TAX ID|NPI|HCPCS Code|Short Descriptor|Base Rates |ASC FeeSchedule 58-1036115|1972558336|10004|Fna bx w/o img gdn ea addl|0.00|0.00 58-1036115|1972558336|10005|Fna bx w/us gdn 1st les|285.48|342.57 58-1036115|1972558336|10006|Fna bx w/us gdn ea addl|0.00|0.00 58-1036115|1972558336|10007|Fna bx w/fluor gdn 1st les|285.48|356.85 58-1036115|1972558336|10008|Fna bx w/fluor gdn ea addl|0.00|0.00 58-1036115|1972558336|10009|Fna bx w/ct gdn 1st les|285.48|356.85 58-1036115|1972558336|10010|Fna bx w/ct gdn ea addl|0.00|0.00 58-1036115|1972558336|10011|Fna bx w/mr gdn 1st les|285.48|356.85 58-1036115|1972558336|10012|Fna bx w/mr gdn ea addl|0.00|0.00 58-1036115|1972558336|10021| Fna bx w/o img gdn 1st les|73.08|91.35 58-1036115|1972558336|10022|Fna w/image|93.60|117.00 58-1036115|1972558336|10030| Guide cathet fluid drainage|298.41|373.01 58-1036115|1972558336|10035| Perq dev soft tiss 1st imag|0.00|0.00 58-1036115|1972558336|10036| Perq dev soft tiss add imag|0.00|0.00 58-1036115|1972558336|10040| Acne surgery|0.00|0.00 58-1036115|1972558336|10060| Drainage of skin abscess|73.08|91.35 58-1036115|1972558336|10061| Drainage of skin abscess|112.68|140.85 58-1036115|1972558336|10080| Drainage of pilonidal cyst|133.92|167.40 58-1036115|1972558336|10081| Drainage of pilonidal cyst|174.24|217.80 58-1036115|1972558336|10120| Remove foreign body|108.72|135.90 58-1036115|1972558336|10121| Remove foreign body|542.88|678.60 58-1036115|1972558336|10140| Drainage of hematoma/fluid|104.76|130.95 58-1036115|1972558336|10160| Puncture drainage of lesion|82.80|103.50 58-1036115|1972558336|10180| Complex drainage wound|1062.77|1328.46 58-1036115|1972558336|11000| Debride infected skin|32.76|40.95 58-1036115|1972558336|11001| Debride infected skin add-on|0.00|0.00 58-1036115|1972558336|11004| Debride genitalia & perineum|0.00|0.00 58-1036115|1972558336|11005| Debride abdom wall|0.00|0.00 58-1036115|1972558336|11006| Debride genit/per/abdom wall|0.00|0.00 58-1036115|1972558336|11008| Remove mesh from abd wall|0.00|0.00 58-1036115|1972558336|11010| Debride skin at fx site|298.41|373.01 58-1036115|1972558336|11011| Debride skin musc at fx site|298.41|373.01 58-1036115|1972558336|11012| Deb skin bone at fx site|1062.77|1328.46 58-1036115|1972558336|11042| Deb subq tissue 20 sq cm/<|161.90|202.38 58-1036115|1972558336|11043| Deb musc/fascia 20 sq cm/<|254.31|317.89 58-1036115|1972558336|11044| Deb bone 20 sq cm/<|542.88|678.60 58-1036115|1972558336|11045| Deb subq tissue add-on|0.00|0.00 58-1036115|1972558336|11046| Deb musc/fascia add-on|0.00|0.00 58-1036115|1972558336|11047| Deb bone add-on|0.00|0.00 58-1036115|1972558336|11055| Trim skin lesion|0.00|0.00 58-1036115|1972558336|11056| Trim skin lesions 2 to 4|0.00|0.00 58-1036115|1972558336|11057| Trim skin lesions over 4|42.84|53.55 58-1036115|1972558336|11100|Biopsy skin lesion|74.88|93.60 58-1036115|1972558336|11101|Biopsy skin add-on|0.00|0.00 58-1036115|1972558336|11102|Tangntl bx skin single les|86.95|108.69 58-1036115|1972558336|11103|Tangntl bx skin ea sep/addl|0.00|0.00 58-1036115|1972558336|11104|Punch bx skin single lesion|86.95|108.69 58-1036115|1972558336|11105|Punch bx skin ea sep/addl|0.00|0.00 58-1036115|1972558336|11106|Incal bx skn single les|154.77|193.46 58-1036115|1972558336|11107|Incal bx skn ea sep/addl|0.00|0.00 58-1036115|1972558336|11200| Removal of skin tags 2.0 cm|0.00|0.00 58-1036115|1972558336|11305| Shave skin lesion 0.5 cm/<|0.00|0.00 58-1036115|1972558336|11306| Shave skin lesion 0.6-1.0 cm|0.00|0.00 58-1036115|1972558336|11307| Shave skin lesion 1.1-2.0 cm|88.01|110.01 58-1036115|1972558336|11308| Shave skin lesion >2.0 cm|0.00|0.00 58-1036115|1972558336|11310| Shave skin lesion 0.5 cm/<|84.24|105.30 58-1036115|1972558336|11311| Shave skin lesion 0.6-1.0 cm|69.48|86.85 58-1036115|1972558336|11312| Shave skin lesion 1.1-2.0 cm|111.24|139.05 58-1036115|1972558336|11313| Shave skin lesion >2.0 cm|121.68|152.10 58-1036115|1972558336|11400| Exc tr-ext b9+marg 0.5 cm<|91.80|114.75 58-1036115|1972558336|11401| Exc tr-ext b9+marg 0.6-1 cm|100.80|126.00 58-1036115|1972558336|11402| Exc tr-ext b9+marg 1.1-2 cm|110.88|138.60 58-1036115|1972558336|11403| Exc tr-ext b9+marg 2.1-3cm|120.60|150.75 58-1036115|1972558336|11404| Exc tr-ext b9+marg 3.1-4 cm|542.88|678.60 58-1036115|1972558336|11406| Exc tr-ext b9+marg >4.0 cm|542.88|678.60 58-1036115|1972558336|11420| Exc h-f-nk-sp b9+marg 0.5/<|84.60|105.75 58-1036115|1972558336|11421| Exc h-f-nk-sp b9+marg 0.6-1|101.16|126.45 58-1036115|1972558336|11422| Exc h-f-nk-sp b9+marg 1.1-2|111.60|139.50 58-1036115|1972558336|11423| Exc h-f-nk-sp b9+marg 2.1-3|120.96|151.20 58-1036115|1972558336|11424| Exc h-f-nk-sp b9+marg 3.1-4|542.88|678.60 58-1036115|1972558336|11426| Exc h-f-nk-sp b9+marg >4 cm|1062.77|1328.46 58-1036115|1972558336|11440| Exc face-mm b9+marg 0.5 cm/<|96.84|121.05 58-1036115|1972558336|11441| Exc face-mm b9+marg 0.6-1 cm|109.80|137.25 58-1036115|1972558336|11442| Exc face-mm b9+marg 1.1-2 cm|119.88|149.85 58-1036115|1972558336|11443| Exc face-mm b9+marg 2.1-3 cm|132.48|165.60 58-1036115|1972558336|11444| Exc face-mm b9+marg 3.1-4 cm|542.88|678.60 58-1036115|1972558336|11446| Exc face-mm b9+marg >4 cm|1062.77|1328.46 58-1036115|1972558336|11450| Removal sweat gland lesion|1062.77|1328.46 58-1036115|1972558336|11451| Removal sweat gland lesion|1062.77|1328.46 58-1036115|1972558336|11462| Removal sweat gland lesion|1062.77|1328.46 58-1036115|1972558336|11463| Removal sweat gland lesion|1062.77|1328.46 58-1036115|1972558336|11470| Removal sweat gland lesion|1062.77|1328.46 58-1036115|1972558336|11471| Removal sweat gland lesion|1062.77|1328.46 58-1036115|1972558336|11600| Exc tr-ext mal+marg 0.5 cm/<|131.40|164.25 58-1036115|1972558336|11601| Exc tr-ext mal+marg 0.6-1 cm|149.76|187.20 58-1036115|1972558336|11602| Exc tr-ext mal+marg 1.1-2 cm|161.28|201.60 58-1036115|1972558336|11603| Exc tr-ext mal+marg 2.1-3 cm|174.60|218.25 58-1036115|1972558336|11604| Exc tr-ext mal+marg 3.1-4 cm|298.41|373.01 58-1036115|1972558336|11606| Exc tr-ext mal+marg >4 cm|542.88|678.60 58-1036115|1972558336|11620| Exc h-f-nk-sp mal+marg 0.5/<|132.12|165.15 58-1036115|1972558336|11621| Exc s/n/h/f/g mal+mrg 0.6-1|150.12|187.65 58-1036115|1972558336|11622| Exc s/n/h/f/g mal+mrg 1.1-2|163.80|204.75 58-1036115|1972558336|11623| Exc s/n/h/f/g mal+mrg 2.1-3|179.64|224.55 58-1036115|1972558336|11624| Exc s/n/h/f/g mal+mrg 3.1-4|542.88|678.60 58-1036115|1972558336|11626| Exc s/n/h/f/g mal+mrg >4 cm|1062.77|1328.46 58-1036115|1972558336|11640| Exc f/e/e/n/l mal+mrg 0.5cm<|137.16|171.45 58-1036115|1972558336|11641| Exc f/e/e/n/l mal+mrg 0.6-1|154.44|193.05 58-1036115|1972558336|11642| Exc f/e/e/n/l mal+mrg 1.1-2|169.92|212.40 58-1036115|1972558336|11643| Exc f/e/e/n/l mal+mrg 2.1-3|186.12|232.65 58-1036115|1972558336|11644| Exc f/e/e/n/l mal+mrg 3.1-4|542.88|678.60 58-1036115|1972558336|11646| Exc f/e/e/n/l mal+mrg >4 cm|1062.77|1328.46 58-1036115|1972558336|11719| Trim nail(s) any number|0.00|0.00 58-1036115|1972558336|11720| Debride nail 1-5|0.00|0.00 58-1036115|1972558336|11721| Debride nail 6 or more|0.00|0.00 58-1036115|1972558336|11730| Removal of nail plate|0.00|0.00 58-1036115|1972558336|11732| Remove nail plate add-on|0.00|0.00 58-1036115|1972558336|11740| Drain blood from under nail|0.00|0.00 58-1036115|1972558336|11750| Removal of nail bed|96.12|120.15 58-1036115|1972558336|11755| Biopsy nail unit|84.24|105.30 58-1036115|1972558336|11760| Repair of nail bed|254.31|317.89 58-1036115|1972558336|11762| Reconstruction of nail bed|171.72|214.65 58-1036115|1972558336|11765| Excision of nail fold toe|0.00|0.00 58-1036115|1972558336|11770| Remove pilonidal cyst simple|1062.77|1328.46 58-1036115|1972558336|11771| Remove pilonidal cyst exten|1062.77|1328.46 58-1036115|1972558336|11772| Remove pilonidal cyst compl|1062.77|1328.46 58-1036115|1972558336|11900| Inject skin lesions 7|0.00|0.00 58-1036115|1972558336|11920| Correct skin color 6.0 cm/<|109.44|136.80 58-1036115|1972558336|11921| Correct skn color 6.1-20.0cm|122.40|153.00 58-1036115|1972558336|11922| Correct skin color ea 20.0cm|0.00|0.00 58-1036115|1972558336|11950| Tx contour defects 1 cc/<|37.80|47.25 58-1036115|1972558336|11951| Tx contour defects 1.1-5.0cc|54.36|67.95 58-1036115|1972558336|11952| Tx contour defects 5.1-10cc|64.08|80.10 58-1036115|1972558336|11954| Tx contour defects >10.0 cc|82.44|103.05 58-1036115|1972558336|11960| Insert tissue expander(s)|1411.94|1764.93 58-1036115|1972558336|11970| Replace tissue expander|2721.37|3401.71 58-1036115|1972558336|11971| Remove tissue expander(s)|1062.77|1328.46 58-1036115|1972558336|11976| Remove contraceptive capsule|75.96|94.95 58-1036115|1972558336|11980| Implant hormone pellet(s)|0.00|0.00 58-1036115|1972558336|11981| Insert drug implant device|0.00|0.00 58-1036115|1972558336|11982| Remove drug implant device|0.00|0.00 58-1036115|1972558336|11983| Remove/insert drug implant|0.00|0.00 58-1036115|1972558336|12001| Rpr s/n/ax/gen/trnk 2.5cm/<|0.00|0.00 58-1036115|1972558336|12002| Rpr s/n/ax/gen/trnk2.6-7.5cm|0.00|0.00 58-1036115|1972558336|12004| Rpr s/n/ax/gen/trk7.6-12.5cm|0.00|0.00 58-1036115|1972558336|12005| Rpr s/n/a/gen/trk12.6-20.0cm|161.90|202.38 58-1036115|1972558336|12006| Rpr s/n/a/gen/trk20.1-30.0cm|161.90|202.38 58-1036115|1972558336|12007| Rpr s/n/ax/gen/trnk >30.0 cm|88.01|110.01 58-1036115|1972558336|12011| Rpr f/e/e/n/l/m 2.5 cm/<|0.00|0.00 58-1036115|1972558336|12013| Rpr f/e/e/n/l/m 2.6-5.0 cm|0.00|0.00 58-1036115|1972558336|12014| Rpr f/e/e/n/l/m 5.1-7.5 cm|0.00|0.00 58-1036115|1972558336|12015| Rpr f/e/e/n/l/m 7.6-12.5 cm|88.01|110.01 58-1036115|1972558336|12016| Rpr fe/e/en/l/m 12.6-20.0 cm|161.90|202.38 58-1036115|1972558336|12017| Rpr fe/e/en/l/m 20.1-30.0 cm|161.90|202.38 58-1036115|1972558336|12018| Rpr f/e/e/n/l/m >30.0 cm|88.01|110.01 58-1036115|1972558336|12020| Closure of split wound|254.31|317.89 58-1036115|1972558336|12021| Closure of split wound|161.90|202.38 58-1036115|1972558336|12031| Intmd rpr s/a/t/ext 2.5 cm/<|161.28|201.60 58-1036115|1972558336|12032| Intmd rpr s/a/t/ext 2.6-7.5|161.90|202.38 58-1036115|1972558336|12034| Intmd rpr s/tr/ext 7.6-12.5|161.90|202.38 58-1036115|1972558336|12035| Intmd rpr s/a/t/ext 12.6-20|161.90|202.38 58-1036115|1972558336|12036| Intmd rpr s/a/t/ext 20.1-30|254.31|317.89 58-1036115|1972558336|12037| Intmd rpr s/tr/ext >30.0 cm|817.02|1021.28 58-1036115|1972558336|12041| Intmd rpr n-hf/genit 2.5cm/<|157.32|196.65 58-1036115|1972558336|12042| Intmd rpr n-hf/genit2.6-7.5|161.90|202.38 58-1036115|1972558336|12044| Intmd rpr n-hf/genit7.6-12.5|254.31|317.89 58-1036115|1972558336|12045| Intmd rpr n-hf/genit12.6-20|254.31|317.89 58-1036115|1972558336|12046| Intmd rpr n-hf/genit20.1-30|161.90|202.38 58-1036115|1972558336|12047| Intmd rpr n-hf/genit >30.0cm|817.02|1021.28 58-1036115|1972558336|12051| Intmd rpr face/mm 2.5 cm/<|161.90|202.38 58-1036115|1972558336|12052| Intmd rpr face/mm 2.6-5.0 cm|161.90|202.38 58-1036115|1972558336|12053| Intmd rpr face/mm 5.1-7.5 cm|161.90|202.38 58-1036115|1972558336|12054| Intmd rpr face/mm 7.6-12.5cm|161.90|202.38 58-1036115|1972558336|12055| Intmd rpr face/mm 12.6-20 cm|161.90|202.38 58-1036115|1972558336|12056| Intmd rpr face/mm 20.1-30.0|161.90|202.38 58-1036115|1972558336|12057| Intmd rpr face/mm >30.0 cm|161.90|202.38 58-1036115|1972558336|13100| Cmplx rpr trunk 1.1-2.5 cm|254.31|317.89 58-1036115|1972558336|13101| Cmplx rpr trunk 2.6-7.5 cm|254.31|317.89 58-1036115|1972558336|13102| Cmplx rpr trunk addl 5cm/<|0.00|0.00 58-1036115|1972558336|13120| Cmplx rpr s/a/l 1.1-2.5 cm|254.31|317.89 58-1036115|1972558336|13121| Cmplx rpr s/a/l 2.6-7.5 cm|254.31|317.89 58-1036115|1972558336|13122| Cmplx rpr s/a/l addl 5 cm/>|0.00|0.00 58-1036115|1972558336|13131| Cmplx rpr f/c/c/m/n/ax/g/h/f|161.90|202.38 58-1036115|1972558336|13132| Cmplx rpr f/c/c/m/n/ax/g/h/f|254.31|317.89 58-1036115|1972558336|13133| Cmplx rpr f/c/c/m/n/ax/g/h/f|0.00|0.00 58-1036115|1972558336|13151| Cmplx rpr e/n/e/l 1.1-2.5 cm|254.31|317.89 58-1036115|1972558336|13152| Cmplx rpr e/n/e/l 2.6-7.5 cm|254.31|317.89 58-1036115|1972558336|13153| Cmplx rpr e/n/e/l addl 5cm/<|0.00|0.00 58-1036115|1972558336|13160| Late closure of wound|817.02|1021.28 58-1036115|1972558336|14000| Tis trnfr trunk 10 sq cm/<|817.02|1021.28 58-1036115|1972558336|14001| Tis trnfr trunk 10.1-30sqcm|817.02|1021.28 58-1036115|1972558336|14020| Tis trnfr s/a/l 10 sq cm/<|817.02|1021.28 58-1036115|1972558336|14021| Tis trnfr s/a/l 10.1-30 sqcm|817.02|1021.28 58-1036115|1972558336|14040| Tis trnfr f/c/c/m/n/a/g/h/f|817.02|1021.28 58-1036115|1972558336|14041| Tis trnfr f/c/c/m/n/a/g/h/f|817.02|1021.28 58-1036115|1972558336|14060| Tis trnfr e/n/e/l 10 sq cm/<|817.02|1021.28 58-1036115|1972558336|14061| Tis trnfr e/n/e/l10.1-30sqcm|817.02|1021.28 58-1036115|1972558336|14301| Tis trnfr any 30.1-60 sq cm|1411.94|1764.93 58-1036115|1972558336|14302| Tis trnfr addl 30 sq cm|0.00|0.00 58-1036115|1972558336|14350| Filleted finger/toe flap|817.02|1021.28 58-1036115|1972558336|15002| Wound prep trk/arm/leg|817.02|1021.28 58-1036115|1972558336|15003| Wound prep addl 100 cm|0.00|0.00 58-1036115|1972558336|15004| Wound prep f/n/hf/g|254.31|317.89 58-1036115|1972558336|15005| Wnd prep f/n/hf/g addl cm|0.00|0.00 58-1036115|1972558336|15040| Harvest cultured skin graft|817.02|1021.28 58-1036115|1972558336|15050| Skin pinch graft|254.31|317.89 58-1036115|1972558336|15100| Skin splt grft trnk/arm/leg|817.02|1021.28 58-1036115|1972558336|15101| Skin splt grft t/a/l add-on|0.00|0.00 58-1036115|1972558336|15110| Epidrm autogrft trnk/arm/leg|817.02|1021.28 58-1036115|1972558336|15111| Epidrm autogrft t/a/l add-on|0.00|0.00 58-1036115|1972558336|15115| Epidrm a-grft face/nck/hf/g|817.02|1021.28 58-1036115|1972558336|15116| Epidrm a-grft f/n/hf/g addl|0.00|0.00 58-1036115|1972558336|15120| Skn splt a-grft fac/nck/hf/g|1411.94|1764.93 58-1036115|1972558336|15121| Skn splt a-grft f/n/hf/g add|0.00|0.00 58-1036115|1972558336|15130| Derm autograft trnk/arm/leg|817.02|1021.28 58-1036115|1972558336|15131| Derm autograft t/a/l add-on|0.00|0.00 58-1036115|1972558336|15135| Derm autograft face/nck/hf/g|1411.94|1764.93 58-1036115|1972558336|15136| Derm autograft f/n/hf/g add|0.00|0.00 58-1036115|1972558336|15150| Cult skin grft t/arm/leg|817.02|1021.28 58-1036115|1972558336|15151| Cult skin grft t/a/l addl|0.00|0.00 58-1036115|1972558336|15152| Cult skin graft t/a/l +%|0.00|0.00 58-1036115|1972558336|15155| Cult skin graft f/n/hf/g|1411.94|1764.93 58-1036115|1972558336|15156| Cult skin grft f/n/hfg add|0.00|0.00 58-1036115|1972558336|15157| Cult epiderm grft f/n/hfg +%|0.00|0.00 58-1036115|1972558336|15200| Skin full graft trunk|817.02|1021.28 58-1036115|1972558336|15201| Skin full graft trunk add-on|0.00|0.00 58-1036115|1972558336|15220| Skin full graft sclp/arm/leg|817.02|1021.28 58-1036115|1972558336|15221| Skin full graft add-on|0.00|0.00 58-1036115|1972558336|15240| Skin full grft face/genit/hf|817.02|1021.28 58-1036115|1972558336|15241| Skin full graft add-on|0.00|0.00 58-1036115|1972558336|15260| Skin full graft een & lips|817.02|1021.28 58-1036115|1972558336|15261| Skin full graft add-on|0.00|0.00 58-1036115|1972558336|15271| Skin sub graft trnk/arm/leg|817.02|1021.28 58-1036115|1972558336|15272| Skin sub graft t/a/l add-on|0.00|0.00 58-1036115|1972558336|15273| Skin sub grft t/arm/lg child|1411.94|1764.93 58-1036115|1972558336|15274| Skn sub grft t/a/l child add|0.00|0.00 58-1036115|1972558336|15275| Skin sub graft face/nk/hf/g|817.02|1021.28 58-1036115|1972558336|15276| Skin sub graft f/n/hf/g addl|0.00|0.00 58-1036115|1972558336|15277| Skn sub grft f/n/hf/g child|817.02|1021.28 58-1036115|1972558336|15278| Skn sub grft f/n/hf/g ch add|0.00|0.00 58-1036115|1972558336|15570| Skin pedicle flap trunk|817.02|1021.28 58-1036115|1972558336|15572| Skin pedicle flap arms/legs|1411.94|1764.93 58-1036115|1972558336|15574| Pedcle fh/ch/ch/m/n/ax/g/h/f|817.02|1021.28 58-1036115|1972558336|15576| Pedicle e/n/e/l/ntroral|817.02|1021.28 58-1036115|1972558336|15600| Delay flap trunk|1411.94|1764.93 58-1036115|1972558336|15610| Delay flap arms/legs|817.02|1021.28 58-1036115|1972558336|15620| Delay flap f/c/c/n/ax/g/h/f|817.02|1021.28 58-1036115|1972558336|15630| Delay flap eye/nos/ear/lip|817.02|1021.28 58-1036115|1972558336|15650| Transfer skin pedicle flap|817.02|1021.28 58-1036115|1972558336|15730| Mdfc flap w/prsrv vasc pedcl|1411.94|1764.93 58-1036115|1972558336|15731| Forehead flap w/vasc pedicle|1411.94|1764.93 58-1036115|1972558336|15733| Musc myoq/fscq flp h&n pedcl|1411.94|1764.93 58-1036115|1972558336|15734| Muscle-skin graft trunk|1411.94|1764.93 58-1036115|1972558336|15736| Muscle-skin graft arm|817.02|1021.28 58-1036115|1972558336|15738| Muscle-skin graft leg|1411.94|1764.93 58-1036115|1972558336|15740| Island pedicle flap graft|817.02|1021.28 58-1036115|1972558336|15750| Neurovascular pedicle flap|1411.94|1764.93 58-1036115|1972558336|15756| Free myo/skin flap microvasc|0.00|0.00 58-1036115|1972558336|15757| Free skin flap microvasc|0.00|0.00 58-1036115|1972558336|15758| Free fascial flap microvasc|0.00|0.00 58-1036115|1972558336|15760| Composite skin graft|817.02|1021.28 58-1036115|1972558336|15770| Derma-fat-fascia graft|1411.94|1764.93 58-1036115|1972558336|15775| Hair trnspl 1-15 punch grfts|161.90|202.38 58-1036115|1972558336|15776| Hair trnspl >15 punch grafts|161.90|202.38 58-1036115|1972558336|15777| Acellular derm matrix implt|0.00|0.00 58-1036115|1972558336|15780| Dermabrasion total face|601.55|751.94 58-1036115|1972558336|15781| Dermabrasion segmental face|298.41|373.01 58-1036115|1972558336|15782| Dermabrasion other than face|437.04|546.30 58-1036115|1972558336|15783| Dermabrasion suprfl any site|161.90|202.38 58-1036115|1972558336|15786| Abrasion lesion single|0.00|0.00 58-1036115|1972558336|15787| Abrasion lesions add-on|0.00|0.00 58-1036115|1972558336|15788| Chemical peel face epiderm|0.00|0.00 58-1036115|1972558336|15789| Chemical peel face dermal|254.31|317.89 58-1036115|1972558336|15792| Chemical peel nonfacial|0.00|0.00 58-1036115|1972558336|15793| Chemical peel nonfacial|0.00|0.00 58-1036115|1972558336|15819| Plastic surgery neck|817.02|1021.28 58-1036115|1972558336|15820| Revision of lower eyelid|817.02|1021.28 58-1036115|1972558336|15821| Revision of lower eyelid|817.02|1021.28 58-1036115|1972558336|15822| Revision of upper eyelid|817.02|1021.28 58-1036115|1972558336|15823| Revision of upper eyelid|817.02|1021.28 58-1036115|1972558336|15824| Removal of forehead wrinkles|817.02|1021.28 58-1036115|1972558336|15825| Removal of neck wrinkles|1411.94|1764.93 58-1036115|1972558336|15826| Removal of brow wrinkles|1411.94|1764.93 58-1036115|1972558336|15828| Removal of face wrinkles|1411.94|1764.93 58-1036115|1972558336|15829| Removal of skin wrinkles|1411.94|1764.93 58-1036115|1972558336|15830| Exc skin abd|2046.03|2557.54 58-1036115|1972558336|15832| Excise excessive skin thigh|1062.77|1328.46 58-1036115|1972558336|15833| Excise excessive skin leg|1062.77|1328.46 58-1036115|1972558336|15834| Excise excessive skin hip|1062.77|1328.46 58-1036115|1972558336|15835| Excise excessive skin buttck|1062.77|1328.46 58-1036115|1972558336|15836| Excise excessive skin arm|1062.77|1328.46 58-1036115|1972558336|15837| Excise excess skin arm/hand|1062.77|1328.46 58-1036115|1972558336|15838| Excise excess skin fat pad|1062.77|1328.46 58-1036115|1972558336|15839| Excise excess skin & tissue|1062.77|1328.46 58-1036115|1972558336|15840| Nerve palsy fascial graft|1411.94|1764.93 58-1036115|1972558336|15841| Nerve palsy muscle graft|1411.94|1764.93 58-1036115|1972558336|15842| Nerve palsy microsurg graft|817.02|1021.28 58-1036115|1972558336|15845| Skin and muscle repair face|1411.94|1764.93 58-1036115|1972558336|15847| Exc skin abd add-on|0.00|0.00 58-1036115|1972558336|15850| Remove sutures same surgeon|254.31|317.89 58-1036115|1972558336|15851| Remove sutures diff surgeon|67.68|84.60 58-1036115|1972558336|15852| Dressing change not for burn|0.00|0.00 58-1036115|1972558336|15860| Test for blood flow in graft|0.00|0.00 58-1036115|1972558336|15876| Suction lipectomy head&neck|1411.94|1764.93 58-1036115|1972558336|15877| Suction lipectomy trunk|1411.94|1764.93 58-1036115|1972558336|15878| Suction lipectomy upr extrem|817.02|1021.28 58-1036115|1972558336|15879| Suction lipectomy lwr extrem|1411.94|1764.93 58-1036115|1972558336|15920| Removal of tail bone ulcer|1062.77|1328.46 58-1036115|1972558336|15922| Removal of tail bone ulcer|1411.94|1764.93 58-1036115|1972558336|15931| Remove sacrum pressure sore|542.88|678.60 58-1036115|1972558336|15933| Remove sacrum pressure sore|1062.77|1328.46 58-1036115|1972558336|15934| Remove sacrum pressure sore|1411.94|1764.93 58-1036115|1972558336|15935| Remove sacrum pressure sore|1411.94|1764.93 58-1036115|1972558336|15936| Remove sacrum pressure sore|817.02|1021.28 58-1036115|1972558336|15937| Remove sacrum pressure sore|817.02|1021.28 58-1036115|1972558336|15940| Remove hip pressure sore|1062.77|1328.46 58-1036115|1972558336|15941| Remove hip pressure sore|1062.77|1328.46 58-1036115|1972558336|15944| Remove hip pressure sore|1411.94|1764.93 58-1036115|1972558336|15945| Remove hip pressure sore|817.02|1021.28 58-1036115|1972558336|15946| Remove hip pressure sore|817.02|1021.28 58-1036115|1972558336|15950| Remove thigh pressure sore|542.88|678.60 58-1036115|1972558336|15951| Remove thigh pressure sore|1062.77|1328.46 58-1036115|1972558336|15952| Remove thigh pressure sore|817.02|1021.28 58-1036115|1972558336|15953| Remove thigh pressure sore|1411.94|1764.93 58-1036115|1972558336|15956| Remove thigh pressure sore|817.02|1021.28 58-1036115|1972558336|15958| Remove thigh pressure sore|1411.94|1764.93 58-1036115|1972558336|15999| Removal of pressure sore|285.48|356.85 58-1036115|1972558336|16000| Initial treatment of burn(s)|0.00|0.00 58-1036115|1972558336|16020| Dress/debrid p-thick burn s|0.00|0.00 58-1036115|1972558336|16025| Dress/debrid p-thick burn m|88.01|110.01 58-1036115|1972558336|16030| Dress/debrid p-thick burn l|161.90|202.38 58-1036115|1972558336|16035| Incision of burn scab initi|161.90|202.38 58-1036115|1972558336|16036| Escharotomy addl incision|0.00|0.00 58-1036115|1972558336|17000| Destruct premalg lesion|0.00|0.00 58-1036115|1972558336|17003| Destruct premalg les 2-14|0.00|0.00 58-1036115|1972558336|17004| Destroy premal lesions 15/>|91.80|114.75 58-1036115|1972558336|17106| Destruction of skin lesions|161.90|202.38 58-1036115|1972558336|17107| Destruction of skin lesions|253.08|316.35 58-1036115|1972558336|17108| Destruction of skin lesions|353.16|441.45 58-1036115|1972558336|17110| Destruct b9 lesion 1-14|0.00|0.00 58-1036115|1972558336|17111| Destruct lesion 15 or more|0.00|0.00 58-1036115|1972558336|17250| Chem caut of granltj tissue|0.00|0.00 58-1036115|1972558336|17260| Destruction of skin lesions|0.00|0.00 58-1036115|1972558336|17261| Destruction of skin lesions|0.00|0.00 58-1036115|1972558336|17262| Destruction of skin lesions|0.00|0.00 58-1036115|1972558336|17263| Destruction of skin lesions|0.00|0.00 58-1036115|1972558336|17264| Destruction of skin lesions|128.52|160.65 58-1036115|1972558336|17266| Destruction of skin lesions|140.04|175.05 58-1036115|1972558336|17270| Destruction of skin lesions|88.01|110.01 58-1036115|1972558336|17271| Destruction of skin lesions|88.01|110.01 58-1036115|1972558336|17272| Destruction of skin lesions|0.00|0.00 58-1036115|1972558336|17273| Destruction of skin lesions|126.72|158.40 58-1036115|1972558336|17274| Destruction of skin lesions|143.28|179.10 58-1036115|1972558336|17276| Destruction of skin lesions|157.68|197.10 58-1036115|1972558336|17280| Destruction of skin lesions|0.00|0.00 58-1036115|1972558336|17281| Destruction of skin lesions|109.80|137.25 58-1036115|1972558336|17282| Destruction of skin lesions|123.84|154.80 58-1036115|1972558336|17283| Destruction of skin lesions|140.40|175.50 58-1036115|1972558336|17284| Destruction of skin lesions|155.52|194.40 58-1036115|1972558336|17286| Destruction of skin lesions|181.80|227.25 58-1036115|1972558336|17311| Mohs 1 stage h/n/hf/g|254.31|317.89 58-1036115|1972558336|17312| Mohs addl stage|0.00|0.00 58-1036115|1972558336|17313| Mohs 1 stage t/a/l|254.31|317.89 58-1036115|1972558336|17314| Mohs addl stage t/a/l|0.00|0.00 58-1036115|1972558336|17315| Mohs surg addl block|0.00|0.00 58-1036115|1972558336|17340| Cryotherapy of skin|0.00|0.00 58-1036115|1972558336|17360| Skin peel therapy|0.00|0.00 58-1036115|1972558336|17380| Hair removal by electrolysis|254.31|317.89 58-1036115|1972558336|17999| Skin tissue procedure|86.95|108.69 58-1036115|1972558336|19000| Drainage of breast lesion|81.00|101.25 58-1036115|1972558336|19001| Drain breast lesion add-on|0.00|0.00 58-1036115|1972558336|19020| Incision of breast lesion|542.88|678.60 58-1036115|1972558336|19030| Injection for breast x-ray|0.00|0.00 58-1036115|1972558336|19081| Bx breast 1st lesion strtctc|542.88|678.60 58-1036115|1972558336|19082| Bx breast add lesion strtctc|0.00|0.00 58-1036115|1972558336|19083| Bx breast 1st lesion us imag|542.88|678.60 58-1036115|1972558336|19084| Bx breast add lesion us imag|0.00|0.00 58-1036115|1972558336|19085| Bx breast 1st lesion mr imag|542.88|678.60 58-1036115|1972558336|19086| Bx breast add lesion mr imag|0.00|0.00 58-1036115|1972558336|19100| Bx breast percut w/o image|542.88|678.60 58-1036115|1972558336|19101| Biopsy of breast open|1029.97|1287.46 58-1036115|1972558336|19105| Cryosurg ablate fa each|1029.97|1287.46 58-1036115|1972558336|19110| Nipple exploration|1029.97|1287.46 58-1036115|1972558336|19112| Excise breast duct fistula|1029.97|1287.46 58-1036115|1972558336|19120| Removal of breast lesion|1029.97|1287.46 58-1036115|1972558336|19125| Excision breast lesion|1029.97|1287.46 58-1036115|1972558336|19126| Excision addl breast lesion|0.00|0.00 58-1036115|1972558336|19260| Removal of chest wall lesion|1171.94|1464.93 58-1036115|1972558336|19271| Revision of chest wall|0.00|0.00 58-1036115|1972558336|19272| Extensive chest wall surgery|0.00|0.00 58-1036115|1972558336|19281| Perq device breast 1st imag|0.00|0.00 58-1036115|1972558336|19282| Perq device breast ea imag|0.00|0.00 58-1036115|1972558336|19283| Perq dev breast 1st strtctc|0.00|0.00 58-1036115|1972558336|19284| Perq dev breast add strtctc|0.00|0.00 58-1036115|1972558336|19285| Perq dev breast 1st us imag|0.00|0.00 58-1036115|1972558336|19286| Perq dev breast add us imag|0.00|0.00 58-1036115|1972558336|19287| Perq dev breast 1st mr guide|0.00|0.00 58-1036115|1972558336|19288| Perq dev breast add mr guide|0.00|0.00 58-1036115|1972558336|19294| Prep tum cav iort prtl mast|0.00|0.00 58-1036115|1972558336|19296| Place po breast cath for rad|3683.99|4604.99 58-1036115|1972558336|19297| Place breast cath for rad|0.00|0.00 58-1036115|1972558336|19298| Place breast rad tube/caths|2046.03|2557.54 58-1036115|1972558336|19300| Removal of breast tissue|1029.97|1287.46 58-1036115|1972558336|19301| Partial mastectomy|1029.97|1287.46 58-1036115|1972558336|19302| P-mastectomy w/ln removal|2046.03|2557.54 58-1036115|1972558336|19303| Mast simple complete|2046.03|2557.54 58-1036115|1972558336|19304| Mast subq|1029.97|1287.46 58-1036115|1972558336|19305| Mast radical|0.00|0.00 58-1036115|1972558336|19306| Mast rad urban type|0.00|0.00 58-1036115|1972558336|19307| Mast mod rad|2422.05|3027.56 58-1036115|1972558336|19316| Suspension of breast|2046.03|2557.54 58-1036115|1972558336|19318| Reduction of large breast|2046.03|2557.54 58-1036115|1972558336|19324| Enlarge breast|2453.68|3067.10 58-1036115|1972558336|19325| Enlarge breast with implant|2453.68|3067.10 58-1036115|1972558336|19328| Removal of breast implant|1029.97|1287.46 58-1036115|1972558336|19330| Removal of implant material|1029.97|1287.46 58-1036115|1972558336|19340| Immediate breast prosthesis|2046.03|2557.54 58-1036115|1972558336|19342| Delayed breast prosthesis|2453.68|3067.10 58-1036115|1972558336|19350| Breast reconstruction|1029.97|1287.46 58-1036115|1972558336|19355| Correct inverted nipple(s)|1029.97|1287.46 58-1036115|1972558336|19357| Breast reconstruction|3090.53|3863.16 58-1036115|1972558336|19361| Breast reconstr w/lat flap|0.00|0.00 58-1036115|1972558336|19364| Breast reconstruction|0.00|0.00 58-1036115|1972558336|19366| Breast reconstruction|2046.03|2557.54 58-1036115|1972558336|19367| Breast reconstruction|0.00|0.00 58-1036115|1972558336|19368| Breast reconstruction|0.00|0.00 58-1036115|1972558336|19369| Breast reconstruction|0.00|0.00 58-1036115|1972558336|19370| Surgery of breast capsule|1029.97|1287.46 58-1036115|1972558336|19371| Removal of breast capsule|1029.97|1287.46 58-1036115|1972558336|19380| Revise breast reconstruction|2046.03|2557.54 58-1036115|1972558336|19396| Design custom breast implant|1029.97|1287.46 58-1036115|1972558336|19499| Breast surgery procedure|1387.64|1734.55 58-1036115|1972558336|20005|I&d abscess subfascial|542.88|678.60 58-1036115|1972558336|20100| Explore wound neck|240.04|300.05 58-1036115|1972558336|20101| Explore wound chest|763.27|954.09 58-1036115|1972558336|20102| Explore wound abdomen|763.27|954.09 58-1036115|1972558336|20103| Explore wound extremity|298.41|373.01 58-1036115|1972558336|20150| Excise epiphyseal bar|1279.91|1599.89 58-1036115|1972558336|20200| Muscle biopsy|542.88|678.60 58-1036115|1972558336|20205| Deep muscle biopsy|1062.77|1328.46 58-1036115|1972558336|20206| Needle biopsy muscle|542.88|678.60 58-1036115|1972558336|20220| Bone biopsy trocar/needle|542.88|678.60 58-1036115|1972558336|20225| Bone biopsy trocar/needle|542.88|678.60 58-1036115|1972558336|20240| Bone biopsy open superficial|1062.77|1328.46 58-1036115|1972558336|20245| Bone biopsy open deep|1062.77|1328.46 58-1036115|1972558336|20250| Open bone biopsy|1279.91|1599.89 58-1036115|1972558336|20251| Open bone biopsy|2721.37|3401.71 58-1036115|1972558336|20500| Injection of sinus tract|57.24|71.55 58-1036115|1972558336|20501| Inject sinus tract for x-ray|0.00|0.00 58-1036115|1972558336|20520| Removal of foreign body|132.84|166.05 58-1036115|1972558336|20525| Removal of foreign body|1062.77|1328.46 58-1036115|1972558336|20526| Ther injection carp tunnel|39.96|49.95 58-1036115|1972558336|20527| Inj dupuytren cord w/enzyme|44.28|55.35 58-1036115|1972558336|20550| Inj tendon sheath/ligament|24.12|30.15 58-1036115|1972558336|20551| Inj tendon origin/insertion|32.40|40.50 58-1036115|1972558336|20552| Inj trigger point 1/2 muscl|30.24|100.00 58-1036115|1972558336|20553| Inject trigger points 3/>|35.28|100.00 58-1036115|1972558336|20555| Place ndl musc/tis for rt|737.58|921.98 58-1036115|1972558336|20600| Drain/inj joint/bursa w/o us|23.04|28.80 58-1036115|1972558336|20604| Drain/inj joint/bursa w/us|38.16|47.70 58-1036115|1972558336|20605| Drain/inj joint/bursa w/o us|24.48|30.60 58-1036115|1972558336|20606| Drain/inj joint/bursa w/us|41.76|52.20 58-1036115|1972558336|20610| Drain/inj joint/bursa w/o us|29.16|36.45 58-1036115|1972558336|20611| Drain/inj joint/bursa w/us|47.88|59.85 58-1036115|1972558336|20612| Aspirate/inj ganglion cyst|33.48|41.85 58-1036115|1972558336|20615| Treatment of bone cyst|152.64|190.80 58-1036115|1972558336|20650| Insert and remove bone pin|1279.91|1599.89 58-1036115|1972558336|20660| Apply rem fixation device|647.17|808.96 58-1036115|1972558336|20661| Application of head brace|0.00|0.00 58-1036115|1972558336|20662| Application of pelvis brace|737.58|921.98 58-1036115|1972558336|20663| Application of thigh brace|1279.91|1599.89 58-1036115|1972558336|20664| Application of halo|0.00|0.00 58-1036115|1972558336|20665| Removal of fixation device|171.91|214.89 58-1036115|1972558336|20670| Removal of support implant|542.88|678.60 58-1036115|1972558336|20680| Removal of support implant|1062.77|1328.46 58-1036115|1972558336|20690| Apply bone fixation device|2721.37|3401.71 58-1036115|1972558336|20692| Apply bone fixation device|7001.44|8751.80 58-1036115|1972558336|20693| Adjust bone fixation device|2721.37|3401.71 58-1036115|1972558336|20694| Remove bone fixation device|737.58|921.98 58-1036115|1972558336|20696| Comp multiplane ext fixation|7538.52|9423.15 58-1036115|1972558336|20697| Comp ext fixate strut change|737.58|921.98 