65 FR 137 pgs. 44176-44358 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001
Type: PRORULEVolume: 65Number: 137Pages: 44176 - 44358
Docket number: [HCFA-1120-P]
FR document: [FR Doc. 00-17830 Filed 7-14-00; 8:45 am]
Agency: Health and Human Services Department
Sub Agency: Health Care Financing Administration
Official PDF Version: PDF Version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 410 and 414
[HCFA-1120-P]
RIN 0938-AK11
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001
AGENCY:
Health Care Financing Administration (HCFA), HHS.
ACTION:
Proposed rule.
SUMMARY:
This proposed rule would make several changes affecting Medicare Part B payment. The changes include: Refinement of resource-based practice expense relative value units (RVUs); changes to the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight and physician certification/recertification; observation care codes; ocular photodynamic therapy and other ophthalmological treatments; electrical bioimpedance; the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators; antigen supply; low intensity ultrasound; and the implantation of ventricular assist devices. This proposed rule also discusses or clarifies the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on the proposed policy changes.
DATES:
To be assured of consideration, we must receive comments at the appropriate address, as provided below, no later than 5 p.m. on September 15, 2000.
ADDRESSES:
Mail written comments (1 original and 3 copies) to the following address only: Health Care Financing Administration, Department of Health and Human Services, Attention: HCFA-1120-P, P.O. Box 8013, Baltimore, MD 21244-8013.
Please allow sufficient time for mailed comments to be timely received in the event of delivery delays. If you prefer, you may deliver your written comments by courier (1 original and 3 copies) to one of the following addresses: Room 443-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201 or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244.
Comments mailed to the two above addresses may be delayed and received too late to be considered.
Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. In commenting, please refer to file code HCFA-1120-P. Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, in Room 443-G of the Department's office at 200 Independence Avenue, SW., Washington, DC, on Monday through Friday of each week from 8:30 to 5 p.m. (phone: (202) 690-7890).
FOR FURTHER INFORMATION CONTACT:
Bob Ulikowski, (410) 786-5721 (for issues related to resource-based malpractice relative value units and geographic practice cost index changes).
Carolyn Mullen, (410) 786-4589 or Marc Hartstein, (410) 786-4539, (for issues related to resource-based practice expense relative value units).
Rick Ensor, (410) 786-5617 (for issues related to care plan oversight and physician certification/recertification).
Jim Menas, (410) 786-4507 (for issues related to incomplete medical direction and the 5-year review).
Roberta Epps, (410) 786-1858 (for outpatient therapy-related issues).
Cathleen Scally, (410) 786-5714 (for issues related to observation care codes).
Diane Milstead, (410) 786-3355 (for all other issues).
SUPPLEMENTARY INFORMATION:
Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 or by faxing to (202) 512-2250. The cost for each copy is $8. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register . This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. The Website address is: http://www.access.gpo.gov/nara/index.html.
Information on the Lewin report referenced in the preamble can be found on our homepage. This data can be accessed by using the following directions:
1. Go to the HCFA homepage (http://www.hcfa.gov).
2. Click on "Medicare."
3. Click on "Professional/Technical Information."
4. Select Medicare Payment Systems.
5. Select Physician Fee Schedule.
Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.hcfa.gov/medicare/pfsmain.htm.
To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
II. Specific Proposals for Calendar Year 2001
A. Resource-Based Practice Expense Relative Value Units
B. Geographic Practice Cost Index Changes
C. Resource-Based Malpractice Relative Value Units
D. Critical Care Relative Value Units
E. Care Plan Oversight and Physician Certification/Recertification
F. Observation Care Codes
G. Ocular Photodynamic Therapy and Other Ophthalmalogical Treatments
H. Electrical Bioimpedance
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
J. Antigen Supply
K. Low Intensity Ultrasound
L. Implantation of Ventricular Assist Devices
III. Other Issues
A. Incomplete Medical Direction
B. Payment for Pulse Oximetry Services
C. Outpatient Therapy Supervision
D. Outpatient Therapy Caps
IV. Five Year Refinement of Relative Value Units
V. Collection of Information Requirements
VI. Response to Comments
VII. Regulatory Impact Analysis
VIII. Federalism
Addendum A-Explanation and Use of Addendum B
Addendum B-2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001
Addendum C-Clinical Staff Times for Selected Codes
Addendum D-Comparison of 1999 and Proposed 2002 Office Rent Index By Fee Schedule Area
Addendum E-Comparison of 1999 and Proposed 2002 Malpractice GPCIs By Fee Schedule Area
Addendum F-2002 Geographic Practice Cost Indices by Medicare Carrier and Locality
Addendum G-2001 Geographic Practice Cost Indices by Medicare Carrier and Locality
Addendum H-Proposed 2002 Versus 1999 Geographic Adjustment Factors (GAF)
In addition, because of the many organizations and terms to which we refer by acronym in this proposed rule, we are listing these acronyms and their corresponding terms in alphabetical order below:
AMAAmerican Medical Association
BBABalanced Budget Act of 1997
BBRABalanced Budget Refinement Act
CFConversion factor
CFRCode of Federal Regulations
CPT[Physicians'] Current Procedural Terminology [4th Edition, 1997, copyrighted by the American Medical Association]
CPEPClinical Practice Expert Panel
CRNACertified Registered Nurse Anesthetist
E/MEvaluation and management
EBElectrical bioimpedance
FMRFair market rental
GAFGeographic adjustment factor
GPCIGeographic practice cost index
HCFAHealth Care Financing Administration
HCPCSHCFA Common Procedure Coding System
HHAHome health agency
HHS[Department of] Health and Human Services
IDTFsIndependent Diagnostic Testing Facilities
MCMMedicare Carrier Manual
MEDPACMedicare Payment Advisory Commission
MEIMedicare Economic Index
MGMAMedical Group Management Association
MSAMetropolitan Statistical Area
NAMCSNational Ambulatory Medical Care Survey
OBRAOmnibus Budget Reconciliation Act
PCProfessional component
PEACPractice Expense Advisory Committee
PPACPracticing Physicians Advisory Council
PPSProspective payment system
RUC[AMA's Specialty Society] Relative [Value] Update Committee
RVURelative value unit
SGRStandard growth rate
SMS[AMA's] Socioeconomic Monitoring System
TCTechnical component
I.Background
A.Legislative History
Since January 1, 1992, Medicare has paid for physician services under section 1848 of the Social Security Act (the Act), "Payment for Physicians' Services." This section contains three major elements-(1) a fee schedule for the payment of physicians' services; (2) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services; and (3) limits on the amounts that nonparticipating physicians can charge beneficiaries. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense.
Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to the conversion factors (CFs) to preserve budget neutrality.
B. Published Changes to the Fee Schedule
We published a final rule on November 25, 1991 (56 FR 59502) to implement section 1848 of the Act by establishing a fee schedule for physicians' services furnished on or after January 1, 1992. In the November 1991 final rule (56 FR 59511), we stated our intention to update RVUs for new and revised codes in the American Medical Association's (AMA's) Physicians' Current Procedural Terminology (CPT) through an "interim RVU" process every year. We published the updates to the RVUs and fee schedule policies are as follows:
• November 25, 1992, a final notice with comment period on new and revised RVUs only (57 FR 55914).
• December 2, 1993, a final rule with comment period (58 FR 63626) revised the refinement process used to establish physician work RVUs and to revise payment policies for specific physicians' services and supplies. (We solicited comments on new and revised RVUs only.)
• December 8, 1994, a final rule with comment period (59 FR 63410) revised the geographic adjustment factor (GAF) values, fee schedule payment areas, and payment policies for specific physicians' services. The final rule also discussed the process for periodic review and adjustment of RVUs not less frequently than every 5 years as required by section 1848(c)(2)(B)(i) of the Act.
• December 8, 1995, a final rule with comment period (60 FR 63124) revised various policies affecting payment for physicians' services including Medicare payment for physicians' services in teaching settings, the RVUs for certain existing procedure codes, and established interim RVUs for new and revised procedure codes. The rule also included the final revised 1996 geographic practice cost indices (GPCIs).
• November 22, 1996, a final rule with comment period (61 FR 59490) revised the policy for payment for diagnostic services, transportation in connection with furnishing diagnostic tests, changes in geographic payment areas (localities), and changes in the procedure status codes for a variety of services.
• October 31, 1997, a final rule with comment period (62 FR 59048) revised the GPCIs, physician supervision of diagnostic tests, establishment of independent diagnostic testing facilities, the methodology used to develop reasonable compensation equivalent limits, payment to participating and nonparticipating suppliers, global surgical services, caloric vestibular testing, and clinical consultations. It also implemented certain provisions of the Balanced Budget Act of 1997 (BBA) (Public Law 105-33), enacted on August 5, 1997, and implemented the RVUs for certain existing procedure codes and established interim RVUs for new and revised procedure codes.
• November 2, 1998, a final rule with comment period (63 FR 58814) revised the policy for resource-based practice expense RVUs, medical direction rules for anesthesia services, and payment for abnormal Pap smears. We also rebased the Medicare economic index (MEI) from a 1989 base year to a 1996 base year. Under the law, we were also required to develop a resource-based system for determining practice expense RVUs. The BBA delayed, for 1 year, implementation of the resource-based practice expense RVUs until January 1, 1999. Also, the BBA revised our payment policy for nonphysician practitioners, for outpatient rehabilitation services, and for drugs and biologicals not paid on a cost or prospective payment basis. In addition, the BBA permitted certain physicians and practitioners to opt out of Medicare and furnish covered services to Medicare beneficiaries through private contracts and permits payment for professional consultations via interactive telecommunication systems. Furthermore, we finalized the 1998 interim RVUs and issued interim RVUs for new and revised codes for 1999. The final rule also announced the CY 1999 Medicare physician fee schedule CF under the Medicare Supplementary Medical Insurance (Part B) program as required by section 1848(d) of the Act. The 1999 Medicare physician fee schedule CF was $34.7315.
• November 2, 1999, a final rule with comment period (64 FR 59380) made several changes affecting Medicare Part B payment. The changes included: implementation of resource-based malpractice insurance RVUs; refinement of resource-based practice expense RVUs; payment for physician pathology and independent laboratory services; discontinuous anesthesia time; diagnostic tests; prostate screening; use of CPT modifier -25; qualifications for nurse practitioners; an increase in the work RVUs for pediatric services; adjustments to the practice expense RVUs for physician interpretation of Pap smears; and a number of other changes relating to coding and payment. Furthermore, we finalized the 1999 interim physician work RVUs and issued interim RVUs for new and revised codes for 2000. The final rule solicited public comments on the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002 and requested public comments on potentially misvalued work RVUs for all services in the CY 2000 physician fee schedule. The final rule conformed the regulations to existing law and policy regarding: removal of the x-ray as a prerequisite for chiropractic manipulation; the exclusion of payment for assisted suicide; and optometrist services. The final rule also announced the CY 2000 Medicare physician fee schedule CF under the Medicare Supplementary Medical Insurance (Part B) program as required by section 1848(d) of the Act. The 2000 Medicare physician fee schedule CF was $36.6137.
This proposed rule would affect the regulations set forth at Part 410, Supplementary medical insurance (SMI) benefits and Part 414, Payment for Part B medical and other services.
II. Specific Proposals for Calendar Year 2001
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Public Law 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we must apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.
Section 4505(a) of the BBA delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs. The practice expense RVUs for CY 1999 were the product of 75 percent of charge-based RVUs and 25 percent of the resource-based RVUs. For CY 2000, the RVUs were 50 percent charge-based and 50 percent resource-based. For CY 2001, the RVUs will be 25 percent charge-based and 75 percent resource-based. After CY 2001, the RVUs will be totally resource-based.
Section 4505(e) of the BBA provided that, in 1998, the practice expense RVUs be adjusted for certain services in anticipation of implementation of resource-based practice expenses beginning in 1999. As a result, we increased practice expense RVUs for office visits. For other services in which practice expense RVUs exceeded 110 percent of the work RVUs and were furnished less than 75 percent of the time in an office setting, we reduced the 1998 practice expense RVUs to a number equal to 110 percent of the work RVUs. This limitation did not apply to services that had proposed resource-based practice expense RVUs that increased from their 1997 practice expense RVUs as reflected in the June 18, 1997 proposed rule (62 FR 33196). The services affected, and the final RVUs for 1998, were published in the October 1997 final rule (62 FR 59103).
The most recent legislation affecting resource-based practice expense was included in the Balanced Budget Refinement Act of 1999 (BBRA) (Public Law 106-113). Section 212 of the BBRA stated that we must establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.
2. Current Methodology for Computing Practice Expense Relative Value Unit System
Effective with services on or after January 1, 1999, we established a new methodology for computing resource-based practice expense RVUs that used the two significant sources of actual practice expense data we have available: the Clinical Practice Expert Panel (CPEP) data and the AMA's Socioeconomic Monitoring System (SMS) data. The methodology was based on an assumption that current aggregate specialty practice costs are a reasonable way to establish initial estimates of relative resource costs of physicians' services across specialties. The methodology allocated these aggregate specialty practice costs to specific procedures and, thus, can be seen as a "top-down" approach. The methodology can be summarized as follows:
(a) Practice Expense Cost Pools. We used actual practice expense data by specialty, derived from the 1995 through 1997 SMS survey data, to create six cost pools-administrative labor, clinical labor, medical supplies, medical equipment, office supplies, and all other expenses. There were three steps in the creation of the cost pools.
• Step (1) We used the AMA's SMS survey of actual cost data to determine practice expenses per hour by cost category. The practice expenses per hour for each physician respondent's practice was calculated as the practice expenses for the practice divided by the total number of hours spent in patient care activities. The practice expenses per hour for the specialty were an average of the practice expenses per hour for the respondent physicians in that specialty. In addition, for the CY 2000 physician fee schedule, we used data from a survey submitted by the Society of Thoracic Surgeons in calculating the thoracic and cardiac surgery's practice expense per hour. (See the November 1999 final rule (64 FR 59391) for additional information concerning acceptance of this data.)
• Step (2) We determined the total number of physician hours (by specialty) spent treating Medicare patients. This was calculated from physician time data for each procedure code and from Medicare claims data.
• Step (3) We calculated the practice expense pools by specialty and by cost category by multiplying the specialty practice expenses per hour for each category by the total physician hours.
For services with work RVUs equal to zero (including the technical component (TC) of services with a TC and professional component (PC)), we created a separate practice expense pool using the average clinical staff time from the CPEP data (since these codes by definition do not have physician time), and the "all physicians" practice expense per hour.
(b) Cost Allocation Methodology. For each specialty, we separated the six practice expense pools into two groups and used a different allocation basis for each group.
(1) Direct Costs
For direct costs (including clinical labor, medical supplies, and medical equipment), we used the CPEP data as the allocation basis. The CPEP data for clinical labor, medical supplies, and medical equipment were used to allocate the clinical labor, medical supplies, and medical equipment cost pools, respectively.
For the separate practice expense pool for services with work RVUs equal to zero, we used 1998 practice expense RVUs to allocate the direct cost pools (clinical labor, medical supplies, and medical equipment cost pools) as an interim measure. Also, for all radiology services that are assigned work RVUs, we used the 1998 practice expense relative values for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology. For all other specialties that perform radiology services, we used the CPEP data for radiology services in the allocation of that specialty's direct practice expense cost pools.
(2) Indirect Costs
To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs, as described above, in combination with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars for consistency with the SMS survey years).
The SMS pool was divided by the CPEP pool for each specialty to produce a scaling factor that was applied to the CPEP direct cost inputs. This was intended to match costs counted as practice expenses in the SMS survey with items counted as practice expense in the CPEP process. When the specialty specific scaling factor exceeds the average scaling factor by more than three standard deviations, we used the average scaling factor. (See the November 1999 final rule (64 FR 59390) for further discussion of this issue).
For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.
(c) Other Methodological Issues.
(1) Global Practice Expense Relative Value Units
For services with the PC and TC paid under the physician fee schedule, the global practice expense RVUs were set equal to the sum of the PC and TC.
(2) Practice Expenses Per Hour Adjustments and Specialty Crosswalks
Since many specialties identified in our claims data did not correspond exactly to the specialties included in the practice expense tables from the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty category. We also made the following adjustments to the practice expense per hour data (for the rationale for these adjustments to the practice expense per hour see the November 1998 final rule (63 FR 58841):
• We set the medical materials and supplies practice expenses per hour for the specialty of "oncology" equal to the "all physician" medical materials and supplies practice expenses per hour.
• We based the administrative payroll, office, and other practice expenses per hour for the specialties of "physical therapy" and "occupational therapy" on data used to develop the salary equivalency guidelines for these specialties. We set the remaining practice expense per hour categories equal to the "all physician" practice expenses per hour from the SMS survey data.
• Due to uncertainty concerning the appropriate crosswalk and time data for the nonphysician specialty "audiologist," we derived the resource-based practice expense RVUs for codes performed by audiologists from the practice expenses per hour of the other specialties that perform these codes.
• For the specialty of "emergency medicine," we used the "all physician" practice expense per hour to create practice expense cost pools for the categories "clerical payroll" and "other expenses."
• For the specialty of "podiatry," we used the "all physician" practice expense per hour to create the practice expense pool.
• For the specialty of "pathology," we removed the supervision and autopsy hours reimbursed through Part A of the Medicare program from the practice expense per hour calculation.
• For the specialty "maxillofacial prosthetics," we used the "all physician" practice expense per hour to create practice expense cost pools and, as an interim measure, allocated these pools using the 1998 practice expense RVUs.
• We split the practice expenses per hour for the specialty "radiology" into "radiation oncology" and "radiology other than radiation oncology" and used this split practice expense per hour to create practice expense cost pools for these specialties.
(3) Time Associated With the Work RVUs
The time data resulting from the refinement of the work RVUs have been, on average, 25 percent greater than the time data obtained by the Harvard study for the same services. We increased the Harvard research team's time data to ensure consistency between these data sources.
For services with no assigned physician time (such as, dialysis, physical therapy, psychology, and many radiology and other diagnostic services), we calculated estimated total physician time based on work RVUs, maximum clinical staff time for each service as shown in the CPEP data, or the judgment of our clinical staff.
We calculated the time for CPT codes 00100 through 01996 using the base and time units from the anesthesia fee schedule and the Medicare allowed claims data.
3. Refinement
(a) Background. Section 4505(d)(1)(C) of the BBA required us to develop a refinement process to be used during each of the 4 years of the transition period. We did not propose a specific long-term refinement process in the June 1998 proposed rule (63 FR 30835). Rather, we set out the parameters for an acceptable refinement process for practice expense RVUs and solicited comments on our proposal. We received a large variety of comments about broad methodology issues, practice expense per hour data, and detailed code level data. We made some adjustments to our proposal when we were convinced an adjustment was appropriate. We also indicated that we would consider other comments for possible refinement and that the values of all codes would be considered interim for 1999 and for future years during the transition period.
We outlined in the November 1998 final rule (63 FR 58832) the steps we were undertaking as part of the initial refinement process. These steps included-
• Establishment of a mechanism to receive independent advice for dealing with broad practice expense RVU technical and methodological issues;
• Evaluation of any additional recommendations from the General Accounting Office, the Medicare Payment Advisory Commission (MedPAC), and the Practicing Physicians Advisory Council (PPAC); and
• Consultation with physician and other groups about these issues.
We also discussed a proposal submitted by the AMA's Specialty Society Relative Value Update Committee (RUC) for development of a new advisory committee, the Practice Expense Advisory Committee (PEAC), to review comments and recommendations on the code-specific CPEP data during the refinement period. In addition, we solicited comments and suggestions about our practice expense methodology from organizations that have a broad range of interests and expertise in practice expense and survey issues.
In the July 22, 1999 proposed rule and the November 1999 final rule, we provided further information on refinement activities underway, including the formation of the PEAC and the support contract that we awarded to focus on methodologic issues. The following is an update on activities with respect to these initiatives, as well as the status of refinement with respect to other areas of concern such as the SMS data and CPEP inputs.
(b) SMS Data. We have received many comments on both our 1998 and 1999 proposed and final rules from a number of medical specialty societies expressing concerns regarding the accuracy of the SMS data. Some commenters stated their belief that the sample size for their specialty was not large enough to yield reliable data. Other specialties not represented in the SMS survey objected that the crosswalk used for their practice expense per hour was not appropriate and requested that their own data be used instead. Commenters also raised questions about whether the direct patient care hours for their specialty were overstated by the SMS to the specialty's disadvantage.
We consider dealing with these issues to be one of the major priorities of the refinement effort. Therefore, we have undertaken the following activities:
(1) Interim Final Rule on Supplemental Practice Expense Survey Data
On May 3, 2000, we published an interim final rule (65 FR 25664) that set forth the criteria for physician and non-physician specialty groups to submit supplemental practice expense survey data for use in determining payments under the physician fee schedule. Section 212 of the BBRA required us to establish a process under which we will 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 practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.
To obtain data that could be used in computing practice expense RVUs beginning January 1, 2001, we published the criteria in the May 2000 interim final rule (65 FR 25666) that we will apply to supplemental survey data submitted to us by August 1, 2000. We also provided a 60-day period for submission of comments on the criteria that we will consider for survey data submitted between August 2, 2000 and August 1, 2001 for use in computing the practice expense RVUs for the CY 2002 physician fee schedule. (See the May 2000 interim final rule for further information on the criteria and process). We intend to respond to comments received on this interim final rule in the physician fee schedule final rule to be published this fall. We believe this is an important step in addressing the concerns of those specialties that believe they are underrepresented in the SMS survey data or believe they have not been surveyed by the SMS.
(2) Proposals for SMS Refinement
As we indicated in the November 1999 final rule, we awarded a contract to The Lewin Group to obtain independent advice dealing with broad practice expense RVU technical and methodological issues. Specific activities we requested the contractor to evaluate included the following:
• Evaluation of SMS data for validity and reliability.
• Identification and evaluation of alternative and supplementary data sources from specialty and multi-specialty societies.
• Development of options for validating the Harvard/RUC physician procedure time data.
• Evaluation of the indirect cost allocation methodology.
• Advice on developing a process for the 5-year review of practice expense RVUs.
The Lewin Group issued their first draft report, "Practice Expense Methodology," dated September 24, 1999. We have placed this report on our homepage under the title "Practice Expense Methodology Report." (Access to our homepage is discussed under the "Supplementary Information" section above.) The report contains various recommendations aimed at increasing the validity and reliability of the AMA's SMS survey. As we discuss below, the AMA will no longer be collecting data through the SMS survey. However, the AMA is currently pilot-testing an alternative practice expense survey of physician practices. Although The Lewin Group's recommendations were made specifically to address improving the SMS survey for calculating practice expense RVUs, we believe the recommendations will be useful in making refinements to the practice level survey or designing any other survey instrument that may be used in calculating practice expense RVUs. The recommendations fell into the three following areas:
• The use of data supplementary to the SMS survey.
• Suggested changes to the survey instrument.
• Recommendations for using the data in calculating the specialty-specific practice expense per hour.
The report recognized the need for additional data obtained either through oversampling or additional surveys. We would welcome the receipt of additional objective and valid data that would help ensure that our specialty-specific practice expense per hour calculations are as accurate as possible. However, to ensure consistency of the data across specialties, the report also stressed the need for any supplementary data to adhere to the same format, survey instrument, sample frame, and definitions as the SMS survey. We share this concern, and in the May 2000 interim final rule we identified the specific criteria that all supplementary surveys must meet to ensure that data are valid, reliable, and consistent with the SMS data already in use.
In line with the report's recommendations on the use of the SMS data, we are proposing to do the following:
• The Lewin Group recommended that we update the SMS survey data currently being used for practice expense per hour with new SMS data. They also recommended using a rolling 3-year average to determine practice expense per hour values. We are currently using data from the 1995 through 1997 SMS survey (1994 through 1996 practice expense data). The latest data available is from the 1998 SMS survey and we have incorporated this data into our practice expense per hour calculations. Although The Lewin Group has recommended using a rolling 3-year average, we have decided to base the practice expense per hour calculations on a 4-year average. We are concerned that substituting data from the 1998 SMS for data from the 1999 SMS may exacerbate changes in the practice expense per hour calculations that may be explained by sampling error. We believe that using an additional year of SMS data will have the advantage of minimizing changes in the practice expense per hour data that result from sampling error, while allowing our calculations to be based on more survey data.
• The Lewin Group recommended that we standardize survey data from the SMS so that it reflects a common base year. They raised a concern that variations in sample size for a given specialty across the 3 years may produce a different result than if the survey response were standardized to reflect a common year. This could disadvantage those specialties that were more heavily sampled in the early years. We evaluated this recommendation and found that standardizing the SMS data we are currently using to reflect a 1995 cost year has virtually no impact on the practice expense per hour calculations. However, this issue will be more of a concern in using the later SMS data because response rates were lower in the 1998 SMS survey than in prior years. For this reason, we are standardizing the practice expense data so that it reflects a common base year. Using the MEI, we standardized the practice expense data so that it reflects a 1995 cost year consistent with the pricing information that we are using for the estimates of practice expense inputs for individual procedures.
The table below reflects the practice expense per hour calculations we are using in determining the CY 2001 practice expense RVUs.
BILLING CODE 4120-01-P
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BILLING CODE 4120-01-C
• The Lewin Group also recommended that we revise edits and trims to the SMS survey data, both practice expenses and hours, to exclude data that fall outside set acceptable ranges (for example, three standard deviations from the geometric mean). We asked the AMA about their reaction to The Lewin Group's recommendation and the AMA replied:
Trimming outlier values will further reduce sample size. Trimming expense values can also be problematic because high expense responses on the SMS are often justified when practice size and structure are taken into account. A trim may also disproportionately impact specialties with highly skewed distributions of PE-HR.
For this reason, we are not taking action in response to The Lewin Group's recommendation at this time.
• In addition, The Lewin Group recommended that we account for item non-response to questions related to practice expenses and patient care hours. We asked the AMA for their reaction to this recommendation as well. The AMA replied that they would need more information and added that there is no evidence that a pattern of non-response bias exists for practice expense, although it is a possibility. We are considering whether to study this issue further but, at this time, are not making any adjustments in response to this recommendation.
The report also makes suggestions on changes to the survey instrument used to collect practice expense data from practitioners. Though the original SMS survey does collect some information on practice expenses, it was not designed as a vehicle to calculate a specialty-specific practice expense per hour. We, and the contractor, have held several meetings with the AMA's SMS staff to discuss revisions to the survey that would help make our calculations more precise.
We understand that the AMA is currently piloting a new practice-level survey designed to address some of the limitations of the SMS. If the pilot of the survey is successful, we earlier understood that the AMA plans were to conduct the practice survey initially in CY 2000 and, in alternate years thereafter, the practice expense survey and the SMS survey. The AMA has recently indicated that its plans about the future of the SMS and collection of practice level survey data are unclear at this time. While the AMA has not made a final decision at this time about whether the practice level survey will be done, they have indicated concern to us about low response rates from the pilot test. Nevertheless, we are proceeding to make recommendations to the AMA regarding collection of practice expense data through the practice level survey. We will continue our discussion with the AMA regarding its plans for future practice expense data collection following completion of the practice level survey. And, as we stated earlier, we believe these recommendations will be useful in the design of the practice level survey or any other survey of practice expenses used in developing RVUs for practice expenses.
The use of this practice level survey, as it is currently contemplated, responds to several of our contractor's recommendations. For example, it would address the recommendation that information be collected on each physician's percent share of practice expense and hours within the practice by collecting information at the total practice, rather than the individual physician owner level. The practice level survey also currently contains, as requested, questions on the number of hours the physician's office is open in a typical week and on the salaries for the mid-level practitioners used by the practice (that is, physician assistants, nurse practitioners, clinical nurse specialists, nurse mid-wives, certified registered nurse anesthetists, and physical and occupational therapists).
We are also suggesting additional changes in the survey questions or directions, generally reflecting our contractor's recommendations. We believe that the following changes would give more precise and reliable data on which to base our practice expense calculations:
• Emphasize the benefit of involving the practice manager or accountant in the completion of the survey and the need to link the practice expense data to the practice's tax information whenever possible.
• Include a question concerning how many patient care hours are spent on uncompensated care, that is, care that the law requires one to provide, but for which one is not compensated. This would not include charity care that is voluntarily provided.
• Add a question concerning the amount or percentage of revenue generated by mid-level practitioners.
• Add a question concerning the amount or percentage of supply costs that relates to separately billable supplies (for example, drugs, casting supplies, and laboratory supplies).
• In addition, we are recommending that the survey include more specific questions on patient care hours and that separately billed mid-level practitioner hours be included.
The Lewin Group also recommended that the survey include questions about a typical week, rather than the most recent week. We are not adopting this suggestion because we believe that questions about the most recent week are likely to yield more concrete, accurate answers, whereas questions about a typical week are more likely based on estimates. As we have already stated, the AMA will no longer be collecting data through the SMS and the AMA has also expressed concern about low response rates from the pilot of the practice level survey. At this time, we are unclear as to the AMA's plans with regard to future practice expense data collection efforts.
As we indicated earlier, we are currently proposing to use data from the 1998 SMS in developing the 2001 practice expense relative value units. Furthermore, data from the 1999 SMS will become available later this year. In addition, section 1848(c)(2)(B) of the Act requires that not less often than every 5 years, we review and make adjustments to RVUs. Thus, by law we are required to review and make adjustments to the practice expense RVUs no later than 2007. Regardless of whether the AMA continues to collect data on practice expenses, we will be developing plans for making refinements to practice expense RVUs beyond 2002.
We welcome comments on long-term strategies for refining the practice expense RVUs and any suggestions for how to collect practice expense data in the event it is no longer collected by the AMA. We will consider these comments and any further decisions by the AMA with regard to its practice expense data collection efforts in developing our refinement strategy beyond 2002.
(3) Direct Patient Care Hours
We have received many comments from specialty societies concerning our calculation of direct patient care hours. This is a major issue because the patient care hours are one half of the ratio used to determine the practice expense per hour for each specialty. (The practice expenses of practitioners in a specialty are divided by the direct patient care hours in order to calculate the practice expense per hour). If the reported hours do not reflect the actual average billable hours for a specialty, the practice expense per hour will be over-or understated.
Several commenters representing surgical specialty societies have raised concern that the hours computed for their specialties have been overstated. This may be a result of SMS survey respondents including non-billable hours (such as stand-by time) when asked how many hours they worked each week. If this is the case, this would decrease the practice expense per hour for these specialties. In addition, commenters representing emergency room physicians raised the issue that the hours spent on uncompensated care were probably also included in the survey responses to the detriment of this specialty.
We agree with the commenters that there is a need to increase the level of confidence in the direct patient care hour data. We are already taking steps to improve the future accuracy of these data. As mentioned above, we are recommending that the future survey questions be worded more precisely so that only the appropriate practitioner hours are included. In addition, we have asked our contractor to give priority to recommendations on steps we can take to improve the accuracy of the patient care hours.
As a first step in accomplishing this, The Lewin Group issued their second draft report on December 6, 1999, entitled "Validating Patient Care Hours Used in HCFA's Practice Expense Methodology." This report explores alternative methods that we might use to validate the time data collected by the SMS survey. The validation techniques attempt to achieve two goals: (1) Identifying inaccurate existing data and (2) identifying inconsistencies in new data to be derived from future survey efforts.
The Lewin Group developed the following four validation techniques to analyze the SMS data used in computing the specialty-specific patient care hours:
• Method 1: Compare the patient care hour data reported at the beginning of the SMS survey (that asks for the total hours worked in a week) to responses from the detailed questions on patient care hours appearing later in the SMS survey.
• Method 2: Calculate ratios of SMS time pools to Harvard/RUC time pools by specialty, using Harvard/RUC procedure time data and Medicare claims data.
• Method 3: Compare newly reported SMS data to historical SMS data to identify outliers.
• Method 4: Compare SMS data on annual hours worked with annual hours data reported in the Medical Group Management Association's (MGMA) "Physician Compensation and Production Survey".
We have placed this report on our homepage under the title "Validating Patient Care Hours."
We agree with our contractor that no single validation approach exists that can be used to validate both existing and new data on patient care hours with a high level of confidence. However, the approaches described above, when used together, could be effective tools that will help to ensure the accuracy and reliability of existing and future data used in the calculation of practice expense RVUs. These validation efforts would allow us, and the medical community, to be more confident in the use of future data to update practice expense RVUs. Therefore, we extended The Lewin Group's contract so that, among other refinement tasks, the above analyses can be carried out. We are aware that even with the above initiatives, it might not be possible to address all concerns regarding refinement of the patient care hours in the short term. Therefore, we welcome any comments and suggestions as to other steps we could take to verify and improve the accuracy of the specialty-specific patient care hours.
(c) CPEP Data .
(1) Relative Value Update Committee's Practice Expense Advisory Committee
The PEAC, a subcommittee of the RUC, held its initial meetings last year and the RUC made recommendations on CPEP inputs for clinical staff times, supplies, and equipment on approximately 65 CPT codes. We discussed our actions with regard to these recommendations in the November 1999 final rule. The PEAC continues to meet to refine the CPEP direct cost inputs, and we anticipate that we will receive additional RUC recommendations in July. We will address these recommendations in this year's physician fee schedule final rule.
In the November 1999 final rule, we deferred action on the RUC recommendations for a few groups of CPT codes on which we had significant questions. We are now proposing to accept the RUC recommendations with the revisions noted below:
Prostate Procedures
52647 Non-contact laser coagulation of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)
53850 Transurethral destruction of prostate tissue; by microwave thermotherapy
53852 Transurethral destruction of prostate tissue; by radiofrequency thermotherapy
We are accepting the total clinical staff time recommended for the in-office setting, but are moving 60 minutes from post to intra-service time for each of the above procedures because the staff time for observation of the patient during recovery from anesthesia belongs in the intra-service period. We are reducing the out of office preservice clinical staff time for CPT codes 52647 and 53852 to 30 minutes to match the RUC recommendation for CPT code 53850 and the time allotted in the office for each service and are making the out-of-office postservice time equal to the in-office postservice time because we believe there is no reason that these times should differ.
The supplies for all three procedures were adjusted to reflect three postoperative visits and to conform with the overall adjustment to supplies made in the November 1999 final rule. For CPT code 52647, we deleted the flexible cystoscope from the equipment because only one scope is required for the procedure. We also deleted the sterilizer because it is not typically used. For CPT code 53850, the RUC recommendations included the inputs for two different scenarios using two different devices. We chose what we believe to be the most typically used device and the inputs that accompany this. For CPT code 53852, we deleted the cystoscopes and sterilizer from the equipment because we believe that they are not typically used.
Chemotherapy Procedures
96408 Chemotherapy administration, intravenous; push technique
96410 Chemotherapy administration, intravenous; infusion technique, up to one hour
The RUC had recommended 102 minutes of clinical staff time for CPT code 96408 and 121 minutes for CPT code 96410. In the November 1999 final rule, we solicited comments on these codes to assist us in our review. In response, the American Society of Clinical Oncology provided a breakdown by specific tasks of the above staff times. Included in this breakdown were 20 minutes for pre- and postprocedure education and 15 minutes for three phone calls after each visit.
Because we believe that the times for patient education and phone calls should be averaged over the whole course of chemotherapy treatment, and because there appeared to be some duplication in the pre- and postprocedure education tasks, we reduced both the patient education and phone call times by 5 minutes. Therefore, we are proposing 92 minutes of clinical staff time for CPT code 96408 and 111 minutes for CPT code 96410. For supplies, the specialty society agreed that we should delete the silver nitrate stick and HEPA filters from both procedures and the infusion pump cassette from CPT code 96408.
(2) Clinical Staff Time
In the November 1999 final rule, we removed estimates of all clinical staff time allotted to the use of clinical staff in the facility setting from the CPEP data. Commenters have since noted that the clinical staff times reported by some CPEP panels for pre- and postservice times for 0-day global services performed in the office were recorded in the intra-service field in the CPEP database. These times were, therefore, deleted along with the times for the use of clinical staff in the facility setting, unlike the pre- and postservice times for 10 and 90-day global services that were entered into the separate pre and post data fields. The commenters argued that these pre- and postservice staff times for the relevant 0-day global services should be reinstated because these times are for staff in the office before and after the patient is in the facility.
We agree that these data are not comparable to the data we excluded for clinical staff used in the facility setting. We reviewed the "CPEP Recorders' Notes Files" compiled for each CPEP panel by Abt Associates, Inc., the contractor managing the CPEP panels. When the notes indicate that clinical staff estimates were for activities performed in physicians' offices, we are proposing to reinstate the time data for 0-day global services. The fact that we have reinstated these time data does not mean that we necessarily agree that the amount of time assigned is correct. Like all the other raw CPEP data, these time data are subject to refinement and possible revision.
The entire recorders' notes file is available on our website and is entitled "CPEP Recorders' Notes Files." Addendum C shows a list of the codes for which pre- or postclinical staff time has been added, as well as the times that are now assigned.
(3) Supplies
In the November 1999 final rule (64 FR 59392), we indicated that casting materials are bundled into the payment for the initial fracture management procedures and that separate billing for the supplies is not allowed. However, commenters noted that our policy has been to allow separate payment for splints, casts, and other devices used for the reduction of all fractures and dislocations under section 1861(s)(5) of the Act. Since we provide separate payment for splints and casting supplies, we are now proposing to remove these types of expenses from practice expense inputs for all applicable fracture management and cast/strapping application procedure codes under the physician fee schedule.
In the November 1999 final rule, we deleted certain casting supplies (fiberglass roll, cast padding, and cast shoe) from the list of supplies for the casting and strapping CPT codes 29000 through 29750. We have identified additional CPT codes for the treatment of fractures/dislocations that have these supplies included in the CPEP data. Since these supplies are currently separately billable, we are proposing to remove the fiberglass roll, cast padding, and cast shoe from the following CPT codes: 23500 through 23680; 24500 through 24685; 25500 through 25695; 26600 through 26785; 27500 through 27566; 27750 through 27848; and 28400 through 28675.
In addition, we are also proposing to remove additional casting and splinting supplies from all the CPT codes referenced above because these supplies are also currently separately billable under section 1861(s)(5) of the Act. The list of supplies is as follows: stockingnet/stockinette; plaster bandage; Denver splint; dome paste bandage; cast sole; elastoplast roll; fiberglass splint; Ace wrap; Kerlix; Webril; Malleable Archbars; and elastics.
We welcome comments on whether these supplies should be deleted from additional procedures outside the code ranges referenced above, and whether we have appropriately identified all the casting supplies in our supply list.
(4) Equipment
We are currently using the original CPEP definitions for equipment that distinguish between "procedure specific equipment" and "overhead" equipment. The main distinction between the two categories is that procedure specific equipment is used only for a limited number of procedures, while overhead equipment is used over a wide range of services. In terms of actual application, we assume a 50-percent utilization rate for procedure specific equipment, but a 100-percent rate for all overhead equipment. In addition, the methodology assumes that the procedure specific equipment is used only during the intraservice period, while it assumes that the overhead equipment is used for the entire service. We believe this distinction was more important under our original "bottom-up" methodology when the accuracy of the practice expense RVUs was almost totally dependent on the precision of the CPEP inputs. Under our current "top-down" methodology, however, when the CPEP inputs are used only as allocators of the specialty-specific practice expense pools, the distinction has served to hinder the process of refining the CPEP inputs while not leading to a substantive distinction in how we value services.
We are proposing to combine both categories of equipment into a single "equipment" category, assuming an average 50-percent utilization for all equipment. We believe that this will be beneficial to our refinement process for the following reasons:
• The current definition of the two categories of equipment necessitates many subjective decisions. While it might be obvious that an examination table is used for a wide range of services and, therefore, would be overhead equipment, it is somewhat more arbitrary to classify equipment such as cystoscopes or specific x-ray machines as overhead or procedure specific.
• The various CPEP panels were not consistent in their application of the distinction between the two categories. Most of the items that were classified by some of the CPEP panels as overhead equipment were classified by another panel as procedure specific. In addition, equipment that would seem to be very similar was sometimes treated in different ways. For example, an examination table or a stretcher were considered to be overhead, but an electric table or a wheelchair were considered procedure-specific.
• It would simplify the refinement process to have only one category of equipment to consider rather than having to decide for all 7000 codes to which category each piece of equipment belongs.
We are also proposing to delete from the CPEP data equipment that is not used typically with any service, but is on "standby" for many services, or that is used for multiple services at the same time. In either of these cases, it is difficult to allocate the cost of this equipment appropriately to individual CPT codes. Examples of "standby" equipment are crash carts, defibrillators, wheelchairs, and stretchers. Examples of equipment used for multiple procedures at the same time are cabinets, refrigerators, and autoclaves.
Following is the list of equipment that we are proposing to delete at this time from the CPEP inputs of all services: autoclave, wheelchair, refrigerator, film file cabinet, hazard material spill kit, embryo freezer, water system, flammable reagent cabinet, utility freezer, ultra low temperature freezer, acid cabinet, bulk storage refrigerator, abortion clinic security system, abortion clinic security guard, gomco suction machine, doppler, laser printer, lead shielding, defibrillator with cardiac monitor, blood pressure/pulseox monitor, blood pressure monitor, printer, crash cart-no defibrillator, and smoke evacuator.
The following is a list of equipment that we are proposing to delete as "standby" equipment for most codes, but that we believe typically may be used with a designated subset of procedures:
• X-ray view box-four panel (retain when currently in the CPEP data for codes in the range CPT codes 70010 through 79999).
• ECG machine-3 channel (retain when currently in the CPEP data for CPT codes 93000 through 93221).
• Pulse oximeter (retain when currently in the CPEP data for CPT codes 94620, 94621, 94680, 94681 and 94690; 94760 through 94770, 95807 through 95811 and 95819).
• ECG/blood pressure monitor-3 channel (retain when currently in the CPEP data for CPT codes 43200 through 43202 and 43234 through 43239).
• Cardiac monitor (retain when currently in the CPEP data for CPT codes 31615 through 31628).
• ECG-Burdick (except for HCPCS code G0166).
We welcome comments on this proposal and on any additional equipment that should not be considered a direct expense because the cost cannot appropriately be allocated to an individual service. Neither of these proposals to improve the CPEP equipment data have a significant impact on any specialty.
(5) CPEP Anomalies
In the November 1999 final rule, we made corrections to the CPEP data for a number of codes that we learned contained errors and anomalies that we could easily correct. Since that time, we have discovered some additional anomalies, and we are proposing to correct them at this time. As we stated in the final rule, though certain revisions may be made now, all practice expense inputs for these codes are still subject to further comment, refinement, and potential PEAC and RUC review and recommendations.
• We have identified several CPT codes that were not costed by the CPEP panels and were not assigned CPEP inputs. We are now crosswalking these services to the CPEP inputs of the most appropriate other service. The CPEP inputs for these codes are subject to refinement. We welcome comments on the crosswalks that we have chosen. The codes and their crosswalks are shown below:
| CPT and HCPCS code | Crosswalk |
|---|---|
| 27347 Remove knee cyst | 27345 Removal of knee cyst. |
| 28289 Repair hallux rigidus | 28288 Partial removal of foot bone. |
| 31643 Diag bronchoscope/catheter | 31629 Bronchoscopy with biopsy. |
| 36831 Av fistula excision | 34111 Removal of arm artery clot. |
| 36833 Av fistula revision | 36832 Av fistula revision. |
| 45126 Pelvic exenteration | 58240 Removal of pelvis contents. |
| 57106 Remove vagina wall, partial | 57110 Removal of vagina wall, complete. |
| 57107 Remove vagina tissue, part | 57111 Remove vagina tissue, complete. |
| 59610 Vbac delivery | 59400 Obstetrical care. |
| 59612 Vbac delivery only | 59409 Obstetrical care. |
| 59614 Vbac care after delivery | 59410 Obstetrical care. |
| 59618 Attempted vbac delivery | 59410 Obstetrical care. |
| 59620 Attempted vbac delivery only | 59514 Cesarean delivery only. |
| 59622 Attempted vbac after care | 59515 Cesarean delivery. |
| 67220 Treatment of choroid lesion | 67208 Treatment of retinal lesion. |
| 76831 Echo exam, uterus | 76830 Echo exam, transvaginal. |
| 78206 Liver image (3d) w/flow | 78205 Liver imaging (3D). |
• The following services can be performed in the office, but either have no CPEP data for the office setting or have been assigned the same inputs as for the facility setting. Until these codes can be refined, we are proposing the following crosswalks for the in-office practice expense inputs so that costs in the office setting are appropriately reflected.
| CPT code | Crosswalk |
|---|---|
| 20225 Bone biopsy, trocar/needle | 20220 Bone biopsy, trocar/needle. |
| 57105 Biopsy of vagina | 57100 Biopsy of vagina (for intraservice period) |
• Because the following either are not performed in the office setting or because we do not have appropriate CPEP inputs for the in-office setting for these services, we are designating the following CPT and HCPCS codes as "N/A" in the office setting: 99183 (Hyperbaric oxygen therapy); 21493 (Treatment of hyoid bone fracture); 21494 (Treatment of hyoid bone fracture with manipulation); 32997 (Total lung lavage); 33968 (Remove aortic assist device); 66830 (Removal of lens lesion); 69990 (Micro-surgery add-on); 92961 (Cardioversion, electric, internal) and we are designating G0167 (Hyperbaric oxygen treatment; no physician required) as carrier priced.
• The TC for CPT code 93660 (Tilt table evaluation) is carrier priced, but we are proposing to price it nationally. Therefore, we are reinstating the original CPEP data.
• We are crosswalking all CPEP inputs for CPT code 44201 (Laparascopy, jejunostomy) from the inputs for CPT code 44200 (Laparoscopy, enterolysis) to reflect that it is a 90-day global service.
• We are adjusting the CPEP inputs for CPT codes 15001 (Skin graft add-on); 15351 (Skin hemograft add-on); and 15401 (Skin heterograft add-on) to reflect that these are ZZZ services.
• CPT code 00103 (Anesthesia for blepharoplasty), which was not costed by the anesthesia CPEP panel, was inadvertently crosswalked to the CPEP inputs of two different CPT codes. We are deleting the crosswalk to the procedure CPT code 21450 and will retain the crosswalk to the anesthesia CPT code 00140 (Anesthesia for procedures on eye).
• We believe that the supply inputs for the retrobulbar injection codes (CPT codes 67500, 67505, and 67515) have been inappropriately crosswalked by the CPEP panel from adjacent surgical procedure codes. After consultation with an ophthalmology specialty society, we have adjusted the supplies so that the list now includes one alcohol swab, one pair of nonsterile gloves, one 5-cc syringe, and one 25-gauge needle.
• In several of the in-office ophthalmology codes, the supply list includes the costs for 50 to 100 sterile towels. The specialty society has confirmed that this is a typographical error and that the quantity should not exceed five for any one visit or procedure. We have made the appropriate adjustments.
• The supply list for CPT code 68761 (Close tear duct opening by plug), currently does not include the costs of a punctal plug. We have received a comment from the specialty society representing optometrists requesting that we add this supply because it is typically used for this procedure. We agree with this comment and are proposing the addition of a punctal plug to the CPEP supplies. We have also deleted the inappropriate inputs from HCPCS code A4263, permanent tear duct plug.
• We have discovered a calculation error that affects the total cost of supplies for some of the codes for which the RUC made recommendations in 1999. We have made the appropriate corrections and are using the corrected values for this rule.
• We have adjusted the clinical staff and supply inputs for HCPCS code G0170, skin biograft, to reflect that it is a 10-day global service with one postprocedure visit.
After consultation with the specialty society, we have also adjusted the supplies for CPT code 53040, drainage of deep periurethral abscess, to correct for anomalies in the quantity of supplies between the in and out of office settings.
(d) Calculation of Practice Expense Pools-Other Issues.
(1) Technical Refinement to Practice Expense Pools
The Act requires payment of some practitioner services (services of certified registered nurse anesthetists, nurse practitioners, clinical nurse specialists, physician assistants, and certified nurse mid-wives) based on a percentage of the physician fee schedule payment amount. Since the payment under the physician fee schedule for a service performed by a midlevel practitioner is required to be based on a percentage of the amount paid to a physician for a service, we are proposing using only physician practice expense data in determining the practice expense RVUs for each practitioner service. Removal of the services performed by midlevel practitioners from the practice expense calculations would assist in simplifying the methodology and would also be consistent with the statutory requirement that we pay for their services based on a percentage of the fee schedule amount.
(2) Medicare Utilization Data
We have received comments from several surgical specialties urging us to evaluate the Medicare claims data to eliminate potential errors. (For example, claims for non-surgeons performing complex surgeries that are generally performed by surgical specialties only.) These commenters were concerned that incorrect specialty utilization will decrease a specialty's practice expense pool and recommended that these claims should either be reassigned to the appropriate specialty or excluded during refinement. To determine whether potential errors in the claim data have an adverse impact on any specialty or merely represent "noise" that creates no significant effect, we ran the following analyses:
First, we analyzed the utilization for CPT codes 63045 through 63048, the highest volume neurosurgical procedures performed by neurosurgeons. Our utilization data indicates that 91 percent of allowed services for these codes are performed by neurosurgeons and orthopedic surgeons. Of the 9 percent of allowed services when the utilization data indicates another specialty, 3 percent are attributed to general surgeons. An additional 2 percent are attributed to the HCFA specialty code for a clinic or other group practice, when it is likely that a surgeon who is a member of a multispecialty clinic is providing the surgical service. Of the remaining 4 percent of allowed services, the data indicates a specialty of general practice, family practice, or neurology.
For the utilization attributed to general and family practitioners, the data indicate that, in most cases, these physicians are serving as assistants-at-surgery. With respect to neurology (2 percent of the allowed services), we believe it is possible that a physician may practice as both a neurologist and neurosurgeon and designate neurology as the specialty for reporting on Medicare claims. For an insignificant percentage of the allowed services (under 1 percent of the allowed services for all remaining specialties combined), our data indicate a specialty that would not be expected to perform the neurosurgical procedure. In these cases, the incorrect CPT code might have been transcribed on the Medicare claim or the incorrect specialty code may have been reported. There was a similar pattern for services associated with other surgical specialties.
We then tested the impact of reassigning to the dominant specialty this small proportion of allowed services associated with specialties not expected to perform them. We selected three of the specialties that commented on the possibility of erroneous utilization data and identified the complete range of specialized codes associated with each specialty. We reassigned to each dominant specialty the utilization currently assigned to other specialties not expected to perform the services. In addition, to test the "worst-case" scenario, we then crosswalked all frequencies for their complete range of codes to the selected individual specialty.
Neurosurgery
When we recoded CPT codes 61000 through 64999 to neurosurgery only, the impact on neurosurgery was a 0.55-percent increase. When we recoded the specialty for only those specialties that would not be expected to provide CPT codes 61000 through 64999 (specialties other than neurosurgery, orthopedic surgery, group practice or physician assistant) to neurosurgery, the resulting impact on neurosurgery was a 0.69-percent increase. In reviewing the utilization data for this code range, we found services that are predominantly performed by radiologists and anesthesiologists (such as CPT code 62311). When we recoded only those services predominantly performed by neurosurgeons, the impact was even less.
Ophthalmology
When we recoded the specialty for all utilization in the range of CPT codes 65091 through 68899 to ophthalmology only, the impact on ophthalmology was 0.31 percent. When we recoded the specialty for only those specialties that would not be expected to provide CPT codes 65091 through 68899 to ophthalmology, the resulting impact on ophthalmology was a 0.32-percent increase.
Otolaryngology
When we recoded the specialty for all utilization in the range of CPT codes 69000 through 69979 to otolaryngology, the impact on otolaryngology was a -0.36 percent. When we recoded the specialty for only those specialties that would be expected to provide CPT codes 69000 through 69979 to otolaryngology, the resulting impact on otolaryngology was -0.35 percent.
We believe that these simulations exaggerate the potential impact of possible errors in the utilization data because, as discussed in the above analysis of CPT codes 63045 to 63048, our simulations likely reassigned the specialty in situations in which the specialty was correctly coded. In any case, in no scenario did the impacts even approach a 1-percent increase or decrease.
We also believe these simulations demonstrate that the small percentage of potential errors in our very large database have no adverse effect on specialty-specific practice expense RVUs. Therefore, we are not proposing any further action at this time.
(3) Allocation of Practice Expense Pools to Codes
The Lewin Group has recently begun the third phase of the project. This phase will concentrate specifically on evaluating the indirect cost allocation methodology. They will evaluate the validity of our current methodology that allocates indirect costs using direct costs and work RVUs and consider alternatives to allocating indirect costs by the current method. The Lewin Group will perform a variety of tasks during this phase of the project to evaluate the advantages and shortcomings of our current indirect cost allocation methodology, as well as of any alternative methodologies. The preliminary tasks for Phase III include-
• Analyzing the current indirect cost allocation methodology to identify its advantages and shortcomings;
• Considering alternate ways in which our methodology might weight direct costs and work RVUs in the allocation of indirect costs and predicting the effects of these alternatives;
• Evaluating the impact and value of changing the methodology to use time rather than work measurements to allocate indirect costs;
• Interviewing experts in the field on potential alternatives to the current indirect cost allocation methodology; and
• Reviewing other relevant efforts to allocate indirect costs associated with physician and non-physician practice expenses.
The Lewin Group's draft final report will present the findings from all three phases of The Lewin Group's analysis of our practice expense methodology. As mentioned above, we are planning to extend The Lewin Group's contract for another year to obtain additional assistance on issues related to practice expense refinement.
(e) Site of Service. Clarifying the Definition of Facility/Nonfacility.
For purposes of practice expense calculations, we make a distinction between services performed in a non-facility and a facility setting. This distinction takes into account the higher expenses of the practitioner in the non-facility setting when the practitioner typically bears the cost of the resources (for example, clinical staff, supplies, and equipment) associated with the services. In the facility setting, because these costs are not incurred by the physician, Medicare payment to the facility includes the cost of the resources for the services furnished. The purpose of the distinction in the site-of-service is to ensure that Medicare does not duplicate payment, to the physician and the facility, for any of the practice expenses incurred in performing a service for a Medicare patient.
For purposes of applying the site-of-service differential, we are defining hospitals, skilled nursing facilities, and ambulatory surgical centers as facilities because they will receive a facility payment for their provision of services. We have been advised that community mental health centers (CMHCs) should also be defined as a facility setting since CMHCs also receive a separate facility payment for their services. Therefore, we are proposing to revise § 414.22(b)(5)(i) (Practice expense RVUs) to add CMHCs to the settings listed in which we would apply the facility practice expense RVUs.
In addition, while we have indicated in previously published rules that the non-facility practice expense RVUs are applicable to outpatient therapy services (physical therapy, occupational therapy, and speech language pathology) furnished by comprehensive outpatient rehabilitation facilities or outpatient rehabilitation providers, there is confusion about this issue. Only the facility can bill for therapy services furnished to hospital and SNF patients. Because this facility payment must include amounts reflecting practice expenses, the higher nonfacility RVUs are used to pay for therapy services even in the facility setting. Therefore, we would amend § 414.22(b)(5)(i) to specifically provide that the nonfacility practice expense RVUs are applicable to outpatient therapy services regardless of the actual setting.
B. Geographic Practice Cost Index Changes
1. Background
The Act requires that payments vary among fee schedule areas according to the extent that relative costs vary as measured by the GPCIs. Generally, the fee schedule areas that existed under the prior reasonable charge system were retained under the fee schedule from calendar years 1992 to 1996. We implemented a comprehensive revision in fee schedule payment areas (localities) in 1997, reducing the number of localities from 210 to 89. A detailed discussion of fee schedule areas can be found in the July 2, 1996 proposed rule (61 FR 34615) and the November 1996 final rule (61 FR 59494). We are required by section 1848(e)(1)(A) of the Act to develop separate indices to measure relative cost differences among fee schedule areas compared to the national average for each of the three fee schedule components. While requiring that the practice expense and malpractice indices reflect the full relative cost differences, the Act requires that the work index reflect only one-quarter of the relative cost differences compared to the national average.
Section 1848(e)(1)(C) requires us to review and, if necessary, adjust the GPCIs at least every 3 years. This section of the Act also requires us to phase in the adjustment over 2 years and implement only one-half of any adjustment in the first year if more than 1 year has elapsed since the last GPCI revision.
The GPCIs were first implemented in 1992. The first review and revision was implemented in 1995, and the second review was implemented in 1998. This constitutes the third GPCI review and revision and will be implemented in 2001.
2. Development of the Geographic Practice Cost Indices
The GPCIs were developed by a joint effort of researchers at the Urban Institute and the Center for Health Economics Research under contract to HCFA. Indices were developed that measured the relative cost differences among areas compared to the national average in a "market basket" of goods. In this case, the market basket consists of the resources involved with operating a private medical practice. The resource inputs are physician work or net income; employee wages; office rents; medical equipment, supplies; malpractice insurance; and other miscellaneous expenses. Employee wages, rents, medical equipment, supplies, and other miscellaneous expenses are combined to comprise the practice expense component of the GPCI. The weights of these components in the original GPCIs (from 1992 through 1994), the first (1995 through 1997) and second (1998 through 2000) GPCI revisions, and the new weights for the third proposed GPCI revision (2001 through 2003) are as follows:
| 1992-1994 GPCIs | 1995-2000 GPCIs | 2001-2003 GPCIs | |
|---|---|---|---|
| Physician Work | 54.2 | 54.2 | 54.5 |
| Practice Expense | 40.2 | 41.0 | 42.3 |
| (Employee Wages) | (15.7) | (16.3) | (16.8) |
| (Rent) | (11.1) | (10.3) | (11.6) |
| (Miscellaneous) | (13.4) | (14.4) | (13.9) |
| Malpractice | 5.6 | 4.8 | 3.2 |
| 100.0 | 100.0 | 100.0 |
The resource inputs and their weights were obtained from the AMA's Socioeconomic Characteristics of Medical Practice Survey. The weights for the 1992 through 1994 GPCIs were from the AMA's 1987 survey, the latest available when the original GPCIs were being developed. The weights for the 1995 through 1997 and 1998 through 2000 GPCIs were from the 1989 survey. The 1989 weights are those used in the revised Medicare Economic Index (MEI) discussed in the November 25, 1992 final rule (Medicare Program; Revision of the Medicare Economic Index) (57 FR 55899). The weights in the proposed 2001 through 2003 GPCIs are from the 1997 AMA survey and were used in the MEI revision discussed in November 2, 1998 final rule (Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1999) (63 FR 58846).
The MEI is a measure of annual increases in the cost of operating a private medical practice and is used in the annual update of the physician fee schedule CFs. Because the GPCIs and the MEI use the same resource inputs to measure the costs of a private medical practice (the GPCIs measure relative costs among areas while the MEI measures the national annual rate of increase in costs), we believe the same weights should be used.
Once the components and their weights were determined, data sources had to be found that were widely and consistently available in all physician fee schedule areas to measure costs. After examining many sources, the following proxies were selected as the best available sources for measuring each component of the original 1992 through 1994 GPCIs:
• Physician work-The median hourly earnings, based on a 20 percent sample of 1980 census data, of workers in six professional specialty occupation categories (engineers, surveyors, and architects; natural scientists and mathematicians; teachers, counselors, and librarians; social scientists, social workers, and lawyers; registered nurses and pharmacists; writers, artists, and editors) with 5 or more years of college. Adjustments were made to produce a standard occupational mix in each area. The actual reported earnings of physicians were not used to adjust geographical differences in fees because these fees are, in large part, the determinants of the earnings. We believe that the earnings of physicians will vary among areas to the same degree that the earnings of other professionals vary.
• Employee wages-Median hourly wages of clerical workers, registered nurses, licensed practical nurses, and health technicians were also based on a 20-percent sample of 1980 census data.
• Office rents-Residential apartment rental data produced annually by the Department of Housing and Urban Development (HUD) were used because there were insufficient data on commercial rents across all physician fee schedule areas.
• Miscellaneous expenses-The Urban Institute and the Center for Health Economics Research assumed that this component is represented by a national market and that costs do not vary appreciably among areas. This component's index is 1.000 for all areas to indicate no variation from the national average.
• Malpractice-Premiums in 1985 and 1986 for a mature "claims made" policy (a policy that covers malpractice claims made during the covered period) providing $100,000 to $300,000 of coverage were used. Adjustments were made to incorporate the costs of $1 million to $3 million coverage and mandatory patient compensation fund requirements. Premium data were collected for physicians in three risk classes-low-risk (general practitioners who do not perform surgery), moderate risk (general surgeons), and high-risk (orthopedic surgeons).
The areas selected for measurement purposes were the Metropolitan Statistical Areas (MSAs). Non-MSA areas within a State were aggregated into one residual area. Using MSAs for measurement satisfied the criteria of (1) homogeneity in resource input prices within the area, and (2) a size large enough so that market areas are self-contained to minimize border crossing; that is, physicians would not move their offices a few miles to secure higher payments and patients would tend to receive services within their area.
The Act requires, however, that the GPCIs reflect cost differences among fee schedule areas. Thus, it was necessary to map Medicare localities to the MSA and non-MSA aggregation of GPCI data. Where localities crossed MSA boundaries, MSA indices were converted to Medicare locality indices by population weights.
Detailed discussions of the methodology and data sources of the 1992 through 1994 GPCIs can be obtained by requesting the following studies from the National Technical Information Service by calling 1-800-553-NTIS or, for residents of Springfield, Virginia, (703) 487-4650.
• The Urban Institute report "The Geographic Medicare Index: Alternative Approaches," NTIS PB89-216592.
• The supplement to "The Geographic Medicare Index: Alternative Approaches," NTIS PB91-113506. This was published in the September 4, 1990 notice for the model fee schedule (55 FR 36238).
• The Urban Institute report, "Refining the Malpractice Geographic Practice Cost Index," February 1991, NTIS PB91-155218. The related diskette is NTIS PB91-507491. This is the final version of the 1992 through 1994 GPCIs as published in the November 1991 final rule (56 FR 59785).
3. Revised 1995 Through 1997 Geographic Practice Cost Indices
The main criticism of the original GPCIs was that they were outdated because they were based on old data; for example, 1980 census data and 1985 and 1986 malpractice premiums. This was, however, the most recent data available when the GPCIs were established. The revised 1995 through 1997 GPCIs were based on the most current data available when they were developed in 1993 and 1994.
We made some minor changes from the original GPCI methodology in calculating some of the revised 1995 through 1997 indices. One methodological change was made that applied across all indices. As mentioned earlier, under the original GPCIs, where Medicare localities crossed MSA boundaries, MSA indices were converted to locality indices by population weights. Medicare expenditure weights were not used because the expenditures under the reasonable charge system contained large differences unrelated to relative cost differences among areas. In calculating the revised GPCIs, where localities crossed MSA boundaries, locality indices were calculated by weights based on the proportion of localities' RVUs provided in each MSA to reflect relative cost differences among areas. Full fee schedule RVUS were used rather than actual 1993 payments because 1993 fee schedule payments still reflected some reasonable charge payment levels. The advantages of RVU weighting are (1) the GPCIs more closely reflect physician practice costs in the area where the services are provided rather than where the population lives, and (2) budget neutrality is preserved when we combine multiple localities into larger areas, such as statewide localities.
a. Work Geographic Practice Cost Indices. Data from the 20-percent sample of census data of median hourly earnings for the same six categories of professional specialty occupations as used in the 1992 through 1994 work GPCIs were used in calculating the 1995 through 1997 work GPCIs. The 1992 through 1994 work GPCIs were calculated using 1980 census data of earnings for professionals with 5 or more years of college. That sample was no longer available with the 1990 census. The 1990 census educational classifications were by highest degree earned and not by years of schooling as in the 1980 census. Thus, it was not possible to obtain earnings data that exactly compared to the 1980 data.
For 1990, data were available for all-education and advanced-degree samples, but not for 5 or more years of college. We elected to use the all-education sample because its larger sample sizes made it more stable and accurate in the less populous areas. Although it could be argued that physicians' earnings might more closely approximate the earnings of professionals with advanced degrees, the differences between the all-education and advanced-degree indices were negligible in all but a few of the smallest localities. We believed that the small sample sizes of advanced-degree occupations in these small localities may produce inaccurate results.
The 1992 through 1994 work GPCIs used metropolitan-wide median wages for each county within an MSA. That is, all counties within an MSA were assigned the MSA-wide median wage even if there were wage variations within the MSA. We believed that this was appropriate for all but Consolidated Metropolitan Statistical Areas (CMSAs), the largest of the MSAs, such as New York. In these CMSAs, we replaced metropolitan-wide earnings with county-specific earnings. We believed this change was appropriate because costs were, in fact, higher in central city areas (for example, Manhattan and San Francisco) than in the rest of the CMSA. County earnings better account for cost variation within these large metropolitan areas.
b. Practice Expense Geographic Practice Cost Indices. (1) Employee Wage Indices. Data from the 20-percent sample of census data of median hourly earnings for the same categories of medical and clerical occupations used in the 1992 through 1994 practice expense GPCIs were used in the 1995 through 1997 practice expense GPCIs. The 1995 through 1997 practice expense GPCIs used 1990 rather than 1980 census data. As with the work GPCIs, county level data were used for CMSAs to better reflect the cost variations within these large metropolitan areas.
(2) Rent Indices. As with the original rent indices, the HUD fair market rental (FMR) data for residential rents were again used as the proxy for physician office rents. The 1995 through 1997 practice expense GPCIs reflect 1994 HUD FMRs. Like the work GPCI and the employee wage index of the practice expense GPCIs, county level data were used in CMSAs to recognize the variations within the CMSA.
The major criticism of the rent indices was that residential rather than commercial rent data were used. As mentioned earlier, for constructing the GPCIs, we needed data that were widely and consistently available across all physician fee schedule areas. As with the original GPCIs, we again searched for private sources of commercial rent data that were widely and consistently available.
The private sources we found were not adequate. None of the sources collected data for nonmetropolitan areas, nor did any collect data for all metropolitan areas. The sources did not reflect the average commercial space in the area, but rather the particular type of space most relevant to the needs of a particular source's clients. In addition, the sample sizes were small. A comparison of the average rental for any particular city showed significant variation depending upon the source. Also, the private commercial rent data tended to be for very high priced real estate of the type likely to be used by large institutions such as banks, insurance companies, or financial firms and not for the type of office space used by physicians.
Among the sources of commercial rent data available, the most promising were data from the Building Owners and Managers Association, the General Services Administration, and the U.S. Postal Service. These data were analyzed in depth. We did not use data from the Building Owners and Managers Association and the General Services Administration because of poor geographic coverage, especially outside of large metropolitan areas. That is, data were not widely and consistently available for all physician fee schedule areas. The U.S. Postal Service data had much better geographic coverage, but sample sizes in many areas were unacceptably small and could have led to erroneous results.
No acceptable national commercial rent data are readily available for physician office rents. Thus, some proxy must be used for this portion of the index. In addition, commercial rent data are not available for all areas from published statistical sources.
We believe that the HUD FMR data remain the best available data for constructing the office rental index. They are available for all areas, are updated on an annual basis, and are consistent among areas and from year to year. Moreover, physicians are frequently located in areas and office space that are residential rather than commercial (for example, in apartment complexes and small strip commercial centers adjacent to residential areas).
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As mentioned earlier, the GPCI assumes that this component has a national market and that input prices do not vary among geographic areas. We were unable to find any data sources that demonstrated price differences by geographic area. Anecdotal and interview data from suppliers and manufacturers were inconclusive. While some price differences may exist, they are more likely to be based on volume discounts rather than on geographic areas. Generally, it appears that manufacturers' prices do not vary among areas except for shipping costs. Since manufacturers and suppliers are located all over the country, shipping costs on the mainland do not vary significantly.
We did consider an add-on for shipping costs to Alaska, Hawaii, and Puerto Rico to recognize the added shipping distance. We decided against the add-on because there were no data to indicate how much the costs of shipping medical equipment and supplies to these areas increased their total costs. We were able to ascertain that commercial shippers like United Parcel Service and Federal Express generally charge about 10 percent more to ship to Puerto Rico and about 20 percent more to ship to Alaska and Hawaii from the mainland.
Medical equipment and supplies represent about 7 percent of physician practice costs. Even assuming that shipping costs represent 5 percent of total equipment and supply costs, which we believe to be a high estimate, recognizing a 20 percent increase in shipping costs would only increase payment levels by 0.07 percent or 0.0007 (.20 × .05 × .07 = .0007). The medical equipment, supplies, and miscellaneous expense index for all areas continued to be 1.000 in the revised 1995 through 1997 GPCIs.
c. Malpractice Geographic Practice Cost Indices. Again, malpractice premium data for a $1 million to $3 million mature "claims made" policy were collected, with mandatory patient compensation funds considered. However, more recent and more comprehensive malpractice insurance data were used in calculating the 1995 through 1997 malpractice GPCIs. The 1995 through 1997 malpractice GPCIs were based on 1990 through 1992 premium data. Malpractice premiums are very volatile and may change significantly from year to year. We decided to use the most recent 3-year average available rather than just the most recent single year to smooth out this volatility and present a more accurate indication of malpractice premium trends over time.
We collected data on more specialties and from more insurers. We collected data on 20 specialties, rather than on only three as in the 1992 through 1994 malpractice GPCIs. The 1992 through 1994 malpractice GPCI data were largely drawn from a single nationwide insurer (St. Paul Fire and Marine) and were supplemented by several State-specific carriers in States in which St. Paul did not offer coverage. Subsequent analyses suggest that these data were not representative of insurers operating in many States. For the revised malpractice GPCI, data were collected from insurers that, on average, represented 82 percent of the market in each State, with the lowest State market share being 60 percent. We believe that the more recent and much more comprehensive data greatly improved the accuracy of the malpractice GPCIs for 1995 through 1997.
Detailed discussions of the methodology and data sources of the 1995 through 1997 GPCIs can be obtained by requesting the following studies from NTIS by calling 1-800-553-NTIS, or (703) 487-4650 in Springfield, Virginia:
• "Updating the Geographic Practice Cost Index: Revised Cost Shares." Debra A. Dayhoff, John E. Schneider, and Gregory C. Pope. NTIS PB94-161072.
• "Updating the Geographic Practice Cost Index: The Physician Work GPCI." Gregory C. Pope and Deborah A. Dayhoff. NTIS PB94-161080.
• "Updating the Geographic Practice Cost Index: The Practice Expense GPCI." Gregory C. Pope, Deborah A. Dayhoff, Angella R. Merrill, and Killard W. Adamache. NTIS PB94-161098.
• "Updating the Geographic Practice Cost Index: The Malpractice GPCI." Stephen Zuckerman and Stephen Norton. NTIS PB94-161106.
4. Revised 1998 Through 2000 Geographic Practice Cost Indices
The same data sources and methodology used for the 1995 through 1997 GPCIs were used for the revised 1998 through 2000 GPCIs with a few very minor modifications. No acceptable additional data sources were found. The cost shares were the same as in the 1995 through 1997 GPCIs because no changes were made in the MEI weights.
Indices for fee schedule areas are based on the indices for the individual counties within the fee schedule area. Fee schedule RVUs are again used to weight the county indices (to reflect volumes of services within counties) when mapping to fee schedule areas and in constructing the national average indices. However, we used more recent data, 1994 rather than 1992 RVUs, in the county, locality, and national mapping in the proposed GPCIs. The payment effect of this is negligible in most cases and generally results in changes at the third decimal point if at all.
a. Work Geographic Practice Cost Indices. The work GPCIs are based on the decennial census. The 1992 through 1994 work GPCIs were based on 1980 census data because 1990 census data were not yet available. The work GPCIs were revised in 1995 with new data from the 1990 census. New census data will not be available again until after the 2000 census. We searched for other data that would enable us to update the work GPCIs between the decennial censuses but no acceptable data sources were found. The most promising sources of data were the hospital wage data that we collected to calculate the prospective payment system (PPS) hospital wage index and the payroll per worker data collected by the U.S. Bureau of Labor Statistics from State unemployment insurance agencies ("the ES-202 data").
The PPS hospital wage data were examined when we constructed the original GPCIs. They were rejected in favor of census data because of their lack of an occupation mix adjustment and their unrepresentative occupational composition (hospital employees rather than professionals or physician office employees). ES-202 data consist of total payroll divided by counts of wage and salary workers. Their major disadvantages were that they did not measure hourly earnings, only payroll per employee, and no occupational detail is available. Also, they did not adjust for part-time or full-time and hours worked, and the numbers of workers are small for certain States, leading to unstable estimates of payroll per worker. We compared the changes by State from 1989 to 1993 in the PPS wage data and the ES-202 data to see if there was any correlation between the two series. The correlation between the two was only moderate: 0.55. The changes indicated by both series were generally small, for example, a few percentage points. The difference between the two series by State was in many cases as large as, or greater than, the change indicated by either series. The average difference between the two series (2.1 percent) is as large as the change indicated by either series. In addition, changes for particular States were substantially different between the two series. For example, Indiana relative wages rose by 1.9 percent according to the PPS data, but fell 5.7 percent according to the ES-202 data.
Since we were unable to find an acceptable data source for updating the work GPCIs, we examined the consequences of not updating the work GPCIs between the decennial censuses. We compared the changes between the 1992 through 1994 work GPCIs, based on the 1980 census and the 1995 through 1997 GPCIs, based on the 1990 census. On average, the full variation State work GPCIs changed by about 5 percent. This translates to about a 1.2 percent change in the quarter work GPCI required by law. Since work makes up about one-half of the GPCI cost shares, this translates into an average payment change per State of about 0.6 percent from updating the work GPCI based on the 10-year change in relative wages indicated by the census data. Even the maximum change in the full variation State work GPCIs from the 1992 through 1994 to the 1995 through 1997 GPCIs of 14 percent translates into only about a 1.8 percent change in payments. The largest full work GPCI changes for individual payment areas were from 16 to 20 percent, or about a 4 to 5 percent change in the quarter work GPCI, or about a 2.4 percent change in payments. However, 80 percent of payment areas experienced payment changes of less than 1 percent, and 50 percent of payment localities experienced payment changes of less than 0.5 percent as a result of changes in the census data from 1980 to 1990.
We, therefore, made no changes in the 1998 through 2000 work GPCIs from the 1995 through 1997 work GPCIs, other than the generally negligible changes resulting from using 1994, rather than 1992, RVUs for this GPCI update because we were unable to find acceptable data for use between the decennial censuses. We believe that making no changes is preferable to making inaccurate changes based on unacceptable data. We believe that this is a reasonable position given the generally small magnitude of the changes in payments resulting from the changes in the work GPCIs from the 1980 to the 1990 census data.
b. Practice Expense Geographic Practice Cost Indices. (1) Employee Wage Indices. As with the work GPCIs, the employee wage portion of the practice expense GPCIs is based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we made no changes in the employee wage indices during the 1998 through 2000 GPCI update. The average change from the 1992 through 1994 to the 1995 through 1997 employee wage indices across States was about 6 percent. Since the employee wage index had a weight of about 16 percent in the GPCI cost shares, this translated into a 1 percent average change in payments. The maximum payment change in any payment area resulting from changes from the 1992 through 1994 to the 1995 through 1997 employee wage indices was about 3.2 percent. Payment changes in over two-thirds of the payment areas were less than 1 percent.
(2) Rent Indices. The office rental indices were again based on HUD residential rent data. The rental indices were based on 1996 HUD data as opposed to the 1994 HUD data in the 1995 through 1997 GPCIs. HUD made two small methodological changes in developing the data. First, HUD used the 40th percentile of area rents rather than the 45th percentile. This did not materially affect the GPCIs, which measure relative rents among areas. Second, HUD established a rental floor for rural counties at the statewide rural average. This had the effect of raising the office rental indices slightly in rural areas.
We made one methodological change in the rent indices. HUD publishes FMRs only for metropolitan areas as a whole. For the 1995 through 1997 GPCIs, HUD used a special tabulation of the 1990 census data to allocate rents by county within CMSAs. In some metropolitan areas, this had the effect of reducing the central city index below the suburban index, probably because of lower unmeasured housing quality in central cities than in suburbs. This may not have been the best indicator of relative physician rents, since the GPCIs are intended to measure rental costs for offices of similar quality in different areas. The metropolitan-wide rent is most appropriate for measuring the cost of space of an average quality across the metropolitan area, which is why HUD publishes only metropolitan-wide FMRs. Also, the census county adjustments can be updated only once every 10 years. For this reason, we believed that the county-specific adjustment should not be made for all large metropolitan areas, but should be retained only for the New York City Primary MSA. Available evidence suggested that rents vary substantially among the boroughs of New York City and that, given the current locality configuration, the county-specific rental adjustment appropriately reflected these patterns in the New York City area, especially the higher rents in Manhattan.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with the 1992 through 1994 and 1995 through 1997 GPCIs, this component was given a national value of 1.000, indicating no measurable difference among areas in costs.
c. Malpractice Geographic Practice Cost Indices. Again, malpractice premium data were collected for a mature "claims made" policy with $1 million to $3 million limits of coverage, with adjustments made for mandatory patient compensation funds. As with the 1995 through 1997 GPCIs, data were collected for the 20 largest Medicare-billing physician specialties. The premium data represent at least 50 percent of the market in each State. Again, we used an average of the 3 most recent premium years to smooth out the considerable year-to-year fluctuations that can occur in malpractice premiums. The revised 1998 through 2000 malpractice indices were based on 1992 through 1994 premium data, the latest years available when the Health Economics Research (HER) GPCI study was being conducted in 1995 through 1996. Another change from the 1995 through 1997 indices is that we weighted the specialty shares of the 20 specialties by fee schedule RVUs rather than allowed charges.
Detailed discussions of the methodology and data sources of the 1998 through 2000 GPCIs may be obtained by requesting the following study from NTIS by calling 1-800-533-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650: "Second Update of the Geographic Practice Cost Index." Gregory C. Pope and Killard W. Adamache.
5. Proposed 2001 Through 2003 Geographic Practice Cost Indices
We propose using the same data sources and methodology used for the 1998 through 2000 GPCIs for the 2001 through 2003 GPCIs (hereafter referred to as proposed GPCIs). No acceptable additional data sources were found. The only differences between the 1998 through 2000 GPCIs and the proposed GPCIs are in the cost shares and RVU weighting. As shown in the cost share table in the discussion of the development of the GPCIs, the cost shares have been changed to reflect the revisions in the MEI. This does not affect the work or malpractice GPCIs since they are stand-alone indices. The change has a small effect on the practice expense GPCIs because it changes slightly the weights among the employee wage, rents and miscellaneous components of the practice expense index. We used more recent RVU data-1998 rather than 1994-in the county, locality, and national mapping in the proposed GPCIs. The payment effect of this is generally negligible.
a. Work Geographic Practice Cost Indices. For the same reasons discussed in the section on the 1998 through 2000 work GPCIs, no significant changes are being proposed in the 2001 through 2003 work GPCIs because we were unable to find acceptable data for use between the decennial censuses. There are general negligible changes resulting from the use of 1998 rather than 1994 RVUs for weighting.
b. Practice Expense Geographic Practice Cost Indices. (1) Employee Wage Indices. As with the work GPCIs, the employee wage indices are based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we are proposing no changes in the employee wage indices during this GPCI update.
(2) Rent Indices. The office rental indices are again based on HUD residential rent data. No changes have been made in the methodology. The proposed rental indices are based on 2000 rather than 1994 HUD data.
The proposed rental indices are compared to the current rental indices in Addendum D. A reduction in an area's rent index does not necessarily mean that rents have gone down in that area since the last GPCI update. Since the GPCIs measure area costs compared to the national average, a decrease in an area's rent index means that an area's rental costs have decreased when compared to the change in national average rental costs. The indices are arranged in descending order of change. The rental index has a cost share of about 12 percent of the GPCI. This means that the actual effect on payments will be about 12 percent of the change in the rental indices. While the new rental indices show significant changes in a few areas, primarily in the San Francisco Bay area, 80 of the 89 areas change by less than 10 percent, which translates into about a 1 percent change in payments.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with all previous GPCIs, this component would be given a national value of 1.000, indicating no measurable differences among areas in costs.
c. Malpractice Geographic Practice Cost Indices. We propose using the same methodology described in the 1998 through 2000 malpractice GPCI section in the proposed malpractice GPCIs for 2001 through 2003. The only difference is that we used more recent data. The proposed malpractice indices are based on 1996 through 1998 data compared to the 1992 through 1994 data used in the previous GPCI update.
Addendum E shows the changes from the 1998 through 2000 indices to the proposed malpractice GPCIs. A change in an area's malpractice GPCI does not mean that absolute malpractice premiums have changed by that amount. It, rather, reflects the area's new position compared to the national average. As with past GPCI revisions, the changes in the proposed malpractice GPCIs are relatively large in some cases, reflecting the significant changes in malpractice premiums that occur from year to year. As Addendum E shows, two-thirds of the payment areas experience changes of less than 12 percent. It should be noted, however, that the weight of the malpractice GPCI is only about 3 percent of the total GPCI. Therefore, a 12 percent change in the malpractice GPCI translates into only a 0.4 percent change in payments. Even the largest 42 percent change in the malpractice GPCI translates into only a 1.3 percent change in payments. The mean change in the malpractice GPCIs is 11 percent, or about a 0.4 percent change in payments.
The proposed 2002 fully-effective revised GPCIs and the transitional 2001 revised GPCIs can be found at Addendum F and Addendum G, respectively. Since the proposed revised GPCIs could result in total payments either greater or less than payments that would have been made if the GPCIs were not revised, it was necessary to adjust the GPCIs for budget neutrality as required by law. Therefore, we adjusted the 2001 through 2002 GPCIs as follows: work by 0.99699; practice expense by 0.99235; and malpractice by 1.00215.
C. Resource-Based Malpractice Relative Value Units
In the July 1999 proposed rule (64 FR 39610) and the November 1999 final rule (64 FR 59383) for the CY 2000 physician fee schedule, we discussed the methodology used to calculate resource based malpractice RVUs and proposed interim RVUs effective January 1, 2000. (See "Legislative History" section for dates and Federal Register citations for these rules.) The methodology can be briefly summarized as follows:
• Actual malpractice premium data were collected for the top 20 Medicare physician specialties.
• All Medicare specialties were mapped to insurer rating classes (ISO codes).
• A national average premium was calculated for every specialty.
• Specialty risk factors showing the relative malpractice costs among specialties were created by dividing each specialty national average premium by the lowest average premium.
• Specialty-weighted malpractice RVUs were calculated for each procedure by summing, for all specialties providing the procedure, the product of each specialty's risk factor times the proportion of total service count for that procedure provided by the specialty.
• This number was multiplied by the procedure's work RVUs to account for differences in risk-of-service among procedures.
• The new malpractice RVUs were adjusted by the appropriate factor to attain budget neutrality.
The malpractice RVUs were based on 1993 through 1995 premium data, the most recent premium data readily available. In last year's proposed and final rules we stated that we planned to collect more recent data, but did not expect that newer data would change the values significantly since malpractice premiums have been remarkably stable in recent years.
We have now obtained, and are currently examining, malpractice premium data for 1996 through 1998. The malpractice RVUs in the fall final rule will reflect the newer data. While we have not yet completed the proposed malpractice RVU calculations, the table below compares the 1993 through 1995 average premiums (that were used to calculate the 2000 malpractice RVUs) with the 1996 through 1998 average premiums (that will be used to calculate the 2001 malpractice RVUs). As the table below shows, there was very little change in the national average premiums from 1993 through 1995 to 1996 through 1998. We, therefore, anticipate minimal changes in malpractice RVUs from use of the more recent data.
[Federal Register graphic "EP17JY00.002" is not available. Please view the graphic in the PDF version of this document.]
In addition, in response to comments received on last year's rules, we are proposing to accept a comment regarding crosswalking specialties. We are proposing to crosswalk surgical oncology to general surgery rather than to all physicians. The malpractice values to be included in the final rule reflecting the updated data will remain interim.
D. Critical Care Relative Value Units
In the November 1999 final rule (64 FR 59423), we established interim work RVUs for CPT codes 99291 and 99292 (critical care services) of 3.6 and 1.8, respectively, which were decreased from the previous RVUs for these services. These work RVUs were established because of the change in the CPT definition of critical care services in CPT 2000. We also discussed in detail what changes in the definition most concerned us. We received many comments on the interim work RVUs for critical care.
This year we proposed new coding language to the AMA CPT Editorial Panel (the Panel) to resolve physician concerns. The Panel, with input from various specialty societies, accepted the language that we proposed with some modifications. The AMA has given us copyright permission to publish the introduction for CPT codes 99291 and 99292 as it will appear in CPT 2001. For CPT 2001, the introduction for critical care services will be as follows (new language in italics):
Critical care is the direct delivery by a physician(s) of medical care for a critically ill or critically injured patient. A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life threatening deterioration in the patient's condition. Critical care involves decision making of high complexity, to assess, manipulate, and support vital system function(s) to treat single or multiple vital organ system failure and/or to prevent further life threatening deterioration of the patient's condition. Examples of vital organ system failure include, but are not limited to: central nervous system failure, circulatory failure, shock, renal, hepatic, metabolic and/or respiratory failure. Although critical care typically requires interpretation of multiple physiologic parameters and/or application of advanced technology (s), critical care may be provided in life threatening situations when these elements are not present. Critical care may be provided on multiple days, even if no changes are made in the treatment rendered to the patient, provided that the patient's condition continues to require the level of physician attention described above.
Providing medical care to a critically ill, injured, or post-operative patient qualifies as a critical care service only if both the illness or injury and the treatment being provided meet the above requirements. Critical care is usually, but not always, given in a critical care area, such as the coronary care unit, intensive care unit, pediatric intensive care unit, respiratory care unit, or the emergency care facility. Critical care services provided to infants older *** [no change to this paragraph]
Services for a patient who is not critically ill but happens to be in a critical care unit are reported using other appropriate E/M codes.
Critical care and other E/M services may be provided to the same patient on the same date by the same physician.
The following services are included in reporting critical care when performed during the critical period by the physician(s) providing critical care: the interpretation of cardiac output measurements (93561,93562), chest x-rays (71010, 71015, 71020), pulse oximetry (94760, 94761, 94762), blood gases, and information data stored in computers (eg, ECGs, blood pressures, hematologic data (99090); gastric intubation ( 43762, 91105); temporary transcutaneous pacing (92953); ventilator management (94656, 94657, 94660, and 94662); and vascular access procedures (36000, 36410, 36415, 36540 and 36600). Any services performed which are not listed above should be reported separately.
The critical care codes 99291 and 99292 are used to report the total duration of time spent by a physician providing critical care services to a critically ill or critically injured patient, even if the time spent by the physician on that date is not continuous. For any given period of time spent providing critical care services, the physician must devote his or her full attention to the patient and, therefore, cannot provide services to any other patient during the same period of time.
Time spent with the individual patient should be recorded in the patient's record. The time that can be reported as critical care is the time spent engaged in work directly related to the individual patient's care whether the time was spent at the immediate bedside or elsewhere on the floor or unit. For example, time spent on the unit or at the nursing station on the floor reviewing test results or imaging studies, discussing the critically ill patient's care with other medical staff or documenting critical care services in the medical record would be reported as critical care, even though it does not occur at the bedside. Also, when the patient is unable or clinically incompetent to participate in discussions, time spent on the floor or unit with family members or surrogate decision makers obtaining a medical history, reviewing the patients condition or prognosis, or discussing treatment or limitation(s) of treatment may be reported as critical care, provided that the conversation bears directly on the management of the patient.
Time spent in activities that occur outside of the unit or off the floor (eg, telephone calls, whether taken at home, in the office, or elsewhere in the hospital) may not be reported as critical care since the physician is not immediately available to the patient. Time spent in activities that do not directly contribute to the treatment of the patient may not be reported as critical care, even if they are performed in the critical care unit (eg, participation in administrative meetings or telephone calls to discuss other patients). Time spent performing separately reportable procedures or services should not be included in the time reported as critical care time.
The remainder of the introduction as published in CPT 2000, as well as the descriptors for the two CPT codes (99290 and 99291), remains unchanged.
Adoption of this revised introduction for the critical care CPT codes 99291 and 99292 is consistent with our view of the appropriate intensity of these services and addresses the concerns we had raised in the November 1999 final rule. Therefore, based on implementation of this revised introduction for critical care services for CY 2001, we are proposing to value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292.
In addition, consistent with our discussion in the proposal for electrical bioimpedance (EB) (see section II.H), we are proposing to not allow separate Medicare payment for EB when provided in conjunction with critical care services (CPT codes 99291 and 99292).
E. Care Plan Oversight and Physician Certification/Recertification
The Panel considered changes to the definition of care plan oversight for 2001. After analyzing the definition changes, we are concerned that these codes (CPT codes 99375 and 99378) will no longer be consistent with our coverage criteria.
In anticipation of the likely CPT revisions, we would establish two new HCPCS codes for care plan oversight that are consistent with our coverage criteria. For the 2001 physician fee schedule, we would establish a new HCPCS code Gxxx1, that will use the CPT 2000 definition associated with CPT code 99375 and a new HCPCS code Gxxx2, that will use the CPT 2000 definition associated with CPT code 99378. The current policy guidance that applied to CPT codes 99375 and 99378, including our past responses to questions on care plan oversight, will continue to apply to these G codes. The current payments for CPT codes 99375 and 99378 will be maintained in Gxxx1 and Gxxx2.
In addition, we would establish two new HCPCS codes (Gxxx3 and Gxxx4) to describe the services involved in physician certification (and recertification) and development of a plan of care for a patient for whom the physician has prescribed Medicare-covered home health services. The proposed text of the new codes will read as follows:
| Gxxx3 | Physician services for initial certification of Medicare-covered services by a home health agency, per patient's home health certification period. |
This code would be used when the patient has not received Medicare-covered home health services for at least 60 days.
| Gxxx4 | Physician services for recertification of Medicare-covered services by a home health agency, per patient's home health certification period |
This code would be used after a patient has received services for at least 60 days (or one certification period) when the physician signs the certification after the initial certification period.
The use of these HCPCS codes (Gxxx3 and Gxxx4) would be restricted to physicians who are permitted to certify that home health services are required by a patient pursuant to section 1814(a)(2)(C) and section 1835(a)(2)(A) of the Act. The Gxxx3 code would be billed only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode. Consistent with section 1835(a)(2) of the Act, a physician who has a significant ownership interest in, or a significant financial or contractual relationship with a home health agency (HHA), generally cannot bill this code for patients served by that HHA.
For services within the episode (generally beyond the first week or two of care plan implementation) that are consistent with the definition of care plan oversight (HCPCS code Gxxx1), the care plan oversight code (CPT code 99375) would be used.
Because we believe that the physician work associated with HCPCS code Gxxx3 equates to that of a level 3 established patient office visit (CPT code 99213), we are proposing a value of .67 for the work RVUs. For Gxxx4, because we believe the work equates to a level 2 established patient office visit (CPT code 99212), we are proposing a value of .45 for the work RVUs. For practice expense RVUs, we are proposing to crosswalk both Gxxx3 and Gxxx4 to the practice expense inputs currently used for care plan oversight (CPT code 99375).
F. Observation Care Codes
In 1998, the AMA added new CPT codes 99234 to 99236, Observation or inpatient hospital care services (including the admission and discharge services) for a patient on the same date. We accepted the RUC recommendations for work RVUs for these new codes. The work RVUs for each code are the sum of the applicable admission work for CPT codes 99218 to 99220 (or CPT codes 99221 to 99223) plus the discharge work (CPT codes 99217 or 99238). For example, CPT code 99234 has 2.56 work RVUs, which is the sum of the work RVUs for CPT code 99221 (1.28) plus the work RVUs for CPT code 99217 (1.28). However, it has come to our attention that allowing payment for these CPT codes conflicts with two policies currently in the Medicare Carrier Manual (MCM).
Section 15505.1(c) of the MCM states that we will pay for only the initial hospital care service code when a patient is admitted as an inpatient and discharged on the same day. Physicians are not paid for both an inpatient hospital admission and hospital discharge management on the same day. In addition, section 15504.b of the MCM instructs that CPT codes 99218 to 99220 (Initial observation care) should be used if the patient is discharged on the same day as the admission for observation because each of these codes represents a full day of care and, thus, paying for a code representing both admission and discharge on the same day would be duplicative. CPT code 99217 (Observation care discharge) may be billed only on the second or subsequent days in observation.
These two payment policies result in different payments for patients whose inpatient stay is less than 24 hours based solely on whether they were in the hospital at midnight. For example, a physician who admits a patient to observation or to inpatient care at 8 a.m. and then discharges the patient at 8 p.m. the same day, would be allowed payment for only the admission service. On the other hand, a physician who admits a patient to observation or to inpatient care at 8 p.m. and then discharges the patient at 8 a.m. the next day, would be allowed payment for both the admission and discharge services.
In response to these concerns, and to clarify our payment policy, we are proposing the following:
Inpatient stay of 24 hours or more -We would pay for both inpatient hospital admission services (CPT codes 99221 to 99223) and hospital discharge services (CPT codes 99238 to 99239) when a patient is a hospital inpatient for a period of 24 hours or more. The medical record must document that the patient was an inpatient for at least 24 hours for both of these services to be paid.
Inpatient or observation stay of less than 8 hours -If a patient is admitted as a hospital inpatient or an observation patient for less than 8 hours, we would pay for only the admission service (CPT codes 99221 to 99223 or 99218 to 99220) on that day. The discharge service is not considered to be a separately billable service.
Inpatient or observation stay of 8 or more hours, but less than 24 hours -If a patient is admitted as a hospital inpatient or an observation patient for a period of 8 or more hours, but less than 24 hours, we would pay for both the admission and discharge services under CPT codes 99234 to 99236 with the following proposed physician work RVUs and documentation requirements:
Physician Work RVUs -To properly value both the admission and discharge work of these services, we are proposing to continue valuing the admission portion of the physician work as equivalent to CPT codes 99218 to 99220 (or CPT codes 99221 to 99223), but to reduce the discharge work RVUs from 1.28 to 0.67. This would make the discharge portion of the work equal to the work for CPT code 99213 (Office or other outpatient visits) instead of CPT code 99217 (or CPT code 99238). Thus, the proposed work RVUs would be as follows: CPT code 99234-1.95 RVUs; CPT code 99235-2.81 RVUs; CPT code 99236-3.66 RVUs. We would not pay CPT codes 99217, 99238, and 99239 for hospital inpatient or observation admissions between 8 and 24 hours in length.
Our reasoning for these proposed RVUs is that we believe that the physician work typically required for discharging an inpatient or observation admission patient after a period of at least 8 hours, but less than 24 hours, is less than that required for an admission of 24 hours or more. The typical work (for example, history, physical examination, and medical decision making) and the typical face to face time required to discharge such a patient is comparable to the requirements for CPT code 99213. Moreover, the typical time for CPT code 99238 is up to 30 minutes and the physician work is 1.28 RVUs, so a clear work anomaly would be created if we made the work value of discharging a patient with a stay of less than 24 hours identical to the work of discharging a patient with a length of stay of 24 hours or more.
Our proposal would avoid creating such a rank order anomaly and would place admission and discharge valuation in proper order. For example, for observation stays of less than 8 hours, we would pay only the admission portion and would not pay separately for the discharge because the extra work is minimal. For observation stays of more than 8 hours, but less than 24 hours, we would recognize the discharge component since there is significant extra work involved, but not as much as a discharge for a 24 hour or longer admission for which we would pay the full value of CPT code 99238. Our proposal would allow payment for CPT codes 99234 through 99236 only for stays of equal to or greater than 8 hours, but less than 24 hours.
In addition to the documentation guidelines for history, physical examination, and medical decision making described in CPT 2000 for CPT codes 99234 to 99236, we would require the following to be documented in the medical record:
• A stay involving 8 hours, but less than 24 hours.
• That the billing physician was present and personally performed the services.
• Admission and discharge notes written by the billing physician.
We believe this policy would harmonize current policy on hospital admissions and discharges and also accommodate the observation codes as they are described in CPT 2000. The policy would not be tied to the "midnight" time frame of the hospital inpatient census.
If these proposals are adopted in the final rule, the work RVUs for CPT codes 99234 to 99236 would be considered interim for 2001.
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
Ocular photodynamic therapy is a treatment recently approved by the Food and Drug Administration for age-related macular degeneration, the most common cause of blindness in the elderly. For CPT 2000, ocular photodynamic therapy was added to CPT code 67220, which was formerly limited to photocoagulation by laser.
We believe that ocular photodynamic therapy is significantly different from laser photocoagulation and, therefore, we are proposing to establish new HCPCS codes that specifically identify these procedures. A discussion of each of these codes follows:
| Gxxx5 | Destruction of localized lesion of choroid ( e.g. , choroidal neovascularization); photocoagulation ( e.g. , by laser), one or more sessions |
This code would be used in place of CPT code 67220. We would maintain the work and malpractice RVUs and the CPEP inputs presently used for CPT code 67220 for payment of this new "G" code.
| Gxxx6 | Destruction of localized lesion of choroid ( e.g. , choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion) |
We are proposing a value of 0.55 work RVUs for Gxxx6. This value is half the physician work value for CPT code 96570 (Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes), and it is identical to the physician work value for CPT code 96571 (Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes). We note that the total time of laser light application for ocular photodynamic therapy is 83 seconds, which is considerably shorter than the time of laser light application for CPT codes 96570 and 96571.
We are also proposing that the global period for Gxxx6 be "XXX." Because of the global designation, significant, separately identifiable evaluation and management (E/M) services may be billed on the same day as Gxxx6 with the use of the -25 modifier. Patients will, typically, have fluorescein angiography as well as an E/M service before ocular photodynamic therapy to determine whether they will benefit from the therapy and to discuss the treatment. Any E/M services performed after the treatment may be billed separately.
For Gxxx6 we are proposing the following practice expense inputs for non-facility settings:
• Clinical Staff Time: Registered nurse/ophthalmology technician-40 minutes.
• Supplies: Ophthaine, mydriacil, myolfrin, gonisol, post myd spectacles, verteporfin and also infusion supplies including sterile and non-sterile gloves, butterfly needle, syringe, band aid, alcohol swab, staff gown, iv infusion set, and infusion pump cassette.
• Equipment: Laser, infusion pump, and exam lane.
For the malpractice component of Gxxx6, we are proposing 0.52 RVUs (the value assigned to CPT code 67220, Destruction of localized lesion of choroid). Although we are establishing procedure codes for ocular photodynamic therapy, coverage of the procedure is at the discretion of the local carrier.
In instances where both eyes are treated the same day, we are proposing the use of the following HCPCS add-on code:
Gxxx7Destruction of localized lesion of choroid (for example, choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion)-other eye (List separately in addition to Gxxx6)
For this add-on code we are proposing a "ZZZ" global period, with .28 work RVUs (half of that proposed for Gxxx6) and .52 malpractice RVUs (identical to that proposed for Gxxx6). The practice expense inputs for services in the non-facility setting would be as follows:
• Clinical Staff Time: Registered nurse/ophthalmology technician-5 minutes.
• Supplies: Ophthaine, mydriacil, myolfrin, gonisol.
In addition, we have identified several other specific ophthalmological treatments that are not distinctly identified in CPT 2000. We are proposing to establish specific HCPCS codes for these procedures.
Gxxx8Destruction of localized lesion of choroid ( e.g. , choroidal neovascularization); transpupillary thermotherapy, one or more sessions
Gxxx9Destruction of localized lesion of choroid ( e.g. , choroidal neovascularization); photocoagulation, feeder vessel technique, one or more sessions
Gxx10Destruction of macular drusen, photocoagulation, one or more sessions
We are not proposing RVUs for HCPCS codes Gxxx8 through Gxx10. These codes are being established for tracking purposes only. These procedures are considered experimental in nature at this time and, therefore, are not covered under Medicare.
H. Electrical Bioimpedance
Electrical bioimpedance (EB), a noninvasive method of measuring cardiac input, is a covered procedure under Medicare, if medically necessary. Performance of this procedure is reported by the Level 2 HCPCS code M0302, and the procedure is currently carrier priced. We are proposing the following RVUs for this procedure:
1. Practice Expense
We are proposing the following direct inputs for determining practice expense RVUs. (We note, however, that a final determination of the practice expense RVUS will depend on how we value physician work.) The practice expense RVU in Addendum B reflects the value for the technical portion of the service. If the service is given physician work, a separate PC will be established with an additional practice expense RVU.
• Clinical staff: Registered nurse-15 minutes.
• Supplies: Four disposable sensors, patient gown, exam table paper, and pillowcase.
• Equipment: Cardiac output monitor and exam table.
2. Malpractice
We are proposing 0.02 RVUs for this procedure. This value is equivalent to the TC of an EKG, which is a similar procedure.
3. Physician Work
The uses for which this procedure are covered (for example, differentiating cardiogenic from pulmonary causes of acute dyspnea, the need for intravenous inotropic therapy, fluid management, and the uses indicated in section 50-54 of the Coverage Issues Manual, HCFA Pub. 6) require a clinical evaluation of the patient on the same day that EB is performed. The procedure reports measurements that can not be interpreted without other clinical information.
With respect to proposed RVUs for physician work, we have insufficient information to propose a work value. We are collecting information and invite comments on this subject as well as on the proposed inputs for practice expense and malpractice. In your comments, please be sure to compare your proposed value for the physician work component for this service to other similar services with established physician work values. Please also include the reason why you believe the physician work is similar. At this time, we have received comments proposing no physician work values, proposing physician work values similar to that for the interpretation of an EKG (CPT code 93010-0.17 work RVUs), proposing work values similar to total body plethysmography (CPT code 93720-0.17 work RVUs), and similar to interpretation of cardiovascular stress test (CPT code 93018-0.30 work RVUs).
We also are proposing that the payment for this procedure be included in reporting critical care. Therefore, separate payment would not be made for this procedure when provided in conjunction with critical care services (CPT codes 99291 and 99292).
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
Currently, there is a 90-day global period in the physician fee schedule for all CPT codes involving the insertion, removal, and replacement of pacemakers or cardioverter defibrillators. During the global surgical period, no separate payment may be made for any E/M service furnished by the surgeon, unless the visit is: (1) Unrelated to the diagnosis for which the surgical procedure was performed; (2) for treating the underlying condition; or (3) an added course of treatment that is not part of normal recovery from surgery.
In these situations, the surgeon must use CPT modifier -24 that attests that the E/M service provided, although performed during the postoperative period, was for a reason unrelated to the original procedure. Services submitted with a -24 modifier must be sufficiently documented to establish that the visit was unrelated to the surgery. An ICD-9-CM code that clearly indicates that the reason for the encounter was unrelated to the surgery is acceptable documentation.
Many patients receiving pacemakers or cardioverter defibrillators have clinically serious cardiac diseases (related to the reason for the procedure) that require significant postoperative care. In these cases, it is difficult to separate care during the postoperative period for the related cardiac problem(s) from the postoperative care for the pacemaker or cardioverter defibrillator procedure. As medical practice has changed, cardiologists predominantly perform pacemaker or cardioverter defibrillator procedures. Thus, the physician performing the pacemaker or cardioverter defibrillator procedure now is typically the same physician who is expected to furnish care for the patient's related cardiac disease. Therefore, a single physician is providing postoperative care for both the pacemaker or cardioverter defibrillator insertion and the related medical problem(s), but can be paid only for the insertion because of the global period policy.
We believe it is common for patients undergoing pacemaker and cardioverter defibrillator procedures to require significant care for related cardiac disease during the postoperative period. This care overlaps substantially with the care furnished for the pacemaker or cardioverter defibrillator procedure and may be coded with the same ICD-9-CM diagnosis code; therefore, using the -24 modifier is inadequate to allow appropriate payment for the physician performing both postoperative care and care for the patient's other cardiac conditions.
We are proposing to change the global period for CPT codes 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33218, 33220, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33282, and 33284 from 90 days to 0 days. This would permit separate payment for any care furnished during the postoperative period by the physician who performed the pacemaker or cardioverter defibrillator procedure.
We are soliciting comments on whether it is appropriate to reduce the global period for these CPT codes. We are also proposing to ask the RUC to revise the RVUs for these CPT codes. If RUC recommendations are not received in time for our consideration for the CY 2001 physician fee schedule final rule, we propose to implement interim work RVUs, as listed below.
| CPT code | 2000 work RVUs | Proposed work RVUs |
|---|---|---|
| 33206 | 6.67 | 3.11 |
| 33207 | 8.04 | 3.30 |
| 33208 | 8.13 | 2.64 |
| 33212 | 5.52 | 3.32 |
| 33213 | 6.37 | 4.92 |
| 33214 | 7.75 | 4.27 |
| 33216 | 5.39 | 3.21 |
| 33217 | 5.75 | 3.57 |
| 33218 | 5.44 | 3.26 |
| 33220 | 5.52 | 2.90 |
| 33233 | 3.29 | 1.11 |
| 33234 | 7.82 | 5.64 |
| 33235 | 9.40 | 4.58 |
| 33240 | 7.50 | 5.13 |
| 33241 | 3.24 | 1.51 |
| 33244 | 13.76 | 9.85 |
| 33249 | 14.23 | 11.41 |
| 33282 | 4.17 | 2.83 |
| 33284 | 2.50 | 1.16 |
In calculating the proposed interim RVUs, we have subtracted the work RVUs of all postoperative visits after the day of surgery from the total work RVUs. We used our database to calculate the number of postoperative visits. Where our database did not contain the number of postoperative visits, we crosswalked a number from the most clinically similar procedure. We have included an example to illustrate the calculation.
Example: For CPT code 33206, the 2000 work relative value is 6.67 units. The proposed work value is 3.11 (6.67 minus 3.56). The 3.56 units represents the work based on the pattern of E/M services in the global period.
| E/M | Frequency | Work | Total |
|---|---|---|---|
| 99213 | 1.5 | .67 | 1.00 |
| 99231 | 2.0 | .4 | 1.28 |
| 99238 | 1.0 | 1.28 | 1.28 |
| Total E/M Work | 3.56 |
We would also adjust practice expense inputs for supplies, staff time, and equipment to account for the change in the global period. Because these would be 0-day global services only priced in the facility setting, there would be no direct CPEP inputs associated with them. The adjusted practice expense RVUs are reflected in Addendum B.
We welcome comments on our proposed calculation of interim RVUs and requestthat commenters recommending RVUs include the methodology employed so that we can appropriately evaluate the recommended RVUs. As an alternative to applying a 0-day global period as discussed above, we are interested in other suggestions that might address the issue of assuring appropriate payment for these services (for example, adjusting the global period to 10 days for these services). We invite public comment on such alternatives.
J. Antigen Supply
Section 410.68(b), Antigens: Scope and conditions, provides for beneficiaries to receive a supply of antigen for no more than 12 weeks at one time. A specialty society has indicated that this limitation is not reflective of current industry standards and guidelines (for example, duration of potency for allergy extracts has changed since the policy was implemented.) Therefore, we are proposing to change this limitation from 12 weeks to 12 months and would revise the regulations to reflect this change. We are requesting comments on this proposal.
K. Low Intensity Ultrasound
In the November 1999 (64 FR 59419) final rule, we assigned RVUs to CPT code 20979, low intensity ultrasound stimulation to aid bone healing. Commenters expressed concern about the RVUs assigned to this service. Because of the concerns raised by commenters, and because CPT code 20979 is a noncovered service under Medicare, we are proposing to remove the RVUs that were assigned to this code at this time. We may reconsider this at a future date.
L. Implantation of Ventricular Assist Devices
In the April 11, 2000 correction notice (65 FR 19332) to the November 1999 final rule, we inadvertently published practice expense RVUs based on the work RVUs associated with a 90-day global period for CPT codes 33975 and 33976 (implantation of ventricular assist devices). However, in the same notice, the global periods and associated work RVUs for CPT codes 33975 and 33976 were revised to reflect an "XXX" (the global concept does not apply). In calculating the practice expense RVUs, we reflected changes made in CPEP data that result from changes in the global period. However, the practice expense RVUs are also a function, in part, of the physician work RVUs. In calculating the revised practice expense RVUs, we did not use the work RVUs that reflected the global period change. Effective January 1, 2001, we would revise the practice expense RVUs associated with these CPT codes to reflect the revision in the global periods and work RVUs.
III. Other Issues
A. Incomplete Medical Direction
Under current policy, medical supervision by an anesthesiologist occurs if the anesthesiologist is involved in furnishing more than four concurrent procedures or is performing other services while directing fewer than four concurrent procedures. Payment is based on three base units plus one unit for induction if the physician is present at induction.
Under current policy, medical direction by an anesthesiologist occurs if the anesthesiologist is involved in two to four concurrent anesthesia procedures or a single anesthesia procedure with a qualified anesthetist. For each anesthesia procedure, the anesthesiologist must-
• Perform a pre-anesthesia examination and evaluation;
• Prescribe the anesthesia plan;
• Personally participate in the most demanding procedures of the anesthesia plan, including emergence and induction;
• Ensure that any procedures in the anesthesia plan that he or she does not perform are performed by a qualified anesthetist;
• Monitor the course of anesthesia administration at frequent intervals;
• Remain physically present and available for immediate diagnosis and treatment of emergencies; and
• Provide indicated post anesthesia care.
We currently do not have a national policy that instructs the carriers how to pay for a service when the anesthesiologist does not fulfill all the medical direction requirements. One option carriers may use is to instruct the anesthesiologist to report this service as a reduced or unusual service and determine appropriate payment. We are considering clarifying this policy and making other revisions to the medical supervision payment policy. We are considering the following:
1. To specify that the physician furnishing medical supervision must perform, at a minimum, the preoperative evaluation, participate in induction, remain available for consultation, and provide a minimum level of monitoring.
2. To establish payment for medical supervision at 40 percent of the payment amount for the service performed by the physician alone.
3. To apply the proposed medical supervision payment amounts to incompletely medically-directed cases.
4. To limit the number of concurrent cases the physician can supervise to five concurrent cases.
Payment for medical supervision is payment for the physician service. In addition, the certified registered nurse anesthetist (CRNA) service furnished under medical supervision is paid at 50 percent of the amount that would have been paid if the service had been performed by the physician alone.
We invite comments from the public, but in particular, the physicians and practitioners most affected by this policy. We are not proposing a change at this time, but will consider the comments we receive should we develop a future proposal.
B. Payment for Pulse Oximetry Services
In the November 1999 final rule (64 FR 59413), we indicated that we would adopt our proposal to bundle payment for certain diagnostic codes, including pulse oximetry CPT codes 94760 and 94761, into the payment for other services. We believe that continuing to pay separately for these codes duplicates amounts included in both facility payments and practice expense RVUs. However, we did not address how we would treat situations when these services are performed without any other billable service and, thus, are not reflected in facility payments or other practice expense RVUs. We will continue to pay separately for these services (CPT codes 94760 and 94761) when they are medically necessary and there are no other services payable under the physician fee schedule billed on the same date by the same supplier.
C. Outpatient Therapy Supervision
In the November 1998 final rule (63 FR 58868), we stated that we were maintaining our current requirement that therapy assistants of therapists in private practice (formerly known as therapists in independent practice (PTIP)) must be personally supervised by the therapist and be employed directly by the therapist; employed by the partnership or group to which the therapist belongs; or employed by the same practice. Personal supervision requires that the therapist be in the same room during the performance of the service. Levels of supervision are defined at § 410.32 (Diagnostic X-ray tests, diagnostic laboratory, and other diagnostic tests: Conditions.)
The November 1998 final rule did not change pre-existing regulations at § 410.60(c)(2) (Supervision of physical therapy services) for therapy assistants in a private practice setting. In that final rule, we codified the statutory requirements for coverage of outpatient occupational therapy services by establishing § 410.59 (Outpatient occupational therapy services: Conditions). Section 410.59 parallels the requirements in § 410.60 for outpatient physical therapy, as revised in the November 1998 final rule. We also made conforming changes in § 410.61 (Plan of treatment requirements for outpatient rehabilitation services) to include occupational therapy.
The personal supervision requirements for therapy assistants and aides in a private practice setting are long-standing. The outpatient physical therapy benefit, enacted in 1972, applied to PTIP (that is, individual therapists in independent practice in their own offices). Services performed by employees of a PTIP were covered if furnished under the direct personal supervision of the PTIP. This requirement was necessary to assure beneficiary health and safety and quality of care.
In 1981, in response to the conference committee report (H.R. 96-1479) accompanying the Omnibus Reconciliation Act of 1980 (Public Law 96-499), we revised our Medicare Carriers Manual instructions (see section 2215F, HCFA Pub. 6). These revised instructions stated that the services of employees of a PTIP who are not qualified physical therapists must be furnished under the direct personal supervision of a supervising therapist who must be the employer or on the employer's staff. Therefore, a licensed physical therapist had to directly and personally supervise the services of assistants and aides. Thus, even before the November 1998 final rule, the regulations and manuals clearly stated that the PTIP must directly and personally supervise all services for which he or she bills.
As noted above, pre-existing supervision requirements for therapy assistants in a private practice setting were not affected by the November 1998 final rule. However, we received comments from the therapy industry and other interested parties who erroneously believed that we had either misinterpreted the supervision requirement or had established a new requirement for therapy assistants in the private practice setting.
These comments and the confusion possibly resulted from the one revision in supervision requirements made in the final rule. This revision related not to therapy assistants, but to qualified therapists in a private practice setting. As referenced in the November 1998 final rule (63 FR 58868), the Congress was concerned about the requirement for therapists in independent practice to directly supervise all services performed by their employees, even if those employees were fully-licensed therapists. The therapist in independent practice had to be on the premises whenever services were furnished to Medicare beneficiaries, including services furnished by a licensed therapist. Therefore, a therapist in independent practice could not have more than one office open at the same time because he or she could not be on both premises at once. Congressional statements in both the House and Senate committee reports associated with our fiscal year 1997 appropriations process addressed this issue. The House committee report urged us to modify the regulations so that certified therapists need not be on the premises to supervise other licensed therapists. We were also urged by the Senate to review this concern and recommend changes in our regulations or instructions. To address this concern expressed in both the 1997 House and Senate Appropriations Committee reports, we revised the regulations at § 410.59(c)(2) and § 410.60(c)(2).
Accordingly, effective January 1, 1999, as specified in the November 1998 final rule, the revised regulations permit legally authorized (see § 410.59(c)(1)(i) and § 410.60(c)(1)(i)) therapists who own the practice to be off the premises when other legally authorized therapists are present to furnish supervision for therapy assistants. These regulations also restated which practitioners are qualified as therapists under section 1861(p) of the Act. In accordance with the November 1998 final rule, the term "independent" was removed from the description of a therapist in independent practice. In its place, the term "private" was added. The benefit is now described in terms of an individual physical therapist or occupational therapist in private practice.
This change did not affect the required degree of supervision for physical therapist assistants. Assistants still must be personally supervised by the therapist in private practice and employed directly by the therapist, by the partnership, or group to which the therapist belongs.
D. Outpatient Therapy Caps
Section 221 of the BBRA placed a 2-year moratorium on Medicare Part B outpatient therapy caps (the $1500 cap on outpatient physical therapy services including speech language-pathology services and the $1500 cap on outpatient occupational therapy services in all nonhospital settings). The two $1500 caps were implemented in 1999 as required by the BBA.
The BBRA also requires us to submit to the Congress a report by January 1, 2001 that includes recommendations on-(1) the establishment of a mechanism for assuring appropriate utilization of outpatient therapy services; (2) the establishment of an alternative payment policy for these services based on classifications of individuals by diagnostic category, functional status, prior use of services (in both inpatient and outpatient settings), and other criteria, in place of uniform dollar limitations; and (3) how to do this in a budget-neutral manner.
We are gathering information on alternatives or options that we can use to achieve these objectives. We have received the following informal recommendations for legislation:
• Institute a cap per diagnosis rather than per year.
• Establish payment based on patient groupings by primary diagnosis and average number of treatments, with options for variants.
• Base payment on an episode of occurrence of illness or injury, with a cap amount adjusted to address geographic differences in the cost of furnishing services.
• Develop a sustainable growth rate (SGR) for outpatient therapy services to control growth in the volume of services.
The outpatient therapy cap was also a topic of discussion at the PPAC meeting in December 1999. As a result of these discussions, the PPAC recommended continuation of the current moratorium with focused medical review, indicating that such a review could lead to the desired budget-neutral outcome.
We would like comments from the public on additional alternatives that we could consider in developing a payment policy for outpatient therapy services. We will consider this information as we prepare our report to the Congress on outpatient therapy services.
IV. Five-Year Refinement of Relative Value Units
Section 1848(c)(2)(B)(i) of the Act requires that we review all RVUs for services in the physician fee schedule no less often than every 5 years. The first 5-year review was undertaken as part of the final rule published December 1994 (59 FR 63140), with the resulting changes effective for services furnished beginning January 1, 1997. In the final rule published November 1999 (64 FR 59427), we included a discussion of the first 5-year refinement and outlined our plans for the second 5-year refinement of work RVUs. We also solicited comments on potentially misvalued work RVUs as well as data sources and methodologies to assist us in identifying misvalued services. We received comments from approximately 30 specialty groups, organizations, and individuals. While some of the comments were on the proposed process, comments also included requests for evaluating over 900 codes.
As we had discussed in the November 1999 final rule, in addition to performing internal review and analysis, we will be sharing these comments with the RUC, which currently makes recommendations to us on the assignment of RVUs to new and revised CPT codes. The RUC's perspective will be helpful because of its experience in recommending RVUs for the codes that have been added to the CPT, or revised by the CPT panel, since we implemented the physician fee schedule in 1992. We emphasize, however, as we reiterated for the first 5-year review, we have the responsibility for analyzing the comments concerning the 5-year review and deciding whether to revise RVUs. We are not delegating this responsibility to the RUC or any other organization.
Current initiatives underway (see discussion that follows on physician time) will assist us in our identification of misvalued codes. However, we will not be able to identify those codes that we believe have misvalued work RVUs before late in the year 2000 or early in the year 2001. We propose to perform the 5-year review in two phases. The first phase will take place in CY 2000 with consideration of public comments. The second phase will occur in CY 2001 when we use the contracted research to identify misvalued codes. We will work with the RUC and the medical community to minimize work duplication. For example, we will ask the RUC to defer action in CY 2000 on those codes that were identified by public comments and that our research later indicates might be misvalued. Furthermore, to focus on each phase of the review and prevent duplicative work, we propose to concentrate on intraspecialty issues and anomalies in CY 2000 and consider cross specialty misvaluations and issues in CY 2001. This is because we believe that validation of time across a wide range of services will allow direct comparison of pre-, intra-, and postservice work RVUs across specialties with the potential to identify a large number of misvalued codes. Again, we will work closely with the medical community to analyze and interpret the data as well as to organize the review in an efficient manner.
Physician Time Data
We currently have initiatives underway to validate the physician time data and identify potentially misvalued codes to be considered during the 5-year review. A discussion of these activities follows.
Under a contract with HCFA, Health Economics Research (HER) is reviewing secondary data sources to validate time estimates for physicians' services. Physician time estimates are a factor used in the calculation of the practice expense RVUs and one of the primary determinates of physician work. These secondary data sources are as follows:
• The National Ambulatory Medical Care Survey (NAMCS).
• D.J. Sullivan Associates Hospital Data.
• MGMA Practice Cost Survey Data.
The NAMCS is a survey conducted by the Center for Disease Control that collects self-reported information on over 20,000 office visits annually including physician face-to-face time (called the duration of the visit). Various comparative analyses, both at the physician specialty level and for all physicians, can be made between projected E/M codes in the NAMCS data and with the actual E/M codes reported in the Medicare Part B National Claims History. (E/M codes are not captured in the NAMCS data. However, a method is used to map the time of the physician visit to an appropriate E/M code. This represents the "projected" E/M code.) The analysis was performed on the 1997 NAMCS.
The D.J. Sullivan database groups approximately 495,000 inpatient and outpatient records into 177 small clinically similar classes. The database captures information from the hospital record such as the procedure, time the patient enters the operating room, time of incision, time of wound closure, and time the patient exits the operating room. Data are presented for all hospitals and for all hospitals by categories: community hospitals, teaching hospitals, and university-based hospitals.
HER is analyzing a sample of the D.J. Sullivan database to determine whether it can be used for validating skin-to-skin time for selected surgical procedures. The selected procedures are high volume procedures or procedures on the RUC multispecialty list.
The MGMA Physician Profiling Database contains information at the physician practice level on the number of services by CPT code, physician specialty, and clinical work week. The database contains information on almost 4,000 physicians, primarily from Florida, Minnesota, New York, and Washington. Analysis will focus on comparing expected clinical times based on current time estimates attributable to CPT codes to total practice hours worked.
V. Collection of Information Requirements
This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.
VI. Response to Comments
Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the DATES section of this preamble, and we will respond to the major comments in the final rule.
VII. Regulatory Impact Analysis
We have examined the impacts of this proposed rule as required by Executive Order of 1993 (EO) 12866, the Unfunded Mandates Reform Act of 1995 (EO) 12875 (UMRA) (Public Law 104-4), the Regulatory Flexibility Act of 1980 (RFA) (Public Law 96-354) and the Federalism Executive Order of 1999 (EO) 13132.
EO 12866 directs agencies to assess costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more annually). While the changes in the Medicare physician fee schedule are for the most part, budget neutral, they do involve redistribution of Medicare spending among procedures and physician specialties and geographic areas. However, the redistributive effect of this rule on any particular specialty or geographic area is, in our estimate, unlikely to exceed $100 million. The effect of the practice expense changes are estimated to increase payments to one specialty by about $90 million and decrease payments to another specialty by approximately $45 million. All other physician specialties will be affected by less than these amounts. The GPCI changes are expected to increase payments by less than $10 million in one locality and decrease payments by about $20 million in another locality. The effect on all other payment localities are likely to be less than these amounts. Since we estimate that these changes are unlikely to redistribute more than $100 million in Medicare allowed charges, we are not considering this proposed rule to be a major rule. However, we will reconsider this decision for the final rule if our estimates based on new data exceed $100 million.
The UMRA also requires (in section 202) that agencies prepare an assessment of anticipated costs and benefits before developing any rule that may result in expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $100 million or more. We have determined that this proposed rule will have no consequential effect on State, local, or tribal governments. We believe the private sector cost of this rule falls below the above stated threshold as well.
The RFA requires that we analyze regulatory options for small businesses and other small 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 of why action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and lessen significant adverse economic impact on the small entities.
In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a Metropolitan Statistical Area and has fewer than 50 beds.
For purposes of the RFA, all physicians are considered to be small entities. There are about 700,000 physicians and other practitioners who receive Medicare payment under the physician fee schedule. We have prepared the following analysis, which, together with the rest of this preamble, meets all four assessment requirements. It explains the rationale for and purpose of the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we considered to minimize the burden on small entities.
A. Resource-Based Practice Expense Relative Value Units
Revisions in resource-based practice expense RVUs for physicians' services are calculated to be budget neutral, that is, the total practice expense RVUs for calendar year 2001 are calculated to be the same as the total practice expense RVUs that we estimate would have occurred without the changes proposed in this regulation. This also means that increases in practice expense RVUs for some services will necessarily be offset by corresponding decreases in values for other services.
Table 1 shows the impact on total allowed charges by specialty of this proposed rule's practice expense changes. There are six changes that we made that have on effect on payment for practice expenses. We show the impact of each individual provision and the combined impact on the practice expense RVUs.
BILLING CODE 4120-01-P
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BILLING CODE 4120-01-C
The column labeled "Clinical Staff" refers to the proposal discussed earlier with respect to clinical staff times and 0-day global surgical services. As we indicated, clinical staff times for pre-and postsurgical services provided in the office were reinstated to the estimates of practice expense inputs for individual procedures. This change has nearly a 2.0 percent increase in payments for gastroenterology and small positive or negative impacts for all other specialties. The negative impacts on some specialties offset the positive impact for other specialties.
The column labeled "Overhead Equipment" refers to the provision described earlier to remove the distinction between procedure specific and overhead equipment. As we indicated, this change is largely designed to simplify the refinement process and remove a distinction that was more relevant under the "bottom-up" rather than the "top-down" methodology for determining the practice expense RVUs. This proposal has some small impacts on a few specialties.
The column labeled "Standby Equipment" refers to our proposal to remove certain types of equipment from equipment inputs that are used to value individual procedure codes. These types of equipment are not typically used with any individual service, but are on "standby" or used for multiple services at the same time. This proposal also has some small impact on payments to a few specialties.
The column labeled "Midlevel Practitioners" refers to the provision we described earlier to remove utilization data associated with the provision of services by midlevel practitioners that are paid a percentage of the physician fee schedule amount. This change to the model would mean that we would no longer create separate practice expense pools for midlevel practitioners. It would also mean that specialty-specific practice expense RVUs for midlevel practitioners determined after the scaling factor adjustments are made would no longer be used in the weight averaging step.
The greater the extent that allowed services for midlevel practitioners represent a higher proportion of the total number of allowed services for a given code, the more likely this change will have an impact on the practice expense RVU for the service. In some cases, this change would mean that we are no longer weight averaging specialty-specific practice expense RVUs that are higher in value than the RVUs determined for the remaining physician specialties. This would cause the practice expense value for the service to decline in value from what would result from including higher specialty-specific practice expense RVUs for the midlevel practitioner. In general, the impact of this provision would be small for most specialties. The impact on specialty level payments are more likely for specialties that frequently perform services in conjunction with midlevel practitioners.
The column labeled "New SMS Data" refers to our proposal to recalculate the practice expense per hour data based on data from the 1995 through 1998 SMS. (We refer to the SMS based on its publication year. The practice expense data is actually from surveys performed the year prior to publication. For example, the 1998 SMS includes 1997 cost data.) As indicated in the table, this change would have an impact on specialty level payments. These changes in payment would be in the same direction as relative changes in the practice expense per hour. That is, an increase in practice expense per hour for a specialty relative to other specialties would result in increased payments for that specialty. For cardiac and thoracic surgery, there is an additional factor influencing the impact. As we indicated in the November 1999 final rule (64 FR 59391), we weight averaged 1998 SMS data from an oversample for cardiac and thoracic surgery with data from the 1996 and 1997 SMS. At that time, we did not use data from the 1995 SMS in determining the practice expense per hour. Since we are using 1995 through 1998 SMS data for all other physician specialties, we recalculated the practice expense per hour for cardiac and thoracic surgery using data from the 1995 through 1998 SMS. In addition, we are continuing to use 1998 SMS data from the oversample in this calculation.
The total impact column shows the product of each individual provision for the years 2001 and 2002 relative to continuing with our current policy. The figures may not add due to rounding. Table 2 shows the total impact over the 2001 and 2002 period of these changes and the 2001 impact. The difference between the two columns reflects the effect of the transition to fully implemented practice expense RVUs. That is, the impact in the 2001 column will reflect 75 percent of the impact on the fully implemented RVUs. These impacts are in addition to the impacts announced in previous rules related to the adoption of resource-based practice relative value units.
BILLING CODE 4120-01-P
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Table 3 shows the impact on payments for selected high volume procedures of all of the practice expense changes previously discussed. This table isolates the impact of the practice expense changes only on payments. It does not show what actual payments for these procedures will be in 2001 because the payment calculations do not include the effect of the transition or the impact of the physician fee schedule update which is unknown at this time.
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BILLING CODE 4120-01-C
B. Geographic Practice Cost Index Changes
Section 1848(e)(1)(A) of the Act requires that payments under the Medicare physician fee schedule vary among payment areas only to the extent that area costs vary as reflected by the area GPCIs. The GPCIs measure area cost differences in the three components of the physician fee schedule: physician work, practice expenses (employee wages, rent, medical supplies, and equipment), and malpractice insurance. Section 1848(e)(1)(C) of the Act requires that the GPCIs be reviewed and, if necessary, revised at least every 3 years. The first GPCI revision was implemented in 1995. The second revision was implemented in 1998, and the next revision will be implemented in 2001. Section 1848(e)(1)(C) of the Act also requires that the GPCI revisions be phased in equally over a 2-year period if more than one year has elapsed since the last adjustment.
An estimate of the overall effects of proposed GPCI changes on fee schedule area payments can be demonstrated by a comparison of area geographic adjustment factors (GAFs). The GAFs are a weighted composite of each area's work, practice expense, and malpractice expense GPCIs using the national GPCI cost share weights. While not actually used in computing the fee schedule payment for a specific service, the GAFs are useful in comparing overall area costs and payments. The actual effect on payment for any actual service will deviate from the GAF to the extent that the service's proportions of work, practice expense, and malpractice expense RVUs differ from those of the GAF. Addendum H shows the estimated effects of the proposed GPCIs on area GAFs in descending order.
Only 14 of the 89 fee schedule areas would change by at least 2 percent. Only 16 areas would change by from 1 to 1.9 percent. The remaining 59 areas are estimated to experience payment changes of less than 1 percent under the proposed changes. These are very minor changes that would be expected in that we are revising only the rent indices, comprising 11.6 percent of the total GPCI, and the malpractice expense indices, comprising 3.2 percent of the GPCI. Thus, only about 15 percent of the GPCI would be subject to change. The effects in the transition year 2001, would only be one-half of these amounts as the proposed revised GPCIs would be phased in over a 2-year period as required by law.
C. Resource-Based Malpractice Relative Value Units
As indicated earlier, we are currently examining the more recent malpractice data. The malpractice RVUs in the fall final rule will reflect the newer data and the refinements made as a result of comments made on last year's rules.
While we anticipate there would be little impact, this would be fully discussed in the final rule.
D. Critical Care Relative Value Units
As we explained earlier in the preamble in the November 1999 final rule, we established interim work RVUs for 2000 for CPT codes 99291 and 99292 (critical care services). These RVUs were decreased due to concerns about changes in the CPT definition for these services. In this proposed rule, based on changes the Panel is making to the definition for critical care for CY 2001, we are proposing to increase the work RVUs for critical care services and value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292. Any impact of this proposal would be incorporated in the physician fee budget neutrality calculation.
E. Care Plan Oversight
We are proposing to establish two new HCPCS codes for care plan oversight that are consistent with our coverage criteria. We would also establish two new HCPCS codes to describe the services involved in physician certification or recertification and development of a plan of care for a patient for whom the physician has prescribed Medicare-covered home health services.
We are assuming there would be no additional cost or savings as a result of the two new HCPCS codes for care plan oversight. We are merely instituting these codes for consistency with our coverage criteria, and they would be used in place of the CPT codes when these services are provided.
For the new HCPCS codes for physician certification or recertification and development of a plan of care, the payment for these services is currently included in the payment for a variety of services such as E/M that are provided independently to patients as part of a global surgical service. Under this proposal, we would instead pay separately. Since we are proposing to pay separately for a service that is currently included in our payment for other services, this proposal would increase Medicare expenditures for physicians' services without an adjustment to the physician fee schedule CF. For this reason, we are proposing to adjust the physician fee schedule CF to ensure that Medicare payments for physicians' services do not increase as a result of this proposal.
F. Observation Care Codes
Our proposal is budget-neutral. We believe physicians have not been billing for the discharge component of a hospital or observation stay of less than 24 hours so those physicians would be seeing an increase in payment. However, physicians who have been billing 99234 to 99236 and physicians who have been billing 99238 or 99217 for stays less than 24 hours in length (for example, where the patient was in the hospital at the time of the midnight census) would see a small reduction in payment. This policy clarification will give clear guidance to physicians and Medicare contractors in reviewing medical records and would assure consistent payment across contractors.
G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments
As previously stated, we would establish national HCPCS codes and payment amounts for ocular photodynamic therapy. If we did not establish national codes and pricing for this procedure, carriers that determined that this procedure is covered would use unlisted codes and determine pricing locally. There will be no budget effects associated with establishing national codes and payment amounts for this service since national pricing would substitute for use of unlisted codes and carrier pricing.
H. Electrical Bioimpedance
As stated earlier, we are establishing a national payment amount for electrical bioimpedance. This change will have little impact on the Medicare program costs. It establishes national pricing amounts for a service currently priced by carriers.
I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
We are proposing to change the global period for certain CPT codes involving the insertion, removal, and replacement of pacemakers and cardioverter defibrillators from 90 days to 0 days. We would also implement interim RVUs to account for the change in the global period from 90 to 0 days. Since we are making RVU adjustments to accommodate the change in global period, we do not anticipate any costs or savings. There is no redistributive impact of this proposal since it only affects physicians that insert, remove or replace pacemakers or cardioverter defibrillators.
J. Antigen Supply
Our proposal to change from a 12-week to a 12-month supply of antigen could benefit beneficiaries since they could obtain a year's supply of medication in a single visit. We anticipate that this proposed change would have no impact on program costs. There is no redistributive impact of this proposal since it only aggregates four prescriptions into one and the cost to the beneficiary remains the same.
Other issues mentioned in the preamble are merely discussions or clarifications and, therefore, have no budgetary impact.
Budget-Neutrality
Each year since the fee schedule has been implemented, our actuaries have determined any adjustments needed to meet the budget-neutrality requirement of the statute. A component of the actuarial determination of budget-neutrality involves estimating the impact of changes in the volume-and-intensity of physicians' services provided to Medicare beneficiaries as a result of the proposed changes. Consistent with the provision in the November 1998 final rule, the actuaries would use a model that assumes a 30 percent volume-and-intensity response to price reductions.
Impact on Beneficiaries
Although changes in physicians' payments when the physician fee schedule was implemented in 1992 were large, we detected no problems with beneficiary access to care. Furthermore, since beginning our transition to a resource-based practice expense system in 1999, we have not found that there are problems with beneficiary access to care.
VIII. Federalism
We have reviewed this proposed rule under the threshold criteria of EO 13132, Federalism, and we have determined that the proposed rule does not significantly affect the rights, roles, and responsibilities of States.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays.
For the reasons set forth in the preamble, HCFA proposes to amend 42 CFR chapter IV as follows:
PART 410-SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
1. The authority citation for part 410 continues to read as follows:
Authority:
Secs. 1102, and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
2. In § 410.68, republish the introductory text and revise the introductory text for paragraph (b) to read as follows:
§ 410.68 Antigens: Scope and conditions.
Medicare Part B pays for-
(b) A supply of antigen sufficient for not more than 12 months that is-
PART 414-PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
1. The authority citation for part 414 continues to read as follows:
Authority:
Secs. 1102, 1871, and 1881(b)(1) of the Social Security Act (42 U.S.C. 1302, 1395(hh), and 1395rr(b)(1).
2. Revise § 414.22(b)(5)(i) to read as follows:
§ 414.22 Relative value units (RVUs).
(b) * * *
(5) * * *
(i) Usually there are two levels of practice expense RVUs that correspond to each code.
(A) Facility practice expense RVUs. The lower facility practice expense RVUs apply to services furnished to patients in the hospital, skilled nursing facility, community mental health center, or in an ambulatory surgical center when the physician performs procedures on the ASC approved procedures list. (The facility practice expense RVUs for a particular code may not be greater than the non-facility RVUs for the code.)
(B) Non-facility practice expense RVUs. The higher non-facility practice expense RVUs apply to services performed in the following settings: a physician's office, a patient's home, an ASC if the physician is performing a procedure not on the ASC approved procedures list, a nursing facility, or a facility or institution other than a hospital or skilled nursing facility.
(C) Outpatient therapy services. Outpatient therapy services billed under the physician fee schedule are paid using the non-facility practice expense RVU component.
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program)
(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare-Hospital Insurance; and Program No. 93.774, Medicare-Supplementary Medical Insurance Program)
Dated: May 25, 2000.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing Administration.
Dated: June 26, 2000.
Donna E. Shalala,
Secretary.
Note:
These addenda will not appear in the Code of Federal Regulations.
Addendum A-Explanation and Use of Addendum B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2001. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.
Addendum B-2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001
This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.
2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier -26) for the service. If there is a PC and TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier -26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.
A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an "A" indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.
G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.
N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.
P= Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.
-If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).
-If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that is not within the definition of "physicians' services" for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)
4. Description of code. This is an abbreviated version of the narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work for this service in 2001. Codes that are not used for Medicare payment are identified with a "+."
6. Fully implemented non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.
7. Year 2001 Transition non-facility practice expense RVUs. Blended non-facility practice expense RVUs for use in 2001.
8. Fully implemented facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.
9. Year 2001 transition facility practice expense RVUs. Blended facility practice expense RVUs for use in 2001.
10. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2001.
11. Fully implemented non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.
12. Year 2001 transition non-facility total. This is the sum of the work, transition non-facility practice expense, and malpractice expense RVUs for use in 2001.
13. Fully implemented facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.
14. Year 2001 transition facility total. This is the sum of the work, transition facility practice expense, and malpractice expense RVUs for use in 2001.
15. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:
MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).
ZZZ = The code is part of another service and falls within the global period for the other service.
----------
1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2 Copyright 1994 American Dental Association. All rights reserved.3 PE RVUs = Practice Expense Relative Value Units.
| CPT1 /HCPCS2 | Mod | Status | Description | Physician work RVUs | Fully implemented non-facility PE RVUs | Year 2001 transitional non- facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Mal-practice RVUs | Fully implemented non-facility total | Year 2001 transitional non- facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 10120 | A | Remove foreign body | 1.22 | 1.67 | 1.38 | 0.67 | 0.63 | 0.10 | 2.99 | 2.70 | 1.99 | 1.95 | 010 | |
| 10121 | A | Remove foreign body | 2.69 | 2.61 | 2.23 | 1.70 | 1.55 | 0.24 | 5.54 | 5.16 | 4.63 | 4.48 | 010 | |
| 10140 | A | Drainage of hematoma/fluid | 1.53 | 1.32 | 1.12 | 0.82 | 0.75 | 0.11 | 2.96 | 2.76 | 2.46 | 2.39 | 010 | |
| 10160 | A | Puncture drainage of lesion | 1.20 | 1.45 | 1.19 | 0.73 | 0.65 | 0.09 | 2.74 | 2.48 | 2.02 | 1.94 | 010 | |
| 10180 | A | Complex drainage, wound | 2.25 | 1.32 | 1.28 | 1.24 | 1.22 | 0.23 | 3.80 | 3.76 | 3.72 | 3.70 | 010 | |
| 11000 | A | Debride infected skin | 0.60 | 0.52 | 0.50 | 0.24 | 0.29 | 0.04 | 1.16 | 1.14 | 0.88 | 0.93 | 000 | |
| 11001 | A | Debride infected skin add-on | 0.30 | 0.29 | 0.29 | 0.12 | 0.16 | 0.02 | 0.61 | 0.61 | 0.44 | 0.48 | ZZZ | |
| 11010 | A | Debride skin, fx | 4.20 | 2.39 | 2.87 | 2.10 | 2.65 | 0.36 | 6.95 | 7.43 | 6.66 | 7.21 | 010 | |
| 11011 | A | Debride skin/muscle, fx | 4.95 | 3.67 | 4.03 | 2.61 | 3.24 | 0.48 | 9.10 | 9.46 | 8.04 | 8.67 | 000 | |
| 11012 | A | Debride skin/muscle/bone, fx | 6.88 | 4.94 | 5.49 | 4.14 | 4.89 | 0.71 | 12.53 | 13.08 | 11.73 | 12.48 | 000 | |
| 11040 | A | Debride skin, partial | 0.50 | 0.45 | 0.45 | 0.21 | 0.27 | 0.03 | 0.98 | 0.98 | 0.74 | 0.80 | 000 | |
| 11041 | A | Debride skin, full | 0.82 | 0.61 | 0.61 | 0.33 | 0.40 | 0.06 | 1.49 | 1.49 | 1.21 | 1.28 | 000 | |
| 11042 | A | Debride skin/tissue | 1.12 | 0.85 | 0.82 | 0.46 | 0.52 | 0.09 | 2.06 | 2.03 | 1.67 | 1.73 | 000 | |
| 11043 | A | Debride tissue/muscle | 2.38 | 2.41 | 2.30 | 1.38 | 1.53 | 0.22 | 5.01 | 4.90 | 3.98 | 4.13 | 010 | |
| 11044 | A | Debride tissue/muscle/bone | 3.06 | 3.11 | 3.10 | 1.81 | 2.12 | 0.30 | 6.47 | 6.46 | 5.17 | 5.48 | 010 | |
| 11055 | R | Trim skin lesion | 0.27 | 0.34 | 0.33 | 0.12 | 0.16 | 0.02 | 0.63 | 0.62 | 0.41 | 0.45 | 000 | |
| 11056 | R | Trim skin lesions, 2 to 4 | 0.39 | 0.38 | 0.38 | 0.16 | 0.22 | 0.03 | 0.80 | 0.80 | 0.58 | 0.64 | 000 | |
| 11057 | R | Trim skin lesions, over 4 | 0.50 | 0.42 | 0.39 | 0.21 | 0.23 | 0.03 | 0.95 | 0.92 | 0.74 | 0.76 | 000 | |
| 11100 | A | Biopsy of skin lesion | 0.81 | 1.47 | 1.24 | 0.38 | 0.42 | 0.04 | 2.32 | 2.09 | 1.23 | 1.27 | 000 | |
| 11101 | A | Biopsy, skin add-on | 0.41 | 0.68 | 0.59 | 0.20 | 0.23 | 0.02 | 1.11 | 1.02 | 0.63 | 0.66 | ZZZ | |
| 11200 | A | Removal of skin tags | 0.77 | 1.03 | 0.89 | 0.31 | 0.35 | 0.04 | 1.84 | 1.70 | 1.12 | 1.16 | 010 | |
| 11201 | A | Remove skin tags add-on | 0.29 | 0.42 | 0.36 | 0.12 | 0.14 | 0.02 | 0.73 | 0.67 | 0.43 | 0.45 | ZZZ | |
| 11300 | A | Shave skin lesion | 0.51 | 0.98 | 0.88 | 0.22 | 0.31 | 0.03 | 1.52 | 1.42 | 0.76 | 0.85 | 000 | |
| 11301 | A | Shave skin lesion | 0.85 | 1.08 | 0.99 | 0.40 | 0.48 | 0.04 | 1.97 | 1.88 | 1.29 | 1.37 | 000 | |
| 11302 | A | Shave skin lesion | 1.05 | 1.18 | 1.13 | 0.48 | 0.60 | 0.05 | 2.28 | 2.23 | 1.58 | 1.70 | 000 | |
| 11303 | A | Shave skin lesion | 1.24 | 1.29 | 1.34 | 0.56 | 0.79 | 0.06 | 2.59 | 2.64 | 1.86 | 2.09 | 000 | |
| 11305 | A | Shave skin lesion | 0.67 | 0.78 | 0.73 | 0.29 | 0.36 | 0.04 | 1.49 | 1.44 | 1.00 | 1.07 | 000 | |
| 11306 | A | Shave skin lesion | 0.99 | 1.03 | 0.97 | 0.44 | 0.52 | 0.05 | 2.07 | 2.01 | 1.48 | 1.56 | 000 | |
| 11307 | A | Shave skin lesion | 1.14 | 1.13 | 1.10 | 0.51 | 0.64 | 0.05 | 2.32 | 2.29 | 1.70 | 1.83 | 000 | |
| 11308 | A | Shave skin lesion | 1.41 | 1.21 | 1.29 | 0.62 | 0.85 | 0.07 | 2.69 | 2.77 | 2.10 | 2.33 | 000 | |
| 11310 | A | Shave skin lesion | 0.73 | 1.08 | 1.00 | 0.34 | 0.44 | 0.04 | 1.85 | 1.77 | 1.11 | 1.21 | 000 | |
| 11311 | A | Shave skin lesion | 1.05 | 1.19 | 1.12 | 0.51 | 0.61 | 0.05 | 2.29 | 2.22 | 1.61 | 1.71 | 000 | |
| 11312 | A | Shave skin lesion | 1.20 | 1.27 | 1.26 | 0.58 | 0.74 | 0.05 | 2.52 | 2.51 | 1.83 | 1.99 | 000 | |
| 11313 | A | Shave skin lesion | 1.62 | 1.51 | 1.54 | 0.76 | 0.98 | 0.08 | 3.21 | 3.24 | 2.46 | 2.68 | 000 | |
| 11400 | A | Removal of skin lesion | 0.91 | 2.30 | 1.87 | 0.71 | 0.68 | 0.07 | 3.28 | 2.85 | 1.69 | 1.66 | 010 | |
| 11401 | A | Removal of skin lesion | 1.32 | 2.34 | 1.94 | 0.87 | 0.84 | 0.10 | 3.76 | 3.36 | 2.29 | 2.26 | 010 | |
| 11402 | A | Removal of skin lesion | 1.61 | 2.42 | 2.06 | 0.95 | 0.96 | 0.11 | 4.14 | 3.78 | 2.67 | 2.68 | 010 | |
| 11403 | A | Removal of skin lesion | 1.92 | 2.63 | 2.29 | 1.08 | 1.13 | 0.15 | 4.70 | 4.36 | 3.15 | 3.20 | 010 | |
| 11404 | A | Removal of skin lesion | 2.20 | 2.78 | 2.46 | 1.17 | 1.25 | 0.18 | 5.16 | 4.84 | 3.55 | 3.63 | 010 | |
| 11406 | A | Removal of skin lesion | 2.76 | 3.07 | 2.81 | 1.39 | 1.55 | 0.25 | 6.08 | 5.82 | 4.40 | 4.56 | 010 | |
| 11420 | A | Removal of skin lesion | 1.06 | 1.92 | 1.58 | 0.76 | 0.71 | 0.08 | 3.06 | 2.72 | 1.90 | 1.85 | 010 | |
| 11421 | A | Removal of skin lesion | 1.53 | 2.25 | 1.88 | 0.97 | 0.92 | 0.11 | 3.89 | 3.52 | 2.61 | 2.56 | 010 | |
| 11422 | A | Removal of skin lesion | 1.76 | 2.44 | 2.09 | 1.04 | 1.04 | 0.12 | 4.32 | 3.97 | 2.92 | 2.92 | 010 | |
| 11423 | A | Removal of skin lesion | 2.17 | 2.73 | 2.40 | 1.21 | 1.26 | 0.17 | 5.07 | 4.74 | 3.55 | 3.60 | 010 | |
| 11424 | A | Removal of skin lesion | 2.62 | 2.87 | 2.53 | 1.38 | 1.41 | 0.20 | 5.69 | 5.35 | 4.20 | 4.23 | 010 | |
| 11426 | A | Removal of skin lesion | 3.78 | 3.51 | 3.13 | 1.85 | 1.89 | 0.32 | 7.61 | 7.23 | 5.95 | 5.99 | 010 | |
| 11440 | A | Removal of skin lesion | 1.15 | 2.45 | 2.03 | 0.92 | 0.88 | 0.08 | 3.68 | 3.26 | 2.15 | 2.11 | 010 | |
| 11441 | A | Removal of skin lesion | 1.61 | 2.59 | 2.17 | 1.14 | 1.09 | 0.11 | 4.31 | 3.89 | 2.86 | 2.81 | 010 | |
| 11442 | A | Removal of skin lesion | 1.87 | 2.66 | 2.30 | 1.24 | 1.24 | 0.13 | 4.66 | 4.30 | 3.24 | 3.24 | 010 | |
| 11443 | A | Removal of skin lesion | 2.49 | 3.12 | 2.73 | 1.54 | 1.55 | 0.18 | 5.79 | 5.40 | 4.21 | 4.22 | 010 | |
| 11444 | A | Removal of skin lesion | 3.42 | 3.55 | 3.06 | 1.93 | 1.85 | 0.25 | 7.22 | 6.73 | 5.60 | 5.52 | 010 | |
| 11446 | A | Removal of skin lesion | 4.49 | 4.02 | 3.50 | 2.45 | 2.32 | 0.32 | 8.83 | 8.31 | 7.26 | 7.13 | 010 | |
| 11450 | A | Removal, sweat gland lesion | 2.73 | 3.83 | 3.60 | 1.08 | 1.54 | 0.24 | 6.80 | 6.57 | 4.05 | 4.51 | 090 | |
| 11451 | A | Removal, sweat gland lesion | 3.95 | 4.79 | 4.38 | 1.56 | 1.96 | 0.37 | 9.11 | 8.70 | 5.88 | 6.28 | 090 | |
| 11462 | A | Removal, sweat gland lesion | 2.51 | 3.82 | 3.52 | 1.01 | 1.41 | 0.23 | 6.56 | 6.26 | 3.75 | 4.15 | 090 | |
| 11463 | A | Removal, sweat gland lesion | 3.95 | 5.26 | 4.49 | 1.63 | 1.77 | 0.39 | 9.60 | 8.83 | 5.97 | 6.11 | 090 | |
| 11470 | A | Removal, sweat gland lesion | 3.25 | 4.28 | 3.97 | 1.30 | 1.73 | 0.31 | 7.84 | 7.53 | 4.86 | 5.29 | 090 | |
| 11471 | A | Removal, sweat gland lesion | 4.41 | 5.38 | 4.70 | 1.81 | 2.03 | 0.42 | 10.21 | 9.53 | 6.64 | 6.86 | 090 | |
| 11600 | A | Removal of skin lesion | 1.41 | 2.47 | 2.16 | 0.97 | 1.04 | 0.09 | 3.97 | 3.66 | 2.47 | 2.54 | 010 | |
| 11601 | A | Removal of skin lesion | 1.93 | 2.56 | 2.30 | 1.09 | 1.20 | 0.11 | 4.60 | 4.34 | 3.13 | 3.24 | 010 | |
| 11602 | A | Removal of skin lesion | 2.09 | 2.62 | 2.46 | 1.29 | 1.46 | 0.12 | 4.83 | 4.67 | 3.50 | 3.67 | 010 | |
| 11603 | A | Removal of skin lesion | 2.35 | 2.79 | 2.70 | 1.36 | 1.63 | 0.15 | 5.29 | 5.20 | 3.86 | 4.13 | 010 | |
| 11604 | A | Removal of skin lesion | 2.58 | 2.96 | 2.92 | 1.44 | 1.78 | 0.18 | 5.72 | 5.68 | 4.20 | 4.54 | 010 | |
| 11606 | A | Removal of skin lesion | 3.43 | 3.50 | 3.47 | 1.75 | 2.16 | 0.28 | 7.21 | 7.18 | 5.46 | 5.87 | 010 | |
| 11620 | A | Removal of skin lesion | 1.34 | 2.44 | 2.19 | 0.99 | 1.11 | 0.09 | 3.87 | 3.62 | 2.42 | 2.54 | 010 | |
| 11621 | A | Removal of skin lesion | 1.97 | 2.59 | 2.42 | 1.24 | 1.41 | 0.11 | 4.67 | 4.50 | 3.32 | 3.49 | 010 | |
| 11622 | A | Removal of skin lesion | 2.34 | 2.75 | 2.66 | 1.45 | 1.69 | 0.14 | 5.23 | 5.14 | 3.93 | 4.17 | 010 | |
| 11623 | A | Removal of skin lesion | 2.93 | 2.70 | 2.73 | 1.69 | 1.97 | 0.20 | 5.83 | 5.86 | 4.82 | 5.10 | 010 | |
| 11624 | A | Removal of skin lesion | 3.43 | 3.01 | 3.13 | 1.91 | 2.30 | 0.25 | 6.69 | 6.81 | 5.59 | 5.98 | 010 | |
| 11626 | A | Removal of skin lesion | 4.30 | 3.96 | 3.90 | 2.29 | 2.64 | 0.34 | 8.60 | 8.54 | 6.93 | 7.28 | 010 | |
| 11640 | A | Removal of skin lesion | 1.53 | 2.53 | 2.35 | 1.16 | 1.32 | 0.10 | 4.16 | 3.98 | 2.79 | 2.95 | 010 | |
| 11641 | A | Removal of skin lesion | 2.44 | 2.88 | 2.73 | 1.61 | 1.78 | 0.14 | 5.46 | 5.31 | 4.19 | 4.36 | 010 | |
| 11642 | A | Removal of skin lesion | 2.93 | 2.79 | 2.79 | 1.82 | 2.06 | 0.18 | 5.90 | 5.90 | 4.93 | 5.17 | 010 | |
| 11643 | A | Removal of skin lesion | 3.50 | 3.12 | 3.16 | 2.10 | 2.39 | 0.24 | 6.86 | 6.90 | 5.84 | 6.13 | 010 | |
| 11644 | A | Removal of skin lesion | 4.55 | 3.74 | 3.76 | 2.60 | 2.90 | 0.32 | 8.61 | 8.63 | 7.47 | 7.77 | 010 | |
| 11646 | A | Removal of skin lesion | 5.95 | 4.94 | 4.88 | 3.31 | 3.66 | 0.46 | 11.35 | 11.29 | 9.72 | 10.07 | 010 | |
| 11719 | R | Trim nail(s) | 0.11 | 0.48 | 0.43 | 0.04 | 0.10 | 0.01 | 0.60 | 0.55 | 0.16 | 0.22 | 000 | |
| 11720 | A | Debride nail, 1-5 | 0.32 | 0.40 | 0.39 | 0.13 | 0.19 | 0.02 | 0.74 | 0.73 | 0.47 | 0.53 | 000 | |
| 11721 | A | Debride nail, 6 or more | 0.54 | 0.51 | 0.53 | 0.21 | 0.31 | 0.04 | 1.09 | 1.11 | 0.79 | 0.89 | 000 | |
| 11730 | A | Removal of nail plate | 1.13 | 0.72 | 0.66 | 0.45 | 0.46 | 0.07 | 1.92 | 1.86 | 1.65 | 1.66 | 000 | |
| 11732 | A | Remove nail plate, add-on | 0.57 | 0.28 | 0.28 | 0.23 | 0.24 | 0.04 | 0.89 | 0.89 | 0.84 | 0.85 | ZZZ | |
| 11740 | A | Drain blood from under nail | 0.37 | 0.64 | 0.59 | 0.14 | 0.21 | 0.03 | 1.04 | 0.99 | 0.54 | 0.61 | 000 | |
| 11750 | A | Removal of nail bed | 1.86 | 1.49 | 1.69 | 0.78 | 1.16 | 0.12 | 3.47 | 3.67 | 2.76 | 3.14 | 010 | |
| 11752 | A | Remove nail bed/finger tip | 2.67 | 1.84 | 2.15 | 1.65 | 2.00 | 0.20 | 4.71 | 5.02 | 4.52 | 4.87 | 010 | |
| 11755 | A | Biopsy, nail unit | 1.31 | 0.97 | 1.00 | 0.57 | 0.70 | 0.08 | 2.36 | 2.39 | 1.96 | 2.09 | 000 | |
| 11760 | A | Repair of nail bed | 1.58 | 1.54 | 1.41 | 1.13 | 1.10 | 0.13 | 3.25 | 3.12 | 2.84 | 2.81 | 010 | |
| 11762 | A | Reconstruction of nail bed | 2.89 | 1.97 | 2.18 | 1.75 | 2.01 | 0.20 | 5.06 | 5.27 | 4.84 | 5.10 | 010 | |
| 11765 | A | Excision of nail fold, toe | 0.69 | 0.93 | 0.84 | 0.42 | 0.45 | 0.05 | 1.67 | 1.58 | 1.16 | 1.19 | 010 | |
| 11770 | A | Removal of pilonidal lesion | 2.61 | 2.77 | 2.80 | 1.27 | 1.68 | 0.24 | 5.62 | 5.65 | 4.12 | 4.53 | 010 | |
| 11771 | A | Removal of pilonidal lesion | 5.74 | 5.00 | 4.98 | 3.95 | 4.19 | 0.55 | 11.29 | 11.27 | 10.24 | 10.48 | 090 | |
| 11772 | A | Removal of pilonidal lesion | 6.98 | 5.85 | 5.70 | 4.45 | 4.65 | 0.70 | 13.53 | 13.38 | 12.13 | 12.33 | 090 | |
| 11900 | A | Injection into skin lesions | 0.52 | 0.69 | 0.59 | 0.22 | 0.23 | 0.02 | 1.23 | 1.13 | 0.76 | 0.77 | 000 | |
| 11901 | A | Added skin lesions injection | 0.80 | 0.82 | 0.73 | 0.37 | 0.39 | 0.03 | 1.65 | 1.56 | 1.20 | 1.22 | 000 | |
| 11920 | R | Correct skin color defects | 1.61 | 2.01 | 1.83 | 0.78 | 0.91 | 0.17 | 3.79 | 3.61 | 2.56 | 2.69 | 000 | |
| 11921 | R | Correct skin color defects | 1.93 | 2.21 | 2.04 | 1.00 | 1.13 | 0.20 | 4.34 | 4.17 | 3.13 | 3.26 | 000 | |
| 11922 | R | Correct skin color defects | 0.49 | 0.36 | 0.37 | 0.26 | 0.29 | 0.05 | 0.90 | 0.91 | 0.80 | 0.83 | ZZZ | |
| 11950 | R | Therapy for contour defects | 0.84 | 1.01 | 1.08 | 0.35 | 0.59 | 0.06 | 1.91 | 1.98 | 1.25 | 1.49 | 000 | |
| 11951 | R | Therapy for contour defects | 1.19 | 1.34 | 1.33 | 0.53 | 0.72 | 0.09 | 2.62 | 2.61 | 1.81 | 2.00 | 000 | |
| 11952 | R | Therapy for contour defects | 1.69 | 2.09 | 1.89 | 0.80 | 0.92 | 0.11 | 3.89 | 3.69 | 2.60 | 2.72 | 000 | |
| 11954 | R | Therapy for contour defects | 1.85 | 2.36 | 2.09 | 0.71 | 0.86 | 0.20 | 4.41 | 4.14 | 2.76 | 2.91 | 000 | |
| 11960 | A | Insert tissue expander(s) | 9.08 | NA | NA | 10.01 | 9.61 | 0.89 | NA | NA | 19.98 | 19.58 | 090 | |
| 11970 | A | Replace tissue expander | 7.06 | NA | NA | 4.89 | 5.78 | 0.75 | NA | NA | 12.70 | 13.59 | 090 | |
| 11971 | A | Remove tissue expander(s) | 2.13 | 5.96 | 5.10 | 3.56 | 3.30 | 0.22 | 8.31 | 7.45 | 5.91 | 5.65 | 090 | |
| 11975 | N | Insert contraceptive cap | 1.48 | 1.46 | 1.38 | 0.59 | 0.73 | 0.11 | 3.05 | 2.97 | 2.18 | 2.32 | XXX | |
| 11976 | R | Removal of contraceptive cap | 1.78 | 1.52 | 1.49 | 0.65 | 0.84 | 0.13 | 3.43 | 3.40 | 2.56 | 2.75 | XXX | |
| 11977 | N | Removal/reinsert contra cap | 3.30 | 2.19 | 2.28 | 1.31 | 1.62 | 0.25 | 5.74 | 5.83 | 4.86 | 5.17 | XXX | |
| 11980 | A | Implant hormone pellet(s) | 1.48 | 1.46 | 1.46 | 0.59 | 0.59 | 0.11 | 3.05 | 3.05 | 2.18 | 2.18 | 000 | |
| 12001 | A | Repair superficial wound(s) | 1.70 | 2.17 | 1.78 | 0.78 | 0.74 | 0.15 | 4.02 | 3.63 | 2.63 | 2.59 | 010 | |
| 12002 | A | Repair superficial wound(s) | 1.86 | 2.26 | 1.91 | 0.82 | 0.83 | 0.16 | 4.28 | 3.93 | 2.84 | 2.85 | 010 | |
| 12004 | A | Repair superficial wound(s) | 2.24 | 2.45 | 2.15 | 0.94 | 1.02 | 0.20 | 4.89 | 4.59 | 3.38 | 3.46 | 010 | |
| 12005 | A | Repair superficial wound(s) | 2.86 | 2.84 | 2.53 | 1.17 | 1.28 | 0.26 | 5.96 | 5.65 | 4.29 | 4.40 | 010 | |
| 12006 | A | Repair superficial wound(s) | 3.67 | 3.97 | 3.46 | 1.74 | 1.79 | 0.34 | 7.98 | 7.47 | 5.75 | 5.80 | 010 | |
| 12007 | A | Repair superficial wound(s) | 4.12 | 4.29 | 3.71 | 2.04 | 2.02 | 0.38 | 8.79 | 8.21 | 6.54 | 6.52 | 010 | |
| 12011 | A | Repair superficial wound(s) | 1.76 | 2.27 | 1.90 | 0.79 | 0.79 | 0.16 | 4.19 | 3.82 | 2.71 | 2.71 | 010 | |
| 12013 | A | Repair superficial wound(s) | 1.99 | 2.38 | 2.07 | 0.84 | 0.91 | 0.18 | 4.55 | 4.24 | 3.01 | 3.08 | 010 | |
| 12014 | A | Repair superficial wound(s) | 2.46 | 2.68 | 2.33 | 1.01 | 1.08 | 0.22 | 5.36 | 5.01 | 3.69 | 3.76 | 010 | |
| 12015 | A | Repair superficial wound(s) | 3.19 | 3.09 | 2.76 | 1.20 | 1.34 | 0.29 | 6.57 | 6.24 | 4.68 | 4.82 | 010 | |
| 12016 | A | Repair superficial wound(s) | 3.93 | 3.35 | 3.13 | 1.50 | 1.74 | 0.36 | 7.64 | 7.42 | 5.79 | 6.03 | 010 | |
| 12017 | A | Repair superficial wound(s) | 4.71 | 5.03 | 4.69 | 2.11 | 2.50 | 0.44 | 10.18 | 9.84 | 7.26 | 7.65 | 010 | |
| 12018 | A | Repair superficial wound(s) | 5.53 | 5.66 | 5.64 | 2.54 | 3.30 | 0.46 | 11.65 | 11.63 | 8.53 | 9.29 | 010 | |
| 12020 | A | Closure of split wound | 2.62 | 2.59 | 2.27 | 1.51 | 1.46 | 0.23 | 5.44 | 5.12 | 4.36 | 4.31 | 010 | |
| 12021 | A | Closure of split wound | 1.84 | 2.00 | 1.67 | 1.11 | 1.00 | 0.15 | 3.99 | 3.66 | 3.10 | 2.99 | 010 | |
| 12031 | A | Layer closure of wound(s) | 2.15 | 2.66 | 2.19 | 1.16 | 1.07 | 0.14 | 4.95 | 4.48 | 3.45 | 3.36 | 010 | |
| 12032 | A | Layer closure of wound(s) | 2.47 | 2.74 | 2.34 | 1.23 | 1.21 | 0.15 | 5.36 | 4.96 | 3.85 | 3.83 | 010 | |
| 12034 | A | Layer closure of wound(s) | 2.92 | 2.97 | 2.63 | 1.39 | 1.44 | 0.24 | 6.13 | 5.79 | 4.55 | 4.60 | 010 | |
| 12035 | A | Layer closure of wound(s) | 3.43 | 2.98 | 2.76 | 1.62 | 1.74 | 0.32 | 6.73 | 6.51 | 5.37 | 5.49 | 010 | |
| 12036 | A | Layer closure of wound(s) | 4.05 | 4.89 | 4.30 | 2.34 | 2.39 | 0.40 | 9.34 | 8.75 | 6.79 | 6.84 | 010 | |
| 12037 | A | Layer closure of wound(s) | 4.67 | 5.11 | 4.67 | 2.81 | 2.95 | 0.44 | 10.22 | 9.78 | 7.92 | 8.06 | 010 | |
| 12041 | A | Layer closure of wound(s) | 2.37 | 2.95 | 2.44 | 1.19 | 1.12 | 0.17 | 5.49 | 4.98 | 3.73 | 3.66 | 010 | |
| 12042 | A | Layer closure of wound(s) | 2.74 | 2.93 | 2.52 | 1.36 | 1.34 | 0.18 | 5.85 | 5.44 | 4.28 | 4.26 | 010 | |
| 12044 | A | Layer closure of wound(s) | 3.14 | 2.99 | 2.68 | 1.54 | 1.60 | 0.26 | 6.39 | 6.08 | 4.94 | 5.00 | 010 | |
| 12045 | A | Layer closure of wound(s) | 3.64 | 3.33 | 3.08 | 1.80 | 1.93 | 0.32 | 7.29 | 7.04 | 5.76 | 5.89 | 010 | |
| 12046 | A | Layer closure of wound(s) | 4.25 | 4.95 | 4.48 | 2.40 | 2.57 | 0.37 | 9.57 | 9.10 | 7.02 | 7.19 | 010 | |
| 12047 | A | Layer closure of wound(s) | 4.65 | 4.99 | 4.83 | 2.79 | 3.18 | 0.44 | 10.08 | 9.92 | 7.88 | 8.27 | 010 | |
| 12051 | A | Layer closure of wound(s) | 2.47 | 2.91 | 2.46 | 1.35 | 1.29 | 0.17 | 5.55 | 5.10 | 3.99 | 3.93 | 010 | |
| 12052 | A | Layer closure of wound(s) | 2.77 | 2.88 | 2.56 | 1.30 | 1.38 | 0.17 | 5.82 | 5.50 | 4.24 | 4.32 | 010 | |
| 12053 | A | Layer closure of wound(s) | 3.12 | 3.03 | 2.75 | 1.45 | 1.57 | 0.23 | 6.38 | 6.10 | 4.80 | 4.92 | 010 | |
| 12054 | A | Layer closure of wound(s) | 3.46 | 3.36 | 3.23 | 1.57 | 1.88 | 0.29 | 7.11 | 6.98 | 5.32 | 5.63 | 010 | |
| 12055 | A | Layer closure of wound(s) | 4.43 | 4.12 | 3.97 | 2.09 | 2.45 | 0.39 | 8.94 | 8.79 | 6.91 | 7.27 | 010 | |
| 12056 | A | Layer closure of wound(s) | 5.24 | 5.87 | 5.69 | 2.89 | 3.45 | 0.43 | 11.54 | 11.36 | 8.56 | 9.12 | 010 | |
| 12057 | A | Layer closure of wound(s) | 5.96 | 5.55 | 5.67 | 3.52 | 4.15 | 0.49 | 12.00 | 12.12 | 9.97 | 10.60 | 010 | |
| 13100 | A | Repair of wound or lesion | 3.12 | 3.25 | 2.75 | 1.83 | 1.68 | 0.22 | 6.59 | 6.09 | 5.17 | 5.02 | 010 | |
| 13101 | A | Repair of wound or lesion | 3.92 | 3.54 | 3.22 | 2.28 | 2.28 | 0.23 | 7.69 | 7.37 | 6.43 | 6.43 | 010 | |
| 13102 | A | Repair wound/lesion add-on | 1.24 | 0.72 | 0.72 | 0.57 | 0.57 | 0.08 | 2.04 | 2.04 | 1.89 | 1.89 | ZZZ | |
| 13120 | A | Repair of wound or lesion | 3.30 | 3.39 | 2.91 | 1.82 | 1.73 | 0.25 | 6.94 | 6.46 | 5.37 | 5.28 | 010 | |
| 13121 | A | Repair of wound or lesion | 4.33 | 3.76 | 3.54 | 2.32 | 2.46 | 0.27 | 8.36 | 8.14 | 6.92 | 7.06 | 010 | |
| 13122 | A | Repair wound/lesion add-on | 1.44 | 0.84 | 0.84 | 0.66 | 0.66 | 0.09 | 2.37 | 2.37 | 2.19 | 2.19 | ZZZ | |
| 13131 | A | Repair of wound or lesion | 3.79 | 3.64 | 3.27 | 2.17 | 2.17 | 0.26 | 7.69 | 7.32 | 6.22 | 6.22 | 010 | |
| 13132 | A | Repair of wound or lesion | 5.95 | 4.50 | 4.62 | 3.19 | 3.63 | 0.34 | 10.79 | 10.91 | 9.48 | 9.92 | 010 | |
| 13133 | A | Repair wound/lesion add-on | 2.19 | 1.19 | 1.19 | 1.01 | 1.01 | 0.12 | 3.50 | 3.50 | 3.32 | 3.32 | ZZZ | |
| 13150 | A | Repair of wound or lesion | 3.81 | 4.97 | 4.21 | 2.50 | 2.35 | 0.29 | 9.07 | 8.31 | 6.60 | 6.45 | 010 | |
| 13151 | A | Repair of wound or lesion | 4.45 | 4.98 | 4.40 | 2.95 | 2.88 | 0.30 | 9.73 | 9.15 | 7.70 | 7.63 | 010 | |
| 13152 | A | Repair of wound or lesion | 6.33 | 5.64 | 5.62 | 3.85 | 4.28 | 0.40 | 12.37 | 12.35 | 10.58 | 11.01 | 010 | |
| 13153 | A | Repair wound/lesion add-on | 2.38 | 1.32 | 1.32 | 1.09 | 1.09 | 0.15 | 3.85 | 3.85 | 3.62 | 3.62 | ZZZ | |
| 13160 | A | Late closure of wound | 10.48 | NA | NA | 6.26 | 5.60 | 1.08 | NA | NA | 17.82 | 17.16 | 090 | |
| 13300 | D | Repair of wound or lesion | 5.27 | 2.09 | 3.12 | 2.09 | 3.12 | 0.44 | 7.80 | 8.83 | 7.80 | 8.83 | 010 | |
| 14000 | A | Skin tissue rearrangement | 5.89 | 7.03 | 6.20 | 4.52 | 4.32 | 0.46 | 13.38 | 12.55 | 10.87 | 10.67 | 090 | |
| 14001 | A | Skin tissue rearrangement | 8.47 | 8.26 | 7.48 | 5.82 | 5.65 | 0.67 | 17.40 | 16.62 | 14.96 | 14.79 | 090 | |
| 14020 | A | Skin tissue rearrangement | 6.59 | 7.45 | 6.92 | 5.13 | 5.18 | 0.51 | 14.55 | 14.02 | 12.23 | 12.28 | 090 | |
| 14021 | A | Skin tissue rearrangement | 10.06 | 8.94 | 8.39 | 6.89 | 6.85 | 0.73 | 19.73 | 19.18 | 17.68 | 17.64 | 090 | |
| 14040 | A | Skin tissue rearrangement | 7.87 | 7.82 | 7.70 | 5.80 | 6.19 | 0.53 | 16.22 | 16.10 | 14.20 | 14.59 | 090 | |
| 14041 | A | Skin tissue rearrangement | 11.49 | 9.68 | 9.40 | 7.65 | 7.88 | 0.69 | 21.86 | 21.58 | 19.83 | 20.06 | 090 | |
| 14060 | A | Skin tissue rearrangement | 8.50 | 8.34 | 8.36 | 6.60 | 7.05 | 0.60 | 17.44 | 17.46 | 15.70 | 16.15 | 090 | |
| 14061 | A | Skin tissue rearrangement | 12.29 | 10.66 | 10.84 | 8.55 | 9.26 | 0.75 | 23.70 | 23.88 | 21.59 | 22.30 | 090 | |
| 14300 | A | Skin tissue rearrangement | 11.76 | 9.70 | 10.34 | 8.10 | 9.14 | 0.92 | 22.38 | 23.02 | 20.78 | 21.82 | 090 | |
| 14350 | A | Skin tissue rearrangement | 9.61 | NA | NA | 5.92 | 6.09 | 0.90 | NA | NA | 16.43 | 16.60 | 090 | |
| 15000 | A | Skin graft | 0.04 | 2.40 | 2.38 | 1.93 | 2.03 | 0.36 | 2.80 | 2.78 | 2.33 | 2.43 | 000 | |
| 15001 | A | Skin graft add-on | 0.01 | 0.60 | 0.60 | 0.48 | 0.48 | 0.09 | 0.70 | 0.70 | 0.58 | 0.58 | ZZZ | |
| 15050 | A | Skin pinch graft | 4.30 | 4.82 | 4.10 | 3.66 | 3.23 | 0.41 | 9.53 | 8.81 | 8.37 | 7.94 | 090 | |
| 15100 | A | Skin split graft | 9.05 | 6.17 | 5.86 | 6.01 | 5.74 | 0.94 | 16.16 | 15.85 | 16.00 | 15.73 | 090 | |
| 15101 | A | Skin split graft add-on | 1.72 | 1.15 | 1.30 | 0.77 | 1.01 | 0.18 | 3.05 | 3.20 | 2.67 | 2.91 | ZZZ | |
| 15120 | A | Skin split graft | 9.83 | 8.00 | 7.64 | 6.56 | 6.56 | 0.80 | 18.63 | 18.27 | 17.19 | 17.19 | 090 | |
| 15121 | A | Skin split graft add-on | 2.67 | 1.69 | 2.06 | 1.29 | 1.76 | 0.26 | 4.62 | 4.99 | 4.22 | 4.69 | ZZZ | |
| 15200 | A | Skin full graft | 8.03 | 8.74 | 7.68 | 5.43 | 5.19 | 0.72 | 17.49 | 16.43 | 14.18 | 13.94 | 090 | |
| 15201 | A | Skin full graft add-on | 1.32 | 1.08 | 1.27 | 0.66 | 0.95 | 0.13 | 2.53 | 2.72 | 2.11 | 2.40 | ZZZ | |
| 15220 | A | Skin full graft | 7.87 | 9.02 | 8.08 | 5.95 | 5.78 | 0.68 | 17.57 | 16.63 | 14.50 | 14.33 | 090 | |
| 15221 | A | Skin full graft add-on | 1.19 | 0.86 | 1.08 | 0.58 | 0.87 | 0.11 | 2.16 | 2.38 | 1.88 | 2.17 | ZZZ | |
| 15240 | A | Skin full graft | 9.04 | 8.62 | 8.12 | 6.69 | 6.67 | 0.77 | 18.43 | 17.93 | 16.50 | 16.48 | 090 | |
| 15241 | A | Skin full graft add-on | 1.86 | 1.40 | 1.70 | 0.95 | 1.36 | 0.17 | 3.43 | 3.73 | 2.98 | 3.39 | ZZZ | |
| 15260 | A | Skin full graft | 10.06 | 8.73 | 8.57 | 7.27 | 7.48 | 0.65 | 19.44 | 19.28 | 17.98 | 18.19 | 090 | |
| 15261 | A | Skin full graft add-on | 2.23 | 1.52 | 1.91 | 1.15 | 1.64 | 0.17 | 3.92 | 4.31 | 3.55 | 4.04 | ZZZ | |
| 15350 | A | Skin homograft | 0.04 | 7.54 | 6.24 | 4.12 | 3.67 | 0.40 | 7.98 | 6.68 | 4.56 | 4.11 | 090 | |
| 15351 | A | Skin homograft add-on | 0.01 | 0.80 | 0.80 | 0.46 | 0.46 | 0.09 | 0.90 | 0.90 | 0.56 | 0.56 | ZZZ | |
| 15400 | A | Skin heterograft | 0.04 | 4.25 | 3.48 | 4.25 | 3.48 | 0.34 | 4.63 | 3.86 | 4.63 | 3.86 | 090 | |
| 15401 | A | Skin heterograft add-on | 0.01 | 0.80 | 0.80 | 0.46 | 0.46 | 0.09 | 0.90 | 0.90 | 0.56 | 0.56 | ZZZ | |
| 15570 | A | Form skin pedicle flap | 9.21 | 8.32 | 7.73 | 5.85 | 5.88 | 0.91 | 18.44 | 17.85 | 15.97 | 16.00 | 090 | |
| 15572 | A | Form skin pedicle flap | 9.27 | 7.55 | 7.12 | 5.21 | 5.37 | 0.87 | 17.69 | 17.26 | 15.35 | 15.51 | 090 | |
| 15574 | A | Form skin pedicle flap | 9.88 | 8.04 | 7.50 | 6.45 | 6.30 | 0.86 | 18.78 | 18.24 | 17.19 | 17.04 | 090 | |
| 15576 | A | Form skin pedicle flap | 8.69 | 8.41 | 7.16 | 6.13 | 5.45 | 0.71 | 17.81 | 16.56 | 15.53 | 14.85 | 090 | |
| 15580 | D | Attach skin pedicle graft | 9.46 | 3.75 | 3.98 | 3.75 | 3.98 | 0.98 | 14.19 | 14.42 | 14.19 | 14.42 | 090 | |
| 15600 | A | Skin graft | 1.91 | 5.35 | 4.69 | 2.20 | 2.33 | 0.19 | 7.45 | 6.79 | 4.30 | 4.43 | 090 | |
| 15610 | A | Skin graft | 2.42 | 2.39 | 2.56 | 2.39 | 2.56 | 0.25 | 5.06 | 5.23 | 5.06 | 5.23 | 090 | |
| 15620 | A | Skin graft | 2.94 | 6.16 | 5.55 | 3.12 | 3.27 | 0.27 | 9.37 | 8.76 | 6.33 | 6.48 | 090 | |
| 15625 | D | Skin graft | 1.91 | 0.76 | 1.14 | 0.76 | 1.14 | 0.20 | 2.87 | 3.25 | 2.87 | 3.25 | 090 | |
| 15630 | A | Skin graft | 3.27 | 5.77 | 5.31 | 3.38 | 3.51 | 0.29 | 9.33 | 8.87 | 6.94 | 7.07 | 090 | |
| 15650 | A | Transfer skin pedicle flap | 3.97 | 6.52 | 6.08 | 3.51 | 3.82 | 0.33 | 10.82 | 10.38 | 7.81 | 8.12 | 090 | |
| 15732 | A | Muscle-skin graft, head/neck | 17.84 | NA | NA | 11.13 | 12.55 | 1.47 | NA | NA | 30.44 | 31.86 | 090 | |
| 15734 | A | Muscle-skin graft, trunk | 17.79 | NA | NA | 11.07 | 13.46 | 1.88 | NA | NA | 30.74 | 33.13 | 090 | |
| 15736 | A | Muscle-skin graft, arm | 16.27 | NA | NA | 10.44 | 12.23 | 1.72 | NA | NA | 28.43 | 30.22 | 090 | |
| 15738 | A | Muscle-skin graft, leg | 17.92 | NA | NA | 11.01 | 11.76 | 1.91 | NA | NA | 30.84 | 31.59 | 090 | |
| 15740 | A | Island pedicle flap graft | 10.25 | 8.51 | 9.20 | 6.82 | 7.94 | 0.64 | 19.40 | 20.09 | 17.71 | 18.83 | 090 | |
| 15750 | A | Neurovascular pedicle graft | 11.41 | NA | NA | 8.03 | 9.27 | 1.17 | NA | NA | 20.61 | 21.85 | 090 | |
| 15756 | A | Free muscle flap, microvasc | 35.23 | NA | NA | 21.45 | 24.25 | 3.62 | NA | NA | 60.30 | 63.10 | 090 | |
| 15757 | A | Free skin flap, microvasc | 35.23 | NA | NA | 21.62 | 24.38 | 3.37 | NA | NA | 60.22 | 62.98 | 090 | |
| 15758 | A | Free fascial flap, microvasc | 35.10 | NA | NA | 21.39 | 24.21 | 3.40 | NA | NA | 59.89 | 62.71 | 090 | |
| 15760 | A | Composite skin graft | 8.74 | 8.14 | 8.08 | 6.03 | 6.50 | 0.72 | 17.60 | 17.54 | 15.49 | 15.96 | 090 | |
| 15770 | A | Derma-fat-fascia graft | 7.52 | NA | NA | 5.73 | 6.32 | 0.81 | NA | NA | 14.06 | 14.65 | 090 | |
| 15775 | R | Hair transplant punch grafts | 3.96 | 2.92 | 2.97 | 1.58 | 1.97 | 0.42 | 7.30 | 7.35 | 5.96 | 6.35 | 000 | |
| 15776 | R | Hair transplant punch grafts | 5.54 | 5.40 | 5.14 | 2.20 | 2.74 | 0.59 | 11.53 | 11.27 | 8.33 | 8.87 | 000 | |
| 15780 | A | Abrasion treatment of skin | 7.29 | 6.57 | 5.34 | 6.57 | 5.34 | 0.54 | 14.40 | 13.17 | 14.40 | 13.17 | 090 | |
| 15781 | A | Abrasion treatment of skin | 4.85 | 4.69 | 4.54 | 4.41 | 4.33 | 0.29 | 9.83 | 9.68 | 9.55 | 9.47 | 090 | |
| 15782 | A | Abrasion treatment of skin | 4.32 | 4.04 | 3.35 | 3.73 | 3.12 | 0.27 | 8.63 | 7.94 | 8.32 | 7.71 | 090 | |
| 15783 | A | Abrasion treatment of skin | 4.29 | 4.43 | 3.83 | 3.12 | 2.84 | 0.26 | 8.98 | 8.38 | 7.67 | 7.39 | 090 | |
| 15786 | A | Abrasion, lesion, single | 2.03 | 1.69 | 1.44 | 1.24 | 1.10 | 0.11 | 3.83 | 3.58 | 3.38 | 3.24 | 010 | |
| 15787 | A | Abrasion, lesions, add-on | 0.33 | 0.28 | 0.27 | 0.18 | 0.20 | 0.02 | 0.63 | 0.62 | 0.53 | 0.55 | ZZZ | |
| 15788 | R | Chemical peel, face, epiderm | 2.09 | 2.82 | 2.52 | 1.04 | 1.18 | 0.10 | 5.01 | 4.71 | 3.23 | 3.37 | 090 | |
| 15789 | R | Chemical peel, face, dermal | 4.92 | 5.69 | 4.67 | 3.38 | 2.94 | 0.30 | 10.91 | 9.89 | 8.60 | 8.16 | 090 | |
| 15792 | R | Chemical peel, nonfacial | 1.86 | 2.68 | 2.15 | 1.62 | 1.35 | 0.11 | 4.65 | 4.12 | 3.59 | 3.32 | 090 | |
| 15793 | A | Chemical peel, nonfacial | 3.74 | NA | NA | 3.42 | 2.70 | 0.16 | NA | NA | 7.32 | 6.60 | 090 | |
| 15810 | A | Salabrasion | 4.74 | 3.80 | 3.88 | 3.80 | 3.88 | 0.38 | 8.92 | 9.00 | 8.92 | 9.00 | 090 | |
| 15811 | A | Salabrasion | 5.39 | 3.94 | 3.97 | 3.94 | 3.97 | 0.57 | 9.90 | 9.93 | 9.90 | 9.93 | 090 | |
| 15819 | A | Plastic surgery, neck | 9.38 | NA | NA | 6.41 | 6.98 | 0.83 | NA | NA | 16.62 | 17.19 | 090 | |
| 15820 | A | Revision of lower eyelid | 5.15 | 7.27 | 6.99 | 6.76 | 6.61 | 0.30 | 12.72 | 12.44 | 12.21 | 12.06 | 090 | |
| 15821 | A | Revision of lower eyelid | 5.72 | 7.76 | 7.53 | 6.87 | 6.86 | 0.30 | 13.78 | 13.55 | 12.89 | 12.88 | 090 | |
| 15822 | A | Revision of upper eyelid | 4.45 | 7.00 | 6.58 | 6.08 | 5.89 | 0.23 | 11.68 | 11.26 | 10.76 | 10.57 | 090 | |
| 15823 | A | Revision of upper eyelid | 7.05 | 8.32 | 8.33 | 7.20 | 7.49 | 0.33 | 15.70 | 15.71 | 14.58 | 14.87 | 090 | |
| 15824 | R | Removal of forehead wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15825 | R | Removal of neck wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15826 | R | Removal of brow wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15828 | R | Removal of face wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15829 | R | Removal of skin wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15831 | A | Excise excessive skin tissue | 12.40 | NA | NA | 7.24 | 8.10 | 1.24 | NA | NA | 20.88 | 21.74 | 090 | |
| 15832 | A | Excise excessive skin tissue | 11.59 | NA | NA | 7.78 | 8.09 | 1.20 | NA | NA | 20.57 | 20.88 | 090 | |
| 15833 | A | Excise excessive skin tissue | 10.64 | NA | NA | 7.42 | 7.25 | 1.31 | NA | NA | 19.37 | 19.20 | 090 | |
| 15834 | A | Excise excessive skin tissue | 10.85 | NA | NA | 6.16 | 6.57 | 1.23 | NA | NA | 18.24 | 18.65 | 090 | |
| 15835 | A | Excise excessive skin tissue | 11.67 | NA | NA | 5.60 | 6.10 | 1.36 | NA | NA | 18.63 | 19.13 | 090 | |
| 15836 | A | Excise excessive skin tissue | 9.34 | NA | NA | 6.08 | 6.13 | 0.95 | NA | NA | 16.37 | 16.42 | 090 | |
| 15837 | A | Excise excessive skin tissue | 8.43 | 6.36 | 6.39 | 6.36 | 6.39 | 0.82 | 15.61 | 15.64 | 15.61 | 15.64 | 090 | |
| 15838 | A | Excise excessive skin tissue | 7.13 | NA | NA | 5.41 | 5.65 | 0.53 | NA | NA | 13.07 | 13.31 | 090 | |
| 15839 | A | Excise excessive skin tissue | 9.38 | 6.10 | 5.24 | 5.57 | 4.84 | 0.80 | 16.28 | 15.42 | 15.75 | 15.02 | 090 | |
| 15840 | A | Graft for face nerve palsy | 13.26 | NA | NA | 9.46 | 11.05 | 1.06 | NA | NA | 23.78 | 25.37 | 090 | |
| 15841 | A | Graft for face nerve palsy | 23.26 | NA | NA | 14.47 | 15.43 | 2.51 | NA | NA | 40.24 | 41.20 | 090 | |
| 15842 | A | Graft for face nerve palsy | 37.96 | NA | NA | 22.96 | 25.09 | 5.53 | NA | NA | 66.45 | 68.58 | 090 | |
| 15845 | A | Skin and muscle repair, face | 12.57 | NA | NA | 8.67 | 10.26 | 0.87 | NA | NA | 22.11 | 23.70 | 090 | |
| 15850 | B | Removal of sutures | 0.78 | 1.32 | 1.09 | 0.31 | 0.33 | 0.05 | 2.15 | 1.92 | 1.14 | 1.16 | XXX | |
| 15851 | A | Removal of sutures | 0.86 | 1.48 | 1.19 | 0.34 | 0.34 | 0.06 | 2.40 | 2.11 | 1.26 | 1.26 | 000 | |
| 15852 | A | Dressing change,not for burn | 0.86 | 1.63 | 1.34 | 0.35 | 0.38 | 0.07 | 2.56 | 2.27 | 1.28 | 1.31 | 000 | |
| 15860 | A | Test for blood flow in graft | 1.95 | 1.11 | 1.20 | 0.87 | 1.02 | 0.19 | 3.25 | 3.34 | 3.01 | 3.16 | 000 | |
| 15876 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15877 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15878 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15879 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 15920 | A | Removal of tail bone ulcer | 7.95 | NA | NA | 5.38 | 4.84 | 0.75 | NA | NA | 14.08 | 13.54 | 090 | |
| 15922 | A | Removal of tail bone ulcer | 9.90 | NA | NA | 6.94 | 6.83 | 1.03 | NA | NA | 17.87 | 17.76 | 090 | |
| 15931 | A | Remove sacrum pressure sore | 9.24 | NA | NA | 5.52 | 4.94 | 0.95 | NA | NA | 15.71 | 15.13 | 090 | |
| 15933 | A | Remove sacrum pressure sore | 10.85 | NA | NA | 7.87 | 7.78 | 1.13 | NA | NA | 19.85 | 19.76 | 090 | |
| 15934 | A | Remove sacrum pressure sore | 12.69 | NA | NA | 8.16 | 8.15 | 1.34 | NA | NA | 22.19 | 22.18 | 090 | |
| 15935 | A | Remove sacrum pressure sore | 14.57 | NA | NA | 9.76 | 10.37 | 1.53 | NA | NA | 25.86 | 26.47 | 090 | |
| 15936 | A | Remove sacrum pressure sore | 12.38 | NA | NA | 8.76 | 9.36 | 1.30 | NA | NA | 22.44 | 23.04 | 090 | |
| 15937 | A | Remove sacrum pressure sore | 14.21 | NA | NA | 9.97 | 11.13 | 1.49 | NA | NA | 25.67 | 26.83 | 090 | |
| 15940 | A | Remove hip pressure sore | 9.34 | NA | NA | 5.84 | 5.34 | 0.96 | NA | NA | 16.14 | 15.64 | 090 | |
| 15941 | A | Remove hip pressure sore | 11.43 | NA | NA | 9.32 | 8.90 | 1.20 | NA | NA | 21.95 | 21.53 | 090 | |
| 15944 | A | Remove hip pressure sore | 11.46 | NA | NA | 8.41 | 8.82 | 1.19 | NA | NA | 21.06 | 21.47 | 090 | |
| 15945 | A | Remove hip pressure sore | 12.69 | NA | NA | 9.35 | 10.04 | 1.33 | NA | NA | 23.37 | 24.06 | 090 | |
| 15946 | A | Remove hip pressure sore | 21.57 | NA | NA | 13.99 | 15.00 | 2.15 | NA | NA | 37.71 | 38.72 | 090 | |
| 15950 | A | Remove thigh pressure sore | 7.54 | NA | NA | 5.21 | 4.73 | 0.77 | NA | NA | 13.52 | 13.04 | 090 | |
| 15951 | A | Remove thigh pressure sore | 10.72 | NA | NA | 7.94 | 8.03 | 1.11 | NA | NA | 19.77 | 19.86 | 090 | |
| 15952 | A | Remove thigh pressure sore | 11.39 | NA | NA | 7.10 | 7.26 | 1.19 | NA | NA | 19.68 | 19.84 | 090 | |
| 15953 | A | Remove thigh pressure sore | 12.63 | NA | NA | 8.66 | 8.96 | 1.31 | NA | NA | 22.60 | 22.90 | 090 | |
| 15956 | A | Remove thigh pressure sore | 15.52 | NA | NA | 10.36 | 12.40 | 1.61 | NA | NA | 27.49 | 29.53 | 090 | |
| 15958 | A | Remove thigh pressure sore | 15.48 | NA | NA | 10.45 | 12.46 | 1.59 | NA | NA | 27.52 | 29.53 | 090 | |
| 15999 | C | Removal of pressure sore | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 16000 | A | Initial treatment of burn(s) | 0.89 | 0.91 | 0.78 | 0.26 | 0.29 | 0.07 | 1.87 | 1.74 | 1.22 | 1.25 | 000 | |
| 16010 | A | Treatment of burn(s) | 0.87 | 1.01 | 0.85 | 0.36 | 0.36 | 0.07 | 1.95 | 1.79 | 1.30 | 1.30 | 000 | |
| 16015 | A | Treatment of burn(s) | 2.35 | 1.62 | 1.77 | 0.99 | 1.30 | 0.21 | 4.18 | 4.33 | 3.55 | 3.86 | 000 | |
| 16020 | A | Treatment of burn(s) | 0.80 | 0.99 | 0.84 | 0.25 | 0.28 | 0.06 | 1.85 | 1.70 | 1.11 | 1.14 | 000 | |
| 16025 | A | Treatment of burn(s) | 1.85 | 1.58 | 1.31 | 0.67 | 0.63 | 0.16 | 3.59 | 3.32 | 2.68 | 2.64 | 000 | |
| 16030 | A | Treatment of burn(s) | 2.08 | 2.51 | 2.02 | 0.89 | 0.81 | 0.19 | 4.78 | 4.29 | 3.16 | 3.08 | 000 | |
| 16035 | A | Incision of burn scab | 4.82 | 2.82 | 2.63 | 2.09 | 2.08 | 0.48 | 8.12 | 7.93 | 7.39 | 7.38 | 090 | |
| 17000 | A | Destroy benign/premal lesion | 0.60 | 0.99 | 0.86 | 0.27 | 0.32 | 0.03 | 1.62 | 1.49 | 0.90 | 0.95 | 010 | |
| 17003 | A | Destroy lesions, 2-14 | 0.15 | 0.24 | 0.22 | 0.07 | 0.09 | 0.01 | 0.40 | 0.38 | 0.23 | 0.25 | ZZZ | |
| 17004 | A | Destroy lesions, 15 or more | 2.79 | 2.34 | 2.37 | 1.28 | 1.57 | 0.11 | 5.24 | 5.27 | 4.18 | 4.47 | 010 | |
| 17106 | A | Destruction of skin lesions | 4.59 | 4.03 | 3.55 | 2.68 | 2.53 | 0.27 | 8.89 | 8.41 | 7.54 | 7.39 | 090 | |
| 17107 | A | Destruction of skin lesions | 9.16 | 6.56 | 5.93 | 4.90 | 4.68 | 0.51 | 16.23 | 15.60 | 14.57 | 14.35 | 090 | |
| 17108 | A | Destruction of skin lesions | 13.20 | 8.58 | 8.96 | 7.14 | 7.88 | 0.76 | 22.54 | 22.92 | 21.10 | 21.84 | 090 | |
| 17110 | A | Destruct lesion, 1-14 | 0.65 | 0.93 | 0.81 | 0.26 | 0.30 | 0.04 | 1.62 | 1.50 | 0.95 | 0.99 | 010 | |
| 17111 | A | Destruct lesion, 15 or more | 0.92 | 1.13 | 1.01 | 0.38 | 0.45 | 0.05 | 2.10 | 1.98 | 1.35 | 1.42 | 010 | |
| 17250 | A | Chemical cautery, tissue | 0.50 | 0.62 | 0.56 | 0.20 | 0.24 | 0.04 | 1.16 | 1.10 | 0.74 | 0.78 | 000 | |
| 17260 | A | Destruction of skin lesions | 0.91 | 1.22 | 1.22 | 0.41 | 0.62 | 0.04 | 2.17 | 2.17 | 1.36 | 1.57 | 010 | |
| 17261 | A | Destruction of skin lesions | 1.17 | 1.34 | 1.38 | 0.55 | 0.79 | 0.05 | 2.56 | 2.60 | 1.77 | 2.01 | 010 | |
| 17262 | A | Destruction of skin lesions | 1.58 | 1.54 | 1.65 | 0.75 | 1.06 | 0.06 | 3.18 | 3.29 | 2.39 | 2.70 | 010 | |
| 17263 | A | Destruction of skin lesions | 1.79 | 1.65 | 1.85 | 0.84 | 1.24 | 0.07 | 3.51 | 3.71 | 2.70 | 3.10 | 010 | |
| 17264 | A | Destruction of skin lesions | 1.94 | 1.72 | 1.99 | 0.90 | 1.38 | 0.08 | 3.74 | 4.01 | 2.92 | 3.40 | 010 | |
| 17266 | A | Destruction of skin lesions | 2.34 | 1.92 | 2.29 | 0.99 | 1.59 | 0.11 | 4.37 | 4.74 | 3.44 | 4.04 | 010 | |
| 17270 | A | Destruction of skin lesions | 1.32 | 1.41 | 1.42 | 0.60 | 0.81 | 0.06 | 2.79 | 2.80 | 1.98 | 2.19 | 010 | |
| 17271 | A | Destruction of skin lesions | 1.49 | 1.50 | 1.60 | 0.71 | 1.01 | 0.06 | 3.05 | 3.15 | 2.26 | 2.56 | 010 | |
| 17272 | A | Destruction of skin lesions | 1.77 | 1.64 | 1.83 | 0.85 | 1.24 | 0.07 | 3.48 | 3.67 | 2.69 | 3.08 | 010 | |
| 17273 | A | Destruction of skin lesions | 2.05 | 1.78 | 2.04 | 0.97 | 1.43 | 0.08 | 3.91 | 4.17 | 3.10 | 3.56 | 010 | |
| 17274 | A | Destruction of skin lesions | 2.59 | 2.04 | 2.40 | 1.24 | 1.80 | 0.11 | 4.74 | 5.10 | 3.94 | 4.50 | 010 | |
| 17276 | A | Destruction of skin lesions | 3.20 | 2.35 | 2.69 | 1.59 | 2.12 | 0.15 | 5.70 | 6.04 | 4.94 | 5.47 | 010 | |
| 17280 | A | Destruction of skin lesions | 1.17 | 1.25 | 1.39 | 0.54 | 0.85 | 0.05 | 2.47 | 2.61 | 1.76 | 2.07 | 010 | |
| 17281 | A | Destruction of skin lesions | 1.72 | 1.61 | 1.78 | 0.82 | 1.18 | 0.07 | 3.40 | 3.57 | 2.61 | 2.97 | 010 | |
| 17282 | A | Destruction of skin lesions | 2.04 | 1.77 | 2.03 | 0.98 | 1.43 | 0.08 | 3.89 | 4.15 | 3.10 | 3.55 | 010 | |
| 17283 | A | Destruction of skin lesions | 2.64 | 2.07 | 2.37 | 1.24 | 1.75 | 0.11 | 4.82 | 5.12 | 3.99 | 4.50 | 010 | |
| 17284 | A | Destruction of skin lesions | 3.21 | 2.35 | 2.72 | 1.51 | 2.09 | 0.13 | 5.69 | 6.06 | 4.85 | 5.43 | 010 | |
| 17286 | A | Destruction of skin lesions | 4.44 | 2.93 | 3.37 | 2.45 | 3.01 | 0.21 | 7.58 | 8.02 | 7.10 | 7.66 | 010 | |
| 17304 | A | Chemosurgery of skin lesion | 7.60 | 7.45 | 6.68 | 3.67 | 3.84 | 0.31 | 15.36 | 14.59 | 11.58 | 11.75 | 000 | |
| 17305 | A | 2nd stage chemosurgery | 2.85 | 3.44 | 3.19 | 1.38 | 1.65 | 0.11 | 6.40 | 6.15 | 4.34 | 4.61 | 000 | |
| 17306 | A | 3rd stage chemosurgery | 2.85 | 3.47 | 2.98 | 1.40 | 1.43 | 0.11 | 6.43 | 5.94 | 4.36 | 4.39 | 000 | |
| 17307 | A | Followup skin lesion therapy | 2.85 | 3.27 | 2.85 | 1.41 | 1.46 | 0.11 | 6.23 | 5.81 | 4.37 | 4.42 | 000 | |
| 17310 | A | Extensive skin chemosurgery | 0.95 | 1.37 | 1.06 | 0.48 | 0.40 | 0.05 | 2.37 | 2.06 | 1.48 | 1.40 | 000 | |
| 17340 | A | Cryotherapy of skin | 0.76 | 1.30 | 1.05 | 0.26 | 0.27 | 0.05 | 2.11 | 1.86 | 1.07 | 1.08 | 010 | |
| 17360 | A | Skin peel therapy | 1.43 | 1.46 | 1.17 | 0.76 | 0.64 | 0.06 | 2.95 | 2.66 | 2.25 | 2.13 | 010 | |
| 17380 | R | Hair removal by electrolysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 17999 | C | Skin tissue procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 19000 | A | Drainage of breast lesion | 0.84 | 1.15 | 0.97 | 0.30 | 0.33 | 0.07 | 2.06 | 1.88 | 1.21 | 1.24 | 000 | |
| 19001 | A | Drain breast lesion add-on | 0.42 | 0.78 | 0.65 | 0.15 | 0.18 | 0.03 | 1.23 | 1.10 | 0.60 | 0.63 | ZZZ | |
| 19020 | A | Incision of breast lesion | 3.57 | 6.16 | 5.00 | 3.17 | 2.76 | 0.34 | 10.07 | 8.91 | 7.08 | 6.67 | 090 | |
| 19030 | A | Injection for breast x-ray | 1.53 | 9.87 | 7.54 | 0.53 | 0.53 | 0.06 | 11.46 | 9.13 | 2.12 | 2.12 | 000 | |
| 19100 | A | Biopsy of breast | 1.27 | 3.14 | 2.53 | 0.45 | 0.51 | 0.09 | 4.50 | 3.89 | 1.81 | 1.87 | 000 | |
| 19101 | A | Biopsy of breast | 3.18 | 9.36 | 7.66 | 2.82 | 2.75 | 0.23 | 12.77 | 11.07 | 6.23 | 6.16 | 010 | |
| 19110 | A | Nipple exploration | 4.30 | 7.17 | 6.05 | 4.16 | 3.79 | 0.42 | 11.89 | 10.77 | 8.88 | 8.51 | 090 | |
| 19112 | A | Excise breast duct fistula | 3.67 | 6.51 | 5.52 | 2.91 | 2.82 | 0.35 | 10.53 | 9.54 | 6.93 | 6.84 | 090 | |
| 19120 | A | Removal of breast lesion | 5.56 | 4.14 | 3.89 | 3.43 | 3.36 | 0.55 | 10.25 | 10.00 | 9.54 | 9.47 | 090 | |
| 19125 | A | Excision, breast lesion | 6.06 | 4.75 | 4.35 | 3.61 | 3.50 | 0.60 | 11.41 | 11.01 | 10.27 | 10.16 | 090 | |
| 19126 | A | Excision, addl breast lesion | 2.93 | NA | NA | 1.10 | 1.22 | 0.30 | NA | NA | 4.33 | 4.45 | ZZZ | |
| 19140 | A | Removal of breast tissue | 5.14 | 8.52 | 7.56 | 3.50 | 3.79 | 0.52 | 14.18 | 13.22 | 9.16 | 9.45 | 090 | |
| 19160 | A | Removal of breast tissue | 5.99 | NA | NA | 4.32 | 4.36 | 0.59 | NA | NA | 10.90 | 10.94 | 090 | |
| 19162 | A | Remove breast tissue, nodes | 13.53 | NA | NA | 7.73 | 8.34 | 1.33 | NA | NA | 22.59 | 23.20 | 090 | |
| 19180 | A | Removal of breast | 8.80 | NA | NA | 5.68 | 5.78 | 0.87 | NA | NA | 15.35 | 15.45 | 090 | |
| 19182 | A | Removal of breast | 7.73 | NA | NA | 4.85 | 5.29 | 0.77 | NA | NA | 13.35 | 13.79 | 090 | |
| 19200 | A | Removal of breast | 15.49 | NA | NA | 8.87 | 9.43 | 1.51 | NA | NA | 25.87 | 26.43 | 090 | |
| 19220 | A | Removal of breast | 15.72 | NA | NA | 8.85 | 9.55 | 1.49 | NA | NA | 26.06 | 26.76 | 090 | |
| 19240 | A | Removal of breast | 0.16 | NA | NA | 8.61 | 9.02 | 1.58 | NA | NA | 10.35 | 10.76 | 090 | |
| 19260 | A | Removal of chest wall lesion | 15.44 | NA | NA | 10.02 | 8.89 | 1.68 | NA | NA | 27.14 | 26.01 | 090 | |
| 19271 | A | Revision of chest wall | 18.90 | NA | NA | 13.36 | 13.81 | 2.13 | NA | NA | 34.39 | 34.84 | 090 | |
| 19272 | A | Extensive chest wall surgery | 21.55 | NA | NA | 13.92 | 13.86 | 2.52 | NA | NA | 37.99 | 37.93 | 090 | |
| 19290 | A | Place needle wire, breast | 1.27 | 4.76 | 3.69 | 0.44 | 0.45 | 0.05 | 6.08 | 5.01 | 1.76 | 1.77 | 000 | |
| 19291 | A | Place needle wire, breast | 0.63 | 1.64 | 1.30 | 0.22 | 0.23 | 0.03 | 2.30 | 1.96 | 0.88 | 0.89 | ZZZ | |
| 19316 | A | Suspension of breast | 10.69 | NA | NA | 7.28 | 8.65 | 1.13 | NA | NA | 19.10 | 20.47 | 090 | |
| 19318 | A | Reduction of large breast | 15.62 | NA | NA | 10.09 | 11.42 | 1.65 | NA | NA | 27.36 | 28.69 | 090 | |
| 19324 | A | Enlarge breast | 5.85 | NA | NA | 3.58 | 3.58 | 0.61 | NA | NA | 10.04 | 10.04 | 090 | |
| 19325 | A | Enlarge breast with implant | 8.45 | NA | NA | 5.03 | 5.37 | 0.90 | NA | NA | 14.38 | 14.72 | 090 | |
| 19328 | A | Removal of breast implant | 5.68 | NA | NA | 4.38 | 4.31 | 0.60 | NA | NA | 10.66 | 10.59 | 090 | |
| 19330 | A | Removal of implant material | 7.59 | NA | NA | 5.11 | 4.89 | 0.80 | NA | NA | 13.50 | 13.28 | 090 | |
| 19340 | A | Immediate breast prosthesis | 6.33 | NA | NA | 3.25 | 4.33 | 0.67 | NA | NA | 10.25 | 11.33 | ZZZ | |
| 19342 | A | Delayed breast prosthesis | 11.20 | NA | NA | 7.61 | 8.64 | 1.19 | NA | NA | 20.00 | 21.03 | 090 | |
| 19350 | A | Breast reconstruction | 8.92 | 12.18 | 11.06 | 6.56 | 6.84 | 0.95 | 22.05 | 20.93 | 16.43 | 16.71 | 090 | |
| 19355 | A | Correct inverted nipple(s) | 7.57 | 12.61 | 10.80 | 4.45 | 4.68 | 0.75 | 20.93 | 19.12 | 12.77 | 13.00 | 090 | |
| 19357 | A | Breast reconstruction | 18.16 | NA | NA | 13.19 | 13.19 | 1.92 | NA | NA | 33.27 | 33.27 | 090 | |
| 19361 | A | Breast reconstruction | 19.26 | NA | NA | 11.68 | 14.22 | 2.04 | NA | NA | 32.98 | 35.52 | 090 | |
| 19364 | A | Breast reconstruction | 0.41 | NA | NA | 24.19 | 22.67 | 4.22 | NA | NA | 28.82 | 27.30 | 090 | |
| 19366 | A | Breast reconstruction | 21.28 | NA | NA | 11.78 | 13.29 | 2.15 | NA | NA | 35.21 | 36.72 | 090 | |
| 19367 | A | Breast reconstruction | 25.73 | NA | NA | 15.11 | 16.80 | 2.72 | NA | NA | 43.56 | 45.25 | 090 | |
| 19368 | A | Breast reconstruction | 32.42 | NA | NA | 17.88 | 18.87 | 3.46 | NA | NA | 53.76 | 54.75 | 090 | |
| 19369 | A | Breast reconstruction | 29.82 | NA | NA | 17.95 | 18.93 | 3.17 | NA | NA | 50.94 | 51.92 | 090 | |
| 19370 | A | Surgery of breast capsule | 8.05 | NA | NA | 5.86 | 6.07 | 0.86 | NA | NA | 14.77 | 14.98 | 090 | |
| 19371 | A | Removal of breast capsule | 9.35 | NA | NA | 6.90 | 7.32 | 0.99 | NA | NA | 17.24 | 17.66 | 090 | |
| 19380 | A | Revise breast reconstruction | 9.14 | NA | NA | 7.07 | 7.50 | 0.97 | NA | NA | 17.18 | 17.61 | 090 | |
| 19396 | A | Design custom breast implant | 2.17 | 4.88 | 4.09 | 1.15 | 1.29 | 0.23 | 7.28 | 6.49 | 3.55 | 3.69 | 000 | |
| 19499 | C | Breast surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 20000 | A | Incision of abscess | 2.12 | 1.92 | 1.67 | 1.16 | 1.10 | 0.15 | 4.19 | 3.94 | 3.43 | 3.37 | 010 | |
| 20005 | A | Incision of deep abscess | 3.42 | 2.69 | 2.52 | 2.14 | 2.10 | 0.31 | 6.42 | 6.25 | 5.87 | 5.83 | 010 | |
| 20100 | A | Explore wound, neck | 10.08 | 5.57 | 5.53 | 4.71 | 4.88 | 0.94 | 16.59 | 16.55 | 15.73 | 15.90 | 010 | |
| 20101 | A | Explore wound, chest | 3.22 | 3.07 | 2.73 | 1.87 | 1.83 | 0.30 | 6.59 | 6.25 | 5.39 | 5.35 | 010 | |
| 20102 | A | Explore wound, abdomen | 3.94 | 3.50 | 3.15 | 1.88 | 1.93 | 0.39 | 7.83 | 7.48 | 6.21 | 6.26 | 010 | |
| 20103 | A | Explore wound, extremity | 5.30 | 3.96 | 3.67 | 3.01 | 2.96 | 0.53 | 9.79 | 9.50 | 8.84 | 8.79 | 010 | |
| 20150 | A | Excise epiphyseal bar | 13.69 | NA | NA | 9.58 | 10.55 | 1.03 | NA | NA | 24.30 | 25.27 | 090 | |
| 20200 | A | Muscle biopsy | 1.46 | 1.56 | 1.48 | 0.62 | 0.77 | 0.17 | 3.19 | 3.11 | 2.25 | 2.40 | 000 | |
| 20205 | A | Deep muscle biopsy | 2.35 | 3.53 | 3.16 | 0.99 | 1.25 | 0.28 | 6.16 | 5.79 | 3.62 | 3.88 | 000 | |
| 20206 | A | Needle biopsy, muscle | 0.99 | 2.80 | 2.36 | 0.36 | 0.53 | 0.06 | 3.85 | 3.41 | 1.41 | 1.58 | 000 | |
| 20220 | A | Bone biopsy, trocar/needle | 1.27 | 4.00 | 3.36 | 2.50 | 2.23 | 0.06 | 5.33 | 4.69 | 3.83 | 3.56 | 000 | |
| 20225 | A | Bone biopsy, trocar/needle | 1.87 | 3.63 | 3.37 | 2.72 | 2.69 | 0.10 | 5.60 | 5.34 | 4.69 | 4.66 | 000 | |
| 20240 | A | Bone biopsy, excisional | 3.23 | NA | NA | 3.80 | 3.36 | 0.27 | NA | NA | 7.30 | 6.86 | 010 | |
| 20245 | A | Bone biopsy, excisional | 3.95 | NA | NA | 4.18 | 4.11 | 0.36 | NA | NA | 8.49 | 8.42 | 010 | |
| 20250 | A | Open bone biopsy | 5.03 | NA | NA | 3.92 | 4.32 | 0.46 | NA | NA | 9.41 | 9.81 | 010 | |
| 20251 | A | Open bone biopsy | 5.56 | NA | NA | 4.43 | 4.91 | 0.67 | NA | NA | 10.66 | 11.14 | 010 | |
| 20500 | A | Injection of sinus tract | 1.23 | 4.92 | 3.79 | 3.48 | 2.71 | 0.09 | 6.24 | 5.11 | 4.80 | 4.03 | 010 | |
| 20501 | A | Inject sinus tract for x-ray | 0.76 | 10.92 | 8.27 | 0.26 | 0.28 | 0.03 | 11.71 | 9.06 | 1.05 | 1.07 | 000 | |
| 20520 | A | Removal of foreign body | 1.85 | 4.52 | 3.58 | 2.81 | 2.30 | 0.15 | 6.52 | 5.58 | 4.81 | 4.30 | 010 | |
| 20525 | A | Removal of foreign body | 3.50 | 5.52 | 4.75 | 3.82 | 3.47 | 0.34 | 9.36 | 8.59 | 7.66 | 7.31 | 010 | |
| 20550 | A | Inject tendon/ligament/cyst | 0.86 | 1.79 | 1.45 | 0.22 | 0.27 | 0.06 | 2.71 | 2.37 | 1.14 | 1.19 | 000 | |
| 20600 | A | Drain/inject, joint/bursa | 0.66 | 1.23 | 1.05 | 0.27 | 0.33 | 0.05 | 1.94 | 1.76 | 0.98 | 1.04 | 000 | |
| 20605 | A | Drain/inject, joint/bursa | 0.68 | 1.53 | 1.27 | 0.27 | 0.33 | 0.05 | 2.26 | 2.00 | 1.00 | 1.06 | 000 | |
| 20610 | A | Drain/inject, joint/bursa | 0.79 | 1.90 | 1.55 | 0.51 | 0.51 | 0.06 | 2.75 | 2.40 | 1.36 | 1.36 | 000 | |
| 20615 | A | Treatment of bone cyst | 2.28 | 3.83 | 3.01 | 2.41 | 1.94 | 0.16 | 6.27 | 5.45 | 4.85 | 4.38 | 010 | |
| 20650 | A | Insert and remove bone pin | 2.23 | 3.81 | 3.15 | 2.75 | 2.36 | 0.17 | 6.21 | 5.55 | 5.15 | 4.76 | 010 | |
| 20660 | A | Apply,remove fixation device | 2.51 | NA | NA | 1.42 | 1.49 | 0.45 | NA | NA | 4.38 | 4.45 | 000 | |
| 20661 | A | Application of head brace | 4.89 | NA | NA | 6.04 | 5.57 | 0.83 | NA | NA | 11.76 | 11.29 | 090 | |
| 20662 | A | Application of pelvis brace | 6.07 | NA | NA | 4.96 | 5.50 | 0.64 | NA | NA | 11.67 | 12.21 | 090 | |
| 20663 | A | Application of thigh brace | 5.43 | NA | NA | 4.17 | 4.39 | 0.55 | NA | NA | 10.15 | 10.37 | 090 | |
| 20664 | A | Halo brace application | 8.06 | NA | NA | 7.71 | 6.82 | 1.38 | NA | NA | 17.15 | 16.26 | 090 | |
| 20665 | A | Removal of fixation device | 1.31 | 2.16 | 1.76 | 1.13 | 0.98 | 0.17 | 3.64 | 3.24 | 2.61 | 2.46 | 010 | |
| 20670 | A | Removal of support implant | 1.74 | 5.07 | 4.00 | 3.24 | 2.63 | 0.17 | 6.98 | 5.91 | 5.15 | 4.54 | 010 | |
| 20680 | A | Removal of support implant | 3.35 | 4.28 | 4.11 | 4.28 | 4.11 | 0.33 | 7.96 | 7.79 | 7.96 | 7.79 | 090 | |
| 20690 | A | Apply bone fixation device | 3.52 | NA | NA | 1.90 | 2.42 | 0.33 | NA | NA | 5.75 | 6.27 | 090 | |
| 20692 | A | Apply bone fixation device | 6.41 | NA | NA | 3.39 | 4.04 | 0.64 | NA | NA | 10.44 | 11.09 | 090 | |
| 20693 | A | Adjust bone fixation device | 5.86 | NA | NA | 10.52 | 8.57 | 0.66 | NA | NA | 17.04 | 15.09 | 090 | |
| 20694 | A | Remove bone fixation device | 4.16 | 7.47 | 6.31 | 5.40 | 4.76 | 0.43 | 12.06 | 10.90 | 9.99 | 9.35 | 090 | |
| 20802 | A | Replantation, arm, complete | 41.15 | NA | NA | 22.58 | 27.17 | 3.51 | NA | NA | 67.24 | 71.83 | 090 | |
| 20805 | A | Replant, forearm, complete | 0.50 | NA | NA | 39.31 | 42.01 | 3.56 | NA | NA | 43.37 | 46.07 | 090 | |
| 20808 | A | Replantation hand, complete | 61.65 | NA | NA | 47.48 | 51.18 | 5.46 | NA | NA | 114.59 | 118.29 | 090 | |
| 20816 | A | Replantation digit, complete | 30.94 | NA | NA | 43.71 | 40.46 | 3.20 | NA | NA | 77.85 | 74.60 | 090 | |
| 20822 | A | Replantation digit, complete | 25.59 | NA | NA | 34.68 | 32.36 | 2.64 | NA | NA | 62.91 | 60.59 | 090 | |
| 20824 | A | Replantation thumb, complete | 30.94 | NA | NA | 41.90 | 39.10 | 3.26 | NA | NA | 76.10 | 73.30 | 090 | |
| 20827 | A | Replantation thumb, complete | 26.41 | NA | NA | 39.21 | 35.93 | 2.72 | NA | NA | 68.34 | 65.06 | 090 | |
| 20838 | A | Replantation foot, complete | 41.41 | NA | NA | 24.36 | 28.51 | 4.99 | NA | NA | 70.76 | 74.91 | 090 | |
| 20900 | A | Removal of bone for graft | 5.58 | 5.46 | 4.86 | 5.46 | 4.86 | 0.55 | 11.59 | 10.99 | 11.59 | 10.99 | 090 | |
| 20902 | A | Removal of bone for graft | 7.55 | NA | NA | 7.80 | 7.19 | 0.78 | NA | NA | 16.13 | 15.52 | 090 | |
| 20910 | A | Remove cartilage for graft | 5.34 | 7.05 | 5.50 | 6.05 | 4.75 | 0.43 | 12.82 | 11.27 | 11.82 | 10.52 | 090 | |
| 20912 | A | Remove cartilage for graft | 6.35 | NA | NA | 6.46 | 6.10 | 0.55 | NA | NA | 13.36 | 13.00 | 090 | |
| 20920 | A | Removal of fascia for graft | 5.31 | NA | NA | 5.07 | 4.87 | 0.51 | NA | NA | 10.89 | 10.69 | 090 | |
| 20922 | A | Removal of fascia for graft | 6.61 | 9.82 | 8.56 | 5.79 | 5.53 | 0.84 | 17.27 | 16.01 | 13.24 | 12.98 | 090 | |
| 20924 | A | Removal of tendon for graft | 6.48 | NA | NA | 6.30 | 6.20 | 0.68 | NA | NA | 13.46 | 13.36 | 090 | |
| 20926 | A | Removal of tissue for graft | 5.53 | NA | NA | 5.49 | 4.82 | 0.73 | NA | NA | 11.75 | 11.08 | 090 | |
| 20930 | B | Spinal bone allograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20931 | A | Spinal bone allograft | 1.81 | NA | NA | 0.95 | 1.18 | 0.31 | NA | NA | 3.07 | 3.30 | ZZZ | |
| 20936 | B | Spinal bone autograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20937 | A | Spinal bone autograft | 2.79 | NA | NA | 1.48 | 1.83 | 0.34 | NA | NA | 4.61 | 4.96 | ZZZ | |
| 20938 | A | Spinal bone autograft | 3.02 | NA | NA | 1.58 | 1.97 | 0.44 | NA | NA | 5.04 | 5.43 | ZZZ | |
| 20950 | A | Fluid pressure, muscle | 1.26 | NA | NA | 1.89 | 1.71 | 0.13 | NA | NA | 3.28 | 3.10 | 000 | |
| 20955 | A | Fibula bone graft, microvasc | 39.21 | NA | NA | 27.44 | 30.31 | 3.88 | NA | NA | 70.53 | 73.40 | 090 | |
| 20956 | A | Iliac bone graft, microvasc | 39.27 | NA | NA | 26.61 | 27.26 | 4.68 | NA | NA | 70.56 | 71.21 | 090 | |
| 20957 | A | Mt bone graft, microvasc | 40.65 | NA | NA | 18.71 | 21.60 | 4.84 | NA | NA | 64.20 | 67.09 | 090 | |
| 20962 | A | Other bone graft, microvasc | 39.27 | NA | NA | 25.96 | 26.77 | 4.28 | NA | NA | 69.51 | 70.32 | 090 | |
| 20969 | A | Bone/skin graft, microvasc | 43.92 | NA | NA | 29.77 | 33.22 | 4.12 | NA | NA | 77.81 | 81.26 | 090 | |
| 20970 | A | Bone/skin graft, iliac crest | 43.06 | NA | NA | 28.35 | 31.93 | 4.49 | NA | NA | 75.90 | 79.48 | 090 | |
| 20972 | A | Bone/skin graft, metatarsal | 42.99 | NA | NA | 18.95 | 24.96 | 3.89 | NA | NA | 65.83 | 71.84 | 090 | |
| 20973 | A | Bone/skin graft, great toe | 45.76 | NA | NA | 27.76 | 32.28 | 4.73 | NA | NA | 78.25 | 82.77 | 090 | |
| 20974 | A | Electrical bone stimulation | 0.62 | 0.39 | 1.22 | 0.31 | 1.16 | 0.04 | 1.05 | 1.88 | 0.97 | 1.82 | 000 | |
| 20975 | A | Electrical bone stimulation | 2.60 | NA | NA | 1.38 | 1.81 | 0.31 | NA | NA | 4.29 | 4.72 | 000 | |
| 20979 | N | Us bone stimulation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 20999 | C | Musculoskeletal surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21010 | A | Incision of jaw joint | 10.14 | NA | NA | 6.91 | 7.96 | 0.50 | NA | NA | 17.55 | 18.60 | 090 | |
| 21015 | A | Resection of facial tumor | 5.29 | NA | NA | 6.39 | 6.37 | 0.52 | NA | NA | 12.20 | 12.18 | 090 | |
| 21025 | A | Excision of bone, lower jaw | 10.06 | 6.87 | 6.28 | 6.28 | 5.83 | 0.77 | 17.70 | 17.11 | 17.11 | 16.66 | 090 | |
| 21026 | A | Excision of facial bone(s) | 4.85 | 4.92 | 4.54 | 4.62 | 4.32 | 0.38 | 10.15 | 9.77 | 9.85 | 9.55 | 090 | |
| 21029 | A | Contour of face bone lesion | 7.71 | 5.99 | 6.79 | 5.61 | 6.51 | 0.62 | 14.32 | 15.12 | 13.94 | 14.84 | 090 | |
| 21030 | A | Removal of face bone lesion | 6.46 | 5.03 | 4.68 | 4.36 | 4.18 | 0.47 | 11.96 | 11.61 | 11.29 | 11.11 | 090 | |
| 21031 | A | Remove exostosis, mandible | 3.24 | 3.11 | 3.33 | 2.04 | 2.53 | 0.24 | 6.59 | 6.81 | 5.52 | 6.01 | 090 | |
| 21032 | A | Remove exostosis, maxilla | 3.24 | 3.09 | 3.37 | 2.13 | 2.65 | 0.25 | 6.58 | 6.86 | 5.62 | 6.14 | 090 | |
| 21034 | A | Removal of face bone lesion | 16.17 | 9.33 | 8.89 | 9.33 | 8.89 | 1.32 | 26.82 | 26.38 | 26.82 | 26.38 | 090 | |
| 21040 | A | Removal of jaw bone lesion | 2.11 | 2.75 | 2.81 | 1.67 | 2.00 | 0.16 | 5.02 | 5.08 | 3.94 | 4.27 | 090 | |
| 21041 | A | Removal of jaw bone lesion | 6.71 | 5.21 | 5.47 | 4.15 | 4.68 | 0.49 | 12.41 | 12.67 | 11.35 | 11.88 | 090 | |
| 21044 | A | Removal of jaw bone lesion | 11.86 | NA | NA | 7.44 | 8.17 | 0.89 | NA | NA | 20.19 | 20.92 | 090 | |
| 21045 | A | Extensive jaw surgery | 16.17 | NA | NA | 9.67 | 11.01 | 1.25 | NA | NA | 27.09 | 28.43 | 090 | |
| 21050 | A | Removal of jaw joint | 10.77 | NA | NA | 10.66 | 11.21 | 0.74 | NA | NA | 22.17 | 22.72 | 090 | |
| 21060 | A | Remove jaw joint cartilage | 10.23 | NA | NA | 10.05 | 10.59 | 0.77 | NA | NA | 21.05 | 21.59 | 090 | |
| 21070 | A | Remove coronoid process | 8.20 | NA | NA | 5.61 | 6.06 | 0.71 | NA | NA | 14.52 | 14.97 | 090 | |
| 21076 | A | Prepare face/oral prosthesis | 13.42 | 9.51 | 11.14 | 7.16 | 9.38 | 0.94 | 23.87 | 25.50 | 21.52 | 23.74 | 010 | |
| 21077 | A | Prepare face/oral prosthesis | 33.75 | 23.92 | 28.02 | 18.00 | 23.58 | 2.44 | 60.11 | 64.21 | 54.19 | 59.77 | 090 | |
| 21079 | A | Prepare face/oral prosthesis | 22.34 | 16.90 | 20.25 | 12.45 | 16.92 | 1.51 | 40.75 | 44.10 | 36.30 | 40.77 | 090 | |
| 21080 | A | Prepare face/oral prosthesis | 25.10 | 18.99 | 22.76 | 13.99 | 19.01 | 1.74 | 45.83 | 49.60 | 40.83 | 45.85 | 090 | |
| 21081 | A | Prepare face/oral prosthesis | 22.88 | 17.31 | 20.74 | 12.75 | 17.32 | 1.60 | 41.79 | 45.22 | 37.23 | 41.80 | 090 | |
| 21082 | A | Prepare face/oral prosthesis | 20.87 | 14.79 | 17.32 | 11.13 | 14.58 | 1.47 | 37.13 | 39.66 | 33.47 | 36.92 | 090 | |
| 21083 | A | Prepare face/oral prosthesis | 19.30 | 14.60 | 17.50 | 10.76 | 14.62 | 1.31 | 35.21 | 38.11 | 31.37 | 35.23 | 090 | |
| 21084 | A | Prepare face/oral prosthesis | 22.51 | 17.03 | 20.41 | 12.54 | 17.04 | 1.61 | 41.15 | 44.53 | 36.66 | 41.16 | 090 | |
| 21085 | A | Prepare face/oral prosthesis | 0.09 | 6.38 | 7.47 | 4.80 | 6.29 | 0.66 | 7.13 | 8.22 | 5.55 | 7.04 | 010 | |
| 21086 | A | Prepare face/oral prosthesis | 24.92 | 18.85 | 22.59 | 13.89 | 18.87 | 1.84 | 45.61 | 49.35 | 40.65 | 45.63 | 090 | |
| 21087 | A | Prepare face/oral prosthesis | 24.92 | 17.66 | 20.68 | 13.29 | 17.41 | 1.81 | 44.39 | 47.41 | 40.02 | 44.14 | 090 | |
| 21088 | C | Prepare face/oral prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21089 | C | Prepare face/oral prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21100 | A | Maxillofacial fixation | 4.22 | 4.63 | 3.76 | 3.57 | 2.97 | 0.24 | 9.09 | 8.22 | 8.03 | 7.43 | 090 | |
| 21110 | A | Interdental fixation | 5.21 | 4.87 | 5.15 | 3.78 | 4.34 | 0.34 | 10.42 | 10.70 | 9.33 | 9.89 | 090 | |
| 21116 | A | Injection, jaw joint x-ray | 0.81 | 6.59 | 5.14 | 0.30 | 0.42 | 0.05 | 7.45 | 6.00 | 1.16 | 1.28 | 000 | |
| 21120 | A | Reconstruction of chin | 4.93 | 10.09 | 8.54 | 36 | 5.00 | 0.40 | 15.42 | 13.87 | 10.69 | 10.33 | 090 | |
| 21121 | A | Reconstruction of chin | 7.64 | 7.18 | 6.92 | 5.67 | 5.79 | 0.60 | 15.42 | 15.16 | 13.91 | 14.03 | 090 | |
| 21122 | A | Reconstruction of chin | 8.52 | NA | NA | 6.54 | 6.60 | 0.72 | NA | NA | 15.78 | 15.84 | 090 | |
| 21123 | A | Reconstruction of chin | 11.16 | NA | NA | 8.28 | 8.42 | 0.90 | NA | NA | 20.34 | 20.48 | 090 | |
| 21125 | A | Augmentation, lower jaw bone | 10.62 | 7.83 | 7.15 | 7.23 | 6.70 | 0.81 | 19.26 | 18.58 | 18.66 | 18.13 | 090 | |
| 21127 | A | Augmentation, lower jaw bone | 11.12 | 8.80 | 8.75 | 6.67 | 7.15 | 0.92 | 20.84 | 20.79 | 18.71 | 19.19 | 090 | |
| 21137 | A | Reduction of forehead | 9.82 | NA | NA | 7.56 | 7.60 | 0.88 | NA | NA | 18.26 | 18.30 | 090 | |
| 21138 | A | Reduction of forehead | 12.19 | NA | NA | 7.64 | 8.14 | 1.06 | NA | NA | 20.89 | 21.39 | 090 | |
| 21139 | A | Reduction of forehead | 14.61 | NA | NA | 9.69 | 10.16 | 1.27 | NA | NA | 25.57 | 26.04 | 090 | |
| 21141 | A | Reconstruct midface, lefort | 18.10 | NA | NA | 10.87 | 12.04 | 1.42 | NA | NA | 30.39 | 31.56 | 090 | |
| 21142 | A | Reconstruct midface, lefort | 18.81 | NA | NA | 12.55 | 13.44 | 1.77 | NA | NA | 33.13 | 34.02 | 090 | |
| 21143 | A | Reconstruct midface, lefort | 19.58 | NA | NA | 10.42 | 11.99 | 1.21 | NA | NA | 31.21 | 32.78 | 090 | |
| 21145 | A | Reconstruct midface, lefort | 19.94 | NA | NA | 10.50 | 11.77 | 1.46 | NA | NA | 31.90 | 33.17 | 090 | |
| 21146 | A | Reconstruct midface, lefort | 20.71 | NA | NA | 10.73 | 12.08 | 1.61 | NA | NA | 33.05 | 34.40 | 090 | |
| 21147 | A | Reconstruct midface, lefort | 21.77 | NA | NA | 11.27 | 12.63 | 1.53 | NA | NA | 34.57 | 35.93 | 090 | |
| 21150 | A | Reconstruct midface, lefort | 25.24 | NA | NA | 12.53 | 14.41 | 1.85 | NA | NA | 39.62 | 41.50 | 090 | |
| 21151 | A | Reconstruct midface, lefort | 28.30 | NA | NA | 18.33 | 19.36 | 3.25 | NA | NA | 49.88 | 50.91 | 090 | |
| 21154 | A | Reconstruct midface, lefort | 30.52 | NA | NA | 16.26 | 18.21 | 3.14 | NA | NA | 49.92 | 51.87 | 090 | |
| 21155 | A | Reconstruct midface, lefort | 34.45 | NA | NA | 16.97 | 19.54 | 3.54 | NA | NA | 54.96 | 57.53 | 090 | |
| 21159 | A | Reconstruct midface, lefort | 42.38 | NA | NA | 24.58 | 26.85 | 3.77 | NA | NA | 70.73 | 73.00 | 090 | |
| 21160 | A | Reconstruct midface, lefort | 46.44 | NA | NA | 22.57 | 26.14 | 3.51 | NA | NA | 72.52 | 76.09 | 090 | |
| 21172 | A | Reconstruct orbit/forehead | 27.80 | NA | NA | 14.67 | 16.51 | 1.92 | NA | NA | 44.39 | 46.23 | 090 | |
| 21175 | A | Reconstruct orbit/forehead | 33.17 | NA | NA | 18.18 | 20.25 | 3.75 | NA | NA | 55.10 | 57.17 | 090 | |
| 21179 | A | Reconstruct entire forehead | 22.25 | NA | NA | 16.07 | 16.46 | 2.52 | NA | NA | 40.84 | 41.23 | 090 | |
| 21180 | A | Reconstruct entire forehead | 25.19 | NA | NA | 18.29 | 18.73 | 2.21 | NA | NA | 45.69 | 46.13 | 090 | |
| 21181 | A | Contour cranial bone lesion | 9.90 | NA | NA | 7.67 | 7.68 | 1.04 | NA | NA | 18.61 | 18.62 | 090 | |
| 21182 | A | Reconstruct cranial bone | 32.19 | NA | NA | 21.35 | 22.42 | 2.77 | NA | NA | 56.31 | 57.38 | 090 | |
| 21183 | A | Reconstruct cranial bone | 35.31 | NA | NA | 20.50 | 22.39 | 3.14 | NA | NA | 58.95 | 60.84 | 090 | |
| 21184 | A | Reconstruct cranial bone | 38.24 | NA | NA | 23.46 | 25.21 | 6.52 | NA | NA | 68.22 | 69.97 | 090 | |
| 21188 | A | Reconstruction of midface | 22.46 | NA | NA | 14.77 | 15.48 | 1.87 | NA | NA | 39.10 | 39.81 | 090 | |
| 21193 | A | Reconstruct lower jaw bone | 17.15 | NA | NA | 10.11 | 10.92 | 1.42 | NA | NA | 28.68 | 29.49 | 090 | |
| 21194 | A | Reconstruct lower jaw bone | 19.84 | NA | NA | 11.79 | 12.71 | 1.64 | NA | NA | 33.27 | 34.19 | 090 | |
| 21195 | A | Reconstruct lower jaw bone | 17.24 | NA | NA | 11.58 | 12.03 | 1.34 | NA | NA | 30.16 | 30.61 | 090 | |
| 21196 | A | Reconstruct lower jaw bone | 18.91 | NA | NA | 12.33 | 12.94 | 1.50 | NA | NA | 32.74 | 33.35 | 090 | |
| 21198 | A | Reconstruct lower jaw bone | 14.16 | NA | NA | 10.93 | 12.22 | 1.03 | NA | NA | 26.12 | 27.41 | 090 | |
| 21206 | A | Reconstruct upper jaw bone | 14.10 | NA | NA | 9.40 | 9.80 | 1.02 | NA | NA | 24.52 | 24.92 | 090 | |
| 21208 | A | Augmentation of facial bones | 10.23 | 8.98 | 9.79 | 7.88 | 8.96 | 0.79 | 20.00 | 20.81 | 18.90 | 19.98 | 090 | |
| 21209 | A | Reduction of facial bones | 6.72 | 6.89 | 6.41 | 5.19 | 5.14 | 0.55 | 14.16 | 13.68 | 12.46 | 12.41 | 090 | |
| 21210 | A | Face bone graft | 10.23 | 8.24 | 9.23 | 7.69 | 8.82 | 0.75 | 19.22 | 20.21 | 18.67 | 19.80 | 090 | |
| 21215 | A | Lower jaw bone graft | 10.77 | 8.20 | 9.37 | 6.51 | 8.10 | 0.78 | 19.75 | 20.92 | 18.06 | 19.65 | 090 | |
| 21230 | A | Rib cartilage graft | 10.77 | NA | NA | 9.26 | 9.76 | 0.96 | NA | NA | 20.99 | 21.49 | 090 | |
| 21235 | A | Ear cartilage graft | 6.72 | 10.51 | 9.89 | 7.24 | 7.44 | 0.53 | 17.76 | 17.14 | 14.49 | 14.69 | 090 | |
| 21240 | A | Reconstruction of jaw joint | 14.05 | NA | NA | 11.16 | 12.57 | 1.09 | NA | NA | 26.30 | 27.71 | 090 | |
| 21242 | A | Reconstruction of jaw joint | 12.95 | NA | NA | 11.56 | 12.54 | 1.09 | NA | NA | 25.60 | 26.58 | 090 | |
| 21243 | A | Reconstruction of jaw joint | 20.79 | NA | NA | 13.46 | 14.00 | 1.53 | NA | NA | 35.78 | 36.32 | 090 | |
| 21244 | A | Reconstruction of lower jaw | 11.86 | NA | NA | 8.38 | 9.83 | 0.95 | NA | NA | 21.19 | 22.64 | 090 | |
| 21245 | A | Reconstruction of jaw | 11.86 | 9.40 | 10.16 | 9.40 | 10.16 | 0.91 | 22.17 | 22.93 | 22.17 | 22.93 | 090 | |
| 21246 | A | Reconstruction of jaw | 12.47 | 9.52 | 9.54 | 9.52 | 9.54 | 0.96 | 22.95 | 22.97 | 22.95 | 22.97 | 090 | |
| 21247 | A | Reconstruct lower jaw bone | 22.63 | NA | NA | 15.57 | 18.43 | 1.62 | NA | NA | 39.82 | 42.68 | 090 | |
| 21248 | A | Reconstruction of jaw | 11.48 | 8.26 | 9.62 | 7.35 | 8.94 | 0.85 | 20.59 | 21.95 | 19.68 | 21.27 | 090 | |
| 21249 | A | Reconstruction of jaw | 17.52 | 10.88 | 13.39 | 9.72 | 12.52 | 1.33 | 29.73 | 32.24 | 28.57 | 31.37 | 090 | |
| 21255 | A | Reconstruct lower jaw bone | 16.72 | NA | NA | 9.49 | 12.11 | 1.66 | NA | NA | 27.87 | 30.49 | 090 | |
| 21256 | A | Reconstruction of orbit | 16.19 | NA | NA | 12.52 | 14.22 | 1.38 | NA | NA | 30.09 | 31.79 | 090 | |
| 21260 | A | Revise eye sockets | 16.52 | NA | NA | 9.95 | 12.39 | 0.67 | NA | NA | 27.14 | 29.58 | 090 | |
| 21261 | A | Revise eye sockets | 31.49 | NA | NA | 19.07 | 19.13 | 2.38 | NA | NA | 52.94 | 53.00 | 090 | |
| 21263 | A | Revise eye sockets | 28.42 | NA | NA | 14.51 | 19.37 | 1.12 | NA | NA | 44.05 | 48.91 | 090 | |
| 21267 | A | Revise eye sockets | 18.90 | NA | NA | 14.03 | 14.49 | 1.12 | NA | NA | 34.05 | 34.51 | 090 | |
| 21268 | A | Revise eye sockets | 24.48 | NA | NA | 14.81 | 15.27 | 3.89 | NA | NA | 43.18 | 43.64 | 090 | |
| 21270 | A | Augmentation, cheek bone | 10.23 | 7.86 | 8.50 | 7.86 | 8.50 | 0.89 | 18.98 | 19.62 | 18.98 | 19.62 | 090 | |
| 21275 | A | Revision, orbitofacial bones | 11.24 | NA | NA | 9.88 | 9.84 | 1.05 | NA | NA | 22.17 | 22.13 | 090 | |
| 21280 | A | Revision of eyelid | 6.03 | NA | NA | 5.99 | 6.29 | 0.29 | NA | NA | 12.31 | 12.61 | 090 | |
| 21282 | A | Revision of eyelid | 3.49 | NA | NA | 4.96 | 4.76 | 0.20 | NA | NA | 8.65 | 8.45 | 090 | |
| 21295 | A | Revision of jaw muscle/bone | 1.53 | NA | NA | 4.26 | 3.46 | 0.11 | NA | NA | 5.90 | 5.10 | 090 | |
| 21296 | A | Revision of jaw muscle/bone | 4.25 | NA | NA | 4.31 | 4.22 | 0.35 | NA | NA | 8.91 | 8.82 | 090 | |
| 21299 | C | Cranio/maxillofacial surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21300 | A | Treatment of skull fracture | 0.72 | 2.35 | 2.01 | 0.28 | 0.46 | 0.08 | 3.15 | 2.81 | 1.08 | 1.26 | 000 | |
| 21310 | A | Treatment of nose fracture | 0.58 | 2.28 | 1.91 | 0.16 | 0.32 | 0.06 | 2.92 | 2.55 | 0.80 | 0.96 | 000 | |
| 21315 | A | Treatment of nose fracture | 1.51 | 2.88 | 2.65 | 1.15 | 1.35 | 0.12 | 4.51 | 4.28 | 2.78 | 2.98 | 010 | |
| 21320 | A | Treatment of nose fracture | 1.85 | 4.06 | 3.68 | 1.87 | 2.04 | 0.14 | 6.05 | 5.67 | 3.86 | 4.03 | 010 | |
| 21325 | A | Treatment of nose fracture | 3.77 | NA | NA | 3.39 | 3.65 | 0.31 | NA | NA | 7.47 | 7.73 | 090 | |
| 21330 | A | Treatment of nose fracture | 5.38 | NA | NA | 5.02 | 5.37 | 0.47 | NA | NA | 10.87 | 11.22 | 090 | |
| 21335 | A | Treatment of nose fracture | 8.61 | NA | NA | 6.57 | 7.50 | 0.65 | NA | NA | 15.83 | 16.76 | 090 | |
| 21336 | A | Treat nasal septal fracture | 5.72 | NA | NA | 4.95 | 4.82 | 0.47 | NA | NA | 11.14 | 11.01 | 090 | |
| 21337 | A | Treat nasal septal fracture | 2.70 | 4.90 | 4.44 | 2.92 | 2.96 | 0.23 | 7.83 | 7.37 | 5.85 | 5.89 | 090 | |
| 21338 | A | Treat nasoethmoid fracture | 6.46 | NA | NA | 5.95 | 5.82 | 0.53 | NA | NA | 12.94 | 12.81 | 090 | |
| 21339 | A | Treat nasoethmoid fracture | 8.09 | NA | NA | 6.31 | 6.66 | 0.65 | NA | NA | 15.05 | 15.40 | 090 | |
| 21340 | A | Treatment of nose fracture | 10.77 | NA | NA | 9.24 | 9.35 | 0.69 | NA | NA | 20.70 | 20.81 | 090 | |
| 21343 | A | Treatment of sinus fracture | 12.95 | NA | NA | 9.34 | 9.49 | 1.20 | NA | NA | 23.49 | 23.64 | 090 | |
| 21344 | A | Treatment of sinus fracture | 19.72 | NA | NA | 12.80 | 12.09 | 1.78 | NA | NA | 34.30 | 33.59 | 090 | |
| 21345 | A | Treat nose/jaw fracture | 8.16 | 7.45 | 7.73 | 7.41 | 7.70 | 0.64 | 16.25 | 16.53 | 16.21 | 16.50 | 090 | |
| 21346 | A | Treat nose/jaw fracture | 10.61 | NA | NA | 8.90 | 9.23 | 0.83 | NA | NA | 20.34 | 20.67 | 090 | |
| 21347 | A | Treat nose/jaw fracture | 12.69 | NA | NA | 9.02 | 9.58 | 1.08 | NA | NA | 22.79 | 23.35 | 090 | |
| 21348 | A | Treat nose/jaw fracture | 16.69 | NA | NA | 9.60 | 10.28 | 1.44 | NA | NA | 27.73 | 28.41 | 090 | |
| 21355 | A | Treat cheek bone fracture | 3.77 | 3.49 | 3.04 | 2.04 | 1.95 | 0.32 | 7.58 | 7.13 | 6.13 | 6.04 | 010 | |
| 21356 | A | Treat cheek bone fracture | 4.15 | NA | NA | 3.02 | 3.51 | 0.34 | NA | NA | 7.51 | 8.00 | 010 | |
| 21360 | A | Treat cheek bone fracture | 6.46 | NA | NA | 5.24 | 5.86 | 0.52 | NA | NA | 12.22 | 12.84 | 090 | |
| 21365 | A | Treat cheek bone fracture | 14.95 | NA | NA | 10.72 | 11.39 | 1.28 | NA | NA | 26.95 | 27.62 | 090 | |
| 21366 | A | Treat cheek bone fracture | 17.77 | NA | NA | 11.76 | 12.10 | 1.52 | NA | NA | 31.05 | 31.39 | 090 | |
| 21385 | A | Treat eye socket fracture | 9.16 | NA | NA | 6.79 | 7.70 | 0.67 | NA | NA | 16.62 | 17.53 | 090 | |
| 21386 | A | Treat eye socket fracture | 9.16 | NA | NA | 7.48 | 8.07 | 0.75 | NA | NA | 17.39 | 17.98 | 090 | |
| 21387 | A | Treat eye socket fracture | 9.70 | NA | NA | 7.82 | 7.89 | 0.78 | NA | NA | 18.30 | 18.37 | 090 | |
| 21390 | A | Treat eye socket fracture | 10.13 | NA | NA | 8.15 | 9.14 | 0.74 | NA | NA | 19.02 | 20.01 | 090 | |
| 21395 | A | Treat eye socket fracture | 12.68 | NA | NA | 9.36 | 9.63 | 1.16 | NA | NA | 23.20 | 23.47 | 090 | |
| 21400 | A | Treat eye socket fracture | 1.40 | 2.87 | 2.61 | 0.92 | 1.14 | 0.12 | 4.39 | 4.13 | 2.44 | 2.66 | 090 | |
| 21401 | A | Treat eye socket fracture | 3.26 | 4.25 | 3.89 | 2.99 | 2.94 | 0.25 | 7.76 | 7.40 | 6.50 | 6.45 | 090 | |
| 21406 | A | Treat eye socket fracture | 7.01 | NA | NA | 5.96 | 5.88 | 0.60 | NA | NA | 13.57 | 13.49 | 090 | |
| 21407 | A | Treat eye socket fracture | 8.61 | NA | NA | 7.39 | 7.47 | 0.70 | NA | NA | 16.70 | 16.78 | 090 | |
| 21408 | A | Treat eye socket fracture | 12.38 | NA | NA | 10.01 | 9.81 | 1.21 | NA | NA | 23.60 | 23.40 | 090 | |
| 21421 | A | Treat mouth roof fracture | 5.14 | 6.39 | 6.46 | 5.27 | 5.62 | 0.38 | 11.91 | 11.98 | 10.79 | 11.14 | 090 | |
| 21422 | A | Treat mouth roof fracture | 8.32 | NA | NA | 7.00 | 7.73 | 0.69 | NA | NA | 16.01 | 16.74 | 090 | |
| 21423 | A | Treat mouth roof fracture | 10.40 | NA | NA | 7.66 | 8.41 | 0.82 | NA | NA | 18.88 | 19.63 | 090 | |
| 21431 | A | Treat craniofacial fracture | 7.05 | NA | NA | 5.51 | 5.77 | 0.54 | NA | NA | 13.10 | 13.36 | 090 | |
| 21432 | A | Treat craniofacial fracture | 8.61 | NA | NA | 7.63 | 7.56 | 0.94 | NA | NA | 17.18 | 17.11 | 090 | |
| 21433 | A | Treat craniofacial fracture | 25.35 | NA | NA | 15.99 | 16.87 | 2.11 | NA | NA | 43.45 | 44.33 | 090 | |
| 21435 | A | Treat craniofacial fracture | 17.25 | NA | NA | 12.27 | 12.80 | 1.36 | NA | NA | 30.88 | 31.41 | 090 | |
| 21436 | A | Treat craniofacial fracture | 28.04 | NA | NA | 17.76 | 17.30 | 1.88 | NA | NA | 47.68 | 47.22 | 090 | |
| 21440 | A | Treat dental ridge fracture | 2.70 | 5.00 | 4.58 | 3.20 | 3.23 | 0.20 | 7.90 | 7.48 | 6.10 | 6.13 | 090 | |
| 21445 | A | Treat dental ridge fracture | 5.38 | 6.14 | 6.26 | 4.89 | 5.33 | 0.42 | 11.94 | 12.06 | 10.69 | 11.13 | 090 | |
| 21450 | A | Treat lower jaw fracture | 2.97 | 5.56 | 4.94 | 2.21 | 2.43 | 0.23 | 8.76 | 8.14 | 5.41 | 5.63 | 090 | |
| 21451 | A | Treat lower jaw fracture | 4.87 | 5.91 | 6.02 | 4.91 | 5.27 | 0.37 | 11.15 | 11.26 | 10.15 | 10.51 | 090 | |
| 21452 | A | Treat lower jaw fracture | 1.98 | 7.04 | 5.66 | 3.86 | 3.27 | 0.15 | 9.17 | 7.79 | 5.99 | 5.40 | 090 | |
| 21453 | A | Treat lower jaw fracture | 5.54 | 6.56 | 6.72 | 5.62 | 6.02 | 0.44 | 12.54 | 12.70 | 11.60 | 12.00 | 090 | |
| 21454 | A | Treat lower jaw fracture | 6.46 | NA | NA | 5.14 | 5.79 | 0.48 | NA | NA | 12.08 | 12.73 | 090 | |
| 21461 | A | Treat lower jaw fracture | 8.09 | 8.05 | 8.45 | 7.27 | 7.87 | 0.65 | 16.79 | 17.19 | 16.01 | 16.61 | 090 | |
| 21462 | A | Treat lower jaw fracture | 9.79 | 8.97 | 9.65 | 7.50 | 8.55 | 0.76 | 19.52 | 20.20 | 18.05 | 19.10 | 090 | |
| 21465 | A | Treat lower jaw fracture | 11.91 | NA | NA | 7.31 | 7.77 | 0.95 | NA | NA | 20.17 | 20.63 | 090 | |
| 21470 | A | Treat lower jaw fracture | 15.34 | NA | NA | 9.27 | 11.53 | 1.21 | NA | NA | 25.82 | 28.08 | 090 | |
| 21480 | A | Reset dislocated jaw | 0.61 | 1.47 | 1.32 | 0.18 | 0.35 | 0.05 | 2.13 | 1.98 | 0.84 | 1.01 | 000 | |
| 21485 | A | Reset dislocated jaw | 3.99 | 3.51 | 3.23 | 3.01 | 2.85 | 0.27 | 7.77 | 7.49 | 7.27 | 7.11 | 090 | |
| 21490 | A | Repair dislocated jaw | 11.86 | NA | NA | 7.14 | 7.07 | 0.84 | NA | NA | 19.84 | 19.77 | 090 | |
| 21493 | A | Treat hyoid bone fracture | 1.27 | NA | NA | 2.96 | 2.63 | 0.10 | NA | NA | 4.33 | 4.00 | 090 | |
| 21494 | A | Treat hyoid bone fracture | 6.28 | NA | NA | 4.95 | 5.75 | 0.45 | NA | NA | 11.68 | 12.48 | 090 | |
| 21495 | A | Treat hyoid bone fracture | 5.69 | NA | NA | 5.11 | 5.14 | 0.41 | NA | NA | 11.21 | 11.24 | 090 | |
| 21497 | A | Interdental wiring | 3.86 | 4.17 | 4.21 | 3.45 | 3.67 | 0.30 | 8.33 | 8.37 | 7.61 | 7.83 | 090 | |
| 21499 | C | Head surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21501 | A | Drain neck/chest lesion | 3.81 | 3.83 | 3.37 | 3.38 | 3.03 | 0.37 | 8.01 | 7.55 | 7.56 | 7.21 | 090 | |
| 21502 | A | Drain chest lesion | 7.12 | NA | NA | 7.34 | 6.65 | 0.78 | NA | NA | 15.24 | 14.55 | 090 | |
| 21510 | A | Drainage of bone lesion | 5.74 | NA | NA | 7.54 | 6.69 | 0.63 | NA | NA | 13.91 | 13.06 | 090 | |
| 21550 | A | Biopsy of neck/chest | 2.06 | 2.16 | 1.85 | 1.24 | 1.16 | 0.12 | 4.34 | 4.03 | 3.42 | 3.34 | 010 | |
| 21555 | A | Remove lesion, neck/chest | 4.35 | 4.09 | 3.50 | 2.48 | 2.30 | 0.39 | 8.83 | 8.24 | 7.22 | 7.04 | 090 | |
| 21556 | A | Remove lesion, neck/chest | 5.57 | NA | NA | 3.20 | 3.43 | 0.52 | NA | NA | 9.29 | 9.52 | 090 | |
| 21557 | A | Remove tumor, neck/chest | 8.88 | NA | NA | 7.42 | 7.87 | 0.81 | NA | NA | 17.11 | 17.56 | 090 | |
| 21600 | A | Partial removal of rib | 6.89 | NA | NA | 8.46 | 7.57 | 0.79 | NA | NA | 16.14 | 15.25 | 090 | |
| 21610 | A | Partial removal of rib | 14.61 | NA | NA | 10.21 | 9.06 | 1.99 | NA | NA | 26.81 | 25.66 | 090 | |
| 21615 | A | Removal of rib | 9.87 | NA | NA | 8.99 | 9.49 | 1.30 | NA | NA | 20.16 | 20.66 | 090 | |
| 21616 | A | Removal of rib and nerves | 12.04 | NA | NA | 12.12 | 11.06 | 1.45 | NA | NA | 25.61 | 24.55 | 090 | |
| 21620 | A | Partial removal of sternum | 6.79 | NA | NA | 8.80 | 8.46 | 0.78 | NA | NA | 16.37 | 16.03 | 090 | |
| 21627 | A | Sternal debridement | 6.81 | NA | NA | 14.79 | 12.46 | 0.84 | NA | NA | 22.44 | 20.11 | 090 | |
| 21630 | A | Extensive sternum surgery | 17.38 | NA | NA | 13.86 | 13.89 | 1.95 | NA | NA | 33.19 | 33.22 | 090 | |
| 21632 | A | Extensive sternum surgery | 18.14 | NA | NA | 15.27 | 14.58 | 2.27 | NA | NA | 35.68 | 34.99 | 090 | |
| 21700 | A | Revision of neck muscle | 6.19 | 7.62 | 6.84 | 7.24 | 6.56 | 0.74 | 14.55 | 13.77 | 14.17 | 13.49 | 090 | |
| 21705 | A | Revision of neck muscle/rib | 9.60 | NA | NA | 6.97 | 6.54 | 1.27 | NA | NA | 17.84 | 17.41 | 090 | |
| 21720 | A | Revision of neck muscle | 5.68 | 6.76 | 6.11 | 6.06 | 5.59 | 0.82 | 13.26 | 12.61 | 12.56 | 12.09 | 090 | |
| 21725 | A | Revision of neck muscle | 6.99 | NA | NA | 6.21 | 5.97 | 0.68 | NA | NA | 13.88 | 13.64 | 090 | |
| 21740 | A | Reconstruction of sternum | 16.80 | NA | NA | 15.15 | 13.80 | 1.95 | NA | NA | 33.90 | 32.55 | 090 | |
| 21750 | A | Repair of sternum separation | 10.77 | NA | NA | 13.25 | 11.93 | 1.35 | NA | NA | 25.37 | 24.05 | 090 | |
| 21800 | A | Treatment of rib fracture | 0.96 | 1.80 | 1.56 | 0.79 | 0.80 | 0.09 | 2.85 | 2.61 | 1.84 | 1.85 | 090 | |
| 21805 | A | Treatment of rib fracture | 2.75 | NA | NA | 6.10 | 4.94 | 0.29 | NA | NA | 9.14 | 7.98 | 090 | |
| 21810 | A | Treatment of rib fracture(s) | 6.86 | NA | NA | 7.31 | 7.47 | 0.56 | NA | NA | 14.73 | 14.89 | 090 | |
| 21820 | A | Treat sternum fracture | 1.28 | 2.18 | 2.01 | 1.14 | 1.23 | 0.12 | 3.58 | 3.41 | 2.54 | 2.63 | 090 | |
| 21825 | A | Treat sternum fracture | 7.41 | NA | NA | 11.97 | 10.85 | 0.95 | NA | NA | 20.33 | 19.21 | 090 | |
| 21899 | C | Neck/chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21920 | A | Biopsy soft tissue of back | 2.06 | 2.26 | 1.91 | 0.81 | 0.82 | 0.10 | 4.42 | 4.07 | 2.97 | 2.98 | 010 | |
| 21925 | A | Biopsy soft tissue of back | 4.49 | 10.40 | 8.33 | 4.30 | 3.76 | 0.43 | 15.32 | 13.25 | 9.22 | 8.68 | 090 | |
| 21930 | A | Remove lesion, back or flank | 0.05 | 4.41 | 4.05 | 2.66 | 2.73 | 0.47 | 4.93 | 4.57 | 3.18 | 3.25 | 090 | |
| 21935 | A | Remove tumor, back | 17.96 | NA | NA | 11.85 | 10.68 | 1.79 | NA | NA | 31.60 | 30.43 | 090 | |
| 22100 | A | Remove part of neck vertebra | 9.73 | NA | NA | 8.02 | 8.09 | 1.34 | NA | NA | 19.09 | 19.16 | 090 | |
| 22101 | A | Remove part, thorax vertebra | 9.81 | NA | NA | 8.02 | 8.19 | 1.23 | NA | NA | 19.06 | 19.23 | 090 | |
| 22102 | A | Remove part, lumbar vertebra | 9.81 | NA | NA | 8.21 | 7.38 | 1.37 | NA | NA | 19.39 | 18.56 | 090 | |
| 22103 | A | Remove extra spine segment | 2.34 | NA | NA | 1.21 | 1.51 | 0.33 | NA | NA | 3.88 | 4.18 | ZZZ | |
| 22110 | A | Remove part of neck vertebra | 12.74 | NA | NA | 10.11 | 10.22 | 1.88 | NA | NA | 24.73 | 24.84 | 090 | |
| 22112 | A | Remove part, thorax vertebra | 12.81 | NA | NA | 10.01 | 10.19 | 1.57 | NA | NA | 24.39 | 24.57 | 090 | |
| 22114 | A | Remove part, lumbar vertebra | 12.81 | NA | NA | 9.71 | 9.25 | 1.37 | NA | NA | 23.89 | 23.43 | 090 | |
| 22116 | A | Remove extra spine segment | 2.32 | NA | NA | 1.18 | 1.49 | 0.32 | NA | NA | 3.82 | 4.13 | ZZZ | |
| 22210 | A | Revision of neck spine | 23.82 | NA | NA | 15.82 | 15.62 | 3.46 | NA | NA | 43.10 | 42.90 | 090 | |
| 22212 | A | Revision of thorax spine | 19.42 | NA | NA | 14.23 | 15.36 | 1.99 | NA | NA | 35.64 | 36.77 | 090 | |
| 22214 | A | Revision of lumbar spine | 19.45 | NA | NA | 13.92 | 14.54 | 2.35 | NA | NA | 35.72 | 36.34 | 090 | |
| 22216 | A | Revise, extra spine segment | 6.04 | NA | NA | 3.18 | 3.76 | 0.81 | NA | NA | 10.03 | 10.61 | ZZZ | |
| 22220 | A | Revision of neck spine | 21.37 | NA | NA | 14.41 | 15.32 | 3.15 | NA | NA | 38.93 | 39.84 | 090 | |
| 22222 | A | Revision of thorax spine | 21.52 | NA | NA | 13.17 | 13.57 | 1.01 | NA | NA | 35.70 | 36.10 | 090 | |
| 22224 | A | Revision of lumbar spine | 21.52 | NA | NA | 14.80 | 15.08 | 2.43 | NA | NA | 38.75 | 39.03 | 090 | |
| 22226 | A | Revise, extra spine segment | 6.04 | NA | NA | 3.14 | 3.73 | 0.73 | NA | NA | 9.91 | 10.50 | ZZZ | |
| 22305 | A | Treat spine process fracture | 2.05 | 2.74 | 2.67 | 1.69 | 1.88 | 0.21 | 5.00 | 4.93 | 3.95 | 4.14 | 090 | |
| 22310 | A | Treat spine fracture | 2.61 | 3.91 | 3.62 | 2.98 | 2.92 | 0.27 | 6.79 | 6.50 | 5.86 | 5.80 | 090 | |
| 22315 | A | Treat spine fracture | 8.84 | NA | NA | 8.43 | 7.82 | 1.14 | NA | NA | 18.41 | 17.80 | 090 | |
| 22318 | A | Treat odontoid fx w/o graft | 21.50 | NA | NA | 14.06 | 14.06 | 3.89 | NA | NA | 39.45 | 39.45 | 090 | |
| 22319 | A | Treat odontoid fx w/graft | 0.24 | NA | NA | 16.20 | 16.20 | 4.34 | NA | NA | 20.78 | 20.78 | 090 | |
| 22325 | A | Treat spine fracture | 18.30 | NA | NA | 13.71 | 12.54 | 2.29 | NA | NA | 34.30 | 33.13 | 090 | |
| 22326 | A | Treat neck spine fracture | 19.59 | NA | NA | 14.47 | 15.18 | 3.18 | NA | NA | 37.24 | 37.95 | 090 | |
| 22327 | A | Treat thorax spine fracture | 19.20 | NA | NA | 14.25 | 15.02 | 2.64 | NA | NA | 36.09 | 36.86 | 090 | |
| 22328 | A | Treat each add spine fx | 4.61 | NA | NA | 2.40 | 3.00 | 0.68 | NA | NA | 7.69 | 8.29 | ZZZ | |
| 22505 | A | Manipulation of spine | 1.87 | 3.92 | 3.30 | 2.67 | 2.36 | 0.13 | 5.92 | 5.30 | 4.67 | 4.36 | 010 | |
| 22548 | A | Neck spine fusion | 25.82 | NA | NA | 17.04 | 18.95 | 4.66 | NA | NA | 47.52 | 49.43 | 090 | |
| 22554 | A | Neck spine fusion | 18.62 | NA | NA | 12.91 | 15.06 | 3.14 | NA | NA | 34.67 | 36.82 | 090 | |
| 22556 | A | Thorax spine fusion | 23.46 | NA | NA | 16.15 | 18.00 | 3.20 | NA | NA | 42.81 | 44.66 | 090 | |
| 22558 | A | Lumbar spine fusion | 22.28 | NA | NA | 14.70 | 16.50 | 2.62 | NA | NA | 39.60 | 41.40 | 090 | |
| 22585 | A | Additional spinal fusion | 5.53 | NA | NA | 2.86 | 3.61 | 0.85 | NA | NA | 9.24 | 9.99 | ZZZ | |
| 22590 | A | Spine skull spinal fusion | 20.51 | NA | NA | 14.50 | 16.73 | 3.38 | NA | NA | 38.39 | 40.62 | 090 | |
| 22595 | A | Neck spinal fusion | 19.39 | NA | NA | 13.54 | 15.94 | 3.23 | NA | NA | 36.16 | 38.56 | 090 | |
| 22600 | A | Neck spine fusion | 16.14 | NA | NA | 11.95 | 13.78 | 2.53 | NA | NA | 30.62 | 32.45 | 090 | |
| 22610 | A | Thorax spine fusion | 16.02 | NA | NA | 11.94 | 13.74 | 2.22 | NA | NA | 30.18 | 31.98 | 090 | |
| 22612 | A | Lumbar spine fusion | 0.21 | NA | NA | 14.60 | 16.54 | 2.62 | NA | NA | 17.43 | 19.37 | 090 | |
| 22614 | A | Spine fusion, extra segment | 6.44 | NA | NA | 3.43 | 4.11 | 0.82 | NA | NA | 10.69 | 11.37 | ZZZ | |
| 22630 | A | Lumbar spine fusion | 20.84 | NA | NA | 14.78 | 16.09 | 3.05 | NA | NA | 38.67 | 39.98 | 090 | |
| 22632 | A | Spine fusion, extra segment | 5.23 | NA | NA | 2.75 | 3.42 | 0.72 | NA | NA | 8.70 | 9.37 | ZZZ | |
| 22800 | A | Fusion of spine | 18.25 | NA | NA | 12.94 | 15.15 | 2.09 | NA | NA | 33.28 | 35.49 | 090 | |
| 22802 | A | Fusion of spine | 30.88 | NA | NA | 20.27 | 22.89 | 3.38 | NA | NA | 54.53 | 57.15 | 090 | |
| 22804 | A | Fusion of spine | 36.27 | NA | NA | 23.15 | 25.05 | 3.82 | NA | NA | 63.24 | 65.14 | 090 | |
| 22808 | A | Fusion of spine | 26.27 | NA | NA | 17.62 | 18.21 | 3.79 | NA | NA | 47.68 | 48.27 | 090 | |
| 22810 | A | Fusion of spine | 30.27 | NA | NA | 19.42 | 19.56 | 3.51 | NA | NA | 53.20 | 53.34 | 090 | |
| 22812 | A | Fusion of spine | 32.70 | NA | NA | 20.84 | 22.67 | 3.60 | NA | NA | 57.14 | 58.97 | 090 | |
| 22818 | A | Kyphectomy, 1-2 segments | 31.83 | NA | NA | 19.46 | 22.26 | 4.31 | NA | NA | 55.60 | 58.40 | 090 | |
| 22819 | A | Kyphectomy, 3 or more | 36.44 | NA | NA | 21.62 | 23.88 | 4.93 | NA | NA | 62.99 | 65.25 | 090 | |
| 22830 | A | Exploration of spinal fusion | 10.85 | NA | NA | 9.03 | 10.01 | 1.31 | NA | NA | 21.19 | 22.17 | 090 | |
| 22840 | A | Insert spine fixation device | 12.54 | NA | NA | 7.83 | 7.50 | 1.61 | NA | NA | 21.98 | 21.65 | ZZZ | |
| 22841 | B | Insert spine fixation device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 22842 | A | Insert spine fixation device | 12.58 | NA | NA | 6.66 | 6.86 | 1.63 | NA | NA | 20.87 | 21.07 | ZZZ | |
| 22843 | A | Insert spine fixation device | 13.46 | NA | NA | 7.13 | 7.67 | 1.64 | NA | NA | 22.23 | 22.77 | ZZZ | |
| 22844 | A | Insert spine fixation device | 16.44 | NA | NA | 10.23 | 10.51 | 1.76 | NA | NA | 28.43 | 28.71 | ZZZ | |
| 22845 | A | Insert spine fixation device | 11.96 | NA | NA | 7.53 | 7.20 | 1.95 | NA | NA | 21.44 | 21.11 | ZZZ | |
| 22846 | A | Insert spine fixation device | 12.42 | NA | NA | 7.82 | 8.01 | 0.02 | NA | NA | 20.26 | 20.45 | ZZZ | |
| 22847 | A | Insert spine fixation device | 13.80 | NA | NA | 8.46 | 8.73 | 1.63 | NA | NA | 23.89 | 24.16 | ZZZ | |
| 22848 | A | Insert pelv fixation device | 0.06 | NA | NA | 4.50 | 4.93 | 0.64 | NA | NA | 5.20 | 5.63 | ZZZ | |
| 22849 | A | Reinsert spinal fixation | 18.51 | NA | NA | 12.98 | 12.93 | 2.25 | NA | NA | 33.74 | 33.69 | 090 | |
| 22850 | A | Remove spine fixation device | 9.52 | NA | NA | 7.91 | 8.42 | 1.19 | NA | NA | 18.62 | 19.13 | 090 | |
| 22851 | A | Apply spine prosth device | 6.71 | NA | NA | 4.78 | 5.32 | 0.93 | NA | NA | 12.42 | 12.96 | ZZZ | |
| 22852 | A | Remove spine fixation device | 9.01 | NA | NA | 7.70 | 8.44 | 1.09 | NA | NA | 17.80 | 18.54 | 090 | |
| 22855 | A | Remove spine fixation device | 15.13 | NA | NA | 10.71 | 10.06 | 2.35 | NA | NA | 28.19 | 27.54 | 090 | |
| 22899 | C | Spine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 22900 | A | Remove abdominal wall lesion | 5.80 | NA | NA | 4.20 | 3.97 | 0.57 | NA | NA | 10.57 | 10.34 | 090 | |
| 22999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23000 | A | Removal of calcium deposits | 4.36 | 7.21 | 6.29 | 6.05 | 5.42 | 0.40 | 11.97 | 11.05 | 10.81 | 10.18 | 090 | |
| 23020 | A | Release shoulder joint | 8.93 | NA | NA | 9.25 | 8.91 | 0.93 | NA | NA | 19.11 | 18.77 | 090 | |
| 23030 | A | Drain shoulder lesion | 3.43 | 5.16 | 4.46 | 3.87 | 3.49 | 0.33 | 8.92 | 8.22 | 7.63 | 7.25 | 010 | |
| 23031 | A | Drain shoulder bursa | 2.74 | 5.07 | 3.94 | 3.59 | 2.83 | 0.26 | 8.07 | 6.94 | 6.59 | 5.83 | 010 | |
| 23035 | A | Drain shoulder bone lesion | 8.61 | NA | NA | 13.34 | 11.69 | 0.88 | NA | NA | 22.83 | 21.18 | 090 | |
| 23040 | A | Exploratory shoulder surgery | 9.20 | NA | NA | 10.17 | 10.14 | 0.95 | NA | NA | 20.32 | 20.29 | 090 | |
| 23044 | A | Exploratory shoulder surgery | 7.12 | NA | NA | 8.88 | 8.54 | 0.74 | NA | NA | 16.74 | 16.40 | 090 | |
| 23065 | A | Biopsy shoulder tissues | 2.27 | 2.51 | 2.06 | 1.35 | 1.19 | 0.11 | 4.89 | 4.44 | 3.73 | 3.57 | 010 | |
| 23066 | A | Biopsy shoulder tissues | 4.16 | 6.46 | 5.17 | 5.60 | 4.52 | 0.41 | 11.03 | 9.74 | 10.17 | 9.09 | 090 | |
| 23075 | A | Removal of shoulder lesion | 2.39 | 4.55 | 3.87 | 2.82 | 2.57 | 0.23 | 7.17 | 6.49 | 5.44 | 5.19 | 010 | |
| 23076 | A | Removal of shoulder lesion | 7.63 | NA | NA | 7.40 | 6.51 | 0.78 | NA | NA | 15.81 | 14.92 | 090 | |
| 23077 | A | Remove tumor of shoulder | 16.09 | NA | NA | 12.87 | 11.66 | 1.58 | NA | NA | 30.54 | 29.33 | 090 | |
| 23100 | A | Biopsy of shoulder joint | 6.03 | NA | NA | 7.77 | 7.63 | 0.60 | NA | NA | 14.40 | 14.26 | 090 | |
| 23101 | A | Shoulder joint surgery | 5.58 | NA | NA | 7.56 | 7.34 | 0.57 | NA | NA | 13.71 | 13.49 | 090 | |
| 23105 | A | Remove shoulder joint lining | 8.23 | NA | NA | 8.88 | 9.12 | 0.85 | NA | NA | 17.96 | 18.20 | 090 | |
| 23106 | A | Incision of collarbone joint | 5.96 | NA | NA | 7.72 | 7.08 | 0.64 | NA | NA | 14.32 | 13.68 | 090 | |
| 23107 | A | Explore treat shoulder joint | 8.62 | NA | NA | 9.11 | 9.41 | 0.88 | NA | NA | 18.61 | 18.91 | 090 | |
| 23120 | A | Partial removal, collar bone | 7.11 | NA | NA | 8.29 | 7.47 | 0.73 | NA | NA | 16.13 | 15.31 | 090 | |
| 23125 | A | Removal of collar bone | 9.39 | NA | NA | 9.53 | 9.45 | 0.97 | NA | NA | 19.89 | 19.81 | 090 | |
| 23130 | A | Remove shoulder bone, part | 7.55 | NA | NA | 8.46 | 8.26 | 0.77 | NA | NA | 16.78 | 16.58 | 090 | |
| 23140 | A | Removal of bone lesion | 6.89 | NA | NA | 7.59 | 6.82 | 0.68 | NA | NA | 15.16 | 14.39 | 090 | |
| 23145 | A | Removal of bone lesion | 9.09 | NA | NA | 9.27 | 9.16 | 0.84 | NA | NA | 19.20 | 19.09 | 090 | |
| 23146 | A | Removal of bone lesion | 7.83 | NA | NA | 9.24 | 8.35 | 0.82 | NA | NA | 17.89 | 17.00 | 090 | |
| 23150 | A | Removal of humerus lesion | 8.48 | NA | NA | 8.56 | 8.22 | 0.85 | NA | NA | 17.89 | 17.55 | 090 | |
| 23155 | A | Removal of humerus lesion | 10.35 | NA | NA | 11.00 | 10.64 | 1.08 | NA | NA | 22.43 | 22.07 | 090 | |
| 23156 | A | Removal of humerus lesion | 8.68 | NA | NA | 8.91 | 8.76 | 0.89 | NA | NA | 18.48 | 18.33 | 090 | |
| 23170 | A | Remove collar bone lesion | 6.86 | NA | NA | 9.29 | 8.27 | 0.72 | NA | NA | 16.87 | 15.85 | 090 | |
| 23172 | A | Remove shoulder blade lesion | 6.90 | NA | NA | 8.46 | 7.75 | 0.72 | NA | NA | 16.08 | 15.37 | 090 | |
| 23174 | A | Remove humerus lesion | 9.51 | NA | NA | 10.19 | 9.96 | 0.94 | NA | NA | 20.64 | 20.41 | 090 | |
| 23180 | A | Remove collar bone lesion | 8.53 | NA | NA | 13.76 | 11.49 | 0.88 | NA | NA | 23.17 | 20.90 | 090 | |
| 23182 | A | Remove shoulder blade lesion | 8.15 | NA | NA | 15.56 | 13.45 | 0.84 | NA | NA | 24.55 | 22.44 | 090 | |
| 23184 | A | Remove humerus lesion | 9.38 | NA | NA | 13.89 | 12.81 | 0.95 | NA | NA | 24.22 | 23.14 | 090 | |
| 23190 | A | Partial removal of scapula | 7.24 | NA | NA | 7.41 | 7.21 | 0.74 | NA | NA | 15.39 | 15.19 | 090 | |
| 23195 | A | Removal of head of humerus | 9.81 | NA | NA | 9.72 | 9.71 | 1.02 | NA | NA | 20.55 | 20.54 | 090 | |
| 23200 | A | Removal of collar bone | 12.08 | NA | NA | 13.47 | 12.59 | 1.22 | NA | NA | 26.77 | 25.89 | 090 | |
| 23210 | A | Removal of shoulder blade | 12.49 | NA | NA | 12.91 | 2.13 | 1.25 | NA | NA | 26.65 | 25.87 | 090 | |
| 23220 | A | Partial removal of humerus | 14.56 | NA | NA | 13.24 | 13.20 | 1.47 | NA | NA | 29.27 | 29.23 | 090 | |
| 23221 | A | Partial removal of humerus | 17.74 | NA | NA | 13.30 | 14.90 | 1.26 | NA | NA | 32.30 | 33.90 | 090 | |
| 23222 | A | Partial removal of humerus | 23.92 | NA | NA | 18.68 | 18.09 | 2.43 | NA | NA | 45.03 | 44.44 | 090 | |
| 23330 | A | Remove shoulder foreign body | 1.85 | 4.49 | 3.52 | 3.23 | 2.57 | 0.18 | 6.52 | 5.55 | 5.26 | 4.60 | 010 | |
| 23331 | A | Remove shoulder foreign body | 7.38 | NA | NA | 8.38 | 6.90 | 0.76 | NA | NA | 16.52 | 15.04 | 090 | |
| 23332 | A | Remove shoulder foreign body | 11.62 | NA | NA | 10.68 | 10.65 | 1.19 | NA | NA | 23.49 | 23.46 | 090 | |
| 23350 | A | Injection for shoulder x-ray | 0.01 | 9.23 | 7.06 | 0.35 | 0.40 | 0.04 | 9.28 | 7.11 | 0.40 | 0.45 | 000 | |
| 23395 | A | Muscle transfer,shoulder/arm | 16.85 | NA | NA | 12.97 | 12.75 | 1.74 | NA | NA | 31.56 | 31.34 | 090 | |
| 23397 | A | Muscle transfers | 16.13 | NA | NA | 13.20 | 13.69 | 1.68 | NA | NA | 31.01 | 31.50 | 090 | |
| 23400 | A | Fixation of shoulder blade | 13.54 | NA | NA | 12.60 | 12.12 | 1.42 | NA | NA | 27.56 | 27.08 | 090 | |
| 23405 | A | Incision of tendon muscle | 8.37 | NA | NA | 9.54 | 9.19 | 0.86 | NA | NA | 18.77 | 18.42 | 090 | |
| 23406 | A | Incise tendon(s) muscle(s) | 10.79 | NA | NA | 10.12 | 10.14 | 1.13 | NA | NA | 22.04 | 22.06 | 090 | |
| 23410 | A | Repair of tendon(s) | 12.45 | NA | NA | 11.14 | 11.32 | 1.27 | NA | NA | 24.86 | 25.04 | 090 | |
| 23412 | A | Repair of tendon(s) | 13.31 | NA | NA | 11.64 | 12.36 | 1.36 | NA | NA | 26.31 | 27.03 | 090 | |
| 23415 | A | Release of shoulder ligament | 9.97 | NA | NA | 9.04 | 8.19 | 1.02 | NA | NA | 20.03 | 19.18 | 090 | |
| 23420 | A | Repair of shoulder | 13.30 | NA | NA | 12.33 | 13.22 | 1.36 | NA | NA | 26.99 | 27.88 | 090 | |
| 23430 | A | Repair biceps tendon | 9.98 | NA | NA | 9.86 | 9.39 | 1.02 | NA | NA | 20.86 | 20.39 | 090 | |
| 23440 | A | Remove/transplant tendon | 10.48 | NA | NA | 10.08 | 9.51 | 1.08 | NA | NA | 21.64 | 21.07 | 090 | |
| 23450 | A | Repair shoulder capsule | 13.40 | NA | NA | 11.50 | 12.09 | 1.37 | NA | NA | 26.27 | 26.86 | 090 | |
| 23455 | A | Repair shoulder capsule | 14.37 | NA | NA | 12.18 | 13.36 | 1.47 | NA | NA | 28.02 | 29.20 | 090 | |
| 23460 | A | Repair shoulder capsule | 15.37 | NA | NA | 12.93 | 13.52 | 1.56 | NA | NA | 29.86 | 30.45 | 090 | |
| 23462 | A | Repair shoulder capsule | 15.30 | NA | NA | 12.51 | 13.49 | 1.50 | NA | NA | 29.31 | 30.29 | 090 | |
| 23465 | A | Repair shoulder capsule | 15.85 | NA | NA | 13.04 | 13.62 | 1.63 | NA | NA | 30.52 | 31.10 | 090 | |
| 23466 | A | Repair shoulder capsule | 14.22 | NA | NA | 12.07 | 13.30 | 1.47 | NA | NA | 27.76 | 28.99 | 090 | |
| 23470 | A | Reconstruct shoulder joint | 17.15 | NA | NA | 13.68 | 14.81 | 1.76 | NA | NA | 32.59 | 33.72 | 090 | |
| 23472 | A | Reconstruct shoulder joint | 16.92 | NA | NA | 13.56 | 15.22 | 1.74 | NA | NA | 32.22 | 33.88 | 090 | |
| 23480 | A | Revision of collar bone | 11.18 | NA | NA | 10.44 | 9.62 | 1.16 | NA | NA | 22.78 | 21.96 | 090 | |
| 23485 | A | Revision of collar bone | 13.43 | NA | NA | 11.62 | 11.80 | 1.37 | NA | NA | 26.42 | 26.60 | 090 | |
| 23490 | A | Reinforce clavicle | 11.86 | NA | NA | 10.42 | 10.52 | 1.24 | NA | NA | 23.52 | 23.62 | 090 | |
| 23491 | A | Reinforce shoulder bones | 14.21 | NA | NA | 11.99 | 12.44 | 1.48 | NA | NA | 27.68 | 28.13 | 090 | |
| 23500 | A | Treat clavicle fracture | 2.08 | 3.25 | 2.89 | 1.98 | 1.93 | 0.21 | 5.54 | 5.18 | 4.27 | 4.22 | 090 | |
| 23505 | A | Treat clavicle fracture | 3.69 | 5.01 | 4.46 | 3.42 | 3.26 | 0.37 | 9.07 | 8.52 | 7.48 | 7.32 | 090 | |
| 23515 | A | Treat clavicle fracture | 7.41 | NA | NA | 7.20 | 7.28 | 0.76 | NA | NA | 15.37 | 15.45 | 090 | |
| 23520 | A | Treat clavicle dislocation | 2.16 | 3.36 | 2.90 | 2.24 | 2.06 | 0.21 | 5.73 | 5.27 | 4.61 | 4.43 | 090 | |
| 23525 | A | Treat clavicle dislocation | 3.60 | 4.33 | 3.79 | 3.22 | 2.95 | 0.37 | 8.30 | 7.76 | 7.19 | 6.92 | 090 | |
| 23530 | A | Treat clavicle dislocation | 7.31 | NA | NA | 6.84 | 6.92 | 0.74 | NA | NA | 14.89 | 14.97 | 090 | |
| 23532 | A | Treat clavicle dislocation | 8.01 | NA | NA | 7.06 | 7.26 | 0.84 | NA | NA | 15.91 | 16.11 | 090 | |
| 23540 | A | Treat clavicle dislocation | 2.23 | 3.76 | 3.24 | 1.95 | 1.88 | 0.21 | 6.20 | 5.68 | 4.39 | 4.32 | 090 | |
| 23545 | A | Treat clavicle dislocation | 3.25 | 4.21 | 3.70 | 3.06 | 2.83 | 0.32 | 7.78 | 7.27 | 6.63 | 6.40 | 090 | |
| 23550 | A | Treat clavicle dislocation | 7.24 | NA | NA | 7.13 | 7.51 | 0.73 | NA | NA | 15.10 | 15.48 | 090 | |
| 23552 | A | Treat clavicle dislocation | 8.45 | NA | NA | 7.82 | 7.84 | 0.84 | NA | NA | 17.11 | 17.13 | 090 | |
| 23570 | A | Treat shoulder blade fx | 2.23 | 3.27 | 2.91 | 2.24 | 2.14 | 0.23 | 5.73 | 5.37 | 4.70 | 4.60 | 090 | |
| 23575 | A | Treat shoulder blade fx | 4.06 | 5.31 | 4.73 | 3.84 | 3.63 | 0.41 | 9.78 | 9.20 | 8.31 | 8.10 | 090 | |
| 23585 | A | Treat scapula fracture | 8.96 | NA | NA | 8.31 | 8.32 | 0.92 | NA | NA | 18.19 | 18.20 | 090 | |
| 23600 | A | Treat humerus fracture | 2.93 | 5.05 | 4.58 | 3.13 | 3.14 | 0.30 | 8.28 | 7.81 | 6.36 | 6.37 | 090 | |
| 23605 | A | Treat humerus fracture | 4.87 | 7.53 | 6.94 | 5.92 | 5.73 | 0.51 | 12.91 | 12.32 | 11.30 | 11.11 | 090 | |
| 23615 | A | Treat humerus fracture | 9.35 | NA | NA | 8.98 | 9.53 | 0.96 | NA | NA | 19.29 | 19.84 | 090 | |
| 23616 | A | Treat humerus fracture | 21.27 | NA | NA | 14.89 | 17.22 | 2.19 | NA | NA | 38.35 | 40.68 | 090 | |
| 23620 | A | Treat humerus fracture | 2.40 | 4.75 | 4.35 | 2.84 | 2.91 | 0.25 | 7.40 | 7.00 | 5.49 | 5.56 | 090 | |
| 23625 | A | Treat humerus fracture | 3.93 | 6.64 | 6.02 | 4.91 | 4.72 | 0.41 | 10.98 | 10.36 | 9.25 | 9.06 | 090 | |
| 23630 | A | Treat humerus fracture | 7.35 | NA | NA | 7.19 | 7.59 | 0.75 | NA | NA | 15.29 | 15.69 | 090 | |
| 23650 | A | Treat shoulder dislocation | 3.39 | 4.63 | 4.04 | 2.59 | 2.51 | 0.32 | 8.34 | 7.75 | 6.30 | 6.22 | 090 | |
| 23655 | A | Treat shoulder dislocation | 4.57 | NA | NA | 3.53 | 3.44 | 0.46 | NA | NA | 8.56 | 8.47 | 090 | |
| 23660 | A | Treat shoulder dislocation | 7.49 | NA | NA | 6.92 | 7.43 | 0.69 | NA | NA | 15.10 | 15.61 | 090 | |
| 23665 | A | Treat dislocation/fracture | 4.47 | 6.69 | 5.93 | 5.19 | 4.80 | 0.46 | 11.62 | 10.86 | 10.12 | 9.73 | 090 | |
| 23670 | A | Treat dislocation/fracture | 7.90 | NA | NA | 7.60 | 8.06 | 0.81 | NA | NA | 16.31 | 16.77 | 090 | |
| 23675 | A | Treat dislocation/fracture | 6.05 | 7.64 | 6.80 | 6.07 | 5.62 | 0.62 | 14.31 | 13.47 | 12.74 | 12.29 | 090 | |
| 23680 | A | Treat dislocation/fracture | 10.06 | NA | NA | 8.81 | 9.61 | 1.03 | NA | NA | 19.90 | 20.70 | 090 | |
| 23700 | A | Fixation of shoulder | 2.52 | NA | NA | 3.01 | 2.83 | 0.26 | NA | NA | 5.79 | 5.61 | 010 | |
| 23800 | A | Fusion of shoulder joint | 14.16 | NA | NA | 12.61 | 13.69 | 1.41 | NA | NA | 28.18 | 29.26 | 090 | |
| 23802 | A | Fusion of shoulder joint | 16.60 | NA | NA | 10.43 | 11.64 | 1.70 | NA | NA | 28.73 | 29.94 | 090 | |
| 23900 | A | Amputation of arm girdle | 19.72 | NA | NA | 14.47 | 14.26 | 1.86 | NA | NA | 36.05 | 35.84 | 090 | |
| 23920 | A | Amputation at shoulder joint | 14.61 | NA | NA | 12.09 | 12.83 | 1.52 | NA | NA | 28.22 | 28.96 | 090 | |
| 23921 | A | Amputation follow-up surgery | 5.49 | 6.18 | 5.79 | 6.17 | 5.79 | 0.50 | 12.17 | 11.78 | 12.16 | 11.78 | 090 | |
| 23929 | C | Shoulder surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23930 | A | Drainage of arm lesion | 2.94 | 4.99 | 4.18 | 3.53 | 3.09 | 0.29 | 8.22 | 7.41 | 6.76 | 6.32 | 010 | |
| 23931 | A | Drainage of arm bursa | 1.79 | 4.71 | 3.74 | 3.09 | 2.52 | 0.17 | 6.67 | 5.70 | 5.05 | 4.48 | 010 | |
| 23935 | A | Drain arm/elbow bone lesion | 6.09 | NA | NA | 10.72 | 9.31 | 0.62 | NA | NA | 17.43 | 16.02 | 090 | |
| 24000 | A | Exploratory elbow surgery | 5.82 | NA | NA | 5.39 | 5.78 | 0.58 | NA | NA | 11.79 | 12.18 | 090 | |
| 24006 | A | Release elbow joint | 9.31 | NA | NA | 7.69 | 7.71 | 0.96 | NA | NA | 17.96 | 17.98 | 090 | |
| 24065 | A | Biopsy arm/elbow soft tissue | 2.08 | 4.92 | 3.91 | 2.84 | 2.35 | 0.11 | 7.11 | 6.10 | 5.03 | 4.54 | 010 | |
| 24066 | A | Biopsy arm/elbow soft tissue | 5.21 | 7.51 | 6.37 | 5.97 | 5.21 | 0.55 | 13.27 | 12.13 | 11.73 | 10.97 | 090 | |
| 24075 | A | Remove arm/elbow lesion | 3.92 | 6.99 | 5.78 | 5.32 | 4.53 | 0.38 | 11.29 | 10.08 | 9.62 | 8.83 | 090 | |
| 24076 | A | Remove arm/elbow lesion | 6.30 | NA | NA | 6.39 | 5.79 | 0.64 | NA | NA | 13.33 | 12.73 | 090 | |
| 24077 | A | Remove tumor of arm/elbow | 11.76 | NA | NA | 12.18 | 11.79 | 1.17 | NA | NA | 25.11 | 24.72 | 090 | |
| 24100 | A | Biopsy elbow joint lining | 4.93 | NA | NA | 5.70 | 5.42 | 0.46 | NA | NA | 11.09 | 10.81 | 090 | |
| 24101 | A | Explore/treat elbow joint | 6.13 | NA | NA | 6.01 | 6.34 | 0.63 | NA | NA | 12.77 | 13.10 | 090 | |
| 24102 | A | Remove elbow joint lining | 8.03 | NA | NA | 7.06 | 7.69 | 0.83 | NA | NA | 15.92 | 16.55 | 090 | |
| 24105 | A | Removal of elbow bursa | 3.61 | NA | NA | 4.48 | 4.38 | 0.37 | NA | NA | 8.46 | 8.36 | 090 | |
| 24110 | A | Remove humerus lesion | 7.39 | NA | NA | 8.52 | 8.48 | 0.78 | NA | NA | 16.69 | 16.65 | 090 | |
| 24115 | A | Remove/graft bone lesion | 9.63 | NA | NA | 9.29 | 9.05 | 0.85 | NA | NA | 19.77 | 19.53 | 090 | |
| 24116 | A | Remove/graft bone lesion | 11.81 | NA | NA | 10.82 | 10.75 | 1.20 | NA | NA | 23.83 | 23.76 | 090 | |
| 24120 | A | Remove elbow lesion | 6.65 | NA | NA | 6.03 | 6.16 | 0.68 | NA | NA | 13.36 | 13.49 | 090 | |
| 24125 | A | Remove/graft bone lesion | 7.89 | NA | NA | 6.68 | 6.58 | 0.76 | NA | NA | 15.33 | 15.23 | 090 | |
| 24126 | A | Remove/graft bone lesion | 8.31 | NA | NA | 7.03 | 7.28 | 0.87 | NA | NA | 16.21 | 16.46 | 090 | |
| 24130 | A | Removal of head of radius | 6.25 | NA | NA | 6.08 | 6.38 | 0.65 | NA | NA | 12.98 | 13.28 | 090 | |
| 24134 | A | Removal of arm bone lesion | 9.73 | NA | NA | 13.90 | 12.78 | 0.94 | NA | NA | 24.57 | 23.45 | 090 | |
| 24136 | A | Remove radius bone lesion | 7.99 | NA | NA | 5.71 | 6.67 | 0.80 | NA | NA | 14.50 | 15.46 | 090 | |
| 24138 | A | Remove elbow bone lesion | 8.05 | NA | NA | 7.08 | 7.04 | 0.84 | NA | NA | 15.97 | 15.93 | 090 | |
| 24140 | A | Partial removal of arm bone | 9.18 | NA | NA | 14.49 | 13.25 | 0.95 | NA | NA | 24.62 | 23.38 | 090 | |
| 24145 | A | Partial removal of radius | 7.58 | NA | NA | 9.69 | 9.00 | 0.77 | NA | NA | 18.04 | 17.35 | 090 | |
| 24147 | A | Partial removal of elbow | 7.54 | NA | NA | 9.78 | 9.13 | 0.80 | NA | NA | 18.12 | 17.47 | 090 | |
| 24149 | A | Radical resection of elbow | 14.20 | NA | NA | 10.47 | 11.28 | 1.46 | NA | NA | 26.13 | 26.94 | 090 | |
| 24150 | A | Extensive humerus surgery | 13.27 | NA | NA | 13.12 | 13.66 | 1.34 | NA | NA | 27.73 | 28.27 | 090 | |
| 24151 | A | Extensive humerus surgery | 15.58 | NA | NA | 13.96 | 14.22 | 1.50 | NA | NA | 31.04 | 31.30 | 090 | |
| 24152 | A | Extensive radius surgery | 10.06 | NA | NA | 8.75 | 8.41 | 0.95 | NA | NA | 19.76 | 19.42 | 090 | |
| 24153 | A | Extensive radius surgery | 11.54 | NA | NA | 6.76 | 7.90 | 0.67 | NA | NA | 18.97 | 20.11 | 090 | |
| 24155 | A | Removal of elbow joint | 11.73 | NA | NA | 8.75 | 9.48 | 1.18 | NA | NA | 21.66 | 22.39 | 090 | |
| 24160 | A | Remove elbow joint implant | 7.83 | NA | NA | 6.94 | 6.52 | 0.78 | NA | NA | 15.55 | 15.13 | 090 | |
| 24164 | A | Remove radius head implant | 6.23 | NA | NA | 6.05 | 6.04 | 0.65 | NA | NA | 12.93 | 12.92 | 090 | |
| 24200 | A | Removal of arm foreign body | 1.76 | 4.50 | 3.53 | 2.68 | 2.16 | 0.14 | 6.40 | 5.43 | 4.58 | 4.06 | 010 | |
| 24201 | A | Removal of arm foreign body | 4.56 | 7.24 | 6.26 | 5.90 | 5.26 | 0.48 | 12.28 | 11.30 | 10.94 | 10.30 | 090 | |
| 24220 | A | Injection for elbow x-ray | 1.31 | 10.07 | 7.69 | 0.46 | 0.48 | 0.07 | 11.45 | 9.07 | 1.84 | 1.86 | 000 | |
| 24301 | A | Muscle/tendon transfer | 10.20 | NA | NA | 8.30 | 8.37 | 1.04 | NA | NA | 19.54 | 19.61 | 090 | |
| 24305 | A | Arm tendon lengthening | 7.45 | NA | NA | 6.79 | 5.93 | 0.75 | NA | NA | 14.99 | 14.13 | 090 | |
| 24310 | A | Revision of arm tendon | 5.98 | NA | NA | 7.11 | 6.13 | 0.63 | NA | NA | 13.72 | 12.74 | 090 | |
| 24320 | A | Repair of arm tendon | 10.56 | NA | NA | 8.99 | 9.24 | 0.98 | NA | NA | 20.53 | 20.78 | 090 | |
| 24330 | A | Revision of arm muscles | 9.60 | NA | NA | 7.94 | 8.33 | 1.03 | NA | NA | 18.57 | 18.96 | 090 | |
| 24331 | A | Revision of arm muscles | 10.65 | NA | NA | 8.36 | 8.88 | 1.11 | NA | NA | 20.12 | 20.64 | 090 | |
| 24340 | A | Repair of biceps tendon | 7.89 | NA | NA | 6.92 | 7.09 | 0.81 | NA | NA | 15.62 | 15.79 | 090 | |
| 24341 | A | Repair arm tendon/muscle | 7.90 | NA | NA | 6.92 | 7.09 | 0.82 | NA | NA | 15.64 | 15.81 | 090 | |
| 24342 | A | Repair of ruptured tendon | 10.62 | NA | NA | 8.47 | 9.17 | 1.10 | NA | NA | 20.19 | 20.89 | 090 | |
| 24350 | A | Repair of tennis elbow | 5.25 | NA | NA | 5.42 | 5.21 | 0.54 | NA | NA | 11.21 | 11.00 | 090 | |
| 24351 | A | Repair of tennis elbow | 5.91 | NA | NA | 5.92 | 5.68 | 0.62 | NA | NA | 12.45 | 12.21 | 090 | |
| 24352 | A | Repair of tennis elbow | 6.43 | NA | NA | 6.28 | 6.26 | 0.66 | NA | NA | 13.37 | 13.35 | 090 | |
| 24354 | A | Repair of tennis elbow | 6.48 | NA | NA | 6.15 | 6.14 | 0.68 | NA | NA | 13.31 | 13.30 | 090 | |
| 24356 | A | Revision of tennis elbow | 6.68 | NA | NA | 6.36 | 6.75 | 0.70 | NA | NA | 13.74 | 14.13 | 090 | |
| 24360 | A | Reconstruct elbow joint | 12.34 | NA | NA | 9.30 | 10.66 | 1.27 | NA | NA | 22.91 | 24.27 | 090 | |
| 24361 | A | Reconstruct elbow joint | 14.08 | NA | NA | 10.11 | 11.15 | 1.46 | NA | NA | 25.65 | 26.69 | 090 | |
| 24362 | A | Reconstruct elbow joint | 14.99 | NA | NA | 10.56 | 11.49 | 1.34 | NA | NA | 26.89 | 27.82 | 090 | |
| 24363 | A | Replace elbow joint | 18.49 | NA | NA | 12.70 | 15.04 | 1.91 | NA | NA | 33.10 | 35.44 | 090 | |
| 24365 | A | Reconstruct head of radius | 8.39 | NA | NA | 7.30 | 7.52 | 0.87 | NA | NA | 16.56 | 16.78 | 090 | |
| 24366 | A | Reconstruct head of radius | 9.13 | NA | NA | 7.66 | 8.47 | 0.95 | NA | NA | 17.74 | 18.55 | 090 | |
| 24400 | A | Revision of humerus | 11.06 | NA | NA | 11.09 | 10.61 | 1.13 | NA | NA | 23.28 | 22.80 | 090 | |
| 24410 | A | Revision of humerus | 14.82 | NA | NA | 12.58 | 13.25 | 1.37 | NA | NA | 28.77 | 29.44 | 090 | |
| 24420 | A | Revision of humerus | 13.44 | NA | NA | 15.22 | 14.75 | 1.36 | NA | NA | 30.02 | 29.55 | 090 | |
| 24430 | A | Repair of humerus | 12.81 | NA | NA | 11.39 | 12.37 | 1.32 | NA | NA | 25.52 | 26.50 | 090 | |
| 24435 | A | Repair humerus with graft | 13.17 | NA | NA | 12.30 | 13.16 | 1.36 | NA | NA | 26.83 | 27.69 | 090 | |
| 24470 | A | Revision of elbow joint | 8.74 | NA | NA | 7.50 | 7.78 | 0.92 | NA | NA | 17.16 | 17.44 | 090 | |
| 24495 | A | Decompression of forearm | 8.12 | NA | NA | 9.76 | 8.88 | 0.91 | NA | NA | 18.79 | 17.91 | 090 | |
| 24498 | A | Reinforce humerus | 11.92 | NA | NA | 11.03 | 11.09 | 1.23 | NA | NA | 24.18 | 24.24 | 090 | |
| 24500 | A | Treat humerus fracture | 3.21 | 4.58 | 4.13 | 2.80 | 2.79 | 0.32 | 8.11 | 7.66 | 6.33 | 6.32 | 090 | |
| 24505 | A | Treat humerus fracture | 5.17 | 8.00 | 7.22 | 6.14 | 5.83 | 0.53 | 13.70 | 12.92 | 11.84 | 11.53 | 090 | |
| 24515 | A | Treat humerus fracture | 11.65 | NA | NA | 10.15 | 10.23 | 1.16 | NA | NA | 22.96 | 23.04 | 090 | |
| 24516 | A | Treat humerus fracture | 11.65 | NA | NA | 10.54 | 10.52 | 1.20 | NA | NA | 23.39 | 23.37 | 090 | |
| 24530 | A | Treat humerus fracture | 3.50 | 5.56 | 4.91 | 4.12 | 3.83 | 0.35 | 9.41 | 8.76 | 7.97 | 7.68 | 090 | |
| 24535 | A | Treat humerus fracture | 6.87 | 8.06 | 7.36 | 6.18 | 5.95 | 0.72 | 15.65 | 14.95 | 13.77 | 13.54 | 090 | |
| 24538 | A | Treat humerus fracture | 9.43 | NA | NA | 9.30 | 9.14 | 0.96 | NA | NA | 19.69 | 19.53 | 090 | |
| 24545 | A | Treat humerus fracture | 10.46 | NA | NA | 9.07 | 9.51 | 1.08 | NA | NA | 20.61 | 21.05 | 090 | |
| 24546 | A | Treat humerus fracture | 15.69 | NA | NA | 12.32 | 11.95 | 1.62 | NA | NA | 29.63 | 29.26 | 090 | |
| 24560 | A | Treat humerus fracture | 2.80 | 4.38 | 3.87 | 2.51 | 2.47 | 0.28 | 7.46 | 6.95 | 5.59 | 5.55 | 090 | |
| 24565 | A | Treat humerus fracture | 5.56 | 6.97 | 6.16 | 5.29 | 4.90 | 0.57 | 13.10 | 12.29 | 11.42 | 11.03 | 090 | |
| 24566 | A | Treat humerus fracture | 7.79 | NA | NA | 8.61 | 8.10 | 0.78 | NA | NA | 17.18 | 16.67 | 090 | |
| 24575 | A | Treat humerus fracture | 10.66 | NA | NA | 7.58 | 7.80 | 1.10 | NA | NA | 19.34 | 19.56 | 090 | |
| 24576 | A | Treat humerus fracture | 2.86 | 4.16 | 3.71 | 2.79 | 2.68 | 0.29 | 7.31 | 6.86 | 5.94 | 5.83 | 090 | |
| 24577 | A | Treat humerus fracture | 5.79 | 7.36 | 6.61 | 5.60 | 5.29 | 0.60 | 13.75 | 13.00 | 11.99 | 11.68 | 090 | |
| 24579 | A | Treat humerus fracture | 11.60 | NA | NA | 9.20 | 9.17 | 1.19 | NA | NA | 21.99 | 21.96 | 090 | |
| 24582 | A | Treat humerus fracture | 8.55 | NA | NA | 9.11 | 8.63 | 0.88 | NA | NA | 18.54 | 18.06 | 090 | |
| 24586 | A | Treat elbow fracture | 15.21 | NA | NA | 10.30 | 11.72 | 1.56 | NA | NA | 27.07 | 28.49 | 090 | |
| 24587 | A | Treat elbow fracture | 15.16 | NA | NA | 10.15 | 11.34 | 1.46 | NA | NA | 26.77 | 27.96 | 090 | |
| 24600 | A | Treat elbow dislocation | 4.23 | 6.17 | 5.16 | 4.11 | 3.61 | 0.42 | 10.82 | 9.81 | 8.76 | 8.26 | 090 | |
| 24605 | A | Treat elbow dislocation | 5.42 | NA | NA | 4.37 | 3.90 | 0.56 | NA | NA | 10.35 | 9.88 | 090 | |
| 24615 | A | Treat elbow dislocation | 9.42 | NA | NA | 7.21 | 7.93 | 0.98 | NA | NA | 17.61 | 18.33 | 090 | |
| 24620 | A | Treat elbow fracture | 6.98 | NA | NA | 5.96 | 5.50 | 0.70 | NA | NA | 13.64 | 13.18 | 090 | |
| 24635 | A | Treat elbow fracture | 13.19 | NA | NA | 14.41 | 13.81 | 1.37 | NA | NA | 28.97 | 28.37 | 090 | |
| 24640 | A | Treat elbow dislocation | 1.20 | 2.98 | 2.51 | 1.33 | 1.27 | 0.11 | 4.29 | 3.82 | 2.64 | 2.58 | 010 | |
| 24650 | A | Treat radius fracture | 2.16 | 4.07 | 3.66 | 2.31 | 2.34 | 0.22 | 6.45 | 6.04 | 4.69 | 4.72 | 090 | |
| 24655 | A | Treat radius fracture | 4.40 | 6.56 | 5.74 | 4.70 | 4.34 | 0.45 | 11.41 | 10.59 | 9.55 | 9.19 | 090 | |
| 24665 | A | Treat radius fracture | 8.14 | NA | NA | 8.26 | 8.13 | 0.84 | NA | NA | 17.24 | 17.11 | 090 | |
| 24666 | A | Treat radius fracture | 9.49 | NA | NA | 9.03 | 9.56 | 0.98 | NA | NA | 19.50 | 20.03 | 090 | |
| 24670 | A | Treat ulnar fracture | 2.54 | 4.01 | 3.54 | 2.60 | 2.48 | 0.26 | 6.81 | 6.34 | 5.40 | 5.28 | 090 | |
| 24675 | A | Treat ulnar fracture | 4.72 | 6.71 | 5.99 | 5.01 | 4.71 | 0.49 | 11.92 | 11.20 | 10.22 | 9.92 | 090 | |
| 24685 | A | Treat ulnar fracture | 8.80 | NA | NA | 8.61 | 8.74 | 0.91 | NA | NA | 18.32 | 18.45 | 090 | |
| 24800 | A | Fusion of elbow joint | 11.20 | NA | NA | 8.79 | 9.47 | 1.13 | NA | NA | 21.12 | 21.80 | 090 | |
| 24802 | A | Fusion/graft of elbow joint | 13.69 | NA | NA | 10.59 | 11.25 | 1.37 | NA | NA | 25.65 | 26.31 | 090 | |
| 24900 | A | Amputation of upper arm | 9.60 | NA | NA | 9.51 | 9.22 | 0.01 | NA | NA | 19.12 | 18.83 | 090 | |
| 24920 | A | Amputation of upper arm | 9.54 | NA | NA | 10.71 | 9.87 | 0.95 | NA | NA | 21.20 | 20.36 | 090 | |
| 24925 | A | Amputation follow-up surgery | 7.07 | NA | NA | 7.99 | 7.69 | 0.71 | NA | NA | 15.77 | 15.47 | 090 | |
| 24930 | A | Amputation follow-up surgery | 10.25 | NA | NA | 10.57 | 10.14 | 0.99 | NA | NA | 21.81 | 21.38 | 090 | |
| 24931 | A | Amputate upper arm implant | 12.72 | NA | NA | 8.32 | 9.27 | 1.29 | NA | NA | 22.33 | 23.28 | 090 | |
| 24935 | A | Revision of amputation | 15.56 | NA | NA | 11.27 | 12.17 | 1.58 | NA | NA | 28.41 | 29.31 | 090 | |
| 24940 | C | Revision of upper arm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 24999 | C | Upper arm/elbow surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 25000 | A | Incision of tendon sheath | 3.38 | NA | NA | 6.31 | 5.74 | 0.35 | NA | NA | 10.04 | 9.47 | 090 | |
| 25020 | A | Decompression of forearm | 5.92 | NA | NA | 9.90 | 8.61 | 0.66 | NA | NA | 16.48 | 15.19 | 090 | |
| 25023 | A | Decompression of forearm | 12.96 | NA | NA | 15.26 | 12.92 | 1.34 | NA | NA | 29.56 | 27.22 | 090 | |
| 25028 | A | Drainage of forearm lesion | 5.25 | NA | NA | 9.03 | 7.33 | 0.53 | NA | NA | 14.81 | 13.11 | 090 | |
| 25031 | A | Drainage of forearm bursa | 4.14 | NA | NA | 8.88 | 6.84 | 0.36 | NA | NA | 13.38 | 11.34 | 090 | |
| 25035 | A | Treat forearm bone lesion | 7.36 | NA | NA | 14.13 | 12.31 | 0.74 | NA | NA | 22.23 | 20.41 | 090 | |
| 25040 | A | Explore/treat wrist joint | 7.18 | NA | NA | 8.10 | 7.62 | 0.74 | NA | NA | 16.02 | 15.54 | 090 | |
| 25065 | A | Biopsy forearm soft tissues | 1.99 | 2.38 | 1.99 | 2.38 | 1.99 | 0.10 | 4.47 | 4.08 | 4.47 | 4.08 | 010 | |
| 25066 | A | Biopsy forearm soft tissues | 4.13 | NA | NA | 7.02 | 5.68 | 0.42 | NA | NA | 11.57 | 10.23 | 090 | |
| 25075 | A | Removal of forearm lesion | 3.74 | NA | NA | 6.64 | 5.58 | 0.36 | NA | NA | 10.74 | 9.68 | 090 | |
| 25076 | A | Removal of forearm lesion | 4.92 | NA | NA | 11.14 | 9.38 | 0.51 | NA | NA | 16.57 | 14.81 | 090 | |
| 25077 | A | Remove tumor, forearm/wrist | 9.76 | NA | NA | 13.92 | 12.74 | 0.97 | NA | NA | 24.65 | 23.47 | 090 | |
| 25085 | A | Incision of wrist capsule | 5.50 | NA | NA | 9.05 | 8.04 | 0.57 | NA | NA | 15.12 | 14.11 | 090 | |
| 25100 | A | Biopsy of wrist joint | 3.90 | NA | NA | 6.23 | 5.84 | 0.41 | NA | NA | 10.54 | 10.15 | 090 | |
| 25101 | A | Explore/treat wrist joint | 4.69 | NA | NA | 6.87 | 6.55 | 0.49 | NA | NA | 12.05 | 11.73 | 090 | |
| 25105 | A | Remove wrist joint lining | 5.85 | NA | NA | 9.39 | 8.79 | 0.60 | NA | NA | 15.84 | 15.24 | 090 | |
| 25107 | A | Remove wrist joint cartilage | 6.43 | NA | NA | 9.68 | 8.69 | 0.67 | NA | NA | 16.78 | 15.79 | 090 | |
| 25110 | A | Remove wrist tendon lesion | 3.92 | NA | NA | 7.29 | 6.23 | 0.39 | NA | NA | 11.60 | 10.54 | 090 | |
| 25111 | A | Remove wrist tendon lesion | 3.39 | NA | NA | 5.61 | 5.08 | 0.34 | NA | NA | 9.34 | 8.81 | 090 | |
| 25112 | A | Reremove wrist tendon lesion | 4.53 | NA | NA | 6.48 | 5.87 | 0.47 | NA | NA | 11.48 | 10.87 | 090 | |
| 25115 | A | Remove wrist/forearm lesion | 8.82 | NA | NA | 14.82 | 13.05 | 0.92 | NA | NA | 24.56 | 22.79 | 090 | |
| 25116 | A | Remove wrist/forearm lesion | 7.11 | NA | NA | 13.57 | 12.30 | 0.74 | NA | NA | 21.42 | 20.15 | 090 | |
| 25118 | A | Excise wrist tendon sheath | 4.37 | NA | NA | 6.82 | 6.42 | 0.46 | NA | NA | 11.65 | 11.25 | 090 | |
| 25119 | A | Partial removal of ulna | 6.04 | NA | NA | 9.52 | 8.94 | 0.62 | NA | NA | 16.18 | 15.60 | 090 | |
| 25120 | A | Removal of forearm lesion | 6.10 | NA | NA | 13.04 | 11.55 | 0.64 | NA | NA | 19.78 | 18.29 | 090 | |
| 25125 | A | Remove/graft forearm lesion | 7.48 | NA | NA | 13.71 | 12.14 | 0.77 | NA | NA | 21.96 | 20.39 | 090 | |
| 25126 | A | Remove/graft forearm lesion | 7.55 | NA | NA | 12.31 | 11.08 | 0.77 | NA | NA | 20.63 | 19.40 | 090 | |
| 25130 | A | Removal of wrist lesion | 5.26 | NA | NA | 7.11 | 6.48 | 0.54 | NA | NA | 12.91 | 12.28 | 090 | |
| 25135 | A | Remove graft wrist lesion | 6.89 | NA | NA | 7.85 | 7.37 | 0.73 | NA | NA | 15.47 | 14.99 | 090 | |
| 25136 | A | Remove graft wrist lesion | 5.97 | NA | NA | 6.73 | 6.33 | 0.62 | NA | NA | 13.32 | 12.92 | 090 | |
| 25145 | A | Remove forearm bone lesion | 6.37 | NA | NA | 13.10 | 11.44 | 0.66 | NA | NA | 20.13 | 18.47 | 090 | |
| 25150 | A | Partial removal of ulna | 7.09 | NA | NA | 10.39 | 9.60 | 0.72 | NA | NA | 18.20 | 17.41 | 090 | |
| 25151 | A | Partial removal of radius | 7.39 | NA | NA | 13.68 | 11.82 | 0.77 | NA | NA | 21.84 | 19.98 | 090 | |
| 25170 | A | Extensive forearm surgery | 11.09 | NA | NA | 15.34 | 14.16 | 1.16 | NA | NA | 27.59 | 26.41 | 090 | |
| 25210 | A | Removal of wrist bone | 5.95 | NA | NA | 7.52 | 6.97 | 0.62 | NA | NA | 14.09 | 13.54 | 090 | |
| 25215 | A | Removal of wrist bones | 7.89 | NA | NA | 10.54 | 10.26 | 0.81 | NA | NA | 19.24 | 18.96 | 090 | |
| 25230 | A | Partial removal of radius | 5.23 | NA | NA | 6.97 | 6.74 | 0.53 | NA | NA | 12.73 | 12.50 | 090 | |
| 25240 | A | Partial removal of ulna | 5.17 | NA | NA | 9.08 | 8.25 | 0.53 | NA | NA | 14.78 | 13.95 | 090 | |
| 25246 | A | Injection for wrist x-ray | 1.45 | 9.41 | 7.19 | 0.51 | 0.52 | 0.06 | 10.92 | 8.70 | 2.02 | 2.03 | 000 | |
| 25248 | A | Remove forearm foreign body | 5.14 | NA | NA | 9.35 | 7.61 | 0.51 | NA | NA | 15.00 | 13.26 | 090 | |
| 25250 | A | Removal of wrist prosthesis | 6.60 | NA | NA | 7.76 | 7.35 | 0.68 | NA | NA | 15.04 | 14.63 | 090 | |
| 25251 | A | Removal of wrist prosthesis | 9.57 | NA | NA | 11.62 | 10.95 | 0.98 | NA | NA | 22.17 | 21.50 | 090 | |
| 25260 | A | Repair forearm tendon/muscle | 7.80 | NA | NA | 14.75 | 12.31 | 0.81 | NA | NA | 23.36 | 20.92 | 090 | |
| 25263 | A | Repair forearm tendon/muscle | 7.82 | NA | NA | 15.68 | 13.33 | 0.81 | NA | NA | 24.31 | 21.96 | 090 | |
| 25265 | A | Repair forearm tendon/muscle | 9.88 | NA | NA | 15.12 | 13.49 | 1.02 | NA | NA | 26.02 | 24.39 | 090 | |
| 25270 | A | Repair forearm tendon/muscle | 0.06 | NA | NA | 13.71 | 11.20 | 0.62 | NA | NA | 14.39 | 11.88 | 090 | |
| 25272 | A | Repair forearm tendon/muscle | 7.04 | NA | NA | 14.21 | 11.59 | 0.74 | NA | NA | 21.99 | 19.37 | 090 | |
| 25274 | A | Repair forearm tendon/muscle | 8.75 | NA | NA | 14.57 | 12.72 | 0.91 | NA | NA | 24.23 | 22.38 | 090 | |
| 25280 | A | Revise wrist/forearm tendon | 7.22 | NA | NA | 13.53 | 11.29 | 0.74 | NA | NA | 21.49 | 19.25 | 090 | |
| 25290 | A | Incise wrist/forearm tendon | 5.29 | NA | NA | 15.56 | 12.34 | 0.55 | NA | NA | 21.40 | 18.18 | 090 | |
| 25295 | A | Release wrist/forearm tendon | 6.55 | NA | NA | 13.48 | 10.94 | 0.68 | NA | NA | 20.71 | 18.17 | 090 | |
| 25300 | A | Fusion of tendons at wrist | 8.80 | NA | NA | 8.84 | 8.63 | 0.87 | NA | NA | 18.51 | 18.30 | 090 | |
| 25301 | A | Fusion of tendons at wrist | 8.40 | NA | NA | 8.59 | 8.28 | 0.83 | NA | NA | 17.82 | 17.51 | 090 | |
| 25310 | A | Transplant forearm tendon | 8.14 | NA | NA | 13.96 | 12.41 | 0.84 | NA | NA | 22.94 | 21.39 | 090 | |
| 25312 | A | Transplant forearm tendon | 9.57 | NA | NA | 14.54 | 12.98 | 0.98 | NA | NA | 25.09 | 23.53 | 090 | |
| 25315 | A | Revise palsy hand tendon(s) | 10.20 | NA | NA | 15.39 | 13.73 | 1.10 | NA | NA | 26.69 | 25.03 | 090 | |
| 25316 | A | Revise palsy hand tendon(s) | 12.33 | NA | NA | 17.72 | 16.16 | 1.23 | NA | NA | 31.28 | 29.72 | 090 | |
| 25320 | A | Repair/revise wrist joint | 10.77 | NA | NA | 10.08 | 9.89 | 1.11 | NA | NA | 21.96 | 21.77 | 090 | |
| 25332 | A | Revise wrist joint | 11.41 | NA | NA | 10.55 | 10.62 | 1.16 | NA | NA | 23.12 | 23.19 | 090 | |
| 25335 | A | Realignment of hand | 12.88 | NA | NA | 12.61 | 12.55 | 1.36 | NA | NA | 26.85 | 26.79 | 090 | |
| 25337 | A | Reconstruct ulna/radioulnar | 10.17 | NA | NA | 11.84 | 11.21 | 1.06 | NA | NA | 23.07 | 22.44 | 090 | |
| 25350 | A | Revision of radius | 8.78 | NA | NA | 14.38 | 12.85 | 0.91 | NA | NA | 24.07 | 22.54 | 090 | |
| 25355 | A | Revision of radius | 10.17 | NA | NA | 14.58 | 13.41 | 1.05 | NA | NA | 25.80 | 24.63 | 090 | |
| 25360 | A | Revision of ulna | 8.43 | NA | NA | 14.20 | 12.39 | 0.90 | NA | NA | 23.53 | 21.72 | 090 | |
| 25365 | A | Revise radius ulna | 12.40 | NA | NA | 15.38 | 14.33 | 1.20 | NA | NA | 28.98 | 27.93 | 090 | |
| 25370 | A | Revise radius or ulna | 13.36 | NA | NA | 13.22 | 13.11 | 1.30 | NA | NA | 27.88 | 27.77 | 090 | |
| 25375 | A | Revise radius ulna | 13.04 | NA | NA | 15.79 | 15.47 | 1.27 | NA | NA | 30.10 | 29.78 | 090 | |
| 25390 | A | Shorten radius or ulna | 10.40 | NA | NA | 15.26 | 13.84 | 1.07 | NA | NA | 26.73 | 25.31 | 090 | |
| 25391 | A | Lengthen radius or ulna | 13.65 | NA | NA | 17.57 | 16.23 | 1.42 | NA | NA | 32.64 | 31.30 | 090 | |
| 25392 | A | Shorten radius ulna | 13.95 | NA | NA | 15.11 | 14.71 | 1.46 | NA | NA | 30.52 | 30.12 | 090 | |
| 25393 | A | Lengthen radius ulna | 15.87 | NA | NA | 17.48 | 16.97 | 1.62 | NA | NA | 34.97 | 34.46 | 090 | |
| 25400 | A | Repair radius or ulna | 10.92 | NA | NA | 15.57 | 14.60 | 1.13 | NA | NA | 27.62 | 26.65 | 090 | |
| 25405 | A | Repair/graft radius or ulna | 14.38 | NA | NA | 17.81 | 16.73 | 1.48 | NA | NA | 33.67 | 32.59 | 090 | |
| 25415 | A | Repair radius ulna | 13.35 | NA | NA | 16.86 | 15.74 | 1.39 | NA | NA | 31.60 | 30.48 | 090 | |
| 25420 | A | Repair/graft radius ulna | 16.33 | NA | NA | 18.39 | 17.78 | 1.69 | NA | NA | 36.41 | 35.80 | 090 | |
| 25425 | A | Repair/graft radius or ulna | 13.21 | NA | NA | 23.60 | 20.96 | 1.33 | NA | NA | 38.14 | 35.50 | 090 | |
| 25426 | A | Repair/graft radius ulna | 15.82 | NA | NA | 18.25 | 16.87 | 1.33 | NA | NA | 35.40 | 34.02 | 090 | |
| 25440 | A | Repair/graft wrist bone | 10.44 | NA | NA | 9.94 | 9.91 | 1.09 | NA | NA | 21.47 | 21.44 | 090 | |
| 25441 | A | Reconstruct wrist joint | 12.90 | NA | NA | 11.18 | 11.47 | 1.35 | NA | NA | 25.43 | 25.72 | 090 | |
| 25442 | A | Reconstruct wrist joint | 10.85 | NA | NA | 10.12 | 9.51 | 1.13 | NA | NA | 22.10 | 21.49 | 090 | |
| 25443 | A | Reconstruct wrist joint | 10.39 | NA | NA | 11.43 | 11.12 | 1.09 | NA | NA | 22.91 | 22.60 | 090 | |
| 25444 | A | Reconstruct wrist joint | 11.15 | NA | NA | 11.68 | 11.51 | 1.16 | NA | NA | 23.99 | 23.82 | 090 | |
| 25445 | A | Reconstruct wrist joint | 9.69 | NA | NA | 11.68 | 11.57 | 0.01 | NA | NA | 21.38 | 21.27 | 090 | |
| 25446 | A | Wrist replacement | 16.55 | NA | NA | 13.37 | 14.97 | 1.70 | NA | NA | 31.62 | 33.22 | 090 | |
| 25447 | A | Repair wrist joint(s) | 10.37 | NA | NA | 9.93 | 10.07 | 1.07 | NA | NA | 21.37 | 21.51 | 090 | |
| 25449 | A | Remove wrist joint implant | 14.49 | NA | NA | 14.15 | 12.74 | 1.50 | NA | NA | 30.14 | 28.73 | 090 | |
| 25450 | A | Revision of wrist joint | 7.87 | NA | NA | 12.13 | 11.08 | 0.65 | NA | NA | 20.65 | 19.60 | 090 | |
| 25455 | A | Revision of wrist joint | 9.49 | NA | NA | 10.71 | 10.40 | 0.72 | NA | NA | 20.92 | 20.61 | 090 | |
| 25490 | A | Reinforce radius | 9.54 | NA | NA | 13.69 | 12.63 | 0.99 | NA | NA | 24.22 | 23.16 | 090 | |
| 25491 | A | Reinforce ulna | 9.96 | NA | NA | 14.89 | 13.64 | 1.04 | NA | NA | 25.89 | 24.64 | 090 | |
| 25492 | A | Reinforce radius and ulna | 12.33 | NA | NA | 13.65 | 13.28 | 1.29 | NA | NA | 27.27 | 26.90 | 090 | |
| 25500 | A | Treat fracture of radius | 2.45 | 3.72 | 3.42 | 2.31 | 2.37 | 0.23 | 6.40 | 6.10 | 4.99 | 5.05 | 090 | |
| 25505 | A | Treat fracture of radius | 5.21 | 6.95 | 6.18 | 5.06 | 4.76 | 0.53 | 12.69 | 11.92 | 10.80 | 10.50 | 090 | |
| 25515 | A | Treat fracture of radius | 9.18 | NA | NA | 8.77 | 8.65 | 0.86 | NA | NA | 18.81 | 18.69 | 090 | |
| 25520 | A | Treat fracture of radius | 6.26 | 7.20 | 6.96 | 5.77 | 5.89 | 0.64 | 14.10 | 13.86 | 12.67 | 12.79 | 090 | |
| 25525 | A | Treat fracture of radius | 12.24 | NA | NA | 10.45 | 10.86 | 1.28 | NA | NA | 23.97 | 24.38 | 090 | |
| 25526 | A | Treat fracture of radius | 12.98 | NA | NA | 13.57 | 13.39 | 1.34 | NA | NA | 27.89 | 27.71 | 090 | |
| 25530 | A | Treat fracture of ulna | 2.09 | 3.73 | 3.46 | 2.38 | 2.45 | 0.21 | 6.03 | 5.76 | 4.68 | 4.75 | 090 | |
| 25535 | A | Treat fracture of ulna | 5.14 | 6.75 | 6.03 | 5.19 | 4.86 | 0.51 | 12.40 | 11.68 | 10.84 | 10.51 | 090 | |
| 25545 | A | Treat fracture of ulna | 8.90 | NA | NA | 8.68 | 8.57 | 0.92 | NA | NA | 18.50 | 18.39 | 090 | |
| 25560 | A | Treat fracture radius ulna | 2.44 | 3.76 | 3.44 | 2.24 | 2.30 | 0.23 | 6.43 | 6.11 | 4.91 | 4.97 | 090 | |
| 25565 | A | Treat fracture radius ulna | 5.63 | 7.23 | 6.69 | 5.24 | 5.20 | 0.57 | 13.43 | 12.89 | 11.44 | 11.40 | 090 | |
| 25574 | A | Treat fracture radius ulna | 7.01 | NA | NA | 7.62 | 7.81 | 0.73 | NA | NA | 15.36 | 15.55 | 090 | |
| 25575 | A | Treat fracture radius/ulna | 10.45 | NA | NA | 9.50 | 10.03 | 1.08 | NA | NA | 21.03 | 21.56 | 090 | |
| 25600 | A | Treat fracture radius/ulna | 2.63 | 4.06 | 3.82 | 2.50 | 2.65 | 0.27 | 6.96 | 6.72 | 5.40 | 5.55 | 090 | |
| 25605 | A | Treat fracture radius/ulna | 5.81 | 7.43 | 6.65 | 5.58 | 5.26 | 0.60 | 13.84 | 13.06 | 11.99 | 11.67 | 090 | |
| 25611 | A | Treat fracture radius/ulna | 7.77 | NA | NA | 8.73 | 8.18 | 0.80 | NA | NA | 17.30 | 16.75 | 090 | |
| 25620 | A | Treat fracture radius/ulna | 8.55 | NA | NA | 8.32 | 8.18 | 0.88 | NA | NA | 17.75 | 17.61 | 090 | |
| 25622 | A | Treat wrist bone fracture | 2.61 | 4.01 | 3.63 | 2.44 | 2.45 | 0.27 | 6.89 | 6.51 | 5.32 | 5.33 | 090 | |
| 25624 | A | Treat wrist bone fracture | 4.53 | 6.71 | 6.03 | 4.70 | 4.52 | 0.47 | 11.71 | 11.03 | 9.70 | 9.52 | 090 | |
| 25628 | A | Treat wrist bone fracture | 8.43 | NA | NA | 8.42 | 8.25 | 0.89 | NA | NA | 17.74 | 17.57 | 090 | |
| 25630 | A | Treat wrist bone fracture | 2.88 | 4.17 | 3.72 | 2.44 | 2.43 | 0.29 | 7.34 | 6.89 | 5.61 | 5.60 | 090 | |
| 25635 | A | Treat wrist bone fracture | 4.39 | 6.59 | 5.86 | 4.42 | 4.23 | 0.45 | 11.43 | 10.70 | 9.26 | 9.07 | 090 | |
| 25645 | A | Treat wrist bone fracture | 7.25 | NA | NA | 7.67 | 7.57 | 0.75 | NA | NA | 15.67 | 15.57 | 090 | |
| 25650 | A | Treat wrist bone fracture | 3.05 | 4.16 | 3.84 | 2.59 | 2.67 | 0.31 | 7.52 | 7.20 | 5.95 | 6.03 | 090 | |
| 25660 | A | Treat wrist dislocation | 4.76 | NA | NA | 4.48 | 3.86 | 0.48 | NA | NA | 9.72 | 9.10 | 090 | |
| 25670 | A | Treat wrist dislocation | 7.92 | NA | NA | 8.33 | 8.17 | 0.82 | NA | NA | 17.07 | 16.91 | 090 | |
| 25675 | A | Treat wrist dislocation | 4.67 | 6.25 | 5.31 | 4.56 | 4.04 | 0.47 | 11.39 | 10.45 | 9.70 | 9.18 | 090 | |
| 25676 | A | Treat wrist dislocation | 8.04 | NA | NA | 8.36 | 8.26 | 0.81 | NA | NA | 17.21 | 17.11 | 090 | |
| 25680 | A | Treat wrist fracture | 5.99 | NA | NA | 5.67 | 4.92 | 0.53 | NA | NA | 12.19 | 11.44 | 090 | |
| 25685 | A | Treat wrist fracture | 9.78 | NA | NA | 9.16 | 9.26 | 0.98 | NA | NA | 19.92 | 20.02 | 090 | |
| 25690 | A | Treat wrist dislocation | 5.50 | NA | NA | 6.22 | 5.99 | 0.56 | NA | NA | 12.28 | 12.05 | 090 | |
| 25695 | A | Treat wrist dislocation | 8.34 | NA | NA | 8.42 | 8.23 | 0.87 | NA | NA | 17.63 | 17.44 | 090 | |
| 25800 | A | Fusion of wrist joint | 9.76 | NA | NA | 9.55 | 10.08 | 0.01 | NA | NA | 19.32 | 19.85 | 090 | |
| 25805 | A | Fusion/graft of wrist joint | 11.28 | NA | NA | 10.41 | 11.18 | 1.17 | NA | NA | 22.86 | 23.63 | 090 | |
| 25810 | A | Fusion/graft of wrist joint | 10.57 | NA | NA | 9.98 | 10.64 | 1.08 | NA | NA | 21.63 | 22.29 | 090 | |
| 25820 | A | Fusion of hand bones | 7.45 | NA | NA | 8.42 | 8.54 | 0.74 | NA | NA | 16.61 | 16.73 | 090 | |
| 25825 | A | Fuse hand bones with graft | 9.27 | NA | NA | 9.25 | 9.71 | 0.95 | NA | NA | 19.47 | 19.93 | 090 | |
| 25830 | A | Fusion, radioulnar jnt/ulna | 10.06 | NA | NA | 14.63 | 13.31 | 1.03 | NA | NA | 25.72 | 24.40 | 090 | |
| 25900 | A | Amputation of forearm | 9.01 | NA | NA | 12.78 | 11.51 | 0.95 | NA | NA | 22.74 | 21.47 | 090 | |
| 25905 | A | Amputation of forearm | 9.12 | NA | NA | 14.20 | 12.58 | 0.95 | NA | NA | 24.27 | 22.65 | 090 | |
| 25907 | A | Amputation follow-up surgery | 7.80 | NA | NA | 14.07 | 12.11 | 0.82 | NA | NA | 22.69 | 20.73 | 090 | |
| 25909 | A | Amputation follow-up surgery | 8.96 | NA | NA | 13.79 | 11.85 | 0.96 | NA | NA | 23.71 | 21.77 | 090 | |
| 25915 | A | Amputation of forearm | 17.08 | NA | NA | 14.03 | 14.82 | 1.83 | NA | NA | 32.94 | 33.73 | 090 | |
| 25920 | A | Amputate hand at wrist | 8.68 | NA | NA | 8.72 | 8.44 | 0.92 | NA | NA | 18.32 | 18.04 | 090 | |
| 25922 | A | Amputate hand at wrist | 7.42 | NA | NA | 8.81 | 8.11 | 0.77 | NA | NA | 17.00 | 16.30 | 090 | |
| 25924 | A | Amputation follow-up surgery | 8.46 | NA | NA | 9.23 | 8.96 | 0.61 | NA | NA | 18.30 | 18.03 | 090 | |
| 25927 | A | Amputation of hand | 8.80 | NA | NA | 12.32 | 10.95 | 0.93 | NA | NA | 22.05 | 20.68 | 090 | |
| 25929 | A | Amputation follow-up surgery | 7.59 | NA | NA | 7.83 | 7.16 | 0.76 | NA | NA | 16.18 | 15.51 | 090 | |
| 25931 | A | Amputation follow-up surgery | 7.81 | NA | NA | 13.10 | 11.06 | 0.79 | NA | NA | 21.70 | 19.66 | 090 | |
| 25999 | C | Forearm or wrist surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26010 | A | Drainage of finger abscess | 1.54 | 4.47 | 3.48 | 3.06 | 2.43 | 0.12 | 6.13 | 5.14 | 4.72 | 4.09 | 010 | |
| 26011 | A | Drainage of finger abscess | 2.19 | 6.18 | 5.05 | 5.27 | 4.37 | 0.22 | 8.59 | 7.46 | 7.68 | 6.78 | 010 | |
| 26020 | A | Drain hand tendon sheath | 4.67 | NA | NA | 10.75 | 9.07 | 0.49 | NA | NA | 15.91 | 14.23 | 090 | |
| 26025 | A | Drainage of palm bursa | 4.82 | NA | NA | 10.69 | 9.24 | 0.50 | NA | NA | 16.01 | 14.56 | 090 | |
| 26030 | A | Drainage of palm bursa(s) | 5.93 | NA | NA | 11.55 | 10.22 | 0.62 | NA | NA | 18.10 | 16.77 | 090 | |
| 26034 | A | Treat hand bone lesion | 6.23 | NA | NA | 12.79 | 10.74 | 0.64 | NA | NA | 19.66 | 17.61 | 090 | |
| 26035 | A | Decompress fingers/hand | 9.51 | NA | NA | 14.74 | 12.46 | 0.97 | NA | NA | 25.22 | 22.94 | 090 | |
| 26037 | A | Decompress fingers/hand | 7.25 | NA | NA | 11.30 | 10.20 | 0.75 | NA | NA | 19.30 | 18.20 | 090 | |
| 26040 | A | Release palm contracture | 3.33 | NA | NA | 10.46 | 8.62 | 0.34 | NA | NA | 14.13 | 12.29 | 090 | |
| 26045 | A | Release palm contracture | 5.56 | NA | NA | 11.77 | 10.14 | 0.57 | NA | NA | 17.90 | 16.27 | 090 | |
| 26055 | A | Incise finger tendon sheath | 2.69 | 6.79 | 5.98 | 6.46 | 5.74 | 0.28 | 9.76 | 8.95 | 9.43 | 8.71 | 090 | |
| 26060 | A | Incision of finger tendon | 2.81 | NA | NA | 6.76 | 5.38 | 0.30 | NA | NA | 9.87 | 8.49 | 090 | |
| 26070 | A | Explore/treat hand joint | 3.69 | NA | NA | 9.24 | 7.68 | 0.32 | NA | NA | 13.25 | 11.69 | 090 | |
| 26075 | A | Explore/treat finger joint | 3.79 | NA | NA | 10.07 | 8.58 | 0.35 | NA | NA | 14.21 | 12.72 | 090 | |
| 26080 | A | Explore/treat finger joint | 4.24 | NA | NA | 10.91 | 9.04 | 0.43 | NA | NA | 15.58 | 13.71 | 090 | |
| 26100 | A | Biopsy hand joint lining | 3.67 | NA | NA | 7.50 | 6.44 | 0.36 | NA | NA | 11.53 | 10.47 | 090 | |
| 26105 | A | Biopsy finger joint lining | 3.71 | NA | NA | 10.99 | 9.38 | 0.38 | NA | NA | 15.08 | 13.47 | 090 | |
| 26110 | A | Biopsy finger joint lining | 3.53 | NA | NA | 10.26 | 8.49 | 0.36 | NA | NA | 14.15 | 12.38 | 090 | |
| 26115 | A | Removal of hand lesion | 3.86 | 6.64 | 5.53 | 6.64 | 5.53 | 0.39 | 10.89 | 9.78 | 10.89 | 9.78 | 090 | |
| 26116 | A | Removal of hand lesion | 5.53 | NA | NA | 11.69 | 9.78 | 0.57 | NA | NA | 17.79 | 15.88 | 090 | |
| 26117 | A | Remove tumor, hand/finger | 8.55 | NA | NA | 13.40 | 11.43 | 0.88 | NA | NA | 22.83 | 20.86 | 090 | |
| 26121 | A | Release palm contracture | 7.54 | NA | NA | 13.48 | 12.36 | 0.78 | NA | NA | 21.80 | 20.68 | 090 | |
| 26123 | A | Release palm contracture | 9.29 | NA | NA | 14.43 | 13.29 | 0.97 | NA | NA | 24.69 | 23.55 | 090 | |
| 26125 | A | Release palm contracture | 4.61 | NA | NA | 2.51 | 2.59 | 0.49 | NA | NA | 7.61 | 7.69 | ZZZ | |
| 26130 | A | Remove wrist joint lining | 5.42 | NA | NA | 13.13 | 11.21 | 0.56 | NA | NA | 19.11 | 17.19 | 090 | |
| 26135 | A | Revise finger joint, each | 6.96 | NA | NA | 14.52 | 12.21 | 0.73 | NA | NA | 22.21 | 19.90 | 090 | |
| 26140 | A | Revise finger joint, each | 6.17 | NA | NA | 13.67 | 11.45 | 0.64 | NA | NA | 20.48 | 18.26 | 090 | |
| 26145 | A | Tendon excision, palm/finger | 6.32 | NA | NA | 13.99 | 11.77 | 0.66 | NA | NA | 20.97 | 18.75 | 090 | |
| 26160 | A | Remove tendon sheath lesion | 3.15 | 6.63 | 5.60 | 6.63 | 5.60 | 0.32 | 10.10 | 9.07 | 10.10 | 9.07 | 090 | |
| 26170 | A | Removal of palm tendon, each | 4.77 | NA | NA | 7.54 | 6.42 | 0.53 | NA | NA | 12.84 | 11.72 | 090 | |
| 26180 | A | Removal of finger tendon | 5.18 | NA | NA | 7.99 | 7.08 | 0.55 | NA | NA | 13.72 | 12.81 | 090 | |
| 26185 | A | Remove finger bone | 5.25 | NA | NA | 7.57 | 6.83 | 0.54 | NA | NA | 13.36 | 12.62 | 090 | |
| 26200 | A | Remove hand bone lesion | 5.51 | NA | NA | 11.89 | 10.13 | 0.56 | NA | NA | 17.96 | 16.20 | 090 | |
| 26205 | A | Remove/graft bone lesion | 7.70 | NA | NA | 12.85 | 11.38 | 0.81 | NA | NA | 21.36 | 19.89 | 090 | |
| 26210 | A | Removal of finger lesion | 5.15 | NA | NA | 12.13 | 10.16 | 0.53 | NA | NA | 17.81 | 15.84 | 090 | |
| 26215 | A | Remove/graft finger lesion | 7.10 | NA | NA | 12.28 | 10.72 | 0.66 | NA | NA | 20.04 | 18.48 | 090 | |
| 26230 | A | Partial removal of hand bone | 6.33 | NA | NA | 11.46 | 9.75 | 0.66 | NA | NA | 18.45 | 16.74 | 090 | |
| 26235 | A | Partial removal, finger bone | 6.19 | NA | NA | 10.63 | 9.11 | 0.65 | NA | NA | 17.47 | 15.95 | 090 | |
| 26236 | A | Partial removal, finger bone | 5.32 | NA | NA | 10.62 | 9.01 | 0.55 | NA | NA | 16.49 | 14.88 | 090 | |
| 26250 | A | Extensive hand surgery | 7.55 | NA | NA | 15.21 | 13.04 | 0.75 | NA | NA | 23.51 | 21.34 | 090 | |
| 26255 | A | Extensive hand surgery | 12.43 | NA | NA | 17.34 | 15.43 | 1.19 | NA | NA | 30.96 | 29.05 | 090 | |
| 26260 | A | Extensive finger surgery | 7.03 | NA | NA | 13.81 | 11.91 | 0.72 | NA | NA | 21.56 | 19.66 | 090 | |
| 26261 | A | Extensive finger surgery | 9.09 | NA | NA | 16.65 | 14.58 | 0.66 | NA | NA | 26.40 | 24.33 | 090 | |
| 26262 | A | Partial removal of finger | 5.67 | NA | NA | 12.62 | 10.75 | 0.59 | NA | NA | 18.88 | 17.01 | 090 | |
| 26320 | A | Removal of implant from hand | 3.98 | NA | NA | 11.03 | 9.23 | 0.41 | NA | NA | 15.42 | 13.62 | 090 | |
| 26350 | A | Repair finger/hand tendon | 5.99 | NA | NA | 17.09 | 14.38 | 0.62 | NA | NA | 23.70 | 20.99 | 090 | |
| 26352 | A | Repair/graft hand tendon | 7.68 | NA | NA | 18.11 | 15.37 | 0.80 | NA | NA | 26.59 | 23.85 | 090 | |
| 26356 | A | Repair finger/hand tendon | 8.07 | NA | NA | 18.25 | 15.64 | 0.85 | NA | NA | 27.17 | 24.56 | 090 | |
| 26357 | A | Repair finger/hand tendon | 8.58 | NA | NA | 18.19 | 15.43 | 0.89 | NA | NA | 27.66 | 24.90 | 090 | |
| 26358 | A | Repair/graft hand tendon | 9.14 | NA | NA | 18.03 | 15.53 | 0.95 | NA | NA | 28.12 | 25.62 | 090 | |
| 26370 | A | Repair finger/hand tendon | 7.11 | NA | NA | 17.56 | 14.99 | 0.74 | NA | NA | 25.41 | 22.84 | 090 | |
| 26372 | A | Repair/graft hand tendon | 8.76 | NA | NA | 18.63 | 15.71 | 0.90 | NA | NA | 28.29 | 25.37 | 090 | |
| 26373 | A | Repair finger/hand tendon | 8.16 | NA | NA | 17.00 | 14.61 | 0.84 | NA | NA | 26.00 | 23.61 | 090 | |
| 26390 | A | Revise hand/finger tendon | 9.19 | NA | NA | 14.62 | 13.12 | 0.95 | NA | NA | 24.76 | 23.26 | 090 | |
| 26392 | A | Repair/graft hand tendon | 10.26 | NA | NA | 19.52 | 16.98 | 1.07 | NA | NA | 30.85 | 28.31 | 090 | |
| 26410 | A | Repair hand tendon | 4.63 | NA | NA | 13.51 | 11.03 | 0.48 | NA | NA | 18.62 | 16.14 | 090 | |
| 26412 | A | Repair/graft hand tendon | 6.31 | NA | NA | 15.08 | 12.94 | 0.66 | NA | NA | 22.05 | 19.91 | 090 | |
| 26415 | A | Excision, hand/finger tendon | 8.34 | NA | NA | 13.72 | 12.12 | 0.74 | NA | NA | 22.80 | 21.20 | 090 | |
| 26416 | A | Graft hand or finger tendon | 9.37 | NA | NA | 16.12 | 14.44 | 0.96 | NA | NA | 26.45 | 24.77 | 090 | |
| 26418 | A | Repair finger tendon | 4.25 | NA | NA | 13.70 | 11.25 | 0.44 | NA | NA | 18.39 | 15.94 | 090 | |
| 26420 | A | Repair/graft finger tendon | 6.77 | NA | NA | 15.04 | 12.82 | 0.70 | NA | NA | 22.51 | 20.29 | 090 | |
| 26426 | A | Repair finger/hand tendon | 6.15 | NA | NA | 14.32 | 12.45 | 0.64 | NA | NA | 21.11 | 19.24 | 090 | |
| 26428 | A | Repair/graft finger tendon | 7.21 | NA | NA | 16.32 | 13.73 | 0.74 | NA | NA | 24.27 | 21.68 | 090 | |
| 26432 | A | Repair finger tendon | 4.02 | NA | NA | 11.21 | 9.26 | 0.42 | NA | NA | 15.65 | 13.70 | 090 | |
| 26433 | A | Repair finger tendon | 4.56 | NA | NA | 12.10 | 10.15 | 0.48 | NA | NA | 17.14 | 15.19 | 090 | |
| 26434 | A | Repair/graft finger tendon | 6.09 | NA | NA | 12.26 | 10.54 | 0.61 | NA | NA | 18.96 | 17.24 | 090 | |
| 26437 | A | Realignment of tendons | 5.82 | NA | NA | 12.08 | 10.16 | 0.61 | NA | NA | 18.51 | 16.59 | 090 | |
| 26440 | A | Release palm/finger tendon | 5.02 | NA | NA | 15.82 | 12.83 | 0.53 | NA | NA | 21.37 | 18.38 | 090 | |
| 26442 | A | Release palm finger tendon | 8.16 | NA | NA | 17.40 | 13.97 | 0.85 | NA | NA | 26.41 | 22.98 | 090 | |
| 26445 | A | Release hand/finger tendon | 4.31 | NA | NA | 15.64 | 12.61 | 0.45 | NA | NA | 20.40 | 17.37 | 090 | |
| 26449 | A | Release forearm/hand tendon | 0.07 | NA | NA | 16.13 | 13.61 | 0.74 | NA | NA | 16.94 | 14.42 | 090 | |
| 26450 | A | Incision of palm tendon | 3.67 | NA | NA | 7.21 | 6.03 | 0.38 | NA | NA | 11.26 | 10.08 | 090 | |
| 26455 | A | Incision of finger tendon | 3.64 | NA | NA | 7.16 | 5.88 | 0.38 | NA | NA | 11.18 | 9.90 | 090 | |
| 26460 | A | Incise hand/finger tendon | 3.46 | NA | NA | 6.78 | 5.55 | 0.36 | NA | NA | 10.60 | 9.37 | 090 | |
| 26471 | A | Fusion of finger tendons | 5.73 | NA | NA | 11.56 | 9.80 | 0.59 | NA | NA | 17.88 | 16.12 | 090 | |
| 26474 | A | Fusion of finger tendons | 5.32 | NA | NA | 12.03 | 10.27 | 0.55 | NA | NA | 17.90 | 16.14 | 090 | |
| 26476 | A | Tendon lengthening | 5.18 | NA | NA | 11.86 | 9.68 | 0.52 | NA | NA | 17.56 | 15.38 | 090 | |
| 26477 | A | Tendon shortening | 5.15 | NA | NA | 11.88 | 9.99 | 0.53 | NA | NA | 17.56 | 15.67 | 090 | |
| 26478 | A | Lengthening of hand tendon | 5.80 | NA | NA | 12.34 | 10.42 | 0.60 | NA | NA | 18.74 | 16.82 | 090 | |
| 26479 | A | Shortening of hand tendon | 5.74 | NA | NA | 12.60 | 10.89 | 0.60 | NA | NA | 18.94 | 17.23 | 090 | |
| 26480 | A | Transplant hand tendon | 6.69 | NA | NA | 16.32 | 14.01 | 0.70 | NA | NA | 23.71 | 21.40 | 090 | |
| 26483 | A | Transplant/graft hand tendon | 8.29 | NA | NA | 17.42 | 15.37 | 0.86 | NA | NA | 26.57 | 24.52 | 090 | |
| 26485 | A | Transplant palm tendon | 7.70 | NA | NA | 17.18 | 14.65 | 0.79 | NA | NA | 25.67 | 23.14 | 090 | |
| 26489 | A | Transplant/graft palm tendon | 9.55 | NA | NA | 13.84 | 11.30 | 0.86 | NA | NA | 24.25 | 21.71 | 090 | |
| 26490 | A | Revise thumb tendon | 8.41 | NA | NA | 13.39 | 12.16 | 0.88 | NA | NA | 22.68 | 21.45 | 090 | |
| 26492 | A | Tendon transfer with graft | 9.62 | NA | NA | 13.93 | 12.82 | 0.95 | NA | NA | 24.50 | 23.39 | 090 | |
| 26494 | A | Hand tendon/muscle transfer | 8.47 | NA | NA | 14.18 | 12.61 | 0.90 | NA | NA | 23.55 | 21.98 | 090 | |
| 26496 | A | Revise thumb tendon | 9.59 | NA | NA | 13.44 | 12.45 | 0.01 | NA | NA | 23.04 | 22.05 | 090 | |
| 26497 | A | Finger tendon transfer | 9.57 | NA | NA | 13.77 | 12.50 | 0.96 | NA | NA | 24.30 | 23.03 | 090 | |
| 26498 | A | Finger tendon transfer | 0.14 | NA | NA | 16.18 | 15.33 | 1.45 | NA | NA | 17.77 | 16.92 | 090 | |
| 26499 | A | Revision of finger | 8.98 | NA | NA | 15.42 | 13.67 | 0.81 | NA | NA | 25.21 | 23.46 | 090 | |
| 26500 | A | Hand tendon reconstruction | 5.96 | NA | NA | 12.82 | 10.56 | 0.62 | NA | NA | 19.40 | 17.14 | 090 | |
| 26502 | A | Hand tendon reconstruction | 7.14 | NA | NA | 12.04 | 10.46 | 0.71 | NA | NA | 19.89 | 18.31 | 090 | |
| 26504 | A | Hand tendon reconstruction | 7.47 | NA | NA | 11.60 | 10.52 | 0.74 | NA | NA | 19.81 | 18.73 | 090 | |
| 26508 | A | Release thumb contracture | 6.01 | NA | NA | 12.28 | 10.34 | 0.62 | NA | NA | 18.91 | 16.97 | 090 | |
| 26510 | A | Thumb tendon transfer | 5.43 | NA | NA | 11.54 | 9.78 | 0.56 | NA | NA | 17.53 | 15.77 | 090 | |
| 26516 | A | Fusion of knuckle joint | 7.15 | NA | NA | 12.67 | 10.63 | 0.74 | NA | NA | 20.56 | 18.52 | 090 | |
| 26517 | A | Fusion of knuckle joints | 8.83 | NA | NA | 14.66 | 12.91 | 0.90 | NA | NA | 24.39 | 22.64 | 090 | |
| 26518 | A | Fusion of knuckle joints | 9.02 | NA | NA | 14.10 | 12.34 | 0.94 | NA | NA | 24.06 | 22.30 | 090 | |
| 26520 | A | Release knuckle contracture | 5.30 | NA | NA | 15.82 | 13.08 | 0.55 | NA | NA | 21.67 | 18.93 | 090 | |
| 26525 | A | Release finger contracture | 5.33 | NA | NA | 15.99 | 12.98 | 0.55 | NA | NA | 21.87 | 18.86 | 090 | |
| 26530 | A | Revise knuckle joint | 6.69 | NA | NA | 16.00 | 13.40 | 0.68 | NA | NA | 23.37 | 20.77 | 090 | |
| 26531 | A | Revise knuckle with implant | 7.91 | NA | NA | 16.42 | 14.12 | 0.82 | NA | NA | 25.15 | 22.85 | 090 | |
| 26535 | A | Revise finger joint | 5.24 | NA | NA | 8.96 | 8.03 | 0.39 | NA | NA | 14.59 | 13.66 | 090 | |
| 26536 | A | Revise/implant finger joint | 6.37 | NA | NA | 14.44 | 12.73 | 0.64 | NA | NA | 21.45 | 19.74 | 090 | |
| 26540 | A | Repair hand joint | 6.43 | NA | NA | 12.69 | 11.32 | 0.67 | NA | NA | 19.79 | 18.42 | 090 | |
| 26541 | A | Repair hand joint with graft | 8.62 | NA | NA | 13.84 | 12.81 | 0.88 | NA | NA | 23.34 | 22.31 | 090 | |
| 26542 | A | Repair hand joint with graft | 6.78 | NA | NA | 12.19 | 10.68 | 0.71 | NA | NA | 19.68 | 18.17 | 090 | |
| 26545 | A | Reconstruct finger joint | 6.92 | NA | NA | 13.16 | 11.30 | 0.73 | NA | NA | 20.81 | 18.95 | 090 | |
| 26546 | A | Repair nonunion hand | 8.92 | NA | NA | 13.85 | 12.59 | 0.93 | NA | NA | 23.70 | 22.44 | 090 | |
| 26548 | A | Reconstruct finger joint | 8.03 | NA | NA | 14.07 | 12.12 | 0.84 | NA | NA | 22.94 | 20.99 | 090 | |
| 26550 | A | Construct thumb replacement | 21.24 | NA | NA | 16.51 | 17.76 | 2.24 | NA | NA | 39.99 | 41.24 | 090 | |
| 26551 | A | Great toe-hand transfer | 46.58 | NA | NA | 29.27 | 33.42 | 4.99 | NA | NA | 80.84 | 84.99 | 090 | |
| 26553 | A | Single transfer, toe-hand | 46.27 | NA | NA | 27.76 | 32.21 | 4.95 | NA | NA | 78.98 | 83.43 | 090 | |
| 26554 | A | Double transfer, toe-hand | 54.95 | NA | NA | 31.20 | 36.98 | 5.74 | NA | NA | 91.89 | 97.67 | 090 | |
| 26555 | A | Positional change of finger | 16.63 | NA | NA | 18.52 | 18.07 | 1.73 | NA | NA | 36.88 | 36.43 | 090 | |
| 26556 | A | Toe joint transfer | 47.26 | NA | NA | 31.42 | 35.14 | 5.06 | NA | NA | 83.74 | 87.46 | 090 | |
| 26560 | A | Repair of web finger | 5.38 | NA | NA | 10.33 | 9.01 | 0.53 | NA | NA | 16.24 | 14.92 | 090 | |
| 26561 | A | Repair of web finger | 10.92 | NA | NA | 16.52 | 14.80 | 1.13 | NA | NA | 28.57 | 26.85 | 090 | |
| 26562 | A | Repair of web finger | 9.68 | NA | NA | 14.66 | 13.89 | 1.02 | NA | NA | 25.36 | 24.59 | 090 | |
| 26565 | A | Correct metacarpal flaw | 6.74 | NA | NA | 12.83 | 11.20 | 0.70 | NA | NA | 20.27 | 18.64 | 090 | |
| 26567 | A | Correct finger deformity | 6.82 | NA | NA | 12.46 | 10.51 | 0.71 | NA | NA | 19.99 | 18.04 | 090 | |
| 26568 | A | Lengthen metacarpal/finger | 9.08 | NA | NA | 18.19 | 15.94 | 0.91 | NA | NA | 28.18 | 25.93 | 090 | |
| 26580 | A | Repair hand deformity | 18.18 | NA | NA | 14.46 | 15.43 | 1.51 | NA | NA | 34.15 | 35.12 | 090 | |
| 26585 | A | Repair finger deformity | 14.05 | NA | NA | 11.55 | 12.18 | 0.84 | NA | NA | 26.44 | 27.07 | 090 | |
| 26587 | C | Reconstruct extra finger | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 26590 | A | Repair finger deformity | 17.96 | NA | NA | 16.48 | 16.87 | 1.79 | NA | NA | 36.23 | 36.62 | 090 | |
| 26591 | A | Repair muscles of hand | 3.25 | NA | NA | 11.27 | 9.08 | 0.34 | NA | NA | 14.86 | 12.67 | 090 | |
| 26593 | A | Release muscles of hand | 5.31 | NA | NA | 11.47 | 9.72 | 0.55 | NA | NA | 17.33 | 15.58 | 090 | |
| 26596 | A | Excision constricting tissue | 8.95 | NA | NA | 8.35 | 8.50 | 0.87 | NA | NA | 18.17 | 18.32 | 090 | |
| 26597 | A | Release of scar contracture | 9.82 | NA | NA | 14.98 | 13.41 | 1.03 | NA | NA | 25.83 | 24.26 | 090 | |
| 26600 | A | Treat metacarpal fracture | 1.96 | 3.68 | 3.18 | 2.21 | 2.08 | 0.20 | 5.84 | 5.34 | 4.37 | 4.24 | 090 | |
| 26605 | A | Treat metacarpal fracture | 2.85 | 5.36 | 4.64 | 3.79 | 3.47 | 0.30 | 8.51 | 7.79 | 6.94 | 6.62 | 090 | |
| 26607 | A | Treat metacarpal fracture | 5.36 | NA | NA | 7.43 | 6.54 | 0.55 | NA | NA | 13.34 | 12.45 | 090 | |
| 26608 | A | Treat metacarpal fracture | 5.36 | NA | NA | 7.18 | 6.35 | 0.56 | NA | NA | 13.10 | 12.27 | 090 | |
| 26615 | A | Treat metacarpal fracture | 5.33 | NA | NA | 7.02 | 6.59 | 0.55 | NA | NA | 12.90 | 12.47 | 090 | |
| 26641 | A | Treat thumb dislocation | 3.94 | 5.64 | 4.53 | 3.69 | 3.07 | 0.37 | 9.95 | 8.84 | 8.00 | 7.38 | 090 | |
| 26645 | A | Treat thumb fracture | 4.41 | 6.57 | 5.53 | 4.65 | 4.09 | 0.42 | 11.40 | 10.36 | 9.48 | 8.92 | 090 | |
| 26650 | A | Treat thumb fracture | 5.72 | NA | NA | 7.55 | 6.75 | 0.59 | NA | NA | 13.86 | 13.06 | 090 | |
| 26665 | A | Treat thumb fracture | 7.60 | NA | NA | 8.22 | 7.90 | 0.78 | NA | NA | 16.60 | 16.28 | 090 | |
| 26670 | A | Treat hand dislocation | 3.69 | 5.54 | 4.42 | 3.48 | 2.87 | 0.35 | 9.58 | 8.46 | 7.52 | 6.91 | 090 | |
| 26675 | A | Treat hand dislocation | 4.64 | 5.97 | 5.66 | 3.59 | 3.87 | 0.47 | 11.08 | 10.77 | 8.70 | 8.98 | 090 | |
| 26676 | A | Pin hand dislocation | 5.52 | NA | NA | 7.52 | 6.96 | 0.57 | NA | NA | 13.61 | 13.05 | 090 | |
| 26685 | A | Treat hand dislocation | 6.98 | NA | NA | 7.78 | 7.40 | 0.72 | NA | NA | 15.48 | 15.10 | 090 | |
| 26686 | A | Treat hand dislocation | 7.94 | NA | NA | 8.12 | 7.80 | 0.81 | NA | NA | 16.87 | 16.55 | 090 | |
| 26700 | A | Treat knuckle dislocation | 3.69 | 4.18 | 3.38 | 2.20 | 1.89 | 0.35 | 8.22 | 7.42 | 6.24 | 5.93 | 090 | |
| 26705 | A | Treat knuckle dislocation | 4.19 | 5.45 | 4.57 | 3.80 | 3.33 | 0.41 | 10.05 | 9.17 | 8.40 | 7.93 | 090 | |
| 26706 | A | Pin knuckle dislocation | 5.12 | NA | NA | 5.20 | 5.17 | 0.53 | NA | NA | 10.85 | 10.82 | 090 | |
| 26715 | A | Treat knuckle dislocation | 5.74 | NA | NA | 7.09 | 6.44 | 0.60 | NA | NA | 13.43 | 12.78 | 090 | |
| 26720 | A | Treat finger fracture, each | 1.66 | 2.57 | 2.23 | 1.30 | 1.27 | 0.16 | 4.39 | 4.05 | 3.12 | 3.09 | 090 | |
| 26725 | A | Treat finger fracture, each | 3.33 | 4.49 | 3.79 | 2.76 | 2.49 | 0.34 | 8.16 | 7.46 | 6.43 | 6.16 | 090 | |
| 26727 | A | Treat finger fracture, each | 5.23 | NA | NA | 7.52 | 6.31 | 0.54 | NA | NA | 13.29 | 12.08 | 090 | |
| 26735 | A | Treat finger fracture, each | 5.98 | NA | NA | 7.45 | 6.60 | 0.61 | NA | NA | 14.04 | 13.19 | 090 | |
| 26740 | A | Treat finger fracture, each | 1.94 | 3.17 | 2.69 | 2.13 | 1.91 | 0.19 | 5.30 | 4.82 | 4.26 | 4.04 | 090 | |
| 26742 | A | Treat finger fracture, each | 3.85 | 6.32 | 5.28 | 4.54 | 3.94 | 0.39 | 10.56 | 9.52 | 8.78 | 8.18 | 090 | |
| 26746 | A | Treat finger fracture, each | 5.81 | NA | NA | 7.49 | 6.91 | 0.61 | NA | NA | 13.91 | 13.33 | 090 | |
| 26750 | A | Treat finger fracture, each | 1.70 | 2.98 | 2.46 | 1.73 | 1.52 | 0.16 | 4.84 | 4.32 | 3.59 | 3.38 | 090 | |
| 26755 | A | Treat finger fracture, each | 3.10 | 4.25 | 3.48 | 2.50 | 2.17 | 0.31 | 7.66 | 6.89 | 5.91 | 5.58 | 090 | |
| 26756 | A | Pin finger fracture, each | 4.39 | NA | NA | 7.24 | 5.95 | 0.46 | NA | NA | 12.09 | 10.80 | 090 | |
| 26765 | A | Treat finger fracture, each | 4.17 | NA | NA | 6.45 | 5.56 | 0.43 | NA | NA | 11.05 | 10.16 | 090 | |
| 26770 | A | Treat finger dislocation | 3.02 | 4.07 | 3.26 | 1.96 | 1.68 | 0.29 | 7.38 | 6.57 | 5.27 | 4.99 | 090 | |
| 26775 | A | Treat finger dislocation | 3.71 | 5.31 | 4.29 | 3.22 | 2.72 | 0.37 | 9.39 | 8.37 | 7.30 | 6.80 | 090 | |
| 26776 | A | Pin finger dislocation | 4.80 | NA | NA | 7.35 | 6.08 | 0.51 | NA | NA | 12.66 | 11.39 | 090 | |
| 26785 | A | Treat finger dislocation | 4.21 | NA | NA | 6.37 | 5.58 | 0.44 | NA | NA | 11.02 | 10.23 | 090 | |
| 26820 | A | Thumb fusion with graft | 8.26 | NA | NA | 13.49 | 11.92 | 0.86 | NA | NA | 22.61 | 21.04 | 090 | |
| 26841 | A | Fusion of thumb | 7.13 | NA | NA | 12.94 | 11.38 | 0.74 | NA | NA | 20.81 | 19.25 | 090 | |
| 26842 | A | Thumb fusion with graft | 8.24 | NA | NA | 13.80 | 12.68 | 0.85 | NA | NA | 22.89 | 21.77 | 090 | |
| 26843 | A | Fusion of hand joint | 7.61 | NA | NA | 12.96 | 11.45 | 0.76 | NA | NA | 21.33 | 19.82 | 090 | |
| 26844 | A | Fusion/graft of hand joint | 8.73 | NA | NA | 13.60 | 12.20 | 0.88 | NA | NA | 23.21 | 21.81 | 090 | |
| 26850 | A | Fusion of knuckle | 6.97 | NA | NA | 12.42 | 10.57 | 0.73 | NA | NA | 20.12 | 18.27 | 090 | |
| 26852 | A | Fusion of knuckle with graft | 8.46 | NA | NA | 13.34 | 11.56 | 0.88 | NA | NA | 22.68 | 20.90 | 090 | |
| 26860 | A | Fusion of finger joint | 4.69 | NA | NA | 11.32 | 9.66 | 0.49 | NA | NA | 16.50 | 14.84 | 090 | |
| 26861 | A | Fusion of finger jnt, add-on | 1.74 | NA | NA | 0.95 | 1.23 | 0.18 | NA | NA | 2.87 | 3.15 | ZZZ | |
| 26862 | A | Fusion/graft of finger joint | 7.37 | NA | NA | 12.64 | 10.88 | 0.76 | NA | NA | 20.77 | 19.01 | 090 | |
| 26863 | A | Fuse/graft added joint | 3.90 | NA | NA | 2.14 | 2.52 | 0.40 | NA | NA | 6.44 | 6.82 | ZZZ | |
| 26910 | A | Amputate metacarpal bone | 7.60 | NA | NA | 12.61 | 10.86 | 0.79 | NA | NA | 21.00 | 19.25 | 090 | |
| 26951 | A | Amputation of finger/thumb | 4.59 | NA | NA | 11.14 | 9.13 | 0.48 | NA | NA | 16.21 | 14.20 | 090 | |
| 26952 | A | Amputation of finger/thumb | 6.31 | NA | NA | 12.54 | 10.49 | 0.66 | NA | NA | 19.51 | 17.46 | 090 | |
| 26989 | C | Hand/finger surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26990 | A | Drainage of pelvis lesion | 7.48 | NA | NA | 13.74 | 11.15 | 0.73 | NA | NA | 21.95 | 19.36 | 090 | |
| 26991 | A | Drainage of pelvis bursa | 6.68 | 10.94 | 8.70 | 8.25 | 6.68 | 0.65 | 18.27 | 16.03 | 15.58 | 14.01 | 090 | |
| 26992 | A | Drainage of bone lesion | 13.02 | NA | NA | 17.03 | 14.50 | 1.36 | NA | NA | 31.41 | 28.88 | 090 | |
| 27000 | A | Incision of hip tendon | 5.62 | NA | NA | 6.50 | 5.38 | 0.58 | NA | NA | 12.70 | 11.58 | 090 | |
| 27001 | A | Incision of hip tendon | 6.94 | NA | NA | 7.23 | 6.06 | 0.71 | NA | NA | 14.88 | 13.71 | 090 | |
| 27003 | A | Incision of hip tendon | 7.34 | NA | NA | 7.97 | 7.82 | 0.76 | NA | NA | 16.07 | 15.92 | 090 | |
| 27005 | A | Incision of hip tendon | 9.66 | NA | NA | 9.26 | 7.86 | 0.98 | NA | NA | 19.90 | 18.50 | 090 | |
| 27006 | A | Incision of hip tendons | 9.68 | NA | NA | 9.31 | 8.24 | 1.01 | NA | NA | 20.00 | 18.93 | 090 | |
| 27025 | A | Incision of hip/thigh fascia | 11.16 | NA | NA | 9.68 | 8.92 | 1.17 | NA | NA | 22.01 | 21.25 | 090 | |
| 27030 | A | Drainage of hip joint | 13.01 | NA | NA | 11.13 | 11.45 | 1.34 | NA | NA | 25.48 | 25.80 | 090 | |
| 27033 | A | Exploration of hip joint | 13.39 | NA | NA | 11.29 | 11.59 | 1.37 | NA | NA | 26.05 | 26.35 | 090 | |
| 27035 | A | Denervation of hip joint | 16.69 | NA | NA | 15.61 | 14.93 | 1.69 | NA | NA | 33.99 | 33.31 | 090 | |
| 27036 | A | Excision of hip joint/muscle | 12.88 | NA | NA | 12.40 | 12.41 | 1.33 | NA | NA | 26.61 | 26.62 | 090 | |
| 27040 | A | Biopsy of soft tissues | 2.87 | 5.04 | 3.98 | 3.62 | 2.91 | 0.17 | 8.08 | 7.02 | 6.66 | 5.95 | 010 | |
| 27041 | A | Biopsy of soft tissues | 9.89 | NA | NA | 7.86 | 6.62 | 0.84 | NA | NA | 18.59 | 17.35 | 090 | |
| 27047 | A | Remove hip/pelvis lesion | 7.45 | 8.29 | 6.73 | 6.51 | 5.40 | 0.74 | 16.48 | 14.92 | 14.70 | 13.59 | 090 | |
| 27048 | A | Remove hip/pelvis lesion | 6.25 | NA | NA | 7.01 | 6.43 | 0.63 | NA | NA | 13.89 | 13.31 | 090 | |
| 27049 | A | Remove tumor, hip/pelvis | 13.66 | NA | NA | 11.99 | 11.74 | 1.33 | NA | NA | 26.98 | 26.73 | 090 | |
| 27050 | A | Biopsy of sacroiliac joint | 4.36 | NA | NA | 5.89 | 5.72 | 0.44 | NA | NA | 10.69 | 10.52 | 090 | |
| 27052 | A | Biopsy of hip joint | 6.23 | NA | NA | 7.20 | 7.26 | 0.64 | NA | NA | 14.07 | 14.13 | 090 | |
| 27054 | A | Removal of hip joint lining | 8.54 | NA | NA | 9.20 | 9.45 | 0.87 | NA | NA | 18.61 | 18.86 | 090 | |
| 27060 | A | Removal of ischial bursa | 5.43 | NA | NA | 6.58 | 6.00 | 0.55 | NA | NA | 12.56 | 11.98 | 090 | |
| 27062 | A | Remove femur lesion/bursa | 5.37 | NA | NA | 6.38 | 5.93 | 0.55 | NA | NA | 12.30 | 11.85 | 090 | |
| 27065 | A | Removal of hip bone lesion | 5.90 | NA | NA | 7.63 | 7.24 | 0.60 | NA | NA | 14.13 | 13.74 | 090 | |
| 27066 | A | Removal of hip bone lesion | 10.33 | NA | NA | 10.85 | 10.28 | 1.04 | NA | NA | 22.22 | 21.65 | 090 | |
| 27067 | A | Remove/graft hip bone lesion | 13.83 | NA | NA | 12.50 | 12.53 | 1.42 | NA | NA | 27.75 | 27.78 | 090 | |
| 27070 | A | Partial removal of hip bone | 10.72 | NA | NA | 16.03 | 14.03 | 1.10 | NA | NA | 27.85 | 25.85 | 090 | |
| 27071 | A | Partial removal of hip bone | 11.46 | NA | NA | 16.51 | 14.69 | 1.17 | NA | NA | 29.14 | 27.32 | 090 | |
| 27075 | A | Extensive hip surgery | 17.23 | NA | NA | 15.10 | 15.00 | 1.76 | NA | NA | 34.09 | 33.99 | 090 | |
| 27076 | A | Extensive hip surgery | 22.12 | NA | NA | 18.00 | 17.94 | 2.24 | NA | NA | 42.36 | 42.30 | 090 | |
| 27077 | A | Extensive hip surgery | 23.13 | NA | NA | 18.85 | 19.29 | 2.42 | NA | NA | 44.40 | 44.84 | 090 | |
| 27078 | A | Extensive hip surgery | 13.44 | NA | NA | 13.15 | 12.36 | 1.39 | NA | NA | 27.98 | 27.19 | 090 | |
| 27079 | A | Extensive hip surgery | 13.75 | NA | NA | 14.37 | 13.12 | 1.40 | NA | NA | 29.52 | 28.27 | 090 | |
| 27080 | A | Removal of tail bone | 6.39 | NA | NA | 6.58 | 6.23 | 0.67 | NA | NA | 13.64 | 13.29 | 090 | |
| 27086 | A | Remove hip foreign body | 1.87 | 4.35 | 3.42 | 3.24 | 2.59 | 0.15 | 6.37 | 5.44 | 5.26 | 4.61 | 010 | |
| 27087 | A | Remove hip foreign body | 8.54 | NA | NA | 7.93 | 6.93 | 0.85 | NA | NA | 17.32 | 16.32 | 090 | |
| 27090 | A | Removal of hip prosthesis | 11.15 | NA | NA | 10.02 | 9.98 | 1.15 | NA | NA | 22.32 | 22.28 | 090 | |
| 27091 | A | Removal of hip prosthesis | 22.14 | NA | NA | 15.90 | 17.30 | 2.17 | NA | NA | 40.21 | 41.61 | 090 | |
| 27093 | A | Injection for hip x-ray | 1.30 | 10.78 | 8.31 | 0.50 | 0.60 | 0.08 | 12.16 | 9.69 | 1.88 | 1.98 | 000 | |
| 27095 | A | Injection for hip x-ray | 1.50 | 11.04 | 8.53 | 0.54 | 0.66 | 0.09 | 12.63 | 10.12 | 2.13 | 2.25 | 000 | |
| 27096 | A | Inject sacroiliac joint | 1.10 | 10.67 | 10.67 | 0.42 | 0.42 | 0.09 | 11.86 | 11.86 | 1.61 | 1.61 | 000 | |
| 27097 | A | Revision of hip tendon | 8.80 | NA | NA | 8.56 | 8.51 | 0.92 | NA | NA | 18.28 | 18.23 | 090 | |
| 27098 | A | Transfer tendon to pelvis | 8.83 | NA | NA | 8.53 | 8.49 | 0.92 | NA | NA | 18.28 | 18.24 | 090 | |
| 27100 | A | Transfer of abdominal muscle | 11.08 | NA | NA | 10.94 | 10.29 | 1.10 | NA | NA | 23.12 | 22.47 | 090 | |
| 27105 | A | Transfer of spinal muscle | 11.77 | NA | NA | 10.83 | 9.72 | 1.23 | NA | NA | 23.83 | 22.72 | 090 | |
| 27110 | A | Transfer of iliopsoas muscle | 13.26 | NA | NA | 13.65 | 13.12 | 1.18 | NA | NA | 28.09 | 27.56 | 090 | |
| 27111 | A | Transfer of iliopsoas muscle | 12.15 | NA | NA | 10.73 | 11.20 | 1.27 | NA | NA | 24.15 | 24.62 | 090 | |
| 27120 | A | Reconstruction of hip socket | 18.01 | NA | NA | 13.71 | 15.19 | 1.84 | NA | NA | 33.56 | 35.04 | 090 | |
| 27122 | A | Reconstruction of hip socket | 14.98 | NA | NA | 12.87 | 14.13 | 1.54 | NA | NA | 29.39 | 30.65 | 090 | |
| 27125 | A | Partial hip replacement | 14.69 | NA | NA | 12.35 | 13.65 | 1.50 | NA | NA | 28.54 | 29.84 | 090 | |
| 27130 | A | Total hip replacement | 20.12 | NA | NA | 15.52 | 17.65 | 2.05 | NA | NA | 37.69 | 39.82 | 090 | |
| 27132 | A | Total hip replacement | 23.30 | NA | NA | 17.33 | 19.95 | 2.38 | NA | NA | 43.01 | 45.63 | 090 | |
| 27134 | A | Revise hip joint replacement | 28.52 | NA | NA | 19.92 | 23.45 | 2.92 | NA | NA | 51.36 | 54.89 | 090 | |
| 27137 | A | Revise hip joint replacement | 21.17 | NA | NA | 16.19 | 18.46 | 2.17 | NA | NA | 39.53 | 41.80 | 090 | |
| 27138 | A | Revise hip joint replacement | 22.17 | NA | NA | 16.66 | 19.07 | 2.28 | NA | NA | 41.11 | 43.52 | 090 | |
| 27140 | A | Transplant femur ridge | 12.24 | NA | NA | 10.71 | 11.03 | 1.26 | NA | NA | 24.21 | 24.53 | 090 | |
| 27146 | A | Incision of hip bone | 17.43 | NA | NA | 14.75 | 14.02 | 1.80 | NA | NA | 33.98 | 33.25 | 090 | |
| 27147 | A | Revision of hip bone | 20.58 | NA | NA | 15.95 | 16.57 | 2.08 | NA | NA | 38.61 | 39.23 | 090 | |
| 27151 | A | Incision of hip bones | 22.51 | NA | NA | 10.14 | 12.41 | 2.36 | NA | NA | 35.01 | 7.28 | 090 | |
| 27156 | A | Revision of hip bones | 24.63 | NA | NA | 17.71 | 18.25 | 2.57 | NA | NA | 44.91 | 45.45 | 090 | |
| 27158 | A | Revision of pelvis | 19.74 | NA | NA | 12.98 | 13.65 | 2.06 | NA | NA | 34.78 | 35.45 | 090 | |
| 27161 | A | Incision of neck of femur | 16.71 | NA | NA | 12.76 | 13.45 | 1.71 | NA | NA | 31.18 | 31.87 | 090 | |
| 27165 | A | Incision/fixation of femur | 17.91 | NA | NA | 13.67 | 14.80 | 1.82 | NA | NA | 33.40 | 34.53 | 090 | |
| 27170 | A | Repair/graft femur head/neck | 16.07 | NA | NA | 12.71 | 13.99 | 1.65 | NA | NA | 30.43 | 31.71 | 090 | |
| 27175 | A | Treat slipped epiphysis | 8.46 | NA | NA | 6.54 | 5.23 | 0.89 | NA | NA | 15.89 | 14.58 | 090 | |
| 27176 | A | Treat slipped epiphysis | 12.05 | NA | NA | 8.95 | 9.53 | 1.19 | NA | NA | 22.19 | 22.77 | 090 | |
| 27177 | A | Treat slipped epiphysis | 15.08 | NA | NA | 10.55 | 11.28 | 1.57 | NA | NA | 27.20 | 27.93 | 090 | |
| 27178 | A | Treat slipped epiphysis | 11.99 | NA | NA | 9.15 | 9.70 | 1.03 | NA | NA | 22.17 | 22.72 | 090 | |
| 27179 | A | Revise head/neck of femur | 12.98 | NA | NA | 9.77 | 10.35 | 1.35 | NA | NA | 24.10 | 24.68 | 090 | |
| 27181 | A | Treat slipped epiphysis | 14.68 | NA | NA | 8.52 | 9.96 | 1.37 | NA | NA | 24.57 | 26.01 | 090 | |
| 27185 | A | Revision of femur epiphysis | 9.18 | NA | NA | 7.81 | 6.61 | 0.80 | NA | NA | 17.79 | 16.59 | 090 | |
| 27187 | A | Reinforce hip bones | 13.54 | NA | NA | 12.00 | 13.04 | 1.38 | NA | NA | 26.92 | 27.96 | 090 | |
| 27193 | A | Treat pelvic ring fracture | 5.56 | 6.49 | 5.52 | 4.93 | 4.35 | 0.57 | 12.62 | 11.65 | 11.06 | 10.48 | 090 | |
| 27194 | A | Treat pelvic ring fracture | 9.65 | 8.11 | 7.14 | 7.12 | 6.40 | 1.01 | 18.77 | 17.80 | 17.78 | 17.06 | 090 | |
| 27200 | A | Treat tail bone fracture | 1.84 | 2.55 | 2.32 | 1.47 | 1.51 | 0.18 | 4.57 | 4.34 | 3.49 | 3.53 | 090 | |
| 27202 | A | Treat tail bone fracture | 7.04 | NA | NA | 14.51 | 12.55 | 0.89 | NA | NA | 22.44 | 20.48 | 090 | |
| 27215 | A | Treat pelvic fracture(s) | 10.05 | NA | NA | 8.86 | 9.65 | 0.01 | NA | NA | 18.92 | 19.71 | 090 | |
| 27216 | A | Treat pelvic ring fracture | 15.19 | NA | NA | 10.99 | 9.41 | 1.56 | NA | NA | 27.74 | 26.16 | 090 | |
| 27217 | A | Treat pelvic ring fracture | 14.11 | NA | NA | 11.67 | 12.70 | 1.44 | NA | NA | 27.22 | 28.25 | 090 | |
| 27218 | A | Treat pelvic ring fracture | 20.15 | NA | NA | 11.30 | 12.42 | 1.96 | NA | NA | 33.41 | 34.53 | 090 | |
| 27220 | A | Treat hip socket fracture | 6.18 | 6.86 | 6.30 | 5.27 | 5.11 | 0.64 | 13.68 | 13.12 | 12.09 | 11.93 | 090 | |
| 27222 | A | Treat hip socket fracture | 12.70 | NA | NA | 9.47 | 8.83 | 1.32 | NA | NA | 23.49 | 22.85 | 090 | |
| 27226 | A | Treat hip wall fracture | 14.91 | NA | NA | 11.99 | 13.28 | 1.11 | NA | NA | 28.01 | 29.30 | 090 | |
| 27227 | A | Treat hip fracture(s) | 23.45 | NA | NA | 16.20 | 17.50 | 2.53 | NA | NA | 42.18 | 43.48 | 090 | |
| 27228 | A | Treat hip fracture(s) | 27.16 | NA | NA | 18.25 | 19.10 | 2.79 | NA | NA | 48.20 | 49.05 | 090 | |
| 27230 | A | Treat thigh fracture | 5.50 | 6.74 | 5.95 | 5.24 | 4.83 | 0.55 | 12.79 | 12.00 | 11.29 | 10.88 | 090 | |
| 27232 | A | Treat thigh fracture | 10.68 | NA | NA | 8.43 | 8.76 | 1.11 | NA | NA | 20.22 | 20.55 | 090 | |
| 27235 | A | Treat thigh fracture | 12.16 | NA | NA | 10.08 | 11.19 | 1.25 | NA | NA | 23.49 | 24.60 | 090 | |
| 27236 | A | Treat thigh fracture | 15.60 | NA | NA | 11.76 | 13.41 | 1.59 | NA | NA | 28.95 | 30.60 | 090 | |
| 27238 | A | Treat thigh fracture | 5.52 | NA | NA | 5.46 | 5.43 | 0.56 | NA | NA | 11.54 | 11.51 | 090 | |
| 27240 | A | Treat thigh fracture | 12.50 | NA | NA | 9.40 | 9.68 | 1.30 | NA | NA | 23.20 | 23.48 | 090 | |
| 27244 | A | Treat thigh fracture | 15.94 | NA | NA | 11.98 | 13.41 | 1.63 | NA | NA | 29.55 | 30.98 | 090 | |
| 27245 | A | Treat thigh fracture | 20.31 | NA | NA | 14.39 | 15.22 | 2.09 | NA | NA | 36.79 | 37.62 | 090 | |
| 27246 | A | Treat thigh fracture | 4.71 | 6.42 | 5.87 | 5.14 | 4.91 | 0.49 | 11.62 | 11.07 | 10.34 | 10.11 | 090 | |
| 27248 | A | Treat thigh fracture | 10.45 | NA | NA | 9.00 | 9.87 | 1.06 | NA | NA | 20.51 | 21.38 | 090 | |
| 27250 | A | Treat hip dislocation | 6.95 | NA | NA | 4.85 | 4.50 | 0.68 | NA | NA | 12.48 | 12.13 | 090 | |
| 27252 | A | Treat hip dislocation | 10.39 | NA | NA | 7.49 | 6.80 | 1.08 | NA | NA | 18.96 | 18.27 | 090 | |
| 27253 | A | Treat hip dislocation | 12.92 | NA | NA | 9.98 | 11.05 | 1.33 | NA | NA | 24.23 | 25.30 | 090 | |
| 27254 | A | Treat hip dislocation | 18.26 | NA | NA | 12.39 | 12.95 | 1.83 | NA | NA | 32.48 | 33.04 | 090 | |
| 27256 | A | Treat hip dislocation | 4.12 | NA | NA | 3.69 | 3.28 | 0.39 | NA | NA | 8.20 | 7.79 | 010 | |
| 27257 | A | Treat hip dislocation | 5.22 | NA | NA | 4.02 | 4.27 | 0.53 | NA | NA | 9.77 | 10.02 | 010 | |
| 27258 | A | Treat hip dislocation | 15.43 | NA | NA | 12.63 | 13.20 | 1.58 | NA | NA | 29.64 | 30.21 | 090 | |
| 27259 | A | Treat hip dislocation | 21.55 | NA | NA | 16.20 | 16.82 | 2.14 | NA | NA | 39.89 | 40.51 | 090 | |
| 27265 | A | Treat hip dislocation | 5.05 | NA | NA | 5.09 | 4.76 | 0.53 | NA | NA | 10.67 | 10.34 | 090 | |
| 27266 | A | Treat hip dislocation | 7.49 | NA | NA | 6.64 | 6.19 | 0.78 | NA | NA | 14.91 | 14.46 | 090 | |
| 27275 | A | Manipulation of hip joint | 2.27 | NA | NA | 3.01 | 2.77 | 0.24 | NA | NA | 5.52 | 5.28 | 010 | |
| 27280 | A | Fusion of sacroiliac joint | 13.39 | NA | NA | 12.61 | 12.19 | 1.38 | NA | NA | 27.38 | 26.96 | 090 | |
| 27282 | A | Fusion of pubic bones | 11.34 | NA | NA | 11.09 | 10.76 | 0.84 | NA | NA | 23.27 | 22.94 | 090 | |
| 27284 | A | Fusion of hip joint | 16.76 | NA | NA | 12.97 | 13.66 | 1.65 | NA | NA | 31.38 | 32.07 | 090 | |
| 27286 | A | Fusion of hip joint | 16.79 | NA | NA | 13.55 | 14.29 | 1.76 | NA | NA | 32.10 | 32.84 | 090 | |
| 27290 | A | Amputation of leg at hip | 23.28 | NA | NA | 15.77 | 18.72 | 2.28 | NA | NA | 41.33 | 44.28 | 090 | |
| 27295 | A | Amputation of leg at hip | 18.65 | NA | NA | 13.33 | 14.49 | 1.97 | NA | NA | 33.95 | 35.11 | 090 | |
| 27299 | C | Pelvis/hip joint surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27301 | A | Drain thigh/knee lesion | 6.49 | 13.61 | 10.88 | 12.20 | 9.82 | 0.67 | 20.77 | 18.04 | 19.36 | 16.98 | 090 | |
| 27303 | A | Drainage of bone lesion | 8.28 | NA | NA | 12.58 | 11.03 | 0.85 | NA | NA | 21.71 | 20.16 | 090 | |
| 27305 | A | Incise thigh tendon fascia | 5.92 | NA | NA | 7.98 | 7.02 | 0.63 | NA | NA | 14.53 | 13.57 | 090 | |
| 27306 | A | Incision of thigh tendon | 4.62 | NA | NA | 6.45 | 5.38 | 0.48 | NA | NA | 11.55 | 10.48 | 090 | |
| 27307 | A | Incision of thigh tendons | 5.80 | NA | NA | 7.16 | 6.19 | 0.60 | NA | NA | 13.56 | 12.59 | 090 | |
| 27310 | A | Exploration of knee joint | 9.27 | NA | NA | 8.82 | 9.22 | 0.95 | NA | NA | 19.04 | 19.44 | 090 | |
| 27315 | A | Partial removal, thigh nerve | 6.97 | NA | NA | 4.77 | 5.04 | 0.72 | NA | NA | 12.46 | 12.73 | 090 | |
| 27320 | A | Partial removal, thigh nerve | 6.30 | NA | NA | 4.38 | 4.69 | 0.62 | NA | NA | 11.30 | 11.61 | 090 | |
| 27323 | A | Biopsy, thigh soft tissues | 2.28 | 4.98 | 3.98 | 3.12 | 2.59 | 0.14 | 7.40 | 6.40 | 5.54 | 5.01 | 010 | |
| 27324 | A | Biopsy, thigh soft tissues | 4.90 | NA | NA | 6.24 | 5.39 | 0.53 | NA | NA | 11.67 | 10.82 | 090 | |
| 27327 | A | Removal of thigh lesion | 4.47 | 7.39 | 6.17 | 5.65 | 4.86 | 0.45 | 12.31 | 11.09 | 10.57 | 9.78 | 090 | |
| 27328 | A | Removal of thigh lesion | 5.57 | NA | NA | 6.33 | 5.85 | 0.56 | NA | NA | 12.46 | 11.98 | 090 | |
| 27329 | A | Remove tumor, thigh/knee | 14.14 | NA | NA | 13.21 | 13.08 | 1.40 | NA | NA | 28.75 | 28.62 | 090 | |
| 27330 | A | Biopsy, knee joint lining | 4.97 | NA | NA | 5.57 | 5.66 | 0.51 | NA | NA | 11.05 | 11.14 | 090 | |
| 27331 | A | Explore/treat knee joint | 5.88 | NA | NA | 6.55 | 6.67 | 0.60 | NA | NA | 13.03 | 13.15 | 090 | |
| 27332 | A | Removal of knee cartilage | 8.27 | NA | NA | 7.78 | 8.31 | 0.83 | NA | NA | 16.88 | 17.41 | 090 | |
| 27333 | A | Removal of knee cartilage | 7.30 | NA | NA | 7.31 | 7.66 | 0.74 | NA | NA | 15.35 | 15.70 | 090 | |
| 27334 | A | Remove knee joint lining | 8.70 | NA | NA | 8.56 | 9.02 | 0.90 | NA | NA | 18.16 | 18.62 | 090 | |
| 27335 | A | Remove knee joint lining | 0.10 | NA | NA | 9.34 | 9.99 | 1.02 | NA | NA | 10.46 | 11.11 | 090 | |
| 27340 | A | Removal of kneecap bursa | 4.18 | NA | NA | 5.18 | 4.93 | 0.43 | NA | NA | 9.79 | 9.54 | 090 | |
| 27345 | A | Removal of knee cyst | 5.92 | NA | NA | 6.40 | 6.33 | 0.61 | NA | NA | 12.93 | 12.86 | 090 | |
| 27347 | A | Remove knee cyst | 5.78 | 2.59 | 2.59 | 2.59 | 2.59 | 0.59 | 8.96 | 8.96 | 8.96 | 8.96 | 090 | |
| 27350 | A | Removal of kneecap | 8.17 | NA | NA | 7.89 | 8.36 | 0.84 | NA | NA | 16.90 | 17.37 | 090 | |
| 27355 | A | Remove femur lesion | 7.65 | NA | NA | 8.88 | 8.72 | 0.78 | NA | NA | 17.31 | 17.15 | 090 | |
| 27356 | A | Remove femur lesion/graft | 9.48 | NA | NA | 10.01 | 9.73 | 0.97 | NA | NA | 20.46 | 20.18 | 090 | |
| 27357 | A | Remove femur lesion/graft | 10.53 | NA | NA | 10.44 | 10.22 | 1.08 | NA | NA | 22.05 | 21.83 | 090 | |
| 27358 | A | Remove femur lesion/fixation | 4.74 | NA | NA | 2.53 | 3.13 | 0.49 | NA | NA | 7.76 | 8.36 | ZZZ | |
| 27360 | A | Partial removal, leg bone(s) | 10.50 | NA | NA | 15.94 | 14.28 | 1.09 | NA | NA | 27.53 | 25.87 | 090 | |
| 27365 | A | Extensive leg surgery | 16.27 | NA | NA | 13.16 | 13.65 | 1.64 | NA | NA | 31.07 | 31.56 | 090 | |
| 27370 | A | Injection for knee x-ray | 0.96 | 10.98 | 8.40 | 0.34 | 0.42 | 0.04 | 11.98 | 9.40 | 1.34 | 1.42 | 000 | |
| 27372 | A | Removal of foreign body | 5.07 | 6.87 | 6.08 | 5.94 | 5.38 | 0.51 | 12.45 | 11.66 | 11.52 | 10.96 | 090 | |
| 27380 | A | Repair of kneecap tendon | 7.16 | NA | NA | 7.48 | 7.75 | 0.74 | NA | NA | 15.38 | 15.65 | 090 | |
| 27381 | A | Repair/graft kneecap tendon | 10.34 | NA | NA | 9.18 | 9.94 | 1.07 | NA | NA | 20.59 | 21.35 | 090 | |
| 27385 | A | Repair of thigh muscle | 7.76 | NA | NA | 7.84 | 8.20 | 0.79 | NA | NA | 16.39 | 16.75 | 090 | |
| 27386 | A | Repair/graft of thigh muscle | 10.56 | NA | NA | 9.80 | 10.50 | 1.08 | NA | NA | 21.44 | 22.14 | 090 | |
| 27390 | A | Incision of thigh tendon | 5.33 | NA | NA | 6.78 | 6.27 | 0.54 | NA | NA | 12.65 | 12.14 | 090 | |
| 27391 | A | Incision of thigh tendons | 7.20 | NA | NA | 7.78 | 7.31 | 0.75 | NA | NA | 15.73 | 15.26 | 090 | |
| 27392 | A | Incision of thigh tendons | 9.20 | NA | NA | 9.65 | 9.32 | 0.93 | NA | NA | 19.78 | 19.45 | 090 | |
| 27393 | A | Lengthening of thigh tendon | 6.39 | NA | NA | 7.29 | 7.01 | 0.64 | NA | NA | 14.32 | 14.04 | 090 | |
| 27394 | A | Lengthening of thigh tendons | 8.50 | NA | NA | 9.27 | 8.51 | 0.87 | NA | NA | 18.64 | 17.88 | 090 | |
| 27395 | A | Lengthening of thigh tendons | 11.73 | NA | NA | 11.95 | 11.81 | 1.21 | NA | NA | 24.89 | 24.75 | 090 | |
| 27396 | A | Transplant of thigh tendon | 7.86 | NA | NA | 9.00 | 8.67 | 0.80 | NA | NA | 17.66 | 17.33 | 090 | |
| 27397 | A | Transplants of thigh tendons | 11.28 | NA | NA | 10.64 | 10.39 | 1.17 | NA | NA | 23.09 | 22.84 | 090 | |
| 27400 | A | Revise thigh muscles/tendons | 9.02 | NA | NA | 9.64 | 9.37 | 0.92 | NA | NA | 19.58 | 19.31 | 090 | |
| 27403 | A | Repair of knee cartilage | 8.33 | NA | NA | 7.99 | 8.38 | 0.86 | NA | NA | 17.18 | 17.57 | 090 | |
| 27405 | A | Repair of knee ligament | 8.65 | NA | NA | 8.60 | 9.03 | 0.89 | NA | NA | 18.14 | 18.57 | 090 | |
| 27407 | A | Repair of knee ligament | 10.28 | NA | NA | 9.36 | 9.43 | 1.02 | NA | NA | 20.66 | 20.73 | 090 | |
| 27409 | A | Repair of knee ligaments | 12.90 | NA | NA | 10.76 | 11.92 | 1.34 | NA | NA | 25.00 | 26.16 | 090 | |
| 27418 | A | Repair degenerated kneecap | 10.85 | NA | NA | 9.78 | 10.58 | 1.12 | NA | NA | 21.75 | 22.55 | 090 | |
| 27420 | A | Revision of unstable kneecap | 9.83 | NA | NA | 8.76 | 9.50 | 0.99 | NA | NA | 19.58 | 20.32 | 090 | |
| 27422 | A | Revision of unstable kneecap | 9.78 | NA | NA | 8.74 | 9.48 | 0.01 | NA | NA | 18.53 | 19.27 | 090 | |
| 27424 | A | Revision/removal of kneecap | 9.81 | NA | NA | 8.68 | 9.44 | 1.02 | NA | NA | 19.51 | 20.27 | 090 | |
| 27425 | A | Lateral retinacular release | 5.22 | NA | NA | 6.30 | 6.28 | 0.53 | NA | NA | 12.05 | 12.03 | 090 | |
| 27427 | A | Reconstruction, knee | 9.36 | NA | NA | 8.41 | 9.10 | 0.94 | NA | NA | 18.71 | 19.40 | 090 | |
| 27428 | A | Reconstruction, knee | 0.14 | NA | NA | 11.45 | 12.30 | 1.40 | NA | NA | 12.99 | 13.84 | 090 | |
| 27429 | A | Reconstruction, knee | 15.52 | NA | NA | 11.72 | 11.85 | 1.56 | NA | NA | 28.80 | 28.93 | 090 | |
| 27430 | A | Revision of thigh muscles | 9.67 | NA | NA | 8.77 | 9.12 | 0.97 | NA | NA | 19.41 | 19.76 | 090 | |
| 27435 | A | Incision of knee joint | 9.49 | NA | NA | 8.58 | 8.34 | 0.98 | NA | NA | 19.05 | 18.81 | 090] | |
| 27437 | A | Revise kneecap | 8.46 | NA | NA | 8.61 | 8.98 | 0.85 | NA | NA | 17.92 | 18.29 | 090 | |
| 27438 | A | Revise kneecap with implant | 11.23 | NA | NA | 9.88 | 10.76 | 1.15 | NA | NA | 22.26 | 23.14 | 090 | |
| 27440 | A | Revision of knee joint | 10.43 | NA | NA | 9.34 | 10.12 | 0.73 | NA | NA | 20.50 | 21.28 | 090 | |
| 27441 | A | Revision of knee joint | 10.82 | NA | NA | 9.90 | 9.91 | 0.78 | NA | NA | 21.50 | 21.51 | 090 | |
| 27442 | A | Revision of knee joint | 11.89 | NA | NA | 10.48 | 11.41 | 1.22 | NA | NA | 23.59 | 24.52 | 090 | |
| 27443 | A | Revision of knee joint | 10.93 | NA | NA | 10.12 | 10.85 | 1.12 | NA | NA | 22.17 | 22.90 | 090 | |
| 27445 | A | Revision of knee joint | 17.68 | NA | NA | 13.68 | 15.54 | 1.83 | NA | NA | 33.19 | 35.05 | 090 | |
| 27446 | A | Revision of knee joint | 15.84 | NA | NA | 12.81 | 14.34 | 1.60 | NA | NA | 30.25 | 31.78 | 090 | |
| 27447 | A | Total knee replacement | 21.48 | NA | NA | 15.77 | 18.24 | 2.19 | NA | NA | 39.44 | 41.91 | 090 | |
| 27448 | A | Incision of thigh | 11.06 | NA | NA | 10.60 | 11.25 | 1.14 | NA | NA | 22.80 | 23.45 | 090 | |
| 27450 | A | Incision of thigh | 13.98 | NA | NA | 12.36 | 13.30 | 1.43 | NA | NA | 27.77 | 28.71 | 090 | |
| 27454 | A | Realignment of thigh bone | 17.56 | NA | NA | 13.81 | 14.62 | 1.76 | NA | NA | 33.13 | 33.94 | 090 | |
| 27455 | A | Realignment of knee | 12.82 | NA | NA | 11.21 | 11.67 | 1.27 | NA | NA | 25.30 | 25.76 | 090 | |
| 27457 | A | Realignment of knee | 13.45 | NA | NA | 10.66 | 11.60 | 1.37 | NA | NA | 25.48 | 26.42 | 090 | |
| 27465 | A | Shortening of thigh bone | 13.87 | NA | NA | 12.19 | 12.46 | 1.43 | NA | NA | 27.49 | 27.76 | 090 | |
| 27466 | A | Lengthening of thigh bone | 16.33 | NA | NA | 14.41 | 14.45 | 1.67 | NA | NA | 32.41 | 32.45 | 090 | |
| 27468 | A | Shorten/lengthen thighs | 18.97 | NA | NA | 13.33 | 14.57 | 1.94 | NA | NA | 34.24 | 35.48 | 090 | |
| 27470 | A | Repair of thigh | 16.07 | NA | NA | 14.32 | 15.26 | 1.64 | NA | NA | 32.03 | 32.97 | 090 | |
| 27472 | A | Repair/graft of thigh | 17.72 | NA | NA | 15.17 | 16.67 | 1.83 | NA | NA | 34.72 | 36.22 | 090 | |
| 27475 | A | Surgery to stop leg growth | 8.64 | NA | NA | 8.40 | 8.40 | 0.86 | NA | NA | 17.90 | 17.90 | 090 | |
| 27477 | A | Surgery to stop leg growth | 9.85 | NA | NA | 8.85 | 9.58 | 0.96 | NA | NA | 19.66 | 20.39 | 090 | |
| 27479 | A | Surgery to stop leg growth | 12.80 | NA | NA | 10.34 | 10.91 | 1.35 | NA | NA | 24.49 | 25.06 | 090 | |
| 27485 | A | Surgery to stop leg growth | 8.84 | NA | NA | 8.40 | 8.45 | 0.89 | NA | NA | 18.13 | 18.18 | 090 | |
| 27486 | A | Revise/replace knee joint | 19.27 | NA | NA | 14.63 | 16.73 | 1.97 | NA | NA | 35.87 | 37.97 | 090 | |
| 27487 | A | Revise/replace knee joint | 25.27 | NA | NA | 17.88 | 20.94 | 2.57 | NA | NA | 45.72 | 48.78 | 090 | |
| 27488 | A | Removal of knee prosthesis | 15.74 | NA | NA | 12.79 | 13.98 | 1.61 | NA | NA | 30.14 | 31.33 | 090 | |
| 27495 | A | Reinforce thigh | 15.55 | NA | NA | 14.05 | 15.18 | 1.59 | NA | NA | 31.19 | 32.32 | 090 | |
| 27496 | A | Decompression of thigh/knee | 6.11 | NA | NA | 7.27 | 6.68 | 0.66 | NA | NA | 14.04 | 13.45 | 090 | |
| 27497 | A | Decompression of thigh/knee | 7.17 | NA | NA | 8.00 | 7.51 | 0.75 | NA | NA | 15.92 | 15.43 | 090 | |
| 27498 | A | Decompression of thigh/knee | 7.99 | NA | NA | 7.07 | 7.02 | 0.87 | NA | NA | 15.93 | 15.88 | 090 | |
| 27499 | A | Decompression of thigh/knee | 0.09 | NA | NA | 7.31 | 7.46 | 0.93 | NA | NA | 8.33 | 8.48 | 090 | |
| 27500 | A | Treatment of thigh fracture | 5.92 | 8.41 | 7.78 | 6.31 | 6.20 | 0.61 | 14.94 | 14.31 | 12.84 | 12.73 | 090 | |
| 27501 | A | Treatment of thigh fracture | 5.92 | 9.23 | 8.39 | 7.38 | 7.00 | 0.62 | 15.77 | 14.93 | 13.92 | 13.54 | 090 | |
| 27502 | A | Treatment of thigh fracture | 10.58 | NA | NA | 9.81 | 9.44 | 1.10 | NA | NA | 21.49 | 21.12 | 090 | |
| 27503 | A | Treatment of thigh fracture | 10.58 | NA | NA | 9.94 | 9.54 | 1.10 | NA | NA | 21.62 | 21.22 | 090 | |
| 27506 | A | Treatment of thigh fracture | 17.45 | NA | NA | 13.20 | 14.25 | 1.79 | NA | NA | 32.44 | 33.49 | 090 | |
| 27507 | A | Treatment of thigh fracture | 13.99 | NA | NA | 11.28 | 12.64 | 1.43 | NA | NA | 26.70 | 28.06 | 090 | |
| 27508 | A | Treatment of thigh fracture | 5.83 | 6.53 | 6.04 | 4.93 | 4.84 | 0.60 | 12.96 | 12.47 | 11.36 | 11.27 | 090 | |
| 27509 | A | Treatment of thigh fracture | 7.71 | NA | NA | 8.20 | 7.30 | 0.80 | NA | NA | 16.71 | 15.81 | 090 | |
| 27510 | A | Treatment of thigh fracture | 9.13 | NA | NA | 6.83 | 6.97 | 0.95 | NA | NA | 16.91 | 17.05 | 090 | |
| 27511 | A | Treatment of thigh fracture | 13.64 | NA | NA | 11.89 | 12.99 | 1.40 | NA | NA | 26.93 | 28.03 | 090 | |
| 27513 | A | Treatment of thigh fracture | 17.92 | NA | NA | 14.17 | 14.98 | 1.83 | NA | NA | 33.92 | 34.73 | 090 | |
| 27514 | A | Treatment of thigh fracture | 17.30 | NA | NA | 13.43 | 14.35 | 1.78 | NA | NA | 32.51 | 33.43 | 090 | |
| 27516 | A | Treat thigh fx growth plate | 5.37 | 7.23 | 6.73 | 5.35 | 5.32 | 0.56 | 13.16 | 12.66 | 11.28 | 11.25 | 090 | |
| 27517 | A | Treat thigh fx growth plate | 8.78 | 7.73 | 7.92 | 7.15 | 7.49 | 0.90 | 17.41 | 17.60 | 16.83 | 17.17 | 090 | |
| 27519 | A | Treat thigh fx growth plate | 15.02 | NA | NA | 12.56 | 12.86 | 1.51 | NA | NA | 29.09 | 29.39 | 090 | |
| 27520 | A | Treat kneecap fracture | 2.86 | 4.93 | 4.52 | 3.20 | 3.23 | 0.30 | 8.09 | 7.68 | 6.36 | 6.39 | 090 | |
| 27524 | A | Treat kneecap fracture | 0.10 | NA | NA | 8.07 | 8.86 | 1.03 | NA | NA | 9.20 | 9.99 | 090 | |
| 27530 | A | Treat knee fracture | 3.78 | 5.45 | 5.01 | 3.86 | 3.82 | 0.39 | 9.62 | 9.18 | 8.03 | 7.99 | 090 | |
| 27532 | A | Treat knee fracture | 7.30 | 7.01 | 6.80 | 5.42 | 5.61 | 0.76 | 15.07 | 14.86 | 13.48 | 13.67 | 090 | |
| 27535 | A | Treat knee fracture | 11.50 | NA | NA | 10.81 | 11.28 | 1.18 | NA | NA | 23.49 | 23.96 | 090 | |
| 27536 | A | Treat knee fracture | 15.65 | NA | NA | 11.06 | 11.47 | 1.61 | NA | NA | 28.32 | 28.73 | 090 | |
| 27538 | A | Treat knee fracture(s) | 4.87 | 6.83 | 6.04 | 4.92 | 4.61 | 0.51 | 12.21 | 11.42 | 10.30 | 9.99 | 090 | |
| 27540 | A | Treat knee fracture | 13.10 | NA | NA | 9.57 | 10.15 | 1.33 | NA | NA | 24.00 | 24.58 | 090 | |
| 27550 | A | Treat knee dislocation | 5.76 | 6.61 | 5.66 | 4.89 | 4.37 | 0.57 | 12.94 | 11.99 | 11.22 | 10.70 | 090 | |
| 27552 | A | Treat knee dislocation | 7.90 | NA | NA | 7.09 | 6.25 | 0.82 | NA | NA | 15.81 | 14.97 | 090 | |
| 27556 | A | Treat knee dislocation | 14.41 | NA | NA | 12.83 | 13.01 | 1.51 | NA | NA | 28.75 | 28.93 | 090 | |
| 27557 | A | Treat knee dislocation | 16.77 | NA | NA | 13.73 | 14.26 | 1.72 | NA | NA | 32.22 | 32.75 | 090 | |
| 27558 | A | Treat knee dislocation | 17.72 | NA | NA | 14.37 | 14.74 | 1.80 | NA | NA | 33.89 | 34.26 | 090 | |
| 27560 | A | Treat kneecap dislocation | 3.82 | 5.45 | 4.48 | 3.18 | 2.77 | 0.36 | 9.63 | 8.66 | 7.36 | 6.95 | 090 | |
| 27562 | A | Treat kneecap dislocation | 5.79 | NA | NA | 4.82 | 5.02 | 0.59 | NA | NA | 11.20 | 11.40 | 090 | |
| 27566 | A | Treat kneecap dislocation | 12.23 | NA | NA | 9.06 | 9.67 | 1.26 | NA | NA | 22.55 | 23.16 | 090 | |
| 27570 | A | Fixation of knee joint | 1.74 | NA | NA | 2.73 | 2.52 | 0.18 | NA | NA | 4.65 | 4.44 | 010 | |
| 27580 | A | Fusion of knee | 19.37 | NA | NA | 15.02 | 15.53 | 1.98 | NA | NA | 36.37 | 36.88 | 090 | |
| 27590 | A | Amputate leg at thigh | 12.03 | NA | NA | 11.31 | 10.96 | 1.30 | NA | NA | 24.64 | 24.29 | 090 | |
| 27591 | A | Amputate leg at thigh | 12.68 | NA | NA | 12.89 | 12.86 | 1.34 | NA | NA | 26.91 | 26.88 | 090 | |
| 27592 | A | Amputate leg at thigh | 10.02 | NA | NA | 10.44 | 10.03 | 1.07 | NA | NA | 21.53 | 21.12 | 090 | |
| 27594 | A | Amputation follow-up surgery | 6.92 | NA | NA | 8.06 | 7.04 | 0.75 | NA | NA | 15.73 | 14.71 | 090 | |
| 27596 | A | Amputation follow-up surgery | 10.60 | NA | NA | 11.01 | 10.26 | 1.15 | NA | NA | 22.76 | 22.01 | 090 | |
| 27598 | A | Amputate lower leg at knee | 10.53 | NA | NA | 10.22 | 10.39 | 1.10 | NA | NA | 21.85 | 22.02 | 090 | |
| 27599 | C | Leg surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27600 | A | Decompression of lower leg | 5.65 | NA | NA | 7.34 | 6.43 | 0.65 | NA | NA | 13.64 | 12.73 | 090 | |
| 27601 | A | Decompression of lower leg | 5.64 | NA | NA | 7.42 | 6.48 | 0.64 | NA | NA | 13.70 | 12.76 | 090 | |
| 27602 | A | Decompression of lower leg | 7.35 | NA | NA | 7.32 | 6.59 | 0.86 | NA | NA | 15.53 | 14.80 | 090 | |
| 27603 | A | Drain lower leg lesion | 4.94 | 13.35 | 10.66 | 9.08 | 7.46 | 0.50 | 18.79 | 16.10 | 14.52 | 12.90 | 090 | |
| 27604 | A | Drain lower leg bursa | 4.47 | 9.03 | 7.05 | 7.19 | 5.67 | 0.37 | 13.87 | 11.89 | 12.03 | 10.51 | 090 | |
| 27605 | A | Incision of achilles tendon | 2.87 | 7.59 | 6.01 | 3.45 | 2.91 | 0.28 | 10.74 | 9.16 | 6.60 | 6.06 | 010 | |
| 27606 | A | Incision of achilles tendon | 4.14 | 8.89 | 7.24 | 4.46 | 3.92 | 0.42 | 13.45 | 11.80 | 9.02 | 8.48 | 010 | |
| 27607 | A | Treat lower leg bone lesion | 7.97 | NA | NA | 13.03 | 11.40 | 0.80 | NA | NA | 21.80 | 20.17 | 090 | |
| 27610 | A | Explore/treat ankle joint | 8.34 | NA | NA | 9.19 | 8.91 | 0.84 | NA | NA | 18.37 | 18.09 | 090 | |
| 27612 | A | Exploration of ankle joint | 7.33 | NA | NA | 7.23 | 7.59 | 0.68 | NA | NA | 15.24 | 15.60 | 090 | |
| 27613 | A | Biopsy lower leg soft tissue | 2.17 | 5.26 | 4.13 | 2.70 | 2.21 | 0.13 | 7.56 | 6.43 | 5.00 | 4.51 | 010 | |
| 27614 | A | Biopsy lower leg soft tissue | 5.66 | 9.43 | 7.69 | 6.43 | 5.44 | 0.55 | 15.64 | 13.90 | 12.64 | 11.65 | 090 | |
| 27615 | A | Remove tumor, lower leg | 12.56 | NA | NA | 15.09 | 13.55 | 1.26 | NA | NA | 28.91 | 27.37 | 090 | |
| 27618 | A | Remove lower leg lesion | 5.09 | 10.20 | 8.22 | 5.89 | 4.99 | 0.48 | 15.77 | 13.79 | 11.46 | 10.56 | 090 | |
| 27619 | A | Remove lower leg lesion | 8.40 | 10.81 | 9.23 | 8.11 | 7.20 | 0.80 | 20.01 | 18.43 | 17.31 | 16.40 | 090 | |
| 27620 | A | Explore/treat ankle joint | 5.98 | NA | NA | 7.06 | 6.93 | 0.58 | NA | NA | 13.62 | 13.49 | 090 | |
| 27625 | A | Remove ankle joint lining | 8.30 | NA | NA | 8.46 | 8.71 | 0.78 | NA | NA | 17.54 | 17.79 | 090 | |
| 27626 | A | Remove ankle joint lining | 8.91 | NA | NA | 8.91 | 9.34 | 0.88 | NA | NA | 18.70 | 19.13 | 090 | |
| 27630 | A | Removal of tendon lesion | 4.80 | 9.61 | 8.05 | 6.02 | 5.36 | 0.45 | 14.86 | 13.30 | 11.27 | 10.61 | 090 | |
| 27635 | A | Remove lower leg bone lesion | 7.78 | NA | NA | 9.47 | 9.29 | 0.78 | NA | NA | 18.03 | 17.85 | 090 | |
| 27637 | A | Remove/graft leg bone lesion | 9.85 | NA | NA | 10.80 | 10.40 | 1.01 | NA | NA | 21.66 | 21.26 | 090 | |
| 27638 | A | Remove/graft leg bone lesion | 10.57 | NA | NA | 11.24 | 10.91 | 1.06 | NA | NA | 22.87 | 22.54 | 090 | |
| 27640 | A | Partial removal of tibia | 11.37 | NA | NA | 15.60 | 14.36 | 1.14 | NA | NA | 28.11 | 26.87 | 090 | |
| 27641 | A | Partial removal of fibula | 9.24 | NA | NA | 14.09 | 12.50 | 0.92 | NA | NA | 24.25 | 22.66 | 090 | |
| 27645 | A | Extensive lower leg surgery | 14.17 | NA | NA | 15.60 | 14.86 | 1.46 | NA | NA | 31.23 | 30.49 | 090 | |
| 27646 | A | Extensive lower leg surgery | 12.66 | NA | NA | 15.38 | 14.45 | 1.24 | NA | NA | 29.28 | 28.35 | 090 | |
| 27647 | A | Extensive ankle/heel surgery | 12.24 | NA | NA | 10.41 | 10.51 | 1.02 | NA | NA | 23.67 | 23.77 | 090 | |
| 27648 | A | Injection for ankle x-ray | 0.96 | 8.42 | 6.46 | 0.34 | 0.40 | 0.05 | 9.43 | 7.47 | 1.35 | 1.41 | 000 | |
| 27650 | A | Repair achilles tendon | 9.69 | NA | NA | 8.44 | 8.77 | 0.95 | NA | NA | 19.08 | 19.41 | 090 | |
| 27652 | A | Repair/graft achilles tendon | 10.33 | NA | NA | 8.66 | 9.32 | 0.98 | NA | NA | 19.97 | 20.63 | 090 | |
| 27654 | A | Repair of achilles tendon | 10.02 | NA | NA | 8.93 | 9.66 | 0.90 | NA | NA | 19.85 | 20.58 | 090 | |
