris.
66505......... ........ A Incision of 4.07 NA NA 4.43 4.85 0.20 NA NA 8.70 9.12 090
iris.
66600......... ........ A Remove iris and 9.80 NA NA 8.55 8.30 0.43 NA NA 18.78 18.53 090
lesion.
66605......... ........ A Removal of iris 13.90 NA NA 9.43 9.87 0.77 NA NA 24.10 24.54 090
66625......... ........ A Removal of iris 5.12 NA NA 4.34 4.63 0.26 NA NA 9.72 10.01 090
66630......... ........ A Removal of iris 7.03 NA NA 5.52 5.66 0.31 NA NA 12.86 13.00 090
66635......... ........ A Removal of iris 7.12 NA NA 5.55 5.69 0.31 NA NA 12.98 13.12 090
66680......... ........ A Repair iris & 6.18 NA NA 5.23 5.26 0.27 NA NA 11.68 11.71 090
ciliary body.
66682......... ........ A Repair iris & 7.08 NA NA 6.92 6.69 0.31 NA NA 14.31 14.08 090
ciliary body.
66700......... ........ A Destruction, 5.02 4.96 5.17 3.73 3.88 0.24 10.22 10.43 8.99 9.14 090
ciliary body.
66710......... ........ A Ciliary 5.02 4.73 5.06 3.71 3.81 0.23 9.98 10.31 8.96 9.06 090
transsleral
therapy.
66711......... ........ A Ciliary 7.60 NA NA 6.49 6.48 0.30 NA NA 14.39 14.38 090
endoscopic
ablation.
66720......... ........ A Destruction, 4.77 5.47 5.71 4.40 4.64 0.26 10.50 10.74 9.43 9.67 090
ciliary body.
66740......... ........ A Destruction, 5.02 4.68 4.99 3.73 3.91 0.23 9.93 10.24 8.98 9.16 090
ciliary body.
66761......... ........ A Revision of 4.81 5.17 5.49 4.32 4.31 0.20 10.18 10.50 9.33 9.32 090
iris.
66762......... ........ A Revision of 5.20 5.26 5.55 4.20 4.27 0.23 10.69 10.98 9.63 9.70 090
iris.
66770......... ........ A Removal of 5.92 5.71 5.99 4.74 4.79 0.26 11.89 12.17 10.92 10.97 090
inner eye
lesion.
66820......... ........ A Incision, 3.88 NA NA 4.76 5.55 0.19 NA NA 8.83 9.62 090
secondary
cataract.
66821......... ........ A After cataract 3.28 3.93 4.05 3.51 3.59 0.11 7.32 7.44 6.90 6.98 090
laser surgery.
66825......... ........ A Reposition 8.72 NA NA 8.01 8.80 0.40 NA NA 17.13 17.92 090
intraocular
lens.
66830......... ........ A Removal of lens 9.19 NA NA 6.57 6.86 0.36 NA NA 16.12 16.41 090
lesion.
66840......... ........ A Removal of lens 8.90 NA NA 6.51 6.77 0.39 NA NA 15.80 16.06 090
material.
66850......... ........ A Removal of lens 10.23 NA NA 7.31 7.56 0.45 NA NA 17.99 18.24 090
material.
66852......... ........ A Removal of lens 11.09 NA NA 7.65 7.99 0.49 NA NA 19.23 19.57 090
material.
66920......... ........ A Extraction of 9.85 NA NA 6.87 7.19 0.44 NA NA 17.16 17.48 090
lens.
66930......... ........ A Extraction of 11.29 NA NA 7.73 8.04 0.49 NA NA 19.51 19.82 090
lens.
66940......... ........ A Extraction of 10.05 NA NA 7.25 7.51 0.43 NA NA 17.73 17.99 090
lens.
66982......... ........ A Cataract 14.73 NA NA 9.28 9.72 0.63 NA NA 24.64 25.08 090
surgery,
complex.
66983......... ........ A Cataract surg w/ 10.11 NA NA 6.30 6.16 0.14 NA NA 16.55 16.41 090
iol, 1 stage.
66984......... ........ A Cataract surg w/ 10.28 NA NA 6.62 7.22 0.39 NA NA 17.29 17.89 090
iol, 1 stage.
66985......... ........ A Insert lens 9.63 NA NA 7.33 7.42 0.36 NA NA 17.32 17.41 090
prosthesis.
66986......... ........ A Exchange lens 12.26 NA NA 8.38 8.97 0.60 NA NA 21.24 21.83 090
prosthesis.
66990......... ........ A Ophthalmic 1.51 NA NA 0.57 0.66 0.07 NA NA 2.15 2.24 ZZZ
endoscope add-
on.
66999......... ........ C Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67005......... ........ A Partial removal 5.69 NA NA 4.72 4.83 0.28 NA NA 10.69 10.80 090
of eye fluid.
67010......... ........ A Partial removal 6.86 NA NA 5.16 5.35 0.34 NA NA 12.36 12.55 090
of eye fluid.
67015......... ........ A Release of eye 6.91 NA NA 5.88 6.31 0.34 NA NA 13.13 13.56 090
fluid.
67025......... ........ A Replace eye 7.83 8.11 8.94 6.11 6.19 0.34 16.28 17.11 14.28 14.36 090
fluid.
67027......... ........ A Implant eye 11.33 NA NA 7.61 7.90 0.54 NA NA 19.48 19.77 090
drug system.
67028......... ........ A Injection eye 2.52 2.23 2.58 1.30 1.42 0.12 4.87 5.22 3.94 4.06 000
drug.
67030......... ........ A Incise inner 5.83 NA NA 5.77 5.83 0.24 NA NA 11.84 11.90 090
eye strands.
67031......... ........ A Laser surgery, 4.29 4.21 4.50 3.53 3.61 0.18 8.68 8.97 8.00 8.08 090
eye strands.
67036......... ........ A Removal of 13.00 NA NA 8.35 8.93 0.58 NA NA 21.93 22.51 090
inner eye
fluid.
67038......... ........ A Strip retinal 23.15 NA NA 13.97 15.11 1.04 NA NA 38.16 39.30 090
membrane.
[[Page 49173]]
67039......... ........ A Laser treatment 16.25 NA NA 11.08 11.91 0.71 NA NA 28.04 28.87 090
of retina.
67040......... ........ A Laser treatment 19.08 NA NA 12.45 13.37 0.85 NA NA 32.38 33.30 090
of retina.
67101......... ........ A Repair detached 8.52 8.75 9.03 6.38 6.49 0.37 17.64 17.92 15.27 15.38 090
retina.
67105......... ........ A Repair detached 8.28 7.65 7.97 5.99 6.11 0.37 16.30 16.62 14.64 14.75 090
retina.
67107......... ........ A Repair detached 16.26 NA NA 10.74 11.16 0.73 NA NA 27.73 28.15 090
retina.
67108......... ........ A Repair detached 22.39 NA NA 13.45 14.18 1.02 NA NA 36.86 37.59 090
retina.
67110......... ........ A Repair detached 9.93 9.22 9.98 7.20 7.34 0.44 19.59 20.35 17.57 17.71 090
retina.
67112......... ........ A Rerepair 18.33 NA NA 11.27 11.68 0.83 NA NA 30.43 30.84 090
detached
retina.
67115......... ........ A Release 5.86 NA NA 5.07 5.08 0.25 NA NA 11.18 11.19 090
encircling
material.
67120......... ........ A Remove eye 6.85 7.57 8.33 5.45 5.51 0.29 14.71 15.47 12.59 12.65 090
implant
material.
67121......... ........ A Remove eye 11.90 NA NA 8.25 8.46 0.53 NA NA 20.68 20.89 090
implant
material.
67141......... ........ A Treatment of 5.94 5.59 5.79 4.81 4.85 0.26 11.79 11.99 11.01 11.05 090
retina.
67145......... ........ A Treatment of 6.11 5.51 5.67 4.87 4.92 0.27 11.89 12.05 11.25 11.30 090
retina.
67208......... ........ A Treatment of 7.44 5.84 6.05 5.38 5.48 0.33 13.61 13.82 13.15 13.25 090
retinal lesion.
67210......... ........ A Treatment of 9.31 6.14 6.46 5.65 5.82 0.44 15.89 16.21 15.40 15.57 090
retinal lesion.
67218......... ........ A Treatment of 20.14 NA NA 11.08 11.88 0.92 NA NA 32.14 32.94 090
retinal lesion.
67220......... ........ A Treatment of 14.11 9.55 10.20 8.47 8.88 0.65 24.31 24.96 23.23 23.64 090
choroid lesion.
67221......... ........ R Ocular 3.45 3.03 4.01 1.45 1.71 0.20 6.68 7.66 5.10 5.36 000
photodynamic
ther.
67225......... ........ A Eye 0.47 0.24 0.25 0.18 0.20 0.02 0.73 0.74 0.67 0.69 ZZZ
photodynamic
ther add-on.
67227......... ........ A Treatment of 7.32 6.19 6.48 5.33 5.47 0.33 13.84 14.13 12.98 13.12 090
retinal lesion.
67228......... ........ A Treatment of 13.60 10.27 11.18 7.98 8.40 0.63 24.50 25.41 22.21 22.63 090
retinal lesion.
67250......... ........ A Reinforce eye 9.40 NA NA 7.90 8.85 0.47 NA NA 17.77 18.72 090
wall.
67255......... ........ A Reinforce/graft 9.89 NA NA 8.71 9.60 0.44 NA NA 19.04 19.93 090
eye wall.
67299......... ........ C Eye surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67311......... ........ A Revise eye 7.52 NA NA 5.68 5.94 0.37 NA NA 13.57 13.83 090
muscle.
67312......... ........ A Revise two eye 9.41 NA NA 6.42 6.67 0.43 NA NA 16.26 16.51 090
muscles.
67314......... ........ A Revise eye 8.51 NA NA 6.37 6.51 0.39 NA NA 15.27 15.41 090
muscle.
67316......... ........ A Revise two eye 10.65 NA NA 7.18 7.42 0.49 NA NA 18.32 18.56 090
muscles.
67318......... ........ A Revise eye 8.84 NA NA 6.76 6.89 0.41 NA NA 16.01 16.14 090
muscle(s).
67320......... ........ A Revise eye 4.32 NA NA 1.62 1.87 0.22 NA NA 6.16 6.41 ZZZ
muscle(s) add-
on.
67331......... ........ A Eye surgery 4.05 NA NA 1.51 1.75 0.21 NA NA 5.77 6.01 ZZZ
follow-up add-
on.
67332......... ........ A Rerevise eye 4.48 NA NA 1.68 1.94 0.23 NA NA 6.39 6.65 ZZZ
muscles add-on.
67334......... ........ A Revise eye 3.97 NA NA 1.48 1.71 0.20 NA NA 5.65 5.88 ZZZ
muscle w/
suture.
67335......... ........ A Eye suture 2.49 NA NA 0.93 1.07 0.13 NA NA 3.55 3.69 ZZZ
during surgery.
67340......... ........ A Revise eye 4.92 NA NA 1.84 2.11 0.25 NA NA 7.01 7.28 ZZZ
muscle add-on.
67343......... ........ A Release eye 8.22 NA NA 6.25 6.45 0.37 NA NA 14.84 15.04 090
tissue.
67345......... ........ A Destroy nerve 2.96 2.27 2.50 1.77 1.95 0.17 5.40 5.63 4.90 5.08 010
of eye muscle.
67350......... ........ A Biopsy eye 2.87 NA NA 1.69 1.83 0.15 NA NA 4.71 4.85 000
muscle.
67399......... ........ C Eye muscle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
67400......... ........ A Explore/biopsy 10.88 NA NA 9.71 10.87 0.56 NA NA 21.15 22.31 090
eye socket.
67405......... ........ A Explore/drain 8.92 NA NA 8.48 9.45 0.44 NA NA 17.84 18.81 090
eye socket.
67412......... ........ A Explore/treat 10.12 NA NA 8.81 10.40 0.48 NA NA 19.41 21.00 090
eye socket.
67413......... ........ A Explore/treat 9.99 NA NA 8.94 10.31 0.50 NA NA 19.43 20.80 090
eye socket.
67414......... ........ A Explr/ 17.72 NA NA 11.99 12.03 0.65 NA NA 30.36 30.40 090
decompress eye
socket.
67415......... ........ A Aspiration, 1.76 NA NA 0.63 0.73 0.09 NA NA 2.48 2.58 000
orbital
contents.
67420......... ........ A Explore/treat 21.52 NA NA 14.59 16.69 1.15 NA NA 37.26 39.36 090
eye socket.
67430......... ........ A Explore/treat 14.87 NA NA 12.66 14.33 0.86 NA NA 28.39 30.06 090
eye socket.
67440......... ........ A Explore/drain 14.45 NA NA 12.12 13.73 0.70 NA NA 27.27 28.88 090
eye socket.
67445......... ........ A Explr/ 18.90 NA NA 12.58 13.58 0.90 NA NA 32.38 33.38 090
decompress eye
socket.
67450......... ........ A Explore/biopsy 14.99 NA NA 12.63 14.18 0.68 NA NA 28.30 29.85 090
eye socket.
67500......... ........ A Inject/treat 1.44 0.61 0.66 0.48 0.34 0.05 2.10 2.15 1.97 1.83 000
eye socket.
67505......... ........ A Inject/treat 1.27 0.53 0.65 0.40 0.33 0.05 1.85 1.97 1.72 1.65 000
eye socket.
67515......... ........ A Inject/treat 1.40 0.81 0.65 0.64 0.45 0.03 2.24 2.08 2.07 1.88 000
eye socket.
67550......... ........ A Insert eye 11.42 NA NA 10.04 10.99 0.72 NA NA 22.18 23.13 090
socket implant.
67560......... ........ A Revise eye 11.83 NA NA 10.07 11.05 0.60 NA NA 22.50 23.48 090
socket implant.
67570......... ........ A Decompress 14.13 NA NA 11.33 13.02 0.68 NA NA 26.14 27.83 090
optic nerve.
67599......... ........ C Orbit surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
procedure.
67700......... ........ A Drainage of 1.35 4.42 5.62 1.21 1.26 0.07 5.84 7.04 2.63 2.68 010
eyelid abscess.
67710......... ........ A Incision of 1.02 3.79 4.98 1.10 1.18 0.05 4.86 6.05 2.17 2.25 010
eyelid.
67715......... ........ A Incision of 1.22 3.91 5.01 1.18 1.26 0.06 5.19 6.29 2.46 2.54 010
eyelid fold.
67800......... ........ A Remove eyelid 1.38 1.44 1.58 0.93 1.01 0.07 2.89 3.03 2.38 2.46 010
lesion.
67801......... ........ A Remove eyelid 1.88 1.73 1.90 1.12 1.23 0.09 3.70 3.87 3.09 3.20 010
lesions.
67805......... ........ A Remove eyelid 2.22 2.25 2.45 1.46 1.60 0.11 4.58 4.78 3.79 3.93 010
lesions.
67808......... ........ A Remove eyelid 4.42 NA NA 3.70 3.75 0.19 NA NA 8.31 8.36 090
lesion(s).
67810......... ........ A Biopsy of 1.48 3.87 3.47 0.66 0.68 0.06 5.41 5.01 2.20 2.22 000
eyelid.
67820......... ........ A Revise 0.71 0.45 0.56 0.52 0.55 0.04 1.20 1.31 1.27 1.30 000
eyelashes.
[[Page 49174]]
67825......... ........ A Revise 1.38 1.44 1.66 1.30 1.38 0.07 2.89 3.11 2.75 2.83 010
eyelashes.
67830......... ........ A Revise 1.70 4.10 5.17 1.36 1.47 0.08 5.88 6.95 3.14 3.25 010
eyelashes.
67835......... ........ A Revise 5.55 NA NA 4.18 4.51 0.28 NA NA 10.01 10.34 090
eyelashes.
67840......... ........ A Remove eyelid 2.04 4.01 5.11 1.50 1.61 0.10 6.15 7.25 3.64 3.75 010
lesion.
67850......... ........ A Treat eyelid 1.69 3.26 3.34 1.43 1.46 0.07 5.02 5.10 3.19 3.22 010
lesion.
67875......... ........ A Closure of 1.35 2.45 3.09 0.86 0.92 0.07 3.87 4.51 2.28 2.34 000
eyelid by
suture.
67880......... ........ A Revision of 4.42 5.58 6.35 3.67 3.77 0.19 10.19 10.96 8.28 8.38 090
eyelid.
67882......... ........ A Revision of 5.81 6.56 7.36 4.62 4.76 0.25 12.62 13.42 10.68 10.82 090
eyelid.
67900......... ........ A Repair brow 6.63 7.52 8.68 4.72 5.12 0.38 14.53 15.69 11.73 12.13 090
defect.
67901......... ........ A Repair eyelid 7.39 9.25 6.36 5.46 5.42 0.54 17.18 14.29 13.39 13.35 090
defect.
67902......... ........ A Repair eyelid 9.60 NA NA 6.58 5.74 0.60 NA NA 16.78 15.94 090
defect.
67903......... ........ A Repair eyelid 6.36 6.82 8.88 4.48 5.25 0.47 13.65 15.71 11.31 12.08 090
defect.
67904......... ........ A Repair eyelid 7.75 8.47 9.34 5.54 5.31 0.41 16.63 17.50 13.70 13.47 090
defect.
67906......... ........ A Repair eyelid 6.78 NA NA 4.63 4.93 0.46 NA NA 11.87 12.17 090
defect.
67908......... ........ A Repair eyelid 5.12 5.71 6.40 4.25 5.07 0.28 11.11 11.80 9.65 10.47 090
defect.
67909......... ........ A Revise eyelid 5.39 6.39 7.62 4.31 4.79 0.31 12.09 13.32 10.01 10.49 090
defect.
67911......... ........ A Revise eyelid 7.30 NA NA 5.21 4.89 0.31 NA NA 12.82 12.50 090
defect.
67912......... ........ A Correction 6.17 13.18 17.49 4.74 5.33 0.28 19.63 23.94 11.19 11.78 090
eyelid w/
implant.
67914......... ........ A Repair eyelid 3.67 4.88 5.98 2.76 2.98 0.19 8.74 9.84 6.62 6.84 090
defect.
67915......... ........ A Repair eyelid 3.18 4.54 5.62 2.57 2.74 0.16 7.88 8.96 5.91 6.08 090
defect.
67916......... ........ A Repair eyelid 5.30 6.53 7.67 4.26 4.64 0.28 12.11 13.25 9.84 10.22 090
defect.
67917......... ........ A Repair eyelid 6.01 6.91 8.07 4.54 4.94 0.36 13.28 14.44 10.91 11.31 090
defect.
67921......... ........ A Repair eyelid 3.39 4.75 5.83 2.64 2.83 0.17 8.31 9.39 6.20 6.39 090
defect.
67922......... ........ A Repair eyelid 3.06 4.44 5.54 2.51 2.69 0.15 7.65 8.75 5.72 5.90 090
defect.
67923......... ........ A Repair eyelid 5.87 6.63 7.75 4.46 4.84 0.30 12.80 13.92 10.63 11.01 090
defect.
67924......... ........ A Repair eyelid 5.78 7.11 8.47 4.19 4.56 0.30 13.19 14.55 10.27 10.64 090
defect.
67930......... ........ A Repair eyelid 3.60 4.50 5.41 1.85 2.09 0.19 8.29 9.20 5.64 5.88 010
wound.
67935......... ........ A Repair eyelid 6.21 6.95 8.13 3.70 4.23 0.39 13.55 14.73 10.30 10.83 090
wound.
67938......... ........ A Remove eyelid 1.33 3.95 5.02 1.27 1.26 0.06 5.34 6.41 2.66 2.65 010
foreign body.
67950......... ........ A Revision of 5.81 6.80 8.17 4.47 5.03 0.36 12.97 14.34 10.64 11.20 090
eyelid.
67961......... ........ A Revision of 5.68 7.00 8.26 4.43 4.88 0.33 13.01 14.27 10.44 10.89 090
eyelid.
67966......... ........ A Revision of 8.75 8.29 8.92 5.93 5.65 0.37 17.41 18.04 15.05 14.77 090
eyelid.
67971......... ........ A Reconstruction 9.78 NA NA 6.40 7.06 0.53 NA NA 16.71 17.37 090
of eyelid.
67973......... ........ A Reconstruction 12.85 NA NA 8.02 8.99 0.75 NA NA 21.62 22.59 090
of eyelid.
67974......... ........ A Reconstruction 12.82 NA NA 8.04 8.93 0.75 NA NA 21.61 22.50 090
of eyelid.
67975......... ........ A Reconstruction 9.12 NA NA 6.16 6.75 0.50 NA NA 15.78 16.37 090
of eyelid.
67999......... ........ C Revision of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
eyelid.
68020......... ........ A Incise/drain 1.37 1.28 1.38 1.09 1.18 0.06 2.71 2.81 2.52 2.61 010
eyelid lining.
68040......... ........ A Treatment of 0.85 0.62 0.69 0.37 0.42 0.04 1.51 1.58 1.26 1.31 000
eyelid lesions.
68100......... ........ A Biopsy of 1.35 2.41 3.04 0.88 0.93 0.07 3.83 4.46 2.30 2.35 000
eyelid lining.
68110......... ........ A Remove eyelid 1.77 3.15 3.86 1.52 1.62 0.09 5.01 5.72 3.38 3.48 010
lining lesion.
68115......... ........ A Remove eyelid 2.36 4.44 5.58 1.74 1.87 0.12 6.92 8.06 4.22 4.35 010
lining lesion.
68130......... ........ A Remove eyelid 4.92 6.84 8.24 4.16 4.49 0.24 12.00 13.40 9.32 9.65 090
lining lesion.
68135......... ........ A Remove eyelid 1.84 1.63 1.77 1.51 1.62 0.09 3.56 3.70 3.44 3.55 010
lining lesion.
68200......... ........ A Treat eyelid by 0.49 0.47 0.52 0.30 0.32 0.02 0.98 1.03 0.81 0.83 000
injection.
68320......... ........ A Revise/graft 6.36 9.42 10.82 5.47 5.51 0.27 16.05 17.45 12.10 12.14 090
eyelid lining.
68325......... ........ A Revise/graft 8.35 NA NA 6.16 6.45 0.44 NA NA 14.95 15.24 090
eyelid lining.
68326......... ........ A Revise/graft 8.14 NA NA 6.12 6.34 0.35 NA NA 14.61 14.83 090
eyelid lining.
68328......... ........ A Revise/graft 9.17 NA NA 6.66 7.13 0.54 NA NA 16.37 16.84 090
eyelid lining.
68330......... ........ A Revise eyelid 5.57 7.64 8.97 4.59 4.69 0.24 13.45 14.78 10.40 10.50 090
lining.
68335......... ........ A Revise/graft 8.18 NA NA 6.13 6.32 0.36 NA NA 14.67 14.86 090
eyelid lining.
68340......... ........ A Separate eyelid 4.79 7.07 8.42 3.99 4.07 0.21 12.07 13.42 8.99 9.07 090
adhesions.
68360......... ........ A Revise eyelid 4.99 6.60 7.68 4.07 4.15 0.22 11.81 12.89 9.28 9.36 090
lining.
68362......... ........ A Revise eyelid 8.33 NA NA 6.18 6.35 0.36 NA NA 14.87 15.04 090
lining.
68371......... ........ A Harvest eye 4.89 NA NA 4.18 4.59 0.44 NA NA 9.51 9.92 010
tissue,
alograft.
68399......... ........ C Eyelid lining 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
[[Page 49175]]
68400......... ........ A Incise/drain 1.69 4.44 5.54 1.22 1.67 0.08 6.21 7.31 2.99 3.44 010
tear gland.
68420......... ........ A Incise/drain 2.30 4.70 5.82 1.46 1.94 0.11 7.11 8.23 3.87 4.35 010
tear sac.
68440......... ........ A Incise tear 0.94 1.28 1.88 1.21 1.26 0.05 2.27 2.87 2.20 2.25 010
duct opening.
68500......... ........ A Removal of tear 12.38 NA NA 8.97 9.54 0.55 NA NA 21.90 22.47 090
gland.
68505......... ........ A Partial 12.30 NA NA 9.11 10.27 0.55 NA NA 21.96 23.12 090
removal, tear
gland.
68510......... ........ A Biopsy of tear 4.60 5.37 6.84 2.11 2.10 0.23 10.20 11.67 6.94 6.93 000
gland.
68520......... ........ A Removal of tear 8.50 NA NA 6.68 7.24 0.37 NA NA 15.55 16.11 090
sac.
68525......... ........ A Biopsy of tear 4.42 NA NA 1.64 1.93 0.22 NA NA 6.28 6.57 000
sac.
68530......... ........ A Clearance of 3.65 5.75 7.57 2.14 2.52 0.18 9.58 11.40 5.97 6.35 010
tear duct.
68540......... ........ A Remove tear 11.83 NA NA 8.71 9.22 0.52 NA NA 21.06 21.57 090
gland lesion.
68550......... ........ A Remove tear 14.74 NA NA 10.52 11.14 0.80 NA NA 26.06 26.68 090
gland lesion.
68700......... ........ A Repair tear 7.59 NA NA 5.74 5.92 0.32 NA NA 13.65 13.83 090
ducts.
68705......... ........ A Revise tear 2.06 3.12 3.91 1.63 1.75 0.10 5.28 6.07 3.79 3.91 010
duct opening.
68720......... ........ A Create tear sac 9.70 NA NA 7.10 7.67 0.44 NA NA 17.24 17.81 090
drain.
68745......... ........ A Create tear 9.62 NA NA 7.45 7.76 0.52 NA NA 17.59 17.90 090
duct drain.
68750......... ........ A Create tear 9.78 NA NA 7.64 8.11 0.43 NA NA 17.85 18.32 090
duct drain.
68760......... ........ A Close tear duct 1.73 2.66 3.32 1.50 1.60 0.09 4.48 5.14 3.32 3.42 010
opening.
68761......... ........ A Close tear duct 1.36 1.88 2.17 1.28 1.31 0.06 3.30 3.59 2.70 2.73 010
opening.
68770......... ........ A Close tear 8.01 NA NA 5.88 3.86 0.35 NA NA 14.24 12.22 090
system fistula.
68801......... ........ A Dilate tear 0.94 1.82 1.91 1.45 1.47 0.05 2.81 2.90 2.44 2.46 010
duct opening.
68810......... ........ A Probe 2.59 3.49 3.62 2.76 2.69 0.10 6.18 6.31 5.45 5.38 010
nasolacrimal
duct.
68811......... ........ A Probe 2.35 NA NA 2.17 2.35 0.13 NA NA 4.65 4.83 010
nasolacrimal
duct.
68815......... ........ A Probe 3.20 6.57 7.82 2.49 2.73 0.17 9.94 11.19 5.86 6.10 010
nasolacrimal
duct.
68840......... ........ A Explore/ 1.25 1.56 1.59 1.32 1.17 0.06 2.87 2.90 2.63 2.48 010
irrigate tear
ducts.
68850......... ........ A Injection for 0.80 0.72 0.84 0.60 0.66 0.04 1.56 1.68 1.44 1.50 000
tear sac x-ray.
68899......... ........ C Tear duct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
system surgery.
69000......... ........ A Drain external 1.45 2.70 2.84 1.24 1.33 0.12 4.27 4.41 2.81 2.90 010
ear lesion.
69005......... ........ A Drain external 2.11 2.74 2.88 1.45 1.74 0.17 5.02 5.16 3.73 4.02 010
ear lesion.
69020......... ........ A Drain outer ear 1.48 3.84 3.95 1.76 1.99 0.12 5.44 5.55 3.36 3.59 010
canal lesion.
69100......... ........ A Biopsy of 0.81 1.80 1.73 0.38 0.39 0.03 2.64 2.57 1.22 1.23 000
external ear.
69105......... ........ A Biopsy of 0.85 2.47 2.37 0.65 0.74 0.07 3.39 3.29 1.57 1.66 000
external ear
canal.
69110......... ........ A Remove external 3.43 7.50 6.93 4.23 4.41 0.30 11.23 10.66 7.96 8.14 090
ear, partial.
69120......... ........ A Removal of 4.04 NA NA 5.09 5.91 0.38 NA NA 9.51 10.33 090
external ear.
69140......... ........ A Remove ear 7.96 NA NA 12.30 13.04 0.65 NA NA 20.91 21.65 090
canal
lesion(s).
69145......... ........ A Remove ear 2.62 6.53 5.97 3.10 3.25 0.21 9.36 8.80 5.93 6.08 090
canal
lesion(s).
69150......... ........ A Extensive ear 13.41 NA NA 10.55 12.69 1.22 NA NA 25.18 27.32 090
canal surgery.
69155......... ........ A Extensive ear/ 22.96 NA NA 15.01 18.41 1.92 NA NA 39.89 43.29 090
neck surgery.
69200......... ........ A Clear outer ear 0.77 2.03 2.29 0.57 0.56 0.06 2.86 3.12 1.40 1.39 000
canal.
69205......... ........ A Clear outer ear 1.20 NA NA 1.14 1.31 0.10 NA NA 2.44 2.61 010
canal.
69210......... ........ A Remove impacted 0.61 0.55 0.61 0.16 0.21 0.05 1.21 1.27 0.82 0.87 000
ear wax.
69220......... ........ A Clean out 0.83 2.37 2.36 0.61 0.70 0.07 3.27 3.26 1.51 1.60 000
mastoid cavity.
69222......... ........ A Clean out 1.40 3.66 3.80 1.73 1.98 0.12 5.18 5.32 3.25 3.50 010
mastoid cavity.
69300......... ........ R Revise external 6.35 9.61 5.57 4.51 4.29 0.72 16.68 12.64 11.58 11.36 YYY
ear.
69310......... ........ A Rebuild outer 10.77 NA NA 14.19 15.76 0.85 NA NA 25.81 27.38 090
ear canal.
69320......... ........ A Rebuild outer 16.93 NA NA 18.16 20.92 1.37 NA NA 36.46 39.22 090
ear canal.
69399......... ........ C Outer ear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
69400......... ........ A Inflate middle 0.83 2.60 2.27 0.61 0.66 0.07 3.50 3.17 1.51 1.56 000
ear canal.
69401......... ........ A Inflate middle 0.63 1.46 1.30 0.56 0.63 0.05 2.14 1.98 1.24 1.31 000
ear canal.
69405......... ........ A Catheterize 2.63 3.38 3.47 1.78 2.18 0.21 6.22 6.31 4.62 5.02 010
middle ear
canal.
69420......... ........ A Incision of 1.33 3.05 3.13 1.41 1.55 0.11 4.49 4.57 2.85 2.99 010
eardrum.
69421......... ........ A Incision of 1.73 NA NA 1.68 2.04 0.15 NA NA 3.56 3.92 010
eardrum.
69424......... ........ A Remove 0.85 2.18 2.18 0.62 0.67 0.07 3.10 3.10 1.54 1.59 000
ventilating
tube.
69433......... ........ A Create eardrum 1.52 3.06 3.08 1.44 1.59 0.13 4.71 4.73 3.09 3.24 010
opening.
69436......... ........ A Create eardrum 1.96 NA NA 1.72 2.15 0.19 NA NA 3.87 4.30 010
opening.
69440......... ........ A Exploration of 7.56 NA NA 8.31 8.66 0.61 NA NA 16.48 16.83 090
middle ear.
69450......... ........ A Eardrum 5.56 NA NA 6.96 7.01 0.45 NA NA 12.97 13.02 090
revision.
69501......... ........ A Mastoidectomy.. 9.06 NA NA 7.80 8.70 0.73 NA NA 17.59 18.49 090
69502......... ........ A Mastoidectomy.. 12.36 NA NA 10.02 11.20 1.00 NA NA 23.38 24.56 090
69505......... ........ A Remove mastoid 12.97 NA NA 14.81 16.60 1.05 NA NA 28.83 30.62 090
structures.
69511......... ........ A Extensive 13.50 NA NA 14.89 16.83 1.09 NA NA 29.48 31.42 090
mastoid
surgery.
69530......... ........ A Extensive 20.15 NA NA 17.97 20.72 1.54 NA NA 39.66 42.41 090
mastoid
surgery.
69535......... ........ A Remove part of 37.17 NA NA 24.19 30.02 2.92 NA NA 64.28 70.11 090
temporal bone.
69540......... ........ A Remove ear 1.20 3.62 3.71 1.70 1.90 0.10 4.92 5.01 3.00 3.20 010
lesion.
69550......... ........ A Remove ear 10.97 NA NA 13.06 14.41 0.89 NA NA 24.92 26.27 090
lesion.
69552......... ........ A Remove ear 19.61 NA NA 16.55 19.64 1.59 NA NA 37.75 40.84 090
lesion.
69554......... ........ A Remove ear 35.63 NA NA 22.41 28.35 2.91 NA NA 60.95 66.89 090
lesion.
[[Page 49176]]
69601......... ........ A Mastoid surgery 13.22 NA NA 10.84 12.21 1.07 NA NA 25.13 26.50 090
revision.
69602......... ........ A Mastoid surgery 13.56 NA NA 11.56 12.81 1.10 NA NA 26.22 27.47 090
revision.
69603......... ........ A Mastoid surgery 14.00 NA NA 15.03 17.53 1.14 NA NA 30.17 32.67 090
revision.
69604......... ........ A Mastoid surgery 14.00 NA NA 11.67 13.19 1.14 NA NA 26.81 28.33 090
revision.
69605......... ........ A Mastoid surgery 18.46 NA NA 17.50 20.09 1.50 NA NA 37.46 40.05 090
revision.
69610......... ........ A Repair of 4.42 4.47 5.28 2.30 3.03 0.36 9.25 10.06 7.08 7.81 010
eardrum.
69620......... ........ A Repair of 5.88 10.04 10.85 5.29 6.04 0.48 16.40 17.21 11.65 12.40 090
eardrum.
69631......... ........ A Repair eardrum 9.85 NA NA 10.50 11.03 0.80 NA NA 21.15 21.68 090
structures.
69632......... ........ A Rebuild eardrum 12.73 NA NA 12.08 13.12 1.03 NA NA 25.84 26.88 090
structures.
69633......... ........ A Rebuild eardrum 12.08 NA NA 11.91 12.77 0.98 NA NA 24.97 25.83 090
structures.
69635......... ........ A Repair eardrum 13.31 NA NA 14.83 16.26 1.08 NA NA 29.22 30.65 090
structures.
69636......... ........ A Rebuild eardrum 15.20 NA NA 16.60 18.63 1.23 NA NA 33.03 35.06 090
structures.
69637......... ........ A Rebuild eardrum 15.09 NA NA 16.58 18.56 1.22 NA NA 32.89 34.87 090
structures.
69641......... ........ A Revise middle 12.69 NA NA 11.31 12.41 1.03 NA NA 25.03 26.13 090
ear & mastoid.
69642......... ........ A Revise middle 16.81 NA NA 14.05 15.72 1.36 NA NA 32.22 33.89 090
ear & mastoid.
69643......... ........ A Revise middle 15.36 NA NA 12.81 14.32 1.24 NA NA 29.41 30.92 090
ear & mastoid.
69644......... ........ A Revise middle 17.00 NA NA 17.09 19.57 1.37 NA NA 35.46 37.94 090
ear & mastoid.
69645......... ........ A Revise middle 16.48 NA NA 17.01 19.27 1.33 NA NA 34.82 37.08 090
ear & mastoid.
69646......... ........ A Revise middle 18.14 NA NA 17.42 19.93 1.46 NA NA 37.02 39.53 090
ear & mastoid.
69650......... ........ A Release middle 9.65 NA NA 8.64 9.59 0.78 NA NA 19.07 20.02 090
ear bone.
69660......... ........ A Revise middle 11.88 NA NA 9.52 10.77 0.96 NA NA 22.36 23.61 090
ear bone.
69661......... ........ A Revise middle 15.72 NA NA 12.17 14.07 1.27 NA NA 29.16 31.06 090
ear bone.
69662......... ........ A Revise middle 15.42 NA NA 11.29 13.14 1.25 NA NA 27.96 29.81 090
ear bone.
69666......... ........ A Repair middle 9.74 NA NA 8.92 9.71 0.79 NA NA 19.45 20.24 090
ear structures.
69667......... ........ A Repair middle 9.75 NA NA 8.83 9.69 0.79 NA NA 19.37 20.23 090
ear structures.
69670......... ........ A Remove mastoid 11.55 NA NA 10.15 11.32 0.93 NA NA 22.63 23.80 090
air cells.
69676......... ........ A Remove middle 9.51 NA NA 9.63 10.47 0.81 NA NA 19.95 20.79 090
ear nerve.
69700......... ........ A Close mastoid 8.22 NA NA 7.65 8.84 0.67 NA NA 16.54 17.73 090
fistula.
69711......... ........ A Remove/repair 10.42 NA NA 9.42 10.45 0.83 NA NA 20.67 21.70 090
hearing aid.
69714......... ........ A Implant temple 14.23 NA NA 10.56 12.14 1.13 NA NA 25.92 27.50 090
bone w/stimul.
69715......... ........ A Temple bne 18.72 NA NA 11.94 14.26 1.48 NA NA 32.14 34.46 090
implnt w/
stimulat.
69717......... ........ A Temple bone 15.21 NA NA 11.31 13.68 0.90 NA NA 27.42 29.79 090
implant
revision.
69718......... ........ A Revise temple 18.97 NA NA 20.26 16.54 3.21 NA NA 42.44 38.72 090
bone implant.
69720......... ........ A Release facial 14.48 NA NA 12.75 14.08 1.16 NA NA 28.39 29.72 090
nerve.
69725......... ........ A Release facial 27.36 NA NA 16.30 19.17 2.44 NA NA 46.10 48.97 090
nerve.
69740......... ........ A Repair facial 16.12 NA NA 11.17 12.85 1.27 NA NA 28.56 30.24 090
nerve.
69745......... ........ A Repair facial 16.84 NA NA 11.87 14.20 1.14 NA NA 29.85 32.18 090
nerve.
69799......... ........ C Middle ear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
69801......... ........ A Incise inner 8.55 NA NA 8.75 9.28 0.69 NA NA 17.99 18.52 090
ear.
69802......... ........ A Incise inner 13.32 NA NA 10.54 11.88 1.06 NA NA 24.92 26.26 090
ear.
69805......... ........ A Explore inner 14.49 NA NA 9.80 11.36 1.12 NA NA 25.41 26.97 090
ear.
69806......... ........ A Explore inner 12.45 NA NA 9.37 10.62 1.00 NA NA 22.82 24.07 090
ear.
69820......... ........ A Establish inner 10.32 NA NA 9.83 10.87 0.90 NA NA 21.05 22.09 090
ear window.
69840......... ........ A Revise inner 10.24 NA NA 11.67 12.80 0.79 NA NA 22.70 23.83 090
ear window.
69905......... ........ A Remove inner 11.08 NA NA 10.08 11.03 0.90 NA NA 22.06 23.01 090
ear.
69910......... ........ A Remove inner 13.73 NA NA 9.79 11.39 1.07 NA NA 24.59 26.19 090
ear & mastoid.
69915......... ........ A Incise inner 22.57 NA NA 13.38 15.69 1.69 NA NA 37.64 39.95 090
ear nerve.
69930......... ........ A Implant 17.54 NA NA 11.81 14.02 1.36 NA NA 30.71 32.92 090
cochlear
device.
69949......... ........ C Inner ear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery
procedure.
69950......... ........ A Incise inner 27.38 NA NA 15.12 17.96 2.28 NA NA 44.78 47.62 090
ear nerve.
69955......... ........ A Release facial 29.14 NA NA 17.30 20.36 2.48 NA NA 48.92 51.98 090
nerve.
69960......... ........ A Release inner 29.14 NA NA 15.41 18.89 2.17 NA NA 46.72 50.20 090
ear canal.
69970......... ........ A Remove inner 32.13 NA NA 17.78 21.90 2.41 NA NA 52.32 56.44 090
ear lesion.
69979......... ........ C Temporal bone 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
surgery.
69990......... ........ R Microsurgery 3.46 NA NA 1.29 1.67 0.89 NA NA 5.64 6.02 ZZZ
add-on.
70010......... ........ A Contrast x-ray 1.19 2.77 4.23 NA NA 0.27 4.23 5.69 NA NA XXX
of brain.
[[Page 49177]]
70010......... 26...... A Contrast x-ray 1.19 0.37 0.39 0.37 0.39 0.05 1.61 1.63 1.61 1.63 XXX
of brain.
70010......... TC...... A Contrast x-ray 0.00 2.40 3.85 NA NA 0.22 2.62 4.07 NA NA XXX
of brain.
70015......... ........ A Contrast x-ray 1.19 2.85 2.01 NA NA 0.16 4.20 3.36 NA NA XXX
of brain.
70015......... 26...... A Contrast x-ray 1.19 0.38 0.39 0.38 0.39 0.08 1.65 1.66 1.65 1.66 XXX
of brain.
70015......... TC...... A Contrast x-ray 0.00 2.47 1.63 NA NA 0.08 2.55 1.71 NA NA XXX
of brain.
70030......... ........ A X-ray eye for 0.17 0.60 0.51 NA NA 0.03 0.80 0.71 NA NA XXX
foreign body.
70030......... 26...... A X-ray eye for 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
foreign body.
70030......... TC...... A X-ray eye for 0.00 0.55 0.45 NA NA 0.02 0.57 0.47 NA NA XXX
foreign body.
70100......... ........ A X-ray exam of 0.18 0.63 0.59 NA NA 0.03 0.84 0.80 NA NA XXX
jaw.
70100......... 26...... A X-ray exam of 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX
jaw.
70100......... TC...... A X-ray exam of 0.00 0.58 0.54 NA NA 0.02 0.60 0.56 NA NA XXX
jaw.
70110......... ........ A X-ray exam of 0.25 0.80 0.73 NA NA 0.05 1.10 1.03 NA NA XXX
jaw.
70110......... 26...... A X-ray exam of 0.25 0.08 0.08 0.08 0.08 0.01 0.34 0.34 0.34 0.34 XXX
jaw.
70110......... TC...... A X-ray exam of 0.00 0.72 0.65 NA NA 0.04 0.76 0.69 NA NA XXX
jaw.
70120......... ........ A X-ray exam of 0.18 0.69 0.68 NA NA 0.05 0.92 0.91 NA NA XXX
mastoids.
70120......... 26...... A X-ray exam of 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX
mastoids.
70120......... TC...... A X-ray exam of 0.00 0.64 0.63 NA NA 0.04 0.68 0.67 NA NA XXX
mastoids.
70130......... ........ A X-ray exam of 0.34 1.16 0.96 NA NA 0.07 1.57 1.37 NA NA XXX
mastoids.
70130......... 26...... A X-ray exam of 0.34 0.10 0.11 0.10 0.11 0.02 0.46 0.47 0.46 0.47 XXX
mastoids.
70130......... TC...... A X-ray exam of 0.00 1.06 0.85 NA NA 0.05 1.11 0.90 NA NA XXX
mastoids.
70134......... ........ A X-ray exam of 0.34 0.92 0.86 NA NA 0.07 1.33 1.27 NA NA XXX
middle ear.
70134......... 26...... A X-ray exam of 0.34 0.11 0.11 0.11 0.11 0.02 0.47 0.47 0.47 0.47 XXX
middle ear.
70134......... TC...... A X-ray exam of 0.00 0.82 0.75 NA NA 0.05 0.87 0.80 NA NA XXX
middle ear.
70140......... ........ A X-ray exam of 0.19 0.55 0.65 NA NA 0.05 0.79 0.89 NA NA XXX
facial bones.
70140......... 26...... A X-ray exam of 0.19 0.05 0.06 0.05 0.06 0.01 0.25 0.26 0.25 0.26 XXX
facial bones.
70140......... TC...... A X-ray exam of 0.00 0.50 0.59 NA NA 0.04 0.54 0.63 NA NA XXX
facial bones.
70150......... ........ A X-ray exam of 0.26 0.85 0.86 NA NA 0.06 1.17 1.18 NA NA XXX
facial bones.
70150......... 26...... A X-ray exam of 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX
facial bones.
70150......... TC...... A X-ray exam of 0.00 0.77 0.78 NA NA 0.05 0.82 0.83 NA NA XXX
facial bones.
70160......... ........ A X-ray exam of 0.17 0.70 0.61 NA NA 0.03 0.90 0.81 NA NA XXX
nasal bones.
70160......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
nasal bones.
70160......... TC...... A X-ray exam of 0.00 0.65 0.55 NA NA 0.02 0.67 0.57 NA NA XXX
nasal bones.
70170......... ........ A X-ray exam of 0.30 NA NA NA NA 0.07 NA NA NA NA XXX
tear duct.
70170......... 26...... A X-ray exam of 0.30 0.09 0.10 0.09 0.10 0.01 0.40 0.41 0.40 0.41 XXX
tear duct.
70170......... TC...... A X-ray exam of 0.00 NA NA NA NA 0.06 NA NA NA NA XXX
tear duct.
70190......... ........ A X-ray exam of 0.21 0.72 0.70 NA NA 0.05 0.98 0.96 NA NA XXX
eye sockets.
70190......... 26...... A X-ray exam of 0.21 0.06 0.07 0.06 0.07 0.01 0.28 0.29 0.28 0.29 XXX
eye sockets.
70190......... TC...... A X-ray exam of 0.00 0.66 0.63 NA NA 0.04 0.70 0.67 NA NA XXX
eye sockets.
70200......... ........ A X-ray exam of 0.28 0.87 0.87 NA NA 0.06 1.21 1.21 NA NA XXX
eye sockets.
70200......... 26...... A X-ray exam of 0.28 0.08 0.09 0.08 0.09 0.01 0.37 0.38 0.37 0.38 XXX
eye sockets.
70200......... TC...... A X-ray exam of 0.00 0.79 0.78 NA NA 0.05 0.84 0.83 NA NA XXX
eye sockets.
70210......... ........ A X-ray exam of 0.17 0.57 0.65 NA NA 0.05 0.79 0.87 NA NA XXX
sinuses.
70210......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
sinuses.
70210......... TC...... A X-ray exam of 0.00 0.52 0.60 NA NA 0.04 0.56 0.64 NA NA XXX
sinuses.
70220......... ........ A X-ray exam of 0.25 0.72 0.83 NA NA 0.06 1.03 1.14 NA NA XXX
sinuses.
70220......... 26...... A X-ray exam of 0.25 0.07 0.08 0.07 0.08 0.01 0.33 0.34 0.33 0.34 XXX
sinuses.
70220......... TC...... A X-ray exam of 0.00 0.65 0.75 NA NA 0.05 0.70 0.80 NA NA XXX
sinuses.
70240......... ........ A X-ray exam, 0.19 0.61 0.51 NA NA 0.03 0.83 0.73 NA NA XXX
pituitary
saddle.
70240......... 26...... A X-ray exam, 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX
pituitary
saddle.
70240......... TC...... A X-ray exam, 0.00 0.55 0.45 NA NA 0.02 0.57 0.47 NA NA XXX
pituitary
saddle.
70250......... ........ A X-ray exam of 0.24 0.70 0.70 NA NA 0.05 0.99 0.99 NA NA XXX
skull.
70250......... 26...... A X-ray exam of 0.24 0.07 0.08 0.07 0.08 0.01 0.32 0.33 0.32 0.33 XXX
skull.
70250......... TC...... A X-ray exam of 0.00 0.64 0.63 NA NA 0.04 0.68 0.67 NA NA XXX
skull.
70260......... ........ A X-ray exam of 0.34 0.88 0.97 NA NA 0.08 1.30 1.39 NA NA XXX
skull.
70260......... 26...... A X-ray exam of 0.34 0.10 0.11 0.10 0.11 0.02 0.46 0.47 0.46 0.47 XXX
skull.
70260......... TC...... A X-ray exam of 0.00 0.78 0.86 NA NA 0.06 0.84 0.92 NA NA XXX
skull.
70300......... ........ A X-ray exam of 0.10 0.24 0.29 NA NA 0.03 0.37 0.42 NA NA XXX
teeth.
70300......... 26...... A X-ray exam of 0.10 0.03 0.05 0.03 0.05 0.01 0.14 0.16 0.14 0.16 XXX
teeth.
70300......... TC...... A X-ray exam of 0.00 0.21 0.25 NA NA 0.02 0.23 0.27 NA NA XXX
teeth.
70310......... ........ A X-ray exam of 0.16 0.82 0.58 NA NA 0.03 1.01 0.77 NA NA XXX
teeth.
70310......... 26...... A X-ray exam of 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX
teeth.
70310......... TC...... A X-ray exam of 0.00 0.77 0.51 NA NA 0.02 0.79 0.53 NA NA XXX
teeth.
70320......... ........ A Full mouth x- 0.22 0.98 0.89 NA NA 0.06 1.26 1.17 NA NA XXX
ray of teeth.
70320......... 26...... A Full mouth x- 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX
ray of teeth.
70320......... TC...... A Full mouth x- 0.00 0.91 0.81 NA NA 0.05 0.96 0.86 NA NA XXX
ray of teeth.
70328......... ........ A X-ray exam of 0.18 0.62 0.57 NA NA 0.03 0.83 0.78 NA NA XXX
jaw joint.
[[Page 49178]]
70328......... 26...... A X-ray exam of 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX
jaw joint.
70328......... TC...... A X-ray exam of 0.00 0.57 0.51 NA NA 0.02 0.59 0.53 NA NA XXX
jaw joint.
70330......... ........ A X-ray exam of 0.24 1.01 0.94 NA NA 0.06 1.31 1.24 NA NA XXX
jaw joints.
70330......... 26...... A X-ray exam of 0.24 0.07 0.08 0.07 0.08 0.01 0.32 0.33 0.32 0.33 XXX
jaw joints.
70330......... TC...... A X-ray exam of 0.00 0.94 0.87 NA NA 0.05 0.99 0.92 NA NA XXX
jaw joints.
70332......... ........ A X-ray exam of 0.54 1.46 2.09 NA NA 0.14 2.14 2.77 NA NA XXX
jaw joint.
70332......... 26...... A X-ray exam of 0.54 0.16 0.19 0.16 0.19 0.02 0.72 0.75 0.72 0.75 XXX
jaw joint.
70332......... TC...... A X-ray exam of 0.00 1.30 1.90 NA NA 0.12 1.42 2.02 NA NA XXX
jaw joint.
70336......... ........ A Magnetic image, 1.48 12.60 11.92 NA NA 0.66 14.74 14.06 NA NA XXX
jaw joint.
70336......... 26...... A Magnetic image, 1.48 0.50 0.49 0.50 0.49 0.07 2.05 2.04 2.05 2.04 XXX
jaw joint.
70336......... TC...... A Magnetic image, 0.00 12.10 11.43 NA NA 0.59 12.69 12.02 NA NA XXX
jaw joint.
70350......... ........ A X-ray head for 0.17 0.33 0.42 NA NA 0.03 0.53 0.62 NA NA XXX
orthodontia.
70350......... 26...... A X-ray head for 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
orthodontia.
70350......... TC...... A X-ray head for 0.00 0.27 0.35 NA NA 0.02 0.29 0.37 NA NA XXX
orthodontia.
70355......... ........ A Panoramic x-ray 0.20 0.30 0.56 NA NA 0.05 0.55 0.81 NA NA XXX
of jaws.
70355......... 26...... A Panoramic x-ray 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX
of jaws.
70355......... TC...... A Panoramic x-ray 0.00 0.24 0.49 NA NA 0.04 0.28 0.53 NA NA XXX
of jaws.
70360......... ........ A X-ray exam of 0.17 0.58 0.51 NA NA 0.03 0.78 0.71 NA NA XXX
neck.
70360......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
neck.
70360......... TC...... A X-ray exam of 0.00 0.52 0.45 NA NA 0.02 0.54 0.47 NA NA XXX
neck.
70370......... ........ A Throat x-ray & 0.32 1.65 1.47 NA NA 0.08 2.05 1.87 NA NA XXX
fluoroscopy.
70370......... 26...... A Throat x-ray & 0.32 0.09 0.10 0.09 0.10 0.01 0.42 0.43 0.42 0.43 XXX
fluoroscopy.
70370......... TC...... A Throat x-ray & 0.00 1.56 1.37 NA NA 0.07 1.63 1.44 NA NA XXX
fluoroscopy.
70371......... ........ A Speech 0.84 1.50 2.16 NA NA 0.16 2.50 3.16 NA NA XXX
evaluation,
complex.
70371......... 26...... A Speech 0.84 0.26 0.28 0.26 0.28 0.04 1.14 1.16 1.14 1.16 XXX
evaluation,
complex.
70371......... TC...... A Speech 0.00 1.24 1.89 NA NA 0.12 1.36 2.01 NA NA XXX
evaluation,
complex.
70373......... ........ A Contrast x-ray 0.44 1.71 1.87 NA NA 0.13 2.28 2.44 NA NA XXX
of larynx.
70373......... 26...... A Contrast x-ray 0.44 0.13 0.14 0.13 0.14 0.02 0.59 0.60 0.59 0.60 XXX
of larynx.
70373......... TC...... A Contrast x-ray 0.00 1.58 1.73 NA NA 0.11 1.69 1.84 NA NA XXX
of larynx.
70380......... ........ A X-ray exam of 0.17 0.82 0.75 NA NA 0.05 1.04 0.97 NA NA XXX
salivary gland.
70380......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
salivary gland.
70380......... TC...... A X-ray exam of 0.00 0.76 0.69 NA NA 0.04 0.80 0.73 NA NA XXX
salivary gland.
70390......... ........ A X-ray exam of 0.38 2.34 2.01 NA NA 0.13 2.85 2.52 NA NA XXX
salivary duct.
70390......... 26...... A X-ray exam of 0.38 0.12 0.12 0.12 0.12 0.02 0.52 0.52 0.52 0.52 XXX
salivary duct.
70390......... TC...... A X-ray exam of 0.00 2.22 1.89 NA NA 0.11 2.33 2.00 NA NA XXX
salivary duct.
70450......... ........ A Ct head/brain w/ 0.85 4.90 4.98 NA NA 0.29 6.04 6.12 NA NA XXX
o dye.
70450......... 26...... A Ct head/brain w/ 0.85 0.27 0.28 0.27 0.28 0.04 1.16 1.17 1.16 1.17 XXX
o dye.
70450......... TC...... A Ct head/brain w/ 0.00 4.64 4.70 NA NA 0.25 4.89 4.95 NA NA XXX
o dye.
70460......... ........ A Ct head/brain w/ 1.13 6.52 6.15 NA NA 0.35 8.00 7.63 NA NA XXX
dye.
70460......... 26...... A Ct head/brain w/ 1.13 0.36 0.37 0.36 0.37 0.05 1.54 1.55 1.54 1.55 XXX
dye.
70460......... TC...... A Ct head/brain w/ 0.00 6.16 5.79 NA NA 0.30 6.46 6.09 NA NA XXX
dye.
70470......... ........ A Ct head/brain w/ 1.27 7.96 7.61 NA NA 0.43 9.66 9.31 NA NA XXX
o & w/dye.
70470......... 26...... A Ct head/brain w/ 1.27 0.40 0.42 0.40 0.42 0.06 1.73 1.75 1.73 1.75 XXX
o & w/dye.
70470......... TC...... A Ct head/brain w/ 0.00 7.56 7.19 NA NA 0.37 7.93 7.56 NA NA XXX
o & w/dye.
70480......... ........ A Ct orbit/ear/ 1.28 8.52 5.99 NA NA 0.31 10.11 7.58 NA NA XXX
fossa w/o dye.
70480......... 26...... A Ct orbit/ear/ 1.28 0.41 0.42 0.41 0.42 0.06 1.75 1.76 1.75 1.76 XXX
fossa w/o dye.
70480......... TC...... A Ct orbit/ear/ 0.00 8.11 5.57 NA NA 0.25 8.36 5.82 NA NA XXX
fossa w/o dye.
70481......... ........ A Ct orbit/ear/ 1.38 10.04 7.09 NA NA 0.36 11.78 8.83 NA NA XXX
fossa w/dye.
70481......... 26...... A Ct orbit/ear/ 1.38 0.44 0.45 0.44 0.45 0.06 1.88 1.89 1.88 1.89 XXX
fossa w/dye.
70481......... TC...... A Ct orbit/ear/ 0.00 9.60 6.65 NA NA 0.30 9.90 6.95 NA NA XXX
fossa w/dye.
70482......... ........ A Ct orbit/ear/ 1.45 11.56 8.55 NA NA 0.43 13.44 10.43 NA NA XXX
fossa w/o&w/
dye.
70482......... 26...... A Ct orbit/ear/ 1.45 0.47 0.48 0.47 0.48 0.06 1.98 1.99 1.98 1.99 XXX
fossa w/o&w/
dye.
70482......... TC...... A Ct orbit/ear/ 0.00 11.09 8.08 NA NA 0.37 11.46 8.45 NA NA XXX
fossa w/o&w/
dye.
70486......... ........ A Ct 1.14 6.81 5.52 NA NA 0.30 8.25 6.96 NA NA XXX
maxillofacial
w/o dye.
70486......... 26...... A Ct 1.14 0.36 0.37 0.36 0.37 0.05 1.55 1.56 1.55 1.56 XXX
maxillofacial
w/o dye.
70486......... TC...... A Ct 0.00 6.44 5.15 NA NA 0.25 6.69 5.40 NA NA XXX
maxillofacial
w/o dye.
[[Page 49179]]
70487......... ........ A Ct 1.30 8.39 6.67 NA NA 0.36 10.05 8.33 NA NA XXX
maxillofacial
w/dye.
70487......... 26...... A Ct 1.30 0.42 0.43 0.42 0.43 0.06 1.78 1.79 1.78 1.79 XXX
maxillofacial
w/dye.
70487......... TC...... A Ct 0.00 7.97 6.24 NA NA 0.30 8.27 6.54 NA NA XXX
maxillofacial
w/dye.
70488......... ........ A Ct 1.42 10.48 8.27 NA NA 0.43 12.33 10.12 NA NA XXX
maxillofacial
w/o & w/dye.
70488......... 26...... A Ct 1.42 0.46 0.46 0.46 0.46 0.06 1.94 1.94 1.94 1.94 XXX
maxillofacial
w/o & w/dye.
70488......... TC...... A Ct 0.00 10.03 7.81 NA NA 0.37 10.40 8.18 NA NA XXX
maxillofacial
w/o & w/dye.
70490......... ........ A Ct soft tissue 1.28 6.52 5.49 NA NA 0.31 8.11 7.08 NA NA XXX
neck w/o dye.
70490......... 26...... A Ct soft tissue 1.28 0.41 0.42 0.41 0.42 0.06 1.75 1.76 1.75 1.76 XXX
neck w/o dye.
70490......... TC...... A Ct soft tissue 0.00 6.11 5.07 NA NA 0.25 6.36 5.32 NA NA XXX
neck w/o dye.
70491......... ........ A Ct soft tissue 1.38 8.06 6.60 NA NA 0.36 9.80 8.34 NA NA XXX
neck w/dye.
70491......... 26...... A Ct soft tissue 1.38 0.44 0.45 0.44 0.45 0.06 1.88 1.89 1.88 1.89 XXX
neck w/dye.
70491......... TC...... A Ct soft tissue 0.00 7.62 6.15 NA NA 0.30 7.92 6.45 NA NA XXX
neck w/dye.
70492......... ........ A Ct sft tsue nck 1.45 10.18 8.20 NA NA 0.43 12.06 10.08 NA NA XXX
w/o & w/dye.
70492......... 26...... A Ct sft tsue nck 1.45 0.47 0.47 0.47 0.47 0.06 1.98 1.98 1.98 1.98 XXX
w/o & w/dye.
70492......... TC...... A Ct sft tsue nck 0.00 9.71 7.73 NA NA 0.37 10.08 8.10 NA NA XXX
w/o & w/dye.
70496......... ........ A Ct angiography, 1.75 17.16 12.67 NA NA 0.66 19.57 15.08 NA NA XXX
head.
70496......... 26...... A Ct angiography, 1.75 0.57 0.57 0.57 0.57 0.08 2.40 2.40 2.40 2.40 XXX
head.
70496......... TC...... A Ct angiography, 0.00 16.59 12.10 NA NA 0.58 17.17 12.68 NA NA XXX
head.
70498......... ........ A Ct angiography, 1.75 17.26 12.69 NA NA 0.66 19.67 15.10 NA NA XXX
neck.
70498......... 26...... A Ct angiography, 1.75 0.58 0.57 0.58 0.57 0.08 2.41 2.40 2.41 2.40 XXX
neck.
70498......... TC...... A Ct angiography, 0.00 16.68 12.12 NA NA 0.58 17.26 12.70 NA NA XXX
neck.
70540......... ........ A Mri orbit/face/ 1.35 14.58 12.38 NA NA 0.45 16.38 14.18 NA NA XXX
neck w/o dye.
70540......... 26...... A Mri orbit/face/ 1.35 0.45 0.44 0.45 0.44 0.06 1.86 1.85 1.86 1.85 XXX
neck w/o dye.
70540......... TC...... A Mri orbit/face/ 0.00 14.13 11.93 NA NA 0.39 14.52 12.32 NA NA XXX
neck w/o dye.
70542......... ........ A Mri orbit/face/ 1.62 15.53 14.36 NA NA 0.54 17.69 16.52 NA NA XXX
neck w/dye.
70542......... 26...... A Mri orbit/face/ 1.62 0.53 0.53 0.53 0.53 0.07 2.22 2.22 2.22 2.22 XXX
neck w/dye.
70542......... TC...... A Mri orbit/face/ 0.00 15.00 13.83 NA NA 0.47 15.47 14.30 NA NA XXX
neck w/dye.
70543......... ........ A Mri orbt/fac/ 2.15 19.26 24.01 NA NA 0.94 22.35 27.10 NA NA XXX
nck w/o & w/
dye.
70543......... 26...... A Mri orbt/fac/ 2.15 0.72 0.71 0.72 0.71 0.10 2.97 2.96 2.97 2.96 XXX
nck w/o & w/
dye.
70543......... TC...... A Mri orbt/fac/ 0.00 18.54 23.30 NA NA 0.84 19.38 24.14 NA NA XXX
nck w/o & w/
dye.
70544......... ........ A Mr angiography 1.20 16.05 12.71 NA NA 0.64 17.89 14.55 NA NA XXX
head w/o dye.
70544......... 26...... A Mr angiography 1.20 0.39 0.40 0.39 0.40 0.05 1.64 1.65 1.64 1.65 XXX
head w/o dye.
70544......... TC...... A Mr angiography 0.00 15.67 12.32 NA NA 0.59 16.26 12.91 NA NA XXX
head w/o dye.
70545......... ........ A Mr angiography 1.20 15.97 12.69 NA NA 0.64 17.81 14.53 NA NA XXX
head w/dye.
70545......... 26...... A Mr angiography 1.20 0.38 0.39 0.38 0.39 0.05 1.63 1.64 1.63 1.64 XXX
head w/dye.
70545......... TC...... A Mr angiography 0.00 15.59 12.30 NA NA 0.59 16.18 12.89 NA NA XXX
head w/dye.
70546......... ........ A Mr angiograph 1.80 24.49 23.37 NA NA 0.67 26.96 25.84 NA NA XXX
head w/o&w/dye.
70546......... 26...... A Mr angiograph 1.80 0.58 0.59 0.58 0.59 0.08 2.46 2.47 2.46 2.47 XXX
head w/o&w/dye.
70546......... TC...... A Mr angiograph 0.00 23.91 22.79 NA NA 0.59 24.50 23.38 NA NA XXX
head w/o&w/dye.
70547......... ........ A Mr angiography 1.20 16.09 12.72 NA NA 0.64 17.93 14.56 NA NA XXX
neck w/o dye.
70547......... 26...... A Mr angiography 1.20 0.39 0.39 0.39 0.39 0.05 1.64 1.64 1.64 1.64 XXX
neck w/o dye.
70547......... TC...... A Mr angiography 0.00 15.70 12.33 NA NA 0.59 16.29 12.92 NA NA XXX
neck w/o dye.
70548......... ........ A Mr angiography 1.20 16.79 12.89 NA NA 0.64 18.63 14.73 NA NA XXX
neck w/dye.
70548......... 26...... A Mr angiography 1.20 0.38 0.39 0.38 0.39 0.05 1.63 1.64 1.63 1.64 XXX
neck w/dye.
70548......... TC...... A Mr angiography 0.00 16.41 12.50 NA NA 0.59 17.00 13.09 NA NA XXX
neck w/dye.
70549......... ........ A Mr angiograph 1.80 24.41 23.35 NA NA 0.67 26.88 25.82 NA NA XXX
neck w/o&w/dye.
70549......... 26...... A Mr angiograph 1.80 0.58 0.59 0.58 0.59 0.08 2.46 2.47 2.46 2.47 XXX
neck w/o&w/dye.
70549......... TC...... A Mr angiograph 0.00 23.83 22.77 NA NA 0.59 24.42 23.36 NA NA XXX
neck w/o&w/dye.
70551......... ........ A Mri brain w/o 1.48 14.69 12.44 NA NA 0.66 16.83 14.58 NA NA XXX
dye.
70551......... 26...... A Mri brain w/o 1.48 0.48 0.49 0.48 0.49 0.07 2.03 2.04 2.03 2.04 XXX
dye.
70551......... TC...... A Mri brain w/o 0.00 14.22 11.96 NA NA 0.59 14.81 12.55 NA NA XXX
dye.
70552......... ........ A Mri brain w/dye 1.78 15.73 14.46 NA NA 0.78 18.29 17.02 NA NA XXX
70552......... 26...... A Mri brain w/dye 1.78 0.57 0.59 0.57 0.59 0.08 2.43 2.45 2.43 2.45 XXX
70552......... TC...... A Mri brain w/dye 0.00 15.16 13.87 NA NA 0.70 15.86 14.57 NA NA XXX
70553......... ........ A Mri brain w/o & 2.36 18.37 23.84 NA NA 1.41 22.14 27.61 NA NA XXX
w/dye.
70553......... 26...... A Mri brain w/o & 2.36 0.76 0.78 0.76 0.78 0.10 3.22 3.24 3.22 3.24 XXX
w/dye.
70553......... TC...... A Mri brain w/o & 0.00 17.61 23.06 NA NA 1.31 18.92 24.37 NA NA XXX
w/dye.
70557......... ........ C Mri brain w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye.
70557......... 26...... A Mri brain w/o 2.90 0.92 1.08 0.92 1.08 0.08 3.90 4.06 3.90 4.06 XXX
dye.
70557......... TC...... C Mri brain w/o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dye.
70558......... ........ C Mri brain w/dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
70558......... 26...... A Mri brain w/dye 3.20 1.15 1.22 1.15 1.22 0.10 4.45 4.52 4.45 4.52 XXX
70558......... TC...... C Mri brain w/dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
70559......... ........ C Mri brain w/o & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/dye.
70559......... 26...... A Mri brain w/o & 3.20 1.03 1.19 1.03 1.19 0.12 4.35 4.51 4.35 4.51 XXX
w/dye.
70559......... TC...... C Mri brain w/o & 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/dye.
[[Page 49180]]
71010......... ........ A Chest x-ray.... 0.18 0.43 0.51 NA NA 0.03 0.64 0.72 NA NA XXX
71010......... 26...... A Chest x-ray.... 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX
71010......... TC...... A Chest x-ray.... 0.00 0.37 0.45 NA NA 0.02 0.39 0.47 NA NA XXX
71015......... ........ A Chest x-ray.... 0.21 0.57 0.59 NA NA 0.03 0.81 0.83 NA NA XXX
71015......... 26...... A Chest x-ray.... 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX
71015......... TC...... A Chest x-ray.... 0.00 0.51 0.52 NA NA 0.02 0.53 0.54 NA NA XXX
71020......... ........ A Chest x-ray.... 0.22 0.57 0.66 NA NA 0.05 0.84 0.93 NA NA XXX
71020......... 26...... A Chest x-ray.... 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
71020......... TC...... A Chest x-ray.... 0.00 0.50 0.59 NA NA 0.04 0.54 0.63 NA NA XXX
71021......... ........ A Chest x-ray.... 0.27 0.71 0.79 NA NA 0.06 1.04 1.12 NA NA XXX
71021......... 26...... A Chest x-ray.... 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX
71021......... TC...... A Chest x-ray.... 0.00 0.63 0.71 NA NA 0.05 0.68 0.76 NA NA XXX
71022......... ........ A Chest x-ray.... 0.31 0.89 0.85 NA NA 0.06 1.26 1.22 NA NA XXX
71022......... 26...... A Chest x-ray.... 0.31 0.09 0.10 0.09 0.10 0.01 0.41 0.42 0.41 0.42 XXX
71022......... TC...... A Chest x-ray.... 0.00 0.80 0.75 NA NA 0.05 0.85 0.80 NA NA XXX
71023......... ........ A Chest x-ray and 0.38 1.57 1.08 NA NA 0.06 2.01 1.52 NA NA XXX
fluoroscopy.
71023......... 26...... A Chest x-ray and 0.38 0.14 0.13 0.14 0.13 0.01 0.53 0.52 0.53 0.52 XXX
fluoroscopy.
71023......... TC...... A Chest x-ray and 0.00 1.42 0.94 NA NA 0.05 1.47 0.99 NA NA XXX
fluoroscopy.
71030......... ........ A Chest x-ray.... 0.31 0.91 0.89 NA NA 0.06 1.28 1.26 NA NA XXX
71030......... 26...... A Chest x-ray.... 0.31 0.09 0.10 0.09 0.10 0.01 0.41 0.42 0.41 0.42 XXX
71030......... TC...... A Chest x-ray.... 0.00 0.82 0.79 NA NA 0.05 0.87 0.84 NA NA XXX
71034......... ........ A Chest x-ray and 0.46 2.04 1.71 NA NA 0.10 2.60 2.27 NA NA XXX
fluoroscopy.
71034......... 26...... A Chest x-ray and 0.46 0.18 0.17 0.18 0.17 0.02 0.66 0.65 0.66 0.65 XXX
fluoroscopy.
71034......... TC...... A Chest x-ray and 0.00 1.86 1.55 NA NA 0.08 1.94 1.63 NA NA XXX
fluoroscopy.
71035......... ........ A Chest x-ray.... 0.18 0.77 0.63 NA NA 0.03 0.98 0.84 NA NA XXX
71035......... 26...... A Chest x-ray.... 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX
71035......... TC...... A Chest x-ray.... 0.00 0.72 0.57 NA NA 0.02 0.74 0.59 NA NA XXX
71040......... ........ A Contrast x-ray 0.58 2.08 1.76 NA NA 0.11 2.77 2.45 NA NA XXX
of bronchi.
71040......... 26...... A Contrast x-ray 0.58 0.16 0.18 0.16 0.18 0.03 0.77 0.79 0.77 0.79 XXX
of bronchi.
71040......... TC...... A Contrast x-ray 0.00 1.92 1.58 NA NA 0.08 2.00 1.66 NA NA XXX
of bronchi.
71060......... ........ A Contrast x-ray 0.74 3.07 2.60 NA NA 0.16 3.97 3.50 NA NA XXX
of bronchi.
71060......... 26...... A Contrast x-ray 0.74 0.23 0.24 0.23 0.24 0.03 1.00 1.01 1.00 1.01 XXX
of bronchi.
71060......... TC...... A Contrast x-ray 0.00 2.84 2.36 NA NA 0.13 2.97 2.49 NA NA XXX
of bronchi.
71090......... ........ A X-ray & 0.54 NA NA NA NA 0.13 NA NA NA NA XXX
pacemaker
insertion.
71090......... 26...... A X-ray & 0.54 0.28 0.23 0.28 0.23 0.02 0.84 0.79 0.84 0.79 XXX
pacemaker
insertion.
71090......... TC...... A X-ray & 0.00 NA NA NA NA 0.11 NA NA NA NA XXX
pacemaker
insertion.
71100......... ........ A X-ray exam of 0.22 0.62 0.64 NA NA 0.05 0.89 0.91 NA NA XXX
ribs.
71100......... 26...... A X-ray exam of 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXX
ribs.
71100......... TC...... A X-ray exam of 0.00 0.55 0.57 NA NA 0.04 0.59 0.61 NA NA XXX
ribs.
71101......... ........ A X-ray exam of 0.27 0.76 0.76 NA NA 0.05 1.08 1.08 NA NA XXX
ribs/chest.
71101......... 26...... A X-ray exam of 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX
ribs/chest.
71101......... TC...... A X-ray exam of 0.00 0.68 0.67 NA NA 0.04 0.72 0.71 NA NA XXX
ribs/chest.
71110......... ........ A X-ray exam of 0.27 0.78 0.85 NA NA 0.06 1.11 1.18 NA NA XXX
ribs.
71110......... 26...... A X-ray exam of 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX
ribs.
71110......... TC...... A X-ray exam of 0.00 0.70 0.76 NA NA 0.05 0.75 0.81 NA NA XXX
ribs.
71111......... ........ A X-ray exam of 0.32 1.06 1.01 NA NA 0.07 1.45 1.40 NA NA XXX
ribs/chest.
71111......... 26...... A X-ray exam of 0.32 0.09 0.10 0.09 0.10 0.01 0.42 0.43 0.42 0.43 XXX
ribs/chest.
71111......... TC...... A X-ray exam of 0.00 0.97 0.91 NA NA 0.06 1.03 0.97 NA NA XXX
ribs/chest.
71120......... ........ A X-ray exam of 0.20 0.62 0.70 NA NA 0.05 0.87 0.95 NA NA XXX
breastbone.
71120......... 26...... A X-ray exam of 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX
breastbone.
71120......... TC...... A X-ray exam of 0.00 0.56 0.63 NA NA 0.04 0.60 0.67 NA NA XXX
breastbone.
71130......... ........ A X-ray exam of 0.22 0.75 0.77 NA NA 0.05 1.02 1.04 NA NA XXX
breastbone.
71130......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
breastbone.
71130......... TC...... A X-ray exam of 0.00 0.68 0.70 NA NA 0.04 0.72 0.74 NA NA XXX
breastbone.
71250......... ........ A Ct thorax w/o 1.16 6.47 6.34 NA NA 0.36 7.99 7.86 NA NA XXX
dye.
71250......... 26...... A Ct thorax w/o 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
dye.
[[Page 49181]]
71250......... TC...... A Ct thorax w/o 0.00 6.10 5.96 NA NA 0.31 6.41 6.27 NA NA XXX
dye.
71260......... ........ A Ct thorax w/dye 1.24 8.01 7.61 NA NA 0.42 9.67 9.27 NA NA XXX
71260......... 26...... A Ct thorax w/dye 1.24 0.39 0.41 0.39 0.41 0.05 1.68 1.70 1.68 1.70 XXX
71260......... TC...... A Ct thorax w/dye 0.00 7.61 7.21 NA NA 0.37 7.98 7.58 NA NA XXX
71270......... ........ A Ct thorax w/o & 1.38 10.15 9.51 NA NA 0.52 12.05 11.41 NA NA XXX
w/dye.
71270......... 26...... A Ct thorax w/o & 1.38 0.44 0.45 0.44 0.45 0.06 1.88 1.89 1.88 1.89 XXX
w/dye.
71270......... TC...... A Ct thorax w/o & 0.00 9.71 9.07 NA NA 0.46 10.17 9.53 NA NA XXX
w/dye.
71275......... ........ A Ct angiography, 1.92 11.77 12.70 NA NA 0.48 14.17 15.10 NA NA XXX
chest.
71275......... 26...... A Ct angiography, 1.92 0.62 0.63 0.62 0.63 0.09 2.63 2.64 2.63 2.64 XXX
chest.
71275......... TC...... A Ct angiography, 0.00 11.14 12.07 NA NA 0.39 11.53 12.46 NA NA XXX
chest.
71550......... ........ A Mri chest w/o 1.46 16.75 12.95 NA NA 0.51 18.72 14.92 NA NA XXX
dye.
71550......... 26...... A Mri chest w/o 1.46 0.48 0.48 0.48 0.48 0.06 2.00 2.00 2.00 2.00 XXX
dye.
71550......... TC...... A Mri chest w/o 0.00 16.27 12.47 NA NA 0.45 16.72 12.92 NA NA XXX
dye.
71551......... ........ A Mri chest w/dye 1.73 18.16 15.05 NA NA 0.60 20.49 17.38 NA NA XXX
71551......... 26...... A Mri chest w/dye 1.73 0.56 0.57 0.56 0.57 0.08 2.37 2.38 2.37 2.38 XXX
71551......... TC...... A Mri chest w/dye 0.00 17.59 14.48 NA NA 0.52 18.11 15.00 NA NA XXX
71552......... ........ A Mri chest w/o & 2.26 22.91 24.94 NA NA 0.78 25.95 27.98 NA NA XXX
w/dye.
71552......... 26...... A Mri chest w/o & 2.26 0.75 0.74 0.75 0.74 0.10 3.11 3.10 3.11 3.10 XXX
w/dye.
71552......... TC...... A Mri chest w/o & 0.00 22.16 24.20 NA NA 0.68 22.84 24.88 NA NA XXX
w/dye.
71555......... ........ R Mri angio chest 1.81 15.55 12.74 NA NA 0.67 18.03 15.22 NA NA XXX
w or w/o dye.
71555......... 26...... R Mri angio chest 1.81 0.62 0.61 0.62 0.61 0.08 2.51 2.50 2.51 2.50 XXX
w or w/o dye.
71555......... TC...... R Mri angio chest 0.00 14.94 12.14 NA NA 0.59 15.53 12.73 NA NA XXX
w or w/o dye.
72010......... ........ A X-ray exam of 0.45 1.45 1.24 NA NA 0.08 1.98 1.77 NA NA XXX
spine.
72010......... 26...... A X-ray exam of 0.45 0.13 0.15 0.13 0.15 0.02 0.60 0.62 0.60 0.62 XXX
spine.
72010......... TC...... A X-ray exam of 0.00 1.32 1.10 NA NA 0.06 1.38 1.16 NA NA XXX
spine.
72020......... ........ A X-ray exam of 0.15 0.46 0.47 NA NA 0.03 0.64 0.65 NA NA XXX
spine.
72020......... 26...... A X-ray exam of 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX
spine.
72020......... TC...... A X-ray exam of 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX
spine.
72040......... ........ A X-ray exam of 0.22 0.77 0.70 NA NA 0.05 1.04 0.97 NA NA XXX
neck spine.
72040......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
neck spine.
72040......... TC...... A X-ray exam of 0.00 0.70 0.63 NA NA 0.04 0.74 0.67 NA NA XXX
neck spine.
72050......... ........ A X-ray exam of 0.31 1.07 1.01 NA NA 0.07 1.45 1.39 NA NA XXX
neck spine.
72050......... 26...... A X-ray exam of 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.42 0.42 0.42 XXX
neck spine.
72050......... TC...... A X-ray exam of 0.00 0.97 0.91 NA NA 0.06 1.03 0.97 NA NA XXX
neck spine.
72052......... ........ A X-ray exam of 0.36 1.39 1.29 NA NA 0.08 1.83 1.73 NA NA XXX
neck spine.
72052......... 26...... A X-ray exam of 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX
neck spine.
72052......... TC...... A X-ray exam of 0.00 1.27 1.17 NA NA 0.06 1.33 1.23 NA NA XXX
neck spine.
72069......... ........ A X-ray exam of 0.22 0.77 0.62 NA NA 0.03 1.02 0.87 NA NA XXX
trunk spine.
72069......... 26...... A X-ray exam of 0.22 0.08 0.08 0.08 0.08 0.01 0.31 0.31 0.31 0.31 XXX
trunk spine.
72069......... TC...... A X-ray exam of 0.00 0.69 0.54 NA NA 0.02 0.71 0.56 NA NA XXX
trunk spine.
72070......... ........ A X-ray exam of 0.22 0.64 0.70 NA NA 0.05 0.91 0.97 NA NA XXX
thoracic spine.
72070......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
thoracic spine.
72070......... TC...... A X-ray exam of 0.00 0.57 0.63 NA NA 0.04 0.61 0.67 NA NA XXX
thoracic spine.
72072......... ........ A X-ray exam of 0.22 0.77 0.79 NA NA 0.06 1.05 1.07 NA NA XXX
thoracic spine.
72072......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
thoracic spine.
72072......... TC...... A X-ray exam of 0.00 0.70 0.72 NA NA 0.05 0.75 0.77 NA NA XXX
thoracic spine.
72074......... ........ A X-ray exam of 0.22 0.95 0.97 NA NA 0.07 1.24 1.26 NA NA XXX
thoracic spine.
72074......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
thoracic spine.
72074......... TC...... A X-ray exam of 0.00 0.88 0.90 NA NA 0.06 0.94 0.96 NA NA XXX
thoracic spine.
72080......... ........ A X-ray exam of 0.22 0.70 0.73 NA NA 0.05 0.97 1.00 NA NA XXX
trunk spine.
72080......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
trunk spine.
72080......... TC...... A X-ray exam of 0.00 0.62 0.66 NA NA 0.04 0.66 0.70 NA NA XXX
trunk spine.
72090......... ........ A X-ray exam of 0.28 1.01 0.82 NA NA 0.05 1.34 1.15 NA NA XXX
trunk spine.
72090......... 26...... A X-ray exam of 0.28 0.10 0.09 0.10 0.09 0.01 0.39 0.38 0.39 0.38 XXX
trunk spine.
72090......... TC...... A X-ray exam of 0.00 0.92 0.73 NA NA 0.04 0.96 0.77 NA NA XXX
trunk spine.
72100......... ........ A X-ray exam of 0.22 0.81 0.76 NA NA 0.05 1.08 1.03 NA NA XXX
lower spine.
72100......... 26...... A X-ray exam of 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
lower spine.
72100......... TC...... A X-ray exam of 0.00 0.74 0.69 NA NA 0.04 0.78 0.73 NA NA XXX
lower spine.
72110......... ........ A X-ray exam of 0.31 1.14 1.04 NA NA 0.07 1.52 1.42 NA NA XXX
lower spine.
72110......... 26...... A X-ray exam of 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.42 0.42 0.42 XXX
lower spine.
72110......... TC...... A X-ray exam of 0.00 1.04 0.94 NA NA 0.06 1.10 1.00 NA NA XXX
lower spine.
72114......... ........ A X-ray exam of 0.36 1.57 1.38 NA NA 0.08 2.01 1.82 NA NA XXX
lower spine.
72114......... 26...... A X-ray exam of 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50 XXX
lower spine.
72114......... TC...... A X-ray exam of 0.00 1.45 1.26 NA NA 0.06 1.51 1.32 NA NA XXX
lower spine.