58-1036115|1972558336|20802| Replantation arm complete|0.00|0.00 58-1036115|1972558336|20805| Replant forearm complete|0.00|0.00 58-1036115|1972558336|20808| Replantation hand complete|0.00|0.00 58-1036115|1972558336|20816| Replantation digit complete|0.00|0.00 58-1036115|1972558336|20822| Replantation digit complete|737.58|921.98 58-1036115|1972558336|20824| Replantation thumb complete|0.00|0.00 58-1036115|1972558336|20827| Replantation thumb complete|0.00|0.00 58-1036115|1972558336|20838| Replantation foot complete|0.00|0.00 58-1036115|1972558336|20900| Removal of bone for graft|2721.37|3401.71 58-1036115|1972558336|20902| Removal of bone for graft|2721.37|3401.71 58-1036115|1972558336|20910| Remove cartilage for graft|254.31|317.89 58-1036115|1972558336|20912| Remove cartilage for graft|1411.94|1764.93 58-1036115|1972558336|20920| Removal of fascia for graft|817.02|1021.28 58-1036115|1972558336|20922| Removal of fascia for graft|817.02|1021.28 58-1036115|1972558336|20924| Removal of tendon for graft|2721.37|3401.71 58-1036115|1972558336|20926| Removal of tissue for graft|1411.94|1764.93 58-1036115|1972558336|20930| Sp bone algrft morsel add-on|0.00|0.00 58-1036115|1972558336|20931| Sp bone algrft struct add-on|0.00|0.00 58-1036115|1972558336|20932|Osteoart algrft w/surf & b1|0.00|0.00 58-1036115|1972558336|20933|Hemicrt intrclry algrft prtl|0.00|0.00 58-1036115|1972558336|20934|Intercalary algrft compl|0.00|0.00 58-1036115|1972558336|20936| Sp bone agrft local add-on|0.00|0.00 58-1036115|1972558336|20937| Sp bone agrft morsel add-on|0.00|0.00 58-1036115|1972558336|20938| Sp bone agrft struct add-on|0.00|0.00 58-1036115|1972558336|20939| Bone marrow aspir bone grfg|0.00|0.00 58-1036115|1972558336|20950| Fluid pressure muscle|298.41|373.01 58-1036115|1972558336|20955| Fibula bone graft microvasc|0.00|0.00 58-1036115|1972558336|20956| Iliac bone graft microvasc|0.00|0.00 58-1036115|1972558336|20957| Mt bone graft microvasc|0.00|0.00 58-1036115|1972558336|20962| Other bone graft microvasc|0.00|0.00 58-1036115|1972558336|20969| Bone/skin graft microvasc|0.00|0.00 58-1036115|1972558336|20970| Bone/skin graft iliac crest|0.00|0.00 58-1036115|1972558336|20972| Bone/skin graft metatarsal|2721.37|3401.71 58-1036115|1972558336|20973| Bone/skin graft great toe|2721.37|3401.71 58-1036115|1972558336|20975| Electrical bone stimulation|0.00|0.00 58-1036115|1972558336|20979| Us bone stimulation|0.00|0.00 58-1036115|1972558336|20982| Ablate bone tumor(s) perq|2721.37|3401.71 58-1036115|1972558336|20983| Ablate bone tumor(s) perq|2721.37|3401.71 58-1036115|1972558336|20985| Cptr-asst dir ms px|0.00|0.00 58-1036115|1972558336|20999| Musculoskeletal surgery|110.92|138.65 58-1036115|1972558336|21010| Incision of jaw joint|952.18|1190.23 58-1036115|1972558336|21011| Exc face les sc <2 cm|229.68|287.10 58-1036115|1972558336|21012| Exc face les sbq 2 cm/>|542.88|678.60 58-1036115|1972558336|21013| Exc face tum deep < 2 cm|304.92|381.15 58-1036115|1972558336|21014| Exc face tum deep 2 cm/>|1062.77|1328.46 58-1036115|1972558336|21015| Resect face/scalp tum < 2 cm|1062.77|1328.46 58-1036115|1972558336|21016| Resect face/scalp tum 2 cm/>|1062.77|1328.46 58-1036115|1972558336|21025| Excision of bone lower jaw|2142.48|2678.10 58-1036115|1972558336|21026| Excision of facial bone(s)|2142.48|2678.10 58-1036115|1972558336|21029| Contour of face bone lesion|952.18|1190.23 58-1036115|1972558336|21030| Excise max/zygoma b9 tumor|328.68|410.85 58-1036115|1972558336|21031| Remove exostosis mandible|271.80|339.75 58-1036115|1972558336|21032| Remove exostosis maxilla|273.60|342.00 58-1036115|1972558336|21034| Excise max/zygoma mal tumor|2142.48|2678.10 58-1036115|1972558336|21040| Excise mandible lesion|952.18|1190.23 58-1036115|1972558336|21044| Removal of jaw bone lesion|2142.48|2678.10 58-1036115|1972558336|21045| Extensive jaw surgery|0.00|0.00 58-1036115|1972558336|21046| Remove mandible cyst complex|2142.48|2678.10 58-1036115|1972558336|21047| Excise lwr jaw cyst w/repair|2142.48|2678.10 58-1036115|1972558336|21048| Remove maxilla cyst complex|2142.48|2678.10 58-1036115|1972558336|21049| Excis uppr jaw cyst w/repair|2180.11|2725.14 58-1036115|1972558336|21050| Removal of jaw joint|2142.48|2678.10 58-1036115|1972558336|21060| Remove jaw joint cartilage|2142.48|2678.10 58-1036115|1972558336|21070| Remove coronoid process|2142.48|2678.10 58-1036115|1972558336|21073| Mnpj of tmj w/anesth|252.00|315.00 58-1036115|1972558336|21076| Prepare face/oral prosthesis|455.39|569.24 58-1036115|1972558336|21077| Prepare face/oral prosthesis|1143.35|1429.19 58-1036115|1972558336|21079| Prepare face/oral prosthesis|789.47|986.84 58-1036115|1972558336|21080| Prepare face/oral prosthesis|892.07|1115.09 58-1036115|1972558336|21081| Prepare face/oral prosthesis|828.35|1035.44 58-1036115|1972558336|21082| Prepare face/oral prosthesis|809.27|1011.59 58-1036115|1972558336|21083| Prepare face/oral prosthesis|795.59|994.49 58-1036115|1972558336|21084| Prepare face/oral prosthesis|897.11|1121.39 58-1036115|1972558336|21085| Prepare face/oral prosthesis|239.56|299.45 58-1036115|1972558336|21086| Prepare face/oral prosthesis|852.47|1065.59 58-1036115|1972558336|21087| Prepare face/oral prosthesis|855.35|1069.19 58-1036115|1972558336|21088| Prepare face/oral prosthesis|952.18|1190.23 58-1036115|1972558336|21089| Prepare face/oral prosthesis|101.58|126.97 58-1036115|1972558336|21100| Maxillofacial fixation|2142.48|2678.10 58-1036115|1972558336|21110| Interdental fixation|570.59|713.24 58-1036115|1972558336|21116| Injection jaw joint x-ray|0.00|0.00 58-1036115|1972558336|21120| Reconstruction of chin|2142.48|2678.10 58-1036115|1972558336|21121| Reconstruction of chin|952.18|1190.23 58-1036115|1972558336|21122| Reconstruction of chin|2142.48|2678.10 58-1036115|1972558336|21123| Reconstruction of chin|952.18|1190.23 58-1036115|1972558336|21125| Augmentation lower jaw bone|2142.48|2678.10 58-1036115|1972558336|21127| Augmentation lower jaw bone|2142.48|2678.10 58-1036115|1972558336|21137| Reduction of forehead|952.18|1190.23 58-1036115|1972558336|21138| Reduction of forehead|2142.48|2678.10 58-1036115|1972558336|21139| Reduction of forehead|2142.48|2678.10 58-1036115|1972558336|21141| Lefort i-1 piece w/o graft|0.00|0.00 58-1036115|1972558336|21142| Lefort i-2 piece w/o graft|0.00|0.00 58-1036115|1972558336|21143| Lefort i-3/> piece w/o graft|0.00|0.00 58-1036115|1972558336|21145| Lefort i-1 piece w/ graft|0.00|0.00 58-1036115|1972558336|21146| Lefort i-2 piece w/ graft|0.00|0.00 58-1036115|1972558336|21147| Lefort i-3/> piece w/ graft|0.00|0.00 58-1036115|1972558336|21150| Lefort ii anterior intrusion|2142.48|2678.10 58-1036115|1972558336|21151| Lefort ii w/bone grafts|0.00|0.00 58-1036115|1972558336|21154| Lefort iii w/o lefort i|0.00|0.00 58-1036115|1972558336|21155| Lefort iii w/ lefort i|0.00|0.00 58-1036115|1972558336|21159| Lefort iii w/fhdw/o lefort i|0.00|0.00 58-1036115|1972558336|21160| Lefort iii w/fhd w/ lefort i|0.00|0.00 58-1036115|1972558336|21172| Reconstruct orbit/forehead|2180.11|2725.14 58-1036115|1972558336|21175| Reconstruct orbit/forehead|2180.11|2725.14 58-1036115|1972558336|21179| Reconstruct entire forehead|0.00|0.00 58-1036115|1972558336|21180| Reconstruct entire forehead|0.00|0.00 58-1036115|1972558336|21181| Contour cranial bone lesion|2142.48|2678.10 58-1036115|1972558336|21182| Reconstruct cranial bone|0.00|0.00 58-1036115|1972558336|21183| Reconstruct cranial bone|0.00|0.00 58-1036115|1972558336|21184| Reconstruct cranial bone|0.00|0.00 58-1036115|1972558336|21188| Reconstruction of midface|0.00|0.00 58-1036115|1972558336|21193| Reconst lwr jaw w/o graft|2180.11|2725.14 58-1036115|1972558336|21194| Reconst lwr jaw w/graft|0.00|0.00 58-1036115|1972558336|21195| Reconst lwr jaw w/o fixation|2180.11|2725.14 58-1036115|1972558336|21196| Reconst lwr jaw w/fixation|0.00|0.00 58-1036115|1972558336|21198| Reconstr lwr jaw segment|2142.48|2678.10 58-1036115|1972558336|21199| Reconstr lwr jaw w/advance|2142.48|2678.10 58-1036115|1972558336|21206| Reconstruct upper jaw bone|2142.48|2678.10 58-1036115|1972558336|21208| Augmentation of facial bones|2142.48|2678.10 58-1036115|1972558336|21209| Reduction of facial bones|2142.48|2678.10 58-1036115|1972558336|21210| Face bone graft|2142.48|2678.10 58-1036115|1972558336|21215| Lower jaw bone graft|2142.48|2678.10 58-1036115|1972558336|21230| Rib cartilage graft|2142.48|2678.10 58-1036115|1972558336|21235| Ear cartilage graft|2142.48|2678.10 58-1036115|1972558336|21240| Reconstruction of jaw joint|2142.48|2678.10 58-1036115|1972558336|21242| Reconstruction of jaw joint|2142.48|2678.10 58-1036115|1972558336|21243| Reconstruction of jaw joint|11647.77|14559.71 58-1036115|1972558336|21244| Reconstruction of lower jaw|2142.48|2678.10 58-1036115|1972558336|21245| Reconstruction of jaw|2142.48|2678.10 58-1036115|1972558336|21246| Reconstruction of jaw|2142.48|2678.10 58-1036115|1972558336|21247| Reconstruct lower jaw bone|0.00|0.00 58-1036115|1972558336|21248| Reconstruction of jaw|2142.48|2678.10 58-1036115|1972558336|21249| Reconstruction of jaw|2142.48|2678.10 58-1036115|1972558336|21255| Reconstruct lower jaw bone|0.00|0.00 58-1036115|1972558336|21256| Reconstruction of orbit|2180.11|2725.14 58-1036115|1972558336|21260| Revise eye sockets|2142.48|2678.10 58-1036115|1972558336|21261| Revise eye sockets|2180.11|2725.14 58-1036115|1972558336|21263| Revise eye sockets|2180.11|2725.14 58-1036115|1972558336|21267| Revise eye sockets|2142.48|2678.10 58-1036115|1972558336|21268| Revise eye sockets|0.00|0.00 58-1036115|1972558336|21270| Augmentation cheek bone|2142.48|2678.10 58-1036115|1972558336|21275| Revision orbitofacial bones|2142.48|2678.10 58-1036115|1972558336|21280| Revision of eyelid|952.18|1190.23 58-1036115|1972558336|21282| Revision of eyelid|952.18|1190.23 58-1036115|1972558336|21295| Revision of jaw muscle/bone|592.89|741.11 58-1036115|1972558336|21296| Revision of jaw muscle/bone|952.18|1190.23 58-1036115|1972558336|21299| Cranio/maxillofacial surgery|101.58|126.97 58-1036115|1972558336|21310| Closed tx nose fx w/o manj|111.95|139.94 58-1036115|1972558336|21315| Closed tx nose fx w/o stablj|592.89|741.11 58-1036115|1972558336|21320| Closed tx nose fx w/ stablj|952.18|1190.23 58-1036115|1972558336|21325| Open tx nose fx uncomplicatd|952.18|1190.23 58-1036115|1972558336|21330| Open tx nose fx w/skele fixj|2142.48|2678.10 58-1036115|1972558336|21335| Open tx nose & septal fx|952.18|1190.23 58-1036115|1972558336|21336| Open tx septal fx w/wo stabj|1279.91|1599.89 58-1036115|1972558336|21337| Closed tx septal&nose fx|952.18|1190.23 58-1036115|1972558336|21338| Open nasoethmoid fx w/o fixj|2142.48|2678.10 58-1036115|1972558336|21339| Open nasoethmoid fx w/ fixj|2142.48|2678.10 58-1036115|1972558336|21340| Perq tx nasoethmoid fx|952.18|1190.23 58-1036115|1972558336|21343| Open tx dprsd front sinus fx|0.00|0.00 58-1036115|1972558336|21344| Open tx compl front sinus fx|0.00|0.00 58-1036115|1972558336|21345| Closed tx nose/jaw fx|592.89|741.11 58-1036115|1972558336|21346| Opn tx nasomax fx w/fixj|2180.11|2725.14 58-1036115|1972558336|21347| Opn tx nasomax fx multple|0.00|0.00 58-1036115|1972558336|21348| Opn tx nasomax fx w/graft|0.00|0.00 58-1036115|1972558336|21355| Perq tx malar fracture|952.18|1190.23 58-1036115|1972558336|21356| Opn tx dprsd zygomatic arch|2142.48|2678.10 58-1036115|1972558336|21360| Opn tx dprsd malar fracture|2142.48|2678.10 58-1036115|1972558336|21365| Opn tx complx malar fx|2180.11|2725.14 58-1036115|1972558336|21366| Opn tx complx malar w/grft|0.00|0.00 58-1036115|1972558336|21385| Opn tx orbit fx transantral|2180.11|2725.14 58-1036115|1972558336|21386| Opn tx orbit fx periorbital|2180.11|2725.14 58-1036115|1972558336|21387| Opn tx orbit fx combined|2180.11|2725.14 58-1036115|1972558336|21390| Opn tx orbit periorbtl implt|2142.48|2678.10 58-1036115|1972558336|21395| Opn tx orbit periorbt w/grft|2180.11|2725.14 58-1036115|1972558336|21400| Closed tx orbit w/o manipulj|239.56|299.45 58-1036115|1972558336|21401| Closed tx orbit w/manipulj|592.89|741.11 58-1036115|1972558336|21406| Opn tx orbit fx w/o implant|2142.48|2678.10 58-1036115|1972558336|21407| Opn tx orbit fx w/implant|2142.48|2678.10 58-1036115|1972558336|21408| Opn tx orbit fx w/bone grft|2180.11|2725.14 58-1036115|1972558336|21421| Treat mouth roof fracture|952.18|1190.23 58-1036115|1972558336|21422| Treat mouth roof fracture|0.00|0.00 58-1036115|1972558336|21423| Treat mouth roof fracture|0.00|0.00 58-1036115|1972558336|21431| Treat craniofacial fracture|0.00|0.00 58-1036115|1972558336|21432| Treat craniofacial fracture|0.00|0.00 58-1036115|1972558336|21433| Treat craniofacial fracture|0.00|0.00 58-1036115|1972558336|21435| Treat craniofacial fracture|0.00|0.00 58-1036115|1972558336|21436| Treat craniofacial fracture|0.00|0.00 58-1036115|1972558336|21440| Treat dental ridge fracture|453.23|566.54 58-1036115|1972558336|21445| Treat dental ridge fracture|2142.48|2678.10 58-1036115|1972558336|21450| Treat lower jaw fracture|239.56|299.45 58-1036115|1972558336|21451| Treat lower jaw fracture|592.89|741.11 58-1036115|1972558336|21452| Treat lower jaw fracture|2142.48|2678.10 58-1036115|1972558336|21453| Treat lower jaw fracture|2142.48|2678.10 58-1036115|1972558336|21454| Treat lower jaw fracture|2142.48|2678.10 58-1036115|1972558336|21461| Treat lower jaw fracture|2142.48|2678.10 58-1036115|1972558336|21462| Treat lower jaw fracture|2142.48|2678.10 58-1036115|1972558336|21465| Treat lower jaw fracture|2142.48|2678.10 58-1036115|1972558336|21470| Treat lower jaw fracture|2180.11|2725.14 58-1036115|1972558336|21480| Reset dislocated jaw|111.95|139.94 58-1036115|1972558336|21485| Reset dislocated jaw|592.89|741.11 58-1036115|1972558336|21490| Repair dislocated jaw|952.18|1190.23 58-1036115|1972558336|21497| Interdental wiring|592.89|741.11 58-1036115|1972558336|21499| Head surgery procedure|101.58|126.97 58-1036115|1972558336|21501| Drain neck/chest lesion|1062.77|1328.46 58-1036115|1972558336|21502| Drain chest lesion|1279.91|1599.89 58-1036115|1972558336|21510| Drainage of bone lesion|0.00|0.00 58-1036115|1972558336|21550| Biopsy of neck/chest|542.88|678.60 58-1036115|1972558336|21552| Exc neck les sc 3 cm/>|1062.77|1328.46 58-1036115|1972558336|21554| Exc neck tum deep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|21555| Exc neck les sc < 3 cm|542.88|678.60 58-1036115|1972558336|21556| Exc neck tum deep < 5 cm|1062.77|1328.46 58-1036115|1972558336|21557| Resect neck thorax tumor<5cm|1062.77|1328.46 58-1036115|1972558336|21558| Resect neck tumor 5 cm/>|1062.77|1328.46 58-1036115|1972558336|21600| Partial removal of rib|2721.37|3401.71 58-1036115|1972558336|21610| Partial removal of rib|1279.91|1599.89 58-1036115|1972558336|21615| Removal of rib|0.00|0.00 58-1036115|1972558336|21616| Removal of rib and nerves|0.00|0.00 58-1036115|1972558336|21620| Partial removal of sternum|0.00|0.00 58-1036115|1972558336|21627| Sternal debridement|0.00|0.00 58-1036115|1972558336|21630| Extensive sternum surgery|0.00|0.00 58-1036115|1972558336|21632| Extensive sternum surgery|0.00|0.00 58-1036115|1972558336|21685| Hyoid myotomy & suspension|2142.48|2678.10 58-1036115|1972558336|21700| Revision of neck muscle|1279.91|1599.89 58-1036115|1972558336|21705| Revision of neck muscle/rib|0.00|0.00 58-1036115|1972558336|21720| Revision of neck muscle|1279.91|1599.89 58-1036115|1972558336|21725| Revision of neck muscle|298.41|373.01 58-1036115|1972558336|21740| Reconstruction of sternum|0.00|0.00 58-1036115|1972558336|21742| Repair stern/nuss w/o scope|1292.70|1615.87 58-1036115|1972558336|21743| Repair sternum/nuss w/scope|1292.70|1615.87 58-1036115|1972558336|21750| Repair of sternum separation|0.00|0.00 58-1036115|1972558336|21811| Optx of rib fx w/fixj scope|1292.70|1615.87 58-1036115|1972558336|21812| Treatment of rib fracture|1292.70|1615.87 58-1036115|1972558336|21813| Treatment of rib fracture|647.17|808.96 58-1036115|1972558336|21820| Treat sternum fracture|111.95|139.94 58-1036115|1972558336|21825| Treat sternum fracture|0.00|0.00 58-1036115|1972558336|21899| Neck/chest surgery procedure|101.58|126.97 58-1036115|1972558336|21920| Biopsy soft tissue of back|177.12|221.40 58-1036115|1972558336|21925| Biopsy soft tissue of back|542.88|678.60 58-1036115|1972558336|21930| Exc back les sc < 3 cm|542.88|678.60 58-1036115|1972558336|21931| Exc back les sc 3 cm/>|542.88|678.60 58-1036115|1972558336|21932| Exc back tum deep < 5 cm|1062.77|1328.46 58-1036115|1972558336|21933| Exc back tum deep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|21935| Resect back tum < 5 cm|1062.77|1328.46 58-1036115|1972558336|21936| Resect back tum 5 cm/>|1062.77|1328.46 58-1036115|1972558336|22010| I&d p-spine c/t/cerv-thor|0.00|0.00 58-1036115|1972558336|22015| I&d abscess p-spine l/s/ls|0.00|0.00 58-1036115|1972558336|22100| Remove part of neck vertebra|2808.57|3510.71 58-1036115|1972558336|22101| Remove part thorax vertebra|1292.70|1615.87 58-1036115|1972558336|22102| Remove part lumbar vertebra|2721.37|3401.71 58-1036115|1972558336|22103| Remove extra spine segment|0.00|0.00 58-1036115|1972558336|22110| Remove part of neck vertebra|0.00|0.00 58-1036115|1972558336|22112| Remove part thorax vertebra|0.00|0.00 58-1036115|1972558336|22114| Remove part lumbar vertebra|0.00|0.00 58-1036115|1972558336|22116| Remove extra spine segment|0.00|0.00 58-1036115|1972558336|22206| Incis spine 3 column thorac|0.00|0.00 58-1036115|1972558336|22207| Incis spine 3 column lumbar|0.00|0.00 58-1036115|1972558336|22208| Incis spine 3 column adl seg|0.00|0.00 58-1036115|1972558336|22210| Incis 1 vertebral seg cerv|0.00|0.00 58-1036115|1972558336|22212| Incis 1 vertebral seg thorac|0.00|0.00 58-1036115|1972558336|22214| Incis 1 vertebral seg lumbar|0.00|0.00 58-1036115|1972558336|22216| Incis addl spine segment|0.00|0.00 58-1036115|1972558336|22220| Incis w/discectomy cervical|0.00|0.00 58-1036115|1972558336|22222| Incis w/discectomy thoracic|0.00|0.00 58-1036115|1972558336|22224| Incis w/discectomy lumbar|0.00|0.00 58-1036115|1972558336|22226| Revise extra spine segment|0.00|0.00 58-1036115|1972558336|22310| Closed tx vert fx w/o manj|111.95|139.94 58-1036115|1972558336|22315| Closed tx vert fx w/manj|737.58|921.98 58-1036115|1972558336|22318| Treat odontoid fx w/o graft|0.00|0.00 58-1036115|1972558336|22319| Treat odontoid fx w/graft|0.00|0.00 58-1036115|1972558336|22325| Treat spine fracture|0.00|0.00 58-1036115|1972558336|22326| Treat neck spine fracture|0.00|0.00 58-1036115|1972558336|22327| Treat thorax spine fracture|0.00|0.00 58-1036115|1972558336|22328| Treat each add spine fx|0.00|0.00 58-1036115|1972558336|22505| Manipulation of spine|737.58|921.98 58-1036115|1972558336|22510| Perq cervicothoracic inject|1279.91|1599.89 58-1036115|1972558336|22511| Perq lumbosacral injection|1279.91|1599.89 58-1036115|1972558336|22512| Vertebroplasty addl inject|0.00|0.00 58-1036115|1972558336|22513| Perq vertebral augmentation|2721.37|4000.00 58-1036115|1972558336|22514| Perq vertebral augmentation|2721.37|4000.00 58-1036115|1972558336|22515| Perq vertebral augmentation|0.00|750.00 58-1036115|1972558336|22532| Lat thorax spine fusion|0.00|0.00 58-1036115|1972558336|22533| Lat lumbar spine fusion|0.00|0.00 58-1036115|1972558336|22534| Lat thor/lumb addl seg|0.00|0.00 58-1036115|1972558336|22548| Neck spine fusion|0.00|0.00 58-1036115|1972558336|22551| Neck spine fuse&remov bel c2|7336.63|11000.00 58-1036115|1972558336|22552| Addl neck spine fusion|0.00|1000.00 58-1036115|1972558336|22554| Neck spine fusion|7070.44|8838.05 58-1036115|1972558336|22556| Thorax spine fusion|0.00|0.00 58-1036115|1972558336|22558| Lumbar spine fusion|0.00|0.00 58-1036115|1972558336|22585| Additional spinal fusion|0.00|0.00 58-1036115|1972558336|22586| Prescrl fuse w/ instr l5-s1|0.00|0.00 58-1036115|1972558336|22590| Spine & skull spinal fusion|0.00|0.00 58-1036115|1972558336|22595| Neck spinal fusion|0.00|0.00 58-1036115|1972558336|22600| Neck spine fusion|0.00|0.00 58-1036115|1972558336|22610| Thorax spine fusion|0.00|0.00 58-1036115|1972558336|22612| Lumbar spine fusion|5069.05|6336.31 58-1036115|1972558336|22614| Spine fusion extra segment|0.00|1000.00 58-1036115|1972558336|22630| Lumbar spine fusion|0.00|0.00 58-1036115|1972558336|22632| Spine fusion extra segment|0.00|0.00 58-1036115|1972558336|22633| Lumbar spine fusion combined|0.00|0.00 58-1036115|1972558336|22634| Spine fusion extra segment|0.00|0.00 58-1036115|1972558336|22800| Post fusion vert seg|0.00|0.00 58-1036115|1972558336|22808| Ant fusion 2-3 vert seg|0.00|0.00 58-1036115|1972558336|22810| Ant fusion 4-7 vert seg|0.00|0.00 58-1036115|1972558336|22812| Ant fusion 8/> vert seg|0.00|0.00 58-1036115|1972558336|22818| Kyphectomy 1-2 segments|0.00|0.00 58-1036115|1972558336|22819| Kyphectomy 3 or more|0.00|0.00 58-1036115|1972558336|22830| Exploration of spinal fusion|0.00|0.00 58-1036115|1972558336|22840| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22841| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22842| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22843| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22844| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22845| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22846| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22847| Insert spine fixation device|0.00|0.00 58-1036115|1972558336|22848| Insert pelv fixation device|0.00|0.00 58-1036115|1972558336|22849| Reinsert spinal fixation|0.00|0.00 58-1036115|1972558336|22850| Remove spine fixation device|0.00|0.00 58-1036115|1972558336|22852| Remove spine fixation device|0.00|0.00 58-1036115|1972558336|22853| Insj biomechanical device|0.00|0.00 58-1036115|1972558336|22854| Insj biomechanical device|0.00|0.00 58-1036115|1972558336|22855| Remove spine fixation device|0.00|0.00 58-1036115|1972558336|22856| Cerv artific diskectomy|11213.06|14016.29 58-1036115|1972558336|22857| Lumbar artif diskectomy|0.00|0.00 58-1036115|1972558336|22858| Second level cer diskectomy|0.00|0.00 58-1036115|1972558336|22859| Insj biomechanical device|0.00|0.00 58-1036115|1972558336|22861| Revise cerv artific disc|0.00|0.00 58-1036115|1972558336|22862| Revise lumbar artif disc|0.00|0.00 58-1036115|1972558336|22864| Remove cerv artif disc|0.00|0.00 58-1036115|1972558336|22865| Remove lumb artif disc|0.00|0.00 58-1036115|1972558336|22867| Insj stablj dev w/dcmprn|11927.18|14908.98 58-1036115|1972558336|22868| Insj stablj dev w/dcmprn|0.00|0.00 58-1036115|1972558336|22869| Insj stablj dev w/o dcmprn|11927.18|14908.98 58-1036115|1972558336|22870| Insj stablj dev w/o dcmprn|0.00|0.00 58-1036115|1972558336|22899| Spine surgery procedure|110.92|138.65 58-1036115|1972558336|22900| Exc abdl tum deep < 5 cm|1062.77|1328.46 58-1036115|1972558336|22901| Exc abdl tum deep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|22902| Exc abd les sc < 3 cm|542.88|678.60 58-1036115|1972558336|22903| Exc abd les sc 3 cm/>|1062.77|1328.46 58-1036115|1972558336|22904| Radical resect abd tumor<5cm|1062.77|1328.46 58-1036115|1972558336|22905| Rad resect abd tumor 5 cm/>|1062.77|1328.46 58-1036115|1972558336|22999| Abdomen surgery procedure|110.92|138.65 58-1036115|1972558336|23000| Removal of calcium deposits|1062.77|1328.46 58-1036115|1972558336|23020| Release shoulder joint|1279.91|1599.89 58-1036115|1972558336|23030| Drain shoulder lesion|1062.77|1328.46 58-1036115|1972558336|23031| Drain shoulder bursa|542.88|678.60 58-1036115|1972558336|23035| Drain shoulder bone lesion|737.58|921.98 58-1036115|1972558336|23040| Exploratory shoulder surgery|1279.91|1599.89 58-1036115|1972558336|23044| Exploratory shoulder surgery|1279.91|1599.89 58-1036115|1972558336|23065| Biopsy shoulder tissues|128.88|161.10 58-1036115|1972558336|23066| Biopsy shoulder tissues|1062.77|1328.46 58-1036115|1972558336|23071| Exc shoulder les sc 3 cm/>|542.88|678.60 58-1036115|1972558336|23073| Exc shoulder tum deep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|23075| Exc shoulder les sc < 3 cm|542.88|678.60 58-1036115|1972558336|23076| Exc shoulder tum deep < 5 cm|1062.77|1328.46 58-1036115|1972558336|23077| Resect shoulder tumor < 5 cm|1062.77|1328.46 58-1036115|1972558336|23078| Resect shoulder tumor 5 cm/>|1062.77|1328.46 58-1036115|1972558336|23100| Biopsy of shoulder joint|737.58|921.98 58-1036115|1972558336|23101| Shoulder joint surgery|1279.91|1599.89 58-1036115|1972558336|23105| Remove shoulder joint lining|2721.37|3401.71 58-1036115|1972558336|23106| Incision of collarbone joint|1279.91|1599.89 58-1036115|1972558336|23107| Explore treat shoulder joint|2721.37|3401.71 58-1036115|1972558336|23120| Partial removal collar bone|1279.91|1599.89 58-1036115|1972558336|23125| Removal of collar bone|1279.91|1599.89 58-1036115|1972558336|23130| Remove shoulder bone part|1279.91|1599.89 58-1036115|1972558336|23140| Removal of bone lesion|1279.91|1599.89 58-1036115|1972558336|23145| Removal of bone lesion|1279.91|1599.89 58-1036115|1972558336|23146| Removal of bone lesion|2721.37|3401.71 58-1036115|1972558336|23150| Removal of humerus lesion|1279.91|1599.89 58-1036115|1972558336|23155| Removal of humerus lesion|2721.37|3401.71 58-1036115|1972558336|23156| Removal of humerus lesion|2721.37|3401.71 58-1036115|1972558336|23170| Remove collar bone lesion|737.58|921.98 58-1036115|1972558336|23172| Remove shoulder blade lesion|1279.91|1599.89 58-1036115|1972558336|23174| Remove humerus lesion|1279.91|1599.89 58-1036115|1972558336|23180| Remove collar bone lesion|1279.91|1599.89 58-1036115|1972558336|23182| Remove shoulder blade lesion|1279.91|1599.89 58-1036115|1972558336|23184| Remove humerus lesion|2721.37|3401.71 58-1036115|1972558336|23190| Partial removal of scapula|1279.91|1599.89 58-1036115|1972558336|23195| Removal of head of humerus|2721.37|3401.71 58-1036115|1972558336|23200| Resect clavicle tumor|0.00|0.00 58-1036115|1972558336|23210| Resect scapula tumor|0.00|0.00 58-1036115|1972558336|23220| Resect prox humerus tumor|0.00|0.00 58-1036115|1972558336|23330| Remove shoulder foreign body|298.41|373.01 58-1036115|1972558336|23333| Remove shoulder fb deep|542.88|678.60 58-1036115|1972558336|23334| Shoulder prosthesis removal|1062.77|1328.46 58-1036115|1972558336|23335| Shoulder prosthesis removal|0.00|0.00 58-1036115|1972558336|23350| Injection for shoulder x-ray|0.00|0.00 58-1036115|1972558336|23395| Muscle transfer shoulder/arm|2721.37|3401.71 58-1036115|1972558336|23397| Muscle transfers|2721.37|3401.71 58-1036115|1972558336|23400| Fixation of shoulder blade|2721.37|3401.71 58-1036115|1972558336|23405| Incision of tendon & muscle|2721.37|3401.71 58-1036115|1972558336|23406| Incise tendon(s) & muscle(s)|2173.10|2716.38 58-1036115|1972558336|23410| Repair rotator cuff acute|2721.37|3401.71 58-1036115|1972558336|23412| Repair rotator cuff chronic|2721.37|3401.71 58-1036115|1972558336|23415| Release of shoulder ligament|2721.37|3401.71 58-1036115|1972558336|23420| Repair of shoulder|2721.37|3401.71 58-1036115|1972558336|23430| Repair biceps tendon|2721.37|3401.71 58-1036115|1972558336|23440| Remove/transplant tendon|1279.91|1599.89 58-1036115|1972558336|23450| Repair shoulder capsule|2721.37|3401.71 58-1036115|1972558336|23455| Repair shoulder capsule|2721.37|3401.71 58-1036115|1972558336|23460| Repair shoulder capsule|2721.37|3401.71 58-1036115|1972558336|23462| Repair shoulder capsule|2721.37|3401.71 58-1036115|1972558336|23465| Repair shoulder capsule|2721.37|3401.71 58-1036115|1972558336|23466| Repair shoulder capsule|2721.37|3401.71 58-1036115|1972558336|23470| Reconstruct shoulder joint|5279.44|6599.30 58-1036115|1972558336|23472| Reconstruct shoulder joint|0.00|0.00 58-1036115|1972558336|23473| Revis reconst shoulder joint|5279.44|6599.30 58-1036115|1972558336|23474| Revis reconst shoulder joint|0.00|0.00 58-1036115|1972558336|23480| Revision of collar bone|2721.37|3401.71 58-1036115|1972558336|23485| Revision of collar bone|5069.05|6336.31 58-1036115|1972558336|23490| Reinforce clavicle|2721.37|3401.71 58-1036115|1972558336|23491| Reinforce shoulder bones|5069.05|6336.31 58-1036115|1972558336|23500| Treat clavicle fracture|111.95|139.94 58-1036115|1972558336|23505| Treat clavicle fracture|737.58|921.98 58-1036115|1972558336|23515| Treat clavicle fracture|2721.37|3401.71 58-1036115|1972558336|23520| Treat clavicle dislocation|737.58|921.98 58-1036115|1972558336|23525| Treat clavicle dislocation|111.95|139.94 58-1036115|1972558336|23530| Treat clavicle dislocation|2721.37|3401.71 58-1036115|1972558336|23532| Treat clavicle dislocation|2721.37|3401.71 58-1036115|1972558336|23540| Treat clavicle dislocation|111.95|139.94 58-1036115|1972558336|23545| Treat clavicle dislocation|111.95|139.94 58-1036115|1972558336|23550| Treat clavicle dislocation|2721.37|3401.71 58-1036115|1972558336|23552| Treat clavicle dislocation|2721.37|3401.71 58-1036115|1972558336|23570| Treat shoulder blade fx|111.95|139.94 58-1036115|1972558336|23575| Treat shoulder blade fx|737.58|921.98 58-1036115|1972558336|23585| Treat scapula fracture|2721.37|3401.71 58-1036115|1972558336|23600| Treat humerus fracture|111.95|139.94 58-1036115|1972558336|23605| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|23615| Treat humerus fracture|7141.76|8927.20 58-1036115|1972558336|23616| Treat humerus fracture|11151.36|13939.20 58-1036115|1972558336|23620| Treat humerus fracture|111.95|139.94 58-1036115|1972558336|23625| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|23630| Treat humerus fracture|2721.37|3401.71 58-1036115|1972558336|23650| Treat shoulder dislocation|111.95|139.94 58-1036115|1972558336|23655| Treat shoulder dislocation|737.58|921.98 58-1036115|1972558336|23660| Treat shoulder dislocation|2721.37|3401.71 58-1036115|1972558336|23665| Treat dislocation/fracture|737.58|921.98 58-1036115|1972558336|23670| Treat dislocation/fracture|2721.37|3401.71 58-1036115|1972558336|23675| Treat dislocation/fracture|737.58|921.98 58-1036115|1972558336|23680| Treat dislocation/fracture|5069.05|6336.31 58-1036115|1972558336|23700| Fixation of shoulder|737.58|921.98 58-1036115|1972558336|23800| Fusion of shoulder joint|2721.37|3401.71 58-1036115|1972558336|23802| Fusion of shoulder joint|5069.05|6336.31 58-1036115|1972558336|23900| Amputation of arm & girdle|0.00|0.00 58-1036115|1972558336|23920| Amputation at shoulder joint|0.00|0.00 58-1036115|1972558336|23921| Amputation follow-up surgery|817.02|1021.28 58-1036115|1972558336|23929| Shoulder surgery procedure|110.92|138.65 58-1036115|1972558336|23930| Drainage of arm lesion|542.88|678.60 58-1036115|1972558336|23931| Drainage of arm bursa|542.88|678.60 58-1036115|1972558336|23935| Drain arm/elbow bone lesion|1279.91|1599.89 58-1036115|1972558336|24000| Exploratory elbow surgery|1279.91|1599.89 58-1036115|1972558336|24006| Release elbow joint|1279.91|1599.89 58-1036115|1972558336|24065| Biopsy arm/elbow soft tissue|176.40|220.50 58-1036115|1972558336|24066| Biopsy arm/elbow soft tissue|1062.77|1328.46 58-1036115|1972558336|24071| Exc arm/elbow les sc 3 cm/>|1062.77|1328.46 58-1036115|1972558336|24073| Ex arm/elbow tum deep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|24075| Exc arm/elbow les sc < 3 cm|542.88|678.60 58-1036115|1972558336|24076| Ex arm/elbow tum deep < 5 cm|1062.77|1328.46 58-1036115|1972558336|24077| Resect arm/elbow tum < 5 cm|1062.77|1328.46 58-1036115|1972558336|24079| Resect arm/elbow tum 5 cm/>|1062.77|1328.46 58-1036115|1972558336|24100| Biopsy elbow joint lining|1279.91|1599.89 58-1036115|1972558336|24101| Explore/treat elbow joint|1279.91|1599.89 58-1036115|1972558336|24102| Remove elbow joint lining|1279.91|1599.89 58-1036115|1972558336|24105| Removal of elbow bursa|1279.91|1599.89 58-1036115|1972558336|24110| Remove humerus lesion|1279.91|1599.89 58-1036115|1972558336|24115| Remove/graft bone lesion|2721.37|3401.71 58-1036115|1972558336|24116| Remove/graft bone lesion|2721.37|3401.71 58-1036115|1972558336|24120| Remove elbow lesion|1279.91|1599.89 58-1036115|1972558336|24125| Remove/graft bone lesion|1279.91|1599.89 58-1036115|1972558336|24126| Remove/graft bone lesion|2721.37|3401.71 58-1036115|1972558336|24130| Removal