| 27656 | A | Repair leg fascia defect | 4.57 | 12.05 | 9.90 | 6.14 | 5.47 | 0.44 | 17.06 | 14.91 | 11.15 | 10.48 | 090 | |
| 27658 | A | Repair of leg tendon, each | 4.98 | 8.99 | 7.83 | 7.53 | 6.74 | 0.46 | 14.43 | 13.27 | 12.97 | 12.18 | 090 | |
| 27659 | A | Repair of leg tendon, each | 6.81 | 12.60 | 11.04 | 8.15 | 7.71 | 0.61 | 20.02 | 18.46 | 15.57 | 15.13 | 090 | |
| 27664 | A | Repair of leg tendon, each | 4.59 | 9.19 | 7.82 | 7.94 | 6.88 | 0.45 | 14.23 | 12.86 | 12.98 | 11.92 | 090 | |
| 27665 | A | Repair of leg tendon, each | 5.40 | 12.76 | 10.91 | 7.88 | 7.25 | 0.53 | 18.69 | 16.84 | 13.81 | 13.18 | 090 | |
| 27675 | A | Repair lower leg tendons | 7.18 | NA | NA | 7.18 | 7.12 | 0.69 | NA | NA | 15.05 | 14.99 | 090 | |
| 27676 | A | Repair lower leg tendons | 8.42 | NA | NA | 8.29 | 8.27 | 0.74 | NA | NA | 17.45 | 17.43 | 090 | |
| 27680 | A | Release of lower leg tendon | 5.74 | NA | NA | 6.93 | 6.32 | 0.54 | NA | NA | 13.21 | 12.60 | 090 | |
| 27681 | A | Release of lower leg tendons | 6.82 | NA | NA | 7.58 | 7.31 | 0.68 | NA | NA | 15.08 | 14.81 | 090 | |
| 27685 | A | Revision of lower leg tendon | 6.50 | 7.33 | 6.54 | 7.29 | 6.51 | 0.56 | 14.39 | 13.60 | 14.35 | 13.57 | 090 | |
| 27686 | A | Revise lower leg tendons | 7.46 | 8.98 | 8.52 | 8.58 | 8.22 | 0.74 | 17.18 | 16.72 | 16.78 | 16.42 | 090 | |
| 27687 | A | Revision of calf tendon | 6.24 | NA | NA | 7.22 | 6.89 | 0.56 | NA | NA | 14.02 | 13.69 | 090 | |
| 27690 | A | Revise lower leg tendon | 8.71 | NA | NA | 8.15 | 7.94 | 0.76 | NA | NA | 17.62 | 17.41 | 090 | |
| 27691 | A | Revise lower leg tendon | 9.96 | NA | NA | 9.62 | 9.36 | 0.95 | NA | NA | 20.53 | 20.27 | 090 | |
| 27692 | A | Revise additional leg tendon | 1.87 | NA | NA | 0.90 | 1.23 | 0.19 | NA | NA | 2.96 | 3.29 | ZZZ | |
| 27695 | A | Repair of ankle ligament | 6.51 | NA | NA | 7.91 | 7.88 | 0.63 | NA | NA | 15.05 | 15.02 | 090 | |
| 27696 | A | Repair of ankle ligaments | 8.27 | NA | NA | 8.64 | 8.40 | 0.76 | NA | NA | 17.67 | 17.43 | 090 | |
| 27698 | A | Repair of ankle ligament | 9.36 | NA | NA | 8.47 | 9.15 | 0.84 | NA | NA | 18.67 | 19.35 | 090 | |
| 27700 | A | Revision of ankle joint | 9.29 | NA | NA | 7.03 | 8.05 | 0.68 | NA | NA | 17.00 | 18.02 | 090 | |
| 27702 | A | Reconstruct ankle joint | 13.67 | NA | NA | 11.57 | 12.76 | 1.41 | NA | NA | 26.65 | 27.84 | 090 | |
| 27703 | A | Reconstruction, ankle joint | 15.87 | NA | NA | 11.62 | 12.47 | 1.32 | NA | NA | 28.81 | 29.66 | 090 | |
| 27704 | A | Removal of ankle implant | 7.62 | NA | NA | 8.28 | 7.80 | 0.67 | NA | NA | 16.57 | 16.09 | 090 | |
| 27705 | A | Incision of tibia | 10.38 | NA | NA | 10.17 | 10.54 | 1.06 | NA | NA | 21.61 | 21.98 | 090 | |
| 27707 | A | Incision of fibula | 4.37 | NA | NA | 7.01 | 6.55 | 0.45 | NA | NA | 11.83 | 11.37 | 090 | |
| 27709 | A | Incision of tibia fibula | 9.95 | NA | NA | 10.05 | 10.51 | 1.02 | NA | NA | 21.02 | 21.48 | 090 | |
| 27712 | A | Realignment of lower leg | 14.25 | NA | NA | 12.30 | 12.21 | 1.46 | NA | NA | 28.01 | 27.92 | 090 | |
| 27715 | A | Revision of lower leg | 14.39 | NA | NA | 13.32 | 13.41 | 1.47 | NA | NA | 29.18 | 29.27 | 090 | |
| 27720 | A | Repair of tibia | 11.79 | NA | NA | 11.93 | 12.47 | 1.21 | NA | NA | 24.93 | 25.47 | 090 | |
| 27722 | A | Repair/graft of tibia | 11.82 | NA | NA | 11.76 | 11.67 | 1.21 | NA | NA | 24.79 | 24.70 | 090 | |
| 27724 | A | Repair/graft of tibia | 14.99 | NA | NA | 13.71 | 14.49 | 1.54 | NA | NA | 30.24 | 31.02 | 090 | |
| 27725 | A | Repair of lower leg | 15.59 | NA | NA | 13.93 | 13.28 | 1.58 | NA | NA | 31.10 | 30.45 | 090 | |
| 27727 | A | Repair of lower leg | 14.01 | NA | NA | 12.63 | 12.02 | 1.41 | NA | NA | 28.05 | 27.44 | 090 | |
| 27730 | A | Repair of tibia epiphysis | 7.41 | 13.48 | 11.09 | 8.85 | 7.61 | 0.74 | 21.63 | 19.24 | 17.00 | 15.76 | 090 | |
| 27732 | A | Repair of fibula epiphysis | 5.32 | 12.65 | 10.80 | 7.02 | 6.58 | 0.53 | 18.50 | 16.65 | 12.87 | 12.43 | 090 | |
| 27734 | A | Repair lower leg epiphyses | 8.48 | NA | NA | 8.27 | 8.25 | 0.76 | NA | NA | 17.51 | 17.49 | 090 | |
| 27740 | A | Repair of leg epiphyses | 9.30 | 20.08 | 17.33 | 8.60 | 8.72 | 0.97 | 30.35 | 27.60 | 18.87 | 18.99 | 090 | |
| 27742 | A | Repair of leg epiphyses | 10.30 | 14.63 | 13.49 | 9.00 | 9.27 | 0.93 | 25.86 | 24.72 | 20.23 | 20.50 | 090 | |
| 27745 | A | Reinforce tibia | 10.07 | NA | NA | 10.23 | 10.11 | 1.02 | NA | NA | 21.32 | 21.20 | 090 | |
| 27750 | A | Treatment of tibia fracture | 3.19 | 5.08 | 4.75 | 3.49 | 3.55 | 0.32 | 8.59 | 8.26 | 7.00 | 7.06 | 090 | |
| 27752 | A | Treatment of tibia fracture | 5.84 | 7.42 | 6.95 | 5.66 | 5.63 | 0.61 | 13.87 | 13.40 | 12.11 | 12.08 | 090 | |
| 27756 | A | Treatment of tibia fracture | 6.78 | NA | NA | 9.22 | 8.94 | 0.70 | NA | NA | 16.70 | 16.42 | 090 | |
| 27758 | A | Treatment of tibia fracture | 11.67 | NA | NA | 10.82 | 11.60 | 1.19 | NA | NA | 23.68 | 24.46 | 090 | |
| 27759 | A | Treatment of tibia fracture | 13.76 | NA | NA | 11.97 | 12.71 | 1.41 | NA | NA | 27.14 | 27.88 | 090 | |
| 27760 | A | Treatment of ankle fracture | 3.01 | 4.87 | 4.35 | 3.19 | 3.09 | 0.31 | 8.19 | 7.67 | 6.51 | 6.41 | 090 | |
| 27762 | A | Treatment of ankle fracture | 5.25 | 6.98 | 6.15 | 5.19 | 4.81 | 0.53 | 12.76 | 11.93 | 10.97 | 10.59 | 090 | |
| 27766 | A | Treatment of ankle fracture | 8.36 | NA | NA | 7.54 | 7.79 | 0.86 | NA | NA | 16.76 | 17.01 | 090 | |
| 27780 | A | Treatment of fibula fracture | 2.65 | 4.78 | 4.12 | 3.01 | 2.79 | 0.26 | 7.69 | 7.03 | 5.92 | 5.70 | 090 | |
| 27781 | A | Treatment of fibula fracture | 4.40 | 5.98 | 5.38 | 4.28 | 4.10 | 0.45 | 10.83 | 10.23 | 9.13 | 8.95 | 090 | |
| 27784 | A | Treatment of fibula fracture | 7.11 | NA | NA | 7.50 | 7.14 | 0.73 | NA | NA | 15.34 | 14.98 | 090 | |
| 27786 | A | Treatment of ankle fracture | 2.84 | 4.83 | 4.31 | 3.12 | 3.02 | 0.29 | 7.96 | 7.44 | 6.25 | 6.15 | 090 | |
| 27788 | A | Treatment of ankle fracture | 4.45 | 5.99 | 5.38 | 4.20 | 4.04 | 0.46 | 10.90 | 10.29 | 9.11 | 8.95 | 090 | |
| 27792 | A | Treatment of ankle fracture | 7.66 | NA | NA | 7.21 | 7.41 | 0.78 | NA | NA | 15.65 | 15.85 | 090 | |
| 27808 | A | Treatment of ankle fracture | 2.83 | 5.74 | 5.06 | 3.79 | 3.60 | 0.29 | 8.86 | 8.18 | 6.91 | 6.72 | 090 | |
| 27810 | A | Treatment of ankle fracture | 5.13 | 6.97 | 6.60 | 5.17 | 5.25 | 0.53 | 12.63 | 12.26 | 10.83 | 10.91 | 090 | |
| 27814 | A | Treatment of ankle fracture | 10.68 | NA | NA | 9.69 | 9.98 | 1.10 | NA | NA | 21.47 | 21.76 | 090 | |
| 27816 | A | Treatment of ankle fracture | 2.89 | 5.27 | 4.90 | 3.77 | 3.77 | 0.29 | 8.45 | 8.08 | 6.95 | 6.95 | 090 | |
| 27818 | A | Treatment of ankle fracture | 5.50 | 7.19 | 7.04 | 5.29 | 5.61 | 0.56 | 13.25 | 13.10 | 11.35 | 11.67 | 090 | |
| 27822 | A | Treatment of ankle fracture | 9.20 | NA | NA | 10.68 | 10.76 | 0.95 | NA | NA | 20.83 | 20.91 | 090 | |
| 27823 | A | Treatment of ankle fracture | 11.80 | NA | NA | 12.04 | 12.50 | 1.21 | NA | NA | 25.05 | 25.51 | 090 | |
| 27824 | A | Treat lower leg fracture | 2.89 | 5.71 | 5.23 | 3.86 | 3.84 | 0.29 | 8.89 | 8.41 | 7.04 | 7.02 | 090 | |
| 27825 | A | Treat lower leg fracture | 6.19 | 7.68 | 7.53 | 5.83 | 6.14 | 0.64 | 14.51 | 14.36 | 12.66 | 12.97 | 090 | |
| 27826 | A | Treat lower leg fracture | 8.54 | NA | NA | 10.34 | 10.30 | 0.88 | NA | NA | 19.76 | 19.72 | 090 | |
| 27827 | A | Treat lower leg fracture | 14.06 | NA | NA | 13.38 | 13.21 | 1.44 | NA | NA | 28.88 | 28.71 | 090 | |
| 27828 | A | Treat lower leg fracture | 16.23 | NA | NA | 14.48 | 14.33 | 1.67 | NA | NA | 32.38 | 32.23 | 090 | |
| 27829 | A | Treat lower leg joint | 5.49 | NA | NA | 7.46 | 7.23 | 0.56 | NA | NA | 13.51 | 13.28 | 090 | |
| 27830 | A | Treat lower leg dislocation | 3.79 | 5.32 | 4.87 | 3.48 | 3.49 | 0.38 | 9.49 | 9.04 | 7.65 | 7.66 | 090 | |
| 27831 | A | Treat lower leg dislocation | 4.56 | NA | NA | 4.35 | 4.34 | 0.46 | NA | NA | 9.37 | 9.36 | 090 | |
| 27832 | A | Treat lower leg dislocation | 6.49 | NA | NA | 7.25 | 6.99 | 0.68 | NA | NA | 14.42 | 14.16 | 090 | |
| 27840 | A | Treat ankle dislocation | 4.58 | NA | NA | 4.37 | 3.79 | 0.45 | NA | NA | 9.40 | 8.82 | 090 | |
| 27842 | A | Treat ankle dislocation | 6.21 | NA | NA | 4.42 | 3.92 | 0.64 | NA | NA | 11.27 | 10.77 | 090 | |
| 27846 | A | Treat ankle dislocation | 9.79 | NA | NA | 9.17 | 9.21 | 0.96 | NA | NA | 19.92 | 19.96 | 090 | |
| 27848 | A | Treat ankle dislocation | 11.20 | NA | NA | 10.48 | 10.13 | 1.15 | NA | NA | 22.83 | 22.48 | 090 | |
| 27860 | A | Fixation of ankle joint | 2.34 | NA | NA | 3.05 | 2.67 | 0.23 | NA | NA | 5.62 | 5.24 | 010 | |
| 27870 | A | Fusion of ankle joint | 13.91 | NA | NA | 12.27 | 12.82 | 1.40 | NA | NA | 27.58 | 28.13 | 090 | |
| 27871 | A | Fusion of tibiofibular joint | 9.17 | NA | NA | 9.43 | 9.19 | 0.92 | NA | NA | 19.52 | 19.28 | 090 | |
| 27880 | A | Amputation of lower leg | 11.85 | NA | NA | 10.61 | 10.23 | 1.27 | NA | NA | 23.73 | 23.35 | 090 | |
| 27881 | A | Amputation of lower leg | 12.34 | NA | NA | 11.70 | 11.71 | 1.31 | NA | NA | 25.35 | 25.36 | 090 | |
| 27882 | A | Amputation of lower leg | 8.94 | NA | NA | 11.10 | 10.32 | 0.98 | NA | NA | 21.02 | 20.24 | 090 | |
| 27884 | A | Amputation follow-up surgery | 8.21 | NA | NA | 9.64 | 8.15 | 0.89 | NA | NA | 18.74 | 17.25 | 090 | |
| 27886 | A | Amputation follow-up surgery | 9.32 | NA | NA | 9.71 | 9.23 | 1.01 | NA | NA | 20.04 | 19.56 | 090 | |
| 27888 | A | Amputation of foot at ankle | 9.67 | NA | NA | 9.73 | 9.87 | 1.01 | NA | NA | 20.41 | 20.55 | 090 | |
| 27889 | A | Amputation of foot at ankle | 9.98 | NA | NA | 8.85 | 8.93 | 1.10 | NA | NA | 19.93 | 20.01 | 090 | |
| 27892 | A | Decompression of leg | 7.39 | NA | NA | 7.49 | 6.54 | 0.80 | NA | NA | 15.68 | 14.73 | 090 | |
| 27893 | A | Decompression of leg | 7.35 | NA | NA | 6.92 | 6.11 | 0.69 | NA | NA | 14.96 | 14.15 | 090 | |
| 27894 | A | Decompression of leg | 10.49 | NA | NA | 8.68 | 7.61 | 1.12 | NA | NA | 20.29 | 19.22 | 090 | |
| 27899 | C | Leg/ankle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 28001 | A | Drainage of bursa of foot | 2.73 | 4.44 | 3.47 | 2.80 | 2.24 | 0.18 | 7.35 | 6.38 | 5.71 | 5.15 | 010 | |
| 28002 | A | Treatment of foot infection | 4.62 | 5.68 | 4.87 | 3.86 | 3.51 | 0.37 | 10.67 | 9.86 | 8.85 | 8.50 | 010 | |
| 28003 | A | Treatment of foot infection | 8.41 | 8.93 | 7.65 | 8.93 | 7.65 | 0.66 | 18.00 | 16.72 | 18.00 | 16.72 | 090 | |
| 28005 | A | Treat foot bone lesion | 8.68 | NA | NA | 9.06 | 7.90 | 0.74 | NA | NA | 18.48 | 17.32 | 090 | |
| 28008 | A | Incision of foot fascia | 4.45 | 6.25 | 5.42 | 5.32 | 4.72 | 0.31 | 11.01 | 10.18 | 10.08 | 9.48 | 090 | |
| 28010 | A | Incision of toe tendon | 2.84 | 5.83 | 5.36 | 4.08 | 4.04 | 0.19 | 8.86 | 8.39 | 7.11 | 7.07 | 090 | |
| 28011 | A | Incision of toe tendons | 4.14 | 7.19 | 5.87 | 5.81 | 4.84 | 0.33 | 11.66 | 10.34 | 10.28 | 9.31 | 090 | |
| 28020 | A | Exploration of foot joint | 5.01 | 7.63 | 6.92 | 5.57 | 5.37 | 0.41 | 13.05 | 12.34 | 10.99 | 10.79 | 090 | |
| 28022 | A | Exploration of foot joint | 4.67 | 6.36 | 5.51 | 5.09 | 4.56 | 0.35 | 11.38 | 10.53 | 10.11 | 9.58 | 090 | |
| 28024 | A | Exploration of toe joint | 4.38 | 6.15 | 5.26 | 4.94 | 4.35 | 0.32 | 10.85 | 9.96 | 9.64 | 9.05 | 090 | |
| 28030 | A | Removal of foot nerve | 6.15 | NA | NA | 3.22 | 3.48 | 0.42 | NA | NA | 9.79 | 10.05 | 090 | |
| 28035 | A | Decompression of tibia nerve | 5.09 | 6.67 | 6.68 | 4.89 | 5.35 | 0.42 | 12.18 | 12.19 | 10.40 | 10.86 | 090 | |
| 28043 | A | Excision of foot lesion | 3.54 | 5.87 | 4.87 | 4.26 | 3.67 | 0.27 | 9.68 | 8.68 | 8.07 | 7.48 | 090 | |
| 28045 | A | Excision of foot lesion | 4.72 | 6.46 | 5.93 | 4.88 | 4.74 | 0.36 | 11.54 | 11.01 | 9.96 | 9.82 | 090 | |
| 28046 | A | Resection of tumor, foot | 10.18 | 9.50 | 8.58 | 9.50 | 8.58 | 0.82 | 20.50 | 19.58 | 20.50 | 19.58 | 090 | |
| 28050 | A | Biopsy of foot joint lining | 4.25 | 5.67 | 5.30 | 4.71 | 4.58 | 0.33 | 10.25 | 9.88 | 9.29 | 9.16 | 090 | |
| 28052 | A | Biopsy of foot joint lining | 3.94 | 5.86 | 5.43 | 5.04 | 4.82 | 0.32 | 10.12 | 9.69 | 9.30 | 9.08 | 090 | |
| 28054 | A | Biopsy of toe joint lining | 3.45 | 5.92 | 5.05 | 5.53 | 4.76 | 0.29 | 9.66 | 8.79 | 9.27 | 8.50 | 090 | |
| 28060 | A | Partial removal, foot fascia | 5.23 | 6.92 | 6.34 | 5.56 | 5.32 | 0.38 | 12.53 | 11.95 | 11.17 | 10.93 | 090 | |
| 28062 | A | Removal of foot fascia | 6.52 | 8.48 | 8.28 | 5.39 | 5.96 | 0.45 | 15.45 | 15.25 | 12.36 | 12.93 | 090 | |
| 28070 | A | Removal of foot joint lining | 5.10 | 6.01 | 5.72 | 5.15 | 5.08 | 0.37 | 11.48 | 11.19 | 10.62 | 10.55 | 090 | |
| 28072 | A | Removal of foot joint lining | 4.58 | 6.92 | 6.06 | 5.78 | 5.21 | 0.41 | 11.91 | 11.05 | 10.77 | 10.20 | 090 | |
| 28080 | A | Removal of foot lesion | 3.58 | 5.96 | 5.58 | 4.51 | 4.49 | 0.26 | 9.80 | 9.42 | 8.35 | 8.33 | 090 | |
| 28086 | A | Excise foot tendon sheath | 4.78 | 8.96 | 7.57 | 6.38 | 5.63 | 0.47 | 14.21 | 12.82 | 11.63 | 10.88 | 090 | |
| 28088 | A | Excise foot tendon sheath | 3.86 | 6.57 | 5.91 | 5.66 | 5.23 | 0.35 | 10.78 | 10.12 | 9.87 | 9.44 | 090 | |
| 28090 | A | Removal of foot lesion | 4.41 | 6.26 | 5.52 | 4.67 | 4.32 | 0.32 | 10.99 | 10.25 | 9.40 | 9.05 | 090 | |
| 28092 | A | Removal of toe lesions | 3.64 | 6.95 | 5.76 | 5.01 | 4.31 | 0.28 | 10.87 | 9.68 | 8.93 | 8.23 | 090 | |
| 28100 | A | Removal of ankle/heel lesion | 5.66 | 8.94 | 7.95 | 6.41 | 6.05 | 0.49 | 15.09 | 14.10 | 12.56 | 12.20 | 090 | |
| 28102 | A | Remove/graft foot lesion | 7.73 | NA | NA | 7.70 | 7.63 | 0.72 | NA | NA | 16.15 | 16.08 | 090 | |
| 28103 | A | Remove/graft foot lesion | 6.50 | 13.01 | 11.28 | 5.70 | 5.80 | 0.52 | 20.03 | 18.30 | 12.72 | 12.82 | 090 | |
| 28104 | A | Removal of foot lesion | 5.12 | 6.78 | 6.26 | 5.75 | 5.49 | 0.38 | 12.28 | 11.76 | 11.25 | 10.99 | 090 | |
| 28106 | A | Remove/graft foot lesion | 7.16 | NA | NA | 5.96 | 6.21 | 0.53 | NA | NA | 13.65 | 13.90 | 090 | |
| 28107 | A | Remove/graft foot lesion | 5.56 | 6.52 | 6.21 | 6.03 | 5.84 | 0.40 | 12.48 | 12.17 | 11.99 | 11.80 | 090 | |
| 28108 | A | Removal of toe lesions | 4.16 | 5.74 | 5.45 | 4.42 | 4.46 | 0.28 | 10.18 | 9.89 | 8.86 | 8.90 | 090 | |
| 28110 | A | Part removal of metatarsal | 4.08 | 6.83 | 6.07 | 5.66 | 5.19 | 0.31 | 11.22 | 10.46 | 10.05 | 9.58 | 090 | |
| 28111 | A | Part removal of metatarsal | 5.01 | 8.32 | 7.61 | 6.41 | 6.18 | 0.42 | 13.75 | 13.04 | 11.84 | 11.61 | 090 | |
| 28112 | A | Part removal of metatarsal | 4.49 | 7.09 | 6.39 | 6.11 | 5.66 | 0.35 | 11.93 | 11.23 | 10.95 | 10.50 | 090 | |
| 28113 | A | Part removal of metatarsal | 4.79 | 7.03 | 6.48 | 5.93 | 5.65 | 0.36 | 12.18 | 11.63 | 11.08 | 10.80 | 090 | |
| 28114 | A | Removal of metatarsal heads | 9.79 | 9.64 | 9.72 | 9.27 | 9.44 | 0.82 | 20.25 | 20.33 | 19.88 | 20.05 | 090 | |
| 28116 | A | Revision of foot | 7.75 | 7.07 | 6.79 | 5.89 | 5.91 | 0.56 | 15.38 | 15.10 | 14.20 | 14.22 | 090 | |
| 28118 | A | Removal of heel bone | 5.96 | 6.95 | 6.76 | 5.99 | 6.04 | 0.48 | 13.39 | 13.20 | 12.43 | 12.48 | 090 | |
| 28119 | A | Removal of heel spur | 5.39 | 6.61 | 6.43 | 5.11 | 5.31 | 0.37 | 12.37 | 12.19 | 10.87 | 11.07 | 090 | |
| 28120 | A | Part removal of ankle/heel | 5.40 | 10.73 | 9.42 | 8.00 | 7.37 | 0.47 | 16.60 | 15.29 | 13.87 | 13.24 | 090 | |
| 28122 | A | Partial removal of foot bone | 7.29 | 8.78 | 7.80 | 7.92 | 7.16 | 0.56 | 16.63 | 15.65 | 15.77 | 15.01 | 090 | |
| 28124 | A | Partial removal of toe | 4.81 | 7.35 | 6.63 | 6.29 | 5.83 | 0.32 | 12.48 | 11.76 | 11.42 | 10.96 | 090 | |
| 28126 | A | Partial removal of toe | 3.52 | 6.27 | 5.78 | 5.70 | 5.36 | 0.24 | 10.03 | 9.54 | 9.46 | 9.12 | 090 | |
| 28130 | A | Removal of ankle bone | 8.11 | NA | NA | 7.88 | 7.82 | 0.75 | NA | NA | 16.74 | 16.68 | 090 | |
| 28140 | A | Removal of metatarsal | 6.91 | 7.66 | 7.08 | 6.70 | 6.36 | 0.59 | 15.16 | 14.58 | 14.20 | 13.86 | 090 | |
| 28150 | A | Removal of toe | 4.09 | 6.78 | 5.98 | 5.87 | 5.30 | 0.32 | 11.19 | 10.39 | 10.28 | 9.71 | 090 | |
| 28153 | A | Partial removal of toe | 3.66 | 6.30 | 5.81 | 4.54 | 4.49 | 0.24 | 10.20 | 9.71 | 8.44 | 8.39 | 090 | |
| 28160 | A | Partial removal of toe | 3.74 | 6.47 | 5.97 | 5.95 | 5.58 | 0.27 | 10.48 | 9.98 | 9.96 | 9.59 | 090 | |
| 28171 | A | Extensive foot surgery | 9.60 | NA | NA | 6.92 | 7.36 | 0.62 | NA | NA | 17.14 | 17.58 | 090 | |
| 28173 | A | Extensive foot surgery | 8.80 | 9.04 | 8.34 | 7.65 | 7.30 | 0.71 | 18.55 | 17.85 | 17.16 | 16.81 | 090 | |
| 28175 | A | Extensive foot surgery | 6.05 | 7.41 | 7.02 | 5.84 | 5.84 | 0.41 | 13.87 | 13.48 | 12.30 | 12.30 | 090 | |
| 28190 | A | Removal of foot foreign body | 1.96 | 5.06 | 3.94 | 2.52 | 2.03 | 0.13 | 7.15 | 6.03 | 4.61 | 4.12 | 010 | |
| 28192 | A | Removal of foot foreign body | 4.64 | 6.70 | 5.56 | 4.66 | 4.03 | 0.36 | 11.70 | 10.56 | 9.66 | 9.03 | 090 | |
| 28193 | A | Removal of foot foreign body | 5.73 | 6.90 | 5.82 | 5.51 | 4.78 | 0.42 | 13.05 | 11.97 | 11.66 | 10.93 | 090 | |
| 28200 | A | Repair of foot tendon | 4.60 | 6.57 | 6.30 | 5.38 | 5.41 | 0.33 | 11.50 | 11.23 | 10.31 | 10.34 | 090 | |
| 28202 | A | Repair/graft of foot tendon | 6.84 | 7.03 | 6.85 | 5.91 | 6.01 | 0.53 | 14.40 | 14.22 | 13.28 | 13.38 | 090 | |
| 28208 | A | Repair of foot tendon | 4.37 | 6.29 | 5.48 | 4.84 | 4.39 | 0.31 | 10.97 | 10.16 | 9.52 | 9.07 | 090 | |
| 28210 | A | Repair/graft of foot tendon | 6.35 | 8.04 | 7.55 | 5.64 | 5.75 | 0.46 | 14.85 | 14.36 | 12.45 | 12.56 | 090 | |
| 28220 | A | Release of foot tendon | 4.53 | 6.13 | 5.65 | 5.12 | 4.89 | 0.30 | 10.96 | 10.48 | 9.95 | 9.72 | 090 | |
| 28222 | A | Release of foot tendons | 5.62 | 6.54 | 6.64 | 6.05 | 6.28 | 0.36 | 12.52 | 12.62 | 12.03 | 12.26 | 090 | |
| 28225 | A | Release of foot tendon | 3.66 | 5.90 | 5.07 | 4.71 | 4.18 | 0.25 | 9.81 | 8.98 | 8.62 | 8.09 | 090 | |
| 28226 | A | Release of foot tendons | 4.53 | 6.11 | 5.50 | 5.33 | 4.92 | 0.33 | 10.97 | 10.36 | 10.19 | 9.78 | 090 | |
| 28230 | A | Incision of foot tendon(s) | 4.24 | 6.24 | 5.34 | 5.64 | 4.89 | 0.31 | 10.79 | 9.89 | 10.19 | 9.44 | 090 | |
| 28232 | A | Incision of toe tendon | 3.39 | 6.44 | 5.27 | 5.38 | 4.47 | 0.25 | 10.08 | 8.91 | 9.02 | 8.11 | 090 | |
| 28234 | A | Incision of foot tendon | 3.37 | 6.52 | 5.31 | 4.80 | 4.02 | 0.24 | 10.13 | 8.92 | 8.41 | 7.63 | 090 | |
| 28238 | A | Revision of foot tendon | 7.73 | 7.38 | 7.50 | 6.40 | 6.76 | 0.56 | 15.67 | 15.79 | 14.69 | 15.05 | 090 | |
| 28240 | A | Release of big toe | 4.36 | 6.09 | 5.15 | 5.29 | 4.55 | 0.32 | 10.77 | 9.83 | 9.97 | 9.23 | 090 | |
| 28250 | A | Revision of foot fascia | 5.92 | 7.01 | 6.47 | 6.17 | 5.84 | 0.42 | 13.35 | 12.81 | 12.51 | 12.18 | 090 | |
| 28260 | A | Release of midfoot joint | 7.96 | 7.47 | 6.81 | 6.37 | 5.98 | 0.57 | 16.00 | 15.34 | 14.90 | 14.51 | 090 | |
| 28261 | A | Revision of foot tendon | 11.73 | 9.37 | 8.63 | 8.39 | 7.90 | 0.84 | 21.94 | 21.20 | 20.96 | 20.47 | 090 | |
| 28262 | A | Revision of foot and ankle | 15.83 | 15.10 | 14.56 | 13.41 | 13.29 | 1.48 | 32.41 | 31.87 | 30.72 | 30.60 | 090 | |
| 28264 | A | Release of midfoot joint | 10.35 | 8.87 | 9.25 | 8.87 | 9.25 | 0.86 | 20.08 | 20.46 | 20.08 | 20.46 | 090 | |
| 28270 | A | Release of foot contracture | 4.76 | 6.73 | 5.76 | 6.01 | 5.22 | 0.32 | 11.81 | 10.84 | 11.09 | 10.30 | 090 | |
| 28272 | A | Release of toe joint, each | 3.80 | 5.84 | 4.93 | 4.49 | 3.92 | 0.24 | 9.88 | 8.97 | 8.53 | 7.96 | 090 | |
| 28280 | A | Fusion of toes | 5.19 | 6.73 | 5.65 | 5.93 | 5.05 | 0.45 | 12.37 | 11.29 | 11.57 | 10.69 | 090 | |
| 28285 | A | Repair of hammertoe | 4.59 | 6.72 | 6.23 | 5.48 | 5.30 | 0.32 | 11.63 | 11.14 | 10.39 | 10.21 | 090 | |
| 28286 | A | Repair of hammertoe | 4.56 | 6.64 | 5.95 | 5.30 | 4.95 | 0.32 | 11.52 | 10.83 | 10.18 | 9.83 | 090 | |
| 28288 | A | Partial removal of foot bone | 4.74 | 6.58 | 5.95 | 6.58 | 5.95 | 0.38 | 11.70 | 11.07 | 11.70 | 11.07 | 090 | |
| 28289 | A | Repair hallux rigidus | 7.04 | 8.05 | 8.05 | 7.23 | 7.23 | 0.55 | 15.64 | 15.64 | 14.82 | 14.82 | 090 | |
| 28290 | A | Correction of bunion | 5.66 | 7.57 | 7.13 | 7.47 | 7.06 | 0.46 | 13.69 | 13.25 | 13.59 | 13.18 | 090 | |
| 28292 | A | Correction of bunion | 7.04 | 7.75 | 7.73 | 6.41 | 6.72 | 0.50 | 15.29 | 15.27 | 13.95 | 14.26 | 090 | |
| 28293 | A | Correction of bunion | 9.15 | 8.84 | 9.22 | 6.78 | 7.68 | 0.61 | 18.60 | 18.98 | 16.54 | 17.44 | 090 | |
| 28294 | A | Correction of bunion | 8.56 | 8.28 | 8.70 | 6.60 | 7.44 | 0.55 | 17.39 | 17.81 | 15.71 | 16.55 | 090 | |
| 28296 | A | Correction of bunion | 9.18 | 8.83 | 9.01 | 7.42 | 7.96 | 0.66 | 18.67 | 18.85 | 17.26 | 17.80 | 090 | |
| 28297 | A | Correction of bunion | 9.18 | 8.75 | 9.01 | 8.75 | 9.01 | 0.74 | 18.67 | 18.93 | 18.67 | 18.93 | 090 | |
| 28298 | A | Correction of bunion | 7.94 | 8.15 | 8.48 | 7.09 | 7.69 | 0.54 | 16.63 | 16.96 | 15.57 | 16.17 | 090 | |
| 28299 | A | Correction of bunion | 8.88 | 8.35 | 8.91 | 7.05 | 7.94 | 0.61 | 17.84 | 18.40 | 16.54 | 17.43 | 090 | |
| 28300 | A | Incision of heel bone | 9.54 | 9.20 | 8.67 | 8.19 | 7.91 | 0.87 | 19.61 | 19.08 | 18.60 | 18.32 | 090 | |
| 28302 | A | Incision of ankle bone | 9.55 | 12.77 | 11.99 | 8.55 | 8.83 | 0.78 | 23.10 | 22.32 | 18.88 | 19.16 | 090 | |
| 28304 | A | Incision of midfoot bones | 9.16 | 8.77 | 8.33 | 7.06 | 7.04 | 0.68 | 18.61 | 18.17 | 16.90 | 16.88 | 090 | |
| 28305 | A | Incise/graft midfoot bones | 10.50 | 13.32 | 12.66 | 9.03 | 9.45 | 0.61 | 24.43 | 23.77 | 20.14 | 20.56 | 090 | |
| 28306 | A | Incision of metatarsal | 5.86 | 6.76 | 6.31 | 5.35 | 5.25 | 0.45 | 13.07 | 12.62 | 11.66 | 11.56 | 090 | |
| 28307 | A | Incision of metatarsal | 6.33 | 7.90 | 7.52 | 7.43 | 7.17 | 0.51 | 14.74 | 14.36 | 14.27 | 14.01 | 090 | |
| 28308 | A | Incision of metatarsal | 5.29 | 6.16 | 6.17 | 4.45 | 4.89 | 0.35 | 11.80 | 11.81 | 10.09 | 10.53 | 090 | |
| 28309 | A | Incision of metatarsals | 12.78 | NA | NA | 9.49 | 8.98 | 0.99 | NA | NA | 23.26 | 22.75 | 090 | |
| 28310 | A | Revision of big toe | 5.43 | 7.09 | 6.45 | 5.65 | 5.37 | 0.37 | 12.89 | 12.25 | 11.45 | 11.17 | 090 | |
| 28312 | A | Revision of toe | 4.55 | 6.86 | 6.38 | 6.10 | 5.81 | 0.33 | 11.74 | 11.26 | 10.98 | 10.69 | 090 | |
| 28313 | A | Repair deformity of toe | 5.01 | 7.38 | 6.23 | 7.38 | 6.23 | 0.45 | 12.84 | 11.69 | 12.84 | 11.69 | 090 | |
| 28315 | A | Removal of sesamoid bone | 4.86 | 6.23 | 5.82 | 4.73 | 4.70 | 0.33 | 11.42 | 11.01 | 9.92 | 9.89 | 090 | |
| 28320 | A | Repair of foot bones | 9.18 | NA | NA | 8.07 | 8.41 | 0.82 | NA | NA | 18.07 | 18.41 | 090 | |
| 28322 | A | Repair of metatarsals | 8.34 | 7.30 | 6.74 | 7.24 | 6.70 | 0.74 | 16.38 | 15.82 | 16.32 | 15.78 | 090 | |
| 28340 | A | Resect enlarged toe tissue | 6.98 | 7.81 | 7.58 | 5.73 | 6.02 | 0.52 | 15.31 | 15.08 | 13.23 | 13.52 | 090 | |
| 28341 | A | Resect enlarged toe | 8.41 | 8.27 | 8.28 | 6.18 | 6.71 | 0.55 | 17.23 | 17.24 | 15.14 | 15.67 | 090 | |
| 28344 | A | Repair extra toe(s) | 4.26 | 5.68 | 5.27 | 5.15 | 4.87 | 0.38 | 10.32 | 9.91 | 9.79 | 9.51 | 090 | |
| 28345 | A | Repair webbed toe(s) | 5.92 | 6.98 | 6.69 | 6.46 | 6.30 | 0.48 | 13.38 | 13.09 | 12.86 | 12.70 | 090 | |
| 28360 | A | Reconstruct cleft foot | 13.34 | NA | NA | 12.26 | 12.43 | 1.39 | NA | NA | 26.99 | 27.16 | 090 | |
| 28400 | A | Treatment of heel fracture | 2.16 | 5.13 | 4.55 | 3.91 | 3.63 | 0.21 | 7.50 | 6.92 | 6.28 | 6.00 | 090 | |
| 28405 | A | Treatment of heel fracture | 4.57 | 5.88 | 5.47 | 5.33 | 5.06 | 0.44 | 10.89 | 10.48 | 10.34 | 10.07 | 090 | |
| 28406 | A | Treatment of heel fracture | 6.31 | NA | NA | 7.65 | 7.39 | 0.65 | NA | NA | 14.61 | 14.35 | 090 | |
| 28415 | A | Treat heel fracture | 15.97 | NA | NA | 13.83 | 12.82 | 1.58 | NA | NA | 31.38 | 30.37 | 090 | |
| 28420 | A | Treat/graft heel fracture | 16.64 | NA | NA | 14.33 | 13.70 | 1.67 | NA | NA | 32.64 | 32.01 | 090 | |
| 28430 | A | Treatment of ankle fracture | 2.09 | 4.67 | 4.17 | 3.30 | 3.14 | 0.20 | 6.96 | 6.46 | 5.59 | 5.43 | 090 | |
| 28435 | A | Treatment of ankle fracture | 3.40 | 5.18 | 4.80 | 4.24 | 4.09 | 0.31 | 8.89 | 8.51 | 7.95 | 7.80 | 090 | |
| 28436 | A | Treatment of ankle fracture | 4.71 | NA | NA | 6.25 | 5.83 | 0.50 | NA | NA | 11.46 | 11.04 | 090 | |
| 28445 | A | Treat ankle fracture | 9.33 | NA | NA | 9.36 | 9.41 | 0.90 | NA | NA | 19.59 | 19.64 | 090 | |
| 28450 | A | Treat midfoot fracture, each | 1.90 | 4.55 | 3.92 | 3.18 | 2.89 | 0.18 | 6.63 | 6.00 | 5.26 | 4.97 | 090 | |
| 28455 | A | Treat midfoot fracture, each | 3.09 | 4.22 | 3.86 | 4.11 | 3.77 | 0.25 | 7.56 | 7.20 | 7.45 | 7.11 | 090 | |
| 28456 | A | Treat midfoot fracture | 2.68 | NA | NA | 4.98 | 4.35 | 0.26 | NA | NA | 7.92 | 7.29 | 090 | |
| 28465 | A | Treat midfoot fracture, each | 7.01 | NA | NA | 7.40 | 7.05 | 0.65 | NA | NA | 15.06 | 14.71 | 090 | |
| 28470 | A | Treat metatarsal fracture | 1.99 | 4.00 | 3.49 | 2.69 | 2.51 | 0.19 | 6.18 | 5.67 | 4.87 | 4.69 | 090 | |
| 28475 | A | Treat metatarsal fracture | 2.97 | 4.48 | 4.00 | 3.93 | 3.58 | 0.26 | 7.71 | 7.23 | 7.16 | 6.81 | 090 | |
| 28476 | A | Treat metatarsal fracture | 3.38 | NA | NA | 5.64 | 5.15 | 0.32 | NA | NA | 9.34 | 8.85 | 090 | |
| 28485 | A | Treat metatarsal fracture | 5.71 | NA | NA | 6.80 | 6.37 | 0.48 | NA | NA | 12.99 | 12.56 | 090 | |
| 28490 | A | Treat big toe fracture | 1.09 | 2.18 | 1.88 | 1.53 | 1.39 | 0.10 | 3.37 | 3.07 | 2.72 | 2.58 | 090 | |
| 28495 | A | Treat big toe fracture | 1.58 | 2.24 | 1.99 | 1.74 | 1.61 | 0.12 | 3.94 | 3.69 | 3.44 | 3.31 | 090 | |
| 28496 | A | Treat big toe fracture | 2.33 | 7.03 | 5.84 | 4.40 | 3.86 | 0.23 | 9.59 | 8.40 | 6.96 | 6.42 | 090 | |
| 28505 | A | Treat big toe fracture | 3.81 | 9.21 | 7.72 | 5.77 | 5.14 | 0.34 | 13.36 | 11.87 | 9.92 | 9.29 | 090 | |
| 28510 | A | Treatment of toe fracture | 1.09 | 1.93 | 1.69 | 1.46 | 1.34 | 0.09 | 3.11 | 2.87 | 2.64 | 2.52 | 090 | |
| 28515 | A | Treatment of toe fracture | 1.46 | 2.13 | 1.90 | 1.66 | 1.55 | 0.11 | 3.70 | 3.47 | 3.23 | 3.12 | 090 | |
| 28525 | A | Treat toe fracture | 3.32 | 8.37 | 6.84 | 5.44 | 4.64 | 0.30 | 11.99 | 10.46 | 9.06 | 8.26 | 090 | |
| 28530 | A | Treat sesamoid bone fracture | 1.06 | 2.75 | 2.34 | 2.31 | 2.01 | 0.08 | 3.89 | 3.48 | 3.45 | 3.15 | 090 | |
| 28531 | A | Treat sesamoid bone fracture | 2.35 | 8.01 | 6.53 | 3.15 | 2.88 | 0.17 | 10.53 | 9.05 | 5.67 | 5.40 | 090 | |
| 28540 | A | Treat foot dislocation | 2.04 | 3.30 | 2.64 | 3.27 | 2.62 | 0.15 | 5.49 | 4.83 | 5.46 | 4.81 | 090 | |
| 28545 | A | Treat foot dislocation | 2.45 | 3.17 | 2.73 | 3.17 | 2.73 | 0.22 | 5.84 | 5.40 | 5.84 | 5.40 | 090 | |
| 28546 | A | Treat foot dislocation | 3.20 | 4.91 | 4.43 | 4.91 | 4.43 | 0.30 | 8.41 | 7.93 | 8.41 | 7.93 | 090 | |
| 28555 | A | Repair foot dislocation | 6.30 | 6.33 | 6.26 | 6.33 | 6.26 | 0.59 | 13.22 | 13.15 | 13.22 | 13.15 | 090 | |
| 28570 | A | Treat foot dislocation | 1.66 | 3.68 | 3.19 | 3.32 | 2.92 | 0.14 | 5.48 | 4.99 | 5.12 | 4.72 | 090 | |
| 28575 | A | Treat foot dislocation | 3.31 | 3.36 | 3.27 | 3.36 | 3.27 | 0.32 | 6.99 | 6.90 | 6.99 | 6.90 | 090 | |
| 28576 | A | Treat foot dislocation | 4.17 | 5.30 | 4.73 | 5.30 | 4.73 | 0.41 | 9.88 | 9.31 | 9.88 | 9.31 | 090 | |
| 28585 | A | Repair foot dislocation | 7.99 | 8.58 | 7.78 | 7.12 | 6.69 | 0.71 | 17.28 | 16.48 | 15.82 | 15.39 | 090 | |
| 28600 | A | Treat foot dislocation | 1.89 | 4.01 | 3.19 | 3.52 | 2.83 | 0.16 | 6.06 | 5.24 | 5.57 | 4.88 | 090 | |
| 28605 | A | Treat foot dislocation | 2.71 | 4.63 | 4.09 | 3.98 | 3.60 | 0.26 | 7.60 | 7.06 | 6.95 | 6.57 | 090 | |
| 28606 | A | Treat foot dislocation | 4.90 | 14.59 | 11.89 | 6.15 | 5.56 | 0.50 | 19.99 | 17.29 | 11.55 | 10.96 | 090 | |
| 28615 | A | Repair foot dislocation | 7.77 | NA | NA | 8.27 | 7.55 | 0.77 | NA | NA | 16.81 | 16.09 | 090 | |
| 28630 | A | Treat toe dislocation | 1.70 | 1.84 | 1.66 | 1.76 | 1.60 | 0.14 | 3.68 | 3.50 | 3.60 | 3.44 | 010 | |
| 28635 | A | Treat toe dislocation | 1.91 | 2.15 | 2.01 | 2.15 | 2.01 | 0.15 | 4.21 | 4.07 | 4.21 | 4.07 | 010 | |
| 28636 | A | Treat toe dislocation | 2.77 | 5.54 | 4.85 | 2.57 | 2.62 | 0.26 | 8.57 | 7.88 | 5.60 | 5.65 | 010 | |
| 28645 | A | Repair toe dislocation | 4.22 | 5.25 | 4.82 | 3.81 | 3.74 | 0.31 | 9.78 | 9.35 | 8.34 | 8.27 | 090 | |
| 28660 | A | Treat toe dislocation | 1.23 | 2.48 | 2.03 | 1.70 | 1.45 | 0.11 | 3.82 | 3.37 | 3.04 | 2.79 | 010 | |
| 28665 | A | Treat toe dislocation | 1.92 | 2.21 | 1.92 | 2.21 | 1.92 | 0.14 | 4.27 | 3.98 | 4.27 | 3.98 | 010 | |
| 28666 | A | Treat toe dislocation | 2.66 | 8.41 | 6.97 | 2.58 | 2.60 | 0.26 | 11.33 | 9.89 | 5.50 | 5.52 | 010 | |
| 28675 | A | Repair of toe dislocation | 2.92 | 6.74 | 5.87 | 4.12 | 3.91 | 0.28 | 9.94 | 9.07 | 7.32 | 7.11 | 090 | |
| 28705 | A | Fusion of foot bones | 15.21 | NA | NA | 11.91 | 13.03 | 1.40 | NA | NA | 28.52 | 29.64 | 090 | |
| 28715 | A | Fusion of foot bones | 13.10 | NA | NA | 11.12 | 11.69 | 1.28 | NA | NA | 25.50 | 26.07 | 090 | |
| 28725 | A | Fusion of foot bones | 11.61 | NA | NA | 10.22 | 10.23 | 1.06 | NA | NA | 22.89 | 22.90 | 090 | |
| 28730 | A | Fusion of foot bones | 10.76 | NA | NA | 9.42 | 9.51 | 0.01 | NA | NA | 20.19 | 20.28 | 090 | |
| 28735 | A | Fusion of foot bones | 10.85 | NA | NA | 9.22 | 9.56 | 0.96 | NA | NA | 21.03 | 21.37 | 090 | |
| 28737 | A | Revision of foot bones | 9.64 | NA | NA | 8.25 | 8.60 | 0.86 | NA | NA | 18.75 | 19.10 | 090 | |
| 28740 | A | Fusion of foot bones | 8.02 | 10.13 | 8.99 | 7.76 | 7.22 | 0.70 | 18.85 | 17.71 | 16.48 | 15.94 | 090 | |
| 28750 | A | Fusion of big toe joint | 7.30 | 10.13 | 9.04 | 8.01 | 7.45 | 0.70 | 18.13 | 17.04 | 16.01 | 15.45 | 090 | |
| 28755 | A | Fusion of big toe joint | 4.74 | 7.26 | 6.45 | 5.46 | 5.10 | 0.38 | 12.38 | 11.57 | 10.58 | 10.22 | 090 | |
| 28760 | A | Fusion of big toe joint | 7.75 | 7.39 | 7.01 | 6.62 | 6.43 | 0.59 | 15.73 | 15.35 | 14.96 | 14.77 | 090 | |
| 28800 | A | Amputation of midfoot | 8.21 | NA | NA | 8.02 | 7.82 | 0.82 | NA | NA | 17.05 | 16.85 | 090 | |
| 28805 | A | Amputation thru metatarsal | 8.39 | NA | NA | 7.92 | 7.66 | 0.89 | NA | NA | 17.20 | 16.94 | 090 | |
| 28810 | A | Amputation toe metatarsal | 6.21 | NA | NA | 6.82 | 6.18 | 0.65 | NA | NA | 13.68 | 13.04 | 090 | |
| 28820 | A | Amputation of toe | 4.41 | 8.78 | 7.29 | 6.11 | 5.28 | 0.44 | 13.63 | 12.14 | 10.96 | 10.13 | 090 | |
| 28825 | A | Partial amputation of toe | 3.59 | 8.11 | 6.73 | 5.74 | 4.96 | 0.35 | 12.05 | 10.67 | 9.68 | 8.90 | 090 | |
| 28899 | C | Foot/toes surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29000 | A | Application of body cast | 2.25 | 2.42 | 2.32 | 1.26 | 1.45 | 0.34 | 5.01 | 4.91 | 3.85 | 4.04 | 000 | |
| 29010 | A | Application of body cast | 2.06 | 2.14 | 2.24 | 1.24 | 1.56 | 0.26 | 4.46 | 4.56 | 3.56 | 3.88 | 000 | |
| 29015 | A | Application of body cast | 2.41 | 2.85 | 2.77 | 1.18 | 1.52 | 0.14 | 5.40 | 5.32 | 3.73 | 4.07 | 000 | |
| 29020 | A | Application of body cast | 2.11 | 2.55 | 2.41 | 1.03 | 1.27 | 0.12 | 4.78 | 4.64 | 3.26 | 3.50 | 000 | |
| 29025 | A | Application of body cast | 2.40 | 2.44 | 2.03 | 1.34 | 1.21 | 0.27 | 5.11 | 4.70 | 4.01 | 3.88 | 000 | |
| 29035 | A | Application of body cast | 1.77 | 2.33 | 2.28 | 0.95 | 1.24 | 0.19 | 4.29 | 4.24 | 2.91 | 3.20 | 000 | |
| 29040 | A | Application of body cast | 2.22 | 1.83 | 1.92 | 0.90 | 1.22 | 0.18 | 4.23 | 4.32 | 3.30 | 3.62 | 000 | |
| 29044 | A | Application of body cast | 2.12 | 2.53 | 2.47 | 1.30 | 1.54 | 0.23 | 4.88 | 4.82 | 3.65 | 3.89 | 000 | |
| 29046 | A | Application of body cast | 2.41 | 2.02 | 2.12 | 1.45 | 1.69 | 0.25 | 4.68 | 4.78 | 4.11 | 4.35 | 000 | |
| 29049 | A | Application of figure eight | 0.89 | 1.46 | 1.21 | 0.36 | 0.39 | 0.09 | 2.44 | 2.19 | 1.34 | 1.37 | 000 | |
| 29055 | A | Application of shoulder cast | 1.78 | 2.07 | 1.88 | 1.03 | 1.10 | 0.18 | 4.03 | 3.84 | 2.99 | 3.06 | 000 | |
| 29058 | A | Application of shoulder cast | 1.31 | 1.69 | 1.45 | 0.66 | 0.67 | 0.12 | 3.12 | 2.88 | 2.09 | 2.10 | 000 | |
| 29065 | A | Application of long arm cast | 0.87 | 1.20 | 1.12 | 0.52 | 0.61 | 0.09 | 2.16 | 2.08 | 1.48 | 1.57 | 000 | |
| 29075 | A | Application of forearm cast | 0.77 | 1.15 | 1.03 | 0.45 | 0.50 | 0.08 | 2.00 | 1.88 | 1.30 | 1.35 | 000 | |
| 29085 | A | Apply hand/wrist cast | 0.87 | 1.18 | 1.02 | 0.46 | 0.48 | 0.09 | 2.14 | 1.98 | 1.42 | 1.44 | 000 | |
| 29105 | A | Apply long arm splint | 0.87 | 1.19 | 1.03 | 0.37 | 0.41 | 0.09 | 2.15 | 1.99 | 1.33 | 1.37 | 000 | |
| 29125 | A | Apply forearm splint | 0.59 | 1.03 | 0.87 | 0.25 | 0.29 | 0.06 | 1.68 | 1.52 | 0.90 | 0.94 | 000 | |
| 29126 | A | Apply forearm splint | 0.77 | 1.46 | 1.20 | 0.38 | 0.39 | 0.07 | 2.30 | 2.04 | 1.22 | 1.23 | 000 | |
| 29130 | A | Application of finger splint | 0.50 | 0.79 | 0.64 | 0.22 | 0.21 | 0.05 | 1.34 | 1.19 | 0.77 | 0.76 | 000 | |
| 29131 | A | Application of finger splint | 0.55 | 1.30 | 1.08 | 0.33 | 0.35 | 0.05 | 1.90 | 1.68 | 0.93 | 0.95 | 000 | |
| 29200 | A | Strapping of chest | 0.65 | 0.99 | 0.82 | 0.25 | 0.26 | 0.06 | 1.70 | 1.53 | 0.96 | 0.97 | 000 | |
| 29220 | A | Strapping of low back | 0.64 | 0.90 | 0.78 | 0.33 | 0.35 | 0.05 | 1.59 | 1.47 | 1.02 | 1.04 | 000 | |
| 29240 | A | Strapping of shoulder | 0.71 | 1.09 | 0.89 | 0.27 | 0.28 | 0.07 | 1.87 | 1.67 | 1.05 | 1.06 | 000 | |
| 29260 | A | Strapping of elbow or wrist | 0.55 | 0.90 | 0.74 | 0.23 | 0.24 | 0.05 | 1.50 | 1.34 | 0.83 | 0.84 | 000 | |
| 29280 | A | Strapping of hand or finger | 0.51 | 0.98 | 0.79 | 0.22 | 0.22 | 0.05 | 1.54 | 1.35 | 0.78 | 0.78 | 000 | |
| 29305 | A | Application of hip cast | 2.03 | 2.25 | 2.20 | 1.23 | 1.43 | 0.21 | 4.49 | 4.44 | 3.47 | 3.67 | 000 | |
| 29325 | A | Application of hip casts | 2.32 | 2.10 | 2.10 | 1.35 | 1.54 | 0.24 | 4.66 | 4.66 | 3.91 | 4.10 | 000 | |
| 29345 | A | Application of long leg cast | 1.40 | 1.57 | 1.46 | 0.80 | 0.88 | 0.14 | 3.11 | 3.00 | 2.34 | 2.42 | 000 | |
| 29355 | A | Application of long leg cast | 1.53 | 1.58 | 1.48 | 0.85 | 0.94 | 0.15 | 3.26 | 3.16 | 2.53 | 2.62 | 000 | |
| 29358 | A | Apply long leg cast brace | 1.43 | 1.71 | 1.71 | 0.90 | 1.10 | 0.14 | 3.28 | 3.28 | 2.47 | 2.67 | 000 | |
| 29365 | A | Application of long leg cast | 1.18 | 1.42 | 1.30 | 0.69 | 0.75 | 0.12 | 2.72 | 2.60 | 1.99 | 2.05 | 000 | |
| 29405 | A | Apply short leg cast | 0.86 | 1.12 | 1.06 | 0.49 | 0.58 | 0.09 | 2.07 | 2.01 | 1.44 | 1.53 | 000 | |
| 29425 | A | Apply short leg cast | 1.01 | 1.10 | 1.09 | 0.55 | 0.68 | 0.10 | 2.21 | 2.20 | 1.66 | 1.79 | 000 | |
| 29435 | A | Apply short leg cast | 1.18 | 1.63 | 1.54 | 0.75 | 0.88 | 0.11 | 2.92 | 2.83 | 2.04 | 2.17 | 000 | |
| 29440 | A | Addition of walker to cast | 0.57 | 0.85 | 0.70 | 0.30 | 0.29 | 0.06 | 1.48 | 1.33 | 0.93 | 0.92 | 000 | |
| 29445 | A | Apply rigid leg cast | 1.78 | 1.85 | 1.85 | 0.85 | 1.10 | 0.16 | 3.79 | 3.79 | 2.79 | 3.04 | 000 | |
| 29450 | A | Application of leg cast | 1.02 | 1.06 | 0.90 | 0.54 | 0.51 | 0.08 | 2.16 | 2.00 | 1.64 | 1.61 | 000 | |
| 29505 | A | Application, long leg splint | 0.69 | 1.34 | 1.16 | 0.35 | 0.42 | 0.07 | 2.10 | 1.92 | 1.11 | 1.18 | 000 | |
| 29515 | A | Application lower leg splint | 0.73 | 1.01 | 0.89 | 0.35 | 0.39 | 0.06 | 1.80 | 1.68 | 1.14 | 1.18 | 000 | |
| 29520 | A | Strapping of hip | 0.54 | 1.06 | 0.89 | 0.36 | 0.37 | 0.03 | 1.63 | 1.46 | 0.93 | 0.94 | 000 | |
| 29530 | A | Strapping of knee | 0.57 | 0.97 | 0.82 | 0.24 | 0.28 | 0.05 | 1.59 | 1.44 | 0.86 | 0.90 | 000 | |
| 29540 | A | Strapping of ankle | 0.51 | 0.46 | 0.43 | 0.23 | 0.26 | 0.03 | 1.00 | 0.97 | 0.77 | 0.80 | 000 | |
| 29550 | A | Strapping of toes | 0.47 | 0.44 | 0.41 | 0.22 | 0.24 | 0.03 | 0.94 | 0.91 | 0.72 | 0.74 | 000 | |
| 29580 | A | Application of paste boot | 0.57 | 0.76 | 0.79 | 0.29 | 0.43 | 0.05 | 1.38 | 1.41 | 0.91 | 1.05 | 000 | |
| 29590 | A | Application of foot splint | 0.76 | 0.67 | 0.58 | 0.37 | 0.35 | 0.05 | 1.48 | 1.39 | 1.18 | 1.16 | 000 | |
| 29700 | A | Removal/revision of cast | 0.57 | 0.72 | 0.63 | 0.29 | 0.31 | 0.06 | 1.35 | 1.26 | 0.92 | 0.94 | 000 | |
| 29705 | A | Removal/revision of cast | 0.76 | 0.89 | 0.76 | 0.39 | 0.39 | 0.08 | 1.73 | 1.60 | 1.23 | 1.23 | 000 | |
| 29710 | A | Removal/revision of cast | 1.34 | 1.50 | 1.25 | 0.76 | 0.69 | 0.12 | 2.96 | 2.71 | 2.22 | 2.15 | 000 | |
| 29715 | A | Removal/revision of cast | 0.94 | 1.16 | 1.10 | 0.40 | 0.53 | 0.10 | 2.20 | 2.14 | 1.44 | 1.57 | 000 | |
| 29720 | A | Repair of body cast | 0.68 | 1.34 | 1.07 | 0.47 | 0.42 | 0.07 | 2.09 | 1.82 | 1.22 | 1.17 | 000 | |
| 29730 | A | Windowing of cast | 0.75 | 0.86 | 0.72 | 0.37 | 0.35 | 0.08 | 1.69 | 1.55 | 1.20 | 1.18 | 000 | |
| 29740 | A | Wedging of cast | 1.12 | 1.26 | 1.05 | 0.51 | 0.49 | 0.11 | 2.49 | 2.28 | 1.74 | 1.72 | 000 | |
| 29750 | A | Wedging of clubfoot cast | 1.26 | 1.19 | 1.03 | 0.69 | 0.65 | 0.11 | 2.56 | 2.40 | 2.06 | 2.02 | 000 | |
| 29799 | C | Casting/strapping procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29800 | A | Jaw arthroscopy/surgery | 6.43 | NA | NA | 7.69 | 6.86 | 0.59 | NA | NA | 14.71 | 13.88 | 090 | |
| 29804 | A | Jaw arthroscopy/surgery | 8.14 | NA | NA | 8.18 | 8.56 | 0.62 | NA | NA | 16.94 | 17.32 | 090 | |
| 29815 | A | Shoulder arthroscopy | 5.89 | NA | NA | 6.70 | 6.34 | 0.58 | NA | NA | 13.17 | 12.81 | 090 | |
| 29819 | A | Shoulder arthroscopy/surgery | 7.62 | NA | NA | 8.57 | 8.70 | 0.78 | NA | NA | 16.97 | 17.10 | 090 | |
| 29820 | A | Shoulder arthroscopy/surgery | 7.07 | NA | NA | 8.28 | 8.32 | 0.73 | NA | NA | 16.08 | 16.12 | 090 | |
| 29821 | A | Shoulder arthroscopy/surgery | 7.72 | NA | NA | 8.60 | 8.75 | 0.78 | NA | NA | 17.10 | 17.25 | 090 | |
| 29822 | A | Shoulder arthroscopy/surgery | 7.43 | NA | NA | 8.51 | 8.60 | 0.76 | NA | NA | 16.70 | 16.79 | 090 | |
| 29823 | A | Shoulder arthroscopy/surgery | 8.17 | NA | NA | 8.92 | 9.13 | 0.83 | NA | NA | 17.92 | 18.13 | 090 | |
| 29825 | A | Shoulder arthroscopy/surgery | 7.62 | NA | NA | 8.63 | 8.75 | 0.78 | NA | NA | 17.03 | 17.15 | 090 | |
| 29826 | A | Shoulder arthroscopy/surgery | 8.99 | NA | NA | 9.34 | 9.69 | 0.93 | NA | NA | 19.26 | 19.61 | 090 | |
| 29830 | A | Elbow arthroscopy | 5.76 | NA | NA | 5.44 | 5.52 | 0.62 | NA | NA | 11.82 | 11.90 | 090 | |
| 29834 | A | Elbow arthroscopy/surgery | 6.28 | NA | NA | 6.10 | 6.16 | 0.64 | NA | NA | 13.02 | 13.08 | 090 | |
| 29835 | A | Elbow arthroscopy/surgery | 6.48 | NA | NA | 6.15 | 6.25 | 0.66 | NA | NA | 13.29 | 13.39 | 090 | |
| 29836 | A | Elbow arthroscopy/surgery | 7.55 | NA | NA | 6.84 | 7.04 | 0.77 | NA | NA | 15.16 | 15.36 | 090 | |
| 29837 | A | Elbow arthroscopy/surgery | 6.87 | NA | NA | 6.34 | 6.49 | 0.71 | NA | NA | 13.92 | 14.07 | 090 | |
| 29838 | A | Elbow arthroscopy/surgery | 7.71 | NA | NA | 6.91 | 7.10 | 0.80 | NA | NA | 15.42 | 15.61 | 090 | |
| 29840 | A | Wrist arthroscopy | 5.54 | NA | NA | 7.35 | 6.41 | 0.57 | NA | NA | 13.46 | 12.52 | 090 | |
| 29843 | A | Wrist arthroscopy/surgery | 6.01 | NA | NA | 7.45 | 7.11 | 0.66 | NA | NA | 14.12 | 13.78 | 090 | |
| 29844 | A | rist arthroscopy/surgery | 6.37 | NA | NA | 7.70 | 7.29 | 0.67 | NA | NA | 14.74 | 14.33 | 090 | |
| 29845 | A | Wrist arthroscopy/surgery | 7.52 | NA | NA | 7.72 | 7.69 | 0.77 | NA | NA | 16.01 | 15.98 | 090 | |
| 29846 | A | Wrist arthroscopy/surgery | 6.75 | NA | NA | 9.98 | 9.50 | 0.71 | NA | NA | 17.44 | 16.96 | 090 | |
| 29847 | A | Wrist arthroscopy/surgery | 7.08 | NA | NA | 9.84 | 9.22 | 0.74 | NA | NA | 17.66 | 17.04 | 090 | |
| 29848 | A | Wrist endoscopy/surgery | 5.44 | NA | NA | 7.30 | 6.52 | 0.58 | NA | NA | 13.32 | 12.54 | 090 | |
| 29850 | A | Knee arthroscopy/surgery | 8.19 | NA | NA | 6.68 | 7.46 | 0.71 | NA | NA | 15.58 | 16.36 | 090 | |
| 29851 | A | Knee arthroscopy/surgery | 13.10 | NA | NA | 10.43 | 10.79 | 1.37 | NA | NA | 24.90 | 25.26 | 090 | |
| 29855 | A | Tibial arthroscopy/surgery | 10.62 | NA | NA | 9.42 | 10.24 | 1.09 | NA | NA | 21.13 | 21.95 | 090 | |
| 29856 | A | Tibial arthroscopy/surgery | 14.14 | NA | NA | 11.36 | 11.69 | 1.47 | NA | NA | 26.97 | 27.30 | 090 | |
| 29860 | A | Hip arthroscopy, dx | 8.05 | NA | NA | 7.10 | 6.64 | 0.77 | NA | NA | 15.92 | 15.46 | 090 | |
| 29861 | A | Hip arthroscopy/surgery | 9.15 | NA | NA | 8.23 | 8.72 | 0.88 | NA | NA | 18.26 | 18.75 | 090 | |
| 29862 | A | Hip arthroscopy/surgery | 9.90 | NA | NA | 8.63 | 9.21 | 0.95 | NA | NA | 19.48 | 20.06 | 090 | |
| 29863 | A | Hip arthroscopy/surgery | 9.90 | NA | NA | 8.97 | 9.09 | 0.95 | NA | NA | 19.82 | 19.94 | 090 | |
| 29870 | A | Knee arthroscopy, dx | 5.07 | NA | NA | 5.50 | 5.22 | 0.52 | NA | NA | 11.09 | 10.81 | 090 | |
| 29871 | A | Knee arthroscopy/drainage | 6.55 | NA | NA | 7.26 | 7.28 | 0.59 | NA | NA | 14.40 | 14.42 | 090 | |
| 29874 | A | Knee arthroscopy/surgery | 7.05 | NA | NA | 7.02 | 7.37 | 0.68 | NA | NA | 14.75 | 15.10 | 090 | |
| 29875 | A | Knee arthroscopy/surgery | 6.31 | NA | NA | 6.72 | 6.92 | 0.66 | NA | NA | 13.69 | 13.89 | 090 | |
| 29876 | A | Knee arthroscopy/surgery | 7.92 | NA | NA | 8.07 | 8.42 | 0.80 | NA | NA | 16.79 | 17.14 | 090 | |
| 29877 | A | Knee arthroscopy/surgery | 7.35 | NA | NA | 7.30 | 7.67 | 0.76 | NA | NA | 15.41 | 15.78 | 090 | |
| 29879 | A | Knee arthroscopy/surgery | 8.04 | NA | NA | 7.67 | 8.15 | 0.84 | NA | NA | 16.55 | 17.03 | 090 | |
| 29880 | A | Knee arthroscopy/surgery | 8.50 | NA | NA | 7.93 | 8.49 | 0.89 | NA | NA | 17.32 | 17.88 | 090 | |
| 29881 | A | Knee arthroscopy/surgery | 7.76 | NA | NA | 7.53 | 7.97 | 0.80 | NA | NA | 16.09 | 16.53 | 090 | |
| 29882 | A | Knee arthroscopy/surgery | 8.65 | NA | NA | 7.96 | 8.55 | 0.90 | NA | NA | 17.51 | 18.10 | 090 | |
| 29883 | A | Knee arthroscopy/surgery | 9.46 | NA | NA | 8.45 | 9.16 | 0.98 | NA | NA | 18.89 | 19.60 | 090 | |
| 29884 | A | Knee arthroscopy/surgery | 7.33 | NA | NA | 7.74 | 7.99 | 0.75 | NA | NA | 15.82 | 16.07 | 090 | |
| 29885 | A | Knee arthroscopy/surgery | 9.09 | NA | NA | 8.72 | 8.77 | 0.95 | NA | NA | 18.76 | 18.81 | 090 | |
| 29886 | A | Knee arthroscopy/surgery | 7.54 | NA | NA | 7.89 | 7.76 | 0.78 | NA | NA | 16.21 | 16.08 | 090 | |
| 29887 | A | Knee arthroscopy/surgery | 9.04 | NA | NA | 8.69 | 9.22 | 0.94 | NA | NA | 18.67 | 19.20 | 090 | |
| 29888 | A | Knee arthroscopy/surgery | 13.90 | NA | NA | 11.22 | 12.56 | 1.41 | NA | NA | 26.53 | 27.87 | 090 | |
| 29889 | A | Knee arthroscopy/surgery | 15.13 | NA | NA | 12.34 | 12.04 | 1.56 | NA | NA | 29.03 | 28.73 | 090 | |
| 29891 | A | Ankle arthroscopy/surgery | 8.40 | NA | NA | 8.15 | 8.52 | 0.81 | NA | NA | 17.36 | 17.73 | 090 | |
| 29892 | A | Ankle arthroscopy/surgery | 0.09 | NA | NA | 8.53 | 8.80 | 0.87 | NA | NA | 9.49 | 9.76 | 090 | |
| 29893 | A | Scope, plantar fasciotomy | 5.22 | NA | NA | 4.74 | 4.97 | 0.37 | NA | NA | 10.33 | 10.56 | 090 | |
| 29894 | A | Ankle arthroscopy/surgery | 7.21 | NA | NA | 7.25 | 7.59 | 0.65 | NA | NA | 15.11 | 15.45 | 090 | |
| 29895 | A | Ankle arthroscopy/surgery | 6.99 | NA | NA | 7.16 | 7.46 | 0.65 | NA | NA | 14.80 | 15.10 | 090 | |
| 29897 | A | Ankle arthroscopy/surgery | 7.18 | NA | NA | 7.69 | 7.91 | 0.68 | NA | NA | 15.55 | 15.77 | 090 | |
| 29898 | A | Ankle arthroscopy/surgery | 8.32 | NA | NA | 7.47 | 8.09 | 0.74 | NA | NA | 16.53 | 17.15 | 090 | |
| 29909 | C | Arthroscopy of joint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 30000 | A | Drainage of nose lesion | 1.43 | 2.14 | 1.76 | 1.31 | 1.14 | 0.11 | 3.68 | 3.30 | 2.85 | 2.68 | 010 | |
| 30020 | A | Drainage of nose lesion | 1.43 | 2.30 | 1.89 | 1.36 | 1.18 | 0.07 | 3.80 | 3.39 | 2.86 | 2.68 | 010 | |
| 30100 | A | Intranasal biopsy | 0.94 | 1.12 | 1.03 | 0.51 | 0.57 | 0.07 | 2.13 | 2.04 | 1.52 | 1.58 | 000 | |
| 30110 | A | Removal of nose polyp(s) | 1.63 | 2.28 | 2.06 | 0.85 | 0.99 | 0.11 | 4.02 | 3.80 | 2.59 | 2.73 | 010 | |
| 30115 | A | Removal of nose polyp(s) | 4.35 | NA | NA | 3.92 | 3.70 | 0.31 | NA | NA | 8.58 | 8.36 | 090 | |
| 30117 | A | Removal of intranasal lesion | 3.16 | 3.90 | 3.70 | 2.79 | 2.86 | 0.23 | 7.29 | 7.09 | 6.18 | 6.25 | 090 | |
| 30118 | A | Removal of intranasal lesion | 9.69 | NA | NA | 7.57 | 7.85 | 0.71 | NA | NA | 17.97 | 18.25 | 090 | |
| 30120 | A | Revision of nose | 5.27 | 5.38 | 5.61 | 5.38 | 5.61 | 0.40 | 11.05 | 11.28 | 11.05 | 11.28 | 090 | |
| 30124 | A | Removal of nose lesion | 3.10 | NA | NA | 2.98 | 2.60 | 0.21 | NA | NA | 6.29 | 5.91 | 090 | |
| 30125 | A | Removal of nose lesion | 7.16 | NA | NA | 5.89 | 5.92 | 0.48 | NA | NA | 13.53 | 13.56 | 090 | |
| 30130 | A | Removal of turbinate bones | 3.38 | NA | NA | 3.45 | 3.04 | 0.23 | NA | NA | 7.06 | 6.65 | 090 | |
| 30140 | A | Removal of turbinate bones | 3.43 | NA | NA | 3.87 | 3.73 | 0.25 | NA | NA | 7.55 | 7.41 | 090 | |
| 30150 | A | Partial removal of nose | 9.14 | NA | NA | 7.75 | 7.96 | 0.77 | NA | NA | 17.66 | 17.87 | 090 | |
| 30160 | A | Removal of nose | 9.58 | NA | NA | 7.80 | 8.71 | 0.75 | NA | NA | 18.13 | 19.04 | 090 | |
| 30200 | A | Injection treatment of nose | 0.78 | 1.02 | 0.87 | 0.42 | 0.42 | 0.06 | 1.86 | 1.71 | 1.26 | 1.26 | 000 | |
| 30210 | A | Nasal sinus therapy | 1.08 | 1.75 | 1.38 | 0.60 | 0.52 | 0.08 | 2.91 | 2.54 | 1.76 | 1.68 | 010 | |
| 30220 | A | Insert nasal septal button | 1.54 | 2.09 | 1.98 | 0.84 | 1.04 | 0.11 | 3.74 | 3.63 | 2.49 | 2.69 | 010 | |
| 30300 | A | Remove nasal foreign body | 1.04 | 2.18 | 1.76 | 0.38 | 0.41 | 0.08 | 3.30 | 2.88 | 1.50 | 1.53 | 010 | |
| 30310 | A | Remove nasal foreign body | 1.96 | NA | NA | 1.72 | 1.73 | 0.14 | NA | NA | 3.82 | 3.83 | 010 | |
| 30320 | A | Remove nasal foreign body | 4.52 | NA | NA | 4.79 | 4.76 | 0.33 | NA | NA | 9.64 | 9.61 | 090 | |
| 30400 | R | Reconstruction of nose | 9.83 | NA | NA | 7.94 | 8.66 | 0.84 | NA | NA | 18.61 | 19.33 | 090 | |
| 30410 | R | Reconstruction of nose | 12.98 | NA | NA | 9.79 | 11.22 | 1.14 | NA | NA | 23.91 | 25.34 | 090 | |
| 30420 | R | Reconstruction of nose | 15.88 | NA | NA | 11.32 | 13.23 | 1.25 | NA | NA | 28.45 | 30.36 | 090 | |
| 30430 | R | Revision of nose | 7.21 | NA | NA | 6.40 | 6.45 | 0.62 | NA | NA | 14.23 | 14.28 | 090 | |
| 30435 | R | Revision of nose | 11.71 | NA | NA | 9.22 | 9.68 | 1.03 | NA | NA | 21.96 | 22.42 | 090 | |
| 30450 | R | Revision of nose | 18.65 | NA | NA | 13.02 | 12.82 | 1.65 | NA | NA | 33.32 | 33.12 | 090 | |
| 30460 | A | Revision of nose | 9.96 | NA | NA | 8.39 | 8.62 | 0.87 | NA | NA | 19.22 | 19.45 | 090 | |
| 30462 | A | Revision of nose | 19.57 | NA | NA | 13.07 | 14.46 | 1.90 | NA | NA | 34.54 | 35.93 | 090 | |
| 30520 | A | Repair of nasal septum | 5.70 | NA | NA | 5.13 | 5.55 | 0.41 | NA | NA | 11.24 | 11.66 | 090 | |
| 30540 | A | Repair nasal defect | 7.75 | NA | NA | 5.44 | 5.88 | 0.54 | NA | NA | 13.73 | 14.17 | 090 | |
| 30545 | A | Repair nasal defect | 11.38 | NA | NA | 8.13 | 9.04 | 0.88 | NA | NA | 20.39 | 21.30 | 090 | |
| 30560 | A | Release of nasal adhesions | 1.26 | 1.92 | 1.59 | 1.30 | 1.13 | 0.09 | 3.27 | 2.94 | 2.65 | 2.48 | 010 | |
| 30580 | A | Repair upper jaw fistula | 6.69 | 4.64 | 5.17 | 4.64 | 5.17 | 0.49 | 11.82 | 12.35 | 11.82 | 12.35 | 090 | |
| 30600 | A | Repair mouth/nose fistula | 6.02 | 4.17 | 4.15 | 4.17 | 4.15 | 0.47 | 10.66 | 10.64 | 10.66 | 10.64 | 090 | |
| 30620 | A | Intranasal reconstruction | 5.97 | NA | NA | 5.72 | 6.07 | 0.45 | NA | NA | 12.14 | 12.49 | 090 | |
| 30630 | A | Repair nasal septum defect | 7.12 | NA | NA | 6.25 | 6.38 | 0.53 | NA | NA | 13.90 | 14.03 | 090 | |
| 30801 | A | Cauterization, inner nose | 1.09 | 2.14 | 1.73 | 1.88 | 1.54 | 0.08 | 3.31 | 2.90 | 3.05 | 2.71 | 010 | |
| 30802 | A | Cauterization, inner nose | 2.03 | 2.62 | 2.22 | 2.41 | 2.06 | 0.14 | 4.79 | 4.39 | 4.58 | 4.23 | 010 | |
| 30901 | A | Control of nosebleed | 1.21 | 1.84 | 1.53 | 0.40 | 0.45 | 0.10 | 3.15 | 2.84 | 1.71 | 1.76 | 000 | |
| 30903 | A | Control of nosebleed | 1.54 | 2.18 | 1.87 | 0.58 | 0.67 | 0.12 | 3.84 | 3.53 | 2.24 | 2.33 | 000 | |
| 30905 | A | Control of nosebleed | 1.97 | 3.88 | 3.40 | 0.85 | 1.12 | 0.15 | 6.00 | 5.52 | 2.97 | 3.24 | 000 | |
| 30906 | A | Repeat control of nosebleed | 2.45 | 4.16 | 3.41 | 1.29 | 1.26 | 0.18 | 6.79 | 6.04 | 3.92 | 3.89 | 000 | |
| 30915 | A | Ligation, nasal sinus artery | 7.20 | NA | NA | 6.04 | 5.87 | 0.52 | NA | NA | 13.76 | 13.59 | 090 | |
| 30920 | A | Ligation, upper jaw artery | 9.83 | NA | NA | 7.56 | 8.26 | 0.70 | NA | NA | 18.09 | 18.79 | 090 | |
| 30930 | A | Therapy, fracture of nose | 1.26 | NA | NA | 1.77 | 1.52 | 0.09 | NA | NA | 3.12 | 2.87 | 010 | |
| 30999 | C | Nasal surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31000 | A | Irrigation, maxillary sinus | 1.15 | 2.00 | 1.62 | 0.62 | 0.58 | 0.08 | 3.23 | 2.85 | 1.85 | 1.81 | 010 | |
| 31002 | A | Irrigation, sphenoid sinus | 1.91 | NA | NA | 1.76 | 1.45 | 0.13 | NA | NA | 3.80 | 3.49 | 010 | |
| 31020 | A | Exploration, maxillary sinus | 2.94 | 3.60 | 3.42 | 3.15 | 3.09 | 0.21 | 6.75 | 6.57 | 6.30 | 6.24 | 090 | |
| 31030 | A | Exploration, maxillary sinus | 5.92 | 4.44 | 5.10 | 4.24 | 4.95 | 0.43 | 10.79 | 11.45 | 10.59 | 11.30 | 090 | |
| 31032 | A | Explore sinus,remove polyps | 6.57 | NA | NA | 5.41 | 6.02 | 0.48 | NA | NA | 12.46 | 13.07 | 090 | |
| 31040 | A | Exploration behind upper jaw | 9.42 | NA | NA | 6.21 | 6.82 | 0.69 | NA | NA | 16.32 | 16.93 | 090 | |
| 31050 | A | Exploration, sphenoid sinus | 5.28 | NA | NA | 4.47 | 4.93 | 0.39 | NA | NA | 10.14 | 10.60 | 090 | |
| 31051 | A | Sphenoid sinus surgery | 7.11 | NA | NA | 5.79 | 6.47 | 0.55 | NA | NA | 13.45 | 14.13 | 090 | |
| 31070 | A | Exploration of frontal sinus | 4.28 | NA | NA | 4.30 | 4.50 | 0.31 | NA | NA | 8.89 | 9.09 | 090 | |
| 31075 | A | Exploration of frontal sinus | 9.16 | NA | NA | 7.33 | 8.23 | 0.63 | NA | NA | 17.12 | 18.02 | 090 | |
| 31080 | A | Removal of frontal sinus | 11.42 | NA | NA | 8.36 | 8.77 | 0.81 | NA | NA | 20.59 | 21.00 | 090 | |
| 31081 | A | Removal of frontal sinus | 12.75 | NA | NA | 8.91 | 9.48 | 1.86 | NA | NA | 23.52 | 24.09 | 090 | |
| 31084 | A | Removal of frontal sinus | 13.51 | NA | NA | 9.56 | 11.18 | 1.03 | NA | NA | 24.10 | 25.72 | 090 | |
| 31085 | A | Removal of frontal sinus | 14.20 | NA | NA | 9.85 | 11.63 | 1.35 | NA | NA | 25.40 | 27.18 | 090 | |
| 31086 | A | Removal of frontal sinus | 12.86 | NA | NA | 9.37 | 9.98 | 0.96 | NA | NA | 23.19 | 23.80 | 090 | |
| 31087 | A | Removal of frontal sinus | 13.10 | NA | NA | 9.24 | 9.75 | 0.93 | NA | NA | 23.27 | 23.78 | 090 | |
| 31090 | A | Exploration of sinuses | 9.53 | NA | NA | 7.89 | 8.76 | 0.68 | NA | NA | 18.10 | 18.97 | 090 | |
| 31200 | A | Removal of ethmoid sinus | 4.97 | NA | NA | 5.43 | 5.33 | 0.28 | NA | NA | 10.68 | 10.58 | 090 | |
| 31201 | A | Removal of ethmoid sinus | 8.37 | NA | NA | 6.87 | 7.06 | 0.59 | NA | NA | 15.83 | 16.02 | 090 | |
| 31205 | A | Removal of ethmoid sinus | 10.24 | NA | NA | 8.10 | 8.25 | 0.61 | NA | NA | 18.95 | 19.10 | 090 | |
| 31225 | A | Removal of upper jaw | 19.23 | NA | NA | 13.72 | 15.57 | 1.41 | NA | NA | 34.36 | 36.21 | 090 | |
| 31230 | A | Removal of upper jaw | 21.94 | NA | NA | 15.38 | 17.43 | 1.67 | NA | NA | 38.99 | 41.04 | 090 | |
| 31231 | A | Nasal endoscopy, dx | 1.10 | 1.68 | 1.63 | 0.58 | 0.81 | 0.08 | 2.86 | 2.81 | 1.76 | 1.99 | 000 | |
| 31233 | A | Nasal/sinus endoscopy, dx | 2.18 | 2.28 | 2.47 | 1.20 | 1.66 | 0.15 | 4.61 | 4.80 | 3.53 | 3.99 | 000 | |
| 31235 | A | Nasal/sinus endoscopy, dx | 2.64 | 2.54 | 2.55 | 1.45 | 1.74 | 0.18 | 5.36 | 5.37 | 4.27 | 4.56 | 000 | |
| 31237 | A | Nasal/sinus endoscopy, surg | 2.98 | 2.80 | 2.99 | 1.60 | 2.09 | 0.21 | 5.99 | 6.18 | 4.79 | 5.28 | 000 | |
| 31238 | A | Nasal/sinus endoscopy, surg | 3.26 | 3.21 | 3.38 | 1.79 | 2.32 | 0.23 | 6.70 | 6.87 | 5.28 | 5.81 | 000 | |
| 31239 | A | Nasal/sinus endoscopy, surg | 8.70 | NA | NA | 6.28 | 7.31 | 0.44 | NA | NA | 15.42 | 16.45 | 010 | |
| 31240 | A | Nasal/sinus endoscopy, surg | 2.61 | NA | NA | 1.47 | 1.88 | 0.18 | NA | NA | 4.26 | 4.67 | 000 | |
| 31254 | A | Revision of ethmoid sinus | 4.65 | NA | NA | 2.65 | 3.38 | 0.32 | NA | NA | 7.62 | 8.35 | 000 | |
| 31255 | A | Removal of ethmoid sinus | 6.96 | NA | NA | 3.92 | 5.02 | 0.50 | NA | NA | 11.38 | 12.48 | 000 | |
| 31256 | A | Exploration maxillary sinus | 3.29 | NA | NA | 1.89 | 2.40 | 0.23 | NA | NA | 5.41 | 5.92 | 000 | |
| 31267 | A | Endoscopy, maxillary sinus | 5.46 | NA | NA | 3.09 | 3.74 | 0.39 | NA | NA | 8.94 | 9.59 | 000 | |
| 31276 | A | Sinus endoscopy, surgical | 8.85 | NA | NA | 4.88 | 5.48 | 0.63 | NA | NA | 14.36 | 14.96 | 000 | |
| 31287 | A | Nasal/sinus endoscopy, surg | 3.92 | NA | NA | 2.24 | 2.85 | 0.28 | NA | NA | 6.44 | 7.05 | 000 | |
| 31288 | A | Nasal/sinus endoscopy, surg | 4.58 | NA | NA | 2.61 | 3.33 | 0.32 | NA | NA | 7.51 | 8.23 | 000 | |
| 31290 | A | Nasal/sinus endoscopy, surg | 17.24 | NA | NA | 10.95 | 12.68 | 1.28 | NA | NA | 29.47 | 31.20 | 010 | |
| 31291 | A | Nasal/sinus endoscopy, surg | 18.19 | NA | NA | 11.31 | 13.18 | 1.73 | NA | NA | 31.23 | 33.10 | 010 | |
| 31292 | A | Nasal/sinus endoscopy, surg | 14.76 | NA | NA | 9.54 | 10.79 | 1.03 | NA | NA | 25.33 | 26.58 | 010 | |
| 31293 | A | Nasal/sinus endoscopy, surg | 16.21 | NA | NA | 10.18 | 11.61 | 1.09 | NA | NA | 27.48 | 28.91 | 010 | |
| 31294 | A | Nasal/sinus endoscopy, surg | 19.06 | NA | NA | 11.83 | 13.41 | 1.71 | NA | NA | 32.60 | 34.18 | 010 | |
| 31299 | C | Sinus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31300 | A | Removal of larynx lesion | 14.29 | NA | NA | 14.94 | 14.35 | 1.02 | NA | NA | 30.25 | 29.66 | 090 | |
| 31320 | A | Diagnostic incision, larynx | 5.26 | NA | NA | 11.08 | 9.36 | 0.39 | NA | NA | 16.73 | 15.01 | 090 | |
| 31360 | A | Removal of larynx | 17.08 | NA | NA | 16.69 | 17.62 | 1.24 | NA | NA | 35.01 | 35.94 | 090 | |
| 31365 | A | Removal of larynx | 24.16 | NA | NA | 20.46 | 22.56 | 1.77 | NA | NA | 46.39 | 48.49 | 090 | |
| 31367 | A | Partial removal of larynx | 21.86 | NA | NA | 21.00 | 20.42 | 1.59 | NA | NA | 44.45 | 43.87 | 090 | |
| 31368 | A | Partial removal of larynx | 27.09 | NA | NA | 24.85 | 25.90 | 1.98 | NA | NA | 53.92 | 54.97 | 090 | |
| 31370 | A | Partial removal of larynx | 21.38 | NA | NA | 20.88 | 20.32 | 1.60 | NA | NA | 43.86 | 43.30 | 090 | |
| 31375 | A | Partial removal of larynx | 20.21 | NA | NA | 18.41 | 17.84 | 1.41 | NA | NA | 40.03 | 39.46 | 090 | |
| 31380 | A | Partial removal of larynx | 20.21 | NA | NA | 18.61 | 18.64 | 1.44 | NA | NA | 40.26 | 40.29 | 090 | |
| 31382 | A | Partial removal of larynx | 20.52 | NA | NA | 20.08 | 19.42 | 1.51 | NA | NA | 42.11 | 41.45 | 090 | |
| 31390 | A | Removal of larynx pharynx | 27.53 | NA | NA | 25.18 | 26.23 | 1.99 | NA | NA | 54.70 | 55.75 | 090 | |
| 31395 | A | Reconstruct larynx pharynx | 31.09 | NA | NA | 29.74 | 31.40 | 2.25 | NA | NA | 63.08 | 64.74 | 090 | |
| 31400 | A | Revision of larynx | 10.31 | NA | NA | 13.34 | 12.13 | 0.74 | NA | NA | 24.39 | 23.18 | 090 | |
| 31420 | A | Removal of epiglottis | 10.22 | NA | NA | 13.25 | 12.13 | 0.74 | NA | NA | 24.21 | 23.09 | 090 | |
| 31500 | A | Insert emergency airway | 2.33 | NA | NA | 0.64 | 0.79 | 0.17 | NA | NA | 3.14 | 3.29 | 000 | |
| 31502 | A | Change of windpipe airway | 0.65 | 1.59 | 1.35 | 0.26 | 0.35 | 0.04 | 2.28 | 2.04 | 0.95 | 1.04 | 000 | |
| 31505 | A | Diagnostic laryngoscopy | 0.61 | 1.49 | 1.24 | 0.31 | 0.35 | 0.05 | 2.15 | 1.90 | 0.97 | 1.01 | 000 | |
| 31510 | A | Laryngoscopy with biopsy | 1.92 | 2.37 | 1.93 | 0.96 | 0.87 | 0.14 | 4.43 | 3.99 | 3.02 | 2.93 | 000 | |
| 31511 | A | Remove foreign body, larynx | 2.16 | 2.56 | 2.18 | 0.78 | 0.85 | 0.18 | 4.90 | 4.52 | 3.12 | 3.19 | 000 | |
| 31512 | A | Removal of larynx lesion | 2.07 | 2.49 | 2.35 | 1.07 | 1.29 | 0.19 | 4.75 | 4.61 | 3.33 | 3.55 | 000 | |
| 31513 | A | Injection into vocal cord | 2.10 | NA | NA | 1.24 | 1.56 | 0.15 | NA | NA | 3.49 | 3.81 | 000 | |
| 31515 | A | Laryngoscopy for aspiration | 1.80 | 2.18 | 1.94 | 0.81 | 0.92 | 0.12 | 4.10 | 3.86 | 2.73 | 2.84 | 000 | |
| 31520 | A | Diagnostic laryngoscopy | 2.56 | NA | NA | 1.34 | 1.45 | 0.18 | NA | NA | 4.08 | 4.19 | 000 | |
| 31525 | A | Diagnostic laryngoscopy | 2.63 | 2.54 | 2.50 | 1.44 | 1.68 | 0.18 | 5.35 | 5.31 | 4.25 | 4.49 | 000 | |
| 31526 | A | Diagnostic laryngoscopy | 2.57 | NA | NA | 1.49 | 1.89 | 0.18 | NA | NA | 4.24 | 4.64 | 000 | |
| 31527 | A | Laryngoscopy for treatment | 3.27 | NA | NA | 1.66 | 2.06 | 0.23 | NA | NA | 5.16 | 5.56 | 000 | |
| 31528 | A | Laryngoscopy and dilatation | 2.37 | NA | NA | 1.28 | 1.67 | 0.18 | NA | NA | 3.83 | 4.22 | 000 | |
| 31529 | A | Laryngoscopy and dilatation | 2.68 | NA | NA | 1.46 | 1.76 | 0.19 | NA | NA | 4.33 | 4.63 | 000 | |
| 31530 | A | Operative laryngoscopy | 3.39 | NA | NA | 1.72 | 2.28 | 0.23 | NA | NA | 5.34 | 5.90 | 000 | |
| 31531 | A | Operative laryngoscopy | 3.59 | NA | NA | 2.07 | 2.63 | 0.26 | NA | NA | 5.92 | 6.48 | 000 | |
| 31535 | A | Operative laryngoscopy | 3.16 | NA | NA | 1.78 | 2.28 | 0.23 | NA | NA | 5.17 | 5.67 | 000 | |
| 31536 | A | Operative laryngoscopy | 3.56 | NA | NA | 2.04 | 2.59 | 0.26 | NA | NA | 5.86 | 6.41 | 000 | |
| 31540 | A | Operative laryngoscopy | 4.13 | NA | NA | 2.34 | 2.99 | 0.30 | NA | NA | 6.77 | 7.42 | 000 | |
| 31541 | A | Operative laryngoscopy | 4.53 | NA | NA | 2.56 | 3.16 | 0.32 | NA | NA | 7.41 | 8.01 | 000 | |
| 31560 | A | Operative laryngoscopy | 5.46 | NA | NA | 3.02 | 3.62 | 0.39 | NA | NA | 8.87 | 9.47 | 000 | |
| 31561 | A | Operative laryngoscopy | 0.06 | NA | NA | 3.33 | 4.20 | 0.43 | NA | NA | 3.82 | 4.69 | 000 | |
| 31570 | A | Laryngoscopy with injection | 3.87 | 3.80 | 4.01 | 2.16 | 2.78 | 0.29 | 7.96 | 8.17 | 6.32 | 6.94 | 000 | |
| 31571 | A | Laryngoscopy with injection | 4.27 | NA | NA | 2.40 | 3.02 | 0.31 | NA | NA | 6.98 | 7.60 | 000 | |
| 31575 | A | Diagnostic laryngoscopy | 1.10 | 1.81 | 1.78 | 0.60 | 0.87 | 0.08 | 2.99 | 2.96 | 1.78 | 2.05 | 000 | |
| 31576 | A | Laryngoscopy with biopsy | 1.97 | 1.95 | 2.05 | 1.03 | 1.36 | 0.13 | 4.05 | 4.15 | 3.13 | 3.46 | 000 | |
| 31577 | A | Remove foreign body, larynx | 2.47 | 2.26 | 2.43 | 1.26 | 1.68 | 0.18 | 4.91 | 5.08 | 3.91 | 4.33 | 000 | |
| 31578 | A | Removal of larynx lesion | 2.84 | 2.57 | 2.78 | 0.94 | 1.55 | 0.20 | 5.61 | 5.82 | 3.98 | 4.59 | 000 | |
| 31579 | A | Diagnostic laryngoscopy | 2.26 | 2.52 | 2.52 | 1.19 | 1.53 | 0.16 | 4.94 | 4.94 | 3.61 | 3.95 | 000 | |
| 31580 | A | Revision of larynx | 12.38 | NA | NA | 13.61 | 13.90 | 0.88 | NA | NA | 26.87 | 27.16 | 090 | |
| 31582 | A | Revision of larynx | 21.62 | NA | NA | 19.32 | 19.34 | 1.54 | NA | NA | 42.48 | 42.50 | 090 | |
| 31584 | A | Treat larynx fracture | 19.64 | NA | NA | 16.79 | 16.04 | 1.54 | NA | NA | 37.97 | 37.22 | 090 | |
| 31585 | A | Treat larynx fracture | 4.64 | NA | NA | 7.46 | 6.62 | 0.32 | NA | NA | 12.42 | 11.58 | 090 | |
| 31586 | A | Treat larynx fracture | 8.03 | NA | NA | 10.88 | 9.94 | 0.57 | NA | NA | 19.48 | 18.54 | 090 | |
| 31587 | A | Revision of larynx | 11.99 | NA | NA | 12.34 | 11.21 | 0.88 | NA | NA | 25.21 | 24.08 | 090 | |
| 31588 | A | Revision of larynx | 13.11 | NA | NA | 14.69 | 13.92 | 0.94 | NA | NA | 28.74 | 27.97 | 090 | |
| 31590 | A | Reinnervate larynx | 6.97 | NA | NA | 10.11 | 9.15 | 0.47 | NA | NA | 17.55 | 16.59 | 090 | |
| 31595 | A | Larynx nerve surgery | 8.34 | NA | NA | 9.68 | 9.12 | 0.61 | NA | NA | 18.63 | 18.07 | 090 | |
| 31599 | C | Larynx surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31600 | A | Incision of windpipe | 3.62 | NA | NA | 1.61 | 2.29 | 0.34 | NA | NA | 5.57 | 6.25 | 000 | |
| 31601 | A | Incision of windpipe | 4.45 | NA | NA | 2.16 | 2.95 | 0.36 | NA | NA | 6.97 | 7.76 | 000 | |
| 31603 | A | Incision of windpipe | 4.15 | NA | NA | 1.86 | 2.54 | 0.38 | NA | NA | 6.39 | 7.07 | 000 | |
| 31605 | A | Incision of windpipe | 3.58 | NA | NA | 1.31 | 2.05 | 0.36 | NA | NA | 5.25 | 5.99 | 000 | |
| 31610 | A | Incision of windpipe | 8.76 | NA | NA | 9.71 | 9.09 | 0.70 | NA | NA | 19.17 | 18.55 | 090 | |
| 31611 | A | Surgery/speech prosthesis | 5.64 | NA | NA | 8.30 | 7.98 | 0.41 | NA | NA | 14.35 | 14.03 | 090 | |
| 31612 | A | Puncture/clear windpipe | 0.91 | 1.24 | 1.25 | 0.40 | 0.62 | 0.06 | 2.21 | 2.22 | 1.37 | 1.59 | 000 | |
| 31613 | A | Repair windpipe opening | 4.59 | NA | NA | 8.03 | 6.62 | 0.37 | NA | NA | 12.99 | 11.58 | 090 | |
| 31614 | A | Repair windpipe opening | 7.12 | NA | NA | 10.28 | 9.54 | 0.53 | NA | NA | 17.93 | 17.19 | 090 | |
| 31615 | A | Visualization of windpipe | 2.09 | 2.90 | 2.71 | 1.10 | 1.36 | 0.14 | 5.13 | 4.94 | 3.33 | 3.59 | 000 | |
| 31622 | A | Dx bronchoscope/wash | 2.78 | 3.12 | 3.18 | 1.12 | 1.68 | 0.13 | 6.03 | 6.09 | 4.03 | 4.59 | 000 | |
| 31623 | A | Dx bronchoscope/brush | 2.88 | 3.16 | 3.21 | 1.16 | 1.71 | 0.15 | 6.19 | 6.24 | 4.19 | 4.74 | 000 | |
| 31624 | A | Dx bronchoscope/lavage | 2.88 | 2.68 | 2.85 | 1.16 | 1.71 | 0.15 | 5.71 | 5.88 | 4.19 | 4.74 | 000 | |
| 31625 | A | Bronchoscopy with biopsy | 3.37 | 2.68 | 3.02 | 1.27 | 1.96 | 0.16 | 6.21 | 6.55 | 4.80 | 5.49 | 000 | |
| 31628 | A | Bronchoscopy with biopsy | 3.81 | 3.13 | 3.49 | 1.33 | 2.14 | 0.13 | 7.07 | 7.43 | 5.27 | 6.08 | 000 | |
| 31629 | A | Bronchoscopy with biopsy | 3.37 | NA | NA | 1.20 | 1.91 | 0.11 | NA | NA | 4.68 | 5.39 | 000 | |
| 31630 | A | Bronchoscopy with repair | 3.82 | NA | NA | 2.06 | 2.56 | 0.34 | NA | NA | 6.22 | 6.72 | 000 | |
| 31631 | A | Bronchoscopy with dilation | 4.37 | NA | NA | 2.07 | 2.62 | 0.31 | NA | NA | 6.75 | 7.30 | 000 | |
| 31635 | A | Remove foreign body, airway | 3.68 | NA | NA | 1.64 | 2.33 | 0.23 | NA | NA | 5.55 | 6.24 | 000 | |
| 31640 | A | Bronchoscopy remove lesion | 4.94 | NA | NA | 2.47 | 3.22 | 0.37 | NA | NA | 7.78 | 8.53 | 000 | |
| 31641 | A | Bronchoscopy, treat blockage | 5.03 | NA | NA | 2.09 | 3.07 | 0.28 | NA | NA | 7.40 | 8.38 | 000 | |
| 31643 | A | Diag bronchoscope/catheter | 3.50 | 1.73 | 2.13 | 1.47 | 1.94 | 0.20 | 5.43 | 5.83 | 5.17 | 5.64 | 000 | |
| 31645 | A | Bronchoscopy, clear airways | 3.16 | NA | NA | 1.17 | 1.82 | 0.13 | NA | NA | 4.46 | 5.11 | 000 | |
| 31646 | A | Bronchoscopy, reclear airway | 2.72 | NA | NA | 1.04 | 1.59 | 0.12 | NA | NA | 3.88 | 4.43 | 000 | |
| 31656 | A | Bronchoscopy, inj for xray | 2.17 | NA | NA | 0.91 | 1.33 | 0.10 | NA | NA | 3.18 | 3.60 | 000 | |
| 31700 | A | Insertion of airway catheter | 1.34 | 1.69 | 1.64 | 0.61 | 0.83 | 0.08 | 3.11 | 3.06 | 2.03 | 2.25 | 000 | |
| 31708 | A | Instill airway contrast dye | 1.41 | NA | NA | 0.59 | 0.65 | 0.06 | NA | NA | 2.06 | 2.12 | 000 | |
| 31710 | A | Insertion of airway catheter | 1.30 | NA | NA | 0.70 | 0.77 | 0.05 | NA | NA | 2.05 | 2.12 | 000 | |
| 31715 | A | Injection for bronchus x-ray | 1.11 | NA | NA | 0.71 | 0.66 | 0.04 | NA | NA | 1.86 | 1.81 | 000 | |
| 31717 | A | Bronchial brush biopsy | 2.12 | 2.92 | 2.39 | 0.82 | 0.81 | 0.08 | 5.12 | 4.59 | 3.02 | 3.01 | 000 | |
| 31720 | A | Clearance of airways | 1.06 | 1.74 | 1.51 | 0.33 | 0.45 | 0.06 | 2.86 | 2.63 | 1.45 | 1.57 | 000 | |
| 31725 | A | Clearance of airways | 1.96 | NA | NA | 0.64 | 0.86 | 0.08 | NA | NA | 2.68 | 2.90 | 000 | |
| 31730 | A | Intro, windpipe wire/tube | 2.85 | 2.27 | 2.37 | 1.07 | 1.47 | 0.15 | 5.27 | 5.37 | 4.07 | 4.47 | 000 | |
| 31750 | A | Repair of windpipe | 13.02 | NA | NA | 14.19 | 13.05 | 0.01 | NA | NA | 27.22 | 26.08 | 090 | |
| 31755 | A | Repair of windpipe | 15.93 | NA | NA | 16.14 | 15.71 | 1.20 | NA | NA | 33.27 | 32.84 | 090 | |
| 31760 | A | Repair of windpipe | 22.35 | NA | NA | 13.56 | 13.13 | 2.09 | NA | NA | 38.00 | 37.57 | 090 | |
| 31766 | A | Reconstruction of windpipe | 30.43 | NA | NA | 16.74 | 17.55 | 3.73 | NA | NA | 50.90 | 51.71 | 090 | |
| 31770 | A | Repair/graft of bronchus | 22.51 | NA | NA | 16.73 | 16.64 | 2.06 | NA | NA | 41.30 | 41.21 | 090 | |
| 31775 | A | Reconstruct bronchus | 23.54 | NA | NA | 18.57 | 18.37 | 2.80 | NA | NA | 44.91 | 44.71 | 090 | |
| 31780 | A | Reconstruct windpipe | 17.72 | NA | NA | 13.24 | 14.63 | 1.70 | NA | NA | 32.66 | 34.05 | 090 | |
| 31781 | A | Reconstruct windpipe | 23.53 | NA | NA | 16.29 | 16.79 | 2.83 | NA | NA | 42.65 | 43.15 | 090 | |
| 31785 | A | Remove windpipe lesion | 17.23 | NA | NA | 12.42 | 11.74 | 1.35 | NA | NA | 31.00 | 30.32 | 090 | |
| 31786 | A | Remove windpipe lesion | 23.98 | NA | NA | 17.54 | 16.76 | 1.99 | NA | NA | 43.51 | 42.73 | 090 | |
| 31800 | A | Repair of windpipe injury | 7.43 | NA | NA | 6.72 | 6.37 | 0.74 | NA | NA | 14.89 | 14.54 | 090 | |
| 31805 | A | Repair of windpipe injury | 13.13 | NA | NA | 12.40 | 11.97 | 1.72 | NA | NA | 27.25 | 26.82 | 090 | |
| 31820 | A | Closure of windpipe lesion | 4.49 | 7.10 | 6.30 | 7.10 | 6.30 | 0.34 | 11.93 | 11.13 | 11.93 | 11.13 | 090 | |
| 31825 | A | Repair of windpipe defect | 6.81 | 9.62 | 8.57 | 9.62 | 8.57 | 0.52 | 16.95 | 15.90 | 16.95 | 15.90 | 090 | |
| 31830 | A | Revise windpipe scar | 4.50 | 6.87 | 6.15 | 6.87 | 6.15 | 0.36 | 11.73 | 11.01 | 11.73 | 11.01 | 090 | |
| 31899 | C | Airways surgical procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 32000 | A | Drainage of chest | 1.54 | 3.01 | 2.50 | 0.50 | 0.62 | 0.07 | 4.62 | 4.11 | 2.11 | 2.23 | 000 | |
| 32001 | D | Total lung lavage | 0.06 | 2.38 | 2.38 | 2.38 | 2.38 | 0.60 | 3.04 | 3.04 | 3.04 | 3.04 | 000 | |
| 32002 | A | Treatment of collapsed lung | 2.19 | NA | NA | 0.84 | 0.99 | 0.11 | NA | NA | 3.14 | 3.29 | 000 | |
| 32005 | A | Treat lung lining chemically | 2.19 | NA | NA | 0.93 | 0.99 | 0.18 | NA | NA | 3.30 | 3.36 | 000 | |
| 32020 | A | Insertion of chest tube | 3.98 | NA | NA | 1.57 | 1.89 | 0.37 | NA | NA | 5.92 | 6.24 | 000 | |
| 32035 | A | Exploration of chest | 8.67 | NA | NA | 10.06 | 9.38 | 1.05 | NA | NA | 19.78 | 19.10 | 090 | |
| 32036 | A | Exploration of chest | 9.68 | NA | NA | 11.25 | 10.37 | 1.19 | NA | NA | 22.12 | 21.24 | 090 | |
| 32095 | A | Biopsy through chest wall | 8.36 | NA | NA | 10.17 | 9.87 | 0.98 | NA | NA | 19.51 | 19.21 | 090 | |
| 32100 | A | Exploration/biopsy of chest | 11.84 | NA | NA | 11.45 | 11.64 | 1.45 | NA | NA | 24.74 | 24.93 | 090 | |
| 32110 | A | Explore/repair chest | 13.62 | NA | NA | 11.89 | 12.04 | 1.67 | NA | NA | 27.18 | 27.33 | 090 | |
| 32120 | A | Re-exploration of chest | 11.54 | NA | NA | 12.00 | 11.57 | 1.45 | NA | NA | 24.99 | 24.56 | 090 | |
| 32124 | A | Explore chest free adhesions | 12.72 | NA | NA | 11.18 | 11.35 | 1.57 | NA | NA | 25.47 | 25.64 | 090 | |
| 32140 | A | Removal of lung lesion(s) | 13.93 | NA | NA | 12.89 | 13.02 | 1.68 | NA | NA | 28.50 | 28.63 | 090 | |
| 32141 | A | Remove/treat lung lesions | 0.14 | NA | NA | 10.96 | 11.86 | 1.74 | NA | NA | 12.84 | 13.74 | 090 | |
| 32150 | A | Removal of lung lesion(s) | 14.15 | NA | NA | 12.31 | 12.04 | 1.71 | NA | NA | 28.17 | 27.90 | 090 | |
| 32151 | A | Remove lung foreign body | 14.21 | NA | NA | 13.42 | 12.55 | 1.76 | NA | NA | 29.39 | 28.52 | 090 | |
| 32160 | A | Open chest heart massage | 9.30 | NA | NA | 7.25 | 7.92 | 1.07 | NA | NA | 17.62 | 18.29 | 090 | |
| 32200 | A | Drain, open, lung lesion | 15.29 | NA | NA | 11.18 | 10.26 | 1.25 | NA | NA | 27.72 | 26.80 | 090 | |
| 32201 | A | Drain, percut, lung lesion | 0.04 | NA | NA | 6.43 | 5.65 | 0.32 | NA | NA | 6.79 | 6.01 | 000 | |
| 32215 | A | Treat chest lining | 11.33 | NA | NA | 12.10 | 11.14 | 1.37 | NA | NA | 24.80 | 23.84 | 090 | |
| 32220 | A | Release of lung | 19.27 | NA | NA | 15.25 | 15.73 | 2.28 | NA | NA | 36.80 | 37.28 | 090 | |
| 32225 | A | Partial release of lung | 13.96 | NA | NA | 12.48 | 12.57 | 1.74 | NA | NA | 28.18 | 28.27 | 090 | |
| 32310 | A | Removal of chest lining | 13.44 | NA | NA | 12.13 | 12.26 | 1.65 | NA | NA | 27.22 | 27.35 | 090 | |
| 32320 | A | Free/remove chest lining | 20.54 | NA | NA | 14.86 | 16.06 | 2.50 | NA | NA | 37.90 | 39.10 | 090 | |
| 32400 | A | Needle biopsy chest lining | 1.76 | 1.69 | 1.67 | 0.57 | 0.83 | 0.07 | 3.52 | 3.50 | 2.40 | 2.66 | 000 | |
| 32402 | A | Open biopsy chest lining | 7.56 | NA | NA | 10.48 | 9.92 | 0.94 | NA | NA | 18.98 | 18.42 | 090 | |
| 32405 | A | Biopsy, lung or mediastinum | 1.93 | 2.45 | 2.41 | 0.67 | 1.08 | 0.08 | 4.46 | 4.42 | 2.68 | 3.09 | 000 | |
| 32420 | A | Puncture/clear lung | 2.18 | NA | NA | 0.83 | 1.03 | 0.10 | NA | NA | 3.11 | 3.31 | 000 | |
| 32440 | A | Removal of lung | 21.02 | NA | NA | 15.28 | 16.50 | 2.60 | NA | NA | 38.90 | 40.12 | 090 | |
| 32442 | A | Sleeve pneumonectomy | 26.24 | NA | NA | 16.28 | 17.08 | 3.28 | NA | NA | 45.80 | 46.60 | 090 | |
| 32445 | A | Removal of lung | 25.09 | NA | NA | 16.11 | 17.63 | 3.09 | NA | NA | 44.29 | 45.81 | 090 | |
| 32480 | A | Partial removal of lung | 18.32 | NA | NA | 13.25 | 14.59 | 2.25 | NA | NA | 33.82 | 35.16 | 090 | |
| 32482 | A | Bilobectomy | 19.71 | NA | NA | 14.24 | 15.33 | 2.38 | NA | NA | 36.33 | 37.42 | 090 | |
| 32484 | A | Segmentectomy | 20.69 | NA | NA | 14.81 | 15.76 | 2.54 | NA | NA | 38.04 | 38.99 | 090 | |
| 32486 | A | Sleeve lobectomy | 23.92 | NA | NA | 17.05 | 17.28 | 3.04 | NA | NA | 44.01 | 44.24 | 090 | |
| 32488 | A | Completion pneumonectomy | 25.71 | NA | NA | 17.26 | 17.76 | 3.19 | NA | NA | 46.16 | 46.66 | 090 | |
| 32491 | R | Lung volume reduction | 21.25 | NA | NA | 15.68 | 15.95 | 2.84 | NA | NA | 39.77 | 40.04 | 090 | |
| 32500 | A | Partial removal of lung | 14.30 | NA | NA | 12.90 | 13.33 | 1.79 | NA | NA | 28.99 | 29.42 | 090 | |
| 32501 | A | Repair bronchus add-on | 4.69 | NA | NA | 1.86 | 2.57 | 0.53 | NA | NA | 7.08 | 7.79 | ZZZ | |
| 32520 | A | Remove lung revise chest | 21.68 | NA | NA | 15.82 | 17.47 | 2.75 | NA | NA | 40.25 | 41.90 | 090 | |
| 32522 | A | Remove lung revise chest | 24.20 | NA | NA | 16.66 | 18.44 | 3.03 | NA | NA | 43.89 | 45.67 | 090 | |
| 32525 | A | Remove lung revise chest | 26.50 | NA | NA | 17.13 | 19.22 | 3.29 | NA | NA | 46.92 | 49.01 | 090 | |
| 32540 | A | Removal of lung lesion | 14.64 | NA | NA | 13.15 | 13.03 | 1.81 | NA | NA | 29.60 | 29.48 | 090 | |
| 32601 | A | Thoracoscopy, diagnostic | 5.46 | NA | NA | 4.52 | 4.33 | 0.68 | NA | NA | 10.66 | 10.47 | 000 | |
| 32602 | A | Thoracoscopy, diagnostic | 5.96 | NA | NA | 4.71 | 4.58 | 0.74 | NA | NA | 11.41 | 11.28 | 000 | |
| 32603 | A | Thoracoscopy, diagnostic | 7.81 | NA | NA | 5.26 | 4.89 | 0.78 | NA | NA | 13.85 | 13.48 | 000 | |
| 32604 | A | Thoracoscopy, diagnostic | 8.78 | NA | NA | 6.02 | 5.57 | 1.07 | NA | NA | 15.87 | 15.42 | 000 | |
| 32605 | A | Thoracoscopy, diagnostic | 6.93 | NA | NA | 5.50 | 5.07 | 0.86 | NA | NA | 13.29 | 12.86 | 000 | |
| 32606 | A | Thoracoscopy, diagnostic | 8.40 | NA | NA | 5.71 | 5.33 | 1.04 | NA | NA | 15.15 | 14.77 | 000 | |
| 32650 | A | Thoracoscopy, surgical | 10.75 | NA | NA | 10.60 | 10.02 | 1.26 | NA | NA | 22.61 | 22.03 | 090 | |
| 32651 | A | Thoracoscopy, surgical | 12.91 | NA | NA | 10.60 | 11.16 | 1.55 | NA | NA | 25.06 | 25.62 | 090 | |
| 32652 | A | Thoracoscopy, surgical | 18.66 | NA | NA | 13.59 | 14.48 | 2.30 | NA | NA | 34.55 | 35.44 | 090 | |
| 32653 | A | Thoracoscopy, surgical | 12.87 | NA | NA | 11.41 | 11.36 | 1.55 | NA | NA | 25.83 | 25.78 | 090 | |
| 32654 | A | Thoracoscopy, surgical | 12.44 | NA | NA | 8.98 | 9.86 | 1.48 | NA | NA | 22.90 | 23.78 | 090 | |
| 32655 | A | Thoracoscopy, surgical | 13.10 | NA | NA | 10.70 | 11.67 | 1.54 | NA | NA | 25.34 | 26.31 | 090 | |
| 32656 | A | Thoracoscopy, surgical | 12.91 | NA | NA | 11.57 | 12.30 | 1.61 | NA | NA | 26.09 | 26.82 | 090 | |
| 32657 | A | Thoracoscopy, surgical | 13.65 | NA | NA | 11.49 | 12.27 | 1.65 | NA | NA | 26.79 | 27.57 | 090 | |
| 32658 | A | Thoracoscopy, surgical | 11.63 | NA | NA | 11.47 | 12.07 | 1.45 | NA | NA | 24.55 | 25.15 | 090 | |
| 32659 | A | Thoracoscopy, surgical | 11.59 | NA | NA | 11.18 | 11.85 | 1.46 | NA | NA | 24.23 | 24.90 | 090 | |
| 32660 | A | Thoracoscopy, surgical | 17.43 | NA | NA | 15.53 | 16.85 | 2.29 | NA | NA | 35.25 | 36.57 | 090 | |
| 32661 | A | Thoracoscopy, surgical | 13.25 | NA | NA | 12.02 | 11.53 | 1.65 | NA | NA | 26.92 | 26.43 | 090 | |
| 32662 | A | Thoracoscopy, surgical | 16.44 | NA | NA | 12.76 | 13.52 | 2.03 | NA | NA | 31.23 | 31.99 | 090 | |
| 32663 | A | Thoracoscopy, surgical | 18.47 | NA | NA | 13.50 | 14.78 | 2.25 | NA | NA | 34.22 | 35.50 | 090 | |
| 32664 | A | Thoracoscopy, surgical | 14.20 | NA | NA | 10.80 | 10.96 | 1.64 | NA | NA | 26.64 | 26.80 | 090 | |
| 32665 | A | Thoracoscopy, surgical | 15.54 | NA | NA | 11.27 | 12.34 | 1.80 | NA | NA | 28.61 | 29.68 | 090 | |
| 32800 | A | Repair lung hernia | 13.69 | NA | NA | 13.17 | 12.13 | 1.41 | NA | NA | 28.27 | 27.23 | 090 | |
| 32810 | A | Close chest after drainage | 13.05 | NA | NA | 12.42 | 11.08 | 1.66 | NA | NA | 27.13 | 25.79 | 090 | |
| 32815 | A | Close bronchial fistula | 23.15 | NA | NA | 17.73 | 17.43 | 2.94 | NA | NA | 43.82 | 43.52 | 090 | |
| 32820 | A | Reconstruct injured chest | 21.48 | NA | NA | 15.97 | 17.14 | 2.40 | NA | NA | 39.85 | 41.02 | 090 | |
| 32850 | X | Donor pneumonectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 32851 | A | Lung transplant, single | 38.63 | NA | NA | 24.89 | 25.60 | 5.21 | NA | NA | 68.73 | 69.44 | 090 | |
| 32852 | A | Lung transplant with bypass | 41.80 | NA | NA | 25.98 | 27.00 | 5.81 | NA | NA | 73.59 | 74.61 | 090 | |
| 32853 | A | Lung transplant, double | 47.81 | NA | NA | 28.44 | 30.00 | 6.43 | NA | NA | 82.68 | 84.24 | 090 | |
| 32854 | A | Lung transplant with bypass | 50.98 | NA | NA | 30.44 | 32.08 | 6.75 | NA | NA | 88.17 | 89.81 | 090 | |
| 32900 | A | Removal of rib(s) | 20.27 | NA | NA | 14.63 | 13.27 | 2.40 | NA | NA | 37.30 | 35.94 | 090 | |
| 32905 | A | Revise repair chest wall | 20.75 | NA | NA | 14.48 | 14.32 | 2.55 | NA | NA | 37.78 | 37.62 | 090 | |
| 32906 | A | Revise repair chest wall | 26.77 | NA | NA | 17.44 | 17.26 | 3.34 | NA | NA | 47.55 | 47.37 | 090 | |
| 32940 | A | Revision of lung | 19.43 | NA | NA | 14.32 | 13.83 | 2.37 | NA | NA | 36.12 | 35.63 | 090 | |
| 32960 | A | Therapeutic pneumothorax | 1.84 | 1.90 | 1.68 | 0.55 | 0.67 | 0.13 | 3.87 | 3.65 | 2.52 | 2.64 | 000 | |
| 32997 | A | Total lung lavage | 0.06 | NA | NA | 2.28 | 2.28 | 0.58 | NA | NA | 2.92 | 2.92 | 000 | |
| 32999 | C | Chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 33010 | A | Drainage of heart sac | 2.24 | NA | NA | 0.99 | 1.16 | 0.27 | NA | NA | 3.50 | 3.67 | 000 | |
| 33011 | A | Repeat drainage of heart sac | 2.24 | NA | NA | 1.02 | 1.07 | 0.26 | NA | NA | 3.52 | 3.57 | 000 | |
| 33015 | A | Incision of heart sac | 6.80 | NA | NA | 5.20 | 5.06 | 0.88 | NA | NA | 12.88 | 12.74 | 090 | |
| 33020 | A | Incision of heart sac | 12.61 | NA | NA | 10.08 | 11.16 | 1.63 | NA | NA | 24.32 | 25.40 | 090 | |
| 33025 | A | Incision of heart sac | 12.09 | NA | NA | 10.01 | 11.12 | 1.55 | NA | NA | 23.65 | 24.76 | 090 | |
| 33030 | A | Partial removal of heart sac | 18.71 | NA | NA | 15.79 | 17.43 | 2.41 | NA | NA | 36.91 | 38.55 | 090 | |
| 33031 | A | Partial removal of heart sac | 21.79 | NA | NA | 17.76 | 16.92 | 2.90 | NA | NA | 42.45 | 41.61 | 090 | |
| 33050 | A | Removal of heart sac lesion | 14.36 | NA | NA | 12.85 | 12.15 | 1.77 | NA | NA | 28.98 | 28.28 | 090 | |
| 33120 | A | Removal of heart lesion | 24.56 | NA | NA | 21.22 | 23.25 | 3.19 | NA | NA | 48.97 | 51.00 | 090 | |
| 33130 | A | Removal of heart lesion | 21.39 | NA | NA | 15.50 | 15.29 | 2.42 | NA | NA | 39.31 | 39.10 | 090 | |
| 33140 | A | Heart revascularize (tmr) | 0.20 | NA | NA | 12.66 | 12.66 | 2.56 | NA | NA | 15.42 | 15.42 | 090 | |
| 33200 | A | Insertion of heart pacemaker | 12.48 | NA | NA | 11.57 | 12.01 | 1.45 | NA | NA | 25.50 | 25.94 | 090 | |
| 33201 | A | Insertion of heart pacemaker | 10.18 | NA | NA | 12.09 | 12.10 | 1.34 | NA | NA | 23.61 | 23.62 | 090 | |
| 33206 | A | Insertion of heart pacemaker | 3.11 | NA | NA | 1.28 | 2.95 | 0.84 | NA | NA | 5.23 | 6.90 | 000 | |
| 33207 | A | Insertion of heart pacemaker | 3.30 | NA | NA | 1.36 | 3.42 | 1.03 | NA | NA | 5.69 | 7.75 | 000 | |
| 33208 | A | Insertion of heart pacemaker | 2.64 | NA | NA | 1.10 | 3.25 | 1.07 | NA | NA | 4.81 | 6.96 | 000 | |
| 33210 | A | Insertion of heart electrode | 3.30 | NA | NA | 1.35 | 1.91 | 0.42 | NA | NA | 5.07 | 5.63 | 000 | |
| 33211 | A | Insertion of heart electrode | 3.40 | NA | NA | 1.44 | 1.98 | 0.44 | NA | NA | 5.28 | 5.82 | 000 | |
| 33212 | A | Insertion of pulse generator | 3.32 | NA | NA | 1.36 | 2.48 | 0.71 | NA | NA | 5.39 | 6.51 | 000 | |
| 33213 | A | Insertion of pulse generator | 4.92 | NA | NA | 2.03 | 2.98 | 0.82 | NA | NA | 7.77 | 8.72 | 000 | |
| 33214 | A | Upgrade of pacemaker system | 4.27 | NA | NA | 1.75 | 2.78 | 0.99 | NA | NA | 7.01 | 8.04 | 000 | |
| 33216 | A | Revise eltrd pacing-defib | 3.21 | NA | NA | 1.33 | 2.36 | 0.70 | NA | NA | 5.24 | 6.27 | 000 | |
| 33217 | A | Revise eltrd pacing-defib | 3.57 | NA | NA | 1.48 | 2.47 | 0.76 | NA | NA | 5.81 | 6.80 | 000 | |
| 33218 | A | Revise eltrd pacing-defib | 3.26 | NA | NA | 1.34 | 2.25 | 0.70 | NA | NA | 5.30 | 6.21 | 000 | |
| 33220 | A | Revise eltrd pacing-defib | 2.90 | NA | NA | 1.19 | 2.14 | 0.71 | NA | NA | 4.80 | 5.75 | 000 | |
| 33222 | A | Revise pocket, pacemaker | 4.96 | NA | NA | 4.21 | 4.64 | 0.62 | NA | NA | 9.79 | 10.22 | 090 | |
| 33223 | A | Revise pocket, pacing-defib | 6.46 | NA | NA | 5.63 | 5.77 | 0.88 | NA | NA | 12.97 | 13.11 | 090 | |
| 33233 | A | Removal of pacemaker system | 1.11 | NA | NA | 0.46 | 1.06 | 0.44 | NA | NA | 2.01 | 2.61 | 000 | |
| 33234 | A | Removal of pacemaker system | 5.64 | NA | NA | 2.35 | 2.53 | 1.05 | NA | NA | 9.04 | 9.22 | 000 | |
| 33235 | A | Removal pacemaker electrode | 4.58 | NA | NA | 1.91 | 2.29 | 1.26 | NA | NA | 7.75 | 8.13 | 000 | |
| 33236 | A | Remove electrode/thoracotomy | 12.60 | NA | NA | 11.19 | 9.47 | 1.63 | NA | NA | 25.42 | 23.70 | 090 | |
| 33237 | A | Remove electrode/thoracotomy | 13.71 | NA | NA | 12.01 | 11.61 | 1.77 | NA | NA | 27.49 | 27.09 | 090 | |
| 33238 | A | Remove electrode/thoracotomy | 15.22 | NA | NA | 11.41 | 11.35 | 1.41 | NA | NA | 28.04 | 27.98 | 090 | |
| 33240 | A | Insert pulse generator | 5.13 | NA | NA | 2.14 | 3.07 | 1.03 | NA | NA | 8.30 | 9.23 | 000 | |
| 33241 | A | Remove pulse generator | 1.51 | NA | NA | 0.63 | 1.06 | 0.44 | NA | NA | 2.58 | 3.01 | 000 | |
| 33242 | D | Repair pulse generator/leads | 6.17 | 2.45 | 3.68 | 2.45 | 3.68 | 0.83 | 9.45 | 10.68 | 9.45 | 10.68 | 090 | |
| 33243 | A | Remove eltrd/thoracotomy | 22.64 | NA | NA | 13.53 | 12.60 | 3.03 | NA | NA | 39.20 | 38.27 | 090 | |
| 33244 | A | Remove eltrd, transven | 9.85 | NA | NA | 4.11 | 5.53 | 1.83 | NA | NA | 15.79 | 17.21 | 000 | |
| 33245 | A | Insert epic eltrd pace-defib | 14.30 | NA | NA | 13.63 | 14.49 | 1.83 | NA | NA | 29.76 | 30.62 | 090 | |
| 33246 | A | Insert epic eltrd/generator | 20.71 | NA | NA | 17.00 | 18.39 | 2.74 | NA | NA | 40.45 | 41.84 | 090 | |
| 33247 | D | Insert/replace leads | 10.21 | 4.05 | 6.09 | 4.05 | 6.09 | 1.27 | 15.53 | 17.57 | 15.53 | 17.57 | 090 | |
| 33249 | A | Eltrd/insert pace-defib | 11.41 | NA | NA | 4.80 | 7.57 | 1.79 | NA | NA | 18.00 | 20.77 | 000 | |
| 33250 | A | Ablate heart dysrhythm focus | 21.85 | NA | NA | 14.28 | 13.85 | 2.97 | NA | NA | 39.10 | 38.67 | 090 | |
| 33251 | A | Ablate heart dysrhythm focus | 24.88 | NA | NA | 18.57 | 18.38 | 3.26 | NA | NA | 46.71 | 46.52 | 090 | |
| 33253 | A | Reconstruct atria | 31.06 | NA | NA | 21.60 | 22.12 | 4.12 | NA | NA | 56.78 | 57.30 | 090 | |
| 33261 | A | Ablate heart dysrhythm focus | 24.88 | NA | NA | 18.92 | 17.98 | 2.94 | NA | NA | 46.74 | 45.80 | 090 | |
| 33282 | A | Implant pat-active ht record | 2.83 | NA | NA | 1.15 | 1.15 | 0.53 | NA | NA | 4.51 | 4.51 | 000 | |
| 33284 | A | Remove pat-active ht record | 1.16 | NA | NA | 0.47 | 0.47 | 0.33 | NA | NA | 1.96 | 1.96 | 000 | |
| 33300 | A | Repair of heart wound | 17.92 | NA | NA | 14.78 | 14.98 | 2.33 | NA | NA | 35.03 | 35.23 | 090 | |
| 33305 | A | Repair of heart wound | 21.44 | NA | NA | 17.53 | 17.87 | 2.81 | NA | NA | 41.78 | 42.12 | 090 | |
| 33310 | A | Exploratory heart surgery | 18.51 | NA | NA | 16.72 | 15.60 | 2.48 | NA | NA | 37.71 | 36.59 | 090 | |
| 33315 | A | Exploratory heart surgery | 22.37 | NA | NA | 17.98 | 17.41 | 0.03 | NA | NA | 40.38 | 39.81 | 090 | |
| 33320 | A | Repair major blood vessel(s) | 16.79 | NA | NA | 13.62 | 14.05 | 2.14 | NA | NA | 32.55 | 32.98 | 090 | |
| 33321 | A | Repair major vessel | 20.20 | NA | NA | 16.08 | 17.96 | 2.36 | NA | NA | 38.64 | 40.52 | 090 | |
| 33322 | A | Repair major blood vessel(s) | 20.62 | NA | NA | 16.85 | 18.54 | 2.70 | NA | NA | 40.17 | 41.86 | 090 | |
| 33330 | A | Insert major vessel graft | 21.43 | NA | NA | 15.66 | 15.18 | 2.79 | NA | NA | 39.88 | 39.40 | 090 | |
| 33332 | A | Insert major vessel graft | 23.96 | NA | NA | 15.85 | 15.98 | 3.29 | NA | NA | 43.10 | 43.23 | 090 | |
| 33335 | A | Insert major vessel graft | 30.01 | NA | NA | 20.81 | 19.70 | 3.99 | NA | NA | 54.81 | 53.70 | 090 | |
| 33400 | A | Repair of aortic valve | 25.34 | NA | NA | 22.27 | 23.81 | 3.34 | NA | NA | 50.95 | 52.49 | 090 | |
| 33401 | A | Valvuloplasty, open | 23.91 | NA | NA | 18.29 | 20.83 | 3.19 | NA | NA | 45.39 | 47.93 | 090 | |
| 33403 | A | Valvuloplasty, w/cp bypass | 24.89 | NA | NA | 21.83 | 23.48 | 3.47 | NA | NA | 50.19 | 51.84 | 090 | |
| 33404 | A | Prepare heart-aorta conduit | 28.54 | NA | NA | 23.34 | 25.98 | 3.68 | NA | NA | 55.56 | 58.20 | 090 | |
| 33405 | A | Replacement of aortic valve | 30.61 | NA | NA | 21.23 | 24.19 | 3.97 | NA | NA | 55.81 | 58.77 | 090 | |
| 33406 | A | Replacement of aortic valve | 32.30 | NA | NA | 22.08 | 26.20 | 4.18 | NA | NA | 58.56 | 62.68 | 090 | |
| 33410 | A | Replacement of aortic valve | 32.46 | NA | NA | 21.99 | 21.99 | 4.21 | NA | NA | 58.66 | 58.66 | 090 | |
| 33411 | A | Replacement of aortic valve | 32.47 | NA | NA | 22.05 | 26.23 | 4.21 | NA | NA | 58.73 | 62.91 | 090 | |
| 33412 | A | Replacement of aortic valve | 34.79 | NA | NA | 25.59 | 29.58 | 4.18 | NA | NA | 64.56 | 68.55 | 090 | |
| 33413 | A | Replacement of aortic valve | 35.24 | NA | NA | 26.30 | 30.24 | 4.59 | NA | NA | 66.13 | 70.07 | 090 | |
| 33414 | A | Repair of aortic valve | 30.35 | NA | NA | 26.14 | 28.67 | 3.88 | NA | NA | 60.37 | 62.90 | 090 | |
| 33415 | A | Revision, subvalvular tissue | 27.15 | NA | NA | 22.75 | 25.17 | 2.84 | NA | NA | 52.74 | 55.16 | 090 | |
| 33416 | A | Revise ventricle muscle | 30.35 | NA | NA | 21.71 | 23.92 | 0.04 | NA | NA | 52.10 | 54.31 | 090 | |
| 33417 | A | Repair of aortic valve | 28.53 | NA | NA | 25.47 | 27.62 | 3.72 | NA | NA | 57.72 | 59.87 | 090 | |
| 33420 | A | Revision of mitral valve | 22.70 | NA | NA | 11.43 | 13.95 | 1.58 | NA | NA | 35.71 | 38.23 | 090 | |
| 33422 | A | Revision of mitral valve | 25.94 | NA | NA | 19.74 | 22.55 | 3.34 | NA | NA | 49.02 | 51.83 | 090 | |
| 33425 | A | Repair of mitral valve | 0.27 | NA | NA | 19.58 | 22.74 | 3.47 | NA | NA | 23.32 | 26.48 | 090 | |
| 33426 | A | Repair of mitral valve | 31.03 | NA | NA | 21.42 | 24.74 | 4.03 | NA | NA | 56.48 | 59.80 | 090 | |
| 33427 | A | Repair of mitral valve | 33.72 | NA | NA | 22.50 | 26.29 | 4.42 | NA | NA | 60.64 | 64.43 | 090 | |
| 33430 | A | Replacement of mitral valve | 31.43 | NA | NA | 21.56 | 25.55 | 4.09 | NA | NA | 57.08 | 61.07 | 090 | |
| 33460 | A | Revision of tricuspid valve | 23.60 | NA | NA | 18.32 | 20.78 | 0.03 | NA | NA | 41.95 | 44.41 | 090 | |
| 33463 | A | Valvuloplasty, tricuspid | 25.62 | NA | NA | 19.22 | 22.06 | 3.34 | NA | NA | 48.18 | 51.02 | 090 | |
| 33464 | A | Valvuloplasty, tricuspid | 27.33 | NA | NA | 20.03 | 23.18 | 3.57 | NA | NA | 50.93 | 54.08 | 090 | |
| 33465 | A | Replace tricuspid valve | 28.79 | NA | NA | 20.61 | 24.05 | 3.65 | NA | NA | 53.05 | 56.49 | 090 | |
| 33468 | A | Revision of tricuspid valve | 30.12 | NA | NA | 28.69 | 30.51 | 3.93 | NA | NA | 62.74 | 64.56 | 090 | |
| 33470 | A | Revision of pulmonary valve | 20.81 | NA | NA | 11.28 | 13.84 | 2.50 | NA | NA | 34.59 | 37.15 | 090 | |
| 33471 | A | Valvotomy, pulmonary valve | 22.25 | NA | NA | 13.15 | 16.51 | 1.75 | NA | NA | 37.15 | 40.51 | 090 | |
| 33472 | A | Revision of pulmonary valve | 22.25 | NA | NA | 14.81 | 17.75 | 2.53 | NA | NA | 39.59 | 42.53 | 090 | |
| 33474 | A | Revision of pulmonary valve | 23.04 | NA | NA | 19.11 | 21.21 | 2.62 | NA | NA | 44.77 | 46.87 | 090 | |
| 33475 | A | Replacement, pulmonary valve | 28.41 | NA | NA | 22.03 | 25.00 | 3.73 | NA | NA | 54.17 | 57.14 | 090 | |
| 33476 | A | Revision of heart chamber | 25.77 | NA | NA | 16.56 | 20.06 | 2.38 | NA | NA | 44.71 | 48.21 | 090 | |
| 33478 | A | Revision of heart chamber | 26.74 | NA | NA | 22.18 | 24.62 | 3.68 | NA | NA | 52.60 | 55.04 | 090 | |
| 33496 | A | Repair, prosth valve clot | 27.25 | NA | NA | 22.69 | 25.15 | 3.63 | NA | NA | 53.57 | 56.03 | 090 | |
| 33500 | A | Repair heart vessel fistula | 25.55 | NA | NA | 19.25 | 22.07 | 3.10 | NA | NA | 47.90 | 50.72 | 090 | |
| 33501 | A | Repair heart vessel fistula | 17.78 | NA | NA | 14.32 | 14.58 | 2.09 | NA | NA | 34.19 | 34.45 | 090 | |
| 33502 | A | Coronary artery correction | 21.04 | NA | NA | 23.68 | 21.60 | 2.86 | NA | NA | 47.58 | 45.50 | 090 | |
| 33503 | A | Coronary artery graft | 21.78 | NA | NA | 14.97 | 17.73 | 2.70 | NA | NA | 39.45 | 42.21 | 090 | |
| 33504 | A | Coronary artery graft | 24.66 | NA | NA | 23.84 | 25.24 | 2.63 | NA | NA | 51.13 | 52.53 | 090 | |
| 33505 | A | Repair artery w/tunnel | 26.84 | NA | NA | 15.91 | 19.94 | 3.16 | NA | NA | 45.91 | 49.94 | 090 | |
| 33506 | A | Repair artery, translocation | 26.71 | NA | NA | 19.83 | 22.84 | 2.94 | NA | NA | 49.48 | 52.49 | 090 | |
| 33510 | A | CABG, vein, single | 25.12 | NA | NA | 18.98 | 21.73 | 3.27 | NA | NA | 47.37 | 50.12 | 090 | |
| 33511 | A | CABG, vein, two | 27.40 | NA | NA | 19.87 | 23.08 | 3.56 | NA | NA | 50.83 | 54.04 | 090 | |
| 33512 | A | CABG, vein, three | 29.67 | NA | NA | 20.57 | 24.28 | 3.79 | NA | NA | 54.03 | 57.74 | 090 | |
| 33513 | A | CABG, vein, four | 31.95 | NA | NA | 21.68 | 25.80 | 4.11 | NA | NA | 57.74 | 61.86 | 090 | |
| 33514 | A | CABG, vein, five | 0.35 | NA | NA | 23.07 | 27.75 | 4.49 | NA | NA | 27.91 | 32.59 | 090 | |
| 33516 | A | Cabg, vein, six or more | 37.40 | NA | NA | 24.08 | 29.22 | 4.78 | NA | NA | 66.26 | 71.40 | 090 | |
| 33517 | A | CABG, artery-vein, single | 2.57 | NA | NA | 1.05 | 1.56 | 0.33 | NA | NA | 3.95 | 4.46 | ZZZ | |
| 33518 | A | CABG, artery-vein, two | 4.85 | NA | NA | 1.98 | 2.94 | 0.63 | NA | NA | 7.46 | 8.42 | ZZZ | |
| 33519 | A | CABG, artery-vein, three | 7.12 | NA | NA | 2.91 | 4.31 | 0.92 | NA | NA | 10.95 | 12.35 | ZZZ | |
| 33521 | A | CABG, artery-vein, four | 9.40 | NA | NA | 3.84 | 5.69 | 1.21 | NA | NA | 14.45 | 16.30 | ZZZ | |
| 33522 | A | CABG, artery-vein, five | 11.67 | NA | NA | 4.78 | 7.07 | 1.49 | NA | NA | 17.94 | 20.23 | ZZZ | |
| 33523 | A | Cabg, art-vein, six or more | 13.95 | NA | NA | 5.73 | 8.46 | 1.78 | NA | NA | 21.46 | 24.19 | ZZZ | |
| 33530 | A | Coronary artery, bypass/reop | 5.86 | NA | NA | 2.39 | 3.54 | 0.76 | NA | NA | 9.01 | 10.16 | ZZZ | |
| 33533 | A | CABG, arterial, single | 25.83 | NA | NA | 19.25 | 22.15 | 3.33 | NA | NA | 48.41 | 51.31 | 090 | |
| 33534 | A | CABG, arterial, two | 28.82 | NA | NA | 19.86 | 23.50 | 3.68 | NA | NA | 52.36 | 56.00 | 090 | |
| 33535 | A | CABG, arterial, three | 31.81 | NA | NA | 20.88 | 25.15 | 3.96 | NA | NA | 56.65 | 60.92 | 090 | |
| 33536 | A | Cabg, arterial, four or more | 34.79 | NA | NA | 21.59 | 26.58 | 4.39 | NA | NA | 60.77 | 65.76 | 090 | |
| 33542 | A | Removal of heart lesion | 28.85 | NA | NA | 22.46 | 25.18 | 3.76 | NA | NA | 55.07 | 57.79 | 090 | |
| 33545 | A | Repair of heart damage | 36.78 | NA | NA | 25.43 | 28.55 | 4.80 | NA | NA | 67.01 | 70.13 | 090 | |
| 33572 | A | Open coronary endarterectomy | 4.45 | NA | NA | 1.82 | 2.24 | 0.58 | NA | NA | 6.85 | 7.27 | ZZZ | |
| 33600 | A | Closure of valve | 29.51 | NA | NA | 20.23 | 23.98 | 2.58 | NA | NA | 52.32 | 56.07 | 090 | |
| 33602 | A | Closure of valve | 28.54 | NA | NA | 20.00 | 23.27 | 2.84 | NA | NA | 51.38 | 54.65 | 090 | |
| 33606 | A | Anastomosis/artery-aorta | 30.74 | NA | NA | 22.08 | 25.73 | 3.97 | NA | NA | 56.79 | 60.44 | 090 | |
| 33608 | A | Repair anomaly w/conduit | 31.09 | NA | NA | 24.35 | 27.54 | 4.27 | NA | NA | 59.71 | 62.90 | 090 | |
| 33610 | A | Repair by enlargement | 30.61 | NA | NA | 25.44 | 28.22 | 3.64 | NA | NA | 59.69 | 62.47 | 090 | |
| 33611 | A | Repair double ventricle | 32.30 | NA | NA | 23.19 | 27.03 | 4.44 | NA | NA | 59.93 | 63.77 | 090 | |
| 33612 | A | Repair double ventricle | 33.26 | NA | NA | 26.76 | 30.00 | 4.51 | NA | NA | 64.53 | 67.77 | 090 | |
| 33615 | A | Repair, simple fontan | 32.06 | NA | NA | 26.81 | 29.68 | 3.88 | NA | NA | 62.75 | 65.62 | 090 | |
| 33617 | A | Repair, modified fontan | 34.03 | NA | NA | 28.98 | 31.89 | 4.75 | NA | NA | 67.76 | 70.67 | 090 | |
| 33619 | A | Repair single ventricle | 37.57 | NA | NA | 34.35 | 36.98 | 5.03 | NA | NA | 76.95 | 79.58 | 090 | |
| 33641 | A | Repair heart septum defect | 21.39 | NA | NA | 15.27 | 17.84 | 2.78 | NA | NA | 39.44 | 42.01 | 090 | |
| 33645 | A | Revision of heart veins | 24.82 | NA | NA | 20.05 | 22.45 | 3.32 | NA | NA | 48.19 | 50.59 | 090 | |
| 33647 | A | Repair heart septum defects | 28.73 | NA | NA | 23.71 | 26.36 | 3.81 | NA | NA | 56.25 | 58.90 | 090 | |
| 33660 | A | Repair of heart defects | 25.54 | NA | NA | 22.37 | 24.40 | 3.13 | NA | NA | 51.04 | 53.07 | 090 | |
| 33665 | A | Repair of heart defects | 28.60 | NA | NA | 23.01 | 25.74 | 0.04 | NA | NA | 51.65 | 54.38 | 090 | |
| 33670 | A | Repair of heart chambers | 32.73 | NA | NA | 16.81 | 22.38 | 3.35 | NA | NA | 52.89 | 58.46 | 090 | |
| 33681 | A | Repair heart septum defect | 27.67 | NA | NA | 23.93 | 26.21 | 3.60 | NA | NA | 55.20 | 57.48 | 090 | |
| 33684 | A | Repair heart septum defect | 29.65 | NA | NA | 22.11 | 25.43 | 3.63 | NA | NA | 55.39 | 58.71 | 090 | |
| 33688 | A | Repair heart septum defect | 30.62 | NA | NA | 13.26 | 19.08 | 3.74 | NA | NA | 47.62 | 53.44 | 090 | |
| 33690 | A | Reinforce pulmonary artery | 19.55 | NA | NA | 17.97 | 19.31 | 2.38 | NA | NA | 39.90 | 41.24 | 090 | |
| 33692 | A | Repair of heart defects | 30.75 | NA | NA | 21.05 | 24.97 | 4.22 | NA | NA | 56.02 | 59.94 | 090 | |
| 33694 | A | Repair of heart defects | 31.73 | NA | NA | 21.44 | 25.55 | 3.36 | NA | NA | 56.53 | 60.64 | 090 | |
| 33697 | A | Repair of heart defects | 33.71 | NA | NA | 22.24 | 26.74 | 4.52 | NA | NA | 60.47 | 64.97 | 090 | |
| 33702 | A | Repair of heart defects | 26.54 | NA | NA | 22.68 | 24.93 | 3.55 | NA | NA | 52.77 | 55.02 | 090 | |
| 33710 | A | Repair of heart defects | 29.71 | NA | NA | 20.63 | 24.34 | 4.15 | NA | NA | 54.49 | 58.20 | 090 | |
| 33720 | A | Repair of heart defect | 26.56 | NA | NA | 21.31 | 23.91 | 3.56 | NA | NA | 51.43 | 54.03 | 090 | |
| 33722 | A | Repair of heart defect | 28.41 | NA | NA | 24.35 | 26.53 | 3.97 | NA | NA | 56.73 | 58.91 | 090 | |
| 33730 | A | Repair heart-vein defect(s) | 31.67 | NA | NA | 18.46 | 23.30 | 4.24 | NA | NA | 54.37 | 59.21 | 090 | |
| 33732 | A | Repair heart-vein defect | 28.16 | NA | NA | 19.98 | 23.39 | 3.93 | NA | NA | 52.07 | 55.48 | 090 | |
| 33735 | A | Revision of heart chamber | 21.39 | NA | NA | 16.06 | 19.02 | 2.21 | NA | NA | 39.66 | 42.62 | 090 | |
| 33736 | A | Revision of heart chamber | 23.52 | NA | NA | 21.57 | 23.15 | 3.03 | NA | NA | 48.12 | 49.70 | 090 | |
| 33737 | A | Revision of heart chamber | 21.76 | NA | NA | 18.24 | 20.18 | 0.86 | NA | NA | 40.86 | 42.80 | 090 | |
| 33750 | A | Major vessel shunt | 21.41 | NA | NA | 13.17 | 15.87 | 2.72 | NA | NA | 37.30 | 40.00 | 090 | |
| 33755 | A | Major vessel shunt | 21.79 | NA | NA | 12.97 | 15.72 | 1.37 | NA | NA | 36.13 | 38.88 | 090 | |
| 33762 | A | Major vessel shunt | 21.79 | NA | NA | 12.97 | 15.72 | 2.95 | NA | NA | 37.71 | 40.46 | 090 | |
| 33764 | A | Major vessel shunt graft | 21.79 | NA | NA | 14.29 | 16.71 | 2.07 | NA | NA | 38.15 | 40.57 | 090 | |
| 33766 | A | Major vessel shunt | 22.76 | NA | NA | 20.06 | 21.04 | 3.08 | NA | NA | 45.90 | 46.88 | 090 | |
| 33767 | A | Major vessel shunt | 24.50 | NA | NA | 15.20 | 18.37 | 3.49 | NA | NA | 43.19 | 46.36 | 090 | |
| 33770 | A | Repair great vessels defect | 33.29 | NA | NA | 22.08 | 26.50 | 2.76 | NA | NA | 58.13 | 62.55 | 090 | |
| 33771 | A | Repair great vessels defect | 34.65 | NA | NA | 16.38 | 22.63 | 2.87 | NA | NA | 53.90 | 60.15 | 090 | |
| 33774 | A | Repair great vessels defect | 30.98 | NA | NA | 23.14 | 25.84 | 1.18 | NA | NA | 55.30 | 58.00 | 090 | |
| 33775 | A | Repair great vessels defect | 32.20 | NA | NA | 17.10 | 21.31 | 2.67 | NA | NA | 51.97 | 56.18 | 090 | |
| 33776 | A | Repair great vessels defect | 34.04 | NA | NA | 17.83 | 22.85 | 2.82 | NA | NA | 54.69 | 59.71 | 090 | |
| 33777 | A | Repair great vessels defect | 33.46 | NA | NA | 17.60 | 21.69 | 2.77 | NA | NA | 53.83 | 57.92 | 090 | |
| 33778 | A | Repair great vessels defect | 35.82 | NA | NA | 24.62 | 29.16 | 2.97 | NA | NA | 63.41 | 67.95 | 090 | |
| 33779 | A | Repair great vessels defect | 36.21 | NA | NA | 16.37 | 23.09 | 4.72 | NA | NA | 57.30 | 64.02 | 090 | |
| 33780 | A | Repair great vessels defect | 36.94 | NA | NA | 18.98 | 25.26 | 5.08 | NA | NA | 61.00 | 67.28 | 090 | |
| 33781 | A | Repair great vessels defect | 36.45 | NA | NA | 16.86 | 23.53 | 3.02 | NA | NA | 56.33 | 63.00 | 090 | |
| 33786 | A | Repair arterial trunk | 34.84 | NA | NA | 18.14 | 24.00 | 2.88 | NA | NA | 55.86 | 61.72 | 090 | |
| 33788 | A | Revision of pulmonary artery | 26.62 | NA | NA | 14.64 | 18.93 | 2.21 | NA | NA | 43.47 | 47.76 | 090 | |
| 33800 | A | Aortic suspension | 16.24 | NA | NA | 17.96 | 17.31 | 1.95 | NA | NA | 36.15 | 35.50 | 090 | |
| 33802 | A | Repair vessel defect | 17.66 | NA | NA | 17.86 | 18.67 | 2.40 | NA | NA | 37.92 | 38.73 | 090 | |
| 33803 | A | Repair vessel defect | 19.60 | NA | NA | 12.10 | 14.93 | 2.35 | NA | NA | 34.05 | 36.88 | 090 | |
| 33813 | A | Repair septal defect | 20.65 | NA | NA | 16.34 | 18.25 | 2.92 | NA | NA | 39.91 | 41.82 | 090 | |
| 33814 | A | Repair septal defect | 25.77 | NA | NA | 21.49 | 23.81 | 3.47 | NA | NA | 50.73 | 53.05 | 090 | |
| 33820 | A | Revise major vessel | 16.29 | NA | NA | 16.46 | 17.21 | 2.05 | NA | NA | 34.80 | 35.55 | 090 | |
| 33822 | A | Revise major vessel | 17.32 | NA | NA | 11.20 | 13.57 | 2.19 | NA | NA | 30.71 | 33.08 | 090 | |
| 33824 | A | Revise major vessel | 19.52 | NA | NA | 17.41 | 18.88 | 2.45 | NA | NA | 39.38 | 40.85 | 090 | |
| 33840 | A | Remove aorta constriction | 20.63 | NA | NA | 19.94 | 21.11 | 2.89 | NA | NA | 43.46 | 44.63 | 090 | |
| 33845 | A | Remove aorta constriction | 22.12 | NA | NA | 18.65 | 20.59 | 3.10 | NA | NA | 43.87 | 45.81 | 090 | |
| 33851 | A | Remove aorta constriction | 21.27 | NA | NA | 22.24 | 23.03 | 2.92 | NA | NA | 46.43 | 47.22 | 090 | |
| 33852 | A | Repair septal defect | 23.71 | NA | NA | 21.42 | 23.14 | 3.07 | NA | NA | 48.20 | 49.92 | 090 | |
| 33853 | A | Repair septal defect | 31.72 | NA | NA | 28.53 | 30.86 | 4.07 | NA | NA | 64.32 | 66.65 | 090 | |
| 33860 | A | Ascending aortic graft | 33.96 | NA | NA | 22.70 | 26.44 | 4.46 | NA | NA | 61.12 | 64.86 | 090 | |
| 33861 | A | Ascending aortic graft | 34.52 | NA | NA | 22.46 | 26.26 | 4.58 | NA | NA | 61.56 | 65.36 | 090 | |
| 33863 | A | Ascending aortic graft | 36.47 | NA | NA | 23.38 | 26.95 | 4.77 | NA | NA | 64.62 | 68.19 | 090 | |
| 33870 | A | Transverse aortic arch graft | 40.31 | NA | NA | 25.09 | 30.84 | 5.38 | NA | NA | 70.78 | 76.53 | 090 | |
| 33875 | A | Thoracic aortic graft | 33.06 | NA | NA | 21.33 | 24.48 | 4.27 | NA | NA | 58.66 | 61.81 | 090 | |
| 33877 | A | Thoracoabdominal graft | 42.60 | NA | NA | 26.55 | 31.88 | 5.48 | NA | NA | 74.63 | 79.96 | 090 | |
| 33910 | A | Remove lung artery emboli | 24.59 | NA | NA | 17.98 | 17.46 | 3.12 | NA | NA | 45.69 | 45.17 | 090 | |
| 33915 | A | Remove lung artery emboli | 21.02 | NA | NA | 13.96 | 13.73 | 2.26 | NA | NA | 37.24 | 37.01 | 090 | |
| 33916 | A | Surgery of great vessel | 25.83 | NA | NA | 17.22 | 17.68 | 3.27 | NA | NA | 46.32 | 46.78 | 090 | |
| 33917 | A | Repair pulmonary artery | 24.50 | NA | NA | 20.89 | 22.98 | 3.30 | NA | NA | 48.69 | 50.78 | 090 | |
| 33918 | A | Repair pulmonary atresia | 26.45 | NA | NA | 14.82 | 19.01 | 3.77 | NA | NA | 45.04 | 49.23 | 090 | |
| 33919 | A | Repair pulmonary atresia | 32.67 | NA | NA | 17.28 | 22.71 | 4.56 | NA | NA | 54.51 | 59.94 | 090 | |
| 33920 | A | Repair pulmonary atresia | 31.95 | NA | NA | 23.86 | 27.43 | 4.47 | NA | NA | 60.28 | 63.85 | 090 | |
| 33922 | A | Transect pulmonary artery | 23.52 | NA | NA | 20.14 | 22.13 | 2.40 | NA | NA | 46.06 | 48.05 | 090 | |
| 33924 | A | Remove pulmonary shunt | 5.50 | NA | NA | 2.25 | 2.77 | 0.77 | NA | NA | 8.52 | 9.04 | ZZZ | |
| 33930 | X | Removal of donor heart/lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33935 | R | Transplantation, heart/lung | 60.96 | NA | NA | 33.84 | 43.58 | 8.06 | NA | NA | 102.86 | 112.60 | 090 | |
| 33940 | X | Removal of donor heart | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 33945 | R | Transplantation of heart | 42.10 | NA | NA | 26.76 | 32.64 | 5.60 | NA | NA | 74.46 | 80.34 | 090 | |
| 33960 | A | External circulation assist | 19.36 | NA | NA | 6.06 | 6.45 | 1.59 | NA | NA | 27.01 | 27.40 | XXX | |
| 33961 | A | External circulation assist | 10.93 | NA | NA | 4.16 | 5.02 | 1.35 | NA | NA | 16.44 | 17.30 | ZZZ | |
| 33968 | A | Remove aortic assist device | 0.64 | NA | NA | 0.25 | 0.25 | 0.27 | NA | NA | 1.16 | 1.16 | 000 | |
| 33970 | A | Aortic circulation assist | 6.75 | NA | NA | 2.77 | 4.09 | 0.91 | NA | NA | 10.43 | 11.75 | 000 | |
| 33971 | A | Aortic circulation assist | 9.69 | NA | NA | 9.64 | 8.63 | 1.29 | NA | NA | 20.62 | 19.61 | 090 | |
| 33973 | A | Insert balloon device | 9.76 | NA | NA | 3.98 | 5.03 | 1.32 | NA | NA | 15.06 | 16.11 | 000 | |
| 33974 | A | Remove intra-aortic balloon | 14.41 | NA | NA | 12.73 | 11.06 | 1.94 | NA | NA | 29.08 | 27.41 | 090 | |
| 33975 | A | Implant ventricular device | 0.21 | NA | NA | 8.53 | 10.25 | 2.86 | NA | NA | 11.60 | 13.32 | XXX | |
| 33976 | A | Implant ventricular device | 0.23 | NA | NA | 9.36 | 12.27 | 3.91 | NA | NA | 13.50 | 16.41 | XXX | |
| 33977 | A | Remove ventricular device | 19.29 | NA | NA | 13.26 | 13.31 | 2.56 | NA | NA | 35.11 | 35.16 | 090 | |
| 33978 | A | Remove ventricular device | 21.73 | NA | NA | 14.17 | 14.48 | 2.89 | NA | NA | 38.79 | 39.10 | 090 | |
| 33999 | C | Cardiac surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 34001 | A | Removal of artery clot | 12.91 | NA | NA | 6.36 | 7.37 | 1.56 | NA | NA | 20.83 | 21.84 | 090 | |
| 34051 | A | Removal of artery clot | 15.21 | NA | NA | 7.77 | 8.22 | 1.85 | NA | NA | 24.83 | 25.28 | 090 | |
| 34101 | A | Removal of artery clot | 9.97 | NA | NA | 5.04 | 6.04 | 1.13 | NA | NA | 16.14 | 17.14 | 090 | |
| 34111 | A | Removal of arm artery clot | 8.07 | NA | NA | 4.36 | 5.33 | 0.84 | NA | NA | 13.27 | 14.24 | 090 | |
| 34151 | A | Removal of artery clot | 16.86 | NA | NA | 7.91 | 9.18 | 1.87 | NA | NA | 26.64 | 27.91 | 090 | |
| 34201 | A | Removal of artery clot | 9.13 | NA | NA | 5.09 | 6.23 | 1.06 | NA | NA | 15.28 | 16.42 | 090 | |
| 34203 | A | Removal of leg artery clot | 12.21 | NA | NA | 6.34 | 7.10 | 1.43 | NA | NA | 19.98 | 20.74 | 090 | |
| 34401 | A | Removal of vein clot | 12.86 | NA | NA | 6.31 | 6.92 | 1.25 | NA | NA | 20.42 | 21.03 | 090 | |
| 34421 | A | Removal of vein clot | 9.93 | NA | NA | 5.56 | 6.19 | 0.97 | NA | NA | 16.46 | 17.09 | 090 | |
| 34451 | A | Removal of vein clot | 14.44 | NA | NA | 6.90 | 8.08 | 1.60 | NA | NA | 22.94 | 24.12 | 090 | |
| 34471 | A | Removal of vein clot | 10.18 | NA | NA | 4.96 | 4.67 | 0.01 | NA | NA | 15.15 | 14.86 | 090 | |
| 34490 | A | Removal of vein clot | 7.60 | NA | NA | 5.56 | 6.14 | 0.76 | NA | NA | 13.92 | 14.50 | 090 | |
| 34501 | A | Repair valve, femoral vein | 10.93 | NA | NA | 8.35 | 8.26 | 1.43 | NA | NA | 20.71 | 20.62 | 090 | |
| 34502 | A | Reconstruct vena cava | 26.95 | NA | NA | 12.48 | 14.42 | 2.97 | NA | NA | 42.40 | 44.34 | 090 | |
| 34510 | A | Transposition of vein valve | 13.25 | NA | NA | 10.63 | 10.39 | 1.64 | NA | NA | 25.52 | 25.28 | 090 | |
| 34520 | A | Cross-over vein graft | 13.74 | NA | NA | 7.91 | 8.47 | 1.64 | NA | NA | 23.29 | 23.85 | 090 | |
| 34530 | A | Leg vein fusion | 17.61 | NA | NA | 9.52 | 10.49 | 0.02 | NA | NA | 27.15 | 28.12 | 090 | |
| 35001 | A | Repair defect of artery | 19.64 | NA | NA | 9.31 | 11.30 | 2.51 | NA | NA | 31.46 | 33.45 | 090 | |
| 35002 | A | Repair artery rupture, neck | 0.21 | NA | NA | 9.42 | 10.50 | 2.43 | NA | NA | 12.06 | 13.14 | 090 | |
| 35005 | A | Repair defect of artery | 18.12 | NA | NA | 8.19 | 8.93 | 1.40 | NA | NA | 27.71 | 28.45 | 090 | |
| 35011 | A | Repair defect of artery | 11.65 | NA | NA | 5.72 | 7.77 | 1.36 | NA | NA | 18.73 | 20.78 | 090 | |
| 35013 | A | Repair artery rupture, arm | 17.40 | NA | NA | 7.73 | 9.79 | 0.02 | NA | NA | 25.15 | 27.21 | 090 | |
| 35021 | A | Repair defect of artery | 19.65 | NA | NA | 10.14 | 12.53 | 2.42 | NA | NA | 32.21 | 34.60 | 090 | |
| 35022 | A | Repair artery rupture, chest | 23.18 | NA | NA | 9.78 | 11.35 | 2.15 | NA | NA | 35.11 | 6.68 | 090 | |
| 35045 | A | Repair defect of arm artery | 11.26 | NA | NA | 6.68 | 8.36 | 1.26 | NA | NA | 19.20 | 20.88 | 090 | |
| 35081 | A | Repair defect of artery | 28.01 | NA | NA | 12.65 | 15.31 | 3.30 | NA | NA | 43.96 | 46.62 | 090 | |
| 35082 | A | Repair artery rupture, aorta | 36.35 | NA | NA | 14.91 | 17.40 | 4.14 | NA | NA | 55.40 | 57.89 | 090 | |
| 35091 | A | Repair defect of artery | 35.40 | NA | NA | 15.36 | 17.67 | 4.28 | NA | NA | 55.04 | 57.35 | 090 | |
| 35092 | A | Repair artery rupture, aorta | 38.39 | NA | NA | 16.08 | 19.19 | 4.48 | NA | NA | 58.95 | 62.06 | 090 | |
| 35102 | A | Repair defect of artery | 30.76 | NA | NA | 13.47 | 16.11 | 3.65 | NA | NA | 47.88 | 50.52 | 090 | |
| 35103 | A | Repair artery rupture, groin | 33.57 | NA | NA | 14.15 | 17.71 | 3.84 | NA | NA | 51.56 | 55.12 | 090 | |
| 35111 | A | Repair defect of artery | 16.43 | NA | NA | 7.76 | 10.60 | 1.82 | NA | NA | 26.01 | 28.85 | 090 | |
| 35112 | A | Repair artery rupture,spleen | 18.69 | NA | NA | 8.32 | 9.08 | 2.14 | NA | NA | 29.15 | 29.91 | 090 | |
| 35121 | A | Repair defect of artery | 25.99 | NA | NA | 11.71 | 13.97 | 3.10 | NA | NA | 40.80 | 43.06 | 090 | |
| 35122 | A | Repair artery rupture, belly | 33.45 | NA | NA | 14.23 | 15.54 | 3.69 | NA | NA | 51.37 | 52.68 | 090 | |
| 35131 | A | Repair defect of artery | 18.55 | NA | NA | 8.94 | 11.01 | 2.20 | NA | NA | 29.69 | 31.76 | 090 | |
| 35132 | A | Repair artery rupture, groin | 21.95 | NA | NA | 9.94 | 12.52 | 2.47 | NA | NA | 34.36 | 36.94 | 090 | |
| 35141 | A | Repair defect of artery | 14.46 | NA | NA | 7.31 | 9.47 | 1.73 | NA | NA | 23.50 | 25.66 | 090 | |
| 35142 | A | Repair artery rupture, thigh | 15.86 | NA | NA | 7.63 | 10.09 | 1.92 | NA | NA | 25.41 | 27.87 | 090 | |
| 35151 | A | Repair defect of artery | 0.17 | NA | NA | 8.20 | 10.32 | 2.01 | NA | NA | 10.38 | 12.50 | 090 | |
| 35152 | A | Repair artery rupture, knee | 16.70 | NA | NA | 8.18 | 8.65 | 2.01 | NA | NA | 26.89 | 27.36 | 090 | |
| 35161 | A | Repair defect of artery | 18.76 | NA | NA | 9.56 | 11.48 | 2.19 | NA | NA | 30.51 | 32.43 | 090 | |
| 35162 | A | Repair artery rupture | 19.78 | NA | NA | 9.78 | 12.40 | 2.26 | NA | NA | 31.82 | 34.44 | 090 | |
| 35180 | A | Repair blood vessel lesion | 13.62 | NA | NA | 6.97 | 7.23 | 1.53 | NA | NA | 22.12 | 22.38 | 090 | |
| 35182 | A | Repair blood vessel lesion | 17.74 | NA | NA | 8.93 | 9.59 | 2.19 | NA | NA | 28.86 | 29.52 | 090 | |
| 35184 | A | Repair blood vessel lesion | 12.25 | NA | NA | 6.22 | 7.31 | 1.45 | NA | NA | 19.92 | 21.01 | 090 | |
| 35188 | A | Repair blood vessel lesion | 14.28 | NA | NA | 6.78 | 7.29 | 1.70 | NA | NA | 22.76 | 23.27 | 090 | |
| 35189 | A | Repair blood vessel lesion | 18.43 | NA | NA | 9.10 | 9.90 | 2.17 | NA | NA | 29.70 | 30.50 | 090 | |
| 35190 | A | Repair blood vessel lesion | 12.75 | NA | NA | 6.37 | 7.58 | 1.48 | NA | NA | 20.60 | 21.81 | 090 | |
| 35201 | A | Repair blood vessel lesion | 9.99 | NA | NA | 5.28 | 6.69 | 1.23 | NA | NA | 16.50 | 17.91 | 090 | |
| 35206 | A | Repair blood vessel lesion | 9.25 | NA | NA | 6.15 | 7.37 | 1.06 | NA | NA | 16.46 | 17.68 | 090 | |
| 35207 | A | Repair blood vessel lesion | 10.15 | NA | NA | 8.67 | 9.43 | 1.06 | NA | NA | 19.88 | 20.64 | 090 | |
| 35211 | A | Repair blood vessel lesion | 22.12 | NA | NA | 17.68 | 16.89 | 2.91 | NA | NA | 42.71 | 41.92 | 090 | |
| 35216 | A | Repair blood vessel lesion | 18.75 | NA | NA | 13.90 | 13.32 | 2.24 | NA | NA | 34.89 | 34.31 | 090 | |
| 35221 | A | Repair blood vessel lesion | 16.42 | NA | NA | 7.89 | 8.93 | 1.81 | NA | NA | 26.12 | 27.16 | 090 | |
| 35226 | A | Repair blood vessel lesion | 9.06 | NA | NA | 6.96 | 7.93 | 1.15 | NA | NA | 17.17 | 18.14 | 090 | |
| 35231 | A | Repair blood vessel lesion | 0.12 | NA | NA | 6.65 | 8.57 | 1.38 | NA | NA | 8.15 | 10.07 | 090 | |
| 35236 | A | Repair blood vessel lesion | 10.54 | NA | NA | 6.73 | 8.19 | 1.23 | NA | NA | 18.50 | 19.96 | 090 | |
| 35241 | A | Repair blood vessel lesion | 23.12 | NA | NA | 19.86 | 18.56 | 2.84 | NA | NA | 45.82 | 44.52 | 090 | |
| 35246 | A | Repair blood vessel lesion | 19.84 | NA | NA | 14.12 | 15.19 | 2.42 | NA | NA | 36.38 | 37.45 | 090 | |
| 35251 | A | Repair blood vessel lesion | 17.49 | NA | NA | 8.01 | 8.61 | 1.87 | NA | NA | 27.37 | 27.97 | 090 | |
| 35256 | A | Repair blood vessel lesion | 11.38 | NA | NA | 7.05 | 8.65 | 1.37 | NA | NA | 19.80 | 21.40 | 090 | |
| 35261 | A | Repair blood vessel lesion | 11.63 | NA | NA | 5.81 | 7.83 | 1.38 | NA | NA | 18.82 | 20.84 | 090 | |
| 35266 | A | Repair blood vessel lesion | 10.30 | NA | NA | 6.37 | 7.85 | 1.24 | NA | NA | 17.91 | 19.39 | 090 | |
| 35271 | A | Repair blood vessel lesion | 22.12 | NA | NA | 17.64 | 16.63 | 2.95 | NA | NA | 42.71 | 41.70 | 090 | |
| 35276 | A | Repair blood vessel lesion | 18.75 | NA | NA | 15.11 | 14.28 | 2.50 | NA | NA | 36.36 | 35.53 | 090 | |
| 35281 | A | Repair blood vessel lesion | 16.48 | NA | NA | 7.93 | 10.64 | 1.84 | NA | NA | 26.25 | 28.96 | 090 | |
| 35286 | A | Repair blood vessel lesion | 11.87 | NA | NA | 7.52 | 8.82 | 1.39 | NA | NA | 20.78 | 22.08 | 090 | |
| 35301 | A | Rechanneling of artery | 18.70 | NA | NA | 9.48 | 11.03 | 2.29 | NA | NA | 30.47 | 32.02 | 090 | |
| 35311 | A | Rechanneling of artery | 23.85 | NA | NA | 12.09 | 15.05 | 3.12 | NA | NA | 39.06 | 42.02 | 090 | |
| 35321 | A | Rechanneling of artery | 11.97 | NA | NA | 5.92 | 7.96 | 1.40 | NA | NA | 19.29 | 21.33 | 090 | |
| 35331 | A | Rechanneling of artery | 23.52 | NA | NA | 10.77 | 11.70 | 2.88 | NA | NA | 37.17 | 38.10 | 090 | |
| 35341 | A | Rechanneling of artery | 25.11 | NA | NA | 11.34 | 13.22 | 3.07 | NA | NA | 39.52 | 41.40 | 090 | |
| 35351 | A | Rechanneling of artery | 20.11 | NA | NA | 9.40 | 11.11 | 2.33 | NA | NA | 31.84 | 33.55 | 090 | |
| 35355 | A | Rechanneling of artery | 16.09 | NA | NA | 7.85 | 10.07 | 1.86 | NA | NA | 25.80 | 28.02 | 090 | |
| 35361 | A | Rechanneling of artery | 23.59 | NA | NA | 10.70 | 13.28 | 2.74 | NA | NA | 37.03 | 39.61 | 090 | |
| 35363 | A | Rechanneling of artery | 24.66 | NA | NA | 11.26 | 14.62 | 2.81 | NA | NA | 38.73 | 42.09 | 090 | |
| 35371 | A | Rechanneling of artery | 11.64 | NA | NA | 5.94 | 7.85 | 1.37 | NA | NA | 18.95 | 20.86 | 090 | |
| 35372 | A | Rechanneling of artery | 13.56 | NA | NA | 6.68 | 8.05 | 1.59 | NA | NA | 21.83 | 23.20 | 090 | |
| 35381 | A | Rechanneling of artery | 15.81 | NA | NA | 7.75 | 9.52 | 1.85 | NA | NA | 25.41 | 27.18 | 090 | |
| 35390 | A | Reoperation, carotid add-on | 3.19 | NA | NA | 1.22 | 1.37 | 0.40 | NA | NA | 4.81 | 4.96 | ZZZ | |
| 35400 | A | Angioscopy | 0.03 | NA | NA | 1.14 | 1.47 | 0.27 | NA | NA | 1.44 | 1.77 | ZZZ | |
| 35450 | A | Repair arterial blockage | 10.07 | NA | NA | 4.51 | 6.39 | 1.17 | NA | NA | 15.75 | 17.63 | 000 | |
| 35452 | A | Repair arterial blockage | 6.91 | NA | NA | 3.31 | 3.66 | 0.83 | NA | NA | 11.05 | 11.40 | 000 | |
| 35454 | A | Repair arterial blockage | 6.04 | NA | NA | 2.87 | 3.96 | 0.71 | NA | NA | 9.62 | 10.71 | 000 | |
| 35456 | A | Repair arterial blockage | 7.35 | NA | NA | 3.42 | 4.76 | 0.87 | NA | NA | 11.64 | 12.98 | 000 | |
| 35458 | A | Repair arterial blockage | 9.49 | NA | NA | 4.26 | 5.94 | 1.13 | NA | NA | 14.88 | 16.56 | 000 | |
| 35459 | A | Repair arterial blockage | 8.63 | NA | NA | 3.85 | 5.46 | 0.99 | NA | NA | 13.47 | 15.08 | 000 | |
| 35460 | A | Repair venous blockage | 6.04 | NA | NA | 2.71 | 2.89 | 0.64 | NA | NA | 9.39 | 9.57 | 000 | |
| 35470 | A | Repair arterial blockage | 8.63 | NA | NA | 4.00 | 5.58 | 0.68 | NA | NA | 13.31 | 14.89 | 000 | |
| 35471 | A | Repair arterial blockage | 10.07 | NA | NA | 4.60 | 6.46 | 0.82 | NA | NA | 15.49 | 17.35 | 000 | |
| 35472 | A | Repair arterial blockage | 6.91 | NA | NA | 3.34 | 3.49 | 0.55 | NA | NA | 10.80 | 10.95 | 000 | |
| 35473 | A | Repair arterial blockage | 6.04 | NA | NA | 2.97 | 4.03 | 0.41 | NA | NA | 9.42 | 10.48 | 000 | |
| 35474 | A | Repair arterial blockage | 7.36 | NA | NA | 3.48 | 4.81 | 0.53 | NA | NA | 11.37 | 12.70 | 000 | |
| 35475 | R | Repair arterial blockage | 9.49 | NA | NA | 4.15 | 5.86 | 0.51 | NA | NA | 14.15 | 15.86 | 000 | |
| 35476 | A | Repair venous blockage | 6.04 | NA | NA | 2.87 | 3.01 | 0.26 | NA | NA | 9.17 | 9.31 | 000 | |
| 35480 | A | Atherectomy, open | 11.08 | NA | NA | 4.78 | 6.89 | 1.16 | NA | NA | 17.02 | 19.13 | 000 | |
| 35481 | A | Atherectomy, open | 7.61 | NA | NA | 3.77 | 4.01 | 0.95 | NA | NA | 12.33 | 12.57 | 000 | |
| 35482 | A | Atherectomy, open | 6.65 | NA | NA | 3.27 | 4.44 | 0.83 | NA | NA | 10.75 | 11.92 | 000 | |
| 35483 | A | Atherectomy, open | 8.10 | NA | NA | 3.70 | 5.19 | 0.98 | NA | NA | 12.78 | 14.27 | 000 | |
| 35484 | A | Atherectomy, open | 10.44 | NA | NA | 4.65 | 6.24 | 1.11 | NA | NA | 16.20 | 17.79 | 000 | |
| 35485 | A | Atherectomy, open | 9.49 | NA | NA | 4.26 | 4.42 | 1.15 | NA | NA | 14.90 | 15.06 | 000 | |
| 35490 | A | Atherectomy, percutaneous | 11.08 | NA | NA | 4.91 | 6.99 | 1.03 | NA | NA | 17.02 | 19.10 | 000 | |
| 35491 | A | Atherectomy, percutaneous | 7.61 | NA | NA | 3.51 | 3.81 | 0.77 | NA | NA | 11.89 | 12.19 | 000 | |
| 35492 | A | Atherectomy, percutaneous | 6.65 | NA | NA | 3.22 | 4.40 | 0.71 | NA | NA | 10.58 | 11.76 | 000 | |
| 35493 | A | Atherectomy, percutaneous | 8.10 | NA | NA | 4.06 | 5.46 | 0.91 | NA | NA | 13.07 | 14.47 | 000 | |
| 35494 | A | Atherectomy, percutaneous | 10.44 | NA | NA | 4.53 | 6.15 | 0.50 | NA | NA | 15.47 | 17.09 | 000 | |
| 35495 | A | Atherectomy, percutaneous | 9.49 | NA | NA | 4.74 | 4.78 | 1.09 | NA | NA | 15.32 | 15.36 | 000 | |
| 35500 | A | Harvest vein for bypass | 6.45 | NA | NA | 2.42 | 2.42 | 0.73 | NA | NA | 9.60 | 9.60 | ZZZ | |
| 35501 | A | Artery bypass graft | 19.19 | NA | NA | 7.22 | 10.67 | 2.39 | NA | NA | 28.80 | 32.25 | 090 | |
| 35506 | A | Artery bypass graft | 19.67 | NA | NA | 9.22 | 12.12 | 2.41 | NA | NA | 31.30 | 34.20 | 090 | |
| 35507 | A | Artery bypass graft | 19.67 | NA | NA | 9.17 | 11.74 | 2.43 | NA | NA | 31.27 | 33.84 | 090 | |
| 35508 | A | Artery bypass graft | 18.65 | NA | NA | 9.04 | 11.69 | 2.42 | NA | NA | 30.11 | 32.76 | 090 | |
| 35509 | A | Artery bypass graft | 18.07 | NA | NA | 8.17 | 11.26 | 2.21 | NA | NA | 28.45 | 31.54 | 090 | |
| 35511 | A | Artery bypass graft | 16.83 | NA | NA | 8.06 | 8.87 | 0.02 | NA | NA | 24.91 | 25.72 | 090 | |
| 35515 | A | Artery bypass graft | 18.65 | NA | NA | 8.73 | 9.60 | 2.39 | NA | NA | 29.77 | 30.64 | 090 | |
| 35516 | A | Artery bypass graft | 16.32 | NA | NA | 7.60 | 10.41 | 0.02 | NA | NA | 23.94 | 26.75 | 090 | |
| 35518 | A | Artery bypass graft | 15.42 | NA | NA | 6.88 | 9.76 | 1.74 | NA | NA | 24.04 | 26.92 | 090 | |
| 35521 | A | Artery bypass graft | 16.17 | NA | NA | 7.91 | 10.69 | 1.88 | NA | NA | 25.96 | 28.74 | 090 | |
| 35526 | A | Artery bypass graft | 0.20 | NA | NA | 10.05 | 11.05 | 2.48 | NA | NA | 12.73 | 13.73 | 090 | |
| 35531 | A | Artery bypass graft | 25.61 | NA | NA | 11.45 | 14.08 | 3.04 | NA | NA | 40.10 | 42.73 | 090 | |
| 35533 | A | Artery bypass graft | 20.52 | NA | NA | 9.51 | 12.84 | 2.27 | NA | NA | 32.30 | 35.63 | 090 | |
| 35536 | A | Artery bypass graft | 23.11 | NA | NA | 10.45 | 13.64 | 2.90 | NA | NA | 36.46 | 39.65 | 090 | |
| 35541 | A | Artery bypass graft | 25.80 | NA | NA | 11.88 | 14.22 | 3.08 | NA | NA | 40.76 | 43.10 | 090 | |
| 35546 | A | Artery bypass graft | 25.54 | NA | NA | 11.51 | 14.44 | 2.91 | NA | NA | 39.96 | 42.89 | 090 | |
| 35548 | A | Artery bypass graft | 21.57 | NA | NA | 10.11 | 12.89 | 2.34 | NA | NA | 34.02 | 36.80 | 090 | |
| 35549 | A | Artery bypass graft | 23.35 | NA | NA | 10.99 | 14.05 | 2.69 | NA | NA | 37.03 | 40.09 | 090 | |
| 35551 | A | Artery bypass graft | 26.67 | NA | NA | 12.32 | 14.46 | 2.85 | NA | NA | 41.84 | 43.98 | 090 | |
| 35556 | A | Artery bypass graft | 21.76 | NA | NA | 10.06 | 12.62 | 2.57 | NA | NA | 34.39 | 36.95 | 090 | |
| 35558 | A | Artery bypass graft | 14.04 | NA | NA | 7.06 | 9.49 | 1.61 | NA | NA | 22.71 | 25.14 | 090 | |
| 35560 | A | Artery bypass graft | 23.56 | NA | NA | 11.13 | 13.83 | 2.84 | NA | NA | 37.53 | 40.23 | 090 | |
| 35563 | A | Artery bypass graft | 15.14 | NA | NA | 7.86 | 8.15 | 1.71 | NA | NA | 24.71 | 25.00 | 090 | |
| 35565 | A | Artery bypass graft | 15.14 | NA | NA | 7.51 | 10.15 | 1.78 | NA | NA | 24.43 | 27.07 | 090 | |
| 35566 | A | Artery bypass graft | 26.92 | NA | NA | 15.00 | 16.85 | 3.22 | NA | NA | 45.14 | 46.99 | 090 | |
| 35571 | A | Artery bypass graft | 18.58 | NA | NA | 10.37 | 13.03 | 2.22 | NA | NA | 31.17 | 33.83 | 090 | |
| 35582 | A | Vein bypass graft | 27.13 | NA | NA | 11.64 | 15.17 | 3.14 | NA | NA | 41.91 | 45.44 | 090 | |
| 35583 | A | Vein bypass graft | 22.37 | NA | NA | 11.14 | 13.90 | 2.63 | NA | NA | 36.14 | 38.90 | 090 | |
| 35585 | A | Vein bypass graft | 28.39 | NA | NA | 14.75 | 17.29 | 3.33 | NA | NA | 46.47 | 49.01 | 090 | |
| 35587 | A | Vein bypass graft | 19.05 | NA | NA | 11.39 | 14.23 | 2.23 | NA | NA | 32.67 | 35.51 | 090 | |
| 35601 | A | Artery bypass graft | 17.50 | NA | NA | 7.99 | 11.10 | 2.16 | NA | NA | 27.65 | 30.76 | 090 | |
| 35606 | A | Artery bypass graft | 18.71 | NA | NA | 8.65 | 11.25 | 2.27 | NA | NA | 29.63 | 32.23 | 090 | |
| 35612 | A | Artery bypass graft | 15.76 | NA | NA | 7.68 | 10.31 | 1.90 | NA | NA | 25.34 | 27.97 | 090 | |
| 35616 | A | Artery bypass graft | 15.70 | NA | NA | 7.35 | 10.07 | 1.93 | NA | NA | 24.98 | 27.70 | 090 | |
| 35621 | A | Artery bypass graft | 14.54 | NA | NA | 7.40 | 9.89 | 1.74 | NA | NA | 23.68 | 26.17 | 090 | |
| 35623 | A | Bypass graft, not vein | 16.62 | NA | NA | 8.02 | 8.20 | 0.02 | NA | NA | 24.66 | 24.84 | 090 | |
| 35626 | A | Artery bypass graft | 23.63 | NA | NA | 11.33 | 14.06 | 2.98 | NA | NA | 37.94 | 40.67 | 090 | |
| 35631 | A | Artery bypass graft | 24.60 | NA | NA | 11.14 | 13.20 | 0.03 | NA | NA | 35.77 | 37.83 | 090 | |
| 35636 | A | Artery bypass graft | 22.46 | NA | NA | 10.15 | 11.28 | 2.70 | NA | NA | 35.31 | 36.44 | 090 | |
| 35641 | A | Artery bypass graft | 24.57 | NA | NA | 11.55 | 14.24 | 0.03 | NA | NA | 36.15 | 38.84 | 090 | |
| 35642 | A | Artery bypass graft | 17.98 | NA | NA | 7.79 | 8.65 | 2.16 | NA | NA | 27.93 | 28.79 | 090 | |
| 35645 | A | Artery bypass graft | 17.47 | NA | NA | 7.99 | 9.02 | 1.85 | NA | NA | 27.31 | 28.34 | 090 | |
| 35646 | A | Artery bypass graft | 25.81 | NA | NA | 11.76 | 15.27 | 3.08 | NA | NA | 40.65 | 44.16 | 090 | |
| 35650 | A | Artery bypass graft | 14.36 | NA | NA | 6.73 | 9.34 | 1.71 | NA | NA | 22.80 | 25.41 | 090 | |
| 35651 | A | Artery bypass graft | 25.04 | NA | NA | 11.42 | 15.10 | 2.81 | NA | NA | 39.27 | 42.95 | 090 | |
| 35654 | A | Artery bypass graft | 18.61 | NA | NA | 8.81 | 12.16 | 2.20 | NA | NA | 29.62 | 32.97 | 090 | |
| 35656 | A | Artery bypass graft | 19.53 | NA | NA | 9.10 | 11.64 | 2.27 | NA | NA | 30.90 | 33.44 | 090 | |
| 35661 | A | Artery bypass graft | 13.18 | NA | NA | 6.64 | 8.92 | 1.55 | NA | NA | 21.37 | 23.65 | 090 | |
| 35663 | A | Artery bypass graft | 14.17 | NA | NA | 7.32 | 9.72 | 1.72 | NA | NA | 23.21 | 25.61 | 090 | |
| 35665 | A | Artery bypass graft | 15.40 | NA | NA | 7.58 | 10.28 | 1.84 | NA | NA | 24.82 | 27.52 | 090 | |
| 35666 | A | Artery bypass graft | 19.19 | NA | NA | 11.41 | 14.00 | 2.28 | NA | NA | 32.88 | 35.47 | 090 | |
| 35671 | A | Artery bypass graft | 14.80 | NA | NA | 9.43 | 11.31 | 1.75 | NA | NA | 25.98 | 27.86 | 090 | |
| 35681 | A | Composite bypass graft | 1.60 | NA | NA | 2.45 | 4.24 | 0.19 | NA | NA | 4.24 | 6.03 | ZZZ | |
| 35682 | A | Composite bypass graft | 7.20 | 2.71 | 4.44 | 2.70 | 4.43 | 0.85 | 10.76 | 12.49 | 10.75 | 12.48 | ZZZ | |
| 35683 | A | Composite bypass graft | 8.50 | 3.20 | 4.81 | 3.18 | 4.79 | 1.01 | 12.71 | 14.32 | 12.69 | 14.30 | ZZZ | |
| 35691 | A | Arterial transposition | 18.05 | NA | NA | 8.23 | 11.50 | 2.27 | NA | NA | 28.55 | 31.82 | 090 | |
| 35693 | A | Arterial transposition | 15.36 | NA | NA | 7.00 | 7.80 | 1.94 | NA | NA | 24.30 | 25.10 | 090 | |
| 35694 | A | Arterial transposition | 19.16 | NA | NA | 8.26 | 8.73 | 2.33 | NA | NA | 29.75 | 30.22 | 090 | |
| 35695 | A | Arterial transposition | 19.16 | NA | NA | 8.42 | 8.85 | 2.16 | NA | NA | 29.74 | 30.17 | 090 | |
| 35700 | A | Reoperation, bypass graft | 3.08 | NA | NA | 3.17 | 2.82 | 0.38 | NA | NA | 6.63 | 6.28 | ZZZ | |
| 35701 | A | Exploration, carotid artery | 5.55 | NA | NA | 3.58 | 4.27 | 0.64 | NA | NA | 9.77 | 10.46 | 090 | |
| 35721 | A | Exploration, femoral artery | 5.28 | NA | NA | 4.73 | 5.06 | 0.62 | NA | NA | 10.63 | 10.96 | 090 | |
| 35741 | A | Exploration popliteal artery | 5.37 | NA | NA | 4.39 | 4.85 | 0.62 | NA | NA | 10.38 | 10.84 | 090 | |
| 35761 | A | Exploration of artery/vein | 5.37 | NA | NA | 4.30 | 4.80 | 0.61 | NA | NA | 10.28 | 10.78 | 090 | |
| 35800 | A | Explore neck vessels | 7.02 | NA | NA | 4.16 | 4.55 | 0.82 | NA | NA | 12.00 | 12.39 | 090 | |
| 35820 | A | Explore chest vessels | 12.88 | NA | NA | 5.28 | 6.11 | 1.70 | NA | NA | 19.86 | 20.69 | 090 | |
| 35840 | A | Explore abdominal vessels | 9.77 | NA | NA | 5.36 | 5.98 | 1.08 | NA | NA | 16.21 | 16.83 | 090 | |
| 35860 | A | Explore limb vessels | 5.55 | NA | NA | 3.71 | 4.36 | 0.65 | NA | NA | 9.91 | 10.56 | 090 | |
| 35870 | A | Repair vessel graft defect | 22.17 | NA | NA | 10.63 | 10.86 | 2.63 | NA | NA | 35.43 | 35.66 | 090 | |
| 35875 | A | Removal of clot in graft | 10.13 | NA | NA | 6.31 | 6.96 | 1.08 | NA | NA | 17.52 | 18.17 | 090 | |
| 35876 | A | Removal of clot in graft | 0.17 | NA | NA | 9.03 | 9.00 | 1.92 | NA | NA | 11.12 | 11.09 | 090 | |
| 35879 | A | Revise graft w/vein | 0.16 | NA | NA | 8.30 | 8.30 | 1.97 | NA | NA | 10.43 | 10.43 | 090 | |
| 35881 | A | Revise graft w/vein | 0.18 | NA | NA | 8.83 | 8.83 | 2.21 | NA | NA | 11.22 | 11.22 | 090 | |
| 35901 | A | Excision, graft, neck | 8.19 | NA | NA | 5.91 | 6.38 | 0.97 | NA | NA | 15.07 | 15.54 | 090 | |
| 35903 | A | Excision, graft, extremity | 9.39 | NA | NA | 8.10 | 8.02 | 1.08 | NA | NA | 18.57 | 18.49 | 090 | |
| 35905 | A | Excision, graft, thorax | 18.19 | NA | NA | 12.25 | 11.14 | 2.15 | NA | NA | 32.59 | 31.48 | 090 | |
| 35907 | A | Excision, graft, abdomen | 19.24 | NA | NA | 9.67 | 9.20 | 2.29 | NA | NA | 31.20 | 30.73 | 090 | |
| 36000 | A | Place needle in vein | 0.18 | 0.55 | 0.48 | 0.05 | 0.10 | 0.01 | 0.74 | 0.67 | 0.24 | 0.29 | XXX | |
| 36005 | A | Injection, venography | 0.95 | 15.60 | 11.83 | 0.33 | 0.38 | 0.05 | 16.60 | 12.83 | 1.33 | 1.38 | 000 | |
| 36010 | A | Place catheter in vein | 2.43 | NA | NA | 0.87 | 1.23 | 0.16 | NA | NA | 3.46 | 3.82 | XXX | |
| 36011 | A | Place catheter in vein | 3.14 | NA | NA | 1.13 | 1.36 | 0.20 | NA | NA | 4.47 | 4.70 | XXX | |
| 36012 | A | Place catheter in vein | 3.52 | NA | NA | 1.26 | 1.67 | 0.15 | NA | NA | 4.93 | 5.34 | XXX | |
| 36013 | A | Place catheter in artery | 2.52 | NA | NA | 0.83 | 1.20 | 0.21 | NA | NA | 3.56 | 3.93 | XXX | |
| 36014 | A | Place catheter in artery | 3.02 | NA | NA | 1.09 | 1.44 | 0.12 | NA | NA | 4.23 | 4.58 | XXX | |
| 36015 | A | Place catheter in artery | 3.52 | NA | NA | 1.26 | 1.67 | 0.15 | NA | NA | 4.93 | 5.34 | XXX | |
| 36100 | A | Establish access to artery | 3.02 | NA | NA | 1.23 | 1.63 | 0.32 | NA | NA | 4.57 | 4.97 | XXX | |
| 36120 | A | Establish access to artery | 2.01 | NA | NA | 0.73 | 1.15 | 0.12 | NA | NA | 2.86 | 3.28 | XXX | |
| 36140 | A | Establish access to artery | 2.01 | NA | NA | 0.72 | 0.92 | 0.13 | NA | NA | 2.86 | 3.06 | XXX | |
| 36145 | A | Artery to vein shunt | 2.01 | NA | NA | 0.73 | 1.15 | 0.09 | NA | NA | 2.83 | 3.25 | XXX | |
| 36160 | A | Establish access to aorta | 2.52 | NA | NA | 0.97 | 1.36 | 0.23 | NA | NA | 3.72 | 4.11 | XXX | |
| 36200 | A | Place catheter in aorta | 3.02 | NA | NA | 1.08 | 1.55 | 0.16 | NA | NA | 4.26 | 4.73 | XXX | |
| 36215 | A | Place catheter in artery | 4.68 | NA | NA | 1.71 | 2.04 | 0.28 | NA | NA | 6.67 | 7.00 | XXX | |
| 36216 | A | Place catheter in artery | 5.28 | NA | NA | 1.90 | 2.32 | 0.25 | NA | NA | 7.43 | 7.85 | XXX | |
| 36217 | A | Place catheter in artery | 6.30 | NA | NA | 2.32 | 2.80 | 0.36 | NA | NA | 8.98 | 9.46 | XXX | |
| 36218 | A | Place catheter in artery | 1.01 | NA | NA | 0.40 | 0.47 | 0.06 | NA | NA | 1.47 | 1.54 | ZZZ | |
| 36245 | A | Place catheter in artery | 4.68 | NA | NA | 1.80 | 2.21 | 0.35 | NA | NA | 6.83 | 7.24 | XXX | |
| 36246 | A | Place catheter in artery | 5.28 | NA | NA | 1.95 | 2.36 | 0.33 | NA | NA | 7.56 | 7.97 | XXX | |
| 36247 | A | Place catheter in artery | 6.30 | NA | NA | 2.28 | 2.77 | 0.35 | NA | NA | 8.93 | 9.42 | XXX | |
| 36248 | A | Place catheter in artery | 1.01 | NA | NA | 0.41 | 0.48 | 0.07 | NA | NA | 1.49 | 1.56 | ZZZ | |
| 36260 | A | Insertion of infusion pump | 9.71 | NA | NA | 5.40 | 5.88 | 0.93 | NA | NA | 16.04 | 16.52 | 090 | |
| 36261 | A | Revision of infusion pump | 5.45 | NA | NA | 3.05 | 2.89 | 0.53 | NA | NA | 9.03 | 8.87 | 090 | |
| 36262 | A | Removal of infusion pump | 4.02 | NA | NA | 2.50 | 2.40 | 0.41 | NA | NA | 6.93 | 6.83 | 090 | |
| 36299 | C | Vessel injection procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 36400 | A | Drawing blood | 0.18 | 0.56 | 0.45 | 0.05 | 0.06 | 0.02 | 0.76 | 0.65 | 0.25 | 0.26 | XXX | |
| 36405 | A | Drawing blood | 0.18 | 0.44 | 0.45 | 0.05 | 0.16 | 0.01 | 0.63 | 0.64 | 0.24 | 0.35 | XXX | |
| 36406 | A | Drawing blood | 0.18 | 0.50 | 0.42 | 0.05 | 0.08 | 0.01 | 0.69 | 0.61 | 0.24 | 0.27 | XXX | |
| 36410 | A | Drawing blood | 0.18 | 0.43 | 0.38 | 0.05 | 0.10 | 0.01 | 0.62 | 0.57 | 0.24 | 0.29 | XXX | |
| 36415 | I | Drawing blood | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36420 | A | Establish access to vein | 1.01 | NA | NA | 0.34 | 0.39 | 0.10 | NA | NA | 1.45 | 1.50 | XXX | |
| 36425 | A | Establish access to vein | 0.76 | 2.63 | 2.00 | 0.18 | 0.16 | 0.06 | 3.45 | 2.82 | 1.00 | 0.98 | XXX | |
| 36430 | A | Blood transfusion service | 0.00 | 1.02 | 1.03 | 1.02 | 1.03 | 0.05 | 1.07 | 1.08 | 1.07 | 1.08 | XXX | |
| 36440 | A | Blood transfusion service | 1.03 | NA | NA | 0.28 | 0.47 | 0.10 | NA | NA | 1.41 | 1.60 | XXX | |
| 36450 | A | Exchange transfusion service | 2.23 | NA | NA | 0.70 | 1.04 | 0.14 | NA | NA | 3.07 | 3.41 | XXX | |
| 36455 | A | Exchange transfusion service | 2.43 | NA | NA | 0.91 | 1.30 | 0.14 | NA | NA | 3.48 | 3.87 | XXX | |
| 36460 | A | Transfusion service, fetal | 6.59 | NA | NA | 2.32 | 3.02 | 0.60 | NA | NA | 9.51 | 10.21 | XXX | |
| 36468 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36469 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36470 | A | Injection therapy of vein | 1.09 | 2.65 | 2.06 | 0.41 | 0.38 | 0.11 | 3.85 | 3.26 | 1.61 | 1.58 | 010 | |
| 36471 | A | Injection therapy of veins | 1.57 | 3.07 | 2.41 | 0.58 | 0.54 | 0.14 | 4.78 | 4.12 | 2.29 | 2.25 | 010 | |
| 36481 | A | Insertion of catheter, vein | 6.99 | NA | NA | 2.84 | 3.57 | 0.40 | NA | NA | 10.23 | 10.96 | 000 | |
| 36488 | A | Insertion of catheter, vein | 1.35 | NA | NA | 0.67 | 0.77 | 0.11 | NA | NA | 2.13 | 2.23 | 000 | |
| 36489 | A | Insertion of catheter, vein | 1.22 | 3.56 | 2.98 | 0.62 | 0.77 | 0.09 | 4.87 | 4.29 | 1.93 | 2.08 | 000 | |
| 36490 | A | Insertion of catheter, vein | 1.67 | NA | NA | 0.81 | 0.98 | 0.13 | NA | NA | 2.61 | 2.78 | 000 | |
| 36491 | A | Insertion of catheter, vein | 1.43 | NA | NA | 0.73 | 0.97 | 0.13 | NA | NA | 2.29 | 2.53 | 000 | |
| 36493 | A | Repositioning of cvc | 1.21 | NA | NA | 0.82 | 0.79 | 0.06 | NA | NA | 2.09 | 2.06 | 000 | |
| 36500 | A | Insertion of catheter, vein | 3.52 | NA | NA | 1.28 | 0.98 | 0.17 | NA | NA | 4.97 | 4.67 | 000 | |
| 36510 | A | Insertion of catheter, vein | 1.09 | NA | NA | 0.65 | 0.58 | 0.07 | NA | NA | 1.81 | 1.74 | 000 | |
| 36520 | A | Plasma and/or cell exchange | 1.74 | NA | NA | 0.96 | 1.24 | 0.10 | NA | NA | 2.80 | 3.08 | 000 | |
| 36521 | A | Apheresis w/ adsorp/reinfuse | 1.74 | NA | NA | 0.96 | 0.96 | 0.09 | NA | NA | 2.79 | 2.79 | 000 | |
| 36522 | A | Photopheresis | 1.67 | 6.96 | 5.89 | 1.08 | 1.48 | 0.06 | 8.69 | 7.62 | 2.81 | 3.21 | 000 | |
| 36530 | R | Insertion of infusion pump | 6.20 | NA | NA | 3.49 | 3.93 | 0.63 | NA | NA | 10.32 | 10.76 | 010 | |
| 36531 | R | Revision of infusion pump | 4.87 | NA | NA | 3.26 | 3.63 | 0.49 | NA | NA | 8.62 | 8.99 | 010 | |
| 36532 | R | Removal of infusion pump | 3.30 | NA | NA | 1.58 | 1.67 | 0.33 | NA | NA | 5.21 | 5.30 | 010 | |
| 36533 | A | Insertion of access device | 5.32 | 4.17 | 4.29 | 3.32 | 3.66 | 0.52 | 10.01 | 10.13 | 9.16 | 9.50 | 010 | |
| 36534 | A | Revision of access device | 2.80 | NA | NA | 1.43 | 1.91 | 0.22 | NA | NA | 4.45 | 4.93 | 010 | |
| 36535 | A | Removal of access device | 2.27 | 2.66 | 2.49 | 1.90 | 1.92 | 0.23 | 5.16 | 4.99 | 4.40 | 4.42 | 010 | |
| 36550 | A | Declot vascular device | 0.00 | 0.54 | 0.54 | 0.06 | 0.06 | 0.32 | 0.86 | 0.86 | 0.38 | 0.38 | XXX | |
| 36600 | A | Withdrawal of arterial blood | 0.32 | 0.36 | 0.35 | 0.09 | 0.14 | 0.02 | 0.70 | 0.69 | 0.43 | 0.48 | XXX | |
| 36620 | A | Insertion catheter, artery | 1.15 | NA | NA | 0.25 | 0.37 | 0.08 | NA | NA | 1.48 | 1.60 | 000 | |
| 36625 | A | Insertion catheter, artery | 2.11 | NA | NA | 0.56 | 0.65 | 0.17 | NA | NA | 2.84 | 2.93 | 000 | |
| 36640 | A | Insertion catheter, artery | 2.10 | NA | NA | 0.77 | 1.21 | 0.19 | NA | NA | 3.06 | 3.50 | 000 | |
| 36660 | A | Insertion catheter, artery | 1.40 | NA | NA | 0.45 | 0.47 | 0.07 | NA | NA | 1.92 | 1.94 | 000 | |
| 36680 | A | Insert needle, bone cavity | 1.20 | NA | NA | 0.51 | 0.72 | 0.11 | NA | NA | 1.82 | 2.03 | 000 | |
| 36800 | A | Insertion of cannula | 2.43 | NA | NA | 1.55 | 1.77 | 0.21 | NA | NA | 4.19 | 4.41 | 000 | |
| 36810 | A | Insertion of cannula | 3.97 | NA | NA | 2.27 | 2.89 | 0.39 | NA | NA | 6.63 | 7.25 | 000 | |
| 36815 | A | Insertion of cannula | 2.62 | NA | NA | 1.81 | 2.14 | 0.27 | NA | NA | 4.70 | 5.03 | 000 | |
| 36819 | A | Av fusion by basilic vein | 0.14 | NA | NA | 6.63 | 6.63 | 1.55 | NA | NA | 8.32 | 8.32 | 090 | |
| 36821 | A | Av fusion direct any site | 8.93 | NA | NA | 4.95 | 5.68 | 0.99 | NA | NA | 14.87 | 15.60 | 090 | |
| 36822 | A | Insertion of cannula(s) | 5.42 | NA | NA | 9.86 | 8.92 | 0.70 | NA | NA | 15.98 | 15.04 | 090 | |
| 36823 | A | Insertion of cannula(s) | 0.21 | NA | NA | 11.62 | 11.62 | 0.67 | NA | NA | 12.50 | 12.50 | 090 | |
| 36825 | A | Artery-vein graft | 9.84 | NA | NA | 5.64 | 7.17 | 1.10 | NA | NA | 16.58 | 18.11 | 090 | |
| 36830 | A | Artery-vein graft | 0.12 | NA | NA | 6.26 | 7.40 | 1.36 | NA | NA | 7.74 | 8.88 | 090 | |
| 36831 | A | Av fistula excision | 0.08 | 2.77 | 2.77 | 2.77 | 2.77 | 0.85 | 3.70 | 3.70 | 3.70 | 3.70 | 090 | |
| 36832 | A | Av fistula revision | 10.50 | NA | NA | 5.63 | 6.15 | 1.16 | NA | NA | 17.29 | 17.81 | 090 | |
| 36833 | A | Av fistula revision | 11.95 | 4.44 | 4.44 | 4.44 | 4.44 | 1.33 | 17.72 | 17.72 | 17.72 | 17.72 | 090 | |
| 36834 | A | Repair A-V aneurysm | 9.93 | NA | NA | 3.95 | 5.08 | 1.13 | NA | NA | 15.01 | 16.14 | 090 | |
| 36835 | A | Artery to vein shunt | 7.15 | NA | NA | 4.94 | 4.63 | 0.80 | NA | NA | 12.89 | 12.58 | 090 | |
| 36860 | A | External cannula declotting | 2.01 | 1.97 | 2.18 | 1.58 | 1.88 | 0.13 | 4.11 | 4.32 | 3.72 | 4.02 | 000 | |
| 36861 | A | Cannula declotting | 2.52 | NA | NA | 1.72 | 2.04 | 0.22 | NA | NA | 4.46 | 4.78 | 000 | |
| 37140 | A | Revision of circulation | 23.60 | NA | NA | 10.40 | 12.22 | 1.06 | NA | NA | 35.06 | 36.88 | 090 | |
| 37145 | A | Revision of circulation | 24.61 | NA | NA | 9.22 | 11.56 | 0.95 | NA | NA | 34.78 | 37.12 | 090 | |
| 37160 | A | Revision of circulation | 21.60 | NA | NA | 9.43 | 11.89 | 2.29 | NA | NA | 33.32 | 35.78 | 090 | |
| 37180 | A | Revision of circulation | 24.61 | NA | NA | 10.80 | 11.95 | 2.45 | NA | NA | 37.86 | 39.01 | 090 | |
| 37181 | A | Splice spleen/kidney veins | 26.68 | NA | NA | 11.53 | 13.10 | 2.56 | NA | NA | 40.77 | 42.34 | 090 | |
| 37195 | A | Thrombolytic therapy, stroke | 0.00 | 8.14 | 8.19 | 8.14 | 8.19 | 0.39 | 8.53 | 8.58 | 8.53 | 8.58 | XXX | |
| 37200 | A | Transcatheter biopsy | 4.56 | NA | NA | 1.62 | 1.65 | 0.25 | NA | NA | 6.43 | 6.46 | 000 | |
| 37201 | A | Transcatheter therapy infuse | 0.05 | NA | NA | 2.52 | 3.38 | 0.25 | NA | NA | 2.82 | 3.68 | 000 | |
| 37202 | A | Transcatheter therapy infuse | 5.68 | NA | NA | 3.08 | 3.48 | 0.74 | NA | NA | 9.50 | 9.90 | 000 | |
| 37203 | A | Transcatheter retrieval | 5.03 | NA | NA | 2.56 | 2.96 | 0.25 | NA | NA | 7.84 | 8.24 | 000 | |
| 37204 | A | Transcatheter occlusion | 18.14 | NA | NA | 6.41 | 8.54 | 0.77 | NA | NA | 25.32 | 27.45 | 000 | |
| 37205 | A | Transcatheter stent | 8.28 | NA | NA | 3.84 | 4.28 | 0.61 | NA | NA | 12.73 | 13.17 | 000 | |
| 37206 | A | Transcatheter stent add-on | 4.13 | NA | NA | 1.58 | 1.89 | 0.32 | NA | NA | 6.03 | 6.34 | ZZZ | |
| 37207 | A | Transcatheter stent | 8.28 | NA | NA | 3.72 | 4.19 | 0.97 | NA | NA | 12.97 | 13.44 | 000 | |
| 37208 | A | Transcatheter stent add-on | 4.13 | NA | NA | 1.57 | 1.88 | 0.49 | NA | NA | 6.19 | 6.50 | ZZZ | |
| 37209 | A | Exchange arterial catheter | 2.27 | NA | NA | 0.83 | 1.01 | 0.11 | NA | NA | 3.21 | 3.39 | 000 | |
| 37250 | A | Iv us first vessel add-on | 2.10 | NA | NA | 0.88 | 0.97 | 0.24 | NA | NA | 3.22 | 3.31 | ZZZ | |
| 37251 | A | Iv us each add vessel add-on | 1.60 | NA | NA | 0.68 | 0.75 | 0.19 | NA | NA | 2.47 | 2.54 | ZZZ | |
| 37565 | A | Ligation of neck vein | 4.44 | NA | NA | 2.61 | 2.99 | 0.44 | NA | NA | 7.49 | 7.87 | 090 | |
| 37600 | A | Ligation of neck artery | 4.57 | NA | NA | 3.29 | 3.82 | 0.42 | NA | NA | 8.28 | 8.81 | 090 | |
| 37605 | A | Ligation of neck artery | 6.19 | NA | NA | 3.72 | 4.30 | 0.75 | NA | NA | 10.66 | 11.24 | 090 | |
| 37606 | A | Ligation of neck artery | 6.28 | NA | NA | 4.11 | 4.69 | 1.11 | NA | NA | 11.50 | 12.08 | 090 | |
| 37607 | A | Ligation of a-v fistula | 6.16 | NA | NA | 3.66 | 3.58 | 0.69 | NA | NA | 10.51 | 10.43 | 090 | |
| 37609 | A | Temporal artery procedure | 2.30 | 6.02 | 5.12 | 2.13 | 2.20 | 0.22 | 8.54 | 7.64 | 4.65 | 4.72 | 010 | |
| 37615 | A | Ligation of neck artery | 5.73 | NA | NA | 3.72 | 4.32 | 0.58 | NA | NA | 10.03 | 10.63 | 090 | |
| 37616 | A | Ligation of chest artery | 16.49 | NA | NA | 12.76 | 10.71 | 1.70 | NA | NA | 30.95 | 28.90 | 090 | |
| 37617 | A | Ligation of abdomen artery | 15.95 | NA | NA | 7.53 | 7.82 | 1.61 | NA | NA | 25.09 | 25.38 | 090 | |
| 37618 | A | Ligation of extremity artery | 4.84 | NA | NA | 3.47 | 3.95 | 0.54 | NA | NA | 8.85 | 9.33 | 090 | |
| 37620 | A | Revision of major vein | 10.56 | NA | NA | 5.50 | 6.52 | 0.78 | NA | NA | 16.84 | 17.86 | 090 | |
| 37650 | A | Revision of major vein | 5.13 | NA | NA | 3.72 | 3.88 | 0.60 | NA | NA | 9.45 | 9.61 | 090 | |
| 37660 | A | Revision of major vein | 10.61 | NA | NA | 6.05 | 6.10 | 1.19 | NA | NA | 17.85 | 17.90 | 090 | |
| 37700 | A | Revise leg vein | 3.73 | NA | NA | 3.00 | 3.24 | 0.41 | NA | NA | 7.14 | 7.38 | 090 | |
| 37720 | A | Removal of leg vein | 5.66 | NA | NA | 3.59 | 4.08 | 0.62 | NA | NA | 9.87 | 10.36 | 090 | |
| 37730 | A | Removal of leg veins | 7.33 | NA | NA | 4.50 | 5.26 | 0.80 | NA | NA | 12.63 | 13.39 | 090 | |
| 37735 | A | Removal of leg veins/lesion | 10.53 | NA | NA | 5.92 | 6.70 | 1.16 | NA | NA | 17.61 | 18.39 | 090 | |
| 37760 | A | Revision of leg veins | 10.47 | NA | NA | 5.64 | 6.26 | 1.08 | NA | NA | 17.19 | 17.81 | 090 | |
| 37780 | A | Revision of leg vein | 3.84 | NA | NA | 3.03 | 2.79 | 0.43 | NA | NA | 7.30 | 7.06 | 090 | |
| 37785 | A | Revise secondary varicosity | 3.88 | 6.63 | 5.24 | 2.84 | 2.40 | 0.40 | 10.91 | 9.52 | 7.12 | 6.68 | 090 | |
| 37788 | A | Revascularization, penis | 22.01 | NA | NA | 11.76 | 12.93 | 1.43 | NA | NA | 35.20 | 36.37 | 090 | |
| 37790 | A | Penile venous occlusion | 8.34 | NA | NA | 7.25 | 6.99 | 0.53 | NA | NA | 16.12 | 15.86 | 090 | |
| 37799 | C | Vascular surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38100 | A | Removal of spleen, total | 13.01 | NA | NA | 6.20 | 6.97 | 1.30 | NA | NA | 20.51 | 21.28 | 090 | |
| 38101 | A | Removal of spleen, partial | 13.74 | NA | NA | 6.39 | 6.69 | 1.39 | NA | NA | 21.52 | 21.82 | 090 | |
| 38102 | A | Removal of spleen, total | 4.80 | NA | NA | 1.80 | 2.03 | 0.48 | NA | NA | 7.08 | 7.31 | ZZZ | |
| 38115 | A | Repair of ruptured spleen | 14.19 | NA | NA | 6.68 | 7.08 | 1.43 | NA | NA | 22.30 | 22.70 | 090 | |
| 38120 | A | Laparoscopy, splenectomy | 0.17 | NA | NA | 7.66 | 7.66 | 1.04 | NA | NA | 8.87 | 8.87 | 090 | |
| 38129 | C | Laparoscope proc, spleen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38200 | A | Injection for spleen x-ray | 2.64 | NA | NA | 0.97 | 1.19 | 0.12 | NA | NA | 3.73 | 3.95 | 000 | |
| 38230 | R | Bone marrow collection | 4.54 | NA | NA | 2.39 | 2.55 | 0.23 | NA | NA | 7.16 | 7.32 | 010 | |
| 38231 | R | Stem cell collection | 1.50 | NA | NA | 0.59 | 0.82 | 0.06 | NA | NA | 2.15 | 2.38 | 000 | |
| 38240 | R | Bone marrow/stem transplant | 2.24 | NA | NA | 0.82 | 1.18 | 0.11 | NA | NA | 3.17 | 3.53 | XXX | |
| 38241 | R | Bone marrow/stem transplant | 2.24 | NA | NA | 0.85 | 1.19 | 0.10 | NA | NA | 3.19 | 3.53 | XXX | |
| 38300 | A | Drainage, lymph node lesion | 1.53 | 3.69 | 2.93 | 2.21 | 1.82 | 0.14 | 5.36 | 4.60 | 3.88 | 3.49 | 010 | |
| 38305 | A | Drainage, lymph node lesion | 4.61 | 6.96 | 5.75 | 5.53 | 4.68 | 0.36 | 11.93 | 10.72 | 10.50 | 9.65 | 090 | |
| 38308 | A | Incision of lymph channels | 4.95 | NA | NA | 4.88 | 4.58 | 0.43 | NA | NA | 10.26 | 9.96 | 090 | |
| 38380 | A | Thoracic duct procedure | 7.46 | NA | NA | 7.35 | 6.72 | 0.60 | NA | NA | 15.41 | 14.78 | 090 | |
| 38381 | A | Thoracic duct procedure | 12.88 | NA | NA | 11.92 | 10.99 | 1.66 | NA | NA | 26.46 | 25.53 | 090 | |
| 38382 | A | Thoracic duct procedure | 10.08 | NA | NA | 8.65 | 7.80 | 1.06 | NA | NA | 19.79 | 18.94 | 090 | |
| 38500 | A | Biopsy/removal, lymph nodes | 2.88 | 2.47 | 2.29 | 2.11 | 2.02 | 0.28 | 5.63 | 5.45 | 5.27 | 5.18 | 010 | |
| 38505 | A | Needle biopsy, lymph nodes | 1.14 | 2.75 | 2.37 | 1.05 | 1.09 | 0.09 | 3.98 | 3.60 | 2.28 | 2.32 | 000 | |
| 38510 | A | Biopsy/removal, lymph nodes | 4.14 | NA | NA | 4.00 | 3.69 | 0.38 | NA | NA | 8.52 | 8.21 | 090 | |
| 38520 | A | Biopsy/removal, lymph nodes | 5.12 | NA | NA | 4.95 | 4.52 | 0.53 | NA | NA | 10.60 | 10.17 | 090 | |
| 38525 | A | Biopsy/removal, lymph nodes | 4.66 | NA | NA | 3.67 | 3.46 | 0.47 | NA | NA | 8.80 | 8.59 | 090 | |
| 38530 | A | Biopsy/removal, lymph nodes | 6.13 | NA | NA | 5.96 | 5.33 | 0.66 | NA | NA | 12.75 | 12.12 | 090 | |
| 38542 | A | Explore deep node(s), neck | 5.91 | NA | NA | 5.46 | 5.25 | 0.50 | NA | NA | 11.87 | 11.66 | 090 | |
| 38550 | A | Removal, neck/armpit lesion | 6.92 | NA | NA | 5.22 | 4.79 | 0.50 | NA | NA | 12.64 | 12.21 | 090 | |
| 38555 | A | Removal, neck/armpit lesion | 14.14 | NA | NA | 10.98 | 10.21 | 1.53 | NA | NA | 26.65 | 25.88 | 090 | |
| 38562 | A | Removal, pelvic lymph nodes | 10.49 | NA | NA | 6.19 | 6.51 | 0.84 | NA | NA | 17.52 | 17.84 | 090 | |
| 38564 | A | Removal, abdomen lymph nodes | 10.83 | NA | NA | 6.04 | 6.54 | 0.01 | NA | NA | 16.88 | 17.38 | 090 | |
| 38570 | A | Laparoscopy, lymph node biop | 9.25 | NA | NA | 4.49 | 5.10 | 0.81 | NA | NA | 14.55 | 15.16 | 010 | |
| 38571 | A | Laparoscopy, lymphadenectomy | 12.38 | NA | NA | 5.27 | 6.28 | 0.78 | NA | NA | 18.43 | 19.44 | 010 | |
| 38572 | A | Laparoscopy, lymphadenectomy | 14.32 | NA | NA | 6.18 | 7.35 | 1.04 | NA | NA | 21.54 | 22.71 | 010 | |
| 38589 | C | Laparoscope proc, lymphatic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38700 | A | Removal of lymph nodes, neck | 8.24 | NA | NA | 11.93 | 11.41 | 0.63 | NA | NA | 20.80 | 20.28 | 090 | |
| 38720 | A | Removal of lymph nodes, neck | 13.61 | NA | NA | 14.13 | 14.66 | 1.03 | NA | NA | 28.77 | 29.30 | 090 | |
| 38724 | A | Removal of lymph nodes, neck | 14.54 | NA | NA | 14.51 | 14.78 | 1.11 | NA | NA | 30.16 | 30.43 | 090 | |
| 38740 | A | Remove armpit lymph nodes | 6.77 | NA | NA | 4.44 | 4.61 | 0.67 | NA | NA | 11.88 | 12.05 | 090 | |
| 38745 | A | Remove armpit lymph nodes | 8.84 | NA | NA | 6.35 | 7.01 | 0.86 | NA | NA | 16.05 | 16.71 | 090 | |
| 38746 | A | Remove thoracic lymph nodes | 4.39 | NA | NA | 1.76 | 1.94 | 0.56 | NA | NA | 6.71 | 6.89 | ZZZ | |
| 38747 | A | Remove abdominal lymph nodes | 4.89 | NA | NA | 1.82 | 2.06 | 0.45 | NA | NA | 7.16 | 7.40 | ZZZ | |
| 38760 | A | Remove groin lymph nodes | 8.74 | NA | NA | 5.38 | 5.84 | 0.83 | NA | NA | 14.95 | 15.41 | 090 | |
| 38765 | A | Remove groin lymph nodes | 16.06 | NA | NA | 9.64 | 10.67 | 1.34 | NA | NA | 27.04 | 28.07 | 090 | |
| 38770 | A | Remove pelvis lymph nodes | 13.23 | NA | NA | 6.48 | 8.81 | 0.85 | NA | NA | 20.56 | 22.89 | 090 | |
| 38780 | A | Remove abdomen lymph nodes | 16.59 | NA | NA | 8.63 | 10.83 | 1.26 | NA | NA | 26.48 | 28.68 | 090 | |
| 38790 | A | Inject for lymphatic x-ray | 1.29 | 21.16 | 16.32 | 0.48 | 0.81 | 0.09 | 22.54 | 17.70 | 1.86 | 2.19 | 000 | |
| 38792 | A | Identify sentinel node | 0.52 | NA | NA | 0.21 | 0.21 | 0.01 | NA | NA | 0.74 | 0.74 | 000 | |
| 38794 | A | Access thoracic lymph duct | 4.45 | NA | NA | 1.51 | 1.90 | 0.17 | NA | NA | 6.13 | 6.52 | 090 | |
| 38999 | C | Blood/lymph system procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39000 | A | Exploration of chest | 6.10 | NA | NA | 9.45 | 8.73 | 0.75 | NA | NA | 16.30 | 15.58 | 090 | |
| 39010 | A | Exploration of chest | 11.79 | NA | NA | 12.37 | 12.39 | 1.52 | NA | NA | 25.68 | 25.70 | 090 | |
| 39200 | A | Removal chest lesion | 13.62 | NA | NA | 12.96 | 12.86 | 1.65 | NA | NA | 28.23 | 28.13 | 090 | |
| 39220 | A | Removal chest lesion | 17.42 | NA | NA | 14.12 | 14.64 | 2.16 | NA | NA | 33.70 | 34.22 | 090 | |
| 39400 | A | Visualization of chest | 5.61 | NA | NA | 9.32 | 8.38 | 0.72 | NA | NA | 15.65 | 14.71 | 010 | |
| 39499 | C | Chest procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39501 | A | Repair diaphragm laceration | 13.19 | NA | NA | 8.29 | 9.11 | 1.35 | NA | NA | 22.83 | 23.65 | 090 | |
| 39502 | A | Repair paraesophageal hernia | 16.33 | NA | NA | 8.51 | 9.62 | 1.64 | NA | NA | 26.48 | 27.59 | 090 | |
| 39503 | A | Repair of diaphragm hernia | 37.54 | NA | NA | 15.86 | 18.73 | 3.26 | NA | NA | 56.66 | 59.53 | 090 | |
| 39520 | A | Repair of diaphragm hernia | 16.10 | NA | NA | 11.26 | 11.85 | 1.82 | NA | NA | 29.18 | 29.77 | 090 | |
| 39530 | A | Repair of diaphragm hernia | 15.41 | NA | NA | 9.17 | 10.69 | 1.68 | NA | NA | 26.26 | 27.78 | 090 | |
| 39531 | A | Repair of diaphragm hernia | 16.42 | NA | NA | 9.08 | 9.52 | 1.79 | NA | NA | 27.29 | 27.73 | 090 | |
| 39540 | A | Repair of diaphragm hernia | 13.32 | NA | NA | 8.75 | 9.81 | 1.39 | NA | NA | 23.46 | 24.52 | 090 | |
| 39541 | A | Repair of diaphragm hernia | 14.41 | NA | NA | 8.37 | 9.58 | 1.47 | NA | NA | 24.25 | 25.46 | 090 | |
| 39545 | A | Revision of diaphragm | 13.37 | NA | NA | 11.21 | 10.55 | 1.59 | NA | NA | 26.17 | 25.51 | 090 | |
| 39560 | A | Resect diaphragm, simple | 0.12 | NA | NA | 8.66 | 8.66 | 1.22 | NA | NA | 10.00 | 10.00 | 090 | |
| 39561 | A | Resect diaphragm, complex | 17.50 | NA | NA | 10.85 | 10.85 | 1.79 | NA | NA | 30.14 | 30.14 | 090 | |
| 39599 | C | Diaphragm surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40490 | A | Biopsy of lip | 1.22 | 1.56 | 1.37 | 0.61 | 0.66 | 0.06 | 2.84 | 2.65 | 1.89 | 1.94 | 000 | |
| 40500 | A | Partial excision of lip | 4.28 | 5.19 | 5.17 | 5.07 | 5.08 | 0.31 | 9.78 | 9.76 | 9.66 | 9.67 | 090 | |
| 40510 | A | Partial excision of lip | 4.70 | 5.84 | 5.78 | 5.76 | 5.72 | 0.37 | 10.91 | 10.85 | 10.83 | 10.79 | 090 | |
| 40520 | A | Partial excision of lip | 4.67 | 6.77 | 6.30 | 6.05 | 5.76 | 0.41 | 11.85 | 11.38 | 11.13 | 10.84 | 090 | |
| 40525 | A | Reconstruct lip with flap | 7.55 | NA | NA | 7.43 | 7.83 | 0.69 | NA | NA | 15.67 | 16.07 | 090 | |
| 40527 | A | Reconstruct lip with flap | 9.13 | NA | NA | 8.34 | 8.98 | 0.79 | NA | NA | 18.26 | 18.90 | 090 | |
| 40530 | A | Partial removal of lip | 5.40 | 5.98 | 5.87 | 5.54 | 5.54 | 0.45 | 11.83 | 11.72 | 11.39 | 11.39 | 090 | |
| 40650 | A | Repair lip | 3.64 | 4.89 | 4.75 | 3.95 | 4.05 | 0.32 | 8.85 | 8.71 | 7.91 | 8.01 | 090 | |
| 40652 | A | Repair lip | 4.26 | 6.11 | 5.86 | 5.73 | 5.57 | 0.40 | 10.77 | 10.52 | 10.39 | 10.23 | 090 | |
| 40654 | A | Repair lip | 5.31 | 6.68 | 6.60 | 6.48 | 6.45 | 0.48 | 12.47 | 12.39 | 12.27 | 12.24 | 090 | |
| 40700 | A | Repair cleft lip/nasal | 12.79 | NA | NA | 9.72 | 9.59 | 0.98 | NA | NA | 23.49 | 23.36 | 090 | |
| 40701 | A | Repair cleft lip/nasal | 15.85 | NA | NA | 10.38 | 13.03 | 1.38 | NA | NA | 27.61 | 30.26 | 090 | |
| 40702 | A | Repair cleft lip/nasal | 13.04 | NA | NA | 8.77 | 9.12 | 0.95 | NA | NA | 22.76 | 23.11 | 090 | |
| 40720 | A | Repair cleft lip/nasal | 13.55 | NA | NA | 10.71 | 10.64 | 1.31 | NA | NA | 25.57 | 25.50 | 090 | |
| 40761 | A | Repair cleft lip/nasal | 14.72 | NA | NA | 11.41 | 11.50 | 1.31 | NA | NA | 27.44 | 27.53 | 090 | |
| 40799 | C | Lip surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40800 | A | Drainage of mouth lesion | 1.17 | 1.68 | 1.46 | 0.48 | 0.56 | 0.09 | 2.94 | 2.72 | 1.74 | 1.82 | 010 | |
| 40801 | A | Drainage of mouth lesion | 2.53 | 2.22 | 2.13 | 1.69 | 1.73 | 0.18 | 4.93 | 4.84 | 4.40 | 4.44 | 010 | |
| 40804 | A | Removal, foreign body, mouth | 1.24 | 2.27 | 1.86 | 1.85 | 1.55 | 0.09 | 3.60 | 3.19 | 3.18 | 2.88 | 010 | |
| 40805 | A | Removal, foreign body, mouth | 2.69 | 2.72 | 2.72 | 2.34 | 2.43 | 0.19 | 5.60 | 5.60 | 5.22 | 5.31 | 010 | |
| 40806 | A | Incision of lip fold | 0.31 | 0.70 | 0.62 | 0.51 | 0.48 | 0.03 | 1.04 | 0.96 | 0.85 | 0.82 | 000 | |
| 40808 | A | Biopsy of mouth lesion | 0.96 | 1.77 | 1.53 | 1.76 | 1.53 | 0.07 | 2.80 | 2.56 | 2.79 | 2.56 | 010 | |
| 40810 | A | Excision of mouth lesion | 1.31 | 2.31 | 2.05 | 1.97 | 1.80 | 0.10 | 3.72 | 3.46 | 3.38 | 3.21 | 010 | |
| 40812 | A | Excise/repair mouth lesion | 2.31 | 2.60 | 2.36 | 2.48 | 2.27 | 0.17 | 5.08 | 4.84 | 4.96 | 4.75 | 010 | |
| 40814 | A | Excise/repair mouth lesion | 3.42 | 3.66 | 3.62 | 3.66 | 3.62 | 0.25 | 7.33 | 7.29 | 7.33 | 7.29 | 090 | |
| 40816 | A | Excision of mouth lesion | 3.67 | 3.95 | 3.84 | 3.95 | 3.84 | 0.26 | 7.88 | 7.77 | 7.88 | 7.77 | 090 | |
| 40818 | A | Excise oral mucosa for graft | 2.41 | 3.82 | 3.48 | 3.82 | 3.48 | 0.14 | 6.37 | 6.03 | 6.37 | 6.03 | 090 | |
| 40819 | A | Excise lip or cheek fold | 2.41 | 3.18 | 2.72 | 3.05 | 2.62 | 0.17 | 5.76 | 5.30 | 5.63 | 5.20 | 090 | |
| 40820 | A | Treatment of mouth lesion | 1.28 | 2.07 | 1.70 | 1.90 | 1.57 | 0.09 | 3.44 | 3.07 | 3.27 | 2.94 | 010 | |
| 40830 | A | Repair mouth laceration | 1.76 | 2.20 | 1.83 | 1.89 | 1.60 | 0.15 | 4.11 | 3.74 | 3.80 | 3.51 | 010 | |
| 40831 | A | Repair mouth laceration | 2.46 | 2.28 | 2.24 | 2.28 | 2.24 | 0.21 | 4.95 | 4.91 | 4.95 | 4.91 | 010 | |
| 40840 | R | Reconstruction of mouth | 8.73 | 5.72 | 6.00 | 5.72 | 6.00 | 0.66 | 15.11 | 15.39 | 15.11 | 15.39 | 090 | |
| 40842 | R | Reconstruction of mouth | 8.73 | 5.44 | 5.79 | 5.44 | 5.79 | 0.71 | 14.88 | 15.23 | 14.88 | 15.23 | 090 | |
| 40843 | R | Reconstruction of mouth | 12.10 | 8.08 | 8.45 | 6.31 | 7.12 | 0.63 | 20.81 | 21.18 | 19.04 | 19.85 | 090 | |
| 40844 | R | Reconstruction of mouth | 16.01 | 8.60 | 9.61 | 8.60 | 9.61 | 1.44 | 26.05 | 27.06 | 26.05 | 27.06 | 090 | |
| 40845 | R | Reconstruction of mouth | 18.58 | 10.03 | 13.07 | 10.03 | 13.07 | 1.56 | 30.17 | 33.21 | 30.17 | 33.21 | 090 | |
| 40899 | C | Mouth surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41000 | A | Drainage of mouth lesion | 1.30 | 2.00 | 1.71 | 1.27 | 1.16 | 0.10 | 3.40 | 3.11 | 2.67 | 2.56 | 010 | |
| 41005 | A | Drainage of mouth lesion | 1.26 | 1.83 | 1.54 | 1.28 | 1.13 | 0.10 | 3.19 | 2.90 | 2.64 | 2.49 | 010 | |
| 41006 | A | Drainage of mouth lesion | 3.24 | 3.56 | 2.95 | 3.01 | 2.53 | 0.24 | 7.04 | 6.43 | 6.49 | 6.01 | 090 | |
| 41007 | A | Drainage of mouth lesion | 3.10 | 3.24 | 3.22 | 2.80 | 2.89 | 0.16 | 6.50 | 6.48 | 6.06 | 6.15 | 090 | |
| 41008 | A | Drainage of mouth lesion | 3.37 | 3.12 | 2.63 | 2.99 | 2.53 | 0.24 | 6.73 | 6.24 | 6.60 | 6.14 | 090 | |
| 41009 | A | Drainage of mouth lesion | 3.59 | 3.26 | 3.34 | 2.79 | 2.99 | 0.27 | 7.12 | 7.20 | 6.65 | 6.85 | 090 | |
| 41010 | A | Incision of tongue fold | 1.06 | 2.80 | 2.20 | 2.80 | 2.20 | 0.06 | 3.92 | 3.32 | 3.92 | 3.32 | 010 | |
| 41015 | A | Drainage of mouth lesion | 3.96 | 3.74 | 3.04 | 2.98 | 2.47 | 0.29 | 7.99 | 7.29 | 7.23 | 6.72 | 090 | |
| 41016 | A | Drainage of mouth lesion | 4.07 | 3.55 | 3.66 | 3.00 | 3.25 | 0.32 | 7.94 | 8.05 | 7.39 | 7.64 | 090 | |
| 41017 | A | Drainage of mouth lesion | 4.07 | 3.74 | 3.19 | 3.05 | 2.67 | 0.32 | 8.13 | 7.58 | 7.44 | 7.06 | 090 | |
| 41018 | A | Drainage of mouth lesion | 5.10 | 4.17 | 4.20 | 3.46 | 3.66 | 0.34 | 9.61 | 9.64 | 8.90 | 9.10 | 090 | |
| 41100 | A | Biopsy of tongue | 1.63 | 2.26 | 1.91 | 2.18 | 1.85 | 0.11 | 4.00 | 3.65 | 3.92 | 3.59 | 010 | |
| 41105 | A | Biopsy of tongue | 1.42 | 2.04 | 1.81 | 2.04 | 1.81 | 0.11 | 3.57 | 3.34 | 3.57 | 3.34 | 010 | |
| 41108 | A | Biopsy of floor of mouth | 1.05 | 1.96 | 1.70 | 1.88 | 1.64 | 0.08 | 3.09 | 2.83 | 3.01 | 2.77 | 010 | |
| 41110 | A | Excision of tongue lesion | 1.51 | 2.60 | 2.30 | 2.17 | 1.98 | 0.11 | 4.22 | 3.92 | 3.79 | 3.60 | 010 | |
| 41112 | A | Excision of tongue lesion | 2.73 | 3.15 | 3.01 | 3.15 | 3.01 | 0.20 | 6.08 | 5.94 | 6.08 | 5.94 | 090 | |
| 41113 | A | Excision of tongue lesion | 3.19 | 3.13 | 3.27 | 3.13 | 3.27 | 0.23 | 6.55 | 6.69 | 6.55 | 6.69 | 090 | |
| 41114 | A | Excision of tongue lesion | 8.47 | NA | NA | 5.85 | 6.12 | 0.62 | NA | NA | 14.94 | 15.21 | 090 | |
| 41115 | A | Excision of tongue fold | 1.74 | 2.37 | 2.26 | 2.15 | 2.10 | 0.12 | 4.23 | 4.12 | 4.01 | 3.96 | 010 | |
| 41116 | A | Excision of mouth lesion | 2.44 | 3.06 | 2.97 | 3.02 | 2.94 | 0.18 | 5.68 | 5.59 | 5.64 | 5.56 | 090 | |
| 41120 | A | Partial removal of tongue | 9.77 | NA | NA | 7.88 | 7.89 | 0.73 | NA | NA | 18.38 | 18.39 | 090 | |
| 41130 | A | Partial removal of tongue | 11.15 | NA | NA | 8.64 | 8.94 | 0.82 | NA | NA | 20.61 | 20.91 | 090 | |
| 41135 | A | Tongue and neck surgery | 23.09 | NA | NA | 14.89 | 16.13 | 1.71 | NA | NA | 39.69 | 40.93 | 090 | |
| 41140 | A | Removal of tongue | 25.50 | NA | NA | 15.51 | 16.76 | 1.90 | NA | NA | 42.91 | 44.16 | 090 | |
| 41145 | A | Tongue removal, neck surgery | 30.06 | NA | NA | 19.45 | 20.77 | 2.20 | NA | NA | 51.71 | 53.03 | 090 | |
| 41150 | A | Tongue, mouth, jaw surgery | 23.04 | NA | NA | 15.76 | 16.97 | 1.70 | NA | NA | 40.50 | 41.71 | 090 | |
| 41153 | A | Tongue, mouth, neck surgery | 23.77 | NA | NA | 16.30 | 19.01 | 1.79 | NA | NA | 41.86 | 44.57 | 090 | |
| 41155 | A | Tongue, jaw, neck surgery | 27.72 | NA | NA | 18.54 | 22.03 | 2.03 | NA | NA | 48.29 | 51.78 | 090 | |
| 41250 | A | Repair tongue laceration | 1.91 | 2.35 | 2.05 | 1.44 | 1.37 | 0.16 | 4.42 | 4.12 | 3.51 | 3.44 | 010 | |
| 41251 | A | Repair tongue laceration | 2.27 | 2.15 | 2.18 | 1.72 | 1.85 | 0.17 | 4.59 | 4.62 | 4.16 | 4.29 | 010 | |
| 41252 | A | Repair tongue laceration | 2.97 | 2.95 | 2.85 | 2.12 | 2.23 | 0.24 | 6.16 | 6.06 | 5.33 | 5.44 | 010 | |
| 41500 | A | Fixation of tongue | 3.71 | NA | NA | 3.72 | 3.68 | 0.25 | NA | NA | 7.68 | 7.64 | 090 | |
| 41510 | A | Tongue to lip surgery | 3.42 | NA | NA | 4.55 | 4.10 | 0.21 | NA | NA | 8.18 | 7.73 | 090 | |
| 41520 | A | Reconstruction, tongue fold | 2.73 | 2.62 | 2.75 | 2.62 | 2.75 | 0.20 | 5.55 | 5.68 | 5.55 | 5.68 | 090 | |
| 41599 | C | Tongue and mouth surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41800 | A | Drainage of gum lesion | 1.17 | 1.69 | 1.46 | 1.06 | 0.98 | 0.10 | 2.96 | 2.73 | 2.33 | 2.25 | 010 | |
| 41805 | A | Removal foreign body, gum | 1.24 | 1.68 | 1.49 | 1.68 | 1.49 | 0.09 | 3.01 | 2.82 | 3.01 | 2.82 | 010 | |
| 41806 | A | Removal foreign body,jawbone | 2.69 | 2.33 | 2.19 | 2.13 | 2.04 | 0.20 | 5.22 | 5.08 | 5.02 | 4.93 | 010 | |
| 41820 | R | Excision, gum, each quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 41821 | R | Excision of gum flap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 41822 | R | Excision of gum lesion | 2.31 | 2.52 | 2.71 | 0.97 | 1.55 | 0.18 | 5.01 | 5.20 | 3.46 | 4.04 | 010 | |
| 41823 | R | Excision of gum lesion | 3.30 | 3.19 | 3.38 | 2.69 | 3.00 | 0.23 | 6.72 | 6.91 | 6.22 | 6.53 | 090 | |
| 41825 | A | Excision of gum lesion | 1.31 | 2.10 | 1.98 | 1.92 | 1.85 | 0.10 | 3.51 | 3.39 | 3.33 | 3.26 | 010 | |
| 41826 | A | Excision of gum lesion | 2.31 | 2.39 | 2.36 | 2.36 | 2.33 | 0.17 | 4.87 | 4.84 | 4.84 | 4.81 | 010 | |
| 41827 | A | Excision of gum lesion | 3.42 | 3.22 | 3.44 | 3.22 | 3.44 | 0.25 | 6.89 | 7.11 | 6.89 | 7.11 | 090 | |
| 41828 | R | Excision of gum lesion | 3.09 | 2.77 | 3.18 | 2.16 | 2.73 | 0.21 | 6.07 | 6.48 | 5.46 | 6.03 | 010 | |
| 41830 | R | Removal of gum tissue | 3.35 | 2.96 | 3.22 | 2.57 | 2.93 | 0.24 | 6.55 | 6.81 | 6.16 | 6.52 | 010 | |
| 41850 | R | Treatment of gum lesion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 41870 | R | Gum graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 41872 | R | Repair gum | 2.59 | 2.77 | 2.85 | 2.15 | 2.39 | 0.19 | 5.55 | 5.63 | 4.93 | 5.17 | 090 | |
| 41874 | R | Repair tooth socket | 3.09 | 2.64 | 2.90 | 2.18 | 2.56 | 0.24 | 5.97 | 6.23 | 5.51 | 5.89 | 090 | |
| 41899 | C | Dental surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42000 | A | Drainage mouth roof lesion | 1.23 | 2.11 | 1.75 | 1.32 | 1.16 | 0.09 | 3.43 | 3.07 | 2.64 | 2.48 | 010 | |
| 42100 | A | Biopsy roof of mouth | 1.31 | 2.05 | 1.75 | 2.03 | 1.74 | 0.10 | 3.46 | 3.16 | 3.44 | 3.15 | 010 | |
| 42104 | A | Excision lesion, mouth roof | 1.64 | 2.11 | 2.02 | 2.11 | 2.02 | 0.11 | 3.86 | 3.77 | 3.86 | 3.77 | 010 | |
| 42106 | A | Excision lesion, mouth roof | 2.10 | 2.37 | 2.38 | 2.37 | 2.38 | 0.15 | 4.62 | 4.63 | 4.62 | 4.63 | 010 | |
| 42107 | A | Excision lesion, mouth roof | 4.44 | 3.76 | 4.15 | 3.76 | 4.15 | 0.32 | 8.52 | 8.91 | 8.52 | 8.91 | 090 | |
| 42120 | A | Remove palate/lesion | 6.17 | NA | NA | 5.39 | 5.89 | 0.45 | NA | NA | 12.01 | 12.51 | 090 | |
| 42140 | A | Excision of uvula | 1.62 | 3.07 | 2.67 | 2.69 | 2.39 | 0.11 | 4.80 | 4.40 | 4.42 | 4.12 | 090 | |
| 42145 | A | Repair palate, pharynx/uvula | 8.05 | NA | NA | 6.65 | 7.39 | 0.57 | NA | NA | 15.27 | 16.01 | 090 | |
| 42160 | A | Treatment mouth roof lesion | 1.80 | 2.62 | 2.38 | 2.20 | 2.07 | 0.13 | 4.55 | 4.31 | 4.13 | 4.00 | 010 | |
| 42180 | A | Repair palate | 2.50 | 2.35 | 2.37 | 1.86 | 2.00 | 0.18 | 5.03 | 5.05 | 4.54 | 4.68 | 010 | |
| 42182 | A | Repair palate | 3.83 | 2.74 | 3.00 | 2.74 | 3.00 | 0.29 | 6.86 | 7.12 | 6.86 | 7.12 | 010 | |
| 42200 | A | Reconstruct cleft palate | 0.12 | NA | NA | 9.18 | 8.84 | 1.03 | NA | NA | 10.33 | 9.99 | 090 | |
| 42205 | A | Reconstruct cleft palate | 9.59 | NA | NA | 6.94 | 8.07 | 0.85 | NA | NA | 17.38 | 18.51 | 090 | |
| 42210 | A | Reconstruct cleft palate | 14.50 | NA | NA | 8.56 | 9.82 | 1.15 | NA | NA | 24.21 | 25.47 | 090 | |
| 42215 | A | Reconstruct cleft palate | 8.82 | NA | NA | 7.61 | 7.79 | 0.76 | NA | NA | 17.19 | 17.37 | 090 | |
| 42220 | A | Reconstruct cleft palate | 7.02 | NA | NA | 5.90 | 5.89 | 0.49 | NA | NA | 13.41 | 13.40 | 090 | |
| 42225 | A | Reconstruct cleft palate | 9.54 | NA | NA | 8.73 | 8.42 | 0.80 | NA | NA | 19.07 | 18.76 | 090 | |
| 42226 | A | Lengthening of palate | 10.01 | NA | NA | 8.28 | 8.35 | 0.79 | NA | NA | 19.08 | 19.15 | 090 | |
| 42227 | A | Lengthening of palate | 9.52 | NA | NA | 6.01 | 6.52 | 0.78 | NA | NA | 16.31 | 16.82 | 090 | |
| 42235 | A | Repair palate | 7.87 | NA | NA | 5.85 | 5.89 | 0.59 | NA | NA | 14.31 | 14.35 | 090 | |
| 42260 | A | Repair nose to lip fistula | 9.80 | 6.88 | 6.24 | 6.88 | 6.24 | 0.76 | 17.44 | 16.80 | 17.44 | 16.80 | 090 | |
| 42280 | A | Preparation, palate mold | 1.54 | 1.31 | 1.52 | 0.73 | 1.09 | 0.10 | 2.95 | 3.16 | 2.37 | 2.73 | 010 | |
| 42281 | A | Insertion, palate prosthesis | 1.93 | 1.58 | 1.59 | 0.95 | 1.11 | 0.13 | 3.64 | 3.65 | 3.01 | 3.17 | 010 | |
| 42299 | C | Palate/uvula surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42300 | A | Drainage of salivary gland | 1.93 | 2.27 | 1.96 | 1.69 | 1.53 | 0.14 | 4.34 | 4.03 | 3.76 | 3.60 | 010 | |
| 42305 | A | Drainage of salivary gland | 6.07 | NA | NA | 4.81 | 4.20 | 0.46 | NA | NA | 11.34 | 10.73 | 090 | |
| 42310 | A | Drainage of salivary gland | 1.56 | 2.04 | 1.81 | 1.39 | 1.32 | 0.11 | 3.71 | 3.48 | 3.06 | 2.99 | 010 | |
| 42320 | A | Drainage of salivary gland | 2.35 | 2.43 | 2.32 | 1.97 | 1.98 | 0.17 | 4.95 | 4.84 | 4.49 | 4.50 | 010 | |
| 42325 | A | Create salivary cyst drain | 2.75 | 2.87 | 2.73 | 1.02 | 1.34 | 0.22 | 5.84 | 5.70 | 3.99 | 4.31 | 090 | |
| 42326 | A | Create salivary cyst drain | 3.78 | 4.10 | 4.20 | 1.55 | 2.29 | 0.27 | 8.15 | 8.25 | 5.60 | 6.34 | 090 | |
| 42330 | A | Removal of salivary stone | 2.21 | 2.40 | 2.10 | 1.13 | 1.15 | 0.16 | 4.77 | 4.47 | 3.50 | 3.52 | 010 | |
| 42335 | A | Removal of salivary stone | 3.31 | 3.13 | 3.02 | 3.13 | 3.02 | 0.24 | 6.68 | 6.57 | 6.68 | 6.57 | 090 | |
| 42340 | A | Removal of salivary stone | 4.60 | 4.26 | 4.35 | 4.26 | 4.35 | 0.32 | 9.18 | 9.27 | 9.18 | 9.27 | 090 | |
| 42400 | A | Biopsy of salivary gland | 0.78 | 2.06 | 1.76 | 0.39 | 0.51 | 0.06 | 2.90 | 2.60 | 1.23 | 1.35 | 000 | |
| 42405 | A | Biopsy of salivary gland | 3.29 | 2.95 | 2.63 | 2.92 | 2.61 | 0.24 | 6.48 | 6.16 | 6.45 | 6.14 | 010 | |
| 42408 | A | Excision of salivary cyst | 4.54 | 3.84 | 3.76 | 3.84 | 3.76 | 0.34 | 8.72 | 8.64 | 8.72 | 8.64 | 090 | |
| 42409 | A | Drainage of salivary cyst | 2.81 | 3.00 | 3.01 | 3.00 | 3.01 | 0.20 | 6.01 | 6.02 | 6.01 | 6.02 | 090 | |
| 42410 | A | Excise parotid gland/lesion | 9.34 | NA | NA | 7.15 | 6.98 | 0.78 | NA | NA | 17.27 | 17.10 | 090 | |
| 42415 | A | Excise parotid gland/lesion | 16.89 | NA | NA | 11.50 | 12.07 | 1.30 | NA | NA | 29.69 | 30.26 | 090 | |
| 42420 | A | Excise parotid gland/lesion | 19.59 | NA | NA | 13.03 | 13.79 | 1.48 | NA | NA | 34.10 | 34.86 | 090 | |
| 42425 | A | Excise parotid gland/lesion | 13.02 | NA | NA | 9.62 | 10.23 | 0.99 | NA | NA | 23.63 | 24.24 | 090 | |
| 42426 | A | Excise parotid gland/lesion | 21.26 | NA | NA | 13.97 | 16.82 | 1.60 | NA | NA | 36.83 | 39.68 | 090 | |
| 42440 | A | Excise submaxillary gland | 6.97 | NA | NA | 5.37 | 6.11 | 0.53 | NA | NA | 12.87 | 3.61 | 090 | |
| 42450 | A | Excise sublingual gland | 4.62 | 4.28 | 4.14 | 4.28 | 4.14 | 0.34 | 9.24 | 9.10 | 9.24 | 9.10 | 090 | |
| 42500 | A | Repair salivary duct | 4.30 | 4.26 | 4.45 | 4.26 | 4.45 | 0.32 | 8.88 | 9.07 | 8.88 | 9.07 | 090 | |
| 42505 | A | Repair salivary duct | 6.18 | 4.72 | 5.39 | 4.72 | 5.39 | 0.47 | 11.37 | 12.04 | 11.37 | 12.04 | 090 | |
| 42507 | A | Parotid duct diversion | 6.11 | NA | NA | 5.60 | 5.46 | 0.46 | NA | NA | 12.17 | 12.03 | 090 | |
| 42508 | A | Parotid duct diversion | 9.10 | NA | NA | 6.93 | 7.26 | 0.68 | NA | NA | 16.71 | 17.04 | 090 | |
| 42509 | A | Parotid duct diversion | 11.54 | NA | NA | 8.74 | 8.54 | 0.82 | NA | NA | 21.10 | 20.90 | 090 | |
| 42510 | A | Parotid duct diversion | 8.15 | NA | NA | 6.60 | 7.03 | 0.81 | NA | NA | 15.56 | 15.99 | 090 | |
| 42550 | A | Injection for salivary x-ray | 1.25 | 11.98 | 9.11 | 0.44 | 0.45 | 0.05 | 13.28 | 10.41 | 1.74 | 1.75 | 000 | |
| 42600 | A | Closure of salivary fistula | 4.82 | 5.56 | 5.23 | 4.93 | 4.75 | 0.37 | 10.75 | 10.42 | 10.12 | 9.94 | 090 | |
| 42650 | A | Dilation of salivary duct | 0.77 | 0.94 | 0.81 | 0.39 | 0.40 | 0.06 | 1.77 | 1.64 | 1.22 | 1.23 | 000 | |
| 42660 | A | Dilation of salivary duct | 1.13 | 1.08 | 0.95 | 1.08 | 0.95 | 0.07 | 2.28 | 2.15 | 2.28 | 2.15 | 000 | |
| 42665 | A | Ligation of salivary duct | 2.53 | 3.15 | 2.92 | 3.02 | 2.82 | 0.18 | 5.86 | 5.63 | 5.73 | 5.53 | 090 | |
| 42699 | C | Salivary surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42700 | A | Drainage of tonsil abscess | 1.62 | 2.57 | 2.16 | 1.62 | 1.45 | 0.11 | 4.30 | 3.89 | 3.35 | 3.18 | 010 | |
| 42720 | A | Drainage of throat abscess | 5.42 | 4.43 | 3.84 | 4.26 | 3.71 | 0.39 | 10.24 | 9.65 | 10.07 | 9.52 | 010 | |
| 42725 | A | Drainage of throat abscess | 10.72 | NA | NA | 7.92 | 7.15 | 0.84 | NA | NA | 19.48 | 18.71 | 090 | |
| 42800 | A | Biopsy of throat | 1.39 | 2.43 | 2.02 | 2.13 | 1.80 | 0.10 | 3.92 | 3.51 | 3.62 | 3.29 | 010 | |
| 42802 | A | Biopsy of throat | 1.54 | 2.49 | 2.15 | 2.20 | 1.93 | 0.11 | 4.14 | 3.80 | 3.85 | 3.58 | 010 | |
| 42804 | A | Biopsy of upper nose/throat | 1.24 | 2.37 | 2.07 | 2.05 | 1.83 | 0.09 | 3.70 | 3.40 | 3.38 | 3.16 | 010 | |
| 42806 | A | Biopsy of upper nose/throat | 1.58 | 2.74 | 2.44 | 2.25 | 2.07 | 0.11 | 4.43 | 4.13 | 3.94 | 3.76 | 010 | |
| 42808 | A | Excise pharynx lesion | 2.30 | 3.89 | 3.60 | 2.64 | 2.66 | 0.16 | 6.35 | 6.06 | 5.10 | 5.12 | 010 | |
| 42809 | A | Remove pharynx foreign body | 1.81 | 2.77 | 2.30 | 1.49 | 1.34 | 0.14 | 4.72 | 4.25 | 3.44 | 3.29 | 010 | |
| 42810 | A | Excision of neck cyst | 3.25 | 4.76 | 4.42 | 3.81 | 3.71 | 0.27 | 8.28 | 7.94 | 7.33 | 7.23 | 090 | |
| 42815 | A | Excision of neck cyst | 7.07 | NA | NA | 5.89 | 6.58 | 0.55 | NA | NA | 13.51 | 14.20 | 090 | |
| 42820 | A | Remove tonsils and adenoids | 3.91 | NA | NA | 3.48 | 3.47 | 0.26 | NA | NA | 7.65 | 7.64 | 090 | |
| 42821 | A | Remove tonsils and adenoids | 4.29 | NA | NA | 3.68 | 3.83 | 0.31 | NA | NA | 8.28 | 8.43 | 090 | |
| 42825 | A | Removal of tonsils | 3.42 | NA | NA | 3.27 | 3.17 | 0.25 | NA | NA | 6.94 | 6.84 | 090 | |
| 42826 | A | Removal of tonsils | 3.38 | NA | NA | 3.22 | 3.43 | 0.24 | NA | NA | 6.84 | 7.05 | 090 | |
| 42830 | A | Removal of adenoids | 2.57 | NA | NA | 2.16 | 2.13 | 0.18 | NA | NA | 4.91 | 4.88 | 090 | |
| 42831 | A | Removal of adenoids | 2.71 | NA | NA | 2.26 | 2.34 | 0.19 | NA | NA | 5.16 | 5.24 | 090 | |
| 42835 | A | Removal of adenoids | 2.30 | NA | NA | 2.53 | 2.40 | 0.16 | NA | NA | 4.99 | 4.86 | 090 | |
| 42836 | A | Removal of adenoids | 3.18 | NA | NA | 3.13 | 3.11 | 0.23 | NA | NA | 6.54 | 6.52 | 090 | |
| 42842 | A | Extensive surgery of throat | 8.76 | NA | NA | 6.93 | 7.01 | 0.63 | NA | NA | 16.32 | 16.40 | 090 | |
| 42844 | A | Extensive surgery of throat | 14.31 | NA | NA | 10.50 | 10.82 | 1.07 | NA | NA | 25.88 | 26.20 | 090 | |
| 42845 | A | Extensive surgery of throat | 24.29 | NA | NA | 16.02 | 17.07 | 1.82 | NA | NA | 42.13 | 43.18 | 090 | |
| 42860 | A | Excision of tonsil tags | 2.22 | NA | NA | 2.59 | 2.46 | 0.16 | NA | NA | 4.97 | 4.84 | 090 | |
| 42870 | A | Excision of lingual tonsil | 5.40 | NA | NA | 5.28 | 4.59 | 0.38 | NA | NA | 11.06 | 10.37 | 090 | |
| 42890 | A | Partial removal of pharynx | 12.94 | NA | NA | 9.75 | 9.75 | 0.94 | NA | NA | 23.63 | 23.63 | 090 | |
| 42892 | A | Revision of pharyngeal walls | 15.83 | NA | NA | 11.21 | 11.37 | 1.15 | NA | NA | 28.19 | 28.35 | 090 | |
| 42894 | A | Revision of pharyngeal walls | 22.88 | NA | NA | 15.71 | 16.14 | 1.69 | NA | NA | 40.28 | 40.71 | 090 | |
| 42900 | A | Repair throat wound | 5.25 | NA | NA | 3.50 | 3.78 | 0.39 | NA | NA | 9.14 | 9.42 | 010 | |
| 42950 | A | Reconstruction of throat | 8.10 | NA | NA | 6.67 | 7.42 | 0.62 | NA | NA | 15.39 | 16.14 | 090 | |
| 42953 | A | Repair throat, esophagus | 8.96 | NA | NA | 8.11 | 7.80 | 0.75 | NA | NA | 17.82 | 17.51 | 090 | |
| 42955 | A | Surgical opening of throat | 7.39 | NA | NA | 5.88 | 5.31 | 0.59 | NA | NA | 13.86 | 13.29 | 090 | |
| 42960 | A | Control throat bleeding | 2.33 | NA | NA | 1.87 | 1.70 | 0.17 | NA | NA | 4.37 | 4.20 | 010 | |
| 42961 | A | Control throat bleeding | 5.59 | NA | NA | 4.66 | 3.97 | 0.40 | NA | NA | 10.65 | 9.96 | 090 | |
| 42962 | A | Control throat bleeding | 7.14 | NA | NA | 5.44 | 5.70 | 0.52 | NA | NA | 13.10 | 13.36 | 090 | |
| 42970 | A | Control nose/throat bleeding | 5.43 | NA | NA | 3.38 | 2.82 | 0.34 | NA | NA | 9.15 | 8.59 | 090 | |
| 42971 | A | Control nose/throat bleeding | 6.21 | NA | NA | 4.91 | 4.47 | 0.45 | NA | NA | 11.57 | 11.13 | 090 | |
| 42972 | A | Control nose/throat bleeding | 7.20 | NA | NA | 5.08 | 5.05 | 0.53 | NA | NA | 12.81 | 12.78 | 090 | |
| 42999 | C | Throat surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43020 | A | Incision of esophagus | 8.09 | NA | NA | 6.52 | 6.68 | 0.76 | NA | NA | 15.37 | 15.53 | 090 | |
| 43030 | A | Throat muscle surgery | 7.69 | NA | NA | 6.15 | 6.91 | 0.62 | NA | NA | 14.46 | 15.22 | 090 | |
| 43045 | A | Incision of esophagus | 20.12 | NA | NA | 12.89 | 13.05 | 2.34 | NA | NA | 35.35 | 35.51 | 090 | |
| 43100 | A | Excision of esophagus lesion | 9.19 | NA | NA | 6.75 | 6.74 | 0.87 | NA | NA | 16.81 | 16.80 | 090 | |
| 43101 | A | Excision of esophagus lesion | 16.24 | NA | NA | 10.02 | 10.09 | 1.88 | NA | NA | 28.14 | 28.21 | 090 | |
| 43107 | A | Removal of esophagus | 28.79 | NA | NA | 16.57 | 18.53 | 3.29 | NA | NA | 48.65 | 50.61 | 090 | |
| 43108 | A | Removal of esophagus | 34.19 | NA | NA | 16.97 | 19.58 | 3.79 | NA | NA | 54.95 | 57.56 | 090 | |
| 43112 | A | Removal of esophagus | 31.22 | NA | NA | 18.51 | 19.76 | 3.63 | NA | NA | 53.36 | 54.61 | 090 | |
| 43113 | A | Removal of esophagus | 35.27 | NA | NA | 18.53 | 20.75 | 4.18 | NA | NA | 57.98 | 60.20 | 090 | |
| 43116 | A | Partial removal of esophagus | 31.22 | NA | NA | 17.68 | 20.12 | 3.01 | NA | NA | 51.91 | 54.35 | 090 | |
| 43117 | A | Partial removal of esophagus | 30.02 | NA | NA | 17.24 | 19.79 | 3.45 | NA | NA | 50.71 | 53.26 | 090 | |
| 43118 | A | Partial removal of esophagus | 33.20 | NA | NA | 17.18 | 19.74 | 3.39 | NA | NA | 53.77 | 56.33 | 090 | |
| 43121 | A | Partial removal of esophagus | 29.19 | NA | NA | 17.78 | 19.13 | 3.40 | NA | NA | 50.37 | 51.72 | 090 | |
| 43122 | A | Parital removal of esophagus | 29.11 | NA | NA | 15.73 | 17.59 | 3.21 | NA | NA | 48.05 | 49.91 | 090 | |
| 43123 | A | Partial removal of esophagus | 33.20 | NA | NA | 19.23 | 21.28 | 3.58 | NA | NA | 56.01 | 58.06 | 090 | |
| 43124 | A | Removal of esophagus | 27.32 | NA | NA | 16.53 | 18.50 | 2.94 | NA | NA | 46.79 | 48.76 | 090 | |
| 43130 | A | Removal of esophagus pouch | 11.75 | NA | NA | 8.86 | 9.50 | 1.06 | NA | NA | 21.67 | 22.31 | 090 | |
| 43135 | A | Removal of esophagus pouch | 16.10 | NA | NA | 11.12 | 11.52 | 1.90 | NA | NA | 29.12 | 29.52 | 090 | |
| 43200 | A | Esophagus endoscopy | 1.59 | 5.33 | 4.55 | 1.09 | 1.37 | 0.11 | 7.03 | 6.25 | 2.79 | 3.07 | 000 | |
| 43202 | A | Esophagus endoscopy, biopsy | 1.89 | 4.72 | 4.20 | 1.04 | 1.44 | 0.13 | 6.74 | 6.22 | 3.06 | 3.46 | 000 | |
| 43204 | A | Esophagus endoscopy inject | 3.77 | NA | NA | 1.58 | 2.31 | 0.24 | NA | NA | 5.59 | 6.32 | 000 | |
| 43205 | A | Esophagus endoscopy/ligation | 3.79 | NA | NA | 1.57 | 1.91 | 0.23 | NA | NA | 5.59 | 5.93 | 000 | |
| 43215 | A | Esophagus endoscopy | 2.60 | NA | NA | 1.20 | 1.68 | 0.19 | NA | NA | 3.99 | 4.47 | 000 | |
| 43216 | A | Esophagus endoscopy/lesion | 2.40 | NA | NA | 1.11 | 1.55 | 0.17 | NA | NA | 3.68 | 4.12 | 000 | |
| 43217 | A | Esophagus endoscopy | 2.90 | NA | NA | 1.28 | 1.83 | 0.19 | NA | NA | 4.37 | 4.92 | 000 | |
| 43219 | A | Esophagus endoscopy | 2.80 | NA | NA | 1.36 | 1.86 | 0.20 | NA | NA | 4.36 | 4.86 | 000 | |
| 43220 | A | Esoph endoscopy, dilation | 2.10 | NA | NA | 1.03 | 1.40 | 0.13 | NA | NA | 3.26 | 3.63 | 000 | |
| 43226 | A | Esoph endoscopy, dilation | 2.34 | NA | NA | 1.09 | 1.52 | 0.15 | NA | NA | 3.58 | 4.01 | 000 | |
| 43227 | A | Esoph endoscopy, repair | 3.60 | NA | NA | 1.51 | 2.21 | 0.23 | NA | NA | 5.34 | 6.04 | 000 | |
| 43228 | A | Esoph endoscopy, ablation | 3.77 | NA | NA | 1.66 | 2.37 | 0.26 | NA | NA | 5.69 | 6.40 | 000 | |
| 43234 | A | Upper GI endoscopy, exam | 2.01 | 3.50 | 3.32 | 0.98 | 1.43 | 0.14 | 5.65 | 5.47 | 3.13 | 3.58 | 000 | |
| 43235 | A | Uppr gi endoscopy, diagnosis | 2.39 | 4.70 | 4.36 | 1.11 | 1.67 | 0.15 | 7.24 | 6.90 | 3.65 | 4.21 | 000 | |
| 43239 | A | Upper GI endoscopy, biopsy | 2.69 | 4.92 | 4.62 | 1.21 | 1.84 | 0.17 | 7.78 | 7.48 | 4.07 | 4.70 | 000 | |
| 43241 | A | Upper GI endoscopy with tube | 2.59 | NA | NA | 1.16 | 1.64 | 0.17 | NA | NA | 3.92 | 4.40 | 000 | |
| 43243 | A | Upper gi endoscopy inject | 4.57 | NA | NA | 1.86 | 2.76 | 0.28 | NA | NA | 6.71 | 7.61 | 000 | |
| 43244 | A | Upper GI endoscopy/ligation | 4.59 | NA | NA | 1.86 | 2.34 | 0.28 | NA | NA | 6.73 | 7.21 | 000 | |
| 43245 | A | Operative upper GI endoscopy | 3.39 | NA | NA | 1.44 | 2.09 | 0.22 | NA | NA | 5.05 | 5.70 | 000 | |
| 43246 | A | Place gastrostomy tube | 4.33 | NA | NA | 1.74 | 2.60 | 0.30 | NA | NA | 6.37 | 7.23 | 000 | |
| 43247 | A | Operative upper GI endoscopy | 3.39 | NA | NA | 1.44 | 2.09 | 0.22 | NA | NA | 5.05 | 5.70 | 000 | |
| 43248 | A | Uppr gi endoscopy/guide wire | 3.15 | NA | NA | 1.36 | 1.96 | 0.20 | NA | NA | 4.71 | 5.31 | 000 | |
| 43249 | A | Esoph endoscopy, dilation | 2.90 | NA | NA | 1.26 | 1.81 | 0.18 | NA | NA | 4.34 | 4.89 | 000 | |
| 43250 | A | Upper GI endoscopy/tumor | 3.20 | NA | NA | 1.37 | 1.98 | 0.21 | NA | NA | 4.78 | 5.39 | 000 | |
| 43251 | A | Operative upper GI endoscopy | 3.70 | NA | NA | 1.54 | 2.26 | 0.24 | NA | NA | 5.48 | 6.20 | 000 | |
| 43255 | A | Operative upper GI endoscopy | 4.40 | NA | NA | 1.71 | 2.60 | 0.27 | NA | NA | 6.38 | 7.27 | 000 | |
| 43258 | A | Operative upper GI endoscopy | 4.55 | NA | NA | 1.85 | 2.75 | 0.29 | NA | NA | 6.69 | 7.59 | 000 | |
| 43259 | A | Endoscopic ultrasound exam | 4.89 | NA | NA | 2.03 | 2.61 | 0.30 | NA | NA | 7.22 | 7.80 | 000 | |
| 43260 | A | Endo cholangiopancreatograph | 5.96 | NA | NA | 2.34 | 3.38 | 0.36 | NA | NA | 8.66 | 9.70 | 000 | |
| 43261 | A | Endo cholangiopancreatograph | 6.27 | NA | NA | 2.45 | 3.46 | 0.38 | NA | NA | 9.10 | 10.11 | 000 | |
| 43262 | A | Endo cholangiopancreatograph | 7.39 | NA | NA | 2.85 | 4.34 | 0.46 | NA | NA | 10.70 | 12.19 | 000 | |
| 43263 | A | Endo cholangiopancreatograph | 6.19 | NA | NA | 2.42 | 3.40 | 0.38 | NA | NA | 8.99 | 9.97 | 000 | |
| 43264 | A | Endo cholangiopancreatograph | 8.90 | NA | NA | 3.39 | 4.96 | 0.54 | NA | NA | 12.83 | 14.40 | 000 | |
| 43265 | A | Endo cholangiopancreatograph | 8.90 | NA | NA | 3.38 | 4.39 | 0.54 | NA | NA | 12.82 | 13.83 | 000 | |
| 43267 | A | Endo cholangiopancreatograph | 7.39 | NA | NA | 2.85 | 4.15 | 0.46 | NA | NA | 10.70 | 12.00 | 000 | |
| 43268 | A | Endo cholangiopancreatograph | 7.39 | NA | NA | 2.85 | 4.34 | 0.46 | NA | NA | 10.70 | 12.19 | 000 | |
| 43269 | A | Endo cholangiopancreatograph | 6.04 | NA | NA | 2.37 | 3.58 | 0.37 | NA | NA | 8.78 | 9.99 | 000 | |
| 43271 | A | Endo cholangiopancreatograph | 7.39 | NA | NA | 2.84 | 4.20 | 0.44 | NA | NA | 10.67 | 12.03 | 000 | |
| 43272 | A | Endo cholangiopancreatograph | 7.39 | NA | NA | 2.85 | 3.66 | 0.44 | NA | NA | 10.68 | 11.49 | 000 | |
| 43280 | A | Laparoscopy, fundoplasty | 17.25 | NA | NA | 8.58 | 9.66 | 1.72 | NA | NA | 27.55 | 28.63 | 090 | |
| 43289 | C | Laparoscope proc, esoph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43300 | A | Repair of esophagus | 9.14 | NA | NA | 6.78 | 7.81 | 0.88 | NA | NA | 16.80 | 17.83 | 090 | |
| 43305 | A | Repair esophagus and fistula | 17.39 | NA | NA | 12.11 | 12.80 | 1.32 | NA | NA | 30.82 | 31.51 | 090 | |
| 43310 | A | Repair of esophagus | 27.47 | NA | NA | 17.92 | 18.05 | 3.07 | NA | NA | 48.46 | 48.59 | 090 | |
| 43312 | A | Repair esophagus and fistula | 30.50 | NA | NA | 22.78 | 20.81 | 3.46 | NA | NA | 56.74 | 54.77 | 090 | |
| 43320 | A | Fuse esophagus stomach | 16.07 | NA | NA | 10.44 | 11.00 | 1.69 | NA | NA | 28.20 | 28.76 | 090 | |
| 43324 | A | Revise esophagus stomach | 16.58 | NA | NA | 8.54 | 9.63 | 1.66 | NA | NA | 26.78 | 27.87 | 090 | |
| 43325 | A | Revise esophagus stomach | 16.17 | NA | NA | 8.91 | 9.83 | 1.66 | NA | NA | 26.74 | 27.66 | 090 | |
| 43326 | A | Revise esophagus stomach | 15.91 | NA | NA | 10.41 | 9.85 | 1.84 | NA | NA | 28.16 | 27.60 | 090 | |
| 43330 | A | Repair of esophagus | 15.94 | NA | NA | 8.50 | 9.46 | 1.54 | NA | NA | 25.98 | 26.94 | 090 | |
| 43331 | A | Repair of esophagus | 16.23 | NA | NA | 10.62 | 11.85 | 1.72 | NA | NA | 28.57 | 29.80 | 090 | |
| 43340 | A | Fuse esophagus intestine | 15.81 | NA | NA | 10.01 | 10.88 | 1.70 | NA | NA | 27.52 | 28.39 | 090 | |
| 43341 | A | Fuse esophagus intestine | 16.81 | NA | NA | 14.01 | 13.19 | 1.33 | NA | NA | 32.15 | 31.33 | 090 | |
| 43350 | A | Surgical opening, esophagus | 12.72 | NA | NA | 8.22 | 8.30 | 1.19 | NA | NA | 22.13 | 22.21 | 090 | |
| 43351 | A | Surgical opening, esophagus | 14.79 | NA | NA | 10.69 | 10.40 | 1.76 | NA | NA | 27.24 | 26.95 | 090 | |
| 43352 | A | Surgical opening, esophagus | 12.30 | NA | NA | 9.57 | 9.58 | 1.29 | NA | NA | 23.16 | 23.17 | 090 | |
| 43360 | A | Gastrointestinal repair | 28.78 | NA | NA | 16.03 | 17.82 | 2.97 | NA | NA | 47.78 | 49.57 | 090 | |
| 43361 | A | Gastrointestinal repair | 32.65 | NA | NA | 18.56 | 20.78 | 3.21 | NA | NA | 54.42 | 56.64 | 090 | |
| 43400 | A | Ligate esophagus veins | 17.09 | NA | NA | 8.46 | 9.28 | 1.39 | NA | NA | 26.94 | 27.76 | 090 | |
| 43401 | A | Esophagus surgery for veins | 17.81 | NA | NA | 9.27 | 9.56 | 1.76 | NA | NA | 28.84 | 29.13 | 090 | |
| 43405 | A | Ligate/staple esophagus | 16.13 | NA | NA | 8.97 | 10.62 | 1.77 | NA | NA | 26.87 | 28.52 | 090 | |
| 43410 | A | Repair esophagus wound | 10.86 | NA | NA | 8.91 | 9.10 | 1.16 | NA | NA | 20.93 | 21.12 | 090 | |
| 43415 | A | Repair esophagus wound | 17.06 | NA | NA | 10.65 | 11.45 | 1.90 | NA | NA | 29.61 | 30.41 | 090 | |
| 43420 | A | Repair esophagus opening | 11.57 | NA | NA | 7.50 | 7.22 | 0.85 | NA | NA | 19.92 | 19.64 | 090 | |
| 43425 | A | Repair esophagus opening | 16.95 | NA | NA | 11.60 | 11.40 | 0.02 | NA | NA | 28.57 | 28.37 | 090 | |
| 43450 | A | Dilate esophagus | 1.38 | 1.22 | 1.10 | 0.59 | 0.63 | 0.09 | 2.69 | 2.57 | 2.06 | 2.10 | 000 | |
| 43453 | A | Dilate esophagus | 1.51 | NA | NA | 0.63 | 0.88 | 0.10 | NA | NA | 2.24 | 2.49 | 000 | |
| 43456 | A | Dilate esophagus | 2.57 | NA | NA | 1.01 | 1.43 | 0.16 | NA | NA | 3.74 | 4.16 | 000 | |
| 43458 | A | Dilate esophagus | 3.06 | NA | NA | 1.20 | 1.31 | 0.20 | NA | NA | 4.46 | 4.57 | 000 | |
| 43460 | A | Pressure treatment esophagus | 3.80 | NA | NA | 1.46 | 1.55 | 0.28 | NA | NA | 5.54 | 5.63 | 000 | |
| 43496 | C | Free jejunum flap, microvasc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 43499 | C | Esophagus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43500 | A | Surgical opening of stomach | 8.44 | NA | NA | 4.25 | 4.85 | 0.82 | NA | NA | 13.51 | 14.11 | 090 | |
| 43501 | A | Surgical repair of stomach | 15.31 | NA | NA | 7.11 | 7.66 | 1.53 | NA | NA | 23.95 | 24.50 | 090 | |
| 43502 | A | Surgical repair of stomach | 17.67 | NA | NA | 8.22 | 8.49 | 1.80 | NA | NA | 27.69 | 27.96 | 090 | |
| 43510 | A | Surgical opening of stomach | 9.99 | NA | NA | 5.93 | 6.70 | 0.77 | NA | NA | 16.69 | 17.46 | 090 | |
| 43520 | A | Incision of pyloric muscle | 7.63 | NA | NA | 5.17 | 5.09 | 0.88 | NA | NA | 13.68 | 13.60 | 090 | |
| 43600 | A | Biopsy of stomach | 1.91 | NA | NA | 0.93 | 0.83 | 0.12 | NA | NA | 2.96 | 2.86 | 000 | |
| 43605 | A | Biopsy of stomach | 9.15 | NA | NA | 4.55 | 5.02 | 0.90 | NA | NA | 14.60 | 15.07 | 090 | |
| 43610 | A | Excision of stomach lesion | 11.15 | NA | NA | 5.60 | 6.42 | 1.11 | NA | NA | 17.86 | 18.68 | 090 | |
| 43611 | A | Excision of stomach lesion | 13.63 | NA | NA | 6.59 | 7.16 | 1.33 | NA | NA | 21.55 | 22.12 | 090 | |
| 43620 | A | Removal of stomach | 22.54 | NA | NA | 10.41 | 11.98 | 2.25 | NA | NA | 35.20 | 36.77 | 090 | |
| 43621 | A | Removal of stomach | 23.06 | NA | NA | 10.53 | 12.07 | 2.29 | NA | NA | 35.88 | 37.42 | 090 | |
| 43622 | A | Removal of stomach | 24.41 | NA | NA | 11.08 | 12.48 | 2.44 | NA | NA | 37.93 | 39.33 | 090 | |
| 43631 | A | Removal of stomach, partial | 19.66 | NA | NA | 8.75 | 9.93 | 1.96 | NA | NA | 30.37 | 31.55 | 090 | |
| 43632 | A | Removal of stomach, partial | 19.66 | NA | NA | 8.72 | 9.91 | 1.95 | NA | NA | 30.33 | 31.52 | 090 | |
| 43633 | A | Removal of stomach, partial | 20.10 | NA | NA | 8.87 | 10.02 | 0.02 | NA | NA | 28.99 | 30.14 | 090 | |
| 43634 | A | Removal of stomach, partial | 21.86 | NA | NA | 9.57 | 12.83 | 2.21 | NA | NA | 33.64 | 36.90 | 090 | |
| 43635 | A | Removal of stomach, partial | 2.06 | NA | NA | 0.77 | 0.87 | 0.20 | NA | NA | 3.03 | 3.13 | ZZZ | |
| 43638 | A | Removal of stomach, partial | 21.76 | NA | NA | 9.67 | 10.71 | 2.19 | NA | NA | 33.62 | 34.66 | 090 | |
| 43639 | A | Removal of stomach, partial | 22.25 | NA | NA | 9.92 | 10.90 | 2.25 | NA | NA | 34.42 | 35.40 | 090 | |
| 43640 | A | Vagotomy pylorus repair | 14.81 | NA | NA | 6.93 | 8.00 | 1.47 | NA | NA | 23.21 | 24.28 | 090 | |
| 43641 | A | Vagotomy pylorus repair | 15.03 | NA | NA | 7.26 | 8.25 | 1.50 | NA | NA | 23.79 | 24.78 | 090 | |
| 43651 | A | Laparoscopy, vagus nerve | 10.15 | NA | NA | 4.70 | 4.90 | 1.01 | NA | NA | 15.86 | 16.06 | 090 | |
| 43652 | A | Laparoscopy, vagus nerve | 12.15 | NA | NA | 5.44 | 5.73 | 1.03 | NA | NA | 18.62 | 18.91 | 090 | |
| 43653 | A | Laparoscopy, gastrostomy | 7.73 | NA | NA | 4.27 | 4.88 | 0.74 | NA | NA | 12.74 | 13.35 | 090 | |
| 43659 | C | Laparoscope proc, stom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43750 | A | Place gastrostomy tube | 4.49 | NA | NA | 2.51 | 3.06 | 0.34 | NA | NA | 7.34 | 7.89 | 010 | |
| 43760 | A | Change gastrostomy tube | 1.10 | 1.24 | 1.12 | 0.44 | 0.52 | 0.08 | 2.42 | 2.30 | 1.62 | 1.70 | 000 | |
| 43761 | A | Reposition gastrostomy tube | 2.01 | NA | NA | 0.80 | 0.89 | 0.10 | NA | NA | 2.91 | 3.00 | 000 | |
| 43800 | A | Reconstruction of pylorus | 10.46 | NA | NA | 5.44 | 5.94 | 1.04 | NA | NA | 16.94 | 17.44 | 090 | |
| 43810 | A | Fusion of stomach and bowel | 11.19 | NA | NA | 5.57 | 6.25 | 1.07 | NA | NA | 17.83 | 18.51 | 090 | |
| 43820 | A | Fusion of stomach and bowel | 11.74 | NA | NA | 5.78 | 6.59 | 1.16 | NA | NA | 18.68 | 19.49 | 090 | |
| 43825 | A | Fusion of stomach and bowel | 14.68 | NA | NA | 6.87 | 8.16 | 1.45 | NA | NA | 23.00 | 24.29 | 090 | |
| 43830 | A | Place gastrostomy tube | 7.28 | NA | NA | 4.12 | 4.77 | 0.70 | NA | NA | 12.10 | 12.75 | 090 | |
| 43831 | A | Place gastrostomy tube | 7.84 | NA | NA | 4.28 | 4.62 | 0.74 | NA | NA | 12.86 | 13.20 | 090 | |
| 43832 | A | Place gastrostomy tube | 11.92 | NA | NA | 6.20 | 6.81 | 1.14 | NA | NA | 19.26 | 19.87 | 090 | |
| 43840 | A | Repair of stomach lesion | 11.89 | NA | NA | 5.83 | 6.50 | 1.18 | NA | NA | 18.90 | 19.57 | 090 | |
| 43842 | A | Gastroplasty for obesity | 14.71 | NA | NA | 9.81 | 11.08 | 1.49 | NA | NA | 26.01 | 27.28 | 090 | |
| 43843 | A | Gastroplasty for obesity | 14.85 | NA | NA | 9.14 | 10.58 | 1.47 | NA | NA | 25.46 | 26.90 | 090 | |
| 43846 | A | Gastric bypass for obesity | 19.15 | NA | NA | 11.04 | 12.30 | 1.90 | NA | NA | 32.09 | 33.35 | 090 | |
| 43847 | A | Gastric bypass for obesity | 21.44 | NA | NA | 12.44 | 13.35 | 2.06 | NA | NA | 35.94 | 36.85 | 090 | |
| 43848 | A | Revision gastroplasty | 23.41 | NA | NA | 13.40 | 14.07 | 2.34 | NA | NA | 39.15 | 39.82 | 090 | |
| 43850 | A | Revise stomach-bowel fusion | 19.69 | NA | NA | 8.65 | 9.65 | 1.91 | NA | NA | 30.25 | 31.25 | 090 | |
| 43855 | A | Revise stomach-bowel fusion | 20.83 | NA | NA | 9.19 | 9.73 | 1.92 | NA | NA | 31.94 | 32.48 | 090 | |
| 43860 | A | Revise stomach-bowel fusion | 19.91 | NA | NA | 8.82 | 9.73 | 1.98 | NA | NA | 30.71 | 31.62 | 090 | |