72120......... ........ A X-ray exam of 0.22 1.07 0.99 NA NA 0.07 1.36 1.28 NA NA XXX
lower spine.
72120......... 26...... A X-ray exam of 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30 XXX
lower spine.
[[Page 49182]]
72120......... TC...... A X-ray exam of 0.00 1.00 0.92 NA NA 0.06 1.06 0.98 NA NA XXX
lower spine.
72125......... ........ A Ct neck spine w/ 1.16 6.46 6.33 NA NA 0.36 7.98 7.85 NA NA XXX
o dye.
72125......... 26...... A Ct neck spine w/ 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
o dye.
72125......... TC...... A Ct neck spine w/ 0.00 6.09 5.96 NA NA 0.31 6.40 6.27 NA NA XXX
o dye.
72126......... ........ A Ct neck spine w/ 1.22 8.04 7.61 NA NA 0.42 9.68 9.25 NA NA XXX
dye.
72126......... 26...... A Ct neck spine w/ 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX
dye.
72126......... TC...... A Ct neck spine w/ 0.00 7.65 7.22 NA NA 0.37 8.02 7.59 NA NA XXX
dye.
72127......... ........ A Ct neck spine w/ 1.27 10.17 9.50 NA NA 0.52 11.96 11.29 NA NA XXX
o & w/dye.
72127......... 26...... A Ct neck spine w/ 1.27 0.43 0.42 0.43 0.42 0.06 1.76 1.75 1.76 1.75 XXX
o & w/dye.
72127......... TC...... A Ct neck spine w/ 0.00 9.73 9.07 NA NA 0.46 10.19 9.53 NA NA XXX
o & w/dye.
72128......... ........ A Ct chest spine 1.16 6.47 6.34 NA NA 0.36 7.99 7.86 NA NA XXX
w/o dye.
72128......... 26...... A Ct chest spine 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
w/o dye.
72128......... TC...... A Ct chest spine 0.00 6.10 5.96 NA NA 0.31 6.41 6.27 NA NA XXX
w/o dye.
72129......... ........ A Ct chest spine 1.22 8.03 7.61 NA NA 0.42 9.67 9.25 NA NA XXX
w/dye.
72129......... 26...... A Ct chest spine 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX
w/dye.
72129......... TC...... A Ct chest spine 0.00 7.64 7.21 NA NA 0.37 8.01 7.58 NA NA XXX
w/dye.
72130......... ........ A Ct chest spine 1.27 10.14 9.49 NA NA 0.52 11.93 11.28 NA NA XXX
w/o & w/dye.
72130......... 26...... A Ct chest spine 1.27 0.43 0.42 0.43 0.42 0.06 1.76 1.75 1.76 1.75 XXX
w/o & w/dye.
72130......... TC...... A Ct chest spine 0.00 9.70 9.06 NA NA 0.46 10.16 9.52 NA NA XXX
w/o & w/dye.
72131......... ........ A Ct lumbar spine 1.16 6.47 6.34 NA NA 0.36 7.99 7.86 NA NA XXX
w/o dye.
72131......... 26...... A Ct lumbar spine 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
w/o dye.
72131......... TC...... A Ct lumbar spine 0.00 6.10 5.96 NA NA 0.31 6.41 6.27 NA NA XXX
w/o dye.
72132......... ........ A Ct lumbar spine 1.22 8.03 7.61 NA NA 0.42 9.67 9.25 NA NA XXX
w/dye.
72132......... 26...... A Ct lumbar spine 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX
w/dye.
72132......... TC...... A Ct lumbar spine 0.00 7.64 7.21 NA NA 0.37 8.01 7.58 NA NA XXX
w/dye.
72133......... ........ A Ct lumbar spine 1.27 10.21 9.51 NA NA 0.52 12.00 11.30 NA NA XXX
w/o & w/dye.
72133......... 26...... A Ct lumbar spine 1.27 0.41 0.42 0.41 0.42 0.06 1.74 1.75 1.74 1.75 XXX
w/o & w/dye.
72133......... TC...... A Ct lumbar spine 0.00 9.79 9.09 NA NA 0.46 10.25 9.55 NA NA XXX
w/o & w/dye.
72141......... ........ A Mri neck spine 1.60 12.80 12.00 NA NA 0.66 15.06 14.26 NA NA XXX
w/o dye.
72141......... 26...... A Mri neck spine 1.60 0.53 0.53 0.53 0.53 0.07 2.20 2.20 2.20 2.20 XXX
w/o dye.
72141......... TC...... A Mri neck spine 0.00 12.26 11.47 NA NA 0.59 12.85 12.06 NA NA XXX
w/o dye.
72142......... ........ A Mri neck spine 1.92 15.86 14.53 NA NA 0.79 18.57 17.24 NA NA XXX
w/dye.
72142......... 26...... A Mri neck spine 1.92 0.63 0.64 0.63 0.64 0.09 2.64 2.65 2.64 2.65 XXX
w/dye.
72142......... TC...... A Mri neck spine 0.00 15.24 13.89 NA NA 0.70 15.94 14.59 NA NA XXX
w/dye.
72146......... ........ A Mri chest spine 1.60 12.77 12.92 NA NA 0.71 15.08 15.23 NA NA XXX
w/o dye.
72146......... 26...... A Mri chest spine 1.60 0.53 0.53 0.53 0.53 0.07 2.20 2.20 2.20 2.20 XXX
w/o dye.
72146......... TC...... A Mri chest spine 0.00 12.24 12.39 NA NA 0.64 12.88 13.03 NA NA XXX
w/o dye.
72147......... ........ A Mri chest spine 1.92 13.70 13.98 NA NA 0.79 16.41 16.69 NA NA XXX
w/dye.
72147......... 26...... A Mri chest spine 1.92 0.62 0.63 0.62 0.63 0.09 2.63 2.64 2.63 2.64 XXX
w/dye.
72147......... TC...... A Mri chest spine 0.00 13.08 13.35 NA NA 0.70 13.78 14.05 NA NA XXX
w/dye.
72148......... ........ A Mri lumbar 1.48 12.77 12.89 NA NA 0.71 14.96 15.08 NA NA XXX
spine w/o dye.
72148......... 26...... A Mri lumbar 1.48 0.50 0.49 0.50 0.49 0.07 2.05 2.04 2.05 2.04 XXX
spine w/o dye.
72148......... TC...... A Mri lumbar 0.00 12.28 12.40 NA NA 0.64 12.92 13.04 NA NA XXX
spine w/o dye.
72149......... ........ A Mri lumbar 1.78 15.83 14.49 NA NA 0.78 18.39 17.05 NA NA XXX
spine w/dye.
72149......... 26...... A Mri lumbar 1.78 0.59 0.60 0.59 0.60 0.08 2.45 2.46 2.45 2.46 XXX
spine w/dye.
72149......... TC...... A Mri lumbar 0.00 15.25 13.89 NA NA 0.70 15.95 14.59 NA NA XXX
spine w/dye.
72156......... ........ A Mri neck spine 2.57 18.13 23.83 NA NA 1.42 22.12 27.82 NA NA XXX
w/o & w/dye.
72156......... 26...... A Mri neck spine 2.57 0.84 0.85 0.84 0.85 0.11 3.52 3.53 3.52 3.53 XXX
w/o & w/dye.
72156......... TC...... A Mri neck spine 0.00 17.29 22.98 NA NA 1.31 18.60 24.29 NA NA XXX
w/o & w/dye.
72157......... ........ A Mri chest spine 2.57 16.43 23.40 NA NA 1.42 20.42 27.39 NA NA XXX
w/o & w/dye.
72157......... 26...... A Mri chest spine 2.57 0.83 0.84 0.83 0.84 0.11 3.51 3.52 3.51 3.52 XXX
w/o & w/dye.
72157......... TC...... A Mri chest spine 0.00 15.60 22.56 NA NA 1.31 16.91 23.87 NA NA XXX
w/o & w/dye.
72158......... ........ A Mri lumbar 2.36 18.10 23.77 NA NA 1.41 21.87 27.54 NA NA XXX
spine w/o & w/
dye.
72158......... 26...... A Mri lumbar 2.36 0.78 0.78 0.78 0.78 0.10 3.24 3.24 3.24 3.24 XXX
spine w/o & w/
dye.
72158......... TC...... A Mri lumbar 0.00 17.32 22.99 NA NA 1.31 18.63 24.30 NA NA XXX
spine w/o & w/
dye.
72159......... ........ N Mr angio spine 1.80 14.79 13.39 NA NA 0.74 17.33 15.93 NA NA XXX
w/o&w/dye.
[[Page 49183]]
72159......... 26...... N Mr angio spine 1.80 0.42 0.62 0.42 0.62 0.10 2.32 2.52 2.32 2.52 XXX
w/o&w/dye.
72159......... TC...... N Mr angio spine 0.00 14.37 12.77 NA NA 0.64 15.01 13.41 NA NA XXX
w/o&w/dye.
72170......... ........ A X-ray exam of 0.17 0.50 0.56 NA NA 0.03 0.70 0.76 NA NA XXX
pelvis.
72170......... 26...... A X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX
pelvis.
72170......... TC...... A X-ray exam of 0.00 0.44 0.50 NA NA 0.02 0.46 0.52 NA NA XXX
pelvis.
72190......... ........ A X-ray exam of 0.21 0.85 0.77 NA NA 0.05 1.11 1.03 NA NA XXX
pelvis.
72190......... 26...... A X-ray exam of 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX
pelvis.
72190......... TC...... A X-ray exam of 0.00 0.78 0.70 NA NA 0.04 0.82 0.74 NA NA XXX
pelvis.
72191......... ........ A Ct angiograph 1.81 11.43 12.32 NA NA 0.47 13.71 14.60 NA NA XXX
pelv w/o&w/dye.
72191......... 26...... A Ct angiograph 1.81 0.60 0.60 0.60 0.60 0.08 2.49 2.49 2.49 2.49 XXX
pelv w/o&w/dye.
72191......... TC...... A Ct angiograph 0.00 10.83 11.73 NA NA 0.39 11.22 12.12 NA NA XXX
pelv w/o&w/dye.
72192......... ........ A Ct pelvis w/o 1.09 6.02 6.21 NA NA 0.36 7.47 7.66 NA NA XXX
dye.
72192......... 26...... A Ct pelvis w/o 1.09 0.34 0.36 0.34 0.36 0.05 1.48 1.50 1.48 1.50 XXX
dye.
72192......... TC...... A Ct pelvis w/o 0.00 5.68 5.85 NA NA 0.31 5.99 6.16 NA NA XXX
dye.
72193......... ........ A Ct pelvis w/dye 1.16 7.55 7.30 NA NA 0.41 9.12 8.87 NA NA XXX
72193......... 26...... A Ct pelvis w/dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
72193......... TC...... A Ct pelvis w/dye 0.00 7.18 6.93 NA NA 0.36 7.54 7.29 NA NA XXX
72194......... ........ A Ct pelvis w/o & 1.22 10.18 9.21 NA NA 0.48 11.88 10.91 NA NA XXX
w/dye.
72194......... 26...... A Ct pelvis w/o & 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX
w/dye.
72194......... TC...... A Ct pelvis w/o & 0.00 9.78 8.81 NA NA 0.43 10.21 9.24 NA NA XXX
w/dye.
72195......... ........ A Mri pelvis w/o 1.46 14.74 12.45 NA NA 0.51 16.71 14.42 NA NA XXX
dye.
72195......... 26...... A Mri pelvis w/o 1.46 0.48 0.48 0.48 0.48 0.06 2.00 2.00 2.00 2.00 XXX
dye.
72195......... TC...... A Mri pelvis w/o 0.00 14.25 11.96 NA NA 0.45 14.70 12.41 NA NA XXX
dye.
72196......... ........ A Mri pelvis w/ 1.73 15.67 14.43 NA NA 0.60 18.00 16.76 NA NA XXX
dye.
72196......... 26...... A Mri pelvis w/ 1.73 0.56 0.57 0.56 0.57 0.08 2.37 2.38 2.37 2.38 XXX
dye.
72196......... TC...... A Mri pelvis w/ 0.00 15.11 13.86 NA NA 0.52 15.63 14.38 NA NA XXX
dye.
72197......... ........ A Mri pelvis w/o 2.26 19.28 24.04 NA NA 1.02 22.56 27.32 NA NA XXX
& w/dye.
72197......... 26...... A Mri pelvis w/o 2.26 0.74 0.74 0.74 0.74 0.10 3.10 3.10 3.10 3.10 XXX
& w/dye.
72197......... TC...... A Mri pelvis w/o 0.00 18.54 23.30 NA NA 0.92 19.46 24.22 NA NA XXX
& w/dye.
72198......... ........ A Mr angio pelvis 1.80 15.34 12.68 NA NA 0.67 17.81 15.15 NA NA XXX
w/o & w/dye.
72198......... 26...... A Mr angio pelvis 1.80 0.60 0.59 0.60 0.59 0.08 2.48 2.47 2.48 2.47 XXX
w/o & w/dye.
72198......... TC...... A Mr angio pelvis 0.00 14.75 12.09 NA NA 0.59 15.34 12.68 NA NA XXX
w/o & w/dye.
72200......... ........ A X-ray exam 0.17 0.60 0.59 NA NA 0.03 0.80 0.79 NA NA XXX
sacroiliac
joints.
72200......... 26...... A X-ray exam 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
sacroiliac
joints.
72200......... TC...... A X-ray exam 0.00 0.55 0.53 NA NA 0.02 0.57 0.55 NA NA XXX
sacroiliac
joints.
72202......... ........ A X-ray exam 0.19 0.74 0.70 NA NA 0.05 0.98 0.94 NA NA XXX
sacroiliac
joints.
72202......... 26...... A X-ray exam 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX
sacroiliac
joints.
72202......... TC...... A X-ray exam 0.00 0.68 0.64 NA NA 0.04 0.72 0.68 NA NA XXX
sacroiliac
joints.
72220......... ........ A X-ray exam of 0.17 0.58 0.62 NA NA 0.05 0.80 0.84 NA NA XXX
tailbone.
72220......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
tailbone.
72220......... TC...... A X-ray exam of 0.00 0.53 0.56 NA NA 0.04 0.57 0.60 NA NA XXX
tailbone.
72240......... ........ A Contrast x-ray 0.91 2.53 4.41 NA NA 0.29 3.73 5.61 NA NA XXX
of neck spine.
72240......... 26...... A Contrast x-ray 0.91 0.28 0.29 0.28 0.29 0.04 1.23 1.24 1.23 1.24 XXX
of neck spine.
72240......... TC...... A Contrast x-ray 0.00 2.25 4.13 NA NA 0.25 2.50 4.38 NA NA XXX
of neck spine.
72255......... ........ A Contrast x-ray, 0.91 2.27 4.02 NA NA 0.26 3.44 5.19 NA NA XXX
thorax spine.
72255......... 26...... A Contrast x-ray, 0.91 0.27 0.27 0.27 0.27 0.04 1.22 1.22 1.22 1.22 XXX
thorax spine.
72255......... TC...... A Contrast x-ray, 0.00 2.00 3.75 NA NA 0.22 2.22 3.97 NA NA XXX
thorax spine.
72265......... ........ A Contrast x-ray, 0.83 2.50 3.87 NA NA 0.26 3.59 4.96 NA NA XXX
lower spine.
72265......... 26...... A Contrast x-ray, 0.83 0.26 0.25 0.26 0.25 0.04 1.13 1.12 1.13 1.12 XXX
lower spine.
72265......... TC...... A Contrast x-ray, 0.00 2.24 3.61 NA NA 0.22 2.46 3.83 NA NA XXX
lower spine.
72270......... ........ A Contrast x-ray, 1.33 3.95 5.88 NA NA 0.39 5.67 7.60 NA NA XXX
spine.
72270......... 26...... A Contrast x-ray, 1.33 0.43 0.42 0.43 0.42 0.06 1.82 1.81 1.82 1.81 XXX
spine.
72270......... TC...... A Contrast x-ray, 0.00 3.52 5.46 NA NA 0.33 3.85 5.79 NA NA XXX
spine.
72275......... ........ A Epidurography.. 0.76 1.71 2.15 NA NA 0.26 2.73 3.17 NA NA XXX
72275......... 26...... A Epidurography.. 0.76 0.19 0.20 0.19 0.20 0.04 0.99 1.00 0.99 1.00 XXX
72275......... TC...... A Epidurography.. 0.00 1.52 1.96 NA NA 0.22 1.74 2.18 NA NA XXX
72285......... ........ A X-ray c/t spine 1.16 1.42 6.90 NA NA 0.50 3.08 8.56 NA NA XXX
disk.
72285......... 26...... A X-ray c/t spine 1.16 0.29 0.34 0.29 0.34 0.07 1.52 1.57 1.52 1.57 XXX
disk.
72285......... TC...... A X-ray c/t spine 0.00 1.13 6.57 NA NA 0.43 1.56 7.00 NA NA XXX
disk.
72295......... ........ A X-ray of lower 0.83 1.41 6.45 NA NA 0.46 2.70 7.74 NA NA XXX
spine disk.
72295......... 26...... A X-ray of lower 0.83 0.23 0.26 0.23 0.26 0.06 1.12 1.15 1.12 1.15 XXX
spine disk.
72295......... TC...... A X-ray of lower 0.00 1.18 6.19 NA NA 0.40 1.58 6.59 NA NA XXX
spine disk.
73000......... ........ A X-ray exam of 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX
collar bone.
73000......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
collar bone.
73000......... TC...... A X-ray exam of 0.00 0.50 0.52 NA NA 0.02 0.52 0.54 NA NA XXX
collar bone.
73010......... ........ A X-ray exam of 0.17 0.58 0.58 NA NA 0.03 0.78 0.78 NA NA XXX
shoulder blade.
[[Page 49184]]
73010......... 26...... A X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX
shoulder blade.
73010......... TC...... A X-ray exam of 0.00 0.53 0.52 NA NA 0.02 0.55 0.54 NA NA XXX
shoulder blade.
73020......... ........ A X-ray exam of 0.15 0.45 0.50 NA NA 0.03 0.63 0.68 NA NA XXX
shoulder.
73020......... 26...... A X-ray exam of 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX
shoulder.
73020......... TC...... A X-ray exam of 0.00 0.40 0.45 NA NA 0.02 0.42 0.47 NA NA XXX
shoulder.
73030......... ........ A X-ray exam of 0.18 0.57 0.62 NA NA 0.05 0.80 0.85 NA NA XXX
shoulder.
73030......... 26...... A X-ray exam of 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX
shoulder.
73030......... TC...... A X-ray exam of 0.00 0.51 0.56 NA NA 0.04 0.55 0.60 NA NA XXX
shoulder.
73040......... ........ A Contrast x-ray 0.54 2.24 2.27 NA NA 0.14 2.92 2.95 NA NA XXX
of shoulder.
73040......... 26...... A Contrast x-ray 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
of shoulder.
73040......... TC...... A Contrast x-ray 0.00 2.06 2.09 NA NA 0.12 2.18 2.21 NA NA XXX
of shoulder.
73050......... ........ A X-ray exam of 0.20 0.74 0.74 NA NA 0.05 0.99 0.99 NA NA XXX
shoulders.
73050......... 26...... A X-ray exam of 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX
shoulders.
73050......... TC...... A X-ray exam of 0.00 0.66 0.67 NA NA 0.04 0.70 0.71 NA NA XXX
shoulders.
73060......... ........ A X-ray exam of 0.17 0.57 0.62 NA NA 0.05 0.79 0.84 NA NA XXX
humerus.
73060......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
humerus.
73060......... TC...... A X-ray exam of 0.00 0.52 0.56 NA NA 0.04 0.56 0.60 NA NA XXX
humerus.
73070......... ........ A X-ray exam of 0.15 0.56 0.57 NA NA 0.03 0.74 0.75 NA NA XXX
elbow.
73070......... 26...... A X-ray exam of 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX
elbow.
73070......... TC...... A X-ray exam of 0.00 0.51 0.52 NA NA 0.02 0.53 0.54 NA NA XXX
elbow.
73080......... ........ A X-ray exam of 0.17 0.75 0.66 NA NA 0.05 0.97 0.88 NA NA XXX
elbow.
73080......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
elbow.
73080......... TC...... A X-ray exam of 0.00 0.70 0.60 NA NA 0.04 0.74 0.64 NA NA XXX
elbow.
73085......... ........ A Contrast x-ray 0.54 1.82 2.17 NA NA 0.14 2.50 2.85 NA NA XXX
of elbow.
73085......... 26...... A Contrast x-ray 0.54 0.17 0.19 0.17 0.19 0.02 0.73 0.75 0.73 0.75 XXX
of elbow.
73085......... TC...... A Contrast x-ray 0.00 1.65 1.99 NA NA 0.12 1.77 2.11 NA NA XXX
of elbow.
73090......... ........ A X-ray exam of 0.16 0.55 0.57 NA NA 0.03 0.74 0.76 NA NA XXX
forearm.
73090......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
forearm.
73090......... TC...... A X-ray exam of 0.00 0.50 0.52 NA NA 0.02 0.52 0.54 NA NA XXX
forearm.
73092......... ........ A X-ray exam of 0.16 0.59 0.55 NA NA 0.03 0.78 0.74 NA NA XXX
arm, infant.
73092......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
arm, infant.
73092......... TC...... A X-ray exam of 0.00 0.54 0.50 NA NA 0.02 0.56 0.52 NA NA XXX
arm, infant.
73100......... ........ A X-ray exam of 0.16 0.61 0.56 NA NA 0.03 0.80 0.75 NA NA XXX
wrist.
73100......... 26...... A X-ray exam of 0.16 0.06 0.05 0.06 0.05 0.01 0.23 0.22 0.23 0.22 XXX
wrist.
73100......... TC...... A X-ray exam of 0.00 0.55 0.51 NA NA 0.02 0.57 0.53 NA NA XXX
wrist.
73110......... ........ A X-ray exam of 0.17 0.78 0.64 NA NA 0.03 0.98 0.84 NA NA XXX
wrist.
73110......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
wrist.
73110......... TC...... A X-ray exam of 0.00 0.72 0.58 NA NA 0.02 0.74 0.60 NA NA XXX
wrist.
73115......... ........ A Contrast x-ray 0.54 2.38 1.91 NA NA 0.12 3.04 2.57 NA NA XXX
of wrist.
73115......... 26...... A Contrast x-ray 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX
of wrist.
73115......... TC...... A Contrast x-ray 0.00 2.20 1.74 NA NA 0.10 2.30 1.84 NA NA XXX
of wrist.
73120......... ........ A X-ray exam of 0.16 0.56 0.55 NA NA 0.03 0.75 0.74 NA NA XXX
hand.
73120......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
hand.
73120......... TC...... A X-ray exam of 0.00 0.51 0.50 NA NA 0.02 0.53 0.52 NA NA XXX
hand.
73130......... ........ A X-ray exam of 0.17 0.66 0.61 NA NA 0.03 0.86 0.81 NA NA XXX
hand.
73130......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
hand.
73130......... TC...... A X-ray exam of 0.00 0.61 0.55 NA NA 0.02 0.63 0.57 NA NA XXX
hand.
73140......... ........ A X-ray exam of 0.13 0.68 0.52 NA NA 0.03 0.84 0.68 NA NA XXX
finger(s).
73140......... 26...... A X-ray exam of 0.13 0.04 0.04 0.04 0.04 0.01 0.18 0.18 0.18 0.18 XXX
finger(s).
73140......... TC...... A X-ray exam of 0.00 0.64 0.48 NA NA 0.02 0.66 0.50 NA NA XXX
finger(s).
73200......... ........ A Ct upper 1.09 6.45 5.60 NA NA 0.30 7.84 6.99 NA NA XXX
extremity w/o
dye.
73200......... 26...... A Ct upper 1.09 0.35 0.36 0.35 0.36 0.05 1.49 1.50 1.49 1.50 XXX
extremity w/o
dye.
73200......... TC...... A Ct upper 0.00 6.10 5.25 NA NA 0.25 6.35 5.50 NA NA XXX
extremity w/o
dye.
73201......... ........ A Ct upper 1.16 7.97 6.71 NA NA 0.36 9.49 8.23 NA NA XXX
extremity w/
dye.
73201......... 26...... A Ct upper 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
extremity w/
dye.
73201......... TC...... A Ct upper 0.00 7.60 6.33 NA NA 0.31 7.91 6.64 NA NA XXX
extremity w/
dye.
[[Page 49185]]
73202......... ........ A Ct uppr 1.22 10.74 8.55 NA NA 0.44 12.40 10.21 NA NA XXX
extremity w/
o&w/dye.
73202......... 26...... A Ct uppr 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX
extremity w/
o&w/dye.
73202......... TC...... A Ct uppr 0.00 10.35 8.15 NA NA 0.39 10.74 8.54 NA NA XXX
extremity w/
o&w/dye.
73206......... ........ A Ct angio upr 1.81 10.85 11.38 NA NA 0.47 13.13 13.66 NA NA XXX
extrm w/o&w/
dye.
73206......... 26...... A Ct angio upr 1.81 0.60 0.59 0.60 0.59 0.08 2.49 2.48 2.49 2.48 XXX
extrm w/o&w/
dye.
73206......... TC...... A Ct angio upr 0.00 10.25 10.78 NA NA 0.39 10.64 11.17 NA NA XXX
extrm w/o&w/
dye.
73218......... ........ A Mri upper 1.35 15.03 12.49 NA NA 0.45 16.83 14.29 NA NA XXX
extremity w/o
dye.
73218......... 26...... A Mri upper 1.35 0.45 0.44 0.45 0.44 0.06 1.86 1.85 1.86 1.85 XXX
extremity w/o
dye.
73218......... TC...... A Mri upper 0.00 14.58 12.05 NA NA 0.39 14.97 12.44 NA NA XXX
extremity w/o
dye.
73219......... ........ A Mri upper 1.62 15.68 14.41 NA NA 0.54 17.84 16.57 NA NA XXX
extremity w/
dye.
73219......... 26...... A Mri upper 1.62 0.53 0.54 0.53 0.54 0.07 2.22 2.23 2.22 2.23 XXX
extremity w/
dye.
73219......... TC...... A Mri upper 0.00 15.15 13.87 NA NA 0.47 15.62 14.34 NA NA XXX
extremity w/
dye.
73220......... ........ A Mri uppr 2.15 19.37 24.04 NA NA 0.94 22.46 27.13 NA NA XXX
extremity w/
o&w/dye.
73220......... 26...... A Mri uppr 2.15 0.70 0.71 0.70 0.71 0.10 2.95 2.96 2.95 2.96 XXX
extremity w/
o&w/dye.
73220......... TC...... A Mri uppr 0.00 18.67 23.33 NA NA 0.84 19.51 24.17 NA NA XXX
extremity w/
o&w/dye.
73221......... ........ A Mri joint upr 1.35 13.95 12.22 NA NA 0.45 15.75 14.02 NA NA XXX
extrem w/o dye.
73221......... 26...... A Mri joint upr 1.35 0.46 0.45 0.46 0.45 0.06 1.87 1.86 1.87 1.86 XXX
extrem w/o dye.
73221......... TC...... A Mri joint upr 0.00 13.49 11.77 NA NA 0.39 13.88 12.16 NA NA XXX
extrem w/o dye.
73222......... ........ A Mri joint upr 1.62 14.71 14.16 NA NA 0.54 16.87 16.32 NA NA XXX
extrem w/dye.
73222......... 26...... A Mri joint upr 1.62 0.55 0.54 0.55 0.54 0.07 2.24 2.23 2.24 2.23 XXX
extrem w/dye.
73222......... TC...... A Mri joint upr 0.00 14.16 13.62 NA NA 0.47 14.63 14.09 NA NA XXX
extrem w/dye.
73223......... ........ A Mri joint upr 2.15 18.04 23.70 NA NA 0.94 21.13 26.79 NA NA XXX
extr w/o&w/dye.
73223......... 26...... A Mri joint upr 2.15 0.71 0.71 0.71 0.71 0.10 2.96 2.96 2.96 2.96 XXX
extr w/o&w/dye.
73223......... TC...... A Mri joint upr 0.00 17.33 22.99 NA NA 0.84 18.17 23.83 NA NA XXX
extr w/o&w/dye.
73225......... ........ N Mr angio upr 1.73 14.77 12.45 NA NA 0.69 17.19 14.87 NA NA XXX
extr w/o&w/dye.
73225......... 26...... N Mr angio upr 1.73 0.40 0.60 0.40 0.60 0.10 2.23 2.43 2.23 2.43 XXX
extr w/o&w/dye.
73225......... TC...... N Mr angio upr 0.00 14.37 11.85 NA NA 0.59 14.96 12.44 NA NA XXX
extr w/o&w/dye.
73500......... ........ A X-ray exam of 0.17 0.49 0.52 NA NA 0.03 0.69 0.72 NA NA XXX
hip.
73500......... 26...... A X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX
hip.
73500......... TC...... A X-ray exam of 0.00 0.43 0.46 NA NA 0.02 0.45 0.48 NA NA XXX
hip.
73510......... ........ A X-ray exam of 0.21 0.78 0.68 NA NA 0.05 1.04 0.94 NA NA XXX
hip.
73510......... 26...... A X-ray exam of 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX
hip.
73510......... TC...... A X-ray exam of 0.00 0.71 0.61 NA NA 0.04 0.75 0.65 NA NA XXX
hip.
73520......... ........ A X-ray exam of 0.26 0.79 0.77 NA NA 0.05 1.10 1.08 NA NA XXX
hips.
73520......... 26...... A X-ray exam of 0.26 0.08 0.09 0.08 0.09 0.01 0.35 0.36 0.35 0.36 XXX
hips.
73520......... TC...... A X-ray exam of 0.00 0.71 0.68 NA NA 0.04 0.75 0.72 NA NA XXX
hips.
73525......... ........ A Contrast x-ray 0.54 1.79 2.16 NA NA 0.15 2.48 2.85 NA NA XXX
of hip.
73525......... 26...... A Contrast x-ray 0.54 0.17 0.18 0.17 0.18 0.03 0.74 0.75 0.74 0.75 XXX
of hip.
73525......... TC...... A Contrast x-ray 0.00 1.62 1.98 NA NA 0.12 1.74 2.10 NA NA XXX
of hip.
73530......... ........ A X-ray exam of 0.29 NA NA NA NA 0.03 NA NA NA NA XXX
hip.
73530......... 26...... A X-ray exam of 0.29 0.09 0.10 0.09 0.10 0.01 0.39 0.40 0.39 0.40 XXX
hip.
73530......... TC...... A X-ray exam of 0.00 NA NA NA NA 0.02 NA NA NA NA XXX
hip.
73540......... ........ A X-ray exam of 0.20 0.80 0.68 NA NA 0.05 1.05 0.93 NA NA XXX
pelvis & hips.
73540......... 26...... A X-ray exam of 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX
pelvis & hips.
73540......... TC...... A X-ray exam of 0.00 0.73 0.61 NA NA 0.04 0.77 0.65 NA NA XXX
pelvis & hips.
73542......... ........ A X-ray exam, 0.59 1.12 1.98 NA NA 0.15 1.86 2.72 NA NA XXX
sacroiliac
joint.
73542......... 26...... A X-ray exam, 0.59 0.14 0.16 0.14 0.16 0.03 0.76 0.78 0.76 0.78 XXX
sacroiliac
joint.
73542......... TC...... A X-ray exam, 0.00 0.98 1.82 NA NA 0.12 1.10 1.94 NA NA XXX
sacroiliac
joint.
73550......... ........ A X-ray exam of 0.17 0.54 0.61 NA NA 0.05 0.76 0.83 NA NA XXX
thigh.
73550......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
thigh.
73550......... TC...... A X-ray exam of 0.00 0.49 0.55 NA NA 0.04 0.53 0.59 NA NA XXX
thigh.
73560......... ........ A X-ray exam of 0.17 0.59 0.58 NA NA 0.03 0.79 0.78 NA NA XXX
knee, 1 or 2.
73560......... 26...... A X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX
knee, 1 or 2.
73560......... TC...... A X-ray exam of 0.00 0.53 0.52 NA NA 0.02 0.55 0.54 NA NA XXX
knee, 1 or 2.
73562......... ........ A X-ray exam of 0.18 0.73 0.66 NA NA 0.05 0.96 0.89 NA NA XXX
knee, 3.
73562......... 26...... A X-ray exam of 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX
knee, 3.
73562......... TC...... A X-ray exam of 0.00 0.67 0.60 NA NA 0.04 0.71 0.64 NA NA XXX
knee, 3.
73564......... ........ A X-ray exam, 0.22 0.87 0.74 NA NA 0.05 1.14 1.01 NA NA XXX
knee, 4 or
more.
73564......... 26...... A X-ray exam, 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30 XXX
knee, 4 or
more.
73564......... TC...... A X-ray exam, 0.00 0.79 0.66 NA NA 0.04 0.83 0.70 NA NA XXX
knee, 4 or
more.
73565......... ........ A X-ray exam of 0.17 0.65 0.58 NA NA 0.03 0.85 0.78 NA NA XXX
knees.
73565......... 26...... A X-ray exam of 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX
knees.
73565......... TC...... A X-ray exam of 0.00 0.59 0.52 NA NA 0.02 0.61 0.54 NA NA XXX
knees.
73580......... ........ A Contrast x-ray 0.54 2.40 2.69 NA NA 0.17 3.11 3.40 NA NA XXX
of knee joint.
73580......... 26...... A Contrast x-ray 0.54 0.18 0.17 0.18 0.17 0.03 0.75 0.74 0.75 0.74 XXX
of knee joint.
73580......... TC...... A Contrast x-ray 0.00 2.22 2.52 NA NA 0.14 2.36 2.66 NA NA XXX
of knee joint.
[[Page 49186]]
73590......... ........ A X-ray exam of 0.17 0.54 0.57 NA NA 0.03 0.74 0.77 NA NA XXX
lower leg.
73590......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
lower leg.
73590......... TC...... A X-ray exam of 0.00 0.49 0.51 NA NA 0.02 0.51 0.53 NA NA XXX
lower leg.
73592......... ........ A X-ray exam of 0.16 0.60 0.56 NA NA 0.03 0.79 0.75 NA NA XXX
leg, infant.
73592......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
leg, infant.
73592......... TC...... A X-ray exam of 0.00 0.55 0.51 NA NA 0.02 0.57 0.53 NA NA XXX
leg, infant.
73600......... ........ A X-ray exam of 0.16 0.57 0.55 NA NA 0.03 0.76 0.74 NA NA XXX
ankle.
73600......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
ankle.
73600......... TC...... A X-ray exam of 0.00 0.51 0.50 NA NA 0.02 0.53 0.52 NA NA XXX
ankle.
73610......... ........ A X-ray exam of 0.17 0.67 0.61 NA NA 0.03 0.87 0.81 NA NA XXX
ankle.
73610......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
ankle.
73610......... TC...... A X-ray exam of 0.00 0.62 0.55 NA NA 0.02 0.64 0.57 NA NA XXX
ankle.
73615......... ........ A Contrast x-ray 0.54 1.89 2.18 NA NA 0.15 2.58 2.87 NA NA XXX
of ankle.
73615......... 26...... A Contrast x-ray 0.54 0.17 0.18 0.17 0.18 0.03 0.74 0.75 0.74 0.75 XXX
of ankle.
73615......... TC...... A Contrast x-ray 0.00 1.72 2.01 NA NA 0.12 1.84 2.13 NA NA XXX
of ankle.
73620......... ........ A X-ray exam of 0.16 0.53 0.54 NA NA 0.03 0.72 0.73 NA NA XXX
foot.
73620......... 26...... A X-ray exam of 0.16 0.04 0.05 0.04 0.05 0.01 0.21 0.22 0.21 0.22 XXX
foot.
73620......... TC...... A X-ray exam of 0.00 0.49 0.49 NA NA 0.02 0.51 0.51 NA NA XXX
foot.
73630......... ........ A X-ray exam of 0.17 0.66 0.61 NA NA 0.03 0.86 0.81 NA NA XXX
foot.
73630......... 26...... A X-ray exam of 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
foot.
73630......... TC...... A X-ray exam of 0.00 0.60 0.55 NA NA 0.02 0.62 0.57 NA NA XXX
foot.
73650......... ........ A X-ray exam of 0.16 0.56 0.53 NA NA 0.03 0.75 0.72 NA NA XXX
heel.
73650......... 26...... A X-ray exam of 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
heel.
73650......... TC...... A X-ray exam of 0.00 0.51 0.48 NA NA 0.02 0.53 0.50 NA NA XXX
heel.
73660......... ........ A X-ray exam of 0.13 0.64 0.51 NA NA 0.03 0.80 0.67 NA NA XXX
toe(s).
73660......... 26...... A X-ray exam of 0.13 0.04 0.04 0.04 0.04 0.01 0.18 0.18 0.18 0.18 XXX
toe(s).
73660......... TC...... A X-ray exam of 0.00 0.60 0.47 NA NA 0.02 0.62 0.49 NA NA XXX
toe(s).
73700......... ........ A Ct lower 1.09 6.44 5.59 NA NA 0.30 7.83 6.98 NA NA XXX
extremity w/o
dye.
73700......... 26...... A Ct lower 1.09 0.35 0.36 0.35 0.36 0.05 1.49 1.50 1.49 1.50 XXX
extremity w/o
dye.
73700......... TC...... A Ct lower 0.00 6.09 5.24 NA NA 0.25 6.34 5.49 NA NA XXX
extremity w/o
dye.
73701......... ........ A Ct lower 1.16 7.95 6.71 NA NA 0.36 9.47 8.23 NA NA XXX
extremity w/
dye.
73701......... 26...... A Ct lower 1.16 0.36 0.38 0.36 0.38 0.05 1.57 1.59 1.57 1.59 XXX
extremity w/
dye.
73701......... TC...... A Ct lower 0.00 7.59 6.33 NA NA 0.31 7.90 6.64 NA NA XXX
extremity w/
dye.
73702......... ........ A Ct lwr 1.22 10.81 8.57 NA NA 0.44 12.47 10.23 NA NA XXX
extremity w/
o&w/dye.
73702......... 26...... A Ct lwr 1.22 0.40 0.40 0.40 0.40 0.05 1.67 1.67 1.67 1.67 XXX
extremity w/
o&w/dye.
73702......... TC...... A Ct lwr 0.00 10.41 8.17 NA NA 0.39 10.80 8.56 NA NA XXX
extremity w/
o&w/dye.
73706......... ........ A Ct angio lwr 1.90 12.39 11.78 NA NA 0.47 14.76 14.15 NA NA XXX
extr w/o&w/dye.
73706......... 26...... A Ct angio lwr 1.90 0.66 0.63 0.66 0.63 0.08 2.64 2.61 2.64 2.61 XXX
extr w/o&w/dye.
73706......... TC...... A Ct angio lwr 0.00 11.73 11.15 NA NA 0.39 12.12 11.54 NA NA XXX
extr w/o&w/dye.
73718......... ........ A Mri lower 1.35 14.74 12.42 NA NA 0.45 16.54 14.22 NA NA XXX
extremity w/o
dye.
73718......... 26...... A Mri lower 1.35 0.46 0.45 0.46 0.45 0.06 1.87 1.86 1.87 1.86 XXX
extremity w/o
dye.
73718......... TC...... A Mri lower 0.00 14.28 11.97 NA NA 0.39 14.67 12.36 NA NA XXX
extremity w/o
dye.
73719......... ........ A Mri lower 1.62 15.59 14.38 NA NA 0.54 17.75 16.54 NA NA XXX
extremity w/
dye.
73719......... 26...... A Mri lower 1.62 0.52 0.53 0.52 0.53 0.07 2.21 2.22 2.21 2.22 XXX
extremity w/
dye.
73719......... TC...... A Mri lower 0.00 15.07 13.85 NA NA 0.47 15.54 14.32 NA NA XXX
extremity w/
dye.
73720......... ........ A Mri lwr 2.15 19.28 24.01 NA NA 0.94 22.37 27.10 NA NA XXX
extremity w/
o&w/dye.
73720......... 26...... A Mri lwr 2.15 0.69 0.70 0.69 0.70 0.10 2.94 2.95 2.94 2.95 XXX
extremity w/
o&w/dye.
73720......... TC...... A Mri lwr 0.00 18.59 23.31 NA NA 0.84 19.43 24.15 NA NA XXX
extremity w/
o&w/dye.
73721......... ........ A Mri jnt of lwr 1.35 14.27 12.30 NA NA 0.45 16.07 14.10 NA NA XXX
extre w/o dye.
73721......... 26...... A Mri jnt of lwr 1.35 0.46 0.45 0.46 0.45 0.06 1.87 1.86 1.87 1.86 XXX
extre w/o dye.
73721......... TC...... A Mri jnt of lwr 0.00 13.81 11.85 NA NA 0.39 14.20 12.24 NA NA XXX
extre w/o dye.
73722......... ........ A Mri joint of 1.62 14.86 14.19 NA NA 0.54 17.02 16.35 NA NA XXX
lwr extr w/dye.
73722......... 26...... A Mri joint of 1.62 0.54 0.53 0.54 0.53 0.07 2.23 2.22 2.23 2.22 XXX
lwr extr w/dye.
73722......... TC...... A Mri joint of 0.00 14.32 13.66 NA NA 0.47 14.79 14.13 NA NA XXX
lwr extr w/dye.
73723......... ........ A Mri joint lwr 2.15 17.91 23.67 NA NA 0.94 21.00 26.76 NA NA XXX
extr w/o&w/dye.
73723......... 26...... A Mri joint lwr 2.15 0.70 0.71 0.70 0.71 0.10 2.95 2.96 2.95 2.96 XXX
extr w/o&w/dye.
[[Page 49187]]
73723......... TC...... A Mri joint lwr 0.00 17.21 22.96 NA NA 0.84 18.05 23.80 NA NA XXX
extr w/o&w/dye.
73725......... ........ R Mr ang lwr ext 1.82 15.34 12.69 NA NA 0.67 17.83 15.18 NA NA XXX
w or w/o dye.
73725......... 26...... R Mr ang lwr ext 1.82 0.60 0.60 0.60 0.60 0.08 2.50 2.50 2.50 2.50 XXX
w or w/o dye.
73725......... TC...... R Mr ang lwr ext 0.00 14.75 12.09 NA NA 0.59 15.34 12.68 NA NA XXX
w or w/o dye.
74000......... ........ A X-ray exam of 0.18 0.46 0.55 NA NA 0.03 0.67 0.76 NA NA XXX
abdomen.
74000......... 26...... A X-ray exam of 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX
abdomen.
74000......... TC...... A X-ray exam of 0.00 0.40 0.49 NA NA 0.02 0.42 0.51 NA NA XXX
abdomen.
74010......... ........ A X-ray exam of 0.23 0.79 0.69 NA NA 0.05 1.07 0.97 NA NA XXX
abdomen.
74010......... 26...... A X-ray exam of 0.23 0.07 0.08 0.07 0.08 0.01 0.31 0.32 0.31 0.32 XXX
abdomen.
74010......... TC...... A X-ray exam of 0.00 0.72 0.61 NA NA 0.04 0.76 0.65 NA NA XXX
abdomen.
74020......... ........ A X-ray exam of 0.27 0.80 0.73 NA NA 0.05 1.12 1.05 NA NA XXX
abdomen.
74020......... 26...... A X-ray exam of 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX
abdomen.
74020......... TC...... A X-ray exam of 0.00 0.71 0.64 NA NA 0.04 0.75 0.68 NA NA XXX
abdomen.
74022......... ........ A X-ray exam 0.32 0.97 0.87 NA NA 0.06 1.35 1.25 NA NA XXX
series,
abdomen.
74022......... 26...... A X-ray exam 0.32 0.10 0.10 0.10 0.10 0.01 0.43 0.43 0.43 0.43 XXX
series,
abdomen.
74022......... TC...... A X-ray exam 0.00 0.87 0.77 NA NA 0.05 0.92 0.82 NA NA XXX
series,
abdomen.
74150......... ........ A Ct abdomen w/o 1.19 6.06 6.05 NA NA 0.35 7.60 7.59 NA NA XXX
dye.
74150......... 26...... A Ct abdomen w/o 1.19 0.38 0.39 0.38 0.39 0.05 1.62 1.63 1.62 1.63 XXX
dye.
74150......... TC...... A Ct abdomen w/o 0.00 5.68 5.67 NA NA 0.30 5.98 5.97 NA NA XXX
dye.
74160......... ........ A Ct abdomen w/ 1.27 8.83 7.65 NA NA 0.42 10.52 9.34 NA NA XXX
dye.
74160......... 26...... A Ct abdomen w/ 1.27 0.40 0.42 0.40 0.42 0.06 1.73 1.75 1.73 1.75 XXX
dye.
74160......... TC...... A Ct abdomen w/ 0.00 8.43 7.24 NA NA 0.36 8.79 7.60 NA NA XXX
dye.
74170......... ........ A Ct abdomen w/o 1.40 12.27 9.77 NA NA 0.49 14.16 11.66 NA NA XXX
& w/dye.
74170......... 26...... A Ct abdomen w/o 1.40 0.45 0.46 0.45 0.46 0.06 1.91 1.92 1.91 1.92 XXX
& w/dye.
74170......... TC...... A Ct abdomen w/o 0.00 11.82 9.32 NA NA 0.43 12.25 9.75 NA NA XXX
& w/dye.
74175......... ........ A Ct angio abdom 1.90 12.34 12.57 NA NA 0.47 14.71 14.94 NA NA XXX
w/o & w/dye.
74175......... 26...... A Ct angio abdom 1.90 0.63 0.62 0.63 0.62 0.08 2.61 2.60 2.61 2.60 XXX
w/o & w/dye.
74175......... TC...... A Ct angio abdom 0.00 11.71 11.95 NA NA 0.39 12.10 12.34 NA NA XXX
w/o & w/dye.
74181......... ........ A Mri abdomen w/o 1.46 12.60 11.91 NA NA 0.51 14.57 13.88 NA NA XXX
dye.
74181......... 26...... A Mri abdomen w/o 1.46 0.47 0.48 0.47 0.48 0.06 1.99 2.00 1.99 2.00 XXX
dye.
74181......... TC...... A Mri abdomen w/o 0.00 12.13 11.43 NA NA 0.45 12.58 11.88 NA NA XXX
dye.
74182......... ........ A Mri abdomen w/ 1.73 17.59 14.91 NA NA 0.60 19.92 17.24 NA NA XXX
dye.
74182......... 26...... A Mri abdomen w/ 1.73 0.55 0.57 0.55 0.57 0.08 2.36 2.38 2.36 2.38 XXX
dye.
74182......... TC...... A Mri abdomen w/ 0.00 17.04 14.34 NA NA 0.52 17.56 14.86 NA NA XXX
dye.
74183......... ........ A Mri abdomen w/o 2.26 19.27 24.03 NA NA 1.02 22.55 27.31 NA NA XXX
& w/dye.
74183......... 26...... A Mri abdomen w/o 2.26 0.73 0.74 0.73 0.74 0.10 3.09 3.10 3.09 3.10 XXX
& w/dye.
74183......... TC...... A Mri abdomen w/o 0.00 18.54 23.30 NA NA 0.92 19.46 24.22 NA NA XXX
& w/dye.
74185......... ........ R Mri angio, 1.80 15.31 12.67 NA NA 0.67 17.78 15.14 NA NA XXX
abdom w orw/o
dye.
74185......... 26...... R Mri angio, 1.80 0.59 0.59 0.59 0.59 0.08 2.47 2.47 2.47 2.47 XXX
abdom w orw/o
dye.
74185......... TC...... R Mri angio, 0.00 14.72 12.08 NA NA 0.59 15.31 12.67 NA NA XXX
abdom w orw/o
dye.
74190......... ........ A X-ray exam of 0.48 NA NA NA NA 0.09 NA NA NA NA XXX
peritoneum.
74190......... 26...... A X-ray exam of 0.48 0.15 0.16 0.15 0.16 0.02 0.65 0.66 0.65 0.66 XXX
peritoneum.
74190......... TC...... A X-ray exam of 0.00 NA NA NA NA 0.07 NA NA NA NA XXX
peritoneum.
74210......... ........ A Contrst x-ray 0.36 1.76 1.42 NA NA 0.08 2.20 1.86 NA NA XXX
exam of throat.
74210......... 26...... A Contrst x-ray 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX
exam of throat.
74210......... TC...... A Contrst x-ray 0.00 1.65 1.31 NA NA 0.06 1.71 1.37 NA NA XXX
exam of throat.
74220......... ........ A Contrast x-ray, 0.46 2.01 1.51 NA NA 0.08 2.55 2.05 NA NA XXX
esophagus.
74220......... 26...... A Contrast x-ray, 0.46 0.14 0.15 0.14 0.15 0.02 0.62 0.63 0.62 0.63 XXX
esophagus.
74220......... TC...... A Contrast x-ray, 0.00 1.87 1.36 NA NA 0.06 1.93 1.42 NA NA XXX
esophagus.
74230......... ........ A Cine/vid x-ray, 0.53 1.93 1.59 NA NA 0.09 2.55 2.21 NA NA XXX
throat/esoph.
74230......... 26...... A Cine/vid x-ray, 0.53 0.17 0.17 0.17 0.17 0.02 0.72 0.72 0.72 0.72 XXX
throat/esoph.
74230......... TC...... A Cine/vid x-ray, 0.00 1.76 1.42 NA NA 0.07 1.83 1.49 NA NA XXX
throat/esoph.
74235......... ........ C Remove 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
esophagus
obstruction.
74235......... 26...... A Remove 1.19 0.40 0.39 0.40 0.39 0.05 1.64 1.63 1.64 1.63 XXX
esophagus
obstruction.
74235......... TC...... C Remove 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
esophagus
obstruction.
74240......... ........ A X-ray exam, 0.69 2.28 1.84 NA NA 0.11 3.08 2.64 NA NA XXX
upper gi tract.
74240......... 26...... A X-ray exam, 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX
upper gi tract.
74240......... TC...... A X-ray exam, 0.00 2.07 1.61 NA NA 0.08 2.15 1.69 NA NA XXX
upper gi tract.
74241......... ........ A X-ray exam, 0.69 2.55 1.93 NA NA 0.11 3.35 2.73 NA NA XXX
upper gi tract.
74241......... 26...... A X-ray exam, 0.69 0.21 0.23 0.21 0.23 0.03 0.93 0.95 0.93 0.95 XXX
upper gi tract.
74241......... TC...... A X-ray exam, 0.00 2.34 1.70 NA NA 0.08 2.42 1.78 NA NA XXX
upper gi tract.
74245......... ........ A X-ray exam, 0.91 3.94 3.00 NA NA 0.17 5.02 4.08 NA NA XXX
upper gi tract.
74245......... 26...... A X-ray exam, 0.91 0.29 0.30 0.29 0.30 0.04 1.24 1.25 1.24 1.25 XXX
upper gi tract.
74245......... TC...... A X-ray exam, 0.00 3.65 2.70 NA NA 0.13 3.78 2.83 NA NA XXX
upper gi tract.
74246......... ........ A Contrst x-ray 0.69 2.78 2.09 NA NA 0.13 3.60 2.91 NA NA XXX
uppr gi tract.
74246......... 26...... A Contrst x-ray 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX
uppr gi tract.
[[Page 49188]]
74246......... TC...... A Contrst x-ray 0.00 2.57 1.87 NA NA 0.10 2.67 1.97 NA NA XXX
uppr gi tract.
74247......... ........ A Contrst x-ray 0.69 3.21 2.23 NA NA 0.14 4.04 3.06 NA NA XXX
uppr gi tract.
74247......... 26...... A Contrst x-ray 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX
uppr gi tract.
74247......... TC...... A Contrst x-ray 0.00 2.99 2.01 NA NA 0.11 3.10 2.12 NA NA XXX
uppr gi tract.
74249......... ........ A Contrst x-ray 0.91 4.33 3.24 NA NA 0.18 5.42 4.33 NA NA XXX
uppr gi tract.
74249......... 26...... A Contrst x-ray 0.91 0.29 0.30 0.29 0.30 0.04 1.24 1.25 1.24 1.25 XXX
uppr gi tract.
74249......... TC...... A Contrst x-ray 0.00 4.05 2.94 NA NA 0.14 4.19 3.08 NA NA XXX
uppr gi tract.
74250......... ........ A X-ray exam of 0.47 2.48 1.72 NA NA 0.09 3.04 2.28 NA NA XXX
small bowel.
74250......... 26...... A X-ray exam of 0.47 0.15 0.15 0.15 0.15 0.02 0.64 0.64 0.64 0.64 XXX
small bowel.
74250......... TC...... A X-ray exam of 0.00 2.33 1.57 NA NA 0.07 2.40 1.64 NA NA XXX
small bowel.
74251......... ........ A X-ray exam of 0.69 10.01 3.66 NA NA 0.10 10.80 4.45 NA NA XXX
small bowel.
74251......... 26...... A X-ray exam of 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX
small bowel.
74251......... TC...... A X-ray exam of 0.00 9.80 3.43 NA NA 0.07 9.87 3.50 NA NA XXX
small bowel.
74260......... ........ A X-ray exam of 0.50 8.32 3.32 NA NA 0.10 8.92 3.92 NA NA XXX
small bowel.
74260......... 26...... A X-ray exam of 0.50 0.15 0.16 0.15 0.16 0.02 0.67 0.68 0.67 0.68 XXX
small bowel.
74260......... TC...... A X-ray exam of 0.00 8.17 3.16 NA NA 0.08 8.25 3.24 NA NA XXX
small bowel.
74270......... ........ A Contrast x-ray 0.69 3.57 2.33 NA NA 0.14 4.40 3.16 NA NA XXX
exam of colon.
74270......... 26...... A Contrast x-ray 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX
exam of colon.
74270......... TC...... A Contrast x-ray 0.00 3.35 2.11 NA NA 0.11 3.46 2.22 NA NA XXX
exam of colon.
74280......... ........ A Contrast x-ray 0.99 4.94 3.15 NA NA 0.17 6.10 4.31 NA NA XXX
exam of colon.
74280......... 26...... A Contrast x-ray 0.99 0.31 0.32 0.31 0.32 0.04 1.34 1.35 1.34 1.35 XXX
exam of colon.
74280......... TC...... A Contrast x-ray 0.00 4.63 2.83 NA NA 0.13 4.76 2.96 NA NA XXX
exam of colon.
74283......... ........ A Contrast x-ray 2.02 3.42 3.27 NA NA 0.23 5.67 5.52 NA NA XXX
exam of colon.
74283......... 26...... A Contrast x-ray 2.02 0.61 0.65 0.61 0.65 0.09 2.72 2.76 2.72 2.76 XXX
exam of colon.
74283......... TC...... A Contrast x-ray 0.00 2.80 2.62 NA NA 0.14 2.94 2.76 NA NA XXX
exam of colon.
74290......... ........ A Contrast x-ray, 0.32 1.56 1.01 NA NA 0.06 1.94 1.39 NA NA XXX
gallbladder.
74290......... 26...... A Contrast x-ray, 0.32 0.10 0.10 0.10 0.10 0.01 0.43 0.43 0.43 0.43 XXX
gallbladder.
74290......... TC...... A Contrast x-ray, 0.00 1.46 0.91 NA NA 0.05 1.51 0.96 NA NA XXX
gallbladder.
74291......... ........ A Contrast x- 0.20 1.60 0.77 NA NA 0.03 1.83 1.00 NA NA XXX
rays,
gallbladder.
74291......... 26...... A Contrast x- 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX
rays,
gallbladder.
74291......... TC...... A Contrast x- 0.00 1.54 0.70 NA NA 0.02 1.56 0.72 NA NA XXX
rays,
gallbladder.
74300......... ........ C X-ray bile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ducts/pancreas.
74300......... 26...... A X-ray bile 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX
ducts/pancreas.
74300......... TC...... C X-ray bile 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ducts/pancreas.
74301......... ........ C X-rays at 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
surgery add-on.
74301......... 26...... A X-rays at 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 ZZZ
surgery add-on.
74301......... TC...... C X-rays at 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
surgery add-on.
74305......... ........ A X-ray bile 0.42 NA NA NA NA 0.07 NA NA NA NA XXX
ducts/pancreas.
74305......... 26...... A X-ray bile 0.42 0.14 0.14 0.14 0.14 0.02 0.58 0.58 0.58 0.58 XXX
ducts/pancreas.
74305......... TC...... A X-ray bile 0.00 NA NA NA NA 0.05 NA NA NA NA XXX
ducts/pancreas.
74320......... ........ A Contrast x-ray 0.54 2.13 3.03 NA NA 0.19 2.86 3.76 NA NA XXX
of bile ducts.
74320......... 26...... A Contrast x-ray 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
of bile ducts.
74320......... TC...... A Contrast x-ray 0.00 1.95 2.85 NA NA 0.17 2.12 3.02 NA NA XXX
of bile ducts.
74327......... ........ A X-ray bile 0.70 2.99 2.24 NA NA 0.14 3.83 3.08 NA NA XXX
stone removal.
74327......... 26...... A X-ray bile 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX
stone removal.
74327......... TC...... A X-ray bile 0.00 2.76 2.01 NA NA 0.11 2.87 2.12 NA NA XXX
stone removal.
74328......... ........ A X-ray bile duct 0.70 NA NA NA NA 0.20 NA NA NA NA XXX
endoscopy.
74328......... 26...... A X-ray bile duct 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX
endoscopy.
74328......... TC...... A X-ray bile duct 0.00 NA NA NA NA 0.17 NA NA NA NA XXX
endoscopy.
74329......... ........ C X-ray for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas
endoscopy.
74329......... 26...... A X-ray for 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX
pancreas
endoscopy.
74329......... TC...... C X-ray for 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pancreas
endoscopy.
74330......... ........ A X-ray bile/panc 0.90 NA NA NA NA 0.21 NA NA NA NA XXX
endoscopy.
74330......... 26...... A X-ray bile/panc 0.90 0.30 0.29 0.30 0.29 0.04 1.24 1.23 1.24 1.23 XXX
endoscopy.
74330......... TC...... A X-ray bile/panc 0.00 NA NA NA NA 0.17 NA NA NA NA XXX
endoscopy.
74340......... ........ A X-ray guide for 0.54 NA NA NA NA 0.16 NA NA NA NA XXX
GI tube.
[[Page 49189]]
74340......... 26...... A X-ray guide for 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
GI tube.
74340......... TC...... A X-ray guide for 0.00 NA NA NA NA 0.14 NA NA NA NA XXX
GI tube.
74350......... ........ A X-ray guide, 0.76 2.22 3.11 NA NA 0.20 3.18 4.07 NA NA XXX
stomach tube.
74350......... 26...... A X-ray guide, 0.76 0.25 0.25 0.25 0.25 0.03 1.04 1.04 1.04 1.04 XXX
stomach tube.
74350......... TC...... A X-ray guide, 0.00 1.97 2.86 NA NA 0.17 2.14 3.03 NA NA XXX
stomach tube.
74355......... ........ A X-ray guide, 0.76 NA NA NA NA 0.17 NA NA NA NA XXX
intestinal
tube.
74355......... 26...... A X-ray guide, 0.76 0.25 0.25 0.25 0.25 0.03 1.04 1.04 1.04 1.04 XXX
intestinal
tube.
74355......... TC...... A X-ray guide, 0.00 NA NA NA NA 0.14 NA NA NA NA XXX
intestinal
tube.
74360......... ........ A X-ray guide, GI 0.54 NA NA NA NA 0.19 NA NA NA NA XXX
dilation.
74360......... 26...... A X-ray guide, GI 0.54 0.24 0.20 0.24 0.20 0.02 0.80 0.76 0.80 0.76 XXX
dilation.
74360......... TC...... A X-ray guide, GI 0.00 NA NA NA NA 0.17 NA NA NA NA XXX
dilation.
74363......... ........ C X-ray, bile 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
duct dilation.
74363......... 26...... A X-ray, bile 0.88 0.29 0.29 0.29 0.29 0.04 1.21 1.21 1.21 1.21 XXX
duct dilation.
74363......... TC...... C X-ray, bile 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
duct dilation.
74400......... ........ A Contrst x-ray, 0.49 2.60 2.02 NA NA 0.13 3.22 2.64 NA NA XXX
urinary tract.
74400......... 26...... A Contrst x-ray, 0.49 0.16 0.16 0.16 0.16 0.02 0.67 0.67 0.67 0.67 XXX
urinary tract.
74400......... TC...... A Contrst x-ray, 0.00 2.44 1.87 NA NA 0.11 2.55 1.98 NA NA XXX
urinary tract.
74410......... ........ A Contrst x-ray, 0.49 2.73 2.27 NA NA 0.13 3.35 2.89 NA NA XXX
urinary tract.
74410......... 26...... A Contrst x-ray, 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX
urinary tract.
74410......... TC...... A Contrst x-ray, 0.00 2.56 2.10 NA NA 0.11 2.67 2.21 NA NA XXX
urinary tract.
74415......... ........ A Contrst x-ray, 0.49 3.29 2.53 NA NA 0.14 3.92 3.16 NA NA XXX
urinary tract.
74415......... 26...... A Contrst x-ray, 0.49 0.16 0.16 0.16 0.16 0.02 0.67 0.67 0.67 0.67 XXX
urinary tract.
74415......... TC...... A Contrst x-ray, 0.00 3.13 2.37 NA NA 0.12 3.25 2.49 NA NA XXX
urinary tract.
74420......... ........ A Contrst x-ray, 0.36 NA NA NA NA 0.16 NA NA NA NA XXX
urinary tract.
74420......... 26...... A Contrst x-ray, 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50 XXX
urinary tract.
74420......... TC...... A Contrst x-ray, 0.00 NA NA NA NA 0.14 NA NA NA NA XXX
urinary tract.
74425......... ........ A Contrst x-ray, 0.36 NA NA NA NA 0.09 NA NA NA NA XXX
urinary tract.
74425......... 26...... A Contrst x-ray, 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50 XXX
urinary tract.
74425......... TC...... A Contrst x-ray, 0.00 NA NA NA NA 0.07 NA NA NA NA XXX
urinary tract.
74430......... ........ A Contrast x-ray, 0.32 1.96 1.35 NA NA 0.08 2.36 1.75 NA NA XXX
bladder.
74430......... 26...... A Contrast x-ray, 0.32 0.11 0.10 0.11 0.10 0.02 0.45 0.44 0.45 0.44 XXX
bladder.
74430......... TC...... A Contrast x-ray, 0.00 1.85 1.25 NA NA 0.06 1.91 1.31 NA NA XXX
bladder.
74440......... ........ A X-ray, male 0.38 2.20 1.49 NA NA 0.08 2.66 1.95 NA NA XXX
genital tract.
74440......... 26...... A X-ray, male 0.38 0.15 0.13 0.15 0.13 0.02 0.55 0.53 0.55 0.53 XXX
genital tract.
74440......... TC...... A X-ray, male 0.00 2.06 1.36 NA NA 0.06 2.12 1.42 NA NA XXX
genital tract.
74445......... ........ A X-ray exam of 1.14 NA NA NA NA 0.13 NA NA NA NA XXX
penis.
74445......... 26...... A X-ray exam of 1.14 0.44 0.39 0.44 0.39 0.07 1.65 1.60 1.65 1.60 XXX
penis.
74445......... TC...... A X-ray exam of 0.00 NA NA NA NA 0.06 NA NA NA NA XXX
penis.
74450......... ........ A X-ray, urethra/ 0.33 NA NA NA NA 0.10 NA NA NA NA XXX
bladder.
74450......... 26...... A X-ray, urethra/ 0.33 0.11 0.11 0.11 0.11 0.02 0.46 0.46 0.46 0.46 XXX
bladder.
74450......... TC...... A X-ray, urethra/ 0.00 NA NA NA NA 0.08 NA NA NA NA XXX
bladder.
74455......... ........ A X-ray, urethra/ 0.33 2.18 1.81 NA NA 0.12 2.63 2.26 NA NA XXX
bladder.
74455......... 26...... A X-ray, urethra/ 0.33 0.12 0.11 0.12 0.11 0.02 0.47 0.46 0.47 0.46 XXX
bladder.
74455......... TC...... A X-ray, urethra/ 0.00 2.06 1.70 NA NA 0.10 2.16 1.80 NA NA XXX
bladder.
74470......... ........ A X-ray exam of 0.54 NA NA NA NA 0.09 NA NA NA NA XXX
kidney lesion.
74470......... 26...... A X-ray exam of 0.54 0.16 0.18 0.16 0.18 0.02 0.72 0.74 0.72 0.74 XXX
kidney lesion.
74470......... TC...... A X-ray exam of 0.00 NA NA NA NA 0.07 NA NA NA NA XXX
kidney lesion.
74475......... ........ A X-ray control, 0.54 2.12 3.72 NA NA 0.24 2.90 4.50 NA NA XXX
cath insert.
74475......... 26...... A X-ray control, 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX
cath insert.
74475......... TC...... A X-ray control, 0.00 1.94 3.54 NA NA 0.22 2.16 3.76 NA NA XXX
cath insert.
74480......... ........ A X-ray control, 0.54 2.13 3.72 NA NA 0.24 2.91 4.50 NA NA XXX
cath insert.
74480......... 26...... A X-ray control, 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX
cath insert.
74480......... TC...... A X-ray control, 0.00 1.95 3.54 NA NA 0.22 2.17 3.76 NA NA XXX
cath insert.
74485......... ........ A X-ray guide, GU 0.54 2.29 3.06 NA NA 0.20 3.03 3.80 NA NA XXX
dilation.
74485......... 26...... A X-ray guide, GU 0.54 0.19 0.18 0.19 0.18 0.03 0.76 0.75 0.76 0.75 XXX
dilation.
74485......... TC...... A X-ray guide, GU 0.00 2.10 2.89 NA NA 0.17 2.27 3.06 NA NA XXX
dilation.
74710......... ........ A X-ray 0.34 0.64 1.03 NA NA 0.08 1.06 1.45 NA NA XXX
measurement of
pelvis.
74710......... 26...... A X-ray 0.34 0.11 0.11 0.11 0.11 0.02 0.47 0.47 0.47 0.47 XXX
measurement of
pelvis.
74710......... TC...... A X-ray 0.00 0.53 0.92 NA NA 0.06 0.59 0.98 NA NA XXX
measurement of
pelvis.
74740......... ........ A X-ray, female 0.38 1.77 1.52 NA NA 0.09 2.24 1.99 NA NA XXX
genital tract.
74740......... 26...... A X-ray, female 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.52 0.53 XXX
genital tract.
74740......... TC...... A X-ray, female 0.00 1.65 1.40 NA NA 0.07 1.72 1.47 NA NA XXX
genital tract.
74742......... ........ C X-ray, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fallopian tube.
74742......... 26...... A X-ray, 0.61 0.17 0.19 0.17 0.19 0.03 0.81 0.83 0.81 0.83 XXX
fallopian tube.
74742......... TC...... C X-ray, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fallopian tube.
74775......... ........ A X-ray exam of 0.62 NA NA NA NA 0.11 NA NA NA NA XXX
perineum.
[[Page 49190]]
74775......... 26...... A X-ray exam of 0.62 0.19 0.21 0.19 0.21 0.03 0.84 0.86 0.84 0.86 XXX
perineum.
74775......... TC...... A X-ray exam of 0.00 NA NA NA NA 0.08 NA NA NA NA XXX
perineum.
75552......... ........ A Heart mri for 1.60 19.30 13.62 NA NA 0.66 21.56 15.88 NA NA XXX
morph w/o dye.
75552......... 26...... A Heart mri for 1.60 0.57 0.54 0.57 0.54 0.07 2.24 2.21 2.24 2.21 XXX
morph w/o dye.
75552......... TC...... A Heart mri for 0.00 18.73 13.08 NA NA 0.59 19.32 13.67 NA NA XXX
morph w/o dye.
75553......... ........ A Heart mri for 2.00 24.28 14.96 NA NA 0.66 26.94 17.62 NA NA XXX
morph w/dye.
75553......... 26...... A Heart mri for 2.00 0.94 0.72 0.94 0.72 0.07 3.01 2.79 3.01 2.79 XXX
morph w/dye.
75553......... TC...... A Heart mri for 0.00 23.34 14.24 NA NA 0.59 23.93 14.83 NA NA XXX
morph w/dye.
75554......... ........ A Cardiac MRI/ 1.83 27.20 15.68 NA NA 0.66 29.69 18.17 NA NA XXX
function.
75554......... 26...... A Cardiac MRI/ 1.83 0.79 0.68 0.79 0.68 0.07 2.69 2.58 2.69 2.58 XXX
function.
75554......... TC...... A Cardiac MRI/ 0.00 26.41 15.00 NA NA 0.59 27.00 15.59 NA NA XXX
function.
75555......... ........ A Cardiac MRI/ 1.74 27.64 15.79 NA NA 0.66 30.04 18.19 NA NA XXX
limited study.
75555......... 26...... A Cardiac MRI/ 1.74 0.84 0.69 0.84 0.69 0.07 2.65 2.50 2.65 2.50 XXX
limited study.
75555......... TC...... A Cardiac MRI/ 0.00 26.80 15.10 NA NA 0.59 27.39 15.69 NA NA XXX
limited study.
75600......... ........ A Contrast x-ray 0.49 6.49 11.22 NA NA 0.67 7.65 12.38 NA NA XXX
exam of aorta.
75600......... 26...... A Contrast x-ray 0.49 0.25 0.21 0.25 0.21 0.02 0.76 0.72 0.76 0.72 XXX
exam of aorta.
75600......... TC...... A Contrast x-ray 0.00 6.24 11.01 NA NA 0.65 6.89 11.66 NA NA XXX
exam of aorta.
75605......... ........ A Contrast x-ray 1.14 3.63 10.66 NA NA 0.70 5.47 12.50 NA NA XXX
exam of aorta.
75605......... 26...... A Contrast x-ray 1.14 0.51 0.43 0.51 0.43 0.05 1.70 1.62 1.70 1.62 XXX
exam of aorta.
75605......... TC...... A Contrast x-ray 0.00 3.13 10.23 NA NA 0.65 3.78 10.88 NA NA XXX
exam of aorta.
75625......... ........ A Contrast x-ray 1.14 3.38 10.58 NA NA 0.71 5.23 12.43 NA NA XXX
exam of aorta.
75625......... 26...... A Contrast x-ray 1.14 0.42 0.39 0.42 0.39 0.06 1.62 1.59 1.62 1.59 XXX
exam of aorta.
75625......... TC...... A Contrast x-ray 0.00 2.96 10.19 NA NA 0.65 3.61 10.84 NA NA XXX
exam of aorta.
75630......... ........ A X-ray aorta, 1.79 3.80 11.26 NA NA 0.80 6.39 13.85 NA NA XXX
leg arteries.
75630......... 26...... A X-ray aorta, 1.79 0.72 0.64 0.72 0.64 0.11 2.62 2.54 2.62 2.54 XXX
leg arteries.
75630......... TC...... A X-ray aorta, 0.00 3.08 10.62 NA NA 0.69 3.77 11.31 NA NA XXX
leg arteries.
75635......... ........ A Ct angio 2.40 12.87 15.74 NA NA 0.50 15.77 18.64 NA NA XXX
abdominal
arteries.
75635......... 26...... A Ct angio 2.40 0.83 0.80 0.83 0.80 0.11 3.34 3.31 3.34 3.31 XXX
abdominal
arteries.
75635......... TC...... A Ct angio 0.00 12.04 14.94 NA NA 0.39 12.43 15.33 NA NA XXX
abdominal
arteries.
75650......... ........ A Artery x-rays, 1.49 3.53 10.70 NA NA 0.72 5.74 12.91 NA NA XXX
head & neck.
75650......... 26...... A Artery x-rays, 1.49 0.55 0.51 0.55 0.51 0.07 2.11 2.07 2.11 2.07 XXX
head & neck.
75650......... TC...... A Artery x-rays, 0.00 2.97 10.19 NA NA 0.65 3.62 10.84 NA NA XXX
head & neck.
75658......... ........ A Artery x-rays, 1.31 3.86 10.77 NA NA 0.72 5.89 12.80 NA NA XXX
arm.
75658......... 26...... A Artery x-rays, 1.31 0.48 0.47 0.48 0.47 0.07 1.86 1.85 1.86 1.85 XXX
arm.
75658......... TC...... A Artery x-rays, 0.00 3.37 10.29 NA NA 0.65 4.02 10.94 NA NA XXX
arm.
75660......... ........ A Artery x-rays, 1.31 3.94 10.77 NA NA 0.71 5.96 12.79 NA NA XXX
head & neck.
75660......... 26...... A Artery x-rays, 1.31 0.49 0.45 0.49 0.45 0.06 1.86 1.82 1.86 1.82 XXX
head & neck.
75660......... TC...... A Artery x-rays, 0.00 3.45 10.31 NA NA 0.65 4.10 10.96 NA NA XXX
head & neck.
75662......... ........ A Artery x-rays, 1.66 5.11 11.17 NA NA 0.71 7.48 13.54 NA NA XXX
head & neck.
75662......... 26...... A Artery x-rays, 1.66 0.72 0.62 0.72 0.62 0.06 2.44 2.34 2.44 2.34 XXX
head & neck.
75662......... TC...... A Artery x-rays, 0.00 4.39 10.55 NA NA 0.65 5.04 11.20 NA NA XXX
head & neck.
75665......... ........ A Artery x-rays, 1.31 4.10 10.81 NA NA 0.74 6.15 12.86 NA NA XXX
head & neck.
75665......... 26...... A Artery x-rays, 1.31 0.46 0.45 0.46 0.45 0.09 1.86 1.85 1.86 1.85 XXX
head & neck.
75665......... TC...... A Artery x-rays, 0.00 3.64 10.36 NA NA 0.65 4.29 11.01 NA NA XXX
head & neck.
75671......... ........ A Artery x-rays, 1.66 5.09 11.14 NA NA 0.72 7.47 13.52 NA NA XXX
head & neck.
75671......... 26...... A Artery x-rays, 1.66 0.61 0.57 0.61 0.57 0.07 2.34 2.30 2.34 2.30 XXX
head & neck.
75671......... TC...... A Artery x-rays, 0.00 4.48 10.57 NA NA 0.65 5.13 11.22 NA NA XXX
head & neck.
75676......... ........ A Artery x-rays, 1.31 3.86 10.75 NA NA 0.72 5.89 12.78 NA NA XXX
neck.
75676......... 26...... A Artery x-rays, 1.31 0.47 0.45 0.47 0.45 0.07 1.85 1.83 1.85 1.83 XXX
neck.
75676......... TC...... A Artery x-rays, 0.00 3.40 10.30 NA NA 0.65 4.05 10.95 NA NA XXX
neck.
75680......... ........ A Artery x-rays, 1.66 4.61 11.02 NA NA 0.72 6.99 13.40 NA NA XXX
neck.
75680......... 26...... A Artery x-rays, 1.66 0.64 0.57 0.64 0.57 0.07 2.37 2.30 2.37 2.30 XXX
neck.
75680......... TC...... A Artery x-rays, 0.00 3.98 10.45 NA NA 0.65 4.63 11.10 NA NA XXX
neck.
75685......... ........ A Artery x-rays, 1.31 3.90 10.75 NA NA 0.71 5.92 12.77 NA NA XXX
spine.
75685......... 26...... A Artery x-rays, 1.31 0.49 0.45 0.49 0.45 0.06 1.86 1.82 1.86 1.82 XXX
spine.
75685......... TC...... A Artery x-rays, 0.00 3.41 10.30 NA NA 0.65 4.06 10.95 NA NA XXX
spine.
[[Page 49191]]
75705......... ........ A Artery x-rays, 2.18 4.07 11.02 NA NA 0.78 7.03 13.98 NA NA XXX
spine.
75705......... 26...... A Artery x-rays, 2.18 0.72 0.73 0.72 0.73 0.13 3.03 3.04 3.03 3.04 XXX
spine.
75705......... TC...... A Artery x-rays, 0.00 3.35 10.29 NA NA 0.65 4.00 10.94 NA NA XXX
spine.
75710......... ........ A Artery x-rays, 1.14 3.99 10.74 NA NA 0.72 5.85 12.60 NA NA XXX
arm/leg.
75710......... 26...... A Artery x-rays, 1.14 0.42 0.40 0.42 0.40 0.07 1.63 1.61 1.63 1.61 XXX
arm/leg.
75710......... TC...... A Artery x-rays, 0.00 3.57 10.34 NA NA 0.65 4.22 10.99 NA NA XXX
arm/leg.
75716......... ........ A Artery x-rays, 1.31 4.94 11.01 NA NA 0.72 6.97 13.04 NA NA XXX
arms/legs.
75716......... 26...... A Artery x-rays, 1.31 0.49 0.45 0.49 0.45 0.07 1.87 1.83 1.87 1.83 XXX
arms/legs.
75716......... TC...... A Artery x-rays, 0.00 4.45 10.56 NA NA 0.65 5.10 11.21 NA NA XXX
arms/legs.
75722......... ........ A Artery x-rays, 1.14 3.89 10.72 NA NA 0.70 5.73 12.56 NA NA XXX
kidney.
75722......... 26...... A Artery x-rays, 1.14 0.47 0.42 0.47 0.42 0.05 1.66 1.61 1.66 1.61 XXX
kidney.
75722......... TC...... A Artery x-rays, 0.00 3.42 10.31 NA NA 0.65 4.07 10.96 NA NA XXX
kidney.
75724......... ........ A Artery x-rays, 1.49 5.20 11.17 NA NA 0.70 7.39 13.36 NA NA XXX
kidneys.
75724......... 26...... A Artery x-rays, 1.49 0.75 0.61 0.75 0.61 0.05 2.29 2.15 2.29 2.15 XXX
kidneys.
75724......... TC...... A Artery x-rays, 0.00 4.44 10.56 NA NA 0.65 5.09 11.21 NA NA XXX
kidneys.
75726......... ........ A Artery x-rays, 1.14 3.73 10.66 NA NA 0.70 5.57 12.50 NA NA XXX
abdomen.
75726......... 26...... A Artery x-rays, 1.14 0.38 0.37 0.38 0.37 0.05 1.57 1.56 1.57 1.56 XXX
abdomen.
75726......... TC...... A Artery x-rays, 0.00 3.35 10.29 NA NA 0.65 4.00 10.94 NA NA XXX
abdomen.
75731......... ........ A Artery x-rays, 1.14 3.90 10.70 NA NA 0.71 5.75 12.55 NA NA XXX
adrenal gland.
75731......... 26...... A Artery x-rays, 1.14 0.42 0.38 0.42 0.38 0.06 1.62 1.58 1.62 1.58 XXX
adrenal gland.
75731......... TC...... A Artery x-rays, 0.00 3.48 10.32 NA NA 0.65 4.13 10.97 NA NA XXX
adrenal gland.
75733......... ........ A Artery x-rays, 1.31 5.27 11.10 NA NA 0.71 7.29 13.12 NA NA XXX
adrenals.
75733......... 26...... A Artery x-rays, 1.31 0.59 0.48 0.59 0.48 0.06 1.96 1.85 1.96 1.85 XXX
adrenals.
75733......... TC...... A Artery x-rays, 0.00 4.68 10.62 NA NA 0.65 5.33 11.27 NA NA XXX
adrenals.
75736......... ........ A Artery x-rays, 1.14 3.87 10.70 NA NA 0.71 5.72 12.55 NA NA XXX
pelvis.
75736......... 26...... A Artery x-rays, 1.14 0.41 0.39 0.41 0.39 0.06 1.61 1.59 1.61 1.59 XXX
pelvis.
75736......... TC...... A Artery x-rays, 0.00 3.46 10.32 NA NA 0.65 4.11 10.97 NA NA XXX
pelvis.
75741......... ........ A Artery x-rays, 1.31 3.14 10.56 NA NA 0.71 5.16 12.58 NA NA XXX
lung.
75741......... 26...... A Artery x-rays, 1.31 0.45 0.44 0.45 0.44 0.06 1.82 1.81 1.82 1.81 XXX
lung.
75741......... TC...... A Artery x-rays, 0.00 2.70 10.13 NA NA 0.65 3.35 10.78 NA NA XXX
lung.
75743......... ........ A Artery x-rays, 1.66 3.53 10.74 NA NA 0.72 5.91 13.12 NA NA XXX
lungs.
75743......... 26...... A Artery x-rays, 1.66 0.57 0.55 0.57 0.55 0.07 2.30 2.28 2.30 2.28 XXX
lungs.
75743......... TC...... A Artery x-rays, 0.00 2.96 10.19 NA NA 0.65 3.61 10.84 NA NA XXX
lungs.
75746......... ........ A Artery x-rays, 1.14 3.46 10.60 NA NA 0.70 5.30 12.44 NA NA XXX
lung.
75746......... 26...... A Artery x-rays, 1.14 0.36 0.38 0.36 0.38 0.05 1.55 1.57 1.55 1.57 XXX
lung.
75746......... TC...... A Artery x-rays, 0.00 3.10 10.23 NA NA 0.65 3.75 10.88 NA NA XXX
lung.
75756......... ........ A Artery x-rays, 1.14 4.45 10.90 NA NA 0.69 6.28 12.73 NA NA XXX
chest.
75756......... 26...... A Artery x-rays, 1.14 0.60 0.49 0.60 0.49 0.04 1.78 1.67 1.78 1.67 XXX
chest.
75756......... TC...... A Artery x-rays, 0.00 3.84 10.41 NA NA 0.65 4.49 11.06 NA NA XXX
chest.
75774......... ........ A Artery x-ray, 0.36 2.53 10.17 2.53 10.17 0.67 3.56 11.20 3.56 11.20 ZZZ
each vessel.
75774......... 26...... A Artery x-ray, 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50 ZZZ
each vessel.
75774......... TC...... A Artery x-ray, 0.00 2.40 10.05 2.40 10.05 0.65 3.05 10.70 3.05 10.70 ZZZ
each vessel.
75790......... ........ A Visualize A-V 1.84 3.11 2.23 NA NA 0.17 5.12 4.24 NA NA XXX
shunt.
75790......... 26...... A Visualize A-V 1.84 0.57 0.59 0.57 0.59 0.09 2.50 2.52 2.50 2.52 XXX
shunt.
75790......... TC...... A Visualize A-V 0.00 2.54 1.65 NA NA 0.08 2.62 1.73 NA NA XXX
shunt.
75801......... ........ A Lymph vessel x- 0.81 NA NA NA NA 0.37 NA NA NA NA XXX
ray, arm/leg.
75801......... 26...... A Lymph vessel x- 0.81 0.22 0.26 0.22 0.26 0.08 1.11 1.15 1.11 1.15 XXX
ray, arm/leg.