of head of radius|1279.91|1599.89 58-1036115|1972558336|24134| Removal of arm bone lesion|2721.37|3401.71 58-1036115|1972558336|24136| Remove radius bone lesion|1279.91|1599.89 58-1036115|1972558336|24138| Remove elbow bone lesion|2721.37|3401.71 58-1036115|1972558336|24140| Partial removal of arm bone|1279.91|1599.89 58-1036115|1972558336|24145| Partial removal of radius|2721.37|3401.71 58-1036115|1972558336|24147| Partial removal of elbow|1279.91|1599.89 58-1036115|1972558336|24149| Radical resection of elbow|2721.37|3401.71 58-1036115|1972558336|24150| Resect distal humerus tumor|2808.57|3510.71 58-1036115|1972558336|24152| Resect radius tumor|2721.37|3401.71 58-1036115|1972558336|24155| Removal of elbow joint|1279.91|1599.89 58-1036115|1972558336|24160| Remove elbow joint implant|1279.91|1599.89 58-1036115|1972558336|24164| Remove radius head implant|1279.91|1599.89 58-1036115|1972558336|24200| Removal of arm foreign body|138.96|173.70 58-1036115|1972558336|24201| Removal of arm foreign body|1062.77|1328.46 58-1036115|1972558336|24220| Injection for elbow x-ray|0.00|0.00 58-1036115|1972558336|24300| Manipulate elbow w/anesth|737.58|921.98 58-1036115|1972558336|24301| Muscle/tendon transfer|2721.37|3401.71 58-1036115|1972558336|24305| Arm tendon lengthening|1279.91|1599.89 58-1036115|1972558336|24310| Revision of arm tendon|1279.91|1599.89 58-1036115|1972558336|24320| Repair of arm tendon|2721.37|3401.71 58-1036115|1972558336|24330| Revision of arm muscles|1279.91|1599.89 58-1036115|1972558336|24331| Revision of arm muscles|2721.37|3401.71 58-1036115|1972558336|24332| Tenolysis triceps|1279.91|1599.89 58-1036115|1972558336|24340| Repair of biceps tendon|2721.37|3401.71 58-1036115|1972558336|24341| Repair arm tendon/muscle|2721.37|3401.71 58-1036115|1972558336|24342| Repair of ruptured tendon|2721.37|3401.71 58-1036115|1972558336|24343| Repr elbow lat ligmnt w/tiss|1279.91|1599.89 58-1036115|1972558336|24344| Reconstruct elbow lat ligmnt|2721.37|3401.71 58-1036115|1972558336|24345| Repr elbw med ligmnt w/tissu|2721.37|3401.71 58-1036115|1972558336|24346| Reconstruct elbow med ligmnt|5069.05|6336.31 58-1036115|1972558336|24357| Repair elbow perc|737.58|921.98 58-1036115|1972558336|24358| Repair elbow w/deb open|1279.91|1599.89 58-1036115|1972558336|24359| Repair elbow deb/attch open|1279.91|1599.89 58-1036115|1972558336|24360| Reconstruct elbow joint|2721.37|3401.71 58-1036115|1972558336|24361| Reconstruct elbow joint|11407.89|14259.86 58-1036115|1972558336|24362| Reconstruct elbow joint|5069.05|6336.31 58-1036115|1972558336|24363| Replace elbow joint|11851.61|14814.51 58-1036115|1972558336|24365| Reconstruct head of radius|5069.05|6336.31 58-1036115|1972558336|24366| Reconstruct head of radius|7800.03|9750.04 58-1036115|1972558336|24370| Revise reconst elbow joint|7092.34|8865.43 58-1036115|1972558336|24371| Revise reconst elbow joint|10957.23|13696.54 58-1036115|1972558336|24400| Revision of humerus|2721.37|3401.71 58-1036115|1972558336|24410| Revision of humerus|5069.05|6336.31 58-1036115|1972558336|24420| Revision of humerus|2721.37|3401.71 58-1036115|1972558336|24430| Repair of humerus|5069.05|6336.31 58-1036115|1972558336|24435| Repair humerus with graft|6981.86|8727.33 58-1036115|1972558336|24470| Revision of elbow joint|1279.91|1599.89 58-1036115|1972558336|24495| Decompression of forearm|2721.37|3401.71 58-1036115|1972558336|24498| Reinforce humerus|5069.05|6336.31 58-1036115|1972558336|24500| Treat humerus fracture|111.95|139.94 58-1036115|1972558336|24505| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|24515| Treat humerus fracture|5069.05|6336.31 58-1036115|1972558336|24516| Treat humerus fracture|5069.05|6336.31 58-1036115|1972558336|24530| Treat humerus fracture|111.95|139.94 58-1036115|1972558336|24535| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|24538| Treat humerus fracture|2721.37|3401.71 58-1036115|1972558336|24545| Treat humerus fracture|7083.96|8854.95 58-1036115|1972558336|24546| Treat humerus fracture|10514.21|13142.76 58-1036115|1972558336|24560| Treat humerus fracture|111.95|139.94 58-1036115|1972558336|24565| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|24566| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|24575| Treat humerus fracture|5069.05|6336.31 58-1036115|1972558336|24576| Treat humerus fracture|111.95|139.94 58-1036115|1972558336|24577| Treat humerus fracture|737.58|921.98 58-1036115|1972558336|24579| Treat humerus fracture|5069.05|6336.31 58-1036115|1972558336|24582| Treat humerus fracture|1279.91|1599.89 58-1036115|1972558336|24586| Treat elbow fracture|5069.05|6336.31 58-1036115|1972558336|24587| Treat elbow fracture|7062.04|8827.55 58-1036115|1972558336|24600| Treat elbow dislocation|111.95|139.94 58-1036115|1972558336|24605| Treat elbow dislocation|737.58|921.98 58-1036115|1972558336|24615| Treat elbow dislocation|2721.37|3401.71 58-1036115|1972558336|24620| Treat elbow fracture|737.58|921.98 58-1036115|1972558336|24635| Treat elbow fracture|2721.37|3401.71 58-1036115|1972558336|24640| Treat elbow dislocation|54.36|67.95 58-1036115|1972558336|24650| Treat radius fracture|111.95|139.94 58-1036115|1972558336|24655| Treat radius fracture|737.58|921.98 58-1036115|1972558336|24665| Treat radius fracture|2721.37|3401.71 58-1036115|1972558336|24666| Treat radius fracture|7883.95|9854.94 58-1036115|1972558336|24670| Treat ulnar fracture|111.95|139.94 58-1036115|1972558336|24675| Treat ulnar fracture|737.58|921.98 58-1036115|1972558336|24685| Treat ulnar fracture|2721.37|3401.71 58-1036115|1972558336|24800| Fusion of elbow joint|2721.37|3401.71 58-1036115|1972558336|24802| Fusion/graft of elbow joint|5069.05|6336.31 58-1036115|1972558336|24900| Amputation of upper arm|0.00|0.00 58-1036115|1972558336|24920| Amputation of upper arm|0.00|0.00 58-1036115|1972558336|24925| Amputation follow-up surgery|1279.91|1599.89 58-1036115|1972558336|24930| Amputation follow-up surgery|0.00|0.00 58-1036115|1972558336|24931| Amputate upper arm & implant|0.00|0.00 58-1036115|1972558336|24935| Revision of amputation|2808.57|3510.71 58-1036115|1972558336|24940| Revision of upper arm|0.00|0.00 58-1036115|1972558336|24999| Upper arm/elbow surgery|110.92|138.65 58-1036115|1972558336|25000| Incision of tendon sheath|737.58|921.98 58-1036115|1972558336|25001| Incise flexor carpi radialis|737.58|921.98 58-1036115|1972558336|25020| Decompress forearm 1 space|737.58|921.98 58-1036115|1972558336|25023| Decompress forearm 1 space|1279.91|1599.89 58-1036115|1972558336|25024| Decompress forearm 2 spaces|1279.91|1599.89 58-1036115|1972558336|25025| Decompress forearm 2 spaces|737.58|921.98 58-1036115|1972558336|25028| Drainage of forearm lesion|1279.91|1599.89 58-1036115|1972558336|25031| Drainage of forearm bursa|737.58|921.98 58-1036115|1972558336|25035| Treat forearm bone lesion|2721.37|3401.71 58-1036115|1972558336|25040| Explore/treat wrist joint|1279.91|1599.89 58-1036115|1972558336|25065| Biopsy forearm soft tissues|177.48|221.85 58-1036115|1972558336|25066| Biopsy forearm soft tissues|1062.77|1328.46 58-1036115|1972558336|25071| Exc forearm les sc 3 cm/>|542.88|678.60 58-1036115|1972558336|25073| Exc forearm tum deep 3 cm/>|1062.77|1328.46 58-1036115|1972558336|25075| Exc forearm les sc < 3 cm|542.88|678.60 58-1036115|1972558336|25076| Exc forearm tum deep < 3 cm|542.88|678.60 58-1036115|1972558336|25077| Resect forearm/wrist tum<3cm|542.88|678.60 58-1036115|1972558336|25078| Resect forarm/wrist tum 3cm>|1062.77|1328.46 58-1036115|1972558336|25085| Incision of wrist capsule|1279.91|1599.89 58-1036115|1972558336|25100| Biopsy of wrist joint|737.58|921.98 58-1036115|1972558336|25101| Explore/treat wrist joint|1279.91|1599.89 58-1036115|1972558336|25105| Remove wrist joint lining|1279.91|1599.89 58-1036115|1972558336|25107| Remove wrist joint cartilage|1279.91|1599.89 58-1036115|1972558336|25109| Excise tendon forearm/wrist|1279.91|1599.89 58-1036115|1972558336|25110| Remove wrist tendon lesion|737.58|921.98 58-1036115|1972558336|25111| Remove wrist tendon lesion|737.58|921.98 58-1036115|1972558336|25112| Reremove wrist tendon lesion|737.58|921.98 58-1036115|1972558336|25115| Remove wrist/forearm lesion|737.58|921.98 58-1036115|1972558336|25116| Remove wrist/forearm lesion|1279.91|1599.89 58-1036115|1972558336|25118| Excise wrist tendon sheath|737.58|921.98 58-1036115|1972558336|25119| Partial removal of ulna|1279.91|1599.89 58-1036115|1972558336|25120| Removal of forearm lesion|1279.91|1599.89 58-1036115|1972558336|25125| Remove/graft forearm lesion|737.58|921.98 58-1036115|1972558336|25126| Remove/graft forearm lesion|1279.91|1599.89 58-1036115|1972558336|25130| Removal of wrist lesion|1279.91|1599.89 58-1036115|1972558336|25135| Remove & graft wrist lesion|1279.91|1599.89 58-1036115|1972558336|25136| Remove & graft wrist lesion|2721.37|3401.71 58-1036115|1972558336|25145| Remove forearm bone lesion|1279.91|1599.89 58-1036115|1972558336|25150| Partial removal of ulna|1279.91|1599.89 58-1036115|1972558336|25151| Partial removal of radius|1279.91|1599.89 58-1036115|1972558336|25170| Resect radius/ulnar tumor|2808.57|3510.71 58-1036115|1972558336|25210| Removal of wrist bone|1279.91|1599.89 58-1036115|1972558336|25215| Removal of wrist bones|1279.91|1599.89 58-1036115|1972558336|25230| Partial removal of radius|1279.91|1599.89 58-1036115|1972558336|25240| Partial removal of ulna|1279.91|1599.89 58-1036115|1972558336|25246| Injection for wrist x-ray|0.00|0.00 58-1036115|1972558336|25248| Remove forearm foreign body|737.58|921.98 58-1036115|1972558336|25250| Removal of wrist prosthesis|737.58|921.98 58-1036115|1972558336|25251| Removal of wrist prosthesis|1279.91|1599.89 58-1036115|1972558336|25259| Manipulate wrist w/anesthes|737.58|921.98 58-1036115|1972558336|25260| Repair forearm tendon/muscle|1279.91|1599.89 58-1036115|1972558336|25263| Repair forearm tendon/muscle|1279.91|1599.89 58-1036115|1972558336|25265| Repair forearm tendon/muscle|1279.91|1599.89 58-1036115|1972558336|25270| Repair forearm tendon/muscle|1279.91|1599.89 58-1036115|1972558336|25272| Repair forearm tendon/muscle|1279.91|1599.89 58-1036115|1972558336|25274| Repair forearm tendon/muscle|1279.91|1599.89 58-1036115|1972558336|25275| Repair forearm tendon sheath|1279.91|1599.89 58-1036115|1972558336|25280| Revise wrist/forearm tendon|1279.91|1599.89 58-1036115|1972558336|25290| Incise wrist/forearm tendon|1279.91|1599.89 58-1036115|1972558336|25295| Release wrist/forearm tendon|1279.91|1599.89 58-1036115|1972558336|25300| Fusion of tendons at wrist|1279.91|1599.89 58-1036115|1972558336|25301| Fusion of tendons at wrist|1279.91|1599.89 58-1036115|1972558336|25310| Transplant forearm tendon|1279.91|1599.89 58-1036115|1972558336|25312| Transplant forearm tendon|1279.91|1599.89 58-1036115|1972558336|25315| Revise palsy hand tendon(s)|2721.37|3401.71 58-1036115|1972558336|25316| Revise palsy hand tendon(s)|2721.37|3401.71 58-1036115|1972558336|25320| Repair/revise wrist joint|2721.37|3401.71 58-1036115|1972558336|25332| Revise wrist joint|1279.91|1599.89 58-1036115|1972558336|25335| Realignment of hand|1279.91|1599.89 58-1036115|1972558336|25337| Reconstruct ulna/radioulnar|2721.37|3401.71 58-1036115|1972558336|25350| Revision of radius|3825.36|4781.70 58-1036115|1972558336|25355| Revision of radius|1279.91|1599.89 58-1036115|1972558336|25360| Revision of ulna|2721.37|3401.71 58-1036115|1972558336|25365| Revise radius & ulna|5069.05|6336.31 58-1036115|1972558336|25370| Revise radius or ulna|1279.91|1599.89 58-1036115|1972558336|25375| Revise radius & ulna|1279.91|1599.89 58-1036115|1972558336|25390| Shorten radius or ulna|2721.37|3401.71 58-1036115|1972558336|25391| Lengthen radius or ulna|7424.28|9280.35 58-1036115|1972558336|25392| Shorten radius & ulna|1279.91|1599.89 58-1036115|1972558336|25393| Lengthen radius & ulna|1279.91|1599.89 58-1036115|1972558336|25394| Repair carpal bone shorten|1279.91|1599.89 58-1036115|1972558336|25400| Repair radius or ulna|2721.37|3401.71 58-1036115|1972558336|25405| Repair/graft radius or ulna|2721.37|3401.71 58-1036115|1972558336|25415| Repair radius & ulna|2721.37|3401.71 58-1036115|1972558336|25420| Repair/graft radius & ulna|2721.37|3401.71 58-1036115|1972558336|25425| Repair/graft radius or ulna|2721.37|3401.71 58-1036115|1972558336|25426| Repair/graft radius & ulna|1279.91|1599.89 58-1036115|1972558336|25430| Vasc graft into carpal bone|1279.91|1599.89 58-1036115|1972558336|25431| Repair nonunion carpal bone|2721.37|3401.71 58-1036115|1972558336|25440| Repair/graft wrist bone|2721.37|3401.71 58-1036115|1972558336|25441| Reconstruct wrist joint|8269.50|10336.88 58-1036115|1972558336|25442| Reconstruct wrist joint|11934.11|14917.64 58-1036115|1972558336|25443| Reconstruct wrist joint|4332.94|5416.18 58-1036115|1972558336|25444| Reconstruct wrist joint|8789.77|10987.21 58-1036115|1972558336|25445| Reconstruct wrist joint|2721.37|3401.71 58-1036115|1972558336|25446| Wrist replacement|12501.24|15626.55 58-1036115|1972558336|25447| Repair wrist joints|1279.91|1599.89 58-1036115|1972558336|25449| Remove wrist joint implant|2721.37|3401.71 58-1036115|1972558336|25450| Revision of wrist joint|1279.91|1599.89 58-1036115|1972558336|25455| Revision of wrist joint|1279.91|1599.89 58-1036115|1972558336|25490| Reinforce radius|2721.37|3401.71 58-1036115|1972558336|25491| Reinforce ulna|5069.05|6336.31 58-1036115|1972558336|25492| Reinforce radius and ulna|1279.91|1599.89 58-1036115|1972558336|25500| Treat fracture of radius|111.95|139.94 58-1036115|1972558336|25505| Treat fracture of radius|737.58|921.98 58-1036115|1972558336|25515| Treat fracture of radius|2721.37|3401.71 58-1036115|1972558336|25520| Treat fracture of radius|737.58|921.98 58-1036115|1972558336|25525| Treat fracture of radius|2721.37|3401.71 58-1036115|1972558336|25526| Treat fracture of radius|2721.37|3401.71 58-1036115|1972558336|25530| Treat fracture of ulna|111.95|139.94 58-1036115|1972558336|25535| Treat fracture of ulna|111.95|139.94 58-1036115|1972558336|25545| Treat fracture of ulna|2721.37|3401.71 58-1036115|1972558336|25560| Treat fracture radius & ulna|111.95|139.94 58-1036115|1972558336|25565| Treat fracture radius & ulna|737.58|921.98 58-1036115|1972558336|25574| Treat fracture radius & ulna|2721.37|3401.71 58-1036115|1972558336|25575| Treat fracture radius/ulna|2721.37|3401.71 58-1036115|1972558336|25600| Treat fracture radius/ulna|111.95|139.94 58-1036115|1972558336|25605| Treat fracture radius/ulna|737.58|921.98 58-1036115|1972558336|25606| Treat fx distal radial|1279.91|1599.89 58-1036115|1972558336|25607| Treat fx rad extra-articul|3820.11|4775.14 58-1036115|1972558336|25608| Treat fx rad intra-articul|3813.85|4767.31 58-1036115|1972558336|25609| Treat fx radial 3+ frag|3855.65|4819.56 58-1036115|1972558336|25622| Treat wrist bone fracture|111.95|139.94 58-1036115|1972558336|25624| Treat wrist bone fracture|737.58|921.98 58-1036115|1972558336|25628| Treat wrist bone fracture|2721.37|3401.71 58-1036115|1972558336|25630| Treat wrist bone fracture|111.95|139.94 58-1036115|1972558336|25635| Treat wrist bone fracture|737.58|921.98 58-1036115|1972558336|25645| Treat wrist bone fracture|1279.91|1599.89 58-1036115|1972558336|25650| Treat wrist bone fracture|111.95|139.94 58-1036115|1972558336|25651| Pin ulnar styloid fracture|1279.91|1599.89 58-1036115|1972558336|25652| Treat fracture ulnar styloid|2721.37|3401.71 58-1036115|1972558336|25660| Treat wrist dislocation|111.95|139.94 58-1036115|1972558336|25670| Treat wrist dislocation|1279.91|1599.89 58-1036115|1972558336|25671| Pin radioulnar dislocation|1279.91|1599.89 58-1036115|1972558336|25675| Treat wrist dislocation|111.95|139.94 58-1036115|1972558336|25676| Treat wrist dislocation|2721.37|3401.71 58-1036115|1972558336|25680| Treat wrist fracture|111.95|139.94 58-1036115|1972558336|25685| Treat wrist fracture|1279.91|1599.89 58-1036115|1972558336|25690| Treat wrist dislocation|737.58|921.98 58-1036115|1972558336|25695| Treat wrist dislocation|2721.37|3401.71 58-1036115|1972558336|25800| Fusion of wrist joint|2721.37|3401.71 58-1036115|1972558336|25805| Fusion/graft of wrist joint|2721.37|3401.71 58-1036115|1972558336|25810| Fusion/graft of wrist joint|5069.05|6336.31 58-1036115|1972558336|25820| Fusion of hand bones|2721.37|3401.71 58-1036115|1972558336|25825| Fuse hand bones with graft|2721.37|3401.71 58-1036115|1972558336|25830| Fusion radioulnar jnt/ulna|2721.37|3401.71 58-1036115|1972558336|25900| Amputation of forearm|0.00|0.00 58-1036115|1972558336|25905| Amputation of forearm|0.00|0.00 58-1036115|1972558336|25907| Amputation follow-up surgery|1279.91|1599.89 58-1036115|1972558336|25909| Amputation follow-up surgery|1292.70|1615.87 58-1036115|1972558336|25915| Amputation of forearm|0.00|0.00 58-1036115|1972558336|25920| Amputate hand at wrist|0.00|0.00 58-1036115|1972558336|25922| Amputate hand at wrist|737.58|921.98 58-1036115|1972558336|25924| Amputation follow-up surgery|0.00|0.00 58-1036115|1972558336|25927| Amputation of hand|0.00|0.00 58-1036115|1972558336|25929| Amputation follow-up surgery|817.02|1021.28 58-1036115|1972558336|25931| Amputation follow-up surgery|1279.91|1599.89 58-1036115|1972558336|25999| Forearm or wrist surgery|110.92|138.65 58-1036115|1972558336|26010| Drainage of finger abscess|88.01|110.01 58-1036115|1972558336|26011| Drainage of finger abscess|542.88|678.60 58-1036115|1972558336|26020| Drain hand tendon sheath|1279.91|1599.89 58-1036115|1972558336|26025| Drainage of palm bursa|737.58|921.98 58-1036115|1972558336|26030| Drainage of palm bursas|1279.91|1599.89 58-1036115|1972558336|26034| Treat hand bone lesion|737.58|921.98 58-1036115|1972558336|26035| Decompress fingers/hand|737.58|921.98 58-1036115|1972558336|26037| Decompress fingers/hand|737.58|921.98 58-1036115|1972558336|26040| Release palm contracture|737.58|921.98 58-1036115|1972558336|26045| Release palm contracture|1279.91|1599.89 58-1036115|1972558336|26055| Incise finger tendon sheath|737.58|921.98 58-1036115|1972558336|26060| Incision of finger tendon|737.58|921.98 58-1036115|1972558336|26070| Explore/treat hand joint|737.58|921.98 58-1036115|1972558336|26075| Explore/treat finger joint|1279.91|1599.89 58-1036115|1972558336|26080| Explore/treat finger joint|737.58|921.98 58-1036115|1972558336|26100| Biopsy hand joint lining|1279.91|1599.89 58-1036115|1972558336|26105| Biopsy finger joint lining|1279.91|1599.89 58-1036115|1972558336|26110| Biopsy finger joint lining|737.58|921.98 58-1036115|1972558336|26111| Exc hand les sc 1.5 cm/>|542.88|678.60 58-1036115|1972558336|26113| Exc hand tum deep 1.5 cm/>|542.88|678.60 58-1036115|1972558336|26115| Exc hand les sc < 1.5 cm|542.88|678.60 58-1036115|1972558336|26116| Exc hand tum deep < 1.5 cm|542.88|678.60 58-1036115|1972558336|26117| Rad resect hand tumor < 3 cm|1062.77|1328.46 58-1036115|1972558336|26118| Rad resect hand tumor 3 cm/>|1062.77|1328.46 58-1036115|1972558336|26121| Release palm contracture|1279.91|1599.89 58-1036115|1972558336|26123| Release palm contracture|1279.91|1599.89 58-1036115|1972558336|26125| Release palm contracture|0.00|0.00 58-1036115|1972558336|26130| Remove wrist joint lining|1279.91|1599.89 58-1036115|1972558336|26135| Revise finger joint each|1279.91|1599.89 58-1036115|1972558336|26140| Revise finger joint each|737.58|921.98 58-1036115|1972558336|26145| Tendon excision palm/finger|737.58|921.98 58-1036115|1972558336|26160| Remove tendon sheath lesion|737.58|921.98 58-1036115|1972558336|26170| Removal of palm tendon each|737.58|921.98 58-1036115|1972558336|26180| Removal of finger tendon|737.58|921.98 58-1036115|1972558336|26185| Remove finger bone|737.58|921.98 58-1036115|1972558336|26200| Remove hand bone lesion|737.58|921.98 58-1036115|1972558336|26205| Remove/graft bone lesion|2721.37|3401.71 58-1036115|1972558336|26210| Removal of finger lesion|737.58|921.98 58-1036115|1972558336|26215| Remove/graft finger lesion|1279.91|1599.89 58-1036115|1972558336|26230| Partial removal of hand bone|1279.91|1599.89 58-1036115|1972558336|26235| Partial removal finger bone|737.58|921.98 58-1036115|1972558336|26236| Partial removal finger bone|737.58|921.98 58-1036115|1972558336|26250| Extensive hand surgery|737.58|921.98 58-1036115|1972558336|26260| Resect prox finger tumor|1279.91|1599.89 58-1036115|1972558336|26262| Resect distal finger tumor|737.58|921.98 58-1036115|1972558336|26320| Removal of implant from hand|542.88|678.60 58-1036115|1972558336|26340| Manipulate finger w/anesth|737.58|921.98 58-1036115|1972558336|26341| Manipulat palm cord post inj|63.36|79.20 58-1036115|1972558336|26350| Repair finger/hand tendon|1279.91|1599.89 58-1036115|1972558336|26352| Repair/graft hand tendon|1279.91|1599.89 58-1036115|1972558336|26356| Repair finger/hand tendon|1279.91|1599.89 58-1036115|1972558336|26357| Repair finger/hand tendon|1279.91|1599.89 58-1036115|1972558336|26358| Repair/graft hand tendon|1279.91|1599.89 58-1036115|1972558336|26370| Repair finger/hand tendon|1279.91|1599.89 58-1036115|1972558336|26372| Repair/graft hand tendon|2721.37|3401.71 58-1036115|1972558336|26373| Repair finger/hand tendon|1279.91|1599.89 58-1036115|1972558336|26390| Revise hand/finger tendon|2721.37|3401.71 58-1036115|1972558336|26392| Repair/graft hand tendon|2721.37|3401.71 58-1036115|1972558336|26410| Repair hand tendon|737.58|921.98 58-1036115|1972558336|26412| Repair/graft hand tendon|1279.91|1599.89 58-1036115|1972558336|26415| Excision hand/finger tendon|737.58|921.98 58-1036115|1972558336|26416| Graft hand or finger tendon|1279.91|1599.89 58-1036115|1972558336|26418| Repair finger tendon|737.58|921.98 58-1036115|1972558336|26420| Repair/graft finger tendon|1279.91|1599.89 58-1036115|1972558336|26426| Repair finger/hand tendon|1279.91|1599.89 58-1036115|1972558336|26428| Repair/graft finger tendon|1279.91|1599.89 58-1036115|1972558336|26432| Repair finger tendon|737.58|921.98 58-1036115|1972558336|26433| Repair finger tendon|1279.91|1599.89 58-1036115|1972558336|26434| Repair/graft finger tendon|1279.91|1599.89 58-1036115|1972558336|26437| Realignment of tendons|737.58|921.98 58-1036115|1972558336|26440| Release palm/finger tendon|737.58|921.98 58-1036115|1972558336|26442| Release palm & finger tendon|1279.91|1599.89 58-1036115|1972558336|26445| Release hand/finger tendon|1279.91|1599.89 58-1036115|1972558336|26449| Release forearm/hand tendon|1279.91|1599.89 58-1036115|1972558336|26450| Incision of palm tendon|1279.91|1599.89 58-1036115|1972558336|26455| Incision of finger tendon|737.58|921.98 58-1036115|1972558336|26460| Incise hand/finger tendon|737.58|921.98 58-1036115|1972558336|26471| Fusion of finger tendons|1279.91|1599.89 58-1036115|1972558336|26474| Fusion of finger tendons|737.58|921.98 58-1036115|1972558336|26476| Tendon lengthening|737.58|921.98 58-1036115|1972558336|26477| Tendon shortening|1279.91|1599.89 58-1036115|1972558336|26478| Lengthening of hand tendon|1279.91|1599.89 58-1036115|1972558336|26479| Shortening of hand tendon|737.58|921.98 58-1036115|1972558336|26480| Transplant hand tendon|1279.91|1599.89 58-1036115|1972558336|26483| Transplant/graft hand tendon|1279.91|1599.89 58-1036115|1972558336|26485| Transplant palm tendon|1279.91|1599.89 58-1036115|1972558336|26489| Transplant/graft palm tendon|1279.91|1599.89 58-1036115|1972558336|26490| Revise thumb tendon|1279.91|1599.89 58-1036115|1972558336|26492| Tendon transfer with graft|1279.91|1599.89 58-1036115|1972558336|26494| Hand tendon/muscle transfer|1279.91|1599.89 58-1036115|1972558336|26496| Revise thumb tendon|1279.91|1599.89 58-1036115|1972558336|26497| Finger tendon transfer|1279.91|1599.89 58-1036115|1972558336|26498| Finger tendon transfer|1279.91|1599.89 58-1036115|1972558336|26499| Revision of finger|737.58|921.98 58-1036115|1972558336|26500| Hand tendon reconstruction|2721.37|3401.71 58-1036115|1972558336|26502| Hand tendon reconstruction|1279.91|1599.89 58-1036115|1972558336|26508| Release thumb contracture|1279.91|1599.89 58-1036115|1972558336|26510| Thumb tendon transfer|1279.91|1599.89 58-1036115|1972558336|26516| Fusion of knuckle joint|1279.91|1599.89 58-1036115|1972558336|26517| Fusion of knuckle joints|1279.91|1599.89 58-1036115|1972558336|26518| Fusion of knuckle joints|1279.91|1599.89 58-1036115|1972558336|26520| Release knuckle contracture|1279.91|1599.89 58-1036115|1972558336|26525| Release finger contracture|737.58|921.98 58-1036115|1972558336|26530| Revise knuckle joint|1279.91|1599.89 58-1036115|1972558336|26531| Revise knuckle with implant|3811.85|4764.81 58-1036115|1972558336|26535| Revise finger joint|1279.91|1599.89 58-1036115|1972558336|26536| Revise/implant finger joint|2721.37|3401.71 58-1036115|1972558336|26540| Repair hand joint|1279.91|1599.89 58-1036115|1972558336|26541| Repair hand joint with graft|1279.91|1599.89 58-1036115|1972558336|26542| Repair hand joint with graft|1279.91|1599.89 58-1036115|1972558336|26545| Reconstruct finger joint|1279.91|1599.89 58-1036115|1972558336|26546| Repair nonunion hand|2721.37|3401.71 58-1036115|1972558336|26548| Reconstruct finger joint|1279.91|1599.89 58-1036115|1972558336|26550| Construct thumb replacement|1279.91|1599.89 58-1036115|1972558336|26551| Great toe-hand transfer|0.00|0.00 58-1036115|1972558336|26553| Single transfer toe-hand|0.00|0.00 58-1036115|1972558336|26554| Double transfer toe-hand|0.00|0.00 58-1036115|1972558336|26555| Positional change of finger|2721.37|3401.71 58-1036115|1972558336|26556| Toe joint transfer|0.00|0.00 58-1036115|1972558336|26560| Repair of web finger|737.58|921.98 58-1036115|1972558336|26561| Repair of web finger|1279.91|1599.89 58-1036115|1972558336|26562| Repair of web finger|1279.91|1599.89 58-1036115|1972558336|26565| Correct metacarpal flaw|1279.91|1599.89 58-1036115|1972558336|26567| Correct finger deformity|1279.91|1599.89 58-1036115|1972558336|26568| Lengthen metacarpal/finger|2721.37|3401.71 58-1036115|1972558336|26580| Repair hand deformity|1279.91|1599.89 58-1036115|1972558336|26587| Reconstruct extra finger|1279.91|1599.89 58-1036115|1972558336|26590| Repair finger deformity|737.58|921.98 58-1036115|1972558336|26591| Repair muscles of hand|737.58|921.98 58-1036115|1972558336|26593| Release muscles of hand|1279.91|1599.89 58-1036115|1972558336|26596| Excision constricting tissue|1279.91|1599.89 58-1036115|1972558336|26600| Treat metacarpal fracture|111.95|139.94 58-1036115|1972558336|26605| Treat metacarpal fracture|111.95|139.94 58-1036115|1972558336|26607| Treat metacarpal fracture|737.58|921.98 58-1036115|1972558336|26608| Treat metacarpal fracture|1279.91|1599.89 58-1036115|1972558336|26615| Treat metacarpal fracture|1279.91|1599.89 58-1036115|1972558336|26641| Treat thumb dislocation|111.95|139.94 58-1036115|1972558336|26645| Treat thumb fracture|737.58|921.98 58-1036115|1972558336|26650| Treat thumb fracture|1279.91|1599.89 58-1036115|1972558336|26665| Treat thumb fracture|1279.91|1599.89 58-1036115|1972558336|26670| Treat hand dislocation|111.95|139.94 58-1036115|1972558336|26675| Treat hand dislocation|737.58|921.98 58-1036115|1972558336|26676| Pin hand dislocation|1279.91|1599.89 58-1036115|1972558336|26685| Treat hand dislocation|1279.91|1599.89 58-1036115|1972558336|26686| Treat hand dislocation|1279.91|1599.89 58-1036115|1972558336|26700| Treat knuckle dislocation|111.95|139.94 58-1036115|1972558336|26705| Treat knuckle dislocation|737.58|921.98 58-1036115|1972558336|26706| Pin knuckle dislocation|1279.91|1599.89 58-1036115|1972558336|26715| Treat knuckle dislocation|1279.91|1599.89 58-1036115|1972558336|26720| Treat finger fracture each|111.95|139.94 58-1036115|1972558336|26725| Treat finger fracture each|111.95|139.94 58-1036115|1972558336|26727| Treat finger fracture each|1279.91|1599.89 58-1036115|1972558336|26735| Treat finger fracture each|1279.91|1599.89 58-1036115|1972558336|26740| Treat finger fracture each|111.95|139.94 58-1036115|1972558336|26742| Treat finger fracture each|737.58|921.98 58-1036115|1972558336|26746| Treat finger fracture each|1279.91|1599.89 58-1036115|1972558336|26750| Treat finger fracture each|111.95|139.94 58-1036115|1972558336|26755| Treat finger fracture each|111.95|139.94 58-1036115|1972558336|26756| Pin finger fracture each|1279.91|1599.89 58-1036115|1972558336|26765| Treat finger fracture each|1279.91|1599.89 58-1036115|1972558336|26770| Treat finger dislocation|111.95|139.94 58-1036115|1972558336|26775| Treat finger dislocation|123.60|154.50 58-1036115|1972558336|26776| Pin finger dislocation|1279.91|1599.89 58-1036115|1972558336|26785| Treat finger dislocation|1279.91|1599.89 58-1036115|1972558336|26820| Thumb fusion with graft|2721.37|3401.71 58-1036115|1972558336|26841| Fusion of thumb|2721.37|3401.71 58-1036115|1972558336|26842| Thumb fusion with graft|2721.37|3401.71 58-1036115|1972558336|26843| Fusion of hand joint|2721.37|3401.71 58-1036115|1972558336|26844| Fusion/graft of hand joint|2721.37|3401.71 58-1036115|1972558336|26850| Fusion of knuckle|2721.37|3401.71 58-1036115|1972558336|26852| Fusion of knuckle with graft|2721.37|3401.71 58-1036115|1972558336|26860| Fusion of finger joint|1279.91|1599.89 58-1036115|1972558336|26861| Fusion of finger jnt add-on|0.00|0.00 58-1036115|1972558336|26862| Fusion/graft of finger joint|1279.91|1599.89 58-1036115|1972558336|26863| Fuse/graft added joint|0.00|0.00 58-1036115|1972558336|26910| Amputate metacarpal bone|1279.91|1599.89 58-1036115|1972558336|26951| Amputation of finger/thumb|1279.91|1599.89 58-1036115|1972558336|26952| Amputation of finger/thumb|1279.91|1599.89 58-1036115|1972558336|26989| Hand/finger surgery|110.92|138.65 58-1036115|1972558336|26990| Drainage of pelvis lesion|1279.91|1599.89 58-1036115|1972558336|26991| Drainage of pelvis bursa|737.58|921.98 58-1036115|1972558336|26992| Drainage of bone lesion|0.00|0.00 58-1036115|1972558336|27000| Incision of hip tendon|737.58|921.98 58-1036115|1972558336|27001| Incision of hip tendon|1279.91|1599.89 58-1036115|1972558336|27003| Incision of hip tendon|2721.37|3401.71 58-1036115|1972558336|27005| Incision of hip tendon|0.00|0.00 58-1036115|1972558336|27006| Incision of hip tendons|1292.70|1615.87 58-1036115|1972558336|27025| Incision of hip/thigh fascia|0.00|0.00 58-1036115|1972558336|27027| Buttock fasciotomy|2808.57|3510.71 58-1036115|1972558336|27030| Drainage of hip joint|0.00|0.00 58-1036115|1972558336|27033| Exploration of hip joint|1279.91|1599.89 58-1036115|1972558336|27035| Denervation of hip joint|1279.91|1599.89 58-1036115|1972558336|27036| Excision of hip joint/muscle|0.00|0.00 58-1036115|1972558336|27040| Biopsy of soft tissues|542.88|678.60 58-1036115|1972558336|27041| Biopsy of soft tissues|542.88|678.60 58-1036115|1972558336|27043| Exc hip pelvis les sc 3 cm/>|1062.77|1328.46 58-1036115|1972558336|27045| Exc hip/pelv tum deep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|27047| Exc hip/pelvis les sc < 3 cm|1062.77|1328.46 58-1036115|1972558336|27048| Exc hip/pelv tum deep < 5 cm|1062.77|1328.46 58-1036115|1972558336|27049| Resect hip/pelv tum < 5 cm|1062.77|1328.46 58-1036115|1972558336|27050| Biopsy of sacroiliac joint|737.58|921.98 58-1036115|1972558336|27052| Biopsy of hip joint|737.58|921.98 58-1036115|1972558336|27054| Removal of hip joint lining|0.00|0.00 58-1036115|1972558336|27057| Buttock fasciotomy w/dbrdmt|647.17|808.96 58-1036115|1972558336|27059| Resect hip/pelv tum 5 cm/>|1062.77|1328.46 58-1036115|1972558336|27060| Removal of ischial bursa|1279.91|1599.89 58-1036115|1972558336|27062| Remove femur lesion/bursa|1279.91|1599.89 58-1036115|1972558336|27065| Remove hip bone les super|1279.91|1599.89 58-1036115|1972558336|27066| Remove hip bone les deep|1279.91|1599.89 58-1036115|1972558336|27067| Remove/graft hip bone lesion|2721.37|3401.71 58-1036115|1972558336|27070| Part remove hip bone super|0.00|0.00 58-1036115|1972558336|27071| Part removal hip bone deep|0.00|0.00 58-1036115|1972558336|27075| Resect hip tumor|0.00|0.00 58-1036115|1972558336|27076| Resect hip tum incl acetabul|0.00|0.00 58-1036115|1972558336|27077| Resect hip tum w/innom bone|0.00|0.00 58-1036115|1972558336|27078| Rsect hip tum incl femur|0.00|0.00 58-1036115|1972558336|27080| Removal of tail