| 43865 | A | Revise stomach-bowel fusion | 21.12 | NA | NA | 9.32 | 10.62 | 2.12 | NA | NA | 32.56 | 33.86 | 090 | |
| 43870 | A | Repair stomach opening | 7.40 | NA | NA | 4.20 | 4.72 | 0.72 | NA | NA | 12.32 | 12.84 | 090 | |
| 43880 | A | Repair stomach-bowel fistula | 19.63 | NA | NA | 9.10 | 9.06 | 1.97 | NA | NA | 30.70 | 30.66 | 090 | |
| 43999 | C | Stomach surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44005 | A | Freeing of bowel adhesion | 13.84 | NA | NA | 6.49 | 7.12 | 1.37 | NA | NA | 21.70 | 22.33 | 090 | |
| 44010 | A | Incision of small bowel | 10.68 | NA | NA | 5.65 | 6.11 | 1.06 | NA | NA | 17.39 | 17.85 | 090 | |
| 44015 | A | Insert needle cath bowel | 2.62 | NA | NA | 0.97 | 1.51 | 0.25 | NA | NA | 3.84 | 4.38 | ZZZ | |
| 44020 | A | Exploration of small bowel | 11.93 | NA | NA | 5.74 | 6.43 | 1.15 | NA | NA | 18.82 | 19.51 | 090 | |
| 44021 | A | Decompress small bowel | 12.01 | NA | NA | 6.17 | 6.53 | 1.17 | NA | NA | 19.35 | 19.71 | 090 | |
| 44025 | A | Incision of large bowel | 12.18 | NA | NA | 5.84 | 6.48 | 1.20 | NA | NA | 19.22 | 19.86 | 090 | |
| 44050 | A | Reduce bowel obstruction | 11.40 | NA | NA | 5.56 | 6.28 | 1.13 | NA | NA | 18.09 | 18.81 | 090 | |
| 44055 | A | Correct malrotation of bowel | 13.14 | NA | NA | 6.14 | 6.68 | 1.28 | NA | NA | 20.56 | 21.10 | 090 | |
| 44100 | A | Biopsy of bowel | 2.01 | NA | NA | 0.99 | 1.12 | 0.14 | NA | NA | 3.14 | 3.27 | 000 | |
| 44110 | A | Excision of bowel lesion(s) | 10.07 | NA | NA | 5.10 | 5.91 | 0.97 | NA | NA | 16.14 | 16.95 | 090 | |
| 44111 | A | Excision of bowel lesion(s) | 12.19 | NA | NA | 6.31 | 7.36 | 1.17 | NA | NA | 19.67 | 20.72 | 090 | |
| 44120 | A | Removal of small intestine | 14.50 | NA | NA | 6.72 | 7.61 | 1.43 | NA | NA | 22.65 | 23.54 | 090 | |
| 44121 | A | Removal of small intestine | 4.45 | NA | NA | 1.67 | 1.88 | 0.44 | NA | NA | 6.56 | 6.77 | ZZZ | |
| 44125 | A | Removal of small intestine | 14.96 | NA | NA | 6.91 | 8.10 | 1.48 | NA | NA | 23.35 | 24.54 | 090 | |
| 44130 | A | Bowel to bowel fusion | 12.36 | NA | NA | 5.92 | 6.79 | 1.22 | NA | NA | 19.50 | 20.37 | 090 | |
| 44139 | A | Mobilization of colon | 2.23 | NA | NA | 0.83 | 0.94 | 0.22 | NA | NA | 3.28 | 3.39 | ZZZ | |
| 44140 | A | Partial removal of colon | 18.35 | NA | NA | 8.53 | 9.48 | 1.81 | NA | NA | 28.69 | 29.64 | 090 | |
| 44141 | A | Partial removal of colon | 19.51 | NA | NA | 11.51 | 11.85 | 1.94 | NA | NA | 32.96 | 33.30 | 090 | |
| 44143 | A | Partial removal of colon | 20.17 | NA | NA | 11.77 | 12.16 | 0.02 | NA | NA | 31.96 | 32.35 | 090 | |
| 44144 | A | Partial removal of colon | 18.89 | NA | NA | 10.59 | 11.22 | 1.88 | NA | NA | 31.36 | 31.99 | 090 | |
| 44145 | A | Partial removal of colon | 23.18 | NA | NA | 10.67 | 11.60 | 2.30 | NA | NA | 36.15 | 37.08 | 090 | |
| 44146 | A | Partial removal of colon | 24.16 | NA | NA | 13.81 | 14.42 | 2.40 | NA | NA | 40.37 | 40.98 | 090 | |
| 44147 | A | Partial removal of colon | 18.17 | NA | NA | 9.06 | 10.96 | 1.81 | NA | NA | 29.04 | 30.94 | 090 | |
| 44150 | A | Removal of colon | 21.01 | NA | NA | 12.63 | 13.50 | 2.11 | NA | NA | 35.75 | 36.62 | 090 | |
| 44151 | A | Removal of colon/ileostomy | 20.04 | NA | NA | 12.85 | 12.41 | 1.98 | NA | NA | 34.87 | 34.43 | 090 | |
| 44152 | A | Removal of colon/ileostomy | 24.41 | NA | NA | 14.96 | 15.41 | 2.39 | NA | NA | 41.76 | 42.21 | 090 | |
| 44153 | A | Removal of colon/ileostomy | 26.83 | NA | NA | 15.33 | 16.75 | 2.72 | NA | NA | 44.88 | 46.30 | 090 | |
| 44155 | A | Removal of colon/ileostomy | 24.44 | NA | NA | 13.60 | 14.72 | 2.44 | NA | NA | 40.48 | 41.60 | 090 | |
| 44156 | A | Removal of colon/ileostomy | 23.01 | NA | NA | 14.36 | 13.86 | 2.33 | NA | NA | 39.70 | 39.20 | 090 | |
| 44160 | A | Removal of colon | 15.88 | NA | NA | 7.58 | 9.06 | 1.58 | NA | NA | 25.04 | 26.52 | 090 | |
| 44200 | A | Laparoscopy, enterolysis | 14.44 | NA | NA | 6.71 | 7.28 | 1.41 | NA | NA | 22.56 | 23.13 | 090 | |
| 44201 | A | Laparoscopy, jejunostomy | 9.78 | NA | NA | 5.28 | 5.28 | 1.35 | NA | NA | 16.41 | 16.41 | 090 | |
| 44202 | A | Laparo, resect intestine | 22.04 | NA | NA | 9.89 | 11.01 | 2.17 | NA | NA | 34.10 | 35.22 | 090 | |
| 44209 | C | Laparoscope proc, intestine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44300 | A | Open bowel to skin | 8.88 | NA | NA | 5.48 | 5.75 | 0.88 | NA | NA | 15.24 | 15.51 | 090 | |
| 44310 | A | Ileostomy/jejunostomy | 11.70 | NA | NA | 8.53 | 8.54 | 1.16 | NA | NA | 21.39 | 21.40 | 090 | |
| 44312 | A | Revision of ileostomy | 5.88 | NA | NA | 4.39 | 4.13 | 0.53 | NA | NA | 10.80 | 10.54 | 090 | |
| 44314 | A | Revision of ileostomy | 11.04 | NA | NA | 8.64 | 8.29 | 1.05 | NA | NA | 20.73 | 20.38 | 090 | |
| 44316 | A | Devise bowel pouch | 15.47 | NA | NA | 11.30 | 11.09 | 1.47 | NA | NA | 28.24 | 28.03 | 090 | |
| 44320 | A | Colostomy | 12.94 | NA | NA | 9.77 | 9.35 | 1.28 | NA | NA | 23.99 | 23.57 | 090 | |
| 44322 | A | Colostomy with biopsies | 11.98 | NA | NA | 9.54 | 9.62 | 1.18 | NA | NA | 22.70 | 22.78 | 090 | |
| 44340 | A | Revision of colostomy | 5.66 | NA | NA | 3.91 | 3.39 | 0.55 | NA | NA | 10.12 | 9.60 | 090 | |
| 44345 | A | Revision of colostomy | 11.32 | NA | NA | 6.66 | 6.31 | 1.12 | NA | NA | 19.10 | 18.75 | 090 | |
| 44346 | A | Revision of colostomy | 12.46 | NA | NA | 7.06 | 7.10 | 1.23 | NA | NA | 20.75 | 20.79 | 090 | |
| 44360 | A | Small bowel endoscopy | 2.92 | NA | NA | 1.36 | 1.89 | 0.18 | NA | NA | 4.46 | 4.99 | 000 | |
| 44361 | A | Small bowel endoscopy/biopsy | 3.23 | NA | NA | 1.45 | 2.05 | 0.19 | NA | NA | 4.87 | 5.47 | 000 | |
| 44363 | A | Small bowel endoscopy | 3.94 | NA | NA | 1.67 | 2.06 | 0.23 | NA | NA | 5.84 | 6.23 | 000 | |
| 44364 | A | Small bowel endoscopy | 4.22 | NA | NA | 1.81 | 2.62 | 0.27 | NA | NA | 6.30 | 7.11 | 000 | |
| 44365 | A | Small bowel endoscopy | 3.73 | NA | NA | 1.66 | 2.36 | 0.24 | NA | NA | 5.63 | 6.33 | 000 | |
| 44366 | A | Small bowel endoscopy | 4.97 | NA | NA | 2.08 | 3.05 | 0.31 | NA | NA | 7.36 | 8.33 | 000 | |
| 44369 | A | Small bowel endoscopy | 5.09 | NA | NA | 2.13 | 3.12 | 0.32 | NA | NA | 7.54 | 8.53 | 000 | |
| 44372 | A | Small bowel endoscopy | 4.97 | NA | NA | 2.11 | 3.07 | 0.33 | NA | NA | 7.41 | 8.37 | 000 | |
| 44373 | A | Small bowel endoscopy | 3.94 | NA | NA | 1.75 | 2.49 | 0.25 | NA | NA | 5.94 | 6.68 | 000 | |
| 44376 | A | Small bowel endoscopy | 5.69 | NA | NA | 2.33 | 2.85 | 0.37 | NA | NA | 8.39 | 8.91 | 000 | |
| 44377 | A | Small bowel endoscopy/biopsy | 5.98 | NA | NA | 2.46 | 3.00 | 0.37 | NA | NA | 8.81 | 9.35 | 000 | |
| 44378 | A | Small bowel endoscopy | 7.71 | NA | NA | 3.08 | 3.74 | 0.50 | NA | NA | 11.29 | 11.95 | 000 | |
| 44380 | A | Small bowel endoscopy | 1.51 | NA | NA | 0.83 | 1.07 | 0.10 | NA | NA | 2.44 | 2.68 | 000 | |
| 44382 | A | Small bowel endoscopy | 1.82 | NA | NA | 0.95 | 1.26 | 0.11 | NA | NA | 2.88 | 3.19 | 000 | |
| 44385 | A | Endoscopy of bowel pouch | 1.82 | 3.11 | 2.97 | 0.89 | 1.30 | 0.13 | 5.06 | 4.92 | 2.84 | 3.25 | 000 | |
| 44386 | A | Endoscopy, bowel pouch/biop | 2.12 | 4.25 | 3.61 | 1.06 | 1.21 | 0.17 | 6.54 | 5.90 | 3.35 | 3.50 | 000 | |
| 44388 | A | Colon endoscopy | 2.82 | 4.27 | 4.18 | 1.31 | 1.96 | 0.22 | 7.31 | 7.22 | 4.35 | 5.00 | 000 | |
| 44389 | A | Colonoscopy with biopsy | 3.13 | 4.68 | 4.60 | 1.43 | 2.16 | 0.22 | 8.03 | 7.95 | 4.78 | 5.51 | 000 | |
| 44390 | A | Colonoscopy for foreign body | 3.83 | 5.47 | 4.82 | 1.64 | 1.94 | 0.31 | 9.61 | 8.96 | 5.78 | 6.08 | 000 | |
| 44391 | A | Colonoscopy for bleeding | 4.32 | 5.14 | 5.28 | 1.69 | 2.70 | 0.29 | 9.75 | 9.89 | 6.30 | 7.31 | 000 | |
| 44392 | A | Colonoscopy polypectomy | 3.82 | 5.07 | 5.20 | 1.67 | 2.65 | 0.28 | 9.17 | 9.30 | 5.77 | 6.75 | 000 | |
| 44393 | A | Colonoscopy, lesion removal | 4.84 | 5.39 | 5.51 | 2.03 | 2.99 | 0.34 | 10.57 | 10.69 | 7.21 | 8.17 | 000 | |
| 44394 | A | Colonoscopy w/snare | 4.43 | 6.60 | 6.35 | 1.90 | 2.83 | 0.32 | 11.35 | 11.10 | 6.65 | 7.58 | 000 | |
| 44500 | A | Intro, gastrointestinal tube | 0.49 | NA | NA | 0.34 | 0.35 | 0.02 | NA | NA | 0.85 | 0.86 | 000 | |
| 44602 | A | Suture, small intestine | 10.61 | NA | NA | 5.30 | 6.05 | 1.05 | NA | NA | 16.96 | 17.71 | 090 | |
| 44603 | A | Suture, small intestine | 0.14 | NA | NA | 6.56 | 7.39 | 1.38 | NA | NA | 8.08 | 8.91 | 090 | |
| 44604 | A | Suture, large intestine | 14.28 | NA | NA | 6.64 | 7.12 | 1.39 | NA | NA | 22.31 | 22.79 | 090 | |
| 44605 | A | Repair of bowel lesion | 15.37 | NA | NA | 7.32 | 8.03 | 1.50 | NA | NA | 24.19 | 24.90 | 090 | |
| 44615 | A | Intestinal stricturoplasty | 14.19 | NA | NA | 6.60 | 6.78 | 1.39 | NA | NA | 22.18 | 22.36 | 090 | |
| 44620 | A | Repair bowel opening | 10.87 | NA | NA | 5.31 | 5.60 | 1.08 | NA | NA | 17.26 | 17.55 | 090 | |
| 44625 | A | Repair bowel opening | 13.41 | NA | NA | 6.26 | 7.30 | 1.33 | NA | NA | 21.00 | 22.04 | 090 | |
| 44626 | A | Repair bowel opening | 22.59 | NA | NA | 9.70 | 10.36 | 2.23 | NA | NA | 34.52 | 35.18 | 090 | |
| 44640 | A | Repair bowel-skin fistula | 14.83 | NA | NA | 7.19 | 7.17 | 1.48 | NA | NA | 23.50 | 23.48 | 090 | |
| 44650 | A | Repair bowel fistula | 15.25 | NA | NA | 7.31 | 7.47 | 1.50 | NA | NA | 24.06 | 24.22 | 090 | |
| 44660 | A | Repair bowel-bladder fistula | 14.63 | NA | NA | 6.83 | 7.39 | 1.24 | NA | NA | 22.70 | 23.26 | 090 | |
| 44661 | A | Repair bowel-bladder fistula | 16.99 | NA | NA | 7.85 | 9.67 | 1.57 | NA | NA | 26.41 | 28.23 | 090 | |
| 44680 | A | Surgical revision, intestine | 13.72 | NA | NA | 6.82 | 7.75 | 1.37 | NA | NA | 21.91 | 22.84 | 090 | |
| 44700 | A | Suspend bowel w/prosthesis | 14.35 | NA | NA | 7.02 | 8.35 | 1.25 | NA | NA | 22.62 | 23.95 | 090 | |
| 44799 | C | Intestine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44800 | A | Excision of bowel pouch | 11.23 | NA | NA | 5.53 | 5.57 | 1.09 | NA | NA | 17.85 | 17.89 | 090 | |
| 44820 | A | Excision of mesentery lesion | 10.31 | NA | NA | 5.32 | 5.56 | 1.01 | NA | NA | 16.64 | 16.88 | 090 | |
| 44850 | A | Repair of mesentery | 9.57 | NA | NA | 4.96 | 5.24 | 0.95 | NA | NA | 15.48 | 15.76 | 090 | |
| 44899 | C | Bowel surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44900 | A | Drain app abscess, open | 8.82 | NA | NA | 5.13 | 5.01 | 0.81 | NA | NA | 14.76 | 14.64 | 090 | |
| 44901 | A | Drain app abscess, percut | 3.38 | NA | NA | 4.22 | 3.86 | 0.32 | NA | NA | 7.92 | 7.56 | 000 | |
| 44950 | A | Appendectomy | 8.70 | NA | NA | 4.70 | 4.85 | 0.86 | NA | NA | 14.26 | 14.41 | 090 | |
| 44955 | A | Appendectomy add-on | 1.53 | NA | NA | 0.57 | 0.88 | 0.14 | NA | NA | 2.24 | 2.55 | ZZZ | |
| 44960 | A | Appendectomy | 10.74 | NA | NA | 5.75 | 5.91 | 1.07 | NA | NA | 17.56 | 17.72 | 090 | |
| 44970 | A | Laparoscopy, appendectomy | 8.70 | NA | NA | 4.18 | 4.46 | 0.86 | NA | NA | 13.74 | 14.02 | 090 | |
| 44979 | C | Laparoscope proc, app | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 45000 | A | Drainage of pelvic abscess | 4.52 | NA | NA | 3.55 | 3.10 | 0.38 | NA | NA | 8.45 | 8.00 | 090 | |
| 45005 | A | Drainage of rectal abscess | 1.99 | 4.11 | 3.43 | 1.45 | 1.44 | 0.19 | 6.29 | 5.61 | 3.63 | 3.62 | 010 | |
| 45020 | A | Drainage of rectal abscess | 4.72 | NA | NA | 3.39 | 3.25 | 0.45 | NA | NA | 8.56 | 8.42 | 090 | |
| 45100 | A | Biopsy of rectum | 3.68 | 4.47 | 3.86 | 1.98 | 2.00 | 0.35 | 8.50 | 7.89 | 6.01 | 6.03 | 090 | |
| 45108 | A | Removal of anorectal lesion | 4.76 | 5.51 | 4.86 | 3.01 | 2.98 | 0.48 | 10.75 | 10.10 | 8.25 | 8.22 | 090 | |
| 45110 | A | Removal of rectum | 23.80 | NA | NA | 11.62 | 13.14 | 2.33 | NA | NA | 37.75 | 39.27 | 090 | |
| 45111 | A | Partial removal of rectum | 16.48 | NA | NA | 8.49 | 9.56 | 1.63 | NA | NA | 26.60 | 27.67 | 090 | |
| 45112 | A | Removal of rectum | 25.96 | NA | NA | 11.93 | 13.31 | 2.55 | NA | NA | 40.44 | 41.82 | 090 | |
| 45113 | A | Partial proctectomy | 25.99 | NA | NA | 11.18 | 12.74 | 2.48 | NA | NA | 39.65 | 41.21 | 090 | |
| 45114 | A | Partial removal of rectum | 23.22 | NA | NA | 10.86 | 12.32 | 2.29 | NA | NA | 36.37 | 37.83 | 090 | |
| 45116 | A | Partial removal of rectum | 20.89 | NA | NA | 9.88 | 10.33 | 2.04 | NA | NA | 32.81 | 33.26 | 090 | |
| 45119 | A | Remove rectum w/reservoir | 26.21 | NA | NA | 11.68 | 13.12 | 2.58 | NA | NA | 40.47 | 41.91 | 090 | |
| 45120 | A | Removal of rectum | 0.25 | NA | NA | 11.47 | 13.05 | 2.31 | NA | NA | 14.03 | 15.61 | 090 | |
| 45121 | A | Removal of rectum and colon | 27.51 | NA | NA | 12.98 | 12.66 | 2.65 | NA | NA | 43.14 | 42.82 | 090 | |
| 45123 | A | Partial proctectomy | 14.20 | NA | NA | 6.99 | 8.44 | 1.41 | NA | NA | 22.60 | 24.05 | 090 | |
| 45126 | A | Pelvic exenteration | 38.39 | 14.50 | 14.50 | 14.50 | 14.50 | 2.73 | 55.62 | 55.62 | 55.62 | 55.62 | 090 | |
| 45130 | A | Excision of rectal prolapse | 13.97 | NA | NA | 6.76 | 7.49 | 1.41 | NA | NA | 22.14 | 22.87 | 090 | |
| 45135 | A | Excision of rectal prolapse | 16.39 | NA | NA | 8.01 | 10.34 | 1.62 | NA | NA | 26.02 | 28.35 | 090 | |
| 45150 | A | Excision of rectal stricture | 5.67 | 5.23 | 4.84 | 3.05 | 3.21 | 0.56 | 11.46 | 11.07 | 9.28 | 9.44 | 090 | |
| 45160 | A | Excision of rectal lesion | 13.02 | NA | NA | 6.28 | 6.74 | 1.30 | NA | NA | 20.60 | 21.06 | 090 | |
| 45170 | A | Excision of rectal lesion | 9.77 | NA | NA | 5.01 | 5.01 | 0.98 | NA | NA | 15.76 | 15.76 | 090 | |
| 45190 | A | Destruction, rectal tumor | 8.28 | NA | NA | 4.45 | 4.72 | 0.83 | NA | NA | 13.56 | 13.83 | 090 | |
| 45300 | A | Proctosigmoidoscopy | 0.70 | 1.27 | 1.10 | 0.33 | 0.40 | 0.06 | 2.03 | 1.86 | 1.09 | 1.16 | 000 | |
| 45303 | A | Proctosigmoidoscopy | 0.80 | 1.46 | 1.27 | 0.37 | 0.45 | 0.07 | 2.33 | 2.14 | 1.24 | 1.32 | 000 | |
| 45305 | A | Proctosigmoidoscopy biopsy | 1.01 | 1.43 | 1.30 | 0.45 | 0.57 | 0.10 | 2.54 | 2.41 | 1.56 | 1.68 | 000 | |
| 45307 | A | Proctosigmoidoscopy | 1.71 | 2.57 | 2.27 | 0.69 | 0.86 | 0.16 | 4.44 | 4.14 | 2.56 | 2.73 | 000 | |
| 45308 | A | Proctosigmoidoscopy | 1.51 | 1.62 | 1.52 | 0.64 | 0.79 | 0.14 | 3.27 | 3.17 | 2.29 | 2.44 | 000 | |
| 45309 | A | Proctosigmoidoscopy | 2.01 | 2.19 | 1.95 | 0.81 | 0.92 | 0.19 | 4.39 | 4.15 | 3.01 | 3.12 | 000 | |
| 45315 | A | Proctosigmoidoscopy | 2.54 | 2.66 | 2.32 | 1.00 | 1.07 | 0.23 | 5.43 | 5.09 | 3.77 | 3.84 | 000 | |
| 45317 | A | Proctosigmoidoscopy | 2.73 | 2.08 | 1.90 | 1.08 | 1.15 | 0.25 | 5.06 | 4.88 | 4.06 | 4.13 | 000 | |
| 45320 | A | Proctosigmoidoscopy | 2.88 | 2.07 | 2.06 | 1.13 | 1.36 | 0.26 | 5.21 | 5.20 | 4.27 | 4.50 | 000 | |
| 45321 | A | Proctosigmoidoscopy | 2.12 | NA | NA | 0.85 | 1.04 | 0.18 | NA | NA | 3.15 | 3.34 | 000 | |
| 45330 | A | Diagnostic sigmoidoscopy | 0.96 | 1.68 | 1.59 | 0.42 | 0.65 | 0.07 | 2.71 | 2.62 | 1.45 | 1.68 | 000 | |
| 45331 | A | Sigmoidoscopy and biopsy | 1.26 | 1.93 | 1.89 | 0.53 | 0.84 | 0.09 | 3.28 | 3.24 | 1.88 | 2.19 | 000 | |
| 45332 | A | Sigmoidoscopy | 1.96 | 3.39 | 3.02 | 0.78 | 1.06 | 0.14 | 5.49 | 5.12 | 2.88 | 3.16 | 000 | |
| 45333 | A | Sigmoidoscopy polypectomy | 1.96 | 3.04 | 2.89 | 0.78 | 1.19 | 0.14 | 5.14 | 4.99 | 2.88 | 3.29 | 000 | |
| 45334 | A | Sigmoidoscopy for bleeding | 2.99 | NA | NA | 1.15 | 1.60 | 0.20 | NA | NA | 4.34 | 4.79 | 000 | |
| 45337 | A | Sigmoidoscopy decompress | 2.36 | NA | NA | 0.93 | 1.40 | 0.17 | NA | NA | 3.46 | 3.93 | 000 | |
| 45338 | A | Sigmoidoscopy | 2.57 | 3.29 | 3.08 | 1.01 | 1.37 | 0.18 | 6.04 | 5.83 | 3.76 | 4.12 | 000 | |
| 45339 | A | Sigmoidoscopy | 3.14 | 2.36 | 2.65 | 1.20 | 1.78 | 0.22 | 5.72 | 6.01 | 4.56 | 5.14 | 000 | |
| 45355 | A | Surgical colonoscopy | 3.52 | NA | NA | 1.26 | 1.26 | 0.28 | NA | NA | 5.06 | 5.06 | 000 | |
| 45378 | A | Diagnostic colonoscopy | 3.70 | 5.39 | 5.16 | 1.63 | 2.34 | 0.26 | 9.35 | 9.12 | 5.59 | 6.30 | 000 | |
| 45378 | 53 | A | Diagnostic colonoscopy | 0.96 | 1.68 | 1.59 | 0.42 | 0.65 | 0.07 | 2.71 | 2.62 | 1.45 | 1.68 | 000 |
| 45379 | A | Colonoscopy | 4.72 | 5.92 | 5.89 | 1.99 | 2.94 | 0.34 | 10.98 | 10.95 | 7.05 | 8.00 | 000 | |
| 45380 | A | Colonoscopy and biopsy | 4.01 | 5.61 | 5.51 | 1.74 | 2.61 | 0.26 | 9.88 | 9.78 | 6.01 | 6.88 | 000 | |
| 45382 | A | Colonoscopy/control bleeding | 5.73 | 6.72 | 6.63 | 2.18 | 3.23 | 0.36 | 12.81 | 12.72 | 8.27 | 9.32 | 000 | |
| 45383 | A | Lesion removal colonoscopy | 5.87 | 6.47 | 6.46 | 2.40 | 3.41 | 0.40 | 12.74 | 12.73 | 8.67 | 9.68 | 000 | |
| 45384 | A | Colonoscopy | 4.70 | 7.26 | 6.85 | 1.98 | 2.89 | 0.32 | 12.28 | 11.87 | 7.00 | 7.91 | 000 | |
| 45385 | A | Lesion removal colonoscopy | 5.31 | 7.43 | 7.38 | 2.20 | 3.46 | 0.35 | 13.09 | 13.04 | 7.86 | 9.12 | 000 | |
| 45500 | A | Repair of rectum | 7.29 | NA | NA | 3.96 | 4.59 | 0.73 | NA | NA | 11.98 | 12.61 | 090 | |
| 45505 | A | Repair of rectum | 6.02 | NA | NA | 3.07 | 4.01 | 0.60 | NA | NA | 9.69 | 10.63 | 090 | |
| 45520 | A | Treatment of rectal prolapse | 0.55 | 0.65 | 0.65 | 0.19 | 0.31 | 0.06 | 1.26 | 1.26 | 0.80 | 0.92 | 000 | |
| 45540 | A | Correct rectal prolapse | 12.92 | NA | NA | 6.67 | 7.69 | 1.26 | NA | NA | 20.85 | 21.87 | 090 | |
| 45541 | A | Correct rectal prolapse | 10.64 | NA | NA | 5.78 | 7.10 | 1.07 | NA | NA | 17.49 | 18.81 | 090 | |
| 45550 | A | Repair rectum/remove sigmoid | 18.26 | NA | NA | 8.56 | 9.54 | 1.82 | NA | NA | 28.64 | 29.62 | 090 | |
| 45560 | A | Repair of rectocele | 8.40 | NA | NA | 4.74 | 4.86 | 0.68 | NA | NA | 13.82 | 13.94 | 090 | |
| 45562 | A | Exploration/repair of rectum | 12.21 | NA | NA | 6.06 | 6.74 | 1.14 | NA | NA | 19.41 | 20.09 | 090 | |
| 45563 | A | Exploration/repair of rectum | 18.63 | NA | NA | 9.22 | 10.38 | 1.80 | NA | NA | 29.65 | 30.81 | 090 | |
| 45800 | A | Repair rect/bladder fistula | 14.11 | NA | NA | 6.53 | 7.56 | 1.11 | NA | NA | 21.75 | 22.78 | 090 | |
| 45805 | A | Repair fistula w/colostomy | 16.50 | NA | NA | 8.45 | 9.68 | 1.49 | NA | NA | 26.44 | 27.67 | 090 | |
| 45820 | A | Repair rectourethral fistula | 14.67 | NA | NA | 6.76 | 7.51 | 1.28 | NA | NA | 22.71 | 23.46 | 090 | |
| 45825 | A | Repair fistula w/colostomy | 16.87 | NA | NA | 8.91 | 9.36 | 1.49 | NA | NA | 27.27 | 27.72 | 090 | |
| 45900 | A | Reduction of rectal prolapse | 1.83 | NA | NA | 0.76 | 0.73 | 0.18 | NA | NA | 2.77 | 2.74 | 010 | |
| 45905 | A | Dilation of anal sphincter | 1.61 | 2.85 | 2.33 | 0.70 | 0.72 | 0.15 | 4.61 | 4.09 | 2.46 | 2.48 | 010 | |
| 45910 | A | Dilation of rectal narrowing | 1.96 | 3.89 | 3.15 | 0.82 | 0.85 | 0.16 | 6.01 | 5.27 | 2.94 | 2.97 | 010 | |
| 45915 | A | Remove rectal obstruction | 2.20 | 3.90 | 3.14 | 0.78 | 0.80 | 0.19 | 6.29 | 5.53 | 3.17 | 3.19 | 010 | |
| 45999 | C | Rectum surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 46030 | A | Removal of rectal marker | 1.23 | 2.61 | 2.07 | 1.08 | 0.92 | 0.12 | 3.96 | 3.42 | 2.43 | 2.27 | 010 | |
| 46040 | A | Incision of rectal abscess | 4.96 | 5.00 | 4.21 | 2.94 | 2.66 | 0.50 | 10.46 | 9.67 | 8.40 | 8.12 | 090 | |
| 46045 | A | Incision of rectal abscess | 4.32 | NA | NA | 2.64 | 2.48 | 0.43 | NA | NA | 7.39 | 7.23 | 090 | |
| 46050 | A | Incision of anal abscess | 1.19 | 3.17 | 2.54 | 1.12 | 1.00 | 0.11 | 4.47 | 3.84 | 2.42 | 2.30 | 010 | |
| 46060 | A | Incision of rectal abscess | 5.69 | NA | NA | 3.51 | 4.09 | 0.57 | NA | NA | 9.77 | 10.35 | 090 | |
| 46070 | A | Incision of anal septum | 2.71 | NA | NA | 2.56 | 2.29 | 0.28 | NA | NA | 5.55 | 5.28 | 090 | |
| 46080 | A | Incision of anal sphincter | 2.49 | 3.29 | 3.05 | 1.55 | 1.74 | 0.25 | 6.03 | 5.79 | 4.29 | 4.48 | 010 | |
| 46083 | A | Incise external hemorrhoid | 1.40 | 4.20 | 3.32 | 1.23 | 1.09 | 0.11 | 5.71 | 4.83 | 2.74 | 2.60 | 010 | |
| 46200 | A | Removal of anal fissure | 3.42 | 3.38 | 3.43 | 2.19 | 2.54 | 0.34 | 7.14 | 19 | 5.95 | 6.30 | 090 | |
| 46210 | A | Removal of anal crypt | 2.67 | 4.94 | 3.92 | 2.01 | 1.72 | 0.25 | 7.86 | 6.84 | 4.93 | 4.64 | 090 | |
| 46211 | A | Removal of anal crypts | 4.25 | 4.53 | 3.91 | 2.65 | 2.50 | 0.41 | 9.19 | 8.57 | 7.31 | 7.16 | 090 | |
| 46220 | A | Removal of anal tab | 1.56 | 1.22 | 1.09 | 0.58 | 0.61 | 0.15 | 2.93 | 2.80 | 2.29 | 2.32 | 010 | |
| 46221 | A | Ligation of hemorrhoid(s) | 1.43 | 2.79 | 2.27 | 0.53 | 0.58 | 0.14 | 4.36 | 3.84 | 2.10 | 2.15 | 010 | |
| 46230 | A | Removal of anal tabs | 2.57 | 3.87 | 3.13 | 1.59 | 1.42 | 0.25 | 6.69 | 5.95 | 4.41 | 4.24 | 010 | |
| 46250 | A | Hemorrhoidectomy | 4.53 | 5.02 | 4.54 | 2.77 | 2.85 | 0.44 | 9.99 | 9.51 | 7.74 | 7.82 | 090 | |
| 46255 | A | Hemorrhoidectomy | 5.36 | 5.69 | 5.55 | 3.05 | 3.57 | 0.53 | 11.58 | 11.44 | 8.94 | 9.46 | 090 | |
| 46257 | A | Remove hemorrhoids fissure | 6.28 | NA | NA | 3.35 | 3.93 | 0.63 | NA | NA | 10.26 | 10.84 | 090 | |
| 46258 | A | Remove hemorrhoids fistula | 6.67 | NA | NA | 3.43 | 4.17 | 0.66 | NA | NA | 10.76 | 11.50 | 090 | |
| 46260 | A | Hemorrhoidectomy | 7.42 | NA | NA | 4.17 | 4.78 | 0.74 | NA | NA | 12.33 | 12.94 | 090 | |
| 46261 | A | Remove hemorrhoids fissure | 8.24 | NA | NA | 4.39 | 5.09 | 0.83 | NA | NA | 13.46 | 14.16 | 090 | |
| 46262 | A | Remove hemorrhoids fistula | 8.73 | NA | NA | 4.61 | 5.28 | 0.87 | NA | NA | 14.21 | 14.88 | 090 | |
| 46270 | A | Removal of anal fistula | 3.72 | 4.65 | 4.00 | 2.44 | 2.34 | 0.37 | 8.74 | 8.09 | 6.53 | 6.43 | 090 | |
| 46275 | A | Removal of anal fistula | 4.56 | 4.41 | 4.67 | 2.65 | 3.35 | 0.46 | 9.43 | 9.69 | 7.67 | 8.37 | 090 | |
| 46280 | A | Removal of anal fistula | 5.98 | NA | NA | 3.54 | 4.31 | 0.61 | NA | NA | 10.13 | 10.90 | 090 | |
| 46285 | A | Removal of anal fistula | 4.09 | 3.61 | 3.33 | 2.45 | 2.46 | 0.41 | 8.11 | 7.83 | 6.95 | 6.96 | 090 | |
| 46288 | A | Repair anal fistula | 7.13 | NA | NA | 4.06 | 4.01 | 0.71 | NA | NA | 11.90 | 11.85 | 090 | |
| 46320 | A | Removal of hemorrhoid clot | 1.61 | 3.45 | 2.78 | 1.26 | 1.14 | 0.15 | 5.21 | 4.54 | 3.02 | 2.90 | 010 | |
| 46500 | A | Injection into hemorrhoids | 1.61 | 2.33 | 1.84 | 0.59 | 0.53 | 0.16 | 4.10 | 3.61 | 2.36 | 2.30 | 010 | |
| 46600 | A | Diagnostic anoscopy | 0.50 | 0.70 | 0.60 | 0.15 | 0.19 | 0.04 | 1.24 | 1.14 | 0.69 | 0.73 | 000 | |
| 46604 | A | Anoscopy and dilation | 1.31 | 0.90 | 0.78 | 0.48 | 0.46 | 0.11 | 2.32 | 2.20 | 1.90 | 1.88 | 000 | |
| 46606 | A | Anoscopy and biopsy | 0.81 | 0.79 | 0.69 | 0.30 | 0.32 | 0.08 | 1.68 | 1.58 | 1.19 | 1.21 | 000 | |
| 46608 | A | Anoscopy/ remove for body | 1.51 | 1.72 | 1.58 | 0.49 | 0.66 | 0.13 | 3.36 | 3.22 | 2.13 | 2.30 | 000 | |
| 46610 | A | Anoscopy/remove lesion | 1.32 | 1.34 | 1.24 | 0.49 | 0.60 | 0.11 | 2.77 | 2.67 | 1.92 | 2.03 | 000 | |
| 46611 | A | Anoscopy | 1.81 | 1.86 | 1.63 | 0.67 | 0.73 | 0.16 | 3.83 | 3.60 | 2.64 | 2.70 | 000 | |
| 46612 | A | Anoscopy/ remove lesions | 2.34 | 2.23 | 2.05 | 0.87 | 1.03 | 0.20 | 4.77 | 4.59 | 3.41 | 3.57 | 000 | |
| 46614 | A | Anoscopy/control bleeding | 2.01 | 1.56 | 1.59 | 0.72 | 0.96 | 0.17 | 3.74 | 3.77 | 2.90 | 3.14 | 000 | |
| 46615 | A | Anoscopy | 2.68 | 1.63 | 1.64 | 1.00 | 1.17 | 0.23 | 4.54 | 4.55 | 3.91 | 4.08 | 000 | |
| 46700 | A | Repair of anal stricture | 7.25 | NA | NA | 3.89 | 4.58 | 0.74 | NA | NA | 11.88 | 12.57 | 090 | |
| 46705 | A | Repair of anal stricture | 7.17 | NA | NA | 4.16 | 4.10 | 0.73 | NA | NA | 12.06 | 12.00 | 090 | |
| 46715 | A | Repair of anovaginal fistula | 7.46 | NA | NA | 4.26 | 4.15 | 0.86 | NA | NA | 12.58 | 12.47 | 090 | |
| 46716 | A | Repair of anovaginal fistula | 12.85 | NA | NA | 6.75 | 6.71 | 1.21 | NA | NA | 20.81 | 20.77 | 090 | |
| 46730 | A | Construction of absent anus | 22.39 | NA | NA | 12.17 | 12.04 | 1.91 | NA | NA | 36.47 | 36.34 | 090 | |
| 46735 | A | Construction of absent anus | 27.02 | NA | NA | 12.49 | 12.91 | 2.59 | NA | NA | 42.10 | 42.52 | 090 | |
| 46740 | A | Construction of absent anus | 24.19 | NA | NA | 10.81 | 11.24 | 2.31 | NA | NA | 37.31 | 37.74 | 090 | |
| 46742 | A | Repair of imperforated anus | 29.67 | NA | NA | 15.06 | 16.65 | 0.03 | NA | NA | 44.76 | 46.35 | 090 | |
| 46744 | A | Repair of cloacal anomaly | 33.21 | NA | NA | 14.24 | 16.70 | 2.51 | NA | NA | 49.96 | 52.42 | 090 | |
| 46746 | A | Repair of cloacal anomaly | 36.74 | NA | NA | 17.86 | 19.98 | 3.23 | NA | NA | 57.83 | 59.95 | 090 | |
| 46748 | A | Repair of cloacal anomaly | 40.52 | NA | NA | 19.36 | 21.85 | 1.94 | NA | NA | 61.82 | 64.31 | 090 | |
| 46750 | A | Repair of anal sphincter | 8.14 | NA | NA | 4.60 | 5.08 | 0.74 | NA | NA | 13.48 | 13.96 | 090 | |
| 46751 | A | Repair of anal sphincter | 8.77 | NA | NA | 5.63 | 5.33 | 0.86 | NA | NA | 15.26 | 14.96 | 090 | |
| 46753 | A | Reconstruction of anus | 6.58 | NA | NA | 3.36 | 3.85 | 0.67 | NA | NA | 10.61 | 11.10 | 090 | |
| 46754 | A | Removal of suture from anus | 1.54 | 4.61 | 3.86 | 1.07 | 1.21 | 0.13 | 6.28 | 5.53 | 2.74 | 2.88 | 010 | |
| 46760 | A | Repair of anal sphincter | 11.46 | NA | NA | 5.98 | 6.33 | 1.08 | NA | NA | 18.52 | 18.87 | 090 | |
| 46761 | A | Repair of anal sphincter | 10.99 | NA | NA | 5.34 | 5.86 | 1.06 | NA | NA | 17.39 | 17.91 | 090 | |
| 46762 | A | Implant artificial sphincter | 10.09 | NA | NA | 4.91 | 5.24 | 0.93 | NA | NA | 15.93 | 16.26 | 090 | |
| 46900 | A | Destruction, anal lesion(s) | 1.91 | 3.10 | 2.43 | 0.76 | 0.68 | 0.16 | 5.17 | 4.50 | 2.83 | 2.75 | 010 | |
| 46910 | A | Destruction, anal lesion(s) | 1.86 | 3.34 | 2.68 | 1.34 | 1.18 | 0.15 | 5.35 | 4.69 | 3.35 | 3.19 | 010 | |
| 46916 | A | Cryosurgery, anal lesion(s) | 1.86 | 3.17 | 2.56 | 1.55 | 1.35 | 0.09 | 5.12 | 4.51 | 3.50 | 3.30 | 010 | |
| 46917 | A | Laser surgery, anal lesions | 1.86 | 4.07 | 3.58 | 1.37 | 1.56 | 0.16 | 6.09 | 5.60 | 3.39 | 3.58 | 010 | |
| 46922 | A | Excision of anal lesion(s) | 1.86 | 3.38 | 2.88 | 1.35 | 1.36 | 0.18 | 5.42 | 4.92 | 3.39 | 3.40 | 010 | |
| 46924 | A | Destruction, anal lesion(s) | 2.76 | 4.63 | 4.17 | 1.62 | 1.91 | 0.22 | 7.61 | 7.15 | 4.60 | 4.89 | 010 | |
| 46934 | A | Destruction of hemorrhoids | 4.08 | 5.46 | 4.42 | 3.21 | 2.73 | 0.33 | 9.87 | 8.83 | 7.62 | 7.14 | 090 | |
| 46935 | A | Destruction of hemorrhoids | 2.43 | 3.74 | 3.25 | 0.88 | 1.10 | 0.22 | 6.39 | 5.90 | 3.53 | 3.75 | 010 | |
| 46936 | A | Destruction of hemorrhoids | 4.30 | 5.01 | 4.38 | 3.22 | 3.04 | 0.37 | 9.68 | 9.05 | 7.89 | 7.71 | 090 | |
| 46937 | A | Cryotherapy of rectal lesion | 2.69 | 3.86 | 3.53 | 1.69 | 1.91 | 0.12 | 6.67 | 6.34 | 4.50 | 4.72 | 010 | |
| 46938 | A | Cryotherapy of rectal lesion | 4.66 | 5.32 | 4.67 | 2.92 | 2.87 | 0.47 | 10.45 | 9.80 | 8.05 | 8.00 | 090 | |
| 46940 | A | Treatment of anal fissure | 2.32 | 2.67 | 2.14 | 0.85 | 0.78 | 0.23 | 5.22 | 4.69 | 3.40 | 3.33 | 010 | |
| 46942 | A | Treatment of anal fissure | 2.04 | 2.43 | 1.95 | 0.70 | 0.65 | 0.21 | 4.68 | 4.20 | 2.95 | 2.90 | 010 | |
| 46945 | A | Ligation of hemorrhoids | 2.14 | 3.51 | 2.80 | 1.93 | 1.62 | 0.20 | 5.85 | 5.14 | 4.27 | 3.96 | 090 | |
| 46946 | A | Ligation of hemorrhoids | 0.03 | 4.40 | 3.56 | 2.21 | 1.91 | 0.27 | 4.70 | 3.86 | 2.51 | 2.21 | 090 | |
| 46999 | C | Anus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47000 | A | Needle biopsy of liver | 1.90 | 8.42 | 6.70 | 0.66 | 0.88 | 0.09 | 10.41 | 8.69 | 2.65 | 2.87 | 000 | |
| 47001 | A | Needle biopsy, liver add-on | 1.90 | NA | NA | 0.71 | 0.91 | 0.18 | NA | NA | 2.79 | 2.99 | ZZZ | |
| 47010 | A | Open drainage, liver lesion | 10.28 | NA | NA | 7.57 | 7.51 | 0.54 | NA | NA | 18.39 | 18.33 | 090 | |
| 47011 | A | Percut drain, liver lesion | 3.70 | NA | NA | 5.55 | 4.92 | 0.20 | NA | NA | 9.45 | 8.82 | 000 | |
| 47015 | A | Inject/aspirate liver cyst | 9.70 | NA | NA | 5.96 | 6.30 | 0.85 | NA | NA | 16.51 | 16.85 | 090 | |
| 47100 | A | Wedge biopsy of liver | 7.49 | NA | NA | 4.82 | 4.51 | 0.74 | NA | NA | 13.05 | 12.74 | 090 | |
| 47120 | A | Partial removal of liver | 22.79 | NA | NA | 12.23 | 12.43 | 2.21 | NA | NA | 37.23 | 37.43 | 090 | |
| 47122 | A | Extensive removal of liver | 35.39 | NA | NA | 16.94 | 17.48 | 3.39 | NA | NA | 55.72 | 56.26 | 090 | |
| 47125 | A | Partial removal of liver | 31.58 | NA | NA | 15.59 | 16.42 | 3.05 | NA | NA | 50.22 | 51.05 | 090 | |
| 47130 | A | Partial removal of liver | 34.25 | NA | NA | 16.58 | 17.64 | 3.31 | NA | NA | 54.14 | 55.20 | 090 | |
| 47133 | X | Removal of donor liver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 47134 | R | Partial removal, donor liver | 39.15 | NA | NA | 15.52 | 17.20 | 3.78 | NA | NA | 58.45 | 60.13 | XXX | |
| 47135 | R | Transplantation of liver | 81.52 | NA | NA | 41.25 | 45.72 | 8.02 | NA | NA | 130.79 | 135.26 | 090 | |
| 47136 | R | Transplantation of liver | 68.60 | NA | NA | 39.63 | 38.81 | 6.62 | NA | NA | 114.85 | 114.03 | 090 | |
| 47300 | A | Surgery for liver lesion | 9.68 | NA | NA | 5.63 | 6.30 | 0.95 | NA | NA | 16.26 | 16.93 | 090 | |
| 47350 | A | Repair liver wound | 12.56 | NA | NA | 6.89 | 7.19 | 1.23 | NA | NA | 20.68 | 20.98 | 090 | |
| 47360 | A | Repair liver wound | 17.28 | NA | NA | 9.41 | 10.02 | 1.70 | NA | NA | 28.39 | 29.00 | 090 | |
| 47361 | A | Repair liver wound | 30.25 | NA | NA | 14.23 | 14.65 | 2.96 | NA | NA | 47.44 | 47.86 | 090 | |
| 47362 | A | Repair liver wound | 11.88 | NA | NA | 6.85 | 6.56 | 1.12 | NA | NA | 19.85 | 19.56 | 090 | |
| 47399 | C | Liver surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47400 | A | Incision of liver duct | 20.86 | NA | NA | 10.64 | 10.30 | 1.96 | NA | NA | 33.46 | 33.12 | 090 | |
| 47420 | A | Incision of bile duct | 16.72 | NA | NA | 8.24 | 8.75 | 1.67 | NA | NA | 26.63 | 27.14 | 090 | |
| 47425 | A | Incision of bile duct | 16.68 | NA | NA | 8.53 | 9.58 | 1.63 | NA | NA | 26.84 | 27.89 | 090 | |
| 47460 | A | Incise bile duct sphincter | 15.17 | NA | NA | 7.83 | 10.09 | 1.26 | NA | NA | 24.26 | 26.52 | 090 | |
| 47480 | A | Incision of gallbladder | 9.10 | NA | NA | 5.92 | 6.50 | 0.89 | NA | NA | 15.91 | 16.49 | 090 | |
| 47490 | A | Incision of gallbladder | 7.23 | NA | NA | 7.41 | 6.53 | 0.30 | NA | NA | 14.94 | 14.06 | 090 | |
| 47500 | A | Injection for liver x-rays | 1.96 | NA | NA | 0.68 | 0.92 | 0.08 | NA | NA | 2.72 | 2.96 | 000 | |
| 47505 | A | Injection for liver x-rays | 0.76 | 14.95 | 11.48 | 0.26 | 0.46 | 0.03 | 15.74 | 12.27 | 1.05 | 1.25 | 000 | |
| 47510 | A | Insert catheter, bile duct | 7.83 | NA | NA | 8.28 | 6.99 | 0.32 | NA | NA | 16.43 | 15.14 | 090 | |
| 47511 | A | Insert bile duct drain | 10.50 | NA | NA | 9.50 | 7.90 | 0.41 | NA | NA | 20.41 | 18.81 | 090 | |
| 47525 | A | Change bile duct catheter | 5.55 | NA | NA | 3.24 | 2.86 | 0.22 | NA | NA | 9.01 | 8.63 | 010 | |
| 47530 | A | Revise/reinsert bile tube | 5.85 | NA | NA | 4.84 | 4.04 | 0.28 | NA | NA | 10.97 | 10.17 | 090 | |
| 47550 | A | Bile duct endoscopy add-on | 3.02 | NA | NA | 1.13 | 1.27 | 0.30 | NA | NA | 4.45 | 4.59 | ZZZ | |
| 47552 | A | Biliary endoscopy thru skin | 6.04 | NA | NA | 2.51 | 2.25 | 0.49 | NA | NA | 9.04 | 8.78 | 000 | |
| 47553 | A | Biliary endoscopy thru skin | 6.35 | NA | NA | 2.67 | 3.03 | 0.28 | NA | NA | 9.30 | 9.66 | 000 | |
| 47554 | A | Biliary endoscopy thru skin | 9.06 | NA | NA | 3.58 | 3.75 | 0.74 | NA | NA | 13.38 | 13.55 | 000 | |
| 47555 | A | Biliary endoscopy thru skin | 7.56 | NA | NA | 3.09 | 3.03 | 0.31 | NA | NA | 10.96 | 10.90 | 000 | |
| 47556 | A | Biliary endoscopy thru skin | 8.56 | NA | NA | 3.44 | 3.29 | 0.33 | NA | NA | 12.33 | 12.18 | 000 | |
| 47560 | A | Laparoscopy w/cholangio | 4.89 | NA | NA | 1.94 | 2.21 | 0.46 | NA | NA | 7.29 | 7.56 | 000 | |
| 47561 | A | Laparo w/cholangio/biopsy | 5.18 | NA | NA | 2.17 | 2.70 | 0.47 | NA | NA | 7.82 | 8.35 | 000 | |
| 47562 | A | Laparoscopic cholecystectomy | 11.09 | NA | NA | 4.91 | 5.85 | 1.09 | NA | NA | 17.09 | 18.03 | 090 | |
| 47563 | A | Laparo cholecystectomy/graph | 11.94 | NA | NA | 5.39 | 6.33 | 1.17 | NA | NA | 18.50 | 19.44 | 090 | |
| 47564 | A | Laparo cholecystectomy/explr | 14.23 | NA | NA | 6.97 | 7.77 | 1.37 | NA | NA | 22.57 | 23.37 | 090 | |
| 47570 | A | Laparo cholecystoenterostomy | 12.58 | NA | NA | 6.01 | 6.99 | 1.27 | NA | NA | 19.86 | 20.84 | 090 | |
| 47579 | C | Laparoscope proc, biliary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47600 | A | Removal of gallbladder | 11.42 | NA | NA | 6.01 | 6.55 | 1.14 | NA | NA | 18.57 | 19.11 | 090 | |
| 47605 | A | Removal of gallbladder | 12.36 | NA | NA | 6.32 | 6.95 | 1.22 | NA | NA | 19.90 | 20.53 | 090 | |
| 47610 | A | Removal of gallbladder | 15.83 | NA | NA | 7.71 | 8.33 | 1.57 | NA | NA | 25.11 | 25.73 | 090 | |
| 47612 | A | Removal of gallbladder | 15.80 | NA | NA | 7.59 | 9.55 | 1.58 | NA | NA | 24.97 | 26.93 | 090 | |
| 47620 | A | Removal of gallbladder | 17.36 | NA | NA | 8.26 | 9.24 | 1.73 | NA | NA | 27.35 | 28.33 | 090 | |
| 47630 | A | Remove bile duct stone | 9.11 | NA | NA | 3.19 | 3.41 | 0.47 | NA | NA | 12.77 | 12.99 | 090 | |
| 47700 | A | Exploration of bile ducts | 15.62 | NA | NA | 8.29 | 8.29 | 1.37 | NA | NA | 25.28 | 25.28 | 090 | |
| 47701 | A | Bile duct revision | 29.55 | NA | NA | 13.79 | 12.57 | 2.87 | NA | NA | 46.21 | 44.99 | 090 | |
| 47711 | A | Excision of bile duct tumor | 19.37 | NA | NA | 9.86 | 10.67 | 1.86 | NA | NA | 31.09 | 31.90 | 090 | |
| 47712 | A | Excision of bile duct tumor | 25.44 | NA | NA | 12.03 | 12.30 | 2.67 | NA | NA | 40.14 | 40.41 | 090 | |
| 47715 | A | Excision of bile duct cyst | 15.81 | NA | NA | 8.14 | 8.34 | 1.55 | NA | NA | 25.50 | 25.70 | 090 | |
| 47716 | A | Fusion of bile duct cyst | 13.83 | NA | NA | 7.50 | 7.41 | 1.30 | NA | NA | 22.63 | 22.54 | 090 | |
| 47720 | A | Fuse gallbladder bowel | 13.38 | NA | NA | 7.62 | 8.20 | 1.33 | NA | NA | 22.33 | 22.91 | 090 | |
| 47721 | A | Fuse upper gi structures | 16.08 | NA | NA | 8.58 | 9.53 | 1.58 | NA | NA | 26.24 | 27.19 | 090 | |
| 47740 | A | Fuse gallbladder bowel | 15.54 | NA | NA | 8.50 | 9.15 | 1.57 | NA | NA | 25.61 | 26.26 | 090 | |
| 47741 | A | Fuse gallbladder bowel | 17.95 | NA | NA | 9.26 | 10.84 | 1.78 | NA | NA | 28.99 | 30.57 | 090 | |
| 47760 | A | Fuse bile ducts and bowel | 21.74 | NA | NA | 10.66 | 11.15 | 2.17 | NA | NA | 34.57 | 35.06 | 090 | |
| 47765 | A | Fuse liver ducts bowel | 20.93 | NA | NA | 10.91 | 12.15 | 2.07 | NA | NA | 33.91 | 35.15 | 090 | |
| 47780 | A | Fuse bile ducts and bowel | 22.29 | NA | NA | 10.93 | 11.74 | 2.21 | NA | NA | 35.43 | 36.24 | 090 | |
| 47785 | A | Fuse bile ducts and bowel | 26.23 | NA | NA | 12.90 | 13.22 | 2.63 | NA | NA | 41.76 | 42.08 | 090 | |
| 47800 | A | Reconstruction of bile ducts | 19.60 | NA | NA | 10.05 | 11.13 | 1.91 | NA | NA | 31.56 | 32.64 | 090 | |
| 47801 | A | Placement, bile duct support | 12.76 | NA | NA | 9.29 | 8.46 | 0.74 | NA | NA | 22.79 | 21.96 | 090 | |
| 47802 | A | Fuse liver duct intestine | 18.13 | NA | NA | 10.16 | 10.41 | 1.85 | NA | NA | 30.14 | 30.39 | 090 | |
| 47900 | A | Suture bile duct injury | 16.74 | NA | NA | 8.90 | 10.26 | 1.68 | NA | NA | 27.32 | 28.68 | 090 | |
| 47999 | C | Bile tract surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 48000 | A | Drainage of abdomen | 14.91 | NA | NA | 7.96 | 7.88 | 1.32 | NA | NA | 24.19 | 24.11 | 090 | |
| 48001 | A | Placement of drain, pancreas | 18.83 | NA | NA | 8.88 | 8.87 | 1.85 | NA | NA | 29.56 | 29.55 | 090 | |
| 48005 | A | Resect/debride pancreas | 22.40 | NA | NA | 10.42 | 10.31 | 2.21 | NA | NA | 35.03 | 34.92 | 090 | |
| 48020 | A | Removal of pancreatic stone | 14.22 | NA | NA | 6.90 | 7.02 | 1.02 | NA | NA | 22.14 | 22.26 | 090 | |
| 48100 | A | Biopsy of pancreas | 11.08 | NA | NA | 6.40 | 5.94 | 1.08 | NA | NA | 18.56 | 18.10 | 090 | |
| 48102 | A | Needle biopsy, pancreas | 4.68 | 8.18 | 6.79 | 2.36 | 2.43 | 0.19 | 13.05 | 11.66 | 7.23 | 7.30 | 010 | |
| 48120 | A | Removal of pancreas lesion | 14.36 | NA | NA | 6.86 | 7.78 | 1.42 | NA | NA | 22.64 | 23.56 | 090 | |
| 48140 | A | Partial removal of pancreas | 20.78 | NA | NA | 9.96 | 11.08 | 2.05 | NA | NA | 32.79 | 33.91 | 090 | |
| 48145 | A | Partial removal of pancreas | 21.76 | NA | NA | 10.48 | 12.12 | 2.16 | NA | NA | 34.40 | 36.04 | 090 | |
| 48146 | A | Pancreatectomy | 23.91 | NA | NA | 12.41 | 13.78 | 2.44 | NA | NA | 38.76 | 40.13 | 090 | |
| 48148 | A | Removal of pancreatic duct | 15.71 | NA | NA | 8.55 | 8.65 | 1.54 | NA | NA | 25.80 | 25.90 | 090 | |
| 48150 | A | Partial removal of pancreas | 43.48 | NA | NA | 20.63 | 21.59 | 4.28 | NA | NA | 68.39 | 69.35 | 090 | |
| 48152 | A | Pancreatectomy | 39.63 | NA | NA | 19.18 | 20.50 | 4.06 | NA | NA | 62.87 | 64.19 | 090 | |
| 48153 | A | Pancreatectomy | 43.38 | NA | NA | 20.61 | 21.57 | 4.31 | NA | NA | 68.30 | 69.26 | 090 | |
| 48154 | A | Pancreatectomy | 39.95 | NA | NA | 18.95 | 20.33 | 3.99 | NA | NA | 62.89 | 64.27 | 090 | |
| 48155 | A | Removal of pancreas | 22.32 | NA | NA | 12.72 | 15.08 | 2.20 | NA | NA | 37.24 | 39.60 | 090 | |
| 48160 | N | Pancreas removal/transplant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 48180 | A | Fuse pancreas and bowel | 22.39 | NA | NA | 10.26 | 11.11 | 2.22 | NA | NA | 34.87 | 35.72 | 090 | |
| 48400 | A | Injection, intraop add-on | 1.95 | NA | NA | 0.70 | 0.81 | 0.10 | NA | NA | 2.75 | 2.86 | ZZZ | |
| 48500 | A | Surgery of pancreas cyst | 13.84 | NA | NA | 6.28 | 7.03 | 1.23 | NA | NA | 21.35 | 22.10 | 090 | |
| 48510 | A | Drain pancreatic pseudocyst | 12.96 | NA | NA | 7.05 | 7.33 | 0.92 | NA | NA | 20.93 | 21.21 | 090 | |
| 48511 | A | Drain pancreatic pseudocyst | 0.04 | NA | NA | 4.03 | 3.85 | 0.29 | NA | NA | 4.36 | 4.18 | 000 | |
| 48520 | A | Fuse pancreas cyst and bowel | 14.12 | NA | NA | 6.77 | 8.14 | 1.38 | NA | NA | 22.27 | 23.64 | 090 | |
| 48540 | A | Fuse pancreas cyst and bowel | 17.86 | NA | NA | 8.20 | 9.59 | 1.80 | NA | NA | 27.86 | 29.25 | 090 | |
| 48545 | A | Pancreatorrhaphy | 16.47 | NA | NA | 8.27 | 8.28 | 1.76 | NA | NA | 26.50 | 26.51 | 090 | |
| 48547 | A | Duodenal exclusion | 23.40 | NA | NA | 10.30 | 10.73 | 2.42 | NA | NA | 36.12 | 36.55 | 090 | |
| 48550 | X | Donor pancreatectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 48554 | R | Transpl allograft pancreas | 34.17 | NA | NA | 13.55 | 15.01 | 3.26 | NA | NA | 50.98 | 52.44 | 090 | |
| 48556 | A | Removal, allograft pancreas | 15.71 | NA | NA | 8.37 | 8.25 | 1.50 | NA | NA | 25.58 | 25.46 | 090 | |
| 48999 | C | Pancreas surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49000 | A | Exploration of abdomen | 11.68 | NA | NA | 6.06 | 6.39 | 1.14 | NA | NA | 18.88 | 19.21 | 090 | |
| 49002 | A | Reopening of abdomen | 10.49 | NA | NA | 5.89 | 6.06 | 1.03 | NA | NA | 17.41 | 17.58 | 090 | |
| 49010 | A | Exploration behind abdomen | 12.28 | NA | NA | 6.94 | 7.09 | 1.22 | NA | NA | 20.44 | 20.59 | 090 | |
| 49020 | A | Drain abdominal abscess | 16.79 | NA | NA | 9.33 | 8.31 | 1.12 | NA | NA | 27.24 | 26.22 | 090 | |
| 49021 | A | Drain abdominal abscess | 3.38 | NA | NA | 5.05 | 4.80 | 0.20 | NA | NA | 8.63 | 8.38 | 000 | |
| 49040 | A | Drain, open, abdom abscess | 9.94 | NA | NA | 6.76 | 6.85 | 0.67 | NA | NA | 17.37 | 17.46 | 090 | |
| 49041 | A | Drain, percut, abdom abscess | 0.04 | NA | NA | 5.31 | 4.81 | 0.27 | NA | NA | 5.62 | 5.12 | 000 | |
| 49060 | A | Drain, open, retrop abscess | 11.66 | NA | NA | 7.76 | 7.32 | 0.65 | NA | NA | 20.07 | 19.63 | 090 | |
| 49061 | A | Drain, percut, retroper absc | 3.70 | NA | NA | 5.44 | 4.84 | 0.21 | NA | NA | 9.35 | 8.75 | 000 | |
| 49062 | A | Drain to peritoneal cavity | 11.36 | NA | NA | 6.91 | 7.37 | 1.07 | NA | NA | 19.34 | 19.80 | 090 | |
| 49080 | A | Puncture, peritoneal cavity | 1.35 | 2.99 | 2.48 | 0.59 | 0.68 | 0.08 | 4.42 | 3.91 | 2.02 | 2.11 | 000 | |
| 49081 | A | Removal of abdominal fluid | 1.26 | 2.80 | 2.30 | 0.55 | 0.62 | 0.08 | 4.14 | 3.64 | 1.89 | 1.96 | 000 | |
| 49085 | A | Remove abdomen foreign body | 8.93 | NA | NA | 5.26 | 4.88 | 0.90 | NA | NA | 15.09 | 14.71 | 090 | |
| 49180 | A | Biopsy, abdominal mass | 1.73 | 6.65 | 5.48 | 0.60 | 0.95 | 0.08 | 8.46 | 7.29 | 2.41 | 2.76 | 000 | |
| 49200 | A | Removal of abdominal lesion | 10.25 | NA | NA | 6.01 | 6.78 | 0.92 | NA | NA | 17.18 | 17.95 | 090 | |
| 49201 | A | Removal of abdominal lesion | 14.84 | NA | NA | 8.23 | 9.46 | 1.28 | NA | NA | 24.35 | 25.58 | 090 | |
| 49215 | A | Excise sacral spine tumor | 23.20 | NA | NA | 10.76 | 10.38 | 2.18 | NA | NA | 36.14 | 35.76 | 090 | |
| 49220 | A | Multiple surgery, abdomen | 14.88 | NA | NA | 7.69 | 9.11 | 1.45 | NA | NA | 24.02 | 25.44 | 090 | |
| 49250 | A | Excision of umbilicus | 8.35 | NA | NA | 5.00 | 4.98 | 0.79 | NA | NA | 14.14 | 14.12 | 090 | |
| 49255 | A | Removal of omentum | 11.14 | NA | NA | 6.28 | 6.11 | 1.04 | NA | NA | 18.46 | 18.29 | 090 | |
| 49320 | A | Diag laparo separate proc | 5.10 | NA | NA | 2.89 | 3.38 | 0.47 | NA | NA | 8.46 | 8.95 | 010 | |
| 49321 | A | Laparoscopy, biopsy | 5.40 | NA | NA | 2.95 | 3.54 | 0.49 | NA | NA | 8.84 | 9.43 | 010 | |
| 49322 | A | Laparoscopy, aspiration | 5.70 | NA | NA | 3.23 | 3.75 | 0.49 | NA | NA | 9.42 | 9.94 | 010 | |
| 49323 | A | Laparo drain lymphocele | 9.48 | NA | NA | 4.25 | 5.01 | 0.90 | NA | NA | 14.63 | 15.39 | 090 | |
| 49329 | C | Laparo proc, abdm/per/oment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49400 | A | Air injection into abdomen | 1.88 | NA | NA | 0.81 | 0.91 | 0.11 | NA | NA | 2.80 | 2.90 | 000 | |
| 49420 | A | Insert abdominal drain | 2.22 | NA | NA | 0.94 | 1.13 | 0.16 | NA | NA | 3.32 | 3.51 | 000 | |
| 49421 | A | Insert abdominal drain | 5.54 | NA | NA | 3.81 | 3.98 | 0.56 | NA | NA | 9.91 | 10.08 | 090 | |
| 49422 | A | Remove perm cannula/catheter | 6.25 | NA | NA | 2.98 | 3.36 | 0.63 | NA | NA | 9.86 | 10.24 | 010 | |
| 49423 | A | Exchange drainage catheter | 1.46 | NA | NA | 0.67 | 0.80 | 0.15 | NA | NA | 2.28 | 2.41 | 000 | |
| 49424 | A | Assess cyst, contrast inject | 0.76 | NA | NA | 0.43 | 0.48 | 0.05 | NA | NA | 1.24 | 1.29 | 000 | |
| 49425 | A | Insert abdomen-venous drain | 11.37 | NA | NA | 7.00 | 7.55 | 1.21 | NA | NA | 19.58 | 20.13 | 090 | |
| 49426 | A | Revise abdomen-venous shunt | 9.63 | NA | NA | 5.77 | 5.79 | 0.99 | NA | NA | 16.39 | 16.41 | 090 | |
| 49427 | A | Injection, abdominal shunt | 0.89 | NA | NA | 0.47 | 0.49 | 0.04 | NA | NA | 1.40 | 1.42 | 000 | |
| 49428 | A | Ligation of shunt | 2.38 | NA | NA | 1.88 | 1.69 | 0.29 | NA | NA | 4.55 | 4.36 | 010 | |
| 49429 | A | Removal of shunt | 7.40 | NA | NA | 3.71 | 3.68 | 0.79 | NA | NA | 11.90 | 11.87 | 010 | |
| 49495 | A | Repair inguinal hernia, init | 5.84 | NA | NA | 3.22 | 3.77 | 0.56 | NA | NA | 9.62 | 10.17 | 090 | |
| 49496 | A | Repair inguinal hernia, init | 8.79 | NA | NA | 6.12 | 5.96 | 0.85 | NA | NA | 15.76 | 15.60 | 090 | |
| 49500 | A | Repair inguinal hernia | 4.68 | NA | NA | 3.04 | 3.63 | 0.43 | NA | NA | 8.15 | 8.74 | 090 | |
| 49501 | A | Repair inguinal hernia, init | 7.58 | NA | NA | 3.99 | 4.36 | 0.75 | NA | NA | 12.32 | 12.69 | 090 | |
| 49505 | A | Repair inguinal hernia | 6.49 | 3.90 | 4.15 | 3.58 | 3.91 | 0.64 | 11.03 | 11.28 | 10.71 | 11.04 | 090 | |
| 49507 | A | Repair inguinal hernia | 8.17 | NA | NA | 5.30 | 5.34 | 0.81 | NA | NA | 14.28 | 14.32 | 090 | |
| 49520 | A | Rerepair inguinal hernia | 8.22 | NA | NA | 4.75 | 4.98 | 0.82 | NA | NA | 13.79 | 14.02 | 090 | |
| 49521 | A | Repair inguinal hernia, rec | 10.22 | NA | NA | 5.09 | 5.19 | 1.02 | NA | NA | 16.33 | 16.43 | 090 | |
| 49525 | A | Repair inguinal hernia | 7.32 | NA | NA | 4.28 | 4.72 | 0.73 | NA | NA | 12.33 | 12.77 | 090 | |
| 49540 | A | Repair lumbar hernia | 8.87 | NA | NA | 5.01 | 5.17 | 0.89 | NA | NA | 14.77 | 14.93 | 090 | |
| 49550 | A | Repair femoral hernia | 7.37 | NA | NA | 3.95 | 4.21 | 0.74 | NA | NA | 12.06 | 12.32 | 090 | |
| 49553 | A | Repair femoral hernia, init | 8.06 | NA | NA | 4.32 | 4.49 | 0.80 | NA | NA | 13.18 | 13.35 | 090 | |
| 49555 | A | Repair femoral hernia | 7.71 | NA | NA | 4.59 | 5.09 | 0.77 | NA | NA | 13.07 | 13.57 | 090 | |
| 49557 | A | Repair femoral hernia, recur | 9.52 | NA | NA | 4.85 | 5.29 | 0.95 | NA | NA | 15.32 | 15.76 | 090 | |
| 49560 | A | Repair abdominal hernia | 9.88 | NA | NA | 5.33 | 5.53 | 0.99 | NA | NA | 16.20 | 16.40 | 090 | |
| 49561 | A | Repair incisional hernia | 12.17 | NA | NA | 5.87 | 5.94 | 1.21 | NA | NA | 19.25 | 19.32 | 090 | |
| 49565 | A | Rerepair abdominal hernia | 9.88 | NA | NA | 5.44 | 5.82 | 0.98 | NA | NA | 16.30 | 16.68 | 090 | |
| 49566 | A | Repair incisional hernia | 12.30 | NA | NA | 5.91 | 6.17 | 1.22 | NA | NA | 19.43 | 19.69 | 090 | |
| 49568 | A | Hernia repair w/mesh | 4.89 | NA | NA | 1.84 | 2.08 | 0.49 | NA | NA | 7.22 | 7.46 | ZZZ | |
| 49570 | A | Repair epigastric hernia | 4.86 | NA | NA | 3.11 | 3.52 | 0.49 | NA | NA | 8.46 | 8.87 | 090 | |
| 49572 | A | Repair epigastric hernia | 5.75 | NA | NA | 3.47 | 4.12 | 0.57 | NA | NA | 9.79 | 10.44 | 090 | |
| 49580 | A | Repair umbilical hernia | 3.34 | NA | NA | 2.52 | 2.94 | 0.34 | NA | NA | 6.20 | 6.62 | 090 | |
| 49582 | A | Repair umbilical hernia | 5.68 | NA | NA | 4.23 | 4.42 | 0.57 | NA | NA | 10.48 | 10.67 | 090 | |
| 49585 | A | Repair umbilical hernia | 5.32 | NA | NA | 3.55 | 3.86 | 0.53 | NA | NA | 9.40 | 9.71 | 090 | |
| 49587 | A | Repair umbilical hernia | 6.46 | NA | NA | 3.68 | 3.96 | 0.64 | NA | NA | 10.78 | 11.06 | 090 | |
| 49590 | A | Repair abdominal hernia | 7.29 | NA | NA | 4.29 | 4.75 | 0.73 | NA | NA | 12.31 | 12.77 | 090 | |
| 49600 | A | Repair umbilical lesion | 10.96 | NA | NA | 5.89 | 5.85 | 0.95 | NA | NA | 17.80 | 17.76 | 090 | |
| 49605 | A | Repair umbilical lesion | 24.94 | NA | NA | 12.12 | 11.42 | 2.20 | NA | NA | 39.26 | 38.56 | 090 | |
| 49606 | A | Repair umbilical lesion | 21.31 | NA | NA | 9.86 | 9.65 | 1.91 | NA | NA | 33.08 | 32.87 | 090 | |
| 49610 | A | Repair umbilical lesion | 10.50 | NA | NA | 6.57 | 6.42 | 1.05 | NA | NA | 18.12 | 17.97 | 090 | |
| 49611 | A | Repair umbilical lesion | 8.92 | NA | NA | 6.05 | 6.98 | 0.68 | NA | NA | 15.65 | 16.58 | 090 | |
| 49650 | A | Laparo hernia repair initial | 6.27 | NA | NA | 3.26 | 3.67 | 0.62 | NA | NA | 10.15 | 10.56 | 090 | |
| 49651 | A | Laparo hernia repair recur | 8.24 | NA | NA | 4.34 | 4.67 | 0.82 | NA | NA | 13.40 | 13.73 | 090 | |
| 49659 | C | Laparo proc, hernia repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49900 | A | Repair of abdominal wall | 12.28 | NA | NA | 6.77 | 6.07 | 1.20 | NA | NA | 20.25 | 19.55 | 090 | |
| 49905 | A | Omental flap | 6.55 | NA | NA | 2.52 | 2.82 | 0.64 | NA | NA | 9.71 | 10.01 | ZZZ | |
| 49906 | C | Free omental flap, microvasc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 49999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50010 | A | Exploration of kidney | 10.98 | NA | NA | 6.47 | 7.44 | 0.75 | NA | NA | 18.20 | 19.17 | 090 | |
| 50020 | A | Renal abscess, open drain | 14.66 | NA | NA | 12.90 | 11.52 | 0.68 | NA | NA | 28.24 | 26.86 | 090 | |
| 50021 | A | Renal abscess, percut drain | 3.38 | NA | NA | 10.51 | 8.58 | 0.15 | NA | NA | 14.04 | 12.11 | 000 | |
| 50040 | A | Drainage of kidney | 14.94 | NA | NA | 10.67 | 9.95 | 0.79 | NA | NA | 26.40 | 25.68 | 090 | |
| 50045 | A | Exploration of kidney | 15.46 | NA | NA | 7.82 | 8.53 | 1.13 | NA | NA | 24.41 | 25.12 | 090 | |
| 50060 | A | Removal of kidney stone | 19.30 | NA | NA | 9.13 | 10.17 | 1.14 | NA | NA | 29.57 | 30.61 | 090 | |
| 50065 | A | Incision of kidney | 20.79 | NA | NA | 9.72 | 11.07 | 1.17 | NA | NA | 31.68 | 33.03 | 090 | |
| 50070 | A | Incision of kidney | 20.32 | NA | NA | 9.53 | 10.64 | 1.44 | NA | NA | 31.29 | 32.40 | 090 | |
| 50075 | A | Removal of kidney stone | 25.34 | NA | NA | 11.47 | 13.18 | 1.50 | NA | NA | 38.31 | 40.02 | 090 | |
| 50080 | A | Removal of kidney stone | 14.71 | NA | NA | 9.85 | 10.70 | 0.81 | NA | NA | 25.37 | 26.22 | 090 | |
| 50081 | A | Removal of kidney stone | 21.80 | NA | NA | 12.02 | 13.08 | 1.23 | NA | NA | 35.05 | 36.11 | 090 | |
| 50100 | A | Revise kidney blood vessels | 16.09 | NA | NA | 9.23 | 9.73 | 1.74 | NA | NA | 27.06 | 27.56 | 090 | |
| 50120 | A | Exploration of kidney | 15.91 | NA | NA | 8.04 | 8.99 | 0.95 | NA | NA | 24.90 | 25.85 | 090 | |
| 50125 | A | Explore and drain kidney | 16.52 | NA | NA | 8.39 | 9.26 | 1.24 | NA | NA | 26.15 | 27.02 | 090 | |
| 50130 | A | Removal of kidney stone | 17.29 | NA | NA | 8.52 | 9.86 | 1.05 | NA | NA | 26.86 | 28.20 | 090 | |
| 50135 | A | Exploration of kidney | 19.18 | NA | NA | 9.15 | 11.49 | 1.18 | NA | NA | 29.51 | 31.85 | 090 | |
| 50200 | A | Biopsy of kidney | 2.63 | NA | NA | 0.92 | 1.40 | 0.14 | NA | NA | 3.69 | 4.17 | 000 | |
| 50205 | A | Biopsy of kidney | 11.31 | NA | NA | 6.15 | 6.14 | 0.88 | NA | NA | 18.34 | 18.33 | 090 | |
| 50220 | A | Removal of kidney | 17.15 | NA | NA | 8.57 | 10.04 | 1.18 | NA | NA | 26.90 | 28.37 | 090 | |
| 50225 | A | Removal of kidney | 20.23 | NA | NA | 9.50 | 11.61 | 1.26 | NA | NA | 30.99 | 33.10 | 090 | |
| 50230 | A | Removal of kidney | 22.07 | NA | NA | 10.07 | 12.55 | 1.37 | NA | NA | 33.51 | 35.99 | 090 | |
| 50234 | A | Removal of kidney ureter | 22.40 | NA | NA | 10.18 | 12.15 | 1.38 | NA | NA | 33.96 | 35.93 | 090 | |
| 50236 | A | Removal of kidney ureter | 24.86 | NA | NA | 12.99 | 14.56 | 1.51 | NA | NA | 39.36 | 40.93 | 090 | |
| 50240 | A | Partial removal of kidney | 0.22 | NA | NA | 11.95 | 13.30 | 1.37 | NA | NA | 13.54 | 14.89 | 090 | |
| 50280 | A | Removal of kidney lesion | 15.67 | NA | NA | 7.90 | 8.87 | 0.01 | NA | NA | 23.58 | 24.55 | 090 | |
| 50290 | A | Removal of kidney lesion | 14.73 | NA | NA | 7.49 | 8.03 | 1.16 | NA | NA | 23.38 | 23.92 | 090 | |
| 50300 | X | Removal of donor kidney | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 50320 | A | Removal of donor kidney | 22.21 | NA | NA | 10.33 | 12.22 | 1.74 | NA | NA | 34.28 | 36.17 | 090 | |
| 50340 | A | Removal of kidney | 12.15 | NA | NA | 9.28 | 10.35 | 1.03 | NA | NA | 22.46 | 23.53 | 090 | |
| 50360 | A | Transplantation of kidney | 31.53 | NA | NA | 17.33 | 19.63 | 2.91 | NA | NA | 51.77 | 54.07 | 090 | |
| 50365 | A | Transplantation of kidney | 36.81 | NA | NA | 20.38 | 23.62 | 3.32 | NA | NA | 60.51 | 63.75 | 090 | |
| 50370 | A | Remove transplanted kidney | 13.72 | NA | NA | 9.07 | 9.81 | 1.24 | NA | NA | 24.03 | 24.77 | 090 | |
| 50380 | A | Reimplantation of kidney | 20.76 | NA | NA | 12.42 | 12.06 | 1.79 | NA | NA | 34.97 | 34.61 | 090 | |
| 50390 | A | Drainage of kidney lesion | 1.96 | NA | NA | 0.68 | 0.97 | 0.08 | NA | NA | 2.72 | 3.01 | 000 | |
| 50392 | A | Insert kidney drain | 3.38 | NA | NA | 1.17 | 1.52 | 0.13 | NA | NA | 4.68 | 5.03 | 000 | |
| 50393 | A | Insert ureteral tube | 4.16 | NA | NA | 1.43 | 1.89 | 0.16 | NA | NA | 5.75 | 6.21 | 000 | |
| 50394 | A | Injection for kidney x-ray | 0.76 | 13.48 | 10.26 | 0.26 | 0.35 | 0.03 | 14.27 | 11.05 | 1.05 | 1.14 | 000 | |
| 50395 | A | Create passage to kidney | 3.38 | NA | NA | 1.16 | 1.77 | 0.13 | NA | NA | 4.67 | 5.28 | 000 | |
| 50396 | A | Measure kidney pressure | 2.09 | NA | NA | 0.87 | 0.79 | 0.09 | NA | NA | 3.05 | 2.97 | 000 | |
| 50398 | A | Change kidney tube | 1.46 | 0.94 | 0.85 | 0.50 | 0.52 | 0.06 | 2.46 | 2.37 | 2.02 | 2.04 | 000 | |
| 50400 | A | Revision of kidney/ureter | 19.50 | NA | NA | 9.19 | 10.60 | 1.17 | NA | NA | 29.86 | 31.27 | 090 | |
| 50405 | A | Revision of kidney/ureter | 23.93 | NA | NA | 12.24 | 13.87 | 1.48 | NA | NA | 37.65 | 39.28 | 090 | |
| 50500 | A | Repair of kidney wound | 19.57 | NA | NA | 10.73 | 11.43 | 1.54 | NA | NA | 31.84 | 32.54 | 090 | |
| 50520 | A | Close kidney-skin fistula | 17.23 | NA | NA | 10.77 | 10.88 | 1.08 | NA | NA | 29.08 | 29.19 | 090 | |
| 50525 | A | Repair renal-abdomen fistula | 22.27 | NA | NA | 12.53 | 12.82 | 0.02 | NA | NA | 34.82 | 35.11 | 090 | |
| 50526 | A | Repair renal-abdomen fistula | 24.02 | NA | NA | 15.04 | 13.29 | 2.40 | NA | NA | 41.46 | 39.71 | 090 | |
| 50540 | A | Revision of horseshoe kidney | 19.93 | NA | NA | 9.46 | 10.73 | 1.37 | NA | NA | 30.76 | 32.03 | 090 | |
| 50541 | A | Laparo ablate renal cyst | 0.16 | NA | NA | 6.40 | 6.40 | 1.03 | NA | NA | 7.59 | 7.59 | 090 | |
| 50544 | A | Laparoscopy, pyeloplasty | 22.40 | NA | NA | 8.49 | 8.49 | 1.36 | NA | NA | 32.25 | 32.25 | 090 | |
| 50546 | A | Laparoscopic nephrectomy | 20.48 | NA | NA | 8.03 | 8.03 | 1.41 | NA | NA | 29.92 | 29.92 | 090 | |
| 50547 | A | Laparo removal donor kidney | 25.50 | NA | NA | 11.10 | 11.10 | 1.98 | NA | NA | 38.58 | 38.58 | 090 | |
| 50548 | A | Laparo-asst remove k/ureter | 24.40 | NA | NA | 9.19 | 9.19 | 1.52 | NA | NA | 35.11 | 35.11 | 090 | |
| 50549 | C | Laparoscope proc, renal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50551 | A | Kidney endoscopy | 5.60 | 4.47 | 3.95 | 1.82 | 1.96 | 0.32 | 10.39 | 9.87 | 7.74 | 7.88 | 000 | |
| 50553 | A | Kidney endoscopy | 5.99 | 16.44 | 12.78 | 2.02 | 1.97 | 0.33 | 22.76 | 19.10 | 8.34 | 8.29 | 000 | |
| 50555 | A | Kidney endoscopy biopsy | 6.53 | 12.06 | 10.32 | 2.15 | 2.89 | 0.34 | 18.93 | 17.19 | 9.02 | 9.76 | 000 | |
| 50557 | A | Kidney endoscopy treatment | 6.62 | 18.22 | 14.94 | 2.16 | 2.90 | 0.37 | 25.21 | 21.93 | 9.15 | 9.89 | 000 | |
| 50559 | A | Renal endoscopy/radiotracer | 6.78 | NA | NA | 2.44 | 2.19 | 0.30 | NA | NA | 9.52 | 9.27 | 000 | |
| 50561 | A | Kidney endoscopy treatment | 7.59 | 16.47 | 13.74 | 2.50 | 3.27 | 0.42 | 24.48 | 21.75 | 10.51 | 11.28 | 000 | |
| 50570 | A | Kidney endoscopy | 9.54 | NA | NA | 3.10 | 2.72 | 0.54 | NA | NA | 13.18 | 12.80 | 000 | |
| 50572 | A | Kidney endoscopy | 10.35 | NA | NA | 3.42 | 4.53 | 0.56 | NA | NA | 4.33 | 15.44 | 000 | |
| 50574 | A | Kidney endoscopy biopsy | 11.02 | NA | NA | 3.67 | 4.67 | 0.62 | NA | NA | 15.31 | 16.31 | 000 | |
| 50575 | A | Kidney endoscopy | 13.98 | NA | NA | 4.56 | 6.12 | 0.79 | NA | NA | 19.33 | 20.89 | 000 | |
| 50576 | A | Kidney endoscopy treatment | 10.99 | NA | NA | 3.60 | 5.06 | 0.64 | NA | NA | 15.23 | 16.69 | 000 | |
| 50578 | A | Renal endoscopy/radiotracer | 11.35 | NA | NA | 4.50 | 4.40 | 0.57 | NA | NA | 16.42 | 16.32 | 000 | |
| 50580 | A | Kidney endoscopy treatment | 11.86 | NA | NA | 3.86 | 3.87 | 0.68 | NA | NA | 16.40 | 16.41 | 000 | |
| 50590 | A | Fragmenting of kidney stone | 9.09 | 9.63 | 9.94 | 4.74 | 6.27 | 0.52 | 19.24 | 19.55 | 14.35 | 15.88 | 090 | |
| 50600 | A | Exploration of ureter | 15.84 | NA | NA | 8.00 | 8.63 | 0.99 | NA | NA | 24.83 | 25.46 | 090 | |
| 50605 | A | Insert ureteral support | 15.46 | NA | NA | 8.13 | 7.76 | 1.10 | NA | NA | 24.69 | 24.32 | 090 | |
| 50610 | A | Removal of ureter stone | 15.92 | NA | NA | 8.35 | 9.46 | 0.99 | NA | NA | 25.26 | 26.37 | 090 | |
| 50620 | A | Removal of ureter stone | 15.16 | NA | NA | 7.68 | 8.88 | 0.90 | NA | NA | 23.74 | 24.94 | 090 | |
| 50630 | A | Removal of ureter stone | 14.94 | NA | NA | 7.54 | 9.10 | 0.92 | NA | NA | 23.40 | 24.96 | 090 | |
| 50650 | A | Removal of ureter | 17.41 | NA | NA | 8.68 | 9.79 | 1.06 | NA | NA | 27.15 | 28.26 | 090 | |
| 50660 | A | Removal of ureter | 19.55 | NA | NA | 9.71 | 10.67 | 1.20 | NA | NA | 30.46 | 31.42 | 090 | |
| 50684 | A | Injection for ureter x-ray | 0.76 | 12.30 | 9.36 | 0.25 | 0.32 | 0.04 | 13.10 | 10.16 | 1.05 | 1.12 | 000 | |
| 50686 | A | Measure ureter pressure | 1.51 | 4.53 | 3.50 | 0.70 | 0.63 | 0.09 | 6.13 | 5.10 | 2.30 | 2.23 | 000 | |
| 50688 | A | Change of ureter tube | 1.17 | NA | NA | 1.68 | 1.37 | 0.05 | NA | NA | 2.90 | 2.59 | 010 | |
| 50690 | A | Injection for ureter x-ray | 1.16 | 13.98 | 10.57 | 0.39 | 0.38 | 0.06 | 15.20 | 11.79 | 1.61 | 1.60 | 000 | |
| 50700 | A | Revision of ureter | 15.21 | NA | NA | 8.84 | 10.04 | 0.94 | NA | NA | 24.99 | 26.19 | 090 | |
| 50715 | A | Release of ureter | 18.90 | NA | NA | 10.86 | 11.20 | 1.38 | NA | NA | 31.14 | 31.48 | 090 | |
| 50722 | A | Release of ureter | 16.35 | NA | NA | 8.85 | 9.44 | 1.17 | NA | NA | 26.37 | 26.96 | 090 | |
| 50725 | A | Release/revise ureter | 18.49 | NA | NA | 9.63 | 10.49 | 1.34 | NA | NA | 29.46 | 30.32 | 090 | |
| 50727 | A | Revise ureter | 8.18 | NA | NA | 5.83 | 5.83 | 0.52 | NA | NA | 14.53 | 14.53 | 090 | |
| 50728 | A | Revise ureter | 12.02 | NA | NA | 7.31 | 7.63 | 0.91 | NA | NA | 20.24 | 20.56 | 090 | |
| 50740 | A | Fusion of ureter kidney | 18.42 | NA | NA | 9.01 | 10.29 | 1.49 | NA | NA | 28.92 | 30.20 | 090 | |
| 50750 | A | Fusion of ureter kidney | 19.51 | NA | NA | 9.68 | 11.07 | 1.13 | NA | NA | 30.32 | 31.71 | 090 | |
| 50760 | A | Fusion of ureters | 18.42 | NA | NA | 9.26 | 10.60 | 1.19 | NA | NA | 28.87 | 30.21 | 090 | |
| 50770 | A | Splicing of ureters | 19.51 | NA | NA | 9.50 | 11.26 | 1.19 | NA | NA | 30.20 | 31.96 | 090 | |
| 50780 | A | Reimplant ureter in bladder | 18.36 | NA | NA | 9.14 | 10.59 | 1.18 | NA | NA | 28.68 | 30.13 | 090 | |
| 50782 | A | Reimplant ureter in bladder | 19.54 | NA | NA | 9.98 | 11.22 | 1.29 | NA | NA | 30.81 | 32.05 | 090 | |
| 50783 | A | Reimplant ureter in bladder | 20.55 | NA | NA | 10.13 | 11.34 | 1.32 | NA | NA | 32.00 | 33.21 | 090 | |
| 50785 | A | Reimplant ureter in bladder | 20.52 | NA | NA | 9.91 | 11.62 | 1.30 | NA | NA | 31.73 | 33.44 | 090 | |
| 50800 | A | Implant ureter in bowel | 14.52 | NA | NA | 8.88 | 10.64 | 0.92 | NA | NA | 24.32 | 26.08 | 090 | |
| 50810 | A | Fusion of ureter bowel | 20.05 | NA | NA | 11.82 | 12.28 | 1.62 | NA | NA | 33.49 | 33.95 | 090 | |
| 50815 | A | Urine shunt to bowel | 19.93 | NA | NA | 10.71 | 13.39 | 1.28 | NA | NA | 31.92 | 34.60 | 090 | |
| 50820 | A | Construct bowel bladder | 21.89 | NA | NA | 11.13 | 13.50 | 1.46 | NA | NA | 34.48 | 36.85 | 090 | |
| 50825 | A | Construct bowel bladder | 28.18 | NA | NA | 13.90 | 18.71 | 1.71 | NA | NA | 43.79 | 48.60 | 090 | |
| 50830 | A | Revise urine flow | 31.28 | NA | NA | 14.48 | 16.54 | 2.15 | NA | NA | 47.91 | 49.97 | 090 | |
| 50840 | A | Replace ureter by bowel | 0.20 | NA | NA | 10.89 | 11.78 | 1.25 | NA | NA | 12.34 | 13.23 | 090 | |
| 50845 | A | Appendico-vesicostomy | 20.89 | NA | NA | 9.44 | 10.84 | 1.26 | NA | NA | 31.59 | 32.99 | 090 | |
| 50860 | A | Transplant ureter to skin | 15.36 | NA | NA | 8.30 | 9.19 | 1.01 | NA | NA | 24.67 | 25.56 | 090 | |
| 50900 | A | Repair of ureter | 13.62 | NA | NA | 7.39 | 8.25 | 0.97 | NA | NA | 21.98 | 22.84 | 090 | |
| 50920 | A | Closure ureter/skin fistula | 14.33 | NA | NA | 7.86 | 8.48 | 1.03 | NA | NA | 23.22 | 23.84 | 090 | |
| 50930 | A | Closure ureter/bowel fistula | 18.72 | NA | NA | 9.15 | 10.26 | 1.34 | NA | NA | 29.21 | 30.32 | 090 | |
| 50940 | A | Release of ureter | 14.51 | NA | NA | 7.70 | 8.46 | 0.95 | NA | NA | 23.16 | 23.92 | 090 | |
| 50945 | A | Laparoscopy ureterolithotomy | 0.17 | NA | NA | 7.00 | 7.00 | 1.07 | NA | NA | 8.24 | 8.24 | 090 | |
| 50951 | A | Endoscopy of ureter | 5.84 | 4.70 | 3.98 | 1.91 | 1.89 | 0.34 | 10.88 | 10.16 | 8.09 | 8.07 | 000 | |
| 50953 | A | Endoscopy of ureter | 6.24 | 16.67 | 12.95 | 2.04 | 1.98 | 0.36 | 23.27 | 19.55 | 8.64 | 8.58 | 000 | |
| 50955 | A | Ureter endoscopy biopsy | 6.75 | 11.95 | 9.66 | 2.21 | 2.35 | 0.37 | 19.07 | 16.78 | 9.33 | 9.47 | 000 | |
| 50957 | A | Ureter endoscopy treatment | 6.79 | 12.00 | 9.68 | 2.24 | 2.36 | 0.38 | 19.17 | 16.85 | 9.41 | 9.53 | 000 | |
| 50959 | A | Ureter endoscopy tracer | 4.40 | NA | NA | 1.41 | 1.98 | 0.25 | NA | NA | 6.06 | 6.63 | 000 | |
| 50961 | A | Ureter endoscopy treatment | 6.05 | 22.24 | 17.39 | 1.98 | 2.20 | 0.33 | 28.62 | 23.77 | 8.36 | 8.58 | 000 | |
| 50970 | A | Ureter endoscopy | 7.14 | NA | NA | 2.36 | 3.17 | 0.41 | NA | NA | 9.91 | 10.72 | 000 | |
| 50972 | A | Ureter endoscopy catheter | 6.89 | NA | NA | 2.27 | 2.12 | 0.40 | NA | NA | 9.56 | 9.41 | 000 | |
| 50974 | A | Ureter endoscopy biopsy | 9.17 | NA | NA | 3.02 | 4.17 | 0.50 | NA | NA | 12.69 | 13.84 | 000 | |
| 50976 | A | Ureter endoscopy treatment | 9.04 | NA | NA | 2.99 | 3.98 | 0.51 | NA | NA | 12.54 | 13.53 | 000 | |
| 50978 | A | Ureter endoscopy tracer | 5.10 | NA | NA | 2.02 | 2.62 | 0.33 | NA | NA | 7.45 | 8.05 | 000 | |
| 50980 | A | Ureter endoscopy treatment | 6.85 | NA | NA | 2.24 | 2.53 | 0.38 | NA | NA | 9.47 | 9.76 | 000 | |
| 51000 | A | Drainage of bladder | 0.78 | 1.70 | 1.41 | 0.25 | 0.32 | 0.05 | 2.53 | 2.24 | 1.08 | 1.15 | 000 | |
| 51005 | A | Drainage of bladder | 1.02 | 2.85 | 2.26 | 0.35 | 0.39 | 0.08 | 3.95 | 3.36 | 1.45 | 1.49 | 000 | |
| 51010 | A | Drainage of bladder | 3.53 | 6.54 | 5.17 | 1.74 | 1.57 | 0.22 | 10.29 | 8.92 | 5.49 | 5.32 | 010 | |
| 51020 | A | Incise treat bladder | 6.71 | NA | NA | 5.06 | 5.65 | 0.42 | NA | NA | 12.19 | 12.78 | 090 | |
| 51030 | A | Incise treat bladder | 6.77 | NA | NA | 5.30 | 5.21 | 0.40 | NA | NA | 12.47 | 12.38 | 090 | |
| 51040 | A | Incise drain bladder | 4.40 | NA | NA | 3.88 | 4.22 | 0.27 | NA | NA | 8.55 | 8.89 | 090 | |
| 51045 | A | Incise bladder/drain ureter | 6.77 | NA | NA | 5.03 | 5.12 | 0.43 | NA | NA | 12.23 | 12.32 | 090 | |
| 51050 | A | Removal of bladder stone | 6.92 | NA | NA | 4.59 | 5.38 | 0.41 | NA | NA | 11.92 | 12.71 | 090 | |
| 51060 | A | Removal of ureter stone | 8.85 | NA | NA | 5.53 | 6.79 | 0.53 | NA | NA | 14.91 | 16.17 | 090 | |
| 51065 | A | Removal of ureter stone | 8.85 | NA | NA | 5.62 | 6.14 | 0.52 | NA | NA | 14.99 | 15.51 | 090 | |
| 51080 | A | Drainage of bladder abscess | 5.96 | NA | NA | 5.17 | 5.28 | 0.36 | NA | NA | 11.49 | 11.60 | 090 | |
| 51500 | A | Removal of bladder cyst | 10.14 | NA | NA | 6.01 | 6.37 | 0.82 | NA | NA | 16.97 | 17.33 | 090 | |
| 51520 | A | Removal of bladder lesion | 9.29 | NA | NA | 5.81 | 6.67 | 0.57 | NA | NA | 15.67 | 16.53 | 090 | |
| 51525 | A | Removal of bladder lesion | 13.97 | NA | NA | 7.33 | 8.39 | 0.85 | NA | NA | 22.15 | 23.21 | 090 | |
| 51530 | A | Removal of bladder lesion | 12.38 | NA | NA | 6.96 | 7.73 | 0.85 | NA | NA | 20.19 | 20.96 | 090 | |
| 51535 | A | Repair of ureter lesion | 12.57 | NA | NA | 7.28 | 7.54 | 0.84 | NA | NA | 20.69 | 20.95 | 090 | |
| 51550 | A | Partial removal of bladder | 15.66 | NA | NA | 8.00 | 8.91 | 1.10 | NA | NA | 24.76 | 25.67 | 090 | |
| 51555 | A | Partial removal of bladder | 21.23 | NA | NA | 10.20 | 10.98 | 1.38 | NA | NA | 32.81 | 33.59 | 090 | |
| 51565 | A | Revise bladder ureter(s) | 21.62 | NA | NA | 10.54 | 12.20 | 1.37 | NA | NA | 33.53 | 35.19 | 090 | |
| 51570 | A | Removal of bladder | 24.24 | NA | NA | 11.55 | 12.91 | 1.50 | NA | NA | 37.29 | 38.65 | 090 | |
| 51575 | A | Removal of bladder nodes | 30.45 | NA | NA | 14.21 | 16.86 | 1.90 | NA | NA | 46.56 | 49.21 | 090 | |
| 51580 | A | Remove bladder/revise tract | 31.08 | NA | NA | 14.62 | 16.38 | 1.93 | NA | NA | 47.63 | 49.39 | 090 | |
| 51585 | A | Removal of bladder nodes | 35.23 | NA | NA | 15.82 | 18.68 | 2.21 | NA | NA | 53.26 | 56.12 | 090 | |
| 51590 | A | Remove bladder/revise tract | 32.66 | NA | NA | 14.75 | 17.72 | 2.03 | NA | NA | 49.44 | 52.41 | 090 | |
| 51595 | A | Remove bladder/revise tract | 37.14 | NA | NA | 16.05 | 21.21 | 2.21 | NA | NA | 55.40 | 60.56 | 090 | |
| 51596 | A | Remove bladder/create pouch | 39.52 | NA | NA | 17.23 | 22.39 | 2.37 | NA | NA | 59.12 | 64.28 | 090 | |
| 51597 | A | Removal of pelvic structures | 38.35 | NA | NA | 17.07 | 21.11 | 2.53 | NA | NA | 57.95 | 61.99 | 090 | |
| 51600 | A | Injection for bladder x-ray | 0.88 | 13.95 | 10.54 | 0.30 | 0.30 | 0.04 | 14.87 | 11.46 | 1.22 | 1.22 | 000 | |
| 51605 | A | Preparation for bladder xray | 0.64 | 12.73 | 9.63 | 0.22 | 0.25 | 0.03 | 13.40 | 10.30 | 0.89 | 0.92 | 000 | |
| 51610 | A | Injection for bladder x-ray | 1.05 | 14.61 | 11.03 | 0.35 | 0.34 | 0.05 | 15.71 | 12.13 | 1.45 | 1.44 | 000 | |
| 51700 | A | Irrigation of bladder | 0.88 | 3.59 | 2.75 | 0.31 | 0.29 | 0.05 | 4.52 | 3.68 | 1.24 | 1.22 | 000 | |
| 51705 | A | Change of bladder tube | 1.02 | 2.41 | 1.91 | 1.19 | 1.00 | 0.06 | 3.49 | 2.99 | 2.27 | 2.08 | 010 | |
| 51710 | A | Change of bladder tube | 1.49 | 4.56 | 3.58 | 1.33 | 1.15 | 0.09 | 6.14 | 5.16 | 2.91 | 2.73 | 010 | |
| 51715 | A | Endoscopic injection/implant | 3.74 | 3.88 | 3.63 | 1.23 | 1.64 | 0.22 | 7.84 | 7.59 | 5.19 | 5.60 | 000 | |
| 51720 | A | Treatment of bladder lesion | 1.96 | 3.79 | 2.97 | 0.64 | 0.60 | 0.11 | 5.86 | 5.04 | 2.71 | 2.67 | 000 | |
| 51725 | A | Simple cystometrogram | 1.51 | 0.90 | 0.95 | NA | NA | 0.12 | 2.53 | 2.58 | NA | NA | 000 | |
| 51725 | 26 | A | Simple cystometrogram | 1.51 | 0.50 | 0.55 | 0.50 | 0.55 | 0.09 | 2.10 | 2.15 | 2.10 | 2.15 | 000 |
| 51725 | TC | A | Simple cystometrogram | 0.00 | 0.40 | 0.40 | NA | NA | 0.03 | 0.43 | 0.43 | NA | NA | 000 |
| 51726 | A | Complex cystometrogram | 1.71 | 1.08 | 1.16 | NA | NA | 0.14 | 2.93 | 3.01 | NA | NA | 000 | |
| 51726 | 26 | A | Complex cystometrogram | 1.71 | 0.57 | 0.65 | 0.57 | 0.65 | 0.10 | 2.38 | 2.46 | 2.38 | 2.46 | 000 |
| 51726 | TC | A | Complex cystometrogram | 0.00 | 0.51 | 0.51 | NA | NA | 0.04 | 0.55 | 0.55 | NA | NA | 000 |
| 51736 | A | Urine flow measurement | 0.61 | 0.36 | 0.38 | NA | NA | 0.05 | 1.02 | 1.04 | NA | NA | 000 | |
| 51736 | 26 | A | Urine flow measurement | 0.61 | 0.20 | 0.22 | 0.20 | 0.22 | 0.04 | 0.85 | 0.87 | 0.85 | 0.87 | 000 |
| 51736 | TC | A | Urine flow measurement | 0.00 | 0.16 | 0.16 | NA | NA | 0.01 | 0.17 | 0.17 | NA | NA | 000 |
| 51741 | A | Electro-uroflowmetry, first | 1.14 | 0.60 | 0.60 | NA | NA | 0.09 | 1.83 | 1.83 | NA | NA | 000 | |
| 51741 | 26 | A | Electro-uroflowmetry, first | 1.14 | 0.38 | 0.38 | 0.38 | 0.38 | 0.07 | 1.59 | 1.59 | 1.59 | 1.59 | 000 |
| 51741 | TC | A | Electro-uroflowmetry, first | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | 000 |
| 51772 | A | Urethra pressure profile | 1.61 | 1.00 | 1.00 | NA | NA | 0.14 | 2.75 | 2.75 | NA | NA | 000 | |
| 51772 | 26 | A | Urethra pressure profile | 1.61 | 0.55 | 0.55 | 0.55 | 0.55 | 0.10 | 2.26 | 2.26 | 2.26 | 2.26 | 000 |
| 51772 | TC | A | Urethra pressure profile | 0.00 | 0.45 | 0.45 | NA | NA | 0.04 | 0.49 | 0.49 | NA | NA | 000 |
| 51784 | A | Anal/urinary muscle study | 1.53 | 0.92 | 0.97 | NA | NA | 0.13 | 2.58 | 2.63 | NA | NA | 000 | |
| 51784 | 26 | A | Anal/urinary muscle study | 1.53 | 0.51 | 0.56 | 0.51 | 0.56 | 0.10 | 2.14 | 2.19 | 2.14 | 2.19 | 000 |
| 51784 | TC | A | Anal/urinary muscle study | 0.00 | 0.41 | 0.41 | NA | NA | 0.03 | 0.44 | 0.44 | NA | NA | 000 |
| 51785 | A | Anal/urinary muscle study | 1.53 | 0.92 | 0.97 | NA | NA | 0.12 | 2.57 | 2.62 | NA | NA | 000 | |
| 51785 | 26 | A | Anal/urinary muscle study | 1.53 | 0.51 | 0.56 | 0.51 | 0.56 | 0.09 | 2.13 | 2.18 | 2.13 | 2.18 | 000 |
| 51785 | TC | A | Anal/urinary muscle study | 0.00 | 0.41 | 0.41 | NA | NA | 0.03 | 0.44 | 0.44 | NA | NA | 000 |
| 51792 | A | Urinary reflex study | 1.10 | 1.86 | 1.92 | NA | NA | 0.17 | 3.13 | 3.19 | NA | NA | 000 | |
| 51792 | 26 | A | Urinary reflex study | 1.10 | 0.44 | 0.49 | 0.44 | 0.49 | 0.06 | 1.60 | 1.65 | 1.60 | 1.65 | 000 |
| 51792 | TC | A | Urinary reflex study | 0.00 | 1.42 | 1.43 | NA | NA | 0.11 | 1.53 | 1.54 | NA | NA | 000 |
| 51795 | A | Urine voiding pressure study | 1.53 | 1.43 | 1.47 | NA | NA | 0.17 | 3.13 | 3.17 | NA | NA | 000 | |
| 51795 | 26 | A | Urine voiding pressure study | 1.53 | 0.51 | 0.54 | 0.51 | 0.54 | 0.09 | 2.13 | 2.16 | 2.13 | 2.16 | 000 |
| 51795 | TC | A | Urine voiding pressure study | 0.00 | 0.92 | 0.93 | NA | NA | 0.08 | 1.00 | 1.01 | NA | NA | 000 |
| 51797 | A | Intraabdominal pressure test | 1.60 | 1.02 | 1.02 | NA | NA | 0.14 | 2.76 | 2.76 | NA | NA | 000 | |
| 51797 | 26 | A | Intraabdominal pressure test | 1.60 | 0.54 | 0.54 | 0.54 | 0.54 | 0.10 | 2.24 | 2.24 | 2.24 | 2.24 | 000 |
| 51797 | TC | A | Intraabdominal pressure test | 0.00 | 0.48 | 0.48 | NA | NA | 0.04 | 0.52 | 0.52 | NA | NA | 000 |
| 51800 | A | Revision of bladder/urethra | 17.42 | NA | NA | 8.67 | 9.76 | 1.09 | NA | NA | 27.18 | 28.27 | 090 | |
| 51820 | A | Revision of urinary tract | 17.89 | NA | NA | 9.70 | 9.28 | 1.37 | NA | NA | 28.96 | 28.54 | 090 | |
| 51840 | A | Attach bladder/urethra | 10.71 | NA | NA | 6.15 | 7.12 | 0.74 | NA | NA | 17.60 | 18.57 | 090 | |
| 51841 | A | Attach bladder/urethra | 13.03 | NA | NA | 7.54 | 8.64 | 0.90 | NA | NA | 21.47 | 22.57 | 090 | |
| 51845 | A | Repair bladder neck | 9.73 | NA | NA | 6.06 | 7.45 | 0.59 | NA | NA | 16.38 | 17.77 | 090 | |
| 51860 | A | Repair of bladder wound | 12.02 | NA | NA | 7.20 | 7.47 | 0.93 | NA | NA | 20.15 | 20.42 | 090 | |
| 51865 | A | Repair of bladder wound | 15.04 | NA | NA | 8.04 | 9.00 | 1.05 | NA | NA | 24.13 | 25.09 | 090 | |
| 51880 | A | Repair of bladder opening | 7.66 | NA | NA | 5.11 | 5.18 | 0.53 | NA | NA | 13.30 | 13.37 | 090 | |
| 51900 | A | Repair bladder/vagina lesion | 12.97 | NA | NA | 7.39 | 8.70 | 0.89 | NA | NA | 21.25 | 22.56 | 090 | |
| 51920 | A | Close bladder-uterus fistula | 11.81 | NA | NA | 6.58 | 6.97 | 0.85 | NA | NA | 19.24 | 19.63 | 090 | |
| 51925 | A | Hysterectomy/bladder repair | 15.58 | NA | NA | 8.84 | 9.36 | 1.17 | NA | NA | 25.59 | 26.11 | 090 | |
| 51940 | A | Correction of bladder defect | 28.43 | NA | NA | 14.08 | 15.70 | 1.90 | NA | NA | 44.41 | 46.03 | 090 | |
| 51960 | A | Revision of bladder bowel | 23.01 | NA | NA | 11.95 | 14.77 | 1.39 | NA | NA | 36.35 | 39.17 | 090 | |
| 51980 | A | Construct bladder opening | 11.36 | NA | NA | 6.52 | 6.92 | 0.73 | NA | NA | 18.61 | 19.01 | 090 | |
| 51990 | A | Laparo urethral suspension | 12.50 | NA | NA | 5.95 | 5.95 | 0.87 | NA | NA | 19.32 | 19.32 | 090 | |
| 51992 | A | Laparo sling operation | 14.01 | NA | NA | 6.10 | 6.10 | 0.86 | NA | NA | 20.97 | 20.97 | 090 | |
| 52000 | A | Cystoscopy | 2.01 | 3.01 | 2.62 | 0.66 | 0.86 | 0.11 | 5.13 | 4.74 | 2.78 | 2.98 | 000 | |
| 52005 | A | Cystoscopy ureter catheter | 2.37 | 4.72 | 4.14 | 0.77 | 1.18 | 0.13 | 7.22 | 6.64 | 3.27 | 3.68 | 000 | |
| 52007 | A | Cystoscopy and biopsy | 3.02 | NA | NA | 0.99 | 1.51 | 0.17 | NA | NA | 4.18 | 4.70 | 000 | |
| 52010 | A | Cystoscopy duct catheter | 3.02 | 4.94 | 4.22 | 0.99 | 1.26 | 0.17 | 8.13 | 7.41 | 4.18 | 4.45 | 000 | |
| 52204 | A | Cystoscopy | 2.37 | 5.46 | 4.74 | 0.77 | 1.22 | 0.13 | 7.96 | 7.24 | 3.27 | 3.72 | 000 | |
| 52214 | A | Cystoscopy and treatment | 3.71 | 5.82 | 5.13 | 1.21 | 1.67 | 0.21 | 9.74 | 9.05 | 5.13 | 5.59 | 000 | |
| 52224 | A | Cystoscopy and treatment | 3.14 | 5.67 | 5.04 | 1.02 | 1.55 | 0.18 | 8.99 | 8.36 | 4.34 | 4.87 | 000 | |
| 52234 | A | Cystoscopy and treatment | 4.63 | 6.55 | 6.19 | 1.51 | 2.41 | 0.26 | 11.44 | 11.08 | 6.40 | 7.30 | 000 | |
| 52235 | A | Cystoscopy and treatment | 5.45 | 6.82 | 6.74 | 1.78 | 2.96 | 0.31 | 12.58 | 12.50 | 7.54 | 8.72 | 000 | |
| 52240 | A | Cystoscopy and treatment | 9.72 | 8.23 | 9.06 | 3.17 | 5.27 | 0.55 | 18.50 | 19.33 | 13.44 | 15.54 | 000 | |
| 52250 | A | Cystoscopy and radiotracer | 4.50 | NA | NA | 1.47 | 1.88 | 0.26 | NA | NA | 6.23 | 6.64 | 000 | |
| 52260 | A | Cystoscopy and treatment | 3.92 | NA | NA | 1.28 | 1.53 | 0.22 | NA | NA | 5.42 | 5.67 | 000 | |
| 52265 | A | Cystoscopy and treatment | 2.94 | 3.39 | 2.91 | 0.96 | 1.09 | 0.17 | 6.50 | 6.02 | 4.07 | 4.20 | 000 | |
| 52270 | A | Cystoscopy revise urethra | 3.37 | 6.14 | 5.55 | 1.10 | 1.77 | 0.19 | 9.70 | 9.11 | 4.66 | 5.33 | 000 | |
| 52275 | A | Cystoscopy revise urethra | 4.70 | 6.65 | 5.92 | 1.53 | 2.08 | 0.27 | 11.62 | 10.89 | 6.50 | 7.05 | 000 | |
| 52276 | A | Cystoscopy and treatment | 0.05 | 6.76 | 6.31 | 1.63 | 2.47 | 0.29 | 7.10 | 6.65 | 1.97 | 2.81 | 000 | |
| 52277 | A | Cystoscopy and treatment | 6.17 | NA | NA | 2.03 | 2.83 | 0.36 | NA | NA | 8.56 | 9.36 | 000 | |
| 52281 | A | Cystoscopy and treatment | 2.80 | 3.39 | 3.17 | 0.91 | 1.31 | 0.16 | 6.35 | 6.13 | 3.87 | 4.27 | 000 | |
| 52282 | A | Cystoscopy, implant stent | 6.40 | 6.97 | 6.47 | 2.09 | 2.81 | 0.36 | 13.73 | 13.23 | 8.85 | 9.57 | 000 | |
| 52283 | A | Cystoscopy and treatment | 3.74 | 6.06 | 4.96 | 1.22 | 1.33 | 0.21 | 10.01 | 8.91 | 5.17 | 5.28 | 000 | |
| 52285 | A | Cystoscopy and treatment | 3.61 | 6.27 | 5.50 | 1.18 | 1.68 | 0.21 | 10.09 | 9.32 | 5.00 | 5.50 | 000 | |
| 52290 | A | Cystoscopy and treatment | 4.59 | NA | NA | 1.50 | 1.76 | 0.26 | NA | NA | 6.35 | 6.61 | 000 | |
| 52300 | A | Cystoscopy and treatment | 5.31 | NA | NA | 1.73 | 2.24 | 0.31 | NA | NA | 7.35 | 7.86 | 000 | |
| 52301 | A | Cystoscopy and treatment | 5.51 | NA | NA | 1.73 | 2.24 | 0.40 | NA | NA | 7.64 | 8.15 | 000 | |
| 52305 | A | Cystoscopy and treatment | 5.31 | NA | NA | 1.73 | 2.25 | 0.31 | NA | NA | 7.35 | 7.87 | 000 | |
| 52310 | A | Cystoscopy and treatment | 2.81 | 13.88 | 11.22 | 0.92 | 1.50 | 0.16 | 16.85 | 14.19 | 3.89 | 4.47 | 000 | |
| 52315 | A | Cystoscopy and treatment | 5.21 | 14.82 | 12.22 | 1.70 | 2.38 | 0.30 | 20.33 | 17.73 | 7.21 | 7.89 | 000 | |
| 52317 | A | Remove bladder stone | 6.72 | 23.00 | 18.93 | 2.19 | 3.32 | 0.38 | 30.10 | 26.03 | 9.29 | 10.42 | 000 | |
| 52318 | A | Remove bladder stone | 9.19 | NA | NA | 2.99 | 4.38 | 0.52 | NA | NA | 12.70 | 14.09 | 000 | |
| 52320 | A | Cystoscopy and treatment | 4.70 | NA | NA | 1.52 | 2.46 | 0.27 | NA | NA | 6.49 | 7.43 | 000 | |
| 52325 | A | Cystoscopy, stone removal | 6.16 | NA | NA | 2.00 | 3.34 | 0.35 | NA | NA | 8.51 | 9.85 | 000 | |
| 52327 | A | Cystoscopy, inject material | 5.19 | NA | NA | 1.72 | 2.29 | 0.30 | NA | NA | 7.21 | 7.78 | 000 | |
| 52330 | A | Cystoscopy and treatment | 5.04 | 18.80 | 15.04 | 1.64 | 2.17 | 0.29 | 24.13 | 20.37 | 6.97 | 7.50 | 000 | |
| 52332 | A | Cystoscopy and treatment | 2.83 | 28.16 | 21.99 | 0.92 | 1.56 | 0.16 | 31.15 | 24.98 | 3.91 | 4.55 | 000 | |
| 52334 | A | Create passage to kidney | 4.83 | NA | NA | 1.57 | 2.08 | 0.28 | NA | NA | 6.68 | 7.19 | 000 | |
| 52335 | A | Endoscopy of urinary tract | 5.86 | NA | NA | 1.91 | 2.71 | 0.33 | NA | NA | 8.10 | 8.90 | 000 | |
| 52336 | A | Cystoscopy, stone removal | 6.88 | NA | NA | 2.23 | 3.73 | 0.39 | NA | NA | 9.50 | 11.00 | 000 | |
| 52337 | A | Cystoscopy, stone removal | 7.97 | NA | NA | 2.58 | 4.32 | 0.45 | NA | NA | 11.00 | 12.74 | 000 | |
| 52338 | A | Cystoscopy and treatment | 7.34 | NA | NA | 2.39 | 3.40 | 0.42 | NA | NA | 10.15 | 11.16 | 000 | |
| 52339 | A | Cystoscopy and treatment | 8.82 | NA | NA | 2.89 | 3.77 | 0.51 | NA | NA | 12.22 | 13.10 | 000 | |
| 52340 | A | Cystoscopy and treatment | 9.68 | NA | NA | 5.10 | 5.22 | 0.55 | NA | NA | 15.33 | 15.45 | 090 | |
| 52450 | A | Incision of prostate | 7.64 | NA | NA | 5.85 | 5.74 | 0.43 | NA | NA | 13.92 | 13.81 | 090 | |
| 52500 | A | Revision of bladder neck | 8.47 | NA | NA | 6.08 | 6.58 | 0.48 | NA | NA | 15.03 | 15.53 | 090 | |
| 52510 | A | Dilation prostatic urethra | 6.72 | NA | NA | 5.24 | 5.94 | 0.38 | NA | NA | 12.34 | 13.04 | 090 | |
| 52601 | A | Prostatectomy (TURP) | 12.37 | NA | NA | 7.37 | 8.75 | 0.70 | NA | NA | 20.44 | 21.82 | 090 | |
| 52606 | A | Control postop bleeding | 8.13 | NA | NA | 5.63 | 5.12 | 0.47 | NA | NA | 14.23 | 13.72 | 090 | |
| 52612 | A | Prostatectomy, first stage | 7.98 | NA | NA | 5.95 | 6.85 | 0.46 | NA | NA | 14.39 | 15.29 | 090 | |
| 52614 | A | Prostatectomy, second stage | 6.84 | NA | NA | 5.69 | 6.19 | 0.39 | NA | NA | 12.92 | 13.42 | 090 | |
| 52620 | A | Remove residual prostate | 6.61 | NA | NA | 5.50 | 5.57 | 0.37 | NA | NA | 12.48 | 12.55 | 090 | |
| 52630 | A | Remove prostate regrowth | 7.26 | NA | NA | 5.73 | 6.47 | 0.41 | NA | NA | 13.40 | 14.14 | 090 | |
| 52640 | A | Relieve bladder contracture | 6.62 | NA | NA | 5.12 | 5.59 | 0.37 | NA | NA | 12.11 | 12.58 | 090 | |
| 52647 | A | Laser surgery of prostate | 10.36 | 54.31 | 43.83 | 4.50 | 6.47 | 0.58 | 65.25 | 54.77 | 15.44 | 17.41 | 090 | |
| 52648 | A | Laser surgery of prostate | 11.21 | NA | NA | 6.94 | 8.43 | 0.64 | NA | NA | 18.79 | 20.28 | 090 | |
| 52700 | A | Drainage of prostate abscess | 6.80 | NA | NA | 5.58 | 5.08 | 0.40 | NA | NA | 12.78 | 12.28 | 090 | |
| 53000 | A | Incision of urethra | 2.28 | 6.48 | 5.34 | 2.26 | 2.17 | 0.14 | 8.90 | 7.76 | 4.68 | 4.59 | 010 | |
| 53010 | A | Incision of urethra | 3.64 | NA | NA | 3.59 | 3.65 | 0.30 | NA | NA | 7.53 | 7.59 | 090 | |
| 53020 | A | Incision of urethra | 1.77 | 3.92 | 3.16 | 0.63 | 0.70 | 0.11 | 5.80 | 5.04 | 2.51 | 2.58 | 000 | |
| 53025 | A | Incision of urethra | 1.13 | 4.23 | 3.39 | 0.42 | 0.53 | 0.07 | 5.43 | 4.59 | 1.62 | 1.73 | 000 | |
| 53040 | A | Drainage of urethra abscess | 6.40 | 12.20 | 9.65 | 7.34 | 6.01 | 0.38 | 18.98 | 16.43 | 14.12 | 12.79 | 090 | |
| 53060 | A | Drainage of urethra abscess | 2.63 | 5.75 | 4.45 | 2.39 | 1.93 | 0.18 | 8.56 | 7.26 | 5.20 | 4.74 | 010 | |
| 53080 | A | Drainage of urinary leakage | 6.29 | NA | NA | 8.27 | 7.28 | 0.36 | NA | NA | 14.92 | 13.93 | 090 | |
| 53085 | A | Drainage of urinary leakage | 10.27 | NA | NA | 8.94 | 8.54 | 0.61 | NA | NA | 19.82 | 19.42 | 090 | |
| 53200 | A | Biopsy of urethra | 2.59 | 4.96 | 4.02 | 0.91 | 0.98 | 0.15 | 7.70 | 6.76 | 3.65 | 3.72 | 000 | |
| 53210 | A | Removal of urethra | 12.57 | NA | NA | 7.18 | 7.19 | 0.80 | NA | NA | 20.55 | 20.56 | 090 | |
| 53215 | A | Removal of urethra | 15.58 | NA | NA | 7.90 | 8.64 | 0.94 | NA | NA | 24.42 | 25.16 | 090 | |
| 53220 | A | Treatment of urethra lesion | 0.07 | NA | NA | 4.93 | 4.99 | 0.41 | NA | NA | 5.41 | 5.47 | 090 | |
| 53230 | A | Removal of urethra lesion | 9.58 | NA | NA | 5.69 | 6.42 | 0.56 | NA | NA | 15.83 | 16.56 | 090 | |
| 53235 | A | Removal of urethra lesion | 10.14 | NA | NA | 5.87 | 5.77 | 0.59 | NA | NA | 16.60 | 16.50 | 090 | |
| 53240 | A | Surgery for urethra pouch | 6.45 | NA | NA | 4.60 | 4.63 | 0.42 | NA | NA | 11.47 | 11.50 | 090 | |
| 53250 | A | Removal of urethra gland | 5.89 | NA | NA | 4.14 | 4.21 | 0.38 | NA | NA | 10.41 | 10.48 | 090 | |
| 53260 | A | Treatment of urethra lesion | 2.98 | 5.36 | 4.33 | 2.10 | 1.88 | 0.19 | 8.53 | 7.50 | 5.27 | 5.05 | 010 | |
| 53265 | A | Treatment of urethra lesion | 3.12 | 5.80 | 4.86 | 2.09 | 2.08 | 0.19 | 9.11 | 8.17 | 5.40 | 5.39 | 010 | |
| 53270 | A | Removal of urethra gland | 3.09 | 5.44 | 4.31 | 2.23 | 1.90 | 0.21 | 8.74 | 7.61 | 5.53 | 5.20 | 010 | |
| 53275 | A | Repair of urethra defect | 4.53 | NA | NA | 2.98 | 2.88 | 0.26 | NA | NA | 7.77 | 7.67 | 010 | |
| 53400 | A | Revise urethra, stage 1 | 12.77 | NA | NA | 7.06 | 7.32 | 0.74 | NA | NA | 20.57 | 20.83 | 090 | |
| 53405 | A | Revise urethra, stage 2 | 14.48 | NA | NA | 7.59 | 8.51 | 0.82 | NA | NA | 22.89 | 23.81 | 090 | |
| 53410 | A | Reconstruction of urethra | 16.44 | NA | NA | 8.26 | 8.52 | 0.95 | NA | NA | 25.65 | 25.91 | 090 | |
| 53415 | A | Reconstruction of urethra | 19.41 | NA | NA | 8.73 | 9.77 | 1.19 | NA | NA | 29.33 | 30.37 | 090 | |
| 53420 | A | Reconstruct urethra, stage 1 | 14.08 | NA | NA | 7.84 | 8.83 | 0.84 | NA | NA | 22.76 | 23.75 | 090 | |
| 53425 | A | Reconstruct urethra, stage 2 | 15.98 | NA | NA | 8.55 | 8.92 | 0.90 | NA | NA | 25.43 | 25.80 | 090 | |
| 53430 | A | Reconstruction of urethra | 16.34 | NA | NA | 8.36 | 8.21 | 0.97 | NA | NA | 25.67 | 25.52 | 090 | |
| 53440 | A | Correct bladder function | 12.34 | NA | NA | 7.20 | 8.97 | 0.72 | NA | NA | 20.26 | 22.03 | 090 | |
| 53442 | A | Remove perineal prosthesis | 8.27 | NA | NA | 5.29 | 5.55 | 0.47 | NA | NA | 14.03 | 14.29 | 090 | |
| 53443 | A | Reconstruction of urethra | 19.89 | NA | NA | 9.18 | 9.61 | 1.25 | NA | NA | 30.32 | 30.75 | 090 | |
| 53445 | A | Correct urine flow control | 14.06 | NA | NA | 7.78 | 10.03 | 0.82 | NA | NA | 22.66 | 24.91 | 090 | |
| 53447 | A | Remove artificial sphincter | 13.17 | NA | NA | 7.14 | 7.84 | 0.75 | NA | NA | 21.06 | 21.76 | 090 | |
| 53449 | A | Correct artificial sphincter | 9.70 | NA | NA | 6.03 | 6.81 | 0.55 | NA | NA | 16.28 | 17.06 | 090 | |
| 53450 | A | Revision of urethra | 6.14 | NA | NA | 4.45 | 4.08 | 0.34 | NA | NA | 10.93 | 10.56 | 090 | |
| 53460 | A | Revision of urethra | 7.12 | NA | NA | 4.78 | 4.25 | 0.42 | NA | NA | 12.32 | 11.79 | 090 | |
| 53502 | A | Repair of urethra injury | 7.63 | NA | NA | 5.28 | 5.31 | 0.48 | NA | NA | 13.39 | 13.42 | 090 | |
| 53505 | A | Repair of urethra injury | 7.63 | NA | NA | 4.91 | 5.09 | 0.45 | NA | NA | 12.99 | 13.17 | 090 | |
| 53510 | A | Repair of urethra injury | 10.11 | NA | NA | 6.38 | 6.68 | 0.68 | NA | NA | 17.17 | 17.47 | 090 | |
| 53515 | A | Repair of urethra injury | 13.31 | NA | NA | 6.88 | 7.61 | 0.78 | NA | NA | 20.97 | 21.70 | 090 | |
| 53520 | A | Repair of urethra defect | 8.68 | NA | NA | 5.33 | 5.60 | 0.52 | NA | NA | 14.53 | 14.80 | 090 | |
| 53600 | A | Dilate urethra stricture | 1.21 | 3.77 | 2.92 | 0.48 | 0.45 | 0.07 | 5.05 | 4.20 | 1.76 | 1.73 | 000 | |
| 53601 | A | Dilate urethra stricture | 0.98 | 3.70 | 2.85 | 0.40 | 0.38 | 0.06 | 4.74 | 3.89 | 1.44 | 1.42 | 000 | |
| 53605 | A | Dilate urethra stricture | 1.28 | NA | NA | 0.42 | 0.44 | 0.08 | NA | NA | 1.78 | 1.80 | 000 | |
| 53620 | A | Dilate urethra stricture | 1.62 | 5.61 | 4.34 | 0.53 | 0.53 | 0.10 | 7.33 | 6.06 | 2.25 | 2.25 | 000 | |
| 53621 | A | Dilate urethra stricture | 1.35 | 5.61 | 4.31 | 0.44 | 0.43 | 0.08 | 7.04 | 5.74 | 1.87 | 1.86 | 000 | |
| 53660 | A | Dilation of urethra | 0.71 | 3.54 | 2.73 | 0.32 | 0.32 | 0.04 | 4.29 | 3.48 | 1.07 | 1.07 | 000 | |
| 53661 | A | Dilation of urethra | 0.72 | 3.61 | 2.78 | 0.24 | 0.25 | 0.04 | 4.37 | 3.54 | 1.00 | 1.01 | 000 | |
| 53665 | A | Dilation of urethra | 0.76 | NA | NA | 0.26 | 0.29 | 0.05 | NA | NA | 1.07 | 1.10 | 000 | |
| 53670 | A | Insert urinary catheter | 0.50 | 3.33 | 2.56 | 0.19 | 0.20 | 0.03 | 3.86 | 3.09 | 0.72 | 0.73 | 000 | |
| 53675 | A | Insert urinary catheter | 1.47 | 4.46 | 3.47 | 0.47 | 0.48 | 0.09 | 6.02 | 5.03 | 2.03 | 2.04 | 000 | |
| 53850 | A | Prostatic microwave thermotx | 9.45 | 12.11 | 10.90 | 4.17 | 4.95 | 0.53 | 22.09 | 20.88 | 14.15 | 14.93 | 090 | |
| 53852 | A | Prostatic rf thermotx | 9.88 | 67.86 | 52.80 | 4.28 | 5.11 | 0.56 | 78.30 | 63.24 | 14.72 | 15.55 | 090 | |
| 53899 | C | Urology surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54000 | A | Slitting of prepuce | 1.54 | 5.16 | 4.04 | 1.30 | 1.15 | 0.09 | 6.79 | 5.67 | 2.93 | 2.78 | 010 | |
| 54001 | A | Slitting of prepuce | 2.19 | 5.51 | 4.36 | 1.80 | 1.58 | 0.13 | 7.83 | 6.68 | 4.12 | 3.90 | 010 | |
| 54015 | A | Drain penis lesion | 5.32 | 6.48 | 5.09 | 2.83 | 2.35 | 0.32 | 12.12 | 10.73 | 8.47 | 7.99 | 010 | |
| 54050 | A | Destruction, penis lesion(s) | 1.24 | 2.28 | 1.81 | 0.49 | 0.47 | 0.07 | 3.59 | 3.12 | 1.80 | 1.78 | 010 | |
| 54055 | A | Destruction, penis lesion(s) | 1.22 | 5.92 | 4.61 | 1.28 | 1.13 | 0.07 | 7.21 | 5.90 | 2.57 | 2.42 | 010 | |
| 54056 | A | Cryosurgery, penis lesion(s) | 1.24 | 2.75 | 2.21 | 0.53 | 0.54 | 0.05 | 4.04 | 3.50 | 1.82 | 1.83 | 010 | |
| 54057 | A | Laser surg, penis lesion(s) | 1.24 | 2.67 | 2.42 | 1.19 | 1.31 | 0.07 | 3.98 | 3.73 | 2.50 | 2.62 | 010 | |
| 54060 | A | Excision of penis lesion(s) | 1.93 | 4.98 | 4.05 | 1.43 | 1.39 | 0.11 | 7.02 | 6.09 | 3.47 | 3.43 | 010 | |
| 54065 | A | Destruction, penis lesion(s) | 2.42 | 5.01 | 4.43 | 1.92 | 2.11 | 0.13 | 7.56 | 6.98 | 4.47 | 4.66 | 010 | |
| 54100 | A | Biopsy of penis | 1.90 | 3.38 | 2.71 | 0.71 | 0.71 | 0.10 | 5.38 | 4.71 | 2.71 | 2.71 | 000 | |
| 54105 | A | Biopsy of penis | 3.50 | 5.83 | 4.65 | 1.94 | 1.73 | 0.20 | 9.53 | 8.35 | 5.64 | 5.43 | 010 | |
| 54110 | A | Treatment of penis lesion | 10.13 | NA | NA | 7.28 | 7.10 | 0.60 | NA | NA | 18.01 | 17.83 | 090 | |
| 54111 | A | Treat penis lesion, graft | 13.57 | NA | NA | 8.38 | 8.78 | 0.78 | NA | NA | 22.73 | 23.13 | 090 | |
| 54112 | A | Treat penis lesion, graft | 15.86 | NA | NA | 9.30 | 9.92 | 0.96 | NA | NA | 26.12 | 26.74 | 090 | |
| 54115 | A | Treatment of penis lesion | 6.15 | 10.08 | 8.70 | 5.98 | 5.62 | 0.36 | 16.59 | 15.21 | 12.49 | 12.13 | 090 | |
| 54120 | A | Partial removal of penis | 9.97 | NA | NA | 7.21 | 7.16 | 0.57 | NA | NA | 17.75 | 17.70 | 090 | |
| 54125 | A | Removal of penis | 13.53 | NA | NA | 8.44 | 9.47 | 0.79 | NA | NA | 22.76 | 23.79 | 090 | |
| 54130 | A | Remove penis nodes | 20.14 | NA | NA | 10.99 | 12.22 | 1.20 | NA | NA | 32.33 | 33.56 | 090 | |
| 54135 | A | Remove penis nodes | 26.36 | NA | NA | 13.30 | 14.79 | 1.54 | NA | NA | 41.20 | 42.69 | 090 | |
| 54150 | A | Circumcision | 1.81 | 5.36 | 4.17 | 1.64 | 1.38 | 0.12 | 7.29 | 6.10 | 3.57 | 3.31 | 010 | |
| 54152 | A | Circumcision | 2.31 | NA | NA | 1.57 | 1.67 | 0.15 | NA | NA | 4.03 | 4.13 | 010 | |
| 54160 | A | Circumcision | 2.48 | 5.57 | 4.63 | 1.64 | 1.68 | 0.17 | 8.22 | 7.28 | 4.29 | 4.33 | 010 | |
| 54161 | A | Circumcision | 3.27 | NA | NA | 1.86 | 1.99 | 0.19 | NA | NA | 5.32 | 5.45 | 010 | |
| 54200 | A | Treatment of penis lesion | 1.06 | 2.36 | 1.86 | 0.37 | 0.37 | 0.06 | 3.48 | 2.98 | 1.49 | 1.49 | 010 | |
| 54205 | A | Treatment of penis lesion | 7.93 | NA | NA | 6.51 | 6.27 | 0.46 | NA | NA | 14.90 | 14.66 | 090 | |
| 54220 | A | Treatment of penis lesion | 2.42 | 1.79 | 1.77 | 0.94 | 1.13 | 0.14 | 4.35 | 4.33 | 3.50 | 3.69 | 000 | |
| 54230 | A | Prepare penis study | 1.34 | NA | NA | 0.44 | 0.69 | 0.08 | NA | NA | 1.86 | 2.11 | 000 | |
| 54231 | A | Dynamic cavernosometry | 2.04 | 1.92 | 1.83 | 0.79 | 0.98 | 0.14 | 4.10 | 4.01 | 2.97 | 3.16 | 000 | |
| 54235 | A | Penile injection | 1.19 | 1.02 | 0.88 | 0.39 | 0.41 | 0.07 | 2.28 | 2.14 | 1.65 | 1.67 | 000 | |
| 54240 | A | Penis study | 1.31 | 0.95 | 0.98 | NA | NA | 0.14 | 2.40 | 2.43 | NA | NA | 000 | |
| 54240 | 26 | A | Penis study | 1.31 | 0.44 | 0.47 | 0.44 | 0.47 | 0.09 | 1.84 | 1.87 | 1.84 | 1.87 | 000 |
| 54240 | TC | A | Penis study | 0.00 | 0.51 | 0.51 | NA | NA | 0.05 | 0.56 | 0.56 | NA | NA | 000 |
| 54250 | A | Penis study | 2.22 | 1.05 | 1.00 | NA | NA | 0.15 | 3.42 | 3.37 | NA | NA | 000 | |
| 54250 | 26 | A | Penis study | 2.22 | 0.72 | 0.68 | 0.72 | 0.68 | 0.13 | 3.07 | 3.03 | 3.07 | 3.03 | 000 |
| 54250 | TC | A | Penis study | 0.00 | 0.32 | 0.32 | NA | NA | 0.02 | 0.34 | 0.34 | NA | NA | 000 |
| 54300 | A | Revision of penis | 10.41 | NA | NA | 8.03 | 7.89 | 0.61 | NA | NA | 19.05 | 18.91 | 090 | |
| 54304 | A | Revision of penis | 12.49 | NA | NA | 9.06 | 9.15 | 0.78 | NA | NA | 22.33 | 22.42 | 090 | |
| 54308 | A | Reconstruction of urethra | 11.83 | NA | NA | 8.59 | 8.03 | 0.77 | NA | NA | 21.19 | 20.63 | 090 | |
| 54312 | A | Reconstruction of urethra | 13.57 | NA | NA | 9.81 | 9.90 | 0.69 | NA | NA | 24.07 | 24.16 | 090 | |
| 54316 | A | Reconstruction of urethra | 16.82 | NA | NA | 12.01 | 12.09 | 0.95 | NA | NA | 29.78 | 29.86 | 090 | |
| 54318 | A | Reconstruction of urethra | 11.25 | NA | NA | 8.97 | 8.77 | 0.64 | NA | NA | 20.86 | 20.66 | 090 | |
| 54322 | A | Reconstruction of urethra | 13.01 | NA | NA | 8.63 | 8.54 | 0.74 | NA | NA | 22.38 | 22.29 | 090 | |
| 54324 | A | Reconstruction of urethra | 16.31 | NA | NA | 10.48 | 10.84 | 1.18 | NA | NA | 27.97 | 28.33 | 090 | |
| 54326 | A | Reconstruction of urethra | 15.72 | NA | NA | 9.95 | 10.32 | 1.11 | NA | NA | 26.78 | 27.15 | 090 | |
| 54328 | A | Revise penis/urethra | 15.65 | NA | NA | 9.77 | 10.24 | 0.88 | NA | NA | 26.30 | 26.77 | 090 | |
| 54332 | A | Revise penis/urethra | 17.08 | NA | NA | 10.52 | 11.29 | 1.03 | NA | NA | 28.63 | 29.40 | 090 | |
| 54336 | A | Revise penis/urethra | 20.04 | NA | NA | 12.59 | 14.54 | 1.47 | NA | NA | 34.10 | 36.05 | 090 | |
| 54340 | A | Secondary urethral surgery | 8.91 | NA | NA | 7.43 | 7.22 | 0.63 | NA | NA | 16.97 | 16.76 | 090 | |
| 54344 | A | Secondary urethral surgery | 15.94 | NA | NA | 9.85 | 11.90 | 1.03 | NA | NA | 26.82 | 28.87 | 090 | |
| 54348 | A | Secondary urethral surgery | 17.15 | NA | NA | 10.71 | 11.19 | 1.15 | NA | NA | 29.01 | 29.49 | 090 | |
| 54352 | A | Reconstruct urethra/penis | 24.74 | NA | NA | 13.45 | 14.48 | 1.11 | NA | NA | 39.30 | 40.33 | 090 | |
| 54360 | A | Penis plastic surgery | 11.93 | NA | NA | 7.82 | 7.77 | 0.70 | NA | NA | 20.45 | 20.40 | 090 | |
| 54380 | A | Repair penis | 13.18 | NA | NA | 9.50 | 9.68 | 0.86 | NA | NA | 23.54 | 23.72 | 090 | |
| 54385 | A | Repair penis | 15.39 | NA | NA | 11.18 | 11.22 | 0.99 | NA | NA | 27.56 | 27.60 | 090 | |
| 54390 | A | Repair penis and bladder | 21.61 | NA | NA | 13.64 | 13.91 | 1.39 | NA | NA | 36.64 | 36.91 | 090 | |
| 54400 | A | Insert semi-rigid prosthesis | 8.99 | NA | NA | 5.75 | 7.00 | 0.53 | NA | NA | 15.27 | 16.52 | 090 | |
| 54401 | A | Insert self-contd prosthesis | 10.28 | NA | NA | 6.51 | 7.95 | 0.61 | NA | NA | 17.40 | 18.84 | 090 | |
| 54402 | A | Remove penis prosthesis | 9.21 | NA | NA | 5.83 | 6.00 | 0.54 | NA | NA | 15.58 | 15.75 | 090 | |
| 54405 | A | Insert multi-comp prosthesis | 13.43 | NA | NA | 7.57 | 9.69 | 0.78 | NA | NA | 21.78 | 23.90 | 090 | |
| 54407 | A | Remove multi-comp prosthesis | 13.34 | NA | NA | 7.18 | 8.43 | 0.77 | NA | NA | 21.29 | 22.54 | 090 | |
| 54409 | A | Revise penis prosthesis | 12.20 | NA | NA | 6.84 | 7.56 | 0.71 | NA | NA | 19.75 | 20.47 | 090 | |
| 54420 | A | Revision of penis | 11.42 | NA | NA | 8.37 | 8.38 | 0.67 | NA | NA | 20.46 | 20.47 | 090 | |
| 54430 | A | Revision of penis | 10.15 | NA | NA | 7.24 | 7.33 | 0.60 | NA | NA | 17.99 | 18.08 | 090 | |
| 54435 | A | Revision of penis | 6.12 | NA | NA | 5.44 | 5.21 | 0.34 | NA | NA | 11.90 | 11.67 | 090 | |
| 54440 | C | Repair of penis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 54450 | A | Preputial stretching | 1.12 | 0.91 | 0.87 | 0.44 | 0.52 | 0.07 | 2.10 | 2.06 | 1.63 | 1.71 | 000 | |
| 54500 | A | Biopsy of testis | 1.31 | 5.27 | 4.07 | 0.43 | 0.44 | 0.08 | 6.66 | 5.46 | 1.82 | 1.83 | 000 | |
| 54505 | A | Biopsy of testis | 3.46 | NA | NA | 2.43 | 2.33 | 0.21 | NA | NA | 6.10 | 6.00 | 010 | |
| 54510 | A | Removal of testis lesion | 5.45 | NA | NA | 3.27 | 3.28 | 0.34 | NA | NA | 9.06 | 9.07 | 090 | |
| 54520 | A | Removal of testis | 5.23 | NA | NA | 3.37 | 3.97 | 0.32 | NA | NA | 8.92 | 9.52 | 090 | |
| 54530 | A | Removal of testis | 8.58 | NA | NA | 4.87 | 5.64 | 0.53 | NA | NA | 13.98 | 14.75 | 090 | |
| 54535 | A | Extensive testis surgery | 12.16 | NA | NA | 6.67 | 7.32 | 0.79 | NA | NA | 19.62 | 20.27 | 090 | |
| 54550 | A | Exploration for testis | 7.78 | NA | NA | 4.41 | 4.73 | 0.47 | NA | NA | 12.66 | 12.98 | 090 | |
| 54560 | A | Exploration for testis | 11.13 | NA | NA | 6.54 | 6.87 | 0.75 | NA | NA | 18.42 | 18.75 | 090 | |
| 54600 | A | Reduce testis torsion | 7.01 | NA | NA | 3.98 | 4.24 | 0.41 | NA | NA | 11.40 | 11.66 | 090 | |
| 54620 | A | Suspension of testis | 4.90 | NA | NA | 2.99 | 3.14 | 0.29 | NA | NA | 8.18 | 8.33 | 010 | |
| 54640 | A | Suspension of testis | 6.90 | NA | NA | 4.00 | 5.06 | 0.47 | NA | NA | 11.37 | 12.43 | 090 | |
| 54650 | A | Orchiopexy (Fowler-Stephens) | 11.45 | NA | NA | 6.40 | 6.92 | 0.63 | NA | NA | 18.48 | 19.00 | 090 | |
| 54660 | A | Revision of testis | 5.11 | NA | NA | 3.74 | 3.73 | 0.29 | NA | NA | 9.14 | 9.13 | 090 | |
| 54670 | A | Repair testis injury | 6.41 | NA | NA | 3.70 | 3.94 | 0.42 | NA | NA | 10.53 | 10.77 | 090 | |
| 54680 | A | Relocation of testis(es) | 12.65 | NA | NA | 7.35 | 7.74 | 0.86 | NA | NA | 20.86 | 21.25 | 090 | |
| 54690 | A | Laparoscopy, orchiectomy | 10.96 | NA | NA | 6.35 | 6.73 | 0.69 | NA | NA | 18.00 | 18.38 | 090 | |
| 54692 | A | Laparoscopy, orchiopexy | 12.88 | NA | NA | 5.50 | 5.50 | 0.87 | NA | NA | 19.25 | 19.25 | 090 | |
| 54699 | C | Laparoscope proc, testis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54700 | A | Drainage of scrotum | 3.43 | 7.72 | 6.04 | 3.15 | 2.61 | 0.22 | 11.37 | 9.69 | 6.80 | 6.26 | 010 | |
| 54800 | A | Biopsy of epididymis | 2.33 | 5.30 | 4.51 | 0.81 | 1.14 | 0.14 | 7.77 | 6.98 | 3.28 | 3.61 | 000 | |
| 54820 | A | Exploration of epididymis | 5.14 | NA | NA | 3.38 | 3.25 | 0.36 | NA | NA | 8.88 | 8.75 | 090 | |
| 54830 | A | Remove epididymis lesion | 5.38 | NA | NA | 3.43 | 3.53 | 0.33 | NA | NA | 9.14 | 9.24 | 090 | |
| 54840 | A | Remove epididymis lesion | 5.20 | NA | NA | 3.36 | 3.83 | 0.31 | NA | NA | 8.87 | 9.34 | 090 | |
| 54860 | A | Removal of epididymis | 6.32 | NA | NA | 3.91 | 4.34 | 0.36 | NA | NA | 10.59 | 11.02 | 090 | |
| 54861 | A | Removal of epididymis | 8.90 | NA | NA | 4.74 | 5.54 | 0.51 | NA | NA | 14.15 | 14.95 | 090 | |
| 54900 | A | Fusion of spermatic ducts | 13.20 | NA | NA | 6.43 | 7.25 | 0.74 | NA | NA | 20.37 | 21.19 | 090 | |
| 54901 | A | Fusion of spermatic ducts | 17.94 | NA | NA | 9.45 | 10.42 | 1.18 | NA | NA | 28.57 | 29.54 | 090 | |
| 55000 | A | Drainage of hydrocele | 1.43 | 1.76 | 1.43 | 0.48 | 0.47 | 0.10 | 3.29 | 2.96 | 2.01 | 2.00 | 000 | |
| 55040 | A | Removal of hydrocele | 5.36 | NA | NA | 3.22 | 3.74 | 0.35 | NA | NA | 8.93 | 9.45 | 090 | |
| 55041 | A | Removal of hydroceles | 7.74 | NA | NA | 4.19 | 5.17 | 0.50 | NA | NA | 12.43 | 13.41 | 090 | |
| 55060 | A | Repair of hydrocele | 5.52 | NA | NA | 3.28 | 3.58 | 0.37 | NA | NA | 9.17 | 9.47 | 090 | |
| 55100 | A | Drainage of scrotum abscess | 2.13 | 8.89 | 6.84 | 3.34 | 2.68 | 0.13 | 11.15 | 9.10 | 5.60 | 4.94 | 010 | |
| 55110 | A | Explore scrotum | 5.70 | NA | NA | 3.35 | 3.46 | 0.35 | NA | NA | 9.40 | 9.51 | 090 | |
| 55120 | A | Removal of scrotum lesion | 5.09 | NA | NA | 3.17 | 2.86 | 0.30 | NA | NA | 8.56 | 8.25 | 090 | |
| 55150 | A | Removal of scrotum | 7.22 | NA | NA | 4.26 | 4.67 | 0.46 | NA | NA | 11.94 | 12.35 | 090 | |
| 55175 | A | Revision of scrotum | 5.24 | NA | NA | 3.37 | 3.75 | 0.31 | NA | NA | 8.92 | 9.30 | 090 | |
| 55180 | A | Revision of scrotum | 10.72 | NA | NA | 5.97 | 6.33 | 0.72 | NA | NA | 17.41 | 17.77 | 090 | |
| 55200 | A | Incision of sperm duct | 4.24 | NA | NA | 2.93 | 2.73 | 0.27 | NA | NA | 7.44 | 7.24 | 090 | |
| 55250 | A | Removal of sperm duct(s) | 3.29 | 8.34 | 6.97 | 2.79 | 2.81 | 0.20 | 11.83 | 10.46 | 6.28 | 6.30 | 090 | |
| 55300 | A | Prepare, sperm duct x-ray | 3.51 | NA | NA | 1.44 | 1.82 | 0.19 | NA | NA | 5.14 | 5.52 | 000 | |
| 55400 | A | Repair of sperm duct | 8.49 | NA | NA | 4.84 | 5.41 | 0.52 | NA | NA | 13.85 | 14.42 | 090 | |
| 55450 | A | Ligation of sperm duct | 4.12 | 7.19 | 6.10 | 2.26 | 2.40 | 0.31 | 11.62 | 10.53 | 6.69 | 6.83 | 010 | |
| 55500 | A | Removal of hydrocele | 5.59 | NA | NA | 3.46 | 3.77 | 0.43 | NA | NA | 9.48 | 9.79 | 090 | |
| 55520 | A | Removal of sperm cord lesion | 6.03 | NA | NA | 3.59 | 3.54 | 0.57 | NA | NA | 10.19 | 10.14 | 090 | |
| 55530 | A | Revise spermatic cord veins | 5.66 | NA | NA | 3.53 | 4.06 | 0.36 | NA | NA | 9.55 | 10.08 | 090 | |
| 55535 | A | Revise spermatic cord veins | 6.56 | NA | NA | 3.82 | 4.06 | 0.41 | NA | NA | 10.79 | 11.03 | 090 | |
| 55540 | A | Revise hernia sperm veins | 7.67 | NA | NA | 4.23 | 4.41 | 0.73 | NA | NA | 12.63 | 12.81 | 090 | |
| 55550 | A | Laparo ligate spermatic vein | 6.57 | NA | NA | 3.31 | 3.68 | 0.41 | NA | NA | 10.29 | 10.66 | 090 | |
| 55559 | C | Laparo proc, spermatic cord | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55600 | A | Incise sperm duct pouch | 6.38 | NA | NA | 3.91 | 4.10 | 0.36 | NA | NA | 10.65 | 10.84 | 090 | |
| 55605 | A | Incise sperm duct pouch | 7.96 | NA | NA | 4.62 | 4.99 | 0.52 | NA | NA | 13.10 | 13.47 | 090 | |
| 55650 | A | Remove sperm duct pouch | 11.80 | NA | NA | 5.95 | 6.42 | 0.70 | NA | NA | 18.45 | 18.92 | 090 | |
| 55680 | A | Remove sperm pouch lesion | 5.19 | NA | NA | 4.11 | 4.29 | 0.30 | NA | NA | 9.60 | 9.78 | 090 | |
| 55700 | A | Biopsy of prostate | 1.57 | 3.49 | 3.03 | 0.51 | 0.79 | 0.09 | 5.15 | 4.69 | 2.17 | 2.45 | 000 | |
| 55705 | A | Biopsy of prostate | 4.57 | NA | NA | 3.47 | 3.52 | 0.25 | NA | NA | 8.29 | 8.34 | 010 | |
| 55720 | A | Drainage of prostate abscess | 7.64 | NA | NA | 5.38 | 4.99 | 0.44 | NA | NA | 13.46 | 13.07 | 090 | |
| 55725 | A | Drainage of prostate abscess | 8.68 | NA | NA | 5.97 | 6.00 | 0.52 | NA | NA | 15.17 | 15.20 | 090 | |
| 55801 | A | Removal of prostate | 17.80 | NA | NA | 8.80 | 10.06 | 1.09 | NA | NA | 27.69 | 28.95 | 090 | |
| 55810 | A | Extensive prostate surgery | 22.58 | NA | NA | 10.48 | 12.71 | 1.32 | NA | NA | 34.38 | 36.61 | 090 | |
| 55812 | A | Extensive prostate surgery | 27.51 | NA | NA | 12.82 | 14.41 | 1.65 | NA | NA | 41.98 | 43.57 | 090 | |
| 55815 | A | Extensive prostate surgery | 30.46 | NA | NA | 13.67 | 17.09 | 1.88 | NA | NA | 46.01 | 49.43 | 090 | |
| 55821 | A | Removal of prostate | 14.25 | NA | NA | 7.43 | 9.26 | 0.85 | NA | NA | 22.53 | 24.36 | 090 | |
| 55831 | A | Removal of prostate | 15.62 | NA | NA | 7.90 | 9.88 | 0.94 | NA | NA | 24.46 | 26.44 | 090 | |
| 55840 | A | Extensive prostate surgery | 22.69 | NA | NA | 11.18 | 12.89 | 1.37 | NA | NA | 35.24 | 36.95 | 090 | |
| 55842 | A | Extensive prostate surgery | 24.38 | NA | NA | 11.79 | 14.04 | 1.50 | NA | NA | 37.67 | 39.92 | 090 | |
| 55845 | A | Extensive prostate surgery | 28.55 | NA | NA | 13.05 | 16.60 | 1.69 | NA | NA | 43.29 | 46.84 | 090 | |
| 55859 | A | Percut/needle insert, pros | 12.52 | NA | NA | 6.97 | 6.83 | 0.69 | NA | NA | 20.18 | 20.04 | 090 | |
| 55860 | A | Surgical exposure, prostate | 14.45 | NA | NA | 7.90 | 7.86 | 0.78 | NA | NA | 23.13 | 23.09 | 090 | |
| 55862 | A | Extensive prostate surgery | 18.39 | NA | NA | 9.50 | 10.30 | 1.19 | NA | NA | 29.08 | 29.88 | 090 | |
| 55865 | A | Extensive prostate surgery | 22.87 | NA | NA | 10.55 | 14.57 | 1.40 | NA | NA | 34.82 | 38.84 | 090 | |
| 55870 | A | Electroejaculation | 2.58 | 1.65 | 1.74 | 0.91 | 1.18 | 0.14 | 4.37 | 4.46 | 3.63 | 3.90 | 000 | |
| 55899 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55970 | N | Sex transformation, M to F | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 55980 | N | Sex transformation, F to M | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 56300 | D | Laparoscopy; diagnostic | 5.10 | 2.02 | 2.72 | 2.02 | 2.72 | 0.47 | 7.59 | 8.29 | 7.59 | 8.29 | 010 | |
| 56301 | D | Laparoscopy; tubal cautery | 5.60 | 2.22 | 2.94 | 2.22 | 2.94 | 0.43 | 8.25 | 8.97 | 8.25 | 8.97 | 010 | |
| 56302 | D | Laparoscopy; tubal block | 5.60 | 2.22 | 3.09 | 2.22 | 3.09 | 0.43 | 8.25 | 9.12 | 8.25 | 9.12 | 010 | |
| 56303 | D | Laparoscopy; excise lesions | 11.79 | 4.67 | 5.00 | 4.67 | 5.00 | 0.93 | 17.39 | 17.72 | 17.39 | 17.72 | 090 | |
| 56304 | D | Laparoscopy; lysis | 11.29 | 4.48 | 4.88 | 4.48 | 4.88 | 1.04 | 16.81 | 17.21 | 16.81 | 17.21 | 090 | |
| 56305 | D | Laparoscopy; biopsy | 5.40 | 2.14 | 2.94 | 2.14 | 2.94 | 0.50 | 8.04 | 8.84 | 8.04 | 8.84 | 010 | |
| 56306 | D | Laparoscopy; aspiration | 5.70 | 2.26 | 3.02 | 2.26 | 3.02 | 0.48 | 8.44 | 9.20 | 8.44 | 9.20 | 010 | |
| 56307 | D | Laparoscopy; remove adnexa | 11.05 | 4.38 | 5.23 | 4.38 | 5.23 | 0.86 | 16.29 | 17.14 | 16.29 | 17.14 | 010 | |
| 56308 | D | Laparoscopy; hysterectomy | 14.19 | 5.63 | 6.77 | 5.63 | 6.77 | 1.09 | 20.91 | 22.05 | 20.91 | 22.05 | 010 | |
| 56309 | D | Laparoscopy; remove myoma | 14.21 | 5.63 | 5.52 | 5.63 | 5.52 | 1.13 | 20.97 | 20.86 | 20.97 | 20.86 | 010 | |
| 56310 | D | Laparoscopic enterolysis | 14.44 | 5.72 | 6.54 | 5.72 | 6.54 | 1.42 | 21.58 | 22.40 | 21.58 | 22.40 | 090 | |
| 56311 | D | Laparoscopic lymph node biop | 9.25 | 3.67 | 4.48 | 3.67 | 4.48 | 0.82 | 13.74 | 14.55 | 13.74 | 14.55 | 010 | |
| 56312 | D | Laparoscopic lymphadenectomy | 12.38 | 4.91 | 6.01 | 4.91 | 6.01 | 0.77 | 18.06 | 19.16 | 18.06 | 19.16 | 010 | |
| 56313 | D | Laparoscopic lymphadenectomy | 14.32 | 5.68 | 6.98 | 5.68 | 6.98 | 1.02 | 21.02 | 22.32 | 21.02 | 22.32 | 010 | |
| 56314 | D | Lapar; drain lymphocele | 9.48 | 3.76 | 4.65 | 3.76 | 4.65 | 0.91 | 14.15 | 15.04 | 14.15 | 15.04 | 090 | |
| 56315 | D | Laparoscopic appendectomy | 8.70 | 3.45 | 3.92 | 3.45 | 3.92 | 0.86 | 13.01 | 13.48 | 13.01 | 13.48 | 090 | |
| 56316 | D | Laparoscopic hernia repair | 6.27 | 2.49 | 3.09 | 2.49 | 3.09 | 0.62 | 9.38 | 9.98 | 9.38 | 9.98 | 090 | |
| 56317 | D | Laparoscopic hernia repair | 8.24 | 3.27 | 3.87 | 3.27 | 3.87 | 0.83 | 12.34 | 12.94 | 12.34 | 12.94 | 090 | |
| 56318 | D | Laparoscopic orchiectomy | 10.96 | 4.34 | 5.22 | 4.34 | 5.22 | 0.69 | 15.99 | 16.87 | 15.99 | 16.87 | 090 | |
| 56320 | D | Laparoscopy, spermatic veins | 6.57 | 2.60 | 3.15 | 2.60 | 3.15 | 0.41 | 9.58 | 10.13 | 9.58 | 10.13 | 090 | |
| 56321 | D | Laparoscopy; adrenalectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 56322 | D | Laparoscopy, vagus nerves | 10.15 | 4.02 | 4.39 | 4.02 | 4.39 | 1.01 | 15.18 | 15.55 | 15.18 | 15.55 | 090 | |
| 56323 | D | Laparoscopy, vagus nerves | 12.15 | 4.82 | 5.27 | 4.82 | 5.27 | 1.16 | 18.13 | 18.58 | 18.13 | 18.58 | 090 | |
| 56324 | D | Laparoscopy, cholecystoenter | 12.58 | 4.99 | 6.23 | 4.99 | 6.23 | 1.26 | 18.83 | 20.07 | 18.83 | 20.07 | 090 | |
| 56340 | D | Laparoscopic cholecystectomy | 11.09 | 4.40 | 5.47 | 4.40 | 5.47 | 1.10 | 16.59 | 17.66 | 16.59 | 17.66 | 090 | |
| 56341 | D | Laparoscopic cholecystectomy | 11.94 | 4.73 | 5.84 | 4.73 | 5.84 | 1.18 | 17.85 | 18.96 | 17.85 | 18.96 | 090 | |
| 56342 | D | Laparoscopic cholecystectomy | 14.23 | 5.64 | 6.77 | 5.64 | 6.77 | 1.38 | 21.25 | 22.38 | 21.25 | 22.38 | 090 | |
| 56343 | D | Laparoscopic salpingostomy | 13.74 | 5.45 | 5.52 | 5.45 | 5.52 | 1.11 | 20.30 | 20.37 | 20.30 | 20.37 | 090 | |
| 56344 | D | Laparoscopic fimbrioplasty | 12.88 | 5.11 | 5.22 | 5.11 | 5.22 | 1.11 | 19.10 | 19.21 | 19.10 | 19.21 | 090 | |
| 56345 | D | Laparoscopic splenectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 56346 | D | Laparoscopic gastrostomy | 7.73 | 3.06 | 3.98 | 3.06 | 3.98 | 0.74 | 11.53 | 12.45 | 11.53 | 12.45 | 090 | |
| 56347 | D | Laparoscopic jejunostomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 56348 | D | Laparo; resect intestine | 22.04 | 8.74 | 10.15 | 8.74 | 10.15 | 2.19 | 32.97 | 34.38 | 32.97 | 34.38 | 090 | |
| 56349 | D | Laparoscopy; fundoplasty | 17.25 | 6.84 | 8.35 | 6.84 | 8.35 | 1.73 | 25.82 | 27.33 | 25.82 | 27.33 | 090 | |
| 56350 | D | Hysteroscopy; diagnostic | 3.33 | 1.32 | 1.53 | 1.32 | 1.53 | 0.25 | 4.90 | 5.11 | 4.90 | 5.11 | 000 | |
| 56351 | D | Hysteroscopy; biopsy | 4.75 | 1.88 | 1.95 | 1.88 | 1.95 | 0.36 | 6.99 | 7.06 | 6.99 | 7.06 | 000 | |
| 56352 | D | Hysteroscopy; lysis | 6.17 | 2.45 | 2.86 | 2.45 | 2.86 | 0.47 | 9.09 | 9.50 | 9.09 | 9.50 | 000 | |
| 56353 | D | Hysteroscopy; resect septum | 0.07 | 2.78 | 3.11 | 2.78 | 3.11 | 0.53 | 3.38 | 3.71 | 3.38 | 3.71 | 000 | |
| 56354 | D | Hysteroscopy; remove myoma | 0.10 | 3.96 | 4.31 | 3.96 | 4.31 | 0.75 | 4.81 | 5.16 | 4.81 | 5.16 | 000 | |
| 56355 | D | Hysteroscopy; remove impact | 5.21 | 2.07 | 2.09 | 2.07 | 2.09 | 0.39 | 7.67 | 7.69 | 7.67 | 7.69 | 000 | |
| 56356 | D | Hysteroscopy; ablation | 6.17 | 2.45 | 3.03 | 2.45 | 3.03 | 0.47 | 9.09 | 9.67 | 9.09 | 9.67 | 000 | |
| 56362 | D | Laparoscopy w/cholangio | 4.89 | 1.94 | 2.21 | 1.94 | 2.21 | 0.47 | 7.30 | 7.57 | 7.30 | 7.57 | 000 | |
| 56363 | D | Laparoscopy w/biopsy | 5.18 | 2.05 | 2.61 | 2.05 | 2.61 | 0.47 | 7.70 | 8.26 | 7.70 | 8.26 | 000 | |
| 56399 | D | Laparoscopy procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 56405 | A | I D of vulva/perineum | 1.44 | 2.15 | 1.82 | 1.20 | 1.11 | 0.11 | 3.70 | 3.37 | 2.75 | 2.66 | 010 | |
| 56420 | A | Drainage of gland abscess | 1.39 | 2.15 | 1.83 | 1.11 | 1.05 | 0.11 | 3.65 | 3.33 | 2.61 | 2.55 | 010 | |
| 56440 | A | Surgery for vulva lesion | 2.84 | 3.29 | 3.18 | 2.12 | 2.30 | 0.22 | 6.35 | 6.24 | 5.18 | 5.36 | 010 | |
| 56441 | A | Lysis of labial lesion(s) | 1.97 | 2.35 | 2.21 | 1.89 | 1.87 | 0.13 | 4.45 | 4.31 | 3.99 | 3.97 | 010 | |
| 56501 | A | Destruction, vulva lesion(s) | 1.53 | 2.12 | 1.74 | 1.24 | 1.08 | 0.11 | 3.76 | 3.38 | 2.88 | 2.72 | 010 | |
| 56515 | A | Destruction, vulva lesion(s) | 1.88 | 2.50 | 2.52 | 1.81 | 2.00 | 0.13 | 4.51 | 4.53 | 3.82 | 4.01 | 010 | |
| 56605 | A | Biopsy of vulva/perineum | 1.10 | 1.64 | 1.42 | 0.46 | 0.53 | 0.09 | 2.83 | 2.61 | 1.65 | 1.72 | 000 | |
| 56606 | A | Biopsy of vulva/perineum | 0.55 | 1.41 | 1.15 | 0.21 | 0.25 | 0.04 | 2.00 | 1.74 | 0.80 | 0.84 | ZZZ | |
| 56620 | A | Partial removal of vulva | 7.47 | NA | NA | 4.57 | 5.18 | 0.56 | NA | NA | 12.60 | 13.21 | 090 | |
| 56625 | A | Complete removal of vulva | 8.40 | NA | NA | 5.37 | 6.54 | 0.63 | NA | NA | 14.40 | 15.57 | 090 | |
| 56630 | A | Extensive vulva surgery | 12.36 | NA | NA | 7.07 | 8.96 | 0.94 | NA | NA | 20.37 | 22.26 | 090 | |
| 56631 | A | Extensive vulva surgery | 16.20 | NA | NA | 9.56 | 12.01 | 1.21 | NA | NA | 26.97 | 29.42 | 090 | |
| 56632 | A | Extensive vulva surgery | 20.29 | NA | NA | 8.00 | 11.79 | 1.52 | NA | NA | 29.81 | 33.60 | 090 | |
| 56633 | A | Extensive vulva surgery | 16.47 | NA | NA | 8.68 | 10.84 | 1.24 | NA | NA | 26.39 | 28.55 | 090 | |
| 56634 | A | Extensive vulva surgery | 17.88 | NA | NA | 10.18 | 12.97 | 1.34 | NA | NA | 29.40 | 32.19 | 090 | |
| 56637 | A | Extensive vulva surgery | 21.97 | NA | NA | 11.79 | 14.66 | 1.64 | NA | NA | 35.40 | 38.27 | 090 | |
| 56640 | A | Extensive vulva surgery | 22.17 | NA | NA | 11.69 | 14.18 | 1.64 | NA | NA | 35.50 | 37.99 | 090 | |
| 56700 | A | Partial removal of hymen | 2.52 | 2.87 | 2.65 | 1.88 | 1.91 | 0.18 | 5.57 | 5.35 | 4.58 | 4.61 | 010 | |
| 56720 | A | Incision of hymen | 0.68 | 1.48 | 1.24 | 0.62 | 0.60 | 0.05 | 2.21 | 1.97 | 1.35 | 1.33 | 000 | |
| 56740 | A | Remove vagina gland lesion | 3.76 | 3.30 | 3.25 | 2.45 | 2.62 | 0.31 | 7.37 | 7.32 | 6.52 | 6.69 | 010 | |
| 56800 | A | Repair of vagina | 3.89 | NA | NA | 2.54 | 2.70 | 0.29 | NA | NA | 6.72 | 6.88 | 010 | |
| 56805 | A | Repair clitoris | 18.86 | NA | NA | 8.80 | 9.79 | 1.08 | NA | NA | 28.74 | 29.73 | 090 | |
| 56810 | A | Repair of perineum | 4.13 | NA | NA | 2.60 | 2.66 | 0.32 | NA | NA | 7.05 | 7.11 | 010 | |
| 57000 | A | Exploration of vagina | 2.97 | NA | NA | 2.21 | 2.21 | 0.22 | NA | NA | 5.40 | 5.40 | 010 | |
| 57010 | A | Drainage of pelvic abscess | 6.03 | NA | NA | 3.64 | 3.45 | 0.48 | NA | NA | 10.15 | 9.96 | 090 | |
| 57020 | A | Drainage of pelvic fluid | 1.50 | 1.46 | 1.27 | 0.59 | 0.62 | 0.11 | 3.07 | 2.88 | 2.20 | 2.23 | 000 | |
| 57061 | A | Destruction vagina lesion(s) | 1.25 | 2.05 | 1.76 | 1.16 | 1.09 | 0.10 | 3.40 | 3.11 | 2.51 | 2.44 | 010 | |
| 57065 | A | Destruction vagina lesion(s) | 2.61 | 2.68 | 2.79 | 2.10 | 2.35 | 0.20 | 5.49 | 5.60 | 4.91 | 5.16 | 010 | |
| 57100 | A | Biopsy of vagina | 0.97 | 1.32 | 1.16 | 0.40 | 0.47 | 0.08 | 2.37 | 2.21 | 1.45 | 1.52 | 000 | |
| 57105 | A | Biopsy of vagina | 1.69 | 2.01 | 1.93 | 2.01 | 1.93 | 0.12 | 3.82 | 3.74 | 3.82 | 3.74 | 010 | |
| 57106 | A | Remove vagina wall, partial | 6.36 | 2.46 | 2.46 | 2.46 | 2.46 | 0.51 | 9.33 | 9.33 | 9.33 | 9.33 | 090 | |
| 57107 | A | Remove vagina tissue, part | 0.23 | NA | NA | 10.00 | 10.00 | 1.75 | NA | NA | 11.98 | 11.98 | 090 | |
| 57109 | A | Vaginectomy partial w/nodes | 0.27 | NA | NA | 11.68 | 11.68 | 1.81 | NA | NA | 13.76 | 13.76 | 090 | |
| 57110 | A | Remove vagina wall, complete | 14.29 | NA | NA | 6.89 | 7.31 | 1.07 | NA | NA | 22.25 | 22.67 | 090 | |
| 57111 | A | Remove vagina tissue, compl | 0.27 | NA | NA | 11.75 | 11.75 | 2.03 | NA | NA | 14.05 | 14.05 | 090 | |
| 57112 | A | Vaginectomy w/nodes, compl | 0.29 | NA | NA | 12.28 | 12.28 | 1.89 | NA | NA | 14.46 | 14.46 | 090 | |
| 57120 | A | Closure of vagina | 7.41 | NA | NA | 4.32 | 5.14 | 0.56 | NA | NA | 12.29 | 13.11 | 090 | |
| 57130 | A | Remove vagina lesion | 2.43 | NA | NA | 1.94 | 2.17 | 0.19 | NA | NA | 4.56 | 4.79 | 010 | |
| 57135 | A | Remove vagina lesion | 2.67 | 2.67 | 2.53 | 2.07 | 2.08 | 0.20 | 5.54 | 5.40 | 4.94 | 4.95 | 010 | |
| 57150 | A | Treat vagina infection | 0.55 | 0.87 | 0.71 | 0.21 | 0.21 | 0.04 | 1.46 | 1.30 | 0.80 | 0.80 | 000 | |
| 57160 | A | Insert pessary/other device | 0.89 | 1.25 | 1.01 | 0.34 | 0.32 | 0.07 | 2.21 | 1.97 | 1.30 | 1.28 | 000 | |
| 57170 | A | Fitting of diaphragm/cap | 0.91 | 1.27 | 1.04 | 0.34 | 0.34 | 0.07 | 2.25 | 2.02 | 1.32 | 1.32 | 000 | |
| 57180 | A | Treat vaginal bleeding | 1.58 | 2.07 | 1.70 | 1.34 | 1.16 | 0.12 | 3.77 | 3.40 | 3.04 | 2.86 | 010 | |
| 57200 | A | Repair of vagina | 3.94 | NA | NA | 2.80 | 2.84 | 0.31 | NA | NA | 7.05 | 7.09 | 090 | |
| 57210 | A | Repair vagina/perineum | 5.17 | NA | NA | 3.25 | 3.33 | 0.40 | NA | NA | 8.82 | 8.90 | 090 | |
| 57220 | A | Revision of urethra | 4.31 | NA | NA | 3.12 | 3.55 | 0.32 | NA | NA | 7.75 | 8.18 | 090 | |
| 57230 | A | Repair of urethral lesion | 5.64 | NA | NA | 3.87 | 3.95 | 0.40 | NA | NA | 9.91 | 9.99 | 090 | |
| 57240 | A | Repair bladder vagina | 6.07 | NA | NA | 4.08 | 4.87 | 0.44 | NA | NA | 10.59 | 11.38 | 090 | |
| 57250 | A | Repair rectum vagina | 5.53 | NA | NA | 3.57 | 4.33 | 0.42 | NA | NA | 9.52 | 10.28 | 090 | |
| 57260 | A | Repair of vagina | 8.27 | NA | NA | 4.62 | 5.81 | 0.63 | NA | NA | 13.52 | 14.71 | 090 | |
| 57265 | A | Extensive repair of vagina | 11.34 | NA | NA | 6.36 | 7.33 | 0.86 | NA | NA | 18.56 | 19.53 | 090 | |
| 57268 | A | Repair of bowel bulge | 6.76 | NA | NA | 4.02 | 4.92 | 0.52 | NA | NA | 11.30 | 12.20 | 090 | |
| 57270 | A | Repair of bowel pouch | 12.11 | NA | NA | 5.94 | 6.31 | 0.92 | NA | NA | 18.97 | 19.34 | 090 | |
| 57280 | A | Suspension of vagina | 15.04 | NA | NA | 7.07 | 7.62 | 1.13 | NA | NA | 23.24 | 23.79 | 090 | |
| 57282 | A | Repair of vaginal prolapse | 8.86 | NA | NA | 4.88 | 6.03 | 0.67 | NA | NA | 14.41 | 15.56 | 090 | |
| 57284 | A | Repair paravaginal defect | 12.70 | NA | NA | 6.65 | 7.32 | 0.93 | NA | NA | 20.28 | 20.95 | 090 | |
| 57288 | A | Repair bladder defect | 13.02 | NA | NA | 6.52 | 7.80 | 0.80 | NA | NA | 20.34 | 21.62 | 090 | |
| 57289 | A | Repair bladder vagina | 11.58 | NA | NA | 6.26 | 6.92 | 0.78 | NA | NA | 18.62 | 19.28 | 090 | |
| 57291 | A | Construction of vagina | 7.95 | NA | NA | 5.54 | 5.61 | 0.62 | NA | NA | 14.11 | 14.18 | 090 | |
| 57292 | A | Construct vagina with graft | 13.09 | NA | NA | 6.67 | 6.78 | 1.08 | NA | NA | 20.84 | 20.95 | 090 | |
| 57300 | A | Repair rectum-vagina fistula | 7.61 | NA | NA | 4.49 | 5.51 | 0.69 | NA | NA | 12.79 | 13.81 | 090 | |
| 57305 | A | Repair rectum-vagina fistula | 13.77 | NA | NA | 6.74 | 7.10 | 1.34 | NA | NA | 21.85 | 22.21 | 090 | |
| 57307 | A | Fistula repair colostomy | 15.93 | NA | NA | 7.55 | 7.32 | 1.57 | NA | NA | 25.05 | 24.82 | 090 | |
| 57308 | A | Fistula repair, transperine | 9.94 | NA | NA | 5.53 | 6.11 | 0.86 | NA | NA | 16.33 | 16.91 | 090 | |
| 57310 | A | Repair urethrovaginal lesion | 6.78 | NA | NA | 4.40 | 4.47 | 0.43 | NA | NA | 11.61 | 11.68 | 090 | |
| 57311 | A | Repair urethrovaginal lesion | 7.98 | NA | NA | 5.06 | 5.31 | 0.41 | NA | NA | 13.45 | 13.70 | 090 | |
| 57320 | A | Repair bladder-vagina lesion | 8.01 | NA | NA | 4.91 | 6.07 | 0.51 | NA | NA | 13.43 | 14.59 | 090 | |
| 57330 | A | Repair bladder-vagina lesion | 12.35 | NA | NA | 6.37 | 7.03 | 0.78 | NA | NA | 19.50 | 20.16 | 090 | |
| 57335 | A | Repair vagina | 18.73 | NA | NA | 8.67 | 8.38 | 1.37 | NA | NA | 28.77 | 28.48 | 090 | |
| 57400 | A | Dilation of vagina | 2.27 | NA | NA | 1.24 | 1.02 | 0.16 | NA | NA | 3.67 | 3.45 | 000 | |
| 57410 | A | Pelvic examination | 1.75 | 2.48 | 1.96 | 1.02 | 0.86 | 0.11 | 4.34 | 3.82 | 2.88 | 2.72 | 000 | |
| 57415 | A | Remove vaginal foreign body | 2.17 | 3.13 | 2.45 | 1.92 | 1.54 | 0.16 | 5.46 | 4.78 | 4.25 | 3.87 | 010 | |
| 57452 | A | Examination of vagina | 0.99 | 1.52 | 1.32 | 0.36 | 0.45 | 0.08 | 2.59 | 2.39 | 1.43 | 1.52 | 000 | |
| 57454 | A | Vagina examination biopsy | 1.27 | 1.60 | 1.53 | 0.48 | 0.69 | 0.10 | 2.97 | 2.90 | 1.85 | 2.06 | 000 | |
| 57460 | A | Cervix excision | 2.83 | 1.89 | 1.97 | 1.10 | 1.37 | 0.21 | 4.93 | 5.01 | 4.14 | 4.41 | 000 | |
| 57500 | A | Biopsy of cervix | 0.97 | 1.29 | 1.12 | 0.41 | 0.46 | 0.08 | 2.34 | 2.17 | 1.46 | 1.51 | 000 | |
| 57505 | A | Endocervical curettage | 1.14 | 1.76 | 1.49 | 1.16 | 1.04 | 0.09 | 2.99 | 2.72 | 2.39 | 2.27 | 010 | |
| 57510 | A | Cauterization of cervix | 1.90 | 2.87 | 2.29 | 1.45 | 1.23 | 0.14 | 4.91 | 4.33 | 3.49 | 3.27 | 010 | |
| 57511 | A | Cryocautery of cervix | 1.90 | 2.21 | 1.89 | 0.72 | 0.77 | 0.14 | 4.25 | 3.93 | 2.76 | 2.81 | 010 | |
| 57513 | A | Laser surgery of cervix | 1.90 | 2.37 | 2.35 | 1.44 | 1.65 | 0.14 | 4.41 | 4.39 | 3.48 | 3.69 | 010 | |
| 57520 | A | Conization of cervix | 4.04 | 3.87 | 3.84 | 2.63 | 2.91 | 0.31 | 8.22 | 8.19 | 6.98 | 7.26 | 090 | |
| 57522 | A | Conization of cervix | 3.36 | 3.44 | 3.52 | 2.35 | 2.70 | 0.26 | 7.06 | 7.14 | 5.97 | 6.32 | 090 | |
| 57530 | A | Removal of cervix | 4.79 | NA | NA | 3.32 | 3.47 | 0.37 | NA | NA | 8.48 | 8.63 | 090 | |
| 57531 | A | Removal of cervix, radical | 0.28 | NA | NA | 13.09 | 14.64 | 2.16 | NA | NA | 15.53 | 17.08 | 090 | |
| 57540 | A | Removal of residual cervix | 12.22 | NA | NA | 6.01 | 6.34 | 0.01 | NA | NA | 18.24 | 18.57 | 090 | |
| 57545 | A | Remove cervix/repair pelvis | 13.03 | NA | NA | 6.27 | 5.95 | 1.02 | NA | NA | 20.32 | 20.00 | 090 | |
| 57550 | A | Removal of residual cervix | 5.53 | NA | NA | 3.58 | 4.34 | 0.43 | NA | NA | 9.54 | 10.30 | 090 | |
| 57555 | A | Remove cervix/repair vagina | 8.95 | NA | NA | 5.28 | 6.63 | 0.70 | NA | NA | 14.93 | 16.28 | 090 | |
| 57556 | A | Remove cervix, repair bowel | 8.37 | NA | NA | 4.61 | 5.96 | 0.64 | NA | NA | 13.62 | 14.97 | 090 | |
| 57700 | A | Revision of cervix | 3.55 | NA | NA | 2.43 | 2.47 | 0.26 | NA | NA | 6.24 | 6.28 | 090 | |
| 57720 | A | Revision of cervix | 4.13 | NA | NA | 3.05 | 3.04 | 0.31 | NA | NA | 7.49 | 7.48 | 090 | |
| 57800 | A | Dilation of cervical canal | 0.77 | 1.06 | 0.93 | 0.33 | 0.38 | 0.06 | 1.89 | 1.76 | 1.16 | 1.21 | 000 | |
| 57820 | A | D c of residual cervix | 1.67 | 2.36 | 2.34 | 2.02 | 2.08 | 0.13 | 4.16 | 4.14 | 3.82 | 3.88 | 010 | |
| 58100 | A | Biopsy of uterus lining | 0.71 | 1.91 | 1.61 | 0.27 | 0.38 | 0.06 | 2.68 | 2.38 | 1.04 | 1.15 | 000 | |
| 58120 | A | Dilation and curettage | 3.27 | 3.48 | 3.34 | 2.26 | 2.43 | 0.25 | 7.00 | 6.86 | 5.78 | 5.95 | 010 | |
| 58140 | A | Removal of uterus lesion | 14.60 | NA | NA | 6.86 | 7.41 | 1.24 | NA | NA | 22.70 | 23.25 | 090 | |
| 58145 | A | Removal of uterus lesion | 8.04 | NA | NA | 4.58 | 5.67 | 0.60 | NA | NA | 13.22 | 14.31 | 090 | |
| 58150 | A | Total hysterectomy | 15.24 | NA | NA | 7.21 | 8.01 | 1.19 | NA | NA | 23.64 | 24.44 | 090 | |
| 58152 | A | Total hysterectomy | 15.09 | NA | NA | 7.16 | 8.62 | 1.16 | NA | NA | 23.41 | 24.87 | 090 | |
| 58180 | A | Partial hysterectomy | 15.29 | NA | NA | 7.22 | 8.06 | 1.23 | NA | NA | 23.74 | 24.58 | 090 | |
| 58200 | A | Extensive hysterectomy | 21.59 | NA | NA | 10.53 | 11.42 | 1.65 | NA | NA | 33.77 | 34.66 | 090 | |
| 58210 | A | Extensive hysterectomy | 28.85 | NA | NA | 13.32 | 14.81 | 2.18 | NA | NA | 44.35 | 45.84 | 090 | |
| 58240 | A | Removal of pelvis contents | 38.39 | NA | NA | 17.96 | 21.27 | 2.98 | NA | NA | 59.33 | 62.64 | 090 | |
| 58260 | A | Vaginal hysterectomy | 12.20 | NA | NA | 5.65 | 6.79 | 0.94 | NA | NA | 18.79 | 19.93 | 090 | |
| 58262 | A | Vaginal hysterectomy | 13.99 | NA | NA | 6.41 | 7.36 | 1.06 | NA | NA | 21.46 | 22.41 | 090 | |
| 58263 | A | Vaginal hysterectomy | 15.28 | NA | NA | 6.89 | 7.97 | 1.16 | NA | NA | 23.33 | 24.41 | 090 | |
| 58267 | A | Hysterectomy vagina repair | 0.15 | NA | NA | 6.76 | 8.20 | 1.15 | NA | NA | 8.06 | 9.50 | 090 | |
| 58270 | A | Hysterectomy vagina repair | 13.48 | NA | NA | 6.19 | 7.44 | 1.03 | NA | NA | 20.70 | 21.95 | 090 | |
| 58275 | A | Hysterectomy/revise vagina | 14.98 | NA | NA | 6.76 | 8.06 | 1.17 | NA | NA | 22.91 | 24.21 | 090 | |
| 58280 | A | Hysterectomy/revise vagina | 15.41 | NA | NA | 6.92 | 8.04 | 1.18 | NA | NA | 23.51 | 24.63 | 090 | |
| 58285 | A | Extensive hysterectomy | 18.57 | NA | NA | 9.33 | 10.15 | 1.42 | NA | NA | 29.32 | 30.14 | 090 | |
| 58300 | N | Insert intrauterine device | 1.01 | 1.31 | 1.19 | 0.40 | 0.51 | 0.08 | 2.40 | 2.28 | 1.49 | 1.60 | XXX | |
| 58301 | A | Remove intrauterine device | 1.27 | 1.41 | 1.18 | 0.48 | 0.48 | 0.10 | 2.78 | 2.55 | 1.85 | 1.85 | 000 | |
| 58321 | A | Artificial insemination | 0.92 | 0.90 | 0.87 | 0.36 | 0.46 | 0.07 | 1.89 | 1.86 | 1.35 | 1.45 | 000 | |
| 58322 | A | Artificial insemination | 1.10 | 0.94 | 0.90 | 0.42 | 0.51 | 0.08 | 2.12 | 2.08 | 1.60 | 1.69 | 000 | |
| 58323 | A | Sperm washing | 0.23 | 0.46 | 0.39 | 0.09 | 0.11 | 0.02 | 0.71 | 0.64 | 0.34 | 0.36 | 000 | |
| 58340 | A | Catheter for hysterography | 0.88 | 8.09 | 6.22 | 0.32 | 0.40 | 0.06 | 9.03 | 7.16 | 1.26 | 1.34 | 000 | |
| 58345 | A | Reopen fallopian tube | 4.66 | NA | NA | 1.72 | 2.24 | 0.26 | NA | NA | 6.64 | 7.16 | 010 | |
| 58350 | A | Reopen fallopian tube | 1.01 | 1.81 | 1.55 | 1.02 | 0.95 | 0.08 | 2.90 | 2.64 | 2.11 | 2.04 | 010 | |
| 58400 | A | Suspension of uterus | 6.36 | NA | NA | 3.79 | 4.37 | 0.49 | NA | NA | 10.64 | 11.22 | 090 | |
| 58410 | A | Suspension of uterus | 12.73 | NA | NA | 6.43 | 6.32 | 0.94 | NA | NA | 20.10 | 19.99 | 090 | |
| 58520 | A | Repair of ruptured uterus | 11.92 | NA | NA | 5.93 | 5.60 | 1.03 | NA | NA | 18.88 | 18.55 | 090 | |
| 58540 | A | Revision of uterus | 14.64 | NA | NA | 5.92 | 6.10 | 1.11 | NA | NA | 21.67 | 21.85 | 090 | |
| 58550 | A | Laparo-asst vag hysterectomy | 14.19 | NA | NA | 6.44 | 7.38 | 1.11 | NA | NA | 21.74 | 22.68 | 010 | |
| 58551 | A | Laparoscopy, remove myoma | 14.21 | NA | NA | 6.35 | 6.06 | 1.15 | NA | NA | 21.71 | 21.42 | 010 | |
| 58555 | A | Hysteroscopy, dx, sep proc | 3.33 | 2.58 | 2.48 | 1.39 | 1.58 | 0.26 | 6.17 | 6.07 | 4.98 | 5.17 | 000 | |
| 58558 | A | Hysteroscopy, biopsy | 4.75 | 3.14 | 2.90 | 1.95 | 2.00 | 0.36 | 8.25 | 8.01 | 7.06 | 7.11 | 000 | |
| 58559 | A | Hysteroscopy, lysis | 6.17 | 2.43 | 2.85 | 2.43 | 2.85 | 0.48 | 9.08 | 9.50 | 9.08 | 9.50 | 000 | |
| 58560 | A | Hysteroscopy, resect septum | 0.07 | 2.76 | 3.09 | 2.76 | 3.09 | 0.54 | 3.37 | 3.70 | 3.37 | 3.70 | 000 | |
| 58561 | A | Hysteroscopy, remove myoma | 0.10 | 3.94 | 4.29 | 3.94 | 4.29 | 0.77 | 4.81 | 5.16 | 4.81 | 5.16 | 000 | |
| 58562 | A | Hysteroscopy, remove fb | 5.21 | NA | NA | 2.12 | 2.13 | 0.40 | A | NA | 7.73 | 7.74 | 000 | |
| 58563 | A | Hysteroscopy, ablation | 6.17 | 2.41 | 3.00 | 2.41 | 3.00 | 0.48 | 9.06 | 9.65 | 9.06 | 9.65 | 000 | |
| 58578 | C | Laparo proc, uterus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58579 | C | Hysteroscope procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58600 | A | Division of fallopian tube | 3.84 | NA | NA | 2.44 | 2.98 | 0.30 | NA | NA | 6.58 | 7.12 | 090 | |
| 58605 | A | Division of fallopian tube | 3.34 | NA | NA | 2.36 | 2.77 | 0.26 | NA | NA | 5.96 | 6.37 | 090 | |
| 58611 | A | Ligate oviduct(s) add-on | 0.63 | NA | NA | 0.24 | 0.31 | 0.05 | NA | NA | 0.92 | 0.99 | ZZZ | |
| 58615 | A | Occlude fallopian tube(s) | 3.90 | NA | NA | 3.03 | 3.06 | 0.30 | NA | NA | 7.23 | 7.26 | 010 | |
| 58660 | A | Laparoscopy, lysis | 11.29 | NA | NA | 5.31 | 5.50 | 1.04 | NA | NA | 17.64 | 17.83 | 090 | |
| 58661 | A | Laparoscopy, remove adnexa | 11.05 | NA | NA | 5.00 | 5.69 | 0.87 | NA | NA | 16.92 | 17.61 | 010 | |
| 58662 | A | Laparoscopy, excise lesions | 11.79 | NA | NA | 5.26 | 5.45 | 0.94 | NA | NA | 17.99 | 18.18 | 090 | |
| 58670 | A | Laparoscopy, tubal cautery | 5.60 | NA | NA | 3.32 | 3.77 | 0.43 | NA | NA | 9.35 | 9.80 | 090 | |
| 58671 | A | Laparoscopy, tubal block | 5.60 | NA | NA | 3.38 | 3.96 | 0.43 | NA | NA | 9.41 | 9.99 | 090 | |
| 58672 | A | Laparoscopy, fimbrioplasty | 12.88 | NA | NA | 6.14 | 5.99 | 1.10 | NA | NA | 20.12 | 19.97 | 090 | |
| 58673 | A | Laparoscopy, salpingostomy | 13.74 | NA | NA | 6.54 | 6.34 | 1.12 | NA | NA | 21.40 | 21.20 | 090 | |
| 58679 | C | Laparo proc, oviduct-ovary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58700 | A | Removal of fallopian tube | 6.49 | NA | NA | 3.66 | 4.46 | 0.58 | NA | NA | 10.73 | 11.53 | 090 | |
| 58720 | A | Removal of ovary/tube(s) | 11.36 | NA | NA | 5.60 | 6.24 | 0.95 | NA | NA | 17.91 | 18.55 | 090 | |
| 58740 | A | Revise fallopian tube(s) | 5.83 | NA | NA | 3.55 | 4.40 | 0.46 | NA | NA | 9.84 | 10.69 | 090 | |
| 58750 | A | Repair oviduct | 14.84 | NA | NA | 7.02 | 6.98 | 1.20 | NA | NA | 23.06 | 23.02 | 090 | |
| 58752 | A | Revise ovarian tube(s) | 14.84 | NA | NA | 6.85 | 6.97 | 1.09 | NA | NA | 22.78 | 22.90 | 090 | |
| 58760 | A | Remove tubal obstruction | 13.13 | NA | NA | 6.39 | 6.18 | 0.99 | NA | NA | 20.51 | 20.30 | 090 | |
| 58770 | A | Create new tubal opening | 13.97 | NA | NA | 6.66 | 6.43 | 1.14 | NA | NA | 21.77 | 21.54 | 090 | |
| 58800 | A | Drainage of ovarian cyst(s) | 4.14 | 3.80 | 3.58 | 3.80 | 3.58 | 0.28 | 8.22 | 8.00 | 8.22 | 8.00 | 090 | |
| 58805 | A | Drainage of ovarian cyst(s) | 5.88 | NA | NA | 3.39 | 4.27 | 0.52 | NA | NA | 9.79 | 10.67 | 090 | |
| 58820 | A | Drain ovary abscess, open | 4.22 | NA | NA | 3.23 | 3.17 | 0.25 | NA | NA | 7.70 | 7.64 | 090 | |
| 58822 | A | Drain ovary abscess, percut | 10.13 | NA | NA | 5.20 | 4.86 | 0.85 | NA | NA | 16.18 | 15.84 | 090 | |
| 58823 | A | Drain pelvic abscess, percut | 3.38 | NA | NA | 3.02 | 2.96 | 0.23 | NA | NA | 6.63 | 6.57 | 000 | |
| 58825 | A | Transposition, ovary(s) | 6.13 | NA | NA | 3.72 | 3.88 | 0.48 | NA | NA | 10.33 | 10.49 | 090 | |
| 58900 | A | Biopsy of ovary(s) | 5.99 | NA | NA | 3.50 | 4.03 | 0.51 | NA | NA | 10.00 | 10.53 | 090 | |
| 58920 | A | Partial removal of ovary(s) | 6.78 | NA | NA | 3.78 | 4.68 | 0.60 | NA | NA | 11.16 | 12.06 | 090 | |
| 58925 | A | Removal of ovarian cyst(s) | 11.36 | NA | NA | 5.51 | 5.91 | 0.01 | NA | NA | 16.88 | 17.28 | 090 | |
| 58940 | A | Removal of ovary(s) | 7.29 | NA | NA | 3.90 | 4.69 | 0.66 | NA | NA | 11.85 | 12.64 | 090 | |
| 58943 | A | Removal of ovary(s) | 18.43 | NA | NA | 9.10 | 10.11 | 1.53 | NA | NA | 29.06 | 30.07 | 090 | |
| 58950 | A | Resect ovarian malignancy | 15.27 | NA | NA | 7.94 | 9.01 | 1.24 | NA | NA | 24.45 | 25.52 | 090 | |
| 58951 | A | Resect ovarian malignancy | 21.81 | NA | NA | 10.57 | 12.90 | 1.70 | NA | NA | 34.08 | 36.41 | 090 | |
| 58952 | A | Resect ovarian malignancy | 25.01 | NA | NA | 11.83 | 13.79 | 1.94 | NA | NA | 38.78 | 40.74 | 090 | |
| 58960 | A | Exploration of abdomen | 14.65 | NA | NA | 7.72 | 9.31 | 1.16 | NA | NA | 23.53 | 25.12 | 090 | |
| 58970 | A | Retrieval of oocyte | 3.53 | 7.26 | 6.13 | 1.70 | 1.96 | 0.25 | 11.04 | 9.91 | 5.48 | 5.74 | 000 | |
| 58974 | C | Transfer of embryo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 58976 | A | Transfer of embryo | 3.83 | 2.20 | 2.39 | 1.52 | 1.88 | 0.29 | 6.32 | 6.51 | 5.64 | 6.00 | 000 | |
| 58999 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59000 | A | Amniocentesis | 1.30 | 1.49 | 1.38 | 0.50 | 0.64 | 0.19 | 2.98 | 2.87 | 1.99 | 2.13 | 000 | |
| 59012 | A | Fetal cord puncture,prenatal | 3.45 | NA | NA | 1.64 | 1.94 | 0.51 | NA | NA | 5.60 | 5.90 | 000 | |
| 59015 | A | Chorion biopsy | 2.20 | 1.25 | 1.26 | 0.87 | 0.98 | 0.32 | 3.77 | 3.78 | 3.39 | 3.50 | 000 | |
| 59020 | A | Fetal contract stress test | 0.66 | 0.79 | 0.92 | NA | NA | 0.21 | 1.66 | 1.79 | NA | NA | 000 | |
| 59020 | 26 | A | Fetal contract stress test | 0.66 | 0.26 | 0.39 | 0.26 | 0.39 | 0.13 | 1.05 | 1.18 | 1.05 | 1.18 | 000 |
| 59020 | TC | A | Fetal contract stress test | 0.00 | 0.53 | 0.53 | NA | NA | 0.08 | 0.61 | 0.61 | NA | NA | 000 |
| 59025 | A | Fetal non-stress test | 0.53 | 0.44 | 0.49 | NA | NA | 0.10 | 1.07 | 1.12 | NA | NA | 000 | |
| 59025 | 26 | A | Fetal non-stress test | 0.53 | 0.21 | 0.26 | 0.21 | 0.26 | 0.08 | 0.82 | 0.87 | 0.82 | 0.87 | 000 |
| 59025 | TC | A | Fetal non-stress test | 0.00 | 0.23 | 0.23 | NA | NA | 0.02 | 0.25 | 0.25 | NA | NA | 000 |
| 59030 | A | Fetal scalp blood sample | 1.99 | NA | NA | 1.02 | 1.19 | 0.30 | NA | NA | 3.31 | 3.48 | 000 | |
| 59050 | A | Fetal monitor w/report | 0.89 | NA | NA | 0.34 | 0.48 | 0.12 | NA | NA | 1.35 | 1.49 | XXX | |
| 59051 | A | Fetal monitor/interpret only | 0.74 | NA | NA | 0.28 | 0.43 | 0.10 | NA | NA | 1.12 | 1.27 | XXX | |
| 59100 | A | Remove uterus lesion | 12.35 | NA | NA | 6.08 | 5.68 | 1.80 | NA | NA | 20.23 | 19.83 | 090 | |
| 59120 | A | Treat ectopic pregnancy | 11.49 | NA | NA | 5.77 | 6.46 | 1.67 | NA | NA | 18.93 | 19.62 | 090 | |
| 59121 | A | Treat ectopic pregnancy | 11.67 | NA | NA | 5.90 | 5.89 | 1.70 | NA | NA | 19.27 | 19.26 | 090 | |
| 59130 | A | Treat ectopic pregnancy | 14.22 | NA | NA | 6.97 | 6.85 | 2.07 | NA | NA | 23.26 | 23.14 | 090 | |
| 59135 | A | Treat ectopic pregnancy | 13.88 | NA | NA | 6.83 | 7.80 | 2.01 | NA | NA | 22.72 | 23.69 | 090 | |
| 59136 | A | Treat ectopic pregnancy | 13.18 | NA | NA | 6.55 | 6.60 | 1.92 | NA | NA | 21.65 | 21.70 | 090 | |
| 59140 | A | Treat ectopic pregnancy | 5.46 | NA | NA | 3.41 | 3.82 | 0.79 | NA | NA | 9.66 | 10.07 | 090 | |
| 59150 | A | Treat ectopic pregnancy | 6.89 | NA | NA | 4.06 | 4.28 | 0.01 | NA | NA | 10.96 | 11.18 | 090 | |
| 59151 | A | Treat ectopic pregnancy | 7.86 | NA | NA | 4.07 | 5.39 | 1.15 | NA | NA | 13.08 | 14.40 | 090 | |
| 59160 | A | D c after delivery | 2.71 | 3.24 | 3.23 | 2.06 | 2.34 | 0.39 | 6.34 | 6.33 | 5.16 | 5.44 | 010 | |
| 59200 | A | Insert cervical dilator | 0.79 | 1.21 | 1.06 | 0.30 | 0.37 | 0.11 | 2.11 | 1.96 | 1.20 | 1.27 | 000 | |
| 59300 | A | Episiotomy or vaginal repair | 2.41 | 1.57 | 1.45 | 0.96 | 0.99 | 0.34 | 4.32 | 4.20 | 3.71 | 3.74 | 000 | |
| 59320 | A | Revision of cervix | 2.48 | NA | NA | 1.36 | 1.50 | 0.36 | NA | NA | 4.20 | 4.34 | 000 | |
| 59325 | A | Revision of cervix | 4.07 | NA | NA | 1.99 | 2.28 | 0.59 | NA | NA | 6.65 | 6.94 | 000 | |
| 59350 | A | Repair of uterus | 4.95 | NA | NA | 1.96 | 2.43 | 0.73 | NA | NA | 7.64 | 8.11 | 000 | |
| 59400 | A | Obstetrical care | 23.06 | NA | NA | 13.43 | 14.14 | 3.35 | NA | NA | 39.84 | 40.55 | MMM | |
| 59409 | A | Obstetrical care | 13.50 | NA | NA | 5.14 | 6.43 | 1.97 | NA | NA | 20.61 | 21.90 | MMM | |
| 59410 | A | Obstetrical care | 14.78 | NA | NA | 6.05 | 7.34 | 2.15 | NA | NA | 22.98 | 24.27 | MMM | |
| 59412 | A | Antepartum manipulation | 1.71 | 1.19 | 1.22 | 0.66 | 0.83 | 0.25 | 3.15 | 3.18 | 2.62 | 2.79 | MMM | |
| 59414 | A | Deliver placenta | 1.61 | NA | NA | 1.14 | 1.17 | 0.24 | NA | NA | 2.99 | 3.02 | MMM | |
| 59425 | A | Antepartum care only | 4.81 | 4.65 | 4.27 | 4.65 | 4.27 | 0.71 | 10.17 | 9.79 | 10.17 | 9.79 | MMM | |
| 59426 | A | Antepartum care only | 8.28 | 7.95 | 7.30 | 7.93 | 7.29 | 1.20 | 17.43 | 16.78 | 17.41 | 16.77 | MMM | |
| 59430 | A | Care after delivery | 2.13 | 1.16 | 0.97 | 1.15 | 0.97 | 0.32 | 3.61 | 3.42 | 3.60 | 3.42 | MMM | |
| 59510 | A | Cesarean delivery | 26.22 | NA | NA | 15.65 | 16.32 | 3.82 | NA | NA | 45.69 | 46.36 | MMM | |
| 59514 | A | Cesarean delivery only | 15.97 | NA | NA | 6.06 | 7.53 | 2.32 | NA | NA | 24.35 | 25.82 | MMM | |
| 59515 | A | Cesarean delivery | 17.37 | NA | NA | 7.63 | 8.93 | 2.53 | NA | NA | 27.53 | 28.83 | MMM | |
| 59525 | A | Remove uterus after cesarean | 8.54 | NA | NA | 3.23 | 3.46 | 1.24 | NA | NA | 13.01 | 13.24 | ZZZ | |
| 59610 | A | Vbac delivery | 24.62 | NA | NA | 14.37 | 14.85 | 3.58 | NA | NA | 42.57 | 43.05 | MMM | |
| 59612 | A | Vbac delivery only | 15.06 | NA | NA | 5.85 | 6.96 | 2.20 | NA | NA | 23.11 | 24.22 | MMM | |
| 59614 | A | Vbac care after delivery | 16.34 | NA | NA | 7.07 | 8.10 | 2.38 | NA | NA | 25.79 | 26.82 | MMM | |
| 59618 | A | Attempted vbac delivery | 27.78 | NA | NA | 11.46 | 13.18 | 4.05 | NA | NA | 43.29 | 45.01 | MMM | |
| 59620 | A | Attempted vbac delivery only | 17.53 | NA | NA | 6.75 | 8.05 | 2.55 | NA | NA | 26.83 | 28.13 | MMM | |
| 59622 | A | Attempted vbac after care | 18.93 | NA | NA | 8.55 | 9.62 | 2.76 | NA | NA | 30.24 | 31.31 | MMM | |
| 59812 | A | Treatment of miscarriage | 3.25 | 2.94 | 3.19 | 2.23 | 2.65 | 0.48 | 6.67 | 6.92 | 5.96 | 6.38 | 090 | |
| 59820 | A | Care of miscarriage | 4.01 | 3.22 | 3.43 | 2.50 | 2.89 | 0.59 | 7.82 | 8.03 | 7.10 | 7.49 | 090 | |
| 59821 | A | Treatment of miscarriage | 4.47 | 3.48 | 3.35 | 2.69 | 2.76 | 0.66 | 8.61 | 8.48 | 7.82 | 7.89 | 090 | |
| 59830 | A | Treat uterus infection | 6.11 | NA | NA | 3.65 | 3.97 | 0.89 | NA | NA | 10.65 | 10.97 | 090 | |
| 59840 | R | Abortion | 3.01 | 3.26 | 3.32 | 2.12 | 2.46 | 0.44 | 6.71 | 6.77 | 5.57 | 5.91 | 010 | |
| 59841 | R | Abortion | 5.24 | 4.80 | 4.62 | 3.34 | 3.52 | 0.75 | 10.79 | 10.61 | 9.33 | 9.51 | 010 | |
| 59850 | R | Abortion | 5.91 | NA | NA | 2.50 | 2.96 | 0.86 | NA | NA | 9.27 | 9.73 | 090 | |
| 59851 | R | Abortion | 5.93 | NA | NA | 2.90 | 3.34 | 0.86 | NA | NA | 9.69 | 10.13 | 090 | |
| 59852 | R | Abortion | 8.24 | NA | NA | 4.36 | 4.77 | 1.19 | NA | NA | 13.79 | 14.20 | 090 | |
| 59855 | R | Abortion | 6.12 | NA | NA | 3.18 | 3.51 | 0.89 | NA | NA | 10.19 | 10.52 | 090 | |
| 59856 | R | Abortion | 7.48 | NA | NA | 3.58 | 4.07 | 1.09 | NA | NA | 12.15 | 12.64 | 090 | |
| 59857 | R | Abortion | 9.29 | NA | NA | 4.34 | 4.94 | 1.36 | NA | NA | 14.99 | 15.59 | 090 | |
| 59866 | R | Abortion (mpr) | 0.04 | NA | NA | 1.59 | 1.97 | 0.58 | NA | NA | 2.21 | 2.59 | 000 | |
| 59870 | A | Evacuate mole of uterus | 4.28 | NA | NA | 2.85 | 2.93 | 0.62 | NA | NA | 7.75 | 7.83 | 090 | |
| 59871 | A | Remove cerclage suture | 2.13 | 1.89 | 1.90 | 0.85 | 1.12 | 0.32 | 4.34 | 4.35 | 3.30 | 3.57 | 000 | |
| 59898 | C | Laparo proc, ob care/deliver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59899 | C | Maternity care procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 60000 | A | Drain thyroid/tongue cyst | 1.76 | 2.10 | 1.74 | 1.80 | 1.51 | 0.11 | 3.97 | 3.61 | 3.67 | 3.38 | 010 | |
| 60001 | A | Aspirate/inject thyriod cyst | 0.97 | 1.51 | 1.42 | 0.36 | 0.56 | 0.07 | 2.55 | 2.46 | 1.40 | 1.60 | 000 | |
| 60100 | A | Biopsy of thyroid | 0.97 | 2.09 | 1.85 | 0.35 | 0.55 | 0.06 | 3.12 | 2.88 | 1.38 | 1.58 | 000 | |
| 60200 | A | Remove thyroid lesion | 9.55 | NA | NA | 6.22 | 6.30 | 0.87 | NA | NA | 16.64 | 16.72 | 090 | |
| 60210 | A | Partial thyroid excision | 10.88 | NA | NA | 6.24 | 7.04 | 1.01 | NA | NA | 18.13 | 18.93 | 090 | |
| 60212 | A | Parital thyroid excision | 16.03 | NA | NA | 8.05 | 8.49 | 1.54 | NA | NA | 25.62 | 26.06 | 090 | |
| 60220 | A | Partial removal of thyroid | 10.53 | NA | NA | 6.21 | 6.98 | 0.97 | NA | NA | 17.71 | 18.48 | 090 | |
| 60225 | A | Partial removal of thyroid | 14.19 | NA | NA | 7.67 | 8.60 | 1.30 | NA | NA | 23.16 | 24.09 | 090 | |
| 60240 | A | Removal of thyroid | 16.06 | NA | NA | 8.92 | 9.56 | 1.49 | NA | NA | 26.47 | 27.11 | 090 | |
| 60252 | A | Removal of thyroid | 18.20 | NA | NA | 10.11 | 11.29 | 1.64 | NA | NA | 29.95 | 31.13 | 090 | |
| 60254 | A | Extensive thyroid surgery | 23.88 | NA | NA | 13.75 | 15.53 | 1.99 | NA | NA | 39.62 | 41.40 | 090 | |
| 60260 | A | Repeat thyroid surgery | 15.46 | NA | NA | 8.98 | 7.59 | 1.42 | NA | NA | 25.86 | 24.47 | 090 | |
| 60270 | A | Removal of thyroid | 17.94 | NA | NA | 11.42 | 12.36 | 1.86 | NA | NA | 31.22 | 32.16 | 090 | |
| 60271 | A | Removal of thyroid | 14.89 | NA | NA | 8.95 | 10.01 | 1.39 | NA | NA | 25.23 | 26.29 | 090 | |
| 60280 | A | Remove thyroid duct lesion | 5.87 | NA | NA | 4.56 | 5.24 | 0.48 | NA | NA | 10.91 | 11.59 | 090 | |
| 60281 | A | Remove thyroid duct lesion | 8.53 | NA | NA | 6.21 | 6.03 | 0.74 | NA | NA | 15.48 | 15.30 | 090 | |
| 60500 | A | Explore parathyroid glands | 16.23 | NA | NA | 7.86 | 8.98 | 1.58 | NA | NA | 25.67 | 26.79 | 090 | |
| 60502 | A | Re-explore parathyroids | 20.35 | NA | NA | 9.85 | 10.48 | 1.97 | NA | NA | 32.17 | 32.80 | 090 | |
| 60505 | A | Explore parathyroid glands | 21.49 | NA | NA | 12.26 | 12.76 | 2.20 | NA | NA | 35.95 | 36.45 | 090 | |
| 60512 | A | Autotransplant parathyroid | 4.45 | NA | NA | 1.77 | 1.96 | 0.44 | NA | NA | 6.66 | 6.85 | ZZZ | |
| 60520 | A | Removal of thymus gland | 16.81 | NA | NA | 11.17 | 12.05 | 1.90 | NA | NA | 29.88 | 30.76 | 090 | |
| 60521 | A | Removal of thymus gland | 18.87 | NA | NA | 14.18 | 14.31 | 2.43 | NA | NA | 35.48 | 35.61 | 090 | |
| 60522 | A | Removal of thymus gland | 23.09 | NA | NA | 15.47 | 15.28 | 2.88 | NA | NA | 41.44 | 41.25 | 090 | |
| 60540 | A | Explore adrenal gland | 17.03 | NA | NA | 7.84 | 9.15 | 1.40 | NA | NA | 26.27 | 27.58 | 090 | |
| 60545 | A | Explore adrenal gland | 19.88 | NA | NA | 9.60 | 11.07 | 1.68 | NA | NA | 31.16 | 32.63 | 090 | |
| 60600 | A | Remove carotid body lesion | 17.93 | NA | NA | 14.06 | 13.66 | 1.95 | NA | NA | 33.94 | 33.54 | 090 | |
| 60605 | A | Remove carotid body lesion | 20.24 | NA | NA | 17.41 | 15.96 | 1.89 | NA | NA | 39.54 | 38.09 | 090 | |
| 60650 | A | Laparoscopy adrenalectomy | 0.20 | NA | NA | 9.24 | 9.24 | 1.35 | NA | NA | 10.79 | 10.79 | 090 | |
| 60659 | C | Laparo proc, endocrine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 60699 | C | Endocrine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 61000 | A | Remove cranial cavity fluid | 1.58 | 1.54 | 1.45 | 1.39 | 1.33 | 0.13 | 3.25 | 3.16 | 3.10 | 3.04 | 000 | |
| 61001 | A | Remove cranial cavity fluid | 1.49 | 1.53 | 1.39 | 1.35 | 1.25 | 0.13 | 3.15 | 3.01 | 2.97 | 2.87 | 000 | |
| 61020 | A | Remove brain cavity fluid | 1.51 | 1.96 | 1.81 | 1.38 | 1.38 | 0.28 | 3.75 | 3.60 | 3.17 | 3.17 | 000 | |
| 61026 | A | Injection into brain canal | 1.69 | 1.96 | 1.98 | 1.50 | 1.63 | 0.24 | 3.89 | 3.91 | 3.43 | 3.56 | 000 | |
| 61050 | A | Remove brain canal fluid | 1.51 | NA | NA | 1.43 | 1.41 | 0.16 | NA | NA | 3.10 | 3.08 | 000 | |
| 61055 | A | Injection into brain canal | 2.10 | NA | NA | 1.55 | 1.67 | 0.12 | NA | NA | 3.77 | 3.89 | 000 | |
| 61070 | A | Brain canal shunt procedure | 0.89 | 6.07 | 4.69 | 1.07 | 0.94 | 0.09 | 7.05 | 5.67 | 2.05 | 1.92 | 000 | |
| 61105 | A | Twist drill hole | 5.14 | NA | NA | 3.47 | 4.14 | 1.03 | NA | NA | 9.64 | 10.31 | 090 | |
| 61107 | A | Drill skull for implantation | 0.05 | NA | NA | 3.03 | 3.77 | 0.01 | NA | NA | 3.09 | 3.83 | 000 | |
| 61108 | A | Drill skull for drainage | 10.19 | NA | NA | 6.74 | 8.10 | 2.04 | NA | NA | 18.97 | 20.33 | 090 | |
| 61120 | A | Burr hole for puncture | 8.76 | NA | NA | 5.61 | 5.82 | 1.78 | NA | NA | 16.15 | 16.36 | 090 | |
| 61140 | A | Pierce skull for biopsy | 15.90 | NA | NA | 9.47 | 10.94 | 3.06 | NA | NA | 28.43 | 29.90 | 090 | |
| 61150 | A | Pierce skull for drainage | 17.57 | NA | NA | 10.72 | 12.02 | 3.40 | NA | NA | 31.69 | 32.99 | 090 | |
| 61151 | A | Pierce skull for drainage | 12.42 | NA | NA | 7.98 | 6.56 | 2.51 | NA | NA | 22.91 | 21.49 | 090 | |
| 61154 | A | Pierce skull remove clot | 14.99 | NA | NA | 9.72 | 11.77 | 2.94 | NA | NA | 27.65 | 29.70 | 090 | |
| 61156 | A | Pierce skull for drainage | 16.32 | NA | NA | 9.90 | 11.82 | 3.25 | NA | NA | 29.47 | 31.39 | 090 | |
| 61210 | A | Pierce skull, implant device | 5.84 | NA | NA | 3.46 | 4.23 | 1.15 | NA | NA | 10.45 | 11.22 | 000 | |
| 61215 | A | Insert brain-fluid device | 4.89 | NA | NA | 3.95 | 4.42 | 0.95 | NA | NA | 9.79 | 10.26 | 090 | |
| 61250 | A | Pierce skull explore | 10.42 | NA | NA | 6.47 | 7.03 | 2.07 | NA | NA | 18.96 | 19.52 | 090 | |
| 61253 | A | Pierce skull explore | 12.36 | NA | NA | 7.27 | 8.06 | 2.40 | NA | NA | 22.03 | 22.82 | 090 | |
| 61304 | A | Open skull for exploration | 21.96 | NA | NA | 12.11 | 15.64 | 4.20 | NA | NA | 38.27 | 41.80 | 090 | |
| 61305 | A | Open skull for exploration | 26.61 | NA | NA | 14.68 | 18.91 | 0.05 | NA | NA | 41.34 | 45.57 | 090 | |
| 61312 | A | Open skull for drainage | 24.57 | NA | NA | 14.00 | 17.05 | 4.77 | NA | NA | 43.34 | 46.39 | 090 | |
| 61313 | A | Open skull for drainage | 24.93 | NA | NA | 14.21 | 17.18 | 4.81 | NA | NA | 43.95 | 46.92 | 090 | |
| 61314 | A | Open skull for drainage | 24.23 | NA | NA | 13.79 | 17.29 | 4.73 | NA | NA | 42.75 | 46.25 | 090 | |
| 61315 | A | Open skull for drainage | 27.68 | NA | NA | 15.59 | 18.32 | 5.37 | NA | NA | 48.64 | 51.37 | 090 | |
| 61320 | A | Open skull for drainage | 25.62 | NA | NA | 14.44 | 15.90 | 4.90 | NA | NA | 44.96 | 46.42 | 090 | |
| 61321 | A | Open skull for drainage | 28.50 | NA | NA | 15.58 | 17.07 | 5.28 | NA | NA | 49.36 | 50.85 | 090 | |
| 61330 | A | Decompress eye socket | 23.32 | NA | NA | 15.92 | 15.46 | 2.77 | NA | NA | 42.01 | 41.55 | 090 | |
| 61332 | A | Explore/biopsy eye socket | 27.28 | NA | NA | 18.15 | 19.24 | 4.31 | NA | NA | 49.74 | 50.83 | 090 | |
| 61333 | A | Explore orbit/remove lesion | 27.95 | NA | NA | 16.54 | 17.96 | 3.08 | NA | NA | 47.57 | 48.99 | 090 | |
| 61334 | A | Explore orbit/remove object | 18.27 | NA | NA | 11.69 | 12.74 | 2.49 | NA | NA | 32.45 | 33.50 | 090 | |
| 61340 | A | Relieve cranial pressure | 18.66 | NA | NA | 11.26 | 12.46 | 3.47 | NA | NA | 33.39 | 34.59 | 090 | |
| 61343 | A | Incise skull (press relief) | 29.77 | NA | NA | 17.15 | 21.02 | 5.80 | NA | NA | 52.72 | 56.59 | 090 | |
| 61345 | A | Relieve cranial pressure | 27.20 | NA | NA | 16.05 | 17.24 | 5.29 | NA | NA | 48.54 | 49.73 | 090 | |
| 61440 | A | Incise skull for surgery | 26.63 | NA | NA | 13.99 | 16.12 | 2.95 | NA | NA | 43.57 | 45.70 | 090 | |
| 61450 | A | Incise skull for surgery | 25.95 | NA | NA | 14.08 | 16.10 | 5.14 | NA | NA | 45.17 | 47.19 | 090 | |
| 61458 | A | Incise skull for brain wound | 27.29 | NA | NA | 15.32 | 18.89 | 5.28 | NA | NA | 47.89 | 51.46 | 090 | |
| 61460 | A | Incise skull for surgery | 28.39 | NA | NA | 16.16 | 18.92 | 4.73 | NA | NA | 49.28 | 52.04 | 090 | |
| 61470 | A | Incise skull for surgery | 26.06 | NA | NA | 14.01 | 14.27 | 4.30 | NA | NA | 44.37 | 44.63 | 090 | |
| 61480 | A | Incise skull for surgery | 26.49 | NA | NA | 14.70 | 15.11 | 4.97 | NA | NA | 46.16 | 46.57 | 090 | |
| 61490 | A | Incise skull for surgery | 25.66 | NA | NA | 14.23 | 13.85 | 4.81 | NA | NA | 44.70 | 44.32 | 090 | |
| 61500 | A | Removal of skull lesion | 17.92 | NA | NA | 10.53 | 13.25 | 3.14 | NA | NA | 31.59 | 34.31 | 090 | |
| 61501 | A | Remove infected skull bone | 14.84 | NA | NA | 8.90 | 11.10 | 2.53 | NA | NA | 26.27 | 28.47 | 090 | |
| 61510 | A | Removal of brain lesion | 28.45 | NA | NA | 15.99 | 19.33 | 5.53 | NA | NA | 49.97 | 53.31 | 090 | |
| 61512 | A | Remove brain lining lesion | 35.09 | NA | NA | 19.46 | 22.47 | 6.83 | NA | NA | 61.38 | 64.39 | 090 | |
| 61514 | A | Removal of brain abscess | 25.26 | NA | NA | 14.44 | 17.76 | 4.82 | NA | NA | 44.52 | 47.84 | 090 | |
| 61516 | A | Removal of brain lesion | 24.61 | NA | NA | 14.35 | 17.95 | 4.78 | NA | NA | 43.74 | 47.34 | 090 | |
| 61518 | A | Removal of brain lesion | 37.32 | NA | NA | 21.33 | 24.14 | 7.20 | NA | NA | 65.85 | 68.66 | 090 | |
| 61519 | A | Remove brain lining lesion | 41.39 | NA | NA | 23.33 | 25.97 | 8.02 | NA | NA | 72.74 | 75.38 | 090 | |
| 61520 | A | Removal of brain lesion | 54.84 | NA | NA | 30.85 | 32.32 | 9.62 | NA | NA | 95.31 | 96.78 | 090 | |
| 61521 | A | Removal of brain lesion | 44.48 | NA | NA | 24.54 | 27.35 | 8.18 | NA | NA | 77.20 | 80.01 | 090 | |
| 61522 | A | Removal of brain abscess | 29.45 | NA | NA | 16.97 | 18.14 | 5.79 | NA | NA | 52.21 | 53.38 | 090 | |
| 61524 | A | Removal of brain lesion | 27.86 | NA | NA | 16.22 | 19.61 | 5.32 | NA | NA | 49.40 | 52.79 | 090 | |
| 61526 | A | Removal of brain lesion | 52.17 | NA | NA | 29.68 | 31.49 | 6.38 | NA | NA | 88.23 | 90.04 | 090 | |
| 61530 | A | Removal of brain lesion | 43.86 | NA | NA | 25.95 | 28.69 | 6.16 | NA | NA | 75.97 | 78.71 | 090 | |
| 61531 | A | Implant brain electrodes | 14.63 | NA | NA | 9.29 | 11.03 | 2.88 | NA | NA | 26.80 | 28.54 | 090 | |
| 61533 | A | Implant brain electrodes | 19.71 | NA | NA | 11.78 | 13.45 | 3.88 | NA | NA | 35.37 | 37.04 | 090 | |
| 61534 | A | Removal of brain lesion | 20.97 | NA | NA | 12.50 | 11.11 | 3.84 | NA | NA | 37.31 | 35.92 | 090 | |
| 61535 | A | Remove brain electrodes | 11.63 | NA | NA | 7.51 | 7.71 | 2.13 | NA | NA | 21.27 | 21.47 | 090 | |
| 61536 | A | Removal of brain lesion | 35.52 | NA | NA | 20.13 | 21.06 | 7.13 | NA | NA | 62.78 | 63.71 | 090 | |
| 61538 | A | Removal of brain tissue | 26.81 | NA | NA | 15.73 | 19.69 | 5.27 | NA | NA | 47.81 | 51.77 | 090 | |
| 61539 | A | Removal of brain tissue | 32.08 | NA | NA | 18.32 | 19.97 | 6.37 | NA | NA | 56.77 | 58.42 | 090 | |
| 61541 | A | Incision of brain tissue | 28.85 | NA | NA | 16.71 | 17.91 | 5.40 | NA | NA | 50.96 | 52.16 | 090 | |
| 61542 | A | Removal of brain tissue | 31.02 | NA | NA | 18.34 | 19.16 | 6.27 | NA | NA | 55.63 | 56.45 | 090 | |
| 61543 | A | Removal of brain tissue | 29.22 | NA | NA | 16.60 | 17.13 | 5.25 | NA | NA | 51.07 | 51.60 | 090 | |
| 61544 | A | Remove treat brain lesion | 25.50 | NA | NA | 13.80 | 17.96 | 3.85 | NA | NA | 43.15 | 47.31 | 090 | |
| 61545 | A | Excision of brain tumor | 43.80 | NA | NA | 24.49 | 25.33 | 8.32 | NA | NA | 76.61 | 77.45 | 090 | |
| 61546 | A | Removal of pituitary gland | 31.30 | NA | NA | 18.13 | 20.93 | 5.86 | NA | NA | 55.29 | 58.09 | 090 | |
| 61548 | A | Removal of pituitary gland | 21.53 | NA | NA | 13.00 | 16.18 | 3.48 | NA | NA | 38.01 | 41.19 | 090 | |
| 61550 | A | Release of skull seams | 14.65 | NA | NA | 8.48 | 9.57 | 0.57 | NA | NA | 23.70 | 24.79 | 090 | |
| 61552 | A | Release of skull seams | 19.56 | NA | NA | 9.50 | 10.88 | 1.48 | NA | NA | 30.54 | 31.92 | 090 | |
| 61556 | A | Incise skull/sutures | 22.26 | NA | NA | 11.57 | 12.89 | 3.45 | NA | NA | 37.28 | 38.60 | 090 | |
| 61557 | A | Incise skull/sutures | 22.38 | NA | NA | 12.04 | 13.27 | 4.12 | NA | NA | 38.54 | 39.77 | 090 | |
| 61558 | A | Excision of skull/sutures | 25.58 | NA | NA | 13.85 | 15.20 | 5.17 | NA | NA | 44.60 | 45.95 | 090 | |
| 61559 | A | Excision of skull/sutures | 32.79 | NA | NA | 18.43 | 20.07 | 6.63 | NA | NA | 57.85 | 59.49 | 090 | |
| 61563 | A | Excision of skull tumor | 26.83 | NA | NA | 15.39 | 16.65 | 4.50 | NA | NA | 46.72 | 47.98 | 090 | |
| 61564 | A | Excision of skull tumor | 33.83 | NA | NA | 14.31 | 17.17 | 0.05 | NA | NA | 48.19 | 51.05 | 090 | |
| 61570 | A | Remove foreign body, brain | 24.60 | NA | NA | 13.36 | 14.50 | 4.45 | NA | NA | 42.41 | 43.55 | 090 | |
| 61571 | A | Incise skull for brain wound | 26.39 | NA | NA | 14.48 | 15.83 | 4.79 | NA | NA | 45.66 | 47.01 | 090 | |
| 61575 | A | Skull base/brainstem surgery | 34.36 | NA | NA | 20.37 | 24.23 | 5.12 | NA | NA | 59.85 | 63.71 | 090 | |
| 61576 | A | Skull base/brainstem surgery | 52.43 | NA | NA | 30.84 | 30.79 | 6.55 | NA | NA | 89.82 | 89.77 | 090 | |
| 61580 | A | Craniofacial approach, skull | 30.35 | NA | NA | 18.00 | 19.20 | 2.98 | NA | NA | 51.33 | 52.53 | 090 | |
| 61581 | A | Craniofacial approach, skull | 34.60 | NA | NA | 0.50 | 21.84 | 2.46 | NA | NA | 57.56 | 58.90 | 090 | |
| 61582 | A | Craniofacial approach, skull | 31.66 | NA | NA | 18.04 | 19.41 | 5.44 | NA | NA | 55.14 | 56.51 | 090 | |
| 61583 | A | Craniofacial approach, skull | 36.21 | NA | NA | 21.39 | 22.75 | 6.91 | NA | NA | 64.51 | 65.87 | 090 | |
| 61584 | A | Orbitocranial approach/skull | 34.65 | NA | NA | 19.94 | 21.44 | 6.45 | NA | NA | 61.04 | 62.54 | 090 | |
| 61585 | A | Orbitocranial approach/skull | 38.61 | NA | NA | 21.82 | 23.62 | 7.01 | NA | NA | 67.44 | 69.24 | 090 | |
| 61586 | A | Resect nasopharynx, skull | 25.10 | NA | NA | 15.15 | 17.16 | 3.10 | NA | NA | 43.35 | 45.36 | 090 | |
| 61590 | A | Infratemporal approach/skull | 41.78 | NA | NA | 24.15 | 26.01 | 4.74 | NA | NA | 70.67 | 72.53 | 090 | |
| 61591 | A | Infratemporal approach/skull | 43.68 | NA | NA | 25.73 | 27.58 | 5.52 | NA | NA | 74.93 | 76.78 | 090 | |
| 61592 | A | Orbitocranial approach/skull | 39.64 | NA | NA | 22.75 | 24.57 | 7.30 | NA | NA | 69.69 | 71.51 | 090 | |
| 61595 | A | Transtemporal approach/skull | 29.57 | NA | NA | 18.42 | 19.36 | 3.03 | NA | NA | 51.02 | 51.96 | 090 | |
| 61596 | A | Transcochlear approach/skull | 35.63 | NA | NA | 21.17 | 22.62 | 4.03 | NA | NA | 60.83 | 62.28 | 090 | |
| 61597 | A | Transcondylar approach/skull | 37.96 | NA | NA | 21.90 | 23.55 | 5.65 | NA | NA | 65.51 | 67.16 | 090 | |
| 61598 | A | Transpetrosal approach/skull | 33.41 | NA | NA | 19.41 | 20.83 | 5.09 | NA | NA | 57.91 | 59.33 | 090 | |
| 61600 | A | Resect/excise cranial lesion | 25.85 | NA | NA | 15.58 | 16.50 | 2.80 | NA | NA | 44.23 | 45.15 | 090 | |
| 61601 | A | Resect/excise cranial lesion | 27.89 | NA | NA | 16.37 | 17.44 | 5.14 | NA | NA | 49.40 | 50.47 | 090 | |
| 61605 | A | Resect/excise cranial lesion | 29.33 | NA | NA | 17.76 | 18.77 | 2.67 | NA | NA | 49.76 | 50.77 | 090 | |
| 61606 | A | Resect/excise cranial lesion | 38.83 | NA | NA | 22.70 | 24.32 | 7.06 | NA | NA | 68.59 | 70.21 | 090 | |
| 61607 | A | Resect/excise cranial lesion | 36.27 | NA | NA | 20.76 | 22.39 | 6.59 | NA | NA | 63.62 | 65.25 | 090 | |
| 61608 | A | Resect/excise cranial lesion | 42.10 | NA | NA | 23.94 | 25.89 | 8.11 | NA | NA | 74.15 | 76.10 | 090 | |
| 61609 | A | Transect artery, sinus | 9.89 | NA | NA | 4.59 | 5.39 | 0.02 | NA | NA | 14.50 | 15.30 | ZZZ | |
| 61610 | A | Transect artery, sinus | 29.67 | NA | NA | 14.59 | 16.80 | 4.63 | NA | NA | 48.89 | 51.10 | ZZZ | |
| 61611 | A | Transect artery, sinus | 7.42 | NA | NA | 2.94 | 3.67 | 1.50 | NA | NA | 11.86 | 12.59 | ZZZ | |
| 61612 | A | Transect artery, sinus | 27.88 | NA | NA | 14.12 | 16.09 | 4.21 | NA | NA | 46.21 | 48.18 | ZZZ | |
| 61613 | A | Remove aneurysm, sinus | 40.86 | NA | NA | 23.29 | 25.25 | 8.27 | NA | NA | 72.42 | 74.38 | 090 | |
| 61615 | A | Resect/excise lesion, skull | 32.07 | NA | NA | 19.39 | 20.53 | 4.42 | NA | NA | 55.88 | 57.02 | 090 | |
| 61616 | A | Resect/excise lesion, skull | 43.33 | NA | NA | 25.79 | 27.49 | 7.27 | NA | NA | 76.39 | 78.09 | 090 | |
| 61618 | A | Repair dura | 16.99 | NA | NA | 10.79 | 11.17 | 2.83 | NA | NA | 30.61 | 30.99 | 090 | |
| 61619 | A | Repair dura | 20.71 | NA | NA | 12.44 | 13.18 | 3.40 | NA | NA | 36.55 | 37.29 | 090 | |
| 61624 | A | Occlusion/embolization cath | 20.15 | NA | NA | 7.28 | 9.61 | 1.04 | NA | NA | 28.47 | 30.80 | 000 | |
| 61626 | A | Occlusion/embolization cath | 16.62 | NA | NA | 5.88 | 7.83 | 0.74 | NA | NA | 23.24 | 25.19 | 000 | |
| 61680 | A | Intracranial vessel surgery | 30.71 | NA | NA | 17.66 | 21.67 | 5.90 | NA | NA | 54.27 | 58.28 | 090 | |
| 61682 | A | Intracranial vessel surgery | 61.57 | NA | NA | 33.18 | 34.47 | 11.84 | NA | NA | 106.59 | 107.88 | 090 | |
| 61684 | A | Intracranial vessel surgery | 39.81 | NA | NA | 22.68 | 25.09 | 8.05 | NA | NA | 70.54 | 72.95 | 090 | |
| 61686 | A | Intracranial vessel surgery | 64.49 | NA | NA | 35.15 | 36.13 | 12.87 | NA | NA | 112.51 | 113.49 | 090 | |
| 61690 | A | Intracranial vessel surgery | 29.31 | NA | NA | 16.43 | 19.77 | 5.46 | NA | NA | 51.20 | 54.54 | 090 | |
| 61692 | A | Intracranial vessel surgery | 51.87 | NA | NA | 28.24 | 28.99 | 9.05 | NA | NA | 89.16 | 89.91 | 090 | |
| 61700 | A | Inner skull vessel surgery | 50.52 | NA | NA | 27.43 | 29.17 | 9.86 | NA | NA | 87.81 | 89.55 | 090 | |
| 61702 | A | Inner skull vessel surgery | 48.41 | NA | NA | 26.43 | 29.68 | 9.56 | NA | NA | 84.40 | 87.65 | 090 | |
| 61703 | A | Clamp neck artery | 17.47 | NA | NA | 10.57 | 11.24 | 3.28 | NA | NA | 31.32 | 31.99 | 090 | |
| 61705 | A | Revise circulation to head | 36.20 | NA | NA | 19.36 | 22.77 | 6.67 | NA | NA | 62.23 | 65.64 | 090 | |
| 61708 | A | Revise circulation to head | 35.30 | NA | NA | 15.57 | 18.52 | 2.42 | NA | NA | 53.29 | 56.24 | 090 | |
| 61710 | A | Revise circulation to head | 29.67 | NA | NA | 13.92 | 14.95 | 3.62 | NA | NA | 47.21 | 48.24 | 090 | |
| 61711 | A | Fusion of skull arteries | 36.33 | NA | NA | 20.00 | 23.97 | 7.04 | NA | NA | 63.37 | 67.34 | 090 | |
| 61720 | A | Incise skull/brain surgery | 16.77 | NA | NA | 10.36 | 12.78 | 3.29 | NA | NA | 30.42 | 32.84 | 090 | |
| 61735 | A | Incise skull/brain surgery | 20.43 | NA | NA | 12.35 | 12.78 | 3.98 | NA | NA | 36.76 | 37.19 | 090 | |
| 61750 | A | Incise skull/brain biopsy | 18.20 | NA | NA | 10.57 | 11.60 | 3.52 | NA | NA | 32.29 | 33.32 | 090 | |
| 61751 | A | Brain biopsy w/ ct/mr guide | 17.62 | NA | NA | 10.41 | 13.07 | 3.47 | NA | NA | 31.50 | 34.16 | 090 | |
| 61760 | A | Implant brain electrodes | 22.27 | NA | NA | 6.98 | 9.30 | 4.18 | NA | NA | 33.43 | 35.75 | 090 | |
| 61770 | A | Incise skull for treatment | 21.44 | NA | NA | 12.86 | 14.90 | 3.85 | NA | NA | 38.15 | 40.19 | 090 | |
| 61790 | A | Treat trigeminal nerve | 10.86 | NA | NA | 5.06 | 7.04 | 1.75 | NA | NA | 17.67 | 19.65 | 090 | |
| 61791 | A | Treat trigeminal tract | 14.61 | NA | NA | 8.91 | 9.33 | 2.90 | NA | NA | 26.42 | 26.84 | 090 | |
| 61793 | A | Focus radiation beam | 17.24 | NA | NA | 10.48 | 13.01 | 3.31 | NA | NA | 31.03 | 33.56 | 090 | |
| 61795 | A | Brain surgery using computer | 4.04 | NA | NA | 2.08 | 2.77 | 0.80 | NA | NA | 6.92 | 7.61 | ZZZ | |
| 61850 | A | Implant neuroelectrodes | 12.39 | NA | NA | 7.71 | 8.94 | 2.10 | NA | NA | 22.20 | 23.43 | 090 | |
| 61855 | D | Implant neuroelectrodes | 13.39 | 5.31 | 6.80 | 5.31 | 6.80 | 2.63 | 21.33 | 22.82 | 21.33 | 22.82 | 090 | |
| 61860 | A | Implant neuroelectrodes | 20.87 | NA | NA | 12.64 | 11.69 | 4.22 | NA | NA | 37.73 | 36.78 | 090 | |
| 61862 | A | Implant neurostimul, subcort | 19.34 | NA | NA | 11.59 | 11.59 | 3.89 | NA | NA | 34.82 | 34.82 | 090 | |
| 61865 | D | Implant neuroelectrodes | 22.97 | 9.11 | 11.12 | 9.11 | 11.12 | 4.65 | 36.73 | 38.74 | 36.73 | 38.74 | 090 | |
| 61870 | A | Implant neuroelectrodes | 14.94 | NA | NA | 8.59 | 7.58 | 3.03 | NA | NA | 26.56 | 25.55 | 090 | |
| 61875 | A | Implant neuroelectrodes | 15.06 | NA | NA | 8.64 | 8.30 | 3.05 | NA | NA | 26.75 | 26.41 | 090 | |
| 61880 | A | Revise/remove neuroelectrode | 6.29 | NA | NA | 4.94 | 5.01 | 1.25 | NA | NA | 12.48 | 12.55 | 090 | |
| 61885 | A | Implant neurostim one array | 5.85 | NA | NA | 4.03 | 3.56 | 1.18 | NA | NA | 11.06 | 10.59 | 090 | |
| 61886 | A | Implant neurostim arrays | 0.08 | NA | NA | 5.82 | 5.82 | 1.43 | NA | NA | 7.33 | 7.33 | 090 | |
| 61888 | A | Revise/remove neuroreceiver | 5.07 | NA | NA | 3.74 | 3.42 | 1.02 | NA | NA | 9.83 | 9.51 | 010 | |
| 62000 | A | Treat skull fracture | 12.53 | NA | NA | 5.31 | 5.54 | 0.90 | NA | NA | 18.74 | 18.97 | 090 | |
| 62005 | A | Treat skull fracture | 16.17 | NA | NA | 8.46 | 9.35 | 2.61 | NA | NA | 27.24 | 28.13 | 090 | |
| 62010 | A | Treatment of head injury | 19.81 | NA | NA | 11.42 | 13.78 | 3.72 | NA | NA | 34.95 | 37.31 | 090 | |
| 62100 | A | Repair brain fluid leakage | 22.03 | NA | NA | 13.45 | 15.95 | 3.82 | NA | NA | 39.30 | 41.80 | 090 | |
| 62115 | A | Reduction of skull defect | 21.66 | NA | NA | 11.16 | 12.58 | 2.96 | NA | NA | 35.78 | 37.20 | 090 | |
| 62116 | A | Reduction of skull defect | 23.59 | NA | NA | 12.76 | 14.18 | 4.47 | NA | NA | 40.82 | 42.24 | 090 | |
| 62117 | A | Reduction of skull defect | 26.60 | NA | NA | 15.26 | 16.66 | 5.38 | NA | NA | 47.24 | 48.64 | 090 | |
| 62120 | A | Repair skull cavity lesion | 23.35 | NA | NA | 13.79 | 14.93 | 3.46 | NA | NA | 40.60 | 41.74 | 090 | |
| 62121 | A | Incise skull repair | 21.58 | NA | NA | 13.05 | 14.54 | 3.52 | NA | NA | 38.15 | 39.64 | 090 | |
| 62140 | A | Repair of skull defect | 13.51 | NA | NA | 8.29 | 9.86 | 2.56 | NA | NA | 24.36 | 25.93 | 090 | |
| 62141 | A | Repair of skull defect | 14.91 | NA | NA | 9.38 | 11.49 | 2.80 | NA | NA | 27.09 | 29.20 | 090 | |
| 62142 | A | Remove skull plate/flap | 10.79 | NA | NA | 7.00 | 8.47 | 2.06 | NA | NA | 19.85 | 21.32 | 090 | |
| 62143 | A | Replace skull plate/flap | 13.05 | NA | NA | 8.43 | 8.81 | 2.47 | NA | NA | 23.95 | 24.33 | 090 | |
| 62145 | A | Repair of skull brain | 18.82 | NA | NA | 11.28 | 12.03 | 3.76 | NA | NA | 33.86 | 34.61 | 090 | |
| 62146 | A | Repair of skull with graft | 16.12 | NA | NA | 9.96 | 10.45 | 2.93 | NA | NA | 29.01 | 29.50 | 090 | |
| 62147 | A | Repair of skull with graft | 19.34 | NA | NA | 11.52 | 12.21 | 3.22 | NA | NA | 34.08 | 34.77 | 090 | |
| 62180 | A | Establish brain cavity shunt | 21.06 | NA | NA | 12.49 | 13.22 | 0.04 | NA | NA | 33.59 | 34.32 | 090 | |
| 62190 | A | Establish brain cavity shunt | 11.07 | NA | NA | 7.06 | 8.60 | 2.21 | NA | NA | 20.34 | 21.88 | 090 | |
| 62192 | A | Establish brain cavity shunt | 12.25 | NA | NA | 8.00 | 9.66 | 2.28 | NA | NA | 22.53 | 24.19 | 090 | |
| 62194 | A | Replace/irrigate catheter | 5.03 | NA | NA | 1.94 | 1.97 | 0.47 | NA | NA | 7.44 | 7.47 | 010 | |
| 62200 | A | Establish brain cavity shunt | 18.32 | NA | NA | 11.14 | 12.96 | 3.67 | NA | NA | 33.13 | 34.95 | 090 | |
| 62201 | A | Establish brain cavity shunt | 14.86 | NA | NA | 9.34 | 9.39 | 2.71 | NA | NA | 26.91 | 26.96 | 090 | |
| 62220 | A | Establish brain cavity shunt | 0.13 | NA | NA | 8.26 | 10.08 | 2.52 | NA | NA | 10.91 | 12.73 | 090 | |
| 62223 | A | Establish brain cavity shunt | 12.87 | NA | NA | 8.15 | 9.96 | 2.43 | NA | NA | 23.45 | 25.26 | 090 | |
| 62225 | A | Replace/irrigate catheter | 5.41 | NA | NA | 3.91 | 4.24 | 1.07 | NA | NA | 10.39 | 10.72 | 090 | |
| 62230 | A | Replace/revise brain shunt | 10.54 | NA | NA | 6.44 | 7.50 | 2.02 | NA | NA | 19.00 | 20.06 | 090 | |
| 62256 | A | Remove brain cavity shunt | 6.60 | NA | NA | 5.08 | 5.54 | 1.30 | NA | NA | 12.98 | 13.44 | 090 | |
| 62258 | A | Replace brain cavity shunt | 14.54 | NA | NA | 8.43 | 10.33 | 2.80 | NA | NA | 25.77 | 27.67 | 090 | |
| 62263 | A | Lysis epidural adhesions | 6.02 | 5.33 | 5.33 | 2.27 | 2.27 | 0.88 | 12.23 | 12.23 | 9.17 | 9.17 | 010 | |
| 62268 | A | Drain spinal cord cyst | 4.74 | NA | NA | 2.52 | 2.70 | 0.42 | NA | NA | 7.68 | 7.86 | 000 | |
| 62269 | A | Needle biopsy, spinal cord | 5.02 | NA | NA | 2.42 | 2.29 | 0.28 | NA | NA | 7.72 | 7.59 | 000 | |
| 62270 | A | Spinal fluid tap, diagnostic | 1.13 | 3.10 | 2.52 | 0.45 | 0.53 | 0.14 | 4.37 | 3.79 | 1.72 | 1.80 | 000 | |
| 62272 | A | Drain spinal fluid | 1.35 | 2.97 | 2.50 | 0.61 | 0.73 | 0.19 | 4.51 | 4.04 | 2.15 | 2.27 | 000 | |
| 62273 | A | Treat epidural spine lesion | 2.15 | 1.27 | 1.26 | 1.06 | 1.10 | 0.14 | 3.56 | 3.55 | 3.35 | 3.39 | 000 | |
| 62274 | D | Inject spinal anesthetic | 1.78 | 0.71 | 0.73 | 0.71 | 0.73 | 0.12 | 2.61 | 2.63 | 2.61 | 2.63 | 000 | |
| 62275 | D | Inject spinal anesthetic | 1.79 | 0.71 | 0.69 | 0.71 | 0.69 | 0.12 | 2.62 | 2.60 | 2.62 | 2.60 | 000 | |
| 62276 | D | Inject spinal anesthetic | 2.04 | 0.81 | 0.94 | 0.81 | 0.94 | 0.14 | 2.99 | 3.12 | 2.99 | 3.12 | 000 | |
| 62277 | D | Inject spinal anesthetic | 2.15 | 0.85 | 0.87 | 0.85 | 0.87 | 0.14 | 3.14 | 3.16 | 3.14 | 3.16 | 000 | |
| 62278 | D | Inject spinal anesthetic | 1.51 | 0.60 | 0.72 | 0.60 | 0.72 | 0.11 | 2.22 | 2.34 | 2.22 | 2.34 | 000 | |
| 62279 | D | Inject spinal anesthetic | 1.58 | 0.63 | 0.70 | 0.63 | 0.70 | 0.11 | 2.32 | 2.39 | 2.32 | 2.39 | 000 | |
| 62280 | A | Treat spinal cord lesion | 2.63 | 4.36 | 3.46 | 0.71 | 0.73 | 0.17 | 7.16 | 6.26 | 3.51 | 3.53 | 010 | |
| 62281 | A | Treat spinal cord lesion | 2.66 | 3.46 | 2.83 | 0.58 | 0.67 | 0.18 | 6.30 | 5.67 | 3.42 | 3.51 | 010 | |
| 62282 | A | Treat spinal canal lesion | 2.33 | 5.32 | 4.45 | 0.59 | 0.90 | 0.15 | 7.80 | 6.93 | 3.07 | 3.38 | 010 | |
| 62284 | A | Injection for myelogram | 1.54 | 4.00 | 3.54 | 0.67 | 1.04 | 0.11 | 5.65 | 5.19 | 2.32 | 2.69 | 000 | |
| 62287 | A | Percutaneous diskectomy | 8.08 | NA | NA | 4.88 | 5.55 | 0.83 | NA | NA | 13.79 | 14.46 | 090 | |
| 62288 | D | Injection into spinal canal | 1.74 | 0.69 | 0.82 | 0.69 | 0.82 | 0.14 | 2.57 | 2.70 | 2.57 | 2.70 | 000 | |
| 62289 | D | Injection into spinal canal | 1.64 | 0.65 | 0.78 | 0.65 | 0.78 | 0.11 | 2.40 | 2.53 | 2.40 | 2.53 | 000 | |
| 62290 | A | Inject for spine disk x-ray | 0.03 | 4.16 | 3.63 | 1.30 | 1.48 | 0.21 | 4.40 | 3.87 | 1.54 | 1.72 | 000 | |
| 62291 | A | Inject for spine disk x-ray | 2.91 | 5.21 | 4.39 | 1.13 | 1.33 | 0.21 | 8.33 | 7.51 | 4.25 | 4.45 | 000 | |
| 62292 | A | Injection into disk lesion | 7.86 | NA | NA | 3.98 | 5.33 | 0.71 | NA | NA | 12.55 | 13.90 | 090 | |
| 62294 | A | Injection into spinal artery | 11.83 | NA | NA | 6.37 | 6.36 | 0.68 | NA | NA | 18.88 | 18.87 | 090 | |
| 62298 | D | Injection into spinal canal | 2.20 | 0.87 | 0.94 | 0.87 | 0.94 | 0.14 | 3.21 | 3.28 | 3.21 | 3.28 | 000 | |
| 62310 | A | Inject spine c/t | 1.91 | 3.22 | 3.22 | 0.42 | 0.42 | 0.26 | 5.39 | 5.39 | 2.59 | 2.59 | 000 | |
| 62311 | A | Inject spine l/s (cd) | 1.54 | 3.71 | 3.71 | 0.36 | 0.36 | 0.25 | 5.50 | 5.50 | 2.15 | 2.15 | 000 | |
| 62318 | A | Inject spine w/cath, c/t | 2.04 | 3.28 | 3.28 | 0.45 | 0.45 | 0.32 | 5.64 | 5.64 | 2.81 | 2.81 | 000 | |
| 62319 | A | Inject spine w/cath l/s (cd) | 1.87 | 3.26 | 3.26 | 0.39 | 0.39 | 0.28 | 5.41 | 5.41 | 2.54 | 2.54 | 000 | |
| 62350 | A | Implant spinal canal cath | 6.87 | NA | NA | 3.38 | 3.48 | 0.67 | NA | NA | 10.92 | 11.02 | 090 | |
| 62351 | A | Implant spinal canal cath | 0.10 | NA | NA | 6.49 | 6.27 | 1.61 | NA | NA | 8.20 | 7.98 | 090 | |
| 62355 | A | Remove spinal canal catheter | 5.45 | NA | NA | 2.58 | 2.88 | 0.51 | NA | NA | 8.54 | 8.84 | 090 | |
| 62360 | A | Insert spine infusion device | 2.62 | NA | NA | 1.93 | 1.75 | 0.23 | NA | NA | 4.78 | 4.60 | 090 | |
| 62361 | A | Implant spine infusion pump | 5.42 | NA | NA | 2.93 | 2.93 | 0.54 | NA | NA | 8.89 | 8.89 | 090 | |
| 62362 | A | Implant spine infusion pump | 7.04 | NA | NA | 3.83 | 3.83 | 0.86 | NA | NA | 11.73 | 11.73 | 090 | |
| 62365 | A | Remove spine infusion device | 5.42 | NA | NA | 2.95 | 3.16 | 0.72 | NA | NA | 9.09 | 9.30 | 090 | |
| 62367 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 62367 | 26 | A | Analyze spine infusion pump | 0.48 | 0.13 | 0.19 | 0.13 | 0.19 | 0.05 | 0.66 | 0.72 | 0.66 | 0.72 | XXX |
| 62367 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 62368 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 62368 | 26 | A | Analyze spine infusion pump | 0.75 | 0.20 | 0.30 | 0.20 | 0.30 | 0.06 | 1.01 | 1.11 | 1.01 | 1.11 | XXX |
| 62368 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 63001 | A | Removal of spinal lamina | 15.82 | NA | NA | 10.93 | 12.92 | 2.62 | NA | NA | 29.37 | 31.36 | 090 | |
| 63003 | A | Removal of spinal lamina | 15.95 | NA | NA | 11.15 | 13.13 | 2.70 | NA | NA | 29.80 | 31.78 | 090 | |
| 63005 | A | Removal of spinal lamina | 14.92 | NA | NA | 10.68 | 12.46 | 2.29 | NA | NA | 27.89 | 29.67 | 090 | |
| 63011 | A | Removal of spinal lamina | 14.52 | NA | NA | 8.83 | 9.33 | 1.74 | NA | NA | 25.09 | 25.59 | 090 | |
| 63012 | A | Removal of spinal lamina | 15.40 | NA | NA | 9.82 | 11.96 | 2.25 | NA | NA | 27.47 | 29.61 | 090 | |
| 63015 | A | Removal of spinal lamina | 19.35 | NA | NA | 12.81 | 15.37 | 3.59 | NA | NA | 35.75 | 38.31 | 090 | |
| 63016 | A | Removal of spinal lamina | 19.20 | NA | NA | 12.92 | 15.42 | 3.29 | NA | NA | 35.41 | 37.91 | 090 | |
| 63017 | A | Removal of spinal lamina | 15.94 | NA | NA | 11.19 | 13.15 | 2.55 | NA | NA | 29.68 | 31.64 | 090 | |
| 63020 | A | Neck spine disk surgery | 14.81 | NA | NA | 10.52 | 12.24 | 2.69 | NA | NA | 28.02 | 29.74 | 090 | |
| 63030 | A | Low back disk surgery | 0.12 | NA | NA | 9.13 | 10.43 | 1.95 | NA | NA | 11.20 | 12.50 | 090 | |
| 63035 | A | Spinal disk surgery add-on | 3.15 | NA | NA | 1.63 | 2.17 | 0.51 | NA | NA | 5.29 | 5.83 | ZZZ | |
| 63040 | A | Neck spine disk surgery | 18.81 | NA | NA | 12.60 | 15.06 | 3.09 | NA | NA | 34.50 | 36.96 | 090 | |
| 63042 | A | Low back disk surgery | 17.47 | NA | NA | 11.98 | 14.20 | 2.69 | NA | NA | 32.14 | 34.36 | 090 | |
| 63045 | A | Removal of spinal lamina | 16.50 | NA | NA | 11.36 | 13.45 | 2.91 | NA | NA | 30.77 | 32.86 | 090 | |
| 63046 | A | Removal of spinal lamina | 15.80 | NA | NA | 11.12 | 13.06 | 2.63 | NA | NA | 29.55 | 31.49 | 090 | |
| 63047 | A | Removal of spinal lamina | 14.61 | NA | NA | 10.50 | 12.24 | 2.22 | NA | NA | 27.33 | 29.07 | 090 | |
| 63048 | A | Remove spinal lamina add-on | 3.26 | NA | NA | 1.70 | 2.25 | 0.51 | NA | NA | 5.47 | 6.02 | ZZZ | |
| 63055 | A | Decompress spinal cord | 21.99 | NA | NA | 14.25 | 17.13 | 3.94 | NA | NA | 40.18 | 43.06 | 090 | |
| 63056 | A | Decompress spinal cord | 20.36 | NA | NA | 13.44 | 16.01 | 3.01 | NA | NA | 36.81 | 39.38 | 090 | |
| 63057 | A | Decompress spine cord add-on | 5.26 | NA | NA | 2.65 | 3.03 | 0.86 | NA | NA | 8.77 | 9.15 | ZZZ | |
| 63064 | A | Decompress spinal cord | 24.61 | NA | NA | 15.92 | 18.41 | 4.26 | NA | NA | 44.79 | 47.28 | 090 | |
| 63066 | A | Decompress spine cord add-on | 3.26 | NA | NA | 1.65 | 1.91 | 0.53 | NA | NA | 5.44 | 5.70 | ZZZ | |
| 63075 | A | Neck spine disk surgery | 19.41 | NA | NA | 12.94 | 14.47 | 3.38 | NA | NA | 35.73 | 37.26 | 090 | |
| 63076 | A | Neck spine disk surgery | 4.05 | NA | NA | 2.09 | 2.78 | 0.70 | NA | NA | 6.84 | 7.53 | ZZZ | |
| 63077 | A | Spine disk surgery, thorax | 21.44 | NA | NA | 14.55 | 15.91 | 2.72 | NA | NA | 38.71 | 40.07 | 090 | |
| 63078 | A | Spine disk surgery, thorax | 3.28 | NA | NA | 1.69 | 1.98 | 0.40 | NA | NA | 5.37 | 5.66 | ZZZ | |
| 63081 | A | Removal of vertebral body | 23.73 | NA | NA | 15.60 | 18.78 | 4.08 | NA | NA | 43.41 | 46.59 | 090 | |
| 63082 | A | Remove vertebral body add-on | 4.37 | NA | NA | 2.27 | 3.01 | 0.74 | NA | NA | 7.38 | 8.12 | ZZZ | |
| 63085 | A | Removal of vertebral body | 26.92 | NA | NA | 17.62 | 20.65 | 4.10 | NA | NA | 48.64 | 51.67 | 090 | |
| 63086 | A | Remove vertebral body add-on | 3.19 | NA | NA | 1.63 | 2.18 | 0.49 | NA | NA | 5.31 | 5.86 | ZZZ | |
| 63087 | A | Removal of vertebral body | 35.57 | NA | NA | 21.82 | 24.03 | 4.66 | NA | NA | 62.05 | 64.26 | 090 | |
| 63088 | A | Remove vertebral body add-on | 4.33 | NA | NA | 2.25 | 2.98 | 0.61 | NA | NA | 7.19 | 7.92 | ZZZ | |
| 63090 | A | Removal of vertebral body | 28.16 | NA | NA | 17.58 | 21.11 | 3.66 | NA | NA | 49.40 | 52.93 | 090 | |
| 63091 | A | Remove vertebral body add-on | 3.03 | NA | NA | 1.54 | 1.90 | 0.37 | NA | NA | 4.94 | 5.30 | ZZZ | |
| 63170 | A | Incise spinal cord tract(s) | 19.83 | NA | NA | 13.14 | 14.98 | 3.84 | NA | NA | 36.81 | 38.65 | 090 | |
| 63172 | A | Drainage of spinal cyst | 17.66 | NA | NA | 12.50 | 14.65 | 3.36 | NA | NA | 33.52 | 35.67 | 090 | |
| 63173 | A | Drainage of spinal cyst | 21.99 | NA | NA | 14.53 | 15.10 | 4.25 | NA | NA | 40.77 | 41.34 | 090 | |
| 63180 | A | Revise spinal cord ligaments | 18.27 | NA | NA | 12.60 | 12.60 | 2.76 | NA | NA | 33.63 | 33.63 | 090 | |
| 63182 | A | Revise spinal cord ligaments | 20.50 | NA | NA | 12.26 | 13.66 | 3.22 | NA | NA | 35.98 | 37.38 | 090 | |
| 63185 | A | Incise spinal column/nerves | 15.04 | NA | NA | 9.08 | 11.03 | 2.43 | NA | NA | 26.55 | 28.50 | 090 | |
| 63190 | A | Incise spinal column/nerves | 17.45 | NA | NA | 11.60 | 13.91 | 2.84 | NA | NA | 31.89 | 34.20 | 090 | |
| 63191 | A | Incise spinal column/nerves | 17.54 | NA | NA | 10.76 | 11.61 | 2.78 | NA | NA | 31.08 | 31.93 | 090 | |
| 63194 | A | Incise spinal column cord | 19.19 | NA | NA | 12.06 | 12.58 | 3.89 | NA | NA | 35.14 | 35.66 | 090 | |
| 63195 | A | Incise spinal column cord | 18.84 | NA | NA | 12.39 | 13.05 | 3.71 | NA | NA | 34.94 | 35.60 | 090 | |
| 63196 | A | Incise spinal column cord | 22.30 | NA | NA | 11.82 | 13.10 | 4.52 | NA | NA | 38.64 | 39.92 | 090 | |
| 63197 | A | Incise spinal column cord | 21.11 | NA | NA | 12.24 | 13.08 | 4.27 | NA | NA | 37.62 | 38.46 | 090 | |
| 63198 | A | Incise spinal column cord | 25.38 | NA | NA | 10.42 | 12.24 | 5.14 | NA | NA | 40.94 | 42.76 | 090 | |
| 63199 | A | Incise spinal column cord | 26.89 | NA | NA | 16.23 | 17.98 | 4.52 | NA | NA | 47.64 | 49.39 | 090 | |
| 63200 | A | Release of spinal cord | 19.18 | NA | NA | 12.71 | 12.92 | 3.23 | NA | NA | 35.12 | 35.33 | 090 | |
| 63250 | A | Revise spinal cord vessels | 40.76 | NA | NA | 21.25 | 23.53 | 5.30 | NA | NA | 67.31 | 69.59 | 090 | |
| 63251 | A | Revise spinal cord vessels | 41.20 | NA | NA | 22.47 | 23.02 | 7.84 | NA | NA | 71.51 | 72.06 | 090 | |
| 63252 | A | Revise spinal cord vessels | 41.19 | NA | NA | 22.29 | 24.38 | 7.47 | NA | NA | 70.95 | 73.04 | 090 | |
| 63265 | A | Excise intraspinal lesion | 21.56 | NA | NA | 12.65 | 15.46 | 4.01 | NA | NA | 38.22 | 41.03 | 090 | |
| 63266 | A | Excise intraspinal lesion | 22.30 | NA | NA | 13.25 | 16.59 | 4.17 | NA | NA | 39.72 | 43.06 | 090 | |
| 63267 | A | Excise intraspinal lesion | 17.95 | NA | NA | 10.97 | 13.59 | 3.14 | NA | NA | 32.06 | 34.68 | 090 | |
| 63268 | A | Excise intraspinal lesion | 18.52 | NA | NA | 9.47 | 10.51 | 3.31 | NA | NA | 31.30 | 32.34 | 090 | |
| 63270 | A | Excise intraspinal lesion | 26.80 | NA | NA | 15.44 | 16.50 | 5.33 | NA | NA | 47.57 | 48.63 | 090 | |
| 63271 | A | Excise intraspinal lesion | 26.92 | NA | NA | 15.53 | 18.87 | 5.19 | NA | NA | 47.64 | 50.98 | 090 | |
| 63272 | A | Excise intraspinal lesion | 25.32 | NA | NA | 14.59 | 17.22 | 4.72 | NA | NA | 44.63 | 47.26 | 090 | |
| 63273 | A | Excise intraspinal lesion | 24.29 | NA | NA | 14.34 | 15.52 | 4.53 | NA | NA | 43.16 | 44.34 | 090 | |
| 63275 | A | Biopsy/excise spinal tumor | 23.68 | NA | NA | 13.69 | 17.34 | 4.31 | NA | NA | 41.68 | 45.33 | 090 | |
| 63276 | A | Biopsy/excise spinal tumor | 23.45 | NA | NA | 13.66 | 17.11 | 4.29 | NA | NA | 41.40 | 44.85 | 090 | |
| 63277 | A | Biopsy/excise spinal tumor | 20.83 | NA | NA | 12.43 | 15.54 | 3.64 | NA | NA | 36.90 | 40.01 | 090 | |
| 63278 | A | Biopsy/excise spinal tumor | 20.56 | NA | NA | 12.29 | 15.36 | 3.52 | NA | NA | 36.37 | 39.44 | 090 | |
| 63280 | A | Biopsy/excise spinal tumor | 28.35 | NA | NA | 16.18 | 19.75 | 5.51 | NA | NA | 50.04 | 53.61 | 090 | |
| 63281 | A | Biopsy/excise spinal tumor | 28.05 | NA | NA | 15.97 | 19.49 | 5.42 | NA | NA | 49.44 | 52.96 | 090 | |
| 63282 | A | Biopsy/excise spinal tumor | 26.39 | NA | NA | 15.33 | 18.04 | 4.95 | NA | NA | 46.67 | 49.38 | 090 | |
| 63283 | A | Biopsy/excise spinal tumor | 0.25 | NA | NA | 13.15 | 14.96 | 4.52 | NA | NA | 17.92 | 19.73 | 090 | |
| 63285 | A | Biopsy/excise spinal tumor | 0.36 | NA | NA | 20.07 | 21.70 | 7.01 | NA | NA | 27.44 | 29.07 | 090 | |
| 63286 | A | Biopsy/excise spinal tumor | 35.63 | NA | NA | 19.65 | 22.54 | 6.85 | NA | NA | 62.13 | 65.02 | 090 | |
| 63287 | A | Biopsy/excise spinal tumor | 36.70 | NA | NA | 20.64 | 22.46 | 7.13 | NA | NA | 64.47 | 66.29 | 090 | |
| 63290 | A | Biopsy/excise spinal tumor | 37.38 | NA | NA | 20.76 | 22.94 | 6.99 | NA | NA | 65.13 | 67.31 | 090 | |
| 63300 | A | Removal of vertebral body | 24.43 | NA | NA | 14.23 | 15.36 | 4.35 | NA | NA | 43.01 | 44.14 | 090 | |
| 63301 | A | Removal of vertebral body | 27.60 | NA | NA | 15.56 | 16.68 | 4.63 | NA | NA | 47.79 | 48.91 | 090 | |
| 63302 | A | Removal of vertebral body | 27.81 | NA | NA | 15.88 | 17.71 | 4.56 | NA | NA | 48.25 | 50.08 | 090 | |
| 63303 | A | Removal of vertebral body | 30.50 | NA | NA | 16.81 | 17.63 | 4.47 | NA | NA | 51.78 | 52.60 | 090 | |
| 63304 | A | Removal of vertebral body | 30.33 | NA | NA | 17.38 | 18.82 | 6.14 | NA | NA | 53.85 | 55.29 | 090 | |
| 63305 | A | Removal of vertebral body | 32.03 | NA | NA | 17.54 | 19.26 | 5.24 | NA | NA | 54.81 | 56.53 | 090 | |
| 63306 | A | Removal of vertebral body | 32.22 | NA | NA | 17.96 | 19.65 | 5.44 | NA | NA | 55.62 | 57.31 | 090 | |
| 63307 | A | Removal of vertebral body | 31.63 | NA | NA | 16.57 | 19.05 | 4.17 | NA | NA | 52.37 | 54.85 | 090 | |
| 63308 | A | Remove vertebral body add-on | 5.25 | NA | NA | 2.63 | 3.07 | 0.86 | NA | NA | 8.74 | 9.18 | ZZZ | |
| 63600 | A | Remove spinal cord lesion | 14.02 | NA | NA | 5.67 | 7.16 | 1.51 | NA | NA | 21.20 | 22.69 | 090 | |
| 63610 | A | Stimulation of spinal cord | 8.73 | NA | NA | 3.15 | 4.19 | 0.54 | NA | NA | 12.42 | 13.46 | 000 | |
| 63615 | A | Remove lesion of spinal cord | 16.28 | NA | NA | 9.65 | 10.37 | 3.14 | NA | NA | 29.07 | 29.79 | 090 | |
| 63650 | A | Implant neuroelectrodes | 6.74 | NA | NA | 3.62 | 4.73 | 0.55 | NA | NA | 10.91 | 12.02 | 090 | |
| 63655 | A | Implant neuroelectrodes | 10.29 | NA | NA | 6.79 | 8.17 | 1.75 | NA | NA | 18.83 | 20.21 | 090 | |
| 63660 | A | Revise/remove neuroelectrode | 6.16 | NA | NA | 3.54 | 4.50 | 0.71 | NA | NA | 10.41 | 11.37 | 090 | |
| 63685 | A | Implant neuroreceiver | 7.04 | NA | NA | 3.95 | 4.97 | 0.89 | NA | NA | 11.88 | 12.90 | 090 | |
| 63688 | A | Revise/remove neuroreceiver | 5.39 | NA | NA | 3.23 | 4.03 | 0.73 | NA | NA | 9.35 | 10.15 | 090 | |
| 63700 | A | Repair of spinal herniation | 16.53 | NA | NA | 10.18 | 10.72 | 2.48 | NA | NA | 29.19 | 29.73 | 090 | |
| 63702 | A | Repair of spinal herniation | 18.48 | NA | NA | 11.60 | 12.17 | 3.04 | NA | NA | 33.12 | 33.69 | 090 | |
| 63704 | A | Repair of spinal herniation | 21.18 | NA | NA | 12.09 | 12.92 | 3.87 | NA | NA | 37.14 | 37.97 | 090 | |
| 63706 | A | Repair of spinal herniation | 24.11 | NA | NA | 13.90 | 14.86 | 2.61 | NA | NA | 40.62 | 41.58 | 090 | |
| 63707 | A | Repair spinal fluid leakage | 11.26 | NA | NA | 7.60 | 9.06 | 1.78 | NA | NA | 20.64 | 22.10 | 090 | |
| 63709 | A | Repair spinal fluid leakage | 14.32 | NA | NA | 9.24 | 11.20 | 2.18 | NA | NA | 25.74 | 27.70 | 090 | |
| 63710 | A | Graft repair of spine defect | 14.07 | NA | NA | 8.98 | 9.38 | 2.49 | NA | NA | 25.54 | 25.94 | 090 | |
| 63740 | A | Install spinal shunt | 11.36 | NA | NA | 7.38 | 8.93 | 2.15 | NA | NA | 20.89 | 22.44 | 090 | |
| 63741 | A | Install spinal shunt | 8.25 | NA | NA | 4.63 | 5.94 | 1.28 | NA | NA | 14.16 | 15.47 | 090 | |
| 63744 | A | Revision of spinal shunt | 8.10 | NA | NA | 5.35 | 6.22 | 1.41 | NA | NA | 14.86 | 15.73 | 090 | |
| 63746 | A | Removal of spinal shunt | 6.43 | NA | NA | 3.61 | 4.21 | 0.73 | NA | NA | 10.77 | 11.37 | 090 | |
| 64400 | A | Injection for nerve block | 1.11 | 2.10 | 1.71 | 0.26 | 0.33 | 0.09 | 3.30 | 2.91 | 1.46 | 1.53 | 000 | |
| 64402 | A | Injection for nerve block | 1.25 | 3.65 | 2.91 | 0.45 | 0.51 | 0.08 | 4.98 | 4.24 | 1.78 | 1.84 | 000 | |
| 64405 | A | Injection for nerve block | 1.32 | 2.26 | 1.87 | 0.30 | 0.40 | 0.12 | 3.70 | 3.31 | 1.74 | 1.84 | 000 | |
| 64408 | A | Injection for nerve block | 1.41 | 2.39 | 2.08 | 0.59 | 0.73 | 0.13 | 3.93 | 3.62 | 2.13 | 2.27 | 000 | |
| 64410 | A | Injection for nerve block | 1.43 | 2.32 | 1.93 | 0.30 | 0.42 | 0.09 | 3.84 | 3.45 | 1.82 | 1.94 | 000 | |
| 64412 | A | Injection for nerve block | 1.18 | 2.63 | 2.14 | 0.25 | 0.36 | 0.10 | 3.91 | 3.42 | 1.53 | 1.64 | 000 | |
| 64413 | A | Injection for nerve block | 1.40 | 2.47 | 2.05 | 0.37 | 0.48 | 0.11 | 3.98 | 3.56 | 1.88 | 1.99 | 000 | |
| 64415 | A | Injection for nerve block | 1.48 | 2.66 | 2.07 | 0.31 | 0.30 | 0.11 | 4.25 | 3.66 | 1.90 | 1.89 | 000 | |
| 64417 | A | Injection for nerve block | 1.44 | 2.26 | 1.87 | 0.32 | 0.41 | 0.11 | 3.81 | 3.42 | 1.87 | 1.96 | 000 | |
| 64418 | A | Injection for nerve block | 1.32 | 2.13 | 1.83 | 0.28 | 0.44 | 0.10 | 3.55 | 3.25 | 1.70 | 1.86 | 000 | |
| 64420 | A | Injection for nerve block | 1.18 | 2.18 | 1.81 | 0.27 | 0.38 | 0.08 | 3.44 | 3.07 | 1.53 | 1.64 | 000 | |
| 64421 | A | Injection for nerve block | 1.68 | 2.51 | 2.11 | 0.37 | 0.50 | 0.11 | 4.30 | 3.90 | 2.16 | 2.29 | 000 | |
| 64425 | A | Injection for nerve block | 1.75 | 2.15 | 1.77 | 0.40 | 0.46 | 0.12 | 4.02 | 3.64 | 2.27 | 2.33 | 000 | |
| 64430 | A | Injection for nerve block | 1.46 | 2.58 | 2.13 | 0.42 | 0.51 | 0.10 | 4.14 | 3.69 | 1.98 | 2.07 | 000 | |
| 64435 | A | Injection for nerve block | 1.45 | 2.71 | 2.16 | 0.52 | 0.52 | 0.11 | 4.27 | 3.72 | 2.08 | 2.08 | 000 | |
| 64440 | D | Injection for nerve block | 1.34 | 0.53 | 0.61 | 0.53 | 0.61 | 0.10 | 1.97 | 2.05 | 1.97 | 2.05 | 000 | |
| 64441 | D | Injection for nerve block | 1.79 | 0.71 | 0.81 | 0.71 | 0.81 | 0.12 | 2.62 | 2.72 | 2.62 | 2.72 | 000 | |
| 64442 | D | Injection for nerve block | 1.41 | 0.56 | 0.74 | 0.56 | 0.74 | 0.11 | 2.08 | 2.26 | 2.08 | 2.26 | 000 | |
| 64443 | D | Inject, nerve block add-on | 0.98 | 0.39 | 0.46 | 0.39 | 0.46 | 0.07 | 1.44 | 1.51 | 1.44 | 1.51 | ZZZ | |
| 64445 | A | Injection for nerve block | 1.48 | 2.98 | 2.37 | 0.34 | 0.39 | 0.10 | 4.56 | 3.95 | 1.92 | 1.97 | 000 | |
| 64450 | A | Injection for nerve block | 1.27 | 1.54 | 1.30 | 0.33 | 0.39 | 0.09 | 2.90 | 2.66 | 1.69 | 1.75 | 000 | |
| 64470 | A | Inj paravertebral c/t | 1.85 | 3.62 | 3.62 | 0.50 | 0.50 | 0.12 | 5.59 | 5.59 | 2.47 | 2.47 | 000 | |
| 64472 | A | Inj paravertebral c/t add-on | 1.29 | 3.29 | 3.29 | 0.37 | 0.37 | 0.09 | 4.67 | 4.67 | 1.75 | 1.75 | ZZZ | |
| 64475 | A | Inj paravertebral l/s | 1.41 | 3.45 | 3.45 | 0.38 | 0.38 | 0.10 | 4.96 | 4.96 | 1.89 | 1.89 | 000 | |
| 64476 | A | Inj paravertebral l/s add-on | 0.98 | 3.58 | 3.58 | 0.26 | 0.26 | 0.07 | 4.63 | 4.63 | 1.31 | 1.31 | ZZZ | |
| 64479 | A | Inj foramen epidural c/t | 2.20 | 3.71 | 3.71 | 0.61 | 0.61 | 0.15 | 6.06 | 6.06 | 2.96 | 2.96 | 000 | |
| 64480 | A | Inj foramen epidural add-on | 1.54 | 3.77 | 3.77 | 0.39 | 0.39 | 0.11 | 5.42 | 5.42 | 2.04 | 2.04 | ZZZ | |
| 64483 | A | Inj foramen epidural l/s | 1.90 | 3.59 | 3.59 | 0.52 | 0.52 | 0.10 | 5.59 | 5.59 | 2.52 | 2.52 | 000 | |
| 64484 | A | Inj foramen epidural add-on | 1.33 | 3.69 | 3.69 | 0.34 | 0.34 | 0.10 | 5.12 | 5.12 | 1.77 | 1.77 | ZZZ | |
| 64505 | A | Injection for nerve block | 1.36 | 2.06 | 1.71 | 0.35 | 0.43 | 0.09 | 3.51 | 3.16 | 1.80 | 1.88 | 000 | |
| 64508 | A | Injection for nerve block | 1.12 | 1.93 | 1.73 | 0.40 | 0.58 | 0.13 | 3.18 | 2.98 | 1.65 | 1.83 | 000 | |
| 64510 | A | Injection for nerve block | 1.22 | 2.16 | 1.81 | 0.26 | 0.39 | 0.08 | 3.46 | 3.11 | 1.56 | 1.69 | 000 | |
| 64520 | A | Injection for nerve block | 1.35 | 3.35 | 2.71 | 0.29 | 0.41 | 0.10 | 4.80 | 4.16 | 1.74 | 1.86 | 000 | |
| 64530 | A | Injection for nerve block | 1.58 | 2.63 | 2.29 | 0.36 | 0.59 | 0.11 | 4.32 | 3.98 | 2.05 | 2.28 | 000 | |
| 64550 | A | Apply neurostimulator | 0.18 | 0.47 | 0.47 | 0.05 | 0.16 | 0.01 | 0.66 | 0.66 | 0.24 | 0.35 | 000 | |
| 64553 | A | Implant neuroelectrodes | 2.31 | 1.58 | 1.46 | 1.21 | 1.19 | 0.06 | 3.95 | 3.83 | 3.58 | 3.56 | 010 | |
| 64555 | A | Implant neuroelectrodes | 2.27 | 2.10 | 1.69 | 0.52 | 0.51 | 0.16 | 4.53 | 4.12 | 2.95 | 2.94 | 010 | |
| 64560 | A | Implant neuroelectrodes | 2.36 | 2.11 | 1.98 | 0.85 | 1.03 | 0.17 | 4.64 | 4.51 | 3.38 | 3.56 | 010 | |
| 64565 | A | Implant neuroelectrodes | 1.76 | 2.27 | 1.91 | 0.56 | 0.63 | 0.13 | 4.16 | 3.80 | 2.45 | 2.52 | 010 | |
| 64573 | A | Implant neuroelectrodes | 7.50 | NA | NA | 5.19 | 4.75 | 0.84 | NA | NA | 13.53 | 13.09 | 090 | |
| 64575 | A | Implant neuroelectrodes | 4.35 | NA | NA | 3.30 | 3.31 | 0.68 | NA | NA | 8.33 | 8.34 | 090 | |
| 64577 | A | Implant neuroelectrodes | 4.62 | NA | NA | 3.51 | 3.38 | 0.74 | NA | NA | 8.87 | 8.74 | 090 | |
| 64580 | A | Implant neuroelectrodes | 4.12 | NA | NA | 3.50 | 3.42 | 0.38 | NA | NA | 8.00 | 7.92 | 090 | |
| 64585 | A | Revise/remove neuroelectrode | 2.06 | 4.14 | 3.37 | 1.89 | 1.68 | 0.26 | 6.46 | 5.69 | 4.21 | 4.00 | 010 | |
| 64590 | A | Implant neuroreceiver | 2.40 | NA | NA | 2.27 | 2.20 | 0.37 | NA | NA | 5.04 | 4.97 | 010 | |
| 64595 | A | Revise/remove neuroreceiver | 1.73 | NA | NA | 1.95 | 1.77 | 0.14 | NA | NA | 3.82 | 3.64 | 010 | |
| 64600 | A | Injection treatment of nerve | 3.45 | 3.01 | 2.72 | 1.92 | 1.90 | 0.34 | 6.80 | 6.51 | 5.71 | 5.69 | 010 | |
| 64605 | A | Injection treatment of nerve | 5.61 | 3.48 | 3.03 | 2.44 | 2.25 | 0.43 | 9.52 | 9.07 | 8.48 | 8.29 | 010 | |
| 64610 | A | Injection treatment of nerve | 7.16 | NA | NA | 4.01 | 4.98 | 1.28 | NA | NA | 12.45 | 13.42 | 010 | |
| 64612 | A | Destroy nerve, face muscle | 1.96 | 2.62 | 2.36 | 1.58 | 1.58 | 0.14 | 4.72 | 4.46 | 3.68 | 3.68 | 010 | |
| 64613 | A | Destroy nerve, spine muscle | 1.96 | 1.48 | 1.50 | 1.25 | 1.33 | 0.36 | 3.80 | 3.82 | 3.57 | 3.65 | 010 | |
| 64620 | A | Injection treatment of nerve | 2.84 | 2.78 | 2.36 | 0.63 | 0.75 | 0.20 | 5.82 | 5.40 | 3.67 | 3.79 | 010 | |
| 64622 | A | Destr paravertebrl nerve l/s | 0.03 | 4.03 | 3.52 | 0.73 | 1.04 | 0.21 | 4.27 | 3.76 | 0.97 | 1.28 | 010 | |
| 64623 | A | Destr paravertebral n add-on | 0.99 | 3.01 | 2.49 | 0.24 | 0.41 | 0.07 | 4.07 | 3.55 | 1.30 | 1.47 | ZZZ | |
| 64626 | A | Destr paravertebrl nerve c/t | 3.28 | 3.64 | 3.64 | 0.94 | 0.94 | 0.22 | 7.14 | 7.14 | 4.44 | 4.44 | 010 | |
| 64627 | A | Destr paravertebral n add-on | 1.16 | 3.00 | 3.00 | 0.33 | 0.33 | 0.08 | 4.24 | 4.24 | 1.57 | 1.57 | ZZZ | |
| 64630 | A | Injection treatment of nerve | 0.03 | 2.79 | 2.57 | 0.72 | 1.01 | 0.25 | 3.07 | 2.85 | 1.00 | 1.29 | 010 | |
| 64640 | A | Injection treatment of nerve | 2.76 | 4.44 | 3.58 | 0.93 | 0.95 | 0.20 | 7.40 | 6.54 | 3.89 | 3.91 | 010 | |
| 64680 | A | Injection treatment of nerve | 2.62 | 2.46 | 2.27 | 0.69 | 0.94 | 0.16 | 5.24 | 5.05 | 3.47 | 3.72 | 010 | |
| 64702 | A | Revise finger/toe nerve | 4.23 | NA | NA | 3.63 | 3.87 | 0.44 | NA | NA | 8.30 | 8.54 | 090 | |
| 64704 | A | Revise hand/foot nerve | 4.57 | NA | NA | 2.95 | 3.58 | 0.36 | NA | NA | 7.88 | 8.51 | 090 | |
| 64708 | A | Revise arm/leg nerve | 6.12 | NA | NA | 4.69 | 5.34 | 0.66 | NA | NA | 11.47 | 12.12 | 090 | |
| 64712 | A | Revision of sciatic nerve | 7.75 | NA | NA | 4.63 | 5.79 | 0.74 | NA | NA | 13.12 | 14.28 | 090 | |
| 64713 | A | Revision of arm nerve(s) | 0.11 | NA | NA | 5.02 | 6.32 | 1.14 | NA | NA | 6.27 | 7.57 | 090 | |
| 64714 | A | Revise low back nerve(s) | 10.33 | NA | NA | 3.77 | 4.49 | 0.78 | NA | NA | 14.88 | 15.60 | 090 | |
| 64716 | A | Revision of cranial nerve | 6.31 | NA | NA | 4.65 | 4.80 | 0.59 | NA | NA | 11.55 | 11.70 | 090 | |