75801......... TC...... A Lymph vessel x- 0.00 NA NA NA NA 0.29 NA NA NA NA XXX
ray, arm/leg.
75803......... ........ A Lymph vessel x- 1.17 NA NA NA NA 0.34 NA NA NA NA XXX
ray,arms/legs.
75803......... 26...... A Lymph vessel x- 1.17 0.35 0.37 0.35 0.37 0.05 1.57 1.59 1.57 1.59 XXX
ray,arms/legs.
75803......... TC...... A Lymph vessel x- 0.00 NA NA NA NA 0.29 NA NA NA NA XXX
ray,arms/legs.
75805......... ........ A Lymph vessel x- 0.81 NA NA NA NA 0.38 NA NA NA NA XXX
ray, trunk.
75805......... 26...... A Lymph vessel x- 0.81 0.23 0.26 0.23 0.26 0.05 1.09 1.12 1.09 1.12 XXX
ray, trunk.
75805......... TC...... A Lymph vessel x- 0.00 NA NA NA NA 0.33 NA NA NA NA XXX
ray, trunk.
75807......... ........ C Lymph vessel x- 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
ray, trunk.
75807......... 26...... A Lymph vessel x- 1.17 0.37 0.38 0.37 0.38 0.05 1.59 1.60 1.59 1.60 XXX
ray, trunk.
75807......... TC...... C Lymph vessel x- 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
ray, trunk.
75809......... ........ A Nonvascular 0.47 2.18 1.24 NA NA 0.07 2.72 1.78 NA NA XXX
shunt, x-ray.
75809......... 26...... A Nonvascular 0.47 0.15 0.15 0.15 0.15 0.02 0.64 0.64 0.64 0.64 XXX
shunt, x-ray.
75809......... TC...... A Nonvascular 0.00 2.03 1.09 NA NA 0.05 2.08 1.14 NA NA XXX
shunt, x-ray.
75810......... ........ A Vein x-ray, 1.14 NA NA NA NA 0.70 NA NA NA NA XXX
spleen/liver.
75810......... 26...... A Vein x-ray, 1.14 0.39 0.38 0.39 0.38 0.05 1.58 1.57 1.58 1.57 XXX
spleen/liver.
75810......... TC...... A Vein x-ray, 0.00 NA NA NA NA 0.65 NA NA NA NA XXX
spleen/liver.
75820......... ........ A Vein x-ray, arm/ 0.70 3.02 1.64 NA NA 0.09 3.81 2.43 NA NA XXX
leg.
75820......... 26...... A Vein x-ray, arm/ 0.70 0.28 0.24 0.28 0.24 0.03 1.01 0.97 1.01 0.97 XXX
leg.
75820......... TC...... A Vein x-ray, arm/ 0.00 2.74 1.40 NA NA 0.06 2.80 1.46 NA NA XXX
leg.
[[Page 49192]]
75822......... ........ A Vein x-ray, 1.06 3.18 2.16 NA NA 0.13 4.37 3.35 NA NA XXX
arms/legs.
75822......... 26...... A Vein x-ray, 1.06 0.35 0.35 0.35 0.35 0.05 1.46 1.46 1.46 1.46 XXX
arms/legs.
75822......... TC...... A Vein x-ray, 0.00 2.83 1.82 NA NA 0.08 2.91 1.90 NA NA XXX
arms/legs.
75825......... ........ A Vein x-ray, 1.14 2.93 10.46 NA NA 0.72 4.79 12.32 NA NA XXX
trunk.
75825......... 26...... A Vein x-ray, 1.14 0.36 0.37 0.36 0.37 0.07 1.57 1.58 1.57 1.58 XXX
trunk.
75825......... TC...... A Vein x-ray, 0.00 2.57 10.09 NA NA 0.65 3.22 10.74 NA NA XXX
trunk.
75827......... ........ A Vein x-ray, 1.14 2.98 10.47 NA NA 0.70 4.82 12.31 NA NA XXX
chest.
75827......... 26...... A Vein x-ray, 1.14 0.36 0.37 0.36 0.37 0.05 1.55 1.56 1.55 1.56 XXX
chest.
75827......... TC...... A Vein x-ray, 0.00 2.61 10.10 NA NA 0.65 3.26 10.75 NA NA XXX
chest.
75831......... ........ A Vein x-ray, 1.14 3.05 10.49 NA NA 0.71 4.90 12.34 NA NA XXX
kidney.
75831......... 26...... A Vein x-ray, 1.14 0.36 0.37 0.36 0.37 0.06 1.56 1.57 1.56 1.57 XXX
kidney.
75831......... TC...... A Vein x-ray, 0.00 2.69 10.12 NA NA 0.65 3.34 10.77 NA NA XXX
kidney.
75833......... ........ A Vein x-ray, 1.49 3.71 10.75 NA NA 0.74 5.94 12.98 NA NA XXX
kidneys.
75833......... 26...... A Vein x-ray, 1.49 0.48 0.49 0.48 0.49 0.09 2.06 2.07 2.06 2.07 XXX
kidneys.
75833......... TC...... A Vein x-ray, 0.00 3.23 10.26 NA NA 0.65 3.88 10.91 NA NA XXX
kidneys.
75840......... ........ A Vein x-ray, 1.14 3.29 10.56 NA NA 0.72 5.15 12.42 NA NA XXX
adrenal gland.
75840......... 26...... A Vein x-ray, 1.14 0.45 0.40 0.45 0.40 0.07 1.66 1.61 1.66 1.61 XXX
adrenal gland.
75840......... TC...... A Vein x-ray, 0.00 2.84 10.16 NA NA 0.65 3.49 10.81 NA NA XXX
adrenal gland.
75842......... ........ A Vein x-ray, 1.49 3.68 10.73 NA NA 0.72 5.89 12.94 NA NA XXX
adrenal glands.
75842......... 26...... A Vein x-ray, 1.49 0.49 0.48 0.49 0.48 0.07 2.05 2.04 2.05 2.04 XXX
adrenal glands.
75842......... TC...... A Vein x-ray, 0.00 3.19 10.25 NA NA 0.65 3.84 10.90 NA NA XXX
adrenal glands.
75860......... ........ A Vein x-ray, 1.14 3.45 10.61 NA NA 0.69 5.28 12.44 NA NA XXX
neck.
75860......... 26...... A Vein x-ray, 1.14 0.50 0.42 0.50 0.42 0.04 1.68 1.60 1.68 1.60 XXX
neck.
75860......... TC...... A Vein x-ray, 0.00 2.96 10.19 NA NA 0.65 3.61 10.84 NA NA XXX
neck.
75870......... ........ A Vein x-ray, 1.14 3.23 10.55 NA NA 0.70 5.07 12.39 NA NA XXX
skull.
75870......... 26...... A Vein x-ray, 1.14 0.39 0.39 0.39 0.39 0.05 1.58 1.58 1.58 1.58 XXX
skull.
75870......... TC...... A Vein x-ray, 0.00 2.84 10.16 NA NA 0.65 3.49 10.81 NA NA XXX
skull.
75872......... ........ A Vein x-ray, 1.14 3.91 10.71 NA NA 0.79 5.84 12.64 NA NA XXX
skull.
75872......... 26...... A Vein x-ray, 1.14 0.42 0.38 0.42 0.38 0.14 1.70 1.66 1.70 1.66 XXX
skull.
75872......... TC...... A Vein x-ray, 0.00 3.48 10.32 NA NA 0.65 4.13 10.97 NA NA XXX
skull.
75880......... ........ A Vein x-ray, eye 0.70 2.99 1.63 NA NA 0.09 3.78 2.42 NA NA XXX
socket.
75880......... 26...... A Vein x-ray, eye 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX
socket.
75880......... TC...... A Vein x-ray, eye 0.00 2.76 1.40 NA NA 0.06 2.82 1.46 NA NA XXX
socket.
75885......... ........ A Vein x-ray, 1.44 3.17 10.60 NA NA 0.71 5.32 12.75 NA NA XXX
liver.
75885......... 26...... A Vein x-ray, 1.44 0.47 0.47 0.47 0.47 0.06 1.97 1.97 1.97 1.97 XXX
liver.
75885......... TC...... A Vein x-ray, 0.00 2.70 10.13 NA NA 0.65 3.35 10.78 NA NA XXX
liver.
75887......... ........ A Vein x-ray, 1.44 3.35 10.64 NA NA 0.71 5.50 12.79 NA NA XXX
liver.
75887......... 26...... A Vein x-ray, 1.44 0.51 0.48 0.51 0.48 0.06 2.01 1.98 2.01 1.98 XXX
liver.
75887......... TC...... A Vein x-ray, 0.00 2.84 10.16 NA NA 0.65 3.49 10.81 NA NA XXX
liver.
75889......... ........ A Vein x-ray, 1.14 3.07 10.50 NA NA 0.70 4.91 12.34 NA NA XXX
liver.
75889......... 26...... A Vein x-ray, 1.14 0.38 0.37 0.38 0.37 0.05 1.57 1.56 1.57 1.56 XXX
liver.
75889......... TC...... A Vein x-ray, 0.00 2.70 10.13 NA NA 0.65 3.35 10.78 NA NA XXX
liver.
75891......... ........ A Vein x-ray, 1.14 3.05 10.49 NA NA 0.70 4.89 12.33 NA NA XXX
liver.
75891......... 26...... A Vein x-ray, 1.14 0.37 0.37 0.37 0.37 0.05 1.56 1.56 1.56 1.56 XXX
liver.
75891......... TC...... A Vein x-ray, 0.00 2.68 10.12 NA NA 0.65 3.33 10.77 NA NA XXX
liver.
75893......... ........ A Venous sampling 0.54 2.87 10.30 NA NA 0.67 4.08 11.51 NA NA XXX
by catheter.
75893......... 26...... A Venous sampling 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX
by catheter.
75893......... TC...... A Venous sampling 0.00 2.69 10.12 NA NA 0.65 3.34 10.77 NA NA XXX
by catheter.
75894......... ........ A X-rays, 1.31 NA NA NA NA 1.35 NA NA NA NA XXX
transcath
therapy.
75894......... 26...... A X-rays, 1.31 0.42 0.43 0.42 0.43 0.08 1.81 1.82 1.81 1.82 XXX
transcath
therapy.
75894......... TC...... A X-rays, 0.00 NA NA NA NA 1.27 NA NA NA NA XXX
transcath
therapy.
75896......... ........ A X-rays, 1.31 NA NA NA NA 1.15 NA NA NA NA XXX
transcath
therapy.
75896......... 26...... A X-rays, 1.31 0.51 0.47 0.51 0.47 0.05 1.87 1.83 1.87 1.83 XXX
transcath
therapy.
75896......... TC...... A X-rays, 0.00 NA NA NA NA 1.10 NA NA NA NA XXX
transcath
therapy.
75898......... ........ A Follow-up 1.65 NA NA NA NA 0.13 NA NA NA NA XXX
angiography.
75898......... 26...... A Follow-up 1.65 0.60 0.56 0.60 0.56 0.07 2.32 2.28 2.32 2.28 XXX
angiography.
[[Page 49193]]
75898......... TC...... A Follow-up 0.00 NA NA NA NA 0.06 NA NA NA NA XXX
angiography.
75900......... ........ C Intravascular 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
cath exchange.
75900......... 26...... A Intravascular 0.49 0.16 0.16 0.16 0.16 0.03 0.68 0.68 0.68 0.68 XXX
cath exchange.
75900......... TC...... C Intravascular 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
cath exchange.
75901......... ........ A Remove cva 0.49 4.20 2.15 NA NA 0.85 5.54 3.49 NA NA XXX
device
obstruct.
75901......... 26...... A Remove cva 0.49 0.16 0.16 0.16 0.16 0.02 0.67 0.67 0.67 0.67 XXX
device
obstruct.
75901......... TC...... A Remove cva 0.00 4.04 1.99 NA NA 0.83 4.87 2.82 NA NA XXX
device
obstruct.
75902......... ........ A Remove cva 0.39 1.64 1.49 NA NA 0.85 2.88 2.73 NA NA XXX
lumen obstruct.
75902......... 26...... A Remove cva 0.39 0.13 0.13 0.13 0.13 0.02 0.54 0.54 0.54 0.54 XXX
lumen obstruct.
75902......... TC...... A Remove cva 0.00 1.52 1.36 NA NA 0.83 2.35 2.19 NA NA XXX
lumen obstruct.
75940......... ........ A X-ray 0.54 NA NA NA NA 0.69 NA NA NA NA XXX
placement,
vein filter.
75940......... 26...... A X-ray 0.54 0.17 0.18 0.17 0.18 0.04 0.75 0.76 0.75 0.76 XXX
placement,
vein filter.
75940......... TC...... A X-ray 0.00 NA NA NA NA 0.65 NA NA NA NA XXX
placement,
vein filter.
75945......... ........ A Intravascular 0.40 NA NA NA NA 0.28 NA NA NA NA XXX
us.
75945......... 26...... A Intravascular 0.40 0.15 0.14 0.15 0.14 0.04 0.59 0.58 0.59 0.58 XXX
us.
75945......... TC...... A Intravascular 0.00 NA NA NA NA 0.24 NA NA NA NA XXX
us.
75946......... ........ C Intravascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
us add-on.
75946......... 26...... A Intravascular 0.40 0.13 0.14 0.13 0.14 0.05 0.58 0.59 0.58 0.59 ZZZ
us add-on.
75946......... TC...... C Intravascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
us add-on.
75952......... ........ C Endovasc repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
abdom aorta.
75952......... 26...... A Endovasc repair 4.49 1.31 1.45 1.31 1.45 0.43 6.23 6.37 6.23 6.37 XXX
abdom aorta.
75952......... TC...... C Endovasc repair 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX
endovas rpr.
75953......... 26...... A Abdom aneurysm 1.36 0.40 0.44 0.40 0.44 0.13 1.89 1.93 1.89 1.93 XXX
endovas rpr.
75953......... TC...... C Abdom aneurysm 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX
endovas rpr.
75954......... 26...... A Iliac aneurysm 2.25 0.66 0.75 0.66 0.75 0.15 3.06 3.15 3.06 3.15 XXX
endovas rpr.
75954......... TC...... C Iliac aneurysm 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endovas rpr.
75956......... ........ C Xray, endovasc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thor ao repr.
75956......... 26...... A Xray, endovasc 7.00 1.63 2.43 1.63 2.43 0.69 9.32 10.12 9.32 10.12 XXX
thor ao repr.
75956......... TC...... C Xray, endovasc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thor ao repr.
75957......... ........ C Xray, endovasc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thor ao repr.
75957......... 26...... A Xray, endovasc 6.00 1.40 2.08 1.40 2.08 0.59 7.99 8.67 7.99 8.67 XXX
thor ao repr.
75957......... TC...... C Xray, endovasc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
thor ao repr.
75958......... ........ C Xray, place 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prox ext thor
ao.
75958......... 26...... A Xray, place 4.00 0.93 1.40 0.93 1.40 0.39 5.32 5.79 5.32 5.79 XXX
prox ext thor
ao.
75958......... TC...... C Xray, place 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
prox ext thor
ao.
75959......... ........ C Xray, place 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dist ext thor
ao.
75959......... 26...... A Xray, place 3.50 0.82 1.23 0.82 1.23 0.34 4.66 5.07 4.66 5.07 XXX
dist ext thor
ao.
75959......... TC...... C Xray, place 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dist ext thor
ao.
75960......... ........ A Transcath iv 0.82 NA NA NA NA 0.82 NA NA NA NA XXX
stent rs&i.
75960......... 26...... A Transcath iv 0.82 0.32 0.29 0.32 0.29 0.05 1.19 1.16 1.19 1.16 XXX
stent rs&i.
75960......... TC...... A Transcath iv 0.00 NA NA NA NA 0.77 NA NA NA NA XXX
stent rs&i.
75961......... ........ A Retrieval, 4.24 4.59 10.07 NA NA 0.73 9.56 15.04 NA NA XXX
broken
catheter.
75961......... 26...... A Retrieval, 4.24 1.38 1.39 1.38 1.39 0.18 5.80 5.81 5.80 5.81 XXX
broken
catheter.
75961......... TC...... A Retrieval, 0.00 3.20 8.68 NA NA 0.55 3.75 9.23 NA NA XXX
broken
catheter.
75962......... ........ A Repair arterial 0.54 3.54 12.83 NA NA 0.86 4.94 14.23 NA NA XXX
blockage.
75962......... 26...... A Repair arterial 0.54 0.20 0.19 0.20 0.19 0.03 0.77 0.76 0.77 0.76 XXX
blockage.
75962......... TC...... A Repair arterial 0.00 3.34 12.64 NA NA 0.83 4.17 13.47 NA NA XXX
blockage.
75964......... ........ A Repair artery 0.36 2.38 6.98 2.38 6.98 0.46 3.20 7.80 3.20 7.80 ZZZ
blockage, each.
75964......... 26...... A Repair artery 0.36 0.13 0.12 0.13 0.12 0.03 0.52 0.51 0.52 0.51 ZZZ
blockage, each.
75964......... TC...... A Repair artery 0.00 2.26 6.86 2.26 6.86 0.43 2.69 7.29 2.69 7.29 ZZZ
blockage, each.
75966......... ........ A Repair arterial 1.31 4.21 13.20 NA NA 0.89 6.41 15.40 NA NA XXX
blockage.
75966......... 26...... A Repair arterial 1.31 0.57 0.49 0.57 0.49 0.06 1.94 1.86 1.94 1.86 XXX
blockage.
75966......... TC...... A Repair arterial 0.00 3.64 12.72 NA NA 0.83 4.47 13.55 NA NA XXX
blockage.
75968......... ........ A Repair artery 0.36 2.44 7.00 2.44 7.00 0.45 3.25 7.81 3.25 7.81 ZZZ
blockage, each.
75968......... 26...... A Repair artery 0.36 0.16 0.14 0.16 0.14 0.02 0.54 0.52 0.54 0.52 ZZZ
blockage, each.
75968......... TC...... A Repair artery 0.00 2.29 6.87 2.29 6.87 0.43 2.72 7.30 2.72 7.30 ZZZ
blockage, each.
75970......... ........ A Vascular biopsy 0.83 NA NA NA NA 0.64 NA NA NA NA XXX
75970......... 26...... A Vascular biopsy 0.83 0.28 0.28 0.28 0.28 0.04 1.15 1.15 1.15 1.15 XXX
75970......... TC...... A Vascular biopsy 0.00 NA NA NA NA 0.60 NA NA NA NA XXX
75978......... ........ A Repair venous 0.54 3.27 12.76 NA NA 0.85 4.66 14.15 NA NA XXX
blockage.
75978......... 26...... A Repair venous 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
blockage.
75978......... TC...... A Repair venous 0.00 3.11 12.58 NA NA 0.83 3.94 13.41 NA NA XXX
blockage.
75980......... ........ A Contrast xray 1.44 NA NA NA NA 0.35 NA NA NA NA XXX
exam bile duct.
75980......... 26...... A Contrast xray 1.44 0.47 0.47 0.47 0.47 0.06 1.97 1.97 1.97 1.97 XXX
exam bile duct.
[[Page 49194]]
75980......... TC...... A Contrast xray 0.00 NA NA NA NA 0.29 NA NA NA NA XXX
exam bile duct.
75982......... ........ C Contrast xray 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
exam bile duct.
75982......... 26...... A Contrast xray 1.44 0.47 0.47 0.47 0.47 0.06 1.97 1.97 1.97 1.97 XXX
exam bile duct.
75982......... TC...... C Contrast xray 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
exam bile duct.
75984......... ........ A Xray control 0.72 2.31 2.21 NA NA 0.14 3.17 3.07 NA NA XXX
catheter
change.
75984......... 26...... A Xray control 0.72 0.24 0.23 0.24 0.23 0.03 0.99 0.98 0.99 0.98 XXX
catheter
change.
75984......... TC...... A Xray control 0.00 2.08 1.98 NA NA 0.11 2.19 2.09 NA NA XXX
catheter
change.
75989......... ........ A Abscess 1.19 2.21 3.21 NA NA 0.22 3.62 4.62 NA NA XXX
drainage under
x-ray.
75989......... 26...... A Abscess 1.19 0.38 0.39 0.38 0.39 0.05 1.62 1.63 1.62 1.63 XXX
drainage under
x-ray.
75989......... TC...... A Abscess 0.00 1.83 2.82 NA NA 0.17 2.00 2.99 NA NA XXX
drainage under
x-ray.
75992......... ........ A Atherectomy, x- 0.54 NA NA NA NA 0.86 NA NA NA NA XXX
ray exam.
75992......... 26...... A Atherectomy, x- 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 XXX
ray exam.
75992......... TC...... A Atherectomy, x- 0.00 NA NA NA NA 0.83 NA NA NA NA XXX
ray exam.
75993......... ........ C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ
ray exam.
75993......... 26...... A Atherectomy, x- 0.36 0.15 0.14 0.15 0.14 0.02 0.53 0.52 0.53 0.52 ZZZ
ray exam.
75993......... TC...... C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ
ray exam.
75994......... ........ C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
ray exam.
75994......... 26...... A Atherectomy, x- 1.31 0.62 0.50 0.62 0.50 0.07 2.00 1.88 2.00 1.88 XXX
ray exam.
75994......... TC...... C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
ray exam.
75995......... ........ C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
ray exam.
75995......... 26...... A Atherectomy, x- 1.31 0.51 0.48 0.51 0.48 0.05 1.87 1.84 1.87 1.84 XXX
ray exam.
75995......... TC...... C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA XXX
ray exam.
75996......... ........ C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ
ray exam.
75996......... 26...... A Atherectomy, x- 0.36 0.15 0.13 0.15 0.13 0.02 0.53 0.51 0.53 0.51 ZZZ
ray exam.
75996......... TC...... C Atherectomy, x- 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ
ray exam.
75998......... ........ A Fluoroguide for 0.38 2.73 1.76 NA NA 0.11 3.22 2.25 NA NA ZZZ
vein device.
75998......... 26...... A Fluoroguide for 0.38 0.12 0.13 0.12 0.13 0.01 0.51 0.52 0.51 0.52 ZZZ
vein device.
75998......... TC...... A Fluoroguide for 0.00 2.61 1.64 NA NA 0.10 2.71 1.74 NA NA ZZZ
vein device.
76000......... ........ A Fluoroscope 0.17 2.75 1.71 NA NA 0.08 3.00 1.96 NA NA XXX
examination.
76000......... 26...... A Fluoroscope 0.17 0.06 0.05 0.06 0.05 0.01 0.24 0.23 0.24 0.23 XXX
examination.
76000......... TC...... A Fluoroscope 0.00 2.70 1.66 NA NA 0.07 2.77 1.73 NA NA XXX
examination.
76001......... ........ A Fluoroscope 0.67 NA NA NA NA 0.19 NA NA NA NA XXX
exam,
extensive.
76001......... 26...... A Fluoroscope 0.67 0.22 0.22 0.22 0.22 0.05 0.94 0.94 0.94 0.94 XXX
exam,
extensive.
76001......... TC...... A Fluoroscope 0.00 NA NA NA NA 0.14 NA NA NA NA XXX
exam,
extensive.
76003......... ........ A Needle 0.54 1.21 1.41 NA NA 0.09 1.84 2.04 NA NA XXX
localization
by x-ray.
76003......... 26...... A Needle 0.54 0.15 0.17 0.15 0.17 0.02 0.71 0.73 0.71 0.73 XXX
localization
by x-ray.
76003......... TC...... A Needle 0.00 1.06 1.25 NA NA 0.07 1.13 1.32 NA NA XXX
localization
by x-ray.
76005......... ........ A Fluoroguide for 0.60 0.76 1.29 NA NA 0.10 1.46 1.99 NA NA XXX
spine inject.
76005......... 26...... A Fluoroguide for 0.60 0.14 0.15 0.14 0.15 0.03 0.77 0.78 0.77 0.78 XXX
spine inject.
76005......... TC...... A Fluoroguide for 0.00 0.62 1.14 NA NA 0.07 0.69 1.21 NA NA XXX
spine inject.
76006......... ........ A X-ray stress 0.41 0.77 0.33 0.77 0.33 0.06 1.24 0.80 1.24 0.80 XXX
view.
76010......... ........ A X-ray, nose to 0.18 0.55 0.57 NA NA 0.03 0.76 0.78 NA NA XXX
rectum.
76010......... 26...... A X-ray, nose to 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX
rectum.
76010......... TC...... A X-ray, nose to 0.00 0.49 0.51 NA NA 0.02 0.51 0.53 NA NA XXX
rectum.
76012......... ........ C Percut 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vertebroplasty
fluor.
76012......... 26...... A Percut 1.31 0.44 0.46 0.44 0.46 0.10 1.85 1.87 1.85 1.87 XXX
vertebroplasty
fluor.
76012......... TC...... C Percut 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX
vertebroplasty
, ct.
76013......... 26...... A Percut 1.38 0.45 0.47 0.45 0.47 0.07 1.90 1.92 1.90 1.92 XXX
vertebroplasty
, ct.
76013......... TC...... C Percut 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vertebroplasty
, ct.
76020......... ........ A X-rays for bone 0.19 0.42 0.54 NA NA 0.03 0.64 0.76 NA NA XXX
age.
76020......... 26...... A X-rays for bone 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX
age.
76020......... TC...... A X-rays for bone 0.00 0.36 0.48 NA NA 0.02 0.38 0.50 NA NA XXX
age.
76040......... ........ A X-rays, bone 0.27 0.67 0.82 NA NA 0.06 1.00 1.15 NA NA XXX
evaluation.
76040......... 26...... A X-rays, bone 0.27 0.10 0.09 0.10 0.09 0.01 0.38 0.37 0.38 0.37 XXX
evaluation.
76040......... TC...... A X-rays, bone 0.00 0.57 0.73 NA NA 0.05 0.62 0.78 NA NA XXX
evaluation.
[[Page 49195]]
76061......... ........ A X-rays, bone 0.45 1.43 1.22 NA NA 0.08 1.96 1.75 NA NA XXX
survey.
76061......... 26...... A X-rays, bone 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX
survey.
76061......... TC...... A X-rays, bone 0.00 1.28 1.07 NA NA 0.06 1.34 1.13 NA NA XXX
survey.
76062......... ........ A X-rays, bone 0.54 2.28 1.79 NA NA 0.10 2.92 2.43 NA NA XXX
survey.
76062......... 26...... A X-rays, bone 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
survey.
76062......... TC...... A X-rays, bone 0.00 2.10 1.61 NA NA 0.08 2.18 1.69 NA NA XXX
survey.
76065......... ........ A X-rays, bone 0.70 2.01 1.22 NA NA 0.08 2.79 2.00 NA NA XXX
evaluation.
76065......... 26...... A X-rays, bone 0.70 0.20 0.22 0.20 0.22 0.03 0.93 0.95 0.93 0.95 XXX
evaluation.
76065......... TC...... A X-rays, bone 0.00 1.81 1.00 NA NA 0.05 1.86 1.05 NA NA XXX
evaluation.
76066......... ........ A Joint survey, 0.31 0.65 1.07 NA NA 0.08 1.04 1.46 NA NA XXX
single view.
76066......... 26...... A Joint survey, 0.31 0.11 0.10 0.11 0.10 0.02 0.44 0.43 0.44 0.43 XXX
single view.
76066......... TC...... A Joint survey, 0.00 0.55 0.97 NA NA 0.06 0.61 1.03 NA NA XXX
single view.
76070......... ........ A Ct bone 0.25 4.78 3.47 NA NA 0.17 5.20 3.89 NA NA XXX
density, axial.
76070......... 26...... A Ct bone 0.25 0.08 0.08 0.08 0.08 0.01 0.34 0.34 0.34 0.34 XXX
density, axial.
76070......... TC...... A Ct bone 0.00 4.70 3.39 NA NA 0.16 4.86 3.55 NA NA XXX
density, axial.
76071......... ........ A Ct bone 0.22 0.78 2.46 NA NA 0.06 1.06 2.74 NA NA XXX
density,
peripheral.
76071......... 26...... A Ct bone 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX
density,
peripheral.
76071......... TC...... A Ct bone 0.00 0.71 2.39 NA NA 0.05 0.76 2.44 NA NA XXX
density,
peripheral.
76075......... ........ A Dxa bone 0.20 0.53 2.53 NA NA 0.18 0.91 2.91 NA NA XXX
density, axial.
76075......... 26...... A Dxa bone 0.20 0.06 0.09 0.06 0.09 0.01 0.27 0.30 0.27 0.30 XXX
density, axial.
76075......... TC...... A Dxa bone 0.00 0.47 2.44 NA NA 0.17 0.64 2.61 NA NA XXX
density, axial.
76076......... ........ A Dxa bone 0.22 0.57 0.77 NA NA 0.06 0.85 1.05 NA NA XXX
density/
peripheral.
76076......... 26...... A Dxa bone 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX
density/
peripheral.
76076......... TC...... A Dxa bone 0.00 0.50 0.69 NA NA 0.05 0.55 0.74 NA NA XXX
density/
peripheral.
76077......... ........ A Dxa bone 0.17 0.41 0.71 NA NA 0.06 0.64 0.94 NA NA XXX
density/v-
fracture.
76077......... 26...... A Dxa bone 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
density/v-
fracture.
76077......... TC...... A Dxa bone 0.00 0.36 0.65 NA NA 0.05 0.41 0.70 NA NA XXX
density/v-
fracture.
76078......... ........ A Radiographic 0.20 0.38 0.71 NA NA 0.06 0.64 0.97 NA NA XXX
absorptiometry.
76078......... 26...... A Radiographic 0.20 0.05 0.07 0.05 0.07 0.01 0.26 0.28 0.26 0.28 XXX
absorptiometry.
76078......... TC...... A Radiographic 0.00 0.33 0.65 NA NA 0.05 0.38 0.70 NA NA XXX
absorptiometry.
76080......... ........ A X-ray exam of 0.54 1.08 1.19 NA NA 0.08 1.70 1.81 NA NA XXX
fistula.
76080......... 26...... A X-ray exam of 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
fistula.
76080......... TC...... A X-ray exam of 0.00 0.90 1.01 NA NA 0.06 0.96 1.07 NA NA XXX
fistula.
76082......... ........ A Computer 0.06 0.20 0.38 0.20 0.38 0.02 0.28 0.46 0.28 0.46 ZZZ
mammogram add-
on.
76082......... 26...... A Computer 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 ZZZ
mammogram add-
on.
76082......... TC...... A Computer 0.00 0.18 0.36 0.18 0.36 0.01 0.19 0.37 0.19 0.37 ZZZ
mammogram add-
on.
76083......... ........ A Computer 0.06 0.20 0.38 0.20 0.38 0.02 0.28 0.46 0.28 0.46 ZZZ
mammogram add-
on.
76083......... 26...... A Computer 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 ZZZ
mammogram add-
on.
76083......... TC...... A Computer 0.00 0.18 0.36 0.18 0.36 0.01 0.19 0.37 0.19 0.37 ZZZ
mammogram add-
on.
76086......... ........ A X-ray of 0.36 1.22 2.36 NA NA 0.16 1.74 2.88 NA NA XXX
mammary duct.
76086......... 26...... A X-ray of 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX
mammary duct.
76086......... TC...... A X-ray of 0.00 1.11 2.24 NA NA 0.14 1.25 2.38 NA NA XXX
mammary duct.
76088......... ........ A X-ray of 0.45 1.66 3.27 NA NA 0.21 2.32 3.93 NA NA XXX
mammary ducts.
76088......... 26...... A X-ray of 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX
mammary ducts.
76088......... TC...... A X-ray of 0.00 1.52 3.13 NA NA 0.19 1.71 3.32 NA NA XXX
mammary ducts.
76090......... ........ A Mammogram, one 0.70 1.62 1.37 NA NA 0.09 2.41 2.16 NA NA XXX
breast.
76090......... 26...... A Mammogram, one 0.70 0.22 0.23 0.22 0.23 0.03 0.95 0.96 0.95 0.96 XXX
breast.
76090......... TC...... A Mammogram, one 0.00 1.40 1.14 NA NA 0.06 1.46 1.20 NA NA XXX
breast.
76091......... ........ A Mammogram, both 0.87 2.11 1.72 NA NA 0.11 3.09 2.70 NA NA XXX
breasts.
76091......... 26...... A Mammogram, both 0.87 0.27 0.28 0.27 0.28 0.04 1.18 1.19 1.18 1.19 XXX
breasts.
76091......... TC...... A Mammogram, both 0.00 1.84 1.44 NA NA 0.07 1.91 1.51 NA NA XXX
breasts.
76092......... ........ A Mammogram, 0.70 1.42 1.45 NA NA 0.10 2.22 2.25 NA NA XXX
screening.
76092......... 26...... A Mammogram, 0.70 0.22 0.23 0.22 0.23 0.03 0.95 0.96 0.95 0.96 XXX
screening.
76092......... TC...... A Mammogram, 0.00 1.20 1.22 NA NA 0.07 1.27 1.29 NA NA XXX
screening.
76093......... ........ A Magnetic image, 1.63 22.03 19.12 NA NA 0.99 24.65 21.74 NA NA XXX
breast.
76093......... 26...... A Magnetic image, 1.63 0.53 0.53 0.53 0.53 0.07 2.23 2.23 2.23 2.23 XXX
breast.
76093......... TC...... A Magnetic image, 0.00 21.50 18.59 NA NA 0.92 22.42 19.51 NA NA XXX
breast.
76094......... ........ A Magnetic image, 1.63 22.03 23.84 NA NA 1.31 24.97 26.78 NA NA XXX
both breasts.
76094......... 26...... A Magnetic image, 1.63 0.53 0.53 0.53 0.53 0.07 2.23 2.23 2.23 2.23 XXX
both breasts.
76094......... TC...... A Magnetic image, 0.00 21.50 23.31 NA NA 1.24 22.74 24.55 NA NA XXX
both breasts.
76095......... ........ A Stereotactic 1.59 1.82 6.22 NA NA 0.46 3.87 8.27 NA NA XXX
breast biopsy.
76095......... 26...... A Stereotactic 1.59 0.48 0.51 0.48 0.51 0.09 2.16 2.19 2.16 2.19 XXX
breast biopsy.
76095......... TC...... A Stereotactic 0.00 1.34 5.71 NA NA 0.37 1.71 6.08 NA NA XXX
breast biopsy.
76096......... ........ A X-ray of needle 0.56 0.82 1.32 NA NA 0.09 1.47 1.97 NA NA XXX
wire, breast.
76096......... 26...... A X-ray of needle 0.56 0.18 0.18 0.18 0.18 0.02 0.76 0.76 0.76 0.76 XXX
wire, breast.
76096......... TC...... A X-ray of needle 0.00 0.64 1.14 NA NA 0.07 0.71 1.21 NA NA XXX
wire, breast.
[[Page 49196]]
76098......... ........ A X-ray exam, 0.16 0.32 0.43 NA NA 0.03 0.51 0.62 NA NA XXX
breast
specimen.
76098......... 26...... A X-ray exam, 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
breast
specimen.
76098......... TC...... A X-ray exam, 0.00 0.27 0.38 NA NA 0.02 0.29 0.40 NA NA XXX
breast
specimen.
76100......... ........ A X-ray exam of 0.58 3.54 1.97 NA NA 0.10 4.22 2.65 NA NA XXX
body section.
76100......... 26...... A X-ray exam of 0.58 0.20 0.19 0.20 0.19 0.03 0.81 0.80 0.81 0.80 XXX
body section.
76100......... TC...... A X-ray exam of 0.00 3.35 1.78 NA NA 0.07 3.42 1.85 NA NA XXX
body section.
76101......... ........ A Complex body 0.58 5.35 2.55 NA NA 0.11 6.04 3.24 NA NA XXX
section x-ray.
76101......... 26...... A Complex body 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX
section x-ray.
76101......... TC...... A Complex body 0.00 5.16 2.36 NA NA 0.08 5.24 2.44 NA NA XXX
section x-ray.
76102......... ........ A Complex body 0.58 7.74 3.38 NA NA 0.14 8.46 4.10 NA NA XXX
section x-rays.
76102......... 26...... A Complex body 0.58 0.18 0.19 0.18 0.19 0.03 0.79 0.80 0.79 0.80 XXX
section x-rays.
76102......... TC...... A Complex body 0.00 7.56 3.19 NA NA 0.11 7.67 3.30 NA NA XXX
section x-rays.
76120......... ........ A Cine/video x- 0.38 2.00 1.39 NA NA 0.08 2.46 1.85 NA NA XXX
rays.
76120......... 26...... A Cine/video x- 0.38 0.15 0.14 0.15 0.14 0.02 0.55 0.54 0.55 0.54 XXX
rays.
76120......... TC...... A Cine/video x- 0.00 1.85 1.25 NA NA 0.06 1.91 1.31 NA NA XXX
rays.
76125......... ........ A Cine/video x- 0.27 NA NA NA NA 0.06 NA NA NA NA ZZZ
rays add-on.
76125......... 26...... A Cine/video x- 0.27 0.10 0.09 0.10 0.09 0.01 0.38 0.37 0.38 0.37 ZZZ
rays add-on.
76125......... TC...... A Cine/video x- 0.00 NA NA NA NA 0.05 NA NA NA NA ZZZ
rays add-on.
76150......... ........ A X-ray exam, dry 0.00 0.68 0.49 NA NA 0.02 0.70 0.51 NA NA XXX
process.
76350......... ........ C Special x-ray 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contrast study.
76355......... ........ A Ct scan for 1.21 20.46 11.60 NA NA 0.47 22.14 13.28 NA NA XXX
localization.
76355......... 26...... A Ct scan for 1.21 0.37 0.39 0.37 0.39 0.05 1.63 1.65 1.63 1.65 XXX
localization.
76355......... TC...... A Ct scan for 0.00 20.09 11.22 NA NA 0.42 20.51 11.64 NA NA XXX
localization.
76360......... ........ A Ct scan for 1.16 2.30 7.05 NA NA 0.47 3.93 8.68 NA NA XXX
needle biopsy.
76360......... 26...... A Ct scan for 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX
needle biopsy.
76360......... TC...... A Ct scan for 0.00 1.93 6.68 NA NA 0.42 2.35 7.10 NA NA XXX
needle biopsy.
76362......... ........ A Ct guide for 3.99 NA NA NA NA 1.64 NA NA NA NA XXX
tissue
ablation.
76362......... 26...... A Ct guide for 3.99 1.25 1.29 1.25 1.29 0.18 5.42 5.46 5.42 5.46 XXX
tissue
ablation.
76362......... TC...... A Ct guide for 0.00 NA NA NA NA 1.46 NA NA NA NA XXX
tissue
ablation.
76370......... ........ A Ct scan for 0.85 4.43 3.53 NA NA 0.20 5.48 4.58 NA NA XXX
therapy guide.
76370......... 26...... A Ct scan for 0.85 0.24 0.27 0.24 0.27 0.04 1.13 1.16 1.13 1.16 XXX
therapy guide.
76370......... TC...... A Ct scan for 0.00 4.19 3.26 NA NA 0.16 4.35 3.42 NA NA XXX
therapy guide.
76376......... ........ A 3d render w/o 0.20 1.40 2.97 NA NA 0.10 1.70 3.27 NA NA XXX
postprocess.
76376......... 26...... A 3d render w/o 0.20 0.06 0.07 0.06 0.07 0.02 0.28 0.29 0.28 0.29 XXX
postprocess.
76376......... TC...... A 3d render w/o 0.00 1.34 2.90 NA NA 0.08 1.42 2.98 NA NA XXX
postprocess.
76377......... ........ A 3d rendering w/ 0.79 1.38 3.11 NA NA 0.39 2.56 4.29 NA NA XXX
postprocess.
76377......... 26...... A 3d rendering w/ 0.79 0.25 0.27 0.25 0.27 0.08 1.12 1.14 1.12 1.14 XXX
postprocess.
76377......... TC...... A 3d rendering w/ 0.00 1.13 2.85 NA NA 0.31 1.44 3.16 NA NA XXX
postprocess.
76380......... ........ A CAT scan follow- 0.98 4.72 4.05 NA NA 0.22 5.92 5.25 NA NA XXX
up study.
76380......... 26...... A CAT scan follow- 0.98 0.31 0.32 0.31 0.32 0.04 1.33 1.34 1.33 1.34 XXX
up study.
76380......... TC...... A CAT scan follow- 0.00 4.42 3.73 NA NA 0.18 4.60 3.91 NA NA XXX
up study.
76390......... ........ N Mr spectroscopy 1.40 9.51 10.99 NA NA 0.66 11.57 13.05 NA NA XXX
76390......... 26...... N Mr spectroscopy 1.40 0.33 0.44 0.33 0.44 0.07 1.80 1.91 1.80 1.91 XXX
76390......... TC...... N Mr spectroscopy 0.00 9.19 10.56 NA NA 0.59 9.78 11.15 NA NA XXX
76393......... ........ A Mr guidance for 1.50 9.83 11.23 NA NA 0.64 11.97 13.37 NA NA XXX
needle place.
76393......... 26...... A Mr guidance for 1.50 0.49 0.50 0.49 0.50 0.09 2.08 2.09 2.08 2.09 XXX
needle place.
76393......... TC...... A Mr guidance for 0.00 9.34 10.74 NA NA 0.55 9.89 11.29 NA NA XXX
needle place.
76394......... ........ A Mri for tissue 4.24 NA NA NA NA 1.81 NA NA NA NA XXX
ablation.
76394......... 26...... A Mri for tissue 4.24 1.34 1.37 1.34 1.37 0.24 5.82 5.85 5.82 5.85 XXX
ablation.
76394......... TC...... A Mri for tissue 0.00 NA NA NA NA 1.57 NA NA NA NA XXX
ablation.
76400......... ........ A Magnetic image, 1.60 14.85 12.50 NA NA 0.66 17.11 14.76 NA NA XXX
bone marrow.
76400......... 26...... A Magnetic image, 1.60 0.56 0.53 0.56 0.53 0.07 2.23 2.20 2.23 2.20 XXX
bone marrow.
76400......... TC...... A Magnetic image, 0.00 14.30 11.98 NA NA 0.59 14.89 12.57 NA NA XXX
bone marrow.
76496......... ........ C Fluoroscopic 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX
procedure.
[[Page 49197]]
76497......... ........ C Ct procedure... 0.00 0.00 0.00 0.00 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX
76499......... ........ C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76499......... 26...... C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76499......... TC...... C Radiographic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
76506......... ........ A Echo exam of 0.63 2.83 1.95 NA NA 0.14 3.60 2.72 NA NA XXX
head.
76506......... 26...... A Echo exam of 0.63 0.20 0.23 0.20 0.23 0.06 0.89 0.92 0.89 0.92 XXX
head.
76506......... TC...... A Echo exam of 0.00 2.63 1.72 NA NA 0.08 2.71 1.80 NA NA XXX
head.
76510......... ........ A Ophth us, b & 1.55 2.31 2.72 NA NA 0.10 3.96 4.37 NA NA XXX
quant a.
76510......... 26...... A Ophth us, b & 1.55 0.58 0.66 0.58 0.66 0.03 2.16 2.24 2.16 2.24 XXX
quant a.
76510......... TC...... A Ophth us, b & 0.00 1.73 2.07 NA NA 0.07 1.80 2.14 NA NA XXX
quant a.
76511......... ........ A Ophth us, quant 0.94 1.39 2.17 NA NA 0.10 2.43 3.21 NA NA XXX
a only.
76511......... 26...... A Ophth us, quant 0.94 0.35 0.39 0.35 0.39 0.03 1.32 1.36 1.32 1.36 XXX
a only.
76511......... TC...... A Ophth us, quant 0.00 1.05 1.79 NA NA 0.07 1.12 1.86 NA NA XXX
a only.
76512......... ........ A Ophth us, b w/ 0.94 1.19 1.97 NA NA 0.12 2.25 3.03 NA NA XXX
non-quant a.
76512......... 26...... A Ophth us, b w/ 0.94 0.35 0.40 0.35 0.40 0.02 1.31 1.36 1.31 1.36 XXX
non-quant a.
76512......... TC...... A Ophth us, b w/ 0.00 0.85 1.57 NA NA 0.10 0.95 1.67 NA NA XXX
non-quant a.
76513......... ........ A Echo exam of 0.66 1.58 1.75 NA NA 0.12 2.36 2.53 NA NA XXX
eye, water
bath.
76513......... 26...... A Echo exam of 0.66 0.25 0.28 0.25 0.28 0.02 0.93 0.96 0.93 0.96 XXX
eye, water
bath.
76513......... TC...... A Echo exam of 0.00 1.33 1.47 NA NA 0.10 1.43 1.57 NA NA XXX
eye, water
bath.
76514......... ........ A Echo exam of 0.17 0.17 0.14 NA NA 0.02 0.36 0.33 NA NA XXX
eye, thickness.
76514......... 26...... A Echo exam of 0.17 0.06 0.08 0.06 0.08 0.01 0.24 0.26 0.24 0.26 XXX
eye, thickness.
76514......... TC...... A Echo exam of 0.00 0.11 0.07 NA NA 0.01 0.12 0.08 NA NA XXX
eye, thickness.
76516......... ........ A Echo exam of 0.54 1.19 1.39 NA NA 0.08 1.81 2.01 NA NA XXX
eye.
76516......... 26...... A Echo exam of 0.54 0.19 0.23 0.19 0.23 0.01 0.74 0.78 0.74 0.78 XXX
eye.
76516......... TC...... A Echo exam of 0.00 1.00 1.17 NA NA 0.07 1.07 1.24 NA NA XXX
eye.
76519......... ........ A Echo exam of 0.54 1.33 1.50 NA NA 0.08 1.95 2.12 NA NA XXX
eye.
76519......... 26...... A Echo exam of 0.54 0.20 0.23 0.20 0.23 0.01 0.75 0.78 0.75 0.78 XXX
eye.
76519......... TC...... A Echo exam of 0.00 1.12 1.26 NA NA 0.07 1.19 1.33 NA NA XXX
eye.
76529......... ........ A Echo exam of 0.57 1.19 1.33 NA NA 0.10 1.86 2.00 NA NA XXX
eye.
76529......... 26...... A Echo exam of 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 XXX
eye.
76529......... TC...... A Echo exam of 0.00 0.98 1.09 NA NA 0.08 1.06 1.17 NA NA XXX
eye.
76536......... ........ A Us exam of head 0.56 2.69 1.87 NA NA 0.10 3.35 2.53 NA NA XXX
and neck.
76536......... 26...... A Us exam of head 0.56 0.17 0.18 0.17 0.18 0.02 0.75 0.76 0.75 0.76 XXX
and neck.
76536......... TC...... A Us exam of head 0.00 2.52 1.70 NA NA 0.08 2.60 1.78 NA NA XXX
and neck.
76604......... ........ A Us exam, chest, 0.55 1.81 1.57 NA NA 0.09 2.45 2.21 NA NA XXX
b-scan.
76604......... 26...... A Us exam, chest, 0.55 0.17 0.18 0.17 0.18 0.02 0.74 0.75 0.74 0.75 XXX
b-scan.
76604......... TC...... A Us exam, chest, 0.00 1.64 1.39 NA NA 0.07 1.71 1.46 NA NA XXX
b-scan.
76645......... ........ A Us exam, 0.54 2.11 1.45 NA NA 0.08 2.73 2.07 NA NA XXX
breast(s).
76645......... 26...... A Us exam, 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX
breast(s).
76645......... TC...... A Us exam, 0.00 1.94 1.27 NA NA 0.06 2.00 1.33 NA NA XXX
breast(s).
76700......... ........ A Us exam, abdom, 0.81 3.04 2.44 NA NA 0.15 4.00 3.40 NA NA XXX
complete.
76700......... 26...... A Us exam, abdom, 0.81 0.26 0.27 0.26 0.27 0.04 1.11 1.12 1.11 1.12 XXX
complete.
76700......... TC...... A Us exam, abdom, 0.00 2.78 2.17 NA NA 0.11 2.89 2.28 NA NA XXX
complete.
76705......... ........ A Echo exam of 0.59 2.34 1.79 NA NA 0.11 3.04 2.49 NA NA XXX
abdomen.
76705......... 26...... A Echo exam of 0.59 0.19 0.19 0.19 0.19 0.03 0.81 0.81 0.81 0.81 XXX
abdomen.
76705......... TC...... A Echo exam of 0.00 2.16 1.61 NA NA 0.08 2.24 1.69 NA NA XXX
abdomen.
76770......... ........ A Us exam abdo 0.74 2.94 2.39 NA NA 0.14 3.82 3.27 NA NA XXX
back wall,
comp.
76770......... 26...... A Us exam abdo 0.74 0.24 0.24 0.24 0.24 0.03 1.01 1.01 1.01 1.01 XXX
back wall,
comp.
76770......... TC...... A Us exam abdo 0.00 2.70 2.15 NA NA 0.11 2.81 2.26 NA NA XXX
back wall,
comp.
76775......... ........ A Us exam abdo 0.58 2.42 1.81 NA NA 0.11 3.11 2.50 NA NA XXX
back wall, lim.
76775......... 26...... A Us exam abdo 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX
back wall, lim.
76775......... TC...... A Us exam abdo 0.00 2.23 1.62 NA NA 0.08 2.31 1.70 NA NA XXX
back wall, lim.
76778......... ........ A Us exam kidney 0.74 3.21 2.46 NA NA 0.14 4.09 3.34 NA NA XXX
transplant.
76778......... 26...... A Us exam kidney 0.74 0.23 0.24 0.23 0.24 0.03 1.00 1.01 1.00 1.01 XXX
transplant.
76778......... TC...... A Us exam kidney 0.00 2.98 2.22 NA NA 0.11 3.09 2.33 NA NA XXX
transplant.
76800......... ........ A Us exam, spinal 1.13 2.34 1.90 NA NA 0.13 3.60 3.16 NA NA XXX
canal.
76800......... 26...... A Us exam, spinal 1.13 0.30 0.33 0.30 0.33 0.05 1.48 1.51 1.48 1.51 XXX
canal.
76800......... TC...... A Us exam, spinal 0.00 2.04 1.58 NA NA 0.08 2.12 1.66 NA NA XXX
canal.
76801......... ........ A Ob us < 14 wks, 0.99 2.46 2.45 NA NA 0.16 3.61 3.60 NA NA XXX
single fetus.
76801......... 26...... A Ob us < 14 wks, 0.99 0.30 0.33 0.30 0.33 0.04 1.33 1.36 1.33 1.36 XXX
single fetus.
76801......... TC...... A Ob us < 14 wks, 0.00 2.16 2.12 NA NA 0.12 2.28 2.24 NA NA XXX
single fetus.
[[Page 49198]]
76802......... ........ A Ob us < 14 wks, 0.83 0.97 1.25 0.97 1.25 0.16 1.96 2.24 1.96 2.24 ZZZ
addIl fetus.
76802......... 26...... A Ob us < 14 wks, 0.83 0.25 0.28 0.25 0.28 0.04 1.12 1.15 1.12 1.15 ZZZ
addIl fetus.
76802......... TC...... A Ob us < 14 wks, 0.00 0.72 0.97 0.72 0.97 0.12 0.84 1.09 0.84 1.09 ZZZ
addIl fetus.
76805......... ........ A Ob us >/= 14 0.99 3.05 2.59 NA NA 0.16 4.20 3.74 NA NA XXX
wks, sngl
fetus.
76805......... 26...... A Ob us >/= 14 0.99 0.29 0.33 0.29 0.33 0.04 1.32 1.36 1.32 1.36 XXX
wks, sngl
fetus.
76805......... TC...... A Ob us >/= 14 0.00 2.75 2.26 NA NA 0.12 2.87 2.38 NA NA XXX
wks, sngl
fetus.
76810......... ........ A Ob us >/= 14 0.98 1.66 1.46 1.66 1.46 0.26 2.90 2.70 2.90 2.70 ZZZ
wks, addl
fetus.
76810......... 26...... A Ob us >/= 14 0.98 0.29 0.33 0.29 0.33 0.04 1.31 1.35 1.31 1.35 ZZZ
wks, addl
fetus.
76810......... TC...... A Ob us >/= 14 0.00 1.37 1.13 1.37 1.13 0.22 1.59 1.35 1.59 1.35 ZZZ
wks, addl
fetus.
76811......... ........ A Ob us, 1.90 3.07 3.95 NA NA 0.52 5.49 6.37 NA NA XXX
detailed, sngl
fetus.
76811......... 26...... A Ob us, 1.90 0.54 0.67 0.54 0.67 0.09 2.53 2.66 2.53 2.66 XXX
detailed, sngl
fetus.
76811......... TC...... A Ob us, 0.00 2.53 3.28 NA NA 0.43 2.96 3.71 NA NA XXX
detailed, sngl
fetus.
76812......... ........ A Ob us, 1.78 3.98 2.28 3.98 2.28 0.49 6.25 4.55 6.25 4.55 ZZZ
detailed, addl
fetus.
76812......... 26...... A Ob us, 1.78 0.51 0.62 0.51 0.62 0.08 2.37 2.48 2.37 2.48 ZZZ
detailed, addl
fetus.
76812......... TC...... A Ob us, 0.00 3.47 1.66 3.47 1.66 0.41 3.88 2.07 3.88 2.07 ZZZ
detailed, addl
fetus.
76815......... ........ A Ob us, limited, 0.65 1.80 1.69 NA NA 0.11 2.56 2.45 NA NA XXX
fetus(s).
76815......... 26...... A Ob us, limited, 0.65 0.19 0.22 0.19 0.22 0.03 0.87 0.90 0.87 0.90 XXX
fetus(s).
76815......... TC...... A Ob us, limited, 0.00 1.61 1.47 NA NA 0.08 1.69 1.55 NA NA XXX
fetus(s).
76816......... ........ A Ob us, follow- 0.85 2.40 1.67 NA NA 0.10 3.35 2.62 NA NA XXX
up, per fetus.
76816......... 26...... A Ob us, follow- 0.85 0.24 0.30 0.24 0.30 0.04 1.13 1.19 1.13 1.19 XXX
up, per fetus.
76816......... TC...... A Ob us, follow- 0.00 2.15 1.37 NA NA 0.06 2.21 1.43 NA NA XXX
up, per fetus.
76817......... ........ A Transvaginal 0.75 2.02 1.83 NA NA 0.09 2.86 2.67 NA NA XXX
us, obstetric.
76817......... 26...... A Transvaginal 0.75 0.22 0.25 0.22 0.25 0.03 1.00 1.03 1.00 1.03 XXX
us, obstetric.
76817......... TC...... A Transvaginal 0.00 1.80 1.59 NA NA 0.06 1.86 1.65 NA NA XXX
us, obstetric.
76818......... ........ A Fetal biophys 1.05 2.22 2.05 NA NA 0.15 3.42 3.25 NA NA XXX
profile w/nst.
76818......... 26...... A Fetal biophys 1.05 0.30 0.37 0.30 0.37 0.05 1.40 1.47 1.40 1.47 XXX
profile w/nst.
76818......... TC...... A Fetal biophys 0.00 1.92 1.69 NA NA 0.10 2.02 1.79 NA NA XXX
profile w/nst.
76819......... ........ A Fetal biophys 0.77 1.63 1.82 NA NA 0.13 2.53 2.72 NA NA XXX
profil w/o nst.
76819......... 26...... A Fetal biophys 0.77 0.23 0.27 0.23 0.27 0.03 1.03 1.07 1.03 1.07 XXX
profil w/o nst.
76819......... TC...... A Fetal biophys 0.00 1.41 1.56 NA NA 0.10 1.51 1.66 NA NA XXX
profil w/o nst.
76820......... ........ A Umbilical 0.50 0.57 1.49 NA NA 0.15 1.22 2.14 NA NA XXX
artery echo.
76820......... 26...... A Umbilical 0.50 0.14 0.18 0.14 0.18 0.03 0.67 0.71 0.67 0.71 XXX
artery echo.
76820......... TC...... A Umbilical 0.00 0.43 1.32 NA NA 0.12 0.55 1.44 NA NA XXX
artery echo.
76821......... ........ A Middle cerebral 0.70 1.88 1.87 NA NA 0.15 2.73 2.72 NA NA XXX
artery echo.
76821......... 26...... A Middle cerebral 0.70 0.20 0.25 0.20 0.25 0.03 0.93 0.98 0.93 0.98 XXX
artery echo.
76821......... TC...... A Middle cerebral 0.00 1.68 1.63 NA NA 0.12 1.80 1.75 NA NA XXX
artery echo.
76825......... ........ A Echo exam of 1.67 4.37 3.02 NA NA 0.18 6.22 4.87 NA NA XXX
fetal heart.
76825......... 26...... A Echo exam of 1.67 0.49 0.57 0.49 0.57 0.07 2.23 2.31 2.23 2.31 XXX
fetal heart.
76825......... TC...... A Echo exam of 0.00 3.88 2.45 NA NA 0.11 3.99 2.56 NA NA XXX
fetal heart.
76826......... ........ A Echo exam of 0.83 2.75 1.44 NA NA 0.08 3.66 2.35 NA NA XXX
fetal heart.
76826......... 26...... A Echo exam of 0.83 0.24 0.28 0.24 0.28 0.03 1.10 1.14 1.10 1.14 XXX
fetal heart.
76826......... TC...... A Echo exam of 0.00 2.51 1.16 NA NA 0.05 2.56 1.21 NA NA XXX
fetal heart.
76827......... ........ A Echo exam of 0.58 1.07 1.71 NA NA 0.14 1.79 2.43 NA NA XXX
fetal heart.
76827......... 26...... A Echo exam of 0.58 0.17 0.20 0.17 0.20 0.02 0.77 0.80 0.77 0.80 XXX
fetal heart.
76827......... TC...... A Echo exam of 0.00 0.90 1.52 NA NA 0.12 1.02 1.64 NA NA XXX
fetal heart.
76828......... ........ A Echo exam of 0.56 0.64 1.16 NA NA 0.11 1.31 1.83 NA NA XXX
fetal heart.
76828......... 26...... A Echo exam of 0.56 0.16 0.21 0.16 0.21 0.03 0.75 0.80 0.75 0.80 XXX
fetal heart.
76828......... TC...... A Echo exam of 0.00 0.48 0.95 NA NA 0.08 0.56 1.03 NA NA XXX
fetal heart.
76830......... ........ A Transvaginal 0.69 2.77 2.00 NA NA 0.13 3.59 2.82 NA NA XXX
us, non-ob.
76830......... 26...... A Transvaginal 0.69 0.21 0.23 0.21 0.23 0.03 0.93 0.95 0.93 0.95 XXX
us, non-ob.
76830......... TC...... A Transvaginal 0.00 2.56 1.78 NA NA 0.10 2.66 1.88 NA NA XXX
us, non-ob.
76831......... ........ A Echo exam, 0.72 2.76 2.01 NA NA 0.13 3.61 2.86 NA NA XXX
uterus.
76831......... 26...... A Echo exam, 0.72 0.21 0.24 0.21 0.24 0.03 0.96 0.99 0.96 0.99 XXX
uterus.
76831......... TC...... A Echo exam, 0.00 2.55 1.78 NA NA 0.10 2.65 1.88 NA NA XXX
uterus.
76856......... ........ A Us exam, 0.69 2.81 2.01 NA NA 0.13 3.63 2.83 NA NA XXX
pelvic,
complete.
76856......... 26...... A Us exam, 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX
pelvic,
complete.
[[Page 49199]]
76856......... TC...... A Us exam, 0.00 2.59 1.79 NA NA 0.10 2.69 1.89 NA NA XXX
pelvic,
complete.
76857......... ........ A Us exam, 0.38 2.53 2.00 NA NA 0.08 2.99 2.46 NA NA XXX
pelvic,
limited.
76857......... 26...... A Us exam, 0.38 0.14 0.13 0.14 0.13 0.02 0.54 0.53 0.54 0.53 XXX
pelvic,
limited.
76857......... TC...... A Us exam, 0.00 2.38 1.88 NA NA 0.06 2.44 1.94 NA NA XXX
pelvic,
limited.
76870......... ........ A Us exam, 0.64 2.83 2.00 NA NA 0.13 3.60 2.77 NA NA XXX
scrotum.
76870......... 26...... A Us exam, 0.64 0.21 0.21 0.21 0.21 0.03 0.88 0.88 0.88 0.88 XXX
scrotum.
76870......... TC...... A Us exam, 0.00 2.62 1.80 NA NA 0.10 2.72 1.90 NA NA XXX
scrotum.
76872......... ........ A Us, transrectal 0.69 3.43 2.54 NA NA 0.14 4.26 3.37 NA NA XXX
76872......... 26...... A Us, transrectal 0.69 0.27 0.23 0.27 0.23 0.04 1.00 0.96 1.00 0.96 XXX
76872......... TC...... A Us, transrectal 0.00 3.16 2.31 NA NA 0.10 3.26 2.41 NA NA XXX
76873......... ........ A Echograp trans 1.55 3.39 2.80 NA NA 0.25 5.19 4.60 NA NA XXX
r, pros study.
76873......... 26...... A Echograp trans 1.55 0.51 0.50 0.51 0.50 0.09 2.15 2.14 2.15 2.14 XXX
r, pros study.
76873......... TC...... A Echograp trans 0.00 2.87 2.29 NA NA 0.16 3.03 2.45 NA NA XXX
r, pros study.
76880......... ........ A Us exam, 0.59 3.19 2.01 NA NA 0.11 3.89 2.71 NA NA XXX
extremity.
76880......... 26...... A Us exam, 0.59 0.18 0.19 0.18 0.19 0.03 0.80 0.81 0.80 0.81 XXX
extremity.
76880......... TC...... A Us exam, 0.00 3.01 1.82 NA NA 0.08 3.09 1.90 NA NA XXX
extremity.
76885......... ........ A Us exam infant 0.74 3.21 2.12 NA NA 0.13 4.08 2.99 NA NA XXX
hips, dynamic.
76885......... 26...... A Us exam infant 0.74 0.22 0.24 0.22 0.24 0.03 0.99 1.01 0.99 1.01 XXX
hips, dynamic.
76885......... TC...... A Us exam infant 0.00 2.99 1.89 NA NA 0.10 3.09 1.99 NA NA XXX
hips, dynamic.
76886......... ........ A Us exam infant 0.62 2.30 1.79 NA NA 0.11 3.03 2.52 NA NA XXX
hips, static.
76886......... 26...... A Us exam infant 0.62 0.18 0.20 0.18 0.20 0.03 0.83 0.85 0.83 0.85 XXX
hips, static.
76886......... TC...... A Us exam infant 0.00 2.12 1.60 NA NA 0.08 2.20 1.68 NA NA XXX
hips, static.
76930......... ........ A Echo guide, 0.67 2.11 1.85 NA NA 0.12 2.90 2.64 NA NA XXX
cardiocentesis.
76930......... 26...... A Echo guide, 0.67 0.34 0.27 0.34 0.27 0.02 1.03 0.96 1.03 0.96 XXX
cardiocentesis.
76930......... TC...... A Echo guide, 0.00 1.76 1.58 NA NA 0.10 1.86 1.68 NA NA XXX
cardiocentesis.
76932......... ........ A Echo guide for 0.67 NA NA NA NA 0.12 NA NA NA NA XXX
heart biopsy.
76932......... 26...... A Echo guide for 0.67 0.35 0.28 0.35 0.28 0.02 1.04 0.97 1.04 0.97 XXX
heart biopsy.
76932......... TC...... A Echo guide for 0.00 NA NA NA NA 0.10 NA NA NA NA XXX
heart biopsy.
76936......... ........ A Echo guide for 1.99 6.05 6.73 NA NA 0.47 8.51 9.19 NA NA XXX
artery repair.
76936......... 26...... A Echo guide for 1.99 0.67 0.66 0.67 0.66 0.13 2.79 2.78 2.79 2.78 XXX
artery repair.
76936......... TC...... A Echo guide for 0.00 5.38 6.06 NA NA 0.34 5.72 6.40 NA NA XXX
artery repair.
76937......... ........ A Us guide, 0.30 0.61 0.51 0.61 0.51 0.13 1.04 0.94 1.04 0.94 ZZZ
vascular
access.
76937......... 26...... A Us guide, 0.30 0.09 0.10 0.09 0.10 0.03 0.42 0.43 0.42 0.43 ZZZ
vascular
access.
76937......... TC...... A Us guide, 0.00 0.52 0.42 0.52 0.42 0.10 0.62 0.52 0.62 0.52 ZZZ
vascular
access.
76940......... ........ A Us guide, 2.00 NA NA NA NA 0.60 NA NA NA NA XXX
tissue
ablation.
76940......... 26...... A Us guide, 2.00 0.60 0.64 0.60 0.64 0.31 2.91 2.95 2.91 2.95 XXX
tissue
ablation.
76940......... TC...... A Us guide, 0.00 NA NA NA NA 0.29 NA NA NA NA XXX
tissue
ablation.
76941......... ........ A Echo guide for 1.34 NA NA NA NA 0.15 NA NA NA NA XXX
transfusion.
76941......... 26...... A Echo guide for 1.34 0.44 0.46 0.44 0.46 0.07 1.85 1.87 1.85 1.87 XXX
transfusion.
76941......... TC...... A Echo guide for 0.00 NA NA NA NA 0.08 NA NA NA NA XXX
transfusion.
76942......... ........ A Echo guide for 0.67 4.83 3.48 NA NA 0.13 5.63 4.28 NA NA XXX
biopsy.
76942......... 26...... A Echo guide for 0.67 0.23 0.22 0.23 0.22 0.03 0.93 0.92 0.93 0.92 XXX
biopsy.
76942......... TC...... A Echo guide for 0.00 4.60 3.26 NA NA 0.10 4.70 3.36 NA NA XXX
biopsy.
76945......... ........ A Echo guide, 0.67 NA NA NA NA 0.11 NA NA NA NA XXX
villus
sampling.
76945......... 26...... A Echo guide, 0.67 0.21 0.22 0.21 0.22 0.03 0.91 0.92 0.91 0.92 XXX
villus
sampling.
76945......... TC...... A Echo guide, 0.00 NA NA NA NA 0.08 NA NA NA NA XXX
villus
sampling.
76946......... ........ A Echo guide for 0.38 0.45 1.36 NA NA 0.12 0.95 1.86 NA NA XXX
amniocentesis.
76946......... 26...... A Echo guide for 0.38 0.11 0.13 0.11 0.13 0.02 0.51 0.53 0.51 0.53 XXX
amniocentesis.
76946......... TC...... A Echo guide for 0.00 0.34 1.23 NA NA 0.10 0.44 1.33 NA NA XXX
amniocentesis.
76948......... ........ A Echo guide, ova 0.38 0.45 1.35 NA NA 0.12 0.95 1.85 NA NA XXX
aspiration.
76948......... 26...... A Echo guide, ova 0.38 0.11 0.13 0.11 0.13 0.02 0.51 0.53 0.51 0.53 XXX
aspiration.
76948......... TC...... A Echo guide, ova 0.00 0.34 1.23 NA NA 0.10 0.44 1.33 NA NA XXX
aspiration.
76950......... ........ A Echo guidance 0.58 1.16 1.42 NA NA 0.10 1.84 2.10 NA NA XXX
radiotherapy.
76950......... 26...... A Echo guidance 0.58 0.16 0.18 0.16 0.18 0.03 0.77 0.79 0.77 0.79 XXX
radiotherapy.
76950......... TC...... A Echo guidance 0.00 1.00 1.23 NA NA 0.07 1.07 1.30 NA NA XXX
radiotherapy.
76965......... ........ A Echo guidance 1.34 1.18 4.80 NA NA 0.37 2.89 6.51 NA NA XXX
radiotherapy.
76965......... 26...... A Echo guidance 1.34 0.48 0.44 0.48 0.44 0.08 1.90 1.86 1.90 1.86 XXX
radiotherapy.
76965......... TC...... A Echo guidance 0.00 0.70 4.35 NA NA 0.29 0.99 4.64 NA NA XXX
radiotherapy.
76970......... ........ A Ultrasound exam 0.40 2.14 1.42 NA NA 0.08 2.62 1.90 NA NA XXX
follow-up.
76970......... 26...... A Ultrasound exam 0.40 0.11 0.13 0.11 0.13 0.02 0.53 0.55 0.53 0.55 XXX
follow-up.
76970......... TC...... A Ultrasound exam 0.00 2.03 1.30 NA NA 0.06 2.09 1.36 NA NA XXX
follow-up.
76975......... ........ A GI endoscopic 0.81 NA NA NA NA 0.14 NA NA NA NA XXX
ultrasound.
76975......... 26...... A GI endoscopic 0.81 0.29 0.28 0.29 0.28 0.04 1.14 1.13 1.14 1.13 XXX
ultrasound.
76975......... TC...... A GI endoscopic 0.00 NA NA NA NA 0.10 NA NA NA NA XXX
ultrasound.
76977......... ........ A Us bone density 0.05 0.11 0.66 NA NA 0.06 0.22 0.77 NA NA XXX
measure.
76977......... 26...... A Us bone density 0.05 0.01 0.02 0.01 0.02 0.01 0.07 0.08 0.07 0.08 XXX
measure.
[[Page 49200]]
76977......... TC...... A Us bone density 0.00 0.09 0.64 NA NA 0.05 0.14 0.69 NA NA XXX
measure.
76986......... ........ A Ultrasound 1.20 NA NA NA NA 0.27 NA NA NA NA XXX
guide
intraoper.
76986......... 26...... A Ultrasound 1.20 0.35 0.39 0.35 0.39 0.13 1.68 1.72 1.68 1.72 XXX
guide
intraoper.
76986......... TC...... A Ultrasound 0.00 NA NA NA NA 0.14 NA NA NA NA XXX
guide
intraoper.
76999......... ........ C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination
procedure.
76999......... 26...... C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination
procedure.
76999......... TC...... C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
examination
procedure.
77261......... ........ A Radiation 1.39 0.41 0.49 0.41 0.49 0.07 1.87 1.95 1.87 1.95 XXX
therapy
planning.
77262......... ........ A Radiation 2.11 0.58 0.71 0.58 0.71 0.11 2.80 2.93 2.80 2.93 XXX
therapy
planning.
77263......... ........ A Radiation 3.14 0.86 1.05 0.86 1.05 0.16 4.16 4.35 4.16 4.35 XXX
therapy
planning.
77280......... ........ A Set radiation 0.70 4.35 3.86 NA NA 0.22 5.27 4.78 NA NA XXX
therapy field.
77280......... 26...... A Set radiation 0.70 0.19 0.21 0.19 0.21 0.04 0.93 0.95 0.93 0.95 XXX
therapy field.
77280......... TC...... A Set radiation 0.00 4.16 3.64 NA NA 0.18 4.34 3.82 NA NA XXX
therapy field.
77285......... ........ A Set radiation 1.05 7.91 6.41 NA NA 0.35 9.31 7.81 NA NA XXX
therapy field.
77285......... 26...... A Set radiation 1.05 0.29 0.33 0.29 0.33 0.05 1.39 1.43 1.39 1.43 XXX
therapy field.
77285......... TC...... A Set radiation 0.00 7.62 6.08 NA NA 0.30 7.92 6.38 NA NA XXX
therapy field.
77290......... ........ A Set radiation 1.56 13.23 8.57 NA NA 0.43 15.22 10.56 NA NA XXX
therapy field.
77290......... 26...... A Set radiation 1.56 0.43 0.48 0.43 0.48 0.08 2.07 2.12 2.07 2.12 XXX
therapy field.
77290......... TC...... A Set radiation 0.00 12.81 8.09 NA NA 0.35 13.16 8.44 NA NA XXX
therapy field.
77295......... ........ A Set radiation 4.56 6.90 23.76 NA NA 1.71 13.17 30.03 NA NA XXX
therapy field.
77295......... 26...... A Set radiation 4.56 1.25 1.41 1.25 1.41 0.23 6.04 6.20 6.04 6.20 XXX
therapy field.
77295......... TC...... A Set radiation 0.00 5.65 22.36 NA NA 1.48 7.13 23.84 NA NA XXX
therapy field.
77299......... ........ C Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
planning.
77299......... 26...... C Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
planning.
77299......... TC...... C Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
planning.
77300......... ........ A Radiation 0.62 1.08 1.43 NA NA 0.10 1.80 2.15 NA NA XXX
therapy dose
plan.
77300......... 26...... A Radiation 0.62 0.17 0.19 0.17 0.19 0.03 0.82 0.84 0.82 0.84 XXX
therapy dose
plan.
77300......... TC...... A Radiation 0.00 0.91 1.23 NA NA 0.07 0.98 1.30 NA NA XXX
therapy dose
plan.
77301......... ........ A Radiotherapy 7.99 53.43 36.23 NA NA 1.88 63.30 46.10 NA NA XXX
dose plan,
imrt.
77301......... 26...... A Radiotherapy 7.99 2.19 2.47 2.19 2.47 0.40 10.58 10.86 10.58 10.86 XXX
dose plan,
imrt.
77301......... TC...... A Radiotherapy 0.00 51.24 33.76 NA NA 1.48 52.72 35.24 NA NA XXX
dose plan,
imrt.
77305......... ........ A Teletx isodose 0.70 0.85 1.78 NA NA 0.15 1.70 2.63 NA NA XXX
plan simple.
77305......... 26...... A Teletx isodose 0.70 0.19 0.22 0.19 0.22 0.04 0.93 0.96 0.93 0.96 XXX
plan simple.
77305......... TC...... A Teletx isodose 0.00 0.65 1.56 NA NA 0.11 0.76 1.67 NA NA XXX
plan simple.
77310......... ........ A Teletx isodose 1.05 1.17 2.30 NA NA 0.18 2.40 3.53 NA NA XXX
plan intermed.
77310......... 26...... A Teletx isodose 1.05 0.28 0.33 0.28 0.33 0.05 1.38 1.43 1.38 1.43 XXX
plan intermed.
77310......... TC...... A Teletx isodose 0.00 0.89 1.97 NA NA 0.13 1.02 2.10 NA NA XXX
plan intermed.
77315......... ........ A Teletx isodose 1.56 1.97 2.86 NA NA 0.22 3.75 4.64 NA NA XXX
plan complex.
77315......... 26...... A Teletx isodose 1.56 0.43 0.48 0.43 0.48 0.08 2.07 2.12 2.07 2.12 XXX
plan complex.
77315......... TC...... A Teletx isodose 0.00 1.54 2.38 NA NA 0.14 1.68 2.52 NA NA XXX
plan complex.
77321......... ........ A Special teletx 0.95 1.38 3.60 NA NA 0.26 2.59 4.81 NA NA XXX
port plan.
77321......... 26...... A Special teletx 0.95 0.26 0.29 0.26 0.29 0.05 1.26 1.29 1.26 1.29 XXX
port plan.
77321......... TC...... A Special teletx 0.00 1.12 3.31 NA NA 0.21 1.33 3.52 NA NA XXX
port plan.
77326......... ........ A Brachytx 0.93 2.78 2.69 NA NA 0.18 3.89 3.80 NA NA XXX
isodose calc
simp.
77326......... 26...... A Brachytx 0.93 0.25 0.29 0.25 0.29 0.05 1.23 1.27 1.23 1.27 XXX
isodose calc
simp.
77326......... TC...... A Brachytx 0.00 2.53 2.40 NA NA 0.13 2.66 2.53 NA NA XXX
isodose calc
simp.
77327......... ........ A Brachytx 1.39 3.84 3.89 NA NA 0.25 5.48 5.53 NA NA XXX
isodose calc
interm.
77327......... 26...... A Brachytx 1.39 0.38 0.43 0.38 0.43 0.07 1.84 1.89 1.84 1.89 XXX
isodose calc
interm.
77327......... TC...... A Brachytx 0.00 3.46 3.47 NA NA 0.18 3.64 3.65 NA NA XXX
isodose calc
interm.
77328......... ........ A Brachytx 2.09 4.93 5.45 NA NA 0.36 7.38 7.90 NA NA XXX
isodose plan
compl.
77328......... 26...... A Brachytx 2.09 0.57 0.65 0.57 0.65 0.11 2.77 2.85 2.77 2.85 XXX
isodose plan
compl.
77328......... TC...... A Brachytx 0.00 4.36 4.81 NA NA 0.25 4.61 5.06 NA NA XXX
isodose plan
compl.
77331......... ........ A Special 0.87 0.72 0.77 NA NA 0.06 1.65 1.70 NA NA XXX
radiation
dosimetry.
77331......... 26...... A Special 0.87 0.24 0.27 0.24 0.27 0.04 1.15 1.18 1.15 1.18 XXX
radiation
dosimetry.
77331......... TC...... A Special 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX
radiation
dosimetry.
77332......... ........ A Radiation 0.54 1.52 1.51 NA NA 0.10 2.16 2.15 NA NA XXX
treatment
aid(s).
[[Page 49201]]
77332......... 26...... A Radiation 0.54 0.15 0.17 0.15 0.17 0.03 0.72 0.74 0.72 0.74 XXX
treatment
aid(s).
77332......... TC...... A Radiation 0.00 1.37 1.35 NA NA 0.07 1.44 1.42 NA NA XXX
treatment
aid(s).
77333......... ........ A Radiation 0.84 0.46 1.74 NA NA 0.15 1.45 2.73 NA NA XXX
treatment
aid(s).
77333......... 26...... A Radiation 0.84 0.23 0.26 0.23 0.26 0.04 1.11 1.14 1.11 1.14 XXX
treatment
aid(s).
77333......... TC...... A Radiation 0.00 0.23 1.48 NA NA 0.11 0.34 1.59 NA NA XXX
treatment
aid(s).
77334......... ........ A Radiation 1.24 2.61 3.39 NA NA 0.23 4.08 4.86 NA NA XXX
treatment
aid(s).
77334......... 26...... A Radiation 1.24 0.34 0.39 0.34 0.39 0.06 1.64 1.69 1.64 1.69 XXX
treatment
aid(s).
77334......... TC...... A Radiation 0.00 2.27 3.01 NA NA 0.17 2.44 3.18 NA NA XXX
treatment
aid(s).
77336......... ........ A Radiation 0.00 0.92 2.47 NA NA 0.16 1.08 2.63 NA NA XXX
physics
consult.
77370......... ........ A Radiation 0.00 2.33 3.20 NA NA 0.18 2.51 3.38 NA NA XXX
physics
consult.
77399......... ........ C External 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radiation
dosimetry.
77399......... 26...... C External 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radiation
dosimetry.
77399......... TC...... C External 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radiation
dosimetry.
77401......... ........ A Radiation 0.00 0.49 1.45 NA NA 0.11 0.60 1.56 NA NA XXX
treatment
delivery.
77402......... ........ A Radiation 0.00 4.15 2.37 NA NA 0.11 4.26 2.48 NA NA XXX
treatment
delivery.
77403......... ........ A Radiation 0.00 3.73 2.26 NA NA 0.11 3.84 2.37 NA NA XXX
treatment
delivery.
77404......... ........ A Radiation 0.00 4.19 2.38 NA NA 0.11 4.30 2.49 NA NA XXX
treatment
delivery.
77406......... ........ A Radiation 0.00 4.18 2.37 NA NA 0.11 4.29 2.48 NA NA XXX
treatment
delivery.
77407......... ........ A Radiation 0.00 5.39 2.92 NA NA 0.12 5.51 3.04 NA NA XXX
treatment
delivery.
77408......... ........ A Radiation 0.00 5.18 2.86 NA NA 0.12 5.30 2.98 NA NA XXX
treatment
delivery.
77409......... ........ A Radiation 0.00 5.78 3.01 NA NA 0.12 5.90 3.13 NA NA XXX
treatment
delivery.
77411......... ........ A Radiation 0.00 5.68 2.99 NA NA 0.12 5.80 3.11 NA NA XXX
treatment
delivery.
77412......... ........ A Radiation 0.00 6.78 3.44 NA NA 0.13 6.91 3.57 NA NA XXX
treatment
delivery.
77413......... ........ A Radiation 0.00 6.80 3.45 NA NA 0.13 6.93 3.58 NA NA XXX
treatment
delivery.
77414......... ........ A Radiation 0.00 7.66 3.66 NA NA 0.13 7.79 3.79 NA NA XXX
treatment
delivery.
77416......... ........ A Radiation 0.00 7.65 3.66 NA NA 0.13 7.78 3.79 NA NA XXX
treatment
delivery.
77417......... ........ A Radiology port 0.00 0.35 0.53 NA NA 0.04 0.39 0.57 NA NA XXX
film(s).
77418......... ........ A Radiation tx 0.00 13.02 16.77 NA NA 0.13 13.15 16.90 NA NA XXX
delivery, imrt.
77421......... ........ A Stereoscopic x- 0.39 1.95 3.10 NA NA 0.12 2.46 3.61 NA NA XXX
ray guidance.
77421......... 26...... A Stereoscopic x- 0.39 0.11 0.13 0.11 0.13 0.02 0.52 0.54 0.52 0.54 XXX
ray guidance.
77421......... TC...... A Stereoscopic x- 0.00 1.84 2.97 NA NA 0.10 1.94 3.07 NA NA XXX
ray guidance.
77422......... ........ A Neutron beam 0.00 11.79 4.23 NA NA 0.13 11.92 4.36 NA NA XXX
tx, simple.
77423......... ........ A Neutron beam 0.00 7.83 3.65 NA NA 0.13 7.96 3.78 NA NA XXX
tx, complex.
77427......... ........ A Radiation tx 3.31 1.08 1.07 1.08 1.07 0.17 4.56 4.55 4.56 4.55 XXX
management, x5.
77431......... ........ A Radiation 1.81 0.68 0.68 0.68 0.68 0.09 2.58 2.58 2.58 2.58 XXX
therapy
management.
77432......... ........ A Stereotactic 7.92 2.17 2.72 2.17 2.72 0.41 10.50 11.05 10.50 11.05 XXX
radiation trmt.
77470......... ........ A Special 2.09 1.76 9.31 NA NA 0.70 4.55 12.10 NA NA XXX
radiation
treatment.
77470......... 26...... A Special 2.09 0.57 0.65 0.57 0.65 0.11 2.77 2.85 2.77 2.85 XXX
radiation
treatment.
77470......... TC...... A Special 0.00 1.19 8.66 NA NA 0.59 1.78 9.25 NA NA XXX
radiation
treatment.
77499......... ........ C Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
management.
77499......... 26...... C Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
management.
77499......... TC...... C Radiation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
management.
77520......... ........ C Proton trmt, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple w/o
comp.
77522......... ........ C Proton trmt, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
simple w/comp.
77523......... ........ C Proton trmt, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intermediate.
77525......... ........ C Proton 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
treatment,
complex.
