68 FR 158 pgs. 49030-49300 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004
Type: PRORULEVolume: 68Number: 158Pages: 49030 - 49300
Docket number: [CMS-1476-P]
FR document: [FR Doc. 03-20662 Filed 8-8-03; 3:56 pm]
Agency: Health and Human Services Department
Sub Agency: Centers for Medicare Medicaid Services
Official PDF Version: PDF Version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare Medicaid Services
42 CFR Parts 410 and 414
[CMS-1476-P]
RIN 0938-AL96
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004
AGENCY:
Centers for Medicare Medicaid Services (CMS), HHS.
ACTION:
Proposed rule.
SUMMARY:
This proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, and several coding issues.
We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on these proposed policy changes.
We also discuss the non-physician work-pool, the 5-year review of anesthesia services, and outpatient therapy services performed "incident to" physician services.
DATES:
We will consider comments if we receive them at the address, provided below, no later than 5 p.m. on October 7, 2003.
ADDRESSES:
In commenting, please refer to file code CMS-1476-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission or e-mail. Mail written comments (one original and two copies) to the following address ONLY: Centers for Medicare Medicaid Services, Department of Health and Human Services, Attention: CMS-1476-P, P.O. Box 8013, Baltimore, MD 21244-8013. Please allow sufficient time for us to receive mailed comments on time in the event of delivery delays.
If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) to one of the following addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850.
(Because access to the interior of the HHH Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.)
Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and could be considered late.
For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Gail Addis (410) 786-4522 (for issues related to repricing of supplies for practice expense inputs.)
Pam West (410) 786-2302 (for issues related to Practice Expense Advisory Committee (PEAC) recommendations.)
Jim Menas (410) 786-4507 (for issues related to anesthesia).
Rick Ensor (410) 786-5617 (for issues related to Geographic Cost Price Index (GPCI)).
Mary Stojak (410) 786-6939 (for issues related to the definition of diabetes for diabetes self-management training (DSMT)).
Shannon Martin (410) 786-7939 (for issues related to rebasing of the Medicare Economic Index (MEI)).
Dorothy Shannon (410) 786-3396 (for issues related to the "Incident To" Therapy Discussion).
Diane Milstead (410) 786-3355, Latesha Walker (410) 786-1101, or Gaysha Brooks (410) 786-3355 (for all other issues).
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: Comments received timely will be available for public inspection as they are processed, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone (410) 786-7197.
Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-6498) or by faxing to (202) 512-2250. The cost for each copy is $10. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register .
This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. The Web site address is: http://www.access.gpo.gov/nara/index.html.
Information on the physician fee schedule can be found on our homepage. You can access this data by using the following directions:
1. Go to the CMS homepage ( http://www.cms.hhs.gov ).
2. Place your cursor over the word "Professionals" in the blue area near the top of the page. Select "physicians" from the drop-down menu.
3. Under "Policies/Regulations" select "Physician Fee Schedule."
Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.cms.hhs.gov/physicians/pfs.
To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations. Information on the regulation's impact appears throughout the preamble and is not exclusively in section VII.
Table of Contents
I. Background
A. Legislative History
B. Published Changes to the Fee Schedule
II. Provisions of the Proposed Regulation
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
2. Current Methodology
3. Practice Expense Proposals for Calendar Year 2004
B. Geographic Practice Cost Indices (GPCIs)
C. Coding Issues
III. Other Issues
A. Rebasing of the Medicare Economic Index (MEI)
B. Definition of Diabetes for Diabetes Self-Management Training (DSMT)
C. Outpatient Therapy Services Performed "Incident To" Physicians Services
D. Status of Anesthesia Work and 5-Year Review
E. Payment Policies for Anesthesia Services
F. Technical Correction
IV. Collection of Information Requirements
V. Response to Comments
VI. Regulatory Impact Analysis
Addendum A-Explanation and Use of Addendum B
Addendum B-2004 Relative Value Units and Related Information Used in Determining Medicare Payments for 2004.
Addendum C-Codes for Which We Received PEAC Recommendations on Practice Expense Direct Cost Inputs.
Addendum D-Proposed Changes to Practice Expense Supply Description and Pricing.
In addition, because of the many organizations and terms to which we refer by acronym in this proposed rule, we are listing these acronyms and their corresponding terms in alphabetical order below:
AMAAmerican Medical Association
BBABalanced Budget Act of 1997
BBRABalanced Budget Refinement Act of 1999
CFConversion factor
CFRCode of Federal Regulations
CMSCenters for Medicare Medicaid Services
CNSClinical Nurse Specialist
CPT[Physicians'] Current Procedural Terminology [4th Edition, 2002, copyrighted by the American Medical Association]
CPEPClinical Practice Expert Panel
CRNACertified Registered Nurse Anesthetist
E/MEvaluation and management
FMRFair market rental
GAFGeographic adjustment factor
GPCIGeographic practice cost index
HCPCSHealthcare 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
MPFSMedicare Physician Fee Schedule
MSAMetropolitan Statistical Area
NAMCSNational Ambulatory Medical Care Survey
PCProfessional component
PEACPractice Expense Advisory Committee
PPSProspective payment system
RUC[AMA's Specialty Society] Relative [Value] Update Committee
RVURelative value unit
SGRSustainable growth rate
SMS[AMA's] Socioeconomic Monitoring System
SNFSkilled Nursing Facility
TCTechnical component
I. Background
A. Legislative History
Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), "Payment for Physicians' Services." This section provides for three major elements: (1) A fee schedule for the payment of physicians' services; (2) limits on the amounts that nonparticipating physicians can charge beneficiaries; and (3) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense. Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to ensure that they do not increase or decrease by more than $20 million.
B. Published Changes to the Fee Schedule
In the July 2000 proposed rule, (65 FR 44177), we listed all of the final rules published through November 1999. In the August 2001 proposed rule (66 FR 40372) we discussed the November 2000 final rule relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule.
In the November 2001 final rule with comment period (66 FR 55246), we made revisions to resource-based practice expense RVUs; services and supplies incident to a physician's professional service; anesthesia base unit variations; recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. We also addressed comments received on the June 8, 2001 proposed notice (66 FR 31028) for the 5-year review of work RVUs and finalized these work RVUs. In addition, we acknowledged comments received in response to a discussion of modifier-62, which is used to report the work of co-surgeons. The November 2001 final rule also updated the list of services that are subject to the physician self-referral prohibitions in order to reflect CPT and Healthcare Common Procedure Coding System (HCPCS) code changes that were effective January 1, 2002. All these revisions ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also conformed our regulations to reflect statutory provisions of Medicare, Medicaid, and State Child Health Insurance Program (SCHIP) Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554) (BIPA) concerning: The mammography screening benefit; biennial screening pelvic examinations for certain beneficiaries; expanded coverage for screening colonoscopies to all beneficiaries; provided for annual glaucoma screenings for high-risk beneficiaries; established coverage for medical nutrition therapy services for certain beneficiaries; expanded payment for telehealth services; required certain Indian Health Service providers to be paid for some services under the physician fee schedule; and revised the payment for certain physician pathology services.
In the December 31, 2002 final rule with comment period (67 FR 79966), we refined resource-based practice expense RVUs and made other changes to Medicare Part B policy. These included: The pricing of the technical component for positron emission tomography (PET) scans, Medicare qualifications for clinical nurse specialists, a process to add or delete services to the definition of telehealth, the definition for ZZZ global periods, global period for surface radiation, and application of endoscopic reduction rules for certain codes. In addition, this rule: Updated the codes subject to physician self-referral prohibitions, expanded the definition of a screening fecal-occult blood test, and modified our regulations to expand coverage for additional colorectal cancer screening tests through our national coverage determination process. We also made revisions to the sustainable growth rate, the anesthesia conversion factor (CF), and the work values for some gastroenterologic services. We finalized the CY 2002 interim RVUs and assigned interim RVUs for new and revised procedure codes for calendar year CY 2003, clarified the enrollment of therapists in private practice and the policy regarding services and supplies incident to a physician's professional services, and made technical changes to the definition of outpatient rehabilitation services.
This final rule also revised the regulations at 42 CFR 485.618 to allow registered nurses (RNs) to provide emergency care in certain critical access hospitals (CAHs) in frontier areas (an area with fewer than six residents per square mile) or remote locations (locations designated in a State's rural health plan that we have approved).
As required by statute this final rule also announced that the physician fee schedule update for CY 2003 was -4.4 percent, the initial estimate of the sustainable growth rate (SGR) for CY 2003 was 7.6 percent, and the CF for CY 2003 was $34.5920, effective March 1, 2003. However, on February 28, 2003 (68 FR 9567), after enactment of the Consolidated Appropriations Resolution of 2003 (Pub. L. 108-7), we published a final rule that revised the estimates used to establish the SGRs for fiscal years 1998 and 1999 and announced a 1.6 percent increase in the CY 2003 physician fee schedule CF for March 1 to December 31, 2003. The CF from March 1 to December 31, 2003 is $36.7856. The anesthesia CF for this period is $17.05. All other provisions of the December 31, 2002 final rule were unchanged by the rule published February 28, 2003.
II. Provisions of the Proposed Rule
This proposed rule would affect the regulations set forth at Part 410, Supplementary medical insurance (SMI) benefits and part 414, Payment for Part B and other health services.
A. Resource-Based Practice Expense Relative Value Units
1. Resource-Based Practice Expense Legislation
Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.
Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, amended section 1848(c)(2)(ii) of the Act and delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs.
Further legislation affecting resource-based practice expense RVUs was included in the Medicare, Medicaid and State Child Health Insurance Program (SCHIP) Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113) enacted on November 29, 1999. Section 212 of the BBRA amended section 1848(c)(2)(ii) of the Act by directing us to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002. (In the 1999 final rule (64 FR 59380), we extended, for an additional 2 years, the period during which we would accept supplementary data.)
2. Current Methodology for Computing the Practice Expense Relative Value Unit System
Effective with services furnished on or after January 1, 1999, we established a new methodology for computing resource-based practice expense RVUs that used the two significant sources of actual practice expense data we have available-the Clinical Practice Expert Panel (CPEP) data and the American Medical Association's (AMA) Socioeconomic Monitoring System (SMS) data. The methodology was based on an assumption that current aggregate specialty practice costs are a reasonable way to establish initial estimates of relative resource costs for physicians' services across specialties. The methodology allocated these aggregate specialty practice costs to specific procedures and, thus, can be seen as a "top-down" approach.
a. Major Steps
A brief discussion of the major steps involved in the determination of the practice expense RVUs follows. (Please see the November 1, 2001 final rule (66 FR 55249) for a more detailed explanation of the top-down methodology.)
• Step 1 -Determine the specialty specific practice expense per hour of physician direct patient care. We used the AMA's SMS survey of actual aggregate cost data by specialty to determine the practice expenses per hour for each specialty. We calculated the practice expenses per hour for the specialty by dividing the aggregate practice expenses for the specialty by the total number of hours spent in patient care activities.
• Step 2 -Create a specialty specific practice expense pool of practice expense costs for treating Medicare patients. To calculate the total number of hours spent treating Medicare patients for each specialty, we used the physician time assigned to each procedure code and the Medicare utilization data. We then calculated the specialty specific practice expense pools by multiplying the specialty practice expenses per hour by the total physician hours.
• Step 3 -Allocate the specialty specific practice expense pool to the specific services performed by each specialty. For each specialty, we divided the practice expense pool into two groups based on whether direct or indirect costs were involved and used a different allocation basis for each group.
(i) Direct costs-For direct costs (which include clinical labor, medical supplies, and medical equipment), we used the procedure specific CPEP data on the staff time, supplies, and equipment as the allocation basis.
(ii) Indirect costs-To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs combined with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars for consistency with the SMS survey years).
• Step 4 -For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.
b. Other Methodological Issues
(i) Non-Physician Work Pool
For services with physician work RVUs equal to zero (including the technical components of radiology services and other diagnostic tests), we created a separate practice expense pool using the average clinical staff time from the CPEP data and the "all physicians" practice expense per hour.
We then used the adjusted 1998 practice expense RVUs to allocate this pool to each service. We have removed services from the non-physician work pool if the requesting specialty predominates utilization of the service. Also, for all radiology services that are assigned physician work RVUs, we used the adjusted 1998 practice expense RVUs for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology.
(ii) Crosswalks for Specialties Without Practice Expense Survey Data
Since many specialties identified in our claims data did not correspond exactly to the specialties included in the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty.
(iii) Physical Therapy Services
Because we believe that most physical therapy services furnished in physicians' offices are performed by physical therapists, we crosswalked all utilization for therapy services in the CPT 97000 series to the physical and occupational therapy practice expense pool.
3. Practice Expense Proposals for Calendar Year 2004
a. Non-Physician Work Pool
The non-physician work pool was created as an interim measure until we could further analyze the effect of the top-down methodology on the Medicare payment for services that do not have physician work RVUs (see the November 1998 final rule (63 FR 58841)).
In the June 28, 2002 proposed rule (67 FR 43849), we discussed alternatives that we have considered to address the non-physician work pool issue, including ideas raised by the Lewin Group as well as recommendations in a 2001 GAO report. While we have not reached a final resolution on how to best address this issue, we are continuing to study the alternatives that are available. We also believe that our proposal extending the deadline for the submission of supplemental survey data (see following discussion) will provide an opportunity for specialties whose services are affected by the non-physician work pool to submit practice expense data that can be used for determining practice expense RVUs under the physician fee schedule. Any modifications to the non-physician work pool would be published in proposed rulemaking.
b. Supplemental Practice Expense Survey Data
As required by the BBRA, we established criteria to evaluate data collected by organizations to supplement the data normally used in determining the practice expense component of the physician fee schedule. Due to the time constraints imposed by the statute for publication of the physician fee schedule final rule, we have required supplementary survey data to be submitted by August 1 to be considered for computing practice expense RVUs for the following year. We are proposing to change the required submission date to March 1. This would allow us to publish our decisions regarding survey data in the proposed rule and would provide an opportunity for public comment on survey results.
To continue to ensure the maximum opportunity for specialties to submit supplementary practice expense data, we are again proposing to extend for an additional 2 years the period for accepting survey data that meets the criteria set forth in the November 2000 final rule (as modified in the December 31, 2002 final rule). The deadline for submission of the supplemental data to be considered in CY 2005 and CY 2006 are March 1, 2004 and March 1, 2005, respectively.
In the December 31, 2002 final rule (67 FR 79979), we responded to comments expressing concern about the impact of making the technical component the difference between the global and professional component practice expense RVUs for services that are not affected by the non-physician work pool calculations. We agreed to a one-year moratorium on implementation of the proposed change for pathology services paid under the physician fee schedule to allow for a supplemental survey of independent laboratories. Consistent with the change to making the survey deadline March 1, we are considering whether to extend the moratorium by one additional year. By extending the moratorium, we can show the impact of the independent laboratory survey in the 2004 proposed rule and allow public comment on its results prior to making changes to the practice expense RVUs on January 1, 2005. We welcome public comment on whether we should adopt the proposed change for 2004 in this year's final rule or extend the moratorium by 1 year.
c. Oncology Survey Data
In the December 31, 2002 final rule (67 FR 79973), we indicated that the American Society of Clinical Oncology (ASCO) submitted a supplemental practice expense survey. Our contractor, the Lewin Group, raised specific concerns to us about the survey results. Consequently, we did not incorporate the survey into the practice expense methodology but indicated that we would further examine its results with the Lewin Group and confer with ASCO about our concerns. We have discussed the oncology survey together with the Lewin Group and ASCO. These discussions were useful in providing us with more information upon which to make a final decision regarding incorporation of the oncology survey into the practice expense methodology. We expect to make our decision known in a subsequent proposed rule that will address Medicare payment for drugs currently paid based on 95 percent of the average wholesale price.
d. Practice Expense for a Professional Component Service
Since the inception of the resource-based practice expense methodology, we have assigned all staff equipment and supply costs for services with professional and technical components (PC and TC) to the technical portion of the service. We have done this because we believe that generally all of these direct cost inputs are associated with obtaining the diagnostic information and there would be no direct costs associated with the physician interpretation. However, we now believe that there may be limited exceptions where it is appropriate to assign direct inputs to a PC service. For instance, the Practice Expense Advisory Committee (PEAC) recommended that we include clinical staff time in certain codes that have both a PC and TC component for activities such as scheduling the procedure and educating the patient when the procedure is done in the facility setting. We accepted these recommendations but, because the practice expense methodology currently does not assign direct inputs to PC services and the TC is not paid in the facility setting, these procedures were not credited with the recommended practice expense inputs.
We propose to modify the practice expense methodology to allow direct inputs to be added to PC services when these inputs are clearly associated with the professional service, including when the PEAC makes such recommendations. We are proposing to add the PEAC recommended staff times to the PC of the following cardiac services: CPT codes 93508, 93510, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93530, 93531, 93532, 93533 and 93624. The practice expense RVUs for these codes will increase slightly from this change resulting in minor reductions in practice expense RVUs for some other services performed by cardiologists. There will be no impact on the practice expense RVUs for any other specialty.
e. Utilization Data
We use Medicare utilization data in the development of specialty-specific practice expense RVUs that are then weight averaged to determine a single practice expense RVU per code. Prior to 2003, we used the most recent complete year of utilization data to determine the practice expense RVUs. For instance, we determined the 2001 practice expense RVUs using Medicare utilization data from 1999 for most procedure codes. However, if a procedure code was new in 2000, we did not have any 1999 utilization data to determine its 2001 practice expense RVU and could not use specialty-specific data until 2000 utilization data was available to us. In some cases, the new code was clearly related to an older code or codes and we were able to use an estimation of the probable specialty utilization for 2001 until actual specialty-specific utilization was available for 2002. Where we were not able to determine the probable specialty-specific utilization we assigned the "all physician" average practice expenses to the service until we obtained specialty-specific utilization. Thus, in this case, we used the "all physician average" to determine the code's 2001 practice expense RVU and specialty-specific utilization to determine the 2002 practice expense RVU.
In the December 31, 2002 final rule (67 FR 79982), we adopted a policy of using the 1997 through 2000 Medicare utilization in the practice expense methodology. For new codes created since 2000, there are no Medicare utilization data in the 1997 through 2000 period upon which to determine specialty-specific practice expenses. We are proposing to follow a similar practice to the one described above and use specialty-specific Medicare utilization data for codes created after 2000 at the first opportunity they become available to us. Therefore, we are proposing to use 1997 through 2000 Medicare utilization data for all codes that were in existence at that time. If a code did not exist during the 1997 through 2000 period, we propose using the first available utilization data for the code in order to develop the practice expense RVU. Since we will not have any utilization data at the time we first establish practice expense RVUs for a new code, we propose that we continue, whenever possible, to make an assumption about the specialty that will likely provide the service or to use the "all physician" average when we do not have sufficient information to assign any given specialty. We will make available on the CMS web site ( http://cms.hhs.gov ) files containing the data that we will use in determining the proposed rule practice expense RVUs. We propose in each year's proposed rule to substitute actual for estimated utilization once the data become available. For instance, in this proposed rule, we will substitute actual 2002 utilization data for estimated 2002 utilization data to determine the 2004 practice expense RVUs for codes that were new in 2002. Practice expense RVUs may change as we make updates to the utilization data that we use in the practice expense methodology. We encourage the AMA's Specialty Society Relative Value Update Committee (RUC) and other interested parties to provide information on the specialties that will likely perform a new service to minimize the potential changes to the practice expense RVUs that will occur when we substitute actual for estimated utilization.
For the proposed rule, the utilization data from the prior year are 96 percent complete. In the past, we used 100 percent complete data from a prior year in the proposed rule (for example, we used 2000 utilization data to simulate impacts for the June 28, 2002 proposed rule) and did not use the preceding year's utilization data until the final rule (for example, we used 2001 utilization data to simulate impacts for the December 31, 2002 final rule). Beginning with this year's proposed rule, we are using the prior year's utilization data for developing practice expense RVUs and simulating impacts. Because the utilization file that we are using for the proposed rule is only 96 percent complete, there may be minor changes to the payment impacts and practice expense RVUs between the proposed rule and the final rule for which we will use 100 percent complete data from the prior year.
f. Practice Expense Advisory Committee (PEAC)
Recommendations on CPEP Inputs for 2004
The PEAC, a subcommittee of the RUC, has, since 1999, been providing us with recommendations for refining the direct practice expense inputs (clinical staff, supplies, and equipment) for existing CPT codes. In the past, our actions on these PEAC recommendations have been incorporated into the physician fee schedule final rule and have been used as interim values for services provided in the following calendar year. We have accepted comments on these refinements and addressed them in rulemaking the following year. This year we are including the PEAC recommendations in the proposed rule, which will enable specialty groups to assess the impact of these changes on their services and make comments on the recommendations before the final rule.
These PEAC recommendations are the result of meetings held in September of 2002 and January 2003 and account for approximately 772 codes from many specialties. (A list of these codes can be found in Addendum C.) The PEAC has also submitted recommendations on the refinements to the clinical staff time for all 90-day global services (accounting for a further 3,604 CPT codes).
This massive refinement was possible because the PEAC adopted a standardized approach to the refinement of the clinical staff times for 90-day global codes. The PEAC has recommended that the following standard clinical staff times be applied to all 90-day codes, except for those in which the specialty argued for an exception to the standard:
• Pre-service time-35 minutes of pre-service clinical staff time in the office and 60 minutes for services performed in the facility setting;
• Discharge day management time-6 minutes of clinical staff time if the procedure is performed predominantly in the outpatient facility setting and 12 minutes if performed predominantly in the inpatient setting. (This standard is also recommended for all of the 10-day global procedures); and
• Post-service office visit time-equal to the clinical staff times associated with the evaluation and management visit codes assigned to each service.
Several specialties, including the neurosurgeons/spine surgeons, thoracic surgeons and colorectal surgeons requested and received increased pre-service times for some of their services. There were also a few services that are usually performed on an emergent basis when the pre-service time was reduced or omitted altogether. We believe that the standards recommended by the PEAC are appropriate and that the exceptions to these standards are also reasonable. Therefore, we are proposing to use the PEAC's recommendations for the clinical staff time for these global codes.
In addition, the PEAC convened a workgroup to make recommendations on the refinement of all the 116 remaining evaluation and management codes. These are important achievements that have significantly advanced the pace of the refinement process. A total of 5358 codes have been refined; these codes represent 87 percent of physician fee schedule dollars. We greatly appreciate the dedication and hard work of the specialty societies and the AMA that are helping to ensure that this refinement process is successful.
We have reviewed the submitted PEAC recommendations and propose to accept them. The complete PEAC recommendations and the revised CPEP database can be found on our web site. (See the Supplementary Information section of this proposed rule for directions on accessing our web site.)
g. Repricing of Clinical Practice Expense Inputs-Supplies
We use the practice expense inputs (the clinical staff, supplies, and equipment assigned to each procedure) to allocate the specialty-specific practice expense cost pools to the procedures performed by each specialty. The costs of the original inputs assigned by the CPEP were determined by our contractor, Abt Associates, based primarily on 1994 and 1995 pricing data from supply catalogs. In addition, for many items on the equipment and supply list, the associated costs were based on the recommendations of a CPEP panel member, rather than on actual catalog prices. Subsequent to the CPEP panels, equipment and supply items have also been added to the CPEP data, with the costs of the inputs provided by the relevant specialty society.
In the August 2, 2001 proposed rule (66 FR 40378), we proposed updates and revisions to the clinical staff salary data which were finalized in the final rule published November 1, 2001 (66 FR 55255). In that final rule, we also indicated that in future rulemaking we would be proposing updates to the supply and equipment inputs that are used in the CPEP database. We, therefore, contracted with a consultant to assist us in obtaining the current price for each supply item in our CPEP database. The consultant has been able to determine the current prices for most of the supply inputs and has submitted documentation for the proposed new pricing from vendor catalogs or websites. Whenever possible, multiple sources were obtained for frequently used supplies so that a typical price could be determined.
In addition, we asked the consultant to help identify and clarify those supplies for which the original descriptions in the CPEP database are too general to price (for example "laser" or "antigen") or are otherwise unidentifiable. Our consultant worked closely with the specialty societies to ensure that accurate information was obtained in identifying as many of these supplies as possible.
Addendum D contains the proposed new unit prices for supply items when current pricing was obtained, as well as new descriptions when needed. A more detailed spreadsheet can be found on our Web site, ( http://www.cms.hhs.gov/physicians/pfs ), that contains additional information regarding the sources used to price each item.
There are items that have either not yet been identified or for which pricing information has not yet been found. These supply items are included in Table 1 below. In this table we have identified the supply code (if assigned), the existing item description, unit and price, the procedures or specialties associated with the item, as well as the proposed new description and standardized unit of use. We have also identified items for deletion from the database. We are requesting that commenters, particularly the relevant specialty groups, provide us with the needed pricing information with appropriate documentation. Whenever possible, multiple sources of documentation should be provided so that a typical price can be determined. If we are not able to obtain any verified pricing information for an item, we may eliminate it from the database.
BILLING CODE 4120-01-P
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BILLING CODE 4120-01-C
In addition to reviewing and updating the cost information for supplies in the database, our contractor also recommended database revisions to provide uniformity and consistency in the CPEP supply database. All of the following recommendations are noted in Addendum D:
• Assignment of supply categories. In the original CPEP data, a number was assigned to each supply. The contractor has recommended that each supply item also be assigned a "category" to allow for easier selection and sorting of items. We agree and are proposing that supplies be assigned to one of the following 14 categories:
Accessory, Diagnostics;
Accessory, Equipment;
Accessory, Procedure;
Booklets/Forms;
Cutters, Closures/Cautery;
Gown, Drape;
Hypodermic/IV;
Infection Control;
Kit, Pack, Tray;
Lab;
Office, Grocery;
Pharmacy, NonRx;
Pharmacy, Rx; and
Wound Care, Dressings.
These categories could also be used to establish a new numbering system for supplies. We would assign a letter to each supply category and use this in conjunction with a number (000 through 999) to identify each supply. This would enable specialty groups to identify more easily whether a supply has already been included in the CPEP database and would help ensure uniformity in the items used for calculating practice expenses. If we proceed in the final rule with this proposed method for categorizing supplies, we will assign new identifying numbers to each supply input item and these will be available on our website.
• Consolidation/standardization of item descriptions.
When items appear to be duplicative, we are proposing to combine the items. For example, "Mayo stand cover" and "drape, sterile Mayo" have both been changed to "drape, sterile, for Mayo stand". We also have attempted to better describe the supply items in a way that will make identification easier, using a key first word when possible. For example, all catheters are described as "catheter, * * *", all needles are described as "needle * * *." In addition, references to proprietary or trademark names for multisource items have been included as parenthetical references (for example, "Polibar TM " is renamed barium suspension "(Polibar TM )."
• Standardization of unit descriptions.
The current CPEP database contains over 72 unit descriptions associated with supplies (for example, item, gram, and cup). To provide consistency and ensure that inputs in the database accurately reflect the quantity of an item used, we are proposing to standardize the unit description of items. If an item is intended for single use, even if it is not completely used, we propose to identify this by indicating the item size followed by "uou" (unit of use). For example "soap bath" has been renamed "bath soap (one bar uou)" and "bacitracin unit dose pack, 9g" has been renamed "bacitracin oint (0.9 gm uou)".
We welcome any comments on the proposed pricing and all other proposed revisions. To help us evaluate the information provided, comments should include documentation such as information from a supply catalog or website or from a current invoice.
h. Miscellaneous Practice Expense Issues
Hyperbaric Oxygen Services
We have received a request from a freestanding hyperbaric oxygen center to price the service in the office setting, so that those providing this service in a nonfacility can receive an appropriate payment. Therefore, we are proposing to assign on an interim basis the following practice expense inputs to CPT code 99183, Physician attendance and supervision of hyperbaric oxygen therapy, per session:
Staff: Respiratory Therapist for 135 minutes (for a 2 hour treatment).
Supplies: Minimum Visit Supply Package, 180 liters of oxygen, 187 cubic feet of air.
Equipment: Hyperbaric chamber.
We will request that the Practice Expense Advisory Committee review these inputs at a meeting in the near future.
Maxillofacial Prosthetics PE/hour
In the November 2, 1998 final rule (63 FR 58824), we created a special practice expense pool for maxillofacial prosthetics (CPT codes 21076 through 21087) using the "all physician" practice expense per hour. Because the practice expense survey submitted in 1998 by the American Academy of Maxillofacial Prosthetics (AAMP) differed significantly in format and content from the SMS survey, we were not able to use the submitted data to calculate a practice expense per hour for maxillofacial prosthetics. AAMP has contended that the "all physician" rate underestimates the high costs for the staff, supplies and equipment associated with the provision of maxillofacial prosthetic services.
We have asked our contractor, The Lewin Group, to analyze the submitted survey data to determine if the data would or would not support a change in the crosswalk for this specialty. The Lewin Group's finding suggests, "the all-physician average may underestimate the practice expense per hour for maxillofacial prosthodontists." Based on the Lewin Group's finding, we reviewed the Medicare utilization of the maxillofacial prosthetics codes. Oral surgeons (specialty code 19) and maxillofacial surgeons (specialty code 85) overwhelmingly provide these services. We believe the practice expenses for these practitioners are likely to be similar to otolaryngologists since these physicians also provide office procedures affecting the head and face. We are proposing to eliminate the special practice expense pool for procedure codes 21076 through 21087 and use otolaryngology as the crosswalk for oral surgeons and maxillofacial surgeons as a more appropriate approximation of the specialties' practice expense per hour. This proposal will increase payment for the maxillofacial prosthetics and other services that are predominantly billed by oral and maxillofacial surgeons. There will be no impact on payment for services provided by any other specialty from this change.
Holter Monitoring Codes
A representative of an independent diagnostic testing facility has communicated to us that their review of the practice expense inputs for the holter monitoring codes, CPT 93225, 93226, 93231, and 93232 has revealed the inclusion of items that are not needed to perform these services. The correspondent suggested the following deletions:
• For CPT codes 93225 and 93231 delete the ECG electrodes and laser paper, as well as the electric bed, computer and holter monitor; and
• For CPT codes 93226 and 93232 delete the razor, nonsterile gloves, alcohol swab and tape, as well as the electric bed and exam table.
We agree that these revisions appear reasonable and will make the above deletions on an interim basis until the PEAC can review these codes. It should be noted these codes are currently in the nonphysician work pool and that the CPEP data is not currently used to calculate their practice expense RVUs. Therefore, these changes will not at this time have any effect on the payment for these codes.
B. Geographic Practice Cost Index Changes
1. Background
The Act requires that payments vary among Medicare physician fee schedule (MPFS) areas according to the extent that resource costs vary as measured by the Geographic Practice Cost Indices (GPCIs). In general, the MPFS areas that existed under the prior reasonable charge system were retained under the MPFS from calendar years 1992 through 1996. We implemented a comprehensive revision in MPFS payment areas (localities) in 1997, reducing the number of localities from 210 to 89. Thirty-four states have a single statewide locality. In contrast, under the hospital inpatient prospective payment system (IPPS), costs are adjusted across more than 350 metropolitan statistical areas (MSAs).
A detailed discussion of the MPFS payment localities can be found in the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 1996 final rule (61 FR 59494).
2. Implication of GPCIs for Rural Areas
The GPCIs do not affect total national payments under the MPFS, but instead distribute payments among areas according to area cost differences. In general, the data show that urban areas usually have higher costs, while rural areas have generally lower costs. Thus, on average the costs associated with operating a private medical practice, as measured by factors such as wages and rent, are higher in urban areas. Alternatively, the average costs associated with the operation of a private medical practice in a rural area are lower. Since the costs associated with operating a private medical practice are measurably different based upon geographic location, varying payments according to the GPCIs will benefit lower cost areas, usually rural, since the law provides that only one-quarter of the area cost difference in physician work, the largest of the three fee schedule GPCI components, be recognized. We believe this was an attempt by the Congress to shift payments to rural areas. Thus, about 40 percent of MPFS payments (.75 × .52) are by statute not adjusted for area cost differences. Additionally, one component of the practice expense GPCI, supplies, equipment and other, is also, by statute, not adjusted for area cost differences. Supplies, equipment and other represent about 13 percent of total physician resource costs. This means that, effectively, there is a nationwide MPFS for about 53 percent of the average physician payment (40 percent physician work, 13 percent supplies, equipment and other). That is, only about 47 percent of overall physician payment is adjusted for area resource cost differences. In addition, 34 states are statewide payment localities in which all physicians, whether urban or rural, are paid the same. All of these factors shift payments from higher cost, usually urban, areas to lower cost, usually rural areas.
3. GPCI Composition
Section 1848(e)(1)(C) of the Act requires us to review, and if necessary, adjust the GPCIs at least every 3 years. This section of the Act also requires us to phase in the adjustment over 2 years and implement only one-half of any adjustment if more than 1 year has elapsed since the last GPCI revision. The GPCIs were first implemented in 1992. The first review and revision was implemented in 1995, the second review was implemented in 1998, and the third review was implemented in 2001. The next GPCI review and revision is scheduled for implementation in 2004. However, as will be discussed in more detail, because the work and practice expense GPCIs rely primarily on special tabulations of U.S. Census data not yet available, review and revision of only the malpractice GPCI component will be implemented in 2004. Review and revision of the work and practice expense GPCIs will be implemented in 2005.
Currently, only one data source is available for the practice expense GPCI (relative cost of office rent space collected by the Department of Housing and Urban Development (HUD)). Since we have not received the primary data upon which practice expense GPCIs are calculated and since the office rent component of the practice expense GPCI has proven not to be very substantial in past GPCI updates (it accounts for approximately 11.0 percent of the total GPCI calculation and is phased in over a two year period), we have decided not to revise the practice expense GPCIs for 2004. The work GPCI relies solely on data collected from the 2000 U.S. Census that is not yet available, so we are not able to propose updates to the work GPCI in this proposed rule.
Although there are general discussions of both the background and composition of all three GPCI components in this proposed rule, a detailed discussion of only the 2004 revised malpractice GPCI is included in this proposal while a detailed discussion of the revised work and practice expense GPCIs will be included in the 2005 proposed rule.
4. Development of the Geographic Practice Cost Indices
The GPCIs were developed by a joint effort of the Urban Institute and the Center for Health Economics Research under contract to CMS. The resource inputs and their weights are obtained from the AMA's Socioeconomic Characteristics of Medical Practices Survey. Indices were developed that measured the relative cost differences among areas compared to the national average in a "market basket" of goods. In this case, the market basket consists of the resources involved in operating a private medical practice. The resource inputs are physician work or net income; employee wages; office rents; medical equipment, supplies, other miscellaneous expenses; and malpractice insurance. Employee wages, rents, and miscellaneous expenses are combined to comprise the practice expense component of the GPCI. Table 2 below illustrates the cost share weights that have been utilized for each GPCI update:
| Expense category | 1992-94* | 1995-97** | 1998-00** | 2001-03*** | 2004-07**** |
|---|---|---|---|---|---|
| Physician Earnings | 54.2 | 54.2 | 54.2 | 54.5 | 52.466 |
| Practice Expenses | 40.2 | 41.0 | 41.0 | 42.3 | 43.669 |
| Employee Wages | 15.7 | 16.3 | 16.3 | 16.8 | 18.654 |
| Rents | 11.1 | 10.3 | 10.3 | 11.6 | 12.209 |
| Equip., Supplies, Other | 13.4 | 14.4 | 14.4 | 13.9 | 12.807 |
| Malpractice Insurance | 5.6 | 4.8 | 4.8 | 3.2 | 3.865 |
| 100.0 | 100.0 | 100.0 | 100.0 | 100.000 | |
| *Weights from 1987 AMA survey. | |||||
| **Weights from 1989 AMA survey. | |||||
| ***Weights from 1997 AMA survey | |||||
| ****Weights from Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. (See section III.A. Rebasing and Revising of the Medicare Economic Index.) | |||||
The Medicare economic index (MEI) is a measure of the average increases in the price of inputs used in operating a private medical practice and is used in the annual update of the MPFS CF. Because the GPCIs and the MEI use the same resource inputs to measure the costs of a private medical practice (the GPCIs measure relative costs among areas while the MEI measures the national average rate of increase in prices), as in the past, the same weights will be used for both the MEI and the GPCIs.
Once the components and their weights were determined, we had to find data sources that were widely and consistently available to measure costs in all MPFS payment areas. After examining many sources, the following proxies were selected as the best available sources for measuring each component of the original 1992 through 1994 GPCIs:
• 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.
• Equipment, supplies, other expenses-The Urban Institute and the Center for Health Economics research assumed that a national market represents this component and that costs do not vary appreciably among areas. This component's index is 1.000 for all areas to indicate no variation from the national average.
• Malpractice-Premiums in 1985 and 1986 for a mature "claims made" policy (a policy that covers malpractice claims made during the covered period) providing $100,000 to $300,000 of coverage were used. Adjustments were made to incorporate the costs of $1 million to $3 million coverage and mandatory patient compensation fund (PCF) requirements. Some States legally require physicians to join a PCF that provides coverage for catastrophic claims. Premium data were collected for physicians in three risk classes: low-risk (general practitioners who do not perform surgery), moderate risk (general surgeons), and high-risk (orthopedic surgeons).
The areas selected for measurement purposes were the MSAs. Non-MSA areas within a State were aggregated into one residual area. Using MSAs for measurement satisfied our criteria to have (1) areas in which resource input prices were homogenous, and (2) areas of a large enough size so that market areas are self-contained to minimize border crossing; that is, physicians would probably not move their offices a few miles to secure higher payments and patients who would tend to receive services within their area.
The Act requires, however, that the GPCIs reflect cost differences among MPFS payment areas. Thus, it was necessary to map Medicare localities to the MSA and non-MSA aggregation of GPCI data. Where localities crossed MSA boundaries, MSA indices were converted to Medicare locality indices by population weights.
Detailed discussions of the methodology and data sources of the 1992 through 1994 GPCIs can be obtained by requesting studies from the National Technical Information Service by calling 1-800-553-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650. The studies are as follows:
• 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 Federal Register in the September 4, 1990 notice (55 FR 36238) for the model fee schedule; and
• The Urban Institute report, "Refining the Malpractice Geographic Practice Cost Index," February 1991, NTIS PB91-155218. The related diskette is NTIS PB91-507491. This is the final version of the 1992 through 1994 GPCIs as published in the Federal Register in the November 25, 1991 final rule (56 FR 59785).
5. Revised 1995 Through 1997 Geographic Practice Cost Indices
The main criticism of the original GPCIs, that existed from 1992 until 1994, was that they were outdated because they were based on old data; for example, 1980 census data and 1985 and 1986 malpractice premium data, was the most recent data available when the GPCIs were established. The revised 1995 through 1997 GPCIs were based on the most current data available when they were developed in 1993 and 1994. We also made some minor changes from the original GPCI methodology in calculating some of the revised 1995 through 1997 indices.
One methodological change was made that applied across all indices. As mentioned earlier, under the original GPCIs, where Medicare payment localities crossed MSA boundaries, MSA indices were converted to locality indices by population weights. Medicare expenditure weights were not used because the expenditures under the reasonable charge system contained large differences unrelated to actual resource cost differences among areas. In calculating the revised GPCIs, where payment localities crossed MSA boundaries, locality indices were calculated by weights based on full MPFS RVUs, which reflect resource cost differences among areas. Full MPFS RVUs were used rather than actual 1993 payments because 1993 fee schedule payments still reflected some reasonable charge payment levels. The advantages of RVU weighting are (1) the GPCIs will more closely reflect physician practice costs in the area where the services are provided rather than where the population lives, and (2) budget neutrality is preserved when we combine multiple payment localities into larger areas, such as statewide localities.
a. Work Geographic Practice Cost Indices
Data from the 20 percent sample of census data of median hourly earnings for the same six categories of professional specialty occupations as used in the 1992 through 1994 work GPCIs were used in calculating the 1995 through 1997 work GPCIs. The 1992 through 1994 work GPCIs were calculated using 1980 census data of earnings for professionals with 5 or more years of college. That sample was no longer available with the 1990 census. The 1990 census educational classifications are by highest degree earned, rather than the 1980 census classification by years of schooling. Thus, it was not possible to obtain earnings data exactly comparable to the 1980 data.
For 1990, data were available for all-education and advanced-degree samples, but not for 5 or more years of college. We elected to use the all-education sample because its larger sample sizes made it more stable and accurate in the less populous areas. Although it could be argued that physicians' earnings might more closely approximate the earnings of professionals with advanced degrees, the differences between the all-education and advanced-degree indices were negligible in all but a few of the smallest localities. We believed that the small sample sizes of advanced-degree occupations in these small localities would produce inaccurate results.
The 1992 through 1994 work GPCIs used metropolitan-wide median wages for each county within an MSA. That is, all counties within an MSA were assigned the MSA-wide median wage even if there were wage variations within the MSA. We believed that this was appropriate for all but Consolidated Metropolitan Statistical Areas (CMSAs), the largest of the MSAs, such as New York. In these CMSAs, we replaced metropolitan-wide earnings with county-specific earnings. We believed this change was appropriate because costs were, in fact, higher in central city areas (for example, Manhattan and San Francisco) than in the rest of the CMSA. County earnings were a better account of the cost variation within these large metropolitan areas.
b. Practice Expense Geographic Practice Cost Indices
(1) Employee Wage Indices.
Data from the 20 percent sample of census data of median hourly earnings for the same categories of medical and clerical occupations used in the 1992 through 1994 practice expense GPCIs were also used in the 1995 through 1997 practice expense GPCIs. The 1995 through 1997 practice expense GPCIs used 1990 rather than 1980 census data. As with the work GPCIs, county level data were used for CMSAs to better reflect the cost variations within these large metropolitan areas.
(2) Rent Indices.
As with the original rent indices, the HUD fair market rental (FMR) data for residential rents were again used as the proxy for physician office rents. The 1995 through 1997 practice expense GPCIs reflect 1994 HUD FMRs. Like the work GPCI and the employee wage index of the practice expense GPCIs, county level data were used in CMSAs to recognize the variations within the CMSA.
The major criticism of the rent indices was that residential rather than commercial rent data were used. As mentioned earlier, for constructing the GPCIs we needed data that were widely and consistently available across all physician fee schedule areas.
As with the original GPCIs, we again searched for private sources of commercial rent data that were widely and consistently available. The private sources we found were not adequate. None of the sources collected data for non-metropolitan areas, nor did any collect data for all metropolitan areas. The sources did not reflect the average commercial space in the area, but rather the particular type of space most relevant to the needs of a particular source's clients. In addition, the sample sizes were small. A comparison of the average rental for any particular city showed significant variation depending upon the source. Also, the private commercial rent data tended to be for very high priced real estate of the type likely to be used by large institutions such as banks, insurance companies, or financial firms and not for the type of office space most likely used by physicians.
Among the sources of commercial rent data that were available, the most promising were data from the Building Owners and Managers Association, the General Services Administration, and the U.S. Postal Service. These data were analyzed in depth. We did not use data from the Building Owners and Managers Association and the General Services Administration because of poor geographic coverage, especially outside of large metropolitan areas. That is, data were not widely and consistently available for all physician fee schedule areas. The U.S. Postal Service data had much better geographic coverage, but sample sizes in many areas were unacceptably small and could have led to erroneous results.
No acceptable national commercial rent data were readily available for physician office rents. Thus, some proxy needed to be used for this portion of the index. In addition, commercial rent data were not available for all areas from published statistical sources. We believed that the HUD FMR data remained the best available data for constructing the office rental index. HUD FMR data were available for all areas, were updated on an annual basis, and were consistent among areas and from year to year. Moreover, we believed that physicians frequently locate in areas and office space that are residential rather than commercial, for example, in apartment complexes and small strip commercial centers adjacent to residential areas. Residential rents may, in fact, be a better measure of the differences among areas in the physician office market than a general commercial rental index.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses.
Consistent with the original 1992 through 1994 update for medical equipment, supplies, and miscellaneous, this index assumes a national market in which input prices do not vary among geographic areas. We were unable to find any data sources that demonstrated price differences by geographic area. Anecdotal and interview data with suppliers and manufacturers were inconclusive. While some price differences may exist, we believed they were more likely to be based on volume discounts rather than on geographic areas. Generally, it appears that manufacturers' prices do not vary among areas except for shipping costs. Since manufacturers and suppliers are located all over the country, shipping costs do not vary significantly.
c. Malpractice Geographic Practice Cost Indices
Again, malpractice premium data for a $1 million to $3 million mature "claims made" policy were collected, with mandatory Patient Compensation Funds (PCFs) considered. Some States have legally required physicians to join PCFs that provide coverage for catastrophic claims. The PCF charges a premium or surcharge just as any other insurer. However, more recent and more comprehensive malpractice insurance data were used in calculating the 1995 through 1997 malpractice GPCIs. The 1995 through 1997 malpractice GPCIs were based on 1990 through 1992 malpractice premium data. Since malpractice premiums may change significantly from year to year, we decided to use the most recent 3-year average available rather than just the most recent single year to smooth out this volatility and present a more accurate indication of malpractice premium trends over time.
We collected data on more specialties and from more insurers. We collected data on 20 specialties, rather than on only 3 as in the 1992 through 1994 malpractice GPCIs. The 1992 through 1994 malpractice GPCI data were largely drawn from a single nationwide insurer (St. Paul Fire and Marine) and were supplemented by several State-specific carriers in States in which St. Paul did not offer coverage. Subsequent analyses suggest that these data may not be representative of insurers operating in many States. For the revised malpractice GPCI, data were collected from insurers that, on average, represented 82 percent of the market in each State, with the lowest State market share being 60 percent. We believed that the more recent and much more comprehensive data greatly improved the accuracy of the malpractice GPCIs for 1995 through 1997.
Detailed discussions of the methodology and data sources of the 1995 through 1997 GPCIs can be obtained by requesting the following studies from NTIS by calling 1-800-553-NTIS, or (703) 487-4650 in Springfield, Virginia:
• "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.
6. Revised 1998 Through 2000 Geographic Practice Cost Indices
The same data sources and methodology used for the 1995 through 1997 GPCIs were also used for the revised 1998 through 2000 GPCIs with a few very minor modifications. No acceptable additional data sources were found. The cost shares were the same as in the 1995 through 1997 GPCIs because no changes were made in the MEI weights. Indices for fee schedule areas were based on the indices for the individual counties within the fee schedule area. Fee schedule RVUs were again used to weight the county indices (to reflect volumes of services within counties) when mapping to MPFS payment areas and in constructing the national average indices. However, we used more recent data, 1994 rather than 1992 RVUs, in the county, locality, and national mapping for the proposed GPCIs. The payment effect of using more current RVU weights was negligible in most cases and generally resulted in changes at the third decimal point if at all.
a. Work Geographic Practice Cost Indices
The work GPCIs were based on the decennial census. The 1992 through 1994 work GPCIs were based on 1980 census data, because 1990 census data were not yet available. The work GPCIs were revised in 1995 with new data from the 1990 census. New census data will not be available again until sometime after the 2000 census is compiled. We searched for other data that would enable us to update the work GPCIs between the decennial censuses. No acceptable data sources were found. The most promising sources of data were the hospital wage data collected by us to calculate the IPPS hospital wage index and the payroll per worker data collected by the U.S. Bureau of Labor Statistics from State unemployment insurance agencies (the ES-202 data).
The IPPS hospital wage data were examined when we constructed the original GPCIs. They were rejected as a physician fee schedule data source in favor of census data because of their lack of an occupation mix adjustment and their unrepresentative occupational composition (hospital employees rather than professionals or physician office employees). ES-202 data consist of total payroll divided by counts of wage and salary workers. The major disadvantage we identified was that they do not measure hourly earnings, only payroll per employee, and no occupational detail is available. Also, they did not adjust for part-time or full-time and hours worked, and the numbers of workers was too small for certain States, all of which led to unstable estimates of payroll per worker. We compared the changes by State from 1989 to 1993 in the IPPS wage data and the ES-202 data to see if there was any correlation between the two series. The correlation between the two was only moderate, 0.55. The changes indicated by both series were generally small, for example, a few percentage points. The difference between the two series by State was in many cases as large as or greater than the change indicated by either series. The average difference between the two series (2.1 percent) is as large as the change indicated by either series. In addition, changes for particular States were substantially different between the two series. For example, Indiana relative wages rose by 1.9 percent according to the IPPS data, but fell 5.7 percent according to the ES-202 data.
Since we were unable to find an acceptable data source for updating the work GPCIs, we examined the consequences of not updating the work GPCIs between the decennial censuses. We compared the changes between the 1992 through 1994 work GPCIs, based on the 1980 census, and the 1995 through 1997 GPCIs, based on the 1990 census. On average, the full variation in State work GPCIs changed by about 5 percent. This translates to about a 1.2 percent change in the one-quarter work GPCI calculation prescribed by law. Since work makes up about one-half of the GPCI cost shares, this translated into an average payment change per State of about 0.6 percent from updating the work GPCI based on the 10-year change in relative wages indicated by the census data. Even the maximum change in the full variation in State work GPCIs from the 1992 through 1994 to the 1995 through 1997 GPCIs of 14 percent translates into only about a 1.8 percent change in payments. The largest full work GPCI changes for individual payment areas were from 16 to 20 percent, or about a 4 to 5 percent change in the one-quarter work GPCI, or about a 2.4 percent change in payments. However, 80 percent of payment areas experienced payment changes of less than 1 percent, and 50 percent of payment localities experienced payment changes of less than 0.5 percent as a result of changes in the census data from 1980 to 1990.
We, therefore, made no changes in the 1998 through 2000 work GPCIs from the 1995 through 1997 work GPCIs, other than the generally negligible changes resulting from using 1994, rather than 1992, RVUs for this GPCI update because we were unable to find acceptable data for use between the decennial censuses. We believed it is preferable that we make no changes rather than make inaccurate changes based on inappropriate data. We felt that this was a reasonable position given the generally small magnitude of the changes in payments resulting from the changes in the work GPCIs from the 1980 to the 1990 census data.
b. Practice Expense Geographic Practice Cost Indices
(1) Employee Wage Indices.
As with the work GPCIs, the employee wage portion of the practice expense GPCIs were also based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we made no changes in the employee wage indices during the 1998 through 2000 GPCI update. The average change from the 1992 through 1994 to 1995 through 1997 employee wage indices across States was about 6 percent. Since the employee wage index has a weight of about 16 percent in the GPCI cost shares, this translates into a 1 percent average change in payments. The maximum payment change in any payment area resulting from changes from the 1992 through 1994 to 1995 through 1997 employee wage indices was about 3.2 percent. Payment changes in over two-thirds of the payment areas were less than 1 percent.
(2) Rent Indices.
The office rental indices were again based on HUD residential rent data. The rental indices were based on 1996 HUD data as opposed to 1994 HUD data in the 1995 through 1997 GPCIs. HUD made two small methodological changes in developing the data. First, HUD used the 40th percentile of area rents rather than the 45th percentile. This did not materially affect the GPCIs, which measure relative rents among areas. Second, HUD established a rental floor for rural counties at the statewide rural average. This had the effect of raising the office rental indices slightly in rural areas.
We made one methodological change in the rent indices. HUD publishes FMRs only for metropolitan areas as a whole. For the 1995 through 1997 GPCIs, HUD used a special tabulation of the 1990 census data to allocate rents by county within CMSAs. In some metropolitan areas, this had the effect of reducing the central city index below the suburban index, probably because of lower unmeasured housing quality in central cities than in suburbs. We did not feel that this was a representative indicator of relative physician rents, since the GPCIs are intended to measure rental costs for offices of similar quality in different areas. The metropolitan-wide rent was most appropriate for measuring the cost of space of an average quality across the metropolitan area, which is why HUD publishes only metropolitan-wide FMRs. Also, the census county adjustments can be updated only once every 10 years. For this reason, we believed that the county-specific adjustment should not be made for all large metropolitan areas but should be retained only for the New York City Primary Metropolitan Statistical Area. Available evidence suggests that rents vary substantially among the boroughs of New York City and that, given the current locality configuration, the county-specific rental adjustment appropriately reflects these patterns in the New York City area, especially the higher rents in Manhattan.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with the 1992 through 1994 and 1995 through 1997 GPCIs, this component was given a national value of 1.000, indicating no measurable difference among areas in costs.
c. Malpractice Geographic Practice Cost Indices.
Again, malpractice premium data were collected for a mature "claims made" policy with $1 million to $3 million limits of coverage, with adjustments made for mandatory patient compensation funds. As with the 1995 through 1997 GPCIs, data were collected for the 20 largest Medicare-billing physician specialties. The premium data represent at least 50 percent of the market in each State. Again, we used an average of the 3 most recent premium years to smooth out the considerable year-to-year fluctuations that can occur in malpractice premiums. The revised 1998 through 2000 malpractice indices were based on 1992 through 1994 premium data, the latest years available when this revision was being conducted in 1995 through 1996, compared to the 1990 through 1992 data used in the current 1995 through 1997 indices. Another change from the 1995 through 1997 indices is that the specialty shares of the 20 specialties were weighted by fee schedule RVUs rather than allowed charges.
Detailed discussions of the methodology and data sources of the 1998 through 2000 GPCIs may be obtained by requesting the following study from NTIS by calling 1-800-533-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650: "Second Update of the Geographic Practice Cost Index." Gregory C. Pope and Killard W. Adamache.
7. Revised 2001-2003 Geographic Practice Cost Indices
The same data sources and methodology used for the 1998 through 2000 GPCIs were used for the 2001 through 2003 GPCIs. No acceptable additional data sources were found. The only changes from the 1998 through 2000 GPCI were in the cost shares and RVU weighting. As shown in the cost share table in the discussion of the development of the GPCIs, the cost shares were changed to reflect the revisions in the MEI. This does not affect the work or malpractice GPCIs since they are stand-alone indices (not composed of multiple indices). This cost share revision has a slight effect on the practice expense GPCIs because it changes slightly the weights among the employee wage, rents and miscellaneous components of the practice expense index. We used more recent RVU data, 1998 rather than 1994, in the county, locality, and national mapping in the proposed GPCIs. The payment effect of this was generally negligible.
a. Work Geographic Practice Cost Indices.
For the same reasons discussed in the section on the 1998 through 2000 work GPCIs, no changes were proposed in the work GPCIs, other than the generally negligible changes resulting from the use of 1998 rather than 1994 RVUs for weighting, because we were unable to find acceptable data for use between the decennial census.
b. Practice Expense Geographic Practice Cost Indices
(1) Employee Wage Indices.
As with the work GPCIs, the employee wage indices were based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we proposed no changes in the employee wage indices during this GPCI update.
(2) Rent Indices.
The office rental indices were again based on HUD residential rent data. No changes were made in the methodology. The proposed rental indices were based on 2000 rather than 1994 HUD data.
(3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with all previous GPCIs, this component is given a national value of 1.000, indicating no measurable differences among areas in costs.
c. Malpractice Geographic Practice Cost Indices
The same methodology described in the 1998 through 2000 malpractice GPCI section was used in the revision of malpractice GPCIs section for 2001 through 2003, the only difference being the use of more recent data. The malpractice indices were based on 1996 through 1998 malpractice premium data rather than the 1992 through 1994 malpractice premium data that was used in the previous GPCI update.
8. Proposed 2004 through 2007 Geographic Practice Cost Indices
The main criticism of the 2001 through 2003 GPCIs was that they were outdated because they were based on old data; for example, 1990 decennial census data and 1996 through 1998 malpractice premiums, the most recent data available when the GPCIs for 2001 through 2003 were established. The calculation of the proposed 2004 through 2007 GPCIs will be based upon the same data sources and methodology, but the 2004 through 2007 GPCIs will utilize more current data: 2000 decennial census data, 2000 HUD fair market rental (FMR) data for residential rents, and 1999 through 2003 malpractice premium data. This should address the criticism of the 2001 through 2003 GPCIs being out of date.
a. Proposed Work Geographic Practice Cost Indices
We have not yet received the 2000 decennial census data that will be utilized for the revision of the work GPCIs. For this reason, revisions to the work GPCIs will be included in the proposed rule for calendar year 2005.
b. Proposed Practice Expense Geographic Practice Cost Indices
We have not yet received the 2000 decennial census data that will be utilized for the revision of the majority of the practice expense GPCI. We have obtained 2000 HUD fair market rental (FMR) data for residential rents that is utilized for a portion of the practice expense revision. Since we have not received the primary data upon which practice expense GPCIs are calculated and since the office rent component of the practice expense GPCI has not proven to be a substantially variable component in past GPCI updates and accounts for only approximately 12.0 percent of the total GPCI calculation (phased in over a two year period), we have decided not to revise the practice expense GPCIs now based on our limited data. For these reasons, revisions to the practice expense GPCIs will be included in the proposed rule for calendar year 2005.
c. Proposed Malpractice Geographic Practice Cost Indices
The malpractice GPCI is the most volatile of the three indexes with relatively large variations existing between localities. Malpractice premium data for a $1 million to $3 million mature "claims made" policy were collected, with mandatory patient compensation funds considered. However, due to the recent concerns regarding the escalating cost of professional liability insurance, especially in 2002 and 2003, we will be collecting more recent malpractice premium data. We propose using actual 1999 through 2002 malpractice premium data and projecting the malpractice premium rates for 2003. The methodology for forecasting 2003 medical malpractice premiums will consist of calculating the geometric mean rate of growth between 1999 through 2002 and applying that rate to the 2002 premium. We will also obtain a national aggregate malpractice premium series with which to benchmark the 2003 forecast. At this point, we are still collecting the 2002 malpractice premium data and are thus unable to project 2003 malpractice premium data in this proposed rule. We are proposing to base the malpractice GPCIs upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data by January 1, 2004. These revised malpractice GPCIs will be published in this year's final physician fee schedule regulation. They will be considered interim and subject to public comment.
9. Payment Localities
We are also interested in receiving comments on the composition of the current Medicare physician payment localities (89 separate payment localities) to which the GPCIs are applied. For additional information regarding the composition of the 89 Medicare physician payment localities please refer to both the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 1996 final rule (61 FR 59494) for the Medicare physician fee schedule.
C. Coding Issues
1. Payment Policy for CPT Tracking Codes
In the November 1, 2001 final rule (66 FR 55269), we stated that carriers have discretion for coverage and payment of services described by CPT tracking codes, also known as CPT Category III codes, unless we have made a national coverage determination (NCD). (These CPT Category III codes are distinct from the HCPCS Level III codes used by local claims processors which are to be discontinued under HIPAA implementation.) We have received several requests to create national payment amounts for some CPT tracking codes even if there has been no NCD with respect to the services. After review of these requests, we are proposing to change our policy regarding payment for CPT tracking codes.
We propose to create national payment policy and determine national payment amounts for CPT tracking codes when there is a significant programmatic need for us to do so. Such a need could arise, for example, if we receive requests from carrier medical directors that we establish a national payment amount because of carrier inability to do so. This policy change would not change the contractor's discretion over coverage for the CPT tracking codes, but would establish a payment level if the contractor finds that coverage is warranted. Carriers do not need to establish a payment amount for a tracking code until they receive a claim for the code.
2. Excision of Benign and Malignant Lesions
In the CPT 2003 book, the definitions for excision of benign lesions (CPT codes 11400 through 11446 inclusive) and excision of malignant lesions (CPT codes 11600 through 11646 inclusive) were substantively changed. Starting in 2003, these codes are to be reported based on the excised diameter (actual skin removed) rather than on the size of the lesion. We have reviewed the new code descriptors and are proposing to make the work RVUs the same for removal of all skin lesions with the same excised diameters that are from the same area of the body, whether the lesions are benign or malignant For example, the work RVUs for the removal of benign skin lesions from the trunk, arms or legs with excised diameter 1.1-2.0 cm, CPT code 11402, would be the same as the work RVUs for CPT code 11602, which is the removal of malignant skin lesions from trunk, arms or legs with excised diameter of 1.1-2.0 cm. Therefore, to retain budget neutrality within each code pair, the total work RVUs associated with each code pair will be constant both before and after the work adjustment. We will accomplish this by dividing the total 2003 work RVUs (2003 work RVUs for a given code pair multiplied by 2002 utilization) by the total 2002 utilization for the given code pair. For example:
| CPT code | 2002 utilization | 2003 work RVU | Total work RVUs | ||
|---|---|---|---|---|---|
| 11400 | 69,041 | × | 0.85 | = | 58,685 |
| 11600 | 13,768 | × | 1.31 | = | 18,036 |
| Total | 82,809 | 76,721 | |||
| 76,721 divided by 82,809 = 0.93 work RVU | |||||
The proposed work RVUs for these codes follow:
[Federal Register graphic "EP15AU03.007" is not available. Please view the graphic in the PDF version of this document.]
3. Create G Codes for Monitoring Heart Rhythms
Technological advances have made cardiac telemetry equipment, typically used in hospitals, available in the home setting. It is now possible to discharge patients with arrhythmias to a home setting and have them monitored at home in a manner similar to hospital monitoring. This monitoring can be used to diagnose arrhythmias or to monitor patients with known arrhythmias to determine, on a real-time basis, whether the patient is having ongoing arrhythmias. The equipment consists of patient leads and a home telemetry station that is connected to a distant monitoring station via the telephone. The monitoring station is attended twenty-four hours a day, seven days a week by a technician. Upon receipt of rhythm strips, the technician records and formats the strips and faxes them to the treating physician.
This equipment automatically records the patient's heart rhythm and is not triggered by the patient (for example, his response to symptoms). The equipment is pre-set with parameters (for example, heart rate of over 120) that trigger it to transmit the patient's cardiac rhythm to monitoring station. Additionally, the technician at the monitoring station can interrogate the home station and have it transmit rhythm strips upon request even when no arrhythmia has triggered an automatic transmission. These latter transmissions are at the discretion of the technician and may or may not be faxed to the treating physician based on previous orders.
Depending on the clinical need, patients may be monitored by this equipment for varying lengths of time. Furthermore, the frequency of transmission of cardiac rhythms varies, as does the amount of material that must be reviewed by the physician. For example, a patient may have no cardiac rhythms transmitted for one or more days while on other days the patient may have several minutes of arrhythmias transmitted for physician review.
To ensure this technology is available to Medicare beneficiaries for covered indications (coverage is currently at the discretion of the local Medicare contractors because there is no national coverage determination for this service) we are creating several HCPCS G codes to describe this service and are establishing national payment amounts for these services. Currently Medicare contractors are requiring both the PC and TC of this service to be billed under CPT code 93799, Unlisted cardiovascular procedure or service. This service is covered under the diagnostic test benefit category at section 1861(s)(3) of the Act.
Medicare is establishing the following HCPCS codes to describe this service:
GXXX1-Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; includes recording, monitoring, receipt of transmissions, analysis, and physician review and interpretation. (global)
GXXX2-Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; recording (includes hook-up, recording and disconnection)
GXXX3-Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; monitoring, receipt of transmissions, and analysis
GXXX4-Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; physician review and interpretation.
We are establishing the following payment amounts for these codes:
GXXX1-We are assigning 0.52 physician work RVUs and 0.24 malpractice RVUs which is equivalent to CPT Code, 93268 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; includes transmission physician review and interpretation. We are also crosswalking the practice expense inputs from CPT Code 93268.
GXXX2 -We are assigning 0.07 malpractice RVUs which is equivalent to CPT Code 93270, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; recording (includes hook-up, recording, and disconnection) and crosswalking the practice expense inputs from CPT Code 93270.
GXXX3 -We are assigning 0.15 malpractice RVUs which is equivalent to CPT Code 93271, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; monitoring, receipt of transmission, and analysis and also are crosswalking the practice expense inputs from CPT Code 93271.
GXXX4 -We are assigning 0.52 physician work RVUs and 0.02 malpractice RVUs which is equivalent to CPT Code 93272 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; physician review and interpretation only. We are also crosswalking the practice expense inputs, from CPT Code 93272.
We believe these proposed RVUs and crosswalks are appropriate as the services provided in the new codes are very similar in terms of physician work, resource use, and malpractice risk to the existing CPT Codes.
4. CPT Code 88180 (Flow Cytometry; Each Cell Surface, Cytoplasmic or Nuclear Marker)
Flow cytometry is a technique to analyze single cell suspensions from blood, bone marrow, body fluids, lymph nodes, and other tissues. The technique, currently coded as CPT code 88180, Flow cytometry, each cell surface, cytoplasmic or nuclear marker , quantifies cell surface, cytoplasmic, and nuclear antigens. The results are frequently used to diagnose lymphomas and leukemias. They are also used to monitor lymphocyte subpopulations in patients with HIV infection or solid organ transplantation. For example, in patients with HIV infection, physicians evaluate CD4+ lymphocytes as a measure of the severity of the infection (some physicians also measure other markers although their clinical relevance is not as well established). In patients with solid organ transplantation, physicians measure various lymphocyte subpopulations to help assess early rejection, identify bone marrow toxicity during immunosuppressive therapy, and differentiate infections from transplant rejection. In these cases the treating physician, not the pathologist, makes the diagnosis. It is inappropriate for the pathologist to report the professional component (PC) of this service. In general, flow cytometry results must be utilized along with clinical data to make a diagnosis. Other clinical situations where flow cytometry tests have some value include stem cell transplantation, paroxysmal nocturnal hemoglobinuria, immune deficiency disorders, etc.
When flow cytometry is performed to diagnose lymphoma or leukemia, there is a single interpretation based on the quantification of all markers tested. There is not an interpretation of each marker individually.
Moreover, for a given clinical indication (for example, diagnosis of lymphoma based on lymph node examination) there is variation in the number of markers performed. The number of markers that are necessary depends, in part, on the pathologic information available to the pathologist at the time he/she orders flow cytometry. Therefore, for a given clinical indication (for example, diagnosis of lymphoma from a lymph node) a pathologist who chooses to perform flow cytometry before performing a microscopic examination of the tissue specimen (for example, a lymph node) may order more markers than a pathologist who orders flow cytometry after performing a microscopic examination of the tissue specimen.
The current coding scheme (payment on a per marker basis) may encourage the performance of more markers than may be medically necessary because the pathologist determines what markers to perform and when to perform them.
Our review of flow cytometry reports confirms that markers are interpreted (and reported) on a panel basis. From our review, physicians do not typically interpret individual markers. This is consistent with most of the clinical indications for flow cytometry that require performance of several markers to make a diagnosis. There may also be clinical situations where no professional component is performed although it is appropriate to perform the technical component (TC) (for example, monitoring of HIV infected patients, monitoring of solid organ transplantations).
The fact that markers are generally analyzed on a "panel" basis, not an "individual" basis, means that the current practice and use of flow cytometry is not appropriately reflected by the PC of CPT code 88180.
However, we do believe that it is appropriate to pay for the TC of each marker separately, although at a lower rate of payment (due to economies of scale) when multiple markers are performed. A coding scheme that pays per marker for the TC and per panel for the PC would more accurately reflect the actual practice of flow cytometry.
The laboratory community is aware of our concerns about the coding of flow cytometery and will review this issue and consider whether changes should be made to the current coding for the procedure. If no changes in coding are forthcoming, we would consider creating HCPCS codes for flow cytometry. We welcome comments and recommendations on appropriate values for the procedure that we could use in developing any future proposal.
5. Create G Codes for Dialysis Patient Seeing the Doctor
We have reviewed our current payment policy for the monthly dialysis capitation, CPT codes 90918 through 90921 in response to concerns that have been raised over whether our payment policy is consistent with current medical practice.
Specifically, we understand that physician involvement in dialysis for end stage renal disease (ESRD) varies based on a patient's condition, response to dialysis, and comorbidities. A physician involvement for a single patient may also vary from month to month. It is our intent to ensure that beneficiaries with ESRD receive the highest quality dialysis care available and that physician involvement in dialysis for ESRD patients is appropriate and consistent with the needs of the patient in any month.
Observers of the quality of care for dialysis patients have noted that some dialysis patients may benefit from being evaluated by their physician frequently. A recent international comparison study suggested that longer physician-patient contact time in hemodialysis facilities was associated with lower mortality risk.
To align the payment incentives with the frequency of the physician personally evaluating the dialysis patient, we are proposing to make CPT codes 90918, 90919, 90920, 90921 invalid for Medicare and to create G codes. We are proposing to create 3 new G codes in place of each CPT code with higher payments associated with providing more visits within each month to an ESRD patient. Under our proposal, there will be separate codes when the physician provides 1 visit per month, 2-3 visits per month and 4 or more visits per month. The code for 1 visit per month will have the lowest payment while a higher payment will be provided for 2 to 3 visits per month and the highest payment for 4 or more visits per month. Our methodology for determining payment is described below. These new codes will be reported once per month for services performed in an outpatient setting and related to the patient's ESRD. These physician services will continue to include the establishment of a dialyzing cycle, outpatient evaluation and management of the dialysis visits, telephone calls, and patient management, provided during a full month. These codes would not be used if a hospitalization occurred during the month.
GXXX5-End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.
GXXX6-End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.
GXXX7-End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.
GXXX8-End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.
GXXX9-End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.
GXX10-End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.
GXX11-End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.
GXX12-End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.
GXX13-End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.
GXX14-End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 4 or more face-to-face physician visits per month.
GXX15-End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 2 or 3 face-to-face physician visits per month.
GXX16-End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 1 face-to-face physician visit per month.
We are assuming that most physicians will provide 4 or more visits to their ESRD patients and a small proportion will provide 2-3 visits or only 1 visit per month. Using these assumptions and Medicare utilization data from 2002, we developed relative value units for the new G codes that will make the Medicare's aggregate payments for ESRD related services under the physician fee schedule approximately equal to current payments that are occurring using procedure codes 90918 to 90921. Relative to our current payments, we are proposing to lower payment when the physician provides 1 visit per month or 2-3 visits per month. Since we are proposing to lower payment if the physician provides fewer than 4 visits per month, in order to maintain the same aggregate payments for ESRD related services, we are proposing to increase payment if the physician provides 4 or more visits per month. Using these assumptions, the proposed work, practice expense and malpractice RVUs for procedure codes GXXX5 through GXXX16 are shown below:
| Code | Physician work | Practice expense | Malpractice |
|---|---|---|---|
| GXXX5 | 12.92 | 8.70 | 0.60 |
| GXXX6 | 5.19 | 3.49 | 0.24 |
| GXXX7 | 3.39 | 2.29 | 0.16 |
| GXXX8 | 9.91 | 4.86 | 0.43 |
| GXXX9 | 3.55 | 1.74 | 0.15 |
| GXX10 | 2.32 | 1.14 | 0.10 |
| GXX11 | 8.47 | 4.54 | 0.35 |
| GXX12 | 3.14 | 1.68 | 0.13 |
| GXX13 | 2.05 | 1.10 | 0.08 |
| GXX14 | 5.16 | 2.94 | 0.22 |
| GXX15 | 1.94 | 1.10 | 0.08 |
| GXX16 | 1.27 | 0.73 | 0.06 |
We believe that stratifying payment amounts by physician face-to-face involvement would be an improvement over the current method, but still may not be optimal to foster improved outcomes.
Both the Institute of Medicine and Medicare Payment Advisory Commission (MedPAC) have advocated an increased role for CMS in encouraging improved quality outcomes. In their June 2003 Report to Congress (Variation and Innovation in Medicare), MedPAC recommended "the Secretary should conduct demonstrations to evaluate provider payment differentials and structures that reward and improve quality."
We responded to this call by increasing the focus of our Quality Improvement Organizations (formerly called Peer Review Organizations) and ESRD Networks on developing quality measures and also performing or assisting providers with the performance of quality improvement activities. We have also implemented initiatives to address the quality of care provided in various settings. These include: The Home Health Quality Initiative; the Hospital Quality Initiative; the Nursing Home Quality Initiative; the Home Health Quality Initiative and Doctors Office Quality Project (see http://cms.hhs.gov/quality/ for more information).
Additionally, we have developed various demonstration projects that provide incentives to improve quality. For example, as part of an ongoing effort to achieve improved patient outcomes, we announced the ESRD Disease Management Demonstration in the Federal Register on June 4, 2003. The goal of this demonstration is to achieve improved patient outcomes through disease management services and quality incentives. This demonstration does not directly involve renal physicians, but we are considering the use of quality incentives in potential future payment systems for them as well. Renal physicians play a central role in leading the interdisciplinary team charged with managing an ESRD patient's care.
Thus, we are seeking comment on how to further revise our payment methodology to improve quality of care and outcomes. We are also interested in information that could help us design future demonstrations that would incorporate both dimensions of care (quality and utilization) and help ensure that payment is based on appropriate patient-specific care that has been shown to lead to improved outcomes for this complex patient population.
6. Extracorporeal Shock Wave Lithotripsy for Musculoskeletal Conditions
We received several comments on the G codes for extracorporeal shock wave lithotripsy created in the December 31, 2002 final rule. We will be responding to those comments as part of this year's final rule, but we would appreciate any additional information on the physician work, practice expenses, and duration of treatment and intensity or energy of the shock waves applied for various conditions at various anatomic sites.
7. Late RUC recommendations for 2003 CPT codes.
RUC recommendations for RVUs for approximately 20 new CPT codes for 2003 were received too late for incorporation in the December 31, 2002 final rule. We proposed interim RVUs for these codes and, as with all interim values, these were subject to comment. In their comments on the December 2002 final rule, the AMA-RUC requested that we consider their late recommendations for these codes. We will be addressing these, as well as other comments received on the interim RVUs in the upcoming final rule.
III. Other Issues
A. Rebasing and Revising of the Medicare Economic Index
1. Background
The Medicare Economic Index (MEI) is required by section 1842(b)(3) of the Act, which states that prevailing charge levels beginning after June 30, 1973 may not exceed the level from the previous year except to the extent that the Secretary finds, on the basis of appropriate economic index data, that the higher level is justified by year-to-year economic changes. Beginning July 1, 1975, and continuing through today, the MEI has met this requirement by reflecting the weighted sum of the annual price changes of the inputs used to produce physicians' services. As such, the MEI attempts to be an equitable measure of price changes associated with physician time and operating expenses.
The current form of the MEI was detailed in the November 25, 1992 Federal Register (57 FR 55896) and was based in part on the recommendations of a Congressionally-mandated meeting of experts held in March 1987. Since that time, the structure of the MEI has remained essentially unchanged, with two exceptions. First, the MEI was rebased in 1998 (63 FR 58845), which moved the cost structure of the index from 1992 data to 1996 data. Second, the methodology for the productivity adjustment was revised in 2002 (67 FR 80019) to reflect the percentage change in the 10-year moving average of economy-wide multifactor productivity.
We are proposing to rebase and revise the MEI for the 2004 physician fee schedule update. The terms "rebasing" and "revising", while often used interchangeably, actually denote different activities. Rebasing means moving the base year for the structure of costs of an input price index, while revising means changing data sources, cost categories, or price proxies used in the input price index. As is always the case with a rebasing and revising exercise, we have attempted to use the most recently available, relevant, and appropriate information to develop the MEI cost category weights and price proxies. We detail below the updated cost weights for the MEI expense categories, our rationale for selecting the price proxies in the MEI, and the results of the proposed rebasing and revising of the MEI.
2. Use of More Current Data
The MEI was last rebased and revised in 1998 for the 1999 physician fee schedule update (63 FR 58845). The current base year for the MEI is 1996, which means that the cost weights in the index reflect physicians' expenses in 1996. However, we believe it is desirable to periodically rebase and revise the index so that the expense shares and proxies reflect more current conditions. For this reason, we propose to rebase the MEI to reflect physicians' expenses in 2000. In addition, we are proposing to revise the cost categories in the MEI and to change three of the proxies we currently use to ensure that the index is appropriately reflecting price changes. We will continue to adjust the MEI for economy-wide multifactor productivity.
The expense categories in the proposed MEI were primarily derived from the 2003 AMA Physician Socioeconomic Characteristics publication (2003 Patient Care Physician Survey data), which measures physicians' earnings and overall practice expenses for 2000. The AMA data were used to determine expenditure weights for total expenses, physicians' earnings, and malpractice expenses, the only information detailed in this survey. To further disaggregate into subcategories reflecting more detailed expenses, we used data from previous AMA surveys, the 1997 Bureau of Economic Analysis Benchmark Input-Output table (I/O), the 2003 Bureau of Labor Statistics (BLS) Employment Cost Index (ECI), and the 2002 Bureau of the Census Current Population Survey (CPS).
3. Rebasing and Revising Expense Categories in the MEI
a. Developing the Weights For Use in the MEI
Developing a rebased and revised MEI requires selecting a base year and determining the number and composition of expense categories. We are proposing to rebase the MEI to CY 2000. CY 2000 was chosen as the base year for two main reasons: (1) CY 2000 was the most recent year for which data were available from the AMA, and (2) we believed that the CY 2000 data were representative of the changing distribution of physicians' earnings and practice expenses over time.
We determined the number and composition of expense categories based on the criteria used to develop the current MEI and other CMS input price index expenditure weights. These criteria are timeliness, reliability, relevance, and public availability. For more information on these criteria, see the May 9, 2002 Federal Register (67 FR 31444) and the detail later in this preamble. Table 5 lists the set of mutually exclusive and exhaustive cost categories that make up the proposed rebased and revised MEI.
| Expense category | Proposed 2000-Expense weights1 2 | 1996 Expense weights | Proposed price proxies |
|---|---|---|---|
| Total | 100.000 | 100.000 | |
| Physician Earnings3 | 52.466 | 54.460 | |
| Wages and Salaries | 42.730 | 44.197 | AHE-Private. |
| Benefits4 | 9.735 | 10.263 | ECI-Ben: Private. |
| Physician Practice Expenses | 47.534 | 45.540 | |
| Nonphysician Employee Compensation | 18.654 | 16.812 | |
| Employee Wages and Salaries | 13.809 | 12.424 | |
| Prof/Tech Wages | 5.887 | 5.662 | ECI-W/S: Private PT. |
| Managerial Wages | 3.333 | 2.410 | ECI-W/S: Private Admin. |
| Clerical Wages | 3.892 | 3.830 | ECI-W/S: Private Clerical. |
| Services Wages | 0.696 | 0.522 | ECI-W/S: Private Service. |
| Employee Benefits4 | 4.845 | 4.388 | ECI-Ben: Priv. White Collar. |
| Office Expenses | 12.209 | 11.581 | CPI(U)-Housing |
| Professional Liability Insurance | 3.865 | 3.152 | CMS-Prof. Liab. Phys. Premiums. |
| Medical Equipment | 2.055 | 1.878 | PPI-Medical Instruments Equip. |
| Pharmaceuticals and Medical Materials and Supplies | 4.320 | 4.516 | |
| Medical Materials and Supplies | 2.011 | PPI Surg. Appliances and Supplies/CPI(U) Med Supplies. | |
| Pharmaceuticals | 2.308 | PPI Ethical Prescription Preparations. | |
| Other Professional Expenses | 6.433 | 7.601 | CPI-U All Items Less Food and Energy. |
| 1 Due to rounding, weights may not sum to 100.000 percent. | |||
| 2 Sources: Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau of Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. | |||
| 3 Includes employee physician payroll. | |||
| 4 Includes paid leave. | |||
To determine the expenditure weights for the proposed rebased and revised MEI, we used currently available and statistically valid data sources on physician earnings and practice expenses. While we consulted numerous data sources, we used five data sources to determine proposed MEI expenditure weights: (1) The 2003 AMA Physician Socioeconomic Statistics (2000 survey data) for self-employed physicians, (2) the 2000-2002 AMA Physician Socioeconomic Statistics (1998 data) for self-employed physicians, (3) the March 2003 BLS Employment Cost Index, (4) the 2002 Bureau of the Census CPS, and (5) the Bureau of Economic Analysis (BEA) 1997 Benchmark Input-Output tables (I/O). No one data source provided all of the information needed to determine expenditure weights according to our criteria. The development of each of the cost categories using these sources is described in detail below.
b. Physician Earnings
Like the current MEI, the proposed rebased and revised MEI will use AMA data on mean physician net income (physician earnings) for self-employed physicians to develop a weight for physician earnings. The weight for this expense category was based on AMA data for 2000 and was calculated as a percentage of total mean expenses (physician earnings and practice expenses, including malpractice). The physician earnings expenditure category also includes employee physician compensation. Currently, physician earnings and overhead expenses generated by employee physicians are included in the AMA practice expenses category. However, we believe it is appropriate, for our purposes, to place employee physician compensation in the MEI cost category of physician earnings since employee physician compensation represents actual expenditures made in the delivery of services. In addition, including employee physician payroll in physician earnings in the MEI is consistent with the current payment methodologies in accordance with the physician fee schedule, where the work RVU is computed based on what service is provided and not on who provides the service. Since employee physicians perform the same services as self-employed physicians, employee physician time is reflected in the work RVU. By including the compensation of employee physicians in the physician earnings expense category, these expenses will be adjusted by the appropriate price proxies for a physician's own time.
To obtain further detail for both wages/salaries and benefits, the ratio between these categories for 1996 (based on current MEI) was updated to 2000 using the growth in the overall employment cost index for private employees for wages/salaries and benefits. Alternative data for determining this split were not readily available from any other source. The main shortcoming of this method is that any changes in quantity and intensity (mix of physicians) are not reflected. However, faced with the lack of alternative data, we deemed this approach to be the most feasible, and the results appear to be consistent with anecdotal evidence on this ratio. Its application resulted in a wage-fringe benefit split of 81.4 and 18.6 percent, respectively, in the proposed revised and rebased MEI compared with a wage-fringe benefit split of 81.2 and 18.8 percent, respectively in the 1996-based MEI.
c. Physician Practice Expenses
To determine the remaining individual practice expense weights, we updated AMA expense data from 1998 to 2000 using the relative price change in an appropriate price index. After the levels were updated to 2000 values, it was necessary to normalize these levels to equal the 2000 mean total expense data provided by the 2003 AMA survey. The detailed explanations for the derivation of the individual weights are listed below.
(i) Nonphysician Employee Compensation
The cost share for nonphysician employee compensation was developed by updating the 1998 AMA Socioeconomic Survey data on nonphysician employee compensation costs for self-employed physicians to 2000, using the current proxy for this category, and dividing the resulting amount into total expenses (physician earnings plus practice expenses) for 2000 from the AMA survey. We further divided this cost share into wages/salaries and benefits using BLS Employment Cost Index data. The ECI survey contains data on the proportion of total compensation accounted for by wages/salaries and benefits (including paid leave) by private industry health services occupational category. These proportions can be used to distribute the total non-physician employee compensation weight to wages/salaries and benefits for non-physician employees. We used 2000 data from the March 2003 publication. Although this survey does not contain data specifically for offices of physicians, data are available on wage/fringe shares for private industry health services, which include hospitals, nursing homes, offices of physicians, and offices of dentists. We believe the data for health services from the survey do provide a reasonable estimate of the split between wages and fringe benefits for employees in physicians' offices. Data for 2000 in the ECI survey for total health services indicate that wages and fringe benefits are 74.02 percent and 25.98 percent of compensation, respectively.
As in the 1996-based MEI, we are proposing to use CPS data on earnings by occupation to develop cost shares for wages for nonphysician occupational groups shown in Table 6. To arrive at a distribution for these separate categories, we multiplied the overall share for nonphysician employee wages/salaries by each of the occupational proportions from the 2000 CPS. The proposed distribution and the distribution in the current MEI are presented in Table 6.
| BLS Occupational Group | 2000 Expenditure Shares | 1996 Expenditure Shares |
|---|---|---|
| Total | 100.000 | 100.000 |
| Professional Technical Workers | 42.635 | 45.573 |
| Managers | 24.138 | 19.398 |
| Clerical Workers | 28.187 | 30.827 |
| Service Workers | 5.040 | 4.202 |
| Note: Values may not sum to 100 due to rounding. | ||
(ii) Professional Liability Expense
The weight for professional liability expense was derived from the 2003 AMA survey (2000 data) and was calculated as the mean professional liability expense expressed as a percentage of total expenses (physician earnings plus practice expenses). This calculation resulted in a 3.865 percent share of total costs in 2000 compared to a 3.152 percent share in the 1996-based index. The increase in weight for professional liability insurance represents the increases in premiums and increases in the amount of coverage purchased by physicians in 2000 compared to 1996. Since the data do not reflect any changes caused by increases in these expenses in 2001 and 2002, they do not take into account the recent acceleration in the growth in premiums that physicians have experienced and, therefore, the weights will not reflect these changes. However, the proxy that we currently use in the 1996-based index-and will continue to use in the proposed rebased and revised index-does reflect the price increases associated with the recent rise in malpractice costs.
(iii) Office, Medical Equipment, Pharmaceuticals and Medical Materials and Supplies Expenses, and All Other Expenses
The 2003 AMA survey provides less detail for expenses with respect to prior years' publications. Therefore, we calculated the share of each of the above categories by updating the AMA data for 1998 to 2000 using an appropriate price proxy. The primary reason for using the price proxy was that we lacked other data to develop cost weights for each of these categories. As stated previously, the main deficiency of this method is that it does not account for any changes in the quantity or intensity effects associated with these expenses. Our belief, however, was that it was important to continue using these detailed breakouts so that each would be proxied by an appropriate price index and that the quantity/intensity effects over a short period of time are not likely to be large. In fact, we have found that even over longer periods of time, the distribution of costs tends to be relatively similar.
Office expenses and medical equipment levels were moved to 2000 using the growth from 1998 to 2000 in their respective MEI price proxies. In the case of office expenses, we used the growth in the CPI-U Housing; for medical equipment expenses, we used the growth in the PPI for Medical Instruments and Equipment.
The share for pharmaceuticals (prescription drugs) and medical materials and supplies was calculated by separating out pharmaceuticals and other medical materials and supplies using 1997 BEA Benchmark Input-Output data. First, the sum of all the pharmaceuticals and medical supplies categories from the Benchmark Input-Output tables for 1997 was calculated. The share of pharmaceuticals and medical supplies was then calculated as a percentage of this total and applied to the 1997 AMA medical supplies data. These calculated levels were then inflated to 2000 using the growth in an appropriate price proxy. We thought it was important and appropriate to account for each of these categories separately so that differences in relative price growth between pharmaceuticals (prescription drugs) and other medical materials and supplies would be more accurately represented. The resulting 2000 data for the two separate categories were then aggregated (summed) together to form the overall total for the share for the pharmaceuticals and medical materials and supplies category in the rebased and revised MEI. The pharmaceuticals category was inflated using the Producer Price Index (PPI) for ethical prescription preparations and the medical materials and supplies category was updated using the PPI for surgical appliances and supplies.
Finally, the All Other Expense category was calculated as a residual (total expenses less the percentage of all categories currently accounted for). The additional detail for transportation expenses found in the prior MEI was removed because the data were not readily available for measurement of a cost share for 2000. The effect on the MEI of removing the detail is negligible.
4. Selection of Price Proxies for Use in the MEI
After the 2000 cost weights for the rebased and revised MEI were developed, we reviewed the current set of price proxies to determine whether they were still the most appropriate for each expenditure category. As was the case in the development of the 1996-based MEI (57 FR 55901), most of the indicators we considered are based on BLS data and are grouped into one of the following five categories:
Producer Price Indices (PPIs)
PPIs measure price changes for goods sold in other than retail markets. They are the preferred proxies for physician purchases at the wholesale level. These fixed-weight indices are a measure of price change at the producer or at the intermediate stage of production, a more likely mode of purchase for physicians.
Consumer Price Indices (CPIs)
CPIs measure change in the prices of final goods and services purchased by consumers. Like the PPIs, they are fixed-weight. Since they may not represent the price changes faced by producers, CPIs were used if there were no appropriate PPI or if the expenditure category was similar to expenditure of retail consumers in general.
Average Hourly Earnings (AHEs)
AHEs are available for production and nonsupervisory workers for specific industries as well as for the nonfarm business economy. They are calculated by dividing gross payrolls for wages/salaries by total hours. The series reflects shifts in employment mix and, thus, is representative of actual changes in hourly earnings for industries or for the nonfarm business economy.
ECIs for Wages/Salaries
These ECIs measure the rate of change in employee wage rates per hour worked. These fixed-weight indices are not affected by shifts in industry or occupation employment levels and measure only the pure rate of change in wages.
ECIs for Employee Benefits
These ECIs measure the rate of change in employer costs of employee benefits, such as the employer's share of Social Security taxes, pension and other retirement plans, insurance benefits (life, health, disability, and accident), and paid leave. Like ECIs for wages/salaries, the ECIs for employee benefits are not affected by changes in industry output or occupational shifts.
When choosing wage and price proxies for each expense category, we evaluate the strengths and weaknesses of each proxy variable using four criteria. The first criterion is relevance. The price variable should appropriately represent price changes for specific goods or services within the expense category. Relevance may encompass judgments about relative efficiency of the market generating the price and wage increases.
The second criterion is reliability or low sampling variability. If the proxy wage-price variable has a high sampling variability or inexplicable erratic patterns over time, its value is greatly diminished, since it is unlikely to accurately reflect price changes in its associated expenditure category. Low sampling variability can conflict with relevance, since the more specifically a price variable is defined in terms of service, commodity, or geographic area, the higher the possibility of sampling variability. The length of time the time-series data have been published is also important. A well-established time series is needed to assess the reasonableness of the series and to provide a solid base from which to forecast future price changes in the series. We need to forecast the MEI to make Federal budget and Trustees Report estimates.
The third criterion is timeliness of actual published data. For this reason, we prefer monthly and quarterly data to annual data.
The fourth criterion is public availability. We prefer to use data sources that are publicly available for our indices so that the public may track each of the individual components in the MEI.
The BLS price proxy categories previously described meet the criteria of relevance, reliability and timeliness, and public availability. Below we discuss the price-wage proxies for the rebased and revised MEI (shown in Table 1).
(a) Expense Categories in the MEI
Physician Time
In the proposed revised and rebased MEI, we are using the AHE for the private nonfarm economy as the proxy for the physician wages/salaries component; this is the same price measure used in the 1996-based MEI. In our judgment, this proxy still most closely comports with Congressional intent as expressed in the Senate Finance Committee's 1972 report (S. Rept. No. 92-1230 at 191 (1972)). AHEs change in accordance with changes in the type and mix of workers.
As we discussed extensively in the November 2, 1998 final rule (63 FR 58848) and again in the December 31, 2002 final rule (67 FR 80019), we believe that the current price proxy for physicians' earnings-AHE in the nonfarm business economy-is the most appropriate proxy to use in the MEI. The AHE for the nonfarm business economy reflects the impacts of supply, demand, and economy-wide productivity for the average worker in the economy. Using this measure as the proxy for physicians' earnings captures the parity in the rate of change in wages for the average worker and for physicians. In addition, use of this proxy is consistent with the original legislative intent that the change in the physicians' earnings portion of the MEI parallel the change in general earnings for the economy. Since earnings are expressed per hour, a constant quantity of labor input per unit of time is reflected. The use of the AHE data is also consistent with our using the BLS economy-wide multifactor productivity measures since economy-wide wage increases reflect economy-wide productivity increases.
Using the ECI for professional and technical workers or other occupational-specific wage proxies has a major shortcoming; in many instances, occupations such as engineering, computer science, and nursing have unique characteristics that are not representative of the overall economy or the physician market. Specifically, wage changes for such occupations can be influenced by excess supply or demand for these types of workers. We believe it would not be appropriate to proxy the physician earnings portion of the MEI with a wage proxy that reflects these other occupation's unique characteristics.
The current MEI uses the ECI for fringe benefits for total private industry as the price proxy for physician fringe benefits. We are proposing to use the same proxy for the 2000-based MEI. This means that both the wage and fringe benefit proxies for physician earnings are derived from the nonfarm private sector and are computed on a per-hour basis.
Nonphysician Employee Compensation
As in the 1996-based MEI, we are proposing to use Current Population Survey data on earnings and employment by occupation to develop labor cost shares for the nonphysician occupational groups shown in Table 6. BLS maintains an ECI for each occupational group, and we propose to use these ECIs as price proxies for nonphysician employee wages in the same manner they are used in the current MEI.
The skill mix shift in employees of physician offices in the last few years has been towards managerial occupations. While these skill mix shifts are captured in the expenditure weights, they are appropriately held constant in a Laspeyres price index such as the MEI. Skill mix shifts, which may reflect the changing intensity of services provided in physicians' offices, are accounted for in the payment system outside of the MEI.
The current MEI uses the ECI for fringe benefits for white collar employees in the private sector as a proxy for nonphysician benefits. Since most nonphysician employees in physicians' offices are white-collar employees, we are again proposing to use the ECI for benefits for white collar employees in the proposed rebased and revised MEI.
Office Expense
Office expenses include rent or mortgage for office space, furnishings, insurance, utilities, and telephone. We are proposing the continued use of the CPI-U for housing because it is a comprehensive measure of the cost of housing, including rent, owner's equivalent rent, and the types of goods and services associated with running an office. This proxy covers about 80 percent of the population.
Pharmaceuticals and Medical Materials and Supplies
This cost category includes drugs, outside laboratory work, x-ray films, and other related services. There is not one price proxy that includes this complete mix of materials and supplies. In the absence of one index, we are proposing to separately account for pharmaceuticals and medical materials and supplies in the 2000-based MEI.
• Medical Materials and Supplies
We equally weighted two proxies together (the PPI Surgical Appliances and Supplies and the CPI-U for Medical Equipment and Supplies) since one proxy does not accurately measure the price change associated with these types of products used nor the mode of purchase used in physicians' offices. While both indexes include such items as bandages, dressings, catheters, I.V. equipment, syringes, and other general disposable medical supplies and nonprescription equipment, the indexes reflect significant differences in the mode of purchase. The PPI measures actual transaction prices at the wholesale level, the mode most likely used by physicians, while the CPI measures prices at the retail level or the final stage of production. The price movements in these two indexes can be different and we believe that it is appropriate to combine these indexes into one proxy since physicians likely use both purchasing methods when obtaining medical supplies.
• Pharmaceuticals
The PPI for ethical prescription drugs is used to proxy pharmaceutical prices in other CMS market baskets and reflects the price change associated with the average mix of pharmaceuticals purchased economy-wide. We propose to use the PPI for ethical prescription drugs, rather than the CPI for prescription drugs, because physicians generally purchase drugs directly from a wholesaler. The PPIs that we use measure price changes at the final stage of production.
Professional Liability Insurance
It is vital that the MEI accurately reflect the price changes associated with professional liability costs. Accordingly, we continue to incorporate into the MEI a price proxy that accomplishes this goal by making the maximum use of available data on professional liability premiums.
Each year, we solicit professional liability premium data for physicians from a small sample of commercial carriers. This information is not collected through a survey form, but instead is requested, on a voluntary basis, from a few national commercial carriers via letter. Generally between 5 and 8 carriers volunteer this information. While the sample size certainly does not cover the entire professional liability insurance market, we have attempted to maximize the market share in terms of both national coverage and coverage within States.
As we require for our other price proxies, the professional liability price proxy should reflect the pure price change associated with this particular cost category. Thus, it should not capture changes in the mix or level of liability coverage. To accomplish this result, we obtain premium information from commercial carriers for a fixed level of coverage, currently $1 million per occurrence and a $3 million annual limit. This information is collected for every State by physician specialty and risk class. Finally, the State-level, physician-specialty data are aggregated by effective premium date to compute a national total, using counts of physicians by State and specialty as provided in the AMA publication, Physician Characteristics and Distribution in the U.S.
The resulting data provide a quarterly time series, indexed to a base year consistent with the MEI and reflect the national trend in the average professional liability premium for a given level of coverage. From this series, quarterly and annual percent changes in professional liability insurance are estimated for inclusion in the MEI.
The most comprehensive data on professional liability costs are held by the State insurance commissioners but these data are available only with a substantial time lag and, therefore, the data currently incorporated into the MEI are much more timely. We believe that, given the limited data available on professional liability premiums, this methodology adequately reflects the price trends facing physicians.
Medical Equipment
Medical equipment includes depreciation, leases, and rent on medical equipment. We propose to use the PPI for medical instruments and equipment as the price proxy for this category, consistent with the price proxy used in the 1996-based MEI and other CMS input price indexes.
Other Professional Expenses
This category includes the residual subcategory of other professional expenses such as accounting services, legal services, office management services, continuing education, professional association memberships, journals, professional car expenses, and other professional expenses. In the absence of one price proxy or even a group of price proxies that might reflect this heterogeneous mix of goods and services, we use the CPI-U for all items, less food and energy, consistent with the price proxy used in the 1996-based MEI. We also propose to condense the structure used in the previous 1996-based MEI because we lack the data to develop a representative weight for transportation, as discussed above. This change would result in only a negligible effect on the overall MEI over the past 8 years; the average increase differs by less than a tenth of a percentage point over that time.
(b) Productivity Adjustment to the MEI
In the December 2002 final rule, we indicated that we were changing the methodology for adjusting for productivity in the MEI. The MEI used for the 2003 physician payment update reflected changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index; we had previously used economy-wide private nonfarm business labor productivity applied to the labor portions of the index. We will continue to use the method of adjusting for multifactor productivity applied to the entire index in the proposed rebased and revised MEI.
As described in the December 31, 2002 final rule, we used multifactor productivity because: (1) it is theoretically more appropriate to explicitly reflect the productivity gains associated with all inputs (both labor and nonlabor); (2) the recent growth rate in economy-wide multifactor productivity appears to be more consistent with the current market conditions facing physicians; and (3) the MEI still uses economy-wide wage changes as a proxy for physician wage changes. We believe that using a 10-year moving average change in economy-wide multifactor productivity produces a stable and predictable adjustment and is consistent with the moving-average methodology used in the current 1996-based MEI. The adjustment will be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS.
5. Results of Rebasing
Updating the MEI from a 1996 base year to a 2000 base year resulted in small changes in expense category weights. Physicians' earnings dropped slightly, from 54.5 percent of the index in 1996 to 52.5 percent in 2000. The expense shares for non-physician employee compensation, office expenses, professional liability insurance, and medical equipment all rose slightly, while expense shares for medical materials and supplies and all other expenses declined.
The rebased and revised MEI is similar in structure to the current MEI. Except for two-tenths of a percentage point difference in 2000, the annual percent change in the rebased and revised MEI was within one-tenth of a percentage point of the percent change in the 1996-based MEI each year between 1996 and 2003. Therefore, the revision and rebasing proposed in this rule, while making the expense shares more timely, has little impact on the percent changes in the MEI as a whole. Table 7 below shows the average calendar-year percent change from 1996 to 2003 for both the 1996- and 2000-based MEIs.
| Update year (A) | Proposed 2000-based MEI | Current 1996-based MEI |
|---|---|---|
| 1996 | 1.7 | 1.8 |
| 1997 | 1.9 | 1.9 |
| 1998 | 2.4 | 2.4 |
| 1999 | 2.7 | 2.6 |
| 2000 | 2.9 | 2.7 |
| 2001 | 2.8 | 2.8 |
| 2002 | 3.3 | 3.3 |
| 2003 | 3.1 | 3.0 |
| Avg Change 1996-2003 | 2.6 | 2.6 |
| (A) Update year based on historical data through the second quarter of the prior calendar year. For example, the 2003 update is based on historical data through the second quarter 2002. | ||
The forecast of the proposed rebased and revised MEI for the 2004 Physician Fee Schedule is an increase of 2.5 percent, nearly identical to the forecasted increase using the previous 1996-based MEI. In the final rule we will incorporate historical data through the second quarter of 2003; therefore, the current estimated increase of 2.5 percent for 2004 may differ in the final rule.
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6. Adjustments to RVUs To Match the New MEI Weights
As described in the previous section, we are proposing to rebase the MEI and establish new weights for physician work, practice expense and malpractice. Based on 2002 Medicare utilization data, we compared the proportion of total RVUs attributable to physician work, practice expense and malpractice to the new MEI weights. We show the proportion of total RVUs attributable to work, practice expense and malpractice and their respective proposed new MEI weights across all physicians' services in the following table:
| Proposed MEI weight | 2002 RVUs | |
|---|---|---|
| Physician Work | 52.466% | 52.649% |
| Practice Expense | 43.669% | 44.175% |
| Malpractice | 3.865% | 3.176% |
The MEI weights for physician work and practice expense are lower than the proportion of 2002 aggregate RVUS attributable to these categories. The malpractice weight within the MEI is higher than its share of total aggregate 2002 RVUs. (The 2002 shares from the Medicare utilization do not match the 1996 MEI weights because deviations occur over time based on changes in the mix of services billed by physicians and other factors).
We believe there is merit in adjusting the RVUs to match the revised MEI weights. By giving more weight to malpractice and less weight to physician work and practice expenses, Medicare's payments will better reflect each component of physician practice expenses. Section 1848(c)(2)(B)(ii)(II) of the Act requires that increases or decreases in RVUs may not cause the amount of expenditures for the year to differ by more than $20 million from what expenditures would have been in the absence of these changes. If this threshold is exceeded, we make across-the-board adjustments to preserve budget neutrality. Therefore, if we adjust the work, practice expense and malpractice RVUs to match the new MEI weights, we are required by statute to ensure that the adjustments do not increase or decrease Medicare expenditures by more than $20 million. To meet the requirements of the statute and ensure that aggregate pools of RVUs match the proposed new MEI weights, we considered two options. We considered making no adjustments to the physician work RVUs and adjusting only the practice expense and malpractice RVUs or adjusting all 3 categories of RVUs. We considered the first option because the medical community, in the past, has expressed interest in avoiding adjustments to physician work RVUs. However, we could only meet the requirements of section 1848(c)(2)(B)(ii)(II) if we reduced the physician fee schedule conversion factor by an additional 0.3 percentage points in addition to the -4.2 percent reduction we are already forecasting. We believe a small reduction to the physician work RVUs is preferable to a reducing the conversion factor by an additional 0.3 percent. For this reason, we are proposing to reduce the physician work RVUs by 0.35 percent (0.9965) and the practice expense RVUs by 1.15 percent (0.9885) and increase the malpractice RVUs by 21.7 percent (1.217) to match the rebased MEI weights. The effects of these adjustments to the RVUs are included in the RVUs shown in Addendum B of this proposed rule and, as explained previously, would not require a compensating adjustment to the conversion factor.
B. Definition of Diabetes for Diabetes Self-Management Training
Section 4105(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33, enacted on August 5, 1997) provides coverage for outpatient diabetes self-management training in outpatient settings without limiting this coverage to hospital outpatient departments. The BBA provided that the services would be provided "to an individual with diabetes." In the December 29, 2000, final rule entitled, "Expanded Coverage for Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements", (65 FR 83129) we established criteria to define "an individual with diabetes." At that time, we did not have a definition of diabetes that had been widely accepted. Therefore, we established a set of medical conditions to determine who should receive the service.
In § 410.141(d), we stated that any beneficiary who has one or more of the following medical conditions occurring within the 12-month period before the physician's order for the training would be eligible for Medicare coverage for training from an approved entity:
• New onset diabetes.
• Inadequate glycemic control as evidenced by a glycosylated hemoglobin (HbA1C) level of 8.5 percent or more on two consecutive HbA1C determinations 3 or more months apart in the year before the beneficiary begins receiving training.
• A change in treatment regimen from no diabetes medications to any diabetes medication, or from oral diabetes medication to insulin.
• High risk for complications based on inadequate glycemic control (documented acute episodes of severe hyperglycemia or acute severe hyperglycemia occurring in the past year during which the beneficiary needed emergency room visits or hospitalization).
• High risk based on at least one of the following documented complications:
-Lack of feeling in the foot or other foot complications such as foot ulcers, deformities, or amputation;
-Pre-proliferative or proliferative retinopathy or prior laser treatment of the eye; and
-Kidney complications related to diabetes, when manifested by albuminuria, without other cause, or elevated creatinine.
These requirements have been shown to be burdensome to the public and to Medicare contractors. Therefore, we are proposing that the requirements be streamlined to use the definition of diabetes that was established in a later regulation at § 410.130 and is used to determine beneficiary eligibility for Medical Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The definition is:
Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.
C. Outpatient Therapy Services Performed "Incident To" Physicians' Services-Discussion Only
In almost all settings, our policy provides that outpatient therapy services can be delivered only by physical therapists, occupational therapists, physical therapy assistants, occupational therapy assistants, and speech and language pathologists as defined by our regulations at § 484.4. While there are currently no national standards for qualifications of individuals providing outpatient therapy services incident to physicians' services, we believe that standards similar to those in § 484.4 are appropriate. Section 1862(a)(20) of the Act requires that any therapy services furnished incident to a physician's professional services must meet the standards and conditions that would apply to such therapy services if they were furnished by a therapist, with the exception of the licensing requirement.
The OIG conducted a study in March of 1994 (OEI-02-09-00590) which revealed that 78 percent of "incident to" physical therapy services did represent therapy services covered under Medicare (that is, reasonable and necessary as defined in section 1862(a)(1)(A) of the Act). The study also questioned the training of staff providing these services. Also, in 2002 we contracted for a report on the utilization of therapy services. The text of that report is available at www.cms.hhs.gov/medlearn/therapy under Research Tools for Specific Therapy Topics, DynCorp Report-Outpatient Therapy Utilization September 2002. The study found that 25 percent of the beneficiaries in 2000 were treated in the offices of physicians and nonphysician practitioners. There is currently no process to ensure the quality of the services provided in those settings.
The pending implementation of financial limitations on outpatient therapy services emphasizes the need to define the qualifications of those providing therapy services. The limited therapy services covered by Medicare must be provided by people who meet qualifications needed to render skilled services.
In order to conform to section 1862(a)(20) of the Act, we are considering adopting the existing qualification and training standards (with the exception of licensure) in § 484.4 for individuals providing therapy services independently and incident to physicians' services. We are not proposing a change at this time, but are interested in receiving comments from the public, particularly physicians and staff who would be affected, on adoption of the existing standards in § 484.4, to services of independent therapists and "incident to" services as well as alternatives that we might use to ensure that qualified staff are providing "incident to" therapy services. These comments would assist us in the development of any future proposal concerning this issue.
D. Status of Anesthesia Work and Five-Year Review
In the December 2002 final rule, we modestly increased the work of anesthesia services. These changes were based on the analysis submitted by the RUC of its review of the work of 19 high-volume anesthesia codes. The RUC had provided us with its analysis but did not furnish us with a definitive recommendation. The increase in anesthesia work resulted in an increase in the national anesthesia conversion factor. (We increased the physician work component of the anesthesia conversion factor by 2.10 percent to reflect a 9.13 percent increase in anesthesia work applied to 23 percent of anesthesia allowed charges represented by the 19 codes. We applied a 1.6 percent increase to the anesthesia CF.)
The American Society of Anesthesiologists expressed concerns about the completeness of the review of anesthesia under the five-year review, and, in February 2003, we asked the RUC to continue its review of anesthesia work values; we expected to develop a final recommendation for a change in the anesthesia CF involving all anesthesia codes. We asked that the RUC complete this analysis in 2003. The RUC is considering our request and will respond to us about what action they plan to take on this issue.
E. Payment Policies for Anesthesia Services
Currently there are different payment policies for teaching anesthesiologists and teaching certified registered nurse anesthetists (CRNAs). We are seeking comments on the appropriateness of applying the CRNA teaching/resident policy to teaching anesthesiologists.
F. Technical Correction
CPT Code 96155 (Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present)).
This code describes a visit with a patient's family without the patient being present and was first included in the November 1, 2001 final rule. It was incorrectly listed as an active code for which payment could be made under the physician fee schedule. Our longstanding payment policy is that we do not pay for visits with family where the patient is not present. Payment for such visits is included in the pre- and post-service work of a visit where the patient is present. Consistent with this policy, this code is non-payable under the physician fee schedule.
IV. Collection of Information Requirements
This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.
V. Response to Comments
Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the "DATES" section of this preamble, and, if we proceed with a subsequent document, we will respond to the major comments in the preamble to that document.
VI. Regulatory Impact Analysis
We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any 1 year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We have simulated the effect of the proposed changes to the practice expense RVUs described earlier. The net effect of the changes we are proposing will not materially increase or decrease Medicare expenditures for physicians' services because the statute requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Since increases in payments resulting from RVU changes must be offset by decreases in payments for other services, the proposed practice expense changes will result in a redistribution of payments among physician specialties. The RVU changes in this proposed rule have an estimated aggregate redistributive effect of approximately $190 million dollars. (Tables 11 and 12 which appear later in this section reflect the estimated specialty impacts.) Therefore, we are considering this proposed rule to be a major rule because it is economically significant, and, thus, we have prepared a regulatory impact analysis.
The RFA requires that we analyze regulatory options for small businesses and other entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and less significant adverse economic impact on the small entities.
Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds.
For purposes of the RFA, physicians, nonphysicians, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians (except mental health specialists) are considered to be small entities. There are about 700,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule. The analysis and discussion provided in this section as well as elsewhere in this proposed rule is intended to comply with the RFA requirements.
Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. This proposed rule would not impose unfunded mandates on State, local, or tribal governments, or on the private sector of more than $110 million dollars.
We have examined this proposed rule in accordance with Executive Order 13132 and have determined that this regulation would not have any significant impact on the rights, roles, or responsibilities of State, local, or tribal governments.
We have prepared the following analysis, which together with the rest of this preamble, meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities. As indicated elsewhere in this proposed rule, we propose to make changes to the Medicare Economic Index, refine resource-based practice based practice expense RVUs and make a variety of other minor changes to our regulations, payments or payment policy to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We provide information for each of the proposed policy changes in the relevant sections in this proposed rule. As discussed elsewhere in this proposed rule, the provisions of this proposed rule, if adopted, would only change Medicare payment rates for physician fee schedule services. While this rule would revise the definition of diabetes for the purposes of outpatient diabetes self-management training, it does not impose reporting, record-keeping and other compliance requirements. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this proposed rule. The relevant sections of this proposed rule contain a description of significant alternatives.
A. Resource-Based Practice Expense Relative Value Units
Under section 1848(c)(2) of the Act, adjustments to RVUs may not cause the amount of expenditures to differ by more than $20 million from the amount of expenditures that would have resulted without such adjustments. We are proposing several changes that would result in a change of expenditures that would exceed $20 million if we made no offsetting adjustments to either the conversion factor or RVUs.
With respect to practice expense, our policy has been to meet the budget neutrality requirements in the statute by incorporating a rescaling adjustment in the practice expense methodology. That is, we estimate the aggregate number of practice expense relative values that will be paid under current and proposed policy in CY 2004. We apply a uniform adjustment factor to make the aggregate number of proposed practice expense relative values equal the number estimated that would be paid under current policy.
Table 11 shows the specialty level impact on payment of changes being proposed for CY 2004. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here since physicians furnish services to both Medicare and non-Medicare patients and specialties may receive substantial Medicare revenues for services that are not paid under the physician fee schedule. For instance, independent laboratories receive more than 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the physician fee schedules. The table shows only the payment impact on physician fee schedule services.
We modeled the impact of four changes to the practice expense methodology and illustrated the effect in table 11 below. The column labeled "Utilization Data" shows the effect of updating the practice expense methodology to add 2002 utilization data for codes that did not exist in the 1997-2000 period. In general, updating the methodology with the latest utilization data will have the largest impact on payment for a new service where a code was established in 2002. In some cases, the practice expense RVU will increase (for example, 64561-Implant Neuroelectrodes and 52001, Cystoscopy Removal of Clots). In other cases, they will go down (96567-photodynamic treatment skin and G0249-Providing test materials and equipment for home INR Monitoring, 77418-Radiation Treatment Delivery-Intensity Modulated Radiation). For most specialties, new codes represent a small proportion of the specialties' revenues and updating the practice expense RVUs with utilization will have little impact on payment across all of the services the specialty provides. However, updating the practice expense methodology with the 2002 utilization data will reduce payment to radiation oncologists by approximately 1 percent. The payment reduction occurs because the practice expense RVUs for radiotherapy dose planning and radiation treatment by intensity modulated radiation are going down. Because this service represents 8 percent of Medicare revenues to radiation oncology in 2002, there is a somewhat larger impact on this specialty than will generally occur for most specialties.
The column labeled "Practice Expense Refinements" shows the impact on payment from proposed refinements to the practice expense RVUs. In general, the largest impact of the refinements is occurring to surgical procedures with 10 and 90-day global periods. Most of the impacts on these procedures will occur because of the standardization of the intra and post period time for clinical staff. There are also modest impacts on some specialties in the non-facility practice expense RVUs from the refinements to clinical staff and medical supplies. Orthopedic surgery and hand surgery will experience an approximate reduction of 2 percent from the practice expense refinements while payments to otolaryngology will increase by nearly 2 percent. There will be more modest payment increases or decreases for all other specialties from the practice expense refinements.
The column labeled "Maxillofacial Prosthetics" shows the impact on payment from changing the specialty practice expense per hour crosswalk for oral surgery (specialty 19) and maxillofacial surgery (specialty 85) to otolaryngology. Payments to these specialties will increase from this change and there will be virtually no impact on payment to any other specialty.
As indicated earlier, we are also adding clinical staff time to the professional component of several cardiac catheterization services increasing payments for these services by a small amount. The proposed change will cause minor payment reductions for a few other cardiology services. All other services are unaffected by this proposal. The column labeled "Professional Component of a Diagnostic Test" shows the payment impact of the proposed change.
The column labeled "Total" in table 11 below shows the payment impact by specialty of all the changes described above. If we change any of these proposals following our consideration of comments, these figures may change.
BILLING CODE 4120-01-P
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The statutory methodology for updating physician fee schedule conversion factor is specified in section 1848(d)(4) of the Act. Consistent with the requirements of section 1848(d)(1)(E) of the Act, we made an estimate of the physician fee schedule update for CY 2004 available to the Medicare Payment Advisory Commission (MedPAC) and the public in March of this year. Using our point estimate of -4.2 percent, on table 12, we are showing the estimated change in average payments by specialty based on provisions of this proposed rule and the estimated physician fee schedule update. As indicated above, figures will change if we change any of our proposals following consideration of public comment. Further, we believe it is highly likely that our estimate of the 2004 physician fee schedule update will change before we determine the final figure later this year.
BILLING CODE 4120-01-P
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Table 13 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in the practice expense RVUs and the estimated physician fee schedule update on total payment for the procedure. There are separate columns that show the change in the facility rates and the non-facility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The table shows the estimated change in payment rates based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of the provisions following the consideration of public comments, these figures may change. Further, the payment amounts shown for 2003 will change once we determine the final figure for the physician fee schedule update.
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BILLING CODE 4120-01-C
B. Geographic Practice Cost Indices
As discussed in section II.B., we are proposing to revise the malpractice GPCIs based upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data. Data collection is not yet complete therefore we were unable to include the proposed malpractice GPCIs in this proposed rule. The revised malpractice GPCIs in the final rule will be subject to public comment. Any changes in the GPCIs will redistribute payments among geographic areas and will not increase or decrease Medicare expenditures. Because the malpractice RVUs only represent 3.9 percent on total payments on average across all physician fee schedule services, we expect any payment impact to be modest. We will illustrate the change in the GPCIs from use of the new malpractice data in the final rule.
C. Tracking Codes
We are proposing a change in policy that will allow CMS to create national payment policy and determine national payment amounts for CPT tracking codes regardless of whether a national coverage determination for a specific service has been made. This proposal will have no effect on Medicare expenditures but will allow for more flexibility in determining payment rates for new services.
D. Excision of Lesions
We are proposing to make the work RVUs the same for removal of benign and malignant skin lesions that have the same excised diameters that are from similar locations (for example, torso, arms, and legs). This would result in minor redistribution in payment of these services. Any impact on payment from this proposal is included in the specialty and code level impacts shown above.
E. G Codes for Monitoring Heart Rhythms
As discussed earlier, we are creating several HCPCS G codes and establishing national payment for new technology services that allow patients with cardiac arrhythmias to be monitored in a home setting. Currently, Medicare is making payment for these services under CPT code 93799, Unlisted cardiovascular procedure or service. Medicare carriers make local payment determinations for unlisted procedure codes. Our proposal will have no impact on Medicare payment for these services since national payment will replace local carrier payment.
F. G Codes for Managing Dialysis Patients
As we previously discussed in section II.C., we have reviewed our current payment policy for the monthly dialysis capitation payment in response to concerns that have been raised over whether our payment policy is consistent with current medical practice. We are proposing new G codes for these services that would allow us to align the payment incentives to match the frequency of the physician personally evaluating the dialysis patient. We believe that this restructuring of payment will assist in assuring that beneficiaries with ESRD receive the highest quality dialysis care available as the proposed codes provide for reimbursement for physician involvement that is consistent with the needs of the patient in any specific month. Our proposal will not increase or decrease Medicare payments for treatment of dialysis patients. We are decreasing our current payment to the physician for providing fewer than four visits per month. If the physician provides four or more visits per month, we are increasing our current payment.
G. Rebasing and Revising the MEI
As indicated in section III.A. of this proposed rule, we are proposing to rebase and revise the MEI for the CY 2004 physician fee schedule. Substituting the 2000 MEI weights in place of the 1996 weights currently in use will increase the MEI by approximately 0.1 percent for 2004. Based on our current estimates, we expect no impact from this proposal on any subsequent year MEI.
H. Definition of Diabetes for Diabetes Self-Management Training
We are proposing to revise the definition of diabetes for purposes of the Outpatient Diabetes Self-Management Training benefit and use the definition established to determine beneficiary eligibility for Medical Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The streamlining of the beneficiary eligibility requirements for Outpatient Diabetes Self-Management Training will reduce administrative burden for the referring physician or qualified non-physician practitioner and for the accredited Outpatient Diabetes Self-Management Training programs by simplifying documentation requirements and eliminating the need for reconsiderations and appeals to clarify that the requirements have been met. As indicated in the February 28, 2003 Federal Register (68 FR 9572), we incorporated an adjustment to the SGR consistent with our original estimates of expenditures associated with this new benefit. Our experience is that expenditures have been less than originally estimated. We expect that simplifying administrative requirements associated with this new benefit will make it more likely that expenditures for diabetes self-management training will be consistent with original estimates and there will be no increase in Medicare expenditures from making these modifications.
I. Alternatives Considered
This proposed rule contains a range of policies. The preamble identifies those policies when discretion has been exercised and presents rationale for our decisions, including a presentation of nonselected options.
J. Impact on Beneficiaries
Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. We do not believe that there would be any problem with access to care as a result of the proposed changes in this rule. While it has been suggested that the negative update for 2004 may affect beneficiary access to care, we note that the formula to determine this update is set by statute and this regulation cannot, and does not, change it. Furthermore, since beginning our transition to a resource-based practice expense system in CY 1999, we have not found that there are problems with beneficiary access to care.
In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 410
Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Rural areas, X-rays.
42 CFR Part 414
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays.
For the reasons set forth in the preamble, the Centers for Medicare Medicaid Services proposes to amend 42 CFR chapter IV as follows:
PART 410-SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
1. The authority citation for part 410 continues to read as follows:
Authority:
Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
2. Section 410.140 is amended by adding the definition of "Diabetes" to read as follows:
§ 410.140 Definitions.
Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.
3. Section 410.141 is amended by adding paragraph (f) to read as follows:
§ 410.141 Outpatient diabetes self-management training.
(f) Beneficiaries who may be covered. Medicare Part B covers outpatient diabetes self-management training for a beneficiary who has been diagnosed with diabetes.
PART 414-PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
1. The authority citation for part 414 continues to read as follows:
Authority:
Secs. 1102, 1871, and 1881(b)(1) of the Social Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).
2. Section 414.22(b)(6)(iii) is revised to read as follows:
§ 414.22 Relative value units.
(b) * * *
(6) * * *
(iii) CMS will consider for use in determining practice expense RVUs for the physician fee schedule survey data and related materials submitted to CMS by March 1, 2004 to determine CY 2005 practice expense RVUs.
(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare-Supplementary Medical Insurance Program)
Dated: June 20, 2003.
Thomas A Scully,
Administrator, Centers for Medicare Medicaid Services.
Approved: July 22, 2003.Tommy G. Thompson,
Secretary.
Addendum A-Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2003. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.
In previous years, we have listed many services in Addendum B that are not paid under the physician fee schedule. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes and most alpha-numeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) in Addendum B.
Addendum B-2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003
This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.
1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.
2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier -26) for the service. If there is a PC and a TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier -26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.
Modifier -53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.
A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an "A" indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.
B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)
C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.
D = Deleted code. These codes are deleted effective with the beginning of the calendar year.
E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.
F = Deleted/discontinued codes. Code not subject to a 90-day grace period.
G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.
H = Deleted modifier. Either the TC or PC component shown for the code has been deleted, and the deleted component is shown in the data base with the H status indicator. (Code subject to a 90-day grace period.)
I = Not valid for Medicare purposes. Medicare uses another code for the reporting of, and the payment for these services. (Code NOT subject to a 90-day grace period.)
N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.
P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.
- If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).
- If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.
R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.
T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.
X = Exclusion by law. These codes represent an item or service that is not within the definition of "physicians' services" for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)
4. Description of code. This is an abbreviated version of the narrative description of the code.
5. Physician work RVUs. These are the RVUs for the physician work for this service in 2003. Codes that are not used for Medicare payment are identified with a "+."
6. Facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.
7. Non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.
8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2003.
9. Facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.
10. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.
11. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:
MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.
XXX = The global concept does not apply.
YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).
ZZZ = Code related to another service that is always included in the global period of the other service. (Note: Physician work and practice expense are associated with intra service time and in some instances the post service time.)
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1 CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.2 Copyright American Dental Association. All rights reserved.