| 64718 | A | Revise ulnar nerve at elbow | 5.99 | NA | NA | 4.81 | 5.40 | 0.74 | NA | NA | 11.54 | 12.13 | 090 | |
| 64719 | A | Revise ulnar nerve at wrist | 4.85 | NA | NA | 4.28 | 4.55 | 0.53 | NA | NA | 9.66 | 9.93 | 090 | |
| 64721 | A | Carpal tunnel surgery | 4.29 | 5.58 | 5.47 | 5.31 | 5.26 | 0.49 | 10.36 | 10.25 | 10.09 | 10.04 | 090 | |
| 64722 | A | Relieve pressure on nerve(s) | 4.70 | NA | NA | 2.81 | 3.51 | 0.40 | NA | NA | 7.91 | 8.61 | 090 | |
| 64726 | A | Release foot/toe nerve | 4.18 | NA | NA | 2.85 | 2.33 | 0.31 | NA | NA | 7.34 | 6.82 | 090 | |
| 64727 | A | Internal nerve revision | 3.10 | NA | NA | 1.49 | 2.00 | 0.33 | NA | NA | 4.92 | 5.43 | ZZZ | |
| 64732 | A | Incision of brow nerve | 4.41 | NA | NA | 3.36 | 3.69 | 0.75 | NA | NA | 8.52 | 8.85 | 090 | |
| 64734 | A | Incision of cheek nerve | 4.92 | NA | NA | 3.30 | 3.73 | 0.72 | NA | NA | 8.94 | 9.37 | 090 | |
| 64736 | A | Incision of chin nerve | 4.60 | NA | NA | 2.77 | 3.29 | 0.39 | NA | NA | 7.76 | 8.28 | 090 | |
| 64738 | A | Incision of jaw nerve | 5.73 | NA | NA | 3.28 | 3.84 | 0.58 | NA | NA | 9.59 | 10.15 | 090 | |
| 64740 | A | Incision of tongue nerve | 5.59 | NA | NA | 3.39 | 3.95 | 0.38 | NA | NA | 9.36 | 9.92 | 090 | |
| 64742 | A | Incision of facial nerve | 6.22 | NA | NA | 4.51 | 4.74 | 0.53 | NA | NA | 11.26 | 11.49 | 090 | |
| 64744 | A | Incise nerve, back of head | 5.24 | NA | NA | 3.50 | 4.19 | 0.92 | NA | NA | 9.66 | 10.35 | 090 | |
| 64746 | A | Incise diaphragm nerve | 5.93 | NA | NA | 4.98 | 4.76 | 0.68 | NA | NA | 11.59 | 11.37 | 090 | |
| 64752 | A | Incision of vagus nerve | 7.06 | NA | NA | 5.30 | 5.04 | 0.67 | NA | NA | 13.03 | 12.77 | 090 | |
| 64755 | A | Incision of stomach nerves | 13.52 | NA | NA | 6.15 | 7.45 | 1.22 | NA | NA | 20.89 | 22.19 | 090 | |
| 64760 | A | Incision of vagus nerve | 6.96 | NA | NA | 3.39 | 4.35 | 0.64 | NA | NA | 10.99 | 11.95 | 090 | |
| 64761 | A | Incision of pelvis nerve | 6.41 | NA | NA | 3.68 | 4.03 | 0.44 | NA | NA | 10.53 | 10.88 | 090 | |
| 64763 | A | Incise hip/thigh nerve | 6.93 | NA | NA | 5.18 | 5.19 | 0.71 | NA | NA | 12.82 | 12.83 | 090 | |
| 64766 | A | Incise hip/thigh nerve | 8.67 | NA | NA | 5.11 | 5.64 | 1.34 | NA | NA | 15.12 | 15.65 | 090 | |
| 64771 | A | Sever cranial nerve | 7.35 | NA | NA | 5.17 | 5.62 | 0.86 | NA | NA | 13.38 | 13.83 | 090 | |
| 64772 | A | Incision of spinal nerve | 7.21 | NA | NA | 4.72 | 5.38 | 1.14 | NA | NA | 13.07 | 13.73 | 090 | |
| 64774 | A | Remove skin nerve lesion | 5.17 | NA | NA | 3.54 | 3.40 | 0.52 | NA | NA | 9.23 | 9.09 | 090 | |
| 64776 | A | Remove digit nerve lesion | 5.12 | NA | NA | 3.70 | 3.53 | 0.44 | NA | NA | 9.26 | 9.09 | 090 | |
| 64778 | A | Digit nerve surgery add-on | 3.11 | NA | NA | 1.45 | 1.83 | 0.34 | NA | NA | 4.90 | 5.28 | ZZZ | |
| 64782 | A | Remove limb nerve lesion | 6.23 | NA | NA | 3.47 | 3.88 | 0.45 | NA | NA | 10.15 | 10.56 | 090 | |
| 64783 | A | Limb nerve surgery add-on | 3.72 | NA | NA | 1.85 | 2.27 | 0.37 | NA | NA | 5.94 | 6.36 | ZZZ | |
| 64784 | A | Remove nerve lesion | 9.82 | NA | NA | 6.37 | 6.31 | 1.06 | NA | NA | 17.25 | 17.19 | 090 | |
| 64786 | A | Remove sciatic nerve lesion | 15.46 | NA | NA | 9.79 | 10.78 | 1.93 | NA | NA | 27.18 | 28.17 | 090 | |
| 64787 | A | Implant nerve end | 4.30 | NA | NA | 2.20 | 2.59 | 0.43 | NA | NA | 6.93 | 7.32 | ZZZ | |
| 64788 | A | Remove skin nerve lesion | 4.61 | NA | NA | 3.22 | 3.40 | 0.49 | NA | NA | 8.32 | 8.50 | 090 | |
| 64790 | A | Removal of nerve lesion | 11.31 | NA | NA | 6.84 | 7.06 | 1.47 | NA | NA | 19.62 | 19.84 | 090 | |
| 64792 | A | Removal of nerve lesion | 14.92 | NA | NA | 8.43 | 8.76 | 1.97 | NA | NA | 25.32 | 25.65 | 090 | |
| 64795 | A | Biopsy of nerve | 3.01 | NA | NA | 1.77 | 1.97 | 0.43 | NA | NA | 5.21 | 5.41 | 000 | |
| 64802 | A | Remove sympathetic nerves | 9.15 | NA | NA | 6.02 | 5.98 | 1.03 | NA | NA | 16.20 | 16.16 | 090 | |
| 64804 | A | Remove sympathetic nerves | 14.64 | NA | NA | 7.75 | 9.28 | 1.83 | NA | NA | 24.22 | 25.75 | 090 | |
| 64809 | A | Remove sympathetic nerves | 13.67 | NA | NA | 6.71 | 7.90 | 1.68 | NA | NA | 22.06 | 23.25 | 090 | |
| 64818 | A | Remove sympathetic nerves | 10.30 | NA | NA | 6.01 | 6.83 | 1.16 | NA | NA | 17.47 | 18.29 | 090 | |
| 64820 | A | Remove sympathetic nerves | 10.37 | NA | NA | 7.51 | 7.61 | 1.08 | NA | NA | 18.96 | 19.06 | 090 | |
| 64831 | A | Repair of digit nerve | 9.44 | NA | NA | 6.77 | 6.00 | 0.99 | NA | NA | 17.20 | 16.43 | 090 | |
| 64832 | A | Repair nerve add-on | 5.66 | NA | NA | 3.03 | 2.65 | 0.59 | NA | NA | 9.28 | 8.90 | ZZZ | |
| 64834 | A | Repair of hand or foot nerve | 10.19 | NA | NA | 6.82 | 6.07 | 1.06 | NA | NA | 18.07 | 17.32 | 090 | |
| 64835 | A | Repair of hand or foot nerve | 10.94 | NA | NA | 7.51 | 7.25 | 1.14 | NA | NA | 19.59 | 19.33 | 090 | |
| 64836 | A | Repair of hand or foot nerve | 10.94 | NA | NA | 7.50 | 7.44 | 1.17 | NA | NA | 19.61 | 19.55 | 090 | |
| 64837 | A | Repair nerve add-on | 6.26 | NA | NA | 3.16 | 3.58 | 0.65 | NA | NA | 10.07 | 10.49 | ZZZ | |
| 64840 | A | Repair of leg nerve | 13.02 | NA | NA | 8.76 | 9.38 | 1.03 | NA | NA | 22.81 | 23.43 | 090 | |
| 64856 | A | Repair/transpose nerve | 13.80 | NA | NA | 8.98 | 8.96 | 1.52 | NA | NA | 24.30 | 24.28 | 090 | |
| 64857 | A | Repair arm/leg nerve | 14.49 | NA | NA | 9.50 | 9.71 | 1.54 | NA | NA | 25.53 | 25.74 | 090 | |
| 64858 | A | Repair sciatic nerve | 16.49 | NA | NA | 9.97 | 10.46 | 2.38 | NA | NA | 28.84 | 29.33 | 090 | |
| 64859 | A | Nerve surgery | 4.26 | NA | NA | 2.27 | 2.65 | 0.45 | NA | NA | 6.98 | 7.36 | ZZZ | |
| 64861 | A | Repair of arm nerves | 19.24 | NA | NA | 12.35 | 12.90 | 1.68 | NA | NA | 33.27 | 33.82 | 090 | |
| 64862 | A | Repair of low back nerves | 19.44 | NA | NA | 11.27 | 14.30 | 3.93 | NA | NA | 34.64 | 37.67 | 090 | |
| 64864 | A | Repair of facial nerve | 12.55 | NA | NA | 9.35 | 9.15 | 1.12 | NA | NA | 23.02 | 22.82 | 090 | |
| 64865 | A | Repair of facial nerve | 15.24 | NA | NA | 10.71 | 11.38 | 1.37 | NA | NA | 27.32 | 27.99 | 090 | |
| 64866 | A | Fusion of facial/other nerve | 15.74 | NA | NA | 10.98 | 11.27 | 1.42 | NA | NA | 28.14 | 28.43 | 090 | |
| 64868 | A | Fusion of facial/other nerve | 14.04 | NA | NA | 10.55 | 10.95 | 1.62 | NA | NA | 26.21 | 26.61 | 090 | |
| 64870 | A | Fusion of facial/other nerve | 15.99 | NA | NA | 9.58 | 10.96 | 1.71 | NA | NA | 27.28 | 28.66 | 090 | |
| 64872 | A | Subsequent repair of nerve | 1.99 | NA | NA | 1.11 | 1.22 | 0.22 | NA | NA | 3.32 | 3.43 | ZZZ | |
| 64874 | A | Repair revise nerve add-on | 2.98 | NA | NA | 1.47 | 1.69 | 0.32 | NA | NA | 4.77 | 4.99 | ZZZ | |
| 64876 | A | Repair nerve/shorten bone | 3.38 | NA | NA | 1.34 | 1.67 | 0.37 | NA | NA | 5.09 | 5.42 | ZZZ | |
| 64885 | A | Nerve graft, head or neck | 17.53 | NA | NA | 11.23 | 11.87 | 1.47 | NA | NA | 30.23 | 30.87 | 090 | |
| 64886 | A | Nerve graft, head or neck | 20.75 | NA | NA | 13.47 | 14.21 | 1.74 | NA | NA | 35.96 | 36.70 | 090 | |
| 64890 | A | Nerve graft, hand or foot | 15.15 | NA | NA | 11.58 | 12.01 | 1.57 | NA | NA | 28.30 | 28.73 | 090 | |
| 64891 | A | Nerve graft, hand or foot | 16.14 | NA | NA | 11.15 | 11.19 | 1.54 | NA | NA | 28.83 | 28.87 | 090 | |
| 64892 | A | Nerve graft, arm or leg | 14.65 | NA | NA | 9.04 | 9.78 | 1.74 | NA | NA | 25.43 | 26.17 | 090 | |
| 64893 | A | Nerve graft, arm or leg | 15.60 | NA | NA | 9.64 | 11.01 | 2.41 | NA | NA | 27.65 | 29.02 | 090 | |
| 64895 | A | Nerve graft, hand or foot | 19.25 | NA | NA | 13.16 | 13.44 | 1.81 | NA | NA | 34.22 | 34.50 | 090 | |
| 64896 | A | Nerve graft, hand or foot | 20.49 | NA | NA | 13.13 | 14.60 | 2.18 | NA | NA | 35.80 | 37.27 | 090 | |
| 64897 | A | Nerve graft, arm or leg | 18.24 | NA | NA | 11.21 | 11.84 | 1.91 | NA | NA | 31.36 | 31.99 | 090 | |
| 64898 | A | Nerve graft, arm or leg | 19.50 | NA | NA | 12.61 | 13.37 | 1.97 | NA | NA | 34.08 | 34.84 | 090 | |
| 64901 | A | Nerve graft add-on | 10.22 | NA | NA | 5.56 | 6.93 | 1.02 | NA | NA | 16.80 | 18.17 | ZZZ | |
| 64902 | A | Nerve graft add-on | 11.83 | NA | NA | 5.81 | 7.59 | 1.07 | NA | NA | 18.71 | 20.49 | ZZZ | |
| 64905 | A | Nerve pedicle transfer | 14.02 | NA | NA | 8.70 | 9.08 | 1.02 | NA | NA | 23.74 | 24.12 | 090 | |
| 64907 | A | Nerve pedicle transfer | 18.83 | NA | NA | 11.86 | 12.43 | 1.97 | NA | NA | 32.66 | 33.23 | 090 | |
| 64999 | C | Nervous system surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 65091 | A | Revise eye | 6.46 | NA | NA | 9.51 | 9.06 | 0.27 | NA | NA | 16.24 | 15.79 | 090 | |
| 65093 | A | Revise eye with implant | 6.87 | NA | NA | 9.66 | 9.30 | 0.28 | NA | NA | 16.81 | 16.45 | 090 | |
| 65101 | A | Removal of eye | 7.03 | NA | NA | 9.87 | 9.50 | 0.30 | NA | NA | 17.20 | 16.83 | 090 | |
| 65103 | A | Remove eye/insert implant | 7.57 | NA | NA | 9.90 | 9.69 | 0.30 | NA | NA | 17.77 | 17.56 | 090 | |
| 65105 | A | Remove eye/attach implant | 8.49 | NA | NA | 10.42 | 10.35 | 0.33 | NA | NA | 19.24 | 19.17 | 090 | |
| 65110 | A | Removal of eye | 13.95 | NA | NA | 13.21 | 14.07 | 0.68 | NA | NA | 27.84 | 28.70 | 090 | |
| 65112 | A | Remove eye/revise socket | 16.38 | NA | NA | 15.27 | 14.75 | 1.19 | NA | NA | 32.84 | 32.32 | 090 | |
| 65114 | A | Remove eye/revise socket | 17.53 | NA | NA | 15.13 | 14.89 | 0.82 | NA | NA | 33.48 | 33.24 | 090 | |
| 65125 | A | Revise ocular implant | 3.12 | 4.76 | 4.24 | 1.53 | 1.82 | 0.16 | 8.04 | 7.52 | 4.81 | 5.10 | 090 | |
| 65130 | A | Insert ocular implant | 7.15 | NA | NA | 9.61 | 9.34 | 0.30 | NA | NA | 17.06 | 16.79 | 090 | |
| 65135 | A | Insert ocular implant | 7.33 | NA | NA | 9.42 | 8.54 | 0.31 | NA | NA | 17.06 | 16.18 | 090 | |
| 65140 | A | Attach ocular implant | 8.02 | NA | NA | 10.08 | 9.25 | 0.32 | NA | NA | 18.42 | 17.59 | 090 | |
| 65150 | A | Revise ocular implant | 6.26 | NA | NA | 8.93 | 8.57 | 0.25 | NA | NA | 15.44 | 15.08 | 090 | |
| 65155 | A | Reinsert ocular implant | 8.66 | NA | NA | 10.99 | 10.83 | 0.40 | NA | NA | 20.05 | 19.89 | 090 | |
| 65175 | A | Removal of ocular implant | 6.28 | NA | NA | 9.04 | 8.66 | 0.25 | NA | NA | 15.57 | 15.19 | 090 | |
| 65205 | A | Remove foreign body from eye | 0.71 | 5.10 | 3.93 | 0.20 | 0.25 | 0.04 | 5.85 | 4.68 | 0.95 | 1.00 | 000 | |
| 65210 | A | Remove foreign body from eye | 0.84 | 5.26 | 4.07 | 0.30 | 0.35 | 0.04 | 6.14 | 4.95 | 1.18 | 1.23 | 000 | |
| 65220 | A | Remove foreign body from eye | 0.71 | 6.81 | 5.25 | 0.19 | 0.28 | 0.06 | 7.58 | 6.02 | 0.96 | 1.05 | 000 | |
| 65222 | A | Remove foreign body from eye | 0.93 | 5.21 | 4.06 | 0.27 | 0.36 | 0.04 | 6.18 | 5.03 | 1.24 | 1.33 | 000 | |
| 65235 | A | Remove foreign body from eye | 7.57 | NA | NA | 6.79 | 6.62 | 0.32 | NA | NA | 14.68 | 14.51 | 090 | |
| 65260 | A | Remove foreign body from eye | 10.96 | NA | NA | 11.60 | 11.04 | 0.42 | NA | NA | 22.98 | 22.42 | 090 | |
| 65265 | A | Remove foreign body from eye | 12.59 | NA | NA | 13.36 | 12.75 | 0.50 | NA | NA | 26.45 | 25.84 | 090 | |
| 65270 | A | Repair of eye wound | 1.90 | 3.47 | 2.92 | 2.06 | 1.86 | 0.08 | 5.45 | 4.90 | 4.04 | 3.84 | 010 | |
| 65272 | A | Repair of eye wound | 3.82 | 5.06 | 4.24 | 4.10 | 3.52 | 0.15 | 9.03 | 8.21 | 8.07 | 7.49 | 090 | |
| 65273 | A | Repair of eye wound | 4.36 | NA | NA | 4.48 | 4.23 | 0.17 | NA | NA | 9.01 | 8.76 | 090 | |
| 65275 | A | Repair of eye wound | 5.34 | 4.96 | 3.90 | 4.39 | 3.47 | 0.27 | 10.57 | 9.51 | 10.00 | 9.08 | 090 | |
| 65280 | A | Repair of eye wound | 7.66 | NA | NA | 7.28 | 7.75 | 0.30 | NA | NA | 15.24 | 15.71 | 090 | |
| 65285 | A | Repair of eye wound | 12.90 | NA | NA | 13.49 | 13.45 | 0.51 | NA | NA | 26.90 | 26.86 | 090 | |
| 65286 | A | Repair of eye wound | 5.51 | 7.87 | 7.20 | 6.72 | 6.34 | 0.22 | 13.60 | 12.93 | 12.45 | 12.07 | 090 | |
| 65290 | A | Repair of eye socket wound | 5.41 | NA | NA | 6.06 | 6.16 | 0.22 | NA | NA | 11.69 | 11.79 | 090 | |
| 65400 | A | Removal of eye lesion | 6.06 | 7.21 | 7.16 | 6.02 | 6.27 | 0.24 | 13.51 | 13.46 | 12.32 | 12.57 | 090 | |
| 65410 | A | Biopsy of cornea | 1.47 | 1.71 | 1.72 | 0.70 | 0.96 | 0.06 | 3.24 | 3.25 | 2.23 | 2.49 | 000 | |
| 65420 | A | Removal of eye lesion | 4.17 | 7.11 | 6.49 | 6.03 | 5.68 | 0.16 | 11.44 | 10.82 | 10.36 | 10.01 | 090 | |
| 65426 | A | Removal of eye lesion | 5.25 | 7.24 | 7.00 | 6.14 | 6.17 | 0.21 | 12.70 | 12.46 | 11.60 | 11.63 | 090 | |
| 65430 | A | Corneal smear | 1.47 | 5.77 | 4.48 | 0.70 | 0.67 | 0.06 | 7.30 | 6.01 | 2.23 | 2.20 | 000 | |
| 65435 | A | Curette/treat cornea | 0.92 | 1.34 | 1.22 | 0.42 | 0.53 | 0.04 | 2.30 | 2.18 | 1.38 | 1.49 | 000 | |
| 65436 | A | Curette/treat cornea | 4.19 | 5.20 | 4.32 | 4.27 | 3.62 | 0.16 | 9.55 | 8.67 | 8.62 | 7.97 | 090 | |
| 65450 | A | Treatment of corneal lesion | 3.27 | 6.87 | 6.04 | 5.61 | 5.10 | 0.12 | 10.26 | 9.43 | 9.00 | 8.49 | 090 | |
| 65600 | A | Revision of cornea | 3.40 | 4.82 | 4.33 | 1.54 | 1.87 | 0.14 | 8.36 | 7.87 | 5.08 | 5.41 | 090 | |
| 65710 | A | Corneal transplant | 12.35 | NA | NA | 12.32 | 12.62 | 0.49 | NA | NA | 25.16 | 25.46 | 090 | |
| 65730 | A | Corneal transplant | 14.25 | NA | NA | 13.79 | 14.45 | 0.55 | NA | NA | 28.59 | 29.25 | 090 | |
| 65750 | A | Corneal transplant | 0.15 | NA | NA | 14.19 | 15.01 | 0.58 | NA | NA | 14.92 | 15.74 | 090 | |
| 65755 | A | Corneal transplant | 14.89 | NA | NA | 12.87 | 14.02 | 0.58 | NA | NA | 28.34 | 29.49 | 090 | |
| 65760 | N | Revision of cornea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65765 | N | Revision of cornea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65767 | N | Corneal tissue transplant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65770 | A | Revise cornea with implant | 17.56 | NA | NA | 15.04 | 15.03 | 0.69 | NA | NA | 33.29 | 33.28 | 090 | |
| 65771 | N | Radial keratotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 65772 | A | Correction of astigmatism | 4.29 | 5.92 | 5.72 | 5.32 | 5.27 | 0.17 | 10.38 | 10.18 | 9.78 | 9.73 | 090 | |
| 65775 | A | Correction of astigmatism | 5.79 | NA | NA | 7.37 | 7.26 | 0.23 | NA | NA | 13.39 | 13.28 | 090 | |
| 65800 | A | Drainage of eye | 1.91 | 2.04 | 2.00 | 1.39 | 1.51 | 0.08 | 4.03 | 3.99 | 3.38 | 3.50 | 000 | |
| 65805 | A | Drainage of eye | 1.91 | 2.04 | 2.02 | 1.39 | 1.53 | 0.08 | 4.03 | 4.01 | 3.38 | 3.52 | 000 | |
| 65810 | A | Drainage of eye | 4.87 | NA | NA | 7.40 | 7.01 | 0.19 | NA | NA | 12.46 | 12.07 | 090 | |
| 65815 | A | Drainage of eye | 5.05 | 8.08 | 7.28 | 6.93 | 6.42 | 0.20 | 13.33 | 12.53 | 12.18 | 11.67 | 090 | |
| 65820 | A | Relieve inner eye pressure | 8.13 | NA | NA | 9.40 | 9.64 | 0.32 | NA | NA | 17.85 | 18.09 | 090 | |
| 65850 | A | Incision of eye | 10.52 | NA | NA | 9.59 | 10.33 | 0.41 | NA | NA | 20.52 | 21.26 | 090 | |
| 65855 | A | Laser surgery of eye | 4.30 | 4.31 | 4.86 | 3.28 | 4.09 | 0.17 | 8.78 | 9.33 | 7.75 | 8.56 | 090 | |
| 65860 | A | Incise inner eye adhesions | 3.55 | 3.83 | 3.93 | 2.99 | 3.30 | 0.14 | 7.52 | 7.62 | 6.68 | 6.99 | 090 | |
| 65865 | A | Incise inner eye adhesions | 5.60 | NA | NA | 6.28 | 6.38 | 0.22 | NA | NA | 12.10 | 12.20 | 090 | |
| 65870 | A | Incise inner eye adhesions | 6.27 | NA | NA | 6.62 | 6.56 | 0.25 | NA | NA | 13.14 | 13.08 | 090 | |
| 65875 | A | Incise inner eye adhesions | 6.54 | NA | NA | 6.74 | 6.76 | 0.26 | NA | NA | 13.54 | 13.56 | 090 | |
| 65880 | A | Incise inner eye adhesions | 7.09 | NA | NA | 6.98 | 7.09 | 0.28 | NA | NA | 14.35 | 14.46 | 090 | |
| 65900 | A | Remove eye lesion | 10.93 | NA | NA | 11.68 | 10.91 | 0.48 | NA | NA | 23.09 | 22.32 | 090 | |
| 65920 | A | Remove implant from eye | 8.40 | NA | NA | 7.63 | 7.99 | 0.33 | NA | NA | 16.36 | 16.72 | 090 | |
| 65930 | A | Remove blood clot from eye | 7.44 | NA | NA | 8.12 | 8.17 | 0.29 | NA | NA | 15.85 | 15.90 | 090 | |
| 66020 | A | Injection treatment of eye | 1.59 | 2.30 | 2.20 | 1.49 | 1.59 | 0.07 | 3.96 | 3.86 | 3.15 | 3.25 | 010 | |
| 66030 | A | Injection treatment of eye | 1.25 | 2.13 | 1.75 | 1.32 | 1.14 | 0.05 | 3.43 | 3.05 | 2.62 | 2.44 | 010 | |
| 66130 | A | Remove eye lesion | 7.69 | 6.85 | 6.57 | 5.97 | 5.91 | 0.31 | 14.85 | 14.57 | 13.97 | 13.91 | 090 | |
| 66150 | A | Glaucoma surgery | 8.30 | NA | NA | 8.55 | 8.89 | 0.32 | NA | NA | 17.17 | 17.51 | 090 | |
| 66155 | A | Glaucoma surgery | 8.29 | NA | NA | 8.49 | 8.84 | 0.32 | NA | NA | 17.10 | 17.45 | 090 | |
| 66160 | A | Glaucoma surgery | 10.17 | NA | NA | 9.99 | 10.42 | 0.41 | NA | NA | 20.57 | 21.00 | 090 | |
| 66165 | A | Glaucoma surgery | 8.01 | NA | NA | 8.86 | 9.04 | 0.32 | NA | NA | 17.19 | 17.37 | 090 | |
| 66170 | A | Glaucoma surgery | 12.16 | NA | NA | 11.02 | 11.56 | 0.48 | NA | NA | 23.66 | 24.20 | 090 | |
| 66172 | A | Incision of eye | 15.04 | NA | NA | 12.79 | 12.89 | 0.59 | NA | NA | 28.42 | 28.52 | 090 | |
| 66180 | A | Implant eye shunt | 14.55 | NA | NA | 12.25 | 13.53 | 0.57 | NA | NA | 27.37 | 28.65 | 090 | |
| 66185 | A | Revise eye shunt | 8.14 | NA | NA | 8.41 | 8.74 | 0.32 | NA | NA | 16.87 | 17.20 | 090 | |
| 66220 | A | Repair eye lesion | 7.77 | NA | NA | 10.07 | 9.17 | 0.32 | NA | NA | 18.16 | 17.26 | 090 | |
| 66225 | A | Repair/graft eye lesion | 11.05 | NA | NA | 9.69 | 10.57 | 0.43 | NA | NA | 21.17 | 22.05 | 090 | |
| 66250 | A | Follow-up surgery of eye | 5.98 | 7.20 | 7.19 | 5.98 | 6.27 | 0.24 | 13.42 | 13.41 | 12.20 | 12.49 | 090 | |
| 66500 | A | Incision of iris | 3.71 | NA | NA | 4.07 | 4.16 | 0.14 | NA | NA | 7.92 | 8.01 | 090 | |
| 66505 | A | Incision of iris | 4.08 | NA | NA | 4.18 | 4.02 | 0.16 | NA | NA | 8.42 | 8.26 | 090 | |
| 66600 | A | Remove iris and lesion | 8.68 | NA | NA | 9.15 | 9.40 | 0.34 | NA | NA | 18.17 | 18.42 | 090 | |
| 66605 | A | Removal of iris | 12.79 | NA | NA | 12.30 | 12.45 | 0.53 | NA | NA | 25.62 | 25.77 | 090 | |
| 66625 | A | Removal of iris | 5.13 | 7.37 | 7.06 | 6.97 | 6.76 | 0.20 | 12.70 | 12.39 | 12.30 | 12.09 | 090 | |
| 66630 | A | Removal of iris | 6.16 | NA | NA | 8.01 | 7.85 | 0.24 | NA | NA | 14.41 | 14.25 | 090 | |
| 66635 | A | Removal of iris | 6.25 | NA | NA | 6.13 | 6.47 | 0.25 | NA | NA | 12.63 | 12.97 | 090 | |
| 66680 | A | Repair iris ciliary body | 5.44 | NA | NA | 5.71 | 5.91 | 0.21 | NA | NA | 11.36 | 11.56 | 090 | |
| 66682 | A | Repair iris ciliary body | 6.21 | NA | NA | 8.04 | 7.88 | 0.24 | NA | NA | 14.49 | 14.33 | 090 | |
| 66700 | A | Destruction, ciliary body | 4.78 | 7.63 | 7.15 | 6.35 | 6.19 | 0.20 | 12.61 | 12.13 | 11.33 | 11.17 | 090 | |
| 66710 | A | Destruction, ciliary body | 4.78 | 7.66 | 7.17 | 6.35 | 6.19 | 0.19 | 12.63 | 12.14 | 11.32 | 11.16 | 090 | |
| 66720 | A | Destruction, ciliary body | 4.78 | 7.40 | 6.98 | 6.32 | 6.17 | 0.20 | 12.38 | 11.96 | 11.30 | 11.15 | 090 | |
| 66740 | A | Destruction, ciliary body | 4.78 | NA | NA | 5.89 | 5.85 | 0.19 | NA | NA | 10.86 | 10.82 | 090 | |
| 66761 | A | Revision of iris | 4.07 | 4.37 | 4.49 | 3.59 | 3.91 | 0.16 | 8.60 | 8.72 | 7.82 | 8.14 | 090 | |
| 66762 | A | Revision of iris | 4.58 | 4.49 | 4.74 | 3.77 | 4.20 | 0.18 | 9.25 | 9.50 | 8.53 | 8.96 | 090 | |
| 66770 | A | Removal of inner eye lesion | 5.18 | 4.77 | 5.13 | 4.06 | 4.59 | 0.20 | 10.15 | 10.51 | 9.44 | 9.97 | 090 | |
| 66820 | A | Incision, secondary cataract | 3.89 | NA | NA | 6.90 | 6.34 | 0.15 | NA | NA | 10.94 | 10.38 | 090 | |
| 66821 | A | After cataract laser surgery | 2.35 | 3.06 | 3.00 | 2.43 | 2.53 | 0.10 | 5.51 | 5.45 | 4.88 | 4.98 | 090 | |
| 66825 | A | Reposition intraocular lens | 8.23 | NA | NA | 9.01 | 8.75 | 0.32 | NA | NA | 17.56 | 17.30 | 090 | |
| 66830 | A | Removal of lens lesion | 8.20 | NA | NA | 6.37 | 6.86 | 0.32 | NA | NA | 14.89 | 15.38 | 090 | |
| 66840 | A | Removal of lens material | 7.91 | NA | NA | 6.26 | 7.06 | 0.32 | NA | NA | 14.49 | 15.29 | 090 | |
| 66850 | A | Removal of lens material | 9.11 | NA | NA | 6.80 | 7.82 | 0.36 | NA | NA | 16.27 | 17.29 | 090 | |
| 66852 | A | Removal of lens material | 9.97 | NA | NA | 7.29 | 8.45 | 0.39 | NA | NA | 17.65 | 18.81 | 090 | |
| 66920 | A | Extraction of lens | 8.86 | NA | NA | 6.71 | 7.68 | 0.35 | NA | NA | 15.92 | 16.89 | 090 | |
| 66930 | A | Extraction of lens | 10.18 | NA | NA | 8.73 | 9.39 | 0.40 | NA | NA | 19.31 | 19.97 | 090 | |
| 66940 | A | Extraction of lens | 8.93 | NA | NA | 8.11 | 8.75 | 0.35 | NA | NA | 17.39 | 18.03 | 090 | |
| 66983 | A | Remove cataract/insert lens | 8.99 | NA | NA | 5.17 | 6.56 | 0.49 | NA | NA | 14.65 | 16.04 | 090 | |
| 66984 | A | Remove cataract/insert lens | 10.28 | NA | NA | 7.15 | 8.43 | 0.43 | NA | NA | 17.86 | 19.14 | 090 | |
| 66985 | A | Insert lens prosthesis | 8.39 | NA | NA | 6.37 | 7.28 | 0.34 | NA | NA | 15.10 | 16.01 | 090 | |
| 66986 | A | Exchange lens prosthesis | 12.28 | NA | NA | 8.37 | 9.59 | 0.49 | NA | NA | 21.14 | 22.36 | 090 | |
| 66999 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67005 | A | Partial removal of eye fluid | 5.70 | NA | NA | 2.77 | 3.78 | 0.22 | NA | NA | 8.69 | 9.70 | 090 | |
| 67010 | A | Partial removal of eye fluid | 6.87 | NA | NA | 3.35 | 4.56 | 0.27 | NA | NA | 10.49 | 11.70 | 090 | |
| 67015 | A | Release of eye fluid | 6.92 | NA | NA | 7.77 | 7.58 | 0.27 | NA | NA | 14.96 | 14.77 | 090 | |
| 67025 | A | Replace eye fluid | 6.84 | 14.66 | 12.83 | 7.24 | 7.26 | 0.27 | 21.77 | 19.94 | 14.35 | 14.37 | 090 | |
| 67027 | A | Implant eye drug system | 10.85 | 16.52 | 14.84 | 9.18 | 9.34 | 0.42 | 27.79 | 26.11 | 20.45 | 20.61 | 090 | |
| 67028 | A | Injection eye drug | 2.52 | 7.78 | 6.71 | 1.22 | 1.79 | 0.10 | 10.40 | 9.33 | 3.84 | 4.41 | 000 | |
| 67030 | A | Incise inner eye strands | 4.84 | NA | NA | 6.85 | 6.58 | 0.19 | NA | NA | 11.88 | 11.61 | 090 | |
| 67031 | A | Laser surgery, eye strands | 3.67 | 3.91 | 4.03 | 3.07 | 3.40 | 0.14 | 7.72 | 7.84 | 6.88 | 7.21 | 090 | |
| 67036 | A | Removal of inner eye fluid | 11.89 | NA | NA | 8.19 | 9.69 | 0.47 | NA | NA | 20.55 | 22.05 | 090 | |
| 67038 | A | Strip retinal membrane | 21.24 | NA | NA | 14.31 | 17.07 | 0.83 | NA | NA | 36.38 | 39.14 | 090 | |
| 67039 | A | Laser treatment of retina | 14.52 | NA | NA | 11.69 | 13.10 | 0.56 | NA | NA | 26.77 | 28.18 | 090 | |
| 67040 | A | Laser treatment of retina | 17.23 | NA | NA | 13.01 | 14.90 | 0.68 | NA | NA | 30.92 | 32.81 | 090 | |
| 67101 | A | Repair detached retina | 7.53 | 10.72 | 10.29 | 8.67 | 8.75 | 0.30 | 18.55 | 18.12 | 16.50 | 16.58 | 090 | |
| 67105 | A | Repair detached retina | 7.41 | 7.49 | 8.10 | 5.58 | 6.67 | 0.29 | 15.19 | 15.80 | 13.28 | 14.37 | 090 | |
| 67107 | A | Repair detached retina | 14.84 | NA | NA | 13.04 | 14.21 | 0.58 | NA | NA | 28.46 | 29.63 | 090 | |
| 67108 | A | Repair detached retina | 20.82 | NA | NA | 17.33 | 19.21 | 0.81 | NA | NA | 38.96 | 40.84 | 090 | |
| 67110 | A | Repair detached retina | 8.81 | 18.21 | 16.29 | 10.08 | 10.19 | 0.34 | 27.36 | 25.44 | 19.23 | 19.34 | 090 | |
| 67112 | A | Rerepair detached retina | 16.86 | NA | NA | 15.40 | 16.03 | 0.66 | NA | NA | 32.92 | 33.55 | 090 | |
| 67115 | A | Release encircling material | 4.99 | NA | NA | 6.45 | 6.33 | 0.19 | NA | NA | 11.63 | 11.51 | 090 | |
| 67120 | A | Remove eye implant material | 5.98 | 14.12 | 12.38 | 6.82 | 6.90 | 0.24 | 20.34 | 18.60 | 13.04 | 13.12 | 090 | |
| 67121 | A | Remove eye implant material | 10.67 | NA | NA | 11.58 | 11.24 | 0.42 | NA | NA | 22.67 | 22.33 | 090 | |
| 67141 | A | Treatment of retina | 5.20 | 7.65 | 7.29 | 6.60 | 6.50 | 0.20 | 13.05 | 12.69 | 12.00 | 11.90 | 090 | |
| 67145 | A | Treatment of retina | 5.37 | 5.24 | 5.69 | 4.18 | 4.90 | 0.21 | 10.82 | 11.27 | 9.76 | 10.48 | 090 | |
| 67208 | A | Treatment of retinal lesion | 6.70 | 8.03 | 8.02 | 6.84 | 7.13 | 0.26 | 14.99 | 14.98 | 13.80 | 14.09 | 090 | |
| 67210 | A | Treatment of retinal lesion | 8.82 | 7.27 | 7.90 | 5.85 | 6.84 | 0.34 | 16.43 | 17.06 | 15.01 | 16.00 | 090 | |
| 67218 | A | Treatment of retinal lesion | 13.52 | NA | NA | 12.19 | 12.75 | 0.53 | NA | NA | 26.24 | 26.80 | 090 | |
| 67220 | N | Treatment of choroid lesion | 13.13 | 6.66 | 6.66 | 6.60 | 6.60 | 0.52 | 20.31 | 20.31 | 20.25 | 20.25 | 090 | |
| 67227 | A | Treatment of retinal lesion | 6.58 | 8.46 | 8.31 | 6.86 | 7.11 | 0.27 | 15.31 | 15.16 | 13.71 | 13.96 | 090 | |
| 67228 | A | Treatment of retinal lesion | 12.74 | 9.91 | 9.98 | 7.40 | 8.10 | 0.50 | 23.15 | 23.22 | 20.64 | 21.34 | 090 | |
| 67250 | A | Reinforce eye wall | 8.66 | NA | NA | 10.24 | 9.58 | 0.39 | NA | NA | 19.29 | 18.63 | 090 | |
| 67255 | A | Reinforce/graft eye wall | 8.90 | NA | NA | 9.83 | 10.03 | 0.35 | NA | NA | 19.08 | 19.28 | 090 | |
| 67299 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67311 | A | Revise eye muscle | 6.65 | NA | NA | 6.39 | 6.78 | 0.27 | NA | NA | 13.31 | 13.70 | 090 | |
| 67312 | A | Revise two eye muscles | 8.54 | NA | NA | 7.34 | 8.05 | 0.33 | NA | NA | 16.21 | 16.92 | 090 | |
| 67314 | A | Revise eye muscle | 7.52 | NA | NA | 6.81 | 7.35 | 0.30 | NA | NA | 14.63 | 15.17 | 090 | |
| 67316 | A | Revise two eye muscles | 9.66 | NA | NA | 7.38 | 8.32 | 0.38 | NA | NA | 17.42 | 18.36 | 090 | |
| 67318 | A | Revise eye muscle(s) | 7.85 | NA | NA | 7.22 | 7.10 | 0.31 | NA | NA | 15.38 | 15.26 | 090 | |
| 67320 | A | Revise eye muscle(s) add-on | 4.33 | NA | NA | 6.84 | 7.72 | 0.17 | NA | NA | 11.34 | 12.22 | ZZZ | |
| 67331 | A | Eye surgery follow-up add-on | 4.06 | NA | NA | 5.18 | 6.31 | 0.16 | NA | NA | 9.40 | 10.53 | ZZZ | |
| 67332 | A | Rerevise eye muscles add-on | 4.49 | NA | NA | 5.90 | 7.11 | 0.18 | NA | NA | 10.57 | 11.78 | ZZZ | |
| 67334 | A | Revise eye muscle w/suture | 3.98 | NA | NA | 5.45 | 5.80 | 0.15 | NA | NA | 9.58 | 9.93 | ZZZ | |
| 67335 | A | Eye suture during surgery | 2.49 | NA | NA | 1.20 | 1.64 | 0.10 | NA | NA | 3.79 | 4.23 | ZZZ | |
| 67340 | A | Revise eye muscle add-on | 4.93 | NA | NA | 6.30 | 6.86 | 0.20 | NA | NA | 11.43 | 11.99 | ZZZ | |
| 67343 | A | Release eye tissue | 7.35 | NA | NA | 7.13 | 6.93 | 0.29 | NA | NA | 14.77 | 14.57 | 090 | |
| 67345 | A | Destroy nerve of eye muscle | 2.96 | 4.01 | 3.61 | 1.42 | 1.67 | 0.27 | 7.24 | 6.84 | 4.65 | 4.90 | 010 | |
| 67350 | A | Biopsy eye muscle | 2.87 | NA | NA | 2.49 | 2.52 | 0.12 | NA | NA | 5.48 | 5.51 | 000 | |
| 67399 | C | Eye muscle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67400 | A | Explore/biopsy eye socket | 9.76 | NA | NA | 10.99 | 11.16 | 0.43 | NA | NA | 21.18 | 21.35 | 090 | |
| 67405 | A | Explore/drain eye socket | 7.93 | NA | NA | 9.58 | 9.55 | 0.39 | NA | NA | 17.90 | 17.87 | 090 | |
| 67412 | A | Explore/treat eye socket | 9.50 | NA | NA | 12.32 | 12.08 | 0.41 | NA | NA | 22.23 | 21.99 | 090 | |
| 67413 | A | Explore/treat eye socket | 0.10 | NA | NA | 10.94 | 10.40 | 0.49 | NA | NA | 11.53 | 10.99 | 090 | |
| 67414 | A | Explr/decompress eye socket | 11.13 | NA | NA | 13.25 | 12.22 | 0.52 | NA | NA | 24.90 | 23.87 | 090 | |
| 67415 | A | Aspiration, orbital contents | 1.76 | NA | NA | 0.80 | 1.13 | 0.09 | NA | NA | 2.65 | 2.98 | 000 | |
| 67420 | A | Explore/treat eye socket | 20.06 | NA | NA | 17.90 | 17.98 | 1.07 | NA | NA | 39.03 | 39.11 | 090 | |
| 67430 | A | Explore/treat eye socket | 13.39 | NA | NA | 15.11 | 14.22 | 0.59 | NA | NA | 29.09 | 28.20 | 090 | |
| 67440 | A | Explore/drain eye socket | 13.09 | NA | NA | 13.67 | 14.16 | 0.54 | NA | NA | 27.30 | 27.79 | 090 | |
| 67445 | A | Explr/decompress eye socket | 14.42 | NA | NA | 14.50 | 13.90 | 0.61 | NA | NA | 29.53 | 28.93 | 090 | |
| 67450 | A | Explore/biopsy eye socket | 13.51 | NA | NA | 14.35 | 14.80 | 0.66 | NA | NA | 28.52 | 28.97 | 090 | |
| 67500 | A | Inject/treat eye socket | 0.79 | 2.24 | 1.88 | 0.20 | 0.35 | 0.05 | 3.08 | 2.72 | 1.04 | 1.19 | 000 | |
| 67505 | A | Inject/treat eye socket | 0.82 | 0.91 | 0.97 | 0.21 | 0.44 | 0.04 | 1.77 | 1.83 | 1.07 | 1.30 | 000 | |
| 67515 | A | Inject/treat eye socket | 0.61 | 0.70 | 0.68 | 0.30 | 0.38 | 0.03 | 1.34 | 1.32 | 0.94 | 1.02 | 000 | |
| 67550 | A | Insert eye socket implant | 10.19 | NA | NA | 10.23 | 10.28 | 0.49 | NA | NA | 20.91 | 20.96 | 090 | |
| 67560 | A | Revise eye socket implant | 10.60 | NA | NA | 10.48 | 10.11 | 0.48 | NA | NA | 21.56 | 21.19 | 090 | |
| 67570 | A | Decompress optic nerve | 13.58 | NA | NA | 13.96 | 12.52 | 0.81 | NA | NA | 28.35 | 26.91 | 090 | |
| 67599 | C | Orbit surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67700 | A | Drainage of eyelid abscess | 35 | 5.11 | 3.97 | 0.60 | 0.58 | 0.06 | 6.52 | 5.38 | 2.01 | 1.99 | 010 | |
| 67710 | A | Incision of eyelid | 1.02 | 5.22 | 4.19 | 0.50 | 0.65 | 0.04 | 6.28 | 5.25 | 1.56 | 1.71 | 010 | |
| 67715 | A | Incision of eyelid fold | 1.22 | NA | NA | 0.60 | 0.81 | 0.05 | NA | NA | 1.87 | 2.08 | 010 | |
| 67800 | A | Remove eyelid lesion | 1.38 | 5.25 | 4.19 | 0.67 | 0.76 | 0.06 | 6.69 | 5.63 | 2.11 | 2.20 | 010 | |
| 67801 | A | Remove eyelid lesions | 1.88 | 5.47 | 4.48 | 0.92 | 1.07 | 0.08 | 7.43 | 6.44 | 2.88 | 3.03 | 010 | |
| 67805 | A | Remove eyelid lesions | 2.22 | 5.74 | 4.68 | 1.08 | 1.19 | 0.09 | 8.05 | 6.99 | 3.39 | 3.50 | 010 | |
| 67808 | A | Remove eyelid lesion(s) | 3.80 | NA | NA | 3.41 | 3.14 | 0.16 | NA | NA | 7.37 | 7.10 | 090 | |
| 67810 | A | Biopsy of eyelid | 1.48 | 4.18 | 3.36 | 0.72 | 0.76 | 0.06 | 5.72 | 4.90 | 2.26 | 2.30 | 000 | |
| 67820 | A | Revise eyelashes | 0.89 | 1.43 | 1.18 | 0.38 | 0.39 | 0.04 | 2.36 | 2.11 | 1.31 | 1.32 | 000 | |
| 67825 | A | Revise eyelashes | 1.38 | 6.51 | 5.13 | 1.51 | 1.38 | 0.06 | 7.95 | 6.57 | 2.95 | 2.82 | 010 | |
| 67830 | A | Revise eyelashes | 1.70 | 7.77 | 6.40 | 1.77 | 1.90 | 0.07 | 9.54 | 8.17 | 3.54 | 3.67 | 010 | |
| 67835 | A | Revise eyelashes | 5.56 | NA | NA | 4.07 | 4.71 | 0.23 | NA | NA | 9.86 | 10.50 | 090 | |
| 67840 | A | Remove eyelid lesion | 2.04 | 5.51 | 4.46 | 0.99 | 1.07 | 0.09 | 7.64 | 6.59 | 3.12 | 3.20 | 010 | |
| 67850 | A | Treat eyelid lesion | 1.69 | 6.87 | 5.38 | 1.83 | 1.60 | 0.07 | 8.63 | 7.14 | 3.59 | 3.36 | 010 | |
| 67875 | A | Closure of eyelid by suture | 1.35 | 7.38 | 6.00 | 1.58 | 1.65 | 0.06 | 8.79 | 7.41 | 2.99 | 3.06 | 000 | |
| 67880 | A | Revision of eyelid | 3.80 | 8.92 | 7.76 | 2.83 | 3.19 | 0.15 | 12.87 | 11.71 | 6.78 | 7.14 | 090 | |
| 67882 | A | Revision of eyelid | 5.07 | 11.35 | 10.03 | 4.05 | 4.55 | 0.21 | 16.63 | 15.31 | 9.33 | 9.83 | 090 | |
| 67900 | A | Repair brow defect | 6.14 | 8.86 | 7.67 | 6.58 | 5.96 | 0.30 | 15.30 | 14.11 | 13.02 | 12.40 | 090 | |
| 67901 | A | Repair eyelid defect | 6.97 | NA | NA | 8.46 | 8.43 | 0.34 | NA | NA | 15.77 | 15.74 | 090 | |
| 67902 | A | Repair eyelid defect | 7.03 | NA | NA | 6.60 | 7.05 | 0.32 | NA | NA | 13.95 | 14.40 | 090 | |
| 67903 | A | Repair eyelid defect | 6.37 | 9.22 | 8.82 | 9.22 | 8.82 | 0.40 | 15.99 | 15.59 | 15.99 | 15.59 | 090 | |
| 67904 | A | Repair eyelid defect | 6.26 | 12.49 | 11.24 | 7.32 | 7.36 | 0.27 | 19.02 | 17.77 | 13.85 | 13.89 | 090 | |
| 67906 | A | Repair eyelid defect | 6.79 | 8.77 | 8.06 | 8.39 | 7.78 | 0.27 | 15.83 | 15.12 | 15.45 | 14.84 | 090 | |
| 67908 | A | Repair eyelid defect | 5.13 | 8.37 | 7.81 | 6.10 | 6.11 | 0.20 | 13.70 | 13.14 | 11.43 | 11.44 | 090 | |
| 67909 | A | Revise eyelid defect | 5.40 | 8.13 | 7.71 | 6.00 | 6.11 | 0.24 | 13.77 | 13.35 | 11.64 | 11.75 | 090 | |
| 67911 | A | Revise eyelid defect | 5.27 | NA | NA | 6.46 | 6.42 | 0.24 | NA | NA | 11.97 | 11.93 | 090 | |
| 67914 | A | Repair eyelid defect | 3.68 | 8.93 | 7.80 | 3.03 | 3.37 | 0.15 | 12.76 | 11.63 | 6.86 | 7.20 | 090 | |
| 67915 | A | Repair eyelid defect | 3.18 | 7.86 | 6.24 | 1.53 | 1.49 | 0.12 | 11.16 | 9.54 | 4.83 | 4.79 | 090 | |
| 67916 | A | Repair eyelid defect | 5.31 | 12.81 | 11.19 | 4.98 | 5.32 | 0.23 | 18.35 | 16.73 | 10.52 | 10.86 | 090 | |
| 67917 | A | Repair eyelid defect | 6.02 | 9.21 | 8.70 | 6.31 | 6.53 | 0.26 | 15.49 | 14.98 | 12.59 | 12.81 | 090 | |
| 67921 | A | Repair eyelid defect | 3.40 | 8.59 | 7.46 | 2.80 | 3.12 | 0.13 | 12.12 | 10.99 | 6.33 | 6.65 | 090 | |
| 67922 | A | Repair eyelid defect | 3.06 | 7.91 | 6.26 | 2.64 | 2.30 | 0.12 | 11.09 | 9.44 | 5.82 | 5.48 | 090 | |
| 67923 | A | Repair eyelid defect | 5.88 | 12.25 | 10.94 | 4.89 | 5.42 | 0.24 | 18.37 | 17.06 | 11.01 | 11.54 | 090 | |
| 67924 | A | Repair eyelid defect | 5.79 | 8.01 | 7.74 | 5.80 | 6.08 | 0.24 | 14.04 | 13.77 | 11.83 | 12.11 | 090 | |
| 67930 | A | Repair eyelid wound | 3.61 | 9.17 | 7.22 | 2.63 | 2.32 | 0.16 | 12.94 | 10.99 | 6.40 | 6.09 | 010 | |
| 67935 | A | Repair eyelid wound | 6.22 | 13.33 | 11.03 | 5.17 | 4.91 | 0.30 | 19.85 | 17.55 | 11.69 | 11.43 | 090 | |
| 67938 | A | Remove eyelid foreign body | 1.33 | 6.15 | 4.75 | 0.52 | 0.53 | 0.07 | 7.55 | 6.15 | 1.92 | 1.93 | 010 | |
| 67950 | A | Revision of eyelid | 5.82 | 7.80 | 7.59 | 7.00 | 6.99 | 0.28 | 13.90 | 13.69 | 13.10 | 13.09 | 090 | |
| 67961 | A | Revision of eyelid | 5.69 | 7.62 | 7.41 | 7.62 | 7.41 | 0.26 | 13.57 | 13.36 | 13.57 | 13.36 | 090 | |
| 67966 | A | Revision of eyelid | 6.57 | 7.04 | 7.24 | 6.19 | 6.61 | 0.31 | 13.92 | 14.12 | 13.07 | 13.49 | 090 | |
| 67971 | A | Reconstruction of eyelid | 9.79 | NA | NA | 7.89 | 8.82 | 0.41 | NA | NA | 18.09 | 19.02 | 090 | |
| 67973 | A | Reconstruction of eyelid | 12.87 | NA | NA | 9.93 | 11.12 | 0.58 | NA | NA | 23.38 | 24.57 | 090 | |
| 67974 | A | Reconstruction of eyelid | 12.84 | NA | NA | 10.47 | 11.67 | 0.59 | NA | NA | 23.90 | 25.10 | 090 | |
| 67975 | A | Reconstruction of eyelid | 9.13 | NA | NA | 9.76 | 8.45 | 0.37 | NA | NA | 19.26 | 17.95 | 090 | |
| 67999 | C | Revision of eyelid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68020 | A | Incise/drain eyelid lining | 1.37 | 5.19 | 4.03 | 0.66 | 0.63 | 0.06 | 6.62 | 5.46 | 2.09 | 2.06 | 010 | |
| 68040 | A | Treatment of eyelid lesions | 0.85 | 5.00 | 3.87 | 0.38 | 0.41 | 0.04 | 5.89 | 4.76 | 1.27 | 1.30 | 000 | |
| 68100 | A | Biopsy of eyelid lining | 1.35 | 5.39 | 4.31 | 0.65 | 0.76 | 0.06 | 6.80 | 5.72 | 2.06 | 2.17 | 000 | |
| 68110 | A | Remove eyelid lining lesion | 1.77 | 6.10 | 4.91 | 1.36 | 1.36 | 0.07 | 7.94 | 6.75 | 3.20 | 3.20 | 010 | |
| 68115 | A | Remove eyelid lining lesion | 2.36 | 5.91 | 4.96 | 1.14 | 1.38 | 0.10 | 8.37 | 7.42 | 3.60 | 3.84 | 010 | |
| 68130 | A | Remove eyelid lining lesion | 4.93 | NA | NA | 2.40 | 2.91 | 0.19 | NA | NA | 7.52 | 8.03 | 090 | |
| 68135 | A | Remove eyelid lining lesion | 1.84 | 5.47 | 4.30 | 0.89 | 0.87 | 0.08 | 7.39 | 6.22 | 2.81 | 2.79 | 010 | |
| 68200 | A | Treat eyelid by injection | 0.49 | 5.17 | 4.02 | 0.24 | 0.32 | 0.02 | 5.68 | 4.53 | 0.75 | 0.83 | 000 | |
| 68320 | A | Revise/graft eyelid lining | 5.37 | 5.28 | 5.56 | 5.28 | 5.56 | 0.22 | 10.87 | 11.15 | 10.87 | 11.15 | 090 | |
| 68325 | A | Revise/graft eyelid lining | 7.36 | NA | NA | 8.48 | 8.56 | 0.34 | NA | NA | 16.18 | 16.26 | 090 | |
| 68326 | A | Revise/graft eyelid lining | 7.15 | NA | NA | 7.76 | 7.96 | 0.31 | NA | NA | 15.22 | 15.42 | 090 | |
| 68328 | A | Revise/graft eyelid lining | 8.18 | NA | NA | 7.63 | 8.17 | 0.40 | NA | NA | 16.21 | 16.75 | 090 | |
| 68330 | A | Revise eyelid lining | 4.83 | 6.45 | 6.28 | 5.11 | 5.27 | 0.19 | 11.47 | 11.30 | 10.13 | 10.29 | 090 | |
| 68335 | A | Revise/graft eyelid lining | 7.19 | NA | NA | 5.23 | 6.07 | 0.30 | NA | NA | 12.72 | 13.56 | 090 | |
| 68340 | A | Separate eyelid adhesions | 4.17 | 11.25 | 9.29 | 3.83 | 3.73 | 0.17 | 15.59 | 13.63 | 8.17 | 8.07 | 090 | |
| 68360 | A | Revise eyelid lining | 4.37 | 6.19 | 5.95 | 4.84 | 4.94 | 0.17 | 10.73 | 10.49 | 9.38 | 9.48 | 090 | |
| 68362 | A | Revise eyelid lining | 7.34 | NA | NA | 7.65 | 7.91 | 0.29 | NA | NA | 15.28 | 15.54 | 090 | |
| 68399 | C | Eyelid lining surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68400 | A | Incise/drain tear gland | 1.69 | 8.04 | 6.30 | 1.91 | 1.71 | 0.07 | 9.80 | 8.06 | 3.67 | 3.47 | 010 | |
| 68420 | A | Incise/drain tear sac | 2.30 | 8.48 | 6.64 | 2.16 | 1.90 | 0.10 | 10.88 | 9.04 | 4.56 | 4.30 | 010 | |
| 68440 | A | Incise tear duct opening | 0.94 | 5.14 | 4.06 | 0.46 | 0.55 | 0.04 | 6.12 | 5.04 | 1.44 | 1.53 | 010 | |
| 68500 | A | Removal of tear gland | 11.02 | NA | NA | 8.72 | 8.61 | 0.52 | NA | NA | 20.26 | 20.15 | 090 | |
| 68505 | A | Partial removal, tear gland | 10.94 | NA | NA | 9.97 | 9.84 | 0.65 | NA | NA | 21.56 | 21.43 | 090 | |
| 68510 | A | Biopsy of tear gland | 4.61 | 9.83 | 8.37 | 2.27 | 2.70 | 0.18 | 14.62 | 13.16 | 7.06 | 7.49 | 000 | |
| 68520 | A | Removal of tear sac | 7.51 | NA | NA | 6.63 | 7.21 | 0.32 | NA | NA | 14.46 | 15.04 | 090 | |
| 68525 | A | Biopsy of tear sac | 4.43 | NA | NA | 2.13 | 2.60 | 0.18 | NA | NA | 6.74 | 7.21 | 000 | |
| 68530 | A | Clearance of tear duct | 3.66 | 10.17 | 8.40 | 2.54 | 2.68 | 0.15 | 13.98 | 12.21 | 6.35 | 6.49 | 010 | |
| 68540 | A | Remove tear gland lesion | 10.60 | NA | NA | 7.73 | 8.05 | 0.53 | NA | NA | 18.86 | 19.18 | 090 | |
| 68550 | A | Remove tear gland lesion | 13.26 | NA | NA | 8.92 | 9.77 | 0.95 | NA | NA | 23.13 | 23.98 | 090 | |
| 68700 | A | Repair tear ducts | 6.60 | NA | NA | 5.59 | 4.92 | 0.27 | NA | NA | 12.46 | 11.79 | 090 | |
| 68705 | A | Revise tear duct opening | 2.06 | 5.70 | 4.55 | 1.00 | 1.03 | 0.09 | 7.85 | 6.70 | 3.15 | 3.18 | 010 | |
| 68720 | A | Create tear sac drain | 8.96 | NA | NA | 6.65 | 7.66 | 0.38 | NA | NA | 15.99 | 17.00 | 090 | |
| 68745 | A | Create tear duct drain | 8.63 | NA | NA | 6.39 | 6.57 | 0.35 | NA | NA | 15.37 | 15.55 | 090 | |
| 68750 | A | Create tear duct drain | 8.66 | NA | NA | 6.92 | 7.78 | 0.36 | NA | NA | 15.94 | 16.80 | 090 | |
| 68760 | A | Close tear duct opening | 1.73 | 5.34 | 4.26 | 0.84 | 0.88 | 0.07 | 7.14 | 6.06 | 2.64 | 2.68 | 010 | |
| 68761 | A | Close tear duct opening | 1.36 | 6.11 | 4.83 | 0.61 | 0.71 | 0.07 | 7.54 | 6.26 | 2.04 | 2.14 | 010 | |
| 68770 | A | Close tear system fistula | 7.02 | 11.88 | 10.06 | 5.03 | 4.92 | 0.31 | 19.21 | 17.39 | 12.36 | 12.25 | 090 | |
| 68801 | A | Dilate tear duct opening | 0.94 | 5.95 | 4.58 | 0.44 | 0.45 | 0.04 | 6.93 | 5.56 | 1.42 | 1.43 | 010 | |
| 68810 | A | Probe nasolacrimal duct | 1.90 | 7.39 | 5.69 | 1.74 | 1.46 | 0.08 | 9.37 | 7.67 | 3.72 | 3.44 | 010 | |
| 68811 | A | Probe nasolacrimal duct | 2.35 | NA | NA | 2.00 | 1.91 | 0.10 | NA | NA | 4.45 | 4.36 | 010 | |
| 68815 | A | Probe nasolacrimal duct | 3.20 | 8.35 | 6.79 | 2.42 | 2.34 | 0.14 | 11.69 | 10.13 | 5.76 | 5.68 | 010 | |
| 68840 | A | Explore/irrigate tear ducts | 1.25 | 6.56 | 5.05 | 0.54 | 0.54 | 0.05 | 7.86 | 6.35 | 1.84 | 1.84 | 010 | |
| 68850 | A | Injection for tear sac x-ray | 0.80 | 12.29 | 9.36 | 0.31 | 0.37 | 0.03 | 13.12 | 10.19 | 1.14 | 1.20 | 000 | |
| 68899 | C | Tear duct system surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69000 | A | Drain external ear lesion | 1.45 | 1.78 | 1.43 | 0.53 | 0.49 | 0.10 | 3.33 | 2.98 | 2.08 | 2.04 | 010 | |
| 69005 | A | Drain external ear lesion | 2.11 | 2.17 | 1.94 | 1.82 | 1.68 | 0.15 | 4.43 | 4.20 | 4.08 | 3.94 | 010 | |
| 69020 | A | Drain outer ear canal lesion | 1.48 | 1.86 | 1.52 | 0.72 | 0.66 | 0.11 | 3.45 | 3.11 | 2.31 | 2.25 | 010 | |
| 69090 | N | Pierce earlobes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 69100 | A | Biopsy of external ear | 0.81 | 1.43 | 1.25 | 0.40 | 0.48 | 0.04 | 2.28 | 2.10 | 1.25 | 1.33 | 000 | |
| 69105 | A | Biopsy of external ear canal | 0.85 | 1.25 | 1.16 | 0.84 | 0.85 | 0.06 | 2.16 | 2.07 | 1.75 | 1.76 | 000 | |
| 69110 | A | Remove external ear, partial | 3.44 | 3.23 | 3.14 | 2.52 | 2.60 | 0.25 | 6.92 | 6.83 | 6.21 | 6.29 | 090 | |
| 69120 | A | Removal of external ear | 4.05 | NA | NA | 3.88 | 3.12 | 0.32 | NA | NA | 8.25 | 7.49 | 090 | |
| 69140 | A | Remove ear canal lesion(s) | 7.97 | NA | NA | 7.00 | 7.42 | 0.56 | NA | NA | 15.53 | 15.95 | 090 | |
| 69145 | A | Remove ear canal lesion(s) | 2.62 | 2.89 | 2.85 | 2.19 | 2.32 | 0.19 | 5.70 | 5.66 | 5.00 | 5.13 | 090 | |
| 69150 | A | Extensive ear canal surgery | 13.43 | NA | NA | 10.15 | 10.45 | 1.01 | NA | NA | 24.59 | 24.89 | 090 | |
| 69155 | A | Extensive ear/neck surgery | 20.80 | NA | NA | 13.90 | 14.75 | 1.65 | NA | NA | 36.35 | 37.20 | 090 | |
| 69200 | A | Clear outer ear canal | 0.77 | 1.20 | 1.02 | 0.55 | 0.53 | 0.06 | 2.03 | 1.85 | 1.38 | 1.36 | 000 | |
| 69205 | A | Clear outer ear canal | 1.20 | NA | NA | 1.29 | 1.26 | 0.09 | NA | NA | 2.58 | 2.55 | 010 | |
| 69210 | A | Remove impacted ear wax | 0.61 | 1.11 | 0.90 | 0.24 | 0.24 | 0.04 | 1.76 | 1.55 | 0.89 | 0.89 | 000 | |
| 69220 | A | Clean out mastoid cavity | 0.83 | 1.25 | 1.07 | 0.42 | 0.45 | 0.06 | 2.14 | 1.96 | 1.31 | 1.34 | 000 | |
| 69222 | A | Clean out mastoid cavity | 1.40 | 1.83 | 1.57 | 1.42 | 1.27 | 0.10 | 3.33 | 3.07 | 2.92 | 2.77 | 010 | |
| 69300 | R | Revise external ear | 6.36 | NA | NA | 4.14 | 4.54 | 0.51 | NA | NA | 11.01 | 11.41 | YYY | |
| 69310 | A | Rebuild outer ear canal | 10.79 | NA | NA | 8.63 | 9.14 | 0.77 | NA | NA | 20.19 | 20.70 | 090 | |
| 69320 | A | Rebuild outer ear canal | 16.96 | NA | NA | 12.58 | 13.41 | 1.21 | NA | NA | 30.75 | 31.58 | 090 | |
| 69399 | C | Outer ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69400 | A | Inflate middle ear canal | 0.83 | 1.24 | 1.05 | 0.43 | 0.45 | 0.06 | 2.13 | 1.94 | 1.32 | 1.34 | 000 | |
| 69401 | A | Inflate middle ear canal | 0.63 | 1.14 | 0.92 | 0.35 | 0.33 | 0.05 | 1.82 | 1.60 | 1.03 | 1.01 | 000 | |
| 69405 | A | Catheterize middle ear canal | 2.63 | 2.61 | 2.09 | 1.41 | 1.19 | 0.18 | 5.42 | 4.90 | 4.22 | 4.00 | 010 | |
| 69410 | A | Inset middle ear (baffle) | 0.33 | 1.10 | 0.99 | 0.15 | 0.28 | 0.02 | 1.45 | 1.34 | 0.50 | 0.63 | 000 | |
| 69420 | A | Incision of eardrum | 1.33 | 1.89 | 1.61 | 0.70 | 0.71 | 0.10 | 3.32 | 3.04 | 2.13 | 2.14 | 010 | |
| 69421 | A | Incision of eardrum | 1.73 | 2.14 | 1.92 | 1.60 | 1.51 | 0.12 | 3.99 | 3.77 | 3.45 | 3.36 | 010 | |
| 69424 | A | Remove ventilating tube | 0.85 | 1.35 | 1.18 | 0.70 | 0.69 | 0.06 | 2.26 | 2.09 | 1.61 | 1.60 | 000 | |
| 69433 | A | Create eardrum opening | 1.52 | 1.91 | 1.79 | 0.83 | 0.98 | 0.11 | 3.54 | 3.42 | 2.46 | 2.61 | 010 | |
| 69436 | A | Create eardrum opening | 1.96 | NA | NA | 1.74 | 1.88 | 0.14 | NA | NA | 3.84 | 3.98 | 010 | |
| 69440 | A | Exploration of middle ear | 7.57 | NA | NA | 6.41 | 7.07 | 0.53 | NA | NA | 14.51 | 15.17 | 090 | |
| 69450 | A | Eardrum revision | 5.57 | NA | NA | 5.22 | 5.58 | 0.40 | NA | NA | 11.19 | 11.55 | 090 | |
| 69501 | A | Mastoidectomy | 9.07 | NA | NA | 7.18 | 8.09 | 0.66 | NA | NA | 16.91 | 17.82 | 090 | |
| 69502 | A | Mastoidectomy | 12.38 | NA | NA | 9.54 | 10.78 | 0.89 | NA | NA | 22.81 | 24.05 | 090 | |
| 69505 | A | Remove mastoid structures | 12.99 | NA | NA | 9.81 | 11.24 | 0.94 | NA | NA | 23.74 | 25.17 | 090 | |
| 69511 | A | Extensive mastoid surgery | 13.52 | NA | NA | 10.10 | 11.61 | 0.96 | NA | NA | 24.58 | 26.09 | 090 | |
| 69530 | A | Extensive mastoid surgery | 19.19 | NA | NA | 13.64 | 14.76 | 1.43 | NA | NA | 34.26 | 35.38 | 090 | |
| 69535 | A | Remove part of temporal bone | 36.14 | NA | NA | 22.50 | 23.73 | 2.61 | NA | NA | 61.25 | 62.48 | 090 | |
| 69540 | A | Remove ear lesion | 1.20 | 1.82 | 1.71 | 1.31 | 1.33 | 0.09 | 3.11 | 3.00 | 2.60 | 2.62 | 010 | |
| 69550 | A | Remove ear lesion | 10.99 | NA | NA | 8.56 | 9.70 | 0.77 | NA | NA | 20.32 | 21.46 | 090 | |
| 69552 | A | Remove ear lesion | 19.46 | NA | NA | 13.33 | 14.54 | 1.38 | NA | NA | 34.17 | 35.38 | 090 | |
| 69554 | A | Remove ear lesion | 33.16 | NA | NA | 20.30 | 21.43 | 2.94 | NA | NA | 56.40 | 57.53 | 090 | |
| 69601 | A | Mastoid surgery revision | 13.24 | NA | NA | 10.43 | 11.63 | 0.95 | NA | NA | 24.62 | 25.82 | 090 | |
| 69602 | A | Mastoid surgery revision | 13.58 | NA | NA | 10.11 | 11.64 | 0.96 | NA | NA | 24.65 | 26.18 | 090 | |
| 69603 | A | Mastoid surgery revision | 14.02 | NA | NA | 10.43 | 12.01 | 0.01 | NA | NA | 24.46 | 26.04 | 090 | |
| 69604 | A | Mastoid surgery revision | 14.02 | NA | NA | 10.34 | 11.94 | 0.01 | NA | NA | 24.37 | 25.97 | 090 | |
| 69605 | A | Mastoid surgery revision | 18.49 | NA | NA | 13.31 | 14.04 | 1.24 | NA | NA | 33.04 | 33.77 | 090 | |
| 69610 | A | Repair of eardrum | 4.43 | 3.67 | 3.01 | 3.08 | 2.56 | 0.31 | 8.41 | 7.75 | 7.82 | 7.30 | 010 | |
| 69620 | A | Repair of eardrum | 5.89 | 5.78 | 6.09 | 3.28 | 4.22 | 0.42 | 12.09 | 12.40 | 9.59 | 10.53 | 090 | |
| 69631 | A | Repair eardrum structures | 9.86 | NA | NA | 8.16 | 9.07 | 0.70 | NA | NA | 18.72 | 19.63 | 090 | |
| 69632 | A | Rebuild eardrum structures | 12.75 | NA | NA | 10.21 | 11.47 | 0.91 | NA | NA | 23.87 | 25.13 | 090 | |
| 69633 | A | Rebuild eardrum structures | 12.10 | NA | NA | 9.88 | 11.02 | 0.86 | NA | NA | 22.84 | 23.98 | 090 | |
| 69635 | A | Repair eardrum structures | 13.33 | NA | NA | 10.10 | 11.55 | 0.95 | NA | NA | 24.38 | 25.83 | 090 | |
| 69636 | A | Rebuild eardrum structures | 15.22 | NA | NA | 11.65 | 13.28 | 1.09 | NA | NA | 27.96 | 29.59 | 090 | |
| 69637 | A | Rebuild eardrum structures | 15.11 | NA | NA | 11.53 | 13.16 | 1.08 | NA | NA | 27.72 | 29.35 | 090 | |
| 69641 | A | Revise middle ear mastoid | 12.71 | NA | NA | 9.75 | 11.11 | 0.91 | NA | NA | 23.37 | 24.73 | 090 | |
| 69642 | A | Revise middle ear mastoid | 16.84 | NA | NA | 12.51 | 14.41 | 1.19 | NA | NA | 30.54 | 32.44 | 090 | |
| 69643 | A | Revise middle ear mastoid | 15.32 | NA | NA | 11.67 | 13.33 | 1.10 | NA | NA | 28.09 | 29.75 | 090 | |
| 69644 | A | Revise middle ear mastoid | 16.97 | NA | NA | 12.53 | 14.46 | 1.20 | NA | NA | 30.70 | 32.63 | 090 | |
| 69645 | A | Revise middle ear mastoid | 16.38 | NA | NA | 12.23 | 14.06 | 1.16 | NA | NA | 29.77 | 31.60 | 090 | |
| 69646 | A | Revise middle ear mastoid | 17.99 | NA | NA | 13.16 | 15.24 | 1.29 | NA | NA | 32.44 | 34.52 | 090 | |
| 69650 | A | Release middle ear bone | 9.66 | NA | NA | 7.50 | 8.51 | 0.69 | NA | NA | 17.85 | 18.86 | 090 | |
| 69660 | A | Revise middle ear bone | 11.90 | NA | NA | 8.73 | 10.10 | 0.85 | NA | NA | 21.48 | 22.85 | 090 | |
| 69661 | A | Revise middle ear bone | 15.74 | NA | NA | 11.29 | 13.17 | 1.14 | NA | NA | 28.17 | 30.05 | 090 | |
| 69662 | A | Revise middle ear bone | 15.44 | NA | NA | 11.11 | 12.94 | 1.10 | NA | NA | 27.65 | 29.48 | 090 | |
| 69666 | A | Repair middle ear structures | 9.75 | NA | NA | 7.59 | 8.60 | 0.69 | NA | NA | 18.03 | 19.04 | 090 | |
| 69667 | A | Repair middle ear structures | 9.76 | NA | NA | 7.59 | 8.61 | 0.69 | NA | NA | 18.04 | 19.06 | 090 | |
| 69670 | A | Remove mastoid air cells | 11.51 | NA | NA | 9.03 | 9.54 | 0.79 | NA | NA | 21.33 | 21.84 | 090 | |
| 69676 | A | Remove middle ear nerve | 9.52 | NA | NA | 7.94 | 8.27 | 0.66 | NA | NA | 18.12 | 18.45 | 090 | |
| 69700 | A | Close mastoid fistula | 8.23 | NA | NA | 5.44 | 6.21 | 0.62 | NA | NA | 14.29 | 15.06 | 090 | |
| 69710 | N | Implant/replace hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 69711 | A | Remove/repair hearing aid | 10.44 | NA | NA | 8.24 | 8.47 | 0.73 | NA | NA | 19.41 | 19.64 | 090 | |
| 69720 | A | Release facial nerve | 14.38 | NA | NA | 11.15 | 12.66 | 1.03 | NA | NA | 26.56 | 28.07 | 090 | |
| 69725 | A | Release facial nerve | 25.38 | NA | NA | 16.53 | 16.37 | 1.62 | NA | NA | 43.53 | 43.37 | 090 | |
| 69740 | A | Repair facial nerve | 15.96 | NA | NA | 10.68 | 11.22 | 1.11 | NA | NA | 27.75 | 28.29 | 090 | |
| 69745 | A | Repair facial nerve | 16.69 | NA | NA | 11.02 | 12.59 | 1.80 | NA | NA | 29.51 | 31.08 | 090 | |
| 69799 | C | Middle ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69801 | A | Incise inner ear | 8.56 | NA | NA | 6.68 | 7.57 | 0.61 | NA | NA | 15.85 | 16.74 | 090 | |
| 69802 | A | Incise inner ear | 13.10 | NA | NA | 9.55 | 10.21 | 1.04 | NA | NA | 23.69 | 24.35 | 090 | |
| 69805 | A | Explore inner ear | 13.82 | NA | NA | 9.50 | 10.69 | 0.97 | NA | NA | 24.29 | 25.48 | 090 | |
| 69806 | A | Explore inner ear | 12.35 | NA | NA | 9.21 | 10.60 | 0.88 | NA | NA | 22.44 | 23.83 | 090 | |
| 69820 | A | Establish inner ear window | 10.34 | NA | NA | 7.91 | 8.33 | 0.55 | NA | NA | 18.80 | 19.22 | 090 | |
| 69840 | A | Revise inner ear window | 10.26 | NA | NA | 8.49 | 8.67 | 0.40 | NA | NA | 19.15 | 19.33 | 090 | |
| 69905 | A | Remove inner ear | 11.10 | NA | NA | 8.48 | 9.67 | 0.77 | NA | NA | 20.35 | 21.54 | 090 | |
| 69910 | A | Remove inner ear mastoid | 13.63 | NA | NA | 9.74 | 11.37 | 0.97 | NA | NA | 24.34 | 25.97 | 090 | |
| 69915 | A | Incise inner ear nerve | 21.23 | NA | NA | 14.11 | 15.39 | 1.50 | NA | NA | 36.84 | 38.12 | 090 | |
| 69930 | A | Implant cochlear device | 16.81 | NA | NA | 11.34 | 13.52 | 1.21 | NA | NA | 29.36 | 31.54 | 090 | |
| 69949 | C | Inner ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69950 | A | Incise inner ear nerve | 25.64 | NA | NA | 15.46 | 16.48 | 2.34 | NA | NA | 43.44 | 44.46 | 090 | |
| 69955 | A | Release facial nerve | 27.04 | NA | NA | 17.99 | 19.00 | 2.31 | NA | NA | 47.34 | 48.35 | 090 | |
| 69960 | A | Release inner ear canal | 27.04 | NA | NA | 16.77 | 17.42 | 2.52 | NA | NA | 46.33 | 46.98 | 090 | |
| 69970 | A | Remove inner ear lesion | 30.04 | NA | NA | 18.13 | 18.94 | 2.13 | NA | NA | 50.30 | 51.11 | 090 | |
| 69979 | C | Temporal bone surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69990 | R | Microsurgery add-on | 3.47 | NA | NA | 1.79 | 1.79 | 0.64 | NA | NA | 5.90 | 5.90 | ZZZ | |
| 70010 | A | Contrast x-ray of brain | 1.19 | 4.79 | 4.86 | NA | NA | 0.24 | 6.22 | 6.29 | NA | NA | XXX | |
| 70010 | 26 | A | Contrast x-ray of brain | 1.19 | 0.41 | 0.45 | 0.41 | 0.45 | 0.05 | 1.65 | 1.69 | 1.65 | 1.69 | XXX |
| 70010 | TC | A | Contrast x-ray of brain | 0.00 | 4.38 | 4.41 | NA | NA | 0.19 | 4.57 | 4.60 | NA | NA | XXX |
| 70015 | A | Contrast x-ray of brain | 1.19 | 1.77 | 1.82 | NA | NA | 0.12 | 3.08 | 3.13 | NA | NA | XXX | |
| 70015 | 26 | A | Contrast x-ray of brain | 1.19 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.64 | 1.68 | 1.64 | 1.68 | XXX |
| 70015 | TC | A | Contrast x-ray of brain | 0.00 | 1.37 | 1.38 | NA | NA | 0.07 | 1.44 | 1.45 | NA | NA | XXX |
| 70030 | A | X-ray eye for foreign body | 0.17 | 0.48 | 0.49 | NA | NA | 0.03 | 0.68 | 0.69 | NA | NA | XXX | |
| 70030 | 26 | A | X-ray eye for foreign body | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 70030 | TC | A | X-ray eye for foreign body | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 70100 | A | X-ray exam of jaw | 0.18 | 0.59 | 0.60 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 70100 | 26 | A | X-ray exam of jaw | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 70100 | TC | A | X-ray exam of jaw | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 70110 | A | X-ray exam of jaw | 0.25 | 0.72 | 0.73 | NA | NA | 0.04 | 1.01 | 1.02 | NA | NA | XXX | |
| 70110 | 26 | A | X-ray exam of jaw | 0.25 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.35 | 0.36 | 0.35 | 0.36 | XXX |
| 70110 | TC | A | X-ray exam of jaw | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 70120 | A | X-ray exam of mastoids | 0.18 | 0.69 | 0.70 | NA | NA | 0.04 | 0.91 | 0.92 | NA | NA | XXX | |
| 70120 | 26 | A | X-ray exam of mastoids | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 70120 | TC | A | X-ray exam of mastoids | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 70130 | A | X-ray exam of mastoids | 0.34 | 0.91 | 0.93 | NA | NA | 0.05 | 1.30 | 1.32 | NA | NA | XXX | |
| 70130 | 26 | A | X-ray exam of mastoids | 0.34 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.47 | 0.48 | 0.47 | 0.48 | XXX |
| 70130 | TC | A | X-ray exam of mastoids | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 70134 | A | X-ray exam of middle ear | 0.34 | 0.86 | 0.88 | NA | NA | 0.05 | 1.25 | 1.27 | NA | NA | XXX | |
| 70134 | 26 | A | X-ray exam of middle ear | 0.34 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.47 | 0.48 | 0.47 | 0.48 | XXX |
| 70134 | TC | A | X-ray exam of middle ear | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 70140 | A | X-ray exam of facial bones | 0.19 | 0.70 | 0.71 | NA | NA | 0.04 | 0.93 | 0.94 | NA | NA | XXX | |
| 70140 | 26 | A | X-ray exam of facial bones | 0.19 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.27 | 0.28 | 0.27 | 0.28 | XXX |
| 70140 | TC | A | X-ray exam of facial bones | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 70150 | A | X-ray exam of facial bones | 0.26 | 0.88 | 0.90 | NA | NA | 0.05 | 1.19 | 1.21 | NA | NA | XXX | |
| 70150 | 26 | A | X-ray exam of facial bones | 0.26 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.36 | 0.37 | 0.36 | 0.37 | XXX |
| 70150 | TC | A | X-ray exam of facial bones | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 70160 | A | X-ray exam of nasal bones | 0.17 | 0.59 | 0.60 | NA | NA | 0.03 | 0.79 | 0.80 | NA | NA | XXX | |
| 70160 | 26 | A | X-ray exam of nasal bones | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 70160 | TC | A | X-ray exam of nasal bones | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 70170 | A | X-ray exam of tear duct | 0.30 | 1.07 | 1.09 | NA | NA | 0.06 | 1.43 | 1.45 | NA | NA | XXX | |
| 70170 | 26 | A | X-ray exam of tear duct | 0.30 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.42 | 0.43 | 0.42 | 0.43 | XXX |
| 70170 | TC | A | X-ray exam of tear duct | 0.00 | 0.96 | 0.97 | NA | NA | 0.05 | 1.01 | 1.02 | NA | NA | XXX |
| 70190 | A | X-ray exam of eye sockets | 0.21 | 0.70 | 0.71 | NA | NA | 0.04 | 0.95 | 0.96 | NA | NA | XXX | |
| 70190 | 26 | A | X-ray exam of eye sockets | 0.21 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.29 | 0.30 | 0.29 | 0.30 | XXX |
| 70190 | TC | A | X-ray exam of eye sockets | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 70200 | A | X-ray exam of eye sockets | 0.28 | 0.89 | 0.91 | NA | NA | 0.05 | 1.22 | 1.24 | NA | NA | XXX | |
| 70200 | 26 | A | X-ray exam of eye sockets | 0.28 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.39 | 0.40 | 0.39 | 0.40 | XXX |
| 70200 | TC | A | X-ray exam of eye sockets | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 70210 | A | X-ray exam of sinuses | 0.17 | 0.69 | 0.70 | NA | NA | 0.04 | 0.90 | 0.91 | NA | NA | XXX | |
| 70210 | 26 | A | X-ray exam of sinuses | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 70210 | TC | A | X-ray exam of sinuses | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 70220 | A | X-ray exam of sinuses | 0.25 | 0.88 | 0.90 | NA | NA | 0.05 | 1.18 | 1.20 | NA | NA | XXX | |
| 70220 | 26 | A | X-ray exam of sinuses | 0.25 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.35 | 0.36 | 0.35 | 0.36 | XXX |
| 70220 | TC | A | X-ray exam of sinuses | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 70240 | A | X-ray exam, pituitary saddle | 0.19 | 0.49 | 0.50 | NA | NA | 0.03 | 0.71 | 0.72 | NA | NA | XXX | |
| 70240 | 26 | A | X-ray exam, pituitary saddle | 0.19 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.27 | 0.28 | 0.27 | 0.28 | XXX |
| 70240 | TC | A | X-ray exam, pituitary saddle | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 70250 | A | X-ray exam of skull | 0.24 | 0.71 | 0.72 | NA | NA | 0.04 | 0.99 | 1.00 | NA | NA | XXX | |
| 70250 | 26 | A | X-ray exam of skull | 0.24 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.33 | 0.34 | 0.33 | 0.34 | XXX |
| 70250 | TC | A | X-ray exam of skull | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 70260 | A | X-ray exam of skull | 0.34 | 1.02 | 1.04 | NA | NA | 0.06 | 1.42 | 1.44 | NA | NA | XXX | |
| 70260 | 26 | A | X-ray exam of skull | 0.34 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.47 | 0.48 | 0.47 | 0.48 | XXX |
| 70260 | TC | A | X-ray exam of skull | 0.00 | 0.90 | 0.91 | NA | NA | 0.05 | 0.95 | 0.96 | NA | NA | XXX |
| 70300 | A | X-ray exam of teeth | 0.10 | 0.30 | 0.30 | NA | NA | 0.03 | 0.43 | 0.43 | NA | NA | XXX | |
| 70300 | 26 | A | X-ray exam of teeth | 0.10 | 0.04 | 0.04 | 0.04 | 0.04 | 0.01 | 0.15 | 0.15 | 0.15 | 0.15 | XXX |
| 70300 | TC | A | X-ray exam of teeth | 0.00 | 0.26 | 0.26 | NA | NA | 0.02 | 0.28 | 0.28 | NA | NA | XXX |
| 70310 | A | X-ray exam of teeth | 0.16 | 0.48 | 0.49 | NA | NA | 0.03 | 0.67 | 0.68 | NA | NA | XXX | |
| 70310 | 26 | A | X-ray exam of teeth | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 70310 | TC | A | X-ray exam of teeth | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 70320 | A | Full mouth x-ray of teeth | 0.22 | 0.87 | 0.89 | NA | NA | 0.05 | 1.14 | 1.16 | NA | NA | XXX | |
| 70320 | 26 | A | Full mouth x-ray of teeth | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 70320 | TC | A | Full mouth x-ray of teeth | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 70328 | A | X-ray exam of jaw joint | 0.18 | 0.56 | 0.57 | NA | NA | 0.03 | 0.77 | 0.78 | NA | NA | XXX | |
| 70328 | 26 | A | X-ray exam of jaw joint | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 70328 | TC | A | X-ray exam of jaw joint | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 70330 | A | X-ray exam of jaw joints | 0.24 | 0.93 | 0.95 | NA | NA | 0.05 | 1.22 | 1.24 | NA | NA | XXX | |
| 70330 | 26 | A | X-ray exam of jaw joints | 0.24 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.33 | 0.34 | 0.33 | 0.34 | XXX |
| 70330 | TC | A | X-ray exam of jaw joints | 0.00 | 0.85 | 0.86 | NA | NA | 0.04 | 0.89 | 0.90 | NA | NA | XXX |
| 70332 | A | X-ray exam of jaw joint | 0.54 | 2.31 | 2.34 | NA | NA | 0.12 | 2.97 | 3.00 | NA | NA | XXX | |
| 70332 | 26 | A | X-ray exam of jaw joint | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 70332 | TC | A | X-ray exam of jaw joint | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 70336 | A | Magnetic image, jaw joint | 1.48 | 11.85 | 11.91 | NA | NA | 0.56 | 13.89 | 13.95 | NA | NA | XXX | |
| 70336 | 26 | A | Magnetic image, jaw joint | 1.48 | 0.52 | 0.51 | 0.52 | 0.51 | 0.06 | 2.06 | 2.05 | 2.06 | 2.05 | XXX |
| 70336 | TC | A | Magnetic image, jaw joint | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 70350 | A | X-ray head for orthodontia | 0.17 | 0.44 | 0.45 | NA | NA | 0.03 | 0.64 | 0.65 | NA | NA | XXX | |
| 70350 | 26 | A | X-ray head for orthodontia | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 70350 | TC | A | X-ray head for orthodontia | 0.00 | 0.38 | 0.38 | NA | NA | 0.02 | 0.40 | 0.40 | NA | NA | XXX |
| 70355 | A | Panoramic x-ray of jaws | 0.20 | 0.65 | 0.66 | NA | NA | 0.04 | 0.89 | 0.90 | NA | NA | XXX | |
| 70355 | 26 | A | Panoramic x-ray of jaws | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 70355 | TC | A | Panoramic x-ray of jaws | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 70360 | A | X-ray exam of neck | 0.17 | 0.48 | 0.49 | NA | NA | 0.03 | 0.68 | 0.69 | NA | NA | XXX | |
| 70360 | 26 | A | X-ray exam of neck | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 70360 | TC | A | X-ray exam of neck | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 70370 | A | Throat x-ray fluoroscopy | 0.32 | 1.43 | 1.45 | NA | NA | 0.07 | 1.82 | 1.84 | NA | NA | XXX | |
| 70370 | 26 | A | Throat x-ray fluoroscopy | 0.32 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.44 | 0.45 | 0.44 | 0.45 | XXX |
| 70370 | TC | A | Throat x-ray fluoroscopy | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 70371 | A | Speech evaluation, complex | 0.84 | 2.41 | 2.45 | NA | NA | 0.13 | 3.38 | 3.42 | NA | NA | XXX | |
| 70371 | 26 | A | Speech evaluation, complex | 0.84 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.16 | 1.19 | 1.16 | 1.19 | XXX |
| 70371 | TC | A | Speech evaluation, complex | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 70373 | A | Contrast x-ray of larynx | 0.44 | 1.95 | 1.98 | NA | NA | 0.11 | 2.50 | 2.53 | NA | NA | XXX | |
| 70373 | 26 | A | Contrast x-ray of larynx | 0.44 | 0.15 | 0.17 | 0.15 | 0.17 | 0.02 | 0.61 | 0.63 | 0.61 | 0.63 | XXX |
| 70373 | TC | A | Contrast x-ray of larynx | 0.00 | 1.80 | 1.81 | NA | NA | 0.09 | 1.89 | 1.90 | NA | NA | XXX |
| 70380 | A | X-ray exam of salivary gland | 0.17 | 0.73 | 0.75 | NA | NA | 0.04 | 0.94 | 0.96 | NA | NA | XXX | |
| 70380 | 26 | A | X-ray exam of salivary gland | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 70380 | TC | A | X-ray exam of salivary gland | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 70390 | A | X-ray exam of salivary duct | 0.38 | 1.93 | 1.95 | NA | NA | 0.11 | 2.42 | 2.44 | NA | NA | XXX | |
| 70390 | 26 | A | X-ray exam of salivary duct | 0.38 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 70390 | TC | A | X-ray exam of salivary duct | 0.00 | 1.80 | 1.81 | NA | NA | 0.09 | 1.89 | 1.90 | NA | NA | XXX |
| 70450 | A | CAT scan of head or brain | 0.85 | 5.07 | 5.13 | NA | NA | 0.25 | 6.17 | 6.23 | NA | NA | XXX | |
| 70450 | 26 | A | CAT scan of head or brain | 0.85 | 0.30 | 0.33 | 0.30 | 0.33 | 0.03 | 1.18 | 1.21 | 1.18 | 1.21 | XXX |
| 70450 | TC | A | CAT scan of head or brain | 0.00 | 4.77 | 4.80 | NA | NA | 0.22 | 4.99 | 5.02 | NA | NA | XXX |
| 70460 | A | Contrast CAT scan of head | 1.13 | 6.11 | 6.18 | NA | NA | 0.31 | 7.55 | 7.62 | NA | NA | XXX | |
| 70460 | 26 | A | Contrast CAT scan of head | 1.13 | 0.39 | 0.43 | 0.39 | 0.43 | 0.05 | 1.57 | 1.61 | 1.57 | 1.61 | XXX |
| 70460 | TC | A | Contrast CAT scan of head | 0.00 | 5.72 | 5.75 | NA | NA | 0.26 | 5.98 | 6.01 | NA | NA | XXX |
| 70470 | A | Contrast CAT scans of head | 1.27 | 7.59 | 7.67 | NA | NA | 0.37 | 9.23 | 9.31 | NA | NA | XXX | |
| 70470 | 26 | A | Contrast CAT scans of head | 1.27 | 0.44 | 0.48 | 0.44 | 0.48 | 0.05 | 1.76 | 1.80 | 1.76 | 1.80 | XXX |
| 70470 | TC | A | Contrast CAT scans of head | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 70480 | A | CAT scan of skull | 1.28 | 5.22 | 5.29 | NA | NA | 0.27 | 6.77 | 6.84 | NA | NA | XXX | |
| 70480 | 26 | A | CAT scan of skull | 1.28 | 0.45 | 0.49 | 0.45 | 0.49 | 0.05 | 1.78 | 1.82 | 1.78 | 1.82 | XXX |
| 70480 | TC | A | CAT scan of skull | 0.00 | 4.77 | 4.80 | NA | NA | 0.22 | 4.99 | 5.02 | NA | NA | XXX |
| 70481 | A | Contrast CAT scan of skull | 1.38 | 6.20 | 6.28 | NA | NA | 0.31 | 7.89 | 7.97 | NA | NA | XXX | |
| 70481 | 26 | A | Contrast CAT scan of skull | 1.38 | 0.48 | 0.53 | 0.48 | 0.53 | 0.05 | 1.91 | 1.96 | 1.91 | 1.96 | XXX |
| 70481 | TC | A | Contrast CAT scan of skull | 0.00 | 5.72 | 5.75 | NA | NA | 0.26 | 5.98 | 6.01 | NA | NA | XXX |
| 70482 | A | Contrast CAT scans of skull | 1.45 | 7.66 | 7.75 | 7.50 | 0.56 | 0.38 | 9.49 | 9.58 | 9.33 | 2.39 | XXX | |
| 70482 | 26 | A | Contrast CAT scans of skull | 1.45 | 0.51 | 0.56 | 0.51 | 0.56 | 0.06 | 2.02 | 2.07 | 2.02 | 2.07 | XXX |
| 70482 | TC | A | Contrast CAT scans of skull | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 70486 | A | Cat scan of face/jaw | 1.14 | 5.17 | 5.24 | 5.05 | 0.44 | 0.27 | 6.58 | 6.65 | 6.46 | 1.85 | XXX | |
| 70486 | 26 | A | Cat scan of face/jaw | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 70486 | TC | A | Cat scan of face/jaw | 0.00 | 4.77 | 4.80 | NA | NA | 0.22 | 4.99 | 5.02 | NA | NA | XXX |
| 70487 | A | Contrast CAT scan, face/jaw | 1.30 | 6.17 | 6.24 | 6.04 | 0.49 | 0.31 | 7.78 | 7.85 | 7.65 | 2.10 | XXX | |
| 70487 | 26 | A | Contrast CAT scan, face/jaw | 1.30 | 0.45 | 0.49 | 0.45 | 0.49 | 0.05 | 1.80 | 1.84 | 1.80 | 1.84 | XXX |
| 70487 | TC | A | Contrast CAT scan, face/jaw | 0.00 | 5.72 | 5.75 | NA | NA | 0.26 | 5.98 | 6.01 | NA | NA | XXX |
| 70488 | A | Contrast cat scans, face/jaw | 1.42 | 7.64 | 7.73 | 7.49 | 0.54 | 0.38 | 9.44 | 9.53 | 9.29 | 2.34 | XXX | |
| 70488 | 26 | A | Contrast cat scans, face/jaw | 1.42 | 0.49 | 0.54 | 0.49 | 0.54 | 0.06 | 1.97 | 2.02 | 1.97 | 2.02 | XXX |
| 70488 | TC | A | Contrast cat scans, face/jaw | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 70490 | A | CAT scan of neck tissue | 1.28 | 5.22 | 5.29 | 5.09 | 0.49 | 0.27 | 6.77 | 6.84 | 6.64 | 2.04 | XXX | |
| 70490 | 26 | A | CAT scan of neck tissue | 1.28 | 0.45 | 0.49 | 0.45 | 0.49 | 0.05 | 1.78 | 1.82 | 1.78 | 1.82 | XXX |
| 70490 | TC | A | CAT scan of neck tissue | 0.00 | 4.77 | 4.80 | NA | NA | 0.22 | 4.99 | 5.02 | NA | NA | XXX |
| 70491 | A | Contrast CAT of neck tissue | 1.38 | 6.20 | 6.28 | 6.06 | 0.53 | 0.31 | 7.89 | 7.97 | 7.75 | 2.22 | XXX | |
| 70491 | 26 | A | Contrast CAT of neck tissue | 1.38 | 0.48 | 0.53 | 0.48 | 0.53 | 0.05 | 1.91 | 1.96 | 1.91 | 1.96 | XXX |
| 70491 | TC | A | Contrast CAT of neck tissue | 0.00 | 5.72 | 5.75 | NA | NA | 0.26 | 5.98 | 6.01 | NA | NA | XXX |
| 70492 | A | Contrast CAT of neck tissue | 1.45 | 7.65 | 7.74 | 7.49 | 0.55 | 0.38 | 9.48 | 9.57 | 9.32 | 2.38 | XXX | |
| 70492 | 26 | A | Contrast CAT of neck tissue | 1.45 | 0.50 | 0.55 | 0.50 | 0.55 | 0.06 | 2.01 | 2.06 | 2.01 | 2.06 | XXX |
| 70492 | TC | A | Contrast CAT of neck tissue | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 70540 | A | Magnetic image, face/neck | 1.48 | 11.85 | 11.97 | NA | NA | 0.56 | 13.89 | 14.01 | NA | NA | XXX | |
| 70540 | 26 | A | Magnetic image, face/neck | 1.48 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.06 | 2.11 | 2.06 | 2.11 | XXX |
| 70540 | TC | A | Magnetic image, face/neck | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 70541 | R | Magnetic image, head (MRA) | 1.81 | 11.96 | 12.05 | NA | NA | 0.57 | 14.34 | 14.43 | NA | NA | XXX | |
| 70541 | 26 | R | Magnetic image, head (MRA) | 1.81 | 0.63 | 0.65 | 0.63 | 0.65 | 0.07 | 2.51 | 2.53 | 2.51 | 2.53 | XXX |
| 70541 | TC | R | Magnetic image, head (MRA) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 70551 | A | Magnetic image, brain (MRI) | 1.48 | 11.85 | 11.97 | NA | NA | 0.56 | 13.89 | 14.01 | NA | NA | XXX | |
| 70551 | 26 | A | Magnetic image, brain (MRI) | 1.48 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.06 | 2.11 | 2.06 | 2.11 | XXX |
| 70551 | TC | A | Magnetic image, brain (MRI) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 70552 | A | Magnetic image, brain (MRI) | 1.78 | 14.22 | 14.36 | NA | NA | 0.67 | 16.67 | 16.81 | NA | NA | XXX | |
| 70552 | 26 | A | Magnetic image, brain (MRI) | 1.78 | 0.63 | 0.69 | 0.63 | 0.69 | 0.07 | 2.48 | 2.54 | 2.48 | 2.54 | XXX |
| 70552 | TC | A | Magnetic image, brain (MRI) | 0.00 | 13.59 | 13.67 | NA | NA | 0.60 | 14.19 | 14.27 | NA | NA | XXX |
| 70553 | A | Magnetic image, brain (mri) | 2.36 | 25.98 | 26.22 | NA | NA | 1.21 | 29.55 | 29.79 | NA | NA | XXX | |
| 70553 | 26 | A | Magnetic image, brain (mri) | 2.36 | 0.82 | 0.91 | 0.82 | 0.91 | 0.09 | 3.27 | 3.36 | 3.27 | 3.36 | XXX |
| 70553 | TC | A | Magnetic image, brain (mri) | 0.00 | 25.16 | 25.31 | NA | NA | 1.12 | 26.28 | 26.43 | NA | NA | XXX |
| 71010 | A | Chest x-ray | 0.18 | 0.54 | 0.55 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 71010 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 71010 | TC | A | Chest x-ray | 0.00 | 0.48 | 0.48 | NA | NA | 0.02 | 0.50 | 0.50 | NA | NA | XXX |
| 71015 | A | Chest x-ray | 0.21 | 0.60 | 0.61 | NA | NA | 0.03 | 0.84 | 0.85 | NA | NA | XXX | |
| 71015 | 26 | A | Chest x-ray | 0.21 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.29 | 0.30 | 0.29 | 0.30 | XXX |
| 71015 | TC | A | Chest x-ray | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 71020 | A | Chest x-ray | 0.22 | 0.71 | 0.72 | NA | NA | 0.04 | 0.97 | 0.98 | NA | NA | XXX | |
| 71020 | 26 | A | Chest x-ray | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 71020 | TC | A | Chest x-ray | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 71021 | A | Chest x-ray | 0.27 | 0.83 | 0.85 | NA | NA | 0.05 | 1.15 | 1.17 | NA | NA | XXX | |
| 71021 | 26 | A | Chest x-ray | 0.27 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.37 | 0.38 | 0.37 | 0.38 | XXX |
| 71021 | TC | A | Chest x-ray | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 71022 | A | Chest x-ray | 0.31 | 0.85 | 0.87 | NA | NA | 0.05 | 1.21 | 1.23 | NA | NA | XXX | |
| 71022 | 26 | A | Chest x-ray | 0.31 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.43 | 0.44 | 0.43 | 0.44 | XXX |
| 71022 | TC | A | Chest x-ray | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 71023 | A | Chest x-ray and fluoroscopy | 0.38 | 0.93 | 0.95 | NA | NA | 0.05 | 1.36 | 1.38 | NA | NA | XXX | |
| 71023 | 26 | A | Chest x-ray and fluoroscopy | 0.38 | 0.14 | 0.15 | 0.14 | 0.15 | 0.01 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 71023 | TC | A | Chest x-ray and fluoroscopy | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 71030 | A | Chest x-ray | 0.31 | 0.90 | 0.92 | NA | NA | 0.05 | 1.26 | 1.28 | NA | NA | XXX | |
| 71030 | 26 | A | Chest x-ray | 0.31 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.43 | 0.44 | 0.43 | 0.44 | XXX |
| 71030 | TC | A | Chest x-ray | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 71034 | A | Chest x-ray and fluoroscopy | 0.46 | 1.63 | 1.66 | NA | NA | 0.09 | 2.18 | 2.21 | NA | NA | XXX | |
| 71034 | 26 | A | Chest x-ray and fluoroscopy | 0.46 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.65 | 0.67 | 0.65 | 0.67 | XXX |
| 71034 | TC | A | Chest x-ray and fluoroscopy | 0.00 | 1.46 | 1.47 | NA | NA | 0.07 | 1.53 | 1.54 | NA | NA | XXX |
| 71035 | A | Chest x-ray | 0.18 | 0.59 | 0.60 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 71035 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 71035 | TC | A | Chest x-ray | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 71036 | A | X-ray guidance for biopsy | 0.54 | 1.77 | 1.80 | NA | NA | 0.10 | 2.41 | 2.44 | NA | NA | XXX | |
| 71036 | 26 | A | X-ray guidance for biopsy | 0.54 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 71036 | TC | A | X-ray guidance for biopsy | 0.00 | 1.59 | 1.60 | NA | NA | 0.08 | 1.67 | 1.68 | NA | NA | XXX |
| 71040 | A | Contrast x-ray of bronchi | 0.58 | 1.68 | 1.71 | NA | NA | 0.09 | 2.35 | 2.38 | NA | NA | XXX | |
| 71040 | 26 | A | Contrast x-ray of bronchi | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 71040 | TC | A | Contrast x-ray of bronchi | 0.00 | 1.48 | 1.49 | NA | NA | 0.07 | 1.55 | 1.56 | NA | NA | XXX |
| 71060 | A | Contrast x-ray of bronchi | 0.74 | 2.49 | 2.53 | NA | NA | 0.14 | 3.37 | 3.41 | NA | NA | XXX | |
| 71060 | 26 | A | Contrast x-ray of bronchi | 0.74 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.03 | 1.06 | 1.03 | 1.06 | XXX |
| 71060 | TC | A | Contrast x-ray of bronchi | 0.00 | 2.23 | 2.24 | NA | NA | 0.11 | 2.34 | 2.35 | NA | NA | XXX |
| 71090 | A | X-ray pacemaker insertion | 0.54 | 1.92 | 1.94 | NA | NA | 0.11 | 2.57 | 2.59 | NA | NA | XXX | |
| 71090 | 26 | A | X-ray pacemaker insertion | 0.54 | 0.22 | 0.23 | 0.22 | 0.23 | 0.02 | 0.78 | 0.79 | 0.78 | 0.79 | XXX |
| 71090 | TC | A | X-ray pacemaker insertion | 0.00 | 1.70 | 1.71 | NA | NA | 0.09 | 1.79 | 1.80 | NA | NA | XXX |
| 71100 | A | X-ray exam of ribs | 0.22 | 0.66 | 0.67 | NA | NA | 0.04 | 0.92 | 0.93 | NA | NA | XXX | |
| 71100 | 26 | A | X-ray exam of ribs | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 71100 | TC | A | X-ray exam of ribs | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 71101 | A | X-ray exam of ribs/chest | 0.27 | 0.76 | 0.78 | NA | NA | 0.04 | 1.07 | 1.09 | NA | NA | XXX | |
| 71101 | 26 | A | X-ray exam of ribs/chest | 0.27 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.37 | 0.38 | 0.37 | 0.38 | XXX |
| 71101 | TC | A | X-ray exam of ribs/chest | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 71110 | A | X-ray exam of ribs | 0.27 | 0.88 | 0.90 | NA | NA | 0.05 | 1.20 | 1.22 | NA | NA | XXX | |
| 71110 | 26 | A | X-ray exam of ribs | 0.27 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.37 | 0.38 | 0.37 | 0.38 | XXX |
| 71110 | TC | A | X-ray exam of ribs | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 71111 | A | X-ray exam of ribs/ chest | 0.32 | 1.01 | 1.03 | NA | NA | 0.06 | 1.39 | 1.41 | NA | NA | XXX | |
| 71111 | 26 | A | X-ray exam of ribs/ chest | 0.32 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.44 | 0.45 | 0.44 | 0.45 | XXX |
| 71111 | TC | A | X-ray exam of ribs/ chest | 0.00 | 0.90 | 0.91 | NA | NA | 0.05 | 0.95 | 0.96 | NA | NA | XXX |
| 71120 | A | X-ray exam of breastbone | 0.20 | 0.72 | 0.74 | NA | NA | 0.04 | 0.96 | 0.98 | NA | NA | XXX | |
| 71120 | 26 | A | X-ray exam of breastbone | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 71120 | TC | A | X-ray exam of breastbone | 0.00 | 0.65 | 0.66 | NA | NA | 0.03 | 0.68 | 0.69 | NA | NA | XXX |
| 71130 | A | X-ray exam of breastbone | 0.22 | 0.79 | 0.81 | NA | NA | 0.04 | 1.05 | 1.07 | NA | NA | XXX | |
| 71130 | 26 | A | X-ray exam of breastbone | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 71130 | TC | A | X-ray exam of breastbone | 0.00 | 0.71 | 0.72 | NA | NA | 0.03 | 0.74 | 0.75 | NA | NA | XXX |
| 71250 | A | Cat scan of chest | 1.16 | 6.37 | 6.45 | NA | NA | 0.32 | 7.85 | 7.93 | NA | NA | XXX | |
| 71250 | 26 | A | Cat scan of chest | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 71250 | TC | A | Cat scan of chest | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 71260 | A | Contrast CAT scan of chest | 1.24 | 7.58 | 7.66 | NA | NA | 0.37 | 9.19 | 9.27 | NA | NA | XXX | |
| 71260 | 26 | A | Contrast CAT scan of chest | 1.24 | 0.43 | 0.47 | 0.43 | 0.47 | 0.05 | 1.72 | 1.76 | 1.72 | 1.76 | XXX |
| 71260 | TC | A | Contrast CAT scan of chest | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 71270 | A | Contrast CAT scans of chest | 1.38 | 9.42 | 9.52 | NA | NA | 0.44 | 11.24 | 11.34 | NA | NA | XXX | |
| 71270 | 26 | A | Contrast CAT scans of chest | 1.38 | 0.48 | 0.53 | 0.48 | 0.53 | 0.05 | 1.91 | 1.96 | 1.91 | 1.96 | XXX |
| 71270 | TC | A | Contrast CAT scans of chest | 0.00 | 8.94 | 8.99 | NA | NA | 0.39 | 9.33 | 9.38 | NA | NA | XXX |
| 71550 | A | Magnetic image, chest (mri) | 1.60 | 11.89 | 12.02 | NA | NA | 0.56 | 14.05 | 14.18 | NA | NA | XXX | |
| 71550 | 26 | A | Magnetic image, chest (mri) | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 71550 | TC | A | Magnetic image, chest (mri) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 71555 | R | Magnetic image, chest (mra) | 1.81 | 11.96 | 12.07 | NA | NA | 0.57 | 14.34 | 14.45 | NA | NA | XXX | |
| 71555 | 26 | R | Magnetic image, chest (mra) | 1.81 | 0.63 | 0.67 | 0.63 | 0.67 | 0.07 | 2.51 | 2.55 | 2.51 | 2.55 | XXX |
| 71555 | TC | R | Magnetic image, chest (mra) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 72010 | A | X-ray exam of spine | 0.45 | 1.20 | 1.23 | NA | NA | 0.07 | 1.72 | 1.75 | NA | NA | XXX | |
| 72010 | 26 | A | X-ray exam of spine | 0.45 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.63 | 0.65 | 0.63 | 0.65 | XXX |
| 72010 | TC | A | X-ray exam of spine | 0.00 | 1.04 | 1.05 | NA | NA | 0.05 | 1.09 | 1.10 | NA | NA | XXX |
| 72020 | A | X-ray exam of spine | 0.15 | 0.47 | 0.48 | NA | NA | 0.03 | 0.65 | 0.66 | NA | NA | XXX | |
| 72020 | 26 | A | X-ray exam of spine | 0.15 | 0.05 | 0.06 | 0.05 | 0.06 | 0.01 | 0.21 | 0.22 | 0.21 | 0.22 | XXX |
| 72020 | TC | A | X-ray exam of spine | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 72040 | A | X-ray exam of neck spine | 0.22 | 0.69 | 0.70 | NA | NA | 0.04 | 0.95 | 0.96 | NA | NA | XXX | |
| 72040 | 26 | A | X-ray exam of neck spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72040 | TC | A | X-ray exam of neck spine | 0.00 | 0.61 | 0.61 | NA | NA | 0.03 | 0.64 | 0.64 | NA | NA | XXX |
| 72050 | A | X-ray exam of neck spine | 0.31 | 1.01 | 1.03 | NA | NA | 0.06 | 1.38 | 1.40 | NA | NA | XXX | |
| 72050 | 26 | A | X-ray exam of neck spine | 0.31 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.43 | 0.44 | 0.43 | 0.44 | XXX |
| 72050 | TC | A | X-ray exam of neck spine | 0.00 | 0.90 | 0.91 | NA | NA | 0.05 | 0.95 | 0.96 | NA | NA | XXX |
| 72052 | A | X-ray exam of neck spine | 0.36 | 1.27 | 1.29 | NA | NA | 0.06 | 1.69 | 1.71 | NA | NA | XXX | |
| 72052 | 26 | A | X-ray exam of neck spine | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.01 | 0.50 | 0.51 | 0.50 | 0.51 | XXX |
| 72052 | TC | A | X-ray exam of neck spine | 0.00 | 1.14 | 1.15 | NA | NA | 0.05 | 1.19 | 1.20 | NA | NA | XXX |
| 72069 | A | X-ray exam of trunk spine | 0.22 | 0.58 | 0.59 | NA | NA | 0.03 | 0.83 | 0.84 | NA | NA | XXX | |
| 72069 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72069 | TC | A | X-ray exam of trunk spine | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 72070 | A | X-ray exam of thoracic spine | 0.22 | 0.73 | 0.75 | NA | NA | 0.04 | 0.99 | 1.01 | NA | NA | XXX | |
| 72070 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72070 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.65 | 0.66 | NA | NA | 0.03 | 0.68 | 0.69 | NA | NA | XXX |
| 72072 | A | X-ray exam of thoracic spine | 0.22 | 0.82 | 0.84 | NA | NA | 0.05 | 1.09 | 1.11 | NA | NA | XXX | |
| 72072 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72072 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 72074 | A | X-ray exam of thoracic spine | 0.22 | 1.00 | 1.02 | NA | NA | 0.06 | 1.28 | 1.30 | NA | NA | XXX | |
| 72074 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72074 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.92 | 0.93 | NA | NA | 0.05 | 0.97 | 0.98 | NA | NA | XXX |
| 72080 | A | X-ray exam of trunk spine | 0.22 | 0.75 | 0.77 | NA | NA | 0.04 | 1.01 | 1.03 | NA | NA | XXX | |
| 72080 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72080 | TC | A | X-ray exam of trunk spine | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 72090 | A | X-ray exam of trunk spine | 0.28 | 0.77 | 0.79 | NA | NA | 0.04 | 1.09 | 1.11 | NA | NA | XXX | |
| 72090 | 26 | A | X-ray exam of trunk spine | 0.28 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.39 | 0.40 | 0.39 | 0.40 | XXX |
| 72090 | TC | A | X-ray exam of trunk spine | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 72100 | A | X-ray exam of lower spine | 0.22 | 0.75 | 0.77 | NA | NA | 0.04 | 1.01 | 1.03 | NA | NA | XXX | |
| 72100 | 26 | A | X-ray exam of lower spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72100 | TC | A | X-ray exam of lower spine | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 72110 | A | X-ray exam of lower spine | 0.31 | 1.03 | 1.05 | NA | NA | 0.06 | 1.40 | 1.42 | NA | NA | XXX | |
| 72110 | 26 | A | X-ray exam of lower spine | 0.31 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.43 | 0.44 | 0.43 | 0.44 | XXX |
| 72110 | TC | A | X-ray exam of lower spine | 0.00 | 0.92 | 0.93 | NA | NA | 0.05 | 0.97 | 0.98 | NA | NA | XXX |
| 72114 | A | X-ray exam of lower spine | 0.36 | 1.33 | 1.35 | NA | NA | 0.07 | 1.76 | 1.78 | NA | NA | XXX | |
| 72114 | 26 | A | X-ray exam of lower spine | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.51 | 0.52 | 0.51 | 0.52 | XXX |
| 72114 | TC | A | X-ray exam of lower spine | 0.00 | 1.20 | 1.21 | NA | NA | 0.05 | 1.25 | 1.26 | NA | NA | XXX |
| 72120 | A | X-ray exam of lower spine | 0.22 | 0.98 | 1.00 | NA | NA | 0.06 | 1.26 | 1.28 | NA | NA | XXX | |
| 72120 | 26 | A | X-ray exam of lower spine | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 72120 | TC | A | X-ray exam of lower spine | 0.00 | 0.90 | 0.91 | NA | NA | 0.05 | 0.95 | 0.96 | NA | NA | XXX |
| 72125 | A | CAT scan of neck spine | 1.16 | 6.37 | 6.45 | NA | NA | 0.32 | 7.85 | 7.93 | NA | NA | XXX | |
| 72125 | 26 | A | CAT scan of neck spine | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 72125 | TC | A | CAT scan of neck spine | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 72126 | A | Contrast CAT scan of neck | 1.22 | 7.57 | 7.65 | NA | NA | 0.37 | 9.16 | 9.24 | NA | NA | XXX | |
| 72126 | 26 | A | Contrast CAT scan of neck | 1.22 | 0.42 | 0.46 | 0.42 | 0.46 | 0.05 | 1.69 | 1.73 | 1.69 | 1.73 | XXX |
| 72126 | TC | A | Contrast CAT scan of neck | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 72127 | A | Contrast CAT scans of neck | 1.27 | 9.38 | 9.47 | NA | NA | 0.44 | 11.09 | 11.18 | NA | NA | XXX | |
| 72127 | 26 | A | Contrast CAT scans of neck | 1.27 | 0.44 | 0.48 | 0.44 | 0.48 | 0.05 | 1.76 | 1.80 | 1.76 | 1.80 | XXX |
| 72127 | TC | A | Contrast CAT scans of neck | 0.00 | 8.94 | 8.99 | NA | NA | 0.39 | 9.33 | 9.38 | NA | NA | XXX |
| 72128 | A | CAT scan of thorax spine | 1.16 | 6.37 | 6.45 | NA | NA | 0.32 | 7.85 | 7.93 | NA | NA | XXX | |
| 72128 | 26 | A | CAT scan of thorax spine | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 72128 | TC | A | CAT scan of thorax spine | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 72129 | A | Contrast CAT scan of thorax | 1.22 | 7.57 | 7.65 | NA | NA | 0.37 | 9.16 | 9.24 | NA | NA | XXX | |
| 72129 | 26 | A | Contrast CAT scan of thorax | 1.22 | 0.42 | 0.46 | 0.42 | 0.46 | 0.05 | 1.69 | 1.73 | 1.69 | 1.73 | XXX |
| 72129 | TC | A | Contrast CAT scan of thorax | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 72130 | A | Contrast CAT scans of thorax | 1.27 | 9.38 | 9.47 | NA | NA | 0.44 | 11.09 | 11.18 | NA | NA | XXX | |
| 72130 | 26 | A | Contrast CAT scans of thorax | 1.27 | 0.44 | 0.48 | 0.44 | 0.48 | 0.05 | 1.76 | 1.80 | 1.76 | 1.80 | XXX |
| 72130 | TC | A | Contrast CAT scans of thorax | 0.00 | 8.94 | 8.99 | NA | NA | 0.39 | 9.33 | 9.38 | NA | NA | XXX |
| 72131 | A | CAT scan of lower spine | 1.16 | 6.37 | 6.45 | NA | NA | 0.32 | 7.85 | 7.93 | NA | NA | XXX | |
| 72131 | 26 | A | CAT scan of lower spine | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 72131 | TC | A | CAT scan of lower spine | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 72132 | A | Contrast CAT of lower spine | 1.22 | 7.57 | 7.65 | NA | NA | 0.37 | 9.16 | 9.24 | NA | NA | XXX | |
| 72132 | 26 | A | Contrast CAT of lower spine | 1.22 | 0.42 | 0.46 | 0.42 | 0.46 | 0.05 | 1.69 | 1.73 | 1.69 | 1.73 | XXX |
| 72132 | TC | A | Contrast CAT of lower spine | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 72133 | A | Contrst cat scans, low spine | 1.27 | 9.39 | 9.48 | NA | NA | 0.44 | 11.10 | 11.19 | NA | NA | XXX | |
| 72133 | 26 | A | Contrst cat scans, low spine | 1.27 | 0.45 | 0.49 | 0.45 | 0.49 | 0.05 | 1.77 | 1.81 | 1.77 | 1.81 | XXX |
| 72133 | TC | A | Contrst cat scans, low spine | 0.00 | 8.94 | 8.99 | NA | NA | 0.39 | 9.33 | 9.38 | NA | NA | XXX |
| 72141 | A | Magnetic image, neck spine | 1.60 | 11.89 | 12.02 | NA | NA | 0.56 | 14.05 | 14.18 | NA | NA | XXX | |
| 72141 | 26 | A | Magnetic image, neck spine | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 72141 | TC | A | Magnetic image, neck spine | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 72142 | A | Magnetic image, neck spine | 1.92 | 14.27 | 14.41 | NA | NA | 0.68 | 16.87 | 17.01 | NA | NA | XXX | |
| 72142 | 26 | A | Magnetic image, neck spine | 1.92 | 0.68 | 0.74 | 0.68 | 0.74 | 0.08 | 2.68 | 2.74 | 2.68 | 2.74 | XXX |
| 72142 | TC | A | Magnetic image, neck spine | 0.00 | 13.59 | 13.67 | NA | NA | 0.60 | 14.19 | 14.27 | NA | NA | XXX |
| 72146 | A | Magnetic image, chest spine | 1.60 | 13.14 | 13.27 | NA | NA | 0.61 | 15.35 | 15.48 | NA | NA | XXX | |
| 72146 | 26 | A | Magnetic image, chest spine | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 72146 | TC | A | Magnetic image, chest spine | 0.00 | 12.58 | 12.65 | NA | NA | 0.55 | 13.13 | 13.20 | NA | NA | XXX |
| 72147 | A | Magnetic image, chest spine | 1.92 | 14.26 | 14.41 | NA | NA | 0.68 | 16.86 | 17.01 | NA | NA | XXX | |
| 72147 | 26 | A | Magnetic image, chest spine | 1.92 | 0.67 | 0.74 | 0.67 | 0.74 | 0.08 | 2.67 | 2.74 | 2.67 | 2.74 | XXX |
| 72147 | TC | A | Magnetic image, chest spine | 0.00 | 13.59 | 13.67 | NA | NA | 0.60 | 14.19 | 14.27 | NA | NA | XXX |
| 72148 | A | Magnetic image, lumbar spine | 1.48 | 13.10 | 13.22 | NA | NA | 0.61 | 15.19 | 15.31 | NA | NA | XXX | |
| 72148 | 26 | A | Magnetic image, lumbar spine | 1.48 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.06 | 2.11 | 2.06 | 2.11 | XXX |
| 72148 | TC | A | Magnetic image, lumbar spine | 0.00 | 12.58 | 12.65 | NA | NA | 0.55 | 13.13 | 13.20 | NA | NA | XXX |
| 72149 | A | Magnetic image, lumbar spine | 1.78 | 14.22 | 14.36 | NA | NA | 0.67 | 16.67 | 16.81 | NA | NA | XXX | |
| 72149 | 26 | A | Magnetic image, lumbar spine | 1.78 | 0.63 | 0.69 | 0.63 | 0.69 | 0.07 | 2.48 | 2.54 | 2.48 | 2.54 | XXX |
| 72149 | TC | A | Magnetic image, lumbar spine | 0.00 | 13.59 | 13.67 | NA | NA | 0.60 | 14.19 | 14.27 | NA | NA | XXX |
| 72156 | A | Magnetic image, neck spine | 2.57 | 26.06 | 26.30 | NA | NA | 1.22 | 29.85 | 30.09 | NA | NA | XXX | |
| 72156 | 26 | A | Magnetic image, neck spine | 2.57 | 0.90 | 0.99 | 0.90 | 0.99 | 0.10 | 3.57 | 3.66 | 3.57 | 3.66 | XXX |
| 72156 | TC | A | Magnetic image, neck spine | 0.00 | 25.16 | 25.31 | NA | NA | 1.12 | 26.28 | 26.43 | NA | NA | XXX |
| 72157 | A | Magnetic image, chest spine | 2.57 | 26.06 | 26.30 | NA | NA | 1.22 | 29.85 | 30.09 | NA | NA | XXX | |
| 72157 | 26 | A | Magnetic image, chest spine | 2.57 | 0.90 | 0.99 | 0.90 | 0.99 | 0.10 | 3.57 | 3.66 | 3.57 | 3.66 | XXX |
| 72157 | TC | A | Magnetic image, chest spine | 0.00 | 25.16 | 25.31 | NA | NA | 1.12 | 26.28 | 26.43 | NA | NA | XXX |
| 72158 | A | Magnetic image, lumbar spine | 2.36 | 25.98 | 26.22 | NA | NA | 1.21 | 29.55 | 29.79 | NA | NA | XXX | |
| 72158 | 26 | A | Magnetic image, lumbar spine | 2.36 | 0.82 | 0.91 | 0.82 | 0.91 | 0.09 | 3.27 | 3.36 | 3.27 | 3.36 | XXX |
| 72158 | TC | A | Magnetic image, lumbar spine | 0.00 | 25.16 | 25.31 | NA | NA | 1.12 | 26.28 | 26.43 | NA | NA | XXX |
| 72159 | N | Magnetic image, spine (mra) | 1.80 | 13.29 | 13.36 | NA | NA | 0.62 | 15.71 | 15.78 | NA | NA | XXX | |
| 72159 | 26 | N | Magnetic image, spine (mra) | 1.80 | 0.71 | 0.71 | 0.71 | 0.71 | 0.07 | 2.58 | 2.58 | 2.58 | 2.58 | XXX |
| 72159 | TC | N | Magnetic image, spine (mra) | 0.00 | 12.58 | 12.65 | NA | NA | 0.55 | 13.13 | 13.20 | NA | NA | XXX |
| 72170 | A | X-ray exam of pelvis | 0.17 | 0.59 | 0.60 | NA | NA | 0.03 | 0.79 | 0.80 | NA | NA | XXX | |
| 72170 | 26 | A | X-ray exam of pelvis | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 72170 | TC | A | X-ray exam of pelvis | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 72190 | A | X-ray exam of pelvis | 0.21 | 0.74 | 0.76 | NA | NA | 0.04 | 0.99 | 1.01 | NA | NA | XXX | |
| 72190 | 26 | A | X-ray exam of pelvis | 0.21 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.29 | 0.30 | 0.29 | 0.30 | XXX |
| 72190 | TC | A | X-ray exam of pelvis | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 72192 | A | CAT scan of pelvis | 1.09 | 6.35 | 6.43 | NA | NA | 0.31 | 7.75 | 7.83 | NA | NA | XXX | |
| 72192 | 26 | A | CAT scan of pelvis | 1.09 | 0.38 | 0.42 | 0.38 | 0.42 | 0.04 | 1.51 | 1.55 | 1.51 | 1.55 | XXX |
| 72192 | TC | A | CAT scan of pelvis | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 72193 | A | Contrast CAT scan of pelvis | 1.16 | 7.32 | 7.40 | NA | NA | 0.36 | 8.84 | 8.92 | NA | NA | XXX | |
| 72193 | 26 | A | Contrast CAT scan of pelvis | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 72193 | TC | A | Contrast CAT scan of pelvis | 0.00 | 6.92 | 6.96 | NA | NA | 0.31 | 7.23 | 7.27 | NA | NA | XXX |
| 72194 | A | Contrast CAT scans of pelvis | 1.22 | 9.00 | 9.09 | NA | NA | 0.42 | 10.64 | 10.73 | NA | NA | XXX | |
| 72194 | 26 | A | Contrast CAT scans of pelvis | 1.22 | 0.42 | 0.46 | 0.42 | 0.46 | 0.05 | 1.69 | 1.73 | 1.69 | 1.73 | XXX |
| 72194 | TC | A | Contrast CAT scans of pelvis | 0.00 | 8.58 | 8.63 | NA | NA | 0.37 | 8.95 | 9.00 | NA | NA | XXX |
| 72196 | A | Magnetic image, pelvis | 1.60 | 11.89 | 12.02 | NA | NA | 0.56 | 14.05 | 14.18 | NA | NA | XXX | |
| 72196 | 26 | A | Magnetic image, pelvis | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 72196 | TC | A | Magnetic image, pelvis | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 72198 | N | Magnetic image, pelvis (mra) | 1.80 | 12.04 | 12.13 | NA | NA | 0.57 | 14.41 | 14.50 | NA | NA | XXX | |
| 72198 | 26 | N | Magnetic image, pelvis (mra) | 1.80 | 0.71 | 0.73 | 0.71 | 0.73 | 0.07 | 2.58 | 2.60 | 2.58 | 2.60 | XXX |
| 72198 | TC | N | Magnetic image, pelvis (mra) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 72200 | A | X-ray exam sacroiliac joints | 0.17 | 0.59 | 0.60 | NA | NA | 0.03 | 0.79 | 0.80 | NA | NA | XXX | |
| 72200 | 26 | A | X-ray exam sacroiliac joints | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 72200 | TC | A | X-ray exam sacroiliac joints | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 72202 | A | X-ray exam sacroiliac joints | 0.19 | 0.70 | 0.71 | NA | NA | 0.04 | 0.93 | 0.94 | NA | NA | XXX | |
| 72202 | 26 | A | X-ray exam sacroiliac joints | 0.19 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.27 | 0.28 | 0.27 | 0.28 | XXX |
| 72202 | TC | A | X-ray exam sacroiliac joints | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 72220 | A | X-ray exam of tailbone | 0.17 | 0.64 | 0.65 | NA | NA | 0.04 | 0.85 | 0.86 | NA | NA | XXX | |
| 72220 | 26 | A | X-ray exam of tailbone | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 72220 | TC | A | X-ray exam of tailbone | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 72240 | A | Contrast x-ray of neck spine | 0.91 | 5.10 | 5.17 | NA | NA | 0.26 | 6.27 | 6.34 | NA | NA | XXX | |
| 72240 | 26 | A | Contrast x-ray of neck spine | 0.91 | 0.30 | 0.34 | 0.30 | 0.34 | 0.04 | 1.25 | 1.29 | 1.25 | 1.29 | XXX |
| 72240 | TC | A | Contrast x-ray of neck spine | 0.00 | 4.80 | 4.83 | NA | NA | 0.22 | 5.02 | 5.05 | NA | NA | XXX |
| 72255 | A | Contrast x-ray, thorax spine | 0.91 | 4.66 | 4.73 | NA | NA | 0.23 | 5.80 | 5.87 | NA | NA | XXX | |
| 72255 | 26 | A | Contrast x-ray, thorax spine | 0.91 | 0.28 | 0.32 | 0.28 | 0.32 | 0.04 | 1.23 | 1.27 | 1.23 | 1.27 | XXX |
| 72255 | TC | A | Contrast x-ray, thorax spine | 0.00 | 4.38 | 4.41 | NA | NA | 0.19 | 4.57 | 4.60 | NA | NA | XXX |
| 72265 | A | Contrast x-ray, lower spine | 0.83 | 4.38 | 4.44 | NA | NA | 0.23 | 5.44 | 5.50 | NA | NA | XXX | |
| 72265 | 26 | A | Contrast x-ray, lower spine | 0.83 | 0.26 | 0.30 | 0.26 | 0.30 | 0.04 | 1.13 | 1.17 | 1.13 | 1.17 | XXX |
| 72265 | TC | A | Contrast x-ray, lower spine | 0.00 | 4.12 | 4.14 | NA | NA | 0.19 | 4.31 | 4.33 | NA | NA | XXX |
| 72270 | A | Contrast x-ray of spine | 1.33 | 6.61 | 6.70 | NA | NA | 0.34 | 8.28 | 8.37 | NA | NA | XXX | |
| 72270 | 26 | A | Contrast x-ray of spine | 1.33 | 0.44 | 0.49 | 0.44 | 0.49 | 0.06 | 1.83 | 1.88 | 1.83 | 1.88 | XXX |
| 72270 | TC | A | Contrast x-ray of spine | 0.00 | 6.17 | 6.21 | NA | NA | 0.28 | 6.45 | 6.49 | NA | NA | XXX |
| 72275 | A | Epidurography | 0.54 | 2.23 | 2.24 | NA | NA | 0.24 | 3.01 | 3.02 | NA | NA | XXX | |
| 72275 | 26 | A | Epidurography | 0.54 | 0.17 | 0.17 | 0.17 | 0.17 | 0.05 | 0.76 | 0.76 | 0.76 | 0.76 | XXX |
| 72275 | TC | A | Epidurography | 0.00 | 2.06 | 2.07 | NA | NA | 0.19 | 2.25 | 2.26 | NA | NA | XXX |
| 72285 | A | X-ray c/t spine disk | 1.16 | 8.88 | 8.93 | NA | NA | 0.41 | 10.45 | 10.50 | NA | NA | XXX | |
| 72285 | 26 | A | X-ray c/t spine disk | 1.16 | 0.41 | 0.41 | 0.41 | 0.41 | 0.04 | 1.61 | 1.61 | 1.61 | 1.61 | XXX |
| 72285 | TC | A | X-ray c/t spine disk | 0.00 | 8.47 | 8.52 | NA | NA | 0.37 | 8.84 | 8.89 | NA | NA | XXX |
| 72295 | A | X-ray of lower spine disk | 0.83 | 8.24 | 8.32 | NA | NA | 0.38 | 9.45 | 9.53 | NA | NA | XXX | |
| 72295 | 26 | A | X-ray of lower spine disk | 0.83 | 0.29 | 0.32 | 0.29 | 0.32 | 0.04 | 1.16 | 1.19 | 1.16 | 1.19 | XXX |
| 72295 | TC | A | X-ray of lower spine disk | 0.00 | 7.95 | 8.00 | NA | NA | 0.34 | 8.29 | 8.34 | NA | NA | XXX |
| 73000 | A | X-ray exam of collar bone | 0.16 | 0.59 | 0.60 | NA | NA | 0.03 | 0.78 | 0.79 | NA | NA | XXX | |
| 73000 | 26 | A | X-ray exam of collar bone | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73000 | TC | A | X-ray exam of collar bone | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73010 | A | X-ray exam of shoulder blade | 0.17 | 0.59 | 0.60 | NA | NA | 0.03 | 0.79 | 0.80 | NA | NA | XXX | |
| 73010 | 26 | A | X-ray exam of shoulder blade | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73010 | TC | A | X-ray exam of shoulder blade | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73020 | A | X-ray exam of shoulder | 0.15 | 0.53 | 0.54 | NA | NA | 0.03 | 0.71 | 0.72 | NA | NA | XXX | |
| 73020 | 26 | A | X-ray exam of shoulder | 0.15 | 0.05 | 0.06 | 0.05 | 0.06 | 0.01 | 0.21 | 0.22 | 0.21 | 0.22 | XXX |
| 73020 | TC | A | X-ray exam of shoulder | 0.00 | 0.48 | 0.48 | NA | NA | 0.02 | 0.50 | 0.50 | NA | NA | XXX |
| 73030 | A | X-ray exam of shoulder | 0.18 | 0.64 | 0.65 | NA | NA | 0.04 | 0.86 | 0.87 | NA | NA | XXX | |
| 73030 | 26 | A | X-ray exam of shoulder | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 73030 | TC | A | X-ray exam of shoulder | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73040 | A | Contrast x-ray of shoulder | 0.54 | 2.31 | 2.34 | NA | NA | 0.12 | 2.97 | 3.00 | NA | NA | XXX | |
| 73040 | 26 | A | Contrast x-ray of shoulder | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 73040 | TC | A | Contrast x-ray of shoulder | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 73050 | A | X-ray exam of shoulders | 0.20 | 0.74 | 0.76 | NA | NA | 0.04 | 0.98 | 1.00 | NA | NA | XXX | |
| 73050 | 26 | A | X-ray exam of shoulders | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 73050 | TC | A | X-ray exam of shoulders | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 73060 | A | X-ray exam of humerus | 0.17 | 0.64 | 0.65 | NA | NA | 0.04 | 0.85 | 0.86 | NA | NA | XXX | |
| 73060 | 26 | A | X-ray exam of humerus | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73060 | TC | A | X-ray exam of humerus | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73070 | A | X-ray exam of elbow | 15 | 0.58 | 0.59 | NA | NA | 0.03 | 0.76 | 0.77 | NA | NA | XXX | |
| 73070 | 26 | A | X-ray exam of elbow | 0.15 | 0.05 | 0.06 | 0.05 | 0.06 | 0.01 | 0.21 | 0.22 | 0.21 | 0.22 | XXX |
| 73070 | TC | A | X-ray exam of elbow | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73080 | A | X-ray exam of elbow | 0.17 | 0.64 | 0.65 | NA | NA | 0.04 | 0.85 | 0.86 | NA | NA | XXX | |
| 73080 | 26 | A | X-ray exam of elbow | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73080 | TC | A | X-ray exam of elbow | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73085 | A | Contrast x-ray of elbow | 0.54 | 2.32 | 2.35 | NA | NA | 0.12 | 2.98 | 3.01 | NA | NA | XXX | |
| 73085 | 26 | A | Contrast x-ray of elbow | 0.54 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.76 | 0.78 | 0.76 | 0.78 | XXX |
| 73085 | TC | A | Contrast x-ray of elbow | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 73090 | A | X-ray exam of forearm | 0.16 | 0.59 | 0.60 | NA | NA | 0.03 | 0.78 | 0.79 | NA | NA | XXX | |
| 73090 | 26 | A | X-ray exam of forearm | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73090 | TC | A | X-ray exam of forearm | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73092 | A | X-ray exam of arm, infant | 0.16 | 0.56 | 0.57 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 73092 | 26 | A | X-ray exam of arm, infant | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73092 | TC | A | X-ray exam of arm, infant | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73100 | A | X-ray exam of wrist | 0.16 | 0.56 | 0.57 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 73100 | 26 | A | X-ray exam of wrist | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73100 | TC | A | X-ray exam of wrist | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73110 | A | X-ray exam of wrist | 0.17 | 0.60 | 0.61 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 73110 | 26 | A | X-ray exam of wrist | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73110 | TC | A | X-ray exam of wrist | 0.00 | 0.54 | 0.54 | NA | NA | 0.02 | 0.56 | 0.56 | NA | NA | XXX |
| 73115 | A | Contrast x-ray of wrist | 0.54 | 1.79 | 1.82 | NA | NA | 0.10 | 2.43 | 2.46 | NA | NA | XXX | |
| 73115 | 26 | A | Contrast x-ray of wrist | 0.54 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.76 | 0.78 | 0.76 | 0.78 | XXX |
| 73115 | TC | A | Contrast x-ray of wrist | 0.00 | 1.59 | 1.60 | NA | NA | 0.08 | 1.67 | 1.68 | NA | NA | XXX |
| 73120 | A | X-ray exam of hand | 0.16 | 0.56 | 0.57 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 73120 | 26 | A | X-ray exam of hand | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73120 | TC | A | X-ray exam of hand | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73130 | A | X-ray exam of hand | 0.17 | 0.60 | 0.61 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 73130 | 26 | A | X-ray exam of hand | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73130 | TC | A | X-ray exam of hand | 0.00 | 0.54 | 0.54 | NA | NA | 0.02 | 0.56 | 0.56 | NA | NA | XXX |
| 73140 | A | X-ray exam of finger(s) | 0.13 | 0.47 | 0.48 | NA | NA | 0.03 | 0.63 | 0.64 | NA | NA | XXX | |
| 73140 | 26 | A | X-ray exam of finger(s) | 0.13 | 0.05 | 0.06 | 0.05 | 0.06 | 0.01 | 0.19 | 0.20 | 0.19 | 0.20 | XXX |
| 73140 | TC | A | X-ray exam of finger(s) | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 73200 | A | CAT scan of arm | 1.09 | 5.39 | 5.46 | NA | NA | 0.26 | 6.74 | 6.81 | NA | NA | XXX | |
| 73200 | 26 | A | CAT scan of arm | 1.09 | 0.38 | 0.42 | 0.38 | 0.42 | 0.04 | 1.51 | 1.55 | 1.51 | 1.55 | XXX |
| 73200 | TC | A | CAT scan of arm | 0.00 | 5.01 | 5.04 | NA | NA | 0.22 | 5.23 | 5.26 | NA | NA | XXX |
| 73201 | A | Contrast CAT scan of arm | 1.16 | 6.37 | 6.45 | NA | NA | 0.32 | 7.85 | 7.93 | NA | NA | XXX | |
| 73201 | 26 | A | Contrast CAT scan of arm | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 73201 | TC | A | Contrast CAT scan of arm | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 73202 | A | Contrast CAT scans of arm | 1.22 | 7.94 | 8.02 | NA | NA | 0.38 | 9.54 | 9.62 | NA | NA | XXX | |
| 73202 | 26 | A | Contrast CAT scans of arm | 1.22 | 0.43 | 0.47 | 0.43 | 0.47 | 0.05 | 1.70 | 1.74 | 1.70 | 1.74 | XXX |
| 73202 | TC | A | Contrast CAT scans of arm | 0.00 | 7.51 | 7.55 | NA | NA | 0.33 | 7.84 | 7.88 | NA | NA | XXX |
| 73220 | A | Magnetic image, arm/hand | 1.48 | 11.85 | 11.97 | NA | NA | 0.56 | 13.89 | 14.01 | NA | NA | XXX | |
| 73220 | 26 | A | Magnetic image, arm/hand | 1.48 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.06 | 2.11 | 2.06 | 2.11 | XXX |
| 73220 | TC | A | Magnetic image, arm/hand | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 73221 | A | Magnetic image, joint of arm | 1.48 | 11.85 | 11.91 | NA | NA | 0.56 | 13.89 | 13.95 | NA | NA | XXX | |
| 73221 | 26 | A | Magnetic image, joint of arm | 1.48 | 0.52 | 0.51 | 0.52 | 0.51 | 0.06 | 2.06 | 2.05 | 2.06 | 2.05 | XXX |
| 73221 | TC | A | Magnetic image, joint of arm | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 73225 | N | Magnetic image, upper (mra) | 1.73 | 12.02 | 12.10 | NA | NA | 0.57 | 14.32 | 14.40 | NA | NA | XXX | |
| 73225 | 26 | N | Magnetic image, upper (mra) | 1.73 | 0.69 | 0.70 | 0.69 | 0.70 | 0.07 | 2.49 | 2.50 | 2.49 | 2.50 | XXX |
| 73225 | TC | N | Magnetic image, upper (mra) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 73500 | A | X-ray exam of hip | 0.17 | 0.54 | 0.55 | NA | NA | 0.03 | 0.74 | 0.75 | NA | NA | XXX | |
| 73500 | 26 | A | X-ray exam of hip | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73500 | TC | A | X-ray exam of hip | 0.00 | 0.48 | 0.48 | NA | NA | 0.02 | 0.50 | 0.50 | NA | NA | XXX |
| 73510 | A | X-ray exam of hip | 0.21 | 0.65 | 0.66 | NA | NA | 0.04 | 0.90 | 0.91 | NA | NA | XXX | |
| 73510 | 26 | A | X-ray exam of hip | 0.21 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.29 | 0.30 | 0.29 | 0.30 | XXX |
| 73510 | TC | A | X-ray exam of hip | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73520 | A | X-ray exam of hips | 0.26 | 0.76 | 0.78 | NA | NA | 0.04 | 1.06 | 1.08 | NA | NA | XXX | |
| 73520 | 26 | A | X-ray exam of hips | 0.26 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.36 | 0.37 | 0.36 | 0.37 | XXX |
| 73520 | TC | A | X-ray exam of hips | 0.00 | 0.67 | 0.68 | NA | NA | 0.03 | 0.70 | 0.71 | NA | NA | XXX |
| 73525 | A | Contrast x-ray of hip | 0.54 | 2.31 | 2.34 | NA | NA | 0.12 | 2.97 | 3.00 | NA | NA | XXX | |
| 73525 | 26 | A | Contrast x-ray of hip | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 73525 | TC | A | Contrast x-ray of hip | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 73530 | A | X-ray exam of hip | 0.29 | 0.63 | 0.64 | NA | NA | 0.03 | 0.95 | 0.96 | NA | NA | XXX | |
| 73530 | 26 | A | X-ray exam of hip | 0.29 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.40 | 0.41 | 0.40 | 0.41 | XXX |
| 73530 | TC | A | X-ray exam of hip | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73540 | A | X-ray exam of pelvis hips | 0.20 | 0.65 | 0.66 | NA | NA | 0.04 | 0.89 | 0.90 | NA | NA | XXX | |
| 73540 | 26 | A | X-ray exam of pelvis hips | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 73540 | TC | A | X-ray exam of pelvis hips | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73542 | A | X-ray exam, sacroiliac joint | 0.54 | 2.25 | 2.26 | NA | NA | 0.14 | 2.93 | 2.94 | NA | NA | XXX | |
| 73542 | 26 | A | X-ray exam, sacroiliac joint | 0.54 | 0.19 | 0.19 | 0.19 | 0.19 | 0.04 | 0.77 | 0.77 | 0.77 | 0.77 | XXX |
| 73542 | TC | A | X-ray exam, sacroiliac joint | 0.00 | 2.06 | 2.07 | NA | NA | 0.10 | 2.16 | 2.17 | NA | NA | XXX |
| 73550 | A | X-ray exam of thigh | 0.17 | 0.64 | 0.65 | NA | NA | 0.04 | 0.85 | 0.86 | NA | NA | XXX | |
| 73550 | 26 | A | X-ray exam of thigh | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73550 | TC | A | X-ray exam of thigh | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73560 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.59 | 0.60 | NA | NA | 0.03 | 0.79 | 0.80 | NA | NA | XXX | |
| 73560 | 26 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73560 | TC | A | X-ray exam of knee, 1 or 2 | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73562 | A | X-ray exam of knee, 3 | 0.18 | 0.64 | 0.65 | NA | NA | 0.04 | 0.86 | 0.87 | NA | NA | XXX | |
| 73562 | 26 | A | X-ray exam of knee, 3 | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 73562 | TC | A | X-ray exam of knee, 3 | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 73564 | A | X-ray exam, knee, 4 or more | 0.22 | 0.71 | 0.72 | NA | NA | 0.04 | 0.97 | 0.98 | NA | NA | XXX | |
| 73564 | 26 | A | X-ray exam, knee, 4 or more | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 73564 | TC | A | X-ray exam, knee, 4 or more | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 73565 | A | X-ray exam of knees | 0.17 | 0.56 | 0.57 | NA | NA | 0.03 | 0.76 | 0.77 | NA | NA | XXX | |
| 73565 | 26 | A | X-ray exam of knees | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73565 | TC | A | X-ray exam of knees | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73580 | A | Contrast x-ray of knee joint | 0.54 | 2.83 | 2.87 | NA | NA | 0.14 | 3.51 | 3.55 | NA | NA | XXX | |
| 73580 | 26 | A | Contrast x-ray of knee joint | 0.54 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 73580 | TC | A | Contrast x-ray of knee joint | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 73590 | A | X-ray exam of lower leg | 0.17 | 0.59 | 0.60 | NA | NA | 0.03 | 0.79 | 0.80 | NA | NA | XXX | |
| 73590 | 26 | A | X-ray exam of lower leg | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73590 | TC | A | X-ray exam of lower leg | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 73592 | A | X-ray exam of leg, infant | 0.16 | 0.56 | 0.57 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 73592 | 26 | A | X-ray exam of leg, infant | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73592 | TC | A | X-ray exam of leg, infant | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73600 | A | X-ray exam of ankle | 0.16 | 0.56 | 0.57 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 73600 | 26 | A | X-ray exam of ankle | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73600 | TC | A | X-ray exam of ankle | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73610 | A | X-ray exam of ankle | 0.17 | 0.60 | 0.61 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 73610 | 26 | A | X-ray exam of ankle | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73610 | TC | A | X-ray exam of ankle | 0.00 | 0.54 | 0.54 | NA | NA | 0.02 | 0.56 | 0.56 | NA | NA | XXX |
| 73615 | A | Contrast x-ray of ankle | 0.54 | 2.31 | 2.34 | NA | NA | 0.12 | 2.97 | 3.00 | NA | NA | XXX | |
| 73615 | 26 | A | Contrast x-ray of ankle | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 73615 | TC | A | Contrast x-ray of ankle | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 73620 | A | X-ray exam of foot | 0.16 | 0.56 | 0.57 | NA | NA | 0.03 | 0.75 | 0.76 | NA | NA | XXX | |
| 73620 | 26 | A | X-ray exam of foot | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73620 | TC | A | X-ray exam of foot | 0.00 | 0.50 | 0.50 | NA | NA | 0.02 | 0.52 | 0.52 | NA | NA | XXX |
| 73630 | A | X-ray exam of foot | 0.17 | 0.60 | 0.61 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 73630 | 26 | A | X-ray exam of foot | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 73630 | TC | A | X-ray exam of foot | 0.00 | 0.54 | 0.54 | NA | NA | 0.02 | 0.56 | 0.56 | NA | NA | XXX |
| 73650 | A | X-ray exam of heel | 0.16 | 0.54 | 0.55 | NA | NA | 0.03 | 0.73 | 0.74 | NA | NA | XXX | |
| 73650 | 26 | A | X-ray exam of heel | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 73650 | TC | A | X-ray exam of heel | 0.00 | 0.48 | 0.48 | NA | NA | 0.02 | 0.50 | 0.50 | NA | NA | XXX |
| 73660 | A | X-ray exam of toe(s) | 0.13 | 0.47 | 0.48 | NA | NA | 0.03 | 0.63 | 0.64 | NA | NA | XXX | |
| 73660 | 26 | A | X-ray exam of toe(s) | 0.13 | 0.05 | 0.06 | 0.05 | 0.06 | 0.01 | 0.19 | 0.20 | 0.19 | 0.20 | XXX |
| 73660 | TC | A | X-ray exam of toe(s) | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 3700 | A | CAT scan of leg | 1.09 | 5.39 | 5.46 | NA | NA | 0.26 | 6.74 | 6.81 | NA | NA | XXX | |
| 73700 | 26 | A | CAT scan of leg | 1.09 | 0.38 | 0.42 | 0.38 | 0.42 | 0.04 | 1.51 | 1.55 | 1.51 | 1.55 | XXX |
| 73700 | TC | A | CAT scan of leg | 0.00 | 5.01 | 5.04 | NA | NA | 0.22 | 5.23 | 5.26 | NA | NA | XXX |
| 73701 | A | Contrast CAT scan of leg | 1.16 | 6.37 | 6.45 | NA | NA | 0.32 | 7.85 | 7.93 | NA | NA | XXX | |
| 73701 | 26 | A | Contrast CAT scan of leg | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 73701 | TC | A | Contrast CAT scan of leg | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 73702 | A | Contrast CAT scans of leg | 1.22 | 7.93 | 8.01 | NA | NA | 0.38 | 9.53 | 9.61 | NA | NA | XXX | |
| 73702 | 26 | A | Contrast CAT scans of leg | 1.22 | 0.42 | 0.46 | 0.42 | 0.46 | 0.05 | 1.69 | 1.73 | 1.69 | 1.73 | XXX |
| 73702 | TC | A | Contrast CAT scans of leg | 0.00 | 7.51 | 7.55 | NA | NA | 0.33 | 7.84 | 7.88 | NA | NA | XXX |
| 73720 | A | Magnetic image, leg/foot | 1.48 | 11.85 | 11.97 | NA | NA | 0.56 | 13.89 | 14.01 | NA | NA | XXX | |
| 73720 | 26 | A | Magnetic image, leg/foot | 1.48 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.06 | 2.11 | 2.06 | 2.11 | XXX |
| 73720 | TC | A | Magnetic image, leg/foot | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 73721 | A | Magnetic image, joint of leg | 1.48 | 11.85 | 11.91 | NA | NA | 0.56 | 13.89 | 13.95 | NA | NA | XXX | |
| 73721 | 26 | A | Magnetic image, joint of leg | 1.48 | 0.52 | 0.51 | 0.52 | 0.51 | 0.06 | 2.06 | 2.05 | 2.06 | 2.05 | XXX |
| 73721 | TC | A | Magnetic image, joint of leg | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 73725 | R | Magnetic image/lower (mra) | 1.82 | 11.96 | 12.05 | NA | NA | 0.57 | 14.35 | 14.44 | NA | NA | XXX | |
| 73725 | 26 | R | Magnetic image/lower (mra) | 1.82 | 0.63 | 0.65 | 0.63 | 0.65 | 0.07 | 2.52 | 2.54 | 2.52 | 2.54 | XXX |
| 73725 | TC | R | Magnetic image/lower (mra) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 74000 | A | X-ray exam of abdomen | 0.18 | 0.59 | 0.60 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 74000 | 26 | A | X-ray exam of abdomen | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 74000 | TC | A | X-ray exam of abdomen | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 74010 | A | X-ray exam of abdomen | 0.23 | 0.66 | 0.67 | NA | NA | 0.04 | 0.93 | 0.94 | NA | NA | XXX | |
| 74010 | 26 | A | X-ray exam of abdomen | 0.23 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.32 | 0.33 | 0.32 | 0.33 | XXX |
| 74010 | TC | A | X-ray exam of abdomen | 0.00 | 0.58 | 0.58 | NA | NA | 0.03 | 0.61 | 0.61 | NA | NA | XXX |
| 74020 | A | X-ray exam of abdomen | 0.27 | 0.72 | 0.73 | NA | NA | 0.04 | 1.03 | 1.04 | NA | NA | XXX | |
| 74020 | 26 | A | X-ray exam of abdomen | 0.27 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.37 | 0.38 | 0.37 | 0.38 | XXX |
| 74020 | TC | A | X-ray exam of abdomen | 0.00 | 0.63 | 0.63 | NA | NA | 0.03 | 0.66 | 0.66 | NA | NA | XXX |
| 74022 | A | X-ray exam series, abdomen | 0.32 | 0.85 | 0.87 | NA | NA | 0.05 | 1.22 | 1.24 | NA | NA | XXX | |
| 74022 | 26 | A | X-ray exam series, abdomen | 0.32 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.44 | 0.45 | 0.44 | 0.45 | XXX |
| 74022 | TC | A | X-ray exam series, abdomen | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 74150 | A | CAT scan of abdomen | 1.19 | 6.13 | 6.20 | NA | NA | 0.31 | 7.63 | 7.70 | NA | NA | XXX | |
| 74150 | 26 | A | CAT scan of abdomen | 1.19 | 0.41 | 0.45 | 0.41 | 0.45 | 0.05 | 1.65 | 1.69 | 1.65 | 1.69 | XXX |
| 74150 | TC | A | CAT scan of abdomen | 0.00 | 5.72 | 5.75 | NA | NA | 0.26 | 5.98 | 6.01 | NA | NA | XXX |
| 74160 | A | Contrast CAT scan of abdomen | 1.27 | 7.36 | 7.44 | NA | NA | 0.36 | 8.99 | 9.07 | NA | NA | XXX | |
| 74160 | 26 | A | Contrast CAT scan of abdomen | 1.27 | 0.44 | 0.48 | 0.44 | 0.48 | 0.05 | 1.76 | 1.80 | 1.76 | 1.80 | XXX |
| 74160 | TC | A | Contrast CAT scan of abdomen | 0.00 | 6.92 | 6.96 | NA | NA | 0.31 | 7.23 | 7.27 | NA | NA | XXX |
| 74170 | A | Contrast CAT scans, abdomen | 1.40 | 9.07 | 9.17 | NA | NA | 0.43 | 10.90 | 11.00 | NA | NA | XXX | |
| 74170 | 26 | A | Contrast CAT scans, abdomen | 1.40 | 0.49 | 0.54 | 0.49 | 0.54 | 0.06 | 1.95 | 2.00 | 1.95 | 2.00 | XXX |
| 74170 | TC | A | Contrast CAT scans, abdomen | 0.00 | 8.58 | 8.63 | NA | NA | 0.37 | 8.95 | 9.00 | NA | NA | XXX |
| 74181 | A | Magnetic image/abdomen (mri) | 1.60 | 11.89 | 12.02 | NA | NA | 0.56 | 14.05 | 14.18 | NA | NA | XXX | |
| 74181 | 26 | A | Magnetic image/abdomen (mri) | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 74181 | TC | A | Magnetic image/abdomen (mri) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 74185 | R | Magnetic image/abdomen (MRA) | 1.80 | 11.96 | 12.07 | NA | NA | 0.57 | 14.33 | 14.44 | NA | NA | XXX | |
| 74185 | 26 | R | Magnetic image/abdomen (MRA) | 1.80 | 0.63 | 0.67 | 0.63 | 0.67 | 0.07 | 2.50 | 2.54 | 2.50 | 2.54 | XXX |
| 74185 | TC | R | Magnetic image/abdomen (MRA) | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 74190 | A | X-ray exam of peritoneum | 0.48 | 1.49 | 1.49 | NA | NA | 0.08 | 2.05 | 2.05 | NA | NA | XXX | |
| 74190 | 26 | A | X-ray exam of peritoneum | 0.48 | 0.17 | 0.16 | 0.17 | 0.16 | 0.02 | 0.67 | 0.66 | 0.67 | 0.66 | XXX |
| 74190 | TC | A | X-ray exam of peritoneum | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 74210 | A | Contrst x-ray exam of throat | 0.36 | 1.33 | 1.35 | NA | NA | 0.06 | 1.75 | 1.77 | NA | NA | XXX | |
| 74210 | 26 | A | Contrst x-ray exam of throat | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.01 | 0.50 | 0.51 | 0.50 | 0.51 | XXX |
| 74210 | TC | A | Contrst x-ray exam of throat | 0.00 | 1.20 | 1.21 | NA | NA | 0.05 | 1.25 | 1.26 | NA | NA | XXX |
| 74220 | A | Contrast x-ray, esophagus | 0.46 | 1.36 | 1.39 | NA | NA | 0.07 | 1.89 | 1.92 | NA | NA | XXX | |
| 74220 | 26 | A | Contrast x-ray, esophagus | 0.46 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.64 | 0.66 | 0.64 | 0.66 | XXX |
| 74220 | TC | A | Contrast x-ray, esophagus | 0.00 | 1.20 | 1.21 | NA | NA | 0.05 | 1.25 | 1.26 | NA | NA | XXX |
| 74230 | A | Cinema x-ray, throat/esoph | 0.53 | 1.51 | 1.54 | NA | NA | 0.08 | 2.12 | 2.15 | NA | NA | XXX | |
| 74230 | 26 | A | Cinema x-ray, throat/esoph | 0.53 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 74230 | TC | A | Cinema x-ray, throat/esoph | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 74235 | A | Remove esophagus obstruction | 1.19 | 3.06 | 3.12 | NA | NA | 0.17 | 4.42 | 4.48 | NA | NA | XXX | |
| 74235 | 26 | A | Remove esophagus obstruction | 1.19 | 0.41 | 0.45 | 0.41 | 0.45 | 0.05 | 1.65 | 1.69 | 1.65 | 1.69 | XXX |
| 74235 | TC | A | Remove esophagus obstruction | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 74240 | A | X-ray exam, upper gi tract | 0.69 | 1.72 | 1.76 | NA | NA | 0.10 | 2.51 | 2.55 | NA | NA | XXX | |
| 74240 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 74240 | TC | A | X-ray exam, upper gi tract | 0.00 | 1.48 | 1.49 | NA | NA | 0.07 | 1.55 | 1.56 | NA | NA | XXX |
| 74241 | A | X-ray exam, upper gi tract | 0.69 | 1.75 | 1.79 | NA | NA | 0.10 | 2.54 | 2.58 | NA | NA | XXX | |
| 74241 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 74241 | TC | A | X-ray exam, upper gi tract | 0.00 | 1.51 | 1.52 | NA | NA | 0.07 | 1.58 | 1.59 | NA | NA | XXX |
| 74245 | A | X-ray exam, upper gi tract | 0.91 | 2.72 | 2.77 | NA | NA | 0.15 | 3.78 | 3.83 | NA | NA | XXX | |
| 74245 | 26 | A | X-ray exam, upper gi tract | 0.91 | 0.32 | 0.35 | 0.32 | 0.35 | 0.04 | 1.27 | 1.30 | 1.27 | 1.30 | XXX |
| 74245 | TC | A | X-ray exam, upper gi tract | 0.00 | 2.40 | 2.42 | NA | NA | 0.11 | 2.51 | 2.53 | NA | NA | XXX |
| 74246 | A | Contrst x-ray uppr gi tract | 0.69 | 1.90 | 1.94 | NA | NA | 0.11 | 2.70 | 2.74 | NA | NA | XXX | |
| 74246 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 74246 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 1.66 | 1.67 | NA | NA | 0.08 | 1.74 | 1.75 | NA | NA | XXX |
| 74247 | A | Contrst x-ray uppr gi tract | 0.69 | 1.94 | 1.98 | NA | NA | 0.12 | 2.75 | 2.79 | NA | NA | XXX | |
| 74247 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 74247 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 1.70 | 1.71 | NA | NA | 0.09 | 1.79 | 1.80 | NA | NA | XXX |
| 74249 | A | Contrst x-ray uppr gi tract | 0.91 | 2.92 | 2.97 | NA | NA | 0.16 | 3.99 | 4.04 | NA | NA | XXX | |
| 74249 | 26 | A | Contrst x-ray uppr gi tract | 0.91 | 0.32 | 0.35 | 0.32 | 0.35 | 0.04 | 1.27 | 1.30 | 1.27 | 1.30 | XXX |
| 74249 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 2.60 | 2.62 | NA | NA | 0.12 | 2.72 | 2.74 | NA | NA | XXX |
| 74250 | A | X-ray exam of small bowel | 0.47 | 1.48 | 1.51 | NA | NA | 0.08 | 2.03 | 2.06 | NA | NA | XXX | |
| 74250 | 26 | A | X-ray exam of small bowel | 0.47 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.65 | 0.67 | 0.65 | 0.67 | XXX |
| 74250 | TC | A | X-ray exam of small bowel | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 74251 | A | X-ray exam of small bowel | 0.69 | 1.56 | 1.57 | NA | NA | 0.09 | 2.34 | 2.35 | NA | NA | XXX | |
| 74251 | 26 | A | X-ray exam of small bowel | 0.69 | 0.24 | 0.24 | 0.24 | 0.24 | 0.03 | 0.96 | 0.96 | 0.96 | 0.96 | XXX |
| 74251 | TC | A | X-ray exam of small bowel | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 74260 | A | X-ray exam of small bowel | 0.50 | 1.68 | 1.71 | NA | NA | 0.09 | 2.27 | 2.30 | NA | NA | XXX | |
| 74260 | 26 | A | X-ray exam of small bowel | 0.50 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.69 | 0.71 | 0.69 | 0.71 | XXX |
| 74260 | TC | A | X-ray exam of small bowel | 0.00 | 1.51 | 1.52 | NA | NA | 0.07 | 1.58 | 1.59 | NA | NA | XXX |
| 74270 | A | Contrast x-ray exam of colon | 0.69 | 1.96 | 2.00 | NA | NA | 0.12 | 2.77 | 2.81 | NA | NA | XXX | |
| 74270 | 26 | A | Contrast x-ray exam of colon | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 74270 | TC | A | Contrast x-ray exam of colon | 0.00 | 1.72 | 1.73 | NA | NA | 0.09 | 1.81 | 1.82 | NA | NA | XXX |
| 74280 | A | Contrast x-ray exam of colon | 0.99 | 2.60 | 2.65 | NA | NA | 0.15 | 3.74 | 3.79 | NA | NA | XXX | |
| 74280 | 26 | A | Contrast x-ray exam of colon | 0.99 | 0.34 | 0.38 | 0.34 | 0.38 | 0.04 | 1.37 | 1.41 | 1.37 | 1.41 | XXX |
| 74280 | TC | A | Contrast x-ray exam of colon | 0.00 | 2.26 | 2.27 | NA | NA | 0.11 | 2.37 | 2.38 | NA | NA | XXX |
| 74283 | A | Contrast x-ray exam of colon | 2.02 | 3.29 | 3.38 | NA | NA | 0.20 | 5.51 | 5.60 | NA | NA | XXX | |
| 74283 | 26 | A | Contrast x-ray exam of colon | 2.02 | 0.70 | 0.77 | 0.70 | 0.77 | 0.08 | 2.80 | 2.87 | 2.80 | 2.87 | XXX |
| 74283 | TC | A | Contrast x-ray exam of colon | 0.00 | 2.59 | 2.61 | NA | NA | 0.12 | 2.71 | 2.73 | NA | NA | XXX |
| 74290 | A | Contrast x-ray, gallbladder | 0.32 | 0.85 | 0.87 | NA | NA | 0.05 | 1.22 | 1.24 | NA | NA | XXX | |
| 74290 | 26 | A | Contrast x-ray, gallbladder | 0.32 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.44 | 0.45 | 0.44 | 0.45 | XXX |
| 74290 | TC | A | Contrast x-ray, gallbladder | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 74291 | A | Contrast x-rays, gallbladder | 0.20 | 0.49 | 0.50 | NA | NA | 0.03 | 0.72 | 0.73 | NA | NA | XXX | |
| 74291 | 26 | A | Contrast x-rays, gallbladder | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 74291 | TC | A | Contrast x-rays, gallbladder | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 74300 | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 74300 | 26 | A | X-ray bile ducts/pancreas | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.01 | 0.50 | 0.51 | 0.50 | 0.51 | XXX |
| 74300 | TC | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 74301 | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | ZZZ | |
| 74301 | 26 | A | X-rays at surgery add-on | 0.21 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.29 | 0.30 | 0.29 | 0.30 | ZZZ |
| 74301 | TC | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | ZZZ |
| 74305 | A | X-ray bile ducts/pancreas | 0.42 | 0.94 | 0.97 | NA | NA | 0.06 | 1.42 | 1.45 | NA | NA | XXX | |
| 74305 | 26 | A | X-ray bile ducts/pancreas | 0.42 | 0.15 | 0.17 | 0.15 | 0.17 | 0.02 | 0.59 | 0.61 | 0.59 | 0.61 | XXX |
| 74305 | TC | A | X-ray bile ducts/pancreas | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 74320 | A | Contrast x-ray of bile ducts | 0.54 | 3.38 | 3.42 | NA | NA | 0.16 | 4.08 | 4.12 | NA | NA | XXX | |
| 74320 | 26 | A | Contrast x-ray of bile ducts | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 74320 | TC | A | Contrast x-ray of bile ducts | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74327 | A | X-ray bile stone removal | 0.70 | 2.02 | 2.06 | NA | NA | 0.12 | 2.84 | 2.88 | NA | NA | XXX | |
| 74327 | 26 | A | X-ray bile stone removal | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 74327 | TC | A | X-ray bile stone removal | 0.00 | 1.78 | 1.79 | NA | NA | 0.09 | 1.87 | 1.88 | NA | NA | XXX |
| 74328 | A | Xray bile duct endoscopy | 0.70 | 3.43 | 3.48 | NA | NA | 0.17 | 4.30 | 4.35 | NA | NA | XXX | |
| 74328 | 26 | A | Xray bile duct endoscopy | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 74328 | TC | A | Xray bile duct endoscopy | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74329 | A | X-ray for pancreas endoscopy | 0.70 | 3.43 | 3.48 | NA | NA | 0.17 | 4.30 | 4.35 | NA | NA | XXX | |
| 74329 | 26 | A | X-ray for pancreas endoscopy | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 74329 | TC | A | X-ray for pancreas endoscopy | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74330 | A | X-ray bile/panc endoscopy | 0.90 | 3.50 | 3.53 | NA | NA | 0.18 | 4.58 | 4.61 | NA | NA | XXX | |
| 74330 | 26 | A | X-ray bile/panc endoscopy | 0.90 | 0.31 | 0.32 | 0.31 | 0.32 | 0.04 | 1.25 | 1.26 | 1.25 | 1.26 | XXX |
| 74330 | TC | A | X-ray bile/panc endoscopy | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74340 | A | X-ray guide for GI tube | 0.54 | 2.84 | 2.88 | NA | NA | 0.14 | 3.52 | 3.56 | NA | NA | XXX | |
| 74340 | 26 | A | X-ray guide for GI tube | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 74340 | TC | A | X-ray guide for GI tube | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 74350 | A | X-ray guide, stomach tube | 0.76 | 3.45 | 3.50 | NA | NA | 0.17 | 4.38 | 4.43 | NA | NA | XXX | |
| 74350 | 26 | A | X-ray guide, stomach tube | 0.76 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.05 | 1.08 | 1.05 | 1.08 | XXX |
| 74350 | TC | A | X-ray guide, stomach tube | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74355 | A | X-ray guide, intestinal tube | 0.76 | 2.91 | 2.96 | NA | NA | 0.15 | 3.82 | 3.87 | NA | NA | XXX | |
| 74355 | 26 | A | X-ray guide, intestinal tube | 0.76 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.05 | 1.08 | 1.05 | 1.08 | XXX |
| 74355 | TC | A | X-ray guide, intestinal tube | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 74360 | A | X-ray guide, GI dilation | 0.54 | 3.38 | 3.42 | NA | NA | 0.16 | 4.08 | 4.12 | NA | NA | XXX | |
| 74360 | 26 | A | X-ray guide, GI dilation | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 74360 | TC | A | X-ray guide, GI dilation | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74363 | A | X-ray, bile duct dilation | 0.88 | 6.47 | 6.54 | NA | NA | 0.32 | 7.67 | 7.74 | NA | NA | XXX | |
| 74363 | 26 | A | X-ray, bile duct dilation | 0.88 | 0.30 | 0.33 | 0.30 | 0.33 | 0.04 | 1.22 | 1.25 | 1.22 | 1.25 | XXX |
| 74363 | TC | A | X-ray, bile duct dilation | 0.00 | 6.17 | 6.21 | NA | NA | 0.28 | 6.45 | 6.49 | NA | NA | XXX |
| 74400 | A | Contrst x-ray, urinary tract | 0.49 | 1.87 | 1.90 | NA | NA | 0.11 | 2.47 | 2.50 | NA | NA | XXX | |
| 74400 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 74400 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.70 | 1.71 | NA | NA | 0.09 | 1.79 | 1.80 | NA | NA | XXX |
| 74410 | A | Contrst x-ray, urinary tract | 0.49 | 2.14 | 2.17 | NA | NA | 0.11 | 2.74 | 2.77 | NA | NA | XXX | |
| 74410 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 74410 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.97 | 1.98 | NA | NA | 0.09 | 2.06 | 2.07 | NA | NA | XXX |
| 74415 | A | Contrst x-ray, urinary tract | 0.49 | 2.31 | 2.34 | NA | NA | 0.12 | 2.92 | 2.95 | NA | NA | XXX | |
| 74415 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 74415 | TC | A | Contrst x-ray, urinary tract | 0.00 | 2.14 | 2.15 | NA | NA | 0.10 | 2.24 | 2.25 | NA | NA | XXX |
| 74420 | A | Contrst x-ray, urinary tract | 0.36 | 2.77 | 2.80 | NA | NA | 0.14 | 3.27 | 3.30 | NA | NA | XXX | |
| 74420 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.13 | 0.12 | 0.13 | 0.02 | 0.50 | 0.51 | 0.50 | 0.51 | XXX |
| 74420 | TC | A | Contrst x-ray, urinary tract | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 74425 | A | Contrst x-ray, urinary tract | 0.36 | 1.44 | 1.46 | NA | NA | 0.07 | 1.87 | 1.89 | NA | NA | XXX | |
| 74425 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.49 | 0.50 | 0.49 | 0.50 | XXX |
| 74425 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 74430 | A | Contrast x-ray, bladder | 0.32 | 1.18 | 1.20 | NA | NA | 0.06 | 1.56 | 1.58 | NA | NA | XXX | |
| 74430 | 26 | A | Contrast x-ray, bladder | 0.32 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.44 | 0.45 | 0.44 | 0.45 | XXX |
| 74430 | TC | A | Contrast x-ray, bladder | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 74440 | A | X-ray, male genital tract | 0.38 | 1.27 | 1.29 | NA | NA | 0.07 | 1.72 | 1.74 | NA | NA | XXX | |
| 74440 | 26 | A | X-ray, male genital tract | 0.38 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 74440 | TC | A | X-ray, male genital tract | 0.00 | 1.14 | 1.15 | NA | NA | 0.05 | 1.19 | 1.20 | NA | NA | XXX |
| 74445 | A | X-ray exam of penis | 1.14 | 1.53 | 1.58 | NA | NA | 0.11 | 2.78 | 2.83 | NA | NA | XXX | |
| 74445 | 26 | A | X-ray exam of penis | 1.14 | 0.39 | 0.43 | 0.39 | 0.43 | 0.06 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 74445 | TC | A | X-ray exam of penis | 0.00 | 1.14 | 1.15 | NA | NA | 0.05 | 1.19 | 1.20 | NA | NA | XXX |
| 74450 | A | X-ray, urethra/bladder | 0.33 | 1.59 | 1.61 | NA | NA | 0.08 | 2.00 | 2.02 | NA | NA | XXX | |
| 74450 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.45 | 0.46 | 0.45 | 0.46 | XXX |
| 74450 | TC | A | X-ray, urethra/bladder | 0.00 | 1.48 | 1.49 | NA | NA | 0.07 | 1.55 | 1.56 | NA | NA | XXX |
| 74455 | A | X-ray, urethra/bladder | 0.33 | 1.70 | 1.72 | NA | NA | 0.09 | 2.12 | 2.14 | NA | NA | XXX | |
| 74455 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.45 | 0.46 | 0.45 | 0.46 | XXX |
| 74455 | TC | A | X-ray, urethra/bladder | 0.00 | 1.59 | 1.60 | NA | NA | 0.08 | 1.67 | 1.68 | NA | NA | XXX |
| 74470 | A | X-ray exam of kidney lesion | 0.54 | 1.45 | 1.48 | NA | NA | 0.08 | 2.07 | 2.10 | NA | NA | XXX | |
| 74470 | 26 | A | X-ray exam of kidney lesion | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 74470 | TC | A | X-ray exam of kidney lesion | 0.00 | 1.26 | 1.27 | NA | NA | 0.06 | 1.32 | 1.33 | NA | NA | XXX |
| 74475 | A | X-ray control, cath insert | 0.54 | 4.31 | 4.35 | NA | NA | 0.21 | 5.06 | 5.10 | NA | NA | XXX | |
| 74475 | 26 | A | X-ray control, cath insert | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 74475 | TC | A | X-ray control, cath insert | 0.00 | 4.12 | 4.14 | NA | NA | 0.19 | 4.31 | 4.33 | NA | NA | XXX |
| 74480 | A | X-ray control, cath insert | 0.54 | 4.31 | 4.35 | NA | NA | 0.21 | 5.06 | 5.10 | NA | NA | XXX | |
| 74480 | 26 | A | X-ray control, cath insert | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 74480 | TC | A | X-ray control, cath insert | 0.00 | 4.12 | 4.14 | NA | NA | 0.19 | 4.31 | 4.33 | NA | NA | XXX |
| 74485 | A | X-ray guide, GU dilation | 0.54 | 3.37 | 3.41 | NA | NA | 0.16 | 4.07 | 4.11 | NA | NA | XXX | |
| 74485 | 26 | A | X-ray guide, GU dilation | 0.54 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 74485 | TC | A | X-ray guide, GU dilation | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74710 | A | X-ray measurement of pelvis | 0.34 | 1.19 | 1.21 | NA | NA | 0.06 | 1.59 | 1.61 | NA | NA | XXX | |
| 74710 | 26 | A | X-ray measurement of pelvis | 0.34 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.47 | 0.48 | 0.47 | 0.48 | XXX |
| 74710 | TC | A | X-ray measurement of pelvis | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 74740 | A | X-ray, female genital tract | 0.38 | 1.45 | 1.47 | NA | NA | 0.08 | 1.91 | 1.93 | NA | NA | XXX | |
| 74740 | 26 | A | X-ray, female genital tract | 0.38 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 74740 | TC | A | X-ray, female genital tract | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 74742 | A | X-ray, fallopian tube | 0.61 | 3.40 | 3.44 | NA | NA | 0.16 | 4.17 | 4.21 | NA | NA | XXX | |
| 74742 | 26 | A | X-ray, fallopian tube | 0.61 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.84 | 0.86 | 0.84 | 0.86 | XXX |
| 74742 | TC | A | X-ray, fallopian tube | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 74775 | A | X-ray exam of perineum | 0.62 | 1.70 | 1.73 | NA | NA | 0.10 | 2.42 | 2.45 | NA | NA | XXX | |
| 74775 | 26 | A | X-ray exam of perineum | 0.62 | 0.22 | 0.24 | 0.22 | 0.24 | 0.03 | 0.87 | 0.89 | 0.87 | 0.89 | XXX |
| 74775 | TC | A | X-ray exam of perineum | 0.00 | 1.48 | 1.49 | NA | NA | 0.07 | 1.55 | 1.56 | NA | NA | XXX |
| 75552 | A | Magnetic image, myocardium | 1.60 | 11.89 | 12.02 | NA | NA | 0.56 | 14.05 | 14.18 | NA | NA | XXX | |
| 75552 | 26 | A | Magnetic image, myocardium | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 75552 | TC | A | Magnetic image, myocardium | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 75553 | A | Magnetic image, myocardium | 0.02 | 12.03 | 12.12 | NA | NA | 0.58 | 12.63 | 12.72 | NA | NA | XXX | |
| 75553 | 26 | A | Magnetic image, myocardium | 0.02 | 0.70 | 0.72 | 0.70 | 0.72 | 0.08 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 75553 | TC | A | Magnetic image, myocardium | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 75554 | A | Cardiac MRI/function | 1.83 | 12.01 | 12.11 | NA | NA | 0.57 | 14.41 | 14.51 | NA | NA | XXX | |
| 75554 | 26 | A | Cardiac MRI/function | 1.83 | 0.68 | 0.71 | 0.68 | 0.71 | 0.07 | 2.58 | 2.61 | 2.58 | 2.61 | XXX |
| 75554 | TC | A | Cardiac MRI/function | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 75555 | A | Cardiac MRI/limited study | 1.74 | 12.02 | 12.11 | NA | NA | 0.56 | 14.32 | 14.41 | NA | NA | XXX | |
| 75555 | 26 | A | Cardiac MRI/limited study | 1.74 | 0.69 | 0.71 | 0.69 | 0.71 | 0.06 | 2.49 | 2.51 | 2.49 | 2.51 | XXX |
| 75555 | TC | A | Cardiac MRI/limited study | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 75556 | N | Cardiac MRI/flow mapping | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75600 | A | Contrast x-ray exam of aorta | 0.49 | 12.94 | 13.02 | NA | NA | 0.58 | 14.01 | 14.09 | NA | NA | XXX | |
| 75600 | 26 | A | Contrast x-ray exam of aorta | 0.49 | 0.20 | 0.21 | 0.20 | 0.21 | 0.02 | 0.71 | 0.72 | 0.71 | 0.72 | XXX |
| 75600 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75605 | A | Contrast x-ray exam of aorta | 1.14 | 13.17 | 13.27 | NA | NA | 0.60 | 14.91 | 15.01 | NA | NA | XXX | |
| 75605 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.43 | 0.46 | 0.43 | 0.46 | 0.04 | 1.61 | 1.64 | 1.61 | 1.64 | XXX |
| 75605 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75625 | A | Contrast x-ray exam of aorta | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75625 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75625 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75630 | A | X-ray aorta, leg arteries | 1.79 | 13.92 | 14.00 | NA | NA | 0.66 | 16.37 | 16.45 | NA | NA | XXX | |
| 75630 | 26 | A | X-ray aorta, leg arteries | 1.79 | 0.65 | 0.65 | 0.65 | 0.65 | 0.07 | 2.51 | 2.51 | 2.51 | 2.51 | XXX |
| 75630 | TC | A | X-ray aorta, leg arteries | 0.00 | 13.27 | 13.35 | NA | NA | 0.59 | 13.86 | 13.94 | NA | NA | XXX |
| 75650 | A | Artery x-rays, head neck | 1.49 | 13.26 | 13.38 | NA | NA | 0.62 | 15.37 | 15.49 | NA | NA | XXX | |
| 75650 | 26 | A | Artery x-rays, head neck | 1.49 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.07 | 2.12 | 2.07 | 2.12 | XXX |
| 75650 | TC | A | Artery x-rays, head neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75658 | A | Artery x-rays, arm | 1.31 | 13.25 | 13.35 | NA | NA | 0.61 | 15.17 | 15.27 | NA | NA | XXX | |
| 75658 | 26 | A | Artery x-rays, arm | 1.31 | 0.51 | 0.54 | 0.51 | 0.54 | 0.05 | 1.87 | 1.90 | 1.87 | 1.90 | XXX |
| 75658 | TC | A | Artery x-rays, arm | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75660 | A | Artery x-rays, head neck | 1.31 | 13.21 | 13.32 | NA | NA | 0.61 | 15.13 | 15.24 | NA | NA | XXX | |
| 75660 | 26 | A | Artery x-rays, head neck | 1.31 | 0.47 | 0.51 | 0.47 | 0.51 | 0.05 | 1.83 | 1.87 | 1.83 | 1.87 | XXX |
| 75660 | TC | A | Artery x-rays, head neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75662 | A | Artery x-rays, head neck | 1.66 | 13.37 | 13.48 | NA | NA | 0.62 | 15.65 | 15.76 | NA | NA | XXX | |
| 75662 | 26 | A | Artery x-rays, head neck | 1.66 | 0.63 | 0.67 | 0.63 | 0.67 | 0.06 | 2.35 | 2.39 | 2.35 | 2.39 | XXX |
| 75662 | TC | A | Artery x-rays, head neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75665 | A | Artery x-rays, head neck | 1.31 | 13.21 | 13.32 | NA | NA | 0.62 | 15.14 | 15.25 | NA | NA | XXX | |
| 75665 | 26 | A | Artery x-rays, head neck | 1.31 | 0.47 | 0.51 | 0.47 | 0.51 | 0.06 | 1.84 | 1.88 | 1.84 | 1.88 | XXX |
| 75665 | TC | A | Artery x-rays, head neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75671 | A | Artery x-rays, head neck | 1.66 | 13.32 | 13.45 | NA | NA | 0.63 | 15.61 | 15.74 | NA | NA | XXX | |
| 75671 | 26 | A | Artery x-rays, head neck | 1.66 | 0.58 | 0.64 | 0.58 | 0.64 | 0.07 | 2.31 | 2.37 | 2.31 | 2.37 | XXX |
| 75671 | TC | A | Artery x-rays, head neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75676 | A | Artery x-rays, neck | 1.31 | 13.21 | 13.32 | NA | NA | 0.62 | 15.14 | 15.25 | NA | NA | XXX | |
| 75676 | 26 | A | Artery x-rays, neck | 1.31 | 0.47 | 0.51 | 0.47 | 0.51 | 0.06 | 1.84 | 1.88 | 1.84 | 1.88 | XXX |
| 75676 | TC | A | Artery x-rays, neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75680 | A | Artery x-rays, neck | 1.66 | 13.32 | 13.45 | NA | NA | 0.63 | 15.61 | 15.74 | NA | NA | XXX | |
| 75680 | 26 | A | Artery x-rays, neck | 1.66 | 0.58 | 0.64 | 0.58 | 0.64 | 0.07 | 2.31 | 2.37 | 2.31 | 2.37 | XXX |
| 75680 | TC | A | Artery x-rays, neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75685 | A | Artery x-rays, spine | 1.31 | 13.20 | 13.31 | NA | NA | 0.61 | 15.12 | 15.23 | NA | NA | XXX | |
| 75685 | 26 | A | Artery x-rays, spine | 1.31 | 0.46 | 0.50 | 0.46 | 0.50 | 0.05 | 1.82 | 1.86 | 1.82 | 1.86 | XXX |
| 75685 | TC | A | Artery x-rays, spine | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75705 | A | Artery x-rays, spine | 2.18 | 13.51 | 13.65 | NA | NA | 0.65 | 16.34 | 16.48 | NA | NA | XXX | |
| 75705 | 26 | A | Artery x-rays, spine | 2.18 | 0.77 | 0.84 | 0.77 | 0.84 | 0.09 | 3.04 | 3.11 | 3.04 | 3.11 | XXX |
| 75705 | TC | A | Artery x-rays, spine | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75710 | A | Artery x-rays, arm/leg | 1.14 | 13.15 | 13.25 | NA | NA | 0.61 | 14.90 | 15.00 | NA | NA | XXX | |
| 75710 | 26 | A | Artery x-rays, arm/leg | 1.14 | 0.41 | 0.44 | 0.41 | 0.44 | 0.05 | 1.60 | 1.63 | 1.60 | 1.63 | XXX |
| 75710 | TC | A | Artery x-rays, arm/leg | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75716 | A | Artery x-rays, arms/legs | 1.31 | 13.20 | 13.31 | NA | NA | 0.61 | 15.12 | 15.23 | NA | NA | XXX | |
| 75716 | 26 | A | Artery x-rays, arms/legs | 1.31 | 0.46 | 0.50 | 0.46 | 0.50 | 0.05 | 1.82 | 1.86 | 1.82 | 1.86 | XXX |
| 75716 | TC | A | Artery x-rays, arms/legs | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75722 | A | Artery x-rays, kidney | 1.14 | 13.17 | 13.27 | NA | NA | 0.60 | 14.91 | 15.01 | NA | NA | XXX | |
| 75722 | 26 | A | Artery x-rays, kidney | 1.14 | 0.43 | 0.46 | 0.43 | 0.46 | 0.04 | 1.61 | 1.64 | 1.61 | 1.64 | XXX |
| 75722 | TC | A | Artery x-rays, kidney | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75724 | A | Artery x-rays, kidneys | 1.49 | 13.34 | 13.44 | NA | NA | 0.61 | 15.44 | 15.54 | NA | NA | XXX | |
| 75724 | 26 | A | Artery x-rays, kidneys | 1.49 | 0.60 | 0.63 | 0.60 | 0.63 | 0.05 | 2.14 | 2.17 | 2.14 | 2.17 | XXX |
| 75724 | TC | A | Artery x-rays, kidneys | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75726 | A | Artery x-rays, abdomen | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75726 | 26 | A | Artery x-rays, abdomen | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75726 | TC | A | Artery x-rays, abdomen | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75731 | A | Artery x-rays, adrenal gland | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75731 | 26 | A | Artery x-rays, adrenal gland | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75731 | TC | A | Artery x-rays, adrenal gland | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75733 | A | Artery x-rays, adrenals | 1.31 | 13.21 | 13.32 | NA | NA | 0.61 | 15.13 | 15.24 | NA | NA | XXX | |
| 75733 | 26 | A | Artery x-rays, adrenals | 1.31 | 0.47 | 0.51 | 0.47 | 0.51 | 0.05 | 1.83 | 1.87 | 1.83 | 1.87 | XXX |
| 75733 | TC | A | Artery x-rays, adrenals | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75736 | A | Artery x-rays, pelvis | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75736 | 26 | A | Artery x-rays, pelvis | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75736 | TC | A | Artery x-rays, pelvis | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75741 | A | Artery x-rays, lung | 1.31 | 13.19 | 13.31 | NA | NA | 0.61 | 15.11 | 15.23 | NA | NA | XXX | |
| 75741 | 26 | A | Artery x-rays, lung | 1.31 | 0.45 | 0.50 | 0.45 | 0.50 | 0.05 | 1.81 | 1.86 | 1.81 | 1.86 | XXX |
| 75741 | TC | A | Artery x-rays, lung | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75743 | A | Artery x-rays, lungs | 1.66 | 13.32 | 13.45 | NA | NA | 0.63 | 15.61 | 15.74 | NA | NA | XXX | |
| 75743 | 26 | A | Artery x-rays, lungs | 1.66 | 0.58 | 0.64 | 0.58 | 0.64 | 0.07 | 2.31 | 2.37 | 2.31 | 2.37 | XXX |
| 75743 | TC | A | Artery x-rays, lungs | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75746 | A | Artery x-rays, lung | 1.14 | 13.14 | 13.25 | NA | NA | 0.60 | 14.88 | 14.99 | NA | NA | XXX | |
| 75746 | 26 | A | Artery x-rays, lung | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.04 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 75746 | TC | A | Artery x-rays, lung | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75756 | A | Artery x-rays, chest | 1.14 | 13.22 | 13.31 | NA | NA | 0.60 | 14.96 | 15.05 | NA | NA | XXX | |
| 75756 | 26 | A | Artery x-rays, chest | 1.14 | 0.48 | 0.50 | 0.48 | 0.50 | 0.04 | 1.66 | 1.68 | 1.66 | 1.68 | XXX |
| 75756 | TC | A | Artery x-rays, chest | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75774 | A | Artery x-ray, each vessel | 0.36 | 12.87 | 12.95 | NA | NA | 0.57 | 13.80 | 13.88 | NA | NA | ZZZ | |
| 75774 | 26 | A | Artery x-ray, each vessel | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.01 | 0.50 | 0.51 | 0.50 | 0.51 | ZZZ |
| 75774 | TC | A | Artery x-ray, each vessel | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | ZZZ |
| 75790 | A | Visualize A-V shunt | 1.84 | 2.01 | 2.09 | NA | NA | 0.15 | 4.00 | 4.08 | NA | NA | XXX | |
| 75790 | 26 | A | Visualize A-V shunt | 1.84 | 0.64 | 0.71 | 0.64 | 0.71 | 0.08 | 2.56 | 2.63 | 2.56 | 2.63 | XXX |
| 75790 | TC | A | Visualize A-V shunt | 0.00 | 1.37 | 1.38 | NA | NA | 0.07 | 1.44 | 1.45 | NA | NA | XXX |
| 75801 | A | Lymph vessel x-ray, arm/leg | 0.81 | 5.75 | 5.81 | NA | NA | 0.29 | 6.85 | 6.91 | NA | NA | XXX | |
| 75801 | 26 | A | Lymph vessel x-ray, arm/leg | 0.81 | 0.28 | 0.31 | 0.28 | 0.31 | 0.04 | 1.13 | 1.16 | 1.13 | 1.16 | XXX |
| 75801 | TC | A | Lymph vessel x-ray, arm/leg | 0.00 | 5.47 | 5.50 | NA | NA | 0.25 | 5.72 | 5.75 | NA | NA | XXX |
| 75803 | A | Lymph vessel x-ray,arms/legs | 1.17 | 5.87 | 5.94 | NA | NA | 0.30 | 7.34 | 7.41 | NA | NA | XXX | |
| 75803 | 26 | A | Lymph vessel x-ray,arms/legs | 1.17 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.62 | 1.66 | 1.62 | 1.66 | XXX |
| 75803 | TC | A | Lymph vessel x-ray,arms/legs | 0.00 | 5.47 | 5.50 | NA | NA | 0.25 | 5.72 | 5.75 | NA | NA | XXX |
| 75805 | A | Lymph vessel x-ray, trunk | 0.81 | 6.46 | 6.53 | NA | NA | 0.31 | 7.58 | 7.65 | NA | NA | XXX | |
| 75805 | 26 | A | Lymph vessel x-ray, trunk | 0.81 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.13 | 1.16 | 1.13 | 1.16 | XXX |
| 75805 | TC | A | Lymph vessel x-ray, trunk | 0.00 | 6.17 | 6.21 | NA | NA | 0.28 | 6.45 | 6.49 | NA | NA | XXX |
| 75807 | A | Lymph vessel x-ray, trunk | 1.17 | 6.57 | 6.65 | NA | NA | 0.33 | 8.07 | 8.15 | NA | NA | XXX | |
| 75807 | 26 | A | Lymph vessel x-ray, trunk | 1.17 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.62 | 1.66 | 1.62 | 1.66 | XXX |
| 75807 | TC | A | Lymph vessel x-ray, trunk | 0.00 | 6.17 | 6.21 | NA | NA | 0.28 | 6.45 | 6.49 | NA | NA | XXX |
| 75809 | A | Nonvascular shunt, x-ray | 0.47 | 0.95 | 0.97 | NA | NA | 0.06 | 1.48 | 1.50 | NA | NA | XXX | |
| 75809 | 26 | A | Nonvascular shunt, x-ray | 0.47 | 0.16 | 0.17 | 0.16 | 0.17 | 0.02 | 0.65 | 0.66 | 0.65 | 0.66 | XXX |
| 75809 | TC | A | Nonvascular shunt, x-ray | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 75810 | A | Vein x-ray, spleen/liver | 1.14 | 13.13 | 13.24 | NA | NA | 0.61 | 14.88 | 14.99 | NA | NA | XXX | |
| 75810 | 26 | A | Vein x-ray, spleen/liver | 1.14 | 0.39 | 0.43 | 0.39 | 0.43 | 0.05 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 75810 | TC | A | Vein x-ray, spleen/liver | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75820 | A | Vein x-ray, arm/leg | 0.70 | 1.20 | 1.24 | NA | NA | 0.08 | 1.98 | 2.02 | NA | NA | XXX | |
| 75820 | 26 | A | Vein x-ray, arm/leg | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 75820 | TC | A | Vein x-ray, arm/leg | 0.00 | 0.96 | 0.97 | NA | NA | 0.05 | 1.01 | 1.02 | NA | NA | XXX |
| 75822 | A | Vein x-ray, arms/legs | 1.06 | 1.87 | 1.92 | NA | NA | 0.11 | 3.04 | 3.09 | NA | NA | XXX | |
| 75822 | 26 | A | Vein x-ray, arms/legs | 1.06 | 0.37 | 0.41 | 0.37 | 0.41 | 0.04 | 1.47 | 1.51 | 1.47 | 1.51 | XXX |
| 75822 | TC | A | Vein x-ray, arms/legs | 0.00 | 1.50 | 1.51 | NA | NA | 0.07 | 1.57 | 1.58 | NA | NA | XXX |
| 75825 | A | Vein x-ray, trunk | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75825 | 26 | A | Vein x-ray, trunk | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75825 | TC | A | Vein x-ray, trunk | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75827 | A | Vein x-ray, chest | 1.14 | 13.13 | 13.24 | NA | NA | 0.61 | 14.88 | 14.99 | NA | NA | XXX | |
| 75827 | 26 | A | Vein x-ray, chest | 1.14 | 0.39 | 0.43 | 0.39 | 0.43 | 0.05 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 75827 | TC | A | Vein x-ray, chest | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75831 | A | Vein x-ray, kidney | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75831 | 26 | A | Vein x-ray, kidney | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75831 | TC | A | Vein x-ray, kidney | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75833 | A | Vein x-ray, kidneys | 1.49 | 13.26 | 13.38 | NA | NA | 0.62 | 15.37 | 15.49 | NA | NA | XXX | |
| 75833 | 26 | A | Vein x-ray, kidneys | 1.49 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.07 | 2.12 | 2.07 | 2.12 | XXX |
| 75833 | TC | A | Vein x-ray, kidneys | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75840 | A | Vein x-ray, adrenal gland | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75840 | 26 | A | Vein x-ray, adrenal gland | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75840 | TC | A | Vein x-ray, adrenal gland | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75842 | A | Vein x-ray, adrenal glands | 1.49 | 13.26 | 13.38 | NA | NA | 0.62 | 15.37 | 15.49 | NA | NA | XXX | |
| 75842 | 26 | A | Vein x-ray, adrenal glands | 1.49 | 0.52 | 0.57 | 0.52 | 0.57 | 0.06 | 2.07 | 2.12 | 2.07 | 2.12 | XXX |
| 75842 | TC | A | Vein x-ray, adrenal glands | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75860 | A | Vein x-ray, neck | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75860 | 26 | A | Vein x-ray, neck | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75860 | TC | A | Vein x-ray, neck | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75870 | A | Vein x-ray, skull | 1.14 | 13.14 | 13.25 | NA | NA | 0.61 | 14.89 | 15.00 | NA | NA | XXX | |
| 75870 | 26 | A | Vein x-ray, skull | 1.14 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.59 | 1.63 | 1.59 | 1.63 | XXX |
| 75870 | TC | A | Vein x-ray, skull | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75872 | A | Vein x-ray, skull | 1.14 | 13.13 | 13.24 | NA | NA | 0.61 | 14.88 | 14.99 | NA | NA | XXX | |
| 75872 | 26 | A | Vein x-ray, skull | 1.14 | 0.39 | 0.43 | 0.39 | 0.43 | 0.05 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 75872 | TC | A | Vein x-ray, skull | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75880 | A | Vein x-ray, eye socket | 0.70 | 1.20 | 1.24 | NA | NA | 0.08 | 1.98 | 2.02 | NA | NA | XXX | |
| 75880 | 26 | A | Vein x-ray, eye socket | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 75880 | TC | A | Vein x-ray, eye socket | 0.00 | 0.96 | 0.97 | NA | NA | 0.05 | 1.01 | 1.02 | NA | NA | XXX |
| 75885 | A | Vein x-ray, liver | 1.44 | 13.24 | 13.36 | NA | NA | 0.62 | 15.30 | 15.42 | NA | NA | XXX | |
| 75885 | 26 | A | Vein x-ray, liver | 1.44 | 0.50 | 0.55 | 0.50 | 0.55 | 0.06 | 2.00 | 2.05 | 2.00 | 2.05 | XXX |
| 75885 | TC | A | Vein x-ray, liver | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75887 | A | Vein x-ray, liver | 1.44 | 13.24 | 13.36 | NA | NA | 0.62 | 15.30 | 15.42 | NA | NA | XXX | |
| 75887 | 26 | A | Vein x-ray, liver | 1.44 | 0.50 | 0.55 | 0.50 | 0.55 | 0.06 | 2.00 | 2.05 | 2.00 | 2.05 | XXX |
| 75887 | TC | A | Vein x-ray, liver | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75889 | A | Vein x-ray, liver | 1.14 | 13.13 | 13.24 | NA | NA | 0.61 | 14.88 | 14.99 | NA | NA | XXX | |
| 75889 | 26 | A | Vein x-ray, liver | 1.14 | 0.39 | 0.43 | 0.39 | 0.43 | 0.05 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 75889 | TC | A | Vein x-ray, liver | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75891 | A | Vein x-ray, liver | 1.14 | 13.13 | 13.24 | NA | NA | 0.61 | 14.88 | 14.99 | NA | NA | XXX | |
| 75891 | 26 | A | Vein x-ray, liver | 1.14 | 0.39 | 0.43 | 0.39 | 0.43 | 0.05 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 75891 | TC | A | Vein x-ray, liver | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75893 | A | Venous sampling by catheter | 0.54 | 12.93 | 13.02 | NA | NA | 0.58 | 14.05 | 14.14 | NA | NA | XXX | |
| 75893 | 26 | A | Venous sampling by catheter | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 75893 | TC | A | Venous sampling by catheter | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75894 | A | X-rays, transcath therapy | 1.31 | 24.86 | 25.04 | NA | NA | 1.13 | 27.30 | 27.48 | NA | NA | XXX | |
| 75894 | 26 | A | X-rays, transcath therapy | 1.31 | 0.46 | 0.50 | 0.46 | 0.50 | 0.05 | 1.82 | 1.86 | 1.82 | 1.86 | XXX |
| 75894 | TC | A | X-rays, transcath therapy | 0.00 | 24.40 | 24.54 | NA | NA | 1.08 | 25.48 | 25.62 | NA | NA | XXX |
| 75896 | A | X-rays, transcath therapy | 1.31 | 21.70 | 21.86 | NA | NA | 0.99 | 24.00 | 24.16 | NA | NA | XXX | |
| 75896 | 26 | A | X-rays, transcath therapy | 1.31 | 0.48 | 0.52 | 0.48 | 0.52 | 0.05 | 1.84 | 1.88 | 1.84 | 1.88 | XXX |
| 75896 | TC | A | X-rays, transcath therapy | 0.00 | 21.22 | 21.34 | NA | NA | 0.94 | 22.16 | 22.28 | NA | NA | XXX |
| 75898 | A | Follow-up angiogram | 1.65 | 1.66 | 1.72 | NA | NA | 0.12 | 3.43 | 3.49 | NA | NA | XXX | |
| 75898 | 26 | A | Follow-up angiogram | 1.65 | 0.59 | 0.64 | 0.59 | 0.64 | 0.07 | 2.31 | 2.36 | 2.31 | 2.36 | XXX |
| 75898 | TC | A | Follow-up angiogram | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 75900 | A | Arterial catheter exchange | 0.49 | 21.37 | 21.51 | NA | NA | 0.97 | 22.83 | 22.97 | NA | NA | XXX | |
| 75900 | 26 | A | Arterial catheter exchange | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 75900 | TC | A | Arterial catheter exchange | 0.00 | 21.20 | 21.32 | NA | NA | 0.95 | 22.15 | 22.27 | NA | NA | XXX |
| 75940 | A | X-ray placement, vein filter | 0.54 | 12.93 | 13.02 | NA | NA | 0.58 | 14.05 | 14.14 | NA | NA | XXX | |
| 75940 | 26 | A | X-ray placement, vein filter | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 75940 | TC | A | X-ray placement, vein filter | 0.00 | 12.74 | 12.81 | NA | NA | 0.56 | 13.30 | 13.37 | NA | NA | XXX |
| 75945 | A | Intravascular us | 0.40 | 4.76 | 4.81 | NA | NA | 0.24 | 5.40 | 5.45 | NA | NA | XXX | |
| 75945 | 26 | A | Intravascular us | 0.40 | 0.15 | 0.17 | 0.15 | 0.17 | 0.03 | 0.58 | 0.60 | 0.58 | 0.60 | XXX |
| 75945 | TC | A | Intravascular us | 0.00 | 4.61 | 4.64 | NA | NA | 0.21 | 4.82 | 4.85 | NA | NA | XXX |
| 75946 | A | Intravascular us add-on | 0.40 | 2.47 | 2.50 | NA | NA | 0.13 | 3.00 | 3.03 | NA | NA | ZZZ | |
| 75946 | 26 | A | Intravascular us add-on | 0.40 | 0.15 | 0.17 | 0.15 | 0.17 | 0.02 | 0.57 | 0.59 | 0.57 | 0.59 | ZZZ |
| 75946 | TC | A | Intravascular us add-on | 0.00 | 2.32 | 2.33 | NA | NA | 0.11 | 2.43 | 2.44 | NA | NA | ZZZ |
| 75960 | A | Transcatheter intro, stent | 0.82 | 15.36 | 15.48 | NA | NA | 0.70 | 16.88 | 17.00 | NA | NA | XXX | |
| 75960 | 26 | A | Transcatheter intro, stent | 0.82 | 0.30 | 0.33 | 0.30 | 0.33 | 0.04 | 1.16 | 1.19 | 1.16 | 1.19 | XXX |
| 75960 | TC | A | Transcatheter intro, stent | 0.00 | 15.06 | 15.15 | NA | NA | 0.66 | 15.72 | 15.81 | NA | NA | XXX |
| 75961 | A | Retrieval, broken catheter | 4.25 | 12.10 | 12.31 | NA | NA | 0.63 | 16.98 | 17.19 | NA | NA | XXX | |
| 75961 | 26 | A | Retrieval, broken catheter | 4.25 | 1.48 | 1.63 | 1.48 | 1.63 | 0.16 | 5.89 | 6.04 | 5.89 | 6.04 | XXX |
| 75961 | TC | A | Retrieval, broken catheter | 0.00 | 10.62 | 10.68 | NA | NA | 0.47 | 11.09 | 11.15 | NA | NA | XXX |
| 75962 | A | Repair arterial blockage | 0.54 | 16.11 | 16.22 | NA | NA | 0.73 | 17.38 | 17.49 | NA | NA | XXX | |
| 75962 | 26 | A | Repair arterial blockage | 0.54 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.76 | 0.78 | 0.76 | 0.78 | XXX |
| 75962 | TC | A | Repair arterial blockage | 0.00 | 15.91 | 16.00 | NA | NA | 0.71 | 16.62 | 16.71 | NA | NA | XXX |
| 75964 | A | Repair artery blockage, each | 0.36 | 8.61 | 8.67 | NA | NA | 0.39 | 9.36 | 9.42 | NA | NA | ZZZ | |
| 75964 | 26 | A | Repair artery blockage, each | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.51 | 0.52 | 0.51 | 0.52 | ZZZ |
| 75964 | TC | A | Repair artery blockage, each | 0.00 | 8.48 | 8.53 | NA | NA | 0.37 | 8.85 | 8.90 | NA | NA | ZZZ |
| 75966 | A | Repair arterial blockage | 1.31 | 16.40 | 16.53 | NA | NA | 0.76 | 18.47 | 18.60 | NA | NA | XXX | |
| 75966 | 26 | A | Repair arterial blockage | 1.31 | 0.49 | 0.53 | 0.49 | 0.53 | 0.05 | 1.85 | 1.89 | 1.85 | 1.89 | XXX |
| 75966 | TC | A | Repair arterial blockage | 0.00 | 15.91 | 16.00 | NA | NA | 0.71 | 16.62 | 16.71 | NA | NA | XXX |
| 75968 | A | Repair artery blockage, each | 0.36 | 8.62 | 8.68 | NA | NA | 0.38 | 9.36 | 9.42 | NA | NA | ZZZ | |
| 75968 | 26 | A | Repair artery blockage, each | 0.36 | 0.14 | 0.15 | 0.14 | 0.15 | 0.01 | 0.51 | 0.52 | 0.51 | 0.52 | ZZZ |
| 75968 | TC | A | Repair artery blockage, each | 0.00 | 8.48 | 8.53 | NA | NA | 0.37 | 8.85 | 8.90 | NA | NA | ZZZ |
| 75970 | A | Vascular biopsy | 0.83 | 11.97 | 12.07 | NA | NA | 0.55 | 13.35 | 13.45 | NA | NA | XXX | |
| 75970 | 26 | A | Vascular biopsy | 0.83 | 0.30 | 0.33 | 0.30 | 0.33 | 0.03 | 1.16 | 1.19 | 1.16 | 1.19 | XXX |
| 75970 | TC | A | Vascular biopsy | 0.00 | 11.67 | 11.74 | NA | NA | 0.52 | 12.19 | 12.26 | NA | NA | XXX |
| 75978 | A | Repair venous blockage | 0.54 | 16.10 | 16.27 | NA | NA | 0.73 | 17.37 | 17.54 | NA | NA | XXX | |
| 75978 | 26 | A | Repair venous blockage | 0.54 | 0.19 | 0.27 | 0.19 | 0.27 | 0.02 | 0.75 | 0.83 | 0.75 | 0.83 | XXX |
| 75978 | TC | A | Repair venous blockage | 0.00 | 15.91 | 16.00 | NA | NA | 0.71 | 16.62 | 16.71 | NA | NA | XXX |
| 75980 | A | Contrast xray exam bile duct | 1.44 | 5.97 | 6.05 | NA | NA | 0.31 | 7.72 | 7.80 | NA | NA | XXX | |
| 75980 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.50 | 0.55 | 0.50 | 0.55 | 0.06 | 2.00 | 2.05 | 2.00 | 2.05 | XXX |
| 75980 | TC | A | Contrast xray exam bile duct | 0.00 | 5.47 | 5.50 | NA | NA | 0.25 | 5.72 | 5.75 | NA | NA | XXX |
| 75982 | A | Contrast xray exam bile duct | 1.44 | 6.67 | 6.76 | NA | NA | 0.34 | 8.45 | 8.54 | NA | NA | XXX | |
| 75982 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.50 | 0.55 | 0.50 | 0.55 | 0.06 | 2.00 | 2.05 | 2.00 | 2.05 | XXX |
| 75982 | TC | A | Contrast xray exam bile duct | 0.00 | 6.17 | 6.21 | NA | NA | 0.28 | 6.45 | 6.49 | NA | NA | XXX |
| 75984 | A | Xray control catheter change | 0.72 | 2.22 | .26 | NA | NA | 0.12 | 3.06 | 3.10 | NA | NA | XXX | |
| 75984 | 26 | A | Xray control catheter change | 0.72 | 0.25 | 0.28 | 0.25 | 0.28 | 0.03 | 1.00 | 1.03 | 1.00 | 1.03 | XXX |
| 75984 | TC | A | Xray control catheter change | 0.00 | 1.97 | 1.98 | NA | NA | 0.09 | 2.06 | 2.07 | NA | NA | XXX |
| 75989 | A | Abscess drainage under x-ray | 1.19 | 3.60 | 3.66 | NA | NA | 0.19 | 4.98 | 5.04 | NA | NA | XXX | |
| 75989 | 26 | A | Abscess drainage under x-ray | 1.19 | 0.41 | 0.45 | 0.41 | 0.45 | 0.05 | 1.65 | 1.69 | 1.65 | 1.69 | XXX |
| 75989 | TC | A | Abscess drainage under x-ray | 0.00 | 3.19 | 3.21 | NA | NA | 0.14 | 3.33 | 3.35 | NA | NA | XXX |
| 75992 | A | Atherectomy, x-ray exam | 0.54 | 16.12 | 16.23 | NA | NA | 0.73 | 17.39 | 17.50 | NA | NA | XXX | |
| 75992 | 26 | A | Atherectomy, x-ray exam | 0.54 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.77 | 0.79 | 0.77 | 0.79 | XXX |
| 75992 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.91 | 16.00 | NA | NA | 0.71 | 16.62 | 16.71 | NA | NA | XXX |
| 75993 | A | Atherectomy, x-ray exam | 0.36 | 8.63 | 8.69 | NA | NA | 0.38 | 9.37 | 9.43 | NA | NA | ZZZ | |
| 75993 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.15 | 0.16 | 0.15 | 0.16 | 0.01 | 0.52 | 0.53 | 0.52 | 0.53 | ZZZ |
| 75993 | TC | A | Atherectomy, x-ray exam | 0.00 | 8.48 | 8.53 | NA | NA | 0.37 | 8.85 | 8.90 | NA | NA | ZZZ |
| 75994 | A | Atherectomy, x-ray exam | 1.31 | 16.41 | 16.53 | NA | NA | 0.77 | 18.49 | 18.61 | NA | NA | XXX | |
| 75994 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.50 | 0.53 | 0.50 | 0.53 | 0.06 | 1.87 | 1.90 | 1.87 | 1.90 | XXX |
| 75994 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.91 | 16.00 | NA | NA | 0.71 | 16.62 | 16.71 | NA | NA | XXX |
| 75995 | A | Atherectomy, x-ray exam | 1.31 | 16.38 | 16.51 | NA | NA | 0.75 | 18.44 | 18.57 | NA | NA | XXX | |
| 75995 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.47 | 0.51 | 0.47 | 0.51 | 0.04 | 1.82 | 1.86 | 1.82 | 1.86 | XXX |
| 75995 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.91 | 16.00 | NA | NA | 0.71 | 16.62 | 16.71 | NA | NA | XXX |
| 75996 | A | Atherectomy, x-ray exam | 0.36 | 8.61 | 8.67 | NA | NA | 0.38 | 9.35 | 9.41 | NA | NA | ZZZ | |
| 75996 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.01 | 0.50 | 0.51 | 0.50 | 0.51 | ZZZ |
| 75996 | TC | A | Atherectomy, x-ray exam | 0.00 | 8.48 | 8.53 | NA | NA | 0.37 | 8.85 | 8.90 | NA | NA | ZZZ |
| 76000 | A | Fluoroscope examination | 0.17 | 1.38 | 1.40 | NA | NA | 0.07 | 1.62 | 1.64 | NA | NA | XXX | |
| 76000 | 26 | A | Fluoroscope examination | 0.17 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.24 | 0.25 | 0.24 | 0.25 | XXX |
| 76000 | TC | A | Fluoroscope examination | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76001 | A | Fluoroscope exam, extensive | 0.67 | 2.88 | 2.93 | NA | NA | 0.15 | 3.70 | 3.75 | NA | NA | XXX | |
| 76001 | 26 | A | Fluoroscope exam, extensive | 0.67 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.93 | 0.96 | 0.93 | 0.96 | XXX |
| 76001 | TC | A | Fluoroscope exam, extensive | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 76003 | A | Needle localization by x-ray | 0.54 | 1.50 | 1.53 | NA | NA | 0.08 | 2.12 | 2.15 | NA | NA | XXX | |
| 76003 | 26 | A | Needle localization by x-ray | 0.54 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 76003 | TC | A | Needle localization by x-ray | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76005 | A | Fluoroguide for spine inject | 0.60 | 1.48 | 1.49 | NA | NA | 0.09 | 2.17 | 2.18 | NA | NA | XXX | |
| 76005 | 26 | A | Fluoroguide for spine inject | 0.60 | 0.20 | 0.20 | 0.20 | 0.20 | 0.03 | 0.83 | 0.83 | 0.83 | 0.83 | XXX |
| 76005 | TC | A | Fluoroguide for spine inject | 0.00 | 1.28 | 1.29 | NA | NA | 0.06 | 1.34 | 1.35 | NA | NA | XXX |
| 76006 | A | X-ray stress view | 0.41 | 0.14 | 0.14 | NA | NA | 0.02 | 0.57 | 0.57 | NA | NA | XXX | |
| 76010 | A | X-ray, nose to rectum | 0.18 | 0.59 | 0.60 | NA | NA | 0.03 | 0.80 | 0.81 | NA | NA | XXX | |
| 76010 | 26 | A | X-ray, nose to rectum | 0.18 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.25 | 0.26 | 0.25 | 0.26 | XXX |
| 76010 | TC | A | X-ray, nose to rectum | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 76020 | A | X-rays for bone age | 0.19 | 0.60 | 0.61 | NA | NA | 0.03 | 0.82 | 0.83 | NA | NA | XXX | |
| 76020 | 26 | A | X-rays for bone age | 0.19 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.27 | 0.28 | 0.27 | 0.28 | XXX |
| 76020 | TC | A | X-rays for bone age | 0.00 | 0.53 | 0.53 | NA | NA | 0.02 | 0.55 | 0.55 | NA | NA | XXX |
| 76040 | A | X-rays, bone evaluation | 0.27 | 0.89 | 0.91 | NA | NA | 0.05 | 1.21 | 1.23 | NA | NA | XXX | |
| 76040 | 26 | A | X-rays, bone evaluation | 0.27 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.38 | 0.39 | 0.38 | 0.39 | XXX |
| 76040 | TC | A | X-rays, bone evaluation | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | XXX |
| 76061 | A | X-rays, bone survey | 0.45 | 1.17 | 1.20 | NA | NA | 0.07 | 1.69 | 1.72 | NA | NA | XXX | |
| 76061 | 26 | A | X-rays, bone survey | 0.45 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.63 | 0.65 | 0.63 | 0.65 | XXX |
| 76061 | TC | A | X-rays, bone survey | 0.00 | 1.01 | 1.02 | NA | NA | 0.05 | 1.06 | 1.07 | NA | NA | XXX |
| 76062 | A | X-rays, bone survey | 0.54 | 1.65 | 1.68 | NA | NA | 0.09 | 2.28 | 2.31 | NA | NA | XXX | |
| 76062 | 26 | A | X-rays, bone survey | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 76062 | TC | A | X-rays, bone survey | 0.00 | 1.46 | 1.47 | NA | NA | 0.07 | 1.53 | 1.54 | NA | NA | XXX |
| 76065 | A | X-rays, bone evaluation | 0.28 | 0.84 | 0.86 | NA | NA | 0.05 | 1.17 | 1.19 | NA | NA | XXX | |
| 76065 | 26 | A | X-rays, bone evaluation | 0.28 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.39 | 0.40 | 0.39 | 0.40 | XXX |
| 76065 | TC | A | X-rays, bone evaluation | 0.00 | 0.74 | 0.75 | NA | NA | 0.04 | 0.78 | 0.79 | NA | NA | XXX |
| 76066 | A | Joint(s) survey, single film | 0.31 | 1.23 | 1.25 | NA | NA | 0.06 | 1.60 | 1.62 | NA | NA | XXX | |
| 76066 | 26 | A | Joint(s) survey, single film | 0.31 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.43 | 0.44 | 0.43 | 0.44 | XXX |
| 76066 | TC | A | Joint(s) survey, single film | 0.00 | 1.12 | 1.13 | NA | NA | 0.05 | 1.17 | 1.18 | NA | NA | XXX |
| 76070 | I | CT scan, bone density study | 0.25 | 3.08 | 3.11 | NA | NA | 0.14 | 3.47 | 3.50 | NA | NA | XXX | |
| 76070 | 26 | I | CT scan, bone density study | 0.25 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.36 | 0.37 | 0.36 | 0.37 | XXX |
| 76070 | TC | I | CT scan, bone density study | 0.00 | 2.98 | 3.00 | NA | NA | 0.13 | 3.11 | 3.13 | NA | NA | XXX |
| 76075 | A | Dual energy x-ray study | 0.30 | 3.24 | 3.27 | NA | NA | 0.15 | 3.69 | 3.72 | NA | NA | XXX | |
| 76075 | 26 | A | Dual energy x-ray study | 0.30 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.42 | 0.43 | 0.42 | 0.43 | XXX |
| 76075 | TC | A | Dual energy x-ray study | 0.00 | 3.13 | 3.15 | NA | NA | 0.14 | 3.27 | 3.29 | NA | NA | XXX |
| 76076 | A | Dual energy x-ray study | 0.22 | 0.84 | 0.86 | NA | NA | 0.05 | 1.11 | 1.13 | NA | NA | XXX | |
| 76076 | 26 | A | Dual energy x-ray study | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 76076 | TC | A | Dual energy x-ray study | 0.00 | 0.76 | 0.77 | NA | NA | 0.04 | 0.80 | 0.81 | NA | NA | XXX |
| 76078 | A | Photodensitometry | 0.20 | 0.83 | 0.85 | NA | NA | 0.05 | 1.08 | 1.10 | NA | NA | XXX | |
| 76078 | 26 | A | Photodensitometry | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 76078 | TC | A | Photodensitometry | 0.00 | 0.76 | 0.77 | NA | NA | 0.04 | 0.80 | 0.81 | NA | NA | XXX |
| 76080 | A | X-ray exam of fistula | 0.54 | 1.26 | 1.29 | NA | NA | 0.07 | 1.87 | 1.90 | NA | NA | XXX | |
| 76080 | 26 | A | X-ray exam of fistula | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 76080 | TC | A | X-ray exam of fistula | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 76086 | A | X-ray of mammary duct | 0.36 | 2.78 | 2.81 | NA | NA | 0.13 | 3.27 | 3.30 | NA | NA | XXX | |
| 76086 | 26 | A | X-ray of mammary duct | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.01 | 0.50 | 0.51 | 0.50 | 0.51 | XXX |
| 76086 | TC | A | X-ray of mammary duct | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 76088 | A | X-ray of mammary ducts | 0.45 | 3.86 | 3.90 | NA | NA | 0.18 | 4.49 | 4.53 | NA | NA | XXX | |
| 76088 | 26 | A | X-ray of mammary ducts | 0.45 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.63 | 0.65 | 0.63 | 0.65 | XXX |
| 76088 | TC | A | X-ray of mammary ducts | 0.00 | 3.70 | 3.72 | NA | NA | 0.16 | 3.86 | 3.88 | NA | NA | XXX |
| 76090 | A | Mammogram, one breast | 0.58 | 1.27 | 1.26 | NA | NA | 0.07 | 1.92 | 1.91 | NA | NA | XXX | |
| 76090 | 26 | A | Mammogram, one breast | 0.58 | 0.20 | 0.18 | 0.20 | 0.18 | 0.02 | 0.80 | 0.78 | 0.80 | 0.78 | XXX |
| 76090 | TC | A | Mammogram, one breast | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 76091 | A | Mammogram, both breasts | 0.69 | 1.56 | 1.56 | NA | NA | 0.09 | 2.34 | 2.34 | NA | NA | XXX | |
| 76091 | 26 | A | Mammogram, both breasts | 0.69 | 0.24 | 0.23 | 0.24 | 0.23 | 0.03 | 0.96 | 0.95 | 0.96 | 0.95 | XXX |
| 76091 | TC | A | Mammogram, both breasts | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76092 | X | Mamm0gram, screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76093 | A | Magnetic image, breast | 1.63 | 18.39 | 18.54 | NA | NA | 0.84 | 20.86 | 21.01 | NA | NA | XXX | |
| 76093 | 26 | A | Magnetic image, breast | 1.63 | 0.57 | 0.62 | 0.57 | 0.62 | 0.06 | 2.26 | 2.31 | 2.26 | 2.31 | XXX |
| 76093 | TC | A | Magnetic image, breast | 0.00 | 17.82 | 17.92 | NA | NA | 0.78 | 18.60 | 18.70 | NA | NA | XXX |
| 76094 | A | Magnetic image, both breasts | 1.63 | 24.74 | 24.93 | NA | NA | 1.12 | 27.49 | 27.68 | NA | NA | XXX | |
| 76094 | 26 | A | Magnetic image, both breasts | 1.63 | 0.57 | 0.62 | 0.57 | 0.62 | 0.06 | 2.26 | 2.31 | 2.26 | 2.31 | XXX |
| 76094 | TC | A | Magnetic image, both breasts | 0.00 | 24.17 | 24.31 | NA | NA | 1.06 | 25.23 | 25.37 | NA | NA | XXX |
| 76095 | A | Stereotactic breast biopsy | 1.59 | 7.80 | 7.89 | NA | NA | 0.40 | 9.79 | 9.88 | NA | NA | XXX | |
| 76095 | 26 | A | Stereotactic breast biopsy | 1.59 | 0.56 | 0.61 | 0.56 | 0.61 | 0.08 | 2.23 | 2.28 | 2.23 | 2.28 | XXX |
| 76095 | TC | A | Stereotactic breast biopsy | 0.00 | 7.24 | 7.28 | NA | NA | 0.32 | 7.56 | 7.60 | NA | NA | XXX |
| 76096 | A | X-ray of needle wire, breast | 0.56 | 1.52 | 1.55 | NA | NA | 0.08 | 2.16 | 2.19 | NA | NA | XXX | |
| 76096 | 26 | A | X-ray of needle wire, breast | 0.56 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.78 | 0.80 | 0.78 | 0.80 | XXX |
| 76096 | TC | A | X-ray of needle wire, breast | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76098 | A | X-ray exam, breast specimen | 0.16 | 0.48 | 0.49 | NA | NA | 0.03 | 0.67 | 0.68 | NA | NA | XXX | |
| 76098 | 26 | A | X-ray exam, breast specimen | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 76098 | TC | A | X-ray exam, breast specimen | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 76100 | A | X-ray exam of body section | 0.58 | 1.46 | 1.49 | NA | NA | 0.08 | 2.12 | 2.15 | NA | NA | XXX | |
| 76100 | 26 | A | X-ray exam of body section | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 76100 | TC | A | X-ray exam of body section | 0.00 | 1.26 | 1.27 | NA | NA | 0.06 | 1.32 | 1.33 | NA | NA | XXX |
| 76101 | A | Complex body section x-ray | 0.58 | 1.64 | 1.67 | NA | NA | 0.09 | 2.31 | 2.34 | NA | NA | XXX | |
| 76101 | 26 | A | Complex body section x-ray | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 76101 | TC | A | Complex body section x-ray | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76102 | A | Complex body section x-rays | 0.58 | 1.95 | 1.98 | NA | NA | 0.11 | 2.64 | 2.67 | NA | NA | XXX | |
| 76102 | 26 | A | Complex body section x-rays | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 76102 | TC | A | Complex body section x-rays | 0.00 | 1.75 | 1.76 | NA | NA | 0.09 | 1.84 | 1.85 | NA | NA | XXX |
| 76120 | A | Cinematic x-rays | 0.38 | 1.21 | 1.23 | NA | NA | 0.07 | 1.66 | 1.68 | NA | NA | XXX | |
| 76120 | 26 | A | Cinematic x-rays | 0.38 | 0.14 | 0.15 | 0.14 | 0.15 | 0.02 | 0.54 | 0.55 | 0.54 | 0.55 | XXX |
| 76120 | TC | A | Cinematic x-rays | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 76125 | A | Cinematic x-rays add-on | 0.27 | 0.89 | 0.91 | NA | NA | 0.05 | 1.21 | 1.23 | NA | NA | ZZZ | |
| 76125 | 26 | A | Cinematic x-rays add-on | 0.27 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.38 | 0.39 | 0.38 | 0.39 | ZZZ |
| 76125 | TC | A | Cinematic x-rays add-on | 0.00 | 0.79 | 0.80 | NA | NA | 0.04 | 0.83 | 0.84 | NA | NA | ZZZ |
| 76140 | I | X-ray consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76150 | A | X-ray exam, dry process | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX | |
| 76350 | C | Special x-ray contrast study | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 76355 | A | CAT scan for localization | 1.21 | 8.77 | 8.86 | NA | NA | 0.41 | 10.39 | 10.48 | NA | NA | XXX | |
| 76355 | 26 | A | CAT scan for localization | 1.21 | 0.42 | 0.46 | 0.42 | 0.46 | 0.05 | 1.68 | 1.72 | 1.68 | 1.72 | XXX |
| 76355 | TC | A | CAT scan for localization | 0.00 | 8.35 | 8.40 | NA | NA | 0.36 | 8.71 | 8.76 | NA | NA | XXX |
| 76360 | A | CAT scan for needle biopsy | 1.16 | 8.75 | 8.84 | NA | NA | 0.41 | 10.32 | 10.41 | NA | NA | XXX | |
| 76360 | 26 | A | CAT scan for needle biopsy | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 76360 | TC | A | CAT scan for needle biopsy | 0.00 | 8.35 | 8.40 | NA | NA | 0.36 | 8.71 | 8.76 | NA | NA | XXX |
| 76365 | A | CAT scan for cyst aspiration | 1.16 | 8.75 | 8.84 | NA | NA | 0.41 | 10.32 | 10.41 | NA | NA | XXX | |
| 76365 | 26 | A | CAT scan for cyst aspiration | 1.16 | 0.40 | 0.44 | 0.40 | 0.44 | 0.05 | 1.61 | 1.65 | 1.61 | 1.65 | XXX |
| 76365 | TC | A | CAT scan for cyst aspiration | 0.00 | 8.35 | 8.40 | NA | NA | 0.36 | 8.71 | 8.76 | NA | NA | XXX |
| 76370 | A | CAT scan for therapy guide | 0.85 | 3.27 | 3.32 | NA | NA | 0.16 | 4.28 | 4.33 | NA | NA | XXX | |
| 76370 | 26 | A | CAT scan for therapy guide | 0.85 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.17 | 1.20 | 1.17 | 1.20 | XXX |
| 76370 | TC | A | CAT scan for therapy guide | 0.00 | 2.98 | 3.00 | NA | NA | 0.13 | 3.11 | 3.13 | NA | NA | XXX |
| 76375 | A | 3d/holograph reconstr add-on | 0.16 | 3.64 | 3.67 | NA | NA | 0.16 | 3.96 | 3.99 | NA | NA | XXX | |
| 76375 | 26 | A | 3d/holograph reconstr add-on | 0.16 | 0.06 | 0.07 | 0.06 | 0.07 | 0.01 | 0.23 | 0.24 | 0.23 | 0.24 | XXX |
| 76375 | TC | A | 3d/holograph reconstr add-on | 0.00 | 3.58 | 3.60 | NA | NA | 0.15 | 3.73 | 3.75 | NA | NA | XXX |
| 76380 | A | CAT scan follow-up study | 0.98 | 3.88 | 3.94 | NA | NA | 0.19 | 5.05 | 5.11 | NA | NA | XXX | |
| 76380 | 26 | A | CAT scan follow-up study | 0.98 | 0.34 | 0.38 | 0.34 | 0.38 | 0.04 | 1.36 | 1.40 | 1.36 | 1.40 | XXX |
| 76380 | TC | A | CAT scan follow-up study | 0.00 | 3.54 | 3.56 | NA | NA | 0.15 | 3.69 | 3.71 | NA | NA | XXX |
| 76390 | A | Mr spectroscopy | 1.40 | 11.82 | 11.95 | NA | NA | 0.56 | 13.78 | 13.91 | NA | NA | XXX | |
| 76390 | 26 | A | Mr spectroscopy | 1.40 | 0.49 | 0.55 | 0.49 | 0.55 | 0.06 | 1.95 | 2.01 | 1.95 | 2.01 | XXX |
| 76390 | TC | A | Mr spectroscopy | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 76400 | A | Magnetic image, bone marrow | 1.60 | 11.89 | 12.02 | NA | NA | 0.56 | 14.05 | 14.18 | NA | NA | XXX | |
| 76400 | 26 | A | Magnetic image, bone marrow | 1.60 | 0.56 | 0.62 | 0.56 | 0.62 | 0.06 | 2.22 | 2.28 | 2.22 | 2.28 | XXX |
| 76400 | TC | A | Magnetic image, bone marrow | 0.00 | 11.33 | 11.40 | NA | NA | 0.50 | 11.83 | 11.90 | NA | NA | XXX |
| 76499 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 76499 | 26 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76499 | TC | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 76506 | A | Echo exam of head | 0.63 | 1.68 | 1.71 | NA | NA | 0.10 | 2.41 | 2.44 | NA | NA | XXX | |
| 76506 | 26 | A | Echo exam of head | 0.63 | 0.24 | 0.26 | 0.24 | 0.26 | 0.03 | 0.90 | 0.92 | 0.90 | 0.92 | XXX |
| 76506 | TC | A | Echo exam of head | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76511 | A | Echo exam of eye | 0.94 | 1.69 | 1.66 | NA | NA | 0.09 | 2.72 | 2.69 | NA | NA | XXX | |
| 76511 | 26 | A | Echo exam of eye | 0.94 | 0.43 | 0.39 | 0.43 | 0.39 | 0.03 | 1.40 | 1.36 | 1.40 | 1.36 | XXX |
| 76511 | TC | A | Echo exam of eye | 0.00 | 1.26 | 1.27 | NA | NA | 0.06 | 1.32 | 1.33 | NA | NA | XXX |
| 76512 | A | Echo exam of eye | 0.66 | 1.84 | 1.86 | NA | NA | 0.10 | 2.60 | 2.62 | NA | NA | XXX | |
| 76512 | 26 | A | Echo exam of eye | 0.66 | 0.31 | 0.32 | 0.31 | 0.32 | 0.02 | 0.99 | 1.00 | 0.99 | 1.00 | XXX |
| 76512 | TC | A | Echo exam of eye | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76513 | A | Echo exam of eye, water bath | 0.66 | 1.83 | 1.85 | NA | NA | 0.10 | 2.59 | 2.61 | NA | NA | XXX | |
| 76513 | 26 | A | Echo exam of eye, water bath | 0.66 | 0.30 | 0.31 | 0.30 | 0.31 | 0.02 | 0.98 | 0.99 | 0.98 | 0.99 | XXX |
| 76513 | TC | A | Echo exam of eye, water bath | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76516 | A | Echo exam of eye | 0.54 | 1.52 | 1.53 | NA | NA | 0.08 | 2.14 | 2.15 | NA | NA | XXX | |
| 76516 | 26 | A | Echo exam of eye | 0.54 | 0.26 | 0.26 | 0.26 | 0.26 | 0.02 | 0.82 | 0.82 | 0.82 | 0.82 | XXX |
| 76516 | TC | A | Echo exam of eye | 0.00 | 1.26 | 1.27 | NA | NA | 0.06 | 1.32 | 1.33 | NA | NA | XXX |
| 76519 | A | Echo exam of eye | 0.54 | 1.52 | 1.53 | NA | NA | 0.08 | 2.14 | 2.15 | NA | NA | XXX | |
| 76519 | 26 | A | Echo exam of eye | 0.54 | 0.26 | 0.26 | 0.26 | 0.26 | 0.02 | 0.82 | 0.82 | 0.82 | 0.82 | XXX |
| 76519 | TC | A | Echo exam of eye | 0.00 | 1.26 | 1.27 | NA | NA | 0.06 | 1.32 | 1.33 | NA | NA | XXX |
| 76529 | A | Echo exam of eye | 0.57 | 1.65 | 1.66 | NA | NA | 0.09 | 2.31 | 2.32 | NA | NA | XXX | |
| 76529 | 26 | A | Echo exam of eye | 0.57 | 0.27 | 0.27 | 0.27 | 0.27 | 0.02 | 0.86 | 0.86 | 0.86 | 0.86 | XXX |
| 76529 | TC | A | Echo exam of eye | 0.00 | 1.38 | 1.39 | NA | NA | 0.07 | 1.45 | 1.46 | NA | NA | XXX |
| 76536 | A | Echo exam of head and neck | 0.56 | 1.64 | 1.67 | NA | NA | 0.09 | 2.29 | 2.32 | NA | NA | XXX | |
| 76536 | 26 | A | Echo exam of head and neck | 0.56 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.78 | 0.80 | 0.78 | 0.80 | XXX |
| 76536 | TC | A | Echo exam of head and neck | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76604 | A | Echo exam of chest | 0.55 | 1.51 | 1.54 | NA | NA | 0.08 | 2.14 | 2.17 | NA | NA | XXX | |
| 76604 | 26 | A | Echo exam of chest | 0.55 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.76 | 0.78 | 0.76 | 0.78 | XXX |
| 76604 | TC | A | Echo exam of chest | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76645 | A | Echo exam of breast(s) | 0.54 | 1.26 | 1.29 | NA | NA | 0.07 | 1.87 | 1.90 | NA | NA | XXX | |
| 76645 | 26 | A | Echo exam of breast(s) | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 76645 | TC | A | Echo exam of breast(s) | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 76700 | A | Echo exam of abdomen | 0.81 | 2.27 | 2.31 | NA | NA | 0.12 | 3.20 | 3.24 | NA | NA | XXX | |
| 76700 | 26 | A | Echo exam of abdomen | 0.81 | 0.28 | 0.31 | 0.28 | 0.31 | 0.03 | 1.12 | 1.15 | 1.12 | 1.15 | XXX |
| 76700 | TC | A | Echo exam of abdomen | 0.00 | 1.99 | 2.00 | NA | NA | 0.09 | 2.08 | 2.09 | NA | NA | XXX |
| 76705 | A | Echo exam of abdomen | 0.59 | 1.65 | 1.68 | NA | NA | 0.09 | 2.33 | 2.36 | NA | NA | XXX | |
| 76705 | 26 | A | Echo exam of abdomen | 0.59 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.82 | 0.84 | 0.82 | 0.84 | XXX |
| 76705 | TC | A | Echo exam of abdomen | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76770 | A | Echo exam abdomen back wall | 0.74 | 2.25 | 2.29 | NA | NA | 0.12 | 3.11 | 3.15 | NA | NA | XXX | |
| 76770 | 26 | A | Echo exam abdomen back wall | 0.74 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.03 | 1.06 | 1.03 | 1.06 | XXX |
| 76770 | TC | A | Echo exam abdomen back wall | 0.00 | 1.99 | 2.00 | NA | NA | 0.09 | 2.08 | 2.09 | NA | NA | XXX |
| 76775 | A | Echo exam abdomen back wall | 0.58 | 1.64 | 1.67 | NA | NA | 0.09 | 2.31 | 2.34 | NA | NA | XXX | |
| 76775 | 26 | A | Echo exam abdomen back wall | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 76775 | TC | A | Echo exam abdomen back wall | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76778 | A | Echo exam kidney transplant | 0.74 | 2.25 | 2.29 | NA | NA | 0.12 | 3.11 | 3.15 | NA | NA | XXX | |
| 76778 | 26 | A | Echo exam kidney transplant | 0.74 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.03 | 1.06 | 1.03 | 1.06 | XXX |
| 76778 | TC | A | Echo exam kidney transplant | 0.00 | 1.99 | 2.00 | NA | NA | 0.09 | 2.08 | 2.09 | NA | NA | XXX |
| 76800 | A | Echo exam spinal canal | 1.13 | 1.81 | 1.86 | NA | NA | 0.12 | 3.06 | 3.11 | NA | NA | XXX | |
| 76800 | 26 | A | Echo exam spinal canal | 1.13 | 0.37 | 0.41 | 0.37 | 0.41 | 0.05 | 1.55 | 1.59 | 1.55 | 1.59 | XXX |
| 76800 | TC | A | Echo exam spinal canal | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76805 | A | Echo exam of pregnant uterus | 0.99 | 2.47 | 2.52 | NA | NA | 0.14 | 3.60 | 3.65 | NA | NA | XXX | |
| 76805 | 26 | A | Echo exam of pregnant uterus | 0.99 | 0.35 | 0.39 | 0.35 | 0.39 | 0.04 | 1.38 | 1.42 | 1.38 | 1.42 | XXX |
| 76805 | TC | A | Echo exam of pregnant uterus | 0.00 | 2.12 | 2.13 | NA | NA | 0.10 | 2.22 | 2.23 | NA | NA | XXX |
| 76810 | A | Echo exam of pregnant uterus | 1.97 | 4.95 | 5.04 | NA | NA | 0.26 | 7.18 | 7.27 | NA | NA | XXX | |
| 76810 | 26 | A | Echo exam of pregnant uterus | 1.97 | 0.71 | 0.77 | 0.71 | 0.77 | 0.07 | 2.75 | 2.81 | 2.75 | 2.81 | XXX |
| 76810 | TC | A | Echo exam of pregnant uterus | 0.00 | 4.24 | 4.27 | NA | NA | 0.19 | 4.43 | 4.46 | NA | NA | XXX |
| 76815 | A | Echo exam of pregnant uterus | 0.65 | 1.68 | 1.71 | NA | NA | 0.09 | 2.42 | 2.45 | NA | NA | XXX | |
| 76815 | 26 | A | Echo exam of pregnant uterus | 0.65 | 0.24 | 0.26 | 0.24 | 0.26 | 0.02 | 0.91 | 0.93 | 0.91 | 0.93 | XXX |
| 76815 | TC | A | Echo exam of pregnant uterus | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76816 | A | Echo exam follow-up/repeat | 0.57 | 1.33 | 1.36 | NA | NA | 0.07 | 1.97 | 2.00 | NA | NA | XXX | |
| 76816 | 26 | A | Echo exam follow-up/repeat | 0.57 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 76816 | TC | A | Echo exam follow-up/repeat | 0.00 | 1.12 | 1.13 | NA | NA | 0.05 | 1.17 | 1.18 | NA | NA | XXX |
| 76818 | A | Fetal biophysical profile | 0.77 | 1.92 | 1.95 | NA | NA | 0.11 | 2.80 | 2.83 | NA | NA | XXX | |
| 76818 | 26 | A | Fetal biophysical profile | 0.77 | 0.29 | 0.31 | 0.29 | 0.31 | 0.03 | 1.09 | 1.11 | 1.09 | 1.11 | XXX |
| 76818 | TC | A | Fetal biophysical profile | 0.00 | 1.63 | 1.64 | NA | NA | 0.08 | 1.71 | 1.72 | NA | NA | XXX |
| 76825 | A | Echo exam of fetal heart | 1.67 | 2.63 | 2.58 | NA | NA | 0.15 | 4.45 | 4.40 | NA | NA | XXX | |
| 76825 | 26 | A | Echo exam of fetal heart | 1.67 | 0.64 | 0.58 | 0.64 | 0.58 | 0.06 | 2.37 | 2.31 | 2.37 | 2.31 | XXX |
| 76825 | TC | A | Echo exam of fetal heart | 0.00 | 1.99 | 2.00 | NA | NA | 0.09 | 2.08 | 2.09 | NA | NA | XXX |
| 76826 | A | Echo exam of fetal heart | 0.83 | 1.03 | 1.15 | NA | NA | 0.07 | 1.93 | 2.05 | NA | NA | XXX | |
| 76826 | 26 | A | Echo exam of fetal heart | 0.83 | 0.32 | 0.43 | 0.32 | 0.43 | 0.03 | 1.18 | 1.29 | 1.18 | 1.29 | XXX |
| 76826 | TC | A | Echo exam of fetal heart | 0.00 | 0.71 | 0.72 | NA | NA | 0.04 | 0.75 | 0.76 | NA | NA | XXX |
| 76827 | A | Echo exam of fetal heart | 0.58 | 1.96 | 2.09 | NA | NA | 0.12 | 2.66 | 2.79 | NA | NA | XXX | |
| 76827 | 26 | A | Echo exam of fetal heart | 0.58 | 0.22 | 0.34 | 0.22 | 0.34 | 0.02 | 0.82 | 0.94 | 0.82 | 0.94 | XXX |
| 76827 | TC | A | Echo exam of fetal heart | 0.00 | 1.74 | 1.75 | NA | NA | 0.10 | 1.84 | 1.85 | NA | NA | XXX |
| 76828 | A | Echo exam of fetal heart | 0.56 | 1.34 | 1.37 | NA | NA | 0.09 | 1.99 | 2.02 | NA | NA | XXX | |
| 76828 | 26 | A | Echo exam of fetal heart | 0.56 | 0.22 | 0.24 | 0.22 | 0.24 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 76828 | TC | A | Echo exam of fetal heart | 0.00 | 1.12 | 1.13 | NA | NA | 0.07 | 1.19 | 1.20 | NA | NA | XXX |
| 76830 | A | Echo exam, transvaginal | 0.69 | 1.77 | 1.81 | NA | NA | 0.11 | 2.57 | 2.61 | NA | NA | XXX | |
| 76830 | 26 | A | Echo exam, transvaginal | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 76830 | TC | A | Echo exam, transvaginal | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76831 | A | Echo exam, uterus | 0.72 | 1.79 | 1.82 | NA | NA | 0.11 | 2.62 | 2.65 | NA | NA | XXX | |
| 76831 | 26 | A | Echo exam, uterus | 0.72 | 0.26 | 0.28 | 0.26 | 0.28 | 0.03 | 1.01 | 1.03 | 1.01 | 1.03 | XXX |
| 76831 | TC | A | Echo exam, uterus | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76856 | A | Echo exam of pelvis | 0.69 | 1.77 | 1.81 | NA | NA | 0.11 | 2.57 | 2.61 | NA | NA | XXX | |
| 76856 | 26 | A | Echo exam of pelvis | 0.69 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.96 | 0.99 | 0.96 | 0.99 | XXX |
| 76856 | TC | A | Echo exam of pelvis | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76857 | A | Echo exam of pelvis | 0.38 | 1.20 | 1.22 | NA | NA | 0.07 | 1.65 | 1.67 | NA | NA | XXX | |
| 76857 | 26 | A | Echo exam of pelvis | 0.38 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 76857 | TC | A | Echo exam of pelvis | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 76870 | A | Echo exam of scrotum | 0.64 | 1.75 | 1.78 | NA | NA | 0.11 | 2.50 | 2.53 | NA | NA | XXX | |
| 76870 | 26 | A | Echo exam of scrotum | 0.64 | 0.22 | 0.24 | 0.22 | 0.24 | 0.03 | 0.89 | 0.91 | 0.89 | 0.91 | XXX |
| 76870 | TC | A | Echo exam of scrotum | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76872 | A | Echo exam, transrectal | 0.69 | 1.76 | 1.80 | NA | NA | 0.11 | 2.56 | 2.60 | NA | NA | XXX | |