bone|1279.91|1599.89 58-1036115|1972558336|27086| Remove hip foreign body|542.88|678.60 58-1036115|1972558336|27087| Remove hip foreign body|1279.91|1599.89 58-1036115|1972558336|27090| Removal of hip prosthesis|0.00|0.00 58-1036115|1972558336|27091| Removal of hip prosthesis|0.00|0.00 58-1036115|1972558336|27093| Injection for hip x-ray|0.00|0.00 58-1036115|1972558336|27095| Injection for hip x-ray|0.00|0.00 58-1036115|1972558336|27096|Injection sacroiliac joint|0.00|353.83 58-1036115|1972558336|27097| Revision of hip tendon|1279.91|1599.89 58-1036115|1972558336|27098| Transfer tendon to pelvis|737.58|921.98 58-1036115|1972558336|27100| Transfer of abdominal muscle|2721.37|3401.71 58-1036115|1972558336|27105| Transfer of spinal muscle|1279.91|1599.89 58-1036115|1972558336|27110| Transfer of iliopsoas muscle|2721.37|3401.71 58-1036115|1972558336|27111| Transfer of iliopsoas muscle|1279.91|1599.89 58-1036115|1972558336|27120| Reconstruction of hip socket|0.00|0.00 58-1036115|1972558336|27122| Reconstruction of hip socket|0.00|0.00 58-1036115|1972558336|27125| Partial hip replacement|0.00|0.00 58-1036115|1972558336|27130| Total hip arthroplasty|0.00|0.00 58-1036115|1972558336|27132| Total hip arthroplasty|0.00|0.00 58-1036115|1972558336|27134| Revise hip joint replacement|0.00|0.00 58-1036115|1972558336|27137| Revise hip joint replacement|0.00|0.00 58-1036115|1972558336|27138| Revise hip joint replacement|0.00|0.00 58-1036115|1972558336|27140| Transplant femur ridge|0.00|0.00 58-1036115|1972558336|27146| Incision of hip bone|0.00|0.00 58-1036115|1972558336|27147| Revision of hip bone|0.00|0.00 58-1036115|1972558336|27151| Incision of hip bones|0.00|0.00 58-1036115|1972558336|27156| Revision of hip bones|0.00|0.00 58-1036115|1972558336|27158| Revision of pelvis|0.00|0.00 58-1036115|1972558336|27161| Incision of neck of femur|0.00|0.00 58-1036115|1972558336|27165| Incision/fixation of femur|0.00|0.00 58-1036115|1972558336|27170| Repair/graft femur head/neck|0.00|0.00 58-1036115|1972558336|27175| Treat slipped epiphysis|0.00|0.00 58-1036115|1972558336|27176| Treat slipped epiphysis|0.00|0.00 58-1036115|1972558336|27177| Treat slipped epiphysis|0.00|0.00 58-1036115|1972558336|27178| Treat slipped epiphysis|0.00|0.00 58-1036115|1972558336|27179| Revise head/neck of femur|2808.57|3510.71 58-1036115|1972558336|27181| Treat slipped epiphysis|0.00|0.00 58-1036115|1972558336|27185| Revision of femur epiphysis|0.00|0.00 58-1036115|1972558336|27187| Reinforce hip bones|0.00|0.00 58-1036115|1972558336|27197| Clsd tx pelvic ring fx|111.95|139.94 58-1036115|1972558336|27198| Clsd tx pelvic ring fx|111.95|139.94 58-1036115|1972558336|27200| Treat tail bone fracture|106.92|133.65 58-1036115|1972558336|27202| Treat tail bone fracture|1279.91|1599.89 58-1036115|1972558336|27220| Treat hip socket fracture|111.95|139.94 58-1036115|1972558336|27222| Treat hip socket fracture|0.00|0.00 58-1036115|1972558336|27226| Treat hip wall fracture|0.00|0.00 58-1036115|1972558336|27227| Treat hip fracture(s)|0.00|0.00 58-1036115|1972558336|27228| Treat hip fracture(s)|0.00|0.00 58-1036115|1972558336|27230| Treat thigh fracture|111.95|139.94 58-1036115|1972558336|27232| Treat thigh fracture|0.00|0.00 58-1036115|1972558336|27235| Treat thigh fracture|2808.57|3510.71 58-1036115|1972558336|27236| Treat thigh fracture|0.00|0.00 58-1036115|1972558336|27238| Treat thigh fracture|737.58|921.98 58-1036115|1972558336|27240| Treat thigh fracture|0.00|0.00 58-1036115|1972558336|27244| Treat thigh fracture|0.00|0.00 58-1036115|1972558336|27245| Treat thigh fracture|0.00|0.00 58-1036115|1972558336|27246| Treat thigh fracture|111.95|139.94 58-1036115|1972558336|27248| Treat thigh fracture|0.00|0.00 58-1036115|1972558336|27250| Treat hip dislocation|111.95|139.94 58-1036115|1972558336|27252| Treat hip dislocation|737.58|921.98 58-1036115|1972558336|27253| Treat hip dislocation|0.00|0.00 58-1036115|1972558336|27254| Treat hip dislocation|0.00|0.00 58-1036115|1972558336|27256| Treat hip dislocation|111.95|139.94 58-1036115|1972558336|27257| Treat hip dislocation|737.58|921.98 58-1036115|1972558336|27258| Treat hip dislocation|0.00|0.00 58-1036115|1972558336|27259| Treat hip dislocation|0.00|0.00 58-1036115|1972558336|27265| Treat hip dislocation|111.95|139.94 58-1036115|1972558336|27266| Treat hip dislocation|737.58|921.98 58-1036115|1972558336|27267| Cltx thigh fx|737.58|921.98 58-1036115|1972558336|27268| Cltx thigh fx w/mnpj|0.00|0.00 58-1036115|1972558336|27269| Optx thigh fx|0.00|0.00 58-1036115|1972558336|27275| Manipulation of hip joint|737.58|921.98 58-1036115|1972558336|27279| Arthrodesis sacroiliac joint|12456.17|15570.21 58-1036115|1972558336|27280| Fusion of sacroiliac joint|0.00|0.00 58-1036115|1972558336|27282| Fusion of pubic bones|0.00|0.00 58-1036115|1972558336|27284| Fusion of hip joint|0.00|0.00 58-1036115|1972558336|27286| Fusion of hip joint|0.00|0.00 58-1036115|1972558336|27290| Amputation of leg at hip|0.00|0.00 58-1036115|1972558336|27295| Amputation of leg at hip|0.00|0.00 58-1036115|1972558336|27299| Pelvis/hip joint surgery|110.92|138.65 58-1036115|1972558336|27301| Drain thigh/knee lesion|1062.77|1328.46 58-1036115|1972558336|27303| Drainage of bone lesion|0.00|0.00 58-1036115|1972558336|27305| Incise thigh tendon & fascia|1279.91|1599.89 58-1036115|1972558336|27306| Incision of thigh tendon|737.58|921.98 58-1036115|1972558336|27307| Incision of thigh tendons|1279.91|1599.89 58-1036115|1972558336|27310| Exploration of knee joint|1279.91|1599.89 58-1036115|1972558336|27323| Biopsy thigh soft tissues|542.88|678.60 58-1036115|1972558336|27324| Biopsy thigh soft tissues|1062.77|1328.46 58-1036115|1972558336|27325| Neurectomy hamstring|785.41|981.76 58-1036115|1972558336|27326| Neurectomy popliteal|785.41|981.76 58-1036115|1972558336|27327| Exc thigh/knee les sc < 3 cm|542.88|678.60 58-1036115|1972558336|27328| Exc thigh/knee tum deep <5cm|1062.77|1328.46 58-1036115|1972558336|27329| Resect thigh/knee tum < 5 cm|1062.77|1328.46 58-1036115|1972558336|27330| Biopsy knee joint lining|1279.91|1599.89 58-1036115|1972558336|27331| Explore/treat knee joint|1279.91|1599.89 58-1036115|1972558336|27332| Removal of knee cartilage|1279.91|1599.89 58-1036115|1972558336|27333| Removal of knee cartilage|1279.91|1599.89 58-1036115|1972558336|27334| Remove knee joint lining|1279.91|1599.89 58-1036115|1972558336|27335| Remove knee joint lining|2721.37|3401.71 58-1036115|1972558336|27337| Exc thigh/knee les sc 3 cm/>|1062.77|1328.46 58-1036115|1972558336|27339| Exc thigh/knee tum dep 5cm/>|1062.77|1328.46 58-1036115|1972558336|27340| Removal of kneecap bursa|1279.91|1599.89 58-1036115|1972558336|27345| Removal of knee cyst|1279.91|1599.89 58-1036115|1972558336|27347| Remove knee cyst|1279.91|1599.89 58-1036115|1972558336|27350| Removal of kneecap|1279.91|1599.89 58-1036115|1972558336|27355| Remove femur lesion|1279.91|1599.89 58-1036115|1972558336|27356| Remove femur lesion/graft|5069.05|6336.31 58-1036115|1972558336|27357| Remove femur lesion/graft|2721.37|3401.71 58-1036115|1972558336|27358| Remove femur lesion/fixation|0.00|0.00 58-1036115|1972558336|27360| Partial removal leg bone(s)|1279.91|1599.89 58-1036115|1972558336|27364| Resect thigh/knee tum 5 cm/>|1062.77|1328.46 58-1036115|1972558336|27365| Resect femur/knee tumor|0.00|0.00 58-1036115|1972558336|27369|Njx cntrst kne arthg/ct/mri|0.00|0.00 58-1036115|1972558336|27370|Injection for knee x-ray|0.00|0.00 58-1036115|1972558336|27372| Removal of foreign body|1062.77|1328.46 58-1036115|1972558336|27380| Repair of kneecap tendon|2721.37|3401.71 58-1036115|1972558336|27381| Repair/graft kneecap tendon|2721.37|3401.71 58-1036115|1972558336|27385| Repair of thigh muscle|2721.37|3401.71 58-1036115|1972558336|27386| Repair/graft of thigh muscle|2721.37|3401.71 58-1036115|1972558336|27390| Incision of thigh tendon|1279.91|1599.89 58-1036115|1972558336|27391| Incision of thigh tendons|1279.91|1599.89 58-1036115|1972558336|27392| Incision of thigh tendons|1279.91|1599.89 58-1036115|1972558336|27393| Lengthening of thigh tendon|1279.91|1599.89 58-1036115|1972558336|27394| Lengthening of thigh tendons|2721.37|3401.71 58-1036115|1972558336|27395| Lengthening of thigh tendons|1279.91|1599.89 58-1036115|1972558336|27396| Transplant of thigh tendon|2721.37|3401.71 58-1036115|1972558336|27397| Transplants of thigh tendons|2721.37|3401.71 58-1036115|1972558336|27400| Revise thigh muscles/tendons|2721.37|3401.71 58-1036115|1972558336|27403| Repair of knee cartilage|1279.91|1599.89 58-1036115|1972558336|27405| Repair of knee ligament|2721.37|3401.71 58-1036115|1972558336|27407| Repair of knee ligament|2721.37|3401.71 58-1036115|1972558336|27409| Repair of knee ligaments|2721.37|3401.71 58-1036115|1972558336|27412| Autochondrocyte implant knee|2808.57|3510.71 58-1036115|1972558336|27415| Osteochondral knee allograft|8202.36|10252.95 58-1036115|1972558336|27416| Osteochondral knee autograft|2721.37|3401.71 58-1036115|1972558336|27418| Repair degenerated kneecap|2721.37|3401.71 58-1036115|1972558336|27420| Revision of unstable kneecap|2721.37|3401.71 58-1036115|1972558336|27422| Revision of unstable kneecap|2721.37|3401.71 58-1036115|1972558336|27424| Revision/removal of kneecap|2721.37|3401.71 58-1036115|1972558336|27425| Lat retinacular release open|1279.91|1599.89 58-1036115|1972558336|27427| Reconstruction knee|2721.37|3401.71 58-1036115|1972558336|27428| Reconstruction knee|5069.05|6336.31 58-1036115|1972558336|27429| Reconstruction knee|5069.05|6336.31 58-1036115|1972558336|27430| Revision of thigh muscles|2721.37|3401.71 58-1036115|1972558336|27435| Incision of knee joint|1279.91|1599.89 58-1036115|1972558336|27437| Revise kneecap|2721.37|3401.71 58-1036115|1972558336|27438| Revise kneecap with implant|7027.54|8784.43 58-1036115|1972558336|27440| Revision of knee joint|7293.74|9117.18 58-1036115|1972558336|27441| Revision of knee joint|5069.05|6336.31 58-1036115|1972558336|27442| Revision of knee joint|7344.09|9180.11 58-1036115|1972558336|27443| Revision of knee joint|5069.05|6336.31 58-1036115|1972558336|27445| Revision of knee joint|0.00|0.00 58-1036115|1972558336|27446| Revision of knee joint|7373.93|9217.41 58-1036115|1972558336|27447| Total knee arthroplasty|5279.44|6599.30 58-1036115|1972558336|27448| Incision of thigh|0.00|0.00 58-1036115|1972558336|27450| Incision of thigh|0.00|0.00 58-1036115|1972558336|27454| Realignment of thigh bone|0.00|0.00 58-1036115|1972558336|27455| Realignment of knee|0.00|0.00 58-1036115|1972558336|27457| Realignment of knee|0.00|0.00 58-1036115|1972558336|27465| Shortening of thigh bone|0.00|0.00 58-1036115|1972558336|27466| Lengthening of thigh bone|0.00|0.00 58-1036115|1972558336|27468| Shorten/lengthen thighs|0.00|0.00 58-1036115|1972558336|27470| Repair of thigh|0.00|0.00 58-1036115|1972558336|27472| Repair/graft of thigh|0.00|0.00 58-1036115|1972558336|27475| Surgery to stop leg growth|2721.37|3401.71 58-1036115|1972558336|27477| Surgery to stop leg growth|1292.70|1615.87 58-1036115|1972558336|27479| Surgery to stop leg growth|3747.53|4684.41 58-1036115|1972558336|27485| Surgery to stop leg growth|1292.70|1615.87 58-1036115|1972558336|27486| Revise/replace knee joint|0.00|0.00 58-1036115|1972558336|27487| Revise/replace knee joint|0.00|0.00 58-1036115|1972558336|27488| Removal of knee prosthesis|0.00|0.00 58-1036115|1972558336|27495| Reinforce thigh|0.00|0.00 58-1036115|1972558336|27496| Decompression of thigh/knee|1279.91|1599.89 58-1036115|1972558336|27497| Decompression of thigh/knee|1279.91|1599.89 58-1036115|1972558336|27498| Decompression of thigh/knee|737.58|921.98 58-1036115|1972558336|27499| Decompression of thigh/knee|1279.91|1599.89 58-1036115|1972558336|27500| Treatment of thigh fracture|111.95|139.94 58-1036115|1972558336|27501| Treatment of thigh fracture|111.95|139.94 58-1036115|1972558336|27502| Treatment of thigh fracture|737.58|921.98 58-1036115|1972558336|27503| Treatment of thigh fracture|737.58|921.98 58-1036115|1972558336|27506| Treatment of thigh fracture|0.00|0.00 58-1036115|1972558336|27507| Treatment of thigh fracture|0.00|0.00 58-1036115|1972558336|27508| Treatment of thigh fracture|111.95|139.94 58-1036115|1972558336|27509| Treatment of thigh fracture|2721.37|3401.71 58-1036115|1972558336|27510| Treatment of thigh fracture|737.58|921.98 58-1036115|1972558336|27511| Treatment of thigh fracture|0.00|0.00 58-1036115|1972558336|27513| Treatment of thigh fracture|0.00|0.00 58-1036115|1972558336|27514| Treatment of thigh fracture|0.00|0.00 58-1036115|1972558336|27516| Treat thigh fx growth plate|111.95|139.94 58-1036115|1972558336|27517| Treat thigh fx growth plate|737.58|921.98 58-1036115|1972558336|27519| Treat thigh fx growth plate|0.00|0.00 58-1036115|1972558336|27520| Treat kneecap fracture|111.95|139.94 58-1036115|1972558336|27524| Treat kneecap fracture|2721.37|3401.71 58-1036115|1972558336|27530| Treat knee fracture|111.95|139.94 58-1036115|1972558336|27532| Treat knee fracture|1279.91|1599.89 58-1036115|1972558336|27535| Treat knee fracture|0.00|0.00 58-1036115|1972558336|27536| Treat knee fracture|0.00|0.00 58-1036115|1972558336|27538| Treat knee fracture(s)|111.95|139.94 58-1036115|1972558336|27540| Treat knee fracture|0.00|0.00 58-1036115|1972558336|27550| Treat knee dislocation|111.95|139.94 58-1036115|1972558336|27552| Treat knee dislocation|737.58|921.98 58-1036115|1972558336|27556| Treat knee dislocation|0.00|0.00 58-1036115|1972558336|27557| Treat knee dislocation|0.00|0.00 58-1036115|1972558336|27558| Treat knee dislocation|0.00|0.00 58-1036115|1972558336|27560| Treat kneecap dislocation|111.95|139.94 58-1036115|1972558336|27562| Treat kneecap dislocation|111.95|139.94 58-1036115|1972558336|27566| Treat kneecap dislocation|2721.37|3401.71 58-1036115|1972558336|27570| Fixation of knee joint|737.58|921.98 58-1036115|1972558336|27580| Fusion of knee|0.00|0.00 58-1036115|1972558336|27590| Amputate leg at thigh|0.00|0.00 58-1036115|1972558336|27591| Amputate leg at thigh|0.00|0.00 58-1036115|1972558336|27592| Amputate leg at thigh|0.00|0.00 58-1036115|1972558336|27594| Amputation follow-up surgery|1279.91|1599.89 58-1036115|1972558336|27596| Amputation follow-up surgery|0.00|0.00 58-1036115|1972558336|27598| Amputate lower leg at knee|0.00|0.00 58-1036115|1972558336|27599| Leg surgery procedure|110.92|138.65 58-1036115|1972558336|27600| Decompression of lower leg|1279.91|1599.89 58-1036115|1972558336|27601| Decompression of lower leg|1279.91|1599.89 58-1036115|1972558336|27602| Decompression of lower leg|1279.91|1599.89 58-1036115|1972558336|27603| Drain lower leg lesion|1062.77|1328.46 58-1036115|1972558336|27604| Drain lower leg bursa|737.58|921.98 58-1036115|1972558336|27605| Incision of achilles tendon|737.58|921.98 58-1036115|1972558336|27606| Incision of achilles tendon|1279.91|1599.89 58-1036115|1972558336|27607| Treat lower leg bone lesion|1279.91|1599.89 58-1036115|1972558336|27610| Explore/treat ankle joint|1279.91|1599.89 58-1036115|1972558336|27612| Exploration of ankle joint|1279.91|1599.89 58-1036115|1972558336|27613| Biopsy lower leg soft tissue|171.36|214.20 58-1036115|1972558336|27614| Biopsy lower leg soft tissue|1062.77|1328.46 58-1036115|1972558336|27615| Resect leg/ankle tum < 5 cm|1062.77|1328.46 58-1036115|1972558336|27616| Resect leg/ankle tum 5 cm/>|1062.77|1328.46 58-1036115|1972558336|27618| Exc leg/ankle tum < 3 cm|542.88|678.60 58-1036115|1972558336|27619| Exc leg/ankle tum deep <5 cm|1062.77|1328.46 58-1036115|1972558336|27620| Explore/treat ankle joint|1279.91|1599.89 58-1036115|1972558336|27625| Remove ankle joint lining|1279.91|1599.89 58-1036115|1972558336|27626| Remove ankle joint lining|1279.91|1599.89 58-1036115|1972558336|27630| Removal of tendon lesion|1279.91|1599.89 58-1036115|1972558336|27632| Exc leg/ankle les sc 3 cm/>|1062.77|1328.46 58-1036115|1972558336|27634| Exc leg/ankle tum dep 5 cm/>|1062.77|1328.46 58-1036115|1972558336|27635| Remove lower leg bone lesion|1279.91|1599.89 58-1036115|1972558336|27637| Remove/graft leg bone lesion|2721.37|3401.71 58-1036115|1972558336|27638| Remove/graft leg bone lesion|2721.37|3401.71 58-1036115|1972558336|27640| Partial removal of tibia|1279.91|1599.89 58-1036115|1972558336|27641| Partial removal of fibula|1279.91|1599.89 58-1036115|1972558336|27645| Resect tibia tumor|0.00|0.00 58-1036115|1972558336|27646| Resect fibula tumor|0.00|0.00 58-1036115|1972558336|27647| Resect talus/calcaneus tum|1279.91|1599.89 58-1036115|1972558336|27648| Injection for ankle x-ray|0.00|0.00 58-1036115|1972558336|27650| Repair achilles tendon|1279.91|1599.89 58-1036115|1972558336|27652| Repair/graft achilles tendon|2721.37|3401.71 58-1036115|1972558336|27654| Repair of achilles tendon|2721.37|3401.71 58-1036115|1972558336|27656| Repair leg fascia defect|1279.91|1599.89 58-1036115|1972558336|27658| Repair of leg tendon each|1279.91|1599.89 58-1036115|1972558336|27659| Repair of leg tendon each|2721.37|3401.71 58-1036115|1972558336|27664| Repair of leg tendon each|2721.37|3401.71 58-1036115|1972558336|27665| Repair of leg tendon each|2721.37|3401.71 58-1036115|1972558336|27675| Repair lower leg tendons|1279.91|1599.89 58-1036115|1972558336|27676| Repair lower leg tendons|2721.37|3401.71 58-1036115|1972558336|27680| Release of lower leg tendon|1279.91|1599.89 58-1036115|1972558336|27681| Release of lower leg tendons|1279.91|1599.89 58-1036115|1972558336|27685| Revision of lower leg tendon|1279.91|1599.89 58-1036115|1972558336|27686| Revise lower leg tendons|1279.91|1599.89 58-1036115|1972558336|27687| Revision of calf tendon|1279.91|1599.89 58-1036115|1972558336|27690| Revise lower leg tendon|2721.37|3401.71 58-1036115|1972558336|27691| Revise lower leg tendon|2721.37|3401.71 58-1036115|1972558336|27692| Revise additional leg tendon|0.00|0.00 58-1036115|1972558336|27695| Repair of ankle ligament|2721.37|3401.71 58-1036115|1972558336|27696| Repair of ankle ligaments|2721.37|3401.71 58-1036115|1972558336|27698| Repair of ankle ligament|2721.37|3401.71 58-1036115|1972558336|27700| Revision of ankle joint|2721.37|3401.71 58-1036115|1972558336|27702| Reconstruct ankle joint|0.00|0.00 58-1036115|1972558336|27703| Reconstruction ankle joint|0.00|0.00 58-1036115|1972558336|27704| Removal of ankle implant|1279.91|1599.89 58-1036115|1972558336|27705| Incision of tibia|2721.37|3401.71 58-1036115|1972558336|27707| Incision of fibula|1279.91|1599.89 58-1036115|1972558336|27709| Incision of tibia & fibula|5069.05|6336.31 58-1036115|1972558336|27712| Realignment of lower leg|0.00|0.00 58-1036115|1972558336|27715| Revision of lower leg|0.00|0.00 58-1036115|1972558336|27720| Repair of tibia|2721.37|3401.71 58-1036115|1972558336|27722| Repair/graft of tibia|2808.57|3510.71 58-1036115|1972558336|27724| Repair/graft of tibia|0.00|0.00 58-1036115|1972558336|27725| Repair of lower leg|0.00|0.00 58-1036115|1972558336|27726| Repair fibula nonunion|2721.37|3401.71 58-1036115|1972558336|27727| Repair of lower leg|0.00|0.00 58-1036115|1972558336|27730| Repair of tibia epiphysis|1279.91|1599.89 58-1036115|1972558336|27732| Repair of fibula epiphysis|1279.91|1599.89 58-1036115|1972558336|27734| Repair lower leg epiphyses|1279.91|1599.89 58-1036115|1972558336|27740| Repair of leg epiphyses|1762.52|2203.15 58-1036115|1972558336|27742| Repair of leg epiphyses|1279.91|1599.89 58-1036115|1972558336|27745| Reinforce tibia|2721.37|3401.71 58-1036115|1972558336|27750| Treatment of tibia fracture|111.95|139.94 58-1036115|1972558336|27752| Treatment of tibia fracture|737.58|921.98 58-1036115|1972558336|27756| Treatment of tibia fracture|2721.37|3401.71 58-1036115|1972558336|27758| Treatment of tibia fracture|5069.05|6336.31 58-1036115|1972558336|27759| Treatment of tibia fracture|5069.05|6336.31 58-1036115|1972558336|27760| Cltx medial ankle fx|111.95|139.94 58-1036115|1972558336|27762| Cltx med ankle fx w/mnpj|737.58|921.98 58-1036115|1972558336|27766| Optx medial ankle fx|2721.37|3401.71 58-1036115|1972558336|27767| Cltx post ankle fx|111.95|139.94 58-1036115|1972558336|27768| Cltx post ankle fx w/mnpj|737.58|921.98 58-1036115|1972558336|27769| Optx post ankle fx|2721.37|3401.71 58-1036115|1972558336|27780| Treatment of fibula fracture|111.95|139.94 58-1036115|1972558336|27781| Treatment of fibula fracture|737.58|921.98 58-1036115|1972558336|27784| Treatment of fibula fracture|2721.37|3401.71 58-1036115|1972558336|27786| Treatment of ankle fracture|111.95|139.94 58-1036115|1972558336|27788| Treatment of ankle fracture|111.95|139.94 58-1036115|1972558336|27792| Treatment of ankle fracture|2721.37|3401.71 58-1036115|1972558336|27808| Treatment of ankle fracture|111.95|139.94 58-1036115|1972558336|27810| Treatment of ankle fracture|737.58|921.98 58-1036115|1972558336|27814| Treatment of ankle fracture|2721.37|3401.71 58-1036115|1972558336|27816| Treatment of ankle fracture|111.95|139.94 58-1036115|1972558336|27818| Treatment of ankle fracture|737.58|921.98 58-1036115|1972558336|27822| Treatment of ankle fracture|2721.37|3401.71 58-1036115|1972558336|27823| Treatment of ankle fracture|2721.37|3401.71 58-1036115|1972558336|27824| Treat lower leg fracture|111.95|139.94 58-1036115|1972558336|27825| Treat lower leg fracture|737.58|921.98 58-1036115|1972558336|27826| Treat lower leg fracture|2721.37|3401.71 58-1036115|1972558336|27827| Treat lower leg fracture|5069.05|6336.31 58-1036115|1972558336|27828| Treat lower leg fracture|5069.05|6336.31 58-1036115|1972558336|27829| Treat lower leg joint|2721.37|3401.71 58-1036115|1972558336|27830| Treat lower leg dislocation|111.95|139.94 58-1036115|1972558336|27831| Treat lower leg dislocation|1279.91|1599.89 58-1036115|1972558336|27832| Treat lower leg dislocation|2721.37|3401.71 58-1036115|1972558336|27840| Treat ankle dislocation|111.95|139.94 58-1036115|1972558336|27842| Treat ankle dislocation|737.58|921.98 58-1036115|1972558336|27846| Treat ankle dislocation|2721.37|3401.71 58-1036115|1972558336|27848| Treat ankle dislocation|2721.37|3401.71 58-1036115|1972558336|27860| Fixation of ankle joint|737.58|921.98 58-1036115|1972558336|27870| Fusion of ankle joint open|7173.93|8967.41 58-1036115|1972558336|27871| Fusion of tibiofibular joint|5069.05|6336.31 58-1036115|1972558336|27880| Amputation of lower leg|0.00|0.00 58-1036115|1972558336|27881| Amputation of lower leg|0.00|0.00 58-1036115|1972558336|27882| Amputation of lower leg|0.00|0.00 58-1036115|1972558336|27884| Amputation follow-up surgery|1279.91|1599.89 58-1036115|1972558336|27886| Amputation follow-up surgery|0.00|0.00 58-1036115|1972558336|27888| Amputation of foot at ankle|0.00|0.00 58-1036115|1972558336|27889| Amputation of foot at ankle|2721.37|3401.71 58-1036115|1972558336|27892| Decompression of leg|1279.91|1599.89 58-1036115|1972558336|27893| Decompression of leg|2721.37|3401.71 58-1036115|1972558336|27894| Decompression of leg|737.58|921.98 58-1036115|1972558336|27899| Leg/ankle surgery procedure|110.92|138.65 58-1036115|1972558336|28001| Drainage of bursa of foot|178.56|223.20 58-1036115|1972558336|28002| Treatment of foot infection|737.58|921.98 58-1036115|1972558336|28003| Treatment of foot infection|1279.91|1599.89 58-1036115|1972558336|28005| Treat foot bone lesion|1279.91|1599.89 58-1036115|1972558336|28008| Incision of foot fascia|1279.91|1599.89 58-1036115|1972558336|28010| Incision of toe tendon|124.20|155.25 58-1036115|1972558336|28011| Incision of toe tendons|737.58|921.98 58-1036115|1972558336|28020| Exploration of foot joint|1279.91|1599.89 58-1036115|1972558336|28022| Exploration of foot joint|1279.91|1599.89 58-1036115|1972558336|28024| Exploration of toe joint|737.58|921.98 58-1036115|1972558336|28035| Decompression of tibia nerve|785.41|981.76 58-1036115|1972558336|28039| Exc foot/toe tum sc 1.5 cm/>|1062.77|1328.46 58-1036115|1972558336|28041| Exc foot/toe tum dep 1.5cm/>|1062.77|1328.46 58-1036115|1972558336|28043| Exc foot/toe tum sc < 1.5 cm|542.88|678.60 58-1036115|1972558336|28045| Exc foot/toe tum deep <1.5cm|1062.77|1328.46 58-1036115|1972558336|28046| Resect foot/toe tumor < 3 cm|1062.77|1328.46 58-1036115|1972558336|28047| Resect foot/toe tumor 3 cm/>|1062.77|1328.46 58-1036115|1972558336|28050| Biopsy of foot joint lining|1279.91|1599.89 58-1036115|1972558336|28052| Biopsy of foot joint lining|1279.91|1599.89 58-1036115|1972558336|28054| Biopsy of toe joint lining|1279.91|1599.89 58-1036115|1972558336|28055| Neurectomy foot|785.41|981.76 58-1036115|1972558336|28060| Partial removal foot fascia|1279.91|1599.89 58-1036115|1972558336|28062| Removal of foot fascia|1279.91|1599.89 58-1036115|1972558336|28070| Removal of foot joint lining|1279.91|1599.89 58-1036115|1972558336|28072| Removal of foot joint lining|1279.91|1599.89 58-1036115|1972558336|28080| Removal of foot lesion|737.58|921.98 58-1036115|1972558336|28086| Excise foot tendon sheath|1279.91|1599.89 58-1036115|1972558336|28088| Excise foot tendon sheath|737.58|921.98 58-1036115|1972558336|28090| Removal of foot lesion|737.58|921.98 58-1036115|1972558336|28092| Removal of toe lesions|737.58|921.98 58-1036115|1972558336|28100| Removal of ankle/heel lesion|1279.91|1599.89 58-1036115|1972558336|28102| Remove/graft foot lesion|2721.37|3401.71 58-1036115|1972558336|28103| Remove/graft foot lesion|2721.37|3401.71 58-1036115|1972558336|28104| Removal of foot lesion|1279.91|1599.89 58-1036115|1972558336|28106| Remove/graft foot lesion|2721.37|3401.71 58-1036115|1972558336|28107| Remove/graft foot lesion|2721.37|3401.71 58-1036115|1972558336|28108| Removal of toe lesions|737.58|921.98 58-1036115|1972558336|28110| Part removal of metatarsal|1279.91|1599.89 58-1036115|1972558336|28111| Part removal of metatarsal|1279.91|1599.89 58-1036115|1972558336|28112| Part removal of metatarsal|1279.91|1599.89 58-1036115|1972558336|28113| Part removal of metatarsal|1279.91|1599.89 58-1036115|1972558336|28114| Removal of metatarsal heads|1279.91|1599.89 58-1036115|1972558336|28116| Revision of foot|1279.91|1599.89 58-1036115|1972558336|28118| Removal of heel bone|1279.91|1599.89 58-1036115|1972558336|28119| Removal of heel spur|1279.91|1599.89 58-1036115|1972558336|28120| Part removal of ankle/heel|1279.91|1599.89 58-1036115|1972558336|28122| Partial removal of foot bone|1279.91|1599.89 58-1036115|1972558336|28124| Partial removal of toe|303.12|378.90 58-1036115|1972558336|28126| Partial removal of toe|737.58|921.98 58-1036115|1972558336|28130| Removal of ankle bone|1279.91|1599.89 58-1036115|1972558336|28140| Removal of metatarsal|1279.91|1599.89 58-1036115|1972558336|28150| Removal of toe|1279.91|1599.89 58-1036115|1972558336|28153| Partial removal of toe|737.58|921.98 58-1036115|1972558336|28160| Partial removal of toe|1279.91|1599.89 58-1036115|1972558336|28171| Resect tarsal tumor|1279.91|1599.89 58-1036115|1972558336|28173| Resect metatarsal tumor|1279.91|1599.89 58-1036115|1972558336|28175| Resect phalanx of toe tumor|737.58|921.98 58-1036115|1972558336|28190| Removal of foot foreign body|190.08|237.60 58-1036115|1972558336|28192| Removal of foot foreign body|542.88|678.60 58-1036115|1972558336|28193| Removal of foot foreign body|542.88|678.60 58-1036115|1972558336|28200| Repair of foot tendon|1279.91|1599.89 58-1036115|1972558336|28202| Repair/graft of foot tendon|2721.37|3401.71 58-1036115|1972558336|28208| Repair of foot tendon|1279.91|1599.89 58-1036115|1972558336|28210| Repair/graft of foot tendon|2721.37|3401.71 58-1036115|1972558336|28220| Release of foot tendon|287.28|359.10 58-1036115|1972558336|28222| Release of foot tendons|1279.91|1599.89 58-1036115|1972558336|28225| Release of foot tendon|1279.91|1599.89 58-1036115|1972558336|28226| Release of foot tendons|737.58|921.98 58-1036115|1972558336|28230| Incision of foot tendon(s)|282.60|353.25 58-1036115|1972558336|28232| Incision of toe tendon|266.04|332.55 58-1036115|1972558336|28234| Incision of foot tendon|737.58|921.98 58-1036115|1972558336|28238| Revision of foot tendon|2721.37|3401.71 58-1036115|1972558336|28240| Release of big toe|1279.91|1599.89 58-1036115|1972558336|28250| Revision of foot fascia|1279.91|1599.89 58-1036115|1972558336|28260| Release of midfoot joint|737.58|921.98 58-1036115|1972558336|28261| Revision of foot tendon|737.58|921.98 58-1036115|1972558336|28262| Revision of foot and ankle|2721.37|3401.71 58-1036115|1972558336|28264| Release of midfoot joint|737.58|921.98 58-1036115|1972558336|28270| Release of foot contracture|1279.91|1599.89 58-1036115|1972558336|28272| Release of toe joint each|258.48|323.10 58-1036115|1972558336|28280| Fusion of toes|1279.91|1599.89 58-1036115|1972558336|28285| Repair of hammertoe|1279.91|1599.89 58-1036115|1972558336|28286| Repair of hammertoe|737.58|921.98 58-1036115|1972558336|28288| Partial removal of foot bone|1279.91|1599.89 58-1036115|1972558336|28289| Corrj halux rigdus w/o implt|1279.91|1599.89 58-1036115|1972558336|28291| Corrj halux rigdus w/implt|3747.53|4684.41 58-1036115|1972558336|28292| Correction hallux valgus|1279.91|1599.89 58-1036115|1972558336|28295| Correction hallux valgus|1279.91|1599.89 58-1036115|1972558336|28296| Correction hallux valgus|1279.91|1599.89 58-1036115|1972558336|28297| Correction hallux valgus|2721.37|3401.71 58-1036115|1972558336|28298| Correction hallux valgus|2721.37|3401.71 58-1036115|1972558336|28299| Correction hallux valgus|1279.91|1599.89 58-1036115|1972558336|28300| Incision of heel bone|2721.37|3401.71 58-1036115|1972558336|28302| Incision of ankle bone|2721.37|3401.71 58-1036115|1972558336|28304| Incision of midfoot bones|2721.37|3401.71 58-1036115|1972558336|28305| Incise/graft midfoot bones|2721.37|3401.71 58-1036115|1972558336|28306| Incision of metatarsal|2721.37|3401.71 58-1036115|1972558336|28307| Incision of metatarsal|1279.91|1599.89 58-1036115|1972558336|28308| Incision of metatarsal|1279.91|1599.89 58-1036115|1972558336|28309| Incision of metatarsals|2721.37|3401.71 58-1036115|1972558336|28310| Revision of big toe|1279.91|1599.89 58-1036115|1972558336|28312| Revision of toe|1279.91|1599.89 58-1036115|1972558336|28313| Repair deformity of toe|1279.91|1599.89 58-1036115|1972558336|28315| Removal of sesamoid bone|1279.91|1599.89 58-1036115|1972558336|28320| Repair of foot bones|5069.05|6336.31 58-1036115|1972558336|28322| Repair of metatarsals|2721.37|3401.71 58-1036115|1972558336|28340| Resect enlarged toe tissue|737.58|921.98 58-1036115|1972558336|28341| Resect enlarged toe|1279.91|1599.89 58-1036115|1972558336|28344| Repair extra toe(s)|1279.91|1599.89 58-1036115|1972558336|28345| Repair webbed toe(s)|737.58|921.98 58-1036115|1972558336|28360| Reconstruct cleft foot|2808.57|3510.71 58-1036115|1972558336|28400| Treatment of heel fracture|111.95|139.94 58-1036115|1972558336|28405| Treatment of heel fracture|111.95|139.94 58-1036115|1972558336|28406| Treatment of heel fracture|2721.37|3401.71 58-1036115|1972558336|28415| Treat heel fracture|2721.37|3401.71 58-1036115|1972558336|28420| Treat/graft heel fracture|7231.74|9039.68 58-1036115|1972558336|28430| Treatment of ankle fracture|111.95|139.94 58-1036115|1972558336|28435| Treatment of ankle fracture|737.58|921.98 58-1036115|1972558336|28436| Treatment of ankle fracture|2721.37|3401.71 58-1036115|1972558336|28445| Treat ankle fracture|2721.37|3401.71 58-1036115|1972558336|28446| Osteochondral talus autogrft|2721.37|3401.71 58-1036115|1972558336|28450| Treat midfoot fracture each|111.95|139.94 58-1036115|1972558336|28455| Treat midfoot fracture each|168.12|210.15 58-1036115|1972558336|28456| Treat midfoot fracture|2721.37|3401.71 58-1036115|1972558336|28465| Treat midfoot fracture each|2721.37|3401.71 58-1036115|1972558336|28470| Treat metatarsal fracture|111.95|139.94 58-1036115|1972558336|28475| Treat metatarsal fracture|111.95|139.94 58-1036115|1972558336|28476| Treat metatarsal fracture|1279.91|1599.89 58-1036115|1972558336|28485| Treat metatarsal fracture|2721.37|3401.71 58-1036115|1972558336|28490| Treat big toe fracture|104.04|130.05 58-1036115|1972558336|28495| Treat big toe fracture|111.95|139.94 58-1036115|1972558336|28496| Treat big toe fracture|1279.91|1599.89 58-1036115|1972558336|28505| Treat big toe fracture|1279.91|1599.89 58-1036115|1972558336|28510| Treatment of toe