| 1 CPT/2 HCPCS | MOD | Status | Description | Physician work RVUs | Non- facility PE RVUs | Facility PE RVUs | Malpractice RVUs | Non- facility total | Facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|
| 0001T | C | Endovas repr abdo ao aneurys | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0002T | C | Endovas repr abdo ao aneurys | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0003T | C | Cervicography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0005T | C | Perc cath stent/brain cv art | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0006T | C | Perc cath stent/brain cv art | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0007T | C | Perc cath stent/brain cv art | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0008T | C | Upper gi endoscopy w/suture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0009T | C | Endometrial cryoablation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0010T | C | Tb test, gamma interferon | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0012T | C | Osteochondral knee autograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0013T | C | Osteochondral knee allograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0014T | C | Meniscal transplant, knee | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0016T | C | Thermotx choroid vasc lesion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0017T | C | Photocoagulat macular drusen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0018T | C | Transcranial magnetic stimul | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0019T | I | Extracorp shock wave tx, ms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0020T | C | Extracorp shock wave tx, ft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0021T | C | Fetal oximetry, trnsvag/cerv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0023T | C | Phenotype drug test, hiv 1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0024T | C | Transcath cardiac reduction | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0025T | C | Ultrasonic pachymetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0026T | C | Measure remnant lipoproteins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0027T | C | Endoscopic epidural lysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0028T | C | Dexa body composition study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0029T | C | Magnetic tx for incontinence | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0030T | C | Antiprothrombin antibody | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0031T | C | Speculoscopy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0032T | C | Speculoscopy w/direct sample | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0033T | C | Endovasc taa repr incl subcl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0034T | C | Endovasc taa repr w/o subcl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0035T | C | Insert endovasc prosth, taa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0036T | C | Endovasc prosth, taa, add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0037T | C | Artery transpose/endovas taa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0038T | C | Rad endovasc taa rpr w/cover | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0039T | C | Rad s/i, endovasc taa repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0040T | C | Rad s/i, endovasc taa prosth | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0041T | C | Detect ur infect agnt w/cpas | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0042T | C | Ct perfusion w/contrast, cbf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0043T | C | Co expired gas analysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 0044T | C | Whole body photography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 10021 | A | Fna w/o image | 1.27 | 2.24 | 0.55 | 0.07 | 3.58 | 1.89 | XXX | |
| 10022 | A | Fna w/image | 1.27 | 2.67 | 0.43 | 0.05 | 3.99 | 1.75 | XXX | |
| 10040 | A | Acne surgery | 1.18 | 1.03 | 0.69 | 0.05 | 2.26 | 1.92 | 010 | |
| 10060 | A | Drainage of skin abscess | 1.17 | 0.97 | 0.48 | 0.08 | 2.22 | 1.73 | 010 | |
| 10061 | A | Drainage of skin abscess | 2.40 | 1.85 | 1.54 | 0.17 | 4.42 | 4.11 | 010 | |
| 10080 | A | Drainage of pilonidal cyst | 1.17 | 3.11 | 1.17 | 0.09 | 4.37 | 2.43 | 010 | |
| 10081 | A | Drainage of pilonidal cyst | 2.45 | 4.08 | 1.53 | 0.19 | 6.72 | 4.17 | 010 | |
| 10120 | A | Remove foreign body | 1.22 | 1.50 | 0.42 | 0.10 | 2.82 | 1.74 | 010 | |
| 10121 | A | Remove foreign body | 2.69 | 3.39 | 1.91 | 0.25 | 6.33 | 4.85 | 010 | |
| 10140 | A | Drainage of hematoma/fluid | 1.53 | 1.54 | 0.92 | 0.15 | 3.22 | 2.60 | 010 | |
| 10160 | A | Puncture drainage of lesion | 1.20 | 0.74 | 0.47 | 0.11 | 2.05 | 1.78 | 010 | |
| 10180 | A | Complex drainage, wound | 2.25 | 3.28 | 2.10 | 0.25 | 5.78 | 4.60 | 010 | |
| 11000 | A | Debride infected skin | 0.60 | 0.58 | 0.22 | 0.05 | 1.23 | 0.87 | 000 | |
| 11001 | A | Debride infected skin add-on | 0.30 | 0.23 | 0.11 | 0.02 | 0.55 | 0.43 | ZZZ | |
| 11010 | A | Debride skin, fx | 4.20 | 6.85 | 2.37 | 0.45 | 11.50 | 7.02 | 010 | |
| 11011 | A | Debride skin/muscle, fx | 4.95 | 8.17 | 2.41 | 0.53 | 13.65 | 7.89 | 000 | |
| 11012 | A | Debride skin/muscle/bone, fx | 6.88 | 12.07 | 3.93 | 0.89 | 19.84 | 11.70 | 000 | |
| 11040 | A | Debride skin, partial | 0.50 | 0.54 | 0.21 | 0.05 | 1.09 | 0.76 | 000 | |
| 11041 | A | Debride skin, full | 0.82 | 0.68 | 0.33 | 0.06 | 1.56 | 1.21 | 000 | |
| 11042 | A | Debride skin/tissue | 1.12 | 1.01 | 0.47 | 0.09 | 2.22 | 1.68 | 000 | |
| 11043 | A | Debride tissue/muscle | 2.38 | 3.52 | 2.64 | 0.24 | 6.14 | 5.26 | 010 | |
| 11044 | A | Debride tissue/muscle/bone | 3.06 | 4.64 | 3.81 | 0.34 | 8.04 | 7.21 | 010 | |
| 11055 | R | Trim skin lesion | 0.43 | 0.58 | 0.17 | 0.02 | 1.03 | 0.62 | 000 | |
| 11056 | R | Trim skin lesions, 2 to 4 | 0.61 | 0.66 | 0.24 | 0.03 | 1.30 | 0.88 | 000 | |
| 11057 | R | Trim skin lesions, over 4 | 0.79 | 0.76 | 0.31 | 0.04 | 1.59 | 1.14 | 000 | |
| 11100 | A | Biopsy of skin lesion | 0.81 | 1.29 | 0.37 | 0.04 | 2.14 | 1.22 | 000 | |
| 11101 | A | Biopsy, skin add-on | 0.41 | 0.34 | 0.19 | 0.02 | 0.77 | 0.62 | ZZZ | |
| 11200 | A | Removal of skin tags | 0.77 | 1.08 | 0.78 | 0.04 | 1.89 | 1.59 | 010 | |
| 11201 | A | Remove skin tags add-on | 0.29 | 0.16 | 0.12 | 0.02 | 0.47 | 0.43 | ZZZ | |
| 11300 | A | Shave skin lesion | 0.51 | 1.03 | 0.22 | 0.03 | 1.57 | 0.76 | 000 | |
| 11301 | A | Shave skin lesion | 0.85 | 1.15 | 0.39 | 0.04 | 2.04 | 1.28 | 000 | |
| 11302 | A | Shave skin lesion | 1.05 | 1.34 | 0.47 | 0.05 | 2.44 | 1.57 | 000 | |
| 11303 | A | Shave skin lesion | 1.24 | 1.63 | 0.53 | 0.06 | 2.93 | 1.83 | 000 | |
| 11305 | A | Shave skin lesion | 0.67 | 0.86 | 0.27 | 0.04 | 1.57 | 0.98 | 000 | |
| 11306 | A | Shave skin lesion | 0.99 | 1.13 | 0.43 | 0.05 | 2.17 | 1.47 | 000 | |
| 11307 | A | Shave skin lesion | 1.14 | 1.32 | 0.50 | 0.05 | 2.51 | 1.69 | 000 | |
| 11308 | A | Shave skin lesion | 1.41 | 1.48 | 0.61 | 0.07 | 2.96 | 2.09 | 000 | |
| 11310 | A | Shave skin lesion | 0.73 | 1.16 | 0.33 | 0.04 | 1.93 | 1.10 | 000 | |
| 11311 | A | Shave skin lesion | 1.05 | 1.27 | 0.50 | 0.05 | 2.37 | 1.60 | 000 | |
| 11312 | A | Shave skin lesion | 1.20 | 1.47 | 0.57 | 0.06 | 2.73 | 1.83 | 000 | |
| 11313 | A | Shave skin lesion | 1.62 | 1.86 | 0.73 | 0.09 | 3.57 | 2.44 | 000 | |
| 11400 | A | Exc tr-ext b9+marg 0.5 cm | 0.93 | 2.10 | 0.94 | 0.06 | 3.09 | 1.93 | 010 | |
| 11401 | A | Exc tr-ext b9+marg 0.6-1 cm | 1.44 | 2.22 | 1.12 | 0.09 | 3.75 | 2.65 | 010 | |
| 11402 | A | Exc tr-ext b9+marg 1.1-2 cm | 1.72 | 2.39 | 1.19 | 0.12 | 4.23 | 3.03 | 010 | |
| 11403 | A | Exc tr-ext b9+marg 2.1-3 cm | 1.97 | 2.55 | 1.42 | 0.16 | 4.68 | 3.55 | 010 | |
| 11404 | A | Exc tr-ext b9+marg 3.1-4 cm | 2.21 | 2.86 | 1.48 | 0.18 | 5.25 | 3.87 | 010 | |
| 11406 | A | Exc tr-ext b9+marg 4.0 cm | 3.03 | 3.27 | 1.79 | 0.25 | 6.55 | 5.07 | 010 | |
| 11420 | A | Exc h-f-nk-sp b9+marg 0.5 | 1.01 | 1.83 | 0.96 | 0.08 | 2.92 | 2.05 | 010 | |
| 11421 | A | Exc h-f-nk-sp b9+marg 0.6-1 | 1.55 | 2.19 | 1.19 | 0.11 | 3.85 | 2.85 | 010 | |
| 11422 | A | Exc h-f-nk-sp b9+marg 1.1-2 | 1.84 | 2.42 | 1.45 | 0.14 | 4.40 | 3.43 | 010 | |
| 11423 | A | Exc h-f-nk-sp b9+marg 2.1-3 | 2.28 | 2.78 | 1.59 | 0.17 | 5.23 | 4.04 | 010 | |
| 11424 | A | Exc h-f-nk-sp b9+marg 3.1-4 | 2.72 | 3.01 | 1.75 | 0.21 | 5.94 | 4.68 | 010 | |
| 11426 | A | Exc h-f-nk-sp b9+marg 4 cm | 4.03 | 3.71 | 2.24 | 0.34 | 8.08 | 6.61 | 010 | |
| 11440 | A | Exc face-mm b9+marg 0.5 cm | 1.16 | 2.38 | 1.40 | 0.08 | 3.62 | 2.64 | 010 | |
| 11441 | A | Exc face-mm b9+marg 0.6-1 cm | 1.89 | 2.64 | 1.72 | 0.11 | 4.64 | 3.72 | 010 | |
| 11442 | A | Exc face-mm b9+marg 1.1-2 cm | 2.31 | 2.92 | 1.87 | 0.14 | 5.37 | 4.32 | 010 | |
| 11443 | A | Exc face-mm b9+marg 2.1-3 cm | 2.86 | 3.30 | 2.11 | 0.18 | 6.34 | 5.15 | 010 | |
| 11444 | A | Exc face-mm b9+marg 3.1-4 cm | 3.78 | 3.93 | 2.52 | 0.25 | 7.96 | 6.55 | 010 | |
| 11446 | A | Exc face-mm b9+marg 4 cm | 5.57 | 4.70 | 3.32 | 0.30 | 10.57 | 9.19 | 010 | |
| 11450 | A | Removal, sweat gland lesion | 2.73 | 5.22 | 2.04 | 0.26 | 8.21 | 5.03 | 090 | |
| 11451 | A | Removal, sweat gland lesion | 3.95 | 6.87 | 2.57 | 0.39 | 11.21 | 6.91 | 090 | |
| 11462 | A | Removal, sweat gland lesion | 2.51 | 5.31 | 2.02 | 0.23 | 8.05 | 4.76 | 090 | |
| 11463 | A | Removal, sweat gland lesion | 3.95 | 7.12 | 2.71 | 0.40 | 11.47 | 7.06 | 090 | |
| 11470 | A | Removal, sweat gland lesion | 3.25 | 5.25 | 2.28 | 0.30 | 8.80 | 5.83 | 090 | |
| 11471 | A | Removal, sweat gland lesion | 4.41 | 7.03 | 2.80 | 0.40 | 11.84 | 7.61 | 090 | |
| 11600 | A | Exc tr-ext mlg+marg 0.5 cm | 0.93 | 2.58 | 0.84 | 0.09 | 3.60 | 1.86 | 010 | |
| 11601 | A | Exc tr-ext mlg+marg 0.6-1 cm | 1.44 | 2.63 | 1.10 | 0.12 | 4.19 | 2.66 | 010 | |
| 11602 | A | Exc tr-ext mlg+marg 1.1-2 cm | 1.72 | 2.82 | 1.20 | 0.13 | 4.67 | 3.05 | 010 | |
| 11603 | A | Exc tr-ext mlg+marg 2.1-3 cm | 1.97 | 3.08 | 1.27 | 0.16 | 5.21 | 3.40 | 010 | |
| 11604 | A | Exc tr-ext mlg+marg 3.1-4 cm | 2.21 | 3.41 | 1.35 | 0.18 | 5.80 | 3.74 | 010 | |
| 11606 | A | Exc tr-ext mlg+marg 4 cm | 3.03 | 4.02 | 1.62 | 0.28 | 7.33 | 4.93 | 010 | |
| 11620 | A | Exc h-f-nk-sp mlg+marg 0.5 | 1.01 | 2.62 | 0.90 | 0.09 | 3.72 | 2.00 | 010 | |
| 11621 | A | Exc h-f-nk-sp mlg+marg 0.6-1 | 1.55 | 2.70 | 1.18 | 0.12 | 4.37 | 2.85 | 010 | |
| 11622 | A | Exc h-f-nk-sp mlg+marg 1.1-2 | 1.84 | 2.95 | 1.31 | 0.15 | 4.94 | 3.30 | 010 | |
| 11623 | A | Exc h-f-nk-sp mlg+marg 2.1-3 | 2.28 | 3.30 | 1.48 | 0.20 | 5.78 | 3.96 | 010 | |
| 11624 | A | Exc h-f-nk-sp mlg+marg 3.1-4 | 2.72 | 3.72 | 1.67 | 0.25 | 6.69 | 4.64 | 010 | |
| 11626 | A | Exc h-f-nk-sp mlg+mar 4 cm | 4.03 | 4.67 | 2.33 | 0.35 | 9.05 | 6.71 | 010 | |
| 11640 | A | Exc face-mm malig+marg 0.5 | 1.16 | 2.68 | 1.06 | 0.10 | 3.94 | 2.32 | 010 | |
| 11641 | A | Exc face-mm malig+marg 0.6-1 | 1.89 | 3.01 | 1.44 | 0.15 | 5.05 | 3.48 | 010 | |
| 11642 | A | Exc face-mm malig+marg 1.1-2 | 2.31 | 3.39 | 1.63 | 0.18 | 5.88 | 4.12 | 010 | |
| 11643 | A | Exc face-mm malig+marg 2.1-3 | 2.86 | 3.82 | 1.89 | 0.24 | 6.92 | 4.99 | 010 | |
| 11644 | A | Exc face-mm malig+marg 3.1-4 | 3.78 | 4.72 | 2.40 | 0.33 | 8.83 | 6.51 | 010 | |
| 11646 | A | Exc face-mm mlg+marg 4 cm | 5.57 | 5.76 | 3.38 | 0.46 | 11.79 | 9.41 | 010 | |
| 11719 | R | Trim nail(s) | 0.17 | 0.25 | 0.07 | 0.01 | 0.43 | 0.25 | 000 | |
| 11720 | A | Debride nail, 1-5 | 0.32 | 0.34 | 0.13 | 0.02 | 0.68 | 0.47 | 000 | |
| 11721 | A | Debride nail, 6 or more | 0.54 | 0.44 | 0.21 | 0.04 | 1.02 | 0.79 | 000 | |
| 11730 | A | Removal of nail plate | 1.13 | 1.05 | 0.44 | 0.09 | 2.27 | 1.66 | 000 | |
| 11732 | A | Remove nail plate, add-on | 0.57 | 0.45 | 0.23 | 0.05 | 1.07 | 0.85 | ZZZ | |
| 11740 | A | Drain blood from under nail | 0.37 | 0.87 | 0.15 | 0.03 | 1.27 | 0.55 | 000 | |
| 11750 | A | Removal of nail bed | 1.86 | 2.18 | 1.76 | 0.16 | 4.20 | 3.78 | 010 | |
| 11752 | A | Remove nail bed/finger tip | 2.67 | 2.50 | 1.92 | 0.33 | 5.50 | 4.92 | 010 | |
| 11755 | A | Biopsy, nail unit | 1.31 | 1.12 | 0.56 | 0.06 | 2.49 | 1.93 | 000 | |
| 11760 | A | Repair of nail bed | 1.58 | 1.88 | 1.24 | 0.17 | 3.63 | 2.99 | 010 | |
| 11762 | A | Reconstruction of nail bed | 2.89 | 2.32 | 1.86 | 0.32 | 5.53 | 5.07 | 010 | |
| 11765 | A | Excision of nail fold, toe | 0.69 | 1.18 | 0.53 | 0.05 | 1.92 | 1.27 | 010 | |
| 11770 | A | Removal of pilonidal lesion | 2.61 | 3.50 | 1.53 | 0.24 | 6.35 | 4.38 | 010 | |
| 11771 | A | Removal of pilonidal lesion | 5.74 | 5.80 | 3.35 | 0.56 | 12.10 | 9.65 | 090 | |
| 11772 | A | Removal of pilonidal lesion | 6.98 | 7.34 | 3.91 | 0.68 | 15.00 | 11.57 | 090 | |
| 11900 | A | Injection into skin lesions | 0.52 | 0.67 | 0.22 | 0.02 | 1.21 | 0.76 | 000 | |
| 11901 | A | Added skin lesions injection | 0.80 | 0.68 | 0.36 | 0.03 | 1.51 | 1.19 | 000 | |
| 11920 | R | Correct skin color defects | 1.61 | 2.03 | 0.79 | 0.17 | 3.81 | 2.57 | 000 | |
| 11921 | R | Correct skin color defects | 1.93 | 2.41 | 1.00 | 0.21 | 4.55 | 3.14 | 000 | |
| 11922 | R | Correct skin color defects | 0.49 | 0.38 | 0.25 | 0.05 | 0.92 | 0.79 | ZZZ | |
| 11950 | R | Therapy for contour defects | 0.84 | 1.18 | 0.42 | 0.06 | 2.08 | 1.32 | 000 | |
| 11951 | R | Therapy for contour defects | 1.19 | 1.53 | 0.52 | 0.10 | 2.82 | 1.81 | 000 | |
| 11952 | R | Therapy for contour defects | 1.69 | 1.90 | 0.70 | 0.17 | 3.76 | 2.56 | 000 | |
| 11954 | R | Therapy for contour defects | 1.85 | 2.48 | 0.92 | 0.19 | 4.52 | 2.96 | 000 | |
| 11960 | A | Insert tissue expander(s) | 9.08 | N/A | 10.74 | 0.88 | N/A | 20.70 | 090 | |
| 11970 | A | Replace tissue expander | 7.06 | N/A | 6.22 | 0.77 | N/A | 14.05 | 090 | |
| 11971 | A | Remove tissue expander(s) | 2.13 | 7.24 | 4.84 | 0.21 | 9.58 | 7.18 | 090 | |
| 11975 | N | Insert contraceptive cap | 1.48 | 1.50 | 0.57 | 0.14 | 3.12 | 2.19 | XXX | |
| 11976 | R | Removal of contraceptive cap | 1.78 | 1.74 | 0.70 | 0.17 | 3.69 | 2.65 | 000 | |
| 11977 | N | Removal/reinsert contra cap | 3.30 | 2.42 | 1.28 | 0.31 | 6.03 | 4.89 | XXX | |
| 11980 | A | Implant hormone pellet(s) | 1.48 | 1.12 | 0.56 | 0.10 | 2.70 | 2.14 | 000 | |
| 11981 | A | Insert drug implant device | 1.48 | 1.77 | 0.70 | 0.14 | 3.39 | 2.32 | XXX | |
| 11982 | A | Remove drug implant device | 1.78 | 2.01 | 0.86 | 0.17 | 3.96 | 2.81 | XXX | |
| 11983 | A | Remove/insert drug implant | 3.30 | 2.37 | 1.50 | 0.31 | 5.98 | 5.11 | XXX | |
| 12001 | A | Repair superficial wound(s) | 1.70 | 2.07 | 0.50 | 0.13 | 3.90 | 2.33 | 010 | |
| 12002 | A | Repair superficial wound(s) | 1.86 | 2.14 | 0.95 | 0.15 | 4.15 | 2.96 | 010 | |
| 12004 | A | Repair superficial wound(s) | 2.24 | 2.43 | 1.06 | 0.17 | 4.84 | 3.47 | 010 | |
| 12005 | A | Repair superficial wound(s) | 2.86 | 2.94 | 1.25 | 0.23 | 6.03 | 4.34 | 010 | |
| 12006 | A | Repair superficial wound(s) | 3.67 | 3.53 | 1.57 | 0.31 | 7.51 | 5.55 | 010 | |
| 12007 | A | Repair superficial wound(s) | 4.12 | 3.97 | 1.87 | 0.37 | 8.46 | 6.36 | 010 | |
| 12011 | A | Repair superficial wound(s) | 1.76 | 2.24 | 0.51 | 0.14 | 4.14 | 2.41 | 010 | |
| 12013 | A | Repair superficial wound(s) | 1.99 | 2.39 | 0.99 | 0.16 | 4.54 | 3.14 | 010 | |
| 12014 | A | Repair superficial wound(s) | 2.46 | 2.69 | 1.11 | 0.18 | 5.33 | 3.75 | 010 | |
| 12015 | A | Repair superficial wound(s) | 3.19 | 3.28 | 1.31 | 0.24 | 6.71 | 4.74 | 010 | |
| 12016 | A | Repair superficial wound(s) | 3.93 | 3.70 | 1.59 | 0.32 | 7.95 | 5.84 | 010 | |
| 12017 | A | Repair superficial wound(s) | 4.71 | N/A | 1.95 | 0.39 | N/A | 7.05 | 010 | |
| 12018 | A | Repair superficial wound(s) | 5.53 | N/A | 2.32 | 0.46 | N/A | 8.31 | 010 | |
| 12020 | A | Closure of split wound | 2.62 | 2.74 | 1.77 | 0.24 | 5.60 | 4.63 | 010 | |
| 12021 | A | Closure of split wound | 1.84 | 1.81 | 1.43 | 0.19 | 3.84 | 3.46 | 010 | |
| 12031 | A | Layer closure of wound(s) | 2.15 | 2.36 | 0.83 | 0.15 | 4.66 | 3.13 | 010 | |
| 12032 | A | Layer closure of wound(s) | 2.47 | 3.88 | 1.87 | 0.15 | 6.50 | 4.49 | 010 | |
| 12034 | A | Layer closure of wound(s) | 2.92 | 3.24 | 1.44 | 0.21 | 6.37 | 4.57 | 010 | |
| 12035 | A | Layer closure of wound(s) | 3.43 | 5.27 | 2.22 | 0.30 | 9.00 | 5.95 | 010 | |
| 12036 | A | Layer closure of wound(s) | 4.05 | 5.53 | 2.42 | 0.41 | 9.99 | 6.88 | 010 | |
| 12037 | A | Layer closure of wound(s) | 4.67 | 6.62 | 2.83 | 0.49 | 11.78 | 7.99 | 010 | |
| 12041 | A | Layer closure of wound(s) | 2.37 | 2.53 | 0.88 | 0.17 | 5.07 | 3.42 | 010 | |
| 12042 | A | Layer closure of wound(s) | 2.74 | 3.28 | 1.40 | 0.17 | 6.19 | 4.31 | 010 | |
| 12044 | A | Layer closure of wound(s) | 3.14 | 3.28 | 1.59 | 0.24 | 6.66 | 4.97 | 010 | |
| 12045 | A | Layer closure of wound(s) | 3.64 | 3.79 | 2.21 | 0.34 | 7.77 | 6.19 | 010 | |
| 12046 | A | Layer closure of wound(s) | 4.25 | 6.61 | 2.82 | 0.40 | 11.26 | 7.47 | 010 | |
| 12047 | A | Layer closure of wound(s) | 4.65 | 6.50 | 3.15 | 0.41 | 11.56 | 8.21 | 010 | |
| 12051 | A | Layer closure of wound(s) | 2.47 | 3.30 | 1.39 | 0.16 | 5.93 | 4.02 | 010 | |
| 12052 | A | Layer closure of wound(s) | 2.77 | 3.24 | 1.37 | 0.17 | 6.18 | 4.31 | 010 | |
| 12053 | A | Layer closure of wound(s) | 3.12 | 3.29 | 1.53 | 0.20 | 6.61 | 4.85 | 010 | |
| 12054 | A | Layer closure of wound(s) | 3.46 | 3.63 | 1.63 | 0.25 | 7.34 | 5.34 | 010 | |
| 12055 | A | Layer closure of wound(s) | 4.43 | 4.63 | 2.18 | 0.35 | 9.41 | 6.96 | 010 | |
| 12056 | A | Layer closure of wound(s) | 5.24 | 6.92 | 3.13 | 0.43 | 12.59 | 8.80 | 010 | |
| 12057 | A | Layer closure of wound(s) | 5.96 | 6.27 | 3.84 | 0.50 | 12.73 | 10.30 | 010 | |
| 13100 | A | Repair of wound or lesion | 3.12 | 3.59 | 1.81 | 0.21 | 6.92 | 5.14 | 010 | |
| 13101 | A | Repair of wound or lesion | 3.92 | 3.83 | 2.26 | 0.22 | 7.97 | 6.40 | 010 | |
| 13102 | A | Repair wound/lesion add-on | 1.24 | 0.75 | 0.58 | 0.10 | 2.09 | 1.92 | ZZZ | |
| 13120 | A | Repair of wound or lesion | 3.30 | 3.69 | 1.85 | 0.23 | 7.22 | 5.38 | 010 | |
| 13121 | A | Repair of wound or lesion | 4.33 | 4.05 | 2.36 | 0.25 | 8.63 | 6.94 | 010 | |
| 13122 | A | Repair wound/lesion add-on | 1.44 | 0.88 | 0.64 | 0.12 | 2.44 | 2.20 | ZZZ | |
| 13131 | A | Repair of wound or lesion | 3.79 | 3.96 | 2.18 | 0.25 | 8.00 | 6.22 | 010 | |
| 13132 | A | Repair of wound or lesion | 5.95 | 4.78 | 3.23 | 0.32 | 11.05 | 9.50 | 010 | |
| 13133 | A | Repair wound/lesion add-on | 2.19 | 1.22 | 1.05 | 0.17 | 3.58 | 3.41 | ZZZ | |
| 13150 | A | Repair of wound or lesion | 3.81 | 5.62 | 2.65 | 0.29 | 9.72 | 6.75 | 010 | |
| 13151 | A | Repair of wound or lesion | 4.45 | 5.52 | 3.10 | 0.28 | 10.25 | 7.83 | 010 | |
| 13152 | A | Repair of wound or lesion | 6.33 | 6.21 | 4.01 | 0.38 | 12.92 | 10.72 | 010 | |
| 13153 | A | Repair wound/lesion add-on | 2.38 | 1.37 | 1.17 | 0.18 | 3.93 | 3.73 | ZZZ | |
| 13160 | A | Late closure of wound | 10.48 | N/A | 7.24 | 1.19 | N/A | 18.91 | 090 | |
| 14000 | A | Skin tissue rearrangement | 5.89 | 8.69 | 5.21 | 0.46 | 15.04 | 11.56 | 090 | |
| 14001 | A | Skin tissue rearrangement | 8.47 | 10.16 | 6.70 | 0.65 | 19.28 | 15.82 | 090 | |
| 14020 | A | Skin tissue rearrangement | 6.59 | 9.35 | 6.10 | 0.50 | 16.44 | 13.19 | 090 | |
| 14021 | A | Skin tissue rearrangement | 10.06 | 10.67 | 7.88 | 0.69 | 21.42 | 18.63 | 090 | |
| 14040 | A | Skin tissue rearrangement | 7.87 | 8.44 | 7.01 | 0.55 | 16.86 | 15.43 | 090 | |
| 14041 | A | Skin tissue rearrangement | 11.49 | 10.87 | 8.87 | 0.71 | 23.07 | 21.07 | 090 | |
| 14060 | A | Skin tissue rearrangement | 8.50 | 9.27 | 7.82 | 0.59 | 18.36 | 16.91 | 090 | |
| 14061 | A | Skin tissue rearrangement | 12.29 | 11.90 | 9.69 | 0.75 | 24.94 | 22.73 | 090 | |
| 14300 | A | Skin tissue rearrangement | 11.76 | 11.41 | 9.32 | 0.88 | 24.05 | 21.96 | 090 | |
| 14350 | A | Skin tissue rearrangement | 9.61 | N/A | 7.26 | 1.09 | N/A | 17.96 | 090 | |
| 15000 | A | Skin graft | 4.00 | 3.89 | 2.24 | 0.37 | 8.26 | 6.61 | 000 | |
| 15001 | A | Skin graft add-on | 1.00 | 1.39 | 0.42 | 0.11 | 2.50 | 1.53 | ZZZ | |
| 15050 | A | Skin pinch graft | 4.30 | 6.08 | 4.81 | 0.46 | 10.84 | 9.57 | 090 | |
| 15100 | A | Skin split graft | 9.05 | 12.83 | 7.89 | 0.94 | 22.82 | 17.88 | 090 | |
| 15101 | A | Skin split graft add-on | 1.72 | 3.89 | 1.69 | 0.18 | 5.79 | 3.59 | ZZZ | |
| 15120 | A | Skin split graft | 9.83 | 11.04 | 7.95 | 0.90 | 21.77 | 18.68 | 090 | |
| 15121 | A | Skin split graft add-on | 2.67 | 4.66 | 1.91 | 0.27 | 7.60 | 4.85 | ZZZ | |
| 15200 | A | Skin full graft | 8.03 | 10.93 | 6.11 | 0.73 | 19.69 | 14.87 | 090 | |
| 15201 | A | Skin full graft add-on | 1.32 | 1.06 | 0.63 | 0.14 | 2.52 | 2.09 | ZZZ | |
| 15220 | A | Skin full graft | 7.87 | 10.82 | 6.55 | 0.68 | 19.37 | 15.10 | 090 | |
| 15221 | A | Skin full graft add-on | 1.19 | 0.92 | 0.58 | 0.12 | 2.23 | 1.89 | ZZZ | |
| 15240 | A | Skin full graft | 9.04 | 10.38 | 7.80 | 0.80 | 20.22 | 17.64 | 090 | |
| 15241 | A | Skin full graft add-on | 1.86 | 1.48 | 0.93 | 0.17 | 3.51 | 2.96 | ZZZ | |
| 15260 | A | Skin full graft | 10.06 | 10.10 | 8.80 | 0.63 | 20.79 | 19.49 | 090 | |
| 15261 | A | Skin full graft add-on | 2.23 | 2.78 | 1.45 | 0.17 | 5.18 | 3.85 | ZZZ | |
| 15342 | A | Cultured skin graft, 25 cm | 1.00 | 1.84 | 0.56 | 0.09 | 2.93 | 1.65 | 010 | |
| 15343 | A | Culture skn graft addl 25 cm | 0.25 | 0.27 | 0.10 | 0.02 | 0.54 | 0.37 | ZZZ | |
| 15350 | A | Skin homograft | 4.00 | 8.37 | 4.90 | 0.42 | 12.79 | 9.32 | 090 | |
| 15351 | A | Skin homograft add-on | 1.00 | 0.95 | 0.40 | 0.11 | 2.06 | 1.51 | ZZZ | |
| 15400 | A | Skin heterograft | 4.00 | 4.28 | 4.21 | 0.40 | 8.68 | 8.61 | 090 | |
| 15401 | A | Skin heterograft add-on | 1.00 | 1.23 | 0.45 | 0.11 | 2.34 | 1.56 | ZZZ | |
| 15570 | A | Form skin pedicle flap | 9.21 | 9.27 | 6.55 | 0.96 | 19.44 | 16.72 | 090 | |
| 15572 | A | Form skin pedicle flap | 9.27 | 8.58 | 6.27 | 0.93 | 18.78 | 16.47 | 090 | |
| 15574 | A | Form skin pedicle flap | 9.88 | 8.98 | 7.08 | 0.92 | 19.78 | 17.88 | 090 | |
| 15576 | A | Form skin pedicle flap | 8.69 | 9.61 | 6.55 | 0.72 | 19.02 | 15.96 | 090 | |
| 15600 | A | Skin graft | 1.91 | 7.24 | 2.75 | 0.19 | 9.34 | 4.85 | 090 | |
| 15610 | A | Skin graft | 2.42 | 3.83 | 3.09 | 0.25 | 6.50 | 5.76 | 090 | |
| 15620 | A | Skin graft | 2.94 | 7.64 | 3.75 | 0.28 | 10.86 | 6.97 | 090 | |
| 15630 | A | Skin graft | 3.27 | 7.00 | 4.02 | 0.28 | 10.55 | 7.57 | 090 | |
| 15650 | A | Transfer skin pedicle flap | 3.97 | 6.86 | 4.10 | 0.36 | 11.19 | 8.43 | 090 | |
| 15732 | A | Muscle-skin graft, head/neck | 17.84 | 18.42 | 12.48 | 1.50 | 37.76 | 31.82 | 090 | |
| 15734 | A | Muscle-skin graft, trunk | 17.79 | 18.28 | 12.55 | 1.91 | 37.98 | 32.25 | 090 | |
| 15736 | A | Muscle-skin graft, arm | 16.27 | 18.50 | 11.43 | 1.78 | 36.55 | 29.48 | 090 | |
| 15738 | A | Muscle-skin graft, leg | 17.92 | 18.28 | 11.95 | 1.95 | 38.15 | 31.82 | 090 | |
| 15740 | A | Island pedicle flap graft | 10.25 | 9.97 | 7.91 | 0.62 | 20.84 | 18.78 | 090 | |
| 15750 | A | Neurovascular pedicle graft | 11.41 | N/A | 9.16 | 1.16 | N/A | 21.73 | 090 | |
| 15756 | A | Free myo/skin flap microvasc | 35.23 | N/A | 21.18 | 3.11 | N/A | 59.52 | 090 | |
| 15757 | A | Free skin flap, microvasc | 35.23 | N/A | 22.24 | 3.37 | N/A | 60.84 | 090 | |
| 15758 | A | Free fascial flap, microvasc | 35.10 | N/A | 22.23 | 3.52 | N/A | 60.85 | 090 | |
| 15760 | A | Composite skin graft | 8.74 | 9.95 | 7.16 | 0.72 | 19.41 | 16.62 | 090 | |
| 15770 | A | Derma-fat-fascia graft | 7.52 | N/A | 6.84 | 0.78 | N/A | 15.14 | 090 | |
| 15775 | R | Hair transplant punch grafts | 3.96 | 2.83 | 1.35 | 0.43 | 7.22 | 5.74 | 000 | |
| 15776 | R | Hair transplant punch grafts | 5.54 | 5.49 | 2.87 | 0.60 | 11.63 | 9.01 | 000 | |
| 15780 | A | Abrasion treatment of skin | 7.29 | 7.23 | 7.23 | 0.41 | 14.93 | 14.93 | 090 | |
| 15781 | A | Abrasion treatment of skin | 4.85 | 5.46 | 5.46 | 0.27 | 10.58 | 10.58 | 090 | |
| 15782 | A | Abrasion treatment of skin | 4.32 | 4.44 | 4.44 | 0.21 | 8.97 | 8.97 | 090 | |
| 15783 | A | Abrasion treatment of skin | 4.29 | 5.04 | 4.26 | 0.26 | 9.59 | 8.81 | 090 | |
| 15786 | A | Abrasion, lesion, single | 2.03 | 1.66 | 1.30 | 0.11 | 3.80 | 3.44 | 010 | |
| 15787 | A | Abrasion, lesions, add-on | 0.33 | 0.32 | 0.16 | 0.02 | 0.67 | 0.51 | ZZZ | |
| 15788 | R | Chemical peel, face, epiderm | 2.09 | 3.39 | 2.24 | 0.11 | 5.59 | 4.44 | 090 | |
| 15789 | R | Chemical peel, face, dermal | 4.92 | 6.54 | 5.06 | 0.27 | 11.73 | 10.25 | 090 | |
| 15792 | R | Chemical peel, nonfacial | 1.86 | 3.22 | 2.82 | 0.10 | 5.18 | 4.78 | 090 | |
| 15793 | A | Chemical peel, nonfacial | 3.74 | N/A | 4.25 | 0.17 | N/A | 8.16 | 090 | |
| 15810 | A | Salabrasion | 4.74 | 3.99 | 3.99 | 0.42 | 9.15 | 9.15 | 090 | |
| 15811 | A | Salabrasion | 5.39 | 6.43 | 5.62 | 0.52 | 12.34 | 11.53 | 090 | |
| 15819 | A | Plastic surgery, neck | 9.38 | N/A | 7.36 | 0.77 | N/A | 17.51 | 090 | |
| 15820 | A | Revision of lower eyelid | 5.15 | 7.01 | 5.48 | 0.30 | 12.46 | 10.93 | 090 | |
| 15821 | A | Revision of lower eyelid | 5.72 | 7.40 | 5.64 | 0.31 | 13.43 | 11.67 | 090 | |
| 15822 | A | Revision of upper eyelid | 4.45 | 5.93 | 4.45 | 0.22 | 10.60 | 9.12 | 090 | |
| 15823 | A | Revision of upper eyelid | 7.05 | 7.93 | 6.35 | 0.32 | 15.30 | 13.72 | 090 | |
| 15824 | R | Removal of forehead wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15825 | R | Removal of neck wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15826 | R | Removal of brow wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15828 | R | Removal of face wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15829 | R | Removal of skin wrinkles | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15831 | A | Excise excessive skin tissue | 12.40 | N/A | 8.36 | 1.30 | N/A | 22.06 | 090 | |
| 15832 | A | Excise excessive skin tissue | 11.59 | N/A | 8.52 | 1.21 | N/A | 21.32 | 090 | |
| 15833 | A | Excise excessive skin tissue | 10.64 | N/A | 8.22 | 1.17 | N/A | 20.03 | 090 | |
| 15834 | A | Excise excessive skin tissue | 10.85 | N/A | 7.80 | 1.18 | N/A | 19.83 | 090 | |
| 15835 | A | Excise excessive skin tissue | 11.67 | 11.70 | 7.76 | 1.13 | 24.50 | 20.56 | 090 | |
| 15836 | A | Excise excessive skin tissue | 9.34 | N/A | 6.92 | 0.95 | N/A | 17.21 | 090 | |
| 15837 | A | Excise excessive skin tissue | 8.43 | 8.10 | 7.12 | 0.78 | 17.31 | 16.33 | 090 | |
| 15838 | A | Excise excessive skin tissue | 7.13 | N/A | 6.23 | 0.58 | N/A | 13.94 | 090 | |
| 15839 | A | Excise excessive skin tissue | 9.38 | 8.02 | 6.31 | 0.88 | 18.28 | 16.57 | 090 | |
| 15840 | A | Graft for face nerve palsy | 13.26 | N/A | 10.32 | 1.15 | N/A | 24.73 | 090 | |
| 15841 | A | Graft for face nerve palsy | 23.26 | N/A | 15.38 | 2.65 | N/A | 41.29 | 090 | |
| 15842 | A | Flap for face nerve palsy | 37.96 | N/A | 23.49 | 3.99 | N/A | 65.44 | 090 | |
| 15845 | A | Skin and muscle repair, face | 12.57 | N/A | 9.34 | 0.80 | N/A | 22.71 | 090 | |
| 15850 | B | Removal of sutures | 0.78 | 1.62 | 0.30 | 0.04 | 2.44 | 1.12 | XXX | |
| 15851 | A | Removal of sutures | 0.86 | 1.78 | 0.34 | 0.05 | 2.69 | 1.25 | 000 | |
| 15852 | A | Dressing change,not for burn | 0.86 | 1.90 | 0.36 | 0.07 | 2.83 | 1.29 | 000 | |
| 15860 | A | Test for blood flow in graft | 1.95 | 1.30 | 0.80 | 0.13 | 3.38 | 2.88 | 000 | |
| 15876 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15877 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15878 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15879 | R | Suction assisted lipectomy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 15920 | A | Removal of tail bone ulcer | 7.95 | N/A | 5.68 | 0.83 | N/A | 14.46 | 090 | |
| 15922 | A | Removal of tail bone ulcer | 9.90 | N/A | 7.50 | 1.06 | N/A | 18.46 | 090 | |
| 15931 | A | Remove sacrum pressure sore | 9.24 | N/A | 5.83 | 0.95 | N/A | 16.02 | 090 | |
| 15933 | A | Remove sacrum pressure sore | 10.85 | N/A | 8.07 | 1.14 | N/A | 20.06 | 090 | |
| 15934 | A | Remove sacrum pressure sore | 12.69 | N/A | 8.35 | 1.35 | N/A | 22.39 | 090 | |
| 15935 | A | Remove sacrum pressure sore | 14.57 | N/A | 10.51 | 1.56 | N/A | 26.64 | 090 | |
| 15936 | A | Remove sacrum pressure sore | 12.38 | N/A | 8.66 | 1.32 | N/A | 22.36 | 090 | |
| 15937 | A | Remove sacrum pressure sore | 14.21 | N/A | 10.23 | 1.51 | N/A | 25.95 | 090 | |
| 15940 | A | Remove hip pressure sore | 9.34 | N/A | 6.33 | 0.98 | N/A | 16.65 | 090 | |
| 15941 | A | Remove hip pressure sore | 11.43 | N/A | 9.75 | 1.23 | N/A | 22.41 | 090 | |
| 15944 | A | Remove hip pressure sore | 11.46 | N/A | 8.87 | 1.21 | N/A | 21.54 | 090 | |
| 15945 | A | Remove hip pressure sore | 12.69 | N/A | 9.92 | 1.38 | N/A | 23.99 | 090 | |
| 15946 | A | Remove hip pressure sore | 21.57 | N/A | 14.86 | 2.32 | N/A | 38.75 | 090 | |
| 15950 | A | Remove thigh pressure sore | 7.54 | N/A | 5.54 | 0.80 | N/A | 13.88 | 090 | |
| 15951 | A | Remove thigh pressure sore | 10.72 | N/A | 8.08 | 1.14 | N/A | 19.94 | 090 | |
| 15952 | A | Remove thigh pressure sore | 11.39 | N/A | 7.81 | 1.19 | N/A | 20.39 | 090 | |
| 15953 | A | Remove thigh pressure sore | 12.63 | N/A | 9.22 | 1.38 | N/A | 23.23 | 090 | |
| 15956 | A | Remove thigh pressure sore | 15.52 | N/A | 10.96 | 1.64 | N/A | 28.12 | 090 | |
| 15958 | A | Remove thigh pressure sore | 15.48 | N/A | 11.24 | 1.66 | N/A | 28.38 | 090 | |
| 15999 | C | Removal of pressure sore | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 16000 | A | Initial treatment of burn(s) | 0.89 | 0.89 | 0.27 | 0.06 | 1.84 | 1.22 | 000 | |
| 16010 | A | Treatment of burn(s) | 0.87 | 0.68 | 0.65 | 0.07 | 1.62 | 1.59 | 000 | |
| 16015 | A | Treatment of burn(s) | 2.35 | N/A | 1.18 | 0.22 | N/A | 3.75 | 000 | |
| 16020 | A | Treatment of burn(s) | 0.80 | 1.31 | 0.62 | 0.06 | 2.17 | 1.48 | 000 | |
| 16025 | A | Treatment of burn(s) | 1.85 | 1.82 | 0.99 | 0.16 | 3.83 | 3.00 | 000 | |
| 16030 | A | Treatment of burn(s) | 2.08 | 2.24 | 1.14 | 0.18 | 4.50 | 3.40 | 000 | |
| 16035 | A | Incision of burn scab, initi | 3.75 | N/A | 1.49 | 0.36 | N/A | 5.60 | 090 | |
| 16036 | A | Incise burn scab, addl incis | 1.50 | N/A | 0.61 | 0.11 | N/A | 2.22 | ZZZ | |
| 17000 | A | Destroy benign/premlg lesion | 0.60 | 1.00 | 0.32 | 0.03 | 1.63 | 0.95 | 010 | |
| 17003 | A | Destroy lesions, 2-14 | 0.15 | 0.11 | 0.07 | 0.01 | 0.27 | 0.23 | ZZZ | |
| 17004 | A | Destroy lesions, 15 or more | 2.79 | 2.37 | 1.32 | 0.12 | 5.28 | 4.23 | 010 | |
| 17106 | A | Destruction of skin lesions | 4.59 | 5.01 | 3.29 | 0.28 | 9.88 | 8.16 | 090 | |
| 17107 | A | Destruction of skin lesions | 9.16 | 7.69 | 5.45 | 0.53 | 17.38 | 15.14 | 090 | |
| 17108 | A | Destruction of skin lesions | 13.20 | 9.82 | 7.72 | 0.89 | 23.91 | 21.81 | 090 | |
| 17110 | A | Destruct lesion, 1-14 | 0.65 | 1.68 | 0.51 | 0.04 | 2.37 | 1.20 | 010 | |
| 17111 | A | Destruct lesion, 15 or more | 0.92 | 1.73 | 0.61 | 0.04 | 2.69 | 1.57 | 010 | |
| 17250 | A | Chemical cautery, tissue | 0.50 | 1.26 | 0.35 | 0.04 | 1.80 | 0.89 | 000 | |
| 17260 | A | Destruction of skin lesions | 0.91 | 1.32 | 0.46 | 0.04 | 2.27 | 1.41 | 010 | |
| 17261 | A | Destruction of skin lesions | 1.17 | 1.66 | 0.60 | 0.05 | 2.88 | 1.82 | 010 | |
| 17262 | A | Destruction of skin lesions | 1.58 | 1.94 | 0.80 | 0.07 | 3.59 | 2.45 | 010 | |
| 17263 | A | Destruction of skin lesions | 1.79 | 2.12 | 0.87 | 0.08 | 3.99 | 2.74 | 010 | |
| 17264 | A | Destruction of skin lesions | 1.94 | 2.28 | 0.90 | 0.08 | 4.30 | 2.92 | 010 | |
| 17266 | A | Destruction of skin lesions | 2.34 | 2.58 | 1.01 | 0.11 | 5.03 | 3.46 | 010 | |
| 17270 | A | Destruction of skin lesions | 1.32 | 1.75 | 0.65 | 0.06 | 3.13 | 2.03 | 010 | |
| 17271 | A | Destruction of skin lesions | 1.49 | 1.83 | 0.76 | 0.06 | 3.38 | 2.31 | 010 | |
| 17272 | A | Destruction of skin lesions | 1.77 | 2.05 | 0.90 | 0.07 | 3.89 | 2.74 | 010 | |
| 17273 | A | Destruction of skin lesions | 2.05 | 2.26 | 1.01 | 0.09 | 4.40 | 3.15 | 010 | |
| 17274 | A | Destruction of skin lesions | 2.59 | 2.63 | 1.23 | 0.11 | 5.33 | 3.93 | 010 | |
| 17276 | A | Destruction of skin lesions | 3.20 | 3.03 | 1.47 | 0.15 | 6.38 | 4.82 | 010 | |
| 17280 | A | Destruction of skin lesions | 1.17 | 1.66 | 0.58 | 0.05 | 2.88 | 1.80 | 010 | |
| 17281 | A | Destruction of skin lesions | 1.72 | 1.96 | 0.87 | 0.07 | 3.75 | 2.66 | 010 | |
| 17282 | A | Destruction of skin lesions | 2.04 | 2.21 | 1.03 | 0.09 | 4.34 | 3.16 | 010 | |
| 17283 | A | Destruction of skin lesions | 2.64 | 2.61 | 1.28 | 0.11 | 5.36 | 4.03 | 010 | |
| 17284 | A | Destruction of skin lesions | 3.21 | 3.01 | 1.55 | 0.14 | 6.36 | 4.90 | 010 | |
| 17286 | A | Destruction of skin lesions | 4.44 | 3.79 | 2.24 | 0.22 | 8.45 | 6.90 | 010 | |
| 17304 | A | 1 stage mohs, up to 5 spec | 7.60 | 8.28 | 3.65 | 0.31 | 16.19 | 11.56 | 000 | |
| 17305 | A | 2 stage mohs, up to 5 spec | 2.85 | 3.90 | 1.37 | 0.12 | 6.87 | 4.34 | 000 | |
| 17306 | A | 3 stage mohs, up to 5 spec | 2.85 | 3.92 | 1.38 | 0.12 | 6.89 | 4.35 | 000 | |
| 17307 | A | Mohs addl stage up to 5 spec | 2.85 | 3.87 | 1.40 | 0.12 | 6.84 | 4.37 | 000 | |
| 17310 | A | Mohs any stage 5 spec each | 0.62 | 1.51 | 0.31 | 0.05 | 2.18 | 0.98 | ZZZ | |
| 17340 | A | Cryotherapy of skin | 0.76 | 0.38 | 0.31 | 0.04 | 1.18 | 1.11 | 010 | |
| 17360 | A | Skin peel therapy | 1.43 | 1.50 | 0.77 | 0.06 | 2.99 | 2.26 | 010 | |
| 17380 | R | Hair removal by electrolysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 17999 | C | Skin tissue procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 19000 | A | Drainage of breast lesion | 0.84 | 2.06 | 0.36 | 0.07 | 2.97 | 1.27 | 000 | |
| 19001 | A | Drain breast lesion add-on | 0.42 | 0.80 | 0.14 | 0.03 | 1.25 | 0.59 | ZZZ | |
| 19020 | A | Incision of breast lesion | 3.57 | 6.13 | 2.84 | 0.35 | 10.05 | 6.76 | 090 | |
| 19030 | A | Injection for breast x-ray | 1.53 | 3.40 | 0.51 | 0.07 | 5.00 | 2.11 | 000 | |
| 19100 | A | Bx breast percut w/o image | 1.27 | 2.17 | 0.43 | 0.10 | 3.54 | 1.80 | 000 | |
| 19101 | A | Biopsy of breast, open | 3.18 | 4.74 | 1.71 | 0.20 | 8.12 | 5.09 | 010 | |
| 19102 | A | Bx breast percut w/image | 2.00 | 4.02 | 0.67 | 0.13 | 6.15 | 2.80 | 000 | |
| 19103 | A | Bx breast percut w/device | 3.70 | 12.24 | 1.26 | 0.16 | 16.10 | 5.12 | 000 | |
| 19110 | A | Nipple exploration | 4.30 | 7.47 | 3.21 | 0.44 | 12.21 | 7.95 | 090 | |
| 19112 | A | Excise breast duct fistula | 3.67 | 7.85 | 2.74 | 0.38 | 11.90 | 6.79 | 090 | |
| 19120 | A | Removal of breast lesion | 5.56 | 4.64 | 3.11 | 0.56 | 10.76 | 9.23 | 090 | |
| 19125 | A | Excision, breast lesion | 6.06 | 4.88 | 3.34 | 0.61 | 11.55 | 10.01 | 090 | |
| 19126 | A | Excision, addl breast lesion | 2.93 | N/A | 1.02 | 0.30 | N/A | 4.25 | ZZZ | |
| 19140 | A | Removal of breast tissue | 5.14 | 7.35 | 3.44 | 0.52 | 13.01 | 9.10 | 090 | |
| 19160 | A | Removal of breast tissue | 5.99 | N/A | 3.48 | 0.61 | N/A | 10.08 | 090 | |
| 19162 | A | Remove breast tissue, nodes | 13.53 | N/A | 6.46 | 1.38 | N/A | 21.37 | 090 | |
| 19180 | A | Removal of breast | 8.80 | N/A | 5.11 | 0.88 | N/A | 14.79 | 090 | |
| 19182 | A | Removal of breast | 7.73 | N/A | 4.84 | 0.79 | N/A | 13.36 | 090 | |
| 19200 | A | Removal of breast | 15.49 | N/A | 8.12 | 1.51 | N/A | 25.12 | 090 | |
| 19220 | A | Removal of breast | 15.72 | N/A | 8.39 | 1.56 | N/A | 25.67 | 090 | |
| 19240 | A | Removal of breast | 16.00 | N/A | 8.37 | 1.62 | N/A | 25.99 | 090 | |
| 19260 | A | Removal of chest wall lesion | 15.44 | N/A | 11.09 | 1.64 | N/A | 28.17 | 090 | |
| 19271 | A | Revision of chest wall | 18.90 | N/A | 17.48 | 2.27 | N/A | 38.65 | 090 | |
| 19272 | A | Extensive chest wall surgery | 21.55 | N/A | 18.27 | 2.54 | N/A | 42.36 | 090 | |
| 19290 | A | Place needle wire, breast | 1.27 | 3.03 | 0.43 | 0.06 | 4.36 | 1.76 | 000 | |
| 19291 | A | Place needle wire, breast | 0.63 | 1.76 | 0.21 | 0.03 | 2.42 | 0.87 | ZZZ | |
| 19295 | A | Place breast clip, percut | 0.00 | 2.83 | N/A | 0.01 | 2.84 | N/A | ZZZ | |
| 19316 | A | Suspension of breast | 10.69 | N/A | 7.83 | 1.15 | N/A | 19.67 | 090 | |
| 19318 | A | Reduction of large breast | 15.62 | N/A | 11.42 | 1.69 | N/A | 28.73 | 090 | |
| 19324 | A | Enlarge breast | 5.85 | N/A | 5.01 | 0.63 | N/A | 11.49 | 090 | |
| 19325 | A | Enlarge breast with implant | 8.45 | N/A | 6.71 | 0.90 | N/A | 16.06 | 090 | |
| 19328 | A | Removal of breast implant | 5.68 | N/A | 5.17 | 0.61 | N/A | 11.46 | 090 | |
| 19330 | A | Removal of implant material | 7.59 | N/A | 6.09 | 0.81 | N/A | 14.49 | 090 | |
| 19340 | A | Immediate breast prosthesis | 6.33 | N/A | 3.18 | 0.68 | N/A | 10.19 | ZZZ | |
| 19342 | A | Delayed breast prosthesis | 11.20 | N/A | 8.95 | 1.21 | N/A | 21.36 | 090 | |
| 19350 | A | Breast reconstruction | 8.92 | 14.46 | 7.25 | 0.95 | 24.33 | 17.12 | 090 | |
| 19355 | A | Correct inverted nipple(s) | 7.57 | 13.06 | 5.12 | 0.80 | 21.43 | 13.49 | 090 | |
| 19357 | A | Breast reconstruction | 18.16 | N/A | 14.13 | 1.96 | N/A | 34.25 | 090 | |
| 19361 | A | Breast reconstruction | 19.26 | N/A | 12.01 | 2.08 | N/A | 33.35 | 090 | |
| 19364 | A | Breast reconstruction | 41.00 | N/A | 24.08 | 3.91 | N/A | 68.99 | 090 | |
| 19366 | A | Breast reconstruction | 21.28 | N/A | 11.44 | 2.27 | N/A | 34.99 | 090 | |
| 19367 | A | Breast reconstruction | 25.73 | N/A | 16.89 | 2.78 | N/A | 45.40 | 090 | |
| 19368 | A | Breast reconstruction | 32.42 | N/A | 20.65 | 3.51 | N/A | 56.58 | 090 | |
| 19369 | A | Breast reconstruction | 29.82 | N/A | 20.17 | 3.24 | N/A | 53.23 | 090 | |
| 19370 | A | Surgery of breast capsule | 8.05 | N/A | 6.98 | 0.86 | N/A | 15.89 | 090 | |
| 19371 | A | Removal of breast capsule | 9.35 | N/A | 8.02 | 1.01 | N/A | 18.38 | 090 | |
| 19380 | A | Revise breast reconstruction | 9.14 | N/A | 7.90 | 0.98 | N/A | 18.02 | 090 | |
| 19396 | A | Design custom breast implant | 2.17 | 5.91 | 1.01 | 0.23 | 8.31 | 3.41 | 000 | |
| 19499 | C | Breast surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 20000 | A | Incision of abscess | 2.12 | 2.44 | 1.63 | 0.17 | 4.73 | 3.92 | 010 | |
| 20005 | A | Incision of deep abscess | 3.42 | 3.44 | 2.15 | 0.34 | 7.20 | 5.91 | 010 | |
| 20100 | A | Explore wound, neck | 10.08 | 5.92 | 4.44 | 0.99 | 16.99 | 15.51 | 010 | |
| 20101 | A | Explore wound, chest | 3.22 | 3.02 | 1.61 | 0.24 | 6.48 | 5.07 | 010 | |
| 20102 | A | Explore wound, abdomen | 3.94 | 3.57 | 1.82 | 0.35 | 7.86 | 6.11 | 010 | |
| 20103 | A | Explore wound, extremity | 5.30 | 4.25 | 3.28 | 0.57 | 10.12 | 9.15 | 010 | |
| 20150 | A | Excise epiphyseal bar | 13.69 | N/A | 7.37 | 0.96 | N/A | 22.02 | 090 | |
| 20200 | A | Muscle biopsy | 1.46 | 3.20 | 0.79 | 0.17 | 4.83 | 2.42 | 000 | |
| 20205 | A | Deep muscle biopsy | 2.35 | 4.21 | 1.23 | 0.23 | 6.79 | 3.81 | 000 | |
| 20206 | A | Needle biopsy, muscle | 0.99 | 3.23 | 0.35 | 0.06 | 4.28 | 1.40 | 000 | |
| 20220 | A | Bone biopsy, trocar/needle | 1.27 | 4.83 | 2.80 | 0.06 | 6.16 | 4.13 | 000 | |
| 20225 | A | Bone biopsy, trocar/needle | 1.87 | 4.37 | 2.95 | 0.11 | 6.35 | 4.93 | 000 | |
| 20240 | A | Bone biopsy, excisional | 3.23 | N/A | 2.56 | 0.33 | N/A | 6.12 | 010 | |
| 20245 | A | Bone biopsy, excisional | 7.78 | N/A | 6.39 | 0.44 | N/A | 14.61 | 010 | |
| 20250 | A | Open bone biopsy | 5.03 | N/A | 4.61 | 0.50 | N/A | 10.14 | 010 | |
| 20251 | A | Open bone biopsy | 5.56 | N/A | 5.26 | 0.79 | N/A | 11.61 | 010 | |
| 20500 | A | Injection of sinus tract | 1.23 | 6.00 | 3.86 | 0.10 | 7.33 | 5.19 | 010 | |
| 20501 | A | Inject sinus tract for x-ray | 0.76 | 3.04 | 0.25 | 0.03 | 3.83 | 1.04 | 000 | |
| 20520 | A | Removal of foreign body | 1.85 | 2.28 | 1.82 | 0.17 | 4.30 | 3.84 | 010 | |
| 20525 | A | Removal of foreign body | 3.50 | 3.44 | 2.68 | 0.40 | 7.34 | 6.58 | 010 | |
| 20526 | A | Ther injection, carp tunnel | 0.94 | 0.98 | 0.52 | 0.06 | 1.98 | 1.52 | 000 | |
| 20550 | A | Inj tendon sheath/ligament | 0.75 | 0.73 | 0.24 | 0.06 | 1.54 | 1.05 | 000 | |
| 20551 | A | Inject tendon origin/insert | 0.75 | 0.70 | 0.34 | 0.06 | 1.51 | 1.15 | 000 | |
| 20552 | A | Inject trigger point, 1 or 2 | 0.66 | 0.74 | 0.21 | 0.06 | 1.46 | 0.93 | 000 | |
| 20553 | A | Inject trigger points, =/ 3 | 0.75 | 0.85 | 0.22 | 0.06 | 1.66 | 1.03 | 000 | |
| 20600 | A | Drain/inject, joint/bursa | 0.66 | 0.66 | 0.36 | 0.06 | 1.38 | 1.08 | 000 | |
| 20605 | A | Drain/inject, joint/bursa | 0.68 | 0.77 | 0.37 | 0.06 | 1.51 | 1.11 | 000 | |
| 20610 | A | Drain/inject, joint/bursa | 0.79 | 0.96 | 0.42 | 0.08 | 1.83 | 1.29 | 000 | |
| 20612 | A | Aspirate/inj ganglion cyst | 0.70 | 0.73 | 0.34 | 0.06 | 1.49 | 1.10 | 000 | |
| 20615 | A | Treatment of bone cyst | 2.28 | 2.59 | 1.82 | 0.19 | 5.06 | 4.29 | 010 | |
| 20650 | A | Insert and remove bone pin | 2.23 | 2.47 | 1.97 | 0.28 | 4.98 | 4.48 | 010 | |
| 20660 | A | Apply, rem fixation device | 2.51 | 3.12 | 1.74 | 0.48 | 6.11 | 4.73 | 000 | |
| 20661 | A | Application of head brace | 4.89 | N/A | 5.05 | 0.92 | N/A | 10.86 | 090 | |
| 20662 | A | Application of pelvis brace | 6.07 | N/A | 5.54 | 0.81 | N/A | 12.42 | 090 | |
| 20663 | A | Application of thigh brace | 5.43 | N/A | 4.86 | 0.77 | N/A | 11.06 | 090 | |
| 20664 | A | Halo brace application | 8.06 | N/A | 7.16 | 1.49 | N/A | 16.71 | 090 | |
| 20665 | A | Removal of fixation device | 1.31 | 1.98 | 1.32 | 0.17 | 3.46 | 2.80 | 010 | |
| 20670 | A | Removal of support implant | 1.74 | 6.83 | 3.98 | 0.23 | 8.80 | 5.95 | 010 | |
| 20680 | A | Removal of support implant | 3.35 | 3.44 | 3.44 | 0.46 | 7.25 | 7.25 | 090 | |
| 20690 | A | Apply bone fixation device | 3.52 | N/A | 2.51 | 0.47 | N/A | 6.50 | 090 | |
| 20692 | A | Apply bone fixation device | 6.41 | N/A | 3.80 | 0.60 | N/A | 10.81 | 090 | |
| 20693 | A | Adjust bone fixation device | 5.86 | N/A | 8.43 | 0.85 | N/A | 15.14 | 090 | |
| 20694 | A | Remove bone fixation device | 4.16 | 7.10 | 4.64 | 0.57 | 11.83 | 9.37 | 090 | |
| 20802 | A | Replantation, arm, complete | 41.15 | N/A | 21.97 | 5.81 | N/A | 68.93 | 090 | |
| 20805 | A | Replant forearm, complete | 50.00 | N/A | 35.96 | 3.95 | N/A | 89.91 | 090 | |
| 20808 | A | Replantation hand, complete | 61.65 | N/A | 44.22 | 6.49 | N/A | 112.36 | 090 | |
| 20816 | A | Replantation digit, complete | 30.94 | N/A | 40.19 | 3.01 | N/A | 74.14 | 090 | |
| 20822 | A | Replantation digit, complete | 25.59 | N/A | 36.64 | 3.07 | N/A | 65.30 | 090 | |
| 20824 | A | Replantation thumb, complete | 30.94 | N/A | 38.92 | 3.48 | N/A | 73.34 | 090 | |
| 20827 | A | Replantation thumb, complete | 26.41 | N/A | 38.68 | 3.21 | N/A | 68.30 | 090 | |
| 20838 | A | Replantation foot, complete | 41.41 | N/A | 22.96 | 5.85 | N/A | 70.22 | 090 | |
| 20900 | A | Removal of bone for graft | 5.58 | 7.43 | 5.57 | 0.77 | 13.78 | 11.92 | 090 | |
| 20902 | A | Removal of bone for graft | 7.55 | N/A | 7.06 | 1.06 | N/A | 15.67 | 090 | |
| 20910 | A | Remove cartilage for graft | 5.34 | 7.19 | 5.51 | 0.50 | 13.03 | 11.35 | 090 | |
| 20912 | A | Remove cartilage for graft | 6.35 | N/A | 6.21 | 0.55 | N/A | 13.11 | 090 | |
| 20920 | A | Removal of fascia for graft | 5.31 | N/A | 4.48 | 0.54 | N/A | 10.33 | 090 | |
| 20922 | A | Removal of fascia for graft | 6.61 | 6.90 | 5.18 | 0.88 | 14.39 | 12.67 | 090 | |
| 20924 | A | Removal of tendon for graft | 6.48 | N/A | 6.00 | 0.82 | N/A | 13.30 | 090 | |
| 20926 | A | Removal of tissue for graft | 5.53 | N/A | 5.06 | 0.73 | N/A | 11.32 | 090 | |
| 20931 | A | Spinal bone allograft | 1.81 | N/A | 0.95 | 0.34 | N/A | 3.10 | ZZZ | |
| 20937 | A | Spinal bone autograft | 2.79 | N/A | 1.49 | 0.43 | N/A | 4.71 | ZZZ | |
| 20938 | A | Spinal bone autograft | 3.02 | N/A | 1.59 | 0.52 | N/A | 5.13 | ZZZ | |
| 20950 | A | Fluid pressure, muscle | 1.26 | 1.39 | 1.02 | 0.16 | 2.81 | 2.44 | 000 | |
| 20955 | A | Fibula bone graft, microvasc | 39.21 | N/A | 25.69 | 4.35 | N/A | 69.25 | 090 | |
| 20956 | A | Iliac bone graft, microvasc | 39.27 | N/A | 25.40 | 5.77 | N/A | 70.44 | 090 | |
| 20957 | A | Mt bone graft, microvasc | 40.65 | N/A | 19.47 | 5.74 | N/A | 65.86 | 090 | |
| 20962 | A | Other bone graft, microvasc | 39.27 | N/A | 26.91 | 5.19 | N/A | 71.37 | 090 | |
| 20969 | A | Bone/skin graft, microvasc | 43.92 | N/A | 28.25 | 4.34 | N/A | 76.51 | 090 | |
| 20970 | A | Bone/skin graft, iliac crest | 43.06 | N/A | 26.58 | 4.64 | N/A | 74.28 | 090 | |
| 20972 | A | Bone/skin graft, metatarsal | 42.99 | 21.88 | 20.34 | 6.07 | 70.94 | 69.40 | 090 | |
| 20973 | A | Bone/skin graft, great toe | 45.76 | N/A | 25.64 | 4.65 | N/A | 76.05 | 090 | |
| 20974 | A | Electrical bone stimulation | 0.62 | 0.63 | 0.56 | 0.09 | 1.34 | 1.27 | 000 | |
| 20975 | A | Electrical bone stimulation | 2.60 | N/A | 1.76 | 0.42 | N/A | 4.78 | 000 | |
| 20979 | A | Us bone stimulation | 0.62 | 0.78 | 0.34 | 0.04 | 1.44 | 1.00 | 000 | |
| 20999 | C | Musculoskeletal surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21010 | A | Incision of jaw joint | 10.14 | N/A | 7.41 | 0.54 | N/A | 18.09 | 090 | |
| 21015 | A | Resection of facial tumor | 5.29 | N/A | 5.73 | 0.52 | N/A | 11.54 | 090 | |
| 21025 | A | Excision of bone, lower jaw | 10.06 | 10.50 | 8.40 | 0.79 | 21.35 | 19.25 | 090 | |
| 21026 | A | Excision of facial bone(s) | 4.85 | 7.20 | 5.70 | 0.40 | 12.45 | 10.95 | 090 | |
| 21029 | A | Contour of face bone lesion | 7.71 | 8.89 | 6.44 | 0.74 | 17.34 | 14.89 | 090 | |
| 21030 | A | Excise max/zygoma b9 tumor | 3.89 | 5.93 | 4.17 | 0.60 | 10.42 | 8.66 | 090 | |
| 21031 | A | Remove exostosis, mandible | 3.24 | 4.74 | 3.18 | 0.28 | 8.26 | 6.70 | 090 | |
| 21032 | A | Remove exostosis, maxilla | 3.24 | 4.78 | 3.29 | 0.27 | 8.29 | 6.80 | 090 | |
| 21034 | A | Excise max/zygoma mlg tumor | 16.17 | 13.91 | 11.51 | 1.37 | 31.45 | 29.05 | 090 | |
| 21040 | A | Excise mandible lesion | 3.89 | 5.79 | 3.84 | 0.19 | 9.87 | 7.92 | 090 | |
| 21044 | A | Removal of jaw bone lesion | 11.86 | N/A | 8.95 | 0.87 | N/A | 21.68 | 090 | |
| 21045 | A | Extensive jaw surgery | 16.17 | N/A | 11.75 | 1.20 | N/A | 29.12 | 090 | |
| 21046 | A | Remove mandible cyst complex | 13.00 | N/A | 13.21 | 1.01 | N/A | 27.22 | 090 | |
| 21047 | A | Excise lwr jaw cyst w/repair | 18.75 | N/A | 13.84 | 1.53 | N/A | 34.12 | 090 | |
| 21048 | A | Remove maxilla cyst complex | 13.50 | N/A | 13.50 | 1.01 | N/A | 28.01 | 090 | |
| 21049 | A | Excis uppr jaw cyst w/repair | 18.00 | N/A | 13.41 | 1.01 | N/A | 32.42 | 090 | |
| 21050 | A | Removal of jaw joint | 10.77 | N/A | 10.66 | 0.84 | N/A | 22.27 | 090 | |
| 21060 | A | Remove jaw joint cartilage | 10.23 | N/A | 10.18 | 1.16 | N/A | 21.57 | 090 | |
| 21070 | A | Remove coronoid process | 8.20 | N/A | 7.25 | 0.67 | N/A | 16.12 | 090 | |
| 21076 | A | Prepare face/oral prosthesis | 13.42 | 13.19 | 10.52 | 1.36 | 27.97 | 25.30 | 010 | |
| 21077 | A | Prepare face/oral prosthesis | 33.75 | 33.45 | 27.14 | 3.43 | 70.63 | 64.32 | 090 | |
| 21079 | A | Prepare face/oral prosthesis | 22.34 | 23.11 | 18.12 | 1.59 | 47.04 | 42.05 | 090 | |
| 21080 | A | Prepare face/oral prosthesis | 25.10 | 26.21 | 20.48 | 2.55 | 53.86 | 48.13 | 090 | |
| 21081 | A | Prepare face/oral prosthesis | 22.88 | 23.87 | 18.42 | 1.87 | 48.62 | 43.17 | 090 | |
| 21082 | A | Prepare face/oral prosthesis | 20.87 | 20.66 | 16.57 | 1.46 | 42.99 | 38.90 | 090 | |
| 21083 | A | Prepare face/oral prosthesis | 19.30 | 20.13 | 15.24 | 1.96 | 41.39 | 36.50 | 090 | |
| 21084 | A | Prepare face/oral prosthesis | 22.51 | 23.94 | 18.60 | 1.57 | 48.02 | 42.68 | 090 | |
| 21085 | A | Prepare face/oral prosthesis | 9.00 | 8.84 | 7.11 | 0.65 | 18.49 | 16.76 | 010 | |
| 21086 | A | Prepare face/oral prosthesis | 24.92 | 25.25 | 20.19 | 1.86 | 52.03 | 46.97 | 090 | |
| 21087 | A | Prepare face/oral prosthesis | 24.92 | 24.82 | 20.06 | 2.22 | 51.96 | 47.20 | 090 | |
| 21088 | C | Prepare face/oral prosthesis | 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 | 090 | |
| 21100 | A | Maxillofacial fixation | 4.22 | 5.72 | 4.67 | 0.18 | 10.12 | 9.07 | 090 | |
| 21110 | A | Interdental fixation | 5.21 | 7.23 | 5.78 | 0.28 | 12.72 | 11.27 | 090 | |
| 21116 | A | Injection, jaw joint x-ray | 0.81 | 5.67 | 0.34 | 0.05 | 6.53 | 1.20 | 000 | |
| 21120 | A | Reconstruction of chin | 4.93 | 9.00 | 5.39 | 0.29 | 14.22 | 10.61 | 090 | |
| 21121 | A | Reconstruction of chin | 7.64 | 10.71 | 6.82 | 0.56 | 18.91 | 15.02 | 090 | |
| 21122 | A | Reconstruction of chin | 8.52 | N/A | 7.35 | 0.59 | N/A | 16.46 | 090 | |
| 21123 | A | Reconstruction of chin | 11.16 | N/A | 8.49 | 1.16 | N/A | 20.81 | 090 | |
| 21125 | A | Augmentation, lower jaw bone | 10.62 | 12.09 | 8.47 | 0.72 | 23.43 | 19.81 | 090 | |
| 21127 | A | Augmentation, lower jaw bone | 11.12 | 14.95 | 9.29 | 0.76 | 26.83 | 21.17 | 090 | |
| 21137 | A | Reduction of forehead | 9.82 | N/A | 7.62 | 0.53 | N/A | 17.97 | 090 | |
| 21138 | A | Reduction of forehead | 12.19 | N/A | 9.53 | 1.47 | N/A | 23.19 | 090 | |
| 21139 | A | Reduction of forehead | 14.61 | N/A | 10.04 | 1.02 | N/A | 25.67 | 090 | |
| 21141 | A | Reconstruct midface, lefort | 18.10 | N/A | 14.30 | 1.63 | N/A | 34.03 | 090 | |
| 21142 | A | Reconstruct midface, lefort | 18.81 | N/A | 13.41 | 1.16 | N/A | 33.38 | 090 | |
| 21143 | A | Reconstruct midface, lefort | 19.58 | N/A | 14.55 | 0.90 | N/A | 35.03 | 090 | |
| 21145 | A | Reconstruct midface, lefort | 19.94 | N/A | 14.57 | 2.09 | N/A | 36.60 | 090 | |
| 21146 | A | Reconstruct midface, lefort | 20.71 | N/A | 16.02 | 2.13 | N/A | 38.86 | 090 | |
| 21147 | A | Reconstruct midface, lefort | 21.77 | N/A | 15.70 | 1.52 | N/A | 38.99 | 090 | |
| 21150 | A | Reconstruct midface, lefort | 25.24 | N/A | 14.42 | 1.09 | N/A | 40.75 | 090 | |
| 21151 | A | Reconstruct midface, lefort | 28.30 | N/A | 17.70 | 1.98 | N/A | 47.98 | 090 | |
| 21154 | A | Reconstruct midface, lefort | 30.52 | N/A | 20.75 | 4.86 | N/A | 56.13 | 090 | |
| 21155 | A | Reconstruct midface, lefort | 34.45 | N/A | 21.92 | 5.48 | N/A | 61.85 | 090 | |
| 21159 | A | Reconstruct midface, lefort | 42.38 | N/A | 25.08 | 6.74 | N/A | 74.20 | 090 | |
| 21160 | A | Reconstruct midface, lefort | 46.44 | N/A | 24.97 | 4.39 | N/A | 75.80 | 090 | |
| 21172 | A | Reconstruct orbit/forehead | 27.80 | N/A | 14.45 | 1.91 | N/A | 44.16 | 090 | |
| 21175 | A | Reconstruct orbit/forehead | 33.17 | N/A | 18.80 | 5.16 | N/A | 57.13 | 090 | |
| 21179 | A | Reconstruct entire forehead | 22.25 | N/A | 15.41 | 2.48 | N/A | 40.14 | 090 | |
| 21180 | A | Reconstruct entire forehead | 25.19 | N/A | 16.64 | 2.15 | N/A | 43.98 | 090 | |
| 21181 | A | Contour cranial bone lesion | 9.90 | N/A | 7.69 | 0.97 | N/A | 18.56 | 090 | |
| 21182 | A | Reconstruct cranial bone | 32.19 | N/A | 20.18 | 2.53 | N/A | 54.90 | 090 | |
| 21183 | A | Reconstruct cranial bone | 35.31 | N/A | 21.89 | 2.75 | N/A | 59.95 | 090 | |
| 21184 | A | Reconstruct cranial bone | 38.24 | N/A | 22.40 | 4.12 | N/A | 64.76 | 090 | |
| 21188 | A | Reconstruction of midface | 22.46 | N/A | 15.69 | 1.85 | N/A | 40.00 | 090 | |
| 21193 | A | Reconst lwr jaw w/o graft | 17.15 | N/A | 13.39 | 1.53 | N/A | 32.07 | 090 | |
| 21194 | A | Reconst lwr jaw w/graft | 19.84 | N/A | 14.47 | 1.39 | N/A | 35.70 | 090 | |
| 21195 | A | Reconst lwr jaw w/o fixation | 17.24 | N/A | 13.70 | 1.20 | N/A | 32.14 | 090 | |
| 21196 | A | Reconst lwr jaw w/fixation | 18.91 | N/A | 14.31 | 1.62 | N/A | 34.84 | 090 | |
| 21198 | A | Reconstr lwr jaw segment | 14.16 | N/A | 11.32 | 1.05 | N/A | 26.53 | 090 | |
| 21199 | A | Reconstr lwr jaw w/advance | 16.00 | N/A | 9.40 | 1.26 | N/A | 26.66 | 090 | |
| 21206 | A | Reconstruct upper jaw bone | 14.10 | N/A | 11.14 | 1.01 | N/A | 26.25 | 090 | |
| 21208 | A | Augmentation of facial bones | 10.23 | 14.95 | 9.40 | 0.92 | 26.10 | 20.55 | 090 | |
| 21209 | A | Reduction of facial bones | 6.72 | 12.17 | 7.28 | 0.60 | 19.49 | 14.60 | 090 | |
| 21210 | A | Face bone graft | 10.23 | 14.17 | 9.66 | 0.88 | 25.28 | 20.77 | 090 | |
| 21215 | A | Lower jaw bone graft | 10.77 | 13.96 | 9.86 | 1.04 | 25.77 | 21.67 | 090 | |
| 21230 | A | Rib cartilage graft | 10.77 | N/A | 8.86 | 0.96 | N/A | 20.59 | 090 | |
| 21235 | A | Ear cartilage graft | 6.72 | 11.67 | 7.25 | 0.52 | 18.91 | 14.49 | 090 | |
| 21240 | A | Reconstruction of jaw joint | 14.05 | N/A | 13.17 | 1.15 | N/A | 28.37 | 090 | |
| 21242 | A | Reconstruction of jaw joint | 12.95 | N/A | 12.63 | 1.40 | N/A | 26.98 | 090 | |
| 21243 | A | Reconstruction of jaw joint | 20.79 | N/A | 18.48 | 1.85 | N/A | 41.12 | 090 | |
| 21244 | A | Reconstruction of lower jaw | 11.86 | N/A | 10.35 | 0.95 | N/A | 23.16 | 090 | |
| 21245 | A | Reconstruction of jaw | 11.86 | 16.69 | 10.05 | 0.88 | 29.43 | 22.79 | 090 | |
| 21246 | A | Reconstruction of jaw | 12.47 | 15.05 | 10.13 | 1.21 | 28.73 | 23.81 | 090 | |
| 21247 | A | Reconstruct lower jaw bone | 22.63 | N/A | 18.53 | 2.21 | N/A | 43.37 | 090 | |
| 21248 | A | Reconstruction of jaw | 11.48 | 13.46 | 9.59 | 1.01 | 25.95 | 22.08 | 090 | |
| 21249 | A | Reconstruction of jaw | 17.52 | 17.12 | 13.05 | 1.39 | 36.03 | 31.96 | 090 | |
| 21255 | A | Reconstruct lower jaw bone | 16.72 | N/A | 12.98 | 1.13 | N/A | 30.83 | 090 | |
| 21256 | A | Reconstruction of orbit | 16.19 | N/A | 12.47 | 1.04 | N/A | 29.70 | 090 | |
| 21260 | A | Revise eye sockets | 16.52 | N/A | 9.13 | 1.25 | N/A | 26.90 | 090 | |
| 21261 | A | Revise eye sockets | 31.49 | N/A | 19.67 | 2.20 | N/A | 53.36 | 090 | |
| 21263 | A | Revise eye sockets | 28.42 | N/A | 13.14 | 2.16 | N/A | 43.72 | 090 | |
| 21267 | A | Revise eye sockets | 18.90 | N/A | 13.58 | 1.35 | N/A | 33.83 | 090 | |
| 21268 | A | Revise eye sockets | 24.48 | N/A | 15.66 | 0.79 | N/A | 40.93 | 090 | |
| 21270 | A | Augmentation, cheek bone | 10.23 | 12.35 | 8.36 | 0.73 | 23.31 | 19.32 | 090 | |
| 21275 | A | Revision, orbitofacial bones | 11.24 | N/A | 9.10 | 1.03 | N/A | 21.37 | 090 | |
| 21280 | A | Revision of eyelid | 6.03 | N/A | 6.18 | 0.27 | N/A | 12.48 | 090 | |
| 21282 | A | Revision of eyelid | 3.49 | N/A | 4.84 | 0.21 | N/A | 8.54 | 090 | |
| 21295 | A | Revision of jaw muscle/bone | 1.53 | N/A | 3.02 | 0.13 | N/A | 4.68 | 090 | |
| 21296 | A | Revision of jaw muscle/bone | 4.25 | N/A | 4.65 | 0.30 | N/A | 9.20 | 090 | |
| 21299 | C | Cranio/maxillofacial surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21300 | A | Treatment of skull fracture | 0.72 | 2.48 | 0.26 | 0.09 | 3.29 | 1.07 | 000 | |
| 21310 | A | Treatment of nose fracture | 0.58 | 2.44 | 0.15 | 0.05 | 3.07 | 0.78 | 000 | |
| 21315 | A | Treatment of nose fracture | 1.51 | 3.18 | 1.31 | 0.12 | 4.81 | 2.94 | 010 | |
| 21320 | A | Treatment of nose fracture | 1.85 | 4.44 | 1.89 | 0.15 | 6.44 | 3.89 | 010 | |
| 21325 | A | Treatment of nose fracture | 3.77 | N/A | 3.84 | 0.31 | N/A | 7.92 | 090 | |
| 21330 | A | Treatment of nose fracture | 5.38 | N/A | 5.44 | 0.48 | N/A | 11.30 | 090 | |
| 21335 | A | Treatment of nose fracture | 8.61 | N/A | 7.02 | 0.64 | N/A | 16.27 | 090 | |
| 21336 | A | Treat nasal septal fracture | 5.72 | N/A | 6.18 | 0.45 | N/A | 12.35 | 090 | |
| 21337 | A | Treat nasal septal fracture | 2.70 | 5.27 | 3.75 | 0.22 | 8.19 | 6.67 | 090 | |
| 21338 | A | Treat nasoethmoid fracture | 6.46 | N/A | 6.14 | 0.53 | N/A | 13.13 | 090 | |
| 21339 | A | Treat nasoethmoid fracture | 8.09 | N/A | 6.90 | 0.76 | N/A | 15.75 | 090 | |
| 21340 | A | Treatment of nose fracture | 10.77 | N/A | 8.99 | 0.85 | N/A | 20.61 | 090 | |
| 21343 | A | Treatment of sinus fracture | 12.95 | N/A | 10.37 | 1.06 | N/A | 24.38 | 090 | |
| 21344 | A | Treatment of sinus fracture | 19.72 | N/A | 14.00 | 1.72 | N/A | 35.44 | 090 | |
| 21345 | A | Treat nose/jaw fracture | 8.16 | 12.01 | 8.21 | 0.60 | 20.77 | 16.97 | 090 | |
| 21346 | A | Treat nose/jaw fracture | 10.61 | 13.67 | 9.41 | 0.85 | 25.13 | 20.87 | 090 | |
| 21347 | A | Treat nose/jaw fracture | 12.69 | N/A | 10.02 | 1.14 | N/A | 23.85 | 090 | |
| 21348 | A | Treat nose/jaw fracture | 16.69 | N/A | 11.60 | 1.50 | N/A | 29.79 | 090 | |
| 21355 | A | Treat cheek bone fracture | 3.77 | 4.86 | 2.43 | 0.29 | 8.92 | 6.49 | 010 | |
| 21356 | A | Treat cheek bone fracture | 4.15 | 12.21 | 3.31 | 0.36 | 16.72 | 7.82 | 010 | |
| 21360 | A | Treat cheek bone fracture | 6.46 | 14.59 | 6.32 | 0.52 | 21.57 | 13.30 | 090 | |
| 21365 | A | Treat cheek bone fracture | 14.95 | N/A | 12.08 | 1.30 | N/A | 28.33 | 090 | |
| 21366 | A | Treat cheek bone fracture | 17.77 | N/A | 11.97 | 1.41 | N/A | 31.15 | 090 | |
| 21385 | A | Treat eye socket fracture | 9.16 | N/A | 7.32 | 0.64 | N/A | 17.12 | 090 | |
| 21386 | A | Treat eye socket fracture | 9.16 | N/A | 7.73 | 0.76 | N/A | 17.65 | 090 | |
| 21387 | A | Treat eye socket fracture | 9.70 | N/A | 7.81 | 0.78 | N/A | 18.29 | 090 | |
| 21390 | A | Treat eye socket fracture | 10.13 | N/A | 8.27 | 0.70 | N/A | 19.10 | 090 | |
| 21395 | A | Treat eye socket fracture | 12.68 | N/A | 9.62 | 1.09 | N/A | 23.39 | 090 | |
| 21400 | A | Treat eye socket fracture | 1.40 | 3.80 | 2.10 | 0.12 | 5.32 | 3.62 | 090 | |
| 21401 | A | Treat eye socket fracture | 3.26 | 5.11 | 3.84 | 0.34 | 8.71 | 7.44 | 090 | |
| 21406 | A | Treat eye socket fracture | 7.01 | N/A | 6.58 | 0.59 | N/A | 14.18 | 090 | |
| 21407 | A | Treat eye socket fracture | 8.61 | N/A | 7.38 | 0.67 | N/A | 16.66 | 090 | |
| 21408 | A | Treat eye socket fracture | 12.38 | N/A | 9.49 | 1.24 | N/A | 23.11 | 090 | |
| 21421 | A | Treat mouth roof fracture | 5.14 | 10.22 | 6.31 | 0.42 | 15.78 | 11.87 | 090 | |
| 21422 | A | Treat mouth roof fracture | 8.32 | 11.73 | 7.38 | 0.69 | 20.74 | 16.39 | 090 | |
| 21423 | A | Treat mouth roof fracture | 10.40 | N/A | 8.72 | 0.95 | N/A | 20.07 | 090 | |
| 21431 | A | Treat craniofacial fracture | 7.05 | 11.10 | 7.15 | 0.58 | 18.73 | 14.78 | 090 | |
| 21432 | A | Treat craniofacial fracture | 8.61 | N/A | 6.53 | 0.55 | N/A | 15.69 | 090 | |
| 21433 | A | Treat craniofacial fracture | 25.35 | N/A | 17.38 | 2.46 | N/A | 45.19 | 090 | |
| 21435 | A | Treat craniofacial fracture | 17.25 | N/A | 13.41 | 1.66 | N/A | 32.32 | 090 | |
| 21436 | A | Treat craniofacial fracture | 28.04 | N/A | 18.94 | 2.32 | N/A | 49.30 | 090 | |
| 21440 | A | Treat dental ridge fracture | 2.70 | 8.32 | 4.22 | 0.22 | 11.24 | 7.14 | 090 | |
| 21445 | A | Treat dental ridge fracture | 5.38 | 10.81 | 6.48 | 0.55 | 16.74 | 12.41 | 090 | |
| 21450 | A | Treat lower jaw fracture | 2.97 | 11.00 | 3.86 | 0.23 | 14.20 | 7.06 | 090 | |
| 21451 | A | Treat lower jaw fracture | 4.87 | 9.15 | 6.00 | 0.39 | 14.41 | 11.26 | 090 | |
| 21452 | A | Treat lower jaw fracture | 1.98 | 8.19 | 3.81 | 0.14 | 10.31 | 5.93 | 090 | |
| 21453 | A | Treat lower jaw fracture | 5.54 | 10.89 | 7.07 | 0.49 | 16.92 | 13.10 | 090 | |
| 21454 | A | Treat lower jaw fracture | 6.46 | N/A | 6.62 | 0.55 | N/A | 13.63 | 090 | |
| 21461 | A | Treat lower jaw fracture | 8.09 | 12.99 | 8.58 | 0.73 | 21.81 | 17.40 | 090 | |
| 21462 | A | Treat lower jaw fracture | 9.79 | 14.58 | 9.31 | 0.80 | 25.17 | 19.90 | 090 | |
| 21465 | A | Treat lower jaw fracture | 11.91 | N/A | 10.16 | 0.84 | N/A | 22.91 | 090 | |
| 21470 | A | Treat lower jaw fracture | 15.34 | N/A | 12.41 | 1.36 | N/A | 29.11 | 090 | |
| 21480 | A | Reset dislocated jaw | 0.61 | 2.06 | 0.19 | 0.05 | 2.72 | 0.85 | 000 | |
| 21485 | A | Reset dislocated jaw | 3.99 | 6.15 | 4.92 | 0.31 | 10.45 | 9.22 | 090 | |
| 21490 | A | Repair dislocated jaw | 11.86 | N/A | 10.03 | 1.31 | N/A | 23.20 | 090 | |
| 21493 | A | Treat hyoid bone fracture | 1.27 | N/A | 2.96 | 0.10 | N/A | 4.33 | 090 | |
| 21494 | A | Treat hyoid bone fracture | 6.28 | N/A | 5.91 | 0.44 | N/A | 12.63 | 090 | |
| 21495 | A | Treat hyoid bone fracture | 5.69 | N/A | 6.18 | 0.41 | N/A | 12.28 | 090 | |
| 21497 | A | Interdental wiring | 3.86 | 6.77 | 5.16 | 0.31 | 10.94 | 9.33 | 090 | |
| 21499 | C | Head surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21501 | A | Drain neck/chest lesion | 3.81 | 4.79 | 3.95 | 0.36 | 8.96 | 8.12 | 090 | |
| 21502 | A | Drain chest lesion | 7.12 | N/A | 5.71 | 0.79 | N/A | 13.62 | 090 | |
| 21510 | A | Drainage of bone lesion | 5.74 | N/A | 5.65 | 0.67 | N/A | 12.06 | 090 | |
| 21550 | A | Biopsy of neck/chest | 2.06 | 3.65 | 1.75 | 0.13 | 5.84 | 3.94 | 010 | |
| 21555 | A | Remove lesion, neck/chest | 4.35 | 5.15 | 3.21 | 0.41 | 9.91 | 7.97 | 090 | |
| 21556 | A | Remove lesion, neck/chest | 5.57 | N/A | 4.09 | 0.51 | N/A | 10.17 | 090 | |
| 21557 | A | Remove tumor, neck/chest | 8.88 | N/A | 5.68 | 0.85 | N/A | 15.41 | 090 | |
| 21600 | A | Partial removal of rib | 6.89 | N/A | 5.79 | 0.81 | N/A | 13.49 | 090 | |
| 21610 | A | Partial removal of rib | 14.61 | N/A | 9.25 | 1.85 | N/A | 25.71 | 090 | |
| 21615 | A | Removal of rib | 9.87 | N/A | 6.63 | 1.20 | N/A | 17.70 | 090 | |
| 21616 | A | Removal of rib and nerves | 12.04 | N/A | 8.00 | 1.31 | N/A | 21.35 | 090 | |
| 21620 | A | Partial removal of sternum | 6.79 | N/A | 6.09 | 0.77 | N/A | 13.65 | 090 | |
| 21627 | A | Sternal debridement | 6.81 | N/A | 6.82 | 0.82 | N/A | 14.45 | 090 | |
| 21630 | A | Extensive sternum surgery | 17.38 | N/A | 11.99 | 1.95 | N/A | 31.32 | 090 | |
| 21632 | A | Extensive sternum surgery | 18.14 | N/A | 10.78 | 2.16 | N/A | 31.08 | 090 | |
| 21700 | A | Revision of neck muscle | 6.19 | 6.23 | 4.88 | 0.31 | 12.73 | 11.38 | 090 | |
| 21705 | A | Revision of neck muscle/rib | 9.60 | N/A | 5.79 | 0.92 | N/A | 16.31 | 090 | |
| 21720 | A | Revision of neck muscle | 5.68 | 5.68 | 4.78 | 0.80 | 12.16 | 11.26 | 090 | |
| 21725 | A | Revision of neck muscle | 6.99 | N/A | 5.72 | 0.90 | N/A | 13.61 | 090 | |
| 21740 | A | Reconstruction of sternum | 16.50 | N/A | 8.67 | 2.03 | N/A | 27.20 | 090 | |
| 21742 | C | Repair stern/nuss w/o scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21743 | C | Repair sternum/nuss w/scope | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 21750 | A | Repair of sternum separation | 10.77 | N/A | 6.16 | 1.35 | N/A | 18.28 | 090 | |
| 21800 | A | Treatment of rib fracture | 0.96 | 2.15 | 1.43 | 0.09 | 3.20 | 2.48 | 090 | |
| 21805 | A | Treatment of rib fracture | 2.75 | N/A | 3.31 | 0.29 | N/A | 6.35 | 090 | |
| 21810 | A | Treatment of rib fracture(s) | 6.86 | N/A | 5.04 | 0.60 | N/A | 12.50 | 090 | |
| 21820 | A | Treat sternum fracture | 1.28 | 2.68 | 1.85 | 0.15 | 4.11 | 3.28 | 090 | |
| 21825 | A | Treat sternum fracture | 7.41 | N/A | 6.48 | 0.84 | N/A | 14.73 | 090 | |
| 21899 | C | Neck/chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 21920 | A | Biopsy soft tissue of back | 2.06 | 3.27 | 1.50 | 0.12 | 5.45 | 3.68 | 010 | |
| 21925 | A | Biopsy soft tissue of back | 4.49 | 9.16 | 3.44 | 0.44 | 14.09 | 8.37 | 090 | |
| 21930 | A | Remove lesion, back or flank | 5.00 | 5.49 | 3.42 | 0.49 | 10.98 | 8.91 | 090 | |
| 21935 | A | Remove tumor, back | 17.96 | N/A | 10.50 | 1.87 | N/A | 30.33 | 090 | |
| 22100 | A | Remove part of neck vertebra | 9.73 | N/A | 7.82 | 1.55 | N/A | 19.10 | 090 | |
| 22101 | A | Remove part, thorax vertebra | 9.81 | N/A | 8.04 | 1.51 | N/A | 19.36 | 090 | |
| 22102 | A | Remove part, lumbar vertebra | 9.81 | N/A | 8.30 | 1.46 | N/A | 19.57 | 090 | |
| 22103 | A | Remove extra spine segment | 2.34 | N/A | 1.24 | 0.37 | N/A | 3.95 | ZZZ | |
| 22110 | A | Remove part of neck vertebra | 12.74 | N/A | 9.54 | 2.20 | N/A | 24.48 | 090 | |
| 22112 | A | Remove part, thorax vertebra | 12.81 | N/A | 9.56 | 1.96 | N/A | 24.33 | 090 | |
| 22114 | A | Remove part, lumbar vertebra | 12.81 | N/A | 9.58 | 1.98 | N/A | 24.37 | 090 | |
| 22116 | A | Remove extra spine segment | 2.32 | N/A | 1.19 | 0.40 | N/A | 3.91 | ZZZ | |
| 22210 | A | Revision of neck spine | 23.82 | N/A | 15.88 | 4.23 | N/A | 43.93 | 090 | |
| 22212 | A | Revision of thorax spine | 19.42 | N/A | 13.57 | 2.78 | N/A | 35.77 | 090 | |
| 22214 | A | Revision of lumbar spine | 19.45 | N/A | 14.04 | 2.78 | N/A | 36.27 | 090 | |
| 22216 | A | Revise, extra spine segment | 6.04 | N/A | 3.20 | 0.98 | N/A | 10.22 | ZZZ | |
| 22220 | A | Revision of neck spine | 21.37 | N/A | 14.10 | 3.65 | N/A | 39.12 | 090 | |
| 22222 | A | Revision of thorax spine | 21.52 | N/A | 11.93 | 3.08 | N/A | 36.53 | 090 | |
| 22224 | A | Revision of lumbar spine | 21.52 | N/A | 14.60 | 3.20 | N/A | 39.32 | 090 | |
| 22226 | A | Revise, extra spine segment | 6.04 | N/A | 3.16 | 1.01 | N/A | 10.21 | ZZZ | |
| 22305 | A | Treat spine process fracture | 2.05 | 3.25 | 2.43 | 0.29 | 5.59 | 4.77 | 090 | |
| 22310 | A | Treat spine fracture | 2.61 | 4.98 | 4.20 | 0.37 | 7.96 | 7.18 | 090 | |
| 22315 | A | Treat spine fracture | 8.84 | 18.69 | 7.74 | 1.37 | 28.90 | 17.95 | 090 | |
| 22318 | A | Treat odontoid fx w/o graft | 21.50 | N/A | 13.81 | 4.26 | N/A | 39.57 | 090 | |
| 22319 | A | Treat odontoid fx w/graft | 24.00 | N/A | 15.33 | 4.76 | N/A | 44.09 | 090 | |
| 22325 | A | Treat spine fracture | 18.30 | N/A | 12.41 | 2.61 | N/A | 33.32 | 090 | |
| 22326 | A | Treat neck spine fracture | 19.59 | N/A | 13.20 | 3.54 | N/A | 36.33 | 090 | |
| 22327 | A | Treat thorax spine fracture | 19.20 | N/A | 12.71 | 2.75 | N/A | 34.66 | 090 | |
| 22328 | A | Treat each add spine fx | 4.61 | N/A | 2.32 | 0.66 | N/A | 7.59 | ZZZ | |
| 22505 | A | Manipulation of spine | 1.87 | N/A | 0.95 | 0.27 | N/A | 3.09 | 010 | |
| 22520 | A | Percut vertebroplasty thor | 8.91 | 104.96 | 4.40 | 0.99 | 114.86 | 14.30 | 010 | |
| 22521 | A | Percut vertebroplasty lumb | 8.34 | 93.70 | 4.24 | 0.93 | 102.97 | 13.51 | 010 | |
| 22522 | A | Percut vertebroplasty addl | 4.31 | N/A | 1.72 | 0.33 | N/A | 6.36 | ZZZ | |
| 22548 | A | Neck spine fusion | 25.82 | N/A | 16.15 | 4.98 | N/A | 46.95 | 090 | |
| 22554 | A | Neck spine fusion | 18.62 | N/A | 12.57 | 3.51 | N/A | 34.70 | 090 | |
| 22556 | A | Thorax spine fusion | 23.46 | N/A | 14.91 | 3.78 | N/A | 42.15 | 090 | |
| 22558 | A | Lumbar spine fusion | 22.28 | N/A | 13.45 | 3.18 | N/A | 38.91 | 090 | |
| 22585 | A | Additional spinal fusion | 5.53 | N/A | 2.86 | 0.98 | N/A | 9.37 | ZZZ | |
| 22590 | A | Spine skull spinal fusion | 20.51 | N/A | 13.57 | 3.81 | N/A | 37.89 | 090 | |
| 22595 | A | Neck spinal fusion | 19.39 | N/A | 13.06 | 3.62 | N/A | 36.07 | 090 | |
| 22600 | A | Neck spine fusion | 16.14 | N/A | 11.37 | 2.89 | N/A | 30.40 | 090 | |
| 22610 | A | Thorax spine fusion | 16.02 | N/A | 11.55 | 2.66 | N/A | 30.23 | 090 | |
| 22612 | A | Lumbar spine fusion | 21.00 | N/A | 14.36 | 3.28 | N/A | 38.64 | 090 | |
| 22614 | A | Spine fusion, extra segment | 6.44 | N/A | 3.43 | 1.04 | N/A | 10.91 | ZZZ | |
| 22630 | A | Lumbar spine fusion | 20.84 | N/A | 13.82 | 3.79 | N/A | 38.45 | 090 | |
| 22632 | A | Spine fusion, extra segment | 5.23 | N/A | 2.73 | 0.90 | N/A | 8.86 | ZZZ | |
| 22800 | A | Fusion of spine | 18.25 | N/A | 12.88 | 2.71 | N/A | 33.84 | 090 | |
| 22802 | A | Fusion of spine | 30.88 | N/A | 19.84 | 4.42 | N/A | 55.14 | 090 | |
| 22804 | A | Fusion of spine | 36.27 | N/A | 23.00 | 5.23 | N/A | 64.50 | 090 | |
| 22808 | A | Fusion of spine | 26.27 | N/A | 16.55 | 4.36 | N/A | 47.18 | 090 | |
| 22810 | A | Fusion of spine | 30.27 | N/A | 18.61 | 4.49 | N/A | 53.37 | 090 | |
| 22812 | A | Fusion of spine | 32.70 | N/A | 20.21 | 4.67 | N/A | 57.58 | 090 | |
| 22818 | A | Kyphectomy, 1-2 segments | 31.83 | N/A | 19.30 | 5.01 | N/A | 56.14 | 090 | |
| 22819 | A | Kyphectomy, 3 or more | 36.44 | N/A | 20.38 | 5.20 | N/A | 62.02 | 090 | |
| 22830 | A | Exploration of spinal fusion | 10.85 | N/A | 8.13 | 1.73 | N/A | 20.71 | 090 | |
| 22840 | A | Insert spine fixation device | 12.54 | N/A | 6.64 | 2.03 | N/A | 21.21 | ZZZ | |
| 22842 | A | Insert spine fixation device | 12.58 | N/A | 6.66 | 2.04 | N/A | 21.28 | ZZZ | |
| 22843 | A | Insert spine fixation device | 13.46 | N/A | 6.75 | 2.10 | N/A | 22.31 | ZZZ | |
| 22844 | A | Insert spine fixation device | 16.44 | N/A | 8.95 | 2.42 | N/A | 27.81 | ZZZ | |
| 22845 | A | Insert spine fixation device | 11.96 | N/A | 6.22 | 2.22 | N/A | 20.40 | ZZZ | |
| 22846 | A | Insert spine fixation device | 12.42 | N/A | 6.48 | 2.26 | N/A | 21.16 | ZZZ | |
| 22847 | A | Insert spine fixation device | 13.80 | N/A | 7.19 | 2.36 | N/A | 23.35 | ZZZ | |
| 22848 | A | Insert pelv fixation device | 6.00 | N/A | 3.26 | 0.88 | N/A | 10.14 | ZZZ | |
| 22849 | A | Reinsert spinal fixation | 18.51 | N/A | 12.17 | 2.87 | N/A | 33.55 | 090 | |
| 22850 | A | Remove spine fixation device | 9.52 | N/A | 7.28 | 1.51 | N/A | 18.31 | 090 | |
| 22851 | A | Apply spine prosth device | 6.71 | N/A | 3.44 | 1.11 | N/A | 11.26 | ZZZ | |
| 22852 | A | Remove spine fixation device | 9.01 | N/A | 7.06 | 1.40 | N/A | 17.47 | 090 | |
| 22855 | A | Remove spine fixation device | 15.13 | N/A | 10.02 | 2.74 | N/A | 27.89 | 090 | |
| 22899 | C | Spine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 22900 | A | Remove abdominal wall lesion | 5.80 | N/A | 3.32 | 0.58 | N/A | 9.70 | 090 | |
| 22999 | C | Abdomen surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23000 | A | Removal of calcium deposits | 4.36 | 5.59 | 4.74 | 0.50 | 10.45 | 9.60 | 090 | |
| 23020 | A | Release shoulder joint | 8.93 | N/A | 7.82 | 1.23 | N/A | 17.98 | 090 | |
| 23030 | A | Drain shoulder lesion | 3.43 | 3.07 | 2.97 | 0.42 | 6.92 | 6.82 | 010 | |
| 23031 | A | Drain shoulder bursa | 2.74 | 2.73 | 2.73 | 0.33 | 5.80 | 5.80 | 010 | |
| 23035 | A | Drain shoulder bone lesion | 8.61 | N/A | 9.12 | 1.19 | N/A | 18.92 | 090 | |
| 23040 | A | Exploratory shoulder surgery | 9.20 | N/A | 8.20 | 1.28 | N/A | 18.68 | 090 | |
| 23044 | A | Exploratory shoulder surgery | 7.12 | N/A | 6.80 | 0.97 | N/A | 14.89 | 090 | |
| 23065 | A | Biopsy shoulder tissues | 2.27 | 2.88 | 1.55 | 0.14 | 5.29 | 3.96 | 010 | |
| 23066 | A | Biopsy shoulder tissues | 4.16 | 5.19 | 4.18 | 0.50 | 9.85 | 8.84 | 090 | |
| 23075 | A | Removal of shoulder lesion | 2.39 | 2.27 | 1.82 | 0.25 | 4.91 | 4.46 | 010 | |
| 23076 | A | Removal of shoulder lesion | 7.63 | N/A | 5.88 | 0.87 | N/A | 14.38 | 090 | |
| 23077 | A | Remove tumor of shoulder | 16.09 | N/A | 11.03 | 1.81 | N/A | 28.93 | 090 | |
| 23100 | A | Biopsy of shoulder joint | 6.03 | N/A | 5.89 | 0.81 | N/A | 12.73 | 090 | |
| 23101 | A | Shoulder joint surgery | 5.58 | N/A | 5.68 | 0.77 | N/A | 12.03 | 090 | |
| 23105 | A | Remove shoulder joint lining | 8.23 | N/A | 7.41 | 1.13 | N/A | 16.77 | 090 | |
| 23106 | A | Incision of collarbone joint | 5.96 | N/A | 5.93 | 0.82 | N/A | 12.71 | 090 | |
| 23107 | A | Explore treat shoulder joint | 8.62 | N/A | 7.63 | 1.19 | N/A | 17.44 | 090 | |
| 23120 | A | Partial removal, collar bone | 7.11 | N/A | 6.70 | 0.99 | N/A | 14.80 | 090 | |
| 23125 | A | Removal of collar bone | 9.39 | N/A | 7.85 | 1.27 | N/A | 18.51 | 090 | |
| 23130 | A | Remove shoulder bone, part | 7.55 | N/A | 7.23 | 1.06 | N/A | 15.84 | 090 | |
| 23140 | A | Removal of bone lesion | 6.89 | N/A | 5.56 | 0.82 | N/A | 13.27 | 090 | |
| 23145 | A | Removal of bone lesion | 9.09 | N/A | 7.92 | 1.24 | N/A | 18.25 | 090 | |
| 23146 | A | Removal of bone lesion | 7.83 | N/A | 7.39 | 1.11 | N/A | 16.33 | 090 | |
| 23150 | A | Removal of humerus lesion | 8.48 | N/A | 7.19 | 1.14 | N/A | 16.81 | 090 | |
| 23155 | A | Removal of humerus lesion | 10.35 | N/A | 8.64 | 1.20 | N/A | 20.19 | 090 | |
| 23156 | A | Removal of humerus lesion | 8.68 | N/A | 7.63 | 1.18 | N/A | 17.49 | 090 | |
| 23170 | A | Remove collar bone lesion | 6.86 | N/A | 6.60 | 0.84 | N/A | 14.30 | 090 | |
| 23172 | A | Remove shoulder blade lesion | 6.90 | N/A | 6.70 | 0.95 | N/A | 14.55 | 090 | |
| 23174 | A | Remove humerus lesion | 9.51 | N/A | 8.63 | 1.30 | N/A | 19.44 | 090 | |
| 23180 | A | Remove collar bone lesion | 8.53 | N/A | 9.76 | 1.18 | N/A | 19.47 | 090 | |
| 23182 | A | Remove shoulder blade lesion | 8.15 | N/A | 9.36 | 1.08 | N/A | 18.59 | 090 | |
| 23184 | A | Remove humerus lesion | 9.38 | N/A | 10.12 | 1.24 | N/A | 20.74 | 090 | |
| 23190 | A | Partial removal of scapula | 7.24 | N/A | 6.34 | 0.97 | N/A | 14.55 | 090 | |
| 23195 | A | Removal of head of humerus | 9.81 | N/A | 8.00 | 1.38 | N/A | 19.19 | 090 | |
| 23200 | A | Removal of collar bone | 12.08 | N/A | 9.24 | 1.48 | N/A | 22.80 | 090 | |
| 23210 | A | Removal of shoulder blade | 12.49 | N/A | 9.61 | 1.61 | N/A | 23.71 | 090 | |
| 23220 | A | Partial removal of humerus | 14.56 | N/A | 11.28 | 2.03 | N/A | 27.87 | 090 | |
| 23221 | A | Partial removal of humerus | 17.74 | N/A | 12.23 | 2.51 | N/A | 32.48 | 090 | |
| 23222 | A | Partial removal of humerus | 23.92 | N/A | 16.44 | 3.37 | N/A | 43.73 | 090 | |
| 23330 | A | Remove shoulder foreign body | 1.85 | 2.08 | 1.89 | 0.18 | 4.11 | 3.92 | 010 | |
| 23331 | A | Remove shoulder foreign body | 7.38 | N/A | 7.02 | 1.02 | N/A | 15.42 | 090 | |
| 23332 | A | Remove shoulder foreign body | 11.62 | N/A | 9.49 | 1.62 | N/A | 22.73 | 090 | |
| 23350 | A | Injection for shoulder x-ray | 1.00 | 3.88 | 0.34 | 0.05 | 4.93 | 1.39 | 000 | |
| 23395 | A | Muscle transfer,shoulder/arm | 16.85 | N/A | 12.87 | 2.29 | N/A | 32.01 | 090 | |
| 23397 | A | Muscle transfers | 16.13 | N/A | 11.59 | 2.24 | N/A | 29.96 | 090 | |
| 23400 | A | Fixation of shoulder blade | 13.54 | N/A | 10.42 | 1.91 | N/A | 25.87 | 090 | |
| 23405 | A | Incision of tendon muscle | 8.37 | N/A | 7.08 | 1.12 | N/A | 16.57 | 090 | |
| 23406 | A | Incise tendon(s) muscle(s) | 10.79 | N/A | 8.66 | 1.48 | N/A | 20.93 | 090 | |
| 23410 | A | Repair rotator cuff, acute | 12.45 | N/A | 9.69 | 1.72 | N/A | 23.86 | 090 | |
| 23412 | A | Repair rotator cuff, chronic | 13.31 | N/A | 10.19 | 1.86 | N/A | 25.36 | 090 | |
| 23415 | A | Release of shoulder ligament | 9.97 | N/A | 8.12 | 1.39 | N/A | 19.48 | 090 | |
| 23420 | A | Repair of shoulder | 13.30 | N/A | 11.08 | 1.86 | N/A | 26.24 | 090 | |
| 23430 | A | Repair biceps tendon | 9.98 | N/A | 8.36 | 1.40 | N/A | 19.74 | 090 | |
| 23440 | A | Remove/transplant tendon | 10.48 | N/A | 8.55 | 1.47 | N/A | 20.50 | 090 | |
| 23450 | A | Repair shoulder capsule | 13.40 | N/A | 10.16 | 1.86 | N/A | 25.42 | 090 | |
| 23455 | A | Repair shoulder capsule | 14.37 | N/A | 10.75 | 2.01 | N/A | 27.13 | 090 | |
| 23460 | A | Repair shoulder capsule | 15.37 | N/A | 11.58 | 2.17 | N/A | 29.12 | 090 | |
| 23462 | A | Repair shoulder capsule | 15.30 | N/A | 11.08 | 2.16 | N/A | 28.54 | 090 | |
| 23465 | A | Repair shoulder capsule | 15.85 | N/A | 11.52 | 1.61 | N/A | 28.98 | 090 | |
| 23466 | A | Repair shoulder capsule | 14.22 | N/A | 11.48 | 2.00 | N/A | 27.70 | 090 | |
| 23470 | A | Reconstruct shoulder joint | 17.15 | N/A | 12.30 | 2.40 | N/A | 31.85 | 090 | |
| 23472 | A | Reconstruct shoulder joint | 21.10 | N/A | 14.54 | 2.37 | N/A | 38.01 | 090 | |
| 23480 | A | Revision of collar bone | 11.18 | N/A | 9.04 | 1.56 | N/A | 21.78 | 090 | |
| 23485 | A | Revision of collar bone | 13.43 | N/A | 10.19 | 1.84 | N/A | 25.46 | 090 | |
| 23490 | A | Reinforce clavicle | 11.86 | N/A | 8.96 | 1.11 | N/A | 21.93 | 090 | |
| 23491 | A | Reinforce shoulder bones | 14.21 | N/A | 10.90 | 2.00 | N/A | 27.11 | 090 | |
| 23500 | A | Treat clavicle fracture | 2.08 | 3.73 | 2.61 | 0.26 | 6.07 | 4.95 | 090 | |
| 23505 | A | Treat clavicle fracture | 3.69 | 5.52 | 3.92 | 0.50 | 9.71 | 8.11 | 090 | |
| 23515 | A | Treat clavicle fracture | 7.41 | N/A | 6.65 | 1.03 | N/A | 15.09 | 090 | |
| 23520 | A | Treat clavicle dislocation | 2.16 | 3.73 | 2.76 | 0.26 | 6.15 | 5.18 | 090 | |
| 23525 | A | Treat clavicle dislocation | 3.60 | 5.35 | 3.95 | 0.44 | 9.39 | 7.99 | 090 | |
| 23530 | A | Treat clavicle dislocation | 7.31 | N/A | 6.08 | 0.85 | N/A | 14.24 | 090 | |
| 23532 | A | Treat clavicle dislocation | 8.01 | N/A | 7.05 | 1.13 | N/A | 16.19 | 090 | |
| 23540 | A | Treat clavicle dislocation | 2.23 | 4.34 | 2.51 | 0.24 | 6.81 | 4.98 | 090 | |
| 23545 | A | Treat clavicle dislocation | 3.25 | 4.59 | 3.45 | 0.39 | 8.23 | 7.09 | 090 | |
| 23550 | A | Treat clavicle dislocation | 7.24 | N/A | 6.51 | 0.94 | N/A | 14.69 | 090 | |
| 23552 | A | Treat clavicle dislocation | 8.45 | N/A | 7.40 | 1.18 | N/A | 17.03 | 090 | |
| 23570 | A | Treat shoulder blade fx | 2.23 | 3.74 | 2.92 | 0.29 | 6.26 | 5.44 | 090 | |
| 23575 | A | Treat shoulder blade fx | 4.06 | 5.87 | 4.33 | 0.53 | 10.46 | 8.92 | 090 | |
| 23585 | A | Treat scapula fracture | 8.96 | N/A | 7.74 | 1.25 | N/A | 17.95 | 090 | |
| 23600 | A | Treat humerus fracture | 2.93 | 5.73 | 3.80 | 0.39 | 9.05 | 7.12 | 090 | |
| 23605 | A | Treat humerus fracture | 4.87 | 7.03 | 5.36 | 0.67 | 12.57 | 10.90 | 090 | |
| 23615 | A | Treat humerus fracture | 9.35 | N/A | 8.86 | 1.31 | N/A | 19.52 | 090 | |
| 23616 | A | Treat humerus fracture | 21.27 | N/A | 14.39 | 2.98 | N/A | 38.64 | 090 | |
| 23620 | A | Treat humerus fracture | 2.40 | 5.29 | 3.29 | 0.32 | 8.01 | 6.01 | 090 | |
| 23625 | A | Treat humerus fracture | 3.93 | 6.54 | 4.74 | 0.53 | 11.00 | 9.20 | 090 | |
| 23630 | A | Treat humerus fracture | 7.35 | N/A | 6.71 | 1.03 | N/A | 15.09 | 090 | |
| 23650 | A | Treat shoulder dislocation | 3.39 | 4.87 | 2.99 | 0.31 | 8.57 | 6.69 | 090 | |
| 23655 | A | Treat shoulder dislocation | 4.57 | N/A | 4.17 | 0.52 | N/A | 9.26 | 090 | |
| 23660 | A | Treat shoulder dislocation | 7.49 | N/A | 6.48 | 1.01 | N/A | 14.98 | 090 | |
| 23665 | A | Treat dislocation/fracture | 4.47 | 6.81 | 5.13 | 0.60 | 11.88 | 10.20 | 090 | |
| 23670 | A | Treat dislocation/fracture | 7.90 | N/A | 6.95 | 1.10 | N/A | 15.95 | 090 | |
| 23675 | A | Treat dislocation/fracture | 6.05 | 7.70 | 6.17 | 0.83 | 14.58 | 13.05 | 090 | |
| 23680 | A | Treat dislocation/fracture | 10.06 | N/A | 8.24 | 1.39 | N/A | 19.69 | 090 | |
| 23700 | A | Fixation of shoulder | 2.52 | N/A | 2.39 | 0.35 | N/A | 5.26 | 010 | |
| 23800 | A | Fusion of shoulder joint | 14.16 | N/A | 10.76 | 1.97 | N/A | 26.89 | 090 | |
| 23802 | A | Fusion of shoulder joint | 16.60 | N/A | 10.49 | 2.34 | N/A | 29.43 | 090 | |
| 23900 | A | Amputation of arm girdle | 19.72 | N/A | 12.21 | 2.47 | N/A | 34.40 | 090 | |
| 23920 | A | Amputation at shoulder joint | 14.61 | N/A | 10.45 | 1.92 | N/A | 26.98 | 090 | |
| 23921 | A | Amputation follow-up surgery | 5.49 | 5.32 | 5.32 | 0.78 | 11.59 | 11.59 | 090 | |
| 23929 | C | Shoulder surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 23930 | A | Drainage of arm lesion | 2.94 | 3.07 | 2.50 | 0.32 | 6.33 | 5.76 | 010 | |
| 23931 | A | Drainage of arm bursa | 1.79 | 2.76 | 2.31 | 0.21 | 4.76 | 4.31 | 010 | |
| 23935 | A | Drain arm/elbow bone lesion | 6.09 | N/A | 6.74 | 0.84 | N/A | 13.67 | 090 | |
| 24000 | A | Exploratory elbow surgery | 5.82 | N/A | 5.56 | 0.77 | N/A | 12.15 | 090 | |
| 24006 | A | Release elbow joint | 9.31 | N/A | 7.93 | 1.27 | N/A | 18.51 | 090 | |
| 24065 | A | Biopsy arm/elbow soft tissue | 2.08 | 2.45 | 1.94 | 0.14 | 4.67 | 4.16 | 010 | |
| 24066 | A | Biopsy arm/elbow soft tissue | 5.21 | 5.90 | 4.41 | 0.61 | 11.72 | 10.23 | 090 | |
| 24075 | A | Remove arm/elbow lesion | 3.92 | 5.18 | 3.79 | 0.43 | 9.53 | 8.14 | 090 | |
| 24076 | A | Remove arm/elbow lesion | 6.30 | N/A | 5.17 | 0.70 | N/A | 12.17 | 090 | |
| 24077 | A | Remove tumor of arm/elbow | 11.76 | N/A | 8.97 | 1.32 | N/A | 22.05 | 090 | |
| 24100 | A | Biopsy elbow joint lining | 4.93 | N/A | 4.72 | 0.62 | N/A | 10.27 | 090 | |
| 24101 | A | Explore/treat elbow joint | 6.13 | N/A | 6.07 | 0.84 | N/A | 13.04 | 090 | |
| 24102 | A | Remove elbow joint lining | 8.03 | N/A | 7.05 | 1.09 | N/A | 16.17 | 090 | |
| 24105 | A | Removal of elbow bursa | 3.61 | N/A | 4.53 | 0.49 | N/A | 8.63 | 090 | |
| 24110 | A | Remove humerus lesion | 7.39 | N/A | 6.93 | 0.99 | N/A | 15.31 | 090 | |
| 24115 | A | Remove/graft bone lesion | 9.63 | N/A | 7.58 | 1.15 | N/A | 18.36 | 090 | |
| 24116 | A | Remove/graft bone lesion | 11.81 | N/A | 9.34 | 1.66 | N/A | 22.81 | 090 | |
| 24120 | A | Remove elbow lesion | 6.65 | N/A | 6.08 | 0.87 | N/A | 13.60 | 090 | |
| 24125 | A | Remove/graft bone lesion | 7.89 | N/A | 6.38 | 0.88 | N/A | 15.15 | 090 | |
| 24126 | A | Remove/graft bone lesion | 8.31 | N/A | 7.19 | 0.90 | N/A | 16.40 | 090 | |
| 24130 | A | Removal of head of radius | 6.25 | N/A | 6.16 | 0.87 | N/A | 13.28 | 090 | |
| 24134 | A | Removal of arm bone lesion | 9.73 | N/A | 9.79 | 1.31 | N/A | 20.83 | 090 | |
| 24136 | A | Remove radius bone lesion | 7.99 | N/A | 7.66 | 0.85 | N/A | 16.50 | 090 | |
| 24138 | A | Remove elbow bone lesion | 8.05 | N/A | 7.71 | 1.12 | N/A | 16.88 | 090 | |
| 24140 | A | Partial removal of arm bone | 9.18 | N/A | 10.17 | 1.23 | N/A | 20.58 | 090 | |
| 24145 | A | Partial removal of radius | 7.58 | N/A | 8.80 | 1.01 | N/A | 17.39 | 090 | |
| 24147 | A | Partial removal of elbow | 7.54 | N/A | 9.19 | 1.04 | N/A | 17.77 | 090 | |
| 24149 | A | Radical resection of elbow | 14.20 | N/A | 11.53 | 1.90 | N/A | 27.63 | 090 | |
| 24150 | A | Extensive humerus surgery | 13.27 | N/A | 10.47 | 1.81 | N/A | 25.55 | 090 | |
| 24151 | A | Extensive humerus surgery | 15.58 | N/A | 12.08 | 2.19 | N/A | 29.85 | 090 | |
| 24152 | A | Extensive radius surgery | 10.06 | N/A | 8.27 | 1.19 | N/A | 19.52 | 090 | |
| 24153 | A | Extensive radius surgery | 11.54 | N/A | 6.08 | 0.64 | N/A | 18.26 | 090 | |
| 24155 | A | Removal of elbow joint | 11.73 | N/A | 8.62 | 1.42 | N/A | 21.77 | 090 | |
| 24160 | A | Remove elbow joint implant | 7.83 | N/A | 6.85 | 1.07 | N/A | 15.75 | 090 | |
| 24164 | A | Remove radius head implant | 6.23 | N/A | 5.77 | 0.84 | N/A | 12.84 | 090 | |
| 24200 | A | Removal of arm foreign body | 1.76 | 2.38 | 1.82 | 0.15 | 4.29 | 3.73 | 010 | |
| 24201 | A | Removal of arm foreign body | 4.56 | 5.84 | 4.46 | 0.56 | 10.96 | 9.58 | 090 | |
| 24220 | A | Injection for elbow x-ray | 1.31 | 7.42 | 0.45 | 0.07 | 8.80 | 1.83 | 000 | |
| 24300 | A | Manipulate elbow w/anesth | 3.75 | N/A | 5.70 | 0.49 | N/A | 9.94 | 090 | |
| 24301 | A | Muscle/tendon transfer | 10.20 | N/A | 8.40 | 1.30 | N/A | 19.90 | 090 | |
| 24305 | A | Arm tendon lengthening | 7.45 | N/A | 6.87 | 0.98 | N/A | 15.30 | 090 | |
| 24310 | A | Revision of arm tendon | 5.98 | N/A | 5.90 | 0.74 | N/A | 12.62 | 090 | |
| 24320 | A | Repair of arm tendon | 10.56 | N/A | 7.95 | 1.00 | N/A | 19.51 | 090 | |
| 24330 | A | Revision of arm muscles | 9.60 | N/A | 8.09 | 1.21 | N/A | 18.90 | 090 | |
| 24331 | A | Revision of arm muscles | 10.65 | N/A | 8.75 | 1.41 | N/A | 20.81 | 090 | |
| 24332 | A | Tenolysis, triceps | 7.45 | N/A | 6.76 | 0.77 | N/A | 14.98 | 090 | |
| 24340 | A | Repair of biceps tendon | 7.89 | N/A | 7.11 | 1.08 | N/A | 16.08 | 090 | |
| 24341 | A | Repair arm tendon/muscle | 7.90 | N/A | 7.86 | 1.08 | N/A | 16.84 | 090 | |
| 24342 | A | Repair of ruptured tendon | 10.62 | N/A | 8.68 | 1.48 | N/A | 20.78 | 090 | |
| 24343 | A | Repr elbow lat ligmnt w/tiss | 8.65 | N/A | 8.21 | 1.13 | N/A | 17.99 | 090 | |
| 24344 | A | Reconstruct elbow lat ligmnt | 14.00 | N/A | 11.53 | 1.83 | N/A | 27.36 | 090 | |
| 24345 | A | Repr elbw med ligmnt w/tissu | 8.65 | N/A | 8.11 | 1.13 | N/A | 17.89 | 090 | |
| 24346 | A | Reconstruct elbow med ligmnt | 14.00 | N/A | 11.38 | 1.83 | N/A | 27.21 | 090 | |
| 24350 | A | Repair of tennis elbow | 5.25 | N/A | 5.68 | 0.72 | N/A | 11.65 | 090 | |
| 24351 | A | Repair of tennis elbow | 5.91 | N/A | 6.04 | 0.82 | N/A | 12.77 | 090 | |
| 24352 | A | Repair of tennis elbow | 6.43 | N/A | 6.30 | 0.90 | N/A | 13.63 | 090 | |
| 24354 | A | Repair of tennis elbow | 6.48 | N/A | 6.26 | 0.88 | N/A | 13.62 | 090 | |
| 24356 | A | Revision of tennis elbow | 6.68 | N/A | 6.44 | 0.90 | N/A | 14.02 | 090 | |
| 24360 | A | Reconstruct elbow joint | 12.34 | N/A | 9.48 | 1.69 | N/A | 23.51 | 090 | |
| 24361 | A | Reconstruct elbow joint | 14.08 | N/A | 10.56 | 1.95 | N/A | 26.59 | 090 | |
| 24362 | A | Reconstruct elbow joint | 14.99 | N/A | 10.12 | 1.92 | N/A | 27.03 | 090 | |
| 24363 | A | Replace elbow joint | 18.49 | N/A | 13.78 | 2.52 | N/A | 34.79 | 090 | |
| 24365 | A | Reconstruct head of radius | 8.39 | N/A | 7.16 | 1.11 | N/A | 16.66 | 090 | |
| 24366 | A | Reconstruct head of radius | 9.13 | N/A | 7.51 | 1.28 | N/A | 17.92 | 090 | |
| 24400 | A | Revision of humerus | 11.06 | N/A | 9.14 | 1.53 | N/A | 21.73 | 090 | |
| 24410 | A | Revision of humerus | 14.82 | N/A | 10.69 | 1.89 | N/A | 27.40 | 090 | |
| 24420 | A | Revision of humerus | 13.44 | N/A | 11.04 | 1.82 | N/A | 26.30 | 090 | |
| 24430 | A | Repair of humerus | 12.81 | N/A | 10.01 | 1.80 | N/A | 24.62 | 090 | |
| 24435 | A | Repair humerus with graft | 13.17 | N/A | 11.10 | 1.84 | N/A | 26.11 | 090 | |
| 24470 | A | Revision of elbow joint | 8.74 | N/A | 7.83 | 1.23 | N/A | 17.80 | 090 | |
| 24495 | A | Decompression of forearm | 8.12 | N/A | 9.09 | 0.92 | N/A | 18.13 | 090 | |
| 24498 | A | Reinforce humerus | 11.92 | N/A | 9.52 | 1.67 | N/A | 23.11 | 090 | |
| 24500 | A | Treat humerus fracture | 3.21 | 5.40 | 3.59 | 0.41 | 9.02 | 7.21 | 090 | |
| 24505 | A | Treat humerus fracture | 5.17 | 7.64 | 5.58 | 0.72 | 13.53 | 11.47 | 090 | |
| 24515 | A | Treat humerus fracture | 11.65 | N/A | 9.48 | 1.63 | N/A | 22.76 | 090 | |
| 24516 | A | Treat humerus fracture | 11.65 | N/A | 9.45 | 1.63 | N/A | 22.73 | 090 | |
| 24530 | A | Treat humerus fracture | 3.50 | 5.59 | 4.11 | 0.47 | 9.56 | 8.08 | 090 | |
| 24535 | A | Treat humerus fracture | 6.87 | 8.54 | 6.53 | 0.96 | 16.37 | 14.36 | 090 | |
| 24538 | A | Treat humerus fracture | 9.43 | N/A | 8.85 | 1.25 | N/A | 19.53 | 090 | |
| 24545 | A | Treat humerus fracture | 10.46 | N/A | 8.55 | 1.47 | N/A | 20.48 | 090 | |
| 24546 | A | Treat humerus fracture | 15.69 | N/A | 11.63 | 2.18 | N/A | 29.50 | 090 | |
| 24560 | A | Treat humerus fracture | 2.80 | 5.07 | 3.19 | 0.35 | 8.22 | 6.34 | 090 | |
| 24565 | A | Treat humerus fracture | 5.56 | 7.42 | 5.50 | 0.74 | 13.72 | 11.80 | 090 | |
| 24566 | A | Treat humerus fracture | 7.79 | N/A | 8.36 | 1.10 | N/A | 17.25 | 090 | |
| 24575 | A | Treat humerus fracture | 10.66 | N/A | 8.42 | 1.44 | N/A | 20.52 | 090 | |
| 24576 | A | Treat humerus fracture | 2.86 | 4.94 | 3.57 | 0.38 | 8.18 | 6.81 | 090 | |
| 24577 | A | Treat humerus fracture | 5.79 | 7.70 | 5.80 | 0.81 | 14.30 | 12.40 | 090 | |
| 24579 | A | Treat humerus fracture | 11.60 | N/A | 9.10 | 1.62 | N/A | 22.32 | 090 | |
| 24582 | A | Treat humerus fracture | 8.55 | N/A | 9.17 | 1.20 | N/A | 18.92 | 090 | |
| 24586 | A | Treat elbow fracture | 15.21 | N/A | 11.19 | 2.12 | N/A | 28.52 | 090 | |
| 24587 | A | Treat elbow fracture | 15.16 | N/A | 11.00 | 2.14 | N/A | 28.30 | 090 | |
| 24600 | A | Treat elbow dislocation | 4.23 | 5.86 | 3.74 | 0.49 | 10.58 | 8.46 | 090 | |
| 24605 | A | Treat elbow dislocation | 5.42 | N/A | 5.16 | 0.72 | N/A | 11.30 | 090 | |
| 24615 | A | Treat elbow dislocation | 9.42 | N/A | 7.84 | 1.31 | N/A | 18.57 | 090 | |
| 24620 | A | Treat elbow fracture | 6.98 | N/A | 6.23 | 0.90 | N/A | 14.11 | 090 | |
| 24635 | A | Treat elbow fracture | 13.19 | N/A | 14.76 | 1.84 | N/A | 29.79 | 090 | |
| 24640 | A | Treat elbow dislocation | 1.20 | 2.06 | 0.91 | 0.11 | 3.37 | 2.22 | 010 | |
| 24650 | A | Treat radius fracture | 2.16 | 4.64 | 2.79 | 0.28 | 7.08 | 5.23 | 090 | |
| 24655 | A | Treat radius fracture | 4.40 | 6.89 | 4.78 | 0.58 | 11.87 | 9.76 | 090 | |
| 24665 | A | Treat radius fracture | 8.14 | N/A | 7.62 | 1.13 | N/A | 16.89 | 090 | |
| 24666 | A | Treat radius fracture | 9.49 | N/A | 8.30 | 1.32 | N/A | 19.11 | 090 | |
| 24670 | A | Treat ulnar fracture | 2.54 | 4.52 | 3.07 | 0.33 | 7.39 | 5.94 | 090 | |
| 24675 | A | Treat ulnar fracture | 4.72 | 6.94 | 5.01 | 0.65 | 12.31 | 10.38 | 090 | |
| 24685 | A | Treat ulnar fracture | 8.80 | N/A | 7.77 | 1.23 | N/A | 17.80 | 090 | |
| 24800 | A | Fusion of elbow joint | 11.20 | N/A | 8.95 | 1.41 | N/A | 21.56 | 090 | |
| 24802 | A | Fusion/graft of elbow joint | 13.69 | N/A | 10.59 | 1.89 | N/A | 26.17 | 090 | |
| 24900 | A | Amputation of upper arm | 9.60 | N/A | 7.53 | 1.18 | N/A | 18.31 | 090 | |
| 24920 | A | Amputation of upper arm | 9.54 | N/A | 7.88 | 1.22 | N/A | 18.64 | 090 | |
| 24925 | A | Amputation follow-up surgery | 7.07 | N/A | 6.45 | 0.95 | N/A | 14.47 | 090 | |
| 24930 | A | Amputation follow-up surgery | 10.25 | N/A | 7.78 | 1.23 | N/A | 19.26 | 090 | |
| 24931 | A | Amputate upper arm implant | 12.72 | N/A | 6.31 | 1.56 | N/A | 20.59 | 090 | |
| 24935 | A | Revision of amputation | 15.56 | N/A | 8.64 | 1.58 | N/A | 25.78 | 090 | |
| 24940 | C | Revision of upper arm | 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 | YYY | |
| 25000 | A | Incision of tendon sheath | 3.38 | N/A | 6.95 | 0.45 | N/A | 10.78 | 090 | |
| 25001 | A | Incise flexor carpi radialis | 3.38 | N/A | 4.29 | 0.45 | N/A | 8.12 | 090 | |
| 25020 | A | Decompress forearm 1 space | 5.92 | N/A | 10.24 | 0.76 | N/A | 16.92 | 090 | |
| 25023 | A | Decompress forearm 1 space | 12.96 | N/A | 15.71 | 1.52 | N/A | 30.19 | 090 | |
| 25024 | A | Decompress forearm 2 spaces | 9.50 | N/A | 7.63 | 1.24 | N/A | 18.37 | 090 | |
| 25025 | A | Decompress forarm 2 spaces | 16.54 | N/A | 10.25 | 2.18 | N/A | 28.97 | 090 | |
| 25028 | A | Drainage of forearm lesion | 5.25 | N/A | 8.79 | 0.61 | N/A | 14.65 | 090 | |
| 25031 | A | Drainage of forearm bursa | 4.14 | N/A | 8.65 | 0.50 | N/A | 13.29 | 090 | |
| 25035 | A | Treat forearm bone lesion | 7.36 | N/A | 14.64 | 0.98 | N/A | 22.98 | 090 | |
| 25040 | A | Explore/treat wrist joint | 7.18 | N/A | 7.68 | 0.96 | N/A | 15.82 | 090 | |
| 25065 | A | Biopsy forearm soft tissues | 1.99 | 2.89 | 2.89 | 0.12 | 5.00 | 5.00 | 010 | |
| 25066 | A | Biopsy forearm soft tissues | 4.13 | N/A | 7.43 | 0.49 | N/A | 12.05 | 090 | |
| 25075 | A | Removel forearm lesion subcu | 3.74 | N/A | 6.28 | 0.40 | N/A | 10.42 | 090 | |
| 25076 | A | Removel forearm lesion deep | 4.92 | N/A | 10.35 | 0.59 | N/A | 15.86 | 090 | |
| 25077 | A | Remove tumor, forearm/wrist | 9.76 | N/A | 12.98 | 1.10 | N/A | 23.84 | 090 | |
| 25085 | A | Incision of wrist capsule | 5.50 | N/A | 7.81 | 0.71 | N/A | 14.02 | 090 | |
| 25100 | A | Biopsy of wrist joint | 3.90 | N/A | 5.67 | 0.50 | N/A | 10.07 | 090 | |
| 25101 | A | Explore/treat wrist joint | 4.69 | N/A | 6.25 | 0.60 | N/A | 11.54 | 090 | |
| 25105 | A | Remove wrist joint lining | 5.85 | N/A | 7.88 | 0.77 | N/A | 14.50 | 090 | |
| 25107 | A | Remove wrist joint cartilage | 6.43 | N/A | 8.83 | 0.82 | N/A | 16.08 | 090 | |
| 25110 | A | Remove wrist tendon lesion | 3.92 | N/A | 7.46 | 0.48 | N/A | 11.86 | 090 | |
| 25111 | A | Remove wrist tendon lesion | 3.39 | N/A | 5.08 | 0.42 | N/A | 8.89 | 090 | |
| 25112 | A | Reremove wrist tendon lesion | 4.53 | N/A | 5.69 | 0.54 | N/A | 10.76 | 090 | |
| 25115 | A | Remove wrist/forearm lesion | 8.82 | N/A | 14.84 | 1.11 | N/A | 24.77 | 090 | |
| 25116 | A | Remove wrist/forearm lesion | 7.11 | N/A | 13.82 | 0.90 | N/A | 21.83 | 090 | |
| 25118 | A | Excise wrist tendon sheath | 4.37 | N/A | 6.17 | 0.55 | N/A | 11.09 | 090 | |
| 25119 | A | Partial removal of ulna | 6.04 | N/A | 8.17 | 0.80 | N/A | 15.01 | 090 | |
| 25120 | A | Removal of forearm lesion | 6.10 | N/A | 12.83 | 0.81 | N/A | 19.74 | 090 | |
| 25125 | A | Remove/graft forearm lesion | 7.48 | N/A | 13.61 | 1.02 | N/A | 22.11 | 090 | |
| 25126 | A | Remove/graft forearm lesion | 7.55 | N/A | 13.69 | 1.00 | N/A | 22.24 | 090 | |
| 25130 | A | Removal of wrist lesion | 5.26 | N/A | 6.72 | 0.66 | N/A | 12.64 | 090 | |
| 25135 | A | Remove graft wrist lesion | 6.89 | N/A | 7.75 | 0.89 | N/A | 15.53 | 090 | |
| 25136 | A | Remove graft wrist lesion | 5.97 | N/A | 6.87 | 0.58 | N/A | 13.42 | 090 | |
| 25145 | A | Remove forearm bone lesion | 6.37 | N/A | 12.84 | 0.82 | N/A | 20.03 | 090 | |
| 25150 | A | Partial removal of ulna | 7.09 | N/A | 8.85 | 0.96 | N/A | 16.90 | 090 | |
| 25151 | A | Partial removal of radius | 7.39 | N/A | 13.46 | 0.93 | N/A | 21.78 | 090 | |
| 25170 | A | Extensive forearm surgery | 11.09 | N/A | 15.81 | 1.52 | N/A | 28.42 | 090 | |
| 25210 | A | Removal of wrist bone | 5.95 | N/A | 7.10 | 0.73 | N/A | 13.78 | 090 | |
| 25215 | A | Removal of wrist bones | 7.89 | N/A | 9.32 | 1.02 | N/A | 18.23 | 090 | |
| 25230 | A | Partial removal of radius | 5.23 | N/A | 6.51 | 0.66 | N/A | 12.40 | 090 | |
| 25240 | A | Partial removal of ulna | 5.17 | N/A | 7.59 | 0.69 | N/A | 13.45 | 090 | |
| 25246 | A | Injection for wrist x-ray | 1.45 | 7.16 | 0.49 | 0.07 | 8.68 | 2.01 | 000 | |
| 25248 | A | Remove forearm foreign body | 5.14 | N/A | 9.00 | 0.54 | N/A | 14.68 | 090 | |
| 25250 | A | Removal of wrist prosthesis | 6.60 | N/A | 6.06 | 0.84 | N/A | 13.50 | 090 | |
| 25251 | A | Removal of wrist prosthesis | 9.57 | N/A | 7.95 | 1.15 | N/A | 18.67 | 090 | |
| 25259 | A | Manipulate wrist w/anesthes | 3.75 | N/A | 5.70 | 0.50 | N/A | 9.95 | 090 | |
| 25260 | A | Repair forearm tendon/muscle | 7.80 | N/A | 14.22 | 0.97 | N/A | 22.99 | 090 | |
| 25263 | A | Repair forearm tendon/muscle | 7.82 | N/A | 14.09 | 0.94 | N/A | 22.85 | 090 | |
| 25265 | A | Repair forearm tendon/muscle | 9.88 | N/A | 14.98 | 1.19 | N/A | 26.05 | 090 | |
| 25270 | A | Repair forearm tendon/muscle | 6.00 | N/A | 12.99 | 0.76 | N/A | 19.75 | 090 | |
| 25272 | A | Repair forearm tendon/muscle | 7.04 | N/A | 13.70 | 0.89 | N/A | 21.63 | 090 | |
| 25274 | A | Repair forearm tendon/muscle | 8.75 | N/A | 14.41 | 1.14 | N/A | 24.30 | 090 | |
| 25275 | A | Repair forearm tendon sheath | 8.50 | N/A | 7.72 | 1.13 | N/A | 17.35 | 090 | |
| 25280 | A | Revise wrist/forearm tendon | 7.22 | N/A | 13.39 | 0.91 | N/A | 21.52 | 090 | |
| 25290 | A | Incise wrist/forearm tendon | 5.29 | N/A | 16.39 | 0.66 | N/A | 22.34 | 090 | |
| 25295 | A | Release wrist/forearm tendon | 6.55 | N/A | 12.95 | 0.86 | N/A | 20.36 | 090 | |
| 25300 | A | Fusion of tendons at wrist | 8.80 | N/A | 8.66 | 1.07 | N/A | 18.53 | 090 | |
| 25301 | A | Fusion of tendons at wrist | 8.40 | N/A | 8.38 | 1.08 | N/A | 17.86 | 090 | |
| 25310 | A | Transplant forearm tendon | 8.14 | N/A | 13.81 | 1.01 | N/A | 22.96 | 090 | |
| 25312 | A | Transplant forearm tendon | 9.57 | N/A | 14.72 | 1.22 | N/A | 25.51 | 090 | |
| 25315 | A | Revise palsy hand tendon(s) | 10.20 | N/A | 15.32 | 1.26 | N/A | 26.78 | 090 | |
| 25316 | A | Revise palsy hand tendon(s) | 12.33 | N/A | 16.98 | 1.74 | N/A | 31.05 | 090 | |
| 25320 | A | Repair/revise wrist joint | 10.77 | N/A | 11.40 | 1.32 | N/A | 23.49 | 090 | |
| 25332 | A | Revise wrist joint | 11.41 | N/A | 9.18 | 1.46 | N/A | 22.05 | 090 | |
| 25335 | A | Realignment of hand | 12.88 | N/A | 11.90 | 1.66 | N/A | 26.44 | 090 | |
| 25337 | A | Reconstruct ulna/radioulnar | 10.17 | N/A | 11.55 | 1.31 | N/A | 23.03 | 090 | |
| 25350 | A | Revision of radius | 8.78 | N/A | 14.68 | 1.17 | N/A | 24.63 | 090 | |
| 25355 | A | Revision of radius | 10.17 | N/A | 15.36 | 1.44 | N/A | 26.97 | 090 | |
| 25360 | A | Revision of ulna | 8.43 | N/A | 14.59 | 1.17 | N/A | 24.19 | 090 | |
| 25365 | A | Revise radius ulna | 12.40 | N/A | 16.32 | 1.67 | N/A | 30.39 | 090 | |
| 25370 | A | Revise radius or ulna | 13.36 | N/A | 16.54 | 1.88 | N/A | 31.78 | 090 | |
| 25375 | A | Revise radius ulna | 13.04 | N/A | 17.15 | 1.84 | N/A | 32.03 | 090 | |
| 25390 | A | Shorten radius or ulna | 10.40 | N/A | 15.34 | 1.38 | N/A | 27.12 | 090 | |
| 25391 | A | Lengthen radius or ulna | 13.65 | N/A | 17.22 | 1.73 | N/A | 32.60 | 090 | |
| 25392 | A | Shorten radius ulna | 13.95 | N/A | 16.31 | 1.73 | N/A | 31.99 | 090 | |
| 25393 | A | Lengthen radius ulna | 15.87 | N/A | 18.23 | 1.87 | N/A | 35.97 | 090 | |
| 25394 | A | Repair carpal bone, shorten | 10.40 | N/A | 8.53 | 1.40 | N/A | 20.33 | 090 | |
| 25400 | A | Repair radius or ulna | 10.92 | N/A | 15.93 | 1.50 | N/A | 28.35 | 090 | |
| 25405 | A | Repair/graft radius or ulna | 14.38 | N/A | 17.96 | 1.95 | N/A | 34.29 | 090 | |
| 25415 | A | Repair radius ulna | 13.35 | N/A | 17.20 | 1.87 | N/A | 32.42 | 090 | |
| 25420 | A | Repair/graft radius ulna | 16.33 | N/A | 18.97 | 2.20 | N/A | 37.50 | 090 | |
| 25425 | A | Repair/graft radius or ulna | 13.21 | N/A | 23.02 | 1.61 | N/A | 37.84 | 090 | |
| 25426 | A | Repair/graft radius ulna | 15.82 | N/A | 17.55 | 2.23 | N/A | 35.60 | 090 | |
| 25430 | A | Vasc graft into carpal bone | 9.25 | N/A | 7.54 | 1.07 | N/A | 17.86 | 090 | |
| 25431 | A | Repair nonunion carpal bone | 10.44 | N/A | 8.52 | 0.56 | N/A | 19.52 | 090 | |
| 25440 | A | Repair/graft wrist bone | 10.44 | N/A | 9.69 | 1.41 | N/A | 21.54 | 090 | |
| 25441 | A | Reconstruct wrist joint | 12.90 | N/A | 10.01 | 1.83 | N/A | 24.74 | 090 | |
| 25442 | A | Reconstruct wrist joint | 10.85 | N/A | 8.88 | 1.24 | N/A | 20.97 | 090 | |
| 25443 | A | Reconstruct wrist joint | 10.39 | N/A | 8.76 | 1.30 | N/A | 20.45 | 090 | |
| 25444 | A | Reconstruct wrist joint | 11.15 | N/A | 9.07 | 1.43 | N/A | 21.65 | 090 | |
| 25445 | A | Reconstruct wrist joint | 9.69 | N/A | 8.02 | 1.26 | N/A | 18.97 | 090 | |
| 25446 | A | Wrist replacement | 16.55 | N/A | 11.98 | 2.20 | N/A | 30.73 | 090 | |
| 25447 | A | Repair wrist joint(s) | 10.37 | N/A | 8.64 | 1.34 | N/A | 20.35 | 090 | |
| 25449 | A | Remove wrist joint implant | 14.49 | N/A | 10.72 | 1.77 | N/A | 26.98 | 090 | |
| 25450 | A | Revision of wrist joint | 7.87 | N/A | 10.71 | 0.88 | N/A | 19.46 | 090 | |
| 25455 | A | Revision of wrist joint | 9.49 | N/A | 11.66 | 1.07 | N/A | 22.22 | 090 | |
| 25490 | A | Reinforce radius | 9.54 | N/A | 14.46 | 1.19 | N/A | 25.19 | 090 | |
| 25491 | A | Reinforce ulna | 9.96 | N/A | 15.21 | 1.41 | N/A | 26.58 | 090 | |
| 25492 | A | Reinforce radius and ulna | 12.33 | N/A | 15.97 | 1.62 | N/A | 29.92 | 090 | |
| 25500 | A | Treat fracture of radius | 2.45 | 4.06 | 2.77 | 0.28 | 6.79 | 5.50 | 090 | |
| 25505 | A | Treat fracture of radius | 5.21 | 7.36 | 5.34 | 0.69 | 13.26 | 11.24 | 090 | |
| 25515 | A | Treat fracture of radius | 9.18 | N/A | 7.70 | 1.22 | N/A | 18.10 | 090 | |
| 25520 | A | Treat fracture of radius | 6.26 | 7.58 | 5.98 | 0.85 | 14.69 | 13.09 | 090 | |
| 25525 | A | Treat fracture of radius | 12.24 | N/A | 10.12 | 1.68 | N/A | 24.04 | 090 | |
| 25526 | A | Treat fracture of radius | 12.98 | N/A | 13.93 | 1.80 | N/A | 28.71 | 090 | |
| 25530 | A | Treat fracture of ulna | 2.09 | 4.22 | 2.85 | 0.27 | 6.58 | 5.21 | 090 | |
| 25535 | A | Treat fracture of ulna | 5.14 | 6.98 | 5.27 | 0.68 | 12.80 | 11.09 | 090 | |
| 25545 | A | Treat fracture of ulna | 8.90 | N/A | 7.90 | 1.23 | N/A | 18.03 | 090 | |
| 25560 | A | Treat fracture radius ulna | 2.44 | 4.12 | 2.70 | 0.27 | 6.83 | 5.41 | 090 | |
| 25565 | A | Treat fracture radius ulna | 5.63 | 7.49 | 5.41 | 0.76 | 13.88 | 11.80 | 090 | |
| 25574 | A | Treat fracture radius ulna | 7.01 | N/A | 7.26 | 0.96 | N/A | 15.23 | 090 | |
| 25575 | A | Treat fracture radius/ulna | 10.45 | N/A | 9.57 | 1.46 | N/A | 21.48 | 090 | |
| 25600 | A | Treat fracture radius/ulna | 2.63 | 4.56 | 3.00 | 0.34 | 7.53 | 5.97 | 090 | |
| 25605 | A | Treat fracture radius/ulna | 5.81 | 8.18 | 6.13 | 0.81 | 14.80 | 12.75 | 090 | |
| 25611 | A | Treat fracture radius/ulna | 7.77 | N/A | 8.90 | 1.08 | N/A | 17.75 | 090 | |
| 25620 | A | Treat fracture radius/ulna | 8.55 | N/A | 7.51 | 1.17 | N/A | 17.23 | 090 | |
| 25622 | A | Treat wrist bone fracture | 2.61 | 4.63 | 3.10 | 0.33 | 7.57 | 6.04 | 090 | |
| 25624 | A | Treat wrist bone fracture | 4.53 | 7.10 | 5.00 | 0.61 | 12.24 | 10.14 | 090 | |
| 25628 | A | Treat wrist bone fracture | 8.43 | N/A | 8.05 | 1.14 | N/A | 17.62 | 090 | |
| 25630 | A | Treat wrist bone fracture | 2.88 | 4.65 | 3.00 | 0.37 | 7.90 | 6.25 | 090 | |
| 25635 | A | Treat wrist bone fracture | 4.39 | 6.87 | 3.96 | 0.39 | 11.65 | 8.74 | 090 | |
| 25645 | A | Treat wrist bone fracture | 7.25 | N/A | 7.01 | 0.93 | N/A | 15.19 | 090 | |
| 25650 | A | Treat wrist bone fracture | 3.05 | 4.82 | 3.21 | 0.37 | 8.24 | 6.63 | 090 | |
| 25651 | A | Pin ulnar styloid fracture | 5.36 | N/A | 5.62 | 0.72 | N/A | 11.70 | 090 | |
| 25652 | A | Treat fracture ulnar styloid | 7.60 | N/A | 7.11 | 1.02 | N/A | 15.73 | 090 | |
| 25660 | A | Treat wrist dislocation | 4.76 | N/A | 4.75 | 0.59 | N/A | 10.10 | 090 | |
| 25670 | A | Treat wrist dislocation | 7.92 | N/A | 7.31 | 1.07 | N/A | 16.30 | 090 | |
| 25671 | A | Pin radioulnar dislocation | 6.00 | N/A | 6.23 | 0.81 | N/A | 13.04 | 090 | |
| 25675 | A | Treat wrist dislocation | 4.67 | 6.62 | 4.69 | 0.57 | 11.86 | 9.93 | 090 | |
| 25676 | A | Treat wrist dislocation | 8.04 | N/A | 7.56 | 1.10 | N/A | 16.70 | 090 | |
| 25680 | A | Treat wrist fracture | 5.99 | N/A | 4.99 | 0.61 | N/A | 11.59 | 090 | |
| 25685 | A | Treat wrist fracture | 9.78 | N/A | 8.12 | 1.25 | N/A | 19.15 | 090 | |
| 25690 | A | Treat wrist dislocation | 5.50 | N/A | 5.69 | 0.78 | N/A | 11.97 | 090 | |
| 25695 | A | Treat wrist dislocation | 8.34 | N/A | 7.43 | 1.07 | N/A | 16.84 | 090 | |
| 25800 | A | Fusion of wrist joint | 9.76 | N/A | 9.35 | 1.30 | N/A | 20.41 | 090 | |
| 25805 | A | Fusion/graft of wrist joint | 11.28 | N/A | 10.42 | 1.51 | N/A | 23.21 | 090 | |
| 25810 | A | Fusion/graft of wrist joint | 10.57 | N/A | 10.15 | 1.37 | N/A | 22.09 | 090 | |
| 25820 | A | Fusion of hand bones | 7.45 | N/A | 8.10 | 0.96 | N/A | 16.51 | 090 | |
| 25825 | A | Fuse hand bones with graft | 9.27 | N/A | 9.37 | 1.20 | N/A | 19.84 | 090 | |
| 25830 | A | Fusion, radioulnar jnt/ulna | 10.06 | N/A | 15.11 | 1.27 | N/A | 26.44 | 090 | |
| 25900 | A | Amputation of forearm | 9.01 | N/A | 13.06 | 1.08 | N/A | 23.15 | 090 | |
| 25905 | A | Amputation of forearm | 9.12 | N/A | 13.13 | 1.06 | N/A | 23.31 | 090 | |
| 25907 | A | Amputation follow-up surgery | 7.80 | N/A | 12.59 | 1.01 | N/A | 21.40 | 090 | |
| 25909 | A | Amputation follow-up surgery | 8.96 | N/A | 13.10 | 1.07 | N/A | 23.13 | 090 | |
| 25915 | A | Amputation of forearm | 17.08 | N/A | 20.05 | 2.41 | N/A | 39.54 | 090 | |
| 25920 | A | Amputate hand at wrist | 8.68 | N/A | 8.22 | 1.06 | N/A | 17.96 | 090 | |
| 25922 | A | Amputate hand at wrist | 7.42 | N/A | 7.25 | 0.93 | N/A | 15.60 | 090 | |
| 25924 | A | Amputation follow-up surgery | 8.46 | N/A | 8.46 | 1.07 | N/A | 17.99 | 090 | |
| 25927 | A | Amputation of hand | 8.80 | N/A | 12.40 | 1.02 | N/A | 22.22 | 090 | |
| 25929 | A | Amputation follow-up surgery | 7.59 | N/A | 6.13 | 0.89 | N/A | 14.61 | 090 | |
| 25931 | A | Amputation follow-up surgery | 7.81 | N/A | 12.40 | 0.88 | N/A | 21.09 | 090 | |
| 25999 | C | Forearm or wrist surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26010 | A | Drainage of finger abscess | 1.54 | 5.85 | 1.70 | 0.14 | 7.53 | 3.38 | 010 | |
| 26011 | A | Drainage of finger abscess | 2.19 | 9.22 | 2.35 | 0.25 | 11.66 | 4.79 | 010 | |
| 26020 | A | Drain hand tendon sheath | 4.67 | N/A | 5.61 | 0.59 | N/A | 10.87 | 090 | |
| 26025 | A | Drainage of palm bursa | 4.82 | N/A | 5.45 | 0.60 | N/A | 10.87 | 090 | |
| 26030 | A | Drainage of palm bursa(s) | 5.93 | N/A | 6.11 | 0.72 | N/A | 12.76 | 090 | |
| 26034 | A | Treat hand bone lesion | 6.23 | N/A | 6.33 | 0.79 | N/A | 13.35 | 090 | |
| 26035 | A | Decompress fingers/hand | 9.51 | N/A | 8.21 | 1.12 | N/A | 18.84 | 090 | |
| 26037 | A | Decompress fingers/hand | 7.25 | N/A | 6.72 | 0.87 | N/A | 14.84 | 090 | |
| 26040 | A | Release palm contracture | 3.33 | N/A | 4.00 | 0.45 | N/A | 7.78 | 090 | |
| 26045 | A | Release palm contracture | 5.56 | N/A | 5.60 | 0.74 | N/A | 11.90 | 090 | |
| 26055 | A | Incise finger tendon sheath | 2.69 | 14.74 | 3.86 | 0.36 | 17.79 | 6.91 | 090 | |
| 26060 | A | Incision of finger tendon | 2.81 | N/A | 3.52 | 0.35 | N/A | 6.68 | 090 | |
| 26070 | A | Explore/treat hand joint | 3.69 | N/A | 3.39 | 0.35 | N/A | 7.43 | 090 | |
| 26075 | A | Explore/treat finger joint | 3.79 | N/A | 3.80 | 0.40 | N/A | 7.99 | 090 | |
| 26080 | A | Explore/treat finger joint | 4.24 | N/A | 4.82 | 0.52 | N/A | 9.58 | 090 | |
| 26100 | A | Biopsy hand joint lining | 3.67 | N/A | 4.12 | 0.45 | N/A | 8.24 | 090 | |
| 26105 | A | Biopsy finger joint lining | 3.71 | N/A | 4.20 | 0.45 | N/A | 8.36 | 090 | |
| 26110 | A | Biopsy finger joint lining | 3.53 | N/A | 4.00 | 0.44 | N/A | 7.97 | 090 | |
| 26115 | A | Removel hand lesion subcut | 3.86 | 13.55 | 4.71 | 0.48 | 17.89 | 9.05 | 090 | |
| 26116 | A | Removel hand lesion, deep | 5.53 | N/A | 5.98 | 0.69 | N/A | 12.20 | 090 | |
| 26117 | A | Remove tumor, hand/finger | 8.55 | N/A | 7.15 | 1.01 | N/A | 16.71 | 090 | |
| 26121 | A | Release palm contracture | 7.54 | N/A | 7.02 | 0.94 | N/A | 15.50 | 090 | |
| 26123 | A | Release palm contracture | 9.29 | N/A | 8.90 | 1.17 | N/A | 19.36 | 090 | |
| 26125 | A | Release palm contracture | 4.61 | N/A | 2.50 | 0.57 | N/A | 7.68 | ZZZ | |
| 26130 | A | Remove wrist joint lining | 5.42 | N/A | 5.35 | 0.65 | N/A | 11.42 | 090 | |
| 26135 | A | Revise finger joint, each | 6.96 | N/A | 6.47 | 0.87 | N/A | 14.30 | 090 | |
| 26140 | A | Revise finger joint, each | 6.17 | N/A | 6.03 | 0.76 | N/A | 12.96 | 090 | |
| 26145 | A | Tendon excision, palm/finger | 6.32 | N/A | 6.04 | 0.77 | N/A | 13.13 | 090 | |
| 26160 | A | Remove tendon sheath lesion | 3.15 | 12.95 | 4.11 | 0.39 | 16.49 | 7.65 | 090 | |
| 26170 | A | Removal of palm tendon, each | 4.77 | N/A | 4.97 | 0.60 | N/A | 10.34 | 090 | |
| 26180 | A | Removal of finger tendon | 5.18 | N/A | 5.40 | 0.64 | N/A | 11.22 | 090 | |
| 26185 | A | Remove finger bone | 5.25 | N/A | 6.01 | 0.67 | N/A | 11.93 | 090 | |
| 26200 | A | Remove hand bone lesion | 5.51 | N/A | 5.39 | 0.71 | N/A | 11.61 | 090 | |
| 26205 | A | Remove/graft bone lesion | 7.70 | N/A | 6.91 | 0.95 | N/A | 15.56 | 090 | |
| 26210 | A | Removal of finger lesion | 5.15 | N/A | 5.41 | 0.64 | N/A | 11.20 | 090 | |
| 26215 | A | Remove/graft finger lesion | 7.10 | N/A | 6.31 | 0.77 | N/A | 14.18 | 090 | |
| 26230 | A | Partial removal of hand bone | 6.33 | N/A | 5.96 | 0.84 | N/A | 13.13 | 090 | |
| 26235 | A | Partial removal, finger bone | 6.19 | N/A | 5.85 | 0.78 | N/A | 12.82 | 090 | |
| 26236 | A | Partial removal, finger bone | 5.32 | N/A | 5.37 | 0.66 | N/A | 11.35 | 090 | |
| 26250 | A | Extensive hand surgery | 7.55 | N/A | 6.46 | 0.92 | N/A | 14.93 | 090 | |
| 26255 | A | Extensive hand surgery | 12.43 | N/A | 9.49 | 1.05 | N/A | 22.97 | 090 | |
| 26260 | A | Extensive finger surgery | 7.03 | N/A | 6.20 | 0.83 | N/A | 14.06 | 090 | |
| 26261 | A | Extensive finger surgery | 9.09 | N/A | 6.35 | 0.84 | N/A | 16.28 | 090 | |
| 26262 | A | Partial removal of finger | 5.67 | N/A | 5.39 | 0.70 | N/A | 11.76 | 090 | |
| 26320 | A | Removal of implant from hand | 3.98 | N/A | 4.28 | 0.49 | N/A | 8.75 | 090 | |
| 26340 | A | Manipulate finger w/anesth | 2.50 | N/A | 4.95 | 0.30 | N/A | 7.75 | 090 | |
| 26350 | A | Repair finger/hand tendon | 5.99 | N/A | 16.02 | 0.73 | N/A | 22.74 | 090 | |
| 26352 | A | Repair/graft hand tendon | 7.68 | N/A | 16.69 | 0.93 | N/A | 25.30 | 090 | |
| 26356 | A | Repair finger/hand tendon | 8.07 | N/A | 19.20 | 0.99 | N/A | 28.26 | 090 | |
| 26357 | A | Repair finger/hand tendon | 8.58 | N/A | 17.14 | 1.02 | N/A | 26.74 | 090 | |
| 26358 | A | Repair/graft hand tendon | 9.14 | N/A | 17.96 | 1.07 | N/A | 28.17 | 090 | |
| 26370 | A | Repair finger/hand tendon | 7.11 | N/A | 16.57 | 0.90 | N/A | 24.58 | 090 | |
| 26372 | A | Repair/graft hand tendon | 8.76 | N/A | 17.97 | 1.06 | N/A | 27.79 | 090 | |
| 26373 | A | Repair finger/hand tendon | 8.16 | N/A | 17.54 | 0.98 | N/A | 26.68 | 090 | |
| 26390 | A | Revise hand/finger tendon | 9.19 | N/A | 14.34 | 1.09 | N/A | 24.62 | 090 | |
| 26392 | A | Repair/graft hand tendon | 10.26 | N/A | 18.34 | 1.26 | N/A | 29.86 | 090 | |
| 26410 | A | Repair hand tendon | 4.63 | N/A | 13.17 | 0.57 | N/A | 18.37 | 090 | |
| 26412 | A | Repair/graft hand tendon | 6.31 | N/A | 14.43 | 0.80 | N/A | 21.54 | 090 | |
| 26415 | A | Excision, hand/finger tendon | 8.34 | N/A | 12.79 | 0.77 | N/A | 21.90 | 090 | |
| 26416 | A | Graft hand or finger tendon | 9.37 | N/A | 15.71 | 1.20 | N/A | 26.28 | 090 | |
| 26418 | A | Repair finger tendon | 4.25 | N/A | 13.34 | 0.50 | N/A | 18.09 | 090 | |
| 26420 | A | Repair/graft finger tendon | 6.77 | N/A | 14.78 | 0.83 | N/A | 22.38 | 090 | |
| 26426 | A | Repair finger/hand tendon | 6.15 | N/A | 14.25 | 0.77 | N/A | 21.17 | 090 | |
| 26428 | A | Repair/graft finger tendon | 7.21 | N/A | 15.06 | 0.84 | N/A | 23.11 | 090 | |
| 26432 | A | Repair finger tendon | 4.02 | N/A | 11.13 | 0.48 | N/A | 15.63 | 090 | |
| 26433 | A | Repair finger tendon | 4.56 | N/A | 11.83 | 0.56 | N/A | 16.95 | 090 | |
| 26434 | A | Repair/graft finger tendon | 6.09 | N/A | 12.43 | 0.71 | N/A | 19.23 | 090 | |
| 26437 | A | Realignment of tendons | 5.82 | N/A | 12.34 | 0.74 | N/A | 18.90 | 090 | |
| 26440 | A | Release palm/finger tendon | 5.02 | N/A | 14.83 | 0.62 | N/A | 20.47 | 090 | |
| 26442 | A | Release palm finger tendon | 8.16 | N/A | 17.10 | 0.94 | N/A | 26.20 | 090 | |
| 26445 | A | Release hand/finger tendon | 4.31 | N/A | 14.59 | 0.54 | N/A | 19.44 | 090 | |
| 26449 | A | Release forearm/hand tendon | 7.00 | N/A | 16.90 | 0.84 | N/A | 24.74 | 090 | |
| 26450 | A | Incision of palm tendon | 3.67 | N/A | 7.79 | 0.46 | N/A | 11.92 | 090 | |
| 26455 | A | Incision of finger tendon | 3.64 | N/A | 7.71 | 0.47 | N/A | 11.82 | 090 | |
| 26460 | A | Incise hand/finger tendon | 3.46 | N/A | 7.52 | 0.44 | N/A | 11.42 | 090 | |
| 26471 | A | Fusion of finger tendons | 5.73 | N/A | 12.00 | 0.73 | N/A | 18.46 | 090 | |
| 26474 | A | Fusion of finger tendons | 5.32 | N/A | 12.20 | 0.69 | N/A | 18.21 | 090 | |
| 26476 | A | Tendon lengthening | 5.18 | N/A | 11.71 | 0.62 | N/A | 17.51 | 090 | |
| 26477 | A | Tendon shortening | 5.15 | N/A | 11.87 | 0.60 | N/A | 17.62 | 090 | |
| 26478 | A | Lengthening of hand tendon | 5.80 | N/A | 12.62 | 0.77 | N/A | 19.19 | 090 | |
| 26479 | A | Shortening of hand tendon | 5.74 | N/A | 12.45 | 0.76 | N/A | 18.95 | 090 | |
| 26480 | A | Transplant hand tendon | 6.69 | N/A | 16.27 | 0.84 | N/A | 23.80 | 090 | |
| 26483 | A | Transplant/graft hand tendon | 8.29 | N/A | 16.72 | 1.03 | N/A | 26.04 | 090 | |
| 26485 | A | Transplant palm tendon | 7.70 | N/A | 16.60 | 0.94 | N/A | 25.24 | 090 | |
| 26489 | A | Transplant/graft palm tendon | 9.55 | N/A | 13.02 | 0.98 | N/A | 23.55 | 090 | |
| 26490 | A | Revise thumb tendon | 8.41 | N/A | 13.55 | 1.05 | N/A | 23.01 | 090 | |
| 26492 | A | Tendon transfer with graft | 9.62 | N/A | 14.30 | 1.19 | N/A | 25.11 | 090 | |
| 26494 | A | Hand tendon/muscle transfer | 8.47 | N/A | 13.78 | 1.13 | N/A | 23.38 | 090 | |
| 26496 | A | Revise thumb tendon | 9.59 | N/A | 13.97 | 1.17 | N/A | 24.73 | 090 | |
| 26497 | A | Finger tendon transfer | 9.57 | N/A | 14.36 | 1.17 | N/A | 25.10 | 090 | |
| 26498 | A | Finger tendon transfer | 14.00 | N/A | 16.90 | 1.74 | N/A | 32.64 | 090 | |
| 26499 | A | Revision of finger | 8.98 | N/A | 13.90 | 0.94 | N/A | 23.82 | 090 | |
| 26500 | A | Hand tendon reconstruction | 5.96 | N/A | 12.48 | 0.66 | N/A | 19.10 | 090 | |
| 26502 | A | Hand tendon reconstruction | 7.14 | N/A | 12.95 | 0.87 | N/A | 20.96 | 090 | |
| 26504 | A | Hand tendon reconstruction | 7.47 | N/A | 13.06 | 0.84 | N/A | 21.37 | 090 | |
| 26508 | A | Release thumb contracture | 6.01 | N/A | 12.48 | 0.76 | N/A | 19.25 | 090 | |
| 26510 | A | Thumb tendon transfer | 5.43 | N/A | 12.16 | 0.71 | N/A | 18.30 | 090 | |
| 26516 | A | Fusion of knuckle joint | 7.15 | N/A | 13.02 | 0.90 | N/A | 21.07 | 090 | |
| 26517 | A | Fusion of knuckle joints | 8.83 | N/A | 14.37 | 0.96 | N/A | 24.16 | 090 | |
| 26518 | A | Fusion of knuckle joints | 9.02 | N/A | 14.19 | 1.13 | N/A | 24.34 | 090 | |
| 26520 | A | Release knuckle contracture | 5.30 | N/A | 15.21 | 0.65 | N/A | 21.16 | 090 | |
| 26525 | A | Release finger contracture | 5.33 | N/A | 15.33 | 0.66 | N/A | 21.32 | 090 | |
| 26530 | A | Revise knuckle joint | 6.69 | N/A | 6.13 | 0.86 | N/A | 13.68 | 090 | |
| 26531 | A | Revise knuckle with implant | 7.91 | N/A | 7.07 | 1.01 | N/A | 15.99 | 090 | |
| 26535 | A | Revise finger joint | 5.24 | N/A | 3.76 | 0.66 | N/A | 9.66 | 090 | |
| 26536 | A | Revise/implant finger joint | 6.37 | N/A | 10.06 | 0.80 | N/A | 17.23 | 090 | |
| 26540 | A | Repair hand joint | 6.43 | N/A | 12.73 | 0.81 | N/A | 19.97 | 090 | |
| 26541 | A | Repair hand joint with graft | 8.62 | N/A | 14.25 | 1.12 | N/A | 23.99 | 090 | |
| 26542 | A | Repair hand joint with graft | 6.78 | N/A | 12.78 | 0.87 | N/A | 20.43 | 090 | |
| 26545 | A | Reconstruct finger joint | 6.92 | N/A | 13.16 | 0.79 | N/A | 20.87 | 090 | |
| 26546 | A | Repair nonunion hand | 8.92 | N/A | 15.44 | 1.14 | N/A | 25.50 | 090 | |
| 26548 | A | Reconstruct finger joint | 8.03 | N/A | 13.81 | 0.98 | N/A | 22.82 | 090 | |
| 26550 | A | Construct thumb replacement | 21.24 | N/A | 18.80 | 1.80 | N/A | 41.84 | 090 | |
| 26551 | A | Great toe-hand transfer | 46.58 | N/A | 32.79 | 6.57 | N/A | 85.94 | 090 | |
| 26553 | A | Single transfer, toe-hand | 46.27 | N/A | 23.66 | 1.99 | N/A | 71.92 | 090 | |
| 26554 | A | Double transfer, toe-hand | 54.95 | N/A | 35.88 | 7.76 | N/A | 98.59 | 090 | |
| 26555 | A | Positional change of finger | 16.63 | N/A | 19.12 | 2.13 | N/A | 37.88 | 090 | |
| 26556 | A | Toe joint transfer | 47.26 | N/A | 30.96 | 6.67 | N/A | 84.89 | 090 | |
| 26560 | A | Repair of web finger | 5.38 | N/A | 10.71 | 0.60 | N/A | 16.69 | 090 | |
| 26561 | A | Repair of web finger | 10.92 | N/A | 13.30 | 0.69 | N/A | 24.91 | 090 | |
| 26562 | A | Repair of web finger | 15.00 | N/A | 17.99 | 0.98 | N/A | 33.97 | 090 | |
| 26565 | A | Correct metacarpal flaw | 6.74 | N/A | 12.83 | 0.84 | N/A | 20.41 | 090 | |
| 26567 | A | Correct finger deformity | 6.82 | N/A | 12.76 | 0.84 | N/A | 20.42 | 090 | |
| 26568 | A | Lengthen metacarpal/finger | 9.08 | N/A | 16.65 | 1.10 | N/A | 26.83 | 090 | |
| 26580 | A | Repair hand deformity | 18.18 | N/A | 14.08 | 1.46 | N/A | 33.72 | 090 | |
| 26587 | A | Reconstruct extra finger | 14.05 | N/A | 9.30 | 1.12 | N/A | 24.47 | 090 | |
| 26590 | A | Repair finger deformity | 17.96 | N/A | 14.84 | 1.32 | N/A | 34.12 | 090 | |
| 26591 | A | Repair muscles of hand | 3.25 | N/A | 10.88 | 0.37 | N/A | 14.50 | 090 | |
| 26593 | A | Release muscles of hand | 5.31 | N/A | 11.84 | 0.64 | N/A | 17.79 | 090 | |
| 26596 | A | Excision constricting tissue | 8.95 | N/A | 9.20 | 0.87 | N/A | 19.02 | 090 | |
| 26600 | A | Treat metacarpal fracture | 1.96 | 4.15 | 2.69 | 0.25 | 6.36 | 4.90 | 090 | |
| 26605 | A | Treat metacarpal fracture | 2.85 | 5.45 | 3.74 | 0.38 | 8.68 | 6.97 | 090 | |
| 26607 | A | Treat metacarpal fracture | 5.36 | N/A | 6.65 | 0.70 | N/A | 12.71 | 090 | |
| 26608 | A | Treat metacarpal fracture | 5.36 | N/A | 6.56 | 0.73 | N/A | 12.65 | 090 | |
| 26615 | A | Treat metacarpal fracture | 5.33 | N/A | 5.83 | 0.70 | N/A | 11.86 | 090 | |
| 26641 | A | Treat thumb dislocation | 3.94 | 5.59 | 3.72 | 0.42 | 9.95 | 8.08 | 090 | |
| 26645 | A | Treat thumb fracture | 4.41 | 6.31 | 4.34 | 0.54 | 11.26 | 9.29 | 090 | |
| 26650 | A | Treat thumb fracture | 5.72 | N/A | 6.88 | 0.77 | N/A | 13.37 | 090 | |
| 26665 | A | Treat thumb fracture | 7.60 | N/A | 7.02 | 0.97 | N/A | 15.59 | 090 | |
| 26670 | A | Treat hand dislocation | 3.69 | 5.17 | 3.21 | 0.36 | 9.22 | 7.26 | 090 | |
| 26675 | A | Treat hand dislocation | 4.64 | 6.26 | 4.41 | 0.56 | 11.46 | 9.61 | 090 | |
| 26676 | A | Pin hand dislocation | 5.52 | N/A | 6.92 | 0.76 | N/A | 13.20 | 090 | |
| 26685 | A | Treat hand dislocation | 6.98 | N/A | 6.57 | 0.95 | N/A | 14.50 | 090 | |
| 26686 | A | Treat hand dislocation | 7.94 | N/A | 7.26 | 1.05 | N/A | 16.25 | 090 | |
| 26700 | A | Treat knuckle dislocation | 3.69 | 4.74 | 3.02 | 0.35 | 8.78 | 7.06 | 090 | |
| 26705 | A | Treat knuckle dislocation | 4.19 | 6.05 | 4.24 | 0.50 | 10.74 | 8.93 | 090 | |
| 26706 | A | Pin knuckle dislocation | 5.12 | N/A | 5.19 | 0.64 | N/A | 10.95 | 090 | |
| 26715 | A | Treat knuckle dislocation | 5.74 | N/A | 6.02 | 0.75 | N/A | 12.51 | 090 | |
| 26720 | A | Treat finger fracture, each | 1.66 | 3.97 | 2.65 | 0.20 | 5.83 | 4.51 | 090 | |
| 26725 | A | Treat finger fracture, each | 3.33 | 6.20 | 4.11 | 0.43 | 9.96 | 7.87 | 090 | |
| 26727 | A | Treat finger fracture, each | 5.23 | N/A | 6.62 | 0.69 | N/A | 12.54 | 090 | |
| 26735 | A | Treat finger fracture, each | 5.98 | N/A | 6.17 | 0.77 | N/A | 12.92 | 090 | |
| 26740 | A | Treat finger fracture, each | 1.94 | 3.63 | 2.74 | 0.24 | 5.81 | 4.92 | 090 | |
| 26742 | A | Treat finger fracture, each | 3.85 | 6.11 | 4.11 | 0.49 | 10.45 | 8.45 | 090 | |
| 26746 | A | Treat finger fracture, each | 5.81 | N/A | 6.22 | 0.74 | N/A | 12.77 | 090 | |
| 26750 | A | Treat finger fracture, each | 1.70 | 3.29 | 2.19 | 0.19 | 5.18 | 4.08 | 090 | |
| 26755 | A | Treat finger fracture, each | 3.10 | 4.89 | 3.11 | 0.37 | 8.36 | 6.58 | 090 | |
| 26756 | A | Pin finger fracture, each | 4.39 | N/A | 6.24 | 0.56 | N/A | 11.19 | 090 | |
| 26765 | A | Treat finger fracture, each | 4.17 | N/A | 5.05 | 0.51 | N/A | 9.73 | 090 | |
| 26770 | A | Treat finger dislocation | 3.02 | 4.49 | 2.60 | 0.27 | 7.78 | 5.89 | 090 | |
| 26775 | A | Treat finger dislocation | 3.71 | 5.87 | 3.82 | 0.43 | 10.01 | 7.96 | 090 | |
| 26776 | A | Pin finger dislocation | 4.80 | N/A | 6.41 | 0.63 | N/A | 11.84 | 090 | |
| 26785 | A | Treat finger dislocation | 4.21 | N/A | 5.09 | 0.54 | N/A | 9.84 | 090 | |
| 26820 | A | Thumb fusion with graft | 8.26 | N/A | 14.03 | 1.11 | N/A | 23.40 | 090 | |
| 26841 | A | Fusion of thumb | 7.13 | N/A | 13.84 | 0.97 | N/A | 21.94 | 090 | |
| 26842 | A | Thumb fusion with graft | 8.24 | N/A | 14.11 | 1.10 | N/A | 23.45 | 090 | |
| 26843 | A | Fusion of hand joint | 7.61 | N/A | 13.01 | 0.99 | N/A | 21.61 | 090 | |
| 26844 | A | Fusion/graft of hand joint | 8.73 | N/A | 14.07 | 1.12 | N/A | 23.92 | 090 | |
| 26850 | A | Fusion of knuckle | 6.97 | N/A | 12.93 | 0.89 | N/A | 20.79 | 090 | |
| 26852 | A | Fusion of knuckle with graft | 8.46 | N/A | 13.62 | 1.05 | N/A | 23.13 | 090 | |
| 26860 | A | Fusion of finger joint | 4.69 | N/A | 11.90 | 0.60 | N/A | 17.19 | 090 | |
| 26861 | A | Fusion of finger jnt, add-on | 1.74 | N/A | 0.95 | 0.22 | N/A | 2.91 | ZZZ | |
| 26862 | A | Fusion/graft of finger joint | 7.37 | N/A | 13.10 | 0.92 | N/A | 21.39 | 090 | |
| 26863 | A | Fuse/graft added joint | 3.90 | N/A | 2.16 | 0.51 | N/A | 6.57 | ZZZ | |
| 26910 | A | Amputate metacarpal bone | 7.60 | N/A | 12.03 | 0.90 | N/A | 20.53 | 090 | |
| 26951 | A | Amputation of finger/thumb | 4.59 | N/A | 10.94 | 0.56 | N/A | 16.09 | 090 | |
| 26952 | A | Amputation of finger/thumb | 6.31 | N/A | 12.51 | 0.74 | N/A | 19.56 | 090 | |
| 26989 | C | Hand/finger surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 26990 | A | Drainage of pelvis lesion | 7.48 | N/A | 8.16 | 0.92 | N/A | 16.56 | 090 | |
| 26991 | A | Drainage of pelvis bursa | 6.68 | 7.77 | 6.24 | 0.85 | 15.30 | 13.77 | 090 | |
| 26992 | A | Drainage of bone lesion | 13.02 | N/A | 11.57 | 1.75 | N/A | 26.34 | 090 | |
| 27000 | A | Incision of hip tendon | 5.62 | N/A | 5.49 | 0.76 | N/A | 11.87 | 090 | |
| 27001 | A | Incision of hip tendon | 6.94 | N/A | 6.36 | 0.95 | N/A | 14.25 | 090 | |
| 27003 | A | Incision of hip tendon | 7.34 | N/A | 6.77 | 0.93 | N/A | 15.04 | 090 | |
| 27005 | A | Incision of hip tendon | 9.66 | N/A | 8.09 | 1.36 | N/A | 19.11 | 090 | |
| 27006 | A | Incision of hip tendons | 9.68 | N/A | 8.25 | 1.33 | N/A | 19.26 | 090 | |
| 27025 | A | Incision of hip/thigh fascia | 11.16 | N/A | 8.73 | 1.38 | N/A | 21.27 | 090 | |