| 76872 | 26 | A | Echo exam, transrectal | 0.69 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.95 | 0.98 | 0.95 | 0.98 | XXX |
| 76872 | TC | A | Echo exam, transrectal | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76873 | A | Echograp trans r, pros study | 1.38 | 2.53 | 2.54 | NA | NA | 0.20 | 4.11 | 4.12 | NA | NA | XXX | |
| 76873 | 26 | A | Echograp trans r, pros study | 1.38 | 0.47 | 0.47 | 0.47 | 0.47 | 0.07 | 1.92 | 1.92 | 1.92 | 1.92 | XXX |
| 76873 | TC | A | Echograp trans r, pros study | 0.00 | 2.06 | 2.07 | NA | NA | 0.13 | 2.19 | 2.20 | NA | NA | XXX |
| 76880 | A | Echo exam of extremity | 0.59 | 1.65 | 1.68 | NA | NA | 0.09 | 2.33 | 2.36 | NA | NA | XXX | |
| 76880 | 26 | A | Echo exam of extremity | 0.59 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.82 | 0.84 | 0.82 | 0.84 | XXX |
| 76880 | TC | A | Echo exam of extremity | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76885 | A | Echo exam, infant hips | 0.74 | 1.79 | 1.82 | NA | NA | 0.11 | 2.64 | 2.67 | NA | NA | XXX | |
| 76885 | 26 | A | Echo exam, infant hips | 0.74 | 0.26 | 0.28 | 0.26 | 0.28 | 0.03 | 1.03 | 1.05 | 1.03 | 1.05 | XXX |
| 76885 | TC | A | Echo exam, infant hips | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76886 | A | Echo exam, infant hips | 0.62 | 1.66 | 1.69 | NA | NA | 0.09 | 2.37 | 2.40 | NA | NA | XXX | |
| 76886 | 26 | A | Echo exam, infant hips | 0.62 | 0.22 | 0.24 | 0.22 | 0.24 | 0.02 | 0.86 | 0.88 | 0.86 | 0.88 | XXX |
| 76886 | TC | A | Echo exam, infant hips | 0.00 | 1.44 | 1.45 | NA | NA | 0.07 | 1.51 | 1.52 | NA | NA | XXX |
| 76930 | A | Echo guide for heart sac tap | 0.67 | 1.80 | 1.83 | NA | NA | 0.10 | 2.57 | 2.60 | NA | NA | XXX | |
| 76930 | 26 | A | Echo guide for heart sac tap | 0.67 | 0.27 | 0.29 | 0.27 | 0.29 | 0.02 | 0.96 | 0.98 | 0.96 | 0.98 | XXX |
| 76930 | TC | A | Echo guide for heart sac tap | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76932 | A | Echo guide for heart biopsy | 0.67 | 1.80 | 1.83 | NA | NA | 0.10 | 2.57 | 2.60 | NA | NA | XXX | |
| 76932 | 26 | A | Echo guide for heart biopsy | 0.67 | 0.27 | 0.29 | 0.27 | 0.29 | 0.02 | 0.96 | 0.98 | 0.96 | 0.98 | XXX |
| 76932 | TC | A | Echo guide for heart biopsy | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76934 | A | Echo guide for chest tap | 0.67 | 1.76 | 1.80 | NA | NA | 0.11 | 2.54 | 2.58 | NA | NA | XXX | |
| 76934 | 26 | A | Echo guide for chest tap | 0.67 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.93 | 0.96 | 0.93 | 0.96 | XXX |
| 76934 | TC | A | Echo guide for chest tap | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76936 | A | Echo guide for artery repair | 1.99 | 7.07 | 7.27 | NA | NA | 0.40 | 9.46 | 9.66 | NA | NA | XXX | |
| 76936 | 26 | A | Echo guide for artery repair | 1.99 | 0.71 | 0.87 | 0.71 | 0.87 | 0.11 | 2.81 | 2.97 | 2.81 | 2.97 | XXX |
| 76936 | TC | A | Echo guide for artery repair | 0.00 | 6.36 | 6.40 | NA | NA | 0.29 | 6.65 | 6.69 | NA | NA | XXX |
| 76938 | A | Echo exam for drainage | 0.67 | 1.76 | 1.80 | NA | NA | 0.11 | 2.54 | 2.58 | NA | NA | XXX | |
| 76938 | 26 | A | Echo exam for drainage | 0.67 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.93 | 0.96 | 0.93 | 0.96 | XXX |
| 76938 | TC | A | Echo exam for drainage | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76941 | A | Echo guide for transfusion | 1.34 | 2.07 | 2.11 | NA | NA | 0.12 | 3.53 | 3.57 | NA | NA | XXX | |
| 76941 | 26 | A | Echo guide for transfusion | 1.34 | 0.53 | 0.56 | 0.53 | 0.56 | 0.05 | 1.92 | 1.95 | 1.92 | 1.95 | XXX |
| 76941 | TC | A | Echo guide for transfusion | 0.00 | 1.54 | 1.55 | NA | NA | 0.07 | 1.61 | 1.62 | NA | NA | XXX |
| 76942 | A | Echo guide for biopsy | 0.67 | 1.76 | 1.80 | NA | NA | 0.11 | 2.54 | 2.58 | NA | NA | XXX | |
| 76942 | 26 | A | Echo guide for biopsy | 0.67 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.93 | 0.96 | 0.93 | 0.96 | XXX |
| 76942 | TC | A | Echo guide for biopsy | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76945 | A | Echo guide, villus sampling | 0.67 | 1.77 | 1.89 | NA | NA | 0.10 | 2.54 | 2.66 | NA | NA | XXX | |
| 76945 | 26 | A | Echo guide, villus sampling | 0.67 | 0.23 | 0.34 | 0.23 | 0.34 | 0.03 | 0.93 | 1.04 | 0.93 | 1.04 | XXX |
| 76945 | TC | A | Echo guide, villus sampling | 0.00 | 1.54 | 1.55 | NA | NA | 0.07 | 1.61 | 1.62 | NA | NA | XXX |
| 76946 | A | Echo guide for amniocentesis | 0.38 | 1.67 | 1.69 | NA | NA | 0.09 | 2.14 | 2.16 | NA | NA | XXX | |
| 76946 | 26 | A | Echo guide for amniocentesis | 0.38 | 0.14 | 0.15 | 0.14 | 0.15 | 0.01 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 76946 | TC | A | Echo guide for amniocentesis | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76948 | A | Echo guide, ova aspiration | 0.38 | 1.66 | 1.68 | NA | NA | 0.10 | 2.14 | 2.16 | NA | NA | XXX | |
| 76948 | 26 | A | Echo guide, ova aspiration | 0.38 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 76948 | TC | A | Echo guide, ova aspiration | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76950 | A | Echo guidance radiotherapy | 0.58 | 1.52 | 1.55 | NA | NA | 0.09 | 2.19 | 2.22 | NA | NA | XXX | |
| 76950 | 26 | A | Echo guidance radiotherapy | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.03 | 0.81 | 0.83 | 0.81 | 0.83 | XXX |
| 76950 | TC | A | Echo guidance radiotherapy | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76960 | A | Echo guidance radiotherapy | 0.58 | 1.52 | 1.55 | NA | NA | 0.09 | 2.19 | 2.22 | NA | NA | XXX | |
| 76960 | 26 | A | Echo guidance radiotherapy | 0.58 | 0.20 | 0.22 | 0.20 | 0.22 | 0.03 | 0.81 | 0.83 | 0.81 | 0.83 | XXX |
| 76960 | TC | A | Echo guidance radiotherapy | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 76965 | A | Echo guidance radiotherapy | 1.34 | 6.08 | 6.40 | NA | NA | 0.32 | 7.74 | 8.06 | NA | NA | XXX | |
| 76965 | 26 | A | Echo guidance radiotherapy | 1.34 | 0.45 | 0.74 | 0.45 | 0.74 | 0.07 | 1.86 | 2.15 | 1.86 | 2.15 | XXX |
| 76965 | TC | A | Echo guidance radiotherapy | 0.00 | 5.63 | 5.66 | NA | NA | 0.25 | 5.88 | 5.91 | NA | NA | XXX |
| 76970 | A | Ultrasound exam follow-up | 0.40 | 1.21 | 1.24 | NA | NA | 0.07 | 1.68 | 1.71 | NA | NA | XXX | |
| 76970 | 26 | A | Ultrasound exam follow-up | 0.40 | 0.14 | 0.16 | 0.14 | 0.16 | 0.02 | 0.56 | 0.58 | 0.56 | 0.58 | XXX |
| 76970 | TC | A | Ultrasound exam follow-up | 0.00 | 1.07 | 1.08 | NA | NA | 0.05 | 1.12 | 1.13 | NA | NA | XXX |
| 76975 | A | GI endoscopic ultrasound | 0.81 | 1.81 | 1.84 | NA | NA | 0.11 | 2.73 | 2.76 | NA | NA | XXX | |
| 76975 | 26 | A | GI endoscopic ultrasound | 0.81 | 0.28 | 0.30 | 0.28 | 0.30 | 0.03 | 1.12 | 1.14 | 1.12 | 1.14 | XXX |
| 76975 | TC | A | GI endoscopic ultrasound | 0.00 | 1.53 | 1.54 | NA | NA | 0.08 | 1.61 | 1.62 | NA | NA | XXX |
| 76977 | A | Us bone density measure | 0.05 | 0.86 | 0.87 | NA | NA | 0.05 | 0.96 | 0.97 | NA | NA | XXX | |
| 76977 | 26 | A | Us bone density measure | 0.05 | 0.02 | 0.02 | 0.02 | 0.02 | 0.01 | 0.08 | 0.08 | 0.08 | 0.08 | XXX |
| 76977 | TC | A | Us bone density measure | 0.00 | 0.84 | 0.85 | NA | NA | 0.04 | 0.88 | 0.89 | NA | NA | XXX |
| 76986 | A | Echo exam at surgery | 1.20 | 3.08 | 3.14 | NA | NA | 0.18 | 4.46 | 4.52 | NA | NA | XXX | |
| 76986 | 26 | A | Echo exam at surgery | 1.20 | 0.43 | 0.47 | 0.43 | 0.47 | 0.06 | 1.69 | 1.73 | 1.69 | 1.73 | XXX |
| 76986 | TC | A | Echo exam at surgery | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 76999 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 76999 | 26 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76999 | TC | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 77261 | A | Radiation therapy planning | 1.39 | 0.55 | 0.58 | 0.55 | 0.58 | 0.05 | 1.99 | 2.02 | 1.99 | 2.02 | XXX | |
| 77262 | A | Radiation therapy planning | 2.11 | 0.81 | 0.86 | 0.81 | 0.86 | 0.08 | 3.00 | 3.05 | 3.00 | 3.05 | XXX | |
| 77263 | A | Radiation therapy planning | 3.14 | 1.20 | 1.28 | 1.20 | 1.28 | 0.12 | 4.46 | 4.54 | 4.46 | 4.54 | XXX | |
| 77280 | A | Set radiation therapy field | 0.70 | 3.75 | 3.80 | NA | NA | 0.18 | 4.63 | 4.68 | NA | NA | XXX | |
| 77280 | 26 | A | Set radiation therapy field | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 77280 | TC | A | Set radiation therapy field | 0.00 | 3.51 | 3.53 | NA | NA | 0.15 | 3.66 | 3.68 | NA | NA | XXX |
| 77285 | A | Set radiation therapy field | 1.05 | 5.99 | 6.06 | NA | NA | 0.30 | 7.34 | 7.41 | NA | NA | XXX | |
| 77285 | 26 | A | Set radiation therapy field | 1.05 | 0.36 | 0.40 | 0.36 | 0.40 | 0.04 | 1.45 | 1.49 | 1.45 | 1.49 | XXX |
| 77285 | TC | A | Set radiation therapy field | 0.00 | 5.63 | 5.66 | NA | NA | 0.26 | 5.89 | 5.92 | NA | NA | XXX |
| 77290 | A | Set radiation therapy field | 1.56 | 7.12 | 7.22 | NA | NA | 0.36 | 9.04 | 9.14 | NA | NA | XXX | |
| 77290 | 26 | A | Set radiation therapy field | 1.56 | 0.54 | 0.60 | 0.54 | 0.60 | 0.06 | 2.16 | 2.22 | 2.16 | 2.22 | XXX |
| 77290 | TC | A | Set radiation therapy field | 0.00 | 6.58 | 6.62 | NA | NA | 0.30 | 6.88 | 6.92 | NA | NA | XXX |
| 77295 | A | Set radiation therapy field | 4.57 | 29.82 | 30.15 | NA | NA | 1.44 | 35.83 | 36.16 | NA | NA | XXX | |
| 77295 | 26 | A | Set radiation therapy field | 4.57 | 1.58 | 1.75 | 1.58 | 1.75 | 0.17 | 6.32 | 6.49 | 6.32 | 6.49 | XXX |
| 77295 | TC | A | Set radiation therapy field | 0.00 | 28.24 | 28.40 | NA | NA | 1.27 | 29.51 | 29.67 | NA | NA | XXX |
| 77299 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77299 | 26 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77299 | TC | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 77300 | A | Radiation therapy dose plan | 0.62 | 1.57 | 1.60 | NA | NA | 0.08 | 2.27 | 2.30 | NA | NA | XXX | |
| 77300 | 26 | A | Radiation therapy dose plan | 0.62 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.85 | 0.87 | 0.85 | 0.87 | XXX |
| 77300 | TC | A | Radiation therapy dose plan | 0.00 | 1.36 | 1.37 | NA | NA | 0.06 | 1.42 | 1.43 | NA | NA | XXX |
| 77305 | A | Radiation therapy dose plan | 0.70 | 2.12 | 2.16 | NA | NA | 0.12 | 2.94 | 2.98 | NA | NA | XXX | |
| 77305 | 26 | A | Radiation therapy dose plan | 0.70 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.97 | 1.00 | 0.97 | 1.00 | XXX |
| 77305 | TC | A | Radiation therapy dose plan | 0.00 | 1.88 | 1.89 | NA | NA | 0.09 | 1.97 | 1.98 | NA | NA | XXX |
| 77310 | A | Radiation therapy dose plan | 1.05 | 2.72 | 2.77 | NA | NA | 0.15 | 3.92 | 3.97 | NA | NA | XXX | |
| 77310 | 26 | A | Radiation therapy dose plan | 1.05 | 0.36 | 0.40 | 0.36 | 0.40 | 0.04 | 1.45 | 1.49 | 1.45 | 1.49 | XXX |
| 77310 | TC | A | Radiation therapy dose plan | 0.00 | 2.36 | 2.37 | NA | NA | 0.11 | 2.47 | 2.48 | NA | NA | XXX |
| 77315 | A | Radiation therapy dose plan | 1.56 | 3.23 | 3.31 | NA | NA | 0.18 | 4.97 | 5.05 | NA | NA | XXX | |
| 77315 | 26 | A | Radiation therapy dose plan | 1.56 | 0.54 | 0.60 | 0.54 | 0.60 | 0.06 | 2.16 | 2.22 | 2.16 | 2.22 | XXX |
| 77315 | TC | A | Radiation therapy dose plan | 0.00 | 2.69 | 2.71 | NA | NA | 0.12 | 2.81 | 2.83 | NA | NA | XXX |
| 77321 | A | Radiation therapy port plan | 0.95 | 4.42 | 4.48 | NA | NA | 0.22 | 5.59 | 5.65 | NA | NA | XXX | |
| 77321 | 26 | A | Radiation therapy port plan | 0.95 | 0.33 | 0.37 | 0.33 | 0.37 | 0.04 | 1.32 | 1.36 | 1.32 | 1.36 | XXX |
| 77321 | TC | A | Radiation therapy port plan | 0.00 | 4.09 | 4.11 | NA | NA | 0.18 | 4.27 | 4.29 | NA | NA | XXX |
| 77326 | A | Radiation therapy dose plan | 0.93 | 2.71 | 2.76 | NA | NA | 0.15 | 3.79 | 3.84 | NA | NA | XXX | |
| 77326 | 26 | A | Radiation therapy dose plan | 0.93 | 0.32 | 0.36 | 0.32 | 0.36 | 0.04 | 1.29 | 1.33 | 1.29 | 1.33 | XXX |
| 77326 | TC | A | Radiation therapy dose plan | 0.00 | 2.39 | 2.40 | NA | NA | 0.11 | 2.50 | 2.51 | NA | NA | XXX |
| 77327 | A | Radiation therapy dose plan | 1.39 | 3.99 | 4.06 | NA | NA | 0.21 | 5.59 | 5.66 | NA | NA | XXX | |
| 77327 | 26 | A | Radiation therapy dose plan | 1.39 | 0.48 | 0.53 | 0.48 | 0.53 | 0.06 | 1.93 | 1.98 | 1.93 | 1.98 | XXX |
| 77327 | TC | A | Radiation therapy dose plan | 0.00 | 3.51 | 3.53 | NA | NA | 0.15 | 3.66 | 3.68 | NA | NA | XXX |
| 77328 | A | Radiation therapy dose plan | 2.09 | 5.73 | 5.83 | NA | NA | 0.30 | 8.12 | 8.22 | NA | NA | XXX | |
| 77328 | 26 | A | Radiation therapy dose plan | 2.09 | 0.72 | 0.79 | 0.72 | 0.79 | 0.08 | 2.89 | 2.96 | 2.89 | 2.96 | XXX |
| 77328 | TC | A | Radiation therapy dose plan | 0.00 | 5.01 | 5.04 | NA | NA | 0.22 | 5.23 | 5.26 | NA | NA | XXX |
| 77331 | A | Special radiation dosimetry | 0.87 | 0.81 | 0.84 | NA | NA | 0.05 | 1.73 | 1.76 | NA | NA | XXX | |
| 77331 | 26 | A | Special radiation dosimetry | 0.87 | 0.30 | 0.33 | 0.30 | 0.33 | 0.03 | 1.20 | 1.23 | 1.20 | 1.23 | XXX |
| 77331 | TC | A | Special radiation dosimetry | 0.00 | 0.51 | 0.51 | NA | NA | 0.02 | 0.53 | 0.53 | NA | NA | XXX |
| 77332 | A | Radiation treatment aid(s) | 0.54 | 1.55 | 1.58 | NA | NA | 0.08 | 2.17 | 2.20 | NA | NA | XXX | |
| 77332 | 26 | A | Radiation treatment aid(s) | 0.54 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.75 | 0.77 | 0.75 | 0.77 | XXX |
| 77332 | TC | A | Radiation treatment aid(s) | 0.00 | 1.36 | 1.37 | NA | NA | 0.06 | 1.42 | 1.43 | NA | NA | XXX |
| 77333 | A | Radiation treatment aid(s) | 0.84 | 2.21 | 2.25 | NA | NA | 0.12 | 3.17 | 3.21 | NA | NA | XXX | |
| 77333 | 26 | A | Radiation treatment aid(s) | 0.84 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.16 | 1.19 | 1.16 | 1.19 | XXX |
| 77333 | TC | A | Radiation treatment aid(s) | 0.00 | 1.92 | 1.93 | NA | NA | 0.09 | 2.01 | 2.02 | NA | NA | XXX |
| 77334 | A | Radiation treatment aid(s) | 1.24 | 3.71 | 3.77 | NA | NA | 0.19 | 5.14 | 5.20 | NA | NA | XXX | |
| 77334 | 26 | A | Radiation treatment aid(s) | 1.24 | 0.43 | 0.47 | 0.43 | 0.47 | 0.05 | 1.72 | 1.76 | 1.72 | 1.76 | XXX |
| 77334 | TC | A | Radiation treatment aid(s) | 0.00 | 3.28 | 3.30 | NA | NA | 0.14 | 3.42 | 3.44 | NA | NA | XXX |
| 77336 | A | Radiation physics consult | 0.00 | 3.01 | 3.03 | NA | NA | 0.13 | 3.14 | 3.16 | NA | NA | XXX | |
| 77370 | A | Radiation physics consult | 0.00 | 3.53 | 3.55 | NA | NA | 0.15 | 3.68 | 3.70 | NA | NA | XXX | |
| 77380 | D | Proton beam delivery | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77380 | 26 | D | Proton beam delivery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77380 | TC | D | Proton beam delivery | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 77381 | D | Proton beam treatment | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77381 | 26 | D | Proton beam treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77381 | TC | D | Proton beam treatment | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 77399 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77399 | 26 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77399 | TC | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 77401 | A | Radiation treatment delivery | 0.00 | 1.79 | 1.80 | NA | NA | 0.09 | 1.88 | 1.89 | NA | NA | XXX | |
| 77402 | A | Radiation treatment delivery | 0.00 | 1.79 | 1.80 | NA | NA | 0.09 | 1.88 | 1.89 | NA | NA | XXX | |
| 77403 | A | Radiation treatment delivery | 0.00 | 1.79 | 1.80 | NA | NA | 0.09 | 1.88 | 1.89 | NA | NA | XXX | |
| 77404 | A | Radiation treatment delivery | 0.00 | 1.79 | 1.80 | NA | NA | 0.09 | 1.88 | 1.89 | NA | NA | XXX | |
| 77406 | A | Radiation treatment delivery | 0.00 | 1.79 | 1.80 | NA | NA | 0.09 | 1.88 | 1.89 | NA | NA | XXX | |
| 77407 | A | Radiation treatment delivery | 0.00 | 2.11 | 2.12 | NA | NA | 0.10 | 2.21 | 2.22 | NA | NA | XXX | |
| 77408 | A | Radiation treatment delivery | 0.00 | 2.11 | 2.12 | NA | NA | 0.10 | 2.21 | 2.22 | NA | NA | XXX | |
| 77409 | A | Radiation treatment delivery | 0.00 | 2.11 | 2.12 | NA | NA | 0.10 | 2.21 | 2.22 | NA | NA | XXX | |
| 77411 | A | Radiation treatment delivery | 0.00 | 2.11 | 2.12 | NA | NA | 0.10 | 2.21 | 2.22 | NA | NA | XXX | |
| 77412 | A | Radiation treatment delivery | 0.00 | 2.36 | 2.37 | NA | NA | 0.11 | 2.47 | 2.48 | NA | NA | XXX | |
| 77413 | A | Radiation treatment delivery | 0.00 | 2.36 | 2.37 | NA | NA | 0.11 | 2.47 | 2.48 | NA | NA | XXX | |
| 77414 | A | Radiation treatment delivery | 0.00 | 2.36 | 2.37 | NA | NA | 0.11 | 2.47 | 2.48 | NA | NA | XXX | |
| 77416 | A | Radiation treatment delivery | 0.00 | 2.36 | 2.37 | NA | NA | 0.11 | 2.47 | 2.48 | NA | NA | XXX | |
| 77417 | A | Radiology port film(s) | 0.00 | 0.60 | 0.60 | NA | NA | 0.03 | 0.63 | 0.63 | NA | NA | XXX | |
| 77419 | D | Weekly radiation therapy | 3.60 | 1.43 | 1.51 | 1.43 | 1.51 | 0.13 | 5.16 | 5.24 | 5.16 | 5.24 | XXX | |
| 77420 | D | Weekly radiation therapy | 1.61 | 0.64 | 0.68 | 0.64 | 0.68 | 0.06 | 2.31 | 2.35 | 2.31 | 2.35 | XXX | |
| 77425 | D | Weekly radiation therapy | 2.44 | 0.97 | 1.03 | 0.97 | 1.03 | 0.10 | 3.51 | 3.57 | 3.51 | 3.57 | XXX | |
| 77427 | A | Radiation tx management, x5 | 3.31 | 1.14 | 1.14 | 1.14 | 1.14 | 0.11 | 4.56 | 4.56 | 4.56 | 4.56 | XXX | |
| 77430 | D | Weekly radiation therapy | 3.60 | 1.43 | 1.51 | 1.43 | 1.51 | 0.13 | 5.16 | 5.24 | 5.16 | 5.24 | XXX | |
| 77431 | A | Radiation therapy management | 1.81 | 0.73 | 0.77 | 0.73 | 0.77 | 0.07 | 2.61 | 2.65 | 2.61 | 2.65 | XXX | |
| 77432 | A | Stereotactic radiation trmt | 7.93 | 3.10 | 3.67 | 3.10 | 3.67 | 0.31 | 11.34 | 11.91 | 11.34 | 11.91 | XXX | |
| 77470 | A | Special radiation treatment | 2.09 | 11.99 | 12.13 | NA | NA | 0.58 | 14.66 | 14.80 | NA | NA | XXX | |
| 77470 | 26 | A | Special radiation treatment | 2.09 | 0.72 | 0.79 | 0.72 | 0.79 | 0.08 | 2.89 | 2.96 | 2.89 | 2.96 | XXX |
| 77470 | TC | A | Special radiation treatment | 0.00 | 11.27 | 11.34 | NA | NA | 0.50 | 11.77 | 11.84 | NA | NA | XXX |
| 77499 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77499 | 26 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77499 | TC | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 77520 | C | Proton beam delivery | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77523 | C | Proton beam delivery | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77600 | R | Hyperthermia treatment | 1.56 | 3.62 | 3.70 | NA | NA | 0.19 | 5.37 | 5.45 | NA | NA | XXX | |
| 77600 | 26 | R | Hyperthermia treatment | 1.56 | 0.54 | 0.60 | 0.54 | 0.60 | 0.06 | 2.16 | 2.22 | 2.16 | 2.22 | XXX |
| 77600 | TC | R | Hyperthermia treatment | 0.00 | 3.08 | 3.10 | NA | NA | 0.13 | 3.21 | 3.23 | NA | NA | XXX |
| 77605 | R | Hyperthermia treatment | 2.09 | 4.85 | 4.94 | NA | NA | 0.28 | 7.22 | 7.31 | NA | NA | XXX | |
| 77605 | 26 | R | Hyperthermia treatment | 2.09 | 0.74 | 0.81 | 0.74 | 0.81 | 0.09 | 2.92 | 2.99 | 2.92 | 2.99 | XXX |
| 77605 | TC | R | Hyperthermia treatment | 0.00 | 4.11 | 4.13 | NA | NA | 0.19 | 4.30 | 4.32 | NA | NA | XXX |
| 77610 | R | Hyperthermia treatment | 1.56 | 3.62 | 3.70 | NA | NA | 0.19 | 5.37 | 5.45 | NA | NA | XXX | |
| 77610 | 26 | R | Hyperthermia treatment | 1.56 | 0.54 | 0.60 | 0.54 | 0.60 | 0.06 | 2.16 | 2.22 | 2.16 | 2.22 | XXX |
| 77610 | TC | R | Hyperthermia treatment | 0.00 | 3.08 | 3.10 | NA | NA | 0.13 | 3.21 | 3.23 | NA | NA | XXX |
| 77615 | R | Hyperthermia treatment | 2.09 | 4.83 | 4.92 | NA | NA | 0.27 | 7.19 | 7.28 | NA | NA | XXX | |
| 77615 | 26 | R | Hyperthermia treatment | 2.09 | 0.72 | 0.79 | 0.72 | 0.79 | 0.08 | 2.89 | 2.96 | 2.89 | 2.96 | XXX |
| 77615 | TC | R | Hyperthermia treatment | 0.00 | 4.11 | 4.13 | NA | NA | 0.19 | 4.30 | 4.32 | NA | NA | XXX |
| 77620 | R | Hyperthermia treatment | 1.56 | 3.70 | 3.76 | NA | NA | 0.19 | 5.45 | 5.51 | NA | NA | XXX | |
| 77620 | 26 | R | Hyperthermia treatment | 1.56 | 0.62 | 0.66 | 0.62 | 0.66 | 0.06 | 2.24 | 2.28 | 2.24 | 2.28 | XXX |
| 77620 | TC | R | Hyperthermia treatment | 0.00 | 3.08 | 3.10 | NA | NA | 0.13 | 3.21 | 3.23 | NA | NA | XXX |
| 77750 | A | Infuse radioactive materials | 4.91 | 3.05 | 3.19 | NA | NA | 0.24 | 8.20 | 8.34 | NA | NA | 090 | |
| 77750 | 26 | A | Infuse radioactive materials | 4.91 | 1.70 | 1.83 | 1.70 | 1.83 | 0.18 | 6.79 | 6.92 | 6.79 | 6.92 | 090 |
| 77750 | TC | A | Infuse radioactive materials | 0.00 | 1.35 | 1.36 | NA | NA | 0.06 | 1.41 | 1.42 | NA | NA | 090 |
| 77761 | A | Radioelement application | 3.81 | 3.68 | 3.85 | NA | NA | 0.28 | 7.77 | 7.94 | NA | NA | 090 | |
| 77761 | 26 | A | Radioelement application | 3.81 | 1.15 | 1.30 | 1.15 | 1.30 | 0.16 | 5.12 | 5.27 | 5.12 | 5.27 | 090 |
| 77761 | TC | A | Radioelement application | 0.00 | 2.53 | 2.55 | NA | NA | 0.12 | 2.65 | 2.67 | NA | NA | 090 |
| 77762 | A | Radioelement application | 5.72 | 5.66 | 5.83 | NA | NA | 0.40 | 11.78 | 11.95 | NA | NA | 090 | |
| 77762 | 26 | A | Radioelement application | 5.72 | 2.01 | 2.16 | 2.01 | 2.16 | 0.24 | 7.97 | 8.12 | 7.97 | 8.12 | 090 |
| 77762 | TC | A | Radioelement application | 0.00 | 3.65 | 3.67 | NA | NA | 0.16 | 3.81 | 3.83 | NA | NA | 090 |
| 77763 | A | Radioelement application | 8.57 | 7.50 | 7.76 | NA | NA | 0.55 | 16.62 | 16.88 | NA | NA | 090 | |
| 77763 | 26 | A | Radioelement application | 8.57 | 2.96 | 3.19 | 2.96 | 3.19 | 0.35 | 11.88 | 12.11 | 11.88 | 12.11 | 090 |
| 77763 | TC | A | Radioelement application | 0.00 | 4.54 | 4.57 | NA | NA | 0.20 | 4.74 | 4.77 | NA | NA | 090 |
| 77776 | A | Radioelement application | 4.66 | 3.16 | 3.50 | NA | NA | 0.31 | 8.13 | 8.47 | NA | NA | XXX | |
| 77776 | 26 | A | Radioelement application | 4.66 | 0.96 | 1.29 | 0.96 | 1.29 | 0.20 | 5.82 | 6.15 | 5.82 | 6.15 | XXX |
| 77776 | TC | A | Radioelement application | 0.00 | 2.20 | 2.21 | NA | NA | 0.11 | 2.31 | 2.32 | NA | NA | XXX |
| 77777 | A | Radioelement application | 7.48 | 6.85 | 7.09 | NA | NA | 0.50 | 14.83 | 15.07 | NA | NA | 090 | |
| 77777 | 26 | A | Radioelement application | 7.48 | 2.57 | 2.78 | 2.57 | 2.78 | 0.31 | 10.36 | 10.57 | 10.36 | 10.57 | 090 |
| 77777 | TC | A | Radioelement application | 0.00 | 4.28 | 4.31 | NA | NA | 0.19 | 4.47 | 4.50 | NA | NA | 090 |
| 77778 | A | Radioelement application | 11.19 | 9.04 | 9.38 | NA | NA | 0.67 | 20.90 | 21.24 | NA | NA | 090 | |
| 77778 | 26 | A | Radioelement application | 11.19 | 3.85 | 4.16 | 3.85 | 4.16 | 0.44 | 15.48 | 15.79 | 15.48 | 15.79 | 090 |
| 77778 | TC | A | Radioelement application | 0.00 | 5.19 | 5.22 | NA | NA | 0.23 | 5.42 | 5.45 | NA | NA | 090 |
| 77781 | A | High intensity brachytherapy | 1.66 | 21.10 | 21.27 | NA | NA | 0.98 | 23.74 | 23.91 | NA | NA | 090 | |
| 77781 | 26 | A | High intensity brachytherapy | 1.66 | 0.57 | 0.62 | 0.57 | 0.62 | 0.07 | 2.30 | 2.35 | 2.30 | 2.35 | 090 |
| 77781 | TC | A | High intensity brachytherapy | 0.00 | 20.53 | 20.65 | NA | NA | 0.91 | 21.44 | 21.56 | NA | NA | 090 |
| 77782 | A | High intensity brachytherapy | 2.49 | 21.39 | 21.58 | NA | NA | 1.01 | 24.89 | 25.08 | NA | NA | 090 | |
| 77782 | 26 | A | High intensity brachytherapy | 2.49 | 0.86 | 0.93 | 0.86 | 0.93 | 0.10 | 3.45 | 3.52 | 3.45 | 3.52 | 090 |
| 77782 | TC | A | High intensity brachytherapy | 0.00 | 20.53 | 20.65 | NA | NA | 0.91 | 21.44 | 21.56 | NA | NA | 090 |
| 77783 | A | High intensity brachytherapy | 3.73 | 21.81 | 22.03 | NA | NA | 1.05 | 26.59 | 26.81 | NA | NA | 090 | |
| 77783 | 26 | A | High intensity brachytherapy | 3.73 | 1.28 | 1.38 | 1.28 | 1.38 | 0.14 | 5.15 | 5.25 | 5.15 | 5.25 | 090 |
| 77783 | TC | A | High intensity brachytherapy | 0.00 | 20.53 | 20.65 | NA | NA | 0.91 | 21.44 | 21.56 | NA | NA | 090 |
| 77784 | A | High intensity brachytherapy | 5.61 | 22.46 | 22.73 | NA | NA | 1.12 | 29.19 | 29.46 | NA | NA | 090 | |
| 77784 | 26 | A | High intensity brachytherapy | 5.61 | 1.93 | 2.08 | 1.93 | 2.08 | 0.21 | 7.75 | 7.90 | 7.75 | 7.90 | 090 |
| 77784 | TC | A | High intensity brachytherapy | 0.00 | 20.53 | 20.65 | NA | NA | 0.91 | 21.44 | 21.56 | NA | NA | 090 |
| 77789 | A | Radioelement application | 1.12 | 0.86 | 0.89 | NA | NA | 0.06 | 2.04 | 2.07 | NA | NA | 090 | |
| 77789 | 26 | A | Radioelement application | 1.12 | 0.40 | 0.43 | 0.40 | 0.43 | 0.04 | 1.56 | 1.59 | 1.56 | 1.59 | 090 |
| 77789 | TC | A | Radioelement application | 0.00 | 0.46 | 0.46 | NA | NA | 0.02 | 0.48 | 0.48 | NA | NA | 090 |
| 77790 | A | Radioelement handling | 1.05 | 0.87 | 0.91 | NA | NA | 0.06 | 1.98 | 2.02 | NA | NA | XXX | |
| 77790 | 26 | A | Radioelement handling | 1.05 | 0.36 | 0.40 | 0.36 | 0.40 | 0.04 | 1.45 | 1.49 | 1.45 | 1.49 | XXX |
| 77790 | TC | A | Radioelement handling | 0.00 | 0.51 | 0.51 | NA | NA | 0.02 | 0.53 | 0.53 | NA | NA | XXX |
| 77799 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 77799 | 26 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 77799 | TC | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78000 | A | Thyroid, single uptake | 0.19 | 1.05 | 1.07 | NA | NA | 0.06 | 1.30 | 1.32 | NA | NA | XXX | |
| 78000 | 26 | A | Thyroid, single uptake | 0.19 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.27 | 0.28 | 0.27 | 0.28 | XXX |
| 78000 | TC | A | Thyroid, single uptake | 0.00 | 0.98 | 0.99 | NA | NA | 0.05 | 1.03 | 1.04 | NA | NA | XXX |
| 78001 | A | Thyroid, multiple uptakes | 0.26 | 1.41 | 1.43 | NA | NA | 0.07 | 1.74 | 1.76 | NA | NA | XXX | |
| 78001 | 26 | A | Thyroid, multiple uptakes | 0.26 | 0.09 | 0.10 | 0.09 | 0.10 | 0.01 | 0.36 | 0.37 | 0.36 | 0.37 | XXX |
| 78001 | TC | A | Thyroid, multiple uptakes | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 78003 | A | Thyroid suppress/stimul | 0.33 | 1.10 | 1.12 | NA | NA | 0.06 | 1.49 | 1.51 | NA | NA | XXX | |
| 78003 | 26 | A | Thyroid suppress/stimul | 0.33 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.46 | 0.47 | 0.46 | 0.47 | XXX |
| 78003 | TC | A | Thyroid suppress/stimul | 0.00 | 0.98 | 0.99 | NA | NA | 0.05 | 1.03 | 1.04 | NA | NA | XXX |
| 78006 | A | Thyroid imaging with uptake | 0.49 | 2.57 | 2.61 | NA | NA | 0.13 | 3.19 | 3.23 | NA | NA | XXX | |
| 78006 | 26 | A | Thyroid imaging with uptake | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 78006 | TC | A | Thyroid imaging with uptake | 0.00 | 2.40 | 2.42 | NA | NA | 0.11 | 2.51 | 2.53 | NA | NA | XXX |
| 78007 | A | Thyroid image, mult uptakes | 0.50 | 2.78 | 2.82 | NA | NA | 0.14 | 3.42 | 3.46 | NA | NA | XXX | |
| 78007 | 26 | A | Thyroid image, mult uptakes | 0.50 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.70 | 0.72 | 0.70 | 0.72 | XXX |
| 78007 | TC | A | Thyroid image, mult uptakes | 0.00 | 2.60 | 2.62 | NA | NA | 0.12 | 2.72 | 2.74 | NA | NA | XXX |
| 78010 | A | Thyroid imaging | 0.39 | 1.98 | 2.00 | NA | NA | 0.11 | 2.48 | 2.50 | NA | NA | XXX | |
| 78010 | 26 | A | Thyroid imaging | 0.39 | 0.14 | 0.15 | 0.14 | 0.15 | 0.02 | 0.55 | 0.56 | 0.55 | 0.56 | XXX |
| 78010 | TC | A | Thyroid imaging | 0.00 | 1.84 | 1.85 | NA | NA | 0.09 | 1.93 | 1.94 | NA | NA | XXX |
| 78011 | A | Thyroid imaging with flow | 0.45 | 2.59 | 2.63 | NA | NA | 0.13 | 3.17 | 3.21 | NA | NA | XXX | |
| 78011 | 26 | A | Thyroid imaging with flow | 0.45 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.63 | 0.65 | 0.63 | 0.65 | XXX |
| 78011 | TC | A | Thyroid imaging with flow | 0.00 | 2.43 | 2.45 | NA | NA | 0.11 | 2.54 | 2.56 | NA | NA | XXX |
| 78015 | A | Thyroid met imaging | 0.67 | 2.84 | 2.89 | NA | NA | 0.15 | 3.66 | 3.71 | NA | NA | XXX | |
| 78015 | 26 | A | Thyroid met imaging | 0.67 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.94 | 0.97 | 0.94 | 0.97 | XXX |
| 78015 | TC | A | Thyroid met imaging | 0.00 | 2.60 | 2.62 | NA | NA | 0.12 | 2.72 | 2.74 | NA | NA | XXX |
| 78016 | A | Thyroid met imaging/studies | 0.82 | 3.82 | 3.87 | NA | NA | 0.18 | 4.82 | 4.87 | NA | NA | XXX | |
| 78016 | 26 | A | Thyroid met imaging/studies | 0.82 | 0.30 | 0.33 | 0.30 | 0.33 | 0.03 | 1.15 | 1.18 | 1.15 | 1.18 | XXX |
| 78016 | TC | A | Thyroid met imaging/studies | 0.00 | 3.52 | 3.54 | NA | NA | 0.15 | 3.67 | 3.69 | NA | NA | XXX |
| 78018 | A | Thyroid met imaging, body | 0.86 | 5.79 | 5.86 | NA | NA | 0.28 | 6.93 | 7.00 | NA | NA | XXX | |
| 78018 | 26 | A | Thyroid met imaging, body | 0.86 | 0.31 | 0.35 | 0.31 | 0.35 | 0.03 | 1.20 | 1.24 | 1.20 | 1.24 | XXX |
| 78018 | TC | A | Thyroid met imaging, body | 0.00 | 5.48 | 5.51 | NA | NA | 0.25 | 5.73 | 5.76 | NA | NA | XXX |
| 78020 | A | Thyroid met uptake | 0.60 | 0.39 | 0.39 | NA | NA | 0.00 | 0.99 | 0.99 | NA | NA | ZZZ | |
| 78020 | 26 | A | Thyroid met uptake | 0.60 | 0.24 | 0.24 | 0.24 | 0.24 | 0.00 | 0.84 | 0.84 | 0.84 | 0.84 | ZZZ |
| 78020 | TC | A | Thyroid met uptake | 0.00 | 0.15 | 0.15 | NA | NA | 0.00 | 0.15 | 0.15 | NA | NA | ZZZ |
| 78070 | A | Parathyroid nuclear imaging | 0.82 | 2.13 | 2.13 | NA | NA | 0.12 | 3.07 | 3.07 | NA | NA | XXX | |
| 78070 | 26 | A | Parathyroid nuclear imaging | 0.82 | 0.29 | 0.28 | 0.29 | 0.28 | 0.03 | 1.14 | 1.13 | 1.14 | 1.13 | XXX |
| 78070 | TC | A | Parathyroid nuclear imaging | 0.00 | 1.84 | 1.85 | NA | NA | 0.09 | 1.93 | 1.94 | NA | NA | XXX |
| 78075 | A | Adrenal nuclear imaging | 0.74 | 5.76 | 5.81 | NA | NA | 0.28 | 6.78 | 6.83 | NA | NA | XXX | |
| 78075 | 26 | A | Adrenal nuclear imaging | 0.74 | 0.28 | 0.30 | 0.28 | 0.30 | 0.03 | 1.05 | 1.07 | 1.05 | 1.07 | XXX |
| 78075 | TC | A | Adrenal nuclear imaging | 0.00 | 5.48 | 5.51 | NA | NA | 0.25 | 5.73 | 5.76 | NA | NA | XXX |
| 78099 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78099 | 26 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78099 | TC | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78102 | A | Bone marrow imaging, ltd | 0.55 | 2.26 | 2.29 | NA | NA | 0.12 | 2.93 | 2.96 | NA | NA | XXX | |
| 78102 | 26 | A | Bone marrow imaging, ltd | 0.55 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.77 | 0.79 | 0.77 | 0.79 | XXX |
| 78102 | TC | A | Bone marrow imaging, ltd | 0.00 | 2.06 | 2.07 | NA | NA | 0.10 | 2.16 | 2.17 | NA | NA | XXX |
| 78103 | A | Bone marrow imaging, mult | 0.75 | 3.48 | 3.53 | NA | NA | 0.17 | 4.40 | 4.45 | NA | NA | XXX | |
| 78103 | 26 | A | Bone marrow imaging, mult | 0.75 | 0.27 | 0.30 | 0.27 | 0.30 | 0.03 | 1.05 | 1.08 | 1.05 | 1.08 | XXX |
| 78103 | TC | A | Bone marrow imaging, mult | 0.00 | 3.21 | 3.23 | NA | NA | 0.14 | 3.35 | 3.37 | NA | NA | XXX |
| 78104 | A | Bone marrow imaging, body | 0.80 | 4.41 | 4.46 | NA | NA | 0.22 | 5.43 | 5.48 | NA | NA | XXX | |
| 78104 | 26 | A | Bone marrow imaging, body | 0.80 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.12 | 1.15 | 1.12 | 1.15 | XXX |
| 78104 | TC | A | Bone marrow imaging, body | 0.00 | 4.12 | 4.14 | NA | NA | 0.19 | 4.31 | 4.33 | NA | NA | XXX |
| 78110 | A | Plasma volume, single | 0.19 | 1.03 | 1.05 | NA | NA | 0.06 | 1.28 | 1.30 | NA | NA | XXX | |
| 78110 | 26 | A | Plasma volume, single | 0.19 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.27 | 0.28 | 0.27 | 0.28 | XXX |
| 78110 | TC | A | Plasma volume, single | 0.00 | 0.96 | 0.97 | NA | NA | 0.05 | 1.01 | 1.02 | NA | NA | XXX |
| 78111 | A | Plasma volume, multiple | 0.22 | 2.68 | 2.71 | NA | NA | 0.13 | 3.03 | 3.06 | NA | NA | XXX | |
| 78111 | 26 | A | Plasma volume, multiple | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 78111 | TC | A | Plasma volume, multiple | 0.00 | 2.60 | 2.62 | NA | NA | 0.12 | 2.72 | 2.74 | NA | NA | XXX |
| 78120 | A | Red cell mass, single | 0.23 | 1.83 | 1.85 | NA | NA | 0.10 | 2.16 | 2.18 | NA | NA | XXX | |
| 78120 | 26 | A | Red cell mass, single | 0.23 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.32 | 0.33 | 0.32 | 0.33 | XXX |
| 78120 | TC | A | Red cell mass, single | 0.00 | 1.75 | 1.76 | NA | NA | 0.09 | 1.84 | 1.85 | NA | NA | XXX |
| 78121 | A | Red cell mass, multiple | 0.32 | 3.06 | 3.09 | NA | NA | 0.13 | 3.51 | 3.54 | NA | NA | XXX | |
| 78121 | 26 | A | Red cell mass, multiple | 0.32 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.45 | 0.46 | 0.45 | 0.46 | XXX |
| 78121 | TC | A | Red cell mass, multiple | 0.00 | 2.94 | 2.96 | NA | NA | 0.12 | 3.06 | 3.08 | NA | NA | XXX |
| 78122 | A | Blood volume | 0.45 | 4.81 | 4.86 | NA | NA | 0.23 | 5.49 | 5.54 | NA | NA | XXX | |
| 78122 | 26 | A | Blood volume | 0.45 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.63 | 0.65 | 0.63 | 0.65 | XXX |
| 78122 | TC | A | Blood volume | 0.00 | 4.65 | 4.68 | NA | NA | 0.21 | 4.86 | 4.89 | NA | NA | XXX |
| 78130 | A | Red cell survival study | 0.61 | 3.10 | 3.14 | NA | NA | 0.14 | 3.85 | 3.89 | NA | NA | XXX | |
| 78130 | 26 | A | Red cell survival study | 0.61 | 0.22 | 0.24 | 0.22 | 0.24 | 0.02 | 0.85 | 0.87 | 0.85 | 0.87 | XXX |
| 78130 | TC | A | Red cell survival study | 0.00 | 2.88 | 2.90 | NA | NA | 0.12 | 3.00 | 3.02 | NA | NA | XXX |
| 78135 | A | Red cell survival kinetics | 0.64 | 5.16 | 5.21 | NA | NA | 0.24 | 6.04 | 6.09 | NA | NA | XXX | |
| 78135 | 26 | A | Red cell survival kinetics | 0.64 | 0.23 | 0.25 | 0.23 | 0.25 | 0.02 | 0.89 | 0.91 | 0.89 | 0.91 | XXX |
| 78135 | TC | A | Red cell survival kinetics | 0.00 | 4.93 | 4.96 | NA | NA | 0.22 | 5.15 | 5.18 | NA | NA | XXX |
| 78140 | A | Red cell sequestration | 0.61 | 4.19 | 4.23 | NA | NA | 0.20 | 5.00 | 5.04 | NA | NA | XXX | |
| 78140 | 26 | A | Red cell sequestration | 0.61 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.84 | 0.86 | 0.84 | 0.86 | XXX |
| 78140 | TC | A | Red cell sequestration | 0.00 | 3.98 | 4.00 | NA | NA | 0.18 | 4.16 | 4.18 | NA | NA | XXX |
| 78160 | A | Plasma iron turnover | 0.33 | 3.82 | 3.85 | NA | NA | 0.17 | 4.32 | 4.35 | NA | NA | XXX | |
| 78160 | 26 | A | Plasma iron turnover | 0.33 | 0.12 | 0.13 | 0.12 | 0.13 | 0.01 | 0.46 | 0.47 | 0.46 | 0.47 | XXX |
| 78160 | TC | A | Plasma iron turnover | 0.00 | 3.70 | 3.72 | NA | NA | 0.16 | 3.86 | 3.88 | NA | NA | XXX |
| 78162 | A | Iron absorption exam | 0.45 | 3.42 | 3.45 | NA | NA | 0.15 | 4.02 | 4.05 | NA | NA | XXX | |
| 78162 | 26 | A | Iron absorption exam | 0.45 | 0.18 | 0.19 | 0.18 | 0.19 | 0.01 | 0.64 | 0.65 | 0.64 | 0.65 | XXX |
| 78162 | TC | A | Iron absorption exam | 0.00 | 3.24 | 3.26 | NA | NA | 0.14 | 3.38 | 3.40 | NA | NA | XXX |
| 78170 | A | Red cell iron utilization | 0.41 | 5.52 | 5.56 | NA | NA | 0.26 | 6.19 | 6.23 | NA | NA | XXX | |
| 78170 | 26 | A | Red cell iron utilization | 0.41 | 0.15 | 0.16 | 0.15 | 0.16 | 0.02 | 0.58 | 0.59 | 0.58 | 0.59 | XXX |
| 78170 | TC | A | Red cell iron utilization | 0.00 | 5.37 | 5.40 | NA | NA | 0.24 | 5.61 | 5.64 | NA | NA | XXX |
| 78172 | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78172 | 26 | A | Total body iron estimation | 0.53 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 78172 | TC | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78185 | A | Spleen imaging | 0.40 | 2.53 | 2.56 | NA | NA | 0.13 | 3.06 | 3.09 | NA | NA | XXX | |
| 78185 | 26 | A | Spleen imaging | 0.40 | 0.14 | 0.16 | 0.14 | 0.16 | 0.02 | 0.56 | 0.58 | 0.56 | 0.58 | XXX |
| 78185 | TC | A | Spleen imaging | 0.00 | 2.39 | 2.40 | NA | NA | 0.11 | 2.50 | 2.51 | NA | NA | XXX |
| 78190 | A | Platelet survival, kinetics | 1.09 | 6.21 | 6.26 | NA | NA | 0.30 | 7.60 | 7.65 | NA | NA | XXX | |
| 78190 | 26 | A | Platelet survival, kinetics | 1.09 | 0.43 | 0.45 | 0.43 | 0.45 | 0.04 | 1.56 | 1.58 | 1.56 | 1.58 | XXX |
| 78190 | TC | A | Platelet survival, kinetics | 0.00 | 5.78 | 5.81 | NA | NA | 0.26 | 6.04 | 6.07 | NA | NA | XXX |
| 78191 | A | Platelet survival | 0.61 | 7.64 | 7.70 | NA | NA | 0.34 | 8.59 | 8.65 | NA | NA | XXX | |
| 78191 | 26 | A | Platelet survival | 0.61 | 0.22 | 0.24 | 0.22 | 0.24 | 0.02 | 0.85 | 0.87 | 0.85 | 0.87 | XXX |
| 78191 | TC | A | Platelet survival | 0.00 | 7.42 | 7.46 | NA | NA | 0.32 | 7.74 | 7.78 | NA | NA | XXX |
| 78195 | A | Lymph system imaging | 1.20 | 4.55 | 4.55 | NA | NA | 0.24 | 5.99 | 5.99 | NA | NA | XXX | |
| 78195 | 26 | A | Lymph system imaging | 1.20 | 0.43 | 0.41 | 0.43 | 0.41 | 0.05 | 1.68 | 1.66 | 1.68 | 1.66 | XXX |
| 78195 | TC | A | Lymph system imaging | 0.00 | 4.12 | 4.14 | NA | NA | 0.19 | 4.31 | 4.33 | NA | NA | XXX |
| 78199 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78199 | 26 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78199 | TC | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78201 | A | Liver imaging | 0.44 | 2.55 | 2.57 | NA | NA | 0.13 | 3.12 | 3.14 | NA | NA | XXX | |
| 78201 | 26 | A | Liver imaging | 0.44 | 0.16 | 0.17 | 0.16 | 0.17 | 0.02 | 0.62 | 0.63 | 0.62 | 0.63 | XXX |
| 78201 | TC | A | Liver imaging | 0.00 | 2.39 | 2.40 | NA | NA | 0.11 | 2.50 | 2.51 | NA | NA | XXX |
| 78202 | A | Liver imaging with flow | 0.51 | 3.09 | 3.13 | NA | NA | 0.14 | 3.74 | 3.78 | NA | NA | XXX | |
| 78202 | 26 | A | Liver imaging with flow | 0.51 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.71 | 0.73 | 0.71 | 0.73 | XXX |
| 78202 | TC | A | Liver imaging with flow | 0.00 | 2.91 | 2.93 | NA | NA | 0.12 | 3.03 | 3.05 | NA | NA | XXX |
| 78205 | A | Liver imaging (3D) | 0.71 | 6.22 | 6.29 | NA | NA | 0.30 | 7.23 | 7.30 | NA | NA | XXX | |
| 78205 | 26 | A | Liver imaging (3D) | 0.71 | 0.25 | 0.28 | 0.25 | 0.28 | 0.03 | 0.99 | 1.02 | 0.99 | 1.02 | XXX |
| 78205 | TC | A | Liver imaging (3D) | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 78206 | A | Liver image (3d) w/flow | 0.96 | 6.34 | 6.38 | NA | NA | 0.13 | 7.43 | 7.47 | NA | NA | XXX | |
| 78206 | 26 | A | Liver image (3d) w/flow | 0.96 | 0.35 | 0.35 | 0.35 | 0.35 | 0.04 | 1.35 | 1.35 | 1.35 | 1.35 | XXX |
| 78206 | TC | A | Liver image (3d) w/flow | 0.00 | 5.99 | 6.03 | NA | NA | 0.09 | 6.08 | 6.12 | NA | NA | XXX |
| 78215 | A | Liver and spleen imaging | 0.49 | 3.14 | 3.18 | NA | NA | 0.14 | 3.77 | 3.81 | NA | NA | XXX | |
| 78215 | 26 | A | Liver and spleen imaging | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 78215 | TC | A | Liver and spleen imaging | 0.00 | 2.97 | 2.99 | NA | NA | 0.12 | 3.09 | 3.11 | NA | NA | XXX |
| 78216 | A | Liver spleen image/flow | 0.57 | 3.72 | 3.76 | NA | NA | 0.17 | 4.46 | 4.50 | NA | NA | XXX | |
| 78216 | 26 | A | Liver spleen image/flow | 0.57 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.79 | 0.81 | 0.79 | 0.81 | XXX |
| 78216 | TC | A | Liver spleen image/flow | 0.00 | 3.52 | 3.54 | NA | NA | 0.15 | 3.67 | 3.69 | NA | NA | XXX |
| 78220 | A | Liver function study | 0.49 | 3.93 | 3.97 | NA | NA | 0.18 | 4.60 | 4.64 | NA | NA | XXX | |
| 78220 | 26 | A | Liver function study | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 78220 | TC | A | Liver function study | 0.00 | 3.76 | 3.78 | NA | NA | 0.16 | 3.92 | 3.94 | NA | NA | XXX |
| 78223 | A | Hepatobiliary imaging | 0.84 | 4.00 | 4.05 | NA | NA | 0.19 | 5.03 | 5.08 | NA | NA | XXX | |
| 78223 | 26 | A | Hepatobiliary imaging | 0.84 | 0.30 | 0.33 | 0.30 | 0.33 | 0.03 | 1.17 | 1.20 | 1.17 | 1.20 | XXX |
| 78223 | TC | A | Hepatobiliary imaging | 0.00 | 3.70 | 3.72 | NA | NA | 0.16 | 3.86 | 3.88 | NA | NA | XXX |
| 78230 | A | Salivary gland imaging | 0.45 | 2.35 | 2.38 | NA | NA | 0.13 | 2.93 | 2.96 | NA | NA | XXX | |
| 78230 | 26 | A | Salivary gland imaging | 0.45 | 0.15 | 0.17 | 0.15 | 0.17 | 0.02 | 0.62 | 0.64 | 0.62 | 0.64 | XXX |
| 78230 | TC | A | Salivary gland imaging | 0.00 | 2.20 | 2.21 | NA | NA | 0.11 | 2.31 | 2.32 | NA | NA | XXX |
| 78231 | A | Serial salivary imaging | 0.52 | 3.40 | 3.44 | NA | NA | 0.16 | 4.08 | 4.12 | NA | NA | XXX | |
| 78231 | 26 | A | Serial salivary imaging | 0.52 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.73 | 0.75 | 0.73 | 0.75 | XXX |
| 78231 | TC | A | Serial salivary imaging | 0.00 | 3.21 | 3.23 | NA | NA | 0.14 | 3.35 | 3.37 | NA | NA | XXX |
| 78232 | A | Salivary gland function exam | 0.47 | 3.75 | 3.79 | NA | NA | 0.17 | 4.39 | 4.43 | NA | NA | XXX | |
| 78232 | 26 | A | Salivary gland function exam | 0.47 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.66 | 0.68 | 0.66 | 0.68 | XXX |
| 78232 | TC | A | Salivary gland function exam | 0.00 | 3.58 | 3.60 | NA | NA | 0.15 | 3.73 | 3.75 | NA | NA | XXX |
| 78258 | A | Esophageal motility study | 0.74 | 3.17 | 3.22 | NA | NA | 0.15 | 4.06 | 4.11 | NA | NA | XXX | |
| 78258 | 26 | A | Esophageal motility study | 0.74 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.03 | 1.06 | 1.03 | 1.06 | XXX |
| 78258 | TC | A | Esophageal motility study | 0.00 | 2.91 | 2.93 | NA | NA | 0.12 | 3.03 | 3.05 | NA | NA | XXX |
| 78261 | A | Gastric mucosa imaging | 0.69 | 4.40 | 4.45 | NA | NA | 0.22 | 5.31 | 5.36 | NA | NA | XXX | |
| 78261 | 26 | A | Gastric mucosa imaging | 0.69 | 0.26 | 0.28 | 0.26 | 0.28 | 0.03 | 0.98 | 1.00 | 0.98 | 1.00 | XXX |
| 78261 | TC | A | Gastric mucosa imaging | 0.00 | 4.14 | 4.17 | NA | NA | 0.19 | 4.33 | 4.36 | NA | NA | XXX |
| 78262 | A | Gastroesophageal reflux exam | 0.68 | 4.55 | 4.60 | NA | NA | 0.21 | 5.44 | 5.49 | NA | NA | XXX | |
| 78262 | 26 | A | Gastroesophageal reflux exam | 0.68 | 0.25 | 0.27 | 0.25 | 0.27 | 0.02 | 0.95 | 0.97 | 0.95 | 0.97 | XXX |
| 78262 | TC | A | Gastroesophageal reflux exam | 0.00 | 4.30 | 4.33 | NA | NA | 0.19 | 4.49 | 4.52 | NA | NA | XXX |
| 78264 | A | Gastric emptying study | 0.78 | 4.45 | 4.51 | NA | NA | 0.22 | 5.45 | 5.51 | NA | NA | XXX | |
| 78264 | 26 | A | Gastric emptying study | 0.78 | 0.28 | 0.31 | 0.28 | 0.31 | 0.03 | 1.09 | 1.12 | 1.09 | 1.12 | XXX |
| 78264 | TC | A | Gastric emptying study | 0.00 | 4.17 | 4.20 | NA | NA | 0.19 | 4.36 | 4.39 | NA | NA | XXX |
| 78267 | X | Breath tst attain/anal c-14 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78268 | X | Breath test analysis, c-14 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78270 | A | Vit B-12 absorption exam | 0.20 | 1.63 | 1.65 | NA | NA | 0.09 | 1.92 | 1.94 | NA | NA | XXX | |
| 78270 | 26 | A | Vit B-12 absorption exam | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 78270 | TC | A | Vit B-12 absorption exam | 0.00 | 1.56 | 1.57 | NA | NA | 0.08 | 1.64 | 1.65 | NA | NA | XXX |
| 78271 | A | Vit B-12 absorp exam, IF | 0.20 | 1.73 | 1.75 | NA | NA | 0.09 | 2.02 | 2.04 | NA | NA | XXX | |
| 78271 | 26 | A | Vit B-12 absorp exam, IF | 0.20 | 0.07 | 0.08 | 0.07 | 0.08 | 0.01 | 0.28 | 0.29 | 0.28 | 0.29 | XXX |
| 78271 | TC | A | Vit B-12 absorp exam, IF | 0.00 | 1.66 | 1.67 | NA | NA | 0.08 | 1.74 | 1.75 | NA | NA | XXX |
| 78272 | A | Vit B-12 absorp, combined | 0.27 | 2.45 | 2.47 | NA | NA | 0.12 | 2.84 | 2.86 | NA | NA | XXX | |
| 78272 | 26 | A | Vit B-12 absorp, combined | 0.27 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.38 | 0.39 | 0.38 | 0.39 | XXX |
| 78272 | TC | A | Vit B-12 absorp, combined | 0.00 | 2.35 | 2.36 | NA | NA | 0.11 | 2.46 | 2.47 | NA | NA | XXX |
| 78278 | A | Acute GI blood loss imaging | 0.99 | 5.28 | 5.35 | NA | NA | 0.26 | 6.53 | 6.60 | NA | NA | XXX | |
| 78278 | 26 | A | Acute GI blood loss imaging | 0.99 | 0.35 | 0.39 | 0.35 | 0.39 | 0.04 | 1.38 | 1.42 | 1.38 | 1.42 | XXX |
| 78278 | TC | A | Acute GI blood loss imaging | 0.00 | 4.93 | 4.96 | NA | NA | 0.22 | 5.15 | 5.18 | NA | NA | XXX |
| 78282 | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78282 | 26 | A | GI protein loss exam | 0.38 | 0.14 | 0.15 | 0.14 | 0.15 | 0.01 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 78282 | TC | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78290 | A | Meckel's divert exam | 0.68 | 3.32 | 3.37 | NA | NA | 0.16 | 4.16 | 4.21 | NA | NA | XXX | |
| 78290 | 26 | A | Meckel's divert exam | 0.68 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.95 | 0.98 | 0.95 | 0.98 | XXX |
| 78290 | TC | A | Meckel's divert exam | 0.00 | 3.08 | 3.10 | NA | NA | 0.13 | 3.21 | 3.23 | NA | NA | XXX |
| 78291 | A | Leveen/shunt patency exam | 0.88 | 3.42 | 3.47 | NA | NA | 0.16 | 4.46 | 4.51 | NA | NA | XXX | |
| 78291 | 26 | A | Leveen/shunt patency exam | 0.88 | 0.32 | 0.35 | 0.32 | 0.35 | 0.03 | 1.23 | 1.26 | 1.23 | 1.26 | XXX |
| 78291 | TC | A | Leveen/shunt patency exam | 0.00 | 3.10 | 3.12 | NA | NA | 0.13 | 3.23 | 3.25 | NA | NA | XXX |
| 78299 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78299 | 26 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78299 | TC | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78300 | A | Bone imaging, limited area | 0.62 | 2.73 | 2.77 | NA | NA | 0.14 | 3.49 | 3.53 | NA | NA | XXX | |
| 78300 | 26 | A | Bone imaging, limited area | 0.62 | 0.22 | 0.24 | 0.22 | 0.24 | 0.02 | 0.86 | 0.88 | 0.86 | 0.88 | XXX |
| 78300 | TC | A | Bone imaging, limited area | 0.00 | 2.51 | 2.53 | NA | NA | 0.12 | 2.63 | 2.65 | NA | NA | XXX |
| 78305 | A | Bone imaging, multiple areas | 0.83 | 3.99 | 4.04 | NA | NA | 0.19 | 5.01 | 5.06 | NA | NA | XXX | |
| 78305 | 26 | A | Bone imaging, multiple areas | 0.83 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.15 | 1.18 | 1.15 | 1.18 | XXX |
| 78305 | TC | A | Bone imaging, multiple areas | 0.00 | 3.70 | 3.72 | NA | NA | 0.16 | 3.86 | 3.88 | NA | NA | XXX |
| 78306 | A | Bone imaging, whole body | 0.86 | 4.62 | 4.68 | NA | NA | 0.22 | 5.70 | 5.76 | NA | NA | XXX | |
| 78306 | 26 | A | Bone imaging, whole body | 0.86 | 0.30 | 0.33 | 0.30 | 0.33 | 0.03 | 1.19 | 1.22 | 1.19 | 1.22 | XXX |
| 78306 | TC | A | Bone imaging, whole body | 0.00 | 4.32 | 4.35 | NA | NA | 0.19 | 4.51 | 4.54 | NA | NA | XXX |
| 78315 | A | Bone imaging, 3 phase | 1.02 | 5.19 | 5.25 | NA | NA | 0.26 | 6.47 | 6.53 | NA | NA | XXX | |
| 78315 | 26 | A | Bone imaging, 3 phase | 1.02 | 0.36 | 0.39 | 0.36 | 0.39 | 0.04 | 1.42 | 1.45 | 1.42 | 1.45 | XXX |
| 78315 | TC | A | Bone imaging, 3 phase | 0.00 | 4.83 | 4.86 | NA | NA | 0.22 | 5.05 | 5.08 | NA | NA | XXX |
| 78320 | A | Bone imaging (3D) | 1.04 | 6.35 | 6.42 | NA | NA | 0.31 | 7.70 | 7.77 | NA | NA | XXX | |
| 78320 | 26 | A | Bone imaging (3D) | 1.04 | 0.38 | 0.41 | 0.38 | 0.41 | 0.04 | 1.46 | 1.49 | 1.46 | 1.49 | XXX |
| 78320 | TC | A | Bone imaging (3D) | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 78350 | A | Bone mineral, single photon | 0.22 | 0.84 | 0.86 | NA | NA | 0.05 | 1.11 | 1.13 | NA | NA | XXX | |
| 78350 | 26 | A | Bone mineral, single photon | 0.22 | 0.08 | 0.09 | 0.08 | 0.09 | 0.01 | 0.31 | 0.32 | 0.31 | 0.32 | XXX |
| 78350 | TC | A | Bone mineral, single photon | 0.00 | 0.76 | 0.77 | NA | NA | 0.04 | 0.80 | 0.81 | NA | NA | XXX |
| 78351 | N | Bone mineral, dual photon | 0.30 | 1.45 | 1.14 | 0.12 | 0.14 | 0.01 | 1.76 | 1.45 | 0.43 | 0.45 | XXX | |
| 78399 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78399 | 26 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78399 | TC | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78414 | C | Non-imaging heart function | 0.00 | 0.00 | 0.18 | NA | NA | 0.00 | 0.00 | 0.18 | NA | NA | XXX | |
| 78414 | 26 | A | Non-imaging heart function | 0.45 | 0.17 | 0.18 | 0.17 | 0.18 | 0.02 | 0.64 | 0.65 | 0.64 | 0.65 | XXX |
| 78414 | TC | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78428 | A | Cardiac shunt imaging | 0.78 | 2.59 | 2.62 | NA | NA | 0.14 | 3.51 | 3.54 | NA | NA | XXX | |
| 78428 | 26 | A | Cardiac shunt imaging | 0.78 | 0.31 | 0.33 | 0.31 | 0.33 | 0.03 | 1.12 | 1.14 | 1.12 | 1.14 | XXX |
| 78428 | TC | A | Cardiac shunt imaging | 0.00 | 2.28 | 2.29 | NA | NA | 0.11 | 2.39 | 2.40 | NA | NA | XXX |
| 78445 | A | Vascular flow imaging | 0.49 | 2.06 | 2.09 | NA | NA | 0.11 | 2.66 | 2.69 | NA | NA | XXX | |
| 78445 | 26 | A | Vascular flow imaging | 0.49 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.69 | 0.71 | 0.69 | 0.71 | XXX |
| 78445 | TC | A | Vascular flow imaging | 0.00 | 1.88 | 1.89 | NA | NA | 0.09 | 1.97 | 1.98 | NA | NA | XXX |
| 78455 | A | Venous thrombosis study | 0.73 | 4.29 | 4.34 | NA | NA | 0.21 | 5.23 | 5.28 | NA | NA | XXX | |
| 78455 | 26 | A | Venous thrombosis study | 0.73 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.02 | 1.05 | 1.02 | 1.05 | XXX |
| 78455 | TC | A | Venous thrombosis study | 0.00 | 4.03 | 4.05 | NA | NA | 0.18 | 4.21 | 4.23 | NA | NA | XXX |
| 78456 | A | Acute venous thrombus image | 0.01 | 4.28 | 4.30 | NA | NA | 0.30 | 4.59 | 4.61 | NA | NA | XXX | |
| 78456 | 26 | A | Acute venous thrombus image | 0.01 | 0.37 | 0.37 | 0.37 | 0.37 | 0.05 | 0.43 | 0.43 | 0.43 | 0.43 | XXX |
| 78456 | TC | A | Acute venous thrombus image | 0.00 | 3.91 | 3.93 | NA | NA | 0.25 | 4.16 | 4.18 | NA | NA | XXX |
| 78457 | A | Venous thrombosis imaging | 0.77 | 2.96 | 3.01 | NA | NA | 0.15 | 3.88 | 3.93 | NA | NA | XXX | |
| 78457 | 26 | A | Venous thrombosis imaging | 0.77 | 0.27 | 0.30 | 0.27 | 0.30 | 0.03 | 1.07 | 1.10 | 1.07 | 1.10 | XXX |
| 78457 | TC | A | Venous thrombosis imaging | 0.00 | 2.69 | 2.71 | NA | NA | 0.12 | 2.81 | 2.83 | NA | NA | XXX |
| 78458 | A | Ven thrombosis images, bilat | 0.90 | 4.41 | 4.45 | NA | NA | 0.21 | 5.52 | 5.56 | NA | NA | XXX | |
| 78458 | 26 | A | Ven thrombosis images, bilat | 0.90 | 0.34 | 0.36 | 0.34 | 0.36 | 0.03 | 1.27 | 1.29 | 1.27 | 1.29 | XXX |
| 78458 | TC | A | Ven thrombosis images, bilat | 0.00 | 4.07 | 4.09 | NA | NA | 0.18 | 4.25 | 4.27 | NA | NA | XXX |
| 78459 | I | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78459 | 26 | I | Heart muscle imaging (PET) | 1.88 | 0.75 | 0.93 | 0.75 | 0.93 | 0.07 | 2.70 | 2.88 | 2.70 | 2.88 | XXX |
| 78459 | TC | I | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78460 | A | Heart muscle blood, single | 0.86 | 2.70 | 2.74 | NA | NA | 0.14 | 3.70 | 3.74 | NA | NA | XXX | |
| 78460 | 26 | A | Heart muscle blood, single | 0.86 | 0.31 | 0.34 | 0.31 | 0.34 | 0.03 | 1.20 | 1.23 | 1.20 | 1.23 | XXX |
| 78460 | TC | A | Heart muscle blood, single | 0.00 | 2.39 | 2.40 | NA | NA | 0.11 | 2.50 | 2.51 | NA | NA | XXX |
| 78461 | A | Heart muscle blood, multiple | 1.23 | 5.23 | 5.29 | NA | NA | 0.26 | 6.72 | 6.78 | NA | NA | XXX | |
| 78461 | 26 | A | Heart muscle blood, multiple | 1.23 | 0.46 | 0.49 | 0.46 | 0.49 | 0.04 | 1.73 | 1.76 | 1.73 | 1.76 | XXX |
| 78461 | TC | A | Heart muscle blood, multiple | 0.00 | 4.77 | 4.80 | NA | NA | 0.22 | 4.99 | 5.02 | NA | NA | XXX |
| 78464 | A | Heart image (3d), single | 1.09 | 7.55 | 7.62 | NA | NA | 0.36 | 9.00 | 9.07 | NA | NA | XXX | |
| 78464 | 26 | A | Heart image (3d), single | 1.09 | 0.40 | 0.43 | 0.40 | 0.43 | 0.04 | 1.53 | 1.56 | 1.53 | 1.56 | XXX |
| 78464 | TC | A | Heart image (3d), single | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 78465 | A | Heart image (3d), multiple | 1.46 | 12.49 | 12.60 | NA | NA | 0.58 | 14.53 | 14.64 | NA | NA | XXX | |
| 78465 | 26 | A | Heart image (3d), multiple | 1.46 | 0.56 | 0.60 | 0.56 | 0.60 | 0.05 | 2.07 | 2.11 | 2.07 | 2.11 | XXX |
| 78465 | TC | A | Heart image (3d), multiple | 0.00 | 11.93 | 12.00 | NA | NA | 0.53 | 12.46 | 12.53 | NA | NA | XXX |
| 78466 | A | Heart infarct image | 0.69 | 2.91 | 2.95 | NA | NA | 0.15 | 3.75 | 3.79 | NA | NA | XXX | |
| 78466 | 26 | A | Heart infarct image | 0.69 | 0.26 | 0.28 | 0.26 | 0.28 | 0.03 | 0.98 | 1.00 | 0.98 | 1.00 | XXX |
| 78466 | TC | A | Heart infarct image | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 78468 | A | Heart infarct image (ef) | 0.80 | 3.99 | 4.04 | NA | NA | 0.19 | 4.98 | 5.03 | NA | NA | XXX | |
| 78468 | 26 | A | Heart infarct image (ef) | 0.80 | 0.29 | 0.32 | 0.29 | 0.32 | 0.03 | 1.12 | 1.15 | 1.12 | 1.15 | XXX |
| 78468 | TC | A | Heart infarct image (ef) | 0.00 | 3.70 | 3.72 | NA | NA | 0.16 | 3.86 | 3.88 | NA | NA | XXX |
| 78469 | A | Heart infarct image (3D) | 0.92 | 5.60 | 5.66 | NA | NA | 0.27 | 6.79 | 6.85 | NA | NA | XXX | |
| 78469 | 26 | A | Heart infarct image (3D) | 0.92 | 0.32 | 0.35 | 0.32 | 0.35 | 0.03 | 1.27 | 1.30 | 1.27 | 1.30 | XXX |
| 78469 | TC | A | Heart infarct image (3D) | 0.00 | 5.28 | 5.31 | NA | NA | 0.24 | 5.52 | 5.55 | NA | NA | XXX |
| 78472 | A | Gated heart, planar, single | 0.98 | 5.93 | 5.99 | NA | NA | 0.30 | 7.21 | 7.27 | NA | NA | XXX | |
| 78472 | 26 | A | Gated heart, planar, single | 0.98 | 0.36 | 0.39 | 0.36 | 0.39 | 0.04 | 1.38 | 1.41 | 1.38 | 1.41 | XXX |
| 78472 | TC | A | Gated heart, planar, single | 0.00 | 5.57 | 5.60 | NA | NA | 0.26 | 5.83 | 5.86 | NA | NA | XXX |
| 78473 | A | Gated heart, multiple | 1.47 | 8.89 | 8.98 | NA | NA | 0.41 | 10.77 | 10.86 | NA | NA | XXX | |
| 78473 | 26 | A | Gated heart, multiple | 1.47 | 0.54 | 0.58 | 0.54 | 0.58 | 0.05 | 2.06 | 2.10 | 2.06 | 2.10 | XXX |
| 78473 | TC | A | Gated heart, multiple | 0.00 | 8.35 | 8.40 | NA | NA | 0.36 | 8.71 | 8.76 | NA | NA | XXX |
| 78478 | A | Heart wall motion add-on | 0.62 | 1.81 | 1.84 | NA | NA | 0.10 | 2.53 | 2.56 | NA | NA | ZZZ | |
| 78478 | 26 | A | Heart wall motion add-on | 0.62 | 0.24 | 0.26 | 0.24 | 0.26 | 0.02 | 0.88 | 0.90 | 0.88 | 0.90 | ZZZ |
| 78478 | TC | A | Heart wall motion add-on | 0.00 | 1.57 | 1.58 | NA | NA | 0.08 | 1.65 | 1.66 | NA | NA | ZZZ |
| 78480 | A | Heart function add-on | 0.62 | 1.81 | 1.84 | NA | NA | 0.10 | 2.53 | 2.56 | NA | NA | ZZZ | |
| 78480 | 26 | A | Heart function add-on | 0.62 | 0.24 | 0.26 | 0.24 | 0.26 | 0.02 | 0.88 | 0.90 | 0.88 | 0.90 | ZZZ |
| 78480 | TC | A | Heart function add-on | 0.00 | 1.57 | 1.58 | NA | NA | 0.08 | 1.65 | 1.66 | NA | NA | ZZZ |
| 78481 | A | Heart first pass, single | 0.98 | 5.66 | 5.72 | NA | NA | 0.27 | 6.91 | 6.97 | NA | NA | XXX | |
| 78481 | 26 | A | Heart first pass, single | 0.98 | 0.38 | 0.41 | 0.38 | 0.41 | 0.03 | 1.39 | 1.42 | 1.39 | 1.42 | XXX |
| 78481 | TC | A | Heart first pass, single | 0.00 | 5.28 | 5.31 | NA | NA | 0.24 | 5.52 | 5.55 | NA | NA | XXX |
| 78483 | A | Heart first pass, multiple | 1.47 | 8.53 | 8.62 | NA | NA | 0.40 | 10.40 | 10.49 | NA | NA | XXX | |
| 78483 | 26 | A | Heart first pass, multiple | 1.47 | 0.57 | 0.61 | 0.57 | 0.61 | 0.05 | 2.09 | 2.13 | 2.09 | 2.13 | XXX |
| 78483 | TC | A | Heart first pass, multiple | 0.00 | 7.96 | 8.01 | NA | NA | 0.35 | 8.31 | 8.36 | NA | NA | XXX |
| 78491 | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78491 | 26 | I | Heart image (pet), single | 1.50 | 0.59 | 0.81 | 0.59 | 0.81 | 0.05 | 2.14 | 2.36 | 2.14 | 2.36 | XXX |
| 78491 | TC | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78492 | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78492 | 26 | I | Heart image (pet), multiple | 1.87 | 0.74 | 0.92 | 0.74 | 0.92 | 0.07 | 2.68 | 2.86 | 2.68 | 2.86 | XXX |
| 78492 | TC | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78494 | A | Heart image, spect | 1.19 | 6.02 | 6.05 | NA | NA | 0.30 | 7.51 | 7.54 | NA | NA | XXX | |
| 78494 | 26 | A | Heart image, spect | 1.19 | 0.44 | 0.44 | 0.44 | 0.44 | 0.04 | 1.67 | 1.67 | 1.67 | 1.67 | XXX |
| 78494 | TC | A | Heart image, spect | 0.00 | 5.58 | 5.61 | NA | NA | 0.26 | 5.84 | 5.87 | NA | NA | XXX |
| 78496 | A | Heart first pass add-on | 0.50 | 1.77 | 1.78 | NA | NA | 0.28 | 2.55 | 2.56 | NA | NA | ZZZ | |
| 78496 | 26 | A | Heart first pass add-on | 0.50 | 0.20 | 0.20 | 0.20 | 0.20 | 0.02 | 0.72 | 0.72 | 0.72 | 0.72 | ZZZ |
| 78496 | TC | A | Heart first pass add-on | 0.00 | 1.57 | 1.58 | NA | NA | 0.26 | 1.83 | 1.84 | NA | NA | ZZZ |
| 78499 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78499 | 26 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78499 | TC | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78580 | A | Lung perfusion imaging | 0.74 | 3.73 | 3.78 | NA | NA | 0.18 | 4.65 | 4.70 | NA | NA | XXX | |
| 78580 | 26 | A | Lung perfusion imaging | 0.74 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.03 | 1.06 | 1.03 | 1.06 | XXX |
| 78580 | TC | A | Lung perfusion imaging | 0.00 | 3.47 | 3.49 | NA | NA | 0.15 | 3.62 | 3.64 | NA | NA | XXX |
| 78584 | A | Lung V/Q image single breath | 0.99 | 3.59 | 3.65 | NA | NA | 0.18 | 4.76 | 4.82 | NA | NA | XXX | |
| 78584 | 26 | A | Lung V/Q image single breath | 0.99 | 0.35 | 0.39 | 0.35 | 0.39 | 0.04 | 1.38 | 1.42 | 1.38 | 1.42 | XXX |
| 78584 | TC | A | Lung V/Q image single breath | 0.00 | 3.24 | 3.26 | NA | NA | 0.14 | 3.38 | 3.40 | NA | NA | XXX |
| 78585 | A | Lung V/Q imaging | 1.09 | 6.08 | 6.15 | NA | NA | 0.30 | 7.47 | 7.54 | NA | NA | XXX | |
| 78585 | 26 | A | Lung V/Q imaging | 1.09 | 0.38 | 0.42 | 0.38 | 0.42 | 0.04 | 1.51 | 1.55 | 1.51 | 1.55 | XXX |
| 78585 | TC | A | Lung V/Q imaging | 0.00 | 5.70 | 5.73 | NA | NA | 0.26 | 5.96 | 5.99 | NA | NA | XXX |
| 78586 | A | Aerosol lung image, single | 0.40 | 2.76 | 2.80 | NA | NA | 0.14 | 3.30 | 3.34 | NA | NA | XXX | |
| 78586 | 26 | A | Aerosol lung image, single | 0.40 | 0.14 | 0.16 | 0.14 | 0.16 | 0.02 | 0.56 | 0.58 | 0.56 | 0.58 | XXX |
| 78586 | TC | A | Aerosol lung image, single | 0.00 | 2.62 | 2.64 | NA | NA | 0.12 | 2.74 | 2.76 | NA | NA | XXX |
| 78587 | A | Aerosol lung image, multiple | 0.49 | 3.00 | 3.04 | NA | NA | 0.14 | 3.63 | 3.67 | NA | NA | XXX | |
| 78587 | 26 | A | Aerosol lung image, multiple | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 78587 | TC | A | Aerosol lung image, multiple | 0.00 | 2.83 | 2.85 | NA | NA | 0.12 | 2.95 | 2.97 | NA | NA | XXX |
| 78588 | A | Perfusion lung image | 1.09 | 3.87 | 3.89 | NA | NA | 0.19 | 5.15 | 5.17 | NA | NA | XXX | |
| 78588 | 26 | A | Perfusion lung image | 1.09 | 0.39 | 0.39 | 0.39 | 0.39 | 0.04 | 1.52 | 1.52 | 1.52 | 1.52 | XXX |
| 78588 | TC | A | Perfusion lung image | 0.00 | 3.48 | 3.50 | NA | NA | 0.15 | 3.63 | 3.65 | NA | NA | XXX |
| 78591 | A | Vent image, 1 breath, 1 proj | 0.40 | 3.02 | 3.06 | NA | NA | 0.14 | 3.56 | 3.60 | NA | NA | XXX | |
| 78591 | 26 | A | Vent image, 1 breath, 1 proj | 0.40 | 0.14 | 0.16 | 0.14 | 0.16 | 0.02 | 0.56 | 0.58 | 0.56 | 0.58 | XXX |
| 78591 | TC | A | Vent image, 1 breath, 1 proj | 0.00 | 2.88 | 2.90 | NA | NA | 0.12 | 3.00 | 3.02 | NA | NA | XXX |
| 78593 | A | Vent image, 1 proj, gas | 0.49 | 3.66 | 3.70 | NA | NA | 0.17 | 4.32 | 4.36 | NA | NA | XXX | |
| 78593 | 26 | A | Vent image, 1 proj, gas | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 78593 | TC | A | Vent image, 1 proj, gas | 0.00 | 3.49 | 3.51 | NA | NA | 0.15 | 3.64 | 3.66 | NA | NA | XXX |
| 78594 | A | Vent image, mult proj, gas | 0.53 | 5.22 | 5.27 | NA | NA | 0.24 | 5.99 | 6.04 | NA | NA | XXX | |
| 78594 | 26 | A | Vent image, mult proj, gas | 0.53 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 78594 | TC | A | Vent image, mult proj, gas | 0.00 | 5.03 | 5.06 | NA | NA | 0.22 | 5.25 | 5.28 | NA | NA | XXX |
| 78596 | A | Lung differential function | 1.27 | 7.60 | 7.68 | NA | NA | 0.37 | 9.24 | 9.32 | NA | NA | XXX | |
| 78596 | 26 | A | Lung differential function | 1.27 | 0.45 | 0.49 | 0.45 | 0.49 | 0.05 | 1.77 | 1.81 | 1.77 | 1.81 | XXX |
| 78596 | TC | A | Lung differential function | 0.00 | 7.15 | 7.19 | NA | NA | 0.32 | 7.47 | 7.51 | NA | NA | XXX |
| 78599 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78599 | 26 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78599 | TC | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78600 | A | Brain imaging, ltd static | 0.44 | 3.07 | 3.11 | NA | NA | 0.14 | 3.65 | 3.69 | NA | NA | XXX | |
| 78600 | 26 | A | Brain imaging, ltd static | 0.44 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.62 | 0.64 | 0.62 | 0.64 | XXX |
| 78600 | TC | A | Brain imaging, ltd static | 0.00 | 2.91 | 2.93 | NA | NA | 0.12 | 3.03 | 3.05 | NA | NA | XXX |
| 78601 | A | Brain imaging, ltd w/ flow | 0.51 | 3.62 | 3.66 | NA | NA | 0.17 | 4.30 | 4.34 | NA | NA | XXX | |
| 78601 | 26 | A | Brain imaging, ltd w/ flow | 0.51 | 0.18 | 0.20 | 0.18 | 0.20 | 0.02 | 0.71 | 0.73 | 0.71 | 0.73 | XXX |
| 78601 | TC | A | Brain imaging, ltd w/ flow | 0.00 | 3.44 | 3.46 | NA | NA | 0.15 | 3.59 | 3.61 | NA | NA | XXX |
| 78605 | A | Brain imaging, complete | 0.53 | 3.63 | 3.67 | NA | NA | 0.17 | 4.33 | 4.37 | NA | NA | XXX | |
| 78605 | 26 | A | Brain imaging, complete | 0.53 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 78605 | TC | A | Brain imaging, complete | 0.00 | 3.44 | 3.46 | NA | NA | 0.15 | 3.59 | 3.61 | NA | NA | XXX |
| 78606 | A | Brain imaging, compl w/flow | 0.64 | 4.14 | 4.18 | NA | NA | 0.19 | 4.97 | 5.01 | NA | NA | XXX | |
| 78606 | 26 | A | Brain imaging, compl w/flow | 0.64 | 0.23 | 0.25 | 0.23 | 0.25 | 0.02 | 0.89 | 0.91 | 0.89 | 0.91 | XXX |
| 78606 | TC | A | Brain imaging, compl w/flow | 0.00 | 3.91 | 3.93 | NA | NA | 0.17 | 4.08 | 4.10 | NA | NA | XXX |
| 78607 | A | Brain imaging (3D) | 1.23 | 7.08 | 7.16 | NA | NA | 0.35 | 8.66 | 8.74 | NA | NA | XXX | |
| 78607 | 26 | A | Brain imaging (3D) | 1.23 | 0.45 | 0.49 | 0.45 | 0.49 | 0.05 | 1.73 | 1.77 | 1.73 | 1.77 | XXX |
| 78607 | TC | A | Brain imaging (3D) | 0.00 | 6.63 | 6.67 | NA | NA | 0.30 | 6.93 | 6.97 | NA | NA | XXX |
| 78608 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78609 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78610 | A | Brain flow imaging only | 0.30 | 1.70 | 1.72 | NA | NA | 0.09 | 2.09 | 2.11 | NA | NA | XXX | |
| 78610 | 26 | A | Brain flow imaging only | 0.30 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.42 | 0.43 | 0.42 | 0.43 | XXX |
| 78610 | TC | A | Brain flow imaging only | 0.00 | 1.59 | 1.60 | NA | NA | 0.08 | 1.67 | 1.68 | NA | NA | XXX |
| 78615 | A | Cerebral blood flow imaging | 0.42 | 4.05 | 4.08 | NA | NA | 0.19 | 4.66 | 4.69 | NA | NA | XXX | |
| 78615 | 26 | A | Cerebral blood flow imaging | 0.42 | 0.16 | 0.17 | 0.16 | 0.17 | 0.02 | 0.60 | 0.61 | 0.60 | 0.61 | XXX |
| 78615 | TC | A | Cerebral blood flow imaging | 0.00 | 3.89 | 3.91 | NA | NA | 0.17 | 4.06 | 4.08 | NA | NA | XXX |
| 78630 | A | Cerebrospinal fluid scan | 0.68 | 5.33 | 5.39 | NA | NA | 0.26 | 6.27 | 6.33 | NA | NA | XXX | |
| 78630 | 26 | A | Cerebrospinal fluid scan | 0.68 | 0.24 | 0.27 | 0.24 | 0.27 | 0.03 | 0.95 | 0.98 | 0.95 | 0.98 | XXX |
| 78630 | TC | A | Cerebrospinal fluid scan | 0.00 | 5.09 | 5.12 | NA | NA | 0.23 | 5.32 | 5.35 | NA | NA | XXX |
| 78635 | A | CSF ventriculography | 0.61 | 2.83 | 2.86 | NA | NA | 0.14 | 3.58 | 3.61 | NA | NA | XXX | |
| 78635 | 26 | A | CSF ventriculography | 0.61 | 0.26 | 0.27 | 0.26 | 0.27 | 0.02 | 0.89 | 0.90 | 0.89 | 0.90 | XXX |
| 78635 | TC | A | CSF ventriculography | 0.00 | 2.57 | 2.59 | NA | NA | 0.12 | 2.69 | 2.71 | NA | NA | XXX |
| 78645 | A | CSF shunt evaluation | 0.57 | 3.68 | 3.72 | NA | NA | 0.17 | 4.42 | 4.46 | NA | NA | XXX | |
| 78645 | 26 | A | CSF shunt evaluation | 0.57 | 0.21 | 0.23 | 0.21 | 0.23 | 0.02 | 0.80 | 0.82 | 0.80 | 0.82 | XXX |
| 78645 | TC | A | CSF shunt evaluation | 0.00 | 3.47 | 3.49 | NA | NA | 0.15 | 3.62 | 3.64 | NA | NA | XXX |
| 78647 | A | Cerebrospinal fluid scan | 0.90 | 6.30 | 6.37 | NA | NA | 0.30 | 7.50 | 7.57 | NA | NA | XXX | |
| 78647 | 26 | A | Cerebrospinal fluid scan | 0.90 | 0.33 | 0.36 | 0.33 | 0.36 | 0.03 | 1.26 | 1.29 | 1.26 | 1.29 | XXX |
| 78647 | TC | A | Cerebrospinal fluid scan | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 78650 | A | CSF leakage imaging | 0.61 | 4.91 | 4.96 | NA | NA | 0.23 | 5.75 | 5.80 | NA | NA | XXX | |
| 78650 | 26 | A | CSF leakage imaging | 0.61 | 0.22 | 0.24 | 0.22 | 0.24 | 0.02 | 0.85 | 0.87 | 0.85 | 0.87 | XXX |
| 78650 | TC | A | CSF leakage imaging | 0.00 | 4.69 | 4.72 | NA | NA | 0.21 | 4.90 | 4.93 | NA | NA | XXX |
| 78660 | A | Nuclear exam of tear flow | 0.53 | 2.33 | 2.36 | NA | NA | 0.12 | 2.98 | 3.01 | NA | NA | XXX | |
| 78660 | 26 | A | Nuclear exam of tear flow | 0.53 | 0.19 | 0.21 | 0.19 | 0.21 | 0.02 | 0.74 | 0.76 | 0.74 | 0.76 | XXX |
| 78660 | TC | A | Nuclear exam of tear flow | 0.00 | 2.14 | 2.15 | NA | NA | 0.10 | 2.24 | 2.25 | NA | NA | XXX |
| 78699 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78699 | 26 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78699 | TC | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78700 | A | Kidney imaging, static | 0.45 | 3.24 | 3.28 | NA | NA | 0.15 | 3.84 | 3.88 | NA | NA | XXX | |
| 78700 | 26 | A | Kidney imaging, static | 0.45 | 0.16 | 0.18 | 0.16 | 0.18 | 0.02 | 0.63 | 0.65 | 0.63 | 0.65 | XXX |
| 78700 | TC | A | Kidney imaging, static | 0.00 | 3.08 | 3.10 | NA | NA | 0.13 | 3.21 | 3.23 | NA | NA | XXX |
| 78701 | A | Kidney imaging with flow | 0.49 | 3.77 | 3.81 | NA | NA | 0.17 | 4.43 | 4.47 | NA | NA | XXX | |
| 78701 | 26 | A | Kidney imaging with flow | 0.49 | 0.17 | 0.19 | 0.17 | 0.19 | 0.02 | 0.68 | 0.70 | 0.68 | 0.70 | XXX |
| 78701 | TC | A | Kidney imaging with flow | 0.00 | 3.60 | 3.62 | NA | NA | 0.15 | 3.75 | 3.77 | NA | NA | XXX |
| 78704 | A | Imaging renogram | 0.74 | 4.26 | 4.31 | NA | NA | 0.21 | 5.21 | 5.26 | NA | NA | XXX | |
| 78704 | 26 | A | Imaging renogram | 0.74 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.03 | 1.06 | 1.03 | 1.06 | XXX |
| 78704 | TC | A | Imaging renogram | 0.00 | 4.00 | 4.02 | NA | NA | 0.18 | 4.18 | 4.20 | NA | NA | XXX |
| 78707 | A | Kidney flow/function image | 0.96 | 4.86 | 4.92 | NA | NA | 0.24 | 6.06 | 6.12 | NA | NA | XXX | |
| 78707 | 26 | A | Kidney flow/function image | 0.96 | 0.34 | 0.37 | 0.34 | 0.37 | 0.04 | 1.34 | 1.37 | 1.34 | 1.37 | XXX |
| 78707 | TC | A | Kidney flow/function image | 0.00 | 4.52 | 4.55 | NA | NA | 0.20 | 4.72 | 4.75 | NA | NA | XXX |
| 78708 | A | Kidney flow/function image | 1.21 | 4.95 | 4.99 | NA | NA | 0.25 | 6.41 | 6.45 | NA | NA | XXX | |
| 78708 | 26 | A | Kidney flow/function image | 1.21 | 0.43 | 0.44 | 0.43 | 0.44 | 0.05 | 1.69 | 1.70 | 1.69 | 1.70 | XXX |
| 78708 | TC | A | Kidney flow/function image | 0.00 | 4.52 | 4.55 | NA | NA | 0.20 | 4.72 | 4.75 | NA | NA | XXX |
| 78709 | A | Kidney flow/function image | 1.41 | 5.02 | 5.04 | NA | NA | 0.25 | 6.68 | 6.70 | NA | NA | XXX | |
| 78709 | 26 | A | Kidney flow/function image | 1.41 | 0.50 | 0.49 | 0.50 | 0.49 | 0.05 | 1.96 | 1.95 | 1.96 | 1.95 | XXX |
| 78709 | TC | A | Kidney flow/function image | 0.00 | 4.52 | 4.55 | NA | NA | 0.20 | 4.72 | 4.75 | NA | NA | XXX |
| 78710 | A | Kidney imaging (3D) | 0.66 | 6.20 | 6.27 | NA | NA | 0.30 | 7.16 | 7.23 | NA | NA | XXX | |
| 78710 | 26 | A | Kidney imaging (3D) | 0.66 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.92 | 0.95 | 0.92 | 0.95 | XXX |
| 78710 | TC | A | Kidney imaging (3D) | 0.00 | 5.97 | 6.01 | NA | NA | 0.27 | 6.24 | 6.28 | NA | NA | XXX |
| 78715 | A | Renal vascular flow exam | 0.30 | 1.70 | 1.72 | NA | NA | 0.09 | 2.09 | 2.11 | NA | NA | XXX | |
| 78715 | 26 | A | Renal vascular flow exam | 0.30 | 0.11 | 0.12 | 0.11 | 0.12 | 0.01 | 0.42 | 0.43 | 0.42 | 0.43 | XXX |
| 78715 | TC | A | Renal vascular flow exam | 0.00 | 1.59 | 1.60 | NA | NA | 0.08 | 1.67 | 1.68 | NA | NA | XXX |
| 78725 | A | Kidney function study | 0.38 | 1.94 | 1.96 | NA | NA | 0.10 | 2.42 | 2.44 | NA | NA | XXX | |
| 78725 | 26 | A | Kidney function study | 0.38 | 0.14 | 0.15 | 0.14 | 0.15 | 0.01 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 78725 | TC | A | Kidney function study | 0.00 | 1.80 | 1.81 | NA | NA | 0.09 | 1.89 | 1.90 | NA | NA | XXX |
| 78730 | A | Urinary bladder retention | 0.36 | 1.61 | 1.63 | NA | NA | 0.09 | 2.06 | 2.08 | NA | NA | XXX | |
| 78730 | 26 | A | Urinary bladder retention | 0.36 | 0.13 | 0.14 | 0.13 | 0.14 | 0.02 | 0.51 | 0.52 | 0.51 | 0.52 | XXX |
| 78730 | TC | A | Urinary bladder retention | 0.00 | 1.48 | 1.49 | NA | NA | 0.07 | 1.55 | 1.56 | NA | NA | XXX |
| 78740 | A | Ureteral reflux study | 0.57 | 2.34 | 2.37 | NA | NA | 0.12 | 3.03 | 3.06 | NA | NA | XXX | |
| 78740 | 26 | A | Ureteral reflux study | 0.57 | 0.20 | 0.22 | 0.20 | 0.22 | 0.02 | 0.79 | 0.81 | 0.79 | 0.81 | XXX |
| 78740 | TC | A | Ureteral reflux study | 0.00 | 2.14 | 2.15 | NA | NA | 0.10 | 2.24 | 2.25 | NA | NA | XXX |
| 78760 | A | Testicular imaging | 0.66 | 2.94 | 2.99 | NA | NA | 0.15 | 3.75 | 3.80 | NA | NA | XXX | |
| 78760 | 26 | A | Testicular imaging | 0.66 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.92 | 0.95 | 0.92 | 0.95 | XXX |
| 78760 | TC | A | Testicular imaging | 0.00 | 2.71 | 2.73 | NA | NA | 0.12 | 2.83 | 2.85 | NA | NA | XXX |
| 78761 | A | Testicular imaging/flow | 0.71 | 3.49 | 3.54 | NA | NA | 0.17 | 4.37 | 4.42 | NA | NA | XXX | |
| 78761 | 26 | A | Testicular imaging/flow | 0.71 | 0.25 | 0.28 | 0.25 | 0.28 | 0.03 | 0.99 | 1.02 | 0.99 | 1.02 | XXX |
| 78761 | TC | A | Testicular imaging/flow | 0.00 | 3.24 | 3.26 | NA | NA | 0.14 | 3.38 | 3.40 | NA | NA | XXX |
| 78799 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78799 | 26 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78799 | TC | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78800 | A | Tumor imaging, limited area | 0.66 | 3.67 | 3.72 | NA | NA | 0.18 | 4.51 | 4.56 | NA | NA | XXX | |
| 78800 | 26 | A | Tumor imaging, limited area | 0.66 | 0.23 | 0.26 | 0.23 | 0.26 | 0.03 | 0.92 | 0.95 | 0.92 | 0.95 | XXX |
| 78800 | TC | A | Tumor imaging, limited area | 0.00 | 3.44 | 3.46 | NA | NA | 0.15 | 3.59 | 3.61 | NA | NA | XXX |
| 78801 | A | Tumor imaging, mult areas | 0.79 | 4.55 | 4.61 | NA | NA | 0.22 | 5.56 | 5.62 | NA | NA | XXX | |
| 78801 | 26 | A | Tumor imaging, mult areas | 0.79 | 0.28 | 0.31 | 0.28 | 0.31 | 0.03 | 1.10 | 1.13 | 1.10 | 1.13 | XXX |
| 78801 | TC | A | Tumor imaging, mult areas | 0.00 | 4.27 | 4.30 | NA | NA | 0.19 | 4.46 | 4.49 | NA | NA | XXX |
| 78802 | A | Tumor imaging, whole body | 0.86 | 5.90 | 5.96 | NA | NA | 0.29 | 7.05 | 7.11 | NA | NA | XXX | |
| 78802 | 26 | A | Tumor imaging, whole body | 0.86 | 0.31 | 0.34 | 0.31 | 0.34 | 0.03 | 1.20 | 1.23 | 1.20 | 1.23 | XXX |
| 78802 | TC | A | Tumor imaging, whole body | 0.00 | 5.59 | 5.62 | NA | NA | 0.26 | 5.85 | 5.88 | NA | NA | XXX |
| 78803 | A | Tumor imaging (3D) | 1.09 | 7.03 | 7.10 | NA | NA | 0.34 | 8.46 | 8.53 | NA | NA | XXX | |
| 78803 | 26 | A | Tumor imaging (3D) | 1.09 | 0.40 | 0.43 | 0.40 | 0.43 | 0.04 | 1.53 | 1.56 | 1.53 | 1.56 | XXX |
| 78803 | TC | A | Tumor imaging (3D) | 0.00 | 6.63 | 6.67 | NA | NA | 0.30 | 6.93 | 6.97 | NA | NA | XXX |
| 78805 | A | Abscess imaging, ltd area | 0.73 | 3.70 | 3.75 | NA | NA | 0.18 | 4.61 | 4.66 | NA | NA | XXX | |
| 78805 | 26 | A | Abscess imaging, ltd area | 0.73 | 0.26 | 0.29 | 0.26 | 0.29 | 0.03 | 1.02 | 1.05 | 1.02 | 1.05 | XXX |
| 78805 | TC | A | Abscess imaging, ltd area | 0.00 | 3.44 | 3.46 | NA | NA | 0.15 | 3.59 | 3.61 | NA | NA | XXX |
| 78806 | A | Abscess imaging, whole body | 0.86 | 6.81 | 6.88 | NA | NA | 0.33 | 8.00 | 8.07 | NA | NA | XXX | |
| 78806 | 26 | A | Abscess imaging, whole body | 0.86 | 0.31 | 0.34 | 0.31 | 0.34 | 0.03 | 1.20 | 1.23 | 1.20 | 1.23 | XXX |
| 78806 | TC | A | Abscess imaging, whole body | 0.00 | 6.50 | 6.54 | NA | NA | 0.30 | 6.80 | 6.84 | NA | NA | XXX |
| 78807 | A | Nuclear localization/abscess | 1.09 | 7.04 | 7.11 | NA | NA | 0.34 | 8.47 | 8.54 | NA | NA | XXX | |
| 78807 | 26 | A | Nuclear localization/abscess | 1.09 | 0.41 | 0.44 | 0.41 | 0.44 | 0.04 | 1.54 | 1.57 | 1.54 | 1.57 | XXX |
| 78807 | TC | A | Nuclear localization/abscess | 0.00 | 6.63 | 6.67 | NA | NA | 0.30 | 6.93 | 6.97 | NA | NA | XXX |
| 78810 | N | Tumor imaging (PET) | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78810 | 26 | N | Tumor imaging (PET) | 1.93 | 0.77 | 0.95 | 0.77 | 0.95 | 0.07 | 2.77 | 2.95 | 2.77 | 2.95 | XXX |
| 78810 | TC | N | Tumor imaging (PET) | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 78890 | B | Nuclear medicine data proc | 0.05 | 1.34 | 1.35 | NA | NA | 0.06 | 1.45 | 1.46 | NA | NA | XXX | |
| 78890 | 26 | B | Nuclear medicine data proc | 0.05 | 0.02 | 0.02 | 0.02 | 0.02 | 0.01 | 0.08 | 0.08 | 0.08 | 0.08 | XXX |
| 78890 | TC | B | Nuclear medicine data proc | 0.00 | 1.32 | 1.33 | NA | NA | 0.05 | 1.37 | 1.38 | NA | NA | XXX |
| 78891 | B | Nuclear med data proc | 0.10 | 2.69 | 2.71 | NA | NA | 0.12 | 2.91 | 2.93 | NA | NA | XXX | |
| 78891 | 26 | B | Nuclear med data proc | 0.10 | 0.04 | 0.04 | 0.04 | 0.04 | 0.01 | 0.15 | 0.15 | 0.15 | 0.15 | XXX |
| 78891 | TC | B | Nuclear med data proc | 0.00 | 2.65 | 2.67 | NA | NA | 0.11 | 2.76 | 2.78 | NA | NA | XXX |
| 78990 | I | Provide diag radionuclide(s) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 78999 | 26 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78999 | TC | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 79000 | A | Init hyperthyroid therapy | 1.80 | 3.29 | 3.37 | NA | NA | 0.19 | 5.28 | 5.36 | NA | NA | XXX | |
| 79000 | 26 | A | Init hyperthyroid therapy | 1.80 | 0.64 | 0.70 | 0.64 | 0.70 | 0.07 | 2.51 | 2.57 | 2.51 | 2.57 | XXX |
| 79000 | TC | A | Init hyperthyroid therapy | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79001 | A | Repeat hyperthyroid therapy | 1.05 | 1.69 | 1.73 | NA | NA | 0.10 | 2.84 | 2.88 | NA | NA | XXX | |
| 79001 | 26 | A | Repeat hyperthyroid therapy | 1.05 | 0.37 | 0.40 | 0.37 | 0.40 | 0.04 | 1.46 | 1.49 | 1.46 | 1.49 | XXX |
| 79001 | TC | A | Repeat hyperthyroid therapy | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 79020 | A | Thyroid ablation | 1.81 | 3.28 | 3.36 | NA | NA | 0.19 | 5.28 | 5.36 | NA | NA | XXX | |
| 79020 | 26 | A | Thyroid ablation | 1.81 | 0.63 | 0.69 | 0.63 | 0.69 | 0.07 | 2.51 | 2.57 | 2.51 | 2.57 | XXX |
| 79020 | TC | A | Thyroid ablation | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79030 | A | Thyroid ablation, carcinoma | 2.10 | 3.39 | 3.48 | NA | NA | 0.20 | 5.69 | 5.78 | NA | NA | XXX | |
| 79030 | 26 | A | Thyroid ablation, carcinoma | 2.10 | 0.74 | 0.81 | 0.74 | 0.81 | 0.08 | 2.92 | 2.99 | 2.92 | 2.99 | XXX |
| 79030 | TC | A | Thyroid ablation, carcinoma | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79035 | A | Thyroid metastatic therapy | 2.52 | 3.57 | 3.67 | NA | NA | 0.21 | 6.30 | 6.40 | NA | NA | XXX | |
| 79035 | 26 | A | Thyroid metastatic therapy | 2.52 | 0.92 | 1.00 | 0.92 | 1.00 | 0.09 | 3.53 | 3.61 | 3.53 | 3.61 | XXX |
| 79035 | TC | A | Thyroid metastatic therapy | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79100 | A | Hematopoetic nuclear therapy | 1.32 | 3.13 | 3.19 | NA | NA | 0.17 | 4.62 | 4.68 | NA | NA | XXX | |
| 79100 | 26 | A | Hematopoetic nuclear therapy | 1.32 | 0.48 | 0.52 | 0.48 | 0.52 | 0.05 | 1.85 | 1.89 | 1.85 | 1.89 | XXX |
| 79100 | TC | A | Hematopoetic nuclear therapy | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79200 | A | Intracavitary nuclear trmt | 1.99 | 3.37 | 3.45 | NA | NA | 0.19 | 5.55 | 5.63 | NA | NA | XXX | |
| 79200 | 26 | A | Intracavitary nuclear trmt | 1.99 | 0.72 | 0.78 | 0.72 | 0.78 | 0.07 | 2.78 | 2.84 | 2.78 | 2.84 | XXX |
| 79200 | TC | A | Intracavitary nuclear trmt | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79300 | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 79300 | 26 | A | Interstitial nuclear therapy | 1.60 | 0.58 | 0.63 | 0.58 | 0.63 | 0.06 | 2.24 | 2.29 | 2.24 | 2.29 | XXX |
| 79300 | TC | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 79400 | A | Nonhemato nuclear therapy | 1.96 | 3.36 | 3.44 | NA | NA | 0.19 | 5.51 | 5.59 | NA | NA | XXX | |
| 79400 | 26 | A | Nonhemato nuclear therapy | 1.96 | 0.71 | 0.77 | 0.71 | 0.77 | 0.07 | 2.74 | 2.80 | 2.74 | 2.80 | XXX |
| 79400 | TC | A | Nonhemato nuclear therapy | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79420 | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 79420 | 26 | A | Intravascular nuclear ther | 1.51 | 0.53 | 0.58 | 0.53 | 0.58 | 0.06 | 2.10 | 2.15 | 2.10 | 2.15 | XXX |
| 79420 | TC | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 79440 | A | Nuclear joint therapy | 1.99 | 3.42 | 3.49 | NA | NA | 0.20 | 5.61 | 5.68 | NA | NA | XXX | |
| 79440 | 26 | A | Nuclear joint therapy | 1.99 | 0.77 | 0.82 | 0.77 | 0.82 | 0.08 | 2.84 | 2.89 | 2.84 | 2.89 | XXX |
| 79440 | TC | A | Nuclear joint therapy | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX |
| 79900 | C | Provide ther radiopharm(s) | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 79999 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 79999 | 26 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79999 | TC | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 80048 | X | Basic metabolic panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80049 | D | Metabolic panel, basic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80050 | N | General health panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80051 | X | Electrolyte panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80053 | X | Comprehen metabolic panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80054 | D | Comprehen metabolic panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80055 | I | Obstetric panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80058 | D | Hepatic function panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80059 | D | Hepatitis panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80061 | X | Lipid panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80069 | X | Renal function panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80072 | X | Arthritis panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80074 | X | Acute hepatitis panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80076 | X | Hepatic function panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80090 | X | Torch antibody panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80091 | D | Thyroid panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80092 | D | Thyroid panel w/TSH | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80100 | X | Drug screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80101 | X | Drug screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80102 | X | Drug confirmation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80103 | X | Drug analysis, tissue prep | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80150 | X | Assay of amikacin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80152 | X | Assay of amitriptyline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80154 | X | Assay of benzodiazepines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80156 | X | Assay of carbamazepine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80158 | X | Assay of cyclosporine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80160 | X | Assay of desipramine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80162 | X | Assay of digoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80164 | X | Assay, dipropylacetic acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80166 | X | Assay of doxepin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80168 | X | Assay of ethosuximide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80170 | X | Assay of gentamicin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80172 | X | Assay of gold | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80174 | X | Assay of imipramine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80176 | X | Assay of lidocaine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80178 | X | Assay of lithium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80182 | X | Assay of nortriptyline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80184 | X | Assay of phenobarbital | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80185 | X | Assay of phenytoin, total | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80186 | X | Assay of phenytoin, free | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80188 | X | Assay of primidone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80190 | X | Assay of procainamide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80192 | X | Assay of procainamide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80194 | X | Assay of quinidine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80196 | X | Assay of salicylate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80197 | X | Assay of tacrolimus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80198 | X | Assay of theophylline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80200 | X | Assay of tobramycin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80201 | X | Assay of topiramate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80202 | X | Assay of vancomycin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80299 | X | Quantitative assay, drug | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80400 | X | Acth stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80402 | X | Acth stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80406 | X | Acth stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80408 | X | Aldosterone suppression eval | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80410 | X | Calcitonin stimul panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80412 | X | CRH stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80414 | X | Testosterone response | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80415 | X | Estradiol response panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80416 | X | Renin stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80417 | X | Renin stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80418 | X | Pituitary evaluation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80420 | X | Dexamethasone panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80422 | X | Glucagon tolerance panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80424 | X | Glucagon tolerance panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80426 | X | Gonadotropin hormone panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80428 | X | Growth hormone panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80430 | X | Growth hormone panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80432 | X | Insulin suppression panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80434 | X | Insulin tolerance panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80435 | X | Insulin tolerance panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80436 | X | Metyrapone panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80438 | X | TRH stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80439 | X | TRH stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80440 | X | TRH stimulation panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80500 | A | Lab pathology consultation | 0.37 | 0.19 | 0.20 | 0.16 | 0.18 | 0.01 | 0.57 | 0.58 | 0.54 | 0.56 | XXX | |
| 80502 | A | Lab pathology consultation | 1.33 | 0.63 | 0.56 | 0.57 | 0.52 | 0.04 | 2.00 | 1.93 | 1.94 | 1.89 | XXX | |
| 81000 | X | Urinalysis, nonauto w/scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81001 | X | Urinalysis, auto w/scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81002 | X | Urinalysis nonauto w/o scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81003 | X | Urinalysis, auto, w/o scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81005 | X | Urinalysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81007 | X | Urine screen for bacteria | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81015 | X | Microscopic exam of urine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81020 | X | Urinalysis, glass test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81025 | X | Urine pregnancy test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81050 | X | Urinalysis, volume measure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 81099 | X | Urinalysis test procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82000 | X | Assay of blood acetaldehyde | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82003 | X | Assay of acetaminophen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82009 | X | Test for acetone/ketones | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82010 | X | Acetone assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82013 | X | Acetylcholinesterase assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82016 | X | Acylcarnitines, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82017 | X | Acylcarnitines, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82024 | X | Assay of acth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82030 | X | Assay of adp amp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82040 | X | Assay of serum albumin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82042 | X | Assay of urine albumin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82043 | X | Microalbumin, quantitative | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82044 | X | Microalbumin, semiquant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82055 | X | Assay of ethanol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82075 | X | Assay of breath ethanol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82085 | X | Assay of aldolase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82088 | X | Assay of aldosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82101 | X | Assay of urine alkaloids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82103 | X | Alpha-1-antitrypsin, total | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82104 | X | Alpha-1-antitrypsin, pheno | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82105 | X | Alpha-fetoprotein, serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82106 | X | Alpha-fetoprotein, amniotic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82108 | X | Assay of aluminum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82120 | X | Amines, vaginal fluid qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82127 | X | Amino acid, single qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82128 | X | Amino acids, mult qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82131 | X | Amino acids, single quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82135 | X | Assay, aminolevulinic acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82136 | X | Amino acids, quant, 2-5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82139 | X | Amino acids, quan, 6 or more | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82140 | X | Assay of ammonia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82143 | X | Amniotic fluid scan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82145 | X | Assay of amphetamines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82150 | X | Assay of amylase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82154 | X | Androstanediol glucuronide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82157 | X | Assay of androstenedione | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82160 | X | Assay of androsterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82163 | X | Assay of angiotensin II | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82164 | X | Angiotensin I enzyme test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82172 | X | Assay of apolipoprotein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82175 | X | Assay of arsenic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82180 | X | Assay of ascorbic acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82190 | X | Atomic absorption | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82205 | X | Assay of barbiturates | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82232 | X | Assay of beta-2 protein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82239 | X | Bile acids, total | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82240 | X | Bile acids, cholylglycine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82247 | X | Bilirubin, total | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82248 | X | Bilirubin, direct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82251 | I | Assay of bilirubin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82252 | X | Fecal bilirubin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82261 | X | Assay of biotinidase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82270 | X | Test for blood, feces | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82273 | X | Test for blood, other source | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82286 | X | Assay of bradykinin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82300 | X | Assay of cadmium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82306 | X | Assay of vitamin D | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82307 | X | Assay of vitamin D | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82308 | X | Assay of calcitonin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82310 | X | Assay of calcium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82330 | X | Assay of calcium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82331 | X | Calcium infusion test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82340 | X | Assay of calcium in urine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82355 | X | Calculus (stone) analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82360 | X | Calculus (stone) assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82365 | X | Calculus (stone) assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82370 | X | X-ray assay, calculus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82374 | X | Assay, blood carbon dioxide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82375 | X | Assay, blood carbon monoxide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82376 | X | Test for carbon monoxide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82378 | X | Carcinoembryonic antigen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82379 | X | Assay of carnitine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82380 | X | Assay of carotene | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82382 | X | Assay, urine catecholamines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82383 | X | Assay, blood catecholamines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82384 | X | Assay, three catecholamines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82387 | X | Assay of cathepsin-d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82390 | X | Assay of ceruloplasmin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82397 | X | Chemiluminescent assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82415 | X | Assay of chloramphenicol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82435 | X | Assay of blood chloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82436 | X | Assay of urine chloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82438 | X | Assay, other fluid chlorides | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82441 | X | Test for chlorohydrocarbons | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82465 | X | Assay of serum cholesterol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82480 | X | Assay, serum cholinesterase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82482 | X | Assay, rbc cholinesterase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82485 | X | Assay, chondroitin sulfate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82486 | X | Gas/liquid chromatography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82487 | X | Paper chromatography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82488 | X | Paper chromatography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82489 | X | Thin layer chromatography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82491 | X | Chromotography, quant, sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82492 | X | Chromotography, quant, mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82495 | X | Assay of chromium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82507 | X | Assay of citrate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82520 | X | Assay of cocaine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82523 | X | Collagen crosslinks | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82525 | X | Assay of copper | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82528 | X | Assay of corticosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82530 | X | Cortisol, free | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82533 | X | Total cortisol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82540 | X | Assay of creatine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82541 | X | Column chromotography, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82542 | X | Column chromotography, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82543 | X | Column chromotograph/isotope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82544 | X | Column chromotograph/isotope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82550 | X | Assay of ck (cpk) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82552 | X | Assay of cpk in blood | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82553 | X | Creatine, MB fraction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82554 | X | Creatine, isoforms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82565 | X | Assay of creatinine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82570 | X | Assay of urine creatinine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82575 | X | Creatinine clearance test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82585 | X | Assay of cryofibrinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82595 | X | Assay of cryoglobulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82600 | X | Assay of cyanide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82607 | X | Vitamin B-12 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82608 | X | B-12 binding capacity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82615 | X | Test for urine cystines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82626 | X | Dehydroepiandrosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82627 | X | Dehydroepiandrosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82633 | X | Desoxycorticosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82634 | X | Deoxycortisol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82638 | X | Assay of dibucaine number | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82646 | X | Assay of dihydrocodeinone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82649 | X | Assay of dihydromorphinone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82651 | X | Assay of dihydrotestosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82652 | X | Assay of dihydroxyvitamin d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82654 | X | Assay of dimethadione | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82657 | X | Enzyme cell activity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82658 | X | Enzyme cell activity, ra | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82664 | X | Electrophoretic test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82666 | X | Assay of epiandrosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82668 | X | Assay of erythropoietin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82670 | X | Assay of estradiol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82671 | X | Assay of estrogens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82672 | X | Assay of estrogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82677 | X | Assay of estriol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82679 | X | Assay of estrone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82690 | X | Assay of ethchlorvynol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82693 | X | Assay of ethylene glycol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82696 | X | Assay of etiocholanolone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82705 | X | Fats/lipids, feces, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82710 | X | Fats/lipids, feces, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82715 | X | Assay of fecal fat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82725 | X | Assay of blood fatty acids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82726 | X | Long chain fatty acids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82728 | X | Assay of ferritin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82731 | X | Assay of fetal fibronectin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82735 | X | Assay of fluoride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82742 | X | Assay of flurazepam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82746 | X | Blood folic acid serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82747 | X | Assay of folic acid, rbc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82757 | X | Assay of semen fructose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82759 | X | Assay of rbc galactokinase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82760 | X | Assay of galactose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82775 | X | Assay galactose transferase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82776 | X | Galactose transferase test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82784 | X | Assay of gammaglobulin igm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82785 | X | Assay of gammaglobulin ige | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82787 | X | Igg 1, 2, 3 and 4 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82800 | X | Blood pH | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82803 | X | Blood gases: pH, pO2 pCO2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82805 | X | Blood gases W/02 saturation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82810 | X | Blood gases, O2 sat only | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82820 | X | Hemoglobin-oxygen affinity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82926 | X | Assay of gastric acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82928 | X | Assay of gastric acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82938 | X | Gastrin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82941 | X | Assay of gastrin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82943 | X | Assay of glucagon | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82946 | X | Glucagon tolerance test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82947 | X | Assay of glucose, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82948 | X | Reagent strip/blood glucose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82950 | X | Glucose test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82951 | X | Glucose tolerance test (GTT) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82952 | X | GTT-added samples | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82953 | X | Glucose-tolbutamide test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82955 | X | Assay of g6pd enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82960 | X | Test for G6PD enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82962 | X | Glucose blood test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82963 | X | Assay of glucosidase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82965 | X | Assay of gdh enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82975 | X | Assay of glutamine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82977 | X | Assay of GGT | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82978 | X | Assay of glutathione | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82979 | X | Assay, rbc glutathione | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82980 | X | Assay of glutethimide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 82985 | X | Glycated protein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83001 | X | Gonadotropin (FSH) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83002 | X | Gonadotropin (LH) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83003 | X | Assay, growth hormone (hgh) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| ????? | X | Assay of guanosine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83010 | X | Assay of haptoglobin, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83012 | X | Assay of haptoglobins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83013 | X | H pylori breath tst analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83014 | X | H pylori drug admin/collect | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83015 | X | Heavy metal screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83018 | X | Quantitative screen, metals | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83020 | X | Hemoglobin electrophoresis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83020 | 26 | A | Hemoglobin electrophoresis | 0.37 | 0.16 | 0.18 | 0.16 | 0.18 | 0.01 | 0.54 | 0.56 | 0.54 | 0.56 | XXX |
| 83021 | X | Hemoglobin chromotography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83026 | X | Hemoglobin, copper sulfate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83030 | X | Fetal hemoglobin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83033 | X | Fetal fecal hemoglobin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83036 | X | Glycated hemoglobin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83045 | X | Blood methemoglobin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83050 | X | Blood methemoglobin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83051 | X | Assay of plasma hemoglobin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83055 | X | Blood sulfhemoglobin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83060 | X | Blood sulfhemoglobin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83065 | X | Assay of hemoglobin heat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83068 | X | Hemoglobin stability screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83069 | X | Assay of urine hemoglobin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83070 | X | Assay of hemosiderin, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83071 | X | Assay of hemosiderin, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83080 | X | Assay of b hexosaminidase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83088 | X | Assay of histamine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83150 | X | Assay of for hva | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83491 | X | Assay of corticosteroids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83497 | X | Assay of 5-hiaa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83498 | X | Assay of progesterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83499 | X | Assay of progesterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83500 | X | Assay, free hydroxyproline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83505 | X | Assay, total hydroxyproline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83516 | X | Immunoassay, nonantibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83518 | X | Immunoassay, dipstick | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83519 | X | Immunoassay, nonantibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83520 | X | Immunoassay, RIA | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83525 | X | Assay of insulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83527 | X | Assay of insulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83528 | X | Assay of intrinsic factor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83540 | X | Assay of iron | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83550 | X | Iron binding test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83570 | X | Assay of idh enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83582 | X | Assay of ketogenic steroids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83586 | X | Assay 17-ketosteroids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83593 | X | Fractionation, ketosteroids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83605 | X | Assay of lactic acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83615 | X | Lactate (LD) (LDH) enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83625 | X | Assay of ldh enzymes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83632 | X | Placental lactogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83633 | X | Test urine for lactose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83634 | X | Assay of urine for lactose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83655 | X | Assay of lead | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83661 | X | Assay of l/s ratio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83662 | X | L/S ratio, foam stability | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83670 | X | Assay of lap enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83690 | X | Assay of lipase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83715 | X | Assay of blood lipoproteins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83716 | X | Assay of blood lipoproteins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83718 | X | Assay of lipoprotein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83719 | X | Assay of blood lipoprotein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83721 | X | Assay of blood lipoprotein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83727 | X | Assay of lrh hormone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83735 | X | Assay of magnesium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83775 | X | Assay of md enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83785 | X | Assay of manganese | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83788 | X | Mass spectrometry qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83789 | X | Mass spectrometry quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83805 | X | Assay of meprobamate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83825 | X | Assay of mercury | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83835 | X | Assay of metanephrines | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83840 | X | Assay of methadone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83857 | X | Assay of methemalbumin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83858 | X | Assay of methsuximide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83864 | X | Mucopolysaccharides | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83866 | X | Mucopolysaccharides screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83872 | X | Assay synovial fluid mucin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83873 | X | Assay of csf protein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83874 | X | Assay of myoglobin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83883 | X | Assay, nephelometry not spec | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83885 | X | Assay of nickel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83887 | X | Assay of nicotine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83890 | X | Molecule isolate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83891 | X | Molecule isolate nucleic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83892 | X | Molecular diagnostics | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83893 | X | Molecule dot/slot/blot | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83894 | X | Molecule gel electrophor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83896 | X | Molecular diagnostics | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83897 | X | Molecule nucleic transfer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83898 | X | Molecule nucleic ampli | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83901 | X | Molecule nucleic ampli | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83902 | X | Molecular diagnostics | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83903 | X | Molecule mutation scan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83904 | X | Molecule mutation identify | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83905 | X | Molecule mutation identify | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83906 | X | Molecule mutation identify | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83912 | X | Genetic examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83912 | 26 | A | Genetic examination | 0.37 | 0.18 | 0.19 | 0.16 | 0.18 | 0.01 | 0.56 | 0.57 | 0.54 | 0.56 | XXX |
| 83915 | X | Assay of nucleotidase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83916 | X | Oligoclonal bands | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83918 | X | Assay, organic acids quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83919 | X | Assay, organic acids qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83925 | X | Assay of opiates | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83930 | X | Assay of blood osmolality | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83935 | X | Assay of urine osmolality | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83937 | X | Assay of osteocalcin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83945 | X | Assay of oxalate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83970 | X | Assay of parathormone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83986 | X | Assay of body fluid acidity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 83992 | X | Assay for phencyclidine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84022 | X | Assay of phenothiazine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84030 | X | Assay of blood pku | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84035 | X | Assay of phenylketones | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84060 | X | Assay acid phosphatase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84061 | X | Phosphatase, forensic exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84066 | X | Assay prostate phosphatase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84075 | X | Assay alkaline phosphatase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84078 | X | Assay alkaline phosphatase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84080 | X | Assay alkaline phosphatases | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84081 | X | Amniotic fluid enzyme test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84085 | X | Assay of rbc pg6d enzyme | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84087 | X | Assay phosphohexose enzymes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84100 | X | Assay of phosphorus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84105 | X | Assay of urine phosphorus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84106 | X | Test for porphobilinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84110 | X | Assay of porphobilinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84119 | X | Test urine for porphyrins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84120 | X | Assay of urine porphyrins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84126 | X | Assay of feces porphyrins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84127 | X | Assay of feces porphyrins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84132 | X | Assay of serum potassium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84133 | X | Assay of urine potassium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84134 | X | Assay of prealbumin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84135 | X | Assay of pregnanediol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84138 | X | Assay of pregnanetriol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84140 | X | Assay of pregnenolone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84143 | X | Assay of 17-hydroxypregneno | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84144 | X | Assay of progesterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84146 | X | Assay of prolactin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84150 | X | Assay of prostaglandin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84153 | X | Assay of psa, total | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84154 | X | Assay of psa, free | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84155 | X | Assay of protein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84160 | X | Assay of serum protein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84165 | X | Assay of serum proteins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84165 | 26 | A | Assay of serum proteins | 0.37 | 0.17 | 0.18 | 0.16 | 0.18 | 0.01 | 0.55 | 0.56 | 0.54 | 0.56 | XXX |
| 84181 | X | Western blot test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84181 | 26 | A | Western blot test | 0.37 | 0.15 | 0.17 | 0.15 | 0.17 | 0.01 | 0.53 | 0.55 | 0.53 | 0.55 | XXX |
| 84182 | X | Protein, western blot test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84182 | 26 | A | Protein, western blot test | 0.37 | 0.15 | 0.17 | 0.15 | 0.17 | 0.01 | 0.53 | 0.55 | 0.53 | 0.55 | XXX |
| 84202 | X | Assay RBC protoporphyrin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84203 | X | Test RBC protoporphyrin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84206 | X | Assay of proinsulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84207 | X | Assay of vitamin b-6 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84210 | X | Assay of pyruvate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84220 | X | Assay of pyruvate kinase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84228 | X | Assay of quinine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84233 | X | Assay of estrogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84234 | X | Assay of progesterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84235 | X | Assay of endocrine hormone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84238 | X | Assay, nonendocrine receptor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84244 | X | Assay of renin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84252 | X | Assay of vitamin b-2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84255 | X | Assay of selenium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84260 | X | Assay of serotonin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84270 | X | Assay of sex hormone globul | 0.00 | 00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84275 | X | Assay of sialic acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84285 | X | Assay of silica | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84295 | X | Assay of serum sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84300 | X | Assay of urine sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84305 | X | Assay of somatomedin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84307 | X | Assay of somatostatin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84311 | X | Spectrophotometry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84315 | X | Body fluid specific gravity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84375 | X | Chromatogram assay, sugars | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84376 | X | Sugars, single, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84377 | X | Sugars, multiple, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84378 | X | Sugars single quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84379 | X | Sugars multiple quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84392 | X | Assay of urine sulfate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84402 | X | Assay of testosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84403 | X | Assay of total testosterone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84425 | X | Assay of vitamin b-1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84430 | X | Assay of thiocyanate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84432 | X | Assay of thyroglobulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84436 | X | Assay of total thyroxine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84437 | X | Assay of neonatal thyroxine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84439 | X | Assay of free thyroxine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84442 | X | Assay of thyroid activity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84443 | X | Assay thyroid stim hormone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84445 | X | Assay of tsi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84446 | X | Assay of vitamin e | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84449 | X | Assay of transcortin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84450 | X | Transferase (AST) (SGOT) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84460 | X | Alanine amino (ALT) (SGPT) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84466 | X | Assay of transferrin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84478 | X | Assay of triglycerides | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84479 | X | Assay of thyroid (t3 or t4) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84480 | X | Assay, triiodothyronine (t3) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84481 | X | Free assay (FT-3) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84482 | X | T3 reverse | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84484 | X | Assay of troponin, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84485 | X | Assay duodenal fluid trypsin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84488 | X | Test feces for trypsin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84490 | X | Assay of feces for trypsin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84510 | X | Assay of tyrosine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84512 | X | Assay of troponin, qual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84520 | X | Assay of urea nitrogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84525 | X | Urea nitrogen semi-quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84540 | X | Assay of urine/urea-n | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84545 | X | Urea-N clearance test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84550 | X | Assay of blood/uric acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84560 | X | Assay of urine/uric acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84577 | X | Assay of feces/urobilinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84578 | X | Test urine urobilinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84580 | X | Assay of urine urobilinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84583 | X | Assay of urine urobilinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84585 | X | Assay of urine vma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84586 | X | Assay of vip | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84588 | X | Assay of vasopressin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84590 | X | Assay of vitamin a | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84597 | X | Assay of vitamin k | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84600 | X | Assay of volatiles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84620 | X | Xylose tolerance test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84630 | X | Assay of zinc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84681 | X | Assay of c-peptide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84702 | X | Chorionic gonadotropin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84703 | X | Chorionic gonadotropin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84830 | X | Ovulation tests | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 84999 | X | Clinical chemistry test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85002 | X | Bleeding time test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85007 | X | Differential WBC count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85008 | X | Nondifferential WBC count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85009 | X | Differential WBC count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85013 | X | Hematocrit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85014 | X | Hematocrit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85018 | X | Hemoglobin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85021 | X | Automated hemogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85022 | X | Automated hemogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85023 | X | Automated hemogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85024 | X | Automated hemogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85025 | X | Automated hemogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85027 | X | Automated hemogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85031 | X | Manual hemogram, cbc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85041 | X | Red blood cell (RBC) count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85044 | X | Reticulocyte count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85045 | X | Reticulocyte count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85046 | X | Reticyte/hgb concentrate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85048 | X | White blood cell (WBC) count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85060 | A | Blood smear interpretation | 0.45 | 0.20 | 0.21 | 0.19 | 0.20 | 0.01 | 0.66 | 0.67 | 0.65 | 0.66 | XXX | |
| 85095 | A | Bone marrow aspiration | 1.08 | 4.30 | 3.41 | 0.42 | 0.50 | 0.03 | 5.41 | 4.52 | 1.53 | 1.61 | XXX | |
| 85097 | A | Bone marrow interpretation | 0.94 | 0.40 | 0.43 | 0.40 | 0.43 | 0.03 | 1.37 | 1.40 | 1.37 | 1.40 | XXX | |
| 85102 | A | Bone marrow biopsy | 1.37 | 4.41 | 3.53 | 0.53 | 0.62 | 0.04 | 5.82 | 4.94 | 1.94 | 2.03 | XXX | |
| 85130 | X | Chromogenic substrate assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85170 | X | Blood clot retraction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85175 | X | Blood clot lysis time | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85210 | X | Blood clot factor II test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85220 | X | Blood clot factor V test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85230 | X | Blood clot factor VII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85240 | X | Blood clot factor VIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85244 | X | Blood clot factor VIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85245 | X | Blood clot factor VIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85246 | X | Blood clot factor VIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85247 | X | Blood clot factor VIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85250 | X | Blood clot factor IX test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85260 | X | Blood clot factor X test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85270 | X | Blood clot factor XI test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85280 | X | Blood clot factor XII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85290 | X | Blood clot factor XIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85291 | X | Blood clot factor XIII test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85292 | X | Blood clot factor assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85293 | X | Blood clot factor assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85300 | X | Antithrombin III test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85301 | X | Antithrombin III test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85302 | X | Blood clot inhibitor antigen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85303 | X | Blood clot inhibitor test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85305 | X | Blood clot inhibitor assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85306 | X | Blood clot inhibitor test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85335 | X | Factor inhibitor test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85337 | X | Thrombomodulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85345 | X | Coagulation time | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85347 | X | Coagulation time | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85348 | X | Coagulation time | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85360 | X | Euglobulin lysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85362 | X | Fibrin degradation products | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85366 | X | Fibrinogen test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85370 | X | Fibrinogen test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85378 | X | Fibrin degradation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85379 | X | Fibrin degradation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85384 | X | Fibrinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85385 | X | Fibrinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85390 | X | Fibrinolysins screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85390 | 26 | A | Fibrinolysins screen | 0.37 | 0.12 | 0.15 | 0.12 | 0.15 | 0.01 | 0.50 | 0.53 | 0.50 | 0.53 | XXX |
| 85400 | X | Fibrinolytic plasmin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85410 | X | Fibrinolytic antiplasmin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85415 | X | Fibrinolytic plasminogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85420 | X | Fibrinolytic plasminogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85421 | X | Fibrinolytic plasminogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85441 | X | Heinz bodies, direct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85445 | X | Heinz bodies, induced | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85460 | X | Hemoglobin, fetal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85461 | X | Hemoglobin, fetal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85475 | X | Hemolysin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85520 | X | Heparin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85525 | X | Heparin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85530 | X | Heparin-protamine tolerance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85535 | X | Iron stain, blood cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85540 | X | Wbc alkaline phosphatase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85547 | X | RBC mechanical fragility | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85549 | X | Muramidase | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85555 | X | RBC osmotic fragility | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85557 | X | RBC osmotic fragility | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85576 | X | Blood platelet aggregation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85576 | 26 | A | Blood platelet aggregation | 0.37 | 0.16 | 0.18 | 0.16 | 0.18 | 0.01 | 0.54 | 0.56 | 0.54 | 0.56 | XXX |
| 85585 | X | Blood platelet estimation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85590 | X | Platelet count, manual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85595 | X | Platelet count, automated | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85597 | X | Platelet neutralization | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85610 | X | Prothrombin time | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85611 | X | Prothrombin test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85612 | X | Viper venom prothrombin time | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85613 | X | Russell viper venom, diluted | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85635 | X | Reptilase test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85651 | X | Rbc sed rate, nonautomated | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85652 | X | Rbc sed rate, automated | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85660 | X | RBC sickle cell test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85670 | X | Thrombin time, plasma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85675 | X | Thrombin time, titer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85705 | X | Thromboplastin inhibition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85730 | X | Thromboplastin time, partial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85732 | X | Thromboplastin time, partial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85810 | X | Blood viscosity examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 85999 | X | Hematology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86000 | X | Agglutinins, febrile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86003 | X | Allergen specific IgE | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86005 | X | Allergen specific IgE | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86021 | X | WBC antibody identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86022 | X | Platelet antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86023 | X | Immunoglobulin assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86038 | X | Antinuclear antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86039 | X | Antinuclear antibodies (ANA) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86060 | X | Antistreptolysin o, titer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86063 | X | Antistreptolysin o, screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86077 | A | Physician blood bank service | 0.94 | 0.50 | 0.46 | 0.40 | 0.38 | 0.03 | 1.47 | 1.43 | 1.37 | 1.35 | XXX | |
| 86078 | A | Physician blood bank service | 0.94 | 0.52 | 0.48 | 0.40 | 0.39 | 0.02 | 1.48 | 1.44 | 1.36 | 1.35 | XXX | |
| 86079 | A | Physician blood bank service | 0.94 | 0.51 | 0.47 | 0.40 | 0.39 | 0.02 | 1.47 | 1.43 | 1.36 | 1.35 | XXX | |
| 86140 | X | C-reactive protein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86147 | X | Cardiolipin antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86148 | X | Phospholipid antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86155 | X | Chemotaxis assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86156 | X | Cold agglutinin, screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86157 | X | Cold agglutinin, titer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86160 | X | Complement, antigen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86161 | X | Complement/function activity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86162 | X | Complement, total (CH50) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86171 | X | Complement fixation, each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86185 | X | Counterimmunoelectrophoresis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86215 | X | Deoxyribonuclease, antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86225 | X | DNA antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86226 | X | DNA antibody, single strand | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86235 | X | Nuclear antigen antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86243 | X | Fc receptor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86255 | X | Fluorescent antibody, screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86255 | 26 | A | Fluorescent antibody, screen | 0.37 | 0.18 | 0.19 | 0.16 | 0.18 | 0.01 | 0.56 | 0.57 | 0.54 | 0.56 | XXX |
| 86256 | X | Fluorescent antibody, titer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86256 | 26 | A | Fluorescent antibody, titer | 0.37 | 0.16 | 0.18 | 0.16 | 0.18 | 0.01 | 0.54 | 0.56 | 0.54 | 0.56 | XXX |
| 86277 | X | Growth hormone antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86280 | X | Hemagglutination inhibition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86308 | X | Heterophile antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86309 | X | Heterophile antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86310 | X | Heterophile antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86316 | X | Immunoassay, tumor antigen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86317 | X | Immunoassay,infectious agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86318 | X | Immunoassay,infectious agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86320 | X | Serum immunoelectrophoresis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86320 | 26 | A | Serum immunoelectrophoresis | 0.37 | 0.16 | 0.18 | 0.16 | 0.18 | 0.01 | 0.54 | 0.56 | 0.54 | 0.56 | XXX |
| 86325 | X | Other immunoelectrophoresis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86325 | 26 | A | Other immunoelectrophoresis | 0.37 | 0.18 | 0.19 | 0.15 | 0.17 | 0.01 | 0.56 | 0.57 | 0.53 | 0.55 | XXX |
| 86327 | X | Immunoelectrophoresis assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86327 | 26 | A | Immunoelectrophoresis assay | 0.42 | 0.17 | 0.18 | 0.17 | 0.18 | 0.01 | 0.60 | 0.61 | 0.60 | 0.61 | XXX |
| 86329 | X | Immunodiffusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86331 | X | Immunodiffusion ouchterlony | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86332 | X | Immune complex assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86334 | X | Immunofixation procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86334 | 26 | A | Immunofixation procedure | 0.37 | 0.16 | 0.18 | 0.16 | 0.18 | 0.01 | 0.54 | 0.56 | 0.54 | 0.56 | XXX |
| 86337 | X | Insulin antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86340 | X | Intrinsic factor antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86341 | X | Islet cell antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86343 | X | Leukocyte histamine release | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86344 | X | Leukocyte phagocytosis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86353 | X | Lymphocyte transformation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86359 | X | T cells, total count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86360 | X | T cell, absolute count/ratio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86361 | X | T cell, absolute count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86376 | X | Microsomal antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | .00 | XXX | |
| 86378 | X | Migration inhibitory factor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86382 | X | Neutralization test, viral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86384 | X | Nitroblue tetrazolium dye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86403 | X | Particle agglutination test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86406 | X | Particle agglutination test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86430 | X | Rheumatoid factor test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86431 | X | Rheumatoid factor, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86485 | C | Skin test, candida | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 86490 | A | Coccidioidomycosis skin test | 0.00 | 0.29 | 0.29 | NA | NA | 0.02 | 0.31 | 0.31 | NA | NA | XXX | |
| 86510 | A | Histoplasmosis skin test | 0.00 | 0.32 | 0.32 | NA | NA | 0.02 | 0.34 | 0.34 | NA | NA | XXX | |
| 86580 | A | TB intradermal test | 0.00 | 0.25 | 0.25 | NA | NA | 0.02 | 0.27 | 0.27 | NA | NA | XXX | |
| 86585 | A | TB tine test | 0.00 | 0.21 | 0.21 | NA | NA | 0.01 | 0.22 | 0.22 | NA | NA | XXX | |
| 86586 | C | Skin test, unlisted | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 86588 | D | Streptocollus, direct screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86590 | X | Streptokinase, antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86592 | X | Blood serology, qualitative | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86593 | X | Blood serology, quantitative | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86602 | X | Antinomyces antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86603 | X | Adenovirus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86606 | X | Aspergillus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86609 | X | Bacterium antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86612 | X | Blastomyces antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86615 | X | Bordetella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86617 | X | Lyme disease antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86618 | X | Lyme disease antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86619 | X | Borrelia antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86622 | X | Brucella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86625 | X | Campylobacter antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86628 | X | Candida antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86631 | X | Chlamydia antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86632 | X | Chlamydia igm antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86635 | X | Coccidioides antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86638 | X | Q fever antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86641 | X | Cryptococcus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86644 | X | CMV antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86645 | X | CMV antibody, IgM | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86648 | X | Diphtheria antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86651 | X | Encephalitis antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86652 | X | Encephalitis antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86653 | X | Encephalitis antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86654 | X | Encephalitis antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86658 | X | Enterovirus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86663 | X | Epstein-barr antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86664 | X | Epstein-barr antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86665 | X | Epstein-barr antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86668 | X | Francisella tularensis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86671 | X | Fungus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86674 | X | Giardia lamblia antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86677 | X | Helicobacter pylori | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86682 | X | Helminth antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86684 | X | Hemophilus influenza | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86687 | X | Htlv-i antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86688 | X | Htlv-ii antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86689 | X | HTLV/HIV confirmatory test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86692 | X | Hepatitis, delta agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86694 | X | Herpes simplex test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86695 | X | Herpes simplex test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86698 | X | Histoplasma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86701 | X | HIV-1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86702 | X | HIV-2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86703 | X | HIV-1/HIV-2, single assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86704 | X | Hep b core antibody, igg/igm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86705 | X | Hep b core antibody, igm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86706 | X | Hep b surface antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86707 | X | Hep be antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86708 | X | Hep a antibody, igg/igm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86709 | X | Hep a antibody, igm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86710 | X | Influenza virus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86713 | X | Legionella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86717 | X | Leishmania antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86720 | X | Leptospira antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86723 | X | Listeria monocytogenes ab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86727 | X | Lymph choriomeningitis ab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86729 | X | Lympho venereum antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86732 | X | Mucormycosis antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86735 | X | Mumps antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86738 | X | Mycoplasma antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86741 | X | Neisseria meningitidis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86744 | X | Nocardia antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86747 | X | Parvovirus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86750 | X | Malaria antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86753 | X | Protozoa antibody nos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86756 | X | Respiratory virus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86759 | X | Rotavirus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86762 | X | Rubella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86765 | X | Rubeola antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86768 | X | Salmonella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86771 | X | Shigella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86774 | X | Tetanus antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86777 | X | Toxoplasma antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86778 | X | Toxoplasma antibody, igm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86781 | X | Treponema pallidum, confirm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86784 | X | Trichinella antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86787 | X | Varicella-zoster antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86790 | X | Virus antibody nos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86793 | X | Yersinia antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86800 | X | Thyroglobulin antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86803 | X | Hepatitis c ab test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86804 | X | Hep c ab test, confirm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86805 | X | Lymphocytotoxicity assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86806 | X | Lymphocytotoxicity assay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86807 | X | Cytotoxic antibody screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86808 | X | Cytotoxic antibody screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86812 | X | HLA typing, A, B, or C | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86813 | X | HLA typing, A, B, or C | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86816 | X | HLA typing, DR/DQ | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86817 | X | HLA typing, DR/DQ | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86821 | X | Lymphocyte culture, mixed | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86822 | X | Lymphocyte culture, primed | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86849 | X | Immunology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86850 | X | RBC antibody screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86860 | X | RBC antibody elution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86870 | X | RBC antibody identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86880 | X | Coombs test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86885 | X | Coombs test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86886 | X | Coombs test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86890 | X | Autologous blood process | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86891 | X | Autologous blood, op salvage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86900 | X | Blood typing, ABO | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86901 | X | Blood typing, Rh (D) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86903 | X | Blood typing, antigen screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86904 | X | Blood typing, patient serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86905 | X | Blood typing, RBC antigens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86906 | X | Blood typing, Rh phenotype | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86910 | N | Blood typing, paternity test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86911 | N | Blood typing, antigen system | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86915 | X | Bone marrow/stem cell prep | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86920 | X | Compatibility test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86921 | X | Compatibility test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86922 | X | Compatibility test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86927 | X | Plasma, fresh frozen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86930 | X | Frozen blood prep | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86931 | X | Frozen blood thaw | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86932 | X | Frozen blood freeze/thaw | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86940 | X | Hemolysins/agglutinins, auto | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86941 | X | Hemolysins/agglutinins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86945 | X | Blood product/irradiation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86950 | X | Leukacyte transfusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86965 | X | Pooling blood platelets | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86970 | X | RBC pretreatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86971 | X | RBC pretreatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86972 | X | RBC pretreatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86975 | X | RBC pretreatment, serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86976 | X | RBC pretreatment, serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86977 | X | RBC pretreatment, serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86978 | X | RBC pretreatment, serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86985 | X | Split blood or products | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86999 | X | Transfusion procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87001 | X | Small animal inoculation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87003 | X | Small animal inoculation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87015 | X | Specimen concentration | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87040 | X | Blood culture for bacteria | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87045 | X | Stool culture for bacteria | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87060 | X | Nose/throat culture, bact | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87070 | X | Culture specimen, bacteria | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87072 | X | Culture of specimen by kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87075 | X | Culture specimen, bacteria | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87076 | X | Bacteria identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87081 | X | Bacteria culture screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87082 | X | Culture of specimen by kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87083 | X | Culture of specimen by kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87084 | X | Culture of specimen by kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87085 | X | Culture of specimen by kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87086 | X | Urine culture/colony count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87087 | X | Urine bacteria culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87088 | X | Urine bacteria culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87101 | X | Skin fungus culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87102 | X | Fungus isolation culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87103 | X | Blood fungus culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87106 | X | Fungus identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87109 | X | Mycoplasma culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87110 | X | Culture, chlamydia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87116 | X | Mycobacteria culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87117 | X | Mycobacteria culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87118 | X | Mycobacteria identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87140 | X | Culture typing, fluorescent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87143 | X | Culture typing, GLC method | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87145 | X | Culture typing, phage method | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87147 | X | Culture typing, serologic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87151 | X | Culture typing, serologic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87155 | X | Culture typing, precipitin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87158 | X | Culture typing, added method | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87163 | X | Special microbiology culture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87164 | X | Dark field examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87164 | 26 | A | Dark field examination | 0.37 | 0.15 | 0.17 | 0.15 | 0.17 | 0.01 | 0.53 | 0.55 | 0.53 | 0.55 | XXX |
| 87166 | X | Dark field examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87174 | X | Endotoxin, bacterial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87175 | X | Assay, endotoxin, bacterial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87176 | X | Endotoxin, bacterial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87177 | X | Ova and parasites smears | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87181 | X | Antibiotic sensitivity, each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87184 | X | Antibiotic sensitivity, each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87186 | X | Antibiotic sensitivity, MIC | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87187 | X | Antibiotic sensitivity, MBC | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87188 | X | Antibiotic sensitivity, each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87190 | X | TB antibiotic sensitivity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87192 | X | Antibiotic sensitivity, each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87197 | X | Bactericidal level, serum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87205 | X | Smear, stain interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87206 | X | Smear, stain interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87207 | X | Smear, stain interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87207 | 26 | A | Smear, stain interpret | 0.37 | 0.18 | 0.19 | 0.16 | 0.18 | 0.01 | 0.56 | 0.57 | 0.54 | 0.56 | XXX |
| 87208 | X | Smear, stain interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87210 | X | Smear, stain interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87211 | X | Smear, stain interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87220 | X | Tissue exam for fungi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87230 | X | Assay, toxin or antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87250 | X | Virus inoculation for test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87252 | X | Virus inoculation for test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87253 | X | Virus inoculation for test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87260 | X | Adenovirus ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87265 | X | Pertussis ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87270 | X | Chylmd trach ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87272 | X | Cryptosporidum ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87274 | X | Herpes simplex ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87276 | X | Influenza ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87278 | X | Legion pneumo ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87280 | X | Resp syncytial ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87285 | X | Trepon pallidum ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87290 | X | Varicella ag, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87299 | X | Ag detection nos, dfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87301 | X | Adenovirus ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87320 | X | Chylmd trach ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87324 | X | Clostridium ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87328 | X | Cryptospor ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87332 | X | Cytomegalovirus ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87335 | X | E coli 0157 ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87338 | X | Hpylori, stool, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87340 | X | Hepatitis b surface ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87350 | X | Hepatitis be ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87380 | X | Hepatitis delta ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87385 | X | Histoplasma capsul ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87390 | X | Hiv-1 ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87391 | X | Hiv-2 ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87420 | X | Resp syncytial ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87425 | X | Rotavirus ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87430 | X | Strep a ag, eia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87449 | X | Ag detect nos, eia, mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87450 | X | Ag detect nos, eia, single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87470 | X | Bartonella, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87471 | X | Bartonella, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87472 | X | Bartonella, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87475 | X | Lyme dis, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87476 | X | Lyme dis, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87477 | X | Lyme dis, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87480 | X | Candida, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87481 | X | Candida, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87482 | X | Candida, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87485 | X | Chylmd pneum, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87486 | X | Chylmd pneum, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87487 | X | Chylmd pneum, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87490 | X | Chylmd trach, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87491 | X | Chylmd trach, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87492 | X | Chylmd trach, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87495 | X | Cytomeg, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87496 | X | Cytomeg, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87497 | X | Cytomeg, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87510 | X | Gardner vag, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87511 | X | Gardner vag, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87512 | X | Gardner vag, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87515 | X | Hepatitis b, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87516 | X | Hepatitis b , dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87517 | X | Hepatitis b , dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87520 | X | Hepatitis c , rna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87521 | X | Hepatitis c , rna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87522 | X | Hepatitis c, rna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87525 | X | Hepatitis g , dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87526 | X | Hepatitis g, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87527 | X | Hepatitis g, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87528 | X | Hsv, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87529 | X | Hsv, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87530 | X | Hsv, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87531 | X | Hhv-6, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87532 | X | Hhv-6, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87533 | X | Hhv-6, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87534 | X | Hiv-1, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87535 | X | Hiv-1, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87536 | X | Hiv-1, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87537 | X | Hiv-2, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87538 | X | Hiv-2, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87539 | X | Hiv-2, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87540 | X | Legion pneumo, dna, dir prob | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87541 | X | Legion pneumo, dna, amp prob | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87542 | X | Legion pneumo, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87550 | X | Mycobacteria, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87551 | X | Mycobacteria, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87552 | X | Mycobacteria, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87555 | X | M.tuberculo, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87556 | X | M.tuberculo, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87557 | X | M.tuberculo, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87560 | X | M.avium-intra, dna, dir prob | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87561 | X | M.avium-intra, dna, amp prob | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87562 | X | M.avium-intra, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87580 | X | M.pneumon, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87581 | X | M.pneumon, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87582 | X | M.pneumon, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87590 | X | N.gonorrhoeae, dna, dir prob | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87591 | X | N.gonorrhoeae, dna, amp prob | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87592 | X | N.gonorrhoeae, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87620 | X | Hpv, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87621 | X | Hpv, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87622 | X | Hpv, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87650 | X | Strep a, dna, dir probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87651 | X | Strep a, dna, amp probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87652 | X | Strep a, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87797 | X | Detect agent nos, dna, dir | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87798 | X | Detect agent nos, dna, amp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87799 | X | Detect agent nos, dna, quant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87810 | X | Chylmd trach assay w/optic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87850 | X | N. gonorrhoeae assay w/optic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87880 | X | Strep a assay w/optic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87899 | X | Agent nos assay w/optic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87999 | X | Microbiology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88000 | N | Autopsy (necropsy), gross | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88005 | N | Autopsy (necropsy), gross | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88007 | N | Autopsy (necropsy), gross | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88012 | N | Autopsy (necropsy), gross | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88014 | N | Autopsy (necropsy), gross | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88016 | N | Autopsy (necropsy), gross | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88020 | N | Autopsy (necropsy), complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88025 | N | Autopsy (necropsy), complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88027 | N | Autopsy (necropsy), complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88028 | N | Autopsy (necropsy), complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88029 | N | Autopsy (necropsy), complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88036 | N | Limited autopsy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88037 | N | Limited autopsy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88040 | N | Forensic autopsy (necropsy) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88045 | N | Coroner's autopsy (necropsy) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88099 | N | Necropsy (autopsy) procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88104 | A | Cytopathology, fluids | 0.56 | 0.90 | 0.79 | NA | NA | 0.03 | 1.49 | 1.38 | NA | NA | XXX | |
| 88104 | 26 | A | Cytopathology, fluids | 0.56 | 0.24 | 0.24 | 0.24 | 0.24 | 0.01 | 0.81 | 0.81 | 0.81 | 0.81 | XXX |
| 88104 | TC | A | Cytopathology, fluids | 0.00 | 0.66 | 0.55 | NA | NA | 0.02 | 0.68 | 0.57 | NA | NA | XXX |
| 88106 | A | Cytopathology, fluids | 0.56 | 0.56 | 0.53 | NA | NA | 0.03 | 1.15 | 1.12 | NA | NA | XXX | |
| 88106 | 26 | A | Cytopathology, fluids | 0.56 | 0.24 | 0.24 | 0.24 | 0.24 | 0.01 | 0.81 | 0.81 | 0.81 | 0.81 | XXX |
| 88106 | TC | A | Cytopathology, fluids | 0.00 | 0.32 | 0.29 | NA | NA | 0.02 | 0.34 | 0.31 | NA | NA | XXX |
| 88107 | A | Cytopathology, fluids | 0.76 | 0.94 | 0.83 | NA | NA | 0.04 | 1.74 | 1.63 | NA | NA | XXX | |
| 88107 | 26 | A | Cytopathology, fluids | 0.76 | 0.33 | 0.31 | 0.33 | 0.31 | 0.02 | 1.11 | 1.09 | 1.11 | 1.09 | XXX |
| 88107 | TC | A | Cytopathology, fluids | 0.00 | 0.61 | 0.52 | NA | NA | 0.02 | 0.63 | 0.54 | NA | NA | XXX |
| 88108 | A | Cytopath, concentrate tech | 0.56 | 0.81 | 0.74 | NA | NA | 0.03 | 1.40 | 1.33 | NA | NA | XXX | |
| 88108 | 26 | A | Cytopath, concentrate tech | 0.56 | 0.24 | 0.25 | 0.24 | 0.25 | 0.01 | 0.81 | 0.82 | 0.81 | 0.82 | XXX |
| 88108 | TC | A | Cytopath, concentrate tech | 0.00 | 0.57 | 0.49 | NA | NA | 0.02 | 0.59 | 0.51 | NA | NA | XXX |
| 88125 | A | Forensic cytopathology | 0.26 | 0.30 | 0.25 | NA | NA | 0.02 | 0.58 | 0.53 | NA | NA | XXX | |
| 88125 | 26 | A | Forensic cytopathology | 0.26 | 0.11 | 0.10 | 0.11 | 0.10 | 0.01 | 0.38 | 0.37 | 0.38 | 0.37 | XXX |
| 88125 | TC | A | Forensic cytopathology | 0.00 | 0.19 | 0.15 | NA | NA | 0.01 | 0.20 | 0.16 | NA | NA | XXX |
| 88130 | X | Sex chromatin identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88140 | X | Sex chromatin identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88141 | A | Cytopath, c/v, interpret | 0.42 | 0.19 | 0.23 | 0.19 | 0.23 | 0.01 | 0.62 | 0.66 | 0.62 | 0.66 | XXX | |
| 88142 | X | Cytopath, c/v, thin layer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88143 | X | Cytopath c/v thin layer redo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88144 | X | Cytopath, c/v thin lyr redo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88145 | X | Cytopath, c/v thin lyr sel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88147 | X | Cytopath, c/v, automated | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88148 | X | Cytopath, c/v, auto rescreen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88150 | X | Cytopath, c/v, manual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88152 | X | Cytopath, c/v, auto redo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88153 | X | Cytopath, c/v, redo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88154 | X | Cytopath, c/v, select | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88155 | X | Cytopath, c/v, index add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88160 | A | Cytopath smear, other source | 0.50 | 1.08 | 0.90 | NA | NA | 0.03 | 1.61 | 1.43 | NA | NA | XXX | |
| 88160 | 26 | A | Cytopath smear, other source | 0.50 | 0.21 | 0.20 | 0.21 | 0.20 | 0.01 | 0.72 | 0.71 | 0.72 | 0.71 | XXX |
| 88160 | TC | A | Cytopath smear, other source | 0.00 | 0.87 | 0.70 | NA | NA | 0.02 | 0.89 | 0.72 | NA | NA | XXX |
| 88161 | A | Cytopath smear, other source | 0.50 | 0.52 | 0.50 | NA | NA | 0.03 | 1.05 | 1.03 | NA | NA | XXX | |
| 88161 | 26 | A | Cytopath smear, other source | 0.50 | 0.21 | 0.21 | 0.21 | 0.21 | 0.01 | 0.72 | 0.72 | 0.72 | 0.72 | XXX |
| 88161 | TC | A | Cytopath smear, other source | 0.00 | 0.31 | 0.29 | NA | NA | 0.02 | 0.33 | 0.31 | NA | NA | XXX |
| 88162 | A | Cytopath smear, other source | 0.76 | 0.94 | 0.92 | NA | NA | 0.04 | 1.74 | 1.72 | NA | NA | XXX | |
| 88162 | 26 | A | Cytopath smear, other source | 0.76 | 0.33 | 0.36 | 0.33 | 0.36 | 0.02 | 1.11 | 1.14 | 1.11 | 1.14 | XXX |
| 88162 | TC | A | Cytopath smear, other source | 0.00 | 0.61 | 0.56 | NA | NA | 0.02 | 0.63 | 0.58 | NA | NA | XXX |
| 88164 | X | Cytopath tbs, c/v, manual | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88165 | X | Cytopath tbs, c/v, redo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88166 | X | Cytopath tbs, c/v, auto redo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88167 | X | Cytopath tbs, c/v, select | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88170 | A | Fine needle aspiration | 1.27 | 0.88 | 0.93 | NA | NA | 0.08 | 2.23 | 2.28 | NA | NA | XXX | |
| 88170 | 26 | A | Fine needle aspiration | 1.27 | 0.53 | 0.54 | 0.53 | 0.54 | 0.05 | 1.85 | 1.86 | 1.85 | 1.86 | XXX |
| 88170 | TC | A | Fine needle aspiration | 0.00 | 0.35 | 0.39 | NA | NA | 0.03 | 0.38 | 0.42 | NA | NA | XXX |
| 88171 | A | Fine needle aspiration | 1.27 | 0.75 | 0.93 | NA | NA | 0.07 | 2.09 | 2.27 | NA | NA | XXX | |
| 88171 | 26 | A | Fine needle aspiration | 1.27 | 0.48 | 0.55 | 0.48 | 0.55 | 0.04 | 1.79 | 1.86 | 1.79 | 1.86 | XXX |
| 88171 | TC | A | Fine needle aspiration | 0.00 | 0.27 | 0.38 | NA | NA | 0.03 | 0.30 | 0.41 | NA | NA | XXX |
| 88172 | A | Evaluation of smear | 0.60 | 1.13 | 1.04 | NA | NA | 0.04 | 1.77 | 1.68 | NA | NA | XXX | |
| 88172 | 26 | A | Evaluation of smear | 0.60 | 0.26 | 0.29 | 0.26 | 0.29 | 0.02 | 0.88 | 0.91 | 0.88 | 0.91 | XXX |
| 88172 | TC | A | Evaluation of smear | 0.00 | 0.87 | 0.75 | NA | NA | 0.02 | 0.89 | 0.77 | NA | NA | XXX |
| 88173 | A | Interpretation of smear | 1.39 | 1.42 | 1.30 | NA | NA | 0.06 | 2.87 | 2.75 | NA | NA | XXX | |
| 88173 | 26 | A | Interpretation of smear | 1.39 | 0.60 | 0.57 | 0.60 | 0.57 | 0.04 | 2.03 | 2.00 | 2.03 | 2.00 | XXX |
| 88173 | TC | A | Interpretation of smear | 0.00 | 0.82 | 0.73 | NA | NA | 0.02 | 0.84 | 0.75 | NA | NA | XXX |
| 88180 | A | Cell marker study | 0.36 | 0.76 | 0.66 | NA | NA | 0.03 | 1.15 | 1.05 | NA | NA | XXX | |
| 88180 | 26 | A | Cell marker study | 0.36 | 0.15 | 0.16 | 0.15 | 0.16 | 0.01 | 0.52 | 0.53 | 0.52 | 0.53 | XXX |
| 88180 | TC | A | Cell marker study | 0.00 | 0.61 | 0.50 | NA | NA | 0.02 | 0.63 | 0.52 | NA | NA | XXX |
| 88182 | A | Cell marker study | 0.77 | 1.15 | 1.11 | NA | NA | 0.05 | 1.97 | 1.93 | NA | NA | XXX | |
| 88182 | 26 | A | Cell marker study | 0.77 | 0.33 | 0.37 | 0.33 | 0.37 | 0.02 | 1.12 | 1.16 | 1.12 | 1.16 | XXX |
| 88182 | TC | A | Cell marker study | 0.00 | 0.82 | 0.74 | NA | NA | 0.03 | 0.85 | 0.77 | NA | NA | XXX |
| 88199 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 88199 | 26 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88199 | TC | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 88230 | X | Tissue culture, lymphocyte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88233 | X | Tissue culture, skin/biopsy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88235 | X | Tissue culture, placenta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88237 | X | Tissue culture, bone marrow | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88239 | X | Tissue culture, tumor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88240 | X | Cell cryopreserve/storage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88241 | X | Frozen cell preparation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88245 | X | Chromosome analysis, 20-25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88248 | X | Chromosome analysis, 50-100 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88249 | X | Chromosome analysis, 100 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88261 | X | Chromosome analysis, 5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88262 | X | Chromosome analysis, 15-20 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88263 | X | Chromosome analysis, 45 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88264 | X | Chromosome analysis, 20-25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88267 | X | Chromosome analys, placenta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88269 | X | Chromosome analys, amniotic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88271 | X | Cytogenetics, dna probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88272 | X | Cytogenetics, 3-5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88273 | X | Cytogenetics, 10-30 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88274 | X | Cytogenetics, 25-99 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88275 | X | Cytogenetics, 100-300 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88280 | X | Chromosome karyotype study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88283 | X | Chromosome banding study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88285 | X | Chromosome count, additional | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88289 | X | Chromosome study, additional | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88291 | A | Cyto/molecular report | 0.52 | 0.22 | 0.22 | 0.22 | 0.22 | 0.01 | 0.75 | 0.75 | 0.75 | 0.75 | XXX | |
| 88299 | C | Cytogenetic study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88300 | A | Surgical path, gross | 0.08 | 0.40 | 0.36 | NA | NA | 0.02 | 0.50 | 0.46 | NA | NA | XXX | |
| 88300 | 26 | A | Surgical path, gross | 0.08 | 0.03 | 0.05 | 0.03 | 0.05 | 0.01 | 0.12 | 0.14 | 0.12 | 0.14 | XXX |
| 88300 | TC | A | Surgical path, gross | 0.00 | 0.37 | 0.31 | NA | NA | 0.01 | 0.38 | 0.32 | NA | NA | XXX |
| 88302 | A | Tissue exam by pathologist | 0.13 | 1.29 | 1.08 | NA | NA | 0.03 | 1.45 | 1.24 | NA | NA | XXX | |
| 88302 | 26 | A | Tissue exam by pathologist | 0.13 | 0.06 | 0.09 | 0.06 | 0.09 | 0.01 | 0.20 | 0.23 | 0.20 | 0.23 | XXX |
| 88302 | TC | A | Tissue exam by pathologist | 0.00 | 1.23 | 0.99 | NA | NA | 0.02 | 1.25 | 1.01 | NA | NA | XXX |
| 88304 | A | Tissue exam by pathologist | 0.22 | 0.82 | 0.77 | NA | NA | 0.03 | 1.07 | 1.02 | NA | NA | XXX | |
| 88304 | 26 | A | Tissue exam by pathologist | 0.22 | 0.09 | 0.13 | 0.09 | 0.13 | 0.01 | 0.32 | 0.36 | 0.32 | 0.36 | XXX |
| 88304 | TC | A | Tissue exam by pathologist | 0.00 | 0.73 | 0.64 | NA | NA | 0.02 | 0.75 | 0.66 | NA | NA | XXX |
| 88305 | A | Tissue exam by pathologist | 0.75 | 1.57 | 1.46 | NA | NA | 0.05 | 2.37 | 2.26 | NA | NA | XXX | |
| 88305 | 26 | A | Tissue exam by pathologist | 0.75 | 0.33 | 0.39 | 0.33 | 0.39 | 0.02 | 1.10 | 1.16 | 1.10 | 1.16 | XXX |
| 88305 | TC | A | Tissue exam by pathologist | 0.00 | 1.24 | 1.07 | NA | NA | 0.03 | 1.27 | 1.10 | NA | NA | XXX |
| 88307 | A | Tissue exam by pathologist | 1.59 | 2.92 | 2.60 | NA | NA | 0.09 | 4.60 | 4.28 | NA | NA | XXX | |
| 88307 | 26 | A | Tissue exam by pathologist | 1.59 | 0.68 | 0.72 | 0.68 | 0.72 | 0.04 | 2.31 | 2.35 | 2.31 | 2.35 | XXX |
| 88307 | TC | A | Tissue exam by pathologist | 0.00 | 2.24 | 1.88 | NA | NA | 0.05 | 2.29 | 1.93 | NA | NA | XXX |
| 88309 | A | Tissue exam by pathologist | 2.28 | 3.90 | 3.44 | NA | NA | 0.11 | 6.29 | 5.83 | NA | NA | XXX | |
| 88309 | 26 | A | Tissue exam by pathologist | 2.28 | 0.98 | 1.00 | 0.98 | 1.00 | 0.06 | 3.32 | 3.34 | 3.32 | 3.34 | XXX |
| 88309 | TC | A | Tissue exam by pathologist | 0.00 | 2.92 | 2.44 | NA | NA | 0.05 | 2.97 | 2.49 | NA | NA | XXX |
| 88311 | A | Decalcify tissue | 0.24 | 0.18 | 0.20 | NA | NA | 0.02 | 0.44 | 0.46 | NA | NA | XXX | |
| 88311 | 26 | A | Decalcify tissue | 0.24 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.35 | 0.36 | 0.35 | 0.36 | XXX |
| 88311 | TC | A | Decalcify tissue | 0.00 | 0.08 | 0.09 | NA | NA | 0.01 | 0.09 | 0.10 | NA | NA | XXX |
| 88312 | A | Special stains | 0.54 | 1.62 | 1.29 | NA | NA | 0.02 | 2.18 | 1.85 | NA | NA | XXX | |
| 88312 | 26 | A | Special stains | 0.54 | 0.23 | 0.21 | 0.23 | 0.21 | 0.01 | 0.78 | 0.76 | 0.78 | 0.76 | XXX |
| 88312 | TC | A | Special stains | 0.00 | 1.39 | 1.08 | NA | NA | 0.01 | 1.40 | 1.09 | NA | NA | XXX |
| 88313 | A | Special stains | 0.24 | 1.14 | 0.92 | NA | NA | 0.02 | 1.40 | 1.18 | NA | NA | XXX | |
| 88313 | 26 | A | Special stains | 0.24 | 0.10 | 0.11 | 0.10 | 0.11 | 0.01 | 0.35 | 0.36 | 0.35 | 0.36 | XXX |
| 88313 | TC | A | Special stains | 0.00 | 1.04 | 0.81 | NA | NA | 0.01 | 1.05 | 0.82 | NA | NA | XXX |
| 88314 | A | Histochemical stain | 0.45 | 2.25 | 1.86 | NA | NA | 0.03 | 2.73 | 2.34 | NA | NA | XXX | |
| 88314 | 26 | A | Histochemical stain | 0.45 | 0.19 | 0.24 | 0.19 | 0.24 | 0.01 | 0.65 | 0.70 | 0.65 | 0.70 | XXX |
| 88314 | TC | A | Histochemical stain | 0.00 | 2.06 | 1.62 | NA | NA | 0.02 | 2.08 | 1.64 | NA | NA | XXX |
| 88318 | A | Chemical histochemistry | 0.42 | 0.71 | 0.60 | NA | NA | 0.02 | 1.15 | 1.04 | NA | NA | XXX | |
| 88318 | 26 | A | Chemical histochemistry | 0.42 | 0.18 | 0.17 | 0.18 | 0.17 | 0.01 | 0.61 | 0.60 | 0.61 | 0.60 | XXX |
| 88318 | TC | A | Chemical histochemistry | 0.00 | 0.53 | 0.43 | NA | NA | 0.01 | 0.54 | 0.44 | NA | NA | XXX |
| 88319 | A | Enzyme histochemistry | 0.53 | 2.16 | 1.75 | NA | NA | 0.03 | 2.72 | 2.31 | NA | NA | XXX | |
| 88319 | 26 | A | Enzyme histochemistry | 0.53 | 0.23 | 0.24 | 0.23 | 0.24 | 0.01 | 0.77 | 0.78 | 0.77 | 0.78 | XXX |
| 88319 | TC | A | Enzyme histochemistry | 0.00 | 1.93 | 1.51 | NA | NA | 0.02 | 1.95 | 1.53 | NA | NA | XXX |
| 88321 | A | Microslide consultation | 1.30 | 0.62 | 0.58 | 0.56 | 0.53 | 0.04 | 1.96 | 1.92 | 1.90 | 1.87 | XXX | |
| 88323 | A | Microslide consultation | 1.35 | 1.82 | 1.56 | NA | NA | 0.06 | 3.23 | 2.97 | NA | NA | XXX | |
| 88323 | 26 | A | Microslide consultation | 1.35 | 0.59 | 0.55 | 0.59 | 0.55 | 0.04 | 1.98 | 1.94 | 1.98 | 1.94 | XXX |
| 88323 | TC | A | Microslide consultation | 0.00 | 1.23 | 1.01 | NA | NA | 0.02 | 1.25 | 1.03 | NA | NA | XXX |
| 88325 | A | Comprehensive review of data | 2.22 | 0.99 | 0.87 | 0.95 | 0.84 | 0.06 | 3.27 | 3.15 | 3.23 | 3.12 | XXX | |
| 88329 | A | Pathology consult in surgery | 0.67 | 0.40 | 0.40 | 0.29 | 0.32 | 0.02 | 1.09 | 1.09 | 0.98 | 1.01 | XXX | |
| 88331 | A | Pathology consult in surgery | 1.19 | 0.84 | 0.94 | NA | NA | 0.06 | 2.09 | 2.19 | NA | NA | XXX | |
| 88331 | 26 | A | Pathology consult in surgery | 1.19 | 0.51 | 0.54 | 0.51 | 0.54 | 0.03 | 1.73 | 1.76 | 1.73 | 1.76 | XXX |
| 88331 | TC | A | Pathology consult in surgery | 0.00 | 0.33 | 0.40 | NA | NA | 0.03 | 0.36 | 0.43 | NA | NA | XXX |
| 88332 | A | Pathology consult in surgery | 0.59 | 0.47 | 0.51 | NA | NA | 0.04 | 1.10 | 1.14 | NA | NA | XXX | |
| 88332 | 26 | A | Pathology consult in surgery | 0.59 | 0.25 | 0.27 | 0.25 | 0.27 | 0.02 | 0.86 | 0.88 | 0.86 | 0.88 | XXX |
| 88332 | TC | A | Pathology consult in surgery | 0.00 | 0.22 | 0.24 | NA | NA | 0.02 | 0.24 | 0.26 | NA | NA | XXX |
| 88342 | A | Immunocytochemistry | 0.85 | 1.34 | 1.18 | NA | NA | 0.04 | 2.23 | 2.07 | NA | NA | XXX | |
| 88342 | 26 | A | Immunocytochemistry | 0.85 | 0.36 | 0.36 | 0.36 | 0.36 | 0.02 | 1.23 | 1.23 | 1.23 | 1.23 | XXX |