77600......... ........ R Hyperthermia 1.56 9.32 4.99 NA NA 0.24 11.12 6.79 NA NA XXX
treatment.
77600......... 26...... R Hyperthermia 1.56 0.35 0.46 0.35 0.46 0.08 1.99 2.10 1.99 2.10 XXX
treatment.
77600......... TC...... R Hyperthermia 0.00 8.97 4.53 NA NA 0.16 9.13 4.69 NA NA XXX
treatment.
77605......... ........ R Hyperthermia 2.09 16.90 7.77 NA NA 0.38 19.37 10.24 NA NA XXX
treatment.
77605......... 26...... R Hyperthermia 2.09 0.53 0.63 0.53 0.63 0.16 2.78 2.88 2.78 2.88 XXX
treatment.
77605......... TC...... R Hyperthermia 0.00 16.36 7.14 NA NA 0.22 16.58 7.36 NA NA XXX
treatment.
77610......... ........ R Hyperthermia 1.56 16.54 6.81 NA NA 0.24 18.34 8.61 NA NA XXX
treatment.
77610......... 26...... R Hyperthermia 1.56 0.43 0.49 0.43 0.49 0.08 2.07 2.13 2.07 2.13 XXX
treatment.
77610......... TC...... R Hyperthermia 0.00 16.12 6.32 NA NA 0.16 16.28 6.48 NA NA XXX
treatment.
77615......... ........ R Hyperthermia 2.09 24.51 9.67 NA NA 0.33 26.93 12.09 NA NA XXX
treatment.
77615......... 26...... R Hyperthermia 2.09 0.55 0.63 0.55 0.63 0.11 2.75 2.83 2.75 2.83 XXX
treatment.
77615......... TC...... R Hyperthermia 0.00 23.95 9.03 NA NA 0.22 24.17 9.25 NA NA XXX
treatment.
77620......... ........ R Hyperthermia 1.56 9.58 5.07 NA NA 0.36 11.50 6.99 NA NA XXX
treatment.
77620......... 26...... R Hyperthermia 1.56 0.41 0.49 0.41 0.49 0.20 2.17 2.25 2.17 2.25 XXX
treatment.
77620......... TC...... R Hyperthermia 0.00 9.18 4.58 NA NA 0.16 9.34 4.74 NA NA XXX
treatment.
77750......... ........ A Infuse 4.90 4.19 3.22 4.19 3.22 0.32 9.41 8.44 9.41 8.44 090
radioactive
materials.
77750......... 26...... A Infuse 4.90 1.35 1.52 1.35 1.52 0.25 6.50 6.67 6.50 6.67 090
radioactive
materials.
77750......... TC...... A Infuse 0.00 2.84 1.71 2.84 1.71 0.07 2.91 1.78 2.91 1.78 090
radioactive
materials.
77761......... ........ A Apply intrcav 3.80 5.59 4.09 5.59 4.09 0.33 9.72 8.22 9.72 8.22 090
radiat simple.
77761......... 26...... A Apply intrcav 3.80 1.05 1.08 1.05 1.08 0.19 5.04 5.07 5.04 5.07 090
radiat simple.
[[Page 49202]]
77761......... TC...... A Apply intrcav 0.00 4.54 3.01 4.54 3.01 0.14 4.68 3.15 4.68 3.15 090
radiat simple.
77762......... ........ A Apply intrcav 5.71 6.58 5.73 6.58 5.73 0.48 12.77 11.92 12.77 11.92 090
radiat interm.
77762......... 26...... A Apply intrcav 5.71 1.56 1.76 1.56 1.76 0.29 7.56 7.76 7.56 7.76 090
radiat interm.
77762......... TC...... A Apply intrcav 0.00 5.03 3.97 5.03 3.97 0.19 5.22 4.16 5.22 4.16 090
radiat interm.
77763......... ........ A Apply intrcav 8.56 8.87 7.64 8.87 7.64 0.66 18.09 16.86 18.09 16.86 090
radiat compl.
77763......... 26...... A Apply intrcav 8.56 2.33 2.64 2.33 2.64 0.43 11.32 11.63 11.32 11.63 090
radiat compl.
77763......... TC...... A Apply intrcav 0.00 6.54 5.00 6.54 5.00 0.23 6.77 5.23 6.77 5.23 090
radiat compl.
77776......... ........ A Apply interstit 4.65 6.66 4.01 6.66 4.01 0.57 11.88 9.23 11.88 9.23 090
radiat simpl.
77776......... 26...... A Apply interstit 4.65 1.54 1.10 1.54 1.10 0.44 6.63 6.19 6.63 6.19 090
radiat simpl.
77776......... TC...... A Apply interstit 0.00 5.12 2.92 5.12 2.92 0.13 5.25 3.05 5.25 3.05 090
radiat simpl.
77777......... ........ A Apply interstit 7.47 6.93 6.68 6.93 6.68 0.61 15.01 14.76 15.01 14.76 090
radiat inter.
77777......... 26...... A Apply interstit 7.47 2.18 2.32 2.18 2.32 0.39 10.04 10.18 10.04 10.18 090
radiat inter.
77778......... ........ A Apply interstit 11.17 9.61 8.92 9.61 8.92 0.84 21.62 20.93 21.62 20.93 090
radiat compl.
77778......... 26...... A Apply interstit 11.17 3.08 3.45 3.08 3.45 0.57 14.82 15.19 14.82 15.19 090
radiat compl.
77778......... TC...... A Apply interstit 0.00 6.54 5.48 6.54 5.48 0.27 6.81 5.75 6.81 5.75 090
radiat compl.
77781......... ........ A High intensity 1.21 4.23 16.68 NA NA 1.14 6.58 19.03 NA NA XXX
brachytherapy.
77781......... 26...... A High intensity 1.21 0.33 0.48 0.33 0.48 0.08 1.62 1.77 1.62 1.77 XXX
brachytherapy.
77781......... TC...... A High intensity 0.00 3.90 16.20 NA NA 1.06 4.96 17.26 NA NA XXX
brachytherapy.
77782......... ........ A High intensity 2.04 12.03 18.83 NA NA 1.19 15.26 22.06 NA NA XXX
brachytherapy.
77782......... 26...... A High intensity 2.04 0.55 0.74 0.55 0.74 0.13 2.72 2.91 2.72 2.91 XXX
brachytherapy.
77782......... TC...... A High intensity 0.00 11.48 18.10 NA NA 1.06 12.54 19.16 NA NA XXX
brachytherapy.
77783......... ........ A High intensity 3.27 23.55 22.01 NA NA 1.25 28.07 26.53 NA NA XXX
brachytherapy.
77783......... 26...... A High intensity 3.27 0.89 1.12 0.89 1.12 0.19 4.35 4.58 4.35 4.58 XXX
brachytherapy.
77783......... TC...... A High intensity 0.00 22.67 20.89 NA NA 1.06 23.73 21.95 NA NA XXX
brachytherapy.
77784......... ........ A High intensity 5.15 44.52 27.71 NA NA 1.35 51.02 34.21 NA NA XXX
brachytherapy.
77784......... 26...... A High intensity 5.15 1.40 1.69 1.40 1.69 0.29 6.84 7.13 6.84 7.13 XXX
brachytherapy.
77784......... TC...... A High intensity 0.00 43.12 26.01 NA NA 1.06 44.18 27.07 NA NA XXX
brachytherapy.
77789......... ........ A Apply surface 1.12 1.95 1.10 1.95 1.10 0.08 3.15 2.30 3.15 2.30 000
radiation.
77789......... 26...... A Apply surface 1.12 0.35 0.37 0.35 0.37 0.06 1.53 1.55 1.53 1.55 000
radiation.
77789......... TC...... A Apply surface 0.00 1.60 0.74 1.60 0.74 0.02 1.62 0.76 1.62 0.76 000
radiation.
77790......... ........ A Radiation 1.05 1.16 0.92 NA NA 0.07 2.28 2.04 NA NA XXX
handling.
77790......... 26...... A Radiation 1.05 0.29 0.33 0.29 0.33 0.05 1.39 1.43 1.39 1.43 XXX
handling.
77790......... TC...... A Radiation 0.00 0.87 0.59 NA NA 0.02 0.89 0.61 NA NA XXX
handling.
77799......... ........ C Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
77799......... 26...... C Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
77799......... TC...... C Radium/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radioisotope
therapy.
78000......... ........ A Thyroid, single 0.19 1.85 1.24 NA NA 0.07 2.11 1.50 NA NA XXX
uptake.
78000......... 26...... A Thyroid, single 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX
uptake.
78000......... TC...... A Thyroid, single 0.00 1.79 1.18 NA NA 0.06 1.85 1.24 NA NA XXX
uptake.
78001......... ........ A Thyroid, 0.26 2.27 1.62 NA NA 0.08 2.61 1.96 NA NA XXX
multiple
uptakes.
78001......... 26...... A Thyroid, 0.26 0.08 0.09 0.08 0.09 0.01 0.35 0.36 0.35 0.36 XXX
multiple
uptakes.
78001......... TC...... A Thyroid, 0.00 2.19 1.53 NA NA 0.07 2.26 1.60 NA NA XXX
multiple
uptakes.
78003......... ........ A Thyroid 0.33 1.89 1.28 NA NA 0.07 2.29 1.68 NA NA XXX
suppress/
stimul.
78003......... 26...... A Thyroid 0.33 0.10 0.11 0.10 0.11 0.01 0.44 0.45 0.44 0.45 XXX
suppress/
stimul.
78003......... TC...... A Thyroid 0.00 1.78 1.17 NA NA 0.06 1.84 1.23 NA NA XXX
suppress/
stimul.
78006......... ........ A Thyroid imaging 0.49 6.24 3.47 NA NA 0.15 6.88 4.11 NA NA XXX
with uptake.
78006......... 26...... A Thyroid imaging 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX
with uptake.
78006......... TC...... A Thyroid imaging 0.00 6.08 3.31 NA NA 0.13 6.21 3.44 NA NA XXX
with uptake.
78007......... ........ A Thyroid image, 0.50 3.02 2.81 NA NA 0.16 3.68 3.47 NA NA XXX
mult uptakes.
78007......... 26...... A Thyroid image, 0.50 0.16 0.17 0.16 0.17 0.02 0.68 0.69 0.68 0.69 XXX
mult uptakes.
78007......... TC...... A Thyroid image, 0.00 2.86 2.64 NA NA 0.14 3.00 2.78 NA NA XXX
mult uptakes.
78010......... ........ A Thyroid imaging 0.39 4.20 2.51 NA NA 0.13 4.72 3.03 NA NA XXX
78010......... 26...... A Thyroid imaging 0.39 0.12 0.13 0.12 0.13 0.02 0.53 0.54 0.53 0.54 XXX
78010......... TC...... A Thyroid imaging 0.00 4.08 2.39 NA NA 0.11 4.19 2.50 NA NA XXX
78011......... ........ A Thyroid imaging 0.45 4.55 3.06 NA NA 0.15 5.15 3.66 NA NA XXX
with flow.
78011......... 26...... A Thyroid imaging 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX
with flow.
[[Page 49203]]
78011......... TC...... A Thyroid imaging 0.00 4.41 2.91 NA NA 0.13 4.54 3.04 NA NA XXX
with flow.
78015......... ........ A Thyroid met 0.67 5.43 3.46 NA NA 0.17 6.27 4.30 NA NA XXX
imaging.
78015......... 26...... A Thyroid met 0.67 0.21 0.23 0.21 0.23 0.03 0.91 0.93 0.91 0.93 XXX
imaging.
78015......... TC...... A Thyroid met 0.00 5.22 3.23 NA NA 0.14 5.36 3.37 NA NA XXX
imaging.
78016......... ........ A Thyroid met 0.82 8.63 4.98 NA NA 0.21 9.66 6.01 NA NA XXX
imaging/
studies.
78016......... 26...... A Thyroid met 0.82 0.26 0.28 0.26 0.28 0.03 1.11 1.13 1.11 1.13 XXX
imaging/
studies.
78016......... TC...... A Thyroid met 0.00 8.37 4.70 NA NA 0.18 8.55 4.88 NA NA XXX
imaging/
studies.
78018......... ........ A Thyroid met 0.86 7.96 6.28 NA NA 0.33 9.15 7.47 NA NA XXX
imaging, body.
78018......... 26...... A Thyroid met 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX
imaging, body.
78018......... TC...... A Thyroid met 0.00 7.69 5.99 NA NA 0.29 7.98 6.28 NA NA XXX
imaging, body.
78020......... ........ A Thyroid met 0.60 1.79 1.59 1.79 1.59 0.16 2.55 2.35 2.55 2.35 ZZZ
uptake.
78020......... 26...... A Thyroid met 0.60 0.18 0.20 0.18 0.20 0.02 0.80 0.82 0.80 0.82 ZZZ
uptake.
78020......... TC...... A Thyroid met 0.00 1.60 1.38 1.60 1.38 0.14 1.74 1.52 1.74 1.52 ZZZ
uptake.
78070......... ........ A Parathyroid 0.82 3.43 4.27 NA NA 0.15 4.40 5.24 NA NA XXX
nuclear
imaging.
78070......... 26...... A Parathyroid 0.82 0.26 0.28 0.26 0.28 0.04 1.12 1.14 1.12 1.14 XXX
nuclear
imaging.
78070......... TC...... A Parathyroid 0.00 3.17 4.00 NA NA 0.11 3.28 4.11 NA NA XXX
nuclear
imaging.
78075......... ........ A Adrenal nuclear 0.74 11.67 7.18 NA NA 0.32 12.73 8.24 NA NA XXX
imaging.
78075......... 26...... A Adrenal nuclear 0.74 0.23 0.25 0.23 0.25 0.03 1.00 1.02 1.00 1.02 XXX
imaging.
78075......... TC...... A Adrenal nuclear 0.00 11.44 6.93 NA NA 0.29 11.73 7.22 NA NA XXX
imaging.
78099......... ........ C Endocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear
procedure.
78099......... 26...... C Endocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear
procedure.
78099......... TC...... C Endocrine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear
procedure.
78102......... ........ A Bone marrow 0.55 4.17 2.72 NA NA 0.14 4.86 3.41 NA NA XXX
imaging, ltd.
78102......... 26...... A Bone marrow 0.55 0.17 0.19 0.17 0.19 0.02 0.74 0.76 0.74 0.76 XXX
imaging, ltd.
78102......... TC...... A Bone marrow 0.00 4.00 2.53 NA NA 0.12 4.12 2.65 NA NA XXX
imaging, ltd.
78103......... ........ A Bone marrow 0.75 5.43 3.93 NA NA 0.20 6.38 4.88 NA NA XXX
imaging, mult.
78103......... 26...... A Bone marrow 0.75 0.23 0.25 0.23 0.25 0.03 1.01 1.03 1.01 1.03 XXX
imaging, mult.
78103......... TC...... A Bone marrow 0.00 5.20 3.68 NA NA 0.17 5.37 3.85 NA NA XXX
imaging, mult.
78104......... ........ A Bone marrow 0.80 6.30 4.83 NA NA 0.25 7.35 5.88 NA NA XXX
imaging, body.
78104......... 26...... A Bone marrow 0.80 0.27 0.27 0.27 0.27 0.03 1.10 1.10 1.10 1.10 XXX
imaging, body.
78104......... TC...... A Bone marrow 0.00 6.02 4.56 NA NA 0.22 6.24 4.78 NA NA XXX
imaging, body.
78110......... ........ A Plasma volume, 0.19 2.16 1.31 NA NA 0.07 2.42 1.57 NA NA XXX
single.
78110......... 26...... A Plasma volume, 0.19 0.06 0.07 0.06 0.07 0.01 0.26 0.27 0.26 0.27 XXX
single.
78110......... TC...... A Plasma volume, 0.00 2.10 1.24 NA NA 0.06 2.16 1.30 NA NA XXX
single.
78111......... ........ A Plasma volume, 0.22 2.16 2.53 NA NA 0.15 2.53 2.90 NA NA XXX
multiple.
78111......... 26...... A Plasma volume, 0.22 0.07 0.08 0.07 0.08 0.01 0.30 0.31 0.30 0.31 XXX
multiple.
78111......... TC...... A Plasma volume, 0.00 2.09 2.45 NA NA 0.14 2.23 2.59 NA NA XXX
multiple.
78120......... ........ A Red cell mass, 0.23 2.09 1.88 NA NA 0.12 2.44 2.23 NA NA XXX
single.
78120......... 26...... A Red cell mass, 0.23 0.07 0.08 0.07 0.08 0.01 0.31 0.32 0.31 0.32 XXX
single.
78120......... TC...... A Red cell mass, 0.00 2.02 1.80 NA NA 0.11 2.13 1.91 NA NA XXX
single.
78121......... ........ A Red cell mass, 0.32 2.19 2.81 NA NA 0.15 2.66 3.28 NA NA XXX
multiple.
78121......... 26...... A Red cell mass, 0.32 0.10 0.11 0.10 0.11 0.01 0.43 0.44 0.43 0.44 XXX
multiple.
78121......... TC...... A Red cell mass, 0.00 2.10 2.71 NA NA 0.14 2.24 2.85 NA NA XXX
multiple.
78122......... ........ A Blood volume... 0.45 2.25 4.13 NA NA 0.26 2.96 4.84 NA NA XXX
78122......... 26...... A Blood volume... 0.45 0.14 0.16 0.14 0.16 0.02 0.61 0.63 0.61 0.63 XXX
78122......... TC...... A Blood volume... 0.00 2.11 3.98 NA NA 0.24 2.35 4.22 NA NA XXX
78130......... ........ A Red cell 0.61 3.55 3.18 NA NA 0.17 4.33 3.96 NA NA XXX
survival study.
78130......... 26...... A Red cell 0.61 0.20 0.21 0.20 0.21 0.03 0.84 0.85 0.84 0.85 XXX
survival study.
78130......... TC...... A Red cell 0.00 3.35 2.98 NA NA 0.14 3.49 3.12 NA NA XXX
survival study.
78135......... ........ A Red cell 0.64 8.59 5.97 NA NA 0.28 9.51 6.89 NA NA XXX
survival
kinetics.
78135......... 26...... A Red cell 0.64 0.20 0.22 0.20 0.22 0.03 0.87 0.89 0.87 0.89 XXX
survival
kinetics.
78135......... TC...... A Red cell 0.00 8.39 5.75 NA NA 0.25 8.64 6.00 NA NA XXX
survival
kinetics.
78140......... ........ A Red cell 0.61 2.87 3.82 NA NA 0.24 3.72 4.67 NA NA XXX
sequestration.
78140......... 26...... A Red cell 0.61 0.19 0.20 0.19 0.20 0.03 0.83 0.84 0.83 0.84 XXX
sequestration.
78140......... TC...... A Red cell 0.00 2.68 3.62 NA NA 0.21 2.89 3.83 NA NA XXX
sequestration.
78185......... ........ A Spleen imaging. 0.40 5.22 3.18 NA NA 0.15 5.77 3.73 NA NA XXX
78185......... 26...... A Spleen imaging. 0.40 0.12 0.14 0.12 0.14 0.02 0.54 0.56 0.54 0.56 XXX
78185......... TC...... A Spleen imaging. 0.00 5.10 3.05 NA NA 0.13 5.23 3.18 NA NA XXX
78190......... ........ A Platelet 1.09 9.05 6.84 NA NA 0.38 10.52 8.31 NA NA XXX
survival,
kinetics.
78190......... 26...... A Platelet 1.09 0.34 0.38 0.34 0.38 0.08 1.51 1.55 1.51 1.55 XXX
survival,
kinetics.
78190......... TC...... A Platelet 0.00 8.71 6.46 NA NA 0.30 9.01 6.76 NA NA XXX
survival,
kinetics.
78191......... ........ A Platelet 0.61 3.43 6.51 NA NA 0.40 4.44 7.52 NA NA XXX
survival.
78191......... 26...... A Platelet 0.61 0.19 0.20 0.19 0.20 0.03 0.83 0.84 0.83 0.84 XXX
survival.
78191......... TC...... A Platelet 0.00 3.24 6.32 NA NA 0.37 3.61 6.69 NA NA XXX
survival.
78195......... ........ A Lymph system 1.20 8.66 5.53 NA NA 0.28 10.14 7.01 NA NA XXX
imaging.
78195......... 26...... A Lymph system 1.20 0.37 0.40 0.37 0.40 0.06 1.63 1.66 1.63 1.66 XXX
imaging.
[[Page 49204]]
78195......... TC...... A Lymph system 0.00 8.29 5.13 NA NA 0.22 8.51 5.35 NA NA XXX
imaging.
78199......... ........ C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78199......... 26...... C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78199......... TC...... C Blood/lymph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78201......... ........ A Liver imaging.. 0.44 4.75 3.07 NA NA 0.15 5.34 3.66 NA NA XXX
78201......... 26...... A Liver imaging.. 0.44 0.13 0.15 0.13 0.15 0.02 0.59 0.61 0.59 0.61 XXX
78201......... TC...... A Liver imaging.. 0.00 4.61 2.92 NA NA 0.13 4.74 3.05 NA NA XXX
78202......... ........ A Liver imaging 0.51 5.34 3.62 NA NA 0.16 6.01 4.29 NA NA XXX
with flow.
78202......... 26...... A Liver imaging 0.51 0.16 0.17 0.16 0.17 0.02 0.69 0.70 0.69 0.70 XXX
with flow.
78202......... TC...... A Liver imaging 0.00 5.19 3.46 NA NA 0.14 5.33 3.60 NA NA XXX
with flow.
78205......... ........ A Liver imaging 0.71 5.26 5.93 NA NA 0.34 6.31 6.98 NA NA XXX
(3D).
78205......... 26...... A Liver imaging 0.71 0.22 0.24 0.22 0.24 0.03 0.96 0.98 0.96 0.98 XXX
(3D).
78205......... TC...... A Liver imaging 0.00 5.04 5.69 NA NA 0.31 5.35 6.00 NA NA XXX
(3D).
78206......... ........ A Liver image 0.96 14.57 8.32 NA NA 0.15 15.68 9.43 NA NA XXX
(3d) with flow.
78206......... 26...... A Liver image 0.96 0.30 0.32 0.30 0.32 0.04 1.30 1.32 1.30 1.32 XXX
(3d) with flow.
78206......... TC...... A Liver image 0.00 14.26 8.00 NA NA 0.11 14.37 8.11 NA NA XXX
(3d) with flow.
78215......... ........ A Liver and 0.49 4.81 3.53 NA NA 0.16 5.46 4.18 NA NA XXX
spleen imaging.
78215......... 26...... A Liver and 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX
spleen imaging.
78215......... TC...... A Liver and 0.00 4.66 3.37 NA NA 0.14 4.80 3.51 NA NA XXX
spleen imaging.
78216......... ........ A Liver & spleen 0.57 2.82 3.46 NA NA 0.20 3.59 4.23 NA NA XXX
image/flow.
78216......... 26...... A Liver & spleen 0.57 0.18 0.19 0.18 0.19 0.02 0.77 0.78 0.77 0.78 XXX
image/flow.
78216......... TC...... A Liver & spleen 0.00 2.64 3.27 NA NA 0.18 2.82 3.45 NA NA XXX
image/flow.
78220......... ........ A Liver function 0.49 3.04 3.67 NA NA 0.21 3.74 4.37 NA NA XXX
study.
78220......... 26...... A Liver function 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX
study.
78220......... TC...... A Liver function 0.00 2.89 3.51 NA NA 0.19 3.08 3.70 NA NA XXX
study.
78223......... ........ A Hepatobiliary 0.84 8.49 5.08 NA NA 0.23 9.56 6.15 NA NA XXX
imaging.
78223......... 26...... A Hepatobiliary 0.84 0.26 0.28 0.26 0.28 0.04 1.14 1.16 1.14 1.16 XXX
imaging.
78223......... TC...... A Hepatobiliary 0.00 8.23 4.80 NA NA 0.19 8.42 4.99 NA NA XXX
imaging.
78230......... ........ A Salivary gland 0.45 4.16 2.79 NA NA 0.15 4.76 3.39 NA NA XXX
imaging.
78230......... 26...... A Salivary gland 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX
imaging.
78230......... TC...... A Salivary gland 0.00 4.02 2.64 NA NA 0.13 4.15 2.77 NA NA XXX
imaging.
78231......... ........ A Serial salivary 0.52 2.81 3.22 NA NA 0.19 3.52 3.93 NA NA XXX
imaging.
78231......... 26...... A Serial salivary 0.52 0.16 0.18 0.16 0.18 0.02 0.70 0.72 0.70 0.72 XXX
imaging.
78231......... TC...... A Serial salivary 0.00 2.64 3.04 NA NA 0.17 2.81 3.21 NA NA XXX
imaging.
78232......... ........ A Salivary gland 0.47 2.78 3.47 NA NA 0.20 3.45 4.14 NA NA XXX
function exam.
78232......... 26...... A Salivary gland 0.47 0.15 0.16 0.15 0.16 0.02 0.64 0.65 0.64 0.65 XXX
function exam.
78232......... TC...... A Salivary gland 0.00 2.64 3.32 NA NA 0.18 2.82 3.50 NA NA XXX
function exam.
78258......... ........ A Esophageal 0.74 5.83 3.81 NA NA 0.17 6.74 4.72 NA NA XXX
motility study.
78258......... 26...... A Esophageal 0.74 0.27 0.26 0.27 0.26 0.03 1.04 1.03 1.04 1.03 XXX
motility study.
78258......... TC...... A Esophageal 0.00 5.56 3.55 NA NA 0.14 5.70 3.69 NA NA XXX
motility study.
78261......... ........ A Gastric mucosa 0.69 6.07 4.77 NA NA 0.25 7.01 5.71 NA NA XXX
imaging.
78261......... 26...... A Gastric mucosa 0.69 0.22 0.24 0.22 0.24 0.03 0.94 0.96 0.94 0.96 XXX
imaging.
78261......... TC...... A Gastric mucosa 0.00 5.85 4.54 NA NA 0.22 6.07 4.76 NA NA XXX
imaging.
78262......... ........ A Gastroesophagea 0.68 5.94 4.85 NA NA 0.25 6.87 5.78 NA NA XXX
l reflux exam.
78262......... 26...... A Gastroesophagea 0.68 0.20 0.22 0.20 0.22 0.03 0.91 0.93 0.91 0.93 XXX
l reflux exam.
78262......... TC...... A Gastroesophagea 0.00 5.74 4.62 NA NA 0.22 5.96 4.84 NA NA XXX
l reflux exam.
78264......... ........ A Gastric 0.78 7.16 5.08 NA NA 0.25 8.19 6.11 NA NA XXX
emptying study.
78264......... 26...... A Gastric 0.78 0.25 0.26 0.25 0.26 0.03 1.06 1.07 1.06 1.07 XXX
emptying study.
78264......... TC...... A Gastric 0.00 6.91 4.83 NA NA 0.22 7.13 5.05 NA NA XXX
emptying study.
78270......... ........ A Vit B-12 0.20 1.94 1.70 NA NA 0.11 2.25 2.01 NA NA XXX
absorption
exam.
78270......... 26...... A Vit B-12 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX
absorption
exam.
78270......... TC...... A Vit B-12 0.00 1.88 1.63 NA NA 0.10 1.98 1.73 NA NA XXX
absorption
exam.
78271......... ........ A Vit b-12 absrp 0.20 1.90 1.76 NA NA 0.11 2.21 2.07 NA NA XXX
exam, int fac.
78271......... 26...... A Vit b-12 absrp 0.20 0.05 0.07 0.05 0.07 0.01 0.26 0.28 0.26 0.28 XXX
exam, int fac.
78271......... TC...... A Vit b-12 absrp 0.00 1.85 1.69 NA NA 0.10 1.95 1.79 NA NA XXX
exam, int fac.
78272......... ........ A Vit B-12 0.27 2.02 2.31 NA NA 0.14 2.43 2.72 NA NA XXX
absorp,
combined.
[[Page 49205]]
78272......... 26...... A Vit B-12 0.27 0.07 0.09 0.07 0.09 0.01 0.35 0.37 0.35 0.37 XXX
absorp,
combined.
78272......... TC...... A Vit B-12 0.00 1.95 2.23 NA NA 0.13 2.08 2.36 NA NA XXX
absorp,
combined.
78278......... ........ A Acute GI blood 0.99 8.57 6.04 NA NA 0.29 9.85 7.32 NA NA XXX
loss imaging.
78278......... 26...... A Acute GI blood 0.99 0.31 0.33 0.31 0.33 0.04 1.34 1.36 1.34 1.36 XXX
loss imaging.
78278......... TC...... A Acute GI blood 0.00 8.26 5.72 NA NA 0.25 8.51 5.97 NA NA XXX
loss imaging.
78282......... ........ C GI protein loss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78282......... 26...... A GI protein loss 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.52 0.53 XXX
exam.
78282......... TC...... C GI protein loss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
exam.
78290......... ........ A MeckelIs divert 0.68 8.46 4.58 NA NA 0.19 9.33 5.45 NA NA XXX
exam.
78290......... 26...... A MeckelIs divert 0.68 0.21 0.23 0.21 0.23 0.03 0.92 0.94 0.92 0.94 XXX
exam.
78290......... TC...... A MeckelIs divert 0.00 8.25 4.35 NA NA 0.16 8.41 4.51 NA NA XXX
exam.
78291......... ........ A Leveen/shunt 0.88 6.17 4.06 NA NA 0.20 7.25 5.14 NA NA XXX
patency exam.
78291......... 26...... A Leveen/shunt 0.88 0.27 0.29 0.27 0.29 0.04 1.19 1.21 1.19 1.21 XXX
patency exam.
78291......... TC...... A Leveen/shunt 0.00 5.90 3.77 NA NA 0.16 6.06 3.93 NA NA XXX
patency exam.
78299......... ........ C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78299......... 26...... C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78299......... TC...... C GI nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
78300......... ........ A Bone imaging, 0.62 4.20 3.07 NA NA 0.17 4.99 3.86 NA NA XXX
limited area.
78300......... 26...... A Bone imaging, 0.62 0.19 0.21 0.19 0.21 0.03 0.84 0.86 0.84 0.86 XXX
limited area.
78300......... TC...... A Bone imaging, 0.00 4.01 2.86 NA NA 0.14 4.15 3.00 NA NA XXX
limited area.
78305......... ........ A Bone imaging, 0.83 5.46 4.32 NA NA 0.23 6.52 5.38 NA NA XXX
multiple areas.
78305......... 26...... A Bone imaging, 0.83 0.26 0.28 0.26 0.28 0.04 1.13 1.15 1.13 1.15 XXX
multiple areas.
78305......... TC...... A Bone imaging, 0.00 5.20 4.05 NA NA 0.19 5.39 4.24 NA NA XXX
multiple areas.
78306......... ........ A Bone imaging, 0.86 6.05 4.93 NA NA 0.26 7.17 6.05 NA NA XXX
whole body.
78306......... 26...... A Bone imaging, 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX
whole body.
78306......... TC...... A Bone imaging, 0.00 5.78 4.65 NA NA 0.22 6.00 4.87 NA NA XXX
whole body.
78315......... ........ A Bone imaging, 3 1.02 8.59 5.99 NA NA 0.29 9.90 7.30 NA NA XXX
phase.
78315......... 26...... A Bone imaging, 3 1.02 0.32 0.34 0.32 0.34 0.04 1.38 1.40 1.38 1.40 XXX
phase.
78315......... TC...... A Bone imaging, 3 0.00 8.27 5.65 NA NA 0.25 8.52 5.90 NA NA XXX
phase.
78320......... ........ A Bone imaging 1.04 5.36 6.04 NA NA 0.35 6.75 7.43 NA NA XXX
(3D).
78320......... 26...... A Bone imaging 1.04 0.33 0.35 0.33 0.35 0.04 1.41 1.43 1.41 1.43 XXX
(3D).
78320......... TC...... A Bone imaging 0.00 5.03 5.69 NA NA 0.31 5.34 6.00 NA NA XXX
(3D).
78350......... ........ A Bone mineral, 0.22 0.56 0.76 NA NA 0.06 0.84 1.04 NA NA XXX
single photon.
78350......... 26...... A Bone mineral, 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXX
single photon.
78350......... TC...... A Bone mineral, 0.00 0.49 0.69 NA NA 0.05 0.54 0.74 NA NA XXX
single photon.
78351......... ........ N Bone mineral, 0.30 2.80 1.99 0.07 0.11 0.01 3.11 2.30 0.38 0.42 XXX
dual photon.
78399......... ........ C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78399......... 26...... C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78399......... TC...... C Musculoskeletal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78414......... ........ C Non-imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart function.
78414......... 26...... A Non-imaging 0.45 0.14 0.16 0.14 0.16 0.02 0.61 0.63 0.61 0.63 XXX
heart function.
78414......... TC...... C Non-imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart function.
78428......... ........ A Cardiac shunt 0.78 5.36 3.25 NA NA 0.16 6.30 4.19 NA NA XXX
imaging.
78428......... 26...... A Cardiac shunt 0.78 0.38 0.31 0.38 0.31 0.03 1.19 1.12 1.19 1.12 XXX
imaging.
78428......... TC...... A Cardiac shunt 0.00 4.98 2.93 NA NA 0.13 5.11 3.06 NA NA XXX
imaging.
78445......... ........ A Vascular flow 0.49 4.63 2.68 NA NA 0.13 5.25 3.30 NA NA XXX
imaging.
78445......... 26...... A Vascular flow 0.49 0.18 0.17 0.18 0.17 0.02 0.69 0.68 0.69 0.68 XXX
imaging.
78445......... TC...... A Vascular flow 0.00 4.45 2.51 NA NA 0.11 4.56 2.62 NA NA XXX
imaging.
78456......... ........ A Acute venous 1.00 10.04 5.75 NA NA 0.33 11.37 7.08 NA NA XXX
thrombus image.
78456......... 26...... A Acute venous 1.00 0.50 0.38 0.50 0.38 0.04 1.54 1.42 1.54 1.42 XXX
thrombus image.
78456......... TC...... A Acute venous 0.00 9.54 5.37 NA NA 0.29 9.83 5.66 NA NA XXX
thrombus image.
78457......... ........ A Venous 0.77 4.73 3.38 NA NA 0.17 5.67 4.32 NA NA XXX
thrombosis
imaging.
78457......... 26...... A Venous 0.77 0.24 0.26 0.24 0.26 0.03 1.04 1.06 1.04 1.06 XXX
thrombosis
imaging.
78457......... TC...... A Venous 0.00 4.49 3.12 NA NA 0.14 4.63 3.26 NA NA XXX
thrombosis
imaging.
78458......... ........ A Ven thrombosis 0.90 4.59 4.40 NA NA 0.25 5.74 5.55 NA NA XXX
images, bilat.
78458......... 26...... A Ven thrombosis 0.90 0.28 0.31 0.28 0.31 0.04 1.22 1.25 1.22 1.25 XXX
images, bilat.
78458......... TC...... A Ven thrombosis 0.00 4.31 4.09 NA NA 0.21 4.52 4.30 NA NA XXX
images, bilat.
78459......... ........ C Heart muscle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imaging (PET).
78459......... 26...... A Heart muscle 1.50 0.55 0.57 0.55 0.57 0.05 2.10 2.12 2.10 2.12 XXX
imaging (PET).
78459......... TC...... C Heart muscle 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
imaging (PET).
78460......... ........ A Heart muscle 0.86 4.68 3.16 NA NA 0.17 5.71 4.19 NA NA XXX
blood, single.
78460......... 26...... A Heart muscle 0.86 0.29 0.29 0.29 0.29 0.04 1.19 1.19 1.19 1.19 XXX
blood, single.
78460......... TC...... A Heart muscle 0.00 4.39 2.87 NA NA 0.13 4.52 3.00 NA NA XXX
blood, single.
78461......... ........ A Heart muscle 1.23 4.01 4.87 NA NA 0.30 5.54 6.40 NA NA XXX
blood,
multiple.
78461......... 26...... A Heart muscle 1.23 0.42 0.43 0.42 0.43 0.05 1.70 1.71 1.70 1.71 XXX
blood,
multiple.
78461......... TC...... A Heart muscle 0.00 3.59 4.44 NA NA 0.25 3.84 4.69 NA NA XXX
blood,
multiple.
[[Page 49206]]
78464......... ........ A Heart image 1.09 5.91 7.07 NA NA 0.41 7.41 8.57 NA NA XXX
(3d), single.
78464......... 26...... A Heart image 1.09 0.49 0.41 0.49 0.41 0.04 1.62 1.54 1.62 1.54 XXX
(3d), single.
78464......... TC...... A Heart image 0.00 5.42 6.66 NA NA 0.37 5.79 7.03 NA NA XXX
(3d), single.
78465......... ........ A Heart image 1.46 11.58 12.12 NA NA 0.67 13.71 14.25 NA NA XXX
(3d), multiple.
78465......... 26...... A Heart image 1.46 0.71 0.57 0.71 0.57 0.05 2.22 2.08 2.22 2.08 XXX
(3d), multiple.
78465......... TC...... A Heart image 0.00 10.87 11.56 NA NA 0.62 11.49 12.18 NA NA XXX
(3d), multiple.
78466......... ........ A Heart infarct 0.69 4.52 3.28 NA NA 0.17 5.38 4.14 NA NA XXX
image.
78466......... 26...... A Heart infarct 0.69 0.25 0.24 0.25 0.24 0.03 0.97 0.96 0.97 0.96 XXX
image.
78466......... TC...... A Heart infarct 0.00 4.27 3.03 NA NA 0.14 4.41 3.17 NA NA XXX
image.
78468......... ........ A Heart infarct 0.80 6.06 4.46 NA NA 0.22 7.08 5.48 NA NA XXX
image (ef).
78468......... 26...... A Heart infarct 0.80 0.42 0.31 0.42 0.31 0.03 1.25 1.14 1.25 1.14 XXX
image (ef).
78468......... TC...... A Heart infarct 0.00 5.64 4.16 NA NA 0.19 5.83 4.35 NA NA XXX
image (ef).
78469......... ........ A Heart infarct 0.92 6.29 5.72 NA NA 0.31 7.52 6.95 NA NA XXX
image (3D).
78469......... 26...... A Heart infarct 0.92 0.43 0.34 0.43 0.34 0.03 1.38 1.29 1.38 1.29 XXX
image (3D).
78469......... TC...... A Heart infarct 0.00 5.85 5.38 NA NA 0.28 6.13 5.66 NA NA XXX
image (3D).
78472......... ........ A Gated heart, 0.98 6.15 5.93 NA NA 0.34 7.47 7.25 NA NA XXX
planar, single.
78472......... 26...... A Gated heart, 0.98 0.40 0.36 0.40 0.36 0.04 1.42 1.38 1.42 1.38 XXX
planar, single.
78472......... TC...... A Gated heart, 0.00 5.75 5.57 NA NA 0.30 6.05 5.87 NA NA XXX
planar, single.
78473......... ........ A Gated heart, 1.47 7.79 8.52 NA NA 0.48 9.74 10.47 NA NA XXX
multiple.
78473......... 26...... A Gated heart, 1.47 0.62 0.54 0.62 0.54 0.06 2.15 2.07 2.15 2.07 XXX
multiple.
78473......... TC...... A Gated heart, 0.00 7.17 7.99 NA NA 0.42 7.59 8.41 NA NA XXX
multiple.
78478......... ........ A Heart wall 0.50 0.81 1.54 NA NA 0.12 1.43 2.16 NA NA XXX
motion add-on.
78478......... 26...... A Heart wall 0.50 0.24 0.23 0.24 0.23 0.02 0.76 0.75 0.76 0.75 XXX
motion add-on.
78478......... TC...... A Heart wall 0.00 0.57 1.31 NA NA 0.10 0.67 1.41 NA NA XXX
motion add-on.
78480......... ........ A Heart function 0.30 0.71 1.51 NA NA 0.12 1.13 1.93 NA NA XXX
add-on.
78480......... 26...... A Heart function 0.30 0.15 0.20 0.15 0.20 0.02 0.47 0.52 0.47 0.52 XXX
add-on.
78480......... TC...... A Heart function 0.00 0.57 1.31 NA NA 0.10 0.67 1.41 NA NA XXX
add-on.
78481......... ........ A Heart first 0.98 5.12 5.47 NA NA 0.31 6.41 6.76 NA NA XXX
pass, single.
78481......... 26...... A Heart first 0.98 0.49 0.39 0.49 0.39 0.03 1.50 1.40 1.50 1.40 XXX
pass, single.
78481......... TC...... A Heart first 0.00 4.62 5.07 NA NA 0.28 4.90 5.35 NA NA XXX
pass, single.
78483......... ........ A Heart first 1.47 6.93 8.04 NA NA 0.46 8.86 9.97 NA NA XXX
pass, multiple.
78483......... 26...... A Heart first 1.47 0.79 0.60 0.79 0.60 0.05 2.31 2.12 2.31 2.12 XXX
pass, multiple.
78483......... TC...... A Heart first 0.00 6.14 7.44 NA NA 0.41 6.55 7.85 NA NA XXX
pass, multiple.
78491......... ........ C Heart image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet), single.
78491......... 26...... A Heart image 1.50 0.62 0.60 0.62 0.60 0.06 2.18 2.16 2.18 2.16 XXX
(pet), single.
78491......... TC...... C Heart image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet), single.
78492......... ........ C Heart image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet),
multiple.
78492......... 26...... A Heart image 1.87 0.91 0.78 0.91 0.78 0.07 2.85 2.72 2.85 2.72 XXX
(pet),
multiple.
78492......... TC...... C Heart image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet),
multiple.
78494......... ........ A Heart image, 1.19 6.30 7.19 NA NA 0.35 7.84 8.73 NA NA XXX
spect.
78494......... 26...... A Heart image, 1.19 0.54 0.45 0.54 0.45 0.05 1.78 1.69 1.78 1.69 XXX
spect.
78494......... TC...... A Heart image, 0.00 5.75 6.74 NA NA 0.30 6.05 7.04 NA NA XXX
spect.
78496......... ........ A Heart first 0.50 0.93 5.67 0.93 5.67 0.32 1.75 6.49 1.75 6.49 ZZZ
pass add-on.
78496......... 26...... A Heart first 0.50 0.25 0.20 0.25 0.20 0.02 0.77 0.72 0.77 0.72 ZZZ
pass add-on.
78496......... TC...... A Heart first 0.00 0.68 5.47 0.68 5.47 0.30 0.98 5.77 0.98 5.77 ZZZ
pass add-on.
78499......... ........ C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78499......... 26...... C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78499......... TC...... C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78580......... ........ A Lung perfusion 0.74 5.12 4.04 NA NA 0.21 6.07 4.99 NA NA XXX
imaging.
78580......... 26...... A Lung perfusion 0.74 0.24 0.25 0.24 0.25 0.03 1.01 1.02 1.01 1.02 XXX
imaging.
78580......... TC...... A Lung perfusion 0.00 4.88 3.79 NA NA 0.18 5.06 3.97 NA NA XXX
imaging.
78584......... ........ A Lung V/Q image 0.99 2.93 3.38 NA NA 0.21 4.13 4.58 NA NA XXX
single breath.
78584......... 26...... A Lung V/Q image 0.99 0.31 0.33 0.31 0.33 0.04 1.34 1.36 1.34 1.36 XXX
single breath.
78584......... TC...... A Lung V/Q image 0.00 2.62 3.06 NA NA 0.17 2.79 3.23 NA NA XXX
single breath.
78585......... ........ A Lung V/Q 1.09 8.60 6.65 NA NA 0.35 10.04 8.09 NA NA XXX
imaging.
78585......... 26...... A Lung V/Q 1.09 0.34 0.36 0.34 0.36 0.05 1.48 1.50 1.48 1.50 XXX
imaging.
[[Page 49207]]
78585......... TC...... A Lung V/Q 0.00 8.26 6.30 NA NA 0.30 8.56 6.60 NA NA XXX
imaging.
78586......... ........ A Aerosol lung 0.40 4.13 3.07 NA NA 0.16 4.69 3.63 NA NA XXX
image, single.
78586......... 26...... A Aerosol lung 0.40 0.12 0.13 0.12 0.13 0.02 0.54 0.55 0.54 0.55 XXX
image, single.
78586......... TC...... A Aerosol lung 0.00 4.01 2.95 NA NA 0.14 4.15 3.09 NA NA XXX
image, single.
78587......... ........ A Aerosol lung 0.49 5.43 3.59 NA NA 0.16 6.08 4.24 NA NA XXX
image,
multiple.
78587......... 26...... A Aerosol lung 0.49 0.15 0.17 0.15 0.17 0.02 0.66 0.68 0.66 0.68 XXX
image,
multiple.
78587......... TC...... A Aerosol lung 0.00 5.27 3.42 NA NA 0.14 5.41 3.56 NA NA XXX
image,
multiple.
78588......... ........ A Perfusion lung 1.09 8.63 4.83 NA NA 0.23 9.95 6.15 NA NA XXX
image.
78588......... 26...... A Perfusion lung 1.09 0.34 0.36 0.34 0.36 0.05 1.48 1.50 1.48 1.50 XXX
image.
78588......... TC...... A Perfusion lung 0.00 8.29 4.47 NA NA 0.18 8.47 4.65 NA NA XXX
image.
78591......... ........ A Vent image, 1 0.40 4.12 3.27 NA NA 0.16 4.68 3.83 NA NA XXX
breath, 1 proj.
78591......... 26...... A Vent image, 1 0.40 0.12 0.13 0.12 0.13 0.02 0.54 0.55 0.54 0.55 XXX
breath, 1 proj.
78591......... TC...... A Vent image, 1 0.00 4.00 3.14 NA NA 0.14 4.14 3.28 NA NA XXX
breath, 1 proj.
78593......... ........ A Vent image, 1 0.49 4.79 3.91 NA NA 0.20 5.48 4.60 NA NA XXX
proj, gas.
78593......... 26...... A Vent image, 1 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX
proj, gas.
78593......... TC...... A Vent image, 1 0.00 4.64 3.75 NA NA 0.18 4.82 3.93 NA NA XXX
proj, gas.
78594......... ........ A Vent image, 0.53 5.29 5.19 NA NA 0.27 6.09 5.99 NA NA XXX
mult proj, gas.
78594......... 26...... A Vent image, 0.53 0.16 0.18 0.16 0.18 0.02 0.71 0.73 0.71 0.73 XXX
mult proj, gas.
78594......... TC...... A Vent image, 0.00 5.13 5.02 NA NA 0.25 5.38 5.27 NA NA XXX
mult proj, gas.
78596......... ........ A Lung 1.27 8.73 7.80 NA NA 0.42 10.42 9.49 NA NA XXX
differential
function.
78596......... 26...... A Lung 1.27 0.37 0.41 0.37 0.41 0.05 1.69 1.73 1.69 1.73 XXX
differential
function.
78596......... TC...... A Lung 0.00 8.36 7.39 NA NA 0.37 8.73 7.76 NA NA XXX
differential
function.
78599......... ........ C Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78599......... 26...... C Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78599......... TC...... C Respiratory 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78600......... ........ A Brain imaging, 0.44 7.30 4.10 NA NA 0.16 7.90 4.70 NA NA XXX
ltd static.
78600......... 26...... A Brain imaging, 0.44 0.14 0.15 0.14 0.15 0.02 0.60 0.61 0.60 0.61 XXX
ltd static.
78600......... TC...... A Brain imaging, 0.00 7.16 3.95 NA NA 0.14 7.30 4.09 NA NA XXX
ltd static.
78601......... ........ A Brain imaging, 0.51 5.35 4.02 NA NA 0.20 6.06 4.73 NA NA XXX
ltd w/flow.
78601......... 26...... A Brain imaging, 0.51 0.16 0.17 0.16 0.17 0.02 0.69 0.70 0.69 0.70 XXX
ltd w/flow.
78601......... TC...... A Brain imaging, 0.00 5.19 3.85 NA NA 0.18 5.37 4.03 NA NA XXX
ltd w/flow.
78605......... ........ A Brain imaging, 0.53 4.75 3.87 NA NA 0.20 5.48 4.60 NA NA XXX
complete.
78605......... 26...... A Brain imaging, 0.53 0.17 0.18 0.17 0.18 0.02 0.72 0.73 0.72 0.73 XXX
complete.
78605......... TC...... A Brain imaging, 0.00 4.59 3.70 NA NA 0.18 4.77 3.88 NA NA XXX
complete.
78606......... ........ A Brain imaging, 0.64 8.54 5.20 NA NA 0.24 9.42 6.08 NA NA XXX
compl w/flow.
78606......... 26...... A Brain imaging, 0.64 0.20 0.21 0.20 0.21 0.03 0.87 0.88 0.87 0.88 XXX
compl w/flow.
78606......... TC...... A Brain imaging, 0.00 8.34 4.99 NA NA 0.21 8.55 5.20 NA NA XXX
compl w/flow.
78607......... ........ A Brain imaging 1.23 15.23 9.04 NA NA 0.40 16.86 10.67 NA NA XXX
(3D).
78607......... 26...... A Brain imaging 1.23 0.38 0.42 0.38 0.42 0.05 1.66 1.70 1.66 1.70 XXX
(3D).
78607......... TC...... A Brain imaging 0.00 14.85 8.63 NA NA 0.35 15.20 8.98 NA NA XXX
(3D).
78608......... ........ C Brain imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78608......... 26...... A Brain imaging 1.50 0.47 0.50 0.47 0.50 0.06 2.03 2.06 2.03 2.06 XXX
(PET).
78608......... TC...... C Brain imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78609......... ........ C Brain imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78609......... 26...... A Brain imaging 1.50 0.47 0.50 0.47 0.50 0.06 2.03 2.06 2.03 2.06 XXX
(PET).
78609......... TC...... C Brain imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(PET).
78610......... ........ A Brain flow 0.30 4.44 2.38 NA NA 0.11 4.85 2.79 NA NA XXX
imaging only.
78610......... 26...... A Brain flow 0.30 0.09 0.11 0.09 0.11 0.01 0.40 0.42 0.40 0.42 XXX
imaging only.
78610......... TC...... A Brain flow 0.00 4.35 2.27 NA NA 0.10 4.45 2.37 NA NA XXX
imaging only.
78615......... ........ A Cerebral 0.42 5.34 4.34 NA NA 0.23 5.99 4.99 NA NA XXX
vascular flow
image.
78615......... 26...... A Cerebral 0.42 0.13 0.15 0.13 0.15 0.02 0.57 0.59 0.57 0.59 XXX
vascular flow
image.
78615......... TC...... A Cerebral 0.00 5.21 4.19 NA NA 0.21 5.42 4.40 NA NA XXX
vascular flow
image.
78630......... ........ A Cerebrospinal 0.68 8.61 6.10 NA NA 0.30 9.59 7.08 NA NA XXX
fluid scan.
78630......... 26...... A Cerebrospinal 0.68 0.21 0.23 0.21 0.23 0.03 0.92 0.94 0.92 0.94 XXX
fluid scan.
78630......... TC...... A Cerebrospinal 0.00 8.40 5.88 NA NA 0.27 8.67 6.15 NA NA XXX
fluid scan.
78635......... ........ A CSF 0.61 8.54 4.21 NA NA 0.16 9.31 4.98 NA NA XXX
ventriculograp
hy.
78635......... 26...... A CSF 0.61 0.19 0.22 0.19 0.22 0.02 0.82 0.85 0.82 0.85 XXX
ventriculograp
hy.
78635......... TC...... A CSF 0.00 8.35 3.99 NA NA 0.14 8.49 4.13 NA NA XXX
ventriculograp
hy.
78645......... ........ A CSF shunt 0.57 8.43 4.82 NA NA 0.20 9.20 5.59 NA NA XXX
evaluation.
78645......... 26...... A CSF shunt 0.57 0.18 0.19 0.18 0.19 0.02 0.77 0.78 0.77 0.78 XXX
evaluation.
78645......... TC...... A CSF shunt 0.00 8.25 4.64 NA NA 0.18 8.43 4.82 NA NA XXX
evaluation.
78647......... ........ A Cerebrospinal 0.90 14.31 8.24 NA NA 0.35 15.56 9.49 NA NA XXX
fluid scan.
78647......... 26...... A Cerebrospinal 0.90 0.27 0.30 0.27 0.30 0.04 1.21 1.24 1.21 1.24 XXX
fluid scan.
78647......... TC...... A Cerebrospinal 0.00 14.05 7.95 NA NA 0.31 14.36 8.26 NA NA XXX
fluid scan.
78650......... ........ A CSF leakage 0.61 8.62 5.79 NA NA 0.27 9.50 6.67 NA NA XXX
imaging.
78650......... 26...... A CSF leakage 0.61 0.19 0.21 0.19 0.21 0.03 0.83 0.85 0.83 0.85 XXX
imaging.
[[Page 49208]]
78650......... TC...... A CSF leakage 0.00 8.43 5.59 NA NA 0.24 8.67 5.83 NA NA XXX
imaging.
78660......... ........ A Nuclear exam of 0.53 4.24 2.79 NA NA 0.14 4.91 3.46 NA NA XXX
tear flow.
78660......... 26...... A Nuclear exam of 0.53 0.17 0.18 0.17 0.18 0.02 0.72 0.73 0.72 0.73 XXX
tear flow.
78660......... TC...... A Nuclear exam of 0.00 4.07 2.61 NA NA 0.12 4.19 2.73 NA NA XXX
tear flow.
78699......... ........ C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78699......... 26...... C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78699......... TC...... C Nervous system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78700......... ........ A Kidney imaging, 0.45 4.47 3.52 NA NA 0.18 5.10 4.15 NA NA XXX
static.
78700......... 26...... A Kidney imaging, 0.45 0.15 0.15 0.15 0.15 0.02 0.62 0.62 0.62 0.62 XXX
static.
78700......... TC...... A Kidney imaging, 0.00 4.32 3.37 NA NA 0.16 4.48 3.53 NA NA XXX
static.
78701......... ........ A Kidney imaging 0.49 5.36 4.13 NA NA 0.20 6.05 4.82 NA NA XXX
with flow.
78701......... 26...... A Kidney imaging 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX
with flow.
78701......... TC...... A Kidney imaging 0.00 5.21 3.97 NA NA 0.18 5.39 4.15 NA NA XXX
with flow.
78704......... ........ A Imaging 0.74 5.42 4.51 NA NA 0.24 6.40 5.49 NA NA XXX
renogram.
78704......... 26...... A Imaging 0.74 0.23 0.25 0.23 0.25 0.03 1.00 1.02 1.00 1.02 XXX
renogram.
78704......... TC...... A Imaging 0.00 5.19 4.26 NA NA 0.21 5.40 4.47 NA NA XXX
renogram.
78707......... ........ A Kidney flow/ 0.96 5.48 4.96 NA NA 0.27 6.71 6.19 NA NA XXX
function image.
78707......... 26...... A Kidney flow/ 0.96 0.30 0.32 0.30 0.32 0.04 1.30 1.32 1.30 1.32 XXX
function image.
78707......... TC...... A Kidney flow/ 0.00 5.18 4.65 NA NA 0.23 5.41 4.88 NA NA XXX
function image.
78708......... ........ A Kidney flow/ 1.21 3.41 4.51 NA NA 0.28 4.90 6.00 NA NA XXX
function image.
78708......... 26...... A Kidney flow/ 1.21 0.38 0.40 0.38 0.40 0.05 1.64 1.66 1.64 1.66 XXX
function image.
78708......... TC...... A Kidney flow/ 0.00 3.03 4.11 NA NA 0.23 3.26 4.34 NA NA XXX
function image.
78709......... ........ A Kidney flow/ 1.41 8.88 5.93 NA NA 0.29 10.58 7.63 NA NA XXX
function image.
78709......... 26...... A Kidney flow/ 1.41 0.45 0.47 0.45 0.47 0.06 1.92 1.94 1.92 1.94 XXX
function image.
78709......... TC...... A Kidney flow/ 0.00 8.43 5.46 NA NA 0.23 8.66 5.69 NA NA XXX
function image.
78710......... ........ A Kidney imaging 0.66 5.29 5.92 NA NA 0.34 6.29 6.92 NA NA XXX
(3D).
78710......... 26...... A Kidney imaging 0.66 0.21 0.22 0.21 0.22 0.03 0.90 0.91 0.90 0.91 XXX
(3D).
78710......... TC...... A Kidney imaging 0.00 5.08 5.70 NA NA 0.31 5.39 6.01 NA NA XXX
(3D).
78715......... ........ A Renal vascular 0.30 4.82 2.47 NA NA 0.11 5.23 2.88 NA NA XXX
flow exam.
78715......... 26...... A Renal vascular 0.30 0.13 0.12 0.13 0.12 0.01 0.44 0.43 0.44 0.43 XXX
flow exam.
78715......... TC...... A Renal vascular 0.00 4.69 2.36 NA NA 0.10 4.79 2.46 NA NA XXX
flow exam.
78725......... ........ A Kidney function 0.38 2.35 2.02 NA NA 0.13 2.86 2.53 NA NA XXX
study.
78725......... 26...... A Kidney function 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.52 0.53 XXX
study.
78725......... TC...... A Kidney function 0.00 2.23 1.89 NA NA 0.11 2.34 2.00 NA NA XXX
study.
78730......... ........ A Urinary bladder 0.36 1.85 1.65 1.85 1.65 0.10 2.31 2.11 2.31 2.11 XXX
retention.
78730......... 26...... A Urinary bladder 0.36 0.14 0.13 0.14 0.13 0.02 0.52 0.51 0.52 0.51 XXX
retention.
78730......... TC...... A Urinary bladder 0.00 1.71 1.52 1.71 1.52 0.08 1.79 1.60 1.79 1.60 XXX
retention.
78740......... ........ A Ureteral reflux 0.57 5.48 3.10 NA NA 0.15 6.20 3.82 NA NA XXX
study.
78740......... 26...... A Ureteral reflux 0.57 0.18 0.19 0.18 0.19 0.03 0.78 0.79 0.78 0.79 XXX
study.
78740......... TC...... A Ureteral reflux 0.00 5.30 2.92 NA NA 0.12 5.42 3.04 NA NA XXX
study.
78760......... ........ A Testicular 0.66 4.52 3.31 NA NA 0.17 5.35 4.14 NA NA XXX
imaging.
78760......... 26...... A Testicular 0.66 0.22 0.22 0.22 0.22 0.03 0.91 0.91 0.91 0.91 XXX
imaging.
78760......... TC...... A Testicular 0.00 4.30 3.09 NA NA 0.14 4.44 3.23 NA NA XXX
imaging.
78761......... ........ A Testicular 0.71 4.96 3.82 NA NA 0.20 5.87 4.73 NA NA XXX
imaging/flow.
78761......... 26...... A Testicular 0.71 0.23 0.24 0.23 0.24 0.03 0.97 0.98 0.97 0.98 XXX
imaging/flow.
78761......... TC...... A Testicular 0.00 4.72 3.58 NA NA 0.17 4.89 3.75 NA NA XXX
imaging/flow.
78799......... ........ C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78799......... 26...... C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78799......... TC...... C Genitourinary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nuclear exam.
78800......... ........ A Tumor imaging, 0.66 4.29 3.79 NA NA 0.22 5.17 4.67 NA NA XXX
limited area.
78800......... 26...... A Tumor imaging, 0.66 0.20 0.22 0.20 0.22 0.04 0.90 0.92 0.90 0.92 XXX
limited area.
78800......... TC...... A Tumor imaging, 0.00 4.09 3.57 NA NA 0.18 4.27 3.75 NA NA XXX
limited area.
78801......... ........ A Tumor imaging, 0.79 6.10 4.89 NA NA 0.27 7.16 5.95 NA NA XXX
mult areas.
78801......... 26...... A Tumor imaging, 0.79 0.24 0.26 0.24 0.26 0.05 1.08 1.10 1.08 1.10 XXX
mult areas.
78801......... TC...... A Tumor imaging, 0.00 5.86 4.63 NA NA 0.22 6.08 4.85 NA NA XXX
mult areas.
78802......... ........ A Tumor imaging, 0.86 8.17 6.41 NA NA 0.34 9.37 7.61 NA NA XXX
whole body.
[[Page 49209]]
78802......... 26...... A Tumor imaging, 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX
whole body.
78802......... TC...... A Tumor imaging, 0.00 7.90 6.12 NA NA 0.30 8.20 6.42 NA NA XXX
whole body.
78803......... ........ A Tumor imaging 1.09 15.02 8.95 NA NA 0.40 16.51 10.44 NA NA XXX
(3D).
78803......... 26...... A Tumor imaging 1.09 0.34 0.37 0.34 0.37 0.05 1.48 1.51 1.48 1.51 XXX
(3D).
78803......... TC...... A Tumor imaging 0.00 14.67 8.58 NA NA 0.35 15.02 8.93 NA NA XXX
(3D).
78804......... ........ A Tumor imaging, 1.07 14.91 12.30 NA NA 0.34 16.32 13.71 NA NA XXX
whole body.
78804......... 26...... A Tumor imaging, 1.07 0.34 0.36 0.34 0.36 0.04 1.45 1.47 1.45 1.47 XXX
whole body.
78804......... TC...... A Tumor imaging, 0.00 14.58 11.94 NA NA 0.30 14.88 12.24 NA NA XXX
whole body.
78805......... ........ A Abscess 0.73 4.20 3.79 NA NA 0.21 5.14 4.73 NA NA XXX
imaging, ltd
area.
78805......... 26...... A Abscess 0.73 0.23 0.25 0.23 0.25 0.03 0.99 1.01 0.99 1.01 XXX
imaging, ltd
area.
78805......... TC...... A Abscess 0.00 3.97 3.54 NA NA 0.18 4.15 3.72 NA NA XXX
imaging, ltd
area.
78806......... ........ A Abscess 0.86 8.35 7.13 NA NA 0.39 9.60 8.38 NA NA XXX
imaging, whole
body.
78806......... 26...... A Abscess 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX
imaging, whole
body.
78806......... TC...... A Abscess 0.00 8.08 6.84 NA NA 0.35 8.43 7.19 NA NA XXX
imaging, whole
body.
78807......... ........ A Nuclear 1.09 14.28 8.78 NA NA 0.39 15.76 10.26 NA NA XXX
localization/
abscess.
78807......... 26...... A Nuclear 1.09 0.34 0.38 0.34 0.38 0.04 1.47 1.51 1.47 1.51 XXX
localization/
abscess.
78807......... TC...... A Nuclear 0.00 13.94 8.40 NA NA 0.35 14.29 8.75 NA NA XXX
localization/
abscess.
78811......... ........ C Tumor imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet), limited.
78811......... 26...... A Tumor imaging 1.54 0.48 0.52 0.48 0.52 0.11 2.13 2.17 2.13 2.17 XXX
(pet), limited.
78811......... TC...... C Tumor imaging 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet), limited.
78812......... ........ C Tumor image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet)/skul-
thigh.
78812......... 26...... A Tumor image 1.93 0.61 0.65 0.61 0.65 0.11 2.65 2.69 2.65 2.69 XXX
(pet)/skul-
thigh.
78812......... TC...... C Tumor image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet)/skul-
thigh.
78813......... ........ C Tumor image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet) full
body.
78813......... 26...... A Tumor image 2.00 0.62 0.67 0.62 0.67 0.11 2.73 2.78 2.73 2.78 XXX
(pet) full
body.
78813......... TC...... C Tumor image 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
(pet) full
body.
78814......... ........ C Tumor image pet/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ct, limited.
78814......... 26...... A Tumor image pet/ 2.20 0.68 0.74 0.68 0.74 0.11 2.99 3.05 2.99 3.05 XXX
ct, limited.
78814......... TC...... C Tumor image pet/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ct, limited.
78815......... ........ C Tumorimage pet/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ct skul-thigh.
78815......... 26...... A Tumorimage pet/ 2.44 0.77 0.82 0.77 0.82 0.11 3.32 3.37 3.32 3.37 XXX
ct skul-thigh.
78815......... TC...... C Tumorimage pet/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ct skul-thigh.
78816......... ........ C Tumor image pet/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ct full body.
78816......... 26...... A Tumor image pet/ 2.50 0.78 0.84 0.78 0.84 0.11 3.39 3.45 3.39 3.45 XXX
ct full body.
78816......... TC...... C Tumor image pet/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ct full body.
78890......... ........ B Nuclear 0.05 0.39 1.10 NA NA 0.07 0.51 1.22 NA NA XXX
medicine data
proc.
78890......... 26...... B Nuclear 0.05 0.01 0.02 0.01 0.02 0.01 0.07 0.08 0.07 0.08 XXX
medicine data
proc.
78890......... TC...... B Nuclear 0.00 0.38 1.08 NA NA 0.06 0.44 1.14 NA NA XXX
medicine data
proc.
78891......... ........ B Nuclear med 0.10 0.89 2.22 NA NA 0.14 1.13 2.46 NA NA XXX
data proc.
78891......... 26...... B Nuclear med 0.10 0.02 0.04 0.02 0.04 0.01 0.13 0.15 0.13 0.15 XXX
data proc.
78891......... TC...... B Nuclear med 0.00 0.86 2.18 NA NA 0.13 0.99 2.31 NA NA XXX
data proc.
78999......... ........ C Nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostic
exam.
78999......... 26...... C Nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostic
exam.
78999......... TC...... C Nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diagnostic
exam.
79005......... ........ A Nuclear rx, 1.80 1.78 2.86 NA NA 0.22 3.80 4.88 NA NA XXX
oral admin.
79005......... 26...... A Nuclear rx, 1.80 0.53 0.58 0.53 0.58 0.08 2.41 2.46 2.41 2.46 XXX
oral admin.
79005......... TC...... A Nuclear rx, 0.00 1.25 2.28 NA NA 0.14 1.39 2.42 NA NA XXX
oral admin.
79101......... ........ A Nuclear rx, iv 1.96 2.10 2.99 NA NA 0.22 4.28 5.17 NA NA XXX
admin.
79101......... 26...... A Nuclear rx, iv 1.96 0.68 0.67 0.68 0.67 0.08 2.72 2.71 2.72 2.71 XXX
admin.
79101......... TC...... A Nuclear rx, iv 0.00 1.41 2.32 NA NA 0.14 1.55 2.46 NA NA XXX
admin.
79200......... ........ A Nuclear rx, 1.99 2.18 3.03 NA NA 0.23 4.40 5.25 NA NA XXX
intracav admin.
79200......... 26...... A Nuclear rx, 1.99 0.59 0.67 0.59 0.67 0.09 2.67 2.75 2.67 2.75 XXX
intracav admin.
79200......... TC...... A Nuclear rx, 0.00 1.60 2.37 NA NA 0.14 1.74 2.51 NA NA XXX
intracav admin.
79300......... ........ C Nuclr rx, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interstit
colloid.
79300......... 26...... A Nuclr rx, 1.60 0.46 0.54 0.46 0.54 0.13 2.19 2.27 2.19 2.27 XXX
interstit
colloid.
79300......... TC...... C Nuclr rx, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interstit
colloid.
79403......... ........ A Hematopoietic 2.25 2.83 4.58 NA NA 0.24 5.32 7.07 NA NA XXX
nuclear tx.
79403......... 26...... A Hematopoietic 2.25 0.68 0.84 0.68 0.84 0.10 3.03 3.19 3.03 3.19 XXX
nuclear tx.
79403......... TC...... A Hematopoietic 0.00 2.15 3.74 NA NA 0.14 2.29 3.88 NA NA XXX
nuclear tx.
79440......... ........ A Nuclear rx, 1.99 1.77 2.95 NA NA 0.22 3.98 5.16 NA NA XXX
intra-
articular.
79440......... 26...... A Nuclear rx, 1.99 0.61 0.69 0.61 0.69 0.08 2.68 2.76 2.68 2.76 XXX
intra-
articular.
79440......... TC...... A Nuclear rx, 0.00 1.16 2.26 NA NA 0.14 1.30 2.40 NA NA XXX
intra-
articular.
79445......... ........ C Nuclear rx, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intra-arterial.
79445......... 26...... A Nuclear rx, 2.40 0.77 0.81 0.77 0.81 0.12 3.29 3.33 3.29 3.33 XXX
intra-arterial.
79445......... TC...... C Nuclear rx, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
intra-arterial.
79999......... ........ C Nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medicine
therapy.
[[Page 49210]]
79999......... 26...... C Nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medicine
therapy.
79999......... TC...... C Nuclear 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medicine
therapy.
80500......... ........ A Lab pathology 0.37 0.20 0.21 0.11 0.15 0.01 0.58 0.59 0.49 0.53 XXX
consultation.
80502......... ........ A Lab pathology 1.33 0.31 0.48 0.25 0.47 0.04 1.68 1.85 1.62 1.84 XXX
consultation.
83020......... 26...... A Hemoglobin 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
electrophoresi
s.
83912......... 26...... A Genetic 0.37 0.11 0.12 0.11 0.12 0.01 0.49 0.50 0.49 0.50 XXX
examination.
84165......... 26...... A Protein e- 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
phoresis,
serum.
84166......... 26...... A Protein e- 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
phoresis/urine/
csf.
84181......... 26...... A Western blot 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
test.
84182......... 26...... A Protein, 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 XXX
western blot
test.
85060......... ........ A Blood smear 0.45 0.14 0.17 0.14 0.17 0.02 0.61 0.64 0.61 0.64 XXX
interpretation.
85097......... ........ A Bone marrow 0.94 1.30 1.76 0.28 0.38 0.04 2.28 2.74 1.26 1.36 XXX
interpretation.
85390......... 26...... A Fibrinolysins 0.37 0.12 0.13 0.12 0.13 0.01 0.50 0.51 0.50 0.51 XXX
screen.
85396......... ........ A Clotting assay, 0.37 NA NA 0.05 0.13 0.04 NA NA 0.46 0.54 XXX
whole blood.
85576......... 26...... A Blood platelet 0.37 0.12 0.15 0.12 0.15 0.01 0.50 0.53 0.50 0.53 XXX
aggregation.
86077......... ........ A Physician blood 0.94 0.38 0.39 0.29 0.37 0.03 1.35 1.36 1.26 1.34 XXX
bank service.
86078......... ........ A Physician blood 0.94 0.38 0.44 0.29 0.37 0.03 1.35 1.41 1.26 1.34 XXX
bank service.
86079......... ........ A Physician blood 0.94 0.38 0.43 0.30 0.38 0.03 1.35 1.40 1.27 1.35 XXX
bank service.
86255......... 26...... A Fluorescent 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
antibody,
screen.
86256......... 26...... A Fluorescent 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
antibody,
titer.
86320......... 26...... A Serum 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
immunoelectrop
horesis.
86325......... 26...... A Other 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51 XXX
immunoelectrop
horesis.
86327......... 26...... A Immunoelectroph 0.42 0.13 0.17 0.13 0.17 0.02 0.57 0.61 0.57 0.61 XXX
oresis assay.
86334......... 26...... A Immunofix e- 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
phoresis,
serum.
86335......... 26...... A Immunfix e- 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX
phorsis/urine/
csf.
86485......... ........ C Skin test, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
candida.
86490......... ........ A Coccidioidomyco 0.00 0.12 0.25 NA NA 0.02 0.14 0.27 NA NA XXX
sis skin test.
86510......... ........ A Histoplasmosis 0.00 0.14 0.28 NA NA 0.02 0.16 0.30 NA NA XXX
skin test.
86580......... ........ A TB intradermal 0.00 0.16 0.23 NA NA 0.02 0.18 0.25 NA NA XXX
test.
87164......... 26...... A Dark field 0.37 0.12 0.12 0.12 0.12 0.01 0.50 0.50 0.50 0.50 XXX
examination.
87207......... 26...... A Smear, special 0.37 0.11 0.15 0.11 0.15 0.01 0.49 0.53 0.49 0.53 XXX
stain.
88104......... ........ A Cytopathology, 0.56 1.16 0.93 NA NA 0.04 1.76 1.53 NA NA XXX
fluids.
88104......... 26...... A Cytopathology, 0.56 0.16 0.22 0.16 0.22 0.02 0.74 0.80 0.74 0.80 XXX
fluids.
88104......... TC...... A Cytopathology, 0.00 1.01 0.71 NA NA 0.02 1.03 0.73 NA NA XXX
fluids.
88106......... ........ A Cytopathology, 0.56 1.52 1.39 NA NA 0.04 2.12 1.99 NA NA XXX
fluids.
88106......... 26...... A Cytopathology, 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.73 0.80 XXX
fluids.
88106......... TC...... A Cytopathology, 0.00 1.36 1.17 NA NA 0.02 1.38 1.19 NA NA XXX
fluids.
88107......... ........ A Cytopathology, 0.76 2.02 1.66 NA NA 0.05 2.83 2.47 NA NA XXX
fluids.
88107......... 26...... A Cytopathology, 0.76 0.23 0.31 0.23 0.31 0.03 1.02 1.10 1.02 1.10 XXX
fluids.
88107......... TC...... A Cytopathology, 0.00 1.79 1.36 NA NA 0.02 1.81 1.38 NA NA XXX
fluids.
88108......... ........ A Cytopath, 0.56 1.49 1.28 NA NA 0.04 2.09 1.88 NA NA XXX
concentrate
tech.
88108......... 26...... A Cytopath, 0.56 0.16 0.22 0.16 0.22 0.02 0.74 0.80 0.74 0.80 XXX
concentrate
tech.
88108......... TC...... A Cytopath, 0.00 1.33 1.06 NA NA 0.02 1.35 1.08 NA NA XXX
concentrate
tech.
88112......... ........ A Cytopath, cell 1.18 1.53 1.85 NA NA 0.04 2.75 3.07 NA NA XXX
enhance tech.
88112......... 26...... A Cytopath, cell 1.18 0.31 0.46 0.31 0.46 0.02 1.51 1.66 1.51 1.66 XXX
enhance tech.
88112......... TC...... A Cytopath, cell 0.00 1.22 1.40 NA NA 0.02 1.24 1.42 NA NA XXX
enhance tech.
88125......... ........ A Forensic 0.26 0.25 0.27 NA NA 0.02 0.53 0.55 NA NA XXX
cytopathology.
88125......... 26...... A Forensic 0.26 0.06 0.10 0.06 0.10 0.01 0.33 0.37 0.33 0.37 XXX
cytopathology.
88125......... TC...... A Forensic 0.00 0.20 0.17 NA NA 0.01 0.21 0.18 NA NA XXX
cytopathology.
88141......... ........ A Cytopath, c/v, 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX
interpret.
88160......... ........ A Cytopath smear, 0.50 0.91 0.85 NA NA 0.04 1.45 1.39 NA NA XXX
other source.
88160......... 26...... A Cytopath smear, 0.50 0.13 0.19 0.13 0.19 0.02 0.65 0.71 0.65 0.71 XXX
other source.
88160......... TC...... A Cytopath smear, 0.00 0.78 0.66 NA NA 0.02 0.80 0.68 NA NA XXX
other source.
88161......... ........ A Cytopath smear, 0.50 1.13 0.99 NA NA 0.04 1.67 1.53 NA NA XXX
other source.
88161......... 26...... A Cytopath smear, 0.50 0.15 0.20 0.15 0.20 0.02 0.67 0.72 0.67 0.72 XXX
other source.
88161......... TC...... A Cytopath smear, 0.00 0.98 0.79 NA NA 0.02 1.00 0.81 NA NA XXX
other source.
[[Page 49211]]
88162......... ........ A Cytopath smear, 0.76 1.18 1.06 NA NA 0.05 1.99 1.87 NA NA XXX
other source.
88162......... 26...... A Cytopath smear, 0.76 0.17 0.29 0.17 0.29 0.03 0.96 1.08 0.96 1.08 XXX
other source.
88162......... TC...... A Cytopath smear, 0.00 1.01 0.77 NA NA 0.02 1.03 0.79 NA NA XXX
other source.
88172......... ........ A Cytopathology 0.60 0.86 0.76 NA NA 0.04 1.50 1.40 NA NA XXX
eval of fna.
88172......... 26...... A Cytopathology 0.60 0.18 0.24 0.18 0.24 0.02 0.80 0.86 0.80 0.86 XXX
eval of fna.
88172......... TC...... A Cytopathology 0.00 0.68 0.52 NA NA 0.02 0.70 0.54 NA NA XXX
eval of fna.
88173......... ........ A Cytopath eval, 1.39 2.33 2.18 NA NA 0.07 3.79 3.64 NA NA XXX
fna, report.
88173......... 26...... A Cytopath eval, 1.39 0.40 0.54 0.40 0.54 0.05 1.84 1.98 1.84 1.98 XXX
fna, report.
88173......... TC...... A Cytopath eval, 0.00 1.93 1.65 NA NA 0.02 1.95 1.67 NA NA XXX
fna, report.
88182......... ........ A Cell marker 0.77 1.97 1.97 NA NA 0.07 2.81 2.81 NA NA XXX
study.
88182......... 26...... A Cell marker 0.77 0.13 0.28 0.13 0.28 0.03 0.93 1.08 0.93 1.08 XXX
study.
88182......... TC...... A Cell marker 0.00 1.85 1.70 NA NA 0.04 1.89 1.74 NA NA XXX
study.
88184......... ........ A Flowcytometry/ 0.00 2.51 1.62 NA NA 0.02 2.53 1.64 NA NA XXX
tc, 1 marker.
88185......... ........ A Flowcytometry/ 0.00 1.52 0.86 NA NA 0.02 1.54 0.88 NA NA ZZZ
tc, add-on.
88187......... ........ A Flowcytometry/ 1.36 0.39 0.44 0.39 0.44 0.01 1.76 1.81 1.76 1.81 XXX
read, 2-8.
88188......... ........ A Flowcytometry/ 1.69 0.44 0.54 0.44 0.54 0.01 2.14 2.24 2.14 2.24 XXX
read, 9-15.
88189......... ........ A Flowcytometry/ 2.23 0.49 0.69 0.49 0.69 0.01 2.73 2.93 2.73 2.93 XXX
read, 16 & >.
88199......... ........ C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88199......... 26...... C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88199......... TC...... C Cytopathology 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
88291......... ........ A Cyto/molecular 0.52 0.28 0.20 0.28 0.20 0.02 0.82 0.74 0.82 0.74 XXX
report.
88299......... ........ C Cytogenetic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
study.
88300......... ........ A Surgical path, 0.08 0.60 0.49 NA NA 0.02 0.70 0.59 NA NA XXX
gross.
88300......... 26...... A Surgical path, 0.08 0.02 0.03 0.02 0.03 0.01 0.11 0.12 0.11 0.12 XXX
gross.
88300......... TC...... A Surgical path, 0.00 0.57 0.46 NA NA 0.01 0.58 0.47 NA NA XXX
gross.
88302......... ........ A Tissue exam by 0.13 1.30 1.10 NA NA 0.03 1.46 1.26 NA NA XXX
pathologist.
88302......... 26...... A Tissue exam by 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20 XXX
pathologist.
88302......... TC...... A Tissue exam by 0.00 1.27 1.05 NA NA 0.02 1.29 1.07 NA NA XXX
pathologist.
88304......... ........ A Tissue exam by 0.22 1.57 1.38 NA NA 0.03 1.82 1.63 NA NA XXX
pathologist.
88304......... 26...... A Tissue exam by 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX
pathologist.
88304......... TC...... A Tissue exam by 0.00 1.50 1.30 NA NA 0.02 1.52 1.32 NA NA XXX
pathologist.
88305......... ........ A Tissue exam by 0.75 2.20 1.98 NA NA 0.07 3.02 2.80 NA NA XXX
pathologist.
88305......... 26...... A Tissue exam by 0.75 0.21 0.30 0.21 0.30 0.03 0.99 1.08 0.99 1.08 XXX
pathologist.
88305......... TC...... A Tissue exam by 0.00 1.99 1.68 NA NA 0.04 2.03 1.72 NA NA XXX
pathologist.
88307......... ........ A Tissue exam by 1.59 4.54 3.50 NA NA 0.12 6.25 5.21 NA NA XXX
pathologist.
88307......... 26...... A Tissue exam by 1.59 0.48 0.63 0.48 0.63 0.06 2.13 2.28 2.13 2.28 XXX
pathologist.
88307......... TC...... A Tissue exam by 0.00 4.06 2.87 NA NA 0.06 4.12 2.93 NA NA XXX
pathologist.
88309......... ........ A Tissue exam by 2.80 6.37 4.89 NA NA 0.14 9.31 7.83 NA NA XXX
pathologist.
88309......... 26...... A Tissue exam by 2.80 0.84 0.94 0.84 0.94 0.08 3.72 3.82 3.72 3.82 XXX
pathologist.
88309......... TC...... A Tissue exam by 0.00 5.52 3.95 NA NA 0.06 5.58 4.01 NA NA XXX
pathologist.
88311......... ........ A Decalcify 0.24 0.26 0.24 NA NA 0.02 0.52 0.50 NA NA XXX
tissue.
88311......... 26...... A Decalcify 0.24 0.07 0.09 0.07 0.09 0.01 0.32 0.34 0.32 0.34 XXX
tissue.
88311......... TC...... A Decalcify 0.00 0.18 0.14 NA NA 0.01 0.19 0.15 NA NA XXX
tissue.
88312......... ........ A Special stains. 0.54 2.51 1.77 NA NA 0.03 3.08 2.34 NA NA XXX
88312......... 26...... A Special stains. 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX
88312......... TC...... A Special stains. 0.00 2.36 1.56 NA NA 0.01 2.37 1.57 NA NA XXX
88313......... ........ A Special stains. 0.24 1.96 1.43 NA NA 0.02 2.22 1.69 NA NA XXX
88313......... 26...... A Special stains. 0.24 0.06 0.09 0.06 0.09 0.01 0.31 0.34 0.31 0.34 XXX
88313......... TC...... A Special stains. 0.00 1.90 1.34 NA NA 0.01 1.91 1.35 NA NA XXX
88314......... ........ A Histochemical 0.45 1.96 2.04 NA NA 0.04 2.45 2.53 NA NA XXX
stain.
88314......... 26...... A Histochemical 0.45 0.14 0.18 0.14 0.18 0.02 0.61 0.65 0.61 0.65 XXX
stain.
88314......... TC...... A Histochemical 0.00 1.83 1.86 NA NA 0.02 1.85 1.88 NA NA XXX
stain.
88318......... ........ A Chemical 0.42 3.01 1.99 NA NA 0.03 3.46 2.44 NA NA XXX
histochemistry.
88318......... 26...... A Chemical 0.42 0.13 0.17 0.13 0.17 0.02 0.57 0.61 0.57 0.61 XXX
histochemistry.
88318......... TC...... A Chemical 0.00 2.89 1.83 NA NA 0.01 2.90 1.84 NA NA XXX
histochemistry.