| 27030 | A | Drainage of hip joint | 13.01 | N/A | 9.94 | 1.81 | N/A | 24.76 | 090 | |
| 27033 | A | Exploration of hip joint | 13.39 | N/A | 10.21 | 1.87 | N/A | 25.47 | 090 | |
| 27035 | A | Denervation of hip joint | 16.69 | N/A | 12.66 | 1.70 | N/A | 31.05 | 090 | |
| 27036 | A | Excision of hip joint/muscle | 12.88 | N/A | 10.41 | 1.80 | N/A | 25.09 | 090 | |
| 27040 | A | Biopsy of soft tissues | 2.87 | 2.92 | 2.20 | 0.21 | 6.00 | 5.28 | 010 | |
| 27041 | A | Biopsy of soft tissues | 9.89 | N/A | 6.83 | 1.01 | N/A | 17.73 | 090 | |
| 27047 | A | Remove hip/pelvis lesion | 7.45 | 6.66 | 5.07 | 0.79 | 14.90 | 13.31 | 090 | |
| 27048 | A | Remove hip/pelvis lesion | 6.25 | N/A | 5.19 | 0.73 | N/A | 12.17 | 090 | |
| 27049 | A | Remove tumor, hip/pelvis | 13.66 | N/A | 9.20 | 1.60 | N/A | 24.46 | 090 | |
| 27050 | A | Biopsy of sacroiliac joint | 4.36 | N/A | 4.64 | 0.53 | N/A | 9.53 | 090 | |
| 27052 | A | Biopsy of hip joint | 6.23 | N/A | 6.19 | 0.85 | N/A | 13.27 | 090 | |
| 27054 | A | Removal of hip joint lining | 8.54 | N/A | 7.71 | 1.17 | N/A | 17.42 | 090 | |
| 27060 | A | Removal of ischial bursa | 5.43 | N/A | 4.99 | 0.60 | N/A | 11.02 | 090 | |
| 27062 | A | Remove femur lesion/bursa | 5.37 | N/A | 5.42 | 0.74 | N/A | 11.53 | 090 | |
| 27065 | A | Removal of hip bone lesion | 5.90 | N/A | 5.73 | 0.76 | N/A | 12.39 | 090 | |
| 27066 | A | Removal of hip bone lesion | 10.33 | N/A | 8.76 | 1.42 | N/A | 20.51 | 090 | |
| 27067 | A | Remove/graft hip bone lesion | 13.83 | N/A | 10.97 | 1.95 | N/A | 26.75 | 090 | |
| 27070 | A | Partial removal of hip bone | 10.72 | N/A | 10.40 | 1.36 | N/A | 22.48 | 090 | |
| 27071 | A | Partial removal of hip bone | 11.46 | N/A | 11.32 | 1.51 | N/A | 24.29 | 090 | |
| 27075 | A | Extensive hip surgery | 35.00 | N/A | 20.42 | 2.22 | N/A | 57.64 | 090 | |
| 27076 | A | Extensive hip surgery | 22.12 | N/A | 15.35 | 2.86 | N/A | 40.33 | 090 | |
| 27077 | A | Extensive hip surgery | 40.00 | N/A | 23.94 | 3.18 | N/A | 67.12 | 090 | |
| 27078 | A | Extensive hip surgery | 13.44 | N/A | 10.81 | 1.67 | N/A | 25.92 | 090 | |
| 27079 | A | Extensive hip surgery | 13.75 | N/A | 10.45 | 1.86 | N/A | 26.06 | 090 | |
| 27080 | A | Removal of tail bone | 6.39 | N/A | 5.24 | 0.80 | N/A | 12.43 | 090 | |
| 27086 | A | Remove hip foreign body | 1.87 | 2.33 | 2.03 | 0.17 | 4.37 | 4.07 | 010 | |
| 27087 | A | Remove hip foreign body | 8.54 | N/A | 6.84 | 1.09 | N/A | 16.47 | 090 | |
| 27090 | A | Removal of hip prosthesis | 11.15 | N/A | 8.81 | 1.55 | N/A | 21.51 | 090 | |
| 27091 | A | Removal of hip prosthesis | 22.14 | N/A | 14.12 | 3.11 | N/A | 39.37 | 090 | |
| 27093 | A | Injection for hip x-ray | 1.30 | 8.65 | 0.49 | 0.09 | 10.04 | 1.88 | 000 | |
| 27095 | A | Injection for hip x-ray | 1.50 | 7.80 | 0.53 | 0.10 | 9.40 | 2.13 | 000 | |
| 27096 | A | Inject sacroiliac joint | 1.40 | 6.89 | 0.33 | 0.08 | 8.37 | 1.81 | 000 | |
| 27097 | A | Revision of hip tendon | 8.80 | N/A | 6.65 | 1.22 | N/A | 16.67 | 090 | |
| 27098 | A | Transfer tendon to pelvis | 8.83 | N/A | 7.28 | 1.24 | N/A | 17.35 | 090 | |
| 27100 | A | Transfer of abdominal muscle | 11.08 | N/A | 8.97 | 1.57 | N/A | 21.62 | 090 | |
| 27105 | A | Transfer of spinal muscle | 11.77 | N/A | 9.45 | 1.66 | N/A | 22.88 | 090 | |
| 27110 | A | Transfer of iliopsoas muscle | 13.26 | N/A | 9.66 | 1.38 | N/A | 24.30 | 090 | |
| 27111 | A | Transfer of iliopsoas muscle | 12.15 | N/A | 9.31 | 1.48 | N/A | 22.94 | 090 | |
| 27120 | A | Reconstruction of hip socket | 18.01 | N/A | 11.96 | 2.45 | N/A | 32.42 | 090 | |
| 27122 | A | Reconstruction of hip socket | 14.98 | N/A | 11.06 | 2.08 | N/A | 28.12 | 090 | |
| 27125 | A | Partial hip replacement | 14.69 | N/A | 10.63 | 2.05 | N/A | 27.37 | 090 | |
| 27130 | A | Total hip arthroplasty | 20.12 | N/A | 13.41 | 2.82 | N/A | 36.35 | 090 | |
| 27132 | A | Total hip arthroplasty | 23.30 | N/A | 15.78 | 3.26 | N/A | 42.34 | 090 | |
| 27134 | A | Revise hip joint replacement | 28.52 | N/A | 18.03 | 3.97 | N/A | 50.52 | 090 | |
| 27137 | A | Revise hip joint replacement | 21.17 | N/A | 14.08 | 2.97 | N/A | 38.22 | 090 | |
| 27138 | A | Revise hip joint replacement | 22.17 | N/A | 14.55 | 3.11 | N/A | 39.83 | 090 | |
| 27140 | A | Transplant femur ridge | 12.24 | N/A | 9.66 | 1.67 | N/A | 23.57 | 090 | |
| 27146 | A | Incision of hip bone | 17.43 | N/A | 12.65 | 2.27 | N/A | 32.35 | 090 | |
| 27147 | A | Revision of hip bone | 20.58 | N/A | 13.76 | 2.61 | N/A | 36.95 | 090 | |
| 27151 | A | Incision of hip bones | 22.51 | N/A | 8.40 | 3.12 | N/A | 34.03 | 090 | |
| 27156 | A | Revision of hip bones | 24.63 | N/A | 16.52 | 3.48 | N/A | 44.63 | 090 | |
| 27158 | A | Revision of pelvis | 19.74 | N/A | 11.58 | 2.60 | N/A | 33.92 | 090 | |
| 27161 | A | Incision of neck of femur | 16.71 | N/A | 12.28 | 2.32 | N/A | 31.31 | 090 | |
| 27165 | A | Incision/fixation of femur | 17.91 | N/A | 13.07 | 2.51 | N/A | 33.49 | 090 | |
| 27170 | A | Repair/graft femur head/neck | 16.07 | N/A | 11.68 | 2.20 | N/A | 29.95 | 090 | |
| 27175 | A | Treat slipped epiphysis | 8.46 | N/A | 6.70 | 1.19 | N/A | 16.35 | 090 | |
| 27176 | A | Treat slipped epiphysis | 12.05 | N/A | 9.03 | 1.68 | N/A | 22.76 | 090 | |
| 27177 | A | Treat slipped epiphysis | 15.08 | N/A | 10.90 | 2.11 | N/A | 28.09 | 090 | |
| 27178 | A | Treat slipped epiphysis | 11.99 | N/A | 8.45 | 1.68 | N/A | 22.12 | 090 | |
| 27179 | A | Revise head/neck of femur | 12.98 | N/A | 9.84 | 1.84 | N/A | 24.66 | 090 | |
| 27181 | A | Treat slipped epiphysis | 14.68 | N/A | 10.31 | 1.74 | N/A | 26.73 | 090 | |
| 27185 | A | Revision of femur epiphysis | 9.18 | N/A | 7.81 | 1.29 | N/A | 18.28 | 090 | |
| 27187 | A | Reinforce hip bones | 13.54 | N/A | 10.60 | 1.89 | N/A | 26.03 | 090 | |
| 27193 | A | Treat pelvic ring fracture | 5.56 | 6.99 | 5.41 | 0.77 | 13.32 | 11.74 | 090 | |
| 27194 | A | Treat pelvic ring fracture | 9.65 | 8.92 | 7.65 | 1.32 | 19.89 | 18.62 | 090 | |
| 27200 | A | Treat tail bone fracture | 1.84 | 3.09 | 2.22 | 0.22 | 5.15 | 4.28 | 090 | |
| 27202 | A | Treat tail bone fracture | 7.04 | N/A | 18.09 | 0.69 | N/A | 25.82 | 090 | |
| 27215 | A | Treat pelvic fracture(s) | 10.05 | N/A | 7.46 | 1.37 | N/A | 18.88 | 090 | |
| 27216 | A | Treat pelvic ring fracture | 15.19 | N/A | 10.14 | 2.15 | N/A | 27.48 | 090 | |
| 27217 | A | Treat pelvic ring fracture | 14.11 | N/A | 10.42 | 1.95 | N/A | 26.48 | 090 | |
| 27218 | A | Treat pelvic ring fracture | 20.15 | N/A | 11.78 | 2.85 | N/A | 34.78 | 090 | |
| 27220 | A | Treat hip socket fracture | 6.18 | 7.18 | 5.62 | 0.85 | 14.21 | 12.65 | 090 | |
| 27222 | A | Treat hip socket fracture | 12.70 | N/A | 9.82 | 1.77 | N/A | 24.29 | 090 | |
| 27226 | A | Treat hip wall fracture | 14.91 | N/A | 8.11 | 2.07 | N/A | 25.09 | 090 | |
| 27227 | A | Treat hip fracture(s) | 23.45 | N/A | 15.72 | 3.24 | N/A | 42.41 | 090 | |
| 27228 | A | Treat hip fracture(s) | 27.16 | N/A | 17.99 | 3.77 | N/A | 48.92 | 090 | |
| 27230 | A | Treat thigh fracture | 5.50 | 6.64 | 5.14 | 0.73 | 12.87 | 11.37 | 090 | |
| 27232 | A | Treat thigh fracture | 10.68 | N/A | 7.53 | 1.45 | N/A | 19.66 | 090 | |
| 27235 | A | Treat thigh fracture | 12.16 | N/A | 9.54 | 1.71 | N/A | 23.41 | 090 | |
| 27236 | A | Treat thigh fracture | 15.60 | N/A | 11.14 | 2.18 | N/A | 28.92 | 090 | |
| 27238 | A | Treat thigh fracture | 5.52 | N/A | 5.19 | 0.76 | N/A | 11.47 | 090 | |
| 27240 | A | Treat thigh fracture | 12.50 | N/A | 9.45 | 1.69 | N/A | 23.64 | 090 | |
| 27244 | A | Treat thigh fracture | 15.94 | N/A | 11.44 | 2.23 | N/A | 29.61 | 090 | |
| 27245 | A | Treat thigh fracture | 20.31 | N/A | 13.92 | 2.85 | N/A | 37.08 | 090 | |
| 27246 | A | Treat thigh fracture | 4.71 | 5.87 | 4.60 | 0.66 | 11.24 | 9.97 | 090 | |
| 27248 | A | Treat thigh fracture | 10.45 | N/A | 8.31 | 1.45 | N/A | 20.21 | 090 | |
| 27250 | A | Treat hip dislocation | 6.95 | N/A | 4.79 | 0.68 | N/A | 12.42 | 090 | |
| 27252 | A | Treat hip dislocation | 10.39 | N/A | 7.53 | 1.37 | N/A | 19.29 | 090 | |
| 27253 | A | Treat hip dislocation | 12.92 | N/A | 9.87 | 1.81 | N/A | 24.60 | 090 | |
| 27254 | A | Treat hip dislocation | 18.26 | N/A | 12.23 | 2.52 | N/A | 33.01 | 090 | |
| 27256 | A | Treat hip dislocation | 4.12 | 3.50 | 2.13 | 0.49 | 8.11 | 6.74 | 010 | |
| 27257 | A | Treat hip dislocation | 5.22 | N/A | 3.02 | 0.56 | N/A | 8.80 | 010 | |
| 27258 | A | Treat hip dislocation | 15.43 | N/A | 11.19 | 2.06 | N/A | 28.68 | 090 | |
| 27259 | A | Treat hip dislocation | 21.55 | N/A | 14.53 | 2.99 | N/A | 39.07 | 090 | |
| 27265 | A | Treat hip dislocation | 5.05 | N/A | 4.85 | 0.65 | N/A | 10.55 | 090 | |
| 27266 | A | Treat hip dislocation | 7.49 | N/A | 6.39 | 1.04 | N/A | 14.92 | 090 | |
| 27275 | A | Manipulation of hip joint | 2.27 | N/A | 2.25 | 0.31 | N/A | 4.83 | 010 | |
| 27280 | A | Fusion of sacroiliac joint | 13.39 | N/A | 10.56 | 1.98 | N/A | 25.93 | 090 | |
| 27282 | A | Fusion of pubic bones | 11.34 | N/A | 8.44 | 1.14 | N/A | 20.92 | 090 | |
| 27284 | A | Fusion of hip joint | 23.45 | N/A | 15.39 | 2.36 | N/A | 41.20 | 090 | |
| 27286 | A | Fusion of hip joint | 23.45 | N/A | 16.28 | 2.37 | N/A | 42.10 | 090 | |
| 27290 | A | Amputation of leg at hip | 23.28 | N/A | 14.30 | 2.94 | N/A | 40.52 | 090 | |
| 27295 | A | Amputation of leg at hip | 18.65 | N/A | 11.79 | 2.35 | N/A | 32.79 | 090 | |
| 27299 | C | Pelvis/hip joint surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27301 | A | Drain thigh/knee lesion | 6.49 | 7.81 | 6.33 | 0.80 | 15.10 | 13.62 | 090 | |
| 27303 | A | Drainage of bone lesion | 8.28 | N/A | 7.85 | 1.14 | N/A | 17.27 | 090 | |
| 27305 | A | Incise thigh tendon fascia | 5.92 | N/A | 5.58 | 0.77 | N/A | 12.27 | 090 | |
| 27306 | A | Incision of thigh tendon | 4.62 | N/A | 4.96 | 0.62 | N/A | 10.20 | 090 | |
| 27307 | A | Incision of thigh tendons | 5.80 | N/A | 5.69 | 0.78 | N/A | 12.27 | 090 | |
| 27310 | A | Exploration of knee joint | 9.27 | N/A | 8.10 | 1.29 | N/A | 18.66 | 090 | |
| 27315 | A | Partial removal, thigh nerve | 6.97 | N/A | 4.81 | 0.79 | N/A | 12.57 | 090 | |
| 27320 | A | Partial removal, thigh nerve | 6.30 | N/A | 5.12 | 0.78 | N/A | 12.20 | 090 | |
| 27323 | A | Biopsy, thigh soft tissues | 2.28 | 2.54 | 2.07 | 0.17 | 4.99 | 4.52 | 010 | |
| 27324 | A | Biopsy, thigh soft tissues | 4.90 | N/A | 4.50 | 0.59 | N/A | 9.99 | 090 | |
| 27327 | A | Removal of thigh lesion | 4.47 | 5.47 | 4.03 | 0.50 | 10.44 | 9.00 | 090 | |
| 27328 | A | Removal of thigh lesion | 5.57 | N/A | 4.71 | 0.66 | N/A | 10.94 | 090 | |
| 27329 | A | Remove tumor, thigh/knee | 14.14 | N/A | 9.91 | 1.68 | N/A | 25.73 | 090 | |
| 27330 | A | Biopsy, knee joint lining | 4.97 | N/A | 4.82 | 0.66 | N/A | 10.45 | 090 | |
| 27331 | A | Explore/treat knee joint | 5.88 | N/A | 5.81 | 0.81 | N/A | 12.50 | 090 | |
| 27332 | A | Removal of knee cartilage | 8.27 | N/A | 7.30 | 1.15 | N/A | 16.72 | 090 | |
| 27333 | A | Removal of knee cartilage | 7.30 | N/A | 6.83 | 1.03 | N/A | 15.16 | 090 | |
| 27334 | A | Remove knee joint lining | 8.70 | N/A | 7.72 | 1.21 | N/A | 17.63 | 090 | |
| 27335 | A | Remove knee joint lining | 10.00 | N/A | 8.54 | 1.41 | N/A | 19.95 | 090 | |
| 27340 | A | Removal of kneecap bursa | 4.18 | N/A | 4.71 | 0.58 | N/A | 9.47 | 090 | |
| 27345 | A | Removal of knee cyst | 5.92 | N/A | 5.80 | 0.81 | N/A | 12.53 | 090 | |
| 27347 | A | Remove knee cyst | 5.78 | N/A | 5.70 | 0.76 | N/A | 12.24 | 090 | |
| 27350 | A | Removal of kneecap | 8.17 | N/A | 7.43 | 1.15 | N/A | 16.75 | 090 | |
| 27355 | A | Remove femur lesion | 7.65 | N/A | 7.03 | 1.07 | N/A | 15.75 | 090 | |
| 27356 | A | Remove femur lesion/graft | 9.48 | N/A | 8.13 | 1.29 | N/A | 18.90 | 090 | |
| 27357 | A | Remove femur lesion/graft | 10.53 | N/A | 8.87 | 1.48 | N/A | 20.88 | 090 | |
| 27358 | A | Remove femur lesion/fixation | 4.74 | N/A | 2.58 | 0.67 | N/A | 7.99 | ZZZ | |
| 27360 | A | Partial removal, leg bone(s) | 10.50 | N/A | 10.59 | 1.42 | N/A | 22.51 | 090 | |
| 27365 | A | Extensive leg surgery | 16.27 | N/A | 12.20 | 2.26 | N/A | 30.73 | 090 | |
| 27370 | A | Injection for knee x-ray | 0.96 | 8.43 | 0.33 | 0.06 | 9.45 | 1.35 | 000 | |
| 27372 | A | Removal of foreign body | 5.07 | 6.19 | 4.84 | 0.62 | 11.88 | 10.53 | 090 | |
| 27380 | A | Repair of kneecap tendon | 7.16 | N/A | 7.38 | 1.00 | N/A | 15.54 | 090 | |
| 27381 | A | Repair/graft kneecap tendon | 10.34 | N/A | 9.21 | 1.44 | N/A | 20.99 | 090 | |
| 27385 | A | Repair of thigh muscle | 7.76 | N/A | 7.73 | 1.09 | N/A | 16.58 | 090 | |
| 27386 | A | Repair/graft of thigh muscle | 10.56 | N/A | 9.64 | 1.49 | N/A | 21.69 | 090 | |
| 27390 | A | Incision of thigh tendon | 5.33 | N/A | 5.32 | 0.69 | N/A | 11.34 | 090 | |
| 27391 | A | Incision of thigh tendons | 7.20 | N/A | 6.62 | 0.99 | N/A | 14.81 | 090 | |
| 27392 | A | Incision of thigh tendons | 9.20 | N/A | 7.83 | 1.23 | N/A | 18.26 | 090 | |
| 27393 | A | Lengthening of thigh tendon | 6.39 | N/A | 5.93 | 0.90 | N/A | 13.22 | 090 | |
| 27394 | A | Lengthening of thigh tendons | 8.50 | N/A | 7.38 | 1.17 | N/A | 17.05 | 090 | |
| 27395 | A | Lengthening of thigh tendons | 11.73 | N/A | 9.53 | 1.63 | N/A | 22.89 | 090 | |
| 27396 | A | Transplant of thigh tendon | 7.86 | N/A | 7.26 | 1.11 | N/A | 16.23 | 090 | |
| 27397 | A | Transplants of thigh tendons | 11.28 | N/A | 9.27 | 1.58 | N/A | 22.13 | 090 | |
| 27400 | A | Revise thigh muscles/tendons | 9.02 | N/A | 7.54 | 1.18 | N/A | 17.74 | 090 | |
| 27403 | A | Repair of knee cartilage | 8.33 | N/A | 7.32 | 1.16 | N/A | 16.81 | 090 | |
| 27405 | A | Repair of knee ligament | 8.65 | N/A | 7.77 | 1.21 | N/A | 17.63 | 090 | |
| 27407 | A | Repair of knee ligament | 10.28 | N/A | 8.53 | 1.38 | N/A | 20.19 | 090 | |
| 27409 | A | Repair of knee ligaments | 12.90 | N/A | 10.16 | 1.75 | N/A | 24.81 | 090 | |
| 27418 | A | Repair degenerated kneecap | 10.85 | N/A | 9.09 | 1.51 | N/A | 21.45 | 090 | |
| 27420 | A | Revision of unstable kneecap | 9.83 | N/A | 8.27 | 1.38 | N/A | 19.48 | 090 | |
| 27422 | A | Revision of unstable kneecap | 9.78 | N/A | 8.29 | 1.37 | N/A | 19.44 | 090 | |
| 27424 | A | Revision/removal of kneecap | 9.81 | N/A | 8.26 | 1.38 | N/A | 19.45 | 090 | |
| 27425 | A | Lat retinacular release open | 5.22 | N/A | 5.62 | 0.73 | N/A | 11.57 | 090 | |
| 27427 | A | Reconstruction, knee | 9.36 | N/A | 7.94 | 1.29 | N/A | 18.59 | 090 | |
| 27428 | A | Reconstruction, knee | 14.00 | N/A | 11.36 | 1.95 | N/A | 27.31 | 090 | |
| 27429 | A | Reconstruction, knee | 15.52 | N/A | 12.54 | 2.18 | N/A | 30.24 | 090 | |
| 27430 | A | Revision of thigh muscles | 9.67 | N/A | 8.18 | 1.35 | N/A | 19.20 | 090 | |
| 27435 | A | Incision of knee joint | 9.49 | N/A | 8.55 | 1.33 | N/A | 19.37 | 090 | |
| 27437 | A | Revise kneecap | 8.46 | N/A | 7.20 | 1.18 | N/A | 16.84 | 090 | |
| 27438 | A | Revise kneecap with implant | 11.23 | N/A | 8.58 | 1.56 | N/A | 21.37 | 090 | |
| 27440 | A | Revision of knee joint | 10.43 | N/A | 6.08 | 1.42 | N/A | 17.93 | 090 | |
| 27441 | A | Revision of knee joint | 10.82 | N/A | 6.77 | 1.49 | N/A | 19.08 | 090 | |
| 27442 | A | Revision of knee joint | 11.89 | N/A | 8.97 | 1.68 | N/A | 22.54 | 090 | |
| 27443 | A | Revision of knee joint | 10.93 | N/A | 8.75 | 1.52 | N/A | 21.20 | 090 | |
| 27445 | A | Revision of knee joint | 17.68 | N/A | 12.41 | 2.49 | N/A | 32.58 | 090 | |
| 27446 | A | Revision of knee joint | 15.84 | N/A | 11.36 | 2.22 | N/A | 29.42 | 090 | |
| 27447 | A | Total knee arthroplasty | 21.48 | N/A | 14.72 | 3.00 | N/A | 39.20 | 090 | |
| 27448 | A | Incision of thigh | 11.06 | N/A | 8.88 | 1.51 | N/A | 21.45 | 090 | |
| 27450 | A | Incision of thigh | 13.98 | N/A | 10.76 | 1.96 | N/A | 26.70 | 090 | |
| 27454 | A | Realignment of thigh bone | 17.56 | N/A | 12.80 | 2.46 | N/A | 32.82 | 090 | |
| 27455 | A | Realignment of knee | 12.82 | N/A | 9.94 | 1.78 | N/A | 24.54 | 090 | |
| 27457 | A | Realignment of knee | 13.45 | N/A | 9.91 | 1.88 | N/A | 25.24 | 090 | |
| 27465 | A | Shortening of thigh bone | 13.87 | N/A | 10.50 | 1.86 | N/A | 26.23 | 090 | |
| 27466 | A | Lengthening of thigh bone | 16.33 | N/A | 12.17 | 1.92 | N/A | 30.42 | 090 | |
| 27468 | A | Shorten/lengthen thighs | 18.97 | N/A | 12.59 | 2.68 | N/A | 34.24 | 090 | |
| 27470 | A | Repair of thigh | 16.07 | N/A | 12.13 | 2.24 | N/A | 30.44 | 090 | |
| 27472 | A | Repair/graft of thigh | 17.72 | N/A | 13.04 | 2.49 | N/A | 33.25 | 090 | |
| 27475 | A | Surgery to stop leg growth | 8.64 | N/A | 7.43 | 1.13 | N/A | 17.20 | 090 | |
| 27477 | A | Surgery to stop leg growth | 9.85 | N/A | 7.95 | 1.31 | N/A | 19.11 | 090 | |
| 27479 | A | Surgery to stop leg growth | 12.80 | N/A | 10.12 | 1.81 | N/A | 24.73 | 090 | |
| 27485 | A | Surgery to stop leg growth | 8.84 | N/A | 7.59 | 1.24 | N/A | 17.67 | 090 | |
| 27486 | A | Revise/replace knee joint | 19.27 | N/A | 13.59 | 2.70 | N/A | 35.56 | 090 | |
| 27487 | A | Revise/replace knee joint | 25.27 | N/A | 16.72 | 3.54 | N/A | 45.53 | 090 | |
| 27488 | A | Removal of knee prosthesis | 15.74 | N/A | 11.76 | 2.21 | N/A | 29.71 | 090 | |
| 27495 | A | Reinforce thigh | 15.55 | N/A | 11.75 | 2.18 | N/A | 29.48 | 090 | |
| 27496 | A | Decompression of thigh/knee | 6.11 | N/A | 5.77 | 0.77 | N/A | 12.65 | 090 | |
| 27497 | A | Decompression of thigh/knee | 7.17 | N/A | 5.80 | 0.84 | N/A | 13.81 | 090 | |
| 27498 | A | Decompression of thigh/knee | 7.99 | N/A | 6.15 | 0.97 | N/A | 15.11 | 090 | |
| 27499 | A | Decompression of thigh/knee | 9.00 | N/A | 7.07 | 1.18 | N/A | 17.25 | 090 | |
| 27500 | A | Treatment of thigh fracture | 5.92 | 7.24 | 5.18 | 0.80 | 13.96 | 11.90 | 090 | |
| 27501 | A | Treatment of thigh fracture | 5.92 | 7.82 | 5.87 | 0.83 | 14.57 | 12.62 | 090 | |
| 27502 | A | Treatment of thigh fracture | 10.58 | N/A | 8.36 | 1.49 | N/A | 20.43 | 090 | |
| 27503 | A | Treatment of thigh fracture | 10.58 | N/A | 8.52 | 1.49 | N/A | 20.59 | 090 | |
| 27506 | A | Treatment of thigh fracture | 17.45 | N/A | 12.81 | 2.33 | N/A | 32.59 | 090 | |
| 27507 | A | Treatment of thigh fracture | 13.99 | N/A | 10.13 | 1.95 | N/A | 26.07 | 090 | |
| 27508 | A | Treatment of thigh fracture | 5.83 | 7.10 | 5.42 | 0.80 | 13.73 | 12.05 | 090 | |
| 27509 | A | Treatment of thigh fracture | 7.71 | N/A | 8.04 | 1.08 | N/A | 16.83 | 090 | |
| 27510 | A | Treatment of thigh fracture | 9.13 | N/A | 7.31 | 1.26 | N/A | 17.70 | 090 | |
| 27511 | A | Treatment of thigh fracture | 13.64 | N/A | 11.39 | 1.91 | N/A | 26.94 | 090 | |
| 27513 | A | Treatment of thigh fracture | 17.92 | N/A | 14.08 | 2.51 | N/A | 34.51 | 090 | |
| 27514 | A | Treatment of thigh fracture | 17.30 | N/A | 13.44 | 2.41 | N/A | 33.15 | 090 | |
| 27516 | A | Treat thigh fx growth plate | 5.37 | 7.41 | 5.48 | 0.74 | 13.52 | 11.59 | 090 | |
| 27517 | A | Treat thigh fx growth plate | 8.78 | 9.06 | 7.49 | 1.22 | 19.06 | 17.49 | 090 | |
| 27519 | A | Treat thigh fx growth plate | 15.02 | N/A | 11.83 | 2.09 | N/A | 28.94 | 090 | |
| 27520 | A | Treat kneecap fracture | 2.86 | 5.32 | 3.48 | 0.38 | 8.56 | 6.72 | 090 | |
| 27524 | A | Treat kneecap fracture | 10.00 | N/A | 8.29 | 1.40 | N/A | 19.69 | 090 | |
| 27530 | A | Treat knee fracture | 3.78 | 5.99 | 4.35 | 0.51 | 10.28 | 8.64 | 090 | |
| 27532 | A | Treat knee fracture | 7.30 | 7.86 | 6.27 | 1.02 | 16.18 | 14.59 | 090 | |
| 27535 | A | Treat knee fracture | 11.50 | N/A | 10.27 | 1.61 | N/A | 23.38 | 090 | |
| 27536 | A | Treat knee fracture | 15.65 | N/A | 11.70 | 2.19 | N/A | 29.54 | 090 | |
| 27538 | A | Treat knee fracture(s) | 4.87 | 7.20 | 5.17 | 0.67 | 12.74 | 10.71 | 090 | |
| 27540 | A | Treat knee fracture | 13.10 | N/A | 9.64 | 1.80 | N/A | 24.54 | 090 | |
| 27550 | A | Treat knee dislocation | 5.76 | 6.71 | 5.02 | 0.68 | 13.15 | 11.46 | 090 | |
| 27552 | A | Treat knee dislocation | 7.90 | N/A | 6.99 | 1.10 | N/A | 15.99 | 090 | |
| 27556 | A | Treat knee dislocation | 14.41 | N/A | 12.07 | 2.01 | N/A | 28.49 | 090 | |
| 27557 | A | Treat knee dislocation | 16.77 | N/A | 13.47 | 2.37 | N/A | 32.61 | 090 | |
| 27558 | A | Treat knee dislocation | 17.72 | N/A | 13.52 | 2.51 | N/A | 33.75 | 090 | |
| 27560 | A | Treat kneecap dislocation | 3.82 | 5.68 | 3.35 | 0.40 | 9.90 | 7.57 | 090 | |
| 27562 | A | Treat kneecap dislocation | 5.79 | N/A | 4.87 | 0.69 | N/A | 11.35 | 090 | |
| 27566 | A | Treat kneecap dislocation | 12.23 | N/A | 9.43 | 1.73 | N/A | 23.39 | 090 | |
| 27570 | A | Fixation of knee joint | 1.74 | N/A | 1.91 | 0.24 | N/A | 3.89 | 010 | |
| 27580 | A | Fusion of knee | 19.37 | N/A | 15.13 | 2.70 | N/A | 37.20 | 090 | |
| 27590 | A | Amputate leg at thigh | 12.03 | N/A | 7.33 | 1.35 | N/A | 20.71 | 090 | |
| 27591 | A | Amputate leg at thigh | 12.68 | N/A | 9.27 | 1.63 | N/A | 23.58 | 090 | |
| 27592 | A | Amputate leg at thigh | 10.02 | N/A | 6.84 | 1.17 | N/A | 18.03 | 090 | |
| 27594 | A | Amputation follow-up surgery | 6.92 | N/A | 5.56 | 0.82 | N/A | 13.30 | 090 | |
| 27596 | A | Amputation follow-up surgery | 10.60 | N/A | 7.44 | 1.24 | N/A | 19.28 | 090 | |
| 27598 | A | Amputate lower leg at knee | 10.53 | N/A | 7.49 | 1.24 | N/A | 19.26 | 090 | |
| 27599 | C | Leg surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 27600 | A | Decompression of lower leg | 5.65 | N/A | 4.79 | 0.68 | N/A | 11.12 | 090 | |
| 27601 | A | Decompression of lower leg | 5.64 | N/A | 5.07 | 0.69 | N/A | 11.40 | 090 | |
| 27602 | A | Decompression of lower leg | 7.35 | N/A | 5.36 | 0.85 | N/A | 13.56 | 090 | |
| 27603 | A | Drain lower leg lesion | 4.94 | 11.05 | 5.10 | 0.56 | 16.55 | 10.60 | 090 | |
| 27604 | A | Drain lower leg bursa | 4.47 | 8.90 | 4.78 | 0.54 | 13.91 | 9.79 | 090 | |
| 27605 | A | Incision of achilles tendon | 2.87 | 9.17 | 2.51 | 0.38 | 12.42 | 5.76 | 010 | |
| 27606 | A | Incision of achilles tendon | 4.14 | 10.43 | 3.57 | 0.57 | 15.14 | 8.28 | 010 | |
| 27607 | A | Treat lower leg bone lesion | 7.97 | N/A | 7.19 | 1.08 | N/A | 16.24 | 090 | |
| 27610 | A | Explore/treat ankle joint | 8.34 | N/A | 7.38 | 1.15 | N/A | 16.87 | 090 | |
| 27612 | A | Exploration of ankle joint | 7.33 | N/A | 6.24 | 1.01 | N/A | 14.58 | 090 | |
| 27613 | A | Biopsy lower leg soft tissue | 2.17 | 4.03 | 1.90 | 0.16 | 6.36 | 4.23 | 010 | |
| 27614 | A | Biopsy lower leg soft tissue | 5.66 | 8.99 | 4.77 | 0.62 | 15.27 | 11.05 | 090 | |
| 27615 | A | Remove tumor, lower leg | 12.56 | N/A | 10.91 | 1.39 | N/A | 24.86 | 090 | |
| 27618 | A | Remove lower leg lesion | 5.09 | 9.29 | 4.35 | 0.54 | 14.92 | 9.98 | 090 | |
| 27619 | A | Remove lower leg lesion | 8.40 | 10.82 | 6.34 | 1.01 | 20.23 | 15.75 | 090 | |
| 27620 | A | Explore/treat ankle joint | 5.98 | N/A | 5.69 | 0.83 | N/A | 12.50 | 090 | |
| 27625 | A | Remove ankle joint lining | 8.30 | N/A | 6.83 | 1.16 | N/A | 16.29 | 090 | |
| 27626 | A | Remove ankle joint lining | 8.91 | N/A | 7.31 | 1.23 | N/A | 17.45 | 090 | |
| 27630 | A | Removal of tendon lesion | 4.80 | 9.26 | 4.62 | 0.60 | 14.66 | 10.02 | 090 | |
| 27635 | A | Remove lower leg bone lesion | 7.78 | N/A | 7.16 | 1.06 | N/A | 16.00 | 090 | |
| 27637 | A | Remove/graft leg bone lesion | 9.85 | N/A | 8.60 | 1.38 | N/A | 19.83 | 090 | |
| 27638 | A | Remove/graft leg bone lesion | 10.57 | N/A | 8.74 | 1.47 | N/A | 20.78 | 090 | |
| 27640 | A | Partial removal of tibia | 11.37 | N/A | 11.19 | 1.54 | N/A | 24.10 | 090 | |
| 27641 | A | Partial removal of fibula | 9.24 | N/A | 9.22 | 1.22 | N/A | 19.68 | 090 | |
| 27645 | A | Extensive lower leg surgery | 14.17 | N/A | 12.76 | 1.98 | N/A | 28.91 | 090 | |
| 27646 | A | Extensive lower leg surgery | 12.66 | N/A | 11.72 | 1.55 | N/A | 25.93 | 090 | |
| 27647 | A | Extensive ankle/heel surgery | 12.24 | N/A | 8.09 | 1.64 | N/A | 21.97 | 090 | |
| 27648 | A | Injection for ankle x-ray | 0.96 | 6.70 | 0.34 | 0.05 | 7.71 | 1.35 | 000 | |
| 27650 | A | Repair achilles tendon | 9.69 | N/A | 7.65 | 1.35 | N/A | 18.69 | 090 | |
| 27652 | A | Repair/graft achilles tendon | 10.33 | N/A | 8.08 | 1.45 | N/A | 19.86 | 090 | |
| 27654 | A | Repair of achilles tendon | 10.02 | N/A | 7.45 | 1.41 | N/A | 18.88 | 090 | |
| 27656 | A | Repair leg fascia defect | 4.57 | 10.22 | 4.12 | 0.48 | 15.27 | 9.17 | 090 | |
| 27658 | A | Repair of leg tendon, each | 4.98 | 9.50 | 5.12 | 0.68 | 15.16 | 10.78 | 090 | |
| 27659 | A | Repair of leg tendon, each | 6.81 | 11.61 | 6.08 | 0.96 | 19.38 | 13.85 | 090 | |
| 27664 | A | Repair of leg tendon, each | 4.59 | 11.66 | 5.10 | 0.63 | 16.88 | 10.32 | 090 | |
| 27665 | A | Repair of leg tendon, each | 5.40 | 11.37 | 5.45 | 0.75 | 17.52 | 11.60 | 090 | |
| 27675 | A | Repair lower leg tendons | 7.18 | N/A | 5.99 | 1.01 | N/A | 14.18 | 090 | |
| 27676 | A | Repair lower leg tendons | 8.42 | N/A | 7.00 | 1.15 | N/A | 16.57 | 090 | |
| 27680 | A | Release of lower leg tendon | 5.74 | N/A | 5.47 | 0.80 | N/A | 12.01 | 090 | |
| 27681 | A | Release of lower leg tendons | 6.82 | N/A | 6.17 | 0.92 | N/A | 13.91 | 090 | |
| 27685 | A | Revision of lower leg tendon | 6.50 | 8.31 | 5.69 | 0.91 | 15.72 | 13.10 | 090 | |
| 27686 | A | Revise lower leg tendons | 7.46 | 12.79 | 6.81 | 1.05 | 21.30 | 15.32 | 090 | |
| 27687 | A | Revision of calf tendon | 6.24 | N/A | 5.61 | 0.88 | N/A | 12.73 | 090 | |
| 27690 | A | Revise lower leg tendon | 8.71 | N/A | 6.73 | 1.22 | N/A | 16.66 | 090 | |
| 27691 | A | Revise lower leg tendon | 9.96 | N/A | 8.05 | 1.40 | N/A | 19.41 | 090 | |
| 27692 | A | Revise additional leg tendon | 1.87 | N/A | 0.95 | 0.26 | N/A | 3.08 | ZZZ | |
| 27695 | A | Repair of ankle ligament | 6.51 | N/A | 6.22 | 0.90 | N/A | 13.63 | 090 | |
| 27696 | A | Repair of ankle ligaments | 8.27 | N/A | 6.79 | 1.16 | N/A | 16.22 | 090 | |
| 27698 | A | Repair of ankle ligament | 9.36 | N/A | 7.20 | 1.31 | N/A | 17.87 | 090 | |
| 27700 | A | Revision of ankle joint | 9.29 | N/A | 5.75 | 1.24 | N/A | 16.28 | 090 | |
| 27702 | A | Reconstruct ankle joint | 13.67 | N/A | 10.46 | 1.92 | N/A | 26.05 | 090 | |
| 27703 | A | Reconstruction, ankle joint | 15.87 | N/A | 11.30 | 2.24 | N/A | 29.41 | 090 | |
| 27704 | A | Removal of ankle implant | 7.62 | N/A | 5.62 | 0.61 | N/A | 13.85 | 090 | |
| 27705 | A | Incision of tibia | 10.38 | N/A | 8.49 | 1.44 | N/A | 20.31 | 090 | |
| 27707 | A | Incision of fibula | 4.37 | N/A | 5.21 | 0.60 | N/A | 10.18 | 090 | |
| 27709 | A | Incision of tibia fibula | 9.95 | N/A | 8.41 | 1.39 | N/A | 19.75 | 090 | |
| 27712 | A | Realignment of lower leg | 14.25 | N/A | 11.02 | 2.00 | N/A | 27.27 | 090 | |
| 27715 | A | Revision of lower leg | 14.39 | N/A | 11.15 | 2.00 | N/A | 27.54 | 090 | |
| 27720 | A | Repair of tibia | 11.79 | N/A | 9.73 | 1.66 | N/A | 23.18 | 090 | |
| 27722 | A | Repair/graft of tibia | 11.82 | N/A | 9.49 | 1.65 | N/A | 22.96 | 090 | |
| 27724 | A | Repair/graft of tibia | 18.20 | N/A | 13.00 | 2.10 | N/A | 33.30 | 090 | |
| 27725 | A | Repair of lower leg | 15.59 | N/A | 12.31 | 2.20 | N/A | 30.10 | 090 | |
| 27727 | A | Repair of lower leg | 14.01 | N/A | 10.70 | 1.84 | N/A | 26.55 | 090 | |
| 27730 | A | Repair of tibia epiphysis | 7.41 | 18.67 | 6.64 | 0.75 | 26.83 | 14.80 | 090 | |
| 27732 | A | Repair of fibula epiphysis | 5.32 | 11.91 | 5.28 | 0.63 | 17.86 | 11.23 | 090 | |
| 27734 | A | Repair lower leg epiphyses | 8.48 | N/A | 6.62 | 0.85 | N/A | 15.95 | 090 | |
| 27740 | A | Repair of leg epiphyses | 9.30 | 21.05 | 8.18 | 1.31 | 31.66 | 18.79 | 090 | |
| 27742 | A | Repair of leg epiphyses | 10.30 | 12.74 | 7.41 | 1.55 | 24.59 | 19.26 | 090 | |
| 27745 | A | Reinforce tibia | 10.07 | N/A | 8.46 | 1.38 | N/A | 19.91 | 090 | |
| 27750 | A | Treatment of tibia fracture | 3.19 | 5.47 | 3.84 | 0.43 | 9.09 | 7.46 | 090 | |
| 27752 | A | Treatment of tibia fracture | 5.84 | 7.62 | 5.70 | 0.82 | 14.28 | 12.36 | 090 | |
| 27756 | A | Treatment of tibia fracture | 6.78 | N/A | 6.85 | 0.94 | N/A | 14.57 | 090 | |
| 27758 | A | Treatment of tibia fracture | 11.67 | N/A | 9.36 | 1.52 | N/A | 22.55 | 090 | |
| 27759 | A | Treatment of tibia fracture | 13.76 | N/A | 10.62 | 1.93 | N/A | 26.31 | 090 | |
| 27760 | A | Treatment of ankle fracture | 3.01 | 5.35 | 3.60 | 0.39 | 8.75 | 7.00 | 090 | |
| 27762 | A | Treatment of ankle fracture | 5.25 | 7.26 | 5.26 | 0.71 | 13.22 | 11.22 | 090 | |
| 27766 | A | Treatment of ankle fracture | 8.36 | N/A | 7.30 | 1.17 | N/A | 16.83 | 090 | |
| 27780 | A | Treatment of fibula fracture | 2.65 | 5.02 | 3.27 | 0.33 | 8.00 | 6.25 | 090 | |
| 27781 | A | Treatment of fibula fracture | 4.40 | 6.47 | 4.58 | 0.57 | 11.44 | 9.55 | 090 | |
| 27784 | A | Treatment of fibula fracture | 7.11 | N/A | 6.58 | 0.98 | N/A | 14.67 | 090 | |
| 27786 | A | Treatment of ankle fracture | 2.84 | 5.19 | 3.38 | 0.37 | 8.40 | 6.59 | 090 | |
| 27788 | A | Treatment of ankle fracture | 4.45 | 6.59 | 4.58 | 0.61 | 11.65 | 9.64 | 090 | |
| 27792 | A | Treatment of ankle fracture | 7.66 | N/A | 7.03 | 1.07 | N/A | 15.76 | 090 | |
| 27808 | A | Treatment of ankle fracture | 2.83 | 5.89 | 3.76 | 0.38 | 9.10 | 6.97 | 090 | |
| 27810 | A | Treatment of ankle fracture | 5.13 | 7.18 | 5.19 | 0.71 | 13.02 | 11.03 | 090 | |
| 27814 | A | Treatment of ankle fracture | 10.68 | N/A | 8.81 | 1.50 | N/A | 20.99 | 090 | |
| 27816 | A | Treatment of ankle fracture | 2.89 | 5.18 | 3.55 | 0.37 | 8.44 | 6.81 | 090 | |
| 27818 | A | Treatment of ankle fracture | 5.50 | 7.29 | 5.23 | 0.74 | 13.53 | 11.47 | 090 | |
| 27822 | A | Treatment of ankle fracture | 11.00 | N/A | 10.92 | 1.29 | N/A | 23.21 | 090 | |
| 27823 | A | Treatment of ankle fracture | 13.00 | N/A | 11.80 | 1.65 | N/A | 26.45 | 090 | |
| 27824 | A | Treat lower leg fracture | 2.89 | 5.77 | 3.90 | 0.39 | 9.05 | 7.18 | 090 | |
| 27825 | A | Treat lower leg fracture | 6.19 | 8.55 | 6.18 | 0.85 | 15.59 | 13.22 | 090 | |
| 27826 | A | Treat lower leg fracture | 8.54 | N/A | 9.12 | 1.19 | N/A | 18.85 | 090 | |
| 27827 | A | Treat lower leg fracture | 14.06 | N/A | 12.94 | 1.96 | N/A | 28.96 | 090 | |
| 27828 | A | Treat lower leg fracture | 16.23 | N/A | 14.01 | 2.27 | N/A | 32.51 | 090 | |
| 27829 | A | Treat lower leg joint | 5.49 | N/A | 6.89 | 0.77 | N/A | 13.15 | 090 | |
| 27830 | A | Treat lower leg dislocation | 3.79 | 5.23 | 3.90 | 0.44 | 9.46 | 8.13 | 090 | |
| 27831 | A | Treat lower leg dislocation | 4.56 | N/A | 4.52 | 0.61 | N/A | 9.69 | 090 | |
| 27832 | A | Treat lower leg dislocation | 6.49 | N/A | 6.27 | 0.91 | N/A | 13.67 | 090 | |
| 27840 | A | Treat ankle dislocation | 4.58 | N/A | 3.96 | 0.47 | N/A | 9.01 | 090 | |
| 27842 | A | Treat ankle dislocation | 6.21 | N/A | 5.09 | 0.76 | N/A | 12.06 | 090 | |
| 27846 | A | Treat ankle dislocation | 9.79 | N/A | 8.17 | 1.36 | N/A | 19.32 | 090 | |
| 27848 | A | Treat ankle dislocation | 11.20 | N/A | 9.89 | 1.55 | N/A | 22.64 | 090 | |
| 27860 | A | Fixation of ankle joint | 2.34 | N/A | 2.20 | 0.31 | N/A | 4.85 | 010 | |
| 27870 | A | Fusion of ankle joint, open | 13.91 | N/A | 10.90 | 1.95 | N/A | 26.76 | 090 | |
| 27871 | A | Fusion of tibiofibular joint | 9.17 | N/A | 7.86 | 1.29 | N/A | 18.32 | 090 | |
| 27880 | A | Amputation of lower leg | 11.85 | N/A | 7.60 | 1.38 | N/A | 20.83 | 090 | |
| 27881 | A | Amputation of lower leg | 12.34 | N/A | 9.23 | 1.59 | N/A | 23.16 | 090 | |
| 27882 | A | Amputation of lower leg | 8.94 | N/A | 7.17 | 1.03 | N/A | 17.14 | 090 | |
| 27884 | A | Amputation follow-up surgery | 8.21 | N/A | 6.28 | 0.95 | N/A | 15.44 | 090 | |
| 27886 | A | Amputation follow-up surgery | 9.32 | N/A | 6.98 | 1.13 | N/A | 17.43 | 090 | |
| 27888 | A | Amputation of foot at ankle | 9.67 | N/A | 7.81 | 1.26 | N/A | 18.74 | 090 | |
| 27889 | A | Amputation of foot at ankle | 9.98 | N/A | 6.87 | 1.19 | N/A | 18.04 | 090 | |
| 27892 | A | Decompression of leg | 7.39 | N/A | 5.92 | 0.86 | N/A | 14.17 | 090 | |
| 27893 | A | Decompression of leg | 7.35 | N/A | 5.83 | 0.90 | N/A | 14.08 | 090 | |
| 27894 | A | Decompression of leg | 10.49 | N/A | 7.96 | 1.25 | N/A | 19.70 | 090 | |
| 27899 | C | Leg/ankle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 28001 | A | Drainage of bursa of foot | 2.73 | 5.98 | 3.58 | 0.31 | 9.02 | 6.62 | 010 | |
| 28002 | A | Treatment of foot infection | 4.62 | 7.39 | 4.72 | 0.56 | 12.57 | 9.90 | 010 | |
| 28003 | A | Treatment of foot infection | 8.41 | 7.93 | 6.42 | 1.03 | 17.37 | 15.86 | 090 | |
| 28005 | A | Treat foot bone lesion | 8.68 | N/A | 6.70 | 1.14 | N/A | 16.52 | 090 | |
| 28008 | A | Incision of foot fascia | 4.45 | 5.87 | 3.77 | 0.56 | 10.88 | 8.78 | 090 | |
| 28010 | A | Incision of toe tendon | 2.84 | 5.69 | 3.09 | 0.39 | 8.92 | 6.32 | 090 | |
| 28011 | A | Incision of toe tendons | 4.14 | 7.63 | 4.50 | 0.58 | 12.35 | 9.22 | 090 | |
| 28020 | A | Exploration of foot joint | 5.01 | 7.29 | 4.42 | 0.64 | 12.94 | 10.07 | 090 | |
| 28022 | A | Exploration of foot joint | 4.67 | 6.27 | 4.13 | 0.62 | 11.56 | 9.42 | 090 | |
| 28024 | A | Exploration of toe joint | 4.38 | 6.39 | 4.20 | 0.50 | 11.27 | 9.08 | 090 | |
| 28030 | A | Removal of foot nerve | 6.15 | N/A | 3.75 | 0.85 | N/A | 10.75 | 090 | |
| 28035 | A | Decompression of tibia nerve | 5.09 | 7.07 | 4.28 | 0.71 | 12.87 | 10.08 | 090 | |
| 28043 | A | Excision of foot lesion | 3.54 | 5.94 | 3.40 | 0.45 | 9.93 | 7.39 | 090 | |
| 28045 | A | Excision of foot lesion | 4.72 | 6.30 | 3.89 | 0.62 | 11.64 | 9.23 | 090 | |
| 28046 | A | Resection of tumor, foot | 10.18 | 9.67 | 7.59 | 1.13 | 20.98 | 18.90 | 090 | |
| 28050 | A | Biopsy of foot joint lining | 4.25 | 5.95 | 3.86 | 0.55 | 10.75 | 8.66 | 090 | |
| 28052 | A | Biopsy of foot joint lining | 3.94 | 6.16 | 3.76 | 0.51 | 10.61 | 8.21 | 090 | |
| 28054 | A | Biopsy of toe joint lining | 3.45 | 6.00 | 3.56 | 0.45 | 9.90 | 7.46 | 090 | |
| 28060 | A | Partial removal, foot fascia | 5.23 | 6.57 | 4.21 | 0.69 | 12.49 | 10.13 | 090 | |
| 28062 | A | Removal of foot fascia | 6.52 | 7.34 | 4.36 | 0.85 | 14.71 | 11.73 | 090 | |
| 28070 | A | Removal of foot joint lining | 5.10 | 6.13 | 4.08 | 0.68 | 11.91 | 9.86 | 090 | |
| 28072 | A | Removal of foot joint lining | 4.58 | 6.62 | 4.56 | 0.64 | 11.84 | 9.78 | 090 | |
| 28080 | A | Removal of foot lesion | 3.58 | 6.10 | 3.84 | 0.50 | 10.18 | 7.92 | 090 | |
| 28086 | A | Excise foot tendon sheath | 4.78 | 9.75 | 4.96 | 0.66 | 15.19 | 10.40 | 090 | |
| 28088 | A | Excise foot tendon sheath | 3.86 | 7.26 | 4.24 | 0.52 | 11.64 | 8.62 | 090 | |
| 28090 | A | Removal of foot lesion | 4.41 | 6.20 | 3.73 | 0.57 | 11.18 | 8.71 | 090 | |
| 28092 | A | Removal of toe lesions | 3.64 | 6.52 | 3.82 | 0.46 | 10.62 | 7.92 | 090 | |
| 28100 | A | Removal of ankle/heel lesion | 5.66 | 9.50 | 5.04 | 0.76 | 15.92 | 11.46 | 090 | |
| 28102 | A | Remove/graft foot lesion | 7.73 | N/A | 6.29 | 0.97 | N/A | 14.99 | 090 | |
| 28103 | A | Remove/graft foot lesion | 6.50 | 8.72 | 4.97 | 0.89 | 16.11 | 12.36 | 090 | |
| 28104 | A | Removal of foot lesion | 5.12 | 6.54 | 4.29 | 0.69 | 12.35 | 10.10 | 090 | |
| 28106 | A | Remove/graft foot lesion | 7.16 | N/A | 4.76 | 1.01 | N/A | 12.93 | 090 | |
| 28107 | A | Remove/graft foot lesion | 5.56 | 7.46 | 4.52 | 0.74 | 13.76 | 10.82 | 090 | |
| 28108 | A | Removal of toe lesions | 4.16 | 5.60 | 3.52 | 0.52 | 10.28 | 8.20 | 090 | |
| 28110 | A | Part removal of metatarsal | 4.08 | 6.24 | 3.94 | 0.49 | 10.81 | 8.51 | 090 | |
| 28111 | A | Part removal of metatarsal | 5.01 | 7.45 | 4.45 | 0.63 | 13.09 | 10.09 | 090 | |
| 28112 | A | Part removal of metatarsal | 4.49 | 6.93 | 4.35 | 0.60 | 12.02 | 9.44 | 090 | |
| 28113 | A | Part removal of metatarsal | 4.79 | 7.01 | 4.85 | 0.63 | 12.43 | 10.27 | 090 | |
| 28114 | A | Removal of metatarsal heads | 9.79 | 12.25 | 8.83 | 1.36 | 23.40 | 19.98 | 090 | |
| 28116 | A | Revision of foot | 7.75 | 7.38 | 5.38 | 1.03 | 16.16 | 14.16 | 090 | |
| 28118 | A | Removal of heel bone | 5.96 | 7.33 | 4.73 | 0.79 | 14.08 | 11.48 | 090 | |
| 28119 | A | Removal of heel spur | 5.39 | 6.38 | 4.03 | 0.74 | 12.51 | 10.16 | 090 | |
| 28120 | A | Part removal of ankle/heel | 5.40 | 9.04 | 5.48 | 0.69 | 15.13 | 11.57 | 090 | |
| 28122 | A | Partial removal of foot bone | 7.29 | 8.15 | 6.01 | 0.96 | 16.40 | 14.26 | 090 | |
| 28124 | A | Partial removal of toe | 4.81 | 6.30 | 4.35 | 0.65 | 11.76 | 9.81 | 090 | |
| 28126 | A | Partial removal of toe | 3.52 | 5.52 | 3.79 | 0.49 | 9.53 | 7.80 | 090 | |
| 28130 | A | Removal of ankle bone | 8.11 | N/A | 6.92 | 1.11 | N/A | 16.14 | 090 | |
| 28140 | A | Removal of metatarsal | 6.91 | 8.47 | 5.19 | 0.84 | 16.22 | 12.94 | 090 | |
| 28150 | A | Removal of toe | 4.09 | 6.19 | 4.05 | 0.52 | 10.80 | 8.66 | 090 | |
| 28153 | A | Partial removal of toe | 3.66 | 5.59 | 3.27 | 0.49 | 9.74 | 7.42 | 090 | |
| 28160 | A | Partial removal of toe | 3.74 | 5.88 | 4.14 | 0.51 | 10.13 | 8.39 | 090 | |
| 28171 | A | Extensive foot surgery | 9.60 | N/A | 5.90 | 1.13 | N/A | 16.63 | 090 | |
| 28173 | A | Extensive foot surgery | 8.80 | 8.49 | 5.86 | 1.04 | 18.33 | 15.70 | 090 | |
| 28175 | A | Extensive foot surgery | 6.05 | 6.89 | 4.26 | 0.75 | 13.69 | 11.06 | 090 | |
| 28190 | A | Removal of foot foreign body | 1.96 | 6.71 | 3.55 | 0.16 | 8.83 | 5.67 | 010 | |
| 28192 | A | Removal of foot foreign body | 4.64 | 6.61 | 3.85 | 0.52 | 11.77 | 9.01 | 090 | |
| 28193 | A | Removal of foot foreign body | 5.73 | 6.53 | 4.28 | 0.63 | 12.89 | 10.64 | 090 | |
| 28200 | A | Repair of foot tendon | 4.60 | 6.13 | 3.94 | 0.59 | 11.32 | 9.13 | 090 | |
| 28202 | A | Repair/graft of foot tendon | 6.84 | 8.30 | 4.82 | 0.86 | 16.00 | 12.52 | 090 | |
| 28208 | A | Repair of foot tendon | 4.37 | 5.91 | 3.67 | 0.59 | 10.87 | 8.63 | 090 | |
| 28210 | A | Repair/graft of foot tendon | 6.35 | 7.33 | 4.36 | 0.77 | 14.45 | 11.48 | 090 | |
| 28220 | A | Release of foot tendon | 4.53 | 5.73 | 3.78 | 0.63 | 10.89 | 8.94 | 090 | |
| 28222 | A | Release of foot tendons | 5.62 | 6.13 | 4.49 | 0.77 | 12.52 | 10.88 | 090 | |
| 28225 | A | Release of foot tendon | 3.66 | 5.43 | 3.28 | 0.50 | 9.59 | 7.44 | 090 | |
| 28226 | A | Release of foot tendons | 4.53 | 5.78 | 4.11 | 0.62 | 10.93 | 9.26 | 090 | |
| 28230 | A | Incision of foot tendon(s) | 4.24 | 5.81 | 4.08 | 0.59 | 10.64 | 8.91 | 090 | |
| 28232 | A | Incision of toe tendon | 3.39 | 5.85 | 3.72 | 0.48 | 9.72 | 7.59 | 090 | |
| 28234 | A | Incision of foot tendon | 3.37 | 6.01 | 3.66 | 0.46 | 9.84 | 7.49 | 090 | |
| 28238 | A | Revision of foot tendon | 7.73 | 8.19 | 5.27 | 1.08 | 17.00 | 14.08 | 090 | |
| 28240 | A | Release of big toe | 4.36 | 5.77 | 3.88 | 0.61 | 10.74 | 8.85 | 090 | |
| 28250 | A | Revision of foot fascia | 5.92 | 6.73 | 4.50 | 0.81 | 13.46 | 11.23 | 090 | |
| 28260 | A | Release of midfoot joint | 7.96 | 7.27 | 5.34 | 1.08 | 16.31 | 14.38 | 090 | |
| 28261 | A | Revision of foot tendon | 11.73 | 9.14 | 7.59 | 1.66 | 22.53 | 20.98 | 090 | |
| 28262 | A | Revision of foot and ankle | 15.83 | 14.73 | 11.92 | 2.22 | 32.78 | 29.97 | 090 | |
| 28264 | A | Release of midfoot joint | 10.35 | 8.74 | 8.19 | 1.46 | 20.55 | 20.00 | 090 | |
| 28270 | A | Release of foot contracture | 4.76 | 6.09 | 4.43 | 0.67 | 11.52 | 9.86 | 090 | |
| 28272 | A | Release of toe joint, each | 3.80 | 5.31 | 3.22 | 0.52 | 9.63 | 7.54 | 090 | |
| 28280 | A | Fusion of toes | 5.19 | 7.46 | 4.76 | 0.72 | 13.37 | 10.67 | 090 | |
| 28285 | A | Repair of hammertoe | 4.59 | 6.14 | 4.05 | 0.64 | 11.37 | 9.28 | 090 | |
| 28286 | A | Repair of hammertoe | 4.56 | 5.93 | 3.91 | 0.64 | 11.13 | 9.11 | 090 | |
| 28288 | A | Partial removal of foot bone | 4.74 | 6.88 | 5.53 | 0.65 | 12.27 | 10.92 | 090 | |
| 28289 | A | Repair hallux rigidus | 7.04 | 9.24 | 6.53 | 0.96 | 17.24 | 14.53 | 090 | |
| 28290 | A | Correction of bunion | 5.66 | 7.23 | 5.59 | 0.79 | 13.68 | 12.04 | 090 | |
| 28292 | A | Correction of bunion | 7.04 | 8.00 | 5.93 | 0.98 | 16.02 | 13.95 | 090 | |
| 28293 | A | Correction of bunion | 9.15 | 10.19 | 6.16 | 1.28 | 20.62 | 16.59 | 090 | |
| 28294 | A | Correction of bunion | 8.56 | 7.87 | 5.28 | 1.16 | 17.59 | 15.00 | 090 | |
| 28296 | A | Correction of bunion | 9.18 | 8.38 | 6.04 | 1.28 | 18.84 | 16.50 | 090 | |
| 28297 | A | Correction of bunion | 9.18 | 9.38 | 7.08 | 1.31 | 19.87 | 17.57 | 090 | |
| 28298 | A | Correction of bunion | 7.94 | 7.52 | 5.64 | 1.12 | 16.58 | 14.70 | 090 | |
| 28299 | A | Correction of bunion | 10.58 | 8.95 | 6.66 | 1.24 | 20.77 | 18.48 | 090 | |
| 28300 | A | Incision of heel bone | 9.54 | 13.40 | 7.28 | 1.31 | 24.25 | 18.13 | 090 | |
| 28302 | A | Incision of ankle bone | 9.55 | 13.39 | 7.16 | 1.15 | 24.09 | 17.86 | 090 | |
| 28304 | A | Incision of midfoot bones | 9.16 | 8.36 | 5.97 | 1.00 | 18.52 | 16.13 | 090 | |
| 28305 | A | Incise/graft midfoot bones | 10.50 | 11.12 | 6.95 | 0.55 | 22.17 | 18.00 | 090 | |
| 28306 | A | Incision of metatarsal | 5.86 | 7.40 | 4.45 | 0.81 | 14.07 | 11.12 | 090 | |
| 28307 | A | Incision of metatarsal | 6.33 | 11.84 | 5.50 | 0.71 | 18.88 | 12.54 | 090 | |
| 28308 | A | Incision of metatarsal | 5.29 | 6.22 | 3.89 | 0.74 | 12.25 | 9.92 | 090 | |
| 28309 | A | Incision of metatarsals | 12.78 | N/A | 8.33 | 1.64 | N/A | 22.75 | 090 | |
| 28310 | A | Revision of big toe | 5.43 | 6.45 | 4.19 | 0.76 | 12.64 | 10.38 | 090 | |
| 28312 | A | Revision of toe | 4.55 | 6.18 | 4.40 | 0.62 | 11.35 | 9.57 | 090 | |
| 28313 | A | Repair deformity of toe | 5.01 | 6.65 | 5.91 | 0.68 | 12.34 | 11.60 | 090 | |
| 28315 | A | Removal of sesamoid bone | 4.86 | 6.03 | 3.89 | 0.66 | 11.55 | 9.41 | 090 | |
| 28320 | A | Repair of foot bones | 9.18 | N/A | 6.97 | 1.27 | N/A | 17.42 | 090 | |
| 28322 | A | Repair of metatarsals | 8.34 | 10.37 | 6.52 | 1.17 | 19.88 | 16.03 | 090 | |
| 28340 | A | Resect enlarged toe tissue | 6.98 | 7.25 | 4.59 | 0.98 | 15.21 | 12.55 | 090 | |
| 28341 | A | Resect enlarged toe | 8.41 | 7.43 | 5.13 | 1.18 | 17.02 | 14.72 | 090 | |
| 28344 | A | Repair extra toe(s) | 4.26 | 6.93 | 3.89 | 0.60 | 11.79 | 8.75 | 090 | |
| 28345 | A | Repair webbed toe(s) | 5.92 | 7.19 | 5.01 | 0.84 | 13.95 | 11.77 | 090 | |
| 28360 | A | Reconstruct cleft foot | 13.34 | N/A | 10.87 | 1.88 | N/A | 26.09 | 090 | |
| 28400 | A | Treatment of heel fracture | 2.16 | 4.63 | 3.31 | 0.29 | 7.08 | 5.76 | 090 | |
| 28405 | A | Treatment of heel fracture | 4.57 | 5.77 | 4.82 | 0.63 | 10.97 | 10.02 | 090 | |
| 28406 | A | Treatment of heel fracture | 6.31 | N/A | 7.02 | 0.87 | N/A | 14.20 | 090 | |
| 28415 | A | Treat heel fracture | 15.97 | N/A | 13.49 | 2.24 | N/A | 31.70 | 090 | |
| 28420 | A | Treat/graft heel fracture | 16.64 | N/A | 13.20 | 2.29 | N/A | 32.13 | 090 | |
| 28430 | A | Treatment of ankle fracture | 2.09 | 4.33 | 2.81 | 0.27 | 6.69 | 5.17 | 090 | |
| 28435 | A | Treatment of ankle fracture | 3.40 | 4.74 | 3.90 | 0.47 | 8.61 | 7.77 | 090 | |
| 28436 | A | Treatment of ankle fracture | 4.71 | N/A | 6.11 | 0.66 | N/A | 11.48 | 090 | |
| 28445 | A | Treat ankle fracture | 15.62 | N/A | 11.42 | 1.29 | N/A | 28.33 | 090 | |
| 28450 | A | Treat midfoot fracture, each | 1.90 | 4.31 | 2.72 | 0.25 | 6.46 | 4.87 | 090 | |
| 28455 | A | Treat midfoot fracture, each | 3.09 | 4.22 | 3.76 | 0.43 | 7.74 | 7.28 | 090 | |
| 28456 | A | Treat midfoot fracture | 2.68 | N/A | 4.37 | 0.36 | N/A | 7.41 | 090 | |
| 28465 | A | Treat midfoot fracture, each | 7.01 | N/A | 6.49 | 0.87 | N/A | 14.37 | 090 | |
| 28470 | A | Treat metatarsal fracture | 1.99 | 3.95 | 2.53 | 0.26 | 6.20 | 4.78 | 090 | |
| 28475 | A | Treat metatarsal fracture | 2.97 | 4.20 | 3.34 | 0.41 | 7.58 | 6.72 | 090 | |
| 28476 | A | Treat metatarsal fracture | 3.38 | N/A | 5.09 | 0.46 | N/A | 8.93 | 090 | |
| 28485 | A | Treat metatarsal fracture | 5.71 | N/A | 5.72 | 0.80 | N/A | 12.23 | 090 | |
| 28490 | A | Treat big toe fracture | 1.09 | 2.33 | 1.83 | 0.13 | 3.55 | 3.05 | 090 | |
| 28495 | A | Treat big toe fracture | 1.58 | 2.60 | 2.18 | 0.19 | 4.37 | 3.95 | 090 | |
| 28496 | A | Treat big toe fracture | 2.33 | 9.95 | 3.78 | 0.32 | 12.60 | 6.43 | 090 | |
| 28505 | A | Treat big toe fracture | 3.81 | 9.95 | 4.86 | 0.50 | 14.26 | 9.17 | 090 | |
| 28510 | A | Treatment of toe fracture | 1.09 | 2.08 | 1.78 | 0.13 | 3.30 | 3.00 | 090 | |
| 28515 | A | Treatment of toe fracture | 1.46 | 2.44 | 2.10 | 0.17 | 4.07 | 3.73 | 090 | |
| 28525 | A | Treat toe fracture | 3.32 | 9.54 | 4.41 | 0.44 | 13.30 | 8.17 | 090 | |
| 28530 | A | Treat sesamoid bone fracture | 1.06 | 2.26 | 1.69 | 0.13 | 3.45 | 2.88 | 090 | |
| 28531 | A | Treat sesamoid bone fracture | 2.35 | 9.22 | 2.63 | 0.33 | 11.90 | 5.31 | 090 | |
| 28540 | A | Treat foot dislocation | 2.04 | 3.03 | 2.88 | 0.24 | 5.31 | 5.16 | 090 | |
| 28545 | A | Treat foot dislocation | 2.45 | 2.99 | 2.99 | 0.33 | 5.77 | 5.77 | 090 | |
| 28546 | A | Treat foot dislocation | 3.20 | 8.11 | 4.92 | 0.46 | 11.77 | 8.58 | 090 | |
| 28555 | A | Repair foot dislocation | 6.30 | 11.76 | 6.66 | 0.88 | 18.94 | 13.84 | 090 | |
| 28570 | A | Treat foot dislocation | 1.66 | 3.12 | 2.60 | 0.22 | 5.00 | 4.48 | 090 | |
| 28575 | A | Treat foot dislocation | 3.31 | 4.54 | 4.21 | 0.45 | 8.30 | 7.97 | 090 | |
| 28576 | A | Treat foot dislocation | 4.17 | 10.43 | 5.60 | 0.56 | 15.16 | 10.33 | 090 | |
| 28585 | A | Repair foot dislocation | 7.99 | 8.30 | 6.66 | 1.13 | 17.42 | 15.78 | 090 | |
| 28600 | A | Treat foot dislocation | 1.89 | 3.49 | 2.90 | 0.24 | 5.62 | 5.03 | 090 | |
| 28605 | A | Treat foot dislocation | 2.71 | 3.88 | 3.77 | 0.35 | 6.94 | 6.83 | 090 | |
| 28606 | A | Treat foot dislocation | 4.90 | 16.30 | 6.12 | 0.68 | 21.88 | 11.70 | 090 | |
| 28615 | A | Repair foot dislocation | 7.77 | N/A | 8.13 | 1.09 | N/A | 16.99 | 090 | |
| 28630 | A | Treat toe dislocation | 1.70 | 1.41 | 1.18 | 0.17 | 3.28 | 3.05 | 010 | |
| 28635 | A | Treat toe dislocation | 1.91 | 1.77 | 1.61 | 0.24 | 3.92 | 3.76 | 010 | |
| 28636 | A | Treat toe dislocation | 2.77 | 6.41 | 3.16 | 0.39 | 9.57 | 6.32 | 010 | |
| 28645 | A | Repair toe dislocation | 4.22 | 5.78 | 3.58 | 0.58 | 10.58 | 8.38 | 090 | |
| 28660 | A | Treat toe dislocation | 1.23 | 1.79 | 1.23 | 0.11 | 3.13 | 2.57 | 010 | |
| 28665 | A | Treat toe dislocation | 1.92 | 1.76 | 1.73 | 0.24 | 3.92 | 3.89 | 010 | |
| 28666 | A | Treat toe dislocation | 2.66 | 6.13 | 2.28 | 0.38 | 9.17 | 5.32 | 010 | |
| 28675 | A | Repair of toe dislocation | 2.92 | 8.97 | 3.84 | 0.41 | 12.30 | 7.17 | 090 | |
| 28705 | A | Fusion of foot bones | 18.80 | N/A | 12.85 | 2.13 | N/A | 33.78 | 090 | |
| 28715 | A | Fusion of foot bones | 13.10 | N/A | 10.11 | 1.84 | N/A | 25.05 | 090 | |
| 28725 | A | Fusion of foot bones | 11.61 | N/A | 8.63 | 1.63 | N/A | 21.87 | 090 | |
| 28730 | A | Fusion of foot bones | 10.76 | N/A | 8.72 | 1.51 | N/A | 20.99 | 090 | |
| 28735 | A | Fusion of foot bones | 10.85 | N/A | 8.18 | 1.51 | N/A | 20.54 | 090 | |
| 28737 | A | Revision of foot bones | 9.64 | N/A | 7.13 | 1.36 | N/A | 18.13 | 090 | |
| 28740 | A | Fusion of foot bones | 8.02 | 11.91 | 6.72 | 1.13 | 21.06 | 15.87 | 090 | |
| 28750 | A | Fusion of big toe joint | 7.30 | 13.32 | 6.90 | 1.03 | 21.65 | 15.23 | 090 | |
| 28755 | A | Fusion of big toe joint | 4.74 | 7.04 | 4.11 | 0.66 | 12.44 | 9.51 | 090 | |
| 28760 | A | Fusion of big toe joint | 7.75 | 8.25 | 5.78 | 1.07 | 17.07 | 14.60 | 090 | |
| 28800 | A | Amputation of midfoot | 8.21 | N/A | 6.17 | 0.98 | N/A | 15.36 | 090 | |
| 28805 | A | Amputation thru metatarsal | 8.39 | N/A | 6.01 | 0.97 | N/A | 15.37 | 090 | |
| 28810 | A | Amputation toe metatarsal | 6.21 | N/A | 4.90 | 0.70 | N/A | 11.81 | 090 | |
| 28820 | A | Amputation of toe | 4.41 | 8.64 | 4.18 | 0.51 | 13.56 | 9.10 | 090 | |
| 28825 | A | Partial amputation of toe | 3.59 | 8.09 | 3.88 | 0.43 | 12.11 | 7.90 | 090 | |
| 28899 | C | Foot/toes surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29000 | A | Application of body cast | 2.25 | 3.18 | 1.75 | 0.30 | 5.73 | 4.30 | 000 | |
| 29010 | A | Application of body cast | 2.06 | 3.36 | 1.75 | 0.27 | 5.69 | 4.08 | 000 | |
| 29015 | A | Application of body cast | 2.41 | 3.06 | 1.61 | 0.21 | 5.68 | 4.23 | 000 | |
| 29020 | A | Application of body cast | 2.11 | 3.33 | 1.43 | 0.16 | 5.60 | 3.70 | 000 | |
| 29025 | A | Application of body cast | 2.40 | 3.31 | 1.87 | 0.26 | 5.97 | 4.53 | 000 | |
| 29035 | A | Application of body cast | 1.77 | 3.52 | 1.57 | 0.24 | 5.53 | 3.58 | 000 | |
| 29040 | A | Application of body cast | 2.22 | 2.63 | 1.53 | 0.35 | 5.20 | 4.10 | 000 | |
| 29044 | A | Application of body cast | 2.12 | 3.87 | 1.88 | 0.29 | 6.28 | 4.29 | 000 | |
| 29046 | A | Application of body cast | 2.41 | 3.34 | 2.06 | 0.34 | 6.09 | 4.81 | 000 | |
| 29049 | A | Application of figure eight | 0.89 | 1.27 | 0.55 | 0.12 | 2.28 | 1.56 | 000 | |
| 29055 | A | Application of shoulder cast | 1.78 | 2.87 | 1.46 | 0.24 | 4.89 | 3.48 | 000 | |
| 29058 | A | Application of shoulder cast | 1.31 | 1.53 | 0.74 | 0.14 | 2.98 | 2.19 | 000 | |
| 29065 | A | Application of long arm cast | 0.87 | 1.29 | 0.75 | 0.12 | 2.28 | 1.74 | 000 | |
| 29075 | A | Application of forearm cast | 0.77 | 1.23 | 0.68 | 0.11 | 2.11 | 1.56 | 000 | |
| 29085 | A | Apply hand/wrist cast | 0.87 | 1.26 | 0.64 | 0.11 | 2.24 | 1.62 | 000 | |
| 29086 | A | Apply finger cast | 0.62 | 0.95 | 0.52 | 0.06 | 1.63 | 1.20 | 000 | |
| 29105 | A | Apply long arm splint | 0.87 | 1.21 | 0.53 | 0.11 | 2.19 | 1.51 | 000 | |
| 29125 | A | Apply forearm splint | 0.59 | 1.01 | 0.41 | 0.06 | 1.66 | 1.06 | 000 | |
| 29126 | A | Apply forearm splint | 0.77 | 1.22 | 0.48 | 0.06 | 2.05 | 1.31 | 000 | |
| 29130 | A | Application of finger splint | 0.50 | 0.47 | 0.17 | 0.05 | 1.02 | 0.72 | 000 | |
| 29131 | A | Application of finger splint | 0.55 | 0.75 | 0.25 | 0.03 | 1.33 | 0.83 | 000 | |
| 29200 | A | Strapping of chest | 0.65 | 0.75 | 0.36 | 0.04 | 1.44 | 1.05 | 000 | |
| 29220 | A | Strapping of low back | 0.64 | 0.73 | 0.40 | 0.07 | 1.44 | 1.11 | 000 | |
| 29240 | A | Strapping of shoulder | 0.71 | 0.88 | 0.38 | 0.05 | 1.64 | 1.14 | 000 | |
| 29260 | A | Strapping of elbow or wrist | 0.55 | 0.76 | 0.34 | 0.04 | 1.35 | 0.93 | 000 | |
| 29280 | A | Strapping of hand or finger | 0.51 | 0.83 | 0.34 | 0.04 | 1.38 | 0.89 | 000 | |
| 29305 | A | Application of hip cast | 2.03 | 3.24 | 1.74 | 0.29 | 5.56 | 4.06 | 000 | |
| 29325 | A | Application of hip casts | 2.32 | 3.43 | 1.93 | 0.31 | 6.06 | 4.56 | 000 | |
| 29345 | A | Application of long leg cast | 1.40 | 1.72 | 1.06 | 0.19 | 3.31 | 2.65 | 000 | |
| 29355 | A | Application of long leg cast | 1.53 | 1.68 | 1.12 | 0.20 | 3.41 | 2.85 | 000 | |
| 29358 | A | Apply long leg cast brace | 1.43 | 2.00 | 1.09 | 0.19 | 3.62 | 2.71 | 000 | |
| 29365 | A | Application of long leg cast | 1.18 | 1.61 | 0.94 | 0.17 | 2.96 | 2.29 | 000 | |
| 29405 | A | Apply short leg cast | 0.86 | 1.20 | 0.71 | 0.12 | 2.18 | 1.69 | 000 | |
| 29425 | A | Apply short leg cast | 1.01 | 1.21 | 0.74 | 0.14 | 2.36 | 1.89 | 000 | |
| 29435 | A | Apply short leg cast | 1.18 | 1.52 | 0.92 | 0.17 | 2.87 | 2.27 | 000 | |
| 29440 | A | Addition of walker to cast | 0.57 | 0.68 | 0.28 | 0.07 | 1.32 | 0.92 | 000 | |
| 29445 | A | Apply rigid leg cast | 1.78 | 1.78 | 0.98 | 0.24 | 3.80 | 3.00 | 000 | |
| 29450 | A | Application of leg cast | 2.08 | 1.48 | 1.11 | 0.13 | 3.69 | 3.32 | 000 | |
| 29505 | A | Application, long leg splint | 0.69 | 1.18 | 0.48 | 0.06 | 1.93 | 1.23 | 000 | |
| 29515 | A | Application lower leg splint | 0.73 | 0.87 | 0.49 | 0.07 | 1.67 | 1.29 | 000 | |
| 29520 | A | Strapping of hip | 0.54 | 0.90 | 0.47 | 0.02 | 1.46 | 1.03 | 000 | |
| 29530 | A | Strapping of knee | 0.57 | 0.81 | 0.35 | 0.04 | 1.42 | 0.96 | 000 | |
| 29540 | A | Strapping of ankle and/or ft | 0.51 | 0.42 | 0.32 | 0.04 | 0.97 | 0.87 | 000 | |
| 29550 | A | Strapping of toes | 0.47 | 0.42 | 0.28 | 0.05 | 0.94 | 0.80 | 000 | |
| 29580 | A | Application of paste boot | 0.57 | 0.66 | 0.36 | 0.05 | 1.28 | 0.98 | 000 | |
| 29590 | A | Application of foot splint | 0.76 | 0.52 | 0.30 | 0.06 | 1.34 | 1.12 | 000 | |
| 29700 | A | Removal/revision of cast | 0.57 | 0.88 | 0.29 | 0.07 | 1.52 | 0.93 | 000 | |
| 29705 | A | Removal/revision of cast | 0.76 | 0.81 | 0.39 | 0.10 | 1.67 | 1.25 | 000 | |
| 29710 | A | Removal/revision of cast | 1.34 | 1.51 | 0.71 | 0.17 | 3.02 | 2.22 | 000 | |
| 29715 | A | Removal/revision of cast | 0.94 | 1.15 | 0.41 | 0.08 | 2.17 | 1.43 | 000 | |
| 29720 | A | Repair of body cast | 0.68 | 1.12 | 0.39 | 0.10 | 1.90 | 1.17 | 000 | |
| 29730 | A | Windowing of cast | 0.75 | 0.80 | 0.36 | 0.10 | 1.65 | 1.21 | 000 | |
| 29740 | A | Wedging of cast | 1.12 | 1.13 | 0.50 | 0.15 | 2.40 | 1.77 | 000 | |
| 29750 | A | Wedging of clubfoot cast | 1.26 | 1.06 | 0.59 | 0.16 | 2.48 | 2.01 | 000 | |
| 29799 | C | Casting/strapping procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 29800 | A | Jaw arthroscopy/surgery | 6.43 | N/A | 7.28 | 0.84 | N/A | 14.55 | 090 | |
| 29804 | A | Jaw arthroscopy/surgery | 8.14 | N/A | 8.75 | 0.66 | N/A | 17.55 | 090 | |
| 29805 | A | Shoulder arthroscopy, dx | 5.89 | N/A | 5.82 | 0.84 | N/A | 12.55 | 090 | |
| 29806 | A | Shoulder arthroscopy/surgery | 14.37 | N/A | 11.30 | 2.00 | N/A | 27.67 | 090 | |
| 29807 | A | Shoulder arthroscopy/surgery | 13.90 | N/A | 11.12 | 1.94 | N/A | 26.96 | 090 | |
| 29819 | A | Shoulder arthroscopy/surgery | 7.62 | N/A | 6.73 | 1.07 | N/A | 15.42 | 090 | |
| 29820 | A | Shoulder arthroscopy/surgery | 7.07 | N/A | 6.23 | 0.99 | N/A | 14.29 | 090 | |
| 29821 | A | Shoulder arthroscopy/surgery | 7.72 | N/A | 6.75 | 1.08 | N/A | 15.55 | 090 | |
| 29822 | A | Shoulder arthroscopy/surgery | 7.43 | N/A | 6.63 | 1.04 | N/A | 15.10 | 090 | |
| 29823 | A | Shoulder arthroscopy/surgery | 8.17 | N/A | 7.22 | 1.15 | N/A | 16.54 | 090 | |
| 29824 | A | Shoulder arthroscopy/surgery | 8.25 | N/A | 7.47 | 1.15 | N/A | 16.87 | 090 | |
| 29825 | A | Shoulder arthroscopy/surgery | 7.62 | N/A | 6.71 | 1.06 | N/A | 15.39 | 090 | |
| 29826 | A | Shoulder arthroscopy/surgery | 8.99 | N/A | 7.50 | 1.26 | N/A | 17.75 | 090 | |
| 29827 | A | Arthroscop rotator cuff repr | 15.36 | N/A | 11.53 | 1.86 | N/A | 28.75 | 090 | |
| 29830 | A | Elbow arthroscopy | 5.76 | N/A | 5.30 | 0.79 | N/A | 11.85 | 090 | |
| 29834 | A | Elbow arthroscopy/surgery | 6.28 | N/A | 5.83 | 0.86 | N/A | 12.97 | 090 | |
| 29835 | A | Elbow arthroscopy/surgery | 6.48 | N/A | 5.88 | 0.88 | N/A | 13.24 | 090 | |
| 29836 | A | Elbow arthroscopy/surgery | 7.55 | N/A | 6.73 | 1.06 | N/A | 15.34 | 090 | |
| 29837 | A | Elbow arthroscopy/surgery | 6.87 | N/A | 6.13 | 0.96 | N/A | 13.96 | 090 | |
| 29838 | A | Elbow arthroscopy/surgery | 7.71 | N/A | 6.84 | 1.07 | N/A | 15.62 | 090 | |
| 29840 | A | Wrist arthroscopy | 5.54 | N/A | 5.34 | 0.69 | N/A | 11.57 | 090 | |
| 29843 | A | Wrist arthroscopy/surgery | 6.01 | N/A | 5.64 | 0.82 | N/A | 12.47 | 090 | |
| 29844 | A | Wrist arthroscopy/surgery | 6.37 | N/A | 5.82 | 0.86 | N/A | 13.05 | 090 | |
| 29845 | A | Wrist arthroscopy/surgery | 7.52 | N/A | 6.46 | 0.84 | N/A | 14.82 | 090 | |
| 29846 | A | Wrist arthroscopy/surgery | 6.75 | N/A | 6.06 | 0.89 | N/A | 13.70 | 090 | |
| 29847 | A | Wrist arthroscopy/surgery | 7.08 | N/A | 6.21 | 0.91 | N/A | 14.20 | 090 | |
| 29848 | A | Wrist endoscopy/surgery | 5.44 | N/A | 5.59 | 0.72 | N/A | 11.75 | 090 | |
| 29850 | A | Knee arthroscopy/surgery | 8.19 | N/A | 5.13 | 0.74 | N/A | 14.06 | 090 | |
| 29851 | A | Knee arthroscopy/surgery | 13.10 | N/A | 9.85 | 1.81 | N/A | 24.76 | 090 | |
| 29855 | A | Tibial arthroscopy/surgery | 10.62 | N/A | 8.77 | 1.50 | N/A | 20.89 | 090 | |
| 29856 | A | Tibial arthroscopy/surgery | 14.14 | N/A | 10.71 | 2.00 | N/A | 26.85 | 090 | |
| 29860 | A | Hip arthroscopy, dx | 8.05 | N/A | 6.95 | 1.14 | N/A | 16.14 | 090 | |
| 29861 | A | Hip arthroscopy/surgery | 9.15 | N/A | 7.36 | 1.29 | N/A | 17.80 | 090 | |
| 29862 | A | Hip arthroscopy/surgery | 9.90 | N/A | 8.55 | 1.39 | N/A | 19.84 | 090 | |
| 29863 | A | Hip arthroscopy/surgery | 9.90 | N/A | 8.49 | 1.40 | N/A | 19.79 | 090 | |
| 29870 | A | Knee arthroscopy, dx | 5.07 | N/A | 4.84 | 0.67 | N/A | 10.58 | 090 | |
| 29871 | A | Knee arthroscopy/drainage | 6.55 | N/A | 5.87 | 0.88 | N/A | 13.30 | 090 | |
| 29873 | A | Knee arthroscopy/surgery | 6.00 | N/A | 6.49 | 0.73 | N/A | 13.22 | 090 | |
| 29874 | A | Knee arthroscopy/surgery | 7.05 | N/A | 6.08 | 0.87 | N/A | 14.00 | 090 | |
| 29875 | A | Knee arthroscopy/surgery | 6.31 | N/A | 5.84 | 0.88 | N/A | 13.03 | 090 | |
| 29876 | A | Knee arthroscopy/surgery | 7.92 | N/A | 7.01 | 1.11 | N/A | 16.04 | 090 | |
| 29877 | A | Knee arthroscopy/surgery | 7.35 | N/A | 6.72 | 1.03 | N/A | 15.10 | 090 | |
| 29879 | A | Knee arthroscopy/surgery | 8.04 | N/A | 7.10 | 1.13 | N/A | 16.27 | 090 | |
| 29880 | A | Knee arthroscopy/surgery | 8.50 | N/A | 7.35 | 1.19 | N/A | 17.04 | 090 | |
| 29881 | A | Knee arthroscopy/surgery | 7.76 | N/A | 6.94 | 1.09 | N/A | 15.79 | 090 | |
| 29882 | A | Knee arthroscopy/surgery | 8.65 | N/A | 7.24 | 1.09 | N/A | 16.98 | 090 | |
| 29883 | A | Knee arthroscopy/surgery | 11.05 | N/A | 9.07 | 1.33 | N/A | 21.45 | 090 | |
| 29884 | A | Knee arthroscopy/surgery | 7.33 | N/A | 6.68 | 1.03 | N/A | 15.04 | 090 | |
| 29885 | A | Knee arthroscopy/surgery | 9.09 | N/A | 7.90 | 1.27 | N/A | 18.26 | 090 | |
| 29886 | A | Knee arthroscopy/surgery | 7.54 | N/A | 6.82 | 1.06 | N/A | 15.42 | 090 | |
| 29887 | A | Knee arthroscopy/surgery | 9.04 | N/A | 7.87 | 1.27 | N/A | 18.18 | 090 | |
| 29888 | A | Knee arthroscopy/surgery | 13.90 | N/A | 10.27 | 1.95 | N/A | 26.12 | 090 | |
| 29889 | A | Knee arthroscopy/surgery | 16.00 | N/A | 12.45 | 2.11 | N/A | 30.56 | 090 | |
| 29891 | A | Ankle arthroscopy/surgery | 8.40 | N/A | 7.48 | 1.17 | N/A | 17.05 | 090 | |
| 29892 | A | Ankle arthroscopy/surgery | 9.00 | N/A | 7.73 | 1.26 | N/A | 17.99 | 090 | |
| 29893 | A | Scope, plantar fasciotomy | 5.22 | 6.44 | 4.02 | 0.74 | 12.40 | 9.98 | 090 | |
| 29894 | A | Ankle arthroscopy/surgery | 7.21 | N/A | 5.49 | 1.01 | N/A | 13.71 | 090 | |
| 29895 | A | Ankle arthroscopy/surgery | 6.99 | N/A | 5.49 | 0.97 | N/A | 13.45 | 090 | |
| 29897 | A | Ankle arthroscopy/surgery | 7.18 | N/A | 5.90 | 1.01 | N/A | 14.09 | 090 | |
| 29898 | A | Ankle arthroscopy/surgery | 8.32 | N/A | 6.19 | 1.14 | N/A | 15.65 | 090 | |
| 29899 | A | Ankle arthroscopy/surgery | 13.91 | N/A | 10.02 | 1.95 | N/A | 25.88 | 090 | |
| 29900 | A | Mcp joint arthroscopy, dx | 5.42 | N/A | 5.95 | 0.75 | N/A | 12.12 | 090 | |
| 29901 | A | Mcp joint arthroscopy, surg | 6.13 | N/A | 6.34 | 0.85 | N/A | 13.32 | 090 | |
| 29902 | A | Mcp joint arthroscopy, surg | 6.70 | N/A | 6.63 | 0.93 | N/A | 14.26 | 090 | |
| 29999 | C | Arthroscopy of joint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 30000 | A | Drainage of nose lesion | 1.43 | 4.27 | 1.45 | 0.10 | 5.80 | 2.98 | 010 | |
| 30020 | A | Drainage of nose lesion | 1.43 | 3.43 | 1.53 | 0.08 | 4.94 | 3.04 | 010 | |
| 30100 | A | Intranasal biopsy | 0.94 | 2.16 | 0.83 | 0.06 | 3.16 | 1.83 | 000 | |
| 30110 | A | Removal of nose polyp(s) | 1.63 | 3.48 | 1.63 | 0.12 | 5.23 | 3.38 | 010 | |
| 30115 | A | Removal of nose polyp(s) | 4.35 | N/A | 4.19 | 0.31 | N/A | 8.85 | 090 | |
| 30117 | A | Removal of intranasal lesion | 3.16 | 4.79 | 3.40 | 0.22 | 8.17 | 6.78 | 090 | |
| 30118 | A | Removal of intranasal lesion | 9.69 | N/A | 7.53 | 0.66 | N/A | 17.88 | 090 | |
| 30120 | A | Revision of nose | 5.27 | 5.71 | 5.63 | 0.41 | 11.39 | 11.31 | 090 | |
| 30124 | A | Removal of nose lesion | 3.10 | N/A | 3.12 | 0.20 | N/A | 6.42 | 090 | |
| 30125 | A | Removal of nose lesion | 7.16 | N/A | 6.10 | 0.54 | N/A | 13.80 | 090 | |
| 30130 | A | Removal of turbinate bones | 3.38 | N/A | 3.67 | 0.22 | N/A | 7.27 | 090 | |
| 30140 | A | Removal of turbinate bones | 3.43 | N/A | 4.16 | 0.24 | N/A | 7.83 | 090 | |
| 30150 | A | Partial removal of nose | 9.14 | N/A | 7.88 | 0.76 | N/A | 17.78 | 090 | |
| 30160 | A | Removal of nose | 9.58 | N/A | 7.89 | 0.78 | N/A | 18.25 | 090 | |
| 30200 | A | Injection treatment of nose | 0.78 | 1.79 | 0.79 | 0.06 | 2.63 | 1.63 | 000 | |
| 30210 | A | Nasal sinus therapy | 1.08 | 2.22 | 1.36 | 0.08 | 3.38 | 2.52 | 010 | |
| 30220 | A | Insert nasal septal button | 1.54 | 4.67 | 1.59 | 0.11 | 6.32 | 3.24 | 010 | |
| 30300 | A | Remove nasal foreign body | 1.04 | 4.27 | 1.91 | 0.07 | 5.38 | 3.02 | 010 | |
| 30310 | A | Remove nasal foreign body | 1.96 | N/A | 2.93 | 0.14 | N/A | 5.03 | 010 | |
| 30320 | A | Remove nasal foreign body | 4.52 | N/A | 4.65 | 0.36 | N/A | 9.53 | 090 | |
| 30400 | R | Reconstruction of nose | 9.83 | N/A | 9.35 | 0.80 | N/A | 19.98 | 090 | |
| 30410 | R | Reconstruction of nose | 12.98 | N/A | 11.13 | 1.08 | N/A | 25.19 | 090 | |
| 30420 | R | Reconstruction of nose | 15.88 | N/A | 12.70 | 1.24 | N/A | 29.82 | 090 | |
| 30430 | R | Revision of nose | 7.21 | N/A | 8.16 | 0.62 | N/A | 15.99 | 090 | |
| 30435 | R | Revision of nose | 11.71 | N/A | 10.78 | 1.10 | N/A | 23.59 | 090 | |
| 30450 | R | Revision of nose | 18.65 | N/A | 14.35 | 1.53 | N/A | 34.53 | 090 | |
| 30460 | A | Revision of nose | 9.96 | N/A | 8.07 | 0.85 | N/A | 18.88 | 090 | |
| 30462 | A | Revision of nose | 19.57 | N/A | 14.00 | 1.92 | N/A | 35.49 | 090 | |
| 30465 | A | Repair nasal stenosis | 11.64 | N/A | 7.88 | 0.97 | N/A | 20.49 | 090 | |
| 30520 | A | Repair of nasal septum | 5.70 | N/A | 5.37 | 0.41 | N/A | 11.48 | 090 | |
| 30540 | A | Repair nasal defect | 7.75 | N/A | 5.81 | 0.53 | N/A | 14.09 | 090 | |
| 30545 | A | Repair nasal defect | 11.38 | N/A | 8.93 | 0.80 | N/A | 21.11 | 090 | |
| 30560 | A | Release of nasal adhesions | 1.26 | 4.38 | 1.99 | 0.09 | 5.73 | 3.34 | 010 | |
| 30580 | A | Repair upper jaw fistula | 6.69 | 7.43 | 6.34 | 0.50 | 14.62 | 13.53 | 090 | |
| 30600 | A | Repair mouth/nose fistula | 6.02 | 6.51 | 5.69 | 0.70 | 13.23 | 12.41 | 090 | |
| 30620 | A | Intranasal reconstruction | 5.97 | N/A | 6.01 | 0.45 | N/A | 12.43 | 090 | |
| 30630 | A | Repair nasal septum defect | 7.12 | N/A | 6.43 | 0.51 | N/A | 14.06 | 090 | |
| 30801 | A | Cauterization, inner nose | 1.09 | 2.29 | 2.17 | 0.08 | 3.46 | 3.34 | 010 | |
| 30802 | A | Cauterization, inner nose | 2.03 | 2.85 | 2.70 | 0.15 | 5.03 | 4.88 | 010 | |
| 30901 | A | Control of nosebleed | 1.21 | 1.41 | 0.33 | 0.09 | 2.71 | 1.63 | 000 | |
| 30903 | A | Control of nosebleed | 1.54 | 2.92 | 0.51 | 0.12 | 4.58 | 2.17 | 000 | |
| 30905 | A | Control of nosebleed | 1.97 | 3.73 | 0.78 | 0.15 | 5.85 | 2.90 | 000 | |
| 30906 | A | Repeat control of nosebleed | 2.45 | 4.12 | 1.23 | 0.17 | 6.74 | 3.85 | 000 | |
| 30915 | A | Ligation, nasal sinus artery | 7.20 | N/A | 6.07 | 0.50 | N/A | 13.77 | 090 | |
| 30920 | A | Ligation, upper jaw artery | 9.83 | N/A | 7.76 | 0.69 | N/A | 18.28 | 090 | |
| 30930 | A | Therapy, fracture of nose | 1.26 | N/A | 1.69 | 0.09 | N/A | 3.04 | 010 | |
| 30999 | C | Nasal surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31000 | A | Irrigation, maxillary sinus | 1.15 | 2.99 | 1.46 | 0.08 | 4.22 | 2.69 | 010 | |
| 31002 | A | Irrigation, sphenoid sinus | 1.91 | N/A | 3.10 | 0.14 | N/A | 5.15 | 010 | |
| 31020 | A | Exploration, maxillary sinus | 2.94 | 4.31 | 3.66 | 0.20 | 7.45 | 6.80 | 090 | |
| 31030 | A | Exploration, maxillary sinus | 5.92 | 5.82 | 4.95 | 0.42 | 12.16 | 11.29 | 090 | |
| 31032 | A | Explore sinus, remove polyps | 6.57 | N/A | 5.82 | 0.47 | N/A | 12.86 | 090 | |
| 31040 | A | Exploration behind upper jaw | 9.42 | N/A | 6.44 | 0.71 | N/A | 16.57 | 090 | |
| 31050 | A | Exploration, sphenoid sinus | 5.28 | N/A | 4.68 | 0.39 | N/A | 10.35 | 090 | |
| 31051 | A | Sphenoid sinus surgery | 7.11 | N/A | 6.08 | 0.55 | N/A | 13.74 | 090 | |
| 31070 | A | Exploration of frontal sinus | 4.28 | N/A | 4.40 | 0.30 | N/A | 8.98 | 090 | |
| 31075 | A | Exploration of frontal sinus | 9.16 | N/A | 7.48 | 0.64 | N/A | 17.28 | 090 | |
| 31080 | A | Removal of frontal sinus | 11.42 | N/A | 8.68 | 0.78 | N/A | 20.88 | 090 | |
| 31081 | A | Removal of frontal sinus | 12.75 | N/A | 9.70 | 1.84 | N/A | 24.29 | 090 | |
| 31084 | A | Removal of frontal sinus | 13.51 | N/A | 10.36 | 0.96 | N/A | 24.83 | 090 | |
| 31085 | A | Removal of frontal sinus | 14.20 | N/A | 10.72 | 1.18 | N/A | 26.10 | 090 | |
| 31086 | A | Removal of frontal sinus | 12.86 | N/A | 10.18 | 0.90 | N/A | 23.94 | 090 | |
| 31087 | A | Removal of frontal sinus | 13.10 | N/A | 10.10 | 1.15 | N/A | 24.35 | 090 | |
| 31090 | A | Exploration of sinuses | 9.53 | N/A | 8.91 | 0.66 | N/A | 19.10 | 090 | |
| 31200 | A | Removal of ethmoid sinus | 4.97 | N/A | 5.15 | 0.25 | N/A | 10.37 | 090 | |
| 31201 | A | Removal of ethmoid sinus | 8.37 | N/A | 7.09 | 0.58 | N/A | 16.04 | 090 | |
| 31205 | A | Removal of ethmoid sinus | 10.24 | N/A | 7.83 | 0.58 | N/A | 18.65 | 090 | |
| 31225 | A | Removal of upper jaw | 19.23 | N/A | 14.19 | 1.38 | N/A | 34.80 | 090 | |
| 31230 | A | Removal of upper jaw | 21.94 | N/A | 15.60 | 1.57 | N/A | 39.11 | 090 | |
| 31231 | A | Nasal endoscopy, dx | 1.10 | 2.92 | 0.93 | 0.08 | 4.10 | 2.11 | 000 | |
| 31233 | A | Nasal/sinus endoscopy, dx | 2.18 | 3.67 | 1.54 | 0.16 | 6.01 | 3.88 | 000 | |
| 31235 | A | Nasal/sinus endoscopy, dx | 2.64 | 4.13 | 1.79 | 0.18 | 6.95 | 4.61 | 000 | |
| 31237 | A | Nasal/sinus endoscopy, surg | 2.98 | 4.41 | 1.95 | 0.21 | 7.60 | 5.14 | 000 | |
| 31238 | A | Nasal/sinus endoscopy, surg | 3.26 | 4.42 | 2.16 | 0.23 | 7.91 | 5.65 | 000 | |
| 31239 | A | Nasal/sinus endoscopy, surg | 8.70 | N/A | 7.86 | 0.46 | N/A | 17.02 | 010 | |
| 31240 | A | Nasal/sinus endoscopy, surg | 2.61 | N/A | 1.79 | 0.18 | N/A | 4.58 | 000 | |
| 31254 | A | Revision of ethmoid sinus | 4.65 | N/A | 2.94 | 0.32 | N/A | 7.91 | 000 | |
| 31255 | A | Removal of ethmoid sinus | 6.96 | N/A | 4.24 | 0.49 | N/A | 11.69 | 000 | |
| 31256 | A | Exploration maxillary sinus | 3.29 | N/A | 2.19 | 0.23 | N/A | 5.71 | 000 | |
| 31267 | A | Endoscopy, maxillary sinus | 5.46 | N/A | 3.40 | 0.38 | N/A | 9.24 | 000 | |
| 31276 | A | Sinus endoscopy, surgical | 8.85 | N/A | 5.27 | 0.62 | N/A | 14.74 | 000 | |
| 31287 | A | Nasal/sinus endoscopy, surg | 3.92 | N/A | 2.54 | 0.27 | N/A | 6.73 | 000 | |
| 31288 | A | Nasal/sinus endoscopy, surg | 4.58 | N/A | 2.91 | 0.32 | N/A | 7.81 | 000 | |
| 31290 | A | Nasal/sinus endoscopy, surg | 17.24 | N/A | 11.74 | 1.20 | N/A | 30.18 | 010 | |
| 31291 | A | Nasal/sinus endoscopy, surg | 18.19 | N/A | 12.23 | 1.73 | N/A | 32.15 | 010 | |
| 31292 | A | Nasal/sinus endoscopy, surg | 14.76 | N/A | 10.33 | 0.99 | N/A | 26.08 | 010 | |
| 31293 | A | Nasal/sinus endoscopy, surg | 16.21 | N/A | 11.16 | 0.97 | N/A | 28.34 | 010 | |
| 31294 | A | Nasal/sinus endoscopy, surg | 19.06 | N/A | 12.69 | 1.04 | N/A | 32.79 | 010 | |
| 31299 | C | Sinus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31300 | A | Removal of larynx lesion | 14.29 | N/A | 12.71 | 0.99 | N/A | 27.99 | 090 | |
| 31320 | A | Diagnostic incision, larynx | 5.26 | N/A | 7.77 | 0.40 | N/A | 13.43 | 090 | |
| 31360 | A | Removal of larynx | 17.08 | N/A | 14.71 | 1.20 | N/A | 32.99 | 090 | |
| 31365 | A | Removal of larynx | 24.16 | N/A | 18.45 | 1.72 | N/A | 44.33 | 090 | |
| 31367 | A | Partial removal of larynx | 21.86 | N/A | 18.32 | 1.57 | N/A | 41.75 | 090 | |
| 31368 | A | Partial removal of larynx | 27.09 | N/A | 22.10 | 1.90 | N/A | 51.09 | 090 | |
| 31370 | A | Partial removal of larynx | 21.38 | N/A | 17.91 | 1.51 | N/A | 40.80 | 090 | |
| 31375 | A | Partial removal of larynx | 20.21 | N/A | 16.14 | 1.43 | N/A | 37.78 | 090 | |
| 31380 | A | Partial removal of larynx | 20.21 | N/A | 16.08 | 1.40 | N/A | 37.69 | 090 | |
| 31382 | A | Partial removal of larynx | 20.52 | N/A | 17.46 | 1.44 | N/A | 39.42 | 090 | |
| 31390 | A | Removal of larynx pharynx | 27.53 | N/A | 22.31 | 1.95 | N/A | 51.79 | 090 | |
| 31395 | A | Reconstruct larynx pharynx | 31.09 | N/A | 26.49 | 2.27 | N/A | 59.85 | 090 | |
| 31400 | A | Revision of larynx | 10.31 | N/A | 10.68 | 0.72 | N/A | 21.71 | 090 | |
| 31420 | A | Removal of epiglottis | 10.22 | N/A | 10.51 | 0.71 | N/A | 21.44 | 090 | |
| 31500 | A | Insert emergency airway | 2.33 | N/A | 0.67 | 0.15 | N/A | 3.15 | 000 | |
| 31502 | A | Change of windpipe airway | 0.65 | 1.52 | 0.26 | 0.04 | 2.21 | 0.95 | 000 | |
| 31505 | A | Diagnostic laryngoscopy | 0.61 | 1.52 | 0.64 | 0.04 | 2.17 | 1.29 | 000 | |
| 31510 | A | Laryngoscopy with biopsy | 1.92 | 3.36 | 1.31 | 0.15 | 5.43 | 3.38 | 000 | |
| 31511 | A | Remove foreign body, larynx | 2.16 | 3.19 | 1.13 | 0.16 | 5.51 | 3.45 | 000 | |
| 31512 | A | Removal of larynx lesion | 2.07 | 3.26 | 1.42 | 0.16 | 5.49 | 3.65 | 000 | |
| 31513 | A | Injection into vocal cord | 2.10 | N/A | 1.52 | 0.15 | N/A | 3.77 | 000 | |
| 31515 | A | Laryngoscopy for aspiration | 1.80 | 3.41 | 1.11 | 0.12 | 5.33 | 3.03 | 000 | |
| 31520 | A | Diagnostic laryngoscopy | 2.56 | N/A | 1.63 | 0.17 | N/A | 4.36 | 000 | |
| 31525 | A | Diagnostic laryngoscopy | 2.63 | 3.61 | 1.72 | 0.18 | 6.42 | 4.53 | 000 | |
| 31526 | A | Diagnostic laryngoscopy | 2.57 | N/A | 1.78 | 0.18 | N/A | 4.53 | 000 | |
| 31527 | A | Laryngoscopy for treatment | 3.27 | N/A | 1.94 | 0.21 | N/A | 5.42 | 000 | |
| 31528 | A | Laryngoscopy and dilation | 2.37 | N/A | 1.47 | 0.16 | N/A | 4.00 | 000 | |
| 31529 | A | Laryngoscopy and dilation | 2.68 | N/A | 1.75 | 0.18 | N/A | 4.61 | 000 | |
| 31530 | A | Operative laryngoscopy | 3.39 | N/A | 2.01 | 0.24 | N/A | 5.64 | 000 | |
| 31531 | A | Operative laryngoscopy | 3.59 | N/A | 2.36 | 0.25 | N/A | 6.20 | 000 | |
| 31535 | A | Operative laryngoscopy | 3.16 | N/A | 2.06 | 0.22 | N/A | 5.44 | 000 | |
| 31536 | A | Operative laryngoscopy | 3.56 | N/A | 2.33 | 0.25 | N/A | 6.14 | 000 | |
| 31540 | A | Operative laryngoscopy | 4.13 | N/A | 2.63 | 0.29 | N/A | 7.05 | 000 | |
| 31541 | A | Operative laryngoscopy | 4.53 | N/A | 2.87 | 0.32 | N/A | 7.72 | 000 | |
| 31560 | A | Operative laryngoscopy | 5.46 | N/A | 3.22 | 0.38 | N/A | 9.06 | 000 | |
| 31561 | A | Operative laryngoscopy | 6.00 | N/A | 3.44 | 0.42 | N/A | 9.86 | 000 | |
| 31570 | A | Laryngoscopy with injection | 3.87 | 5.44 | 2.47 | 0.24 | 9.55 | 6.58 | 000 | |
| 31571 | A | Laryngoscopy with injection | 4.27 | N/A | 2.69 | 0.30 | N/A | 7.26 | 000 | |
| 31575 | A | Diagnostic laryngoscopy | 1.10 | 1.95 | 0.92 | 0.08 | 3.13 | 2.10 | 000 | |
| 31576 | A | Laryngoscopy with biopsy | 1.97 | 3.52 | 1.34 | 0.13 | 5.62 | 3.44 | 000 | |
| 31577 | A | Remove foreign body, larynx | 2.47 | 3.65 | 1.60 | 0.17 | 6.29 | 4.24 | 000 | |
| 31578 | A | Removal of larynx lesion | 2.84 | 4.15 | 1.59 | 0.20 | 7.19 | 4.63 | 000 | |
| 31579 | A | Diagnostic laryngoscopy | 2.26 | 3.30 | 1.55 | 0.16 | 5.72 | 3.97 | 000 | |
| 31580 | A | Revision of larynx | 12.38 | N/A | 11.78 | 0.87 | N/A | 25.03 | 090 | |
| 31582 | A | Revision of larynx | 21.62 | N/A | 18.17 | 1.52 | N/A | 41.31 | 090 | |
| 31584 | A | Treat larynx fracture | 19.64 | N/A | 15.25 | 1.42 | N/A | 36.31 | 090 | |
| 31585 | A | Treat larynx fracture | 4.64 | N/A | 6.01 | 0.30 | N/A | 10.95 | 090 | |
| 31586 | A | Treat larynx fracture | 8.03 | N/A | 8.90 | 0.56 | N/A | 17.49 | 090 | |
| 31587 | A | Revision of larynx | 11.99 | N/A | 10.61 | 0.88 | N/A | 23.48 | 090 | |
| 31588 | A | Revision of larynx | 13.11 | N/A | 13.80 | 0.92 | N/A | 27.83 | 090 | |
| 31590 | A | Reinnervate larynx | 6.97 | N/A | 9.29 | 0.50 | N/A | 16.76 | 090 | |
| 31595 | A | Larynx nerve surgery | 8.34 | N/A | 8.09 | 0.62 | N/A | 17.05 | 090 | |
| 31599 | C | Larynx surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 31600 | A | Incision of windpipe | 7.18 | N/A | 3.24 | 0.34 | N/A | 10.76 | 000 | |
| 31601 | A | Incision of windpipe | 4.45 | N/A | 2.44 | 0.39 | N/A | 7.28 | 000 | |
| 31603 | A | Incision of windpipe | 4.15 | N/A | 1.75 | 0.35 | N/A | 6.25 | 000 | |
| 31605 | A | Incision of windpipe | 3.58 | N/A | 1.21 | 0.33 | N/A | 5.12 | 000 | |
| 31610 | A | Incision of windpipe | 8.76 | N/A | 7.72 | 0.69 | N/A | 17.17 | 090 | |
| 31611 | A | Surgery/speech prosthesis | 5.64 | N/A | 6.31 | 0.40 | N/A | 12.35 | 090 | |
| 31612 | A | Puncture/clear windpipe | 0.91 | 1.16 | 0.36 | 0.06 | 2.13 | 1.33 | 000 | |
| 31613 | A | Repair windpipe opening | 4.59 | N/A | 5.60 | 0.37 | N/A | 10.56 | 090 | |
| 31614 | A | Repair windpipe opening | 7.12 | N/A | 8.18 | 0.51 | N/A | 15.81 | 090 | |
| 31615 | A | Visualization of windpipe | 2.09 | 2.68 | 1.22 | 0.14 | 4.91 | 3.45 | 000 | |
| 31622 | A | Dx bronchoscope/wash | 2.78 | 4.30 | 0.90 | 0.14 | 7.22 | 3.82 | 000 | |
| 31623 | A | Dx bronchoscope/brush | 2.88 | 5.16 | 0.91 | 0.14 | 8.18 | 3.93 | 000 | |
| 31624 | A | Dx bronchoscope/lavage | 2.88 | 4.37 | 0.91 | 0.13 | 7.38 | 3.92 | 000 | |
| 31625 | A | Bronchoscopy w/biopsy(s) | 3.37 | 9.22 | 1.06 | 0.16 | 12.75 | 4.59 | 000 | |
| 31628 | A | Bronchoscopy/lung bx, each | 3.81 | 3.05 | 1.40 | 0.14 | 7.00 | 5.35 | 000 | |
| 31629 | A | Bronchoscopy/needle bx, each | 3.37 | N/A | 1.28 | 0.13 | N/A | 4.78 | 000 | |
| 31630 | A | Bronchoscopy dilate/fx repr | 3.82 | N/A | 2.00 | 0.30 | N/A | 6.12 | 000 | |
| 31631 | A | Bronchoscopy, dilate w/stent | 4.37 | N/A | 2.03 | 0.31 | N/A | 6.71 | 000 | |
| 31635 | A | Bronchoscopy w/fb removal | 3.68 | N/A | 1.69 | 0.21 | N/A | 5.58 | 000 | |
| 31640 | A | Bronchoscopy w/tumor excise | 4.94 | N/A | 2.35 | 0.37 | N/A | 7.66 | 000 | |
| 31641 | A | Bronchoscopy, treat blockage | 5.03 | N/A | 2.14 | 0.30 | N/A | 7.47 | 000 | |
| 31643 | A | Diag bronchoscope/catheter | 3.50 | N/A | 1.33 | 0.15 | N/A | 4.98 | 000 | |
| 31645 | A | Bronchoscopy, clear airways | 3.16 | N/A | 1.22 | 0.13 | N/A | 4.51 | 000 | |
| 31646 | A | Bronchoscopy, reclear airway | 2.72 | N/A | 1.09 | 0.12 | N/A | 3.93 | 000 | |
| 31656 | A | Bronchoscopy, inj for x-ray | 2.17 | N/A | 0.93 | 0.10 | N/A | 3.20 | 000 | |
| 31700 | A | Insertion of airway catheter | 1.34 | 2.12 | 0.69 | 0.07 | 3.53 | 2.10 | 000 | |
| 31708 | A | Instill airway contrast dye | 1.41 | N/A | 0.59 | 0.06 | N/A | 2.06 | 000 | |
| 31710 | A | Insertion of airway catheter | 1.30 | N/A | 0.71 | 0.06 | N/A | 2.07 | 000 | |
| 31715 | A | Injection for bronchus x-ray | 1.11 | N/A | 0.60 | 0.06 | N/A | 1.77 | 000 | |
| 31717 | A | Bronchial brush biopsy | 2.12 | 2.92 | 0.88 | 0.09 | 5.13 | 3.09 | 000 | |
| 31720 | A | Clearance of airways | 1.06 | 1.51 | 0.33 | 0.06 | 2.63 | 1.45 | 000 | |
| 31725 | A | Clearance of airways | 1.96 | 1.82 | 0.59 | 0.10 | 3.88 | 2.65 | 000 | |
| 31730 | A | Intro, windpipe wire/tube | 2.85 | 2.27 | 1.10 | 0.15 | 5.27 | 4.10 | 000 | |
| 31750 | A | Repair of windpipe | 13.02 | N/A | 12.06 | 1.02 | N/A | 26.10 | 090 | |
| 31755 | A | Repair of windpipe | 15.93 | N/A | 14.74 | 1.15 | N/A | 31.82 | 090 | |
| 31760 | A | Repair of windpipe | 22.35 | N/A | 10.51 | 1.48 | N/A | 34.34 | 090 | |
| 31766 | A | Reconstruction of windpipe | 30.43 | N/A | 13.60 | 3.16 | N/A | 47.19 | 090 | |
| 31770 | A | Repair/graft of bronchus | 22.51 | N/A | 10.16 | 2.27 | N/A | 34.94 | 090 | |
| 31775 | A | Reconstruct bronchus | 23.54 | N/A | 11.78 | 2.91 | N/A | 38.23 | 090 | |
| 31780 | A | Reconstruct windpipe | 17.72 | N/A | 11.12 | 1.55 | N/A | 30.39 | 090 | |
| 31781 | A | Reconstruct windpipe | 23.53 | N/A | 12.15 | 2.04 | N/A | 37.72 | 090 | |
| 31785 | A | Remove windpipe lesion | 17.23 | N/A | 10.46 | 1.36 | N/A | 29.05 | 090 | |
| 31786 | A | Remove windpipe lesion | 23.98 | N/A | 13.24 | 2.20 | N/A | 39.42 | 090 | |
| 31800 | A | Repair of windpipe injury | 7.43 | N/A | 4.92 | 0.67 | N/A | 13.02 | 090 | |
| 31805 | A | Repair of windpipe injury | 13.13 | N/A | 7.17 | 1.45 | N/A | 21.75 | 090 | |
| 31820 | A | Closure of windpipe lesion | 4.49 | 5.80 | 5.15 | 0.35 | 10.64 | 9.99 | 090 | |
| 31825 | A | Repair of windpipe defect | 6.81 | 7.97 | 7.40 | 0.50 | 15.28 | 14.71 | 090 | |
| 31830 | A | Revise windpipe scar | 4.50 | 5.92 | 5.47 | 0.36 | 10.78 | 10.33 | 090 | |
| 31899 | C | Airways surgical procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 32000 | A | Drainage of chest | 1.54 | 3.16 | 0.49 | 0.07 | 4.77 | 2.10 | 000 | |
| 32002 | A | Treatment of collapsed lung | 2.19 | 3.39 | 0.85 | 0.11 | 5.69 | 3.15 | 000 | |
| 32005 | A | Treat lung lining chemically | 2.19 | 6.47 | 0.70 | 0.17 | 8.83 | 3.06 | 000 | |
| 32020 | A | Insertion of chest tube | 3.98 | N/A | 1.46 | 0.36 | N/A | 5.80 | 000 | |
| 32035 | A | Exploration of chest | 8.67 | N/A | 5.72 | 1.02 | N/A | 15.41 | 090 | |
| 32036 | A | Exploration of chest | 9.68 | N/A | 6.24 | 1.20 | N/A | 17.12 | 090 | |
| 32095 | A | Biopsy through chest wall | 8.36 | N/A | 5.27 | 0.99 | N/A | 14.62 | 090 | |
| 32100 | A | Exploration/biopsy of chest | 15.24 | N/A | 7.73 | 1.45 | N/A | 24.42 | 090 | |
| 32110 | A | Explore/repair chest | 23.00 | N/A | 10.63 | 1.63 | N/A | 35.26 | 090 | |
| 32120 | A | Re-exploration of chest | 11.54 | N/A | 6.93 | 1.42 | N/A | 19.89 | 090 | |
| 32124 | A | Explore chest free adhesions | 12.72 | N/A | 7.10 | 1.51 | N/A | 21.33 | 090 | |
| 32140 | A | Removal of lung lesion(s) | 13.93 | N/A | 7.57 | 1.68 | N/A | 23.18 | 090 | |
| 32141 | A | Remove/treat lung lesions | 14.00 | N/A | 7.45 | 1.72 | N/A | 23.17 | 090 | |
| 32150 | A | Removal of lung lesion(s) | 14.15 | N/A | 7.54 | 1.60 | N/A | 23.29 | 090 | |
| 32151 | A | Remove lung foreign body | 14.21 | N/A | 7.94 | 1.49 | N/A | 23.64 | 090 | |
| 32160 | A | Open chest heart massage | 9.30 | N/A | 5.32 | 1.01 | N/A | 15.63 | 090 | |
| 32200 | A | Drain, open, lung lesion | 15.29 | N/A | 8.50 | 1.46 | N/A | 25.25 | 090 | |
| 32201 | A | Drain, percut, lung lesion | 4.00 | N/A | 5.60 | 0.18 | N/A | 9.78 | 000 | |
| 32215 | A | Treat chest lining | 11.33 | N/A | 6.84 | 1.34 | N/A | 19.51 | 090 | |
| 32220 | A | Release of lung | 24.00 | N/A | 12.61 | 2.39 | N/A | 39.00 | 090 | |
| 32225 | A | Partial release of lung | 13.96 | N/A | 7.64 | 1.70 | N/A | 23.30 | 090 | |
| 32310 | A | Removal of chest lining | 13.44 | N/A | 7.38 | 1.65 | N/A | 22.47 | 090 | |
| 32320 | A | Free/remove chest lining | 24.00 | N/A | 11.97 | 2.50 | N/A | 38.47 | 090 | |
| 32400 | A | Needle biopsy chest lining | 1.76 | 1.73 | 0.56 | 0.07 | 3.56 | 2.39 | 000 | |
| 32402 | A | Open biopsy chest lining | 7.56 | N/A | 5.11 | 0.91 | N/A | 13.58 | 090 | |
| 32405 | A | Biopsy, lung or mediastinum | 1.93 | 2.14 | 0.64 | 0.09 | 4.16 | 2.66 | 000 | |
| 32420 | A | Puncture/clear lung | 2.18 | N/A | 0.84 | 0.11 | N/A | 3.13 | 000 | |
| 32440 | A | Removal of lung | 25.00 | N/A | 12.61 | 2.56 | N/A | 40.17 | 090 | |
| 32442 | A | Sleeve pneumonectomy | 26.24 | N/A | 14.34 | 3.12 | N/A | 43.70 | 090 | |
| 32445 | A | Removal of lung | 25.09 | N/A | 13.75 | 3.11 | N/A | 41.95 | 090 | |
| 32480 | A | Partial removal of lung | 23.75 | N/A | 11.81 | 2.24 | N/A | 37.80 | 090 | |
| 32482 | A | Bilobectomy | 25.00 | N/A | 12.68 | 2.35 | N/A | 40.03 | 090 | |
| 32484 | A | Segmentectomy | 20.69 | N/A | 11.12 | 2.54 | N/A | 34.35 | 090 | |
| 32486 | A | Sleeve lobectomy | 23.92 | N/A | 12.89 | 3.00 | N/A | 39.81 | 090 | |
| 32488 | A | Completion pneumonectomy | 25.71 | N/A | 13.44 | 3.18 | N/A | 42.33 | 090 | |
| 32491 | R | Lung volume reduction | 21.25 | N/A | 12.23 | 2.66 | N/A | 36.14 | 090 | |
| 32500 | A | Partial removal of lung | 22.00 | N/A | 12.02 | 1.77 | N/A | 35.79 | 090 | |
| 32501 | A | Repair bronchus add-on | 4.69 | N/A | 1.54 | 0.56 | N/A | 6.79 | ZZZ | |
| 32520 | A | Remove lung revise chest | 21.68 | N/A | 11.01 | 2.71 | N/A | 35.40 | 090 | |
| 32522 | A | Remove lung revise chest | 24.20 | N/A | 11.84 | 2.84 | N/A | 38.88 | 090 | |
| 32525 | A | Remove lung revise chest | 26.50 | N/A | 12.54 | 3.25 | N/A | 42.29 | 090 | |
| 32540 | A | Removal of lung lesion | 14.64 | N/A | 9.35 | 1.84 | N/A | 25.83 | 090 | |
| 32601 | A | Thoracoscopy, diagnostic | 5.46 | N/A | 2.37 | 0.63 | N/A | 8.46 | 000 | |
| 32602 | A | Thoracoscopy, diagnostic | 5.96 | N/A | 2.54 | 0.70 | N/A | 9.20 | 000 | |
| 32603 | A | Thoracoscopy, diagnostic | 7.81 | N/A | 3.07 | 0.76 | N/A | 11.64 | 000 | |
| 32604 | A | Thoracoscopy, diagnostic | 8.78 | N/A | 3.49 | 0.97 | N/A | 13.24 | 000 | |
| 32605 | A | Thoracoscopy, diagnostic | 6.93 | N/A | 2.91 | 0.86 | N/A | 10.70 | 000 | |
| 32606 | A | Thoracoscopy, diagnostic | 8.40 | N/A | 3.35 | 0.99 | N/A | 12.74 | 000 | |
| 32650 | A | Thoracoscopy, surgical | 10.75 | N/A | 6.58 | 1.25 | N/A | 18.58 | 090 | |
| 32651 | A | Thoracoscopy, surgical | 12.91 | N/A | 7.10 | 1.50 | N/A | 21.51 | 090 | |
| 32652 | A | Thoracoscopy, surgical | 18.66 | N/A | 9.91 | 2.30 | N/A | 30.87 | 090 | |
| 32653 | A | Thoracoscopy, surgical | 12.87 | N/A | 6.82 | 1.55 | N/A | 21.24 | 090 | |
| 32654 | A | Thoracoscopy, surgical | 12.44 | N/A | 7.31 | 1.51 | N/A | 21.26 | 090 | |
| 32655 | A | Thoracoscopy, surgical | 13.10 | N/A | 7.12 | 1.53 | N/A | 21.75 | 090 | |
| 32656 | A | Thoracoscopy, surgical | 12.91 | N/A | 7.68 | 1.61 | N/A | 22.20 | 090 | |
| 32657 | A | Thoracoscopy, surgical | 13.65 | N/A | 7.51 | 1.64 | N/A | 22.80 | 090 | |
| 32658 | A | Thoracoscopy, surgical | 11.63 | N/A | 7.11 | 1.47 | N/A | 20.21 | 090 | |
| 32659 | A | Thoracoscopy, surgical | 11.59 | N/A | 7.23 | 1.39 | N/A | 20.21 | 090 | |
| 32660 | A | Thoracoscopy, surgical | 17.43 | N/A | 9.20 | 2.09 | N/A | 28.72 | 090 | |
| 32661 | A | Thoracoscopy, surgical | 13.25 | N/A | 7.57 | 1.66 | N/A | 22.48 | 090 | |
| 32662 | A | Thoracoscopy, surgical | 16.44 | N/A | 8.60 | 2.01 | N/A | 27.05 | 090 | |
| 32663 | A | Thoracoscopy, surgical | 18.47 | N/A | 10.45 | 2.28 | N/A | 31.20 | 090 | |
| 32664 | A | Thoracoscopy, surgical | 14.20 | N/A | 7.54 | 1.70 | N/A | 23.44 | 090 | |
| 32665 | A | Thoracoscopy, surgical | 15.54 | N/A | 8.06 | 1.79 | N/A | 25.39 | 090 | |
| 32800 | A | Repair lung hernia | 13.69 | N/A | 7.48 | 1.51 | N/A | 22.68 | 090 | |
| 32810 | A | Close chest after drainage | 13.05 | N/A | 7.54 | 1.55 | N/A | 22.14 | 090 | |
| 32815 | A | Close bronchial fistula | 23.15 | N/A | 10.90 | 2.84 | N/A | 36.89 | 090 | |
| 32820 | A | Reconstruct injured chest | 21.48 | N/A | 12.20 | 2.31 | N/A | 35.99 | 090 | |
| 32851 | A | Lung transplant, single | 38.63 | N/A | 22.54 | 4.90 | N/A | 66.07 | 090 | |
| 32852 | A | Lung transplant with bypass | 41.80 | N/A | 26.19 | 5.17 | N/A | 73.16 | 090 | |
| 32853 | A | Lung transplant, double | 47.81 | N/A | 26.09 | 6.13 | N/A | 80.03 | 090 | |
| 32854 | A | Lung transplant with bypass | 50.98 | N/A | 28.63 | 6.41 | N/A | 86.02 | 090 | |
| 32900 | A | Removal of rib(s) | 20.27 | N/A | 9.96 | 2.42 | N/A | 32.65 | 090 | |
| 32905 | A | Revise repair chest wall | 20.75 | N/A | 10.15 | 2.54 | N/A | 33.44 | 090 | |
| 32906 | A | Revise repair chest wall | 26.77 | N/A | 12.07 | 3.30 | N/A | 42.14 | 090 | |
| 32940 | A | Revision of lung | 19.43 | N/A | 9.39 | 2.47 | N/A | 31.29 | 090 | |
| 32960 | A | Therapeutic pneumothorax | 1.84 | 1.82 | 0.57 | 0.12 | 3.78 | 2.53 | 000 | |
| 32997 | A | Total lung lavage | 6.00 | N/A | 1.93 | 0.55 | N/A | 8.48 | 000 | |
| 32999 | C | Chest surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 33010 | A | Drainage of heart sac | 2.24 | N/A | 0.98 | 0.13 | N/A | 3.35 | 000 | |
| 33011 | A | Repeat drainage of heart sac | 2.24 | N/A | 1.01 | 0.13 | N/A | 3.38 | 000 | |
| 33015 | A | Incision of heart sac | 6.80 | N/A | 4.85 | 0.64 | N/A | 12.29 | 090 | |
| 33020 | A | Incision of heart sac | 12.61 | N/A | 6.83 | 1.50 | N/A | 20.94 | 090 | |
| 33025 | A | Incision of heart sac | 12.09 | N/A | 6.39 | 1.50 | N/A | 19.98 | 090 | |
| 33030 | A | Partial removal of heart sac | 18.71 | N/A | 9.43 | 2.40 | N/A | 30.54 | 090 | |
| 33031 | A | Partial removal of heart sac | 21.79 | N/A | 10.01 | 2.78 | N/A | 34.58 | 090 | |
| 33050 | A | Removal of heart sac lesion | 14.36 | N/A | 7.80 | 1.73 | N/A | 23.89 | 090 | |
| 33120 | A | Removal of heart lesion | 24.56 | N/A | 11.60 | 3.06 | N/A | 39.22 | 090 | |
| 33130 | A | Removal of heart lesion | 21.39 | N/A | 10.15 | 2.51 | N/A | 34.05 | 090 | |
| 33140 | A | Heart revascularize (tmr) | 20.00 | N/A | 10.62 | 2.27 | N/A | 32.89 | 090 | |
| 33141 | A | Heart tmr w/other procedure | 4.84 | N/A | 1.56 | 0.55 | N/A | 6.95 | ZZZ | |
| 33200 | A | Insertion of heart pacemaker | 12.48 | N/A | 6.96 | 1.17 | N/A | 20.61 | 090 | |
| 33201 | A | Insertion of heart pacemaker | 10.18 | N/A | 6.59 | 1.21 | N/A | 17.98 | 090 | |
| 33206 | A | Insertion of heart pacemaker | 6.67 | N/A | 4.60 | 0.50 | N/A | 11.77 | 090 | |
| 33207 | A | Insertion of heart pacemaker | 8.04 | N/A | 4.89 | 0.57 | N/A | 13.50 | 090 | |
| 33208 | A | Insertion of heart pacemaker | 8.13 | N/A | 5.03 | 0.54 | N/A | 13.70 | 090 | |
| 33210 | A | Insertion of heart electrode | 3.30 | N/A | 1.28 | 0.17 | N/A | 4.75 | 000 | |
| 33211 | A | Insertion of heart electrode | 3.40 | N/A | 1.34 | 0.17 | N/A | 4.91 | 000 | |
| 33212 | A | Insertion of pulse generator | 5.52 | N/A | 3.50 | 0.44 | N/A | 9.46 | 090 | |
| 33213 | A | Insertion of pulse generator | 6.37 | N/A | 3.88 | 0.46 | N/A | 10.71 | 090 | |
| 33214 | A | Upgrade of pacemaker system | 7.75 | N/A | 5.07 | 0.52 | N/A | 13.34 | 090 | |
| 33215 | A | Reposition pacing-defib lead | 4.76 | N/A | 3.21 | 0.36 | N/A | 8.33 | 090 | |
| 33216 | A | Insert lead pace-defib, one | 5.78 | N/A | 4.32 | 0.36 | N/A | 10.46 | 090 | |
| 33217 | A | Insert lead pace-defib, dual | 5.75 | N/A | 4.40 | 0.36 | N/A | 10.51 | 090 | |
| 33218 | A | Repair lead pace-defib, one | 5.44 | N/A | 4.36 | 0.40 | N/A | 10.20 | 090 | |
| 33220 | A | Repair lead pace-defib, dual | 5.52 | N/A | 4.35 | 0.39 | N/A | 10.26 | 090 | |
| 33222 | A | Revise pocket, pacemaker | 4.96 | N/A | 4.27 | 0.39 | N/A | 9.62 | 090 | |
| 33223 | A | Revise pocket, pacing-defib | 6.46 | N/A | 4.74 | 0.44 | N/A | 11.64 | 090 | |
| 33224 | A | Insert pacing lead connect | 9.05 | N/A | 4.08 | 0.36 | N/A | 13.49 | 000 | |
| 33225 | A | L ventric pacing lead add-on | 8.34 | N/A | 3.28 | 0.36 | N/A | 11.98 | ZZZ | |
| 33226 | A | Reposition l ventric lead | 8.69 | N/A | 3.94 | 0.36 | N/A | 12.99 | 000 | |
| 33233 | A | Removal of pacemaker system | 3.29 | N/A | 3.39 | 0.22 | N/A | 6.90 | 090 | |
| 33234 | A | Removal of pacemaker system | 7.82 | N/A | 5.04 | 0.56 | N/A | 13.42 | 090 | |
| 33235 | A | Removal pacemaker electrode | 9.40 | N/A | 6.92 | 0.68 | N/A | 17.00 | 090 | |
| 33236 | A | Remove electrode/thoracotomy | 12.60 | N/A | 7.28 | 1.49 | N/A | 21.37 | 090 | |
| 33237 | A | Remove electrode/thoracotomy | 13.71 | N/A | 7.67 | 1.57 | N/A | 22.95 | 090 | |
| 33238 | A | Remove electrode/thoracotomy | 15.22 | N/A | 8.10 | 1.56 | N/A | 24.88 | 090 | |
| 33240 | A | Insert pulse generator | 7.60 | N/A | 4.74 | 0.53 | N/A | 12.87 | 090 | |
| 33241 | A | Remove pulse generator | 3.24 | N/A | 3.08 | 0.21 | N/A | 6.53 | 090 | |
| 33243 | A | Remove eltrd/thoracotomy | 22.64 | N/A | 11.13 | 2.53 | N/A | 36.30 | 090 | |
| 33244 | A | Remove eltrd, transven | 13.76 | N/A | 8.81 | 1.05 | N/A | 23.62 | 090 | |
| 33245 | A | Insert epic eltrd pace-defib | 14.30 | N/A | 8.00 | 1.28 | N/A | 23.58 | 090 | |
| 33246 | A | Insert epic eltrd/generator | 20.71 | N/A | 10.31 | 2.22 | N/A | 33.24 | 090 | |
| 33249 | A | Eltrd/insert pace-defib | 14.23 | N/A | 8.63 | 0.80 | N/A | 23.66 | 090 | |
| 33250 | A | Ablate heart dysrhythm focus | 21.85 | N/A | 11.61 | 1.01 | N/A | 34.47 | 090 | |
| 33251 | A | Ablate heart dysrhythm focus | 24.88 | N/A | 11.56 | 2.41 | N/A | 38.85 | 090 | |
| 33253 | A | Reconstruct atria | 31.06 | N/A | 13.68 | 3.68 | N/A | 48.42 | 090 | |
| 33261 | A | Ablate heart dysrhythm focus | 24.88 | N/A | 11.68 | 2.82 | N/A | 39.38 | 090 | |
| 33282 | A | Implant pat-active ht record | 4.17 | N/A | 4.21 | 0.39 | N/A | 8.77 | 090 | |
| 33284 | A | Remove pat-active ht record | 2.50 | N/A | 3.77 | 0.23 | N/A | 6.50 | 090 | |
| 33300 | A | Repair of heart wound | 17.92 | N/A | 9.28 | 1.91 | N/A | 29.11 | 090 | |
| 33305 | A | Repair of heart wound | 21.44 | N/A | 10.50 | 2.68 | N/A | 34.62 | 090 | |
| 33310 | A | Exploratory heart surgery | 18.51 | N/A | 9.47 | 2.26 | N/A | 30.24 | 090 | |
| 33315 | A | Exploratory heart surgery | 22.37 | N/A | 10.74 | 2.90 | N/A | 36.01 | 090 | |
| 33320 | A | Repair major blood vessel(s) | 16.79 | N/A | 8.36 | 1.66 | N/A | 26.81 | 090 | |
| 33321 | A | Repair major vessel | 20.20 | N/A | 9.73 | 2.70 | N/A | 32.63 | 090 | |
| 33322 | A | Repair major blood vessel(s) | 20.62 | N/A | 10.29 | 2.51 | N/A | 33.42 | 090 | |
| 33330 | A | Insert major vessel graft | 21.43 | N/A | 10.26 | 2.49 | N/A | 34.18 | 090 | |
| 33332 | A | Insert major vessel graft | 23.96 | N/A | 10.59 | 2.45 | N/A | 37.00 | 090 | |
| 33335 | A | Insert major vessel graft | 30.01 | N/A | 13.22 | 3.79 | N/A | 47.02 | 090 | |
| 33400 | A | Repair of aortic valve | 28.50 | N/A | 15.23 | 3.09 | N/A | 46.82 | 090 | |
| 33401 | A | Valvuloplasty, open | 23.91 | N/A | 13.30 | 2.71 | N/A | 39.92 | 090 | |
| 33403 | A | Valvuloplasty, w/cp bypass | 24.89 | N/A | 13.94 | 2.48 | N/A | 41.31 | 090 | |
| 33404 | A | Prepare heart-aorta conduit | 28.54 | N/A | 14.10 | 3.31 | N/A | 45.95 | 090 | |
| 33405 | A | Replacement of aortic valve | 35.00 | N/A | 17.75 | 3.86 | N/A | 56.61 | 090 | |
| 33406 | A | Replacement of aortic valve | 37.50 | N/A | 18.55 | 4.07 | N/A | 60.12 | 090 | |
| 33410 | A | Replacement of aortic valve | 32.46 | N/A | 16.19 | 4.11 | N/A | 52.76 | 090 | |
| 33411 | A | Replacement of aortic valve | 36.25 | N/A | 18.20 | 4.16 | N/A | 58.61 | 090 | |
| 33412 | A | Replacement of aortic valve | 42.00 | N/A | 19.94 | 4.66 | N/A | 66.60 | 090 | |
| 33413 | A | Replacement of aortic valve | 43.50 | N/A | 20.31 | 4.26 | N/A | 68.07 | 090 | |
| 33414 | A | Repair of aortic valve | 30.35 | N/A | 13.85 | 3.79 | N/A | 47.99 | 090 | |
| 33415 | A | Revision, subvalvular tissue | 27.15 | N/A | 11.87 | 3.25 | N/A | 42.27 | 090 | |
| 33416 | A | Revise ventricle muscle | 30.35 | N/A | 13.34 | 3.85 | N/A | 47.54 | 090 | |
| 33417 | A | Repair of aortic valve | 28.53 | N/A | 13.33 | 3.58 | N/A | 45.44 | 090 | |
| 33420 | A | Revision of mitral valve | 22.70 | N/A | 9.76 | 1.48 | N/A | 33.94 | 090 | |
| 33422 | A | Revision of mitral valve | 25.94 | N/A | 13.21 | 3.30 | N/A | 42.45 | 090 | |
| 33425 | A | Repair of mitral valve | 27.00 | N/A | 12.70 | 3.00 | N/A | 42.70 | 090 | |
| 33426 | A | Repair of mitral valve | 33.00 | N/A | 16.66 | 3.87 | N/A | 53.53 | 090 | |
| 33427 | A | Repair of mitral valve | 40.00 | N/A | 18.85 | 4.30 | N/A | 63.15 | 090 | |
| 33430 | A | Replacement of mitral valve | 33.50 | N/A | 16.79 | 3.95 | N/A | 54.24 | 090 | |
| 33460 | A | Revision of tricuspid valve | 23.60 | N/A | 11.13 | 3.02 | N/A | 37.75 | 090 | |
| 33463 | A | Valvuloplasty, tricuspid | 25.62 | N/A | 12.74 | 3.17 | N/A | 41.53 | 090 | |
| 33464 | A | Valvuloplasty, tricuspid | 27.33 | N/A | 13.32 | 3.47 | N/A | 44.12 | 090 | |
| 33465 | A | Replace tricuspid valve | 28.79 | N/A | 12.81 | 3.61 | N/A | 45.21 | 090 | |
| 33468 | A | Revision of tricuspid valve | 30.12 | N/A | 13.40 | 4.00 | N/A | 47.52 | 090 | |
| 33470 | A | Revision of pulmonary valve | 20.81 | N/A | 10.78 | 2.81 | N/A | 34.40 | 090 | |
| 33471 | A | Valvotomy, pulmonary valve | 22.25 | N/A | 9.80 | 3.00 | N/A | 35.05 | 090 | |
| 33472 | A | Revision of pulmonary valve | 22.25 | N/A | 11.63 | 2.92 | N/A | 36.80 | 090 | |
| 33474 | A | Revision of pulmonary valve | 23.04 | N/A | 10.79 | 2.84 | N/A | 36.67 | 090 | |
| 33475 | A | Replacement, pulmonary valve | 33.00 | N/A | 15.09 | 2.64 | N/A | 50.73 | 090 | |
| 33476 | A | Revision of heart chamber | 25.77 | N/A | 11.97 | 2.40 | N/A | 40.14 | 090 | |
| 33478 | A | Revision of heart chamber | 26.74 | N/A | 12.70 | 3.56 | N/A | 43.00 | 090 | |
| 33496 | A | Repair, prosth valve clot | 27.25 | N/A | 12.64 | 3.44 | N/A | 43.33 | 090 | |
| 33500 | A | Repair heart vessel fistula | 25.55 | N/A | 11.34 | 2.80 | N/A | 39.69 | 090 | |
| 33501 | A | Repair heart vessel fistula | 17.78 | N/A | 8.28 | 2.05 | N/A | 28.11 | 090 | |
| 33502 | A | Coronary artery correction | 21.04 | N/A | 11.04 | 2.51 | N/A | 34.59 | 090 | |
| 33503 | A | Coronary artery graft | 21.78 | N/A | 9.91 | 1.42 | N/A | 33.11 | 090 | |
| 33504 | A | Coronary artery graft | 24.66 | N/A | 11.76 | 3.04 | N/A | 39.46 | 090 | |
| 33505 | A | Repair artery w/tunnel | 26.84 | N/A | 12.97 | 1.52 | N/A | 41.33 | 090 | |
| 33506 | A | Repair artery, translocation | 35.50 | N/A | 14.56 | 3.19 | N/A | 53.25 | 090 | |
| 33508 | A | Endoscopic vein harvest | 0.31 | N/A | 0.10 | 0.03 | N/A | 0.44 | ZZZ | |
| 33510 | A | CABG, vein, single | 29.00 | N/A | 15.82 | 3.13 | N/A | 47.95 | 090 | |
| 33511 | A | CABG, vein, two | 30.00 | N/A | 16.54 | 3.34 | N/A | 49.88 | 090 | |
| 33512 | A | CABG, vein, three | 31.80 | N/A | 17.07 | 3.70 | N/A | 52.57 | 090 | |
| 33513 | A | CABG, vein, four | 32.00 | N/A | 17.23 | 3.99 | N/A | 53.22 | 090 | |
| 33514 | A | CABG, vein, five | 32.75 | N/A | 17.49 | 4.37 | N/A | 54.61 | 090 | |
| 33516 | A | Cabg, vein, six or more | 35.00 | N/A | 18.24 | 4.62 | N/A | 57.86 | 090 | |
| 33517 | A | CABG, artery-vein, single | 2.57 | N/A | 0.83 | 0.32 | N/A | 3.72 | ZZZ | |
| 33518 | A | CABG, artery-vein, two | 4.85 | N/A | 1.57 | 0.61 | N/A | 7.03 | ZZZ | |
| 33519 | A | CABG, artery-vein, three | 7.12 | N/A | 2.31 | 0.89 | N/A | 10.32 | ZZZ | |
| 33521 | A | CABG, artery-vein, four | 9.40 | N/A | 3.05 | 1.18 | N/A | 13.63 | ZZZ | |
| 33522 | A | CABG, artery-vein, five | 11.67 | N/A | 3.78 | 1.48 | N/A | 16.93 | ZZZ | |
| 33523 | A | Cabg, art-vein, six or more | 13.95 | N/A | 4.48 | 1.78 | N/A | 20.21 | ZZZ | |
| 33530 | A | Coronary artery, bypass/reop | 5.86 | N/A | 1.89 | 0.73 | N/A | 8.48 | ZZZ | |
| 33533 | A | CABG, arterial, single | 30.00 | N/A | 15.96 | 3.24 | N/A | 49.20 | 090 | |
| 33534 | A | CABG, arterial, two | 32.20 | N/A | 17.15 | 3.63 | N/A | 52.98 | 090 | |
| 33535 | A | CABG, arterial, three | 34.50 | N/A | 17.62 | 3.97 | N/A | 56.09 | 090 | |
| 33536 | A | Cabg, arterial, four or more | 37.50 | N/A | 17.89 | 3.29 | N/A | 58.68 | 090 | |
| 33542 | A | Removal of heart lesion | 28.85 | N/A | 12.98 | 3.61 | N/A | 45.44 | 090 | |
| 33545 | A | Repair of heart damage | 36.78 | N/A | 15.69 | 4.40 | N/A | 56.87 | 090 | |
| 33572 | A | Open coronary endarterectomy | 4.45 | N/A | 1.44 | 0.55 | N/A | 6.44 | ZZZ | |
| 33600 | A | Closure of valve | 29.51 | N/A | 12.64 | 2.30 | N/A | 44.45 | 090 | |
| 33602 | A | Closure of valve | 28.54 | N/A | 12.79 | 2.90 | N/A | 44.23 | 090 | |
| 33606 | A | Anastomosis/artery-aorta | 30.74 | N/A | 13.65 | 3.59 | N/A | 47.98 | 090 | |
| 33608 | A | Repair anomaly w/conduit | 31.09 | N/A | 13.82 | 4.17 | N/A | 49.08 | 090 | |
| 33610 | A | Repair by enlargement | 30.61 | N/A | 14.17 | 4.02 | N/A | 48.80 | 090 | |
| 33611 | A | Repair double ventricle | 34.00 | N/A | 13.95 | 3.28 | N/A | 51.23 | 090 | |
| 33612 | A | Repair double ventricle | 35.00 | N/A | 15.01 | 4.44 | N/A | 54.45 | 090 | |
| 33615 | A | Repair, modified fontan | 34.00 | N/A | 15.11 | 3.15 | N/A | 52.26 | 090 | |
| 33617 | A | Repair single ventricle | 37.00 | N/A | 15.82 | 4.09 | N/A | 56.91 | 090 | |
| 33619 | A | Repair single ventricle | 45.00 | N/A | 20.08 | 4.71 | N/A | 69.79 | 090 | |
| 33641 | A | Repair heart septum defect | 21.39 | N/A | 9.47 | 2.67 | N/A | 33.53 | 090 | |
| 33645 | A | Revision of heart veins | 24.82 | N/A | 11.50 | 3.27 | N/A | 39.59 | 090 | |
| 33647 | A | Repair heart septum defects | 28.73 | N/A | 13.55 | 3.37 | N/A | 45.65 | 090 | |
| 33660 | A | Repair of heart defects | 30.00 | N/A | 13.24 | 2.82 | N/A | 46.06 | 090 | |
| 33665 | A | Repair of heart defects | 28.60 | N/A | 13.36 | 3.81 | N/A | 45.77 | 090 | |
| 33670 | A | Repair of heart chambers | 35.00 | N/A | 13.57 | 2.18 | N/A | 50.75 | 090 | |
| 33681 | A | Repair heart septum defect | 30.61 | N/A | 14.28 | 3.53 | N/A | 48.42 | 090 | |
| 33684 | A | Repair heart septum defect | 29.65 | N/A | 13.47 | 3.77 | N/A | 46.89 | 090 | |
| 33688 | A | Repair heart septum defect | 30.62 | N/A | 11.91 | 3.89 | N/A | 46.42 | 090 | |
| 33690 | A | Reinforce pulmonary artery | 19.55 | N/A | 10.07 | 2.56 | N/A | 32.18 | 090 | |
| 33692 | A | Repair of heart defects | 30.75 | N/A | 13.89 | 3.77 | N/A | 48.41 | 090 | |
| 33694 | A | Repair of heart defects | 34.00 | N/A | 14.42 | 4.27 | N/A | 52.69 | 090 | |
| 33697 | A | Repair of heart defects | 36.00 | N/A | 14.66 | 4.54 | N/A | 55.20 | 090 | |
| 33702 | A | Repair of heart defects | 26.54 | N/A | 12.29 | 3.45 | N/A | 42.28 | 090 | |
| 33710 | A | Repair of heart defects | 29.71 | N/A | 13.90 | 3.85 | N/A | 47.46 | 090 | |
| 33720 | A | Repair of heart defect | 26.56 | N/A | 12.15 | 3.21 | N/A | 41.92 | 090 | |
| 33722 | A | Repair of heart defect | 28.41 | N/A | 13.38 | 3.80 | N/A | 45.59 | 090 | |
| 33730 | A | Repair heart-vein defect(s) | 34.25 | N/A | 14.28 | 2.85 | N/A | 51.38 | 090 | |
| 33732 | A | Repair heart-vein defect | 28.16 | N/A | 13.45 | 2.78 | N/A | 44.39 | 090 | |
| 33735 | A | Revision of heart chamber | 21.39 | N/A | 10.24 | 1.12 | N/A | 32.75 | 090 | |
| 33736 | A | Revision of heart chamber | 23.52 | N/A | 11.80 | 2.70 | N/A | 38.02 | 090 | |
| 33737 | A | Revision of heart chamber | 21.76 | N/A | 11.01 | 2.93 | N/A | 35.70 | 090 | |
| 33750 | A | Major vessel shunt | 21.41 | N/A | 10.46 | 1.74 | N/A | 33.61 | 090 | |
| 33755 | A | Major vessel shunt | 21.79 | N/A | 9.31 | 2.93 | N/A | 34.03 | 090 | |
| 33762 | A | Major vessel shunt | 21.79 | N/A | 10.49 | 1.59 | N/A | 33.87 | 090 | |
| 33764 | A | Major vessel shunt graft | 21.79 | N/A | 10.31 | 1.93 | N/A | 34.03 | 090 | |
| 33766 | A | Major vessel shunt | 22.76 | N/A | 11.29 | 3.04 | N/A | 37.09 | 090 | |
| 33767 | A | Major vessel shunt | 24.50 | N/A | 11.72 | 3.14 | N/A | 39.36 | 090 | |
| 33770 | A | Repair great vessels defect | 37.00 | N/A | 14.71 | 4.49 | N/A | 56.20 | 090 | |
| 33771 | A | Repair great vessels defect | 34.65 | N/A | 12.79 | 4.67 | N/A | 52.11 | 090 | |
| 33774 | A | Repair great vessels defect | 30.98 | N/A | 13.75 | 4.18 | N/A | 48.91 | 090 | |
| 33775 | A | Repair great vessels defect | 32.20 | N/A | 14.58 | 4.34 | N/A | 51.12 | 090 | |
| 33776 | A | Repair great vessels defect | 34.04 | N/A | 15.38 | 4.58 | N/A | 54.00 | 090 | |
| 33777 | A | Repair great vessels defect | 33.46 | N/A | 15.26 | 4.51 | N/A | 53.23 | 090 | |
| 33778 | A | Repair great vessels defect | 40.00 | N/A | 16.75 | 4.83 | N/A | 61.58 | 090 | |
| 33779 | A | Repair great vessels defect | 36.21 | N/A | 15.62 | 2.40 | N/A | 54.23 | 090 | |
| 33780 | A | Repair great vessels defect | 41.75 | N/A | 18.87 | 5.21 | N/A | 65.83 | 090 | |
| 33781 | A | Repair great vessels defect | 36.45 | N/A | 13.94 | 4.91 | N/A | 55.30 | 090 | |
| 33786 | A | Repair arterial trunk | 39.00 | N/A | 16.66 | 4.69 | N/A | 60.35 | 090 | |
| 33788 | A | Revision of pulmonary artery | 26.62 | N/A | 12.19 | 3.32 | N/A | 42.13 | 090 | |
| 33800 | A | Aortic suspension | 16.24 | N/A | 7.87 | 1.11 | N/A | 25.22 | 090 | |
| 33802 | A | Repair vessel defect | 17.66 | N/A | 9.04 | 1.56 | N/A | 28.26 | 090 | |
| 33803 | A | Repair vessel defect | 19.60 | N/A | 9.61 | 2.63 | N/A | 31.84 | 090 | |
| 33813 | A | Repair septal defect | 20.65 | N/A | 10.59 | 2.78 | N/A | 34.02 | 090 | |
| 33814 | A | Repair septal defect | 25.77 | N/A | 12.38 | 2.52 | N/A | 40.67 | 090 | |
| 33820 | A | Revise major vessel | 16.29 | N/A | 8.13 | 2.10 | N/A | 26.52 | 090 | |
| 33822 | A | Revise major vessel | 17.32 | N/A | 8.71 | 2.33 | N/A | 28.36 | 090 | |
| 33824 | A | Revise major vessel | 19.52 | N/A | 9.87 | 2.61 | N/A | 32.00 | 090 | |
| 33840 | A | Remove aorta constriction | 20.63 | N/A | 10.08 | 2.36 | N/A | 33.07 | 090 | |
| 33845 | A | Remove aorta constriction | 22.12 | N/A | 11.07 | 2.90 | N/A | 36.09 | 090 | |
| 33851 | A | Remove aorta constriction | 21.27 | N/A | 10.45 | 2.86 | N/A | 34.58 | 090 | |
| 33852 | A | Repair septal defect | 23.71 | N/A | 11.32 | 3.19 | N/A | 38.22 | 090 | |
| 33853 | A | Repair septal defect | 31.72 | N/A | 14.46 | 4.23 | N/A | 50.41 | 090 | |
| 33860 | A | Ascending aortic graft | 38.00 | N/A | 16.22 | 4.30 | N/A | 58.52 | 090 | |
| 33861 | A | Ascending aortic graft | 42.00 | N/A | 17.49 | 4.24 | N/A | 63.73 | 090 | |
| 33863 | A | Ascending aortic graft | 45.00 | N/A | 18.45 | 4.60 | N/A | 68.05 | 090 | |
| 33870 | A | Transverse aortic arch graft | 44.00 | N/A | 18.16 | 5.09 | N/A | 67.25 | 090 | |
| 33875 | A | Thoracic aortic graft | 33.06 | N/A | 14.04 | 4.08 | N/A | 51.18 | 090 | |
| 33877 | A | Thoracoabdominal graft | 42.60 | N/A | 16.81 | 5.07 | N/A | 64.48 | 090 | |
| 33910 | A | Remove lung artery emboli | 24.59 | N/A | 11.37 | 3.06 | N/A | 39.02 | 090 | |
| 33915 | A | Remove lung artery emboli | 21.02 | N/A | 9.78 | 1.20 | N/A | 32.00 | 090 | |
| 33916 | A | Surgery of great vessel | 25.83 | N/A | 11.48 | 3.04 | N/A | 40.35 | 090 | |
| 33917 | A | Repair pulmonary artery | 24.50 | N/A | 11.96 | 3.17 | N/A | 39.63 | 090 | |
| 33918 | A | Repair pulmonary atresia | 26.45 | N/A | 12.37 | 3.42 | N/A | 42.24 | 090 | |
| 33919 | A | Repair pulmonary atresia | 40.00 | N/A | 17.32 | 3.48 | N/A | 60.80 | 090 | |
| 33920 | A | Repair pulmonary atresia | 31.95 | N/A | 13.90 | 3.61 | N/A | 49.46 | 090 | |
| 33922 | A | Transect pulmonary artery | 23.52 | N/A | 10.91 | 2.30 | N/A | 36.73 | 090 | |
| 33924 | A | Remove pulmonary shunt | 5.50 | N/A | 1.82 | 0.74 | N/A | 8.06 | ZZZ | |
| 33935 | R | Transplantation, heart/lung | 60.96 | N/A | 25.80 | 8.15 | N/A | 94.91 | 090 | |
| 33945 | R | Transplantation of heart | 42.10 | N/A | 18.74 | 5.42 | N/A | 66.26 | 090 | |
| 33960 | A | External circulation assist | 19.36 | N/A | 4.93 | 2.14 | N/A | 26.43 | 000 | |
| 33961 | A | External circulation assist | 10.93 | N/A | 3.63 | 1.47 | N/A | 16.03 | ZZZ | |
| 33967 | A | Insert ia percut device | 4.85 | N/A | 1.87 | 0.28 | N/A | 7.00 | 000 | |
| 33968 | A | Remove aortic assist device | 0.64 | N/A | 0.23 | 0.07 | N/A | 0.94 | 000 | |
| 33970 | A | Aortic circulation assist | 6.75 | N/A | 2.28 | 0.70 | N/A | 9.73 | 000 | |
| 33971 | A | Aortic circulation assist | 9.69 | N/A | 6.06 | 0.97 | N/A | 16.72 | 090 | |
| 33973 | A | Insert balloon device | 9.76 | N/A | 3.30 | 1.01 | N/A | 14.07 | 000 | |
| 33974 | A | Remove intra-aortic balloon | 14.41 | N/A | 8.04 | 1.48 | N/A | 23.93 | 090 | |
| 33975 | A | Implant ventricular device | 21.00 | N/A | 6.25 | 1.72 | N/A | 28.97 | XXX | |
| 33976 | A | Implant ventricular device | 23.00 | N/A | 7.50 | 2.82 | N/A | 33.32 | XXX | |
| 33977 | A | Remove ventricular device | 19.29 | N/A | 10.79 | 2.44 | N/A | 32.52 | 090 | |
| 33978 | A | Remove ventricular device | 21.73 | N/A | 11.66 | 2.66 | N/A | 36.05 | 090 | |
| 33979 | A | Insert intracorporeal device | 46.00 | N/A | 14.79 | 3.98 | N/A | 64.77 | XXX | |
| 33980 | A | Remove intracorporeal device | 56.25 | N/A | 24.81 | 4.60 | N/A | 85.66 | 090 | |
| 33999 | C | Cardiac surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 34001 | A | Removal of artery clot | 12.91 | N/A | 6.72 | 1.46 | N/A | 21.09 | 090 | |
| 34051 | A | Removal of artery clot | 15.21 | N/A | 7.62 | 1.90 | N/A | 24.73 | 090 | |
| 34101 | A | Removal of artery clot | 10.00 | N/A | 5.40 | 1.11 | N/A | 16.51 | 090 | |
| 34111 | A | Removal of arm artery clot | 10.00 | N/A | 5.42 | 0.85 | N/A | 16.27 | 090 | |
| 34151 | A | Removal of artery clot | 25.00 | N/A | 10.63 | 1.84 | N/A | 37.47 | 090 | |
| 34201 | A | Removal of artery clot | 10.03 | N/A | 5.50 | 1.02 | N/A | 16.55 | 090 | |
| 34203 | A | Removal of leg artery clot | 16.50 | N/A | 8.15 | 1.37 | N/A | 26.02 | 090 | |
| 34401 | A | Removal of vein clot | 25.00 | N/A | 10.82 | 1.20 | N/A | 37.02 | 090 | |
| 34421 | A | Removal of vein clot | 12.00 | N/A | 6.38 | 0.95 | N/A | 19.33 | 090 | |
| 34451 | A | Removal of vein clot | 27.00 | N/A | 11.53 | 1.59 | N/A | 40.12 | 090 | |
| 34471 | A | Removal of vein clot | 10.18 | N/A | 5.44 | 0.90 | N/A | 16.52 | 090 | |
| 34490 | A | Removal of vein clot | 9.86 | N/A | 5.51 | 0.73 | N/A | 16.10 | 090 | |
| 34501 | A | Repair valve, femoral vein | 16.00 | N/A | 8.44 | 1.37 | N/A | 25.81 | 090 | |
| 34502 | A | Reconstruct vena cava | 26.95 | N/A | 12.31 | 2.99 | N/A | 42.25 | 090 | |
| 34510 | A | Transposition of vein valve | 18.95 | N/A | 9.42 | 1.60 | N/A | 29.97 | 090 | |
| 34520 | A | Cross-over vein graft | 17.95 | N/A | 8.86 | 1.41 | N/A | 28.22 | 090 | |
| 34530 | A | Leg vein fusion | 16.64 | N/A | 8.67 | 2.06 | N/A | 27.37 | 090 | |
| 34800 | A | Endovasc abdo repair w/tube | 20.75 | N/A | 9.23 | 1.49 | N/A | 31.47 | 090 | |
| 34802 | A | Endovasc abdo repr w/device | 23.00 | N/A | 9.93 | 1.65 | N/A | 34.58 | 090 | |
| 34804 | A | Endovasc abdo repr w/device | 23.00 | N/A | 9.92 | 1.65 | N/A | 34.57 | 090 | |
| 34808 | A | Endovasc abdo occlud device | 4.13 | N/A | 1.39 | 0.29 | N/A | 5.81 | ZZZ | |
| 34812 | A | Xpose for endoprosth, femorl | 6.75 | N/A | 2.27 | 0.49 | N/A | 9.51 | 000 | |
| 34813 | A | Femoral endovas graft add-on | 4.80 | N/A | 1.59 | 0.34 | N/A | 6.73 | ZZZ | |
| 34820 | A | Xpose for endoprosth, iliac | 9.75 | N/A | 3.29 | 0.70 | N/A | 13.74 | 000 | |
| 34825 | A | Endovasc extend prosth, init | 12.00 | N/A | 6.21 | 0.86 | N/A | 19.07 | 090 | |
| 34826 | A | Endovasc exten prosth, addl | 4.13 | N/A | 1.40 | 0.29 | N/A | 5.82 | ZZZ | |
| 34830 | A | Open aortic tube prosth repr | 32.59 | N/A | 13.76 | 2.34 | N/A | 48.69 | 090 | |
| 34831 | A | Open aortoiliac prosth repr | 35.34 | N/A | 11.91 | 2.53 | N/A | 49.78 | 090 | |
| 34832 | A | Open aortofemor prosth repr | 35.34 | N/A | 14.76 | 2.53 | N/A | 52.63 | 090 | |
| 34833 | A | Xpose for endoprosth, iliac | 12.00 | N/A | 4.58 | 0.70 | N/A | 17.28 | 000 | |
| 34834 | A | Xpose, endoprosth, brachial | 5.35 | N/A | 2.26 | 0.49 | N/A | 8.10 | 000 | |
| 34900 | A | Endovasc iliac repr w/graft | 16.38 | N/A | 7.96 | 1.49 | N/A | 25.83 | 090 | |
| 35001 | A | Repair defect of artery | 19.64 | N/A | 9.52 | 2.44 | N/A | 31.60 | 090 | |
| 35002 | A | Repair artery rupture, neck | 21.00 | N/A | 9.79 | 1.82 | N/A | 32.61 | 090 | |
| 35005 | A | Repair defect of artery | 18.12 | N/A | 8.86 | 1.35 | N/A | 28.33 | 090 | |
| 35011 | A | Repair defect of artery | 18.00 | N/A | 8.07 | 1.30 | N/A | 27.37 | 090 | |
| 35013 | A | Repair artery rupture, arm | 22.00 | N/A | 9.76 | 1.91 | N/A | 33.67 | 090 | |
| 35021 | A | Repair defect of artery | 19.65 | N/A | 9.29 | 1.93 | N/A | 30.87 | 090 | |
| 35022 | A | Repair artery rupture, chest | 23.18 | N/A | 10.08 | 1.99 | N/A | 35.25 | 090 | |
| 35045 | A | Repair defect of arm artery | 17.57 | N/A | 7.73 | 1.25 | N/A | 26.55 | 090 | |
| 35081 | A | Repair defect of artery | 28.01 | N/A | 11.52 | 3.20 | N/A | 42.73 | 090 | |
| 35082 | A | Repair artery rupture, aorta | 38.50 | N/A | 15.52 | 4.07 | N/A | 58.09 | 090 | |
| 35091 | A | Repair defect of artery | 35.40 | N/A | 13.78 | 4.09 | N/A | 53.27 | 090 | |
| 35092 | A | Repair artery rupture, aorta | 45.00 | N/A | 17.92 | 4.31 | N/A | 67.23 | 090 | |
| 35102 | A | Repair defect of artery | 30.76 | N/A | 12.60 | 3.44 | N/A | 46.80 | 090 | |
| 35103 | A | Repair artery rupture, groin | 40.50 | N/A | 16.13 | 3.79 | N/A | 60.42 | 090 | |
| 35111 | A | Repair defect of artery | 25.00 | N/A | 10.58 | 1.81 | N/A | 37.39 | 090 | |
| 35112 | A | Repair artery rupture,spleen | 30.00 | N/A | 12.22 | 1.95 | N/A | 44.17 | 090 | |
| 35121 | A | Repair defect of artery | 30.00 | N/A | 12.57 | 2.93 | N/A | 45.50 | 090 | |
| 35122 | A | Repair artery rupture, belly | 35.00 | N/A | 14.09 | 3.54 | N/A | 52.63 | 090 | |
| 35131 | A | Repair defect of artery | 25.00 | N/A | 10.89 | 2.11 | N/A | 38.00 | 090 | |
| 35132 | A | Repair artery rupture, groin | 30.00 | N/A | 12.58 | 2.48 | N/A | 45.06 | 090 | |
| 35141 | A | Repair defect of artery | 20.00 | N/A | 9.01 | 1.65 | N/A | 30.66 | 090 | |
| 35142 | A | Repair artery rupture, thigh | 23.30 | N/A | 10.48 | 1.75 | N/A | 35.53 | 090 | |
| 35151 | A | Repair defect of artery | 22.64 | N/A | 10.11 | 1.93 | N/A | 34.68 | 090 | |
| 35152 | A | Repair artery rupture, knee | 25.62 | N/A | 11.43 | 1.93 | N/A | 38.98 | 090 | |
| 35161 | A | Repair defect of artery | 18.76 | N/A | 9.16 | 2.21 | N/A | 30.13 | 090 | |
| 35162 | A | Repair artery rupture | 19.78 | N/A | 9.64 | 2.21 | N/A | 31.63 | 090 | |
| 35180 | A | Repair blood vessel lesion | 13.62 | N/A | 7.02 | 1.44 | N/A | 22.08 | 090 | |
| 35182 | A | Repair blood vessel lesion | 30.00 | N/A | 12.93 | 1.88 | N/A | 44.81 | 090 | |
| 35184 | A | Repair blood vessel lesion | 18.00 | N/A | 8.38 | 1.34 | N/A | 27.72 | 090 | |
| 35188 | A | Repair blood vessel lesion | 14.28 | N/A | 7.60 | 1.53 | N/A | 23.41 | 090 | |
| 35189 | A | Repair blood vessel lesion | 28.00 | N/A | 12.09 | 2.12 | N/A | 42.21 | 090 | |
| 35190 | A | Repair blood vessel lesion | 12.75 | N/A | 6.54 | 1.33 | N/A | 20.62 | 090 | |
| 35201 | A | Repair blood vessel lesion | 16.14 | N/A | 8.01 | 1.17 | N/A | 25.32 | 090 | |
| 35206 | A | Repair blood vessel lesion | 13.25 | N/A | 6.72 | 1.04 | N/A | 21.01 | 090 | |
| 35207 | A | Repair blood vessel lesion | 10.15 | N/A | 7.85 | 1.15 | N/A | 19.15 | 090 | |
| 35211 | A | Repair blood vessel lesion | 22.12 | N/A | 10.47 | 2.83 | N/A | 35.42 | 090 | |
| 35216 | A | Repair blood vessel lesion | 18.75 | N/A | 8.95 | 2.17 | N/A | 29.87 | 090 | |
| 35221 | A | Repair blood vessel lesion | 24.39 | N/A | 10.20 | 1.79 | N/A | 36.38 | 090 | |
| 35226 | A | Repair blood vessel lesion | 14.50 | N/A | 7.72 | 0.84 | N/A | 23.06 | 090 | |
| 35231 | A | Repair blood vessel lesion | 20.00 | N/A | 9.91 | 1.32 | N/A | 31.23 | 090 | |
| 35236 | A | Repair blood vessel lesion | 17.11 | N/A | 8.08 | 1.19 | N/A | 26.38 | 090 | |
| 35241 | A | Repair blood vessel lesion | 23.12 | N/A | 10.91 | 2.90 | N/A | 36.93 | 090 | |
| 35246 | A | Repair blood vessel lesion | 26.45 | N/A | 11.40 | 2.22 | N/A | 40.07 | 090 | |
| 35251 | A | Repair blood vessel lesion | 30.20 | N/A | 12.11 | 1.87 | N/A | 44.18 | 090 | |
| 35256 | A | Repair blood vessel lesion | 18.36 | N/A | 8.44 | 1.32 | N/A | 28.12 | 090 | |
| 35261 | A | Repair blood vessel lesion | 17.80 | N/A | 8.10 | 1.34 | N/A | 27.24 | 090 | |
| 35266 | A | Repair blood vessel lesion | 14.91 | N/A | 7.16 | 1.16 | N/A | 23.23 | 090 | |
| 35271 | A | Repair blood vessel lesion | 22.12 | N/A | 10.37 | 2.77 | N/A | 35.26 | 090 | |
| 35276 | A | Repair blood vessel lesion | 24.25 | N/A | 11.17 | 2.37 | N/A | 37.79 | 090 | |
| 35281 | A | Repair blood vessel lesion | 28.00 | N/A | 11.93 | 1.82 | N/A | 41.75 | 090 | |
| 35286 | A | Repair blood vessel lesion | 16.16 | N/A | 8.18 | 1.36 | N/A | 25.70 | 090 | |
| 35301 | A | Rechanneling of artery | 18.70 | N/A | 8.49 | 2.23 | N/A | 29.42 | 090 | |
| 35311 | A | Rechanneling of artery | 27.00 | N/A | 11.61 | 2.75 | N/A | 41.36 | 090 | |
| 35321 | A | Rechanneling of artery | 16.00 | N/A | 7.41 | 1.36 | N/A | 24.77 | 090 | |
| 35331 | A | Rechanneling of artery | 26.20 | N/A | 11.37 | 2.71 | N/A | 40.28 | 090 | |
| 35341 | A | Rechanneling of artery | 25.11 | N/A | 11.02 | 2.87 | N/A | 39.00 | 090 | |
| 35351 | A | Rechanneling of artery | 23.00 | N/A | 9.80 | 2.29 | N/A | 35.09 | 090 | |
| 35355 | A | Rechanneling of artery | 18.50 | N/A | 8.28 | 1.80 | N/A | 28.58 | 090 | |
| 35361 | A | Rechanneling of artery | 28.20 | N/A | 11.91 | 2.66 | N/A | 42.77 | 090 | |
| 35363 | A | Rechanneling of artery | 30.20 | N/A | 12.73 | 2.77 | N/A | 45.70 | 090 | |
| 35371 | A | Rechanneling of artery | 14.72 | N/A | 7.08 | 1.32 | N/A | 23.12 | 090 | |
| 35372 | A | Rechanneling of artery | 18.00 | N/A | 8.20 | 1.53 | N/A | 27.73 | 090 | |
| 35381 | A | Rechanneling of artery | 15.81 | N/A | 7.85 | 1.80 | N/A | 25.46 | 090 | |
| 35390 | A | Reoperation, carotid add-on | 3.19 | N/A | 1.07 | 0.38 | N/A | 4.64 | ZZZ | |
| 35400 | A | Angioscopy | 3.00 | N/A | 1.05 | 0.34 | N/A | 4.39 | ZZZ | |
| 35450 | A | Repair arterial blockage | 10.07 | N/A | 4.07 | 0.84 | N/A | 14.98 | 000 | |
| 35452 | A | Repair arterial blockage | 6.91 | N/A | 3.17 | 0.76 | N/A | 10.84 | 000 | |
| 35454 | A | Repair arterial blockage | 6.04 | N/A | 2.85 | 0.67 | N/A | 9.56 | 000 | |
| 35456 | A | Repair arterial blockage | 7.35 | N/A | 3.29 | 0.82 | N/A | 11.46 | 000 | |
| 35458 | A | Repair arterial blockage | 9.49 | N/A | 4.00 | 1.09 | N/A | 14.58 | 000 | |
| 35459 | A | Repair arterial blockage | 8.63 | N/A | 3.66 | 0.96 | N/A | 13.25 | 000 | |
| 35460 | A | Repair venous blockage | 6.04 | N/A | 2.70 | 0.66 | N/A | 9.40 | 000 | |
| 35470 | A | Repair arterial blockage | 8.63 | N/A | 3.89 | 0.50 | N/A | 13.02 | 000 | |
| 35471 | A | Repair arterial blockage | 10.07 | N/A | 4.51 | 0.50 | N/A | 15.08 | 000 | |
| 35472 | A | Repair arterial blockage | 6.91 | N/A | 3.27 | 0.39 | N/A | 10.57 | 000 | |
| 35473 | A | Repair arterial blockage | 6.04 | N/A | 2.94 | 0.34 | N/A | 9.32 | 000 | |
| 35474 | A | Repair arterial blockage | 7.36 | N/A | 2.92 | 0.40 | N/A | 10.68 | 000 | |
| 35475 | R | Repair arterial blockage | 9.49 | N/A | 4.10 | 0.47 | N/A | 14.06 | 000 | |
| 35476 | A | Repair venous blockage | 6.04 | N/A | 2.87 | 0.27 | N/A | 9.18 | 000 | |
| 35480 | A | Atherectomy, open | 11.08 | N/A | 4.55 | 1.13 | N/A | 16.76 | 000 | |
| 35481 | A | Atherectomy, open | 7.61 | N/A | 3.46 | 0.84 | N/A | 11.91 | 000 | |
| 35482 | A | Atherectomy, open | 6.65 | N/A | 3.10 | 0.75 | N/A | 10.50 | 000 | |
| 35483 | A | Atherectomy, open | 8.10 | N/A | 3.55 | 0.81 | N/A | 12.46 | 000 | |
| 35484 | A | Atherectomy, open | 10.44 | N/A | 4.26 | 1.13 | N/A | 15.83 | 000 | |
| 35485 | A | Atherectomy, open | 9.49 | N/A | 4.08 | 1.06 | N/A | 14.63 | 000 | |
| 35490 | A | Atherectomy, percutaneous | 11.08 | N/A | 4.78 | 0.55 | N/A | 16.41 | 000 | |
| 35491 | A | Atherectomy, percutaneous | 7.61 | N/A | 3.34 | 0.49 | N/A | 11.44 | 000 | |
| 35492 | A | Atherectomy, percutaneous | 6.65 | N/A | 3.22 | 0.43 | N/A | 10.30 | 000 | |
| 35493 | A | Atherectomy, percutaneous | 8.10 | N/A | 3.85 | 0.47 | N/A | 12.42 | 000 | |
| 35494 | A | Atherectomy, percutaneous | 10.44 | N/A | 4.44 | 0.48 | N/A | 15.36 | 000 | |
| 35495 | A | Atherectomy, percutaneous | 9.49 | N/A | 4.45 | 0.51 | N/A | 14.45 | 000 | |
| 35500 | A | Harvest vein for bypass | 6.45 | N/A | 2.06 | 0.63 | N/A | 9.14 | ZZZ | |
| 35501 | A | Artery bypass graft | 19.19 | N/A | 8.45 | 2.33 | N/A | 29.97 | 090 | |
| 35506 | A | Artery bypass graft | 19.67 | N/A | 9.38 | 2.33 | N/A | 31.38 | 090 | |
| 35507 | A | Artery bypass graft | 19.67 | N/A | 9.36 | 2.27 | N/A | 31.30 | 090 | |
| 35508 | A | Artery bypass graft | 18.65 | N/A | 9.27 | 2.34 | N/A | 30.26 | 090 | |
| 35509 | A | Artery bypass graft | 18.07 | N/A | 8.75 | 2.12 | N/A | 28.94 | 090 | |
| 35511 | A | Artery bypass graft | 21.20 | N/A | 9.43 | 1.74 | N/A | 32.37 | 090 | |
| 35515 | A | Artery bypass graft | 18.65 | N/A | 9.22 | 2.26 | N/A | 30.13 | 090 | |
| 35516 | A | Artery bypass graft | 16.32 | N/A | 6.81 | 1.88 | N/A | 25.01 | 090 | |
| 35518 | A | Artery bypass graft | 21.20 | N/A | 9.12 | 1.78 | N/A | 32.10 | 090 | |
| 35521 | A | Artery bypass graft | 22.20 | N/A | 9.94 | 1.82 | N/A | 33.96 | 090 | |
| 35526 | A | Artery bypass graft | 29.95 | N/A | 12.49 | 2.18 | N/A | 44.62 | 090 | |
| 35531 | A | Artery bypass graft | 36.20 | N/A | 14.73 | 2.91 | N/A | 53.84 | 090 | |
| 35533 | A | Artery bypass graft | 28.00 | N/A | 11.91 | 2.35 | N/A | 42.26 | 090 | |
| 35536 | A | Artery bypass graft | 31.70 | N/A | 13.21 | 2.62 | N/A | 47.53 | 090 | |
| 35541 | A | Artery bypass graft | 25.80 | N/A | 11.28 | 2.74 | N/A | 39.82 | 090 | |
| 35546 | A | Artery bypass graft | 25.54 | N/A | 10.99 | 2.84 | N/A | 39.37 | 090 | |
| 35548 | A | Artery bypass graft | 21.57 | N/A | 9.54 | 2.45 | N/A | 33.56 | 090 | |
| 35549 | A | Artery bypass graft | 23.35 | N/A | 10.39 | 2.77 | N/A | 36.51 | 090 | |
| 35551 | A | Artery bypass graft | 26.67 | N/A | 11.52 | 3.19 | N/A | 41.38 | 090 | |
| 35556 | A | Artery bypass graft | 21.76 | N/A | 9.82 | 2.48 | N/A | 34.06 | 090 | |
| 35558 | A | Artery bypass graft | 21.20 | N/A | 9.64 | 1.58 | N/A | 32.42 | 090 | |
| 35560 | A | Artery bypass graft | 32.00 | N/A | 13.46 | 2.73 | N/A | 48.19 | 090 | |
| 35563 | A | Artery bypass graft | 24.20 | N/A | 10.67 | 1.68 | N/A | 36.55 | 090 | |
| 35565 | A | Artery bypass graft | 23.20 | N/A | 10.31 | 1.71 | N/A | 35.22 | 090 | |
| 35566 | A | Artery bypass graft | 26.92 | N/A | 11.51 | 3.02 | N/A | 41.45 | 090 | |
| 35571 | A | Artery bypass graft | 24.06 | N/A | 11.25 | 2.14 | N/A | 37.45 | 090 | |
| 35572 | A | Harvest femoropopliteal vein | 6.82 | N/A | 2.37 | 0.63 | N/A | 9.82 | ZZZ | |
| 35582 | A | Vein bypass graft | 27.13 | N/A | 11.67 | 3.11 | N/A | 41.91 | 090 | |
| 35583 | A | Vein bypass graft | 22.37 | N/A | 10.37 | 2.53 | N/A | 35.27 | 090 | |
| 35585 | A | Vein bypass graft | 28.39 | N/A | 12.61 | 3.21 | N/A | 44.21 | 090 | |
| 35587 | A | Vein bypass graft | 24.75 | N/A | 11.88 | 2.17 | N/A | 38.80 | 090 | |
| 35600 | A | Harvest artery for cabg | 4.95 | N/A | 1.61 | 0.60 | N/A | 7.16 | ZZZ | |
| 35601 | A | Artery bypass graft | 17.50 | N/A | 8.58 | 2.08 | N/A | 28.16 | 090 | |
| 35606 | A | Artery bypass graft | 18.71 | N/A | 8.96 | 2.17 | N/A | 29.84 | 090 | |
| 35612 | A | Artery bypass graft | 15.76 | N/A | 7.82 | 1.72 | N/A | 25.30 | 090 | |
| 35616 | A | Artery bypass graft | 15.70 | N/A | 8.00 | 1.84 | N/A | 25.54 | 090 | |
| 35621 | A | Artery bypass graft | 20.00 | N/A | 8.86 | 1.68 | N/A | 30.54 | 090 | |
| 35623 | A | Bypass graft, not vein | 24.00 | N/A | 10.64 | 1.91 | N/A | 36.55 | 090 | |
| 35626 | A | Artery bypass graft | 27.75 | N/A | 11.90 | 2.89 | N/A | 42.54 | 090 | |
| 35631 | A | Artery bypass graft | 34.00 | N/A | 14.07 | 2.83 | N/A | 50.90 | 090 | |
| 35636 | A | Artery bypass graft | 29.50 | N/A | 12.60 | 2.37 | N/A | 44.47 | 090 | |
| 35641 | A | Artery bypass graft | 24.57 | N/A | 11.10 | 2.83 | N/A | 38.50 | 090 | |
| 35642 | A | Artery bypass graft | 17.98 | N/A | 8.74 | 1.84 | N/A | 28.56 | 090 | |
| 35645 | A | Artery bypass graft | 17.47 | N/A | 8.39 | 1.91 | N/A | 27.77 | 090 | |
| 35646 | A | Artery bypass graft | 31.00 | N/A | 13.16 | 3.63 | N/A | 47.79 | 090 | |
| 35647 | A | Artery bypass graft | 28.00 | N/A | 11.84 | 3.28 | N/A | 43.12 | 090 | |
| 35650 | A | Artery bypass graft | 19.00 | N/A | 8.46 | 1.64 | N/A | 29.10 | 090 | |
| 35651 | A | Artery bypass graft | 25.04 | N/A | 10.96 | 2.53 | N/A | 38.53 | 090 | |
| 35654 | A | Artery bypass graft | 25.00 | N/A | 10.84 | 2.10 | N/A | 37.94 | 090 | |
| 35656 | A | Artery bypass graft | 19.53 | N/A | 8.73 | 2.21 | N/A | 30.47 | 090 | |
| 35661 | A | Artery bypass graft | 19.00 | N/A | 9.00 | 1.50 | N/A | 29.50 | 090 | |
| 35663 | A | Artery bypass graft | 22.00 | N/A | 10.09 | 1.55 | N/A | 33.64 | 090 | |
| 35665 | A | Artery bypass graft | 21.00 | N/A | 9.61 | 1.76 | N/A | 32.37 | 090 | |
| 35666 | A | Artery bypass graft | 22.19 | N/A | 11.02 | 2.19 | N/A | 35.40 | 090 | |
| 35671 | A | Artery bypass graft | 19.33 | N/A | 9.72 | 1.68 | N/A | 30.73 | 090 | |
| 35681 | A | Composite bypass graft | 1.60 | N/A | 0.54 | 0.18 | N/A | 2.32 | ZZZ | |
| 35682 | A | Composite bypass graft | 7.20 | N/A | 2.43 | 0.83 | N/A | 10.46 | ZZZ | |
| 35683 | A | Composite bypass graft | 8.50 | N/A | 2.87 | 0.98 | N/A | 12.35 | ZZZ | |
| 35685 | A | Bypass graft patency/patch | 4.05 | N/A | 1.38 | 0.25 | N/A | 5.68 | ZZZ | |
| 35686 | A | Bypass graft/av fist patency | 3.35 | N/A | 1.15 | 0.21 | N/A | 4.71 | ZZZ | |