fracture|81.72|102.15 58-1036115|1972558336|28515| Treatment of toe fracture|105.84|132.30 58-1036115|1972558336|28525| Treat toe fracture|1279.91|1599.89 58-1036115|1972558336|28530| Treat sesamoid bone fracture|76.68|95.85 58-1036115|1972558336|28531| Treat sesamoid bone fracture|2721.37|3401.71 58-1036115|1972558336|28540| Treat foot dislocation|111.95|139.94 58-1036115|1972558336|28545| Treat foot dislocation|1279.91|1599.89 58-1036115|1972558336|28546| Treat foot dislocation|737.58|921.98 58-1036115|1972558336|28555| Repair foot dislocation|2721.37|3401.71 58-1036115|1972558336|28570| Treat foot dislocation|111.95|139.94 58-1036115|1972558336|28575| Treat foot dislocation|1279.91|1599.89 58-1036115|1972558336|28576| Treat foot dislocation|737.58|921.98 58-1036115|1972558336|28585| Repair foot dislocation|4116.94|5146.18 58-1036115|1972558336|28600| Treat foot dislocation|111.95|139.94 58-1036115|1972558336|28605| Treat foot dislocation|111.95|139.94 58-1036115|1972558336|28606| Treat foot dislocation|1279.91|1599.89 58-1036115|1972558336|28615| Repair foot dislocation|2721.37|3401.71 58-1036115|1972558336|28630| Treat toe dislocation|92.16|115.20 58-1036115|1972558336|28635| Treat toe dislocation|737.58|921.98 58-1036115|1972558336|28636| Treat toe dislocation|737.58|921.98 58-1036115|1972558336|28645| Repair toe dislocation|1279.91|1599.89 58-1036115|1972558336|28660| Treat toe dislocation|68.04|85.05 58-1036115|1972558336|28665| Treat toe dislocation|123.60|154.50 58-1036115|1972558336|28666| Treat toe dislocation|1279.91|1599.89 58-1036115|1972558336|28675| Repair of toe dislocation|1279.91|1599.89 58-1036115|1972558336|28705| Fusion of foot bones|10512.82|13141.03 58-1036115|1972558336|28715| Fusion of foot bones|7269.04|9086.30 58-1036115|1972558336|28725| Fusion of foot bones|5069.05|6336.31 58-1036115|1972558336|28730| Fusion of foot bones|7416.35|9270.44 58-1036115|1972558336|28735| Fusion of foot bones|7392.11|9240.14 58-1036115|1972558336|28737| Revision of foot bones|7451.78|9314.73 58-1036115|1972558336|28740| Fusion of foot bones|3814.85|4768.56 58-1036115|1972558336|28750| Fusion of big toe joint|3812.85|4766.06 58-1036115|1972558336|28755| Fusion of big toe joint|2721.37|3401.71 58-1036115|1972558336|28760| Fusion of big toe joint|2721.37|3401.71 58-1036115|1972558336|28800| Amputation of midfoot|0.00|0.00 58-1036115|1972558336|28805| Amputation thru metatarsal|1292.70|1615.87 58-1036115|1972558336|28810| Amputation toe & metatarsal|1279.91|1599.89 58-1036115|1972558336|28820| Amputation of toe|737.58|921.98 58-1036115|1972558336|28825| Partial amputation of toe|737.58|921.98 58-1036115|1972558336|28890| Hi enrgy eswt plantar fascia|205.20|256.50 58-1036115|1972558336|28899| Foot/toes surgery procedure|110.92|138.65 58-1036115|1972558336|29000| Application of body cast|123.60|154.50 58-1036115|1972558336|29010| Application of body cast|123.60|154.50 58-1036115|1972558336|29015| Application of body cast|123.60|154.50 58-1036115|1972558336|29035| Application of body cast|123.60|154.50 58-1036115|1972558336|29040| Application of body cast|123.60|154.50 58-1036115|1972558336|29044| Application of body cast|70.54|88.18 58-1036115|1972558336|29046| Application of body cast|123.60|154.50 58-1036115|1972558336|29049| Application of figure eight|64.08|80.10 58-1036115|1972558336|29055| Application of shoulder cast|123.60|154.50 58-1036115|1972558336|29058| Application of shoulder cast|72.00|90.00 58-1036115|1972558336|29065| Application of long arm cast|62.64|78.30 58-1036115|1972558336|29075| Application of forearm cast|57.24|71.55 58-1036115|1972558336|29085| Apply hand/wrist cast|62.28|77.85 58-1036115|1972558336|29086| Apply finger cast|57.24|71.55 58-1036115|1972558336|29105| Apply long arm splint|54.72|68.40 58-1036115|1972558336|29125| Apply forearm splint|0.00|0.00 58-1036115|1972558336|29126| Apply forearm splint|0.00|0.00 58-1036115|1972558336|29130| Application of finger splint|0.00|0.00 58-1036115|1972558336|29131| Application of finger splint|0.00|0.00 58-1036115|1972558336|29200| Strapping of chest|17.28|21.60 58-1036115|1972558336|29240| Strapping of shoulder|0.00|0.00 58-1036115|1972558336|29260| Strapping of elbow or wrist|0.00|0.00 58-1036115|1972558336|29280| Strapping of hand or finger|0.00|0.00 58-1036115|1972558336|29305| Application of hip cast|123.60|154.50 58-1036115|1972558336|29325| Application of hip casts|123.60|154.50 58-1036115|1972558336|29345| Application of long leg cast|81.00|101.25 58-1036115|1972558336|29355| Application of long leg cast|80.28|100.35 58-1036115|1972558336|29358| Apply long leg cast brace|104.40|130.50 58-1036115|1972558336|29365| Application of long leg cast|76.68|95.85 58-1036115|1972558336|29405| Apply short leg cast|50.76|63.45 58-1036115|1972558336|29425| Apply short leg cast|48.24|60.30 58-1036115|1972558336|29435| Apply short leg cast|72.00|90.00 58-1036115|1972558336|29440| Addition of walker to cast|23.04|28.80 58-1036115|1972558336|29445| Apply rigid leg cast|63.36|79.20 58-1036115|1972558336|29450| Application of leg cast|68.40|85.50 58-1036115|1972558336|29505| Application long leg splint|59.76|74.70 58-1036115|1972558336|29515| Application lower leg splint|44.64|55.80 58-1036115|1972558336|29520| Strapping of hip|0.00|0.00 58-1036115|1972558336|29530| Strapping of knee|0.00|0.00 58-1036115|1972558336|29540| Strapping of ankle and/or ft|11.88|14.85 58-1036115|1972558336|29550| Strapping of toes|0.00|0.00 58-1036115|1972558336|29580| Application of paste boot|40.68|50.85 58-1036115|1972558336|29581| Apply multlay comprs lwr leg|64.80|81.00 58-1036115|1972558336|29584| Appl multlay comprs arm/hand|68.04|85.05 58-1036115|1972558336|29700| Removal/revision of cast|43.56|54.45 58-1036115|1972558336|29705| Removal/revision of cast|36.36|45.45 58-1036115|1972558336|29710| Removal/revision of cast|70.20|87.75 58-1036115|1972558336|29720| Repair of body cast|58.68|73.35 58-1036115|1972558336|29730| Windowing of cast|34.20|42.75 58-1036115|1972558336|29740| Wedging of cast|54.36|67.95 58-1036115|1972558336|29750| Wedging of clubfoot cast|56.88|71.10 58-1036115|1972558336|29799| Casting/strapping procedure|66.34|82.92 58-1036115|1972558336|29800| Jaw arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29804| Jaw arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29805| Shoulder arthroscopy dx|1279.91|1599.89 58-1036115|1972558336|29806| Shoulder arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29807| Shoulder arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29819| Shoulder arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29820| Shoulder arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29821| Shoulder arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29822| Shoulder arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29823| Shoulder arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29824| Shoulder arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29825| Shoulder arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29826| Shoulder arthroscopy/surgery|0.00|0.00 58-1036115|1972558336|29827| Arthroscop rotator cuff repr|2721.37|3401.71 58-1036115|1972558336|29828| Arthroscopy biceps tenodesis|2721.37|3401.71 58-1036115|1972558336|29830| Elbow arthroscopy|1279.91|1599.89 58-1036115|1972558336|29834| Elbow arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29835| Elbow arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29836| Elbow arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29837| Elbow arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29838| Elbow arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29840| Wrist arthroscopy|1279.91|1599.89 58-1036115|1972558336|29843| Wrist arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29844| Wrist arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29845| Wrist arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29846| Wrist arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29847| Wrist arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29848| Wrist endoscopy/surgery|737.58|921.98 58-1036115|1972558336|29850| Knee arthroscopy/surgery|737.58|921.98 58-1036115|1972558336|29851| Knee arthroscopy/surgery|737.58|921.98 58-1036115|1972558336|29855| Tibial arthroscopy/surgery|3744.52|4680.65 58-1036115|1972558336|29856| Tibial arthroscopy/surgery|8021.01|10026.26 58-1036115|1972558336|29860| Hip arthroscopy dx|2721.37|3401.71 58-1036115|1972558336|29861| Hip arthro w/fb removal|1279.91|1599.89 58-1036115|1972558336|29862| Hip arthr0 w/debridement|2721.37|3401.71 58-1036115|1972558336|29863| Hip arthr0 w/synovectomy|1279.91|1599.89 58-1036115|1972558336|29866| Autgrft implnt knee w/scope|2721.37|3401.71 58-1036115|1972558336|29867| Allgrft implnt knee w/scope|5279.44|6599.30 58-1036115|1972558336|29868| Meniscal trnspl knee w/scpe|2808.57|3510.71 58-1036115|1972558336|29870| Knee arthroscopy dx|1279.91|1599.89 58-1036115|1972558336|29871| Knee arthroscopy/drainage|1279.91|1599.89 58-1036115|1972558336|29873| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29874| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29875| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29876| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29877| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29879| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29880| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29881| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29882| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29883| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29884| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29885| Knee arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29886| Knee arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29887| Knee arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29888| Knee arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29889| Knee arthroscopy/surgery|5069.05|6336.31 58-1036115|1972558336|29891| Ankle arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29892| Ankle arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29893| Scope plantar fasciotomy|1279.91|1599.89 58-1036115|1972558336|29894| Ankle arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29895| Ankle arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29897| Ankle arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29898| Ankle arthroscopy/surgery|1279.91|1599.89 58-1036115|1972558336|29899| Ankle arthroscopy/surgery|2721.37|3401.71 58-1036115|1972558336|29900| Mcp joint arthroscopy dx|1279.91|1599.89 58-1036115|1972558336|29901| Mcp joint arthroscopy surg|1279.91|1599.89 58-1036115|1972558336|29902| Mcp joint arthroscopy surg|737.58|921.98 58-1036115|1972558336|29904| Subtalar arthro w/fb rmvl|1279.91|1599.89 58-1036115|1972558336|29905| Subtalar arthro w/exc|1279.91|1599.89 58-1036115|1972558336|29906| Subtalar arthro w/deb|1279.91|1599.89 58-1036115|1972558336|29907| Subtalar arthro w/fusion|5069.05|6336.31 58-1036115|1972558336|29914| Hip arthro w/femoroplasty|2721.37|3401.71 58-1036115|1972558336|29915| Hip arthro acetabuloplasty|2721.37|3401.71 58-1036115|1972558336|29916| Hip arthro w/labral repair|2721.37|3401.71 58-1036115|1972558336|29999| Arthroscopy of joint|110.92|138.65 58-1036115|1972558336|30000| Drainage of nose lesion|92.98|116.23 58-1036115|1972558336|30020| Drainage of nose lesion|173.52|216.90 58-1036115|1972558336|30100| Intranasal biopsy|102.96|128.70 58-1036115|1972558336|30110| Removal of nose polyp(s)|162.36|202.95 58-1036115|1972558336|30115| Removal of nose polyp(s)|952.18|1190.23 58-1036115|1972558336|30117| Removal of intranasal lesion|952.18|1190.23 58-1036115|1972558336|30118| Removal of intranasal lesion|952.18|1190.23 58-1036115|1972558336|30120| Revision of nose|952.18|1190.23 58-1036115|1972558336|30124| Removal of nose lesion|592.89|741.11 58-1036115|1972558336|30125| Removal of nose lesion|2142.48|2678.10 58-1036115|1972558336|30130| Excise inferior turbinate|952.18|1190.23 58-1036115|1972558336|30140| Resect inferior turbinate|952.18|1190.23 58-1036115|1972558336|30150| Partial removal of nose|2142.48|2678.10 58-1036115|1972558336|30160| Removal of nose|2142.48|2678.10 58-1036115|1972558336|30200| Injection treatment of nose|81.36|101.70 58-1036115|1972558336|30210| Nasal sinus therapy|105.12|131.40 58-1036115|1972558336|30220| Insert nasal septal button|592.89|741.11 58-1036115|1972558336|30300| Remove nasal foreign body|0.00|0.00 58-1036115|1972558336|30310| Remove nasal foreign body|952.18|1190.23 58-1036115|1972558336|30320| Remove nasal foreign body|592.89|741.11 58-1036115|1972558336|30400| Reconstruction of nose|2142.48|2678.10 58-1036115|1972558336|30410| Reconstruction of nose|2142.48|2678.10 58-1036115|1972558336|30420| Reconstruction of nose|2142.48|2678.10 58-1036115|1972558336|30430| Revision of nose|2142.48|2678.10 58-1036115|1972558336|30435| Revision of nose|2142.48|2678.10 58-1036115|1972558336|30450| Revision of nose|2142.48|2678.10 58-1036115|1972558336|30460| Revision of nose|2142.48|2678.10 58-1036115|1972558336|30462| Revision of nose|2142.48|2678.10 58-1036115|1972558336|30465| Repair nasal stenosis|2142.48|2678.10 58-1036115|1972558336|30520| Repair of nasal septum|952.18|1190.23 58-1036115|1972558336|30540| Repair nasal defect|2142.48|2678.10 58-1036115|1972558336|30545| Repair nasal defect|2142.48|2678.10 58-1036115|1972558336|30560| Release of nasal adhesions|239.56|299.45 58-1036115|1972558336|30580| Repair upper jaw fistula|2142.48|2678.10 58-1036115|1972558336|30600| Repair mouth/nose fistula|2142.48|2678.10 58-1036115|1972558336|30620| Intranasal reconstruction|2142.48|2678.10 58-1036115|1972558336|30630| Repair nasal septum defect|952.18|1190.23 58-1036115|1972558336|30801| Ablate inf turbinate superf|592.89|741.11 58-1036115|1972558336|30802| Ablate inf turbinate submuc|592.89|741.11 58-1036115|1972558336|30901| Control of nosebleed|0.00|0.00 58-1036115|1972558336|30903| Control of nosebleed|54.72|68.40 58-1036115|1972558336|30905| Control of nosebleed|54.72|68.40 58-1036115|1972558336|30906| Repeat control of nosebleed|92.98|116.23 58-1036115|1972558336|30915| Ligation nasal sinus artery|1298.51|1623.14 58-1036115|1972558336|30920| Ligation upper jaw artery|1298.51|1623.14 58-1036115|1972558336|30930| Ther fx nasal inf turbinate|952.18|1190.23 58-1036115|1972558336|30999| Nasal surgery procedure|101.58|126.97 58-1036115|1972558336|31000| Irrigation maxillary sinus|92.98|116.23 58-1036115|1972558336|31002| Irrigation sphenoid sinus|592.89|741.11 58-1036115|1972558336|31020| Exploration maxillary sinus|952.18|1190.23 58-1036115|1972558336|31030| Exploration maxillary sinus|2142.48|2678.10 58-1036115|1972558336|31032| Explore sinus remove polyps|2142.48|2678.10 58-1036115|1972558336|31040| Exploration behind upper jaw|2142.48|2678.10 58-1036115|1972558336|31050| Exploration sphenoid sinus|2142.48|2678.10 58-1036115|1972558336|31051| Sphenoid sinus surgery|2142.48|2678.10 58-1036115|1972558336|31070| Exploration of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31075| Exploration of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31080| Removal of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31081| Removal of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31084| Removal of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31085| Removal of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31086| Removal of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31087| Removal of frontal sinus|2142.48|2678.10 58-1036115|1972558336|31090| Exploration of sinuses|2142.48|2678.10 58-1036115|1972558336|31200| Removal of ethmoid sinus|2142.48|2678.10 58-1036115|1972558336|31201| Removal of ethmoid sinus|952.18|1190.23 58-1036115|1972558336|31205| Removal of ethmoid sinus|952.18|1190.23 58-1036115|1972558336|31225| Removal of upper jaw|0.00|0.00 58-1036115|1972558336|31230| Removal of upper jaw|0.00|0.00 58-1036115|1972558336|31231| Nasal endoscopy dx|81.83|102.29 58-1036115|1972558336|31233| Nasal/sinus endoscopy dx|195.59|244.49 58-1036115|1972558336|31235| Nasal/sinus endoscopy dx|588.22|735.28 58-1036115|1972558336|31237| Nasal/sinus endoscopy surg|588.22|735.28 58-1036115|1972558336|31238| Nasal/sinus endoscopy surg|588.22|735.28 58-1036115|1972558336|31239| Nasal/sinus endoscopy surg|1148.31|1435.39 58-1036115|1972558336|31240| Nasal/sinus endoscopy surg|588.22|735.28 58-1036115|1972558336|31241| Nsl/sins ndsc w/artery lig|674.74|843.43 58-1036115|1972558336|31253| Nsl/sins ndsc total|1768.03|2210.04 58-1036115|1972558336|31254| Nsl/sins ndsc w/prtl ethmdct|1768.03|2210.04 58-1036115|1972558336|31255| Nsl/sins ndsc w/tot ethmdct|1768.03|2210.04 58-1036115|1972558336|31256| Exploration maxillary sinus|1148.31|1435.39 58-1036115|1972558336|31257| Nsl/sins ndsc tot w/sphendt|1768.03|2210.04 58-1036115|1972558336|31259| Nsl/sins ndsc sphn tiss rmvl|1768.03|2210.04 58-1036115|1972558336|31267| Endoscopy maxillary sinus|1768.03|2210.04 58-1036115|1972558336|31276| Nsl/sins ndsc frnt tiss rmvl|1768.03|2210.04 58-1036115|1972558336|31287| Nasal/sinus endoscopy surg|1768.03|2210.04 58-1036115|1972558336|31288| Nasal/sinus endoscopy surg|1768.03|2210.04 58-1036115|1972558336|31290| Nasal/sinus endoscopy surg|0.00|0.00 58-1036115|1972558336|31291| Nasal/sinus endoscopy surg|0.00|0.00 58-1036115|1972558336|31292| Nasal/sinus endoscopy surg|2536.55|3170.68 58-1036115|1972558336|31293| Nasal/sinus endoscopy surg|2536.55|3170.68 58-1036115|1972558336|31294| Nasal/sinus endoscopy surg|2536.55|3170.68 58-1036115|1972558336|31295| Sinus endo w/balloon dil|1768.03|2210.04 58-1036115|1972558336|31296| Sinus endo w/balloon dil|1768.03|2210.04 58-1036115|1972558336|31297| Sinus endo w/balloon dil|1768.03|2210.04 58-1036115|1972558336|31298| Nsl/sins ndsc w/sins dilat|1768.03|2210.04 58-1036115|1972558336|31299| Sinus surgery procedure|101.58|126.97 58-1036115|1972558336|31300| Removal of larynx lesion|952.18|1190.23 58-1036115|1972558336|31360| Removal of larynx|0.00|0.00 58-1036115|1972558336|31365| Removal of larynx|0.00|0.00 58-1036115|1972558336|31367| Partial removal of larynx|0.00|0.00 58-1036115|1972558336|31368| Partial removal of larynx|0.00|0.00 58-1036115|1972558336|31370| Partial removal of larynx|0.00|0.00 58-1036115|1972558336|31375| Partial removal of larynx|0.00|0.00 58-1036115|1972558336|31380| Partial removal of larynx|0.00|0.00 58-1036115|1972558336|31382| Partial removal of larynx|0.00|0.00 58-1036115|1972558336|31390| Removal of larynx & pharynx|0.00|0.00 58-1036115|1972558336|31395| Reconstruct larynx & pharynx|0.00|0.00 58-1036115|1972558336|31400| Revision of larynx|2142.48|2678.10 58-1036115|1972558336|31420| Removal of epiglottis|2142.48|2678.10 58-1036115|1972558336|31500| Insert emergency airway|92.98|116.23 58-1036115|1972558336|31502| Change of windpipe airway|92.98|116.23 58-1036115|1972558336|31505| Diagnostic laryngoscopy|59.04|73.80 58-1036115|1972558336|31510| Laryngoscopy with biopsy|1148.31|1435.39 58-1036115|1972558336|31511| Remove foreign body larynx|81.83|102.29 58-1036115|1972558336|31512| Removal of larynx lesion|1148.31|1435.39 58-1036115|1972558336|31513| Injection into vocal cord|195.59|244.49 58-1036115|1972558336|31515| Laryngoscopy for aspiration|195.59|244.49 58-1036115|1972558336|31520| Dx laryngoscopy newborn|195.59|244.49 58-1036115|1972558336|31525| Dx laryngoscopy excl nb|588.22|735.28 58-1036115|1972558336|31526| Dx laryngoscopy w/oper scope|588.22|735.28 58-1036115|1972558336|31527| Laryngoscopy for treatment|1148.31|1435.39 58-1036115|1972558336|31528| Laryngoscopy and dilation|1148.31|1435.39 58-1036115|1972558336|31529| Laryngoscopy and dilation|1148.31|1435.39 58-1036115|1972558336|31530| Laryngoscopy w/fb removal|588.22|735.28 58-1036115|1972558336|31531| Laryngoscopy w/fb & op scope|1148.31|1435.39 58-1036115|1972558336|31535| Laryngoscopy w/biopsy|1148.31|1435.39 58-1036115|1972558336|31536| Laryngoscopy w/bx & op scope|1148.31|1435.39 58-1036115|1972558336|31540| Laryngoscopy w/exc of tumor|1148.31|1435.39 58-1036115|1972558336|31541| Larynscop w/tumr exc + scope|1148.31|1435.39 58-1036115|1972558336|31545| Remove vc lesion w/scope|1148.31|1435.39 58-1036115|1972558336|31546| Remove vc lesion scope/graft|1768.03|2210.04 58-1036115|1972558336|31551| Laryngoplasty laryngeal sten|2142.48|2678.10 58-1036115|1972558336|31552| Laryngoplasty laryngeal sten|2142.48|2678.10 58-1036115|1972558336|31553| Laryngoplasty laryngeal sten|2142.48|2678.10 58-1036115|1972558336|31554| Laryngoplasty laryngeal sten|2142.48|2678.10 58-1036115|1972558336|31560| Laryngoscop w/arytenoidectom|1768.03|2210.04 58-1036115|1972558336|31561| Larynscop remve cart + scop|1768.03|2210.04 58-1036115|1972558336|31570| Laryngoscope w/vc inj|1148.31|1435.39 58-1036115|1972558336|31571| Laryngoscop w/vc inj + scope|1148.31|1435.39 58-1036115|1972558336|31572| Largsc w/laser dstrj les|1148.31|1435.39 58-1036115|1972558336|31573| Largsc w/ther injection|588.22|735.28 58-1036115|1972558336|31574| Largsc w/njx augmentation|588.22|735.28 58-1036115|1972558336|31575| Diagnostic laryngoscopy|76.68|95.85 58-1036115|1972558336|31576| Laryngoscopy with biopsy|588.22|735.28 58-1036115|1972558336|31577| Largsc w/rmvl foreign bdy(s)|195.59|244.49 58-1036115|1972558336|31578| Largsc w/removal lesion|1148.31|1435.39 58-1036115|1972558336|31579| Laryngoscopy telescopic|106.20|132.75 58-1036115|1972558336|31580| Laryngoplasty laryngeal web|2142.48|2678.10 58-1036115|1972558336|31584| Laryngoplasty fx rdctj fixj|2180.11|2725.14 58-1036115|1972558336|31587| Laryngoplasty cricoid split|2180.11|2725.14 58-1036115|1972558336|31590| Reinnervate larynx|2142.48|2678.10 58-1036115|1972558336|31591| Laryngoplasty medialization|2142.48|2678.10 58-1036115|1972558336|31592| Cricotracheal resection|2142.48|2678.10 58-1036115|1972558336|31595|Larynx nerve surgery|952.18|1190.23 58-1036115|1972558336|31599| Larynx surgery procedure|101.58|126.97 58-1036115|1972558336|31600| Incision of windpipe|1099.49|1374.37 58-1036115|1972558336|31601| Incision of windpipe|2180.11|2725.14 58-1036115|1972558336|31603| Incision of windpipe|592.89|741.11 58-1036115|1972558336|31605| Incision of windpipe|239.56|299.45 58-1036115|1972558336|31610| Incision of windpipe|2180.11|2725.14 58-1036115|1972558336|31611| Surgery/speech prosthesis|952.18|1190.23 58-1036115|1972558336|31612| Puncture/clear windpipe|952.18|1190.23 58-1036115|1972558336|31613| Repair windpipe opening|952.18|1190.23 58-1036115|1972558336|31614| Repair windpipe opening|2142.48|2678.10 58-1036115|1972558336|31615| Visualization of windpipe|239.56|299.45 58-1036115|1972558336|31622| Dx bronchoscope/wash|588.22|735.28 58-1036115|1972558336|31623| Dx bronchoscope/brush|588.22|735.28 58-1036115|1972558336|31624| Dx bronchoscope/lavage|588.22|735.28 58-1036115|1972558336|31625| Bronchoscopy w/biopsy(s)|588.22|735.28 58-1036115|1972558336|31626| Bronchoscopy w/markers|1768.03|2210.04 58-1036115|1972558336|31627| Navigational bronchoscopy|0.00|0.00 58-1036115|1972558336|31628| Bronchoscopy/lung bx each|1148.31|1435.39 58-1036115|1972558336|31629| Bronchoscopy/needle bx each|1148.31|1435.39 58-1036115|1972558336|31630| Bronchoscopy dilate/fx repr|1148.31|1435.39 58-1036115|1972558336|31631| Bronchoscopy dilate w/stent|1768.03|2210.04 58-1036115|1972558336|31632| Bronchoscopy/lung bx addl|0.00|0.00 58-1036115|1972558336|31633| Bronchoscopy/needle bx addl|0.00|0.00 58-1036115|1972558336|31634| Bronch w/balloon occlusion|1768.03|2210.04 58-1036115|1972558336|31635| Bronchoscopy w/fb removal|588.22|735.28 58-1036115|1972558336|31636| Bronchoscopy bronch stents|2500.56|3125.70 58-1036115|1972558336|31637| Bronchoscopy stent add-on|0.00|0.00 58-1036115|1972558336|31638| Bronchoscopy revise stent|1768.03|2210.04 58-1036115|1972558336|31640| Bronchoscopy w/tumor excise|1148.31|1435.39 58-1036115|1972558336|31641| Bronchoscopy treat blockage|1148.31|1435.39 58-1036115|1972558336|31643| Diag bronchoscope/catheter|588.22|735.28 58-1036115|1972558336|31645| Brnchsc w/ther aspir 1st|588.22|735.28 58-1036115|1972558336|31646| Brnchsc w/ther aspir sbsq|195.59|244.49 58-1036115|1972558336|31647| Bronchial valve init insert|1768.03|2210.04 58-1036115|1972558336|31648| Bronchial valve remov init|1148.31|1435.39 58-1036115|1972558336|31649| Bronchial valve remov addl|588.22|735.28 58-1036115|1972558336|31651| Bronchial valve addl insert|0.00|0.00 58-1036115|1972558336|31652| Bronch ebus samplng 1/2 node|1148.31|1435.39 58-1036115|1972558336|31653| Bronch ebus samplng 3/> node|1148.31|1435.39 58-1036115|1972558336|31654| Bronch ebus ivntj perph les|0.00|0.00 58-1036115|1972558336|31660| Bronch thermoplsty 1 lobe|2536.55|3170.68 58-1036115|1972558336|31661| Bronch thermoplsty 2/> lobes|2536.55|3170.68 58-1036115|1972558336|31717| Bronchial brush biopsy|195.59|244.49 58-1036115|1972558336|31720| Clearance of airways|0.00|0.00 58-1036115|1972558336|31725| Clearance of airways|0.00|0.00 58-1036115|1972558336|31730| Intro windpipe wire/tube|588.22|735.28 58-1036115|1972558336|31750| Repair of windpipe|2142.48|2678.10 58-1036115|1972558336|31755| Repair of windpipe|2142.48|2678.10 58-1036115|1972558336|31760| Repair of windpipe|0.00|0.00 58-1036115|1972558336|31766| Reconstruction of windpipe|0.00|0.00 58-1036115|1972558336|31770| Repair/graft of bronchus|0.00|0.00 58-1036115|1972558336|31775| Reconstruct bronchus|0.00|0.00 58-1036115|1972558336|31780| Reconstruct windpipe|0.00|0.00 58-1036115|1972558336|31781| Reconstruct windpipe|0.00|0.00 58-1036115|1972558336|31785| Remove windpipe lesion|2180.11|2725.14 58-1036115|1972558336|31786| Remove windpipe lesion|0.00|0.00 58-1036115|1972558336|31800| Repair of windpipe injury|0.00|0.00 58-1036115|1972558336|31805| Repair of windpipe injury|0.00|0.00 58-1036115|1972558336|31820| Closure of windpipe lesion|952.18|1190.23 58-1036115|1972558336|31825| Repair of windpipe defect|952.18|1190.23 58-1036115|1972558336|31830| Revise windpipe scar|952.18|1190.23 58-1036115|1972558336|31899| Airways surgical procedure|80.80|101.00 58-1036115|1972558336|32035| Thoracostomy w/rib resection|0.00|0.00 58-1036115|1972558336|32036| Thoracostomy w/flap drainage|0.00|0.00 58-1036115|1972558336|32096| Open wedge/bx lung infiltr|0.00|0.00 58-1036115|1972558336|32097| Open wedge/bx lung nodule|0.00|0.00 58-1036115|1972558336|32098| Open biopsy of lung pleura|0.00|0.00 58-1036115|1972558336|32100| Exploration of chest|0.00|0.00 58-1036115|1972558336|32110| Explore/repair chest|0.00|0.00 58-1036115|1972558336|32120| Re-exploration of chest|0.00|0.00 58-1036115|1972558336|32124| Explore chest free adhesions|0.00|0.00 58-1036115|1972558336|32140| Removal of lung lesion(s)|0.00|0.00 58-1036115|1972558336|32141| Remove/treat lung lesions|0.00|0.00 58-1036115|1972558336|32150| Removal of lung lesion(s)|0.00|0.00 58-1036115|1972558336|32151| Remove lung foreign body|0.00|0.00 58-1036115|1972558336|32160| Open chest heart massage|0.00|0.00 58-1036115|1972558336|32200| Drain open lung lesion|0.00|0.00 58-1036115|1972558336|32215| Treat chest lining|0.00|0.00 58-1036115|1972558336|32220| Release of lung|0.00|0.00 58-1036115|1972558336|32225| Partial release of lung|0.00|0.00 58-1036115|1972558336|32310| Removal of chest lining|0.00|0.00 58-1036115|1972558336|32320| Free/remove chest lining|0.00|0.00 58-1036115|1972558336|32400| Needle biopsy chest lining|542.88|678.60 58-1036115|1972558336|32405| Percut bx lung/mediastinum|542.88|678.60 58-1036115|1972558336|32440| Remove lung pneumonectomy|0.00|0.00 58-1036115|1972558336|32442| Sleeve pneumonectomy|0.00|0.00 58-1036115|1972558336|32445| Removal of lung extrapleural|0.00|0.00 58-1036115|1972558336|32480| Partial removal of lung|0.00|0.00 58-1036115|1972558336|32482| Bilobectomy|0.00|0.00 58-1036115|1972558336|32484| Segmentectomy|0.00|0.00 58-1036115|1972558336|32486| Sleeve lobectomy|0.00|0.00 58-1036115|1972558336|32488| Completion pneumonectomy|0.00|0.00 58-1036115|1972558336|32491| Lung volume reduction|0.00|0.00 58-1036115|1972558336|32501| Repair bronchus add-on|0.00|0.00 58-1036115|1972558336|32503| Resect apical lung tumor|0.00|0.00 58-1036115|1972558336|32504| Resect apical lung tum/chest|0.00|0.00 58-1036115|1972558336|32505| Wedge resect of lung initial|0.00|0.00 58-1036115|1972558336|32506| Wedge resect of lung add-on|0.00|0.00 58-1036115|1972558336|32507| Wedge resect of lung diag|0.00|0.00 58-1036115|1972558336|32540| Removal of lung lesion|0.00|0.00 58-1036115|1972558336|32550| Insert pleural cath|1332.59|1665.74 58-1036115|1972558336|32551| Insertion of chest tube|538.90|673.63 58-1036115|1972558336|32552| Remove lung catheter|319.10|398.88 58-1036115|1972558336|32553| Ins mark thor for rt perq|618.16|772.70 58-1036115|1972558336|32554| Aspirate pleura w/o imaging|319.10|398.88 58-1036115|1972558336|32555| Aspirate pleura w/ imaging|319.10|398.88 58-1036115|1972558336|32556| Insert cath pleura w/o image|627.43|784.29 58-1036115|1972558336|32557| Insert cath pleura w/ image|512.04|640.05 58-1036115|1972558336|32560| Treat pleurodesis w/agent|305.52|381.90 58-1036115|1972558336|32561| Lyse chest fibrin init day|305.52|381.90 58-1036115|1972558336|32562| Lyse chest fibrin subq day|305.52|381.90 58-1036115|1972558336|32601| Thoracoscopy diagnostic|2264.68|2830.85 58-1036115|1972558336|32604| Thoracoscopy wbx sac|2264.68|2830.85 58-1036115|1972558336|32606| Thoracoscopy w/bx med space|2264.68|2830.85 58-1036115|1972558336|32607| Thoracoscopy w/bx infiltrate|2264.68|2830.85 58-1036115|1972558336|32608| Thoracoscopy w/bx nodule|2264.68|2830.85 58-1036115|1972558336|32609| Thoracoscopy w/bx pleura|2264.68|2830.85 58-1036115|1972558336|32650| Thoracoscopy w/pleurodesis|0.00|0.00 58-1036115|1972558336|32651| Thoracoscopy remove cortex|0.00|0.00 58-1036115|1972558336|32652| Thoracoscopy rem totl cortex|0.00|0.00 58-1036115|1972558336|32653| Thoracoscopy remov fb/fibrin|0.00|0.00 58-1036115|1972558336|32654| Thoracoscopy contrl bleeding|0.00|0.00 58-1036115|1972558336|32655| Thoracoscopy resect bullae|0.00|0.00 58-1036115|1972558336|32656| Thoracoscopy w/pleurectomy|0.00|0.00 58-1036115|1972558336|32658| Thoracoscopy w/sac fb remove|0.00|0.00 58-1036115|1972558336|32659| Thoracoscopy w/sac drainage|0.00|0.00 58-1036115|1972558336|32661| Thoracoscopy w/pericard exc|0.00|0.00 58-1036115|1972558336|32662| Thoracoscopy w/mediast exc|0.00|0.00 58-1036115|1972558336|32663| Thoracoscopy w/lobectomy|0.00|0.00 58-1036115|1972558336|32664| Thoracoscopy w/ th nrv exc|0.00|0.00 58-1036115|1972558336|32665| Thoracoscop w/esoph musc exc|0.00|0.00 58-1036115|1972558336|32666| Thoracoscopy w/wedge resect|0.00|0.00 58-1036115|1972558336|32667| Thoracoscopy w/w resect addl|0.00|0.00 58-1036115|1972558336|32668| Thoracoscopy w/w resect diag|0.00|0.00 58-1036115|1972558336|32669| Thoracoscopy remove segment|0.00|0.00 58-1036115|1972558336|32670| Thoracoscopy bilobectomy|0.00|0.00 58-1036115|1972558336|32671| Thoracoscopy pneumonectomy|0.00|0.00 58-1036115|1972558336|32672| Thoracoscopy for lvrs|0.00|0.00 58-1036115|1972558336|32673| Thoracoscopy w/thymus resect|0.00|0.00 58-1036115|1972558336|32674| Thoracoscopy lymph node exc|0.00|0.00 58-1036115|1972558336|32800| Repair lung hernia|0.00|0.00 58-1036115|1972558336|32810| Close chest after drainage|0.00|0.00 58-1036115|1972558336|32815| Close bronchial fistula|0.00|0.00 58-1036115|1972558336|32820| Reconstruct injured chest|0.00|0.00 58-1036115|1972558336|32850| Donor pneumonectomy|0.00|0.00 58-1036115|1972558336|32851| Lung transplant single|0.00|0.00 58-1036115|1972558336|32852| Lung transplant with bypass|0.00|0.00 58-1036115|1972558336|32853| Lung transplant double|0.00|0.00 58-1036115|1972558336|32854| Lung transplant with bypass|0.00|0.00 58-1036115|1972558336|32855| Prepare donor lung single|0.00|0.00 58-1036115|1972558336|32856| Prepare donor lung double|0.00|0.00 58-1036115|1972558336|32900| Removal of rib(s)|0.00|0.00 58-1036115|1972558336|32905| Revise & repair chest wall|0.00|0.00 58-1036115|1972558336|32906| Revise & repair chest wall|0.00|0.00 