88319......... ........ A Enzyme 0.53 3.29 3.38 NA NA 0.04 3.86 3.95 NA NA XXX
histochemistry.
88319......... 26...... A Enzyme 0.53 0.15 0.20 0.15 0.20 0.02 0.70 0.75 0.70 0.75 XXX
histochemistry.
88319......... TC...... A Enzyme 0.00 3.14 3.18 NA NA 0.02 3.16 3.20 NA NA XXX
histochemistry.
88321......... ........ A Microslide 1.63 0.74 0.78 0.48 0.54 0.05 2.42 2.46 2.16 2.22 XXX
consultation.
88323......... ........ A Microslide 1.83 2.23 1.89 NA NA 0.07 4.13 3.79 NA NA XXX
consultation.
88323......... 26...... A Microslide 1.83 0.47 0.55 0.47 0.55 0.05 2.35 2.43 2.35 2.43 XXX
consultation.
88323......... TC...... A Microslide 0.00 1.77 1.35 NA NA 0.02 1.79 1.37 NA NA XXX
consultation.
88325......... ........ A Comprehensive 2.50 2.27 2.77 0.63 0.87 0.07 4.84 5.34 3.20 3.44 XXX
review of data.
88329......... ........ A Path consult 0.67 0.69 0.66 0.21 0.27 0.02 1.38 1.35 0.90 0.96 XXX
introp.
88331......... ........ A Path consult 1.19 1.25 1.14 NA NA 0.08 2.52 2.41 NA NA XXX
intraop, 1
bloc.
88331......... 26...... A Path consult 1.19 0.37 0.48 0.37 0.48 0.04 1.60 1.71 1.60 1.71 XXX
intraop, 1
bloc.
[[Page 49212]]
88331......... TC...... A Path consult 0.00 0.88 0.66 NA NA 0.04 0.92 0.70 NA NA XXX
intraop, 1
bloc.
88332......... ........ A Path consult 0.59 0.48 0.47 NA NA 0.04 1.11 1.10 NA NA XXX
intraop, addIl.
88332......... 26...... A Path consult 0.59 0.18 0.23 0.18 0.23 0.02 0.79 0.84 0.79 0.84 XXX
intraop, addIl.
88332......... TC...... A Path consult 0.00 0.30 0.23 NA NA 0.02 0.32 0.25 NA NA XXX
intraop, addIl.
88333......... ........ A Intraop cyto 1.20 1.36 1.15 NA NA 0.08 2.64 2.43 NA NA XXX
path consult,
1.
88333......... 26...... A Intraop cyto 1.20 0.38 0.49 0.38 0.49 0.04 1.62 1.73 1.62 1.73 XXX
path consult,
1.
88333......... TC...... A Intraop cyto 0.00 0.98 0.66 NA NA 0.04 1.02 0.70 NA NA XXX
path consult,
1.
88334......... ........ A Intraop cyto 0.59 0.75 0.64 NA NA 0.04 1.38 1.27 NA NA XXX
path consult,
2.
88334......... 26...... A Intraop cyto 0.59 0.18 0.24 0.18 0.24 0.02 0.79 0.85 0.79 0.85 XXX
path consult,
2.
88334......... TC...... A Intraop cyto 0.00 0.57 0.40 NA NA 0.02 0.59 0.42 NA NA XXX
path consult,
2.
88342......... ........ A Immunohistochem 0.85 2.05 1.61 NA NA 0.05 2.95 2.51 NA NA XXX
istry.
88342......... 26...... A Immunohistochem 0.85 0.23 0.33 0.23 0.33 0.03 1.11 1.21 1.11 1.21 XXX
istry.
88342......... TC...... A Immunohistochem 0.00 1.82 1.28 NA NA 0.02 1.84 1.30 NA NA XXX
istry.
88346......... ........ A Immunofluoresce 0.86 1.97 1.67 NA NA 0.05 2.88 2.58 NA NA XXX
nt study.
88346......... 26...... A Immunofluoresce 0.86 0.23 0.33 0.23 0.33 0.03 1.12 1.22 1.12 1.22 XXX
nt study.
88346......... TC...... A Immunofluoresce 0.00 1.74 1.34 NA NA 0.02 1.76 1.36 NA NA XXX
nt study.
88347......... ........ A Immunofluoresce 0.86 1.30 1.27 NA NA 0.05 2.21 2.18 NA NA XXX
nt study.
88347......... 26...... A Immunofluoresce 0.86 0.18 0.31 0.18 0.31 0.03 1.07 1.20 1.07 1.20 XXX
nt study.
88347......... TC...... A Immunofluoresce 0.00 1.12 0.96 NA NA 0.02 1.14 0.98 NA NA XXX
nt study.
88348......... ........ A Electron 1.51 18.27 11.58 NA NA 0.13 19.91 13.22 NA NA XXX
microscopy.
88348......... 26...... A Electron 1.51 0.42 0.59 0.42 0.59 0.06 1.99 2.16 1.99 2.16 XXX
microscopy.
88348......... TC...... A Electron 0.00 17.85 11.00 NA NA 0.07 17.92 11.07 NA NA XXX
microscopy.
88349......... ........ A Scanning 0.76 8.97 4.91 NA NA 0.09 9.82 5.76 NA NA XXX
electron
microscopy.
88349......... 26...... A Scanning 0.76 0.22 0.30 0.22 0.30 0.03 1.01 1.09 1.01 1.09 XXX
electron
microscopy.
88349......... TC...... A Scanning 0.00 8.75 4.61 NA NA 0.06 8.81 4.67 NA NA XXX
electron
microscopy.
88355......... ........ A Analysis, 1.85 3.40 7.42 NA NA 0.13 5.38 9.40 NA NA XXX
skeletal
muscle.
88355......... 26...... A Analysis, 1.85 0.40 0.69 0.40 0.69 0.07 2.32 2.61 2.32 2.61 XXX
skeletal
muscle.
88355......... TC...... A Analysis, 0.00 2.99 6.73 NA NA 0.06 3.05 6.79 NA NA XXX
skeletal
muscle.
88356......... ........ A Analysis, nerve 3.02 6.75 4.82 NA NA 0.19 9.96 8.03 NA NA XXX
88356......... 26...... A Analysis, nerve 3.02 0.79 1.14 0.79 1.14 0.12 3.93 4.28 3.93 4.28 XXX
88356......... TC...... A Analysis, nerve 0.00 5.96 3.68 NA NA 0.07 6.03 3.75 NA NA XXX
88358......... ........ A Analysis, tumor 0.95 1.14 0.92 NA NA 0.17 2.26 2.04 NA NA XXX
88358......... 26...... A Analysis, tumor 0.95 0.17 0.34 0.17 0.34 0.10 1.22 1.39 1.22 1.39 XXX
88358......... TC...... A Analysis, tumor 0.00 0.97 0.57 NA NA 0.07 1.04 0.64 NA NA XXX
88360......... ........ A Tumor 1.10 2.33 1.87 NA NA 0.08 3.51 3.05 NA NA XXX
immunohistoche
m/manual.
88360......... 26...... A Tumor 1.10 0.28 0.42 0.28 0.42 0.06 1.44 1.58 1.44 1.58 XXX
immunohistoche
m/manual.
88360......... TC...... A Tumor 0.00 2.04 1.46 NA NA 0.02 2.06 1.48 NA NA XXX
immunohistoche
m/manual.
88361......... ........ A Tumor 1.18 2.79 2.96 NA NA 0.17 4.14 4.31 NA NA XXX
immunohistoche
m/comput.
88361......... 26...... A Tumor 1.18 0.26 0.43 0.26 0.43 0.10 1.54 1.71 1.54 1.71 XXX
immunohistoche
m/comput.
88361......... TC...... A Tumor 0.00 2.53 2.53 NA NA 0.07 2.60 2.60 NA NA XXX
immunohistoche
m/comput.
88362......... ........ A Nerve teasing 2.17 5.31 4.85 NA NA 0.15 7.63 7.17 NA NA XXX
preparations.
88362......... 26...... A Nerve teasing 2.17 0.61 0.84 0.61 0.84 0.09 2.87 3.10 2.87 3.10 XXX
preparations.
88362......... TC...... A Nerve teasing 0.00 4.71 4.01 NA NA 0.06 4.77 4.07 NA NA XXX
preparations.
88365......... ........ A Insitu 1.20 2.99 2.34 NA NA 0.05 4.24 3.59 NA NA XXX
hybridization
(fish).
88365......... 26...... A Insitu 1.20 0.25 0.45 0.25 0.45 0.03 1.48 1.68 1.48 1.68 XXX
hybridization
(fish).
88365......... TC...... A Insitu 0.00 2.74 1.90 NA NA 0.02 2.76 1.92 NA NA XXX
hybridization
(fish).
88367......... ........ A Insitu 1.30 5.30 4.35 NA NA 0.12 6.72 5.77 NA NA XXX
hybridization,
auto.
88367......... 26...... A Insitu 1.30 0.23 0.46 0.23 0.46 0.06 1.59 1.82 1.59 1.82 XXX
hybridization,
auto.
88367......... TC...... A Insitu 0.00 5.06 3.88 NA NA 0.06 5.12 3.94 NA NA XXX
hybridization,
auto.
88368......... ........ A Insitu 1.40 4.83 3.00 NA NA 0.12 6.35 4.52 NA NA XXX
hybridization,
manual.
88368......... 26...... A Insitu 1.40 0.22 0.51 0.22 0.51 0.06 1.68 1.97 1.68 1.97 XXX
hybridization,
manual.
88368......... TC...... A Insitu 0.00 4.60 2.49 NA NA 0.06 4.66 2.55 NA NA XXX
hybridization,
manual.
88371......... 26...... A Protein, 0.37 0.10 0.12 0.10 0.12 0.01 0.48 0.50 0.48 0.50 XXX
western blot
tissue.
88372......... 26...... A Protein 0.37 0.11 0.15 0.11 0.15 0.01 0.49 0.53 0.49 0.53 XXX
analysis w/
probe.
88380......... ........ C Microdissection 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX
[[Page 49213]]
88380......... TC...... C Microdissection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
88384......... ........ C Eval molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probes, 11-50.
88384......... 26...... C Eval molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probes, 11-50.
88384......... TC...... C Eval molecular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
probes, 11-50.
88385......... ........ A Eval molecul 1.50 14.75 9.00 NA NA 0.12 16.37 10.62 NA NA XXX
probes, 51-250.
88385......... 26...... A Eval molecul 1.50 0.24 0.55 0.24 0.55 0.06 1.80 2.11 1.80 2.11 XXX
probes, 51-250.
88385......... TC...... A Eval molecul 0.00 14.51 8.45 NA NA 0.06 14.57 8.51 NA NA XXX
probes, 51-250.
88386......... ........ A Eval molecul 1.88 14.65 8.94 NA NA 0.16 16.69 10.98 NA NA XXX
probes, 251-
500.
88386......... 26...... A Eval molecul 1.88 0.30 0.69 0.30 0.69 0.08 2.26 2.65 2.26 2.65 XXX
probes, 251-
500.
88386......... TC...... A Eval molecul 0.00 14.35 8.25 NA NA 0.08 14.43 8.33 NA NA XXX
probes, 251-
500.
88399......... ........ C Surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pathology
procedure.
88399......... 26...... C Surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pathology
procedure.
88399......... TC...... C Surgical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pathology
procedure.
89049......... ........ A Chct for mal 1.40 3.62 3.57 0.20 0.25 0.06 5.08 5.03 1.66 1.71 XXX
hyperthermia.
89060......... 26...... A Exam,synovial 0.37 0.12 0.15 0.12 0.15 0.01 0.50 0.53 0.50 0.53 XXX
fluid crystals.
89100......... ........ A Sample 0.60 8.87 3.59 0.59 0.31 0.03 9.50 4.22 1.22 0.94 XXX
intestinal
contents.
89105......... ........ A Sample 0.50 7.68 3.59 0.45 0.24 0.02 8.20 4.11 0.97 0.76 XXX
intestinal
contents.
89130......... ........ A Sample stomach 0.45 6.95 3.04 0.39 0.20 0.02 7.42 3.51 0.86 0.67 XXX
contents.
89132......... ........ A Sample stomach 0.19 6.51 2.79 0.29 0.12 0.01 6.71 2.99 0.49 0.32 XXX
contents.
89135......... ........ A Sample stomach 0.79 8.87 3.64 0.67 0.36 0.04 9.70 4.47 1.50 1.19 XXX
contents.
89136......... ........ A Sample stomach 0.21 7.13 3.08 0.32 0.15 0.01 7.35 3.30 0.54 0.37 XXX
contents.
89140......... ........ A Sample stomach 0.94 6.89 3.28 0.50 0.33 0.04 7.87 4.26 1.48 1.31 XXX
contents.
89141......... ........ A Sample stomach 0.85 5.54 3.48 0.40 0.35 0.03 6.42 4.36 1.28 1.23 XXX
contents.
89220......... ........ A Sputum specimen 0.00 0.36 0.41 NA NA 0.02 0.38 0.43 NA NA XXX
collection.
89230......... ........ A Collect sweat 0.00 0.08 0.10 NA NA 0.02 0.10 0.12 NA NA XXX
for test.
89240......... ........ C Pathology lab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
90465......... ........ A Immune admin 1 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX
inj, < 8 yrs.
90466......... ........ A Immune admin 0.15 0.12 0.13 0.04 0.11 0.01 0.28 0.29 0.20 0.27 ZZZ
addl inj, < 8
y.
90467......... ........ R Immune admin o 0.17 0.17 0.17 0.07 0.09 0.01 0.35 0.35 0.25 0.27 XXX
or n, < 8 yrs.
90468......... ........ R Immune admin o/ 0.15 0.10 0.11 0.03 0.05 0.01 0.26 0.27 0.19 0.21 ZZZ
n, addl < 8 y.
90471......... ........ A Immunization 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX
admin.
90472......... ........ A Immunization 0.15 0.12 0.13 0.04 0.11 0.01 0.28 0.29 0.20 0.27 ZZZ
admin, each
add.
90473......... ........ R Immune admin 0.17 0.16 0.18 0.04 0.06 0.01 0.34 0.36 0.22 0.24 XXX
oral/nasal.
90474......... ........ R Immune admin 0.15 0.08 0.10 0.03 0.05 0.01 0.24 0.26 0.19 0.21 ZZZ
oral/nasal
addl.
90760......... ........ A Hydration iv 0.17 1.31 1.40 NA NA 0.07 1.55 1.64 NA NA XXX
infusion, init.
90761......... ........ A Hydrate iv 0.09 0.32 0.38 NA NA 0.04 0.45 0.51 NA NA ZZZ
infusion, add-
on.
90765......... ........ A Ther/proph/diag 0.21 1.62 1.72 NA NA 0.07 1.90 2.00 NA NA XXX
iv inf, init.
90766......... ........ A Ther/proph/dg 0.18 0.37 0.44 NA NA 0.04 0.59 0.66 NA NA ZZZ
iv inf, add-on.
90767......... ........ A Tx/proph/dg 0.19 0.69 0.84 NA NA 0.04 0.92 1.07 NA NA ZZZ
addl seq iv
inf.
90768......... ........ A Ther/diag 0.17 0.33 0.41 NA NA 0.04 0.54 0.62 NA NA ZZZ
concurrent inf.
90772......... ........ A Ther/proph/diag 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX
inj, sc/im.
90773......... ........ A Ther/proph/diag 0.17 0.30 0.31 NA NA 0.02 0.49 0.50 NA NA XXX
inj, ia.
90774......... ........ A Ther/proph/diag 0.18 1.34 1.31 NA NA 0.04 1.56 1.53 NA NA XXX
inj, iv push.
90775......... ........ A Ther/proph/diag 0.10 0.51 0.56 NA NA 0.04 0.65 0.70 NA NA ZZZ
inj add-on.
90779......... ........ C Ther/prop/diag 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inj/inf proc.
90801......... ........ A Psy dx 2.80 1.47 1.25 0.59 0.85 0.06 4.33 4.11 3.45 3.71 XXX
interview.
90802......... ........ A Intac psy dx 3.01 1.51 1.28 0.65 0.90 0.07 4.59 4.36 3.73 3.98 XXX
interview.
90804......... ........ A Psytx, office, 1.21 0.54 0.50 0.21 0.34 0.03 1.78 1.74 1.45 1.58 XXX
20-30 min.
90805......... ........ A Psytx, off, 20- 1.37 0.59 0.52 0.24 0.38 0.03 1.99 1.92 1.64 1.78 XXX
30 min w/e&m.
90806......... ........ A Psytx, off, 45- 1.86 0.51 0.65 0.32 0.53 0.04 2.41 2.55 2.22 2.43 XXX
50 min.
90807......... ........ A Psytx, off, 45- 2.02 0.70 0.70 0.35 0.56 0.05 2.77 2.77 2.42 2.63 XXX
50 min w/e&m.
90808......... ........ A Psytx, office, 2.79 0.67 0.94 0.48 0.80 0.06 3.52 3.79 3.33 3.65 XXX
75-80 min.
90809......... ........ A Psytx, off, 75- 2.95 0.85 0.96 0.51 0.82 0.07 3.87 3.98 3.53 3.84 XXX
80, w/e&m.
90810......... ........ A Intac psytx, 1.32 0.51 0.51 0.23 0.37 0.04 1.87 1.87 1.59 1.73 XXX
off, 20-30 min.
90811......... ........ A Intac psytx, 20- 1.48 0.72 0.61 0.26 0.41 0.04 2.24 2.13 1.78 1.93 XXX
30, w/e&m.
90812......... ........ A Intac psytx, 1.97 0.63 0.75 0.33 0.56 0.04 2.64 2.76 2.34 2.57 XXX
off, 45-50 min.
90813......... ........ A Intac psytx, 45- 2.13 0.82 0.78 0.37 0.60 0.05 3.00 2.96 2.55 2.78 XXX
50 min w/e&m.
90814......... ........ A Intac psytx, 2.90 0.77 1.02 0.50 0.86 0.06 3.73 3.98 3.46 3.82 XXX
off, 75-80 min.
90815......... ........ A Intac psytx, 75- 3.06 0.98 1.03 0.53 0.85 0.07 4.11 4.16 3.66 3.98 XXX
80 w/e&m.
90816......... ........ A Psytx, hosp, 20- 1.25 NA NA 0.31 0.42 0.03 NA NA 1.59 1.70 XXX
30 min.
90817......... ........ A Psytx, hosp, 20- 1.41 NA NA 0.35 0.43 0.03 NA NA 1.79 1.87 XXX
30 min w/e&m.
90818......... ........ A Psytx, hosp, 45- 1.89 NA NA 0.42 0.62 0.04 NA NA 2.35 2.55 XXX
50 min.
90819......... ........ A Psytx, hosp, 45- 2.05 NA NA 0.46 0.60 0.05 NA NA 2.56 2.70 XXX
50 min w/e&m.
90821......... ........ A Psytx, hosp, 75- 2.83 NA NA 0.58 0.90 0.06 NA NA 3.47 3.79 XXX
80 min.
90822......... ........ A Psytx, hosp, 75- 2.99 NA NA 0.62 0.87 0.08 NA NA 3.69 3.94 XXX
80 min w/e&m.
90823......... ........ A Intac psytx, 1.36 NA NA 0.33 0.44 0.03 NA NA 1.72 1.83 XXX
hosp, 20-30
min.
[[Page 49214]]
90824......... ........ A Intac psytx, 1.52 NA NA 0.37 0.46 0.04 NA NA 1.93 2.02 XXX
hsp 20-30 w/
e&m.
90826......... ........ A Intac psytx, 2.01 NA NA 0.44 0.65 0.05 NA NA 2.50 2.71 XXX
hosp, 45-50
min.
90827......... ........ A Intac psytx, 2.16 NA NA 0.48 0.63 0.05 NA NA 2.69 2.84 XXX
hsp 45-50 w/
e&m.
90828......... ........ A Intac psytx, 2.94 NA NA 0.60 0.95 0.06 NA NA 3.60 3.95 XXX
hosp, 75-80
min.
90829......... ........ A Intac psytx, 3.10 NA NA 0.64 0.90 0.07 NA NA 3.81 4.07 XXX
hsp 75-80 w/
e&m.
90845......... ........ A Psychoanalysis. 1.79 0.38 0.53 0.31 0.49 0.04 2.21 2.36 2.14 2.32 XXX
90846......... ........ R Family psytx w/ 1.83 0.50 0.61 0.42 0.59 0.04 2.37 2.48 2.29 2.46 XXX
o patient.
90847......... ........ R Family psytx w/ 2.21 0.72 0.80 0.48 0.69 0.05 2.98 3.06 2.74 2.95 XXX
patient.
90849......... ........ R Multiple family 0.59 0.30 0.28 0.20 0.23 0.02 0.91 0.89 0.81 0.84 XXX
group psytx.
90853......... ........ A Group 0.59 0.27 0.26 0.20 0.22 0.01 0.87 0.86 0.80 0.82 XXX
psychotherapy.
90857......... ........ A Intac group 0.63 0.36 0.31 0.20 0.24 0.01 1.00 0.95 0.84 0.88 XXX
psytx.
90862......... ........ A Medication 0.95 0.62 0.46 0.27 0.31 0.02 1.59 1.43 1.24 1.28 XXX
management.
90865......... ........ A Narcosynthesis. 2.84 1.18 1.32 0.63 0.84 0.12 4.14 4.28 3.59 3.80 XXX
90870......... ........ A Electroconvulsi 1.88 1.90 1.92 0.38 0.54 0.04 3.82 3.84 2.30 2.46 000
ve therapy.
90875......... ........ N Psychophysiolog 1.20 0.53 0.81 0.28 0.42 0.04 1.77 2.05 1.52 1.66 XXX
ical therapy.
90876......... ........ N Psychophysiolog 1.90 0.68 1.04 0.44 0.66 0.05 2.63 2.99 2.39 2.61 XXX
ical therapy.
90880......... ........ A Hypnotherapy... 2.19 0.56 0.92 0.37 0.61 0.05 2.80 3.16 2.61 2.85 XXX
90885......... ........ B Psy evaluation 0.97 0.23 0.34 0.23 0.34 0.02 1.22 1.33 1.22 1.33 XXX
of records.
90887......... ........ B Consultation 1.48 0.62 0.77 0.34 0.51 0.04 2.14 2.29 1.86 2.03 XXX
with family.
90899......... ........ C Psychiatric 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service/
therapy.
90901......... ........ A Biofeedback 0.41 0.48 0.61 0.11 0.13 0.02 0.91 1.04 0.54 0.56 000
train, any
meth.
90911......... ........ A Biofeedback 0.89 1.38 1.52 0.30 0.31 0.06 2.33 2.47 1.25 1.26 000
peri/uro/
rectal.
90918......... ........ I ESRD related 11.16 4.75 5.77 3.78 5.53 0.36 16.27 17.29 15.30 17.05 XXX
services,
month.
90919......... ........ I ESRD related 8.53 3.06 3.77 2.58 3.65 0.29 11.88 12.59 11.40 12.47 XXX
services,
month.
90920......... ........ I ESRD related 7.26 2.77 3.51 2.29 3.39 0.23 10.26 11.00 9.78 10.88 XXX
services,
month.
90921......... ........ I ESRD related 4.46 1.73 2.26 1.63 2.24 0.14 6.33 6.86 6.23 6.84 XXX
services,
month.
90922......... ........ I ESRD related 0.37 0.16 0.20 0.13 0.19 0.01 0.54 0.58 0.51 0.57 XXX
services, day.
90923......... ........ I Esrd related 0.28 0.10 0.12 0.08 0.12 0.01 0.39 0.41 0.37 0.41 XXX
services, day.
90924......... ........ I Esrd related 0.24 0.09 0.11 0.08 0.11 0.01 0.34 0.36 0.33 0.36 XXX
services, day.
90925......... ........ I Esrd related 0.15 0.06 0.08 0.05 0.07 0.01 0.22 0.24 0.21 0.23 XXX
services, day.
90935......... ........ A Hemodialysis, 1.22 NA NA 0.54 0.64 0.04 NA NA 1.80 1.90 000
one evaluation.
90937......... ........ A Hemodialysis, 2.11 NA NA 0.78 0.92 0.07 NA NA 2.96 3.10 000
repeated eval.
90945......... ........ A Dialysis, one 1.28 NA NA 0.56 0.66 0.04 NA NA 1.88 1.98 000
evaluation.
90947......... ........ A Dialysis, 2.16 NA NA 0.80 0.94 0.07 NA NA 3.03 3.17 000
repeated eval.
90997......... ........ A Hemoperfusion.. 1.84 NA NA 0.50 0.62 0.06 NA NA 2.40 2.52 000
90999......... ........ C Dialysis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
91000......... ........ A Esophageal 0.73 2.22 0.80 2.22 0.80 0.04 2.99 1.57 2.99 1.57 000
intubation.
91000......... 26...... A Esophageal 0.73 0.24 0.25 0.24 0.25 0.03 1.00 1.01 1.00 1.01 000
intubation.
91000......... TC...... A Esophageal 0.00 1.98 0.56 1.98 0.56 0.01 1.99 0.57 1.99 0.57 000
intubation.
91010......... ........ A Esophagus 1.25 3.66 4.22 3.66 4.22 0.12 5.03 5.59 5.03 5.59 000
motility study.
91010......... 26...... A Esophagus 1.25 0.55 0.47 0.55 0.47 0.06 1.86 1.78 1.86 1.78 000
motility study.
91010......... TC...... A Esophagus 0.00 3.11 3.76 3.11 3.76 0.06 3.17 3.82 3.17 3.82 000
motility study.
91011......... ........ A Esophagus 1.50 5.31 5.24 5.31 5.24 0.13 6.94 6.87 6.94 6.87 000
motility study.
91011......... 26...... A Esophagus 1.50 0.70 0.57 0.70 0.57 0.07 2.27 2.14 2.27 2.14 000
motility study.
91011......... TC...... A Esophagus 0.00 4.61 4.68 4.61 4.68 0.06 4.67 4.74 4.67 4.74 000
motility study.
91012......... ........ A Esophagus 1.46 5.49 5.69 5.49 5.69 0.13 7.08 7.28 7.08 7.28 000
motility study.
91012......... 26...... A Esophagus 1.46 0.68 0.55 0.68 0.55 0.06 2.20 2.07 2.20 2.07 000
motility study.
91012......... TC...... A Esophagus 0.00 4.81 5.13 4.81 5.13 0.07 4.88 5.20 4.88 5.20 000
motility study.
91020......... ........ A Gastric 1.44 4.79 4.59 4.79 4.59 0.13 6.36 6.16 6.36 6.16 000
motility
studies.
91020......... 26...... A Gastric 1.44 0.61 0.52 0.61 0.52 0.07 2.12 2.03 2.12 2.03 000
motility
studies.
91020......... TC...... A Gastric 0.00 4.19 4.07 4.19 4.07 0.06 4.25 4.13 4.25 4.13 000
motility
studies.
91022......... ........ A Duodenal 1.44 3.09 4.07 3.09 4.07 0.13 4.66 5.64 4.66 5.64 000
motility study.
91022......... 26...... A Duodenal 1.44 0.61 0.54 0.61 0.54 0.07 2.12 2.05 2.12 2.05 000
motility study.
91022......... TC...... A Duodenal 0.00 2.48 3.54 2.48 3.54 0.06 2.54 3.60 2.54 3.60 000
motility study.
91030......... ........ A Acid perfusion 0.91 2.92 2.55 2.92 2.55 0.06 3.89 3.52 3.89 3.52 000
of esophagus.
91030......... 26...... A Acid perfusion 0.91 0.43 0.35 0.43 0.35 0.04 1.38 1.30 1.38 1.30 000
of esophagus.
[[Page 49215]]
91030......... TC...... A Acid perfusion 0.00 2.49 2.21 2.49 2.21 0.02 2.51 2.23 2.51 2.23 000
of esophagus.
91034......... ........ A Gastroesophagea 0.97 4.12 4.95 4.12 4.95 0.12 5.21 6.04 5.21 6.04 000
l reflux test.
91034......... 26...... A Gastroesophagea 0.97 0.41 0.36 0.41 0.36 0.06 1.44 1.39 1.44 1.39 000
l reflux test.
91034......... TC...... A Gastroesophagea 0.00 3.70 4.60 3.70 4.60 0.06 3.76 4.66 3.76 4.66 000
l reflux test.
91035......... ........ A G-esoph reflx 1.59 11.33 10.93 11.33 10.93 0.12 13.04 12.64 13.04 12.64 000
tst w/electrod.
91035......... 26...... A G-esoph reflx 1.59 0.70 0.60 0.70 0.60 0.06 2.35 2.25 2.35 2.25 000
tst w/electrod.
91035......... TC...... A G-esoph reflx 0.00 10.63 10.34 10.63 10.34 0.06 10.69 10.40 10.69 10.40 000
tst w/electrod.
91037......... ........ A Esoph imped 0.97 3.41 3.05 3.41 3.05 0.12 4.50 4.14 4.50 4.14 000
function test.
91037......... 26...... A Esoph imped 0.97 0.42 0.36 0.42 0.36 0.06 1.45 1.39 1.45 1.39 000
function test.
91037......... TC...... A Esoph imped 0.00 2.99 2.69 2.99 2.69 0.06 3.05 2.75 3.05 2.75 000
function test.
91038......... ........ A Esoph imped 1.10 2.78 2.36 2.78 2.36 0.12 4.00 3.58 4.00 3.58 000
funct test >
1h.
91038......... 26...... A Esoph imped 1.10 0.50 0.42 0.50 0.42 0.06 1.66 1.58 1.66 1.58 000
funct test >
1h.
91038......... TC...... A Esoph imped 0.00 2.28 1.94 2.28 1.94 0.06 2.34 2.00 2.34 2.00 000
funct test >
1h.
91040......... ........ A Esoph balloon 0.97 9.35 10.69 9.35 10.69 0.12 10.44 11.78 10.44 11.78 000
distension tst.
91040......... 26...... A Esoph balloon 0.97 0.37 0.35 0.37 0.35 0.06 1.40 1.38 1.40 1.38 000
distension tst.
91040......... TC...... A Esoph balloon 0.00 8.97 10.34 8.97 10.34 0.06 9.03 10.40 9.03 10.40 000
distension tst.
91052......... ........ A Gastric 0.79 2.99 2.59 2.99 2.59 0.05 3.83 3.43 3.83 3.43 000
analysis test.
91052......... 26...... A Gastric 0.79 0.37 0.30 0.37 0.30 0.03 1.19 1.12 1.19 1.12 000
analysis test.
91052......... TC...... A Gastric 0.00 2.62 2.28 2.62 2.28 0.02 2.64 2.30 2.64 2.30 000
analysis test.
91055......... ........ A Gastric 0.94 2.44 2.82 2.44 2.82 0.07 3.45 3.83 3.45 3.83 000
intubation for
smear.
91055......... 26...... A Gastric 0.94 0.27 0.27 0.27 0.27 0.05 1.26 1.26 1.26 1.26 000
intubation for
smear.
91055......... TC...... A Gastric 0.00 2.17 2.55 2.17 2.55 0.02 2.19 2.57 2.19 2.57 000
intubation for
smear.
91060......... ........ A Gastric saline 0.45 1.65 1.88 1.65 1.88 0.05 2.15 2.38 2.15 2.38 000
load test.
91060......... 26...... A Gastric saline 0.45 0.11 0.13 0.11 0.13 0.03 0.59 0.61 0.59 0.61 000
load test.
91060......... TC...... A Gastric saline 0.00 1.54 1.75 1.54 1.75 0.02 1.56 1.77 1.56 1.77 000
load test.
91065......... ........ A Breath hydrogen 0.20 1.41 1.45 1.41 1.45 0.03 1.64 1.68 1.64 1.68 000
test.
91065......... 26...... A Breath hydrogen 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 000
test.
91065......... TC...... A Breath hydrogen 0.00 1.34 1.38 1.34 1.38 0.02 1.36 1.40 1.36 1.40 000
test.
91100......... ........ A Pass intestine 1.08 2.15 2.63 0.37 0.30 0.07 3.30 3.78 1.52 1.45 000
bleeding tube.
91105......... ........ A Gastric 0.37 1.76 2.02 0.07 0.09 0.03 2.16 2.42 0.47 0.49 000
intubation
treatment.
91110......... ........ A Gi tract 3.64 20.55 21.77 NA NA 0.16 24.35 25.57 NA NA XXX
capsule
endoscopy.
91110......... 26...... A Gi tract 3.64 1.66 1.38 1.66 1.38 0.09 5.39 5.11 5.39 5.11 XXX
capsule
endoscopy.
91110......... TC...... A Gi tract 0.00 18.90 20.40 NA NA 0.07 18.97 20.47 NA NA XXX
capsule
endoscopy.
91120......... ........ A Rectal 0.97 9.12 10.52 9.12 10.52 0.11 10.20 11.60 10.20 11.60 XXX
sensation test.
91120......... 26...... A Rectal 0.97 0.30 0.33 0.30 0.33 0.07 1.34 1.37 1.34 1.37 XXX
sensation test.
91120......... TC...... A Rectal 0.00 8.82 10.19 8.82 10.19 0.04 8.86 10.23 8.86 10.23 XXX
sensation test.
91122......... ........ A Anal pressure 1.77 3.76 4.77 3.76 4.77 0.21 5.74 6.75 5.74 6.75 000
record.
91122......... 26...... A Anal pressure 1.77 0.52 0.58 0.52 0.58 0.13 2.42 2.48 2.42 2.48 000
record.
91122......... TC...... A Anal pressure 0.00 3.24 4.19 3.24 4.19 0.08 3.32 4.27 3.32 4.27 000
record.
91132......... ........ C Electrogastrogr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aphy.
91132......... 26...... A Electrogastrogr 0.52 0.25 0.20 0.25 0.20 0.02 0.79 0.74 0.79 0.74 XXX
aphy.
91132......... TC...... C Electrogastrogr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aphy.
91133......... ........ C Electrogastrogr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aphy w/test.
91133......... 26...... A Electrogastrogr 0.66 0.30 0.25 0.30 0.25 0.03 0.99 0.94 0.99 0.94 XXX
aphy w/test.
91133......... TC...... C Electrogastrogr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
aphy w/test.
91299......... ........ C Gastroenterolog 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
y procedure.
91299......... 26...... C Gastroenterolog 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
y procedure.
91299......... TC...... C Gastroenterolog 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
y procedure.
92002......... ........ A Eye exam, new 0.88 0.97 0.97 0.27 0.32 0.02 1.87 1.87 1.17 1.22 XXX
patient.
92004......... ........ A Eye exam, new 1.67 1.59 1.67 0.54 0.65 0.04 3.30 3.38 2.25 2.36 XXX
patient.
92012......... ........ A Eye exam 0.67 0.94 1.01 0.24 0.28 0.02 1.63 1.70 0.93 0.97 XXX
established
pat.
92014......... ........ A Eye exam & 1.10 1.32 1.39 0.38 0.45 0.03 2.45 2.52 1.51 1.58 XXX
treatment.
92015......... ........ N Refraction..... 0.38 0.10 1.14 0.09 0.14 0.01 0.49 1.53 0.48 0.53 XXX
92018......... ........ A New eye exam & 2.50 NA NA 0.91 1.03 0.07 NA NA 3.48 3.60 XXX
treatment.
92019......... ........ A Eye exam & 1.31 NA NA 0.44 0.53 0.03 NA NA 1.78 1.87 XXX
treatment.
92020......... ........ A Special eye 0.37 0.26 0.32 0.13 0.15 0.01 0.64 0.70 0.51 0.53 XXX
evaluation.
92060......... ........ A Special eye 0.69 0.79 0.75 NA NA 0.03 1.51 1.47 NA NA XXX
evaluation.
92060......... 26...... A Special eye 0.69 0.23 0.28 0.23 0.28 0.02 0.94 0.99 0.94 0.99 XXX
evaluation.
92060......... TC...... A Special eye 0.00 0.56 0.47 NA NA 0.01 0.57 0.48 NA NA XXX
evaluation.
92065......... ........ A Orthoptic/ 0.37 0.89 0.62 NA NA 0.02 1.28 1.01 NA NA XXX
pleoptic
training.
92065......... 26...... A Orthoptic/ 0.37 0.09 0.14 0.09 0.14 0.01 0.47 0.52 0.47 0.52 XXX
pleoptic
training.
92065......... TC...... A Orthoptic/ 0.00 0.79 0.48 NA NA 0.01 0.80 0.49 NA NA XXX
pleoptic
training.
92070......... ........ A Fitting of 0.70 0.94 1.04 0.24 0.30 0.02 1.66 1.76 0.96 1.02 XXX
contact lens.
92081......... ........ A Visual field 0.36 0.97 0.95 NA NA 0.02 1.35 1.33 NA NA XXX
examination(s).
92081......... 26...... A Visual field 0.36 0.11 0.14 0.11 0.14 0.01 0.48 0.51 0.48 0.51 XXX
examination(s).
92081......... TC...... A Visual field 0.00 0.86 0.81 NA NA 0.01 0.87 0.82 NA NA XXX
examination(s).
[[Page 49216]]
92082......... ........ A Visual field 0.44 1.36 1.26 NA NA 0.02 1.82 1.72 NA NA XXX
examination(s).
92082......... 26...... A Visual field 0.44 0.14 0.18 0.14 0.18 0.01 0.59 0.63 0.59 0.63 XXX
examination(s).
92082......... TC...... A Visual field 0.00 1.22 1.09 NA NA 0.01 1.23 1.10 NA NA XXX
examination(s).
92083......... ........ A Visual field 0.50 1.56 1.46 NA NA 0.02 2.08 1.98 NA NA XXX
examination(s).
92083......... 26...... A Visual field 0.50 0.17 0.21 0.17 0.21 0.01 0.68 0.72 0.68 0.72 XXX
examination(s).
92083......... TC...... A Visual field 0.00 1.39 1.26 NA NA 0.01 1.40 1.27 NA NA XXX
examination(s).
92100......... ........ A Serial 0.92 1.28 1.33 0.29 0.34 0.02 2.22 2.27 1.23 1.28 XXX
tonometry
exam(s).
92120......... ........ A Tonography & 0.81 1.00 1.05 0.26 0.31 0.02 1.83 1.88 1.09 1.14 XXX
eye evaluation.
92130......... ........ A Water 0.81 1.21 1.26 0.28 0.35 0.02 2.04 2.09 1.11 1.18 XXX
provocation
tonography.
92135......... ........ A Opthalmic dx 0.35 0.81 0.80 NA NA 0.02 1.18 1.17 NA NA XXX
imaging.
92135......... 26...... A Opthalmic dx 0.35 0.12 0.14 0.12 0.14 0.01 0.48 0.50 0.48 0.50 XXX
imaging.
92135......... TC...... A Opthalmic dx 0.00 0.69 0.65 NA NA 0.01 0.70 0.66 NA NA XXX
imaging.
92136......... ........ A Ophthalmic 0.54 1.46 1.60 NA NA 0.08 2.08 2.22 NA NA XXX
biometry.
92136......... 26...... A Ophthalmic 0.54 0.20 0.23 0.20 0.23 0.01 0.75 0.78 0.75 0.78 XXX
biometry.
92136......... TC...... A Ophthalmic 0.00 1.26 1.37 NA NA 0.07 1.33 1.44 NA NA XXX
biometry.
92140......... ........ A Glaucoma 0.50 0.92 0.97 0.15 0.20 0.01 1.43 1.48 0.66 0.71 XXX
provocative
tests.
92225......... ........ A Special eye 0.38 0.25 0.23 0.13 0.15 0.01 0.64 0.62 0.52 0.54 XXX
exam, initial.
92226......... ........ A Special eye 0.33 0.24 0.22 0.12 0.14 0.01 0.58 0.56 0.46 0.48 XXX
exam,
subsequent.
92230......... ........ A Eye exam with 0.60 0.73 1.33 0.21 0.20 0.02 1.35 1.95 0.83 0.82 XXX
photos.
92235......... ........ A Eye exam with 0.81 2.33 2.54 NA NA 0.08 3.22 3.43 NA NA XXX
photos.
92235......... 26...... A Eye exam with 0.81 0.30 0.35 0.30 0.35 0.02 1.13 1.18 1.13 1.18 XXX
photos.
92235......... TC...... A Eye exam with 0.00 2.02 2.19 NA NA 0.06 2.08 2.25 NA NA XXX
photos.
92240......... ........ A Icg angiography 1.10 4.51 5.70 NA NA 0.09 5.70 6.89 NA NA XXX
92240......... 26...... A Icg angiography 1.10 0.41 0.48 0.41 0.48 0.03 1.54 1.61 1.54 1.61 XXX
92240......... TC...... A Icg angiography 0.00 4.09 5.22 NA NA 0.06 4.15 5.28 NA NA XXX
92250......... ........ A Eye exam with 0.44 1.34 1.48 NA NA 0.02 1.80 1.94 NA NA XXX
photos.
92250......... 26...... A Eye exam with 0.44 0.15 0.18 0.15 0.18 0.01 0.60 0.63 0.60 0.63 XXX
photos.
92250......... TC...... A Eye exam with 0.00 1.19 1.30 NA NA 0.01 1.20 1.31 NA NA XXX
photos.
92260......... ........ A Ophthalmoscopy/ 0.20 0.23 0.25 0.07 0.09 0.01 0.44 0.46 0.28 0.30 XXX
dynamometry.
92265......... ........ A Eye muscle 0.81 1.01 1.37 NA NA 0.06 1.88 2.24 NA NA XXX
evaluation.
92265......... 26...... A Eye muscle 0.81 0.24 0.27 0.24 0.27 0.04 1.09 1.12 1.09 1.12 XXX
evaluation.
92265......... TC...... A Eye muscle 0.00 0.76 1.10 NA NA 0.02 0.78 1.12 NA NA XXX
evaluation.
92270......... ........ A Electro- 0.81 1.42 1.50 NA NA 0.05 2.28 2.36 NA NA XXX
oculography.
92270......... 26...... A Electro- 0.81 0.24 0.31 0.24 0.31 0.03 1.08 1.15 1.08 1.15 XXX
oculography.
92270......... TC...... A Electro- 0.00 1.17 1.19 NA NA 0.02 1.19 1.21 NA NA XXX
oculography.
92275......... ........ A Electroretinogr 1.01 2.48 2.07 NA NA 0.05 3.54 3.13 NA NA XXX
aphy.
92275......... 26...... A Electroretinogr 1.01 0.36 0.41 0.36 0.41 0.03 1.40 1.45 1.40 1.45 XXX
aphy.
92275......... TC...... A Electroretinogr 0.00 2.12 1.66 NA NA 0.02 2.14 1.68 NA NA XXX
aphy.
92283......... ........ A Color vision 0.17 1.02 0.89 NA NA 0.02 1.21 1.08 NA NA XXX
examination.
92283......... 26...... A Color vision 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX
examination.
92283......... TC...... A Color vision 0.00 0.96 0.82 NA NA 0.01 0.97 0.83 NA NA XXX
examination.
92284......... ........ A Dark adaptation 0.24 1.25 1.72 NA NA 0.02 1.51 1.98 NA NA XXX
eye exam.
92284......... 26...... A Dark adaptation 0.24 0.09 0.08 0.09 0.08 0.01 0.34 0.33 0.34 0.33 XXX
eye exam.
92284......... TC...... A Dark adaptation 0.00 1.16 1.64 NA NA 0.01 1.17 1.65 NA NA XXX
eye exam.
92285......... ........ A Eye photography 0.20 0.82 0.95 NA NA 0.02 1.04 1.17 NA NA XXX
92285......... 26...... A Eye photography 0.20 0.07 0.09 0.07 0.09 0.01 0.28 0.30 0.28 0.30 XXX
92285......... TC...... A Eye photography 0.00 0.75 0.86 NA NA 0.01 0.76 0.87 NA NA XXX
92286......... ........ A Internal eye 0.66 2.16 2.83 NA NA 0.04 2.86 3.53 NA NA XXX
photography.
92286......... 26...... A Internal eye 0.66 0.24 0.28 0.24 0.28 0.02 0.92 0.96 0.92 0.96 XXX
photography.
92286......... TC...... A Internal eye 0.00 1.92 2.55 NA NA 0.02 1.94 2.57 NA NA XXX
photography.
92287......... ........ A Internal eye 0.81 1.98 2.28 0.30 0.31 0.02 2.81 3.11 1.13 1.14 XXX
photography.
92310......... ........ N Contact lens 1.17 1.07 1.11 0.27 0.41 0.04 2.28 2.32 1.48 1.62 XXX
fitting.
92311......... ........ A Contact lens 1.08 1.31 1.15 0.32 0.34 0.03 2.42 2.26 1.43 1.45 XXX
fitting.
92312......... ........ A Contact lens 1.26 1.51 1.19 0.36 0.47 0.03 2.80 2.48 1.65 1.76 XXX
fitting.
92313......... ........ A Contact lens 0.92 1.49 1.17 0.33 0.30 0.02 2.43 2.11 1.27 1.24 XXX
fitting.
92314......... ........ N Prescription of 0.69 1.15 0.99 0.16 0.24 0.01 1.85 1.69 0.86 0.94 XXX
contact lens.
[[Page 49217]]
92315......... ........ A Prescription of 0.45 1.35 0.98 0.13 0.15 0.01 1.81 1.44 0.59 0.61 XXX
contact lens.
92316......... ........ A Prescription of 0.68 1.69 1.11 0.24 0.28 0.02 2.39 1.81 0.94 0.98 XXX
contact lens.
92317......... ........ A Prescription of 0.45 1.46 1.07 0.14 0.15 0.01 1.92 1.53 0.60 0.61 XXX
contact lens.
92325......... ........ A Modification of 0.00 0.85 0.51 NA NA 0.01 0.86 0.52 NA NA XXX
contact lens.
92326......... ........ A Replacement of 0.00 0.76 1.41 NA NA 0.06 0.82 1.47 NA NA XXX
contact lens.
92340......... ........ N Fitting of 0.37 0.45 0.64 0.09 0.13 0.01 0.83 1.02 0.47 0.51 XXX
spectacles.
92341......... ........ N Fitting of 0.47 0.47 0.67 0.11 0.16 0.01 0.95 1.15 0.59 0.64 XXX
spectacles.
92342......... ........ N Fitting of 0.53 0.48 0.69 0.12 0.19 0.01 1.02 1.23 0.66 0.73 XXX
spectacles.
92352......... ........ B Special 0.37 0.57 0.65 0.09 0.13 0.01 0.95 1.03 0.47 0.51 XXX
spectacles
fitting.
92353......... ........ B Special 0.50 0.60 0.70 0.12 0.17 0.02 1.12 1.22 0.64 0.69 XXX
spectacles
fitting.
92354......... ........ B Special 0.00 0.29 6.72 NA NA 0.10 0.39 6.82 NA NA XXX
spectacles
fitting.
92355......... ........ B Special 0.00 0.45 3.36 NA NA 0.01 0.46 3.37 NA NA XXX
spectacles
fitting.
92358......... ........ B Eye prosthesis 0.00 0.24 0.79 NA NA 0.05 0.29 0.84 NA NA XXX
service.
92370......... ........ N Repair & adjust 0.32 0.39 0.51 0.07 0.12 0.02 0.73 0.85 0.41 0.46 XXX
spectacles.
92371......... ........ B Repair & adjust 0.00 0.24 0.53 NA NA 0.02 0.26 0.55 NA NA XXX
spectacles.
92499......... ........ C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92499......... 26...... C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92499......... TC...... C Eye service or 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
92502......... ........ A Ear and throat 1.51 NA NA 0.77 1.03 0.05 NA NA 2.33 2.59 000
examination.
92504......... ........ A Ear microscopy 0.18 0.55 0.51 0.05 0.08 0.01 0.74 0.70 0.24 0.27 XXX
examination.
92506......... ........ A Speech/hearing 0.86 3.28 2.76 0.24 0.36 0.03 4.17 3.65 1.13 1.25 XXX
evaluation.
92507......... ........ A Speech/hearing 0.52 1.19 1.13 0.14 0.21 0.02 1.73 1.67 0.68 0.75 XXX
therapy.
92508......... ........ A Speech/hearing 0.26 0.52 0.51 0.08 0.11 0.01 0.79 0.78 0.35 0.38 XXX
therapy.
92511......... ........ A Nasopharyngosco 0.84 2.92 3.21 0.61 0.74 0.03 3.79 4.08 1.48 1.61 000
py.
92512......... ........ A Nasal function 0.55 0.93 1.09 0.15 0.17 0.02 1.50 1.66 0.72 0.74 XXX
studies.
92516......... ........ A Facial nerve 0.43 1.15 1.19 0.12 0.20 0.01 1.59 1.63 0.56 0.64 XXX
function test.
92520......... ........ A Laryngeal 0.75 0.91 0.61 0.23 0.35 0.03 1.69 1.39 1.01 1.13 XXX
function
studies.
92526......... ........ A Oral function 0.55 1.68 1.65 0.16 0.19 0.02 2.25 2.22 0.73 0.76 XXX
therapy.
92541......... ........ A Spontaneous 0.40 1.16 1.06 NA NA 0.04 1.60 1.50 NA NA XXX
nystagmus test.
92541......... 26...... A Spontaneous 0.40 0.12 0.17 0.12 0.17 0.02 0.54 0.59 0.54 0.59 XXX
nystagmus test.
92541......... TC...... A Spontaneous 0.00 1.04 0.89 NA NA 0.02 1.06 0.91 NA NA XXX
nystagmus test.
92542......... ........ A Positional 0.33 1.30 1.18 NA NA 0.03 1.66 1.54 NA NA XXX
nystagmus test.
92542......... 26...... A Positional 0.33 0.10 0.15 0.10 0.15 0.01 0.44 0.49 0.44 0.49 XXX
nystagmus test.
92542......... TC...... A Positional 0.00 1.20 1.04 NA NA 0.02 1.22 1.06 NA NA XXX
nystagmus test.
92543......... ........ A Caloric 0.10 0.66 0.59 NA NA 0.02 0.78 0.71 NA NA XXX
vestibular
test.
92543......... 26...... A Caloric 0.10 0.03 0.05 0.03 0.05 0.01 0.14 0.16 0.14 0.16 XXX
vestibular
test.
92543......... TC...... A Caloric 0.00 0.63 0.55 NA NA 0.01 0.64 0.56 NA NA XXX
vestibular
test.
92544......... ........ A Optokinetic 0.26 1.06 0.94 NA NA 0.03 1.35 1.23 NA NA XXX
nystagmus test.
92544......... 26...... A Optokinetic 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 XXX
nystagmus test.
92544......... TC...... A Optokinetic 0.00 0.98 0.83 NA NA 0.02 1.00 0.85 NA NA XXX
nystagmus test.
92545......... ........ A Oscillating 0.23 1.03 0.86 NA NA 0.03 1.29 1.12 NA NA XXX
tracking test.
92545......... 26...... A Oscillating 0.23 0.07 0.10 0.07 0.10 0.01 0.31 0.34 0.31 0.34 XXX
tracking test.
92545......... TC...... A Oscillating 0.00 0.96 0.76 NA NA 0.02 0.98 0.78 NA NA XXX
tracking test.
92546......... ........ A Sinusoidal 0.29 1.90 1.96 NA NA 0.03 2.22 2.28 NA NA XXX
rotational
test.
92546......... 26...... A Sinusoidal 0.29 0.09 0.12 0.09 0.12 0.01 0.39 0.42 0.39 0.42 XXX
rotational
test.
92546......... TC...... A Sinusoidal 0.00 1.81 1.84 NA NA 0.02 1.83 1.86 NA NA XXX
rotational
test.
92547......... ........ A Supplemental 0.00 0.11 0.09 0.11 0.09 0.06 0.17 0.15 0.17 0.15 ZZZ
electrical
test.
92548......... ........ A Posturography.. 0.50 1.72 2.12 NA NA 0.15 2.37 2.77 NA NA XXX
92548......... 26...... A Posturography.. 0.50 0.15 0.23 0.15 0.23 0.02 0.67 0.75 0.67 0.75 XXX
92548......... TC...... A Posturography.. 0.00 1.57 1.89 NA NA 0.13 1.70 2.02 NA NA XXX
92552......... ........ A Pure tone 0.00 0.56 0.47 NA NA 0.04 0.60 0.51 NA NA XXX
audiometry,
air.
92553......... ........ A Audiometry, air 0.00 0.71 0.67 NA NA 0.06 0.77 0.73 NA NA XXX
& bone.
92555......... ........ A Speech 0.00 0.38 0.38 NA NA 0.04 0.42 0.42 NA NA XXX
threshold
audiometry.
92556......... ........ A Speech 0.00 0.52 0.56 NA NA 0.06 0.58 0.62 NA NA XXX
audiometry,
complete.
92557......... ........ A Comprehensive 0.00 1.27 1.21 NA NA 0.12 1.39 1.33 NA NA XXX
hearing test.
92561......... ........ A Bekesy 0.00 0.79 0.74 NA NA 0.06 0.85 0.80 NA NA XXX
audiometry,
diagnosis.
92562......... ........ A Loudness 0.00 0.67 0.48 NA NA 0.04 0.71 0.52 NA NA XXX
balance test.
92563......... ........ A Tone decay 0.00 0.53 0.42 NA NA 0.04 0.57 0.46 NA NA XXX
hearing test.
92564......... ........ A Sisi hearing 0.00 0.51 0.48 NA NA 0.05 0.56 0.53 NA NA XXX
test.
92565......... ........ A Stenger test, 0.00 0.27 0.37 NA NA 0.04 0.31 0.41 NA NA XXX
pure tone.
92567......... ........ A Tympanometry... 0.00 0.50 0.52 NA NA 0.06 0.56 0.58 NA NA XXX
92568......... ........ A Acoustic refl 0.00 0.15 0.32 NA NA 0.04 0.19 0.36 NA NA XXX
threshold tst.
92569......... ........ A Acoustic reflex 0.00 0.16 0.35 NA NA 0.04 0.20 0.39 NA NA XXX
decay test.
92571......... ........ A Filtered speech 0.00 0.40 0.39 NA NA 0.04 0.44 0.43 NA NA XXX
hearing test.
92572......... ........ A Staggered 0.00 0.61 0.22 NA NA 0.01 0.62 0.23 NA NA XXX
spondaic word
test.
92573......... ........ A Lombard test... 0.00 0.49 0.39 NA NA 0.04 0.53 0.43 NA NA XXX
[[Page 49218]]
92575......... ........ A Sensorineural 0.00 1.10 0.50 NA NA 0.02 1.12 0.52 NA NA XXX
acuity test.
92576......... ........ A Synthetic 0.00 0.54 0.47 NA NA 0.05 0.59 0.52 NA NA XXX
sentence test.
92577......... ........ A Stenger test, 0.00 0.28 0.61 NA NA 0.07 0.35 0.68 NA NA XXX
speech.
92579......... ........ A Visual 0.00 0.84 0.76 NA NA 0.06 0.90 0.82 NA NA XXX
audiometry
(vra).
92582......... ........ A Conditioning 0.00 1.08 0.82 NA NA 0.06 1.14 0.88 NA NA XXX
play
audiometry.
92583......... ........ A Select picture 0.00 0.70 0.84 NA NA 0.08 0.78 0.92 NA NA XXX
audiometry.
92584......... ........ A Electrocochleog 0.00 1.28 2.17 NA NA 0.21 1.49 2.38 NA NA XXX
raphy.
92585......... ........ A Auditor evoke 0.50 2.01 2.05 NA NA 0.17 2.68 2.72 NA NA XXX
potent, compre.
92585......... 26...... A Auditor evoke 0.50 0.15 0.20 0.15 0.20 0.03 0.68 0.73 0.68 0.73 XXX
potent, compre.
92585......... TC...... A Auditor evoke 0.00 1.86 1.85 NA NA 0.14 2.00 1.99 NA NA XXX
potent, compre.
92586......... ........ A Auditor evoke 0.00 1.41 1.74 NA NA 0.14 1.55 1.88 NA NA XXX
potent, limit.
92587......... ........ A Evoked auditory 0.13 0.61 1.18 NA NA 0.12 0.86 1.43 NA NA XXX
test.
92587......... 26...... A Evoked auditory 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20 XXX
test.
92587......... TC...... A Evoked auditory 0.00 0.58 1.13 NA NA 0.11 0.69 1.24 NA NA XXX
test.
92588......... ........ A Evoked auditory 0.36 1.05 1.49 NA NA 0.14 1.55 1.99 NA NA XXX
test.
92588......... 26...... A Evoked auditory 0.36 0.11 0.15 0.11 0.15 0.01 0.48 0.52 0.48 0.52 XXX
test.
92588......... TC...... A Evoked auditory 0.00 0.95 1.34 NA NA 0.13 1.08 1.47 NA NA XXX
test.
92596......... ........ A Ear protector 0.00 0.93 0.68 NA NA 0.06 0.99 0.74 NA NA XXX
evaluation.
92597......... ........ A Oral speech 0.86 1.69 1.69 0.24 0.40 0.03 2.58 2.58 1.13 1.29 XXX
device eval.
92601......... ........ A Cochlear implt 0.00 4.87 3.84 NA NA 0.07 4.94 3.91 NA NA XXX
f/up exam < 7.
92602......... ........ A Reprogram 0.00 3.34 2.62 NA NA 0.07 3.41 2.69 NA NA XXX
cochlear implt
< 7.
92603......... ........ A Cochlear implt 0.00 3.17 2.40 NA NA 0.07 3.24 2.47 NA NA XXX
f/up exam 7 >.
92604......... ........ A Reprogram 0.00 2.09 1.54 NA NA 0.07 2.16 1.61 NA NA XXX
cochlear implt
7 >.
92607......... ........ A Ex for speech 0.00 4.28 3.38 NA NA 0.05 4.33 3.43 NA NA XXX
device rx, 1hr.
92608......... ........ A Ex for speech 0.00 0.87 0.63 NA NA 0.05 0.92 0.68 NA NA XXX
device rx addl.
92609......... ........ A Use of speech 0.00 2.30 1.77 NA NA 0.04 2.34 1.81 NA NA XXX
device service.
92610......... ........ A Evaluate 0.00 1.62 2.98 NA NA 0.08 1.70 3.06 NA NA XXX
swallowing
function.
92611......... ........ A Motion 0.00 1.90 3.05 NA NA 0.08 1.98 3.13 NA NA XXX
fluoroscopy/
swallow.
92612......... ........ A Endoscopy 1.27 2.74 2.74 0.36 0.59 0.04 4.05 4.05 1.67 1.90 XXX
swallow tst
(fees).
92613......... ........ A Endoscopy 0.71 0.22 0.36 0.22 0.35 0.05 0.98 1.12 0.98 1.11 XXX
swallow tst
(fees).
92614......... ........ A Laryngoscopic 1.27 2.23 2.43 0.36 0.59 0.04 3.54 3.74 1.67 1.90 XXX
sensory test.
92615......... ........ A Eval 0.63 0.18 0.31 0.18 0.31 0.05 0.86 0.99 0.86 0.99 XXX
laryngoscopy
sense tst.
92616......... ........ A Fees w/ 1.88 2.91 3.27 0.53 0.88 0.06 4.85 5.21 2.47 2.82 XXX
laryngeal
sense test.
92617......... ........ A Interprt fees/ 0.79 0.22 0.39 0.22 0.39 0.05 1.06 1.23 1.06 1.23 XXX
laryngeal test.
92620......... ........ A Auditory 0.00 1.87 1.32 NA NA 0.06 1.93 1.38 NA NA XXX
function, 60
min.
92621......... ........ A Auditory 0.00 0.40 0.29 NA NA 0.06 0.46 0.35 NA NA ZZZ
function, + 15
min.
92625......... ........ A Tinnitus 0.00 1.82 1.30 1.82 1.30 0.06 1.88 1.36 1.88 1.36 XXX
assessment.
92626......... ........ A Eval aud rehab 0.00 1.85 2.11 NA NA 0.06 1.91 2.17 NA NA XXX
status.
92627......... ........ A Eval aud status 0.00 0.42 0.52 0.42 0.52 0.02 0.44 0.54 0.44 0.54 ZZZ
rehab add-on.
92700......... ........ C Ent procedure/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
92950......... ........ A Heart/lung 3.79 3.24 3.96 0.77 0.92 0.28 7.31 8.03 4.84 4.99 000
resuscitation
cpr.
92953......... ........ A Temporary 0.23 NA NA 0.07 0.07 0.02 NA NA 0.32 0.32 000
external
pacing.
92960......... ........ A Cardioversion 2.25 4.42 5.84 1.47 1.25 0.07 6.74 8.16 3.79 3.57 000
electric, ext.
92961......... ........ A Cardioversion, 4.59 NA NA 2.49 2.18 0.29 NA NA 7.37 7.06 000
electric, int.
92970......... ........ A Cardioassist, 3.51 NA NA 1.61 1.20 0.16 NA NA 5.28 4.87 000
internal.
92971......... ........ A Cardioassist, 1.77 NA NA 1.08 0.91 0.06 NA NA 2.91 2.74 000
external.
92973......... ........ A Percut coronary 3.28 NA NA 1.79 1.42 0.23 NA NA 5.30 4.93 ZZZ
thrombectomy.
92974......... ........ A Cath place, 3.00 NA NA 1.67 1.30 0.21 NA NA 4.88 4.51 ZZZ
cardio
brachytx.
92975......... ........ A Dissolve clot, 7.24 NA NA 3.88 3.08 0.50 NA NA 11.62 10.82 000
heart vessel.
92977......... ........ A Dissolve clot, 0.00 1.73 6.47 NA NA 0.46 2.19 6.93 NA NA XXX
heart vessel.
92978......... ........ A Intravasc us, 1.80 NA NA NA NA 0.30 NA NA NA NA ZZZ
heart add-on.
92978......... 26...... A Intravasc us, 1.80 0.98 0.78 0.98 0.78 0.06 2.84 2.64 2.84 2.64 ZZZ
heart add-on.
92978......... TC...... A Intravasc us, 0.00 NA NA NA NA 0.24 NA NA NA NA ZZZ
heart add-on.
92979......... ........ A Intravasc us, 1.44 NA NA NA NA 0.19 NA NA NA NA ZZZ
heart add-on.
92979......... 26...... A Intravasc us, 1.44 0.78 0.62 0.78 0.62 0.06 2.28 2.12 2.28 2.12 ZZZ
heart add-on.
92979......... TC...... A Intravasc us, 0.00 NA NA NA NA 0.13 NA NA NA NA ZZZ
heart add-on.
[[Page 49219]]
92980......... ........ A Insert 14.82 NA NA 8.29 6.61 1.03 NA NA 24.14 22.46 000
intracoronary
stent.
92981......... ........ A Insert 4.16 NA NA 2.27 1.79 0.29 NA NA 6.72 6.24 ZZZ
intracoronary
stent.
92982......... ........ A Coronary artery 10.96 NA NA 6.20 4.95 0.76 NA NA 17.92 16.67 000
dilation.
92984......... ........ A Coronary artery 2.97 NA NA 1.61 1.27 0.21 NA NA 4.79 4.45 ZZZ
dilation.
92986......... ........ A Revision of 22.64 NA NA 15.66 12.79 1.51 NA NA 39.81 36.94 090
aortic valve.
92987......... ........ A Revision of 23.42 NA NA 16.09 13.18 1.59 NA NA 41.10 38.19 090
mitral valve.
92990......... ........ A Revision of 18.06 NA NA 11.18 10.14 1.20 NA NA 30.44 29.40 090
pulmonary
valve.
92992......... ........ C Revision of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
heart chamber.
92993......... ........ C Revision of 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090
heart chamber.
92995......... ........ A Coronary 12.07 NA NA 6.81 5.42 0.84 NA NA 19.72 18.33 000
atherectomy.
92996......... ........ A Coronary 3.26 NA NA 1.78 1.40 0.10 NA NA 5.14 4.76 ZZZ
atherectomy
add-on.
92997......... ........ A Pul art balloon 11.98 NA NA 5.18 4.91 0.40 NA NA 17.56 17.29 000
repr, percut.
92998......... ........ A Pul art balloon 5.99 NA NA 2.74 2.34 0.28 NA NA 9.01 8.61 ZZZ
repr, percut.
93000......... ........ A Electrocardiogr 0.17 0.35 0.47 0.35 0.47 0.03 0.55 0.67 0.55 0.67 XXX
am, complete.
93005......... ........ A Electrocardiogr 0.00 0.28 0.41 NA NA 0.02 0.30 0.43 NA NA XXX
am, tracing.
93010......... ........ A Electrocardiogr 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.25 0.24 XXX
am report.
93012......... ........ A Transmission of 0.00 1.65 4.92 NA NA 0.18 1.83 5.10 NA NA XXX
ecg.
93014......... ........ A Report on 0.52 0.21 0.20 0.21 0.20 0.02 0.75 0.74 0.75 0.74 XXX
transmitted
ecg.
93015......... ........ A Cardiovascular 0.75 1.93 1.95 1.93 1.95 0.14 2.82 2.84 2.82 2.84 XXX
stress test.
93016......... ........ A Cardiovascular 0.45 0.23 0.19 0.23 0.19 0.02 0.70 0.66 0.70 0.66 XXX
stress test.
93017......... ........ A Cardiovascular 0.00 1.55 1.65 NA NA 0.11 1.66 1.76 NA NA XXX
stress test.
93018......... ........ A Cardiovascular 0.30 0.15 0.12 0.15 0.12 0.01 0.46 0.43 0.46 0.43 XXX
stress test.
93024......... ........ A Cardiac drug 1.17 2.42 1.78 NA NA 0.12 3.71 3.07 NA NA XXX
stress test.
93024......... 26...... A Cardiac drug 1.17 0.59 0.49 0.59 0.49 0.04 1.80 1.70 1.80 1.70 XXX
stress test.
93024......... TC...... A Cardiac drug 0.00 1.84 1.30 NA NA 0.08 1.92 1.38 NA NA XXX
stress test.
93025......... ........ A Microvolt t- 0.75 3.94 6.68 NA NA 0.14 4.83 7.57 NA NA XXX
wave assess.
93025......... 26...... A Microvolt t- 0.75 0.38 0.31 0.38 0.31 0.03 1.16 1.09 1.16 1.09 XXX
wave assess.
93025......... TC...... A Microvolt t- 0.00 3.56 6.37 NA NA 0.11 3.67 6.48 NA NA XXX
wave assess.
93040......... ........ A Rhythm ECG with 0.16 0.19 0.20 0.19 0.20 0.02 0.37 0.38 0.37 0.38 XXX
report.
93041......... ........ A Rhythm ECG, 0.00 0.14 0.15 NA NA 0.01 0.15 0.16 NA NA XXX
tracing.
93042......... ........ A Rhythm ECG, 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX
report.
93224......... ........ A ECG monitor/ 0.52 1.99 3.21 1.99 3.21 0.24 2.75 3.97 2.75 3.97 XXX
report, 24 hrs.
93225......... ........ A ECG monitor/ 0.00 1.08 1.20 NA NA 0.08 1.16 1.28 NA NA XXX
record, 24 hrs.
93226......... ........ A ECG monitor/ 0.00 0.62 1.79 NA NA 0.14 0.76 1.93 NA NA XXX
report, 24 hrs.
93227......... ........ A ECG monitor/ 0.52 0.28 0.21 0.28 0.21 0.02 0.82 0.75 0.82 0.75 XXX
review, 24 hrs.
93230......... ........ A ECG monitor/ 0.52 1.79 3.37 1.79 3.37 0.26 2.57 4.15 2.57 4.15 XXX
report, 24 hrs.
93231......... ........ A Ecg monitor/ 0.00 0.94 1.38 NA NA 0.11 1.05 1.49 NA NA XXX
record, 24 hrs.
93232......... ........ A ECG monitor/ 0.00 0.62 1.79 NA NA 0.13 0.75 1.92 NA NA XXX
report, 24 hrs.
93233......... ........ A ECG monitor/ 0.52 0.23 0.20 0.23 0.20 0.02 0.77 0.74 0.77 0.74 XXX
review, 24 hrs.
93235......... ........ A ECG monitor/ 0.45 0.21 2.14 0.21 2.14 0.16 0.82 2.75 0.82 2.75 XXX
report, 24 hrs.
93236......... ........ C ECG monitor/ 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX
report, 24 hrs.
93237......... ........ A ECG monitor/ 0.45 0.21 0.17 0.21 0.17 0.02 0.68 0.64 0.68 0.64 XXX
review, 24 hrs.
93268......... ........ A ECG record/ 0.52 0.83 5.79 0.83 5.79 0.28 1.63 6.59 1.63 6.59 XXX
review.
93270......... ........ A ECG recording.. 0.00 0.31 1.01 NA NA 0.08 0.39 1.09 NA NA XXX
93271......... ........ A Ecg/monitoring 0.00 1.99 5.01 NA NA 0.18 2.17 5.19 NA NA XXX
and analysis.
93272......... ........ A Ecg/review, 0.52 0.24 0.20 0.24 0.20 0.02 0.78 0.74 0.78 0.74 XXX
interpret only.
93278......... ........ A ECG/signal- 0.25 0.59 1.09 NA NA 0.12 0.96 1.46 NA NA XXX
averaged.
93278......... 26...... A ECG/signal- 0.25 0.10 0.10 0.10 0.10 0.01 0.36 0.36 0.36 0.36 XXX
averaged.
93278......... TC...... A ECG/signal- 0.00 0.49 0.99 NA NA 0.11 0.60 1.10 NA NA XXX
averaged.
93303......... ........ A Echo 1.30 4.65 4.42 NA NA 0.27 6.22 5.99 NA NA XXX
transthoracic.
93303......... 26...... A Echo 1.30 0.57 0.50 0.57 0.50 0.04 1.91 1.84 1.91 1.84 XXX
transthoracic.
93303......... TC...... A Echo 0.00 4.07 3.91 NA NA 0.23 4.30 4.14 NA NA XXX
transthoracic.
93304......... ........ A Echo 0.75 3.18 2.46 NA NA 0.15 4.08 3.36 NA NA XXX
transthoracic.
93304......... 26...... A Echo 0.75 0.31 0.29 0.31 0.29 0.02 1.08 1.06 1.08 1.06 XXX
transthoracic.
93304......... TC...... A Echo 0.00 2.87 2.17 NA NA 0.13 3.00 2.30 NA NA XXX
transthoracic.
93307......... ........ A Echo exam of 0.92 3.78 4.10 NA NA 0.26 4.96 5.28 NA NA XXX
heart.
93307......... 26...... A Echo exam of 0.92 0.46 0.38 0.46 0.38 0.03 1.41 1.33 1.41 1.33 XXX
heart.
93307......... TC...... A Echo exam of 0.00 3.32 3.73 NA NA 0.23 3.55 3.96 NA NA XXX
heart.
93308......... ........ A Echo exam of 0.53 2.65 2.27 NA NA 0.15 3.33 2.95 NA NA XXX
heart.
93308......... 26...... A Echo exam of 0.53 0.27 0.22 0.27 0.22 0.02 0.82 0.77 0.82 0.77 XXX
heart.
93308......... TC...... A Echo exam of 0.00 2.38 2.05 NA NA 0.13 2.51 2.18 NA NA XXX
heart.
93312......... ........ A Echo 2.20 7.55 5.32 NA NA 0.37 10.12 7.89 NA NA XXX
transesophagea
l.
93312......... 26...... A Echo 2.20 1.01 0.85 1.01 0.85 0.08 3.29 3.13 3.29 3.13 XXX
transesophagea
l.
93312......... TC...... A Echo 0.00 6.54 4.47 NA NA 0.29 6.83 4.76 NA NA XXX
transesophagea
l.
93313......... ........ A Echo 0.95 NA NA 0.14 0.19 0.06 NA NA 1.15 1.20 XXX
transesophagea
l.
93314......... ........ A Echo 1.25 7.28 5.01 NA NA 0.33 8.86 6.59 NA NA XXX
transesophagea
l.
[[Page 49220]]
93314......... 26...... A Echo 1.25 0.57 0.50 0.57 0.50 0.04 1.86 1.79 1.86 1.79 XXX
transesophagea
l.
93314......... TC...... A Echo 0.00 6.71 4.51 NA NA 0.29 7.00 4.80 NA NA XXX
transesophagea
l.
93315......... ........ C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transesophagea
l.
93315......... 26...... A Echo 2.78 1.32 1.09 1.32 1.09 0.09 4.19 3.96 4.19 3.96 XXX
transesophagea
l.
93315......... TC...... C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transesophagea
l.
93316......... ........ A Echo 0.95 NA NA 0.26 0.25 0.05 NA NA 1.26 1.25 XXX
transesophagea
l.
93317......... ........ C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transesophagea
l.
93317......... 26...... A Echo 1.83 0.74 0.69 0.74 0.69 0.08 2.65 2.60 2.65 2.60 XXX
transesophagea
l.
93317......... TC...... C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transesophagea
l.
93318......... ........ C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transesophagea
l intraop.
93318......... 26...... A Echo 2.20 0.89 0.58 0.89 0.58 0.14 3.23 2.92 3.23 2.92 XXX
transesophagea
l intraop.
93318......... TC...... C Echo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transesophagea
l intraop.
93320......... ........ A Doppler echo 0.38 1.70 1.81 1.70 1.81 0.13 2.21 2.32 2.21 2.32 ZZZ
exam, heart.
93320......... 26...... A Doppler echo 0.38 0.19 0.16 0.19 0.16 0.01 0.58 0.55 0.58 0.55 ZZZ
exam, heart.
93320......... TC...... A Doppler echo 0.00 1.51 1.66 1.51 1.66 0.12 1.63 1.78 1.63 1.78 ZZZ
exam, heart.
93321......... ........ A Doppler echo 0.15 0.62 1.03 0.62 1.03 0.09 0.86 1.27 0.86 1.27 ZZZ
exam, heart.
93321......... 26...... A Doppler echo 0.15 0.08 0.07 0.08 0.07 0.01 0.24 0.23 0.24 0.23 ZZZ
exam, heart.
93321......... TC...... A Doppler echo 0.00 0.55 0.97 0.55 0.97 0.08 0.63 1.05 0.63 1.05 ZZZ
exam, heart.
93325......... ........ A Doppler color 0.07 0.67 2.37 0.67 2.37 0.22 0.96 2.66 0.96 2.66 ZZZ
flow add-on.
93325......... 26...... A Doppler color 0.07 0.04 0.03 0.04 0.03 0.01 0.12 0.11 0.12 0.11 ZZZ
flow add-on.
93325......... TC...... A Doppler color 0.00 0.64 2.34 0.64 2.34 0.21 0.85 2.55 0.85 2.55 ZZZ
flow add-on.
93350......... ........ A Echo 1.48 5.16 3.04 NA NA 0.18 6.82 4.70 NA NA XXX
transthoracic.
93350......... 26...... A Echo 1.48 0.78 0.62 0.78 0.62 0.05 2.31 2.15 2.31 2.15 XXX
transthoracic.
93350......... TC...... A Echo 0.00 4.38 2.42 NA NA 0.13 4.51 2.55 NA NA XXX
transthoracic.
93501......... ........ A Right heart 3.02 23.11 19.32 23.11 19.32 1.26 27.39 23.60 27.39 23.60 000
catheterizatio
n.
93501......... 26...... A Right heart 3.02 1.61 1.27 1.61 1.27 0.21 4.84 4.50 4.84 4.50 000
catheterizatio
n.
93501......... TC...... A Right heart 0.00 21.49 18.05 21.49 18.05 1.05 22.54 19.10 22.54 19.10 000
catheterizatio
n.
93503......... ........ A Insert/place 2.91 NA NA 0.49 0.63 0.20 NA NA 3.60 3.74 000
heart catheter.
93505......... ........ A Biopsy of heart 4.37 25.12 9.03 25.12 9.03 0.46 29.95 13.86 29.95 13.86 000
lining.
93505......... 26...... A Biopsy of heart 4.37 2.33 1.84 2.33 1.84 0.30 7.00 6.51 7.00 6.51 000
lining.
93505......... TC...... A Biopsy of heart 0.00 22.78 7.18 22.78 7.18 0.16 22.94 7.34 22.94 7.34 000
lining.
93508......... ........ A Cath placement, 4.09 18.46 15.63 18.46 15.63 0.93 23.48 20.65 23.48 20.65 000
angiography.
93508......... 26...... A Cath placement, 4.09 2.23 2.12 2.23 2.12 0.28 6.60 6.49 6.60 6.49 000
angiography.
93508......... TC...... A Cath placement, 0.00 16.23 13.51 16.23 13.51 0.65 16.88 14.16 16.88 14.16 000
angiography.
93510......... ........ C Left heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
catheterizatio
n.
93510......... 26...... A Left heart 4.32 2.35 2.22 2.35 2.22 0.30 6.97 6.84 6.97 6.84 000
catheterizatio
n.
93510......... TC...... C Left heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
catheterizatio
n.
93511......... ........ C Left heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheterizatio
n.
93511......... 26...... A Left heart 5.02 2.66 2.50 2.66 2.50 0.35 8.03 7.87 8.03 7.87 000
catheterizatio
n.
93511......... TC...... C Left heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheterizatio
n.
93514......... ........ C Left heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
catheterizatio
n.
93514......... 26...... A Left heart 7.04 3.22 3.15 3.22 3.15 0.49 10.75 10.68 10.75 10.68 000
catheterizatio
n.
93514......... TC...... C Left heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
catheterizatio
n.
93524......... ........ C Left heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheterizatio
n.
93524......... 26...... A Left heart 6.94 3.72 3.31 3.72 3.31 0.48 11.14 10.73 11.14 10.73 000
catheterizatio
n.
93524......... TC...... C Left heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheterizatio
n.
93526......... ........ C Rt & Lt heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
catheters.
93526......... 26...... A Rt & Lt heart 5.98 3.25 2.92 3.25 2.92 0.42 9.65 9.32 9.65 9.32 000
catheters.
93526......... TC...... C Rt & Lt heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
catheters.
93527......... ........ C Rt & Lt heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheters.
93527......... 26...... A Rt & Lt heart 7.27 3.99 3.48 3.99 3.48 0.51 11.77 11.26 11.77 11.26 000
catheters.
93527......... TC...... C Rt & Lt heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheters.
93528......... ........ C Rt & Lt heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheters.
93528......... 26...... A Rt & Lt heart 8.99 4.69 4.20 4.69 4.20 0.62 14.30 13.81 14.30 13.81 000
catheters.
93528......... TC...... C Rt & Lt heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheters.
93529......... ........ C Rt, lt heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheterizatio
n.
[[Page 49221]]
93529......... 26...... A Rt, lt heart 4.79 2.62 2.36 2.62 2.36 0.33 7.74 7.48 7.74 7.48 000
catheterizatio
n.
93529......... TC...... C Rt, lt heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
catheterizatio
n.
93530......... ........ C Rt heart cath, 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
congenital.
93530......... 26...... A Rt heart cath, 4.22 1.84 1.91 1.84 1.91 0.29 6.35 6.42 6.35 6.42 000
congenital.
93530......... TC...... C Rt heart cath, 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
congenital.
93531......... ........ C R & l heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
cath,
congenital.
93531......... 26...... A R & l heart 8.34 3.72 3.62 3.72 3.62 0.58 12.64 12.54 12.64 12.54 000
cath,
congenital.
93531......... TC...... C R & l heart 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000
cath,
congenital.
93532......... ........ C R & l heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
cath,
congenital.
93532......... 26...... A R & l heart 9.99 4.60 4.34 4.60 4.34 0.69 15.28 15.02 15.28 15.02 000
cath,
congenital.
93532......... TC...... C R & l heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
cath,
congenital.
93533......... ........ C R & l heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
cath,
congenital.
93533......... 26...... A R & l heart 6.69 3.03 2.85 3.03 2.85 0.47 10.19 10.01 10.19 10.01 000
cath,
congenital.
93533......... TC...... C R & l heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
cath,
congenital.
93539......... ........ A Injection, 0.40 NA NA 0.22 0.18 0.01 NA NA 0.63 0.59 000
cardiac cath.
93540......... ........ A Injection, 0.43 NA NA 0.24 0.19 0.01 NA NA 0.68 0.63 000
cardiac cath.
93541......... ........ A Injection for 0.29 NA NA 0.15 0.12 0.01 NA NA 0.45 0.42 000
lung angiogram.
93542......... ........ A Injection for 0.29 NA NA 0.15 0.12 0.01 NA NA 0.45 0.42 000
heart x-rays.
93543......... ........ A Injection for 0.29 NA NA 0.16 0.12 0.01 NA NA 0.46 0.42 000
heart x-rays.
93544......... ........ A Injection for 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 000
aortography.
93545......... ........ A Inject for 0.40 NA NA 0.22 0.18 0.01 NA NA 0.63 0.59 000
coronary x-
rays.
93555......... ........ A Imaging, 0.81 0.65 5.11 NA NA 0.37 1.83 6.29 NA NA XXX
cardiac cath.
93555......... 26...... A Imaging, 0.81 0.44 0.35 0.44 0.35 0.03 1.28 1.19 1.28 1.19 XXX
cardiac cath.
93555......... TC...... A Imaging, 0.00 0.21 4.76 NA NA 0.34 0.55 5.10 NA NA XXX
cardiac cath.
93556......... ........ A Imaging, 0.83 0.93 7.89 NA NA 0.54 2.30 9.26 NA NA XXX
cardiac cath.
93556......... 26...... A Imaging, 0.83 0.45 0.35 0.45 0.35 0.03 1.31 1.21 1.31 1.21 XXX
cardiac cath.
93556......... TC...... A Imaging, 0.00 0.48 7.54 NA NA 0.51 0.99 8.05 NA NA XXX
cardiac cath.
93561......... ........ A Cardiac output 0.50 NA NA NA NA 0.08 NA NA NA NA 000
measurement.
93561......... 26...... A Cardiac output 0.50 0.14 0.16 0.14 0.16 0.02 0.66 0.68 0.66 0.68 000
measurement.
93561......... TC...... A Cardiac output 0.00 NA NA NA NA 0.06 NA NA NA NA 000
measurement.
93562......... ........ A Cardiac output 0.16 NA NA NA NA 0.05 NA NA NA NA 000
measurement.
93562......... 26...... A Cardiac output 0.16 0.03 0.05 0.03 0.05 0.01 0.20 0.22 0.20 0.22 000
measurement.
93562......... TC...... A Cardiac output 0.00 NA NA NA NA 0.04 NA NA NA NA 000
measurement.
93571......... ........ A Heart flow 1.80 NA NA NA NA 0.30 NA NA NA NA ZZZ
reserve
measure.