| 35691 | A | Arterial transposition | 18.05 | N/A | 8.50 | 2.06 | N/A | 28.61 | 090 | |
| 35693 | A | Arterial transposition | 15.36 | N/A | 7.70 | 1.80 | N/A | 24.86 | 090 | |
| 35694 | A | Arterial transposition | 19.16 | N/A | 8.73 | 2.13 | N/A | 30.02 | 090 | |
| 35695 | A | Arterial transposition | 19.16 | N/A | 8.65 | 2.19 | N/A | 30.00 | 090 | |
| 35700 | A | Reoperation, bypass graft | 3.08 | N/A | 1.03 | 0.36 | N/A | 4.47 | ZZZ | |
| 35701 | A | Exploration, carotid artery | 8.50 | N/A | 5.22 | 0.64 | N/A | 14.36 | 090 | |
| 35721 | A | Exploration, femoral artery | 7.18 | N/A | 4.52 | 0.59 | N/A | 12.29 | 090 | |
| 35741 | A | Exploration popliteal artery | 8.00 | N/A | 4.79 | 0.60 | N/A | 13.39 | 090 | |
| 35761 | A | Exploration of artery/vein | 5.37 | N/A | 4.10 | 0.60 | N/A | 10.07 | 090 | |
| 35800 | A | Explore neck vessels | 7.02 | N/A | 4.64 | 0.79 | N/A | 12.45 | 090 | |
| 35820 | A | Explore chest vessels | 12.88 | N/A | 6.96 | 1.61 | N/A | 21.45 | 090 | |
| 35840 | A | Explore abdominal vessels | 9.77 | N/A | 5.41 | 1.06 | N/A | 16.24 | 090 | |
| 35860 | A | Explore limb vessels | 5.55 | N/A | 4.07 | 0.63 | N/A | 10.25 | 090 | |
| 35870 | A | Repair vessel graft defect | 22.17 | N/A | 10.15 | 2.47 | N/A | 34.79 | 090 | |
| 35875 | A | Removal of clot in graft | 10.13 | N/A | 5.35 | 0.97 | N/A | 16.45 | 090 | |
| 35876 | A | Removal of clot in graft | 17.00 | N/A | 7.75 | 1.88 | N/A | 26.63 | 090 | |
| 35879 | A | Revise graft w/vein | 16.00 | N/A | 7.80 | 1.35 | N/A | 25.15 | 090 | |
| 35881 | A | Revise graft w/vein | 18.00 | N/A | 8.75 | 1.44 | N/A | 28.19 | 090 | |
| 35901 | A | Excision, graft, neck | 8.19 | N/A | 5.35 | 0.90 | N/A | 14.44 | 090 | |
| 35903 | A | Excision, graft, extremity | 9.39 | N/A | 6.24 | 1.03 | N/A | 16.66 | 090 | |
| 35905 | A | Excision, graft, thorax | 31.25 | N/A | 13.30 | 2.15 | N/A | 46.70 | 090 | |
| 35907 | A | Excision, graft, abdomen | 35.00 | N/A | 14.57 | 2.17 | N/A | 51.74 | 090 | |
| 36000 | A | Place needle in vein | 0.18 | 0.62 | 0.05 | 0.01 | 0.81 | 0.24 | XXX | |
| 36002 | A | Pseudoaneurysm injection trt | 1.96 | 2.92 | 1.00 | 0.10 | 4.98 | 3.06 | 000 | |
| 36005 | A | Injection ext venography | 0.95 | 8.45 | 0.32 | 0.04 | 9.44 | 1.31 | 000 | |
| 36010 | A | Place catheter in vein | 2.43 | N/A | 0.80 | 0.16 | N/A | 3.39 | XXX | |
| 36011 | A | Place catheter in vein | 3.14 | N/A | 1.05 | 0.17 | N/A | 4.36 | XXX | |
| 36012 | A | Place catheter in vein | 3.52 | N/A | 1.18 | 0.17 | N/A | 4.87 | XXX | |
| 36013 | A | Place catheter in artery | 2.52 | N/A | 0.66 | 0.17 | N/A | 3.35 | XXX | |
| 36014 | A | Place catheter in artery | 3.02 | N/A | 1.01 | 0.14 | N/A | 4.17 | XXX | |
| 36015 | A | Place catheter in artery | 3.52 | N/A | 1.18 | 0.16 | N/A | 4.86 | XXX | |
| 36100 | A | Establish access to artery | 3.02 | N/A | 1.12 | 0.18 | N/A | 4.32 | XXX | |
| 36120 | A | Establish access to artery | 2.01 | N/A | 0.66 | 0.11 | N/A | 2.78 | XXX | |
| 36140 | A | Establish access to artery | 2.01 | N/A | 0.65 | 0.12 | N/A | 2.78 | XXX | |
| 36145 | A | Artery to vein shunt | 2.01 | N/A | 0.67 | 0.10 | N/A | 2.78 | XXX | |
| 36160 | A | Establish access to aorta | 2.52 | N/A | 0.86 | 0.20 | N/A | 3.58 | XXX | |
| 36200 | A | Place catheter in aorta | 3.02 | 72.76 | 1.04 | 0.15 | 75.93 | 4.21 | XXX | |
| 36215 | A | Place catheter in artery | 4.68 | N/A | 1.61 | 0.22 | N/A | 6.51 | XXX | |
| 36216 | A | Place catheter in artery | 5.28 | N/A | 1.79 | 0.24 | N/A | 7.31 | XXX | |
| 36217 | A | Place catheter in artery | 6.30 | N/A | 2.18 | 0.32 | N/A | 8.80 | XXX | |
| 36218 | A | Place catheter in artery | 1.01 | N/A | 0.35 | 0.05 | N/A | 1.41 | ZZZ | |
| 36245 | A | Place catheter in artery | 4.68 | N/A | 1.68 | 0.23 | N/A | 6.59 | XXX | |
| 36246 | A | Place catheter in artery | 5.28 | N/A | 1.82 | 0.26 | N/A | 7.36 | XXX | |
| 36247 | A | Place catheter in artery | 6.30 | N/A | 2.15 | 0.32 | N/A | 8.77 | XXX | |
| 36248 | A | Place catheter in artery | 1.01 | N/A | 0.35 | 0.06 | N/A | 1.42 | ZZZ | |
| 36260 | A | Insertion of infusion pump | 9.71 | N/A | 5.04 | 1.00 | N/A | 15.75 | 090 | |
| 36261 | A | Revision of infusion pump | 5.45 | N/A | 3.66 | 0.50 | N/A | 9.61 | 090 | |
| 36262 | A | Removal of infusion pump | 4.02 | N/A | 2.83 | 0.43 | N/A | 7.28 | 090 | |
| 36299 | C | Vessel injection procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 36400 | A | Bl draw 3 yrs fem/jugular | 0.38 | 0.28 | 0.09 | 0.01 | 0.67 | 0.48 | XXX | |
| 36405 | A | Bl draw 3 yrs scalp vein | 0.31 | 0.26 | 0.08 | 0.01 | 0.58 | 0.40 | XXX | |
| 36406 | A | Bl draw 3 yrs other vein | 0.18 | 0.30 | 0.05 | 0.01 | 0.49 | 0.24 | XXX | |
| 36410 | A | Non-routine bl draw 3 yrs | 0.18 | 0.30 | 0.05 | 0.01 | 0.49 | 0.24 | XXX | |
| 36415 | I | Routine venipuncture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36416 | I | Capillary blood draw | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 36420 | A | Vein access cutdown 1 yr | 1.01 | 3.18 | 0.28 | 0.09 | 4.28 | 1.38 | XXX | |
| 36425 | A | Vein access cutdown 1 yr | 0.76 | N/A | 0.22 | 0.05 | N/A | 1.03 | XXX | |
| 36430 | A | Blood transfusion service | 0.00 | 1.01 | N/A | 0.05 | 1.06 | N/A | XXX | |
| 36440 | A | Bl push transfuse, 2 yr or | 1.03 | N/A | 0.29 | 0.08 | N/A | 1.40 | XXX | |
| 36450 | A | Bl exchange/transfuse, nb | 2.23 | N/A | 0.71 | 0.16 | N/A | 3.10 | XXX | |
| 36455 | A | Bl exchange/transfuse non-nb | 2.43 | N/A | 0.84 | 0.10 | N/A | 3.37 | XXX | |
| 36460 | A | Transfusion service, fetal | 6.59 | N/A | 2.26 | 0.56 | N/A | 9.41 | XXX | |
| 36468 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36469 | R | Injection(s), spider veins | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 36470 | A | Injection therapy of vein | 1.09 | 2.75 | 0.45 | 0.10 | 3.94 | 1.64 | 010 | |
| 36471 | A | Injection therapy of veins | 1.57 | 3.10 | 0.61 | 0.15 | 4.82 | 2.33 | 010 | |
| 36481 | A | Insertion of catheter, vein | 6.99 | 7.02 | 2.76 | 0.40 | 14.41 | 10.15 | 000 | |
| 36488 | A | Insertion of catheter, vein | 1.35 | 3.45 | 0.75 | 0.09 | 4.89 | 2.19 | 000 | |
| 36489 | A | Insertion of catheter, vein | 2.50 | 4.13 | 1.06 | 0.08 | 6.71 | 3.64 | 000 | |
| 36490 | A | Insertion of catheter, vein | 1.67 | 4.06 | 0.85 | 0.17 | 5.90 | 2.69 | 000 | |
| 36491 | A | Insertion of catheter, vein | 1.43 | 3.41 | 0.78 | 0.13 | 4.97 | 2.34 | 000 | |
| 36493 | A | Repositioning of cvc | 1.21 | 4.11 | 0.86 | 0.06 | 5.38 | 2.13 | 000 | |
| 36500 | A | Insertion of catheter, vein | 3.52 | N/A | 1.25 | 0.14 | N/A | 4.91 | 000 | |
| 36510 | A | Insertion of catheter, vein | 1.09 | 3.83 | 0.63 | 0.06 | 4.98 | 1.78 | 000 | |
| 36511 | A | Apheresis wbc | 1.74 | N/A | 0.70 | 0.06 | N/A | 2.50 | 000 | |
| 36512 | A | Apheresis rbc | 1.74 | N/A | 0.70 | 0.06 | N/A | 2.50 | 000 | |
| 36513 | A | Apheresis platelets | 1.74 | N/A | 0.70 | 0.06 | N/A | 2.50 | 000 | |
| 36514 | A | Apheresis plasma | 1.74 | N/A | 0.70 | 0.06 | N/A | 2.50 | 000 | |
| 36515 | A | Apheresis, adsorp/reinfuse | 1.74 | N/A | 0.76 | 0.06 | N/A | 2.56 | 000 | |
| 36516 | A | Apheresis, selective | 1.74 | N/A | 0.76 | 0.06 | N/A | 2.56 | 000 | |
| 36522 | A | Photopheresis | 1.67 | 6.78 | 1.15 | 0.07 | 8.52 | 2.89 | 000 | |
| 36530 | R | Insertion of infusion pump | 6.20 | N/A | 3.93 | 0.56 | N/A | 10.69 | 010 | |
| 36531 | R | Revision of infusion pump | 4.87 | N/A | 3.45 | 0.44 | N/A | 8.76 | 010 | |
| 36532 | R | Removal of infusion pump | 3.30 | N/A | 1.64 | 0.34 | N/A | 5.28 | 010 | |
| 36533 | A | Insertion of access device | 5.32 | 14.77 | 3.65 | 0.49 | 20.58 | 9.46 | 010 | |
| 36534 | A | Revision of access device | 2.80 | N/A | 1.58 | 0.19 | N/A | 4.57 | 010 | |
| 36535 | A | Removal of access device | 2.27 | 2.96 | 1.99 | 0.21 | 5.44 | 4.47 | 010 | |
| 36536 | A | Remove cva device obstruct | 3.60 | 18.73 | 1.47 | 0.23 | 22.56 | 5.30 | 000 | |
| 36537 | A | Remove cva lumen obstruct | 0.75 | 4.44 | 0.49 | 0.04 | 5.23 | 1.28 | 000 | |
| 36550 | A | Declot vascular device | 0.00 | 0.41 | N/A | 0.31 | 0.72 | N/A | XXX | |
| 36600 | A | Withdrawal of arterial blood | 0.32 | 0.49 | 0.09 | 0.02 | 0.83 | 0.43 | XXX | |
| 36620 | A | Insertion catheter, artery | 1.15 | N/A | 0.24 | 0.06 | N/A | 1.45 | 000 | |
| 36625 | A | Insertion catheter, artery | 2.11 | N/A | 0.53 | 0.16 | N/A | 2.80 | 000 | |
| 36640 | A | Insertion catheter, artery | 2.10 | N/A | 1.04 | 0.18 | N/A | 3.32 | 000 | |
| 36660 | A | Insertion catheter, artery | 1.40 | N/A | 0.44 | 0.08 | N/A | 1.92 | 000 | |
| 36680 | A | Insert needle, bone cavity | 1.20 | N/A | 0.50 | 0.08 | N/A | 1.78 | 000 | |
| 36800 | A | Insertion of cannula | 2.43 | N/A | 1.81 | 0.17 | N/A | 4.41 | 000 | |
| 36810 | A | Insertion of cannula | 3.97 | N/A | 1.70 | 0.40 | N/A | 6.07 | 000 | |
| 36815 | A | Insertion of cannula | 2.62 | N/A | 1.18 | 0.26 | N/A | 4.06 | 000 | |
| 36819 | A | Av fusion/uppr arm vein | 14.00 | N/A | 6.45 | 1.56 | N/A | 22.01 | 090 | |
| 36820 | A | Av fusion/forearm vein | 14.00 | N/A | 6.45 | 1.56 | N/A | 22.01 | 090 | |
| 36821 | A | Av fusion direct any site | 8.93 | N/A | 4.74 | 0.97 | N/A | 14.64 | 090 | |
| 36822 | A | Insertion of cannula(s) | 5.42 | N/A | 4.31 | 0.63 | N/A | 10.36 | 090 | |
| 36823 | A | Insertion of cannula(s) | 21.00 | N/A | 9.51 | 2.18 | N/A | 32.69 | 090 | |
| 36825 | A | Artery-vein autograft | 9.84 | N/A | 5.17 | 1.09 | N/A | 16.10 | 090 | |
| 36830 | A | Artery-vein nonautograft | 12.00 | N/A | 5.39 | 1.32 | N/A | 18.71 | 090 | |
| 36831 | A | Open thrombect av fistula | 8.00 | N/A | 4.06 | 0.79 | N/A | 12.85 | 090 | |
| 36832 | A | Av fistula revision, open | 10.50 | N/A | 4.89 | 1.13 | N/A | 16.52 | 090 | |
| 36833 | A | Av fistula revision | 11.95 | N/A | 5.37 | 1.29 | N/A | 18.61 | 090 | |
| 36834 | A | Repair A-V aneurysm | 9.93 | N/A | 4.79 | 1.06 | N/A | 15.78 | 090 | |
| 36835 | A | Artery to vein shunt | 7.15 | N/A | 4.35 | 0.80 | N/A | 12.30 | 090 | |
| 36860 | A | External cannula declotting | 2.01 | 2.54 | 1.35 | 0.10 | 4.65 | 3.46 | 000 | |
| 36861 | A | Cannula declotting | 2.52 | N/A | 1.48 | 0.14 | N/A | 4.14 | 000 | |
| 36870 | A | Percut thrombect av fistula | 5.16 | 47.67 | 3.15 | 0.23 | 53.06 | 8.54 | 090 | |
| 37140 | A | Revision of circulation | 23.60 | N/A | 10.65 | 1.21 | N/A | 35.46 | 090 | |
| 37145 | A | Revision of circulation | 24.61 | N/A | 11.19 | 2.48 | N/A | 38.28 | 090 | |
| 37160 | A | Revision of circulation | 21.60 | N/A | 9.46 | 2.16 | N/A | 33.22 | 090 | |
| 37180 | A | Revision of circulation | 24.61 | N/A | 10.56 | 2.63 | N/A | 37.80 | 090 | |
| 37181 | A | Splice spleen/kidney veins | 26.68 | N/A | 11.22 | 2.67 | N/A | 40.57 | 090 | |
| 37182 | A | Insert hepatic shunt (tips) | 17.00 | N/A | 6.37 | 1.49 | N/A | 24.86 | 000 | |
| 37183 | A | Remove hepatic shunt (tips) | 8.00 | N/A | 3.13 | 0.43 | N/A | 11.56 | 000 | |
| 37195 | A | Thrombolytic therapy, stroke | 0.00 | 8.06 | N/A | 0.38 | 8.44 | N/A | XXX | |
| 37200 | A | Transcatheter biopsy | 4.56 | N/A | 1.53 | 0.19 | N/A | 6.28 | 000 | |
| 37201 | A | Transcatheter therapy infuse | 5.00 | N/A | 2.53 | 0.24 | N/A | 7.77 | 000 | |
| 37202 | A | Transcatheter therapy infuse | 5.68 | N/A | 2.30 | 0.38 | N/A | 8.36 | 000 | |
| 37203 | A | Transcatheter retrieval | 5.03 | N/A | 2.54 | 0.23 | N/A | 7.80 | 000 | |
| 37204 | A | Transcatheter occlusion | 18.14 | N/A | 6.05 | 0.91 | N/A | 25.10 | 000 | |
| 37205 | A | Transcatheter stent | 8.28 | N/A | 3.78 | 0.43 | N/A | 12.49 | 000 | |
| 37206 | A | Transcatheter stent add-on | 4.13 | N/A | 1.47 | 0.22 | N/A | 5.82 | ZZZ | |
| 37207 | A | Transcatheter stent | 8.28 | N/A | 3.20 | 0.89 | N/A | 12.37 | 000 | |
| 37208 | A | Transcatheter stent add-on | 4.13 | N/A | 1.41 | 0.44 | N/A | 5.98 | ZZZ | |
| 37209 | A | Exchange arterial catheter | 2.27 | N/A | 0.76 | 0.11 | N/A | 3.14 | 000 | |
| 37250 | A | Iv us first vessel add-on | 2.10 | N/A | 0.76 | 0.17 | N/A | 3.03 | ZZZ | |
| 37251 | A | Iv us each add vessel add-on | 1.60 | N/A | 0.57 | 0.14 | N/A | 2.31 | ZZZ | |
| 37500 | A | Endoscopy ligate perf veins | 11.00 | N/A | 7.10 | 0.40 | N/A | 18.50 | 090 | |
| 37501 | C | Vascular endoscopy procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 37565 | A | Ligation of neck vein | 10.88 | N/A | 5.71 | 0.45 | N/A | 17.04 | 090 | |
| 37600 | A | Ligation of neck artery | 11.25 | N/A | 6.79 | 0.40 | N/A | 18.44 | 090 | |
| 37605 | A | Ligation of neck artery | 13.11 | N/A | 7.05 | 0.77 | N/A | 20.93 | 090 | |
| 37606 | A | Ligation of neck artery | 6.28 | N/A | 4.64 | 0.79 | N/A | 11.71 | 090 | |
| 37607 | A | Ligation of a-v fistula | 6.16 | N/A | 3.64 | 0.67 | N/A | 10.47 | 090 | |
| 37609 | A | Temporal artery procedure | 3.00 | 4.62 | 2.00 | 0.21 | 7.83 | 5.21 | 010 | |
| 37615 | A | Ligation of neck artery | 5.73 | N/A | 4.23 | 0.57 | N/A | 10.53 | 090 | |
| 37616 | A | Ligation of chest artery | 16.49 | N/A | 8.14 | 1.93 | N/A | 26.56 | 090 | |
| 37617 | A | Ligation of abdomen artery | 22.06 | N/A | 9.48 | 1.69 | N/A | 33.23 | 090 | |
| 37618 | A | Ligation of extremity artery | 4.84 | N/A | 3.77 | 0.54 | N/A | 9.15 | 090 | |
| 37620 | A | Revision of major vein | 10.56 | N/A | 5.84 | 0.75 | N/A | 17.15 | 090 | |
| 37650 | A | Revision of major vein | 7.80 | N/A | 4.76 | 0.56 | N/A | 13.12 | 090 | |
| 37660 | A | Revision of major vein | 21.00 | N/A | 9.37 | 1.17 | N/A | 31.54 | 090 | |
| 37700 | A | Revise leg vein | 3.73 | N/A | 2.95 | 0.40 | N/A | 7.08 | 090 | |
| 37720 | A | Removal of leg vein | 5.66 | N/A | 3.74 | 0.61 | N/A | 10.01 | 090 | |
| 37730 | A | Removal of leg veins | 7.33 | N/A | 4.48 | 0.77 | N/A | 12.58 | 090 | |
| 37735 | A | Removal of leg veins/lesion | 10.53 | N/A | 5.75 | 1.17 | N/A | 17.45 | 090 | |
| 37760 | A | Ligation, leg veins, open | 10.47 | N/A | 5.59 | 1.11 | N/A | 17.17 | 090 | |
| 37780 | A | Revision of leg vein | 3.84 | N/A | 2.91 | 0.41 | N/A | 7.16 | 090 | |
| 37785 | A | Revise secondary varicosity | 3.84 | 7.05 | 2.93 | 0.41 | 11.30 | 7.18 | 090 | |
| 37788 | A | Revascularization, penis | 22.01 | N/A | 10.07 | 1.35 | N/A | 33.43 | 090 | |
| 37790 | A | Penile venous occlusion | 8.34 | N/A | 5.07 | 0.63 | N/A | 14.04 | 090 | |
| 37799 | C | Vascular surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38100 | A | Removal of spleen, total | 14.50 | N/A | 6.30 | 1.30 | N/A | 22.10 | 090 | |
| 38101 | A | Removal of spleen, partial | 15.31 | N/A | 6.66 | 1.38 | N/A | 23.35 | 090 | |
| 38102 | A | Removal of spleen, total | 4.80 | N/A | 1.67 | 0.49 | N/A | 6.96 | ZZZ | |
| 38115 | A | Repair of ruptured spleen | 15.82 | N/A | 6.78 | 1.40 | N/A | 24.00 | 090 | |
| 38120 | A | Laparoscopy, splenectomy | 17.00 | N/A | 7.49 | 1.73 | N/A | 26.22 | 090 | |
| 38129 | C | Laparoscope proc, spleen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38200 | A | Injection for spleen x-ray | 2.64 | N/A | 0.91 | 0.12 | N/A | 3.67 | 000 | |
| 38205 | R | Harvest allogenic stem cells | 1.50 | N/A | 0.61 | 0.05 | N/A | 2.16 | 000 | |
| 38206 | R | Harvest auto stem cells | 1.50 | N/A | 0.61 | 0.05 | N/A | 2.16 | 000 | |
| 38207 | I | Cryopreserve stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38208 | I | Thaw preserved stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38209 | I | Wash harvest stem cells | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38210 | I | T-cell depletion of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38211 | I | Tumor cell deplete of harvst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38212 | I | Rbc depletion of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38213 | I | Platelet deplete of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38214 | I | Volume deplete of harvest | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38215 | I | Harvest stem cell concentrte | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 38220 | A | Bone marrow aspiration | 1.08 | 3.99 | 0.43 | 0.03 | 5.10 | 1.54 | XXX | |
| 38221 | A | Bone marrow biopsy | 1.37 | 4.17 | 0.54 | 0.04 | 5.58 | 1.95 | XXX | |
| 38230 | R | Bone marrow collection | 4.54 | N/A | 2.53 | 0.25 | N/A | 7.32 | 010 | |
| 38240 | R | Bone marrow/stem transplant | 2.24 | N/A | 0.83 | 0.08 | N/A | 3.15 | XXX | |
| 38241 | R | Bone marrow/stem transplant | 2.24 | N/A | 0.83 | 0.08 | N/A | 3.15 | XXX | |
| 38242 | A | Lymphocyte infuse transplant | 1.71 | N/A | 0.69 | 0.05 | N/A | 2.45 | 000 | |
| 38300 | A | Drainage, lymph node lesion | 1.99 | 4.39 | 2.10 | 0.15 | 6.53 | 4.24 | 010 | |
| 38305 | A | Drainage, lymph node lesion | 6.00 | 6.12 | 4.44 | 0.36 | 12.48 | 10.80 | 090 | |
| 38308 | A | Incision of lymph channels | 6.45 | 5.87 | 3.83 | 0.51 | 12.83 | 10.79 | 090 | |
| 38380 | A | Thoracic duct procedure | 7.46 | N/A | 5.73 | 0.68 | N/A | 13.87 | 090 | |
| 38381 | A | Thoracic duct procedure | 12.88 | N/A | 6.89 | 1.58 | N/A | 21.35 | 090 | |
| 38382 | A | Thoracic duct procedure | 10.08 | N/A | 6.10 | 1.08 | N/A | 17.26 | 090 | |
| 38500 | A | Biopsy/removal, lymph nodes | 3.75 | 3.84 | 2.13 | 0.28 | 7.87 | 6.16 | 010 | |
| 38505 | A | Needle biopsy, lymph nodes | 1.14 | 2.19 | 0.79 | 0.09 | 3.42 | 2.02 | 000 | |
| 38510 | A | Biopsy/removal, lymph nodes | 6.43 | 5.77 | 3.57 | 0.38 | 12.58 | 10.38 | 010 | |
| 38520 | A | Biopsy/removal, lymph nodes | 6.67 | N/A | 4.10 | 0.52 | N/A | 11.29 | 090 | |
| 38525 | A | Biopsy/removal, lymph nodes | 6.07 | N/A | 3.39 | 0.48 | N/A | 9.94 | 090 | |
| 38530 | A | Biopsy/removal, lymph nodes | 7.98 | N/A | 4.44 | 0.63 | N/A | 13.05 | 090 | |
| 38542 | A | Explore deep node(s), neck | 5.91 | N/A | 4.55 | 0.50 | N/A | 10.96 | 090 | |
| 38550 | A | Removal, neck/armpit lesion | 6.92 | N/A | 3.94 | 0.69 | N/A | 11.55 | 090 | |
| 38555 | A | Removal, neck/armpit lesion | 14.14 | N/A | 8.46 | 1.46 | N/A | 24.06 | 090 | |
| 38562 | A | Removal, pelvic lymph nodes | 10.49 | N/A | 5.84 | 0.97 | N/A | 17.30 | 090 | |
| 38564 | A | Removal, abdomen lymph nodes | 10.83 | N/A | 5.35 | 1.06 | N/A | 17.24 | 090 | |
| 38570 | A | Laparoscopy, lymph node biop | 9.25 | N/A | 4.02 | 0.89 | N/A | 14.16 | 010 | |
| 38571 | A | Laparoscopy, lymphadenectomy | 14.68 | N/A | 5.73 | 0.80 | N/A | 21.21 | 010 | |
| 38572 | A | Laparoscopy, lymphadenectomy | 16.59 | N/A | 7.29 | 1.32 | N/A | 25.20 | 010 | |
| 38589 | C | Laparoscope proc, lymphatic | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 38700 | A | Removal of lymph nodes, neck | 8.24 | N/A | 8.46 | 0.60 | N/A | 17.30 | 090 | |
| 38720 | A | Removal of lymph nodes, neck | 13.61 | N/A | 11.49 | 1.03 | N/A | 26.13 | 090 | |
| 38724 | A | Removal of lymph nodes, neck | 14.54 | N/A | 12.02 | 1.10 | N/A | 27.66 | 090 | |
| 38740 | A | Remove armpit lymph nodes | 10.03 | N/A | 5.04 | 0.69 | N/A | 15.76 | 090 | |
| 38745 | A | Remove armpit lymph nodes | 13.10 | N/A | 6.36 | 0.90 | N/A | 20.36 | 090 | |
| 38746 | A | Remove thoracic lymph nodes | 4.89 | N/A | 1.60 | 0.55 | N/A | 7.04 | ZZZ | |
| 38747 | A | Remove abdominal lymph nodes | 4.89 | N/A | 1.70 | 0.50 | N/A | 7.09 | ZZZ | |
| 38760 | A | Remove groin lymph nodes | 12.95 | N/A | 6.31 | 0.88 | N/A | 20.14 | 090 | |
| 38765 | A | Remove groin lymph nodes | 19.98 | N/A | 9.27 | 1.50 | N/A | 30.75 | 090 | |
| 38770 | A | Remove pelvis lymph nodes | 13.23 | N/A | 5.97 | 0.99 | N/A | 20.19 | 090 | |
| 38780 | A | Remove abdomen lymph nodes | 16.59 | N/A | 8.47 | 1.60 | N/A | 26.66 | 090 | |
| 38790 | A | Inject for lymphatic x-ray | 1.29 | 7.56 | 0.80 | 0.09 | 8.94 | 2.18 | 000 | |
| 38792 | A | Identify sentinel node | 0.52 | N/A | 0.45 | 0.04 | N/A | 1.01 | 000 | |
| 38794 | A | Access thoracic lymph duct | 4.45 | N/A | 3.41 | 0.17 | N/A | 8.03 | 090 | |
| 38999 | C | Blood/lymph system procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39000 | A | Exploration of chest | 6.10 | N/A | 4.65 | 0.73 | N/A | 11.48 | 090 | |
| 39010 | A | Exploration of chest | 11.79 | N/A | 6.43 | 1.46 | N/A | 19.68 | 090 | |
| 39200 | A | Removal chest lesion | 13.62 | N/A | 6.64 | 1.65 | N/A | 21.91 | 090 | |
| 39220 | A | Removal chest lesion | 17.42 | N/A | 8.32 | 2.10 | N/A | 27.84 | 090 | |
| 39400 | A | Visualization of chest | 5.61 | N/A | 4.66 | 0.69 | N/A | 10.96 | 010 | |
| 39499 | C | Chest procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 39501 | A | Repair diaphragm laceration | 13.19 | N/A | 6.60 | 1.38 | N/A | 21.17 | 090 | |
| 39502 | A | Repair paraesophageal hernia | 16.33 | N/A | 7.33 | 1.68 | N/A | 25.34 | 090 | |
| 39503 | A | Repair of diaphragm hernia | 95.00 | N/A | 34.01 | 3.52 | N/A | 132.53 | 090 | |
| 39520 | A | Repair of diaphragm hernia | 16.10 | N/A | 8.04 | 1.83 | N/A | 25.97 | 090 | |
| 39530 | A | Repair of diaphragm hernia | 15.41 | N/A | 7.24 | 1.66 | N/A | 24.31 | 090 | |
| 39531 | A | Repair of diaphragm hernia | 16.42 | N/A | 7.49 | 1.83 | N/A | 25.74 | 090 | |
| 39540 | A | Repair of diaphragm hernia | 13.32 | N/A | 6.40 | 1.38 | N/A | 21.10 | 090 | |
| 39541 | A | Repair of diaphragm hernia | 14.41 | N/A | 6.73 | 1.52 | N/A | 22.66 | 090 | |
| 39545 | A | Revision of diaphragm | 13.37 | N/A | 7.48 | 1.55 | N/A | 22.40 | 090 | |
| 39560 | A | Resect diaphragm, simple | 12.00 | N/A | 6.42 | 1.35 | N/A | 19.77 | 090 | |
| 39561 | A | Resect diaphragm, complex | 17.50 | N/A | 9.40 | 1.97 | N/A | 28.87 | 090 | |
| 39599 | C | Diaphragm surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40490 | A | Biopsy of lip | 1.22 | 1.89 | 0.62 | 0.06 | 3.17 | 1.90 | 000 | |
| 40500 | A | Partial excision of lip | 4.28 | 6.22 | 5.00 | 0.31 | 10.81 | 9.59 | 090 | |
| 40510 | A | Partial excision of lip | 4.70 | 7.10 | 5.01 | 0.38 | 12.18 | 10.09 | 090 | |
| 40520 | A | Partial excision of lip | 4.67 | 7.60 | 5.26 | 0.42 | 12.69 | 10.35 | 090 | |
| 40525 | A | Reconstruct lip with flap | 7.55 | N/A | 7.10 | 0.68 | N/A | 15.33 | 090 | |
| 40527 | A | Reconstruct lip with flap | 9.13 | N/A | 8.10 | 0.82 | N/A | 18.05 | 090 | |
| 40530 | A | Partial removal of lip | 5.40 | 6.75 | 5.35 | 0.47 | 12.62 | 11.22 | 090 | |
| 40650 | A | Repair lip | 3.64 | 5.71 | 3.89 | 0.31 | 9.66 | 7.84 | 090 | |
| 40652 | A | Repair lip | 4.26 | 6.69 | 5.36 | 0.39 | 11.34 | 10.01 | 090 | |
| 40654 | A | Repair lip | 5.31 | 7.34 | 6.12 | 0.48 | 13.13 | 11.91 | 090 | |
| 40700 | A | Repair cleft lip/nasal | 12.79 | N/A | 9.77 | 0.93 | N/A | 23.49 | 090 | |
| 40701 | A | Repair cleft lip/nasal | 15.85 | N/A | 12.08 | 1.36 | N/A | 29.29 | 090 | |
| 40702 | A | Repair cleft lip/nasal | 13.04 | N/A | 8.62 | 1.01 | N/A | 22.67 | 090 | |
| 40720 | A | Repair cleft lip/nasal | 13.55 | N/A | 10.75 | 1.31 | N/A | 25.61 | 090 | |
| 40761 | A | Repair cleft lip/nasal | 14.72 | N/A | 11.17 | 1.41 | N/A | 27.30 | 090 | |
| 40799 | C | Lip surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 40800 | A | Drainage of mouth lesion | 1.17 | 2.32 | 1.18 | 0.09 | 3.58 | 2.44 | 010 | |
| 40801 | A | Drainage of mouth lesion | 2.53 | 3.32 | 2.09 | 0.18 | 6.03 | 4.80 | 010 | |
| 40804 | A | Removal, foreign body, mouth | 1.24 | 2.66 | 1.14 | 0.09 | 3.99 | 2.47 | 010 | |
| 40805 | A | Removal, foreign body, mouth | 2.69 | 3.57 | 2.03 | 0.17 | 6.43 | 4.89 | 010 | |
| 40806 | A | Incision of lip fold | 0.31 | 1.42 | 0.97 | 0.02 | 1.75 | 1.30 | 000 | |
| 40808 | A | Biopsy of mouth lesion | 0.96 | 2.42 | 1.11 | 0.07 | 3.45 | 2.14 | 010 | |
| 40810 | A | Excision of mouth lesion | 1.31 | 2.50 | 1.25 | 0.09 | 3.90 | 2.65 | 010 | |
| 40812 | A | Excise/repair mouth lesion | 2.31 | 3.40 | 1.82 | 0.17 | 5.88 | 4.30 | 010 | |
| 40814 | A | Excise/repair mouth lesion | 3.42 | 4.95 | 3.38 | 0.26 | 8.63 | 7.06 | 090 | |
| 40816 | A | Excision of mouth lesion | 3.67 | 5.13 | 3.49 | 0.27 | 9.07 | 7.43 | 090 | |
| 40818 | A | Excise oral mucosa for graft | 2.41 | 5.37 | 3.64 | 0.14 | 7.92 | 6.19 | 090 | |
| 40819 | A | Excise lip or cheek fold | 2.41 | 4.61 | 3.09 | 0.17 | 7.19 | 5.67 | 090 | |
| 40820 | A | Treatment of mouth lesion | 1.28 | 2.80 | 2.45 | 0.08 | 4.16 | 3.81 | 010 | |
| 40830 | A | Repair mouth laceration | 1.76 | 3.17 | 2.57 | 0.14 | 5.07 | 4.47 | 010 | |
| 40831 | A | Repair mouth laceration | 2.46 | 3.74 | 3.16 | 0.21 | 6.41 | 5.83 | 010 | |
| 40840 | R | Reconstruction of mouth | 8.73 | 8.83 | 7.54 | 0.79 | 18.35 | 17.06 | 090 | |
| 40842 | R | Reconstruction of mouth | 8.73 | 8.94 | 7.28 | 0.65 | 18.32 | 16.66 | 090 | |
| 40843 | R | Reconstruction of mouth | 12.10 | 11.25 | 8.89 | 0.84 | 24.19 | 21.83 | 090 | |
| 40844 | R | Reconstruction of mouth | 16.01 | 14.16 | 12.01 | 1.63 | 31.80 | 29.65 | 090 | |
| 40845 | R | Reconstruction of mouth | 18.58 | 16.30 | 13.91 | 1.47 | 36.35 | 33.96 | 090 | |
| 40899 | C | Mouth surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41000 | A | Drainage of mouth lesion | 1.30 | 2.57 | 1.45 | 0.09 | 3.96 | 2.84 | 010 | |
| 41005 | A | Drainage of mouth lesion | 1.26 | 2.79 | 1.67 | 0.09 | 4.14 | 3.02 | 010 | |
| 41006 | A | Drainage of mouth lesion | 3.24 | 4.57 | 3.62 | 0.25 | 8.06 | 7.11 | 090 | |
| 41007 | A | Drainage of mouth lesion | 3.10 | 4.40 | 3.46 | 0.22 | 7.72 | 6.78 | 090 | |
| 41008 | A | Drainage of mouth lesion | 3.37 | 4.73 | 3.66 | 0.24 | 8.34 | 7.27 | 090 | |
| 41009 | A | Drainage of mouth lesion | 3.59 | 5.04 | 3.99 | 0.25 | 8.88 | 7.83 | 090 | |
| 41010 | A | Incision of tongue fold | 1.06 | 3.57 | 3.57 | 0.06 | 4.69 | 4.69 | 010 | |
| 41015 | A | Drainage of mouth lesion | 3.96 | 5.56 | 4.19 | 0.29 | 9.81 | 8.44 | 090 | |
| 41016 | A | Drainage of mouth lesion | 4.07 | 5.64 | 4.21 | 0.28 | 9.99 | 8.56 | 090 | |
| 41017 | A | Drainage of mouth lesion | 4.07 | 5.55 | 4.28 | 0.32 | 9.94 | 8.67 | 090 | |
| 41018 | A | Drainage of mouth lesion | 5.10 | 6.00 | 4.40 | 0.35 | 11.45 | 9.85 | 090 | |
| 41100 | A | Biopsy of tongue | 1.63 | 2.67 | 1.46 | 0.12 | 4.42 | 3.21 | 010 | |
| 41105 | A | Biopsy of tongue | 1.42 | 2.58 | 1.35 | 0.10 | 4.10 | 2.87 | 010 | |
| 41108 | A | Biopsy of floor of mouth | 1.05 | 2.32 | 1.16 | 0.08 | 3.45 | 2.29 | 010 | |
| 41110 | A | Excision of tongue lesion | 1.51 | 2.63 | 1.37 | 0.11 | 4.25 | 2.99 | 010 | |
| 41112 | A | Excision of tongue lesion | 2.73 | 4.44 | 2.79 | 0.20 | 7.37 | 5.72 | 090 | |
| 41113 | A | Excision of tongue lesion | 3.19 | 4.81 | 3.06 | 0.23 | 8.23 | 6.48 | 090 | |
| 41114 | A | Excision of tongue lesion | 8.47 | 9.08 | 6.46 | 0.64 | 18.19 | 15.57 | 090 | |
| 41115 | A | Excision of tongue fold | 1.74 | 3.59 | 2.68 | 0.13 | 5.46 | 4.55 | 010 | |
| 41116 | A | Excision of mouth lesion | 2.44 | 4.41 | 2.93 | 0.17 | 7.02 | 5.54 | 090 | |
| 41120 | A | Partial removal of tongue | 9.77 | N/A | 7.88 | 0.70 | N/A | 18.35 | 090 | |
| 41130 | A | Partial removal of tongue | 11.15 | N/A | 8.67 | 0.81 | N/A | 20.63 | 090 | |
| 41135 | A | Tongue and neck surgery | 23.09 | N/A | 15.27 | 1.66 | N/A | 40.02 | 090 | |
| 41140 | A | Removal of tongue | 25.50 | N/A | 16.53 | 1.85 | N/A | 43.88 | 090 | |
| 41145 | A | Tongue removal, neck surgery | 30.06 | N/A | 19.74 | 2.11 | N/A | 51.91 | 090 | |
| 41150 | A | Tongue, mouth, jaw surgery | 23.04 | N/A | 16.02 | 1.67 | N/A | 40.73 | 090 | |
| 41153 | A | Tongue, mouth, neck surgery | 23.77 | N/A | 16.50 | 1.71 | N/A | 41.98 | 090 | |
| 41155 | A | Tongue, jaw, neck surgery | 27.72 | N/A | 18.57 | 2.02 | N/A | 48.31 | 090 | |
| 41250 | A | Repair tongue laceration | 1.91 | 3.19 | 1.66 | 0.15 | 5.25 | 3.72 | 010 | |
| 41251 | A | Repair tongue laceration | 2.27 | 3.70 | 2.00 | 0.18 | 6.15 | 4.45 | 010 | |
| 41252 | A | Repair tongue laceration | 2.97 | 4.33 | 2.35 | 0.23 | 7.53 | 5.55 | 010 | |
| 41500 | A | Fixation of tongue | 3.71 | N/A | 3.80 | 0.26 | N/A | 7.77 | 090 | |
| 41510 | A | Tongue to lip surgery | 3.42 | N/A | 3.31 | 0.24 | N/A | 6.97 | 090 | |
| 41520 | A | Reconstruction, tongue fold | 2.73 | 4.22 | 3.35 | 0.19 | 7.14 | 6.27 | 090 | |
| 41599 | C | Tongue and mouth surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 41800 | A | Drainage of gum lesion | 1.17 | 2.76 | 1.49 | 0.09 | 4.02 | 2.75 | 010 | |
| 41805 | A | Removal foreign body, gum | 1.24 | 2.83 | 2.42 | 0.09 | 4.16 | 3.75 | 010 | |
| 41806 | A | Removal foreign body,jawbone | 2.69 | 3.74 | 3.25 | 0.22 | 6.65 | 6.16 | 010 | |
| 41820 | R | Excision, gum, each quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41821 | R | Excision of gum flap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41822 | R | Excision of gum lesion | 2.31 | 4.25 | 1.36 | 0.24 | 6.80 | 3.91 | 010 | |
| 41823 | R | Excision of gum lesion | 3.30 | 6.07 | 4.28 | 0.29 | 9.66 | 7.87 | 090 | |
| 41825 | A | Excision of gum lesion | 1.31 | 3.42 | 2.46 | 0.10 | 4.83 | 3.87 | 010 | |
| 41826 | A | Excision of gum lesion | 2.31 | 4.00 | 3.01 | 0.17 | 6.48 | 5.49 | 010 | |
| 41827 | A | Excision of gum lesion | 3.42 | 5.80 | 3.98 | 0.25 | 9.47 | 7.65 | 090 | |
| 41828 | R | Excision of gum lesion | 3.09 | 4.57 | 3.46 | 0.22 | 7.88 | 6.77 | 010 | |
| 41830 | R | Removal of gum tissue | 3.35 | 5.10 | 3.71 | 0.23 | 8.68 | 7.29 | 010 | |
| 41850 | R | Treatment of gum lesion | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41870 | R | Gum graft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 41872 | R | Repair gum | 2.59 | 4.77 | 3.63 | 0.18 | 7.54 | 6.40 | 090 | |
| 41874 | R | Repair tooth socket | 3.09 | 4.82 | 3.36 | 0.23 | 8.14 | 6.68 | 090 | |
| 41899 | C | Dental surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42000 | A | Drainage mouth roof lesion | 1.23 | 2.83 | 1.29 | 0.10 | 4.16 | 2.62 | 010 | |
| 42100 | A | Biopsy roof of mouth | 1.31 | 2.40 | 1.40 | 0.10 | 3.81 | 2.81 | 010 | |
| 42104 | A | Excision lesion, mouth roof | 1.64 | 2.89 | 1.61 | 0.12 | 4.65 | 3.37 | 010 | |
| 42106 | A | Excision lesion, mouth roof | 2.10 | 3.88 | 2.94 | 0.16 | 6.14 | 5.20 | 010 | |
| 42107 | A | Excision lesion, mouth roof | 4.44 | 6.29 | 4.33 | 0.32 | 11.05 | 9.09 | 090 | |
| 42120 | A | Remove palate/lesion | 6.17 | N/A | 5.78 | 0.44 | N/A | 12.39 | 090 | |
| 42140 | A | Excision of uvula | 1.62 | 2.66 | 2.52 | 0.12 | 4.40 | 4.26 | 090 | |
| 42145 | A | Repair palate, pharynx/uvula | 8.05 | N/A | 6.88 | 0.56 | N/A | 15.49 | 090 | |
| 42160 | A | Treatment mouth roof lesion | 1.80 | 3.84 | 2.78 | 0.13 | 5.77 | 4.71 | 010 | |
| 42180 | A | Repair palate | 2.50 | 3.55 | 2.19 | 0.19 | 6.24 | 4.88 | 010 | |
| 42182 | A | Repair palate | 3.83 | 4.43 | 3.14 | 0.27 | 8.53 | 7.24 | 010 | |
| 42200 | A | Reconstruct cleft palate | 12.00 | N/A | 9.28 | 0.97 | N/A | 22.25 | 090 | |
| 42205 | A | Reconstruct cleft palate | 13.29 | N/A | 9.62 | 0.82 | N/A | 23.73 | 090 | |
| 42210 | A | Reconstruct cleft palate | 14.50 | N/A | 10.83 | 1.24 | N/A | 26.57 | 090 | |
| 42215 | A | Reconstruct cleft palate | 8.82 | N/A | 7.78 | 0.96 | N/A | 17.56 | 090 | |
| 42220 | A | Reconstruct cleft palate | 7.02 | N/A | 5.83 | 0.41 | N/A | 13.26 | 090 | |
| 42225 | A | Reconstruct cleft palate | 9.54 | N/A | 7.90 | 0.75 | N/A | 18.19 | 090 | |
| 42226 | A | Lengthening of palate | 10.01 | N/A | 8.16 | 0.73 | N/A | 18.90 | 090 | |
| 42227 | A | Lengthening of palate | 9.52 | N/A | 7.56 | 0.70 | N/A | 17.78 | 090 | |
| 42235 | A | Repair palate | 7.87 | N/A | 5.48 | 0.49 | N/A | 13.84 | 090 | |
| 42260 | A | Repair nose to lip fistula | 9.80 | 9.48 | 7.61 | 0.85 | 20.13 | 18.26 | 090 | |
| 42280 | A | Preparation, palate mold | 1.54 | 2.08 | 0.90 | 0.12 | 3.74 | 2.56 | 010 | |
| 42281 | A | Insertion, palate prosthesis | 1.93 | 3.07 | 1.95 | 0.14 | 5.14 | 4.02 | 010 | |
| 42299 | C | Palate/uvula surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42300 | A | Drainage of salivary gland | 1.93 | 3.09 | 1.88 | 0.15 | 5.17 | 3.96 | 010 | |
| 42305 | A | Drainage of salivary gland | 6.07 | N/A | 5.12 | 0.46 | N/A | 11.65 | 090 | |
| 42310 | A | Drainage of salivary gland | 1.56 | 2.43 | 1.59 | 0.11 | 4.10 | 3.26 | 010 | |
| 42320 | A | Drainage of salivary gland | 2.35 | 3.70 | 2.17 | 0.17 | 6.22 | 4.69 | 010 | |
| 42325 | A | Create salivary cyst drain | 2.75 | 3.66 | 2.19 | 0.17 | 6.58 | 5.11 | 090 | |
| 42326 | A | Create salivary cyst drain | 3.78 | 4.70 | 3.02 | 0.34 | 8.82 | 7.14 | 090 | |
| 42330 | A | Removal of salivary stone | 2.21 | 3.44 | 1.91 | 0.16 | 5.81 | 4.28 | 010 | |
| 42335 | A | Removal of salivary stone | 3.31 | 4.06 | 3.53 | 0.23 | 7.60 | 7.07 | 090 | |
| 42340 | A | Removal of salivary stone | 4.60 | 5.35 | 4.47 | 0.34 | 10.29 | 9.41 | 090 | |
| 42400 | A | Biopsy of salivary gland | 0.78 | 1.82 | 0.73 | 0.06 | 2.66 | 1.57 | 000 | |
| 42405 | A | Biopsy of salivary gland | 3.29 | 4.33 | 2.54 | 0.24 | 7.86 | 6.07 | 010 | |
| 42408 | A | Excision of salivary cyst | 4.54 | 5.25 | 4.23 | 0.34 | 10.13 | 9.11 | 090 | |
| 42409 | A | Drainage of salivary cyst | 2.81 | 3.70 | 3.25 | 0.20 | 6.71 | 6.26 | 090 | |
| 42410 | A | Excise parotid gland/lesion | 9.34 | N/A | 6.85 | 0.77 | N/A | 16.96 | 090 | |
| 42415 | A | Excise parotid gland/lesion | 16.89 | N/A | 11.60 | 1.26 | N/A | 29.75 | 090 | |
| 42420 | A | Excise parotid gland/lesion | 19.59 | N/A | 13.15 | 1.45 | N/A | 34.19 | 090 | |
| 42425 | A | Excise parotid gland/lesion | 13.02 | N/A | 9.37 | 0.98 | N/A | 23.37 | 090 | |
| 42426 | A | Excise parotid gland/lesion | 21.26 | N/A | 13.82 | 1.57 | N/A | 36.65 | 090 | |
| 42440 | A | Excise submaxillary gland | 6.97 | N/A | 5.25 | 0.51 | N/A | 12.73 | 090 | |
| 42450 | A | Excise sublingual gland | 4.62 | 5.90 | 4.42 | 0.34 | 10.86 | 9.38 | 090 | |
| 42500 | A | Repair salivary duct | 4.30 | 5.69 | 4.37 | 0.30 | 10.29 | 8.97 | 090 | |
| 42505 | A | Repair salivary duct | 6.18 | 7.18 | 5.58 | 0.44 | 13.80 | 12.20 | 090 | |
| 42507 | A | Parotid duct diversion | 6.11 | N/A | 5.40 | 0.66 | N/A | 12.17 | 090 | |
| 42508 | A | Parotid duct diversion | 9.10 | N/A | 7.30 | 0.64 | N/A | 17.04 | 090 | |
| 42509 | A | Parotid duct diversion | 11.54 | N/A | 8.48 | 1.24 | N/A | 21.26 | 090 | |
| 42510 | A | Parotid duct diversion | 8.15 | N/A | 6.30 | 0.57 | N/A | 15.02 | 090 | |
| 42550 | A | Injection for salivary x-ray | 1.25 | 10.77 | 0.42 | 0.06 | 12.08 | 1.73 | 000 | |
| 42600 | A | Closure of salivary fistula | 4.82 | 6.09 | 4.70 | 0.34 | 11.25 | 9.86 | 090 | |
| 42650 | A | Dilation of salivary duct | 0.77 | 1.23 | 0.73 | 0.06 | 2.06 | 1.56 | 000 | |
| 42660 | A | Dilation of salivary duct | 1.13 | 1.56 | 0.85 | 0.07 | 2.76 | 2.05 | 000 | |
| 42665 | A | Ligation of salivary duct | 2.53 | 3.73 | 3.12 | 0.17 | 6.43 | 5.82 | 090 | |
| 42699 | C | Salivary surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 42700 | A | Drainage of tonsil abscess | 1.62 | 2.90 | 1.79 | 0.12 | 4.64 | 3.53 | 010 | |
| 42720 | A | Drainage of throat abscess | 5.42 | 5.24 | 3.93 | 0.39 | 11.05 | 9.74 | 010 | |
| 42725 | A | Drainage of throat abscess | 10.72 | N/A | 8.26 | 0.80 | N/A | 19.78 | 090 | |
| 42800 | A | Biopsy of throat | 1.39 | 2.35 | 1.45 | 0.10 | 3.84 | 2.94 | 010 | |
| 42802 | A | Biopsy of throat | 1.54 | 3.17 | 1.62 | 0.11 | 4.82 | 3.27 | 010 | |
| 42804 | A | Biopsy of upper nose/throat | 1.24 | 3.16 | 1.54 | 0.09 | 4.49 | 2.87 | 010 | |
| 42806 | A | Biopsy of upper nose/throat | 1.58 | 3.17 | 1.66 | 0.12 | 4.87 | 3.36 | 010 | |
| 42808 | A | Excise pharynx lesion | 2.30 | 3.31 | 1.99 | 0.17 | 5.78 | 4.46 | 010 | |
| 42809 | A | Remove pharynx foreign body | 1.81 | 2.46 | 1.40 | 0.13 | 4.40 | 3.34 | 010 | |
| 42810 | A | Excision of neck cyst | 3.25 | 5.05 | 3.53 | 0.25 | 8.55 | 7.03 | 090 | |
| 42815 | A | Excision of neck cyst | 7.07 | N/A | 5.63 | 0.53 | N/A | 13.23 | 090 | |
| 42820 | A | Remove tonsils and adenoids | 3.91 | N/A | 3.63 | 0.28 | N/A | 7.82 | 090 | |
| 42821 | A | Remove tonsils and adenoids | 4.29 | N/A | 3.81 | 0.30 | N/A | 8.40 | 090 | |
| 42825 | A | Removal of tonsils | 3.42 | N/A | 3.43 | 0.24 | N/A | 7.09 | 090 | |
| 42826 | A | Removal of tonsils | 3.38 | N/A | 3.33 | 0.23 | N/A | 6.94 | 090 | |
| 42830 | A | Removal of adenoids | 2.57 | N/A | 2.68 | 0.18 | N/A | 5.43 | 090 | |
| 42831 | A | Removal of adenoids | 2.71 | N/A | 2.94 | 0.19 | N/A | 5.84 | 090 | |
| 42835 | A | Removal of adenoids | 2.30 | N/A | 2.72 | 0.17 | N/A | 5.19 | 090 | |
| 42836 | A | Removal of adenoids | 3.18 | N/A | 3.26 | 0.22 | N/A | 6.66 | 090 | |
| 42842 | A | Extensive surgery of throat | 8.76 | N/A | 7.01 | 0.61 | N/A | 16.38 | 090 | |
| 42844 | A | Extensive surgery of throat | 14.31 | N/A | 10.36 | 1.04 | N/A | 25.71 | 090 | |
| 42845 | A | Extensive surgery of throat | 24.29 | N/A | 16.60 | 1.76 | N/A | 42.65 | 090 | |
| 42860 | A | Excision of tonsil tags | 2.22 | N/A | 2.68 | 0.16 | N/A | 5.06 | 090 | |
| 42870 | A | Excision of lingual tonsil | 5.40 | N/A | 5.02 | 0.38 | N/A | 10.80 | 090 | |
| 42890 | A | Partial removal of pharynx | 12.94 | N/A | 9.67 | 0.91 | N/A | 23.52 | 090 | |
| 42892 | A | Revision of pharyngeal walls | 15.83 | N/A | 11.27 | 1.14 | N/A | 28.24 | 090 | |
| 42894 | A | Revision of pharyngeal walls | 22.88 | N/A | 15.55 | 1.64 | N/A | 40.07 | 090 | |
| 42900 | A | Repair throat wound | 5.25 | N/A | 3.79 | 0.39 | N/A | 9.43 | 010 | |
| 42950 | A | Reconstruction of throat | 8.10 | N/A | 6.82 | 0.58 | N/A | 15.50 | 090 | |
| 42953 | A | Repair throat, esophagus | 8.96 | N/A | 7.77 | 0.73 | N/A | 17.46 | 090 | |
| 42955 | A | Surgical opening of throat | 7.39 | N/A | 5.73 | 0.63 | N/A | 13.75 | 090 | |
| 42960 | A | Control throat bleeding | 2.33 | N/A | 2.08 | 0.17 | N/A | 4.58 | 010 | |
| 42961 | A | Control throat bleeding | 5.59 | N/A | 5.02 | 0.40 | N/A | 11.01 | 090 | |
| 42962 | A | Control throat bleeding | 7.14 | N/A | 5.91 | 0.51 | N/A | 13.56 | 090 | |
| 42970 | A | Control nose/throat bleeding | 5.43 | N/A | 3.72 | 0.37 | N/A | 9.52 | 090 | |
| 42971 | A | Control nose/throat bleeding | 6.21 | N/A | 5.17 | 0.45 | N/A | 11.83 | 090 | |
| 42972 | A | Control nose/throat bleeding | 7.20 | N/A | 5.64 | 0.54 | N/A | 13.38 | 090 | |
| 42999 | C | Throat surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43020 | A | Incision of esophagus | 8.09 | N/A | 5.75 | 0.70 | N/A | 14.54 | 090 | |
| 43030 | A | Throat muscle surgery | 7.69 | N/A | 6.00 | 0.60 | N/A | 14.29 | 090 | |
| 43045 | A | Incision of esophagus | 20.12 | N/A | 10.51 | 2.15 | N/A | 32.78 | 090 | |
| 43100 | A | Excision of esophagus lesion | 9.19 | N/A | 6.31 | 0.79 | N/A | 16.29 | 090 | |
| 43101 | A | Excision of esophagus lesion | 16.24 | N/A | 7.83 | 1.81 | N/A | 25.88 | 090 | |
| 43107 | A | Removal of esophagus | 40.00 | N/A | 17.03 | 3.29 | N/A | 60.32 | 090 | |
| 43108 | A | Removal of esophagus | 34.19 | N/A | 14.36 | 3.78 | N/A | 52.33 | 090 | |
| 43112 | A | Removal of esophagus | 43.50 | N/A | 18.14 | 3.67 | N/A | 65.31 | 090 | |
| 43113 | A | Removal of esophagus | 35.27 | N/A | 15.19 | 4.33 | N/A | 54.79 | 090 | |
| 43116 | A | Partial removal of esophagus | 31.22 | N/A | 17.10 | 2.62 | N/A | 50.94 | 090 | |
| 43117 | A | Partial removal of esophagus | 40.00 | N/A | 16.27 | 3.51 | N/A | 59.78 | 090 | |
| 43118 | A | Partial removal of esophagus | 33.20 | N/A | 13.89 | 3.56 | N/A | 50.65 | 090 | |
| 43121 | A | Partial removal of esophagus | 29.19 | N/A | 12.58 | 3.44 | N/A | 45.21 | 090 | |
| 43122 | A | Partial removal of esophagus | 40.00 | N/A | 16.47 | 3.27 | N/A | 59.74 | 090 | |
| 43123 | A | Partial removal of esophagus | 33.20 | N/A | 14.10 | 3.96 | N/A | 51.26 | 090 | |
| 43124 | A | Removal of esophagus | 27.32 | N/A | 13.15 | 2.95 | N/A | 43.42 | 090 | |
| 43130 | A | Removal of esophagus pouch | 11.75 | N/A | 7.69 | 1.06 | N/A | 20.50 | 090 | |
| 43135 | A | Removal of esophagus pouch | 16.10 | N/A | 8.04 | 1.85 | N/A | 25.99 | 090 | |
| 43200 | A | Esophagus endoscopy | 1.59 | 4.49 | 1.11 | 0.11 | 6.19 | 2.81 | 000 | |
| 43201 | A | Esoph scope w/submucous inj | 2.09 | 4.92 | 1.29 | 0.12 | 7.13 | 3.50 | 000 | |
| 43202 | A | Esophagus endoscopy, biopsy | 1.89 | 5.61 | 0.98 | 0.12 | 7.62 | 2.99 | 000 | |
| 43204 | A | Esoph scope w/sclerosis inj | 3.77 | N/A | 1.57 | 0.18 | N/A | 5.52 | 000 | |
| 43205 | A | Esophagus endoscopy/ligation | 3.79 | N/A | 1.58 | 0.17 | N/A | 5.54 | 000 | |
| 43215 | A | Esophagus endoscopy | 2.60 | N/A | 1.24 | 0.17 | N/A | 4.01 | 000 | |
| 43216 | A | Esophagus endoscopy/lesion | 2.40 | N/A | 1.21 | 0.15 | N/A | 3.76 | 000 | |
| 43217 | A | Esophagus endoscopy | 2.90 | 6.99 | 1.24 | 0.17 | 10.06 | 4.31 | 000 | |
| 43219 | A | Esophagus endoscopy | 2.80 | N/A | 1.39 | 0.16 | N/A | 4.35 | 000 | |
| 43220 | A | Esoph endoscopy, dilation | 2.10 | N/A | 1.00 | 0.12 | N/A | 3.22 | 000 | |
| 43226 | A | Esoph endoscopy, dilation | 2.34 | N/A | 1.07 | 0.12 | N/A | 3.53 | 000 | |
| 43227 | A | Esoph endoscopy, repair | 3.60 | N/A | 1.50 | 0.18 | N/A | 5.28 | 000 | |
| 43228 | A | Esoph endoscopy, ablation | 3.77 | N/A | 1.60 | 0.25 | N/A | 5.62 | 000 | |
| 43231 | A | Esoph endoscopy w/us exam | 3.19 | N/A | 1.35 | 0.20 | N/A | 4.74 | 000 | |
| 43232 | A | Esoph endoscopy w/us fn bx | 4.48 | N/A | 1.87 | 0.26 | N/A | 6.61 | 000 | |
| 43234 | A | Upper GI endoscopy, exam | 2.01 | 5.37 | 0.91 | 0.13 | 7.51 | 3.05 | 000 | |
| 43235 | A | Uppr gi endoscopy, diagnosis | 2.39 | 5.18 | 1.06 | 0.13 | 7.70 | 3.58 | 000 | |
| 43236 | A | Uppr gi scope w/submuc inj | 2.92 | 6.11 | 1.26 | 0.14 | 9.17 | 4.32 | 000 | |
| 43239 | A | Upper GI endoscopy, biopsy | 2.87 | 5.73 | 1.23 | 0.14 | 8.74 | 4.24 | 000 | |
| 43240 | A | Esoph endoscope w/drain cyst | 6.86 | N/A | 2.68 | 0.36 | N/A | 9.90 | 000 | |
| 43241 | A | Upper GI endoscopy with tube | 2.59 | N/A | 1.14 | 0.14 | N/A | 3.87 | 000 | |
| 43242 | A | Uppr gi endoscopy w/us fn bx | 7.31 | N/A | 2.81 | 0.29 | N/A | 10.41 | 000 | |
| 43243 | A | Upper gi endoscopy inject | 4.57 | N/A | 1.85 | 0.21 | N/A | 6.63 | 000 | |
| 43244 | A | Upper GI endoscopy/ligation | 5.05 | N/A | 2.02 | 0.21 | N/A | 7.28 | 000 | |
| 43245 | A | Uppr gi scope dilate strictr | 3.18 | N/A | 1.34 | 0.18 | N/A | 4.70 | 000 | |
| 43246 | A | Place gastrostomy tube | 4.33 | N/A | 1.75 | 0.24 | N/A | 6.32 | 000 | |
| 43247 | A | Operative upper GI endoscopy | 3.39 | N/A | 1.42 | 0.17 | N/A | 4.98 | 000 | |
| 43248 | A | Uppr gi endoscopy/guide wire | 3.15 | N/A | 1.35 | 0.15 | N/A | 4.65 | 000 | |
| 43249 | A | Esoph endoscopy, dilation | 2.90 | N/A | 1.25 | 0.15 | N/A | 4.30 | 000 | |
| 43250 | A | Upper GI endoscopy/tumor | 3.20 | N/A | 1.35 | 0.17 | N/A | 4.72 | 000 | |
| 43251 | A | Operative upper GI endoscopy | 3.70 | N/A | 1.53 | 0.19 | N/A | 5.42 | 000 | |
| 43255 | A | Operative upper GI endoscopy | 4.82 | N/A | 1.94 | 0.20 | N/A | 6.96 | 000 | |
| 43256 | A | Uppr gi endoscopy w stent | 4.35 | N/A | 1.77 | 0.23 | N/A | 6.35 | 000 | |
| 43258 | A | Operative upper GI endoscopy | 4.55 | N/A | 1.84 | 0.22 | N/A | 6.61 | 000 | |
| 43259 | A | Endoscopic ultrasound exam | 4.89 | N/A | 1.95 | 0.22 | N/A | 7.06 | 000 | |
| 43260 | A | Endo cholangiopancreatograph | 5.96 | N/A | 2.35 | 0.27 | N/A | 8.58 | 000 | |
| 43261 | A | Endo cholangiopancreatograph | 6.27 | N/A | 2.46 | 0.29 | N/A | 9.02 | 000 | |
| 43262 | A | Endo cholangiopancreatograph | 7.39 | N/A | 2.86 | 0.34 | N/A | 10.59 | 000 | |
| 43263 | A | Endo cholangiopancreatograph | 7.29 | N/A | 2.84 | 0.28 | N/A | 10.41 | 000 | |
| 43264 | A | Endo cholangiopancreatograph | 8.90 | N/A | 3.40 | 0.41 | N/A | 12.71 | 000 | |
| 43265 | A | Endo cholangiopancreatograph | 10.02 | N/A | 3.80 | 0.42 | N/A | 14.24 | 000 | |
| 43267 | A | Endo cholangiopancreatograph | 7.39 | N/A | 2.86 | 0.34 | N/A | 10.59 | 000 | |
| 43268 | A | Endo cholangiopancreatograph | 7.39 | N/A | 2.96 | 0.34 | N/A | 10.69 | 000 | |
| 43269 | A | Endo cholangiopancreatograph | 8.21 | N/A | 3.16 | 0.28 | N/A | 11.65 | 000 | |
| 43271 | A | Endo cholangiopancreatograph | 7.39 | N/A | 2.86 | 0.34 | N/A | 10.59 | 000 | |
| 43272 | A | Endo cholangiopancreatograph | 7.39 | N/A | 2.87 | 0.34 | N/A | 10.60 | 000 | |
| 43280 | A | Laparoscopy, fundoplasty | 17.25 | N/A | 7.53 | 1.76 | N/A | 26.54 | 090 | |
| 43289 | C | Laparoscope proc, esoph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43300 | A | Repair of esophagus | 9.14 | N/A | 6.59 | 0.85 | N/A | 16.58 | 090 | |
| 43305 | A | Repair esophagus and fistula | 17.39 | N/A | 10.98 | 1.36 | N/A | 29.73 | 090 | |
| 43310 | A | Repair of esophagus | 25.39 | N/A | 11.21 | 3.18 | N/A | 39.78 | 090 | |
| 43312 | A | Repair esophagus and fistula | 28.42 | N/A | 12.16 | 3.38 | N/A | 43.96 | 090 | |
| 43313 | A | Esophagoplasty congenital | 45.28 | N/A | 20.57 | 5.43 | N/A | 71.28 | 090 | |
| 43314 | A | Tracheo-esophagoplasty cong | 50.27 | N/A | 22.50 | 5.53 | N/A | 78.30 | 090 | |
| 43320 | A | Fuse esophagus stomach | 19.93 | N/A | 9.30 | 1.59 | N/A | 30.82 | 090 | |
| 43324 | A | Revise esophagus stomach | 20.57 | N/A | 8.98 | 1.72 | N/A | 31.27 | 090 | |
| 43325 | A | Revise esophagus stomach | 20.06 | N/A | 8.96 | 1.65 | N/A | 30.67 | 090 | |
| 43326 | A | Revise esophagus stomach | 19.74 | N/A | 9.27 | 1.84 | N/A | 30.85 | 090 | |
| 43330 | A | Repair of esophagus | 19.77 | N/A | 8.73 | 1.52 | N/A | 30.02 | 090 | |
| 43331 | A | Repair of esophagus | 20.13 | N/A | 9.75 | 1.93 | N/A | 31.81 | 090 | |
| 43340 | A | Fuse esophagus intestine | 19.61 | N/A | 9.08 | 1.53 | N/A | 30.22 | 090 | |
| 43341 | A | Fuse esophagus intestine | 20.85 | N/A | 10.02 | 2.14 | N/A | 33.01 | 090 | |
| 43350 | A | Surgical opening, esophagus | 15.78 | N/A | 8.57 | 1.15 | N/A | 25.50 | 090 | |
| 43351 | A | Surgical opening, esophagus | 18.35 | N/A | 9.69 | 1.51 | N/A | 29.55 | 090 | |
| 43352 | A | Surgical opening, esophagus | 15.26 | N/A | 8.45 | 1.28 | N/A | 24.99 | 090 | |
| 43360 | A | Gastrointestinal repair | 35.70 | N/A | 15.16 | 3.00 | N/A | 53.86 | 090 | |
| 43361 | A | Gastrointestinal repair | 40.50 | N/A | 16.97 | 3.52 | N/A | 60.99 | 090 | |
| 43400 | A | Ligate esophagus veins | 21.20 | N/A | 9.64 | 0.99 | N/A | 31.83 | 090 | |
| 43401 | A | Esophagus surgery for veins | 22.09 | N/A | 9.72 | 1.73 | N/A | 33.54 | 090 | |
| 43405 | A | Ligate/staple esophagus | 20.01 | N/A | 9.56 | 1.63 | N/A | 31.20 | 090 | |
| 43410 | A | Repair esophagus wound | 13.47 | N/A | 7.66 | 1.15 | N/A | 22.28 | 090 | |
| 43415 | A | Repair esophagus wound | 25.00 | N/A | 11.70 | 1.92 | N/A | 38.62 | 090 | |
| 43420 | A | Repair esophagus opening | 14.35 | N/A | 7.63 | 0.86 | N/A | 22.84 | 090 | |
| 43425 | A | Repair esophagus opening | 21.03 | N/A | 9.94 | 2.03 | N/A | 33.00 | 090 | |
| 43450 | A | Dilate esophagus | 1.38 | 2.54 | 0.72 | 0.07 | 3.99 | 2.17 | 000 | |
| 43453 | A | Dilate esophagus | 1.51 | 6.12 | 0.79 | 0.08 | 7.71 | 2.38 | 000 | |
| 43456 | A | Dilate esophagus | 2.57 | 14.11 | 1.17 | 0.14 | 16.82 | 3.88 | 000 | |
| 43458 | A | Dilate esophagus | 3.06 | 6.73 | 1.36 | 0.17 | 9.96 | 4.59 | 000 | |
| 43460 | A | Pressure treatment esophagus | 3.80 | N/A | 1.51 | 0.21 | N/A | 5.52 | 000 | |
| 43496 | C | Free jejunum flap, microvasc | 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 | YYY | |
| 43500 | A | Surgical opening of stomach | 11.05 | N/A | 5.23 | 0.84 | N/A | 17.12 | 090 | |
| 43501 | A | Surgical repair of stomach | 20.04 | N/A | 8.63 | 1.55 | N/A | 30.22 | 090 | |
| 43502 | A | Surgical repair of stomach | 23.13 | N/A | 9.79 | 1.83 | N/A | 34.75 | 090 | |
| 43510 | A | Surgical opening of stomach | 13.08 | N/A | 6.84 | 0.90 | N/A | 20.82 | 090 | |
| 43520 | A | Incision of pyloric muscle | 9.99 | N/A | 5.44 | 0.84 | N/A | 16.27 | 090 | |
| 43600 | A | Biopsy of stomach | 1.91 | N/A | 1.04 | 0.11 | N/A | 3.06 | 000 | |
| 43605 | A | Biopsy of stomach | 11.98 | N/A | 5.54 | 0.93 | N/A | 18.45 | 090 | |
| 43610 | A | Excision of stomach lesion | 14.60 | N/A | 6.47 | 1.14 | N/A | 22.21 | 090 | |
| 43611 | A | Excision of stomach lesion | 17.84 | N/A | 7.88 | 1.38 | N/A | 27.10 | 090 | |
| 43620 | A | Removal of stomach | 30.04 | N/A | 12.22 | 2.29 | N/A | 44.55 | 090 | |
| 43621 | A | Removal of stomach | 30.73 | N/A | 12.43 | 2.36 | N/A | 45.52 | 090 | |
| 43622 | A | Removal of stomach | 32.53 | N/A | 13.03 | 2.48 | N/A | 48.04 | 090 | |
| 43631 | A | Removal of stomach, partial | 22.59 | N/A | 9.49 | 1.99 | N/A | 34.07 | 090 | |
| 43632 | A | Removal of stomach, partial | 22.59 | N/A | 9.50 | 2.00 | N/A | 34.09 | 090 | |
| 43633 | A | Removal of stomach, partial | 23.10 | N/A | 9.67 | 2.05 | N/A | 34.82 | 090 | |
| 43634 | A | Removal of stomach, partial | 25.12 | N/A | 10.43 | 2.18 | N/A | 37.73 | 090 | |
| 43635 | A | Removal of stomach, partial | 2.06 | N/A | 0.72 | 0.21 | N/A | 2.99 | ZZZ | |
| 43638 | A | Removal of stomach, partial | 29.00 | N/A | 12.20 | 2.24 | N/A | 43.44 | 090 | |
| 43639 | A | Removal of stomach, partial | 29.65 | N/A | 12.03 | 2.31 | N/A | 43.99 | 090 | |
| 43640 | A | Vagotomy pylorus repair | 17.02 | N/A | 7.56 | 1.51 | N/A | 26.09 | 090 | |
| 43641 | A | Vagotomy pylorus repair | 17.27 | N/A | 7.66 | 1.53 | N/A | 26.46 | 090 | |
| 43651 | A | Laparoscopy, vagus nerve | 10.15 | N/A | 4.82 | 1.03 | N/A | 16.00 | 090 | |
| 43652 | A | Laparoscopy, vagus nerve | 12.15 | N/A | 5.53 | 1.25 | N/A | 18.93 | 090 | |
| 43653 | A | Laparoscopy, gastrostomy | 7.73 | N/A | 4.43 | 0.78 | N/A | 12.94 | 090 | |
| 43659 | C | Laparoscope proc, stom | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 43750 | A | Place gastrostomy tube | 4.49 | N/A | 2.75 | 0.33 | N/A | 7.57 | 010 | |
| 43760 | A | Change gastrostomy tube | 1.10 | 1.68 | 0.46 | 0.07 | 2.85 | 1.63 | 000 | |
| 43761 | A | Reposition gastrostomy tube | 2.01 | N/A | 0.80 | 0.10 | N/A | 2.91 | 000 | |
| 43800 | A | Reconstruction of pylorus | 13.69 | N/A | 6.20 | 1.07 | N/A | 20.96 | 090 | |
| 43810 | A | Fusion of stomach and bowel | 14.65 | N/A | 6.50 | 1.10 | N/A | 22.25 | 090 | |
| 43820 | A | Fusion of stomach and bowel | 15.37 | N/A | 6.74 | 1.18 | N/A | 23.29 | 090 | |
| 43825 | A | Fusion of stomach and bowel | 19.22 | N/A | 8.33 | 1.50 | N/A | 29.05 | 090 | |
| 43830 | A | Place gastrostomy tube | 9.53 | N/A | 5.10 | 0.69 | N/A | 15.32 | 090 | |
| 43831 | A | Place gastrostomy tube | 7.84 | N/A | 4.65 | 0.81 | N/A | 13.30 | 090 | |
| 43832 | A | Place gastrostomy tube | 15.60 | N/A | 7.19 | 1.13 | N/A | 23.92 | 090 | |
| 43840 | A | Repair of stomach lesion | 15.56 | N/A | 7.05 | 1.20 | N/A | 23.81 | 090 | |
| 43842 | A | Gastroplasty for obesity | 18.47 | N/A | 8.44 | 1.51 | N/A | 28.42 | 090 | |
| 43843 | A | Gastroplasty for obesity | 18.65 | N/A | 8.38 | 1.53 | N/A | 28.56 | 090 | |
| 43846 | A | Gastric bypass for obesity | 24.05 | N/A | 10.70 | 1.96 | N/A | 36.71 | 090 | |
| 43847 | A | Gastric bypass for obesity | 26.92 | N/A | 11.69 | 2.14 | N/A | 40.75 | 090 | |
| 43848 | A | Revision gastroplasty | 29.39 | N/A | 12.62 | 2.39 | N/A | 44.40 | 090 | |
| 43850 | A | Revise stomach-bowel fusion | 24.72 | N/A | 10.17 | 1.97 | N/A | 36.86 | 090 | |
| 43855 | A | Revise stomach-bowel fusion | 26.16 | N/A | 10.74 | 2.01 | N/A | 38.91 | 090 | |
| 43860 | A | Revise stomach-bowel fusion | 25.00 | N/A | 10.33 | 2.03 | N/A | 37.36 | 090 | |
| 43865 | A | Revise stomach-bowel fusion | 26.52 | N/A | 10.86 | 2.15 | N/A | 39.53 | 090 | |
| 43870 | A | Repair stomach opening | 9.69 | N/A | 4.80 | 0.71 | N/A | 15.20 | 090 | |
| 43880 | A | Repair stomach-bowel fistula | 24.65 | N/A | 10.31 | 1.94 | N/A | 36.90 | 090 | |
| 43999 | C | Stomach surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44005 | A | Freeing of bowel adhesion | 16.23 | N/A | 6.91 | 1.39 | N/A | 24.53 | 090 | |
| 44010 | A | Incision of small bowel | 12.52 | N/A | 5.65 | 1.05 | N/A | 19.22 | 090 | |
| 44015 | A | Insert needle cath bowel | 2.62 | N/A | 0.90 | 0.25 | N/A | 3.77 | ZZZ | |
| 44020 | A | Explore small intestine | 13.99 | N/A | 6.11 | 1.20 | N/A | 21.30 | 090 | |
| 44021 | A | Decompress small bowel | 14.08 | N/A | 6.18 | 1.18 | N/A | 21.44 | 090 | |
| 44025 | A | Incision of large bowel | 14.28 | N/A | 6.20 | 1.21 | N/A | 21.69 | 090 | |
| 44050 | A | Reduce bowel obstruction | 14.03 | N/A | 6.13 | 1.15 | N/A | 21.31 | 090 | |
| 44055 | A | Correct malrotation of bowel | 22.00 | N/A | 8.96 | 1.32 | N/A | 32.28 | 090 | |
| 44100 | A | Biopsy of bowel | 2.01 | N/A | 1.11 | 0.12 | N/A | 3.24 | 000 | |
| 44110 | A | Excise intestine lesion(s) | 11.81 | N/A | 5.40 | 1.00 | N/A | 18.21 | 090 | |
| 44111 | A | Excision of bowel lesion(s) | 14.29 | N/A | 6.35 | 1.22 | N/A | 21.86 | 090 | |
| 44120 | A | Removal of small intestine | 17.00 | N/A | 7.23 | 1.46 | N/A | 25.69 | 090 | |
| 44121 | A | Removal of small intestine | 4.45 | N/A | 1.55 | 0.46 | N/A | 6.46 | ZZZ | |
| 44125 | A | Removal of small intestine | 17.54 | N/A | 7.41 | 1.49 | N/A | 26.44 | 090 | |
| 44126 | A | Enterectomy w/o taper, cong | 35.50 | N/A | 14.38 | 0.36 | N/A | 50.24 | 090 | |
| 44127 | A | Enterectomy w/taper, cong | 41.00 | N/A | 18.39 | 0.41 | N/A | 59.80 | 090 | |
| 44128 | A | Enterectomy cong, add-on | 4.45 | N/A | 1.58 | 0.45 | N/A | 6.48 | ZZZ | |
| 44130 | A | Bowel to bowel fusion | 14.49 | N/A | 6.35 | 1.23 | N/A | 22.07 | 090 | |
| 44132 | R | Enterectomy, cadaver donor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44133 | R | Enterectomy, live donor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44135 | R | Intestine transplnt, cadaver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44136 | R | Intestine transplant, live | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 44139 | A | Mobilization of colon | 2.23 | N/A | 0.78 | 0.21 | N/A | 3.22 | ZZZ | |
| 44140 | A | Partial removal of colon | 21.00 | N/A | 8.83 | 2.14 | N/A | 31.97 | 090 | |
| 44141 | A | Partial removal of colon | 19.51 | N/A | 10.29 | 1.95 | N/A | 31.75 | 090 | |
| 44143 | A | Partial removal of colon | 22.99 | N/A | 10.91 | 2.02 | N/A | 35.92 | 090 | |
| 44144 | A | Partial removal of colon | 21.53 | N/A | 9.76 | 1.89 | N/A | 33.18 | 090 | |
| 44145 | A | Partial removal of colon | 26.42 | N/A | 11.05 | 2.22 | N/A | 39.69 | 090 | |
| 44146 | A | Partial removal of colon | 27.54 | N/A | 13.15 | 2.20 | N/A | 42.89 | 090 | |
| 44147 | A | Partial removal of colon | 20.71 | N/A | 8.85 | 1.74 | N/A | 31.30 | 090 | |
| 44150 | A | Removal of colon | 23.95 | N/A | 12.30 | 2.05 | N/A | 38.30 | 090 | |
| 44151 | A | Removal of colon/ileostomy | 26.88 | N/A | 13.73 | 1.97 | N/A | 42.58 | 090 | |
| 44152 | A | Removal of colon/ileostomy | 27.83 | N/A | 11.88 | 2.36 | N/A | 42.07 | 090 | |
| 44153 | A | Removal of colon/ileostomy | 30.59 | N/A | 14.77 | 2.33 | N/A | 47.69 | 090 | |
| 44155 | A | Removal of colon/ileostomy | 27.86 | N/A | 13.64 | 2.26 | N/A | 43.76 | 090 | |
| 44156 | A | Removal of colon/ileostomy | 30.79 | N/A | 15.33 | 2.19 | N/A | 48.31 | 090 | |
| 44160 | A | Removal of colon | 18.62 | N/A | 7.91 | 1.86 | N/A | 28.39 | 090 | |
| 44200 | A | Laparoscopy, enterolysis | 14.44 | N/A | 6.32 | 1.46 | N/A | 22.22 | 090 | |
| 44201 | A | Laparoscopy, jejunostomy | 9.78 | N/A | 4.74 | 0.97 | N/A | 15.49 | 090 | |
| 44202 | A | Lap resect s/intestine singl | 22.04 | N/A | 9.12 | 2.16 | N/A | 33.32 | 090 | |
| 44203 | A | Lap resect s/intestine, addl | 4.45 | N/A | 1.53 | 0.46 | N/A | 6.44 | ZZZ | |
| 44204 | A | Laparo partial colectomy | 25.08 | N/A | 10.15 | 2.55 | N/A | 37.78 | 090 | |
| 44205 | A | Lap colectomy part w/ileum | 22.23 | N/A | 9.02 | 2.23 | N/A | 33.48 | 090 | |
| 44206 | A | Lap part colectomy w/stoma | 27.00 | N/A | 11.54 | 2.02 | N/A | 40.56 | 090 | |
| 44207 | A | L colectomy/coloproctostomy | 30.00 | N/A | 11.78 | 2.22 | N/A | 44.00 | 090 | |
| 44208 | A | L colectomy/coloproctostomy | 32.00 | N/A | 13.48 | 2.20 | N/A | 47.68 | 090 | |
| 44210 | A | Laparo total proctocolectomy | 28.00 | N/A | 12.21 | 2.05 | N/A | 42.26 | 090 | |
| 44211 | A | Laparo total proctocolectomy | 35.00 | N/A | 14.98 | 2.33 | N/A | 52.31 | 090 | |
| 44212 | A | Laparo total proctocolectomy | 32.50 | N/A | 14.09 | 2.26 | N/A | 48.85 | 090 | |
| 44238 | C | Laparoscope proc, intestine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44239 | C | Laparoscope proc, rectum | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44300 | A | Open bowel to skin | 12.11 | N/A | 5.59 | 0.88 | N/A | 18.58 | 090 | |
| 44310 | A | Ileostomy/jejunostomy | 15.95 | N/A | 6.84 | 1.13 | N/A | 23.92 | 090 | |
| 44312 | A | Revision of ileostomy | 8.02 | N/A | 4.08 | 0.54 | N/A | 12.64 | 090 | |
| 44314 | A | Revision of ileostomy | 15.05 | N/A | 6.71 | 0.99 | N/A | 22.75 | 090 | |
| 44316 | A | Devise bowel pouch | 21.09 | N/A | 8.73 | 1.41 | N/A | 31.23 | 090 | |
| 44320 | A | Colostomy | 17.64 | N/A | 7.83 | 1.28 | N/A | 26.75 | 090 | |
| 44322 | A | Colostomy with biopsies | 11.98 | N/A | 8.80 | 1.18 | N/A | 21.96 | 090 | |
| 44340 | A | Revision of colostomy | 7.72 | N/A | 4.36 | 0.56 | N/A | 12.64 | 090 | |
| 44345 | A | Revision of colostomy | 15.43 | N/A | 7.03 | 1.11 | N/A | 23.57 | 090 | |
| 44346 | A | Revision of colostomy | 16.99 | N/A | 7.54 | 1.20 | N/A | 25.73 | 090 | |
| 44360 | A | Small bowel endoscopy | 2.59 | N/A | 1.14 | 0.14 | N/A | 3.87 | 000 | |
| 44361 | A | Small bowel endoscopy/biopsy | 2.87 | N/A | 1.24 | 0.15 | N/A | 4.26 | 000 | |
| 44363 | A | Small bowel endoscopy | 3.50 | N/A | 1.43 | 0.19 | N/A | 5.12 | 000 | |
| 44364 | A | Small bowel endoscopy | 3.74 | N/A | 1.55 | 0.21 | N/A | 5.50 | 000 | |
| 44365 | A | Small bowel endoscopy | 3.31 | N/A | 1.41 | 0.18 | N/A | 4.90 | 000 | |
| 44366 | A | Small bowel endoscopy | 4.41 | N/A | 1.79 | 0.22 | N/A | 6.42 | 000 | |
| 44369 | A | Small bowel endoscopy | 4.52 | N/A | 1.79 | 0.23 | N/A | 6.54 | 000 | |
| 44370 | A | Small bowel endoscopy/stent | 4.80 | N/A | 2.03 | 0.21 | N/A | 7.04 | 000 | |
| 44372 | A | Small bowel endoscopy | 4.41 | N/A | 1.78 | 0.27 | N/A | 6.46 | 000 | |
| 44373 | A | Small bowel endoscopy | 3.50 | N/A | 1.47 | 0.19 | N/A | 5.16 | 000 | |
| 44376 | A | Small bowel endoscopy | 5.26 | N/A | 2.08 | 0.29 | N/A | 7.63 | 000 | |
| 44377 | A | Small bowel endoscopy/biopsy | 5.53 | N/A | 2.20 | 0.28 | N/A | 8.01 | 000 | |
| 44378 | A | Small bowel endoscopy | 7.13 | N/A | 2.77 | 0.37 | N/A | 10.27 | 000 | |
| 44379 | A | S bowel endoscope w/stent | 7.47 | N/A | 2.99 | 0.38 | N/A | 10.84 | 000 | |
| 44380 | A | Small bowel endoscopy | 1.05 | N/A | 0.58 | 0.08 | N/A | 1.71 | 000 | |
| 44382 | A | Small bowel endoscopy | 1.27 | N/A | 0.66 | 0.09 | N/A | 2.02 | 000 | |
| 44383 | A | Ileoscopy w/stent | 2.94 | N/A | 1.31 | 0.13 | N/A | 4.38 | 000 | |
| 44385 | A | Endoscopy of bowel pouch | 1.82 | 5.20 | 0.98 | 0.12 | 7.14 | 2.92 | 000 | |
| 44386 | A | Endoscopy, bowel pouch/biop | 2.12 | 6.70 | 1.13 | 0.15 | 8.97 | 3.40 | 000 | |
| 44388 | A | Colon endoscopy | 2.82 | 5.29 | 1.19 | 0.18 | 8.29 | 4.19 | 000 | |
| 44389 | A | Colonoscopy with biopsy | 3.13 | 6.68 | 1.31 | 0.18 | 9.99 | 4.62 | 000 | |
| 44390 | A | Colonoscopy for foreign body | 3.83 | 6.92 | 1.54 | 0.22 | 10.97 | 5.59 | 000 | |
| 44391 | A | Colonoscopy for bleeding | 4.32 | 8.97 | 1.75 | 0.23 | 13.52 | 6.30 | 000 | |
| 44392 | A | Colonoscopy polypectomy | 3.82 | 6.74 | 1.54 | 0.23 | 10.79 | 5.59 | 000 | |
| 44393 | A | Colonoscopy, lesion removal | 4.84 | 7.09 | 1.92 | 0.27 | 12.20 | 7.03 | 000 | |
| 44394 | A | Colonoscopy w/snare | 4.43 | 7.95 | 1.78 | 0.26 | 12.64 | 6.47 | 000 | |
| 44397 | A | Colonoscopy w/stent | 4.71 | N/A | 2.10 | 0.28 | N/A | 7.09 | 000 | |
| 44500 | A | Intro, gastrointestinal tube | 0.49 | N/A | 0.36 | 0.02 | N/A | 0.87 | 000 | |
| 44602 | A | Suture, small intestine | 16.03 | N/A | 6.53 | 1.07 | N/A | 23.63 | 090 | |
| 44603 | A | Suture, small intestine | 18.66 | N/A | 7.43 | 1.39 | N/A | 27.48 | 090 | |
| 44604 | A | Suture, large intestine | 16.03 | N/A | 6.60 | 1.42 | N/A | 24.05 | 090 | |
| 44605 | A | Repair of bowel lesion | 19.53 | N/A | 8.59 | 1.54 | N/A | 29.66 | 090 | |
| 44615 | A | Intestinal stricturoplasty | 15.93 | N/A | 6.82 | 1.39 | N/A | 24.14 | 090 | |
| 44620 | A | Repair bowel opening | 12.20 | N/A | 5.44 | 1.05 | N/A | 18.69 | 090 | |
| 44625 | A | Repair bowel opening | 15.05 | N/A | 6.44 | 1.30 | N/A | 22.79 | 090 | |
| 44626 | A | Repair bowel opening | 25.36 | N/A | 10.02 | 2.53 | N/A | 37.91 | 090 | |
| 44640 | A | Repair bowel-skin fistula | 21.65 | N/A | 8.76 | 1.46 | N/A | 31.87 | 090 | |
| 44650 | A | Repair bowel fistula | 22.57 | N/A | 9.07 | 1.49 | N/A | 33.13 | 090 | |
| 44660 | A | Repair bowel-bladder fistula | 21.36 | N/A | 8.55 | 1.14 | N/A | 31.05 | 090 | |
| 44661 | A | Repair bowel-bladder fistula | 24.81 | N/A | 9.77 | 1.53 | N/A | 36.11 | 090 | |
| 44680 | A | Surgical revision, intestine | 15.40 | N/A | 6.59 | 1.37 | N/A | 23.36 | 090 | |
| 44700 | A | Suspend bowel w/prosthesis | 16.11 | N/A | 6.81 | 1.21 | N/A | 24.13 | 090 | |
| 44701 | A | Intraop colon lavage add-on | 3.10 | N/A | 1.08 | 0.21 | N/A | 4.39 | ZZZ | |
| 44799 | C | Intestine surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44800 | A | Excision of bowel pouch | 11.23 | N/A | 5.49 | 1.11 | N/A | 17.83 | 090 | |
| 44820 | A | Excision of mesentery lesion | 12.09 | N/A | 5.60 | 1.03 | N/A | 18.72 | 090 | |
| 44850 | A | Repair of mesentery | 10.74 | N/A | 5.09 | 0.99 | N/A | 16.82 | 090 | |
| 44899 | C | Bowel surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 44900 | A | Drain app abscess, open | 10.14 | N/A | 4.80 | 0.84 | N/A | 15.78 | 090 | |
| 44901 | A | Drain app abscess, percut | 3.38 | N/A | 4.61 | 0.17 | N/A | 8.16 | 000 | |
| 44950 | A | Appendectomy | 10.00 | N/A | 4.41 | 0.88 | N/A | 15.29 | 090 | |
| 44955 | A | Appendectomy add-on | 1.53 | N/A | 0.55 | 0.16 | N/A | 2.24 | ZZZ | |
| 44960 | A | Appendectomy | 12.34 | N/A | 5.46 | 1.09 | N/A | 18.89 | 090 | |
| 44970 | A | Laparoscopy, appendectomy | 8.70 | N/A | 4.30 | 0.88 | N/A | 13.88 | 090 | |
| 44979 | C | Laparoscope proc, app | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 45000 | A | Drainage of pelvic abscess | 4.52 | N/A | 3.01 | 0.37 | N/A | 7.90 | 090 | |
| 45005 | A | Drainage of rectal abscess | 1.99 | 4.92 | 1.71 | 0.18 | 7.09 | 3.88 | 010 | |
| 45020 | A | Drainage of rectal abscess | 4.72 | N/A | 3.34 | 0.41 | N/A | 8.47 | 090 | |
| 45100 | A | Biopsy of rectum | 3.68 | N/A | 2.42 | 0.33 | N/A | 6.43 | 090 | |
| 45108 | A | Removal of anorectal lesion | 4.76 | N/A | 2.95 | 0.46 | N/A | 8.17 | 090 | |
| 45110 | A | Removal of rectum | 28.00 | N/A | 12.69 | 2.26 | N/A | 42.95 | 090 | |
| 45111 | A | Partial removal of rectum | 16.48 | N/A | 7.33 | 1.60 | N/A | 25.41 | 090 | |
| 45112 | A | Removal of rectum | 30.54 | N/A | 12.03 | 2.35 | N/A | 44.92 | 090 | |
| 45113 | A | Partial proctectomy | 30.58 | N/A | 12.92 | 2.13 | N/A | 45.63 | 090 | |
| 45114 | A | Partial removal of rectum | 27.32 | N/A | 11.18 | 2.28 | N/A | 40.78 | 090 | |
| 45116 | A | Partial removal of rectum | 24.58 | N/A | 10.26 | 2.00 | N/A | 36.84 | 090 | |
| 45119 | A | Remove rectum w/reservoir | 30.84 | N/A | 12.77 | 2.13 | N/A | 45.74 | 090 | |
| 45120 | A | Removal of rectum | 24.60 | N/A | 10.36 | 2.28 | N/A | 37.24 | 090 | |
| 45121 | A | Removal of rectum and colon | 27.04 | N/A | 11.34 | 2.66 | N/A | 41.04 | 090 | |
| 45123 | A | Partial proctectomy | 16.71 | N/A | 7.01 | 1.04 | N/A | 24.76 | 090 | |
| 45126 | A | Pelvic exenteration | 45.16 | N/A | 19.84 | 3.23 | N/A | 68.23 | 090 | |
| 45130 | A | Excision of rectal prolapse | 16.44 | N/A | 6.92 | 1.12 | N/A | 24.48 | 090 | |
| 45135 | A | Excision of rectal prolapse | 19.28 | N/A | 8.57 | 1.52 | N/A | 29.37 | 090 | |
| 45136 | A | Excise ileoanal reservior | 27.30 | N/A | 12.70 | 2.72 | N/A | 42.72 | 090 | |
| 45150 | A | Excision of rectal stricture | 5.67 | N/A | 3.01 | 0.46 | N/A | 9.14 | 090 | |
| 45160 | A | Excision of rectal lesion | 15.32 | N/A | 6.79 | 1.07 | N/A | 23.18 | 090 | |
| 45170 | A | Excision of rectal lesion | 11.49 | N/A | 5.35 | 0.89 | N/A | 17.73 | 090 | |
| 45190 | A | Destruction, rectal tumor | 9.74 | N/A | 4.71 | 0.76 | N/A | 15.21 | 090 | |
| 45300 | A | Proctosigmoidoscopy dx | 0.38 | 1.50 | 0.31 | 0.05 | 1.93 | 0.74 | 000 | |
| 45303 | A | Proctosigmoidoscopy dilate | 0.44 | 19.74 | 0.35 | 0.06 | 20.24 | 0.85 | 000 | |
| 45305 | A | Proctosigmoidoscopy w/bx | 1.01 | 2.62 | 0.53 | 0.09 | 3.72 | 1.63 | 000 | |
| 45307 | A | Proctosigmoidoscopy fb | 0.94 | 3.07 | 0.51 | 0.15 | 4.16 | 1.60 | 000 | |
| 45308 | A | Proctosigmoidoscopy removal | 0.83 | 1.97 | 0.47 | 0.13 | 2.93 | 1.43 | 000 | |
| 45309 | A | Proctosigmoidoscopy removal | 2.01 | 2.82 | 0.87 | 0.17 | 5.00 | 3.05 | 000 | |
| 45315 | A | Proctosigmoidoscopy removal | 1.40 | 2.85 | 0.67 | 0.20 | 4.45 | 2.27 | 000 | |
| 45317 | A | Proctosigmoidoscopy bleed | 1.50 | 2.43 | 0.69 | 0.20 | 4.13 | 2.39 | 000 | |
| 45320 | A | Proctosigmoidoscopy ablate | 1.58 | 2.89 | 0.74 | 0.20 | 4.67 | 2.52 | 000 | |
| 45321 | A | Proctosigmoidoscopy volvul | 1.17 | N/A | 0.59 | 0.17 | N/A | 1.93 | 000 | |
| 45327 | A | Proctosigmoidoscopy w/stent | 1.65 | N/A | 0.71 | 0.10 | N/A | 2.46 | 000 | |
| 45330 | A | Diagnostic sigmoidoscopy | 0.96 | 2.25 | 0.53 | 0.05 | 3.26 | 1.54 | 000 | |
| 45331 | A | Sigmoidoscopy and biopsy | 1.15 | 2.90 | 0.64 | 0.07 | 4.12 | 1.86 | 000 | |
| 45332 | A | Sigmoidoscopy w/fb removal | 1.79 | 4.86 | 0.86 | 0.11 | 6.76 | 2.76 | 000 | |
| 45333 | A | Sigmoidoscopy polypectomy | 1.79 | 4.81 | 0.86 | 0.12 | 6.72 | 2.77 | 000 | |
| 45334 | A | Sigmoidoscopy for bleeding | 2.73 | N/A | 1.21 | 0.16 | N/A | 4.10 | 000 | |
| 45335 | A | Sigmoidoscope w/submuc inj | 1.36 | 3.27 | 0.66 | 0.07 | 4.70 | 2.09 | 000 | |
| 45337 | A | Sigmoidoscopy decompress | 2.36 | N/A | 1.06 | 0.15 | N/A | 3.57 | 000 | |
| 45338 | A | Sigmoidoscpy w/tumr remove | 2.34 | 5.13 | 1.07 | 0.15 | 7.62 | 3.56 | 000 | |
| 45339 | A | Sigmoidoscopy w/ablate tumr | 3.14 | 3.36 | 1.35 | 0.17 | 6.67 | 4.66 | 000 | |
| 45340 | A | Sig w/balloon dilation | 1.66 | 6.60 | 0.76 | 0.07 | 8.33 | 2.49 | 000 | |
| 45341 | A | Sigmoidoscopy w/ultrasound | 2.60 | N/A | 1.15 | 0.20 | N/A | 3.95 | 000 | |
| 45342 | A | Sigmoidoscopy w/us guide bx | 4.06 | N/A | 1.62 | 0.23 | N/A | 5.91 | 000 | |
| 45345 | A | Sigmoidoscopy w/stent | 2.92 | N/A | 1.22 | 0.15 | N/A | 4.29 | 000 | |
| 45355 | A | Surgical colonoscopy | 3.52 | N/A | 1.43 | 0.26 | N/A | 5.21 | 000 | |
| 45378 | A | Diagnostic colonoscopy | 3.70 | 6.30 | 1.68 | 0.20 | 10.20 | 5.58 | 000 | |
| 45378 | 53 | A | Diagnostic colonoscopy | 0.96 | 2.25 | 0.53 | 0.05 | 3.26 | 1.54 | 000 |
| 45379 | A | Colonoscopy w/fb removal | 4.69 | 7.83 | 1.94 | 0.25 | 12.77 | 6.88 | 000 | |
| 45380 | A | Colonoscopy and biopsy | 4.44 | 7.26 | 1.81 | 0.21 | 11.91 | 6.46 | 000 | |
| 45381 | A | Colonoscope, submucous inj | 4.20 | 8.00 | 1.72 | 0.21 | 12.41 | 6.13 | 000 | |
| 45382 | A | Colonoscopy/control bleeding | 5.69 | 10.03 | 2.32 | 0.27 | 15.99 | 8.28 | 000 | |
| 45383 | A | Lesion removal colonoscopy | 5.87 | 8.05 | 2.31 | 0.32 | 14.24 | 8.50 | 000 | |
| 45384 | A | Lesion remove colonoscopy | 4.70 | 6.87 | 1.91 | 0.24 | 11.81 | 6.85 | 000 | |
| 45385 | A | Lesion removal colonoscopy | 5.31 | 7.90 | 2.12 | 0.28 | 13.49 | 7.71 | 000 | |
| 45386 | A | Colonoscope dilate stricture | 4.58 | 14.09 | 1.86 | 0.21 | 18.88 | 6.65 | 000 | |
| 45387 | A | Colonoscopy w/stent | 5.91 | N/A | 2.40 | 0.33 | N/A | 8.64 | 000 | |
| 45500 | A | Repair of rectum | 7.29 | N/A | 3.63 | 0.56 | N/A | 11.48 | 090 | |
| 45505 | A | Repair of rectum | 7.58 | N/A | 3.87 | 0.50 | N/A | 11.95 | 090 | |
| 45520 | A | Treatment of rectal prolapse | 0.55 | 0.86 | 0.19 | 0.04 | 1.45 | 0.78 | 000 | |
| 45540 | A | Correct rectal prolapse | 16.27 | N/A | 6.96 | 1.17 | N/A | 24.40 | 090 | |
| 45541 | A | Correct rectal prolapse | 13.40 | N/A | 6.06 | 0.88 | N/A | 20.34 | 090 | |
| 45550 | A | Repair rectum/remove sigmoid | 23.00 | N/A | 9.40 | 1.58 | N/A | 33.98 | 090 | |
| 45560 | A | Repair of rectocele | 10.58 | N/A | 5.22 | 0.73 | N/A | 16.53 | 090 | |
| 45562 | A | Exploration/repair of rectum | 15.38 | N/A | 7.07 | 1.15 | N/A | 23.60 | 090 | |
| 45563 | A | Exploration/repair of rectum | 23.47 | N/A | 10.69 | 1.84 | N/A | 36.00 | 090 | |
| 45800 | A | Repair rect/bladder fistula | 17.77 | N/A | 7.57 | 1.14 | N/A | 26.48 | 090 | |
| 45805 | A | Repair fistula w/colostomy | 20.78 | N/A | 9.71 | 1.47 | N/A | 31.96 | 090 | |
| 45820 | A | Repair rectourethral fistula | 18.48 | N/A | 7.76 | 1.17 | N/A | 27.41 | 090 | |
| 45825 | A | Repair fistula w/colostomy | 21.25 | N/A | 9.99 | 0.97 | N/A | 32.21 | 090 | |
| 45900 | A | Reduction of rectal prolapse | 2.61 | N/A | 1.35 | 0.17 | N/A | 4.13 | 010 | |
| 45905 | A | Dilation of anal sphincter | 2.30 | 10.78 | 1.25 | 0.14 | 13.22 | 3.69 | 010 | |
| 45910 | A | Dilation of rectal narrowing | 2.80 | 15.08 | 1.46 | 0.14 | 18.02 | 4.40 | 010 | |
| 45915 | A | Remove rectal obstruction | 3.14 | 4.88 | 1.19 | 0.17 | 8.19 | 4.50 | 010 | |
| 45999 | C | Rectum surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 46020 | A | Placement of seton | 2.90 | 2.30 | 1.88 | 0.22 | 5.42 | 5.00 | 010 | |
| 46030 | A | Removal of rectal marker | 1.23 | 1.37 | 0.72 | 0.11 | 2.71 | 2.06 | 010 | |
| 46040 | A | Incision of rectal abscess | 4.96 | 5.33 | 3.17 | 0.48 | 10.77 | 8.61 | 090 | |
| 46045 | A | Incision of rectal abscess | 4.32 | N/A | 2.88 | 0.40 | N/A | 7.60 | 090 | |
| 46050 | A | Incision of anal abscess | 1.19 | 2.61 | 0.87 | 0.11 | 3.91 | 2.17 | 010 | |
| 46060 | A | Incision of rectal abscess | 5.69 | N/A | 3.31 | 0.52 | N/A | 9.52 | 090 | |
| 46070 | A | Incision of anal septum | 2.71 | N/A | 2.02 | 0.27 | N/A | 5.00 | 090 | |
| 46080 | A | Incision of anal sphincter | 2.49 | 2.42 | 1.15 | 0.23 | 5.14 | 3.87 | 010 | |
| 46083 | A | Incise external hemorrhoid | 1.40 | 2.57 | 0.96 | 0.12 | 4.09 | 2.48 | 010 | |
| 46200 | A | Removal of anal fissure | 3.42 | 3.66 | 2.40 | 0.30 | 7.38 | 6.12 | 090 | |
| 46210 | A | Removal of anal crypt | 2.67 | 4.85 | 2.14 | 0.26 | 7.78 | 5.07 | 090 | |
| 46211 | A | Removal of anal crypts | 4.25 | 5.11 | 2.91 | 0.37 | 9.73 | 7.53 | 090 | |
| 46220 | A | Removal of anal tag | 1.56 | 2.31 | 0.95 | 0.14 | 4.01 | 2.65 | 010 | |
| 46221 | A | Ligation of hemorrhoid(s) | 2.04 | 1.64 | 1.14 | 0.12 | 3.80 | 3.30 | 010 | |
| 46230 | A | Removal of anal tags | 2.57 | 3.10 | 1.30 | 0.22 | 5.89 | 4.09 | 010 | |
| 46250 | A | Hemorrhoidectomy | 3.89 | 4.97 | 2.48 | 0.43 | 9.29 | 6.80 | 090 | |
| 46255 | A | Hemorrhoidectomy | 4.60 | 5.52 | 2.71 | 0.51 | 10.63 | 7.82 | 090 | |
| 46257 | A | Remove hemorrhoids fissure | 5.40 | N/A | 2.91 | 0.59 | N/A | 8.90 | 090 | |
| 46258 | A | Remove hemorrhoids fistula | 5.73 | N/A | 3.27 | 0.64 | N/A | 9.64 | 090 | |
| 46260 | A | Hemorrhoidectomy | 6.37 | N/A | 3.29 | 0.68 | N/A | 10.34 | 090 | |
| 46261 | A | Remove hemorrhoids fissure | 7.08 | N/A | 3.67 | 0.70 | N/A | 11.45 | 090 | |
| 46262 | A | Remove hemorrhoids fistula | 7.50 | N/A | 3.81 | 0.76 | N/A | 12.07 | 090 | |
| 46270 | A | Removal of anal fistula | 3.72 | 4.73 | 2.40 | 0.36 | 8.81 | 6.48 | 090 | |
| 46275 | A | Removal of anal fistula | 4.56 | 4.43 | 2.61 | 0.40 | 9.39 | 7.57 | 090 | |
| 46280 | A | Removal of anal fistula | 5.98 | N/A | 3.32 | 0.50 | N/A | 9.80 | 090 | |
| 46285 | A | Removal of anal fistula | 4.09 | 3.67 | 2.39 | 0.34 | 8.10 | 6.82 | 090 | |
| 46288 | A | Repair anal fistula | 7.13 | N/A | 3.75 | 0.60 | N/A | 11.48 | 090 | |
| 46320 | A | Removal of hemorrhoid clot | 1.61 | 2.16 | 0.87 | 0.14 | 3.91 | 2.62 | 010 | |
| 46500 | A | Injection into hemorrhoid(s) | 1.61 | 2.83 | 0.63 | 0.12 | 4.56 | 2.36 | 010 | |
| 46600 | A | Diagnostic anoscopy | 0.50 | 1.64 | 0.39 | 0.04 | 2.18 | 0.93 | 000 | |
| 46604 | A | Anoscopy and dilation | 1.31 | 9.68 | 0.65 | 0.09 | 11.08 | 2.05 | 000 | |
| 46606 | A | Anoscopy and biopsy | 0.81 | 3.94 | 0.45 | 0.07 | 4.82 | 1.33 | 000 | |
| 46608 | A | Anoscopy, remove for body | 1.51 | 4.58 | 0.70 | 0.13 | 6.22 | 2.34 | 000 | |
| 46610 | A | Anoscopy, remove lesion | 1.32 | 4.17 | 0.65 | 0.12 | 5.61 | 2.09 | 000 | |
| 46611 | A | Anoscopy | 1.81 | 3.45 | 0.81 | 0.15 | 5.41 | 2.77 | 000 | |
| 46612 | A | Anoscopy, remove lesions | 2.34 | 5.30 | 1.02 | 0.18 | 7.82 | 3.54 | 000 | |
| 46614 | A | Anoscopy, control bleeding | 2.01 | 2.33 | 0.88 | 0.14 | 4.48 | 3.03 | 000 | |
| 46615 | A | Anoscopy | 2.68 | 2.57 | 1.11 | 0.23 | 5.48 | 4.02 | 000 | |
| 46700 | A | Repair of anal stricture | 9.13 | N/A | 4.29 | 0.56 | N/A | 13.98 | 090 | |
| 46705 | A | Repair of anal stricture | 6.90 | N/A | 3.71 | 0.73 | N/A | 11.34 | 090 | |
| 46706 | A | Repr of anal fistula w/glue | 2.39 | N/A | 1.27 | 0.17 | N/A | 3.83 | 010 | |
| 46715 | A | Repair of anovaginal fistula | 7.20 | N/A | 3.65 | 0.76 | N/A | 11.61 | 090 | |
| 46716 | A | Repair of anovaginal fistula | 15.07 | N/A | 8.18 | 1.30 | N/A | 24.55 | 090 | |
| 46730 | A | Construction of absent anus | 26.75 | N/A | 12.31 | 2.03 | N/A | 41.09 | 090 | |
| 46735 | A | Construction of absent anus | 32.17 | N/A | 14.15 | 2.64 | N/A | 48.96 | 090 | |
| 46740 | A | Construction of absent anus | 30.00 | N/A | 13.53 | 1.99 | N/A | 45.52 | 090 | |
| 46742 | A | Repair of imperforated anus | 35.80 | N/A | 17.84 | 2.63 | N/A | 56.27 | 090 | |
| 46744 | A | Repair of cloacal anomaly | 52.63 | N/A | 21.45 | 2.27 | N/A | 76.35 | 090 | |
| 46746 | A | Repair of cloacal anomaly | 58.22 | N/A | 25.92 | 2.51 | N/A | 86.65 | 090 | |
| 46748 | A | Repair of cloacal anomaly | 64.21 | N/A | 25.76 | 2.77 | N/A | 92.74 | 090 | |
| 46750 | A | Repair of anal sphincter | 10.25 | N/A | 5.17 | 0.69 | N/A | 16.11 | 090 | |
| 46751 | A | Repair of anal sphincter | 8.77 | N/A | 5.39 | 0.78 | N/A | 14.94 | 090 | |
| 46753 | A | Reconstruction of anus | 8.29 | N/A | 3.90 | 0.58 | N/A | 12.77 | 090 | |
| 46754 | A | Removal of suture from anus | 2.20 | 3.73 | 1.72 | 0.12 | 6.05 | 4.04 | 010 | |
| 46760 | A | Repair of anal sphincter | 14.43 | N/A | 7.13 | 0.86 | N/A | 22.42 | 090 | |
| 46761 | A | Repair of anal sphincter | 13.84 | N/A | 6.16 | 0.84 | N/A | 20.84 | 090 | |
| 46762 | A | Implant artificial sphincter | 12.71 | N/A | 5.59 | 0.71 | N/A | 19.01 | 090 | |
| 46900 | A | Destruction, anal lesion(s) | 1.91 | 3.60 | 0.81 | 0.13 | 5.64 | 2.85 | 010 | |
| 46910 | A | Destruction, anal lesion(s) | 1.86 | 2.75 | 1.12 | 0.14 | 4.75 | 3.12 | 010 | |
| 46916 | A | Cryosurgery, anal lesion(s) | 1.86 | 3.14 | 1.44 | 0.09 | 5.09 | 3.39 | 010 | |
| 46917 | A | Laser surgery, anal lesions | 1.86 | 14.08 | 1.15 | 0.16 | 16.10 | 3.17 | 010 | |
| 46922 | A | Excision of anal lesion(s) | 1.86 | 3.38 | 1.10 | 0.17 | 5.41 | 3.13 | 010 | |
| 46924 | A | Destruction, anal lesion(s) | 2.76 | 12.56 | 1.39 | 0.20 | 15.52 | 4.35 | 010 | |
| 46934 | A | Destruction of hemorrhoids | 3.51 | 5.18 | 2.81 | 0.26 | 8.95 | 6.58 | 090 | |
| 46935 | A | Destruction of hemorrhoids | 2.43 | 3.55 | 1.23 | 0.17 | 6.15 | 3.83 | 010 | |
| 46936 | A | Destruction of hemorrhoids | 3.69 | 4.61 | 2.38 | 0.30 | 8.60 | 6.37 | 090 | |
| 46937 | A | Cryotherapy of rectal lesion | 2.69 | 2.79 | 1.25 | 0.12 | 5.60 | 4.06 | 010 | |
| 46938 | A | Cryotherapy of rectal lesion | 4.66 | 4.28 | 2.74 | 0.40 | 9.34 | 7.80 | 090 | |
| 46940 | A | Treatment of anal fissure | 2.32 | 2.04 | 1.11 | 0.17 | 4.53 | 3.60 | 010 | |
| 46942 | A | Treatment of anal fissure | 2.04 | 1.87 | 1.02 | 0.14 | 4.05 | 3.20 | 010 | |
| 46945 | A | Ligation of hemorrhoids | 1.84 | 3.60 | 1.91 | 0.17 | 5.61 | 3.92 | 090 | |
| 46946 | A | Ligation of hemorrhoids | 2.58 | 4.34 | 1.92 | 0.22 | 7.14 | 4.72 | 090 | |
| 46999 | C | Anus surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47000 | A | Needle biopsy of liver | 1.90 | 3.29 | 0.64 | 0.09 | 5.28 | 2.63 | 000 | |
| 47001 | A | Needle biopsy, liver add-on | 1.90 | N/A | 0.66 | 0.18 | N/A | 2.74 | ZZZ | |
| 47010 | A | Open drainage, liver lesion | 16.01 | N/A | 8.75 | 0.65 | N/A | 25.41 | 090 | |
| 47011 | A | Percut drain, liver lesion | 3.70 | N/A | 4.42 | 0.17 | N/A | 8.29 | 000 | |
| 47015 | A | Inject/aspirate liver cyst | 15.11 | N/A | 7.70 | 0.86 | N/A | 23.67 | 090 | |
| 47100 | A | Wedge biopsy of liver | 11.67 | N/A | 6.22 | 0.75 | N/A | 18.64 | 090 | |
| 47120 | A | Partial removal of liver | 35.50 | N/A | 15.57 | 2.29 | N/A | 53.36 | 090 | |
| 47122 | A | Extensive removal of liver | 55.13 | N/A | 22.07 | 3.60 | N/A | 80.80 | 090 | |
| 47125 | A | Partial removal of liver | 49.19 | N/A | 20.05 | 3.18 | N/A | 72.42 | 090 | |
| 47130 | A | Partial removal of liver | 53.35 | N/A | 21.54 | 3.47 | N/A | 78.36 | 090 | |
| 47134 | R | Partial removal, donor liver | 39.15 | N/A | 13.51 | 3.98 | N/A | 56.64 | XXX | |
| 47135 | R | Transplantation of liver | 81.52 | N/A | 32.18 | 8.13 | N/A | 121.83 | 090 | |
| 47136 | R | Transplantation of liver | 68.60 | N/A | 29.48 | 6.93 | N/A | 105.01 | 090 | |
| 47300 | A | Surgery for liver lesion | 15.08 | N/A | 7.44 | 0.97 | N/A | 23.49 | 090 | |
| 47350 | A | Repair liver wound | 19.56 | N/A | 9.10 | 1.25 | N/A | 29.91 | 090 | |
| 47360 | A | Repair liver wound | 26.92 | N/A | 11.93 | 1.71 | N/A | 40.56 | 090 | |
| 47361 | A | Repair liver wound | 47.12 | N/A | 19.02 | 3.11 | N/A | 69.25 | 090 | |
| 47362 | A | Repair liver wound | 18.51 | N/A | 9.02 | 1.22 | N/A | 28.75 | 090 | |
| 47370 | A | Laparo ablate liver tumor rf | 19.69 | N/A | 8.31 | 0.85 | N/A | 28.85 | 090 | |
| 47371 | A | Laparo ablate liver cryosurg | 19.69 | N/A | 8.43 | 0.85 | N/A | 28.97 | 090 | |
| 47379 | C | Laparoscope procedure, liver | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47380 | A | Open ablate liver tumor rf | 23.00 | N/A | 9.55 | 0.85 | N/A | 33.40 | 090 | |
| 47381 | A | Open ablate liver tumor cryo | 23.27 | N/A | 9.86 | 0.85 | N/A | 33.98 | 090 | |
| 47382 | A | Percut ablate liver rf | 15.19 | N/A | 6.00 | 1.14 | N/A | 22.33 | 010 | |
| 47399 | C | Liver surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47400 | A | Incision of liver duct | 32.49 | N/A | 13.86 | 1.82 | N/A | 48.17 | 090 | |
| 47420 | A | Incision of bile duct | 19.88 | N/A | 8.99 | 1.70 | N/A | 30.57 | 090 | |
| 47425 | A | Incision of bile duct | 19.83 | N/A | 9.04 | 1.60 | N/A | 30.47 | 090 | |
| 47460 | A | Incise bile duct sphincter | 18.04 | N/A | 8.61 | 1.24 | N/A | 27.89 | 090 | |
| 47480 | A | Incision of gallbladder | 10.82 | N/A | 6.13 | 0.85 | N/A | 17.80 | 090 | |
| 47490 | A | Incision of gallbladder | 7.23 | N/A | 5.97 | 0.33 | N/A | 13.53 | 090 | |
| 47500 | A | Injection for liver x-rays | 1.96 | N/A | 0.65 | 0.09 | N/A | 2.70 | 000 | |
| 47505 | A | Injection for liver x-rays | 0.76 | 2.59 | 0.25 | 0.03 | 3.38 | 1.04 | 000 | |
| 47510 | A | Insert catheter, bile duct | 7.83 | N/A | 5.02 | 0.36 | N/A | 13.21 | 090 | |
| 47511 | A | Insert bile duct drain | 10.50 | N/A | 5.12 | 0.47 | N/A | 16.09 | 090 | |
| 47525 | A | Change bile duct catheter | 5.55 | N/A | 3.26 | 0.24 | N/A | 9.05 | 010 | |
| 47530 | A | Revise/reinsert bile tube | 5.85 | N/A | 4.30 | 0.29 | N/A | 10.44 | 090 | |
| 47550 | A | Bile duct endoscopy add-on | 3.02 | N/A | 1.05 | 0.30 | N/A | 4.37 | ZZZ | |
| 47552 | A | Biliary endoscopy thru skin | 6.04 | N/A | 2.43 | 0.42 | N/A | 8.89 | 000 | |
| 47553 | A | Biliary endoscopy thru skin | 6.35 | N/A | 2.62 | 0.30 | N/A | 9.27 | 000 | |
| 47554 | A | Biliary endoscopy thru skin | 9.06 | N/A | 3.43 | 0.74 | N/A | 13.23 | 000 | |
| 47555 | A | Biliary endoscopy thru skin | 7.56 | N/A | 3.04 | 0.35 | N/A | 10.95 | 000 | |
| 47556 | A | Biliary endoscopy thru skin | 8.56 | N/A | 3.37 | 0.38 | N/A | 12.31 | 000 | |
| 47560 | A | Laparoscopy w/cholangio | 4.89 | N/A | 1.85 | 0.49 | N/A | 7.23 | 000 | |
| 47561 | A | Laparo w/cholangio/biopsy | 5.18 | N/A | 2.16 | 0.49 | N/A | 7.83 | 000 | |
| 47562 | A | Laparoscopic cholecystectomy | 11.09 | N/A | 5.04 | 1.13 | N/A | 17.26 | 090 | |
| 47563 | A | Laparo cholecystectomy/graph | 11.94 | N/A | 5.35 | 1.21 | N/A | 18.50 | 090 | |
| 47564 | A | Laparo cholecystectomy/explr | 14.23 | N/A | 6.06 | 1.44 | N/A | 21.73 | 090 | |
| 47570 | A | Laparo cholecystoenterostomy | 12.58 | N/A | 5.47 | 1.28 | N/A | 19.33 | 090 | |
| 47579 | C | Laparoscope proc, biliary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 47600 | A | Removal of gallbladder | 13.58 | N/A | 6.36 | 1.16 | N/A | 21.10 | 090 | |
| 47605 | A | Removal of gallbladder | 14.69 | N/A | 6.72 | 1.25 | N/A | 22.66 | 090 | |
| 47610 | A | Removal of gallbladder | 18.82 | N/A | 8.20 | 1.61 | N/A | 28.63 | 090 | |
| 47612 | A | Removal of gallbladder | 18.78 | N/A | 8.14 | 1.60 | N/A | 28.52 | 090 | |
| 47620 | A | Removal of gallbladder | 20.64 | N/A | 8.79 | 1.77 | N/A | 31.20 | 090 | |
| 47630 | A | Remove bile duct stone | 9.11 | N/A | 4.81 | 0.46 | N/A | 14.38 | 090 | |
| 47700 | A | Exploration of bile ducts | 15.62 | N/A | 7.60 | 1.40 | N/A | 24.62 | 090 | |
| 47701 | A | Bile duct revision | 27.81 | N/A | 11.87 | 3.00 | N/A | 42.68 | 090 | |
| 47711 | A | Excision of bile duct tumor | 23.03 | N/A | 10.22 | 1.98 | N/A | 35.23 | 090 | |
| 47712 | A | Excision of bile duct tumor | 30.24 | N/A | 12.77 | 2.67 | N/A | 45.68 | 090 | |
| 47715 | A | Excision of bile duct cyst | 18.80 | N/A | 8.66 | 1.59 | N/A | 29.05 | 090 | |
| 47716 | A | Fusion of bile duct cyst | 16.44 | N/A | 8.09 | 1.41 | N/A | 25.94 | 090 | |
| 47720 | A | Fuse gallbladder bowel | 15.91 | N/A | 7.69 | 1.37 | N/A | 24.97 | 090 | |
| 47721 | A | Fuse upper gi structures | 19.12 | N/A | 8.81 | 1.63 | N/A | 29.56 | 090 | |
| 47740 | A | Fuse gallbladder bowel | 18.48 | N/A | 8.61 | 1.59 | N/A | 28.68 | 090 | |
| 47741 | A | Fuse gallbladder bowel | 21.34 | N/A | 9.54 | 1.82 | N/A | 32.70 | 090 | |
| 47760 | A | Fuse bile ducts and bowel | 25.85 | N/A | 11.13 | 2.21 | N/A | 39.19 | 090 | |
| 47765 | A | Fuse liver ducts bowel | 24.88 | N/A | 11.16 | 2.18 | N/A | 38.22 | 090 | |
| 47780 | A | Fuse bile ducts and bowel | 26.50 | N/A | 11.50 | 2.27 | N/A | 40.27 | 090 | |
| 47785 | A | Fuse bile ducts and bowel | 31.18 | N/A | 13.32 | 2.69 | N/A | 47.19 | 090 | |
| 47800 | A | Reconstruction of bile ducts | 23.30 | N/A | 10.33 | 1.95 | N/A | 35.58 | 090 | |
| 47801 | A | Placement, bile duct support | 15.17 | N/A | 8.43 | 0.69 | N/A | 24.29 | 090 | |
| 47802 | A | Fuse liver duct intestine | 21.55 | N/A | 9.99 | 1.84 | N/A | 33.38 | 090 | |
| 47900 | A | Suture bile duct injury | 19.90 | N/A | 9.11 | 1.65 | N/A | 30.66 | 090 | |
| 47999 | C | Bile tract surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 48000 | A | Drainage of abdomen | 28.07 | N/A | 11.83 | 1.32 | N/A | 41.22 | 090 | |
| 48001 | A | Placement of drain, pancreas | 35.45 | N/A | 14.27 | 1.90 | N/A | 51.62 | 090 | |
| 48005 | A | Resect/debride pancreas | 42.17 | N/A | 16.95 | 2.26 | N/A | 61.38 | 090 | |
| 48020 | A | Removal of pancreatic stone | 15.70 | N/A | 7.52 | 1.36 | N/A | 24.58 | 090 | |
| 48100 | A | Biopsy of pancreas, open | 12.23 | N/A | 5.82 | 1.08 | N/A | 19.13 | 090 | |
| 48102 | A | Needle biopsy, pancreas | 4.68 | 9.01 | 2.47 | 0.20 | 13.89 | 7.35 | 010 | |
| 48120 | A | Removal of pancreas lesion | 15.85 | N/A | 7.10 | 1.35 | N/A | 24.30 | 090 | |
| 48140 | A | Partial removal of pancreas | 22.94 | N/A | 9.79 | 2.12 | N/A | 34.85 | 090 | |
| 48145 | A | Partial removal of pancreas | 24.02 | N/A | 10.14 | 2.25 | N/A | 36.41 | 090 | |
| 48146 | A | Pancreatectomy | 26.40 | N/A | 12.29 | 2.43 | N/A | 41.12 | 090 | |
| 48148 | A | Removal of pancreatic duct | 17.34 | N/A | 7.88 | 1.61 | N/A | 26.83 | 090 | |
| 48150 | A | Partial removal of pancreas | 48.00 | N/A | 20.04 | 4.43 | N/A | 72.47 | 090 | |
| 48152 | A | Pancreatectomy | 43.75 | N/A | 18.70 | 4.07 | N/A | 66.52 | 090 | |
| 48153 | A | Pancreatectomy | 47.89 | N/A | 20.15 | 4.40 | N/A | 72.44 | 090 | |
| 48154 | A | Pancreatectomy | 44.10 | N/A | 18.76 | 4.10 | N/A | 66.96 | 090 | |
| 48155 | A | Removal of pancreas | 24.64 | N/A | 12.08 | 2.30 | N/A | 39.02 | 090 | |
| 48180 | A | Fuse pancreas and bowel | 24.72 | N/A | 10.46 | 2.24 | N/A | 37.42 | 090 | |
| 48400 | A | Injection, intraop add-on | 1.95 | N/A | 0.66 | 0.10 | N/A | 2.71 | ZZZ | |
| 48500 | A | Surgery of pancreatic cyst | 15.28 | N/A | 7.57 | 1.35 | N/A | 24.20 | 090 | |
| 48510 | A | Drain pancreatic pseudocyst | 14.31 | N/A | 7.67 | 1.07 | N/A | 23.05 | 090 | |
| 48511 | A | Drain pancreatic pseudocyst | 4.00 | N/A | 3.75 | 0.17 | N/A | 7.92 | 000 | |
| 48520 | A | Fuse pancreas cyst and bowel | 15.59 | N/A | 6.94 | 1.41 | N/A | 23.94 | 090 | |
| 48540 | A | Fuse pancreas cyst and bowel | 19.72 | N/A | 8.37 | 1.82 | N/A | 29.91 | 090 | |
| 48545 | A | Pancreatorrhaphy | 18.18 | N/A | 8.23 | 1.61 | N/A | 28.02 | 090 | |
| 48547 | A | Duodenal exclusion | 25.83 | N/A | 10.76 | 2.30 | N/A | 38.89 | 090 | |
| 48554 | R | Transpl allograft pancreas | 34.17 | N/A | 16.00 | 3.30 | N/A | 53.47 | 090 | |
| 48556 | A | Removal, allograft pancreas | 15.71 | N/A | 7.81 | 1.52 | N/A | 25.04 | 090 | |
| 48999 | C | Pancreas surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49000 | A | Exploration of abdomen | 11.68 | N/A | 5.44 | 1.17 | N/A | 18.29 | 090 | |
| 49002 | A | Reopening of abdomen | 10.49 | N/A | 5.10 | 1.06 | N/A | 16.65 | 090 | |
| 49010 | A | Exploration behind abdomen | 12.28 | N/A | 5.96 | 1.22 | N/A | 19.46 | 090 | |
| 49020 | A | Drain abdominal abscess | 22.84 | N/A | 10.32 | 1.31 | N/A | 34.47 | 090 | |
| 49021 | A | Drain abdominal abscess | 3.38 | N/A | 5.37 | 0.16 | N/A | 8.91 | 000 | |
| 49040 | A | Drain, open, abdom abscess | 13.52 | N/A | 6.54 | 0.84 | N/A | 20.90 | 090 | |
| 49041 | A | Drain, percut, abdom abscess | 4.00 | N/A | 5.69 | 0.18 | N/A | 9.87 | 000 | |
| 49060 | A | Drain, open, retrop abscess | 15.86 | N/A | 7.56 | 0.77 | N/A | 24.19 | 090 | |
| 49061 | A | Drain, percut, retroper absc | 3.70 | N/A | 5.68 | 0.17 | N/A | 9.55 | 000 | |
| 49062 | A | Drain to peritoneal cavity | 11.36 | N/A | 5.59 | 1.08 | N/A | 18.03 | 090 | |
| 49080 | A | Puncture, peritoneal cavity | 1.35 | 4.18 | 0.46 | 0.07 | 5.60 | 1.88 | 000 | |
| 49081 | A | Removal of abdominal fluid | 1.26 | 2.68 | 0.58 | 0.06 | 4.00 | 1.90 | 000 | |
| 49085 | A | Remove abdomen foreign body | 12.14 | N/A | 5.62 | 0.88 | N/A | 18.64 | 090 | |
| 49180 | A | Biopsy, abdominal mass | 1.73 | 3.34 | 0.58 | 0.08 | 5.15 | 2.39 | 000 | |
| 49200 | A | Removal of abdominal lesion | 10.25 | N/A | 5.12 | 0.92 | N/A | 16.29 | 090 | |
| 49201 | A | Remove abdom lesion, complex | 14.84 | N/A | 7.23 | 1.47 | N/A | 23.54 | 090 | |
| 49215 | A | Excise sacral spine tumor | 33.50 | N/A | 14.50 | 2.48 | N/A | 50.48 | 090 | |
| 49220 | A | Multiple surgery, abdomen | 14.88 | N/A | 6.74 | 1.51 | N/A | 23.13 | 090 | |
| 49250 | A | Excision of umbilicus | 8.35 | N/A | 4.35 | 0.84 | N/A | 13.54 | 090 | |
| 49255 | A | Removal of omentum | 11.14 | N/A | 5.74 | 1.12 | N/A | 18.00 | 090 | |
| 49320 | A | Diag laparo separate proc | 5.10 | N/A | 2.60 | 0.50 | N/A | 8.20 | 010 | |
| 49321 | A | Laparoscopy, biopsy | 5.40 | N/A | 2.61 | 0.53 | N/A | 8.54 | 010 | |
| 49322 | A | Laparoscopy, aspiration | 5.70 | N/A | 2.94 | 0.57 | N/A | 9.21 | 010 | |
| 49323 | A | Laparo drain lymphocele | 9.48 | N/A | 4.49 | 0.88 | N/A | 14.85 | 090 | |
| 49329 | C | Laparo proc, abdm/per/oment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49400 | A | Air injection into abdomen | 1.88 | N/A | 0.79 | 0.11 | N/A | 2.78 | 000 | |
| 49419 | A | Insrt abdom cath for chemotx | 6.65 | N/A | 3.60 | 0.55 | N/A | 10.80 | 090 | |
| 49420 | A | Insert abdom drain, temp | 2.22 | N/A | 1.13 | 0.13 | N/A | 3.48 | 000 | |
| 49421 | A | Insert abdom drain, perm | 5.54 | N/A | 3.18 | 0.55 | N/A | 9.27 | 090 | |
| 49422 | A | Remove perm cannula/catheter | 6.25 | N/A | 2.90 | 0.63 | N/A | 9.78 | 010 | |
| 49423 | A | Exchange drainage catheter | 1.46 | N/A | 0.67 | 0.07 | N/A | 2.20 | 000 | |
| 49424 | A | Assess cyst, contrast inject | 0.76 | N/A | 0.44 | 0.03 | N/A | 1.23 | 000 | |
| 49425 | A | Insert abdomen-venous drain | 11.37 | N/A | 5.62 | 1.21 | N/A | 18.20 | 090 | |
| 49426 | A | Revise abdomen-venous shunt | 9.63 | N/A | 4.82 | 0.93 | N/A | 15.38 | 090 | |
| 49427 | A | Injection, abdominal shunt | 0.89 | N/A | 0.48 | 0.05 | N/A | 1.42 | 000 | |
| 49428 | A | Ligation of shunt | 6.06 | N/A | 3.33 | 0.31 | N/A | 9.70 | 010 | |
| 49429 | A | Removal of shunt | 7.40 | N/A | 3.53 | 0.81 | N/A | 11.74 | 010 | |
| 49491 | A | Rpr hern preemie reduc | 11.13 | N/A | 5.30 | 1.10 | N/A | 17.53 | 090 | |
| 49492 | A | Rpr ing hern premie, blocked | 14.03 | N/A | 6.29 | 1.47 | N/A | 21.79 | 090 | |
| 49495 | A | Rpr ing hernia baby, reduc | 5.89 | N/A | 3.07 | 0.58 | N/A | 9.54 | 090 | |
| 49496 | A | Rpr ing hernia baby, blocked | 8.79 | N/A | 4.42 | 0.92 | N/A | 14.13 | 090 | |
| 49500 | A | Rpr ing hernia, init, reduce | 5.48 | N/A | 3.20 | 0.46 | N/A | 9.14 | 090 | |
| 49501 | A | Rpr ing hernia, init blocked | 8.88 | N/A | 4.29 | 0.76 | N/A | 13.93 | 090 | |
| 49505 | A | Prp i/hern init reduc5 yr | 7.60 | 4.04 | 3.83 | 0.65 | 12.29 | 12.08 | 090 | |
| 49507 | A | Prp i/hern init block5 yr | 9.57 | N/A | 4.67 | 0.83 | N/A | 15.07 | 090 | |
| 49520 | A | Rerepair ing hernia, reduce | 9.63 | N/A | 4.63 | 0.84 | N/A | 15.10 | 090 | |
| 49521 | A | Rerepair ing hernia, blocked | 11.97 | N/A | 5.36 | 1.04 | N/A | 18.37 | 090 | |
| 49525 | A | Repair ing hernia, sliding | 8.57 | N/A | 4.23 | 0.74 | N/A | 13.54 | 090 | |
| 49540 | A | Repair lumbar hernia | 10.39 | N/A | 4.91 | 0.90 | N/A | 16.20 | 090 | |
| 49550 | A | Rpr rem hernia, init, reduce | 8.63 | N/A | 4.22 | 0.75 | N/A | 13.60 | 090 | |
| 49553 | A | Rpr fem hernia, init blocked | 9.44 | N/A | 4.55 | 0.83 | N/A | 14.82 | 090 | |
| 49555 | A | Rerepair fem hernia, reduce | 9.03 | N/A | 4.42 | 0.79 | N/A | 14.24 | 090 | |
| 49557 | A | Rerepair fem hernia, blocked | 11.15 | N/A | 5.14 | 0.97 | N/A | 17.26 | 090 | |
| 49560 | A | Rpr ventral hern init, reduc | 11.57 | N/A | 5.32 | 1.00 | N/A | 17.89 | 090 | |
| 49561 | A | Rpr ventral hern init, block | 14.25 | N/A | 6.24 | 1.23 | N/A | 21.72 | 090 | |
| 49565 | A | Rerepair ventrl hern, reduce | 11.57 | N/A | 5.39 | 1.00 | N/A | 17.96 | 090 | |
| 49566 | A | Rerepair ventrl hern, block | 14.40 | N/A | 6.31 | 1.24 | N/A | 21.95 | 090 | |
| 49568 | A | Hernia repair w/mesh | 4.89 | N/A | 1.71 | 0.50 | N/A | 7.10 | ZZZ | |
| 49570 | A | Rpr epigastric hern, reduce | 5.69 | N/A | 3.23 | 0.50 | N/A | 9.42 | 090 | |
| 49572 | A | Rpr epigastric hern, blocked | 6.73 | N/A | 3.59 | 0.58 | N/A | 10.90 | 090 | |
| 49580 | A | Rpr umbil hern, reduc 5 yr | 4.11 | N/A | 2.68 | 0.34 | N/A | 7.13 | 090 | |
| 49582 | A | Rpr umbil hern, block 5 yr | 6.65 | N/A | 3.65 | 0.57 | N/A | 10.87 | 090 | |
| 49585 | A | Rpr umbil hern, reduc 5 yr | 6.23 | N/A | 3.43 | 0.53 | N/A | 10.19 | 090 | |
| 49587 | A | Rpr umbil hern, block 5 yr | 7.56 | N/A | 3.83 | 0.65 | N/A | 12.04 | 090 | |
| 49590 | A | Repair spigilian hernia | 8.54 | N/A | 4.23 | 0.74 | N/A | 13.51 | 090 | |
| 49600 | A | Repair umbilical lesion | 10.96 | N/A | 5.39 | 1.13 | N/A | 17.48 | 090 | |
| 49605 | A | Repair umbilical lesion | 76.00 | N/A | 29.13 | 2.57 | N/A | 107.70 | 090 | |
| 49606 | A | Repair umbilical lesion | 18.60 | N/A | 7.89 | 2.22 | N/A | 28.71 | 090 | |
| 49610 | A | Repair umbilical lesion | 10.50 | N/A | 5.42 | 0.77 | N/A | 16.69 | 090 | |
| 49611 | A | Repair umbilical lesion | 8.92 | N/A | 6.51 | 0.65 | N/A | 16.08 | 090 | |
| 49650 | A | Laparo hernia repair initial | 6.27 | N/A | 3.22 | 0.64 | N/A | 10.13 | 090 | |
| 49651 | A | Laparo hernia repair recur | 8.24 | N/A | 4.14 | 0.84 | N/A | 13.22 | 090 | |
| 49659 | C | Laparo proc, hernia repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 49900 | A | Repair of abdominal wall | 12.28 | N/A | 6.35 | 1.23 | N/A | 19.86 | 090 | |
| 49904 | A | Omental flap, extra-abdom | 20.00 | N/A | 15.88 | 1.91 | N/A | 37.79 | 090 | |
| 49905 | A | Omental flap, intra-abdom | 6.55 | N/A | 2.33 | 0.61 | N/A | 9.49 | ZZZ | |
| 49906 | C | Free omental flap, microvasc | 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 | YYY | |
| 50010 | A | Exploration of kidney | 10.98 | N/A | 5.69 | 0.79 | N/A | 17.46 | 090 | |
| 50020 | A | Renal abscess, open drain | 14.66 | N/A | 9.32 | 0.80 | N/A | 24.78 | 090 | |
| 50021 | A | Renal abscess, percut drain | 3.38 | N/A | 1.45 | 0.15 | N/A | 4.98 | 000 | |
| 50040 | A | Drainage of kidney | 14.94 | N/A | 8.84 | 0.82 | N/A | 24.60 | 090 | |
| 50045 | A | Exploration of kidney | 15.46 | N/A | 7.12 | 1.06 | N/A | 23.64 | 090 | |
| 50060 | A | Removal of kidney stone | 19.30 | N/A | 8.41 | 1.14 | N/A | 28.85 | 090 | |
| 50065 | A | Incision of kidney | 20.79 | N/A | 6.40 | 1.13 | N/A | 28.32 | 090 | |
| 50070 | A | Incision of kidney | 20.32 | N/A | 8.81 | 1.20 | N/A | 30.33 | 090 | |
| 50075 | A | Removal of kidney stone | 25.34 | N/A | 10.62 | 1.51 | N/A | 37.47 | 090 | |
| 50080 | A | Removal of kidney stone | 14.71 | N/A | 8.29 | 0.86 | N/A | 23.86 | 090 | |
| 50081 | A | Removal of kidney stone | 21.80 | N/A | 10.79 | 1.30 | N/A | 33.89 | 090 | |
| 50100 | A | Revise kidney blood vessels | 16.09 | N/A | 8.17 | 1.64 | N/A | 25.90 | 090 | |
| 50120 | A | Exploration of kidney | 15.91 | N/A | 7.33 | 1.04 | N/A | 24.28 | 090 | |
| 50125 | A | Explore and drain kidney | 16.52 | N/A | 7.50 | 1.07 | N/A | 25.09 | 090 | |
| 50130 | A | Removal of kidney stone | 17.29 | N/A | 7.73 | 1.04 | N/A | 26.06 | 090 | |
| 50135 | A | Exploration of kidney | 19.18 | N/A | 8.36 | 1.18 | N/A | 28.72 | 090 | |
| 50200 | A | Biopsy of kidney | 2.63 | N/A | 0.92 | 0.12 | N/A | 3.67 | 000 | |
| 50205 | A | Biopsy of kidney | 11.31 | N/A | 5.47 | 0.94 | N/A | 17.72 | 090 | |
| 50220 | A | Remove kidney, open | 17.15 | N/A | 7.77 | 1.16 | N/A | 26.08 | 090 | |
| 50225 | A | Removal kidney open, complex | 20.23 | N/A | 8.73 | 1.26 | N/A | 30.22 | 090 | |
| 50230 | A | Removal kidney open, radical | 22.07 | N/A | 9.22 | 1.35 | N/A | 32.64 | 090 | |
| 50234 | A | Removal of kidney ureter | 22.40 | N/A | 9.43 | 1.37 | N/A | 33.20 | 090 | |
| 50236 | A | Removal of kidney ureter | 24.86 | N/A | 11.85 | 1.50 | N/A | 38.21 | 090 | |
| 50240 | A | Partial removal of kidney | 22.00 | N/A | 10.92 | 1.36 | N/A | 34.28 | 090 | |
| 50280 | A | Removal of kidney lesion | 15.67 | N/A | 7.22 | 0.99 | N/A | 23.88 | 090 | |
| 50290 | A | Removal of kidney lesion | 14.73 | N/A | 6.92 | 1.11 | N/A | 22.76 | 090 | |
| 50320 | A | Removal of donor kidney | 22.21 | N/A | 9.47 | 1.78 | N/A | 33.46 | 090 | |
| 50340 | A | Removal of kidney | 12.15 | N/A | 7.14 | 1.15 | N/A | 20.44 | 090 | |
| 50360 | A | Transplantation of kidney | 31.53 | N/A | 14.85 | 2.97 | N/A | 49.35 | 090 | |
| 50365 | A | Transplantation of kidney | 36.81 | N/A | 17.60 | 3.51 | N/A | 57.92 | 090 | |
| 50370 | A | Remove transplanted kidney | 13.72 | N/A | 7.75 | 1.26 | N/A | 22.73 | 090 | |
| 50380 | A | Reimplantation of kidney | 20.76 | N/A | 12.31 | 1.80 | N/A | 34.87 | 090 | |
| 50390 | A | Drainage of kidney lesion | 1.96 | N/A | 0.65 | 0.09 | N/A | 2.70 | 000 | |
| 50392 | A | Insert kidney drain | 3.38 | N/A | 1.12 | 0.15 | N/A | 4.65 | 000 | |
| 50393 | A | Insert ureteral tube | 4.16 | N/A | 1.38 | 0.18 | N/A | 5.72 | 000 | |
| 50394 | A | Injection for kidney x-ray | 0.76 | 2.52 | 0.25 | 0.04 | 3.32 | 1.05 | 000 | |
| 50395 | A | Create passage to kidney | 3.38 | N/A | 1.12 | 0.16 | N/A | 4.66 | 000 | |
| 50396 | A | Measure kidney pressure | 2.09 | N/A | 0.87 | 0.10 | N/A | 3.06 | 000 | |
| 50398 | A | Change kidney tube | 1.46 | 1.21 | 0.49 | 0.07 | 2.74 | 2.02 | 000 | |
| 50400 | A | Revision of kidney/ureter | 19.50 | N/A | 8.46 | 1.21 | N/A | 29.17 | 090 | |
| 50405 | A | Revision of kidney/ureter | 23.93 | N/A | 10.80 | 1.45 | N/A | 36.18 | 090 | |
| 50500 | A | Repair of kidney wound | 19.57 | N/A | 9.01 | 1.45 | N/A | 30.03 | 090 | |
| 50520 | A | Close kidney-skin fistula | 17.23 | N/A | 9.11 | 1.26 | N/A | 27.60 | 090 | |
| 50525 | A | Repair renal-abdomen fistula | 22.27 | N/A | 10.50 | 1.51 | N/A | 34.28 | 090 | |
| 50526 | A | Repair renal-abdomen fistula | 24.02 | N/A | 11.18 | 1.62 | N/A | 36.82 | 090 | |
| 50540 | A | Revision of horseshoe kidney | 19.93 | N/A | 8.83 | 1.28 | N/A | 30.04 | 090 | |
| 50541 | A | Laparo ablate renal cyst | 16.00 | N/A | 6.55 | 0.99 | N/A | 23.54 | 090 | |
| 50542 | A | Laparo ablate renal mass | 20.00 | N/A | 8.32 | 1.36 | N/A | 29.68 | 090 | |
| 50543 | A | Laparo partial nephrectomy | 25.50 | N/A | 10.50 | 1.36 | N/A | 37.36 | 090 | |
| 50544 | A | Laparoscopy, pyeloplasty | 22.40 | N/A | 8.66 | 1.41 | N/A | 32.47 | 090 | |
| 50545 | A | Laparo radical nephrectomy | 24.00 | N/A | 9.44 | 1.53 | N/A | 34.97 | 090 | |
| 50546 | A | Laparoscopic nephrectomy | 20.48 | N/A | 8.40 | 1.37 | N/A | 30.25 | 090 | |
| 50547 | A | Laparo removal donor kidney | 25.50 | N/A | 10.33 | 2.04 | N/A | 37.87 | 090 | |
| 50548 | A | Laparo remove k/ureter | 24.40 | N/A | 9.30 | 1.49 | N/A | 35.19 | 090 | |
| 50549 | C | Laparoscope proc, renal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50551 | A | Kidney endoscopy | 5.60 | 5.03 | 1.83 | 0.33 | 10.96 | 7.76 | 000 | |
| 50553 | A | Kidney endoscopy | 5.99 | 18.93 | 1.99 | 0.35 | 25.27 | 8.33 | 000 | |
| 50555 | A | Kidney endoscopy biopsy | 6.53 | 19.59 | 2.16 | 0.38 | 26.50 | 9.07 | 000 | |
| 50557 | A | Kidney endoscopy treatment | 6.62 | 20.38 | 2.17 | 0.39 | 27.39 | 9.18 | 000 | |
| 50559 | A | Renal endoscopy/radiotracer | 6.78 | N/A | 2.24 | 0.27 | N/A | 9.29 | 000 | |
| 50561 | A | Kidney endoscopy treatment | 7.59 | 18.03 | 2.49 | 0.44 | 26.06 | 10.52 | 000 | |
| 50562 | A | Renal scope w/tumor resect | 10.92 | N/A | 3.93 | 0.84 | N/A | 15.69 | 090 | |
| 50570 | A | Kidney endoscopy | 9.54 | N/A | 3.12 | 0.56 | N/A | 13.22 | 000 | |
| 50572 | A | Kidney endoscopy | 10.35 | N/A | 3.39 | 0.64 | N/A | 14.38 | 000 | |
| 50574 | A | Kidney endoscopy biopsy | 11.02 | N/A | 3.62 | 0.65 | N/A | 15.29 | 000 | |
| 50575 | A | Kidney endoscopy | 13.98 | N/A | 4.58 | 0.84 | N/A | 19.40 | 000 | |
| 50576 | A | Kidney endoscopy treatment | 10.99 | N/A | 3.59 | 0.66 | N/A | 15.24 | 000 | |
| 50578 | A | Renal endoscopy/radiotracer | 11.35 | N/A | 3.71 | 0.67 | N/A | 15.73 | 000 | |
| 50580 | A | Kidney endoscopy treatment | 11.86 | N/A | 3.88 | 0.70 | N/A | 16.44 | 000 | |
| 50590 | A | Fragmenting of kidney stone | 9.09 | 10.52 | 4.93 | 0.54 | 20.15 | 14.56 | 090 | |
| 50600 | A | Exploration of ureter | 15.84 | N/A | 7.33 | 0.99 | N/A | 24.16 | 090 | |
| 50605 | A | Insert ureteral support | 15.46 | N/A | 7.31 | 1.13 | N/A | 23.90 | 090 | |
| 50610 | A | Removal of ureter stone | 15.92 | N/A | 7.60 | 1.08 | N/A | 24.60 | 090 | |
| 50620 | A | Removal of ureter stone | 15.16 | N/A | 6.97 | 0.91 | N/A | 23.04 | 090 | |
| 50630 | A | Removal of ureter stone | 14.94 | N/A | 6.90 | 0.90 | N/A | 22.74 | 090 | |
| 50650 | A | Removal of ureter | 17.41 | N/A | 7.87 | 1.07 | N/A | 26.35 | 090 | |
| 50660 | A | Removal of ureter | 19.55 | N/A | 8.61 | 1.19 | N/A | 29.35 | 090 | |
| 50684 | A | Injection for ureter x-ray | 0.76 | 10.78 | 0.25 | 0.04 | 11.58 | 1.05 | 000 | |
| 50686 | A | Measure ureter pressure | 1.51 | 4.66 | 0.66 | 0.09 | 6.26 | 2.26 | 000 | |
| 50688 | A | Change of ureter tube | 1.17 | N/A | 1.72 | 0.06 | N/A | 2.95 | 010 | |
| 50690 | A | Injection for ureter x-ray | 1.16 | 10.98 | 0.38 | 0.06 | 12.20 | 1.60 | 000 | |
| 50700 | A | Revision of ureter | 15.21 | N/A | 7.59 | 0.86 | N/A | 23.66 | 090 | |
| 50715 | A | Release of ureter | 18.90 | N/A | 9.55 | 1.68 | N/A | 30.13 | 090 | |
| 50722 | A | Release of ureter | 16.35 | N/A | 8.38 | 1.41 | N/A | 26.14 | 090 | |
| 50725 | A | Release/revise ureter | 18.49 | N/A | 8.73 | 1.44 | N/A | 28.66 | 090 | |
| 50727 | A | Revise ureter | 8.18 | N/A | 5.44 | 0.51 | N/A | 14.13 | 090 | |
| 50728 | A | Revise ureter | 12.02 | N/A | 6.96 | 0.88 | N/A | 19.86 | 090 | |
| 50740 | A | Fusion of ureter kidney | 18.42 | N/A | 8.27 | 1.49 | N/A | 28.18 | 090 | |
| 50750 | A | Fusion of ureter kidney | 19.51 | N/A | 8.66 | 1.24 | N/A | 29.41 | 090 | |
| 50760 | A | Fusion of ureters | 18.42 | N/A | 8.30 | 1.25 | N/A | 27.97 | 090 | |
| 50770 | A | Splicing of ureters | 19.51 | N/A | 8.62 | 1.25 | N/A | 29.38 | 090 | |
| 50780 | A | Reimplant ureter in bladder | 18.36 | N/A | 8.22 | 1.20 | N/A | 27.78 | 090 | |
| 50782 | A | Reimplant ureter in bladder | 19.54 | N/A | 9.91 | 1.13 | N/A | 30.58 | 090 | |
| 50783 | A | Reimplant ureter in bladder | 20.55 | N/A | 9.67 | 1.35 | N/A | 31.57 | 090 | |
| 50785 | A | Reimplant ureter in bladder | 20.52 | N/A | 8.96 | 1.30 | N/A | 30.78 | 090 | |
| 50800 | A | Implant ureter in bowel | 14.52 | N/A | 7.34 | 0.92 | N/A | 22.78 | 090 | |
| 50810 | A | Fusion of ureter bowel | 20.05 | N/A | 9.89 | 1.78 | N/A | 31.72 | 090 | |
| 50815 | A | Urine shunt to intestine | 19.93 | N/A | 9.34 | 1.31 | N/A | 30.58 | 090 | |
| 50820 | A | Construct bowel bladder | 21.89 | N/A | 9.50 | 1.38 | N/A | 32.77 | 090 | |
| 50825 | A | Construct bowel bladder | 28.18 | N/A | 12.20 | 1.81 | N/A | 42.19 | 090 | |
| 50830 | A | Revise urine flow | 31.28 | N/A | 13.12 | 2.20 | N/A | 46.60 | 090 | |
| 50840 | A | Replace ureter by bowel | 20.00 | N/A | 9.32 | 1.26 | N/A | 30.58 | 090 | |
| 50845 | A | Appendico-vesicostomy | 20.89 | N/A | 9.08 | 1.26 | N/A | 31.23 | 090 | |
| 50860 | A | Transplant ureter to skin | 15.36 | N/A | 7.23 | 1.01 | N/A | 23.60 | 090 | |
| 50900 | A | Repair of ureter | 13.62 | N/A | 6.66 | 0.98 | N/A | 21.26 | 090 | |
| 50920 | A | Closure ureter/skin fistula | 14.33 | N/A | 7.09 | 0.84 | N/A | 22.26 | 090 | |
| 50930 | A | Closure ureter/bowel fistula | 18.72 | N/A | 8.53 | 1.57 | N/A | 28.82 | 090 | |
| 50940 | A | Release of ureter | 14.51 | N/A | 6.96 | 1.04 | N/A | 22.51 | 090 | |
| 50945 | A | Laparoscopy ureterolithotomy | 17.00 | N/A | 7.11 | 1.15 | N/A | 25.26 | 090 | |
| 50947 | A | Laparo new ureter/bladder | 24.50 | N/A | 10.14 | 1.99 | N/A | 36.63 | 090 | |
| 50948 | A | Laparo new ureter/bladder | 22.50 | N/A | 9.11 | 1.83 | N/A | 33.44 | 090 | |
| 50949 | C | Laparoscope proc, ureter | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 50951 | A | Endoscopy of ureter | 5.84 | 5.45 | 1.91 | 0.35 | 11.64 | 8.10 | 000 | |
| 50953 | A | Endoscopy of ureter | 6.24 | 18.93 | 2.05 | 0.37 | 25.54 | 8.66 | 000 | |
| 50955 | A | Ureter endoscopy biopsy | 6.75 | 19.81 | 2.25 | 0.38 | 26.94 | 9.38 | 000 | |
| 50957 | A | Ureter endoscopy treatment | 6.79 | 18.54 | 2.23 | 0.40 | 25.73 | 9.42 | 000 | |
| 50959 | A | Ureter endoscopy tracer | 4.40 | N/A | 1.40 | 0.18 | N/A | 5.98 | 000 | |
| 50961 | A | Ureter endoscopy treatment | 6.05 | 25.86 | 1.98 | 0.35 | 32.26 | 8.38 | 000 | |
| 50970 | A | Ureter endoscopy | 7.14 | N/A | 2.35 | 0.43 | N/A | 9.92 | 000 | |
| 50972 | A | Ureter endoscopy catheter | 6.89 | N/A | 2.31 | 0.39 | N/A | 9.59 | 000 | |
| 50974 | A | Ureter endoscopy biopsy | 9.17 | N/A | 2.99 | 0.53 | N/A | 12.69 | 000 | |
| 50976 | A | Ureter endoscopy treatment | 9.04 | N/A | 2.97 | 0.53 | N/A | 12.54 | 000 | |
| 50978 | A | Ureter endoscopy tracer | 5.10 | N/A | 1.73 | 0.30 | N/A | 7.13 | 000 | |
| 50980 | A | Ureter endoscopy treatment | 6.85 | N/A | 2.25 | 0.41 | N/A | 9.51 | 000 | |
| 51000 | A | Drainage of bladder | 0.78 | 2.03 | 0.24 | 0.05 | 2.86 | 1.07 | 000 | |
| 51005 | A | Drainage of bladder | 1.02 | 3.41 | 0.34 | 0.08 | 4.51 | 1.44 | 000 | |
| 51010 | A | Drainage of bladder | 3.53 | 5.88 | 1.94 | 0.23 | 9.64 | 5.70 | 010 | |
| 51020 | A | Incise treat bladder | 6.71 | N/A | 4.27 | 0.42 | N/A | 11.40 | 090 | |
| 51030 | A | Incise treat bladder | 6.77 | N/A | 4.37 | 0.42 | N/A | 11.56 | 090 | |
| 51040 | A | Incise drain bladder | 4.40 | N/A | 3.12 | 0.27 | N/A | 7.79 | 090 | |
| 51045 | A | Incise bladder/drain ureter | 6.77 | N/A | 4.33 | 0.47 | N/A | 11.57 | 090 | |
| 51050 | A | Removal of bladder stone | 6.92 | N/A | 4.01 | 0.42 | N/A | 11.35 | 090 | |
| 51060 | A | Removal of ureter stone | 8.85 | N/A | 4.93 | 0.54 | N/A | 14.32 | 090 | |
| 51065 | A | Remove ureter calculus | 8.85 | N/A | 4.77 | 0.53 | N/A | 14.15 | 090 | |
| 51080 | A | Drainage of bladder abscess | 5.96 | N/A | 3.97 | 0.35 | N/A | 10.28 | 090 | |
| 51500 | A | Removal of bladder cyst | 10.14 | N/A | 5.24 | 0.88 | N/A | 16.26 | 090 | |
| 51520 | A | Removal of bladder lesion | 9.29 | N/A | 5.10 | 0.58 | N/A | 14.97 | 090 | |
| 51525 | A | Removal of bladder lesion | 13.97 | N/A | 6.59 | 0.85 | N/A | 21.41 | 090 | |
| 51530 | A | Removal of bladder lesion | 12.38 | N/A | 6.18 | 0.82 | N/A | 19.38 | 090 | |
| 51535 | A | Repair of ureter lesion | 12.57 | N/A | 6.56 | 0.90 | N/A | 20.03 | 090 | |
| 51550 | A | Partial removal of bladder | 15.66 | N/A | 7.17 | 1.05 | N/A | 23.88 | 090 | |
| 51555 | A | Partial removal of bladder | 21.23 | N/A | 9.18 | 1.37 | N/A | 31.78 | 090 | |
| 51565 | A | Revise bladder ureter(s) | 21.62 | N/A | 9.51 | 1.40 | N/A | 32.53 | 090 | |
| 51570 | A | Removal of bladder | 24.24 | N/A | 10.35 | 1.59 | N/A | 36.18 | 090 | |
| 51575 | A | Removal of bladder nodes | 30.45 | N/A | 12.71 | 1.88 | N/A | 45.04 | 090 | |
| 51580 | A | Remove bladder/revise tract | 31.08 | N/A | 13.17 | 1.94 | N/A | 46.19 | 090 | |
| 51585 | A | Removal of bladder nodes | 35.23 | N/A | 14.42 | 2.18 | N/A | 51.83 | 090 | |
| 51590 | A | Remove bladder/revise tract | 32.66 | N/A | 13.30 | 2.01 | N/A | 47.97 | 090 | |
| 51595 | A | Remove bladder/revise tract | 37.14 | N/A | 14.86 | 2.23 | N/A | 54.23 | 090 | |
| 51596 | A | Remove bladder/create pouch | 39.52 | N/A | 16.01 | 2.39 | N/A | 57.92 | 090 | |
| 51597 | A | Removal of pelvic structures | 38.35 | N/A | 15.57 | 2.49 | N/A | 56.41 | 090 | |
| 51600 | A | Injection for bladder x-ray | 0.88 | 5.84 | 0.29 | 0.04 | 6.76 | 1.21 | 000 | |
| 51605 | A | Preparation for bladder xray | 0.64 | 6.11 | 0.35 | 0.04 | 6.79 | 1.03 | 000 | |
| 51610 | A | Injection for bladder x-ray | 1.05 | 1.71 | 0.61 | 0.05 | 2.81 | 1.71 | 000 | |
| 51700 | A | Irrigation of bladder | 0.88 | 1.69 | 0.29 | 0.05 | 2.62 | 1.22 | 000 | |
| 51701 | A | Insert bladder catheter | 0.50 | 1.68 | 0.19 | 0.03 | 2.21 | 0.72 | 000 | |
| 51702 | A | Insert temp bladder cath | 0.50 | 2.39 | 0.26 | 0.03 | 2.92 | 0.79 | 000 | |
| 51703 | A | Insert bladder cath, complex | 1.47 | 3.11 | 0.58 | 0.09 | 4.67 | 2.14 | 000 | |
| 51705 | A | Change of bladder tube | 1.02 | 2.39 | 0.63 | 0.06 | 3.47 | 1.71 | 010 | |
| 51710 | A | Change of bladder tube | 1.49 | 3.51 | 0.79 | 0.09 | 5.09 | 2.37 | 010 | |
| 51715 | A | Endoscopic injection/implant | 3.74 | 4.09 | 1.39 | 0.24 | 8.07 | 5.37 | 000 | |
| 51720 | A | Treatment of bladder lesion | 1.96 | 1.82 | 0.72 | 0.12 | 3.90 | 2.80 | 000 | |
| 51725 | A | Simple cystometrogram | 1.51 | 5.90 | N/A | 0.13 | 7.54 | N/A | 000 | |
| 51725 | 26 | A | Simple cystometrogram | 1.51 | 0.51 | 0.51 | 0.10 | 2.12 | 2.12 | 000 |
| 51725 | TC | A | Simple cystometrogram | 0.00 | 5.40 | N/A | 0.03 | 5.43 | N/A | 000 |
| 51726 | A | Complex cystometrogram | 1.71 | 7.93 | N/A | 0.15 | 9.79 | N/A | 000 | |
| 51726 | 26 | A | Complex cystometrogram | 1.71 | 0.57 | 0.57 | 0.11 | 2.39 | 2.39 | 000 |
| 51726 | TC | A | Complex cystometrogram | 0.00 | 7.36 | N/A | 0.04 | 7.40 | N/A | 000 |
| 51736 | A | Urine flow measurement | 0.61 | 0.61 | N/A | 0.05 | 1.27 | N/A | 000 | |
| 51736 | 26 | A | Urine flow measurement | 0.61 | 0.20 | 0.20 | 0.04 | 0.85 | 0.85 | 000 |
| 51736 | TC | A | Urine flow measurement | 0.00 | 0.40 | N/A | 0.01 | 0.41 | N/A | 000 |
| 51741 | A | Electro-uroflowmetry, first | 1.14 | 0.83 | N/A | 0.09 | 2.06 | N/A | 000 | |
| 51741 | 26 | A | Electro-uroflowmetry, first | 1.14 | 0.38 | 0.38 | 0.07 | 1.59 | 1.59 | 000 |
| 51741 | TC | A | Electro-uroflowmetry, first | 0.00 | 0.45 | N/A | 0.02 | 0.47 | N/A | 000 |
| 51772 | A | Urethra pressure profile | 1.61 | 5.89 | N/A | 0.16 | 7.66 | N/A | 000 | |
| 51772 | 26 | A | Urethra pressure profile | 1.61 | 0.56 | 0.56 | 0.12 | 2.29 | 2.29 | 000 |
| 51772 | TC | A | Urethra pressure profile | 0.00 | 5.33 | N/A | 0.04 | 5.37 | N/A | 000 |
| 51784 | A | Anal/urinary muscle study | 1.53 | 4.18 | N/A | 0.13 | 5.84 | N/A | 000 | |
| 51784 | 26 | A | Anal/urinary muscle study | 1.53 | 0.52 | 0.52 | 0.10 | 2.15 | 2.15 | 000 |
| 51784 | TC | A | Anal/urinary muscle study | 0.00 | 3.66 | N/A | 0.03 | 3.69 | N/A | 000 |
| 51785 | A | Anal/urinary muscle study | 1.53 | 4.69 | N/A | 0.12 | 6.34 | N/A | 000 | |
| 51785 | 26 | A | Anal/urinary muscle study | 1.53 | 0.51 | 0.51 | 0.09 | 2.13 | 2.13 | 000 |
| 51785 | TC | A | Anal/urinary muscle study | 0.00 | 4.17 | N/A | 0.03 | 4.20 | N/A | 000 |
| 51792 | A | Urinary reflex study | 1.10 | 6.13 | N/A | 0.20 | 7.43 | N/A | 000 | |
| 51792 | 26 | A | Urinary reflex study | 1.10 | 0.42 | 0.42 | 0.09 | 1.61 | 1.61 | 000 |
| 51792 | TC | A | Urinary reflex study | 0.00 | 5.70 | N/A | 0.11 | 5.81 | N/A | 000 |
| 51795 | A | Urine voiding pressure study | 1.53 | 7.72 | N/A | 0.18 | 9.43 | N/A | 000 | |
| 51795 | 26 | A | Urine voiding pressure study | 1.53 | 0.51 | 0.51 | 0.10 | 2.14 | 2.14 | 000 |
| 51795 | TC | A | Urine voiding pressure study | 0.00 | 7.20 | N/A | 0.08 | 7.28 | N/A | 000 |
| 51797 | A | Intraabdominal pressure test | 1.60 | 6.08 | N/A | 0.14 | 7.82 | N/A | 000 | |
| 51797 | 26 | A | Intraabdominal pressure test | 1.60 | 0.54 | 0.54 | 0.10 | 2.24 | 2.24 | 000 |
| 51797 | TC | A | Intraabdominal pressure test | 0.00 | 5.54 | N/A | 0.04 | 5.58 | N/A | 000 |
| 51798 | A | Us urine capacity measure | 0.00 | 0.36 | N/A | 0.07 | 0.43 | N/A | XXX | |
| 51800 | A | Revision of bladder/urethra | 17.42 | N/A | 8.05 | 1.17 | N/A | 26.64 | 090 | |
| 51820 | A | Revision of urinary tract | 17.89 | N/A | 8.71 | 1.45 | N/A | 28.05 | 090 | |
| 51840 | A | Attach bladder/urethra | 10.71 | N/A | 5.66 | 0.87 | N/A | 17.24 | 090 | |
| 51841 | A | Attach bladder/urethra | 13.03 | N/A | 6.49 | 1.04 | N/A | 20.56 | 090 | |
| 51845 | A | Repair bladder neck | 9.73 | N/A | 5.18 | 0.62 | N/A | 15.53 | 090 | |
| 51860 | A | Repair of bladder wound | 12.02 | N/A | 6.18 | 0.89 | N/A | 19.09 | 090 | |
| 51865 | A | Repair of bladder wound | 15.04 | N/A | 7.14 | 1.01 | N/A | 23.19 | 090 | |
| 51880 | A | Repair of bladder opening | 7.66 | N/A | 4.35 | 0.54 | N/A | 12.55 | 090 | |
| 51900 | A | Repair bladder/vagina lesion | 12.97 | N/A | 6.53 | 0.87 | N/A | 20.37 | 090 | |
| 51920 | A | Close bladder-uterus fistula | 11.81 | N/A | 6.05 | 0.86 | N/A | 18.72 | 090 | |
| 51925 | A | Hysterectomy/bladder repair | 15.58 | N/A | 9.02 | 1.48 | N/A | 26.08 | 090 | |
| 51940 | A | Correction of bladder defect | 28.43 | N/A | 12.86 | 1.97 | N/A | 43.26 | 090 | |
| 51960 | A | Revision of bladder bowel | 23.01 | N/A | 10.37 | 1.41 | N/A | 34.79 | 090 | |
| 51980 | A | Construct bladder opening | 11.36 | N/A | 5.81 | 0.74 | N/A | 17.91 | 090 | |
| 51990 | A | Laparo urethral suspension | 12.50 | N/A | 6.23 | 1.02 | N/A | 19.75 | 090 | |
| 51992 | A | Laparo sling operation | 14.01 | N/A | 6.27 | 0.93 | N/A | 21.21 | 090 | |
| 52000 | A | Cystoscopy | 2.01 | 3.45 | 0.78 | 0.12 | 5.58 | 2.91 | 000 | |
| 52001 | A | Cystoscopy, removal of clots | 5.45 | 5.28 | 1.91 | 0.32 | 11.05 | 7.68 | 000 | |
| 52005 | A | Cystoscopy ureter catheter | 2.37 | 6.17 | 0.92 | 0.15 | 8.69 | 3.44 | 000 | |
| 52007 | A | Cystoscopy and biopsy | 3.02 | N/A | 1.18 | 0.18 | N/A | 4.38 | 000 | |
| 52010 | A | Cystoscopy duct catheter | 3.02 | N/A | 1.16 | 0.18 | N/A | 4.36 | 000 | |
| 52204 | A | Cystoscopy | 2.37 | 3.70 | 0.93 | 0.15 | 6.22 | 3.45 | 000 | |
| 52214 | A | Cystoscopy and treatment | 3.71 | N/A | 1.36 | 0.22 | N/A | 5.29 | 000 | |
| 52224 | A | Cystoscopy and treatment | 3.14 | N/A | 1.18 | 0.18 | N/A | 4.50 | 000 | |
| 52234 | A | Cystoscopy and treatment | 4.63 | N/A | 1.67 | 0.27 | N/A | 6.57 | 000 | |
| 52235 | A | Cystoscopy and treatment | 5.45 | N/A | 1.95 | 0.32 | N/A | 7.72 | 000 | |
| 52240 | A | Cystoscopy and treatment | 9.72 | N/A | 3.37 | 0.58 | N/A | 13.67 | 000 | |
| 52250 | A | Cystoscopy and radiotracer | 4.50 | N/A | 1.70 | 0.27 | N/A | 6.47 | 000 | |
| 52260 | A | Cystoscopy and treatment | 3.92 | N/A | 1.46 | 0.23 | N/A | 5.61 | 000 | |
| 52265 | A | Cystoscopy and treatment | 2.94 | 3.83 | 1.14 | 0.18 | 6.95 | 4.26 | 000 | |
| 52270 | A | Cystoscopy revise urethra | 3.37 | N/A | 1.28 | 0.20 | N/A | 4.85 | 000 | |
| 52275 | A | Cystoscopy revise urethra | 4.70 | N/A | 1.71 | 0.28 | N/A | 6.69 | 000 | |
| 52276 | A | Cystoscopy and treatment | 5.00 | N/A | 1.83 | 0.30 | N/A | 7.13 | 000 | |
| 52277 | A | Cystoscopy and treatment | 6.17 | N/A | 2.31 | 0.38 | N/A | 8.86 | 000 | |
| 52281 | A | Cystoscopy and treatment | 2.80 | 7.56 | 1.11 | 0.17 | 10.53 | 4.08 | 000 | |
| 52282 | A | Cystoscopy, implant stent | 6.40 | N/A | 2.29 | 0.38 | N/A | 9.07 | 000 | |
| 52283 | A | Cystoscopy and treatment | 3.74 | 4.11 | 1.42 | 0.22 | 8.07 | 5.38 | 000 | |
| 52285 | A | Cystoscopy and treatment | 3.61 | 4.18 | 1.37 | 0.22 | 8.01 | 5.20 | 000 | |
| 52290 | A | Cystoscopy and treatment | 4.59 | N/A | 1.70 | 0.27 | N/A | 6.56 | 000 | |
| 52300 | A | Cystoscopy and treatment | 5.31 | N/A | 1.96 | 0.32 | N/A | 7.59 | 000 | |
| 52301 | A | Cystoscopy and treatment | 5.51 | N/A | 2.04 | 0.39 | N/A | 7.94 | 000 | |
| 52305 | A | Cystoscopy and treatment | 5.31 | N/A | 1.90 | 0.31 | N/A | 7.52 | 000 | |
| 52310 | A | Cystoscopy and treatment | 2.81 | 3.60 | 1.06 | 0.17 | 6.58 | 4.04 | 000 | |
| 52315 | A | Cystoscopy and treatment | 5.21 | N/A | 1.88 | 0.31 | N/A | 7.40 | 000 | |
| 52317 | A | Remove bladder stone | 6.72 | N/A | 2.33 | 0.40 | N/A | 9.45 | 000 | |
| 52318 | A | Remove bladder stone | 9.19 | N/A | 3.17 | 0.54 | N/A | 12.90 | 000 | |
| 52320 | A | Cystoscopy and treatment | 4.70 | N/A | 1.68 | 0.28 | N/A | 6.66 | 000 | |
| 52325 | A | Cystoscopy, stone removal | 6.16 | N/A | 2.16 | 0.37 | N/A | 8.69 | 000 | |
| 52327 | A | Cystoscopy, inject material | 5.19 | N/A | 1.87 | 0.32 | N/A | 7.38 | 000 | |
| 52330 | A | Cystoscopy and treatment | 5.04 | N/A | 1.79 | 0.30 | N/A | 7.13 | 000 | |
| 52332 | A | Cystoscopy and treatment | 2.83 | N/A | 1.08 | 0.17 | N/A | 4.08 | 000 | |
| 52334 | A | Create passage to kidney | 4.83 | N/A | 1.80 | 0.28 | N/A | 6.91 | 000 | |
| 52341 | A | Cysto w/ureter stricture tx | 6.00 | N/A | 2.27 | 0.37 | N/A | 8.64 | 000 | |
| 52342 | A | Cysto w/up stricture tx | 6.50 | N/A | 2.41 | 0.40 | N/A | 9.31 | 000 | |
| 52343 | A | Cysto w/renal stricture tx | 7.20 | N/A | 2.69 | 0.44 | N/A | 10.33 | 000 | |
| 52344 | A | Cysto/uretero, stone remove | 7.70 | N/A | 2.87 | 0.47 | N/A | 11.04 | 000 | |
| 52345 | A | Cysto/uretero w/up stricture | 8.20 | N/A | 3.03 | 0.50 | N/A | 11.73 | 000 | |
| 52346 | A | Cystouretero w/renal strict | 9.23 | N/A | 3.38 | 0.57 | N/A | 13.18 | 000 | |
| 52347 | A | Cystoscopy, resect ducts | 5.28 | N/A | 1.76 | 0.33 | N/A | 7.37 | 000 | |
| 52351 | A | Cystouretero or pyeloscope | 5.86 | N/A | 2.20 | 0.36 | N/A | 8.42 | 000 | |
| 52352 | A | Cystouretero w/stone remove | 6.88 | N/A | 2.57 | 0.42 | N/A | 9.87 | 000 | |
| 52353 | A | Cystouretero w/lithotripsy | 7.97 | N/A | 2.93 | 0.49 | N/A | 11.39 | 000 | |
| 52354 | A | Cystouretero w/biopsy | 7.34 | N/A | 2.74 | 0.45 | N/A | 10.53 | 000 | |
| 52355 | A | Cystouretero w/excise tumor | 8.82 | N/A | 3.22 | 0.55 | N/A | 12.59 | 000 | |
| 52400 | A | Cystouretero w/congen repr | 9.68 | N/A | 4.06 | 0.60 | N/A | 14.34 | 090 | |
| 52450 | A | Incision of prostate | 7.64 | N/A | 3.80 | 0.46 | N/A | 11.90 | 090 | |
| 52500 | A | Revision of bladder neck | 8.47 | N/A | 4.06 | 0.50 | N/A | 13.03 | 090 | |
| 52510 | A | Dilation prostatic urethra | 6.72 | N/A | 3.31 | 0.40 | N/A | 10.43 | 090 | |
| 52601 | A | Prostatectomy (TURP) | 12.37 | N/A | 5.27 | 0.74 | N/A | 18.38 | 090 | |
| 52606 | A | Control postop bleeding | 8.13 | N/A | 3.67 | 0.49 | N/A | 12.29 | 090 | |
| 52612 | A | Prostatectomy, first stage | 7.98 | N/A | 3.87 | 0.48 | N/A | 12.33 | 090 | |
| 52614 | A | Prostatectomy, second stage | 6.84 | N/A | 3.47 | 0.41 | N/A | 10.72 | 090 | |
| 52620 | A | Remove residual prostate | 6.61 | N/A | 3.18 | 0.39 | N/A | 10.18 | 090 | |
| 52630 | A | Remove prostate regrowth | 7.26 | N/A | 3.38 | 0.43 | N/A | 11.07 | 090 | |
| 52640 | A | Relieve bladder contracture | 6.62 | N/A | 3.15 | 0.39 | N/A | 10.16 | 090 | |
| 52647 | A | Laser surgery of prostate | 10.36 | 33.53 | 4.68 | 0.61 | 44.50 | 15.65 | 090 | |
| 52648 | A | Laser surgery of prostate | 11.21 | N/A | 4.95 | 0.66 | N/A | 16.82 | 090 | |
| 52700 | A | Drainage of prostate abscess | 6.80 | N/A | 3.37 | 0.41 | N/A | 10.58 | 090 | |
| 53000 | A | Incision of urethra | 2.28 | N/A | 1.59 | 0.13 | N/A | 4.00 | 010 | |
| 53010 | A | Incision of urethra | 3.64 | N/A | 3.15 | 0.20 | N/A | 6.99 | 090 | |
| 53020 | A | Incision of urethra | 1.77 | 3.15 | 0.69 | 0.11 | 5.03 | 2.57 | 000 | |
| 53025 | A | Incision of urethra | 1.13 | 3.93 | 0.52 | 0.07 | 5.13 | 1.72 | 000 | |
| 53040 | A | Drainage of urethra abscess | 6.40 | 11.79 | 6.71 | 0.41 | 18.60 | 13.52 | 090 | |
| 53060 | A | Drainage of urethra abscess | 2.63 | N/A | 1.49 | 0.23 | N/A | 4.35 | 010 | |
| 53080 | A | Drainage of urinary leakage | 6.29 | N/A | 6.49 | 0.42 | N/A | 13.20 | 090 | |
| 53085 | A | Drainage of urinary leakage | 10.27 | N/A | 8.00 | 0.67 | N/A | 18.94 | 090 | |
| 53200 | A | Biopsy of urethra | 2.59 | 4.40 | 1.00 | 0.17 | 7.16 | 3.76 | 000 | |
| 53210 | A | Removal of urethra | 12.57 | N/A | 6.41 | 0.81 | N/A | 19.79 | 090 | |
| 53215 | A | Removal of urethra | 15.58 | N/A | 7.22 | 0.93 | N/A | 23.73 | 090 | |
| 53220 | A | Treatment of urethra lesion | 7.00 | N/A | 4.24 | 0.44 | N/A | 11.68 | 090 | |
| 53230 | A | Removal of urethra lesion | 9.58 | N/A | 5.15 | 0.60 | N/A | 15.33 | 090 | |
| 53235 | A | Removal of urethra lesion | 10.14 | N/A | 5.34 | 0.60 | N/A | 16.08 | 090 | |
| 53240 | A | Surgery for urethra pouch | 6.45 | N/A | 4.01 | 0.42 | N/A | 10.88 | 090 | |
| 53250 | A | Removal of urethra gland | 5.89 | N/A | 3.65 | 0.35 | N/A | 9.89 | 090 | |
| 53260 | A | Treatment of urethra lesion | 2.98 | 3.36 | 1.84 | 0.23 | 6.57 | 5.05 | 010 | |
| 53265 | A | Treatment of urethra lesion | 3.12 | N/A | 1.88 | 0.20 | N/A | 5.20 | 010 | |
| 53270 | A | Removal of urethra gland | 3.09 | N/A | 1.92 | 0.21 | N/A | 5.22 | 010 | |
| 53275 | A | Repair of urethra defect | 4.53 | N/A | 2.33 | 0.28 | N/A | 7.14 | 010 | |
| 53400 | A | Revise urethra, stage 1 | 12.77 | N/A | 6.52 | 0.85 | N/A | 20.14 | 090 | |
| 53405 | A | Revise urethra, stage 2 | 14.48 | N/A | 6.90 | 0.91 | N/A | 22.29 | 090 | |
| 53410 | A | Reconstruction of urethra | 16.44 | N/A | 7.67 | 0.99 | N/A | 25.10 | 090 | |
| 53415 | A | Reconstruction of urethra | 19.41 | N/A | 7.87 | 1.16 | N/A | 28.44 | 090 | |
| 53420 | A | Reconstruct urethra, stage 1 | 14.08 | N/A | 6.84 | 0.90 | N/A | 21.82 | 090 | |
| 53425 | A | Reconstruct urethra, stage 2 | 15.98 | N/A | 7.50 | 0.97 | N/A | 24.45 | 090 | |
| 53430 | A | Reconstruction of urethra | 16.34 | N/A | 7.59 | 1.01 | N/A | 24.94 | 090 | |
| 53431 | A | Reconstruct urethra/bladder | 19.89 | N/A | 8.59 | 1.30 | N/A | 29.78 | 090 | |
| 53440 | A | Male sling procedure | 13.62 | N/A | 6.27 | 0.73 | N/A | 20.62 | 090 | |
| 53442 | A | Remove/revise male sling | 11.57 | N/A | 5.72 | 0.55 | N/A | 17.84 | 090 | |
| 53444 | A | Insert tandem cuff | 13.40 | N/A | 6.05 | 0.88 | N/A | 20.33 | 090 | |
| 53445 | A | Insert uro/ves nck sphincter | 14.06 | N/A | 7.72 | 0.84 | N/A | 22.62 | 090 | |
| 53446 | A | Remove uro sphincter | 10.23 | N/A | 5.40 | 0.67 | N/A | 16.30 | 090 | |