58-1036115|1972558336|32940| Revision of lung|0.00|0.00 58-1036115|1972558336|32960| Therapeutic pneumothorax|319.10|398.88 58-1036115|1972558336|32994| Ablate pulm tumor perq crybl|2097.10|2621.38 58-1036115|1972558336|32997| Total lung lavage|0.00|0.00 58-1036115|1972558336|32998| Ablate pulm tumor perq rf|2097.10|2621.38 58-1036115|1972558336|32999| Chest surgery procedure|305.52|381.90 58-1036115|1972558336|33010| Drainage of heart sac|512.04|640.05 58-1036115|1972558336|33011| Repeat drainage of heart sac|512.04|640.05 58-1036115|1972558336|33015| Incision of heart sac|0.00|0.00 58-1036115|1972558336|33020| Incision of heart sac|0.00|0.00 58-1036115|1972558336|33025| Incision of heart sac|0.00|0.00 58-1036115|1972558336|33030| Partial removal of heart sac|0.00|0.00 58-1036115|1972558336|33031| Partial removal of heart sac|0.00|0.00 58-1036115|1972558336|33050| Resect heart sac lesion|0.00|0.00 58-1036115|1972558336|33120| Removal of heart lesion|0.00|0.00 58-1036115|1972558336|33130| Removal of heart lesion|0.00|0.00 58-1036115|1972558336|33140| Heart revascularize (tmr)|0.00|0.00 58-1036115|1972558336|33141| Heart tmr w/other procedure|0.00|0.00 58-1036115|1972558336|33202| Insert epicard eltrd open|0.00|0.00 58-1036115|1972558336|33203| Insert epicard eltrd endo|0.00|0.00 58-1036115|1972558336|33206| Insert heart pm atrial|7778.59|9723.24 58-1036115|1972558336|33207| Insert heart pm ventricular|7832.11|9790.14 58-1036115|1972558336|33208| Insrt heart pm atrial & vent|8010.24|10012.80 58-1036115|1972558336|33210| Insert electrd/pm cath sngl|3720.88|4651.10 58-1036115|1972558336|33211| Insert card electrodes dual|6042.76|7553.45 58-1036115|1972558336|33212| Insert pulse gen sngl lead|5902.46|7378.08 58-1036115|1972558336|33213| Insert pulse gen dual leads|7925.22|9906.53 58-1036115|1972558336|33214| Upgrade of pacemaker system|7774.99|9718.74 58-1036115|1972558336|33215| Reposition pacing-defib lead|1298.51|1623.14 58-1036115|1972558336|33216| Insert 1 electrode pm-defib|3720.88|4651.10 58-1036115|1972558336|33217| Insert 2 electrode pm-defib|5754.97|7193.71 58-1036115|1972558336|33218| Repair lead pace-defib one|1493.96|1867.45 58-1036115|1972558336|33220| Repair lead pace-defib dual|1493.96|1867.45 58-1036115|1972558336|33221| Insert pulse gen mult leads|12819.66|16024.58 58-1036115|1972558336|33222| Relocation pocket pacemaker|817.02|1021.28 58-1036115|1972558336|33223| Relocate pocket for defib|817.02|1021.28 58-1036115|1972558336|33224| Insert pacing lead & connect|7869.44|9836.80 58-1036115|1972558336|33225| L ventric pacing lead add-on|0.00|0.00 58-1036115|1972558336|33226| Reposition l ventric lead|1298.51|1623.14 58-1036115|1972558336|33227| Remove&replace pm gen singl|5857.29|7321.61 58-1036115|1972558336|33228| Remv&replc pm gen dual lead|7807.37|9759.21 58-1036115|1972558336|33229| Remv&replc pm gen mult leads|12780.84|15976.05 58-1036115|1972558336|33230| Insrt pulse gen w/dual leads|19716.22|24645.28 58-1036115|1972558336|33231| Insrt pulse gen w/mult leads|27818.37|34772.96 58-1036115|1972558336|33233| Removal of pm generator|3720.88|4651.10 58-1036115|1972558336|33234| Removal of pacemaker system|1493.96|1867.45 58-1036115|1972558336|33235| Removal pacemaker electrode|1493.96|1867.45 58-1036115|1972558336|33236| Remove electrode/thoracotomy|0.00|0.00 58-1036115|1972558336|33237| Remove electrode/thoracotomy|0.00|0.00 58-1036115|1972558336|33238| Remove electrode/thoracotomy|0.00|0.00 58-1036115|1972558336|33240| Insrt pulse gen w/singl lead|20002.51|25003.14 58-1036115|1972558336|33241| Remove pulse generator|1493.96|1867.45 58-1036115|1972558336|33243| Remove eltrd/thoracotomy|0.00|0.00 58-1036115|1972558336|33244| Remove elctrd transvenously|1542.62|1928.28 58-1036115|1972558336|33249| Insj/rplcmt defib w/lead(s)|27340.36|34175.45 58-1036115|1972558336|33250| Ablate heart dysrhythm focus|0.00|0.00 58-1036115|1972558336|33251| Ablate heart dysrhythm focus|0.00|0.00 58-1036115|1972558336|33254| Ablate atria lmtd|0.00|0.00 58-1036115|1972558336|33255| Ablate atria w/o bypass ext|0.00|0.00 58-1036115|1972558336|33256| Ablate atria w/bypass exten|0.00|0.00 58-1036115|1972558336|33257| Ablate atria lmtd add-on|0.00|0.00 58-1036115|1972558336|33258| Ablate atria x10sv add-on|0.00|0.00 58-1036115|1972558336|33259| Ablate atria w/bypass add-on|0.00|0.00 58-1036115|1972558336|33261| Ablate heart dysrhythm focus|0.00|0.00 58-1036115|1972558336|33262| Rmvl& replc pulse gen 1 lead|19387.67|24234.59 58-1036115|1972558336|33263| Rmvl & rplcmt dfb gen 2 lead|19514.44|24393.05 58-1036115|1972558336|33264| Rmvl & rplcmt dfb gen mlt ld|27391.37|34239.21 58-1036115|1972558336|33265| Ablate atria lmtd endo|0.00|0.00 58-1036115|1972558336|33266| Ablate atria x10sv endo|0.00|0.00 58-1036115|1972558336|33270| Ins/rep subq defibrillator|27264.58|34080.73 58-1036115|1972558336|33271| Insj subq impltbl dfb elctrd|6145.08|7681.35 58-1036115|1972558336|33272| Rmvl of subq defibrillator|1542.62|1928.28 58-1036115|1972558336|33273| Repos prev impltbl subq dfb|1493.96|1867.45 58-1036115|1972558336|33274|Tcat insj/rpl perm ldls pm|7566.18|9457.72 58-1036115|1972558336|33275|Tcat rmvl perm ldls pm|1301.65|1627.07 58-1036115|1972558336|33282|Implant pat-active ht record|6403.45|8004.31 58-1036115|1972558336|33284|Remove pat-active ht record|298.41|373.01 58-1036115|1972558336|33285|Insj subq car rhythm mntr|3648.50|4560.62 58-1036115|1972558336|33286|Rmvl subq car rhythm mntr|285.48|356.85 58-1036115|1972558336|33289|Tcat impl wrls p-art prs snr|14458.12|18072.66 58-1036115|1972558336|33300| Repair of heart wound|0.00|0.00 58-1036115|1972558336|33305| Repair of heart wound|0.00|0.00 58-1036115|1972558336|33310| Exploratory heart surgery|0.00|0.00 58-1036115|1972558336|33315| Exploratory heart surgery|0.00|0.00 58-1036115|1972558336|33320| Repair major blood vessel(s)|0.00|0.00 58-1036115|1972558336|33321| Repair major vessel|0.00|0.00 58-1036115|1972558336|33322| Repair major blood vessel(s)|0.00|0.00 58-1036115|1972558336|33330| Insert major vessel graft|0.00|0.00 58-1036115|1972558336|33335| Insert major vessel graft|0.00|0.00 58-1036115|1972558336|33340| Perq clsr tcat l atr apndge|0.00|0.00 58-1036115|1972558336|33361| Replace aortic valve perq|0.00|0.00 58-1036115|1972558336|33362| Replace aortic valve open|0.00|0.00 58-1036115|1972558336|33363| Replace aortic valve open|0.00|0.00 58-1036115|1972558336|33364| Replace aortic valve open|0.00|0.00 58-1036115|1972558336|33365| Replace aortic valve open|0.00|0.00 58-1036115|1972558336|33366| Trcath replace aortic valve|0.00|0.00 58-1036115|1972558336|33367| Replace aortic valve w/byp|0.00|0.00 58-1036115|1972558336|33368| Replace aortic valve w/byp|0.00|0.00 58-1036115|1972558336|33369| Replace aortic valve w/byp|0.00|0.00 58-1036115|1972558336|33390| Valvuloplasty aortic valve|0.00|0.00 58-1036115|1972558336|33391| Valvuloplasty aortic valve|0.00|0.00 58-1036115|1972558336|33404| Prepare heart-aorta conduit|0.00|0.00 58-1036115|1972558336|33405| Replacement aortic valve opn|0.00|0.00 58-1036115|1972558336|33406| Replacement aortic valve opn|0.00|0.00 58-1036115|1972558336|33410| Replacement aortic valve opn|0.00|0.00 58-1036115|1972558336|33411| Replacement of aortic valve|0.00|0.00 58-1036115|1972558336|33412| Replacement of aortic valve|0.00|0.00 58-1036115|1972558336|33413| Replacement of aortic valve|0.00|0.00 58-1036115|1972558336|33414| Repair of aortic valve|0.00|0.00 58-1036115|1972558336|33415| Revision subvalvular tissue|0.00|0.00 58-1036115|1972558336|33416| Revise ventricle muscle|0.00|0.00 58-1036115|1972558336|33417| Repair of aortic valve|0.00|0.00 58-1036115|1972558336|33418| Repair tcat mitral valve|0.00|0.00 58-1036115|1972558336|33419| Repair tcat mitral valve|0.00|0.00 58-1036115|1972558336|33420| Revision of mitral valve|0.00|0.00 58-1036115|1972558336|33422| Revision of mitral valve|0.00|0.00 58-1036115|1972558336|33425| Repair of mitral valve|0.00|0.00 58-1036115|1972558336|33426| Repair of mitral valve|0.00|0.00 58-1036115|1972558336|33427| Repair of mitral valve|0.00|0.00 58-1036115|1972558336|33430| Replacement of mitral valve|0.00|0.00 58-1036115|1972558336|33460| Revision of tricuspid valve|0.00|0.00 58-1036115|1972558336|33463| Valvuloplasty tricuspid|0.00|0.00 58-1036115|1972558336|33464| Valvuloplasty tricuspid|0.00|0.00 58-1036115|1972558336|33465| Replace tricuspid valve|0.00|0.00 58-1036115|1972558336|33468| Revision of tricuspid valve|0.00|0.00 58-1036115|1972558336|33470| Revision of pulmonary valve|0.00|0.00 58-1036115|1972558336|33471| Valvotomy pulmonary valve|0.00|0.00 58-1036115|1972558336|33474| Revision of pulmonary valve|0.00|0.00 58-1036115|1972558336|33475| Replacement pulmonary valve|0.00|0.00 58-1036115|1972558336|33476| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|33477| Implant tcat pulm vlv perq|0.00|0.00 58-1036115|1972558336|33478| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|33496| Repair prosth valve clot|0.00|0.00 58-1036115|1972558336|33500| Repair heart vessel fistula|0.00|0.00 58-1036115|1972558336|33501| Repair heart vessel fistula|0.00|0.00 58-1036115|1972558336|33502| Coronary artery correction|0.00|0.00 58-1036115|1972558336|33503| Coronary artery graft|0.00|0.00 58-1036115|1972558336|33504| Coronary artery graft|0.00|0.00 58-1036115|1972558336|33505| Repair artery w/tunnel|0.00|0.00 58-1036115|1972558336|33506| Repair artery translocation|0.00|0.00 58-1036115|1972558336|33507| Repair art intramural|0.00|0.00 58-1036115|1972558336|33508| Endoscopic vein harvest|0.00|0.00 58-1036115|1972558336|33510| Cabg vein single|0.00|0.00 58-1036115|1972558336|33511| Cabg vein two|0.00|0.00 58-1036115|1972558336|33512| Cabg vein three|0.00|0.00 58-1036115|1972558336|33513| Cabg vein four|0.00|0.00 58-1036115|1972558336|33514| Cabg vein five|0.00|0.00 58-1036115|1972558336|33516| Cabg vein six or more|0.00|0.00 58-1036115|1972558336|33517| Cabg artery-vein single|0.00|0.00 58-1036115|1972558336|33518| Cabg artery-vein two|0.00|0.00 58-1036115|1972558336|33519| Cabg artery-vein three|0.00|0.00 58-1036115|1972558336|33521| Cabg artery-vein four|0.00|0.00 58-1036115|1972558336|33522| Cabg artery-vein five|0.00|0.00 58-1036115|1972558336|33523| Cabg art-vein six or more|0.00|0.00 58-1036115|1972558336|33530| Coronary artery bypass/reop|0.00|0.00 58-1036115|1972558336|33533| Cabg arterial single|0.00|0.00 58-1036115|1972558336|33534| Cabg arterial two|0.00|0.00 58-1036115|1972558336|33535| Cabg arterial three|0.00|0.00 58-1036115|1972558336|33536| Cabg arterial four or more|0.00|0.00 58-1036115|1972558336|33542| Removal of heart lesion|0.00|0.00 58-1036115|1972558336|33545| Repair of heart damage|0.00|0.00 58-1036115|1972558336|33548| Restore/remodel ventricle|0.00|0.00 58-1036115|1972558336|33572| Open coronary endarterectomy|0.00|0.00 58-1036115|1972558336|33600| Closure of valve|0.00|0.00 58-1036115|1972558336|33602| Closure of valve|0.00|0.00 58-1036115|1972558336|33606| Anastomosis/artery-aorta|0.00|0.00 58-1036115|1972558336|33608| Repair anomaly w/conduit|0.00|0.00 58-1036115|1972558336|33610| Repair by enlargement|0.00|0.00 58-1036115|1972558336|33611| Repair double ventricle|0.00|0.00 58-1036115|1972558336|33612| Repair double ventricle|0.00|0.00 58-1036115|1972558336|33615| Repair modified fontan|0.00|0.00 58-1036115|1972558336|33617| Repair single ventricle|0.00|0.00 58-1036115|1972558336|33619| Repair single ventricle|0.00|0.00 58-1036115|1972558336|33620| Apply r&l pulm art bands|0.00|0.00 58-1036115|1972558336|33621| Transthor cath for stent|0.00|0.00 58-1036115|1972558336|33622| Redo compl cardiac anomaly|0.00|0.00 58-1036115|1972558336|33641| Repair heart septum defect|0.00|0.00 58-1036115|1972558336|33645| Revision of heart veins|0.00|0.00 58-1036115|1972558336|33647| Repair heart septum defects|0.00|0.00 58-1036115|1972558336|33660| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33665| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33670| Repair of heart chambers|0.00|0.00 58-1036115|1972558336|33675| Close mult vsd|0.00|0.00 58-1036115|1972558336|33676| Close mult vsd w/resection|0.00|0.00 58-1036115|1972558336|33677| Cl mult vsd w/rem pul band|0.00|0.00 58-1036115|1972558336|33681| Repair heart septum defect|0.00|0.00 58-1036115|1972558336|33684| Repair heart septum defect|0.00|0.00 58-1036115|1972558336|33688| Repair heart septum defect|0.00|0.00 58-1036115|1972558336|33690| Reinforce pulmonary artery|0.00|0.00 58-1036115|1972558336|33692| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33694| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33697| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33702| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33710| Repair of heart defects|0.00|0.00 58-1036115|1972558336|33720| Repair of heart defect|0.00|0.00 58-1036115|1972558336|33722| Repair of heart defect|0.00|0.00 58-1036115|1972558336|33724| Repair venous anomaly|0.00|0.00 58-1036115|1972558336|33726| Repair pul venous stenosis|0.00|0.00 58-1036115|1972558336|33730| Repair heart-vein defect(s)|0.00|0.00 58-1036115|1972558336|33732| Repair heart-vein defect|0.00|0.00 58-1036115|1972558336|33735| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|33736| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|33737| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|33750| Major vessel shunt|0.00|0.00 58-1036115|1972558336|33755| Major vessel shunt|0.00|0.00 58-1036115|1972558336|33762| Major vessel shunt|0.00|0.00 58-1036115|1972558336|33764| Major vessel shunt & graft|0.00|0.00 58-1036115|1972558336|33766| Major vessel shunt|0.00|0.00 58-1036115|1972558336|33767| Major vessel shunt|0.00|0.00 58-1036115|1972558336|33768| Cavopulmonary shunting|0.00|0.00 58-1036115|1972558336|33770| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33771| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33774| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33775| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33776| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33777| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33778| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33779| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33780| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33781| Repair great vessels defect|0.00|0.00 58-1036115|1972558336|33782| Nikaidoh proc|0.00|0.00 58-1036115|1972558336|33783| Nikaidoh proc w/ostia implt|0.00|0.00 58-1036115|1972558336|33786| Repair arterial trunk|0.00|0.00 58-1036115|1972558336|33788| Revision of pulmonary artery|0.00|0.00 58-1036115|1972558336|33800| Aortic suspension|0.00|0.00 58-1036115|1972558336|33802| Repair vessel defect|0.00|0.00 58-1036115|1972558336|33803| Repair vessel defect|0.00|0.00 58-1036115|1972558336|33813| Repair septal defect|0.00|0.00 58-1036115|1972558336|33814| Repair septal defect|0.00|0.00 58-1036115|1972558336|33820| Revise major vessel|0.00|0.00 58-1036115|1972558336|33822| Revise major vessel|0.00|0.00 58-1036115|1972558336|33824| Revise major vessel|0.00|0.00 58-1036115|1972558336|33840| Remove aorta constriction|0.00|0.00 58-1036115|1972558336|33845| Remove aorta constriction|0.00|0.00 58-1036115|1972558336|33851| Remove aorta constriction|0.00|0.00 58-1036115|1972558336|33852| Repair septal defect|0.00|0.00 58-1036115|1972558336|33853| Repair septal defect|0.00|0.00 58-1036115|1972558336|33860| Ascending aortic graft|0.00|0.00 58-1036115|1972558336|33863| Ascending aortic graft|0.00|0.00 58-1036115|1972558336|33864| Ascending aortic graft|0.00|0.00 58-1036115|1972558336|33866|Aortic hemiarch graft|0.00|0.00 58-1036115|1972558336|33870| Transverse aortic arch graft|0.00|0.00 58-1036115|1972558336|33875| Thoracic aortic graft|0.00|0.00 58-1036115|1972558336|33877| Thoracoabdominal graft|0.00|0.00 58-1036115|1972558336|33880| Endovasc taa repr incl subcl|0.00|0.00 58-1036115|1972558336|33881| Endovasc taa repr w/o subcl|0.00|0.00 58-1036115|1972558336|33883| Insert endovasc prosth taa|0.00|0.00 58-1036115|1972558336|33884| Endovasc prosth taa add-on|0.00|0.00 58-1036115|1972558336|33886| Endovasc prosth delayed|0.00|0.00 58-1036115|1972558336|33889| Artery transpose/endovas taa|0.00|0.00 58-1036115|1972558336|33891| Car-car bp grft/endovas taa|0.00|0.00 58-1036115|1972558336|33910| Remove lung artery emboli|0.00|0.00 58-1036115|1972558336|33915| Remove lung artery emboli|0.00|0.00 58-1036115|1972558336|33916| Surgery of great vessel|0.00|0.00 58-1036115|1972558336|33917| Repair pulmonary artery|0.00|0.00 58-1036115|1972558336|33920| Repair pulmonary atresia|0.00|0.00 58-1036115|1972558336|33922| Transect pulmonary artery|0.00|0.00 58-1036115|1972558336|33924| Remove pulmonary shunt|0.00|0.00 58-1036115|1972558336|33925| Rpr pul art unifocal w/o cpb|0.00|0.00 58-1036115|1972558336|33926| Repr pul art unifocal w/cpb|0.00|0.00 58-1036115|1972558336|33927| Impltj tot rplcmt hrt sys|0.00|0.00 58-1036115|1972558336|33928| Rmvl & rplcmt tot hrt sys|0.00|0.00 58-1036115|1972558336|33929| Rmvl rplcmt hrt sys f/trnspl|0.00|0.00 58-1036115|1972558336|33930| Removal of donor heart/lung|0.00|0.00 58-1036115|1972558336|33933| Prepare donor heart/lung|0.00|0.00 58-1036115|1972558336|33935| Transplantation heart/lung|0.00|0.00 58-1036115|1972558336|33940| Removal of donor heart|0.00|0.00 58-1036115|1972558336|33944| Prepare donor heart|0.00|0.00 58-1036115|1972558336|33945| Transplantation of heart|0.00|0.00 58-1036115|1972558336|33946| Ecmo/ecls initiation venous|0.00|0.00 58-1036115|1972558336|33947| Ecmo/ecls initiation artery|0.00|0.00 58-1036115|1972558336|33948| Ecmo/ecls daily mgmt-venous|0.00|0.00 58-1036115|1972558336|33949| Ecmo/ecls daily mgmt artery|0.00|0.00 58-1036115|1972558336|33951| Ecmo/ecls insj prph cannula|0.00|0.00 58-1036115|1972558336|33952| Ecmo/ecls insj prph cannula|0.00|0.00 58-1036115|1972558336|33953| Ecmo/ecls insj prph cannula|0.00|0.00 58-1036115|1972558336|33954| Ecmo/ecls insj prph cannula|0.00|0.00 58-1036115|1972558336|33955| Ecmo/ecls insj ctr cannula|0.00|0.00 58-1036115|1972558336|33956| Ecmo/ecls insj ctr cannula|0.00|0.00 58-1036115|1972558336|33957| Ecmo/ecls repos perph cnula|0.00|0.00 58-1036115|1972558336|33958| Ecmo/ecls repos perph cnula|0.00|0.00 58-1036115|1972558336|33959| Ecmo/ecls repos perph cnula|0.00|0.00 58-1036115|1972558336|33962| Ecmo/ecls repos perph cnula|0.00|0.00 58-1036115|1972558336|33963| Ecmo/ecls repos perph cnula|0.00|0.00 58-1036115|1972558336|33964| Ecmo/ecls repos perph cnula|0.00|0.00 58-1036115|1972558336|33965| Ecmo/ecls rmvl perph cannula|0.00|0.00 58-1036115|1972558336|33966| Ecmo/ecls rmvl prph cannula|0.00|0.00 58-1036115|1972558336|33967| Insert i-aort percut device|0.00|0.00 58-1036115|1972558336|33968| Remove aortic assist device|0.00|0.00 58-1036115|1972558336|33969| Ecmo/ecls rmvl perph cannula|0.00|0.00 58-1036115|1972558336|33970| Aortic circulation assist|0.00|0.00 58-1036115|1972558336|33971| Aortic circulation assist|0.00|0.00 58-1036115|1972558336|33973| Insert balloon device|0.00|0.00 58-1036115|1972558336|33974| Remove intra-aortic balloon|0.00|0.00 58-1036115|1972558336|33975| Implant ventricular device|0.00|0.00 58-1036115|1972558336|33976| Implant ventricular device|0.00|0.00 58-1036115|1972558336|33977| Remove ventricular device|0.00|0.00 58-1036115|1972558336|33978| Remove ventricular device|0.00|0.00 58-1036115|1972558336|33979| Insert intracorporeal device|0.00|0.00 58-1036115|1972558336|33980| Remove intracorporeal device|0.00|0.00 58-1036115|1972558336|33981| Replace vad pump ext|0.00|0.00 58-1036115|1972558336|33982| Replace vad intra w/o bp|0.00|0.00 58-1036115|1972558336|33983| Replace vad intra w/bp|0.00|0.00 58-1036115|1972558336|33984| Ecmo/ecls rmvl prph cannula|0.00|0.00 58-1036115|1972558336|33985| Ecmo/ecls rmvl ctr cannula|0.00|0.00 58-1036115|1972558336|33986| Ecmo/ecls rmvl ctr cannula|0.00|0.00 58-1036115|1972558336|33987| Artery expos/graft artery|0.00|0.00 58-1036115|1972558336|33988| Insertion of left heart vent|0.00|0.00 58-1036115|1972558336|33989| Removal of left heart vent|0.00|0.00 58-1036115|1972558336|33990| Insert vad artery access|0.00|0.00 58-1036115|1972558336|33991| Insert vad art&vein access|0.00|0.00 58-1036115|1972558336|33992| Remove vad different session|0.00|0.00 58-1036115|1972558336|33993| Reposition vad diff session|0.00|0.00 58-1036115|1972558336|33999| Cardiac surgery procedure|305.52|381.90 58-1036115|1972558336|34001| Removal of artery clot|0.00|0.00 58-1036115|1972558336|34051| Removal of artery clot|0.00|0.00 58-1036115|1972558336|34101| Removal of artery clot|2156.60|2695.75 58-1036115|1972558336|34111| Removal of arm artery clot|2156.60|2695.75 58-1036115|1972558336|34151| Removal of artery clot|0.00|0.00 58-1036115|1972558336|34201| Removal of artery clot|2156.60|2695.75 58-1036115|1972558336|34203| Removal of leg artery clot|2156.60|2695.75 58-1036115|1972558336|34401| Removal of vein clot|0.00|0.00 58-1036115|1972558336|34421| Removal of vein clot|1301.65|1627.07 58-1036115|1972558336|34451| Removal of vein clot|0.00|0.00 58-1036115|1972558336|34471| Removal of vein clot|305.52|381.90 58-1036115|1972558336|34490| Removal of vein clot|1298.51|1623.14 58-1036115|1972558336|34501| Repair valve femoral vein|2156.60|2695.75 58-1036115|1972558336|34502| Reconstruct vena cava|0.00|0.00 58-1036115|1972558336|34510| Transposition of vein valve|2156.60|2695.75 58-1036115|1972558336|34520| Cross-over vein graft|2156.60|2695.75 58-1036115|1972558336|34530| Leg vein fusion|1301.65|1627.07 58-1036115|1972558336|34701| Evasc rpr a-ao ndgft|0.00|0.00 58-1036115|1972558336|34702| Evasc rpr a-ao ndgft rpt|0.00|0.00 58-1036115|1972558336|34703| Evasc rpr a-unilac ndgft|0.00|0.00 58-1036115|1972558336|34704| Evasc rpr a-unilac ndgft rpt|0.00|0.00 58-1036115|1972558336|34705| Evac rpr a-biiliac ndgft|0.00|0.00 58-1036115|1972558336|34706| Evasc rpr a-biiliac rpt|0.00|0.00 58-1036115|1972558336|34707| Evasc rpr ilio-iliac ndgft|0.00|0.00 58-1036115|1972558336|34708| Evasc rpr ilio-iliac rpt|0.00|0.00 58-1036115|1972558336|34709| Plmt xtn prosth evasc rpr|0.00|0.00 58-1036115|1972558336|34710| Dlyd plmt xtn prosth 1st vsl|0.00|0.00 58-1036115|1972558336|34711| Dlyd plmt xtn prosth ea addl|0.00|0.00 58-1036115|1972558336|34712| Tcat dlvr enhncd fixj dev|0.00|0.00 58-1036115|1972558336|34713| Perq access & clsr fem art|0.00|0.00 58-1036115|1972558336|34714| Opn fem art expos cndt crtj|0.00|0.00 58-1036115|1972558336|34715| Opn ax/subcla art expos|0.00|0.00 58-1036115|1972558336|34716| Opn ax/subcla art expos cndt|0.00|0.00 58-1036115|1972558336|34808| Endovas iliac a device addon|0.00|0.00 58-1036115|1972558336|34812| Opn fem art expos|0.00|0.00 58-1036115|1972558336|34813| Femoral endovas graft add-on|0.00|0.00 58-1036115|1972558336|34820| Opn iliac art expos|0.00|0.00 58-1036115|1972558336|34830| Open aortic tube prosth repr|0.00|0.00 58-1036115|1972558336|34831| Open aortoiliac prosth repr|0.00|0.00 58-1036115|1972558336|34832| Open aortofemor prosth repr|0.00|0.00 58-1036115|1972558336|34833| Opn ilac art expos cndt crtj|0.00|0.00 58-1036115|1972558336|34834| Opn brach art expos|0.00|0.00 58-1036115|1972558336|34841| Endovasc visc aorta 1 graft|0.00|0.00 58-1036115|1972558336|34842| Endovasc visc aorta 2 graft|0.00|0.00 58-1036115|1972558336|34843| Endovasc visc aorta 3 graft|0.00|0.00 58-1036115|1972558336|34844| Endovasc visc aorta 4 graft|0.00|0.00 58-1036115|1972558336|34845| Visc & infraren abd 1 prosth|0.00|0.00 58-1036115|1972558336|34846| Visc & infraren abd 2 prosth|0.00|0.00 58-1036115|1972558336|34847| Visc & infraren abd 3 prosth|0.00|0.00 58-1036115|1972558336|34848| Visc & infraren abd 4+ prost|0.00|0.00 58-1036115|1972558336|35001| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35002| Repair artery rupture neck|0.00|0.00 58-1036115|1972558336|35005| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35011| Repair defect of artery|2156.60|2695.75 58-1036115|1972558336|35013| Repair artery rupture arm|0.00|0.00 58-1036115|1972558336|35021| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35022| Repair artery rupture chest|0.00|0.00 58-1036115|1972558336|35045| Repair defect of arm artery|2156.60|2695.75 58-1036115|1972558336|35081| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35082| Repair artery rupture aorta|0.00|0.00 58-1036115|1972558336|35091| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35092| Repair artery rupture aorta|0.00|0.00 58-1036115|1972558336|35102| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35103| Repair artery rupture aorta|0.00|0.00 58-1036115|1972558336|35111| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35112| Repair artery rupture spleen|0.00|0.00 58-1036115|1972558336|35121| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35122| Repair artery rupture belly|0.00|0.00 58-1036115|1972558336|35131| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35132| Repair artery rupture groin|0.00|0.00 58-1036115|1972558336|35141| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35142| Repair artery rupture thigh|0.00|0.00 58-1036115|1972558336|35151| Repair defect of artery|0.00|0.00 58-1036115|1972558336|35152| Repair ruptd popliteal art|0.00|0.00 58-1036115|1972558336|35180| Repair blood vessel lesion|305.52|381.90 58-1036115|1972558336|35182| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35184| Repair blood vessel lesion|1301.65|1627.07 58-1036115|1972558336|35188| Repair blood vessel lesion|2221.69|2777.11 58-1036115|1972558336|35189| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35190| Repair blood vessel lesion|2156.60|2695.75 58-1036115|1972558336|35201| Repair blood vessel lesion|2156.60|2695.75 58-1036115|1972558336|35206| Repair blood vessel lesion|1301.65|1627.07 58-1036115|1972558336|35207| Repair blood vessel lesion|1298.51|1623.14 58-1036115|1972558336|35211| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35216| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35221| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35226| Repair blood vessel lesion|285.48|356.85 58-1036115|1972558336|35231| Repair blood vessel lesion|1301.65|1627.07 58-1036115|1972558336|35236| Repair blood vessel lesion|2156.60|2695.75 58-1036115|1972558336|35241| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35246| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35251| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35256| Repair blood vessel lesion|2156.60|2695.75 58-1036115|1972558336|35261| Repair blood vessel lesion|1301.65|1627.07 58-1036115|1972558336|35266| Repair blood vessel lesion|2156.60|2695.75 58-1036115|1972558336|35271| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35276| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35281| Repair blood vessel lesion|0.00|0.00 58-1036115|1972558336|35286| Repair blood vessel lesion|2156.60|2695.75 58-1036115|1972558336|35301| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35302| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35303| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35304| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35305| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35306| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35311| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35321| Rechanneling of artery|2156.60|2695.75 58-1036115|1972558336|35331| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35341| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35351| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35355| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35361| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35363| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35371| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35372| Rechanneling of artery|0.00|0.00 58-1036115|1972558336|35390| Reoperation carotid add-on|0.00|0.00 58-1036115|1972558336|35400| Angioscopy|0.00|0.00 58-1036115|1972558336|35500| Harvest vein for bypass|0.00|0.00 58-1036115|1972558336|35501| Art byp grft ipsilat carotid|0.00|0.00 58-1036115|1972558336|35506| Art byp grft subclav-carotid|0.00|0.00 58-1036115|1972558336|35508| Art byp grft carotid-vertbrl|0.00|0.00 58-1036115|1972558336|35509| Art byp grft contral carotid|0.00|0.00 58-1036115|1972558336|35510| Art byp grft carotid-brchial|0.00|0.00 58-1036115|1972558336|35511| Art byp grft subclav-subclav|0.00|0.00 58-1036115|1972558336|35512| Art byp grft subclav-brchial|0.00|0.00 58-1036115|1972558336|35515| Art byp grft subclav-vertbrl|0.00|0.00 58-1036115|1972558336|35516| Art byp grft subclav-axilary|0.00|0.00 58-1036115|1972558336|35518| Art byp grft axillary-axilry|0.00|0.00 58-1036115|1972558336|35521| Art byp grft axill-femoral|0.00|0.00 58-1036115|1972558336|35522| Art byp grft axill-brachial|0.00|0.00 58-1036115|1972558336|35523| Art byp grft brchl-ulnr-rdl|0.00|0.00 58-1036115|1972558336|35525| Art byp grft brachial-brchl|0.00|0.00 58-1036115|1972558336|35526| Art byp grft aor/carot/innom|0.00|0.00 58-1036115|1972558336|35531| Art byp grft aorcel/aormesen|0.00|0.00 58-1036115|1972558336|35533| Art byp grft axill/fem/fem|0.00|0.00 58-1036115|1972558336|35535| Art byp grft hepatorenal|0.00|0.00 58-1036115|1972558336|35536| Art byp grft splenorenal|0.00|0.00 58-1036115|1972558336|35537| Art byp grft aortoiliac|0.00|0.00 58-1036115|1972558336|35538| Art byp grft aortobi-iliac|0.00|0.00 58-1036115|1972558336|35539| Art byp grft aortofemoral|0.00|0.00 58-1036115|1972558336|35540| Art byp grft aortbifemoral|0.00|0.00 58-1036115|1972558336|35556| Art byp grft fem-popliteal|0.00|0.00 58-1036115|1972558336|35558| Art byp grft fem-femoral|0.00|0.00 58-1036115|1972558336|35560| Art byp grft aortorenal|0.00|0.00 58-1036115|1972558336|35563| Art byp grft ilioiliac|0.00|0.00 58-1036115|1972558336|35565| Art byp grft iliofemoral|0.00|0.00 58-1036115|1972558336|35566| Art byp fem-ant-post tib/prl|0.00|0.00 58-1036115|1972558336|35570| Art byp tibial-tib/peroneal|0.00|0.00 58-1036115|1972558336|35571| Art byp pop-tibl-prl-other|0.00|0.00 58-1036115|1972558336|35572| Harvest femoropopliteal vein|0.00|0.00 58-1036115|1972558336|35583| Vein byp grft fem-popliteal|0.00|0.00 58-1036115|1972558336|35585| Vein byp fem-tibial peroneal|0.00|0.00 58-1036115|1972558336|35587| Vein byp pop-tibl peroneal|0.00|0.00 58-1036115|1972558336|35600| Harvest art for cabg add-on|0.00|0.00 58-1036115|1972558336|35601| Art byp common ipsi carotid|0.00|0.00 58-1036115|1972558336|35606| Art byp carotid-subclavian|0.00|0.00 58-1036115|1972558336|35612| Art byp subclav-subclavian|0.00|0.00 58-1036115|1972558336|35616| Art byp subclav-axillary|0.00|0.00 58-1036115|1972558336|35621| Art byp axillary-femoral|0.00|0.00 58-1036115|1972558336|35623| Art byp axillary-pop-tibial|0.00|0.00 58-1036115|1972558336|35626| Art byp aorsubcl/carot/innom|0.00|0.00 58-1036115|1972558336|35631| Art byp aor-celiac-msn-renal|0.00|0.00 58-1036115|1972558336|35632| Art byp ilio-celiac|0.00|0.00 58-1036115|1972558336|35633| Art byp ilio-mesenteric|0.00|0.00 58-1036115|1972558336|35634| Art byp iliorenal|0.00|0.00 58-1036115|1972558336|35636| Art byp spenorenal|0.00|0.00 58-1036115|1972558336|35637| Art byp aortoiliac|0.00|0.00 58-1036115|1972558336|35638| Art byp aortobi-iliac|0.00|0.00 58-1036115|1972558336|35642| Art byp carotid-vertebral|0.00|0.00 58-1036115|1972558336|35645| Art byp subclav-vertebrl|0.00|0.00 58-1036115|1972558336|35646| Art byp aortobifemoral|0.00|0.00 58-1036115|1972558336|35647| Art byp aortofemoral|0.00|0.00 58-1036115|1972558336|35650| Art byp axillary-axillary|0.00|0.00 58-1036115|1972558336|35654| Art byp axill-fem-femoral|0.00|0.00 58-1036115|1972558336|35656| Art byp femoral-popliteal|0.00|0.00 58-1036115|1972558336|35661| Art byp femoral-femoral|0.00|0.00 58-1036115|1972558336|35663| Art byp ilioiliac|0.00|0.00 58-1036115|1972558336|35665| Art byp iliofemoral|0.00|0.00 58-1036115|1972558336|35666| Art byp fem-ant-post tib/prl|0.00|0.00 58-1036115|1972558336|35671| Art byp pop-tibl-prl-other|0.00|0.00 58-1036115|1972558336|35681| Composite byp grft pros&vein|0.00|0.00 58-1036115|1972558336|35682| Composite byp grft 2 