93571......... 26...... A Heart flow 1.80 0.98 0.76 0.98 0.76 0.06 2.84 2.62 2.84 2.62 ZZZ
reserve
measure.
93571......... TC...... A Heart flow 0.00 NA NA NA NA 0.24 NA NA NA NA ZZZ
reserve
measure.
93572......... ........ C Heart flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
reserve
measure.
93572......... 26...... A Heart flow 1.44 0.74 0.56 0.74 0.56 0.04 2.22 2.04 2.22 2.04 ZZZ
reserve
measure.
93572......... TC...... C Heart flow 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
reserve
measure.
93580......... ........ A Transcath 17.97 NA NA 9.50 7.91 1.25 NA NA 28.72 27.13 000
closure of asd.
93581......... ........ A Transcath 24.39 NA NA 13.17 10.34 1.71 NA NA 39.27 36.44 000
closure of vsd.
93600......... ........ A Bundle of His 2.12 NA NA NA NA 0.29 NA NA NA NA 000
recording.
93600......... 26...... A Bundle of His 2.12 1.09 0.90 1.09 0.90 0.16 3.37 3.18 3.37 3.18 000
recording.
93600......... TC...... A Bundle of His 0.00 NA NA NA NA 0.13 NA NA NA NA 000
recording.
93602......... ........ A Intra-atrial 2.12 NA NA NA NA 0.24 NA NA NA NA 000
recording.
93602......... 26...... A Intra-atrial 2.12 1.07 0.88 1.07 0.88 0.17 3.36 3.17 3.36 3.17 000
recording.
93602......... TC...... A Intra-atrial 0.00 NA NA NA NA 0.07 NA NA NA NA 000
recording.
93603......... ........ A Right 2.12 NA NA NA NA 0.29 NA NA NA NA 000
ventricular
recording.
93603......... 26...... A Right 2.12 1.06 0.87 1.06 0.87 0.18 3.36 3.17 3.36 3.17 000
ventricular
recording.
93603......... TC...... A Right 0.00 NA NA NA NA 0.11 NA NA NA NA 000
ventricular
recording.
93609......... ........ A Map 4.99 NA NA NA NA 0.52 NA NA NA NA ZZZ
tachycardia,
add-on.
93609......... 26...... A Map 4.99 2.68 2.13 2.68 2.13 0.35 8.02 7.47 8.02 7.47 ZZZ
tachycardia,
add-on.
93609......... TC...... A Map 0.00 NA NA NA NA 0.17 NA NA NA NA ZZZ
tachycardia,
add-on.
93610......... ........ A Intra-atrial 3.02 NA NA NA NA 0.34 NA NA NA NA 000
pacing.
93610......... 26...... A Intra-atrial 3.02 1.50 1.25 1.50 1.25 0.24 4.76 4.51 4.76 4.51 000
pacing.
93610......... TC...... A Intra-atrial 0.00 NA NA NA NA 0.10 NA NA NA NA 000
pacing.
93612......... ........ A Intraventricula 3.02 NA NA NA NA 0.36 NA NA NA NA 000
r pacing.
93612......... 26...... A Intraventricula 3.02 1.45 1.23 1.45 1.23 0.25 4.72 4.50 4.72 4.50 000
r pacing.
93612......... TC...... A Intraventricula 0.00 NA NA NA NA 0.11 NA NA NA NA 000
r pacing.
93613......... ........ A Electrophys map 6.99 NA NA 3.78 3.02 0.49 NA NA 11.26 10.50 ZZZ
3d, add-on.
93615......... ........ A Esophageal 0.99 NA NA NA NA 0.05 NA NA NA NA 000
recording.
93615......... 26...... A Esophageal 0.99 0.49 0.33 0.49 0.33 0.03 1.51 1.35 1.51 1.35 000
recording.
93615......... TC...... A Esophageal 0.00 NA NA NA NA 0.02 NA NA NA NA 000
recording.
93616......... ........ C Esophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
recording.
93616......... 26...... A Esophageal 1.49 0.37 0.42 0.37 0.42 0.09 1.95 2.00 1.95 2.00 000
recording.
93616......... TC...... C Esophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
recording.
[[Page 49222]]
93618......... ........ A Heart rhythm 4.25 NA NA NA NA 0.54 NA NA NA NA 000
pacing.
93618......... 26...... A Heart rhythm 4.25 2.32 1.83 2.32 1.83 0.30 6.87 6.38 6.87 6.38 000
pacing.
93618......... TC...... A Heart rhythm 0.00 NA NA NA NA 0.24 NA NA NA NA 000
pacing.
93619......... ........ A Electrophysiolo 7.31 NA NA NA NA 0.98 NA NA NA NA 000
gy evaluation.
93619......... 26...... A Electrophysiolo 7.31 3.87 3.35 3.87 3.35 0.51 11.69 11.17 11.69 11.17 000
gy evaluation.
93619......... TC...... A Electrophysiolo 0.00 NA NA NA NA 0.47 NA NA NA NA 000
gy evaluation.
93620......... ........ C Electrophysiolo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
gy evaluation.
93620......... 26...... A Electrophysiolo 11.57 6.24 5.19 6.24 5.19 0.80 18.61 17.56 18.61 17.56 000
gy evaluation.
93620......... TC...... C Electrophysiolo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
gy evaluation.
93621......... ........ C Electrophysiolo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
gy evaluation.
93621......... 26...... A Electrophysiolo 2.10 1.13 0.90 1.13 0.90 0.15 3.38 3.15 3.38 3.15 ZZZ
gy evaluation.
93621......... TC...... C Electrophysiolo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
gy evaluation.
93622......... ........ C Electrophysiolo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
gy evaluation.
93622......... 26...... A Electrophysiolo 3.10 1.68 1.33 1.68 1.33 0.22 5.00 4.65 5.00 4.65 ZZZ
gy evaluation.
93622......... TC...... C Electrophysiolo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
gy evaluation.
93623......... ........ C Stimulation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
pacing heart.
93623......... 26...... A Stimulation, 2.85 1.54 1.22 1.54 1.22 0.20 4.59 4.27 4.59 4.27 ZZZ
pacing heart.
93623......... TC...... C Stimulation, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
pacing heart.
93624......... ........ A Electrophysiolo 4.80 NA NA . 4.18 0.46 NA NA 5.26 9.44 000
gic study.
93624......... 26...... A Electrophysiolo 4.80 2.63 2.30 2.63 2.30 0.33 7.76 7.43 7.76 7.43 000
gic study.
93624......... TC...... A Electrophysiolo 0.00 NA NA . 1.98 0.13 NA NA 0.13 2.11 000
gic study.
93631......... ........ C Heart pacing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
mapping.
93631......... 26...... A Heart pacing, 7.59 2.74 2.76 2.74 2.76 0.97 11.30 11.32 11.30 11.32 000
mapping.
93631......... TC...... C Heart pacing, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000
mapping.
93640......... ........ A Evaluation 3.51 NA NA NA NA 0.66 NA NA NA NA 000
heart device.
93640......... 26...... A Evaluation 3.51 1.89 1.49 1.89 1.49 0.24 5.64 5.24 5.64 5.24 000
heart device.
93640......... TC...... A Evaluation 0.00 NA NA NA NA 0.42 NA NA NA NA 000
heart device.
93641......... ........ A Electrophysiolo 5.92 NA NA NA NA 0.83 NA NA NA NA 000
gy evaluation.
93641......... 26...... A Electrophysiolo 5.92 3.18 2.53 3.18 2.53 0.41 9.51 8.86 9.51 8.86 000
gy evaluation.
93641......... TC...... A Electrophysiolo 0.00 NA NA NA NA 0.42 NA NA NA NA 000
gy evaluation.
93642......... ........ A Electrophysiolo 4.88 7.45 8.90 7.45 8.90 0.57 12.90 14.35 12.90 14.35 000
gy evaluation.
93642......... 26...... A Electrophysiolo 4.88 2.63 2.32 2.63 2.32 0.15 7.66 7.35 7.66 7.35 000
gy evaluation.
93642......... TC...... A Electrophysiolo 0.00 4.81 6.58 4.81 6.58 0.42 5.23 7.00 5.23 7.00 000
gy evaluation.
93650......... ........ A Ablate heart 10.49 NA NA 5.97 4.82 0.73 NA NA 17.19 16.04 000
dysrhythm
focus.
93651......... ........ A Ablate heart 16.23 NA NA 8.75 6.93 1.13 NA NA 26.11 24.29 000
dysrhythm
focus.
93652......... ........ A Ablate heart 17.65 NA NA 9.52 7.54 1.23 NA NA 28.40 26.42 000
dysrhythm
focus.
93660......... ........ A Tilt table 1.89 3.05 2.57 3.05 2.57 0.08 5.02 4.54 5.02 4.54 000
evaluation.
93660......... 26...... A Tilt table 1.89 0.99 0.80 0.99 0.80 0.06 2.94 2.75 2.94 2.75 000
evaluation.
93660......... TC...... A Tilt table 0.00 2.06 1.78 2.06 1.78 0.02 2.08 1.80 2.08 1.80 000
evaluation.
93662......... ........ C Intracardiac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
ecg (ice).
93662......... 26...... A Intracardiac 2.80 1.51 1.21 1.51 1.21 0.09 4.40 4.10 4.40 4.10 ZZZ
ecg (ice).
93662......... TC...... C Intracardiac 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
ecg (ice).
93701......... ........ A Bioimpedance, 0.17 0.70 0.91 NA NA 0.02 0.89 1.10 NA NA XXX
thoracic.
93701......... 26...... A Bioimpedance, 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX
thoracic.
93701......... TC...... A Bioimpedance, 0.00 0.64 0.84 NA NA 0.01 0.65 0.85 NA NA XXX
thoracic.
93720......... ........ A Total body 0.17 1.30 0.90 1.30 0.90 0.07 1.54 1.14 1.54 1.14 XXX
plethysmograph
y.
93721......... ........ A Plethysmography 0.00 1.15 0.82 NA NA 0.06 1.21 0.88 NA NA XXX
tracing.
93722......... ........ A Plethysmography 0.17 0.04 0.05 0.04 0.05 0.01 0.22 0.23 0.22 0.23 XXX
report.
93724......... ........ A Analyze 4.88 3.49 5.28 3.49 5.28 0.39 8.76 10.55 8.76 10.55 000
pacemaker
system.
93724......... 26...... A Analyze 4.88 2.58 2.08 2.58 2.08 0.15 7.61 7.11 7.61 7.11 000
pacemaker
system.
93724......... TC...... A Analyze 0.00 0.92 3.20 0.92 3.20 0.24 1.16 3.44 1.16 3.44 000
pacemaker
system.
93727......... ........ A Analyze ilr 0.52 0.65 0.31 0.65 0.31 0.02 1.19 0.85 1.19 0.85 XXX
system.
93731......... ........ A Analyze 0.45 0.80 0.70 NA NA 0.05 1.30 1.20 NA NA XXX
pacemaker
system.
93731......... 26...... A Analyze 0.45 0.24 0.19 0.24 0.19 0.01 0.70 0.65 0.70 0.65 XXX
pacemaker
system.
93731......... TC...... A Analyze 0.00 0.56 0.51 NA NA 0.04 0.60 0.55 NA NA XXX
pacemaker
system.
93732......... ........ A Analyze 0.92 1.17 0.94 NA NA 0.07 2.16 1.93 NA NA XXX
pacemaker
system.
[[Page 49223]]
93732......... 26...... A Analyze 0.92 0.49 0.39 0.49 0.39 0.03 1.44 1.34 1.44 1.34 XXX
pacemaker
system.
93732......... TC...... A Analyze 0.00 0.68 0.55 NA NA 0.04 0.72 0.59 NA NA XXX
pacemaker
system.
93733......... ........ A Telephone 0.17 0.32 0.68 NA NA 0.07 0.56 0.92 NA NA XXX
analy,
pacemaker.
93733......... 26...... A Telephone 0.17 0.09 0.08 0.09 0.08 0.01 0.27 0.26 0.27 0.26 XXX
analy,
pacemaker.
93733......... TC...... A Telephone 0.00 0.23 0.61 NA NA 0.06 0.29 0.67 NA NA XXX
analy,
pacemaker.
93734......... ........ A Analyze 0.38 0.71 0.55 NA NA 0.03 1.12 0.96 NA NA XXX
pacemaker
system.
93734......... 26...... A Analyze 0.38 0.20 0.16 0.20 0.16 0.01 0.59 0.55 0.59 0.55 XXX
pacemaker
system.
93734......... TC...... A Analyze 0.00 0.51 0.39 NA NA 0.02 0.53 0.41 NA NA XXX
pacemaker
system.
93735......... ........ A Analyze 0.74 0.97 0.78 NA NA 0.06 1.77 1.58 NA NA XXX
pacemaker
system.
93735......... 26...... A Analyze 0.74 0.39 0.31 0.39 0.31 0.02 1.15 1.07 1.15 1.07 XXX
pacemaker
system.
93735......... TC...... A Analyze 0.00 0.58 0.48 NA NA 0.04 0.62 0.52 NA NA XXX
pacemaker
system.
93736......... ........ A Telephonic 0.15 0.28 0.59 NA NA 0.07 0.50 0.81 NA NA XXX
analy,
pacemaker.
93736......... 26...... A Telephonic 0.15 0.08 0.07 0.08 0.07 0.01 0.24 0.23 0.24 0.23 XXX
analy,
pacemaker.
93736......... TC...... A Telephonic 0.00 0.21 0.53 NA NA 0.06 0.27 0.59 NA NA XXX
analy,
pacemaker.
93740......... ........ B Temperature 0.16 0.04 0.15 NA NA 0.02 0.22 0.33 NA NA XXX
gradient
studies.
93740......... 26...... B Temperature 0.16 0.04 0.04 0.04 0.04 0.01 0.21 0.21 0.21 0.21 XXX
gradient
studies.
93740......... TC...... B Temperature 0.00 0.00 0.11 NA NA 0.01 0.01 0.12 NA NA XXX
gradient
studies.
93741......... ........ A Analyze ht pace 0.80 1.04 1.00 NA NA 0.07 1.91 1.87 NA NA XXX
device sngl.
93741......... 26...... A Analyze ht pace 0.80 0.43 0.34 0.43 0.34 0.03 1.26 1.17 1.26 1.17 XXX
device sngl.
93741......... TC...... A Analyze ht pace 0.00 0.60 0.65 NA NA 0.04 0.64 0.69 NA NA XXX
device sngl.
93742......... ........ A Analyze ht pace 0.91 1.17 1.07 NA NA 0.07 2.15 2.05 NA NA XXX
device sngl.
93742......... 26...... A Analyze ht pace 0.91 0.50 0.40 0.50 0.40 0.03 1.44 1.34 1.44 1.34 XXX
device sngl.
93742......... TC...... A Analyze ht pace 0.00 0.68 0.67 NA NA 0.04 0.72 0.71 NA NA XXX
device sngl.
93743......... ........ A Analyze ht pace 1.03 1.21 1.15 NA NA 0.07 2.31 2.25 NA NA XXX
device dual.
93743......... 26...... A Analyze ht pace 1.03 0.56 0.44 0.56 0.44 0.03 1.62 1.50 1.62 1.50 XXX
device dual.
93743......... TC...... A Analyze ht pace 0.00 0.65 0.71 NA NA 0.04 0.69 0.75 NA NA XXX
device dual.
93744......... ........ A Analyze ht pace 1.18 1.36 1.19 NA NA 0.08 2.62 2.45 NA NA XXX
device dual.
93744......... 26...... A Analyze ht pace 1.18 0.64 0.51 0.64 0.51 0.04 1.86 1.73 1.86 1.73 XXX
device dual.
93744......... TC...... A Analyze ht pace 0.00 0.73 0.69 NA NA 0.04 0.77 0.73 NA NA XXX
device dual.
93745......... ........ C Set-up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cardiovert-
defibrill.
93745......... 26...... C Set-up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cardiovert-
defibrill.
93745......... TC...... C Set-up 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
cardiovert-
defibrill.
93770......... ........ B Measure venous 0.16 0.04 0.07 NA NA 0.02 0.22 0.25 NA NA XXX
pressure.
93770......... 26...... B Measure venous 0.16 0.04 0.05 0.04 0.05 0.01 0.21 0.22 0.21 0.22 XXX
pressure.
93770......... TC...... B Measure venous 0.00 0.00 0.02 NA NA 0.01 0.01 0.03 NA NA XXX
pressure.
93784......... ........ A Ambulatory BP 0.38 1.36 1.50 1.36 1.50 0.03 1.77 1.91 1.77 1.91 XXX
monitoring.
93786......... ........ A Ambulatory BP 0.00 1.09 0.96 NA NA 0.01 1.10 0.97 NA NA XXX
recording.
93788......... ........ A Ambulatory BP 0.00 0.73 0.57 NA NA 0.01 0.74 0.58 NA NA XXX
analysis.
93790......... ........ A Review/report 0.38 0.14 0.13 0.14 0.13 0.01 0.53 0.52 0.53 0.52 XXX
BP recording.
93797......... ........ A Cardiac rehab.. 0.18 0.32 0.31 0.09 0.08 0.01 0.51 0.50 0.28 0.27 000
93798......... ........ A Cardiac rehab/ 0.28 0.44 0.46 0.13 0.12 0.01 0.73 0.75 0.42 0.41 000
monitor.
93799......... ........ C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93799......... 26...... C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93799......... TC...... C Cardiovascular 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
93875......... ........ A Extracranial 0.22 2.65 2.41 NA NA 0.12 2.99 2.75 NA NA XXX
study.
93875......... 26...... A Extracranial 0.22 0.08 0.08 0.08 0.08 0.01 0.31 0.31 0.31 0.31 XXX
study.
93875......... TC...... A Extracranial 0.00 2.57 2.33 NA NA 0.11 2.68 2.44 NA NA XXX
study.
93880......... ........ A Extracranial 0.60 6.23 5.72 NA NA 0.39 7.22 6.71 NA NA XXX
study.
93880......... 26...... A Extracranial 0.60 0.21 0.20 0.21 0.20 0.04 0.85 0.84 0.85 0.84 XXX
study.
93880......... TC...... A Extracranial 0.00 6.03 5.52 NA NA 0.35 6.38 5.87 NA NA XXX
study.
93882......... ........ A Extracranial 0.40 4.17 3.67 NA NA 0.26 4.83 4.33 NA NA XXX
study.
93882......... 26...... A Extracranial 0.40 0.12 0.14 0.12 0.14 0.04 0.56 0.58 0.56 0.58 XXX
study.
93882......... TC...... A Extracranial 0.00 4.05 3.53 NA NA 0.22 4.27 3.75 NA NA XXX
study.
93886......... ........ A Intracranial 0.94 7.31 6.88 NA NA 0.45 8.70 8.27 NA NA XXX
study.
93886......... 26...... A Intracranial 0.94 0.31 0.36 0.31 0.36 0.06 1.31 1.36 1.31 1.36 XXX
study.
93886......... TC...... A Intracranial 0.00 7.00 6.53 NA NA 0.39 7.39 6.92 NA NA XXX
study.
93888......... ........ A Intracranial 0.62 4.91 4.41 NA NA 0.32 5.85 5.35 NA NA XXX
study.
93888......... 26...... A Intracranial 0.62 0.20 0.22 0.20 0.22 0.05 0.87 0.89 0.87 0.89 XXX
study.
93888......... TC...... A Intracranial 0.00 4.71 4.19 NA NA 0.27 4.98 4.46 NA NA XXX
study.
93890......... ........ A Tcd, 1.00 6.47 5.29 NA NA 0.45 7.92 6.74 NA NA XXX
vasoreactivity
study.
93890......... 26...... A Tcd, 1.00 0.33 0.38 0.33 0.38 0.06 1.39 1.44 1.39 1.44 XXX
vasoreactivity
study.
93890......... TC...... A Tcd, 0.00 6.13 4.91 NA NA 0.39 6.52 5.30 NA NA XXX
vasoreactivity
study.
93892......... ........ A Tcd, emboli 1.15 7.00 5.62 NA NA 0.45 8.60 7.22 NA NA XXX
detect w/o inj.
93892......... 26...... A Tcd, emboli 1.15 0.38 0.44 0.38 0.44 0.06 1.59 1.65 1.59 1.65 XXX
detect w/o inj.
93892......... TC...... A Tcd, emboli 0.00 6.62 5.18 NA NA 0.39 7.01 5.57 NA NA XXX
detect w/o inj.
93893......... ........ A Tcd, emboli 1.15 6.67 5.44 NA NA 0.45 8.27 7.04 NA NA XXX
detect w/inj.
[[Page 49224]]
93893......... 26...... A Tcd, emboli 1.15 0.38 0.44 0.38 0.44 0.06 1.59 1.65 1.59 1.65 XXX
detect w/inj.
93893......... TC...... A Tcd, emboli 0.00 6.29 5.00 NA NA 0.39 6.68 5.39 NA NA XXX
detect w/inj.
93922......... ........ A Extremity study 0.25 3.16 2.80 NA NA 0.15 3.56 3.20 NA NA XXX
93922......... 26...... A Extremity study 0.25 0.08 0.08 0.08 0.08 0.02 0.35 0.35 0.35 0.35 XXX
93922......... TC...... A Extremity study 0.00 3.08 2.72 NA NA 0.13 3.21 2.85 NA NA XXX
93923......... ........ A Extremity study 0.45 4.80 4.22 NA NA 0.26 5.51 4.93 NA NA XXX
93923......... 26...... A Extremity study 0.45 0.14 0.15 0.14 0.15 0.04 0.63 0.64 0.63 0.64 XXX
93923......... TC...... A Extremity study 0.00 4.66 4.08 NA NA 0.22 4.88 4.30 NA NA XXX
93924......... ........ A Extremity study 0.50 6.06 5.11 NA NA 0.30 6.86 5.91 NA NA XXX
93924......... 26...... A Extremity study 0.50 0.17 0.17 0.17 0.17 0.05 0.72 0.72 0.72 0.72 XXX
93924......... TC...... A Extremity study 0.00 5.89 4.94 NA NA 0.25 6.14 5.19 NA NA XXX
93925......... ........ A Lower extremity 0.58 8.24 7.15 NA NA 0.39 9.21 8.12 NA NA XXX
study.
93925......... 26...... A Lower extremity 0.58 0.20 0.20 0.20 0.20 0.04 0.82 0.82 0.82 0.82 XXX
study.
93925......... TC...... A Lower extremity 0.00 8.04 6.95 NA NA 0.35 8.39 7.30 NA NA XXX
study.
93926......... ........ A Lower extremity 0.39 5.25 4.35 NA NA 0.27 5.91 5.01 NA NA XXX
study.
93926......... 26...... A Lower extremity 0.39 0.12 0.13 0.12 0.13 0.04 0.55 0.56 0.55 0.56 XXX
study.
93926......... TC...... A Lower extremity 0.00 5.13 4.22 NA NA 0.23 5.36 4.45 NA NA XXX
study.
93930......... ........ A Upper extremity 0.46 6.35 5.60 NA NA 0.41 7.22 6.47 NA NA XXX
study.
93930......... 26...... A Upper extremity 0.46 0.15 0.16 0.15 0.16 0.04 0.65 0.66 0.65 0.66 XXX
study.
93930......... TC...... A Upper extremity 0.00 6.20 5.44 NA NA 0.37 6.57 5.81 NA NA XXX
study.
93931......... ........ A Upper extremity 0.31 4.32 3.69 NA NA 0.27 4.90 4.27 NA NA XXX
study.
93931......... 26...... A Upper extremity 0.31 0.10 0.10 0.10 0.10 0.03 0.44 0.44 0.44 0.44 XXX
study.
93931......... TC...... A Upper extremity 0.00 4.22 3.59 NA NA 0.24 4.46 3.83 NA NA XXX
study.
93965......... ........ A Extremity study 0.35 3.13 2.88 NA NA 0.14 3.62 3.37 NA NA XXX
93965......... 26...... A Extremity study 0.35 0.12 0.12 0.12 0.12 0.02 0.49 0.49 0.49 0.49 XXX
93965......... TC...... A Extremity study 0.00 3.02 2.76 NA NA 0.12 3.14 2.88 NA NA XXX
93970......... ........ A Extremity study 0.68 6.32 5.51 NA NA 0.46 7.46 6.65 NA NA XXX
93970......... 26...... A Extremity study 0.68 0.21 0.23 0.21 0.23 0.06 0.95 0.97 0.95 0.97 XXX
93970......... TC...... A Extremity study 0.00 6.11 5.29 NA NA 0.40 6.51 5.69 NA NA XXX
93971......... ........ A Extremity study 0.45 4.12 3.72 NA NA 0.30 4.87 4.47 NA NA XXX
93971......... 26...... A Extremity study 0.45 0.14 0.15 0.14 0.15 0.03 0.62 0.63 0.62 0.63 XXX
93971......... TC...... A Extremity study 0.00 3.98 3.58 NA NA 0.27 4.25 3.85 NA NA XXX
93975......... ........ A Vascular study. 1.80 8.56 7.86 NA NA 0.56 10.92 10.22 NA NA XXX
93975......... 26...... A Vascular study. 1.80 0.62 0.61 0.62 0.61 0.13 2.55 2.54 2.55 2.54 XXX
93975......... TC...... A Vascular study. 0.00 7.95 7.26 NA NA 0.43 8.38 7.69 NA NA XXX
93976......... ........ A Vascular study. 1.21 4.57 4.39 NA NA 0.35 6.13 5.95 NA NA XXX
93976......... 26...... A Vascular study. 1.21 0.39 0.40 0.39 0.40 0.05 1.65 1.66 1.65 1.66 XXX
93976......... TC...... A Vascular study. 0.00 4.18 3.99 NA NA 0.30 4.48 4.29 NA NA XXX
93978......... ........ A Vascular study. 0.65 6.15 4.92 NA NA 0.43 7.23 6.00 NA NA XXX
93978......... 26...... A Vascular study. 0.65 0.23 0.22 0.23 0.22 0.06 0.94 0.93 0.94 0.93 XXX
93978......... TC...... A Vascular study. 0.00 5.93 4.70 NA NA 0.37 6.30 5.07 NA NA XXX
93979......... ........ A Vascular study. 0.44 4.40 3.51 NA NA 0.27 5.11 4.22 NA NA XXX
93979......... 26...... A Vascular study. 0.44 0.16 0.15 0.16 0.15 0.03 0.63 0.62 0.63 0.62 XXX
93979......... TC...... A Vascular study. 0.00 4.23 3.35 NA NA 0.24 4.47 3.59 NA NA XXX
93980......... ........ A Penile vascular 1.25 3.49 3.01 NA NA 0.42 5.16 4.68 NA NA XXX
study.
93980......... 26...... A Penile vascular 1.25 0.44 0.42 0.44 0.42 0.08 1.77 1.75 1.77 1.75 XXX
study.
93980......... TC...... A Penile vascular 0.00 3.05 2.59 NA NA 0.34 3.39 2.93 NA NA XXX
study.
93981......... ........ A Penile vascular 0.44 2.88 2.87 NA NA 0.33 3.65 3.64 NA NA XXX
study.
93981......... 26...... A Penile vascular 0.44 0.16 0.15 0.16 0.15 0.02 0.62 0.61 0.62 0.61 XXX
study.
93981......... TC...... A Penile vascular 0.00 2.71 2.73 NA NA 0.31 3.02 3.04 NA NA XXX
study.
93990......... ........ A Doppler flow 0.25 5.34 4.33 NA NA 0.26 5.85 4.84 NA NA XXX
testing.
93990......... 26...... A Doppler flow 0.25 0.07 0.09 0.07 0.09 0.03 0.35 0.37 0.35 0.37 XXX
testing.
93990......... TC...... A Doppler flow 0.00 5.27 4.24 NA NA 0.23 5.50 4.47 NA NA XXX
testing.
94010......... ........ A Breathing 0.17 0.74 0.69 NA NA 0.03 0.94 0.89 NA NA XXX
capacity test.
94010......... 26...... A Breathing 0.17 0.04 0.05 0.04 0.05 0.01 0.22 0.23 0.22 0.23 XXX
capacity test.
94010......... TC...... A Breathing 0.00 0.70 0.64 NA NA 0.02 0.72 0.66 NA NA XXX
capacity test.
[[Page 49225]]
94014......... ........ A Patient 0.52 0.93 0.80 0.93 0.80 0.03 1.48 1.35 1.48 1.35 XXX
recorded
spirometry.
94015......... ........ A Patient 0.00 0.76 0.63 NA NA 0.01 0.77 0.64 NA NA XXX
recorded
spirometry.
94016......... ........ A Review patient 0.52 0.17 0.17 0.17 0.17 0.02 0.71 0.71 0.71 0.71 XXX
spirometry.
94060......... ........ A Evaluation of 0.31 1.32 1.13 1.32 1.13 0.07 1.70 1.51 1.70 1.51 XXX
wheezing.
94060......... 26...... A Evaluation of 0.31 0.08 0.09 0.08 0.09 0.01 0.40 0.41 0.40 0.41 XXX
wheezing.
94060......... TC...... A Evaluation of 0.00 1.24 1.05 1.24 1.05 0.06 1.30 1.11 1.30 1.11 XXX
wheezing.
94070......... ........ A Evaluation of 0.60 1.01 0.87 NA NA 0.13 1.74 1.60 NA NA XXX
wheezing.
94070......... 26...... A Evaluation of 0.60 0.15 0.17 0.15 0.17 0.03 0.78 0.80 0.78 0.80 XXX
wheezing.
94070......... TC...... A Evaluation of 0.00 0.85 0.69 NA NA 0.10 0.95 0.79 NA NA XXX
wheezing.
94150......... ........ B Vital capacity 0.07 0.48 0.47 NA NA 0.02 0.57 0.56 NA NA XXX
test.
94150......... 26...... B Vital capacity 0.07 0.02 0.03 0.02 0.03 0.01 0.10 0.11 0.10 0.11 XXX
test.
94150......... TC...... B Vital capacity 0.00 0.47 0.45 NA NA 0.01 0.48 0.46 NA NA XXX
test.
94200......... ........ A Lung function 0.11 0.51 0.46 NA NA 0.03 0.65 0.60 NA NA XXX
test (MBC/MVV).
94200......... 26...... A Lung function 0.11 0.03 0.03 0.03 0.03 0.01 0.15 0.15 0.15 0.15 XXX
test (MBC/MVV).
94200......... TC...... A Lung function 0.00 0.48 0.43 NA NA 0.02 0.50 0.45 NA NA XXX
test (MBC/MVV).
94240......... ........ A Residual lung 0.26 0.84 0.71 NA NA 0.06 1.16 1.03 NA NA XXX
capacity.
94240......... 26...... A Residual lung 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX
capacity.
94240......... TC...... A Residual lung 0.00 0.77 0.63 NA NA 0.05 0.82 0.68 NA NA XXX
capacity.
94250......... ........ A Expired gas 0.11 0.57 0.62 NA NA 0.02 0.70 0.75 NA NA XXX
collection.
94250......... 26...... A Expired gas 0.11 0.04 0.03 0.04 0.03 0.01 0.16 0.15 0.16 0.15 XXX
collection.
94250......... TC...... A Expired gas 0.00 0.53 0.59 NA NA 0.01 0.54 0.60 NA NA XXX
collection.
94260......... ........ A Thoracic gas 0.13 0.77 0.63 NA NA 0.05 0.95 0.81 NA NA XXX
volume.
94260......... 26...... A Thoracic gas 0.13 0.03 0.04 0.03 0.04 0.01 0.17 0.18 0.17 0.18 XXX
volume.
94260......... TC...... A Thoracic gas 0.00 0.74 0.59 NA NA 0.04 0.78 0.63 NA NA XXX
volume.
94350......... ........ A Lung nitrogen 0.26 0.67 0.74 NA NA 0.05 0.98 1.05 NA NA XXX
washout curve.
94350......... 26...... A Lung nitrogen 0.26 0.08 0.08 0.08 0.08 0.01 0.35 0.35 0.35 0.35 XXX
washout curve.
94350......... TC...... A Lung nitrogen 0.00 0.59 0.66 NA NA 0.04 0.63 0.70 NA NA XXX
washout curve.
94360......... ........ A Measure airflow 0.26 0.99 0.77 NA NA 0.07 1.32 1.10 NA NA XXX
resistance.
94360......... 26...... A Measure airflow 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX
resistance.
94360......... TC...... A Measure airflow 0.00 0.92 0.70 NA NA 0.06 0.98 0.76 NA NA XXX
resistance.
94370......... ........ A Breath airway 0.26 0.67 0.71 NA NA 0.03 0.96 1.00 NA NA XXX
closing volume.
94370......... 26...... A Breath airway 0.26 0.09 0.08 0.09 0.08 0.01 0.36 0.35 0.36 0.35 XXX
closing volume.
94370......... TC...... A Breath airway 0.00 0.58 0.63 NA NA 0.02 0.60 0.65 NA NA XXX
closing volume.
94375......... ........ A Respiratory 0.31 0.75 0.64 NA NA 0.03 1.09 0.98 NA NA XXX
flow volume
loop.
94375......... 26...... A Respiratory 0.31 0.08 0.09 0.08 0.09 0.01 0.40 0.41 0.40 0.41 XXX
flow volume
loop.
94375......... TC...... A Respiratory 0.00 0.66 0.55 NA NA 0.02 0.68 0.57 NA NA XXX
flow volume
loop.
94400......... ........ A CO2 breathing 0.40 1.03 0.89 NA NA 0.09 1.52 1.38 NA NA XXX
response curve.
94400......... 26...... A CO2 breathing 0.40 0.10 0.12 0.10 0.12 0.03 0.53 0.55 0.53 0.55 XXX
response curve.
94400......... TC...... A CO2 breathing 0.00 0.93 0.77 NA NA 0.06 0.99 0.83 NA NA XXX
response curve.
94450......... ........ A Hypoxia 0.40 1.03 0.90 NA NA 0.04 1.47 1.34 NA NA XXX
response curve.
94450......... 26...... A Hypoxia 0.40 0.09 0.11 0.09 0.11 0.02 0.51 0.53 0.51 0.53 XXX
response curve.
94450......... TC...... A Hypoxia 0.00 0.95 0.79 NA NA 0.02 0.97 0.81 NA NA XXX
response curve.
94452......... ........ A Hast w/report.. 0.31 1.21 1.07 NA NA 0.04 1.56 1.42 NA NA XXX
94452......... 26...... A Hast w/report.. 0.31 0.09 0.09 0.09 0.09 0.02 0.42 0.42 0.42 0.42 XXX
94452......... TC...... A Hast w/report.. 0.00 1.12 0.98 NA NA 0.02 1.14 1.00 NA NA XXX
94453......... ........ A Hast w/oxygen 0.40 1.69 1.56 NA NA 0.04 2.13 2.00 NA NA XXX
titrate.
94453......... 26...... A Hast w/oxygen 0.40 0.11 0.12 0.11 0.12 0.02 0.53 0.54 0.53 0.54 XXX
titrate.
94453......... TC...... A Hast w/oxygen 0.00 1.58 1.44 NA NA 0.02 1.60 1.46 NA NA XXX
titrate.
94620......... ........ A Pulmonary 0.64 0.88 2.09 NA NA 0.13 1.65 2.86 NA NA XXX
stress test/
simple.
94620......... 26...... A Pulmonary 0.64 0.20 0.20 0.20 0.20 0.03 0.87 0.87 0.87 0.87 XXX
stress test/
simple.
94620......... TC...... A Pulmonary 0.00 0.68 1.89 NA NA 0.10 0.78 1.99 NA NA XXX
stress test/
simple.
94621......... ........ A Pulm stress 1.42 3.18 2.45 NA NA 0.16 4.76 4.03 NA NA XXX
test/complex.
94621......... 26...... A Pulm stress 1.42 0.45 0.44 0.45 0.44 0.06 1.93 1.92 1.93 1.92 XXX
test/complex.
94621......... TC...... A Pulm stress 0.00 2.73 2.00 NA NA 0.10 2.83 2.10 NA NA XXX
test/complex.
94640......... ........ A Airway 0.00 0.37 0.32 NA NA 0.02 0.39 0.34 NA NA XXX
inhalation
treatment.
94642......... ........ C Aerosol 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
inhalation
treatment.
94656......... ........ A Initial 1.22 1.12 1.15 0.24 0.30 0.06 2.40 2.43 1.52 1.58 XXX
ventilator
mgmt.
94657......... ........ A Continued 0.83 1.15 1.02 0.19 0.24 0.04 2.02 1.89 1.06 1.11 XXX
ventilator
mgmt.
94660......... ........ A Pos airway 0.76 0.82 0.69 0.20 0.22 0.04 1.62 1.49 1.00 1.02 XXX
pressure, CPAP.
94662......... ........ A Neg press 0.76 NA NA 0.18 0.22 0.03 NA NA 0.97 1.01 XXX
ventilation,
cnp.
94664......... ........ A Evaluate pt use 0.00 0.40 0.33 NA NA 0.04 0.44 0.37 NA NA XXX
of inhaler.
94667......... ........ A Chest wall 0.00 0.55 0.53 NA NA 0.05 0.60 0.58 NA NA XXX
manipulation.
94668......... ........ A Chest wall 0.00 0.51 0.47 NA NA 0.02 0.53 0.49 NA NA XXX
manipulation.
94680......... ........ A Exhaled air 0.26 1.11 1.67 1.11 1.67 0.07 1.44 2.00 1.44 2.00 XXX
analysis, o2.
94680......... 26...... A Exhaled air 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX
analysis, o2.
94680......... TC...... A Exhaled air 0.00 1.04 1.60 1.04 1.60 0.06 1.10 1.66 1.10 1.66 XXX
analysis, o2.
[[Page 49226]]
94681......... ........ A Exhaled air 0.20 1.10 2.17 NA NA 0.13 1.43 2.50 NA NA XXX
analysis, o2/
co2.
94681......... 26...... A Exhaled air 0.20 0.05 0.06 0.05 0.06 0.01 0.26 0.27 0.26 0.27 XXX
analysis, o2/
co2.
94681......... TC...... A Exhaled air 0.00 1.04 2.11 NA NA 0.12 1.16 2.23 NA NA XXX
analysis, o2/
co2.
94690......... ........ A Exhaled air 0.07 0.89 1.72 NA NA 0.05 1.01 1.84 NA NA XXX
analysis.
94690......... 26...... A Exhaled air 0.07 0.02 0.02 0.02 0.02 0.01 0.10 0.10 0.10 0.10 XXX
analysis.
94690......... TC...... A Exhaled air 0.00 0.87 1.70 NA NA 0.04 0.91 1.74 NA NA XXX
analysis.
94720......... ........ A Monoxide 0.26 1.18 1.05 NA NA 0.07 1.51 1.38 NA NA XXX
diffusing
capacity.
94720......... 26...... A Monoxide 0.26 0.06 0.08 0.06 0.08 0.01 0.33 0.35 0.33 0.35 XXX
diffusing
capacity.
94720......... TC...... A Monoxide 0.00 1.11 0.97 NA NA 0.06 1.17 1.03 NA NA XXX
diffusing
capacity.
94725......... ........ A Membrane 0.26 1.10 2.46 NA NA 0.13 1.49 2.85 NA NA XXX
diffusion
capacity.
94725......... 26...... A Membrane 0.26 0.09 0.08 0.09 0.08 0.01 0.36 0.35 0.36 0.35 XXX
diffusion
capacity.
94725......... TC...... A Membrane 0.00 1.01 2.38 NA NA 0.12 1.13 2.50 NA NA XXX
diffusion
capacity.
94750......... ........ A Pulmonary 0.23 1.90 1.48 NA NA 0.05 2.18 1.76 NA NA XXX
compliance
study.
94750......... 26...... A Pulmonary 0.23 0.08 0.07 0.08 0.07 0.01 0.32 0.31 0.32 0.31 XXX
compliance
study.
94750......... TC...... A Pulmonary 0.00 1.82 1.41 NA NA 0.04 1.86 1.45 NA NA XXX
compliance
study.
94760......... ........ T Measure blood 0.00 0.06 0.05 NA NA 0.02 0.08 0.07 NA NA XXX
oxygen level.
94761......... ........ T Measure blood 0.00 0.12 0.08 NA NA 0.06 0.18 0.14 NA NA XXX
oxygen level.
94762......... ........ A Measure blood 0.00 0.96 0.59 NA NA 0.10 1.06 0.69 NA NA XXX
oxygen level.
94770......... ........ A Exhaled carbon 0.15 0.85 0.78 NA NA 0.08 1.08 1.01 NA NA XXX
dioxide test.
94770......... 26...... A Exhaled carbon 0.15 0.04 0.04 0.04 0.04 0.01 0.20 0.20 0.20 0.20 XXX
dioxide test.
94770......... TC...... A Exhaled carbon 0.00 0.81 0.74 NA NA 0.07 0.88 0.81 NA NA XXX
dioxide test.
94772......... ........ C Breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording,
infant.
94772......... 26...... C Breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording,
infant.
94772......... TC...... C Breath 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
recording,
infant.
94799......... ........ C Pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service/
procedure.
94799......... 26...... C Pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service/
procedure.
94799......... TC...... C Pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service/
procedure.
95004......... ........ A Percut allergy 0.00 0.16 0.12 NA NA 0.01 0.17 0.13 NA NA XXX
skin tests.
95010......... ........ A Percut allergy 0.15 0.30 0.32 0.04 0.06 0.01 0.46 0.48 0.20 0.22 XXX
titrate test.
95015......... ........ A Id allergy 0.15 0.20 0.16 0.04 0.06 0.01 0.36 0.32 0.20 0.22 XXX
titrate-drug/
bug.
95024......... ........ A Id allergy 0.00 0.21 0.17 NA NA 0.01 0.22 0.18 NA NA XXX
test, drug/bug.
95027......... ........ A Id allergy 0.00 0.24 0.17 NA NA 0.01 0.25 0.18 NA NA XXX
titrate-
airborne.
95028......... ........ A Id allergy test- 0.00 0.29 0.25 NA NA 0.01 0.30 0.26 NA NA XXX
delayed type.
95044......... ........ A Allergy patch 0.00 0.15 0.19 NA NA 0.01 0.16 0.20 NA NA XXX
tests.
95052......... ........ A Photo patch 0.00 0.15 0.23 NA NA 0.01 0.16 0.24 NA NA XXX
test.
95056......... ........ A Photosensitivit 0.00 1.18 0.42 NA NA 0.01 1.19 0.43 NA NA XXX
y tests.
95060......... ........ A Eye allergy 0.00 0.75 0.45 NA NA 0.02 0.77 0.47 NA NA XXX
tests.
95065......... ........ A Nose allergy 0.00 0.67 0.32 NA NA 0.01 0.68 0.33 NA NA XXX
test.
95070......... ........ A Bronchial 0.00 0.80 1.91 NA NA 0.02 0.82 1.93 NA NA XXX
allergy tests.
95071......... ........ A Bronchial 0.00 0.89 2.41 NA NA 0.02 0.91 2.43 NA NA XXX
allergy tests.
95075......... ........ A Ingestion 0.95 0.67 0.78 0.25 0.35 0.03 1.65 1.76 1.23 1.33 XXX
challenge test.
95078......... ........ A Provocative 0.00 0.33 0.27 NA NA 0.02 0.35 0.29 NA NA XXX
testing.
95115......... ........ A Immunotherapy, 0.00 0.22 0.35 0.00 0.29 0.02 0.24 0.37 0.02 0.31 XXX
one injection.
95117......... ........ A Immunotherapy 0.00 0.27 0.44 0.00 0.38 0.02 0.29 0.46 0.02 0.40 XXX
injections.
95144......... ........ A Antigen therapy 0.06 0.26 0.21 0.02 0.02 0.01 0.33 0.28 0.09 0.09 XXX
services.
95145......... ........ A Antigen therapy 0.06 0.35 0.33 0.02 0.02 0.01 0.42 0.40 0.09 0.09 XXX
services.
95146......... ........ A Antigen therapy 0.06 0.66 0.50 0.02 0.03 0.01 0.73 0.57 0.09 0.10 XXX
services.
95147......... ........ A Antigen therapy 0.06 0.64 0.48 0.02 0.02 0.01 0.71 0.55 0.09 0.09 XXX
services.
95148......... ........ A Antigen therapy 0.06 0.94 0.67 0.02 0.03 0.01 1.01 0.74 0.09 0.10 XXX
services.
95149......... ........ A Antigen therapy 0.06 1.25 0.91 0.02 0.03 0.01 1.32 0.98 0.09 0.10 XXX
services.
95165......... ........ A Antigen therapy 0.06 0.25 0.21 0.02 0.02 0.01 0.32 0.28 0.09 0.09 XXX
services.
95170......... ........ A Antigen therapy 0.06 0.20 0.15 0.02 0.03 0.01 0.27 0.22 0.09 0.10 XXX
services.
95180......... ........ A Rapid 2.01 1.57 1.92 0.71 0.88 0.04 3.62 3.97 2.76 2.93 XXX
desensitizatio
n.
95199......... ........ C Allergy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunology
services.
95250......... ........ A Glucose 0.00 3.53 3.96 NA NA 0.01 3.54 3.97 NA NA XXX
monitoring,
cont.
95251......... ........ A Gluc monitor, 0.52 0.16 0.18 0.16 0.18 0.02 0.70 0.72 0.70 0.72 XXX
cont, phys i&r.
[[Page 49227]]
95805......... ........ A Multiple sleep 1.88 7.27 14.76 NA NA 0.43 9.58 17.07 NA NA XXX
latency test.
95805......... 26...... A Multiple sleep 1.88 0.51 0.62 0.51 0.62 0.09 2.48 2.59 2.48 2.59 XXX
latency test.
95805......... TC...... A Multiple sleep 0.00 6.76 14.14 NA NA 0.34 7.10 14.48 NA NA XXX
latency test.
95806......... ........ A Sleep study, 1.66 4.02 3.50 NA NA 0.39 6.07 5.55 NA NA XXX
unattended.
95806......... 26...... A Sleep study, 1.66 0.50 0.53 0.50 0.53 0.08 2.24 2.27 2.24 2.27 XXX
unattended.
95806......... TC...... A Sleep study, 0.00 3.52 2.97 NA NA 0.31 3.83 3.28 NA NA XXX
unattended.
95807......... ........ A Sleep study, 1.66 12.81 12.09 NA NA 0.50 14.97 14.25 NA NA XXX
attended.
95807......... 26...... A Sleep study, 1.66 0.51 0.53 0.51 0.53 0.08 2.25 2.27 2.25 2.27 XXX
attended.
95807......... TC...... A Sleep study, 0.00 12.30 11.57 NA NA 0.42 12.72 11.99 NA NA XXX
attended.
95808......... ........ A Polysomnography 2.65 15.72 13.82 NA NA 0.55 18.92 17.02 NA NA XXX
, 1-3.
95808......... 26...... A Polysomnography 2.65 0.69 0.86 0.69 0.86 0.13 3.47 3.64 3.47 3.64 XXX
, 1-3.
95808......... TC...... A Polysomnography 0.00 15.03 12.96 NA NA 0.42 15.45 13.38 NA NA XXX
, 1-3.
95810......... ........ A Polysomnography 3.52 18.60 17.77 NA NA 0.59 22.71 21.88 NA NA XXX
, 4 or more.
95810......... 26...... A Polysomnography 3.52 0.98 1.13 0.98 1.13 0.17 4.67 4.82 4.67 4.82 XXX
, 4 or more.
95810......... TC...... A Polysomnography 0.00 17.62 16.64 NA NA 0.42 18.04 17.06 NA NA XXX
, 4 or more.
95811......... ........ A Polysomnography 3.79 20.70 19.56 NA NA 0.61 25.10 23.96 NA NA XXX
w/cpap.
95811......... 26...... A Polysomnography 3.79 1.05 1.22 1.05 1.22 0.18 5.02 5.19 5.02 5.19 XXX
w/cpap.
95811......... TC...... A Polysomnography 0.00 19.66 18.36 NA NA 0.43 20.09 18.79 NA NA XXX
w/cpap.
95812......... ........ A Eeg, 41-60 1.08 5.90 4.50 NA NA 0.17 7.15 5.75 NA NA XXX
minutes.
95812......... 26...... A Eeg, 41-60 1.08 0.31 0.42 0.31 0.42 0.06 1.45 1.56 1.45 1.56 XXX
minutes.
95812......... TC...... A Eeg, 41-60 0.00 5.59 4.08 NA NA 0.11 5.70 4.19 NA NA XXX
minutes.
95813......... ........ A Eeg, over 1 1.73 6.64 5.43 NA NA 0.20 8.57 7.36 NA NA XXX
hour.
95813......... 26...... A Eeg, over 1 1.73 0.50 0.65 0.50 0.65 0.09 2.32 2.47 2.32 2.47 XXX
hour.
95813......... TC...... A Eeg, over 1 0.00 6.14 4.78 NA NA 0.11 6.25 4.89 NA NA XXX
hour.
95816......... ........ A Eeg, awake and 1.08 5.30 4.11 NA NA 0.16 6.54 5.35 NA NA XXX
drowsy.
95816......... 26...... A Eeg, awake and 1.08 0.30 0.42 0.30 0.42 0.06 1.44 1.56 1.44 1.56 XXX
drowsy.
95816......... TC...... A Eeg, awake and 0.00 4.99 3.69 NA NA 0.10 5.09 3.79 NA NA XXX
drowsy.
95819......... ........ A Eeg, awake and 1.08 6.15 3.77 NA NA 0.16 7.39 5.01 NA NA XXX
asleep.
95819......... 26...... A Eeg, awake and 1.08 0.30 0.42 0.30 0.42 0.06 1.44 1.56 1.44 1.56 XXX
asleep.
95819......... TC...... A Eeg, awake and 0.00 5.84 3.35 NA NA 0.10 5.94 3.45 NA NA XXX
asleep.
95822......... ........ A Eeg, coma or 1.08 5.53 4.83 NA NA 0.19 6.80 6.10 NA NA XXX
sleep only.
95822......... 26...... A Eeg, coma or 1.08 0.30 0.42 0.30 0.42 0.06 1.44 1.56 1.44 1.56 XXX
sleep only.
95822......... TC...... A Eeg, coma or 0.00 5.23 4.41 NA NA 0.13 5.36 4.54 NA NA XXX
sleep only.
95824......... ........ C Eeg, cerebral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
death only.
95824......... 26...... A Eeg, cerebral 0.74 0.21 0.29 0.21 0.29 0.04 0.99 1.07 0.99 1.07 XXX
death only.
95824......... TC...... C Eeg, cerebral 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
death only.
95827......... ........ A Eeg, all night 1.08 11.57 4.92 NA NA 0.19 12.84 6.19 NA NA XXX
recording.
95827......... 26...... A Eeg, all night 1.08 0.29 0.38 0.29 0.38 0.05 1.42 1.51 1.42 1.51 XXX
recording.
95827......... TC...... A Eeg, all night 0.00 11.28 4.54 NA NA 0.14 11.42 4.68 NA NA XXX
recording.
95829......... ........ A Surgery 6.20 25.44 29.61 NA NA 0.50 32.14 36.31 NA NA XXX
electrocortico
gram.
95829......... 26...... A Surgery 6.20 1.79 2.18 1.79 2.18 0.48 8.47 8.86 8.47 8.86 XXX
electrocortico
gram.
95829......... TC...... A Surgery 0.00 23.65 27.43 NA NA 0.02 23.67 27.45 NA NA XXX
electrocortico
gram.
95830......... ........ A Insert 1.70 2.99 3.22 0.42 0.65 0.11 4.80 5.03 2.23 2.46 XXX
electrodes for
EEG.
95831......... ........ A Limb muscle 0.28 0.39 0.44 0.09 0.12 0.01 0.68 0.73 0.38 0.41 XXX
testing,
manual.
95832......... ........ A Hand muscle 0.29 0.37 0.34 0.10 0.12 0.02 0.68 0.65 0.41 0.43 XXX
testing,
manual.
95833......... ........ A Body muscle 0.47 0.47 0.55 0.13 0.21 0.02 0.96 1.04 0.62 0.70 XXX
testing,
manual.
95834......... ........ A Body muscle 0.60 0.55 0.61 0.18 0.26 0.03 1.18 1.24 0.81 0.89 XXX
testing,
manual.
95851......... ........ A Range of motion 0.16 0.26 0.34 0.04 0.07 0.01 0.43 0.51 0.21 0.24 XXX
measurements.
95852......... ........ A Range of motion 0.11 0.21 0.25 0.03 0.05 0.01 0.33 0.37 0.15 0.17 XXX
measurements.
95857......... ........ A Tensilon test.. 0.53 0.59 0.60 0.16 0.21 0.02 1.14 1.15 0.71 0.76 XXX
95860......... ........ A Muscle test, 0.96 1.16 1.36 NA NA 0.07 2.19 2.39 NA NA XXX
one limb.
95860......... 26...... A Muscle test, 0.96 0.32 0.40 0.32 0.40 0.05 1.33 1.41 1.33 1.41 XXX
one limb.
95860......... TC...... A Muscle test, 0.00 0.84 0.96 NA NA 0.02 0.86 0.98 NA NA XXX
one limb.
95861......... ........ A Muscle test, 2 1.54 1.67 1.48 NA NA 0.13 3.34 3.15 NA NA XXX
limbs.
95861......... 26...... A Muscle test, 2 1.54 0.51 0.64 0.51 0.64 0.07 2.12 2.25 2.12 2.25 XXX
limbs.
95861......... TC...... A Muscle test, 2 0.00 1.16 0.84 NA NA 0.06 1.22 0.90 NA NA XXX
limbs.
95863......... ........ A Muscle test, 3 1.87 1.94 1.78 NA NA 0.15 3.96 3.80 NA NA XXX
limbs.
95863......... 26...... A Muscle test, 3 1.87 0.58 0.75 0.58 0.75 0.09 2.54 2.71 2.54 2.71 XXX
limbs.
95863......... TC...... A Muscle test, 3 0.00 1.36 1.05 NA NA 0.06 1.42 1.11 NA NA XXX
limbs.
95864......... ........ A Muscle test, 4 1.99 2.20 2.54 NA NA 0.21 4.40 4.74 NA NA XXX
limbs.
95864......... 26...... A Muscle test, 4 1.99 0.63 0.81 0.63 0.81 0.09 2.71 2.89 2.71 2.89 XXX
limbs.
95864......... TC...... A Muscle test, 4 0.00 1.57 1.73 NA NA 0.12 1.69 1.85 NA NA XXX
limbs.
95865......... ........ A Muscle test, 1.57 1.34 1.42 NA NA 0.11 3.02 3.10 NA NA XXX
larynx.
95865......... 26...... A Muscle test, 1.57 0.46 0.69 0.46 0.69 0.08 2.11 2.34 2.11 2.34 XXX
larynx.
95865......... TC...... A Muscle test, 0.00 0.88 0.73 NA NA 0.03 0.91 0.76 NA NA XXX
larynx.
95866......... ........ A Muscle test, 1.25 1.34 0.91 NA NA 0.10 2.69 2.26 NA NA XXX
hemidiaphragm.
[[Page 49228]]
95866......... 26...... A Muscle test, 1.25 0.40 0.52 0.40 0.52 0.07 1.72 1.84 1.72 1.84 XXX
hemidiaphragm.
95866......... TC...... A Muscle test, 0.00 0.94 0.39 NA NA 0.03 0.97 0.42 NA NA XXX
hemidiaphragm.
95867......... ........ A Muscle test 0.79 1.12 0.98 NA NA 0.07 1.98 1.84 NA NA XXX
cran nerv
unilat.
95867......... 26...... A Muscle test 0.79 0.23 0.32 0.23 0.32 0.03 1.05 1.14 1.05 1.14 XXX
cran nerv
unilat.
95867......... TC...... A Muscle test 0.00 0.89 0.66 NA NA 0.04 0.93 0.70 NA NA XXX
cran nerv
unilat.
95868......... ........ A Muscle test 1.18 1.43 1.27 NA NA 0.10 2.71 2.55 NA NA XXX
cran nerve
bilat.
95868......... 26...... A Muscle test 1.18 0.35 0.47 0.35 0.47 0.05 1.58 1.70 1.58 1.70 XXX
cran nerve
bilat.
95868......... TC...... A Muscle test 0.00 1.08 0.80 NA NA 0.05 1.13 0.85 NA NA XXX
cran nerve
bilat.
95869......... ........ A Muscle test, 0.37 1.03 0.54 NA NA 0.04 1.44 0.95 NA NA XXX
thor
paraspinal.
95869......... 26...... A Muscle test, 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 XXX
thor
paraspinal.
95869......... TC...... A Muscle test, 0.00 0.91 0.39 NA NA 0.02 0.93 0.41 NA NA XXX
thor
paraspinal.
95870......... ........ A Muscle test, 0.37 1.00 0.53 NA NA 0.04 1.41 0.94 NA NA XXX
nonparaspinal.
95870......... 26...... A Muscle test, 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 XXX
nonparaspinal.
95870......... TC...... A Muscle test, 0.00 0.88 0.38 NA NA 0.02 0.90 0.40 NA NA XXX
nonparaspinal.
95872......... ........ A Muscle test, 2.00 1.42 1.28 NA NA 0.13 3.55 3.41 NA NA XXX
one fiber.
95872......... 26...... A Muscle test, 2.00 0.65 0.64 0.65 0.64 0.08 2.73 2.72 2.73 2.72 XXX
one fiber.
95872......... TC...... A Muscle test, 0.00 0.78 0.65 NA NA 0.05 0.83 0.70 NA NA XXX
one fiber.
95873......... ........ A Guide nerv 0.37 0.95 0.51 0.95 0.51 0.04 1.36 0.92 1.36 0.92 ZZZ
destr, elec
stim.
95873......... 26...... A Guide nerv 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 ZZZ
destr, elec
stim.
95873......... TC...... A Guide nerv 0.00 0.83 0.36 0.83 0.36 0.02 0.85 0.38 0.85 0.38 ZZZ
destr, elec
stim.
95874......... ........ A Guide nerv 0.37 0.96 0.52 0.96 0.52 0.04 1.37 0.93 1.37 0.93 ZZZ
destr, needle
emg.
95874......... 26...... A Guide nerv 0.37 0.12 0.16 0.12 0.16 0.02 0.51 0.55 0.51 0.55 ZZZ
destr, needle
emg.
95874......... TC...... A Guide nerv 0.00 0.84 0.36 0.84 0.36 0.02 0.86 0.38 0.86 0.38 ZZZ
destr, needle
emg.
95875......... ........ A Limb exercise 1.10 1.31 1.42 NA NA 0.11 2.52 2.63 NA NA XXX
test.
95875......... 26...... A Limb exercise 1.10 0.31 0.43 0.31 0.43 0.05 1.46 1.58 1.46 1.58 XXX
test.
95875......... TC...... A Limb exercise 0.00 1.00 0.99 NA NA 0.06 1.06 1.05 NA NA XXX
test.
95900......... ........ A Motor nerve 0.42 0.94 1.18 NA NA 0.04 1.40 1.64 NA NA XXX
conduction
test.
95900......... 26...... A Motor nerve 0.42 0.14 0.17 0.14 0.17 0.02 0.58 0.61 0.58 0.61 XXX
conduction
test.
95900......... TC...... A Motor nerve 0.00 0.80 1.01 NA NA 0.02 0.82 1.03 NA NA XXX
conduction
test.
95903......... ........ A Motor nerve 0.60 1.04 1.15 NA NA 0.05 1.69 1.80 NA NA XXX
conduction
test.
95903......... 26...... A Motor nerve 0.60 0.18 0.24 0.18 0.24 0.03 0.81 0.87 0.81 0.87 XXX
conduction
test.
95903......... TC...... A Motor nerve 0.00 0.86 0.91 NA NA 0.02 0.88 0.93 NA NA XXX
conduction
test.
95904......... ........ A Sense nerve 0.34 0.88 1.04 NA NA 0.04 1.26 1.42 NA NA XXX
conduction
test.
95904......... 26...... A Sense nerve 0.34 0.11 0.14 0.11 0.14 0.02 0.47 0.50 0.47 0.50 XXX
conduction
test.
95904......... TC...... A Sense nerve 0.00 0.77 0.90 NA NA 0.02 0.79 0.92 NA NA XXX
conduction
test.
95920......... ........ A Intraop nerve 2.11 1.80 2.12 1.80 2.12 0.23 4.14 4.46 4.14 4.46 ZZZ
test add-on.
95920......... 26...... A Intraop nerve 2.11 0.66 0.86 0.66 0.86 0.16 2.93 3.13 2.93 3.13 ZZZ
test add-on.
95920......... TC...... A Intraop nerve 0.00 1.14 1.27 1.14 1.27 0.07 1.21 1.34 1.21 1.34 ZZZ
test add-on.
95921......... ........ A Autonomic nerv 0.90 1.14 0.82 NA NA 0.06 2.10 1.78 NA NA XXX
function test.
95921......... 26...... A Autonomic nerv 0.90 0.24 0.31 0.24 0.31 0.04 1.18 1.25 1.18 1.25 XXX
function test.
95921......... TC...... A Autonomic nerv 0.00 0.89 0.51 NA NA 0.02 0.91 0.53 NA NA XXX
function test.
95922......... ........ A Autonomic nerv 0.96 1.65 1.00 NA NA 0.07 2.68 2.03 NA NA XXX
function test.
95922......... 26...... A Autonomic nerv 0.96 0.27 0.37 0.27 0.37 0.05 1.28 1.38 1.28 1.38 XXX
function test.
95922......... TC...... A Autonomic nerv 0.00 1.38 0.63 NA NA 0.02 1.40 0.65 NA NA XXX
function test.
95923......... ........ A Autonomic nerv 0.90 2.12 1.98 NA NA 0.07 3.09 2.95 NA NA XXX
function test.
95923......... 26...... A Autonomic nerv 0.90 0.24 0.35 0.24 0.35 0.05 1.19 1.30 1.19 1.30 XXX
function test.
95923......... TC...... A Autonomic nerv 0.00 1.88 1.64 NA NA 0.02 1.90 1.66 NA NA XXX
function test.
95925......... ........ A Somatosensory 0.54 3.19 1.65 NA NA 0.10 3.83 2.29 NA NA XXX
testing.
95925......... 26...... A Somatosensory 0.54 0.17 0.21 0.17 0.21 0.04 0.75 0.79 0.75 0.79 XXX
testing.
95925......... TC...... A Somatosensory 0.00 3.02 1.44 NA NA 0.06 3.08 1.50 NA NA XXX
testing.
95926......... ........ A Somatosensory 0.54 3.06 1.62 NA NA 0.09 3.69 2.25 NA NA XXX
testing.
95926......... 26...... A Somatosensory 0.54 0.16 0.21 0.16 0.21 0.03 0.73 0.78 0.73 0.78 XXX
testing.
95926......... TC...... A Somatosensory 0.00 2.90 1.41 NA NA 0.06 2.96 1.47 NA NA XXX
testing.
95927......... ........ A Somatosensory 0.54 3.08 1.64 NA NA 0.10 3.72 2.28 NA NA XXX
testing.
95927......... 26...... A Somatosensory 0.54 0.16 0.23 0.16 0.23 0.04 0.74 0.81 0.74 0.81 XXX
testing.
95927......... TC...... A Somatosensory 0.00 2.93 1.42 NA NA 0.06 2.99 1.48 NA NA XXX
testing.
[[Page 49229]]
95928......... ........ A C motor evoked, 1.50 3.98 3.26 NA NA 0.09 5.57 4.85 NA NA XXX
uppr limbs.
95928......... 26...... A C motor evoked, 1.50 0.46 0.60 0.46 0.60 0.06 2.02 2.16 2.02 2.16 XXX
uppr limbs.
95928......... TC...... A C motor evoked, 0.00 3.53 2.66 NA NA 0.03 3.56 2.69 NA NA XXX
uppr limbs.
95929......... ........ A C motor evoked, 1.50 4.30 3.48 NA NA 0.09 5.89 5.07 NA NA XXX
lwr limbs.
95929......... 26...... A C motor evoked, 1.50 0.46 0.60 0.46 0.60 0.06 2.02 2.16 2.02 2.16 XXX
lwr limbs.
95930......... ........ A Visual evoked 0.35 2.64 2.34 NA NA 0.03 3.02 2.72 NA NA XXX
potential test.
95930......... 26...... A Visual evoked 0.35 0.10 0.14 0.10 0.14 0.02 0.47 0.51 0.47 0.51 XXX
potential test.
95930......... TC...... A Visual evoked 0.00 2.54 2.20 NA NA 0.01 2.55 2.21 NA NA XXX
potential test.
95933......... ........ A Blink reflex 0.59 1.10 1.04 NA NA 0.10 1.79 1.73 NA NA XXX
test.
95933......... 26...... A Blink reflex 0.59 0.17 0.22 0.17 0.22 0.04 0.80 0.85 0.80 0.85 XXX
test.
95933......... TC...... A Blink reflex 0.00 0.93 0.82 NA NA 0.06 0.99 0.88 NA NA XXX
test.
95934......... ........ A H-reflex test.. 0.51 0.90 0.55 NA NA 0.04 1.45 1.10 NA NA XXX
95934......... 26...... A H-reflex test.. 0.51 0.16 0.21 0.16 0.21 0.02 0.69 0.74 0.69 0.74 XXX
95934......... TC...... A H-reflex test.. 0.00 0.73 0.34 NA NA 0.02 0.75 0.36 NA NA XXX
95936......... ........ A H-reflex test.. 0.55 0.62 0.49 NA NA 0.05 1.22 1.09 NA NA XXX
95936......... 26...... A H-reflex test.. 0.55 0.17 0.22 0.17 0.22 0.03 0.75 0.80 0.75 0.80 XXX
95936......... TC...... A H-reflex test.. 0.00 0.44 0.27 NA NA 0.02 0.46 0.29 NA NA XXX
95937......... ........ A Neuromuscular 0.65 0.92 0.69 NA NA 0.10 1.67 1.44 NA NA XXX
junction test.
95937......... 26...... A Neuromuscular 0.65 0.20 0.25 0.20 0.25 0.08 0.93 0.98 0.93 0.98 XXX
junction test.
95937......... TC...... A Neuromuscular 0.00 0.72 0.44 NA NA 0.02 0.74 0.46 NA NA XXX
junction test.
95950......... ........ A Ambulatory eeg 1.51 4.93 4.18 NA NA 0.51 6.95 6.20 NA NA XXX
monitoring.
95950......... 26...... A Ambulatory eeg 1.51 0.42 0.59 0.42 0.59 0.08 2.01 2.18 2.01 2.18 XXX
monitoring.
95950......... TC...... A Ambulatory eeg 0.00 4.52 3.60 NA NA 0.43 4.95 4.03 NA NA XXX
monitoring.
95951......... ........ C EEG monitoring/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
videorecord.
95951......... 26...... A EEG monitoring/ 5.99 1.69 2.34 1.69 2.34 0.32 8.00 8.65 8.00 8.65 XXX
videorecord.
95951......... TC...... C EEG monitoring/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
videorecord.
95953......... ........ A EEG monitoring/ 3.30 7.24 7.53 NA NA 0.60 11.14 11.43 NA NA XXX
computer.
95953......... 26...... A EEG monitoring/ 3.30 0.93 1.20 0.93 1.20 0.17 4.40 4.67 4.40 4.67 XXX
computer.
95953......... TC...... A EEG monitoring/ 0.00 6.31 6.33 NA NA 0.43 6.74 6.76 NA NA XXX
computer.
95954......... ........ A EEG monitoring/ 2.45 4.90 4.39 NA NA 0.19 7.54 7.03 NA NA XXX
giving drugs.
95954......... 26...... A EEG monitoring/ 2.45 0.51 0.91 0.51 0.91 0.13 3.09 3.49 3.09 3.49 XXX
giving drugs.
95954......... TC...... A EEG monitoring/ 0.00 4.39 3.48 NA NA 0.06 4.45 3.54 NA NA XXX
giving drugs.
95955......... ........ A EEG during 1.01 2.83 2.45 2.83 2.45 0.22 4.06 3.68 4.06 3.68 XXX
surgery.
95955......... 26...... A EEG during 1.01 0.29 0.34 0.29 0.34 0.05 1.35 1.40 1.35 1.40 XXX
surgery.
95955......... TC...... A EEG during 0.00 2.54 2.11 2.54 2.11 0.17 2.71 2.28 2.71 2.28 XXX
surgery.
95956......... ........ A Eeg monitoring, 3.08 17.21 15.86 NA NA 0.59 20.88 19.53 NA NA XXX
cable/radio.
95956......... 26...... A Eeg monitoring, 3.08 1.03 1.23 1.03 1.23 0.16 4.27 4.47 4.27 4.47 XXX
cable/radio.
95956......... TC...... A Eeg monitoring, 0.00 16.18 14.63 NA NA 0.43 16.61 15.06 NA NA XXX
cable/radio.
95957......... ........ A EEG digital 1.98 5.88 3.38 NA NA 0.23 8.09 5.59 NA NA XXX
analysis.
95957......... 26...... A EEG digital 1.98 0.55 0.78 0.55 0.78 0.11 2.64 2.87 2.64 2.87 XXX
analysis.
95957......... TC...... A EEG digital 0.00 5.32 2.61 NA NA 0.12 5.44 2.73 NA NA XXX
analysis.
95958......... ........ A EEG monitoring/ 4.24 6.67 4.29 NA NA 0.34 11.25 8.87 NA NA XXX
function test.
95958......... 26...... A EEG monitoring/ 4.24 1.21 1.61 1.21 1.61 0.21 5.66 6.06 5.66 6.06 XXX
function test.
95958......... TC...... A EEG monitoring/ 0.00 5.46 2.67 NA NA 0.13 5.59 2.80 NA NA XXX
function test.
95961......... ........ A Electrode 2.97 3.12 2.75 NA NA 0.55 6.64 6.27 NA NA XXX
stimulation,
brain.
95961......... 26...... A Electrode 2.97 0.90 1.22 0.90 1.22 0.48 4.35 4.67 4.35 4.67 XXX
stimulation,
brain.
95961......... TC...... A Electrode 0.00 2.22 1.54 NA NA 0.07 2.29 1.61 NA NA XXX
stimulation,
brain.
95962......... ........ A Electrode stim, 3.21 2.21 2.57 2.21 2.57 0.39 5.81 6.17 5.81 6.17 ZZZ
brain add-on.
95962......... 26...... A Electrode stim, 3.21 0.91 1.27 0.91 1.27 0.32 4.44 4.80 4.44 4.80 ZZZ
brain add-on.
95962......... TC...... A Electrode stim, 0.00 1.30 1.31 1.30 1.31 0.07 1.37 1.38 1.37 1.38 ZZZ
brain add-on.
95965......... ........ C Meg, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spontaneous.
95965......... 26...... A Meg, 7.99 2.29 3.14 2.29 3.14 0.46 10.74 11.59 10.74 11.59 XXX
spontaneous.
95965......... TC...... C Meg, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
spontaneous.
95966......... ........ C Meg, evoked, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
95966......... 26...... A Meg, evoked, 3.99 1.22 1.59 1.22 1.59 0.19 5.40 5.77 5.40 5.77 XXX
single.
95966......... TC...... C Meg, evoked, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
single.
95967......... ........ C Meg, evoked, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
each addIl.
95967......... 26...... A Meg, evoked, 3.49 1.04 1.15 1.04 1.15 0.16 4.69 4.80 4.69 4.80 ZZZ
each addIl.
95967......... TC...... C Meg, evoked, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
each addIl.
95970......... ........ A Analyze 0.45 0.89 0.86 0.13 0.14 0.03 1.37 1.34 0.61 0.62 XXX
neurostim, no
prog.
95971......... ........ A Analyze 0.78 0.62 0.67 0.20 0.22 0.07 1.47 1.52 1.05 1.07 XXX
neurostim,
simple.
95972......... ........ A Analyze 1.50 1.20 1.21 0.46 0.48 0.14 2.84 2.85 2.10 2.12 XXX
neurostim,
complex.
95973......... ........ A Analyze 0.92 0.56 0.61 0.24 0.32 0.07 1.55 1.60 1.23 1.31 ZZZ
neurostim,
complex.
95974......... ........ A Cranial 3.00 1.48 1.65 0.85 1.19 0.16 4.64 4.81 4.01 4.35 XXX
neurostim,
complex.
95975......... ........ A Cranial 1.70 0.74 0.85 0.48 0.67 0.12 2.56 2.67 2.30 2.49 ZZZ
neurostim,
complex.
95978......... ........ A Analyze 3.50 1.84 1.91 1.04 1.24 0.18 5.52 5.59 4.72 4.92 XXX
neurostim
brain/1h.
[[Page 49230]]
95979......... ........ A Analyz 1.64 0.73 0.84 0.47 0.64 0.08 2.45 2.56 2.19 2.36 ZZZ
neurostim
brain addon.
95990......... ........ A Spin/brain pump 0.00 1.67 1.54 NA NA 0.06 1.73 1.60 NA NA XXX
refil & main.
95991......... ........ A Spin/brain pump 0.77 1.67 1.54 NA NA 0.06 2.50 2.37 NA NA XXX
refil & main.
95999......... ........ C Neurological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
96000......... ........ A Motion 1.80 NA NA 0.58 0.54 0.11 NA NA 2.49 2.45 XXX
analysis,
video/3d.
96001......... ........ A Motion test w/ 2.15 NA NA 0.53 0.63 0.10 NA NA 2.78 2.88 XXX
ft press meas.
96002......... ........ A Dynamic surface 0.41 NA NA 0.11 0.14 0.02 NA NA 0.54 0.57 XXX
emg.
96003......... ........ A Dynamic fine 0.37 NA NA 0.14 0.13 0.02 NA NA 0.53 0.52 XXX
wire emg.
96004......... ........ A Phys review of 2.14 0.54 0.84 0.54 0.84 0.11 2.79 3.09 2.79 3.09 XXX
motion tests.
96101......... ........ A Psycho testing 1.86 0.34 0.57 0.33 0.56 0.05 2.25 2.48 2.24 2.47 XXX
by psych/phys.
96102......... ........ A Psycho testing 0.50 1.20 0.80 0.09 0.15 0.01 1.71 1.31 0.60 0.66 XXX
by technician.
96103......... ........ A Psycho testing 0.51 1.31 0.49 0.09 0.15 0.02 1.84 1.02 0.62 0.68 XXX
admin by comp.
96105......... ........ A Assessment of 0.00 2.06 1.84 NA NA 0.18 2.24 2.02 NA NA XXX
aphasia.
96110......... ........ A Developmental 0.00 0.18 0.18 NA NA 0.18 0.36 0.36 NA NA XXX
test, lim.
96111......... ........ A Developmental 2.60 0.66 0.95 0.53 0.92 0.18 3.44 3.73 3.31 3.70 XXX
test, extend.
96116......... ........ A Neurobehavioral 1.86 0.53 0.76 0.42 0.59 0.18 2.57 2.80 2.46 2.63 XXX
status exam.
96118......... ........ A Neuropsych tst 1.86 0.81 1.25 0.32 0.55 0.18 2.85 3.29 2.36 2.59 XXX
by psych/phys.
96119......... ........ A Neuropsych 0.55 1.53 1.15 0.09 0.17 0.18 2.26 1.88 0.82 0.90 XXX
testing by
tech.
96120......... ........ A Neuropsych tst 0.51 1.91 1.03 0.09 0.15 0.02 2.44 1.56 0.62 0.68 XXX
admin w/comp.
96150......... ........ A Assess hlth/ 0.50 0.10 0.16 0.09 0.16 0.01 0.61 0.67 0.60 0.67 XXX
behave, init.
96151......... ........ A Assess hlth/ 0.48 0.09 0.16 0.09 0.15 0.01 0.58 0.65 0.58 0.64 XXX
behave, subseq.
96152......... ........ A Intervene hlth/ 0.46 0.09 0.15 0.08 0.14 0.01 0.56 0.62 0.55 0.61 XXX
behave, indiv.
96153......... ........ A Intervene hlth/ 0.10 0.02 0.04 0.02 0.03 0.01 0.13 0.15 0.13 0.14 XXX
behave, group.
96154......... ........ A Interv hlth/ 0.45 0.09 0.15 0.08 0.14 0.01 0.55 0.61 0.54 0.60 XXX
behav, fam w/
pt.
96155......... ........ N Interv hlth/ 0.44 0.10 0.16 0.10 0.15 0.02 0.56 0.62 0.56 0.61 XXX
behav fam no
pt.
96401......... ........ A Chemo, anti- 0.21 1.87 1.35 NA NA 0.01 2.09 1.57 NA NA XXX
neopl, sq/im.
96402......... ........ A Chemo hormon 0.19 0.72 0.94 NA NA 0.01 0.92 1.14 NA NA XXX
antineopl sq/
im.
96405......... ........ A Chemo 0.52 3.49 2.70 0.22 0.24 0.03 4.04 3.25 0.77 0.79 000
intralesional,
up to 7.
96406......... ........ A Chemo 0.80 3.26 3.07 0.27 0.29 0.03 4.09 3.90 1.10 1.12 000
intralesional
over 7.
96409......... ........ A Chemo, iv push, 0.24 2.78 2.89 NA NA 0.06 3.08 3.19 NA NA XXX
sngl drug.
96411......... ........ A Chemo, iv push, 0.20 1.50 1.58 NA NA 0.06 1.76 1.84 NA NA ZZZ
addl drug.
96413......... ........ A Chemo, iv 0.28 3.63 4.05 NA NA 0.08 3.99 4.41 NA NA XXX
infusion, 1 hr.
96415......... ........ A Chemo, iv 0.19 0.66 0.74 NA NA 0.07 0.92 1.00 NA NA ZZZ
infusion, addl
hr.
96416......... ........ A Chemo prolong 0.21 4.08 4.47 NA NA 0.08 4.37 4.76 NA NA XXX
infuse w/pump.
96417......... ........ A Chemo iv infus 0.21 1.72 1.89 NA NA 0.07 2.00 2.17 NA NA ZZZ
each addl seq.
96420......... ........ A Chemo, ia, push 0.17 2.70 2.67 NA NA 0.08 2.95 2.92 NA NA XXX
tecnique.
96422......... ........ A Chemo ia 0.17 3.70 4.55 NA NA 0.08 3.95 4.80 NA NA XXX
infusion up to
1 hr.
96423......... ........ A Chemo ia infuse 0.17 1.93 1.89 NA NA 0.02 2.12 2.08 NA NA ZZZ
each addl hr.
96425......... ........ A Chemotherapy,in 0.17 4.54 4.49 NA NA 0.08 4.79 4.74 NA NA XXX
fusion method.
96440......... ........ A Chemotherapy, 2.37 5.56 7.49 1.00 1.17 0.17 8.10 10.03 3.54 3.71 000
intracavitary.
96445......... ........ A Chemotherapy, 2.20 5.45 7.39 0.94 1.12 0.14 7.79 9.73 3.28 3.46 000
intracavitary.
96450......... ........ A Chemotherapy, 1.53 5.02 6.47 0.83 1.18 0.09 6.64 8.09 2.45 2.80 000
into CNS.
96521......... ........ A Refill/maint, 0.21 3.14 3.61 NA NA 0.06 3.41 3.88 NA NA XXX
portable pump.
96522......... ........ A Refill/maint 0.21 2.74 2.67 NA NA 0.06 3.01 2.94 NA NA XXX
pump/resvr
syst.
96523......... ........ T Irrig drug 0.04 0.64 0.68 NA NA 0.01 0.69 0.73 NA NA XXX
delivery
device.
96542......... ........ A Chemotherapy 0.75 3.55 4.08 0.32 0.58 0.07 4.37 4.90 1.14 1.40 XXX
injection.
96549......... ........ C Chemotherapy, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
unspecified.
96567......... ........ A Photodynamic 0.00 3.65 2.38 NA NA 0.04 3.69 2.42 NA NA XXX
tx, skin.
96570......... ........ A Photodynamic 1.10 0.41 0.38 0.41 0.38 0.11 1.62 1.59 1.62 1.59 ZZZ
tx, 30 min.
96571......... ........ A Photodynamic 0.55 0.20 0.19 0.20 0.19 0.03 0.78 0.77 0.78 0.77 ZZZ
tx, addl 15
min.
96900......... ........ A Ultraviolet 0.00 0.55 0.47 NA NA 0.02 0.57 0.49 NA NA XXX
light therapy.
96902......... ........ B Trichogram..... 0.41 0.11 0.16 0.10 0.15 0.01 0.53 0.58 0.52 0.57 XXX
96910......... ........ A Photochemothera 0.00 1.95 1.23 NA NA 0.04 1.99 1.27 NA NA XXX
py with UV-B.
96912......... ........ A Photochemothera 0.00 2.51 1.57 NA NA 0.05 2.56 1.62 NA NA XXX
py with UV-A.
96913......... ........ A Photochemothera 0.00 3.55 2.15 NA NA 0.10 3.65 2.25 NA NA XXX
py, UV-A or B.
96920......... ........ A Laser tx, skin 1.15 3.48 2.77 0.54 0.56 0.02 4.65 3.94 1.71 1.73 000
< 250 sq cm.
[[Page 49231]]
96921......... ........ A Laser tx, skin 1.17 3.39 2.80 0.51 0.56 0.03 4.59 4.00 1.71 1.76 000
250-500 sq cm.
96922......... ........ A Laser tx, skin 2.10 4.46 3.73 0.98 0.71 0.04 6.60 5.87 3.12 2.85 000
> 500 sq cm.
96999......... ........ C Dermatological 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
procedure.
97001......... ........ A Pt evaluation.. 1.20 0.68 0.73 NA NA 0.05 1.93 1.98 NA NA XXX
97002......... ........ A Pt re- 0.60 0.43 0.44 NA NA 0.02 1.05 1.06 NA NA XXX
evaluation.
97003......... ........ A Ot evaluation.. 1.20 0.77 0.85 NA NA 0.06 2.03 2.11 NA NA XXX
97004......... ........ A Ot re- 0.60 0.54 0.64 NA NA 0.02 1.16 1.26 NA NA XXX
evaluation.
97010......... ........ B Hot or cold 0.06 0.07 0.06 NA NA 0.01 0.14 0.13 NA NA XXX
packs therapy.
97012......... ........ A Mechanical 0.25 0.15 0.14 NA NA 0.01 0.41 0.40 NA NA XXX
traction
therapy.
97014......... ........ I Electric 0.18 0.19 0.19 NA NA 0.01 0.38 0.38 NA NA XXX
stimulation
therapy.