| 53447 | A | Remove/replace ur sphincter | 13.49 | N/A | 6.63 | 0.79 | N/A | 20.91 | 090 | |
| 53448 | A | Remov/replc ur sphinctr comp | 21.15 | N/A | 9.32 | 1.39 | N/A | 31.86 | 090 | |
| 53449 | A | Repair uro sphincter | 9.70 | N/A | 5.17 | 0.57 | N/A | 15.44 | 090 | |
| 53450 | A | Revision of urethra | 6.14 | N/A | 3.79 | 0.37 | N/A | 10.30 | 090 | |
| 53460 | A | Revision of urethra | 7.12 | N/A | 4.21 | 0.43 | N/A | 11.76 | 090 | |
| 53502 | A | Repair of urethra injury | 7.63 | N/A | 4.50 | 0.50 | N/A | 12.63 | 090 | |
| 53505 | A | Repair of urethra injury | 7.63 | N/A | 4.37 | 0.46 | N/A | 12.46 | 090 | |
| 53510 | A | Repair of urethra injury | 10.11 | N/A | 5.60 | 0.60 | N/A | 16.31 | 090 | |
| 53515 | A | Repair of urethra injury | 13.31 | N/A | 6.38 | 0.83 | N/A | 20.52 | 090 | |
| 53520 | A | Repair of urethra defect | 8.68 | N/A | 4.91 | 0.53 | N/A | 14.12 | 090 | |
| 53600 | A | Dilate urethra stricture | 1.21 | 1.20 | 0.45 | 0.07 | 2.48 | 1.73 | 000 | |
| 53601 | A | Dilate urethra stricture | 0.98 | 1.33 | 0.39 | 0.06 | 2.37 | 1.43 | 000 | |
| 53605 | A | Dilate urethra stricture | 1.28 | N/A | 0.42 | 0.08 | N/A | 1.78 | 000 | |
| 53620 | A | Dilate urethra stricture | 1.62 | 2.09 | 0.62 | 0.10 | 3.81 | 2.34 | 000 | |
| 53621 | A | Dilate urethra stricture | 1.35 | 2.17 | 0.51 | 0.08 | 3.60 | 1.94 | 000 | |
| 53660 | A | Dilation of urethra | 0.71 | 1.38 | 0.33 | 0.04 | 2.13 | 1.08 | 000 | |
| 53661 | A | Dilation of urethra | 0.72 | 1.37 | 0.31 | 0.04 | 2.13 | 1.07 | 000 | |
| 53665 | A | Dilation of urethra | 0.76 | N/A | 0.26 | 0.05 | N/A | 1.07 | 000 | |
| 53850 | A | Prostatic microwave thermotx | 9.45 | 100.81 | 4.41 | 0.56 | 110.82 | 14.42 | 090 | |
| 53852 | A | Prostatic rf thermotx | 9.88 | 94.95 | 4.80 | 0.58 | 105.41 | 15.26 | 090 | |
| 53853 | A | Prostatic water thermother | 5.24 | 58.79 | 3.25 | 0.27 | 64.30 | 8.76 | 090 | |
| 53899 | C | Urology surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54000 | A | Slitting of prepuce | 1.54 | N/A | 1.37 | 0.10 | N/A | 3.01 | 010 | |
| 54001 | A | Slitting of prepuce | 2.19 | 4.39 | 1.54 | 0.14 | 6.72 | 3.87 | 010 | |
| 54015 | A | Drain penis lesion | 5.32 | N/A | 2.64 | 0.33 | N/A | 8.29 | 010 | |
| 54050 | A | Destruction, penis lesion(s) | 1.24 | 1.72 | 1.07 | 0.07 | 3.03 | 2.38 | 010 | |
| 54055 | A | Destruction, penis lesion(s) | 1.22 | 1.64 | 0.82 | 0.07 | 2.93 | 2.11 | 010 | |
| 54056 | A | Cryosurgery, penis lesion(s) | 1.24 | 2.53 | 1.40 | 0.06 | 3.83 | 2.70 | 010 | |
| 54057 | A | Laser surg, penis lesion(s) | 1.24 | N/A | 0.89 | 0.08 | N/A | 2.21 | 010 | |
| 54060 | A | Excision of penis lesion(s) | 1.93 | 3.96 | 1.48 | 0.12 | 6.01 | 3.53 | 010 | |
| 54065 | A | Destruction, penis lesion(s) | 2.42 | N/A | 1.74 | 0.13 | N/A | 4.29 | 010 | |
| 54100 | A | Biopsy of penis | 1.90 | 2.93 | 0.84 | 0.10 | 4.93 | 2.84 | 000 | |
| 54105 | A | Biopsy of penis | 3.50 | N/A | 2.01 | 0.21 | N/A | 5.72 | 010 | |
| 54110 | A | Treatment of penis lesion | 10.13 | N/A | 5.97 | 0.60 | N/A | 16.70 | 090 | |
| 54111 | A | Treat penis lesion, graft | 13.57 | N/A | 7.05 | 0.79 | N/A | 21.41 | 090 | |
| 54112 | A | Treat penis lesion, graft | 15.86 | N/A | 8.07 | 0.94 | N/A | 24.87 | 090 | |
| 54115 | A | Treatment of penis lesion | 6.15 | 8.78 | 4.66 | 0.39 | 15.32 | 11.20 | 090 | |
| 54120 | A | Partial removal of penis | 9.97 | N/A | 5.93 | 0.60 | N/A | 16.50 | 090 | |
| 54125 | A | Removal of penis | 13.53 | N/A | 7.11 | 0.81 | N/A | 21.45 | 090 | |
| 54130 | A | Remove penis nodes | 20.14 | N/A | 9.50 | 1.19 | N/A | 30.83 | 090 | |
| 54135 | A | Remove penis nodes | 26.36 | N/A | 11.54 | 1.58 | N/A | 39.48 | 090 | |
| 54150 | A | Circumcision | 1.81 | N/A | 1.00 | 0.17 | N/A | 2.98 | 010 | |
| 54152 | A | Circumcision | 2.31 | N/A | 1.23 | 0.16 | N/A | 3.70 | 010 | |
| 54160 | A | Circumcision | 2.48 | N/A | 1.13 | 0.16 | N/A | 3.77 | 010 | |
| 54161 | A | Circumcision | 3.27 | N/A | 1.61 | 0.20 | N/A | 5.08 | 010 | |
| 54162 | A | Lysis penil circumic lesion | 3.00 | N/A | 2.05 | 0.20 | N/A | 5.25 | 010 | |
| 54163 | A | Repair of circumcision | 3.00 | N/A | 2.07 | 0.20 | N/A | 5.27 | 010 | |
| 54164 | A | Frenulotomy of penis | 2.50 | N/A | 1.89 | 0.16 | N/A | 4.55 | 010 | |
| 54200 | A | Treatment of penis lesion | 1.06 | 1.88 | 1.02 | 0.06 | 3.00 | 2.14 | 010 | |
| 54205 | A | Treatment of penis lesion | 7.93 | N/A | 5.14 | 0.47 | N/A | 13.54 | 090 | |
| 54220 | A | Treatment of penis lesion | 2.42 | 4.03 | 0.98 | 0.15 | 6.60 | 3.55 | 000 | |
| 54230 | A | Prepare penis study | 1.34 | 1.14 | 0.64 | 0.08 | 2.56 | 2.06 | 000 | |
| 54231 | A | Dynamic cavernosometry | 2.04 | 1.43 | 0.89 | 0.14 | 3.61 | 3.07 | 000 | |
| 54235 | A | Penile injection | 1.19 | 1.00 | 0.60 | 0.07 | 2.26 | 1.86 | 000 | |
| 54240 | A | Penis study | 1.31 | 1.04 | N/A | 0.13 | 2.48 | N/A | 000 | |
| 54240 | 26 | A | Penis study | 1.31 | 0.44 | 0.44 | 0.08 | 1.83 | 1.83 | 000 |
| 54240 | TC | A | Penis study | 0.00 | 0.61 | N/A | 0.05 | 0.66 | N/A | 000 |
| 54250 | A | Penis study | 2.22 | 0.94 | N/A | 0.16 | 3.32 | N/A | 000 | |
| 54250 | 26 | A | Penis study | 2.22 | 0.73 | 0.73 | 0.14 | 3.09 | 3.09 | 000 |
| 54250 | TC | A | Penis study | 0.00 | 0.22 | N/A | 0.02 | 0.24 | N/A | 000 |
| 54300 | A | Revision of penis | 10.41 | N/A | 6.17 | 0.64 | N/A | 17.22 | 090 | |
| 54304 | A | Revision of penis | 12.49 | N/A | 7.07 | 0.74 | N/A | 20.30 | 090 | |
| 54308 | A | Reconstruction of urethra | 11.83 | N/A | 6.67 | 0.70 | N/A | 19.20 | 090 | |
| 54312 | A | Reconstruction of urethra | 13.57 | N/A | 7.74 | 0.81 | N/A | 22.12 | 090 | |
| 54316 | A | Reconstruction of urethra | 16.82 | N/A | 8.75 | 1.00 | N/A | 26.57 | 090 | |
| 54318 | A | Reconstruction of urethra | 11.25 | N/A | 6.61 | 1.15 | N/A | 19.01 | 090 | |
| 54322 | A | Reconstruction of urethra | 13.01 | N/A | 6.99 | 0.77 | N/A | 20.77 | 090 | |
| 54324 | A | Reconstruction of urethra | 16.31 | N/A | 8.78 | 1.03 | N/A | 26.12 | 090 | |
| 54326 | A | Reconstruction of urethra | 15.72 | N/A | 8.48 | 0.93 | N/A | 25.13 | 090 | |
| 54328 | A | Revise penis/urethra | 15.65 | N/A | 7.99 | 0.92 | N/A | 24.56 | 090 | |
| 54332 | A | Revise penis/urethra | 17.08 | N/A | 8.47 | 1.01 | N/A | 26.56 | 090 | |
| 54336 | A | Revise penis/urethra | 20.04 | N/A | 11.27 | 1.90 | N/A | 33.21 | 090 | |
| 54340 | A | Secondary urethral surgery | 8.91 | N/A | 5.61 | 0.72 | N/A | 15.24 | 090 | |
| 54344 | A | Secondary urethral surgery | 15.94 | N/A | 8.46 | 1.10 | N/A | 25.50 | 090 | |
| 54348 | A | Secondary urethral surgery | 17.15 | N/A | 9.20 | 1.02 | N/A | 27.37 | 090 | |
| 54352 | A | Reconstruct urethra/penis | 24.74 | N/A | 12.15 | 1.62 | N/A | 38.51 | 090 | |
| 54360 | A | Penis plastic surgery | 11.93 | N/A | 6.53 | 0.72 | N/A | 19.18 | 090 | |
| 54380 | A | Repair penis | 13.18 | N/A | 7.23 | 1.16 | N/A | 21.57 | 090 | |
| 54385 | A | Repair penis | 15.39 | N/A | 8.84 | 0.71 | N/A | 24.94 | 090 | |
| 54390 | A | Repair penis and bladder | 21.61 | N/A | 10.73 | 1.28 | N/A | 33.62 | 090 | |
| 54400 | A | Insert semi-rigid prosthesis | 8.99 | N/A | 4.78 | 0.53 | N/A | 14.30 | 090 | |
| 54401 | A | Insert self-contd prosthesis | 10.28 | N/A | 6.09 | 0.61 | N/A | 16.98 | 090 | |
| 54405 | A | Insert multi-comp penis pros | 13.43 | N/A | 6.49 | 0.80 | N/A | 20.72 | 090 | |
| 54406 | A | Remove muti-comp penis pros | 12.10 | N/A | 5.59 | 0.75 | N/A | 18.44 | 090 | |
| 54408 | A | Repair multi-comp penis pros | 12.75 | N/A | 5.91 | 0.79 | N/A | 19.45 | 090 | |
| 54410 | A | Remove/replace penis prosth | 15.50 | N/A | 6.82 | 0.96 | N/A | 23.28 | 090 | |
| 54411 | A | Remov/replc penis pros, comp | 16.00 | N/A | 7.25 | 0.80 | N/A | 24.05 | 090 | |
| 54415 | A | Remove self-contd penis pros | 8.20 | N/A | 4.33 | 0.54 | N/A | 13.07 | 090 | |
| 54416 | A | Remv/repl penis contain pros | 10.87 | N/A | 5.54 | 0.55 | N/A | 16.96 | 090 | |
| 54417 | A | Remv/replc penis pros, compl | 14.19 | N/A | 6.36 | 0.55 | N/A | 21.10 | 090 | |
| 54420 | A | Revision of penis | 11.42 | N/A | 6.39 | 0.72 | N/A | 18.53 | 090 | |
| 54430 | A | Revision of penis | 10.15 | N/A | 5.97 | 0.60 | N/A | 16.72 | 090 | |
| 54435 | A | Revision of penis | 6.12 | N/A | 4.41 | 0.36 | N/A | 10.89 | 090 | |
| 54440 | C | Repair of penis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 090 | |
| 54450 | A | Preputial stretching | 1.12 | 1.13 | 0.48 | 0.07 | 2.32 | 1.67 | 000 | |
| 54500 | A | Biopsy of testis | 1.31 | 0.62 | 0.58 | 0.08 | 2.01 | 1.97 | 000 | |
| 54505 | A | Biopsy of testis | 3.46 | N/A | 1.98 | 0.21 | N/A | 5.65 | 010 | |
| 54512 | A | Excise lesion testis | 8.58 | N/A | 4.37 | 0.56 | N/A | 13.51 | 090 | |
| 54520 | A | Removal of testis | 5.23 | N/A | 3.01 | 0.33 | N/A | 8.57 | 090 | |
| 54522 | A | Orchiectomy, partial | 9.50 | N/A | 5.12 | 0.62 | N/A | 15.24 | 090 | |
| 54530 | A | Removal of testis | 8.58 | N/A | 4.52 | 0.53 | N/A | 13.63 | 090 | |
| 54535 | A | Extensive testis surgery | 12.16 | N/A | 5.96 | 0.83 | N/A | 18.95 | 090 | |
| 54550 | A | Exploration for testis | 7.78 | N/A | 4.12 | 0.49 | N/A | 12.39 | 090 | |
| 54560 | A | Exploration for testis | 11.13 | N/A | 5.56 | 0.79 | N/A | 17.48 | 090 | |
| 54600 | A | Reduce testis torsion | 7.01 | N/A | 3.79 | 0.45 | N/A | 11.25 | 090 | |
| 54620 | A | Suspension of testis | 4.90 | N/A | 2.52 | 0.31 | N/A | 7.73 | 010 | |
| 54640 | A | Suspension of testis | 6.90 | N/A | 3.97 | 0.49 | N/A | 11.36 | 090 | |
| 54650 | A | Orchiopexy (Fowler-Stephens) | 11.45 | N/A | 5.83 | 0.81 | N/A | 18.09 | 090 | |
| 54660 | A | Revision of testis | 5.11 | N/A | 3.19 | 0.35 | N/A | 8.65 | 090 | |
| 54670 | A | Repair testis injury | 6.41 | N/A | 3.70 | 0.41 | N/A | 10.52 | 090 | |
| 54680 | A | Relocation of testis(es) | 12.65 | N/A | 6.51 | 0.94 | N/A | 20.10 | 090 | |
| 54690 | A | Laparoscopy, orchiectomy | 10.96 | N/A | 5.45 | 0.99 | N/A | 17.40 | 090 | |
| 54692 | A | Laparoscopy, orchiopexy | 12.88 | N/A | 5.57 | 0.87 | N/A | 19.32 | 090 | |
| 54699 | C | Laparoscope proc, testis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 54700 | A | Drainage of scrotum | 3.43 | N/A | 2.00 | 0.23 | N/A | 5.66 | 010 | |
| 54800 | A | Biopsy of epididymis | 2.33 | 0.97 | 0.92 | 0.14 | 3.44 | 3.39 | 000 | |
| 54820 | A | Exploration of epididymis | 5.14 | N/A | 3.16 | 0.33 | N/A | 8.63 | 090 | |
| 54830 | A | Remove epididymis lesion | 5.38 | N/A | 3.25 | 0.34 | N/A | 8.97 | 090 | |
| 54840 | A | Remove epididymis lesion | 5.20 | N/A | 3.01 | 0.31 | N/A | 8.52 | 090 | |
| 54860 | A | Removal of epididymis | 6.32 | N/A | 3.61 | 0.38 | N/A | 10.31 | 090 | |
| 54861 | A | Removal of epididymis | 8.90 | N/A | 4.55 | 0.52 | N/A | 13.97 | 090 | |
| 54900 | A | Fusion of spermatic ducts | 13.20 | N/A | 6.13 | 1.34 | N/A | 20.67 | 090 | |
| 54901 | A | Fusion of spermatic ducts | 17.94 | N/A | 8.12 | 1.83 | N/A | 27.89 | 090 | |
| 55000 | A | Drainage of hydrocele | 1.43 | 2.15 | 0.66 | 0.10 | 3.68 | 2.19 | 000 | |
| 55040 | A | Removal of hydrocele | 5.36 | N/A | 3.07 | 0.35 | N/A | 8.78 | 090 | |
| 55041 | A | Removal of hydroceles | 7.74 | N/A | 4.14 | 0.50 | N/A | 12.38 | 090 | |
| 55060 | A | Repair of hydrocele | 5.52 | N/A | 3.25 | 0.37 | N/A | 9.14 | 090 | |
| 55100 | A | Drainage of scrotum abscess | 2.13 | 3.85 | 1.62 | 0.15 | 6.13 | 3.90 | 010 | |
| 55110 | A | Explore scrotum | 5.70 | N/A | 3.31 | 0.36 | N/A | 9.37 | 090 | |
| 55120 | A | Removal of scrotum lesion | 5.09 | 8.73 | 3.11 | 0.33 | 14.15 | 8.53 | 090 | |
| 55150 | A | Removal of scrotum | 7.22 | N/A | 4.10 | 0.47 | N/A | 11.79 | 090 | |
| 55175 | A | Revision of scrotum | 5.24 | N/A | 3.24 | 0.33 | N/A | 8.81 | 090 | |
| 55180 | A | Revision of scrotum | 10.72 | N/A | 5.69 | 0.72 | N/A | 17.13 | 090 | |
| 55200 | A | Incision of sperm duct | 4.24 | 9.10 | 2.60 | 0.25 | 13.59 | 7.09 | 090 | |
| 55250 | A | Removal of sperm duct(s) | 3.29 | 9.29 | 2.89 | 0.21 | 12.79 | 6.39 | 090 | |
| 55300 | A | Prepare, sperm duct x-ray | 3.51 | N/A | 1.34 | 0.20 | N/A | 5.05 | 000 | |
| 55400 | A | Repair of sperm duct | 8.49 | N/A | 4.38 | 0.50 | N/A | 13.37 | 090 | |
| 55450 | A | Ligation of sperm duct | 4.12 | 7.34 | 1.92 | 0.24 | 11.70 | 6.28 | 010 | |
| 55500 | A | Removal of hydrocele | 5.59 | N/A | 3.28 | 0.43 | N/A | 9.30 | 090 | |
| 55520 | A | Removal of sperm cord lesion | 6.03 | N/A | 3.41 | 0.56 | N/A | 10.00 | 090 | |
| 55530 | A | Revise spermatic cord veins | 5.66 | N/A | 3.24 | 0.36 | N/A | 9.26 | 090 | |
| 55535 | A | Revise spermatic cord veins | 6.56 | N/A | 3.63 | 0.42 | N/A | 10.61 | 090 | |
| 55540 | A | Revise hernia sperm veins | 7.67 | N/A | 3.96 | 0.74 | N/A | 12.37 | 090 | |
| 55550 | A | Laparo ligate spermatic vein | 6.57 | N/A | 3.63 | 0.47 | N/A | 10.67 | 090 | |
| 55559 | C | Laparo proc, spermatic cord | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 55600 | A | Incise sperm duct pouch | 6.38 | N/A | 3.63 | 0.38 | N/A | 10.39 | 090 | |
| 55605 | A | Incise sperm duct pouch | 7.96 | N/A | 4.55 | 0.54 | N/A | 13.05 | 090 | |
| 55650 | A | Remove sperm duct pouch | 11.80 | N/A | 5.58 | 0.72 | N/A | 18.10 | 090 | |
| 55680 | A | Remove sperm pouch lesion | 5.19 | N/A | 3.19 | 0.31 | N/A | 8.69 | 090 | |
| 55700 | A | Biopsy of prostate | 1.57 | 4.42 | 0.73 | 0.10 | 6.09 | 2.40 | 000 | |
| 55705 | A | Biopsy of prostate | 4.57 | N/A | 2.37 | 0.26 | N/A | 7.20 | 010 | |
| 55720 | A | Drainage of prostate abscess | 7.64 | N/A | 4.32 | 0.44 | N/A | 12.40 | 090 | |
| 55725 | A | Drainage of prostate abscess | 8.68 | N/A | 4.97 | 0.51 | N/A | 14.16 | 090 | |
| 55801 | A | Removal of prostate | 17.80 | N/A | 8.10 | 1.08 | N/A | 26.98 | 090 | |
| 55810 | A | Extensive prostate surgery | 22.58 | N/A | 9.58 | 1.35 | N/A | 33.51 | 090 | |
| 55812 | A | Extensive prostate surgery | 27.51 | N/A | 11.67 | 1.69 | N/A | 40.87 | 090 | |
| 55815 | A | Extensive prostate surgery | 30.46 | N/A | 12.61 | 1.84 | N/A | 44.91 | 090 | |
| 55821 | A | Removal of prostate | 14.25 | N/A | 6.66 | 0.85 | N/A | 21.76 | 090 | |
| 55831 | A | Removal of prostate | 15.62 | N/A | 7.12 | 0.94 | N/A | 23.68 | 090 | |
| 55840 | A | Extensive prostate surgery | 22.69 | N/A | 9.94 | 1.37 | N/A | 34.00 | 090 | |
| 55842 | A | Extensive prostate surgery | 24.38 | N/A | 10.50 | 1.48 | N/A | 36.36 | 090 | |
| 55845 | A | Extensive prostate surgery | 28.55 | N/A | 11.73 | 1.71 | N/A | 41.99 | 090 | |
| 55859 | A | Percut/needle insert, pros | 12.52 | N/A | 6.23 | 0.74 | N/A | 19.49 | 090 | |
| 55860 | A | Surgical exposure, prostate | 14.45 | N/A | 6.71 | 0.82 | N/A | 21.98 | 090 | |
| 55862 | A | Extensive prostate surgery | 18.39 | N/A | 8.36 | 1.14 | N/A | 27.89 | 090 | |
| 55865 | A | Extensive prostate surgery | 22.87 | N/A | 9.79 | 1.37 | N/A | 34.03 | 090 | |
| 55866 | A | Laparo radical prostatectomy | 30.74 | N/A | 12.08 | 1.37 | N/A | 44.19 | 090 | |
| 55870 | A | Electroejaculation | 2.58 | 1.59 | 1.11 | 0.14 | 4.31 | 3.83 | 000 | |
| 55873 | A | Cryoablate prostate | 19.47 | N/A | 9.34 | 1.02 | N/A | 29.83 | 090 | |
| 55899 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 56405 | A | I D of vulva/perineum | 1.44 | 1.37 | 1.18 | 0.14 | 2.95 | 2.76 | 010 | |
| 56420 | A | Drainage of gland abscess | 1.39 | 2.37 | 1.11 | 0.13 | 3.89 | 2.63 | 010 | |
| 56440 | A | Surgery for vulva lesion | 2.84 | N/A | 1.75 | 0.28 | N/A | 4.87 | 010 | |
| 56441 | A | Lysis of labial lesion(s) | 1.97 | 1.87 | 1.46 | 0.17 | 4.01 | 3.60 | 010 | |
| 56501 | A | Destroy, vulva lesions, sim | 1.53 | 1.84 | 1.30 | 0.15 | 3.52 | 2.98 | 010 | |
| 56515 | A | Destroy vulva lesion/s compl | 2.76 | 2.63 | 1.88 | 0.18 | 5.57 | 4.82 | 010 | |
| 56605 | A | Biopsy of vulva/perineum | 1.10 | 1.12 | 0.47 | 0.11 | 2.33 | 1.68 | 000 | |
| 56606 | A | Biopsy of vulva/perineum | 0.55 | 0.51 | 0.22 | 0.06 | 1.12 | 0.83 | ZZZ | |
| 56620 | A | Partial removal of vulva | 7.47 | N/A | 5.16 | 0.76 | N/A | 13.39 | 090 | |
| 56625 | A | Complete removal of vulva | 8.40 | N/A | 5.81 | 0.84 | N/A | 15.05 | 090 | |
| 56630 | A | Extensive vulva surgery | 12.36 | N/A | 7.40 | 1.23 | N/A | 20.99 | 090 | |
| 56631 | A | Extensive vulva surgery | 16.20 | N/A | 9.64 | 1.63 | N/A | 27.47 | 090 | |
| 56632 | A | Extensive vulva surgery | 20.29 | N/A | 10.11 | 2.03 | N/A | 32.43 | 090 | |
| 56633 | A | Extensive vulva surgery | 16.47 | N/A | 9.24 | 1.66 | N/A | 27.37 | 090 | |
| 56634 | A | Extensive vulva surgery | 17.88 | N/A | 10.31 | 1.78 | N/A | 29.97 | 090 | |
| 56637 | A | Extensive vulva surgery | 21.97 | N/A | 11.98 | 2.18 | N/A | 36.13 | 090 | |
| 56640 | A | Extensive vulva surgery | 22.17 | N/A | 11.35 | 2.26 | N/A | 35.78 | 090 | |
| 56700 | A | Partial removal of hymen | 2.52 | N/A | 1.78 | 0.24 | N/A | 4.54 | 010 | |
| 56720 | A | Incision of hymen | 0.68 | N/A | 0.41 | 0.07 | N/A | 1.16 | 000 | |
| 56740 | A | Remove vagina gland lesion | 4.57 | N/A | 2.53 | 0.37 | N/A | 7.47 | 010 | |
| 56800 | A | Repair of vagina | 3.89 | N/A | 2.25 | 0.37 | N/A | 6.51 | 010 | |
| 56805 | A | Repair clitoris | 18.86 | N/A | 9.80 | 1.82 | N/A | 30.48 | 090 | |
| 56810 | A | Repair of perineum | 4.13 | N/A | 2.36 | 0.41 | N/A | 6.90 | 010 | |
| 56820 | A | Exam of vulva w/scope | 1.50 | 1.39 | 0.65 | 0.10 | 2.99 | 2.25 | 000 | |
| 56821 | A | Exam/biopsy of vulva w/scope | 2.05 | 1.82 | 0.92 | 0.13 | 4.00 | 3.10 | 000 | |
| 57000 | A | Exploration of vagina | 2.97 | N/A | 1.78 | 0.28 | N/A | 5.03 | 010 | |
| 57010 | A | Drainage of pelvic abscess | 6.03 | N/A | 4.07 | 0.57 | N/A | 10.67 | 090 | |
| 57020 | A | Drainage of pelvic fluid | 1.50 | 0.98 | 0.61 | 0.15 | 2.63 | 2.26 | 000 | |
| 57022 | A | I d vaginal hematoma, pp | 2.56 | N/A | 1.55 | 0.24 | N/A | 4.35 | 010 | |
| 57023 | A | I d vag hematoma, non-ob | 4.75 | N/A | 2.66 | 0.24 | N/A | 7.65 | 010 | |
| 57061 | A | Destroy vag lesions, simple | 1.25 | 1.72 | 1.17 | 0.13 | 3.10 | 2.55 | 010 | |
| 57065 | A | Destroy vag lesions, complex | 2.61 | 2.38 | 1.76 | 0.26 | 5.25 | 4.63 | 010 | |
| 57100 | A | Biopsy of vagina | 1.20 | 1.14 | 0.49 | 0.10 | 2.44 | 1.79 | 000 | |
| 57105 | A | Biopsy of vagina | 1.69 | 2.01 | 1.38 | 0.17 | 3.87 | 3.24 | 010 | |
| 57106 | A | Remove vagina wall, partial | 6.36 | N/A | 4.46 | 0.58 | N/A | 11.40 | 090 | |
| 57107 | A | Remove vagina tissue, part | 23.00 | N/A | 10.90 | 2.17 | N/A | 36.07 | 090 | |
| 57109 | A | Vaginectomy partial w/nodes | 27.00 | N/A | 11.82 | 1.97 | N/A | 40.79 | 090 | |
| 57110 | A | Remove vagina wall, complete | 14.29 | N/A | 7.63 | 1.43 | N/A | 23.35 | 090 | |
| 57111 | A | Remove vagina tissue, compl | 27.00 | N/A | 13.01 | 2.71 | N/A | 42.72 | 090 | |
| 57112 | A | Vaginectomy w/nodes, compl | 29.00 | N/A | 12.66 | 2.19 | N/A | 43.85 | 090 | |
| 57120 | A | Closure of vagina | 7.41 | N/A | 4.88 | 0.75 | N/A | 13.04 | 090 | |
| 57130 | A | Remove vagina lesion | 2.43 | 2.24 | 1.60 | 0.23 | 4.90 | 4.26 | 010 | |
| 57135 | A | Remove vagina lesion | 2.67 | 2.33 | 1.70 | 0.26 | 5.26 | 4.63 | 010 | |
| 57150 | A | Treat vagina infection | 0.55 | 1.14 | 0.22 | 0.06 | 1.75 | 0.83 | 000 | |
| 57155 | A | Insert uteri tandems/ovoids | 6.27 | N/A | 4.04 | 0.59 | N/A | 10.90 | 090 | |
| 57160 | A | Insert pessary/other device | 0.89 | 1.12 | 0.40 | 0.09 | 2.10 | 1.38 | 000 | |
| 57170 | A | Fitting of diaphragm/cap | 0.91 | 1.54 | 0.34 | 0.09 | 2.54 | 1.34 | 000 | |
| 57180 | A | Treat vaginal bleeding | 1.58 | 2.28 | 1.35 | 0.16 | 4.02 | 3.09 | 010 | |
| 57200 | A | Repair of vagina | 3.94 | N/A | 2.97 | 0.38 | N/A | 7.29 | 090 | |
| 57210 | A | Repair vagina/perineum | 5.17 | N/A | 3.51 | 0.50 | N/A | 9.18 | 090 | |
| 57220 | A | Revision of urethra | 4.31 | N/A | 3.18 | 0.42 | N/A | 7.91 | 090 | |
| 57230 | A | Repair of urethral lesion | 5.64 | N/A | 3.47 | 0.50 | N/A | 9.61 | 090 | |
| 57240 | A | Repair bladder vagina | 6.07 | N/A | 3.94 | 0.53 | N/A | 10.54 | 090 | |
| 57250 | A | Repair rectum vagina | 5.53 | N/A | 3.65 | 0.54 | N/A | 9.72 | 090 | |
| 57260 | A | Repair of vagina | 8.27 | N/A | 4.98 | 0.83 | N/A | 14.08 | 090 | |
| 57265 | A | Extensive repair of vagina | 11.34 | N/A | 6.21 | 1.14 | N/A | 18.69 | 090 | |
| 57268 | A | Repair of bowel bulge | 6.76 | N/A | 4.33 | 0.66 | N/A | 11.75 | 090 | |
| 57270 | A | Repair of bowel pouch | 12.11 | N/A | 6.44 | 1.17 | N/A | 19.72 | 090 | |
| 57280 | A | Suspension of vagina | 15.04 | N/A | 7.58 | 1.44 | N/A | 24.06 | 090 | |
| 57282 | A | Repair of vaginal prolapse | 8.86 | N/A | 5.43 | 0.86 | N/A | 15.15 | 090 | |
| 57284 | A | Repair paravaginal defect | 12.70 | N/A | 7.30 | 1.17 | N/A | 21.17 | 090 | |
| 57287 | A | Revise/remove sling repair | 10.71 | N/A | 5.65 | 0.74 | N/A | 17.10 | 090 | |
| 57288 | A | Repair bladder defect | 13.02 | N/A | 6.09 | 0.86 | N/A | 19.97 | 090 | |
| 57289 | A | Repair bladder vagina | 11.58 | N/A | 6.22 | 0.95 | N/A | 18.75 | 090 | |
| 57291 | A | Construction of vagina | 7.95 | N/A | 5.08 | 0.78 | N/A | 13.81 | 090 | |
| 57292 | A | Construct vagina with graft | 13.09 | N/A | 7.17 | 1.29 | N/A | 21.55 | 090 | |
| 57300 | A | Repair rectum-vagina fistula | 7.61 | N/A | 4.37 | 0.70 | N/A | 12.68 | 090 | |
| 57305 | A | Repair rectum-vagina fistula | 13.77 | N/A | 6.40 | 1.33 | N/A | 21.50 | 090 | |
| 57307 | A | Fistula repair colostomy | 15.93 | N/A | 7.18 | 1.59 | N/A | 24.70 | 090 | |
| 57308 | A | Fistula repair, transperine | 9.94 | N/A | 5.28 | 0.91 | N/A | 16.13 | 090 | |
| 57310 | A | Repair urethrovaginal lesion | 6.78 | N/A | 4.22 | 0.45 | N/A | 11.45 | 090 | |
| 57311 | A | Repair urethrovaginal lesion | 7.98 | N/A | 4.70 | 0.51 | N/A | 13.19 | 090 | |
| 57320 | A | Repair bladder-vagina lesion | 8.01 | N/A | 4.77 | 0.60 | N/A | 13.38 | 090 | |
| 57330 | A | Repair bladder-vagina lesion | 12.35 | N/A | 6.17 | 0.86 | N/A | 19.38 | 090 | |
| 57335 | A | Repair vagina | 18.73 | N/A | 9.53 | 1.66 | N/A | 29.92 | 090 | |
| 57400 | A | Dilation of vagina | 2.27 | N/A | 1.16 | 0.22 | N/A | 3.65 | 000 | |
| 57410 | A | Pelvic examination | 1.75 | 2.10 | 0.91 | 0.14 | 3.99 | 2.80 | 000 | |
| 57415 | A | Remove vaginal foreign body | 2.17 | N/A | 1.47 | 0.19 | N/A | 3.83 | 010 | |
| 57420 | A | Exam of vagina w/scope | 1.60 | 1.43 | 0.69 | 0.10 | 3.13 | 2.39 | 000 | |
| 57421 | A | Exam/biopsy of vag w/scope | 2.20 | 1.91 | 0.98 | 0.13 | 4.24 | 3.31 | 000 | |
| 57452 | A | Exam of cervix w/scope | 1.50 | 1.45 | 0.64 | 0.10 | 3.05 | 2.24 | 000 | |
| 57454 | A | Bx/curett of cervix w/scope | 2.33 | 1.80 | 1.02 | 0.13 | 4.26 | 3.48 | 000 | |
| 57455 | A | Biopsy of cervix w/scope | 1.99 | 1.79 | 0.89 | 0.13 | 3.91 | 3.01 | 000 | |
| 57456 | A | Endocerv curettage w/scope | 1.85 | 1.72 | 0.84 | 0.13 | 3.70 | 2.82 | 000 | |
| 57460 | A | Bx of cervix w/scope, leep | 2.83 | 6.23 | 1.25 | 0.28 | 9.34 | 4.36 | 000 | |
| 57461 | A | Conz of cervix w/scope, leep | 3.44 | 6.48 | 1.43 | 0.28 | 10.20 | 5.15 | 000 | |
| 57500 | A | Biopsy of cervix | 0.97 | 2.76 | 0.48 | 0.10 | 3.83 | 1.55 | 000 | |
| 57505 | A | Endocervical curettage | 1.14 | 1.52 | 1.14 | 0.12 | 2.78 | 2.40 | 010 | |
| 57510 | A | Cauterization of cervix | 1.90 | 1.61 | 1.07 | 0.18 | 3.69 | 3.15 | 010 | |
| 57511 | A | Cryocautery of cervix | 1.90 | 1.88 | 1.42 | 0.18 | 3.96 | 3.50 | 010 | |
| 57513 | A | Laser surgery of cervix | 1.90 | 1.93 | 1.45 | 0.19 | 4.02 | 3.54 | 010 | |
| 57520 | A | Conization of cervix | 4.04 | 5.05 | 2.86 | 0.41 | 9.50 | 7.31 | 090 | |
| 57522 | A | Conization of cervix | 3.36 | 4.55 | 2.81 | 0.34 | 8.25 | 6.51 | 090 | |
| 57530 | A | Removal of cervix | 4.79 | N/A | 3.67 | 0.48 | N/A | 8.94 | 090 | |
| 57531 | A | Removal of cervix, radical | 28.00 | N/A | 13.74 | 2.46 | N/A | 44.20 | 090 | |
| 57540 | A | Removal of residual cervix | 12.22 | N/A | 6.55 | 1.21 | N/A | 19.98 | 090 | |
| 57545 | A | Remove cervix/repair pelvis | 13.03 | N/A | 7.00 | 1.30 | N/A | 21.33 | 090 | |
| 57550 | A | Removal of residual cervix | 5.53 | N/A | 4.08 | 0.55 | N/A | 10.16 | 090 | |
| 57555 | A | Remove cervix/repair vagina | 8.95 | N/A | 5.39 | 0.89 | N/A | 15.23 | 090 | |
| 57556 | A | Remove cervix, repair bowel | 8.37 | N/A | 5.13 | 0.80 | N/A | 14.30 | 090 | |
| 57700 | A | Revision of cervix | 3.55 | N/A | 3.28 | 0.33 | N/A | 7.16 | 090 | |
| 57720 | A | Revision of cervix | 4.13 | N/A | 3.36 | 0.41 | N/A | 7.90 | 090 | |
| 57800 | A | Dilation of cervical canal | 0.77 | 0.79 | 0.49 | 0.08 | 1.64 | 1.34 | 000 | |
| 57820 | A | D c of residual cervix | 1.67 | 1.52 | 1.17 | 0.17 | 3.36 | 3.01 | 010 | |
| 58100 | A | Biopsy of uterus lining | 1.53 | 1.37 | 0.74 | 0.07 | 2.97 | 2.34 | 000 | |
| 58120 | A | Dilation and curettage | 3.27 | 2.37 | 1.92 | 0.33 | 5.97 | 5.52 | 010 | |
| 58140 | A | Myomectomy abdom method | 14.60 | N/A | 7.39 | 1.46 | N/A | 23.45 | 090 | |
| 58145 | A | Myomectomy vag method | 8.04 | N/A | 5.08 | 0.80 | N/A | 13.92 | 090 | |
| 58146 | A | Myomectomy abdom complex | 19.00 | N/A | 8.97 | 1.46 | N/A | 29.43 | 090 | |
| 58150 | A | Total hysterectomy | 15.24 | N/A | 7.70 | 1.57 | N/A | 24.51 | 090 | |
| 58152 | A | Total hysterectomy | 20.60 | N/A | 10.09 | 1.52 | N/A | 32.21 | 090 | |
| 58180 | A | Partial hysterectomy | 15.29 | N/A | 7.67 | 1.54 | N/A | 24.50 | 090 | |
| 58200 | A | Extensive hysterectomy | 21.59 | N/A | 10.36 | 2.15 | N/A | 34.10 | 090 | |
| 58210 | A | Extensive hysterectomy | 28.85 | N/A | 13.72 | 2.91 | N/A | 45.48 | 090 | |
| 58240 | A | Removal of pelvis contents | 38.39 | N/A | 18.32 | 3.76 | N/A | 60.47 | 090 | |
| 58260 | A | Vaginal hysterectomy | 12.98 | N/A | 6.87 | 1.23 | N/A | 21.08 | 090 | |
| 58262 | A | Vag hyst including t/o | 14.77 | N/A | 7.63 | 1.42 | N/A | 23.82 | 090 | |
| 58263 | A | Vag hyst w/t/o vag repair | 16.06 | N/A | 8.15 | 1.55 | N/A | 25.76 | 090 | |
| 58267 | A | Vag hyst w/urinary repair | 17.04 | N/A | 8.57 | 1.51 | N/A | 27.12 | 090 | |
| 58270 | A | Vag hyst w/enterocele repair | 14.26 | N/A | 7.25 | 1.37 | N/A | 22.88 | 090 | |
| 58275 | A | Hysterectomy/revise vagina | 15.76 | N/A | 7.92 | 1.51 | N/A | 25.19 | 090 | |
| 58280 | A | Hysterectomy/revise vagina | 17.01 | N/A | 8.42 | 1.54 | N/A | 26.97 | 090 | |
| 58285 | A | Extensive hysterectomy | 22.26 | N/A | 10.45 | 1.88 | N/A | 34.59 | 090 | |
| 58290 | A | Vag hyst complex | 19.00 | N/A | 9.07 | 1.23 | N/A | 29.30 | 090 | |
| 58291 | A | Vag hyst incl t/o, complex | 20.79 | N/A | 10.10 | 1.42 | N/A | 32.31 | 090 | |
| 58292 | A | Vag hyst t/o repair, compl | 22.08 | N/A | 10.64 | 1.55 | N/A | 34.27 | 090 | |
| 58293 | A | Vag hyst w/uro repair, compl | 23.06 | N/A | 11.15 | 1.51 | N/A | 35.72 | 090 | |
| 58294 | A | Vag hyst w/enterocele, compl | 20.28 | N/A | 9.89 | 1.37 | N/A | 31.54 | 090 | |
| 58300 | N | Insert intrauterine device | 1.01 | 1.55 | 0.39 | 0.10 | 2.66 | 1.50 | XXX | |
| 58301 | A | Remove intrauterine device | 1.27 | 1.37 | 0.49 | 0.13 | 2.77 | 1.89 | 000 | |
| 58321 | A | Artificial insemination | 0.92 | 1.19 | 0.38 | 0.10 | 2.21 | 1.40 | 000 | |
| 58322 | A | Artificial insemination | 1.10 | 1.25 | 0.43 | 0.11 | 2.46 | 1.64 | 000 | |
| 58323 | A | Sperm washing | 0.23 | 0.24 | 0.10 | 0.02 | 0.49 | 0.35 | 000 | |
| 58340 | A | Catheter for hysterography | 0.88 | 3.09 | 0.66 | 0.08 | 4.05 | 1.62 | 000 | |
| 58345 | A | Reopen fallopian tube | 4.66 | N/A | 2.48 | 0.36 | N/A | 7.50 | 010 | |
| 58346 | A | Insert heyman uteri capsule | 6.75 | N/A | 4.03 | 0.64 | N/A | 11.42 | 090 | |
| 58350 | A | Reopen fallopian tube | 1.01 | 1.54 | 0.95 | 0.10 | 2.65 | 2.06 | 010 | |
| 58353 | A | Endometr ablate, thermal | 3.56 | 2.93 | 2.13 | 0.37 | 6.86 | 6.06 | 010 | |
| 58400 | A | Suspension of uterus | 6.36 | N/A | 4.21 | 0.62 | N/A | 11.19 | 090 | |
| 58410 | A | Suspension of uterus | 12.73 | N/A | 6.75 | 1.09 | N/A | 20.57 | 090 | |
| 58520 | A | Repair of ruptured uterus | 11.92 | N/A | 6.27 | 1.17 | N/A | 19.36 | 090 | |
| 58540 | A | Revision of uterus | 14.64 | N/A | 7.23 | 1.28 | N/A | 23.15 | 090 | |
| 58545 | A | Laparoscopic myomectomy | 14.60 | N/A | 7.53 | 1.45 | N/A | 23.58 | 090 | |
| 58546 | A | Laparo-myomectomy, complex | 19.00 | N/A | 9.38 | 1.45 | N/A | 29.83 | 090 | |
| 58550 | A | Laparo-asst vag hysterectomy | 14.19 | N/A | 7.61 | 1.44 | N/A | 23.24 | 090 | |
| 58552 | A | Laparo-vag hyst incl t/o | 14.19 | N/A | 7.54 | 1.44 | N/A | 23.17 | 090 | |
| 58553 | A | Laparo-vag hyst, complex | 19.00 | N/A | 9.35 | 1.23 | N/A | 29.58 | 090 | |
| 58554 | A | Laparo-vag hyst w/t/o, compl | 19.00 | N/A | 9.58 | 1.23 | N/A | 29.81 | 090 | |
| 58555 | A | Hysteroscopy, dx, sep proc | 3.33 | 2.12 | 1.49 | 0.34 | 5.79 | 5.16 | 000 | |
| 58558 | A | Hysteroscopy, biopsy | 4.75 | N/A | 2.11 | 0.49 | N/A | 7.35 | 000 | |
| 58559 | A | Hysteroscopy, lysis | 6.17 | N/A | 2.68 | 0.62 | N/A | 9.47 | 000 | |
| 58560 | A | Hysteroscopy, resect septum | 7.00 | N/A | 3.03 | 0.71 | N/A | 10.74 | 000 | |
| 58561 | A | Hysteroscopy, remove myoma | 10.00 | N/A | 4.26 | 1.02 | N/A | 15.28 | 000 | |
| 58562 | A | Hysteroscopy, remove fb | 5.21 | N/A | 2.26 | 0.52 | N/A | 7.99 | 000 | |
| 58563 | A | Hysteroscopy, ablation | 6.17 | N/A | 2.69 | 0.62 | N/A | 9.48 | 000 | |
| 58578 | C | Laparo proc, uterus | 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 | YYY | |
| 58600 | A | Division of fallopian tube | 5.60 | N/A | 3.56 | 0.39 | N/A | 9.55 | 090 | |
| 58605 | A | Division of fallopian tube | 5.00 | N/A | 3.36 | 0.33 | N/A | 8.69 | 090 | |
| 58611 | A | Ligate oviduct(s) add-on | 1.45 | N/A | 0.58 | 0.07 | N/A | 2.10 | ZZZ | |
| 58615 | A | Occlude fallopian tube(s) | 3.90 | N/A | 2.78 | 0.40 | N/A | 7.08 | 010 | |
| 58660 | A | Laparoscopy, lysis | 11.29 | N/A | 5.50 | 1.14 | N/A | 17.93 | 090 | |
| 58661 | A | Laparoscopy, remove adnexa | 11.05 | N/A | 5.26 | 1.12 | N/A | 17.43 | 010 | |
| 58662 | A | Laparoscopy, excise lesions | 11.79 | N/A | 6.05 | 1.18 | N/A | 19.02 | 090 | |
| 58670 | A | Laparoscopy, tubal cautery | 5.60 | N/A | 3.38 | 0.55 | N/A | 9.53 | 090 | |
| 58671 | A | Laparoscopy, tubal block | 5.60 | N/A | 3.40 | 0.56 | N/A | 9.56 | 090 | |
| 58672 | A | Laparoscopy, fimbrioplasty | 12.88 | N/A | 6.51 | 1.22 | N/A | 20.61 | 090 | |
| 58673 | A | Laparoscopy, salpingostomy | 13.74 | N/A | 6.92 | 1.40 | N/A | 22.06 | 090 | |
| 58679 | C | Laparo proc, oviduct-ovary | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 58700 | A | Removal of fallopian tube | 12.05 | N/A | 6.24 | 0.64 | N/A | 18.93 | 090 | |
| 58720 | A | Removal of ovary/tube(s) | 11.36 | N/A | 6.07 | 1.14 | N/A | 18.57 | 090 | |
| 58740 | A | Revise fallopian tube(s) | 14.00 | N/A | 7.46 | 0.59 | N/A | 22.05 | 090 | |
| 58750 | A | Repair oviduct | 14.84 | N/A | 7.69 | 1.52 | N/A | 24.05 | 090 | |
| 58752 | A | Revise ovarian tube(s) | 14.84 | N/A | 7.35 | 1.51 | N/A | 23.70 | 090 | |
| 58760 | A | Remove tubal obstruction | 13.13 | N/A | 7.01 | 1.34 | N/A | 21.48 | 090 | |
| 58770 | A | Create new tubal opening | 13.97 | N/A | 7.23 | 1.42 | N/A | 22.62 | 090 | |
| 58800 | A | Drainage of ovarian cyst(s) | 4.14 | 4.80 | 3.16 | 0.36 | 9.30 | 7.66 | 090 | |
| 58805 | A | Drainage of ovarian cyst(s) | 5.88 | N/A | 3.71 | 0.56 | N/A | 10.15 | 090 | |
| 58820 | A | Drain ovary abscess, open | 4.22 | N/A | 3.49 | 0.29 | N/A | 8.00 | 090 | |
| 58822 | A | Drain ovary abscess, percut | 10.13 | N/A | 5.44 | 0.92 | N/A | 16.49 | 090 | |
| 58823 | A | Drain pelvic abscess, percut | 3.38 | N/A | 1.54 | 0.18 | N/A | 5.10 | 000 | |
| 58825 | A | Transposition, ovary(s) | 10.98 | N/A | 6.08 | 0.62 | N/A | 17.68 | 090 | |
| 58900 | A | Biopsy of ovary(s) | 5.99 | N/A | 3.79 | 0.56 | N/A | 10.34 | 090 | |
| 58920 | A | Partial removal of ovary(s) | 11.36 | N/A | 5.83 | 0.68 | N/A | 17.87 | 090 | |
| 58925 | A | Removal of ovarian cyst(s) | 11.36 | N/A | 5.92 | 1.14 | N/A | 18.42 | 090 | |
| 58940 | A | Removal of ovary(s) | 7.29 | N/A | 4.32 | 0.73 | N/A | 12.34 | 090 | |
| 58943 | A | Removal of ovary(s) | 18.43 | N/A | 9.16 | 1.86 | N/A | 29.45 | 090 | |
| 58950 | A | Resect ovarian malignancy | 16.93 | N/A | 8.94 | 1.55 | N/A | 27.42 | 090 | |
| 58951 | A | Resect ovarian malignancy | 22.38 | N/A | 11.07 | 2.20 | N/A | 35.65 | 090 | |
| 58952 | A | Resect ovarian malignancy | 25.01 | N/A | 12.40 | 2.57 | N/A | 39.98 | 090 | |
| 58953 | A | Tah, rad dissect for debulk | 32.00 | N/A | 15.03 | 3.30 | N/A | 50.33 | 090 | |
| 58954 | A | Tah rad debulk/lymph remove | 35.00 | N/A | 16.19 | 3.56 | N/A | 54.75 | 090 | |
| 58960 | A | Exploration of abdomen | 14.65 | N/A | 7.90 | 1.47 | N/A | 24.02 | 090 | |
| 58970 | A | Retrieval of oocyte | 3.53 | 2.37 | 1.53 | 0.36 | 6.26 | 5.42 | 000 | |
| 58974 | C | Transfer of embryo | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 58976 | A | Transfer of embryo | 3.83 | 2.69 | 1.87 | 0.39 | 6.91 | 6.09 | 000 | |
| 58999 | C | Genital surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 59000 | A | Amniocentesis, diagnostic | 1.30 | 2.17 | 0.70 | 0.23 | 3.70 | 2.23 | 000 | |
| 59001 | A | Amniocentesis, therapeutic | 3.00 | N/A | 1.44 | 0.23 | N/A | 4.67 | 000 | |
| 59012 | A | Fetal cord puncture,prenatal | 3.45 | N/A | 1.59 | 0.62 | N/A | 5.66 | 000 | |
| 59015 | A | Chorion biopsy | 2.20 | 1.61 | 1.08 | 0.40 | 4.21 | 3.68 | 000 | |
| 59020 | A | Fetal contract stress test | 0.66 | 0.79 | N/A | 0.20 | 1.65 | N/A | 000 | |
| 59020 | 26 | A | Fetal contract stress test | 0.66 | 0.27 | 0.27 | 0.12 | 1.05 | 1.05 | 000 |
| 59020 | TC | A | Fetal contract stress test | 0.00 | 0.52 | N/A | 0.08 | 0.60 | N/A | 000 |
| 59025 | A | Fetal non-stress test | 0.53 | 0.45 | N/A | 0.12 | 1.10 | N/A | 000 | |
| 59025 | 26 | A | Fetal non-stress test | 0.53 | 0.21 | 0.21 | 0.10 | 0.84 | 0.84 | 000 |
| 59025 | TC | A | Fetal non-stress test | 0.00 | 0.23 | N/A | 0.02 | 0.25 | N/A | 000 |
| 59030 | A | Fetal scalp blood sample | 1.99 | N/A | 1.07 | 0.36 | N/A | 3.42 | 000 | |
| 59050 | A | Fetal monitor w/report | 0.89 | N/A | 0.36 | 0.16 | N/A | 1.41 | XXX | |
| 59051 | A | Fetal monitor/interpret only | 0.74 | N/A | 0.30 | 0.14 | N/A | 1.18 | XXX | |
| 59100 | A | Remove uterus lesion | 12.35 | N/A | 6.74 | 2.21 | N/A | 21.30 | 090 | |
| 59120 | A | Treat ectopic pregnancy | 11.49 | N/A | 6.54 | 2.06 | N/A | 20.09 | 090 | |
| 59121 | A | Treat ectopic pregnancy | 11.67 | N/A | 6.61 | 2.09 | N/A | 20.37 | 090 | |
| 59130 | A | Treat ectopic pregnancy | 14.22 | N/A | 6.31 | 2.54 | N/A | 23.07 | 090 | |
| 59135 | A | Treat ectopic pregnancy | 13.88 | N/A | 7.39 | 2.49 | N/A | 23.76 | 090 | |
| 59136 | A | Treat ectopic pregnancy | 13.18 | N/A | 6.92 | 2.36 | N/A | 22.46 | 090 | |
| 59140 | A | Treat ectopic pregnancy | 5.46 | 5.39 | 3.72 | 0.98 | 11.83 | 10.16 | 090 | |
| 59150 | A | Treat ectopic pregnancy | 11.67 | N/A | 6.31 | 1.23 | N/A | 19.21 | 090 | |
| 59151 | A | Treat ectopic pregnancy | 11.49 | N/A | 6.30 | 1.41 | N/A | 19.20 | 090 | |
| 59160 | A | D c after delivery | 2.71 | 3.35 | 2.17 | 0.49 | 6.55 | 5.37 | 010 | |
| 59200 | A | Insert cervical dilator | 0.79 | 1.25 | 0.31 | 0.15 | 2.19 | 1.25 | 000 | |
| 59300 | A | Episiotomy or vaginal repair | 2.41 | 2.21 | 0.98 | 0.43 | 5.05 | 3.82 | 000 | |
| 59320 | A | Revision of cervix | 2.48 | N/A | 1.29 | 0.45 | N/A | 4.22 | 000 | |
| 59325 | A | Revision of cervix | 4.07 | N/A | 1.96 | 0.73 | N/A | 6.76 | 000 | |
| 59350 | A | Repair of uterus | 4.95 | N/A | 2.00 | 0.88 | N/A | 7.83 | 000 | |
| 59400 | A | Obstetrical care | 23.06 | N/A | 15.87 | 4.14 | N/A | 43.07 | MMM | |
| 59409 | A | Obstetrical care | 13.50 | N/A | 5.42 | 2.42 | N/A | 21.34 | MMM | |
| 59410 | A | Obstetrical care | 14.78 | N/A | 6.46 | 2.65 | N/A | 23.89 | MMM | |
| 59412 | A | Antepartum manipulation | 1.71 | N/A | 0.83 | 0.31 | N/A | 2.85 | MMM | |
| 59414 | A | Deliver placenta | 1.61 | N/A | 0.64 | 0.29 | N/A | 2.54 | MMM | |
| 59425 | A | Antepartum care only | 4.81 | 4.38 | 1.90 | 0.86 | 10.05 | 7.57 | MMM | |
| 59426 | A | Antepartum care only | 8.28 | 7.85 | 3.29 | 1.49 | 17.62 | 13.06 | MMM | |
| 59430 | A | Care after delivery | 2.13 | 1.27 | 0.96 | 0.38 | 3.78 | 3.47 | MMM | |
| 59510 | A | Cesarean delivery | 26.22 | N/A | 17.86 | 4.70 | N/A | 48.78 | MMM | |
| 59514 | A | Cesarean delivery only | 15.97 | N/A | 6.35 | 2.86 | N/A | 25.18 | MMM | |
| 59515 | A | Cesarean delivery | 17.37 | N/A | 8.03 | 3.12 | N/A | 28.52 | MMM | |
| 59525 | A | Remove uterus after cesarean | 8.54 | N/A | 3.38 | 1.53 | N/A | 13.45 | ZZZ | |
| 59610 | A | Vbac delivery | 24.62 | N/A | 16.44 | 4.41 | N/A | 45.47 | MMM | |
| 59612 | A | Vbac delivery only | 15.06 | N/A | 6.18 | 2.70 | N/A | 23.94 | MMM | |
| 59614 | A | Vbac care after delivery | 16.34 | N/A | 7.10 | 2.93 | N/A | 26.37 | MMM | |
| 59618 | A | Attempted vbac delivery | 27.78 | N/A | 18.97 | 4.98 | N/A | 51.73 | MMM | |
| 59620 | A | Attempted vbac delivery only | 17.53 | N/A | 6.91 | 3.15 | N/A | 27.59 | MMM | |
| 59622 | A | Attempted vbac after care | 18.93 | N/A | 8.85 | 3.39 | N/A | 31.17 | MMM | |
| 59812 | A | Treatment of miscarriage | 4.01 | N/A | 2.62 | 0.58 | N/A | 7.21 | 090 | |
| 59820 | A | Care of miscarriage | 4.01 | N/A | 3.62 | 0.72 | N/A | 8.35 | 090 | |
| 59821 | A | Treatment of miscarriage | 4.47 | N/A | 3.52 | 0.80 | N/A | 8.79 | 090 | |
| 59830 | A | Treat uterus infection | 6.11 | N/A | 4.10 | 1.10 | N/A | 11.31 | 090 | |
| 59840 | R | Abortion | 3.01 | N/A | 2.18 | 0.54 | N/A | 5.73 | 010 | |
| 59841 | R | Abortion | 5.24 | 3.59 | 3.05 | 0.94 | 9.77 | 9.23 | 010 | |
| 59850 | R | Abortion | 5.91 | N/A | 3.33 | 1.06 | N/A | 10.30 | 090 | |
| 59851 | R | Abortion | 5.93 | N/A | 3.89 | 1.06 | N/A | 10.88 | 090 | |
| 59852 | R | Abortion | 8.24 | N/A | 5.39 | 1.48 | N/A | 15.11 | 090 | |
| 59855 | R | Abortion | 6.12 | N/A | 3.72 | 1.10 | N/A | 10.94 | 090 | |
| 59856 | R | Abortion | 7.48 | N/A | 4.29 | 1.34 | N/A | 13.11 | 090 | |
| 59857 | R | Abortion | 9.29 | N/A | 4.78 | 1.66 | N/A | 15.73 | 090 | |
| 59866 | R | Abortion (mpr) | 4.00 | N/A | 1.86 | 0.72 | N/A | 6.58 | 000 | |
| 59870 | A | Evacuate mole of uterus | 6.01 | N/A | 4.62 | 0.77 | N/A | 11.40 | 090 | |
| 59871 | A | Remove cerclage suture | 2.13 | 1.81 | 1.16 | 0.38 | 4.32 | 3.67 | 000 | |
| 59898 | C | Laparo proc, ob care/deliver | 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 | YYY | |
| 60000 | A | Drain thyroid/tongue cyst | 1.76 | 2.23 | 2.09 | 0.14 | 4.13 | 3.99 | 010 | |
| 60001 | A | Aspirate/inject thyriod cyst | 0.97 | 1.54 | 0.35 | 0.06 | 2.57 | 1.38 | 000 | |
| 60100 | A | Biopsy of thyroid | 1.56 | 1.45 | 0.54 | 0.05 | 3.06 | 2.15 | 000 | |
| 60200 | A | Remove thyroid lesion | 9.55 | N/A | 6.24 | 0.84 | N/A | 16.63 | 090 | |
| 60210 | A | Partial thyroid excision | 10.88 | N/A | 5.94 | 1.01 | N/A | 17.83 | 090 | |
| 60212 | A | Partial thyroid excision | 16.03 | N/A | 7.96 | 1.51 | N/A | 25.50 | 090 | |
| 60220 | A | Partial removal of thyroid | 11.90 | N/A | 6.47 | 0.97 | N/A | 19.34 | 090 | |
| 60225 | A | Partial removal of thyroid | 14.19 | N/A | 7.67 | 1.31 | N/A | 23.17 | 090 | |
| 60240 | A | Removal of thyroid | 16.06 | N/A | 7.95 | 1.50 | N/A | 25.51 | 090 | |
| 60252 | A | Removal of thyroid | 20.57 | N/A | 10.51 | 1.63 | N/A | 32.71 | 090 | |
| 60254 | A | Extensive thyroid surgery | 26.99 | N/A | 14.72 | 1.96 | N/A | 43.67 | 090 | |
| 60260 | A | Repeat thyroid surgery | 17.47 | N/A | 9.09 | 1.39 | N/A | 27.95 | 090 | |
| 60270 | A | Removal of thyroid | 20.27 | N/A | 10.69 | 1.78 | N/A | 32.74 | 090 | |
| 60271 | A | Removal of thyroid | 16.83 | N/A | 8.98 | 1.35 | N/A | 27.16 | 090 | |
| 60280 | A | Remove thyroid duct lesion | 5.87 | N/A | 4.95 | 0.45 | N/A | 11.27 | 090 | |
| 60281 | A | Remove thyroid duct lesion | 8.53 | N/A | 6.14 | 0.67 | N/A | 15.34 | 090 | |
| 60500 | A | Explore parathyroid glands | 16.23 | N/A | 7.66 | 1.61 | N/A | 25.50 | 090 | |
| 60502 | A | Re-explore parathyroids | 20.35 | N/A | 9.59 | 2.00 | N/A | 31.94 | 090 | |
| 60505 | A | Explore parathyroid glands | 21.49 | N/A | 11.12 | 2.14 | N/A | 34.75 | 090 | |
| 60512 | A | Autotransplant parathyroid | 4.45 | N/A | 1.66 | 0.44 | N/A | 6.55 | ZZZ | |
| 60520 | A | Removal of thymus gland | 16.81 | N/A | 8.37 | 1.84 | N/A | 27.02 | 090 | |
| 60521 | A | Removal of thymus gland | 18.87 | N/A | 9.39 | 2.34 | N/A | 30.60 | 090 | |
| 60522 | A | Removal of thymus gland | 23.09 | N/A | 11.11 | 2.83 | N/A | 37.03 | 090 | |
| 60540 | A | Explore adrenal gland | 17.03 | N/A | 7.79 | 1.42 | N/A | 26.24 | 090 | |
| 60545 | A | Explore adrenal gland | 19.88 | N/A | 8.76 | 1.75 | N/A | 30.39 | 090 | |
| 60600 | A | Remove carotid body lesion | 17.93 | N/A | 10.94 | 1.87 | N/A | 30.74 | 090 | |
| 60605 | A | Remove carotid body lesion | 20.24 | N/A | 12.95 | 2.28 | N/A | 35.47 | 090 | |
| 60650 | A | Laparoscopy adrenalectomy | 20.00 | N/A | 8.13 | 1.98 | N/A | 30.11 | 090 | |
| 60659 | C | Laparo proc, endocrine | 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 | YYY | |
| 61000 | A | Remove cranial cavity fluid | 1.58 | N/A | 0.98 | 0.13 | N/A | 2.69 | 000 | |
| 61001 | A | Remove cranial cavity fluid | 1.49 | N/A | 1.09 | 0.15 | N/A | 2.73 | 000 | |
| 61020 | A | Remove brain cavity fluid | 1.51 | N/A | 1.39 | 0.26 | N/A | 3.16 | 000 | |
| 61026 | A | Injection into brain canal | 1.69 | N/A | 1.45 | 0.21 | N/A | 3.35 | 000 | |
| 61050 | A | Remove brain canal fluid | 1.51 | N/A | 1.28 | 0.13 | N/A | 2.92 | 000 | |
| 61055 | A | Injection into brain canal | 2.10 | N/A | 1.43 | 0.13 | N/A | 3.66 | 000 | |
| 61070 | A | Brain canal shunt procedure | 0.89 | N/A | 1.05 | 0.09 | N/A | 2.03 | 000 | |
| 61105 | A | Twist drill hole | 5.14 | N/A | 4.03 | 1.05 | N/A | 10.22 | 090 | |
| 61107 | A | Drill skull for implantation | 5.00 | N/A | 3.39 | 1.02 | N/A | 9.41 | 000 | |
| 61108 | A | Drill skull for drainage | 10.19 | N/A | 7.29 | 2.04 | N/A | 19.52 | 090 | |
| 61120 | A | Burr hole for puncture | 8.76 | N/A | 6.11 | 1.81 | N/A | 16.68 | 090 | |
| 61140 | A | Pierce skull for biopsy | 15.90 | N/A | 10.09 | 3.15 | N/A | 29.14 | 090 | |
| 61150 | A | Pierce skull for drainage | 17.57 | N/A | 10.62 | 3.52 | N/A | 31.71 | 090 | |
| 61151 | A | Pierce skull for drainage | 12.42 | N/A | 7.99 | 2.45 | N/A | 22.86 | 090 | |
| 61154 | A | Pierce skull remove clot | 14.99 | N/A | 9.68 | 3.05 | N/A | 27.72 | 090 | |
| 61156 | A | Pierce skull for drainage | 16.32 | N/A | 10.04 | 3.42 | N/A | 29.78 | 090 | |
| 61210 | A | Pierce skull, implant device | 5.84 | N/A | 3.79 | 1.16 | N/A | 10.79 | 000 | |
| 61215 | A | Insert brain-fluid device | 4.89 | N/A | 4.08 | 0.99 | N/A | 9.96 | 090 | |
| 61250 | A | Pierce skull explore | 10.42 | N/A | 6.99 | 2.02 | N/A | 19.43 | 090 | |
| 61253 | A | Pierce skull explore | 12.36 | N/A | 7.87 | 2.26 | N/A | 22.49 | 090 | |
| 61304 | A | Open skull for exploration | 21.96 | N/A | 13.14 | 4.33 | N/A | 39.43 | 090 | |
| 61305 | A | Open skull for exploration | 26.61 | N/A | 15.66 | 5.25 | N/A | 47.52 | 090 | |
| 61312 | A | Open skull for drainage | 24.57 | N/A | 15.39 | 4.99 | N/A | 44.95 | 090 | |
| 61313 | A | Open skull for drainage | 24.93 | N/A | 15.16 | 5.07 | N/A | 45.16 | 090 | |
| 61314 | A | Open skull for drainage | 24.23 | N/A | 13.32 | 4.00 | N/A | 41.55 | 090 | |
| 61315 | A | Open skull for drainage | 27.68 | N/A | 16.37 | 5.62 | N/A | 49.67 | 090 | |
| 61316 | A | Implt cran bone flap to abdo | 1.39 | N/A | 0.57 | 0.43 | N/A | 2.39 | ZZZ | |
| 61320 | A | Open skull for drainage | 25.62 | N/A | 15.11 | 5.20 | N/A | 45.93 | 090 | |
| 61321 | A | Open skull for drainage | 28.50 | N/A | 16.49 | 5.35 | N/A | 50.34 | 090 | |
| 61322 | A | Decompressive craniotomy | 29.50 | N/A | 14.57 | 4.99 | N/A | 49.06 | 090 | |
| 61323 | A | Decompressive lobectomy | 31.00 | N/A | 14.76 | 4.99 | N/A | 50.75 | 090 | |
| 61330 | A | Decompress eye socket | 23.32 | N/A | 14.05 | 2.58 | N/A | 39.95 | 090 | |
| 61332 | A | Explore/biopsy eye socket | 27.28 | N/A | 15.97 | 4.15 | N/A | 47.40 | 090 | |
| 61333 | A | Explore orbit/remove lesion | 27.95 | N/A | 15.97 | 2.24 | N/A | 46.16 | 090 | |
| 61334 | A | Explore orbit/remove object | 18.27 | N/A | 10.91 | 3.02 | N/A | 32.20 | 090 | |
| 61340 | A | Subtemporal decompression | 18.66 | N/A | 11.39 | 3.66 | N/A | 33.71 | 090 | |
| 61343 | A | Incise skull (press relief) | 29.77 | N/A | 17.43 | 6.04 | N/A | 53.24 | 090 | |
| 61345 | A | Relieve cranial pressure | 27.20 | N/A | 15.98 | 5.23 | N/A | 48.41 | 090 | |
| 61440 | A | Incise skull for surgery | 26.63 | N/A | 14.76 | 5.57 | N/A | 46.96 | 090 | |
| 61450 | A | Incise skull for surgery | 25.95 | N/A | 14.84 | 5.11 | N/A | 45.90 | 090 | |
| 61458 | A | Incise skull for brain wound | 27.29 | N/A | 16.05 | 5.28 | N/A | 48.62 | 090 | |
| 61460 | A | Incise skull for surgery | 28.39 | N/A | 16.96 | 5.13 | N/A | 50.48 | 090 | |
| 61470 | A | Incise skull for surgery | 26.06 | N/A | 14.40 | 4.65 | N/A | 45.11 | 090 | |
| 61480 | A | Incise skull for surgery | 26.49 | N/A | 15.23 | 5.54 | N/A | 47.26 | 090 | |
| 61490 | A | Incise skull for surgery | 25.66 | N/A | 14.87 | 5.37 | N/A | 45.90 | 090 | |
| 61500 | A | Removal of skull lesion | 17.92 | N/A | 11.26 | 3.26 | N/A | 32.44 | 090 | |
| 61501 | A | Remove infected skull bone | 14.84 | N/A | 9.62 | 2.63 | N/A | 27.09 | 090 | |
| 61510 | A | Removal of brain lesion | 28.45 | N/A | 17.22 | 5.77 | N/A | 51.44 | 090 | |
| 61512 | A | Remove brain lining lesion | 35.09 | N/A | 20.36 | 7.14 | N/A | 62.59 | 090 | |
| 61514 | A | Removal of brain abscess | 25.26 | N/A | 14.95 | 5.12 | N/A | 45.33 | 090 | |
| 61516 | A | Removal of brain lesion | 24.61 | N/A | 14.78 | 4.94 | N/A | 44.33 | 090 | |
| 61517 | A | Implt brain chemotx add-on | 1.38 | N/A | 0.57 | 0.08 | N/A | 2.03 | ZZZ | |
| 61518 | A | Removal of brain lesion | 37.32 | N/A | 21.82 | 7.53 | N/A | 66.67 | 090 | |
| 61519 | A | Remove brain lining lesion | 41.39 | N/A | 23.44 | 8.15 | N/A | 72.98 | 090 | |
| 61520 | A | Removal of brain lesion | 54.84 | N/A | 31.26 | 10.10 | N/A | 96.20 | 090 | |
| 61521 | A | Removal of brain lesion | 44.48 | N/A | 25.05 | 8.85 | N/A | 78.38 | 090 | |
| 61522 | A | Removal of brain abscess | 29.45 | N/A | 17.03 | 5.30 | N/A | 51.78 | 090 | |
| 61524 | A | Removal of brain lesion | 27.86 | N/A | 16.26 | 5.01 | N/A | 49.13 | 090 | |
| 61526 | A | Removal of brain lesion | 52.17 | N/A | 30.38 | 6.72 | N/A | 89.27 | 090 | |
| 61530 | A | Removal of brain lesion | 43.86 | N/A | 25.88 | 6.17 | N/A | 75.91 | 090 | |
| 61531 | A | Implant brain electrodes | 14.63 | N/A | 9.51 | 2.84 | N/A | 26.98 | 090 | |
| 61533 | A | Implant brain electrodes | 19.71 | N/A | 11.98 | 3.80 | N/A | 35.49 | 090 | |
| 61534 | A | Removal of brain lesion | 20.97 | N/A | 12.62 | 4.15 | N/A | 37.74 | 090 | |
| 61535 | A | Remove brain electrodes | 11.63 | N/A | 7.82 | 2.29 | N/A | 21.74 | 090 | |
| 61536 | A | Removal of brain lesion | 35.52 | N/A | 20.47 | 6.68 | N/A | 62.67 | 090 | |
| 61538 | A | Removal of brain tissue | 26.81 | N/A | 15.95 | 5.38 | N/A | 48.14 | 090 | |
| 61539 | A | Removal of brain tissue | 32.08 | N/A | 18.43 | 6.62 | N/A | 57.13 | 090 | |
| 61541 | A | Incision of brain tissue | 28.85 | N/A | 16.77 | 5.50 | N/A | 51.12 | 090 | |
| 61542 | A | Removal of brain tissue | 31.02 | N/A | 18.46 | 6.49 | N/A | 55.97 | 090 | |
| 61543 | A | Removal of brain tissue | 29.22 | N/A | 16.98 | 6.11 | N/A | 52.31 | 090 | |
| 61544 | A | Remove treat brain lesion | 25.50 | N/A | 14.21 | 4.91 | N/A | 44.62 | 090 | |
| 61545 | A | Excision of brain tumor | 43.80 | N/A | 24.99 | 8.88 | N/A | 77.67 | 090 | |
| 61546 | A | Removal of pituitary gland | 31.30 | N/A | 18.13 | 6.06 | N/A | 55.49 | 090 | |
| 61548 | A | Removal of pituitary gland | 21.53 | N/A | 13.29 | 3.63 | N/A | 38.45 | 090 | |
| 61550 | A | Release of skull seams | 14.65 | N/A | 7.34 | 1.14 | N/A | 23.13 | 090 | |
| 61552 | A | Release of skull seams | 19.56 | N/A | 9.68 | 0.88 | N/A | 30.12 | 090 | |
| 61556 | A | Incise skull/sutures | 22.26 | N/A | 11.81 | 3.57 | N/A | 37.64 | 090 | |
| 61557 | A | Incise skull/sutures | 22.38 | N/A | 13.91 | 4.68 | N/A | 40.97 | 090 | |
| 61558 | A | Excision of skull/sutures | 25.58 | N/A | 14.75 | 2.61 | N/A | 42.94 | 090 | |
| 61559 | A | Excision of skull/sutures | 32.79 | N/A | 19.61 | 6.86 | N/A | 59.26 | 090 | |
| 61563 | A | Excision of skull tumor | 26.83 | N/A | 15.80 | 4.46 | N/A | 47.09 | 090 | |
| 61564 | A | Excision of skull tumor | 33.83 | N/A | 18.74 | 7.08 | N/A | 59.65 | 090 | |
| 61570 | A | Remove foreign body, brain | 24.60 | N/A | 14.32 | 4.60 | N/A | 43.52 | 090 | |
| 61571 | A | Incise skull for brain wound | 26.39 | N/A | 15.58 | 5.23 | N/A | 47.20 | 090 | |
| 61575 | A | Skull base/brainstem surgery | 34.36 | N/A | 20.34 | 5.02 | N/A | 59.72 | 090 | |
| 61576 | A | Skull base/brainstem surgery | 52.43 | N/A | 30.42 | 4.68 | N/A | 87.53 | 090 | |
| 61580 | A | Craniofacial approach, skull | 30.35 | N/A | 24.85 | 2.75 | N/A | 57.95 | 090 | |
| 61581 | A | Craniofacial approach, skull | 34.60 | N/A | 22.57 | 3.37 | N/A | 60.54 | 090 | |
| 61582 | A | Craniofacial approach, skull | 31.66 | N/A | 26.65 | 6.30 | N/A | 64.61 | 090 | |
| 61583 | A | Craniofacial approach, skull | 36.21 | N/A | 25.03 | 6.94 | N/A | 68.18 | 090 | |
| 61584 | A | Orbitocranial approach/skull | 34.65 | N/A | 24.40 | 6.53 | N/A | 65.58 | 090 | |
| 61585 | A | Orbitocranial approach/skull | 38.61 | N/A | 26.37 | 6.19 | N/A | 71.17 | 090 | |
| 61586 | A | Resect nasopharynx, skull | 25.10 | N/A | 21.80 | 3.52 | N/A | 50.42 | 090 | |
| 61590 | A | Infratemporal approach/skull | 41.78 | N/A | 29.48 | 4.28 | N/A | 75.54 | 090 | |
| 61591 | A | Infratemporal approach/skull | 43.68 | N/A | 30.38 | 5.26 | N/A | 79.32 | 090 | |
| 61592 | A | Orbitocranial approach/skull | 39.64 | N/A | 27.03 | 7.55 | N/A | 74.22 | 090 | |
| 61595 | A | Transtemporal approach/skull | 29.57 | N/A | 23.10 | 3.05 | N/A | 55.72 | 090 | |
| 61596 | A | Transcochlear approach/skull | 35.63 | N/A | 25.14 | 4.25 | N/A | 65.02 | 090 | |
| 61597 | A | Transcondylar approach/skull | 37.96 | N/A | 23.44 | 6.65 | N/A | 68.05 | 090 | |
| 61598 | A | Transpetrosal approach/skull | 33.41 | N/A | 23.82 | 4.60 | N/A | 61.83 | 090 | |
| 61600 | A | Resect/excise cranial lesion | 25.85 | N/A | 20.35 | 3.12 | N/A | 49.32 | 090 | |
| 61601 | A | Resect/excise cranial lesion | 27.89 | N/A | 20.88 | 5.29 | N/A | 54.06 | 090 | |
| 61605 | A | Resect/excise cranial lesion | 29.33 | N/A | 22.75 | 2.51 | N/A | 54.59 | 090 | |
| 61606 | A | Resect/excise cranial lesion | 38.83 | N/A | 25.68 | 6.81 | N/A | 71.32 | 090 | |
| 61607 | A | Resect/excise cranial lesion | 36.27 | N/A | 24.32 | 5.69 | N/A | 66.28 | 090 | |
| 61608 | A | Resect/excise cranial lesion | 42.10 | N/A | 27.11 | 8.31 | N/A | 77.52 | 090 | |
| 61609 | A | Transect artery, sinus | 9.89 | N/A | 4.89 | 2.07 | N/A | 16.85 | ZZZ | |
| 61610 | A | Transect artery, sinus | 29.67 | N/A | 13.44 | 3.52 | N/A | 46.63 | ZZZ | |
| 61611 | A | Transect artery, sinus | 7.42 | N/A | 3.39 | 1.55 | N/A | 12.36 | ZZZ | |
| 61612 | A | Transect artery, sinus | 27.88 | N/A | 13.62 | 3.55 | N/A | 45.05 | ZZZ | |
| 61613 | A | Remove aneurysm, sinus | 40.86 | N/A | 26.77 | 8.32 | N/A | 75.95 | 090 | |
| 61615 | A | Resect/excise lesion, skull | 32.07 | N/A | 23.28 | 4.64 | N/A | 59.99 | 090 | |
| 61616 | A | Resect/excise lesion, skull | 43.33 | N/A | 29.31 | 7.02 | N/A | 79.66 | 090 | |
| 61618 | A | Repair dura | 16.99 | N/A | 10.91 | 2.92 | N/A | 30.82 | 090 | |
| 61619 | A | Repair dura | 20.71 | N/A | 12.75 | 3.42 | N/A | 36.88 | 090 | |
| 61623 | A | Endovasc tempory vessel occl | 9.96 | N/A | 4.31 | 0.50 | N/A | 14.77 | 000 | |
| 61624 | A | Transcath occlusion, cns | 20.15 | N/A | 7.07 | 1.15 | N/A | 28.37 | 000 | |
| 61626 | A | Transcath occlusion, non-cns | 16.62 | N/A | 5.65 | 0.84 | N/A | 23.11 | 000 | |
| 61680 | A | Intracranial vessel surgery | 30.71 | N/A | 18.07 | 6.04 | N/A | 54.82 | 090 | |
| 61682 | A | Intracranial vessel surgery | 61.57 | N/A | 33.24 | 12.69 | N/A | 107.50 | 090 | |
| 61684 | A | Intracranial vessel surgery | 39.81 | N/A | 22.75 | 7.87 | N/A | 70.43 | 090 | |
| 61686 | A | Intracranial vessel surgery | 64.49 | N/A | 35.77 | 13.20 | N/A | 113.46 | 090 | |
| 61690 | A | Intracranial vessel surgery | 29.31 | N/A | 17.38 | 5.51 | N/A | 52.20 | 090 | |
| 61692 | A | Intracranial vessel surgery | 51.87 | N/A | 28.42 | 10.17 | N/A | 90.46 | 090 | |
| 61697 | A | Brain aneurysm repr, complx | 50.52 | N/A | 28.82 | 10.31 | N/A | 89.65 | 090 | |
| 61698 | A | Brain aneurysm repr, complx | 48.41 | N/A | 27.46 | 9.99 | N/A | 85.86 | 090 | |
| 61700 | A | Brain aneurysm repr, simple | 50.52 | N/A | 28.64 | 10.18 | N/A | 89.34 | 090 | |
| 61702 | A | Inner skull vessel surgery | 48.41 | N/A | 26.91 | 9.75 | N/A | 85.07 | 090 | |
| 61703 | A | Clamp neck artery | 17.47 | N/A | 10.94 | 3.62 | N/A | 32.03 | 090 | |
| 61705 | A | Revise circulation to head | 36.20 | N/A | 19.88 | 6.67 | N/A | 62.75 | 090 | |
| 61708 | A | Revise circulation to head | 35.30 | N/A | 15.61 | 2.18 | N/A | 53.09 | 090 | |
| 61710 | A | Revise circulation to head | 29.67 | N/A | 14.10 | 2.42 | N/A | 46.19 | 090 | |
| 61711 | A | Fusion of skull arteries | 36.33 | N/A | 20.47 | 7.39 | N/A | 64.19 | 090 | |
| 61720 | A | Incise skull/brain surgery | 16.77 | N/A | 10.43 | 3.51 | N/A | 30.71 | 090 | |
| 61735 | A | Incise skull/brain surgery | 20.43 | N/A | 12.62 | 4.16 | N/A | 37.21 | 090 | |
| 61750 | A | Incise skull/brain biopsy | 18.20 | N/A | 11.04 | 3.71 | N/A | 32.95 | 090 | |
| 61751 | A | Brain biopsy w/ct/mr guide | 17.62 | N/A | 11.21 | 3.57 | N/A | 32.40 | 090 | |
| 61760 | A | Implant brain electrodes | 22.27 | N/A | 8.96 | 4.59 | N/A | 35.82 | 090 | |
| 61770 | A | Incise skull for treatment | 21.44 | N/A | 12.69 | 4.09 | N/A | 38.22 | 090 | |
| 61790 | A | Treat trigeminal nerve | 10.86 | N/A | 6.21 | 1.82 | N/A | 18.89 | 090 | |
| 61791 | A | Treat trigeminal tract | 14.61 | N/A | 9.29 | 3.03 | N/A | 26.93 | 090 | |
| 61793 | A | Focus radiation beam | 17.24 | N/A | 10.56 | 3.51 | N/A | 31.31 | 090 | |
| 61795 | A | Brain surgery using computer | 4.04 | N/A | 2.08 | 0.81 | N/A | 6.93 | ZZZ | |
| 61850 | A | Implant neuroelectrodes | 12.39 | N/A | 7.96 | 2.23 | N/A | 22.58 | 090 | |
| 61860 | A | Implant neuroelectrodes | 20.87 | N/A | 12.51 | 4.04 | N/A | 37.42 | 090 | |
| 61862 | A | Implant neurostimul, subcort | 19.34 | N/A | 12.47 | 3.97 | N/A | 35.78 | 090 | |
| 61870 | A | Implant neuroelectrodes | 14.94 | N/A | 10.15 | 1.70 | N/A | 26.79 | 090 | |
| 61875 | A | Implant neuroelectrodes | 15.06 | N/A | 8.97 | 2.42 | N/A | 26.45 | 090 | |
| 61880 | A | Revise/remove neuroelectrode | 6.29 | N/A | 4.84 | 1.31 | N/A | 12.44 | 090 | |
| 61885 | A | Implant neurostim one array | 5.85 | N/A | 5.51 | 1.22 | N/A | 12.58 | 090 | |
| 61886 | A | Implant neurostim arrays | 8.00 | N/A | 6.57 | 1.64 | N/A | 16.21 | 090 | |
| 61888 | A | Revise/remove neuroreceiver | 5.07 | N/A | 3.97 | 1.04 | N/A | 10.08 | 010 | |
| 62000 | A | Treat skull fracture | 12.53 | N/A | 5.97 | 0.87 | N/A | 19.37 | 090 | |
| 62005 | A | Treat skull fracture | 16.17 | N/A | 9.28 | 2.33 | N/A | 27.78 | 090 | |
| 62010 | A | Treatment of head injury | 19.81 | N/A | 12.15 | 4.05 | N/A | 36.01 | 090 | |
| 62100 | A | Repair brain fluid leakage | 22.03 | N/A | 13.31 | 4.07 | N/A | 39.41 | 090 | |
| 62115 | A | Reduction of skull defect | 21.66 | N/A | 12.02 | 4.53 | N/A | 38.21 | 090 | |
| 62116 | A | Reduction of skull defect | 23.59 | N/A | 13.80 | 4.85 | N/A | 42.24 | 090 | |
| 62117 | A | Reduction of skull defect | 26.60 | N/A | 15.64 | 5.56 | N/A | 47.80 | 090 | |
| 62120 | A | Repair skull cavity lesion | 23.35 | N/A | 14.71 | 3.07 | N/A | 41.13 | 090 | |
| 62121 | A | Incise skull repair | 21.58 | N/A | 13.17 | 2.47 | N/A | 37.22 | 090 | |
| 62140 | A | Repair of skull defect | 13.51 | N/A | 8.69 | 2.60 | N/A | 24.80 | 090 | |
| 62141 | A | Repair of skull defect | 14.91 | N/A | 9.48 | 2.85 | N/A | 27.24 | 090 | |
| 62142 | A | Remove skull plate/flap | 10.79 | N/A | 7.34 | 2.10 | N/A | 20.23 | 090 | |
| 62143 | A | Replace skull plate/flap | 13.05 | N/A | 8.44 | 2.55 | N/A | 24.04 | 090 | |
| 62145 | A | Repair of skull brain | 18.82 | N/A | 11.38 | 3.81 | N/A | 34.01 | 090 | |
| 62146 | A | Repair of skull with graft | 16.12 | N/A | 10.08 | 2.94 | N/A | 29.14 | 090 | |
| 62147 | A | Repair of skull with graft | 19.34 | N/A | 11.84 | 3.64 | N/A | 34.82 | 090 | |
| 62148 | A | Retr bone flap to fix skull | 2.00 | N/A | 0.83 | 0.43 | N/A | 3.26 | ZZZ | |
| 62160 | A | Neuroendoscopy add-on | 3.00 | N/A | 1.16 | 0.52 | N/A | 4.68 | ZZZ | |
| 62161 | A | Dissect brain w/scope | 20.00 | N/A | 9.73 | 3.70 | N/A | 33.43 | 090 | |
| 62162 | A | Remove colloid cyst w/scope | 25.25 | N/A | 11.90 | 5.77 | N/A | 42.92 | 090 | |
| 62163 | A | Neuroendoscopy w/fb removal | 15.50 | N/A | 7.98 | 3.70 | N/A | 27.18 | 090 | |
| 62164 | A | Remove brain tumor w/scope | 27.50 | N/A | 13.13 | 5.77 | N/A | 46.40 | 090 | |
| 62165 | A | Remove pituit tumor w/scope | 22.00 | N/A | 10.69 | 3.63 | N/A | 36.32 | 090 | |
| 62180 | A | Establish brain cavity shunt | 21.06 | N/A | 12.73 | 4.32 | N/A | 38.11 | 090 | |
| 62190 | A | Establish brain cavity shunt | 11.07 | N/A | 7.40 | 2.18 | N/A | 20.65 | 090 | |
| 62192 | A | Establish brain cavity shunt | 12.25 | N/A | 7.96 | 2.46 | N/A | 22.67 | 090 | |
| 62194 | A | Replace/irrigate catheter | 5.03 | N/A | 2.84 | 0.50 | N/A | 8.37 | 010 | |
| 62200 | A | Establish brain cavity shunt | 18.32 | N/A | 11.26 | 3.70 | N/A | 33.28 | 090 | |
| 62201 | A | Brain cavity shunt w/scope | 14.86 | N/A | 9.79 | 2.52 | N/A | 27.17 | 090 | |
| 62220 | A | Establish brain cavity shunt | 13.00 | N/A | 8.32 | 2.53 | N/A | 23.85 | 090 | |
| 62223 | A | Establish brain cavity shunt | 12.87 | N/A | 8.55 | 2.58 | N/A | 24.00 | 090 | |
| 62225 | A | Replace/irrigate catheter | 5.41 | N/A | 4.30 | 1.09 | N/A | 10.80 | 090 | |
| 62230 | A | Replace/revise brain shunt | 10.54 | N/A | 6.75 | 2.10 | N/A | 19.39 | 090 | |
| 62252 | A | Csf shunt reprogram | 0.74 | 1.48 | N/A | 0.18 | 2.40 | N/A | XXX | |
| 62252 | 26 | A | Csf shunt reprogram | 0.74 | 0.38 | 0.38 | 0.16 | 1.28 | 1.28 | XXX |
| 62252 | TC | A | Csf shunt reprogram | 0.00 | 1.10 | N/A | 0.02 | 1.12 | N/A | XXX |
| 62256 | A | Remove brain cavity shunt | 6.60 | N/A | 4.96 | 1.34 | N/A | 12.90 | 090 | |
| 62258 | A | Replace brain cavity shunt | 14.54 | N/A | 9.03 | 2.91 | N/A | 26.48 | 090 | |
| 62263 | A | Epidural lysis mult sessions | 6.14 | 12.34 | 2.41 | 0.42 | 18.90 | 8.97 | 010 | |
| 62264 | A | Epidural lysis on single day | 4.43 | 7.85 | 1.42 | 0.30 | 12.58 | 6.15 | 010 | |
| 62268 | A | Drain spinal cord cyst | 4.74 | 10.78 | 2.21 | 0.29 | 15.81 | 7.24 | 000 | |
| 62269 | A | Needle biopsy, spinal cord | 5.02 | 12.44 | 2.04 | 0.29 | 17.75 | 7.35 | 000 | |
| 62270 | A | Spinal fluid tap, diagnostic | 1.13 | 3.10 | 0.50 | 0.06 | 4.29 | 1.69 | 000 | |
| 62272 | A | Drain cerebro spinal fluid | 1.35 | 3.72 | 0.65 | 0.13 | 5.20 | 2.13 | 000 | |
| 62273 | A | Treat epidural spine lesion | 2.15 | 2.83 | 0.58 | 0.14 | 5.12 | 2.87 | 000 | |
| 62280 | A | Treat spinal cord lesion | 2.63 | 6.81 | 0.89 | 0.17 | 9.61 | 3.69 | 010 | |
| 62281 | A | Treat spinal cord lesion | 2.66 | 5.96 | 0.78 | 0.16 | 8.78 | 3.60 | 010 | |
| 62282 | A | Treat spinal canal lesion | 2.33 | 8.37 | 0.80 | 0.14 | 10.84 | 3.27 | 010 | |
| 62284 | A | Injection for myelogram | 1.54 | 4.98 | 0.61 | 0.10 | 6.62 | 2.25 | 000 | |
| 62287 | A | Percutaneous diskectomy | 8.08 | N/A | 5.75 | 0.66 | N/A | 14.49 | 090 | |
| 62290 | A | Inject for spine disk x-ray | 3.00 | 6.94 | 1.30 | 0.20 | 10.14 | 4.50 | 000 | |
| 62291 | A | Inject for spine disk x-ray | 2.91 | 5.81 | 1.15 | 0.17 | 8.89 | 4.23 | 000 | |
| 62292 | A | Injection into disk lesion | 7.86 | N/A | 4.60 | 0.65 | N/A | 13.11 | 090 | |
| 62294 | A | Injection into spinal artery | 11.83 | N/A | 5.79 | 0.85 | N/A | 18.47 | 090 | |
| 62310 | A | Inject spine c/t | 1.91 | 5.02 | 0.51 | 0.11 | 7.04 | 2.53 | 000 | |
| 62311 | A | Inject spine l/s (cd) | 1.54 | 5.08 | 0.45 | 0.09 | 6.71 | 2.08 | 000 | |
| 62318 | A | Inject spine w/cath, c/t | 2.04 | 5.72 | 0.52 | 0.12 | 7.88 | 2.68 | 000 | |
| 62319 | A | Inject spine w/cath l/s (cd) | 1.87 | 5.01 | 0.48 | 0.11 | 6.99 | 2.46 | 000 | |
| 62350 | A | Implant spinal canal cath | 6.87 | N/A | 4.06 | 0.64 | N/A | 11.57 | 090 | |
| 62351 | A | Implant spinal canal cath | 10.00 | N/A | 7.26 | 1.79 | N/A | 19.05 | 090 | |
| 62355 | A | Remove spinal canal catheter | 5.45 | N/A | 3.26 | 0.47 | N/A | 9.18 | 090 | |
| 62360 | A | Insert spine infusion device | 2.62 | N/A | 2.76 | 0.21 | N/A | 5.59 | 090 | |
| 62361 | A | Implant spine infusion pump | 5.42 | N/A | 3.99 | 0.50 | N/A | 9.91 | 090 | |
| 62362 | A | Implant spine infusion pump | 7.04 | N/A | 4.48 | 0.86 | N/A | 12.38 | 090 | |
| 62365 | A | Remove spine infusion device | 5.42 | N/A | 3.66 | 0.58 | N/A | 9.66 | 090 | |
| 62367 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 62367 | 26 | A | Analyze spine infusion pump | 0.48 | 0.13 | 0.13 | 0.03 | 0.64 | 0.64 | XXX |
| 62367 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 62368 | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 62368 | 26 | A | Analyze spine infusion pump | 0.75 | 0.19 | 0.19 | 0.05 | 0.99 | 0.99 | XXX |
| 62368 | TC | C | Analyze spine infusion pump | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 63001 | A | Removal of spinal lamina | 15.82 | N/A | 9.72 | 3.03 | N/A | 28.57 | 090 | |
| 63003 | A | Removal of spinal lamina | 15.95 | N/A | 10.06 | 2.98 | N/A | 28.99 | 090 | |
| 63005 | A | Removal of spinal lamina | 14.92 | N/A | 10.13 | 2.62 | N/A | 27.67 | 090 | |
| 63011 | A | Removal of spinal lamina | 14.52 | N/A | 8.39 | 1.43 | N/A | 24.34 | 090 | |
| 63012 | A | Removal of spinal lamina | 15.40 | N/A | 10.25 | 2.71 | N/A | 28.36 | 090 | |
| 63015 | A | Removal of spinal lamina | 19.35 | N/A | 12.14 | 3.84 | N/A | 35.33 | 090 | |
| 63016 | A | Removal of spinal lamina | 19.20 | N/A | 12.00 | 3.62 | N/A | 34.82 | 090 | |
| 63017 | A | Removal of spinal lamina | 15.94 | N/A | 10.57 | 2.91 | N/A | 29.42 | 090 | |
| 63020 | A | Neck spine disk surgery | 14.81 | N/A | 9.87 | 2.89 | N/A | 27.57 | 090 | |
| 63030 | A | Low back disk surgery | 12.00 | N/A | 8.56 | 2.21 | N/A | 22.77 | 090 | |
| 63035 | A | Spinal disk surgery add-on | 3.15 | N/A | 1.62 | 0.57 | N/A | 5.34 | ZZZ | |
| 63040 | A | Laminotomy, single cervical | 18.81 | N/A | 11.70 | 3.36 | N/A | 33.87 | 090 | |
| 63042 | A | Laminotomy, single lumbar | 17.47 | N/A | 11.53 | 3.11 | N/A | 32.11 | 090 | |
| 63043 | C | Laminotomy, addl cervical | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 63044 | C | Laminotomy, addl lumbar | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 63045 | A | Removal of spinal lamina | 16.50 | N/A | 10.54 | 3.19 | N/A | 30.23 | 090 | |
| 63046 | A | Removal of spinal lamina | 15.80 | N/A | 10.34 | 2.89 | N/A | 29.03 | 090 | |
| 63047 | A | Removal of spinal lamina | 14.61 | N/A | 10.04 | 2.61 | N/A | 27.26 | 090 | |
| 63048 | A | Remove spinal lamina add-on | 3.26 | N/A | 1.70 | 0.58 | N/A | 5.54 | ZZZ | |
| 63055 | A | Decompress spinal cord | 21.99 | N/A | 13.38 | 4.09 | N/A | 39.46 | 090 | |
| 63056 | A | Decompress spinal cord | 20.36 | N/A | 12.76 | 3.34 | N/A | 36.46 | 090 | |
| 63057 | A | Decompress spine cord add-on | 5.26 | N/A | 2.70 | 0.81 | N/A | 8.77 | ZZZ | |
| 63064 | A | Decompress spinal cord | 24.61 | N/A | 14.71 | 4.72 | N/A | 44.04 | 090 | |
| 63066 | A | Decompress spine cord add-on | 3.26 | N/A | 1.70 | 0.63 | N/A | 5.59 | ZZZ | |
| 63075 | A | Neck spine disk surgery | 19.41 | N/A | 12.33 | 3.73 | N/A | 35.47 | 090 | |
| 63076 | A | Neck spine disk surgery | 4.05 | N/A | 2.10 | 0.78 | N/A | 6.93 | ZZZ | |
| 63077 | A | Spine disk surgery, thorax | 21.44 | N/A | 12.92 | 3.44 | N/A | 37.80 | 090 | |
| 63078 | A | Spine disk surgery, thorax | 3.28 | N/A | 1.67 | 0.50 | N/A | 5.45 | ZZZ | |
| 63081 | A | Removal of vertebral body | 23.73 | N/A | 14.59 | 4.46 | N/A | 42.78 | 090 | |
| 63082 | A | Remove vertebral body add-on | 4.37 | N/A | 2.28 | 0.82 | N/A | 7.47 | ZZZ | |
| 63085 | A | Removal of vertebral body | 26.92 | N/A | 15.67 | 4.70 | N/A | 47.29 | 090 | |
| 63086 | A | Remove vertebral body add-on | 3.19 | N/A | 1.62 | 0.55 | N/A | 5.36 | ZZZ | |
| 63087 | A | Removal of vertebral body | 35.57 | N/A | 19.78 | 5.87 | N/A | 61.22 | 090 | |
| 63088 | A | Remove vertebral body add-on | 4.33 | N/A | 2.23 | 0.77 | N/A | 7.33 | ZZZ | |
| 63090 | A | Removal of vertebral body | 28.16 | N/A | 16.27 | 4.27 | N/A | 48.70 | 090 | |
| 63091 | A | Remove vertebral body add-on | 3.03 | N/A | 1.49 | 0.45 | N/A | 4.97 | ZZZ | |
| 63170 | A | Incise spinal cord tract(s) | 19.83 | N/A | 12.38 | 3.89 | N/A | 36.10 | 090 | |
| 63172 | A | Drainage of spinal cyst | 17.66 | N/A | 11.22 | 3.46 | N/A | 32.34 | 090 | |
| 63173 | A | Drainage of spinal cyst | 21.99 | N/A | 13.39 | 4.14 | N/A | 39.52 | 090 | |
| 63180 | A | Revise spinal cord ligaments | 18.27 | N/A | 11.52 | 3.83 | N/A | 33.62 | 090 | |
| 63182 | A | Revise spinal cord ligaments | 20.50 | N/A | 11.44 | 3.48 | N/A | 35.42 | 090 | |
| 63185 | A | Incise spinal column/nerves | 15.04 | N/A | 8.46 | 2.08 | N/A | 25.58 | 090 | |
| 63190 | A | Incise spinal column/nerves | 17.45 | N/A | 10.59 | 2.88 | N/A | 30.92 | 090 | |
| 63191 | A | Incise spinal column/nerves | 17.54 | N/A | 11.04 | 3.50 | N/A | 32.08 | 090 | |
| 63194 | A | Incise spinal column cord | 19.19 | N/A | 12.05 | 4.01 | N/A | 35.25 | 090 | |
| 63195 | A | Incise spinal column cord | 18.84 | N/A | 11.56 | 3.44 | N/A | 33.84 | 090 | |
| 63196 | A | Incise spinal column cord | 22.30 | N/A | 12.34 | 4.66 | N/A | 39.30 | 090 | |
| 63197 | A | Incise spinal column cord | 21.11 | N/A | 12.55 | 4.42 | N/A | 38.08 | 090 | |
| 63198 | A | Incise spinal column cord | 25.38 | N/A | 9.91 | 5.31 | N/A | 40.60 | 090 | |
| 63199 | A | Incise spinal column cord | 26.89 | N/A | 15.19 | 5.62 | N/A | 47.70 | 090 | |
| 63200 | A | Release of spinal cord | 19.18 | N/A | 11.78 | 3.61 | N/A | 34.57 | 090 | |
| 63250 | A | Revise spinal cord vessels | 40.76 | N/A | 20.52 | 7.65 | N/A | 68.93 | 090 | |
| 63251 | A | Revise spinal cord vessels | 41.20 | N/A | 23.24 | 7.98 | N/A | 72.42 | 090 | |
| 63252 | A | Revise spinal cord vessels | 41.19 | N/A | 22.89 | 7.75 | N/A | 71.83 | 090 | |
| 63265 | A | Excise intraspinal lesion | 21.56 | N/A | 13.18 | 4.29 | N/A | 39.03 | 090 | |
| 63266 | A | Excise intraspinal lesion | 22.30 | N/A | 13.61 | 4.47 | N/A | 40.38 | 090 | |
| 63267 | A | Excise intraspinal lesion | 17.95 | N/A | 11.45 | 3.50 | N/A | 32.90 | 090 | |
| 63268 | A | Excise intraspinal lesion | 18.52 | N/A | 10.73 | 3.18 | N/A | 32.43 | 090 | |
| 63270 | A | Excise intraspinal lesion | 26.80 | N/A | 15.94 | 5.41 | N/A | 48.15 | 090 | |
| 63271 | A | Excise intraspinal lesion | 26.92 | N/A | 16.05 | 5.56 | N/A | 48.53 | 090 | |
| 63272 | A | Excise intraspinal lesion | 25.32 | N/A | 15.15 | 5.07 | N/A | 45.54 | 090 | |
| 63273 | A | Excise intraspinal lesion | 24.29 | N/A | 14.75 | 5.08 | N/A | 44.12 | 090 | |
| 63275 | A | Biopsy/excise spinal tumor | 23.68 | N/A | 14.21 | 4.68 | N/A | 42.57 | 090 | |
| 63276 | A | Biopsy/excise spinal tumor | 23.45 | N/A | 14.11 | 4.63 | N/A | 42.19 | 090 | |
| 63277 | A | Biopsy/excise spinal tumor | 20.83 | N/A | 12.92 | 4.03 | N/A | 37.78 | 090 | |
| 63278 | A | Biopsy/excise spinal tumor | 20.56 | N/A | 12.78 | 4.02 | N/A | 37.36 | 090 | |
| 63280 | A | Biopsy/excise spinal tumor | 28.35 | N/A | 16.81 | 5.80 | N/A | 50.96 | 090 | |
| 63281 | A | Biopsy/excise spinal tumor | 28.05 | N/A | 16.66 | 5.67 | N/A | 50.38 | 090 | |
| 63282 | A | Biopsy/excise spinal tumor | 26.39 | N/A | 15.80 | 5.33 | N/A | 47.52 | 090 | |
| 63283 | A | Biopsy/excise spinal tumor | 25.00 | N/A | 15.12 | 5.12 | N/A | 45.24 | 090 | |
| 63285 | A | Biopsy/excise spinal tumor | 36.00 | N/A | 20.53 | 7.31 | N/A | 63.84 | 090 | |
| 63286 | A | Biopsy/excise spinal tumor | 35.63 | N/A | 20.48 | 7.07 | N/A | 63.18 | 090 | |
| 63287 | A | Biopsy/excise spinal tumor | 36.70 | N/A | 21.04 | 7.48 | N/A | 65.22 | 090 | |
| 63290 | A | Biopsy/excise spinal tumor | 37.38 | N/A | 21.20 | 7.65 | N/A | 66.23 | 090 | |
| 63300 | A | Removal of vertebral body | 24.43 | N/A | 14.75 | 4.78 | N/A | 43.96 | 090 | |
| 63301 | A | Removal of vertebral body | 27.60 | N/A | 15.96 | 5.03 | N/A | 48.59 | 090 | |
| 63302 | A | Removal of vertebral body | 27.81 | N/A | 16.28 | 5.25 | N/A | 49.34 | 090 | |
| 63303 | A | Removal of vertebral body | 30.50 | N/A | 17.39 | 5.21 | N/A | 53.10 | 090 | |
| 63304 | A | Removal of vertebral body | 30.33 | N/A | 17.80 | 4.72 | N/A | 52.85 | 090 | |
| 63305 | A | Removal of vertebral body | 32.03 | N/A | 18.47 | 5.39 | N/A | 55.89 | 090 | |
| 63306 | A | Removal of vertebral body | 32.22 | N/A | 18.10 | 2.39 | N/A | 52.71 | 090 | |
| 63307 | A | Removal of vertebral body | 31.63 | N/A | 17.31 | 4.23 | N/A | 53.17 | 090 | |
| 63308 | A | Remove vertebral body add-on | 5.25 | N/A | 2.67 | 1.01 | N/A | 8.93 | ZZZ | |
| 63600 | A | Remove spinal cord lesion | 14.02 | N/A | 5.59 | 1.22 | N/A | 20.83 | 090 | |
| 63610 | A | Stimulation of spinal cord | 8.73 | 56.96 | 2.32 | 0.43 | 66.12 | 11.48 | 000 | |
| 63615 | A | Remove lesion of spinal cord | 16.28 | N/A | 9.52 | 2.85 | N/A | 28.65 | 090 | |
| 63650 | A | Implant neuroelectrodes | 6.74 | N/A | 3.30 | 0.48 | N/A | 10.52 | 090 | |
| 63655 | A | Implant neuroelectrodes | 10.29 | N/A | 7.17 | 1.85 | N/A | 19.31 | 090 | |
| 63660 | A | Revise/remove neuroelectrode | 6.16 | N/A | 3.80 | 0.65 | N/A | 10.61 | 090 | |
| 63685 | A | Implant neuroreceiver | 7.04 | N/A | 4.34 | 0.96 | N/A | 12.34 | 090 | |
| 63688 | A | Revise/remove neuroreceiver | 5.39 | N/A | 3.75 | 0.70 | N/A | 9.84 | 090 | |
| 63700 | A | Repair of spinal herniation | 16.53 | N/A | 10.63 | 2.69 | N/A | 29.85 | 090 | |
| 63702 | A | Repair of spinal herniation | 18.48 | N/A | 11.00 | 1.36 | N/A | 30.84 | 090 | |
| 63704 | A | Repair of spinal herniation | 21.18 | N/A | 13.14 | 3.84 | N/A | 38.16 | 090 | |
| 63706 | A | Repair of spinal herniation | 24.11 | N/A | 14.00 | 4.73 | N/A | 42.84 | 090 | |
| 63707 | A | Repair spinal fluid leakage | 11.26 | N/A | 7.99 | 1.96 | N/A | 21.21 | 090 | |
| 63709 | A | Repair spinal fluid leakage | 14.32 | N/A | 9.71 | 2.49 | N/A | 26.52 | 090 | |
| 63710 | A | Graft repair of spine defect | 14.07 | N/A | 9.36 | 2.61 | N/A | 26.04 | 090 | |
| 63740 | A | Install spinal shunt | 11.36 | N/A | 7.63 | 2.15 | N/A | 21.14 | 090 | |
| 63741 | A | Install spinal shunt | 8.25 | N/A | 4.96 | 1.05 | N/A | 14.26 | 090 | |
| 63744 | A | Revision of spinal shunt | 8.10 | N/A | 5.49 | 1.51 | N/A | 15.10 | 090 | |
| 63746 | A | Removal of spinal shunt | 6.43 | N/A | 3.96 | 1.15 | N/A | 11.54 | 090 | |
| 64400 | A | N block inj, trigeminal | 1.11 | 2.06 | 0.37 | 0.06 | 3.23 | 1.54 | 000 | |
| 64402 | A | N block inj, facial | 1.25 | 1.79 | 0.54 | 0.07 | 3.11 | 1.86 | 000 | |
| 64405 | A | N block inj, occipital | 1.32 | 1.55 | 0.40 | 0.08 | 2.95 | 1.80 | 000 | |
| 64408 | A | N block inj, vagus | 1.41 | 1.63 | 0.67 | 0.09 | 3.13 | 2.17 | 000 | |
| 64410 | A | N block inj, phrenic | 1.43 | 2.67 | 0.40 | 0.08 | 4.18 | 1.91 | 000 | |
| 64412 | A | N block inj, spinal accessor | 1.18 | 2.80 | 0.37 | 0.08 | 4.06 | 1.63 | 000 | |
| 64413 | A | N block inj, cervical plexus | 1.40 | 1.95 | 0.44 | 0.09 | 3.44 | 1.93 | 000 | |
| 64415 | A | N block inj, brachial plexus | 1.48 | 2.95 | 0.40 | 0.08 | 4.51 | 1.96 | 000 | |
| 64416 | A | N block cont infuse, b plex | 3.50 | N/A | 0.73 | 0.08 | N/A | 4.31 | 010 | |
| 64417 | A | N block inj, axillary | 1.44 | 3.19 | 0.43 | 0.09 | 4.72 | 1.96 | 000 | |
| 64418 | A | N block inj, suprascapular | 1.32 | 2.76 | 0.37 | 0.07 | 4.15 | 1.76 | 000 | |
| 64420 | A | N block inj, intercost, sng | 1.18 | 3.62 | 0.36 | 0.07 | 4.87 | 1.61 | 000 | |
| 64421 | A | N block inj, intercost, mlt | 1.68 | 5.53 | 0.46 | 0.10 | 7.31 | 2.24 | 000 | |
| 64425 | A | N block inj ilio-ing/hypogi | 1.75 | 1.74 | 0.48 | 0.11 | 3.60 | 2.34 | 000 | |
| 64430 | A | N block inj, pudendal | 1.46 | 2.66 | 0.50 | 0.11 | 4.23 | 2.07 | 000 | |
| 64435 | A | N block inj, paracervical | 1.45 | 2.67 | 0.64 | 0.15 | 4.27 | 2.24 | 000 | |
| 64445 | A | N block inj, sciatic, sng | 1.48 | 2.78 | 0.38 | 0.08 | 4.34 | 1.94 | 000 | |
| 64446 | A | N blk inj, sciatic, cont inf | 3.25 | N/A | 1.21 | 0.08 | N/A | 4.54 | 010 | |
| 64447 | A | N block inj fem, single | 1.50 | N/A | 0.52 | 0.08 | N/A | 2.10 | 000 | |
| 64448 | A | N block inj fem, cont inf | 3.00 | N/A | 1.04 | 0.08 | N/A | 4.12 | 010 | |
| 64450 | A | N block, other peripheral | 1.27 | 1.30 | 0.42 | 0.08 | 2.65 | 1.77 | 000 | |
| 64470 | A | Inj paravertebral c/t | 1.85 | 4.97 | 0.57 | 0.12 | 6.94 | 2.54 | 000 | |
| 64472 | A | Inj paravertebral c/t add-on | 1.29 | 1.99 | 0.31 | 0.09 | 3.37 | 1.69 | ZZZ | |
| 64475 | A | Inj paravertebral l/s | 1.41 | 4.67 | 0.48 | 0.09 | 6.17 | 1.98 | 000 | |
| 64476 | A | Inj paravertebral l/s add-on | 0.98 | 1.87 | 0.25 | 0.06 | 2.91 | 1.29 | ZZZ | |
| 64479 | A | Inj foramen epidural c/t | 2.20 | 7.22 | 0.73 | 0.14 | 9.56 | 3.07 | 000 | |
| 64480 | A | Inj foramen epidural add-on | 1.54 | 2.46 | 0.48 | 0.09 | 4.09 | 2.11 | ZZZ | |
| 64483 | A | Inj foramen epidural l/s | 1.90 | 7.74 | 0.66 | 0.12 | 9.76 | 2.68 | 000 | |
| 64484 | A | Inj foramen epidural add-on | 1.33 | 2.88 | 0.38 | 0.08 | 4.29 | 1.79 | ZZZ | |
| 64505 | A | N block, spenopalatine gangl | 1.36 | 1.26 | 0.48 | 0.08 | 2.70 | 1.92 | 000 | |
| 64508 | A | N block, carotid sinus s/p | 1.12 | 3.18 | 0.52 | 0.06 | 4.36 | 1.70 | 000 | |
| 64510 | A | N block, stellate ganglion | 1.22 | 3.32 | 0.38 | 0.07 | 4.61 | 1.67 | 000 | |
| 64520 | A | N block, lumbar/thoracic | 1.35 | 4.67 | 0.42 | 0.08 | 6.10 | 1.85 | 000 | |
| 64530 | A | N block inj, celiac pelus | 1.58 | 4.08 | 0.48 | 0.09 | 5.75 | 2.15 | 000 | |
| 64550 | A | Apply neurostimulator | 0.18 | 0.28 | 0.05 | 0.01 | 0.47 | 0.24 | 000 | |
| 64553 | A | Implant neuroelectrodes | 2.31 | 2.95 | 1.90 | 0.17 | 5.43 | 4.38 | 010 | |
| 64555 | A | Implant neuroelectrodes | 2.27 | 3.22 | 1.23 | 0.11 | 5.60 | 3.61 | 010 | |
| 64560 | A | Implant neuroelectrodes | 2.36 | 2.73 | 1.34 | 0.17 | 5.26 | 3.87 | 010 | |
| 64561 | A | Implant neuroelectrodes | 6.74 | N/A | 3.23 | 0.11 | N/A | 10.08 | 010 | |
| 64565 | A | Implant neuroelectrodes | 1.76 | 3.38 | 1.29 | 0.08 | 5.22 | 3.13 | 010 | |
| 64573 | A | Implant neuroelectrodes | 7.50 | N/A | 5.43 | 1.48 | N/A | 14.41 | 090 | |
| 64575 | A | Implant neuroelectrodes | 4.35 | N/A | 2.94 | 0.37 | N/A | 7.66 | 090 | |
| 64577 | A | Implant neuroelectrodes | 4.62 | N/A | 3.43 | 0.50 | N/A | 8.55 | 090 | |
| 64580 | A | Implant neuroelectrodes | 4.12 | N/A | 3.78 | 0.21 | N/A | 8.11 | 090 | |
| 64581 | A | Implant neuroelectrodes | 13.50 | N/A | 5.53 | 0.37 | N/A | 19.40 | 090 | |
| 64585 | A | Revise/remove neuroelectrode | 2.06 | 11.73 | 1.75 | 0.29 | 14.08 | 4.10 | 010 | |
| 64590 | A | Implant neuroreceiver | 2.40 | 7.41 | 1.94 | 0.40 | 10.21 | 4.74 | 010 | |
| 64595 | A | Revise/remove neuroreceiver | 1.73 | 10.90 | 1.52 | 0.22 | 12.85 | 3.47 | 010 | |
| 64600 | A | Injection treatment of nerve | 3.45 | 7.83 | 1.60 | 0.28 | 11.56 | 5.33 | 010 | |
| 64605 | A | Injection treatment of nerve | 5.61 | 9.33 | 2.08 | 0.53 | 15.47 | 8.22 | 010 | |
| 64610 | A | Injection treatment of nerve | 7.16 | 7.94 | 3.65 | 1.12 | 16.22 | 11.93 | 010 | |
| 64612 | A | Destroy nerve, face muscle | 1.96 | 2.67 | 1.09 | 0.09 | 4.72 | 3.14 | 010 | |
| 64613 | A | Destroy nerve, spine muscle | 1.96 | 3.04 | 1.01 | 0.10 | 5.10 | 3.07 | 010 | |
| 64614 | A | Destroy nerve, extrem musc | 2.20 | 3.30 | 1.13 | 0.09 | 5.59 | 3.42 | 010 | |
| 64620 | A | Injection treatment of nerve | 2.84 | 4.72 | 1.19 | 0.17 | 7.73 | 4.20 | 010 | |
| 64622 | A | Destr paravertebrl nerve l/s | 3.00 | 7.63 | 1.25 | 0.17 | 10.80 | 4.42 | 010 | |
| 64623 | A | Destr paravertebral n add-on | 0.99 | 2.44 | 0.23 | 0.06 | 3.49 | 1.28 | ZZZ | |
| 64626 | A | Destr paravertebrl nerve c/t | 3.28 | 6.63 | 1.86 | 0.22 | 10.13 | 5.36 | 010 | |
| 64627 | A | Destr paravertebral n add-on | 1.16 | 2.63 | 0.27 | 0.08 | 3.87 | 1.51 | ZZZ | |
| 64630 | A | Injection treatment of nerve | 3.00 | 2.80 | 1.29 | 0.16 | 5.96 | 4.45 | 010 | |
| 64640 | A | Injection treatment of nerve | 2.76 | 4.29 | 1.68 | 0.11 | 7.16 | 4.55 | 010 | |
| 64680 | A | Injection treatment of nerve | 2.62 | 6.18 | 1.28 | 0.15 | 8.95 | 4.05 | 010 | |
| 64702 | A | Revise finger/toe nerve | 4.23 | N/A | 4.22 | 0.51 | N/A | 8.96 | 090 | |
| 64704 | A | Revise hand/foot nerve | 4.57 | N/A | 3.48 | 0.59 | N/A | 8.64 | 090 | |
| 64708 | A | Revise arm/leg nerve | 6.12 | N/A | 5.21 | 0.82 | N/A | 12.15 | 090 | |
| 64712 | A | Revision of sciatic nerve | 7.75 | N/A | 5.29 | 0.54 | N/A | 13.58 | 090 | |
| 64713 | A | Revision of arm nerve(s) | 11.00 | N/A | 6.10 | 1.01 | N/A | 18.11 | 090 | |
| 64714 | A | Revise low back nerve(s) | 10.33 | N/A | 4.40 | 0.64 | N/A | 15.37 | 090 | |
| 64716 | A | Revision of cranial nerve | 6.31 | N/A | 5.54 | 0.59 | N/A | 12.44 | 090 | |
| 64718 | A | Revise ulnar nerve at elbow | 5.99 | N/A | 6.22 | 0.87 | N/A | 13.08 | 090 | |
| 64719 | A | Revise ulnar nerve at wrist | 4.85 | N/A | 4.90 | 0.63 | N/A | 10.38 | 090 | |
| 64721 | A | Carpal tunnel surgery | 4.29 | 5.25 | 5.25 | 0.59 | 10.13 | 10.13 | 090 | |
| 64722 | A | Relieve pressure on nerve(s) | 4.70 | N/A | 3.29 | 0.32 | N/A | 8.31 | 090 | |
| 64726 | A | Release foot/toe nerve | 4.18 | N/A | 3.04 | 0.57 | N/A | 7.79 | 090 | |
| 64727 | A | Internal nerve revision | 3.10 | N/A | 1.53 | 0.40 | N/A | 5.03 | ZZZ | |
| 64732 | A | Incision of brow nerve | 4.41 | N/A | 3.76 | 0.77 | N/A | 8.94 | 090 | |
| 64734 | A | Incision of cheek nerve | 4.92 | N/A | 4.30 | 0.83 | N/A | 10.05 | 090 | |
| 64736 | A | Incision of chin nerve | 4.60 | N/A | 4.27 | 0.71 | N/A | 9.58 | 090 | |
| 64738 | A | Incision of jaw nerve | 5.73 | N/A | 4.87 | 0.84 | N/A | 11.44 | 090 | |
| 64740 | A | Incision of tongue nerve | 5.59 | N/A | 4.63 | 0.43 | N/A | 10.65 | 090 | |
| 64742 | A | Incision of facial nerve | 6.22 | N/A | 5.06 | 0.69 | N/A | 11.97 | 090 | |
| 64744 | A | Incise nerve, back of head | 5.24 | N/A | 4.02 | 0.98 | N/A | 10.24 | 090 | |
| 64746 | A | Incise diaphragm nerve | 5.93 | N/A | 4.63 | 0.75 | N/A | 11.31 | 090 | |
| 64752 | A | Incision of vagus nerve | 7.06 | N/A | 4.43 | 0.83 | N/A | 12.32 | 090 | |
| 64755 | A | Incision of stomach nerves | 13.52 | N/A | 5.91 | 1.16 | N/A | 20.59 | 090 | |
| 64760 | A | Incision of vagus nerve | 6.96 | N/A | 3.72 | 0.51 | N/A | 11.19 | 090 | |
| 64761 | A | Incision of pelvis nerve | 6.41 | N/A | 3.82 | 0.26 | N/A | 10.49 | 090 | |
| 64763 | A | Incise hip/thigh nerve | 6.93 | N/A | 5.66 | 0.77 | N/A | 13.36 | 090 | |
| 64766 | A | Incise hip/thigh nerve | 8.67 | N/A | 5.53 | 0.99 | N/A | 15.19 | 090 | |
| 64771 | A | Sever cranial nerve | 7.35 | N/A | 5.83 | 1.32 | N/A | 14.50 | 090 | |
| 64772 | A | Incision of spinal nerve | 7.21 | N/A | 5.19 | 1.20 | N/A | 13.60 | 090 | |
| 64774 | A | Remove skin nerve lesion | 5.17 | N/A | 4.11 | 0.60 | N/A | 9.88 | 090 | |
| 64776 | A | Remove digit nerve lesion | 5.12 | N/A | 4.00 | 0.63 | N/A | 9.75 | 090 | |
| 64778 | A | Digit nerve surgery add-on | 3.11 | N/A | 1.53 | 0.38 | N/A | 5.02 | ZZZ | |
| 64782 | A | Remove limb nerve lesion | 6.23 | N/A | 3.98 | 0.79 | N/A | 11.00 | 090 | |
| 64783 | A | Limb nerve surgery add-on | 3.72 | N/A | 1.88 | 0.48 | N/A | 6.08 | ZZZ | |
| 64784 | A | Remove nerve lesion | 9.82 | N/A | 6.96 | 1.17 | N/A | 17.95 | 090 | |
| 64786 | A | Remove sciatic nerve lesion | 15.46 | N/A | 10.36 | 2.22 | N/A | 28.04 | 090 | |
| 64787 | A | Implant nerve end | 4.30 | N/A | 2.17 | 0.56 | N/A | 7.03 | ZZZ | |
| 64788 | A | Remove skin nerve lesion | 4.61 | N/A | 3.75 | 0.54 | N/A | 8.90 | 090 | |
| 64790 | A | Removal of nerve lesion | 11.31 | N/A | 7.57 | 1.68 | N/A | 20.56 | 090 | |
| 64792 | A | Removal of nerve lesion | 14.92 | N/A | 9.20 | 1.88 | N/A | 26.00 | 090 | |
| 64795 | A | Biopsy of nerve | 3.01 | N/A | 1.62 | 0.40 | N/A | 5.03 | 000 | |
| 64802 | A | Remove sympathetic nerves | 9.15 | N/A | 5.27 | 0.87 | N/A | 15.29 | 090 | |
| 64804 | A | Remove sympathetic nerves | 14.64 | N/A | 7.25 | 1.79 | N/A | 23.68 | 090 | |
| 64809 | A | Remove sympathetic nerves | 13.67 | N/A | 5.94 | 0.96 | N/A | 20.57 | 090 | |
| 64818 | A | Remove sympathetic nerves | 10.30 | N/A | 5.42 | 1.08 | N/A | 16.80 | 090 | |
| 64820 | A | Remove sympathetic nerves | 10.37 | N/A | 7.35 | 1.17 | N/A | 18.89 | 090 | |
| 64821 | A | Remove sympathestic nerves | 8.75 | N/A | 7.60 | 0.99 | N/A | 17.34 | 090 | |
| 64822 | A | Remove sympathetic nerves | 8.75 | N/A | 7.53 | 0.99 | N/A | 17.27 | 090 | |
| 64823 | A | Remove sympathetic nerves | 10.37 | N/A | 8.45 | 1.17 | N/A | 19.99 | 090 | |
| 64831 | A | Repair of digit nerve | 9.44 | N/A | 7.53 | 1.14 | N/A | 18.11 | 090 | |
| 64832 | A | Repair nerve add-on | 5.66 | N/A | 3.00 | 0.68 | N/A | 9.34 | ZZZ | |
| 64834 | A | Repair of hand or foot nerve | 10.19 | N/A | 7.56 | 1.23 | N/A | 18.98 | 090 | |
| 64835 | A | Repair of hand or foot nerve | 10.94 | N/A | 8.16 | 1.36 | N/A | 20.46 | 090 | |
| 64836 | A | Repair of hand or foot nerve | 10.94 | N/A | 8.13 | 1.32 | N/A | 20.39 | 090 | |
| 64837 | A | Repair nerve add-on | 6.26 | N/A | 3.31 | 0.80 | N/A | 10.37 | ZZZ | |
| 64840 | A | Repair of leg nerve | 13.02 | N/A | 8.70 | 0.86 | N/A | 22.58 | 090 | |
| 64856 | A | Repair/transpose nerve | 13.80 | N/A | 9.68 | 1.71 | N/A | 25.19 | 090 | |
| 64857 | A | Repair arm/leg nerve | 14.49 | N/A | 10.15 | 1.76 | N/A | 26.40 | 090 | |
| 64858 | A | Repair sciatic nerve | 16.49 | N/A | 11.15 | 2.78 | N/A | 30.42 | 090 | |
| 64859 | A | Nerve surgery | 4.26 | N/A | 2.24 | 0.50 | N/A | 7.00 | ZZZ | |
| 64861 | A | Repair of arm nerves | 19.24 | N/A | 12.13 | 2.45 | N/A | 33.82 | 090 | |
| 64862 | A | Repair of low back nerves | 19.44 | N/A | 12.18 | 2.47 | N/A | 34.09 | 090 | |
| 64864 | A | Repair of facial nerve | 12.55 | N/A | 8.52 | 1.13 | N/A | 22.20 | 090 | |
| 64865 | A | Repair of facial nerve | 15.24 | N/A | 10.23 | 1.37 | N/A | 26.84 | 090 | |
| 64866 | A | Fusion of facial/other nerve | 15.74 | N/A | 10.06 | 1.06 | N/A | 26.86 | 090 | |
| 64868 | A | Fusion of facial/other nerve | 14.04 | N/A | 9.22 | 1.40 | N/A | 24.66 | 090 | |
| 64870 | A | Fusion of facial/other nerve | 15.99 | N/A | 9.10 | 1.08 | N/A | 26.17 | 090 | |
| 64872 | A | Subsequent repair of nerve | 1.99 | N/A | 1.10 | 0.24 | N/A | 3.33 | ZZZ | |
| 64874 | A | Repair revise nerve add-on | 2.98 | N/A | 1.57 | 0.34 | N/A | 4.89 | ZZZ | |
| 64876 | A | Repair nerve/shorten bone | 3.38 | N/A | 1.31 | 0.39 | N/A | 5.08 | ZZZ | |
| 64885 | A | Nerve graft, head or neck | 17.53 | N/A | 11.26 | 1.51 | N/A | 30.30 | 090 | |
| 64886 | A | Nerve graft, head or neck | 20.75 | N/A | 13.13 | 1.73 | N/A | 35.61 | 090 | |
| 64890 | A | Nerve graft, hand or foot | 15.15 | N/A | 10.52 | 1.74 | N/A | 27.41 | 090 | |
| 64891 | A | Nerve graft, hand or foot | 16.14 | N/A | 7.97 | 1.38 | N/A | 25.49 | 090 | |
| 64892 | A | Nerve graft, arm or leg | 14.65 | N/A | 9.31 | 1.65 | N/A | 25.61 | 090 | |
| 64893 | A | Nerve graft, arm or leg | 15.60 | N/A | 10.30 | 1.77 | N/A | 27.67 | 090 | |
| 64895 | A | Nerve graft, hand or foot | 19.25 | N/A | 10.06 | 2.04 | N/A | 31.35 | 090 | |
| 64896 | A | Nerve graft, hand or foot | 20.49 | N/A | 11.53 | 1.85 | N/A | 33.87 | 090 | |
| 64897 | A | Nerve graft, arm or leg | 18.24 | N/A | 11.19 | 2.64 | N/A | 32.07 | 090 | |
| 64898 | A | Nerve graft, arm or leg | 19.50 | N/A | 12.29 | 2.71 | N/A | 34.50 | 090 | |
| 64901 | A | Nerve graft add-on | 10.22 | N/A | 5.39 | 0.99 | N/A | 16.60 | ZZZ | |
| 64902 | A | Nerve graft add-on | 11.83 | N/A | 6.10 | 1.10 | N/A | 19.03 | ZZZ | |
| 64905 | A | Nerve pedicle transfer | 14.02 | N/A | 8.98 | 1.52 | N/A | 24.52 | 090 | |
| 64907 | A | Nerve pedicle transfer | 18.83 | N/A | 12.64 | 1.79 | N/A | 33.26 | 090 | |
| 64999 | C | Nervous system surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 65091 | A | Revise eye | 6.46 | N/A | 9.88 | 0.26 | N/A | 16.60 | 090 | |
| 65093 | A | Revise eye with implant | 6.87 | N/A | 10.25 | 0.28 | N/A | 17.40 | 090 | |
| 65101 | A | Removal of eye | 7.03 | N/A | 10.83 | 0.28 | N/A | 18.14 | 090 | |
| 65103 | A | Remove eye/insert implant | 7.57 | N/A | 11.04 | 0.30 | N/A | 18.91 | 090 | |
| 65105 | A | Remove eye/attach implant | 8.49 | N/A | 11.70 | 0.34 | N/A | 20.53 | 090 | |
| 65110 | A | Removal of eye | 13.95 | N/A | 14.98 | 0.68 | N/A | 29.61 | 090 | |
| 65112 | A | Remove eye/revise socket | 16.38 | N/A | 17.38 | 0.96 | N/A | 34.72 | 090 | |
| 65114 | A | Remove eye/revise socket | 17.53 | N/A | 17.50 | 0.94 | N/A | 35.97 | 090 | |
| 65125 | A | Revise ocular implant | 3.12 | 9.35 | 3.02 | 0.15 | 12.62 | 6.29 | 090 | |
| 65130 | A | Insert ocular implant | 7.15 | N/A | 10.42 | 0.28 | N/A | 17.85 | 090 | |
| 65135 | A | Insert ocular implant | 7.33 | N/A | 10.59 | 0.29 | N/A | 18.21 | 090 | |
| 65140 | A | Attach ocular implant | 8.02 | N/A | 11.06 | 0.31 | N/A | 19.39 | 090 | |
| 65150 | A | Revise ocular implant | 6.26 | N/A | 9.43 | 0.25 | N/A | 15.94 | 090 | |
| 65155 | A | Reinsert ocular implant | 8.66 | N/A | 11.80 | 0.40 | N/A | 20.86 | 090 | |
| 65175 | A | Removal of ocular implant | 6.28 | N/A | 9.81 | 0.26 | N/A | 16.35 | 090 | |
| 65205 | A | Remove foreign body from eye | 0.71 | 0.61 | 0.19 | 0.03 | 1.35 | 0.93 | 000 | |
| 65210 | A | Remove foreign body from eye | 0.84 | 0.75 | 0.30 | 0.03 | 1.62 | 1.17 | 000 | |
| 65220 | A | Remove foreign body from eye | 0.71 | 0.61 | 0.18 | 0.05 | 1.37 | 0.94 | 000 | |
| 65222 | A | Remove foreign body from eye | 0.93 | 0.77 | 0.27 | 0.04 | 1.74 | 1.24 | 000 | |
| 65235 | A | Remove foreign body from eye | 7.57 | N/A | 7.41 | 0.30 | N/A | 15.28 | 090 | |
| 65260 | A | Remove foreign body from eye | 10.96 | N/A | 11.71 | 0.43 | N/A | 23.10 | 090 | |
| 65265 | A | Remove foreign body from eye | 12.59 | N/A | 12.91 | 0.50 | N/A | 26.00 | 090 | |
| 65270 | A | Repair of eye wound | 1.90 | 3.90 | 2.28 | 0.08 | 5.88 | 4.26 | 010 | |
| 65272 | A | Repair of eye wound | 3.82 | 5.89 | 5.30 | 0.16 | 9.87 | 9.28 | 090 | |
| 65273 | A | Repair of eye wound | 4.36 | N/A | 5.63 | 0.17 | N/A | 10.16 | 090 | |
| 65275 | A | Repair of eye wound | 5.34 | 5.78 | 5.78 | 0.27 | 11.39 | 11.39 | 090 | |
| 65280 | A | Repair of eye wound | 7.66 | N/A | 8.32 | 0.30 | N/A | 16.28 | 090 | |
| 65285 | A | Repair of eye wound | 12.90 | N/A | 12.77 | 0.51 | N/A | 26.18 | 090 | |
| 65286 | A | Repair of eye wound | 5.51 | 8.57 | 7.65 | 0.21 | 14.29 | 13.37 | 090 | |
| 65290 | A | Repair of eye socket wound | 5.41 | N/A | 6.61 | 0.26 | N/A | 12.28 | 090 | |
| 65400 | A | Removal of eye lesion | 6.06 | 8.78 | 7.60 | 0.24 | 15.08 | 13.90 | 090 | |
| 65410 | A | Biopsy of cornea | 1.47 | 1.74 | 0.66 | 0.06 | 3.27 | 2.19 | 000 | |
| 65420 | A | Removal of eye lesion | 4.17 | 7.65 | 6.84 | 0.17 | 11.99 | 11.18 | 090 | |
| 65426 | A | Removal of eye lesion | 5.25 | 7.62 | 6.66 | 0.20 | 13.07 | 12.11 | 090 | |
| 65430 | A | Corneal smear | 1.47 | 5.02 | 0.67 | 0.06 | 6.55 | 2.20 | 000 | |
| 65435 | A | Curette/treat cornea | 0.92 | 1.35 | 0.40 | 0.04 | 2.31 | 1.36 | 000 | |
| 65436 | A | Curette/treat cornea | 4.19 | 5.95 | 5.31 | 0.17 | 10.31 | 9.67 | 090 | |
| 65450 | A | Treatment of corneal lesion | 3.27 | 7.32 | 6.43 | 0.13 | 10.72 | 9.83 | 090 | |
| 65600 | A | Revision of cornea | 3.40 | 5.73 | 3.17 | 0.14 | 9.27 | 6.71 | 090 | |
| 65710 | A | Corneal transplant | 12.35 | N/A | 12.72 | 0.49 | N/A | 25.56 | 090 | |
| 65730 | A | Corneal transplant | 14.25 | N/A | 12.08 | 0.56 | N/A | 26.89 | 090 | |
| 65750 | A | Corneal transplant | 15.00 | N/A | 13.75 | 0.59 | N/A | 29.34 | 090 | |
| 65755 | A | Corneal transplant | 14.89 | N/A | 13.66 | 0.58 | N/A | 29.13 | 090 | |
| 65770 | A | Revise cornea with implant | 17.56 | N/A | 14.78 | 0.69 | N/A | 33.03 | 090 | |
| 65772 | A | Correction of astigmatism | 4.29 | 7.17 | 6.46 | 0.17 | 11.63 | 10.92 | 090 | |
| 65775 | A | Correction of astigmatism | 5.79 | N/A | 7.65 | 0.22 | N/A | 13.66 | 090 | |
| 65800 | A | Drainage of eye | 1.91 | 2.31 | 1.14 | 0.08 | 4.30 | 3.13 | 000 | |
| 65805 | A | Drainage of eye | 1.91 | 2.31 | 1.15 | 0.08 | 4.30 | 3.14 | 000 | |
| 65810 | A | Drainage of eye | 4.87 | N/A | 8.08 | 0.19 | N/A | 13.14 | 090 | |
| 65815 | A | Drainage of eye | 5.05 | 8.41 | 7.51 | 0.20 | 13.66 | 12.76 | 090 | |
| 65820 | A | Relieve inner eye pressure | 8.13 | N/A | 10.62 | 0.32 | N/A | 19.07 | 090 | |
| 65850 | A | Incision of eye | 10.52 | N/A | 9.71 | 0.41 | N/A | 20.64 | 090 | |
| 65855 | A | Laser surgery of eye | 3.85 | 5.29 | 4.12 | 0.17 | 9.31 | 8.14 | 010 | |
| 65860 | A | Incise inner eye adhesions | 3.55 | 4.02 | 3.36 | 0.14 | 7.71 | 7.05 | 090 | |
| 65865 | A | Incise inner eye adhesions | 5.60 | N/A | 6.65 | 0.22 | N/A | 12.47 | 090 | |
| 65870 | A | Incise inner eye adhesions | 6.27 | N/A | 7.32 | 0.24 | N/A | 13.83 | 090 | |
| 65875 | A | Incise inner eye adhesions | 6.54 | N/A | 7.62 | 0.25 | N/A | 14.41 | 090 | |
| 65880 | A | Incise inner eye adhesions | 7.09 | N/A | 7.87 | 0.28 | N/A | 15.24 | 090 | |
| 65900 | A | Remove eye lesion | 10.93 | N/A | 11.89 | 0.46 | N/A | 23.28 | 090 | |
| 65920 | A | Remove implant of eye | 8.40 | N/A | 8.87 | 0.33 | N/A | 17.60 | 090 | |
| 65930 | A | Remove blood clot from eye | 7.44 | N/A | 8.12 | 0.29 | N/A | 15.85 | 090 | |
| 66020 | A | Injection treatment of eye | 1.59 | 2.42 | 1.61 | 0.07 | 4.08 | 3.27 | 010 | |
| 66030 | A | Injection treatment of eye | 1.25 | 2.25 | 1.45 | 0.05 | 3.55 | 2.75 | 010 | |
| 66130 | A | Remove eye lesion | 7.69 | 7.61 | 7.04 | 0.31 | 15.61 | 15.04 | 090 | |
| 66150 | A | Glaucoma surgery | 8.30 | N/A | 10.07 | 0.33 | N/A | 18.70 | 090 | |
| 66155 | A | Glaucoma surgery | 8.29 | N/A | 10.04 | 0.32 | N/A | 18.65 | 090 | |
| 66160 | A | Glaucoma surgery | 10.17 | N/A | 10.90 | 0.41 | N/A | 21.48 | 090 | |
| 66165 | A | Glaucoma surgery | 8.01 | N/A | 9.92 | 0.31 | N/A | 18.24 | 090 | |
| 66170 | A | Glaucoma surgery | 12.16 | N/A | 12.62 | 0.48 | N/A | 25.26 | 090 | |
| 66172 | A | Incision of eye | 15.04 | N/A | 15.19 | 0.59 | N/A | 30.82 | 090 | |
| 66180 | A | Implant eye shunt | 14.55 | N/A | 11.87 | 0.57 | N/A | 26.99 | 090 | |
| 66185 | A | Revise eye shunt | 8.14 | N/A | 8.42 | 0.32 | N/A | 16.88 | 090 | |
| 66220 | A | Repair eye lesion | 7.77 | N/A | 9.00 | 0.32 | N/A | 17.09 | 090 | |
| 66225 | A | Repair/graft eye lesion | 11.05 | N/A | 9.57 | 0.44 | N/A | 21.06 | 090 | |
| 66250 | A | Follow-up surgery of eye | 5.98 | 7.84 | 6.66 | 0.23 | 14.05 | 12.87 | 090 | |
| 66500 | A | Incision of iris | 3.71 | N/A | 5.08 | 0.15 | N/A | 8.94 | 090 | |
| 66505 | A | Incision of iris | 4.08 | N/A | 5.37 | 0.17 | N/A | 9.62 | 090 | |
| 66600 | A | Remove iris and lesion | 8.68 | N/A | 8.96 | 0.34 | N/A | 17.98 | 090 | |
| 66605 | A | Removal of iris | 12.79 | N/A | 11.57 | 0.61 | N/A | 24.97 | 090 | |
| 66625 | A | Removal of iris | 5.13 | 7.07 | 6.33 | 0.20 | 12.40 | 11.66 | 090 | |
| 66630 | A | Removal of iris | 6.16 | N/A | 7.48 | 0.24 | N/A | 13.88 | 090 | |
| 66635 | A | Removal of iris | 6.25 | N/A | 6.79 | 0.24 | N/A | 13.28 | 090 | |
| 66680 | A | Repair iris ciliary body | 5.44 | N/A | 6.20 | 0.21 | N/A | 11.85 | 090 | |
| 66682 | A | Repair iris ciliary body | 6.21 | N/A | 7.48 | 0.24 | N/A | 13.93 | 090 | |
| 66700 | A | Destruction, ciliary body | 4.78 | 5.44 | 4.13 | 0.19 | 10.41 | 9.10 | 090 | |
| 66710 | A | Destruction, ciliary body | 4.78 | 5.31 | 3.92 | 0.18 | 10.27 | 8.88 | 090 | |
| 66720 | A | Destruction, ciliary body | 4.78 | 5.76 | 4.69 | 0.19 | 10.73 | 9.66 | 090 | |
| 66740 | A | Destruction, ciliary body | 4.78 | 5.47 | 4.30 | 0.18 | 10.43 | 9.26 | 090 | |
| 66761 | A | Revision of iris | 4.07 | 5.65 | 4.31 | 0.16 | 9.88 | 8.54 | 090 | |
| 66762 | A | Revision of iris | 4.58 | 5.73 | 4.30 | 0.18 | 10.49 | 9.06 | 090 | |
| 66770 | A | Removal of inner eye lesion | 5.18 | 6.16 | 4.81 | 0.20 | 11.54 | 10.19 | 090 | |
| 66820 | A | Incision, secondary cataract | 3.89 | N/A | 7.12 | 0.16 | N/A | 11.17 | 090 | |
| 66821 | A | After cataract laser surgery | 2.35 | 4.04 | 3.95 | 0.10 | 6.49 | 6.40 | 090 | |
| 66825 | A | Reposition intraocular lens | 8.23 | N/A | 10.05 | 0.32 | N/A | 18.60 | 090 | |
| 66830 | A | Removal of lens lesion | 8.20 | N/A | 7.26 | 0.32 | N/A | 15.78 | 090 | |
| 66840 | A | Removal of lens material | 7.91 | N/A | 7.17 | 0.31 | N/A | 15.39 | 090 | |
| 66850 | A | Removal of lens material | 9.11 | N/A | 7.89 | 0.36 | N/A | 17.36 | 090 | |
| 66852 | A | Removal of lens material | 9.97 | N/A | 8.35 | 0.39 | N/A | 18.71 | 090 | |
| 66920 | A | Extraction of lens | 8.86 | N/A | 7.62 | 0.35 | N/A | 16.83 | 090 | |
| 66930 | A | Extraction of lens | 10.18 | N/A | 8.72 | 0.41 | N/A | 19.31 | 090 | |
| 66940 | A | Extraction of lens | 8.93 | N/A | 8.17 | 0.35 | N/A | 17.45 | 090 | |
| 66982 | A | Cataract surgery, complex | 13.50 | N/A | 10.10 | 0.56 | N/A | 24.16 | 090 | |
| 66983 | A | Cataract surg w/iol, 1 stage | 8.99 | N/A | 6.31 | 0.37 | N/A | 15.67 | 090 | |
| 66984 | A | Cataract surg w/iol, 1 stage | 10.23 | N/A | 7.81 | 0.41 | N/A | 18.45 | 090 | |
| 66985 | A | Insert lens prosthesis | 8.39 | N/A | 7.60 | 0.33 | N/A | 16.32 | 090 | |
| 66986 | A | Exchange lens prosthesis | 12.28 | N/A | 9.38 | 0.49 | N/A | 22.15 | 090 | |
| 66990 | A | Ophthalmic endoscope add-on | 1.51 | N/A | 0.70 | 0.06 | N/A | 2.27 | ZZZ | |
| 66999 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67005 | A | Partial removal of eye fluid | 5.70 | N/A | 4.47 | 0.22 | N/A | 10.39 | 090 | |
| 67010 | A | Partial removal of eye fluid | 6.87 | N/A | 5.02 | 0.27 | N/A | 12.16 | 090 | |
| 67015 | A | Release of eye fluid | 6.92 | N/A | 7.66 | 0.27 | N/A | 14.85 | 090 | |
| 67025 | A | Replace eye fluid | 6.84 | 14.24 | 7.49 | 0.27 | 21.35 | 14.60 | 090 | |
| 67027 | A | Implant eye drug system | 10.85 | 12.86 | 8.86 | 0.46 | 24.17 | 20.17 | 090 | |
| 67028 | A | Injection eye drug | 2.52 | 6.59 | 1.16 | 0.11 | 9.22 | 3.79 | 000 | |
| 67030 | A | Incise inner eye strands | 4.84 | N/A | 6.78 | 0.19 | N/A | 11.81 | 090 | |
| 67031 | A | Laser surgery, eye strands | 3.67 | 4.77 | 4.11 | 0.15 | 8.59 | 7.93 | 090 | |
| 67036 | A | Removal of inner eye fluid | 11.89 | N/A | 9.53 | 0.47 | N/A | 21.89 | 090 | |
| 67038 | A | Strip retinal membrane | 21.24 | N/A | 16.17 | 0.84 | N/A | 38.25 | 090 | |
| 67039 | A | Laser treatment of retina | 14.52 | N/A | 12.87 | 0.57 | N/A | 27.96 | 090 | |
| 67040 | A | Laser treatment of retina | 17.23 | N/A | 14.33 | 0.68 | N/A | 32.24 | 090 | |
| 67101 | A | Repair detached retina | 7.53 | 10.08 | 8.31 | 0.29 | 17.90 | 16.13 | 090 | |
| 67105 | A | Repair detached retina | 7.41 | 8.14 | 6.35 | 0.29 | 15.84 | 14.05 | 090 | |
| 67107 | A | Repair detached retina | 14.84 | N/A | 13.11 | 0.58 | N/A | 28.53 | 090 | |
| 67108 | A | Repair detached retina | 20.82 | N/A | 17.42 | 0.82 | N/A | 39.06 | 090 | |
| 67110 | A | Repair detached retina | 8.81 | 15.63 | 9.41 | 0.35 | 24.79 | 18.57 | 090 | |
| 67112 | A | Rerepair detached retina | 16.86 | N/A | 14.89 | 0.66 | N/A | 32.41 | 090 | |
| 67115 | A | Release encircling material | 4.99 | N/A | 7.07 | 0.19 | N/A | 12.25 | 090 | |
| 67120 | A | Remove eye implant material | 5.98 | 12.34 | 6.90 | 0.23 | 18.55 | 13.11 | 090 | |
| 67121 | A | Remove eye implant material | 10.67 | N/A | 11.45 | 0.42 | N/A | 22.54 | 090 | |
| 67141 | A | Treatment of retina | 5.20 | 7.28 | 6.51 | 0.20 | 12.68 | 11.91 | 090 | |
| 67145 | A | Treatment of retina | 5.37 | 5.87 | 5.04 | 0.21 | 11.45 | 10.62 | 090 | |
| 67208 | A | Treatment of retinal lesion | 6.70 | 6.06 | 5.48 | 0.26 | 13.02 | 12.44 | 090 | |
| 67210 | A | Treatment of retinal lesion | 8.82 | 6.37 | 5.90 | 0.35 | 15.54 | 15.07 | 090 | |
| 67218 | A | Treatment of retinal lesion | 18.53 | N/A | 14.52 | 0.53 | N/A | 33.58 | 090 | |
| 67220 | A | Treatment of choroid lesion | 13.13 | 10.02 | 9.01 | 0.51 | 23.66 | 22.65 | 090 | |
| 67221 | R | Ocular photodynamic ther | 4.01 | 4.77 | 1.84 | 0.16 | 8.94 | 6.01 | 000 | |
| 67225 | A | Eye photodynamic ther add-on | 0.47 | 0.26 | 0.22 | 0.01 | 0.74 | 0.70 | ZZZ | |
| 67227 | A | Treatment of retinal lesion | 6.58 | 6.55 | 5.48 | 0.26 | 13.39 | 12.32 | 090 | |
| 67228 | A | Treatment of retinal lesion | 12.74 | 11.10 | 8.55 | 0.50 | 24.34 | 21.79 | 090 | |
| 67250 | A | Reinforce eye wall | 8.66 | N/A | 10.53 | 0.36 | N/A | 19.55 | 090 | |
| 67255 | A | Reinforce/graft eye wall | 8.90 | N/A | 11.13 | 0.35 | N/A | 20.38 | 090 | |
| 67299 | C | Eye surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67311 | A | Revise eye muscle | 6.65 | N/A | 6.52 | 0.27 | N/A | 13.44 | 090 | |
| 67312 | A | Revise two eye muscles | 8.54 | N/A | 7.54 | 0.35 | N/A | 16.43 | 090 | |
| 67314 | A | Revise eye muscle | 7.52 | N/A | 7.25 | 0.30 | N/A | 15.07 | 090 | |
| 67316 | A | Revise two eye muscles | 9.66 | N/A | 8.23 | 0.40 | N/A | 18.29 | 090 | |
| 67318 | A | Revise eye muscle(s) | 7.85 | N/A | 7.63 | 0.31 | N/A | 15.79 | 090 | |
| 67320 | A | Revise eye muscle(s) add-on | 4.33 | N/A | 2.00 | 0.17 | N/A | 6.50 | ZZZ | |
| 67331 | A | Eye surgery follow-up add-on | 4.06 | N/A | 1.95 | 0.17 | N/A | 6.18 | ZZZ | |
| 67332 | A | Rerevise eye muscles add-on | 4.49 | N/A | 2.07 | 0.18 | N/A | 6.74 | ZZZ | |
| 67334 | A | Revise eye muscle w/suture | 3.98 | N/A | 1.84 | 0.16 | N/A | 5.98 | ZZZ | |
| 67335 | A | Eye suture during surgery | 2.49 | N/A | 1.15 | 0.10 | N/A | 3.74 | ZZZ | |
| 67340 | A | Revise eye muscle add-on | 4.93 | N/A | 2.27 | 0.19 | N/A | 7.39 | ZZZ | |
| 67343 | A | Release eye tissue | 7.35 | N/A | 7.33 | 0.30 | N/A | 14.98 | 090 | |
| 67345 | A | Destroy nerve of eye muscle | 2.96 | 4.46 | 1.40 | 0.13 | 7.55 | 4.49 | 010 | |
| 67350 | A | Biopsy eye muscle | 2.87 | N/A | 1.91 | 0.13 | N/A | 4.91 | 000 | |
| 67399 | C | Eye muscle surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67400 | A | Explore/biopsy eye socket | 9.76 | N/A | 12.74 | 0.43 | N/A | 22.93 | 090 | |
| 67405 | A | Explore/drain eye socket | 7.93 | N/A | 11.44 | 0.36 | N/A | 19.73 | 090 | |
| 67412 | A | Explore/treat eye socket | 9.50 | N/A | 13.20 | 0.41 | N/A | 23.11 | 090 | |
| 67413 | A | Explore/treat eye socket | 10.00 | N/A | 12.38 | 0.43 | N/A | 22.81 | 090 | |
| 67414 | A | Explr/decompress eye socket | 11.13 | N/A | 14.33 | 0.48 | N/A | 25.94 | 090 | |
| 67415 | A | Aspiration, orbital contents | 1.76 | N/A | 0.78 | 0.09 | N/A | 2.63 | 000 | |
| 67420 | A | Explore/treat eye socket | 20.06 | N/A | 19.13 | 0.84 | N/A | 40.03 | 090 | |
| 67430 | A | Explore/treat eye socket | 13.39 | N/A | 15.97 | 0.97 | N/A | 30.33 | 090 | |
| 67440 | A | Explore/drain eye socket | 13.09 | N/A | 15.80 | 0.58 | N/A | 29.47 | 090 | |
| 67445 | A | Explr/decompress eye socket | 14.42 | N/A | 16.00 | 0.63 | N/A | 31.05 | 090 | |
| 67450 | A | Explore/biopsy eye socket | 13.51 | N/A | 16.16 | 0.56 | N/A | 30.23 | 090 | |
| 67500 | A | Inject/treat eye socket | 0.79 | 0.84 | 0.19 | 0.04 | 1.67 | 1.02 | 000 | |
| 67505 | A | Inject/treat eye socket | 0.82 | 0.93 | 0.21 | 0.04 | 1.79 | 1.07 | 000 | |
| 67515 | A | Inject/treat eye socket | 0.61 | 0.84 | 0.28 | 0.02 | 1.47 | 0.91 | 000 | |
| 67550 | A | Insert eye socket implant | 10.19 | N/A | 12.61 | 0.50 | N/A | 23.30 | 090 | |
| 67560 | A | Revise eye socket implant | 10.60 | N/A | 12.57 | 0.47 | N/A | 23.64 | 090 | |
| 67570 | A | Decompress optic nerve | 13.58 | N/A | 15.48 | 0.69 | N/A | 29.75 | 090 | |
| 67599 | C | Orbit surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 67700 | A | Drainage of eyelid abscess | 1.35 | 4.90 | 0.64 | 0.06 | 6.31 | 2.05 | 010 | |
| 67710 | A | Incision of eyelid | 1.02 | 5.06 | 0.54 | 0.04 | 6.12 | 1.60 | 010 | |
| 67715 | A | Incision of eyelid fold | 1.22 | 4.64 | 0.63 | 0.05 | 5.91 | 1.90 | 010 | |
| 67800 | A | Remove eyelid lesion | 1.38 | 2.53 | 0.70 | 0.06 | 3.97 | 2.14 | 010 | |
| 67801 | A | Remove eyelid lesions | 1.88 | 5.41 | 0.94 | 0.08 | 7.37 | 2.90 | 010 | |
| 67805 | A | Remove eyelid lesions | 2.22 | 5.56 | 1.09 | 0.09 | 7.87 | 3.40 | 010 | |
| 67808 | A | Remove eyelid lesion(s) | 3.80 | N/A | 5.28 | 0.17 | N/A | 9.25 | 090 | |
| 67810 | A | Biopsy of eyelid | 1.48 | 3.71 | 0.69 | 0.06 | 5.25 | 2.23 | 000 | |
| 67820 | A | Revise eyelashes | 0.89 | 1.13 | 0.38 | 0.04 | 2.06 | 1.31 | 000 | |
| 67825 | A | Revise eyelashes | 1.38 | 1.61 | 1.09 | 0.06 | 3.05 | 2.53 | 010 | |
| 67830 | A | Revise eyelashes | 1.70 | 7.58 | 1.99 | 0.07 | 9.35 | 3.76 | 010 | |
| 67835 | A | Revise eyelashes | 5.56 | N/A | 5.10 | 0.22 | N/A | 10.88 | 090 | |
| 67840 | A | Remove eyelid lesion | 2.04 | 5.39 | 1.01 | 0.08 | 7.51 | 3.13 | 010 | |
| 67850 | A | Treat eyelid lesion | 1.69 | 6.17 | 1.93 | 0.07 | 7.93 | 3.69 | 010 | |
| 67875 | A | Closure of eyelid by suture | 1.35 | 7.71 | 1.26 | 0.06 | 9.12 | 2.67 | 000 | |
| 67880 | A | Revision of eyelid | 3.80 | 9.81 | 4.38 | 0.16 | 13.77 | 8.34 | 090 | |
| 67882 | A | Revision of eyelid | 5.07 | 11.09 | 5.50 | 0.21 | 16.37 | 10.78 | 090 | |
| 67900 | A | Repair brow defect | 6.14 | 10.72 | 6.39 | 0.30 | 17.16 | 12.83 | 090 | |
| 67901 | A | Repair eyelid defect | 6.97 | N/A | 6.54 | 0.32 | N/A | 13.83 | 090 | |
| 67902 | A | Repair eyelid defect | 7.03 | N/A | 6.61 | 0.34 | N/A | 13.98 | 090 | |
| 67903 | A | Repair eyelid defect | 6.37 | 11.50 | 6.81 | 0.39 | 18.26 | 13.57 | 090 | |
| 67904 | A | Repair eyelid defect | 6.26 | 12.71 | 7.30 | 0.26 | 19.23 | 13.82 | 090 | |
| 67906 | A | Repair eyelid defect | 6.79 | 9.26 | 6.12 | 0.42 | 16.47 | 13.33 | 090 | |
| 67908 | A | Repair eyelid defect | 5.13 | 8.99 | 5.78 | 0.20 | 14.32 | 11.11 | 090 | |
| 67909 | A | Revise eyelid defect | 5.40 | 9.55 | 6.19 | 0.25 | 15.20 | 11.84 | 090 | |
| 67911 | A | Revise eyelid defect | 5.27 | N/A | 6.16 | 0.23 | N/A | 11.66 | 090 | |
| 67914 | A | Repair eyelid defect | 3.68 | 9.44 | 4.02 | 0.16 | 13.28 | 7.86 | 090 | |
| 67915 | A | Repair eyelid defect | 3.18 | 8.02 | 2.63 | 0.13 | 11.33 | 5.94 | 090 | |
| 67916 | A | Repair eyelid defect | 5.31 | 11.98 | 5.80 | 0.22 | 17.51 | 11.33 | 090 | |
| 67917 | A | Repair eyelid defect | 6.02 | 9.90 | 6.26 | 0.25 | 16.17 | 12.53 | 090 | |
| 67921 | A | Repair eyelid defect | 3.40 | 9.24 | 3.82 | 0.14 | 12.78 | 7.36 | 090 | |
| 67922 | A | Repair eyelid defect | 3.06 | 7.97 | 3.55 | 0.13 | 11.16 | 6.74 | 090 | |
| 67923 | A | Repair eyelid defect | 5.88 | 11.44 | 5.91 | 0.24 | 17.56 | 12.03 | 090 | |
| 67924 | A | Repair eyelid defect | 5.79 | 9.26 | 5.76 | 0.23 | 15.28 | 11.78 | 090 | |
| 67930 | A | Repair eyelid wound | 3.61 | 8.54 | 3.00 | 0.17 | 12.32 | 6.78 | 010 | |
| 67935 | A | Repair eyelid wound | 6.22 | 11.46 | 5.97 | 0.29 | 17.97 | 12.48 | 090 | |
| 67938 | A | Remove eyelid foreign body | 1.33 | 5.90 | 0.57 | 0.06 | 7.29 | 1.96 | 010 | |
| 67950 | A | Revision of eyelid | 5.82 | 8.42 | 6.70 | 0.30 | 14.54 | 12.82 | 090 | |
| 67961 | A | Revision of eyelid | 5.69 | 10.32 | 5.79 | 0.26 | 16.27 | 11.74 | 090 | |
| 67966 | A | Revision of eyelid | 6.57 | 8.50 | 5.78 | 0.33 | 15.40 | 12.68 | 090 | |
| 67971 | A | Reconstruction of eyelid | 9.79 | N/A | 7.41 | 0.42 | N/A | 17.62 | 090 | |
| 67973 | A | Reconstruction of eyelid | 12.87 | N/A | 9.41 | 0.59 | N/A | 22.87 | 090 | |
| 67974 | A | Reconstruction of eyelid | 12.84 | N/A | 9.32 | 0.54 | N/A | 22.70 | 090 | |
| 67975 | A | Reconstruction of eyelid | 9.13 | N/A | 7.08 | 0.38 | N/A | 16.59 | 090 | |
| 67999 | C | Revision of eyelid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68020 | A | Incise/drain eyelid lining | 1.37 | 5.77 | 0.69 | 0.06 | 7.20 | 2.12 | 010 | |
| 68040 | A | Treatment of eyelid lesions | 0.85 | 4.88 | 0.39 | 0.03 | 5.76 | 1.27 | 000 | |
| 68100 | A | Biopsy of eyelid lining | 1.35 | 5.08 | 0.62 | 0.06 | 6.49 | 2.03 | 000 | |
| 68110 | A | Remove eyelid lining lesion | 1.77 | 6.14 | 1.43 | 0.07 | 7.98 | 3.27 | 010 | |
| 68115 | A | Remove eyelid lining lesion | 2.36 | 5.63 | 1.16 | 0.10 | 8.09 | 3.62 | 010 | |
| 68130 | A | Remove eyelid lining lesion | 4.93 | 8.01 | 4.03 | 0.19 | 13.13 | 9.15 | 090 | |
| 68135 | A | Remove eyelid lining lesion | 1.84 | 5.39 | 0.92 | 0.07 | 7.30 | 2.83 | 010 | |
| 68200 | A | Treat eyelid by injection | 0.49 | 0.74 | 0.23 | 0.02 | 1.25 | 0.74 | 000 | |
| 68320 | A | Revise/graft eyelid lining | 5.37 | 6.68 | 5.51 | 0.21 | 12.26 | 11.09 | 090 | |
| 68325 | A | Revise/graft eyelid lining | 7.36 | N/A | 6.52 | 0.30 | N/A | 14.18 | 090 | |
| 68326 | A | Revise/graft eyelid lining | 7.15 | N/A | 6.39 | 0.30 | N/A | 13.84 | 090 | |
| 68328 | A | Revise/graft eyelid lining | 8.18 | N/A | 7.13 | 0.40 | N/A | 15.71 | 090 | |
| 68330 | A | Revise eyelid lining | 4.83 | 7.37 | 6.16 | 0.19 | 12.39 | 11.18 | 090 | |
| 68335 | A | Revise/graft eyelid lining | 7.19 | N/A | 6.92 | 0.29 | N/A | 14.40 | 090 | |
| 68340 | A | Separate eyelid adhesions | 4.17 | 10.96 | 4.83 | 0.17 | 15.30 | 9.17 | 090 | |
| 68360 | A | Revise eyelid lining | 4.37 | 6.72 | 5.68 | 0.17 | 11.26 | 10.22 | 090 | |
| 68362 | A | Revise eyelid lining | 7.34 | N/A | 7.86 | 0.29 | N/A | 15.49 | 090 | |
| 68399 | C | Eyelid lining surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 68400 | A | Incise/drain tear gland | 1.69 | 7.73 | 2.09 | 0.07 | 9.49 | 3.85 | 010 | |
| 68420 | A | Incise/drain tear sac | 2.30 | 8.07 | 2.38 | 0.10 | 10.47 | 4.78 | 010 | |
| 68440 | A | Incise tear duct opening | 0.94 | 5.00 | 0.50 | 0.04 | 5.98 | 1.48 | 010 | |
| 68500 | A | Removal of tear gland | 11.02 | N/A | 10.36 | 0.60 | N/A | 21.98 | 090 | |
| 68505 | A | Partial removal, tear gland | 10.94 | N/A | 11.40 | 0.57 | N/A | 22.91 | 090 | |
| 68510 | A | Biopsy of tear gland | 4.61 | 8.57 | 2.14 | 0.19 | 13.37 | 6.94 | 000 | |
| 68520 | A | Removal of tear sac | 7.51 | N/A | 7.94 | 0.33 | N/A | 15.78 | 090 | |
| 68525 | A | Biopsy of tear sac | 4.43 | N/A | 2.06 | 0.18 | N/A | 6.67 | 000 | |
| 68530 | A | Clearance of tear duct | 3.66 | 9.59 | 2.90 | 0.16 | 13.41 | 6.72 | 010 | |
| 68540 | A | Remove tear gland lesion | 10.60 | N/A | 10.03 | 0.46 | N/A | 21.09 | 090 | |
| 68550 | A | Remove tear gland lesion | 13.26 | N/A | 12.03 | 0.66 | N/A | 25.95 | 090 | |
| 68700 | A | Repair tear ducts | 6.60 | N/A | 7.42 | 0.27 | N/A | 14.29 | 090 | |
| 68705 | A | Revise tear duct opening | 2.06 | 5.52 | 1.02 | 0.08 | 7.66 | 3.16 | 010 | |
| 68720 | A | Create tear sac drain | 8.96 | N/A | 8.43 | 0.38 | N/A | 17.77 | 090 | |
| 68745 | A | Create tear duct drain | 8.63 | N/A | 8.40 | 0.38 | N/A | 17.41 | 090 | |
| 68750 | A | Create tear duct drain | 8.66 | N/A | 8.85 | 0.37 | N/A | 17.88 | 090 | |
| 68760 | A | Close tear duct opening | 1.73 | 4.05 | 1.26 | 0.07 | 5.85 | 3.06 | 010 | |
| 68761 | A | Close tear duct opening | 1.36 | 3.48 | 1.00 | 0.06 | 4.90 | 2.42 | 010 | |
| 68770 | A | Close tear system fistula | 7.02 | 12.97 | 6.93 | 0.28 | 20.27 | 14.23 | 090 | |
| 68801 | A | Dilate tear duct opening | 0.94 | 0.95 | 0.61 | 0.04 | 1.93 | 1.59 | 010 | |
| 68810 | A | Probe nasolacrimal duct | 1.90 | 2.36 | 0.94 | 0.08 | 4.34 | 2.92 | 010 | |
| 68811 | A | Probe nasolacrimal duct | 2.35 | N/A | 2.40 | 0.10 | N/A | 4.85 | 010 | |
| 68815 | A | Probe nasolacrimal duct | 3.20 | 8.29 | 2.73 | 0.14 | 11.63 | 6.07 | 010 | |
| 68840 | A | Explore/irrigate tear ducts | 1.25 | 1.67 | 0.98 | 0.05 | 2.97 | 2.28 | 010 | |
| 68850 | A | Injection for tear sac x-ray | 0.80 | 12.84 | 0.30 | 0.03 | 13.67 | 1.13 | 000 | |
| 68899 | C | Tear duct system surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69000 | A | Drain external ear lesion | 1.45 | 3.11 | 1.44 | 0.10 | 4.66 | 2.99 | 010 | |
| 69005 | A | Drain external ear lesion | 2.11 | 3.10 | 1.90 | 0.16 | 5.37 | 4.17 | 010 | |
| 69020 | A | Drain outer ear canal lesion | 1.48 | 3.11 | 1.91 | 0.11 | 4.70 | 3.50 | 010 | |
| 69100 | A | Biopsy of external ear | 0.81 | 1.78 | 0.40 | 0.04 | 2.63 | 1.25 | 000 | |
| 69105 | A | Biopsy of external ear canal | 0.85 | 1.96 | 0.78 | 0.06 | 2.87 | 1.69 | 000 | |
| 69110 | A | Remove external ear, partial | 3.44 | 4.17 | 3.11 | 0.24 | 7.85 | 6.79 | 090 | |
| 69120 | A | Removal of external ear | 4.05 | N/A | 4.11 | 0.31 | N/A | 8.47 | 090 | |
| 69140 | A | Remove ear canal lesion(s) | 7.97 | N/A | 6.99 | 0.56 | N/A | 15.52 | 090 | |
| 69145 | A | Remove ear canal lesion(s) | 2.62 | 3.73 | 2.69 | 0.18 | 6.53 | 5.49 | 090 | |
| 69150 | A | Extensive ear canal surgery | 13.43 | N/A | 10.23 | 1.07 | N/A | 24.73 | 090 | |
| 69155 | A | Extensive ear/neck surgery | 20.80 | N/A | 14.88 | 1.51 | N/A | 37.19 | 090 | |
| 69200 | A | Clear outer ear canal | 0.77 | 1.64 | 0.59 | 0.05 | 2.46 | 1.41 | 000 | |
| 69205 | A | Clear outer ear canal | 1.20 | N/A | 1.31 | 0.09 | N/A | 2.60 | 010 | |
| 69210 | A | Remove impacted ear wax | 0.61 | 0.66 | 0.24 | 0.04 | 1.31 | 0.89 | 000 | |
| 69220 | A | Clean out mastoid cavity | 0.83 | 1.72 | 0.75 | 0.06 | 2.61 | 1.64 | 000 | |
| 69222 | A | Clean out mastoid cavity | 1.40 | 3.23 | 1.86 | 0.10 | 4.73 | 3.36 | 010 | |
| 69300 | R | Revise external ear | 6.36 | N/A | 4.35 | 0.43 | N/A | 11.14 | YYY | |
| 69310 | A | Rebuild outer ear canal | 10.79 | N/A | 8.70 | 0.77 | N/A | 20.26 | 090 | |
| 69320 | A | Rebuild outer ear canal | 16.96 | N/A | 12.52 | 1.17 | N/A | 30.65 | 090 | |
| 69399 | C | Outer ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69400 | A | Inflate middle ear canal | 0.83 | 2.14 | 0.69 | 0.06 | 3.03 | 1.58 | 000 | |
| 69401 | A | Inflate middle ear canal | 0.63 | 1.04 | 0.66 | 0.04 | 1.71 | 1.33 | 000 | |
| 69405 | A | Catheterize middle ear canal | 2.63 | 3.32 | 2.37 | 0.18 | 6.13 | 5.18 | 010 | |
| 69410 | A | Inset middle ear (baffle) | 0.33 | 1.41 | 0.50 | 0.02 | 1.76 | 0.85 | 000 | |
| 69420 | A | Incision of eardrum | 1.33 | 2.49 | 1.64 | 0.10 | 3.92 | 3.07 | 010 | |
| 69421 | A | Incision of eardrum | 1.73 | N/A | 1.89 | 0.13 | N/A | 3.75 | 010 | |
| 69424 | A | Remove ventilating tube | 0.85 | 1.58 | 0.70 | 0.06 | 2.49 | 1.61 | 000 | |
| 69433 | A | Create eardrum opening | 1.52 | 2.48 | 1.71 | 0.11 | 4.11 | 3.34 | 010 | |
| 69436 | A | Create eardrum opening | 1.96 | N/A | 2.02 | 0.14 | N/A | 4.12 | 010 | |
| 69440 | A | Exploration of middle ear | 7.57 | N/A | 6.54 | 0.53 | N/A | 14.64 | 090 | |
| 69450 | A | Eardrum revision | 5.57 | N/A | 5.26 | 0.39 | N/A | 11.22 | 090 | |
| 69501 | A | Mastoidectomy | 9.07 | N/A | 7.34 | 0.65 | N/A | 17.06 | 090 | |
| 69502 | A | Mastoidectomy | 12.38 | N/A | 9.61 | 0.86 | N/A | 22.85 | 090 | |
| 69505 | A | Remove mastoid structures | 12.99 | N/A | 9.87 | 0.92 | N/A | 23.78 | 090 | |
| 69511 | A | Extensive mastoid surgery | 13.52 | N/A | 10.21 | 0.96 | N/A | 24.69 | 090 | |
| 69530 | A | Extensive mastoid surgery | 19.19 | N/A | 13.44 | 1.32 | N/A | 33.95 | 090 | |
| 69535 | A | Remove part of temporal bone | 36.14 | N/A | 22.99 | 2.59 | N/A | 61.72 | 090 | |
| 69540 | A | Remove ear lesion | 1.20 | 3.17 | 1.75 | 0.09 | 4.46 | 3.04 | 010 | |
| 69550 | A | Remove ear lesion | 10.99 | N/A | 8.64 | 0.80 | N/A | 20.43 | 090 | |
| 69552 | A | Remove ear lesion | 19.46 | N/A | 13.33 | 1.36 | N/A | 34.15 | 090 | |
| 69554 | A | Remove ear lesion | 33.16 | N/A | 21.44 | 2.32 | N/A | 56.92 | 090 | |
| 69601 | A | Mastoid surgery revision | 13.24 | N/A | 10.40 | 0.92 | N/A | 24.56 | 090 | |
| 69602 | A | Mastoid surgery revision | 13.58 | N/A | 10.32 | 0.94 | N/A | 24.84 | 090 | |
| 69603 | A | Mastoid surgery revision | 14.02 | N/A | 10.54 | 1.00 | N/A | 25.56 | 090 | |
| 69604 | A | Mastoid surgery revision | 14.02 | N/A | 10.52 | 0.98 | N/A | 25.52 | 090 | |
| 69605 | A | Mastoid surgery revision | 18.49 | N/A | 13.24 | 1.29 | N/A | 33.02 | 090 | |
| 69610 | A | Repair of eardrum | 4.43 | 4.59 | 3.36 | 0.31 | 9.33 | 8.10 | 010 | |
| 69620 | A | Repair of eardrum | 5.89 | 6.46 | 4.59 | 0.40 | 12.75 | 10.88 | 090 | |
| 69631 | A | Repair eardrum structures | 9.86 | N/A | 8.18 | 0.69 | N/A | 18.73 | 090 | |
| 69632 | A | Rebuild eardrum structures | 12.75 | N/A | 10.12 | 0.89 | N/A | 23.76 | 090 | |
| 69633 | A | Rebuild eardrum structures | 12.10 | N/A | 9.78 | 0.84 | N/A | 22.72 | 090 | |
| 69635 | A | Repair eardrum structures | 13.33 | N/A | 9.73 | 0.87 | N/A | 23.93 | 090 | |
| 69636 | A | Rebuild eardrum structures | 15.22 | N/A | 11.58 | 1.07 | N/A | 27.87 | 090 | |
| 69637 | A | Rebuild eardrum structures | 15.11 | N/A | 11.52 | 1.06 | N/A | 27.69 | 090 | |
| 69641 | A | Revise middle ear mastoid | 12.71 | N/A | 9.84 | 0.89 | N/A | 23.44 | 090 | |
| 69642 | A | Revise middle ear mastoid | 16.84 | N/A | 12.56 | 1.18 | N/A | 30.58 | 090 | |
| 69643 | A | Revise middle ear mastoid | 15.32 | N/A | 11.58 | 1.08 | N/A | 27.98 | 090 | |
| 69644 | A | Revise middle ear mastoid | 16.97 | N/A | 12.50 | 1.19 | N/A | 30.66 | 090 | |
| 69645 | A | Revise middle ear mastoid | 16.38 | N/A | 12.14 | 1.16 | N/A | 29.68 | 090 | |
| 69646 | A | Revise middle ear mastoid | 17.99 | N/A | 13.08 | 1.26 | N/A | 32.33 | 090 | |
| 69650 | A | Release middle ear bone | 9.66 | N/A | 7.69 | 0.68 | N/A | 18.03 | 090 | |
| 69660 | A | Revise middle ear bone | 11.90 | N/A | 8.92 | 0.84 | N/A | 21.66 | 090 | |
| 69661 | A | Revise middle ear bone | 15.74 | N/A | 11.46 | 1.10 | N/A | 28.30 | 090 | |
| 69662 | A | Revise middle ear bone | 15.44 | N/A | 11.17 | 1.08 | N/A | 27.69 | 090 | |
| 69666 | A | Repair middle ear structures | 9.75 | N/A | 7.77 | 0.68 | N/A | 18.20 | 090 | |
| 69667 | A | Repair middle ear structures | 9.76 | N/A | 7.75 | 0.72 | N/A | 18.23 | 090 | |
| 69670 | A | Remove mastoid air cells | 11.51 | N/A | 8.97 | 0.78 | N/A | 21.26 | 090 | |
| 69676 | A | Remove middle ear nerve | 9.52 | N/A | 7.92 | 0.69 | N/A | 18.13 | 090 | |
| 69700 | A | Close mastoid fistula | 8.23 | N/A | 6.03 | 0.55 | N/A | 14.81 | 090 | |
| 69711 | A | Remove/repair hearing aid | 10.44 | N/A | 8.37 | 0.62 | N/A | 19.43 | 090 | |
| 69714 | A | Implant temple bone w/stimul | 14.00 | N/A | 10.18 | 1.01 | N/A | 25.19 | 090 | |
| 69715 | A | Temple bne implnt w/stimulat | 18.25 | N/A | 12.72 | 1.32 | N/A | 32.29 | 090 | |
| 69717 | A | Temple bone implant revision | 14.98 | N/A | 9.79 | 1.08 | N/A | 25.85 | 090 | |
| 69718 | A | Revise temple bone implant | 18.50 | N/A | 12.61 | 1.34 | N/A | 32.45 | 090 | |
| 69720 | A | Release facial nerve | 14.38 | N/A | 11.18 | 1.03 | N/A | 26.59 | 090 | |
| 69725 | A | Release facial nerve | 25.38 | N/A | 17.37 | 1.78 | N/A | 44.53 | 090 | |
| 69740 | A | Repair facial nerve | 15.96 | N/A | 10.68 | 1.13 | N/A | 27.77 | 090 | |
| 69745 | A | Repair facial nerve | 16.69 | N/A | 11.71 | 1.00 | N/A | 29.40 | 090 | |
| 69799 | C | Middle ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69801 | A | Incise inner ear | 8.56 | N/A | 7.09 | 0.60 | N/A | 16.25 | 090 | |
| 69802 | A | Incise inner ear | 13.10 | N/A | 9.96 | 0.91 | N/A | 23.97 | 090 | |
| 69805 | A | Explore inner ear | 13.82 | N/A | 10.38 | 0.97 | N/A | 25.17 | 090 | |
| 69806 | A | Explore inner ear | 12.35 | N/A | 9.52 | 0.86 | N/A | 22.73 | 090 | |
| 69820 | A | Establish inner ear window | 10.34 | N/A | 8.08 | 0.66 | N/A | 19.08 | 090 | |
| 69840 | A | Revise inner ear window | 10.26 | N/A | 7.05 | 0.64 | N/A | 17.95 | 090 | |
| 69905 | A | Remove inner ear | 11.10 | N/A | 8.63 | 0.77 | N/A | 20.50 | 090 | |
| 69910 | A | Remove inner ear mastoid | 13.63 | N/A | 10.06 | 0.94 | N/A | 24.63 | 090 | |
| 69915 | A | Incise inner ear nerve | 21.23 | N/A | 14.59 | 1.54 | N/A | 37.36 | 090 | |
| 69930 | A | Implant cochlear device | 16.81 | N/A | 12.16 | 1.19 | N/A | 30.16 | 090 | |
| 69949 | C | Inner ear surgery procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69950 | A | Incise inner ear nerve | 25.64 | N/A | 16.47 | 2.90 | N/A | 45.01 | 090 | |
| 69955 | A | Release facial nerve | 27.04 | N/A | 18.10 | 1.89 | N/A | 47.03 | 090 | |
| 69960 | A | Release inner ear canal | 27.04 | N/A | 17.53 | 2.43 | N/A | 47.00 | 090 | |
| 69970 | A | Remove inner ear lesion | 30.04 | N/A | 18.82 | 2.34 | N/A | 51.20 | 090 | |
| 69979 | C | Temporal bone surgery | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| 69990 | R | Microsurgery add-on | 3.47 | N/A | 1.83 | 0.56 | N/A | 5.86 | ZZZ | |
| 70010 | A | Contrast x-ray of brain | 1.19 | 4.74 | N/A | 0.24 | 6.17 | N/A | XXX | |
| 70010 | 26 | A | Contrast x-ray of brain | 1.19 | 0.40 | 0.40 | 0.06 | 1.65 | 1.65 | XXX |
| 70010 | TC | A | Contrast x-ray of brain | 0.00 | 4.33 | N/A | 0.18 | 4.51 | N/A | XXX |
| 70015 | A | Contrast x-ray of brain | 1.19 | 1.76 | N/A | 0.12 | 3.07 | N/A | XXX | |
| 70015 | 26 | A | Contrast x-ray of brain | 1.19 | 0.40 | 0.40 | 0.05 | 1.64 | 1.64 | XXX |
| 70015 | TC | A | Contrast x-ray of brain | 0.00 | 1.35 | N/A | 0.07 | 1.42 | N/A | XXX |
| 70030 | A | X-ray eye for foreign body | 0.17 | 0.47 | N/A | 0.03 | 0.67 | N/A | XXX | |
| 70030 | 26 | A | X-ray eye for foreign body | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70030 | TC | A | X-ray eye for foreign body | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 70100 | A | X-ray exam of jaw | 0.18 | 0.58 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 70100 | 26 | A | X-ray exam of jaw | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 70100 | TC | A | X-ray exam of jaw | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 70110 | A | X-ray exam of jaw | 0.25 | 0.70 | N/A | 0.04 | 0.99 | N/A | XXX | |
| 70110 | 26 | A | X-ray exam of jaw | 0.25 | 0.08 | 0.08 | 0.01 | 0.34 | 0.34 | XXX |
| 70110 | TC | A | X-ray exam of jaw | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 70120 | A | X-ray exam of mastoids | 0.18 | 0.68 | N/A | 0.04 | 0.90 | N/A | XXX | |
| 70120 | 26 | A | X-ray exam of mastoids | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 70120 | TC | A | X-ray exam of mastoids | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 70130 | A | X-ray exam of mastoids | 0.34 | 0.90 | N/A | 0.05 | 1.29 | N/A | XXX | |
| 70130 | 26 | A | X-ray exam of mastoids | 0.34 | 0.11 | 0.11 | 0.01 | 0.46 | 0.46 | XXX |
| 70130 | TC | A | X-ray exam of mastoids | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 70134 | A | X-ray exam of middle ear | 0.34 | 0.85 | N/A | 0.05 | 1.24 | N/A | XXX | |
| 70134 | 26 | A | X-ray exam of middle ear | 0.34 | 0.11 | 0.11 | 0.01 | 0.46 | 0.46 | XXX |
| 70134 | TC | A | X-ray exam of middle ear | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 70140 | A | X-ray exam of facial bones | 0.19 | 0.68 | N/A | 0.04 | 0.91 | N/A | XXX | |
| 70140 | 26 | A | X-ray exam of facial bones | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 70140 | TC | A | X-ray exam of facial bones | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 70150 | A | X-ray exam of facial bones | 0.26 | 0.87 | N/A | 0.05 | 1.18 | N/A | XXX | |
| 70150 | 26 | A | X-ray exam of facial bones | 0.26 | 0.09 | 0.09 | 0.01 | 0.36 | 0.36 | XXX |
| 70150 | TC | A | X-ray exam of facial bones | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 70160 | A | X-ray exam of nasal bones | 0.17 | 0.58 | N/A | 0.03 | 0.78 | N/A | XXX | |