veins|0.00|0.00 58-1036115|1972558336|35683| Composite byp grft 3/> segmt|0.00|0.00 58-1036115|1972558336|35685| Bypass graft patency/patch|0.00|0.00 58-1036115|1972558336|35686| Bypass graft/av fist patency|0.00|0.00 58-1036115|1972558336|35691| Art trnsposj vertbrl carotid|0.00|0.00 58-1036115|1972558336|35693| Art trnsposj subclavian|0.00|0.00 58-1036115|1972558336|35694| Art trnsposj subclav carotid|0.00|0.00 58-1036115|1972558336|35695| Art trnsposj carotid subclav|0.00|0.00 58-1036115|1972558336|35697| Reimplant artery each|0.00|0.00 58-1036115|1972558336|35700| Reoperation bypass graft|0.00|0.00 58-1036115|1972558336|35701| Exploration carotid artery|0.00|0.00 58-1036115|1972558336|35721| Exploration femoral artery|0.00|0.00 58-1036115|1972558336|35741| Exploration popliteal artery|0.00|0.00 58-1036115|1972558336|35761| Exploration of artery/vein|1298.51|1623.14 58-1036115|1972558336|35800| Explore neck vessels|0.00|0.00 58-1036115|1972558336|35820| Explore chest vessels|0.00|0.00 58-1036115|1972558336|35840| Explore abdominal vessels|0.00|0.00 58-1036115|1972558336|35860| Explore limb vessels|1301.65|1627.07 58-1036115|1972558336|35870| Repair vessel graft defect|0.00|0.00 58-1036115|1972558336|35875| Removal of clot in graft|2221.69|2777.11 58-1036115|1972558336|35876| Removal of clot in graft|2221.69|2777.11 58-1036115|1972558336|35879| Revise graft w/vein|2156.60|2695.75 58-1036115|1972558336|35881| Revise graft w/vein|2156.60|2695.75 58-1036115|1972558336|35883| Revise graft w/nonauto graft|2156.60|2695.75 58-1036115|1972558336|35884| Revise graft w/vein|2156.60|2695.75 58-1036115|1972558336|35901| Excision graft neck|0.00|0.00 58-1036115|1972558336|35903| Excision graft extremity|1301.65|1627.07 58-1036115|1972558336|35905| Excision graft thorax|0.00|0.00 58-1036115|1972558336|35907| Excision graft abdomen|0.00|0.00 58-1036115|1972558336|36000| Place needle in vein|0.00|0.00 58-1036115|1972558336|36002| Pseudoaneurysm injection trt|319.10|398.88 58-1036115|1972558336|36005| Injection ext venography|0.00|0.00 58-1036115|1972558336|36010| Place catheter in vein|0.00|0.00 58-1036115|1972558336|36011| Place catheter in vein|0.00|0.00 58-1036115|1972558336|36012| Place catheter in vein|0.00|0.00 58-1036115|1972558336|36013| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36014| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36015| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36100| Establish access to artery|0.00|0.00 58-1036115|1972558336|36140| Intro ndl icath upr/lxtr art|0.00|0.00 58-1036115|1972558336|36160| Establish access to aorta|0.00|0.00 58-1036115|1972558336|36200| Place catheter in aorta|0.00|0.00 58-1036115|1972558336|36215| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36216| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36217| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36218| Place catheter in artery|0.00|0.00 58-1036115|1972558336|36221| Place cath thoracic aorta|0.00|0.00 58-1036115|1972558336|36222| Place cath carotid/inom art|0.00|0.00 58-1036115|1972558336|36223| Place cath carotid/inom art|0.00|0.00 58-1036115|1972558336|36224| Place cath carotd art|0.00|0.00 58-1036115|1972558336|36225| Place cath subclavian art|0.00|0.00 58-1036115|1972558336|36226| Place cath vertebral art|0.00|0.00 58-1036115|1972558336|36227| Place cath xtrnl carotid|0.00|0.00 58-1036115|1972558336|36228| Place cath intracranial art|0.00|0.00 58-1036115|1972558336|36245| Ins cath abd/l-ext art 1st|0.00|0.00 58-1036115|1972558336|36246| Ins cath abd/l-ext art 2nd|0.00|0.00 58-1036115|1972558336|36247| Ins cath abd/l-ext art 3rd|0.00|0.00 58-1036115|1972558336|36248| Ins cath abd/l-ext art addl|0.00|0.00 58-1036115|1972558336|36251| Ins cath ren art 1st unilat|0.00|0.00 58-1036115|1972558336|36252| Ins cath ren art 1st bilat|0.00|0.00 58-1036115|1972558336|36253| Ins cath ren art 2nd+ unilat|0.00|0.00 58-1036115|1972558336|36254| Ins cath ren art 2nd+ bilat|0.00|0.00 58-1036115|1972558336|36260| Insertion of infusion pump|3059.43|3824.29 58-1036115|1972558336|36261| Revision of infusion pump|2161.72|2702.15 58-1036115|1972558336|36262| Removal of infusion pump|1493.96|1867.45 58-1036115|1972558336|36299| Vessel injection procedure|0.00|0.00 58-1036115|1972558336|36400| Bl draw < 3 yrs fem/jugular|0.00|0.00 58-1036115|1972558336|36405| Bl draw <3 yrs scalp vein|0.00|0.00 58-1036115|1972558336|36406| Bl draw <3 yrs other vein|0.00|0.00 58-1036115|1972558336|36410| Non-routine bl draw 3/> yrs|0.00|0.00 58-1036115|1972558336|36416| Capillary blood draw|0.00|0.00 58-1036115|1972558336|36420| Vein access cutdown < 1 yr|0.00|0.00 58-1036115|1972558336|36425| Vein access cutdown > 1 yr|0.00|0.00 58-1036115|1972558336|36430| Blood transfusion service|35.28|44.10 58-1036115|1972558336|36440| Bl push transfuse 2 yr/<|195.38|244.23 58-1036115|1972558336|36450| Bl exchange/transfuse nb|195.38|244.23 58-1036115|1972558336|36455| Bl exchange/transfuse non-nb|195.38|244.23 58-1036115|1972558336|36456| Prtl exchange transfuse nb|188.68|235.85 58-1036115|1972558336|36460| Transfusion service fetal|188.68|235.85 58-1036115|1972558336|36465| Njx noncmpnd sclrsnt 1 vein|817.02|1021.28 58-1036115|1972558336|36466| Njx noncmpnd sclrsnt mlt vn|817.02|1021.28 58-1036115|1972558336|36468| Njx sclrsnt spider veins|0.00|0.00 58-1036115|1972558336|36470| Njx sclrsnt 1 incmptnt vein|75.96|94.95 58-1036115|1972558336|36471| Njx sclrsnt mlt incmptnt vn|130.68|163.35 58-1036115|1972558336|36473| Endovenous mchnchem 1st vein|1298.51|1623.14 58-1036115|1972558336|36474| Endovenous mchnchem add-on|0.00|0.00 58-1036115|1972558336|36475| Endovenous rf 1st vein|1298.51|1623.14 58-1036115|1972558336|36476| Endovenous rf vein add-on|0.00|0.00 58-1036115|1972558336|36478| Endovenous laser 1st vein|1298.51|1623.14 58-1036115|1972558336|36479| Endovenous laser vein addon|0.00|0.00 58-1036115|1972558336|36481| Insertion of catheter vein|0.00|0.00 58-1036115|1972558336|36482| Endoven ther chem adhes 1st|2221.69|2777.11 58-1036115|1972558336|36483| Endoven ther chem adhes sbsq|0.00|0.00 58-1036115|1972558336|36500| Insertion of catheter vein|0.00|0.00 58-1036115|1972558336|36510| Insertion of catheter vein|0.00|0.00 58-1036115|1972558336|36511| Apheresis wbc|636.43|795.54 58-1036115|1972558336|36512| Apheresis rbc|636.43|795.54 58-1036115|1972558336|36513| Apheresis platelets|195.38|244.23 58-1036115|1972558336|36514| Apheresis plasma|636.43|795.54 58-1036115|1972558336|36516| Apheresis immunoads slctv|1927.45|2409.31 58-1036115|1972558336|36522| Photopheresis|1927.45|2409.31 58-1036115|1972558336|36555| Insert non-tunnel cv cath|512.04|640.05 58-1036115|1972558336|36556| Insert non-tunnel cv cath|512.04|640.05 58-1036115|1972558336|36557| Insert tunneled cv cath|2221.69|2777.11 58-1036115|1972558336|36558| Insert tunneled cv cath|1298.51|1623.14 58-1036115|1972558336|36560| Insert tunneled cv cath|1799.96|2249.95 58-1036115|1972558336|36561| Insert tunneled cv cath|1298.51|1623.14 58-1036115|1972558336|36563| Insert tunneled cv cath|3671.18|4588.98 58-1036115|1972558336|36565| Insert tunneled cv cath|1298.51|1623.14 58-1036115|1972558336|36566| Insert tunneled cv cath|2221.69|2777.11 58-1036115|1972558336|36568| Insj picc <5 yr w/o imaging|319.10|398.88 58-1036115|1972558336|36569| Insj picc 5 yr+ w/o imaging|512.04|640.05 58-1036115|1972558336|36570| Insert picvad cath|1298.51|1623.14 58-1036115|1972558336|36571| Insert picvad cath|1298.51|1623.14 58-1036115|1972558336|36572|Insj picc rs&i <5 yr|305.52|381.90 58-1036115|1972558336|36573|Insj picc rs&i 5 yr+|538.90|673.63 58-1036115|1972558336|36575| Repair tunneled cv cath|319.10|398.88 58-1036115|1972558336|36576| Repair tunneled cv cath|512.04|640.05 58-1036115|1972558336|36578| Replace tunneled cv cath|1298.51|1623.14 58-1036115|1972558336|36580| Replace cvad cath|512.04|640.05 58-1036115|1972558336|36581| Replace tunneled cv cath|1298.51|1623.14 58-1036115|1972558336|36582| Replace tunneled cv cath|1298.51|1623.14 58-1036115|1972558336|36583| Replace tunneled cv cath|3913.72|4892.15 58-1036115|1972558336|36584| Compl rplcmt picc rs&i|512.04|640.05 58-1036115|1972558336|36585| Replace picvad cath|1298.51|1623.14 58-1036115|1972558336|36589| Removal tunneled cv cath|319.10|398.88 58-1036115|1972558336|36590| Removal tunneled cv cath|319.10|398.88 58-1036115|1972558336|36591| Draw blood off venous device|0.00|0.00 58-1036115|1972558336|36592| Collect blood from picc|0.00|0.00 58-1036115|1972558336|36593| Declot vascular device|31.68|39.60 58-1036115|1972558336|36595| Mech remov tunneled cv cath|460.79|575.99 58-1036115|1972558336|36596| Mech remov tunneled cv cath|512.04|640.05 58-1036115|1972558336|36597| Reposition venous catheter|512.04|640.05 58-1036115|1972558336|36598| Inj w/fluor eval cv device|85.32|106.65 58-1036115|1972558336|36600| Withdrawal of arterial blood|0.00|0.00 58-1036115|1972558336|36620| Insertion catheter artery|0.00|0.00 58-1036115|1972558336|36625| Insertion catheter artery|0.00|0.00 58-1036115|1972558336|36640| Insertion catheter artery|1298.51|1623.14 58-1036115|1972558336|36660| Insertion catheter artery|0.00|0.00 58-1036115|1972558336|36680| Insert needle bone cavity|0.00|0.00 58-1036115|1972558336|36800| Insertion of cannula|2221.69|2777.11 58-1036115|1972558336|36810| Insertion of cannula|1298.51|1623.14 58-1036115|1972558336|36815| Insertion of cannula|2221.69|2777.11 58-1036115|1972558336|36818| Av fuse uppr arm cephalic|2221.69|2777.11 58-1036115|1972558336|36819| Av fuse uppr arm basilic|2221.69|2777.11 58-1036115|1972558336|36820| Av fusion/forearm vein|2221.69|2777.11 58-1036115|1972558336|36821| Av fusion direct any site|1298.51|1623.14 58-1036115|1972558336|36823| Insertion of cannula(s)|0.00|0.00 58-1036115|1972558336|36825| Artery-vein autograft|2221.69|2777.11 58-1036115|1972558336|36830| Artery-vein nonautograft|2221.69|2777.11 58-1036115|1972558336|36831| Open thrombect av fistula|2221.69|2777.11 58-1036115|1972558336|36832| Av fistula revision open|2221.69|2777.11 58-1036115|1972558336|36833| Av fistula revision|2221.69|2777.11 58-1036115|1972558336|36835| Artery to vein shunt|1298.51|1623.14 58-1036115|1972558336|36838| Dist revas ligation hemo|2156.60|2695.75 58-1036115|1972558336|36860| External cannula declotting|319.10|398.88 58-1036115|1972558336|36861| Cannula declotting|2221.69|2777.11 58-1036115|1972558336|36901| Intro cath dialysis circuit|319.10|398.88 58-1036115|1972558336|36902| Intro cath dialysis circuit|2524.53|3155.66 58-1036115|1972558336|36903| Intro cath dialysis circuit|4480.05|5600.06 58-1036115|1972558336|36904| Thrmbc/nfs dialysis circuit|2524.53|3155.66 58-1036115|1972558336|36905| Thrmbc/nfs dialysis circuit|4480.05|5600.06 58-1036115|1972558336|36906| Thrmbc/nfs dialysis circuit|6924.47|8655.59 58-1036115|1972558336|36907| Balo angiop ctr dialysis seg|0.00|0.00 58-1036115|1972558336|36908| Stent plmt ctr dialysis seg|0.00|0.00 58-1036115|1972558336|36909| Dialysis circuit embolj|0.00|0.00 58-1036115|1972558336|37140| Revision of circulation|0.00|0.00 58-1036115|1972558336|37145| Revision of circulation|0.00|0.00 58-1036115|1972558336|37160| Revision of circulation|0.00|0.00 58-1036115|1972558336|37180| Revision of circulation|0.00|0.00 58-1036115|1972558336|37181| Splice spleen/kidney veins|0.00|0.00 58-1036115|1972558336|37182| Insert hepatic shunt (tips)|0.00|0.00 58-1036115|1972558336|37183| Remove hepatic shunt (tips)|2305.42|2881.78 58-1036115|1972558336|37184| Prim art m-thrmbc 1st vsl|2524.53|3155.66 58-1036115|1972558336|37185| Prim art m-thrmbc sbsq vsl|0.00|0.00 58-1036115|1972558336|37186| Sec art thrombectomy add-on|0.00|0.00 58-1036115|1972558336|37187| Venous mech thrombectomy|2524.53|3155.66 58-1036115|1972558336|37188| Ven mechnl thrmbc repeat tx|1298.51|1623.14 58-1036115|1972558336|37191| Ins endovas vena cava filtr|2156.60|2695.75 58-1036115|1972558336|37192| Redo endovas vena cava filtr|1301.65|1627.07 58-1036115|1972558336|37193| Rem endovas vena cava filter|1301.65|1627.07 58-1036115|1972558336|37195| Thrombolytic therapy stroke|142.10|177.63 58-1036115|1972558336|37197| Remove intrvas foreign body|1298.51|1623.14 58-1036115|1972558336|37200| Transcatheter biopsy|2221.69|2777.11 58-1036115|1972558336|37211| Thrombolytic art therapy|2221.69|2777.11 58-1036115|1972558336|37212| Thrombolytic venous therapy|1298.51|1623.14 58-1036115|1972558336|37213| Thromblytic art/ven therapy|538.90|673.63 58-1036115|1972558336|37214| Cessj therapy cath removal|538.90|673.63 58-1036115|1972558336|37215| Transcath stent cca w/eps|0.00|0.00 58-1036115|1972558336|37217| Stent placemt retro carotid|0.00|0.00 58-1036115|1972558336|37218| Stent placemt ante carotid|0.00|0.00 58-1036115|1972558336|37220| Iliac revasc|2524.53|3155.66 58-1036115|1972558336|37221| Iliac revasc w/stent|6401.73|8002.16 58-1036115|1972558336|37222| Iliac revasc add-on|0.00|0.00 58-1036115|1972558336|37223| Iliac revasc w/stent add-on|0.00|0.00 58-1036115|1972558336|37224| Fem/popl revas w/tla|2524.53|3155.66 58-1036115|1972558336|37225| Fem/popl revas w/ather|7023.89|8779.86 58-1036115|1972558336|37226| Fem/popl revasc w/stent|6748.66|8435.83 58-1036115|1972558336|37227| Fem/popl revasc stnt & ather|10864.59|13580.74 58-1036115|1972558336|37228| Tib/per revasc w/tla|4480.05|5600.06 58-1036115|1972558336|37229| Tib/per revasc w/ather|10227.76|12784.70 58-1036115|1972558336|37230| Tib/per revasc w/stent|10207.38|12759.23 58-1036115|1972558336|37231| Tib/per revasc stent & ather|10275.52|12844.40 58-1036115|1972558336|37232| Tib/per revasc add-on|0.00|0.00 58-1036115|1972558336|37233| Tibper revasc w/ather add-on|0.00|0.00 58-1036115|1972558336|37234| Revsc opn/prq tib/pero stent|0.00|0.00 58-1036115|1972558336|37235| Tib/per revasc stnt & ather|0.00|0.00 58-1036115|1972558336|37236| Open/perq place stent 1st|4480.05|5600.06 58-1036115|1972558336|37237| Open/perq place stent ea add|0.00|0.00 58-1036115|1972558336|37238| Open/perq place stent same|6517.92|8147.40 58-1036115|1972558336|37239| Open/perq place stent ea add|0.00|0.00 58-1036115|1972558336|37241| Vasc embolize/occlude venous|4462.15|5577.69 58-1036115|1972558336|37242| Vasc embolize/occlude artery|4480.05|5600.06 58-1036115|1972558336|37243| Vasc embolize/occlude organ|4480.05|5600.06 58-1036115|1972558336|37244| Vasc embolize/occlude bleed|4764.58|5955.72 58-1036115|1972558336|37246| Trluml balo angiop 1st art|2524.53|3155.66 58-1036115|1972558336|37247| Trluml balo angiop addl art|0.00|0.00 58-1036115|1972558336|37248| Trluml balo angiop 1st vein|2524.53|3155.66 58-1036115|1972558336|37249| Trluml balo angiop addl vein|0.00|0.00 58-1036115|1972558336|37252| Intrvasc us noncoronary 1st|0.00|0.00 58-1036115|1972558336|37253| Intrvasc us noncoronary addl|0.00|0.00 58-1036115|1972558336|37500| Endoscopy ligate perf veins|2221.69|2777.11 58-1036115|1972558336|37501| Vascular endoscopy procedure|305.52|381.90 58-1036115|1972558336|37565| Ligation of neck vein|538.90|673.63 58-1036115|1972558336|37600| Ligation of neck artery|1301.65|1627.07 58-1036115|1972558336|37605| Ligation of neck artery|1301.65|1627.07 58-1036115|1972558336|37606| Ligation of neck artery|1301.65|1627.07 58-1036115|1972558336|37607| Ligation of a-v fistula|1298.51|1623.14 58-1036115|1972558336|37609| Temporal artery procedure|542.88|678.60 58-1036115|1972558336|37615| Ligation of neck artery|538.90|673.63 58-1036115|1972558336|37616| Ligation of chest artery|0.00|0.00 58-1036115|1972558336|37617| Ligation of abdomen artery|0.00|0.00 58-1036115|1972558336|37618| Ligation of extremity artery|0.00|0.00 58-1036115|1972558336|37619| Ligation of inf vena cava|2156.60|2695.75 58-1036115|1972558336|37650| Revision of major vein|1298.51|1623.14 58-1036115|1972558336|37660| Revision of major vein|0.00|0.00 58-1036115|1972558336|37700| Revise leg vein|1298.51|1623.14 58-1036115|1972558336|37718| Ligate/strip short leg vein|1298.51|1623.14 58-1036115|1972558336|37722| Ligate/strip long leg vein|1298.51|1623.14 58-1036115|1972558336|37735| Removal of leg veins/lesion|1298.51|1623.14 58-1036115|1972558336|37760| Ligate leg veins radical|1298.51|1623.14 58-1036115|1972558336|37761| Ligate leg veins open|512.04|640.05 58-1036115|1972558336|37765| Stab phleb veins xtr 10-20|336.24|420.30 58-1036115|1972558336|37766| Phleb veins - extrem 20+|379.08|473.85 58-1036115|1972558336|37780| Revision of leg vein|512.04|640.05 58-1036115|1972558336|37785| Ligate/divide/excise vein|1298.51|1623.14 58-1036115|1972558336|37788| Revascularization penis|0.00|0.00 58-1036115|1972558336|37790| Penile venous occlusion|1205.84|1507.30 58-1036115|1972558336|37799| Vascular surgery procedure|305.52|381.90 58-1036115|1972558336|38100| Removal of spleen total|0.00|0.00 58-1036115|1972558336|38101| Removal of spleen partial|0.00|0.00 58-1036115|1972558336|38102| Removal of spleen total|0.00|0.00 58-1036115|1972558336|38115| Repair of ruptured spleen|0.00|0.00 58-1036115|1972558336|38120| Laparoscopy splenectomy|3814.82|4768.52 58-1036115|1972558336|38129| Laparoscope proc spleen|2264.68|2830.85 58-1036115|1972558336|38200| Injection for spleen x-ray|0.00|0.00 58-1036115|1972558336|38204| Bl donor search management|0.00|0.00 58-1036115|1972558336|38206| Harvest auto stem cells|636.43|795.54 58-1036115|1972558336|38207| Cryopreserve stem cells|188.68|235.85 58-1036115|1972558336|38208| Thaw preserved stem cells|188.68|235.85 58-1036115|1972558336|38209| Wash harvest stem cells|188.68|235.85 58-1036115|1972558336|38210| T-cell depletion of harvest|188.68|235.85 58-1036115|1972558336|38211| Tumor cell deplete of harvst|188.68|235.85 58-1036115|1972558336|38212| Rbc depletion of harvest|188.68|235.85 58-1036115|1972558336|38213| Platelet deplete of harvest|188.68|235.85 58-1036115|1972558336|38214| Volume deplete of harvest|188.68|235.85 58-1036115|1972558336|38215| Harvest stem cell concentrte|188.68|235.85 58-1036115|1972558336|38220| Dx bone marrow aspirations|124.56|155.70 58-1036115|1972558336|38221| Dx bone marrow biopsies|107.64|134.55 58-1036115|1972558336|38222| Dx bone marrow bx & aspir|118.80|148.50 58-1036115|1972558336|38230| Bone marrow harvest allogen|636.43|795.54 58-1036115|1972558336|38232| Bone marrow harvest autolog|1927.45|2409.31 58-1036115|1972558336|38240| Transplt allo hct/donor|18672.28|23340.35 58-1036115|1972558336|38241| Transplt autol hct/donor|636.43|795.54 58-1036115|1972558336|38242| Transplt allo lymphocytes|636.43|795.54 58-1036115|1972558336|38243| Transplj hematopoietic boost|636.43|795.54 58-1036115|1972558336|38300| Drainage lymph node lesion|542.88|678.60 58-1036115|1972558336|38305| Drainage lymph node lesion|542.88|678.60 58-1036115|1972558336|38308| Incision of lymph channels|1029.97|1287.46 58-1036115|1972558336|38380| Thoracic duct procedure|0.00|0.00 58-1036115|1972558336|38381| Thoracic duct procedure|0.00|0.00 58-1036115|1972558336|38382| Thoracic duct procedure|0.00|0.00 58-1036115|1972558336|38500| Biopsy/removal lymph nodes|1029.97|1287.46 58-1036115|1972558336|38505| Needle biopsy lymph nodes|542.88|678.60 58-1036115|1972558336|38510| Biopsy/removal lymph nodes|1029.97|1287.46 58-1036115|1972558336|38520| Biopsy/removal lymph nodes|1029.97|1287.46 58-1036115|1972558336|38525| Biopsy/removal lymph nodes|1029.97|1287.46 58-1036115|1972558336|38530| Biopsy/removal lymph nodes|1029.97|1287.46 58-1036115|1972558336|38531|Open bx/exc inguinofem nodes|1387.64|1734.55 58-1036115|1972558336|38542| Explore deep node(s) neck|2097.10|2621.38 58-1036115|1972558336|38550| Removal neck/armpit lesion|1029.97|1287.46 58-1036115|1972558336|38555| Removal neck/armpit lesion|2046.03|2557.54 58-1036115|1972558336|38562| Removal pelvic lymph nodes|0.00|0.00 58-1036115|1972558336|38564| Removal abdomen lymph nodes|0.00|0.00 58-1036115|1972558336|38570| Laparoscopy lymph node biop|2097.10|2621.38 58-1036115|1972558336|38571| Laparoscopy lymphadenectomy|3368.31|4210.39 58-1036115|1972558336|38572| Laparoscopy lymphadenectomy|3368.31|4210.39 58-1036115|1972558336|38573| Laps pelvic lymphadec|3368.31|4210.39 58-1036115|1972558336|38589| Laparoscope proc lymphatic|2264.68|2830.85 58-1036115|1972558336|38700| Removal of lymph nodes neck|2046.03|2557.54 58-1036115|1972558336|38720| Removal of lymph nodes neck|3670.53|4588.17 58-1036115|1972558336|38724| Removal of lymph nodes neck|0.00|0.00 58-1036115|1972558336|38740| Remove armpit lymph nodes|2097.10|2621.38 58-1036115|1972558336|38745| Remove armpit lymph nodes|2097.10|2621.38 58-1036115|1972558336|38746| Remove thoracic lymph nodes|0.00|0.00 58-1036115|1972558336|38747| Remove abdominal lymph nodes|0.00|0.00 58-1036115|1972558336|38760| Remove groin lymph nodes|2046.03|2557.54 58-1036115|1972558336|38765| Remove groin lymph nodes|0.00|0.00 58-1036115|1972558336|38770| Remove pelvis lymph nodes|0.00|0.00 58-1036115|1972558336|38780| Remove abdomen lymph nodes|0.00|0.00 58-1036115|1972558336|38790| Inject for lymphatic x-ray|0.00|0.00 58-1036115|1972558336|38792| Ra tracer id of sentinl node|0.00|0.00 58-1036115|1972558336|38794| Access thoracic lymph duct|0.00|0.00 58-1036115|1972558336|38900| Io map of sent lymph node|0.00|0.00 58-1036115|1972558336|38999| Blood/lymph system procedure|188.68|235.85 58-1036115|1972558336|39000| Exploration of chest|0.00|0.00 58-1036115|1972558336|39010| Exploration of chest|0.00|0.00 58-1036115|1972558336|39200| Resect mediastinal cyst|0.00|0.00 58-1036115|1972558336|39220| Resect mediastinal tumor|0.00|0.00 58-1036115|1972558336|39401| Mediastinoscpy w/medstnl bx|2264.68|2830.85 58-1036115|1972558336|39402| Mediastinoscpy w/lmph nod bx|2264.68|2830.85 58-1036115|1972558336|39499| Chest procedure|0.00|0.00 58-1036115|1972558336|39501| Repair diaphragm laceration|0.00|0.00 58-1036115|1972558336|39503| Repair of diaphragm hernia|0.00|0.00 58-1036115|1972558336|39540| Repair of diaphragm hernia|0.00|0.00 58-1036115|1972558336|39541| Repair of diaphragm hernia|0.00|0.00 58-1036115|1972558336|39545| Revision of diaphragm|0.00|0.00 58-1036115|1972558336|39560| Resect diaphragm simple|0.00|0.00 58-1036115|1972558336|39561| Resect diaphragm complex|0.00|0.00 58-1036115|1972558336|39599| Diaphragm surgery procedure|0.00|0.00 58-1036115|1972558336|40490| Biopsy of lip|82.44|103.05 58-1036115|1972558336|40500| Partial excision of lip|952.18|1190.23 58-1036115|1972558336|40510| Partial excision of lip|952.18|1190.23 58-1036115|1972558336|40520| Partial excision of lip|952.18|1190.23 58-1036115|1972558336|40525| Reconstruct lip with flap|952.18|1190.23 58-1036115|1972558336|40527| Reconstruct lip with flap|2142.48|2678.10 58-1036115|1972558336|40530| Partial removal of lip|952.18|1190.23 58-1036115|1972558336|40650| Repair lip|239.56|299.45 58-1036115|1972558336|40652| Repair lip|239.56|299.45 58-1036115|1972558336|40654| Repair lip|592.89|741.11 58-1036115|1972558336|40700| Repair cleft lip/nasal|2142.48|2678.10 58-1036115|1972558336|40701| Repair cleft lip/nasal|2142.48|2678.10 58-1036115|1972558336|40702| Repair cleft lip/nasal|2142.48|2678.10 58-1036115|1972558336|40720| Repair cleft lip/nasal|952.18|1190.23 58-1036115|1972558336|40761| Repair cleft lip/nasal|2142.48|2678.10 58-1036115|1972558336|40799| Lip surgery procedure|101.58|126.97 58-1036115|1972558336|40800| Drainage of mouth lesion|168.84|211.05 58-1036115|1972558336|40801| Drainage of mouth lesion|239.56|299.45 58-1036115|1972558336|40804| Removal foreign body mouth|0.00|0.00 58-1036115|1972558336|40805| Removal foreign body mouth|213.12|266.40 58-1036115|1972558336|40806| Incision of lip fold|93.60|117.00 58-1036115|1972558336|40808| Biopsy of mouth lesion|150.48|188.10 58-1036115|1972558336|40810| Excision of mouth lesion|156.96|196.20 58-1036115|1972558336|40812| Excise/repair mouth lesion|199.80|249.75 58-1036115|1972558336|40814| Excise/repair mouth lesion|952.18|1190.23 58-1036115|1972558336|40816| Excision of mouth lesion|952.18|1190.23 58-1036115|1972558336|40818| Excise oral mucosa for graft|239.56|299.45 58-1036115|1972558336|40819| Excise lip or cheek fold|592.89|741.11 58-1036115|1972558336|40820| Treatment of mouth lesion|217.80|272.25 58-1036115|1972558336|40830| Repair mouth laceration|92.98|116.23 58-1036115|1972558336|40831| Repair mouth laceration|239.56|299.45 58-1036115|1972558336|40840| Reconstruction of mouth|2142.48|2678.10 58-1036115|1972558336|40842| Reconstruction of mouth|2142.48|2678.10 58-1036115|1972558336|40843| Reconstruction of mouth|2142.48|2678.10 58-1036115|1972558336|40844| Reconstruction of mouth|2142.48|2678.10 58-1036115|1972558336|40845| Reconstruction of mouth|2142.48|2678.10 58-1036115|1972558336|40899| Mouth surgery procedure|101.58|126.97 58-1036115|1972558336|41000| Drainage of mouth lesion|111.60|139.50 58-1036115|1972558336|41005| Drainage of mouth lesion|92.98|116.23 58-1036115|1972558336|41006| Drainage of mouth lesion|592.89|741.11 58-1036115|1972558336|41007| Drainage of mouth lesion|592.89|741.11 58-1036115|1972558336|41008| Drainage of mouth lesion|952.18|1190.23 58-1036115|1972558336|41009| Drainage of mouth lesion|239.56|299.45 58-1036115|1972558336|41010| Incision of tongue fold|592.89|741.11 58-1036115|1972558336|41015| Drainage of mouth lesion|239.56|299.45 58-1036115|1972558336|41016| Drainage of mouth lesion|2142.48|2678.10 58-1036115|1972558336|41017| Drainage of mouth lesion|952.18|1190.23 58-1036115|1972558336|41018| Drainage of mouth lesion|592.89|741.11 58-1036115|1972558336|41019| Place needles h&n for rt|2142.48|2678.10 58-1036115|1972558336|41100| Biopsy of tongue|115.20|144.00 58-1036115|1972558336|41105| Biopsy of tongue|115.92|144.90 58-1036115|1972558336|41108| Biopsy of floor of mouth|107.64|134.55 58-1036115|1972558336|41110| Excision of tongue lesion|154.44|193.05 58-1036115|1972558336|41112| Excision of tongue lesion|952.18|1190.23 58-1036115|1972558336|41113| Excision of tongue lesion|952.18|1190.23 58-1036115|1972558336|41114| Excision of tongue lesion|952.18|1190.23 58-1036115|1972558336|41115| Excision of tongue fold|179.28|224.10 58-1036115|1972558336|41116| Excision of mouth lesion|952.18|1190.23 58-1036115|1972558336|41120| Partial removal of tongue|2142.48|2678.10 58-1036115|1972558336|41130| Partial removal of tongue|0.00|0.00 58-1036115|1972558336|41135| Tongue and neck surgery|0.00|0.00 58-1036115|1972558336|41140| Removal of tongue|0.00|0.00 58-1036115|1972558336|41145| Tongue removal neck surgery|0.00|0.00 58-1036115|1972558336|41150| Tongue mouth jaw surgery|0.00|0.00 58-1036115|1972558336|41153| Tongue mouth neck surgery|0.00|0.00 58-1036115|1972558336|41155| Tongue jaw & neck surgery|0.00|0.00 58-1036115|1972558336|41250| Repair tongue laceration|0.00|0.00 58-1036115|1972558336|41251| Repair tongue laceration|92.98|116.23 58-1036115|1972558336|41252| Repair tongue laceration|239.56|299.45 58-1036115|1972558336|41500|Fixation of tongue|952.18|1190.23 58-1036115|1972558336|41510| Tongue to lip surgery|952.18|1190.23 58-1036115|1972558336|41512| Tongue suspension|2142.48|2678.10 58-1036115|1972558336|41520| Reconstruction tongue fold|952.18|1190.23 58-1036115|1972558336|41530| Tongue base vol reduction|853.91|1067.39 58-1036115|1972558336|41599| Tongue and mouth surgery|101.58|126.97 58-1036115|1972558336|41800| Drainage of gum lesion|0.00|0.00 58-1036115|1972558336|41805| Removal foreign body gum|235.08|293.85 58-1036115|1972558336|41806| Removal foreign body jawbone|286.20|357.75 58-1036115|1972558336|41820| Excision gum each quadrant|952.18|1190.23 58-1036115|1972558336|41821| Excision of gum flap|592.89|741.11 58-1036115|1972558336|41822| Excision of gum lesion|212.76|265.95 58-1036115|1972558336|41823| Excision of gum lesion|304.20|380.25 58-1036115|1972558336|41825| Excision of gum lesion|161.28|201.60 58-1036115|1972558336|41826| Excision of gum lesion|227.52|284.40 58-1036115|1972558336|41827| Excision of gum lesion|2142.48|2678.10 58-1036115|1972558336|41828| Excision of gum lesion|194.76|243.45 58-1036115|1972558336|41830| Removal of gum tissue|273.60|342.00 58-1036115|1972558336|41850| Treatment of gum lesion|592.89|741.11 58-1036115|1972558336|41870| Gum graft|952.18|1190.23 58-1036115|1972558336|41872| Repair gum|236.52|295.65 58-1036115|1972558336|41874| Repair tooth socket|264.60|330.75 58-1036115|1972558336|41899| Dental surgery procedure|101.58|126.97 58-1036115|1972558336|42000| Drainage mouth roof lesion|92.98|116.23 58-1036115|1972558336|42100| Biopsy roof of mouth|97.92|122.40 58-1036115|1972558336|42104| Excision lesion mouth roof|151.56|189.45 58-1036115|1972558336|42106| Excision lesion mouth roof|194.04|242.55 58-1036115|1972558336|42107| Excision lesion mouth roof|2142.48|2678.10 58-1036115|1972558336|42120| Remove palate/lesion|2142.48|2678.10 58-1036115|1972558336|42140| Excision of uvula|952.18|1190.23 58-1036115|1972558336|42145| Repair palate pharynx/uvula|2142.48|2678.10 58-1036115|1972558336|42160| Treatment mouth roof lesion|162.00|202.50 58-1036115|1972558336|42180| Repair palate|239.56|299.45 58-1036115|1972558336|42182| Repair palate|2142.48|2678.10 58-1036115|1972558336|42200| Reconstruct cleft palate|2142.48|2678.10 58-1036115|1972558336|42205| Reconstruct cleft palate|952.18|1190.23 58-1036115|1972558336|42210| Reconstruct cleft palate|2142.48|2678.10 58-1036115|1972558336|42215| Reconstruct cleft palate|2142.48|2678.10 58-1036115|1972558336|42220| Reconstruct cleft palate|2142.48|2678.10 58-1036115|1972558336|42225| Reconstruct cleft palate|2142.48|2678.10 58-1036115|1972558336|42226| Lengthening of palate|2142.48|2678.10 58-1036115|1972558336|42227| Lengthening of palate|2142.48|2678.10 58-1036115|1972558336|42235| Repair palate|2142.48|2678.10 58-1036115|1972558336|42260| Repair nose to lip fistula|2142.48|2678.10 58-1036115|1972558336|42280| Preparation palate mold|114.12|142.65 58-1036115|1972558336|42281| Insertion palate prosthesis|2142.48|2678.10 58-1036115|1972558336|42299| Palate/uvula surgery|101.58|126.97 58-1036115|1972558336|42300| Drainage of salivary gland|592.89|741.11 58-1036115|1972558336|42305| Drainage of salivary gland|952.18|1190.23 58-1036115|1972558336|42310| Drainage of salivary gland|239.56|299.45 58-1036115|1972558336|42320| Drainage of salivary gland|239.56|299.45 58-1036115|1972558336|42330| Removal of salivary stone|144.72|180.90 58-1036115|1972558336|42335| Removal of salivary stone|243.00|303.75 58-1036115|1972558336|42340| Removal of salivary stone|952.18|1190.23 58-1036115|1972558336|42400| Biopsy of salivary gland|76.32|95.40 58-1036115|1972558336|42405| Biopsy of salivary gland|952.18|1190.23 58-1036115|1972558336|42408| Excision of salivary cyst|952.18|1190.23 58-1036115|1972558336|42409| Drainage of salivary cyst|952.18|1190.23 58-1036115|1972558336|42410| Excise parotid gland/lesion|2142.48|2678.10 58-1036115|1972558336|42415| Excise parotid gland/lesion|2142.48|2678.10 58-1036115|1972558336|42420| Excise parotid gland/lesion|2142.48|2678.10 58-1036115|1972558336|42425| Excise parotid gland/lesion|2142.48|2678.10 58-1036115|1972558336|42426| Excise parotid gland/lesion|0.00|0.00 58-1036115|1972558336|42440| Excise submaxillary gland|2142.48|2678.10 58-1036115|1972558336|42450| Excise sublingual gland|2142.48|2678.10 58-1036115|1972558336|42500| Repair salivary duct|2142.48|2678.10 58-1036115|1972558336|42505| Repair salivary duct|2142.48|2678.10 58-1036115|1972558336|42507| Parotid duct diversion|2142.48|2678.10 58-1036115|1972558336|42509| Parotid duct diversion|2142.48|2678.10 58-1036115|1972558336|42510| Parotid duct diversion|952.18|1190.23 58-1036115|1972558336|42550| Injection for salivary x-ray|0.00|0.00 58-1036115|1972558336|42600| Closure of salivary fistula|952.18|1190.23 58-1036115|1972558336|42650| Dilation of salivary duct|53.64|67.05 58-1036115|1972558336|42660| Dilation of salivary duct|81.00|101.25 58-1036115|1972558336|42665| Ligation of salivary duct|952.18|1190.23 58-1036115|1972558336|42699| Salivary surgery procedure|101.58|126.97 58-1036115|1972558336|42700| Drainage of tonsil abscess|92.98|116.23 58-1036115|1972558336|42720| Drainage of throat abscess|952.18|1190.23 58-1036115|1972558336|42725| Drainage of throat abscess|2142.48|2678.10 58-1036115|1972558336|42800| Biopsy