| 88342 | TC | A | Immunocytochemistry | 0.00 | 0.98 | 0.82 | NA | NA | 0.02 | 1.00 | 0.84 | NA | NA | XXX |
| 88346 | A | Immunofluorescent study | 0.86 | 1.60 | 1.36 | NA | NA | 0.04 | 2.50 | 2.26 | NA | NA | XXX | |
| 88346 | 26 | A | Immunofluorescent study | 0.86 | 0.37 | 0.36 | 0.37 | 0.36 | 0.02 | 1.25 | 1.24 | 1.25 | 1.24 | XXX |
| 88346 | TC | A | Immunofluorescent study | 0.00 | 1.23 | 1.00 | NA | NA | 0.02 | 1.25 | 1.02 | NA | NA | XXX |
| 88347 | A | Immunofluorescent study | 0.86 | 1.17 | 0.99 | NA | NA | 0.04 | 2.07 | 1.89 | NA | NA | XXX | |
| 88347 | 26 | A | Immunofluorescent study | 0.86 | 0.33 | 0.29 | 0.33 | 0.29 | 0.02 | 1.21 | 1.17 | 1.21 | 1.17 | XXX |
| 88347 | TC | A | Immunofluorescent study | 0.00 | 0.84 | 0.70 | NA | NA | 0.02 | 0.86 | 0.72 | NA | NA | XXX |
| 88348 | A | Electron microscopy | 1.51 | 9.91 | 8.05 | NA | NA | 0.10 | 11.52 | 9.66 | NA | NA | XXX | |
| 88348 | 26 | A | Electron microscopy | 1.51 | 0.64 | 0.80 | 0.64 | 0.80 | 0.04 | 2.19 | 2.35 | 2.19 | 2.35 | XXX |
| 88348 | TC | A | Electron microscopy | 0.00 | 9.27 | 7.25 | NA | NA | 0.06 | 9.33 | 7.31 | NA | NA | XXX |
| 88349 | A | Scanning electron microscopy | 0.76 | 7.58 | 6.10 | NA | NA | 0.07 | 8.41 | 6.93 | NA | NA | XXX | |
| 88349 | 26 | A | Scanning electron microscopy | 0.76 | 0.33 | 0.46 | 0.33 | 0.46 | 0.02 | 1.11 | 1.24 | 1.11 | 1.24 | XXX |
| 88349 | TC | A | Scanning electron microscopy | 0.00 | 7.25 | 5.64 | NA | NA | 0.05 | 7.30 | 5.69 | NA | NA | XXX |
| 88355 | A | Analysis, skeletal muscle | 1.85 | 2.74 | 2.53 | NA | NA | 0.10 | 4.69 | 4.48 | NA | NA | XXX | |
| 88355 | 26 | A | Analysis, skeletal muscle | 1.85 | 0.80 | 0.85 | 0.80 | 0.85 | 0.05 | 2.70 | 2.75 | 2.70 | 2.75 | XXX |
| 88355 | TC | A | Analysis, skeletal muscle | 0.00 | 1.94 | 1.68 | NA | NA | 0.05 | 1.99 | 1.73 | NA | NA | XXX |
| 88356 | A | Analysis, nerve | 3.02 | 4.05 | 3.76 | NA | NA | 0.15 | 7.22 | 6.93 | NA | NA | XXX | |
| 88356 | 26 | A | Analysis, nerve | 3.02 | 1.27 | 1.33 | 1.27 | 1.33 | 0.09 | 4.38 | 4.44 | 4.38 | 4.44 | XXX |
| 88356 | TC | A | Analysis, nerve | 0.00 | 2.78 | 2.43 | NA | NA | 0.06 | 2.84 | 2.49 | NA | NA | XXX |
| 88358 | A | Analysis, tumor | 2.82 | 2.17 | 2.26 | NA | NA | 0.13 | 5.12 | 5.21 | NA | NA | XXX | |
| 88358 | 26 | A | Analysis, tumor | 2.82 | 1.22 | 1.23 | 1.22 | 1.23 | 0.07 | 4.11 | 4.12 | 4.11 | 4.12 | XXX |
| 88358 | TC | A | Analysis, tumor | 0.00 | 0.95 | 1.03 | NA | NA | 0.06 | 1.01 | 1.09 | NA | NA | XXX |
| 88362 | A | Nerve teasing preparations | 2.17 | 3.99 | 3.53 | NA | NA | 0.12 | 6.28 | 5.82 | NA | NA | XXX | |
| 88362 | 26 | A | Nerve teasing preparations | 2.17 | 0.92 | 0.96 | 0.92 | 0.96 | 0.07 | 3.16 | 3.20 | 3.16 | 3.20 | XXX |
| 88362 | TC | A | Nerve teasing preparations | 0.00 | 3.07 | 2.57 | NA | NA | 0.05 | 3.12 | 2.62 | NA | NA | XXX |
| 88365 | A | Tissue hybridization | 0.93 | 2.17 | 1.84 | NA | NA | 0.04 | 3.14 | 2.81 | NA | NA | XXX | |
| 88365 | 26 | A | Tissue hybridization | 0.93 | 0.39 | 0.40 | 0.39 | 0.40 | 0.02 | 1.34 | 1.35 | 1.34 | 1.35 | XXX |
| 88365 | TC | A | Tissue hybridization | 0.00 | 1.78 | 1.44 | NA | NA | 0.02 | 1.80 | 1.46 | NA | NA | XXX |
| 88371 | X | Protein, western blot tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88371 | 26 | A | Protein, western blot tissue | 0.37 | 0.15 | 0.17 | 0.15 | 0.17 | 0.01 | 0.53 | 0.55 | 0.53 | 0.55 | XXX |
| 88372 | X | Protein analysis w/probe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88372 | 26 | A | Protein analysis w/probe | 0.37 | 0.16 | 0.18 | 0.16 | 0.18 | 0.01 | 0.54 | 0.56 | 0.54 | 0.56 | XXX |
| 88399 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 88399 | 26 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88399 | TC | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 89050 | X | Body fluid cell count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89051 | X | Body fluid cell count | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89060 | X | Exam,synovial fluid crystals | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89060 | 26 | A | Exam,synovial fluid crystals | 0.37 | 0.17 | 0.18 | 0.16 | 0.18 | 0.01 | 0.55 | 0.56 | 0.54 | 0.56 | XXX |
| 89100 | A | Sample intestinal contents | 0.60 | 1.37 | 1.14 | 0.22 | 0.28 | 0.02 | 1.99 | 1.76 | 0.84 | 0.90 | XXX | |
| 89105 | A | Sample intestinal contents | 0.50 | 2.37 | 1.88 | 0.17 | 0.23 | 0.02 | 2.89 | 2.40 | 0.69 | 0.75 | XXX | |
| 89125 | X | Specimen fat stain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89130 | A | Sample stomach contents | 0.45 | 1.59 | 1.30 | 0.14 | 0.22 | 0.02 | 2.06 | 1.77 | 0.61 | 0.69 | XXX | |
| 89132 | A | Sample stomach contents | 0.19 | 1.59 | 1.25 | 0.07 | 0.11 | 0.01 | 1.79 | 1.45 | 0.27 | 0.31 | XXX | |
| 89135 | A | Sample stomach contents | 0.79 | 1.82 | 1.52 | 0.25 | 0.35 | 0.03 | 2.64 | 2.34 | 1.07 | 1.17 | XXX | |
| 89136 | A | Sample stomach contents | 0.21 | 1.77 | 1.39 | 0.08 | 0.12 | 0.01 | 1.99 | 1.61 | 0.30 | 0.34 | XXX | |
| 89140 | A | Sample stomach contents | 0.94 | 1.91 | 1.65 | 0.34 | 0.48 | 0.04 | 2.89 | 2.63 | 1.32 | 1.46 | XXX | |
| 89141 | A | Sample stomach contents | 0.85 | 2.95 | 2.41 | 0.34 | 0.45 | 0.03 | 3.83 | 3.29 | 1.22 | 1.33 | XXX | |
| 89160 | X | Exam feces for meat fibers | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89190 | X | Nasal smear for eosinophils | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89250 | X | Fertilization of oocyte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89251 | X | Culture oocyte w/embryos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89252 | X | Assist oocyte fertilization | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89253 | X | Embryo hatching | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89254 | X | Oocyte identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89255 | X | Prepare embryo for transfer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89256 | X | Prepare cryopreserved embryo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89257 | X | Sperm identification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89258 | X | Cryopreservation, embryo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89259 | X | Cryopreservation, sperm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89260 | X | Sperm isolation, simple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89261 | X | Sperm isolation, complex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89264 | X | Identify sperm tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89300 | X | Semen analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89310 | X | Semen analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89320 | X | Semen analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89325 | X | Sperm antibody test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89329 | X | Sperm evaluation test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89330 | X | Evaluation, cervical mucus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89350 | A | Sputum specimen collection | 0.00 | 0.41 | 0.41 | NA | NA | 0.02 | 0.43 | 0.43 | NA | NA | XXX | |
| 89355 | X | Exam feces for starch | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89360 | A | Collect sweat for test | 0.00 | 0.46 | 0.46 | NA | NA | 0.02 | 0.48 | 0.48 | NA | NA | XXX | |
| 89365 | X | Water load test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89399 | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 89399 | 26 | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 89399 | TC | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 90281 | I | Human ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90283 | I | Human ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90287 | I | Botulinum antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90288 | I | Botulism ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90291 | I | Cmv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90296 | E | Diphtheria antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90371 | E | Hep b ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90375 | E | Rabies ig, im/sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90376 | E | Rabies ig, heat treated | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90378 | X | Rsv ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90379 | E | Rsv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90384 | I | Rh ig, full-dose, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90385 | E | Rh ig, minidose, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90386 | I | Rh ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90389 | E | Tetanus ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90393 | E | Vaccina ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90396 | E | Varicella-zoster ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90399 | I | Immune globulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90471 | X | Immunization admin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90472 | X | Immunization admin, each add | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90476 | E | Adenovirus vaccine, type 4 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90477 | E | Adenovirus vaccine, type 7 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90581 | E | Anthrax vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90585 | E | Bcg vaccine, percut | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90586 | E | Bcg vaccine, intravesical | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90592 | D | Cholera vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90632 | E | Hep a vaccine, adult im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90633 | E | Hep a vacc, ped/adol, 2 dose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90634 | E | Hep a vacc, ped/adol, 3 dose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90636 | E | Hep a/hep b vacc, adult im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90645 | E | Hib vaccine, hboc, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90646 | E | Hib vaccine, prp-d, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90647 | E | Hib vaccine, prp-omp, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90648 | E | Hib vaccine, prp-t, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90657 | X | Flu vaccine, 6-35 mo, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90658 | X | Flu vaccine, 3 yrs, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90659 | X | Flu vaccine, whole, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90660 | X | Flu vaccine, nasal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90665 | E | Lyme disease vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90669 | N | Pneumococcal vaccine, ped | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90675 | E | Rabies vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90676 | E | Rabies vaccine, id | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90680 | E | Rotovirus vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90690 | E | Typhoid vaccine, oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90691 | E | Typhoid vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90692 | E | Typhoid vaccine, h-p, sc/id | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90693 | E | Typhoid vaccine, akd, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90700 | E | Dtap vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90701 | E | Dtp vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90702 | E | Dt vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90703 | E | Tetanus vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90704 | E | Mumps vaccine, sc | 0.00 | 0.00 | .00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90705 | E | Measles vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90706 | E | Rubella vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90707 | E | Mmr vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90708 | E | Measles-rubella vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90709 | E | Rubella mumps vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90710 | E | Mmrv vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90712 | E | Oral poliovirus vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90713 | E | Poliovirus, ipv, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90716 | E | Chicken pox vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90717 | E | Yellow fever vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90718 | E | Td vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90719 | E | Diphtheria vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90720 | E | Dtp/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90721 | E | Dtap/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90725 | E | Cholera vaccine, injectable | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90727 | E | Plague vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90732 | X | Pneumococcal vaccine, adult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90733 | E | Meningococcal vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90735 | E | Encephalitis vaccine, sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90744 | X | Hep b vaccine, ped/adol, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90745 | D | Hepb vaccine, adol/risk, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90746 | X | Hep b vaccine, adult, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90747 | X | Hep b vaccine, ill pat, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90748 | E | Hep b/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90749 | E | Vaccine toxoid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90780 | A | IV infusion therapy, 1 hour | 0.00 | 1.12 | 1.13 | 1.12 | 1.13 | 0.06 | 1.18 | 1.19 | 1.18 | 1.19 | XXX | |
| 90781 | A | IV infusion, additional hour | 0.00 | 0.57 | 0.57 | 0.57 | 0.57 | 0.03 | 0.60 | 0.60 | 0.60 | 0.60 | ZZZ | |
| 90782 | T | Injection, sc/im | 0.00 | 0.11 | 0.11 | 0.11 | 0.11 | 0.01 | 0.12 | 0.12 | 0.12 | 0.12 | XXX | |
| 90783 | T | Injection, ia | 0.00 | 0.41 | 0.41 | 0.41 | 0.41 | 0.02 | 0.43 | 0.43 | 0.43 | 0.43 | XXX | |
| 90784 | T | Injection, iv | 0.00 | 0.48 | 0.48 | 0.48 | 0.48 | 0.03 | 0.51 | 0.51 | 0.51 | 0.51 | XXX | |
| 90788 | T | Injection of antibiotic | 0.00 | 0.12 | 0.12 | 0.12 | 0.12 | 0.01 | 0.13 | 0.13 | 0.13 | 0.13 | XXX | |
| 90799 | C | Ther/prophylactic/dx inject | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90801 | A | Psy dx interview | 2.80 | 1.09 | 1.00 | 0.91 | 0.87 | 0.07 | 3.96 | 3.87 | 3.78 | 3.74 | XXX | |
| 90802 | A | Intac psy dx interview | 3.01 | 1.12 | 0.94 | 0.95 | 0.82 | 0.08 | 4.21 | 4.03 | 4.04 | 3.91 | XXX | |
| 90804 | A | Psytx, office, 20-30 min | 1.21 | 0.50 | 0.47 | 0.40 | 0.40 | 0.03 | 1.74 | 1.71 | 1.64 | 1.64 | XXX | |
| 90805 | A | Psytx, off, 20-30 min w/em | 1.37 | 0.55 | 0.51 | 0.42 | 0.41 | 0.04 | 1.96 | 1.92 | 1.83 | 1.82 | XXX | |
| 90806 | A | Psytx, off, 45-50 min | 1.86 | 0.74 | 0.70 | 0.64 | 0.63 | 0.05 | 2.65 | 2.61 | 2.55 | 2.54 | XXX | |
| 90807 | A | Psytx, off, 45-50 min w/em | 2.02 | 0.74 | 0.70 | 0.63 | 0.62 | 0.05 | 2.81 | 2.77 | 2.70 | 2.69 | XXX | |
| 90808 | A | Psytx, office, 75-80 min | 2.79 | 1.08 | 1.10 | 0.97 | 1.01 | 0.07 | 3.94 | 3.96 | 3.83 | 3.87 | XXX | |
| 90809 | A | Psytx, off, 75-80, w/em | 2.95 | 1.06 | 1.08 | 0.92 | 0.98 | 0.08 | 4.09 | 4.11 | 3.95 | 4.01 | XXX | |
| 90810 | A | Intac psytx, off, 20-30 min | 1.32 | 0.52 | 0.55 | 0.42 | 0.48 | 0.03 | 1.87 | 1.90 | 1.77 | 1.83 | XXX | |
| 90811 | A | Intac psytx, 20-30, w/em | 1.48 | 0.58 | 0.60 | 0.46 | 0.51 | 0.04 | 2.10 | 2.12 | 1.98 | 2.03 | XXX | |
| 90812 | A | Intac psytx, off, 45-50 min | 1.97 | 0.81 | 0.77 | 0.67 | 0.66 | 0.05 | 2.83 | 2.79 | 2.69 | 2.68 | XXX | |
| 90813 | A | Intac psytx, 45-50 min w/em | 2.13 | 0.80 | 0.76 | 0.66 | 0.66 | 0.05 | 2.98 | 2.94 | 2.84 | 2.84 | XXX | |
| 90814 | A | Intac psytx, off, 75-80 min | 2.90 | 1.15 | 1.02 | 1.01 | 0.92 | 0.07 | 4.12 | 3.99 | 3.98 | 3.89 | XXX | |
| 90815 | A | Intac psytx, 75-80 w/em | 3.06 | 1.15 | 1.02 | 0.94 | 0.87 | 0.08 | 4.29 | 4.16 | 4.08 | 4.01 | XXX | |
| 90816 | A | Psytx, hosp, 20-30 min | 1.25 | 0.57 | 0.52 | 0.43 | 0.42 | 0.03 | 1.85 | 1.80 | 1.71 | 1.70 | XXX | |
| 90817 | A | Psytx, hosp, 20-30 min w/em | 1.41 | 0.57 | 0.52 | 0.43 | 0.42 | 0.04 | 2.02 | 1.97 | 1.88 | 1.87 | XXX | |
| 90818 | A | Psytx, hosp, 45-50 min | 1.89 | 0.79 | 0.74 | 0.65 | 0.64 | 0.05 | 2.73 | 2.68 | 2.59 | 2.58 | XXX | |
| 90819 | A | Psytx, hosp, 45-50 min w/em | 2.05 | 0.78 | 0.73 | 0.63 | 0.62 | 0.05 | 2.88 | 2.83 | 2.73 | 2.72 | XXX | |
| 90821 | A | Psytx, hosp, 75-80 min | 2.83 | 1.13 | 1.13 | 0.96 | 1.01 | 0.07 | 4.03 | 4.03 | 3.86 | 3.91 | XXX | |
| 90822 | A | Psytx, hosp, 75-80 min w/em | 2.99 | 1.07 | 1.09 | 0.92 | 0.98 | 0.08 | 4.14 | 4.16 | 3.99 | 4.05 | XXX | |
| 90823 | A | Intac psytx, hosp, 20-30 min | 1.36 | 0.65 | 0.65 | 0.44 | 0.49 | 0.03 | 2.04 | 2.04 | 1.83 | 1.88 | XXX | |
| 90824 | A | Intac psytx, hsp 20-30 w/em | 1.52 | 0.64 | 0.64 | 0.47 | 0.51 | 0.04 | 2.20 | 2.20 | 2.03 | 2.07 | XXX | |
| 90826 | A | Intac psytx, hosp, 45-50 min | 2.01 | 0.90 | 0.84 | 0.70 | 0.69 | 0.05 | 2.96 | 2.90 | 2.76 | 2.75 | XXX | |
| 90827 | A | Intac psytx, hsp 45-50 w/em | 2.16 | 0.85 | 0.80 | 0.66 | 0.66 | 0.06 | 3.07 | 3.02 | 2.88 | 2.88 | XXX | |
| 90828 | A | Intac psytx, hosp, 75-80 min | 2.94 | 1.25 | 1.10 | 1.04 | 0.94 | 0.08 | 4.27 | 4.12 | 4.06 | 3.96 | XXX | |
| 90829 | A | Intac psytx, hsp 75-80 w/em | 3.10 | 1.14 | 1.02 | 0.96 | 0.88 | 0.08 | 4.32 | 4.20 | 4.14 | 4.06 | XXX | |
| 90845 | A | Psychoanalysis | 1.79 | 0.66 | 0.61 | 0.56 | 0.53 | 0.05 | 2.50 | 2.45 | 2.40 | 2.37 | XXX | |
| 90846 | R | Family psytx w/o patient | 1.83 | 0.72 | 0.71 | 0.62 | 0.63 | 0.05 | 2.60 | 2.59 | 2.50 | 2.51 | XXX | |
| 90847 | R | Family psytx w/patient | 2.21 | 0.83 | 0.78 | 0.73 | 0.71 | 0.06 | 3.10 | 3.05 | 3.00 | 2.98 | XXX | |
| 90849 | R | Multiple family group psytx | 0.59 | 0.31 | 0.30 | 0.21 | 0.23 | 0.02 | 0.92 | 0.91 | 0.82 | 0.84 | XXX | |
| 90853 | A | Group psychotherapy | 0.59 | 0.33 | 0.32 | 0.20 | 0.22 | 0.02 | 0.94 | 0.93 | 0.81 | 0.83 | XXX | |
| 90857 | A | Intac group psytx | 0.63 | 0.33 | 0.29 | 0.22 | 0.21 | 0.02 | 0.98 | 0.94 | 0.87 | 0.86 | XXX | |
| 90862 | A | Medication management | 0.95 | 0.40 | 0.40 | 0.29 | 0.32 | 0.02 | 1.37 | 1.37 | 1.26 | 1.29 | XXX | |
| 90865 | A | Narcosynthesis | 2.84 | 1.31 | 1.12 | 0.87 | 0.79 | 0.10 | 4.25 | 4.06 | 3.81 | 3.73 | XXX | |
| 90870 | A | Electroconvulsive therapy | 1.88 | 0.68 | 0.66 | 0.68 | 0.66 | 0.05 | 2.61 | 2.59 | 2.61 | 2.59 | 000 | |
| 90871 | A | Electroconvulsive therapy | 2.72 | NA | NA | 0.96 | 0.95 | 0.07 | NA | NA | 3.75 | 3.74 | 000 | |
| 90875 | N | Psychophysiological therapy | 1.20 | 0.82 | 0.82 | 0.48 | 0.48 | 0.03 | 2.05 | 2.05 | 1.71 | 1.71 | XXX | |
| 90876 | N | Psychophysiological therapy | 1.90 | 1.09 | 1.09 | 0.75 | 0.75 | 0.05 | 3.04 | 3.04 | 2.70 | 2.70 | XXX | |
| 90880 | A | Hypnotherapy | 2.19 | 0.86 | 0.82 | 0.69 | 0.69 | 0.06 | 3.11 | 3.07 | 2.94 | 2.94 | XXX | |
| 90882 | N | Environmental manipulation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90885 | B | Psy evaluation of records | 0.97 | 0.38 | 0.37 | 0.38 | 0.37 | 0.02 | 1.37 | 1.36 | 1.37 | 1.36 | XXX | |
| 90887 | B | Consultation with family | 1.48 | 0.78 | 0.68 | 0.59 | 0.53 | 0.04 | 2.30 | 2.20 | 2.11 | 2.05 | XXX | |
| 90889 | B | Preparation of report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90899 | C | Psychiatric service/therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90901 | A | Biofeedback train, any meth | 0.41 | 0.66 | 0.76 | 0.18 | 0.40 | 0.02 | 1.09 | 1.19 | 0.61 | 0.83 | 000 | |
| 90911 | A | Biofeedback peri/uro/rectal | 0.89 | 0.74 | 0.86 | 0.37 | 0.59 | 0.05 | 1.68 | 1.80 | 1.31 | 1.53 | 000 | |
| 90918 | A | ESRD related services, month | 11.18 | 5.18 | 4.48 | 5.18 | 4.48 | 0.48 | 16.84 | 16.14 | 16.84 | 16.14 | XXX | |
| 90919 | A | ESRD related services, month | 8.54 | 4.20 | 3.75 | 4.20 | 3.75 | 0.39 | 13.13 | 12.68 | 13.13 | 12.68 | XXX | |
| 90920 | A | ESRD related services, month | 7.27 | 3.61 | 3.30 | 3.61 | 3.30 | 0.38 | 11.26 | 10.95 | 11.26 | 10.95 | XXX | |
| 90921 | A | ESRD related services, month | 4.47 | 2.54 | 2.50 | 2.54 | 2.50 | 0.26 | 7.27 | 7.23 | 7.27 | 7.23 | XXX | |
| 90922 | A | ESRD related services, day | 0.37 | 0.15 | 0.13 | 0.15 | 0.13 | 0.02 | 0.54 | 0.52 | 0.54 | 0.52 | XXX | |
| 90923 | A | Esrd related services, day | 0.28 | 0.14 | 0.13 | 0.14 | 0.13 | 0.01 | 0.43 | 0.42 | 0.43 | 0.42 | XXX | |
| 90924 | A | Esrd related services, day | 0.24 | 0.12 | 0.11 | 0.12 | 0.11 | 0.01 | 0.37 | 0.36 | 0.37 | 0.36 | XXX | |
| 90925 | A | Esrd related services, day | 0.15 | 0.09 | 0.09 | 0.09 | 0.09 | 0.01 | 0.25 | 0.25 | 0.25 | 0.25 | XXX | |
| 90935 | A | Hemodialysis, one evaluation | 1.22 | NA | NA | 0.73 | 0.91 | 0.07 | NA | NA | 2.02 | 2.20 | 000 | |
| 90937 | A | Hemodialysis, repeated eval | 2.11 | NA | NA | 1.04 | 1.41 | 0.11 | NA | NA | 3.26 | 3.63 | 000 | |
| 90945 | A | Dialysis, one evaluation | 1.28 | NA | NA | 0.76 | 0.92 | 0.08 | NA | NA | 2.12 | 2.28 | 000 | |
| 90947 | A | Dialysis, repeated eval | 2.16 | NA | NA | 1.06 | 1.36 | 0.12 | NA | NA | 3.34 | 3.64 | 000 | |
| 90989 | X | Dialysis training, complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90993 | X | Dialysis training, incompl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90997 | A | Hemoperfusion | 1.84 | NA | NA | 1.05 | 1.34 | 0.10 | NA | NA | 2.99 | 3.28 | 000 | |
| 90999 | C | Dialysis procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91000 | A | Esophageal intubation | 0.73 | 0.34 | 0.44 | NA | NA | 0.03 | 1.10 | 1.20 | NA | NA | 000 | |
| 91000 | 26 | A | Esophageal intubation | 0.73 | 0.26 | 0.36 | 0.26 | 0.36 | 0.02 | 1.01 | 1.11 | 1.01 | 1.11 | 000 |
| 91000 | TC | A | Esophageal intubation | 0.00 | 0.08 | 0.08 | NA | NA | 0.01 | 0.09 | 0.09 | NA | NA | 000 |
| 91010 | A | Esophagus motility study | 1.25 | 1.27 | 1.55 | NA | NA | 0.09 | 2.61 | 2.89 | NA | NA | 000 | |
| 91010 | 26 | A | Esophagus motility study | 1.25 | 0.44 | 0.71 | 0.44 | 0.71 | 0.04 | 1.73 | 2.00 | 1.73 | 2.00 | 000 |
| 91010 | TC | A | Esophagus motility study | 0.00 | 0.83 | 0.84 | NA | NA | 0.05 | 0.88 | 0.89 | NA | NA | 000 |
| 91011 | A | Esophagus motility study | 1.50 | 1.58 | 1.90 | NA | NA | 0.10 | 3.18 | 3.50 | NA | NA | 000 | |
| 91011 | 26 | A | Esophagus motility study | 1.50 | 0.54 | 0.85 | 0.54 | 0.85 | 0.05 | 2.09 | 2.40 | 2.09 | 2.40 | 000 |
| 91011 | TC | A | Esophagus motility study | 0.00 | 1.04 | 1.05 | NA | NA | 0.05 | 1.09 | 1.10 | NA | NA | 000 |
| 91012 | A | Esophagus motility study | 1.46 | 1.69 | 2.01 | NA | NA | 0.12 | 3.27 | 3.59 | NA | NA | 000 | |
| 91012 | 26 | A | Esophagus motility study | 1.46 | 0.53 | 0.84 | 0.53 | 0.84 | 0.06 | 2.05 | 2.36 | 2.05 | 2.36 | 000 |
| 91012 | TC | A | Esophagus motility study | 0.00 | 1.16 | 1.17 | NA | NA | 0.06 | 1.22 | 1.23 | NA | NA | 000 |
| 91020 | A | Gastric motility | 1.44 | 1.27 | 1.58 | NA | NA | 0.11 | 2.82 | 3.13 | NA | NA | 000 | |
| 91020 | 26 | A | Gastric motility | 1.44 | 0.50 | 0.80 | 0.50 | 0.80 | 0.06 | 2.00 | 2.30 | 2.00 | 2.30 | 000 |
| 91020 | TC | A | Gastric motility | 0.00 | 0.77 | 0.78 | NA | NA | 0.05 | 0.82 | 0.83 | NA | NA | 000 |
| 91030 | A | Acid perfusion of esophagus | 0.91 | 0.55 | 0.56 | NA | NA | 0.05 | 1.51 | 1.52 | NA | NA | 000 | |
| 91030 | 26 | A | Acid perfusion of esophagus | 0.91 | 0.33 | 0.34 | 0.33 | 0.34 | 0.03 | 1.27 | 1.28 | 1.27 | 1.28 | 000 |
| 91030 | TC | A | Acid perfusion of esophagus | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | 000 |
| 91032 | A | Esophagus, acid reflux test | 1.21 | 1.18 | 1.42 | NA | NA | 0.09 | 2.48 | 2.72 | NA | NA | 000 | |
| 91032 | 26 | A | Esophagus, acid reflux test | 1.21 | 0.43 | 0.66 | 0.43 | 0.66 | 0.04 | 1.68 | 1.91 | 1.68 | 1.91 | 000 |
| 91032 | TC | A | Esophagus, acid reflux test | 0.00 | 0.75 | 0.76 | NA | NA | 0.05 | 0.80 | 0.81 | NA | NA | 000 |
| 91033 | A | Prolonged acid reflux test | 1.30 | 1.82 | 2.10 | NA | NA | 0.14 | 3.26 | 3.54 | NA | NA | 000 | |
| 91033 | 26 | A | Prolonged acid reflux test | 1.30 | 0.46 | 0.73 | 0.46 | 0.73 | 0.05 | 1.81 | 2.08 | 1.81 | 2.08 | 000 |
| 91033 | TC | A | Prolonged acid reflux test | 0.00 | 1.36 | 1.37 | NA | NA | 0.09 | 1.45 | 1.46 | NA | NA | 000 |
| 91052 | A | Gastric analysis test | 0.79 | 0.62 | 0.69 | NA | NA | 0.05 | 1.46 | 1.53 | NA | NA | 000 | |
| 91052 | 26 | A | Gastric analysis test | 0.79 | 0.28 | 0.35 | 0.28 | 0.35 | 0.03 | 1.10 | 1.17 | 1.10 | 1.17 | 000 |
| 91052 | TC | A | Gastric analysis test | 0.00 | 0.34 | 0.34 | NA | NA | 0.02 | 0.36 | 0.36 | NA | NA | 000 |
| 91055 | A | Gastric intubation for smear | 0.94 | 0.58 | 0.65 | NA | NA | 0.07 | 1.59 | 1.66 | NA | NA | 000 | |
| 91055 | 26 | A | Gastric intubation for smear | 0.94 | 0.28 | 0.35 | 0.28 | 0.35 | 0.05 | 1.27 | 1.34 | 1.27 | 1.34 | 000 |
| 91055 | TC | A | Gastric intubation for smear | 0.00 | 0.30 | 0.30 | NA | NA | 0.02 | 0.32 | 0.32 | NA | NA | 000 |
| 91060 | A | Gastric saline load test | 0.45 | 0.37 | 0.47 | NA | NA | 0.04 | 0.86 | 0.96 | NA | NA | 000 | |
| 91060 | 26 | A | Gastric saline load test | 0.45 | 0.15 | 0.25 | 0.15 | 0.25 | 0.02 | 0.62 | 0.72 | 0.62 | 0.72 | 000 |
| 91060 | TC | A | Gastric saline load test | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | 000 |
| 91065 | A | Breath hydrogen test | 0.20 | 0.43 | 0.47 | NA | NA | 0.03 | 0.66 | 0.70 | NA | NA | 000 | |
| 91065 | 26 | A | Breath hydrogen test | 0.20 | 0.07 | 0.11 | 0.07 | 0.11 | 0.01 | 0.28 | 0.32 | 0.28 | 0.32 | 000 |
| 91065 | TC | A | Breath hydrogen test | 0.00 | 0.36 | 0.36 | NA | NA | 0.02 | 0.38 | 0.38 | NA | NA | 000 |
| 91100 | A | Pass intestine bleeding tube | 1.08 | NA | NA | 0.39 | 0.45 | 0.07 | NA | NA | 1.54 | 1.60 | 000 | |
| 91105 | A | Gastric intubation treatment | 0.37 | NA | NA | 0.16 | 0.23 | 0.02 | NA | NA | 0.55 | 0.62 | 000 | |
| 91122 | A | Anal pressure record | 1.77 | 1.35 | 1.49 | NA | NA | 0.18 | 3.30 | 3.44 | NA | NA | 000 | |
| 91122 | 26 | A | Anal pressure record | 1.77 | 0.64 | 0.77 | 0.64 | 0.77 | 0.11 | 2.52 | 2.65 | 2.52 | 2.65 | 000 |
| 91122 | TC | A | Anal pressure record | 0.00 | 0.71 | 0.72 | NA | NA | 0.07 | 0.78 | 0.79 | NA | NA | 000 |
| 91299 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 91299 | 26 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | TC | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 92002 | A | Eye exam, new patient | 0.88 | 1.11 | 0.97 | 0.34 | 0.39 | 0.03 | 2.02 | 1.88 | 1.25 | 1.30 | XXX | |
| 92004 | A | Eye exam, new patient | 1.67 | 1.50 | 1.28 | 0.68 | 0.67 | 0.06 | 3.23 | 3.01 | 2.41 | 2.40 | XXX | |
| 92012 | A | Eye exam established pat | 0.67 | 1.07 | 0.92 | 0.30 | 0.35 | 0.02 | 1.76 | 1.61 | 0.99 | 1.04 | XXX | |
| 92014 | A | Eye exam treatment | 1.10 | 1.38 | 1.18 | 0.48 | 0.51 | 0.04 | 2.52 | 2.32 | 1.62 | 1.65 | XXX | |
| 92015 | N | Refraction | 0.38 | 1.40 | 1.14 | 0.15 | 0.20 | 0.01 | 1.79 | 1.53 | 0.54 | 0.59 | XXX | |
| 92018 | A | New eye exam treatment | 1.51 | NA | NA | 0.69 | 0.65 | 0.05 | NA | NA | 2.25 | 2.21 | XXX | |
| 92019 | A | Eye exam treatment | 1.31 | NA | NA | 0.58 | 0.56 | 0.05 | NA | NA | 1.94 | 1.92 | XXX | |
| 92020 | A | Special eye evaluation | 0.37 | 0.70 | 0.60 | 0.17 | 0.21 | 0.01 | 1.08 | 0.98 | 0.55 | 0.59 | XXX | |
| 92060 | A | Special eye evaluation | 0.69 | 1.24 | 1.04 | NA | NA | 0.03 | 1.96 | 1.76 | NA | NA | XXX | |
| 92060 | 26 | A | Special eye evaluation | 0.69 | 0.29 | 0.28 | 0.29 | 0.28 | 0.02 | 1.00 | 0.99 | 1.00 | 0.99 | XXX |
| 92060 | TC | A | Special eye evaluation | 0.00 | 0.95 | 0.76 | NA | NA | 0.01 | 0.96 | 0.77 | NA | NA | XXX |
| 92065 | A | Orthoptic/pleoptic training | 0.37 | 0.77 | 0.68 | NA | NA | 0.02 | 1.16 | 1.07 | NA | NA | XXX | |
| 92065 | 26 | A | Orthoptic/pleoptic training | 0.37 | 0.15 | 0.17 | 0.15 | 0.17 | 0.01 | 0.53 | 0.55 | 0.53 | 0.55 | XXX |
| 92065 | TC | A | Orthoptic/pleoptic training | 0.00 | 0.62 | 0.51 | NA | NA | 0.01 | 0.63 | 0.52 | NA | NA | XXX |
| 92070 | A | Fitting of contact lens | 0.70 | 1.04 | 1.11 | 0.34 | 0.58 | 0.02 | 1.76 | 1.83 | 1.06 | 1.30 | XXX | |
| 92081 | A | Visual field examination(s) | 0.36 | 1.34 | 1.10 | NA | NA | 0.02 | 1.72 | 1.48 | NA | NA | XXX | |
| 92081 | 26 | A | Visual field examination(s) | 0.36 | 0.16 | 0.17 | 0.16 | 0.17 | 0.01 | 0.53 | 0.54 | 0.53 | 0.54 | XXX |
| 92081 | TC | A | Visual field examination(s) | 0.00 | 1.18 | 0.93 | NA | NA | 0.01 | 1.19 | 0.94 | NA | NA | XXX |
| 92082 | A | Visual field examination(s) | 0.44 | 1.32 | 1.12 | NA | NA | 0.02 | 1.78 | 1.58 | NA | NA | XXX | |
| 92082 | 26 | A | Visual field examination(s) | 0.44 | 0.20 | 0.23 | 0.20 | 0.23 | 0.01 | 0.65 | 0.68 | 0.65 | 0.68 | XXX |
| 92082 | TC | A | Visual field examination(s) | 0.00 | 1.12 | 0.89 | NA | NA | 0.01 | 1.13 | 0.90 | NA | NA | XXX |
| 92083 | A | Visual field examination(s) | 0.50 | 1.09 | 1.04 | NA | NA | 0.03 | 1.62 | 1.57 | NA | NA | XXX | |
| 92083 | 26 | A | Visual field examination(s) | 0.50 | 0.23 | 0.32 | 0.23 | 0.32 | 0.02 | 0.75 | 0.84 | 0.75 | 0.84 | XXX |
| 92083 | TC | A | Visual field examination(s) | 0.00 | 0.86 | 0.72 | NA | NA | 0.01 | 0.87 | 0.73 | NA | NA | XXX |
| 92100 | A | Serial tonometry exam(s) | 0.92 | 0.78 | 0.65 | 0.36 | 0.34 | 0.03 | 1.73 | 1.60 | 1.31 | 1.29 | XXX | |
| 92120 | A | Tonography eye evaluation | 0.81 | 0.76 | 0.66 | 0.31 | 0.32 | 0.03 | 1.60 | 1.50 | 1.15 | 1.16 | XXX | |
| 92130 | A | Water provocation tonography | 0.81 | 0.87 | 0.79 | 0.32 | 0.37 | 0.03 | 1.71 | 1.63 | 1.16 | 1.21 | XXX | |
| 92135 | A | Opthalmic dx imaging | 0.35 | 1.02 | 1.02 | NA | NA | 0.02 | 1.39 | 1.39 | NA | NA | XXX | |
| 92135 | 26 | A | Opthalmic dx imaging | 0.35 | 0.16 | 0.16 | 0.16 | 0.16 | 0.01 | 0.52 | 0.52 | 0.52 | 0.52 | XXX |
| 92135 | TC | A | Opthalmic dx imaging | 0.00 | 0.86 | 0.86 | NA | NA | 0.01 | 0.87 | 0.87 | NA | NA | XXX |
| 92140 | A | Glaucoma provocative tests | 0.50 | 0.93 | 0.78 | 0.22 | 0.25 | 0.02 | 1.45 | 1.30 | 0.74 | 0.77 | XXX | |
| 92225 | A | Special eye exam, initial | 0.38 | 1.64 | 1.35 | 0.16 | 0.24 | 0.01 | 2.03 | 1.74 | 0.55 | 0.63 | XXX | |
| 92226 | A | Special eye exam, subsequent | 0.33 | 1.72 | 1.40 | 0.15 | 0.22 | 0.01 | 2.06 | 1.74 | 0.49 | 0.56 | XXX | |
| 92230 | A | Eye exam with photos | 0.60 | 1.26 | 1.13 | 0.21 | 0.35 | 0.02 | 1.88 | 1.75 | 0.83 | 0.97 | XXX | |
| 92235 | A | Eye exam with photos | 0.81 | 2.08 | 1.99 | NA | NA | 0.08 | 2.97 | 2.88 | NA | NA | XXX | |
| 92235 | 26 | A | Eye exam with photos | 0.81 | 0.39 | 0.45 | 0.39 | 0.45 | 0.03 | 1.23 | 1.29 | 1.23 | 1.29 | XXX |
| 92235 | TC | A | Eye exam with photos | 0.00 | 1.69 | 1.54 | NA | NA | 0.05 | 1.74 | 1.59 | NA | NA | XXX |
| 92240 | A | Icg angiography | 1.10 | 2.72 | 2.47 | NA | NA | 0.08 | 3.90 | 3.65 | NA | NA | XXX | |
| 92240 | 26 | A | Icg angiography | 1.10 | 0.53 | 0.56 | 0.53 | 0.56 | 0.03 | 1.66 | 1.69 | 1.66 | 1.69 | XXX |
| 92240 | TC | A | Icg angiography | 0.00 | 2.19 | 1.91 | NA | NA | 0.05 | 2.24 | 1.96 | NA | NA | XXX |
| 92250 | A | Eye exam with photos | 0.44 | 1.73 | 1.41 | NA | NA | 0.02 | 2.19 | 1.87 | NA | NA | XXX | |
| 92250 | 26 | A | Eye exam with photos | 0.44 | 0.20 | 0.22 | 0.20 | 0.22 | 0.01 | 0.65 | 0.67 | 0.65 | 0.67 | XXX |
| 92250 | TC | A | Eye exam with photos | 0.00 | 1.53 | 1.19 | NA | NA | 0.01 | 1.54 | 1.20 | NA | NA | XXX |
| 92260 | A | Ophthalmoscopy/dynamometry | 0.20 | 0.21 | 0.31 | 0.09 | 0.22 | 0.01 | 0.42 | 0.52 | 0.30 | 0.43 | XXX | |
| 92265 | A | Eye muscle evaluation | 0.81 | 1.89 | 1.50 | NA | NA | 0.05 | 2.75 | 2.36 | NA | NA | XXX | |
| 92265 | 26 | A | Eye muscle evaluation | 0.81 | 0.31 | 0.25 | 0.31 | 0.25 | 0.03 | 1.15 | 1.09 | 1.15 | 1.09 | XXX |
| 92265 | TC | A | Eye muscle evaluation | 0.00 | 1.58 | 1.25 | NA | NA | 0.02 | 1.60 | 1.27 | NA | NA | XXX |
| 92270 | A | Electro-oculography | 0.81 | 1.37 | 1.22 | NA | NA | 0.05 | 2.23 | 2.08 | NA | NA | XXX | |
| 92270 | 26 | A | Electro-oculography | 0.81 | 0.34 | 0.36 | 0.34 | 0.36 | 0.03 | 1.18 | 1.20 | 1.18 | 1.20 | XXX |
| 92270 | TC | A | Electro-oculography | 0.00 | 1.03 | 0.86 | NA | NA | 0.02 | 1.05 | 0.88 | NA | NA | XXX |
| 92275 | A | Electroretinography | 1.01 | 1.12 | 1.09 | NA | NA | 0.06 | 2.19 | 2.16 | NA | NA | XXX | |
| 92275 | 26 | A | Electroretinography | 1.01 | 0.44 | 0.47 | 0.44 | 0.47 | 0.04 | 1.49 | 1.52 | 1.49 | 1.52 | XXX |
| 92275 | TC | A | Electroretinography | 0.00 | 0.68 | 0.62 | NA | NA | 0.02 | 0.70 | 0.64 | NA | NA | XXX |
| 92283 | A | Color vision examination | 0.17 | 0.86 | 0.73 | NA | NA | 0.02 | 1.05 | 0.92 | NA | NA | XXX | |
| 92283 | 26 | A | Color vision examination | 0.17 | 0.08 | 0.11 | 0.08 | 0.11 | 0.01 | 0.26 | 0.29 | 0.26 | 0.29 | XXX |
| 92283 | TC | A | Color vision examination | 0.00 | 0.78 | 0.62 | NA | NA | 0.01 | 0.79 | 0.63 | NA | NA | XXX |
| 92284 | A | Dark adaptation eye exam | 0.24 | 1.50 | 1.24 | NA | NA | 0.02 | 1.76 | 1.50 | NA | NA | XXX | |
| 92284 | 26 | A | Dark adaptation eye exam | 0.24 | 0.09 | 0.14 | 0.09 | 0.14 | 0.01 | 0.34 | 0.39 | 0.34 | 0.39 | XXX |
| 92284 | TC | A | Dark adaptation eye exam | 0.00 | 1.41 | 1.10 | NA | NA | 0.01 | 1.42 | 1.11 | NA | NA | XXX |
| 92285 | A | Eye photography | 0.20 | 1.90 | 1.51 | NA | NA | 0.02 | 2.12 | 1.73 | NA | NA | XXX | |
| 92285 | 26 | A | Eye photography | 0.20 | 0.09 | 0.12 | 0.09 | 0.12 | 0.01 | 0.30 | 0.33 | 0.30 | 0.33 | XXX |
| 92285 | TC | A | Eye photography | 0.00 | 1.81 | 1.39 | NA | NA | 0.01 | 1.82 | 1.40 | NA | NA | XXX |
| 92286 | A | Internal eye photography | 0.66 | 1.95 | 1.80 | NA | NA | 0.04 | 2.65 | 2.50 | NA | NA | XXX | |
| 92286 | 26 | A | Internal eye photography | 0.66 | 0.31 | 0.46 | 0.31 | 0.46 | 0.02 | 0.99 | 1.14 | 0.99 | 1.14 | XXX |
| 92286 | TC | A | Internal eye photography | 0.00 | 1.64 | 1.34 | NA | NA | 0.02 | 1.66 | 1.36 | NA | NA | XXX |
| 92287 | A | Internal eye photography | 0.81 | 1.84 | 1.79 | 0.36 | 0.68 | 0.03 | 2.68 | 2.63 | 1.20 | 1.52 | XXX | |
| 92310 | N | Contact lens fitting | 1.17 | 0.90 | 1.03 | 0.46 | 0.70 | 0.00 | 2.07 | 2.20 | 1.63 | 1.87 | XXX | |
| 92311 | A | Contact lens fitting | 1.08 | 0.92 | 0.94 | 0.39 | 0.54 | 0.04 | 2.04 | 2.06 | 1.51 | 1.66 | XXX | |
| 92312 | A | Contact lens fitting | 1.26 | 0.91 | 1.00 | 0.63 | 0.79 | 0.04 | 2.21 | 2.30 | 1.93 | 2.09 | XXX | |
| 92313 | A | Contact lens fitting | 0.92 | 0.84 | 0.87 | 0.27 | 0.44 | 0.03 | 1.79 | 1.82 | 1.22 | 1.39 | XXX | |
| 92314 | N | Prescription of contact lens | 0.69 | 0.70 | 0.73 | 0.27 | 0.41 | 0.00 | 1.39 | 1.42 | 0.96 | 1.10 | XXX | |
| 92315 | A | Prescription of contact lens | 0.45 | 0.63 | 0.65 | 0.18 | 0.32 | 0.02 | 1.10 | 1.12 | 0.65 | 0.79 | XXX | |
| 92316 | A | Prescription of contact lens | 0.68 | 0.71 | 0.79 | 0.27 | 0.46 | 0.02 | 1.41 | 1.49 | 0.97 | 1.16 | XXX | |
| 92317 | A | Prescription of contact lens | 0.45 | 0.79 | 0.70 | 0.18 | 0.24 | 0.01 | 1.25 | 1.16 | 0.64 | 0.70 | XXX | |
| 92325 | A | Modification of contact lens | 0.00 | 0.30 | 0.33 | 0.12 | 0.19 | 0.01 | 0.31 | 0.34 | 0.13 | 0.20 | XXX | |
| 92326 | A | Replacement of contact lens | 0.00 | 0.31 | 0.66 | 0.12 | 0.51 | 0.05 | 0.36 | 0.71 | 0.17 | 0.56 | XXX | |
| 92330 | A | Fitting of artificial eye | 1.08 | 0.75 | 0.87 | 0.28 | 0.52 | 0.04 | 1.87 | 1.99 | 1.40 | 1.64 | XXX | |
| 92335 | A | Fitting of artificial eye | 0.45 | 0.73 | 1.08 | 0.18 | 0.67 | 0.02 | 1.20 | 1.55 | 0.65 | 1.14 | XXX | |
| 92340 | N | Fitting of spectacles | 0.37 | 0.52 | 0.51 | 0.15 | 0.23 | 0.00 | 0.89 | 0.88 | 0.52 | 0.60 | XXX | |
| 92341 | N | Fitting of spectacles | 0.47 | 0.56 | 0.57 | 0.19 | 0.29 | 0.00 | 1.03 | 1.04 | 0.66 | 0.76 | XXX | |
| 92342 | N | Fitting of spectacles | 0.53 | 0.58 | 0.60 | 0.21 | 0.32 | 0.00 | 1.11 | 1.13 | 0.74 | 0.85 | XXX | |
| 92352 | B | Special spectacles fitting | 0.37 | 0.52 | 0.47 | 0.15 | 0.20 | 0.01 | 0.90 | 0.85 | 0.53 | 0.58 | XXX | |
| 92353 | B | Special spectacles fitting | 0.50 | 0.57 | 0.54 | 0.20 | 0.26 | 0.02 | 1.09 | 1.06 | 0.72 | 0.78 | XXX | |
| 92354 | B | Special spectacles fitting | 0.00 | 0.43 | 2.61 | 0.16 | 2.41 | 0.08 | 0.51 | 2.69 | 0.24 | 2.49 | XXX | |
| 92355 | B | Special spectacles fitting | 0.00 | 0.43 | 1.44 | 0.16 | 1.24 | 0.01 | 0.44 | 1.45 | 0.17 | 1.25 | XXX | |
| 92358 | B | Eye prosthesis service | 0.00 | 0.28 | 0.46 | 0.10 | 0.33 | 0.04 | 0.32 | 0.50 | 0.14 | 0.37 | XXX | |
| 92370 | N | Repair adjust spectacles | 0.32 | 0.41 | 0.41 | 0.13 | 0.20 | 0.00 | 0.73 | 0.73 | 0.45 | 0.52 | XXX | |
| 92371 | B | Repair adjust spectacles | 0.00 | 0.28 | 0.37 | 0.10 | 0.24 | 0.02 | 0.30 | 0.39 | 0.12 | 0.26 | XXX | |
| 92390 | N | Supply of spectacles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92391 | N | Supply of contact lenses | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92392 | I | Supply of low vision aids | 0.00 | 0.28 | 1.26 | 0.10 | 1.12 | 0.02 | 0.30 | 1.28 | 0.12 | 1.14 | XXX | |
| 92393 | I | Supply of artificial eye | 0.00 | 0.28 | 3.46 | 0.10 | 3.32 | 0.48 | 0.76 | 3.94 | 0.58 | 3.80 | XXX | |
| 92395 | I | Supply of spectacles | 0.00 | 0.28 | 0.57 | 0.10 | 0.43 | 0.08 | 0.36 | 0.65 | 0.18 | 0.51 | XXX | |
| 92396 | I | Supply of contact lenses | 0.00 | 0.28 | 0.81 | 0.10 | 0.67 | 0.06 | 0.34 | 0.87 | 0.16 | 0.73 | XXX | |
| 92499 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 92499 | 26 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92499 | TC | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 92502 | A | Ear and throat examination | 1.51 | NA | NA | 1.16 | 1.18 | 0.05 | NA | NA | 2.72 | 2.74 | 000 | |
| 92504 | A | Ear microscopy examination | 0.18 | 0.81 | 0.68 | 0.09 | 0.14 | 0.01 | 1.00 | 0.87 | 0.28 | 0.33 | XXX | |
| 92506 | A | Speech/hearing evaluation | 0.86 | 1.20 | 1.04 | 0.40 | 0.44 | 0.03 | 2.09 | 1.93 | 1.29 | 1.33 | XXX | |
| 92507 | A | Speech/hearing therapy | 0.52 | 1.11 | 0.92 | 0.25 | 0.28 | 0.02 | 1.65 | 1.46 | 0.79 | 0.82 | XXX | |
| 92508 | A | Speech/hearing therapy | 0.26 | 0.94 | 0.76 | 0.15 | 0.16 | 0.01 | 1.21 | 1.03 | 0.42 | 0.43 | XXX | |
| 92510 | A | Rehab for ear implant | 1.50 | 1.59 | 1.56 | 0.65 | 0.86 | 0.05 | 3.14 | 3.11 | 2.20 | 2.41 | XXX | |
| 92511 | A | Nasopharyngoscopy | 0.84 | 1.04 | 1.01 | 0.42 | 0.55 | 0.03 | 1.91 | 1.88 | 1.29 | 1.42 | 000 | |
| 92512 | A | Nasal function studies | 0.55 | 0.88 | 0.79 | 0.25 | 0.32 | 0.02 | 1.45 | 1.36 | 0.82 | 0.89 | XXX | |
| 92516 | A | Facial nerve function test | 0.43 | 0.74 | 0.66 | 0.22 | 0.27 | 0.01 | 1.18 | 1.10 | 0.66 | 0.71 | XXX | |
| 92520 | A | Laryngeal function studies | 0.76 | 0.51 | 0.53 | 0.43 | 0.47 | 0.03 | 1.30 | 1.32 | 1.22 | 1.26 | XXX | |
| 92525 | A | Oral function evaluation | 1.50 | 1.76 | 1.60 | 0.74 | 0.83 | 0.05 | 3.31 | 3.15 | 2.29 | 2.38 | XXX | |
| 92526 | A | Oral function therapy | 0.55 | 1.39 | 1.17 | 0.21 | 0.29 | 0.02 | 1.96 | 1.74 | 0.78 | 0.86 | XXX | |
| 92531 | B | Spontaneous nystagmus study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92532 | B | Positional nystagmus study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92533 | B | Caloric vestibular test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92534 | B | Optokinetic nystagmus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92541 | A | Spontaneous nystagmus test | 0.40 | 0.42 | 0.50 | NA | NA | 0.03 | 0.85 | 0.93 | NA | NA | XXX | |
| 92541 | 26 | A | Spontaneous nystagmus test | 0.40 | 0.19 | 0.27 | 0.19 | 0.27 | 0.01 | 0.60 | 0.68 | 0.60 | 0.68 | XXX |
| 92541 | TC | A | Spontaneous nystagmus test | 0.00 | 0.23 | 0.23 | NA | NA | 0.02 | 0.25 | 0.25 | NA | NA | XXX |
| 92542 | A | Positional nystagmus test | 0.33 | 0.42 | 0.48 | NA | NA | 0.03 | 0.78 | 0.84 | NA | NA | XXX | |
| 92542 | 26 | A | Positional nystagmus test | 0.33 | 0.16 | 0.22 | 0.16 | 0.22 | 0.01 | 0.50 | 0.56 | 0.50 | 0.56 | XXX |
| 92542 | TC | A | Positional nystagmus test | 0.00 | 0.26 | 0.26 | NA | NA | 0.02 | 0.28 | 0.28 | NA | NA | XXX |
| 92543 | A | Caloric vestibular test | 0.10 | 0.16 | 0.18 | NA | NA | 0.02 | 0.28 | 0.30 | NA | NA | XXX | |
| 92543 | 26 | A | Caloric vestibular test | 0.10 | 0.05 | 0.07 | 0.05 | 0.07 | 0.01 | 0.16 | 0.18 | 0.16 | 0.18 | XXX |
| 92543 | TC | A | Caloric vestibular test | 0.00 | 0.11 | 0.11 | NA | NA | 0.01 | 0.12 | 0.12 | NA | NA | XXX |
| 92544 | A | Optokinetic nystagmus test | 0.26 | 0.34 | 0.38 | NA | NA | 0.03 | 0.63 | 0.67 | NA | NA | XXX | |
| 92544 | 26 | A | Optokinetic nystagmus test | 0.26 | 0.12 | 0.16 | 0.12 | 0.16 | 0.01 | 0.39 | 0.43 | 0.39 | 0.43 | XXX |
| 92544 | TC | A | Optokinetic nystagmus test | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 92545 | A | Oscillating tracking test | 0.23 | 0.33 | 0.36 | NA | NA | 0.03 | 0.59 | 0.62 | NA | NA | XXX | |
| 92545 | 26 | A | Oscillating tracking test | 0.23 | 0.11 | 0.14 | 0.11 | 0.14 | 0.01 | 0.35 | 0.38 | 0.35 | 0.38 | XXX |
| 92545 | TC | A | Oscillating tracking test | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 92546 | A | Sinusoidal rotational test | 0.29 | 0.37 | 0.42 | NA | NA | 0.03 | 0.69 | 0.74 | NA | NA | XXX | |
| 92546 | 26 | A | Sinusoidal rotational test | 0.29 | 0.13 | 0.18 | 0.13 | 0.18 | 0.01 | 0.43 | 0.48 | 0.43 | 0.48 | XXX |
| 92546 | TC | A | Sinusoidal rotational test | 0.00 | 0.24 | 0.24 | NA | NA | 0.02 | 0.26 | 0.26 | NA | NA | XXX |
| 92547 | A | Supplemental electrical test | 0.00 | 0.57 | 0.57 | NA | NA | 0.05 | 0.62 | 0.62 | NA | NA | ZZZ | |
| 92548 | A | Posturography | 0.50 | 1.75 | 1.82 | NA | NA | 0.13 | 2.38 | 2.45 | NA | NA | XXX | |
| 92548 | 26 | A | Posturography | 0.50 | 0.26 | 0.32 | 0.26 | 0.32 | 0.02 | 0.78 | 0.84 | 0.78 | 0.84 | XXX |
| 92548 | TC | A | Posturography | 0.00 | 1.49 | 1.50 | NA | NA | 0.11 | 1.60 | 1.61 | NA | NA | XXX |
| 92551 | N | Pure tone hearing test, air | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92552 | A | Pure tone audiometry, air | 0.00 | 0.45 | 0.45 | NA | NA | 0.03 | 0.48 | 0.48 | NA | NA | XXX | |
| 92553 | A | Audiometry, air bone | 0.00 | 0.66 | 0.67 | NA | NA | 0.05 | 0.71 | 0.72 | NA | NA | XXX | |
| 92555 | A | Speech threshold audiometry | 0.00 | 0.38 | 0.38 | NA | NA | 0.03 | 0.41 | 0.41 | NA | NA | XXX | |
| 92556 | A | Speech audiometry, complete | 0.00 | 0.58 | 0.58 | NA | NA | 0.05 | 0.63 | 0.63 | NA | NA | XXX | |
| 92557 | A | Comprehensive hearing test | 0.00 | 1.20 | 1.21 | NA | NA | 0.10 | 1.30 | 1.31 | NA | NA | XXX | |
| 92559 | N | Group audiometric testing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92560 | N | Bekesy audiometry, screen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92561 | A | Bekesy audiometry, diagnosis | 0.00 | 0.72 | 0.73 | NA | NA | 0.05 | 0.77 | 0.78 | NA | NA | XXX | |
| 92562 | A | Loudness balance test | 0.00 | 0.41 | 0.41 | NA | NA | 0.03 | 0.44 | 0.44 | NA | NA | XXX | |
| 92563 | A | Tone decay hearing test | 0.00 | 0.38 | 0.38 | NA | NA | 0.03 | 0.41 | 0.41 | NA | NA | XXX | |
| 92564 | A | Sisi hearing test | 0.00 | 0.48 | 0.48 | NA | NA | 0.04 | 0.52 | 0.52 | NA | NA | XXX | |
| 92565 | A | Stenger test, pure tone | 0.00 | 0.40 | 0.40 | NA | NA | 0.03 | 0.43 | 0.43 | NA | NA | XXX | |
| 92567 | A | Tympanometry | 0.00 | 0.53 | 0.53 | NA | NA | 0.05 | 0.58 | 0.58 | NA | NA | XXX | |
| 92568 | A | Acoustic reflex testing | 0.00 | 0.38 | 0.38 | NA | NA | 0.03 | 0.41 | 0.41 | NA | NA | XXX | |
| 92569 | A | Acoustic reflex decay test | 0.00 | 0.41 | 0.41 | NA | NA | 0.03 | 0.44 | 0.44 | NA | NA | XXX | |
| 92571 | A | Filtered speech hearing test | 0.00 | 0.39 | 0.39 | NA | NA | 0.03 | 0.42 | 0.42 | NA | NA | XXX | |
| 92572 | A | Staggered spondaic word test | 0.00 | 0.09 | 0.09 | NA | NA | 0.01 | 0.10 | 0.10 | NA | NA | XXX | |
| 92573 | A | Lombard test | 0.00 | 0.35 | 0.35 | NA | NA | 0.03 | 0.38 | 0.38 | NA | NA | XXX | |
| 92575 | A | Sensorineural acuity test | 0.00 | 0.30 | 0.30 | NA | NA | 0.02 | 0.32 | 0.32 | NA | NA | XXX | |
| 92576 | A | Synthetic sentence test | 0.00 | 0.45 | 0.45 | NA | NA | 0.04 | 0.49 | 0.49 | NA | NA | XXX | |
| 92577 | A | Stenger test, speech | 0.00 | 0.72 | 0.73 | NA | NA | 0.06 | 0.78 | 0.79 | NA | NA | XXX | |
| 92579 | A | Visual audiometry (vra) | 0.00 | 0.73 | 0.74 | NA | NA | 0.05 | 0.78 | 0.79 | NA | NA | XXX | |
| 92582 | A | Conditioning play audiometry | 0.00 | 0.73 | 0.74 | NA | NA | 0.05 | 0.78 | 0.79 | NA | NA | XXX | |
| 92583 | A | Select picture audiometry | 0.00 | 0.90 | 0.91 | NA | NA | 0.07 | 0.97 | 0.98 | NA | NA | XXX | |
| 92584 | A | Electrocochleography | 0.00 | 2.50 | 2.52 | NA | NA | 0.18 | 2.68 | 2.70 | NA | NA | XXX | |
| 92585 | A | Auditory evoked potential | 0.50 | 2.09 | 2.45 | NA | NA | 0.14 | 2.73 | 3.09 | NA | NA | XXX | |
| 92585 | 26 | A | Auditory evoked potential | 0.50 | 0.22 | 0.57 | 0.22 | 0.57 | 0.02 | 0.74 | 1.09 | 0.74 | 1.09 | XXX |
| 92585 | TC | A | Auditory evoked potential | 0.00 | 1.87 | 1.88 | NA | NA | 0.12 | 1.99 | 2.00 | NA | NA | XXX |
| 92587 | A | Evoked auditory test | 0.13 | 1.38 | 1.41 | NA | NA | 0.10 | 1.61 | 1.64 | NA | NA | XXX | |
| 92587 | 26 | A | Evoked auditory test | 0.13 | 0.06 | 0.08 | 0.06 | 0.08 | 0.01 | 0.20 | 0.22 | 0.20 | 0.22 | XXX |
| 92587 | TC | A | Evoked auditory test | 0.00 | 1.32 | 1.33 | NA | NA | 0.09 | 1.41 | 1.42 | NA | NA | XXX |
| 92588 | A | Evoked auditory test | 0.36 | 1.65 | 1.70 | NA | NA | 0.12 | 2.13 | 2.18 | NA | NA | XXX | |
| 92588 | 26 | A | Evoked auditory test | 0.36 | 0.16 | 0.20 | 0.16 | 0.20 | 0.01 | 0.53 | 0.57 | 0.53 | 0.57 | XXX |
| 92588 | TC | A | Evoked auditory test | 0.00 | 1.49 | 1.50 | NA | NA | 0.11 | 1.60 | 1.61 | NA | NA | XXX |
| 92589 | A | Auditory function test(s) | 0.00 | 0.54 | 0.54 | NA | NA | 0.05 | 0.59 | 0.59 | NA | NA | XXX | |
| 92590 | N | Hearing aid exam, one ear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92591 | N | Hearing aid exam, both ears | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92592 | N | Hearing aid check, one ear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92593 | N | Hearing aid check, both ears | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92594 | N | Electro hearng aid test, one | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92595 | N | Electro hearng aid tst, both | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92596 | A | Ear protector evaluation | 0.00 | 0.60 | 0.60 | NA | NA | 0.05 | 0.65 | 0.65 | NA | NA | XXX | |
| 92597 | A | Oral speech device eval | 1.35 | 1.48 | 1.39 | 0.73 | 0.82 | 0.04 | 2.87 | 2.78 | 2.12 | 2.21 | XXX | |
| 92598 | A | Modify oral speech device | 0.99 | 0.85 | 0.82 | 0.51 | 0.56 | 0.03 | 1.87 | 1.84 | 1.53 | 1.58 | XXX | |
| 92599 | C | ENT procedure/service | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 92599 | 26 | C | ENT procedure/service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92599 | TC | C | ENT procedure/service | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 92950 | A | Heart/lung resuscitation cpr | 3.80 | 1.57 | 1.79 | 1.11 | 1.45 | 0.21 | 5.58 | 5.80 | 5.12 | 5.46 | 000 | |
| 92953 | A | Temporary external pacing | 0.23 | NA | NA | 0.19 | 0.21 | 0.01 | NA | NA | 0.43 | 0.45 | 000 | |
| 92960 | A | Cardioversion electric, ext | 2.25 | 2.03 | 2.03 | 0.90 | 1.19 | 0.08 | 4.36 | 4.36 | 3.23 | 3.52 | 000 | |
| 92961 | A | Cardioversion, electric, int | 4.60 | NA | NA | 1.92 | 1.92 | 0.31 | NA | NA | 6.83 | 6.83 | 000 | |
| 92970 | A | Cardioassist, internal | 3.52 | NA | NA | 1.09 | 1.76 | 0.17 | NA | NA | 4.78 | 5.45 | 000 | |
| 92971 | A | Cardioassist, external | 1.77 | NA | NA | 0.89 | 0.97 | 0.06 | NA | NA | 2.72 | 2.80 | 000 | |
| 92975 | A | Dissolve clot, heart vessel | 7.25 | NA | NA | 3.08 | 3.86 | 0.22 | NA | NA | 10.55 | 11.33 | 000 | |
| 92977 | A | Dissolve clot, heart vessel | 0.00 | NA | NA | 8.14 | 8.19 | 0.39 | NA | NA | 8.53 | 8.58 | XXX | |
| 92978 | A | Intravasc us, heart add-on | 1.80 | 5.37 | 5.50 | NA | NA | 0.27 | 7.44 | 7.57 | NA | NA | ZZZ | |
| 92978 | 26 | A | Intravasc us, heart add-on | 1.80 | 0.76 | 0.86 | 0.76 | 0.86 | 0.06 | 2.62 | 2.72 | 2.62 | 2.72 | ZZZ |
| 92978 | TC | A | Intravasc us, heart add-on | 0.00 | 4.61 | 4.64 | NA | NA | 0.21 | 4.82 | 4.85 | NA | NA | ZZZ |
| 92979 | A | Intravasc us, heart add-on | 1.44 | 2.93 | 3.02 | NA | NA | 0.15 | 4.52 | 4.61 | NA | NA | ZZZ | |
| 92979 | 26 | A | Intravasc us, heart add-on | 1.44 | 0.61 | 0.69 | 0.61 | 0.69 | 0.04 | 2.09 | 2.17 | 2.09 | 2.17 | ZZZ |
| 92979 | TC | A | Intravasc us, heart add-on | 0.00 | 2.32 | 2.33 | NA | NA | 0.11 | 2.43 | 2.44 | NA | NA | ZZZ |
| 92980 | A | Insert intracoronary stent | 14.84 | NA | NA | 6.33 | 9.18 | 0.02 | NA | NA | 21.19 | 24.04 | 000 | |
| 92981 | A | Insert intracoronary stent | 4.17 | NA | NA | 1.77 | 2.57 | 0.56 | NA | NA | 6.50 | 7.30 | ZZZ | |
| 92982 | A | Coronary artery dilation | 10.98 | NA | NA | 4.70 | 6.80 | 1.48 | NA | NA | 17.16 | 19.26 | 000 | |
| 92984 | A | Coronary artery dilation | 2.97 | NA | NA | 1.26 | 1.83 | 0.40 | NA | NA | 4.63 | 5.20 | ZZZ | |
| 92986 | A | Revision of aortic valve | 21.80 | NA | NA | 10.87 | 11.42 | 2.82 | NA | NA | 35.49 | 36.04 | 090 | |
| 92987 | A | Revision of mitral valve | 22.70 | NA | NA | 11.23 | 11.73 | 2.99 | NA | NA | 36.92 | 37.42 | 090 | |
| 92990 | A | Revision of pulmonary valve | 17.34 | NA | NA | 8.47 | 8.96 | 1.90 | NA | NA | 27.71 | 28.20 | 090 | |
| 92992 | C | Revision of heart chamber | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 92993 | C | Revision of heart chamber | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 92995 | A | Coronary atherectomy | 12.09 | NA | NA | 5.16 | 7.48 | 1.63 | NA | NA | 18.88 | 21.20 | 000 | |
| 92996 | A | Coronary atherectomy add-on | 3.26 | NA | NA | 1.43 | 2.05 | 0.44 | NA | NA | 5.13 | 5.75 | ZZZ | |
| 92997 | A | Pul art balloon repr, percut | 0.12 | NA | NA | 5.12 | 7.42 | 1.45 | NA | NA | 6.69 | 8.99 | 000 | |
| 92998 | A | Pul art balloon repr, percut | 0.06 | NA | NA | 2.48 | 2.89 | 0.73 | NA | NA | 3.27 | 3.68 | ZZZ | |
| 93000 | A | Electrocardiogram, complete | 0.17 | 0.53 | 0.56 | NA | NA | 0.03 | 0.73 | 0.76 | NA | NA | XXX | |
| 93005 | A | Electrocardiogram, tracing | 0.00 | 0.46 | 0.46 | NA | NA | 0.02 | 0.48 | 0.48 | NA | NA | XXX | |
| 93010 | A | Electrocardiogram report | 0.17 | 0.07 | 0.10 | 0.07 | 0.10 | 0.01 | 0.25 | 0.28 | 0.25 | 0.28 | XXX | |
| 93012 | A | Transmission of ecg | 0.00 | 2.39 | 2.40 | NA | NA | 0.15 | 2.54 | 2.55 | NA | NA | XXX | |
| 93014 | A | Report on transmitted ecg | 0.52 | 0.20 | 0.26 | 0.20 | 0.26 | 0.02 | 0.74 | 0.80 | 0.74 | 0.80 | XXX | |
| 93015 | A | Cardiovascular stress test | 0.75 | 2.00 | 2.13 | NA | NA | 0.11 | 2.86 | 2.99 | NA | NA | XXX | |
| 93016 | A | Cardiovascular stress test | 0.45 | 0.18 | 0.24 | 0.18 | 0.24 | 0.01 | 0.64 | 0.70 | 0.64 | 0.70 | XXX | |
| 93017 | A | Cardiovascular stress test | 0.00 | 1.70 | 1.71 | NA | NA | 0.09 | 1.79 | 1.80 | NA | NA | XXX | |
| 93018 | A | Cardiovascular stress test | 0.30 | 0.12 | 0.18 | 0.12 | 0.18 | 0.01 | 0.43 | 0.49 | 0.43 | 0.49 | XXX | |
| 93024 | A | Cardiac drug stress test | 1.17 | 1.61 | 1.85 | NA | NA | 0.11 | 2.89 | 3.13 | NA | NA | XXX | |
| 93024 | 26 | A | Cardiac drug stress test | 1.17 | 0.48 | 0.71 | 0.48 | 0.71 | 0.04 | 1.69 | 1.92 | 1.69 | 1.92 | XXX |
| 93024 | TC | A | Cardiac drug stress test | 0.00 | 1.13 | 1.14 | NA | NA | 0.07 | 1.20 | 1.21 | NA | NA | XXX |
| 93040 | A | Rhythm ECG with report | 0.16 | 0.20 | 0.22 | NA | NA | 0.02 | 0.38 | 0.40 | NA | NA | XXX | |
| 93041 | A | Rhythm ECG, tracing | 0.00 | 0.15 | 0.15 | NA | NA | 0.01 | 0.16 | 0.16 | NA | NA | XXX | |
| 93042 | A | Rhythm ECG, report | 0.16 | 0.05 | 0.07 | 0.05 | 0.07 | 0.01 | 0.22 | 0.24 | 0.22 | 0.24 | XXX | |
| 93224 | A | ECG monitor/report, 24 hrs | 0.52 | 3.67 | 3.79 | NA | NA | 0.21 | 4.40 | 4.52 | NA | NA | XXX | |
| 93225 | A | ECG monitor/record, 24 hrs | 0.00 | 1.25 | 1.26 | NA | NA | 0.07 | 1.32 | 1.33 | NA | NA | XXX | |
| 93226 | A | ECG monitor/report, 24 hrs | 0.00 | 2.21 | 2.22 | NA | NA | 0.12 | 2.33 | 2.34 | NA | NA | XXX | |
| 93227 | A | ECG monitor/review, 24 hrs | 0.52 | 0.21 | 0.31 | 0.21 | 0.31 | 0.02 | 0.75 | 0.85 | 0.75 | 0.85 | XXX | |
| 93230 | A | ECG monitor/report, 24 hrs | 0.52 | 3.94 | 4.06 | NA | NA | 0.22 | 4.68 | 4.80 | NA | NA | XXX | |
| 93231 | A | Ecg monitor/record, 24 hrs | 0.00 | 1.53 | 1.54 | NA | NA | 0.09 | 1.62 | 1.63 | NA | NA | XXX | |
| 93232 | A | ECG monitor/report, 24 hrs | 0.00 | 2.20 | 2.21 | NA | NA | 0.11 | 2.31 | 2.32 | NA | NA | XXX | |
| 93233 | A | ECG monitor/review, 24 hrs | 0.52 | 0.21 | 0.31 | 0.21 | 0.31 | 0.02 | 0.75 | 0.85 | 0.75 | 0.85 | XXX | |
| 93235 | A | ECG monitor/report, 24 hrs | 0.45 | 2.83 | 2.94 | NA | NA | 0.13 | 3.41 | 3.52 | NA | NA | XXX | |
| 93236 | A | ECG monitor/report, 24 hrs | 0.00 | 2.65 | 2.67 | NA | NA | 0.12 | 2.77 | 2.79 | NA | NA | XXX | |
| 93237 | A | ECG monitor/review, 24 hrs | 0.45 | 0.18 | 0.27 | 0.18 | 0.27 | 0.01 | 0.64 | 0.73 | 0.64 | 0.73 | XXX | |
| 93268 | A | ECG record/review | 0.52 | 3.84 | 3.92 | NA | NA | 0.24 | 4.60 | 4.68 | NA | NA | XXX | |
| 93270 | A | ECG recording | 0.00 | 1.25 | 1.26 | NA | NA | 0.07 | 1.32 | 1.33 | NA | NA | XXX | |
| 93271 | A | Ecg/monitoring and analysis | 0.00 | 2.39 | 2.40 | NA | NA | 0.15 | 2.54 | 2.55 | NA | NA | XXX | |
| 93272 | A | Ecg/review,interpret only | 0.52 | 0.20 | 0.26 | 0.20 | 0.26 | 0.02 | 0.74 | 0.80 | 0.74 | 0.80 | XXX | |
| 93278 | A | ECG/signal-averaged | 0.25 | 1.26 | 1.32 | NA | NA | 0.10 | 1.61 | 1.67 | NA | NA | XXX | |
| 93278 | 26 | A | ECG/signal-averaged | 0.25 | 0.10 | 0.15 | 0.10 | 0.15 | 0.01 | 0.36 | 0.41 | 0.36 | 0.41 | XXX |
| 93278 | TC | A | ECG/signal-averaged | 0.00 | 1.16 | 1.17 | NA | NA | 0.09 | 1.25 | 1.26 | NA | NA | XXX |
| 93303 | A | Echo transthoracic | 1.30 | 4.40 | 4.57 | NA | NA | 0.24 | 5.94 | 6.11 | NA | NA | XXX | |
| 93303 | 26 | A | Echo transthoracic | 1.30 | 0.50 | 0.65 | 0.50 | 0.65 | 0.04 | 1.84 | 1.99 | 1.84 | 1.99 | XXX |
| 93303 | TC | A | Echo transthoracic | 0.00 | 3.90 | 3.92 | NA | NA | 0.20 | 4.10 | 4.12 | NA | NA | XXX |
| 93304 | A | Echo transthoracic | 0.75 | 2.25 | 2.37 | NA | NA | 0.13 | 3.13 | 3.25 | NA | NA | XXX | |
| 93304 | 26 | A | Echo transthoracic | 0.75 | 0.29 | 0.40 | 0.29 | 0.40 | 0.02 | 1.06 | 1.17 | 1.06 | 1.17 | XXX |
| 93304 | TC | A | Echo transthoracic | 0.00 | 1.96 | 1.97 | NA | NA | 0.11 | 2.07 | 2.08 | NA | NA | XXX |
| 93307 | A | Echo exam of heart | 0.92 | 4.28 | 4.48 | NA | NA | 0.23 | 5.43 | 5.63 | NA | NA | XXX | |
| 93307 | 26 | A | Echo exam of heart | 0.92 | 0.38 | 0.56 | 0.38 | 0.56 | 0.03 | 1.33 | 1.51 | 1.33 | 1.51 | XXX |
| 93307 | TC | A | Echo exam of heart | 0.00 | 3.90 | 3.92 | NA | NA | 0.20 | 4.10 | 4.12 | NA | NA | XXX |
| 93308 | A | Echo exam of heart | 0.53 | 2.18 | 2.29 | NA | NA | 0.13 | 2.84 | 2.95 | NA | NA | XXX | |
| 93308 | 26 | A | Echo exam of heart | 0.53 | 0.22 | 0.32 | 0.22 | 0.32 | 0.02 | 0.77 | 0.87 | 0.77 | 0.87 | XXX |
| 93308 | TC | A | Echo exam of heart | 0.00 | 1.96 | 1.97 | NA | NA | 0.11 | 2.07 | 2.08 | NA | NA | XXX |
| 93312 | A | Echo transesophageal | 2.20 | 4.69 | 4.86 | NA | NA | 0.34 | 7.23 | 7.40 | NA | NA | XXX | |
| 93312 | 26 | A | Echo transesophageal | 2.20 | 0.87 | 1.02 | 0.87 | 1.02 | 0.09 | 3.16 | 3.31 | 3.16 | 3.31 | XXX |
| 93312 | TC | A | Echo transesophageal | 0.00 | 3.82 | 3.84 | NA | NA | 0.25 | 4.07 | 4.09 | NA | NA | XXX |
| 93313 | A | Echo transesophageal | 0.95 | 5.13 | 4.03 | 0.23 | 0.36 | 0.05 | 6.13 | 5.03 | 1.23 | 1.36 | XXX | |
| 93314 | A | Echo transesophageal | 1.25 | 4.32 | 4.40 | NA | NA | 0.29 | 5.86 | 5.94 | NA | NA | XXX | |
| 93314 | 26 | A | Echo transesophageal | 1.25 | 0.50 | 0.56 | 0.50 | 0.56 | 0.04 | 1.79 | 1.85 | 1.79 | 1.85 | XXX |
| 93314 | TC | A | Echo transesophageal | 0.00 | 3.82 | 3.84 | NA | NA | 0.25 | 4.07 | 4.09 | NA | NA | XXX |
| 93315 | A | Echo transesophageal | 2.78 | 4.90 | 5.02 | NA | NA | 0.36 | 8.04 | 8.16 | NA | NA | XXX | |
| 93315 | 26 | A | Echo transesophageal | 2.78 | 1.08 | 1.18 | 1.08 | 1.18 | 0.11 | 3.97 | 4.07 | 3.97 | 4.07 | XXX |
| 93315 | TC | A | Echo transesophageal | 0.00 | 3.82 | 3.84 | NA | NA | 0.25 | 4.07 | 4.09 | NA | NA | XXX |
| 93316 | A | Echo transesophageal | 0.95 | 1.66 | 1.43 | 0.28 | 0.39 | 0.05 | 2.66 | 2.43 | 1.28 | 1.39 | XXX | |
| 93317 | A | Echo transesophageal | 1.83 | 4.54 | 4.56 | NA | NA | 0.32 | 6.69 | 6.71 | NA | NA | XXX | |
| 93317 | 26 | A | Echo transesophageal | 1.83 | 0.72 | 0.72 | 0.72 | 0.72 | 0.07 | 2.62 | 2.62 | 2.62 | 2.62 | XXX |
| 93317 | TC | A | Echo transesophageal | 0.00 | 3.82 | 3.84 | NA | NA | 0.25 | 4.07 | 4.09 | NA | NA | XXX |
| 93320 | A | Doppler echo exam, heart | 0.38 | 1.89 | 1.98 | NA | NA | 0.11 | 2.38 | 2.47 | NA | NA | ZZZ | |
| 93320 | 26 | A | Doppler echo exam, heart | 0.38 | 0.16 | 0.24 | 0.16 | 0.24 | 0.01 | 0.55 | 0.63 | 0.55 | 0.63 | ZZZ |
| 93320 | TC | A | Doppler echo exam, heart | 0.00 | 1.73 | 1.74 | NA | NA | 0.10 | 1.83 | 1.84 | NA | NA | ZZZ |
| 93321 | A | Doppler echo exam, heart | 0.15 | 1.18 | 1.22 | NA | NA | 0.08 | 1.41 | 1.45 | NA | NA | ZZZ | |
| 93321 | 26 | A | Doppler echo exam, heart | 0.15 | 0.06 | 0.09 | 0.06 | 0.09 | 0.01 | 0.22 | 0.25 | 0.22 | 0.25 | ZZZ |
| 93321 | TC | A | Doppler echo exam, heart | 0.00 | 1.12 | 1.13 | NA | NA | 0.07 | 1.19 | 1.20 | NA | NA | ZZZ |
| 93325 | A | Doppler color flow add-on | 0.07 | 2.96 | 2.98 | NA | NA | 0.19 | 3.22 | 3.24 | NA | NA | ZZZ | |
| 93325 | 26 | A | Doppler color flow add-on | 0.07 | 0.03 | 0.03 | 0.03 | 0.03 | 0.01 | 0.11 | 0.11 | 0.11 | 0.11 | ZZZ |
| 93325 | TC | A | Doppler color flow add-on | 0.00 | 2.93 | 2.95 | NA | NA | 0.18 | 3.11 | 3.13 | NA | NA | ZZZ |
| 93350 | A | Echo transthoracic | 0.78 | 2.10 | 2.26 | NA | NA | 0.13 | 3.01 | 3.17 | NA | NA | XXX | |
| 93350 | 26 | A | Echo transthoracic | 0.78 | 0.32 | 0.47 | 0.32 | 0.47 | 0.02 | 1.12 | 1.27 | 1.12 | 1.27 | XXX |
| 93350 | TC | A | Echo transthoracic | 0.00 | 1.78 | 1.79 | NA | NA | 0.11 | 1.89 | 1.90 | NA | NA | XXX |
| 93501 | A | Right heart catheterization | 3.02 | 17.58 | 18.46 | NA | NA | 1.27 | 21.87 | 22.75 | NA | NA | 000 | |
| 93501 | 26 | A | Right heart catheterization | 3.02 | 1.24 | 1.83 | 1.24 | 1.83 | 0.37 | 4.63 | 5.22 | 4.63 | 5.22 | 000 |
| 93501 | TC | A | Right heart catheterization | 0.00 | 16.34 | 16.63 | NA | NA | 0.90 | 17.24 | 17.53 | NA | NA | 000 |
| 93503 | A | Insert/place heart catheter | 2.91 | 1.03 | 1.42 | 0.76 | 1.21 | 0.22 | 4.16 | 4.55 | 3.89 | 4.34 | 000 | |
| 93505 | A | Biopsy of heart lining | 4.38 | 3.74 | 4.15 | NA | NA | 0.70 | 8.82 | 9.23 | NA | NA | 000 | |
| 93505 | 26 | A | Biopsy of heart lining | 4.38 | 1.83 | 2.20 | 1.83 | 2.20 | 0.57 | 6.78 | 7.15 | 6.78 | 7.15 | 000 |
| 93505 | TC | A | Biopsy of heart lining | 0.00 | 1.91 | 1.95 | NA | NA | 0.13 | 2.04 | 2.08 | NA | NA | 000 |
| 93508 | A | Cath placement, angiography | 4.10 | 13.90 | 14.44 | NA | NA | 1.11 | 19.11 | 19.65 | NA | NA | 000 | |
| 93508 | 26 | A | Cath placement, angiography | 4.10 | 1.72 | 2.05 | 1.72 | 2.05 | 0.55 | 6.37 | 6.70 | 6.37 | 6.70 | 000 |
| 93508 | TC | A | Cath placement, angiography | 0.00 | 12.18 | 12.39 | NA | NA | 0.56 | 12.74 | 12.95 | NA | NA | 000 |
| 93510 | A | Left heart catheterization | 4.33 | 37.53 | 38.53 | NA | NA | 2.55 | 44.41 | 45.41 | NA | NA | 000 | |
| 93510 | 26 | A | Left heart catheterization | 4.33 | 1.83 | 2.20 | 1.83 | 2.20 | 0.58 | 6.74 | 7.11 | 6.74 | 7.11 | 000 |
| 93510 | TC | A | Left heart catheterization | 0.00 | 35.70 | 36.33 | NA | NA | 1.97 | 37.67 | 38.30 | NA | NA | 000 |
| 93511 | A | Left heart catheterization | 5.03 | 36.87 | 37.67 | NA | NA | 2.59 | 44.49 | 45.29 | NA | NA | 000 | |
| 93511 | 26 | A | Left heart catheterization | 5.03 | 2.12 | 2.30 | 2.12 | 2.30 | 0.68 | 7.83 | 8.01 | 7.83 | 8.01 | 000 |
| 93511 | TC | A | Left heart catheterization | 0.00 | 34.75 | 35.37 | NA | NA | 1.91 | 36.66 | 37.28 | NA | NA | 000 |
| 93514 | A | Left heart catheterization | 7.05 | 37.65 | 38.78 | NA | NA | 2.87 | 47.57 | 48.70 | NA | NA | 000 | |
| 93514 | 26 | A | Left heart catheterization | 7.05 | 2.90 | 3.41 | 2.90 | 3.41 | 0.96 | 10.91 | 11.42 | 10.91 | 11.42 | 000 |
| 93514 | TC | A | Left heart catheterization | 0.00 | 34.75 | 35.37 | NA | NA | 1.91 | 36.66 | 37.28 | NA | NA | 000 |
| 93524 | A | Left heart catheterization | 6.95 | 48.31 | 49.66 | NA | NA | 3.45 | 58.71 | 60.06 | NA | NA | 000 | |
| 93524 | 26 | A | Left heart catheterization | 6.95 | 2.91 | 3.45 | 2.91 | 3.45 | 0.95 | 10.81 | 11.35 | 10.81 | 11.35 | 000 |
| 93524 | TC | A | Left heart catheterization | 0.00 | 45.40 | 46.21 | NA | NA | 2.50 | 47.90 | 48.71 | NA | NA | 000 |
| 93526 | A | Rt Lt heart catheters | 5.99 | 49.17 | 50.85 | NA | NA | 3.37 | 58.53 | 60.21 | NA | NA | 000 | |
| 93526 | 26 | A | Rt Lt heart catheters | 5.99 | 2.52 | 3.37 | 2.52 | 3.37 | 0.80 | 9.31 | 10.16 | 9.31 | 10.16 | 000 |
| 93526 | TC | A | Rt Lt heart catheters | 0.00 | 46.65 | 47.48 | NA | NA | 2.57 | 49.22 | 50.05 | NA | NA | 000 |
| 93527 | A | Rt Lt heart catheters | 7.28 | 48.47 | 50.45 | NA | NA | 3.47 | 59.22 | 61.20 | NA | NA | 000 | |
| 93527 | 26 | A | Rt Lt heart catheters | 7.28 | 3.07 | 4.24 | 3.07 | 4.24 | 0.97 | 11.32 | 12.49 | 11.32 | 12.49 | 000 |
| 93527 | TC | A | Rt Lt heart catheters | 0.00 | 45.40 | 46.21 | NA | NA | 2.50 | 47.90 | 48.71 | NA | NA | 000 |
| 93528 | A | Rt Lt heart catheters | 0.09 | 49.24 | 50.29 | NA | NA | 3.73 | 53.06 | 54.11 | NA | NA | 000 | |
| 93528 | 26 | A | Rt Lt heart catheters | 0.09 | 3.84 | 4.08 | 3.84 | 4.08 | 1.23 | 5.16 | 5.40 | 5.16 | 5.40 | 000 |
| 93528 | TC | A | Rt Lt heart catheters | 0.00 | 45.40 | 46.21 | NA | NA | 2.50 | 47.90 | 48.71 | NA | NA | 000 |
| 93529 | A | Rt, Lt heart catheterization | 4.80 | 47.32 | 48.45 | NA | NA | 3.08 | 55.20 | 56.33 | NA | NA | 000 | |
| 93529 | 26 | A | Rt, Lt heart catheterization | 4.80 | 1.92 | 2.24 | 1.92 | 2.24 | 0.58 | 7.30 | 7.62 | 7.30 | 7.62 | 000 |
| 93529 | TC | A | Rt, Lt heart catheterization | 0.00 | 45.40 | 46.21 | NA | NA | 2.50 | 47.90 | 48.71 | NA | NA | 000 |
| 93530 | A | Rt heart cath, congenital | 4.23 | 18.00 | 18.86 | NA | NA | 1.45 | 23.68 | 24.54 | NA | NA | 000 | |
| 93530 | 26 | A | Rt heart cath, congenital | 4.23 | 1.66 | 2.23 | 1.66 | 2.23 | 0.55 | 6.44 | 7.01 | 6.44 | 7.01 | 000 |
| 93530 | TC | A | Rt heart cath, congenital | 0.00 | 16.34 | 16.63 | NA | NA | 0.90 | 17.24 | 17.53 | NA | NA | 000 |
| 93531 | A | R l heart cath, congenital | 8.35 | 50.10 | 51.55 | NA | NA | 3.70 | 62.15 | 63.60 | NA | NA | 000 | |
| 93531 | 26 | A | R l heart cath, congenital | 8.35 | 3.45 | 4.07 | 3.45 | 4.07 | 1.13 | 12.93 | 13.55 | 12.93 | 13.55 | 000 |
| 93531 | TC | A | R l heart cath, congenital | 0.00 | 46.65 | 47.48 | NA | NA | 2.57 | 49.22 | 50.05 | NA | NA | 000 |
| 93532 | A | R l heart cath, congenital | 0.10 | 49.31 | 51.08 | NA | NA | 3.92 | 53.33 | 55.10 | NA | NA | 000 | |
| 93532 | 26 | A | R l heart cath, congenital | 0.10 | 3.91 | 4.87 | 3.91 | 4.87 | 1.42 | 5.43 | 6.39 | 5.43 | 6.39 | 000 |
| 93532 | TC | A | R l heart cath, congenital | 0.00 | 45.40 | 46.21 | NA | NA | 2.50 | 47.90 | 48.71 | NA | NA | 000 |
| 93533 | A | R l heart cath, congenital | 6.70 | 47.91 | 48.89 | NA | NA | 3.40 | 58.01 | 58.99 | NA | NA | 000 | |
| 93533 | 26 | A | R l heart cath, congenital | 6.70 | 2.51 | 2.68 | 2.51 | 2.68 | 0.90 | 10.11 | 10.28 | 10.11 | 10.28 | 000 |
| 93533 | TC | A | R l heart cath, congenital | 0.00 | 45.40 | 46.21 | NA | NA | 2.50 | 47.90 | 48.71 | NA | NA | 000 |
| 93536 | A | Insert circulation assi | 4.85 | NA | NA | 2.08 | 3.01 | 0.65 | NA | NA | 7.58 | 8.51 | 000 | |
| 93539 | A | Injection, cardiac cath | 0.40 | 0.74 | 0.80 | 0.17 | 0.37 | 0.01 | 1.15 | 1.21 | 0.58 | 0.78 | 000 | |
| 93540 | A | Injection, cardiac cath | 0.43 | 0.77 | 0.82 | 0.18 | 0.38 | 0.01 | 1.21 | 1.26 | 0.62 | 0.82 | 000 | |
| 93541 | A | Injection for lung angiogram | 0.29 | NA | NA | 0.12 | 0.18 | 0.01 | NA | NA | 0.42 | 0.48 | 000 | |
| 93542 | A | Injection for heart x-rays | 0.29 | NA | NA | 0.12 | 0.18 | 0.01 | NA | NA | 0.42 | 0.48 | 000 | |
| 93543 | A | Injection for heart x-rays | 0.29 | 0.49 | 0.52 | 0.12 | 0.25 | 0.01 | 0.79 | 0.82 | 0.42 | 0.55 | 000 | |
| 93544 | A | Injection for aortography | 0.25 | 0.47 | 0.51 | 0.11 | 0.24 | 0.01 | 0.73 | 0.77 | 0.37 | 0.50 | 000 | |
| 93545 | A | Inject for coronary x-rays | 0.40 | 0.76 | 0.69 | 0.17 | 0.25 | 0.01 | 1.17 | 1.10 | 0.58 | 0.66 | 000 | |
| 93555 | A | Imaging, cardiac cath | 0.81 | 6.40 | 6.50 | NA | NA | 0.32 | 7.53 | 7.63 | NA | NA | XXX | |
| 93555 | 26 | A | Imaging, cardiac cath | 0.81 | 0.34 | 0.33 | 0.34 | 0.33 | 0.03 | 1.18 | 1.17 | 1.18 | 1.17 | XXX |
| 93555 | TC | A | Imaging, cardiac cath | 0.00 | 6.06 | 6.17 | NA | NA | 0.29 | 6.35 | 6.46 | NA | NA | XXX |
| 93556 | A | Imaging, cardiac cath | 0.83 | 9.91 | 10.12 | NA | NA | 0.46 | 11.20 | 11.41 | NA | NA | XXX | |
| 93556 | 26 | A | Imaging, cardiac cath | 0.83 | 0.35 | 0.39 | 0.35 | 0.39 | 0.03 | 1.21 | 1.25 | 1.21 | 1.25 | XXX |
| 93556 | TC | A | Imaging, cardiac cath | 0.00 | 9.56 | 9.73 | NA | NA | 0.43 | 9.99 | 10.16 | NA | NA | XXX |
| 93561 | A | Cardiac output measurement | 0.50 | 0.69 | 0.81 | NA | NA | 0.07 | 1.26 | 1.38 | NA | NA | 000 | |
| 93561 | 26 | A | Cardiac output measurement | 0.50 | 0.17 | 0.28 | 0.17 | 0.28 | 0.02 | 0.69 | 0.80 | 0.69 | 0.80 | 000 |
| 93561 | TC | A | Cardiac output measurement | 0.00 | 0.52 | 0.53 | NA | NA | 0.05 | 0.57 | 0.58 | NA | NA | 000 |
| 93562 | A | Cardiac output measurement | 0.16 | 0.35 | 0.40 | NA | NA | 0.04 | 0.55 | 0.60 | NA | NA | 000 | |
| 93562 | 26 | A | Cardiac output measurement | 0.16 | 0.05 | 0.09 | 0.05 | 0.09 | 0.01 | 0.22 | 0.26 | 0.22 | 0.26 | 000 |
| 93562 | TC | A | Cardiac output measurement | 0.00 | 0.30 | 0.31 | NA | NA | 0.03 | 0.33 | 0.34 | NA | NA | 000 |
| 93571 | A | Heart flow reserve measure | 1.80 | 5.33 | 5.36 | NA | NA | 0.27 | 7.40 | 7.43 | NA | NA | ZZZ | |
| 93571 | 26 | A | Heart flow reserve measure | 1.80 | 0.71 | 0.71 | 0.71 | 0.71 | 0.06 | 2.57 | 2.57 | 2.57 | 2.57 | ZZZ |
| 93571 | TC | A | Heart flow reserve measure | 0.00 | 4.62 | 4.65 | NA | NA | 0.21 | 4.83 | 4.86 | NA | NA | ZZZ |
| 93572 | A | Heart flow reserve measure | 1.44 | 5.19 | 5.22 | NA | NA | 0.15 | 6.78 | 6.81 | NA | NA | ZZZ | |
| 93572 | 26 | A | Heart flow reserve measure | 1.44 | 0.57 | 0.57 | 0.57 | 0.57 | 0.04 | 2.05 | 2.05 | 2.05 | 2.05 | ZZZ |
| 93572 | TC | A | Heart flow reserve measure | 0.00 | 4.62 | 4.65 | NA | NA | 0.11 | 4.73 | 4.76 | NA | NA | ZZZ |
| 93600 | A | Bundle of His recording | 2.12 | 2.87 | 3.29 | NA | NA | 0.18 | 5.17 | 5.59 | NA | NA | 000 | |
| 93600 | 26 | A | Bundle of His recording | 2.12 | 0.90 | 1.31 | 0.90 | 1.31 | 0.07 | 3.09 | 3.50 | 3.09 | 3.50 | 000 |
| 93600 | TC | A | Bundle of His recording | 0.00 | 1.97 | 1.98 | NA | NA | 0.11 | 2.08 | 2.09 | NA | NA | 000 |
| 93602 | A | Intra-atrial recording | 2.12 | 2.02 | 2.29 | NA | NA | 0.15 | 4.29 | 4.56 | NA | NA | 000 | |
| 93602 | 26 | A | Intra-atrial recording | 2.12 | 0.90 | 1.16 | 0.90 | 1.16 | 0.09 | 3.11 | 3.37 | 3.11 | 3.37 | 000 |
| 93602 | TC | A | Intra-atrial recording | 0.00 | 1.12 | 1.13 | NA | NA | 0.06 | 1.18 | 1.19 | NA | NA | 000 |
| 93603 | A | Right ventricular recording | 2.12 | 2.60 | 2.98 | NA | NA | 0.18 | 4.90 | 5.28 | NA | NA | 000 | |
| 93603 | 26 | A | Right ventricular recording | 2.12 | 0.90 | 1.27 | 0.90 | 1.27 | 0.09 | 3.11 | 3.48 | 3.11 | 3.48 | 000 |
| 93603 | TC | A | Right ventricular recording | 0.00 | 1.70 | 1.71 | NA | NA | 0.09 | 1.79 | 1.80 | NA | NA | 000 |
| 93607 | A | Left ventricular recording | 3.26 | 2.91 | 3.17 | NA | NA | 0.19 | 6.36 | 6.62 | NA | NA | 000 | |
| 93607 | 26 | A | Left ventricular recording | 3.26 | 1.40 | 1.65 | 1.40 | 1.65 | 0.10 | 4.76 | 5.01 | 4.76 | 5.01 | 000 |
| 93607 | TC | A | Left ventricular recording | 0.00 | 1.51 | 1.52 | NA | NA | 0.09 | 1.60 | 1.61 | NA | NA | 000 |
| 93609 | A | Mapping of tachycardia | 10.07 | 6.99 | 6.99 | NA | NA | 0.46 | 17.52 | 17.52 | NA | NA | 000 | |
| 93609 | 26 | A | Mapping of tachycardia | 10.07 | 4.24 | 4.22 | 4.24 | 4.22 | 0.32 | 14.63 | 14.61 | 14.63 | 14.61 | 000 |
| 93609 | TC | A | Mapping of tachycardia | 0.00 | 2.75 | 2.77 | NA | NA | 0.14 | 2.89 | 2.91 | NA | NA | 000 |
| 93610 | A | Intra-atrial pacing | 3.02 | 2.64 | 2.96 | NA | NA | 0.19 | 5.85 | 6.17 | NA | NA | 000 | |
| 93610 | 26 | A | Intra-atrial pacing | 3.02 | 1.27 | 1.58 | 1.27 | 1.58 | 0.11 | 4.40 | 4.71 | 4.40 | 4.71 | 000 |
| 93610 | TC | A | Intra-atrial pacing | 0.00 | 1.37 | 1.38 | NA | NA | 0.08 | 1.45 | 1.46 | NA | NA | 000 |
| 93612 | A | Intraventricular pacing | 3.02 | 2.90 | 3.23 | NA | NA | 0.21 | 6.13 | 6.46 | NA | NA | 000 | |
| 93612 | 26 | A | Intraventricular pacing | 3.02 | 1.27 | 1.59 | 1.27 | 1.59 | 0.12 | 4.41 | 4.73 | 4.41 | 4.73 | 000 |
| 93612 | TC | A | Intraventricular pacing | 0.00 | 1.63 | 1.64 | NA | NA | 0.09 | 1.72 | 1.73 | NA | NA | 000 |
| 93615 | A | Esophageal recording | 0.99 | 0.65 | 0.66 | NA | NA | 0.08 | 1.72 | 1.73 | NA | NA | 000 | |
| 93615 | 26 | A | Esophageal recording | 0.99 | 0.33 | 0.34 | 0.33 | 0.34 | 0.06 | 1.38 | 1.39 | 1.38 | 1.39 | 000 |
| 93615 | TC | A | Esophageal recording | 0.00 | 0.32 | 0.32 | NA | NA | 0.02 | 0.34 | 0.34 | NA | NA | 000 |
| 93616 | A | Esophageal recording | 1.49 | 0.71 | 0.98 | NA | NA | 0.10 | 2.30 | 2.57 | NA | NA | 000 | |
| 93616 | 26 | A | Esophageal recording | 1.49 | 0.39 | 0.66 | 0.39 | 0.66 | 0.08 | 1.96 | 2.23 | 1.96 | 2.23 | 000 |
| 93616 | TC | A | Esophageal recording | 0.00 | 0.32 | 0.32 | NA | NA | 0.02 | 0.34 | 0.34 | NA | NA | 000 |
| 93618 | A | Heart rhythm pacing | 4.26 | 5.82 | 6.66 | NA | NA | 0.33 | 10.41 | 11.25 | NA | NA | 000 | |
| 93618 | 26 | A | Heart rhythm pacing | 4.26 | 1.81 | 2.63 | 1.81 | 2.63 | 0.12 | 6.19 | 7.01 | 6.19 | 7.01 | 000 |
| 93618 | TC | A | Heart rhythm pacing | 0.00 | 4.01 | 4.03 | NA | NA | 0.21 | 4.22 | 4.24 | NA | NA | 000 |
| 93619 | A | Electrophysiology evaluation | 7.32 | 10.90 | 12.36 | NA | NA | 0.62 | 18.84 | 20.30 | NA | NA | 000 | |
| 93619 | 26 | A | Electrophysiology evaluation | 7.32 | 3.11 | 4.52 | 3.11 | 4.52 | 0.22 | 10.65 | 12.06 | 10.65 | 12.06 | 000 |
| 93619 | TC | A | Electrophysiology evaluation | 0.00 | 7.79 | 7.84 | NA | NA | 0.40 | 8.19 | 8.24 | NA | NA | 000 |
| 93620 | A | Electrophysiology evaluation | 11.59 | 13.90 | 16.20 | NA | NA | 0.79 | 26.28 | 28.58 | NA | NA | 000 | |
| 93620 | 26 | A | Electrophysiology evaluation | 11.59 | 4.84 | 7.09 | 4.84 | 7.09 | 0.34 | 16.77 | 19.02 | 16.77 | 19.02 | 000 |
| 93620 | TC | A | Electrophysiology evaluation | 0.00 | 9.06 | 9.11 | NA | NA | 0.45 | 9.51 | 9.56 | NA | NA | 000 |
| 93621 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | 000 | |
| 93621 | 26 | A | Electrophysiology evaluation | 12.66 | 5.37 | 7.81 | 5.37 | 7.81 | 0.41 | 18.44 | 20.88 | 18.44 | 20.88 | 000 |
| 93621 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | 000 |
| 93622 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | 000 | |
| 93622 | 26 | A | Electrophysiology evaluation | 12.74 | 5.25 | 7.74 | 5.25 | 7.74 | 0.39 | 18.38 | 20.87 | 18.38 | 20.87 | 000 |
| 93622 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | 000 |
| 93623 | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | ZZZ | |
| 93623 | 26 | A | Stimulation, pacing heart | 2.85 | 1.20 | 1.66 | 1.20 | 1.66 | 0.10 | 4.15 | 4.61 | 4.15 | 4.61 | ZZZ |
| 93623 | TC | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | ZZZ |
| 93624 | A | Electrophysiologic study | 4.81 | 4.04 | 4.35 | NA | NA | 0.26 | 9.11 | 9.42 | NA | NA | 000 | |
| 93624 | 26 | A | Electrophysiologic study | 4.81 | 2.04 | 2.34 | 2.04 | 2.34 | 0.15 | 7.00 | 7.30 | 7.00 | 7.30 | 000 |
| 93624 | TC | A | Electrophysiologic study | 0.00 | 2.00 | 2.01 | NA | NA | 0.11 | 2.11 | 2.12 | NA | NA | 000 |
| 93631 | A | Heart pacing, mapping | 7.60 | 9.37 | 10.19 | NA | NA | 0.95 | 17.92 | 18.74 | NA | NA | 000 | |
| 93631 | 26 | A | Heart pacing, mapping | 7.60 | 3.15 | 3.93 | 3.15 | 3.93 | 0.42 | 11.17 | 11.95 | 11.17 | 11.95 | 000 |
| 93631 | TC | A | Heart pacing, mapping | 0.00 | 6.22 | 6.26 | NA | NA | 0.53 | 6.75 | 6.79 | NA | NA | 000 |
| 93640 | A | Evaluation heart device | 3.52 | 8.74 | 9.46 | NA | NA | 0.47 | 12.73 | 13.45 | NA | NA | 000 | |
| 93640 | 26 | A | Evaluation heart device | 3.52 | 1.49 | 2.17 | 1.49 | 2.17 | 0.11 | 5.12 | 5.80 | 5.12 | 5.80 | 000 |
| 93640 | TC | A | Evaluation heart device | 0.00 | 7.25 | 7.29 | NA | NA | 0.36 | 7.61 | 7.65 | NA | NA | 000 |
| 93641 | A | Electrophysiology evaluation | 5.93 | 9.75 | 10.94 | NA | NA | 0.54 | 16.22 | 17.41 | NA | NA | 000 | |
| 93641 | 26 | A | Electrophysiology evaluation | 5.93 | 2.50 | 3.65 | 2.50 | 3.65 | 0.18 | 8.61 | 9.76 | 8.61 | 9.76 | 000 |
| 93641 | TC | A | Electrophysiology evaluation | 0.00 | 7.25 | 7.29 | NA | NA | 0.36 | 7.61 | 7.65 | NA | NA | 000 |
| 93642 | A | Electrophysiology evaluation | 4.89 | 9.26 | 10.26 | NA | NA | 0.50 | 14.65 | 15.65 | NA | NA | 000 | |
| 93642 | 26 | A | Electrophysiology evaluation | 4.89 | 2.01 | 2.97 | 2.01 | 2.97 | 0.14 | 7.04 | 8.00 | 7.04 | 8.00 | 000 |
| 93642 | TC | A | Electrophysiology evaluation | 0.00 | 7.25 | 7.29 | NA | NA | 0.36 | 7.61 | 7.65 | NA | NA | 000 |
| 93650 | A | Ablate heart dysrhythm focus | 10.51 | NA | NA | 4.50 | 6.51 | 0.32 | NA | NA | 15.33 | 17.34 | 000 | |
| 93651 | A | Ablate heart dysrhythm focus | 16.25 | NA | NA | 6.86 | 9.98 | 0.50 | NA | NA | 23.61 | 26.73 | 000 | |
| 93652 | A | Ablate heart dysrhythm focus | 17.68 | NA | NA | 7.49 | 10.46 | 0.54 | NA | NA | 25.71 | 28.68 | 000 | |
| 93660 | A | Tilt table evaluation | 1.89 | 0.80 | 0.99 | NA | NA | 0.06 | 2.75 | 2.94 | NA | NA | 000 | |
| 93660 | 26 | A | Tilt table evaluation | 1.89 | 0.80 | 0.99 | 0.80 | 0.99 | 0.06 | 2.75 | 2.94 | 2.75 | 2.94 | 000 |
| 93660 | TC | C | Tilt table evaluation | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | 000 |
| 93720 | A | Total body plethysmography | 0.17 | 0.76 | 0.82 | NA | NA | 0.06 | 0.99 | 1.05 | NA | NA | XXX | |
| 93721 | A | Plethysmography tracing | 0.00 | 0.71 | 0.72 | NA | NA | 0.05 | 0.76 | 0.77 | NA | NA | XXX | |
| 93722 | A | Plethysmography report | 0.17 | 0.05 | 0.10 | 0.05 | 0.10 | 0.01 | 0.23 | 0.28 | 0.23 | 0.28 | XXX | |
| 93724 | A | Analyze pacemaker system | 4.89 | 6.09 | 6.37 | NA | NA | 0.35 | 11.33 | 11.61 | NA | NA | 000 | |
| 93724 | 26 | A | Analyze pacemaker system | 4.89 | 2.08 | 2.34 | 2.08 | 2.34 | 0.14 | 7.11 | 7.37 | 7.11 | 7.37 | 000 |
| 93724 | TC | A | Analyze pacemaker system | 0.00 | 4.01 | 4.03 | NA | NA | 0.21 | 4.22 | 4.24 | NA | NA | 000 |
| 93727 | A | Analyze ilr system | 0.52 | 0.21 | 0.21 | 0.21 | 0.21 | 0.02 | 0.75 | 0.75 | 0.75 | 0.75 | XXX | |
| 93731 | A | Analyze pacemaker system | 0.45 | 0.69 | 0.73 | NA | NA | 0.05 | 1.19 | 1.23 | NA | NA | XXX | |
| 93731 | 26 | A | Analyze pacemaker system | 0.45 | 0.19 | 0.23 | 0.19 | 0.23 | 0.02 | 0.66 | 0.70 | 0.66 | 0.70 | XXX |
| 93731 | TC | A | Analyze pacemaker system | 0.00 | 0.50 | 0.50 | NA | NA | 0.03 | 0.53 | 0.53 | NA | NA | XXX |
| 93732 | A | Analyze pacemaker system | 0.92 | 0.90 | 0.92 | NA | NA | 0.06 | 1.88 | 1.90 | NA | NA | XXX | |
| 93732 | 26 | A | Analyze pacemaker system | 0.92 | 0.38 | 0.40 | 0.38 | 0.40 | 0.03 | 1.33 | 1.35 | 1.33 | 1.35 | XXX |
| 93732 | TC | A | Analyze pacemaker system | 0.00 | 0.52 | 0.52 | NA | NA | 0.03 | 0.55 | 0.55 | NA | NA | XXX |
| 93733 | A | Telephone analy, pacemaker | 0.17 | 0.80 | 0.85 | NA | NA | 0.06 | 1.03 | 1.08 | NA | NA | XXX | |
| 93733 | 26 | A | Telephone analy, pacemaker | 0.17 | 0.07 | 0.11 | 0.07 | 0.11 | 0.01 | 0.25 | 0.29 | 0.25 | 0.29 | XXX |
| 93733 | TC | A | Telephone analy, pacemaker | 0.00 | 0.73 | 0.74 | NA | NA | 0.05 | 0.78 | 0.79 | NA | NA | XXX |
| 93734 | A | Analyze pacemaker system | 0.38 | 0.51 | 0.56 | NA | NA | 0.03 | 0.92 | 0.97 | NA | NA | XXX | |
| 93734 | 26 | A | Analyze pacemaker system | 0.38 | 0.16 | 0.21 | 0.16 | 0.21 | 0.01 | 0.55 | 0.60 | 0.55 | 0.60 | XXX |
| 93734 | TC | A | Analyze pacemaker system | 0.00 | 0.35 | 0.35 | NA | NA | 0.02 | 0.37 | 0.37 | NA | NA | XXX |
| 93735 | A | Analyze pacemaker system | 0.74 | 0.76 | 0.80 | NA | NA | 0.06 | 1.56 | 1.60 | NA | NA | XXX | |
| 93735 | 26 | A | Analyze pacemaker system | 0.74 | 0.31 | 0.35 | 0.31 | 0.35 | 0.03 | 1.08 | 1.12 | 1.08 | 1.12 | XXX |
| 93735 | TC | A | Analyze pacemaker system | 0.00 | 0.45 | 0.45 | NA | NA | 0.03 | 0.48 | 0.48 | NA | NA | XXX |
| 93736 | A | Telephone analy, pacemaker | 0.15 | 0.71 | 0.74 | NA | NA | 0.06 | 0.92 | 0.95 | NA | NA | XXX | |
| 93736 | 26 | A | Telephone analy, pacemaker | 0.15 | 0.07 | 0.10 | 0.07 | 0.10 | 0.01 | 0.23 | 0.26 | 0.23 | 0.26 | XXX |
| 93736 | TC | A | Telephone analy, pacemaker | 0.00 | 0.64 | 0.64 | NA | NA | 0.05 | 0.69 | 0.69 | NA | NA | XXX |
| 93737 | A | Analyze cardio/defibrillator | 0.45 | 0.69 | 0.72 | NA | NA | 0.04 | 1.18 | 1.21 | NA | NA | XXX | |
| 93737 | 26 | A | Analyze cardio/defibrillator | 0.45 | 0.19 | 0.22 | 0.19 | 0.22 | 0.01 | 0.65 | 0.68 | 0.65 | 0.68 | XXX |
| 93737 | TC | A | Analyze cardio/defibrillator | 0.00 | 0.50 | 0.50 | NA | NA | 0.03 | 0.53 | 0.53 | NA | NA | XXX |
| 93738 | A | Analyze cardio/defibrillator | 0.92 | 0.91 | 0.92 | NA | NA | 0.06 | 1.89 | 1.90 | NA | NA | XXX | |
| 93738 | 26 | A | Analyze cardio/defibrillator | 0.92 | 0.39 | 0.40 | 0.39 | 0.40 | 0.03 | 1.34 | 1.35 | 1.34 | 1.35 | XXX |
| 93738 | TC | A | Analyze cardio/defibrillator | 0.00 | 0.52 | 0.52 | NA | NA | 0.03 | 0.55 | 0.55 | NA | NA | XXX |
| 93740 | B | Temperature gradient studies | 0.16 | 0.21 | 0.28 | NA | NA | 0.02 | 0.39 | 0.46 | NA | NA | XXX | |
| 93740 | 26 | B | Temperature gradient studies | 0.16 | 0.05 | 0.12 | 0.05 | 0.12 | 0.01 | 0.22 | 0.29 | 0.22 | 0.29 | XXX |
| 93740 | TC | B | Temperature gradient studies | 0.00 | 0.16 | 0.16 | NA | NA | 0.01 | 0.17 | 0.17 | NA | NA | XXX |
| 93741 | A | Analyze ht pace device sngl | 0.64 | 1.16 | 1.17 | NA | NA | 0.05 | 1.85 | 1.86 | NA | NA | XXX | |
| 93741 | 26 | A | Analyze ht pace device sngl | 0.64 | 0.25 | 0.25 | 0.25 | 0.25 | 0.02 | 0.91 | 0.91 | 0.91 | 0.91 | XXX |
| 93741 | TC | A | Analyze ht pace device sngl | 0.00 | 0.91 | 0.92 | NA | NA | 0.03 | 0.94 | 0.95 | NA | NA | XXX |
| 93742 | A | Analyze ht pace device sngl | 0.73 | 1.54 | 1.55 | NA | NA | 0.05 | 2.32 | 2.33 | NA | NA | XXX | |
| 93742 | 26 | A | Analyze ht pace device sngl | 0.73 | 0.29 | 0.29 | 0.29 | 0.29 | 0.02 | 1.04 | 1.04 | 1.04 | 1.04 | XXX |
| 93742 | TC | A | Analyze ht pace device sngl | 0.00 | 1.25 | 1.26 | NA | NA | 0.03 | 1.28 | 1.29 | NA | NA | XXX |
| 93743 | A | Analyze ht pace device dual | 0.83 | 1.24 | 1.25 | NA | NA | 0.05 | 2.12 | 2.13 | NA | NA | XXX | |
| 93743 | 26 | A | Analyze ht pace device dual | 0.83 | 0.33 | 0.33 | 0.33 | 0.33 | 0.02 | 1.18 | 1.18 | 1.18 | 1.18 | XXX |
| 93743 | TC | A | Analyze ht pace device dual | 0.00 | 0.91 | 0.92 | NA | NA | 0.03 | 0.94 | 0.95 | NA | NA | XXX |
| 93744 | A | Analyze ht pace device dual | 0.95 | 1.63 | 1.64 | NA | NA | 0.05 | 2.63 | 2.64 | NA | NA | XXX | |
| 93744 | 26 | A | Analyze ht pace device dual | 0.95 | 0.38 | 0.38 | 0.38 | 0.38 | 0.02 | 1.35 | 1.35 | 1.35 | 1.35 | XXX |
| 93744 | TC | A | Analyze ht pace device dual | 0.00 | 1.25 | 1.26 | NA | NA | 0.03 | 1.28 | 1.29 | NA | NA | XXX |
| 93760 | N | Cephalic thermogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93762 | N | Peripheral thermogram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93770 | B | Measure venous pressure | 0.16 | 0.08 | 0.11 | NA | NA | 0.02 | 0.26 | 0.29 | NA | NA | XXX | |
| 93770 | 26 | B | Measure venous pressure | 0.16 | 0.05 | 0.08 | 0.05 | 0.08 | 0.01 | 0.22 | 0.25 | 0.22 | 0.25 | XXX |
| 93770 | TC | B | Measure venous pressure | 0.00 | 0.03 | 0.03 | NA | NA | 0.01 | 0.04 | 0.04 | NA | NA | XXX |
| 93784 | N | Ambulatory BP monitoring | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93786 | N | Ambulatory BP recording | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93788 | N | Ambulatory BP analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93790 | N | Review/report BP recording | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93797 | A | Cardiac rehab | 0.18 | 0.34 | 0.31 | 0.07 | 0.11 | 0.01 | 0.53 | 0.50 | 0.26 | 0.30 | 000 | |
| 93798 | A | Cardiac rehab/monitor | 0.28 | 0.43 | 0.45 | 0.11 | 0.21 | 0.01 | 0.72 | 0.74 | 0.40 | 0.50 | 000 | |
| 93799 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 93799 | 26 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93799 | TC | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 93875 | A | Extracranial study | 0.22 | 1.19 | 1.25 | NA | NA | 0.10 | 1.51 | 1.57 | NA | NA | XXX | |
| 93875 | 26 | A | Extracranial study | 0.22 | 0.08 | 0.13 | 0.08 | 0.13 | 0.01 | 0.31 | 0.36 | 0.31 | 0.36 | XXX |
| 93875 | TC | A | Extracranial study | 0.00 | 1.11 | 1.12 | NA | NA | 0.09 | 1.20 | 1.21 | NA | NA | XXX |
| 93880 | A | Extracranial study | 0.60 | 3.98 | 4.05 | NA | NA | 0.34 | 4.92 | 4.99 | NA | NA | XXX | |
| 93880 | 26 | A | Extracranial study | 0.60 | 0.22 | 0.27 | 0.22 | 0.27 | 0.04 | 0.86 | 0.91 | 0.86 | 0.91 | XXX |
| 93880 | TC | A | Extracranial study | 0.00 | 3.76 | 3.78 | NA | NA | 0.30 | 4.06 | 4.08 | NA | NA | XXX |
| 93882 | A | Extracranial study | 0.40 | 2.65 | 2.70 | NA | NA | 0.22 | 3.27 | 3.32 | NA | NA | XXX | |
| 93882 | 26 | A | Extracranial study | 0.40 | 0.15 | 0.18 | 0.15 | 0.18 | 0.03 | 0.58 | 0.61 | 0.58 | 0.61 | XXX |
| 93882 | TC | A | Extracranial study | 0.00 | 2.50 | 2.52 | NA | NA | 0.19 | 2.69 | 2.71 | NA | NA | XXX |
| 93886 | A | Intracranial study | 0.94 | 4.64 | 4.69 | NA | NA | 0.38 | 5.96 | 6.01 | NA | NA | XXX | |
| 93886 | 26 | A | Intracranial study | 0.94 | 0.38 | 0.40 | 0.38 | 0.40 | 0.05 | 1.37 | 1.39 | 1.37 | 1.39 | XXX |
| 93886 | TC | A | Intracranial study | 0.00 | 4.26 | 4.29 | NA | NA | 0.33 | 4.59 | 4.62 | NA | NA | XXX |
| 93888 | A | Intracranial study | 0.62 | 3.08 | 3.12 | NA | NA | 0.27 | 3.97 | 4.01 | NA | NA | XXX | |
| 93888 | 26 | A | Intracranial study | 0.62 | 0.24 | 0.26 | 0.24 | 0.26 | 0.04 | 0.90 | 0.92 | 0.90 | 0.92 | XXX |
| 93888 | TC | A | Intracranial study | 0.00 | 2.84 | 2.86 | NA | NA | 0.23 | 3.07 | 3.09 | NA | NA | XXX |
| 93922 | A | Extremity study | 0.25 | 1.25 | 1.31 | NA | NA | 0.13 | 1.63 | 1.69 | NA | NA | XXX | |
| 93922 | 26 | A | Extremity study | 0.25 | 0.09 | 0.14 | 0.09 | 0.14 | 0.02 | 0.36 | 0.41 | 0.36 | 0.41 | XXX |
| 93922 | TC | A | Extremity study | 0.00 | 1.16 | 1.17 | NA | NA | 0.11 | 1.27 | 1.28 | NA | NA | XXX |
| 93923 | A | Extremity study | 0.45 | 2.38 | 2.48 | NA | NA | 0.23 | 3.06 | 3.16 | NA | NA | XXX | |
| 93923 | 26 | A | Extremity study | 0.45 | 0.17 | 0.26 | 0.17 | 0.26 | 0.04 | 0.66 | 0.75 | 0.66 | 0.75 | XXX |
| 93923 | TC | A | Extremity study | 0.00 | 2.21 | 2.22 | NA | NA | 0.19 | 2.40 | 2.41 | NA | NA | XXX |
| 93924 | A | Extremity study | 0.50 | 2.57 | 2.70 | NA | NA | 0.27 | 3.34 | 3.47 | NA | NA | XXX | |
| 93924 | 26 | A | Extremity study | 0.50 | 0.18 | 0.29 | 0.18 | 0.29 | 0.05 | 0.73 | 0.84 | 0.73 | 0.84 | XXX |
| 93924 | TC | A | Extremity study | 0.00 | 2.39 | 2.41 | NA | NA | 0.22 | 2.61 | 2.63 | NA | NA | XXX |
| 93925 | A | Lower extremity study | 0.58 | 3.99 | 4.06 | NA | NA | 0.34 | 4.91 | 4.98 | NA | NA | XXX | |
| 93925 | 26 | A | Lower extremity study | 0.58 | 0.21 | 0.26 | 0.21 | 0.26 | 0.04 | 0.83 | 0.88 | 0.83 | 0.88 | XXX |
| 93925 | TC | A | Lower extremity study | 0.00 | 3.78 | 3.80 | NA | NA | 0.30 | 4.08 | 4.10 | NA | NA | XXX |
| 93926 | A | Lower extremity study | 0.39 | 2.66 | 2.72 | NA | NA | 0.23 | 3.28 | 3.34 | NA | NA | XXX | |
| 93926 | 26 | A | Lower extremity study | 0.39 | 0.14 | 0.18 | 0.14 | 0.18 | 0.03 | 0.56 | 0.60 | 0.56 | 0.60 | XXX |
| 93926 | TC | A | Lower extremity study | 0.00 | 2.52 | 2.54 | NA | NA | 0.20 | 2.72 | 2.74 | NA | NA | XXX |
| 93930 | A | Upper extremity study | 0.46 | 4.19 | 4.27 | NA | NA | 0.35 | 5.00 | 5.08 | NA | NA | XXX | |
| 93930 | 26 | A | Upper extremity study | 0.46 | 0.17 | 0.23 | 0.17 | 0.23 | 0.03 | 0.66 | 0.72 | 0.66 | 0.72 | XXX |
| 93930 | TC | A | Upper extremity study | 0.00 | 4.02 | 4.04 | NA | NA | 0.32 | 4.34 | 4.36 | NA | NA | XXX |
| 93931 | A | Upper extremity study | 0.31 | 2.78 | 2.84 | NA | NA | 0.23 | 3.32 | 3.38 | NA | NA | XXX | |
| 93931 | 26 | A | Upper extremity study | 0.31 | 0.11 | 0.15 | 0.11 | 0.15 | 0.02 | 0.44 | 0.48 | 0.44 | 0.48 | XXX |
| 93931 | TC | A | Upper extremity study | 0.00 | 2.67 | 2.69 | NA | NA | 0.21 | 2.88 | 2.90 | NA | NA | XXX |
| 93965 | A | Extremity study | 0.35 | 1.23 | 1.31 | NA | NA | 0.12 | 1.70 | 1.78 | NA | NA | XXX | |
| 93965 | 26 | A | Extremity study | 0.35 | 0.13 | 0.20 | 0.13 | 0.20 | 0.02 | 0.50 | 0.57 | 0.50 | 0.57 | XXX |
| 93965 | TC | A | Extremity study | 0.00 | 1.10 | 1.11 | NA | NA | 0.10 | 1.20 | 1.21 | NA | NA | XXX |
| 93970 | A | Extremity study | 0.68 | 4.42 | 4.50 | NA | NA | 0.39 | 5.49 | 5.57 | NA | NA | XXX | |
| 93970 | 26 | A | Extremity study | 0.68 | 0.25 | 0.30 | 0.25 | 0.30 | 0.05 | 0.98 | 1.03 | 0.98 | 1.03 | XXX |
| 93970 | TC | A | Extremity study | 0.00 | 4.17 | 4.20 | NA | NA | 0.34 | 4.51 | 4.54 | NA | NA | XXX |
| 93971 | A | Extremity study | 0.45 | 2.94 | 2.99 | NA | NA | 0.26 | 3.65 | 3.70 | NA | NA | XXX | |
| 93971 | 26 | A | Extremity study | 0.45 | 0.16 | 0.19 | 0.16 | 0.19 | 0.03 | 0.64 | 0.67 | 0.64 | 0.67 | XXX |
| 93971 | TC | A | Extremity study | 0.00 | 2.78 | 2.80 | NA | NA | 0.23 | 3.01 | 3.03 | NA | NA | XXX |
| 93975 | A | Vascular study | 1.80 | 5.39 | 5.38 | NA | NA | 0.47 | 7.66 | 7.65 | NA | NA | XXX | |
| 93975 | 26 | A | Vascular study | 1.80 | 0.64 | 0.60 | 0.64 | 0.60 | 0.10 | 2.54 | 2.50 | 2.54 | 2.50 | XXX |
| 93975 | TC | A | Vascular study | 0.00 | 4.75 | 4.78 | NA | NA | 0.37 | 5.12 | 5.15 | NA | NA | XXX |
| 93976 | A | Vascular study | 1.21 | 3.60 | 3.59 | NA | NA | 0.32 | 5.13 | 5.12 | NA | NA | XXX | |
| 93976 | 26 | A | Vascular study | 1.21 | 0.43 | 0.40 | 0.43 | 0.40 | 0.06 | 1.70 | 1.67 | 1.70 | 1.67 | XXX |
| 93976 | TC | A | Vascular study | 0.00 | 3.17 | 3.19 | NA | NA | 0.26 | 3.43 | 3.45 | NA | NA | XXX |
| 93978 | A | Vascular study | 0.65 | 4.13 | 4.20 | NA | NA | 0.37 | 5.15 | 5.22 | NA | NA | XXX | |
| 93978 | 26 | A | Vascular study | 0.65 | 0.24 | 0.29 | 0.24 | 0.29 | 0.05 | 0.94 | 0.99 | 0.94 | 0.99 | XXX |
| 93978 | TC | A | Vascular study | 0.00 | 3.89 | 3.91 | NA | NA | 0.32 | 4.21 | 4.23 | NA | NA | XXX |
| 93979 | A | Vascular study | 0.44 | 2.76 | 2.81 | NA | NA | 0.24 | 3.44 | 3.49 | NA | NA | XXX | |
| 93979 | 26 | A | Vascular study | 0.44 | 0.17 | 0.20 | 0.17 | 0.20 | 0.03 | 0.64 | 0.67 | 0.64 | 0.67 | XXX |
| 93979 | TC | A | Vascular study | 0.00 | 2.59 | 2.61 | NA | NA | 0.21 | 2.80 | 2.82 | NA | NA | XXX |
| 93980 | A | Penile vascular study | 1.25 | 3.96 | 4.10 | NA | NA | 0.37 | 5.58 | 5.72 | NA | NA | XXX | |
| 93980 | 26 | A | Penile vascular study | 1.25 | 0.43 | 0.55 | 0.43 | 0.55 | 0.08 | 1.76 | 1.88 | 1.76 | 1.88 | XXX |
| 93980 | TC | A | Penile vascular study | 0.00 | 3.53 | 3.55 | NA | NA | 0.29 | 3.82 | 3.84 | NA | NA | XXX |
| 93981 | A | Penile vascular study | 0.44 | 3.40 | 3.49 | NA | NA | 0.30 | 4.14 | 4.23 | NA | NA | XXX | |
| 93981 | 26 | A | Penile vascular study | 0.44 | 0.15 | 0.22 | 0.15 | 0.22 | 0.03 | 0.62 | 0.69 | 0.62 | 0.69 | XXX |
| 93981 | TC | A | Penile vascular study | 0.00 | 3.25 | 3.27 | NA | NA | 0.27 | 3.52 | 3.54 | NA | NA | XXX |
| 93990 | A | Doppler flow testing | 0.25 | 2.62 | 2.67 | NA | NA | 0.21 | 3.08 | 3.13 | NA | NA | XXX | |
| 93990 | 26 | A | Doppler flow testing | 0.25 | 0.10 | 0.13 | 0.10 | 0.13 | 0.01 | 0.36 | 0.39 | 0.36 | 0.39 | XXX |
| 93990 | TC | A | Doppler flow testing | 0.00 | 2.52 | 2.54 | NA | NA | 0.20 | 2.72 | 2.74 | NA | NA | XXX |
| 94010 | A | Breathing capacity test | 0.17 | 0.47 | 0.53 | NA | NA | 0.03 | 0.67 | 0.73 | NA | NA | XXX | |
| 94010 | 26 | A | Breathing capacity test | 0.17 | 0.05 | 0.11 | 0.05 | 0.11 | 0.01 | 0.23 | 0.29 | 0.23 | 0.29 | XXX |
| 94010 | TC | A | Breathing capacity test | 0.00 | 0.42 | 0.42 | NA | NA | 0.02 | 0.44 | 0.44 | NA | NA | XXX |
| 94014 | A | Patient recorded spirometry | 0.52 | 0.83 | 0.78 | NA | NA | 0.03 | 1.38 | 1.33 | NA | NA | XXX | |
| 94015 | A | Patient recorded spirometry | 0.00 | 0.62 | 0.57 | NA | NA | 0.01 | 0.63 | 0.58 | NA | NA | XXX | |
| 94016 | A | Review patient spirometry | 0.52 | 0.21 | 0.21 | 0.21 | 0.21 | 0.02 | 0.75 | 0.75 | 0.75 | 0.75 | XXX | |
| 94060 | A | Evaluation of wheezing | 0.31 | 1.04 | 1.12 | NA | NA | 0.06 | 1.41 | 1.49 | NA | NA | XXX | |
| 94060 | 26 | A | Evaluation of wheezing | 0.31 | 0.09 | 0.16 | 0.09 | 0.16 | 0.01 | 0.41 | 0.48 | 0.41 | 0.48 | XXX |
| 94060 | TC | A | Evaluation of wheezing | 0.00 | 0.95 | 0.96 | NA | NA | 0.05 | 1.00 | 1.01 | NA | NA | XXX |
| 94070 | A | Evaluation of wheezing | 0.60 | 1.66 | 1.73 | NA | NA | 0.10 | 2.36 | 2.43 | NA | NA | XXX | |
| 94070 | 26 | A | Evaluation of wheezing | 0.60 | 0.18 | 0.24 | 0.18 | 0.24 | 0.02 | 0.80 | 0.86 | 0.80 | 0.86 | XXX |
| 94070 | TC | A | Evaluation of wheezing | 0.00 | 1.48 | 1.49 | NA | NA | 0.08 | 1.56 | 1.57 | NA | NA | XXX |
| 94150 | B | Vital capacity test | 0.07 | 0.12 | 0.14 | NA | NA | 0.02 | 0.21 | 0.23 | NA | NA | XXX | |
| 94150 | 26 | B | Vital capacity test | 0.07 | 0.03 | 0.05 | 0.03 | 0.05 | 0.01 | 0.11 | 0.13 | 0.11 | 0.13 | XXX |
| 94150 | TC | B | Vital capacity test | 0.00 | 0.09 | 0.09 | NA | NA | 0.01 | 0.10 | 0.10 | NA | NA | XXX |
| 94200 | A | Lung function test (MBC/MVV) | 0.11 | 0.28 | 0.31 | NA | NA | 0.03 | 0.42 | 0.45 | NA | NA | XXX | |
| 94200 | 26 | A | Lung function test (MBC/MVV) | 0.11 | 0.03 | 0.06 | 0.03 | 0.06 | 0.01 | 0.15 | 0.18 | 0.15 | 0.18 | XXX |
| 94200 | TC | A | Lung function test (MBC/MVV) | 0.00 | 0.25 | 0.25 | NA | NA | 0.02 | 0.27 | 0.27 | NA | NA | XXX |
| 94240 | A | Residual lung capacity | 0.26 | 0.77 | 0.82 | NA | NA | 0.05 | 1.08 | 1.13 | NA | NA | XXX | |
| 94240 | 26 | A | Residual lung capacity | 0.26 | 0.08 | 0.12 | 0.08 | 0.12 | 0.01 | 0.35 | 0.39 | 0.35 | 0.39 | XXX |
| 94240 | TC | A | Residual lung capacity | 0.00 | 0.69 | 0.70 | NA | NA | 0.04 | 0.73 | 0.74 | NA | NA | XXX |
| 94250 | A | Expired gas collection | 0.11 | 0.17 | 0.20 | NA | NA | 0.02 | 0.30 | 0.33 | NA | NA | XXX | |
| 94250 | 26 | A | Expired gas collection | 0.11 | 0.03 | 0.06 | 0.03 | 0.06 | 0.01 | 0.15 | 0.18 | 0.15 | 0.18 | XXX |
| 94250 | TC | A | Expired gas collection | 0.00 | 0.14 | 0.14 | NA | NA | 0.01 | 0.15 | 0.15 | NA | NA | XXX |
| 94260 | A | Thoracic gas volume | 0.13 | 0.59 | 0.62 | NA | NA | 0.04 | 0.76 | 0.79 | NA | NA | XXX | |
| 94260 | 26 | A | Thoracic gas volume | 0.13 | 0.04 | 0.07 | 0.04 | 0.07 | 0.01 | 0.18 | 0.21 | 0.18 | 0.21 | XXX |
| 94260 | TC | A | Thoracic gas volume | 0.00 | 0.55 | 0.55 | NA | NA | 0.03 | 0.58 | 0.58 | NA | NA | XXX |
| 94350 | A | Lung nitrogen washout curve | 0.26 | 0.63 | 0.67 | NA | NA | 0.04 | 0.93 | 0.97 | NA | NA | XXX | |
| 94350 | 26 | A | Lung nitrogen washout curve | 0.26 | 0.08 | 0.12 | 0.08 | 0.12 | 0.01 | 0.35 | 0.39 | 0.35 | 0.39 | XXX |
| 94350 | TC | A | Lung nitrogen washout curve | 0.00 | 0.55 | 0.55 | NA | NA | 0.03 | 0.58 | 0.58 | NA | NA | XXX |
| 94360 | A | Measure airflow resistance | 0.26 | 1.06 | 1.10 | NA | NA | 0.06 | 1.38 | 1.42 | NA | NA | XXX | |
| 94360 | 26 | A | Measure airflow resistance | 0.26 | 0.08 | 0.11 | 0.08 | 0.11 | 0.01 | 0.35 | 0.38 | 0.35 | 0.38 | XXX |
| 94360 | TC | A | Measure airflow resistance | 0.00 | 0.98 | 0.99 | NA | NA | 0.05 | 1.03 | 1.04 | NA | NA | XXX |
| 94370 | A | Breath airway closing volume | 0.26 | 0.35 | 0.37 | NA | NA | 0.03 | 0.64 | 0.66 | NA | NA | XXX | |
| 94370 | 26 | A | Breath airway closing volume | 0.26 | 0.08 | 0.10 | 0.08 | 0.10 | 0.01 | 0.35 | 0.37 | 0.35 | 0.37 | XXX |
| 94370 | TC | A | Breath airway closing volume | 0.00 | 0.27 | 0.27 | NA | NA | 0.02 | 0.29 | 0.29 | NA | NA | XXX |
| 94375 | A | Respiratory flow volume loop | 0.31 | 0.58 | 0.62 | NA | NA | 0.03 | 0.92 | 0.96 | NA | NA | XXX | |
| 94375 | 26 | A | Respiratory flow volume loop | 0.31 | 0.09 | 0.13 | 0.09 | 0.13 | 0.01 | 0.41 | 0.45 | 0.41 | 0.45 | XXX |
| 94375 | TC | A | Respiratory flow volume loop | 0.00 | 0.49 | 0.49 | NA | NA | 0.02 | 0.51 | 0.51 | NA | NA | XXX |
| 94400 | A | CO2 breathing response curve | 0.40 | 0.45 | 0.55 | NA | NA | 0.07 | 0.92 | 1.02 | NA | NA | XXX | |
| 94400 | 26 | A | CO2 breathing response curve | 0.40 | 0.13 | 0.23 | 0.13 | 0.23 | 0.02 | 0.55 | 0.65 | 0.55 | 0.65 | XXX |
| 94400 | TC | A | CO2 breathing response curve | 0.00 | 0.32 | 0.32 | NA | NA | 0.05 | 0.37 | 0.37 | NA | NA | XXX |
| 94450 | A | Hypoxia response curve | 0.40 | 0.52 | 0.55 | NA | NA | 0.03 | 0.95 | 0.98 | NA | NA | XXX | |
| 94450 | 26 | A | Hypoxia response curve | 0.40 | 0.13 | 0.16 | 0.13 | 0.16 | 0.01 | 0.54 | 0.57 | 0.54 | 0.57 | XXX |
| 94450 | TC | A | Hypoxia response curve | 0.00 | 0.39 | 0.39 | NA | NA | 0.02 | 0.41 | 0.41 | NA | NA | XXX |
| 94620 | A | Pulmonary stress test/simple | 0.64 | 1.64 | 1.79 | NA | NA | 0.11 | 2.39 | 2.54 | NA | NA | XXX | |
| 94620 | 26 | A | Pulmonary stress test/simple | 0.64 | 0.20 | 0.34 | 0.20 | 0.34 | 0.03 | 0.87 | 1.01 | 0.87 | 1.01 | XXX |
| 94620 | TC | A | Pulmonary stress test/simple | 0.00 | 1.44 | 1.45 | NA | NA | 0.08 | 1.52 | 1.53 | NA | NA | XXX |
| 94621 | A | Pulm stress test/complex | 1.42 | 1.88 | 1.97 | NA | NA | 0.11 | 3.41 | 3.50 | NA | NA | XXX | |
| 94621 | 26 | A | Pulm stress test/complex | 1.42 | 0.44 | 0.52 | 0.44 | 0.52 | 0.03 | 1.89 | 1.97 | 1.89 | 1.97 | XXX |
| 94621 | TC | A | Pulm stress test/complex | 0.00 | 1.44 | 1.45 | NA | NA | 0.08 | 1.52 | 1.53 | NA | NA | XXX |
| 94640 | A | Airway inhalation treatment | 0.00 | 0.59 | 0.55 | 0.19 | 0.25 | 0.02 | 0.61 | 0.57 | 0.21 | 0.27 | XXX | |
| 94642 | C | Aerosol inhalation treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94650 | A | Pressure breathing (IPPB) | 0.00 | 0.56 | 0.52 | 0.18 | 0.24 | 0.02 | 0.58 | 0.54 | 0.20 | 0.26 | XXX | |
| 94651 | A | Pressure breathing (IPPB) | 0.00 | 0.51 | 0.48 | 0.17 | 0.23 | 0.02 | 0.53 | 0.50 | 0.19 | 0.25 | XXX | |
| 94652 | A | Pressure breathing (IPPB) | 0.00 | 0.60 | 0.56 | 0.19 | 0.25 | 0.06 | 0.66 | 0.62 | 0.25 | 0.31 | XXX | |
| 94656 | A | Initial ventilator mgmt | 1.22 | NA | NA | 0.33 | 0.56 | 0.06 | NA | NA | 1.61 | 1.84 | XXX | |
| 94657 | A | Continued ventilator mgmt | 0.83 | NA | NA | 0.25 | 0.36 | 0.03 | NA | NA | 1.11 | 1.22 | XXX | |
| 94660 | A | Pos airway pressure, CPAP | 0.76 | 0.57 | 0.62 | 0.23 | 0.37 | 0.03 | 1.36 | 1.41 | 1.02 | 1.16 | XXX | |
| 94662 | A | Neg press ventilation, cnp | 0.76 | NA | NA | 0.24 | 0.26 | 0.02 | NA | NA | 1.02 | 1.04 | XXX | |
| 94664 | A | Aerosol or vapor inhalations | 0.00 | 0.43 | 0.46 | 0.14 | 0.24 | 0.03 | 0.46 | 0.49 | 0.17 | 0.27 | XXX | |
| 94665 | A | Aerosol or vapor inhalations | 0.00 | 0.46 | 0.47 | 0.15 | 0.24 | 0.04 | 0.50 | 0.51 | 0.19 | 0.28 | XXX | |
| 94667 | A | Chest wall manipulation | 0.00 | 0.60 | 0.60 | 0.19 | 0.29 | 0.04 | 0.64 | 0.64 | 0.23 | 0.33 | XXX | |
| 94668 | A | Chest wall manipulation | 0.00 | 0.59 | 0.54 | 0.18 | 0.23 | 0.02 | 0.61 | 0.56 | 0.20 | 0.25 | XXX | |
| 94680 | A | Exhaled air analysis, o2 | 0.26 | 0.61 | 0.67 | NA | NA | 0.06 | 0.93 | 0.99 | NA | NA | XXX | |
| 94680 | 26 | A | Exhaled air analysis, o2 | 0.26 | 0.09 | 0.15 | 0.09 | 0.15 | 0.01 | 0.36 | 0.42 | 0.36 | 0.42 | XXX |
| 94680 | TC | A | Exhaled air analysis, o2 | 0.00 | 0.52 | 0.52 | NA | NA | 0.05 | 0.57 | 0.57 | NA | NA | XXX |
| 94681 | A | Exhaled air analysis, o2/co2 | 0.20 | 1.46 | 1.52 | NA | NA | 0.11 | 1.77 | 1.83 | NA | NA | XXX | |
| 94681 | 26 | A | Exhaled air analysis, o2/co2 | 0.20 | 0.06 | 0.11 | 0.06 | 0.11 | 0.01 | 0.27 | 0.32 | 0.27 | 0.32 | XXX |
| 94681 | TC | A | Exhaled air analysis, o2/co2 | 0.00 | 1.40 | 1.41 | NA | NA | 0.10 | 1.50 | 1.51 | NA | NA | XXX |
| 94690 | A | Exhaled air analysis | 0.07 | 0.56 | 0.57 | NA | NA | 0.04 | 0.67 | 0.68 | NA | NA | XXX | |
| 94690 | 26 | A | Exhaled air analysis | 0.07 | 0.02 | 0.03 | 0.02 | 0.03 | 0.01 | 0.10 | 0.11 | 0.10 | 0.11 | XXX |
| 94690 | TC | A | Exhaled air analysis | 0.00 | 0.54 | 0.54 | NA | NA | 0.03 | 0.57 | 0.57 | NA | NA | XXX |
| 94720 | A | Monoxide diffusing capacity | 0.26 | 0.93 | 0.98 | NA | NA | 0.06 | 1.25 | 1.30 | NA | NA | XXX | |
| 94720 | 26 | A | Monoxide diffusing capacity | 0.26 | 0.08 | 0.12 | 0.08 | 0.12 | 0.01 | 0.35 | 0.39 | 0.35 | 0.39 | XXX |
| 94720 | TC | A | Monoxide diffusing capacity | 0.00 | 0.85 | 0.86 | NA | NA | 0.05 | 0.90 | 0.91 | NA | NA | XXX |
| 94725 | A | Membrane diffusion capacity | 0.26 | 1.84 | 1.88 | NA | NA | 0.11 | 2.21 | 2.25 | NA | NA | XXX | |
| 94725 | 26 | A | Membrane diffusion capacity | 0.26 | 0.08 | 0.11 | 0.08 | 0.11 | 0.01 | 0.35 | 0.38 | 0.35 | 0.38 | XXX |
| 94725 | TC | A | Membrane diffusion capacity | 0.00 | 1.76 | 1.77 | NA | NA | 0.10 | 1.86 | 1.87 | NA | NA | XXX |
| 94750 | A | Pulmonary compliance study | 0.23 | 0.66 | 0.71 | NA | NA | 0.04 | 0.93 | 0.98 | NA | NA | XXX | |
| 94750 | 26 | A | Pulmonary compliance study | 0.23 | 0.07 | 0.12 | 0.07 | 0.12 | 0.01 | 0.31 | 0.36 | 0.31 | 0.36 | XXX |
| 94750 | TC | A | Pulmonary compliance study | 0.00 | 0.59 | 0.59 | NA | NA | 0.03 | 0.62 | 0.62 | NA | NA | XXX |
| 94760 | T | Measure blood oxygen level | 0.00 | 0.07 | 0.12 | 0.02 | 0.08 | 0.02 | 0.09 | 0.14 | 0.04 | 0.10 | XXX | |
| 94761 | T | Measure blood oxygen level | 0.00 | 0.14 | 0.28 | 0.05 | 0.21 | 0.05 | 0.19 | 0.33 | 0.10 | 0.26 | XXX | |
| 94762 | A | Measure blood oxygen level | 0.00 | 0.11 | 0.38 | NA | NA | 0.08 | 0.19 | 0.46 | NA | NA | XXX | |
| 94770 | A | Exhaled carbon dioxide test | 0.15 | 0.34 | 0.36 | NA | NA | 0.07 | 0.56 | 0.58 | NA | NA | XXX | |
| 94770 | 26 | A | Exhaled carbon dioxide test | 0.15 | 0.04 | 0.06 | 0.04 | 0.06 | 0.01 | 0.20 | 0.22 | 0.20 | 0.22 | XXX |
| 94770 | TC | A | Exhaled carbon dioxide test | 0.00 | 0.30 | 0.30 | NA | NA | 0.06 | 0.36 | 0.36 | NA | NA | XXX |
| 94772 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 94772 | 26 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94772 | TC | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 94799 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| 94799 | 26 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 94799 | TC | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| 95004 | A | Allergy skin tests | 0.00 | 0.10 | 0.10 | 0.10 | 0.10 | 0.01 | 0.11 | 0.11 | 0.11 | 0.11 | XXX | |
| 95010 | A | Sensitivity skin tests | 0.15 | 0.39 | 0.32 | 0.06 | 0.08 | 0.01 | 0.55 | 0.48 | 0.22 | 0.24 | XXX | |
| 95015 | A | Sensitivity skin tests | 0.15 | 0.41 | 0.34 | 0.07 | 0.08 | 0.01 | 0.57 | 0.50 | 0.23 | 0.24 | XXX | |
| 95024 | A | Allergy skin tests | 0.00 | 0.15 | 0.15 | 0.15 | 0.15 | 0.01 | 0.16 | 0.16 | 0.16 | 0.16 | XXX | |
| 95027 | A | Skin end point titration | 0.00 | 0.15 | 0.15 | NA | NA | 0.01 | 0.16 | 0.16 | NA | NA | XXX | |
| 95028 | A | Allergy skin tests | 0.00 | 0.23 | 0.23 | NA | NA | 0.01 | 0.24 | 0.24 | NA | NA | XXX | |
| 95044 | A | Allergy patch tests | 0.00 | 0.21 | 0.21 | 0.21 | 0.21 | 0.01 | 0.22 | 0.22 | 0.22 | 0.22 | XXX | |
| 95052 | A | Photo patch test | 0.00 | 0.25 | 0.25 | 0.25 | 0.25 | 0.01 | 0.26 | 0.26 | 0.26 | 0.26 | XXX | |
| 95056 | A | Photosensitivity tests | 0.00 | 0.18 | 0.18 | 0.18 | 0.18 | 0.01 | 0.19 | 0.19 | 0.19 | 0.19 | XXX | |
| 95060 | A | Eye allergy tests | 0.00 | 0.35 | 0.35 | NA | NA | 0.02 | 0.37 | 0.37 | NA | NA | XXX | |
| 95065 | A | Nose allergy test | 0.00 | 0.21 | 0.21 | NA | NA | 0.01 | 0.22 | 0.22 | NA | NA | XXX | |
| 95070 | A | Bronchial allergy tests | 0.00 | 2.31 | 2.32 | NA | NA | 0.02 | 2.33 | 2.34 | NA | NA | XXX | |
| 95071 | A | Bronchial allergy tests | 0.00 | 2.95 | 2.97 | NA | NA | 0.02 | 2.97 | 2.99 | NA | NA | XXX | |
| 95075 | A | Ingestion challenge test | 0.95 | 0.80 | 1.14 | 0.39 | 0.83 | 0.03 | 1.78 | 2.12 | 1.37 | 1.81 | XXX | |
| 95078 | A | Provocative testing | 0.00 | 0.25 | 0.25 | NA | NA | 0.02 | 0.27 | 0.27 | NA | NA | XXX | |
| 95115 | A | Immunotherapy, one injection | 0.00 | 0.39 | 0.39 | 0.39 | 0.39 | 0.02 | 0.41 | 0.41 | 0.41 | 0.41 | 000 | |
| 95117 | A | Immunotherapy injections | 0.00 | 0.51 | 0.51 | 0.51 | 0.51 | 0.02 | 0.53 | 0.53 | 0.53 | 0.53 | 000 | |
| 95120 | I | Immunotherapy, one injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95125 | I | Immunotherapy, many antigens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95130 | I | Immunotherapy, insect venom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95131 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95132 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95133 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95134 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95144 | A | Antigen therapy services | 0.06 | 0.22 | 0.20 | 0.03 | 0.06 | 0.01 | 0.29 | 0.27 | 0.10 | 0.13 | 000 | |
| 95145 | A | Antigen therapy services | 0.06 | 0.45 | 0.43 | 0.03 | 0.12 | 0.01 | 0.52 | 0.50 | 0.10 | 0.19 | 000 | |
| 95146 | A | Antigen therapy services | 0.06 | 0.60 | 0.62 | 0.03 | 0.19 | 0.01 | 0.67 | 0.69 | 0.10 | 0.26 | 000 | |
| 95147 | A | Antigen therapy services | 0.06 | 0.74 | 0.80 | 0.02 | 0.26 | 0.01 | 0.81 | 0.87 | 0.09 | 0.33 | 000 | |
| 95148 | A | Antigen therapy services | 0.06 | 0.75 | 0.81 | 0.02 | 0.26 | 0.01 | 0.82 | 0.88 | 0.09 | 0.33 | 000 | |
| 95149 | A | Antigen therapy services | 0.06 | 0.92 | 1.00 | 0.02 | 0.33 | 0.01 | 0.99 | 1.07 | 0.09 | 0.40 | 000 | |
| 95165 | A | Antigen therapy services | 0.06 | 0.23 | 0.20 | 0.02 | 0.04 | 0.01 | 0.30 | 0.27 | 0.09 | 0.11 | 000 | |
| 95170 | A | Antigen therapy services | 0.06 | 0.23 | 0.27 | 0.02 | 0.11 | 0.01 | 0.30 | 0.34 | 0.09 | 0.18 | 000 | |
| 95180 | A | Rapid desensitization | 2.01 | 1.50 | 1.16 | 0.87 | 0.69 | 0.06 | 3.57 | 3.23 | 2.94 | 2.76 | 000 | |
| 95199 | C | Allergy immunology services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 95805 | A | Multiple sleep latency test | 1.88 | 9.74 | 8.80 | NA | NA | 0.35 | 11.97 | 11.03 | NA | NA | XXX | |
| 95805 | 26 | A | Multiple sleep latency test | 1.88 | 0.66 | 0.65 | 0.66 | 0.65 | 0.06 | 2.60 | 2.59 | 2.60 | 2.59 | XXX |
| 95805 | TC | A | Multiple sleep latency test | 0.00 | 9.08 | 8.15 | NA | NA | 0.29 | 9.37 | 8.44 | NA | NA | XXX |
| 95806 | A | Sleep study, unattended | 1.66 | 2.21 | 3.60 | NA | NA | 0.32 | 4.19 | 5.58 | NA | NA | XXX | |
| 95806 | 26 | A | Sleep study, unattended | 1.66 | 0.53 | 1.06 | 0.53 | 1.06 | 0.05 | 2.24 | 2.77 | 2.24 | 2.77 | XXX |
| 95806 | TC | A | Sleep study, unattended | 0.00 | 1.68 | 2.54 | NA | NA | 0.27 | 1.95 | 2.81 | NA | NA | XXX |
| 95807 | A | Sleep study, attended | 1.66 | 7.01 | 7.47 | NA | NA | 0.41 | 9.08 | 9.54 | NA | NA | XXX | |
| 95807 | 26 | A | Sleep study, attended | 1.66 | 0.53 | 0.90 | 0.53 | 0.90 | 0.05 | 2.24 | 2.61 | 2.24 | 2.61 | XXX |
| 95807 | TC | A | Sleep study, attended | 0.00 | 6.48 | 6.57 | NA | NA | 0.36 | 6.84 | 6.93 | NA | NA | XXX |
| 95808 | A | Polysomnography, 1-3 | 2.65 | 10.89 | 10.55 | NA | NA | 0.45 | 13.99 | 13.65 | NA | NA | XXX | |
| 95808 | 26 | A | Polysomnography, 1-3 | 2.65 | 0.92 | 1.36 | 0.92 | 1.36 | 0.09 | 3.66 | 4.10 | 3.66 | 4.10 | XXX |
| 95808 | TC | A | Polysomnography, 1-3 | 0.00 | 9.97 | 9.19 | NA | NA | 0.36 | 10.33 | 9.55 | NA | NA | XXX |
| 95810 | A | Polysomnography, 4 or more | 3.53 | 17.47 | 15.48 | NA | NA | 0.47 | 21.47 | 19.48 | NA | NA | XXX | |
| 95810 | 26 | A | Polysomnography, 4 or more | 3.53 | 1.18 | 1.55 | 1.18 | 1.55 | 0.11 | 4.82 | 5.19 | 4.82 | 19 | XXX |
| 95810 | TC | A | Polysomnography, 4 or more | 0.00 | 16.29 | 13.93 | NA | NA | 0.36 | 16.65 | 14.29 | NA | NA | XXX |
| 95811 | A | Polysomnography w/cpap | 3.80 | 14.75 | 13.56 | NA | NA | 0.49 | 19.04 | 17.85 | NA | NA | XXX | |
| 95811 | 26 | A | Polysomnography w/cpap | 3.80 | 1.28 | 1.66 | 1.28 | 1.66 | 0.12 | 5.20 | 5.58 | 5.20 | 5.58 | XXX |
| 95811 | TC | A | Polysomnography w/cpap | 0.00 | 13.47 | 11.90 | NA | NA | 0.37 | 13.84 | 12.27 | NA | NA | XXX |
| 95812 | A | Electroencephalogram (EEG) | 1.08 | 3.00 | 2.75 | NA | NA | 0.13 | 4.21 | 3.96 | NA | NA | XXX | |
| 95812 | 26 | A | Electroencephalogram (EEG) | 1.08 | 0.45 | 0.47 | 0.45 | 0.47 | 0.04 | 1.57 | 1.59 | 1.57 | 1.59 | XXX |
| 95812 | TC | A | Electroencephalogram (EEG) | 0.00 | 2.55 | 2.28 | NA | NA | 0.09 | 2.64 | 2.37 | NA | NA | XXX |
| 95813 | A | Electroencephalogram (EEG) | 1.73 | 4.41 | 3.82 | NA | NA | 0.16 | 6.30 | 5.71 | NA | NA | XXX | |
| 95813 | 26 | A | Electroencephalogram (EEG) | 1.73 | 0.72 | 0.68 | 0.72 | 0.68 | 0.07 | 2.52 | 2.48 | 2.52 | 2.48 | XXX |
| 95813 | TC | A | Electroencephalogram (EEG) | 0.00 | 3.69 | 3.14 | NA | NA | 0.09 | 3.78 | 3.23 | NA | NA | XXX |
| 95816 | A | Electroencephalogram (EEG) | 1.08 | 3.06 | 2.71 | NA | NA | 0.12 | 4.26 | 3.91 | NA | NA | XXX | |
| 95816 | 26 | A | Electroencephalogram (EEG) | 1.08 | 0.46 | 0.42 | 0.46 | 0.42 | 0.04 | 1.58 | 1.54 | 1.58 | 1.54 | XXX |
| 95816 | TC | A | Electroencephalogram (EEG) | 0.00 | 2.60 | 2.29 | NA | NA | 0.08 | 2.68 | 2.37 | NA | NA | XXX |
| 95819 | A | Electroencephalogram (EEG) | 1.08 | 3.24 | 2.92 | NA | NA | 0.12 | 4.44 | 4.12 | NA | NA | XXX | |
| 95819 | 26 | A | Electroencephalogram (EEG) | 1.08 | 0.46 | 0.48 | 0.46 | 0.48 | 0.04 | 1.58 | 1.60 | 1.58 | 1.60 | XXX |
| 95819 | TC | A | Electroencephalogram (EEG) | 0.00 | 2.78 | 2.44 | NA | NA | 0.08 | 2.86 | 2.52 | NA | NA | XXX |
| 95822 | A | Sleep electroencephalogram | 1.08 | 2.07 | 2.18 | NA | NA | 0.15 | 3.30 | 3.41 | NA | NA | XXX | |
| 95822 | 26 | A | Sleep electroencephalogram | 1.08 | 0.46 | 0.50 | 0.46 | 0.50 | 0.04 | 1.58 | 1.62 | 1.58 | 1.62 | XXX |
| 95822 | TC | A | Sleep electroencephalogram | 0.00 | 1.61 | 1.68 | NA | NA | 0.11 | 1.72 | 1.79 | NA | NA | XXX |
| 95824 | A | Electroencephalography | 0.74 | 0.69 | 1.12 | NA | NA | 0.05 | 1.48 | 1.91 | NA | NA | XXX | |
| 95824 | 26 | A | Electroencephalography | 0.74 | 0.32 | 0.40 | 0.32 | 0.40 | 0.03 | 1.09 | 1.17 | 1.09 | 1.17 | XXX |
| 95824 | TC | A | Electroencephalography | 0.00 | 0.37 | 0.72 | NA | NA | 0.02 | 0.39 | 0.74 | NA | NA | XXX |
| 95827 | A | Night electroencephalogram | 1.08 | 2.71 | 2.86 | NA | NA | 0.16 | 3.95 | 4.10 | NA | NA | XXX | |
| 95827 | 26 | A | Night electroencephalogram | 1.08 | 0.39 | 0.53 | 0.39 | 0.53 | 0.04 | 1.51 | 1.65 | 1.51 | 1.65 | XXX |
| 95827 | TC | A | Night electroencephalogram | 0.00 | 2.32 | 2.33 | NA | NA | 0.12 | 2.44 | 2.45 | NA | NA | XXX |
| 95829 | A | Surgery electrocorticogram | 6.21 | 7.49 | 5.78 | NA | NA | 0.26 | 13.96 | 12.25 | NA | NA | XXX | |
| 95829 | 26 | A | Surgery electrocorticogram | 6.21 | 2.48 | 1.98 | 2.48 | 1.98 | 0.24 | 8.93 | 8.43 | 8.93 | 8.43 | XXX |
| 95829 | TC | A | Surgery electrocorticogram | 0.00 | 5.01 | 3.80 | NA | NA | 0.02 | 5.03 | 3.82 | NA | NA | XXX |
| 95830 | A | Insert electrodes for EEG | 1.70 | 2.80 | 2.31 | 0.74 | 0.77 | 0.07 | 4.57 | 4.08 | 2.51 | 2.54 | XXX | |
| 95831 | A | Limb muscle testing, manual | 0.28 | 0.38 | 0.36 | 0.14 | 0.18 | 0.01 | 0.67 | 0.65 | 0.43 | 0.47 | XXX | |
| 95832 | A | Hand muscle testing, manual | 0.29 | 0.33 | 0.32 | 0.14 | 0.17 | 0.01 | 0.63 | 0.62 | 0.44 | 0.47 | XXX | |
| 95833 | A | Body muscle testing, manual | 0.47 | 0.49 | 0.47 | 0.23 | 0.28 | 0.02 | 0.98 | 0.96 | 0.72 | 0.77 | XXX | |
| 95834 | A | Body muscle testing, manual | 0.60 | 0.58 | 0.60 | 0.29 | 0.38 | 0.02 | 1.20 | 1.22 | 0.91 | 1.00 | XXX | |
| 95851 | A | Range of motion measurements | 0.16 | 0.43 | 0.39 | 0.08 | 0.13 | 0.01 | 0.60 | 0.56 | 0.25 | 0.30 | XXX | |
| 95852 | A | Range of motion measurements | 0.11 | 0.36 | 0.31 | 0.06 | 0.09 | 0.01 | 0.48 | 0.43 | 0.18 | 0.21 | XXX | |
| 95857 | A | Tensilon test | 0.53 | 0.57 | 0.56 | 0.23 | 0.31 | 0.02 | 1.12 | 1.11 | 0.78 | 0.86 | XXX | |
| 95858 | A | Tensilon test myogram | 1.56 | 1.07 | 1.08 | NA | NA | 0.09 | 2.72 | 2.73 | NA | NA | XXX | |
| 95858 | 26 | A | Tensilon test myogram | 1.56 | 0.67 | 0.68 | 0.67 | 0.68 | 0.06 | 2.29 | 2.30 | 2.29 | 2.30 | XXX |
| 95858 | TC | A | Tensilon test myogram | 0.00 | 0.40 | 0.40 | NA | NA | 0.03 | 0.43 | 0.43 | NA | NA | XXX |
| 95860 | A | Muscle test, one limb | 0.96 | 0.81 | 0.90 | NA | NA | 0.06 | 1.83 | 1.92 | NA | NA | XXX | |
| 95860 | 26 | A | Muscle test, one limb | 0.96 | 0.43 | 0.52 | 0.43 | 0.52 | 0.04 | 1.43 | 1.52 | 1.43 | 1.52 | XXX |
| 95860 | TC | A | Muscle test, one limb | 0.00 | 0.38 | 0.38 | NA | NA | 0.02 | 0.40 | 0.40 | NA | NA | XXX |
| 95861 | A | Muscle test, two limbs | 1.54 | 1.43 | 1.61 | NA | NA | 0.11 | 3.08 | 3.26 | NA | NA | XXX | |
| 95861 | 26 | A | Muscle test, two limbs | 1.54 | 0.69 | 0.86 | 0.69 | 0.86 | 0.06 | 2.29 | 2.46 | 2.29 | 2.46 | XXX |
| 95861 | TC | A | Muscle test, two limbs | 0.00 | 0.74 | 0.75 | NA | NA | 0.05 | 0.79 | 0.80 | NA | NA | XXX |
| 95863 | A | Muscle test, 3 limbs | 1.87 | 1.76 | 1.95 | NA | NA | 0.12 | 3.75 | 3.94 | NA | NA | XXX | |
| 95863 | 26 | A | Muscle test, 3 limbs | 1.87 | 0.81 | 0.99 | 0.81 | 0.99 | 0.07 | 2.75 | 2.93 | 2.75 | 2.93 | XXX |
| 95863 | TC | A | Muscle test, 3 limbs | 0.00 | 0.95 | 0.96 | NA | NA | 0.05 | 1.00 | 1.01 | NA | NA | XXX |
| 95864 | A | Muscle test, 4 limbs | 1.99 | 2.68 | 2.95 | NA | NA | 0.18 | 4.85 | 5.12 | NA | NA | XXX | |
| 95864 | 26 | A | Muscle test, 4 limbs | 1.99 | 0.88 | 1.14 | 0.88 | 1.14 | 0.08 | 2.95 | 3.21 | 2.95 | 3.21 | XXX |
| 95864 | TC | A | Muscle test, 4 limbs | 0.00 | 1.80 | 1.81 | NA | NA | 0.10 | 1.90 | 1.91 | NA | NA | XXX |
| 95867 | A | Muscle test, head or neck | 0.79 | 0.93 | 1.00 | NA | NA | 0.06 | 1.78 | 1.85 | NA | NA | XXX | |
| 95867 | 26 | A | Muscle test, head or neck | 0.79 | 0.34 | 0.41 | 0.34 | 0.41 | 0.03 | 1.16 | 1.23 | 1.16 | 1.23 | XXX |
| 95867 | TC | A | Muscle test, head or neck | 0.00 | 0.59 | 0.59 | NA | NA | 0.03 | 0.62 | 0.62 | NA | NA | XXX |
| 95868 | A | Muscle test, head or neck | 1.18 | 1.20 | 1.43 | NA | NA | 0.09 | 2.47 | 2.70 | NA | NA | XXX | |
| 95868 | 26 | A | Muscle test, head or neck | 1.18 | 0.50 | 0.72 | 0.50 | 0.72 | 0.05 | 1.73 | 1.95 | 1.73 | 1.95 | XXX |
| 95868 | TC | A | Muscle test, head or neck | 0.00 | 0.70 | 0.71 | NA | NA | 0.04 | 0.74 | 0.75 | NA | NA | XXX |
| 95869 | A | Muscle test, thor paraspinal | 0.37 | 0.38 | 0.43 | NA | NA | 0.03 | 0.78 | 0.83 | NA | NA | XXX | |
| 95869 | 26 | A | Muscle test, thor paraspinal | 0.37 | 0.16 | 0.21 | 0.16 | 0.21 | 0.01 | 0.54 | 0.59 | 0.54 | 0.59 | XXX |
| 95869 | TC | A | Muscle test, thor paraspinal | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 95870 | A | Muscle test, nonparaspinal | 0.37 | 0.38 | 0.43 | NA | NA | 0.03 | 0.78 | 0.83 | NA | NA | XXX | |
| 95870 | 26 | A | Muscle test, nonparaspinal | 0.37 | 0.16 | 0.21 | 0.16 | 0.21 | 0.01 | 0.54 | 0.59 | 0.54 | 0.59 | XXX |
| 95870 | TC | A | Muscle test, nonparaspinal | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 95872 | A | Muscle test, one fiber | 1.50 | 1.25 | 1.28 | NA | NA | 0.10 | 2.85 | 2.88 | NA | NA | XXX | |
| 95872 | 26 | A | Muscle test, one fiber | 1.50 | 0.64 | 0.67 | 0.64 | 0.67 | 0.06 | 2.20 | 2.23 | 2.20 | 2.23 | XXX |
| 95872 | TC | A | Muscle test, one fiber | 0.00 | 0.61 | 0.61 | NA | NA | 0.04 | 0.65 | 0.65 | NA | NA | XXX |
| 95875 | A | Limb exercise test | 1.34 | 1.25 | 1.10 | NA | NA | 0.10 | 2.69 | 2.54 | NA | NA | XXX | |
| 95875 | 26 | A | Limb exercise test | 1.34 | 0.57 | 0.49 | 0.57 | 0.49 | 0.05 | 1.96 | 1.88 | 1.96 | 1.88 | XXX |
| 95875 | TC | A | Limb exercise test | 0.00 | 0.68 | 0.61 | NA | NA | 0.05 | 0.73 | 0.66 | NA | NA | XXX |
| 95900 | A | Motor nerve conduction test | 0.42 | 0.47 | 0.52 | NA | NA | 0.04 | 0.93 | 0.98 | NA | NA | XXX | |
| 95900 | 26 | A | Motor nerve conduction test | 0.42 | 0.19 | 0.24 | 0.19 | 0.24 | 0.02 | 0.63 | 0.68 | 0.63 | 0.68 | XXX |
| 95900 | TC | A | Motor nerve conduction test | 0.00 | 0.28 | 0.28 | NA | NA | 0.02 | 0.30 | 0.30 | NA | NA | XXX |
| 95903 | A | Motor nerve conduction test | 0.60 | 0.51 | 0.54 | NA | NA | 0.04 | 1.15 | 1.18 | NA | NA | XXX | |
| 95903 | 26 | A | Motor nerve conduction test | 0.60 | 0.26 | 0.29 | 0.26 | 0.29 | 0.02 | 0.88 | 0.91 | 0.88 | 0.91 | XXX |
| 95903 | TC | A | Motor nerve conduction test | 0.00 | 0.25 | 0.25 | NA | NA | 0.02 | 0.27 | 0.27 | NA | NA | XXX |
| 95904 | A | Sense/mixed n conduction tst | 0.34 | 0.37 | 0.43 | NA | NA | 0.03 | 0.74 | 0.80 | NA | NA | XXX | |
| 95904 | 26 | A | Sense/mixed n conduction tst | 0.34 | 0.15 | 0.21 | 0.15 | 0.21 | 0.01 | 0.50 | 0.56 | 0.50 | 0.56 | XXX |
| 95904 | TC | A | Sense/mixed n conduction tst | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 95920 | A | Intraop nerve test add-on | 2.11 | 2.26 | 2.42 | NA | NA | 0.15 | 4.52 | 4.68 | NA | NA | ZZZ | |
| 95920 | 26 | A | Intraop nerve test add-on | 2.11 | 0.94 | 1.09 | 0.94 | 1.09 | 0.09 | 3.14 | 3.29 | 3.14 | 3.29 | ZZZ |
| 95920 | TC | A | Intraop nerve test add-on | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | ZZZ |
| 95921 | A | Autonomic nerv function test | 0.90 | 0.71 | 0.72 | NA | NA | 0.05 | 1.66 | 1.67 | NA | NA | XXX | |
| 95921 | 26 | A | Autonomic nerv function test | 0.90 | 0.33 | 0.34 | 0.33 | 0.34 | 0.03 | 1.26 | 1.27 | 1.26 | 1.27 | XXX |
| 95921 | TC | A | Autonomic nerv function test | 0.00 | 0.38 | 0.38 | NA | NA | 0.02 | 0.40 | 0.40 | NA | NA | XXX |
| 95922 | A | Autonomic nerv function test | 0.96 | 0.78 | 0.77 | NA | NA | 0.06 | 1.80 | 1.79 | NA | NA | XXX | |
| 95922 | 26 | A | Autonomic nerv function test | 0.96 | 0.40 | 0.39 | 0.40 | 0.39 | 0.04 | 1.40 | 1.39 | 1.40 | 1.39 | XXX |
| 95922 | TC | A | Autonomic nerv function test | 0.00 | 0.38 | 0.38 | NA | NA | 0.02 | 0.40 | 0.40 | NA | NA | XXX |
| 95923 | A | Autonomic nerv function test | 0.90 | 2.84 | 2.31 | NA | NA | 0.06 | 3.80 | 3.27 | NA | NA | XXX | |
| 95923 | 26 | A | Autonomic nerv function test | 0.90 | 0.38 | 0.37 | 0.38 | 0.37 | 0.04 | 1.32 | 1.31 | 1.32 | 1.31 | XXX |
| 95923 | TC | A | Autonomic nerv function test | 0.00 | 2.46 | 1.94 | NA | NA | 0.02 | 2.48 | 1.96 | NA | NA | XXX |
| 95925 | A | Somatosensory testing | 0.54 | 1.15 | 1.28 | NA | NA | 0.07 | 1.76 | 1.89 | NA | NA | XXX | |
| 95925 | 26 | A | Somatosensory testing | 0.54 | 0.23 | 0.35 | 0.23 | 0.35 | 0.02 | 0.79 | 0.91 | 0.79 | 0.91 | XXX |
| 95925 | TC | A | Somatosensory testing | 0.00 | 0.92 | 0.93 | NA | NA | 0.05 | 0.97 | 0.98 | NA | NA | XXX |
| 95926 | A | Somatosensory testing | 0.54 | 1.16 | 1.28 | NA | NA | 0.07 | 1.77 | 1.89 | NA | NA | XXX | |
| 95926 | 26 | A | Somatosensory testing | 0.54 | 0.24 | 0.35 | 0.24 | 0.35 | 0.02 | 0.80 | 0.91 | 0.80 | 0.91 | XXX |
| 95926 | TC | A | Somatosensory testing | 0.00 | 0.92 | 0.93 | NA | NA | 0.05 | 0.97 | 0.98 | NA | NA | XXX |
| 95927 | A | Somatosensory testing | 0.54 | 1.18 | 1.30 | NA | NA | 0.07 | 1.79 | 1.91 | NA | NA | XXX | |
| 95927 | 26 | A | Somatosensory testing | 0.54 | 0.26 | 0.37 | 0.26 | 0.37 | 0.02 | 0.82 | 0.93 | 0.82 | 0.93 | XXX |
| 95927 | TC | A | Somatosensory testing | 0.00 | 0.92 | 0.93 | NA | NA | 0.05 | 0.97 | 0.98 | NA | NA | XXX |
| 95930 | A | Visual evoked potential test | 0.35 | 0.94 | 0.93 | NA | NA | 0.02 | 1.31 | 1.30 | NA | NA | XXX | |
| 95930 | 26 | A | Visual evoked potential test | 0.35 | 0.15 | 0.27 | 0.15 | 0.27 | 0.01 | 0.51 | 0.63 | 0.51 | 0.63 | XXX |
| 95930 | TC | A | Visual evoked potential test | 0.00 | 0.79 | 0.66 | NA | NA | 0.01 | 0.80 | 0.67 | NA | NA | XXX |
| 95933 | A | Blink reflex test | 0.59 | 1.02 | 1.11 | NA | NA | 0.07 | 1.68 | 1.77 | NA | NA | XXX | |
| 95933 | 26 | A | Blink reflex test | 0.59 | 0.23 | 0.31 | 0.23 | 0.31 | 0.02 | 0.84 | 0.92 | 0.84 | 0.92 | XXX |
| 95933 | TC | A | Blink reflex test | 0.00 | 0.79 | 0.80 | NA | NA | 0.05 | 0.84 | 0.85 | NA | NA | XXX |
| 95934 | A | H-reflex test | 0.51 | 0.45 | 0.49 | NA | NA | 0.04 | 1.00 | 1.04 | NA | NA | XXX | |
| 95934 | 26 | A | H-reflex test | 0.51 | 0.23 | 0.27 | 0.23 | 0.27 | 0.02 | 0.76 | 0.80 | 0.76 | 0.80 | XXX |
| 95934 | TC | A | H-reflex test | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 95936 | A | H-reflex test | 0.55 | 0.46 | 0.49 | NA | NA | 0.04 | 1.05 | 1.08 | NA | NA | XXX | |
| 95936 | 26 | A | H-reflex test | 0.55 | 0.24 | 0.27 | 0.24 | 0.27 | 0.02 | 0.81 | 0.84 | 0.81 | 0.84 | XXX |
| 95936 | TC | A | H-reflex test | 0.00 | 0.22 | 0.22 | NA | NA | 0.02 | 0.24 | 0.24 | NA | NA | XXX |
| 95937 | A | Neuromuscular junction test | 0.65 | 0.60 | 0.66 | NA | NA | 0.05 | 1.30 | 1.36 | NA | NA | XXX | |
| 95937 | 26 | A | Neuromuscular junction test | 0.65 | 0.26 | 0.32 | 0.26 | 0.32 | 0.03 | 0.94 | 1.00 | 0.94 | 1.00 | XXX |
| 95937 | TC | A | Neuromuscular junction test | 0.00 | 0.34 | 0.34 | NA | NA | 0.02 | 0.36 | 0.36 | NA | NA | XXX |
| 95950 | A | Ambulatory eeg monitoring | 1.51 | 3.47 | 4.57 | NA | NA | 0.44 | 5.42 | 6.52 | NA | NA | XXX | |
| 95950 | 26 | A | Ambulatory eeg monitoring | 1.51 | 0.63 | 0.80 | 0.63 | 0.80 | 0.07 | 2.21 | 2.38 | 2.21 | 2.38 | XXX |
| 95950 | TC | A | Ambulatory eeg monitoring | 0.00 | 2.84 | 3.77 | NA | NA | 0.37 | 3.21 | 4.14 | NA | NA | XXX |
| 95951 | A | EEG monitoring/videorecord | 0.06 | 21.00 | 18.15 | NA | NA | 0.63 | 21.69 | 18.84 | NA | NA | XXX | |
| 95951 | 26 | A | EEG monitoring/videorecord | 0.06 | 2.55 | 2.32 | 2.55 | 2.32 | 0.24 | 2.85 | 2.62 | 2.85 | 2.62 | XXX |
| 95951 | TC | A | EEG monitoring/videorecord | 0.00 | 18.45 | 15.83 | NA | NA | 0.39 | 18.84 | 16.22 | NA | NA | XXX |
| 95953 | A | EEG monitoring/computer | 3.08 | 7.70 | 7.74 | NA | NA | 0.49 | 11.27 | 11.31 | NA | NA | XXX | |
| 95953 | 26 | A | EEG monitoring/computer | 3.08 | 1.30 | 1.30 | 1.30 | 1.30 | 0.12 | 4.50 | 4.50 | 4.50 | 4.50 | XXX |
| 95953 | TC | A | EEG monitoring/computer | 0.00 | 6.40 | 6.44 | NA | NA | 0.37 | 6.77 | 6.81 | NA | NA | XXX |
| 95954 | A | EEG monitoring/giving drugs | 2.45 | 3.66 | 3.37 | NA | NA | 0.15 | 6.26 | 5.97 | NA | NA | XXX | |
| 95954 | 26 | A | EEG monitoring/giving drugs | 2.45 | 1.06 | 1.30 | 1.06 | 1.30 | 0.10 | 3.61 | 3.85 | 3.61 | 3.85 | XXX |
| 95954 | TC | A | EEG monitoring/giving drugs | 0.00 | 2.60 | 2.07 | NA | NA | 0.05 | 2.65 | 2.12 | NA | NA | XXX |
| 95955 | A | EEG during surgery | 1.01 | 2.35 | 2.55 | NA | NA | 0.19 | 3.55 | 3.75 | NA | NA | XXX | |
| 95955 | 26 | A | EEG during surgery | 1.01 | 0.37 | 0.56 | 0.37 | 0.56 | 0.05 | 1.43 | 1.62 | 1.43 | 1.62 | XXX |
| 95955 | TC | A | EEG during surgery | 0.00 | 1.98 | 1.99 | NA | NA | 0.14 | 2.12 | 2.13 | NA | NA | XXX |
| 95956 | A | Eeg monitoring, cable/radio | 3.08 | 23.17 | 19.43 | NA | NA | 0.49 | 26.74 | 23.00 | NA | NA | XXX | |
| 95956 | 26 | A | Eeg monitoring, cable/radio | 3.08 | 1.32 | 1.40 | 1.32 | 1.40 | 0.12 | 4.52 | 4.60 | 4.52 | 4.60 | XXX |
| 95956 | TC | A | Eeg monitoring, cable/radio | 0.00 | 21.85 | 18.03 | NA | NA | 0.37 | 22.22 | 18.40 | NA | NA | XXX |
| 95957 | A | EEG digital analysis | 1.98 | 2.57 | 2.54 | NA | NA | 0.18 | 4.73 | 4.70 | NA | NA | XXX | |
| 95957 | 26 | A | EEG digital analysis | 1.98 | 0.85 | 0.81 | 0.85 | 0.81 | 0.08 | 2.91 | 2.87 | 2.91 | 2.87 | XXX |
| 95957 | TC | A | EEG digital analysis | 0.00 | 1.72 | 1.73 | NA | NA | 0.10 | 1.82 | 1.83 | NA | NA | XXX |
| 95958 | A | EEG monitoring/function test | 4.25 | 3.51 | 3.96 | NA | NA | 0.27 | 8.03 | 8.48 | NA | NA | XXX | |
| 95958 | 26 | A | EEG monitoring/function test | 4.25 | 1.75 | 2.19 | 1.75 | 2.19 | 0.16 | 6.16 | 6.60 | 6.16 | 6.60 | XXX |
| 95958 | TC | A | EEG monitoring/function test | 0.00 | 1.76 | 1.77 | NA | NA | 0.11 | 1.87 | 1.88 | NA | NA | XXX |
| 95961 | A | Electrode stimulation, brain | 2.97 | 2.64 | 2.71 | NA | NA | 0.17 | 5.78 | 5.85 | NA | NA | XXX | |
| 95961 | 26 | A | Electrode stimulation, brain | 2.97 | 1.32 | 1.38 | 1.32 | 1.38 | 0.11 | 4.40 | 4.46 | 4.40 | 4.46 | XXX |
| 95961 | TC | A | Electrode stimulation, brain | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | XXX |
| 95962 | A | Electrode stim, brain add-on | 3.21 | 2.72 | 2.77 | NA | NA | 0.19 | 6.12 | 6.17 | NA | NA | ZZZ | |
| 95962 | 26 | A | Electrode stim, brain add-on | 3.21 | 1.40 | 1.44 | 1.40 | 1.44 | 0.13 | 4.74 | 4.78 | 4.74 | 4.78 | ZZZ |
| 95962 | TC | A | Electrode stim, brain add-on | 0.00 | 1.32 | 1.33 | NA | NA | 0.06 | 1.38 | 1.39 | NA | NA | ZZZ |
| 95970 | A | Analyze neurostim, no prog | 0.45 | 0.15 | 0.15 | 0.13 | 0.13 | 0.03 | 0.63 | 0.63 | 0.61 | 0.61 | XXX | |
| 95971 | A | Analyze neurostim, simple | 0.78 | 0.28 | 0.28 | 0.23 | 0.23 | 0.05 | 1.11 | 1.11 | 1.06 | 1.06 | XXX | |
| 95972 | A | Analyze neurostim, complex | 1.50 | 0.54 | 0.54 | 0.45 | 0.45 | 0.09 | 2.13 | 2.13 | 2.04 | 2.04 | XXX | |
| 95973 | A | Analyze neurostim, complex | 0.92 | 0.33 | 0.33 | 0.28 | 0.28 | 0.06 | 1.31 | 1.31 | 1.26 | 1.26 | ZZZ | |
| 95974 | A | Cranial neurostim, complex | 0.03 | 1.07 | 1.07 | 0.95 | 0.95 | 0.16 | 1.26 | 1.26 | 1.14 | 1.14 | XXX | |
| 95975 | A | Cranial neurostim, complex | 1.70 | 0.62 | 0.62 | 0.58 | 0.58 | 0.09 | 2.41 | 2.41 | 2.37 | 2.37 | ZZZ | |
| 95999 | C | Neurological procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96100 | A | Psychological testing | 0.00 | 1.78 | 1.79 | 1.78 | 1.79 | 0.15 | 1.93 | 1.94 | 1.93 | 1.94 | XXX | |
| 96105 | A | Assessment of aphasia | 0.00 | 1.78 | 1.79 | 1.78 | 1.79 | 0.15 | 1.93 | 1.94 | 1.93 | 1.94 | XXX | |
| 96110 | C | Developmental test, lim | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96111 | A | Developmental test, extend | 0.00 | 1.78 | 1.79 | 1.78 | 1.79 | 0.15 | 1.93 | 1.94 | 1.93 | 1.94 | XXX | |
| 96115 | A | Neurobehavior status exam | 0.00 | 1.78 | 1.79 | 1.78 | 1.79 | 0.15 | 1.93 | 1.94 | 1.93 | 1.94 | XXX | |
| 96117 | A | Neuropsych test battery | 0.00 | 1.78 | 1.79 | 1.78 | 1.79 | 0.15 | 1.93 | 1.94 | 1.93 | 1.94 | XXX | |
| 96400 | A | Chemotherapy, sc/im | 0.00 | 0.14 | 0.14 | 0.14 | 0.14 | 0.01 | 0.15 | 0.15 | 0.15 | 0.15 | XXX | |
| 96405 | A | Intralesional chemo admin | 0.52 | 1.72 | 1.39 | 0.24 | 0.28 | 0.02 | 2.26 | 1.93 | 0.78 | 0.82 | 000 | |
| 96406 | A | Intralesional chemo admin | 0.80 | 2.20 | 1.80 | 0.26 | 0.35 | 0.02 | 3.02 | 2.62 | 1.08 | 1.17 | 000 | |
| 96408 | A | Chemotherapy, push technique | 0.00 | 0.98 | 0.99 | 0.98 | 0.99 | 0.05 | 1.03 | 1.04 | 1.03 | 1.04 | XXX | |
| 96410 | A | Chemotherapy,infusion method | 0.00 | 1.56 | 1.57 | 1.56 | 1.57 | 0.07 | 1.63 | 1.64 | 1.63 | 1.64 | XXX | |
| 96412 | A | Chemo, infuse method add-on | 0.00 | 1.16 | 1.17 | 1.16 | 1.17 | 0.06 | 1.22 | 1.23 | 1.22 | 1.23 | ZZZ | |
| 96414 | A | Chemo, infuse method add-on | 0.00 | 1.35 | 1.36 | 1.35 | 1.36 | 0.07 | 1.42 | 1.43 | 1.42 | 1.43 | XXX | |
| 96420 | A | Chemotherapy, push technique | 0.00 | 1.26 | 1.27 | 1.26 | 1.27 | 0.07 | 1.33 | 1.34 | 1.33 | 1.34 | XXX | |
| 96422 | A | Chemotherapy,infusion method | 0.00 | 1.24 | 1.25 | 1.24 | 1.25 | 0.07 | 1.31 | 1.32 | 1.31 | 1.32 | XXX | |
| 96423 | A | Chemo, infuse method add-on | 0.00 | 0.49 | 0.49 | 0.49 | 0.49 | 0.02 | 0.51 | 0.51 | 0.51 | 0.51 | ZZZ | |
| 96425 | A | Chemotherapy,infusion method | 0.00 | 1.45 | 1.46 | 1.45 | 1.46 | 0.07 | 1.52 | 1.53 | 1.52 | 1.53 | XXX | |
| 96440 | A | Chemotherapy, intracavitary | 2.37 | 7.24 | 5.65 | 0.99 | 0.96 | 0.09 | 9.70 | 8.11 | 3.45 | 3.42 | 000 | |
| 96445 | A | Chemotherapy, intracavitary | 2.20 | 7.39 | 5.81 | 0.97 | 0.99 | 0.07 | 9.66 | 8.08 | 3.24 | 3.26 | 000 | |
| 96450 | A | Chemotherapy, into CNS | 1.89 | 5.81 | 4.59 | 0.89 | 0.90 | 0.06 | 7.76 | 6.54 | 2.84 | 2.85 | 000 | |
| 96520 | A | Pump refilling, maintenance | 0.00 | 0.90 | 0.91 | 0.90 | 0.91 | 0.05 | 0.95 | 0.96 | 0.95 | 0.96 | XXX | |
| 96530 | A | Pump refilling, maintenance | 0.00 | 1.08 | 1.09 | 1.08 | 1.09 | 0.05 | 1.13 | 1.14 | 1.13 | 1.14 | XXX | |
| 96542 | A | Chemotherapy injection | 1.42 | 3.54 | 2.95 | 0.54 | 0.70 | 0.04 | 5.00 | 4.41 | 2.00 | 2.16 | XXX | |
| 96545 | B | Provide chemotherapy agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96549 | C | Chemotherapy, unspecified | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96570 | A | Photodynamic tx, 30 min | 1.10 | 0.73 | 0.73 | 0.44 | 0.44 | 0.28 | 2.11 | 2.11 | 1.82 | 1.82 | ZZZ | |
| 96571 | A | Photodynamic tx, addl 15 min | 0.55 | 0.31 | 0.31 | 0.22 | 0.22 | 0.28 | 1.14 | 1.14 | 1.05 | 1.05 | ZZZ | |
| 96900 | A | Ultraviolet light therapy | 0.00 | 0.40 | 0.40 | 0.40 | 0.40 | 0.02 | 0.42 | 0.42 | 0.42 | 0.42 | XXX | |
| 96902 | B | Trichogram | 0.41 | 0.23 | 0.25 | 0.16 | 0.20 | 0.01 | 0.65 | 0.67 | 0.58 | 0.62 | XXX | |
| 96910 | A | Photochemotherapy with UV-B | 0.00 | 0.59 | 0.59 | 0.59 | 0.59 | 0.03 | 0.62 | 0.62 | 0.62 | 0.62 | XXX | |
| 96912 | A | Photochemotherapy with UV-A | 0.00 | 0.66 | 0.67 | 0.66 | 0.67 | 0.04 | 0.70 | 0.71 | 0.70 | 0.71 | XXX | |
| 96913 | A | Photochemotherapy, UV-A or B | 0.00 | 1.37 | 1.38 | 1.37 | 1.38 | 0.08 | 1.45 | 1.46 | 1.45 | 1.46 | XXX | |
| 96999 | C | Dermatological procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97001 | A | Pt evaluation | 1.20 | 0.80 | 0.70 | 0.51 | 0.48 | 0.05 | 2.05 | 1.95 | 1.76 | 1.73 | XXX | |
| 97002 | A | Pt re-evaluation | 0.60 | 0.44 | 0.34 | 0.24 | 0.19 | 0.02 | 1.06 | 0.96 | 0.86 | 0.81 | XXX | |
| 97003 | A | Ot evaluation | 1.20 | 0.78 | 0.68 | 0.39 | 0.39 | 0.05 | 2.03 | 1.93 | 1.64 | 1.64 | XXX | |
| 97004 | A | Ot re-evaluation | 0.60 | 0.44 | 0.34 | 0.19 | 0.15 | 0.02 | 1.06 | 0.96 | 0.81 | 0.77 | XXX | |
| 97010 | B | Hot or cold packs therapy | 0.06 | 0.24 | 0.24 | 0.03 | 0.08 | 0.01 | 0.31 | 0.31 | 0.10 | 0.15 | XXX | |
| 97012 | A | Mechanical traction therapy | 0.25 | 0.32 | 0.29 | 0.12 | 0.14 | 0.01 | 0.58 | 0.55 | 0.38 | 0.40 | XXX | |
| 97014 | A | Electric stimulation therapy | 0.18 | 0.29 | 0.27 | 0.09 | 0.12 | 0.01 | 0.48 | 0.46 | 0.28 | 0.31 | XXX | |
| 97016 | A | Vasopneumatic device therapy | 0.18 | 0.29 | 0.29 | 0.09 | 0.14 | 0.01 | 0.48 | 0.48 | 0.28 | 0.33 | XXX | |
| 97018 | A | Paraffin bath therapy | 0.06 | 0.22 | 0.23 | 0.03 | 0.09 | 0.01 | 0.29 | 0.30 | 0.10 | 0.16 | XXX | |
| 97020 | A | Microwave therapy | 0.06 | 0.24 | 0.24 | 0.03 | 0.08 | 0.01 | 0.31 | 0.31 | 0.10 | 0.15 | XXX | |
| 97022 | A | Whirlpool therapy | 0.17 | 0.43 | 0.38 | 0.08 | 0.11 | 0.01 | 0.61 | 0.56 | 0.26 | 0.29 | XXX | |
| 97024 | A | Diathermy treatment | 0.06 | 0.24 | 0.24 | 0.03 | 0.08 | 0.01 | 0.31 | 0.31 | 0.10 | 0.15 | XXX | |
| 97026 | A | Infrared therapy | 0.06 | 0.23 | 0.23 | 0.03 | 0.08 | 0.01 | 0.30 | 0.30 | 0.10 | 0.15 | XXX | |
| 97028 | A | Ultraviolet therapy | 0.08 | 0.24 | 0.23 | 0.04 | 0.08 | 0.01 | 0.33 | 0.32 | 0.13 | 0.17 | XXX | |
| 97032 | A | Electrical stimulation | 0.25 | 0.35 | 0.30 | 0.12 | 0.13 | 0.01 | 0.61 | 0.56 | 0.38 | 0.39 | XXX | |
| 97033 | A | Electric current therapy | 0.26 | 0.37 | 0.32 | 0.13 | 0.14 | 0.01 | 0.64 | 0.59 | 0.40 | 0.41 | XXX | |
| 97034 | A | Contrast bath therapy | 0.21 | 0.33 | 0.28 | 0.10 | 0.10 | 0.01 | 0.55 | 0.50 | 0.32 | 0.32 | XXX | |
| 97035 | A | Ultrasound therapy | 0.21 | 0.21 | 0.19 | 0.10 | 0.11 | 0.01 | 0.43 | 0.41 | 0.32 | 0.33 | XXX | |
| 97036 | A | Hydrotherapy | 0.28 | 0.43 | 0.38 | 0.14 | 0.16 | 0.01 | 0.72 | 0.67 | 0.43 | 0.45 | XXX | |
| 97039 | A | Physical therapy treatment | 0.20 | 0.32 | 0.31 | 0.10 | 0.14 | 0.01 | 0.53 | 0.52 | 0.31 | 0.35 | XXX | |
| 97110 | A | Therapeutic exercises | 0.45 | 0.32 | 0.28 | 0.22 | 0.20 | 0.02 | 0.79 | 0.75 | 0.69 | 0.67 | XXX | |
| 97112 | A | Neuromuscular reeducation | 0.45 | 0.43 | 0.36 | 0.22 | 0.20 | 0.02 | 0.90 | 0.83 | 0.69 | 0.67 | XXX | |
| 97113 | A | Aquatic therapy/exercises | 0.44 | 0.44 | 0.39 | 0.22 | 0.22 | 0.02 | 0.90 | 0.85 | 0.68 | 0.68 | XXX | |
| 97116 | A | Gait training therapy | 0.40 | 0.41 | 0.34 | 0.20 | 0.18 | 0.01 | 0.82 | 0.75 | 0.61 | 0.59 | XXX | |
| 97124 | A | Massage therapy | 0.35 | 0.38 | 0.32 | 0.17 | 0.16 | 0.01 | 0.74 | 0.68 | 0.53 | 0.52 | XXX | |
| 97139 | A | Physical medicine procedure | 0.21 | 0.31 | 0.28 | 0.10 | 0.12 | 0.01 | 0.53 | 0.50 | 0.32 | 0.34 | XXX | |
| 97140 | A | Manual therapy | 0.43 | 0.41 | 0.41 | 0.21 | 0.21 | 0.02 | 0.86 | 0.86 | 0.66 | 0.66 | XXX | |
| 97150 | A | Group therapeutic procedures | 0.27 | 0.34 | 0.31 | 0.13 | 0.15 | 0.02 | 0.63 | 0.60 | 0.42 | 0.44 | XXX | |
| 97504 | A | Orthotic training | 0.45 | 0.41 | 0.35 | 0.22 | 0.20 | 0.03 | 0.89 | 0.83 | 0.70 | 0.68 | XXX | |
| 97520 | A | Prosthetic training | 0.45 | 0.43 | 0.36 | 0.22 | 0.21 | 0.02 | 0.90 | 0.83 | 0.69 | 0.68 | XXX | |
| 97530 | A | Therapeutic activities | 0.44 | 0.30 | 0.27 | 0.22 | 0.21 | 0.02 | 0.76 | 0.73 | 0.68 | 0.67 | XXX | |
| 97535 | A | Self care mngment training | 0.45 | 0.43 | 0.37 | 0.22 | 0.21 | 0.02 | 0.90 | 0.84 | 0.69 | 0.68 | XXX | |
| 97537 | A | Community/work reintegration | 0.45 | 0.43 | 0.37 | 0.22 | 0.21 | 0.01 | 0.89 | 0.83 | 0.68 | 0.67 | XXX | |
| 97542 | A | Wheelchair mngment training | 0.25 | 0.33 | 0.29 | 0.12 | 0.14 | 0.01 | 0.59 | 0.55 | 0.38 | 0.40 | XXX | |
| 97545 | R | Work hardening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97546 | R | Work hardening add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 97703 | A | Prosthetic checkout | 0.25 | 0.21 | 0.21 | 0.12 | 0.14 | 0.01 | 0.47 | 0.47 | 0.38 | 0.40 | XXX | |
| 97750 | A | Physical performance test | 0.45 | 0.35 | 0.33 | 0.22 | 0.23 | 0.02 | 0.82 | 0.80 | 0.69 | 0.70 | XXX | |
| 97770 | A | Cognitive skills development | 0.44 | 0.38 | 0.36 | 0.22 | 0.24 | 0.01 | 0.83 | 0.81 | 0.67 | 0.69 | XXX | |
| 97780 | N | Acupuncture w/o stimul | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97781 | N | Acupuncture w/stimul | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97799 | C | Physical medicine procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 98925 | A | Osteopathic manipulation | 0.45 | 0.32 | 0.31 | 0.15 | 0.18 | 0.02 | 0.79 | 0.78 | 0.62 | 0.65 | 000 | |
| 98926 | A | Osteopathic manipulation | 0.65 | 0.39 | 0.40 | 0.25 | 0.30 | 0.02 | 1.06 | 1.07 | 0.92 | 0.97 | 000 | |
| 98927 | A | Osteopathic manipulation | 0.87 | 0.50 | 0.48 | 0.30 | 0.33 | 0.03 | 1.40 | 1.38 | 1.20 | 1.23 | 000 | |
| 98928 | A | Osteopathic manipulation | 1.03 | 0.54 | 0.52 | 0.34 | 0.37 | 0.03 | 1.60 | 1.58 | 1.40 | 1.43 | 000 | |
| 98929 | A | Osteopathic manipulation | 1.19 | 0.63 | 0.58 | 0.37 | 0.38 | 0.04 | 1.86 | 1.81 | 1.60 | 1.61 | 000 | |
| 98940 | A | Chiropractic manipulation | 0.45 | 0.24 | 0.26 | 0.12 | 0.17 | 0.01 | 0.70 | 0.72 | 0.58 | 0.63 | 000 | |
| 98941 | A | Chiropractic manipulation | 0.65 | 0.31 | 0.31 | 0.18 | 0.21 | 0.02 | 0.98 | 0.98 | 0.85 | 0.88 | 000 | |
| 98942 | A | Chiropractic manipulation | 0.87 | 0.36 | 0.35 | 0.24 | 0.26 | 0.03 | 1.26 | 1.25 | 1.14 | 1.16 | 000 | |
| 98943 | N | Chiropractic manipulation | 0.40 | 0.33 | 0.33 | 0.16 | 0.20 | 0.01 | 0.74 | 0.74 | 0.57 | 0.61 | XXX | |
| 99000 | B | Specimen handling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99001 | B | Specimen handling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99002 | B | Device handling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99024 | B | Postop follow-up visit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99025 | B | Initial surgical evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99050 | B | Medical services after hrs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99052 | B | Medical services at night | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99054 | B | Medical servcs, unusual hrs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99056 | B | Non-office medical services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99058 | B | Office emergency care | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99070 | B | Special supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99071 | B | Patient education materials | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99075 | N | Medical testimony | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 00 | XXX | |
| 99078 | B | Group health education | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99080 | B | Special reports or forms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99082 | C | Unusual physician travel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99090 | B | Computer data analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99100 | B | Special anesthesia service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99116 | B | Anesthesia with hypothermia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99135 | B | Special anesthesia procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99140 | B | Emergency anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99141 | B | Sedation, iv/im or inhalant | 0.80 | 1.69 | 1.49 | 0.32 | 0.47 | 0.05 | 2.54 | 2.34 | 1.17 | 1.32 | XXX | |
| 99142 | B | Sedation, oral/rectal/nasal | 0.60 | 1.62 | 1.38 | 0.24 | 0.35 | 0.04 | 2.26 | 2.02 | 0.88 | 0.99 | XXX | |
| 99170 | A | Anogenital exam, child | 1.75 | 1.75 | 1.75 | 0.69 | 0.69 | 0.11 | 3.61 | 3.61 | 2.55 | 2.55 | 000 | |
| 99173 | N | Visual screening test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99175 | A | Induction of vomiting | 0.00 | 1.41 | 1.42 | 1.41 | 1.42 | 0.08 | 1.49 | 1.50 | 1.49 | 1.50 | XXX | |
| 99183 | A | Hyperbaric oxygen therapy | 2.34 | NA | NA | 0.74 | 1.01 | 0.12 | NA | NA | 3.20 | 3.47 | XXX | |
| 99185 | A | Regional hypothermia | 0.00 | NA | NA | 0.65 | 0.65 | 0.03 | NA | NA | 0.68 | 0.68 | XXX | |
| 99186 | A | Total body hypothermia | 0.00 | NA | NA | 1.80 | 1.81 | 0.38 | NA | NA | 2.18 | 2.19 | XXX | |
| 99190 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99191 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99192 | X | Special pump services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99195 | A | Phlebotomy | 0.00 | 0.45 | 0.45 | 0.45 | 0.45 | 0.02 | 0.47 | 0.47 | 0.47 | 0.47 | XXX | |
| 99199 | C | Special service/proc/report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99201 | A | Office/outpatient visit, new | 0.45 | 0.75 | 0.68 | 0.16 | 0.24 | 0.02 | 1.22 | 1.15 | 0.63 | 0.71 | XXX | |
| 99202 | A | Office/outpatient visit, new | 0.88 | 0.99 | 0.88 | 0.32 | 0.38 | 0.04 | 1.91 | 1.80 | 1.24 | 1.30 | XXX | |
| 99203 | A | Office/outpatient visit, new | 1.34 | 1.30 | 1.14 | 0.49 | 0.53 | 0.07 | 2.71 | 2.55 | 1.90 | 1.94 | XXX | |
| 99204 | A | Office/outpatient visit, new | 0.02 | 1.74 | 1.55 | 0.73 | 0.79 | 0.09 | 1.85 | 1.66 | 0.84 | 0.90 | XXX | |
| 99205 | A | Office/outpatient visit, new | 2.67 | 1.92 | 1.70 | 0.94 | 0.97 | 0.11 | 4.70 | 4.48 | 3.72 | 3.75 | XXX | |
| 99211 | A | Office/outpatient visit, est | 0.17 | 0.54 | 0.46 | 0.06 | 0.10 | 0.01 | 0.72 | 0.64 | 0.24 | 0.28 | XXX | |
| 99212 | A | Office/outpatient visit, est | 0.45 | 0.60 | 0.54 | 0.16 | 0.21 | 0.02 | 1.07 | 1.01 | 0.63 | 0.68 | XXX | |
| 99213 | A | Office/outpatient visit, est | 0.67 | 0.73 | 0.67 | 0.24 | 0.30 | 0.02 | 1.42 | 1.36 | 0.93 | 0.99 | XXX | |
| 99214 | A | Office/outpatient visit, est | 1.10 | 0.97 | 0.88 | 0.40 | 0.46 | 0.04 | 2.11 | 2.02 | 1.54 | 1.60 | XXX | |
| 99215 | A | Office/outpatient visit, est | 1.77 | 1.24 | 1.16 | 0.63 | 0.71 | 0.07 | 3.08 | 3.00 | 2.47 | 2.55 | XXX | |
| 99217 | A | Observation care discharge | 1.28 | NA | NA | 0.44 | 0.47 | 0.05 | NA | NA | 1.77 | 1.80 | XXX | |
| 99218 | A | Observation care | 1.28 | NA | NA | 0.44 | 0.52 | 0.05 | NA | NA | 1.77 | 1.85 | XXX | |
| 99219 | A | Observation care | 2.14 | NA | NA | 0.73 | 0.83 | 0.08 | NA | NA | 2.95 | 3.05 | XXX | |
| 99220 | A | Observation care | 2.99 | NA | NA | 1.03 | 1.08 | 0.11 | NA | NA | 4.13 | 4.18 | XXX | |
| 99221 | A | Initial hospital care | 1.28 | NA | NA | 0.46 | 0.53 | 0.05 | NA | NA | 1.79 | 1.86 | XXX | |
| 99222 | A | Initial hospital care | 2.14 | NA | NA | 0.75 | 0.85 | 0.08 | NA | NA | 2.97 | 3.07 | XXX | |
| 99223 | A | Initial hospital care | 2.99 | NA | NA | 1.04 | 1.09 | 0.11 | NA | NA | 4.14 | 4.19 | XXX | |
| 99231 | A | Subsequent hospital care | 0.64 | NA | NA | 0.23 | 0.28 | 0.02 | NA | NA | 0.89 | 0.94 | XXX | |
| 99232 | A | Subsequent hospital care | 1.06 | NA | NA | 0.37 | 0.40 | 0.04 | NA | NA | 1.47 | 1.50 | XXX | |
| 99233 | A | Subsequent hospital care | 1.51 | NA | NA | 0.53 | 0.56 | 0.05 | NA | NA | 2.09 | 2.12 | XXX | |
| 99234 | A | Observ/hosp same date | 1.95 | NA | NA | 0.89 | 0.85 | 0.10 | NA | NA | 2.94 | 2.90 | XXX | |
| 99235 | A | Observ/hosp same date | 2.81 | NA | NA | 1.17 | 1.16 | 0.12 | NA | NA | 4.10 | 4.09 | XXX | |
| 99236 | A | Observ/hosp same date | 3.66 | NA | NA | 1.47 | 1.41 | 0.14 | NA | NA | 5.27 | 5.21 | XXX | |
| 99238 | A | Hospital discharge day | 1.28 | NA | NA | 0.44 | 0.47 | 0.04 | NA | NA | 1.76 | 1.79 | XXX | |
| 99239 | A | Hospital discharge day | 1.75 | NA | NA | 0.61 | 0.60 | 0.06 | NA | NA | 2.42 | 2.41 | XXX | |
| 99241 | A | Office consultation | 0.64 | 0.90 | 0.85 | 0.23 | 0.35 | 0.04 | 1.58 | 1.53 | 0.91 | 1.03 | XXX | |
| 99242 | A | Office consultation | 1.29 | 1.28 | 1.17 | 0.48 | 0.57 | 0.08 | 2.65 | 2.54 | 1.85 | 1.94 | XXX | |
| 99243 | A | Office consultation | 1.72 | 1.51 | 1.40 | 0.65 | 0.75 | 0.09 | 3.32 | 3.21 | 2.46 | 2.56 | XXX | |
| 99244 | A | Office consultation | 2.58 | 1.95 | 1.80 | 0.94 | 1.04 | 0.11 | 4.64 | 4.49 | 3.63 | 3.73 | XXX | |
| 99245 | A | Office consultation | 3.43 | 2.35 | 2.22 | 1.26 | 1.40 | 0.14 | 5.92 | 5.79 | 4.83 | 4.97 | XXX | |
| 99251 | A | Initial inpatient consult | 0.66 | NA | NA | 0.29 | 0.40 | 0.04 | NA | NA | 0.99 | 1.10 | XXX | |
| 99252 | A | Initial inpatient consult | 1.32 | NA | NA | 0.56 | 0.63 | 0.08 | NA | NA | 1.96 | 2.03 | XXX | |
| 99253 | A | Initial inpatient consult | 1.82 | NA | NA | 0.75 | 0.82 | 0.09 | NA | NA | 2.66 | 2.73 | XXX | |
| 99254 | A | Initial inpatient consult | 2.64 | NA | NA | 1.05 | 1.11 | 0.11 | NA | NA | 3.80 | 3.86 | XXX | |
| 99255 | A | Initial inpatient consult | 3.65 | NA | NA | 1.42 | 1.49 | 0.15 | NA | NA | 5.22 | 5.29 | XXX | |
| 99261 | A | Follow-up inpatient consult | 0.42 | NA | NA | 0.20 | 0.24 | 0.02 | NA | NA | 0.64 | 0.68 | XXX | |
| 99262 | A | Follow-up inpatient consult | 0.85 | NA | NA | 0.36 | 0.40 | 0.03 | NA | NA | 1.24 | 1.28 | XXX | |
| 99263 | A | Follow-up inpatient consult | 1.27 | NA | NA | 0.51 | 0.57 | 0.05 | NA | NA | 1.83 | 1.89 | XXX | |
| 99271 | A | Confirmatory consultation | 0.45 | 0.60 | 0.61 | 0.20 | 0.31 | 0.02 | 1.07 | 1.08 | 0.67 | 0.78 | XXX | |
| 99272 | A | Confirmatory consultation | 0.84 | 0.83 | 0.82 | 0.36 | 0.46 | 0.05 | 1.72 | 1.71 | 1.25 | 1.35 | XXX | |
| 99273 | A | Confirmatory consultation | 1.19 | 1.02 | 1.04 | 0.50 | 0.65 | 0.07 | 2.28 | 2.30 | 1.76 | 1.91 | XXX | |
| 99274 | A | Confirmatory consultation | 1.73 | 1.33 | 1.33 | 0.71 | 0.86 | 0.09 | 3.15 | 3.15 | 2.53 | 2.68 | XXX | |
| 99275 | A | Confirmatory consultation | 2.31 | 1.58 | 1.66 | 0.88 | 1.13 | 0.10 | 3.99 | 4.07 | 3.29 | 3.54 | XXX | |
| 99281 | A | Emergency dept visit | 0.33 | NA | NA | 0.09 | 0.14 | 0.02 | NA | NA | 0.44 | 0.49 | XXX | |
| 99282 | A | Emergency dept visit | 0.55 | NA | NA | 0.15 | 0.22 | 0.03 | NA | NA | 0.73 | 0.80 | XXX | |
| 99283 | A | Emergency dept visit | 1.24 | NA | NA | 0.32 | 0.37 | 0.08 | NA | NA | 1.64 | 1.69 | XXX | |
| 99284 | A | Emergency dept visit | 1.95 | NA | NA | 0.49 | 0.56 | 0.12 | NA | NA | 2.56 | 2.63 | XXX | |
| 99285 | A | Emergency dept visit | 3.06 | NA | NA | 0.74 | 0.86 | 0.19 | NA | NA | 3.99 | 4.11 | XXX | |
| 99288 | B | Direct advanced life support | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99291 | A | Critical care, first hour | 0.04 | 1.39 | 1.43 | 1.17 | 1.27 | 0.14 | 1.57 | 1.61 | 1.35 | 1.45 | XXX | |
| 99292 | A | Critical care, addl 30 min | 0.02 | 0.76 | 0.74 | 0.58 | 0.61 | 0.08 | 0.86 | 0.84 | 0.68 | 0.71 | ZZZ | |
| 99295 | A | Neonatal critical care | 0.16 | NA | NA | 4.93 | 5.08 | 0.62 | NA | NA | 5.71 | 5.86 | XXX | |
| 99296 | A | Neonatal critical care | 0.08 | NA | NA | 2.64 | 2.65 | 0.24 | NA | NA | 2.96 | 2.97 | XXX | |
| 99297 | A | Neonatal critical care | 0.04 | NA | NA | 1.36 | 1.35 | 0.11 | NA | NA | 1.51 | 1.50 | XXX | |
| 99298 | A | Neonatal critical care | 2.75 | NA | NA | 0.94 | 0.94 | 0.09 | NA | NA | 3.78 | 3.78 | XXX | |
| 99301 | A | Nursing facility care | 1.20 | NA | NA | 0.41 | 0.43 | 0.04 | NA | NA | 1.65 | 1.67 | XXX | |
| 99302 | A | Nursing facility care | 1.61 | NA | NA | 0.55 | 0.55 | 0.06 | NA | NA | 2.22 | 2.22 | XXX | |
| 99303 | A | Nursing facility care | 2.01 | NA | NA | 0.67 | 0.76 | 0.07 | NA | NA | 2.75 | 2.84 | XXX | |
| 99311 | A | Nursing fac care, subseq | 0.60 | NA | NA | 0.20 | 0.24 | 0.02 | NA | NA | 0.82 | 0.86 | XXX | |
| 99312 | A | Nursing fac care, subseq | 0.01 | NA | NA | 0.33 | 0.36 | 0.03 | NA | NA | 0.37 | 0.40 | XXX | |
| 99313 | A | Nursing fac care, subseq | 1.42 | NA | NA | 0.48 | 0.49 | 0.05 | NA | NA | 1.95 | 1.96 | XXX | |
| 99315 | A | Nursing fac discharge day | 1.13 | NA | NA | 0.38 | 0.42 | 0.04 | NA | NA | 1.55 | 1.59 | XXX | |
| 99316 | A | Nursing fac discharge day | 1.50 | NA | NA | 0.52 | 0.53 | 0.05 | NA | NA | 2.07 | 2.08 | XXX | |
| 99321 | A | Rest home visit, new patient | 0.71 | 0.41 | 0.41 | 0.32 | 0.34 | 0.03 | 1.15 | 1.15 | 1.06 | 1.08 | XXX | |
| 99322 | A | Rest home visit, new patient | 1.01 | 0.64 | 0.62 | 0.44 | 0.47 | 0.04 | 1.69 | 1.67 | 1.49 | 1.52 | XXX | |
| 99323 | A | Rest home visit, new patient | 1.28 | 0.84 | 0.83 | 0.53 | 0.60 | 0.05 | 2.17 | 2.16 | 1.86 | 1.93 | XXX | |
| 99331 | A | Rest home visit, est pat | 0.60 | 0.43 | 0.40 | 0.30 | 0.30 | 0.02 | 1.05 | 1.02 | 0.92 | 0.92 | XXX | |
| 99332 | A | Rest home visit, est pat | 0.80 | 0.53 | 0.50 | 0.37 | 0.38 | 0.03 | 1.36 | 1.33 | 1.20 | 1.21 | XXX | |
| 99333 | A | Rest home visit, est pat | 0.01 | 0.65 | 0.61 | 0.44 | 0.45 | 0.03 | 0.69 | 0.65 | 0.48 | 0.49 | XXX | |
| 99341 | A | Home visit, new patient | 1.01 | 0.52 | 0.54 | 0.48 | 0.51 | 0.04 | 1.57 | 1.59 | 1.53 | 1.56 | XXX | |
| 99342 | A | Home visit, new patient | 1.52 | 0.79 | 0.76 | 0.59 | 0.61 | 0.06 | 2.37 | 2.34 | 2.17 | 2.19 | XXX | |
| 99343 | A | Home visit, new patient | 2.27 | 1.20 | 1.11 | 0.89 | 0.88 | 0.08 | 3.55 | 3.46 | 3.24 | 3.23 | XXX | |
| 99344 | A | Home visit, new patient | 3.03 | 1.47 | 1.33 | 1.09 | 1.05 | 0.10 | 4.60 | 4.46 | 4.22 | 4.18 | XXX | |
| 99345 | A | Home visit, new patient | 3.79 | 1.74 | 1.54 | 1.32 | 1.22 | 0.12 | 5.65 | 5.45 | 5.23 | 5.13 | XXX | |
| 99347 | A | Home visit, est patient | 0.76 | 0.45 | 0.46 | 0.35 | 0.39 | 0.03 | 1.24 | 1.25 | 1.14 | 1.18 | XXX | |
| 99348 | A | Home visit, est patient | 1.26 | 0.67 | 0.65 | 0.52 | 0.54 | 0.04 | 1.97 | 1.95 | 1.82 | 1.84 | XXX | |
| 99349 | A | Home visit, est patient | 2.02 | 0.99 | 0.91 | 0.79 | 0.76 | 0.07 | 3.08 | 3.00 | 2.88 | 2.85 | XXX | |
| 99350 | A | Home visit, est patient | 3.03 | 1.35 | 1.22 | 1.11 | 1.04 | 0.10 | 4.48 | 4.35 | 4.24 | 4.17 | XXX | |
| 99354 | A | Prolonged service, office | 1.77 | 1.28 | 1.17 | 0.61 | 0.66 | 0.06 | 3.11 | 3.00 | 2.44 | 2.49 | ZZZ | |
| 99355 | A | Prolonged service, office | 1.77 | 1.14 | 1.06 | 0.58 | 0.64 | 0.06 | 2.97 | 2.89 | 2.41 | 2.47 | ZZZ | |
| 99356 | A | Prolonged service, inpatient | 1.71 | NA | NA | 0.59 | 0.67 | 0.06 | NA | NA | 2.36 | 2.44 | ZZZ | |
| 99357 | A | Prolonged service, inpatient | 1.71 | NA | NA | 0.61 | 0.69 | 0.07 | NA | NA | 2.39 | 2.47 | ZZZ | |
| 99358 | B | Prolonged serv, w/o contact | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99359 | B | Prolonged serv, w/o contact | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 99360 | X | Physician standby services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99361 | B | Physician/team conference | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99362 | B | Physician/team conference | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99371 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99372 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99373 | B | Physician phone consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99374 | B | Home health care supervision | 1.10 | 1.28 | 1.10 | 0.44 | 0.47 | 0.04 | 2.42 | 2.24 | 1.58 | 1.61 | XXX | |
| 99375 | N | Home health care supervision | 1.73 | 1.30 | 0.93 | 0.60 | 0.58 | 0.06 | 3.09 | 2.72 | 2.39 | 2.37 | XXX | |
| 99377 | B | Hospice care supervision | 1.10 | 1.29 | 1.11 | 0.44 | 0.47 | 0.04 | 2.43 | 2.25 | 1.58 | 1.61 | XXX | |
| 99378 | N | Hospice care supervision | 1.73 | 1.50 | 1.03 | 0.58 | 0.57 | 0.06 | 3.29 | 2.82 | 2.37 | 2.36 | XXX | |
| 99379 | B | Nursing fac care supervision | 1.10 | 1.27 | 1.09 | 0.44 | 0.47 | 0.04 | 2.41 | 2.23 | 1.58 | 1.61 | XXX | |
| 99380 | B | Nursing fac care supervision | 1.73 | 1.54 | 1.29 | 0.69 | 0.66 | 0.06 | 3.33 | 3.08 | 2.48 | 2.45 | XXX | |
| 99381 | N | Prev visit, new, infant | 1.19 | 1.33 | 1.33 | 0.47 | 0.69 | 0.18 | 2.70 | 2.70 | 1.84 | 2.06 | XXX | |
| 99382 | N | Prev visit, new, age 1-4 | 1.36 | 1.37 | 1.41 | 0.54 | 0.79 | 0.04 | 2.77 | 2.81 | 1.94 | 2.19 | XXX | |
| 99383 | N | Prev visit, new, age 5-11 | 1.36 | 1.31 | 1.37 | 0.54 | 0.79 | 0.04 | 2.71 | 2.77 | 1.94 | 2.19 | XXX | |
| 99384 | N | Prev visit, new, age 12-17 | 1.53 | 1.38 | 1.47 | 0.61 | 0.89 | 0.05 | 2.96 | 3.05 | 2.19 | 2.47 | XXX | |
| 99385 | N | Prev visit, new, age 18-39 | 1.53 | 1.38 | 1.42 | 0.61 | 0.84 | 0.05 | 2.96 | 3.00 | 2.19 | 2.42 | XXX | |
| 99386 | N | Prev visit, new, age 40-64 | 1.88 | 1.56 | 1.64 | 0.75 | 1.03 | 0.06 | 3.50 | 3.58 | 2.69 | 2.97 | XXX | |
| 99387 | N | Prev visit, new, 65 over | 2.06 | 1.69 | 1.78 | 0.82 | 1.13 | 0.06 | 3.81 | 3.90 | 2.94 | 3.25 | XXX | |
| 99391 | N | Prev visit, est, infant | 1.02 | 0.91 | 0.97 | 0.40 | 0.59 | 0.15 | 2.08 | 2.14 | 1.57 | 1.76 | XXX | |
| 99392 | N | Prev visit, est, age 1-4 | 1.19 | 0.98 | 1.07 | 0.47 | 0.69 | 0.04 | 2.21 | 2.30 | 1.70 | 1.92 | XXX | |
| 99393 | N | Prev visit, est, age 5-11 | 1.19 | 0.96 | 1.05 | 0.47 | 0.69 | 0.04 | 2.19 | 2.28 | 1.70 | 1.92 | XXX | |
| 99394 | N | Prev visit, est, age 12-17 | 1.36 | 1.04 | 1.16 | 0.54 | 0.79 | 0.04 | 2.44 | 2.56 | 1.94 | 2.19 | XXX | |
| 99395 | N | Prev visit, est, age 18-39 | 1.36 | 1.06 | 1.14 | 0.54 | 0.75 | 0.04 | 2.46 | 2.54 | 1.94 | 2.15 | XXX | |
| 99396 | N | Prev visit, est, age 40-64 | 1.53 | 1.15 | 1.24 | 0.61 | 0.84 | 0.05 | 2.73 | 2.82 | 2.19 | 2.42 | XXX | |
| 99397 | N | Prev visit, est, 65 over | 1.71 | 1.25 | 1.36 | 0.68 | 0.93 | 0.05 | 3.01 | 3.12 | 2.44 | 2.69 | XXX | |
| 99401 | N | Preventive counseling, indiv | 0.48 | 0.54 | 0.53 | 0.19 | 0.27 | 0.01 | 1.03 | 1.02 | 0.68 | 0.76 | XXX | |
| 99402 | N | Preventive counseling, indiv | 0.98 | 0.78 | 0.83 | 0.39 | 0.54 | 0.03 | 1.79 | 1.84 | 1.40 | 1.55 | XXX | |
| 99403 | N | Preventive counseling, indiv | 1.46 | 1.01 | 1.12 | 0.58 | 0.80 | 0.04 | 2.51 | 2.62 | 2.08 | 2.30 | XXX | |
| 99404 | N | Preventive counseling, indiv | 1.95 | 1.24 | 1.41 | 0.77 | 1.06 | 0.05 | 3.24 | 3.41 | 2.77 | 3.06 | XXX | |
| 99411 | N | Preventive counseling, group | 0.15 | 0.16 | 0.16 | 0.06 | 0.08 | 0.01 | 0.32 | 0.32 | 0.22 | 0.24 | XXX | |
| 99412 | N | Preventive counseling, group | 0.25 | 0.22 | 0.23 | 0.10 | 0.14 | 0.01 | 0.48 | 0.49 | 0.36 | 0.40 | XXX | |
| 99420 | N | Health risk assessment test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99429 | N | Unlisted preventive service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99431 | A | Initial care, normal newborn | 1.17 | NA | NA | 0.39 | 0.62 | 0.04 | NA | NA | 1.60 | 1.83 | XXX | |
| 99432 | A | Newborn care, not in hosp | 1.26 | 0.73 | 0.90 | 0.40 | 0.66 | 0.04 | 2.03 | 2.20 | 1.70 | 1.96 | XXX | |
| 99433 | A | Normal newborn care/hospital | 0.62 | NA | NA | 0.22 | 0.34 | 0.02 | NA | NA | 0.86 | 0.98 | XXX | |
| 99435 | A | Newborn discharge day hosp | 1.50 | NA | NA | 0.50 | 0.80 | 0.05 | NA | NA | 2.05 | 2.35 | XXX | |
| 99436 | A | Attendance, birth | 1.50 | 0.48 | 0.78 | 0.48 | 0.78 | 0.05 | 2.03 | 2.33 | 2.03 | 2.33 | XXX | |
| 99440 | A | Newborn resuscitation | 2.93 | NA | NA | 0.97 | 1.55 | 0.09 | NA | NA | 3.99 | 4.57 | XXX | |
| 99450 | N | Life/disability evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99455 | R | Disability examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99456 | R | Disability examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99499 | C | Unlisted em service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0021 | I | Outside state ambulance serv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0030 | X | Air ambulance service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0040 | X | Helicopter ambulance service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0050 | X | Water amb service emergency | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0080 | I | Noninterest escort in non er | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0090 | I | Interest escort in non er | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0100 | I | Nonemergency transport taxi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0110 | I | Nonemergency transport bus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0120 | I | Noner transport mini-bus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0130 | I | Noner transport wheelch van | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0140 | I | Nonemergency transport air | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0160 | I | Noner transport case worker | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0170 | I | Noner transport parking fees | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0180 | I | Noner transport lodgng recip | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0190 | I | Noner transport meals recip | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0200 | I | Noner transport lodgng escrt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0210 | I | Noner transport meals escort | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0225 | X | Neonatal emergency transport | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0300 | X | Ambulance basic non-emer all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0302 | X | Ambulance basic emergeny all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0304 | X | Amb adv non-er no serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0306 | X | Amb adv non-er spec serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0308 | X | Amb adv er no spec serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0310 | X | Amb adv er spec serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0320 | X | Amb basic non-er + supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0322 | X | Amb basic emerg + supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0324 | X | Adv non-er serv sep mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0326 | X | Adv non-er no serv sep mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0328 | X | Adv er no serv sep mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0330 | X | Adv er spec serv sep mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0340 | X | Amb basic non-er + mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0342 | X | Ambul basic emer + mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0344 | X | Amb adv non-er no serv +mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0346 | X | Amb adv non-er serv + mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0348 | X | Adv emer no spec serv + mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0350 | X | Adv emer spec serv + mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0360 | X | Basic non-er sep mile supp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0362 | X | Basic emer sep mile supply | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0364 | X | Adv non-er no serv sep misu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0366 | X | Adv non-er serv sep milsupp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0368 | X | Adv er no serv sep milesupp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0370 | X | Adv er spec serv sep misupp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0380 | X | Basic life support mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0382 | X | Basic support routine suppls | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0384 | X | Bls defibrillation supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0390 | X | Advanced life support mileag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0392 | X | Als defibrillation supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0394 | X | Als IV drug therapy supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0396 | X | Als esophageal intub suppls | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0398 | X | Als routine disposble suppls | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0420 | X | Ambulance waiting 1/2 hr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0422 | X | Ambulance 02 life sustaining | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0424 | X | Extra ambulance attendant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0888 | N | Noncovered ambulance mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0999 | X | Unlisted ambulance service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4206 | I | 1 CC sterile syringeneedle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4207 | I | 2 CC sterile syringeneedle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4208 | I | 3 CC sterile syringeneedle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4209 | I | 5+ CC sterile syringeneedle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4210 | N | Nonneedle injection device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4211 | P | Supp for self-adm injections | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4212 | P | Non coring needle or stylet | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4213 | I | 20+ CC syringe only | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4214 | P | 30 CC sterile water/saline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4215 | I | Sterile needle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4220 | P | Infusion pump refill kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4221 | X | Maint drug infus cath per wk | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4222 | X | Drug infusion pump supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4230 | X | Infus insulin pump non needl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4231 | X | Infusion insulin pump needle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4232 | X | Syringe w/needle insulin 3cc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4244 | I | Alcohol or peroxide per pint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4245 | I | Alcohol wipes per box | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4246 | I | Betadine/phisohex solution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4247 | I | Betadine/iodine swabs/wipes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4250 | N | Urine reagent strips/tablets | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4253 | P | Blood glucose/reagent strips | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4254 | X | Battery for glucose monitor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4255 | X | Glucose monitor platforms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4256 | P | Calibrator solution/chips | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4258 | P | Lancet device each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4259 | P | Lancets per box | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4260 | N | Levonorgestrel implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4261 | N | Cervical cap contraceptive | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4262 | B | Temporary tear duct plug | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4263 | A | Permanent tear duct plug | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | XXX | |
| A4265 | P | Paraffin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4270 | B | Disposable endoscope sheath | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4280 | X | Brst prsths adhsv attchmnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4300 | A | Cath impl vasc access portal | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | XXX | |
| A4301 | P | Implantable access syst perc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4305 | P | Drug delivery system =50 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4306 | P | Drug delivery system =5 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4310 | P | Insert tray w/o bag/cath | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4311 | P | Catheter w/o bag 2-way latex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4312 | P | Cath w/o bag 2-way silicone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4313 | P | Catheter w/bag 3-way | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4314 | P | Cath w/drainage 2-way latex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4315 | P | Cath w/drainage 2-way silcne | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4316 | P | Cath w/drainage 3-way | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4320 | P | Irrigation tray | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4321 | X | Cath therapeutic irrig agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4322 | P | Irrigation syringe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4323 | P | Saline irrigation solution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4326 | P | Male external catheter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4327 | P | Fem urinary collect dev cup | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4328 | P | Fem urinary collect pouch | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4329 | P | External catheter start set | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4330 | P | Stool collection pouch | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4335 | P | Incontinence supply | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4338 | P | Indwelling catheter latex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4340 | P | Indwelling catheter special | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4344 | P | Cath indw foley 2 way silicn | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4346 | P | Cath indw foley 3 way | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4347 | P | Male external catheter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4351 | P | Straight tip urine catheter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4352 | P | Coude tip urinary catheter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4353 | X | Intermittent urinary cath | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4354 | P | Cath insertion tray w/bag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4355 | P | Bladder irrigation tubing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4356 | P | Ext ureth clmp or compr dvc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4357 | P | Bedside drainage bag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4358 | P | Urinary leg bag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4359 | P | Urinary suspensory w/o leg b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4361 | P | Ostomy face plate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4362 | P | Solid skin barrier | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4363 | D | Liquid skin barrier | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4364 | P | Ostomy/cath adhesive | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4365 | X | Ostomy adhesive remover wipe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4367 | P | Ostomy belt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4368 | X | Ostomy filter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4369 | X | Skin barrier liquid per oz | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4370 | X | Skin barrier paste per oz | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4371 | X | Skin barrier powder per oz | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4372 | X | Skin barrier solid 4x4 equiv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4373 | X | Skin barrier with flange | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4374 | X | Skin barrier extended wear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4375 | X | Drainable plastic pch w fcpl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4376 | X | Drainable rubber pch w fcplt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4377 | X | Drainable plstic pch w/o fp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4378 | X | Drainable rubber pch w/o fp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4379 | X | Urinary plastic pouch w fcpl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4380 | X | Urinary rubber pouch w fcplt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4381 | X | Urinary plastic pouch w/o fp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4382 | X | Urinary hvy plstc pch w/o fp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4383 | X | Urinary rubber pouch w/o fp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4384 | X | Ostomy faceplt/silicone ring | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4385 | X | Ost skn barrier sld ext wear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4386 | X | Ost skn barrier w flng ex wr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4387 | X | Ost clsd pouch w att st barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4388 | X | Drainable pch w ex wear barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4389 | X | Drainable pch w st wear barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4390 | X | Drainable pch ex wear convex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4391 | X | Urinary pouch w ex wear barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4392 | X | Urinary pouch w st wear barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4393 | X | Urine pch w ex wear bar conv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4394 | X | Ostomy pouch liq deodorant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4395 | X | Ostomy pouch solid deodorant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4397 | P | Irrigation supply sleeve | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4398 | P | Ostomy irrigation bag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4399 | P | Ostomy irrig cone/cath w brs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4400 | P | Ostomy irrigation set | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4402 | P | Lubricant per ounce | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4404 | P | Ostomy ring each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4421 | P | Ostomy supply misc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4454 | P | Tape all types all sizes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4455 | P | Adhesive remover per ounce | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4460 | P | Elastic compression bandage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4462 | X | Abdmnl drssng holder/binder | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4465 | P | Non-elastic extremity binder | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4470 | P | Gravlee jet washer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4480 | P | Vabra aspirator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4481 | X | Tracheostoma filter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4483 | X | Moisture exchanger | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4490 | N | Above knee surgical stocking | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4495 | N | Thigh length surg stocking | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4500 | N | Below knee surgical stocking | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4510 | N | Full length surg stocking | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4550 | A | Surgical trays | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | XXX | |