| 70160 | 26 | A | X-ray exam of nasal bones | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70160 | TC | A | X-ray exam of nasal bones | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 70170 | A | X-ray exam of tear duct | 0.30 | 1.05 | N/A | 0.06 | 1.41 | N/A | XXX | |
| 70170 | 26 | A | X-ray exam of tear duct | 0.30 | 0.10 | 0.10 | 0.01 | 0.41 | 0.41 | XXX |
| 70170 | TC | A | X-ray exam of tear duct | 0.00 | 0.95 | N/A | 0.05 | 1.00 | N/A | XXX |
| 70190 | A | X-ray exam of eye sockets | 0.21 | 0.69 | N/A | 0.04 | 0.94 | N/A | XXX | |
| 70190 | 26 | A | X-ray exam of eye sockets | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | XXX |
| 70190 | TC | A | X-ray exam of eye sockets | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 70200 | A | X-ray exam of eye sockets | 0.28 | 0.88 | N/A | 0.05 | 1.21 | N/A | XXX | |
| 70200 | 26 | A | X-ray exam of eye sockets | 0.28 | 0.09 | 0.09 | 0.01 | 0.38 | 0.38 | XXX |
| 70200 | TC | A | X-ray exam of eye sockets | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 70210 | A | X-ray exam of sinuses | 0.17 | 0.68 | N/A | 0.04 | 0.89 | N/A | XXX | |
| 70210 | 26 | A | X-ray exam of sinuses | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70210 | TC | A | X-ray exam of sinuses | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 70220 | A | X-ray exam of sinuses | 0.25 | 0.87 | N/A | 0.05 | 1.17 | N/A | XXX | |
| 70220 | 26 | A | X-ray exam of sinuses | 0.25 | 0.08 | 0.08 | 0.01 | 0.34 | 0.34 | XXX |
| 70220 | TC | A | X-ray exam of sinuses | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 70240 | A | X-ray exam, pituitary saddle | 0.19 | 0.48 | N/A | 0.03 | 0.70 | N/A | XXX | |
| 70240 | 26 | A | X-ray exam, pituitary saddle | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 70240 | TC | A | X-ray exam, pituitary saddle | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 70250 | A | X-ray exam of skull | 0.24 | 0.70 | N/A | 0.04 | 0.98 | N/A | XXX | |
| 70250 | 26 | A | X-ray exam of skull | 0.24 | 0.08 | 0.08 | 0.01 | 0.33 | 0.33 | XXX |
| 70250 | TC | A | X-ray exam of skull | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 70260 | A | X-ray exam of skull | 0.34 | 1.00 | N/A | 0.06 | 1.40 | N/A | XXX | |
| 70260 | 26 | A | X-ray exam of skull | 0.34 | 0.11 | 0.11 | 0.01 | 0.46 | 0.46 | XXX |
| 70260 | TC | A | X-ray exam of skull | 0.00 | 0.89 | N/A | 0.05 | 0.94 | N/A | XXX |
| 70300 | A | X-ray exam of teeth | 0.10 | 0.31 | N/A | 0.03 | 0.44 | N/A | XXX | |
| 70300 | 26 | A | X-ray exam of teeth | 0.10 | 0.05 | 0.05 | 0.01 | 0.16 | 0.16 | XXX |
| 70300 | TC | A | X-ray exam of teeth | 0.00 | 0.26 | N/A | 0.02 | 0.28 | N/A | XXX |
| 70310 | A | X-ray exam of teeth | 0.16 | 0.50 | N/A | 0.03 | 0.69 | N/A | XXX | |
| 70310 | 26 | A | X-ray exam of teeth | 0.16 | 0.08 | 0.08 | 0.01 | 0.25 | 0.25 | XXX |
| 70310 | TC | A | X-ray exam of teeth | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 70320 | A | Full mouth x-ray of teeth | 0.22 | 0.86 | N/A | 0.05 | 1.13 | N/A | XXX | |
| 70320 | 26 | A | Full mouth x-ray of teeth | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 70320 | TC | A | Full mouth x-ray of teeth | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 70328 | A | X-ray exam of jaw joint | 0.18 | 0.55 | N/A | 0.03 | 0.76 | N/A | XXX | |
| 70328 | 26 | A | X-ray exam of jaw joint | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 70328 | TC | A | X-ray exam of jaw joint | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 70330 | A | X-ray exam of jaw joints | 0.24 | 0.92 | N/A | 0.05 | 1.21 | N/A | XXX | |
| 70330 | 26 | A | X-ray exam of jaw joints | 0.24 | 0.08 | 0.08 | 0.01 | 0.33 | 0.33 | XXX |
| 70330 | TC | A | X-ray exam of jaw joints | 0.00 | 0.84 | N/A | 0.04 | 0.88 | N/A | XXX |
| 70332 | A | X-ray exam of jaw joint | 0.54 | 2.30 | N/A | 0.12 | 2.96 | N/A | XXX | |
| 70332 | 26 | A | X-ray exam of jaw joint | 0.54 | 0.20 | 0.20 | 0.02 | 0.76 | 0.76 | XXX |
| 70332 | TC | A | X-ray exam of jaw joint | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 70336 | A | Magnetic image, jaw joint | 1.48 | 11.71 | N/A | 0.56 | 13.75 | N/A | XXX | |
| 70336 | 26 | A | Magnetic image, jaw joint | 1.48 | 0.50 | 0.50 | 0.07 | 2.05 | 2.05 | XXX |
| 70336 | TC | A | Magnetic image, jaw joint | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 70350 | A | X-ray head for orthodontia | 0.17 | 0.45 | N/A | 0.03 | 0.65 | N/A | XXX | |
| 70350 | 26 | A | X-ray head for orthodontia | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 70350 | TC | A | X-ray head for orthodontia | 0.00 | 0.38 | N/A | 0.02 | 0.40 | N/A | XXX |
| 70355 | A | Panoramic x-ray of jaws | 0.20 | 0.65 | N/A | 0.04 | 0.89 | N/A | XXX | |
| 70355 | 26 | A | Panoramic x-ray of jaws | 0.20 | 0.08 | 0.08 | 0.01 | 0.29 | 0.29 | XXX |
| 70355 | TC | A | Panoramic x-ray of jaws | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 70360 | A | X-ray exam of neck | 0.17 | 0.47 | N/A | 0.03 | 0.67 | N/A | XXX | |
| 70360 | 26 | A | X-ray exam of neck | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70360 | TC | A | X-ray exam of neck | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 70370 | A | Throat x-ray fluoroscopy | 0.32 | 1.41 | N/A | 0.07 | 1.80 | N/A | XXX | |
| 70370 | 26 | A | Throat x-ray fluoroscopy | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 70370 | TC | A | Throat x-ray fluoroscopy | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 70371 | A | Speech evaluation, complex | 0.84 | 2.38 | N/A | 0.14 | 3.36 | N/A | XXX | |
| 70371 | 26 | A | Speech evaluation, complex | 0.84 | 0.28 | 0.28 | 0.04 | 1.16 | 1.16 | XXX |
| 70371 | TC | A | Speech evaluation, complex | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 70373 | A | Contrast x-ray of larynx | 0.44 | 1.93 | N/A | 0.11 | 2.48 | N/A | XXX | |
| 70373 | 26 | A | Contrast x-ray of larynx | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 70373 | TC | A | Contrast x-ray of larynx | 0.00 | 1.78 | N/A | 0.09 | 1.87 | N/A | XXX |
| 70380 | A | X-ray exam of salivary gland | 0.17 | 0.72 | N/A | 0.04 | 0.93 | N/A | XXX | |
| 70380 | 26 | A | X-ray exam of salivary gland | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 70380 | TC | A | X-ray exam of salivary gland | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 70390 | A | X-ray exam of salivary duct | 0.38 | 1.91 | N/A | 0.11 | 2.40 | N/A | XXX | |
| 70390 | 26 | A | X-ray exam of salivary duct | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 70390 | TC | A | X-ray exam of salivary duct | 0.00 | 1.78 | N/A | 0.09 | 1.87 | N/A | XXX |
| 70450 | A | Ct head/brain w/o dye | 0.85 | 5.00 | N/A | 0.25 | 6.10 | N/A | XXX | |
| 70450 | 26 | A | Ct head/brain w/o dye | 0.85 | 0.28 | 0.28 | 0.04 | 1.17 | 1.17 | XXX |
| 70450 | TC | A | Ct head/brain w/o dye | 0.00 | 4.72 | N/A | 0.21 | 4.93 | N/A | XXX |
| 70460 | A | Ct head/brain w/dye | 1.13 | 6.04 | N/A | 0.30 | 7.47 | N/A | XXX | |
| 70460 | 26 | A | Ct head/brain w/dye | 1.13 | 0.38 | 0.38 | 0.05 | 1.56 | 1.56 | XXX |
| 70460 | TC | A | Ct head/brain w/dye | 0.00 | 5.66 | N/A | 0.25 | 5.91 | N/A | XXX |
| 70470 | A | Ct head/brain w/ow dye | 1.27 | 7.49 | N/A | 0.37 | 9.13 | N/A | XXX | |
| 70470 | 26 | A | Ct head/brain w/ow dye | 1.27 | 0.43 | 0.43 | 0.06 | 1.76 | 1.76 | XXX |
| 70470 | TC | A | Ct head/brain w/ow dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 70480 | A | Ct orbit/ear/fossa w/o dye | 1.28 | 5.15 | N/A | 0.27 | 6.70 | N/A | XXX | |
| 70480 | 26 | A | Ct orbit/ear/fossa w/o dye | 1.28 | 0.43 | 0.43 | 0.06 | 1.77 | 1.77 | XXX |
| 70480 | TC | A | Ct orbit/ear/fossa w/o dye | 0.00 | 4.72 | N/A | 0.21 | 4.93 | N/A | XXX |
| 70481 | A | Ct orbit/ear/fossa w/dye | 1.38 | 6.12 | N/A | 0.31 | 7.81 | N/A | XXX | |
| 70481 | 26 | A | Ct orbit/ear/fossa w/dye | 1.38 | 0.46 | 0.46 | 0.06 | 1.90 | 1.90 | XXX |
| 70481 | TC | A | Ct orbit/ear/fossa w/dye | 0.00 | 5.66 | N/A | 0.25 | 5.91 | N/A | XXX |
| 70482 | A | Ct orbit/ear/fossa w/ow dye | 1.45 | 7.56 | N/A | 0.37 | 9.38 | N/A | XXX | |
| 70482 | 26 | A | Ct orbit/ear/fossa w/ow dye | 1.45 | 0.49 | 0.49 | 0.06 | 2.00 | 2.00 | XXX |
| 70482 | TC | A | Ct orbit/ear/fossa w/ow dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 70486 | A | Ct maxillofacial w/o dye | 1.14 | 5.10 | N/A | 0.26 | 6.50 | N/A | XXX | |
| 70486 | 26 | A | Ct maxillofacial w/o dye | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 70486 | TC | A | Ct maxillofacial w/o dye | 0.00 | 4.72 | N/A | 0.21 | 4.93 | N/A | XXX |
| 70487 | A | Ct maxillofacial w/dye | 1.30 | 6.09 | N/A | 0.31 | 7.70 | N/A | XXX | |
| 70487 | 26 | A | Ct maxillofacial w/dye | 1.30 | 0.44 | 0.44 | 0.06 | 1.80 | 1.80 | XXX |
| 70487 | TC | A | Ct maxillofacial w/dye | 0.00 | 5.66 | N/A | 0.25 | 5.91 | N/A | XXX |
| 70488 | A | Ct maxillofacial w/ow dye | 1.42 | 7.54 | N/A | 0.37 | 9.33 | N/A | XXX | |
| 70488 | 26 | A | Ct maxillofacial w/ow dye | 1.42 | 0.48 | 0.48 | 0.06 | 1.96 | 1.96 | XXX |
| 70488 | TC | A | Ct maxillofacial w/ow dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 70490 | A | Ct soft tissue neck w/o dye | 1.28 | 5.15 | N/A | 0.27 | 6.70 | N/A | XXX | |
| 70490 | 26 | A | Ct soft tissue neck w/o dye | 1.28 | 0.43 | 0.43 | 0.06 | 1.77 | 1.77 | XXX |
| 70490 | TC | A | Ct soft tissue neck w/o dye | 0.00 | 4.72 | N/A | 0.21 | 4.93 | N/A | XXX |
| 70491 | A | Ct soft tissue neck w/dye | 1.38 | 6.12 | N/A | 0.31 | 7.81 | N/A | XXX | |
| 70491 | 26 | A | Ct soft tissue neck w/dye | 1.38 | 0.46 | 0.46 | 0.06 | 1.90 | 1.90 | XXX |
| 70491 | TC | A | Ct soft tissue neck w/dye | 0.00 | 5.66 | N/A | 0.25 | 5.91 | N/A | XXX |
| 70492 | A | Ct sft tsue nck w/o w/dye | 1.45 | 7.55 | N/A | 0.37 | 9.37 | N/A | XXX | |
| 70492 | 26 | A | Ct sft tsue nck w/o w/dye | 1.45 | 0.49 | 0.49 | 0.06 | 2.00 | 2.00 | XXX |
| 70492 | TC | A | Ct sft tsue nck w/o w/dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 70496 | A | Ct angiography, head | 1.75 | 11.19 | N/A | 0.56 | 13.50 | N/A | XXX | |
| 70496 | 26 | A | Ct angiography, head | 1.75 | 0.59 | 0.59 | 0.08 | 2.42 | 2.42 | XXX |
| 70496 | TC | A | Ct angiography, head | 0.00 | 10.61 | N/A | 0.48 | 11.09 | N/A | XXX |
| 70498 | A | Ct angiography, neck | 1.75 | 11.20 | N/A | 0.56 | 13.51 | N/A | XXX | |
| 70498 | 26 | A | Ct angiography, neck | 1.75 | 0.59 | 0.59 | 0.08 | 2.42 | 2.42 | XXX |
| 70498 | TC | A | Ct angiography, neck | 0.00 | 10.61 | N/A | 0.48 | 11.09 | N/A | XXX |
| 70540 | A | Mri orbit/face/neck w/o dye | 1.35 | 11.66 | N/A | 0.36 | 13.37 | N/A | XXX | |
| 70540 | 26 | A | Mri orbit/face/neck w/o dye | 1.35 | 0.45 | 0.45 | 0.04 | 1.84 | 1.84 | XXX |
| 70540 | TC | A | Mri orbit/face/neck w/o dye | 0.00 | 11.21 | N/A | 0.32 | 11.53 | N/A | XXX |
| 70542 | A | Mri orbit/face/neck w/dye | 1.62 | 13.99 | N/A | 0.44 | 16.05 | N/A | XXX | |
| 70542 | 26 | A | Mri orbit/face/neck w/dye | 1.62 | 0.55 | 0.55 | 0.05 | 2.22 | 2.22 | XXX |
| 70542 | TC | A | Mri orbit/face/neck w/dye | 0.00 | 13.44 | N/A | 0.39 | 13.83 | N/A | XXX |
| 70543 | A | Mri orbt/fac/nck w/ow dye | 2.15 | 25.62 | N/A | 0.77 | 28.54 | N/A | XXX | |
| 70543 | 26 | A | Mri orbt/fac/nck w/ow dye | 2.15 | 0.72 | 0.72 | 0.07 | 2.94 | 2.94 | XXX |
| 70543 | TC | A | Mri orbt/fac/nck w/ow dye | 0.00 | 24.89 | N/A | 0.70 | 25.59 | N/A | XXX |
| 70544 | A | Mr angiography head w/o dye | 1.20 | 11.61 | N/A | 0.54 | 13.35 | N/A | XXX | |
| 70544 | 26 | A | Mr angiography head w/o dye | 1.20 | 0.40 | 0.40 | 0.05 | 1.65 | 1.65 | XXX |
| 70544 | TC | A | Mr angiography head w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 70545 | A | Mr angiography head w/dye | 1.20 | 11.61 | N/A | 0.54 | 13.35 | N/A | XXX | |
| 70545 | 26 | A | Mr angiography head w/dye | 1.20 | 0.40 | 0.40 | 0.05 | 1.65 | 1.65 | XXX |
| 70545 | TC | A | Mr angiography head w/dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 70546 | A | Mr angiograph head w/ow dye | 1.80 | 23.02 | N/A | 0.57 | 25.39 | N/A | XXX | |
| 70546 | 26 | A | Mr angiograph head w/ow dye | 1.80 | 0.61 | 0.61 | 0.08 | 2.49 | 2.49 | XXX |
| 70546 | TC | A | Mr angiograph head w/ow dye | 0.00 | 22.42 | N/A | 0.49 | 22.91 | N/A | XXX |
| 70547 | A | Mr angiography neck w/o dye | 1.20 | 11.61 | N/A | 0.54 | 13.35 | N/A | XXX | |
| 70547 | 26 | A | Mr angiography neck w/o dye | 1.20 | 0.40 | 0.40 | 0.05 | 1.65 | 1.65 | XXX |
| 70547 | TC | A | Mr angiography neck w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 70548 | A | Mr angiography neck w/dye | 1.20 | 11.61 | N/A | 0.54 | 13.35 | N/A | XXX | |
| 70548 | 26 | A | Mr angiography neck w/dye | 1.20 | 0.40 | 0.40 | 0.05 | 1.65 | 1.65 | XXX |
| 70548 | TC | A | Mr angiography neck w/dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 70549 | A | Mr angiograph neck w/ow dye | 1.80 | 23.03 | N/A | 0.57 | 25.40 | N/A | XXX | |
| 70549 | 26 | A | Mr angiograph neck w/ow dye | 1.80 | 0.61 | 0.61 | 0.08 | 2.49 | 2.49 | XXX |
| 70549 | TC | A | Mr angiograph neck w/ow dye | 0.00 | 22.42 | N/A | 0.49 | 22.91 | N/A | XXX |
| 70551 | A | Mri brain w/o dye | 1.48 | 11.71 | N/A | 0.56 | 13.75 | N/A | XXX | |
| 70551 | 26 | A | Mri brain w/o dye | 1.48 | 0.50 | 0.50 | 0.07 | 2.05 | 2.05 | XXX |
| 70551 | TC | A | Mri brain w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 70552 | A | Mri brain w/dye | 1.78 | 14.05 | N/A | 0.66 | 16.49 | N/A | XXX | |
| 70552 | 26 | A | Mri brain w/dye | 1.78 | 0.61 | 0.61 | 0.08 | 2.47 | 2.47 | XXX |
| 70552 | TC | A | Mri brain w/dye | 0.00 | 13.44 | N/A | 0.58 | 14.02 | N/A | XXX |
| 70553 | A | Mri brain w/ow dye | 2.36 | 25.69 | N/A | 1.19 | 29.24 | N/A | XXX | |
| 70553 | 26 | A | Mri brain w/ow dye | 2.36 | 0.79 | 0.79 | 0.10 | 3.25 | 3.25 | XXX |
| 70553 | TC | A | Mri brain w/ow dye | 0.00 | 24.89 | N/A | 1.09 | 25.98 | N/A | XXX |
| 71010 | A | Chest x-ray | 0.18 | 0.53 | N/A | 0.03 | 0.74 | N/A | XXX | |
| 71010 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 71010 | TC | A | Chest x-ray | 0.00 | 0.47 | N/A | 0.02 | 0.49 | N/A | XXX |
| 71015 | A | Chest x-ray | 0.21 | 0.59 | N/A | 0.03 | 0.83 | N/A | XXX | |
| 71015 | 26 | A | Chest x-ray | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | XXX |
| 71015 | TC | A | Chest x-ray | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 71020 | A | Chest x-ray | 0.22 | 0.69 | N/A | 0.04 | 0.95 | N/A | XXX | |
| 71020 | 26 | A | Chest x-ray | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 71020 | TC | A | Chest x-ray | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 71021 | A | Chest x-ray | 0.27 | 0.83 | N/A | 0.05 | 1.15 | N/A | XXX | |
| 71021 | 26 | A | Chest x-ray | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 71021 | TC | A | Chest x-ray | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 71022 | A | Chest x-ray | 0.31 | 0.84 | N/A | 0.06 | 1.21 | N/A | XXX | |
| 71022 | 26 | A | Chest x-ray | 0.31 | 0.10 | 0.10 | 0.02 | 0.43 | 0.43 | XXX |
| 71022 | TC | A | Chest x-ray | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 71023 | A | Chest x-ray and fluoroscopy | 0.38 | 0.92 | N/A | 0.06 | 1.36 | N/A | XXX | |
| 71023 | 26 | A | Chest x-ray and fluoroscopy | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 71023 | TC | A | Chest x-ray and fluoroscopy | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 71030 | A | Chest x-ray | 0.31 | 0.89 | N/A | 0.05 | 1.25 | N/A | XXX | |
| 71030 | 26 | A | Chest x-ray | 0.31 | 0.10 | 0.10 | 0.01 | 0.42 | 0.42 | XXX |
| 71030 | TC | A | Chest x-ray | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 71034 | A | Chest x-ray and fluoroscopy | 0.46 | 1.60 | N/A | 0.09 | 2.15 | N/A | XXX | |
| 71034 | 26 | A | Chest x-ray and fluoroscopy | 0.46 | 0.16 | 0.16 | 0.02 | 0.64 | 0.64 | XXX |
| 71034 | TC | A | Chest x-ray and fluoroscopy | 0.00 | 1.44 | N/A | 0.07 | 1.51 | N/A | XXX |
| 71035 | A | Chest x-ray | 0.18 | 0.58 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 71035 | 26 | A | Chest x-ray | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 71035 | TC | A | Chest x-ray | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 71040 | A | Contrast x-ray of bronchi | 0.58 | 1.65 | N/A | 0.10 | 2.33 | N/A | XXX | |
| 71040 | 26 | A | Contrast x-ray of bronchi | 0.58 | 0.19 | 0.19 | 0.03 | 0.80 | 0.80 | XXX |
| 71040 | TC | A | Contrast x-ray of bronchi | 0.00 | 1.46 | N/A | 0.07 | 1.53 | N/A | XXX |
| 71060 | A | Contrast x-ray of bronchi | 0.74 | 2.45 | N/A | 0.14 | 3.33 | N/A | XXX | |
| 71060 | 26 | A | Contrast x-ray of bronchi | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 71060 | TC | A | Contrast x-ray of bronchi | 0.00 | 2.20 | N/A | 0.11 | 2.31 | N/A | XXX |
| 71090 | A | X-ray pacemaker insertion | 0.54 | 1.89 | N/A | 0.11 | 2.54 | N/A | XXX | |
| 71090 | 26 | A | X-ray pacemaker insertion | 0.54 | 0.21 | 0.21 | 0.02 | 0.77 | 0.77 | XXX |
| 71090 | TC | A | X-ray pacemaker insertion | 0.00 | 1.68 | N/A | 0.09 | 1.77 | N/A | XXX |
| 71100 | A | X-ray exam of ribs | 0.22 | 0.64 | N/A | 0.04 | 0.90 | N/A | XXX | |
| 71100 | 26 | A | X-ray exam of ribs | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 71100 | TC | A | X-ray exam of ribs | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 71101 | A | X-ray exam of ribs/chest | 0.27 | 0.76 | N/A | 0.04 | 1.07 | N/A | XXX | |
| 71101 | 26 | A | X-ray exam of ribs/chest | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 71101 | TC | A | X-ray exam of ribs/chest | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 71110 | A | X-ray exam of ribs | 0.27 | 0.87 | N/A | 0.05 | 1.19 | N/A | XXX | |
| 71110 | 26 | A | X-ray exam of ribs | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 71110 | TC | A | X-ray exam of ribs | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 71111 | A | X-ray exam of ribs/ chest | 0.32 | 1.00 | N/A | 0.06 | 1.38 | N/A | XXX | |
| 71111 | 26 | A | X-ray exam of ribs/ chest | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 71111 | TC | A | X-ray exam of ribs/ chest | 0.00 | 0.89 | N/A | 0.05 | 0.94 | N/A | XXX |
| 71120 | A | X-ray exam of breastbone | 0.20 | 0.71 | N/A | 0.04 | 0.95 | N/A | XXX | |
| 71120 | 26 | A | X-ray exam of breastbone | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 71120 | TC | A | X-ray exam of breastbone | 0.00 | 0.65 | N/A | 0.03 | 0.68 | N/A | XXX |
| 71130 | A | X-ray exam of breastbone | 0.22 | 0.78 | N/A | 0.04 | 1.04 | N/A | XXX | |
| 71130 | 26 | A | X-ray exam of breastbone | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 71130 | TC | A | X-ray exam of breastbone | 0.00 | 0.71 | N/A | 0.03 | 0.74 | N/A | XXX |
| 71250 | A | Ct thorax w/o dye | 1.16 | 6.30 | N/A | 0.31 | 7.77 | N/A | XXX | |
| 71250 | 26 | A | Ct thorax w/o dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 71250 | TC | A | Ct thorax w/o dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 71260 | A | Ct thorax w/dye | 1.24 | 7.48 | N/A | 0.36 | 9.08 | N/A | XXX | |
| 71260 | 26 | A | Ct thorax w/dye | 1.24 | 0.41 | 0.41 | 0.05 | 1.70 | 1.70 | XXX |
| 71260 | TC | A | Ct thorax w/dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 71270 | A | Ct thorax w/ow dye | 1.38 | 9.31 | N/A | 0.44 | 11.13 | N/A | XXX | |
| 71270 | 26 | A | Ct thorax w/ow dye | 1.38 | 0.46 | 0.46 | 0.06 | 1.90 | 1.90 | XXX |
| 71270 | TC | A | Ct thorax w/ow dye | 0.00 | 8.85 | N/A | 0.38 | 9.23 | N/A | XXX |
| 71275 | A | Ct angiography, chest | 1.92 | 13.03 | N/A | 0.38 | 15.33 | N/A | XXX | |
| 71275 | 26 | A | Ct angiography, chest | 1.92 | 0.64 | 0.64 | 0.06 | 2.62 | 2.62 | XXX |
| 71275 | TC | A | Ct angiography, chest | 0.00 | 12.39 | N/A | 0.32 | 12.71 | N/A | XXX |
| 71550 | A | Mri chest w/o dye | 1.46 | 11.70 | N/A | 0.41 | 13.57 | N/A | XXX | |
| 71550 | 26 | A | Mri chest w/o dye | 1.46 | 0.49 | 0.49 | 0.04 | 1.99 | 1.99 | XXX |
| 71550 | TC | A | Mri chest w/o dye | 0.00 | 11.21 | N/A | 0.37 | 11.58 | N/A | XXX |
| 71551 | A | Mri chest w/dye | 1.73 | 14.02 | N/A | 0.49 | 16.24 | N/A | XXX | |
| 71551 | 26 | A | Mri chest w/dye | 1.73 | 0.58 | 0.58 | 0.06 | 2.37 | 2.37 | XXX |
| 71551 | TC | A | Mri chest w/dye | 0.00 | 13.44 | N/A | 0.43 | 13.87 | N/A | XXX |
| 71552 | A | Mri chest w/ow/dye | 2.26 | 25.65 | N/A | 0.64 | 28.55 | N/A | XXX | |
| 71552 | 26 | A | Mri chest w/ow/dye | 2.26 | 0.76 | 0.76 | 0.08 | 3.10 | 3.10 | XXX |
| 71552 | TC | A | Mri chest w/ow/dye | 0.00 | 24.89 | N/A | 0.56 | 25.45 | N/A | XXX |
| 71555 | R | Mri angio chest w or w/o dye | 1.81 | 11.82 | N/A | 0.57 | 14.20 | N/A | XXX | |
| 71555 | 26 | R | Mri angio chest w or w/o dye | 1.81 | 0.61 | 0.61 | 0.08 | 2.50 | 2.50 | XXX |
| 71555 | TC | R | Mri angio chest w or w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 72010 | A | X-ray exam of spine | 0.45 | 1.18 | N/A | 0.08 | 1.71 | N/A | XXX | |
| 72010 | 26 | A | X-ray exam of spine | 0.45 | 0.15 | 0.15 | 0.03 | 0.63 | 0.63 | XXX |
| 72010 | TC | A | X-ray exam of spine | 0.00 | 1.03 | N/A | 0.05 | 1.08 | N/A | XXX |
| 72020 | A | X-ray exam of spine | 0.15 | 0.47 | N/A | 0.03 | 0.65 | N/A | XXX | |
| 72020 | 26 | A | X-ray exam of spine | 0.15 | 0.05 | 0.05 | 0.01 | 0.21 | 0.21 | XXX |
| 72020 | TC | A | X-ray exam of spine | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 72040 | A | X-ray exam of neck spine | 0.22 | 0.67 | N/A | 0.04 | 0.93 | N/A | XXX | |
| 72040 | 26 | A | X-ray exam of neck spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72040 | TC | A | X-ray exam of neck spine | 0.00 | 0.60 | N/A | 0.03 | 0.63 | N/A | XXX |
| 72050 | A | X-ray exam of neck spine | 0.31 | 0.99 | N/A | 0.07 | 1.37 | N/A | XXX | |
| 72050 | 26 | A | X-ray exam of neck spine | 0.31 | 0.10 | 0.10 | 0.02 | 0.43 | 0.43 | XXX |
| 72050 | TC | A | X-ray exam of neck spine | 0.00 | 0.89 | N/A | 0.05 | 0.94 | N/A | XXX |
| 72052 | A | X-ray exam of neck spine | 0.36 | 1.25 | N/A | 0.07 | 1.68 | N/A | XXX | |
| 72052 | 26 | A | X-ray exam of neck spine | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 72052 | TC | A | X-ray exam of neck spine | 0.00 | 1.13 | N/A | 0.05 | 1.18 | N/A | XXX |
| 72069 | A | X-ray exam of trunk spine | 0.22 | 0.57 | N/A | 0.04 | 0.83 | N/A | XXX | |
| 72069 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.08 | 0.08 | 0.02 | 0.32 | 0.32 | XXX |
| 72069 | TC | A | X-ray exam of trunk spine | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 72070 | A | X-ray exam of thoracic spine | 0.22 | 0.72 | N/A | 0.04 | 0.98 | N/A | XXX | |
| 72070 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72070 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.65 | N/A | 0.03 | 0.68 | N/A | XXX |
| 72072 | A | X-ray exam of thoracic spine | 0.22 | 0.81 | N/A | 0.05 | 1.08 | N/A | XXX | |
| 72072 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72072 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 72074 | A | X-ray exam of thoracic spine | 0.22 | 0.98 | N/A | 0.06 | 1.26 | N/A | XXX | |
| 72074 | 26 | A | X-ray exam of thoracic spine | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 72074 | TC | A | X-ray exam of thoracic spine | 0.00 | 0.91 | N/A | 0.05 | 0.96 | N/A | XXX |
| 72080 | A | X-ray exam of trunk spine | 0.22 | 0.74 | N/A | 0.05 | 1.01 | N/A | XXX | |
| 72080 | 26 | A | X-ray exam of trunk spine | 0.22 | 0.07 | 0.07 | 0.02 | 0.31 | 0.31 | XXX |
| 72080 | TC | A | X-ray exam of trunk spine | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 72090 | A | X-ray exam of trunk spine | 0.28 | 0.76 | N/A | 0.05 | 1.09 | N/A | XXX | |
| 72090 | 26 | A | X-ray exam of trunk spine | 0.28 | 0.10 | 0.10 | 0.02 | 0.40 | 0.40 | XXX |
| 72090 | TC | A | X-ray exam of trunk spine | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 72100 | A | X-ray exam of lower spine | 0.22 | 0.74 | N/A | 0.05 | 1.01 | N/A | XXX | |
| 72100 | 26 | A | X-ray exam of lower spine | 0.22 | 0.07 | 0.07 | 0.02 | 0.31 | 0.31 | XXX |
| 72100 | TC | A | X-ray exam of lower spine | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 72110 | A | X-ray exam of lower spine | 0.31 | 1.01 | N/A | 0.07 | 1.39 | N/A | XXX | |
| 72110 | 26 | A | X-ray exam of lower spine | 0.31 | 0.10 | 0.10 | 0.02 | 0.43 | 0.43 | XXX |
| 72110 | TC | A | X-ray exam of lower spine | 0.00 | 0.91 | N/A | 0.05 | 0.96 | N/A | XXX |
| 72114 | A | X-ray exam of lower spine | 0.36 | 1.31 | N/A | 0.08 | 1.75 | N/A | XXX | |
| 72114 | 26 | A | X-ray exam of lower spine | 0.36 | 0.12 | 0.12 | 0.03 | 0.51 | 0.51 | XXX |
| 72114 | TC | A | X-ray exam of lower spine | 0.00 | 1.19 | N/A | 0.05 | 1.24 | N/A | XXX |
| 72120 | A | X-ray exam of lower spine | 0.22 | 0.96 | N/A | 0.07 | 1.25 | N/A | XXX | |
| 72120 | 26 | A | X-ray exam of lower spine | 0.22 | 0.07 | 0.07 | 0.02 | 0.31 | 0.31 | XXX |
| 72120 | TC | A | X-ray exam of lower spine | 0.00 | 0.89 | N/A | 0.05 | 0.94 | N/A | XXX |
| 72125 | A | Ct neck spine w/o dye | 1.16 | 6.30 | N/A | 0.31 | 7.77 | N/A | XXX | |
| 72125 | 26 | A | Ct neck spine w/o dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 72125 | TC | A | Ct neck spine w/o dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 72126 | A | Ct neck spine w/dye | 1.22 | 7.48 | N/A | 0.36 | 9.06 | N/A | XXX | |
| 72126 | 26 | A | Ct neck spine w/dye | 1.22 | 0.41 | 0.41 | 0.05 | 1.68 | 1.68 | XXX |
| 72126 | TC | A | Ct neck spine w/dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 72127 | A | Ct neck spine w/ow/dye | 1.27 | 9.28 | N/A | 0.44 | 10.99 | N/A | XXX | |
| 72127 | 26 | A | Ct neck spine w/ow/dye | 1.27 | 0.43 | 0.43 | 0.06 | 1.76 | 1.76 | XXX |
| 72127 | TC | A | Ct neck spine w/ow/dye | 0.00 | 8.85 | N/A | 0.38 | 9.23 | N/A | XXX |
| 72128 | A | Ct chest spine w/o dye | 1.16 | 6.30 | N/A | 0.31 | 7.77 | N/A | XXX | |
| 72128 | 26 | A | Ct chest spine w/o dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 72128 | TC | A | Ct chest spine w/o dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 72129 | A | Ct chest spine w/dye | 1.22 | 7.48 | N/A | 0.36 | 9.06 | N/A | XXX | |
| 72129 | 26 | A | Ct chest spine w/dye | 1.22 | 0.41 | 0.41 | 0.05 | 1.68 | 1.68 | XXX |
| 72129 | TC | A | Ct chest spine w/dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 72130 | A | Ct chest spine w/ow/dye | 1.27 | 9.27 | N/A | 0.44 | 10.98 | N/A | XXX | |
| 72130 | 26 | A | Ct chest spine w/ow/dye | 1.27 | 0.43 | 0.43 | 0.06 | 1.76 | 1.76 | XXX |
| 72130 | TC | A | Ct chest spine w/ow/dye | 0.00 | 8.85 | N/A | 0.38 | 9.23 | N/A | XXX |
| 72131 | A | Ct lumbar spine w/o dye | 1.16 | 6.30 | N/A | 0.31 | 7.77 | N/A | XXX | |
| 72131 | 26 | A | Ct lumbar spine w/o dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 72131 | TC | A | Ct lumbar spine w/o dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 72132 | A | Ct lumbar spine w/dye | 1.22 | 7.48 | N/A | 0.37 | 9.07 | N/A | XXX | |
| 72132 | 26 | A | Ct lumbar spine w/dye | 1.22 | 0.41 | 0.41 | 0.06 | 1.69 | 1.69 | XXX |
| 72132 | TC | A | Ct lumbar spine w/dye | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 72133 | A | Ct lumbar spine w/ow/dye | 1.27 | 9.28 | N/A | 0.44 | 10.99 | N/A | XXX | |
| 72133 | 26 | A | Ct lumbar spine w/ow/dye | 1.27 | 0.43 | 0.43 | 0.06 | 1.76 | 1.76 | XXX |
| 72133 | TC | A | Ct lumbar spine w/ow/dye | 0.00 | 8.85 | N/A | 0.38 | 9.23 | N/A | XXX |
| 72141 | A | Mri neck spine w/o dye | 1.60 | 11.75 | N/A | 0.56 | 13.91 | N/A | XXX | |
| 72141 | 26 | A | Mri neck spine w/o dye | 1.60 | 0.54 | 0.54 | 0.07 | 2.21 | 2.21 | XXX |
| 72141 | TC | A | Mri neck spine w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 72142 | A | Mri neck spine w/dye | 1.92 | 14.10 | N/A | 0.67 | 16.69 | N/A | XXX | |
| 72142 | 26 | A | Mri neck spine w/dye | 1.92 | 0.66 | 0.66 | 0.09 | 2.67 | 2.67 | XXX |
| 72142 | TC | A | Mri neck spine w/dye | 0.00 | 13.44 | N/A | 0.58 | 14.02 | N/A | XXX |
| 72146 | A | Mri chest spine w/o dye | 1.60 | 12.98 | N/A | 0.60 | 15.18 | N/A | XXX | |
| 72146 | 26 | A | Mri chest spine w/o dye | 1.60 | 0.54 | 0.54 | 0.07 | 2.21 | 2.21 | XXX |
| 72146 | TC | A | Mri chest spine w/o dye | 0.00 | 12.45 | N/A | 0.53 | 12.98 | N/A | XXX |
| 72147 | A | Mri chest spine w/dye | 1.92 | 14.09 | N/A | 0.67 | 16.68 | N/A | XXX | |
| 72147 | 26 | A | Mri chest spine w/dye | 1.92 | 0.65 | 0.65 | 0.09 | 2.66 | 2.66 | XXX |
| 72147 | TC | A | Mri chest spine w/dye | 0.00 | 13.44 | N/A | 0.58 | 14.02 | N/A | XXX |
| 72148 | A | Mri lumbar spine w/o dye | 1.48 | 12.95 | N/A | 0.60 | 15.03 | N/A | XXX | |
| 72148 | 26 | A | Mri lumbar spine w/o dye | 1.48 | 0.50 | 0.50 | 0.07 | 2.05 | 2.05 | XXX |
| 72148 | TC | A | Mri lumbar spine w/o dye | 0.00 | 12.45 | N/A | 0.53 | 12.98 | N/A | XXX |
| 72149 | A | Mri lumbar spine w/dye | 1.78 | 14.05 | N/A | 0.67 | 16.50 | N/A | XXX | |
| 72149 | 26 | A | Mri lumbar spine w/dye | 1.78 | 0.61 | 0.61 | 0.09 | 2.48 | 2.48 | XXX |
| 72149 | TC | A | Mri lumbar spine w/dye | 0.00 | 13.44 | N/A | 0.58 | 14.02 | N/A | XXX |
| 72156 | A | Mri neck spine w/ow/dye | 2.57 | 25.76 | N/A | 1.20 | 29.53 | N/A | XXX | |
| 72156 | 26 | A | Mri neck spine w/ow/dye | 2.57 | 0.87 | 0.87 | 0.11 | 3.55 | 3.55 | XXX |
| 72156 | TC | A | Mri neck spine w/ow/dye | 0.00 | 24.89 | N/A | 1.09 | 25.98 | N/A | XXX |
| 72157 | A | Mri chest spine w/ow/dye | 2.57 | 25.76 | N/A | 1.20 | 29.53 | N/A | XXX | |
| 72157 | 26 | A | Mri chest spine w/ow/dye | 2.57 | 0.86 | 0.86 | 0.11 | 3.54 | 3.54 | XXX |
| 72157 | TC | A | Mri chest spine w/ow/dye | 0.00 | 24.89 | N/A | 1.09 | 25.98 | N/A | XXX |
| 72158 | A | Mri lumbar spine w/ow/dye | 2.36 | 25.69 | N/A | 1.20 | 29.25 | N/A | XXX | |
| 72158 | 26 | A | Mri lumbar spine w/ow/dye | 2.36 | 0.79 | 0.79 | 0.11 | 3.26 | 3.26 | XXX |
| 72158 | TC | A | Mri lumbar spine w/ow/dye | 0.00 | 24.89 | N/A | 1.09 | 25.98 | N/A | XXX |
| 72159 | N | Mr angio spine w/ow/dye | 1.80 | 13.14 | N/A | 0.61 | 15.55 | N/A | XXX | |
| 72159 | 26 | N | Mr angio spine w/ow/dye | 1.80 | 0.70 | 0.70 | 0.08 | 2.58 | 2.58 | XXX |
| 72159 | TC | N | Mr angio spine w/ow/dye | 0.00 | 12.45 | N/A | 0.53 | 12.98 | N/A | XXX |
| 72170 | A | X-ray exam of pelvis | 0.17 | 0.58 | N/A | 0.03 | 0.78 | N/A | XXX | |
| 72170 | 26 | A | X-ray exam of pelvis | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 72170 | TC | A | X-ray exam of pelvis | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 72190 | A | X-ray exam of pelvis | 0.21 | 0.74 | N/A | 0.04 | 0.99 | N/A | XXX | |
| 72190 | 26 | A | X-ray exam of pelvis | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | XXX |
| 72190 | TC | A | X-ray exam of pelvis | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 72191 | A | Ct angiograph pelv w/ow/dye | 1.81 | 12.64 | N/A | 0.38 | 14.83 | N/A | XXX | |
| 72191 | 26 | A | Ct angiograph pelv w/ow/dye | 1.81 | 0.61 | 0.61 | 0.06 | 2.48 | 2.48 | XXX |
| 72191 | TC | A | Ct angiograph pelv w/ow/dye | 0.00 | 12.03 | N/A | 0.32 | 12.35 | N/A | XXX |
| 72192 | A | Ct pelvis w/o dye | 1.09 | 6.27 | N/A | 0.31 | 7.67 | N/A | XXX | |
| 72192 | 26 | A | Ct pelvis w/o dye | 1.09 | 0.36 | 0.36 | 0.05 | 1.50 | 1.50 | XXX |
| 72192 | TC | A | Ct pelvis w/o dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 72193 | A | Ct pelvis w/dye | 1.16 | 7.23 | N/A | 0.35 | 8.74 | N/A | XXX | |
| 72193 | 26 | A | Ct pelvis w/dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 72193 | TC | A | Ct pelvis w/dye | 0.00 | 6.85 | N/A | 0.30 | 7.15 | N/A | XXX |
| 72194 | A | Ct pelvis w/ow/dye | 1.22 | 8.90 | N/A | 0.41 | 10.53 | N/A | XXX | |
| 72194 | 26 | A | Ct pelvis w/ow/dye | 1.22 | 0.41 | 0.41 | 0.05 | 1.68 | 1.68 | XXX |
| 72194 | TC | A | Ct pelvis w/ow/dye | 0.00 | 8.49 | N/A | 0.36 | 8.85 | N/A | XXX |
| 72195 | A | Mri pelvis w/o dye | 1.46 | 11.70 | N/A | 0.42 | 13.58 | N/A | XXX | |
| 72195 | 26 | A | Mri pelvis w/o dye | 1.46 | 0.49 | 0.49 | 0.05 | 2.00 | 2.00 | XXX |
| 72195 | TC | A | Mri pelvis w/o dye | 0.00 | 11.21 | N/A | 0.37 | 11.58 | N/A | XXX |
| 72196 | A | Mri pelvis w/dye | 1.73 | 14.02 | N/A | 0.48 | 16.23 | N/A | XXX | |
| 72196 | 26 | A | Mri pelvis w/dye | 1.73 | 0.58 | 0.58 | 0.05 | 2.36 | 2.36 | XXX |
| 72196 | TC | A | Mri pelvis w/dye | 0.00 | 13.44 | N/A | 0.43 | 13.87 | N/A | XXX |
| 72197 | A | Mri pelvis w/o w/dye | 2.26 | 25.65 | N/A | 0.84 | 28.75 | N/A | XXX | |
| 72197 | 26 | A | Mri pelvis w/o w/dye | 2.26 | 0.76 | 0.76 | 0.08 | 3.10 | 3.10 | XXX |
| 72197 | TC | A | Mri pelvis w/o w/dye | 0.00 | 24.89 | N/A | 0.76 | 25.65 | N/A | XXX |
| 72198 | A | Mr angio pelvis w/ow/dye | 1.80 | 11.91 | N/A | 0.57 | 14.28 | N/A | XXX | |
| 72198 | 26 | A | Mr angio pelvis w/ow/dye | 1.80 | 0.70 | 0.70 | 0.08 | 2.58 | 2.58 | XXX |
| 72198 | TC | A | Mr angio pelvis w/ow/dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 72200 | A | X-ray exam sacroiliac joints | 0.17 | 0.58 | N/A | 0.03 | 0.78 | N/A | XXX | |
| 72200 | 26 | A | X-ray exam sacroiliac joints | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 72200 | TC | A | X-ray exam sacroiliac joints | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 72202 | A | X-ray exam sacroiliac joints | 0.19 | 0.68 | N/A | 0.04 | 0.91 | N/A | XXX | |
| 72202 | 26 | A | X-ray exam sacroiliac joints | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 72202 | TC | A | X-ray exam sacroiliac joints | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 72220 | A | X-ray exam of tailbone | 0.17 | 0.63 | N/A | 0.04 | 0.84 | N/A | XXX | |
| 72220 | 26 | A | X-ray exam of tailbone | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 72220 | TC | A | X-ray exam of tailbone | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 72240 | A | Contrast x-ray of neck spine | 0.91 | 5.04 | N/A | 0.25 | 6.20 | N/A | XXX | |
| 72240 | 26 | A | Contrast x-ray of neck spine | 0.91 | 0.29 | 0.29 | 0.04 | 1.24 | 1.24 | XXX |
| 72240 | TC | A | Contrast x-ray of neck spine | 0.00 | 4.75 | N/A | 0.21 | 4.96 | N/A | XXX |
| 72255 | A | Contrast x-ray, thorax spine | 0.91 | 4.61 | N/A | 0.22 | 5.74 | N/A | XXX | |
| 72255 | 26 | A | Contrast x-ray, thorax spine | 0.91 | 0.28 | 0.28 | 0.04 | 1.23 | 1.23 | XXX |
| 72255 | TC | A | Contrast x-ray, thorax spine | 0.00 | 4.33 | N/A | 0.18 | 4.51 | N/A | XXX |
| 72265 | A | Contrast x-ray, lower spine | 0.83 | 4.33 | N/A | 0.22 | 5.38 | N/A | XXX | |
| 72265 | 26 | A | Contrast x-ray, lower spine | 0.83 | 0.26 | 0.26 | 0.04 | 1.13 | 1.13 | XXX |
| 72265 | TC | A | Contrast x-ray, lower spine | 0.00 | 4.07 | N/A | 0.18 | 4.25 | N/A | XXX |
| 72270 | A | Contrast x-ray of spine | 1.33 | 6.53 | N/A | 0.34 | 8.20 | N/A | XXX | |
| 72270 | 26 | A | Contrast x-ray of spine | 1.33 | 0.43 | 0.43 | 0.07 | 1.83 | 1.83 | XXX |
| 72270 | TC | A | Contrast x-ray of spine | 0.00 | 6.10 | N/A | 0.27 | 6.37 | N/A | XXX |
| 72275 | A | Epidurography | 0.76 | 2.30 | N/A | 0.21 | 3.27 | N/A | XXX | |
| 72275 | 26 | A | Epidurography | 0.76 | 0.20 | 0.20 | 0.03 | 0.99 | 0.99 | XXX |
| 72275 | TC | A | Epidurography | 0.00 | 2.10 | N/A | 0.18 | 2.28 | N/A | XXX |
| 72285 | A | X-ray c/t spine disk | 1.16 | 8.75 | N/A | 0.42 | 10.33 | N/A | XXX | |
| 72285 | 26 | A | X-ray c/t spine disk | 1.16 | 0.36 | 0.36 | 0.06 | 1.58 | 1.58 | XXX |
| 72285 | TC | A | X-ray c/t spine disk | 0.00 | 8.38 | N/A | 0.36 | 8.74 | N/A | XXX |
| 72295 | A | X-ray of lower spine disk | 0.83 | 8.14 | N/A | 0.37 | 9.34 | N/A | XXX | |
| 72295 | 26 | A | X-ray of lower spine disk | 0.83 | 0.27 | 0.27 | 0.04 | 1.14 | 1.14 | XXX |
| 72295 | TC | A | X-ray of lower spine disk | 0.00 | 7.86 | N/A | 0.33 | 8.19 | N/A | XXX |
| 73000 | A | X-ray exam of collar bone | 0.16 | 0.58 | N/A | 0.03 | 0.77 | N/A | XXX | |
| 73000 | 26 | A | X-ray exam of collar bone | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73000 | TC | A | X-ray exam of collar bone | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73010 | A | X-ray exam of shoulder blade | 0.17 | 0.58 | N/A | 0.03 | 0.78 | N/A | XXX | |
| 73010 | 26 | A | X-ray exam of shoulder blade | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73010 | TC | A | X-ray exam of shoulder blade | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73020 | A | X-ray exam of shoulder | 0.15 | 0.52 | N/A | 0.03 | 0.70 | N/A | XXX | |
| 73020 | 26 | A | X-ray exam of shoulder | 0.15 | 0.05 | 0.05 | 0.01 | 0.21 | 0.21 | XXX |
| 73020 | TC | A | X-ray exam of shoulder | 0.00 | 0.47 | N/A | 0.02 | 0.49 | N/A | XXX |
| 73030 | A | X-ray exam of shoulder | 0.18 | 0.63 | N/A | 0.04 | 0.85 | N/A | XXX | |
| 73030 | 26 | A | X-ray exam of shoulder | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 73030 | TC | A | X-ray exam of shoulder | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73040 | A | Contrast x-ray of shoulder | 0.54 | 2.28 | N/A | 0.13 | 2.95 | N/A | XXX | |
| 73040 | 26 | A | Contrast x-ray of shoulder | 0.54 | 0.18 | 0.18 | 0.03 | 0.75 | 0.75 | XXX |
| 73040 | TC | A | Contrast x-ray of shoulder | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 73050 | A | X-ray exam of shoulders | 0.20 | 0.74 | N/A | 0.05 | 0.99 | N/A | XXX | |
| 73050 | 26 | A | X-ray exam of shoulders | 0.20 | 0.07 | 0.07 | 0.02 | 0.29 | 0.29 | XXX |
| 73050 | TC | A | X-ray exam of shoulders | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 73060 | A | X-ray exam of humerus | 0.17 | 0.63 | N/A | 0.04 | 0.84 | N/A | XXX | |
| 73060 | 26 | A | X-ray exam of humerus | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73060 | TC | A | X-ray exam of humerus | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73070 | A | X-ray exam of elbow | 0.15 | 0.57 | N/A | 0.03 | 0.75 | N/A | XXX | |
| 73070 | 26 | A | X-ray exam of elbow | 0.15 | 0.05 | 0.05 | 0.01 | 0.21 | 0.21 | XXX |
| 73070 | TC | A | X-ray exam of elbow | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73080 | A | X-ray exam of elbow | 0.17 | 0.63 | N/A | 0.04 | 0.84 | N/A | XXX | |
| 73080 | 26 | A | X-ray exam of elbow | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73080 | TC | A | X-ray exam of elbow | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73085 | A | Contrast x-ray of elbow | 0.54 | 2.29 | N/A | 0.13 | 2.96 | N/A | XXX | |
| 73085 | 26 | A | Contrast x-ray of elbow | 0.54 | 0.19 | 0.19 | 0.03 | 0.76 | 0.76 | XXX |
| 73085 | TC | A | Contrast x-ray of elbow | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 73090 | A | X-ray exam of forearm | 0.16 | 0.58 | N/A | 0.03 | 0.77 | N/A | XXX | |
| 73090 | 26 | A | X-ray exam of forearm | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73090 | TC | A | X-ray exam of forearm | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73092 | A | X-ray exam of arm, infant | 0.16 | 0.55 | N/A | 0.03 | 0.74 | N/A | XXX | |
| 73092 | 26 | A | X-ray exam of arm, infant | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73092 | TC | A | X-ray exam of arm, infant | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73100 | A | X-ray exam of wrist | 0.16 | 0.55 | N/A | 0.04 | 0.75 | N/A | XXX | |
| 73100 | 26 | A | X-ray exam of wrist | 0.16 | 0.06 | 0.06 | 0.02 | 0.24 | 0.24 | XXX |
| 73100 | TC | A | X-ray exam of wrist | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73110 | A | X-ray exam of wrist | 0.17 | 0.59 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 73110 | 26 | A | X-ray exam of wrist | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73110 | TC | A | X-ray exam of wrist | 0.00 | 0.53 | N/A | 0.02 | 0.55 | N/A | XXX |
| 73115 | A | Contrast x-ray of wrist | 0.54 | 1.76 | N/A | 0.11 | 2.41 | N/A | XXX | |
| 73115 | 26 | A | Contrast x-ray of wrist | 0.54 | 0.19 | 0.19 | 0.03 | 0.76 | 0.76 | XXX |
| 73115 | TC | A | Contrast x-ray of wrist | 0.00 | 1.58 | N/A | 0.08 | 1.66 | N/A | XXX |
| 73120 | A | X-ray exam of hand | 0.16 | 0.55 | N/A | 0.03 | 0.74 | N/A | XXX | |
| 73120 | 26 | A | X-ray exam of hand | 0.16 | 0.06 | 0.06 | 0.01 | 0.23 | 0.23 | XXX |
| 73120 | TC | A | X-ray exam of hand | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73130 | A | X-ray exam of hand | 0.17 | 0.59 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 73130 | 26 | A | X-ray exam of hand | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73130 | TC | A | X-ray exam of hand | 0.00 | 0.53 | N/A | 0.02 | 0.55 | N/A | XXX |
| 73140 | A | X-ray exam of finger(s) | 0.13 | 0.46 | N/A | 0.03 | 0.62 | N/A | XXX | |
| 73140 | 26 | A | X-ray exam of finger(s) | 0.13 | 0.04 | 0.04 | 0.01 | 0.18 | 0.18 | XXX |
| 73140 | TC | A | X-ray exam of finger(s) | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 73200 | A | Ct upper extremity w/o dye | 1.09 | 5.33 | N/A | 0.26 | 6.68 | N/A | XXX | |
| 73200 | 26 | A | Ct upper extremity w/o dye | 1.09 | 0.37 | 0.37 | 0.05 | 1.51 | 1.51 | XXX |
| 73200 | TC | A | Ct upper extremity w/o dye | 0.00 | 4.96 | N/A | 0.21 | 5.17 | N/A | XXX |
| 73201 | A | Ct upper extremity w/dye | 1.16 | 6.30 | N/A | 0.31 | 7.77 | N/A | XXX | |
| 73201 | 26 | A | Ct upper extremity w/dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 73201 | TC | A | Ct upper extremity w/dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 73202 | A | Ct uppr extremity w/ow/dye | 1.22 | 7.84 | N/A | 0.38 | 9.44 | N/A | XXX | |
| 73202 | 26 | A | Ct uppr extremity w/ow/dye | 1.22 | 0.41 | 0.41 | 0.06 | 1.69 | 1.69 | XXX |
| 73202 | TC | A | Ct uppr extremity w/ow/dye | 0.00 | 7.43 | N/A | 0.32 | 7.75 | N/A | XXX |
| 73206 | A | Ct angio upr extrm w/ow/dye | 1.81 | 11.57 | N/A | 0.38 | 13.76 | N/A | XXX | |
| 73206 | 26 | A | Ct angio upr extrm w/ow/dye | 1.81 | 0.61 | 0.61 | 0.06 | 2.48 | 2.48 | XXX |
| 73206 | TC | A | Ct angio upr extrm w/ow/dye | 0.00 | 10.97 | N/A | 0.32 | 11.29 | N/A | XXX |
| 73218 | A | Mri upper extremity w/o dye | 1.35 | 11.66 | N/A | 0.36 | 13.37 | N/A | XXX | |
| 73218 | 26 | A | Mri upper extremity w/o dye | 1.35 | 0.45 | 0.45 | 0.04 | 1.84 | 1.84 | XXX |
| 73218 | TC | A | Mri upper extremity w/o dye | 0.00 | 11.21 | N/A | 0.32 | 11.53 | N/A | XXX |
| 73219 | A | Mri upper extremity w/dye | 1.62 | 13.99 | N/A | 0.44 | 16.05 | N/A | XXX | |
| 73219 | 26 | A | Mri upper extremity w/dye | 1.62 | 0.55 | 0.55 | 0.05 | 2.22 | 2.22 | XXX |
| 73219 | TC | A | Mri upper extremity w/dye | 0.00 | 13.44 | N/A | 0.39 | 13.83 | N/A | XXX |
| 73220 | A | Mri uppr extremity w/ow/dye | 2.15 | 25.62 | N/A | 0.78 | 28.55 | N/A | XXX | |
| 73220 | 26 | A | Mri uppr extremity w/ow/dye | 2.15 | 0.73 | 0.73 | 0.08 | 2.96 | 2.96 | XXX |
| 73220 | TC | A | Mri uppr extremity w/ow/dye | 0.00 | 24.89 | N/A | 0.70 | 25.59 | N/A | XXX |
| 73221 | A | Mri joint upr extrem w/o dye | 1.35 | 11.66 | N/A | 0.36 | 13.37 | N/A | XXX | |
| 73221 | 26 | A | Mri joint upr extrem w/o dye | 1.35 | 0.46 | 0.46 | 0.04 | 1.85 | 1.85 | XXX |
| 73221 | TC | A | Mri joint upr extrem w/o dye | 0.00 | 11.21 | N/A | 0.32 | 11.53 | N/A | XXX |
| 73222 | A | Mri joint upr extrem w/dye | 1.62 | 13.99 | N/A | 0.44 | 16.05 | N/A | XXX | |
| 73222 | 26 | A | Mri joint upr extrem w/dye | 1.62 | 0.54 | 0.54 | 0.05 | 2.21 | 2.21 | XXX |
| 73222 | TC | A | Mri joint upr extrem w/dye | 0.00 | 13.44 | N/A | 0.39 | 13.83 | N/A | XXX |
| 73223 | A | Mri joint upr extr w/ow/dye | 2.15 | 25.62 | N/A | 0.77 | 28.54 | N/A | XXX | |
| 73223 | 26 | A | Mri joint upr extr w/ow/dye | 2.15 | 0.73 | 0.73 | 0.07 | 2.95 | 2.95 | XXX |
| 73223 | TC | A | Mri joint upr extr w/ow/dye | 0.00 | 24.89 | N/A | 0.70 | 25.59 | N/A | XXX |
| 73225 | N | Mr angio upr extr w/ow/dye | 1.73 | 11.88 | N/A | 0.57 | 14.18 | N/A | XXX | |
| 73225 | 26 | N | Mr angio upr extr w/ow/dye | 1.73 | 0.67 | 0.67 | 0.08 | 2.48 | 2.48 | XXX |
| 73225 | TC | N | Mr angio upr extr w/ow/dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 73500 | A | X-ray exam of hip | 0.17 | 0.53 | N/A | 0.03 | 0.73 | N/A | XXX | |
| 73500 | 26 | A | X-ray exam of hip | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73500 | TC | A | X-ray exam of hip | 0.00 | 0.47 | N/A | 0.02 | 0.49 | N/A | XXX |
| 73510 | A | X-ray exam of hip | 0.21 | 0.64 | N/A | 0.05 | 0.90 | N/A | XXX | |
| 73510 | 26 | A | X-ray exam of hip | 0.21 | 0.07 | 0.07 | 0.02 | 0.30 | 0.30 | XXX |
| 73510 | TC | A | X-ray exam of hip | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73520 | A | X-ray exam of hips | 0.26 | 0.76 | N/A | 0.05 | 1.07 | N/A | XXX | |
| 73520 | 26 | A | X-ray exam of hips | 0.26 | 0.09 | 0.09 | 0.02 | 0.37 | 0.37 | XXX |
| 73520 | TC | A | X-ray exam of hips | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 73525 | A | Contrast x-ray of hip | 0.54 | 2.28 | N/A | 0.13 | 2.95 | N/A | XXX | |
| 73525 | 26 | A | Contrast x-ray of hip | 0.54 | 0.18 | 0.18 | 0.03 | 0.75 | 0.75 | XXX |
| 73525 | TC | A | Contrast x-ray of hip | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 73530 | A | X-ray exam of hip | 0.29 | 0.62 | N/A | 0.03 | 0.94 | N/A | XXX | |
| 73530 | 26 | A | X-ray exam of hip | 0.29 | 0.10 | 0.10 | 0.01 | 0.40 | 0.40 | XXX |
| 73530 | TC | A | X-ray exam of hip | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73540 | A | X-ray exam of pelvis hips | 0.20 | 0.64 | N/A | 0.05 | 0.89 | N/A | XXX | |
| 73540 | 26 | A | X-ray exam of pelvis hips | 0.20 | 0.07 | 0.07 | 0.02 | 0.29 | 0.29 | XXX |
| 73540 | TC | A | X-ray exam of pelvis hips | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73542 | A | X-ray exam, sacroiliac joint | 0.59 | 2.26 | N/A | 0.13 | 2.98 | N/A | XXX | |
| 73542 | 26 | A | X-ray exam, sacroiliac joint | 0.59 | 0.16 | 0.16 | 0.03 | 0.78 | 0.78 | XXX |
| 73542 | TC | A | X-ray exam, sacroiliac joint | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 73550 | A | X-ray exam of thigh | 0.17 | 0.63 | N/A | 0.04 | 0.84 | N/A | XXX | |
| 73550 | 26 | A | X-ray exam of thigh | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73550 | TC | A | X-ray exam of thigh | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73560 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.58 | N/A | 0.04 | 0.79 | N/A | XXX | |
| 73560 | 26 | A | X-ray exam of knee, 1 or 2 | 0.17 | 0.06 | 0.06 | 0.02 | 0.25 | 0.25 | XXX |
| 73560 | TC | A | X-ray exam of knee, 1 or 2 | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73562 | A | X-ray exam of knee, 3 | 0.18 | 0.63 | N/A | 0.05 | 0.86 | N/A | XXX | |
| 73562 | 26 | A | X-ray exam of knee, 3 | 0.18 | 0.06 | 0.06 | 0.02 | 0.26 | 0.26 | XXX |
| 73562 | TC | A | X-ray exam of knee, 3 | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 73564 | A | X-ray exam, knee, 4 or more | 0.22 | 0.70 | N/A | 0.05 | 0.97 | N/A | XXX | |
| 73564 | 26 | A | X-ray exam, knee, 4 or more | 0.22 | 0.08 | 0.08 | 0.02 | 0.32 | 0.32 | XXX |
| 73564 | TC | A | X-ray exam, knee, 4 or more | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 73565 | A | X-ray exam of knees | 0.17 | 0.56 | N/A | 0.04 | 0.77 | N/A | XXX | |
| 73565 | 26 | A | X-ray exam of knees | 0.17 | 0.06 | 0.06 | 0.02 | 0.25 | 0.25 | XXX |
| 73565 | TC | A | X-ray exam of knees | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73580 | A | Contrast x-ray of knee joint | 0.54 | 2.80 | N/A | 0.15 | 3.49 | N/A | XXX | |
| 73580 | 26 | A | Contrast x-ray of knee joint | 0.54 | 0.18 | 0.18 | 0.03 | 0.75 | 0.75 | XXX |
| 73580 | TC | A | Contrast x-ray of knee joint | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 73590 | A | X-ray exam of lower leg | 0.17 | 0.58 | N/A | 0.03 | 0.78 | N/A | XXX | |
| 73590 | 26 | A | X-ray exam of lower leg | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73590 | TC | A | X-ray exam of lower leg | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 73592 | A | X-ray exam of leg, infant | 0.16 | 0.55 | N/A | 0.03 | 0.74 | N/A | XXX | |
| 73592 | 26 | A | X-ray exam of leg, infant | 0.16 | 0.06 | 0.06 | 0.01 | 0.23 | 0.23 | XXX |
| 73592 | TC | A | X-ray exam of leg, infant | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73600 | A | X-ray exam of ankle | 0.16 | 0.55 | N/A | 0.03 | 0.74 | N/A | XXX | |
| 73600 | 26 | A | X-ray exam of ankle | 0.16 | 0.06 | 0.06 | 0.01 | 0.23 | 0.23 | XXX |
| 73600 | TC | A | X-ray exam of ankle | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73610 | A | X-ray exam of ankle | 0.17 | 0.59 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 73610 | 26 | A | X-ray exam of ankle | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73610 | TC | A | X-ray exam of ankle | 0.00 | 0.53 | N/A | 0.02 | 0.55 | N/A | XXX |
| 73615 | A | Contrast x-ray of ankle | 0.54 | 2.29 | N/A | 0.13 | 2.96 | N/A | XXX | |
| 73615 | 26 | A | Contrast x-ray of ankle | 0.54 | 0.19 | 0.19 | 0.03 | 0.76 | 0.76 | XXX |
| 73615 | TC | A | Contrast x-ray of ankle | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 73620 | A | X-ray exam of foot | 0.16 | 0.55 | N/A | 0.03 | 0.74 | N/A | XXX | |
| 73620 | 26 | A | X-ray exam of foot | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73620 | TC | A | X-ray exam of foot | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX |
| 73630 | A | X-ray exam of foot | 0.17 | 0.59 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 73630 | 26 | A | X-ray exam of foot | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX |
| 73630 | TC | A | X-ray exam of foot | 0.00 | 0.53 | N/A | 0.02 | 0.55 | N/A | XXX |
| 73650 | A | X-ray exam of heel | 0.16 | 0.53 | N/A | 0.03 | 0.72 | N/A | XXX | |
| 73650 | 26 | A | X-ray exam of heel | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 73650 | TC | A | X-ray exam of heel | 0.00 | 0.47 | N/A | 0.02 | 0.49 | N/A | XXX |
| 73660 | A | X-ray exam of toe(s) | 0.13 | 0.46 | N/A | 0.03 | 0.62 | N/A | XXX | |
| 73660 | 26 | A | X-ray exam of toe(s) | 0.13 | 0.04 | 0.04 | 0.01 | 0.18 | 0.18 | XXX |
| 73660 | TC | A | X-ray exam of toe(s) | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 73700 | A | Ct lower extremity w/o dye | 1.09 | 5.33 | N/A | 0.26 | 6.68 | N/A | XXX | |
| 73700 | 26 | A | Ct lower extremity w/o dye | 1.09 | 0.36 | 0.36 | 0.05 | 1.50 | 1.50 | XXX |
| 73700 | TC | A | Ct lower extremity w/o dye | 0.00 | 4.96 | N/A | 0.21 | 5.17 | N/A | XXX |
| 73701 | A | Ct lower extremity w/dye | 1.16 | 6.30 | N/A | 0.31 | 7.77 | N/A | XXX | |
| 73701 | 26 | A | Ct lower extremity w/dye | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 73701 | TC | A | Ct lower extremity w/dye | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 73702 | A | Ct lwr extremity w/ow/dye | 1.22 | 7.84 | N/A | 0.37 | 9.43 | N/A | XXX | |
| 73702 | 26 | A | Ct lwr extremity w/ow/dye | 1.22 | 0.41 | 0.41 | 0.05 | 1.68 | 1.68 | XXX |
| 73702 | TC | A | Ct lwr extremity w/ow/dye | 0.00 | 7.43 | N/A | 0.32 | 7.75 | N/A | XXX |
| 73706 | A | Ct angio lwr extr w/ow/dye | 1.90 | 11.60 | N/A | 0.38 | 13.88 | N/A | XXX | |
| 73706 | 26 | A | Ct angio lwr extr w/ow/dye | 1.90 | 0.64 | 0.64 | 0.06 | 2.60 | 2.60 | XXX |
| 73706 | TC | A | Ct angio lwr extr w/ow/dye | 0.00 | 10.97 | N/A | 0.32 | 11.29 | N/A | XXX |
| 73718 | A | Mri lower extremity w/o dye | 1.35 | 11.66 | N/A | 0.36 | 13.37 | N/A | XXX | |
| 73718 | 26 | A | Mri lower extremity w/o dye | 1.35 | 0.45 | 0.45 | 0.04 | 1.84 | 1.84 | XXX |
| 73718 | TC | A | Mri lower extremity w/o dye | 0.00 | 11.21 | N/A | 0.32 | 11.53 | N/A | XXX |
| 73719 | A | Mri lower extremity w/dye | 1.62 | 13.99 | N/A | 0.44 | 16.05 | N/A | XXX | |
| 73719 | 26 | A | Mri lower extremity w/dye | 1.62 | 0.54 | 0.54 | 0.05 | 2.21 | 2.21 | XXX |
| 73719 | TC | A | Mri lower extremity w/dye | 0.00 | 13.44 | N/A | 0.39 | 13.83 | N/A | XXX |
| 73720 | A | Mri lwr extremity w/ow/dye | 2.15 | 25.61 | N/A | 0.78 | 28.54 | N/A | XXX | |
| 73720 | 26 | A | Mri lwr extremity w/ow/dye | 2.15 | 0.72 | 0.72 | 0.08 | 2.95 | 2.95 | XXX |
| 73720 | TC | A | Mri lwr extremity w/ow/dye | 0.00 | 24.89 | N/A | 0.70 | 25.59 | N/A | XXX |
| 73721 | A | Mri jnt of lwr extre w/o dye | 1.35 | 11.66 | N/A | 0.36 | 13.37 | N/A | XXX | |
| 73721 | 26 | A | Mri jnt of lwr extre w/o dye | 1.35 | 0.46 | 0.46 | 0.04 | 1.85 | 1.85 | XXX |
| 73721 | TC | A | Mri jnt of lwr extre w/o dye | 0.00 | 11.21 | N/A | 0.32 | 11.53 | N/A | XXX |
| 73722 | A | Mri joint of lwr extr w/dye | 1.62 | 13.99 | N/A | 0.45 | 16.06 | N/A | XXX | |
| 73722 | 26 | A | Mri joint of lwr extr w/dye | 1.62 | 0.55 | 0.55 | 0.06 | 2.23 | 2.23 | XXX |
| 73722 | TC | A | Mri joint of lwr extr w/dye | 0.00 | 13.44 | N/A | 0.39 | 13.83 | N/A | XXX |
| 73723 | A | Mri joint lwr extr w/ow/dye | 2.15 | 25.62 | N/A | 0.77 | 28.54 | N/A | XXX | |
| 73723 | 26 | A | Mri joint lwr extr w/ow/dye | 2.15 | 0.73 | 0.73 | 0.07 | 2.95 | 2.95 | XXX |
| 73723 | TC | A | Mri joint lwr extr w/ow/dye | 0.00 | 24.89 | N/A | 0.70 | 25.59 | N/A | XXX |
| 73725 | R | Mr ang lwr ext w or w/o dye | 1.82 | 11.82 | N/A | 0.57 | 14.21 | N/A | XXX | |
| 73725 | 26 | R | Mr ang lwr ext w or w/o dye | 1.82 | 0.61 | 0.61 | 0.08 | 2.51 | 2.51 | XXX |
| 73725 | TC | R | Mr ang lwr ext w or w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 74000 | A | X-ray exam of abdomen | 0.18 | 0.58 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 74000 | 26 | A | X-ray exam of abdomen | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 74000 | TC | A | X-ray exam of abdomen | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 74010 | A | X-ray exam of abdomen | 0.23 | 0.65 | N/A | 0.04 | 0.92 | N/A | XXX | |
| 74010 | 26 | A | X-ray exam of abdomen | 0.23 | 0.08 | 0.08 | 0.01 | 0.32 | 0.32 | XXX |
| 74010 | TC | A | X-ray exam of abdomen | 0.00 | 0.57 | N/A | 0.03 | 0.60 | N/A | XXX |
| 74020 | A | X-ray exam of abdomen | 0.27 | 0.71 | N/A | 0.04 | 1.02 | N/A | XXX | |
| 74020 | 26 | A | X-ray exam of abdomen | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | XXX |
| 74020 | TC | A | X-ray exam of abdomen | 0.00 | 0.62 | N/A | 0.03 | 0.65 | N/A | XXX |
| 74022 | A | X-ray exam series, abdomen | 0.32 | 0.84 | N/A | 0.05 | 1.21 | N/A | XXX | |
| 74022 | 26 | A | X-ray exam series, abdomen | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 74022 | TC | A | X-ray exam series, abdomen | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 74150 | A | Ct abdomen w/o dye | 1.19 | 6.06 | N/A | 0.30 | 7.55 | N/A | XXX | |
| 74150 | 26 | A | Ct abdomen w/o dye | 1.19 | 0.40 | 0.40 | 0.05 | 1.64 | 1.64 | XXX |
| 74150 | TC | A | Ct abdomen w/o dye | 0.00 | 5.66 | N/A | 0.25 | 5.91 | N/A | XXX |
| 74160 | A | Ct abdomen w/dye | 1.27 | 7.27 | N/A | 0.36 | 8.90 | N/A | XXX | |
| 74160 | 26 | A | Ct abdomen w/dye | 1.27 | 0.42 | 0.42 | 0.06 | 1.75 | 1.75 | XXX |
| 74160 | TC | A | Ct abdomen w/dye | 0.00 | 6.85 | N/A | 0.30 | 7.15 | N/A | XXX |
| 74170 | A | Ct abdomen w/ow/dye | 1.40 | 8.96 | N/A | 0.42 | 10.78 | N/A | XXX | |
| 74170 | 26 | A | Ct abdomen w/ow/dye | 1.40 | 0.47 | 0.47 | 0.06 | 1.93 | 1.93 | XXX |
| 74170 | TC | A | Ct abdomen w/ow/dye | 0.00 | 8.49 | N/A | 0.36 | 8.85 | N/A | XXX |
| 74175 | A | Ct angio abdom w/ow/dye | 1.90 | 12.67 | N/A | 0.38 | 14.95 | N/A | XXX | |
| 74175 | 26 | A | Ct angio abdom w/ow/dye | 1.90 | 0.64 | 0.64 | 0.06 | 2.60 | 2.60 | XXX |
| 74175 | TC | A | Ct angio abdom w/ow/dye | 0.00 | 12.03 | N/A | 0.32 | 12.35 | N/A | XXX |
| 74181 | A | Mri abdomen w/o dye | 1.46 | 11.70 | N/A | 0.43 | 13.59 | N/A | XXX | |
| 74181 | 26 | A | Mri abdomen w/o dye | 1.46 | 0.49 | 0.49 | 0.06 | 2.01 | 2.01 | XXX |
| 74181 | TC | A | Mri abdomen w/o dye | 0.00 | 11.21 | N/A | 0.37 | 11.58 | N/A | XXX |
| 74182 | A | Mri abdomen w/dye | 1.73 | 14.02 | N/A | 0.49 | 16.24 | N/A | XXX | |
| 74182 | 26 | A | Mri abdomen w/dye | 1.73 | 0.58 | 0.58 | 0.06 | 2.37 | 2.37 | XXX |
| 74182 | TC | A | Mri abdomen w/dye | 0.00 | 13.44 | N/A | 0.43 | 13.87 | N/A | XXX |
| 74183 | A | Mri abdomen w/ow/dye | 2.26 | 25.65 | N/A | 0.84 | 28.75 | N/A | XXX | |
| 74183 | 26 | A | Mri abdomen w/ow/dye | 2.26 | 0.76 | 0.76 | 0.08 | 3.10 | 3.10 | XXX |
| 74183 | TC | A | Mri abdomen w/ow/dye | 0.00 | 24.89 | N/A | 0.76 | 25.65 | N/A | XXX |
| 74185 | R | Mri angio, abdom w or w/o dy | 1.80 | 11.81 | N/A | 0.57 | 14.18 | N/A | XXX | |
| 74185 | 26 | R | Mri angio, abdom w or w/o dy | 1.80 | 0.60 | 0.60 | 0.08 | 2.48 | 2.48 | XXX |
| 74185 | TC | R | Mri angio, abdom w or w/o dy | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 74190 | A | X-ray exam of peritoneum | 0.48 | 1.47 | N/A | 0.08 | 2.03 | N/A | XXX | |
| 74190 | 26 | A | X-ray exam of peritoneum | 0.48 | 0.16 | 0.16 | 0.02 | 0.66 | 0.66 | XXX |
| 74190 | TC | A | X-ray exam of peritoneum | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 74210 | A | Contrst x-ray exam of throat | 0.36 | 1.31 | N/A | 0.07 | 1.74 | N/A | XXX | |
| 74210 | 26 | A | Contrst x-ray exam of throat | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74210 | TC | A | Contrst x-ray exam of throat | 0.00 | 1.19 | N/A | 0.05 | 1.24 | N/A | XXX |
| 74220 | A | Contrast x-ray, esophagus | 0.46 | 1.34 | N/A | 0.07 | 1.87 | N/A | XXX | |
| 74220 | 26 | A | Contrast x-ray, esophagus | 0.46 | 0.15 | 0.15 | 0.02 | 0.63 | 0.63 | XXX |
| 74220 | TC | A | Contrast x-ray, esophagus | 0.00 | 1.19 | N/A | 0.05 | 1.24 | N/A | XXX |
| 74230 | A | Cine/vid x-ray, throat/esoph | 0.53 | 1.48 | N/A | 0.08 | 2.09 | N/A | XXX | |
| 74230 | 26 | A | Cine/vid x-ray, throat/esoph | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 74230 | TC | A | Cine/vid x-ray, throat/esoph | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 74235 | A | Remove esophagus obstruction | 1.19 | 3.02 | N/A | 0.17 | 4.38 | N/A | XXX | |
| 74235 | 26 | A | Remove esophagus obstruction | 1.19 | 0.40 | 0.40 | 0.05 | 1.64 | 1.64 | XXX |
| 74235 | TC | A | Remove esophagus obstruction | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 74240 | A | X-ray exam, upper gi tract | 0.69 | 1.69 | N/A | 0.10 | 2.48 | N/A | XXX | |
| 74240 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 74240 | TC | A | X-ray exam, upper gi tract | 0.00 | 1.46 | N/A | 0.07 | 1.53 | N/A | XXX |
| 74241 | A | X-ray exam, upper gi tract | 0.69 | 1.72 | N/A | 0.10 | 2.51 | N/A | XXX | |
| 74241 | 26 | A | X-ray exam, upper gi tract | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 74241 | TC | A | X-ray exam, upper gi tract | 0.00 | 1.49 | N/A | 0.07 | 1.56 | N/A | XXX |
| 74245 | A | X-ray exam, upper gi tract | 0.91 | 2.68 | N/A | 0.15 | 3.74 | N/A | XXX | |
| 74245 | 26 | A | X-ray exam, upper gi tract | 0.91 | 0.30 | 0.30 | 0.04 | 1.25 | 1.25 | XXX |
| 74245 | TC | A | X-ray exam, upper gi tract | 0.00 | 2.38 | N/A | 0.11 | 2.49 | N/A | XXX |
| 74246 | A | Contrst x-ray uppr gi tract | 0.69 | 1.87 | N/A | 0.11 | 2.67 | N/A | XXX | |
| 74246 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 74246 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 1.64 | N/A | 0.08 | 1.72 | N/A | XXX |
| 74247 | A | Contrst x-ray uppr gi tract | 0.69 | 1.91 | N/A | 0.12 | 2.72 | N/A | XXX | |
| 74247 | 26 | A | Contrst x-ray uppr gi tract | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 74247 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 1.68 | N/A | 0.09 | 1.77 | N/A | XXX |
| 74249 | A | Contrst x-ray uppr gi tract | 0.91 | 2.88 | N/A | 0.16 | 3.95 | N/A | XXX | |
| 74249 | 26 | A | Contrst x-ray uppr gi tract | 0.91 | 0.30 | 0.30 | 0.04 | 1.25 | 1.25 | XXX |
| 74249 | TC | A | Contrst x-ray uppr gi tract | 0.00 | 2.57 | N/A | 0.12 | 2.69 | N/A | XXX |
| 74250 | A | X-ray exam of small bowel | 0.47 | 1.46 | N/A | 0.08 | 2.01 | N/A | XXX | |
| 74250 | 26 | A | X-ray exam of small bowel | 0.47 | 0.16 | 0.16 | 0.02 | 0.65 | 0.65 | XXX |
| 74250 | TC | A | X-ray exam of small bowel | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 74251 | A | X-ray exam of small bowel | 0.69 | 1.54 | N/A | 0.09 | 2.32 | N/A | XXX | |
| 74251 | 26 | A | X-ray exam of small bowel | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 74251 | TC | A | X-ray exam of small bowel | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 74260 | A | X-ray exam of small bowel | 0.50 | 1.66 | N/A | 0.09 | 2.25 | N/A | XXX | |
| 74260 | 26 | A | X-ray exam of small bowel | 0.50 | 0.17 | 0.17 | 0.02 | 0.69 | 0.69 | XXX |
| 74260 | TC | A | X-ray exam of small bowel | 0.00 | 1.49 | N/A | 0.07 | 1.56 | N/A | XXX |
| 74270 | A | Contrast x-ray exam of colon | 0.69 | 1.93 | N/A | 0.12 | 2.74 | N/A | XXX | |
| 74270 | 26 | A | Contrast x-ray exam of colon | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 74270 | TC | A | Contrast x-ray exam of colon | 0.00 | 1.70 | N/A | 0.09 | 1.79 | N/A | XXX |
| 74280 | A | Contrast x-ray exam of colon | 0.99 | 2.57 | N/A | 0.15 | 3.71 | N/A | XXX | |
| 74280 | 26 | A | Contrast x-ray exam of colon | 0.99 | 0.33 | 0.33 | 0.04 | 1.36 | 1.36 | XXX |
| 74280 | TC | A | Contrast x-ray exam of colon | 0.00 | 2.23 | N/A | 0.11 | 2.34 | N/A | XXX |
| 74283 | A | Contrast x-ray exam of colon | 2.02 | 3.24 | N/A | 0.21 | 5.47 | N/A | XXX | |
| 74283 | 26 | A | Contrast x-ray exam of colon | 2.02 | 0.68 | 0.68 | 0.09 | 2.79 | 2.79 | XXX |
| 74283 | TC | A | Contrast x-ray exam of colon | 0.00 | 2.56 | N/A | 0.12 | 2.68 | N/A | XXX |
| 74290 | A | Contrast x-ray, gallbladder | 0.32 | 0.84 | N/A | 0.05 | 1.21 | N/A | XXX | |
| 74290 | 26 | A | Contrast x-ray, gallbladder | 0.32 | 0.11 | 0.11 | 0.01 | 0.44 | 0.44 | XXX |
| 74290 | TC | A | Contrast x-ray, gallbladder | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 74291 | A | Contrast x-rays, gallbladder | 0.20 | 0.48 | N/A | 0.03 | 0.71 | N/A | XXX | |
| 74291 | 26 | A | Contrast x-rays, gallbladder | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 74291 | TC | A | Contrast x-rays, gallbladder | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 74300 | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 74300 | 26 | A | X-ray bile ducts/pancreas | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74300 | TC | C | X-ray bile ducts/pancreas | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 74301 | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 74301 | 26 | A | X-rays at surgery add-on | 0.21 | 0.07 | 0.07 | 0.01 | 0.29 | 0.29 | ZZZ |
| 74301 | TC | C | X-rays at surgery add-on | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 74305 | A | X-ray bile ducts/pancreas | 0.42 | 0.92 | N/A | 0.06 | 1.40 | N/A | XXX | |
| 74305 | 26 | A | X-ray bile ducts/pancreas | 0.42 | 0.14 | 0.14 | 0.02 | 0.58 | 0.58 | XXX |
| 74305 | TC | A | X-ray bile ducts/pancreas | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 74320 | A | Contrast x-ray of bile ducts | 0.54 | 3.33 | N/A | 0.16 | 4.03 | N/A | XXX | |
| 74320 | 26 | A | Contrast x-ray of bile ducts | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74320 | TC | A | Contrast x-ray of bile ducts | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74327 | A | X-ray bile stone removal | 0.70 | 1.99 | N/A | 0.12 | 2.81 | N/A | XXX | |
| 74327 | 26 | A | X-ray bile stone removal | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 74327 | TC | A | X-ray bile stone removal | 0.00 | 1.76 | N/A | 0.09 | 1.85 | N/A | XXX |
| 74328 | A | X-ray bile duct endoscopy | 0.70 | 3.39 | N/A | 0.17 | 4.26 | N/A | XXX | |
| 74328 | 26 | A | X-ray bile duct endoscopy | 0.70 | 0.24 | 0.24 | 0.03 | 0.97 | 0.97 | XXX |
| 74328 | TC | A | X-ray bile duct endoscopy | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74329 | A | X-ray for pancreas endoscopy | 0.70 | 3.39 | N/A | 0.17 | 4.26 | N/A | XXX | |
| 74329 | 26 | A | X-ray for pancreas endoscopy | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 74329 | TC | A | X-ray for pancreas endoscopy | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74330 | A | X-ray bile/panc endoscopy | 0.90 | 3.45 | N/A | 0.18 | 4.53 | N/A | XXX | |
| 74330 | 26 | A | X-ray bile/panc endoscopy | 0.90 | 0.30 | 0.30 | 0.04 | 1.24 | 1.24 | XXX |
| 74330 | TC | A | X-ray bile/panc endoscopy | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74340 | A | X-ray guide for GI tube | 0.54 | 2.80 | N/A | 0.14 | 3.48 | N/A | XXX | |
| 74340 | 26 | A | X-ray guide for GI tube | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74340 | TC | A | X-ray guide for GI tube | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 74350 | A | X-ray guide, stomach tube | 0.76 | 3.41 | N/A | 0.17 | 4.34 | N/A | XXX | |
| 74350 | 26 | A | X-ray guide, stomach tube | 0.76 | 0.25 | 0.25 | 0.03 | 1.04 | 1.04 | XXX |
| 74350 | TC | A | X-ray guide, stomach tube | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74355 | A | X-ray guide, intestinal tube | 0.76 | 2.87 | N/A | 0.15 | 3.78 | N/A | XXX | |
| 74355 | 26 | A | X-ray guide, intestinal tube | 0.76 | 0.25 | 0.25 | 0.03 | 1.04 | 1.04 | XXX |
| 74355 | TC | A | X-ray guide, intestinal tube | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 74360 | A | X-ray guide, GI dilation | 0.54 | 3.34 | N/A | 0.16 | 4.04 | N/A | XXX | |
| 74360 | 26 | A | X-ray guide, GI dilation | 0.54 | 0.19 | 0.19 | 0.02 | 0.75 | 0.75 | XXX |
| 74360 | TC | A | X-ray guide, GI dilation | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74363 | A | X-ray, bile duct dilation | 0.88 | 6.39 | N/A | 0.31 | 7.58 | N/A | XXX | |
| 74363 | 26 | A | X-ray, bile duct dilation | 0.88 | 0.29 | 0.29 | 0.04 | 1.21 | 1.21 | XXX |
| 74363 | TC | A | X-ray, bile duct dilation | 0.00 | 6.10 | N/A | 0.27 | 6.37 | N/A | XXX |
| 74400 | A | Contrst x-ray, urinary tract | 0.49 | 1.85 | N/A | 0.11 | 2.45 | N/A | XXX | |
| 74400 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 74400 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.68 | N/A | 0.09 | 1.77 | N/A | XXX |
| 74410 | A | Contrst x-ray, urinary tract | 0.49 | 2.12 | N/A | 0.11 | 2.72 | N/A | XXX | |
| 74410 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 74410 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.95 | N/A | 0.09 | 2.04 | N/A | XXX |
| 74415 | A | Contrst x-ray, urinary tract | 0.49 | 2.28 | N/A | 0.12 | 2.89 | N/A | XXX | |
| 74415 | 26 | A | Contrst x-ray, urinary tract | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 74415 | TC | A | Contrst x-ray, urinary tract | 0.00 | 2.12 | N/A | 0.10 | 2.22 | N/A | XXX |
| 74420 | A | Contrst x-ray, urinary tract | 0.36 | 2.74 | N/A | 0.14 | 3.24 | N/A | XXX | |
| 74420 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74420 | TC | A | Contrst x-ray, urinary tract | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 74425 | A | Contrst x-ray, urinary tract | 0.36 | 1.43 | N/A | 0.08 | 1.87 | N/A | XXX | |
| 74425 | 26 | A | Contrst x-ray, urinary tract | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 74425 | TC | A | Contrst x-ray, urinary tract | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 74430 | A | Contrast x-ray, bladder | 0.32 | 1.16 | N/A | 0.07 | 1.55 | N/A | XXX | |
| 74430 | 26 | A | Contrast x-ray, bladder | 0.32 | 0.11 | 0.11 | 0.02 | 0.45 | 0.45 | XXX |
| 74430 | TC | A | Contrast x-ray, bladder | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 74440 | A | X-ray, male genital tract | 0.38 | 1.26 | N/A | 0.07 | 1.71 | N/A | XXX | |
| 74440 | 26 | A | X-ray, male genital tract | 0.38 | 0.12 | 0.12 | 0.02 | 0.52 | 0.52 | XXX |
| 74440 | TC | A | X-ray, male genital tract | 0.00 | 1.13 | N/A | 0.05 | 1.18 | N/A | XXX |
| 74445 | A | X-ray exam of penis | 1.14 | 1.51 | N/A | 0.10 | 2.75 | N/A | XXX | |
| 74445 | 26 | A | X-ray exam of penis | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 74445 | TC | A | X-ray exam of penis | 0.00 | 1.13 | N/A | 0.05 | 1.18 | N/A | XXX |
| 74450 | A | X-ray, urethra/bladder | 0.33 | 1.57 | N/A | 0.09 | 1.99 | N/A | XXX | |
| 74450 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.11 | 0.02 | 0.46 | 0.46 | XXX |
| 74450 | TC | A | X-ray, urethra/bladder | 0.00 | 1.46 | N/A | 0.07 | 1.53 | N/A | XXX |
| 74455 | A | X-ray, urethra/bladder | 0.33 | 1.69 | N/A | 0.10 | 2.12 | N/A | XXX | |
| 74455 | 26 | A | X-ray, urethra/bladder | 0.33 | 0.11 | 0.11 | 0.02 | 0.46 | 0.46 | XXX |
| 74455 | TC | A | X-ray, urethra/bladder | 0.00 | 1.58 | N/A | 0.08 | 1.66 | N/A | XXX |
| 74470 | A | X-ray exam of kidney lesion | 0.54 | 1.43 | N/A | 0.08 | 2.05 | N/A | XXX | |
| 74470 | 26 | A | X-ray exam of kidney lesion | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74470 | TC | A | X-ray exam of kidney lesion | 0.00 | 1.25 | N/A | 0.06 | 1.31 | N/A | XXX |
| 74475 | A | X-ray control, cath insert | 0.54 | 4.25 | N/A | 0.20 | 4.99 | N/A | XXX | |
| 74475 | 26 | A | X-ray control, cath insert | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74475 | TC | A | X-ray control, cath insert | 0.00 | 4.07 | N/A | 0.18 | 4.25 | N/A | XXX |
| 74480 | A | X-ray control, cath insert | 0.54 | 4.25 | N/A | 0.20 | 4.99 | N/A | XXX | |
| 74480 | 26 | A | X-ray control, cath insert | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 74480 | TC | A | X-ray control, cath insert | 0.00 | 4.07 | N/A | 0.18 | 4.25 | N/A | XXX |
| 74485 | A | X-ray guide, GU dilation | 0.54 | 3.33 | N/A | 0.17 | 4.04 | N/A | XXX | |
| 74485 | 26 | A | X-ray guide, GU dilation | 0.54 | 0.18 | 0.18 | 0.03 | 0.75 | 0.75 | XXX |
| 74485 | TC | A | X-ray guide, GU dilation | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74710 | A | X-ray measurement of pelvis | 0.34 | 1.17 | N/A | 0.07 | 1.58 | N/A | XXX | |
| 74710 | 26 | A | X-ray measurement of pelvis | 0.34 | 0.11 | 0.11 | 0.02 | 0.47 | 0.47 | XXX |
| 74710 | TC | A | X-ray measurement of pelvis | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 74740 | A | X-ray, female genital tract | 0.38 | 1.43 | N/A | 0.08 | 1.89 | N/A | XXX | |
| 74740 | 26 | A | X-ray, female genital tract | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 74740 | TC | A | X-ray, female genital tract | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 74742 | A | X-ray, fallopian tube | 0.61 | 3.36 | N/A | 0.16 | 4.13 | N/A | XXX | |
| 74742 | 26 | A | X-ray, fallopian tube | 0.61 | 0.21 | 0.21 | 0.02 | 0.84 | 0.84 | XXX |
| 74742 | TC | A | X-ray, fallopian tube | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 74775 | A | X-ray exam of perineum | 0.62 | 1.67 | N/A | 0.10 | 2.39 | N/A | XXX | |
| 74775 | 26 | A | X-ray exam of perineum | 0.62 | 0.21 | 0.21 | 0.03 | 0.86 | 0.86 | XXX |
| 74775 | TC | A | X-ray exam of perineum | 0.00 | 1.46 | N/A | 0.07 | 1.53 | N/A | XXX |
| 75552 | A | Heart mri for morph w/o dye | 1.60 | 11.75 | N/A | 0.56 | 13.91 | N/A | XXX | |
| 75552 | 26 | A | Heart mri for morph w/o dye | 1.60 | 0.54 | 0.54 | 0.07 | 2.21 | 2.21 | XXX |
| 75552 | TC | A | Heart mri for morph w/o dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 75553 | A | Heart mri for morph w/dye | 2.00 | 11.88 | N/A | 0.58 | 14.46 | N/A | XXX | |
| 75553 | 26 | A | Heart mri for morph w/dye | 2.00 | 0.67 | 0.67 | 0.09 | 2.76 | 2.76 | XXX |
| 75553 | TC | A | Heart mri for morph w/dye | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 75554 | A | Cardiac MRI/function | 1.83 | 11.87 | N/A | 0.56 | 14.26 | N/A | XXX | |
| 75554 | 26 | A | Cardiac MRI/function | 1.83 | 0.66 | 0.66 | 0.07 | 2.56 | 2.56 | XXX |
| 75554 | TC | A | Cardiac MRI/function | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 75555 | A | Cardiac MRI/limited study | 1.74 | 11.86 | N/A | 0.56 | 14.16 | N/A | XXX | |
| 75555 | 26 | A | Cardiac MRI/limited study | 1.74 | 0.65 | 0.65 | 0.07 | 2.46 | 2.46 | XXX |
| 75555 | TC | A | Cardiac MRI/limited study | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 75600 | A | Contrast x-ray exam of aorta | 0.49 | 12.79 | N/A | 0.56 | 13.84 | N/A | XXX | |
| 75600 | 26 | A | Contrast x-ray exam of aorta | 0.49 | 0.19 | 0.19 | 0.02 | 0.70 | 0.70 | XXX |
| 75600 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75605 | A | Contrast x-ray exam of aorta | 1.14 | 13.01 | N/A | 0.59 | 14.74 | N/A | XXX | |
| 75605 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.41 | 0.41 | 0.05 | 1.60 | 1.60 | XXX |
| 75605 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75625 | A | Contrast x-ray exam of aorta | 1.14 | 12.99 | N/A | 0.59 | 14.72 | N/A | XXX | |
| 75625 | 26 | A | Contrast x-ray exam of aorta | 1.14 | 0.39 | 0.39 | 0.05 | 1.58 | 1.58 | XXX |
| 75625 | TC | A | Contrast x-ray exam of aorta | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75630 | A | X-ray aorta, leg arteries | 1.79 | 13.76 | N/A | 0.65 | 16.20 | N/A | XXX | |
| 75630 | 26 | A | X-ray aorta, leg arteries | 1.79 | 0.63 | 0.63 | 0.08 | 2.50 | 2.50 | XXX |
| 75630 | TC | A | X-ray aorta, leg arteries | 0.00 | 13.13 | N/A | 0.57 | 13.70 | N/A | XXX |
| 75635 | A | Ct angio abdominal arteries | 2.40 | 16.73 | N/A | 0.41 | 19.54 | N/A | XXX | |
| 75635 | 26 | A | Ct angio abdominal arteries | 2.40 | 0.81 | 0.81 | 0.09 | 3.30 | 3.30 | XXX |
| 75635 | TC | A | Ct angio abdominal arteries | 0.00 | 15.92 | N/A | 0.32 | 16.24 | N/A | XXX |
| 75650 | A | Artery x-rays, head neck | 1.49 | 13.10 | N/A | 0.61 | 15.20 | N/A | XXX | |
| 75650 | 26 | A | Artery x-rays, head neck | 1.49 | 0.50 | 0.50 | 0.07 | 2.06 | 2.06 | XXX |
| 75650 | TC | A | Artery x-rays, head neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75658 | A | Artery x-rays, arm | 1.31 | 13.08 | N/A | 0.60 | 14.99 | N/A | XXX | |
| 75658 | 26 | A | Artery x-rays, arm | 1.31 | 0.48 | 0.48 | 0.06 | 1.85 | 1.85 | XXX |
| 75658 | TC | A | Artery x-rays, arm | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75660 | A | Artery x-rays, head neck | 1.31 | 13.05 | N/A | 0.60 | 14.96 | N/A | XXX | |
| 75660 | 26 | A | Artery x-rays, head neck | 1.31 | 0.45 | 0.45 | 0.06 | 1.82 | 1.82 | XXX |
| 75660 | TC | A | Artery x-rays, head neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75662 | A | Artery x-rays, head neck | 1.66 | 13.21 | N/A | 0.62 | 15.49 | N/A | XXX | |
| 75662 | 26 | A | Artery x-rays, head neck | 1.66 | 0.61 | 0.61 | 0.08 | 2.35 | 2.35 | XXX |
| 75662 | TC | A | Artery x-rays, head neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75665 | A | Artery x-rays, head neck | 1.31 | 13.05 | N/A | 0.61 | 14.97 | N/A | XXX | |
| 75665 | 26 | A | Artery x-rays, head neck | 1.31 | 0.45 | 0.45 | 0.07 | 1.83 | 1.83 | XXX |
| 75665 | TC | A | Artery x-rays, head neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75671 | A | Artery x-rays, head neck | 1.66 | 13.16 | N/A | 0.62 | 15.44 | N/A | XXX | |
| 75671 | 26 | A | Artery x-rays, head neck | 1.66 | 0.56 | 0.56 | 0.08 | 2.30 | 2.30 | XXX |
| 75671 | TC | A | Artery x-rays, head neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75676 | A | Artery x-rays, neck | 1.31 | 13.05 | N/A | 0.61 | 14.97 | N/A | XXX | |
| 75676 | 26 | A | Artery x-rays, neck | 1.31 | 0.45 | 0.45 | 0.07 | 1.83 | 1.83 | XXX |
| 75676 | TC | A | Artery x-rays, neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75680 | A | Artery x-rays, neck | 1.66 | 13.16 | N/A | 0.62 | 15.44 | N/A | XXX | |
| 75680 | 26 | A | Artery x-rays, neck | 1.66 | 0.56 | 0.56 | 0.08 | 2.30 | 2.30 | XXX |
| 75680 | TC | A | Artery x-rays, neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75685 | A | Artery x-rays, spine | 1.31 | 13.05 | N/A | 0.60 | 14.96 | N/A | XXX | |
| 75685 | 26 | A | Artery x-rays, spine | 1.31 | 0.44 | 0.44 | 0.06 | 1.81 | 1.81 | XXX |
| 75685 | TC | A | Artery x-rays, spine | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75705 | A | Artery x-rays, spine | 2.18 | 13.35 | N/A | 0.65 | 16.18 | N/A | XXX | |
| 75705 | 26 | A | Artery x-rays, spine | 2.18 | 0.75 | 0.75 | 0.11 | 3.04 | 3.04 | XXX |
| 75705 | TC | A | Artery x-rays, spine | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75710 | A | Artery x-rays, arm/leg | 1.14 | 13.00 | N/A | 0.60 | 14.74 | N/A | XXX | |
| 75710 | 26 | A | Artery x-rays, arm/leg | 1.14 | 0.39 | 0.39 | 0.06 | 1.59 | 1.59 | XXX |
| 75710 | TC | A | Artery x-rays, arm/leg | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75716 | A | Artery x-rays, arms/legs | 1.31 | 13.04 | N/A | 0.60 | 14.95 | N/A | XXX | |
| 75716 | 26 | A | Artery x-rays, arms/legs | 1.31 | 0.44 | 0.44 | 0.06 | 1.81 | 1.81 | XXX |
| 75716 | TC | A | Artery x-rays, arms/legs | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75722 | A | Artery x-rays, kidney | 1.14 | 13.01 | N/A | 0.59 | 14.74 | N/A | XXX | |
| 75722 | 26 | A | Artery x-rays, kidney | 1.14 | 0.41 | 0.41 | 0.05 | 1.60 | 1.60 | XXX |
| 75722 | TC | A | Artery x-rays, kidney | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75724 | A | Artery x-rays, kidneys | 1.49 | 13.17 | N/A | 0.59 | 15.25 | N/A | XXX | |
| 75724 | 26 | A | Artery x-rays, kidneys | 1.49 | 0.57 | 0.57 | 0.05 | 2.11 | 2.11 | XXX |
| 75724 | TC | A | Artery x-rays, kidneys | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75726 | A | Artery x-rays, abdomen | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75726 | 26 | A | Artery x-rays, abdomen | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75726 | TC | A | Artery x-rays, abdomen | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75731 | A | Artery x-rays, adrenal gland | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75731 | 26 | A | Artery x-rays, adrenal gland | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75731 | TC | A | Artery x-rays, adrenal gland | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75733 | A | Artery x-rays, adrenals | 1.31 | 13.05 | N/A | 0.60 | 14.96 | N/A | XXX | |
| 75733 | 26 | A | Artery x-rays, adrenals | 1.31 | 0.45 | 0.45 | 0.06 | 1.82 | 1.82 | XXX |
| 75733 | TC | A | Artery x-rays, adrenals | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75736 | A | Artery x-rays, pelvis | 1.14 | 12.99 | N/A | 0.59 | 14.72 | N/A | XXX | |
| 75736 | 26 | A | Artery x-rays, pelvis | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75736 | TC | A | Artery x-rays, pelvis | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75741 | A | Artery x-rays, lung | 1.31 | 13.04 | N/A | 0.60 | 14.95 | N/A | XXX | |
| 75741 | 26 | A | Artery x-rays, lung | 1.31 | 0.44 | 0.44 | 0.06 | 1.81 | 1.81 | XXX |
| 75741 | TC | A | Artery x-rays, lung | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75743 | A | Artery x-rays, lungs | 1.66 | 13.16 | N/A | 0.61 | 15.43 | N/A | XXX | |
| 75743 | 26 | A | Artery x-rays, lungs | 1.66 | 0.56 | 0.56 | 0.07 | 2.29 | 2.29 | XXX |
| 75743 | TC | A | Artery x-rays, lungs | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75746 | A | Artery x-rays, lung | 1.14 | 12.99 | N/A | 0.59 | 14.72 | N/A | XXX | |
| 75746 | 26 | A | Artery x-rays, lung | 1.14 | 0.39 | 0.39 | 0.05 | 1.58 | 1.58 | XXX |
| 75746 | TC | A | Artery x-rays, lung | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75756 | A | Artery x-rays, chest | 1.14 | 13.06 | N/A | 0.58 | 14.78 | N/A | XXX | |
| 75756 | 26 | A | Artery x-rays, chest | 1.14 | 0.46 | 0.46 | 0.04 | 1.64 | 1.64 | XXX |
| 75756 | TC | A | Artery x-rays, chest | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75774 | A | Artery x-ray, each vessel | 0.36 | 12.73 | N/A | 0.56 | 13.65 | N/A | ZZZ | |
| 75774 | 26 | A | Artery x-ray, each vessel | 0.36 | 0.13 | 0.13 | 0.02 | 0.51 | 0.51 | ZZZ |
| 75774 | TC | A | Artery x-ray, each vessel | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | ZZZ |
| 75790 | A | Visualize A-V shunt | 1.84 | 1.97 | N/A | 0.16 | 3.97 | N/A | XXX | |
| 75790 | 26 | A | Visualize A-V shunt | 1.84 | 0.62 | 0.62 | 0.09 | 2.55 | 2.55 | XXX |
| 75790 | TC | A | Visualize A-V shunt | 0.00 | 1.35 | N/A | 0.07 | 1.42 | N/A | XXX |
| 75801 | A | Lymph vessel x-ray, arm/leg | 0.81 | 5.69 | N/A | 0.29 | 6.79 | N/A | XXX | |
| 75801 | 26 | A | Lymph vessel x-ray, arm/leg | 0.81 | 0.27 | 0.27 | 0.05 | 1.13 | 1.13 | XXX |
| 75801 | TC | A | Lymph vessel x-ray, arm/leg | 0.00 | 5.42 | N/A | 0.24 | 5.66 | N/A | XXX |
| 75803 | A | Lymph vessel x-ray,arms/legs | 1.17 | 5.81 | N/A | 0.29 | 7.27 | N/A | XXX | |
| 75803 | 26 | A | Lymph vessel x-ray,arms/legs | 1.17 | 0.39 | 0.39 | 0.05 | 1.61 | 1.61 | XXX |
| 75803 | TC | A | Lymph vessel x-ray,arms/legs | 0.00 | 5.42 | N/A | 0.24 | 5.66 | N/A | XXX |
| 75805 | A | Lymph vessel x-ray, trunk | 0.81 | 6.38 | N/A | 0.31 | 7.50 | N/A | XXX | |
| 75805 | 26 | A | Lymph vessel x-ray, trunk | 0.81 | 0.27 | 0.27 | 0.04 | 1.12 | 1.12 | XXX |
| 75805 | TC | A | Lymph vessel x-ray, trunk | 0.00 | 6.10 | N/A | 0.27 | 6.37 | N/A | XXX |
| 75807 | A | Lymph vessel x-ray, trunk | 1.17 | 6.49 | N/A | 0.32 | 7.98 | N/A | XXX | |
| 75807 | 26 | A | Lymph vessel x-ray, trunk | 1.17 | 0.39 | 0.39 | 0.05 | 1.61 | 1.61 | XXX |
| 75807 | TC | A | Lymph vessel x-ray, trunk | 0.00 | 6.10 | N/A | 0.27 | 6.37 | N/A | XXX |
| 75809 | A | Nonvascular shunt, x-ray | 0.47 | 0.94 | N/A | 0.06 | 1.47 | N/A | XXX | |
| 75809 | 26 | A | Nonvascular shunt, x-ray | 0.47 | 0.16 | 0.16 | 0.02 | 0.65 | 0.65 | XXX |
| 75809 | TC | A | Nonvascular shunt, x-ray | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 75810 | A | Vein x-ray, spleen/liver | 1.14 | 12.98 | N/A | 0.60 | 14.72 | N/A | XXX | |
| 75810 | 26 | A | Vein x-ray, spleen/liver | 1.14 | 0.38 | 0.38 | 0.06 | 1.58 | 1.58 | XXX |
| 75810 | TC | A | Vein x-ray, spleen/liver | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75820 | A | Vein x-ray, arm/leg | 0.70 | 1.18 | N/A | 0.08 | 1.96 | N/A | XXX | |
| 75820 | 26 | A | Vein x-ray, arm/leg | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 75820 | TC | A | Vein x-ray, arm/leg | 0.00 | 0.95 | N/A | 0.05 | 1.00 | N/A | XXX |
| 75822 | A | Vein x-ray, arms/legs | 1.06 | 1.83 | N/A | 0.12 | 3.01 | N/A | XXX | |
| 75822 | 26 | A | Vein x-ray, arms/legs | 1.06 | 0.35 | 0.35 | 0.05 | 1.46 | 1.46 | XXX |
| 75822 | TC | A | Vein x-ray, arms/legs | 0.00 | 1.48 | N/A | 0.07 | 1.55 | N/A | XXX |
| 75825 | A | Vein x-ray, trunk | 1.14 | 12.98 | N/A | 0.60 | 14.72 | N/A | XXX | |
| 75825 | 26 | A | Vein x-ray, trunk | 1.14 | 0.38 | 0.38 | 0.06 | 1.58 | 1.58 | XXX |
| 75825 | TC | A | Vein x-ray, trunk | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75827 | A | Vein x-ray, chest | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75827 | 26 | A | Vein x-ray, chest | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75827 | TC | A | Vein x-ray, chest | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75831 | A | Vein x-ray, kidney | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75831 | 26 | A | Vein x-ray, kidney | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75831 | TC | A | Vein x-ray, kidney | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75833 | A | Vein x-ray, kidneys | 1.49 | 13.10 | N/A | 0.61 | 15.20 | N/A | XXX | |
| 75833 | 26 | A | Vein x-ray, kidneys | 1.49 | 0.50 | 0.50 | 0.07 | 2.06 | 2.06 | XXX |
| 75833 | TC | A | Vein x-ray, kidneys | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75840 | A | Vein x-ray, adrenal gland | 1.14 | 12.99 | N/A | 0.61 | 14.74 | N/A | XXX | |
| 75840 | 26 | A | Vein x-ray, adrenal gland | 1.14 | 0.39 | 0.39 | 0.07 | 1.60 | 1.60 | XXX |
| 75840 | TC | A | Vein x-ray, adrenal gland | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75842 | A | Vein x-ray, adrenal glands | 1.49 | 13.10 | N/A | 0.61 | 15.20 | N/A | XXX | |
| 75842 | 26 | A | Vein x-ray, adrenal glands | 1.49 | 0.50 | 0.50 | 0.07 | 2.06 | 2.06 | XXX |
| 75842 | TC | A | Vein x-ray, adrenal glands | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75860 | A | Vein x-ray, neck | 1.14 | 13.00 | N/A | 0.60 | 14.74 | N/A | XXX | |
| 75860 | 26 | A | Vein x-ray, neck | 1.14 | 0.40 | 0.40 | 0.06 | 1.60 | 1.60 | XXX |
| 75860 | TC | A | Vein x-ray, neck | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75870 | A | Vein x-ray, skull | 1.14 | 13.00 | N/A | 0.60 | 14.74 | N/A | XXX | |
| 75870 | 26 | A | Vein x-ray, skull | 1.14 | 0.40 | 0.40 | 0.06 | 1.60 | 1.60 | XXX |
| 75870 | TC | A | Vein x-ray, skull | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75872 | A | Vein x-ray, skull | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75872 | 26 | A | Vein x-ray, skull | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75872 | TC | A | Vein x-ray, skull | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75880 | A | Vein x-ray, eye socket | 0.70 | 1.18 | N/A | 0.08 | 1.96 | N/A | XXX | |
| 75880 | 26 | A | Vein x-ray, eye socket | 0.70 | 0.24 | 0.24 | 0.03 | 0.97 | 0.97 | XXX |
| 75880 | TC | A | Vein x-ray, eye socket | 0.00 | 0.95 | N/A | 0.05 | 1.00 | N/A | XXX |
| 75885 | A | Vein x-ray, liver | 1.44 | 13.08 | N/A | 0.60 | 15.12 | N/A | XXX | |
| 75885 | 26 | A | Vein x-ray, liver | 1.44 | 0.48 | 0.48 | 0.06 | 1.98 | 1.98 | XXX |
| 75885 | TC | A | Vein x-ray, liver | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75887 | A | Vein x-ray, liver | 1.44 | 13.08 | N/A | 0.60 | 15.12 | N/A | XXX | |
| 75887 | 26 | A | Vein x-ray, liver | 1.44 | 0.48 | 0.48 | 0.06 | 1.98 | 1.98 | XXX |
| 75887 | TC | A | Vein x-ray, liver | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75889 | A | Vein x-ray, liver | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75889 | 26 | A | Vein x-ray, liver | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75889 | TC | A | Vein x-ray, liver | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75891 | A | Vein x-ray, liver | 1.14 | 12.98 | N/A | 0.59 | 14.71 | N/A | XXX | |
| 75891 | 26 | A | Vein x-ray, liver | 1.14 | 0.38 | 0.38 | 0.05 | 1.57 | 1.57 | XXX |
| 75891 | TC | A | Vein x-ray, liver | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75893 | A | Venous sampling by catheter | 0.54 | 12.78 | N/A | 0.56 | 13.88 | N/A | XXX | |
| 75893 | 26 | A | Venous sampling by catheter | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 75893 | TC | A | Venous sampling by catheter | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75894 | A | X-rays, transcath therapy | 1.31 | 24.58 | N/A | 1.12 | 27.01 | N/A | XXX | |
| 75894 | 26 | A | X-rays, transcath therapy | 1.31 | 0.44 | 0.44 | 0.07 | 1.82 | 1.82 | XXX |
| 75894 | TC | A | X-rays, transcath therapy | 0.00 | 24.14 | N/A | 1.05 | 25.19 | N/A | XXX |
| 75896 | A | X-rays, transcath therapy | 1.31 | 21.45 | N/A | 0.97 | 23.73 | N/A | XXX | |
| 75896 | 26 | A | X-rays, transcath therapy | 1.31 | 0.46 | 0.46 | 0.06 | 1.83 | 1.83 | XXX |
| 75896 | TC | A | X-rays, transcath therapy | 0.00 | 20.99 | N/A | 0.91 | 21.90 | N/A | XXX |
| 75898 | A | Follow-up angiography | 1.65 | 1.62 | N/A | 0.12 | 3.39 | N/A | XXX | |
| 75898 | 26 | A | Follow-up angiography | 1.65 | 0.56 | 0.56 | 0.07 | 2.28 | 2.28 | XXX |
| 75898 | TC | A | Follow-up angiography | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 75900 | A | Arterial catheter exchange | 0.49 | 21.14 | N/A | 0.94 | 22.57 | N/A | XXX | |
| 75900 | 26 | A | Arterial catheter exchange | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 75900 | TC | A | Arterial catheter exchange | 0.00 | 20.98 | N/A | 0.92 | 21.90 | N/A | XXX |
| 75901 | A | Remove cva device obstruct | 0.49 | 1.47 | N/A | 0.71 | 2.67 | N/A | XXX | |
| 75901 | 26 | A | Remove cva device obstruct | 0.49 | 0.16 | 0.16 | 0.02 | 0.67 | 0.67 | XXX |
| 75901 | TC | A | Remove cva device obstruct | 0.00 | 1.31 | N/A | 0.69 | 2.00 | N/A | XXX |
| 75902 | A | Remove cva lumen obstruct | 0.39 | 1.44 | N/A | 0.71 | 2.54 | N/A | XXX | |
| 75902 | 26 | A | Remove cva lumen obstruct | 0.39 | 0.13 | 0.13 | 0.02 | 0.54 | 0.54 | XXX |
| 75902 | TC | A | Remove cva lumen obstruct | 0.00 | 1.31 | N/A | 0.69 | 2.00 | N/A | XXX |
| 75940 | A | X-ray placement, vein filter | 0.54 | 12.78 | N/A | 0.57 | 13.89 | N/A | XXX | |
| 75940 | 26 | A | X-ray placement, vein filter | 0.54 | 0.18 | 0.18 | 0.03 | 0.75 | 0.75 | XXX |
| 75940 | TC | A | X-ray placement, vein filter | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | XXX |
| 75945 | A | Intravascular us | 0.40 | 4.71 | N/A | 0.23 | 5.34 | N/A | XXX | |
| 75945 | 26 | A | Intravascular us | 0.40 | 0.14 | 0.14 | 0.03 | 0.57 | 0.57 | XXX |
| 75945 | TC | A | Intravascular us | 0.00 | 4.56 | N/A | 0.20 | 4.76 | N/A | XXX |
| 75946 | A | Intravascular us add-on | 0.40 | 2.43 | N/A | 0.14 | 2.97 | N/A | ZZZ | |
| 75946 | 26 | A | Intravascular us add-on | 0.40 | 0.14 | 0.14 | 0.03 | 0.57 | 0.57 | ZZZ |
| 75946 | TC | A | Intravascular us add-on | 0.00 | 2.29 | N/A | 0.11 | 2.40 | N/A | ZZZ |
| 75952 | C | Endovasc repair abdom aorta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75952 | 26 | A | Endovasc repair abdom aorta | 4.50 | 1.52 | 1.52 | 0.68 | 6.70 | 6.70 | XXX |
| 75952 | TC | C | Endovasc repair abdom aorta | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75953 | C | Abdom aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75953 | 26 | A | Abdom aneurysm endovas rpr | 1.36 | 0.46 | 0.46 | 0.68 | 2.50 | 2.50 | XXX |
| 75953 | TC | C | Abdom aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75954 | C | Iliac aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 75954 | 26 | A | Iliac aneurysm endovas rpr | 1.36 | 0.48 | 0.48 | 0.68 | 2.52 | 2.52 | XXX |
| 75954 | TC | C | Iliac aneurysm endovas rpr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 75960 | A | Transcatheter intro, stent | 0.82 | 15.19 | N/A | 0.68 | 16.69 | N/A | XXX | |
| 75960 | 26 | A | Transcatheter intro, stent | 0.82 | 0.29 | 0.29 | 0.04 | 1.15 | 1.15 | XXX |
| 75960 | TC | A | Transcatheter intro, stent | 0.00 | 14.90 | N/A | 0.64 | 15.54 | N/A | XXX |
| 75961 | A | Retrieval, broken catheter | 4.25 | 11.93 | N/A | 0.64 | 16.82 | N/A | XXX | |
| 75961 | 26 | A | Retrieval, broken catheter | 4.25 | 1.43 | 1.43 | 0.18 | 5.86 | 5.86 | XXX |
| 75961 | TC | A | Retrieval, broken catheter | 0.00 | 10.50 | N/A | 0.46 | 10.96 | N/A | XXX |
| 75962 | A | Repair arterial blockage | 0.54 | 15.93 | N/A | 0.72 | 17.19 | N/A | XXX | |
| 75962 | 26 | A | Repair arterial blockage | 0.54 | 0.19 | 0.19 | 0.03 | 0.76 | 0.76 | XXX |
| 75962 | TC | A | Repair arterial blockage | 0.00 | 15.74 | N/A | 0.69 | 16.43 | N/A | XXX |
| 75964 | A | Repair artery blockage, each | 0.36 | 8.52 | N/A | 0.38 | 9.26 | N/A | ZZZ | |
| 75964 | 26 | A | Repair artery blockage, each | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | ZZZ |
| 75964 | TC | A | Repair artery blockage, each | 0.00 | 8.39 | N/A | 0.36 | 8.75 | N/A | ZZZ |
| 75966 | A | Repair arterial blockage | 1.31 | 16.22 | N/A | 0.75 | 18.28 | N/A | XXX | |
| 75966 | 26 | A | Repair arterial blockage | 1.31 | 0.47 | 0.47 | 0.06 | 1.84 | 1.84 | XXX |
| 75966 | TC | A | Repair arterial blockage | 0.00 | 15.74 | N/A | 0.69 | 16.43 | N/A | XXX |
| 75968 | A | Repair artery blockage, each | 0.36 | 8.53 | N/A | 0.37 | 9.26 | N/A | ZZZ | |
| 75968 | 26 | A | Repair artery blockage, each | 0.36 | 0.13 | 0.13 | 0.01 | 0.50 | 0.50 | ZZZ |
| 75968 | TC | A | Repair artery blockage, each | 0.00 | 8.39 | N/A | 0.36 | 8.75 | N/A | ZZZ |
| 75970 | A | Vascular biopsy | 0.83 | 11.83 | N/A | 0.54 | 13.20 | N/A | XXX | |
| 75970 | 26 | A | Vascular biopsy | 0.83 | 0.29 | 0.29 | 0.04 | 1.16 | 1.16 | XXX |
| 75970 | TC | A | Vascular biopsy | 0.00 | 11.55 | N/A | 0.50 | 12.05 | N/A | XXX |
| 75978 | A | Repair venous blockage | 0.54 | 15.92 | N/A | 0.71 | 17.17 | N/A | XXX | |
| 75978 | 26 | A | Repair venous blockage | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 75978 | TC | A | Repair venous blockage | 0.00 | 15.74 | N/A | 0.69 | 16.43 | N/A | XXX |
| 75980 | A | Contrast xray exam bile duct | 1.44 | 5.89 | N/A | 0.30 | 7.63 | N/A | XXX | |
| 75980 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.48 | 0.48 | 0.06 | 1.98 | 1.98 | XXX |
| 75980 | TC | A | Contrast xray exam bile duct | 0.00 | 5.42 | N/A | 0.24 | 5.66 | N/A | XXX |
| 75982 | A | Contrast xray exam bile duct | 1.44 | 6.58 | N/A | 0.33 | 8.35 | N/A | XXX | |
| 75982 | 26 | A | Contrast xray exam bile duct | 1.44 | 0.48 | 0.48 | 0.06 | 1.98 | 1.98 | XXX |
| 75982 | TC | A | Contrast xray exam bile duct | 0.00 | 6.10 | N/A | 0.27 | 6.37 | N/A | XXX |
| 75984 | A | Xray control catheter change | 0.72 | 2.19 | N/A | 0.12 | 3.03 | N/A | XXX | |
| 75984 | 26 | A | Xray control catheter change | 0.72 | 0.24 | 0.24 | 0.03 | 0.99 | 0.99 | XXX |
| 75984 | TC | A | Xray control catheter change | 0.00 | 1.95 | N/A | 0.09 | 2.04 | N/A | XXX |
| 75989 | A | Abscess drainage under x-ray | 1.19 | 3.55 | N/A | 0.19 | 4.93 | N/A | XXX | |
| 75989 | 26 | A | Abscess drainage under x-ray | 1.19 | 0.40 | 0.40 | 0.05 | 1.64 | 1.64 | XXX |
| 75989 | TC | A | Abscess drainage under x-ray | 0.00 | 3.15 | N/A | 0.14 | 3.29 | N/A | XXX |
| 75992 | A | Atherectomy, x-ray exam | 0.54 | 15.94 | N/A | 0.71 | 17.19 | N/A | XXX | |
| 75992 | 26 | A | Atherectomy, x-ray exam | 0.54 | 0.19 | 0.19 | 0.02 | 0.75 | 0.75 | XXX |
| 75992 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.74 | N/A | 0.69 | 16.43 | N/A | XXX |
| 75993 | A | Atherectomy, x-ray exam | 0.36 | 8.53 | N/A | 0.37 | 9.26 | N/A | ZZZ | |
| 75993 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.14 | 0.14 | 0.01 | 0.51 | 0.51 | ZZZ |
| 75993 | TC | A | Atherectomy, x-ray exam | 0.00 | 8.39 | N/A | 0.36 | 8.75 | N/A | ZZZ |
| 75994 | A | Atherectomy, x-ray exam | 1.31 | 16.22 | N/A | 0.75 | 18.28 | N/A | XXX | |
| 75994 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.47 | 0.47 | 0.06 | 1.84 | 1.84 | XXX |
| 75994 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.74 | N/A | 0.69 | 16.43 | N/A | XXX |
| 75995 | A | Atherectomy, x-ray exam | 1.31 | 16.23 | N/A | 0.75 | 18.29 | N/A | XXX | |
| 75995 | 26 | A | Atherectomy, x-ray exam | 1.31 | 0.48 | 0.48 | 0.06 | 1.85 | 1.85 | XXX |
| 75995 | TC | A | Atherectomy, x-ray exam | 0.00 | 15.74 | N/A | 0.69 | 16.43 | N/A | XXX |
| 75996 | A | Atherectomy, x-ray exam | 0.36 | 8.52 | N/A | 0.37 | 9.25 | N/A | ZZZ | |
| 75996 | 26 | A | Atherectomy, x-ray exam | 0.36 | 0.12 | 0.12 | 0.01 | 0.49 | 0.49 | ZZZ |
| 75996 | TC | A | Atherectomy, x-ray exam | 0.00 | 8.39 | N/A | 0.36 | 8.75 | N/A | ZZZ |
| 76000 | A | Fluoroscope examination | 0.17 | 1.36 | N/A | 0.07 | 1.60 | N/A | XXX | |
| 76000 | 26 | A | Fluoroscope examination | 0.17 | 0.05 | 0.05 | 0.01 | 0.23 | 0.23 | XXX |
| 76000 | TC | A | Fluoroscope examination | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76001 | A | Fluoroscope exam, extensive | 0.67 | 2.85 | N/A | 0.15 | 3.67 | N/A | XXX | |
| 76001 | 26 | A | Fluoroscope exam, extensive | 0.67 | 0.23 | 0.23 | 0.03 | 0.93 | 0.93 | XXX |
| 76001 | TC | A | Fluoroscope exam, extensive | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 76003 | A | Needle localization by x-ray | 0.54 | 1.48 | N/A | 0.09 | 2.11 | N/A | XXX | |
| 76003 | 26 | A | Needle localization by x-ray | 0.54 | 0.17 | 0.17 | 0.03 | 0.74 | 0.74 | XXX |
| 76003 | TC | A | Needle localization by x-ray | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76005 | A | Fluoroguide for spine inject | 0.60 | 1.46 | N/A | 0.09 | 2.15 | N/A | XXX | |
| 76005 | 26 | A | Fluoroguide for spine inject | 0.60 | 0.16 | 0.16 | 0.03 | 0.79 | 0.79 | XXX |
| 76005 | TC | A | Fluoroguide for spine inject | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76006 | A | X-ray stress view | 0.41 | 0.19 | 0.19 | 0.04 | 0.64 | 0.64 | XXX | |
| 76010 | A | X-ray, nose to rectum | 0.18 | 0.58 | N/A | 0.03 | 0.79 | N/A | XXX | |
| 76010 | 26 | A | X-ray, nose to rectum | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX |
| 76010 | TC | A | X-ray, nose to rectum | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 76012 | C | Percut vertebroplasty fluor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76012 | 26 | A | Percut vertebroplasty fluor | 1.31 | 0.48 | 0.48 | 0.23 | 2.02 | 2.02 | XXX |
| 76012 | TC | C | Percut vertebroplasty fluor | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76013 | C | Percut vertebroplasty, ct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76013 | 26 | A | Percut vertebroplasty, ct | 1.38 | 0.49 | 0.49 | 0.48 | 2.35 | 2.35 | XXX |
| 76013 | TC | C | Percut vertebroplasty, ct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76020 | A | X-rays for bone age | 0.19 | 0.59 | N/A | 0.03 | 0.81 | N/A | XXX | |
| 76020 | 26 | A | X-rays for bone age | 0.19 | 0.06 | 0.06 | 0.01 | 0.26 | 0.26 | XXX |
| 76020 | TC | A | X-rays for bone age | 0.00 | 0.52 | N/A | 0.02 | 0.54 | N/A | XXX |
| 76040 | A | X-rays, bone evaluation | 0.27 | 0.88 | N/A | 0.07 | 1.22 | N/A | XXX | |
| 76040 | 26 | A | X-rays, bone evaluation | 0.27 | 0.09 | 0.09 | 0.03 | 0.39 | 0.39 | XXX |
| 76040 | TC | A | X-rays, bone evaluation | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | XXX |
| 76061 | A | X-rays, bone survey | 0.45 | 1.15 | N/A | 0.07 | 1.67 | N/A | XXX | |
| 76061 | 26 | A | X-rays, bone survey | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 76061 | TC | A | X-rays, bone survey | 0.00 | 1.00 | N/A | 0.05 | 1.05 | N/A | XXX |
| 76062 | A | X-rays, bone survey | 0.54 | 1.62 | N/A | 0.09 | 2.25 | N/A | XXX | |
| 76062 | 26 | A | X-rays, bone survey | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 76062 | TC | A | X-rays, bone survey | 0.00 | 1.44 | N/A | 0.07 | 1.51 | N/A | XXX |
| 76065 | A | X-rays, bone evaluation | 0.70 | 0.97 | N/A | 0.05 | 1.72 | N/A | XXX | |
| 76065 | 26 | A | X-rays, bone evaluation | 0.70 | 0.24 | 0.24 | 0.01 | 0.95 | 0.95 | XXX |
| 76065 | TC | A | X-rays, bone evaluation | 0.00 | 0.73 | N/A | 0.04 | 0.77 | N/A | XXX |
| 76066 | A | Joint survey, single view | 0.31 | 1.22 | N/A | 0.07 | 1.60 | N/A | XXX | |
| 76066 | 26 | A | Joint survey, single view | 0.31 | 0.11 | 0.11 | 0.02 | 0.44 | 0.44 | XXX |
| 76066 | TC | A | Joint survey, single view | 0.00 | 1.11 | N/A | 0.05 | 1.16 | N/A | XXX |
| 76070 | A | Ct bone density, axial | 0.25 | 3.03 | N/A | 0.14 | 3.42 | N/A | XXX | |
| 76070 | 26 | A | Ct bone density, axial | 0.25 | 0.08 | 0.08 | 0.01 | 0.34 | 0.34 | XXX |
| 76070 | TC | A | Ct bone density, axial | 0.00 | 2.95 | N/A | 0.13 | 3.08 | N/A | XXX |
| 76071 | A | Ct bone density, peripheral | 0.22 | 3.02 | N/A | 0.05 | 3.29 | N/A | XXX | |
| 76071 | 26 | A | Ct bone density, peripheral | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| 76071 | TC | A | Ct bone density, peripheral | 0.00 | 2.95 | N/A | 0.04 | 2.99 | N/A | XXX |
| 76075 | A | Dexa, axial skeleton study | 0.30 | 3.20 | N/A | 0.15 | 3.65 | N/A | XXX | |
| 76075 | 26 | A | Dexa, axial skeleton study | 0.30 | 0.10 | 0.10 | 0.01 | 0.41 | 0.41 | XXX |
| 76075 | TC | A | Dexa, axial skeleton study | 0.00 | 3.09 | N/A | 0.14 | 3.23 | N/A | XXX |
| 76076 | A | Dexa, peripheral study | 0.22 | 0.83 | N/A | 0.05 | 1.10 | N/A | XXX | |
| 76076 | 26 | A | Dexa, peripheral study | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 76076 | TC | A | Dexa, peripheral study | 0.00 | 0.75 | N/A | 0.04 | 0.79 | N/A | XXX |
| 76078 | A | Radiographic absorptiometry | 0.20 | 0.83 | N/A | 0.05 | 1.08 | N/A | XXX | |
| 76078 | 26 | A | Radiographic absorptiometry | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 76078 | TC | A | Radiographic absorptiometry | 0.00 | 0.75 | N/A | 0.04 | 0.79 | N/A | XXX |
| 76080 | A | X-ray exam of fistula | 0.54 | 1.23 | N/A | 0.07 | 1.84 | N/A | XXX | |
| 76080 | 26 | A | X-ray exam of fistula | 0.54 | 0.18 | 0.18 | 0.02 | 0.74 | 0.74 | XXX |
| 76080 | TC | A | X-ray exam of fistula | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 76085 | A | Computer mammogram add-on | 0.06 | 0.44 | N/A | 0.02 | 0.52 | N/A | ZZZ | |
| 76085 | 26 | A | Computer mammogram add-on | 0.06 | 0.02 | 0.02 | 0.01 | 0.09 | 0.09 | ZZZ |
| 76085 | TC | A | Computer mammogram add-on | 0.00 | 0.42 | N/A | 0.01 | 0.43 | N/A | ZZZ |
| 76086 | A | X-ray of mammary duct | 0.36 | 2.74 | N/A | 0.14 | 3.24 | N/A | XXX | |
| 76086 | 26 | A | X-ray of mammary duct | 0.36 | 0.12 | 0.12 | 0.02 | 0.50 | 0.50 | XXX |
| 76086 | TC | A | X-ray of mammary duct | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 76088 | A | X-ray of mammary ducts | 0.45 | 3.82 | N/A | 0.18 | 4.45 | N/A | XXX | |
| 76088 | 26 | A | X-ray of mammary ducts | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 76088 | TC | A | X-ray of mammary ducts | 0.00 | 3.67 | N/A | 0.16 | 3.83 | N/A | XXX |
| 76090 | A | Mammogram, one breast | 0.70 | 1.29 | N/A | 0.08 | 2.07 | N/A | XXX | |
| 76090 | 26 | A | Mammogram, one breast | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 76090 | TC | A | Mammogram, one breast | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 76091 | A | Mammogram, both breasts | 0.87 | 1.60 | N/A | 0.09 | 2.56 | N/A | XXX | |
| 76091 | 26 | A | Mammogram, both breasts | 0.87 | 0.29 | 0.29 | 0.03 | 1.19 | 1.19 | XXX |
| 76091 | TC | A | Mammogram, both breasts | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76092 | A | Mammogram, screening | 0.70 | 1.46 | N/A | 0.09 | 2.25 | N/A | XXX | |
| 76092 | 26 | A | Mammogram, screening | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 76092 | TC | A | Mammogram, screening | 0.00 | 1.23 | N/A | 0.06 | 1.29 | N/A | XXX |
| 76093 | A | Magnetic image, breast | 1.63 | 18.18 | N/A | 0.83 | 20.64 | N/A | XXX | |
| 76093 | 26 | A | Magnetic image, breast | 1.63 | 0.55 | 0.55 | 0.07 | 2.25 | 2.25 | XXX |
| 76093 | TC | A | Magnetic image, breast | 0.00 | 17.63 | N/A | 0.76 | 18.39 | N/A | XXX |
| 76094 | A | Magnetic image, both breasts | 1.63 | 24.46 | N/A | 1.10 | 27.19 | N/A | XXX | |
| 76094 | 26 | A | Magnetic image, both breasts | 1.63 | 0.55 | 0.55 | 0.07 | 2.25 | 2.25 | XXX |
| 76094 | TC | A | Magnetic image, both breasts | 0.00 | 23.92 | N/A | 1.03 | 24.95 | N/A | XXX |
| 76095 | A | Stereotactic breast biopsy | 1.59 | 7.70 | N/A | 0.40 | 9.69 | N/A | XXX | |
| 76095 | 26 | A | Stereotactic breast biopsy | 1.59 | 0.54 | 0.54 | 0.09 | 2.22 | 2.22 | XXX |
| 76095 | TC | A | Stereotactic breast biopsy | 0.00 | 7.17 | N/A | 0.31 | 7.48 | N/A | XXX |
| 76096 | A | X-ray of needle wire, breast | 0.56 | 1.49 | N/A | 0.09 | 2.14 | N/A | XXX | |
| 76096 | 26 | A | X-ray of needle wire, breast | 0.56 | 0.19 | 0.19 | 0.03 | 0.78 | 0.78 | XXX |
| 76096 | TC | A | X-ray of needle wire, breast | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76098 | A | X-ray exam, breast specimen | 0.16 | 0.47 | N/A | 0.03 | 0.66 | N/A | XXX | |
| 76098 | 26 | A | X-ray exam, breast specimen | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 76098 | TC | A | X-ray exam, breast specimen | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX |
| 76100 | A | X-ray exam of body section | 0.58 | 1.44 | N/A | 0.09 | 2.11 | N/A | XXX | |
| 76100 | 26 | A | X-ray exam of body section | 0.58 | 0.19 | 0.19 | 0.03 | 0.80 | 0.80 | XXX |
| 76100 | TC | A | X-ray exam of body section | 0.00 | 1.25 | N/A | 0.06 | 1.31 | N/A | XXX |
| 76101 | A | Complex body section x-ray | 0.58 | 1.62 | N/A | 0.10 | 2.30 | N/A | XXX | |
| 76101 | 26 | A | Complex body section x-ray | 0.58 | 0.19 | 0.19 | 0.03 | 0.80 | 0.80 | XXX |
| 76101 | TC | A | Complex body section x-ray | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76102 | A | Complex body section x-rays | 0.58 | 1.93 | N/A | 0.12 | 2.63 | N/A | XXX | |
| 76102 | 26 | A | Complex body section x-rays | 0.58 | 0.20 | 0.20 | 0.03 | 0.81 | 0.81 | XXX |
| 76102 | TC | A | Complex body section x-rays | 0.00 | 1.73 | N/A | 0.09 | 1.82 | N/A | XXX |
| 76120 | A | Cine/video x-rays | 0.38 | 1.19 | N/A | 0.07 | 1.64 | N/A | XXX | |
| 76120 | 26 | A | Cine/video x-rays | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 76120 | TC | A | Cine/video x-rays | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 76125 | A | Cine/video x-rays add-on | 0.27 | 0.88 | N/A | 0.05 | 1.20 | N/A | ZZZ | |
| 76125 | 26 | A | Cine/video x-rays add-on | 0.27 | 0.09 | 0.09 | 0.01 | 0.37 | 0.37 | ZZZ |
| 76125 | TC | A | Cine/video x-rays add-on | 0.00 | 0.78 | N/A | 0.04 | 0.82 | N/A | ZZZ |
| 76140 | I | X-ray consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76150 | A | X-ray exam, dry process | 0.00 | 0.42 | N/A | 0.02 | 0.44 | N/A | XXX | |
| 76350 | C | Special x-ray contrast study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76355 | A | CAT scan for localization | 1.21 | 8.67 | N/A | 0.41 | 10.29 | N/A | XXX | |
| 76355 | 26 | A | CAT scan for localization | 1.21 | 0.41 | 0.41 | 0.06 | 1.68 | 1.68 | XXX |
| 76355 | TC | A | CAT scan for localization | 0.00 | 8.26 | N/A | 0.35 | 8.61 | N/A | XXX |
| 76360 | A | CAT scan for needle biopsy | 1.16 | 8.65 | N/A | 0.40 | 10.21 | N/A | XXX | |
| 76360 | 26 | A | CAT scan for needle biopsy | 1.16 | 0.39 | 0.39 | 0.05 | 1.60 | 1.60 | XXX |
| 76360 | TC | A | CAT scan for needle biopsy | 0.00 | 8.26 | N/A | 0.35 | 8.61 | N/A | XXX |
| 76362 | A | Cat scan for tissue ablation | 4.00 | 9.59 | N/A | 1.39 | 14.98 | N/A | XXX | |
| 76362 | 26 | A | Cat scan for tissue ablation | 4.00 | 1.33 | 1.33 | 0.18 | 5.51 | 5.51 | XXX |
| 76362 | TC | A | Cat scan for tissue ablation | 0.00 | 8.26 | N/A | 1.21 | 9.47 | N/A | XXX |
| 76370 | A | CAT scan for therapy guide | 0.85 | 3.23 | N/A | 0.17 | 4.25 | N/A | XXX | |
| 76370 | 26 | A | CAT scan for therapy guide | 0.85 | 0.28 | 0.28 | 0.04 | 1.17 | 1.17 | XXX |
| 76370 | TC | A | CAT scan for therapy guide | 0.00 | 2.95 | N/A | 0.13 | 3.08 | N/A | XXX |
| 76375 | A | 3d/holograph reconstr add-on | 0.16 | 3.59 | N/A | 0.16 | 3.91 | N/A | XXX | |
| 76375 | 26 | A | 3d/holograph reconstr add-on | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 76375 | TC | A | 3d/holograph reconstr add-on | 0.00 | 3.54 | N/A | 0.15 | 3.69 | N/A | XXX |
| 76380 | A | CAT scan follow-up study | 0.98 | 3.83 | N/A | 0.19 | 5.00 | N/A | XXX | |
| 76380 | 26 | A | CAT scan follow-up study | 0.98 | 0.33 | 0.33 | 0.04 | 1.35 | 1.35 | XXX |
| 76380 | TC | A | CAT scan follow-up study | 0.00 | 3.50 | N/A | 0.15 | 3.65 | N/A | XXX |
| 76390 | N | Mr spectroscopy | 1.40 | 11.68 | N/A | 0.55 | 13.63 | N/A | XXX | |
| 76390 | 26 | N | Mr spectroscopy | 1.40 | 0.47 | 0.47 | 0.06 | 1.93 | 1.93 | XXX |
| 76390 | TC | N | Mr spectroscopy | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 76393 | A | Mr guidance for needle place | 1.50 | 11.72 | N/A | 0.53 | 13.75 | N/A | XXX | |
| 76393 | 26 | A | Mr guidance for needle place | 1.50 | 0.51 | 0.51 | 0.07 | 2.08 | 2.08 | XXX |
| 76393 | TC | A | Mr guidance for needle place | 0.00 | 11.21 | N/A | 0.46 | 11.67 | N/A | XXX |
| 76394 | A | Mri for tissue ablation | 4.25 | 12.63 | N/A | 1.48 | 18.36 | N/A | XXX | |
| 76394 | 26 | A | Mri for tissue ablation | 4.25 | 1.42 | 1.42 | 0.19 | 5.86 | 5.86 | XXX |
| 76394 | TC | A | Mri for tissue ablation | 0.00 | 11.21 | N/A | 1.29 | 12.50 | N/A | XXX |
| 76400 | A | Magnetic image, bone marrow | 1.60 | 11.74 | N/A | 0.56 | 13.90 | N/A | XXX | |
| 76400 | 26 | A | Magnetic image, bone marrow | 1.60 | 0.54 | 0.54 | 0.07 | 2.21 | 2.21 | XXX |
| 76400 | TC | A | Magnetic image, bone marrow | 0.00 | 11.21 | N/A | 0.49 | 11.70 | N/A | XXX |
| 76490 | A | Us for tissue ablation | 4.00 | 2.85 | N/A | 0.35 | 7.20 | N/A | XXX | |
| 76490 | 26 | A | Us for tissue ablation | 4.00 | 1.33 | 1.33 | 0.11 | 5.44 | 5.44 | XXX |
| 76490 | TC | A | Us for tissue ablation | 0.00 | 1.52 | N/A | 0.24 | 1.76 | N/A | XXX |
| 76496 | C | Fluoroscopic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76496 | 26 | C | Fluoroscopic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76496 | TC | C | Fluoroscopic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76497 | C | Ct procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76497 | 26 | C | Ct procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76497 | TC | C | Ct procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76498 | C | Mri procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76498 | 26 | C | Mri procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76498 | TC | C | Mri procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76499 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76499 | 26 | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76499 | TC | C | Radiographic procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76506 | A | Echo exam of head | 0.63 | 1.67 | N/A | 0.10 | 2.40 | N/A | XXX | |
| 76506 | 26 | A | Echo exam of head | 0.63 | 0.25 | 0.25 | 0.03 | 0.91 | 0.91 | XXX |
| 76506 | TC | A | Echo exam of head | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76511 | A | Echo exam of eye | 0.94 | 1.12 | N/A | 0.08 | 2.14 | N/A | XXX | |
| 76511 | 26 | A | Echo exam of eye | 0.94 | 0.41 | 0.41 | 0.02 | 1.37 | 1.37 | XXX |
| 76511 | TC | A | Echo exam of eye | 0.00 | 0.71 | N/A | 0.06 | 0.77 | N/A | XXX |
| 76512 | A | Echo exam of eye | 0.66 | 1.04 | N/A | 0.09 | 1.79 | N/A | XXX | |
| 76512 | 26 | A | Echo exam of eye | 0.66 | 0.30 | 0.30 | 0.01 | 0.97 | 0.97 | XXX |
| 76512 | TC | A | Echo exam of eye | 0.00 | 0.74 | N/A | 0.08 | 0.82 | N/A | XXX |
| 76513 | A | Echo exam of eye, water bath | 0.66 | 1.12 | N/A | 0.09 | 1.87 | N/A | XXX | |
| 76513 | 26 | A | Echo exam of eye, water bath | 0.66 | 0.30 | 0.30 | 0.01 | 0.97 | 0.97 | XXX |
| 76513 | TC | A | Echo exam of eye, water bath | 0.00 | 0.82 | N/A | 0.08 | 0.90 | N/A | XXX |
| 76516 | A | Echo exam of eye | 0.54 | 0.74 | N/A | 0.07 | 1.35 | N/A | XXX | |
| 76516 | 26 | A | Echo exam of eye | 0.54 | 0.25 | 0.25 | 0.01 | 0.80 | 0.80 | XXX |
| 76516 | TC | A | Echo exam of eye | 0.00 | 0.49 | N/A | 0.06 | 0.55 | N/A | XXX |
| 76519 | A | Echo exam of eye | 0.54 | 0.83 | N/A | 0.07 | 1.44 | N/A | XXX | |
| 76519 | 26 | A | Echo exam of eye | 0.54 | 0.25 | 0.25 | 0.01 | 0.80 | 0.80 | XXX |
| 76519 | TC | A | Echo exam of eye | 0.00 | 0.58 | N/A | 0.06 | 0.64 | N/A | XXX |
| 76529 | A | Echo exam of eye | 0.57 | 0.78 | N/A | 0.08 | 1.43 | N/A | XXX | |
| 76529 | 26 | A | Echo exam of eye | 0.57 | 0.25 | 0.25 | 0.01 | 0.83 | 0.83 | XXX |
| 76529 | TC | A | Echo exam of eye | 0.00 | 0.53 | N/A | 0.07 | 0.60 | N/A | XXX |
| 76536 | A | Us exam of head and neck | 0.56 | 1.61 | N/A | 0.09 | 2.26 | N/A | XXX | |
| 76536 | 26 | A | Us exam of head and neck | 0.56 | 0.19 | 0.19 | 0.02 | 0.77 | 0.77 | XXX |
| 76536 | TC | A | Us exam of head and neck | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76604 | A | Us exam, chest, b-scan | 0.55 | 1.49 | N/A | 0.08 | 2.12 | N/A | XXX | |
| 76604 | 26 | A | Us exam, chest, b-scan | 0.55 | 0.18 | 0.18 | 0.02 | 0.75 | 0.75 | XXX |
| 76604 | TC | A | Us exam, chest, b-scan | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76645 | A | Us exam, breast(s) | 0.54 | 1.23 | N/A | 0.08 | 1.85 | N/A | XXX | |
| 76645 | 26 | A | Us exam, breast(s) | 0.54 | 0.18 | 0.18 | 0.03 | 0.75 | 0.75 | XXX |
| 76645 | TC | A | Us exam, breast(s) | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 76700 | A | Us exam, abdom, complete | 0.81 | 2.24 | N/A | 0.13 | 3.18 | N/A | XXX | |
| 76700 | 26 | A | Us exam, abdom, complete | 0.81 | 0.27 | 0.27 | 0.04 | 1.12 | 1.12 | XXX |
| 76700 | TC | A | Us exam, abdom, complete | 0.00 | 1.97 | N/A | 0.09 | 2.06 | N/A | XXX |
| 76705 | A | Echo exam of abdomen | 0.59 | 1.62 | N/A | 0.10 | 2.31 | N/A | XXX | |
| 76705 | 26 | A | Echo exam of abdomen | 0.59 | 0.20 | 0.20 | 0.03 | 0.82 | 0.82 | XXX |
| 76705 | TC | A | Echo exam of abdomen | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76770 | A | Us exam abdo back wall, comp | 0.74 | 2.22 | N/A | 0.12 | 3.08 | N/A | XXX | |
| 76770 | 26 | A | Us exam abdo back wall, comp | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 76770 | TC | A | Us exam abdo back wall, comp | 0.00 | 1.97 | N/A | 0.09 | 2.06 | N/A | XXX |
| 76775 | A | Us eam abdo back wall, lim | 0.58 | 1.62 | N/A | 0.10 | 2.30 | N/A | XXX | |
| 76775 | 26 | A | Us eam abdo back wall, lim | 0.58 | 0.19 | 0.19 | 0.03 | 0.80 | 0.80 | XXX |
| 76775 | TC | A | Us eam abdo back wall, lim | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76778 | A | Us exam kidney transplant | 0.74 | 2.22 | N/A | 0.12 | 3.08 | N/A | XXX | |
| 76778 | 26 | A | Us exam kidney transplant | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 76778 | TC | A | Us exam kidney transplant | 0.00 | 1.97 | N/A | 0.09 | 2.06 | N/A | XXX |
| 76800 | A | Us exam, spinal canal | 1.13 | 1.77 | N/A | 0.11 | 3.01 | N/A | XXX | |
| 76800 | 26 | A | Us exam, spinal canal | 1.13 | 0.35 | 0.35 | 0.04 | 1.52 | 1.52 | XXX |
| 76800 | TC | A | Us exam, spinal canal | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76801 | A | Ob us 14 wks, single fetus | 0.99 | 2.45 | N/A | 0.14 | 3.58 | N/A | XXX | |
| 76801 | 26 | A | Ob us 14 wks, single fetus | 0.99 | 0.35 | 0.35 | 0.04 | 1.38 | 1.38 | XXX |
| 76801 | TC | A | Ob us 14 wks, single fetus | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 76802 | A | Ob us 14 wks, addl fetus | 0.83 | 1.35 | N/A | 0.14 | 2.32 | N/A | ZZZ | |
| 76802 | 26 | A | Ob us 14 wks, addl fetus | 0.83 | 0.29 | 0.29 | 0.04 | 1.16 | 1.16 | ZZZ |
| 76802 | TC | A | Ob us 14 wks, addl fetus | 0.00 | 1.05 | N/A | 0.10 | 1.15 | N/A | ZZZ |
| 76805 | A | Ob us /= 14 wks, sngl fetus | 0.99 | 2.45 | N/A | 0.14 | 3.58 | N/A | XXX | |
| 76805 | 26 | A | Ob us /= 14 wks, sngl fetus | 0.99 | 0.35 | 0.35 | 0.04 | 1.38 | 1.38 | XXX |
| 76805 | TC | A | Ob us /= 14 wks, sngl fetus | 0.00 | 2.10 | N/A | 0.10 | 2.20 | N/A | XXX |
| 76810 | A | Ob us /= 14 wks, addl fetus | 0.98 | 1.41 | N/A | 0.25 | 2.64 | N/A | ZZZ | |
| 76810 | 26 | A | Ob us /= 14 wks, addl fetus | 0.98 | 0.35 | 0.35 | 0.07 | 1.40 | 1.40 | ZZZ |
| 76810 | TC | A | Ob us /= 14 wks, addl fetus | 0.00 | 1.05 | N/A | 0.18 | 1.23 | N/A | ZZZ |
| 76811 | A | Ob us, detailed, sngl fetus | 1.90 | 4.20 | N/A | 0.51 | 6.61 | N/A | XXX | |
| 76811 | 26 | A | Ob us, detailed, sngl fetus | 1.90 | 0.67 | 0.67 | 0.15 | 2.72 | 2.72 | XXX |
| 76811 | TC | A | Ob us, detailed, sngl fetus | 0.00 | 3.53 | N/A | 0.36 | 3.89 | N/A | XXX |
| 76812 | A | Ob us, detailed, addl fetus | 1.78 | 1.70 | N/A | 0.46 | 3.94 | N/A | ZZZ | |
| 76812 | 26 | A | Ob us, detailed, addl fetus | 1.78 | 0.64 | 0.64 | 0.12 | 2.54 | 2.54 | ZZZ |
| 76812 | TC | A | Ob us, detailed, addl fetus | 0.00 | 1.05 | N/A | 0.34 | 1.39 | N/A | ZZZ |
| 76815 | A | Ob us, limited, fetus(s) | 0.65 | 1.66 | N/A | 0.09 | 2.40 | N/A | XXX | |
| 76815 | 26 | A | Ob us, limited, fetus(s) | 0.65 | 0.24 | 0.24 | 0.02 | 0.91 | 0.91 | XXX |
| 76815 | TC | A | Ob us, limited, fetus(s) | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76816 | A | Ob us, follow-up, per fetus | 0.85 | 1.43 | N/A | 0.07 | 2.35 | N/A | XXX | |
| 76816 | 26 | A | Ob us, follow-up, per fetus | 0.85 | 0.32 | 0.32 | 0.02 | 1.19 | 1.19 | XXX |
| 76816 | TC | A | Ob us, follow-up, per fetus | 0.00 | 1.11 | N/A | 0.05 | 1.16 | N/A | XXX |
| 76817 | A | Transvaginal us, obstetric | 0.75 | 1.80 | N/A | 0.07 | 2.62 | N/A | XXX | |
| 76817 | 26 | A | Transvaginal us, obstetric | 0.75 | 0.28 | 0.28 | 0.02 | 1.05 | 1.05 | XXX |
| 76817 | TC | A | Transvaginal us, obstetric | 0.00 | 1.52 | N/A | 0.05 | 1.57 | N/A | XXX |
| 76818 | A | Fetal biophys profile w/nst | 1.05 | 2.01 | N/A | 0.12 | 3.18 | N/A | XXX | |
| 76818 | 26 | A | Fetal biophys profile w/nst | 1.05 | 0.40 | 0.40 | 0.04 | 1.49 | 1.49 | XXX |
| 76818 | TC | A | Fetal biophys profile w/nst | 0.00 | 1.61 | N/A | 0.08 | 1.69 | N/A | XXX |
| 76819 | A | Fetal biophys profil w/o nst | 0.77 | 1.90 | N/A | 0.10 | 2.77 | N/A | XXX | |
| 76819 | 26 | A | Fetal biophys profil w/o nst | 0.77 | 0.29 | 0.29 | 0.02 | 1.08 | 1.08 | XXX |
| 76819 | TC | A | Fetal biophys profil w/o nst | 0.00 | 1.61 | N/A | 0.08 | 1.69 | N/A | XXX |
| 76825 | A | Echo exam of fetal heart | 1.67 | 2.59 | N/A | 0.15 | 4.41 | N/A | XXX | |
| 76825 | 26 | A | Echo exam of fetal heart | 1.67 | 0.62 | 0.62 | 0.06 | 2.35 | 2.35 | XXX |
| 76825 | TC | A | Echo exam of fetal heart | 0.00 | 1.97 | N/A | 0.09 | 2.06 | N/A | XXX |
| 76826 | A | Echo exam of fetal heart | 0.83 | 1.00 | N/A | 0.07 | 1.90 | N/A | XXX | |
| 76826 | 26 | A | Echo exam of fetal heart | 0.83 | 0.30 | 0.30 | 0.03 | 1.16 | 1.16 | XXX |
| 76826 | TC | A | Echo exam of fetal heart | 0.00 | 0.71 | N/A | 0.04 | 0.75 | N/A | XXX |
| 76827 | A | Echo exam of fetal heart | 0.58 | 1.94 | N/A | 0.12 | 2.64 | N/A | XXX | |
| 76827 | 26 | A | Echo exam of fetal heart | 0.58 | 0.22 | 0.22 | 0.02 | 0.82 | 0.82 | XXX |
| 76827 | TC | A | Echo exam of fetal heart | 0.00 | 1.72 | N/A | 0.10 | 1.82 | N/A | XXX |
| 76828 | A | Echo exam of fetal heart | 0.56 | 1.33 | N/A | 0.09 | 1.98 | N/A | XXX | |
| 76828 | 26 | A | Echo exam of fetal heart | 0.56 | 0.22 | 0.22 | 0.02 | 0.80 | 0.80 | XXX |
| 76828 | TC | A | Echo exam of fetal heart | 0.00 | 1.11 | N/A | 0.07 | 1.18 | N/A | XXX |
| 76830 | A | Transvaginal us, non-ob | 0.69 | 1.75 | N/A | 0.11 | 2.55 | N/A | XXX | |
| 76830 | 26 | A | Transvaginal us, non-ob | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 76830 | TC | A | Transvaginal us, non-ob | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76831 | A | Echo exam, uterus | 0.72 | 1.78 | N/A | 0.10 | 2.60 | N/A | XXX | |
| 76831 | 26 | A | Echo exam, uterus | 0.72 | 0.26 | 0.26 | 0.02 | 1.00 | 1.00 | XXX |
| 76831 | TC | A | Echo exam, uterus | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76856 | A | Us exam, pelvic, complete | 0.69 | 1.75 | N/A | 0.11 | 2.55 | N/A | XXX | |
| 76856 | 26 | A | Us exam, pelvic, complete | 0.69 | 0.23 | 0.23 | 0.03 | 0.95 | 0.95 | XXX |
| 76856 | TC | A | Us exam, pelvic, complete | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76857 | A | Us exam, pelvic, limited | 0.38 | 1.68 | N/A | 0.07 | 2.13 | N/A | XXX | |
| 76857 | 26 | A | Us exam, pelvic, limited | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 76857 | TC | A | Us exam, pelvic, limited | 0.00 | 1.55 | N/A | 0.05 | 1.60 | N/A | XXX |
| 76870 | A | Us exam, scrotum | 0.64 | 1.73 | N/A | 0.11 | 2.48 | N/A | XXX | |
| 76870 | 26 | A | Us exam, scrotum | 0.64 | 0.21 | 0.21 | 0.03 | 0.88 | 0.88 | XXX |
| 76870 | TC | A | Us exam, scrotum | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76872 | A | Echo exam, transrectal | 0.69 | 1.97 | N/A | 0.12 | 2.78 | N/A | XXX | |
| 76872 | 26 | A | Echo exam, transrectal | 0.69 | 0.23 | 0.23 | 0.04 | 0.96 | 0.96 | XXX |
| 76872 | TC | A | Echo exam, transrectal | 0.00 | 1.75 | N/A | 0.08 | 1.83 | N/A | XXX |
| 76873 | A | Echograp trans r, pros study | 1.55 | 2.61 | N/A | 0.21 | 4.37 | N/A | XXX | |
| 76873 | 26 | A | Echograp trans r, pros study | 1.55 | 0.51 | 0.51 | 0.08 | 2.14 | 2.14 | XXX |
| 76873 | TC | A | Echograp trans r, pros study | 0.00 | 2.10 | N/A | 0.13 | 2.23 | N/A | XXX |
| 76880 | A | Us exam, extremity | 0.59 | 1.62 | N/A | 0.10 | 2.31 | N/A | XXX | |
| 76880 | 26 | A | Us exam, extremity | 0.59 | 0.20 | 0.20 | 0.03 | 0.82 | 0.82 | XXX |
| 76880 | TC | A | Us exam, extremity | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76885 | A | Us exam infant hips, dynamic | 0.74 | 1.77 | N/A | 0.11 | 2.62 | N/A | XXX | |
| 76885 | 26 | A | Us exam infant hips, dynamic | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 76885 | TC | A | Us exam infant hips, dynamic | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76886 | A | Us exam infant hips, static | 0.62 | 1.63 | N/A | 0.10 | 2.35 | N/A | XXX | |
| 76886 | 26 | A | Us exam infant hips, static | 0.62 | 0.21 | 0.21 | 0.03 | 0.86 | 0.86 | XXX |
| 76886 | TC | A | Us exam infant hips, static | 0.00 | 1.42 | N/A | 0.07 | 1.49 | N/A | XXX |
| 76930 | A | Echo guide, cardiocentesis | 0.67 | 1.78 | N/A | 0.10 | 2.55 | N/A | XXX | |
| 76930 | 26 | A | Echo guide, cardiocentesis | 0.67 | 0.26 | 0.26 | 0.02 | 0.95 | 0.95 | XXX |
| 76930 | TC | A | Echo guide, cardiocentesis | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76932 | A | Echo guide for heart biopsy | 0.67 | 1.78 | N/A | 0.10 | 2.55 | N/A | XXX | |
| 76932 | 26 | A | Echo guide for heart biopsy | 0.67 | 0.26 | 0.26 | 0.02 | 0.95 | 0.95 | XXX |