97016......... ........ A Vasopneumatic 0.18 0.25 0.20 NA NA 0.01 0.44 0.39 NA NA XXX
device therapy.
97018......... ........ A Paraffin bath 0.06 0.17 0.12 NA NA 0.01 0.24 0.19 NA NA XXX
therapy.
97022......... ........ A Whirlpool 0.17 0.34 0.24 NA NA 0.01 0.52 0.42 NA NA XXX
therapy.
97024......... ........ A Diathermy eg, 0.06 0.08 0.07 NA NA 0.01 0.15 0.14 NA NA XXX
microwave.
97026......... ........ A Infrared 0.06 0.07 0.06 NA NA 0.01 0.14 0.13 NA NA XXX
therapy.
97028......... ........ A Ultraviolet 0.08 0.09 0.08 NA NA 0.01 0.18 0.17 NA NA XXX
therapy.
97032......... ........ A Electrical 0.25 0.20 0.17 NA NA 0.01 0.46 0.43 NA NA XXX
stimulation.
97033......... ........ A Electric 0.26 0.46 0.32 NA NA 0.01 0.73 0.59 NA NA XXX
current
therapy.
97034......... ........ A Contrast bath 0.21 0.21 0.17 NA NA 0.01 0.43 0.39 NA NA XXX
therapy.
97035......... ........ A Ultrasound 0.21 0.10 0.10 NA NA 0.01 0.32 0.32 NA NA XXX
therapy.
97036......... ........ A Hydrotherapy... 0.28 0.45 0.35 NA NA 0.01 0.74 0.64 NA NA XXX
97039......... ........ C Physical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
therapy
treatment.
97110......... ........ A Therapeutic 0.45 0.33 0.29 NA NA 0.02 0.80 0.76 NA NA XXX
exercises.
97112......... ........ A Neuromuscular 0.45 0.36 0.32 NA NA 0.01 0.82 0.78 NA NA XXX
reeducation.
97113......... ........ A Aquatic therapy/ 0.44 0.55 0.43 NA NA 0.01 1.00 0.88 NA NA XXX
exercises.
97116......... ........ A Gait training 0.40 0.29 0.25 NA NA 0.01 0.70 0.66 NA NA XXX
therapy.
97124......... ........ A Massage therapy 0.35 0.28 0.24 NA NA 0.01 0.64 0.60 NA NA XXX
97139......... ........ C Physical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medicine
procedure.
97140......... ........ A Manual therapy. 0.43 0.30 0.26 NA NA 0.01 0.74 0.70 NA NA XXX
97150......... ........ A Group 0.27 0.22 0.19 NA NA 0.01 0.50 0.47 NA NA XXX
therapeutic
procedures.
97530......... ........ A Therapeutic 0.44 0.39 0.34 NA NA 0.01 0.84 0.79 NA NA XXX
activities.
97532......... ........ A Cognitive 0.44 0.23 0.21 NA NA 0.01 0.68 0.66 NA NA XXX
skills
development.
97533......... ........ A Sensory 0.44 0.28 0.25 NA NA 0.01 0.73 0.70 NA NA XXX
integration.
97535......... ........ A Self care 0.45 0.39 0.35 NA NA 0.01 0.85 0.81 NA NA XXX
mngment
training.
97537......... ........ A Community/work 0.45 0.29 0.27 NA NA 0.01 0.75 0.73 NA NA XXX
reintegration.
97542......... ........ A Wheelchair 0.45 0.30 0.29 NA NA 0.01 0.76 0.75 NA NA XXX
mngment
training.
97597......... ........ A Active wound 0.58 1.13 0.78 0.13 0.53 0.05 1.76 1.41 0.76 1.16 XXX
care/20 cm or
<.
97598......... ........ A Active wound 0.80 1.31 0.92 0.18 0.64 0.05 2.16 1.77 1.03 1.49 XXX
care > 20 cm.
97605......... ........ A Neg press wound 0.55 0.42 0.36 0.12 0.20 0.02 0.99 0.93 0.69 0.77 XXX
tx, < 50 cm.
97606......... ........ A Neg press wound 0.60 0.43 0.37 0.13 0.21 0.03 1.06 1.00 0.76 0.84 XXX
tx, > 50 cm.
97750......... ........ A Physical 0.45 0.34 0.33 NA NA 0.02 0.81 0.80 NA NA XXX
performance
test.
97755......... ........ A Assistive 0.62 0.29 0.28 NA NA 0.02 0.93 0.92 NA NA XXX
technology
assess.
97760......... ........ A Orthotic mgmt 0.45 0.44 0.37 NA NA 0.03 0.92 0.85 NA NA XXX
and training.
97761......... ........ A Prosthetic 0.45 0.34 0.30 NA NA 0.02 0.81 0.77 NA NA XXX
training.
97762......... ........ A C/o for 0.25 0.75 0.50 NA NA 0.02 1.02 0.77 NA NA XXX
orthotic/
prosth use.
97799......... ........ C Physical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
medicine
procedure.
97802......... ........ A Medical 0.45 0.12 0.38 0.11 0.38 0.01 0.58 0.84 0.57 0.84 XXX
nutrition,
indiv, in.
97803......... ........ A Med nutrition, 0.37 0.10 0.38 0.09 0.38 0.01 0.48 0.76 0.47 0.76 XXX
indiv, subseq.
97804......... ........ A Medical 0.25 0.06 0.15 0.06 0.15 0.01 0.32 0.41 0.32 0.41 XXX
nutrition,
group.
97810......... ........ N Acupunct w/o 0.60 0.26 0.35 0.14 0.21 0.03 0.89 0.98 0.77 0.84 XXX
stimul 15 min.
97811......... ........ N Acupunct w/o 0.50 0.16 0.23 0.12 0.17 0.03 0.69 0.76 0.65 0.70 ZZZ
stimul addl
15m.
97813......... ........ N Acupunct w/ 0.65 0.27 0.37 0.15 0.23 0.03 0.95 1.05 0.83 0.91 XXX
stimul 15 min.
97814......... ........ N Acupunct w/ 0.55 0.19 0.27 0.13 0.19 0.03 0.77 0.85 0.71 0.77 ZZZ
stimul addl
15m.
98925......... ........ A Osteopathic 0.45 0.28 0.31 0.12 0.14 0.02 0.75 0.78 0.59 0.61 000
manipulation.
98926......... ........ A Osteopathic 0.65 0.36 0.40 0.16 0.23 0.03 1.04 1.08 0.84 0.91 000
manipulation.
98927......... ........ A Osteopathic 0.87 0.45 0.49 0.22 0.27 0.03 1.35 1.39 1.12 1.17 000
manipulation.
98928......... ........ A Osteopathic 1.03 0.50 0.57 0.26 0.32 0.04 1.57 1.64 1.33 1.39 000
manipulation.
98929......... ........ A Osteopathic 1.19 0.57 0.65 0.29 0.35 0.05 1.81 1.89 1.53 1.59 000
manipulation.
98940......... ........ A Chiropractic 0.45 0.21 0.23 0.12 0.12 0.01 0.67 0.69 0.58 0.58 000
manipulation.
98941......... ........ A Chiropractic 0.65 0.27 0.29 0.17 0.17 0.01 0.93 0.95 0.83 0.83 000
manipulation.
98942......... ........ A Chiropractic 0.87 0.33 0.35 0.23 0.23 0.02 1.22 1.24 1.12 1.12 000
manipulation.
98943......... ........ N Chiropractic 0.40 0.18 0.23 0.09 0.14 0.01 0.59 0.64 0.50 0.55 XXX
manipulation.
99082......... ........ C Unusual 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
physician
travel.
99143......... ........ C Mod cs by same 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys, < 5 yrs.
99144......... ........ C Mod cs by same 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys, 5 yrs +.
99145......... ........ C Mod cs by same 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
phys add-on.
[[Page 49232]]
99148......... ........ C Mod cs diff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys < 5 yrs.
99149......... ........ C Mod cs diff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
phys 5 yrs +.
99150......... ........ C Mod cs diff 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
phys add-on.
99170......... ........ A Anogenital 1.75 1.51 1.70 0.50 0.54 0.08 3.34 3.53 2.33 2.37 000
exam, child.
99175......... ........ A Induction of 0.00 0.34 1.13 NA NA 0.10 0.44 1.23 NA NA XXX
vomiting.
99183......... ........ A Hyperbaric 2.34 2.61 3.08 0.58 0.69 0.16 5.11 5.58 3.08 3.19 XXX
oxygen therapy.
99185......... ........ A Regional 0.00 1.66 0.90 NA NA 0.04 1.70 0.94 NA NA XXX
hypothermia.
99186......... ........ A Total body 0.00 1.41 1.69 NA NA 0.45 1.86 2.14 NA NA XXX
hypothermia.
99195......... ........ A Phlebotomy..... 0.00 2.60 0.98 NA NA 0.02 2.62 1.00 NA NA XXX
99199......... ........ C Special service/ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proc/report.
99201......... ........ A Office/ 0.45 0.54 0.50 0.15 0.15 0.03 1.02 0.98 0.63 0.63 XXX
outpatient
visit, new.
99202......... ........ A Office/ 0.88 0.83 0.80 0.29 0.31 0.05 1.76 1.73 1.22 1.24 XXX
outpatient
visit, new.
99203......... ........ A Office/ 1.34 1.10 1.12 0.42 0.47 0.09 2.53 2.55 1.85 1.90 XXX
outpatient
visit, new.
99204......... ........ A Office/ 2.30 1.49 1.50 0.71 0.71 0.12 3.91 3.92 3.13 3.13 XXX
outpatient
visit, new.
99205......... ........ A Office/ 3.00 1.79 1.78 0.91 0.94 0.15 4.94 4.93 4.06 4.09 XXX
outpatient
visit, new.
99211......... ........ A Office/ 0.17 0.33 0.38 0.06 0.06 0.01 0.51 0.56 0.24 0.24 XXX
outpatient
visit, est.
99212......... ........ A Office/ 0.45 0.55 0.54 0.15 0.16 0.03 1.03 1.02 0.63 0.64 XXX
outpatient
visit, est.
99213......... ........ A Office/ 0.92 0.76 0.71 0.28 0.25 0.03 1.71 1.66 1.23 1.20 XXX
outpatient
visit, est.
99214......... ........ A Office/ 1.42 1.10 1.05 0.44 0.42 0.05 2.57 2.52 1.91 1.89 XXX
outpatient
visit, est.
99215......... ........ A Office/ 2.00 1.39 1.34 0.61 0.64 0.08 3.47 3.42 2.69 2.72 XXX
outpatient
visit, est.
99217......... ........ A Observation 1.28 NA NA 0.50 0.52 0.06 NA NA 1.84 1.86 XXX
care discharge.
99218......... ........ A Observation 1.28 NA NA 0.38 0.43 0.06 NA NA 1.72 1.77 XXX
care.
99219......... ........ A Observation 2.14 NA NA 0.60 0.69 0.10 NA NA 2.84 2.93 XXX
care.
99220......... ........ A Observation 2.99 NA NA 0.86 0.99 0.14 NA NA 3.99 4.12 XXX
care.
99221......... ........ A Initial 1.88 NA NA 0.55 0.48 0.07 NA NA 2.50 2.43 XXX
hospital care.
99222......... ........ A Initial 2.56 NA NA 0.71 0.73 0.10 NA NA 3.37 3.39 XXX
hospital care.
99223......... ........ A Initial 3.78 NA NA 1.08 1.04 0.13 NA NA 4.99 4.95 XXX
hospital care.
99231......... ........ A Subsequent 0.76 NA NA 0.24 0.23 0.03 NA NA 1.03 1.02 XXX
hospital care.
99232......... ........ A Subsequent 1.39 NA NA 0.43 0.39 0.04 NA NA 1.86 1.82 XXX
hospital care.
99233......... ........ A Subsequent 2.00 NA NA 0.60 0.54 0.06 NA NA 2.66 2.60 XXX
hospital care.
99234......... ........ A Observ/hosp 2.56 NA NA 0.78 0.86 0.13 NA NA 3.47 3.55 XXX
same date.
99235......... ........ A Observ/hosp 3.41 NA NA NA NA 0.16 NA NA NA NA XXX
same date.
99236......... ........ A Observ/hosp 4.26 NA NA 1.25 1.39 0.19 NA NA 5.70 5.84 XXX
same date.
99238......... ........ A Hospital 1.28 NA NA 0.50 0.53 0.05 NA NA 1.83 1.86 XXX
discharge day.
99239......... ........ A Hospital 1.90 NA NA 0.68 0.72 0.07 NA NA 2.65 2.69 XXX
discharge day.
99241......... ........ A Office 0.64 0.66 0.65 0.22 0.22 0.05 1.35 1.34 0.91 0.91 XXX
consultation.
99242......... ........ A Office 1.34 1.08 1.05 0.47 0.46 0.10 2.52 2.49 1.91 1.90 XXX
consultation.
99243......... ........ A Office 1.88 1.45 1.41 0.67 0.64 0.13 3.46 3.42 2.68 2.65 XXX
consultation.
99244......... ........ A Office 3.02 1.95 1.85 1.09 0.96 0.16 5.13 5.03 4.27 4.14 XXX
consultation.
99245......... ........ A Office 3.77 2.27 2.27 1.31 1.26 0.21 6.25 6.25 5.29 5.24 XXX
consultation.
99251......... ........ A Initial 1.00 NA NA 0.31 0.26 0.05 NA NA 1.36 1.31 XXX
inpatient
consult.
99252......... ........ A Initial 1.50 NA NA 0.50 0.50 0.09 NA NA 2.09 2.09 XXX
inpatient
consult.
99253......... ........ A Initial 2.27 NA NA 0.81 0.71 0.11 NA NA 3.19 3.09 XXX
inpatient
consult.
99254......... ........ A Initial 3.29 NA NA 1.19 1.03 0.13 NA NA 4.61 4.45 XXX
inpatient
consult.
99255......... ........ A Initial 4.00 NA NA 1.40 1.36 0.18 NA NA 5.58 5.54 XXX
inpatient
consult.
99281......... ........ A Emergency dept 0.45 NA NA 0.09 0.09 0.02 NA NA 0.56 0.56 XXX
visit.
99282......... ........ A Emergency dept 0.88 NA NA 0.17 0.15 0.04 NA NA 1.09 1.07 XXX
visit.
99283......... ........ A Emergency dept 1.34 NA NA 0.25 0.30 0.09 NA NA 1.68 1.73 XXX
visit.
99284......... ........ A Emergency dept 2.56 NA NA 0.46 0.47 0.14 NA NA 3.16 3.17 XXX
visit.
99285......... ........ A Emergency dept 3.80 NA NA 0.67 0.71 0.23 NA NA 4.70 4.74 XXX
visit.
99289......... ........ A Ped crit care 4.79 NA NA 1.11 1.37 0.24 NA NA 6.14 6.40 XXX
transport.
99290......... ........ A Ped crit care 2.40 NA NA 0.60 0.76 0.12 NA NA 3.12 3.28 ZZZ
transport addl.
99291......... ........ A Critical care, 4.50 2.28 2.50 1.12 1.24 0.21 6.99 7.21 5.83 5.95 XXX
first hour.
99292......... ........ A Critical care, 2.25 0.83 0.88 0.59 0.63 0.11 3.19 3.24 2.95 2.99 ZZZ
addIl 30 min.
99293......... ........ A Ped critical 15.98 NA NA 3.59 4.46 1.12 NA NA 20.69 21.56 XXX
care, initial.
99294......... ........ A Ped critical 7.99 NA NA 1.72 2.23 0.45 NA NA 10.16 10.67 XXX
care, subseq.
[[Page 49233]]
99295......... ........ A Neonate crit 18.46 NA NA 4.34 5.11 1.16 NA NA 23.96 24.73 XXX
care, initial.
99296......... ........ A Neonate 7.99 NA NA 1.76 2.35 0.32 NA NA 10.07 10.66 XXX
critical care
subseq.
99298......... ........ A Ic for lbw 2.75 NA NA 0.66 0.86 0.17 NA NA 3.58 3.78 XXX
infant < 1500
gm.
99299......... ........ A Ic, lbw infant 2.50 NA NA 0.75 0.83 0.16 NA NA 3.41 3.49 XXX
1500-2500 gm.
99300......... ........ A Ic, infant pbw 2.40 NA NA 0.72 0.81 0.15 NA NA 3.27 3.36 XXX
2501-5000 gm.
99304......... ........ A Nursing 1.20 0.45 0.48 0.45 0.48 0.05 1.70 1.73 1.70 1.73 XXX
facility care,
init.
99305......... ........ A Nursing 1.61 0.56 0.61 0.56 0.61 0.07 2.24 2.29 2.24 2.29 XXX
facility care,
init.
99306......... ........ A Nursing 2.01 0.65 0.73 0.65 0.73 0.09 2.75 2.83 2.75 2.83 XXX
facility care,
init.
99307......... ........ A Nursing fac 0.60 0.27 0.27 0.27 0.27 0.03 0.90 0.90 0.90 0.90 XXX
care, subseq.
99308......... ........ A Nursing fac 1.00 0.43 0.45 0.43 0.45 0.04 1.47 1.49 1.47 1.49 XXX
care, subseq.
99309......... ........ A Nursing fac 1.42 0.58 0.61 0.58 0.61 0.06 2.06 2.09 2.06 2.09 XXX
care, subseq.
99310......... ........ A Nursing fac 1.77 0.73 0.77 0.73 0.77 0.08 2.58 2.62 2.58 2.62 XXX
care, subseq.
99315......... ........ A Nursing fac 1.13 0.41 0.44 0.41 0.44 0.05 1.59 1.62 1.59 1.62 XXX
discharge day.
99316......... ........ A Nursing fac 1.50 0.51 0.57 0.51 0.57 0.06 2.07 2.13 2.07 2.13 XXX
discharge day.
99318......... ........ A Annual nursing 1.20 0.45 0.48 0.45 0.48 0.05 1.70 1.73 1.70 1.73 XXX
fac assessmnt.
99324......... ........ A Domicil/r-home 1.01 0.43 0.48 NA NA 0.05 1.49 1.54 NA NA XXX
visit new pat.
99325......... ........ A Domicil/r-home 1.52 0.56 0.65 NA NA 0.07 2.15 2.24 NA NA XXX
visit new pat.
99326......... ........ A Domicil/r-home 2.27 0.73 0.87 NA NA 0.10 3.10 3.24 NA NA XXX
visit new pat.
99327......... ........ A Domicil/r-home 3.03 0.92 1.11 NA NA 0.13 4.08 4.27 NA NA XXX
visit new pat.
99328......... ........ A Domicil/r-home 3.78 1.10 1.34 NA NA 0.16 5.04 5.28 NA NA XXX
visit new pat.
99334......... ........ A Domicil/r-home 0.76 0.36 0.39 NA NA 0.04 1.16 1.19 NA NA XXX
visit est pat.
99335......... ........ A Domicil/r-home 1.26 0.48 0.56 NA NA 0.06 1.80 1.88 NA NA XXX
visit est pat.
99336......... ........ A Domicil/r-home 2.02 0.66 0.78 NA NA 0.09 2.77 2.89 NA NA XXX
visit est pat.
99337......... ........ A Domicil/r-home 3.03 0.90 1.09 NA NA 0.13 4.06 4.25 NA NA XXX
visit est pat.
99341......... ........ A Home visit, new 1.01 0.37 0.45 NA NA 0.05 1.43 1.51 NA NA XXX
patient.
99342......... ........ A Home visit, new 1.52 0.50 0.64 NA NA 0.07 2.09 2.23 NA NA XXX
patient.
99343......... ........ A Home visit, new 2.27 0.69 0.88 NA NA 0.10 3.06 3.25 NA NA XXX
patient.
99344......... ........ A Home visit, new 3.03 0.91 1.11 NA NA 0.13 4.07 4.27 NA NA XXX
patient.
99345......... ........ A Home visit, new 3.78 1.08 1.34 NA NA 0.16 5.02 5.28 NA NA XXX
patient.
99347......... ........ A Home visit, est 0.76 0.36 0.39 NA NA 0.04 1.16 1.19 NA NA XXX
patient.
99348......... ........ A Home visit, est 1.26 0.49 0.56 NA NA 0.06 1.81 1.88 NA NA XXX
patient.
99349......... ........ A Home visit, est 2.02 0.66 0.79 NA NA 0.09 2.77 2.90 NA NA XXX
patient.
99350......... ........ A Home visit, est 3.03 0.91 1.11 NA NA 0.13 4.07 4.27 NA NA XXX
patient.
99354......... ........ A Prolonged 1.77 0.65 0.74 0.50 0.62 0.08 2.50 2.59 2.35 2.47 ZZZ
service,
office.
99355......... ........ A Prolonged 1.77 0.67 0.73 0.52 0.60 0.07 2.51 2.57 2.36 2.44 ZZZ
service,
office.
99356......... ........ A Prolonged 1.71 NA NA 0.51 0.59 0.07 NA NA 2.29 2.37 ZZZ
service,
inpatient.
99357......... ........ A Prolonged 1.71 NA NA 0.50 0.60 0.08 NA NA 2.29 2.39 ZZZ
service,
inpatient.
99374......... ........ B Home health 1.10 0.55 0.66 0.26 0.38 0.05 1.70 1.81 1.41 1.53 XXX
care
supervision.
99375......... ........ I Home health 1.73 0.76 1.35 0.40 1.26 0.07 2.56 3.15 2.20 3.06 XXX
care
supervision.
99377......... ........ B Hospice care 1.10 0.55 0.66 0.26 0.38 0.05 1.70 1.81 1.41 1.53 XXX
supervision.
99378......... ........ I Hospice care 1.73 0.76 1.65 0.40 1.56 0.07 2.56 3.45 2.20 3.36 XXX
supervision.
99379......... ........ B Nursing fac 1.10 0.55 0.66 0.26 0.38 0.04 1.69 1.80 1.40 1.52 XXX
care
supervision.
99380......... ........ B Nursing fac 1.73 0.76 0.93 0.40 0.60 0.06 2.55 2.72 2.19 2.39 XXX
care
supervision.
99381......... ........ N Prev visit, 1.19 1.01 1.38 0.28 0.41 0.05 2.25 2.62 1.52 1.65 XXX
new, infant.
99382......... ........ N Prev visit, 1.36 1.05 1.42 0.32 0.47 0.05 2.46 2.83 1.73 1.88 XXX
new, age 1-4.
99383......... ........ N Prev visit, 1.36 1.04 1.37 0.32 0.47 0.05 2.45 2.78 1.73 1.88 XXX
new, age 5-11.
99384......... ........ N Prev visit, 1.53 1.08 1.43 0.36 0.53 0.06 2.67 3.02 1.95 2.12 XXX
new, age 12-17.
99385......... ........ N Prev visit, 1.53 1.08 1.43 0.36 0.53 0.06 2.67 3.02 1.95 2.12 XXX
new, age 18-39.
99386......... ........ N Prev visit, 1.88 1.16 1.60 0.44 0.65 0.07 3.11 3.55 2.39 2.60 XXX
new, age 40-64.
99387......... ........ N Prev visit, 2.06 1.29 1.73 0.48 0.71 0.07 3.42 3.86 2.61 2.84 XXX
new, 65 & over.
99391......... ........ N Prev visit, 1.02 0.87 0.98 0.24 0.35 0.04 1.93 2.04 1.30 1.41 XXX
est, infant.
99392......... ........ N Prev visit, 1.19 0.91 1.05 0.28 0.41 0.05 2.15 2.29 1.52 1.65 XXX
est, age 1-4.
99393......... ........ N Prev visit, 1.19 0.91 1.02 0.28 0.41 0.05 2.15 2.26 1.52 1.65 XXX
est, age 5-11.
99394......... ........ N Prev visit, 1.36 0.95 1.09 0.32 0.47 0.05 2.36 2.50 1.73 1.88 XXX
est, age 12-17.
99395......... ........ N Prev visit, 1.36 0.95 1.11 0.32 0.47 0.05 2.36 2.52 1.73 1.88 XXX
est, age 18-39.
99396......... ........ N Prev visit, 1.53 0.99 1.19 0.36 0.53 0.06 2.58 2.78 1.95 2.12 XXX
est, age 40-64.
99397......... ........ N Prev visit, 1.71 1.13 1.30 0.40 0.60 0.06 2.90 3.07 2.17 2.37 XXX
est, 65 & over.
99401......... ........ N Preventive 0.48 0.36 0.56 0.11 0.17 0.01 0.85 1.05 0.60 0.66 XXX
counseling,
indiv.
99402......... ........ N Preventive 0.98 0.48 0.77 0.23 0.34 0.02 1.48 1.77 1.23 1.34 XXX
counseling,
indiv.
99403......... ........ N Preventive 1.46 0.59 0.97 0.34 0.51 0.04 2.09 2.47 1.84 2.01 XXX
counseling,
indiv.
99404......... ........ N Preventive 1.95 0.71 1.17 0.45 0.68 0.05 2.71 3.17 2.45 2.68 XXX
counseling,
indiv.
99411......... ........ N Preventive 0.15 0.22 0.19 0.03 0.05 0.01 0.38 0.35 0.19 0.21 XXX
counseling,
group.
99412......... ........ N Preventive 0.25 0.25 0.25 0.06 0.09 0.01 0.51 0.51 0.32 0.35 XXX
counseling,
group.
99431......... ........ A Initial care, 1.17 NA NA 0.27 0.35 0.05 NA NA 1.49 1.57 XXX
normal newborn.
99432......... ........ A Newborn care, 1.26 1.02 0.95 0.29 0.37 0.07 2.35 2.28 1.62 1.70 XXX
not in hosp.
99433......... ........ A Normal newborn 0.62 NA NA 0.14 0.19 0.02 NA NA 0.78 0.83 XXX
care/hospital.
[[Page 49234]]
99435......... ........ A Newborn 1.50 NA NA 0.47 0.56 0.06 NA NA 2.03 2.12 XXX
discharge day
hosp.
99436......... ........ A Attendance, 1.50 NA NA 0.35 0.44 0.06 NA NA 1.91 2.00 XXX
birth.
99440......... ........ A Newborn 2.93 NA NA 0.68 0.87 0.12 NA NA 3.73 3.92 XXX
resuscitation.
99499......... ........ C Unlisted e&m 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
G0101......... ........ A CA 0.45 0.49 0.51 NA NA 0.02 0.96 0.98 NA NA XXX
screen;pelvic/
breast exam.
G0102......... ........ A Prostate ca 0.17 0.33 0.38 0.06 0.06 0.01 0.51 0.56 0.24 0.24 XXX
screening; dre.
G0104......... ........ A CA screen;flexi 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000
sigmoidscope.
G0105......... ........ A Colorectal 3.69 6.36 6.20 1.81 1.56 0.30 10.35 10.19 5.80 5.55 000
scrn; hi risk
ind.
G0105......... 53...... A Colorectal 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000
scrn; hi risk
ind.
G0106......... ........ A Colon CA 0.99 4.94 3.15 NA NA 0.17 6.10 4.31 NA NA XXX
screen;barium
enema.
G0106......... 26...... A Colon CA 0.99 0.31 0.32 0.31 0.32 0.04 1.34 1.35 1.34 1.35 XXX
screen;barium
enema.
G0106......... TC...... A Colon CA 0.00 4.63 2.83 NA NA 0.13 4.76 2.96 NA NA XXX
screen;barium
enema.
G0108......... ........ A Diab manage trn 0.00 0.59 0.77 NA NA 0.01 0.60 0.78 NA NA XXX
per indiv.
G0109......... ........ A Diab manage trn 0.00 0.31 0.44 NA NA 0.01 0.32 0.45 NA NA XXX
ind/group.
G0117......... ........ T Glaucoma scrn 0.45 0.80 0.74 NA NA 0.01 1.26 1.20 NA NA XXX
hgh risk direc.
G0118......... ........ T Glaucoma scrn 0.17 0.79 0.60 NA NA 0.01 0.97 0.78 NA NA XXX
hgh risk direc.
G0120......... ........ A Colon ca scrn; 0.99 4.94 3.15 NA NA 0.17 6.10 4.31 NA NA XXX
barium enema.
G0120......... 26...... A Colon ca scrn; 0.99 0.31 0.32 0.31 0.32 0.04 1.34 1.35 1.34 1.35 XXX
barium enema.
G0120......... TC...... A Colon ca scrn; 0.00 4.63 2.83 NA NA 0.13 4.76 2.96 NA NA XXX
barium enema.
G0121......... ........ A Colon ca scrn 3.69 6.36 6.20 1.81 1.56 0.30 10.35 10.19 5.80 5.55 000
not hi rsk ind.
G0121......... 53...... A Colon ca scrn 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000
not hi rsk ind.
G0122......... ........ N Colon ca scrn; 0.99 5.69 3.35 NA NA 0.18 6.86 4.52 NA NA XXX
barium enema.
G0122......... 26...... N Colon ca scrn; 0.99 0.23 0.34 0.23 0.34 0.05 1.27 1.38 1.27 1.38 XXX
barium enema.
G0122......... TC...... N Colon ca scrn; 0.00 5.46 3.01 NA NA 0.13 5.59 3.14 NA NA XXX
barium enema.
G0124......... ........ A Screen c/v thin 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX
layer by MD.
G0127......... ........ R Trim nail(s)... 0.17 0.39 0.29 0.04 0.06 0.01 0.57 0.47 0.22 0.24 000
G0128......... ........ R CORF skilled 0.08 0.02 0.03 0.02 0.03 0.01 0.11 0.12 0.11 0.12 XXX
nursing
service.
G0130......... ........ A Single energy x- 0.22 0.55 0.79 NA NA 0.06 0.83 1.07 NA NA XXX
ray study.
G0130......... 26...... A Single energy x- 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXX
ray study.
G0130......... TC...... A Single energy x- 0.00 0.49 0.72 NA NA 0.05 0.54 0.77 NA NA XXX
ray study.
G0141......... ........ A Scr c/v 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX
cyto,autosys
and md.
G0166......... ........ A Extrnl 0.07 4.56 3.82 NA NA 0.01 4.64 3.90 NA NA XXX
counterpulse,
per tx.
G0168......... ........ A Wound closure 0.45 1.57 1.84 0.21 0.22 0.03 2.05 2.32 0.69 0.70 000
by adhesive.
G0179......... ........ A MD 0.45 0.48 0.89 NA NA 0.02 0.95 1.36 NA NA XXX
recertificatio
n HHA PT.
G0180......... ........ A MD 0.67 0.56 1.09 NA NA 0.03 1.26 1.79 NA NA XXX
certification
HHA patient.
G0181......... ........ A Home health 1.73 0.81 1.31 NA NA 0.07 2.61 3.11 NA NA XXX
care
supervision.
G0182......... ........ A Hospice care 1.73 0.83 1.45 NA NA 0.07 2.63 3.25 NA NA XXX
supervision.
G0186......... ........ C Dstry eye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY
lesn,fdr vssl
tech.
G0202......... ........ A Screeningmammog 0.70 2.82 2.78 NA NA 0.10 3.62 3.58 NA NA XXX
raphydigital.
G0202......... 26...... A Screeningmammog 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXX
raphydigital.
G0202......... TC...... A Screeningmammog 0.00 2.58 2.55 NA NA 0.07 2.65 2.62 NA NA XXX
raphydigital.
G0204......... ........ A Diagnosticmammo 0.87 3.42 2.94 NA NA 0.11 4.40 3.92 NA NA XXX
graphydigital.
G0204......... 26...... A Diagnosticmammo 0.87 0.30 0.29 0.30 0.29 0.04 1.21 1.20 1.21 1.20 XXX
graphydigital.
G0204......... TC...... A Diagnosticmammo 0.00 3.12 2.66 NA NA 0.07 3.19 2.73 NA NA XXX
graphydigital.
G0206......... ........ A Diagnosticmammo 0.70 2.68 2.36 NA NA 0.09 3.47 3.15 NA NA XXX
graphydigital.
G0206......... 26...... A Diagnosticmammo 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXX
graphydigital.
G0206......... TC...... A Diagnosticmammo 0.00 2.44 2.13 NA NA 0.06 2.50 2.19 NA NA XXX
graphydigital.
G0237......... ........ A Therapeutic 0.00 0.22 0.41 NA NA 0.02 0.24 0.43 NA NA XXX
procd strg
endur.
G0238......... ........ A Oth resp proc, 0.00 0.23 0.43 NA NA 0.02 0.25 0.45 NA NA XXX
indiv.
G0239......... ........ A Oth resp proc, 0.00 0.32 0.33 NA NA 0.02 0.34 0.35 NA NA XXX
group.
G0245......... ........ R Initial foot 0.88 0.83 0.80 0.29 0.31 0.04 1.75 1.72 1.21 1.23 XXX
exam pt lops.
G0246......... ........ R Followup eval 0.45 0.55 0.54 0.15 0.16 0.02 1.02 1.01 0.62 0.63 XXX
of foot pt lop.
G0247......... ........ R Routine 0.50 0.68 0.56 0.16 0.20 0.02 1.20 1.08 0.68 0.72 ZZZ
footcare pt w
lops.
G0248......... ........ R Demonstrate use 0.00 3.30 5.78 NA NA 0.01 3.31 5.79 NA NA XXX
home inr mon.
G0249......... ........ R Provide test 0.00 2.38 3.57 NA NA 0.01 2.39 3.58 NA NA XXX
material,equip
m.
G0250......... ........ R MD review 0.18 0.08 0.07 NA NA 0.01 0.27 0.26 NA NA XXX
interpret of
test.
[[Page 49235]]
G0252......... 26...... N PET imaging 1.50 0.35 0.54 0.35 0.54 0.04 1.89 2.08 1.89 2.08 XXX
initial dx.
G0268......... ........ A Removal of 0.61 0.60 0.62 0.17 0.22 0.02 1.23 1.25 0.80 0.85 000
impacted wax
md.
G0270......... ........ A MNT subs tx for 0.37 0.10 0.38 0.09 0.38 0.01 0.48 0.76 0.47 0.76 XXX
change dx.
G0271......... ........ A Group MNT 2 or 0.25 0.06 0.15 0.06 0.15 0.01 0.32 0.41 0.32 0.41 XXX
more 30 mins.
G0275......... ........ A Renal angio, 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 ZZZ
cardiac cath.
G0278......... ........ A Iliac art 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 ZZZ
angio,cardiac
cath.
G0281......... ........ A Elec stim 0.18 0.15 0.12 NA NA 0.01 0.34 0.31 NA NA XXX
unattend for
press.
G0283......... ........ A Elec stim other 0.18 0.15 0.12 NA NA 0.01 0.34 0.31 NA NA XXX
than wound.
G0288......... ........ A Recon, CTA for 0.00 0.99 8.21 NA NA 0.18 1.17 8.39 NA NA XXX
surg plan.
G0289......... ........ A Arthro, loose 1.48 NA NA 0.59 0.75 0.26 NA NA 2.33 2.49 ZZZ
body + chondro.
G0308......... ........ A ESRD related 12.74 5.52 7.79 5.52 7.79 0.42 18.68 20.95 18.68 20.95 XXX
svc 4+mo <
2yrs.
G0309......... ........ A ESRD related 10.61 4.80 6.53 4.80 6.53 0.36 15.77 17.50 15.77 17.50 XXX
svc 2-3mo
<2yrs.
G0310......... ........ A ESRD related 8.49 2.87 4.98 2.87 4.98 0.28 11.64 13.75 11.64 13.75 XXX
svc 1 vst
<2yrs.
G0311......... ........ A ESRD related 9.73 3.59 4.44 3.59 4.44 0.34 13.66 14.51 13.66 14.51 XXX
svs 4+mo 2-
11yr.
G0312......... ........ A ESRD relate svs 8.11 2.67 3.61 2.67 3.61 0.29 11.07 12.01 11.07 12.01 XXX
2-3 mo 2-11y.
G0313......... ........ A ESRD related 6.49 1.86 2.82 1.86 2.82 0.22 8.57 9.53 8.57 9.53 XXX
svs 1 mon 2-
11y.
G0314......... ........ A ESRD related 8.28 3.43 4.17 3.43 4.17 0.27 11.98 12.72 11.98 12.72 XXX
svs 4+ mo 12-
19.
G0315......... ........ A ESRD related 6.90 2.61 3.41 2.61 3.41 0.23 9.74 10.54 9.74 10.54 XXX
svs 2-3mo/12-
19.
G0316......... ........ A ESRD related 5.52 1.69 2.63 1.69 2.63 0.17 7.38 8.32 7.38 8.32 XXX
svs 1vis/12-
19y.
G0317......... ........ A ESRD related 5.09 2.27 2.71 2.27 2.71 0.17 7.53 7.97 7.53 7.97 XXX
svs 4+mo
20+yrs.
G0318......... ........ A ESRD related 4.24 1.71 2.21 1.71 2.21 0.14 6.09 6.59 6.09 6.59 XXX
svs 2-3 mo
20+y.
G0319......... ........ A ESRD related 3.39 1.14 1.71 1.14 1.71 0.11 4.64 5.21 4.64 5.21 XXX
svs 1visit
20+y.
G0320......... ........ A ESD related svs 10.61 2.68 6.00 2.68 6.00 0.36 13.65 16.97 13.65 16.97 XXX
home undr 2.
G0321......... ........ A ESRDrelatedsvs 8.11 1.99 3.44 1.99 3.44 0.29 10.39 11.84 10.39 11.84 XXX
home mo 2-11y.
G0322......... ........ A ESRD related 6.90 1.73 3.19 1.73 3.19 0.23 8.86 10.32 8.86 10.32 XXX
svs hom mo12-
19.
G0323......... ........ A ESRD related 4.24 1.16 2.08 1.16 2.08 0.14 5.54 6.46 5.54 6.46 XXX
svs home mo
20+.
G0324......... ........ A ESRD relate svs 0.35 0.16 0.22 0.16 0.22 0.01 0.52 0.58 0.52 0.58 XXX
home/dy <2yr.
G0325......... ........ A ESRD relate 0.23 0.09 0.11 0.09 0.11 0.01 0.33 0.35 0.33 0.35 XXX
home/day/ 2-
11yr.
G0326......... ........ A ESRD relate 0.27 0.10 0.12 0.10 0.12 0.01 0.38 0.40 0.38 0.40 XXX
home/dy 12-
19yr.
G0327......... ........ A ESRD relate 0.14 0.06 0.08 0.06 0.08 0.01 0.21 0.23 0.21 0.23 XXX
home/dy 20+yrs.
G0329......... ........ A Electromagntic 0.06 0.16 0.15 NA NA 0.01 0.23 0.22 NA NA XXX
tx for ulcers.
G0332......... ........ D Preadmin IV 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
immunoglobulin.
G0337......... ........ X Hospice 1.34 0.31 0.46 0.31 0.46 0.09 1.74 1.89 1.74 1.89 XXX
evaluation
preelecti.
G0339......... ........ C Robot lin- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radsurg com,
first.
G0340......... ........ C Robt lin- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
radsurg fractx
2-5.
G0341......... ........ A Percutaneous 6.98 NA NA 2.14 2.48 0.48 NA NA 9.60 9.94 000
islet
celltrans.
G0342......... ........ A Laparoscopy 11.92 NA NA 5.13 5.25 1.46 NA NA 18.51 18.63 090
islet cell
trans.
G0343......... ........ A Laparotomy 19.85 NA NA 8.69 8.74 2.06 NA NA 30.60 30.65 090
islet cell
transp.
G0344......... ........ A Initial 1.34 1.10 1.12 0.42 0.47 0.10 2.54 2.56 1.86 1.91 XXX
preventive
exam.
G0364......... ........ A Bone marrow 0.16 0.16 0.15 0.07 0.06 0.04 0.36 0.35 0.27 0.26 ZZZ
aspirate
&biopsy.
G0365......... ........ A Vessel mapping 0.25 5.34 4.33 NA NA 0.25 5.84 4.83 NA NA XXX
hemo access.
G0365......... 26...... A Vessel mapping 0.25 0.07 0.09 0.07 0.09 0.02 0.34 0.36 0.34 0.36 XXX
hemo access.
G0365......... TC...... A Vessel mapping 0.00 5.27 4.24 NA NA 0.23 5.50 4.47 NA NA XXX
hemo access.
G0366......... ........ A EKG for initial 0.17 0.35 0.47 0.35 0.47 0.03 0.55 0.67 0.55 0.67 XXX
prevent exam.
G0367......... ........ A EKG tracing for 0.00 0.28 0.41 NA NA 0.02 0.30 0.43 NA NA XXX
initial prev.
G0368......... ........ A EKG interpret & 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.25 0.24 XXX
report preve.
G0372......... ........ A MD service 0.17 0.04 0.30 0.04 0.06 0.01 0.22 0.48 0.22 0.24 XXX
required for
PMD.
G0375......... ........ A Smoke/tobacco 0.24 0.07 0.09 0.07 0.09 0.01 0.32 0.34 0.32 0.34 XXX
counselng 3-10.
G0376......... ........ A Smoke/tobacco 0.48 0.13 0.17 0.13 0.16 0.01 0.62 0.66 0.62 0.65 XXX
counseling >10.
Gxxx1......... ........ A Ultrasound exam 0.58 2.42 1.81 NA NA 0.11 3.11 2.50 NA NA XXX
AAA screen.
Gxxx1......... 26...... A Ultrasound exam 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX
AAA screen.
Gxxx1......... TC...... A Ultrasound exam 0.00 2.23 1.62 NA NA 0.08 2.31 1.70 NA NA XXX
AAA screen.
M0064......... ........ A Visit for drug 0.37 0.89 0.48 0.06 0.11 0.01 1.27 0.86 0.44 0.49 XXX
monitoring.
P3001......... ........ A Screening pap 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX
smear by phys.
Q0035......... ........ A Cardiokymograph 0.17 0.30 0.41 NA NA 0.03 0.50 0.61 NA NA XXX
y.
Q0035......... 26...... A Cardiokymograph 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX
y.
Q0035......... TC...... A Cardiokymograph 0.00 0.25 0.36 NA NA 0.02 0.27 0.38 NA NA XXX
y.
Q0091......... ........ A Obtaining 0.37 0.76 0.69 0.10 0.13 0.02 1.15 1.08 0.49 0.52 XXX
screen pap
smear.
Q0092......... ........ A Set up port 0.00 0.50 0.37 0.50 0.37 0.01 0.51 0.38 0.51 0.38 XXX
xray equipment.
Q3001......... ........ C Brachytherapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX
Radioelements.
R0070......... ........ C Transport 0.00 0.00 0.00 0.00 0.00 0 0.00 0.00 0.00 0.00 XXX
portable x-ray.
R0075......... ........ C Transport port 0.00 0.00 0.00 0.00 0.00 0 0.00 0.00 0.00 0.00 XXX
x-ray multipl.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.
\2\ Copyright 2005 American Dental Association. All rights reserved.
[[Page 49236]]
Addendum C.--Codes for Which We Received PERC Recommendations on PE
Direct Cost Inputs
------------------------------------------------------------------------
CPT Codes Short descriptor
------------------------------------------------------------------------
00100............................. Anesth, salivary gland
00102............................. Anesth, repair of cleft lip
00103............................. Anesth, blepharoplasty
00104............................. Anesth, electroshock
00120............................. Anesth, ear surgery
00124............................. Anesth, ear exam
00126............................. Anesth, tympanotomy
00140............................. Anesth, procedures on eye
00142............................. Anesth, lens surgery
00144............................. Anesth, corneal transplant
00145............................. Anesth, vitreoretinal surg
00147............................. Anesth, iridectomy
00148............................. Anesth, eye exam
00160............................. Anesth, nose/sinus surgery
00162............................. Anesth, nose/sinus surgery
00164............................. Anesth, biopsy of nose
00170............................. Anesth, procedure on mouth
00172............................. Anesth, cleft palate repair
00174............................. Anesth, pharyngeal surgery
00176............................. Anesth, pharyngeal surgery
00190............................. Anesth, face/skull bone surg
00192............................. Anesth, facial bone surgery
00210............................. Anesth, open head surgery
00212............................. Anesth, skull drainage
00214............................. Anesth, skull drainage
00215............................. Anesth, skull repair/fract
00216............................. Anesth, head vessel surgery
00218............................. Anesth, special head surgery
00220............................. Anesth, intrcrn nerve
00222............................. Anesth, head nerve surgery
00300............................. Anesth, head/neck/ptrunk
00320............................. Anesth, neck organ, 1 & over
00322............................. Anesth, biopsy of thyroid
00326............................. Anesth, larynx/trach, < 1 yr
00350............................. Anesth, neck vessel surgery
00352............................. Anesth, neck vessel surgery
00400............................. Anesth, skin, ext/per/atrunk
00402............................. Anesth, surgery of breast
00404............................. Anesth, surgery of breast
00406............................. Anesth, surgery of breast
00410............................. Anesth, correct heart rhythm
00450............................. Anesth, surgery of shoulder
00452............................. Anesth, surgery of shoulder
00454............................. Anesth, collar bone biopsy
00470............................. Anesth, removal of rib
00472............................. Anesth, chest wall repair
00474............................. Anesth, surgery of rib(s)
00500............................. Anesth, esophageal surgery
00520............................. Anesth, chest procedure
00522............................. Anesth, chest lining biopsy
00524............................. Anesth, chest drainage
00528............................. Anesth, chest partition view
00529............................. Anesth, chest partition view
00530............................. Anesth, pacemaker insertion
00532............................. Anesth, vascular access
00534............................. Anesth, cardioverter/defib
00537............................. Anesth, cardiac electrophys
00539............................. Anesth, trach-bronch reconst
00540............................. Anesth, chest surgery
00541............................. Anesth, one lung ventilation
00542............................. Anesth, release of lung
00546............................. Anesth, lung,chest wall surg
00548............................. Anesth, trachea,bronchi surg
00550............................. Anesth, sternal debridement
00560............................. Anesth, heart surg w/o pump
00561............................. Anesth, heart surg < age 1
00562............................. Anesth, heart surg w/pump
00563............................. Anesth, heart surg w/arrest
00566............................. Anesth, cabg w/o pump
00580............................. Anesth, heart/lung transplnt
00600............................. Anesth, spine, cord surgery
00604............................. Anesth, sitting procedure
00620............................. Anesth, spine, cord surgery
00622............................. Anesth, removal of nerves
00630............................. Anesth, spine, cord surgery
00632............................. Anesth, removal of nerves
00634............................. Anesth for chemonucleolysis
00635............................. Anesth, lumbar puncture
00640............................. Anesth, spine manipulation
00670............................. Anesth, spine, cord surgery
00700............................. Anesth, abdominal wall surg
00702............................. Anesth, for liver biopsy
00730............................. Anesth, abdominal wall surg
00740............................. Anesth, upper gi visualize
00750............................. Anesth, repair of hernia
00752............................. Anesth, repair of hernia
00754............................. Anesth, repair of hernia
00756............................. Anesth, repair of hernia
00770............................. Anesth, blood vessel repair
00790............................. Anesth, surg upper abdomen
00792............................. Anesth, hemorr/excise liver
00794............................. Anesth, pancreas removal
00796............................. Anesth, for liver transplant
00797............................. Anesth, surgery for obesity
00800............................. Anesth, abdominal wall surg
00802............................. Anesth, fat layer removal
00810............................. Anesth, low intestine scope
00820............................. Anesth, abdominal wall surg
00830............................. Anesth, repair of hernia
00832............................. Anesth, repair of hernia
00834............................. Anesth, hernia repair < 1 yr
00836............................. Anesth hernia repair preemie
00840............................. Anesth, surg lower abdomen
00842............................. Anesth, amniocentesis
00844............................. Anesth, pelvis surgery
00846............................. Anesth, hysterectomy
00848............................. Anesth, pelvic organ surg
00851............................. Anesth, tubal ligation
00860............................. Anesth, surgery of abdomen
00862............................. Anesth, kidney/ureter surg
00864............................. Anesth, removal of bladder
00865............................. Anesth, removal of prostate
00866............................. Anesth, removal of adrenal
00868............................. Anesth, kidney transplant
00870............................. Anesth, bladder stone surg
00872............................. Anesth kidney stone destruct
00873............................. Anesth kidney stone destruct
00880............................. Anesth, abdomen vessel surg
00882............................. Anesth, major vein ligation
00902............................. Anesth, anorectal surgery
00904............................. Anesth, perineal surgery
00906............................. Anesth, removal of vulva
00908............................. Anesth, removal of prostate
00910............................. Anesth, bladder surgery
00912............................. Anesth, bladder tumor surg
00914............................. Anesth, removal of prostate
00916............................. Anesth, bleeding control
00918............................. Anesth, stone removal
00920............................. Anesth, genitalia surgery
00921............................. Anesth, vasectomy
00922............................. Anesth, sperm duct surgery
00924............................. Anesth, testis exploration
00926............................. Anesth, removal of testis
00928............................. Anesth, removal of testis
00930............................. Anesth, testis suspension
00932............................. Anesth, amputation of penis
00934............................. Anesth, penis, nodes removal
00936............................. Anesth, penis, nodes removal
00938............................. Anesth, insert penis device
00940............................. Anesth, vaginal procedures
00942............................. Anesth, surg on vag/urethral
00944............................. Anesth, vaginal hysterectomy
00948............................. Anesth, repair of cervix
00950............................. Anesth, vaginal endoscopy
00952............................. Anesth, hysteroscope/graph
01112............................. Anesth, bone aspirate/bx
01120............................. Anesth, pelvis surgery
01130............................. Anesth, body cast procedure
01140............................. Anesth, amputation at pelvis
01150............................. Anesth, pelvic tumor surgery
01160............................. Anesth, pelvis procedure
01170............................. Anesth, pelvis surgery
01173............................. Anesth, fx repair, pelvis
01180............................. Anesth, pelvis nerve removal
01190............................. Anesth, pelvis nerve removal
01200............................. Anesth, hip joint procedure
01202............................. Anesth, arthroscopy of hip
01210............................. Anesth, hip joint surgery
01212............................. Anesth, hip disarticulation
01214............................. Anesth, hip arthroplasty
01215............................. Anesth, revise hip repair
01220............................. Anesth, procedure on femur
01230............................. Anesth, surgery of femur
01232............................. Anesth, amputation of femur
01234............................. Anesth, radical femur surg
01250............................. Anesth, upper leg surgery
01260............................. Anesth, upper leg veins surg
01270............................. Anesth, thigh arteries surg
01272............................. Anesth, femoral artery surg
01274............................. Anesth, femoral embolectomy
01320............................. Anesth, knee area surgery
01340............................. Anesth, knee area procedure
01360............................. Anesth, knee area surgery
01380............................. Anesth, knee joint procedure
01382............................. Anesth, dx knee arthroscopy
01390............................. Anesth, knee area procedure
01392............................. Anesth, knee area surgery
01400............................. Anesth, knee joint surgery
01402............................. Anesth, knee arthroplasty
01404............................. Anesth, amputation at knee
01420............................. Anesth, knee joint casting
01430............................. Anesth, knee veins surgery
01432............................. Anesth, knee vessel surg
01440............................. Anesth, knee arteries surg
01442............................. Anesth, knee artery surg
01444............................. Anesth, knee artery repair
01462............................. Anesth, lower leg procedure
01464............................. Anesth, ankle/ft arthroscopy
01470............................. Anesth, lower leg surgery
01472............................. Anesth, achilles tendon surg
01474............................. Anesth, lower leg surgery
01480............................. Anesth, lower leg bone surg
01482............................. Anesth, radical leg surgery
01484............................. Anesth, lower leg revision
01486............................. Anesth, ankle replacement
01490............................. Anesth, lower leg casting
01500............................. Anesth, leg arteries surg
01502............................. Anesth, lwr leg embolectomy
01520............................. Anesth, lower leg vein surg
01522............................. Anesth, lower leg vein surg
01610............................. Anesth, surgery of shoulder
[[Page 49237]]
01620............................. Anesth, shoulder procedure
01622............................. Anes dx shoulder arthroscopy
01630............................. Anesth, surgery of shoulder
01632............................. Anesth, surgery of shoulder
01634............................. Anesth, shoulder joint amput
01636............................. Anesth, forequarter amput
01638............................. Anesth, shoulder replacement
01650............................. Anesth, shoulder artery surg
01652............................. Anesth, shoulder vessel surg
01654............................. Anesth, shoulder vessel surg
01656............................. Anesth, arm-leg vessel surg
01670............................. Anesth, shoulder vein surg
01680............................. Anesth, shoulder casting
01682............................. Anesth, airplane cast
01710............................. Anesth, elbow area surgery
01712............................. Anesth, uppr arm tendon surg
01714............................. Anesth, uppr arm tendon surg
01716............................. Anesth, biceps tendon repair
01730............................. Anesth, uppr arm procedure
01732............................. Anesth, dx elbow arthroscopy
01740............................. Anesth, upper arm surgery
01742............................. Anesth, humerus surgery
01744............................. Anesth, humerus repair
01756............................. Anesth, radical humerus surg
01758............................. Anesth, humeral lesion surg
01760............................. Anesth, elbow replacement
01770............................. Anesth, uppr arm artery surg
01772............................. Anesth, uppr arm embolectomy
01780............................. Anesth, upper arm vein surg
01782............................. Anesth, uppr arm vein repair
01810............................. Anesth, lower arm surgery
01820............................. Anesth, lower arm procedure
01829............................. Anesth, dx wrist arthroscopy
01830............................. Anesth, lower arm surgery
01832............................. Anesth, wrist replacement
01840............................. Anesth, lwr arm artery surg
01842............................. Anesth, lwr arm embolectomy
01844............................. Anesth, vascular shunt surg
01850............................. Anesth, lower arm vein surg
01852............................. Anesth, lwr arm vein repair
01860............................. Anesth, lower arm casting
01905............................. Anes, spine inject, x-ray/re
01916............................. Anesth, dx arteriography
01920............................. Anesth, catheterize heart
01922............................. Anesth, cat or mri scan
01924............................. Anes, ther interven rad, art
01925............................. Anes, ther interven rad, car
01926............................. Anes, tx interv rad hrt/cran
01930............................. Anes, ther interven rad, vei
01931............................. Anes, ther interven rad, tip
01932............................. Anes, tx interv rad, th vein
01933............................. Anes, tx interv rad, cran v
01951............................. Anesth, burn, less 4 percent
01952............................. Anesth, burn, 4-9 percent
01953............................. Anesth, burn, each 9 percent
01958............................. Anesth, antepartum manipul
01960............................. Anesth, vaginal delivery
01961............................. Anesth, cs delivery
01962............................. Anesth, emer hysterectomy
01963............................. Anesth, cs hysterectomy
01965............................. Anesth, inc/missed ab proc
01966............................. Anesth, induced ab procedure
01967............................. Anesth/analg, vag delivery
01968............................. Anes/analg cs deliver add-on
01969............................. Anesth/analg cs hyst add-on
01990............................. Support for organ donor
01991............................. Anesth, nerve block/inj
01992............................. Anesth, n block/inj, prone
01995............................. Regional anesthesia limb
01996............................. Hosp manage cont drug admin
01999............................. Unlisted anesth procedure
23500............................. Treat clavicle fracture
23680............................. Treat dislocation/fracture
24130............................. Removal of head of radius
24134............................. Removal of arm bone lesion
24136............................. Remove radius bone lesion
24138............................. Remove elbow bone lesion
24140............................. Partial removal of arm bone
24145............................. Partial removal of radius
24147............................. Partial removal of elbow
24495............................. Decompression of forearm
24500............................. Treat humerus fracture
24500............................. Treat humerus fracture
24505............................. Treat humerus fracture
24515............................. Treat humerus fracture
24516............................. Treat humerus fracture
24530............................. Treat humerus fracture
24535............................. Treat humerus fracture
24538............................. Treat humerus fracture
24545............................. Treat humerus fracture
24546............................. Treat humerus fracture
24560............................. Treat humerus fracture
24565............................. Treat humerus fracture
24566............................. Treat humerus fracture
24575............................. Treat humerus fracture
24576............................. Treat humerus fracture
24577............................. Treat humerus fracture
24579............................. Treat humerus fracture
24582............................. Treat humerus fracture
24586............................. Treat elbow fracture
24587............................. Treat elbow fracture
24600............................. Treat elbow dislocation
24605............................. Treat elbow dislocation
24615............................. Treat elbow dislocation
24620............................. Treat elbow fracture
24635............................. Treat elbow fracture
24640............................. Treat elbow dislocation
24650............................. Treat radius fracture
24655............................. Treat radius fracture
24665............................. Treat radius fracture
24666............................. Treat radius fracture
24670............................. Treat ulnar fracture
24675............................. Treat ulnar fracture
24685............................. Treat ulnar fracture
25000............................. Incision of tendon sheath
25020............................. Decompress forearm 1 space
25023............................. Decompress forearm 1 space
25028............................. Drainage of forearm lesion
25031............................. Drainage of forearm bursa
25035............................. Treat forearm bone lesion
25040............................. Explore/treat wrist joint
25066............................. Biopsy forearm soft tissues
25075............................. Removal forearm lesion subcu
25076............................. Removal forearm lesion deep
25077............................. Remove tumor, forearm/wrist
25085............................. Incision of wrist capsule
25100............................. Biopsy of wrist joint
25101............................. Explore/treat wrist joint
25105............................. Remove wrist joint lining
25107............................. Remove wrist joint cartilage
25110............................. Remove wrist tendon lesion
25111............................. Remove wrist tendon lesion
25112............................. Reremove wrist tendon lesion
25115............................. Remove wrist/forearm lesion
25116............................. Remove wrist/forearm lesion
25118............................. Excise wrist tendon sheath
25119............................. Partial removal of ulna
25120............................. Removal of forearm lesion
25125............................. Remove/graft forearm lesion
25126............................. Remove/graft forearm lesion
25130............................. Removal of wrist lesion
25135............................. Remove & graft wrist lesion
25136............................. Remove & graft wrist lesion
25145............................. Remove forearm bone lesion
25150............................. Partial removal of ulna
25151............................. Partial removal of radius
25170............................. Extensive forearm surgery
25210............................. Removal of wrist bone
25215............................. Removal of wrist bones
25230............................. Partial removal of radius
25240............................. Partial removal of ulna
25248............................. Remove forearm foreign body
25260............................. Repair forearm tendon/muscle
25263............................. Repair forearm tendon/muscle
25265............................. Repair forearm tendon/muscle
25270............................. Repair forearm tendon/muscle
25272............................. Repair forearm tendon/muscle
25274............................. Repair forearm tendon/muscle
25280............................. Revise wrist/forearm tendon
25290............................. Incise wrist/forearm tendon
25295............................. Release wrist/forearm tendon
25300............................. Fusion of tendons at wrist
25301............................. Fusion of tendons at wrist
25310............................. Transplant forearm tendon
25312............................. Transplant forearm tendon
25315............................. Revise palsy hand tendon(s)
25316............................. Revise palsy hand tendon(s)
25320............................. Repair/revise wrist joint
25335............................. Realignment of hand
25337............................. Reconstruct ulna/radioulnar
25350............................. Revision of radius
25355............................. Revision of radius
25360............................. Revision of ulna
25365............................. Revise radius & ulna
25370............................. Revise radius or ulna
25375............................. Revise radius & ulna
25390............................. Shorten radius or ulna
25391............................. Lengthen radius or ulna
25392............................. Shorten radius & ulna
25393............................. Lengthen radius & ulna
25400............................. Repair radius or ulna
25405............................. Repair/graft radius or ulna
25415............................. Repair radius & ulna
25420............................. Repair/graft radius & ulna
25425............................. Repair/graft radius or ulna
25426............................. Repair/graft radius & ulna
25440............................. Repair/graft wrist bone
25450............................. Revision of wrist joint
25455............................. Revision of wrist joint
25490............................. Reinforce radius
25491............................. Reinforce ulna
25492............................. Reinforce radius and ulna
25500............................. Treat fracture of radius
25505............................. Treat fracture of radius
25515............................. Treat fracture of radius
25520............................. Treat fracture of radius
25525............................. Treat fracture of radius
25526............................. Treat fracture of radius
25530............................. Treat fracture of ulna
25535............................. Treat fracture of ulna
25545............................. Treat fracture of ulna
[[Page 49238]]
25560............................. Treat fracture radius & ulna
25565............................. Treat fracture radius & ulna
25574............................. Treat fracture radius & ulna
25575............................. Treat fracture radius/ulna
25600............................. Treat fracture radius/ulna
25605............................. Treat fracture radius/ulna
25611............................. Treat fracture radius/ulna
25620............................. Treat fracture radius/ulna
25622............................. Treat wrist bone fracture
25624............................. Treat wrist bone fracture
25628............................. Treat wrist bone fracture
25630............................. Treat wrist bone fracture
25635............................. Treat wrist bone fracture
25645............................. Treat wrist bone fracture
25650............................. Treat wrist bone fracture
25651............................. Pin ulnar styloid fracture
25652............................. Treat fracture ulnar styloid
25660............................. Treat wrist dislocation
25670............................. Treat wrist dislocation
25671............................. Pin radioulnar dislocation
25675............................. Treat wrist dislocation
25676............................. Treat wrist dislocation
25680............................. Treat wrist fracture
25685............................. Treat wrist fracture
25690............................. Treat wrist dislocation
25695............................. Treat wrist dislocation
25800............................. Fusion of wrist joint
25805............................. Fusion/graft of wrist joint
25810............................. Fusion/graft of wrist joint
25820............................. Fusion of hand bones
25825............................. Fuse hand bones with graft
25830............................. Fusion, radioulnar jnt/ulna
25900............................. Amputation of forearm
25905............................. Amputation of forearm
25907............................. Amputation follow-up surgery
25909............................. Amputation follow-up surgery
25915............................. Amputation of forearm
25920............................. Amputate hand at wrist
25922............................. Amputate hand at wrist
25924............................. Amputation follow-up surgery
25927............................. Amputation of hand
25929............................. Amputation follow-up surgery
25931............................. Amputation follow-up surgery
26350............................. Repair finger/hand tendon
26352............................. Repair/graft hand tendon
26356............................. Repair finger/hand tendon
26357............................. Repair finger/hand tendon
26358............................. Repair/graft hand tendon
26370............................. Repair finger/hand tendon
26372............................. Repair/graft hand tendon
26373............................. Repair finger/hand tendon
26390............................. Revise hand/finger tendon
26392............................. Repair/graft hand tendon
26410............................. Repair hand tendon
26412............................. Repair/graft hand tendon
26415............................. Excision, hand/finger tendon
26416............................. Graft hand or finger tendon
26418............................. Repair finger tendon
26420............................. Repair/graft finger tendon
26426............................. Repair finger/hand tendon
26428............................. Repair/graft finger tendon
26432............................. Repair finger tendon
26433............................. Repair finger tendon
26434............................. Repair/graft finger tendon
26437............................. Realignment of tendons
26440............................. Release palm/finger tendon
26442............................. Release palm & finger tendon
26445............................. Release hand/finger tendon
26449............................. Release forearm/hand tendon
26450............................. Incision of palm tendon
26455............................. Incision of finger tendon
26460............................. Incise hand/finger tendon
26471............................. Fusion of finger tendons
26474............................. Fusion of finger tendons
26476............................. Tendon lengthening
26477............................. Tendon shortening
26478............................. Lengthening of hand tendon
26479............................. Shortening of hand tendon
26480............................. Transplant hand tendon
26483............................. Transplant/graft hand tendon
26485............................. Transplant palm tendon
26489............................. Transplant/graft palm tendon
26490............................. Revise thumb tendon
26492............................. Tendon transfer with graft
26494............................. Hand tendon/muscle transfer
26496............................. Revise thumb tendon
26497............................. Finger tendon transfer
26498............................. Finger tendon transfer
26499............................. Revision of finger
26500............................. Hand tendon reconstruction
26502............................. Hand tendon reconstruction
26504............................. Hand tendon reconstruction
26508............................. Release thumb contracture
26510............................. Thumb tendon transfer
26516............................. Fusion of knuckle joint
26517............................. Fusion of knuckle joints
26518............................. Fusion of knuckle joints
26520............................. Release knuckle contracture
26525............................. Release finger contracture
26536............................. Revise/implant finger joint
26540............................. Repair hand joint
26541............................. Repair hand joint with graft
26542............................. Repair hand joint with graft
26545............................. Reconstruct finger joint
26548............................. Reconstruct finger joint
26550............................. Construct thumb replacement
26555............................. Positional change of finger
26560............................. Repair of web finger
26561............................. Repair of web finger
26562............................. Repair of web finger
26565............................. Correct metacarpal flaw
26567............................. Correct finger deformity
26568............................. Lengthen metacarpal/finger
26580............................. Repair hand deformity
26590............................. Repair finger deformity
26591............................. Repair muscles of hand
26593............................. Release muscles of hand
26596............................. Excision constricting tissue
26600............................. Treat metacarpal fracture
26605............................. Treat metacarpal fracture
26607............................. Treat metacarpal fracture
26608............................. Treat metacarpal fracture
26615............................. Treat metacarpal fracture
26641............................. Treat thumb dislocation
26645............................. Treat thumb fracture
26650............................. Treat thumb fracture
26665............................. Treat thumb fracture
26670............................. Treat hand dislocation
26675............................. Treat hand dislocation
26676............................. Pin hand dislocation
26685............................. Treat hand dislocation
26686............................. Treat hand dislocation
26700............................. Treat knuckle dislocation
26705............................. Treat knuckle dislocation
26706............................. Pin knuckle dislocation
26715............................. Treat knuckle dislocation
26720............................. Treat finger fracture, each
26725............................. Treat finger fracture, each
26727............................. Treat finger fracture, each
26735............................. Treat finger fracture, each
26740............................. Treat finger fracture, each
26742............................. Treat finger fracture, each
26746............................. Treat finger fracture, each
26750............................. Treat finger fracture, each
26755............................. Treat finger fracture, each
26756............................. Pin finger fracture, each
26765............................. Treat finger fracture, each
26770............................. Treat finger dislocation
26775............................. Treat finger dislocation
26776............................. Pin finger dislocation
26785............................. Treat finger dislocation
26820............................. Thumb fusion with graft
26841............................. Fusion of thumb
26842............................. Thumb fusion with graft
26843............................. Fusion of hand joint
26844............................. Fusion/graft of hand joint
26850............................. Fusion of knuckle
26852............................. Fusion of knuckle with graft
26860............................. Fusion of finger joint
26862............................. Fusion/graft of finger joint
26910............................. Amputate metacarpal bone
26951............................. Amputation of finger/thumb
26952............................. Amputation of finger/thumb
27000............................. Incision of hip tendon
27001............................. Incision of hip tendon
27003............................. Incision of hip tendon
27005............................. Incision of hip tendon
27006............................. Incision of hip tendons
27025............................. Incision of hip/thigh fascia
27030............................. Drainage of hip joint
27033............................. Exploration of hip joint
27035............................. Denervation of hip joint
27041............................. Biopsy of soft tissues
27048............................. Remove hip/pelvis lesion
27049............................. Remove tumor, hip/pelvis
27050............................. Biopsy of sacroiliac joint
27052............................. Biopsy of hip joint
27054............................. Removal of hip joint lining
27060............................. Removal of ischial bursa
27062............................. Remove femur lesion/bursa
27065............................. Removal of hip bone lesion
27066............................. Removal of hip bone lesion
27067............................. Remove/graft hip bone lesion
27075............................. Extensive hip surgery
27076............................. Extensive hip surgery
27077............................. Extensive hip surgery
27078............................. Extensive hip surgery
27079............................. Extensive hip surgery
27080............................. Removal of tail bone
27087............................. Remove hip foreign body
27202............................. Treat tail bone fracture
27310............................. Exploration of knee joint
27315............................. Partial removal, thigh nerve
27320............................. Partial removal, thigh nerve
27324............................. Biopsy, thigh soft tissues
27328............................. Removal of thigh lesion
27329............................. Remove tumor, thigh/knee
27330............................. Biopsy, knee joint lining
27331............................. Explore/treat knee joint
27332............................. Removal of knee cartilage
27333............................. Removal of knee cartilage
[[Page 49239]]
27334............................. Remove knee joint lining
27335............................. Remove knee joint lining
27340............................. Removal of kneecap bursa
27345............................. Removal of knee cyst
27350............................. Removal of kneecap
27355............................. Remove femur lesion
27356............................. Remove femur lesion/graft
27357............................. Remove femur lesion/graft
27365............................. Extensive leg surgery
27380............................. Repair of kneecap tendon
27381............................. Repair/graft kneecap tendon
27385............................. Repair of thigh muscle
27386............................. Repair/graft of thigh muscle
27455............................. Realignment of knee
27500............................. Treatment of thigh fracture
27501............................. Treatment of thigh fracture
27502............................. Treatment of thigh fracture
27506............................. Treatment of thigh fracture
27507............................. Treatment of thigh fracture
27508............................. Treatment of thigh fracture
27509............................. Treatment of thigh fracture
27510............................. Treatment of thigh fracture
27511............................. Treatment of thigh fracture
27513............................. Treatment of thigh fracture
27514............................. Treatment of thigh fracture
27516............................. Treat thigh fx growth plate
27517............................. Treat thigh fx growth plate
27519............................. Treat thigh fx growth plate
27520............................. Treat kneecap fracture
27524............................. Treat kneecap fracture
27530............................. Treat knee fracture
27532............................. Treat knee fracture
27535............................. Treat knee fracture
27536............................. Treat knee fracture
27538............................. Treat knee fracture(s)
27540............................. Treat knee fracture
27550............................. Treat knee dislocation
27552............................. Treat knee dislocation
27556............................. Treat knee dislocation
27557............................. Treat knee dislocation
27558............................. Treat knee dislocation
27560............................. Treat kneecap dislocation
27562............................. Treat kneecap dislocation
27566............................. Treat kneecap dislocation
27580............................. Fusion of knee
27590............................. Amputate leg at thigh
27591............................. Amputate leg at thigh
27592............................. Amputate leg at thigh
27594............................. Amputation follow-up surgery
27596............................. Amputation follow-up surgery
27598............................. Amputate lower leg at knee
27600............................. Decompression of lower leg
27601............................. Decompression of lower leg
27602............................. Decompression of lower leg
27607............................. Treat lower leg bone lesion
27610............................. Explore/treat ankle joint
27612............................. Exploration of ankle joint
27615............................. Remove tumor, lower leg
27620............................. Explore/treat ankle joint
27625............................. Remove ankle joint lining
27626............................. Remove ankle joint lining
27635............................. Remove lower leg bone lesion
27637............................. Remove/graft leg bone lesion
27638............................. Remove/graft leg bone lesion
27640............................. Partial removal of tibia
27641............................. Partial removal of fibula
27645............................. Extensive lower leg surgery
27646............................. Extensive lower leg surgery
27647............................. Extensive ankle/heel surgery
27650............................. Repair achilles tendon
27652............................. Repair/graft achilles tendon
27654............................. Repair of achilles tendon
27675............................. Repair lower leg tendons
27676............................. Repair lower leg tendons
27680............................. Release of lower leg tendon
27681............................. Release of lower leg tendons
27687............................. Revision of calf tendon
27690............................. Revise lower leg tendon
27691............................. Revise lower leg tendon
27695............................. Repair of ankle ligament
27696............................. Repair of ankle ligaments
27698............................. Repair of ankle ligament
27705............................. Incision of tibia
27707............................. Incision of fibula
27709............................. Incision of tibia & fibula
27712............................. Realignment of lower leg
27715............................. Revision of lower leg
27720............................. Repair of tibia
27722............................. Repair/graft of tibia
27724............................. Repair/graft of tibia
27725............................. Repair of lower leg
27727............................. Repair of lower leg
27734............................. Repair lower leg epiphyses
27745............................. Reinforce tibia
27750............................. Treatment of tibia fracture
27752............................. Treatment of tibia fracture
27756............................. Treatment of tibia fracture
27758............................. Treatment of tibia fracture
27759............................. Treatment of tibia fracture
27760............................. Treatment of ankle fracture
27762............................. Treatment of ankle fracture
27766............................. Treatment of ankle fracture
27780............................. Treatment of fibula fracture
27781............................. Treatment of fibula fracture
27784............................. Treatment of fibula fracture
27786............................. Treatment of ankle fracture
27788............................. Treatment of ankle fracture
27792............................. Treatment of ankle fracture
27808............................. Treatment of ankle fracture
27810............................. Treatment of ankle fracture
27814............................. Treatment of ankle fracture
27816............................. Treatment of ankle fracture
27818............................. Treatment of ankle fracture
27822............................. Treatment of ankle fracture
27823............................. Treatment of ankle fracture
27824............................. Treat lower leg fracture
27825............................. Treat lower leg fracture
27826............................. Treat lower leg fracture
27827............................. Treat lower leg fracture
27828............................. Treat lower leg fracture
27829............................. Treat lower leg joint
27830............................. Treat lower leg dislocation
27831............................. Treat lower leg dislocation
27832............................. Treat lower leg dislocation
27840............................. Treat ankle dislocation
27842............................. Treat ankle dislocation
27846............................. Treat ankle dislocation
27848............................. Treat ankle dislocation
27870............................. Fusion of ankle joint, open
27871............................. Fusion of tibiofibular joint
27880............................. Amputation of lower leg
27881............................. Amputation of lower leg
27882............................. Amputation of lower leg
27884............................. Amputation follow-up surgery
27886............................. Amputation follow-up surgery
27888............................. Amputation of foot at ankle
27889............................. Amputation of foot at ankle
27892............................. Decompression of leg
27893............................. Decompression of leg
27894............................. Decompression of leg
28030............................. Removal of foot nerve
28102............................. Remove/graft foot lesion
28106............................. Remove/graft foot lesion
28130............................. Removal of ankle bone
28309............................. Incision of metatarsals
28320............................. Repair of foot bones
28400............................. Treatment of heel fracture
28405............................. Treatment of heel fracture
28406............................. Treatment of heel fracture
28415............................. Treat heel fracture
28420............................. Treat/graft heel fracture
28430............................. Treatment of ankle fracture
28435............................. Treatment of ankle fracture
28436............................. Treatment of ankle fracture
28445............................. Treat ankle fracture
28450............................. Treat midfoot fracture, each
28455............................. Treat midfoot fracture, each
28456............................. Treat midfoot fracture
28465............................. Treat midfoot fracture, each
28470............................. Treat metatarsal fracture
28475............................. Treat metatarsal fracture
28476............................. Treat metatarsal fracture
28485............................. Treat metatarsal fracture
28490............................. Treat big toe fracture
28495............................. Treat big toe fracture
28496............................. Treat big toe fracture
28505............................. Treat big toe fracture
28510............................. Treatment of toe fracture
28515............................. Treatment of toe fracture
28525............................. Treat toe fracture
28530............................. Treat sesamoid bone fracture
28531............................. Treat sesamoid bone fracture
28540............................. Treat foot dislocation
28545............................. Treat foot dislocation
28546............................. Treat foot dislocation
28555............................. Repair foot dislocation
28570............................. Treat foot dislocation
28575............................. Treat foot dislocation
28576............................. Treat foot dislocation
28585............................. Repair foot dislocation
28600............................. Treat foot dislocation
28605............................. Treat foot dislocation
28606............................. Treat foot dislocation
28615............................. Repair foot dislocation
28630............................. Treat toe dislocation
28635............................. Treat toe dislocation
28636............................. Treat toe dislocation
28645............................. Repair toe dislocation
28660............................. Treat toe dislocation
28665............................. Treat toe dislocation
28666............................. Treat toe dislocation
28675............................. Repair of toe dislocation
28705............................. Fusion of foot bones
28715............................. Fusion of foot bones
28725............................. Fusion of foot bones
28730............................. Fusion of foot bones
28735............................. Fusion of foot bones
28737............................. Revision of foot bones
29000............................. Application of body cast
29010............................. Application of body cast
29015............................. Application of body cast
[[Page 49240]]
29020............................. Application of body cast
29025............................. Application of body cast
29035............................. Application of body cast
29040............................. Application of body cast
29044............................. Application of body cast
29046............................. Application of body cast
29049............................. Application of figure eight
29055............................. Application of shoulder cast
29058............................. Application of shoulder cast
29065............................. Application of long arm cast
29075............................. Application of forearm cast
29085............................. Apply hand/wrist cast
29086............................. Apply finger cast
29105............................. Apply long arm splint
29125............................. Apply forearm splint
29126............................. Apply forearm splint
29130............................. Application of finger splint
29131............................. Application of finger splint
29200............................. Strapping of chest
29220............................. Strapping of low back
29240............................. Strapping of shoulder
29260............................. Strapping of elbow or wrist
29280............................. Strapping of hand or finger
29305............................. Application of hip cast
29325............................. Application of hip casts
29345............................. Application of long leg cast
29355............................. Application of long leg cast
29358............................. Apply long leg cast brace
29365............................. Application of long leg cast
29405............................. Apply short leg cast
29425............................. Apply short leg cast
29435............................. Apply short leg cast
29440............................. Addition of walker to cast
29445............................. Apply rigid leg cast
29450............................. Application of leg cast
29505............................. Application, long leg splint
29515............................. Application lower leg splint
29520............................. Strapping of hip
29530............................. Strapping of knee
29540............................. Strapping of ankle and/or ft
29550............................. Strapping of toes
29580............................. Application of paste boot
29590............................. Application of foot splint
29700............................. Removal/revision of cast
29705............................. Removal/revision of cast
29710............................. Removal/revision of cast
29715............................. Removal/revision of cast
29720............................. Repair of body cast
29730............................. Windowing of cast
29740............................. Wedging of cast
29750............................. Wedging of clubfoot cast
29800............................. Jaw arthroscopy/surgery
29804............................. Jaw arthroscopy/surgery
31760............................. Repair of windpipe
31766............................. Reconstruction of windpipe
31770............................. Repair/graft of bronchus
31775............................. Reconstruct bronchus
31780............................. Reconstruct windpipe
31781............................. Reconstruct windpipe
31785............................. Remove windpipe lesion
31786............................. Remove windpipe lesion
31805............................. Repair of windpipe injury
32035............................. Exploration of chest
32036............................. Exploration of chest
32095............................. Biopsy through chest wall
32100............................. Exploration/biopsy of chest
32110............................. Explore/repair chest
32120............................. Re-exploration of chest
32124............................. Explore chest free adhesions
32140............................. Removal of lung lesion(s)
32141............................. Remove/treat lung lesions
32150............................. Removal of lung lesion(s)
32151............................. Remove lung foreign body
32160............................. Open chest heart massage
32200............................. Drain, open, lung lesion
33015............................. Incision of heart sac
33414............................. Repair of aortic valve
33415............................. Revision, subvalvular tissue
33417............................. Repair of aortic valve
33468............................. Revision of tricuspid valve
33470............................. Revision of pulmonary valve
33471............................. Valvotomy, pulmonary valve
33503............................. Coronary artery graft
33504............................. Coronary artery graft
33505............................. Repair artery w/tunnel
33506............................. Repair artery, translocation
33600............................. Closure of valve
33602............................. Closure of valve
33606............................. Anastomosis/artery-aorta
33608............................. Repair anomaly w/conduit
33610............................. Repair by enlargement
33611............................. Repair double ventricle
33612............................. Repair double ventricle
33615............................. Repair, modified fontan
33617............................. Repair single ventricle
33619............................. Repair single ventricle
33645............................. Revision of heart veins
33647............................. Repair heart septum defects
33660............................. Repair of heart defects
33665............................. Repair of heart defects
33670............................. Repair of heart chambers
33681............................. Repair heart septum defect
33684............................. Repair heart septum defect
33688............................. Repair heart septum defect
33690............................. Reinforce pulmonary artery
33692............................. Repair of heart defects
33694............................. Repair of heart defects
33697............................. Repair of heart defects
33702............................. Repair of heart defects
33710............................. Repair of heart defects
33720............................. Repair of heart defect
33722............................. Repair of heart defect
33730............................. Repair heart-vein defect(s)
33732............................. Repair heart-vein defect
33735............................. Revision of heart chamber
33736............................. Revision of heart chamber
33737............................. Revision of heart chamber
33750............................. Major vessel shunt
33755............................. Major vessel shunt
33762............................. Major vessel shunt
33764............................. Major vessel shunt & graft
33766............................. Major vessel shunt
33767............................. Major vessel shunt
33770............................. Repair great vessels defect
33771............................. Repair great vessels defect
33774............................. Repair great vessels defect
33775............................. Repair great vessels defect
33776............................. Repair great vessels defect
33777............................. Repair great vessels defect
33778............................. Repair great vessels defect
33779............................. Repair great vessels defect
33780............................. Repair great vessels defect
33781............................. Repair great vessels defect
33786............................. Repair arterial trunk
33788............................. Revision of pulmonary artery
33800............................. Aortic suspension
33802............................. Repair vessel defect
33803............................. Repair vessel defect
33813............................. Repair septal defect
33814............................. Repair septal defect
33820............................. Revise major vessel
33822............................. Revise major vessel
33840............................. Remove aorta constriction
33845............................. Remove aorta constriction
33851............................. Remove aorta constriction
33852............................. Repair septal defect
33853............................. Repair septal defect
33917............................. Repair pulmonary artery
33920............................. Repair pulmonary atresia
33922............................. Transect pulmonary artery
34001............................. Removal of artery clot
34051............................. Removal of artery clot
34101............................. Removal of artery clot
34111............................. Removal of arm artery clot
34201............................. Removal of artery clot
34203............................. Removal of leg artery clot
34401............................. Removal of vein clot
34421............................. Removal of vein clot
34451............................. Removal of vein clot
34471............................. Removal of vein clot
34490............................. Removal of vein clot
34501............................. Repair valve, femoral vein
34502............................. Reconstruct vena cava
34510............................. Transposition of vein valve
34520............................. Cross-over vein graft
34530............................. Leg vein fusion
35001............................. Repair defect of artery
35002............................. Repair artery rupture, neck
35005............................. Repair defect of artery
35011............................. Repair defect of artery
35013............................. Repair artery rupture, arm
35021............................. Repair defect of artery
35022............................. Repair artery rupture, chest
35045............................. Repair defect of arm artery
35111............................. Repair defect of artery
35141............................. Repair defect of artery
35142............................. Repair artery rupture, thigh
35151............................. Repair defect of artery
35152............................. Repair artery rupture, knee
35180............................. Repair blood vessel lesion
35184............................. Repair blood vessel lesion
35188............................. Repair blood vessel lesion
35190............................. Repair blood vessel lesion
35201............................. Repair blood vessel lesion
35206............................. Repair blood vessel lesion
35207............................. Repair blood vessel lesion
35226............................. Repair blood vessel lesion
35231............................. Repair blood vessel lesion
35236............................. Repair blood vessel lesion
35246............................. Repair blood vessel lesion
35261............................. Repair blood vessel lesion
35266............................. Repair blood vessel lesion
35286............................. Repair blood vessel lesion
35311............................. Rechanneling of artery
35321............................. Rechanneling of artery
35371............................. Rechanneling of artery
35372............................. Rechanneling of artery
35381............................. Rechanneling of artery
35501............................. Artery bypass graft
35506............................. Artery bypass graft
35507............................. Artery bypass graft
[[Page 49241]]
35508............................. Artery bypass graft
35509............................. Artery bypass graft
35511............................. Artery bypass graft
35515............................. Artery bypass graft
35516............................. Artery bypass graft
35518............................. Artery bypass graft
35526............................. Artery bypass graft
35556............................. Artery bypass graft
35558............................. Artery bypass graft
35571............................. Artery bypass graft
35583............................. Vein bypass graft
35585............................. Vein bypass graft
35587............................. Vein bypass graft
35601............................. Artery bypass graft
35606............................. Artery bypass graft
35612............................. Artery bypass graft
35616............................. Artery bypass graft
35626............................. Artery bypass graft
35642............................. Artery bypass graft
35645............................. Artery bypass graft
35650............................. Artery bypass graft
35656............................. Artery bypass graft
35661............................. Artery bypass graft
35666............................. Artery bypass graft
35671............................. Artery bypass graft
35691............................. Arterial transposition
35693............................. Arterial transposition
35694............................. Arterial transposition
35695............................. Arterial transposition
35701............................. Exploration, carotid artery
35721............................. Exploration, femoral artery
35741............................. Exploration popliteal artery
35761............................. Exploration of artery/vein
35800............................. Explore neck vessels
35860............................. Explore limb vessels
35875............................. Removal of clot in graft
35876............................. Removal of clot in graft
35901............................. Excision, graft, neck
35903............................. Excision, graft, extremity
36260............................. Insertion of infusion pump
36261............................. Revision of infusion pump
36262............................. Removal of infusion pump
36475............................. Endovenous rf, 1st vein
36476............................. Endovenous rf, vein add-on
36478............................. Endovenous laser, 1st vein
36479............................. Endovenous laser vein addon
36566............................. Insert tunneled cv cath
36835............................. Artery to vein shunt
37565............................. Ligation of neck vein
37600............................. Ligation of neck artery
37605............................. Ligation of neck artery
37606............................. Ligation of neck artery
38740............................. Remove armpit lymph nodes
38745............................. Remove armpit lymph nodes
38760............................. Remove groin lymph nodes
38765............................. Remove groin lymph nodes
38770............................. Remove pelvis lymph nodes
38780............................. Remove abdomen lymph nodes
39501............................. Repair diaphragm laceration
39502............................. Repair paraesophageal hernia
39503............................. Repair of diaphragm hernia
39520............................. Repair of diaphragm hernia
39530............................. Repair of diaphragm hernia
39531............................. Repair of diaphragm hernia
39540............................. Repair of diaphragm hernia
39541............................. Repair of diaphragm hernia
39545............................. Revision of diaphragm
43045............................. Incision of esophagus
43100............................. Excision of esophagus lesion
43101............................. Excision of esophagus lesion
43108............................. Removal of esophagus
43113............................. Removal of esophagus
43116............................. Partial removal of esophagus
43118............................. Partial removal of esophagus
43123............................. Partial removal of esophagus
43124............................. Removal of esophagus
43130............................. Removal of esophagus pouch
43135............................. Removal of esophagus pouch
43300............................. Repair of esophagus
43320............................. Fuse esophagus & stomach
43324............................. Revise esophagus & stomach
43325............................. Revise esophagus & stomach
43326............................. Revise esophagus & stomach
43330............................. Repair of esophagus
43331............................. Repair of esophagus
43340............................. Fuse esophagus & intestine
43341............................. Fuse esophagus & intestine
43350............................. Surgical opening, esophagus
43351............................. Surgical opening, esophagus
43352............................. Surgical opening, esophagus
43360............................. Gastrointestinal repair
43361............................. Gastrointestinal repair
43400............................. Ligate esophagus veins
43401............................. Esophagus surgery for veins
43405............................. Ligate/staple esophagus
43410............................. Repair esophagus wound
43415............................. Repair esophagus wound
43420............................. Repair esophagus opening
43425............................. Repair esophagus opening
43500............................. Surgical opening of stomach
43501............................. Surgical repair of stomach
43502............................. Surgical repair of stomach
43520............................. Incision of pyloric muscle
43605............................. Biopsy of stomach
43610............................. Excision of stomach lesion
43611............................. Excision of stomach lesion
43620............................. Removal of stomach
43621............................. Removal of stomach
43622............................. Removal of stomach
43631............................. Removal of stomach, partial
43632............................. Removal of stomach, partial
43633............................. Removal of stomach, partial
43634............................. Removal of stomach, partial
43640............................. Vagotomy & pylorus repair
43641............................. Vagotomy & pylorus repair
43800............................. Reconstruction of pylorus
43810............................. Fusion of stomach and bowel
43820............................. Fusion of stomach and bowel
43825............................. Fusion of stomach and bowel
43830............................. Place gastrostomy tube
43831............................. Place gastrostomy tube
43832............................. Place gastrostomy tube
43840............................. Repair of stomach lesion
43842............................. V-band gastroplasty
43846............................. Gastric bypass for obesity
43847............................. Gastric bypass incl small i
43848............................. Revision gastroplasty
43850............................. Revise stomach-bowel fusion
43855............................. Revise stomach-bowel fusion
43860............................. Revise stomach-bowel fusion
43865............................. Revise stomach-bowel fusion
43870............................. Repair stomach opening
43880............................. Repair stomach-bowel fistula
44005............................. Freeing of bowel adhesion
44010............................. Incision of small bowel
44020............................. Explore small intestine
44021............................. Decompress small bowel
44025............................. Incision of large bowel
44050............................. Reduce bowel obstruction
44055............................. Correct malrotation of bowel
44110............................. Excise intestine lesion(s)
44111............................. Excision of bowel lesion(s)
45190............................. Destruction, rectal tumor
45500............................. Repair of rectum
45505............................. Repair of rectum
45541............................. Correct rectal prolapse
45550............................. Repair rectum/remove sigmoid
45560............................. Repair of rectocele
45562............................. Exploration/repair of rectum
45563............................. Exploration/repair of rectum
45800............................. Repair rect/bladder fistula
45805............................. Repair fistula w/colostomy
45820............................. Repair rectourethral fistula
45825............................. Repair fistula w/colostomy
46045............................. Incision of rectal abscess
46060............................. Incision of rectal abscess
46070............................. Incision of anal septum
46257............................. Remove hemorrhoids & fissure
46258............................. Remove hemorrhoids & fistula
46260............................. Hemorrhoidectomy
46261............................. Remove hemorrhoids & fissure
46262............................. Remove hemorrhoids & fistula
46280............................. Removal of anal fistula
46288............................. Repair anal fistula
46700............................. Repair of anal stricture
46705............................. Repair of anal stricture
46715............................. Rep perf anoper fistu
46716............................. Rep perf anoper/vestib fistu
46730............................. Construction of absent anus
46735............................. Construction of absent anus
46740............................. Construction of absent anus
46742............................. Repair of imperforated anus
46744............................. Repair of cloacal anomaly
46746............................. Repair of cloacal anomaly
46748............................. Repair of cloacal anomaly
46750............................. Repair of anal sphincter
46751............................. Repair of anal sphincter
46753............................. Reconstruction of anus
46760............................. Repair of anal sphincter
46761............................. Repair of anal sphincter
46762............................. Implant artificial sphincter
47010............................. Open drainage, liver lesion
47015............................. Inject/aspirate liver cyst
47100............................. Wedge biopsy of liver
47120............................. Partial removal of liver
47122............................. Extensive removal of liver
47125............................. Partial removal of liver
47130............................. Partial removal of liver
47300............................. Surgery for liver lesion
47350............................. Repair liver wound
47360............................. Repair liver wound
47400............................. Incision of liver duct
47420............................. Incision of bile duct
47425............................. Incision of bile duct
47460............................. Incise bile duct sphincter
47480............................. Incision of gallbladder
47490............................. Incision of gallbladder
47600............................. Removal of gallbladder
47605............................. Removal of gallbladder
47610............................. Removal of gallbladder
47612............................. Removal of gallbladder
[[Page 49242]]
47620............................. Removal of gallbladder
47700............................. Exploration of bile ducts
47701............................. Bile duct revision
47711............................. Excision of bile duct tumor
47712............................. Excision of bile duct tumor
47715............................. Excision of bile duct cyst
47716............................. Fusion of bile duct cyst
47720............................. Fuse gallbladder & bowel
47721............................. Fuse upper gi structures
47740............................. Fuse gallbladder & bowel
47741............................. Fuse gallbladder & bowel
47760............................. Fuse bile ducts and bowel
47765............................. Fuse liver ducts & bowel
47780............................. Fuse bile ducts and bowel
47785............................. Fuse bile ducts and bowel
47800............................. Reconstruction of bile ducts
47801............................. Placement, bile duct support
47802............................. Fuse liver duct & intestine
47900............................. Suture bile duct injury
48000............................. Drainage of abdomen
48001............................. Placement of drain, pancreas
48005............................. Resect/debride pancreas
48020............................. Removal of pancreatic stone
48100............................. Biopsy of pancreas, open
48120............................. Removal of pancreas lesion
48140............................. Partial removal of pancreas
48145............................. Partial removal of pancreas
48146............................. Pancreatectomy
48148............................. Removal of pancreatic duct
48150............................. Partial removal of pancreas
48152............................. Pancreatectomy
48153............................. Pancreatectomy
48154............................. Pancreatectomy
48155............................. Removal of pancreas
48180............................. Fuse pancreas and bowel