| A4554 | N | Disposable underpads | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4556 | P | Electrodes, pair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4557 | P | Lead wires, pair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4558 | P | Conductive paste or gel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4560 | X | Pessary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4565 | X | Slings | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4570 | X | Splint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4572 | X | Rib belt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4575 | N | Hyperbaric o2 chamber disps | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4580 | X | Cast supplies (plaster) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4590 | X | Special casting material | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4595 | X | TENS suppl 2 lead per month | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4611 | X | Heavy duty battery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4612 | X | Battery cables | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4613 | X | Battery charger | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4614 | X | Hand-held PEFR meter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4615 | X | Cannula nasal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4616 | X | Tubing (oxygen) per foot | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4617 | X | Mouth piece | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4618 | X | Breathing circuits | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4619 | X | Face tent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4620 | X | Variable concentration mask | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4621 | X | Tracheotomy mask or collar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4622 | X | Tracheostomy or larngectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4623 | X | Tracheostomy inner cannula | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4624 | X | Tracheal suction tube | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4625 | X | Trach care kit for new trach | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4626 | X | Tracheostomy cleaning brush | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4627 | N | Spacer bag/reservoir | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4628 | X | Oropharyngeal suction cath | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4629 | X | Tracheostomy care kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4630 | X | Repl bat t.e.n.s. own by pt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4631 | X | Wheelchair battery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4635 | X | Underarm crutch pad | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4636 | X | Handgrip for cane etc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4637 | X | Repl tip cane/crutch/walker | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4640 | X | Alternating pressure pad | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4641 | E | Diagnostic imaging agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4642 | E | Satumomab pendetide per dose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4643 | E | High dose contrast MRI | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4644 | E | Contrast 100-199 MGs iodine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4645 | E | Contrast 200-299 MGs iodine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4646 | E | Contrast 300-399 MGs iodine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4647 | B | Supp- paramagnetic contr mat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4649 | P | Surgical supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4650 | X | Supp esrd centrifuge | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4655 | X | Esrd syringe/needle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4660 | X | Esrd blood pressure device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4663 | X | Esrd blood pressure cuff | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4670 | N | Auto blood pressure monitor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4680 | X | Activated carbon filters | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4690 | X | Dialyzers | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4700 | X | Standard dialysate solution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4705 | X | Bicarb dialysate solution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4712 | X | Sterile water | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4714 | X | Treated water for dialysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4730 | X | Fistula cannulation set dial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4735 | X | Local/topical anesthetics | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4740 | X | Esrd shunt accessory | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4750 | X | Arterial or venous tubing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4755 | X | Arterial and venous tubing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4760 | X | Standard testing solution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4765 | X | Dialysate concentrate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4770 | X | Blood testing supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4771 | X | Blood clotting time tube | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4772 | X | Dextrostick/glucose strips | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4773 | X | Hemostix | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4774 | X | Ammonia test paper | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4780 | X | Esrd sterilizing agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4790 | X | Esrd cleansing agents | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4800 | X | Heparin/antidote dialysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4820 | X | Supplies hemodialysis kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4850 | X | Rubber tipped hemostats | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4860 | X | Disposable catheter caps | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4870 | X | Plumbing/electrical work | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4880 | X | Water storage tanks | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4890 | R | Contracts/repair/maintenance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4900 | X | Capd supply kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4901 | X | Ccpd supply kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4905 | X | Ipd supply kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4910 | X | Esrd nonmedical supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4912 | X | Gomco drain bottle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4913 | X | Esrd supply | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4914 | X | Preparation kit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4918 | X | Venous pressure clamp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4919 | X | Supp dialysis dialyzer holde | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4920 | X | Harvard pressure clamp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4921 | X | Measuring cylinder | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4927 | X | Gloves | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5051 | P | Pouch clsd w barr attached | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5052 | P | Clsd ostomy pouch w/o barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5053 | P | Clsd ostomy pouch faceplate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5054 | P | Clsd ostomy pouch w/flange | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5055 | P | Stoma cap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5061 | P | Pouch drainable w barrier at | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5062 | P | Drnble ostomy pouch w/o barr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5063 | P | Drain ostomy pouch w/flange | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5064 | I | Drain ostomy pouch w/fceplte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5065 | I | Drain ostomy pouch on fcplte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5071 | P | Urinary pouch w/barrier | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5072 | P | Urinary pouch w/o barrier | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5073 | P | Urinary pouch on barr w/flng | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5074 | I | Urinary pouch w/faceplate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5075 | I | Urinary pouch on faceplate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5081 | P | Continent stoma plug | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5082 | P | Continent stoma catheter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5093 | P | Ostomy accessory convex inse | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5102 | P | Bedside drain btl w/wo tube | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5105 | P | Urinary suspensory | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5112 | P | Urinary leg bag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5113 | P | Latex leg strap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5114 | P | Foam/fabric leg strap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5119 | P | Skin barrier wipes box pr 50 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5121 | P | Solid skin barrier 6x6 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5122 | P | Solid skin barrier 8x8 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5123 | P | Skin barrier with flange | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5126 | P | Disk/foam pad +or- adhesive | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5131 | P | Appliance cleaner | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5149 | P | Incontinence/ostomy supply | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5200 | X | Percutaneous catheter anchor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5500 | X | Diab shoe for density insert | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5501 | X | Diabetic custom molded shoe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5502 | X | Diabetic shoe density insert | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5503 | X | Diabetic shoe w/roller/rockr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5504 | X | Diabetic shoe with wedge | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5505 | X | Diab shoe w/metatarsal bar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5506 | X | Diabetic shoe w/off set heel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5507 | X | Modification diabetic shoe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A5508 | X | Diabetic deluxe shoe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6020 | P | Collagen wound dressing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6025 | I | Silicone gel sheet, each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6154 | P | Wound pouch each | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6196 | P | Alginate dressing =16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6197 | P | Alginate drsg 16 =48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6198 | P | alginate dressing 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6199 | P | Alginate drsg wound filler | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6200 | X | Compos drsg =16 no border | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6201 | X | Compos drsg 16=48 no bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6202 | X | Compos drsg 48 no border | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6203 | P | Composite drsg = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6204 | P | Composite drsg 16=48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6205 | P | Composite drsg 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6206 | P | Contact layer = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6207 | P | Contact layer 16= 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6208 | P | Contact layer 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6209 | P | Foam drsg =16 sq in w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6210 | P | Foam drg 16=48 sq in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6211 | P | Foam drg 48 sq in w/o brdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6212 | P | Foam drg =16 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6213 | P | Foam drg 16=48 sq in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6214 | P | Foam drg 48 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6215 | P | Foam dressing wound filler | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6216 | P | Non-sterile gauze=16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6217 | P | Non-sterile gauze>16=48 sq | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6218 | P | Non-sterile gauze 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6219 | P | Gauze = 16 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6220 | P | Gauze 16 =48 sq in w/bordr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6221 | P | Gauze 48 sq in w/border | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6222 | P | Gauze =16 in no w/sal w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6223 | P | Gauze 16=48 no w/sal w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6224 | P | Gauze 48 in no w/sal w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6228 | P | Gauze = 16 sq in water/sal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6229 | P | Gauze 16=48 sq in watr/sal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6230 | P | Gauze 48 sq in water/salne | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6234 | P | Hydrocolld drg =16 w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6235 | P | Hydrocolld drg 16=48 w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6236 | P | Hydrocolld drg 48 in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6237 | P | Hydrocolld drg =16 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6238 | P | Hydrocolld drg 16=48 w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6239 | P | Hydrocolld drg 48 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6240 | P | Hydrocolld drg filler paste | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6241 | P | Hydrocolloid drg filler dry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6242 | P | Hydrogel drg =16 in w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6243 | P | Hydrogel drg 16=48 w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6244 | P | Hydrogel drg 48 in w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6245 | P | Hydrogel drg = 16 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6246 | P | Hydrogel drg 16=48 in w/b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6247 | P | Hydrogel drg 48 sq in w/b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6248 | P | Hydrogel drsg gel filler | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6250 | P | Skin seal protect moisturizr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6251 | P | Absorpt drg =16 sq in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6252 | P | Absorpt drg 16 =48 w/o bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6253 | P | Absorpt drg 48 sq in w/o b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6254 | P | Absorpt drg =16 sq in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6255 | P | Absorpt drg 16=48 in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6256 | P | Absorpt drg 48 sq in w/bdr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6257 | P | Transparent film = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6258 | P | Transparent film 16=48 in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6259 | P | Transparent film 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6260 | P | Wound cleanser any type/size | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6261 | P | Wound filler gel/paste /oz | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6262 | P | Wound filler dry form / gram | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6263 | P | Non-sterile elastic gauze/yd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6264 | P | Non-sterile no elastic gauze | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6265 | P | Tape per 18 sq inches | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6266 | P | Impreg gauze no h20/sal/yard | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6402 | P | Sterile gauze = 16 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6403 | P | Sterile gauze>16 = 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6404 | P | Sterile gauze 48 sq in | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6405 | P | Sterile elastic gauze /yd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A6406 | P | Sterile non-elastic gauze/yd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7000 | X | Disposable canister for pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7001 | X | Nondisposable pump canister | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7002 | X | Tubing used w suction pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7003 | X | Nebulizer administration set | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7004 | X | Disposable nebulizer sml vol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7005 | X | Nondisposable nebulizer set | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7006 | X | Filtered nebulizer admin set | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7007 | X | Lg vol nebulizer disposable | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7008 | X | Disposable nebulizer prefill | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7009 | X | Nebulizer reservoir bottle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7010 | X | Disposable corrugated tubing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7011 | X | Nondispos corrugated tubing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7012 | X | Nebulizer water collec devic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7013 | X | Disposable compressor filter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7014 | X | Compressor nondispos filter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7015 | X | Aerosol mask used w nebulize | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7016 | X | Nebulizer dome mouthpiece | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A7017 | X | Nebulizer not used w oxygen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9150 | E | Misc/exper non-prescript dru | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9160 | N | Podiatrist non-covered servi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9170 | N | Chiropractor non-covered ser | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9190 | N | Misc/expe personal comfort i | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9270 | N | Non-covered item or service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9300 | N | Exercise equipment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9500 | E | Technetium TC 99m sestamibi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9502 | X | Technetium TC99M tetrofosmin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9503 | E | Technetium TC 99m medronate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9504 | X | Technetium tc 99m apcitide | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9505 | E | Thallous chloride TL 201/mci | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9507 | X | Indium/111 capromab pendetid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9600 | X | Strontium-89 chloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9605 | X | Samarium sm153 lexidronamm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9900 | X | Supply/accessory/service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A9901 | X | Delivery/set up/dispensing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0120 | N | Periodic oral evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0140 | N | Limit oral eval problm focus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0150 | R | Comprehensve oral evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0160 | N | Extensv oral eval prob focus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0170 | N | Re-eval,est pt,problem focus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0210 | I | Intraor complete film series | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0220 | I | Intraoral periapical first f | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0230 | I | Intraoral periapical ea add | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0240 | R | Intraoral occlusal film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0250 | R | Extraoral first film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0260 | R | Extraoral ea additional film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0270 | R | Dental bitewing single film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0272 | R | Dental bitewings two films | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0274 | R | Dental bitewings four films | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0277 | R | Vert bitewings-sev to eight | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0290 | I | Dental film skull/facial bon | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0310 | I | Dental saliography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0320 | I | Dental tmj arthrogram incl i | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0321 | I | Dental other tmj films | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0322 | I | Dental tomographic survey | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0330 | I | Dental panoramic film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0340 | I | Dental cephalometric film | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0350 | I | Oral/facial images | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0415 | N | Bacteriologic study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0425 | N | Caries susceptibility test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0460 | R | Pulp vitality test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0470 | N | Diagnostic casts | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0471 | D | Diagnostic photographs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0472 | R | Gross exam, prep report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0473 | R | Micro exam, prep report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0474 | R | Micro w exam of surg margins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0480 | R | Cytopath smear prep report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0501 | R | Histopathologic examinations | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0502 | R | Other oral pathology procedu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D0999 | R | Unspecified diagnostic proce | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1110 | N | Dental prophylaxis adult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1120 | N | Dental prophylaxis child | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1201 | N | Topical fluor w prophy child | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1203 | N | Topical fluor w/o prophy chi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1204 | N | Topical fluor w/o prophy adu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1205 | N | Topical fluoride w/ prophy a | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1310 | N | Nutri counsel-control caries | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1320 | N | Tobacco counseling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1330 | N | Oral hygiene instruction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1351 | N | Dental sealant per tooth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D1510 | R | Space maintainer fxd unilat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1515 | R | Fixed bilat space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1520 | R | Remove unilat space maintain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1525 | R | Remove bilat space maintain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D1550 | R | Recement space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2110 | N | Amalgam one surface primary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2120 | N | Amalgam two surfaces primary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2130 | N | Amalgam three surfaces prima | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2131 | N | Amalgam four/more surf prima | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2140 | N | Amalgam one surface permanen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2150 | N | Amalgam two surfaces permane | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2160 | N | Amalgam three surfaces perma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2161 | N | Amalgam 4 or >surfaces perm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2210 | D | Silcate cement per restorat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2330 | N | Resin one surface-anterior | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2331 | N | Resin two surfaces-anterior | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2332 | N | Resin three surfaces-anterio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2335 | N | Resin 4/>surf or w incis an | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2336 | N | Composite resin crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2337 | N | Compo resin crown ant-perm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2380 | N | Resin one surf poster primar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2381 | N | Resin two surf poster primar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2382 | N | Resin three/more surf post p | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2385 | N | Resin one surf poster perman | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2386 | N | Resin two surf poster perman | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2387 | N | Resin three/more surf post p | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2388 | N | Resin four/more, post perm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2410 | N | Dental gold foil one surface | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2420 | N | Dental gold foil two surface | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2430 | N | Dental gold foil three surfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2510 | N | Dental inlay metalic 1 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2520 | N | Dental inlay metallic 2 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2530 | N | Dental inlay metl 3/more sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2542 | N | Dental onlay metallic 2 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2543 | N | Dental onlay metallic 3 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2544 | N | Dental onlay metl 4/more sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2610 | N | Inlay porcelain/ceramic 1 su | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2620 | N | Inlay porcelain/ceramic 2 su | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2630 | N | Dental onlay porc 3/more sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2642 | N | Dental onlay porcelin 2 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2643 | N | Dental onlay porcelin 3 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2644 | N | Dental onlay porc 4/more sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2650 | N | Inlay composite/resin one su | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2651 | N | Inlay composite/resin two su | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2652 | N | Dental inlay resin 3/mre sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2662 | N | Dental onlay resin 2 surface | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2663 | N | Dental onlay resin 3 surface | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2664 | N | Dental onlay resin 4/mre sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2710 | N | Crown resin laboratory | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2720 | N | Crown resin w/ high noble me | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2721 | N | Crown resin w/ base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2722 | N | Crown resin w/ noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2740 | N | Crown porcelain/ceramic subs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2750 | N | Crown porcelain w/ h noble m | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2751 | N | Crown porcelain fused base m | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2752 | N | Crown porcelain w/ noble met | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2780 | N | Crown 3/4 cast hi noble met | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2781 | N | Crown 3/4 cast base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2782 | N | Crown 3/4 cast noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2783 | N | Crown 3/4 porcelain/ceramic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2790 | N | Crown full cast high noble m | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2791 | N | Crown full cast base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2792 | N | Crown full cast noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2799 | N | Provisional crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2810 | D | Crown 3/4 cast metallic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2910 | N | Dental recement inlay | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2920 | N | Dental recement crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2930 | N | Prefab stnlss steel crwn pri | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2931 | N | Prefab stnlss steel crown pe | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2932 | N | Prefabricated resin crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2933 | N | Prefab stainless steel crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2940 | N | Dental sedative filling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2950 | N | Core build-up incl any pins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2951 | N | Tooth pin retention | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2952 | N | Post and core cast + crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2953 | N | Each addtnl cast post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2954 | N | Prefab post/core + crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2955 | N | Post removal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2957 | N | Each addtnl prefab post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2960 | N | Laminate labial veneer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2961 | N | Lab labial veneer resin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2962 | N | Lab labial veneer porcelain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2970 | R | Temporary-fractured tooth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2980 | N | Crown repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2999 | R | Dental unspec restorative pr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D3110 | N | Pulp cap direct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3120 | N | Pulp cap indirect | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3220 | N | Therapeutic pulpotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3221 | N | Gross pulpal debridement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3230 | N | Pulpal therapy anterior prim | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3240 | N | Pulpal therapy posterior pri | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3310 | N | Anterior | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3320 | N | Root canal therapy 2 canals | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3330 | N | Root canal therapy 3 canals | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3331 | N | Non-surg tx root canal obs | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3332 | N | Incomplete endodontic tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3333 | N | Internal root repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3346 | N | Retreat root canal anterior | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3347 | N | Retreat root canal bicuspid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3348 | N | Retreat root canal molar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3351 | N | Apexification/recalc initial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3352 | N | Apexification/recalc interim | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3353 | N | Apexification/recalc final | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3410 | N | Apicoect/perirad surg anter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3421 | N | Root surgery bicuspid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3425 | N | Root surgery molar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3426 | N | Root surgery ea add root | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3430 | N | Retrograde filling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3450 | N | Root amputation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3460 | R | Endodontic endosseous implan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D3470 | N | Intentional replantation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3910 | N | Isolation-tooth w rubb dam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3920 | N | Tooth splitting | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3950 | N | Canal prep/fitting of dowel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3960 | D | Bleaching of discolored toot | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3999 | R | Endodontic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4210 | I | Gingivectomy/plasty per quad | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4211 | I | Gingivectomy/plasty per toot | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4220 | N | Gingival curettage per quadr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4240 | N | Gingival flap proc w/ planin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4245 | N | Apically positioned flap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4249 | N | Crown lengthen hard tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4250 | D | Mucogingival surg per quadra | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4260 | R | Osseous surgery per quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4263 | R | Bone replce graft first site | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4264 | R | Bone replce graft each add | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4266 | N | Guided tiss regen resorble | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4267 | N | Guided tiss regen nonresorb | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4268 | R | Surgical revision procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4270 | R | Pedicle soft tissue graft pr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4271 | R | Free soft tissue graft proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4273 | R | Subepithelial tissue graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4274 | N | Distal/proximal wedge proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4320 | N | Provision splnt intracoronal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4321 | N | Provisional splint extracoro | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4341 | N | Periodontal scaling root | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4355 | R | Full mouth debridement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4381 | R | Localized chemo delivery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4910 | N | Periodontal maint procedures | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4920 | N | Unscheduled dressing change | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4999 | N | Unspecified periodontal proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5110 | N | Dentures complete maxillary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5120 | N | Dentures complete mandible | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5130 | N | Dentures immediat maxillary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5140 | N | Dentures immediat mandible | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5211 | N | Dentures maxill part resin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5212 | N | Dentures mand part resin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5213 | N | Dentures maxill part metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5214 | N | Dentures mandibl part metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5281 | N | Removable partial denture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5410 | N | Dentures adjust cmplt maxil | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5411 | N | Dentures adjust cmplt mand | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5421 | N | Dentures adjust part maxill | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5422 | N | Dentures adjust part mandbl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5510 | N | Dentur repr broken compl bas | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5520 | N | Replace denture teeth complt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5610 | N | Dentures repair resin base | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5620 | N | Rep part denture cast frame | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5630 | N | Rep partial denture clasp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5640 | N | Replace part denture teeth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5650 | N | Add tooth to partial denture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5660 | N | Add clasp to partial denture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5710 | N | Dentures rebase cmplt maxil | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5711 | N | Dentures rebase cmplt mand | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5720 | N | Dentures rebase part maxill | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5721 | N | Dentures rebase part mandbl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5730 | N | Denture reln cmplt maxil ch | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5731 | N | Denture reln cmplt mand chr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5740 | N | Denture reln part maxil chr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5741 | N | Denture reln part mand chr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5750 | N | Denture reln cmplt max lab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5751 | N | Denture reln cmplt mand lab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5760 | N | Denture reln part maxil lab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5761 | N | Denture reln part mand lab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5810 | N | Denture interm cmplt maxill | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5811 | N | Denture interm cmplt mandbl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5820 | N | Denture interm part maxill | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5821 | N | Denture interm part mandbl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5850 | N | Denture tiss conditn maxill | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5851 | N | Denture tiss condtin mandbl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5860 | N | Overdenture complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5861 | N | Overdenture partial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5862 | N | Precision attachment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5867 | N | Replacement of precision att | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5875 | N | Prosthesis modification | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5899 | N | Removable prosthodontic proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5911 | R | Facial moulage sectional | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5912 | R | Facial moulage complete | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5913 | I | Nasal prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5914 | I | Auricular prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5915 | I | Orbital prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5916 | I | Ocular prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5919 | I | Facial prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5922 | I | Nasal septal prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5923 | I | Ocular prosthesis interim | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5924 | I | Cranial prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5925 | I | Facial augmentation implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5926 | I | Replacement nasal prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5927 | I | Auricular replacement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5928 | I | Orbital replacement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5929 | I | Facial replacement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5931 | I | Surgical obturator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5932 | I | Postsurgical obturator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5933 | I | Refitting of obturator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5934 | I | Mandibular flange prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5935 | I | Mandibular denture prosth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5936 | I | Temp obturator prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5937 | I | Trismus appliance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5951 | R | Feeding aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5952 | I | Pediatric speech aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5953 | I | Adult speech aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5954 | I | Superimposed prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5955 | I | Palatal lift prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5958 | I | Intraoral con def inter plt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5959 | I | Intraoral con def mod palat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5960 | I | Modify speech aid prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5982 | I | Surgical stent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5983 | R | Radiation applicator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5984 | R | Radiation shield | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5985 | R | Radiation cone locator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5986 | N | Fluoride applicator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5987 | R | Commissure splint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5988 | I | Surgical splint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5999 | I | Maxillofacial prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6010 | I | Odontics endosteal implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6020 | I | Odontics abutment placement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6040 | I | Odontics eposteal implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6050 | I | Odontics transosteal implnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6055 | I | Implant connecting bar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6056 | N | Prefabricated abutment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6057 | N | Custom abutment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6058 | N | Abutment supported crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6059 | N | Abutment supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6060 | N | Abutment supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6061 | N | Abutment supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6062 | N | Abutment supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6063 | N | Abutment supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6064 | N | Abutment supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6065 | N | Implant supported crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6066 | N | Implant supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6067 | N | Implant supported mtl crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6068 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6069 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6070 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6071 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6072 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6073 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6074 | N | Abutment supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6075 | N | Implant supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6076 | N | Implant supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6077 | N | Implant supported retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6078 | N | Implnt/abut suprtd fixd dent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6079 | N | Implnt/abut suprtd fixd dent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6080 | I | Implant maintenance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6090 | I | Repair implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6095 | I | Odontics repr abutment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6100 | I | Removal of implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6199 | I | Implant procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6210 | N | Prosthodont high noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6211 | N | Bridge base metal cast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6212 | N | Bridge noble metal cast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6240 | N | Bridge porcelain high noble | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6241 | N | Bridge porcelain base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6242 | N | Bridge porcelain nobel metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6245 | N | Bridge porcelain/ceramic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6250 | N | Bridge resin w/high noble | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6251 | N | Bridge resin base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6252 | N | Bridge resin w/noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6519 | N | Inlay/onlay porce/ceramic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6520 | N | Dental retainer two surfaces | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6530 | N | Retainer metallic 3+ surface | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6543 | N | Dental retainr onlay 3 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6544 | N | Dental retainr onlay 4/more | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6545 | N | Dental retainr cast metl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6548 | N | Porcelain/ceramic retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6720 | N | Retain crown resin w hi nble | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6721 | N | Crown resin w/base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6722 | N | Crown resin w/noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6740 | N | Crown porcelain/ceramic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6750 | N | Crown porcelain high noble | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6751 | N | Crown porcelain base metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6752 | N | Crown porcelain noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6780 | N | Crown 3/4 high noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6781 | N | Crown 3/4 cast based metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6782 | N | Crown 3/4 cast noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6783 | N | Crown 3/4 porcelain/ceramic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6790 | N | Crown full high noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6791 | N | Crown full base metal cast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6792 | N | Crown full noble metal cast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6920 | R | Dental connector bar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D6930 | N | Dental recement bridge | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6940 | N | Stress breaker | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6950 | N | Precision attachment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6970 | N | Post core plus retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6971 | N | Cast post bridge retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6972 | N | Prefab post core plus reta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6973 | N | Core build up for retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6975 | N | Coping metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6976 | N | Each addtnl cast post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6977 | N | Each addtl prefab post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6980 | N | Bridge repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6999 | N | Fixed prosthodontic proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7110 | R | Oral surgery single tooth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7120 | R | Each add tooth extraction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7130 | R | Tooth root removal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7210 | R | Rem imp tooth w mucoper flp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7220 | R | Impact tooth remov soft tiss | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7230 | R | Impact tooth remov part bony | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7240 | R | Impact tooth remov comp bony | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7241 | R | Impact tooth rem bony w/comp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7250 | R | Tooth root removal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7260 | R | Oral antral fistula closure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7270 | N | Tooth reimplantation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7272 | N | Tooth transplantation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7280 | N | Exposure impact tooth orthod | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7281 | N | Exposure tooth aid eruption | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7285 | I | Biopsy of oral tissue hard | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7286 | I | Biopsy of oral tissue soft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7290 | N | Repositioning of teeth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7291 | R | Transseptal fiberotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7310 | I | Alveoplasty w/ extraction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7320 | I | Alveoplasty w/o extraction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7340 | I | Vestibuloplasty ridge extens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7350 | I | Vestibuloplasty exten graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7410 | I | Rad exc lesion up to 1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7420 | I | Lesion >1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7430 | I | Exc benign tumor to 1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7431 | I | Benign tumor exc >1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7440 | I | Malig tumor exc to 1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7441 | I | Malig tumor >1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7450 | I | Rem odontogen cyst to 1.25cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7451 | I | Rem odontogen cyst >1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7460 | I | Rem nonodonto cyst to 1.25cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7461 | I | Rem nonodonto cyst >1.25 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7465 | I | Lesion destruction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7470 | D | Rem exostosis maxilla/mandib | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7471 | I | Rem exostosis any site | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7480 | I | Partial ostectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7490 | I | Mandible resection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7510 | I | Id absc intraoral soft tiss | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7520 | I | Id abscess extraoral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7530 | I | Removal fb skin/areolar tiss | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7540 | I | Removal of fb reaction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7550 | I | Removal of sloughed off bone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7560 | I | Maxillary sinusotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7610 | I | Maxilla open reduct simple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7620 | I | Clsd reduct simpl maxilla fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7630 | I | Open red simpl mandible fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7640 | I | Clsd red simpl mandible fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7650 | I | Open red simp malar/zygom fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7660 | I | Clsd red simp malar/zygom fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7670 | I | Closd rductn splint alveolus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7680 | I | Reduct simple facial bone fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7710 | I | Maxilla open reduct compound | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7720 | I | Clsd reduct compd maxilla fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7730 | I | Open reduct compd mandble fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7740 | I | Clsd reduct compd mandble fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7750 | I | Open red comp malar/zygma fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7760 | I | Clsd red comp malar/zygma fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7770 | I | Open reduc compd alveolus fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7780 | I | Reduct compnd facial bone fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7810 | I | Tmj open reduct-dislocation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7820 | I | Closed tmp manipulation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7830 | I | Tmj manipulation under anest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7840 | I | Removal of tmj condyle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7850 | I | Tmj meniscectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7852 | I | Tmj repair of joint disc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7854 | I | Tmj excisn of joint membrane | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7856 | I | Tmj cutting of a muscle | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7858 | I | Tmj reconstruction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7860 | I | Tmj cutting into joint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7865 | I | Tmj reshaping components | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7870 | I | Tmj aspiration joint fluid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7871 | N | Lysis + lavage w catheters | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7872 | I | Tmj diagnostic arthroscopy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7873 | I | Tmj arthroscopy lysis adhesn | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7874 | I | Tmj arthroscopy disc reposit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7875 | I | Tmj arthroscopy synovectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7876 | I | Tmj arthroscopy discectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7877 | I | Tmj arthroscopy debridement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7880 | I | Occlusal orthotic appliance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7899 | I | Tmj unspecified therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7910 | I | Dent sutur recent wnd to 5cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7911 | I | Dental suture wound to 5 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7912 | I | Suture complicate wnd >5 cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7920 | I | Dental skin graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7940 | R | Reshaping bone orthognathic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7941 | I | Bone cutting ramus closed | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7942 | D | Bone cutting ramus open | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7943 | I | Cutting ramus open w/graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7944 | I | Bone cutting segmented | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7945 | I | Bone cutting body mandible | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7946 | I | Reconstruction maxilla total | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7947 | I | Reconstruct maxilla segment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7948 | I | Reconstruct midface no graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7949 | I | Reconstruct midface w/graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7950 | I | Mandible graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7955 | I | Repair maxillofacial defects | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7960 | I | Frenulectomy/frenulotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7970 | I | Excision hyperplastic tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7971 | I | Excision pericoronal gingiva | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7980 | I | Sialolithotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7981 | I | Excision of salivary gland | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7982 | I | Sialodochoplasty | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7983 | I | Closure of salivary fistula | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7990 | I | Emergency tracheotomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7991 | I | Dental coronoidectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7995 | I | Synthetic graft facial bones | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7996 | I | Implant mandible for augment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7997 | N | Appliance removal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7999 | I | Oral surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8010 | N | Limited dental tx primary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8020 | N | Limited dental tx transition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8030 | N | Limited dental tx adolescent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8040 | N | Limited dental tx adult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8050 | N | Intercep dental tx primary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8060 | N | Intercep dental tx transitn | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8070 | N | Compre dental tx transition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8080 | N | Compre dental tx adolescent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8090 | N | Compre dental tx adult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8210 | N | Orthodontic rem appliance tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8220 | N | Fixed appliance therapy habt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8660 | N | Preorthodontic tx visit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8670 | N | Periodic orthodontc tx visit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8680 | N | Orthodontic retention | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8690 | N | Orthodontic treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8691 | N | Repair ortho appliance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8692 | N | Replacement retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D8999 | N | Orthodontic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9110 | R | Tx dental pain minor proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9210 | I | Dent anesthesia w/o surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9211 | I | Regional block anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9212 | I | Trigeminal block anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9215 | I | Local anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9220 | I | General anesthesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9221 | I | General anesthesia ea ad 15m | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9230 | R | Analgesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9240 | D | Intravenous sedation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9241 | I | Intravenous sedation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9242 | I | IV sedation ea ad 30 m | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9248 | R | Sedation (non-iv) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9310 | I | Dental consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9410 | I | Dental house call | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9420 | I | Hospital call | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9430 | I | Office visit during hours | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9440 | I | Office visit after hours | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9610 | I | Dent therapeutic drug inject | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9630 | R | Other drugs/medicaments | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9910 | N | Dent appl desensitizing med | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9911 | N | Appl desensitizing resin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9920 | N | Behavior management | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9930 | R | Treatment of complications | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9940 | R | Dental occlusal guard | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9941 | N | Fabrication athletic guard | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9950 | R | Occlusion analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9951 | R | Limited occlusal adjustment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9952 | R | Complete occlusal adjustment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9970 | N | Enamel microabrasion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9971 | N | Odontoplasty 1-2 teeth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9972 | N | Extrnl bleaching per arch | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9973 | N | Extrnl bleaching per tooth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9974 | N | Intrnl bleaching per tooth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9999 | I | Adjunctive procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0001 | X | Drawing blood for specimen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0002 | A | Temporary urinary catheter | 0.50 | 3.05 | 2.48 | 0.16 | 0.31 | 0.03 | 3.58 | 3.01 | 0.69 | 0.84 | 000 | |
| G0004 | A | ECG transm phys review int | 0.52 | 7.53 | 7.64 | NA | NA | 0.46 | 8.51 | 8.62 | NA | NA | XXX | |
| G0005 | A | ECG 24 hour recording | 0.00 | 1.25 | 1.26 | NA | NA | 0.07 | 1.32 | 1.33 | NA | NA | XXX | |
| G0006 | A | ECG transmission analysis | 0.00 | 6.08 | 6.12 | NA | NA | 0.37 | 6.45 | 6.49 | NA | NA | XXX | |
| G0007 | A | ECG phy review interpret | 0.52 | 0.20 | 0.26 | 0.20 | 0.26 | 0.02 | 0.74 | 0.80 | 0.74 | 0.80 | XXX | |
| G0008 | X | Admin influenza virus vac | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0009 | X | Admin pneumococcal vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0010 | X | Admin hepatitis b vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0015 | A | Post symptom ECG tracing | 0.00 | 6.08 | 6.12 | NA | NA | 0.37 | 6.45 | 6.49 | NA | NA | XXX | |
| G0016 | A | Post symptom ECG md review | 0.52 | 0.26 | 0.30 | 0.26 | 0.30 | 0.02 | 0.80 | 0.84 | 0.80 | 0.84 | XXX | |
| G0025 | A | Collagen skin test kit | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | 0.00 | 0.00 | 0.26 | 0.00 | 0.26 | XXX | |
| G0026 | X | Fecal leukocyte examination | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0027 | X | Semen analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0030 | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0030 | 26 | A | PET imaging prev PET single | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0030 | TC | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0031 | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0031 | 26 | A | PET imaging prev PET multple | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.07 | 2.64 | 2.64 | 2.64 | 2.64 | XXX |
| G0031 | TC | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0032 | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0032 | 26 | A | PET follow SPECT 78464 singl | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0032 | TC | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0033 | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0033 | 26 | A | PET follow SPECT 78464 mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0033 | TC | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0034 | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0034 | 26 | A | PET follow SPECT 76865 singl | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0034 | TC | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0035 | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0035 | 26 | A | PET follow SPECT 78465 mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.07 | 2.64 | 2.64 | 2.64 | 2.64 | XXX |
| G0035 | TC | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0036 | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0036 | 26 | A | PET follow cornry angio sing | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.06 | 2.08 | 2.08 | 2.08 | 2.08 | XXX |
| G0036 | TC | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0037 | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0037 | 26 | A | PET follow cornry angio mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.07 | 2.64 | 2.64 | 2.64 | 2.64 | XXX |
| G0037 | TC | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0038 | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0038 | 26 | A | PET follow myocard perf sing | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0038 | TC | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0039 | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0039 | 26 | A | PET follow myocard perf mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0039 | TC | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0040 | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0040 | 26 | A | PET follow stress echo singl | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0040 | TC | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0041 | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0041 | 26 | A | PET follow stress echo mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0041 | TC | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0042 | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0042 | 26 | A | PET follow ventriculogm sing | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0042 | TC | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0043 | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0043 | 26 | A | PET follow ventriculogm mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0043 | TC | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0044 | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0044 | 26 | A | PET following rest ECG singl | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0044 | TC | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0045 | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0045 | 26 | A | PET following rest ECG mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0045 | TC | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0046 | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0046 | 26 | A | PET follow stress ECG singl | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0046 | TC | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0047 | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0047 | 26 | A | PET follow stress ECG mult | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0047 | TC | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0050 | A | Residual urine by ultrasound | 0.00 | 0.86 | 0.87 | NA | NA | 0.04 | 0.90 | 0.91 | NA | NA | XXX | |
| G0101 | A | CA screen;pelvic/breast exam | 0.45 | 0.59 | 0.52 | 0.17 | 0.20 | 0.02 | 1.06 | 0.99 | 0.64 | 0.67 | XXX | |
| G0102 | A | Prostate ca screening; dre | 0.17 | 0.54 | 0.46 | 0.06 | 0.10 | 0.01 | 0.72 | 0.64 | 0.24 | 0.28 | XXX | |
| G0103 | X | Psa, total screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0104 | A | CA screen;flexi sigmoidscope | 0.96 | 1.68 | 1.59 | 0.42 | 0.65 | 0.07 | 2.71 | 2.62 | 1.45 | 1.68 | 000 | |
| G0105 | A | Colorectal scrn; hi risk ind | 3.70 | 5.39 | 5.16 | 1.63 | 2.34 | 0.26 | 9.35 | 9.12 | 5.59 | 6.30 | 000 | |
| G0106 | A | Colon CA screen;barium enema | 0.99 | 2.60 | 2.65 | NA | NA | 0.15 | 3.74 | 3.79 | NA | NA | XXX | |
| G0106 | 26 | A | Colon CA screen;barium enema | 0.99 | 0.34 | 0.38 | 0.34 | 0.38 | 0.04 | 1.37 | 1.41 | 1.37 | 1.41 | XXX |
| G0106 | TC | A | Colon CA screen;barium enema | 0.00 | 2.26 | 2.27 | NA | NA | 0.11 | 2.37 | 2.38 | NA | NA | XXX |
| G0107 | X | CA screen; fecal blood test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0108 | A | Diab manage trn per indiv | 0.00 | 1.64 | 1.64 | 1.64 | 1.64 | 0.01 | 1.65 | 1.65 | 1.65 | 1.65 | XXX | |
| G0109 | A | Diab manage trn ind/group | 0.00 | 0.96 | 0.96 | 0.96 | 0.96 | 0.01 | 0.97 | 0.97 | 0.97 | 0.97 | XXX | |
| G0110 | R | Nett pulm-rehab educ; ind | 0.90 | 0.66 | 0.57 | 0.36 | 0.34 | 0.03 | 1.59 | 1.50 | 1.29 | 1.27 | XXX | |
| G0111 | R | Nett pulm-rehab educ; group | 0.27 | 0.27 | 0.26 | 0.14 | 0.16 | 0.01 | 0.55 | 0.54 | 0.42 | 0.44 | XXX | |
| G0112 | R | Nett;nutrition guid, initial | 1.72 | 1.36 | 1.28 | 0.68 | 0.77 | 0.07 | 3.15 | 3.07 | 2.47 | 2.56 | XXX | |
| G0113 | R | Nett;nutrition guid,subseqnt | 1.29 | 0.95 | 0.92 | 0.41 | 0.52 | 0.05 | 2.29 | 2.26 | 1.75 | 1.86 | XXX | |
| G0114 | R | Nett; psychosocial consult | 1.20 | 0.49 | 0.46 | 0.37 | 0.37 | 0.03 | 1.72 | 1.69 | 1.60 | 1.60 | XXX | |
| G0115 | R | Nett; psychological testing | 1.20 | 0.52 | 0.49 | 0.48 | 0.46 | 0.03 | 1.75 | 1.72 | 1.71 | 1.69 | XXX | |
| G0116 | R | Nett; psychosocial counsel | 1.11 | 0.60 | 0.55 | 0.33 | 0.34 | 0.03 | 1.74 | 1.69 | 1.47 | 1.48 | XXX | |
| G0120 | A | Colon ca scrn; barium enema | 0.99 | 2.60 | 2.65 | NA | NA | 0.15 | 3.74 | 3.79 | NA | NA | XXX | |
| G0120 | 26 | A | Colon ca scrn; barium enema | 0.99 | 0.34 | 0.38 | 0.34 | 0.38 | 0.04 | 1.37 | 1.41 | 1.37 | 1.41 | XXX |
| G0120 | TC | A | Colon ca scrn; barium enema | 0.00 | 2.26 | 2.27 | NA | NA | 0.11 | 2.37 | 2.38 | NA | NA | XXX |
| G0121 | N | Colon ca scrn not hi rsk ind | 3.70 | 6.16 | 5.74 | 1.47 | 2.22 | 0.13 | 9.99 | 9.57 | 5.30 | 6.05 | XXX | |
| G0122 | N | Colon ca scrn; barium enema | 0.99 | 2.65 | 2.69 | NA | NA | 0.15 | 3.79 | 3.83 | NA | NA | XXX | |
| G0122 | 26 | N | Colon ca scrn; barium enema | 0.99 | 0.39 | 0.42 | 0.39 | 0.42 | 0.04 | 1.42 | 1.45 | 1.42 | 1.45 | XXX |
| G0122 | TC | N | Colon ca scrn; barium enema | 0.00 | 2.26 | 2.27 | NA | NA | 0.11 | 2.37 | 2.38 | NA | NA | XXX |
| G0123 | X | Screen cerv/vag thin layer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0124 | A | Screen c/v thin layer by MD | 0.42 | 0.19 | 0.23 | 0.19 | 0.23 | 0.01 | 0.62 | 0.66 | 0.62 | 0.66 | XXX | |
| G0125 | A | Lung image (PET) | 1.50 | 56.15 | 56.15 | NA | NA | 2.06 | 59.71 | 59.71 | NA | NA | XXX | |
| G0125 | 26 | A | Lung image (PET) | 1.50 | 0.52 | 0.52 | 0.52 | 0.52 | 0.05 | 2.07 | 2.07 | 2.07 | 2.07 | XXX |
| G0125 | TC | A | Lung image (PET) | 0.00 | 55.63 | 55.63 | NA | NA | 2.01 | 57.64 | 57.64 | NA | NA | XXX |
| G0126 | A | Lung image (PET) staging | 1.87 | 56.33 | 56.33 | NA | NA | 2.07 | 60.27 | 60.27 | NA | NA | XXX | |
| G0126 | 26 | A | Lung image (PET) staging | 1.87 | 0.70 | 0.70 | 0.70 | 0.70 | 0.06 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| G0126 | TC | A | Lung image (PET) staging | 0.00 | 55.63 | 55.63 | NA | NA | 2.01 | 57.64 | 57.64 | NA | NA | XXX |
| G0127 | R | Trim nail(s) | 0.11 | 0.48 | 0.43 | 0.04 | 0.10 | 0.01 | 0.60 | 0.55 | 0.16 | 0.22 | 000 | |
| G0128 | R | CORF skilled nursing service | 0.08 | 0.03 | 0.03 | 0.03 | 0.03 | 0.01 | 0.12 | 0.12 | 0.12 | 0.12 | XXX | |
| G0130 | A | Single energy x-ray study | 0.22 | 0.90 | 0.90 | NA | NA | 0.05 | 1.17 | 1.17 | NA | NA | XXX | |
| G0130 | 26 | A | Single energy x-ray study | 0.22 | 0.11 | 0.11 | 0.11 | 0.11 | 0.01 | 0.34 | 0.34 | 0.34 | 0.34 | XXX |
| G0130 | TC | A | Single energy x-ray study | 0.00 | 0.79 | 0.79 | NA | NA | 0.04 | 0.83 | 0.83 | NA | NA | XXX |
| G0131 | A | CT scan, bone density study | 0.25 | 3.18 | 3.18 | NA | NA | 0.14 | 3.57 | 3.57 | NA | NA | XXX | |
| G0131 | 26 | A | CT scan, bone density study | 0.25 | 0.13 | 0.13 | 0.13 | 0.13 | 0.01 | 0.39 | 0.39 | 0.39 | 0.39 | XXX |
| G0131 | TC | A | CT scan, bone density study | 0.00 | 3.05 | 3.05 | NA | NA | 0.13 | 3.18 | 3.18 | NA | NA | XXX |
| G0132 | A | CT scan, bone density study | 0.22 | 0.90 | 0.90 | NA | NA | 0.05 | 1.17 | 1.17 | NA | NA | XXX | |
| G0132 | 26 | A | CT scan, bone density study | 0.22 | 0.11 | 0.11 | 0.11 | 0.11 | 0.01 | 0.34 | 0.34 | 0.34 | 0.34 | XXX |
| G0132 | TC | A | CT scan, bone density study | 0.00 | 0.79 | 0.79 | NA | NA | 0.04 | 0.83 | 0.83 | NA | NA | XXX |
| G0141 | A | Scr c/v cyto,autosys and md | 0.42 | 0.19 | 0.23 | 0.19 | 0.23 | 0.01 | 0.62 | 0.66 | 0.62 | 0.66 | XXX | |
| G0143 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0144 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0145 | X | Scr c/v cyto,thinlayer,rescr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0147 | X | Scr c/v cyto, automated sys | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0148 | X | Scr c/v cyto, autosys, rescr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0159 | C | Perc declot dialysis graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0160 | C | Cryo. ablation, prostate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| G0161 | C | Echo guide for cryo probes | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| G0161 | 26 | C | Echo guide for cryo probes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0161 | TC | C | Echo guide for cryo probes | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX |
| G0163 | A | Pet for rec of colorectal ca | 1.50 | 56.22 | 56.22 | NA | NA | 2.06 | 59.78 | 59.78 | NA | NA | XXX | |
| G0163 | 26 | A | Pet for rec of colorectal ca | 1.50 | 0.59 | 0.59 | 0.59 | 0.59 | 0.05 | 2.14 | 2.14 | 2.14 | 2.14 | XXX |
| G0163 | TC | A | Pet for rec of colorectal ca | 0.00 | 55.63 | 55.63 | NA | NA | 2.01 | 57.64 | 57.64 | NA | NA | XXX |
| G0164 | A | Pet for lymphoma staging | 1.87 | 56.37 | 56.37 | NA | NA | 2.06 | 60.30 | 60.30 | NA | NA | XXX | |
| G0164 | 26 | A | Pet for lymphoma staging | 1.87 | 0.74 | 0.74 | 0.74 | 0.74 | 0.05 | 2.66 | 2.66 | 2.66 | 2.66 | XXX |
| G0164 | TC | A | Pet for lymphoma staging | 0.00 | 55.63 | 55.63 | NA | NA | 2.01 | 57.64 | 57.64 | NA | NA | XXX |
| G0165 | A | Pet,rec of melanoma/met ca | 1.50 | 56.22 | 56.22 | NA | NA | 2.06 | 59.78 | 59.78 | NA | NA | XXX | |
| G0165 | 26 | A | Pet,rec of melanoma/met ca | 1.50 | 0.59 | 0.59 | 0.59 | 0.59 | 0.05 | 2.14 | 2.14 | 2.14 | 2.14 | XXX |
| G0165 | TC | A | Pet,rec of melanoma/met ca | 0.00 | 55.63 | 55.63 | NA | NA | 2.01 | 57.64 | 57.64 | NA | NA | XXX |
| G0166 | A | Extrnl counterpulse, per tx | 0.07 | 4.11 | 4.11 | 0.03 | 0.03 | 0.01 | 4.19 | 4.19 | 0.11 | 0.11 | XXX | |
| G0167 | C | Hyperbaric oz tx;no md reqrd | 0.00 | NA | NA | 0.71 | 0.72 | 0.00 | NA | NA | 0.71 | 0.72 | XXX | |
| G0168 | A | Wound closure by adhesive | 0.45 | 1.86 | 1.86 | 0.26 | 0.26 | 0.02 | 2.33 | 2.33 | 0.73 | 0.73 | 010 | |
| G0169 | A | Removal tissue; no anesthsia | 0.50 | 0.56 | 0.56 | 0.56 | 0.56 | 0.04 | 1.10 | 1.10 | 1.10 | 1.10 | XXX | |
| G0170 | A | Skin biograft | 1.50 | 2.29 | 2.29 | 0.99 | 0.99 | 0.39 | 4.18 | 4.18 | 2.88 | 2.88 | 010 | |
| G0171 | A | Skin biograft add-on | 0.38 | 0.30 | 0.30 | 0.15 | 0.15 | 0.39 | 1.07 | 1.07 | 0.92 | 0.92 | ZZZ | |
| Gxxx1 | A | Home health care supervision | 1.73 | 1.31 | 1.12 | 0.61 | 0.60 | 0.06 | 3.10 | 2.91 | 2.40 | 2.39 | XXX | |
| Gxxx2 | A | Hospice care supervision | 1.73 | 1.55 | 1.30 | 0.58 | 0.57 | 0.06 | 3.34 | 3.09 | 2.37 | 2.36 | XXX | |
| Gxxx3 | A | Initial cert, home health | 0.67 | 1.10 | 1.10 | 0.27 | 0.27 | 0.06 | 1.83 | 1.83 | 1.00 | 1.00 | XXX | |
| Gxxx4 | A | Recertification, home health | 0.45 | 1.00 | 1.00 | 0.18 | 0.18 | 0.06 | 1.51 | 1.51 | 0.69 | 0.69 | XXX | |
| Gxxx5 | A | Treatment of choroid lesion | 13.13 | 9.93 | 9.93 | 9.10 | 9.10 | 0.52 | 23.58 | 23.58 | 22.75 | 22.75 | 090 | |
| Gxxx6 | A | Ocular phototherapy, iv incl | 0.55 | 34.59 | 34.59 | 0.27 | 0.27 | 0.52 | 35.66 | 35.66 | 1.34 | 1.34 | XXX | |
| Gxxx7 | A | Ocular phototherapy, iv incl | 0.28 | 0.24 | 0.24 | 0.14 | 0.14 | 0.52 | 1.04 | 1.04 | 0.94 | 0.94 | ZZZ | |
| J0120 | E | Tetracyclin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0130 | E | Abciximab injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0150 | E | Injection adenosine 6 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0151 | E | Adenosine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0170 | E | Adrenalin epinephrin inject | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0190 | E | Inj biperiden lactate/5 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0200 | E | Alatrofloxacin mesylate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0205 | E | Alglucerase injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0207 | E | Amifostine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0210 | E | Methyldopate hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0256 | E | Alpha 1 proteinase inhibitor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0270 | E | Alprostadil for injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0275 | E | Alprostadil urethral suppos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0280 | E | Aminophyllin 250 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0285 | E | Amphotericin B | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0286 | E | Amphotericin B lipid complex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0290 | E | Ampicillin 500 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0295 | E | Ampicillin sodium per 1.5 gm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0300 | E | Amobarbital 125 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0330 | E | Succinycholine chloride inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0340 | E | Nandrolon phenpropionate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0350 | E | Injection anistreplase 30 u | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0360 | E | Hydralazine hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0380 | E | Inj metaraminol bitartrate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0390 | E | Chloroquine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0395 | E | Arbutamine HCl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0400 | E | Inj trimethaphan camsylate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0456 | E | Azithromycin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0460 | E | Atropine sulfate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0470 | E | Dimecaprol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0475 | E | Baclofen 10 MG injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0476 | E | Baclofen intrathecal trial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0500 | E | Dicyclomine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0510 | E | Benzquinamide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0515 | E | Inj benztropine mesylate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0520 | E | Bethanechol chloride inject | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0530 | E | Penicillin g benzathine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0540 | E | Penicillin g benzathine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0550 | E | Penicillin g benzathine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0560 | E | Penicillin g benzathine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0570 | E | Penicillin g benzathine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0580 | E | Penicillin g benzathine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0585 | E | Botulinum toxin a per unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0590 | E | Ethylnorepinephrine hcl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0600 | E | Edetate calcium disodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0610 | E | Calcium gluconate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0620 | E | Calcium glycer lact/10 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0630 | E | Calcitonin salmon injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0635 | E | Calcitriol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0640 | E | Leucovorin calcium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0670 | E | Inj mepivacaine HCL/10 ml | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0690 | E | Cefazolin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0694 | E | Cefoxitin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0695 | E | Cefonocid sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0696 | E | Ceftriaxone sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0697 | E | Sterile cefuroxime injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0698 | E | Cefotaxime sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0702 | E | Betamethasone acetsod phosp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0704 | E | Betamethasone sod phosp/4 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0710 | E | Cephapirin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0713 | E | Inj ceftazidime per 500 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0715 | E | Ceftizoxime sodium / 500 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0720 | E | Chloramphenicol sodium injec | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0725 | E | Chorionic gonadotropin/1000u | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0730 | E | Chlorpheniramin maleate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0735 | E | Clonidine hydrochloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0740 | E | Cidofovir injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0743 | E | Cilastatin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0745 | E | Inj codeine phosphate /30 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0760 | E | Colchicine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0770 | E | Colistimethate sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0780 | E | Prochlorperazine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0800 | E | Corticotropin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0810 | E | Cortisone injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0835 | E | Inj cosyntropin per 0.25 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0850 | E | Cytomegalovirus imm IV /vial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0895 | E | Deferoxamine mesylate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0900 | E | Testosterone enanthate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0945 | E | Brompheniramine maleate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J0970 | E | Estradiol valerate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1000 | E | Depo-estradiol cypionate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1020 | E | Methylprednisolone 20 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1030 | E | Methylprednisolone 40 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1040 | E | Methylprednisolone 80 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1050 | E | Medroxyprogesterone inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1055 | N | Medrxyprogester acetate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1060 | E | Testosterone cypionate 1 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1070 | E | Testosterone cypionat 100 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1080 | E | Testosterone cypionat 200 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1090 | E | Testosterone cypionate 50 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1095 | E | Inj dexamethasone acetate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1100 | E | Dexamethasone sodium phos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1110 | E | Inj dihydroergotamine mesylt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1120 | E | Acetazolamid sodium injectio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1160 | E | Digoxin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1165 | E | Phenytoin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1170 | E | Hydromorphone injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1180 | E | Dyphylline injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1190 | E | Dexrazoxane HCl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1200 | E | Diphenhydramine hcl injectio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1205 | E | Chlorothiazide sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1212 | E | Dimethyl sulfoxide 50% 50 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1230 | E | Methadone injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1240 | E | Dimenhydrinate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1245 | E | Dipyridamole injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1250 | E | Inj dobutamine HCL/250 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1260 | E | Dolasetron mesylate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1320 | E | Amitriptyline injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1325 | E | Epoprostenol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1327 | E | Eptifibatide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1330 | E | Ergonovine maleate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1362 | E | Erythromycin glucep / 250 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1364 | E | Erythro lactobionate /500 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1380 | E | Estradiol valerate 10 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1390 | E | Estradiol valerate 20 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1410 | E | Inj estrogen conjugate 25 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1435 | E | Injection estrone per 1 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1436 | E | Etidronate disodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1438 | E | Etanercept injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1440 | E | Filgrastim 300 mcg injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1441 | E | Filgrastim 480 mcg injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1450 | E | Fluconazole | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1455 | E | Foscarnet sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1460 | E | Gamma globulin 1 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1470 | E | Gamma globulin 2 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1480 | E | Gamma globulin 3 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1490 | E | Gamma globulin 4 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1500 | E | Gamma globulin 5 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1510 | E | Gamma globulin 6 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1520 | E | Gamma globulin 7 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1530 | E | Gamma globulin 8 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1540 | E | Gamma globulin 9 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1550 | E | Gamma globulin 10 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1560 | E | Gamma globulin >10 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1561 | E | Immune globulin 500 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1562 | E | Immune globulin 5 gms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1565 | E | RSV-ivig | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1570 | E | Ganciclovir sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1580 | E | Garamycin gentamicin inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1600 | E | Gold sodium thiomaleate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1610 | E | Glucagon hydrochloride/1 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1620 | E | Gonadorelin hydroch/ 100 mcg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1626 | E | Granisetron HCl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1630 | E | Haloperidol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1631 | E | Haloperidol decanoate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1642 | E | Inj heparin sodium per 10 u | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1644 | E | Inj heparin sodium per 1000u | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1645 | E | Dalteparin sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1650 | E | Inj enoxaparin sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1670 | E | Tetanus immune globulin inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1690 | E | Prednisolone tebutate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1700 | E | Hydrocortisone acetate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1710 | E | Hydrocortisone sodium ph inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1720 | E | Hydrocortisone sodium succ i | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1730 | E | Diazoxide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1739 | E | Hydroxyprogesterone cap 125 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1741 | E | Hydroxyprogesterone cap 250 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1742 | E | Ibutilide fumarate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1745 | E | Infliximab injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1750 | E | Iron dextran | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1760 | D | Iron dextran 2 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | .00 | 0.00 | 0.00 | XXX | |
| J1770 | D | Iron dextran 5 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1780 | D | Iron dextran 10 CC inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1785 | E | Injection imiglucerase /unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1790 | E | Droperidol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1800 | E | Propranolol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1810 | E | Droperidol/fentanyl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1820 | E | Insulin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1825 | E | Interferon beta-1a | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1830 | E | Interferon beta-1b / .25 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1840 | E | Kanamycin sulfate 500 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1850 | E | Kanamycin sulfate 75 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1885 | E | Ketorolac tromethamine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1890 | E | Cephalothin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1910 | E | Kutapressin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1930 | E | Propiomazine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1940 | E | Furosemide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1950 | E | Leuprolide acetate /3.75 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1955 | E | Inj levocarnitine per 1 gm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1956 | E | Levofloxacin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1960 | E | Levorphanol tartrate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1970 | E | Methotrimeprazine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1980 | E | Hyoscyamine sulfate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J1990 | E | Chlordiazepoxide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2000 | E | Lidocaine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2010 | E | Lincomycin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2060 | E | Lorazepam injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2150 | E | Mannitol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2175 | E | Meperidine hydrochl /100 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2180 | E | Meperidine/promethazine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2210 | E | Methylergonovin maleate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2240 | E | Metocurine iodide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2250 | E | Inj midazolam hydrochloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2260 | E | Inj milrinone lactate / 5 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2270 | E | Morphine sulfate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2271 | E | Morphine so4 injection 100mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2275 | E | Morphine sulfate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2300 | E | Inj nalbuphine hydrochloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2310 | E | Inj naloxone hydrochloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2320 | E | Nandrolone decanoate 50 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2321 | E | Nandrolone decanoate 100 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2322 | E | Nandrolone decanoate 200 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2330 | E | Thiothixene injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2350 | E | Niacinamide/niacin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2352 | E | Octreotide acetate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2355 | E | Oprelvekin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2360 | E | Orphenadrine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2370 | E | Phenylephrine hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2400 | E | Chloroprocaine hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2405 | E | Ondansetron hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2410 | E | Oxymorphone hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2430 | E | Pamidronate disodium /30 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2440 | E | Papaverin hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2460 | E | Oxytetracycline injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2480 | E | Hydrochlorides of opium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2500 | E | Paricalcitol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2510 | E | Penicillin g procaine inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2512 | E | Inj pentagastrin per 2 ML | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2515 | E | Pentobarbital sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2540 | E | Penicillin g potassium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2543 | E | Piperacillin/tazobactam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2545 | E | Pentamidine isethionte/300mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2550 | E | Promethazine hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2560 | E | Phenobarbital sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2590 | E | Oxytocin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2597 | E | Inj desmopressin acetate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2640 | E | Prednisolone sodium ph inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2650 | E | Prednisolone acetate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2670 | E | Totazoline hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2675 | E | Inj progesterone per 50 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2680 | E | Fluphenazine decanoate 25 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2690 | E | Procainamide hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2700 | E | Oxacillin sodium injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2710 | E | Neostigmine methylslfte inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2720 | E | Inj protamine sulfate/10 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2725 | E | Inj protirelin per 250 mcg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2730 | E | Pralidoxime chloride inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2760 | E | Phentolaine mesylate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2765 | E | Metoclopramide hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2780 | E | Ranitidine hydrochloride inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2790 | E | Rho d immune globulin inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2792 | E | Rho(D) immune globulin h, sd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2800 | E | Methocarbamol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2810 | E | Inj theophylline per 40 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2820 | E | Sargramostim injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2860 | E | Secobarbital sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2910 | E | Aurothioglucose injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2912 | E | Sodium chloride injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2920 | E | Methylprednisolone injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2930 | E | Methylprednisolone injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2950 | E | Promazine hcl injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2970 | E | Methicillin sodium injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2994 | E | Reteplase double bolus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2995 | E | Inj streptokinase /250000 IU | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J2996 | E | Alteplase recombinant inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3000 | E | Streptomycin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3010 | E | Fentanyl citrate injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3030 | E | Sumatriptan succinate / 6 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3070 | E | Pentazocine hcl injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3080 | E | Chlorprothixene injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3105 | E | Terbutaline sulfate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3120 | E | Testosterone enanthate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3130 | E | Testosterone enanthate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3140 | E | Testosterone suspension inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3150 | E | Testosteron propionate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3230 | E | Chlorpromazine hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3240 | E | Thyrotropin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3245 | E | Tirofiban hydrochloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3250 | E | Trimethobenzamide hcl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3260 | E | Tobramycin sulfate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3265 | E | Injection torsemide 10 mg/ml | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3270 | E | Imipramine hcl injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3280 | E | Thiethylperazine maleate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3301 | E | Triamcinolone acetonide inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3302 | E | Triamcinolone diacetate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3303 | E | Triamcinolone hexacetonl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3305 | E | Inj trimetrexate glucoronate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3310 | E | Perphenazine injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3320 | E | Spectinomycn di-hcl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3350 | E | Urea injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3360 | E | Diazepam injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3364 | E | Urokinase 5000 IU injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3365 | E | Urokinase 250,000 IU inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3370 | R | Vancomycin hcl injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3390 | E | Methoxamine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3400 | E | Triflupromazine hcl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3410 | E | Hydroxyzine hcl injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3420 | E | Vitamin b12 injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3430 | E | Vitamin k phytonadione inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3450 | E | Mephentermine sulfate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3470 | E | Hyaluronidase injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3475 | E | Inj magnesium sulfate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3480 | E | Inj potassium chloride | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3490 | E | Drugs unclassified injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3520 | N | Edetate disodium per 150 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3530 | E | Nasal vaccine inhalation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3535 | N | Metered dose inhaler drug | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J3570 | N | Laetrile amygdalin vit B17 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7030 | E | Normal saline solution infus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7040 | E | Normal saline solution infus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7042 | E | 5% dextrose/normal saline | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7050 | E | Normal saline solution infus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7051 | E | Sterile saline/water | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7060 | E | 5% dextrose/water | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7070 | E | D5w infusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7100 | E | Dextran 40 infusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7110 | E | Dextran 75 infusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7120 | E | Ringers lactate infusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7130 | E | Hypertonic saline solution | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7190 | X | Factor viii | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7191 | X | Factor VIII (porcine) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7192 | X | Factor viii recombinant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7194 | X | Factor ix complex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7196 | D | Othr hemophilia clot factors | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7197 | X | Antithrombin iii injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7198 | E | Anti-inhibitor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7199 | E | Hemophilia clot factor noc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7300 | N | Intraut copper contraceptive | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7310 | E | Ganciclovir long act implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7315 | E | Sodium hyaluronate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7320 | E | Hylan G-F 20 injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7500 | X | Azathioprine oral 50mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7501 | X | Azathioprine parenteral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7502 | E | Cyclosporine oral 100 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7503 | D | Cyclosporine parenteral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7504 | X | Lymphocyte immune globulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7505 | X | Monoclonal antibodies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7506 | X | Prednisone oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7507 | E | Tacrolimus oral per 1 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7508 | E | Tacrolimus oral per 5 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7509 | X | Methylprednisolone oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7510 | X | Prednisolone oral per 5 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7513 | E | Daclizumab, parenteral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7515 | E | Cyclosporine oral 25 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7516 | E | Cyclosporin parenteral 250mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7517 | E | Mycophenolate mofetil oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7599 | X | Immunosuppressive drug noc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7608 | E | Acetylcysteine inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7610 | E | Acetylcysteine 10% injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7615 | E | Acetylcysteine 20% injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7618 | E | Albuterol inh sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7619 | E | Albuterol inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7620 | E | Albuterol sulfate .083%/ml | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7625 | E | Albuterol sulfate .5% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7627 | E | Bitolterolmesylate inhal sol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7628 | E | Bitolterol mes inhal sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7629 | E | Bitolterol mes inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7630 | E | Cromolyn sodium injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7631 | E | Cromolyn sodium inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7635 | E | Atropine inhal sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7636 | E | Atropine inhal sol unit dose | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7637 | E | Dexamethasone inhal sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7638 | E | Dexamethasone inhal sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7639 | E | Dornase alpha inhal sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7640 | E | Epinephrine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7642 | E | Glycopyrrolate inhal sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7643 | E | Glycopyrrolate inhal sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7644 | E | Ipratropium brom inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7645 | E | Ipratropium bromide .02%/ml | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7648 | E | Isoetharine hcl inh sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7649 | E | Isoetharine hcl inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7650 | E | Isoetharine hcl .1% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7651 | E | Isoetharine hcl .125% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7652 | E | Isoetharine hcl .167% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7653 | E | Isoetharine hcl .2%/ inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7654 | E | Isoetharine hcl .25% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7655 | E | Isoetharine hcl 1% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7658 | E | Isoproterenolhcl inh sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7659 | E | Isoproterenol hcl inh sol ud | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7660 | E | Isoproterenol hcl .5% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7665 | E | Isoproterenol hcl 1% inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7668 | E | Metaproterenol inh sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7669 | E | Metaproterenol inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7670 | E | Metaproterenol sulfate .4% | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7672 | E | Metaproterenol sulfate .6% | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7675 | E | Metaproterenol sulfate 5% | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7680 | E | Terbutaline so4 inh sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7681 | E | Terbutaline so4 inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7682 | E | Tobramycin inhalation sol | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7683 | E | Triamcinolone inh sol con | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7684 | E | Triamcinolone inh sol u d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7699 | E | Inhalation solution for DME | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J7799 | E | Non-inhalation drug for DME | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8499 | N | Oral prescrip drug non chemo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8510 | E | Oral busulfan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8520 | E | Capecitabine, oral, 150 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8521 | E | Capecitabine, oral, 500 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8530 | E | Cyclophosphamide oral 25 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8560 | E | Etoposide oral 50 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8600 | E | Melphalan oral 2 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8610 | E | Methotrexate oral 2.5 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J8999 | E | Oral prescription drug chemo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9000 | E | Doxorubic hcl 10 MG vl chemo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9001 | E | Doxorubicin hcl liposome inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9015 | E | Aldesleukin/single use vial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9020 | E | Asparaginase injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9031 | E | Bcg live intravesical vac | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9040 | E | Bleomycin sulfate injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9045 | E | Carboplatin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9050 | E | Carmus bischl nitro inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9060 | E | Cisplatin 10 MG injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9062 | E | Cisplatin 50 MG injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9065 | E | Inj cladribine per 1 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9070 | E | Cyclophosphamide 100 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9080 | E | Cyclophosphamide 200 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9090 | E | Cyclophosphamide 500 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9091 | E | Cyclophosphamide 1.0 grm inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9092 | E | Cyclophosphamide 2.0 grm inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9093 | E | Cyclophosphamide lyophilized | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9094 | E | Cyclophosphamide lyophilized | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9095 | E | Cyclophosphamide lyophilized | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9096 | E | Cyclophosphamide lyophilized | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9097 | E | Cyclophosphamide lyophilized | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9100 | E | Cytarabine hcl 100 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9110 | E | Cytarabine hcl 500 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9120 | E | Dactinomycin actinomycin d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9130 | E | Dacarbazine 10 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9140 | E | Dacarbazine 200 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9150 | E | Daunorubicin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9151 | E | Daunorubicin citrate liposom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9165 | E | Diethylstilbestrol injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9170 | E | Docetaxel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9181 | E | Etoposide 10 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9182 | E | Etoposide 100 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9185 | E | Fludarabine phosphate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9190 | E | Fluorouracil injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9200 | E | Floxuridine injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9201 | E | Gemcitabine HCl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9202 | E | Goserelin acetate implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9206 | E | Irinotecan injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9208 | E | Ifosfomide injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9209 | E | Mesna injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9211 | E | Idarubicin hcl injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9212 | E | Interferon alfacon-1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9213 | E | Interferon alfa-2a inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9214 | E | Interferon alfa-2b inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9215 | E | Interferon alfa-n3 inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9216 | E | Interferon gamma 1-b inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9217 | E | Leuprolide acetate suspnsion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9218 | E | Leuprolide acetate injeciton | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9230 | E | Mechlorethamine hcl inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9245 | E | Inj melphalan hydrochl 50 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9250 | E | Methotrexate sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9260 | E | Methotrexate sodium inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9265 | E | Paclitaxel injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9266 | E | Pegaspargase/singl dose vial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9268 | E | Pentostatin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9270 | E | Plicamycin (mithramycin) inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9280 | E | Mitomycin 5 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9290 | E | Mitomycin 20 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9291 | E | Mitomycin 40 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9293 | E | Mitoxantrone hydrochl / 5 MG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9310 | E | Rituximab cancer treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9320 | E | Streptozocin injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9340 | E | Thiotepa injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9350 | E | Topotecan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9355 | E | Trastuzumab | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9357 | E | Valrubicin, 200 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9360 | E | Vinblastine sulfate inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9370 | E | Vincristine sulfate 1 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9375 | E | Vincristine sulfate 2 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9380 | E | Vincristine sulfate 5 MG inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9390 | E | Vinorelbine tartrate/10 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9600 | E | Porfimer sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| J9999 | E | Chemotherapy drug | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0064 | A | Visit for drug monitoring | 0.37 | 0.24 | 0.23 | 0.12 | 0.14 | 0.01 | 0.62 | 0.61 | 0.50 | 0.52 | XXX | |
| M0075 | N | Cellular therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0076 | N | Prolotherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0100 | N | Intragastric hypothermia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0300 | N | IV chelationtherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0301 | N | Fabric wrapping of aneurysm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| M0302 | TC | A | Assessment of cardiac output | 0.00 | 0.81 | 0.81 | NA | NA | 0.02 | 0.83 | 0.83 | NA | NA | XXX |
| P2028 | X | Cephalin floculation test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P2029 | X | Congo red blood test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P2031 | N | Hair analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P2033 | X | Blood thymol turbidity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P2038 | X | Blood mucoprotein | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P3000 | X | Screen pap by tech w md supv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P3001 | A | Screening pap smear by phys | 0.42 | 0.19 | 0.23 | 0.19 | 0.23 | 0.01 | 0.62 | 0.66 | 0.62 | 0.66 | XXX | |
| P7001 | I | Culture bacterial urine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9010 | E | Whole blood for transfusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9011 | E | Blood split unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9012 | E | Cryoprecipitate each unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9013 | E | Unit/s blood fibrinogen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9016 | E | Leukocyte poor blood, unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9017 | E | One donor fresh frozn plasma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9018 | E | Plasma protein fract, unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9019 | E | Platelet concentrate unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9020 | E | Plaelet rich plasma unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9021 | E | Red blood cells unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9022 | E | Washed red blood cells unit | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9023 | X | Frozen plasma, pooled, sd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9603 | X | One-way allow prorated miles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9604 | X | One-way allow prorated trip | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9612 | X | Catheterize for urine spec | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| P9615 | X | Urine specimen collect mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0034 | X | Admin of influenza vaccine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0035 | A | Cardiokymography | 0.17 | 0.46 | 0.48 | NA | NA | 0.03 | 0.66 | 0.68 | NA | NA | XXX | |
| Q0035 | 26 | A | Cardiokymography | 0.17 | 0.07 | 0.09 | 0.07 | 0.09 | 0.01 | 0.25 | 0.27 | 0.25 | 0.27 | XXX |
| Q0035 | TC | A | Cardiokymography | 0.00 | 0.39 | 0.39 | NA | NA | 0.02 | 0.41 | 0.41 | NA | NA | XXX |
| Q0068 | D | Extracorpeal plasmapheresis | 1.67 | 4.42 | 3.66 | 0.98 | 1.08 | 0.11 | 6.20 | 5.44 | 2.76 | 2.86 | 000 | |
| Q0091 | A | Obtaining screen pap smear | 0.37 | 0.54 | 0.48 | 0.14 | 0.18 | 0.01 | 0.92 | 0.86 | 0.52 | 0.56 | XXX | |
| Q0092 | A | Set up port xray equipment | 0.00 | 0.32 | 0.32 | NA | NA | 0.01 | 0.33 | 0.33 | NA | NA | XXX | |
| Q0111 | X | Wet mounts/ w preparations | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0112 | X | Potassium hydroxide preps | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0113 | X | Pinworm examinations | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0114 | X | Fern test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0115 | X | Post-coital mucous exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0132 | D | Dispensing fee DME neb drug | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0136 | X | Non esrd epoetin alpha inj | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0144 | N | Azithromycin dihydrate, oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0156 | X | Human albumin 5% | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0157 | X | Human albumin 25% | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0160 | X | Factor IX non-recombinant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0161 | X | Factor IX recombinant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0163 | X | Diphenhydramine HCl 50mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0164 | X | Prochlorperazine maleate 5mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0165 | X | Prochlorperazine maleate10mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0166 | X | Granisetron HCl 1 mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0167 | X | Dronabinol 2.5mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0168 | X | Dronabinol 5mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0169 | X | Promethazine HCl 12.5mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0170 | X | Promethazine HCl 25 mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0171 | X | Chlorpromazine HCl 10mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0172 | X | Chlorpromazine HCl 25mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0173 | X | Trimethobenzamide HCl 250mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0174 | X | Thiethylperazine maleate10mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0175 | X | Perphenazine 4mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0176 | X | Perphenazine 8mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0177 | X | Hydroxyzine pamoate 25mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0178 | X | Hydroxyzine pamoate 50mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0179 | X | Ondansetron HCl 8mg oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0180 | X | Dolasetron mesylate oral | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0181 | X | Unspecified oral anti-emetic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0183 | X | Nonmetabolic active tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0184 | X | Metabolically active tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0185 | X | Metabolic active D/E tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0186 | X | Paramedic intercept, rural | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0187 | E | Factor viia recombinant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q1001 | X | Ntiol category 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q1002 | X | Ntiol category 2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q1003 | X | Ntiol category 3 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q1004 | X | Ntiol category 4 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q1005 | X | Ntiol category 5 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9920 | E | Epoetin with hct = 20 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9921 | E | Epoetin with hct = 21 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9922 | E | Epoetin with hct = 22 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9923 | E | Epoetin with hct = 23 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9924 | E | Epoetin with hct = 24 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9925 | E | Epoetin with hct = 25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9926 | E | Epoetin with hct = 26 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9927 | E | Epoetin with hct = 27 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9928 | E | Epoetin with hct = 28 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9929 | E | Epoetin with hct = 29 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9930 | E | Epoetin with hct = 30 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9931 | E | Epoetin with hct = 31 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9932 | E | Epoetin with hct = 32 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9933 | E | Epoetin with hct = 33 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9934 | E | Epoetin with hct = 34 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9935 | E | Epoetin with hct = 35 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9936 | E | Epoetin with hct = 36 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9937 | E | Epoetin with hct = 37 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9938 | E | Epoetin with hct = 38 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9939 | E | Epoetin with hct = 39 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q9940 | E | Epoetin with hct = 40 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0070 | C | Transport portable x-ray | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| R0075 | C | Transport port x-ray multipl | 0.00 | 0.00 | 0.00 | NA | NA | 0.00 | 0.00 | 0.00 | NA | NA | XXX | |
| R0076 | B | Transport portable EKG | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0009 | I | Injection, butorphanol tartr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0010 | I | Injection, somatrem, 5 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0011 | I | Injection, somatropin, 5 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0012 | I | Butorphanol tartrate, nasal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0014 | I | Tacrine hydrochloride, 10 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0016 | I | Injection, amikacin sulfate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0017 | I | Injection, aminocaproic acid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0020 | I | Injection, bupivicaine hydro | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0021 | I | Injection, ceftoperazone sod | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0023 | I | Injection, cimetidine hydroc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0024 | I | Injection, ciprofloxacin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0028 | I | Injection, famotidine, 20 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0029 | I | Injection, fluconazole | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0030 | I | Injection, metronidazole | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0032 | I | Injection, nafcillin sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0034 | I | Injection, ofloxacin, 400 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0039 | I | Injection, sulfamethoxazole | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0040 | I | Injection, ticarcillin disod | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0071 | I | Injection, acyclovir sodium | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0072 | I | Injection, amikacin sulfate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0073 | I | Injection, aztreonam, 500 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0074 | I | Injection, cefotetan disodiu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0077 | I | Injection, clindamycin phosp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0078 | I | Injection, fosphenytoin sodi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0080 | I | Injection, pentamidine iseth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0081 | I | Injection, piperacillin sodi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0090 | I | Sildenafil citrate, 25 mg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0096 | I | Injection, itraconazole, 200 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0097 | I | Injection, ibutilide fumarat | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0098 | I | Injection, sodium ferric glu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0601 | I | Screening proctoscopy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0605 | I | Digital rectal examination, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0610 | I | Annual gynecological examina | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0612 | I | Annual gynecological examina | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0620 | I | Routine ophthalmological exa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0621 | I | Routine ophthalmological exa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0800 | I | Laser in situ keratomileusis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S0810 | I | Photorefractive keratectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2050 | I | Donor enterectomy, with prep | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2052 | I | Transplantation of small int | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2053 | I | Transplantation of small int | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2054 | I | Transplantation of multivisc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2055 | I | Harvesting of donor multivis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2109 | I | Autologous chondrocyte trans | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2190 | I | Subcutaneous implantation of | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2204 | I | Transmyocardial laser revasc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2205 | I | Minimally invasive direct co | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2206 | I | Minimally invasive direct co | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2207 | I | Minimally invasive direct co | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2208 | I | Minimally invasive direct co | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2209 | I | Minimally invasive direct co | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2210 | I | Cryosurgical ablation (in si | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2300 | I | Arthroscopy, shoulder, surgi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2350 | I | Diskectomy, anterior, with d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S2351 | I | Diskectomy, anterior, with d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S3645 | I | HIV-1 antibody testing of or | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S3650 | I | Saliva test, hormone level; | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S3652 | I | Saliva test, hormone level; | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8035 | I | Magnetic source imaging | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8040 | I | Topographic brain mapping | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8048 | I | Isolated limb perfusion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8049 | I | Intraoperative radiation the | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8060 | I | Supply of contrast material | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8092 | I | Electron beam computed tomog | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8095 | I | Wig (for medically-induced h | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8096 | I | Portable peak flow meter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8110 | I | Peak expiratory flow rate (p | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8200 | I | Chest compression vest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8205 | I | Chest compression system gen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8260 | I | Oral orthotic for treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8300 | I | Sacral nerve stimulation tes | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S8950 | I | Complex lymphedema therapy, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9001 | I | Home uterine monitor with or | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9022 | I | Digital subtraction angiogra | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9023 | I | Xenon regional cerebral bloo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9024 | I | Paranasal sinus ultrasound | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9033 | I | Gait analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9055 | I | Procuren or other growth fac | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9056 | I | Coma stimulation per diem | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9075 | I | Smoking cessation treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9085 | I | Meniscal allograft transplan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9090 | I | Vertebral axial decompressio | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9122 | I | Home health aide or certifie | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9123 | I | Nursing care, in the home; b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9124 | I | Nursing care, in the home; b | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9125 | I | Respite care, in the home, p | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9126 | I | Hospice care, in the home, p | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9127 | I | Social work visit, in the ho | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9128 | I | Speech therapy, in the home, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9129 | I | Occupational therapy, in the | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9140 | I | Diabetic Management Program, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9141 | I | Diabetic Management Program, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9455 | I | Diabetic Management Program, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9460 | I | Diabetic Management Program, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9465 | I | Diabetic Management Program, | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9470 | I | Nutritional counseling, diet | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9472 | I | Cardiac rehabilitation progr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9473 | I | Pulmonary rehabilitation pro | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9474 | I | Enterostomal therapy by a re | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9475 | I | Ambulatory setting substance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9480 | I | Intensive outpatient psychia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9485 | I | Crisis intervention mental h | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9524 | I | Nursing services related to | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9527 | I | Insertion of a peripherally | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9528 | I | Insertion of midline central | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9543 | I | Administration of medication | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9990 | I | Services provided as part of | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9991 | I | Services provided as part of | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9992 | I | Transportation costs to and | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9994 | I | Lodging costs (e.g. hotel ch | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9996 | I | Meals for clinical trial par | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| S9999 | I | Sales tax | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2020 | X | Vision svcs frames purchases | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2025 | N | Eyeglasses delux frames | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2100 | X | Lens spher single plano 4.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2101 | X | Single visn sphere 4.12-7.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2102 | X | Singl visn sphere 7.12-20.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2103 | X | Spherocylindr 4.00d/12-2.00d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2104 | X | Spherocylindr 4.00d/2.12-4d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2105 | X | Spherocylinder 4.00d/4.25-6d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2106 | X | Spherocylinder 4.00d/>6.00d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2107 | X | Spherocylinder 4.25d/12-2d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2108 | X | Spherocylinder 4.25d/2.12-4d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2109 | X | Spherocylinder 4.25d/4.25-6d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2110 | X | Spherocylinder 4.25d/over 6d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2111 | X | Spherocylindr 7.25d/.25-2.25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2112 | X | Spherocylindr 7.25d/2.25-4d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2113 | X | Spherocylindr 7.25d/4.25-6d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2114 | X | Spherocylinder over 12.00d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2115 | X | Lens lenticular bifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2116 | X | Nonaspheric lens bifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2117 | X | Aspheric lens bifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2118 | X | Lens aniseikonic single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2199 | X | Lens single vision not oth c | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2200 | X | Lens spher bifoc plano 4.00d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2201 | X | Lens sphere bifocal 4.12-7.0 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2202 | X | Lens sphere bifocal 7.12-20. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2203 | X | Lens sphcyl bifocal 4.00d/.1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2204 | X | Lens sphcy bifocal 4.00d/2.1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2205 | X | Lens sphcy bifocal 4.00d/4.2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2206 | X | Lens sphcy bifocal 4.00d/ove | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2207 | X | Lens sphcy bifocal 4.25-7d/. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2208 | X | Lens sphcy bifocal 4.25-7/2. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2209 | X | Lens sphcy bifocal 4.25-7/4. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2210 | X | Lens sphcy bifocal 4.25-7/ov | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2211 | X | Lens sphcy bifo 7.25-12/.25- | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2212 | X | Lens sphcyl bifo 7.25-12/2.2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2213 | X | Lens sphcyl bifo 7.25-12/4.2 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2214 | X | Lens sphcyl bifocal over 12. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2215 | X | Lens lenticular bifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2216 | X | Lens lenticular nonaspheric | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2217 | X | Lens lenticular aspheric bif | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2218 | X | Lens aniseikonic bifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2219 | X | Lens bifocal seg width over | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2220 | X | Lens bifocal add over 3.25d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2299 | X | Lens bifocal speciality | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2300 | X | Lens sphere trifocal 4.00d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2301 | X | Lens sphere trifocal 4.12-7. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2302 | X | Lens sphere trifocal 7.12-20 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2303 | X | Lens sphcy trifocal 4.0/.12- | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2304 | X | Lens sphcy trifocal 4.0/2.25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2305 | X | Lens sphcy trifocal 4.0/4.25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2306 | X | Lens sphcyl trifocal 4.00/>6 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2307 | X | Lens sphcy trifocal 4.25-7/. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2308 | X | Lens sphc trifocal 4.25-7/2. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2309 | X | Lens sphc trifocal 4.25-7/4. | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2310 | X | Lens sphc trifocal 4.25-7/>6 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2311 | X | Lens sphc trifo 7.25-12/.25- | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2312 | X | Lens sphc trifo 7.25-12/2.25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2313 | X | Lens sphc trifo 7.25-12/4.25 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2314 | X | Lens sphcyl trifocal over 12 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2315 | X | Lens lenticular trifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2316 | X | Lens lenticular nonaspheric | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2317 | X | Lens lenticular aspheric tri | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2318 | X | Lens aniseikonic trifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2319 | X | Lens trifocal seg width >28 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2320 | X | Lens trifocal add over 3.25d | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2399 | X | Lens trifocal speciality | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2410 | X | Lens variab asphericity sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2430 | X | Lens variable asphericity bi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2499 | X | Variable asphericity lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2500 | X | Contact lens pmma spherical | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2501 | X | Cntct lens pmma-toric/prism | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2502 | X | Contact lens pmma bifocal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2503 | X | Cntct lens pmma color vision | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2510 | X | Cntct gas permeable sphericl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2511 | X | Cntct toric prism ballast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2512 | X | Cntct lens gas permbl bifocl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2513 | X | Contact lens extended wear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2520 | P | Contact lens hydrophilic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2521 | X | Cntct lens hydrophilic toric | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2522 | X | Cntct lens hydrophil bifocl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2523 | X | Cntct lens hydrophil extend | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2530 | X | Contact lens gas impermeable | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2531 | X | Contact lens gas permeable | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2599 | X | Contact lens/es other type | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2600 | X | Hand held low vision aids | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2610 | X | Single lens spectacle mount | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2615 | X | Telescop/othr compound lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2623 | X | Plastic eye prosth custom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2624 | X | Polishing artifical eye | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2625 | X | Enlargemnt of eye prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2626 | X | Reduction of eye prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2627 | X | Scleral cover shell | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2628 | X | Fabrication fitting | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2629 | X | Prosthetic eye other type | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2630 | X | Anter chamber intraocul lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2631 | X | Iris support intraoclr lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2632 | X | Post chmbr intraocular lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2700 | X | Balance lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2710 | X | Glass/plastic slab off prism | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2715 | X | Prism lens/es | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2718 | X | Fresnell prism press-on lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2730 | X | Special base curve | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2740 | X | Rose tint plastic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2741 | X | Non-rose tint plastic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2742 | X | Rose tint glass | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2743 | X | Non-rose tint glass | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2744 | X | Tint photochromatic lens/es | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2750 | X | Anti-reflective coating | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2755 | X | UV lens/es | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2760 | X | Scratch resistant coating | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2770 | X | Occluder lens/es | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2780 | X | Oversize lens/es | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2781 | X | Progressive lens per lens | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2785 | X | Corneal tissue processing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V2799 | X | Miscellaneous vision service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5008 | N | Hearing screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5010 | N | Assessment for hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5011 | N | Hearing aid fitting/checking | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5014 | N | Hearing aid repair/modifying | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5020 | N | Conformity evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5030 | N | Body-worn hearing aid air | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5040 | N | Body-worn hearing aid bone | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5050 | N | Body-worn hearing aid in ear | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5060 | N | Behind ear hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5070 | N | Glasses air conduction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5080 | N | Glasses bone conduction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5090 | N | Hearing aid dispensing fee | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5100 | N | Body-worn bilat hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5110 | N | Hearing aid dispensing fee | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5120 | N | Body-worn binaur hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5130 | N | In ear binaural hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5140 | N | Behind ear binaur hearing ai | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5150 | N | Glasses binaural hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5160 | N | Dispensing fee binaural | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5170 | N | Within ear cros hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5180 | N | Behind ear cros hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5190 | N | Glasses cros hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5200 | N | Cros hearing aid dispens fee | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5210 | N | In ear bicros hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5220 | N | Behind ear bicros hearing ai | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5230 | N | Glasses bicros hearing aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5240 | N | Dispensing fee bicros | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5299 | R | Hearing service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5336 | N | Repair communication device | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5362 | R | Speech screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5363 | R | Language screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5364 | R | Dysphagia screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| Procedure code | Type of staff | Additional time included (minutes) | Procedure code | Type of staff | Additional time included (minutes) |
|---|---|---|---|---|---|
| 11000 | RN/LPN/MA/Tech | 3 | 29085 | RN | 15 |
| 11011 | RN/MA | 3 | 29085 | RN/LPN | 3 |
| 11012 | RN/MA | 3 | 29105 | RN | 15 |
| 11040 | RN/LPN/MA/Tech | 3 | 29105 | RN/LPN | 3 |
| 11041 | RN/LPN/MA/Tech | 3 | 29125 | RN | 15 |
| 11042 | RN/LPN/MA/Tech | 3 | 29125 | RN/LPN | 3 |
| 11055 | RN/LPN/MA/Tech | 3 | 29126 | RN | 15 |
| 11056 | RN/LPN/MA/Tech | 3 | 29130 | RN | 15 |
| 11057 | RN/LPN/MA/Tech | 3 | 29130 | RN/LPN | 3 |
| 11305 | RN/MA | 3 | 29131 | RN | 15 |
| 11740 | RN/LPN/MA/Tech | 2 | 29200 | RN | 15 |
| 11921 | RN/MA | 2 | 29200 | RN/LPN | 3 |
| 11950 | RN/MA | 2 | 29220 | RN | 15 |
| 15775 | RN/MA | 2 | 29220 | RN/LPN | 3 |
| 15851 | RN/MA | 3 | 29240 | RN | 15 |
| 15852 | RN/MA | 3 | 29240 | RN/LPN | 3 |
| 16000 | RN/LPN/MA/Tech | 3 | 29260 | RN | 15 |
| 16010 | RN/LPN/MA/Tech | 3 | 29260 | RN/LPN | 3 |
| 16015 | RN/LPN/MA/Tech | 3 | 29280 | RN | 15 |
| 16020 | RN/LPN/MA/Tech | 3 | 29280 | RN/LPN | 3 |
| 16025 | RN/LPN/MA/Tech | 3 | 29305 | RN | 15 |
| 16030 | RN/MA | 10 | 29325 | RN | 15 |
| 17250 | RN/LPN/MA/Tech | 3 | 29345 | RN | 15 |
| 20200 | RN/MA | 3 | 29345 | RN/LPN | 3 |
| 20205 | RN/MA | 3 | 29355 | RN | 15 |
| 20220 | RN | 25 | 29355 | RN/LPN | 3 |
| 20225 | RN | 25 | 29358 | RN | 15 |
| 20610 | RN | 20 | 29365 | RN | 15 |
| 20660 | RN | 15 | 29365 | RN/LPN | 3 |
| 20950 | RN | 25 | 29405 | RN | 15 |
| 29000 | RN | 15 | 29405 | RN/LPN | 3 |
| 29010 | RN | 15 | 29425 | RN | 15 |
| 29015 | RN | 15 | 29425 | RN/LPN | 3 |
| 29020 | RN | 15 | 29435 | RN | 15 |
| 29025 | RN | 15 | 29440 | RN | 15 |
| 29035 | RN | 15 | 29440 | RN/LPN | 3 |
| 29040 | RN | 15 | 29445 | RN | 15 |
| 29044 | RN | 15 | 29450 | RN | 15 |
| 29046 | RN | 15 | 29505 | RN | 15 |
| 29049 | RN | 15 | 29515 | RN | 15 |
| 29055 | RN | 15 | 29520 | RN | 15 |
| 29058 | RN | 15 | 29520 | RN/LPN | 3 |
| 29065 | RN | 15 | 29530 | RN | 15 |
| 29065 | RN/LPN | 3 | 29530 | RN/LPN | 3 |
| 29075 | RN | 15 | 29540 | RN | 15 |
| 29075 | RN/LPN | 3 | 29540 | RN/LPN | 3 |
| 29550 | RN | 15 | 31561 | RN/LPN/MA | 10 |
| 29550 | RN/LPN | 3 | 31570 | RN/LPN/MA | 10 |
| 29580 | RN | 15 | 31571 | RN/LPN/MA | 10 |
| 29580 | RN/LPN | 3 | 31575 | RN/LPN/MA | 5 |
| 29590 | RN | 15 | 31612 | RN | 5 |
| 29700 | RN | 15 | 31615 | RN | 20 |
| 29700 | RN/LPN | 3 | 31622 | RN | 20 |
| 29705 | RN | 15 | 31623 | RN | 20 |
| 29705 | RN/LPN | 3 | 31624 | RN | 20 |
| 29710 | RN | 15 | 31625 | RN | 20 |
| 29715 | RN | 15 | 31628 | RN | 20 |
| 29720 | RN | 15 | 31629 | RN | 20 |
| 29730 | RN | 15 | 31630 | RN | 30 |
| 29730 | RN/LPN | 3 | 31631 | RN | 30 |
| 29740 | RN | 15 | 31635 | RN | 30 |
| 29740 | RN/LPN | 3 | 31640 | RN | 30 |
| 29750 | RN | 15 | 31641 | RN | 30 |
| 30901 | RN/LPN/MA | 10 | 31643 | RN | 20 |
| 30903 | RN/LPN/MA | 10 | 31645 | RN | 20 |
| 30905 | RN/LPN/MA | 10 | 31646 | RN | 20 |
| 30906 | RN/LPN/MA | 10 | 31656 | RN | 20 |
| 31240 | RN/LPN/MA | 10 | 31700 | RN | 20 |
| 31254 | RN/LPN/MA | 10 | 31708 | RN/LPN/MA | 10 |
| 31255 | RN/LPN/MA | 10 | 31710 | RN | 20 |
| 31256 | RN/LPN/MA | 10 | 31715 | RN | 20 |
| 31267 | RN/LPN/MA | 10 | 31717 | RN | 20 |
| 31276 | RN/LPN/MA | 10 | 31730 | RN | 10 |
| 31287 | RN/LPN/MA | 10 | 32002 | RN | 10 |
| 31288 | RN/LPN/MA | 10 | 32005 | RN | 10 |
| 31500 | RN/LPN/MA | 10 | 32020 | RN | 10 |
| 31505 | RN/LPN/MA | 10 | 32420 | RN | 10 |
| 31513 | RN/LPN/MA | 10 | 32960 | RN | 10 |
| 31515 | RN/LPN/MA | 10 | 33010 | RN | 10 |
| 31520 | RN/LPN/MA | 10 | 33011 | RN | 10 |
| 31525 | RN/LPN/MA | 10 | 36481 | RN | 25 |
| 31526 | RN/LPN/MA | 10 | 36488 | RN | 25 |
| 31527 | RN/LPN/MA | 10 | 36489 | RN | 25 |
| 31528 | RN/LPN/MA | 10 | 36490 | RN | 25 |
| 31529 | RN/LPN/MA | 10 | 36491 | RN | 25 |
| 31530 | RN/LPN/MA | 10 | 36493 | RN | 25 |
| 31531 | RN/LPN/MA | 10 | 36510 | RN | 25 |
| 31535 | RN/LPN/MA | 10 | 36520 | RN | 25 |
| 31536 | RN/LPN/MA | 10 | 36521 | RN | 25 |
| 31540 | RN/LPN/MA | 10 | 36522 | RN | 25 |
| 31541 | RN/LPN/MA | 10 | 36680 | RN | 10 |
| 31560 | RN/LPN/MA | 10 | 40806 | RN/LPN/MA | 10 |
| 42660 | RN/LPN/MA | 10 | 43761 | RN/LPN/MA | 10 |
| 43200 | RN/LPN/MA | 45 | 44100 | RN/LPN/MA | 45 |
| 43202 | RN/LPN/MA | 45 | 44360 | RN/LPN/MA | 55 |
| 43204 | RN/LPN/MA | 40 | 44361 | RN/LPN/MA | 55 |
| 43205 | RN/LPN/MA | 40 | 44363 | RN/LPN/MA | 55 |
| 43215 | RN/LPN/MA | 25 | 44364 | RN/LPN/MA | 55 |
| 43216 | RN/LPN/MA | 40 | 44365 | RN/LPN/MA | 55 |
| 43217 | RN/LPN/MA | 40 | 44366 | RN/LPN/MA | 55 |
| 43219 | RN/LPN/MA | 40 | 44369 | RN/LPN/MA | 55 |
| 43220 | RN/LPN/MA | 40 | 44372 | RN/LPN/MA | 55 |
| 43226 | RN/LPN/MA | 40 | 44373 | RN/LPN/MA | 55 |
| 43227 | RN/LPN/MA | 40 | 44376 | RN/LPN/MA | 55 |
| 43228 | RN/LPN/MA | 40 | 44377 | RN/LPN/MA | 55 |
| 43234 | RN/LPN/MA | 45 | 44378 | RN/LPN/MA | 55 |
| 43235 | RN/LPN/MA | 45 | 44380 | RN/LPN/MA | 55 |
| 43239 | RN/LPN/MA | 45 | 44382 | RN/LPN/MA | 55 |
| 43241 | RN/LPN/MA | 40 | 44385 | RN/LPN/MA | 55 |
| 43243 | RN/LPN/MA | 40 | 44386 | RN/LPN/MA | 55 |
| 43244 | RN/LPN/MA | 40 | 44388 | RN/LPN/MA | 55 |
| 43245 | RN/LPN/MA | 40 | 44389 | RN/LPN/MA | 55 |
| 43246 | RN/LPN/MA | 33 | 44390 | RN/LPN/MA | 55 |
| 43247 | RN/LPN/MA | 40 | 44391 | RN/LPN/MA | 25 |
| 43248 | RN/LPN/MA | 40 | 44392 | RN/LPN/MA | 55 |
| 43249 | RN/LPN/MA | 40 | 44393 | RN/LPN/MA | 55 |
| 43250 | RN/LPN/MA | 40 | 44394 | RN/LPN/MA | 55 |
| 43251 | RN/LPN/MA | 40 | 44500 | RN/LPN/MA | 15 |
| 43255 | RN/LPN/MA | 25 | 45300 | RN/LPN/MA | 15 |
| 43258 | RN/LPN/MA | 40 | 45303 | RN/LPN/MA | 15 |
| 43259 | RN/LPN/MA | 55 | 45305 | RN/LPN/MA | 15 |
| 43260 | RN/LPN/MA | 38 | 45307 | RN/LPN/MA | 15 |
| 43261 | RN/LPN/MA | 38 | 45308 | RN/LPN/MA | 15 |
| 43262 | RN/LPN/MA | 38 | 45309 | RN/LPN/MA | 15 |
| 43263 | RN/LPN/MA | 38 | 45315 | RN/LPN/MA | 15 |
| 43264 | RN/LPN/MA | 38 | 45317 | RN/LPN/MA | 15 |
| 43265 | RN/LPN/MA | 38 | 45320 | RN/LPN/MA | 15 |
| 43267 | RN/LPN/MA | 38 | 45321 | RN/LPN/MA | 15 |
| 43268 | RN/LPN/MA | 38 | 45330 | RN/LPN/MA | 15 |
| 43269 | RN/LPN/MA | 38 | 45331 | RN/LPN/MA | 15 |
| 43271 | RN/LPN/MA | 38 | 45332 | RN/LPN/MA | 15 |
| 43272 | RN/LPN/MA | 38 | 45333 | RN/LPN/MA | 15 |
| 43450 | RN/LPN/MA | 15 | 45334 | RN/LPN/MA | 15 |
| 43453 | RN/LPN/MA | 15 | 45337 | RN/LPN/MA | 15 |
| 43456 | RN/LPN/MA | 15 | 45338 | RN/LPN/MA | 15 |
| 43458 | RN/LPN/MA | 15 | 45339 | RN/LPN/MA | 15 |
| 43600 | RN/LPN/MA | 45 | 45378 | RN/LPN/MA | 55 |
| 43760 | RN/LPN/MA | 10 | 45379 | RN/LPN/MA | 55 |
| 45380 | RN/LPN/MA | 55 | 57100 | RN/MA | 5 |
| 45382 | RN/LPN/MA | 25 | 57400 | RN/MA | 5 |
| 45383 | RN/LPN/MA | 55 | 57410 | RN/MA | 5 |
| 45384 | RN/LPN/MA | 55 | 57500 | RN/MA | 5 |
| 45385 | RN/LPN/MA | 55 | 57800 | RN/MA | 5 |
| 47552 | RN/LPN/MA | 38 | 58555 | RN/MA | 13 |
| 47553 | RN/LPN/MA | 38 | 58558 | RN/MA | 13 |
| 47554 | RN/LPN/MA | 38 | 58559 | RN/MA | 13 |
| 47555 | RN/LPN/MA | 38 | 58560 | RN/MA | 13 |
| 47556 | RN/LPN/MA | 38 | 58561 | RN/MA | 13 |
| 47561 | RN | 18 | 58562 | RN/MA | 13 |
| 49080 | RN | 10 | 58563 | RN/MA | 13 |
| 49081 | RN | 10 | 58970 | Medical Assistant | 10 |
| 49400 | RN | 10 | 58970 | RN | 30 |
| 49423 | RN | 10 | 59012 | RN | 25 |
| 49424 | RN | 10 | 59030 | RN | 25 |
| 49427 | RN | 10 | 59300 | RN/MA | 5 |
| 50021 | RN | 60 | 59320 | RN/MA | 5 |
| 50396 | RN | 10 | 59325 | RN/MA | 5 |
| 50686 | RN | 10 | 59350 | RN/MA | 10 |
| 51700 | RN | 5 | 59871 | RN/MA | 3 |
| 51726 | RN | 10 | 61000 | RN/LPN/MA | 16 |
| 51772 | RN | 15 | 61001 | RN/LPN/MA | 14 |
| 51784 | RN | 15 | 61020 | RN/LPN/MA | 13 |
| 51785 | RN | 15 | 61026 | RN/LPN/MA | 14 |
| 51792 | RN | 10 | 61050 | RN/LPN/MA | 20 |
| 51795 | RN | 10 | 61055 | RN/LPN/MA | 20 |
| 51797 | RN | 15 | 61070 | RN/LPN/MA | 10 |
| 53020 | RN | 10 | 61107 | RN/LPN/MA | 20 |
| 53025 | RN | 10 | 61210 | RN/LPN/MA | 20 |
| 53200 | RN | 10 | 62268 | RN/LPN/MA | 20 |
| 53600 | RN | 15 | 62270 | RN | 5 |
| 53601 | RN | 15 | 62272 | RN | 5 |
| 53660 | RN | 15 | 62273 | RN/LPN/MA | 12 |
| 53670 | RN | 5 | 62284 | RN/LPN/MA | 20 |
| 54100 | RN | 15 | 62290 | RN/LPN/MA | 20 |
| 54220 | RN | 30 | 62291 | RN/LPN/MA | 20 |
| 54231 | RN | 15 | 63610 | RN/LPN/MA | 20 |
| 54240 | RN | 15 | 90870 | RN | 40 |
| 54250 | RN | 15 | 90871 | RN | 40 |
| 54450 | RN | 15 | 90935 | RN | 45 |
| 55300 | RN | 30 | 90937 | RN | 45 |
| 55870 | RN | 15 | 90945 | RN | 45 |
| 56605 | RN/MA | 5 | 90947 | RN | 45 |
| 56720 | RN/MA | 5 | 90997 | RN | 45 |
| 57020 | RN/MA | 5 | 91000 | RN/LPN/MA | 15 |
| 91010 | RN/LPN/MA | 15 | |||
| 91011 | RN/LPN/MA | 15 | |||
| 91012 | RN/LPN/MA | 15 | |||
| 91020 | RN/LPN/MA | 15 | |||
| 91030 | RN/LPN/MA | 15 | |||
| 91032 | RN/LPN/MA | 15 | |||
| 91033 | RN/LPN/MA | 15 | |||
| 91052 | RN/LPN/MA | 15 | |||
| 91055 | RN/LPN/MA | 15 | |||
| 91060 | RN/LPN/MA | 15 | |||
| 91065 | RN/LPN/MA | 15 | |||
| 91100 | RN/LPN/MA | 15 | |||
| 91105 | RN/LPN/MA | 10 | |||
| 92950 | RN/LPN | 12 | |||
| 92953 | RN/LPN | 12 | |||
| 92971 | RN/LPN | 12 | |||
| 96440 | RN/OCN | 10 | |||
| 96445 | RN/OCN | 10 | |||
| 96450 | RN/OCN | 10 | |||
| G0104 | RN/LPN/MA | 15 | |||
| G0105 | RN/LPN/MA | 55 | |||
| Q0068 | RN | 25 |
| Carrier | Locality | Fee schedule area | Office rent index | 2000 | 2002 | Difference | Percentage difference |
|---|---|---|---|---|---|---|---|
| 31140 | 05 | SAN FRANCISCO, CA | 1.629 | 2.174 | 0.545 | 33.5 | |
| 31140 | 06 | SAN MATEO, CA | 1.629 | 2.174 | 0.545 | 33.5 | |
| 31140 | 09 | SANTA CLARA, CA | 1.548 | 1.949 | 0.401 | 25.9 | |
| 31140 | 03 | MARIN/NAPA/SOLANO, CA | 1.346 | 1.647 | 0.301 | 22.4 | |
| 00900 | 11 | DALLAS, TX | 1.005 | 1.196 | 0.191 | 19.0 | |
| 00910 | 09 | UTAH | 0.827 | 0.978 | 0.151 | 18.3 | |
| 31143 | 99 | REST OF MASSACHUSETTS | 1.170 | 1.308 | 0.138 | 11.8 | |
| 00824 | 01 | COLORADO | 0.956 | 1.066 | 0.110 | 11.5 | |
| 00835 | 01 | PORTLAND, OR | 1.006 | 1.120 | 0.114 | 11.3 | |
| 00740 | 02 | METROPOLITAN KANSAS CITY, MO. | 828 | 0.916 | 0.088 | 10.6 | |
| 00511 | 01 | ATLANTA, GA | 1.034 | 1.136 | 0.102 | 9.9 | |
| 31143 | 01 | METROPOLITAN BOSTON | 1.369 | 1.504 | 0.135 | 9.9 | |
| 31140 | 07 | OAKLAND/BERKLEY, CA | 1.339 | 1.470 | 0.131 | 9.8 | |
| 00953 | 01 | DETROIT, MI | 0.971 | 1.045 | 0.074 | 7.6 | |
| 05535 | 00 | NORTH CAROLINA | 0.817 | 0.869 | 0.052 | 6.4 | |
| 16360 | 00 | OHIO | 0.812 | 0.863 | 0.051 | 6.3 | |
| 00655 | 00 | NEBRASKA | 0.770 | 0.817 | 0.047 | 6.1 | |
| 00900 | 28 | FORT WORTH, TX | 0.921 | 0.977 | 0.056 | 6.1 | |
| 00836 | 02 | SEATTLE (KING CNTY), WA | 1.162 | 1.232 | 0.070 | 6.0 | |
| 05440 | 35 | TENNESSEE | 0.758 | 0.800 | 0.042 | 5.5 | |
| 00820 | 02 | SOUTH DAKOTA | 0.809 | 0.853 | 0.044 | 5.4 | |
| 00952 | 99 | REST OF ILLINOIS | 0.756 | 0.797 | 0.041 | 5.4 | |
| 00820 | 01 | NORTH DAKOTA | 0.761 | 0.800 | 0.039 | 5.1 | |
| 00630 | 00 | INDIANA | 0.806 | 0.847 | 0.041 | 5.1 | |
| 10240 | 00 | MINNESOTA | 0.896 | 0.940 | 0.044 | 4.9 | |
| 00832 | 00 | ARIZONA | 0.955 | 1.000 | 0.045 | 4.7 | |
| 00805 | 99 | REST OF NEW JERSEY | 1.261 | 1.312 | 0.051 | 4.0 | |
| 16510 | 16 | WEST VIRGINIA | 0.659 | 0.685 | 0.026 | 3.9 | |
| 00825 | 21 | WYOMING | 0.769 | 0.799 | 0.030 | 3.9 | |
| 00880 | 01 | SOUTH CAROLINA | 0.795 | 0.825 | 0.030 | 3.8 | |
| 00902 | 01 | DELAWARE | 1.013 | 1.051 | 0.038 | 3.8 | |
| 00751 | 01 | MONTANA | 0.766 | 0.794 | 0.028 | 3.7 | |
| 00834 | 00 | NEVADA | 1.078 | 1.117 | 0.039 | 3.6 | |
| 00510 | 00 | ALABAMA | 0.713 | 0.738 | 0.025 | 3.5 | |
| 00650 | 00 | KANSAS * | 0.772 | 0.793 | 0.021 | 2.7 | |
| 00740 | 04 | KANSAS * | 0.772 | 0.793 | 0.021 | 2.7 | |
| 00803 | 02 | NYC SUBURBS/LONG I., NY | 1.535 | 1.573 | 0.038 | 2.5 | |
| 31145 | 50 | VERMONT | 0.980 | 1.004 | 0.024 | 2.4 | |
| 00953 | 99 | REST OF MICHIGAN | 0.829 | 0.848 | 0.019 | 2.3 | |
| 00865 | 99 | REST OF PENNSYLVANIA | 0.826 | 0.844 | 0.018 | 2.2 | |
| 00900 | 09 | BRAZORIA, TX | 1.001 | 1.018 | 0.017 | 1.7 | |
| 00740 | 99 | REST OF MISSOURI * | 0.651 | 0.662 | 0.011 | 1.7 | |
| 00523 | 99 | REST OF MISSOURI * | 0.651 | 0.662 | 0.011 | 1.7 | |
| 00522 | 00 | OKLAHOMA | 0.713 | 0.725 | 0.012 | 1.7 | |
| 00900 | 18 | HOUSTON, TX | 0.972 | 0.988 | 0.016 | 1.6 | |
| 00590 | 99 | REST OF FLORIDA | 0.936 | 0.951 | 0.015 | 1.6 | |
| 00900 | 15 | GALVESTON, TX | 0.910 | 0.924 | 0.014 | 1.5 | |
| 00951 | 00 | WISCONSIN | 0.854 | 0.866 | 0.012 | 1.4 | |
| 00865 | 01 | METROPOLITAN PHILADELPHIA, PA | 1.162 | 1.178 | 0.016 | 1.4 | |
| 10490 | 00 | VIRGINIA | 0.881 | 0.892 | 0.011 | 1.2 | |
| 00826 | 00 | IOWA | 0.778 | 0.785 | 0.007 | 0.9 | |
| 00523 | 01 | METROPOLITAN ST. LOUIS, MO | 0.807 | 0.814 | 0.007 | 0.9 | |
| 00520 | 13 | ARKANSAS | 0.698 | 0.704 | 0.006 | 0.9 | |
| 00511 | 99 | REST OF GEORGIA | 0.765 | 0.771 | 0.006 | 0.8 | |
| 00952 | 16 | CHICAGO, IL | 1.207 | 1.216 | 0.009 | 0.7 | |
| 00952 | 15 | SUBURBAN CHICAGO, IL | 1.207 | 1.216 | 0.009 | 0.7 | |
| 00528 | 01 | NEW ORLEANS, LA | 0.826 | 0.832 | 0.006 | 0.7 | |
| 00952 | 12 | EAST ST. LOUIS, IL | 0.787 | 0.792 | 0.005 | 0.6 | |
| 00835 | 99 | REST OF OREGON | 0.896 | 0.901 | 0.005 | 0.6 | |
| 00900 | 99 | REST OF TEXAS | 0.791 | 0.795 | 0.004 | 0.5 | |
| 00903 | 01 | DC + MD/VA SUBURBS | 1.335 | 1.341 | 0.006 | 0.4 | |
| 00660 | 00 | KENTUCKY | 0.719 | 0.721 | 0.002 | 0.3 | |
| 00836 | 99 | REST OF WASHINGTON | 0.957 | 0.958 | 0.001 | 0.1 | |
| 00900 | 20 | BEAUMONT, TX | 0.758 | 0.758 | 0.0 | ||
| 10250 | 00 | MISSISSIPPI | 0.690 | 0.690 | 0.0 | ||
| 00901 | 01 | BALTIMORE/SURR. CNTYS, MD | 1.027 | 1.026 | (0.001) | -0.1 | |
| 31144 | 40 | NEW HAMPSHIRE | 1.091 | 1.089 | (0.002) | -0.2 | |
| 00900 | 31 | AUSTIN, TX | 1.118 | 1.111 | (0.007) | -0.6 | |
| 00521 | 05 | NEW MEXICO | 0.844 | 0.837 | (0.007) | -0.8 | |
| 00528 | 99 | REST OF LOUISIANA | 0.721 | 0.715 | (0.006) | -0.8 | |
| 00805 | 01 | NORTHERN NJ | 1.415 | 1.399 | (0.016) | -1.1 | |
| 00870 | 01 | RHODE ISLAND | 1.111 | 1.098 | (0.013) | -1.2 | |
| 05130 | 00 | IDAHO | 0.801 | 0.791 | (0.010) | -1.2 | |
| 00831 | 01 | ALASKA | 1.265 | 1.249 | (0.016) | -1.3 | |
| 02050 | 99 | REST OF CALIFORNIA * | 1.068 | 1.050 | (0.018) | -1.7 | |
| 31140 | 99 | REST OF CALIFORNIA * | 1.068 | 1.050 | (0.018) | -1.7 | |
| 00590 | 03 | FORT LAUDERDALE, FL | 1.114 | 1.090 | (0.024) | -2.2 | |
| 00901 | 99 | REST OF MARYLAND | 1.020 | 0.995 | (0.025) | -2.5 | |
| 02050 | 17 | VENTURA, CA | 1.329 | 1.294 | (0.035) | -2.6 | |
| 31142 | 99 | REST OF MAINE | 0.827 | 0.801 | (0.026) | -3.1 | |
| 02050 | 26 | ANAHEIM/SANTA ANA, CA | 1.474 | 1.422 | (0.052) | -3.5 | |
| 00803 | 01 | MANHATTAN, NY | 1.808 | 1.744 | (0.064) | -3.5 | |
| 14330 | 04 | QUEENS, NY | 1.466 | 1.414 | (0.052) | -3.5 | |
| 00801 | 99 | REST OF NEW YORK | 0.909 | 0.875 | (0.034) | -3.7 | |
| 00973 | 50 | VIRGIN ISLANDS | 1.309 | 1.260 | (0.049) | -3.7 | |
| 00973 | 20 | PUERTO RICO | 0.715 | 0.688 | (0.027) | -3.8 | |
| 00803 | 03 | POUGHKPSIE/N NYC SUBURBS, NY | 1.305 | 1.254 | (0.051) | -3.9 | |
| 10230 | 00 | CONNECTICUT | 1.283 | 1.215 | (0.068) | -5.3 | |
| 00590 | 04 | MIAMI, FL | 1.232 | 1.139 | (0.093) | -7.5 | |
| 31142 | 03 | SOUTHERN MAINE | 1.119 | 1.009 | (0.110) | -9.8 | |
| 00833 | 01 | HAWAII/GUAM | 1.639 | 1.389 | (0.250) | -15.3 | |
| 02050 | 18 | LOS ANGELES, CA | 1.466 | 1.223 | (0.243) | -16.6 | |
| Notes: | |||||||
| *-Indicates multiple carriers for this Fee Schedule Area. | |||||||
| Neither Office Rent Index reflects budget neutrality adjusting. | |||||||
| Carrier | Locality | Fee schedule area | 2000 | 2002 | Difference | Percentage difference |
|---|---|---|---|---|---|---|
| 00825 | 21 | WYOMING | 0.705 | 1.003 | 0.298 | 42.27 |
| 00521 | 05 | NEW MEXICO | 0.716 | 0.900 | 0.184 | 25.70 |
| 16510 | 16 | WEST VIRGINIA | 1.106 | 1.375 | 0.269 | 24.32 |
| 00865 | 99 | REST OF PENNSYLVANIA | 0.637 | 0.772 | 0.135 | 21.19 |
| 00834 | 00 | NEVADA | 0.997 | 1.206 | 0.209 | 20.96 |
| 00952 | 15 | SUBURBAN CHICAGO, IL | 1.365 | 1.641 | 0.276 | 20.22 |
| 05535 | 00 | NORTH CAROLINA | 0.497 | 0.594 | 0.097 | 19.52 |
| 00630 | 00 | INDIANA | 0.408 | 0.480 | 0.072 | 17.65 |
| 00865 | 01 | METROPOLITAN PHILADELPHIA, PA | 1.207 | 1.410 | 0.203 | 16.82 |
| 00952 | 99 | REST OF ILLINOIS | 0.990 | 1.155 | 0.165 | 16.67 |
| 00952 | 12 | EAST ST. LOUIS, IL | 1.487 | 1.687 | 0.200 | 13.45 |
| 02050 | 26 | ANAHEIM/SANTA ANA, CA | 0.846 | 0.953 | 0.107 | 12.65 |
| 02050 | 18 | LOS ANGELES, CA | 0.846 | 0.953 | 0.107 | 12.65 |
| 00951 | 00 | WISCONSIN | 0.841 | 0.937 | 0.096 | 11.41 |
| 00528 | 01 | NEW ORLEANS, LA | 1.153 | 1.280 | 0.127 | 11.01 |
| 31143 | 01 | METROPOLITAN BOSTON | 0.713 | 0.782 | 0.069 | 9.68 |
| 31143 | 99 | REST OF MASSACHUSETTS | 0.713 | 0.782 | 0.069 | 9.68 |
| 00900 | 99 | REST OF TEXAS | 0.871 | 0.954 | 0.083 | 9.53 |
| 02050 | 17 | VENTURA, CA | 0.717 | 0.781 | 0.064 | 8.93 |
| 00660 | 00 | KENTUCKY | 0.807 | 0.875 | 0.068 | 8.43 |
| 00910 | 09 | UTAH | 0.594 | 0.643 | 0.049 | 8.25 |
| 00805 | 01 | NORTHERN NJ | 0.795 | 0.858 | 0.063 | 7.92 |
| 00805 | 99 | REST OF NEW JERSEY | 0.795 | 0.858 | 0.063 | 7.92 |
| 10250 | 00 | MISSISSIPPI | 0.721 | 0.777 | 0.056 | 7.77 |
| 00590 | 04 | MIAMI, FL | 2.350 | 2.523 | 0.173 | 7.36 |
| 05440 | 35 | TENNESSEE | 0.552 | 0.591 | 0.039 | 7.07 |
| 02050 | 99 | REST OF CALIFORNIA * | 0.698 | 0.746 | 0.048 | 6.88 |
| 31140 | 99 | REST OF CALIFORNIA * | 0.698 | 0.746 | 0.048 | 6.88 |
| 00836 | 99 | REST OF WASHINGTON | 0.742 | 0.786 | 0.044 | 5.93 |
| 00836 | 02 | SEATTLE (KING CNTY), WA | 0.742 | 0.786 | 0.044 | 5.93 |
| 00952 | 16 | CHICAGO, IL | 1.693 | 1.793 | 0.100 | 5.91 |
| 00824 | 01 | COLORADO | 0.795 | 0.838 | 0.043 | 5.41 |
| 00590 | 03 | FORT LAUDERDALE, FL | 1.783 | 1.873 | 0.090 | 5.05 |
| 00528 | 99 | REST OF LOUISIANA | 1.031 | 1.071 | 0.040 | 3.88 |
| 31140 | 03 | MARIN/NAPA/SOLANO, CA | 0.667 | 0.686 | 0.019 | 2.85 |
| 31140 | 07 | OAKLAND/BERKLEY, CA | 0.667 | 0.686 | 0.019 | 2.85 |
| 31140 | 05 | SAN FRANCISCO, CA | 0.667 | 0.686 | 0.019 | 2.85 |
| 31140 | 06 | SAN MATEO, CA | 0.667 | 0.686 | 0.019 | 2.85 |
| 14330 | 04 | QUEENS, NY | 1.839 | 1.867 | 0.028 | 1.52 |
| 00900 | 31 | AUSTIN, TX | 0.849 | 0.857 | 0.008 | 0.94 |
| 00803 | 02 | NYC SUBURBS/LONG I., NY | 1.932 | 1.948 | 0.016 | 0.83 |
| 00803 | 01 | MANHATTAN, NY | 1.654 | 1.664 | 0.010 | 0.60 |
| 00820 | 01 | NORTH DAKOTA | 0.656 | 0.656 | 0.00 | |
| 00900 | 11 | DALLAS, TX | 0.930 | 0.929 | (0.001) | -0.11 |
| 00900 | 28 | FORT WORTH, TX | 0.930 | 0.929 | (0.001) | -0.11 |
| 00880 | 01 | SOUTH CAROLINA | 0.280 | 0.278 | (0.002) | -0.71 |
| 00751 | 01 | MONTANA | 0.732 | 0.725 | (0.007) | -0.96 |
| 00522 | 00 | OKLAHOMA | 0.451 | 0.443 | (0.008) | -1.77 |
| 31145 | 50 | VERMONT | 0.548 | 0.538 | (0.010) | -1.82 |
| 00511 | 01 | ATLANTA, GA | 0.951 | 0.933 | (0.018) | -1.89 |
| 00511 | 99 | REST OF GEORGIA | 0.951 | 0.933 | (0.018) | -1.89 |
| 00973 | 50 | VIRGIN ISLANDS | 1.032 | 1.000 | (0.032) | -3.10 |
| 00655 | 00 | NEBRASKA | 0.443 | 0.429 | (0.014) | -3.16 |
| 00900 | 20 | BEAUMONT, TX | 1.386 | 1.335 | (0.051) | -3.68 |
| 00900 | 09 | BRAZORIA, TX | 1.386 | 1.335 | (0.051) | -3.68 |
| 00900 | 15 | GALVESTON, TX | 1.386 | 1.335 | (0.051) | -3.68 |
| 00801 | 99 | REST OF NEW YORK | 0.793 | 0.762 | (0.031) | -3.91 |
| 00803 | 03 | POUGHKPSIE/N NYC SUBURBS, NY | 1.326 | 1.272 | (0.054) | -4.07 |
| 31140 | 09 | SANTA CLARA, CA | 0.667 | 0.638 | (0.029) | -4.35 |
| 00590 | 99 | REST OF FLORIDA | 1.327 | 1.262 | (0.065) | -4.90 |
| 00900 | 18 | HOUSTON, TX | 1.418 | 1.333 | (0.085) | -5.99 |
| 31142 | 99 | REST OF MAINE | 0.708 | 0.665 | (0.043) | -6.07 |
| 31142 | 03 | SOUTHERN MAINE | 0.708 | 0.665 | (0.043) | -6.07 |
| 00832 | 00 | ARIZONA | 1.189 | 1.109 | (0.080) | -6.73 |
| 00820 | 02 | SOUTH DAKOTA | 0.435 | 0.405 | (0.030) | -6.90 |
| 00510 | 00 | ALABAMA | 0.876 | 0.805 | (0.071) | -8.11 |
| 00826 | 00 | IOWA | 0.648 | 0.595 | (0.053) | -8.18 |
| 10230 | 00 | CONNECTICUT | 1.052 | 0.964 | (0.088) | -8.37 |
| 10490 | 00 | VIRGINIA | 0.557 | 0.499 | (0.058) | -10.41 |
| 00901 | 99 | REST OF MARYLAND | 0.866 | 0.772 | (0.094) | -10.85 |
| 00953 | 01 | DETROIT, MI | 3.069 | 2.732 | (0.337) | -10.98 |
| 10240 | 00 | MINNESOTA | 0.507 | 0.451 | (0.056) | -11.05 |
| 16360 | 00 | OHIO | 1.074 | 0.955 | (0.119) | -11.08 |
| 00903 | 01 | DC + MD/VA SUBURBS | 1.032 | 0.907 | (0.125) | -12.11 |
| 05130 | 00 | IDAHO | 0.566 | 0.496 | (0.070) | -12.37 |
| 00833 | 01 | HAWAII/GUAM | 0.954 | 0.832 | (0.122) | -12.79 |
| 00953 | 99 | REST OF MICHIGAN | 1.828 | 1.568 | (0.260) | -14.22 |
| 00650 | 00 | KANSAS * | 0.890 | 0.754 | (0.136) | -15.28 |
| 00740 | 04 | KANSAS * | 0.890 | 0.754 | (0.136) | -15.28 |
| 00520 | 13 | ARKANSAS | 0.403 | 0.339 | (0.064) | -15.88 |
| 00901 | 01 | BALTIMORE/SURR. CNTYS, MD | 1.098 | 0.914 | (0.184) | -16.76 |
| 00902 | 01 | DELAWARE | 0.860 | 0.710 | (0.150) | -17.44 |
| 31144 | 40 | NEW HAMPSHIRE | 1.013 | 0.823 | (0.190) | -18.76 |
| 00831 | 01 | ALASKA | 1.533 | 1.220 | (0.313) | -20.42 |
| 00973 | 20 | PUERTO RICO | 0.359 | 0.274 | (0.085) | -23.68 |
| 00835 | 01 | PORTLAND, OR | 0.587 | 0.435 | (0.152) | -25.89 |
| 00835 | 99 | REST OF OREGON | 0.587 | 0.435 | (0.152) | -25.89 |
| 00870 | 01 | RHODE ISLAND | 1.189 | 0.881 | (0.308) | -25.90 |
| 00740 | 02 | METROPOLITAN KANSAS CITY, MO | 1.196 | 0.844 | (0.352) | -29.43 |
| 00523 | 01 | METROPOLITAN ST. LOUIS, MO | 1.198 | 0.844 | (0.354) | -29.55 |
| 00740 | 99 | REST OF MISSOURI * | 1.165 | 0.791 | (0.374) | -32.10 |
| 00523 | 99 | REST OF MISSOURI * | 1.165 | 0.791 | (0.374) | -32.10 |
| Notes: | ||||||
| *-Indicates multiple carriers for this Fee Schedule Area. | ||||||
| 1999 Malpractice GPCIs have been budget neutrality adjusted. | ||||||
| The 2002 MGPCIs have NOT been budget neutrality adjusted. | ||||||
| Carrier No. | Locality No. | Locality name | Work | Practice expense | Malpractice |
|---|---|---|---|---|---|
| 00510 | 00 | ALABAMA | 0.978 | 0.870 | 0.807 |
| 00831 | 01 | ALASKA | 1.064 | 1.172 | 1.223 |
| 00832 | 00 | ARIZONA | 0.994 | 0.978 | 1.111 |
| 00520 | 13 | ARKANSAS | 0.953 | 0.847 | 0.340 |
| 02050 | 26 | ANAHEIM/SANTA ANA, CA | 1.037 | 1.184 | 0.955 |
| 02050 | 18 | LOS ANGELES, CA | 1.056 | 1.139 | 0.955 |
| 31140 | 03 | MARIN/NAPA/SOLANO, CA | 1.015 | 1.248 | 0.687 |
| 31140 | 07 | OAKLAND/BERKELEY, CA | 1.041 | 1.235 | 0.687 |
| 31140 | 05 | SAN FRANCISCO, CA | 1.068 | 1.458 | 0.687 |
| 31140 | 06 | SAN MATEO, CA | 1.048 | 1.432 | 0.687 |
| 31140 | 09 | SANTA CLARA, CA | 1.063 | 1.380 | 0.639 |
| 02050 | 17 | VENTURA, CA | 1.028 | 1.125 | 0.783 |
| 02050 | 99 | REST OF CALIFORNIA * | 1.007 | 1.034 | 0.748 |
| 31140 | 99 | REST OF CALIFORNIA * | 1.007 | 1.034 | 0.748 |
| 00824 | 01 | COLORADO | 0.985 | 0.992 | 0.840 |
| 10230 | 00 | CONNECTICUT | 1.050 | 1.156 | 0.966 |
| 00902 | 01 | DELAWARE | 1.019 | 1.035 | 0.712 |
| 00903 | 01 | DC + MD/VA SUBURBS | 1.050 | 1.166 | 0.909 |
| 00590 | 03 | FORT LAUDERDALE, FL | 0.996 | 1.018 | 1.877 |
| 00590 | 04 | MIAMI, FL | 1.015 | 1.052 | 2.528 |
| 00590 | 99 | REST OF FLORIDA | 0.975 | 0.946 | 1.265 |
| 00511 | 01 | ATLANTA, GA | 1.006 | 1.059 | 0.935 |
| 00511 | 99 | REST OF GEORGIA | 0.970 | 0.892 | 0.935 |
| 00833 | 01 | HAWAII/GUAM | 0.997 | 1.124 | 0.834 |
| 05130 | 00 | IDAHO | 0.960 | 0.881 | 0.497 |
| 00952 | 16 | CHICAGO, IL | 1.028 | 1.092 | 1.797 |
| 00952 | 12 | EAST ST. LOUIS, IL | 0.988 | 0.924 | 1.691 |
| 00952 | 15 | SUBURBAN CHICAGO, IL | 1.006 | 1.071 | 1.645 |
| 00952 | 99 | REST OF ILLINOIS | 0.964 | 0.889 | 1.157 |
| 00630 | 00 | INDIANA | 0.981 | 0.922 | 0.481 |
| 00826 | 00 | IOWA | 0.959 | 0.876 | 0.596 |
| 00650 | 00 | KANSAS * | 0.963 | 0.895 | 0.756 |
| 00740 | 04 | KANSAS * | 0.963 | 0.895 | 0.749 |
| 00660 | 00 | KENTUCKY | 0.970 | 0.866 | 0.877 |
| 00528 | 01 | NEW ORLEANS, LA | 0.998 | 0.945 | 1.283 |
| 00528 | 99 | REST OF LOUISIANA | 0.968 | 0.870 | 1.073 |
| 31142 | 03 | SOUTHERN MAINE | 0.979 | 0.999 | 0.666 |
| 31142 | 99 | REST OF MAINE | 0.961 | 0.910 | 0.666 |
| 00901 | 01 | BALTIMORE/SURR. CNTYS, MD | 1.021 | 1.038 | 0.916 |
| 00901 | 99 | REST OF MARYLAND | 0.984 | 0.972 | 0.774 |
| 31143 | 01 | METROPOLITAN BOSTON | 1.041 | 1.239 | 0.784 |
| 31143 | 99 | REST OF MASSACHUSETTS | 1.010 | 1.129 | 0.784 |
| 00953 | 01 | DETROIT, MI | 1.043 | 1.038 | 2.738 |
| 00953 | 99 | REST OF MICHIGAN | 0.997 | 0.938 | 1.571 |
| 10240 | 00 | MINNESOTA | 0.990 | 0.974 | 0.452 |
| 10250 | 00 | MISSISSIPPI | 0.957 | 0.837 | 0.779 |
| 00740 | 02 | METROPOLITAN KANSAS CITY, MO | 0.988 | 0.967 | 0.846 |
| 00523 | 01 | METROPOLITAN ST. LOUIS, MO | 0.994 | 0.938 | 0.846 |
| 00740 | 99 | REST OF MISSOURI * | 0.946 | 0.825 | 0.793 |
| 00523 | 99 | REST OF MISSOURI * | 0.946 | 0.825 | 0.793 |
| 00751 | 01 | MONTANA | 0.950 | 0.876 | 0.727 |
| 00655 | 00 | NEBRASKA | 0.948 | 0.877 | 0.430 |
| 00834 | 00 | NEVADA | 1.005 | 1.039 | 1.209 |
| 31144 | 40 | NEW HAMPSHIRE | 0.986 | 1.030 | 0.825 |
| 00805 | 01 | NORTHERN NJ | 1.058 | 1.193 | 0.860 |
| 00805 | 99 | REST OF NEW JERSEY | 1.029 | 1.110 | 0.860 |
| 00521 | 05 | NEW MEXICO | 0.973 | 0.900 | 0.902 |
| 00803 | 01 | MANHATTAN, NY | 1.094 | 1.351 | 1.668 |
| 00803 | 02 | NYC SUBURBS/LONG I., NY | 1.068 | 1.251 | 1.952 |
| 00803 | 03 | POUGHKPSIE/N NYC SUBURBS, NY | 1.011 | 1.075 | 1.275 |
| 14330 | 04 | QUEENS, NY | 1.058 | 1.228 | 1.871 |
| 00801 | 99 | REST OF NEW YORK | 0.998 | 0.944 | 0.764 |
| 05535 | 00 | NORTH CAROLINA | 0.970 | 0.931 | 0.595 |
| 00820 | 01 | NORTH DAKOTA | 0.950 | 0.880 | 0.657 |
| 16360 | 00 | OHIO | 0.988 | 0.944 | 0.957 |
| 00522 | 00 | OKLAHOMA | 0.968 | 0.876 | 0.444 |
| 00835 | 01 | PORTLAND, OR | 0.996 | 1.049 | 0.436 |
| 00835 | 99 | REST OF OREGON | 0.961 | 0.933 | 0.436 |
| 00865 | 01 | METROPOLITAN PHILADELPHIA, PA | 1.023 | 1.092 | 1.413 |
| 00865 | 99 | REST OF PENNSYLVANIA | 0.989 | 0.929 | 0.774 |
| 00973 | 20 | PUERTO RICO | 0.881 | 0.712 | 0.275 |
| 00870 | 01 | RHODE ISLAND | 1.017 | 1.065 | 0.883 |
| 00880 | 01 | SOUTH CAROLINA | 0.974 | 0.904 | 0.279 |
| 00820 | 02 | SOUTH DAKOTA | 0.935 | 0.878 | 0.406 |
| 05440 | 35 | TENNESSEE | 0.975 | 0.900 | 0.592 |
| 00900 | 31 | AUSTIN, TX | 0.986 | 0.996 | 0.859 |
| 00900 | 20 | BEAUMONT, TX | 0.992 | 0.890 | 1.338 |
| 00900 | 09 | BRAZORIA, TX | 0.992 | 0.978 | 1.338 |
| 00900 | 11 | DALLAS, TX | 1.010 | 1.065 | 0.931 |
| 00900 | 28 | FORT WORTH, TX | 0.987 | 0.981 | 0.931 |
| 00900 | 15 | GALVESTON, TX | 0.988 | 0.969 | 1.338 |
| 00900 | 18 | HOUSTON, TX | 1.020 | 1.007 | 1.336 |
| 00900 | 99 | REST OF TEXAS | 0.966 | 0.880 | 0.956 |
| 00910 | 09 | UTAH | 0.976 | 0.941 | 0.644 |
| 31145 | 50 | VERMONT | 0.973 | 0.986 | 0.539 |
| 00973 | 50 | VIRGIN ISLANDS | 0.965 | 1.023 | 1.002 |
| 10490 | 00 | VIRGINIA | 0.984 | 0.938 | 0.500 |
| 00836 | 02 | SEATTLE (KING CNTY), WA | 1.005 | 1.100 | 0.788 |
| 00836 | 99 | REST OF WASHINGTON | 0.981 | 0.972 | 0.788 |
| 16510 | 16 | WEST VIRGINIA | 0.963 | 0.850 | 1.378 |
| 00951 | 00 | WISCONSIN | 0.981 | 0.929 | 0.939 |
| 00825 | 21 | WYOMING | 0.967 | 0.895 | 1.005 |
| * Payment locality is serviced by two carriers. | |||||
| Note: Work GPCI is the 1⁄4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors for budget netrality: Work = 0.99699; Practice Expense = 0.99235; Malpractice Expense = 1.00215. | |||||
| Carrier No. | Locality No. | Locality name | Work | Practice expense | Malpractice |
|---|---|---|---|---|---|
| 00510 | 00 | ALABAMA | 0.978 | 0.871 | 0.841 |
| 00831 | 01 | ALASKA | 1.063 | 1.172 | 1.378 |
| 00832 | 00 | ARIZONA | 0.994 | 0.975 | 1.150 |
| 00520 | 13 | ARKANSAS | 0.953 | 0.851 | 0.371 |
| 02050 | 26 | ANAHEIM/SANTA ANA, CA | 1.036 | 1.187 | 0.901 |
| 02050 | 18 | LOS ANGELES, CA | 1.055 | 1.169 | 0.901 |
| 31140 | 03 | MARIN/NAPA/SOLANO, CA | 1.014 | 1.205 | 0.677 |
| 31140 | 07 | OAKLAND/BERKELEY, CA | 1.040 | 1.216 | 0.677 |
| 31140 | 05 | SAN FRANCISCO, CA | 1.067 | 1.378 | 0.677 |
| 31140 | 06 | SAN MATEO, CA | 1.047 | 1.353 | 0.677 |
| 31140 | 09 | SANTA CLARA, CA | 1.062 | 1.321 | 0.653 |
| 02050 | 17 | VENTURA, CA | 1.027 | 1.128 | 0.750 |
| 02050 | 99 | REST OF CALIFORNIA * | 1.007 | 1.039 | 0.723 |
| 31140 | 99 | REST OF CALIFORNIA * | 1.007 | 1.039 | 0.723 |
| 00824 | 01 | COLORADO | 0.986 | 0.981 | 0.817 |
| 10230 | 00 | CONNECTICUT | 1.049 | 1.164 | 1.009 |
| 00902 | 01 | DELAWARE | 1.019 | 1.032 | 0.786 |
| 00903 | 01 | DC + MD/VA SUBURBS | 1.050 | 1.164 | 0.970 |
| 00590 | 03 | FORT LAUDERDALE, FL | 0.996 | 1.022 | 1.830 |
| 00590 | 04 | MIAMI, FL | 1.015 | 1.064 | 2.439 |
| 00590 | 99 | REST OF FLORIDA | 0.975 | 0.947 | 1.296 |
| 00511 | 01 | ATLANTA, GA | 1.006 | 1.046 | 0.943 |
| 00511 | 99 | REST OF GEORGIA | 0.970 | 0.896 | 0.943 |
| 00833 | 01 | HAWAII/GUAM | 0.997 | 1.154 | 0.894 |
| 05130 | 00 | IDAHO | 0.960 | 0.887 | 0.532 |
| 00952 | 16 | CHICAGO, IL | 1.027 | 1.090 | 1.745 |
| 00952 | 12 | EAST ST. LOUIS, IL | 0.988 | 0.927 | 1.589 |
| 00952 | 15 | SUBURBAN CHICAGO, IL | 1.006 | 1.069 | 1.505 |
| 00952 | 99 | REST OF ILLINOIS | 0.964 | 0.888 | 1.074 |
| 00630 | 00 | INDIANA | 0.981 | 0.919 | 0.445 |
| 00826 | 00 | IOWA | 0.959 | 0.879 | 0.622 |
| 00650 | 00 | KANSAS * | 0.963 | 0.897 | 0.823 |
| 00740 | 04 | KANSAS * | 0.963 | 0.897 | 0.819 |
| 00660 | 00 | KENTUCKY | 0.970 | 0.870 | 0.842 |
| 00528 | 01 | NEW ORLEANS, LA | 0.998 | 0.947 | 1.218 |
| 00528 | 99 | REST OF LOUISIANA | 0.969 | 0.876 | 1.052 |
| 31142 | 03 | SOUTHERN MAINE | 0.979 | 1.015 | 0.687 |
| 31142 | 99 | REST OF MAINE | 0.961 | 0.917 | 0.687 |
| 00901 | 01 | BALTIMORE/SURR. CNTYS, MD | 1.020 | 1.038 | 1.007 |
| 00901 | 99 | REST OF MARYLAND | 0.985 | 0.979 | 0.820 |
| 31143 | 01 | METROPOLITAN BOSTON | 1.040 | 1.218 | 0.748 |
| 31143 | 99 | REST OF MASSACHUSETTS | 1.010 | 1.111 | 0.748 |
| 00953 | 01 | DETROIT, MI | 1.042 | 1.030 | 2.903 |
| 00953 | 99 | REST OF MICHIGAN | 0.996 | 0.938 | 1.700 |
| 10240 | 00 | MINNESOTA | 0.990 | 0.971 | 0.479 |
| 10250 | 00 | MISSISSIPPI | 0.957 | 0.841 | 0.750 |
| 00740 | 02 | METROPOLITAN KANSAS CITY, MO | 0.988 | 0.958 | 1.021 |
| 00523 | 01 | METROPOLITAN ST. LOUIS, MO | 0.994 | 0.940 | 1.022 |
| 00740 | 99 | REST OF MISSOURI * | 0.946 | 0.826 | 0.979 |
| 00523 | 99 | REST OF MISSOURI * | 0.946 | 0.826 | 0.979 |
| 00751 | 01 | MONTANA | 0.951 | 0.877 | 0.729 |
| 00655 | 00 | NEBRASKA | 0.949 | 0.875 | 0.436 |
| 00834 | 00 | NEVADA | 1.005 | 1.035 | 1.103 |
| 31144 | 40 | NEW HAMPSHIRE | 0.987 | 1.032 | 0.919 |
| 00805 | 01 | NORTHERN NJ | 1.057 | 1.192 | 0.827 |
| 00805 | 99 | REST OF NEW JERSEY | 1.028 | 1.102 | 0.827 |
| 00521 | 05 | NEW MEXICO | 0.973 | 0.905 | 0.809 |
| 00803 | 01 | MANHATTAN, NY | 1.093 | 1.352 | 1.661 |
| 00803 | 02 | NYC SUBURBS/LONG I., NY | 1.067 | 1.242 | 1.942 |
| 00803 | 03 | POUGHKPSIE/N NYC SUBURBS, NY | 1.010 | 1.079 | 1.300 |
| 14330 | 04 | QUEENS, NY | 1.057 | 1.231 | 1.855 |
| 00801 | 99 | REST OF NEW YORK | 0.998 | 0.951 | 0.778 |
| 05535 | 00 | NORTH CAROLINA | 0.970 | 0.927 | 0.546 |
| 00820 | 01 | NORTH DAKOTA | 0.950 | 0.879 | 0.657 |
| 16360 | 00 | OHIO | 0.989 | 0.941 | 1.016 |
| 00522 | 00 | OKLAHOMA | 0.969 | 0.879 | 0.447 |
| 00835 | 01 | PORTLAND, OR | 0.996 | 1.035 | 0.511 |
| 00835 | 99 | REST OF OREGON | 0.961 | 0.935 | 0.511 |
| 00865 | 01 | METROPOLITAN PHILADELPHIA, PA | 1.023 | 1.090 | 1.310 |
| 00865 | 99 | REST OF PENNSYLVANIA | 0.989 | 0.930 | 0.705 |
| 00973 | 20 | PUERTO RICO | 0.882 | 0.720 | 0.317 |
| 00870 | 01 | RHODE ISLAND | 1.017 | 1.067 | 1.036 |
| 00880 | 01 | SOUTH CAROLINA | 0.975 | 0.905 | 0.279 |
| 00820 | 02 | SOUTH DAKOTA | 0.935 | 0.876 | 0.420 |
| 05440 | 35 | TENNESSEE | 0.975 | 0.900 | 0.572 |
| 00900 | 31 | AUSTIN, TX | 0.986 | 0.998 | 0.854 |
| 00900 | 20 | BEAUMONT, TX | 0.992 | 0.895 | 1.362 |
| 00900 | 09 | BRAZORIA, TX | 0.992 | 0.978 | 1.362 |
| 00900 | 11 | DALLAS, TX | 1.010 | 1.040 | 0.930 |
| 00900 | 28 | FORT WORTH, TX | 0.987 | 0.976 | 0.930 |
| 00900 | 15 | GALVESTON, TX | 0.988 | 0.969 | 1.362 |
| 00900 | 18 | HOUSTON, TX | 1.020 | 1.007 | 1.377 |
| 00900 | 99 | REST OF TEXAS | 0.966 | 0.884 | 0.914 |
| 00910 | 09 | UTAH | 0.977 | 0.925 | 0.619 |
| 31145 | 50 | VERMONT | 0.973 | 0.985 | 0.544 |
| 00973 | 50 | VIRGIN ISLANDS | 0.965 | 1.029 | 1.017 |
| 10490 | 00 | VIRGINIA | 0.985 | 0.939 | 0.529 |
| 00836 | 02 | SEATTLE (KING CNTY), WA | 1.005 | 1.090 | 0.765 |
| 00836 | 99 | REST OF WASHINGTON | 0.982 | 0.974 | 0.765 |
| 16510 | 16 | WEST VIRGINIA | 0.963 | 0.852 | 1.242 |
| 00951 | 00 | WISCONSIN | 0.981 | 0.931 | 0.890 |
| 00825 | 21 | WYOMING | 0.967 | 0.895 | 0.855 |
| * Payment locality is serviced by two carriers. | |||||
| Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors for budget neutrality: Work = 0.99699; Practice Expense = 0.99235; Malpractice Expense = 1.00215. | |||||
| Locality | 1999 GAF | 2002 GAF | Difference | Percent difference |
|---|---|---|---|---|
| SAN MATEO, CA | 1.122 | 1.199 | 0.077 | 6.89 |
| SAN FRANCISCO, CA | 1.143 | 1.221 | 0.078 | 6.84 |
| SANTA CLARA, CA | 1.125 | 1.184 | 0.059 | 5.28 |
| MARIN/NAPA/SOLANO, CA | 1.058 | 1.104 | 0.046 | 4.33 |
| METROPOLITAN BOSTON | 1.088 | 1.117 | 0.029 | 2.64 |
| OAKLAND/BERKELEY, CA | 1.086 | 1.113 | 0.027 | 2.46 |
| REST OF MASSACHUSETTS | 1.030 | 1.053 | 0.023 | 2.24 |
| DALLAS, TX | 1.009 | 1.031 | 0.022 | 2.19 |
| UTAH | 0.931 | 0.951 | 0.020 | 2.10 |
| SEATTLE (KING CNTY), WA | 1.023 | 1.038 | 0.015 | 1.48 |
| INDIANA | 0.927 | 0.941 | 0.014 | 1.46 |
| NORTH CAROLINA | 0.928 | 0.942 | 0.014 | 1.46 |
| WYOMING | 0.925 | 0.938 | 0.013 | 1.36 |
| PORTLAND, OR | 0.987 | 1.000 | 0.013 | 1.35 |
| REST OF NEW JERSEY | 1.044 | 1.058 | 0.014 | 1.34 |
| COLORADO | 0.971 | 0.983 | 0.012 | 1.27 |
| ATLANTA, GA | 1.015 | 1.026 | 0.011 | 1.10 |
| SOUTH CAROLINA | 0.913 | 0.923 | 0.010 | 1.06 |
| NEVADA | 1.016 | 1.026 | 0.010 | 1.00 |
| SOUTH DAKOTA | 0.886 | 0.895 | 0.009 | 0.99 |
| MINNESOTA | 0.957 | 0.966 | 0.009 | 0.99 |
| REST OF PENNSYLVANIA | 0.948 | 0.956 | 0.008 | 0.89 |
| NORTHERN NJ | 1.099 | 1.109 | 0.010 | 0.89 |
| VERMONT | 0.957 | 0.965 | 0.008 | 0.88 |
| NEBRASKA | 0.894 | 0.902 | 0.008 | 0.87 |
| TENNESSEE | 0.924 | 0.932 | 0.008 | 0.82 |
| VENTURA, CA | 1.055 | 1.062 | 0.007 | 0.66 |
| NORTH DAKOTA | 0.906 | 0.912 | 0.006 | 0.63 |
| ANAHEIM/SANTA ANA, CA | 1.090 | 1.097 | 0.007 | 0.63 |
| REST OF ILLINOIS | 0.933 | 0.939 | 0.006 | 0.60 |
| SUBURBAN CHICAGO, IL | 1.048 | 1.054 | 0.006 | 0.57 |
| METROPOLITAN PHILADELPHIA, PA | 1.059 | 1.065 | 0.006 | 0.56 |
| FORT WORTH, TX | 0.978 | 0.983 | 0.005 | 0.55 |
| OKLAHOMA | 0.908 | 0.913 | 0.005 | 0.52 |
| NEW MEXICO | 0.935 | 0.940 | 0.005 | 0.49 |
| WEST VIRGINIA | 0.925 | 0.929 | 0.004 | 0.39 |
| VIRGINIA | 0.946 | 0.950 | 0.004 | 0.37 |
| REST OF WASHINGTON | 0.968 | 0.971 | 0.003 | 0.35 |
| REST OF CALIFORNIA | 1.007 | 1.010 | 0.003 | 0.32 |
| ARKANSAS | 0.886 | 0.889 | 0.003 | 0.32 |
| WISCONSIN | 0.955 | 0.957 | 0.002 | 0.26 |
| MONTANA | 0.910 | 0.912 | 0.002 | 0.19 |
| AUSTIN, TX | 0.985 | 0.986 | 0.001 | 0.14 |
| DELAWARE | 1.015 | 1.016 | 0.001 | 0.12 |
| MISSISSIPPI | 0.900 | 0.901 | 0.001 | 0.08 |
| IOWA | 0.912 | 0.913 | 0.001 | 0.08 |
| KENTUCKY | 0.923 | 0.924 | 0.001 | 0.07 |
| REST OF TEXAS | 0.929 | 0.930 | 0.001 | 0.07 |
| DC + MD/VA SUBURBS | 1.095 | 1.095 | -0.000 | -0.02 |
| IDAHO | 0.913 | 0.912 | -0.001 | -0.14 |
| REST OF OREGON | 0.934 | 0.933 | -0.001 | -0.15 |
| NEW ORLEANS, LA | 0.986 | 0.984 | -0.002 | -0.17 |
| ARIZONA | 0.994 | 0.991 | -0.003 | -0.27 |
| NYC SUBURBS/LONG I., NY | 1.177 | 1.173 | -0.004 | -0.30 |
| ALABAMA | 0.930 | 0.927 | -0.003 | -0.36 |
| REST OF MAINE | 0.934 | 0.931 | -0.003 | -0.36 |
| CHICAGO, IL | 1.084 | 1.080 | -0.004 | -0.38 |
| OHIO | 0.973 | 0.968 | -0.005 | -0.47 |
| MANHATTAN, NY | 1.227 | 1.221 | -0.006 | -0.47 |
| REST OF GEORGIA | 0.940 | 0.936 | -0.004 | -0.47 |
| PUERTO RICO | 0.794 | 0.790 | -0.004 | -0.47 |
| BALTIMORE/SURR. CNTYS, MD | 1.031 | 1.025 | -0.006 | -0.57 |
| VIRGIN ISLANDS | 0.997 | 0.991 | -0.006 | -0.57 |
| EAST ST. LOUIS, IL | 0.989 | 0.983 | -0.006 | -0.57 |
| REST OF NEW YORK | 0.973 | 0.967 | -0.006 | -0.57 |
| KANSAS | 0.933 | 0.928 | -0.005 | -0.58 |
| CONNECTICUT | 1.100 | 1.093 | -0.007 | -0.65 |
| REST OF LOUISIANA | 0.936 | 0.930 | -0.006 | -0.68 |
| BRAZORIA, TX | 1.005 | 0.997 | -0.008 | -0.77 |
| METROPOLITAN KANSAS CITY, MO | 0.982 | 0.974 | -0.008 | -0.77 |
| REST OF MARYLAND | 0.980 | 0.972 | -0.008 | -0.77 |
| HOUSTON, TX | 1.034 | 1.025 | -0.009 | -0.86 |
| NEW HAMPSHIRE | 1.008 | 0.999 | -0.009 | -0.86 |
| GALVESTON, TX | 1.000 | 0.991 | -0.009 | -0.87 |
| REST OF FLORIDA | 0.981 | 0.972 | -0.009 | -0.88 |
| POUGHKPSIE/N NYC SUBURBS, NY | 1.056 | 1.046 | -0.010 | -0.94 |
| SOUTHERN MAINE | 0.987 | 0.977 | -0.010 | -0.97 |
| QUEENS, NY | 1.167 | 1.156 | -0.011 | -0.98 |
| FORT LAUDERDALE, FL | 1.046 | 1.033 | -0.013 | -1.23 |
| RHODE ISLAND | 1.047 | 1.033 | -0.014 | -1.33 |
| BEAUMONT, TX | 0.973 | 0.959 | -0.014 | -1.39 |
| ALASKA | 1.131 | 1.115 | -0.016 | -1.44 |
| LOS ANGELES, CA | 1.104 | 1.088 | -0.016 | -1.46 |
| METROPOLITAN ST. LOUIS, MO | 0.983 | 0.965 | -0.018 | -1.79 |
| REST OF MISSOURI | 0.908 | 0.890 | -0.018 | -2.00 |
| REST OF MICHIGAN | 1.013 | 0.990 | -0.023 | -2.24 |
| MIAMI, FL | 1.105 | 1.079 | -0.026 | -2.36 |
| HAWAII/GUAM | 1.072 | 1.046 | -0.026 | -2.42 |
| DETROIT, MI | 1.131 | 1.095 | -0.036 | -3.20 |
[FR Doc. 00-17830 Filed 7-14-00; 8:45 am]
BILLING CODE 4120-01-P