| 76932 | TC | A | Echo guide for heart biopsy | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76936 | A | Echo guide for artery repair | 1.99 | 6.97 | N/A | 0.39 | 9.35 | N/A | XXX | |
| 76936 | 26 | A | Echo guide for artery repair | 1.99 | 0.68 | 0.68 | 0.11 | 2.78 | 2.78 | XXX |
| 76936 | TC | A | Echo guide for artery repair | 0.00 | 6.30 | N/A | 0.28 | 6.58 | N/A | XXX |
| 76941 | A | Echo guide for transfusion | 1.34 | 2.01 | N/A | 0.13 | 3.48 | N/A | XXX | |
| 76941 | 26 | A | Echo guide for transfusion | 1.34 | 0.49 | 0.49 | 0.06 | 1.89 | 1.89 | XXX |
| 76941 | TC | A | Echo guide for transfusion | 0.00 | 1.53 | N/A | 0.07 | 1.60 | N/A | XXX |
| 76942 | A | Echo guide for biopsy | 0.67 | 3.40 | N/A | 0.12 | 4.19 | N/A | XXX | |
| 76942 | 26 | A | Echo guide for biopsy | 0.67 | 0.22 | 0.22 | 0.04 | 0.93 | 0.93 | XXX |
| 76942 | TC | A | Echo guide for biopsy | 0.00 | 3.18 | N/A | 0.08 | 3.26 | N/A | XXX |
| 76945 | A | Echo guide, villus sampling | 0.67 | 1.76 | N/A | 0.10 | 2.53 | N/A | XXX | |
| 76945 | 26 | A | Echo guide, villus sampling | 0.67 | 0.23 | 0.23 | 0.03 | 0.93 | 0.93 | XXX |
| 76945 | TC | A | Echo guide, villus sampling | 0.00 | 1.53 | N/A | 0.07 | 1.60 | N/A | XXX |
| 76946 | A | Echo guide for amniocentesis | 0.38 | 1.66 | N/A | 0.09 | 2.13 | N/A | XXX | |
| 76946 | 26 | A | Echo guide for amniocentesis | 0.38 | 0.14 | 0.14 | 0.01 | 0.53 | 0.53 | XXX |
| 76946 | TC | A | Echo guide for amniocentesis | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76948 | A | Echo guide, ova aspiration | 0.38 | 1.65 | N/A | 0.10 | 2.13 | N/A | XXX | |
| 76948 | 26 | A | Echo guide, ova aspiration | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 76948 | TC | A | Echo guide, ova aspiration | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76950 | A | Echo guidance radiotherapy | 0.58 | 1.49 | N/A | 0.09 | 2.16 | N/A | XXX | |
| 76950 | 26 | A | Echo guidance radiotherapy | 0.58 | 0.19 | 0.19 | 0.03 | 0.80 | 0.80 | XXX |
| 76950 | TC | A | Echo guidance radiotherapy | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 76965 | A | Echo guidance radiotherapy | 1.34 | 6.01 | N/A | 0.31 | 7.66 | N/A | XXX | |
| 76965 | 26 | A | Echo guidance radiotherapy | 1.34 | 0.44 | 0.44 | 0.07 | 1.85 | 1.85 | XXX |
| 76965 | TC | A | Echo guidance radiotherapy | 0.00 | 5.57 | N/A | 0.24 | 5.81 | N/A | XXX |
| 76970 | A | Ultrasound exam follow-up | 0.40 | 1.19 | N/A | 0.07 | 1.66 | N/A | XXX | |
| 76970 | 26 | A | Ultrasound exam follow-up | 0.40 | 0.14 | 0.14 | 0.02 | 0.56 | 0.56 | XXX |
| 76970 | TC | A | Ultrasound exam follow-up | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 76975 | A | GI endoscopic ultrasound | 0.81 | 1.80 | N/A | 0.11 | 2.72 | N/A | XXX | |
| 76975 | 26 | A | GI endoscopic ultrasound | 0.81 | 0.28 | 0.28 | 0.03 | 1.12 | 1.12 | XXX |
| 76975 | TC | A | GI endoscopic ultrasound | 0.00 | 1.52 | N/A | 0.08 | 1.60 | N/A | XXX |
| 76977 | A | Us bone density measure | 0.05 | 0.84 | N/A | 0.05 | 0.94 | N/A | XXX | |
| 76977 | 26 | A | Us bone density measure | 0.05 | 0.02 | 0.02 | 0.01 | 0.08 | 0.08 | XXX |
| 76977 | TC | A | Us bone density measure | 0.00 | 0.82 | N/A | 0.04 | 0.86 | N/A | XXX |
| 76986 | A | Ultrasound guide intraoper | 1.20 | 3.03 | N/A | 0.19 | 4.42 | N/A | XXX | |
| 76986 | 26 | A | Ultrasound guide intraoper | 1.20 | 0.41 | 0.41 | 0.07 | 1.68 | 1.68 | XXX |
| 76986 | TC | A | Ultrasound guide intraoper | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 76999 | C | Echo examination procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76999 | 26 | C | Echo examination procedure | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 77261 | A | Radiation therapy planning | 1.39 | 0.52 | 0.52 | 0.06 | 1.97 | 1.97 | XXX | |
| 77262 | A | Radiation therapy planning | 2.11 | 0.77 | 0.77 | 0.09 | 2.97 | 2.97 | XXX | |
| 77263 | A | Radiation therapy planning | 3.14 | 1.13 | 1.13 | 0.13 | 4.40 | 4.40 | XXX | |
| 77280 | A | Set radiation therapy field | 0.70 | 3.70 | N/A | 0.18 | 4.58 | N/A | XXX | |
| 77280 | 26 | A | Set radiation therapy field | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 77280 | TC | A | Set radiation therapy field | 0.00 | 3.47 | N/A | 0.15 | 3.62 | N/A | XXX |
| 77285 | A | Set radiation therapy field | 1.05 | 5.91 | N/A | 0.29 | 7.25 | N/A | XXX | |
| 77285 | 26 | A | Set radiation therapy field | 1.05 | 0.34 | 0.34 | 0.04 | 1.43 | 1.43 | XXX |
| 77285 | TC | A | Set radiation therapy field | 0.00 | 5.57 | N/A | 0.25 | 5.82 | N/A | XXX |
| 77290 | A | Set radiation therapy field | 1.56 | 7.01 | N/A | 0.35 | 8.92 | N/A | XXX | |
| 77290 | 26 | A | Set radiation therapy field | 1.56 | 0.50 | 0.50 | 0.06 | 2.12 | 2.12 | XXX |
| 77290 | TC | A | Set radiation therapy field | 0.00 | 6.51 | N/A | 0.29 | 6.80 | N/A | XXX |
| 77295 | A | Set radiation therapy field | 4.57 | 29.41 | N/A | 1.41 | 35.39 | N/A | XXX | |
| 77295 | 26 | A | Set radiation therapy field | 4.57 | 1.48 | 1.48 | 0.18 | 6.23 | 6.23 | XXX |
| 77295 | TC | A | Set radiation therapy field | 0.00 | 27.94 | N/A | 1.23 | 29.17 | N/A | XXX |
| 77299 | C | Radiation therapy planning | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77299 | 26 | C | Radiation therapy planning | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 77300 | A | Radiation therapy dose plan | 0.62 | 1.54 | N/A | 0.09 | 2.25 | N/A | XXX | |
| 77300 | 26 | A | Radiation therapy dose plan | 0.62 | 0.20 | 0.20 | 0.03 | 0.85 | 0.85 | XXX |
| 77300 | TC | A | Radiation therapy dose plan | 0.00 | 1.34 | N/A | 0.06 | 1.40 | N/A | XXX |
| 77301 | A | Radiotherapy dose plan, imrt | 8.00 | 30.52 | N/A | 1.41 | 39.93 | N/A | XXX | |
| 77301 | 26 | A | Radiotherapy dose plan, imrt | 8.00 | 2.59 | 2.59 | 0.18 | 10.77 | 10.77 | XXX |
| 77301 | TC | A | Radiotherapy dose plan, imrt | 0.00 | 27.94 | N/A | 1.23 | 29.17 | N/A | XXX |
| 77305 | A | Teletx isodose plan simple | 0.70 | 2.08 | N/A | 0.12 | 2.90 | N/A | XXX | |
| 77305 | 26 | A | Teletx isodose plan simple | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| 77305 | TC | A | Teletx isodose plan simple | 0.00 | 1.86 | N/A | 0.09 | 1.95 | N/A | XXX |
| 77310 | A | Teletx isodose plan intermed | 1.05 | 2.67 | N/A | 0.15 | 3.87 | N/A | XXX | |
| 77310 | 26 | A | Teletx isodose plan intermed | 1.05 | 0.34 | 0.34 | 0.04 | 1.43 | 1.43 | XXX |
| 77310 | TC | A | Teletx isodose plan intermed | 0.00 | 2.33 | N/A | 0.11 | 2.44 | N/A | XXX |
| 77315 | A | Teletx isodose plan complex | 1.56 | 3.16 | N/A | 0.18 | 4.90 | N/A | XXX | |
| 77315 | 26 | A | Teletx isodose plan complex | 1.56 | 0.50 | 0.50 | 0.06 | 2.12 | 2.12 | XXX |
| 77315 | TC | A | Teletx isodose plan complex | 0.00 | 2.66 | N/A | 0.12 | 2.78 | N/A | XXX |
| 77321 | A | Special teletx port plan | 0.95 | 4.35 | N/A | 0.21 | 5.51 | N/A | XXX | |
| 77321 | 26 | A | Special teletx port plan | 0.95 | 0.31 | 0.31 | 0.04 | 1.30 | 1.30 | XXX |
| 77321 | TC | A | Special teletx port plan | 0.00 | 4.04 | N/A | 0.17 | 4.21 | N/A | XXX |
| 77326 | A | Brachytx isodose calc simp | 0.93 | 2.66 | N/A | 0.15 | 3.74 | N/A | XXX | |
| 77326 | 26 | A | Brachytx isodose calc simp | 0.93 | 0.30 | 0.30 | 0.04 | 1.27 | 1.27 | XXX |
| 77326 | TC | A | Brachytx isodose calc simp | 0.00 | 2.36 | N/A | 0.11 | 2.47 | N/A | XXX |
| 77327 | A | Brachytx isodose calc interm | 1.39 | 3.92 | N/A | 0.21 | 5.52 | N/A | XXX | |
| 77327 | 26 | A | Brachytx isodose calc interm | 1.39 | 0.45 | 0.45 | 0.06 | 1.90 | 1.90 | XXX |
| 77327 | TC | A | Brachytx isodose calc interm | 0.00 | 3.47 | N/A | 0.15 | 3.62 | N/A | XXX |
| 77328 | A | Brachytx isodose plan compl | 2.09 | 5.64 | N/A | 0.30 | 8.03 | N/A | XXX | |
| 77328 | 26 | A | Brachytx isodose plan compl | 2.09 | 0.68 | 0.68 | 0.09 | 2.86 | 2.86 | XXX |
| 77328 | TC | A | Brachytx isodose plan compl | 0.00 | 4.96 | N/A | 0.21 | 5.17 | N/A | XXX |
| 77331 | A | Special radiation dosimetry | 0.87 | 0.78 | N/A | 0.06 | 1.71 | N/A | XXX | |
| 77331 | 26 | A | Special radiation dosimetry | 0.87 | 0.28 | 0.28 | 0.04 | 1.19 | 1.19 | XXX |
| 77331 | TC | A | Special radiation dosimetry | 0.00 | 0.50 | N/A | 0.02 | 0.52 | N/A | XXX |
| 77332 | A | Radiation treatment aid(s) | 0.54 | 1.52 | N/A | 0.08 | 2.14 | N/A | XXX | |
| 77332 | 26 | A | Radiation treatment aid(s) | 0.54 | 0.17 | 0.17 | 0.02 | 0.73 | 0.73 | XXX |
| 77332 | TC | A | Radiation treatment aid(s) | 0.00 | 1.34 | N/A | 0.06 | 1.40 | N/A | XXX |
| 77333 | A | Radiation treatment aid(s) | 0.84 | 2.17 | N/A | 0.13 | 3.14 | N/A | XXX | |
| 77333 | 26 | A | Radiation treatment aid(s) | 0.84 | 0.27 | 0.27 | 0.04 | 1.15 | 1.15 | XXX |
| 77333 | TC | A | Radiation treatment aid(s) | 0.00 | 1.90 | N/A | 0.09 | 1.99 | N/A | XXX |
| 77334 | A | Radiation treatment aid(s) | 1.24 | 3.65 | N/A | 0.19 | 5.08 | N/A | XXX | |
| 77334 | 26 | A | Radiation treatment aid(s) | 1.24 | 0.40 | 0.40 | 0.05 | 1.69 | 1.69 | XXX |
| 77334 | TC | A | Radiation treatment aid(s) | 0.00 | 3.25 | N/A | 0.14 | 3.39 | N/A | XXX |
| 77336 | A | Radiation physics consult | 0.00 | 2.98 | N/A | 0.13 | 3.11 | N/A | XXX | |
| 77370 | A | Radiation physics consult | 0.00 | 3.49 | N/A | 0.15 | 3.64 | N/A | XXX | |
| 77399 | C | External radiation dosimetry | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77399 | 26 | C | External radiation dosimetry | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 77401 | A | Radiation treatment delivery | 0.00 | 1.77 | N/A | 0.09 | 1.86 | N/A | XXX | |
| 77402 | A | Radiation treatment delivery | 0.00 | 1.77 | N/A | 0.09 | 1.86 | N/A | XXX | |
| 77403 | A | Radiation treatment delivery | 0.00 | 1.77 | N/A | 0.09 | 1.86 | N/A | XXX | |
| 77404 | A | Radiation treatment delivery | 0.00 | 1.77 | N/A | 0.09 | 1.86 | N/A | XXX | |
| 77406 | A | Radiation treatment delivery | 0.00 | 1.77 | N/A | 0.09 | 1.86 | N/A | XXX | |
| 77407 | A | Radiation treatment delivery | 0.00 | 2.09 | N/A | 0.10 | 2.19 | N/A | XXX | |
| 77408 | A | Radiation treatment delivery | 0.00 | 2.09 | N/A | 0.10 | 2.19 | N/A | XXX | |
| 77409 | A | Radiation treatment delivery | 0.00 | 2.09 | N/A | 0.10 | 2.19 | N/A | XXX | |
| 77411 | A | Radiation treatment delivery | 0.00 | 2.09 | N/A | 0.10 | 2.19 | N/A | XXX | |
| 77412 | A | Radiation treatment delivery | 0.00 | 2.33 | N/A | 0.11 | 2.44 | N/A | XXX | |
| 77413 | A | Radiation treatment delivery | 0.00 | 2.33 | N/A | 0.11 | 2.44 | N/A | XXX | |
| 77414 | A | Radiation treatment delivery | 0.00 | 2.33 | N/A | 0.11 | 2.44 | N/A | XXX | |
| 77416 | A | Radiation treatment delivery | 0.00 | 2.33 | N/A | 0.11 | 2.44 | N/A | XXX | |
| 77417 | A | Radiology port film(s) | 0.00 | 0.59 | N/A | 0.03 | 0.62 | N/A | XXX | |
| 77418 | A | Radiation tx delivery, imrt | 0.00 | 11.61 | N/A | 0.11 | 11.72 | N/A | XXX | |
| 77427 | A | Radiation tx management, x5 | 3.31 | 1.07 | 1.07 | 0.14 | 4.52 | 4.52 | XXX | |
| 77431 | A | Radiation therapy management | 1.81 | 0.69 | 0.69 | 0.07 | 2.57 | 2.57 | XXX | |
| 77432 | A | Stereotactic radiation trmt | 7.93 | 2.95 | 2.95 | 0.33 | 11.21 | 11.21 | XXX | |
| 77470 | A | Special radiation treatment | 2.09 | 11.82 | N/A | 0.58 | 14.49 | N/A | XXX | |
| 77470 | 26 | A | Special radiation treatment | 2.09 | 0.67 | 0.67 | 0.09 | 2.85 | 2.85 | XXX |
| 77470 | TC | A | Special radiation treatment | 0.00 | 11.15 | N/A | 0.49 | 11.64 | N/A | XXX |
| 77499 | C | Radiation therapy management | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77499 | 26 | C | Radiation therapy management | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 77520 | C | Proton trmt, simple w/o comp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77522 | C | Proton trmt, simple w/comp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77523 | C | Proton trmt, intermediate | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77525 | C | Proton treatment, complex | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77600 | R | Hyperthermia treatment | 1.56 | 3.55 | N/A | 0.21 | 5.32 | N/A | XXX | |
| 77600 | 26 | R | Hyperthermia treatment | 1.56 | 0.50 | 0.50 | 0.08 | 2.14 | 2.14 | XXX |
| 77600 | TC | R | Hyperthermia treatment | 0.00 | 3.05 | N/A | 0.13 | 3.18 | N/A | XXX |
| 77605 | R | Hyperthermia treatment | 2.09 | 4.73 | N/A | 0.31 | 7.13 | N/A | XXX | |
| 77605 | 26 | R | Hyperthermia treatment | 2.09 | 0.67 | 0.67 | 0.13 | 2.89 | 2.89 | XXX |
| 77605 | TC | R | Hyperthermia treatment | 0.00 | 4.06 | N/A | 0.18 | 4.24 | N/A | XXX |
| 77610 | R | Hyperthermia treatment | 1.56 | 3.56 | N/A | 0.20 | 5.32 | N/A | XXX | |
| 77610 | 26 | R | Hyperthermia treatment | 1.56 | 0.52 | 0.52 | 0.07 | 2.15 | 2.15 | XXX |
| 77610 | TC | R | Hyperthermia treatment | 0.00 | 3.05 | N/A | 0.13 | 3.18 | N/A | XXX |
| 77615 | R | Hyperthermia treatment | 2.09 | 4.73 | N/A | 0.27 | 7.09 | N/A | XXX | |
| 77615 | 26 | R | Hyperthermia treatment | 2.09 | 0.67 | 0.67 | 0.09 | 2.85 | 2.85 | XXX |
| 77615 | TC | R | Hyperthermia treatment | 0.00 | 4.06 | N/A | 0.18 | 4.24 | N/A | XXX |
| 77620 | R | Hyperthermia treatment | 1.56 | 3.57 | N/A | 0.19 | 5.32 | N/A | XXX | |
| 77620 | 26 | R | Hyperthermia treatment | 1.56 | 0.53 | 0.53 | 0.06 | 2.15 | 2.15 | XXX |
| 77620 | TC | R | Hyperthermia treatment | 0.00 | 3.05 | N/A | 0.13 | 3.18 | N/A | XXX |
| 77750 | A | Infuse radioactive materials | 4.91 | 2.93 | N/A | 0.23 | 8.07 | N/A | 090 | |
| 77750 | 26 | A | Infuse radioactive materials | 4.91 | 1.60 | 1.60 | 0.17 | 6.68 | 6.68 | 090 |
| 77750 | TC | A | Infuse radioactive materials | 0.00 | 1.33 | N/A | 0.06 | 1.39 | N/A | 090 |
| 77761 | A | Apply intrcav radiat simple | 3.81 | 3.62 | N/A | 0.28 | 7.71 | N/A | 090 | |
| 77761 | 26 | A | Apply intrcav radiat simple | 3.81 | 1.11 | 1.11 | 0.16 | 5.08 | 5.08 | 090 |
| 77761 | TC | A | Apply intrcav radiat simple | 0.00 | 2.50 | N/A | 0.12 | 2.62 | N/A | 090 |
| 77762 | A | Apply intrcav radiat interm | 5.72 | 5.46 | N/A | 0.38 | 11.56 | N/A | 090 | |
| 77762 | 26 | A | Apply intrcav radiat interm | 5.72 | 1.86 | 1.86 | 0.22 | 7.80 | 7.80 | 090 |
| 77762 | TC | A | Apply intrcav radiat interm | 0.00 | 3.61 | N/A | 0.16 | 3.77 | N/A | 090 |
| 77763 | A | Apply intrcav radiat compl | 8.57 | 7.26 | N/A | 0.53 | 16.36 | N/A | 090 | |
| 77763 | 26 | A | Apply intrcav radiat compl | 8.57 | 2.77 | 2.77 | 0.34 | 11.68 | 11.68 | 090 |
| 77763 | TC | A | Apply intrcav radiat compl | 0.00 | 4.49 | N/A | 0.19 | 4.68 | N/A | 090 |
| 77776 | A | Apply interstit radiat simpl | 4.66 | 3.14 | N/A | 0.35 | 8.15 | N/A | 090 | |
| 77776 | 26 | A | Apply interstit radiat simpl | 4.66 | 0.97 | 0.97 | 0.24 | 5.87 | 5.87 | 090 |
| 77776 | TC | A | Apply interstit radiat simpl | 0.00 | 2.18 | N/A | 0.11 | 2.29 | N/A | 090 |
| 77777 | A | Apply interstit radiat inter | 7.48 | 6.63 | N/A | 0.50 | 14.61 | N/A | 090 | |
| 77777 | 26 | A | Apply interstit radiat inter | 7.48 | 2.39 | 2.39 | 0.32 | 10.19 | 10.19 | 090 |
| 77777 | TC | A | Apply interstit radiat inter | 0.00 | 4.24 | N/A | 0.18 | 4.42 | N/A | 090 |
| 77778 | A | Apply interstit radiat compl | 11.19 | 8.74 | N/A | 0.69 | 20.62 | N/A | 090 | |
| 77778 | 26 | A | Apply interstit radiat compl | 11.19 | 3.61 | 3.61 | 0.47 | 15.27 | 15.27 | 090 |
| 77778 | TC | A | Apply interstit radiat compl | 0.00 | 5.14 | N/A | 0.22 | 5.36 | N/A | 090 |
| 77781 | A | High intensity brachytherapy | 1.66 | 20.85 | N/A | 0.95 | 23.46 | N/A | 090 | |
| 77781 | 26 | A | High intensity brachytherapy | 1.66 | 0.54 | 0.54 | 0.07 | 2.27 | 2.27 | 090 |
| 77781 | TC | A | High intensity brachytherapy | 0.00 | 20.31 | N/A | 0.88 | 21.19 | N/A | 090 |
| 77782 | A | High intensity brachytherapy | 2.49 | 21.11 | N/A | 0.98 | 24.58 | N/A | 090 | |
| 77782 | 26 | A | High intensity brachytherapy | 2.49 | 0.81 | 0.81 | 0.10 | 3.40 | 3.40 | 090 |
| 77782 | TC | A | High intensity brachytherapy | 0.00 | 20.31 | N/A | 0.88 | 21.19 | N/A | 090 |
| 77783 | A | High intensity brachytherapy | 3.73 | 21.51 | N/A | 1.03 | 26.27 | N/A | 090 | |
| 77783 | 26 | A | High intensity brachytherapy | 3.73 | 1.20 | 1.20 | 0.15 | 5.08 | 5.08 | 090 |
| 77783 | TC | A | High intensity brachytherapy | 0.00 | 20.31 | N/A | 0.88 | 21.19 | N/A | 090 |
| 77784 | A | High intensity brachytherapy | 5.61 | 22.11 | N/A | 1.10 | 28.82 | N/A | 090 | |
| 77784 | 26 | A | High intensity brachytherapy | 5.61 | 1.81 | 1.81 | 0.22 | 7.64 | 7.64 | 090 |
| 77784 | TC | A | High intensity brachytherapy | 0.00 | 20.31 | N/A | 0.88 | 21.19 | N/A | 090 |
| 77789 | A | Apply surface radiation | 1.12 | 0.83 | N/A | 0.05 | 2.00 | N/A | 000 | |
| 77789 | 26 | A | Apply surface radiation | 1.12 | 0.37 | 0.37 | 0.03 | 1.52 | 1.52 | 000 |
| 77789 | TC | A | Apply surface radiation | 0.00 | 0.45 | N/A | 0.02 | 0.47 | N/A | 000 |
| 77790 | A | Radiation handling | 1.05 | 0.84 | N/A | 0.06 | 1.95 | N/A | XXX | |
| 77790 | 26 | A | Radiation handling | 1.05 | 0.34 | 0.34 | 0.04 | 1.43 | 1.43 | XXX |
| 77790 | TC | A | Radiation handling | 0.00 | 0.50 | N/A | 0.02 | 0.52 | N/A | XXX |
| 77799 | C | Radium/radioisotope therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 77799 | 26 | C | Radium/radioisotope therapy | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78000 | A | Thyroid, single uptake | 0.19 | 1.03 | N/A | 0.06 | 1.28 | N/A | XXX | |
| 78000 | 26 | A | Thyroid, single uptake | 0.19 | 0.07 | 0.07 | 0.01 | 0.27 | 0.27 | XXX |
| 78000 | TC | A | Thyroid, single uptake | 0.00 | 0.97 | N/A | 0.05 | 1.02 | N/A | XXX |
| 78001 | A | Thyroid, multiple uptakes | 0.26 | 1.40 | N/A | 0.07 | 1.73 | N/A | XXX | |
| 78001 | 26 | A | Thyroid, multiple uptakes | 0.26 | 0.09 | 0.09 | 0.01 | 0.36 | 0.36 | XXX |
| 78001 | TC | A | Thyroid, multiple uptakes | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 78003 | A | Thyroid suppress/stimul | 0.33 | 1.08 | N/A | 0.06 | 1.47 | N/A | XXX | |
| 78003 | 26 | A | Thyroid suppress/stimul | 0.33 | 0.11 | 0.11 | 0.01 | 0.45 | 0.45 | XXX |
| 78003 | TC | A | Thyroid suppress/stimul | 0.00 | 0.97 | N/A | 0.05 | 1.02 | N/A | XXX |
| 78006 | A | Thyroid imaging with uptake | 0.49 | 2.55 | N/A | 0.13 | 3.17 | N/A | XXX | |
| 78006 | 26 | A | Thyroid imaging with uptake | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78006 | TC | A | Thyroid imaging with uptake | 0.00 | 2.38 | N/A | 0.11 | 2.49 | N/A | XXX |
| 78007 | A | Thyroid image, mult uptakes | 0.50 | 2.74 | N/A | 0.14 | 3.38 | N/A | XXX | |
| 78007 | 26 | A | Thyroid image, mult uptakes | 0.50 | 0.17 | 0.17 | 0.02 | 0.69 | 0.69 | XXX |
| 78007 | TC | A | Thyroid image, mult uptakes | 0.00 | 2.57 | N/A | 0.12 | 2.69 | N/A | XXX |
| 78010 | A | Thyroid imaging | 0.39 | 1.95 | N/A | 0.11 | 2.45 | N/A | XXX | |
| 78010 | 26 | A | Thyroid imaging | 0.39 | 0.13 | 0.13 | 0.02 | 0.54 | 0.54 | XXX |
| 78010 | TC | A | Thyroid imaging | 0.00 | 1.82 | N/A | 0.09 | 1.91 | N/A | XXX |
| 78011 | A | Thyroid imaging with flow | 0.45 | 2.56 | N/A | 0.13 | 3.14 | N/A | XXX | |
| 78011 | 26 | A | Thyroid imaging with flow | 0.45 | 0.16 | 0.16 | 0.02 | 0.63 | 0.63 | XXX |
| 78011 | TC | A | Thyroid imaging with flow | 0.00 | 2.41 | N/A | 0.11 | 2.52 | N/A | XXX |
| 78015 | A | Thyroid met imaging | 0.67 | 2.80 | N/A | 0.15 | 3.62 | N/A | XXX | |
| 78015 | 26 | A | Thyroid met imaging | 0.67 | 0.23 | 0.23 | 0.03 | 0.93 | 0.93 | XXX |
| 78015 | TC | A | Thyroid met imaging | 0.00 | 2.57 | N/A | 0.12 | 2.69 | N/A | XXX |
| 78016 | A | Thyroid met imaging/studies | 0.82 | 3.77 | N/A | 0.18 | 4.77 | N/A | XXX | |
| 78016 | 26 | A | Thyroid met imaging/studies | 0.82 | 0.29 | 0.29 | 0.03 | 1.14 | 1.14 | XXX |
| 78016 | TC | A | Thyroid met imaging/studies | 0.00 | 3.48 | N/A | 0.15 | 3.63 | N/A | XXX |
| 78018 | A | Thyroid met imaging, body | 0.86 | 5.73 | N/A | 0.27 | 6.86 | N/A | XXX | |
| 78018 | 26 | A | Thyroid met imaging, body | 0.86 | 0.30 | 0.30 | 0.03 | 1.19 | 1.19 | XXX |
| 78018 | TC | A | Thyroid met imaging, body | 0.00 | 5.43 | N/A | 0.24 | 5.67 | N/A | XXX |
| 78020 | A | Thyroid met uptake | 0.60 | 1.52 | N/A | 0.14 | 2.26 | N/A | ZZZ | |
| 78020 | 26 | A | Thyroid met uptake | 0.60 | 0.21 | 0.21 | 0.02 | 0.83 | 0.83 | ZZZ |
| 78020 | TC | A | Thyroid met uptake | 0.00 | 1.31 | N/A | 0.12 | 1.43 | N/A | ZZZ |
| 78070 | A | Parathyroid nuclear imaging | 0.82 | 2.10 | N/A | 0.12 | 3.04 | N/A | XXX | |
| 78070 | 26 | A | Parathyroid nuclear imaging | 0.82 | 0.28 | 0.28 | 0.03 | 1.13 | 1.13 | XXX |
| 78070 | TC | A | Parathyroid nuclear imaging | 0.00 | 1.82 | N/A | 0.09 | 1.91 | N/A | XXX |
| 78075 | A | Adrenal nuclear imaging | 0.74 | 5.69 | N/A | 0.27 | 6.70 | N/A | XXX | |
| 78075 | 26 | A | Adrenal nuclear imaging | 0.74 | 0.27 | 0.27 | 0.03 | 1.04 | 1.04 | XXX |
| 78075 | TC | A | Adrenal nuclear imaging | 0.00 | 5.43 | N/A | 0.24 | 5.67 | N/A | XXX |
| 78099 | C | Endocrine nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78099 | 26 | C | Endocrine nuclear procedure | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78102 | A | Bone marrow imaging, ltd | 0.55 | 2.24 | N/A | 0.12 | 2.91 | N/A | XXX | |
| 78102 | 26 | A | Bone marrow imaging, ltd | 0.55 | 0.20 | 0.20 | 0.02 | 0.77 | 0.77 | XXX |
| 78102 | TC | A | Bone marrow imaging, ltd | 0.00 | 2.04 | N/A | 0.10 | 2.14 | N/A | XXX |
| 78103 | A | Bone marrow imaging, mult | 0.75 | 3.43 | N/A | 0.17 | 4.35 | N/A | XXX | |
| 78103 | 26 | A | Bone marrow imaging, mult | 0.75 | 0.26 | 0.26 | 0.03 | 1.04 | 1.04 | XXX |
| 78103 | TC | A | Bone marrow imaging, mult | 0.00 | 3.17 | N/A | 0.14 | 3.31 | N/A | XXX |
| 78104 | A | Bone marrow imaging, body | 0.80 | 4.35 | N/A | 0.21 | 5.36 | N/A | XXX | |
| 78104 | 26 | A | Bone marrow imaging, body | 0.80 | 0.28 | 0.28 | 0.03 | 1.11 | 1.11 | XXX |
| 78104 | TC | A | Bone marrow imaging, body | 0.00 | 4.07 | N/A | 0.18 | 4.25 | N/A | XXX |
| 78110 | A | Plasma volume, single | 0.19 | 1.02 | N/A | 0.06 | 1.27 | N/A | XXX | |
| 78110 | 26 | A | Plasma volume, single | 0.19 | 0.07 | 0.07 | 0.01 | 0.27 | 0.27 | XXX |
| 78110 | TC | A | Plasma volume, single | 0.00 | 0.95 | N/A | 0.05 | 1.00 | N/A | XXX |
| 78111 | A | Plasma volume, multiple | 0.22 | 2.65 | N/A | 0.13 | 3.00 | N/A | XXX | |
| 78111 | 26 | A | Plasma volume, multiple | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 78111 | TC | A | Plasma volume, multiple | 0.00 | 2.57 | N/A | 0.12 | 2.69 | N/A | XXX |
| 78120 | A | Red cell mass, single | 0.23 | 1.81 | N/A | 0.10 | 2.14 | N/A | XXX | |
| 78120 | 26 | A | Red cell mass, single | 0.23 | 0.08 | 0.08 | 0.01 | 0.32 | 0.32 | XXX |
| 78120 | TC | A | Red cell mass, single | 0.00 | 1.73 | N/A | 0.09 | 1.82 | N/A | XXX |
| 78121 | A | Red cell mass, multiple | 0.32 | 3.03 | N/A | 0.13 | 3.48 | N/A | XXX | |
| 78121 | 26 | A | Red cell mass, multiple | 0.32 | 0.12 | 0.12 | 0.01 | 0.45 | 0.45 | XXX |
| 78121 | TC | A | Red cell mass, multiple | 0.00 | 2.91 | N/A | 0.12 | 3.03 | N/A | XXX |
| 78122 | A | Blood volume | 0.45 | 4.76 | N/A | 0.22 | 5.43 | N/A | XXX | |
| 78122 | 26 | A | Blood volume | 0.45 | 0.16 | 0.16 | 0.02 | 0.63 | 0.63 | XXX |
| 78122 | TC | A | Blood volume | 0.00 | 4.60 | N/A | 0.20 | 4.80 | N/A | XXX |
| 78130 | A | Red cell survival study | 0.61 | 3.07 | N/A | 0.15 | 3.83 | N/A | XXX | |
| 78130 | 26 | A | Red cell survival study | 0.61 | 0.21 | 0.21 | 0.03 | 0.85 | 0.85 | XXX |
| 78130 | TC | A | Red cell survival study | 0.00 | 2.85 | N/A | 0.12 | 2.97 | N/A | XXX |
| 78135 | A | Red cell survival kinetics | 0.64 | 5.10 | N/A | 0.24 | 5.98 | N/A | XXX | |
| 78135 | 26 | A | Red cell survival kinetics | 0.64 | 0.22 | 0.22 | 0.03 | 0.89 | 0.89 | XXX |
| 78135 | TC | A | Red cell survival kinetics | 0.00 | 4.87 | N/A | 0.21 | 5.08 | N/A | XXX |
| 78140 | A | Red cell sequestration | 0.61 | 4.14 | N/A | 0.20 | 4.95 | N/A | XXX | |
| 78140 | 26 | A | Red cell sequestration | 0.61 | 0.21 | 0.21 | 0.03 | 0.85 | 0.85 | XXX |
| 78140 | TC | A | Red cell sequestration | 0.00 | 3.94 | N/A | 0.17 | 4.11 | N/A | XXX |
| 78160 | A | Plasma iron turnover | 0.33 | 3.79 | N/A | 0.19 | 4.31 | N/A | XXX | |
| 78160 | 26 | A | Plasma iron turnover | 0.33 | 0.12 | 0.12 | 0.03 | 0.48 | 0.48 | XXX |
| 78160 | TC | A | Plasma iron turnover | 0.00 | 3.67 | N/A | 0.16 | 3.83 | N/A | XXX |
| 78162 | A | Radioiron absorption exam | 0.45 | 3.39 | N/A | 0.15 | 3.99 | N/A | XXX | |
| 78162 | 26 | A | Radioiron absorption exam | 0.45 | 0.19 | 0.19 | 0.01 | 0.65 | 0.65 | XXX |
| 78162 | TC | A | Radioiron absorption exam | 0.00 | 3.20 | N/A | 0.14 | 3.34 | N/A | XXX |
| 78170 | A | Red cell iron utilization | 0.41 | 5.45 | N/A | 0.27 | 6.13 | N/A | XXX | |
| 78170 | 26 | A | Red cell iron utilization | 0.41 | 0.14 | 0.14 | 0.04 | 0.59 | 0.59 | XXX |
| 78170 | TC | A | Red cell iron utilization | 0.00 | 5.31 | N/A | 0.23 | 5.54 | N/A | XXX |
| 78172 | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78172 | 26 | A | Total body iron estimation | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 78172 | TC | C | Total body iron estimation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78185 | A | Spleen imaging | 0.40 | 2.50 | N/A | 0.13 | 3.03 | N/A | XXX | |
| 78185 | 26 | A | Spleen imaging | 0.40 | 0.14 | 0.14 | 0.02 | 0.56 | 0.56 | XXX |
| 78185 | TC | A | Spleen imaging | 0.00 | 2.36 | N/A | 0.11 | 2.47 | N/A | XXX |
| 78190 | A | Platelet survival, kinetics | 1.09 | 6.10 | N/A | 0.31 | 7.50 | N/A | XXX | |
| 78190 | 26 | A | Platelet survival, kinetics | 1.09 | 0.39 | 0.39 | 0.06 | 1.54 | 1.54 | XXX |
| 78190 | TC | A | Platelet survival, kinetics | 0.00 | 5.72 | N/A | 0.25 | 5.97 | N/A | XXX |
| 78191 | A | Platelet survival | 0.61 | 7.55 | N/A | 0.34 | 8.50 | N/A | XXX | |
| 78191 | 26 | A | Platelet survival | 0.61 | 0.21 | 0.21 | 0.03 | 0.85 | 0.85 | XXX |
| 78191 | TC | A | Platelet survival | 0.00 | 7.34 | N/A | 0.31 | 7.65 | N/A | XXX |
| 78195 | A | Lymph system imaging | 1.20 | 4.49 | N/A | 0.23 | 5.92 | N/A | XXX | |
| 78195 | 26 | A | Lymph system imaging | 1.20 | 0.42 | 0.42 | 0.05 | 1.67 | 1.67 | XXX |
| 78195 | TC | A | Lymph system imaging | 0.00 | 4.07 | N/A | 0.18 | 4.25 | N/A | XXX |
| 78199 | C | Blood/lymph nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78199 | 26 | C | Blood/lymph nuclear exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78201 | A | Liver imaging | 0.44 | 2.51 | N/A | 0.13 | 3.08 | N/A | XXX | |
| 78201 | 26 | A | Liver imaging | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 78201 | TC | A | Liver imaging | 0.00 | 2.36 | N/A | 0.11 | 2.47 | N/A | XXX |
| 78202 | A | Liver imaging with flow | 0.51 | 3.06 | N/A | 0.14 | 3.71 | N/A | XXX | |
| 78202 | 26 | A | Liver imaging with flow | 0.51 | 0.18 | 0.18 | 0.02 | 0.71 | 0.71 | XXX |
| 78202 | TC | A | Liver imaging with flow | 0.00 | 2.88 | N/A | 0.12 | 3.00 | N/A | XXX |
| 78205 | A | Liver imaging (3D) | 0.71 | 6.16 | N/A | 0.29 | 7.16 | N/A | XXX | |
| 78205 | 26 | A | Liver imaging (3D) | 0.71 | 0.25 | 0.25 | 0.03 | 0.99 | 0.99 | XXX |
| 78205 | TC | A | Liver imaging (3D) | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 78206 | A | Liver image (3d) with flow | 0.96 | 6.25 | N/A | 0.13 | 7.34 | N/A | XXX | |
| 78206 | 26 | A | Liver image (3d) with flow | 0.96 | 0.34 | 0.34 | 0.04 | 1.34 | 1.34 | XXX |
| 78206 | TC | A | Liver image (3d) with flow | 0.00 | 5.91 | N/A | 0.09 | 6.00 | N/A | XXX |
| 78215 | A | Liver and spleen imaging | 0.49 | 3.11 | N/A | 0.14 | 3.74 | N/A | XXX | |
| 78215 | 26 | A | Liver and spleen imaging | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78215 | TC | A | Liver and spleen imaging | 0.00 | 2.94 | N/A | 0.12 | 3.06 | N/A | XXX |
| 78216 | A | Liver spleen image/flow | 0.57 | 3.68 | N/A | 0.17 | 4.42 | N/A | XXX | |
| 78216 | 26 | A | Liver spleen image/flow | 0.57 | 0.20 | 0.20 | 0.02 | 0.79 | 0.79 | XXX |
| 78216 | TC | A | Liver spleen image/flow | 0.00 | 3.48 | N/A | 0.15 | 3.63 | N/A | XXX |
| 78220 | A | Liver function study | 0.49 | 3.89 | N/A | 0.18 | 4.56 | N/A | XXX | |
| 78220 | 26 | A | Liver function study | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78220 | TC | A | Liver function study | 0.00 | 3.72 | N/A | 0.16 | 3.88 | N/A | XXX |
| 78223 | A | Hepatobiliary imaging | 0.84 | 3.95 | N/A | 0.20 | 4.99 | N/A | XXX | |
| 78223 | 26 | A | Hepatobiliary imaging | 0.84 | 0.29 | 0.29 | 0.04 | 1.17 | 1.17 | XXX |
| 78223 | TC | A | Hepatobiliary imaging | 0.00 | 3.67 | N/A | 0.16 | 3.83 | N/A | XXX |
| 78230 | A | Salivary gland imaging | 0.45 | 2.33 | N/A | 0.13 | 2.91 | N/A | XXX | |
| 78230 | 26 | A | Salivary gland imaging | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 78230 | TC | A | Salivary gland imaging | 0.00 | 2.18 | N/A | 0.11 | 2.29 | N/A | XXX |
| 78231 | A | Serial salivary imaging | 0.52 | 3.36 | N/A | 0.16 | 4.04 | N/A | XXX | |
| 78231 | 26 | A | Serial salivary imaging | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX |
| 78231 | TC | A | Serial salivary imaging | 0.00 | 3.17 | N/A | 0.14 | 3.31 | N/A | XXX |
| 78232 | A | Salivary gland function exam | 0.47 | 3.71 | N/A | 0.16 | 4.34 | N/A | XXX | |
| 78232 | 26 | A | Salivary gland function exam | 0.47 | 0.17 | 0.17 | 0.01 | 0.65 | 0.65 | XXX |
| 78232 | TC | A | Salivary gland function exam | 0.00 | 3.54 | N/A | 0.15 | 3.69 | N/A | XXX |
| 78258 | A | Esophageal motility study | 0.74 | 3.13 | N/A | 0.15 | 4.02 | N/A | XXX | |
| 78258 | 26 | A | Esophageal motility study | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 78258 | TC | A | Esophageal motility study | 0.00 | 2.88 | N/A | 0.12 | 3.00 | N/A | XXX |
| 78261 | A | Gastric mucosa imaging | 0.69 | 4.35 | N/A | 0.21 | 5.25 | N/A | XXX | |
| 78261 | 26 | A | Gastric mucosa imaging | 0.69 | 0.25 | 0.25 | 0.03 | 0.97 | 0.97 | XXX |
| 78261 | TC | A | Gastric mucosa imaging | 0.00 | 4.10 | N/A | 0.18 | 4.28 | N/A | XXX |
| 78262 | A | Gastroesophageal reflux exam | 0.68 | 4.49 | N/A | 0.21 | 5.38 | N/A | XXX | |
| 78262 | 26 | A | Gastroesophageal reflux exam | 0.68 | 0.24 | 0.24 | 0.03 | 0.95 | 0.95 | XXX |
| 78262 | TC | A | Gastroesophageal reflux exam | 0.00 | 4.26 | N/A | 0.18 | 4.44 | N/A | XXX |
| 78264 | A | Gastric emptying study | 0.78 | 4.40 | N/A | 0.21 | 5.39 | N/A | XXX | |
| 78264 | 26 | A | Gastric emptying study | 0.78 | 0.27 | 0.27 | 0.03 | 1.08 | 1.08 | XXX |
| 78264 | TC | A | Gastric emptying study | 0.00 | 4.13 | N/A | 0.18 | 4.31 | N/A | XXX |
| 78270 | A | Vit B-12 absorption exam | 0.20 | 1.62 | N/A | 0.09 | 1.91 | N/A | XXX | |
| 78270 | 26 | A | Vit B-12 absorption exam | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 78270 | TC | A | Vit B-12 absorption exam | 0.00 | 1.55 | N/A | 0.08 | 1.63 | N/A | XXX |
| 78271 | A | Vit b-12 absrp exam, int fac | 0.20 | 1.71 | N/A | 0.09 | 2.00 | N/A | XXX | |
| 78271 | 26 | A | Vit b-12 absrp exam, int fac | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 78271 | TC | A | Vit b-12 absrp exam, int fac | 0.00 | 1.64 | N/A | 0.08 | 1.72 | N/A | XXX |
| 78272 | A | Vit B-12 absorp, combined | 0.27 | 2.42 | N/A | 0.12 | 2.81 | N/A | XXX | |
| 78272 | 26 | A | Vit B-12 absorp, combined | 0.27 | 0.10 | 0.10 | 0.01 | 0.38 | 0.38 | XXX |
| 78272 | TC | A | Vit B-12 absorp, combined | 0.00 | 2.32 | N/A | 0.11 | 2.43 | N/A | XXX |
| 78278 | A | Acute GI blood loss imaging | 0.99 | 5.21 | N/A | 0.25 | 6.45 | N/A | XXX | |
| 78278 | 26 | A | Acute GI blood loss imaging | 0.99 | 0.34 | 0.34 | 0.04 | 1.37 | 1.37 | XXX |
| 78278 | TC | A | Acute GI blood loss imaging | 0.00 | 4.87 | N/A | 0.21 | 5.08 | N/A | XXX |
| 78282 | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78282 | 26 | A | GI protein loss exam | 0.38 | 0.13 | 0.13 | 0.02 | 0.53 | 0.53 | XXX |
| 78282 | TC | C | GI protein loss exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78290 | A | Meckel's divert exam | 0.68 | 3.28 | N/A | 0.16 | 4.12 | N/A | XXX | |
| 78290 | 26 | A | Meckel's divert exam | 0.68 | 0.23 | 0.23 | 0.03 | 0.94 | 0.94 | XXX |
| 78290 | TC | A | Meckel's divert exam | 0.00 | 3.05 | N/A | 0.13 | 3.18 | N/A | XXX |
| 78291 | A | Leveen/shunt patency exam | 0.88 | 3.37 | N/A | 0.17 | 4.42 | N/A | XXX | |
| 78291 | 26 | A | Leveen/shunt patency exam | 0.88 | 0.31 | 0.31 | 0.04 | 1.23 | 1.23 | XXX |
| 78291 | TC | A | Leveen/shunt patency exam | 0.00 | 3.07 | N/A | 0.13 | 3.20 | N/A | XXX |
| 78299 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78299 | 26 | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78299 | TC | C | GI nuclear procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78300 | A | Bone imaging, limited area | 0.62 | 2.70 | N/A | 0.15 | 3.47 | N/A | XXX | |
| 78300 | 26 | A | Bone imaging, limited area | 0.62 | 0.21 | 0.21 | 0.03 | 0.86 | 0.86 | XXX |
| 78300 | TC | A | Bone imaging, limited area | 0.00 | 2.49 | N/A | 0.12 | 2.61 | N/A | XXX |
| 78305 | A | Bone imaging, multiple areas | 0.83 | 3.95 | N/A | 0.19 | 4.97 | N/A | XXX | |
| 78305 | 26 | A | Bone imaging, multiple areas | 0.83 | 0.28 | 0.28 | 0.03 | 1.14 | 1.14 | XXX |
| 78305 | TC | A | Bone imaging, multiple areas | 0.00 | 3.67 | N/A | 0.16 | 3.83 | N/A | XXX |
| 78306 | A | Bone imaging, whole body | 0.86 | 4.57 | N/A | 0.22 | 5.65 | N/A | XXX | |
| 78306 | 26 | A | Bone imaging, whole body | 0.86 | 0.29 | 0.29 | 0.04 | 1.19 | 1.19 | XXX |
| 78306 | TC | A | Bone imaging, whole body | 0.00 | 4.27 | N/A | 0.18 | 4.45 | N/A | XXX |
| 78315 | A | Bone imaging, 3 phase | 1.02 | 5.13 | N/A | 0.25 | 6.40 | N/A | XXX | |
| 78315 | 26 | A | Bone imaging, 3 phase | 1.02 | 0.35 | 0.35 | 0.04 | 1.41 | 1.41 | XXX |
| 78315 | TC | A | Bone imaging, 3 phase | 0.00 | 4.78 | N/A | 0.21 | 4.99 | N/A | XXX |
| 78320 | A | Bone imaging (3D) | 1.04 | 6.28 | N/A | 0.30 | 7.62 | N/A | XXX | |
| 78320 | 26 | A | Bone imaging (3D) | 1.04 | 0.37 | 0.37 | 0.04 | 1.45 | 1.45 | XXX |
| 78320 | TC | A | Bone imaging (3D) | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 78350 | A | Bone mineral, single photon | 0.22 | 0.83 | N/A | 0.05 | 1.10 | N/A | XXX | |
| 78350 | 26 | A | Bone mineral, single photon | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 78350 | TC | A | Bone mineral, single photon | 0.00 | 0.75 | N/A | 0.04 | 0.79 | N/A | XXX |
| 78351 | N | Bone mineral, dual photon | 0.30 | 1.76 | 0.12 | 0.01 | 2.07 | 0.43 | XXX | |
| 78399 | C | Musculoskeletal nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78399 | 26 | C | Musculoskeletal nuclear exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78414 | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78414 | 26 | A | Non-imaging heart function | 0.45 | 0.16 | 0.16 | 0.02 | 0.63 | 0.63 | XXX |
| 78414 | TC | C | Non-imaging heart function | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78428 | A | Cardiac shunt imaging | 0.78 | 2.55 | N/A | 0.14 | 3.47 | N/A | XXX | |
| 78428 | 26 | A | Cardiac shunt imaging | 0.78 | 0.30 | 0.30 | 0.03 | 1.11 | 1.11 | XXX |
| 78428 | TC | A | Cardiac shunt imaging | 0.00 | 2.25 | N/A | 0.11 | 2.36 | N/A | XXX |
| 78445 | A | Vascular flow imaging | 0.49 | 2.03 | N/A | 0.11 | 2.63 | N/A | XXX | |
| 78445 | 26 | A | Vascular flow imaging | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78445 | TC | A | Vascular flow imaging | 0.00 | 1.86 | N/A | 0.09 | 1.95 | N/A | XXX |
| 78455 | A | Venous thrombosis study | 0.73 | 4.24 | N/A | 0.20 | 5.17 | N/A | XXX | |
| 78455 | 26 | A | Venous thrombosis study | 0.73 | 0.25 | 0.25 | 0.03 | 1.01 | 1.01 | XXX |
| 78455 | TC | A | Venous thrombosis study | 0.00 | 3.98 | N/A | 0.17 | 4.15 | N/A | XXX |
| 78456 | A | Acute venous thrombus image | 1.00 | 4.34 | N/A | 0.28 | 5.62 | N/A | XXX | |
| 78456 | 26 | A | Acute venous thrombus image | 1.00 | 0.35 | 0.35 | 0.04 | 1.39 | 1.39 | XXX |
| 78456 | TC | A | Acute venous thrombus image | 0.00 | 3.98 | N/A | 0.24 | 4.22 | N/A | XXX |
| 78457 | A | Venous thrombosis imaging | 0.77 | 2.92 | N/A | 0.15 | 3.84 | N/A | XXX | |
| 78457 | 26 | A | Venous thrombosis imaging | 0.77 | 0.27 | 0.27 | 0.03 | 1.07 | 1.07 | XXX |
| 78457 | TC | A | Venous thrombosis imaging | 0.00 | 2.66 | N/A | 0.12 | 2.78 | N/A | XXX |
| 78458 | A | Ven thrombosis images, bilat | 0.90 | 4.35 | N/A | 0.20 | 5.45 | N/A | XXX | |
| 78458 | 26 | A | Ven thrombosis images, bilat | 0.90 | 0.33 | 0.33 | 0.03 | 1.26 | 1.26 | XXX |
| 78458 | TC | A | Ven thrombosis images, bilat | 0.00 | 4.02 | N/A | 0.17 | 4.19 | N/A | XXX |
| 78459 | C | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78459 | 26 | R | Heart muscle imaging (PET) | 1.50 | 0.58 | 0.58 | 0.04 | 2.12 | 2.12 | XXX |
| 78459 | TC | C | Heart muscle imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78460 | A | Heart muscle blood, single | 0.86 | 2.66 | N/A | 0.14 | 3.66 | N/A | XXX | |
| 78460 | 26 | A | Heart muscle blood, single | 0.86 | 0.30 | 0.30 | 0.03 | 1.19 | 1.19 | XXX |
| 78460 | TC | A | Heart muscle blood, single | 0.00 | 2.36 | N/A | 0.11 | 2.47 | N/A | XXX |
| 78461 | A | Heart muscle blood, multiple | 1.23 | 5.16 | N/A | 0.26 | 6.65 | N/A | XXX | |
| 78461 | 26 | A | Heart muscle blood, multiple | 1.23 | 0.44 | 0.44 | 0.05 | 1.72 | 1.72 | XXX |
| 78461 | TC | A | Heart muscle blood, multiple | 0.00 | 4.72 | N/A | 0.21 | 4.93 | N/A | XXX |
| 78464 | A | Heart image (3d), single | 1.09 | 7.46 | N/A | 0.35 | 8.90 | N/A | XXX | |
| 78464 | 26 | A | Heart image (3d), single | 1.09 | 0.39 | 0.39 | 0.04 | 1.52 | 1.52 | XXX |
| 78464 | TC | A | Heart image (3d), single | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 78465 | A | Heart image (3d), multiple | 1.46 | 12.33 | N/A | 0.56 | 14.35 | N/A | XXX | |
| 78465 | 26 | A | Heart image (3d), multiple | 1.46 | 0.53 | 0.53 | 0.05 | 2.04 | 2.04 | XXX |
| 78465 | TC | A | Heart image (3d), multiple | 0.00 | 11.80 | N/A | 0.51 | 12.31 | N/A | XXX |
| 78466 | A | Heart infarct image | 0.69 | 2.87 | N/A | 0.15 | 3.71 | N/A | XXX | |
| 78466 | 26 | A | Heart infarct image | 0.69 | 0.25 | 0.25 | 0.03 | 0.97 | 0.97 | XXX |
| 78466 | TC | A | Heart infarct image | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 78468 | A | Heart infarct image (ef) | 0.80 | 3.95 | N/A | 0.19 | 4.94 | N/A | XXX | |
| 78468 | 26 | A | Heart infarct image (ef) | 0.80 | 0.28 | 0.28 | 0.03 | 1.11 | 1.11 | XXX |
| 78468 | TC | A | Heart infarct image (ef) | 0.00 | 3.67 | N/A | 0.16 | 3.83 | N/A | XXX |
| 78469 | A | Heart infarct image (3D) | 0.92 | 5.54 | N/A | 0.26 | 6.72 | N/A | XXX | |
| 78469 | 26 | A | Heart infarct image (3D) | 0.92 | 0.32 | 0.32 | 0.03 | 1.27 | 1.27 | XXX |
| 78469 | TC | A | Heart infarct image (3D) | 0.00 | 5.22 | N/A | 0.23 | 5.45 | N/A | XXX |
| 78472 | A | Gated heart, planar, single | 0.98 | 5.86 | N/A | 0.29 | 7.13 | N/A | XXX | |
| 78472 | 26 | A | Gated heart, planar, single | 0.98 | 0.35 | 0.35 | 0.04 | 1.37 | 1.37 | XXX |
| 78472 | TC | A | Gated heart, planar, single | 0.00 | 5.51 | N/A | 0.25 | 5.76 | N/A | XXX |
| 78473 | A | Gated heart, multiple | 1.47 | 8.78 | N/A | 0.40 | 10.65 | N/A | XXX | |
| 78473 | 26 | A | Gated heart, multiple | 1.47 | 0.52 | 0.52 | 0.05 | 2.04 | 2.04 | XXX |
| 78473 | TC | A | Gated heart, multiple | 0.00 | 8.26 | N/A | 0.35 | 8.61 | N/A | XXX |
| 78478 | A | Heart wall motion add-on | 0.62 | 1.79 | N/A | 0.10 | 2.51 | N/A | XXX | |
| 78478 | 26 | A | Heart wall motion add-on | 0.62 | 0.23 | 0.23 | 0.02 | 0.87 | 0.87 | XXX |
| 78478 | TC | A | Heart wall motion add-on | 0.00 | 1.56 | N/A | 0.08 | 1.64 | N/A | XXX |
| 78480 | A | Heart function add-on | 0.62 | 1.79 | N/A | 0.10 | 2.51 | N/A | XXX | |
| 78480 | 26 | A | Heart function add-on | 0.62 | 0.23 | 0.23 | 0.02 | 0.87 | 0.87 | XXX |
| 78480 | TC | A | Heart function add-on | 0.00 | 1.56 | N/A | 0.08 | 1.64 | N/A | XXX |
| 78481 | A | Heart first pass, single | 0.98 | 5.59 | N/A | 0.26 | 6.83 | N/A | XXX | |
| 78481 | 26 | A | Heart first pass, single | 0.98 | 0.37 | 0.37 | 0.03 | 1.38 | 1.38 | XXX |
| 78481 | TC | A | Heart first pass, single | 0.00 | 5.22 | N/A | 0.23 | 5.45 | N/A | XXX |
| 78483 | A | Heart first pass, multiple | 1.47 | 8.42 | N/A | 0.39 | 10.28 | N/A | XXX | |
| 78483 | 26 | A | Heart first pass, multiple | 1.47 | 0.55 | 0.55 | 0.05 | 2.07 | 2.07 | XXX |
| 78483 | TC | A | Heart first pass, multiple | 0.00 | 7.87 | N/A | 0.34 | 8.21 | N/A | XXX |
| 78491 | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78491 | 26 | I | Heart image (pet), single | 1.50 | 0.60 | 0.60 | 0.05 | 2.15 | 2.15 | XXX |
| 78491 | TC | I | Heart image (pet), single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78492 | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78492 | 26 | I | Heart image (pet), multiple | 1.87 | 0.75 | 0.75 | 0.06 | 2.68 | 2.68 | XXX |
| 78492 | TC | I | Heart image (pet), multiple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 78494 | A | Heart image, spect | 1.19 | 7.49 | N/A | 0.29 | 8.97 | N/A | XXX | |
| 78494 | 26 | A | Heart image, spect | 1.19 | 0.43 | 0.43 | 0.04 | 1.66 | 1.66 | XXX |
| 78494 | TC | A | Heart image, spect | 0.00 | 7.07 | N/A | 0.25 | 7.32 | N/A | XXX |
| 78496 | A | Heart first pass add-on | 0.50 | 7.25 | N/A | 0.27 | 8.02 | N/A | ZZZ | |
| 78496 | 26 | A | Heart first pass add-on | 0.50 | 0.19 | 0.19 | 0.02 | 0.71 | 0.71 | ZZZ |
| 78496 | TC | A | Heart first pass add-on | 0.00 | 7.07 | N/A | 0.25 | 7.32 | N/A | ZZZ |
| 78499 | C | Cardiovascular nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78499 | 26 | C | Cardiovascular nuclear exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78580 | A | Lung perfusion imaging | 0.74 | 3.69 | N/A | 0.18 | 4.61 | N/A | XXX | |
| 78580 | 26 | A | Lung perfusion imaging | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 78580 | TC | A | Lung perfusion imaging | 0.00 | 3.43 | N/A | 0.15 | 3.58 | N/A | XXX |
| 78584 | A | Lung V/Q image single breath | 0.99 | 3.53 | N/A | 0.18 | 4.70 | N/A | XXX | |
| 78584 | 26 | A | Lung V/Q image single breath | 0.99 | 0.33 | 0.33 | 0.04 | 1.36 | 1.36 | XXX |
| 78584 | TC | A | Lung V/Q image single breath | 0.00 | 3.20 | N/A | 0.14 | 3.34 | N/A | XXX |
| 78585 | A | Lung V/Q imaging | 1.09 | 6.01 | N/A | 0.30 | 7.40 | N/A | XXX | |
| 78585 | 26 | A | Lung V/Q imaging | 1.09 | 0.37 | 0.37 | 0.05 | 1.51 | 1.51 | XXX |
| 78585 | TC | A | Lung V/Q imaging | 0.00 | 5.64 | N/A | 0.25 | 5.89 | N/A | XXX |
| 78586 | A | Aerosol lung image, single | 0.40 | 2.73 | N/A | 0.14 | 3.27 | N/A | XXX | |
| 78586 | 26 | A | Aerosol lung image, single | 0.40 | 0.13 | 0.13 | 0.02 | 0.55 | 0.55 | XXX |
| 78586 | TC | A | Aerosol lung image, single | 0.00 | 2.59 | N/A | 0.12 | 2.71 | N/A | XXX |
| 78587 | A | Aerosol lung image, multiple | 0.49 | 2.97 | N/A | 0.14 | 3.60 | N/A | XXX | |
| 78587 | 26 | A | Aerosol lung image, multiple | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78587 | TC | A | Aerosol lung image, multiple | 0.00 | 2.80 | N/A | 0.12 | 2.92 | N/A | XXX |
| 78588 | A | Perfusion lung image | 1.09 | 3.57 | N/A | 0.20 | 4.86 | N/A | XXX | |
| 78588 | 26 | A | Perfusion lung image | 1.09 | 0.37 | 0.37 | 0.05 | 1.51 | 1.51 | XXX |
| 78588 | TC | A | Perfusion lung image | 0.00 | 3.20 | N/A | 0.15 | 3.35 | N/A | XXX |
| 78591 | A | Vent image, 1 breath, 1 proj | 0.40 | 2.99 | N/A | 0.14 | 3.53 | N/A | XXX | |
| 78591 | 26 | A | Vent image, 1 breath, 1 proj | 0.40 | 0.14 | 0.14 | 0.02 | 0.56 | 0.56 | XXX |
| 78591 | TC | A | Vent image, 1 breath, 1 proj | 0.00 | 2.85 | N/A | 0.12 | 2.97 | N/A | XXX |
| 78593 | A | Vent image, 1 proj, gas | 0.49 | 3.62 | N/A | 0.17 | 4.28 | N/A | XXX | |
| 78593 | 26 | A | Vent image, 1 proj, gas | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78593 | TC | A | Vent image, 1 proj, gas | 0.00 | 3.45 | N/A | 0.15 | 3.60 | N/A | XXX |
| 78594 | A | Vent image, mult proj, gas | 0.53 | 5.17 | N/A | 0.23 | 5.93 | N/A | XXX | |
| 78594 | 26 | A | Vent image, mult proj, gas | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 78594 | TC | A | Vent image, mult proj, gas | 0.00 | 4.98 | N/A | 0.21 | 5.19 | N/A | XXX |
| 78596 | A | Lung differential function | 1.27 | 7.50 | N/A | 0.36 | 9.13 | N/A | XXX | |
| 78596 | 26 | A | Lung differential function | 1.27 | 0.43 | 0.43 | 0.05 | 1.75 | 1.75 | XXX |
| 78596 | TC | A | Lung differential function | 0.00 | 7.07 | N/A | 0.31 | 7.38 | N/A | XXX |
| 78599 | C | Respiratory nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78599 | 26 | C | Respiratory nuclear exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78600 | A | Brain imaging, ltd static | 0.44 | 3.04 | N/A | 0.14 | 3.62 | N/A | XXX | |
| 78600 | 26 | A | Brain imaging, ltd static | 0.44 | 0.16 | 0.16 | 0.02 | 0.62 | 0.62 | XXX |
| 78600 | TC | A | Brain imaging, ltd static | 0.00 | 2.88 | N/A | 0.12 | 3.00 | N/A | XXX |
| 78601 | A | Brain imaging, ltd w/ flow | 0.51 | 3.58 | N/A | 0.17 | 4.26 | N/A | XXX | |
| 78601 | 26 | A | Brain imaging, ltd w/ flow | 0.51 | 0.18 | 0.18 | 0.02 | 0.71 | 0.71 | XXX |
| 78601 | TC | A | Brain imaging, ltd w/ flow | 0.00 | 3.40 | N/A | 0.15 | 3.55 | N/A | XXX |
| 78605 | A | Brain imaging, complete | 0.53 | 3.59 | N/A | 0.17 | 4.29 | N/A | XXX | |
| 78605 | 26 | A | Brain imaging, complete | 0.53 | 0.19 | 0.19 | 0.02 | 0.74 | 0.74 | XXX |
| 78605 | TC | A | Brain imaging, complete | 0.00 | 3.40 | N/A | 0.15 | 3.55 | N/A | XXX |
| 78606 | A | Brain imaging, compl w/flow | 0.64 | 4.09 | N/A | 0.20 | 4.93 | N/A | XXX | |
| 78606 | 26 | A | Brain imaging, compl w/flow | 0.64 | 0.22 | 0.22 | 0.03 | 0.89 | 0.89 | XXX |
| 78606 | TC | A | Brain imaging, compl w/flow | 0.00 | 3.87 | N/A | 0.17 | 4.04 | N/A | XXX |
| 78607 | A | Brain imaging (3D) | 1.23 | 7.00 | N/A | 0.34 | 8.57 | N/A | XXX | |
| 78607 | 26 | A | Brain imaging (3D) | 1.23 | 0.44 | 0.44 | 0.05 | 1.72 | 1.72 | XXX |
| 78607 | TC | A | Brain imaging (3D) | 0.00 | 6.56 | N/A | 0.29 | 6.85 | N/A | XXX |
| 78608 | N | Brain imaging (PET) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78610 | A | Brain flow imaging only | 0.30 | 1.69 | N/A | 0.09 | 2.08 | N/A | XXX | |
| 78610 | 26 | A | Brain flow imaging only | 0.30 | 0.11 | 0.11 | 0.01 | 0.42 | 0.42 | XXX |
| 78610 | TC | A | Brain flow imaging only | 0.00 | 1.58 | N/A | 0.08 | 1.66 | N/A | XXX |
| 78615 | A | Cerebral vascular flow image | 0.42 | 4.00 | N/A | 0.19 | 4.61 | N/A | XXX | |
| 78615 | 26 | A | Cerebral vascular flow image | 0.42 | 0.16 | 0.16 | 0.02 | 0.60 | 0.60 | XXX |
| 78615 | TC | A | Cerebral vascular flow image | 0.00 | 3.85 | N/A | 0.17 | 4.02 | N/A | XXX |
| 78630 | A | Cerebrospinal fluid scan | 0.68 | 5.27 | N/A | 0.25 | 6.20 | N/A | XXX | |
| 78630 | 26 | A | Cerebrospinal fluid scan | 0.68 | 0.23 | 0.23 | 0.03 | 0.94 | 0.94 | XXX |
| 78630 | TC | A | Cerebrospinal fluid scan | 0.00 | 5.04 | N/A | 0.22 | 5.26 | N/A | XXX |
| 78635 | A | CSF ventriculography | 0.61 | 2.78 | N/A | 0.14 | 3.53 | N/A | XXX | |
| 78635 | 26 | A | CSF ventriculography | 0.61 | 0.24 | 0.24 | 0.02 | 0.87 | 0.87 | XXX |
| 78635 | TC | A | CSF ventriculography | 0.00 | 2.54 | N/A | 0.12 | 2.66 | N/A | XXX |
| 78645 | A | CSF shunt evaluation | 0.57 | 3.63 | N/A | 0.17 | 4.37 | N/A | XXX | |
| 78645 | 26 | A | CSF shunt evaluation | 0.57 | 0.20 | 0.20 | 0.02 | 0.79 | 0.79 | XXX |
| 78645 | TC | A | CSF shunt evaluation | 0.00 | 3.43 | N/A | 0.15 | 3.58 | N/A | XXX |
| 78647 | A | Cerebrospinal fluid scan | 0.90 | 6.23 | N/A | 0.29 | 7.42 | N/A | XXX | |
| 78647 | 26 | A | Cerebrospinal fluid scan | 0.90 | 0.32 | 0.32 | 0.03 | 1.25 | 1.25 | XXX |
| 78647 | TC | A | Cerebrospinal fluid scan | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 78650 | A | CSF leakage imaging | 0.61 | 4.86 | N/A | 0.22 | 5.69 | N/A | XXX | |
| 78650 | 26 | A | CSF leakage imaging | 0.61 | 0.21 | 0.21 | 0.02 | 0.84 | 0.84 | XXX |
| 78650 | TC | A | CSF leakage imaging | 0.00 | 4.64 | N/A | 0.20 | 4.84 | N/A | XXX |
| 78660 | A | Nuclear exam of tear flow | 0.53 | 2.30 | N/A | 0.12 | 2.95 | N/A | XXX | |
| 78660 | 26 | A | Nuclear exam of tear flow | 0.53 | 0.18 | 0.18 | 0.02 | 0.73 | 0.73 | XXX |
| 78660 | TC | A | Nuclear exam of tear flow | 0.00 | 2.12 | N/A | 0.10 | 2.22 | N/A | XXX |
| 78699 | C | Nervous system nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78699 | 26 | C | Nervous system nuclear exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78700 | A | Kidney imaging, static | 0.45 | 3.20 | N/A | 0.15 | 3.80 | N/A | XXX | |
| 78700 | 26 | A | Kidney imaging, static | 0.45 | 0.15 | 0.15 | 0.02 | 0.62 | 0.62 | XXX |
| 78700 | TC | A | Kidney imaging, static | 0.00 | 3.05 | N/A | 0.13 | 3.18 | N/A | XXX |
| 78701 | A | Kidney imaging with flow | 0.49 | 3.73 | N/A | 0.17 | 4.39 | N/A | XXX | |
| 78701 | 26 | A | Kidney imaging with flow | 0.49 | 0.17 | 0.17 | 0.02 | 0.68 | 0.68 | XXX |
| 78701 | TC | A | Kidney imaging with flow | 0.00 | 3.56 | N/A | 0.15 | 3.71 | N/A | XXX |
| 78704 | A | Imaging renogram | 0.74 | 4.21 | N/A | 0.20 | 5.15 | N/A | XXX | |
| 78704 | 26 | A | Imaging renogram | 0.74 | 0.25 | 0.25 | 0.03 | 1.02 | 1.02 | XXX |
| 78704 | TC | A | Imaging renogram | 0.00 | 3.96 | N/A | 0.17 | 4.13 | N/A | XXX |
| 78707 | A | Kidney flow/function image | 0.96 | 4.80 | N/A | 0.23 | 5.99 | N/A | XXX | |
| 78707 | 26 | A | Kidney flow/function image | 0.96 | 0.33 | 0.33 | 0.04 | 1.33 | 1.33 | XXX |
| 78707 | TC | A | Kidney flow/function image | 0.00 | 4.47 | N/A | 0.19 | 4.66 | N/A | XXX |
| 78708 | A | Kidney flow/function image | 1.21 | 4.89 | N/A | 0.24 | 6.34 | N/A | XXX | |
| 78708 | 26 | A | Kidney flow/function image | 1.21 | 0.42 | 0.42 | 0.05 | 1.68 | 1.68 | XXX |
| 78708 | TC | A | Kidney flow/function image | 0.00 | 4.47 | N/A | 0.19 | 4.66 | N/A | XXX |
| 78709 | A | Kidney flow/function image | 1.41 | 4.95 | N/A | 0.25 | 6.61 | N/A | XXX | |
| 78709 | 26 | A | Kidney flow/function image | 1.41 | 0.48 | 0.48 | 0.06 | 1.95 | 1.95 | XXX |
| 78709 | TC | A | Kidney flow/function image | 0.00 | 4.47 | N/A | 0.19 | 4.66 | N/A | XXX |
| 78710 | A | Kidney imaging (3D) | 0.66 | 6.13 | N/A | 0.29 | 7.08 | N/A | XXX | |
| 78710 | 26 | A | Kidney imaging (3D) | 0.66 | 0.23 | 0.23 | 0.03 | 0.92 | 0.92 | XXX |
| 78710 | TC | A | Kidney imaging (3D) | 0.00 | 5.91 | N/A | 0.26 | 6.17 | N/A | XXX |
| 78715 | A | Renal vascular flow exam | 0.30 | 1.69 | N/A | 0.09 | 2.08 | N/A | XXX | |
| 78715 | 26 | A | Renal vascular flow exam | 0.30 | 0.11 | 0.11 | 0.01 | 0.42 | 0.42 | XXX |
| 78715 | TC | A | Renal vascular flow exam | 0.00 | 1.58 | N/A | 0.08 | 1.66 | N/A | XXX |
| 78725 | A | Kidney function study | 0.38 | 1.91 | N/A | 0.10 | 2.39 | N/A | XXX | |
| 78725 | 26 | A | Kidney function study | 0.38 | 0.13 | 0.13 | 0.01 | 0.52 | 0.52 | XXX |
| 78725 | TC | A | Kidney function study | 0.00 | 1.78 | N/A | 0.09 | 1.87 | N/A | XXX |
| 78730 | A | Urinary bladder retention | 0.36 | 1.59 | N/A | 0.09 | 2.04 | N/A | XXX | |
| 78730 | 26 | A | Urinary bladder retention | 0.36 | 0.13 | 0.13 | 0.02 | 0.51 | 0.51 | XXX |
| 78730 | TC | A | Urinary bladder retention | 0.00 | 1.46 | N/A | 0.07 | 1.53 | N/A | XXX |
| 78740 | A | Ureteral reflux study | 0.57 | 2.31 | N/A | 0.12 | 3.00 | N/A | XXX | |
| 78740 | 26 | A | Ureteral reflux study | 0.57 | 0.19 | 0.19 | 0.02 | 0.78 | 0.78 | XXX |
| 78740 | TC | A | Ureteral reflux study | 0.00 | 2.12 | N/A | 0.10 | 2.22 | N/A | XXX |
| 78760 | A | Testicular imaging | 0.66 | 2.90 | N/A | 0.15 | 3.71 | N/A | XXX | |
| 78760 | 26 | A | Testicular imaging | 0.66 | 0.22 | 0.22 | 0.03 | 0.91 | 0.91 | XXX |
| 78760 | TC | A | Testicular imaging | 0.00 | 2.68 | N/A | 0.12 | 2.80 | N/A | XXX |
| 78761 | A | Testicular imaging/flow | 0.71 | 3.44 | N/A | 0.17 | 4.32 | N/A | XXX | |
| 78761 | 26 | A | Testicular imaging/flow | 0.71 | 0.24 | 0.24 | 0.03 | 0.98 | 0.98 | XXX |
| 78761 | TC | A | Testicular imaging/flow | 0.00 | 3.20 | N/A | 0.14 | 3.34 | N/A | XXX |
| 78799 | C | Genitourinary nuclear exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78799 | 26 | C | Genitourinary nuclear exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 78800 | A | Tumor imaging, limited area | 0.66 | 3.63 | N/A | 0.18 | 4.47 | N/A | XXX | |
| 78800 | 26 | A | Tumor imaging, limited area | 0.66 | 0.22 | 0.22 | 0.03 | 0.91 | 0.91 | XXX |
| 78800 | TC | A | Tumor imaging, limited area | 0.00 | 3.40 | N/A | 0.15 | 3.55 | N/A | XXX |
| 78801 | A | Tumor imaging, mult areas | 0.79 | 4.50 | N/A | 0.21 | 5.50 | N/A | XXX | |
| 78801 | 26 | A | Tumor imaging, mult areas | 0.79 | 0.27 | 0.27 | 0.03 | 1.09 | 1.09 | XXX |
| 78801 | TC | A | Tumor imaging, mult areas | 0.00 | 4.23 | N/A | 0.18 | 4.41 | N/A | XXX |
| 78802 | A | Tumor imaging, whole body | 0.86 | 5.83 | N/A | 0.28 | 6.97 | N/A | XXX | |
| 78802 | 26 | A | Tumor imaging, whole body | 0.86 | 0.30 | 0.30 | 0.03 | 1.19 | 1.19 | XXX |
| 78802 | TC | A | Tumor imaging, whole body | 0.00 | 5.53 | N/A | 0.25 | 5.78 | N/A | XXX |
| 78803 | A | Tumor imaging (3D) | 1.09 | 6.95 | N/A | 0.33 | 8.37 | N/A | XXX | |
| 78803 | 26 | A | Tumor imaging (3D) | 1.09 | 0.39 | 0.39 | 0.04 | 1.52 | 1.52 | XXX |
| 78803 | TC | A | Tumor imaging (3D) | 0.00 | 6.56 | N/A | 0.29 | 6.85 | N/A | XXX |
| 78805 | A | Abscess imaging, ltd area | 0.73 | 3.66 | N/A | 0.18 | 4.57 | N/A | XXX | |
| 78805 | 26 | A | Abscess imaging, ltd area | 0.73 | 0.26 | 0.26 | 0.03 | 1.02 | 1.02 | XXX |
| 78805 | TC | A | Abscess imaging, ltd area | 0.00 | 3.40 | N/A | 0.15 | 3.55 | N/A | XXX |
| 78806 | A | Abscess imaging, whole body | 0.86 | 6.73 | N/A | 0.32 | 7.91 | N/A | XXX | |
| 78806 | 26 | A | Abscess imaging, whole body | 0.86 | 0.30 | 0.30 | 0.03 | 1.19 | 1.19 | XXX |
| 78806 | TC | A | Abscess imaging, whole body | 0.00 | 6.43 | N/A | 0.29 | 6.72 | N/A | XXX |
| 78807 | A | Nuclear localization/abscess | 1.09 | 6.96 | N/A | 0.33 | 8.38 | N/A | XXX | |
| 78807 | 26 | A | Nuclear localization/abscess | 1.09 | 0.40 | 0.40 | 0.04 | 1.53 | 1.53 | XXX |
| 78807 | TC | A | Nuclear localization/abscess | 0.00 | 6.56 | N/A | 0.29 | 6.85 | N/A | XXX |
| 78810 | 26 | N | Tumor imaging (PET) | 1.93 | 0.75 | 0.75 | 0.09 | 2.77 | 2.77 | XXX |
| 78890 | B | Nuclear medicine data proc | 0.05 | 1.32 | N/A | 0.06 | 1.43 | N/A | XXX | |
| 78890 | 26 | B | Nuclear medicine data proc | 0.05 | 0.02 | 0.02 | 0.01 | 0.08 | 0.08 | XXX |
| 78890 | TC | B | Nuclear medicine data proc | 0.00 | 1.31 | N/A | 0.05 | 1.36 | N/A | XXX |
| 78891 | B | Nuclear med data proc | 0.10 | 2.66 | N/A | 0.12 | 2.88 | N/A | XXX | |
| 78891 | 26 | B | Nuclear med data proc | 0.10 | 0.04 | 0.04 | 0.01 | 0.15 | 0.15 | XXX |
| 78891 | TC | B | Nuclear med data proc | 0.00 | 2.62 | N/A | 0.11 | 2.73 | N/A | XXX |
| 78990 | I | Provide diag radionuclide(s) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | C | Nuclear diagnostic exam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 78999 | 26 | C | Nuclear diagnostic exam | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 79000 | A | Init hyperthyroid therapy | 1.80 | 3.24 | N/A | 0.19 | 5.23 | N/A | XXX | |
| 79000 | 26 | A | Init hyperthyroid therapy | 1.80 | 0.62 | 0.62 | 0.07 | 2.49 | 2.49 | XXX |
| 79000 | TC | A | Init hyperthyroid therapy | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79001 | A | Repeat hyperthyroid therapy | 1.05 | 1.67 | N/A | 0.10 | 2.82 | N/A | XXX | |
| 79001 | 26 | A | Repeat hyperthyroid therapy | 1.05 | 0.36 | 0.36 | 0.04 | 1.45 | 1.45 | XXX |
| 79001 | TC | A | Repeat hyperthyroid therapy | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 79020 | A | Thyroid ablation | 1.81 | 3.23 | N/A | 0.19 | 5.23 | N/A | XXX | |
| 79020 | 26 | A | Thyroid ablation | 1.81 | 0.61 | 0.61 | 0.07 | 2.49 | 2.49 | XXX |
| 79020 | TC | A | Thyroid ablation | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79030 | A | Thyroid ablation, carcinoma | 2.10 | 3.34 | N/A | 0.20 | 5.64 | N/A | XXX | |
| 79030 | 26 | A | Thyroid ablation, carcinoma | 2.10 | 0.72 | 0.72 | 0.08 | 2.90 | 2.90 | XXX |
| 79030 | TC | A | Thyroid ablation, carcinoma | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79035 | A | Thyroid metastatic therapy | 2.52 | 3.51 | N/A | 0.21 | 6.24 | N/A | XXX | |
| 79035 | 26 | A | Thyroid metastatic therapy | 2.52 | 0.89 | 0.89 | 0.09 | 3.50 | 3.50 | XXX |
| 79035 | TC | A | Thyroid metastatic therapy | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79100 | A | Hematopoetic nuclear therapy | 1.32 | 3.09 | N/A | 0.17 | 4.58 | N/A | XXX | |
| 79100 | 26 | A | Hematopoetic nuclear therapy | 1.32 | 0.47 | 0.47 | 0.05 | 1.84 | 1.84 | XXX |
| 79100 | TC | A | Hematopoetic nuclear therapy | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79200 | A | Intracavitary nuclear trmt | 1.99 | 3.33 | N/A | 0.19 | 5.51 | N/A | XXX | |
| 79200 | 26 | A | Intracavitary nuclear trmt | 1.99 | 0.71 | 0.71 | 0.07 | 2.77 | 2.77 | XXX |
| 79200 | TC | A | Intracavitary nuclear trmt | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79300 | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79300 | 26 | A | Interstitial nuclear therapy | 1.60 | 0.57 | 0.57 | 0.07 | 2.24 | 2.24 | XXX |
| 79300 | TC | C | Interstitial nuclear therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79400 | A | Nonhemato nuclear therapy | 1.96 | 3.31 | N/A | 0.20 | 5.47 | N/A | XXX | |
| 79400 | 26 | A | Nonhemato nuclear therapy | 1.96 | 0.68 | 0.68 | 0.08 | 2.72 | 2.72 | XXX |
| 79400 | TC | A | Nonhemato nuclear therapy | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79420 | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79420 | 26 | A | Intravascular nuclear ther | 1.51 | 0.50 | 0.50 | 0.06 | 2.07 | 2.07 | XXX |
| 79420 | TC | C | Intravascular nuclear ther | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 79440 | A | Nuclear joint therapy | 1.99 | 3.36 | N/A | 0.20 | 5.55 | N/A | XXX | |
| 79440 | 26 | A | Nuclear joint therapy | 1.99 | 0.74 | 0.74 | 0.08 | 2.81 | 2.81 | XXX |
| 79440 | TC | A | Nuclear joint therapy | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| 79900 | C | Provide ther radiopharm(s) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79999 | C | Nuclear medicine therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 79999 | 26 | C | Nuclear medicine therapy | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 80055 | I | Obstetric panel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 80500 | A | Lab pathology consultation | 0.37 | 0.22 | 0.16 | 0.01 | 0.60 | 0.54 | XXX | |
| 80502 | A | Lab pathology consultation | 1.33 | 0.64 | 0.59 | 0.05 | 2.02 | 1.97 | XXX | |
| 83020 | 26 | A | Hemoglobin electrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 83912 | 26 | A | Genetic examination | 0.37 | 0.15 | 0.15 | 0.01 | 0.53 | 0.53 | XXX |
| 84165 | 26 | A | Assay of serum proteins | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 84181 | 26 | A | Western blot test | 0.37 | 0.14 | 0.14 | 0.01 | 0.52 | 0.52 | XXX |
| 84182 | 26 | A | Protein, western blot test | 0.37 | 0.17 | 0.17 | 0.01 | 0.55 | 0.55 | XXX |
| 85060 | A | Blood smear interpretation | 0.45 | 0.19 | 0.19 | 0.02 | 0.66 | 0.66 | XXX | |
| 85097 | A | Bone marrow interpretation | 0.94 | 1.65 | 0.41 | 0.03 | 2.62 | 1.38 | XXX | |
| 85390 | 26 | A | Fibrinolysins screen | 0.37 | 0.12 | 0.12 | 0.01 | 0.50 | 0.50 | XXX |
| 85576 | 26 | A | Blood platelet aggregation | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86077 | A | Physician blood bank service | 0.94 | 0.47 | 0.41 | 0.03 | 1.44 | 1.38 | XXX | |
| 86078 | A | Physician blood bank service | 0.94 | 0.50 | 0.42 | 0.03 | 1.47 | 1.39 | XXX | |
| 86079 | A | Physician blood bank service | 0.94 | 0.50 | 0.42 | 0.03 | 1.47 | 1.39 | XXX | |
| 86255 | 26 | A | Fluorescent antibody, screen | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 86256 | 26 | A | Fluorescent antibody, titer | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86320 | 26 | A | Serum immunoelectrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86325 | 26 | A | Other immunoelectrophoresis | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86327 | 26 | A | Immunoelectrophoresis assay | 0.42 | 0.19 | 0.19 | 0.01 | 0.62 | 0.62 | XXX |
| 86334 | 26 | A | Immunofixation procedure | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 86485 | C | Skin test, candida | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 86490 | A | Coccidioidomycosis skin test | 0.00 | 0.29 | N/A | 0.02 | 0.31 | N/A | XXX | |
| 86510 | A | Histoplasmosis skin test | 0.00 | 0.32 | N/A | 0.02 | 0.34 | N/A | XXX | |
| 86580 | A | TB intradermal test | 0.00 | 0.25 | N/A | 0.02 | 0.27 | N/A | XXX | |
| 86585 | A | TB tine test | 0.00 | 0.20 | N/A | 0.01 | 0.21 | N/A | XXX | |
| 86586 | C | Skin test, unlisted | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87164 | 26 | A | Dark field examination | 0.37 | 0.12 | 0.12 | 0.01 | 0.50 | 0.50 | XXX |
| 87207 | 26 | A | Smear, special stain | 0.37 | 0.17 | 0.16 | 0.01 | 0.55 | 0.54 | XXX |
| 88104 | A | Cytopathology, fluids | 0.56 | 0.76 | N/A | 0.04 | 1.36 | N/A | XXX | |
| 88104 | 26 | A | Cytopathology, fluids | 0.56 | 0.25 | 0.25 | 0.02 | 0.83 | 0.83 | XXX |
| 88104 | TC | A | Cytopathology, fluids | 0.00 | 0.51 | N/A | 0.02 | 0.53 | N/A | XXX |
| 88106 | A | Cytopathology, fluids | 0.56 | 0.62 | N/A | 0.04 | 1.22 | N/A | XXX | |
| 88106 | 26 | A | Cytopathology, fluids | 0.56 | 0.25 | 0.25 | 0.02 | 0.83 | 0.83 | XXX |
| 88106 | TC | A | Cytopathology, fluids | 0.00 | 0.37 | N/A | 0.02 | 0.39 | N/A | XXX |
| 88107 | A | Cytopathology, fluids | 0.76 | 0.99 | N/A | 0.05 | 1.80 | N/A | XXX | |
| 88107 | 26 | A | Cytopathology, fluids | 0.76 | 0.34 | 0.34 | 0.03 | 1.13 | 1.13 | XXX |
| 88107 | TC | A | Cytopathology, fluids | 0.00 | 0.65 | N/A | 0.02 | 0.67 | N/A | XXX |
| 88108 | A | Cytopath, concentrate tech | 0.56 | 0.83 | N/A | 0.04 | 1.43 | N/A | XXX | |
| 88108 | 26 | A | Cytopath, concentrate tech | 0.56 | 0.25 | 0.25 | 0.02 | 0.83 | 0.83 | XXX |
| 88108 | TC | A | Cytopath, concentrate tech | 0.00 | 0.58 | N/A | 0.02 | 0.60 | N/A | XXX |
| 88125 | A | Forensic cytopathology | 0.26 | 0.26 | N/A | 0.02 | 0.54 | N/A | XXX | |
| 88125 | 26 | A | Forensic cytopathology | 0.26 | 0.12 | 0.12 | 0.01 | 0.39 | 0.39 | XXX |
| 88125 | TC | A | Forensic cytopathology | 0.00 | 0.15 | N/A | 0.01 | 0.16 | N/A | XXX |
| 88141 | A | Cytopath, c/v, interpret | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| 88160 | A | Cytopath smear, other source | 0.50 | 0.94 | N/A | 0.04 | 1.48 | N/A | XXX | |
| 88160 | 26 | A | Cytopath smear, other source | 0.50 | 0.22 | 0.22 | 0.02 | 0.74 | 0.74 | XXX |
| 88160 | TC | A | Cytopath smear, other source | 0.00 | 0.72 | N/A | 0.02 | 0.74 | N/A | XXX |
| 88161 | A | Cytopath smear, other source | 0.50 | 0.89 | N/A | 0.04 | 1.43 | N/A | XXX | |
| 88161 | 26 | A | Cytopath smear, other source | 0.50 | 0.22 | 0.22 | 0.02 | 0.74 | 0.74 | XXX |
| 88161 | TC | A | Cytopath smear, other source | 0.00 | 0.67 | N/A | 0.02 | 0.69 | N/A | XXX |
| 88162 | A | Cytopath smear, other source | 0.76 | 0.69 | N/A | 0.05 | 1.50 | N/A | XXX | |
| 88162 | 26 | A | Cytopath smear, other source | 0.76 | 0.34 | 0.34 | 0.03 | 1.13 | 1.13 | XXX |
| 88162 | TC | A | Cytopath smear, other source | 0.00 | 0.35 | N/A | 0.02 | 0.37 | N/A | XXX |
| 88172 | A | Cytopathology eval of fna | 0.60 | 0.67 | N/A | 0.04 | 1.31 | N/A | XXX | |
| 88172 | 26 | A | Cytopathology eval of fna | 0.60 | 0.27 | 0.27 | 0.02 | 0.89 | 0.89 | XXX |
| 88172 | TC | A | Cytopathology eval of fna | 0.00 | 0.40 | N/A | 0.02 | 0.42 | N/A | XXX |
| 88173 | A | Cytopath eval, fna, report | 1.39 | 1.80 | N/A | 0.07 | 3.26 | N/A | XXX | |
| 88173 | 26 | A | Cytopath eval, fna, report | 1.39 | 0.62 | 0.62 | 0.05 | 2.06 | 2.06 | XXX |
| 88173 | TC | A | Cytopath eval, fna, report | 0.00 | 1.18 | N/A | 0.02 | 1.20 | N/A | XXX |
| 88180 | A | Cell marker study | 0.36 | 1.46 | N/A | 0.03 | 1.85 | N/A | XXX | |
| 88180 | 26 | A | Cell marker study | 0.36 | 0.16 | 0.16 | 0.01 | 0.53 | 0.53 | XXX |
| 88180 | TC | A | Cell marker study | 0.00 | 1.30 | N/A | 0.02 | 1.32 | N/A | XXX |
| 88182 | A | Cell marker study | 0.77 | 1.63 | N/A | 0.06 | 2.46 | N/A | XXX | |
| 88182 | 26 | A | Cell marker study | 0.77 | 0.34 | 0.34 | 0.03 | 1.14 | 1.14 | XXX |
| 88182 | TC | A | Cell marker study | 0.00 | 1.28 | N/A | 0.03 | 1.31 | N/A | XXX |
| 88199 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88199 | 26 | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88199 | TC | C | Cytopathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88291 | A | Cyto/molecular report | 0.52 | 0.28 | 0.28 | 0.02 | 0.82 | 0.82 | XXX | |
| 88299 | C | Cytogenetic study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88300 | A | Surgical path, gross | 0.08 | 0.28 | N/A | 0.02 | 0.38 | N/A | XXX | |
| 88300 | 26 | A | Surgical path, gross | 0.08 | 0.04 | 0.04 | 0.01 | 0.13 | 0.13 | XXX |
| 88300 | TC | A | Surgical path, gross | 0.00 | 0.25 | N/A | 0.01 | 0.26 | N/A | XXX |
| 88302 | A | Tissue exam by pathologist | 0.13 | 0.71 | N/A | 0.03 | 0.87 | N/A | XXX | |
| 88302 | 26 | A | Tissue exam by pathologist | 0.13 | 0.06 | 0.06 | 0.01 | 0.20 | 0.20 | XXX |
| 88302 | TC | A | Tissue exam by pathologist | 0.00 | 0.65 | N/A | 0.02 | 0.67 | N/A | XXX |
| 88304 | A | Tissue exam by pathologist | 0.22 | 0.89 | N/A | 0.03 | 1.14 | N/A | XXX | |
| 88304 | 26 | A | Tissue exam by pathologist | 0.22 | 0.10 | 0.10 | 0.01 | 0.33 | 0.33 | XXX |
| 88304 | TC | A | Tissue exam by pathologist | 0.00 | 0.79 | N/A | 0.02 | 0.81 | N/A | XXX |
| 88305 | A | Tissue exam by pathologist | 0.75 | 1.77 | N/A | 0.05 | 2.57 | N/A | XXX | |
| 88305 | 26 | A | Tissue exam by pathologist | 0.75 | 0.34 | 0.34 | 0.02 | 1.11 | 1.11 | XXX |
| 88305 | TC | A | Tissue exam by pathologist | 0.00 | 1.43 | N/A | 0.03 | 1.46 | N/A | XXX |
| 88307 | A | Tissue exam by pathologist | 1.59 | 2.71 | N/A | 0.11 | 4.41 | N/A | XXX | |
| 88307 | 26 | A | Tissue exam by pathologist | 1.59 | 0.71 | 0.71 | 0.06 | 2.36 | 2.36 | XXX |
| 88307 | TC | A | Tissue exam by pathologist | 0.00 | 2.00 | N/A | 0.05 | 2.05 | N/A | XXX |
| 88309 | A | Tissue exam by pathologist | 2.28 | 3.32 | N/A | 0.13 | 5.73 | N/A | XXX | |
| 88309 | 26 | A | Tissue exam by pathologist | 2.28 | 1.01 | 1.01 | 0.08 | 3.37 | 3.37 | XXX |
| 88309 | TC | A | Tissue exam by pathologist | 0.00 | 2.30 | N/A | 0.05 | 2.35 | N/A | XXX |
| 88311 | A | Decalcify tissue | 0.24 | 0.19 | N/A | 0.02 | 0.45 | N/A | XXX | |
| 88311 | 26 | A | Decalcify tissue | 0.24 | 0.11 | 0.11 | 0.01 | 0.36 | 0.36 | XXX |
| 88311 | TC | A | Decalcify tissue | 0.00 | 0.09 | N/A | 0.01 | 0.10 | N/A | XXX |
| 88312 | A | Special stains | 0.54 | 1.37 | N/A | 0.03 | 1.94 | N/A | XXX | |
| 88312 | 26 | A | Special stains | 0.54 | 0.24 | 0.24 | 0.02 | 0.80 | 0.80 | XXX |
| 88312 | TC | A | Special stains | 0.00 | 1.13 | N/A | 0.01 | 1.14 | N/A | XXX |
| 88313 | A | Special stains | 0.24 | 1.11 | N/A | 0.02 | 1.37 | N/A | XXX | |
| 88313 | 26 | A | Special stains | 0.24 | 0.11 | 0.11 | 0.01 | 0.36 | 0.36 | XXX |
| 88313 | TC | A | Special stains | 0.00 | 1.00 | N/A | 0.01 | 1.01 | N/A | XXX |
| 88314 | A | Histochemical stain | 0.45 | 0.90 | N/A | 0.04 | 1.39 | N/A | XXX | |
| 88314 | 26 | A | Histochemical stain | 0.45 | 0.20 | 0.20 | 0.02 | 0.67 | 0.67 | XXX |
| 88314 | TC | A | Histochemical stain | 0.00 | 0.71 | N/A | 0.02 | 0.73 | N/A | XXX |
| 88318 | A | Chemical histochemistry | 0.42 | 0.82 | N/A | 0.02 | 1.26 | N/A | XXX | |
| 88318 | 26 | A | Chemical histochemistry | 0.42 | 0.19 | 0.19 | 0.01 | 0.62 | 0.62 | XXX |
| 88318 | TC | A | Chemical histochemistry | 0.00 | 0.63 | N/A | 0.01 | 0.64 | N/A | XXX |
| 88319 | A | Enzyme histochemistry | 0.53 | 1.92 | N/A | 0.04 | 2.49 | N/A | XXX | |
| 88319 | 26 | A | Enzyme histochemistry | 0.53 | 0.23 | 0.23 | 0.02 | 0.78 | 0.78 | XXX |
| 88319 | TC | A | Enzyme histochemistry | 0.00 | 1.69 | N/A | 0.02 | 1.71 | N/A | XXX |
| 88321 | A | Microslide consultation | 1.30 | 0.83 | 0.58 | 0.04 | 2.17 | 1.92 | XXX | |
| 88323 | A | Microslide consultation | 1.35 | 1.47 | N/A | 0.07 | 2.89 | N/A | XXX | |
| 88323 | 26 | A | Microslide consultation | 1.35 | 0.60 | 0.60 | 0.05 | 2.00 | 2.00 | XXX |
| 88323 | TC | A | Microslide consultation | 0.00 | 0.86 | N/A | 0.02 | 0.88 | N/A | XXX |
| 88325 | A | Comprehensive review of data | 2.22 | 3.02 | 0.98 | 0.08 | 5.32 | 3.28 | XXX | |
| 88329 | A | Path consult introp | 0.67 | 0.64 | 0.30 | 0.02 | 1.33 | 0.99 | XXX | |
| 88331 | A | Path consult intraop, 1 bloc | 1.19 | 1.01 | N/A | 0.07 | 2.27 | N/A | XXX | |
| 88331 | 26 | A | Path consult intraop, 1 bloc | 1.19 | 0.53 | 0.53 | 0.04 | 1.76 | 1.76 | XXX |
| 88331 | TC | A | Path consult intraop, 1 bloc | 0.00 | 0.48 | N/A | 0.03 | 0.51 | N/A | XXX |
| 88332 | A | Path consult intraop, addl | 0.59 | 0.51 | N/A | 0.04 | 1.14 | N/A | XXX | |
| 88332 | 26 | A | Path consult intraop, addl | 0.59 | 0.26 | 0.26 | 0.02 | 0.87 | 0.87 | XXX |
| 88332 | TC | A | Path consult intraop, addl | 0.00 | 0.24 | N/A | 0.02 | 0.26 | N/A | XXX |
| 88342 | A | Immunocytochemistry | 0.85 | 1.38 | N/A | 0.05 | 2.28 | N/A | XXX | |
| 88342 | 26 | A | Immunocytochemistry | 0.85 | 0.38 | 0.38 | 0.03 | 1.26 | 1.26 | XXX |
| 88342 | TC | A | Immunocytochemistry | 0.00 | 1.00 | N/A | 0.02 | 1.02 | N/A | XXX |
| 88346 | A | Immunofluorescent study | 0.86 | 1.47 | N/A | 0.05 | 2.38 | N/A | XXX | |
| 88346 | 26 | A | Immunofluorescent study | 0.86 | 0.38 | 0.38 | 0.03 | 1.27 | 1.27 | XXX |
| 88346 | TC | A | Immunofluorescent study | 0.00 | 1.09 | N/A | 0.02 | 1.11 | N/A | XXX |
| 88347 | A | Immunofluorescent study | 0.86 | 1.79 | N/A | 0.05 | 2.70 | N/A | XXX | |
| 88347 | 26 | A | Immunofluorescent study | 0.86 | 0.36 | 0.36 | 0.03 | 1.25 | 1.25 | XXX |
| 88347 | TC | A | Immunofluorescent study | 0.00 | 1.43 | N/A | 0.02 | 1.45 | N/A | XXX |
| 88348 | A | Electron microscopy | 1.51 | 8.66 | N/A | 0.11 | 10.28 | N/A | XXX | |
| 88348 | 26 | A | Electron microscopy | 1.51 | 0.67 | 0.67 | 0.05 | 2.23 | 2.23 | XXX |
| 88348 | TC | A | Electron microscopy | 0.00 | 7.99 | N/A | 0.06 | 8.05 | N/A | XXX |
| 88349 | A | Scanning electron microscopy | 0.76 | 10.02 | N/A | 0.08 | 10.86 | N/A | XXX | |
| 88349 | 26 | A | Scanning electron microscopy | 0.76 | 0.34 | 0.34 | 0.03 | 1.13 | 1.13 | XXX |
| 88349 | TC | A | Scanning electron microscopy | 0.00 | 9.68 | N/A | 0.05 | 9.73 | N/A | XXX |
| 88355 | A | Analysis, skeletal muscle | 1.85 | 2.66 | N/A | 0.12 | 4.63 | N/A | XXX | |
| 88355 | 26 | A | Analysis, skeletal muscle | 1.85 | 0.82 | 0.82 | 0.07 | 2.74 | 2.74 | XXX |
| 88355 | TC | A | Analysis, skeletal muscle | 0.00 | 1.84 | N/A | 0.05 | 1.89 | N/A | XXX |
| 88356 | A | Analysis, nerve | 3.02 | 2.93 | N/A | 0.16 | 6.11 | N/A | XXX | |
| 88356 | 26 | A | Analysis, nerve | 3.02 | 1.30 | 1.30 | 0.10 | 4.42 | 4.42 | XXX |
| 88356 | TC | A | Analysis, nerve | 0.00 | 1.63 | N/A | 0.06 | 1.69 | N/A | XXX |
| 88358 | A | Analysis, tumor | 2.82 | 1.76 | N/A | 0.16 | 4.74 | N/A | XXX | |
| 88358 | 26 | A | Analysis, tumor | 2.82 | 1.25 | 1.25 | 0.10 | 4.17 | 4.17 | XXX |
| 88358 | TC | A | Analysis, tumor | 0.00 | 0.50 | N/A | 0.06 | 0.56 | N/A | XXX |
| 88362 | A | Nerve teasing preparations | 2.17 | 4.49 | N/A | 0.12 | 6.78 | N/A | XXX | |
| 88362 | 26 | A | Nerve teasing preparations | 2.17 | 0.95 | 0.95 | 0.07 | 3.19 | 3.19 | XXX |
| 88362 | TC | A | Nerve teasing preparations | 0.00 | 3.54 | N/A | 0.05 | 3.59 | N/A | XXX |
| 88365 | A | Tissue hybridization | 0.93 | 2.25 | N/A | 0.05 | 3.23 | N/A | XXX | |
| 88365 | 26 | A | Tissue hybridization | 0.93 | 0.41 | 0.41 | 0.03 | 1.37 | 1.37 | XXX |
| 88365 | TC | A | Tissue hybridization | 0.00 | 1.84 | N/A | 0.02 | 1.86 | N/A | XXX |
| 88371 | 26 | A | Protein, western blot tissue | 0.37 | 0.13 | 0.13 | 0.01 | 0.51 | 0.51 | XXX |
| 88372 | 26 | A | Protein analysis w/probe | 0.37 | 0.17 | 0.17 | 0.01 | 0.55 | 0.55 | XXX |
| 88380 | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88380 | 26 | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88380 | TC | C | Microdissection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 88399 | C | Surgical pathology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 88399 | 26 | C | Surgical pathology procedure | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 89060 | 26 | A | Exam,synovial fluid crystals | 0.37 | 0.17 | 0.17 | 0.01 | 0.55 | 0.55 | XXX |
| 89100 | A | Sample intestinal contents | 0.60 | 1.64 | 0.22 | 0.02 | 2.26 | 0.84 | XXX | |
| 89105 | A | Sample intestinal contents | 0.50 | 2.28 | 0.17 | 0.02 | 2.80 | 0.69 | XXX | |
| 89130 | A | Sample stomach contents | 0.45 | 1.78 | 0.13 | 0.02 | 2.25 | 0.60 | XXX | |
| 89132 | A | Sample stomach contents | 0.19 | 1.53 | 0.06 | 0.01 | 1.73 | 0.26 | XXX | |
| 89135 | A | Sample stomach contents | 0.79 | 1.62 | 0.25 | 0.03 | 2.44 | 1.07 | XXX | |
| 89136 | A | Sample stomach contents | 0.21 | 1.68 | 0.09 | 0.01 | 1.90 | 0.31 | XXX | |
| 89140 | A | Sample stomach contents | 0.94 | 2.13 | 0.28 | 0.03 | 3.10 | 1.25 | XXX | |
| 89141 | A | Sample stomach contents | 0.85 | 2.78 | 0.34 | 0.03 | 3.66 | 1.22 | XXX | |
| 89350 | A | Sputum specimen collection | 0.00 | 0.41 | N/A | 0.02 | 0.43 | N/A | XXX | |
| 89360 | A | Collect sweat for test | 0.00 | 0.45 | N/A | 0.02 | 0.47 | N/A | XXX | |
| 89399 | C | Pathology lab procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 89399 | 26 | C | Pathology lab procedure | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 90281 | I | Human ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90283 | I | Human ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90287 | I | Botulinum antitoxin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90288 | I | Botulism ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90291 | I | Cmv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90379 | I | Rsv ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90384 | I | Rh ig, full-dose, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90386 | I | Rh ig, iv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90389 | I | Tetanus ig, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90399 | I | Immune globulin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90471 | A | Immunization admin | 0.00 | 0.13 | N/A | 0.01 | 0.14 | N/A | XXX | |
| 90472 | A | Immunization admin, each add | 0.00 | 0.08 | N/A | 0.01 | 0.09 | N/A | ZZZ | |
| 90723 | I | Dtap-hep b-ipv vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90748 | I | Hep b/hib vaccine, im | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90780 | A | IV infusion therapy, 1 hour | 0.00 | 1.11 | N/A | 0.06 | 1.17 | N/A | XXX | |
| 90781 | A | IV infusion, additional hour | 0.00 | 0.56 | N/A | 0.03 | 0.59 | N/A | ZZZ | |
| 90782 | T | Injection, sc/im | 0.00 | 0.11 | N/A | 0.01 | 0.12 | N/A | XXX | |
| 90783 | T | Injection, ia | 0.00 | 0.41 | N/A | 0.02 | 0.43 | N/A | XXX | |
| 90784 | T | Injection, iv | 0.00 | 0.47 | N/A | 0.03 | 0.50 | N/A | XXX | |
| 90788 | T | Injection of antibiotic | 0.00 | 0.12 | N/A | 0.01 | 0.13 | N/A | XXX | |
| 90799 | C | Ther/prophylactic/dx inject | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90801 | A | Psy dx interview | 2.80 | 1.20 | 0.95 | 0.06 | 4.06 | 3.81 | XXX | |
| 90802 | A | Intac psy dx interview | 3.01 | 1.23 | 1.00 | 0.07 | 4.31 | 4.08 | XXX | |
| 90804 | A | Psytx, office, 20-30 min | 1.21 | 0.51 | 0.39 | 0.03 | 1.75 | 1.63 | XXX | |
| 90805 | A | Psytx, off, 20-30 min w/em | 1.37 | 0.51 | 0.43 | 0.03 | 1.91 | 1.83 | XXX | |
| 90806 | A | Psytx, off, 45-50 min | 1.86 | 0.72 | 0.62 | 0.04 | 2.62 | 2.52 | XXX | |
| 90807 | A | Psytx, off, 45-50 min w/em | 2.02 | 0.71 | 0.65 | 0.05 | 2.78 | 2.72 | XXX | |
| 90808 | A | Psytx, office, 75-80 min | 2.79 | 1.05 | 0.92 | 0.07 | 3.91 | 3.78 | XXX | |
| 90809 | A | Psytx, off, 75-80, w/em | 2.95 | 1.02 | 0.94 | 0.07 | 4.04 | 3.96 | XXX | |
| 90810 | A | Intac psytx, off, 20-30 min | 1.32 | 0.52 | 0.43 | 0.03 | 1.87 | 1.78 | XXX | |
| 90811 | A | Intac psytx, 20-30, w/em | 1.48 | 0.58 | 0.47 | 0.03 | 2.09 | 1.98 | XXX | |
| 90812 | A | Intac psytx, off, 45-50 min | 1.97 | 0.81 | 0.66 | 0.05 | 2.83 | 2.68 | XXX | |
| 90813 | A | Intac psytx, 45-50 min w/em | 2.13 | 0.79 | 0.68 | 0.05 | 2.97 | 2.86 | XXX | |
| 90814 | A | Intac psytx, off, 75-80 min | 2.90 | 1.12 | 1.01 | 0.07 | 4.09 | 3.98 | XXX | |
| 90815 | A | Intac psytx, 75-80 w/em | 3.06 | 1.07 | 0.97 | 0.07 | 4.20 | 4.10 | XXX | |
| 90816 | A | Psytx, hosp, 20-30 min | 1.25 | N/A | 0.47 | 0.03 | N/A | 1.75 | XXX | |
| 90817 | A | Psytx, hosp, 20-30 min w/em | 1.41 | N/A | 0.47 | 0.03 | N/A | 1.91 | XXX | |
| 90818 | A | Psytx, hosp, 45-50 min | 1.89 | N/A | 0.70 | 0.04 | N/A | 2.63 | XXX | |
| 90819 | A | Psytx, hosp, 45-50 min w/em | 2.05 | N/A | 0.67 | 0.05 | N/A | 2.77 | XXX | |
| 90821 | A | Psytx, hosp, 75-80 min | 2.83 | N/A | 1.03 | 0.06 | N/A | 3.92 | XXX | |
| 90822 | A | Psytx, hosp, 75-80 min w/em | 2.99 | N/A | 0.97 | 0.07 | N/A | 4.03 | XXX | |
| 90823 | A | Intac psytx, hosp, 20-30 min | 1.36 | N/A | 0.49 | 0.03 | N/A | 1.88 | XXX | |
| 90824 | A | Intac psytx, hsp 20-30 w/em | 1.52 | N/A | 0.50 | 0.03 | N/A | 2.05 | XXX | |
| 90826 | A | Intac psytx, hosp, 45-50 min | 2.01 | N/A | 0.74 | 0.04 | N/A | 2.79 | XXX | |
| 90827 | A | Intac psytx, hsp 45-50 w/em | 2.16 | N/A | 0.70 | 0.05 | N/A | 2.91 | XXX | |
| 90828 | A | Intac psytx, hosp, 75-80 min | 2.94 | N/A | 1.09 | 0.07 | N/A | 4.10 | XXX | |
| 90829 | A | Intac psytx, hsp 75-80 w/em | 3.10 | N/A | 1.00 | 0.07 | N/A | 4.17 | XXX | |
| 90845 | A | Psychoanalysis | 1.79 | 0.59 | 0.57 | 0.04 | 2.42 | 2.40 | XXX | |
| 90846 | R | Family psytx w/o patient | 1.83 | 0.67 | 0.66 | 0.04 | 2.54 | 2.53 | XXX | |
| 90847 | R | Family psytx w/patient | 2.21 | 0.83 | 0.78 | 0.05 | 3.09 | 3.04 | XXX | |
| 90849 | R | Multiple family group psytx | 0.59 | 0.28 | 0.24 | 0.01 | 0.88 | 0.84 | XXX | |
| 90853 | A | Group psychotherapy | 0.59 | 0.25 | 0.24 | 0.01 | 0.85 | 0.84 | XXX | |
| 90857 | A | Intac group psytx | 0.63 | 0.30 | 0.26 | 0.02 | 0.95 | 0.91 | XXX | |
| 90862 | A | Medication management | 0.95 | 0.41 | 0.33 | 0.02 | 1.38 | 1.30 | XXX | |
| 90865 | A | Narcosynthesis | 2.84 | 1.64 | 0.91 | 0.07 | 4.55 | 3.82 | XXX | |
| 90870 | A | Electroconvulsive therapy | 1.88 | 0.80 | 0.80 | 0.04 | 2.72 | 2.72 | 000 | |
| 90871 | N | Electroconvulsive therapy | 2.72 | N/A | 1.08 | 0.06 | N/A | 3.86 | 000 | |
| 90875 | N | Psychophysiological therapy | 1.20 | 0.92 | 0.46 | 0.03 | 2.15 | 1.69 | XXX | |
| 90876 | N | Psychophysiological therapy | 1.90 | 1.20 | 0.74 | 0.04 | 3.14 | 2.68 | XXX | |
| 90880 | A | Hypnotherapy | 2.19 | 1.06 | 0.70 | 0.05 | 3.30 | 2.94 | XXX | |
| 90885 | B | Psy evaluation of records | 0.97 | 0.38 | 0.38 | 0.02 | 1.37 | 1.37 | XXX | |
| 90887 | B | Consultation with family | 1.48 | 0.84 | 0.57 | 0.03 | 2.35 | 2.08 | XXX | |
| 90899 | C | Psychiatric service/therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 90901 | A | Biofeedback train, any meth | 0.41 | 0.60 | 0.14 | 0.02 | 1.03 | 0.57 | 000 | |
| 90911 | A | Biofeedback peri/uro/rectal | 0.89 | 3.95 | 0.32 | 0.04 | 4.88 | 1.25 | 000 | |
| 90918 | I | ESRD related services, month | 11.18 | 7.52 | 7.52 | 0.30 | 19.00 | 19.00 | XXX | |
| 90919 | I | ESRD related services, month | 8.54 | 4.15 | 4.15 | 0.24 | 12.93 | 12.93 | XXX | |
| 90920 | I | ESRD related services, month | 7.27 | 3.89 | 3.89 | 0.19 | 11.35 | 11.35 | XXX | |
| 90921 | I | ESRD related services, month | 4.47 | 2.52 | 2.52 | 0.12 | 7.11 | 7.11 | XXX | |
| 90922 | A | ESRD related services, day | 0.37 | 0.22 | 0.22 | 0.01 | 0.60 | 0.60 | XXX | |
| 90923 | A | Esrd related services, day | 0.28 | 0.13 | 0.13 | 0.01 | 0.42 | 0.42 | XXX | |
| 90924 | A | Esrd related services, day | 0.24 | 0.12 | 0.12 | 0.01 | 0.37 | 0.37 | XXX | |
| 90925 | A | Esrd related services, day | 0.15 | 0.08 | 0.08 | 0.01 | 0.24 | 0.24 | XXX | |
| 90935 | A | Hemodialysis, one evaluation | 1.22 | N/A | 0.69 | 0.03 | N/A | 1.94 | 000 | |
| 90937 | A | Hemodialysis, repeated eval | 2.11 | N/A | 1.00 | 0.06 | N/A | 3.17 | 000 | |
| 90945 | A | Dialysis, one evaluation | 1.28 | N/A | 0.71 | 0.04 | N/A | 2.03 | 000 | |
| 90947 | A | Dialysis, repeated eval | 2.16 | N/A | 1.02 | 0.06 | N/A | 3.24 | 000 | |
| 90997 | A | Hemoperfusion | 1.84 | N/A | 1.43 | 0.05 | N/A | 3.32 | 000 | |
| 90999 | C | Dialysis procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91000 | A | Esophageal intubation | 0.73 | 0.33 | N/A | 0.04 | 1.10 | N/A | 000 | |
| 91000 | 26 | A | Esophageal intubation | 0.73 | 0.25 | 0.25 | 0.03 | 1.01 | 1.01 | 000 |
| 91000 | TC | A | Esophageal intubation | 0.00 | 0.08 | N/A | 0.01 | 0.09 | N/A | 000 |
| 91010 | A | Esophagus motility study | 1.25 | 2.78 | N/A | 0.10 | 4.13 | N/A | 000 | |
| 91010 | 26 | A | Esophagus motility study | 1.25 | 0.45 | 0.45 | 0.05 | 1.75 | 1.75 | 000 |
| 91010 | TC | A | Esophagus motility study | 0.00 | 2.33 | N/A | 0.05 | 2.38 | N/A | 000 |
| 91011 | A | Esophagus motility study | 1.50 | 3.28 | N/A | 0.10 | 4.88 | N/A | 000 | |
| 91011 | 26 | A | Esophagus motility study | 1.50 | 0.54 | 0.54 | 0.05 | 2.09 | 2.09 | 000 |
| 91011 | TC | A | Esophagus motility study | 0.00 | 2.74 | N/A | 0.05 | 2.79 | N/A | 000 |
| 91012 | A | Esophagus motility study | 1.46 | 3.42 | N/A | 0.12 | 5.00 | N/A | 000 | |
| 91012 | 26 | A | Esophagus motility study | 1.46 | 0.52 | 0.52 | 0.06 | 2.04 | 2.04 | 000 |
| 91012 | TC | A | Esophagus motility study | 0.00 | 2.89 | N/A | 0.06 | 2.95 | N/A | 000 |
| 91020 | A | Gastric motility | 1.44 | 3.03 | N/A | 0.11 | 4.58 | N/A | 000 | |
| 91020 | 26 | A | Gastric motility | 1.44 | 0.50 | 0.50 | 0.06 | 2.00 | 2.00 | 000 |
| 91020 | TC | A | Gastric motility | 0.00 | 2.53 | N/A | 0.05 | 2.58 | N/A | 000 |
| 91030 | A | Acid perfusion of esophagus | 0.91 | 2.45 | N/A | 0.05 | 3.41 | N/A | 000 | |
| 91030 | 26 | A | Acid perfusion of esophagus | 0.91 | 0.33 | 0.33 | 0.03 | 1.27 | 1.27 | 000 |
| 91030 | TC | A | Acid perfusion of esophagus | 0.00 | 2.12 | N/A | 0.02 | 2.14 | N/A | 000 |
| 91032 | A | Esophagus, acid reflux test | 1.21 | 4.24 | N/A | 0.10 | 5.55 | N/A | 000 | |
| 91032 | 26 | A | Esophagus, acid reflux test | 1.21 | 0.43 | 0.43 | 0.05 | 1.69 | 1.69 | 000 |
| 91032 | TC | A | Esophagus, acid reflux test | 0.00 | 3.82 | N/A | 0.05 | 3.87 | N/A | 000 |
| 91033 | A | Prolonged acid reflux test | 1.30 | 4.27 | N/A | 0.14 | 5.71 | N/A | 000 | |
| 91033 | 26 | A | Prolonged acid reflux test | 1.30 | 0.46 | 0.46 | 0.05 | 1.81 | 1.81 | 000 |
| 91033 | TC | A | Prolonged acid reflux test | 0.00 | 3.81 | N/A | 0.09 | 3.90 | N/A | 000 |
| 91052 | A | Gastric analysis test | 0.79 | 2.24 | N/A | 0.05 | 3.08 | N/A | 000 | |
| 91052 | 26 | A | Gastric analysis test | 0.79 | 0.28 | 0.28 | 0.03 | 1.10 | 1.10 | 000 |
| 91052 | TC | A | Gastric analysis test | 0.00 | 1.96 | N/A | 0.02 | 1.98 | N/A | 000 |
| 91055 | A | Gastric intubation for smear | 0.94 | 2.42 | N/A | 0.06 | 3.42 | N/A | 000 | |
| 91055 | 26 | A | Gastric intubation for smear | 0.94 | 0.27 | 0.27 | 0.04 | 1.25 | 1.25 | 000 |
| 91055 | TC | A | Gastric intubation for smear | 0.00 | 2.15 | N/A | 0.02 | 2.17 | N/A | 000 |
| 91060 | A | Gastric saline load test | 0.45 | 0.30 | N/A | 0.04 | 0.79 | N/A | 000 | |
| 91060 | 26 | A | Gastric saline load test | 0.45 | 0.14 | 0.14 | 0.02 | 0.61 | 0.61 | 000 |
| 91060 | TC | A | Gastric saline load test | 0.00 | 0.16 | N/A | 0.02 | 0.18 | N/A | 000 |
| 91065 | A | Breath hydrogen test | 0.20 | 2.02 | N/A | 0.03 | 2.25 | N/A | 000 | |
| 91065 | 26 | A | Breath hydrogen test | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | 000 |
| 91065 | TC | A | Breath hydrogen test | 0.00 | 1.95 | N/A | 0.02 | 1.97 | N/A | 000 |
| 91100 | A | Pass intestine bleeding tube | 1.08 | N/A | 0.29 | 0.06 | N/A | 1.43 | 000 | |
| 91105 | A | Gastric intubation treatment | 0.37 | N/A | 0.09 | 0.02 | N/A | 0.48 | 000 | |
| 91122 | A | Anal pressure record | 1.77 | 6.20 | N/A | 0.17 | 8.14 | N/A | 000 | |
| 91122 | 26 | A | Anal pressure record | 1.77 | 0.62 | 0.62 | 0.10 | 2.49 | 2.49 | 000 |
| 91122 | TC | A | Anal pressure record | 0.00 | 5.58 | N/A | 0.07 | 5.65 | N/A | 000 |
| 91132 | C | Electrogastrography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91132 | 26 | A | Electrogastrography | 0.52 | 0.19 | N/A | 0.03 | 0.74 | N/A | XXX |
| 91132 | TC | C | Electrogastrography | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91133 | C | Electrogastrography w/test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91133 | 26 | A | Electrogastrography w/test | 0.66 | 0.24 | N/A | 0.03 | 0.93 | N/A | XXX |
| 91133 | TC | C | Electrogastrography w/test | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 91299 | 26 | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 91299 | TC | C | Gastroenterology procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 92002 | A | Eye exam, new patient | 0.88 | 0.98 | 0.35 | 0.02 | 1.88 | 1.25 | XXX | |
| 92004 | A | Eye exam, new patient | 1.67 | 1.71 | 0.69 | 0.03 | 3.41 | 2.39 | XXX | |
| 92012 | A | Eye exam established pat | 0.67 | 1.04 | 0.29 | 0.01 | 1.72 | 0.97 | XXX | |
| 92014 | A | Eye exam treatment | 1.10 | 1.41 | 0.48 | 0.02 | 2.53 | 1.60 | XXX | |
| 92015 | N | Refraction | 0.38 | 1.19 | 0.15 | 0.01 | 1.58 | 0.54 | XXX | |
| 92018 | A | New eye exam treatment | 2.50 | N/A | 1.10 | 0.03 | N/A | 3.63 | XXX | |
| 92019 | A | Eye exam treatment | 1.31 | N/A | 0.58 | 0.03 | N/A | 1.92 | XXX | |
| 92020 | A | Special eye evaluation | 0.37 | 0.33 | 0.16 | 0.01 | 0.71 | 0.54 | XXX | |
| 92060 | A | Special eye evaluation | 0.69 | 0.74 | N/A | 0.02 | 1.45 | N/A | XXX | |
| 92060 | 26 | A | Special eye evaluation | 0.69 | 0.29 | 0.29 | 0.01 | 0.99 | 0.99 | XXX |
| 92060 | TC | A | Special eye evaluation | 0.00 | 0.44 | N/A | 0.01 | 0.45 | N/A | XXX |
| 92065 | A | Orthoptic/pleoptic training | 0.37 | 0.56 | N/A | 0.02 | 0.95 | N/A | XXX | |
| 92065 | 26 | A | Orthoptic/pleoptic training | 0.37 | 0.15 | 0.15 | 0.01 | 0.53 | 0.53 | XXX |
| 92065 | TC | A | Orthoptic/pleoptic training | 0.00 | 0.40 | N/A | 0.01 | 0.41 | N/A | XXX |
| 92070 | A | Fitting of contact lens | 0.70 | 1.09 | 0.32 | 0.01 | 1.80 | 1.03 | XXX | |
| 92081 | A | Visual field examination(s) | 0.36 | 0.87 | N/A | 0.02 | 1.25 | N/A | XXX | |
| 92081 | 26 | A | Visual field examination(s) | 0.36 | 0.16 | 0.16 | 0.01 | 0.53 | 0.53 | XXX |
| 92081 | TC | A | Visual field examination(s) | 0.00 | 0.72 | N/A | 0.01 | 0.73 | N/A | XXX |
| 92082 | A | Visual field examination(s) | 0.44 | 1.16 | N/A | 0.02 | 1.62 | N/A | XXX | |
| 92082 | 26 | A | Visual field examination(s) | 0.44 | 0.19 | 0.19 | 0.01 | 0.64 | 0.64 | XXX |
| 92082 | TC | A | Visual field examination(s) | 0.00 | 0.97 | N/A | 0.01 | 0.98 | N/A | XXX |
| 92083 | A | Visual field examination(s) | 0.50 | 1.35 | N/A | 0.02 | 1.87 | N/A | XXX | |
| 92083 | 26 | A | Visual field examination(s) | 0.50 | 0.22 | 0.22 | 0.01 | 0.73 | 0.73 | XXX |
| 92083 | TC | A | Visual field examination(s) | 0.00 | 1.13 | N/A | 0.01 | 1.14 | N/A | XXX |
| 92100 | A | Serial tonometry exam(s) | 0.92 | 1.28 | 0.37 | 0.02 | 2.22 | 1.31 | XXX | |
| 92120 | A | Tonography eye evaluation | 0.81 | 1.06 | 0.32 | 0.02 | 1.89 | 1.15 | XXX | |
| 92130 | A | Water provocation tonography | 0.81 | 1.26 | 0.38 | 0.02 | 2.09 | 1.21 | XXX | |
| 92135 | A | Opthalmic dx imaging | 0.35 | 0.80 | N/A | 0.02 | 1.17 | N/A | XXX | |
| 92135 | 26 | A | Opthalmic dx imaging | 0.35 | 0.16 | 0.16 | 0.01 | 0.52 | 0.52 | XXX |
| 92135 | TC | A | Opthalmic dx imaging | 0.00 | 0.64 | N/A | 0.01 | 0.65 | N/A | XXX |
| 92136 | A | Ophthalmic biometry | 0.54 | 1.78 | N/A | 0.07 | 2.39 | N/A | XXX | |
| 92136 | 26 | A | Ophthalmic biometry | 0.54 | 0.25 | 0.25 | 0.01 | 0.80 | 0.80 | XXX |
| 92136 | TC | A | Ophthalmic biometry | 0.00 | 1.53 | N/A | 0.06 | 1.59 | N/A | XXX |
| 92140 | A | Glaucoma provocative tests | 0.50 | 0.95 | 0.22 | 0.01 | 1.46 | 0.73 | XXX | |
| 92225 | A | Special eye exam, initial | 0.38 | 0.22 | 0.16 | 0.01 | 0.61 | 0.55 | XXX | |
| 92226 | A | Special eye exam, subsequent | 0.33 | 0.21 | 0.15 | 0.01 | 0.55 | 0.49 | XXX | |
| 92230 | A | Eye exam with photos | 0.60 | 1.70 | 0.20 | 0.02 | 2.32 | 0.82 | XXX | |
| 92235 | A | Eye exam with photos | 0.81 | 2.97 | N/A | 0.07 | 3.85 | N/A | XXX | |
| 92235 | 26 | A | Eye exam with photos | 0.81 | 0.37 | 0.37 | 0.02 | 1.20 | 1.20 | XXX |
| 92235 | TC | A | Eye exam with photos | 0.00 | 2.60 | N/A | 0.05 | 2.65 | N/A | XXX |
| 92240 | A | Icg angiography | 1.10 | 7.13 | N/A | 0.07 | 8.30 | N/A | XXX | |
| 92240 | 26 | A | Icg angiography | 1.10 | 0.51 | 0.51 | 0.02 | 1.63 | 1.63 | XXX |
| 92240 | TC | A | Icg angiography | 0.00 | 6.63 | N/A | 0.05 | 6.68 | N/A | XXX |
| 92250 | A | Eye exam with photos | 0.44 | 1.75 | N/A | 0.02 | 2.21 | N/A | XXX | |
| 92250 | 26 | A | Eye exam with photos | 0.44 | 0.20 | 0.20 | 0.01 | 0.65 | 0.65 | XXX |
| 92250 | TC | A | Eye exam with photos | 0.00 | 1.55 | N/A | 0.01 | 1.56 | N/A | XXX |
| 92260 | A | Ophthalmoscopy/dynamometry | 0.20 | 0.29 | 0.09 | 0.01 | 0.50 | 0.30 | XXX | |
| 92265 | A | Eye muscle evaluation | 0.81 | 1.89 | N/A | 0.04 | 2.74 | N/A | XXX | |
| 92265 | 26 | A | Eye muscle evaluation | 0.81 | 0.29 | 0.29 | 0.02 | 1.12 | 1.12 | XXX |
| 92265 | TC | A | Eye muscle evaluation | 0.00 | 1.61 | N/A | 0.02 | 1.63 | N/A | XXX |
| 92270 | A | Electro-oculography | 0.81 | 1.72 | N/A | 0.05 | 2.58 | N/A | XXX | |
| 92270 | 26 | A | Electro-oculography | 0.81 | 0.34 | 0.34 | 0.03 | 1.18 | 1.18 | XXX |
| 92270 | TC | A | Electro-oculography | 0.00 | 1.37 | N/A | 0.02 | 1.39 | N/A | XXX |
| 92275 | A | Electroretinography | 1.01 | 1.98 | N/A | 0.04 | 3.03 | N/A | XXX | |
| 92275 | 26 | A | Electroretinography | 1.01 | 0.44 | 0.44 | 0.02 | 1.47 | 1.47 | XXX |
| 92275 | TC | A | Electroretinography | 0.00 | 1.54 | N/A | 0.02 | 1.56 | N/A | XXX |
| 92283 | A | Color vision examination | 0.17 | 0.85 | N/A | 0.02 | 1.04 | N/A | XXX | |
| 92283 | 26 | A | Color vision examination | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 92283 | TC | A | Color vision examination | 0.00 | 0.78 | N/A | 0.01 | 0.79 | N/A | XXX |
| 92284 | A | Dark adaptation eye exam | 0.24 | 2.35 | N/A | 0.02 | 2.61 | N/A | XXX | |
| 92284 | 26 | A | Dark adaptation eye exam | 0.24 | 0.09 | 0.09 | 0.01 | 0.34 | 0.34 | XXX |
| 92284 | TC | A | Dark adaptation eye exam | 0.00 | 2.26 | N/A | 0.01 | 2.27 | N/A | XXX |
| 92285 | A | Eye photography | 0.20 | 1.07 | N/A | 0.02 | 1.29 | N/A | XXX | |
| 92285 | 26 | A | Eye photography | 0.20 | 0.09 | 0.09 | 0.01 | 0.30 | 0.30 | XXX |
| 92285 | TC | A | Eye photography | 0.00 | 0.99 | N/A | 0.01 | 1.00 | N/A | XXX |
| 92286 | A | Internal eye photography | 0.66 | 3.40 | N/A | 0.03 | 4.09 | N/A | XXX | |
| 92286 | 26 | A | Internal eye photography | 0.66 | 0.30 | 0.30 | 0.01 | 0.97 | 0.97 | XXX |
| 92286 | TC | A | Internal eye photography | 0.00 | 3.10 | N/A | 0.02 | 3.12 | N/A | XXX |
| 92287 | A | Internal eye photography | 0.81 | 2.74 | 0.31 | 0.02 | 3.57 | 1.14 | XXX | |
| 92310 | N | Contact lens fitting | 1.17 | 1.17 | 0.45 | 0.03 | 2.37 | 1.65 | XXX | |
| 92311 | A | Contact lens fitting | 1.08 | 1.21 | 0.35 | 0.03 | 2.32 | 1.46 | XXX | |
| 92312 | A | Contact lens fitting | 1.26 | 1.18 | 0.50 | 0.03 | 2.47 | 1.79 | XXX | |
| 92313 | A | Contact lens fitting | 0.92 | 1.18 | 0.29 | 0.02 | 2.12 | 1.23 | XXX | |
| 92314 | N | Prescription of contact lens | 0.69 | 0.98 | 0.27 | 0.01 | 1.68 | 0.97 | XXX | |
| 92315 | A | Prescription of contact lens | 0.45 | 0.96 | 0.16 | 0.01 | 1.42 | 0.62 | XXX | |
| 92316 | A | Prescription of contact lens | 0.68 | 1.01 | 0.30 | 0.01 | 1.70 | 0.99 | XXX | |
| 92317 | A | Prescription of contact lens | 0.45 | 1.07 | 0.14 | 0.01 | 1.53 | 0.60 | XXX | |
| 92325 | A | Modification of contact lens | 0.00 | 0.40 | N/A | 0.01 | 0.41 | N/A | XXX | |
| 92326 | A | Replacement of contact lens | 0.00 | 1.63 | N/A | 0.05 | 1.68 | N/A | XXX | |
| 92330 | A | Fitting of artificial eye | 1.08 | 1.09 | 0.33 | 0.04 | 2.21 | 1.45 | XXX | |
| 92335 | A | Fitting of artificial eye | 0.45 | 1.02 | 0.17 | 0.01 | 1.48 | 0.63 | XXX | |
| 92340 | N | Fitting of spectacles | 0.37 | 0.74 | 0.14 | 0.01 | 1.12 | 0.52 | XXX | |
| 92341 | N | Fitting of spectacles | 0.47 | 0.78 | 0.18 | 0.01 | 1.26 | 0.66 | XXX | |
| 92342 | N | Fitting of spectacles | 0.53 | 0.80 | 0.21 | 0.01 | 1.34 | 0.75 | XXX | |
| 92352 | B | Special spectacles fitting | 0.37 | 0.74 | 0.14 | 0.01 | 1.12 | 0.52 | XXX | |
| 92353 | B | Special spectacles fitting | 0.50 | 0.79 | 0.19 | 0.02 | 1.31 | 0.71 | XXX | |
| 92354 | B | Special spectacles fitting | 0.00 | 8.86 | N/A | 0.08 | 8.94 | N/A | XXX | |
| 92355 | B | Special spectacles fitting | 0.00 | 4.33 | N/A | 0.01 | 4.34 | N/A | XXX | |
| 92358 | B | Eye prosthesis service | 0.00 | 0.97 | N/A | 0.04 | 1.01 | N/A | XXX | |
| 92370 | N | Repair adjust spectacles | 0.32 | 0.60 | 0.12 | 0.02 | 0.94 | 0.46 | XXX | |
| 92371 | B | Repair adjust spectacles | 0.00 | 0.62 | N/A | 0.02 | 0.64 | N/A | XXX | |
| 92392 | I | Supply of low vision aids | 0.00 | 3.84 | 3.84 | 0.02 | 3.86 | 3.86 | XXX | |
| 92393 | I | Supply of artificial eye | 0.00 | 11.92 | 11.92 | 0.47 | 12.39 | 12.39 | XXX | |
| 92395 | I | Supply of spectacles | 0.00 | 1.30 | 1.30 | 0.08 | 1.38 | 1.38 | XXX | |
| 92396 | I | Supply of contact lenses | 0.00 | 2.19 | 2.19 | 0.06 | 2.25 | 2.25 | XXX | |
| 92499 | C | Eye service or procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92499 | 26 | C | Eye service or procedure | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 92502 | A | Ear and throat examination | 1.51 | N/A | 1.16 | 0.06 | N/A | 2.73 | 000 | |
| 92504 | A | Ear microscopy examination | 0.18 | 0.53 | 0.09 | 0.01 | 0.72 | 0.28 | XXX | |
| 92506 | A | Speech/hearing evaluation | 0.86 | 2.65 | 0.41 | 0.04 | 3.55 | 1.31 | XXX | |
| 92507 | A | Speech/hearing therapy | 0.52 | 0.97 | 0.24 | 0.02 | 1.51 | 0.78 | XXX | |
| 92508 | A | Speech/hearing therapy | 0.26 | 0.53 | 0.12 | 0.01 | 0.80 | 0.39 | XXX | |
| 92510 | I | Rehab for ear implant | 1.50 | 2.11 | 0.83 | 0.06 | 3.67 | 2.39 | XXX | |
| 92511 | A | Nasopharyngoscopy | 0.84 | 2.50 | 0.79 | 0.03 | 3.37 | 1.66 | 000 | |
| 92512 | A | Nasal function studies | 0.55 | 1.13 | 0.18 | 0.02 | 1.70 | 0.75 | XXX | |
| 92516 | A | Facial nerve function test | 0.43 | 0.95 | 0.22 | 0.02 | 1.40 | 0.67 | XXX | |
| 92520 | A | Laryngeal function studies | 0.76 | 0.52 | 0.40 | 0.03 | 1.31 | 1.19 | XXX | |
| 92526 | A | Oral function therapy | 0.55 | 1.67 | 0.20 | 0.02 | 2.24 | 0.77 | XXX | |
| 92541 | A | Spontaneous nystagmus test | 0.40 | 1.05 | N/A | 0.04 | 1.49 | N/A | XXX | |
| 92541 | 26 | A | Spontaneous nystagmus test | 0.40 | 0.19 | 0.19 | 0.02 | 0.61 | 0.61 | XXX |
| 92541 | TC | A | Spontaneous nystagmus test | 0.00 | 0.86 | N/A | 0.02 | 0.88 | N/A | XXX |
| 92542 | A | Positional nystagmus test | 0.33 | 1.16 | N/A | 0.03 | 1.52 | N/A | XXX | |
| 92542 | 26 | A | Positional nystagmus test | 0.33 | 0.16 | 0.16 | 0.01 | 0.50 | 0.50 | XXX |
| 92542 | TC | A | Positional nystagmus test | 0.00 | 1.00 | N/A | 0.02 | 1.02 | N/A | XXX |
| 92543 | A | Caloric vestibular test | 0.10 | 0.59 | N/A | 0.02 | 0.71 | N/A | XXX | |
| 92543 | 26 | A | Caloric vestibular test | 0.10 | 0.05 | 0.05 | 0.01 | 0.16 | 0.16 | XXX |
| 92543 | TC | A | Caloric vestibular test | 0.00 | 0.54 | N/A | 0.01 | 0.55 | N/A | XXX |
| 92544 | A | Optokinetic nystagmus test | 0.26 | 0.92 | N/A | 0.03 | 1.21 | N/A | XXX | |
| 92544 | 26 | A | Optokinetic nystagmus test | 0.26 | 0.13 | 0.13 | 0.01 | 0.40 | 0.40 | XXX |
| 92544 | TC | A | Optokinetic nystagmus test | 0.00 | 0.79 | N/A | 0.02 | 0.81 | N/A | XXX |
| 92545 | A | Oscillating tracking test | 0.23 | 0.86 | N/A | 0.03 | 1.12 | N/A | XXX | |
| 92545 | 26 | A | Oscillating tracking test | 0.23 | 0.11 | 0.11 | 0.01 | 0.35 | 0.35 | XXX |
| 92545 | TC | A | Oscillating tracking test | 0.00 | 0.74 | N/A | 0.02 | 0.76 | N/A | XXX |
| 92546 | A | Sinusoidal rotational test | 0.29 | 2.14 | N/A | 0.03 | 2.46 | N/A | XXX | |
| 92546 | 26 | A | Sinusoidal rotational test | 0.29 | 0.13 | 0.13 | 0.01 | 0.43 | 0.43 | XXX |
| 92546 | TC | A | Sinusoidal rotational test | 0.00 | 2.01 | N/A | 0.02 | 2.03 | N/A | XXX |
| 92547 | A | Supplemental electrical test | 0.00 | 1.30 | N/A | 0.05 | 1.35 | N/A | ZZZ | |
| 92548 | A | Posturography | 0.50 | 3.83 | N/A | 0.13 | 4.46 | N/A | XXX | |
| 92548 | 26 | A | Posturography | 0.50 | 0.26 | 0.26 | 0.02 | 0.78 | 0.78 | XXX |
| 92548 | TC | A | Posturography | 0.00 | 3.56 | N/A | 0.11 | 3.67 | N/A | XXX |
| 92552 | A | Pure tone audiometry, air | 0.00 | 0.44 | N/A | 0.03 | 0.47 | N/A | XXX | |
| 92553 | A | Audiometry, air bone | 0.00 | 0.66 | N/A | 0.05 | 0.71 | N/A | XXX | |
| 92555 | A | Speech threshold audiometry | 0.00 | 0.38 | N/A | 0.03 | 0.41 | N/A | XXX | |
| 92556 | A | Speech audiometry, complete | 0.00 | 0.57 | N/A | 0.05 | 0.62 | N/A | XXX | |
| 92557 | A | Comprehensive hearing test | 0.00 | 1.19 | N/A | 0.10 | 1.29 | N/A | XXX | |
| 92561 | A | Bekesy audiometry, diagnosis | 0.00 | 0.72 | N/A | 0.05 | 0.77 | N/A | XXX | |
| 92562 | A | Loudness balance test | 0.00 | 0.41 | N/A | 0.03 | 0.44 | N/A | XXX | |
| 92563 | A | Tone decay hearing test | 0.00 | 0.38 | N/A | 0.03 | 0.41 | N/A | XXX | |
| 92564 | A | Sisi hearing test | 0.00 | 0.47 | N/A | 0.04 | 0.51 | N/A | XXX | |
| 92565 | A | Stenger test, pure tone | 0.00 | 0.40 | N/A | 0.03 | 0.43 | N/A | XXX | |
| 92567 | A | Tympanometry | 0.00 | 0.52 | N/A | 0.05 | 0.57 | N/A | XXX | |
| 92568 | A | Acoustic reflex testing | 0.00 | 0.38 | N/A | 0.03 | 0.41 | N/A | XXX | |
| 92569 | A | Acoustic reflex decay test | 0.00 | 0.41 | N/A | 0.03 | 0.44 | N/A | XXX | |
| 92571 | A | Filtered speech hearing test | 0.00 | 0.39 | N/A | 0.03 | 0.42 | N/A | XXX | |
| 92572 | A | Staggered spondaic word test | 0.00 | 0.09 | N/A | 0.01 | 0.10 | N/A | XXX | |
| 92573 | A | Lombard test | 0.00 | 0.35 | N/A | 0.03 | 0.38 | N/A | XXX | |
| 92575 | A | Sensorineural acuity test | 0.00 | 0.30 | N/A | 0.02 | 0.32 | N/A | XXX | |
| 92576 | A | Synthetic sentence test | 0.00 | 0.44 | N/A | 0.04 | 0.48 | N/A | XXX | |
| 92577 | A | Stenger test, speech | 0.00 | 0.72 | N/A | 0.06 | 0.78 | N/A | XXX | |
| 92579 | A | Visual audiometry (vra) | 0.00 | 0.73 | N/A | 0.05 | 0.78 | N/A | XXX | |
| 92582 | A | Conditioning play audiometry | 0.00 | 0.73 | N/A | 0.05 | 0.78 | N/A | XXX | |
| 92583 | A | Select picture audiometry | 0.00 | 0.89 | N/A | 0.07 | 0.96 | N/A | XXX | |
| 92584 | A | Electrocochleography | 0.00 | 2.48 | N/A | 0.17 | 2.65 | N/A | XXX | |
| 92585 | A | Auditor evoke potent, compre | 0.50 | 2.07 | N/A | 0.14 | 2.71 | N/A | XXX | |
| 92585 | 26 | A | Auditor evoke potent, compre | 0.50 | 0.22 | 0.22 | 0.02 | 0.74 | 0.74 | XXX |
| 92585 | TC | A | Auditor evoke potent, compre | 0.00 | 1.85 | N/A | 0.12 | 1.97 | N/A | XXX |
| 92586 | A | Auditor evoke potent, limit | 0.00 | 1.85 | N/A | 0.12 | 1.97 | N/A | XXX | |
| 92587 | A | Evoked auditory test | 0.13 | 1.37 | N/A | 0.10 | 1.60 | N/A | XXX | |
| 92587 | 26 | A | Evoked auditory test | 0.13 | 0.07 | 0.07 | 0.01 | 0.21 | 0.21 | XXX |
| 92587 | TC | A | Evoked auditory test | 0.00 | 1.31 | N/A | 0.09 | 1.40 | N/A | XXX |
| 92588 | A | Evoked auditory test | 0.36 | 1.64 | N/A | 0.12 | 2.12 | N/A | XXX | |
| 92588 | 26 | A | Evoked auditory test | 0.36 | 0.17 | 0.17 | 0.01 | 0.54 | 0.54 | XXX |
| 92588 | TC | A | Evoked auditory test | 0.00 | 1.47 | N/A | 0.11 | 1.58 | N/A | XXX |
| 92589 | A | Auditory function test(s) | 0.00 | 0.53 | N/A | 0.05 | 0.58 | N/A | XXX | |
| 92596 | A | Ear protector evaluation | 0.00 | 0.59 | N/A | 0.05 | 0.64 | N/A | XXX | |
| 92597 | A | Oral speech device eval | 0.86 | 1.77 | 0.46 | 0.04 | 2.67 | 1.36 | XXX | |
| 92601 | A | Cochlear implt f/up exam 7 | 0.00 | 3.64 | N/A | 0.06 | 3.70 | N/A | XXX | |
| 92602 | A | Reprogram cochlear implt 7 | 0.00 | 2.52 | N/A | 0.06 | 2.58 | N/A | XXX | |
| 92603 | A | Cochlear implt f/up exam 7 | 0.00 | 2.38 | N/A | 0.06 | 2.44 | N/A | XXX | |
| 92604 | A | Reprogram cochlear implt 7 | 0.00 | 1.57 | N/A | 0.06 | 1.63 | N/A | XXX | |
| 92607 | A | Ex for speech device rx, 1hr | 0.00 | 3.10 | N/A | 0.04 | 3.14 | N/A | XXX | |
| 92608 | A | Ex for speech device rx addl | 0.00 | 0.72 | N/A | 0.04 | 0.76 | N/A | XXX | |
| 92609 | A | Use of speech device service | 0.00 | 1.67 | N/A | 0.03 | 1.70 | N/A | XXX | |
| 92610 | A | Evaluate swallowing function | 0.00 | 1.27 | N/A | 0.07 | 1.34 | N/A | XXX | |
| 92611 | A | Motion fluoroscopy/swallow | 0.00 | 1.80 | N/A | 0.07 | 1.87 | N/A | XXX | |
| 92612 | A | Endoscopy swallow tst (fees) | 1.27 | 3.16 | 0.68 | 0.07 | 4.50 | 2.02 | XXX | |
| 92614 | A | Laryngoscopic sensory test | 1.27 | 2.87 | 0.62 | 0.07 | 4.21 | 1.96 | XXX | |
| 92616 | A | Fees w/laryngeal sense test | 1.88 | 3.96 | 0.98 | 0.07 | 5.91 | 2.93 | XXX | |
| 92700 | C | Ent procedure/service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92950 | A | Heart/lung resuscitation cpr | 3.80 | N/A | 1.00 | 0.21 | N/A | 5.01 | 000 | |
| 92953 | A | Temporary external pacing | 0.23 | N/A | 0.23 | 0.01 | N/A | 0.47 | 000 | |
| 92960 | A | Cardioversion electric, ext | 2.25 | 6.82 | 1.20 | 0.08 | 9.15 | 3.53 | 000 | |
| 92961 | A | Cardioversion, electric, int | 4.60 | N/A | 2.12 | 0.17 | N/A | 6.89 | 000 | |
| 92970 | A | Cardioassist, internal | 3.52 | N/A | 1.08 | 0.17 | N/A | 4.77 | 000 | |
| 92971 | A | Cardioassist, external | 1.77 | N/A | 0.87 | 0.06 | N/A | 2.70 | 000 | |
| 92973 | A | Percut coronary thrombectomy | 3.28 | N/A | 1.32 | 0.12 | N/A | 4.72 | ZZZ | |
| 92974 | A | Cath place, cardio brachytx | 3.00 | N/A | 1.21 | 0.14 | N/A | 4.35 | ZZZ | |
| 92975 | A | Dissolve clot, heart vessel | 7.25 | N/A | 2.87 | 0.22 | N/A | 10.34 | 000 | |
| 92977 | A | Dissolve clot, heart vessel | 0.00 | 8.06 | N/A | 0.38 | 8.44 | N/A | XXX | |
| 92978 | A | Intravasc us, heart add-on | 1.80 | 5.29 | N/A | 0.26 | 7.35 | N/A | ZZZ | |
| 92978 | 26 | A | Intravasc us, heart add-on | 1.80 | 0.72 | 0.72 | 0.06 | 2.58 | 2.58 | ZZZ |
| 92978 | TC | A | Intravasc us, heart add-on | 0.00 | 4.56 | N/A | 0.20 | 4.76 | N/A | ZZZ |
| 92979 | A | Intravasc us, heart add-on | 1.44 | 2.86 | N/A | 0.15 | 4.45 | N/A | ZZZ | |
| 92979 | 26 | A | Intravasc us, heart add-on | 1.44 | 0.57 | 0.57 | 0.04 | 2.05 | 2.05 | ZZZ |
| 92979 | TC | A | Intravasc us, heart add-on | 0.00 | 2.29 | N/A | 0.11 | 2.40 | N/A | ZZZ |
| 92980 | A | Insert intracoronary stent | 14.84 | N/A | 6.19 | 0.71 | N/A | 21.74 | 000 | |
| 92981 | A | Insert intracoronary stent | 4.17 | N/A | 1.67 | 0.20 | N/A | 6.04 | ZZZ | |
| 92982 | A | Coronary artery dilation | 10.98 | N/A | 4.64 | 0.52 | N/A | 16.14 | 000 | |
| 92984 | A | Coronary artery dilation | 2.97 | N/A | 1.19 | 0.14 | N/A | 4.30 | ZZZ | |
| 92986 | A | Revision of aortic valve | 21.80 | N/A | 12.00 | 1.14 | N/A | 34.94 | 090 | |
| 92987 | A | Revision of mitral valve | 22.70 | N/A | 12.40 | 1.18 | N/A | 36.28 | 090 | |
| 92990 | A | Revision of pulmonary valve | 17.34 | N/A | 9.95 | 0.90 | N/A | 28.19 | 090 | |
| 92992 | C | Revision of heart chamber | 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 | 090 | |
| 92995 | A | Coronary atherectomy | 12.09 | N/A | 5.08 | 0.58 | N/A | 17.75 | 000 | |
| 92996 | A | Coronary atherectomy add-on | 3.26 | N/A | 1.30 | 0.16 | N/A | 4.72 | ZZZ | |
| 92997 | A | Pul art balloon repr, percut | 12.00 | N/A | 4.93 | 0.63 | N/A | 17.56 | 000 | |
| 92998 | A | Pul art balloon repr, percut | 6.00 | N/A | 2.25 | 0.31 | N/A | 8.56 | ZZZ | |
| 93000 | A | Electrocardiogram, complete | 0.17 | 0.52 | N/A | 0.03 | 0.72 | N/A | XXX | |
| 93005 | A | Electrocardiogram, tracing | 0.00 | 0.45 | N/A | 0.02 | 0.47 | N/A | XXX | |
| 93010 | A | Electrocardiogram report | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX | |
| 93012 | A | Transmission of ecg | 0.00 | 6.02 | N/A | 0.15 | 6.17 | N/A | XXX | |
| 93014 | A | Report on transmitted ecg | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX | |
| 93015 | A | Cardiovascular stress test | 0.75 | 1.97 | N/A | 0.11 | 2.83 | N/A | XXX | |
| 93016 | A | Cardiovascular stress test | 0.45 | 0.17 | 0.17 | 0.01 | 0.63 | 0.63 | XXX | |
| 93017 | A | Cardiovascular stress test | 0.00 | 1.68 | N/A | 0.09 | 1.77 | N/A | XXX | |
| 93018 | A | Cardiovascular stress test | 0.30 | 0.12 | 0.12 | 0.01 | 0.43 | 0.43 | XXX | |
| 93024 | A | Cardiac drug stress test | 1.17 | 1.58 | N/A | 0.11 | 2.86 | N/A | XXX | |
| 93024 | 26 | A | Cardiac drug stress test | 1.17 | 0.46 | 0.46 | 0.04 | 1.67 | 1.67 | XXX |
| 93024 | TC | A | Cardiac drug stress test | 0.00 | 1.12 | N/A | 0.07 | 1.19 | N/A | XXX |
| 93025 | A | Microvolt t-wave assess | 0.75 | 8.37 | N/A | 0.11 | 9.23 | N/A | XXX | |
| 93025 | 26 | A | Microvolt t-wave assess | 0.75 | 0.30 | 0.30 | 0.02 | 1.07 | 1.07 | XXX |
| 93025 | TC | A | Microvolt t-wave assess | 0.00 | 8.08 | N/A | 0.09 | 8.17 | N/A | XXX |
| 93040 | A | Rhythm ECG with report | 0.16 | 0.20 | N/A | 0.02 | 0.38 | N/A | XXX | |
| 93041 | A | Rhythm ECG, tracing | 0.00 | 0.15 | N/A | 0.01 | 0.16 | N/A | XXX | |
| 93042 | A | Rhythm ECG, report | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX | |
| 93224 | A | ECG monitor/report, 24 hrs | 0.52 | 3.62 | N/A | 0.21 | 4.35 | N/A | XXX | |
| 93225 | A | ECG monitor/record, 24 hrs | 0.00 | 1.24 | N/A | 0.07 | 1.31 | N/A | XXX | |
| 93226 | A | ECG monitor/report, 24 hrs | 0.00 | 2.19 | N/A | 0.12 | 2.31 | N/A | XXX | |
| 93227 | A | ECG monitor/review, 24 hrs | 0.52 | 0.20 | 0.20 | 0.02 | 0.74 | 0.74 | XXX | |
| 93230 | A | ECG monitor/report, 24 hrs | 0.52 | 3.89 | N/A | 0.22 | 4.63 | N/A | XXX | |
| 93231 | A | Ecg monitor/record, 24 hrs | 0.00 | 1.52 | N/A | 0.09 | 1.61 | N/A | XXX | |
| 93232 | A | ECG monitor/report, 24 hrs | 0.00 | 2.18 | N/A | 0.11 | 2.29 | N/A | XXX | |
| 93233 | A | ECG monitor/review, 24 hrs | 0.52 | 0.20 | 0.20 | 0.02 | 0.74 | 0.74 | XXX | |
| 93235 | A | ECG monitor/report, 24 hrs | 0.45 | 2.79 | N/A | 0.13 | 3.37 | N/A | XXX | |
| 93236 | A | ECG monitor/report, 24 hrs | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX | |
| 93237 | A | ECG monitor/review, 24 hrs | 0.45 | 0.17 | 0.17 | 0.01 | 0.63 | 0.63 | XXX | |
| 93268 | A | ECG record/review | 0.52 | 7.45 | N/A | 0.24 | 8.21 | N/A | XXX | |
| 93270 | A | ECG recording | 0.00 | 1.24 | N/A | 0.07 | 1.31 | N/A | XXX | |
| 93271 | A | Ecg/monitoring and analysis | 0.00 | 6.02 | N/A | 0.15 | 6.17 | N/A | XXX | |
| 93272 | A | Ecg/review, interpret only | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX | |
| 93278 | A | ECG/signal-averaged | 0.25 | 1.25 | N/A | 0.10 | 1.60 | N/A | XXX | |
| 93278 | 26 | A | ECG/signal-averaged | 0.25 | 0.10 | 0.10 | 0.01 | 0.36 | 0.36 | XXX |
| 93278 | TC | A | ECG/signal-averaged | 0.00 | 1.15 | N/A | 0.09 | 1.24 | N/A | XXX |
| 93303 | A | Echo transthoracic | 1.30 | 4.35 | N/A | 0.23 | 5.88 | N/A | XXX | |
| 93303 | 26 | A | Echo transthoracic | 1.30 | 0.49 | 0.49 | 0.04 | 1.83 | 1.83 | XXX |
| 93303 | TC | A | Echo transthoracic | 0.00 | 3.86 | N/A | 0.19 | 4.05 | N/A | XXX |
| 93304 | A | Echo transthoracic | 0.75 | 2.23 | N/A | 0.13 | 3.11 | N/A | XXX | |
| 93304 | 26 | A | Echo transthoracic | 0.75 | 0.29 | 0.29 | 0.02 | 1.06 | 1.06 | XXX |
| 93304 | TC | A | Echo transthoracic | 0.00 | 1.94 | N/A | 0.11 | 2.05 | N/A | XXX |
| 93307 | A | Echo exam of heart | 0.92 | 4.22 | N/A | 0.22 | 5.36 | N/A | XXX | |
| 93307 | 26 | A | Echo exam of heart | 0.92 | 0.36 | 0.36 | 0.03 | 1.31 | 1.31 | XXX |
| 93307 | TC | A | Echo exam of heart | 0.00 | 3.86 | N/A | 0.19 | 4.05 | N/A | XXX |
| 93308 | A | Echo exam of heart | 0.53 | 2.15 | N/A | 0.13 | 2.81 | N/A | XXX | |
| 93308 | 26 | A | Echo exam of heart | 0.53 | 0.21 | 0.21 | 0.02 | 0.76 | 0.76 | XXX |
| 93308 | TC | A | Echo exam of heart | 0.00 | 1.94 | N/A | 0.11 | 2.05 | N/A | XXX |
| 93312 | A | Echo transesophageal | 2.20 | 4.58 | N/A | 0.32 | 7.10 | N/A | XXX | |
| 93312 | 26 | A | Echo transesophageal | 2.20 | 0.80 | 0.80 | 0.08 | 3.08 | 3.08 | XXX |
| 93312 | TC | A | Echo transesophageal | 0.00 | 3.78 | N/A | 0.24 | 4.02 | N/A | XXX |
| 93313 | A | Echo transesophageal | 0.95 | N/A | 0.21 | 0.05 | N/A | 1.21 | XXX | |
| 93314 | A | Echo transesophageal | 1.25 | 4.26 | N/A | 0.28 | 5.79 | N/A | XXX | |
| 93314 | 26 | A | Echo transesophageal | 1.25 | 0.48 | 0.48 | 0.04 | 1.77 | 1.77 | XXX |
| 93314 | TC | A | Echo transesophageal | 0.00 | 3.78 | N/A | 0.24 | 4.02 | N/A | XXX |
| 93315 | C | Echo transesophageal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93315 | 26 | A | Echo transesophageal | 2.78 | 1.03 | 1.03 | 0.10 | 3.91 | 3.91 | XXX |
| 93315 | TC | C | Echo transesophageal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93316 | A | Echo transesophageal | 0.95 | N/A | 0.24 | 0.05 | N/A | 1.24 | XXX | |
| 93317 | C | Echo transesophageal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93317 | 26 | A | Echo transesophageal | 1.83 | 0.68 | 0.68 | 0.06 | 2.57 | 2.57 | XXX |
| 93317 | TC | C | Echo transesophageal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93318 | C | Echo transesophageal intraop | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93318 | 26 | A | Echo transesophageal intraop | 2.20 | 0.48 | N/A | 0.06 | 2.74 | N/A | XXX |
| 93318 | TC | C | Echo transesophageal intraop | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93320 | A | Doppler echo exam, heart | 0.38 | 1.86 | N/A | 0.11 | 2.35 | N/A | ZZZ | |
| 93320 | 26 | A | Doppler echo exam, heart | 0.38 | 0.15 | 0.15 | 0.01 | 0.54 | 0.54 | ZZZ |
| 93320 | TC | A | Doppler echo exam, heart | 0.00 | 1.71 | N/A | 0.10 | 1.81 | N/A | ZZZ |
| 93321 | A | Doppler echo exam, heart | 0.15 | 1.17 | N/A | 0.08 | 1.40 | N/A | ZZZ | |
| 93321 | 26 | A | Doppler echo exam, heart | 0.15 | 0.06 | 0.06 | 0.01 | 0.22 | 0.22 | ZZZ |
| 93321 | TC | A | Doppler echo exam, heart | 0.00 | 1.11 | N/A | 0.07 | 1.18 | N/A | ZZZ |
| 93325 | A | Doppler color flow add-on | 0.07 | 2.93 | N/A | 0.18 | 3.18 | N/A | ZZZ | |
| 93325 | 26 | A | Doppler color flow add-on | 0.07 | 0.03 | 0.03 | 0.01 | 0.11 | 0.11 | ZZZ |
| 93325 | TC | A | Doppler color flow add-on | 0.00 | 2.90 | N/A | 0.17 | 3.07 | N/A | ZZZ |
| 93350 | A | Echo transthoracic | 1.48 | 2.34 | N/A | 0.13 | 3.95 | N/A | XXX | |
| 93350 | 26 | A | Echo transthoracic | 1.48 | 0.58 | 0.58 | 0.02 | 2.08 | 2.08 | XXX |
| 93350 | TC | A | Echo transthoracic | 0.00 | 1.76 | N/A | 0.11 | 1.87 | N/A | XXX |
| 93501 | A | Right heart catheterization | 3.02 | 18.08 | N/A | 1.03 | 22.13 | N/A | 000 | |
| 93501 | 26 | A | Right heart catheterization | 3.02 | 1.18 | 1.18 | 0.16 | 4.36 | 4.36 | 000 |
| 93501 | TC | A | Right heart catheterization | 0.00 | 16.90 | N/A | 0.87 | 17.77 | N/A | 000 |
| 93503 | A | Insert/place heart catheter | 2.91 | N/A | 0.69 | 0.16 | N/A | 3.76 | 000 | |
| 93505 | A | Biopsy of heart lining | 4.38 | 3.70 | N/A | 0.36 | 8.44 | N/A | 000 | |
| 93505 | 26 | A | Biopsy of heart lining | 4.38 | 1.72 | 1.72 | 0.23 | 6.33 | 6.33 | 000 |
| 93505 | TC | A | Biopsy of heart lining | 0.00 | 1.98 | N/A | 0.13 | 2.11 | N/A | 000 |
| 93508 | A | Cath placement, angiography | 4.10 | 14.73 | N/A | 0.75 | 19.58 | N/A | 000 | |
| 93508 | 26 | A | Cath placement, angiography | 4.10 | 2.13 | 2.13 | 0.21 | 6.44 | 6.44 | 000 |
| 93508 | TC | A | Cath placement, angiography | 0.00 | 12.60 | N/A | 0.54 | 13.14 | N/A | 000 |
| 93510 | A | Left heart catheterization | 4.33 | 39.18 | N/A | 2.13 | 45.64 | N/A | 000 | |
| 93510 | 26 | A | Left heart catheterization | 4.33 | 2.22 | 2.22 | 0.22 | 6.77 | 6.77 | 000 |
| 93510 | TC | A | Left heart catheterization | 0.00 | 36.96 | N/A | 1.91 | 38.87 | N/A | 000 |
| 93511 | A | Left heart catheterization | 5.03 | 38.48 | N/A | 2.11 | 45.62 | N/A | 000 | |
| 93511 | 26 | A | Left heart catheterization | 5.03 | 2.50 | 2.50 | 0.26 | 7.79 | 7.79 | 000 |
| 93511 | TC | A | Left heart catheterization | 0.00 | 35.98 | N/A | 1.85 | 37.83 | N/A | 000 |
| 93514 | A | Left heart catheterization | 7.05 | 39.18 | N/A | 2.22 | 48.45 | N/A | 000 | |
| 93514 | 26 | A | Left heart catheterization | 7.05 | 3.20 | 3.20 | 0.37 | 10.62 | 10.62 | 000 |
| 93514 | TC | A | Left heart catheterization | 0.00 | 35.98 | N/A | 1.85 | 37.83 | N/A | 000 |
| 93524 | A | Left heart catheterization | 6.95 | 50.27 | N/A | 2.79 | 60.01 | N/A | 000 | |
| 93524 | 26 | A | Left heart catheterization | 6.95 | 3.25 | 3.25 | 0.36 | 10.56 | 10.56 | 000 |
| 93524 | TC | A | Left heart catheterization | 0.00 | 47.02 | N/A | 2.43 | 49.45 | N/A | 000 |
| 93526 | A | Rt Lt heart catheters | 5.99 | 51.18 | N/A | 2.81 | 59.98 | N/A | 000 | |
| 93526 | 26 | A | Rt Lt heart catheters | 5.99 | 2.88 | 2.88 | 0.31 | 9.18 | 9.18 | 000 |
| 93526 | TC | A | Rt Lt heart catheters | 0.00 | 48.30 | N/A | 2.50 | 50.80 | N/A | 000 |
| 93527 | A | Rt Lt heart catheters | 7.28 | 50.41 | N/A | 2.81 | 60.50 | N/A | 000 | |
| 93527 | 26 | A | Rt Lt heart catheters | 7.28 | 3.39 | 3.39 | 0.38 | 11.05 | 11.05 | 000 |
| 93527 | TC | A | Rt Lt heart catheters | 0.00 | 47.02 | N/A | 2.43 | 49.45 | N/A | 000 |
| 93528 | A | Rt Lt heart catheters | 9.00 | 51.14 | N/A | 2.90 | 63.04 | N/A | 000 | |
| 93528 | 26 | A | Rt Lt heart catheters | 9.00 | 4.12 | 4.12 | 0.47 | 13.59 | 13.59 | 000 |
| 93528 | TC | A | Rt Lt heart catheters | 0.00 | 47.02 | N/A | 2.43 | 49.45 | N/A | 000 |
| 93529 | A | Rt, lt heart catheterization | 4.80 | 49.35 | N/A | 2.68 | 56.83 | N/A | 000 | |
| 93529 | 26 | A | Rt, lt heart catheterization | 4.80 | 2.33 | 2.33 | 0.25 | 7.38 | 7.38 | 000 |
| 93529 | TC | A | Rt, lt heart catheterization | 0.00 | 47.02 | N/A | 2.43 | 49.45 | N/A | 000 |
| 93530 | A | Rt heart cath, congenital | 4.23 | 18.89 | N/A | 1.11 | 24.23 | N/A | 000 | |
| 93530 | 26 | A | Rt heart cath, congenital | 4.23 | 1.98 | 1.98 | 0.24 | 6.45 | 6.45 | 000 |
| 93530 | TC | A | Rt heart cath, congenital | 0.00 | 16.90 | N/A | 0.87 | 17.77 | N/A | 000 |
| 93531 | A | R l heart cath, congenital | 8.35 | 51.97 | N/A | 2.96 | 63.28 | N/A | 000 | |
| 93531 | 26 | A | R l heart cath, congenital | 8.35 | 3.67 | 3.67 | 0.46 | 12.48 | 12.48 | 000 |
| 93531 | TC | A | R l heart cath, congenital | 0.00 | 48.30 | N/A | 2.50 | 50.80 | N/A | 000 |
| 93532 | A | R l heart cath, congenital | 10.00 | 51.37 | N/A | 2.95 | 64.32 | N/A | 000 | |
| 93532 | 26 | A | R l heart cath, congenital | 10.00 | 4.36 | 4.36 | 0.52 | 14.88 | 14.88 | 000 |
| 93532 | TC | A | R l heart cath, congenital | 0.00 | 47.02 | N/A | 2.43 | 49.45 | N/A | 000 |
| 93533 | A | R l heart cath, congenital | 6.70 | 49.89 | N/A | 2.86 | 59.45 | N/A | 000 | |
| 93533 | 26 | A | R l heart cath, congenital | 6.70 | 2.87 | 2.87 | 0.43 | 10.00 | 10.00 | 000 |
| 93533 | TC | A | R l heart cath, congenital | 0.00 | 47.02 | N/A | 2.43 | 49.45 | N/A | 000 |
| 93539 | A | Injection, cardiac cath | 0.40 | N/A | 0.16 | 0.01 | N/A | 0.57 | 000 | |
| 93540 | A | Injection, cardiac cath | 0.43 | N/A | 0.17 | 0.01 | N/A | 0.61 | 000 | |
| 93541 | A | Injection for lung angiogram | 0.29 | N/A | 0.12 | 0.01 | N/A | 0.42 | 000 | |
| 93542 | A | Injection for heart x-rays | 0.29 | N/A | 0.11 | 0.01 | N/A | 0.41 | 000 | |
| 93543 | A | Injection for heart x-rays | 0.29 | N/A | 0.12 | 0.01 | N/A | 0.42 | 000 | |
| 93544 | A | Injection for aortography | 0.25 | N/A | 0.10 | 0.01 | N/A | 0.36 | 000 | |
| 93545 | A | Inject for coronary x-rays | 0.40 | N/A | 0.16 | 0.01 | N/A | 0.57 | 000 | |
| 93555 | A | Imaging, cardiac cath | 0.81 | 6.60 | N/A | 0.31 | 7.72 | N/A | XXX | |
| 93555 | 26 | A | Imaging, cardiac cath | 0.81 | 0.32 | 0.32 | 0.03 | 1.16 | 1.16 | XXX |
| 93555 | TC | A | Imaging, cardiac cath | 0.00 | 6.28 | N/A | 0.28 | 6.56 | N/A | XXX |
| 93556 | A | Imaging, cardiac cath | 0.83 | 10.22 | N/A | 0.45 | 11.50 | N/A | XXX | |
| 93556 | 26 | A | Imaging, cardiac cath | 0.83 | 0.33 | 0.33 | 0.03 | 1.19 | 1.19 | XXX |
| 93556 | TC | A | Imaging, cardiac cath | 0.00 | 9.89 | N/A | 0.42 | 10.31 | N/A | XXX |
| 93561 | A | Cardiac output measurement | 0.50 | 0.69 | N/A | 0.07 | 1.26 | N/A | 000 | |
| 93561 | 26 | A | Cardiac output measurement | 0.50 | 0.16 | 0.16 | 0.02 | 0.68 | 0.68 | 000 |
| 93561 | TC | A | Cardiac output measurement | 0.00 | 0.52 | N/A | 0.05 | 0.57 | N/A | 000 |
| 93562 | A | Cardiac output measurement | 0.16 | 0.37 | N/A | 0.04 | 0.57 | N/A | 000 | |
| 93562 | 26 | A | Cardiac output measurement | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | 000 |
| 93562 | TC | A | Cardiac output measurement | 0.00 | 0.32 | N/A | 0.03 | 0.35 | N/A | 000 |
| 93571 | A | Heart flow reserve measure | 1.80 | 5.26 | N/A | 0.31 | 7.37 | N/A | ZZZ | |
| 93571 | 26 | A | Heart flow reserve measure | 1.80 | 0.69 | 0.69 | 0.11 | 2.60 | 2.60 | ZZZ |
| 93571 | TC | A | Heart flow reserve measure | 0.00 | 4.56 | N/A | 0.20 | 4.76 | N/A | ZZZ |
| 93572 | A | Heart flow reserve measure | 1.44 | 2.79 | N/A | 0.28 | 4.51 | N/A | ZZZ | |
| 93572 | 26 | A | Heart flow reserve measure | 1.44 | 0.50 | 0.50 | 0.17 | 2.11 | 2.11 | ZZZ |
| 93572 | TC | A | Heart flow reserve measure | 0.00 | 2.29 | N/A | 0.11 | 2.40 | N/A | ZZZ |
| 93580 | A | Transcath closure of asd | 18.00 | N/A | 7.33 | 1.14 | N/A | 26.47 | 000 | |
| 93581 | A | Transcath closure of vsd | 24.43 | N/A | 9.82 | 1.14 | N/A | 35.39 | 000 | |
| 93600 | A | Bundle of His recording | 2.12 | 2.80 | N/A | 0.22 | 5.14 | N/A | 000 | |
| 93600 | 26 | A | Bundle of His recording | 2.12 | 0.85 | 0.85 | 0.11 | 3.08 | 3.08 | 000 |
| 93600 | TC | A | Bundle of His recording | 0.00 | 1.95 | N/A | 0.11 | 2.06 | N/A | 000 |
| 93602 | A | Intra-atrial recording | 2.12 | 1.95 | N/A | 0.18 | 4.25 | N/A | 000 | |
| 93602 | 26 | A | Intra-atrial recording | 2.12 | 0.84 | 0.84 | 0.12 | 3.08 | 3.08 | 000 |
| 93602 | TC | A | Intra-atrial recording | 0.00 | 1.11 | N/A | 0.06 | 1.17 | N/A | 000 |
| 93603 | A | Right ventricular recording | 2.12 | 2.51 | N/A | 0.20 | 4.83 | N/A | 000 | |
| 93603 | 26 | A | Right ventricular recording | 2.12 | 0.83 | 0.83 | 0.11 | 3.06 | 3.06 | 000 |
| 93603 | TC | A | Right ventricular recording | 0.00 | 1.68 | N/A | 0.09 | 1.77 | N/A | 000 |
| 93609 | A | Map tachycardia, add-on | 5.00 | 4.71 | N/A | 0.66 | 10.37 | N/A | ZZZ | |
| 93609 | 26 | A | Map tachycardia, add-on | 5.00 | 1.99 | 1.99 | 0.52 | 7.51 | 7.51 | ZZZ |
| 93609 | TC | A | Map tachycardia, add-on | 0.00 | 2.72 | N/A | 0.14 | 2.86 | N/A | ZZZ |
| 93610 | A | Intra-atrial pacing | 3.02 | 2.54 | N/A | 0.25 | 5.81 | N/A | 000 | |
| 93610 | 26 | A | Intra-atrial pacing | 3.02 | 1.18 | 1.18 | 0.17 | 4.37 | 4.37 | 000 |
| 93610 | TC | A | Intra-atrial pacing | 0.00 | 1.35 | N/A | 0.08 | 1.43 | N/A | 000 |
| 93612 | A | Intraventricular pacing | 3.02 | 2.79 | N/A | 0.26 | 6.07 | N/A | 000 | |
| 93612 | 26 | A | Intraventricular pacing | 3.02 | 1.18 | 1.18 | 0.17 | 4.37 | 4.37 | 000 |
| 93612 | TC | A | Intraventricular pacing | 0.00 | 1.61 | N/A | 0.09 | 1.70 | N/A | 000 |
| 93613 | A | Electrophys map 3d, add-on | 7.00 | N/A | 2.82 | 0.52 | N/A | 10.34 | ZZZ | |
| 93615 | A | Esophageal recording | 0.99 | 0.59 | N/A | 0.05 | 1.63 | N/A | 000 | |
| 93615 | 26 | A | Esophageal recording | 0.99 | 0.27 | 0.27 | 0.03 | 1.29 | 1.29 | 000 |
| 93615 | TC | A | Esophageal recording | 0.00 | 0.32 | N/A | 0.02 | 0.34 | N/A | 000 |
| 93616 | A | Esophageal recording | 1.49 | 0.75 | N/A | 0.08 | 2.32 | N/A | 000 | |
| 93616 | 26 | A | Esophageal recording | 1.49 | 0.43 | 0.43 | 0.06 | 1.98 | 1.98 | 000 |