48500............................. Surgery of pancreatic cyst
48510............................. Drain pancreatic pseudocyst
48520............................. Fuse pancreas cyst and bowel
48540............................. Fuse pancreas cyst and bowel
48545............................. Pancreatorrhaphy
48547............................. Duodenal exclusion
49215............................. Excise sacral spine tumor
49900............................. Repair of abdominal wall
51020............................. Incise & treat bladder
51500............................. Removal of bladder cyst
51530............................. Removal of bladder lesion
51535............................. Repair of ureter lesion
51550............................. Partial removal of bladder
51555............................. Partial removal of bladder
51565............................. Revise bladder & ureter(s)
51570............................. Removal of bladder
51575............................. Removal of bladder & nodes
51580............................. Remove bladder/revise tract
51585............................. Removal of bladder & nodes
51590............................. Remove bladder/revise tract
51595............................. Remove bladder/revise tract
51596............................. Remove bladder/create pouch
51597............................. Removal of pelvic structures
51715............................. Endoscopic injection/implant
51800............................. Revision of bladder/urethra
51820............................. Revision of urinary tract
51845............................. Repair bladder neck
51860............................. Repair of bladder wound
51865............................. Repair of bladder wound
51880............................. Repair of bladder opening
51900............................. Repair bladder/vagina lesion
51920............................. Close bladder-uterus fistula
51925............................. Hysterectomy/bladder repair
51940............................. Correction of bladder defect
51960............................. Revision of bladder & bowel
51980............................. Construct bladder opening
52000............................. Cystoscopy
52001............................. Cystoscopy, removal of clots
52005............................. Cystoscopy & ureter catheter
52281............................. Cystoscopy and treatment
52283............................. Cystoscopy and treatment
52285............................. Cystoscopy and treatment
52332............................. Cystoscopy and treatment
52647............................. Laser surgery of prostate
52648............................. Laser surgery of prostate
53010............................. Incision of urethra
53080............................. Drainage of urinary leakage
53085............................. Drainage of urinary leakage
53210............................. Removal of urethra
53215............................. Removal of urethra
53220............................. Treatment of urethra lesion
53230............................. Removal of urethra lesion
53235............................. Removal of urethra lesion
53240............................. Surgery for urethra pouch
53250............................. Removal of urethra gland
53400............................. Revise urethra, stage 1
53405............................. Revise urethra, stage 2
53410............................. Reconstruction of urethra
53415............................. Reconstruction of urethra
53420............................. Reconstruct urethra, stage 1
53425............................. Reconstruct urethra, stage 2
53430............................. Reconstruction of urethra
53445............................. Insert uro/ves nck sphincter
53449............................. Repair uro sphincter
53450............................. Revision of urethra
53460............................. Revision of urethra
53502............................. Repair of urethra injury
53505............................. Repair of urethra injury
53510............................. Repair of urethra injury
53515............................. Repair of urethra injury
53520............................. Repair of urethra defect
54205............................. Treatment of penis lesion
54300............................. Revision of penis
54304............................. Revision of penis
54308............................. Reconstruction of urethra
54312............................. Reconstruction of urethra
54316............................. Reconstruction of urethra
54318............................. Reconstruction of urethra
54322............................. Reconstruction of urethra
54324............................. Reconstruction of urethra
54326............................. Reconstruction of urethra
54328............................. Revise penis/urethra
54332............................. Revise penis/urethra
54336............................. Revise penis/urethra
54340............................. Secondary urethral surgery
54344............................. Secondary urethral surgery
54348............................. Secondary urethral surgery
54352............................. Reconstruct urethra/penis
54360............................. Penis plastic surgery
54380............................. Repair penis
54385............................. Repair penis
54390............................. Repair penis and bladder
54400............................. Insert semi-rigid prosthesis
54401............................. Insert self-contd prosthesis
54405............................. Insert multi-comp penis pros
54520............................. Removal of testis
54530............................. Removal of testis
54535............................. Extensive testis surgery
54550............................. Exploration for testis
54560............................. Exploration for testis
54600............................. Reduce testis torsion
54640............................. Suspension of testis
54650............................. Orchiopexy (fowler-stephens)
54660............................. Revision of testis
54670............................. Repair testis injury
54680............................. Relocation of testis(es)
54820............................. Exploration of epididymis
54830............................. Remove epididymis lesion
54840............................. Remove epididymis lesion
54860............................. Removal of epididymis
54861............................. Removal of epididymis
54900............................. Fusion of spermatic ducts
54901............................. Fusion of spermatic ducts
55040............................. Removal of hydrocele
55041............................. Removal of hydroceles
55060............................. Repair of hydrocele
55500............................. Removal of hydrocele
55520............................. Removal of sperm cord lesion
55530............................. Revise spermatic cord veins
55535............................. Revise spermatic cord veins
55540............................. Revise hernia & sperm veins
55600............................. Incise sperm duct pouch
55605............................. Incise sperm duct pouch
55650............................. Remove sperm duct pouch
55680............................. Remove sperm pouch lesion
55720............................. Drainage of prostate abscess
55725............................. Drainage of prostate abscess
55801............................. Removal of prostate
55810............................. Extensive prostate surgery
55812............................. Extensive prostate surgery
55815............................. Extensive prostate surgery
55821............................. Removal of prostate
55831............................. Removal of prostate
55840............................. Extensive prostate surgery
55842............................. Extensive prostate surgery
55845............................. Extensive prostate surgery
55860............................. Surgical exposure, prostate
55862............................. Extensive prostate surgery
55865............................. Extensive prostate surgery
56620............................. Partial removal of vulva
56625............................. Complete removal of vulva
56630............................. Extensive vulva surgery
56631............................. Extensive vulva surgery
56632............................. Extensive vulva surgery
56633............................. Extensive vulva surgery
56634............................. Extensive vulva surgery
56637............................. Extensive vulva surgery
56640............................. Extensive vulva surgery
56805............................. Repair clitoris
57010............................. Drainage of pelvic abscess
57106............................. Remove vagina wall, partial
57107............................. Remove vagina tissue, part
57109............................. Vaginectomy partial w/nodes
57110............................. Remove vagina wall, complete
57111............................. Remove vagina tissue, compl
57112............................. Vaginectomy w/nodes, compl
57120............................. Closure of vagina
57210............................. Repair vagina/perineum
57307............................. Fistula repair & colostomy
57308............................. Fistula repair, transperine
57310............................. Repair urethrovaginal lesion
57311............................. Repair urethrovaginal lesion
57320............................. Repair bladder-vagina lesion
57330............................. Repair bladder-vagina lesion
57335............................. Repair vagina
57530............................. Removal of cervix
[[Page 49243]]
57531............................. Removal of cervix, radical
57540............................. Removal of residual cervix
57545............................. Remove cervix/repair pelvis
57550............................. Removal of residual cervix
57555............................. Remove cervix/repair vagina
57556............................. Remove cervix, repair bowel
57700............................. Revision of cervix
57720............................. Revision of cervix
58120............................. Dilation and curettage
58140............................. Myomectomy abdom method
58145............................. Myomectomy vag method
58400............................. Suspension of uterus
58410............................. Suspension of uterus
58520............................. Repair of ruptured uterus
58540............................. Revision of uterus
58555............................. Hysteroscopy, dx, sep proc
58558............................. Hysteroscopy, biopsy
58562............................. Hysteroscopy, remove fb
58600............................. Division of fallopian tube
58605............................. Division of fallopian tube
58660............................. Laparoscopy, lysis
58662............................. Laparoscopy, excise lesions
58670............................. Laparoscopy, tubal cautery
58672............................. Laparoscopy, fimbrioplasty
58673............................. Laparoscopy, salpingostomy
58700............................. Removal of fallopian tube
58720............................. Removal of ovary/tube(s)
58740............................. Revise fallopian tube(s)
58750............................. Repair oviduct
58752............................. Revise ovarian tube(s)
58760............................. Remove tubal obstruction
58770............................. Create new tubal opening
58805............................. Drainage of ovarian cyst(s)
58820............................. Drain ovary abscess, open
58822............................. Drain ovary abscess, percut
58825............................. Transposition, ovary(s)
58900............................. Biopsy of ovary(s)
58920............................. Partial removal of ovary(s)
58925............................. Removal of ovarian cyst(s)
58940............................. Removal of ovary(s)
58943............................. Removal of ovary(s)
58950............................. Resect ovarian malignancy
58951............................. Resect ovarian malignancy
58952............................. Resect ovarian malignancy
58960............................. Exploration of abdomen
59100............................. Remove uterus lesion
59120............................. Treat ectopic pregnancy
59121............................. Treat ectopic pregnancy
59130............................. Treat ectopic pregnancy
59130............................. Treat ectopic pregnancy
59135............................. Treat ectopic pregnancy
59136............................. Treat ectopic pregnancy
59150............................. Treat ectopic pregnancy
59151............................. Treat ectopic pregnancy
59812............................. Treatment of miscarriage
59850............................. Abortion
59851............................. Abortion
59852............................. Abortion
59855............................. Abortion
59856............................. Abortion
59857............................. Abortion
59870............................. Evacuate mole of uterus
60200............................. Remove thyroid lesion
60210............................. Partial thyroid excision
60212............................. Partial thyroid excision
60220............................. Partial removal of thyroid
60225............................. Partial removal of thyroid
60240............................. Removal of thyroid
60252............................. Removal of thyroid
60254............................. Extensive thyroid surgery
60260............................. Repeat thyroid surgery
60270............................. Removal of thyroid
60271............................. Removal of thyroid
60280............................. Remove thyroid duct lesion
60281............................. Remove thyroid duct lesion
60500............................. Explore parathyroid glands
60502............................. Re-explore parathyroids
60505............................. Explore parathyroid glands
60520............................. Removal of thymus gland
60521............................. Removal of thymus gland
60522............................. Removal of thymus gland
60540............................. Explore adrenal gland
60545............................. Explore adrenal gland
60600............................. Remove carotid body lesion
60605............................. Remove carotid body lesion
61343............................. Incise skull (press relief)
61345............................. Relieve cranial pressure
61440............................. Incise skull for surgery
61450............................. Incise skull for surgery
61458............................. Incise skull for brain wound
61460............................. Incise skull for surgery
61470............................. Incise skull for surgery
61480............................. Incise skull for surgery
61490............................. Incise skull for surgery
61500............................. Removal of skull lesion
61501............................. Remove infected skull bone
61510............................. Removal of brain lesion
61512............................. Remove brain lining lesion
61514............................. Removal of brain abscess
61516............................. Removal of brain lesion
61518............................. Removal of brain lesion
61519............................. Remove brain lining lesion
61520............................. Removal of brain lesion
61521............................. Removal of brain lesion
61522............................. Removal of brain abscess
61524............................. Removal of brain lesion
61526............................. Removal of brain lesion
61530............................. Removal of brain lesion
61531............................. Implant brain electrodes
61533............................. Implant brain electrodes
61534............................. Removal of brain lesion
61535............................. Remove brain electrodes
61536............................. Removal of brain lesion
61538............................. Removal of brain tissue
61539............................. Removal of brain tissue
61541............................. Incision of brain tissue
61542............................. Removal of brain tissue
61543............................. Removal of brain tissue
61544............................. Remove & treat brain lesion
61545............................. Excision of brain tumor
61546............................. Removal of pituitary gland
61548............................. Removal of pituitary gland
61550............................. Release of skull seams
61552............................. Release of skull seams
61556............................. Incise skull/sutures
61557............................. Incise skull/sutures
61558............................. Excision of skull/sutures
61559............................. Excision of skull/sutures
61563............................. Excision of skull tumor
61564............................. Excision of skull tumor
61570............................. Remove foreign body, brain
61571............................. Incise skull for brain wound
61575............................. Skull base/brainstem surgery
61618............................. Repair dura
61619............................. Repair dura
61680............................. Intracranial vessel surgery
61682............................. Intracranial vessel surgery
61684............................. Intracranial vessel surgery
61686............................. Intracranial vessel surgery
61690............................. Intracranial vessel surgery
61692............................. Intracranial vessel surgery
61700............................. Brain aneurysm repr, simple
61702............................. Inner skull vessel surgery
61703............................. Clamp neck artery
61705............................. Revise circulation to head
61708............................. Revise circulation to head
61710............................. Revise circulation to head
61711............................. Fusion of skull arteries
61720............................. Incise skull/brain surgery
61735............................. Incise skull/brain surgery
61750............................. Incise skull/brain biopsy
61751............................. Brain biopsy w/ct/mr guide
61760............................. Implant brain electrodes
61770............................. Incise skull for treatment
61790............................. Treat trigeminal nerve
61791............................. Treat trigeminal tract
61793............................. Focus radiation beam
61850............................. Implant neuroelectrodes
61860............................. Implant neuroelectrodes
61870............................. Implant neuroelectrodes
61875............................. Implant neuroelectrodes
61880............................. Revise/remove neuroelectrode
61885............................. Insrt/redo neurostim 1 array
62000............................. Treat skull fracture
62005............................. Treat skull fracture
62010............................. Treatment of head injury
62100............................. Repair brain fluid leakage
62115............................. Reduction of skull defect
62116............................. Reduction of skull defect
62117............................. Reduction of skull defect
62140............................. Repair of skull defect
62141............................. Repair of skull defect
62142............................. Remove skull plate/flap
62143............................. Replace skull plate/flap
62145............................. Repair of skull & brain
62146............................. Repair of skull with graft
62147............................. Repair of skull with graft
62180............................. Establish brain cavity shunt
62190............................. Establish brain cavity shunt
62192............................. Establish brain cavity shunt
62200............................. Establish brain cavity shunt
62201............................. Brain cavity shunt w/scope
62220............................. Establish brain cavity shunt
62223............................. Establish brain cavity shunt
62225............................. Replace/irrigate catheter
62230............................. Replace/revise brain shunt
62256............................. Remove brain cavity shunt
62258............................. Replace brain cavity shunt
62287............................. Percutaneous diskectomy
63170............................. Incise spinal cord tract(s)
63172............................. Drainage of spinal cyst
63173............................. Drainage of spinal cyst
63180............................. Revise spinal cord ligaments
63182............................. Revise spinal cord ligaments
63185............................. Incise spinal column/nerves
63190............................. Incise spinal column/nerves
63191............................. Incise spinal column/nerves
63195............................. Incise spinal column & cord
63196............................. Incise spinal column & cord
63197............................. Incise spinal column & cord
63198............................. Incise spinal column & cord
[[Page 49244]]
63199............................. Incise spinal column & cord
63200............................. Release of spinal cord
63250............................. Revise spinal cord vessels
63251............................. Revise spinal cord vessels
63252............................. Revise spinal cord vessels
63265............................. Excise intraspinal lesion
63266............................. Excise intraspinal lesion
63267............................. Excise intraspinal lesion
63268............................. Excise intraspinal lesion
63270............................. Excise intraspinal lesion
63271............................. Excise intraspinal lesion
63272............................. Excise intraspinal lesion
63273............................. Excise intraspinal lesion
63275............................. Biopsy/excise spinal tumor
63276............................. Biopsy/excise spinal tumor
63277............................. Biopsy/excise spinal tumor
63278............................. Biopsy/excise spinal tumor
63280............................. Biopsy/excise spinal tumor
63281............................. Biopsy/excise spinal tumor
63282............................. Biopsy/excise spinal tumor
63283............................. Biopsy/excise spinal tumor
63285............................. Biopsy/excise spinal tumor
63286............................. Biopsy/excise spinal tumor
63287............................. Biopsy/excise spinal tumor
63290............................. Biopsy/excise spinal tumor
63300............................. Removal of vertebral body
63301............................. Removal of vertebral body
63302............................. Removal of vertebral body
63303............................. Removal of vertebral body
63304............................. Removal of vertebral body
63305............................. Removal of vertebral body
63306............................. Removal of vertebral body
63307............................. Removal of vertebral body
63650............................. Implant neuroelectrodes
63655............................. Implant neuroelectrodes
63660............................. Revise/remove neuroelectrode
63685............................. Insrt/redo spine n generator
63688............................. Revise/remove neuroreceiver
63700............................. Repair of spinal herniation
63702............................. Repair of spinal herniation
63704............................. Repair of spinal herniation
63706............................. Repair of spinal herniation
63707............................. Repair spinal fluid leakage
63709............................. Repair spinal fluid leakage
63710............................. Graft repair of spine defect
63740............................. Install spinal shunt
63741............................. Install spinal shunt
63744............................. Revision of spinal shunt
63746............................. Removal of spinal shunt
64573............................. Implant neuroelectrodes
64575............................. Implant neuroelectrodes
64577............................. Implant neuroelectrodes
64580............................. Implant neuroelectrodes
64612............................. Destroy nerve, face muscle
64702............................. Revise finger/toe nerve
64704............................. Revise hand/foot nerve
64708............................. Revise arm/leg nerve
64712............................. Revision of sciatic nerve
64713............................. Revision of arm nerve(s)
64714............................. Revise low back nerve(s)
64718............................. Revise ulnar nerve at elbow
64719............................. Revise ulnar nerve at wrist
64721............................. Carpal tunnel surgery
64722............................. Relieve pressure on nerve(s)
64726............................. Release foot/toe nerve
64732............................. Incision of brow nerve
64734............................. Incision of cheek nerve
64736............................. Incision of chin nerve
64738............................. Incision of jaw nerve
64742............................. Incision of facial nerve
64744............................. Incise nerve, back of head
64746............................. Incise diaphragm nerve
64752............................. Incision of vagus nerve
64755............................. Incision of stomach nerves
64760............................. Incision of vagus nerve
64761............................. Incision of pelvis nerve
64763............................. Incise hip/thigh nerve
64766............................. Incise hip/thigh nerve
64771............................. Sever cranial nerve
64772............................. Incision of spinal nerve
64774............................. Remove skin nerve lesion
64776............................. Remove digit nerve lesion
64782............................. Remove limb nerve lesion
64784............................. Remove nerve lesion
64786............................. Remove sciatic nerve lesion
64788............................. Remove skin nerve lesion
64790............................. Removal of nerve lesion
64792............................. Removal of nerve lesion
64802............................. Remove sympathetic nerves
64804............................. Remove sympathetic nerves
64809............................. Remove sympathetic nerves
64818............................. Remove sympathetic nerves
64820............................. Remove sympathetic nerves
64831............................. Repair of digit nerve
64834............................. Repair of hand or foot nerve
64835............................. Repair of hand or foot nerve
64836............................. Repair of hand or foot nerve
64840............................. Repair of leg nerve
64856............................. Repair/transpose nerve
64857............................. Repair arm/leg nerve
64858............................. Repair sciatic nerve
64861............................. Repair of arm nerves
64862............................. Repair of low back nerves
64870............................. Fusion of facial/other nerve
64890............................. Nerve graft, hand or foot
64891............................. Nerve graft, hand or foot
64892............................. Nerve graft, arm or leg
64893............................. Nerve graft, arm or leg
64895............................. Nerve graft, hand or foot
64896............................. Nerve graft, hand or foot
64897............................. Nerve graft, arm or leg
64898............................. Nerve graft, arm or leg
64905............................. Nerve pedicle transfer
64907............................. Nerve pedicle transfer
65091............................. Revise eye
65093............................. Revise eye with implant
65101............................. Removal of eye
65103............................. Remove eye/insert implant
65105............................. Remove eye/attach implant
65110............................. Removal of eye
65112............................. Remove eye/revise socket
65114............................. Remove eye/revise socket
65125............................. Revise ocular implant
65130............................. Insert ocular implant
65135............................. Insert ocular implant
65140............................. Attach ocular implant
65150............................. Revise ocular implant
65155............................. Reinsert ocular implant
65175............................. Removal of ocular implant
65205............................. Remove foreign body from eye
65210............................. Remove foreign body from eye
65220............................. Remove foreign body from eye
65222............................. Remove foreign body from eye
65235............................. Remove foreign body from eye
65260............................. Remove foreign body from eye
65265............................. Remove foreign body from eye
65270............................. Repair of eye wound
65272............................. Repair of eye wound
65273............................. Repair of eye wound
65275............................. Repair of eye wound
65280............................. Repair of eye wound
65285............................. Repair of eye wound
65286............................. Repair of eye wound
65290............................. Repair of eye socket wound
65400............................. Removal of eye lesion
65410............................. Biopsy of cornea
65420............................. Removal of eye lesion
65426............................. Removal of eye lesion
65430............................. Corneal smear
65435............................. Curette/treat cornea
65436............................. Curette/treat cornea
65450............................. Treatment of corneal lesion
65600............................. Revision of cornea
65710............................. Corneal transplant
65730............................. Corneal transplant
65750............................. Corneal transplant
65755............................. Corneal transplant
65760............................. Revision of cornea
65765............................. Revision of cornea
65767............................. Corneal tissue transplant
65770............................. Revise cornea with implant
65771............................. Radial keratotomy
65772............................. Correction of astigmatism
65775............................. Correction of astigmatism
65780............................. Ocular reconst, transplant
65781............................. Ocular reconst, transplant
65782............................. Ocular reconst, transplant
65800............................. Drainage of eye
65805............................. Drainage of eye
65810............................. Drainage of eye
65815............................. Drainage of eye
65820............................. Relieve inner eye pressure
65850............................. Incision of eye
65855............................. Laser surgery of eye
65860............................. Incise inner eye adhesions
65865............................. Incise inner eye adhesions
65870............................. Incise inner eye adhesions
65875............................. Incise inner eye adhesions
65880............................. Incise inner eye adhesions
65900............................. Remove eye lesion
65920............................. Remove implant of eye
65930............................. Remove blood clot from eye
66020............................. Injection treatment of eye
66030............................. Injection treatment of eye
66130............................. Remove eye lesion
66150............................. Glaucoma surgery
66155............................. Glaucoma surgery
66160............................. Glaucoma surgery
66165............................. Glaucoma surgery
66170............................. Glaucoma surgery
66172............................. Incision of eye
66180............................. Implant eye shunt
66185............................. Revise eye shunt
66220............................. Repair eye lesion
66225............................. Repair/graft eye lesion
66250............................. Follow-up surgery of eye
66500............................. Incision of iris
66505............................. Incision of iris
66600............................. Remove iris and lesion
66605............................. Removal of iris
66625............................. Removal of iris
[[Page 49245]]
66630............................. Removal of iris
66635............................. Removal of iris
66680............................. Repair iris & ciliary body
66682............................. Repair iris & ciliary body
66700............................. Destruction, ciliary body
66710............................. Ciliary transsleral therapy
66711............................. Ciliary endoscopic ablation
66720............................. Destruction, ciliary body
66740............................. Destruction, ciliary body
66761............................. Revision of iris
66762............................. Revision of iris
66770............................. Removal of inner eye lesion
66820............................. Incision, secondary cataract
66821............................. After cataract laser surgery
66825............................. Reposition intraocular lens
66830............................. Removal of lens lesion
66840............................. Removal of lens material
66850............................. Removal of lens material
66852............................. Removal of lens material
66920............................. Extraction of lens
66930............................. Extraction of lens
66940............................. Extraction of lens
66982............................. Cataract surgery, complex
66983............................. Cataract surg w/iol, 1 stage
66984............................. Cataract surg w/iol, 1 stage
66985............................. Insert lens prosthesis
66986............................. Exchange lens prosthesis
66990............................. Ophthalmic endoscope add-on
66999............................. Eye surgery procedure
67005............................. Partial removal of eye fluid
67010............................. Partial removal of eye fluid
67015............................. Release of eye fluid
67025............................. Replace eye fluid
67027............................. Implant eye drug system
67028............................. Injection eye drug
67030............................. Incise inner eye strands
67031............................. Laser surgery, eye strands
67036............................. Removal of inner eye fluid
67038............................. Strip retinal membrane
67039............................. Laser treatment of retina
67040............................. Laser treatment of retina
67101............................. Repair detached retina
67105............................. Repair detached retina
67107............................. Repair detached retina
67108............................. Repair detached retina
67110............................. Repair detached retina
67112............................. Rerepair detached retina
67115............................. Release encircling material
67120............................. Remove eye implant material
67121............................. Remove eye implant material
67141............................. Treatment of retina
67145............................. Treatment of retina
67208............................. Treatment of retinal lesion
67210............................. Treatment of retinal lesion
67218............................. Treatment of retinal lesion
67220............................. Treatment of choroid lesion
67221............................. Ocular photodynamic ther
67225............................. Eye photodynamic ther add-on
67227............................. Treatment of retinal lesion
67228............................. Treatment of retinal lesion
67250............................. Reinforce eye wall
67255............................. Reinforce/graft eye wall
67299............................. Eye surgery procedure
67311............................. Revise eye muscle
67312............................. Revise two eye muscles
67314............................. Revise eye muscle
67316............................. Revise two eye muscles
67318............................. Revise eye muscle(s)
67320............................. Revise eye muscle(s) add-on
67331............................. Eye surgery follow-up add-on
67332............................. Rerevise eye muscles add-on
67334............................. Revise eye muscle w/suture
67335............................. Eye suture during surgery
67340............................. Revise eye muscle add-on
67343............................. Release eye tissue
67345............................. Destroy nerve of eye muscle
67350............................. Biopsy eye muscle
67399............................. Eye muscle surgery procedure
67400............................. Explore/biopsy eye socket
67405............................. Explore/drain eye socket
67412............................. Explore/treat eye socket
67413............................. Explore/treat eye socket
67414............................. Explr/decompress eye socket
67415............................. Aspiration, orbital contents
67420............................. Explore/treat eye socket
67430............................. Explore/treat eye socket
67440............................. Explore/drain eye socket
67445............................. Explr/decompress eye socket
67450............................. Explore/biopsy eye socket
67500............................. Inject/treat eye socket
67505............................. Inject/treat eye socket
67515............................. Inject/treat eye socket
67550............................. Insert eye socket implant
67560............................. Revise eye socket implant
67570............................. Decompress optic nerve
67599............................. Orbit surgery procedure
67700............................. Drainage of eyelid abscess
67710............................. Incision of eyelid
67715............................. Incision of eyelid fold
67800............................. Remove eyelid lesion
67801............................. Remove eyelid lesions
67805............................. Remove eyelid lesions
67808............................. Remove eyelid lesion(s)
67810............................. Biopsy of eyelid
67820............................. Revise eyelashes
67825............................. Revise eyelashes
67830............................. Revise eyelashes
67835............................. Revise eyelashes
67840............................. Remove eyelid lesion
67850............................. Treat eyelid lesion
67875............................. Closure of eyelid by suture
67880............................. Revision of eyelid
67882............................. Revision of eyelid
67900............................. Repair brow defect
67901............................. Repair eyelid defect
67902............................. Repair eyelid defect
67903............................. Repair eyelid defect
67904............................. Repair eyelid defect
67906............................. Repair eyelid defect
67908............................. Repair eyelid defect
67909............................. Revise eyelid defect
67911............................. Revise eyelid defect
67912............................. Correction eyelid w/implant
67914............................. Repair eyelid defect
67915............................. Repair eyelid defect
67916............................. Repair eyelid defect
67917............................. Repair eyelid defect
67921............................. Repair eyelid defect
67922............................. Repair eyelid defect
67923............................. Repair eyelid defect
67924............................. Repair eyelid defect
67930............................. Repair eyelid wound
67935............................. Repair eyelid wound
67938............................. Remove eyelid foreign body
67950............................. Revision of eyelid
67961............................. Revision of eyelid
67966............................. Revision of eyelid
67971............................. Reconstruction of eyelid
67973............................. Reconstruction of eyelid
67974............................. Reconstruction of eyelid
67975............................. Reconstruction of eyelid
67999............................. Revision of eyelid
68020............................. Incise/drain eyelid lining
68040............................. Treatment of eyelid lesions
68100............................. Biopsy of eyelid lining
68110............................. Remove eyelid lining lesion
68115............................. Remove eyelid lining lesion
68130............................. Remove eyelid lining lesion
68135............................. Remove eyelid lining lesion
68200............................. Treat eyelid by injection
68320............................. Revise/graft eyelid lining
68325............................. Revise/graft eyelid lining
68326............................. Revise/graft eyelid lining
68328............................. Revise/graft eyelid lining
68330............................. Revise eyelid lining
68335............................. Revise/graft eyelid lining
68340............................. Separate eyelid adhesions
68360............................. Revise eyelid lining
68362............................. Revise eyelid lining
68371............................. Harvest eye tissue, alograft
68399............................. Eyelid lining surgery
68400............................. Incise/drain tear gland
68420............................. Incise/drain tear sac
68440............................. Incise tear duct opening
68500............................. Removal of tear gland
68505............................. Partial removal, tear gland
68510............................. Biopsy of tear gland
68520............................. Removal of tear sac
68525............................. Biopsy of tear sac
68530............................. Clearance of tear duct
68540............................. Remove tear gland lesion
68550............................. Remove tear gland lesion
68700............................. Repair tear ducts
68705............................. Revise tear duct opening
68720............................. Create tear sac drain
68745............................. Create tear duct drain
68750............................. Create tear duct drain
68760............................. Close tear duct opening
68761............................. Close tear duct opening
68770............................. Close tear system fistula
68801............................. Dilate tear duct opening
68810............................. Probe nasolacrimal duct
68811............................. Probe nasolacrimal duct
68815............................. Probe nasolacrimal duct
68840............................. Explore/irrigate tear ducts
68850............................. Injection for tear sac x-ray
68899............................. Tear duct system surgery
76075............................. Dxa bone density, axial
76510............................. Ophth us, b & quant a
76511............................. Ophth us, quant a only
76512............................. Ophth us, b w/non-quant a
76513............................. Echo exam of eye, water bath
76514............................. Echo exam of eye, thickness
76516............................. Echo exam of eye
76519............................. Echo exam of eye
76529............................. Echo exam of eye
78350............................. Bone mineral, single photon
78472............................. Gated heart, planar, single
78481............................. Heart first pass, single
78483............................. Heart first pass, multiple
91010............................. Esophagus motility study
[[Page 49246]]
91034............................. Gastroesophageal reflux test
91037............................. Esoph imped function test
91038............................. Esoph imped funct test >1h
92002............................. Eye exam, new patient
92004............................. Eye exam, new patient
92012............................. Eye exam established pat
92014............................. Eye exam & treatment
92015............................. Refraction
92018............................. New eye exam & treatment
92019............................. Eye exam & treatment
92020............................. Special eye evaluation
92060............................. Special eye evaluation
92065............................. Orthoptic/pleoptic training
92070............................. Fitting of contact lens
92081............................. Visual field examination(s)
92082............................. Visual field examination(s)
92083............................. Visual field examination(s)
92100............................. Serial tonometry exam(s)
92120............................. Tonography & eye evaluation
92130............................. Water provocation tonography
92135............................. Opthalmic dx imaging
92136............................. Ophthalmic biometry
92140............................. Glaucoma provocative tests
92225............................. Special eye exam, initial
92226............................. Special eye exam, subsequent
92230............................. Eye exam with photos
92235............................. Eye exam with photos
92240............................. Icg angiography
92250............................. Eye exam with photos
92260............................. Ophthalmoscopy/dynamome try
92265............................. Eye muscle evaluation
92270............................. Electro-oculography
92275............................. Electroretinography
92283............................. Color vision examination
92284............................. Dark adaptation eye exam
92285............................. Eye photography
92286............................. Internal eye photography
92287............................. Internal eye photography
92310............................. Contact lens fitting
92311............................. Contact lens fitting
92312............................. Contact lens fitting
92313............................. Contact lens fitting
92314............................. Prescription of contact lens
92315............................. Prescription of contact lens
92316............................. Prescription of contact lens
92317............................. Prescription of contact lens
92325............................. Modification of contact lens
92326............................. Replacement of contact lens
------------------------------------------------------------------------
Addendum D.--Proposed 2007 Geographic Practice Cost Indices by Medicare Carrier and Locality
----------------------------------------------------------------------------------------------------------------
Carrier Locality Locality name Work GPCI PE GPCI MP GPCI
----------------------------------------------------------------------------------------------------------------
00510......................... 00 Alabama......................... 0.982 0.847 0.740
00831......................... 01 Alaska.......................... 1.017 1.105 1.013
00832......................... 00 Arizona......................... 0.987 0.994 1.052
00520......................... 13 Arkansas........................ 0.961 0.832 0.431
31140......................... 03 Marin/Napa/Solano, CA........... 1.035 1.342 0.640
31140......................... 05 San Francisco, CA............... 1.060 1.546 0.640
31140......................... 06 San Mateo, CA................... 1.073 1.539 0.629
31140......................... 07 Oakland/Berkley, CA............. 1.054 1.373 0.640
31140......................... 09 Santa Clara, CA................. 1.083 1.543 0.595
31146......................... 17 Ventura, CA..................... 1.028 1.181 0.732
31146......................... 18 Los Angeles, CA................. 1.041 1.158 0.939
31146......................... 26 Anaheim/Santa Ana, CA........... 1.034 1.238 0.939
31140......................... 99 Rest of California*............. 1.007 1.054 0.721
31146......................... 99 Rest of California*............. 1.007 1.054 0.721
00824......................... 01 Colorado........................ 0.986 1.015 0.790
00591......................... 00 Connecticut..................... 1.038 1.172 0.886
00903......................... 01 DC + MD/VA Suburbs.............. 1.048 1.252 0.911
00902......................... 01 Delaware........................ 1.012 1.020 0.877
00590......................... 03 Fort Lauderdale, FL............. 0.988 0.990 1.675
00590......................... 04 Miami, FL....................... 1.000 1.048 2.233
00590......................... 99 Rest of Florida................. 0.973 0.936 1.251
00511......................... 01 Atlanta, GA..................... 1.010 1.091 0.950
00511......................... 99 Rest of Georgia................. 0.979 0.874 0.950
00833......................... 01 Hawaii/Guam..................... 1.005 1.113 0.787
05130......................... 00 Idaho........................... 0.968 0.869 0.452
00952......................... 12 East St. Louis, IL.............. 0.988 0.940 1.722
00952......................... 15 Suburban Chicago, IL............ 1.018 1.117 1.626
00952......................... 16 Chicago, IL..................... 1.025 1.128 1.837
00952......................... 99 Rest of Illinois................ 0.974 0.874 1.174
00630......................... 00 Indiana......................... 0.985 0.908 0.429
00826......................... 00 Iowa............................ 0.967 0.869 0.579
00650......................... 00 Kansas*......................... 0.968 0.880 0.709
00740......................... 04 Kansas*......................... 0.968 0.880 0.709
00660......................... 00 Kentucky........................ 0.970 0.855 0.859
00528......................... 01 New Orleans, LA................. 0.986 0.947 1.178
00528......................... 99 Rest of Louisiana............... 0.970 0.848 1.000
31142......................... 03 Southern Maine.................. 0.980 1.014 0.626
31142......................... 99 Rest of Maine................... 0.962 0.887 0.626
00901......................... 01 Baltimore/Surr. Cntys, MD....... 1.012 1.080 0.932
00901......................... 99 Rest of Maryland................ 0.993 0.981 0.748
31143......................... 01 Metropolitan Boston............. 1.030 1.331 0.810
31143......................... 99 Rest of Massachusetts........... 1.007 1.015 0.810
00953......................... 01 Detroit, MI..................... 1.037 1.056 2.700
00953......................... 99 Rest of Michigan................ 0.997 0.922 1.494
00954......................... 00 Minnesota....................... 0.991 1.006 0.404
[[Page 49247]]
00512......................... 00 Mississippi..................... 0.960 0.841 0.711
00523......................... 01 Metropolitan St. Louis, MO...... 0.992 0.956 0.926
00740......................... 02 Metropolitan Kansas City, MO.... 0.989 0.977 0.931
00523......................... 99 Rest of Missouri*............... 0.950 0.803 0.878
00740......................... 99 Rest of Missouri*............... 0.950 0.803 0.878
00751......................... 01 Montana......................... 0.950 0.845 0.889
00655......................... 00 Nebraska........................ 0.959 0.876 0.447
00834......................... 00 Nevada.......................... 1.003 1.045 1.050
31144......................... 40 New Hampshire................... 0.981 1.029 0.927
00805......................... 01 Northern NJ..................... 1.058 1.222 0.958
00805......................... 99 Rest of New Jersey.............. 1.043 1.121 0.958
00521......................... 05 New Mexico...................... 0.972 0.888 0.880
00801......................... 99 Rest of New York................ 0.997 0.919 0.666
00803......................... 01 Manhattan, NY................... 1.065 1.300 1.000
00803......................... 02 NYC Suburbs/Long I., NY......... 1.052 1.283 1.756
00803......................... 03 Poughkpsie/N NYC Suburbs, NY.... 1.014 1.076 1.148
14330......................... 04 Queens, NY...................... 1.032 1.230 1.682
05535......................... 00 North Carolina.................. 0.971 0.922 0.630
00820......................... 01 North Dakota.................... 0.946 0.861 0.593
00883......................... 00 Ohio............................ 0.992 0.934 0.960
00522......................... 00 Oklahoma........................ 0.964 0.856 0.376
00835......................... 01 Portland, OR.................... 1.002 1.059 0.434
00835......................... 99 Rest of Oregon.................. 0.968 0.927 0.434
00865......................... 01 Metropolitan Philadelphia, PA... 1.016 1.106 1.364
00865......................... 99 Rest of Pennsylvania............ 0.992 0.904 0.793
00973......................... 20 Puerto Rico..................... 0.906 0.699 0.257
00524......................... 01 Rhode Island.................... 1.045 0.991 0.895
00880......................... 01 South Carolina.................. 0.975 0.894 0.388
00820......................... 02 South Dakota.................... 0.943 0.877 0.359
05440......................... 35 Tennessee....................... 0.977 0.881 0.621
00900......................... 09 Brazoria, TX.................... 1.020 0.963 1.277
00900......................... 11 Dallas, TX...................... 1.009 1.064 1.044
00900......................... 15 Galveston, TX................... 0.990 0.954 1.277
00900......................... 18 Houston, TX..................... 1.016 1.016 1.276
00900......................... 20 Beaumont, TX.................... 0.983 0.862 1.277
00900......................... 28 Fort Worth, TX.................. 0.997 0.991 1.044
00900......................... 31 Austin, TX...................... 0.991 1.048 0.970
00900......................... 99 Rest of Texas................... 0.968 0.866 1.120
00910......................... 09 Utah............................ 0.977 0.938 0.651
31145......................... 50 Vermont......................... 0.968 0.970 0.505
00973......................... 50 Virgin Islands.................. 0.967 1.015 0.987
00904......................... 00 Virginia........................ 0.981 0.942 0.569
00836......................... 02 Seattle (King Cnty), WA......... 1.014 1.133 0.805
00836......................... 99 Rest of Washington.............. 0.987 0.980 0.805
00884......................... 16 West Virginia................... 0.973 0.820 1.522
00951......................... 00 Wisconsin....................... 0.987 0.920 0.777
00825......................... 21 Wyoming......................... 0.956 0.855 0.920
----------------------------------------------------------------------------------------------------------------
Addendum E.--2007 Proposed GAFs
----------------------------------------------------------------------------------------------------------------
Carrier Locality Locality name GAF
----------------------------------------------------------------------------------------------------------------
31140.......................................... 09 Santa Clara, CA........................ 1.265
31140.......................................... 06 San Mateo, CA.......................... 1.259
31140.......................................... 05 San Francisco, CA...................... 1.256
00803.......................................... 02 NYC Suburbs/Long I., NY................ 1.180
31140.......................................... 07 Oakland/Berkley, CA.................... 1.177
00803.......................................... 01 Manhattan, NY.......................... 1.165
31140.......................................... 03 Marin/Napa/Solano, CA.................. 1.154
31143.......................................... 01 Metropolitan Boston.................... 1.153
14330.......................................... 04 Queens, NY............................. 1.144
00903.......................................... 01 DC + MD/VA Suburbs..................... 1.132
00805.......................................... 01 Northern NJ............................ 1.126
31146.......................................... 26 Anaheim/Santa Ana, CA.................. 1.120
00953.......................................... 01 Detroit, MI............................ 1.110
00952.......................................... 16 Chicago, IL............................ 1.102
00591.......................................... 00 Connecticut............................ 1.091
31146.......................................... 18 Los Angeles, CA........................ 1.088
00952.......................................... 15 Suburban Chicago, IL................... 1.085
[[Page 49248]]
31146.......................................... 17 Ventura, CA............................ 1.084
00805.......................................... 99 Rest of New Jersey..................... 1.074
00865.......................................... 01 Metropolitan Philadelphia, PA.......... 1.069
00590.......................................... 04 Miami, FL.............................. 1.069
00836.......................................... 02 Seattle (King Cnty), WA................ 1.058
00831.......................................... 01 Alaska................................. 1.055
00803.......................................... 03 Poughkpsie/N NYC Suburbs, NY........... 1.046
00833.......................................... 01 Hawaii/Guam............................ 1.044
00511.......................................... 01 Atlanta, GA............................ 1.043
00901.......................................... 01 Baltimore/Surr. Cntys, MD.............. 1.039
00900.......................................... 11 Dallas, TX............................. 1.035
00900.......................................... 18 Houston, TX............................ 1.026
00834.......................................... 00 Nevada................................. 1.023
31140.......................................... 99 Rest of California*.................... 1.017
31146.......................................... 99 Rest of California*.................... 1.017
00524.......................................... 01 Rhode Island........................... 1.016
00590.......................................... 03 Fort Lauderdale, FL.................... 1.015
00900.......................................... 31 Austin, TX............................. 1.015
00902.......................................... 01 Delaware............................... 1.011
00900.......................................... 09 Brazoria, TX........................... 1.005
00835.......................................... 01 Portland, OR........................... 1.005
31143.......................................... 99 Rest of Massachusetts.................. 1.003
31144.......................................... 40 New Hampshire.......................... 1.000
00900.......................................... 28 Fort Worth, TX......................... 0.996
00952.......................................... 12 East St. Louis, IL..................... 0.995
00832.......................................... 00 Arizona................................ 0.993
00824.......................................... 01 Colorado............................... 0.991
00973.......................................... 50 Virgin Islands......................... 0.989
00900.......................................... 15 Galveston, TX.......................... 0.985
00953.......................................... 99 Rest of Michigan....................... 0.984
00740.......................................... 02 Metropolitan Kansas City, MO........... 0.982
31142.......................................... 03 Southern Maine......................... 0.981
00901.......................................... 99 Rest of Maryland....................... 0.978
00836.......................................... 99 Rest of Washington..................... 0.977
00528.......................................... 01 New Orleans, LA........................ 0.976
00954.......................................... 00 Minnesota.............................. 0.975
00523.......................................... 01 Metropolitan St. Louis, MO............. 0.974
00590.......................................... 99 Rest of Florida........................ 0.968
00883.......................................... 00 Ohio................................... 0.965
31145.......................................... 50 Vermont................................ 0.951
00801.......................................... 99 Rest of New York....................... 0.950
00951.......................................... 00 Wisconsin.............................. 0.950
00904.......................................... 00 Virginia............................... 0.948
00910.......................................... 09 Utah................................... 0.947
00865.......................................... 99 Rest of Pennsylvania................... 0.946
00900.......................................... 20 Beaumont, TX........................... 0.942
00952.......................................... 99 Rest of Illinois....................... 0.938
05535.......................................... 00 North Carolina......................... 0.936
00511.......................................... 99 Rest of Georgia........................ 0.932
00521.......................................... 05 New Mexico............................. 0.932
00630.......................................... 00 Indiana................................ 0.930
00835.......................................... 99 Rest of Oregon......................... 0.929
00900.......................................... 99 Rest of Texas.......................... 0.929
00884.......................................... 16 West Virginia.......................... 0.927
05440.......................................... 35 Tennessee.............................. 0.921
00650.......................................... 00 Kansas*................................ 0.919
00740.......................................... 04 Kansas*................................ 0.919
00528.......................................... 99 Rest of Louisiana...................... 0.918
00880.......................................... 01 South Carolina......................... 0.917
31142.......................................... 99 Rest of Maine.......................... 0.916
00660.......................................... 00 Kentucky............................... 0.915
00510.......................................... 00 Alabama................................ 0.914
00825.......................................... 21 Wyoming................................ 0.910
00826.......................................... 00 Iowa................................... 0.909
05130.......................................... 00 Idaho.................................. 0.905
00655.......................................... 00 Nebraska............................... 0.903
00751.......................................... 01 Montana................................ 0.902
00512.......................................... 00 Mississippi............................ 0.898
00820.......................................... 01 North Dakota........................... 0.895
00522.......................................... 00 Oklahoma............................... 0.894
00820.......................................... 02 South Dakota........................... 0.891
00520.......................................... 13 Arkansas............................... 0.884
[[Page 49249]]
00523.......................................... 99 Rest of Missouri....................... 0.883
00740.......................................... 99 Rest of Missouri....................... 0.883
00973.......................................... 20 Puerto Rico............................ 0.790
--------------------------------------------------------------------------------------------------------------
Addendum F.--Proposed CPT/HCPCS Imaging Codes Defined by Section 5102(b)
of the DRA
------------------------------------------------------------------------
HCPCS/ CPT Short descriptor
------------------------------------------------------------------------
31620............................. Endobronchial us add-on
37250............................. Iv us first vessel add-on
37251............................. Iv us each add vessel add-on
51798............................. Us urine capacity measure
70010............................. Contrast x-ray of brain
70015............................. Contrast x-ray of brain
70030............................. X-ray eye for foreign body
70100............................. X-ray exam of jaw
70110............................. X-ray exam of jaw
70120............................. X-ray exam of mastoids
70130............................. X-ray exam of mastoids
70134............................. X-ray exam of middle ear
70140............................. X-ray exam of facial bones
70150............................. X-ray exam of facial bones
70160............................. X-ray exam of nasal bones
70170............................. X-ray exam of tear duct
70190............................. X-ray exam of eye sockets
70200............................. X-ray exam of eye sockets
70210............................. X-ray exam of sinuses
70220............................. X-ray exam of sinuses
70240............................. X-ray exam, pituitary saddle
70250............................. X-ray exam of skull
70260............................. X-ray exam of skull
70300............................. X-ray exam of teeth
70310............................. X-ray exam of teeth
70320............................. Full mouth x-ray of teeth
70328............................. X-ray exam of jaw joint
70330............................. X-ray exam of jaw joints
70332............................. X-ray exam of jaw joint
70336............................. Magnetic image, jaw joint
70350............................. X-ray head for orthodontia
70355............................. Panoramic x-ray of jaws
70360............................. X-ray exam of neck
70370............................. Throat x-ray & fluoroscopy
70371............................. Speech evaluation, complex
70373............................. Contrast x-ray of larynx
70380............................. X-ray exam of salivary gland
70390............................. X-ray exam of salivary duct
70450............................. Ct head/brain w/o dye
70460............................. Ct head/brain w/dye
70470............................. Ct head/brain w/o & w/dye
70480............................. Ct orbit/ear/fossa w/o dye
70481............................. Ct orbit/ear/fossa w/dye
70482............................. Ct orbit/ear/fossa w/o& w/dye
70486............................. Ct maxillofacial w/o dye
70487............................. Ct maxillofacial w/dye
70488............................. Ct maxillofacial w/o & w/dye
70490............................. Ct soft tissue neck w/o dye
70491............................. Ct soft tissue neck w/dye
70492............................. Ct sft tsue nck w/o & w/dye
70496............................. Ct angiography, head
70498............................. Ct angiography, neck
70540............................. Mri orbit/face/neck w/o dye
70542............................. Mri orbit/face/neck w/dye
70543............................. Mri orbt/fac/nck w/o & w/dye
70544............................. Mr angiography head w/o dye
70545............................. Mr angiography head w/dye
70546............................. Mr angiograph head w/o & w/dye
70547............................. Mr angiography neck w/o dye
70548............................. Mr angiography neck w/dye
70549............................. Mr angiograph neck w/o & w/dye
70551............................. Mri brain w/o dye
70552............................. Mri brain w/dye
70553............................. Mri brain w/o & w/dye
70557............................. Mri brain w/o dye
70558............................. Mri brain w/dye
70559............................. Mri brain w/o & w/dye
71010............................. Chest x-ray
71015............................. Chest x-ray
71020............................. Chest x-ray
71021............................. Chest x-ray
71022............................. Chest x-ray
71023............................. Chest x-ray and fluoroscopy
71030............................. Chest x-ray
71034............................. Chest x-ray and fluoroscopy
71035............................. Chest x-ray
71040............................. Contrast x-ray of bronchi
71060............................. Contrast x-ray of bronchi
71090............................. X-ray & pacemaker insertion
71100............................. X-ray exam of ribs
71101............................. X-ray exam of ribs/chest
71110............................. X-ray exam of ribs
71111............................. X-ray exam of ribs/chest
71120............................. X-ray exam of breastbone
71130............................. X-ray exam of breastbone
71250............................. Ct thorax w/o dye
71260............................. Ct thorax w/dye
71270............................. Ct thorax w/o & w/dye
71275............................. Ct angiography, chest
71550............................. Mri chest w/o dye
71551............................. Mri chest w/dye
71552............................. Mri chest w/o & w/dye
71555............................. Mri angio chest w or w/o dye
72010............................. X-ray exam of spine
72020............................. X-ray exam of spine
72040............................. X-ray exam of neck spine
72050............................. X-ray exam of neck spine
72052............................. X-ray exam of neck spine
72069............................. X-ray exam of trunk spine
72070............................. X-ray exam of thoracic spine
72072............................. X-ray exam of thoracic spine
72074............................. X-ray exam of thoracic spine
72080............................. X-ray exam of trunk spine
72090............................. X-ray exam of trunk spine
72100............................. X-ray exam of lower spine
72110............................. X-ray exam of lower spine
72114............................. X-ray exam of lower spine
72120............................. X-ray exam of lower spine
72125............................. Ct neck spine w/o dye
72126............................. Ct neck spine w/dye
72127............................. Ct neck spine w/o & w/dye
72128............................. Ct chest spine w/o dye
72129............................. Ct chest spine w/dye
72130............................. Ct chest spine w/o & w/dye
72131............................. Ct lumbar spine w/o dye
72132............................. Ct lumbar spine w/dye
72133............................. Ct lumbar spine w/o & w/dye
72141............................. Mri neck spine w/o dye
72142............................. Mri neck spine w/dye
72146............................. Mri chest spine w/o dye
72147............................. Mri chest spine w/dye
72148............................. Mri lumbar spine w/o dye
72149............................. Mri lumbar spine w/dye
72156............................. Mri neck spine w/o & w/dye
72157............................. Mri chest spine w/o & w/dye
72158............................. Mri lumbar spine w/o & w/dye
72159............................. Mr angio spine w/o & w/dye
72170............................. X-ray exam of pelvis
72190............................. X-ray exam of pelvis
72191............................. Ct angiograph pelv w/o & w/dye
72192............................. Ct pelvis w/o dye
72193............................. Ct pelvis w/dye
72194............................. Ct pelvis w/o & w/dye
72195............................. Mri pelvis w/o dye
72196............................. Mri pelvis w/dye
72197............................. Mri pelvis w/o & w/dye
72198............................. Mr angio pelvis w/o & w/dye
72200............................. X-ray exam sacroiliac joints
72202............................. X-ray exam sacroiliac joints
72220............................. X-ray exam of tailbone
72240............................. Contrast x-ray of neck spine
72255............................. Contrast x-ray, thorax spine
72265............................. Contrast x-ray, lower spine
72270............................. Contrast x-ray, spine
72275............................. Epidurography
72285............................. X-ray c/t spine disk
72295............................. X-ray of lower spine disk
73000............................. X-ray exam of collar bone
73010............................. X-ray exam of shoulder blade
73020............................. X-ray exam of shoulder
73030............................. X-ray exam of shoulder
73040............................. Contrast x-ray of shoulder
73050............................. X-ray exam of shoulders
73060............................. X-ray exam of humerus
73070............................. X-ray exam of elbow
73080............................. X-ray exam of elbow
73085............................. Contrast x-ray of elbow
73090............................. X-ray exam of forearm
73092............................. X-ray exam of arm, infant
73100............................. X-ray exam of wrist
73110............................. X-ray exam of wrist
73115............................. Contrast x-ray of wrist
73120............................. X-ray exam of hand
73130............................. X-ray exam of hand
73140............................. X-ray exam of finger(s)
73200............................. Ct upper extremity w/o dye
73201............................. Ct upper extremity w/dye
73202............................. Ct uppr extremity w/o & w/dye
73206............................. Ct angio upr extrm w/o & w/dye
73218............................. Mri upper extremity w/o dye
73219............................. Mri upper extremity w/dye
73220............................. Mri uppr extremity w/o & w/dye
73221............................. Mri joint upr extrem w/o dye
73222............................. Mri joint upr extrem w/dye
73223............................. Mri joint upr extr w/o & w/dye
73225............................. Mr angio upr extr w/o & w/dye
73500............................. X-ray exam of hip
[[Page 49250]]
73510............................. X-ray exam of hip
73520............................. X-ray exam of hips
73525............................. Contrast x-ray of hip
73530............................. X-ray exam of hip
73540............................. X-ray exam of pelvis & hips
73542............................. X-ray exam, sacroiliac joint
73550............................. X-ray exam of thigh
73560............................. X-ray exam of knee, 1 or 2
73562............................. X-ray exam of knee, 3
73564............................. X-ray exam, knee, 4 or more
73565............................. X-ray exam of knees
73580............................. Contrast x-ray of knee joint
73590............................. X-ray exam of lower leg
73592............................. X-ray exam of leg, infant
73600............................. X-ray exam of ankle
73610............................. X-ray exam of ankle
73615............................. Contrast x-ray of ankle
73620............................. X-ray exam of foot
73630............................. X-ray exam of foot
73650............................. X-ray exam of heel
73660............................. X-ray exam of toe(s)
73700............................. Ct lower extremity w/o dye
73701............................. Ct lower extremity w/dye
73702............................. Ct lwr extremity w/o & w/dye
73706............................. Ct angio lwr extr w/o & w/dye
73718............................. Mri lower extremity w/o dye
73719............................. Mri lower extremity w/dye
73720............................. Mri lwr extremity w/o & w/dye
73721............................. Mri jnt of lwr extre w/o dye
73722............................. Mri joint of lwr extr w/dye
73723............................. Mri joint lwr extr w/o & w/dye
73725............................. Mr ang lwr ext w or w/o dye
74000............................. X-ray exam of abdomen
74010............................. X-ray exam of abdomen
74020............................. X-ray exam of abdomen
74022............................. X-ray exam series, abdomen
74150............................. Ct abdomen w/o dye
74160............................. Ct abdomen w/dye
74170............................. Ct abdomen w/o & w/dye
74175............................. Ct angio abdom w/o & w/dye
74181............................. Mri abdomen w/o dye
74182............................. Mri abdomen w/dye
74183............................. Mri abdomen w/o & w/dye
74185............................. Mri angio, abdom w orw/o dye
74190............................. X-ray exam of peritoneum
74210............................. Contrst x-ray exam of throat
74220............................. Contrast x-ray, esophagus
74230............................. Cine/vid x-ray, throat/esoph
74235............................. Remove esophagus obstruction
74240............................. X-ray exam, upper gi tract
74241............................. X-ray exam, upper gi tract
74245............................. X-ray exam, upper gi tract
74246............................. Contrst x-ray uppr gi tract
74247............................. Contrst x-ray uppr gi tract
74249............................. Contrst x-ray uppr gi tract
74250............................. X-ray exam of small bowel
74251............................. X-ray exam of small bowel
74260............................. X-ray exam of small bowel
74270............................. Contrast x-ray exam of colon
74280............................. Contrast x-ray exam of colon
74283............................. Contrast x-ray exam of colon
74290............................. Contrast x-ray, gallbladder
74291............................. Contrast x-rays, gallbladder
74300............................. X-ray bile ducts/pancreas
74301............................. X-rays at surgery add-on
74305............................. X-ray bile ducts/pancreas
74320............................. Contrast x-ray of bile ducts
74327............................. X-ray bile stone removal
74328............................. X-ray bile duct endoscopy
74329............................. X-ray for pancreas endoscopy
74330............................. X-ray bile/panc endoscopy
74340............................. X-ray guide for GI tube
74350............................. X-ray guide, stomach tube
74355............................. X-ray guide, intestinal tube
74360............................. X-ray guide, GI dilation
74363............................. X-ray, bile duct dilation
74400............................. Contrst x-ray, urinary tract
74410............................. Contrst x-ray, urinary tract
74415............................. Contrst x-ray, urinary tract
74420............................. Contrst x-ray, urinary tract
74425............................. Contrst x-ray, urinary tract
74430............................. Contrast x-ray, bladder
74440............................. X-ray, male genital tract
74445............................. X-ray exam of penis
74450............................. X-ray, urethra/bladder
74455............................. X-ray, urethra/bladder
74470............................. X-ray exam of kidney lesion
74475............................. X-ray control, cath insert
74480............................. X-ray control, cath insert
74485............................. X-ray guide, GU dilation
74710............................. X-ray measurement of pelvis
74740............................. X-ray, female genital tract
74742............................. X-ray, fallopian tube
74775............................. X-ray exam of perineum
75552............................. Heart mri for morph w/o dye
75553............................. Heart mri for morph w/dye
75554............................. Cardiac MRI/function
75555............................. Cardiac MRI/limited study
75556............................. Cardiac MRI/flow mapping
75600............................. Contrast x-ray exam of aorta
75605............................. Contrast x-ray exam of aorta
75625............................. Contrast x-ray exam of aorta
75630............................. X-ray aorta, leg arteries
75635............................. Ct angio abdominal arteries
75650............................. Artery x-rays, head & neck
75658............................. Artery x-rays, arm
75660............................. Artery x-rays, head & neck
75662............................. Artery x-rays, head & neck
75665............................. Artery x-rays, head & neck
75671............................. Artery x-rays, head & neck
75676............................. Artery x-rays, neck
75680............................. Artery x-rays, neck
75685............................. Artery x-rays, spine
75705............................. Artery x-rays, spine
75710............................. Artery x-rays, arm/leg
75716............................. Artery x-rays, arms/legs
75722............................. Artery x-rays, kidney
75724............................. Artery x-rays, kidneys
75726............................. Artery x-rays, abdomen
75731............................. Artery x-rays, adrenal gland
75733............................. Artery x-rays, adrenals
75736............................. Artery x-rays, pelvis
75741............................. Artery x-rays, lung
75743............................. Artery x-rays, lungs
75746............................. Artery x-rays, lung
75756............................. Artery x-rays, chest
75774............................. Artery x-ray, each vessel
75790............................. Visualize A-V shunt
75801............................. Lymph vessel x-ray, arm/leg
75803............................. Lymph vessel x-ray,arms/legs
75805............................. Lymph vessel x-ray, trunk
75807............................. Lymph vessel x-ray, trunk
75809............................. Nonvascular shunt, x-ray
75810............................. Vein x-ray, spleen/liver
75820............................. Vein x-ray, arm/leg
75822............................. Vein x-ray, arms/legs
75825............................. Vein x-ray, trunk
75827............................. Vein x-ray, chest
75831............................. Vein x-ray, kidney
75833............................. Vein x-ray, kidneys
75840............................. Vein x-ray, adrenal gland
75842............................. Vein x-ray, adrenal glands
75860............................. Vein x-ray, neck
75870............................. Vein x-ray, skull
75872............................. Vein x-ray, skull
75880............................. Vein x-ray, eye socket
75885............................. Vein x-ray, liver
75887............................. Vein x-ray, liver
75889............................. Vein x-ray, liver
75891............................. Vein x-ray, liver
75893............................. Venous sampling by catheter
75894............................. X-rays, transcath therapy
75896............................. X-rays, transcath therapy
75898............................. Follow-up angiography
75900............................. Intravascular cath exchange
75901............................. Remove cva device obstruct
75902............................. Remove cva lumen obstruct
75940............................. X-ray placement, vein filter
75945............................. Intravascular us
75946............................. Intravascular us add-on
75952............................. Endovasc repair abdom aorta
75953............................. Abdom aneurysm endovas rpr
75954............................. Iliac aneurysm endovas rpr
75956............................. Xray, endovasc thor ao repr
75957............................. Xray, endovasc thor ao repr
75958............................. Xray, place prox ext thor ao
75959............................. Xray, place dist ext thor ao
75960............................. Transcath iv stent rs&i
75961............................. Retrieval, broken catheter
75962............................. Repair arterial blockage
75964............................. Repair artery blockage, each
75966............................. Repair arterial blockage
75968............................. Repair artery blockage, each
75970............................. Vascular biopsy
75978............................. Repair venous blockage
75980............................. Contrast xray exam bile duct
75982............................. Contrast xray exam bile duct
75984............................. Xray control catheter change
75989............................. Abscess drainage under x-ray
75992............................. Atherectomy, x-ray exam
75993............................. Atherectomy, x-ray exam
75994............................. Atherectomy, x-ray exam
75995............................. Atherectomy, x-ray exam
75996............................. Atherectomy, x-ray exam
75998............................. Fluoroguide for vein device
76000............................. Fluoroscope examination
76001............................. Fluoroscope exam, extensive
76003............................. Needle localization by x-ray
76005............................. Fluoroguide for spine inject
76006............................. X-ray stress view
76010............................. X-ray, nose to rectum
76012............................. Percut vertebroplasty fluor
76013............................. Percut vertebroplasty, ct
76020............................. X-rays for bone age
76040............................. X-rays, bone evaluation
76061............................. X-rays, bone survey
76062............................. X-rays, bone survey
76065............................. X-rays, bone evaluation
76066............................. Joint survey, single view
76070............................. Ct bone density, axial
76071............................. Ct bone density, peripheral
[[Page 49251]]
76075............................. Dxa bone density, axial
76076............................. Dxa bone density/peripheral
76077............................. Dxa bone density/v-fracture
76078............................. Radiographic absorptiometry
76080............................. X-ray exam of fistula
76086............................. X-ray of mammary duct
76088............................. X-ray of mammary ducts
76093............................. Magnetic image, breast
76094............................. Magnetic image, both breasts
76095............................. Stereotactic breast biopsy
76096............................. X-ray of needle wire, breast
76098............................. X-ray exam, breast specimen
76100............................. X-ray exam of body section
76101............................. Complex body section x-ray
76102............................. Complex body section x-rays
76120............................. Cine/video x-rays
76125............................. Cine/video x-rays add-on
76140............................. X-ray consultation
76150............................. X-ray exam, dry process
76350............................. Special x-ray contrast study
76355............................. Ct scan for localization
76360............................. Ct scan for needle biopsy
76362............................. Ct guide for tissue ablation
76370............................. Ct scan for therapy guide
76376............................. 3d render w/o postprocess
76377............................. 3d rendering w/postprocess
76380............................. CAT scan follow-up study
76390............................. Mr spectroscopy
76393............................. Mr guidance for needle place
76394............................. Mri for tissue ablation
76400............................. Magnetic image, bone marrow
76496............................. Fluoroscopic procedure
76497............................. Ct procedure
76498............................. Mri procedure
76506............................. Echo exam of head
76510............................. Ophth us, b & quant a
76511............................. Ophth us, quant a only
76512............................. Ophth us, b w/non-quant a
76513............................. Echo exam of eye, water bath
76514............................. Echo exam of eye, thickness
76516............................. Echo exam of eye
76519............................. Echo exam of eye
76529............................. Echo exam of eye
76536............................. Us exam of head and neck
76604............................. Us exam, chest, b-scan
76645............................. Us exam, breast(s)
76700............................. Us exam, abdom, complete
76705............................. Echo exam of abdomen
76770............................. Us exam abdo back wall, comp
76775............................. Us exam abdo back wall, lim
76778............................. Us exam kidney transplant
76800............................. Us exam, spinal canal
76801............................. Ob us < 14 wks, single fetus
76802............................. Ob us < 14 wks, add'l fetus
76805............................. Ob us >/= 14 wks, sngl fetus
76810............................. Ob us >/= 14 wks, addl fetus
76811............................. Ob us, detailed, sngl fetus
76812............................. Ob us, detailed, addl fetus
76815............................. Ob us, limited, fetus(s)
76816............................. Ob us, follow-up, per fetus
76817............................. Transvaginal us, obstetric
76818............................. Fetal biophys profile w/nst
76819............................. Fetal biophys profil w/o nst
76820............................. Umbilical artery echo
76821............................. Middle cerebral artery echo
76825............................. Echo exam of fetal heart
76826............................. Echo exam of fetal heart
76827............................. Echo exam of fetal heart
76828............................. Echo exam of fetal heart
76830............................. Transvaginal us, non-ob
76831............................. Echo exam, uterus
76856............................. Us exam, pelvic, complete
76857............................. Us exam, pelvic, limited
76870............................. Us exam, scrotum
76872............................. Us, transrectal
76873............................. Echograp trans r, pros study
76880............................. Us exam, extremity
76885............................. Us exam infant hips, dynamic
76886............................. Us exam infant hips, static
76930............................. Echo guide, cardiocentesis
76932............................. Echo guide for heart biopsy
76936............................. Echo guide for artery repair
76937............................. Us guide, vascular access
76940............................. Us guide, tissue ablation
76941............................. Echo guide for transfusion
76942............................. Echo guide for biopsy
76945............................. Echo guide, villus sampling
76946............................. Echo guide for amniocentesis
76948............................. Echo guide, ova aspiration
76950............................. Echo guidance radiotherapy
76965............................. Echo guidance radiotherapy
76970............................. Ultrasound exam follow-up
76975............................. GI endoscopic ultrasound
76977............................. Us bone density measure
76986............................. Ultrasound guide intraoper
77417............................. Radiology port film(s)
77421............................. Stereoscopic x-ray guidance
78006............................. Thyroid imaging with uptake
78007............................. Thyroid image, mult uptakes
78010............................. Thyroid imaging
78011............................. Thyroid imaging with flow
78015............................. Thyroid met imaging
78016............................. Thyroid met imaging/studies
78018............................. Thyroid met imaging, body
78020............................. Thyroid met uptake
78070............................. Parathyroid nuclear imaging
78075............................. Adrenal nuclear imaging
78102............................. Bone marrow imaging, ltd
78103............................. Bone marrow imaging, mult
78104............................. Bone marrow imaging, body
78135............................. Red cell survival kinetics
78140............................. Red cell sequestration
78185............................. Spleen imaging
78190............................. Platelet survival, kinetics
78195............................. Lymph system imaging
78201............................. Liver imaging
78202............................. Liver imaging with flow
78205............................. Liver imaging (3D)
78206............................. Liver image (3d) with flow
78215............................. Liver and spleen imaging
78216............................. Liver & spleen image/flow
78220............................. Liver function study
78223............................. Hepatobiliary imaging
78230............................. Salivary gland imaging
78231............................. Serial salivary imaging
78232............................. Salivary gland function exam
78258............................. Esophageal motility study
78261............................. Gastric mucosa imaging
78262............................. Gastroesophageal reflux exam
78264............................. Gastric emptying study
78278............................. Acute GI blood loss imaging
78282............................. GI protein loss exam
78290............................. Meckel's divert exam
78291............................. Leveen/shunt patency exam
78300............................. Bone imaging, limited area
78305............................. Bone imaging, multiple areas
78306............................. Bone imaging, whole body
78315............................. Bone imaging, 3 phase
78320............................. Bone imaging (3D)
78350............................. Bone mineral, single photon
78351............................. Bone mineral, dual photon
78428............................. Cardiac shunt imaging
78445............................. Vascular flow imaging
78456............................. Acute venous thrombus image
78457............................. Venous thrombosis imaging
78458............................. Ven thrombosis images, bilat
78459............................. Heart muscle imaging (PET)
78460............................. Heart muscle blood, single
78461............................. Heart muscle blood, multiple
78464............................. Heart image (3d), single
78465............................. Heart image (3d), multiple
78466............................. Heart infarct image
78468............................. Heart infarct image (ef)
78469............................. Heart infarct image (3D)
78472............................. Gated heart, planar, single
78473............................. Gated heart, multiple
78478............................. Heart wall motion add-on
78480............................. Heart function add-on
78481............................. Heart first pass, single
78483............................. Heart first pass, multiple
78491............................. Heart image (pet), single
78492............................. Heart image (pet), multiple
78494............................. Heart image, spect
78496............................. Heart first pass add-on
78580............................. Lung perfusion imaging
78584............................. Lung V/Q image single breath
78585............................. Lung V/Q imaging
78586............................. Aerosol lung image, single
78587............................. Aerosol lung image, multiple
78588............................. Perfusion lung image
78591............................. Vent image, 1 breath, 1 proj
78593............................. Vent image, 1 proj, gas
78594............................. Vent image, mult proj, gas
78596............................. Lung differential function
78600............................. Brain imaging, ltd static
78601............................. Brain imaging, ltd w/flow
78605............................. Brain imaging, complete
78606............................. Brain imaging, compl w/flow
78607............................. Brain imaging (3D)
78608............................. Brain imaging (PET)
78609............................. Brain imaging (PET)
78610............................. Brain flow imaging only
78615............................. Cerebral vascular flow image
78630............................. Cerebrospinal fluid scan
78635............................. CSF ventriculography
78645............................. CSF shunt evaluation
78647............................. Cerebrospinal fluid scan
78650............................. CSF leakage imaging
78660............................. Nuclear exam of tear flow
78700............................. Kidney imaging, static
78701............................. Kidney imaging with flow
78704............................. Imaging renogram
78707............................. Kidney flow/function image
78708............................. Kidney flow/function image
78709............................. Kidney flow/function image
78710............................. Kidney imaging (3D)
78715............................. Renal vascular flow exam
78730............................. Urinary bladder retention
78740............................. Ureteral reflux study
78760............................. Testicular imaging
78761............................. Testicular imaging/flow
[[Page 49252]]
78800............................. Tumor imaging, limited area
78801............................. Tumor imaging, mult areas
78802............................. Tumor imaging, whole body
78803............................. Tumor imaging (3D)
78804............................. Tumor imaging, whole body
78805............................. Abscess imaging, ltd area
78806............................. Abscess imaging, whole body
78807............................. Nuclear localization/absce ss
78811............................. Tumor imaging (pet), limited
78812............................. Tumor image (pet)/skul-thigh
78813............................. Tumor image (pet) full body
78814............................. Tumor image pet/ct, limited
78815............................. Tumorimage pet/ct skul-thigh
78816............................. Tumor image pet/ct full body
78890............................. Nuclear medicine data proc
78891............................. Nuclear med data proc
93303............................. Echo transthoracic
93304............................. Echo transthoracic
93307............................. Echo exam of heart
93308............................. Echo exam of heart
93312............................. Echo transesophageal
93313............................. Echo transesophageal
93314............................. Echo transesophageal
93315............................. Echo transesophageal
93316............................. Echo transesophageal
93317............................. Echo transesophageal
93318............................. Echo transesophageal intraop
93320............................. Doppler echo exam, heart
93321............................. Doppler echo exam, heart
93325............................. Doppler color flow add-on
93350............................. Echo transthoracic
93555............................. Imaging, cardiac cath
93556............................. Imaging, cardiac cath
93571............................. Heart flow reserve measure
93572............................. Heart flow reserve measure
93875............................. Extracranial study
93880............................. Extracranial study
93882............................. Extracranial study
93886............................. Intracranial study
93888............................. Intracranial study
93890............................. Tcd, vasoreactivity study
93892............................. Tcd, emboli detect w/o inj
93893............................. Tcd, emboli detect w/inj
93922............................. Extremity study
93923............................. Extremity study
93924............................. Extremity study
93925............................. Lower extremity study
93926............................. Lower extremity study
93930............................. Upper extremity study
93931............................. Upper extremity study
93965............................. Extremity study
93970............................. Extremity study
93971............................. Extremity study
93975............................. Vascular study
93976............................. Vascular study
93978............................. Vascular study
93979............................. Vascular study
93980............................. Penile vascular study
93981............................. Penile vascular study
93990............................. Doppler flow testing
0028T............................. Dexa body composition study
0042T............................. Ct perfusion w/contrast, cbf
0066T............................. Ct colonography;scree n
0067T............................. Ct colonography;dx
0080T............................. Endovasc aort repr rad s&i
0081T............................. Endovasc visc extnsn s&i
0144T............................. CT heart wo dye; qual calc
0145T............................. CT heart w/wo dye funct
0146T............................. CCTA w/wo dye
0147T............................. CCTA w/wo, quan calcium
0148T............................. CCTA w/wo, strxr
0149T............................. CCTA w/wo, strxr quan calc
0150T............................. CCTA w/wo, disease strxr
0151T............................. CT heart funct add-on
0152T............................. Computer chest add-on
G0120............................. Colon ca scrn; barium enema
G0122............................. Colon ca scrn; barium enema
G0130............................. Single energy x-ray study
G0219............................. PET img wholbod melano nonco
G0235............................. PET not otherwise specified
G0275............................. Renal angio, cardiac cath
G0278............................. Iliac art angio,cardiac cath
G0288............................. Recon, CTA for surg plan
G0365............................. Vessel mapping hemo access
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[FR Doc. 06-6843 Filed 8-8-06; 4:15 pm]
BILLING CODE 4120-03-P