| 93616 | TC | A | Esophageal recording | 0.00 | 0.32 | N/A | 0.02 | 0.34 | N/A | 000 |
| 93618 | A | Heart rhythm pacing | 4.26 | 5.67 | N/A | 0.42 | 10.35 | N/A | 000 | |
| 93618 | 26 | A | Heart rhythm pacing | 4.26 | 1.71 | 1.71 | 0.22 | 6.19 | 6.19 | 000 |
| 93618 | TC | A | Heart rhythm pacing | 0.00 | 3.96 | N/A | 0.20 | 4.16 | N/A | 000 |
| 93619 | A | Electrophysiology evaluation | 7.32 | 10.61 | N/A | 0.77 | 18.70 | N/A | 000 | |
| 93619 | 26 | A | Electrophysiology evaluation | 7.32 | 2.91 | 2.91 | 0.38 | 10.61 | 10.61 | 000 |
| 93619 | TC | A | Electrophysiology evaluation | 0.00 | 7.71 | N/A | 0.39 | 8.10 | N/A | 000 |
| 93620 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 93620 | 26 | A | Electrophysiology evaluation | 11.59 | 4.61 | 4.61 | 0.60 | 16.80 | 16.80 | 000 |
| 93620 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 |
| 93621 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93621 | 26 | A | Electrophysiology evaluation | 2.10 | 0.84 | 0.84 | 0.15 | 3.09 | 3.09 | ZZZ |
| 93621 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93622 | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93622 | 26 | A | Electrophysiology evaluation | 3.10 | 1.23 | 1.23 | 0.67 | 5.00 | 5.00 | ZZZ |
| 93622 | TC | C | Electrophysiology evaluation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93623 | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93623 | 26 | A | Stimulation, pacing heart | 2.85 | 1.13 | 1.13 | 0.15 | 4.13 | 4.13 | ZZZ |
| 93623 | TC | C | Stimulation, pacing heart | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93624 | A | Electrophysiologic study | 4.81 | 4.23 | N/A | 0.36 | 9.40 | N/A | 000 | |
| 93624 | 26 | A | Electrophysiologic study | 4.81 | 2.25 | 2.25 | 0.25 | 7.31 | 7.31 | 000 |
| 93624 | TC | A | Electrophysiologic study | 0.00 | 1.98 | N/A | 0.11 | 2.09 | N/A | 000 |
| 93631 | A | Heart pacing, mapping | 7.60 | 8.95 | N/A | 1.17 | 17.72 | N/A | 000 | |
| 93631 | 26 | A | Heart pacing, mapping | 7.60 | 2.80 | 2.80 | 0.66 | 11.06 | 11.06 | 000 |
| 93631 | TC | A | Heart pacing, mapping | 0.00 | 6.15 | N/A | 0.51 | 6.66 | N/A | 000 |
| 93640 | A | Evaluation heart device | 3.52 | 8.57 | N/A | 0.53 | 12.62 | N/A | 000 | |
| 93640 | 26 | A | Evaluation heart device | 3.52 | 1.39 | 1.39 | 0.18 | 5.09 | 5.09 | 000 |
| 93640 | TC | A | Evaluation heart device | 0.00 | 7.18 | N/A | 0.35 | 7.53 | N/A | 000 |
| 93641 | A | Electrophysiology evaluation | 5.93 | 9.54 | N/A | 0.66 | 16.13 | N/A | 000 | |
| 93641 | 26 | A | Electrophysiology evaluation | 5.93 | 2.36 | 2.36 | 0.31 | 8.60 | 8.60 | 000 |
| 93641 | TC | A | Electrophysiology evaluation | 0.00 | 7.18 | N/A | 0.35 | 7.53 | N/A | 000 |
| 93642 | A | Electrophysiology evaluation | 4.89 | 9.10 | N/A | 0.51 | 14.50 | N/A | 000 | |
| 93642 | 26 | A | Electrophysiology evaluation | 4.89 | 1.92 | 1.92 | 0.16 | 6.97 | 6.97 | 000 |
| 93642 | TC | A | Electrophysiology evaluation | 0.00 | 7.18 | N/A | 0.35 | 7.53 | N/A | 000 |
| 93650 | A | Ablate heart dysrhythm focus | 10.51 | N/A | 4.53 | 0.55 | N/A | 15.59 | 000 | |
| 93651 | A | Ablate heart dysrhythm focus | 16.25 | N/A | 6.47 | 0.85 | N/A | 23.57 | 000 | |
| 93652 | A | Ablate heart dysrhythm focus | 17.68 | N/A | 7.04 | 0.92 | N/A | 25.64 | 000 | |
| 93660 | A | Tilt table evaluation | 1.89 | 2.44 | N/A | 0.08 | 4.41 | N/A | 000 | |
| 93660 | 26 | A | Tilt table evaluation | 1.89 | 0.76 | 0.76 | 0.06 | 2.71 | 2.71 | 000 |
| 93660 | TC | A | Tilt table evaluation | 0.00 | 1.68 | N/A | 0.02 | 1.70 | N/A | 000 |
| 93662 | C | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 93662 | 26 | A | Intracardiac ecg (ice) | 2.80 | 1.13 | 1.13 | 0.41 | 4.34 | 4.34 | ZZZ |
| 93662 | TC | C | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 93701 | A | Bioimpedance, thoracic | 0.17 | 1.04 | N/A | 0.02 | 1.23 | N/A | XXX | |
| 93701 | 26 | A | Bioimpedance, thoracic | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 93701 | TC | A | Bioimpedance, thoracic | 0.00 | 0.97 | N/A | 0.01 | 0.98 | N/A | XXX |
| 93720 | A | Total body plethysmography | 0.17 | 1.14 | N/A | 0.06 | 1.37 | N/A | XXX | |
| 93721 | A | Plethysmography tracing | 0.00 | 0.71 | N/A | 0.05 | 0.76 | N/A | XXX | |
| 93722 | A | Plethysmography report | 0.17 | 0.05 | 0.05 | 0.01 | 0.23 | 0.23 | XXX | |
| 93724 | A | Analyze pacemaker system | 4.89 | 5.92 | N/A | 0.38 | 11.19 | N/A | 000 | |
| 93724 | 26 | A | Analyze pacemaker system | 4.89 | 1.95 | 1.95 | 0.18 | 7.02 | 7.02 | 000 |
| 93724 | TC | A | Analyze pacemaker system | 0.00 | 3.96 | N/A | 0.20 | 4.16 | N/A | 000 |
| 93727 | A | Analyze ilr system | 0.52 | 0.20 | 0.20 | 0.05 | 0.77 | 0.77 | XXX | |
| 93731 | A | Analyze pacemaker system | 0.45 | 0.67 | N/A | 0.05 | 1.17 | N/A | XXX | |
| 93731 | 26 | A | Analyze pacemaker system | 0.45 | 0.18 | 0.18 | 0.02 | 0.65 | 0.65 | XXX |
| 93731 | TC | A | Analyze pacemaker system | 0.00 | 0.49 | N/A | 0.03 | 0.52 | N/A | XXX |
| 93732 | A | Analyze pacemaker system | 0.92 | 0.87 | N/A | 0.06 | 1.85 | N/A | XXX | |
| 93732 | 26 | A | Analyze pacemaker system | 0.92 | 0.36 | 0.36 | 0.03 | 1.31 | 1.31 | XXX |
| 93732 | TC | A | Analyze pacemaker system | 0.00 | 0.51 | N/A | 0.03 | 0.54 | N/A | XXX |
| 93733 | A | Telephone analy, pacemaker | 0.17 | 0.79 | N/A | 0.06 | 1.02 | N/A | XXX | |
| 93733 | 26 | A | Telephone analy, pacemaker | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| 93733 | TC | A | Telephone analy, pacemaker | 0.00 | 0.73 | N/A | 0.05 | 0.78 | N/A | XXX |
| 93734 | A | Analyze pacemaker system | 0.38 | 0.50 | N/A | 0.03 | 0.91 | N/A | XXX | |
| 93734 | 26 | A | Analyze pacemaker system | 0.38 | 0.15 | 0.15 | 0.01 | 0.54 | 0.54 | XXX |
| 93734 | TC | A | Analyze pacemaker system | 0.00 | 0.35 | N/A | 0.02 | 0.37 | N/A | XXX |
| 93735 | A | Analyze pacemaker system | 0.74 | 0.74 | N/A | 0.06 | 1.54 | N/A | XXX | |
| 93735 | 26 | A | Analyze pacemaker system | 0.74 | 0.29 | 0.29 | 0.03 | 1.06 | 1.06 | XXX |
| 93735 | TC | A | Analyze pacemaker system | 0.00 | 0.44 | N/A | 0.03 | 0.47 | N/A | XXX |
| 93736 | A | Telephone analy, pacemaker | 0.15 | 0.69 | N/A | 0.06 | 0.90 | N/A | XXX | |
| 93736 | 26 | A | Telephone analy, pacemaker | 0.15 | 0.06 | 0.06 | 0.01 | 0.22 | 0.22 | XXX |
| 93736 | TC | A | Telephone analy, pacemaker | 0.00 | 0.63 | N/A | 0.05 | 0.68 | N/A | XXX |
| 93740 | B | Temperature gradient studies | 0.16 | 0.20 | N/A | 0.02 | 0.38 | N/A | XXX | |
| 93740 | 26 | B | Temperature gradient studies | 0.16 | 0.04 | 0.04 | 0.01 | 0.21 | 0.21 | XXX |
| 93740 | TC | B | Temperature gradient studies | 0.00 | 0.15 | N/A | 0.01 | 0.16 | N/A | XXX |
| 93741 | A | Analyze ht pace device sngl | 0.80 | 0.99 | N/A | 0.05 | 1.84 | N/A | XXX | |
| 93741 | 26 | A | Analyze ht pace device sngl | 0.80 | 0.32 | 0.32 | 0.02 | 1.14 | 1.14 | XXX |
| 93741 | TC | A | Analyze ht pace device sngl | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 93742 | A | Analyze ht pace device sngl | 0.91 | 1.03 | N/A | 0.05 | 1.99 | N/A | XXX | |
| 93742 | 26 | A | Analyze ht pace device sngl | 0.91 | 0.36 | 0.36 | 0.02 | 1.29 | 1.29 | XXX |
| 93742 | TC | A | Analyze ht pace device sngl | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 93743 | A | Analyze ht pace device dual | 1.03 | 1.14 | N/A | 0.06 | 2.23 | N/A | XXX | |
| 93743 | 26 | A | Analyze ht pace device dual | 1.03 | 0.41 | 0.41 | 0.03 | 1.47 | 1.47 | XXX |
| 93743 | TC | A | Analyze ht pace device dual | 0.00 | 0.73 | N/A | 0.03 | 0.76 | N/A | XXX |
| 93744 | A | Analyze ht pace device dual | 1.18 | 1.14 | N/A | 0.06 | 2.38 | N/A | XXX | |
| 93744 | 26 | A | Analyze ht pace device dual | 1.18 | 0.47 | 0.47 | 0.03 | 1.68 | 1.68 | XXX |
| 93744 | TC | A | Analyze ht pace device dual | 0.00 | 0.67 | N/A | 0.03 | 0.70 | N/A | XXX |
| 93770 | B | Measure venous pressure | 0.16 | 0.08 | N/A | 0.02 | 0.26 | N/A | XXX | |
| 93770 | 26 | B | Measure venous pressure | 0.16 | 0.05 | 0.05 | 0.01 | 0.22 | 0.22 | XXX |
| 93770 | TC | B | Measure venous pressure | 0.00 | 0.03 | N/A | 0.01 | 0.04 | N/A | XXX |
| 93784 | A | Ambulatory BP monitoring | 0.17 | 0.97 | N/A | 0.02 | 1.16 | N/A | XXX | |
| 93786 | A | Ambulatory BP recording | 0.00 | 0.91 | N/A | 0.01 | 0.92 | N/A | XXX | |
| 93790 | A | Review/report BP recording | 0.17 | 0.06 | 0.06 | 0.01 | 0.24 | 0.24 | XXX | |
| 93797 | A | Cardiac rehab | 0.18 | 0.39 | 0.07 | 0.01 | 0.58 | 0.26 | 000 | |
| 93798 | A | Cardiac rehab/monitor | 0.28 | 0.51 | 0.11 | 0.01 | 0.80 | 0.40 | 000 | |
| 93799 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 93799 | 26 | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93799 | TC | C | Cardiovascular procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93875 | A | Extracranial study | 0.22 | 1.67 | N/A | 0.10 | 1.99 | N/A | XXX | |
| 93875 | 26 | A | Extracranial study | 0.22 | 0.08 | 0.08 | 0.01 | 0.31 | 0.31 | XXX |
| 93875 | TC | A | Extracranial study | 0.00 | 1.59 | N/A | 0.09 | 1.68 | N/A | XXX |
| 93880 | A | Extracranial study | 0.60 | 4.20 | N/A | 0.33 | 5.13 | N/A | XXX | |
| 93880 | 26 | A | Extracranial study | 0.60 | 0.21 | 0.21 | 0.04 | 0.85 | 0.85 | XXX |
| 93880 | TC | A | Extracranial study | 0.00 | 3.99 | N/A | 0.29 | 4.28 | N/A | XXX |
| 93882 | A | Extracranial study | 0.40 | 3.03 | N/A | 0.22 | 3.65 | N/A | XXX | |
| 93882 | 26 | A | Extracranial study | 0.40 | 0.14 | 0.14 | 0.04 | 0.58 | 0.58 | XXX |
| 93882 | TC | A | Extracranial study | 0.00 | 2.88 | N/A | 0.18 | 3.06 | N/A | XXX |
| 93886 | A | Intracranial study | 0.94 | 4.54 | N/A | 0.37 | 5.85 | N/A | XXX | |
| 93886 | 26 | A | Intracranial study | 0.94 | 0.38 | 0.38 | 0.05 | 1.37 | 1.37 | XXX |
| 93886 | TC | A | Intracranial study | 0.00 | 4.17 | N/A | 0.32 | 4.49 | N/A | XXX |
| 93888 | A | Intracranial study | 0.62 | 3.07 | N/A | 0.26 | 3.95 | N/A | XXX | |
| 93888 | 26 | A | Intracranial study | 0.62 | 0.23 | 0.23 | 0.04 | 0.89 | 0.89 | XXX |
| 93888 | TC | A | Intracranial study | 0.00 | 2.84 | N/A | 0.22 | 3.06 | N/A | XXX |
| 93922 | A | Extremity study | 0.25 | 1.94 | N/A | 0.13 | 2.32 | N/A | XXX | |
| 93922 | 26 | A | Extremity study | 0.25 | 0.09 | 0.09 | 0.02 | 0.36 | 0.36 | XXX |
| 93922 | TC | A | Extremity study | 0.00 | 1.85 | N/A | 0.11 | 1.96 | N/A | XXX |
| 93923 | A | Extremity study | 0.45 | 3.04 | N/A | 0.22 | 3.71 | N/A | XXX | |
| 93923 | 26 | A | Extremity study | 0.45 | 0.16 | 0.16 | 0.04 | 0.65 | 0.65 | XXX |
| 93923 | TC | A | Extremity study | 0.00 | 2.88 | N/A | 0.18 | 3.06 | N/A | XXX |
| 93924 | A | Extremity study | 0.50 | 3.79 | N/A | 0.26 | 4.55 | N/A | XXX | |
| 93924 | 26 | A | Extremity study | 0.50 | 0.17 | 0.17 | 0.05 | 0.72 | 0.72 | XXX |
| 93924 | TC | A | Extremity study | 0.00 | 3.62 | N/A | 0.21 | 3.83 | N/A | XXX |
| 93925 | A | Lower extremity study | 0.58 | 4.91 | N/A | 0.33 | 5.82 | N/A | XXX | |
| 93925 | 26 | A | Lower extremity study | 0.58 | 0.20 | 0.20 | 0.04 | 0.82 | 0.82 | XXX |
| 93925 | TC | A | Lower extremity study | 0.00 | 4.71 | N/A | 0.29 | 5.00 | N/A | XXX |
| 93926 | A | Lower extremity study | 0.39 | 3.51 | N/A | 0.22 | 4.12 | N/A | XXX | |
| 93926 | 26 | A | Lower extremity study | 0.39 | 0.13 | 0.13 | 0.03 | 0.55 | 0.55 | XXX |
| 93926 | TC | A | Lower extremity study | 0.00 | 3.37 | N/A | 0.19 | 3.56 | N/A | XXX |
| 93930 | A | Upper extremity study | 0.46 | 3.90 | N/A | 0.34 | 4.70 | N/A | XXX | |
| 93930 | 26 | A | Upper extremity study | 0.46 | 0.16 | 0.16 | 0.03 | 0.65 | 0.65 | XXX |
| 93930 | TC | A | Upper extremity study | 0.00 | 3.74 | N/A | 0.31 | 4.05 | N/A | XXX |
| 93931 | A | Upper extremity study | 0.31 | 2.84 | N/A | 0.22 | 3.37 | N/A | XXX | |
| 93931 | 26 | A | Upper extremity study | 0.31 | 0.11 | 0.11 | 0.02 | 0.44 | 0.44 | XXX |
| 93931 | TC | A | Upper extremity study | 0.00 | 2.74 | N/A | 0.20 | 2.94 | N/A | XXX |
| 93965 | A | Extremity study | 0.35 | 1.88 | N/A | 0.12 | 2.35 | N/A | XXX | |
| 93965 | 26 | A | Extremity study | 0.35 | 0.12 | 0.12 | 0.02 | 0.49 | 0.49 | XXX |
| 93965 | TC | A | Extremity study | 0.00 | 1.76 | N/A | 0.10 | 1.86 | N/A | XXX |
| 93970 | A | Extremity study | 0.68 | 4.00 | N/A | 0.38 | 5.06 | N/A | XXX | |
| 93970 | 26 | A | Extremity study | 0.68 | 0.23 | 0.23 | 0.05 | 0.96 | 0.96 | XXX |
| 93970 | TC | A | Extremity study | 0.00 | 3.77 | N/A | 0.33 | 4.10 | N/A | XXX |
| 93971 | A | Extremity study | 0.45 | 2.88 | N/A | 0.25 | 3.58 | N/A | XXX | |
| 93971 | 26 | A | Extremity study | 0.45 | 0.15 | 0.15 | 0.03 | 0.63 | 0.63 | XXX |
| 93971 | TC | A | Extremity study | 0.00 | 2.73 | N/A | 0.22 | 2.95 | N/A | XXX |
| 93975 | A | Vascular study | 1.80 | 5.86 | N/A | 0.47 | 8.13 | N/A | XXX | |
| 93975 | 26 | A | Vascular study | 1.80 | 0.61 | 0.61 | 0.11 | 2.52 | 2.52 | XXX |
| 93975 | TC | A | Vascular study | 0.00 | 5.25 | N/A | 0.36 | 5.61 | N/A | XXX |
| 93976 | A | Vascular study | 1.21 | 3.48 | N/A | 0.31 | 5.00 | N/A | XXX | |
| 93976 | 26 | A | Vascular study | 1.21 | 0.41 | 0.41 | 0.06 | 1.68 | 1.68 | XXX |
| 93976 | TC | A | Vascular study | 0.00 | 3.08 | N/A | 0.25 | 3.33 | N/A | XXX |
| 93978 | A | Vascular study | 0.65 | 3.62 | N/A | 0.36 | 4.63 | N/A | XXX | |
| 93978 | 26 | A | Vascular study | 0.65 | 0.22 | 0.22 | 0.05 | 0.92 | 0.92 | XXX |
| 93978 | TC | A | Vascular study | 0.00 | 3.39 | N/A | 0.31 | 3.70 | N/A | XXX |
| 93979 | A | Vascular study | 0.44 | 2.67 | N/A | 0.24 | 3.35 | N/A | XXX | |
| 93979 | 26 | A | Vascular study | 0.44 | 0.16 | 0.16 | 0.04 | 0.64 | 0.64 | XXX |
| 93979 | TC | A | Vascular study | 0.00 | 2.51 | N/A | 0.20 | 2.71 | N/A | XXX |
| 93980 | A | Penile vascular study | 1.25 | 4.77 | N/A | 0.35 | 6.37 | N/A | XXX | |
| 93980 | 26 | A | Penile vascular study | 1.25 | 0.42 | 0.42 | 0.07 | 1.74 | 1.74 | XXX |
| 93980 | TC | A | Penile vascular study | 0.00 | 4.35 | N/A | 0.28 | 4.63 | N/A | XXX |
| 93981 | A | Penile vascular study | 0.44 | 4.65 | N/A | 0.28 | 5.37 | N/A | XXX | |
| 93981 | 26 | A | Penile vascular study | 0.44 | 0.15 | 0.15 | 0.02 | 0.61 | 0.61 | XXX |
| 93981 | TC | A | Penile vascular study | 0.00 | 4.51 | N/A | 0.26 | 4.77 | N/A | XXX |
| 93990 | A | Doppler flow testing | 0.25 | 3.44 | N/A | 0.21 | 3.90 | N/A | XXX | |
| 93990 | 26 | A | Doppler flow testing | 0.25 | 0.09 | 0.09 | 0.02 | 0.36 | 0.36 | XXX |
| 93990 | TC | A | Doppler flow testing | 0.00 | 3.35 | N/A | 0.19 | 3.54 | N/A | XXX |
| 94010 | A | Breathing capacity test | 0.17 | 0.69 | N/A | 0.03 | 0.89 | N/A | XXX | |
| 94010 | 26 | A | Breathing capacity test | 0.17 | 0.05 | 0.05 | 0.01 | 0.23 | 0.23 | XXX |
| 94010 | TC | A | Breathing capacity test | 0.00 | 0.64 | N/A | 0.02 | 0.66 | N/A | XXX |
| 94014 | A | Patient recorded spirometry | 0.52 | 0.78 | N/A | 0.03 | 1.33 | N/A | XXX | |
| 94015 | A | Patient recorded spirometry | 0.00 | 0.61 | N/A | 0.01 | 0.62 | N/A | XXX | |
| 94016 | A | Review patient spirometry | 0.52 | 0.17 | 0.17 | 0.02 | 0.71 | 0.71 | XXX | |
| 94060 | A | Evaluation of wheezing | 0.31 | 1.14 | N/A | 0.06 | 1.51 | N/A | XXX | |
| 94060 | 26 | A | Evaluation of wheezing | 0.31 | 0.10 | 0.10 | 0.01 | 0.42 | 0.42 | XXX |
| 94060 | TC | A | Evaluation of wheezing | 0.00 | 1.05 | N/A | 0.05 | 1.10 | N/A | XXX |
| 94070 | A | Evaluation of wheezing | 0.60 | 1.25 | N/A | 0.10 | 1.95 | N/A | XXX | |
| 94070 | 26 | A | Evaluation of wheezing | 0.60 | 0.19 | 0.19 | 0.02 | 0.81 | 0.81 | XXX |
| 94070 | TC | A | Evaluation of wheezing | 0.00 | 1.06 | N/A | 0.08 | 1.14 | N/A | XXX |
| 94150 | B | Vital capacity test | 0.07 | 0.48 | N/A | 0.02 | 0.57 | N/A | XXX | |
| 94150 | 26 | B | Vital capacity test | 0.07 | 0.03 | 0.03 | 0.01 | 0.11 | 0.11 | XXX |
| 94150 | TC | B | Vital capacity test | 0.00 | 0.46 | N/A | 0.01 | 0.47 | N/A | XXX |
| 94200 | A | Lung function test (MBC/MVV) | 0.11 | 0.46 | N/A | 0.03 | 0.60 | N/A | XXX | |
| 94200 | 26 | A | Lung function test (MBC/MVV) | 0.11 | 0.03 | 0.03 | 0.01 | 0.15 | 0.15 | XXX |
| 94200 | TC | A | Lung function test (MBC/MVV) | 0.00 | 0.43 | N/A | 0.02 | 0.45 | N/A | XXX |
| 94240 | A | Residual lung capacity | 0.26 | 0.59 | N/A | 0.05 | 0.90 | N/A | XXX | |
| 94240 | 26 | A | Residual lung capacity | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94240 | TC | A | Residual lung capacity | 0.00 | 0.51 | N/A | 0.04 | 0.55 | N/A | XXX |
| 94250 | A | Expired gas collection | 0.11 | 0.68 | N/A | 0.02 | 0.81 | N/A | XXX | |
| 94250 | 26 | A | Expired gas collection | 0.11 | 0.03 | 0.03 | 0.01 | 0.15 | 0.15 | XXX |
| 94250 | TC | A | Expired gas collection | 0.00 | 0.64 | N/A | 0.01 | 0.65 | N/A | XXX |
| 94260 | A | Thoracic gas volume | 0.13 | 0.51 | N/A | 0.04 | 0.68 | N/A | XXX | |
| 94260 | 26 | A | Thoracic gas volume | 0.13 | 0.04 | 0.04 | 0.01 | 0.18 | 0.18 | XXX |
| 94260 | TC | A | Thoracic gas volume | 0.00 | 0.47 | N/A | 0.03 | 0.50 | N/A | XXX |
| 94350 | A | Lung nitrogen washout curve | 0.26 | 0.77 | N/A | 0.04 | 1.07 | N/A | XXX | |
| 94350 | 26 | A | Lung nitrogen washout curve | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94350 | TC | A | Lung nitrogen washout curve | 0.00 | 0.69 | N/A | 0.03 | 0.72 | N/A | XXX |
| 94360 | A | Measure airflow resistance | 0.26 | 0.61 | N/A | 0.06 | 0.93 | N/A | XXX | |
| 94360 | 26 | A | Measure airflow resistance | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94360 | TC | A | Measure airflow resistance | 0.00 | 0.53 | N/A | 0.05 | 0.58 | N/A | XXX |
| 94370 | A | Breath airway closing volume | 0.26 | 0.74 | N/A | 0.03 | 1.03 | N/A | XXX | |
| 94370 | 26 | A | Breath airway closing volume | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94370 | TC | A | Breath airway closing volume | 0.00 | 0.66 | N/A | 0.02 | 0.68 | N/A | XXX |
| 94375 | A | Respiratory flow volume loop | 0.31 | 0.56 | N/A | 0.03 | 0.90 | N/A | XXX | |
| 94375 | 26 | A | Respiratory flow volume loop | 0.31 | 0.10 | 0.10 | 0.01 | 0.42 | 0.42 | XXX |
| 94375 | TC | A | Respiratory flow volume loop | 0.00 | 0.47 | N/A | 0.02 | 0.49 | N/A | XXX |
| 94400 | A | CO2 breathing response curve | 0.40 | 0.86 | N/A | 0.06 | 1.32 | N/A | XXX | |
| 94400 | 26 | A | CO2 breathing response curve | 0.40 | 0.13 | 0.13 | 0.01 | 0.54 | 0.54 | XXX |
| 94400 | TC | A | CO2 breathing response curve | 0.00 | 0.74 | N/A | 0.05 | 0.79 | N/A | XXX |
| 94450 | A | Hypoxia response curve | 0.40 | 0.69 | N/A | 0.04 | 1.13 | N/A | XXX | |
| 94450 | 26 | A | Hypoxia response curve | 0.40 | 0.12 | 0.12 | 0.02 | 0.54 | 0.54 | XXX |
| 94450 | TC | A | Hypoxia response curve | 0.00 | 0.57 | N/A | 0.02 | 0.59 | N/A | XXX |
| 94620 | A | Pulmonary stress test/simple | 0.64 | 2.49 | N/A | 0.10 | 3.23 | N/A | XXX | |
| 94620 | 26 | A | Pulmonary stress test/simple | 0.64 | 0.20 | 0.20 | 0.02 | 0.86 | 0.86 | XXX |
| 94620 | TC | A | Pulmonary stress test/simple | 0.00 | 2.29 | N/A | 0.08 | 2.37 | N/A | XXX |
| 94621 | A | Pulm stress test/complex | 1.42 | 2.11 | N/A | 0.13 | 3.66 | N/A | XXX | |
| 94621 | 26 | A | Pulm stress test/complex | 1.42 | 0.44 | 0.44 | 0.05 | 1.91 | 1.91 | XXX |
| 94621 | TC | A | Pulm stress test/complex | 0.00 | 1.67 | N/A | 0.08 | 1.75 | N/A | XXX |
| 94640 | A | Airway inhalation treatment | 0.00 | 0.35 | N/A | 0.02 | 0.37 | N/A | XXX | |
| 94642 | C | Aerosol inhalation treatment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94656 | A | Initial ventilator mgmt | 1.22 | 1.23 | 0.32 | 0.06 | 2.51 | 1.60 | XXX | |
| 94657 | A | Continued ventilator mgmt | 0.83 | 1.04 | 0.25 | 0.03 | 1.90 | 1.11 | XXX | |
| 94660 | A | Pos airway pressure, CPAP | 0.76 | 0.67 | 0.24 | 0.03 | 1.46 | 1.03 | XXX | |
| 94662 | A | Neg press ventilation, cnp | 0.76 | N/A | 0.24 | 0.02 | N/A | 1.02 | XXX | |
| 94664 | A | Evaluate pt use of inhaler | 0.00 | 0.34 | N/A | 0.03 | 0.37 | N/A | XXX | |
| 94667 | A | Chest wall manipulation | 0.00 | 0.56 | N/A | 0.04 | 0.60 | N/A | XXX | |
| 94668 | A | Chest wall manipulation | 0.00 | 0.48 | N/A | 0.02 | 0.50 | N/A | XXX | |
| 94680 | A | Exhaled air analysis, o2 | 0.26 | 1.97 | N/A | 0.06 | 2.29 | N/A | XXX | |
| 94680 | 26 | A | Exhaled air analysis, o2 | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94680 | TC | A | Exhaled air analysis, o2 | 0.00 | 1.89 | N/A | 0.05 | 1.94 | N/A | XXX |
| 94681 | A | Exhaled air analysis, o2/co2 | 0.20 | 2.69 | N/A | 0.11 | 3.00 | N/A | XXX | |
| 94681 | 26 | A | Exhaled air analysis, o2/co2 | 0.20 | 0.07 | 0.07 | 0.01 | 0.28 | 0.28 | XXX |
| 94681 | TC | A | Exhaled air analysis, o2/co2 | 0.00 | 2.62 | N/A | 0.10 | 2.72 | N/A | XXX |
| 94690 | A | Exhaled air analysis | 0.07 | 2.06 | N/A | 0.04 | 2.17 | N/A | XXX | |
| 94690 | 26 | A | Exhaled air analysis | 0.07 | 0.02 | 0.02 | 0.01 | 0.10 | 0.10 | XXX |
| 94690 | TC | A | Exhaled air analysis | 0.00 | 2.04 | N/A | 0.03 | 2.07 | N/A | XXX |
| 94720 | A | Monoxide diffusing capacity | 0.26 | 1.02 | N/A | 0.06 | 1.34 | N/A | XXX | |
| 94720 | 26 | A | Monoxide diffusing capacity | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94720 | TC | A | Monoxide diffusing capacity | 0.00 | 0.94 | N/A | 0.05 | 0.99 | N/A | XXX |
| 94725 | A | Membrane diffusion capacity | 0.26 | 3.07 | N/A | 0.11 | 3.44 | N/A | XXX | |
| 94725 | 26 | A | Membrane diffusion capacity | 0.26 | 0.08 | 0.08 | 0.01 | 0.35 | 0.35 | XXX |
| 94725 | TC | A | Membrane diffusion capacity | 0.00 | 2.99 | N/A | 0.10 | 3.09 | N/A | XXX |
| 94750 | A | Pulmonary compliance study | 0.23 | 1.41 | N/A | 0.04 | 1.68 | N/A | XXX | |
| 94750 | 26 | A | Pulmonary compliance study | 0.23 | 0.07 | 0.07 | 0.01 | 0.31 | 0.31 | XXX |
| 94750 | TC | A | Pulmonary compliance study | 0.00 | 1.33 | N/A | 0.03 | 1.36 | N/A | XXX |
| 94760 | T | Measure blood oxygen level | 0.00 | 0.09 | N/A | 0.02 | 0.11 | N/A | XXX | |
| 94761 | T | Measure blood oxygen level | 0.00 | 0.12 | N/A | 0.05 | 0.17 | N/A | XXX | |
| 94762 | A | Measure blood oxygen level | 0.00 | 0.41 | N/A | 0.08 | 0.49 | N/A | XXX | |
| 94770 | A | Exhaled carbon dioxide test | 0.15 | 1.72 | N/A | 0.07 | 1.94 | N/A | XXX | |
| 94770 | 26 | A | Exhaled carbon dioxide test | 0.15 | 0.04 | 0.04 | 0.01 | 0.20 | 0.20 | XXX |
| 94770 | TC | A | Exhaled carbon dioxide test | 0.00 | 1.68 | N/A | 0.06 | 1.74 | N/A | XXX |
| 94772 | C | Breath recording, infant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94772 | 26 | C | Breath recording, infant | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 94799 | C | Pulmonary service/procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 94799 | 26 | C | Pulmonary service/procedure | 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 | 0.00 | 0.00 | 0.00 | XXX |
| 95004 | A | Percut allergy skin tests | 0.00 | 0.10 | N/A | 0.01 | 0.11 | N/A | XXX | |
| 95010 | A | Percut allergy titrate test | 0.15 | 0.33 | 0.06 | 0.01 | 0.49 | 0.22 | XXX | |
| 95015 | A | Id allergy titrate-drug/bug | 0.15 | 0.15 | 0.06 | 0.01 | 0.31 | 0.22 | XXX | |
| 95024 | A | Id allergy test, drug/bug | 0.00 | 0.15 | N/A | 0.01 | 0.16 | N/A | XXX | |
| 95027 | A | Id allergy titrate-airborne | 0.00 | 0.15 | N/A | 0.01 | 0.16 | N/A | XXX | |
| 95028 | A | Id allergy test-delayed type | 0.00 | 0.23 | N/A | 0.01 | 0.24 | N/A | XXX | |
| 95044 | A | Allergy patch tests | 0.00 | 0.20 | N/A | 0.01 | 0.21 | N/A | XXX | |
| 95052 | A | Photo patch test | 0.00 | 0.25 | N/A | 0.01 | 0.26 | N/A | XXX | |
| 95056 | A | Photosensitivity tests | 0.00 | 0.17 | N/A | 0.01 | 0.18 | N/A | XXX | |
| 95060 | A | Eye allergy tests | 0.00 | 0.35 | N/A | 0.02 | 0.37 | N/A | XXX | |
| 95065 | A | Nose allergy test | 0.00 | 0.20 | N/A | 0.01 | 0.21 | N/A | XXX | |
| 95070 | A | Bronchial allergy tests | 0.00 | 2.28 | N/A | 0.02 | 2.30 | N/A | XXX | |
| 95071 | A | Bronchial allergy tests | 0.00 | 2.92 | N/A | 0.02 | 2.94 | N/A | XXX | |
| 95075 | A | Ingestion challenge test | 0.95 | 0.84 | 0.39 | 0.03 | 1.82 | 1.37 | XXX | |
| 95078 | A | Provocative testing | 0.00 | 0.25 | N/A | 0.02 | 0.27 | N/A | XXX | |
| 95115 | A | Immunotherapy, one injection | 0.00 | 0.39 | N/A | 0.02 | 0.41 | N/A | 000 | |
| 95117 | A | Immunotherapy injections | 0.00 | 0.50 | N/A | 0.02 | 0.52 | N/A | 000 | |
| 95120 | I | Immunotherapy, one injection | 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 | XXX | |
| 95130 | I | Immunotherapy, insect venom | 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 | XXX | |
| 95132 | I | Immunotherapy, insect venoms | 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 | XXX | |
| 95134 | I | Immunotherapy, insect venoms | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95144 | A | Antigen therapy services | 0.06 | 0.16 | 0.02 | 0.01 | 0.23 | 0.09 | 000 | |
| 95145 | A | Antigen therapy services | 0.06 | 0.20 | 0.02 | 0.01 | 0.27 | 0.09 | 000 | |
| 95146 | A | Antigen therapy services | 0.06 | 0.27 | 0.03 | 0.01 | 0.34 | 0.10 | 000 | |
| 95147 | A | Antigen therapy services | 0.06 | 0.34 | 0.02 | 0.01 | 0.41 | 0.09 | 000 | |
| 95148 | A | Antigen therapy services | 0.06 | 0.42 | 0.03 | 0.01 | 0.49 | 0.10 | 000 | |
| 95149 | A | Antigen therapy services | 0.06 | 0.56 | 0.03 | 0.01 | 0.63 | 0.10 | 000 | |
| 95165 | A | Antigen therapy services | 0.06 | 0.21 | 0.02 | 0.01 | 0.28 | 0.09 | 000 | |
| 95170 | A | Antigen therapy services | 0.06 | 0.14 | 0.02 | 0.01 | 0.21 | 0.09 | 000 | |
| 95180 | A | Rapid desensitization | 2.01 | 1.56 | 0.84 | 0.04 | 3.61 | 2.89 | 000 | |
| 95199 | C | Allergy immunology services | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 000 | |
| 95250 | A | Glucose monitoring, cont | 0.00 | 3.93 | N/A | 0.01 | 3.94 | N/A | XXX | |
| 95805 | A | Multiple sleep latency test | 1.88 | 16.80 | N/A | 0.34 | 19.02 | N/A | XXX | |
| 95805 | 26 | A | Multiple sleep latency test | 1.88 | 0.67 | 0.67 | 0.06 | 2.61 | 2.61 | XXX |
| 95805 | TC | A | Multiple sleep latency test | 0.00 | 16.12 | N/A | 0.28 | 16.40 | N/A | XXX |
| 95806 | A | Sleep study, unattended | 1.66 | 3.94 | N/A | 0.32 | 5.92 | N/A | XXX | |
| 95806 | 26 | A | Sleep study, unattended | 1.66 | 0.55 | 0.55 | 0.06 | 2.27 | 2.27 | XXX |
| 95806 | TC | A | Sleep study, unattended | 0.00 | 3.40 | N/A | 0.26 | 3.66 | N/A | XXX |
| 95807 | A | Sleep study, attended | 1.66 | 12.35 | N/A | 0.40 | 14.41 | N/A | XXX | |
| 95807 | 26 | A | Sleep study, attended | 1.66 | 0.54 | 0.54 | 0.05 | 2.25 | 2.25 | XXX |
| 95807 | TC | A | Sleep study, attended | 0.00 | 11.81 | N/A | 0.35 | 12.16 | N/A | XXX |
| 95808 | A | Polysomnography, 1-3 | 2.65 | 13.34 | N/A | 0.44 | 16.43 | N/A | XXX | |
| 95808 | 26 | A | Polysomnography, 1-3 | 2.65 | 0.94 | 0.94 | 0.09 | 3.68 | 3.68 | XXX |
| 95808 | TC | A | Polysomnography, 1-3 | 0.00 | 12.39 | N/A | 0.35 | 12.74 | N/A | XXX |
| 95810 | A | Polysomnography, 4 or more | 3.53 | 17.59 | N/A | 0.47 | 21.59 | N/A | XXX | |
| 95810 | 26 | A | Polysomnography, 4 or more | 3.53 | 1.21 | 1.21 | 0.12 | 4.86 | 4.86 | XXX |
| 95810 | TC | A | Polysomnography, 4 or more | 0.00 | 16.38 | N/A | 0.35 | 16.73 | N/A | XXX |
| 95811 | A | Polysomnography w/cpap | 3.80 | 19.01 | N/A | 0.49 | 23.30 | N/A | XXX | |
| 95811 | 26 | A | Polysomnography w/cpap | 3.80 | 1.30 | 1.30 | 0.13 | 5.23 | 5.23 | XXX |
| 95811 | TC | A | Polysomnography w/cpap | 0.00 | 17.72 | N/A | 0.36 | 18.08 | N/A | XXX |
| 95812 | A | Eeg, 41-60 minutes | 1.08 | 3.96 | N/A | 0.13 | 5.17 | N/A | XXX | |
| 95812 | 26 | A | Eeg, 41-60 minutes | 1.08 | 0.46 | 0.46 | 0.04 | 1.58 | 1.58 | XXX |
| 95812 | TC | A | Eeg, 41-60 minutes | 0.00 | 3.50 | N/A | 0.09 | 3.59 | N/A | XXX |
| 95813 | A | Eeg, over 1 hour | 1.73 | 5.00 | N/A | 0.15 | 6.88 | N/A | XXX | |
| 95813 | 26 | A | Eeg, over 1 hour | 1.73 | 0.71 | 0.71 | 0.06 | 2.50 | 2.50 | XXX |
| 95813 | TC | A | Eeg, over 1 hour | 0.00 | 4.28 | N/A | 0.09 | 4.37 | N/A | XXX |
| 95816 | A | Eeg, awake and drowsy | 1.08 | 3.16 | N/A | 0.12 | 4.36 | N/A | XXX | |
| 95816 | 26 | A | Eeg, awake and drowsy | 1.08 | 0.47 | 0.47 | 0.04 | 1.59 | 1.59 | XXX |
| 95816 | TC | A | Eeg, awake and drowsy | 0.00 | 2.70 | N/A | 0.08 | 2.78 | N/A | XXX |
| 95819 | A | Eeg, awake and asleep | 1.08 | 3.71 | N/A | 0.12 | 4.91 | N/A | XXX | |
| 95819 | 26 | A | Eeg, awake and asleep | 1.08 | 0.47 | 0.47 | 0.04 | 1.59 | 1.59 | XXX |
| 95819 | TC | A | Eeg, awake and asleep | 0.00 | 3.24 | N/A | 0.08 | 3.32 | N/A | XXX |
| 95822 | A | Eeg, coma or sleep only | 1.08 | 4.40 | N/A | 0.15 | 5.63 | N/A | XXX | |
| 95822 | 26 | A | Eeg, coma or sleep only | 1.08 | 0.47 | 0.47 | 0.04 | 1.59 | 1.59 | XXX |
| 95822 | TC | A | Eeg, coma or sleep only | 0.00 | 3.93 | N/A | 0.11 | 4.04 | N/A | XXX |
| 95824 | C | Eeg, cerebral death only | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95824 | 26 | A | Eeg, cerebral death only | 0.74 | 0.32 | 0.32 | 0.05 | 1.11 | 1.11 | XXX |
| 95824 | TC | C | Eeg, cerebral death only | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95827 | A | Eeg, all night recording | 1.08 | 2.71 | N/A | 0.15 | 3.94 | N/A | XXX | |
| 95827 | 26 | A | Eeg, all night recording | 1.08 | 0.42 | 0.42 | 0.03 | 1.53 | 1.53 | XXX |
| 95827 | TC | A | Eeg, all night recording | 0.00 | 2.29 | N/A | 0.12 | 2.41 | N/A | XXX |
| 95829 | A | Surgery electrocorticogram | 6.21 | 32.94 | N/A | 0.33 | 39.48 | N/A | XXX | |
| 95829 | 26 | A | Surgery electrocorticogram | 6.21 | 2.37 | 2.37 | 0.31 | 8.89 | 8.89 | XXX |
| 95829 | TC | A | Surgery electrocorticogram | 0.00 | 30.57 | N/A | 0.02 | 30.59 | N/A | XXX |
| 95830 | A | Insert electrodes for EEG | 1.70 | 3.50 | 0.75 | 0.07 | 5.27 | 2.52 | XXX | |
| 95831 | A | Limb muscle testing, manual | 0.28 | 0.33 | 0.13 | 0.01 | 0.62 | 0.42 | XXX | |
| 95832 | A | Hand muscle testing, manual | 0.29 | 0.25 | 0.12 | 0.01 | 0.55 | 0.42 | XXX | |
| 95833 | A | Body muscle testing, manual | 0.47 | 0.44 | 0.23 | 0.01 | 0.92 | 0.71 | XXX | |
| 95834 | A | Body muscle testing, manual | 0.60 | 0.50 | 0.28 | 0.02 | 1.12 | 0.90 | XXX | |
| 95851 | A | Range of motion measurements | 0.16 | 0.34 | 0.08 | 0.01 | 0.51 | 0.25 | XXX | |
| 95852 | A | Range of motion measurements | 0.11 | 0.24 | 0.05 | 0.01 | 0.36 | 0.17 | XXX | |
| 95857 | A | Tensilon test | 0.53 | 0.62 | 0.23 | 0.02 | 1.17 | 0.78 | XXX | |
| 95858 | A | Tensilon test myogram | 1.56 | 1.08 | N/A | 0.07 | 2.71 | N/A | XXX | |
| 95858 | 26 | A | Tensilon test myogram | 1.56 | 0.68 | 0.68 | 0.04 | 2.28 | 2.28 | XXX |
| 95858 | TC | A | Tensilon test myogram | 0.00 | 0.40 | N/A | 0.03 | 0.43 | N/A | XXX |
| 95860 | A | Muscle test, one limb | 0.96 | 1.47 | N/A | 0.05 | 2.48 | N/A | XXX | |
| 95860 | 26 | A | Muscle test, one limb | 0.96 | 0.43 | 0.43 | 0.03 | 1.42 | 1.42 | XXX |
| 95860 | TC | A | Muscle test, one limb | 0.00 | 1.04 | N/A | 0.02 | 1.06 | N/A | XXX |
| 95861 | A | Muscle test, 2 limbs | 1.54 | 1.43 | N/A | 0.10 | 3.07 | N/A | XXX | |
| 95861 | 26 | A | Muscle test, 2 limbs | 1.54 | 0.69 | 0.69 | 0.05 | 2.28 | 2.28 | XXX |
| 95861 | TC | A | Muscle test, 2 limbs | 0.00 | 0.73 | N/A | 0.05 | 0.78 | N/A | XXX |
| 95863 | A | Muscle test, 3 limbs | 1.87 | 1.76 | N/A | 0.11 | 3.74 | N/A | XXX | |
| 95863 | 26 | A | Muscle test, 3 limbs | 1.87 | 0.82 | 0.82 | 0.06 | 2.75 | 2.75 | XXX |
| 95863 | TC | A | Muscle test, 3 limbs | 0.00 | 0.94 | N/A | 0.05 | 0.99 | N/A | XXX |
| 95864 | A | Muscle test, 4 limbs | 1.99 | 2.67 | N/A | 0.16 | 4.82 | N/A | XXX | |
| 95864 | 26 | A | Muscle test, 4 limbs | 1.99 | 0.89 | 0.89 | 0.06 | 2.94 | 2.94 | XXX |
| 95864 | TC | A | Muscle test, 4 limbs | 0.00 | 1.78 | N/A | 0.10 | 1.88 | N/A | XXX |
| 95867 | A | Muscle test cran nerv unilat | 0.79 | 0.93 | N/A | 0.06 | 1.78 | N/A | XXX | |
| 95867 | 26 | A | Muscle test cran nerv unilat | 0.79 | 0.35 | 0.35 | 0.03 | 1.17 | 1.17 | XXX |
| 95867 | TC | A | Muscle test cran nerv unilat | 0.00 | 0.58 | N/A | 0.03 | 0.61 | N/A | XXX |
| 95868 | A | Muscle test cran nerve bilat | 1.18 | 1.22 | N/A | 0.08 | 2.48 | N/A | XXX | |
| 95868 | 26 | A | Muscle test cran nerve bilat | 1.18 | 0.52 | 0.52 | 0.04 | 1.74 | 1.74 | XXX |
| 95868 | TC | A | Muscle test cran nerve bilat | 0.00 | 0.70 | N/A | 0.04 | 0.74 | N/A | XXX |
| 95869 | A | Muscle test, thor paraspinal | 0.37 | 0.38 | N/A | 0.03 | 0.78 | N/A | XXX | |
| 95869 | 26 | A | Muscle test, thor paraspinal | 0.37 | 0.17 | 0.17 | 0.01 | 0.55 | 0.55 | XXX |
| 95869 | TC | A | Muscle test, thor paraspinal | 0.00 | 0.21 | N/A | 0.02 | 0.23 | N/A | XXX |
| 95870 | A | Muscle test, nonparaspinal | 0.37 | 0.37 | N/A | 0.03 | 0.77 | N/A | XXX | |
| 95870 | 26 | A | Muscle test, nonparaspinal | 0.37 | 0.16 | 0.16 | 0.01 | 0.54 | 0.54 | XXX |
| 95870 | TC | A | Muscle test, nonparaspinal | 0.00 | 0.21 | N/A | 0.02 | 0.23 | N/A | XXX |
| 95872 | A | Muscle test, one fiber | 1.50 | 1.25 | N/A | 0.08 | 2.83 | N/A | XXX | |
| 95872 | 26 | A | Muscle test, one fiber | 1.50 | 0.65 | 0.65 | 0.04 | 2.19 | 2.19 | XXX |
| 95872 | TC | A | Muscle test, one fiber | 0.00 | 0.60 | N/A | 0.04 | 0.64 | N/A | XXX |
| 95875 | A | Limb exercise test | 1.10 | 1.50 | N/A | 0.09 | 2.69 | N/A | XXX | |
| 95875 | 26 | A | Limb exercise test | 1.10 | 0.48 | 0.48 | 0.04 | 1.62 | 1.62 | XXX |
| 95875 | TC | A | Limb exercise test | 0.00 | 1.02 | N/A | 0.05 | 1.07 | N/A | XXX |
| 95900 | A | Motor nerve conduction test | 0.42 | 1.30 | N/A | 0.03 | 1.75 | N/A | XXX | |
| 95900 | 26 | A | Motor nerve conduction test | 0.42 | 0.19 | 0.19 | 0.01 | 0.62 | 0.62 | XXX |
| 95900 | TC | A | Motor nerve conduction test | 0.00 | 1.12 | N/A | 0.02 | 1.14 | N/A | XXX |
| 95903 | A | Motor nerve conduction test | 0.60 | 1.23 | N/A | 0.04 | 1.87 | N/A | XXX | |
| 95903 | 26 | A | Motor nerve conduction test | 0.60 | 0.26 | 0.26 | 0.02 | 0.88 | 0.88 | XXX |
| 95903 | TC | A | Motor nerve conduction test | 0.00 | 0.97 | N/A | 0.02 | 0.99 | N/A | XXX |
| 95904 | A | Sense nerve conduction test | 0.34 | 1.13 | N/A | 0.03 | 1.50 | N/A | XXX | |
| 95904 | 26 | A | Sense nerve conduction test | 0.34 | 0.15 | 0.15 | 0.01 | 0.50 | 0.50 | XXX |
| 95904 | TC | A | Sense nerve conduction test | 0.00 | 0.98 | N/A | 0.02 | 1.00 | N/A | XXX |
| 95920 | A | Intraop nerve test add-on | 2.11 | 2.26 | N/A | 0.20 | 4.57 | N/A | ZZZ | |
| 95920 | 26 | A | Intraop nerve test add-on | 2.11 | 0.95 | 0.95 | 0.14 | 3.20 | 3.20 | ZZZ |
| 95920 | TC | A | Intraop nerve test add-on | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | ZZZ |
| 95921 | A | Autonomic nerv function test | 0.90 | 0.71 | N/A | 0.05 | 1.66 | N/A | XXX | |
| 95921 | 26 | A | Autonomic nerv function test | 0.90 | 0.33 | 0.33 | 0.03 | 1.26 | 1.26 | XXX |
| 95921 | TC | A | Autonomic nerv function test | 0.00 | 0.38 | N/A | 0.02 | 0.40 | N/A | XXX |
| 95922 | A | Autonomic nerv function test | 0.96 | 0.79 | N/A | 0.05 | 1.80 | N/A | XXX | |
| 95922 | 26 | A | Autonomic nerv function test | 0.96 | 0.41 | 0.41 | 0.03 | 1.40 | 1.40 | XXX |
| 95922 | TC | A | Autonomic nerv function test | 0.00 | 0.38 | N/A | 0.02 | 0.40 | N/A | XXX |
| 95923 | A | Autonomic nerv function test | 0.90 | 2.14 | N/A | 0.05 | 3.09 | N/A | XXX | |
| 95923 | 26 | A | Autonomic nerv function test | 0.90 | 0.39 | 0.39 | 0.03 | 1.32 | 1.32 | XXX |
| 95923 | TC | A | Autonomic nerv function test | 0.00 | 1.76 | N/A | 0.02 | 1.78 | N/A | XXX |
| 95925 | A | Somatosensory testing | 0.54 | 1.14 | N/A | 0.07 | 1.75 | N/A | XXX | |
| 95925 | 26 | A | Somatosensory testing | 0.54 | 0.23 | 0.23 | 0.02 | 0.79 | 0.79 | XXX |
| 95925 | TC | A | Somatosensory testing | 0.00 | 0.91 | N/A | 0.05 | 0.96 | N/A | XXX |
| 95926 | A | Somatosensory testing | 0.54 | 1.15 | N/A | 0.07 | 1.76 | N/A | XXX | |
| 95926 | 26 | A | Somatosensory testing | 0.54 | 0.24 | 0.24 | 0.02 | 0.80 | 0.80 | XXX |
| 95926 | TC | A | Somatosensory testing | 0.00 | 0.91 | N/A | 0.05 | 0.96 | N/A | XXX |
| 95927 | A | Somatosensory testing | 0.54 | 1.16 | N/A | 0.08 | 1.78 | N/A | XXX | |
| 95927 | 26 | A | Somatosensory testing | 0.54 | 0.25 | 0.25 | 0.03 | 0.82 | 0.82 | XXX |
| 95927 | TC | A | Somatosensory testing | 0.00 | 0.91 | N/A | 0.05 | 0.96 | N/A | XXX |
| 95930 | A | Visual evoked potential test | 0.35 | 1.44 | N/A | 0.02 | 1.81 | N/A | XXX | |
| 95930 | 26 | A | Visual evoked potential test | 0.35 | 0.15 | 0.15 | 0.01 | 0.51 | 0.51 | XXX |
| 95930 | TC | A | Visual evoked potential test | 0.00 | 1.29 | N/A | 0.01 | 1.30 | N/A | XXX |
| 95933 | A | Blink reflex test | 0.59 | 1.03 | N/A | 0.07 | 1.69 | N/A | XXX | |
| 95933 | 26 | A | Blink reflex test | 0.59 | 0.25 | 0.25 | 0.02 | 0.86 | 0.86 | XXX |
| 95933 | TC | A | Blink reflex test | 0.00 | 0.78 | N/A | 0.05 | 0.83 | N/A | XXX |
| 95934 | A | H-reflex test | 0.51 | 0.44 | N/A | 0.04 | 0.99 | N/A | XXX | |
| 95934 | 26 | A | H-reflex test | 0.51 | 0.23 | 0.23 | 0.02 | 0.76 | 0.76 | XXX |
| 95934 | TC | A | H-reflex test | 0.00 | 0.21 | N/A | 0.02 | 0.23 | N/A | XXX |
| 95936 | A | H-reflex test | 0.55 | 0.46 | N/A | 0.04 | 1.05 | N/A | XXX | |
| 95936 | 26 | A | H-reflex test | 0.55 | 0.25 | 0.25 | 0.02 | 0.82 | 0.82 | XXX |
| 95936 | TC | A | H-reflex test | 0.00 | 0.21 | N/A | 0.02 | 0.23 | N/A | XXX |
| 95937 | A | Neuromuscular junction test | 0.65 | 0.61 | N/A | 0.04 | 1.30 | N/A | XXX | |
| 95937 | 26 | A | Neuromuscular junction test | 0.65 | 0.27 | 0.27 | 0.02 | 0.94 | 0.94 | XXX |
| 95937 | TC | A | Neuromuscular junction test | 0.00 | 0.34 | N/A | 0.02 | 0.36 | N/A | XXX |
| 95950 | A | Ambulatory eeg monitoring | 1.51 | 4.57 | N/A | 0.44 | 6.52 | N/A | XXX | |
| 95950 | 26 | A | Ambulatory eeg monitoring | 1.51 | 0.65 | 0.65 | 0.08 | 2.24 | 2.24 | XXX |
| 95950 | TC | A | Ambulatory eeg monitoring | 0.00 | 3.93 | N/A | 0.36 | 4.29 | N/A | XXX |
| 95951 | C | EEG monitoring/videorecord | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95951 | 26 | A | EEG monitoring/videorecord | 6.00 | 2.61 | 2.61 | 0.20 | 8.81 | 8.81 | XXX |
| 95951 | TC | C | EEG monitoring/videorecord | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95953 | A | EEG monitoring/computer | 3.08 | 7.65 | N/A | 0.46 | 11.19 | N/A | XXX | |
| 95953 | 26 | A | EEG monitoring/computer | 3.08 | 1.32 | 1.32 | 0.10 | 4.50 | 4.50 | XXX |
| 95953 | TC | A | EEG monitoring/computer | 0.00 | 6.33 | N/A | 0.36 | 6.69 | N/A | XXX |
| 95954 | A | EEG monitoring/giving drugs | 2.45 | 4.39 | N/A | 0.15 | 6.99 | N/A | XXX | |
| 95954 | 26 | A | EEG monitoring/giving drugs | 2.45 | 1.07 | 1.07 | 0.10 | 3.62 | 3.62 | XXX |
| 95954 | TC | A | EEG monitoring/giving drugs | 0.00 | 3.33 | N/A | 0.05 | 3.38 | N/A | XXX |
| 95955 | A | EEG during surgery | 1.01 | 2.33 | N/A | 0.19 | 3.53 | N/A | XXX | |
| 95955 | 26 | A | EEG during surgery | 1.01 | 0.37 | 0.37 | 0.05 | 1.43 | 1.43 | XXX |
| 95955 | TC | A | EEG during surgery | 0.00 | 1.96 | N/A | 0.14 | 2.10 | N/A | XXX |
| 95956 | A | Eeg monitoring, cable/radio | 3.08 | 14.44 | N/A | 0.47 | 17.99 | N/A | XXX | |
| 95956 | 26 | A | Eeg monitoring, cable/radio | 3.08 | 1.33 | 1.33 | 0.11 | 4.52 | 4.52 | XXX |
| 95956 | TC | A | Eeg monitoring, cable/radio | 0.00 | 13.11 | N/A | 0.36 | 13.47 | N/A | XXX |
| 95957 | A | EEG digital analysis | 1.98 | 2.57 | N/A | 0.17 | 4.72 | N/A | XXX | |
| 95957 | 26 | A | EEG digital analysis | 1.98 | 0.87 | 0.87 | 0.07 | 2.92 | 2.92 | XXX |
| 95957 | TC | A | EEG digital analysis | 0.00 | 1.70 | N/A | 0.10 | 1.80 | N/A | XXX |
| 95958 | A | EEG monitoring/function test | 4.25 | 3.52 | N/A | 0.29 | 8.06 | N/A | XXX | |
| 95958 | 26 | A | EEG monitoring/function test | 4.25 | 1.78 | 1.78 | 0.18 | 6.21 | 6.21 | XXX |
| 95958 | TC | A | EEG monitoring/function test | 0.00 | 1.74 | N/A | 0.11 | 1.85 | N/A | XXX |
| 95961 | A | Electrode stimulation, brain | 2.97 | 2.65 | N/A | 0.24 | 5.86 | N/A | XXX | |
| 95961 | 26 | A | Electrode stimulation, brain | 2.97 | 1.35 | 1.35 | 0.18 | 4.50 | 4.50 | XXX |
| 95961 | TC | A | Electrode stimulation, brain | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | XXX |
| 95962 | A | Electrode stim, brain add-on | 3.21 | 2.72 | N/A | 0.23 | 6.16 | N/A | ZZZ | |
| 95962 | 26 | A | Electrode stim, brain add-on | 3.21 | 1.42 | 1.42 | 0.17 | 4.80 | 4.80 | ZZZ |
| 95962 | TC | A | Electrode stim, brain add-on | 0.00 | 1.31 | N/A | 0.06 | 1.37 | N/A | ZZZ |
| 95965 | C | Meg, spontaneous | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95965 | 26 | A | Meg, spontaneous | 8.00 | 3.49 | 3.49 | 0.31 | 11.80 | 11.80 | XXX |
| 95965 | TC | C | Meg, spontaneous | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95966 | C | Meg, evoked, single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 95966 | 26 | A | Meg, evoked, single | 4.00 | 1.76 | 1.76 | 0.15 | 5.91 | 5.91 | XXX |
| 95966 | TC | C | Meg, evoked, single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 95967 | C | Meg, evoked, each addl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ | |
| 95967 | 26 | A | Meg, evoked, each addl | 3.50 | 1.36 | 1.36 | 0.13 | 4.99 | 4.99 | ZZZ |
| 95967 | TC | C | Meg, evoked, each addl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | ZZZ |
| 95970 | A | Analyze neurostim, no prog | 0.45 | 0.17 | 0.15 | 0.03 | 0.65 | 0.63 | XXX | |
| 95971 | A | Analyze neurostim, simple | 0.78 | 0.28 | 0.23 | 0.06 | 1.12 | 1.07 | XXX | |
| 95972 | A | Analyze neurostim, complex | 1.50 | 0.60 | 0.50 | 0.17 | 2.27 | 2.17 | XXX | |
| 95973 | A | Analyze neurostim, complex | 0.92 | 0.40 | 0.35 | 0.07 | 1.39 | 1.34 | ZZZ | |
| 95974 | A | Cranial neurostim, complex | 3.00 | 1.32 | 1.32 | 0.15 | 4.47 | 4.47 | XXX | |
| 95975 | A | Cranial neurostim, complex | 1.70 | 0.74 | 0.74 | 0.07 | 2.51 | 2.51 | ZZZ | |
| 95990 | A | Spin/brain pump refil main | 0.00 | 1.50 | N/A | 0.05 | 1.55 | N/A | XXX | |
| 95999 | C | Neurological procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96000 | A | Motion analysis, video/3d | 1.80 | N/A | 0.57 | 0.02 | N/A | 2.39 | XXX | |
| 96001 | A | Motion test w/ft press meas | 2.15 | N/A | 0.83 | 0.02 | N/A | 3.00 | XXX | |
| 96002 | A | Dynamic surface emg | 0.41 | N/A | 0.16 | 0.02 | N/A | 0.59 | XXX | |
| 96003 | A | Dynamic fine wire emg | 0.37 | N/A | 0.14 | 0.03 | N/A | 0.54 | XXX | |
| 96004 | A | Phys review of motion tests | 2.14 | 0.97 | 0.97 | 0.08 | 3.19 | 3.19 | XXX | |
| 96100 | A | Psychological testing | 0.00 | 1.76 | N/A | 0.15 | 1.91 | N/A | XXX | |
| 96105 | A | Assessment of aphasia | 0.00 | 1.76 | N/A | 0.15 | 1.91 | N/A | XXX | |
| 96110 | C | Developmental test, lim | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96111 | A | Developmental test, extend | 0.00 | 1.76 | N/A | 0.15 | 1.91 | N/A | XXX | |
| 96115 | A | Neurobehavior status exam | 0.00 | 1.76 | N/A | 0.15 | 1.91 | N/A | XXX | |
| 96117 | A | Neuropsych test battery | 0.00 | 1.76 | N/A | 0.15 | 1.91 | N/A | XXX | |
| 96150 | A | Assess lth/behave, init | 0.50 | 0.19 | 0.18 | 0.02 | 0.71 | 0.70 | XXX | |
| 96151 | A | Assess hlth/behave, subseq | 0.48 | 0.18 | 0.17 | 0.02 | 0.68 | 0.67 | XXX | |
| 96152 | A | Intervene hlth/behave, indiv | 0.46 | 0.18 | 0.17 | 0.02 | 0.66 | 0.65 | XXX | |
| 96153 | A | Intervene hlth/behave, group | 0.10 | 0.04 | 0.04 | 0.01 | 0.15 | 0.15 | XXX | |
| 96154 | A | Interv hlth/behav, fam w/pt | 0.45 | 0.17 | 0.16 | 0.02 | 0.64 | 0.63 | XXX | |
| 96155 | N | Interv hlth/behav fam no pt | 0.44 | 0.16 | 0.16 | 0.02 | 0.62 | 0.62 | XXX | |
| 96400 | A | Chemotherapy, sc/im | 0.00 | 0.89 | N/A | 0.01 | 0.90 | N/A | XXX | |
| 96405 | A | Intralesional chemo admin | 0.52 | 1.96 | 0.23 | 0.02 | 2.50 | 0.77 | 000 | |
| 96406 | A | Intralesional chemo admin | 0.80 | 2.60 | 0.30 | 0.02 | 3.42 | 1.12 | 000 | |
| 96408 | A | Chemotherapy, push technique | 0.00 | 0.97 | N/A | 0.05 | 1.02 | N/A | XXX | |
| 96410 | A | Chemotherapy,infusion method | 0.00 | 1.55 | N/A | 0.07 | 1.62 | N/A | XXX | |
| 96412 | A | Chemo, infuse method add-on | 0.00 | 1.15 | N/A | 0.06 | 1.21 | N/A | ZZZ | |
| 96414 | A | Chemo, infuse method add-on | 0.00 | 1.33 | N/A | 0.07 | 1.40 | N/A | XXX | |
| 96420 | A | Chemotherapy, push technique | 0.00 | 1.25 | N/A | 0.07 | 1.32 | N/A | XXX | |
| 96422 | A | Chemotherapy,infusion method | 0.00 | 1.23 | N/A | 0.07 | 1.30 | N/A | XXX | |
| 96423 | A | Chemo, infuse method add-on | 0.00 | 0.48 | N/A | 0.02 | 0.50 | N/A | ZZZ | |
| 96425 | A | Chemotherapy,infusion method | 0.00 | 1.43 | N/A | 0.07 | 1.50 | N/A | XXX | |
| 96440 | A | Chemotherapy, intracavitary | 2.37 | 7.46 | 1.05 | 0.12 | 9.95 | 3.54 | 000 | |
| 96445 | A | Chemotherapy, intracavitary | 2.20 | 7.43 | 1.03 | 0.07 | 9.70 | 3.30 | 000 | |
| 96450 | A | Chemotherapy, into CNS | 1.89 | 6.30 | 0.92 | 0.06 | 8.25 | 2.87 | 000 | |
| 96520 | A | Port pump refill main | 0.00 | 0.89 | N/A | 0.05 | 0.94 | N/A | XXX | |
| 96530 | A | Syst pump refill main | 0.00 | 1.06 | N/A | 0.05 | 1.11 | N/A | XXX | |
| 96542 | A | Chemotherapy injection | 1.42 | 3.83 | 0.55 | 0.05 | 5.30 | 2.02 | XXX | |
| 96549 | C | Chemotherapy, unspecified | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 96567 | A | Photodynamic tx, skin | 0.00 | 2.79 | N/A | 0.03 | 2.82 | N/A | XXX | |
| 96570 | A | Photodynamic tx, 30 min | 1.10 | N/A | 0.37 | 0.04 | N/A | 1.51 | ZZZ | |
| 96571 | A | Photodynamic tx, addl 15 min | 0.55 | N/A | 0.20 | 0.02 | N/A | 0.77 | ZZZ | |
| 96900 | A | Ultraviolet light therapy | 0.00 | 0.49 | N/A | 0.02 | 0.51 | N/A | XXX | |
| 96902 | B | Trichogram | 0.41 | 0.25 | 0.16 | 0.01 | 0.67 | 0.58 | XXX | |
| 96910 | A | Photochemotherapy with UV-B | 0.00 | 1.09 | N/A | 0.03 | 1.12 | N/A | XXX | |
| 96912 | A | Photochemotherapy with UV-A | 0.00 | 1.38 | N/A | 0.04 | 1.42 | N/A | XXX | |
| 96913 | A | Photochemotherapy, UV-A or B | 0.00 | 1.82 | N/A | 0.08 | 1.90 | N/A | XXX | |
| 96920 | A | Laser tx, skin 250 sq cm | 1.15 | 14.89 | 0.45 | 0.09 | 16.13 | 1.69 | 000 | |
| 96921 | A | Laser tx, skin 250-500 sq cm | 1.17 | 14.96 | 0.45 | 0.09 | 16.22 | 1.71 | 000 | |
| 96922 | A | Laser tx, skin 500 sq cm | 2.10 | 15.58 | 0.81 | 0.16 | 17.84 | 3.07 | 000 | |
| 96999 | C | Dermatological procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97001 | A | Pt evaluation | 1.20 | 0.75 | 0.46 | 0.05 | 2.00 | 1.71 | XXX | |
| 97002 | A | Pt re-evaluation | 0.60 | 0.45 | 0.24 | 0.02 | 1.07 | 0.86 | XXX | |
| 97003 | A | Ot evaluation | 1.20 | 0.88 | 0.41 | 0.05 | 2.13 | 1.66 | XXX | |
| 97004 | A | Ot re-evaluation | 0.60 | 0.63 | 0.20 | 0.02 | 1.25 | 0.82 | XXX | |
| 97005 | I | Athletic train eval | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97006 | I | Athletic train reeval | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97010 | B | Hot or cold packs therapy | 0.06 | 0.05 | N/A | 0.01 | 0.12 | N/A | XXX | |
| 97012 | A | Mechanical traction therapy | 0.25 | 0.14 | N/A | 0.01 | 0.40 | N/A | XXX | |
| 97014 | I | Electric stimulation therapy | 0.18 | 0.14 | N/A | 0.01 | 0.33 | N/A | XXX | |
| 97016 | A | Vasopneumatic device therapy | 0.18 | 0.19 | N/A | 0.01 | 0.38 | N/A | XXX | |
| 97018 | A | Paraffin bath therapy | 0.06 | 0.11 | N/A | 0.01 | 0.18 | N/A | XXX | |
| 97020 | A | Microwave therapy | 0.06 | 0.06 | N/A | 0.01 | 0.13 | N/A | XXX | |
| 97022 | A | Whirlpool therapy | 0.17 | 0.22 | N/A | 0.01 | 0.40 | N/A | XXX | |
| 97024 | A | Diathermy treatment | 0.06 | 0.06 | N/A | 0.01 | 0.13 | N/A | XXX | |
| 97026 | A | Infrared therapy | 0.06 | 0.06 | N/A | 0.01 | 0.13 | N/A | XXX | |
| 97028 | A | Ultraviolet therapy | 0.08 | 0.07 | N/A | 0.01 | 0.16 | N/A | XXX | |
| 97032 | A | Electrical stimulation | 0.25 | 0.16 | N/A | 0.01 | 0.42 | N/A | XXX | |
| 97033 | A | Electric current therapy | 0.26 | 0.41 | N/A | 0.02 | 0.69 | N/A | XXX | |
| 97034 | A | Contrast bath therapy | 0.21 | 0.16 | N/A | 0.01 | 0.38 | N/A | XXX | |
| 97035 | A | Ultrasound therapy | 0.21 | 0.11 | N/A | 0.01 | 0.33 | N/A | XXX | |
| 97036 | A | Hydrotherapy | 0.28 | 0.33 | N/A | 0.01 | 0.62 | N/A | XXX | |
| 97039 | A | Physical therapy treatment | 0.20 | 0.11 | N/A | 0.01 | 0.32 | N/A | XXX | |
| 97110 | A | Therapeutic exercises | 0.45 | 0.28 | N/A | 0.03 | 0.76 | N/A | XXX | |
| 97112 | A | Neuromuscular reeducation | 0.45 | 0.31 | N/A | 0.02 | 0.78 | N/A | XXX | |
| 97113 | A | Aquatic therapy/exercises | 0.44 | 0.41 | N/A | 0.03 | 0.88 | N/A | XXX | |
| 97116 | A | Gait training therapy | 0.40 | 0.24 | N/A | 0.02 | 0.66 | N/A | XXX | |
| 97124 | A | Massage therapy | 0.35 | 0.23 | N/A | 0.01 | 0.59 | N/A | XXX | |
| 97139 | A | Physical medicine procedure | 0.21 | 0.21 | N/A | 0.01 | 0.43 | N/A | XXX | |
| 97140 | A | Manual therapy | 0.43 | 0.26 | N/A | 0.02 | 0.71 | N/A | XXX | |
| 97150 | A | Group therapeutic procedures | 0.27 | 0.16 | N/A | 0.02 | 0.45 | N/A | XXX | |
| 97504 | A | Orthotic training | 0.45 | 0.33 | N/A | 0.03 | 0.81 | N/A | XXX | |
| 97520 | A | Prosthetic training | 0.45 | 0.28 | N/A | 0.02 | 0.75 | N/A | XXX | |
| 97530 | A | Therapeutic activities | 0.44 | 0.32 | N/A | 0.02 | 0.78 | N/A | XXX | |
| 97532 | A | Cognitive skills development | 0.44 | 0.21 | N/A | 0.01 | 0.66 | N/A | XXX | |
| 97533 | A | Sensory integration | 0.44 | 0.24 | N/A | 0.01 | 0.69 | N/A | XXX | |
| 97535 | A | Self care mngment training | 0.45 | 0.34 | N/A | 0.02 | 0.81 | N/A | XXX | |
| 97537 | A | Community/work reintegration | 0.45 | 0.27 | N/A | 0.01 | 0.73 | N/A | XXX | |
| 97542 | A | Wheelchair mngment training | 0.45 | 0.28 | N/A | 0.01 | 0.74 | N/A | XXX | |
| 97545 | R | Work hardening | 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 | ZZZ | |
| 97601 | A | Wound(s) care, selective | 0.50 | 0.50 | N/A | 0.04 | 1.04 | N/A | XXX | |
| 97703 | A | Prosthetic checkout | 0.25 | 0.42 | N/A | 0.02 | 0.69 | N/A | XXX | |
| 97750 | A | Physical performance test | 0.45 | 0.30 | N/A | 0.02 | 0.77 | N/A | XXX | |
| 97799 | C | Physical medicine procedure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 97802 | A | Medical nutrition, indiv, in | 0.00 | 0.47 | N/A | 0.01 | 0.48 | N/A | XXX | |
| 97803 | A | Med nutrition, indiv, subseq | 0.00 | 0.47 | N/A | 0.01 | 0.48 | N/A | XXX | |
| 97804 | A | Medical nutrition, group | 0.00 | 0.18 | N/A | 0.01 | 0.19 | N/A | XXX | |
| 98925 | A | Osteopathic manipulation | 0.45 | 0.33 | 0.14 | 0.01 | 0.79 | 0.60 | 000 | |
| 98926 | A | Osteopathic manipulation | 0.65 | 0.43 | 0.25 | 0.02 | 1.10 | 0.92 | 000 | |
| 98927 | A | Osteopathic manipulation | 0.87 | 0.52 | 0.30 | 0.03 | 1.42 | 1.20 | 000 | |
| 98928 | A | Osteopathic manipulation | 1.03 | 0.61 | 0.35 | 0.03 | 1.67 | 1.41 | 000 | |
| 98929 | A | Osteopathic manipulation | 1.19 | 0.69 | 0.37 | 0.04 | 1.92 | 1.60 | 000 | |
| 98940 | A | Chiropractic manipulation | 0.45 | 0.24 | 0.12 | 0.01 | 0.70 | 0.58 | 000 | |
| 98941 | A | Chiropractic manipulation | 0.65 | 0.30 | 0.18 | 0.02 | 0.97 | 0.85 | 000 | |
| 98942 | A | Chiropractic manipulation | 0.87 | 0.37 | 0.24 | 0.03 | 1.27 | 1.14 | 000 | |
| 98943 | N | Chiropractic manipulation | 0.40 | 0.25 | 0.15 | 0.01 | 0.66 | 0.56 | XXX | |
| 99082 | C | Unusual physician travel | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99141 | B | Sedation, iv/im or inhalant | 0.80 | 1.99 | 0.39 | 0.04 | 2.83 | 1.23 | XXX | |
| 99142 | B | Sedation, oral/rectal/nasal | 0.60 | 1.03 | 0.31 | 0.03 | 1.66 | 0.94 | XXX | |
| 99170 | A | Anogenital exam, child | 1.75 | 1.72 | 0.53 | 0.07 | 3.54 | 2.35 | 000 | |
| 99175 | A | Induction of vomiting | 0.00 | 1.39 | N/A | 0.08 | 1.47 | N/A | XXX | |
| 99183 | A | Hyperbaric oxygen therapy | 2.34 | 4.83 | 0.74 | 0.12 | 7.29 | 3.20 | XXX | |
| 99185 | A | Regional hypothermia | 0.00 | 0.64 | N/A | 0.03 | 0.67 | N/A | XXX | |
| 99186 | A | Total body hypothermia | 0.00 | 1.78 | N/A | 0.37 | 2.15 | N/A | XXX | |
| 99195 | A | Phlebotomy | 0.00 | 0.44 | N/A | 0.02 | 0.46 | N/A | XXX | |
| 99199 | C | Special service/proc/report | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99201 | A | Office/outpatient visit, new | 0.45 | 0.51 | 0.16 | 0.02 | 0.98 | 0.63 | XXX | |
| 99202 | A | Office/outpatient visit, new | 0.88 | 0.81 | 0.32 | 0.05 | 1.74 | 1.25 | XXX | |
| 99203 | A | Office/outpatient visit, new | 1.34 | 1.16 | 0.49 | 0.08 | 2.58 | 1.91 | XXX | |
| 99204 | A | Office/outpatient visit, new | 2.00 | 1.54 | 0.72 | 0.10 | 3.64 | 2.82 | XXX | |
| 99205 | A | Office/outpatient visit, new | 2.67 | 1.83 | 0.94 | 0.12 | 4.62 | 3.73 | XXX | |
| 99211 | A | Office/outpatient visit, est | 0.17 | 0.41 | 0.06 | 0.01 | 0.59 | 0.24 | XXX | |
| 99212 | A | Office/outpatient visit, est | 0.45 | 0.56 | 0.16 | 0.02 | 1.03 | 0.63 | XXX | |
| 99213 | A | Office/outpatient visit, est | 0.67 | 0.72 | 0.23 | 0.03 | 1.42 | 0.93 | XXX | |
| 99214 | A | Office/outpatient visit, est | 1.10 | 1.07 | 0.39 | 0.04 | 2.21 | 1.53 | XXX | |
| 99215 | A | Office/outpatient visit, est | 1.77 | 1.37 | 0.63 | 0.07 | 3.21 | 2.47 | XXX | |
| 99217 | A | Observation care discharge | 1.28 | N/A | 0.54 | 0.05 | N/A | 1.87 | XXX | |
| 99218 | A | Observation care | 1.28 | N/A | 0.44 | 0.05 | N/A | 1.77 | XXX | |
| 99219 | A | Observation care | 2.14 | N/A | 0.72 | 0.08 | N/A | 2.94 | XXX | |
| 99220 | A | Observation care | 2.99 | N/A | 1.03 | 0.11 | N/A | 4.13 | XXX | |
| 99221 | A | Initial hospital care | 1.28 | N/A | 0.45 | 0.05 | N/A | 1.78 | XXX | |
| 99222 | A | Initial hospital care | 2.14 | N/A | 0.75 | 0.08 | N/A | 2.97 | XXX | |
| 99223 | A | Initial hospital care | 2.99 | N/A | 1.04 | 0.10 | N/A | 4.13 | XXX | |
| 99231 | A | Subsequent hospital care | 0.64 | N/A | 0.23 | 0.02 | N/A | 0.89 | XXX | |
| 99232 | A | Subsequent hospital care | 1.06 | N/A | 0.37 | 0.03 | N/A | 1.46 | XXX | |
| 99233 | A | Subsequent hospital care | 1.51 | N/A | 0.53 | 0.05 | N/A | 2.09 | XXX | |
| 99234 | A | Observ/hosp same date | 2.56 | N/A | 1.00 | 0.11 | N/A | 3.67 | XXX | |
| 99235 | A | Observ/hosp same date | 3.42 | N/A | 1.30 | 0.13 | N/A | 4.85 | XXX | |
| 99236 | A | Observ/hosp same date | 4.27 | N/A | 1.59 | 0.17 | N/A | 6.03 | XXX | |
| 99238 | A | Hospital discharge day | 1.28 | N/A | 0.55 | 0.04 | N/A | 1.87 | XXX | |
| 99239 | A | Hospital discharge day | 1.75 | N/A | 0.74 | 0.05 | N/A | 2.54 | XXX | |
| 99241 | A | Office consultation | 0.64 | 0.66 | 0.22 | 0.04 | 1.34 | 0.90 | XXX | |
| 99242 | A | Office consultation | 1.29 | 1.07 | 0.47 | 0.09 | 2.45 | 1.85 | XXX | |
| 99243 | A | Office consultation | 1.72 | 1.42 | 0.63 | 0.10 | 3.24 | 2.45 | XXX | |
| 99244 | A | Office consultation | 2.58 | 1.85 | 0.92 | 0.13 | 4.56 | 3.63 | XXX | |
| 99245 | A | Office consultation | 3.43 | 2.30 | 1.23 | 0.16 | 5.89 | 4.82 | XXX | |
| 99251 | A | Initial inpatient consult | 0.66 | N/A | 0.25 | 0.04 | N/A | 0.95 | XXX | |
| 99252 | A | Initial inpatient consult | 1.32 | N/A | 0.51 | 0.08 | N/A | 1.91 | XXX | |
| 99253 | A | Initial inpatient consult | 1.82 | N/A | 0.69 | 0.09 | N/A | 2.60 | XXX | |
| 99254 | A | Initial inpatient consult | 2.64 | N/A | 0.99 | 0.11 | N/A | 3.74 | XXX | |
| 99255 | A | Initial inpatient consult | 3.65 | N/A | 1.36 | 0.15 | N/A | 5.16 | XXX | |
| 99261 | A | Follow-up inpatient consult | 0.42 | N/A | 0.15 | 0.02 | N/A | 0.59 | XXX | |
| 99262 | A | Follow-up inpatient consult | 0.85 | N/A | 0.31 | 0.03 | N/A | 1.19 | XXX | |
| 99263 | A | Follow-up inpatient consult | 1.27 | N/A | 0.46 | 0.04 | N/A | 1.77 | XXX | |
| 99271 | A | Confirmatory consultation | 0.45 | 0.56 | 0.16 | 0.03 | 1.04 | 0.64 | XXX | |
| 99272 | A | Confirmatory consultation | 0.84 | 0.83 | 0.31 | 0.06 | 1.73 | 1.21 | XXX | |
| 99273 | A | Confirmatory consultation | 1.19 | 1.12 | 0.45 | 0.07 | 2.38 | 1.71 | XXX | |
| 99274 | A | Confirmatory consultation | 1.73 | 1.38 | 0.65 | 0.09 | 3.20 | 2.47 | XXX | |
| 99275 | A | Confirmatory consultation | 2.31 | 1.65 | 0.83 | 0.10 | 4.06 | 3.24 | XXX | |
| 99281 | A | Emergency dept visit | 0.33 | N/A | 0.09 | 0.02 | N/A | 0.44 | XXX | |
| 99282 | A | Emergency dept visit | 0.55 | N/A | 0.15 | 0.03 | N/A | 0.73 | XXX | |
| 99283 | A | Emergency dept visit | 1.24 | N/A | 0.31 | 0.08 | N/A | 1.63 | XXX | |
| 99284 | A | Emergency dept visit | 1.95 | N/A | 0.48 | 0.12 | N/A | 2.55 | XXX | |
| 99285 | A | Emergency dept visit | 3.06 | N/A | 0.73 | 0.19 | N/A | 3.98 | XXX | |
| 99289 | A | Ped crit care transport | 4.80 | N/A | 1.70 | 0.14 | N/A | 6.64 | XXX | |
| 99290 | A | Ped crit care transport addl | 2.40 | N/A | 0.84 | 0.07 | N/A | 3.31 | ZZZ | |
| 99291 | A | Critical care, first hour | 4.00 | 2.39 | 1.30 | 0.14 | 6.53 | 5.44 | XXX | |
| 99292 | A | Critical care, addl 30 min | 2.00 | 0.82 | 0.65 | 0.07 | 2.89 | 2.72 | ZZZ | |
| 99293 | A | Ped critical care, initial | 16.00 | N/A | 5.04 | 0.70 | N/A | 21.74 | XXX | |
| 99294 | A | Ped critical care, subseq | 8.00 | N/A | 2.52 | 0.23 | N/A | 10.75 | XXX | |
| 99295 | A | Neonate crit care, initial | 18.49 | N/A | 5.47 | 0.70 | N/A | 24.66 | XXX | |
| 99296 | A | Neonate critical care subseq | 8.00 | N/A | 2.60 | 0.23 | N/A | 10.83 | XXX | |
| 99298 | A | Ic for lbw infant 1500 gm | 2.75 | N/A | 0.95 | 0.10 | N/A | 3.80 | XXX | |
| 99299 | A | Ic, lbw infant 1500-2500 gm | 2.50 | N/A | 0.97 | 0.10 | N/A | 3.57 | XXX | |
| 99301 | A | Nursing facility care | 1.20 | 0.43 | 0.43 | 0.04 | 1.67 | 1.67 | XXX | |
| 99302 | A | Nursing facility care | 1.61 | 0.59 | 0.59 | 0.05 | 2.25 | 2.25 | XXX | |
| 99303 | A | Nursing facility care | 2.01 | 0.72 | 0.72 | 0.06 | 2.79 | 2.79 | XXX | |
| 99311 | A | Nursing fac care, subseq | 0.60 | 0.29 | 0.29 | 0.02 | 0.91 | 0.91 | XXX | |
| 99312 | A | Nursing fac care, subseq | 1.00 | 0.47 | 0.47 | 0.03 | 1.50 | 1.50 | XXX | |
| 99313 | A | Nursing fac care, subseq | 1.42 | 0.61 | 0.61 | 0.04 | 2.07 | 2.07 | XXX | |
| 99315 | A | Nursing fac discharge day | 1.13 | 0.47 | 0.38 | 0.04 | 1.64 | 1.55 | XXX | |
| 99316 | A | Nursing fac discharge day | 1.50 | 0.63 | 0.52 | 0.05 | 2.18 | 2.07 | XXX | |
| 99321 | A | Rest home visit, new patient | 0.71 | 0.35 | N/A | 0.02 | 1.08 | N/A | XXX | |
| 99322 | A | Rest home visit, new patient | 1.01 | 0.47 | N/A | 0.03 | 1.51 | N/A | XXX | |
| 99323 | A | Rest home visit, new patient | 1.28 | 0.57 | N/A | 0.04 | 1.89 | N/A | XXX | |
| 99331 | A | Rest home visit, est pat | 0.60 | 0.33 | N/A | 0.02 | 0.95 | N/A | XXX | |
| 99332 | A | Rest home visit, est pat | 0.80 | 0.40 | N/A | 0.03 | 1.23 | N/A | XXX | |
| 99333 | A | Rest home visit, est pat | 1.00 | 0.47 | N/A | 0.03 | 1.50 | N/A | XXX | |
| 99341 | A | Home visit, new patient | 1.01 | 0.49 | N/A | 0.05 | 1.55 | N/A | XXX | |
| 99342 | A | Home visit, new patient | 1.52 | 0.69 | N/A | 0.05 | 2.26 | N/A | XXX | |
| 99343 | A | Home visit, new patient | 2.27 | 0.96 | N/A | 0.07 | 3.30 | N/A | XXX | |
| 99344 | A | Home visit, new patient | 3.03 | 1.21 | N/A | 0.10 | 4.34 | N/A | XXX | |
| 99345 | A | Home visit, new patient | 3.79 | 1.47 | N/A | 0.12 | 5.38 | N/A | XXX | |
| 99347 | A | Home visit, est patient | 0.76 | 0.41 | N/A | 0.03 | 1.20 | N/A | XXX | |
| 99348 | A | Home visit, est patient | 1.26 | 0.59 | N/A | 0.04 | 1.89 | N/A | XXX | |
| 99349 | A | Home visit, est patient | 2.02 | 0.86 | N/A | 0.06 | 2.94 | N/A | XXX | |
| 99350 | A | Home visit, est patient | 3.03 | 1.21 | N/A | 0.10 | 4.34 | N/A | XXX | |
| 99354 | A | Prolonged service, office | 1.77 | 0.75 | 0.61 | 0.06 | 2.58 | 2.44 | ZZZ | |
| 99355 | A | Prolonged service, office | 1.77 | 0.73 | 0.58 | 0.06 | 2.56 | 2.41 | ZZZ | |
| 99356 | A | Prolonged service, inpatient | 1.71 | N/A | 0.62 | 0.06 | N/A | 2.39 | ZZZ | |
| 99357 | A | Prolonged service, inpatient | 1.71 | N/A | 0.64 | 0.06 | N/A | 2.41 | ZZZ | |
| 99374 | B | Home health care supervision | 1.10 | 0.71 | 0.43 | 0.04 | 1.85 | 1.57 | XXX | |
| 99375 | I | Home health care supervision | 1.73 | 1.57 | 1.57 | 0.06 | 3.36 | 3.36 | XXX | |
| 99377 | B | Hospice care supervision | 1.10 | 0.71 | 0.43 | 0.04 | 1.85 | 1.57 | XXX | |
| 99378 | I | Hospice care supervision | 1.73 | 1.97 | 1.97 | 0.06 | 3.76 | 3.76 | XXX | |
| 99379 | B | Nursing fac care supervision | 1.10 | 0.71 | 0.71 | 0.03 | 1.84 | 1.84 | XXX | |
| 99380 | B | Nursing fac care supervision | 1.73 | 1.01 | 1.01 | 0.05 | 2.79 | 2.79 | XXX | |
| 99381 | N | Prev visit, new, infant | 1.19 | 1.19 | 0.46 | 0.04 | 2.42 | 1.69 | XXX | |
| 99382 | N | Prev visit, new, age 1-4 | 1.36 | 1.25 | 0.53 | 0.04 | 2.65 | 1.93 | XXX | |
| 99383 | N | Prev visit, new, age 5-11 | 1.36 | 1.25 | 0.53 | 0.04 | 2.65 | 1.93 | XXX | |
| 99384 | N | Prev visit, new, age 12-17 | 1.53 | 1.31 | 0.59 | 0.05 | 2.89 | 2.17 | XXX | |
| 99385 | N | Prev visit, new, age 18-39 | 1.53 | 1.31 | 0.59 | 0.05 | 2.89 | 2.17 | XXX | |
| 99386 | N | Prev visit, new, age 40-64 | 1.88 | 1.45 | 0.73 | 0.06 | 3.39 | 2.67 | XXX | |
| 99387 | N | Prev visit, new, 65 over | 2.06 | 1.61 | 0.80 | 0.06 | 3.73 | 2.92 | XXX | |
| 99391 | N | Prev visit, est, infant | 1.02 | 1.03 | 0.40 | 0.03 | 2.08 | 1.45 | XXX | |
| 99392 | N | Prev visit, est, age 1-4 | 1.19 | 1.10 | 0.46 | 0.04 | 2.33 | 1.69 | XXX | |
| 99393 | N | Prev visit, est, age 5-11 | 1.19 | 1.10 | 0.46 | 0.04 | 2.33 | 1.69 | XXX | |
| 99394 | N | Prev visit, est, age 12-17 | 1.36 | 1.16 | 0.53 | 0.04 | 2.56 | 1.93 | XXX | |
| 99395 | N | Prev visit, est, age 18-39 | 1.36 | 1.16 | 0.53 | 0.04 | 2.56 | 1.93 | XXX | |
| 99396 | N | Prev visit, est, age 40-64 | 1.53 | 1.23 | 0.59 | 0.05 | 2.81 | 2.17 | XXX | |
| 99397 | N | Prev visit, est, 65 over | 1.71 | 1.27 | 0.66 | 0.05 | 3.03 | 2.42 | XXX | |
| 99401 | N | Preventive counseling, indiv | 0.48 | 0.41 | 0.19 | 0.01 | 0.90 | 0.68 | XXX | |
| 99402 | N | Preventive counseling, indiv | 0.98 | 0.60 | 0.38 | 0.02 | 1.60 | 1.38 | XXX | |
| 99403 | N | Preventive counseling, indiv | 1.46 | 0.79 | 0.57 | 0.03 | 2.28 | 2.06 | XXX | |
| 99404 | N | Preventive counseling, indiv | 1.95 | 0.98 | 0.76 | 0.04 | 2.97 | 2.75 | XXX | |
| 99411 | N | Preventive counseling, group | 0.15 | 0.19 | 0.06 | 0.01 | 0.35 | 0.22 | XXX | |
| 99412 | N | Preventive counseling, group | 0.25 | 0.22 | 0.10 | 0.01 | 0.48 | 0.36 | XXX | |
| 99431 | A | Initial care, normal newborn | 1.17 | N/A | 0.39 | 0.04 | N/A | 1.60 | XXX | |
| 99432 | A | Newborn care, not in hosp | 1.26 | 0.92 | 0.41 | 0.06 | 2.24 | 1.73 | XXX | |
| 99433 | A | Normal newborn care/hospital | 0.62 | N/A | 0.20 | 0.02 | N/A | 0.84 | XXX | |
| 99435 | A | Newborn discharge day hosp | 1.50 | N/A | 0.51 | 0.05 | N/A | 2.06 | XXX | |
| 99436 | A | Attendance, birth | 1.50 | N/A | 0.48 | 0.05 | N/A | 2.03 | XXX | |
| 99440 | A | Newborn resuscitation | 2.93 | N/A | 0.94 | 0.11 | N/A | 3.98 | XXX | |
| 99455 | R | Disability examination | 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 | XXX | |
| 99499 | C | Unlisted em service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99500 | I | Home visit, prenatal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99501 | I | Home visit, postnatal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99502 | I | Home visit, nb care | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99503 | I | Home visit, resp therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99504 | I | Home visit mech ventilator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99505 | I | Home visit, stoma care | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99506 | I | Home visit, im injection | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99507 | I | Home visit, cath maintain | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99509 | I | Home visit day life activity | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99510 | I | Home visit, sing/m/fam couns | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99511 | I | Home visit, fecal/enema mgmt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99512 | I | Home visit, hemodialysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99551 | I | Home infus, pain mgmt, iv/sc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99552 | I | Hm infus pain mgmt, epid/ith | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99553 | I | Home infuse, tocolytic tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99554 | I | Home infus, hormone/platelet | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99555 | I | Home infuse, chemotheraphy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99556 | I | Home infus, antibio/fung/vir | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99557 | I | Home infuse, anticoagulant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99558 | I | Home infuse, immunotherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99559 | I | Home infus, periton dialysis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99560 | I | Home infus, entero nutrition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99561 | I | Home infuse, hydration tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99562 | I | Home infus, parent nutrition | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99563 | I | Home admin, pentamidine | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99564 | I | Hme infus, antihemophil agnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99565 | I | Home infus, proteinase inhib | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99566 | I | Home infuse, iv therapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99567 | I | Home infuse, sympath agent | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99568 | I | Home infus, misc drug, daily | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99569 | I | Home infuse, each addl tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 99600 | I | Home visit nos | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A4890 | R | Repair/maint cont hemo equip | 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 | XXX | |
| D0140 | N | Limit oral eval problm focus | 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 | YYY | |
| D0160 | N | Extensv oral eval prob focus | 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 | XXX | |
| D0180 | N | Comp periodontal evaluation | 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 | XXX | |
| D0220 | I | Intraoral periapical first f | 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 | XXX | |
| D0240 | R | Intraoral occlusal film | 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 | YYY | |
| D0260 | R | Extraoral ea additional film | 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 | YYY | |
| D0272 | R | Dental bitewings two films | 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 | YYY | |
| D0277 | R | Vert bitewings-sev to eight | 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 | XXX | |
| D0310 | I | Dental saliography | 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 | XXX | |
| D0321 | I | Dental other tmj films | 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 | XXX | |
| D0330 | I | Dental panoramic film | 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 | XXX | |
| D0350 | I | Oral/facial images | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0415 | N | Bacteriologic study | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0425 | N | Caries susceptibility test | 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 | YYY | |
| D0470 | N | Diagnostic casts | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D0472 | R | Gross exam, prep report | 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 | XXX | |
| D0474 | R | Micro w exam of surg margins | 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 | XXX | |
| D0502 | R | Other oral pathology procedu | 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 | YYY | |
| D1110 | N | Dental prophylaxis adult | 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 | XXX | |
| D1201 | N | Topical fluor w prophy child | 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 | XXX | |
| D1204 | N | Topical fluor w/o prophy adu | 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 | XXX | |
| D1310 | N | Nutri counsel-control caries | 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 | XXX | |
| D1330 | N | Oral hygiene instruction | 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 | XXX | |
| D1510 | R | Space maintainer fxd unilat | 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 | YYY | |
| D1520 | R | Remove unilat space maintain | 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 | YYY | |
| D1550 | R | Recement space maintainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D2140 | N | Amalgam one surface permanen | 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 | XXX | |
| D2160 | N | Amalgam three surfaces perma | 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 | XXX | |
| D2330 | N | Resin one surface-anterior | 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 | XXX | |
| D2332 | N | Resin three surfaces-anterio | 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 | XXX | |
| D2390 | N | Ant resin-based cmpst crown | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2391 | N | Post 1 srfc resinbased cmpst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2392 | N | Post 2 srfc resinbased cmpst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2393 | N | Post 3 srfc resinbased cmpst | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D2394 | N | Post =4srfc resinbase cmpst | 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 | XXX | |
| D2420 | N | Dental gold foil two surface | 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 | XXX | |
| D2510 | N | Dental inlay metalic 1 surf | 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 | XXX | |
| D2530 | N | Dental inlay metl 3/more sur | 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 | XXX | |
| D2543 | N | Dental onlay metallic 3 surf | 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 | XXX | |
| D2610 | N | Inlay porcelain/ceramic 1 su | 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 | XXX | |
| D2630 | N | Dental onlay porc 3/more sur | 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 | XXX | |
| D2643 | N | Dental onlay porcelin 3 surf | 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 | XXX | |
| D2650 | N | Inlay composite/resin one su | 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 | XXX | |
| D2652 | N | Dental inlay resin 3/mre sur | 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 | XXX | |
| D2663 | N | Dental onlay resin 3 surface | 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 | XXX | |
| D2710 | N | Crown resin laboratory | 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 | XXX | |
| D2721 | N | Crown resin w/ base metal | 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 | XXX | |
| D2740 | N | Crown porcelain/ceramic subs | 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 | XXX | |
| D2751 | N | Crown porcelain fused base m | 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 | XXX | |
| D2780 | N | Crown 3/4 cast hi noble met | 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 | XXX | |
| D2782 | N | Crown 3/4 cast noble metal | 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 | XXX | |
| D2790 | N | Crown full cast high noble m | 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 | XXX | |
| D2792 | N | Crown full cast noble metal | 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 | XXX | |
| D2910 | N | Dental recement inlay | 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 | XXX | |
| D2930 | N | Prefab stnlss steel crwn pri | 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 | XXX | |
| D2932 | N | Prefabricated resin crown | 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 | XXX | |
| D2940 | N | Dental sedative filling | 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 | XXX | |
| D2951 | N | Tooth pin retention | 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 | XXX | |
| D2953 | N | Each addtnl cast post | 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 | XXX | |
| D2955 | N | Post removal | 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 | XXX | |
| D2960 | N | Laminate labial veneer | 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 | XXX | |
| D2962 | N | Lab labial veneer porcelain | 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 | YYY | |
| D2980 | N | Crown repair | 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 | YYY | |
| D3110 | N | Pulp cap direct | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3120 | N | Pulp cap indirect | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3220 | N | Therapeutic pulpotomy | 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 | XXX | |
| D3230 | N | Pulpal therapy anterior prim | 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 | XXX | |
| D3310 | N | Anterior | 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 | XXX | |
| D3330 | N | Root canal therapy 3 canals | 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 | XXX | |
| D3332 | N | Incomplete endodontic tx | 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 | XXX | |
| D3346 | N | Retreat root canal anterior | 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 | XXX | |
| D3348 | N | Retreat root canal molar | 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 | XXX | |
| D3352 | N | Apexification/recalc interim | 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 | XXX | |
| D3410 | N | Apicoect/perirad surg anter | 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 | XXX | |
| D3425 | N | Root surgery molar | 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 | XXX | |
| D3430 | N | Retrograde filling | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3450 | N | Root amputation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D3460 | R | Endodontic endosseous implan | 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 | XXX | |
| D3910 | N | Isolation- tooth w rubb dam | 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 | XXX | |
| D3950 | N | Canal prep/fitting of dowel | 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 | YYY | |
| D4210 | I | Gingivectomy/plasty per quad | 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 | XXX | |
| D4240 | N | Gingival flap proc w/ planin | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4241 | N | Gngvl flap w rootplan 1-3 th | 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 | XXX | |
| D4249 | N | Crown lengthen hard tissue | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4260 | R | Osseous surgery per quadrant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D4261 | N | Osseous surgl-3teethperquad | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4263 | R | Bone replce graft first site | 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 | YYY | |
| D4265 | N | Bio mtrls to aid soft/os reg | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4266 | N | Guided tiss regen resorble | 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 | XXX | |
| D4268 | R | Surgical revision procedure | 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 | YYY | |
| D4271 | R | Free soft tissue graft proc | 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 | YYY | |
| D4274 | N | Distal/proximal wedge proc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4275 | N | Soft tissue allograft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D4276 | N | Con tissue w dble ped graft | 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 | XXX | |
| D4321 | N | Provisional splint extracoro | 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 | XXX | |
| D4342 | N | Periodontal scaling 1-3teeth | 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 | YYY | |
| D4381 | R | Localized chemo delivery | 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 | XXX | |
| D4920 | N | Unscheduled dressing change | 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 | XXX | |
| D5110 | N | Dentures complete maxillary | 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 | XXX | |
| D5130 | N | Dentures immediat maxillary | 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 | XXX | |
| D5211 | N | Dentures maxill part resin | 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 | XXX | |
| D5213 | N | Dentures maxill part metal | 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 | XXX | |
| D5281 | N | Removable partial denture | 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 | XXX | |
| D5411 | N | Dentures adjust cmplt mand | 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 | XXX | |
| D5422 | N | Dentures adjust part mandbl | 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 | XXX | |
| D5520 | N | Replace denture teeth complt | 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 | XXX | |
| D5620 | N | Rep part denture cast frame | 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 | XXX | |
| D5640 | N | Replace part denture teeth | 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 | XXX | |
| D5660 | N | Add clasp to partial denture | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5670 | N | Replc tthacrlc on mtl frmwk | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5671 | N | Replc tthacrlc mandibular | 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 | XXX | |
| D5711 | N | Dentures rebase cmplt mand | 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 | XXX | |
| D5721 | N | Dentures rebase part mandbl | 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 | XXX | |
| D5731 | N | Denture reln cmplt mand chr | 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 | XXX | |
| D5741 | N | Denture reln part mand chr | 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 | XXX | |
| D5751 | N | Denture reln cmplt mand lab | 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 | XXX | |
| D5761 | N | Denture reln part mand lab | 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 | XXX | |
| D5811 | N | Denture interm cmplt mandbl | 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 | XXX | |
| D5821 | N | Denture interm part mandbl | 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 | XXX | |
| D5851 | N | Denture tiss condtin mandbl | 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 | XXX | |
| D5861 | N | Overdenture partial | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5862 | N | Precision attachment | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5867 | N | Replacement of precision att | 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 | XXX | |
| D5899 | N | Removable prosthodontic proc | 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 | YYY | |
| D5912 | R | Facial moulage complete | 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 | XXX | |
| D5914 | I | Auricular prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5915 | I | Orbital prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5916 | I | Ocular prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5919 | I | Facial prosthesis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5922 | I | Nasal septal prosthesis | 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 | XXX | |
| D5924 | I | Cranial prosthesis | 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 | XXX | |
| D5926 | I | Replacement nasal prosthesis | 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 | XXX | |
| D5928 | I | Orbital replacement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5929 | I | Facial replacement | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5931 | I | Surgical obturator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5932 | I | Postsurgical obturator | 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 | XXX | |
| D5934 | I | Mandibular flange prosthesis | 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 | XXX | |
| D5936 | I | Temp obturator prosthesis | 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 | XXX | |
| D5951 | R | Feeding aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5952 | I | Pediatric speech aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5953 | I | Adult speech aid | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5954 | I | Superimposed prosthesis | 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 | XXX | |
| D5958 | I | Intraoral con def inter plt | 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 | XXX | |
| D5960 | I | Modify speech aid prosthesis | 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 | XXX | |
| D5983 | R | Radiation applicator | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5984 | R | Radiation shield | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5985 | R | Radiation cone locator | 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 | XXX | |
| D5987 | R | Commissure splint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D5988 | I | Surgical splint | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D5999 | I | Maxillofacial prosthesis | 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 | XXX | |
| D6020 | I | Odontics abutment placement | 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 | XXX | |
| D6050 | I | Odontics transosteal implnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6053 | N | Implnt/abtmnt spprt remv dnt | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6054 | N | Implnt/abtmnt spprt remvprtl | 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 | XXX | |
| D6056 | N | Prefabricated abutment | 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 | XXX | |
| D6058 | N | Abutment supported crown | 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 | XXX | |
| D6060 | N | Abutment supported mtl crown | 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 | XXX | |
| D6062 | N | Abutment supported mtl crown | 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 | XXX | |
| D6064 | N | Abutment supported mtl crown | 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 | XXX | |
| D6066 | N | Implant supported mtl crown | 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 | XXX | |
| D6068 | N | Abutment supported retainer | 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 | XXX | |
| D6070 | N | Abutment supported retainer | 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 | XXX | |
| D6072 | N | Abutment supported retainer | 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 | XXX | |
| D6074 | N | Abutment supported retainer | 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 | XXX | |
| D6076 | N | Implant supported retainer | 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 | XXX | |
| D6078 | N | Implnt/abut suprtd fixd dent | 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 | XXX | |
| D6080 | I | Implant maintenance | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6090 | I | Repair implant | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6095 | I | Odontics repr abutment | 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 | XXX | |
| D6199 | I | Implant procedure | 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 | XXX | |
| D6211 | N | Bridge base metal cast | 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 | XXX | |
| D6240 | N | Bridge porcelain high noble | 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 | XXX | |
| D6242 | N | Bridge porcelain nobel metal | 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 | XXX | |
| D6250 | N | Bridge resin w/high noble | 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 | XXX | |
| D6252 | N | Bridge resin w/noble metal | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6253 | N | Provisional pontic | 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 | XXX | |
| D6548 | N | Porcelain/ceramic retainer | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6600 | N | Porcelain/ceramic inlay 2srf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6601 | N | Porc/ceram inlay = 3 surfac | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6602 | N | Cst hgh nble mtl inlay 2 srf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6603 | N | Cst hgh nble mtl inlay =3sr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6604 | N | Cst bse mtl inlay 2 surfaces | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6605 | N | Cst bse mtl inlay = 3 surfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6606 | N | Cast noble metal inlay 2 sur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6607 | N | Cst noble mtl inlay =3 surf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6608 | N | Onlay porc/crmc 2 surfaces | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6609 | N | Onlay porc/crmc =3 surfaces | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6610 | N | Onlay cst hgh nbl mtl 2 srfc | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6611 | N | Onlay cst hgh nbl mtl =3srf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6612 | N | Onlay cst base mtl 2 surface | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6613 | N | Onlay cst base mtl =3 surfa | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6614 | N | Onlay cst nbl mtl 2 surfaces | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6615 | N | Onlay cst nbl mtl =3 surfac | 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 | XXX | |
| D6721 | N | Crown resin w/base metal | 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 | XXX | |
| D6740 | N | Crown porcelain/ceramic | 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 | XXX | |
| D6751 | N | Crown porcelain base metal | 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 | XXX | |
| D6780 | N | Crown 3/4 high noble metal | 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 | XXX | |
| D6782 | N | Crown 3/4 cast noble metal | 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 | XXX | |
| D6790 | N | Crown full high noble metal | 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 | XXX | |
| D6792 | N | Crown full noble metal cast | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6793 | N | Provisional retainer crown | 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 | YYY | |
| D6930 | N | Dental recement bridge | 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 | XXX | |
| D6950 | N | Precision attachment | 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 | XXX | |
| D6971 | N | Cast post bridge retainer | 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 | XXX | |
| D6973 | N | Core build up for retainer | 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 | XXX | |
| D6976 | N | Each addtnl cast post | 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 | XXX | |
| D6980 | N | Bridge repair | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D6985 | N | Pediatric partial denture fx | 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 | XXX | |
| D7111 | R | Coronal remnants deciduous t | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7140 | R | Extraction erupted tooth/exr | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7210 | R | Rem imp tooth w mucoper flp | 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 | YYY | |
| D7230 | R | Impact tooth remov part bony | 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 | YYY | |
| D7241 | R | Impact tooth rem bony w/comp | 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 | YYY | |
| D7260 | R | Oral antral fistula closure | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D7261 | R | Primary closure sinus perf | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7270 | N | Tooth reimplantation | 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 | XXX | |
| D7280 | N | Exposure impact tooth orthod | 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 | XXX | |
| D7282 | N | Mobilize erupted/malpos toot | 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 | XXX | |
| D7286 | I | Biopsy of oral tissue soft | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7287 | I | Cytology sample collection | 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 | XXX | |
| D7291 | R | Transseptal fiberotomy | 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 | XXX | |
| D7320 | I | Alveoplasty w/o extraction | 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 | XXX | |
| D7350 | I | Vestibuloplasty exten graft | 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 | XXX | |
| D7411 | I | Excision benign lesion1.25c | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7412 | I | Excision benign lesion compl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7413 | I | Excision malig lesion=1.25c | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7414 | I | Excision malig lesion1.25cm | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7415 | I | Excision malig les complicat | 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 | XXX | |
| D7441 | I | Malig tumor 1.25 cm | 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 | XXX | |
| D7451 | I | Rem odontogen cyst 1.25 cm | 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 | XXX | |
| D7461 | I | Rem nonodonto cyst 1.25 cm | 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 | XXX | |
| D7471 | I | Rem exostosis any site | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7472 | I | Removal of torus palatinus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7473 | I | Remove torus mandibularis | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7485 | I | Surg reduct osseoustuberosit | 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 | XXX | |
| D7510 | I | Id absc intraoral soft tiss | 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 | XXX | |
| D7530 | I | Removal fb skin/areolar tiss | 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 | XXX | |
| D7550 | I | Removal of sloughed off bone | 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 | XXX | |
| D7610 | I | Maxilla open reduct simple | 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 | XXX | |
| D7630 | I | Open red simpl mandible fx | 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 | XXX | |
| D7650 | I | Open red simp malar/zygom fx | 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 | XXX | |
| D7670 | I | Closd rductn splint alveolus | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7671 | I | Alveolus open reduction | 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 | XXX | |
| D7710 | I | Maxilla open reduct compound | 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 | XXX | |
| D7730 | I | Open reduct compd mandble fx | 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 | XXX | |
| D7750 | I | Open red comp malar/zygma fx | 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 | XXX | |
| D7770 | I | Open reduc compd alveolus fx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7771 | I | Alveolus clsd reduc stblz te | 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 | XXX | |
| D7810 | I | Tmj open reduct-dislocation | 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 | XXX | |
| D7830 | I | Tmj manipulation under anest | 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 | XXX | |
| D7850 | I | Tmj meniscectomy | 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 | XXX | |
| D7854 | I | Tmj excisn of joint membrane | 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 | XXX | |
| D7858 | I | Tmj reconstruction | 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 | XXX | |
| D7865 | I | Tmj reshaping components | 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 | XXX | |
| D7871 | N | Lysis + lavage w catheters | 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 | XXX | |
| D7873 | I | Tmj arthroscopy lysis adhesn | 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 | XXX | |
| D7875 | I | Tmj arthroscopy synovectomy | 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 | XXX | |
| D7877 | I | Tmj arthroscopy debridement | 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 | XXX | |
| D7899 | I | Tmj unspecified therapy | 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 | XXX | |
| D7911 | I | Dental suture wound to 5 cm | 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 | XXX | |
| D7920 | I | Dental skin graft | 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 | YYY | |
| D7941 | I | Bone cutting ramus closed | 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 | XXX | |
| D7944 | I | Bone cutting segmented | 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 | XXX | |
| D7946 | I | Reconstruction maxilla total | 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 | XXX | |
| D7948 | I | Reconstruct midface no graft | 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 | XXX | |
| D7950 | I | Mandible graft | 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 | XXX | |
| D7960 | I | Frenulectomy/frenulotomy | 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 | XXX | |
| D7971 | I | Excision pericoronal gingiva | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D7972 | I | Surg redct fibrous tuberosit | 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 | XXX | |
| D7981 | I | Excision of salivary gland | 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 | XXX | |
| D7983 | I | Closure of salivary fistula | 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 | XXX | |
| D7991 | I | Dental coronoidectomy | 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 | XXX | |
| D7996 | I | Implant mandible for augment | 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 | XXX | |
| D7999 | I | Oral surgery procedure | 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 | XXX | |
| D8020 | N | Limited dental tx transition | 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 | XXX | |
| D8040 | N | Limited dental tx adult | 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 | XXX | |
| D8060 | N | Intercep dental tx transitn | 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 | XXX | |
| D8080 | N | Compre dental tx adolescent | 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 | XXX | |
| D8210 | N | Orthodontic rem appliance tx | 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 | XXX | |
| D8660 | N | Preorthodontic tx visit | 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 | XXX | |
| D8680 | N | Orthodontic retention | 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 | XXX | |
| D8691 | N | Repair ortho appliance | 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 | XXX | |
| D8999 | N | Orthodontic procedure | 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 | YYY | |
| D9210 | I | Dent anesthesia w/o surgery | 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 | XXX | |
| D9212 | I | Trigeminal block anesthesia | 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 | XXX | |
| D9220 | I | General anesthesia | 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 | XXX | |
| D9230 | R | Analgesia | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| D9241 | I | Intravenous sedation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9242 | I | IV sedation ea ad 30 m | 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 | XXX | |
| D9310 | I | Dental consultation | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9410 | I | Dental house call | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9420 | I | Hospital call | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| D9430 | I | Office visit during hours | 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 | XXX | |
| D9450 | I | Case presentation tx plan | 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 | XXX | |
| D9630 | R | Other drugs/medicaments | 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 | XXX | |
| D9911 | N | Appl desensitizing resin | 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 | XXX | |
| D9930 | R | Treatment of complications | 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 | YYY | |
| D9941 | N | Fabrication athletic guard | 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 | YYY | |
| D9951 | R | Limited occlusal adjustment | 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 | YYY | |
| D9970 | N | Enamel microabrasion | 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 | XXX | |
| D9972 | N | Extrnl bleaching per arch | 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 | XXX | |
| D9974 | N | Intrnl bleaching per tooth | 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 | XXX | |
| G0001 | X | Drawing blood for specimen | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0008 | X | Admin influenza virus vac | 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 | XXX | |
| G0010 | X | Admin hepatitis b vaccine | 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 | 0.00 | 0.00 | 0.00 | XXX | |
| G0030 | 26 | A | PET imaging prev PET single | 1.50 | 0.60 | 0.60 | 0.04 | 2.14 | 2.14 | XXX |
| G0030 | TC | C | PET imaging prev PET single | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0031 | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0031 | 26 | A | PET imaging prev PET multple | 1.87 | 0.74 | 0.74 | 0.06 | 2.67 | 2.67 | XXX |
| G0031 | TC | C | PET imaging prev PET multple | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0032 | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0032 | 26 | A | PET follow SPECT 78464 singl | 1.50 | 0.56 | 0.56 | 0.05 | 2.11 | 2.11 | XXX |
| G0032 | TC | C | PET follow SPECT 78464 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0033 | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0033 | 26 | A | PET follow SPECT 78464 mult | 1.87 | 0.75 | 0.75 | 0.06 | 2.68 | 2.68 | XXX |
| G0033 | TC | C | PET follow SPECT 78464 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0034 | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0034 | 26 | A | PET follow SPECT 76865 singl | 1.50 | 0.58 | 0.58 | 0.05 | 2.13 | 2.13 | XXX |
| G0034 | TC | C | PET follow SPECT 76865 singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0035 | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0035 | 26 | A | PET follow SPECT 78465 mult | 1.87 | 0.74 | 0.74 | 0.06 | 2.67 | 2.67 | XXX |
| G0035 | TC | C | PET follow SPECT 78465 mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0036 | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0036 | 26 | A | PET follow cornry angio sing | 1.50 | 0.58 | 0.58 | 0.04 | 2.12 | 2.12 | XXX |
| G0036 | TC | C | PET follow cornry angio sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0037 | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0037 | 26 | A | PET follow cornry angio mult | 1.87 | 0.73 | 0.73 | 0.06 | 2.66 | 2.66 | XXX |
| G0037 | TC | C | PET follow cornry angio mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0038 | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0038 | 26 | A | PET follow myocard perf sing | 1.50 | 0.54 | 0.54 | 0.04 | 2.08 | 2.08 | XXX |
| G0038 | TC | C | PET follow myocard perf sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0039 | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0039 | 26 | A | PET follow myocard perf mult | 1.87 | 0.73 | 0.73 | 0.07 | 2.67 | 2.67 | XXX |
| G0039 | TC | C | PET follow myocard perf mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0040 | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0040 | 26 | A | PET follow stress echo singl | 1.50 | 0.61 | 0.61 | 0.04 | 2.15 | 2.15 | XXX |
| G0040 | TC | C | PET follow stress echo singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0041 | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0041 | 26 | A | PET follow stress echo mult | 1.87 | 0.75 | 0.75 | 0.05 | 2.67 | 2.67 | XXX |
| G0041 | TC | C | PET follow stress echo mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0042 | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0042 | 26 | A | PET follow ventriculogm sing | 1.50 | 0.62 | 0.62 | 0.04 | 2.16 | 2.16 | XXX |
| G0042 | TC | C | PET follow ventriculogm sing | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0043 | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0043 | 26 | A | PET follow ventriculogm mult | 1.87 | 0.76 | 0.76 | 0.06 | 2.69 | 2.69 | XXX |
| G0043 | TC | C | PET follow ventriculogm mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0044 | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0044 | 26 | A | PET following rest ECG singl | 1.50 | 0.61 | 0.61 | 0.04 | 2.15 | 2.15 | XXX |
| G0044 | TC | C | PET following rest ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0045 | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0045 | 26 | A | PET following rest ECG mult | 1.87 | 0.74 | 0.74 | 0.06 | 2.67 | 2.67 | XXX |
| G0045 | TC | C | PET following rest ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0046 | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0046 | 26 | A | PET follow stress ECG singl | 1.50 | 0.61 | 0.61 | 0.04 | 2.15 | 2.15 | XXX |
| G0046 | TC | C | PET follow stress ECG singl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0047 | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0047 | 26 | A | PET follow stress ECG mult | 1.87 | 0.75 | 0.75 | 0.06 | 2.68 | 2.68 | XXX |
| G0047 | TC | C | PET follow stress ECG mult | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0101 | A | CA screen;pelvic/breast exam | 0.45 | 0.54 | 0.17 | 0.01 | 1.00 | 0.63 | XXX | |
| G0102 | A | Prostate ca screening; dre | 0.17 | 0.41 | 0.06 | 0.01 | 0.59 | 0.24 | XXX | |
| G0104 | A | CA screen;flexi sigmoidscope | 0.96 | 2.25 | 0.53 | 0.05 | 3.26 | 1.54 | 000 | |
| G0105 | A | Colorectal scrn; hi risk ind | 3.70 | 6.30 | 1.68 | 0.20 | 10.20 | 5.58 | 000 | |
| G0106 | A | Colon CA screen;barium enema | 0.99 | 2.57 | N/A | 0.15 | 3.71 | N/A | XXX | |
| G0106 | 26 | A | Colon CA screen;barium enema | 0.99 | 0.33 | 0.33 | 0.04 | 1.36 | 1.36 | XXX |
| G0106 | TC | A | Colon CA screen;barium enema | 0.00 | 2.23 | N/A | 0.11 | 2.34 | N/A | XXX |
| G0108 | A | Diab manage trn per indiv | 0.00 | 0.83 | N/A | 0.01 | 0.84 | N/A | XXX | |
| G0109 | A | Diab manage trn ind/group | 0.00 | 0.48 | N/A | 0.01 | 0.49 | N/A | XXX | |
| G0110 | R | Nett pulm-rehab educ; ind | 0.90 | 0.72 | 0.29 | 0.03 | 1.65 | 1.22 | XXX | |
| G0111 | R | Nett pulm-rehab educ; group | 0.27 | 0.30 | 0.14 | 0.01 | 0.58 | 0.42 | XXX | |
| G0112 | R | Nett;nutrition guid, initial | 1.72 | 1.25 | 0.67 | 0.05 | 3.02 | 2.44 | XXX | |
| G0113 | R | Nett;nutrition guid,subseqnt | 1.29 | 0.85 | 0.42 | 0.04 | 2.18 | 1.75 | XXX | |
| G0114 | R | Nett; psychosocial consult | 1.20 | 0.49 | 0.38 | 0.03 | 1.72 | 1.61 | XXX | |
| G0115 | R | Nett; psychological testing | 1.20 | 0.64 | 0.38 | 0.04 | 1.88 | 1.62 | XXX | |
| G0116 | R | Nett; psychosocial counsel | 1.11 | 1.02 | 0.34 | 0.04 | 2.17 | 1.49 | XXX | |
| G0117 | T | Glaucoma scrn hgh risk direc | 0.45 | 0.72 | 0.19 | 0.02 | 1.19 | 0.66 | XXX | |
| G0118 | T | Glaucoma scrn hgh risk direc | 0.17 | 0.53 | 0.07 | 0.01 | 0.71 | 0.25 | XXX | |
| G0120 | A | Colon ca scrn; barium enema | 0.99 | 2.57 | N/A | 0.15 | 3.71 | N/A | XXX | |
| G0120 | 26 | A | Colon ca scrn; barium enema | 0.99 | 0.33 | 0.33 | 0.04 | 1.36 | 1.36 | XXX |
| G0120 | TC | A | Colon ca scrn; barium enema | 0.00 | 2.23 | N/A | 0.11 | 2.34 | N/A | XXX |
| G0121 | A | Colon ca scrn not hi rsk ind | 3.70 | 6.30 | 1.68 | 0.20 | 10.20 | 5.58 | 000 | |
| G0122 | N | Colon ca scrn; barium enema | 0.99 | 2.62 | N/A | 0.15 | 3.76 | N/A | XXX | |
| G0122 | 26 | N | Colon ca scrn; barium enema | 0.99 | 0.38 | 0.38 | 0.04 | 1.41 | 1.41 | XXX |
| G0122 | TC | N | Colon ca scrn; barium enema | 0.00 | 2.23 | N/A | 0.11 | 2.34 | N/A | XXX |
| G0124 | A | Screen c/v thin layer by MD | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| G0125 | C | PET image pulmonary nodule | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0125 | 26 | A | PET image pulmonary nodule | 1.50 | 0.54 | 0.54 | 0.05 | 2.09 | 2.09 | XXX |
| G0125 | TC | C | PET image pulmonary nodule | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0127 | R | Trim nail(s) | 0.17 | 0.26 | 0.07 | 0.01 | 0.44 | 0.25 | 000 | |
| G0128 | R | CORF skilled nursing service | 0.08 | 0.03 | 0.03 | 0.01 | 0.12 | 0.12 | XXX | |
| G0130 | A | Single energy x-ray study | 0.22 | 0.88 | N/A | 0.05 | 1.15 | N/A | XXX | |
| G0130 | 26 | A | Single energy x-ray study | 0.22 | 0.07 | 0.07 | 0.01 | 0.30 | 0.30 | XXX |
| G0130 | TC | A | Single energy x-ray study | 0.00 | 0.80 | N/A | 0.04 | 0.84 | N/A | XXX |
| G0141 | A | Scr c/v cyto,autosys and md | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| G0166 | A | Extrnl counterpulse, per tx | 0.07 | 2.93 | 0.03 | 0.01 | 3.01 | 0.11 | XXX | |
| G0167 | C | Hyperbaric oz tx;no md reqrd | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0168 | A | Wound closure by adhesive | 0.45 | 2.03 | 0.16 | 0.01 | 2.49 | 0.62 | 000 | |
| G0179 | A | MD recertification HHA PT | 0.45 | 1.09 | N/A | 0.01 | 1.55 | N/A | XXX | |
| G0180 | A | MD certification HHA patient | 0.67 | 1.32 | N/A | 0.02 | 2.01 | N/A | XXX | |
| G0181 | A | Home health care supervision | 1.73 | 1.56 | N/A | 0.06 | 3.35 | N/A | XXX | |
| G0182 | A | Hospice care supervision | 1.73 | 1.75 | N/A | 0.06 | 3.54 | N/A | XXX | |
| G0186 | C | Dstry eye lesn,fdr vssl tech | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | YYY | |
| G0202 | A | Screeningmammographydigital | 0.70 | 2.78 | N/A | 0.09 | 3.57 | N/A | XXX | |
| G0202 | 26 | A | Screeningmammographydigital | 0.70 | 0.23 | 0.23 | 0.03 | 0.96 | 0.96 | XXX |
| G0202 | TC | A | Screeningmammographydigital | 0.00 | 2.54 | N/A | 0.06 | 2.60 | N/A | XXX |
| G0204 | A | Diagnosticmammographydigital | 0.87 | 2.80 | N/A | 0.10 | 3.77 | N/A | XXX | |
| G0204 | 26 | A | Diagnosticmammographydigital | 0.87 | 0.29 | 0.29 | 0.04 | 1.20 | 1.20 | XXX |
| G0204 | TC | A | Diagnosticmammographydigital | 0.00 | 2.50 | N/A | 0.06 | 2.56 | N/A | XXX |
| G0206 | A | Diagnosticmammographydigital | 0.70 | 2.26 | N/A | 0.09 | 3.05 | N/A | XXX | |
| G0206 | 26 | A | Diagnosticmammographydigital | 0.70 | 0.23 | 0.23 | 0.04 | 0.97 | 0.97 | XXX |
| G0206 | TC | A | Diagnosticmammographydigital | 0.00 | 2.02 | N/A | 0.05 | 2.07 | N/A | XXX |
| G0210 | C | PET img wholebody dxlung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0210 | 26 | A | PET img wholebody dxlung | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0210 | TC | C | PET img wholebody dxlung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0211 | C | PET img wholbody init lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0211 | 26 | A | PET img wholbody init lung | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0211 | TC | C | PET img wholbody init lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0212 | C | PET img wholebod restag lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0212 | 26 | A | PET img wholebod restag lung | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0212 | TC | C | PET img wholebod restag lung | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0213 | C | PET img wholbody dx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0213 | 26 | A | PET img wholbody dx | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0213 | TC | C | PET img wholbody dx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0214 | C | PET img wholebod init | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0214 | 26 | A | PET img wholebod init | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0214 | TC | C | PET img wholebod init | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0215 | C | PETimg wholebod restag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0215 | 26 | A | PETimg wholebod restag | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0215 | TC | C | PETimg wholebod restag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0216 | C | PET img wholebod dx melanoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0216 | 26 | A | PET img wholebod dx melanoma | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0216 | TC | C | PET img wholebod dx melanoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0217 | C | PET img wholebod init melan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0217 | 26 | A | PET img wholebod init melan | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0217 | TC | C | PET img wholebod init melan | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0218 | C | PET img wholebod restag mela | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0218 | 26 | A | PET img wholebod restag mela | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0218 | TC | C | PET img wholebod restag mela | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0220 | C | PET img wholebod dx lymphoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0220 | 26 | A | PET img wholebod dx lymphoma | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0220 | TC | C | PET img wholebod dx lymphoma | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0221 | C | PET imag wholbod init lympho | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0221 | 26 | A | PET imag wholbod init lympho | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0221 | TC | C | PET imag wholbod init lympho | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0222 | C | PET imag wholbod resta lymph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0222 | 26 | A | PET imag wholbod resta lymph | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0222 | TC | C | PET imag wholbod resta lymph | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0223 | C | PET imag wholbod reg dx head | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0223 | 26 | A | PET imag wholbod reg dx head | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0223 | TC | C | PET imag wholbod reg dx head | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0224 | C | PET imag wholbod reg ini hea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0224 | 26 | A | PET imag wholbod reg ini hea | 1.50 | 0.52 | 0.52 | 0.04 | 2.06 | 2.06 | XXX |
| G0224 | TC | C | PET imag wholbod reg ini hea | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0225 | C | PET whol restag headneckonly | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0225 | 26 | A | PET whol restag headneckonly | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0225 | TC | C | PET whol restag headneckonly | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0226 | C | PET img wholbody dx esophagl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0226 | 26 | A | PET img wholbody dx esophagl | 1.50 | 0.54 | 0.54 | 0.04 | 2.08 | 2.08 | XXX |
| G0226 | TC | C | PET img wholbody dx esophagl | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0227 | C | PET img wholbod ini esophage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0227 | 26 | A | PET img wholbod ini esophage | 1.50 | 0.54 | 0.54 | 0.04 | 2.08 | 2.08 | XXX |
| G0227 | TC | C | PET img wholbod ini esophage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0228 | C | PET img wholbod restg esopha | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0228 | 26 | A | PET img wholbod restg esopha | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0228 | TC | C | PET img wholbod restg esopha | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0229 | C | PET img metaboloc brain pres | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0229 | 26 | A | PET img metaboloc brain pres | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0229 | TC | C | PET img metaboloc brain pres | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0230 | C | PET myocard viability post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0230 | 26 | A | PET myocard viability post | 1.50 | 0.55 | 0.55 | 0.04 | 2.09 | 2.09 | XXX |
| G0230 | TC | C | PET myocard viability post | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0231 | C | PET WhBD colorec; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0231 | 26 | A | PET WhBD colorec; gamma cam | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0231 | TC | C | PET WhBD colorec; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0232 | C | PET whbd lymphoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0232 | 26 | A | PET whbd lymphoma; gamma cam | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0232 | TC | C | PET whbd lymphoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0233 | C | PET whbd melanoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0233 | 26 | A | PET whbd melanoma; gamma cam | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0233 | TC | C | PET whbd melanoma; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0234 | C | PET WhBD pulm nod; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0234 | 26 | A | PET WhBD pulm nod; gamma cam | 1.50 | 0.53 | 0.53 | 0.04 | 2.07 | 2.07 | XXX |
| G0234 | TC | C | PET WhBD pulm nod; gamma cam | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0236 | A | Digital film convert diag ma | 0.06 | 0.44 | N/A | 0.02 | 0.52 | N/A | ZZZ | |
| G0236 | 26 | A | Digital film convert diag ma | 0.06 | 0.02 | 0.02 | 0.01 | 0.09 | 0.09 | ZZZ |
| G0236 | TC | A | Digital film convert diag ma | 0.00 | 0.42 | N/A | 0.01 | 0.43 | N/A | ZZZ |
| G0237 | A | Therapeutic procd strg endur | 0.00 | 0.47 | N/A | 0.02 | 0.49 | N/A | XXX | |
| G0238 | C | Oth resp proc, indiv | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0239 | C | Oth resp proc, group | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0245 | R | Initial foot exam pt lops | 0.88 | 0.81 | 0.32 | 0.05 | 1.74 | 1.25 | XXX | |
| G0246 | R | Followup eval of foot pt lop | 0.45 | 0.56 | 0.16 | 0.02 | 1.03 | 0.63 | XXX | |
| G0247 | R | Routine footcare pt w lops | 0.50 | 0.54 | 0.21 | 0.05 | 1.09 | 0.76 | ZZZ | |
| G0248 | R | Demonstrate use home inr mon | 0.00 | 6.92 | N/A | 0.01 | 6.93 | N/A | XXX | |
| G0249 | R | Provide test material,equipm | 0.00 | 4.12 | N/A | 0.01 | 4.13 | N/A | XXX | |
| G0250 | R | MD review interpret of test | 0.18 | 0.06 | 0.06 | 0.01 | 0.25 | 0.25 | XXX | |
| G0252 | 26 | N | PET imaging initial dx | 1.50 | 0.58 | 0.58 | 0.04 | 2.12 | 2.12 | XXX |
| G0253 | C | PET image brst dection recur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0253 | 26 | A | PET image brst dection recur | 1.87 | 0.72 | 0.72 | 0.07 | 2.66 | 2.66 | XXX |
| G0253 | TC | C | PET image brst dection recur | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0254 | C | PET image brst eval to tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0254 | 26 | A | PET image brst eval to tx | 1.87 | 0.72 | 0.72 | 0.07 | 2.66 | 2.66 | XXX |
| G0254 | TC | C | PET image brst eval to tx | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| G0262 | A | Sm intestinal image capsule | 2.12 | 20.88 | N/A | 0.08 | 23.08 | N/A | XXX | |
| G0262 | 26 | A | Sm intestinal image capsule | 2.12 | 0.82 | 0.82 | 0.02 | 2.96 | 2.96 | XXX |
| G0262 | TC | A | Sm intestinal image capsule | 0.00 | 20.06 | N/A | 0.06 | 20.12 | N/A | XXX |
| G0268 | A | Removal of impacted wax md | 0.61 | 0.66 | 0.25 | 0.04 | 1.31 | 0.90 | 000 | |
| G0270 | A | MNT subs tx for change dx | 0.00 | 0.47 | N/A | 0.01 | 0.48 | N/A | XXX | |
| G0271 | A | Group MNT 2 or more 30 mins | 0.00 | 0.18 | N/A | 0.01 | 0.19 | N/A | XXX | |
| G0272 | A | Naso/oro gastric tube pl MD | 0.32 | N/A | 0.12 | 0.02 | N/A | 0.46 | 000 | |
| G0273 | A | Pretx planning, non-Hodgkins | 0.86 | 11.40 | N/A | 0.28 | 12.54 | N/A | XXX | |
| G0273 | 26 | A | Pretx planning, non-Hodgkins | 0.86 | 0.33 | 0.33 | 0.03 | 1.22 | 1.22 | XXX |
| G0273 | TC | A | Pretx planning, non-Hodgkins | 0.00 | 11.06 | N/A | 0.25 | 11.31 | N/A | XXX |
| G0274 | A | Radiopharm tx, non-Hodgkins | 2.07 | 3.42 | N/A | 0.20 | 5.69 | N/A | XXX | |
| G0274 | 26 | A | Radiopharm tx, non-Hodgkins | 2.07 | 0.80 | 0.80 | 0.08 | 2.95 | 2.95 | XXX |
| G0274 | TC | A | Radiopharm tx, non-Hodgkins | 0.00 | 2.62 | N/A | 0.12 | 2.74 | N/A | XXX |
| G0275 | A | Renal angio, cardiac cath | 0.25 | N/A | 0.10 | 0.01 | N/A | 0.36 | ZZZ | |
| G0278 | A | Iliac art angio,cardiac cath | 0.25 | N/A | 0.10 | 0.01 | N/A | 0.36 | ZZZ | |
| G0279 | C | Excorp shock tx, elbow epi | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0280 | C | Excorp shock tx other than | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| G0281 | A | Elec stim unattend for press | 0.18 | 0.11 | N/A | 0.01 | 0.30 | N/A | XXX | |
| G0283 | A | Elec stim other than wound | 0.18 | 0.11 | N/A | 0.01 | 0.30 | N/A | XXX | |
| G0288 | A | Recon, CTA for surg plan | 0.00 | 10.62 | N/A | 0.15 | 10.77 | N/A | XXX | |
| G0289 | A | Arthro, loose body + chondro | 1.48 | N/A | 0.57 | 0.27 | N/A | 2.32 | ZZZ | |
| Gxx10 | A | ESRDrelsvc 1/mo; 2-11yr | 2.32 | 1.14 | 1.14 | 0.10 | 3.56 | 3.56 | XXX | |
| Gxx11 | A | ESRDrelsvc 4+/mo; 12-19yr | 8.47 | 4.54 | 4.54 | 0.35 | 13.36 | 13.36 | XXX | |
| Gxx12 | A | ESRDrelsvc 2-3/mo; 12-19yr | 3.14 | 1.68 | 1.68 | 0.13 | 4.95 | 4.95 | XXX | |
| Gxx13 | A | ESRDrelsvc 1/mo; 12-19yr | 2.05 | 1.10 | 1.10 | 0.08 | 3.23 | 3.23 | XXX | |
| Gxx14 | A | ESRDrelsvc 4+/mo; 20+yr | 5.16 | 2.94 | 2.94 | 0.22 | 8.32 | 8.32 | XXX | |
| Gxx15 | A | ESRDrelsvc 2-3/mo; 20+yr | 1.94 | 1.10 | 1.10 | 0.08 | 3.12 | 3.12 | XXX | |
| Gxx16 | A | ESRDrelsvc 1/mo; 20+yr | 1.27 | 0.73 | 0.73 | 0.06 | 2.06 | 2.06 | XXX | |
| Gxxx1 | A | Monitor arrhyth/30day | 0.52 | 7.45 | N/A | 0.24 | 8.21 | N/A | XXX | |
| Gxxx2 | A | Monitor arrhyth/30day;rec | 0.00 | 1.24 | N/A | 0.07 | 1.31 | N/A | XXX | |
| Gxxx3 | A | Monitor arrhyth/30day;analy | 0.00 | 6.02 | N/A | 0.15 | 6.17 | N/A | XXX | |
| Gxxx4 | A | Monitor arrhyth/30day;interp | 0.52 | 0.19 | 0.19 | 0.02 | 0.73 | 0.73 | XXX | |
| Gxxx5 | A | ESRDrelsvc 4+/mo; undr2 | 12.92 | 8.70 | 8.70 | 0.60 | 22.22 | 22.22 | XXX | |
| Gxxx6 | A | ESRDrelsvc 2-3/mo; undr2 | 5.19 | 3.49 | 3.49 | 0.24 | 8.92 | 8.92 | XXX | |
| Gxxx7 | A | ESRDrelsvc 1/mo; undr2 | 3.39 | 2.29 | 2.29 | 0.16 | 5.84 | 5.84 | XXX | |
| Gxxx8 | A | ESRDrelsvc 4+/mo; 2-11yr | 9.91 | 4.86 | 4.86 | 0.43 | 15.20 | 15.20 | XXX | |
| Gxxx9 | A | ESRDrelsvc 2-3/mo; 2-11yr | 3.55 | 1.74 | 1.74 | 0.15 | 5.44 | 5.44 | XXX | |
| M0064 | A | Visit for drug monitoring | 0.37 | 0.34 | 0.12 | 0.01 | 0.72 | 0.50 | XXX | |
| P3001 | A | Screening pap smear by phys | 0.42 | 0.18 | 0.18 | 0.01 | 0.61 | 0.61 | XXX | |
| Q0035 | A | Cardiokymography | 0.17 | 0.45 | N/A | 0.03 | 0.65 | N/A | XXX | |
| Q0035 | 26 | A | Cardiokymography | 0.17 | 0.07 | 0.07 | 0.01 | 0.25 | 0.25 | XXX |
| Q0035 | TC | A | Cardiokymography | 0.00 | 0.39 | N/A | 0.02 | 0.41 | N/A | XXX |
| Q0091 | A | Obtaining screen pap smear | 0.37 | 0.68 | 0.14 | 0.01 | 1.06 | 0.52 | XXX | |
| Q0092 | A | Set up port xray equipment | 0.00 | 0.32 | N/A | 0.01 | 0.33 | N/A | XXX | |
| R0070 | C | Transport portable x-ray | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| R0075 | C | Transport port x-ray multipl | 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 | XXX | |
| V5362 | R | Speech screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5363 | R | Language screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| V5364 | R | Dysphagia screening | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 1 CPT codes and descriptions only are copyright American Medical Association. All Right Reserved. Applicable FARS/DFARS Apply. | ||||||||||
| 2 Copyright American Dental Association. All right reserved. | ||||||||||
BILLING CODE 4120-01-P
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[FR Doc. 03-20662 Filed 8-8-03; 3:56 pm]
BILLING CODE 4120-01-C