of throat|102.24|127.80 58-1036115|1972558336|42804| Biopsy of upper nose/throat|952.18|1190.23 58-1036115|1972558336|42806| Biopsy of upper nose/throat|952.18|1190.23 58-1036115|1972558336|42808| Excise pharynx lesion|952.18|1190.23 58-1036115|1972558336|42809| Remove pharynx foreign body|0.00|0.00 58-1036115|1972558336|42810| Excision of neck cyst|952.18|1190.23 58-1036115|1972558336|42815| Excision of neck cyst|2142.48|2678.10 58-1036115|1972558336|42820| Remove tonsils and adenoids|2142.48|2678.10 58-1036115|1972558336|42821| Remove tonsils and adenoids|952.18|1190.23 58-1036115|1972558336|42825| Removal of tonsils|2142.48|2678.10 58-1036115|1972558336|42826| Removal of tonsils|952.18|1190.23 58-1036115|1972558336|42830| Removal of adenoids|952.18|1190.23 58-1036115|1972558336|42831| Removal of adenoids|952.18|1190.23 58-1036115|1972558336|42835| Removal of adenoids|952.18|1190.23 58-1036115|1972558336|42836| Removal of adenoids|952.18|1190.23 58-1036115|1972558336|42842| Extensive surgery of throat|2180.11|2725.14 58-1036115|1972558336|42844| Extensive surgery of throat|2180.11|2725.14 58-1036115|1972558336|42845| Extensive surgery of throat|0.00|0.00 58-1036115|1972558336|42860| Excision of tonsil tags|952.18|1190.23 58-1036115|1972558336|42870| Excision of lingual tonsil|2142.48|2678.10 58-1036115|1972558336|42890| Partial removal of pharynx|2142.48|2678.10 58-1036115|1972558336|42892| Revision of pharyngeal walls|2142.48|2678.10 58-1036115|1972558336|42894| Revision of pharyngeal walls|0.00|0.00 58-1036115|1972558336|42900| Repair throat wound|592.89|741.11 58-1036115|1972558336|42950| Reconstruction of throat|2142.48|2678.10 58-1036115|1972558336|42953| Repair throat esophagus|0.00|0.00 58-1036115|1972558336|42955| Surgical opening of throat|592.89|741.11 58-1036115|1972558336|42960| Control throat bleeding|239.56|299.45 58-1036115|1972558336|42961| Control throat bleeding|0.00|0.00 58-1036115|1972558336|42962| Control throat bleeding|952.18|1190.23 58-1036115|1972558336|42970| Control nose/throat bleeding|92.98|116.23 58-1036115|1972558336|42971| Control nose/throat bleeding|0.00|0.00 58-1036115|1972558336|42972| Control nose/throat bleeding|952.18|1190.23 58-1036115|1972558336|42999| Throat surgery procedure|101.58|126.97 58-1036115|1972558336|43020| Incision of esophagus|630.30|787.87 58-1036115|1972558336|43030| Throat muscle surgery|2142.48|2678.10 58-1036115|1972558336|43045| Incision of esophagus|0.00|0.00 58-1036115|1972558336|43100| Excision of esophagus lesion|0.00|0.00 58-1036115|1972558336|43101| Excision of esophagus lesion|0.00|0.00 58-1036115|1972558336|43107| Removal of esophagus|0.00|0.00 58-1036115|1972558336|43108| Removal of esophagus|0.00|0.00 58-1036115|1972558336|43112| Esphg tot w/thrcm|0.00|0.00 58-1036115|1972558336|43113| Removal of esophagus|0.00|0.00 58-1036115|1972558336|43116| Partial removal of esophagus|0.00|0.00 58-1036115|1972558336|43117| Partial removal of esophagus|0.00|0.00 58-1036115|1972558336|43118| Partial removal of esophagus|0.00|0.00 58-1036115|1972558336|43121| Partial removal of esophagus|0.00|0.00 58-1036115|1972558336|43122| Partial removal of esophagus|0.00|0.00 58-1036115|1972558336|43123| Partial removal of esophagus|0.00|0.00 58-1036115|1972558336|43124| Removal of esophagus|0.00|0.00 58-1036115|1972558336|43130| Removal of esophagus pouch|2142.48|2678.10 58-1036115|1972558336|43135| Removal of esophagus pouch|0.00|0.00 58-1036115|1972558336|43180| Esophagoscopy rigid trnso|2142.48|2678.10 58-1036115|1972558336|43191| Esophagoscopy rigid trnso dx|627.43|784.29 58-1036115|1972558336|43192| Esophagoscp rig trnso inject|627.43|784.29 58-1036115|1972558336|43193| Esophagoscp rig trnso biopsy|627.43|784.29 58-1036115|1972558336|43194| Esophagoscp rig trnso rem fb|627.43|784.29 58-1036115|1972558336|43195| Esophagoscopy rigid balloon|1212.00|1515.00 58-1036115|1972558336|43196| Esophagoscp guide wire dilat|1212.00|1515.00 58-1036115|1972558336|43197| Esophagoscopy flex dx brush|132.84|166.05 58-1036115|1972558336|43198| Esophagosc flex trnsn biopsy|141.12|176.40 58-1036115|1972558336|43200| Esophagoscopy flexible brush|387.30|484.13 58-1036115|1972558336|43201| Esoph scope w/submucous inj|627.43|784.29 58-1036115|1972558336|43202| Esophagoscopy flex biopsy|627.43|784.29 58-1036115|1972558336|43204| Esoph scope w/sclerosis inj|627.43|784.29 58-1036115|1972558336|43205| Esophagus endoscopy/ligation|627.43|784.29 58-1036115|1972558336|43206| Esoph optical endomicroscopy|627.43|784.29 58-1036115|1972558336|43210| Egd esophagogastrc fndoplsty|3368.31|4210.39 58-1036115|1972558336|43211| Esophagoscop mucosal resect|627.43|784.29 58-1036115|1972558336|43212| Esophagoscop stent placement|2773.94|3467.43 58-1036115|1972558336|43213| Esophagoscopy retro balloon|627.43|784.29 58-1036115|1972558336|43214| Esophagosc dilate balloon 30|627.43|784.29 58-1036115|1972558336|43215| Esophagoscopy flex remove fb|627.43|784.29 58-1036115|1972558336|43216| Esophagoscopy lesion removal|627.43|784.29 58-1036115|1972558336|43217| Esophagoscopy snare les remv|627.43|784.29 58-1036115|1972558336|43220| Esophagoscopy balloon <30mm|627.43|784.29 58-1036115|1972558336|43226| Esoph endoscopy dilation|627.43|784.29 58-1036115|1972558336|43227| Esophagoscopy control bleed|627.43|784.29 58-1036115|1972558336|43229| Esophagoscopy lesion ablate|1212.00|1515.00 58-1036115|1972558336|43231| Esophagoscop ultrasound exam|627.43|784.29 58-1036115|1972558336|43232| Esophagoscopy w/us needle bx|627.43|784.29 58-1036115|1972558336|43233| Egd balloon dil esoph30 mm/>|627.43|784.29 58-1036115|1972558336|43235| Egd diagnostic brush wash|387.30|484.13 58-1036115|1972558336|43236| Uppr gi scope w/submuc inj|387.30|484.13 58-1036115|1972558336|43237| Endoscopic us exam esoph|627.43|784.29 58-1036115|1972558336|43238| Egd us fine needle bx/aspir|627.43|784.29 58-1036115|1972558336|43239| Egd biopsy single/multiple|387.30|484.13 58-1036115|1972558336|43240| Egd w/transmural drain cyst|1212.00|1515.00 58-1036115|1972558336|43241| Egd tube/cath insertion|627.43|784.29 58-1036115|1972558336|43242| Egd us fine needle bx/aspir|627.43|784.29 58-1036115|1972558336|43243| Egd injection varices|627.43|784.29 58-1036115|1972558336|43244| Egd varices ligation|627.43|784.29 58-1036115|1972558336|43245| Egd dilate stricture|627.43|784.29 58-1036115|1972558336|43246| Egd place gastrostomy tube|627.43|784.29 58-1036115|1972558336|43247| Egd remove foreign body|387.30|484.13 58-1036115|1972558336|43248| Egd guide wire insertion|387.30|484.13 58-1036115|1972558336|43249| Esoph egd dilation <30 mm|627.43|784.29 58-1036115|1972558336|43250| Egd cautery tumor polyp|627.43|784.29 58-1036115|1972558336|43251| Egd remove lesion snare|627.43|784.29 58-1036115|1972558336|43252| Egd optical endomicroscopy|1212.00|1515.00 58-1036115|1972558336|43253| Egd us transmural injxn/mark|627.43|784.29 58-1036115|1972558336|43254| Egd endo mucosal resection|627.43|784.29 58-1036115|1972558336|43255| Egd control bleeding any|627.43|784.29 58-1036115|1972558336|43257| Egd w/thrml txmnt gerd|1212.00|1515.00 58-1036115|1972558336|43259| Egd us exam duodenum/jejunum|627.43|784.29 58-1036115|1972558336|43260| Ercp w/specimen collection|1212.00|1515.00 58-1036115|1972558336|43261| Endo cholangiopancreatograph|1212.00|1515.00 58-1036115|1972558336|43262| Endo cholangiopancreatograph|1212.00|1515.00 58-1036115|1972558336|43263| Ercp sphincter pressure meas|1212.00|1515.00 58-1036115|1972558336|43264| Ercp remove duct calculi|1212.00|1515.00 58-1036115|1972558336|43265| Ercp lithotripsy calculi|1848.57|2310.71 58-1036115|1972558336|43266| Egd endoscopic stent place|2849.76|3562.20 58-1036115|1972558336|43270| Egd lesion ablation|627.43|784.29 58-1036115|1972558336|43273| Endoscopic pancreatoscopy|0.00|0.00 58-1036115|1972558336|43274| Ercp duct stent placement|1848.57|2310.71 58-1036115|1972558336|43275| Ercp remove forgn body duct|1212.00|1515.00 58-1036115|1972558336|43276| Ercp stent exchange w/dilate|1848.57|2310.71 58-1036115|1972558336|43277| Ercp ea duct/ampulla dilate|1212.00|1515.00 58-1036115|1972558336|43278| Ercp lesion ablate w/dilate|1212.00|1515.00 58-1036115|1972558336|43279| Lap myotomy heller|0.00|0.00 58-1036115|1972558336|43280| Laparoscopy fundoplasty|3814.82|4768.52 58-1036115|1972558336|43281| Lap paraesophag hern repair|3814.82|4768.52 58-1036115|1972558336|43282| Lap paraesoph her rpr w/mesh|3814.82|4768.52 58-1036115|1972558336|43283| Lap esoph lengthening|0.00|0.00 58-1036115|1972558336|43284| Laps esophgl sphnctr agmntj|3368.31|4210.39 58-1036115|1972558336|43285| Rmvl esophgl sphnctr dev|2097.10|2621.38 58-1036115|1972558336|43286| Esphg tot w/laps moblj|0.00|0.00 58-1036115|1972558336|43287| Esphg dstl 2/3 w/laps moblj|0.00|0.00 58-1036115|1972558336|43288| Esphg thrsc moblj|0.00|0.00 58-1036115|1972558336|43289| Laparoscope proc esoph|2264.68|2830.85 58-1036115|1972558336|43300| Repair of esophagus|0.00|0.00 58-1036115|1972558336|43305| Repair esophagus and fistula|0.00|0.00 58-1036115|1972558336|43310| Repair of esophagus|0.00|0.00 58-1036115|1972558336|43312| Repair esophagus and fistula|0.00|0.00 58-1036115|1972558336|43313| Esophagoplasty congenital|0.00|0.00 58-1036115|1972558336|43314| Tracheo-esophagoplasty cong|0.00|0.00 58-1036115|1972558336|43320| Fuse esophagus & stomach|0.00|0.00 58-1036115|1972558336|43325| Revise esophagus & stomach|0.00|0.00 58-1036115|1972558336|43327| Esoph fundoplasty lap|0.00|0.00 58-1036115|1972558336|43328| Esoph fundoplasty thor|0.00|0.00 58-1036115|1972558336|43330| Esophagomyotomy abdominal|0.00|0.00 58-1036115|1972558336|43331| Esophagomyotomy thoracic|0.00|0.00 58-1036115|1972558336|43332| Transab esoph hiat hern rpr|0.00|0.00 58-1036115|1972558336|43333| Transab esoph hiat hern rpr|0.00|0.00 58-1036115|1972558336|43334| Transthor diaphrag hern rpr|0.00|0.00 58-1036115|1972558336|43335| Transthor diaphrag hern rpr|0.00|0.00 58-1036115|1972558336|43336| Thorabd diaphr hern repair|0.00|0.00 58-1036115|1972558336|43337| Thorabd diaphr hern repair|0.00|0.00 58-1036115|1972558336|43338| Esoph lengthening|0.00|0.00 58-1036115|1972558336|43340| Fuse esophagus & intestine|0.00|0.00 58-1036115|1972558336|43341| Fuse esophagus & intestine|0.00|0.00 58-1036115|1972558336|43351| Surgical opening esophagus|0.00|0.00 58-1036115|1972558336|43352| Surgical opening esophagus|0.00|0.00 58-1036115|1972558336|43360| Gastrointestinal repair|0.00|0.00 58-1036115|1972558336|43361| Gastrointestinal repair|0.00|0.00 58-1036115|1972558336|43400| Ligate esophagus veins|0.00|0.00 58-1036115|1972558336|43401| Esophagus surgery for veins|0.00|0.00 58-1036115|1972558336|43405| Ligate/staple esophagus|0.00|0.00 58-1036115|1972558336|43410| Repair esophagus wound|0.00|0.00 58-1036115|1972558336|43415| Repair esophagus wound|0.00|0.00 58-1036115|1972558336|43420| Repair esophagus opening|1099.49|1374.37 58-1036115|1972558336|43425| Repair esophagus opening|0.00|0.00 58-1036115|1972558336|43450| Dilate esophagus 1/mult pass|387.30|484.13 58-1036115|1972558336|43453| Dilate esophagus|627.43|784.29 58-1036115|1972558336|43460| Pressure treatment esophagus|0.00|0.00 58-1036115|1972558336|43496| Free jejunum flap microvasc|0.00|0.00 58-1036115|1972558336|43499| Esophagus surgery procedure|375.27|469.09 58-1036115|1972558336|43500| Surgical opening of stomach|0.00|0.00 58-1036115|1972558336|43501| Surgical repair of stomach|0.00|0.00 58-1036115|1972558336|43502| Surgical repair of stomach|0.00|0.00 58-1036115|1972558336|43510| Surgical opening of stomach|375.27|469.09 58-1036115|1972558336|43520| Incision of pyloric muscle|0.00|0.00 58-1036115|1972558336|43605| Biopsy of stomach|0.00|0.00 58-1036115|1972558336|43610| Excision of stomach lesion|0.00|0.00 58-1036115|1972558336|43611| Excision of stomach lesion|0.00|0.00 58-1036115|1972558336|43620| Removal of stomach|0.00|0.00 58-1036115|1972558336|43621| Removal of stomach|0.00|0.00 58-1036115|1972558336|43622| Removal of stomach|0.00|0.00 58-1036115|1972558336|43631| Removal of stomach partial|0.00|0.00 58-1036115|1972558336|43632| Removal of stomach partial|0.00|0.00 58-1036115|1972558336|43633| Removal of stomach partial|0.00|0.00 58-1036115|1972558336|43634| Removal of stomach partial|0.00|0.00 58-1036115|1972558336|43635| Removal of stomach partial|0.00|0.00 58-1036115|1972558336|43640| Vagotomy & pylorus repair|0.00|0.00 58-1036115|1972558336|43641| Vagotomy & pylorus repair|0.00|0.00 58-1036115|1972558336|43644| Lap gastric bypass/roux-en-y|0.00|0.00 58-1036115|1972558336|43645| Lap gastr bypass incl smll i|0.00|0.00 58-1036115|1972558336|43647| Lap impl electrode antrum|2946.51|3683.14 58-1036115|1972558336|43648| Lap revise/remv eltrd antrum|2264.68|2830.85 58-1036115|1972558336|43651| Laparoscopy vagus nerve|2264.68|2830.85 58-1036115|1972558336|43652| Laparoscopy vagus nerve|2264.68|2830.85 58-1036115|1972558336|43653| Laparoscopy gastrostomy|2097.10|2621.38 58-1036115|1972558336|43659| Laparoscope proc stom|2264.68|2830.85 58-1036115|1972558336|43752| Nasal/orogastric w/tube plmt|171.91|214.89 58-1036115|1972558336|43753| Tx gastro intub w/asp|0.00|0.00 58-1036115|1972558336|43754| Dx gastr intub w/asp spec|0.00|0.00 58-1036115|1972558336|43755| Dx gastr intub w/asp specs|71.01|88.76 58-1036115|1972558336|43756| Dx duod intub w/asp spec|387.30|484.13 58-1036115|1972558336|43757| Dx duod intub w/asp specs|387.30|484.13 58-1036115|1972558336|43760|Change gastrostomy tube|119.57|149.46 58-1036115|1972558336|43761| Reposition gastrostomy tube|119.57|149.46 58-1036115|1972558336|43762|Rplc gtube no revj trc|114.04|142.54 58-1036115|1972558336|43763|Rplc gtube revj gstrst trc|114.04|142.54 58-1036115|1972558336|43770| Lap place gastr adj device|3814.82|4768.52 58-1036115|1972558336|43771| Lap revise gastr adj device|0.00|0.00 58-1036115|1972558336|43772| Lap rmvl gastr adj device|1391.91|1739.89 58-1036115|1972558336|43773| Lap replace gastr adj device|2264.68|2830.85 58-1036115|1972558336|43774| Lap rmvl gastr adj all parts|1391.91|1739.89 58-1036115|1972558336|43775| Lap sleeve gastrectomy|0.00|0.00 58-1036115|1972558336|43800| Reconstruction of pylorus|0.00|0.00 58-1036115|1972558336|43810| Fusion of stomach and bowel|0.00|0.00 58-1036115|1972558336|43820| Fusion of stomach and bowel|0.00|0.00 58-1036115|1972558336|43825| Fusion of stomach and bowel|0.00|0.00 58-1036115|1972558336|43830| Place gastrostomy tube|730.94|913.68 58-1036115|1972558336|43831| Place gastrostomy tube|375.27|469.09 58-1036115|1972558336|43832| Place gastrostomy tube|0.00|0.00 58-1036115|1972558336|43840| Repair of stomach lesion|0.00|0.00 58-1036115|1972558336|43843| Gastroplasty w/o v-band|0.00|0.00 58-1036115|1972558336|43845| Gastroplasty duodenal switch|0.00|0.00 58-1036115|1972558336|43846| Gastric bypass for obesity|0.00|0.00 58-1036115|1972558336|43847| Gastric bypass incl small i|0.00|0.00 58-1036115|1972558336|43848| Revision gastroplasty|0.00|0.00 58-1036115|1972558336|43850| Revise stomach-bowel fusion|0.00|0.00 58-1036115|1972558336|43855| Revise stomach-bowel fusion|0.00|0.00 58-1036115|1972558336|43860| Revise stomach-bowel fusion|0.00|0.00 58-1036115|1972558336|43865| Revise stomach-bowel fusion|0.00|0.00 58-1036115|1972558336|43870| Repair stomach opening|1212.00|1515.00 58-1036115|1972558336|43880| Repair stomach-bowel fistula|0.00|0.00 58-1036115|1972558336|43881| Impl/redo electrd antrum|0.00|0.00 58-1036115|1972558336|43882| Revise/remove electrd antrum|0.00|0.00 58-1036115|1972558336|43886| Revise gastric port open|1411.94|1764.93 58-1036115|1972558336|43887| Remove gastric port open|817.02|1021.28 58-1036115|1972558336|43888| Change gastric port open|1411.94|1764.93 58-1036115|1972558336|43999| Stomach surgery procedure|375.27|469.09 58-1036115|1972558336|44005| Freeing of bowel adhesion|0.00|0.00 58-1036115|1972558336|44010| Incision of small bowel|0.00|0.00 58-1036115|1972558336|44015| Insert needle cath bowel|0.00|0.00 58-1036115|1972558336|44020| Explore small intestine|0.00|0.00 58-1036115|1972558336|44021| Decompress small bowel|0.00|0.00 58-1036115|1972558336|44025| Incision of large bowel|0.00|0.00 58-1036115|1972558336|44050| Reduce bowel obstruction|0.00|0.00 58-1036115|1972558336|44055| Correct malrotation of bowel|0.00|0.00 58-1036115|1972558336|44100| Biopsy of bowel|387.30|484.13 58-1036115|1972558336|44110| Excise intestine lesion(s)|0.00|0.00 58-1036115|1972558336|44111| Excision of bowel lesion(s)|0.00|0.00 58-1036115|1972558336|44120| Removal of small intestine|0.00|0.00 58-1036115|1972558336|44121| Removal of small intestine|0.00|0.00 58-1036115|1972558336|44125| Removal of small intestine|0.00|0.00 58-1036115|1972558336|44126| Enterectomy w/o taper cong|0.00|0.00 58-1036115|1972558336|44127| Enterectomy w/taper cong|0.00|0.00 58-1036115|1972558336|44128| Enterectomy cong add-on|0.00|0.00 58-1036115|1972558336|44130| Bowel to bowel fusion|0.00|0.00 58-1036115|1972558336|44132| Enterectomy cadaver donor|0.00|0.00 58-1036115|1972558336|44133| Enterectomy live donor|0.00|0.00 58-1036115|1972558336|44135| Intestine transplnt cadaver|0.00|0.00 58-1036115|1972558336|44136| Intestine transplant live|0.00|0.00 58-1036115|1972558336|44137| Remove intestinal allograft|0.00|0.00 58-1036115|1972558336|44139| Mobilization of colon|0.00|0.00 58-1036115|1972558336|44140| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44141| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44143| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44144| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44145| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44146| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44147| Partial removal of colon|0.00|0.00 58-1036115|1972558336|44150| Removal of colon|0.00|0.00 58-1036115|1972558336|44151| Removal of colon/ileostomy|0.00|0.00 58-1036115|1972558336|44155| Removal of colon/ileostomy|0.00|0.00 58-1036115|1972558336|44156| Removal of colon/ileostomy|0.00|0.00 58-1036115|1972558336|44157| Colectomy w/ileoanal anast|0.00|0.00 58-1036115|1972558336|44158| Colectomy w/neo-rectum pouch|0.00|0.00 58-1036115|1972558336|44160| Removal of colon|0.00|0.00 58-1036115|1972558336|44180| Lap enterolysis|2264.68|2830.85 58-1036115|1972558336|44186| Lap jejunostomy|2264.68|2830.85 58-1036115|1972558336|44187| Lap ileo/jejuno-stomy|0.00|0.00 58-1036115|1972558336|44188| Lap colostomy|0.00|0.00 58-1036115|1972558336|44202| Lap enterectomy|0.00|0.00 58-1036115|1972558336|44203| Lap resect s/intestine addl|0.00|0.00 58-1036115|1972558336|44204| Laparo partial colectomy|0.00|0.00 58-1036115|1972558336|44205| Lap colectomy part w/ileum|0.00|0.00 58-1036115|1972558336|44206| Lap part colectomy w/stoma|0.00|0.00 58-1036115|1972558336|44207| L colectomy/coloproctostomy|0.00|0.00 58-1036115|1972558336|44208| L colectomy/coloproctostomy|0.00|0.00 58-1036115|1972558336|44210| Laparo total proctocolectomy|0.00|0.00 58-1036115|1972558336|44211| Lap colectomy w/proctectomy|0.00|0.00 58-1036115|1972558336|44212| Laparo total proctocolectomy|0.00|0.00 58-1036115|1972558336|44213| Lap mobil splenic fl add-on|0.00|0.00 58-1036115|1972558336|44227| Lap close enterostomy|0.00|0.00 58-1036115|1972558336|44238| Laparoscope proc intestine|2264.68|2830.85 58-1036115|1972558336|44300| Open bowel to skin|0.00|0.00 58-1036115|1972558336|44310| Ileostomy/jejunostomy|0.00|0.00 58-1036115|1972558336|44312| Revision of ileostomy|1411.94|1764.93 58-1036115|1972558336|44314| Revision of ileostomy|0.00|0.00 58-1036115|1972558336|44316| Devise bowel pouch|0.00|0.00 58-1036115|1972558336|44320| Colostomy|0.00|0.00 58-1036115|1972558336|44322| Colostomy with biopsies|0.00|0.00 58-1036115|1972558336|44340| Revision of colostomy|1411.94|1764.93 58-1036115|1972558336|44345| Revision of colostomy|0.00|0.00 58-1036115|1972558336|44346| Revision of colostomy|0.00|0.00 58-1036115|1972558336|44360| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44361| Small bowel endoscopy/biopsy|627.43|784.29 58-1036115|1972558336|44363| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44364| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44365| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44366| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44369| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44370| Small bowel endoscopy/stent|1848.57|2310.71 58-1036115|1972558336|44372| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44373| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44376| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44377| Small bowel endoscopy/biopsy|627.43|784.29 58-1036115|1972558336|44378| Small bowel endoscopy|627.43|784.29 58-1036115|1972558336|44379| S bowel endoscope w/stent|1848.57|2310.71 58-1036115|1972558336|44380| Small bowel endoscopy br/wa|387.30|484.13 58-1036115|1972558336|44381| Small bowel endoscopy br/wa|627.43|784.29 58-1036115|1972558336|44382| Small bowel endoscopy|387.30|484.13 58-1036115|1972558336|44384| Small bowel endoscopy|1212.00|1515.00 58-1036115|1972558336|44385| Endoscopy of bowel pouch|369.84|462.30 58-1036115|1972558336|44386| Endoscopy bowel pouch/biop|369.84|462.30 58-1036115|1972558336|44388| Colonoscopy thru stoma spx|369.84|462.30 58-1036115|1972558336|44389| Colonoscopy with biopsy|487.78|609.73 58-1036115|1972558336|44390| Colonoscopy for foreign body|487.78|609.73 58-1036115|1972558336|44391| Colonoscopy for bleeding|487.78|609.73 58-1036115|1972558336|44392| Colonoscopy & polypectomy|487.78|609.73 58-1036115|1972558336|44394| Colonoscopy w/snare|487.78|609.73 58-1036115|1972558336|44401| Colonoscopy with ablation|487.78|609.73 58-1036115|1972558336|44402| Colonoscopy w/stent plcmt|2798.59|3498.24 58-1036115|1972558336|44403| Colonoscopy w/resection|487.78|609.73 58-1036115|1972558336|44404| Colonoscopy w/injection|487.78|609.73 58-1036115|1972558336|44405| Colonoscopy w/dilation|487.78|609.73 58-1036115|1972558336|44406| Colonoscopy w/ultrasound|487.78|609.73 58-1036115|1972558336|44407| Colonoscopy w/ndl aspir/bx|487.78|609.73 58-1036115|1972558336|44408| Colonoscopy w/decompression|369.84|462.30 58-1036115|1972558336|44500| Intro gastrointestinal tube|387.30|484.13 58-1036115|1972558336|44602| Suture small intestine|0.00|0.00 58-1036115|1972558336|44603| Suture small intestine|0.00|0.00 58-1036115|1972558336|44604| Suture large intestine|0.00|0.00 58-1036115|1972558336|44605| Repair of bowel lesion|0.00|0.00 58-1036115|1972558336|44615| Intestinal stricturoplasty|0.00|0.00 58-1036115|1972558336|44620| Repair bowel opening|0.00|0.00 58-1036115|1972558336|44625| Repair bowel opening|0.00|0.00 58-1036115|1972558336|44626| Repair bowel opening|0.00|0.00 58-1036115|1972558336|44640| Repair bowel-skin fistula|0.00|0.00 58-1036115|1972558336|44650| Repair bowel fistula|0.00|0.00 58-1036115|1972558336|44660| Repair bowel-bladder fistula|0.00|0.00 58-1036115|1972558336|44661| Repair bowel-bladder fistula|0.00|0.00 58-1036115|1972558336|44680| Surgical revision intestine|0.00|0.00 58-1036115|1972558336|44700| Suspend bowel w/prosthesis|0.00|0.00 58-1036115|1972558336|44701| Intraop colon lavage add-on|0.00|0.00 58-1036115|1972558336|44715| Prepare donor intestine|0.00|0.00 58-1036115|1972558336|44720| Prep donor intestine/venous|0.00|0.00 58-1036115|1972558336|44721| Prep donor intestine/artery|0.00|0.00 58-1036115|1972558336|44799| Unlisted px small intestine|375.27|469.09 58-1036115|1972558336|44800| Excision of bowel pouch|0.00|0.00 58-1036115|1972558336|44820| Excision of mesentery lesion|0.00|0.00 58-1036115|1972558336|44850| Repair of mesentery|0.00|0.00 58-1036115|1972558336|44899| Bowel surgery procedure|0.00|0.00 58-1036115|1972558336|44900| Drain appendix abscess open|0.00|0.00 58-1036115|1972558336|44950| Appendectomy|1452.34|1815.43 58-1036115|1972558336|44955| Appendectomy add-on|0.00|0.00 58-1036115|1972558336|44960| Appendectomy|0.00|0.00 58-1036115|1972558336|44970| Laparoscopy appendectomy|2264.68|2830.85 58-1036115|1972558336|44979| Laparoscope proc app|2264.68|2830.85 58-1036115|1972558336|45000| Drainage of pelvic abscess|487.78|609.73 58-1036115|1972558336|45005| Drainage of rectal abscess|487.78|609.73 58-1036115|1972558336|45020| Drainage of rectal abscess|1139.05|1423.81 58-1036115|1972558336|45100| Biopsy of rectum|1139.05|1423.81 58-1036115|1972558336|45108| Removal of anorectal lesion|1139.05|1423.81 58-1036115|1972558336|45110| Removal of rectum|0.00|0.00 58-1036115|1972558336|45111| Partial removal of rectum|0.00|0.00 58-1036115|1972558336|45112| Removal of rectum|0.00|0.00 58-1036115|1972558336|45113| Partial proctectomy|0.00|0.00 58-1036115|1972558336|45114| Partial removal of rectum|0.00|0.00 58-1036115|1972558336|45116| Partial removal of rectum|0.00|0.00 58-1036115|1972558336|45119| Remove rectum w/reservoir|0.00|0.00 58-1036115|1972558336|45120| Removal of rectum|0.00|0.00 58-1036115|1972558336|45121| Removal of rectum and colon|0.00|0.00 58-1036115|1972558336|45123| Partial proctectomy|0.00|0.00 58-1036115|1972558336|45126| Pelvic exenteration|0.00|0.00 58-1036115|1972558336|45130| Excision of rectal prolapse|0.00|0.00 58-1036115|1972558336|45135| Excision of rectal prolapse|0.00|0.00 58-1036115|1972558336|45136| Excise ileoanal reservior|0.00|0.00 58-1036115|1972558336|45150| Excision of rectal stricture|487.78|609.73 58-1036115|1972558336|45160| Excision of rectal lesion|1139.05|1423.81 58-1036115|1972558336|45171| Exc rect tum transanal part|1139.05|1423.81 58-1036115|1972558336|45172| Exc rect tum transanal full|1139.05|1423.81 58-1036115|1972558336|45190| Destruction rectal tumor|1139.05|1423.81 58-1036115|1972558336|45300| Proctosigmoidoscopy dx|95.40|119.25 58-1036115|1972558336|45303| Proctosigmoidoscopy dilate|487.78|609.73 58-1036115|1972558336|45305| Proctosigmoidoscopy w/bx|487.78|609.73 58-1036115|1972558336|45307| Proctosigmoidoscopy fb|1139.05|1423.81 58-1036115|1972558336|45308| Proctosigmoidoscopy removal|1139.05|1423.81 58-1036115|1972558336|45309| Proctosigmoidoscopy removal|487.78|609.73 58-1036115|1972558336|45315| Proctosigmoidoscopy removal|487.78|609.73 58-1036115|1972558336|45317| Proctosigmoidoscopy bleed|487.78|609.73 58-1036115|1972558336|45320| Proctosigmoidoscopy ablate|1139.05|1423.81 58-1036115|1972558336|45321| Proctosigmoidoscopy volvul|1139.05|1423.81 58-1036115|1972558336|45327| Proctosigmoidoscopy w/stent|1848.57|2310.71 58-1036115|1972558336|45330| Diagnostic sigmoidoscopy|138.60|173.25 58-1036115|1972558336|45331| Sigmoidoscopy and biopsy|369.84|462.30 58-1036115|1972558336|45332| Sigmoidoscopy w/fb removal|487.78|609.73 58-1036115|1972558336|45333| Sigmoidoscopy & polypectomy|369.84|462.30 58-1036115|1972558336|45334| Sigmoidoscopy for bleeding|487.78|609.73 58-1036115|1972558336|45335| Sigmoidoscopy w/submuc inj|369.84|462.30 58-1036115|1972558336|45337| Sigmoidoscopy & decompress|487.78|609.73 58-1036115|1972558336|45338| Sigmoidoscopy w/tumr remove|487.78|609.73 58-1036115|1972558336|45340| Sig w/tndsc balloon dilation|487.78|609.73 58-1036115|1972558336|45341| Sigmoidoscopy w/ultrasound|487.78|609.73 58-1036115|1972558336|45342| Sigmoidoscopy w/us guide bx|487.78|609.73 58-1036115|1972558336|45346| Sigmoidoscopy w/ablation|487.78|609.73 58-1036115|1972558336|45347| Sigmoidoscopy w/plcmt stent|2900.93|3626.16 58-1036115|1972558336|45349| Sigmoidoscopy w/resection|487.78|609.73 58-1036115|1972558336|45350| Sgmdsc w/band ligation|487.78|609.73 58-1036115|1972558336|45378| Diagnostic colonoscopy|369.84|462.30 58-1036115|1972558336|45379| Colonoscopy w/fb removal|487.78|609.73 58-1036115|1972558336|45380| Colonoscopy and biopsy|487.78|609.73 58-1036115|1972558336|45381| Colonoscopy submucous njx|487.78|609.73 58-1036115|1972558336|45382| Colonoscopy w/control bleed|487.78|609.73 58-1036115|1972558336|45384| Colonoscopy w/lesion removal|487.78|609.73 58-1036115|1972558336|45385| Colonoscopy w/lesion removal|487.78|609.73 58-1036115|1972558336|45386| Colonoscopy w/balloon dilat|487.78|609.73 58-1036115|1972558336|45388| Colonoscopy w/ablation|487.78|609.73 58-1036115|1972558336|45389| Colonoscopy w/stent plcmt|2840.41|3550.51 58-1036115|1972558336|45390| Colonoscopy w/resection|487.78|609.73 58-1036115|1972558336|45391| Colonoscopy w/endoscope us|487.78|609.73 58-1036115|1972558336|45392| Colonoscopy w/endoscopic fnb|487.78|609.73 58-1036115|1972558336|45393| Colonoscopy w/decompression|487.78|609.73 58-1036115|1972558336|45395| Lap removal of rectum|0.00|0.00 58-1036115|1972558336|45397| Lap remove rectum w/pouch|0.00|0.00 58-1036115|1972558336|45398| Colonoscopy w/band ligation|487.78|609.73 58-1036115|1972558336|45399| Unlisted procedure colon|367.06|458.82 58-1036115|1972558336|45400| Laparoscopic proc|0.00|0.00 58-1036115|1972558336|45402| Lap proctopexy w/sig resect|0.00|0.00 58-1036115|1972558336|45499| Laparoscope proc rectum|2264.68|2830.85 58-1036115|1972558336|45500| Repair of rectum|1139.05|1423.81 58-1036115|1972558336|45505| Repair of rectum|1139.05|1423.81 58-1036115|1972558336|45520| Treatment of rectal prolapse|0.00|0.00 58-1036115|1972558336|45540| Correct rectal prolapse|0.00|0.00 58-1036115|1972558336|45541| Correct rectal prolapse|1139.05|1423.81 58-1036115|1972558336|45550| Repair rectum/remove sigmoid|0.00|0.00 58-1036115|1972558336|45560| Repair of rectocele|1139.05|1423.81 58-1036115|1972558336|45562| Exploration/repair of rectum|0.00|0.00 58-1036115|1972558336|45563| Exploration/repair of rectum|0.00|0.00 58-1036115|1972558336|45800| Repair rect/bladder fistula|0.00|0.00 58-1036115|1972558336|45805| Repair fistula w/colostomy|0.00|0.00 58-1036115|1972558336|45820| Repair rectourethral fistula|0.00|0.00 58-1036115|1972558336|45825| Repair fistula w/colostomy|0.00|0.00 58-1036115|1972558336|45900| Reduction of rectal prolapse|369.84|462.30 58-1036115|1972558336|45905| Dilation of anal sphincter|487.78|609.73 58-1036115|1972558336|45910| Dilation of rectal narrowing|487.78|609.73 58-1036115|1972558336|45915| Remove rectal obstruction|487.78|609.73 58-1036115|1972558336|45990| Surg dx exam anorectal|1139.05|1423.81 58-1036115|1972558336|45999| Rectum surgery procedure|367.06|458.82 58-1036115|1972558336|46020| Placement of seton|1139.05|1423.81 58-1036115|1972558336|46030| Removal of rectal marker|487.78|609.73 58-1036115|1972558336|46040| Incision of rectal abscess|487.78|609.73 58-1036115|1972558336|46045| Incision of rectal abscess|1139.05|1423.81 58-1036115|1972558336|46050| Incision of anal abscess|369.84|462.30 58-1036115|1972558336|46060| Incision of rectal abscess|1139.05|1423.81 58-1036115|1972558336|46070| Incision of anal septum|1139.05|1423.81 58-1036115|1972558336|46080| Incision of anal sphincter|1139.05|1423.81 58-1036115|1972558336|46083| Incise external hemorrhoid|119.57|149.46 58-1036115|1972558336|46200| Removal of anal fissure|1139.05|1423.81 58-1036115|1972558336|46220| Excise anal ext tag/papilla|487.78|609.73 58-1036115|1972558336|46221| Ligation of hemorrhoid(s)|180.00|225.00 58-1036115|1972558336|46230| Removal of anal tags|1139.05|1423.81 58-1036115|1972558336|46250| Remove ext hem groups 2+|1139.05|1423.81 58-1036115|1972558336|46255| Remove int/ext hem 1 group|1139.05|1423.81 58-1036115|1972558336|46257| Remove in/ex hem grp & fiss|1139.05|1423.81 58-1036115|1972558336|46258| Remove in/ex hem grp w/fistu|1139.05|1423.81 58-1036115|1972558336|46260| Remove in/ex hem groups 2+|1139.05|1423.81 58-1036115|1972558336|46261| Remove in/ex hem grps & fiss|1139.05|1423.81 58-1036115|1972558336|46262| Remove in/ex hem grps w/fist|1139.05|1423.81 58-1036115|1972558336|46270| Remove anal fist subq|1139.05|1423.81 58-1036115|1972558336|46275| Remove anal fist inter|1139.05|1423.81 58-1036115|1972558336|46280| Remove anal fist complex|1139.05|1423.81 58-1036115|1972558336|46285| Remove anal fist 2 stage|1139.05|1423.81 58-1036115|1972558336|46288| Repair anal fistula|1139.05|1423.81 58-1036115|1972558336|46320| Removal of hemorrhoid clot|121.68|152.10 58-1036115|1972558336|46500| Injection into hemorrhoid(s)|135.00|168.75 58-1036115|1972558336|46505| Chemodenervation anal musc|487.78|609.73 58-1036115|1972558336|46600| Diagnostic anoscopy spx|0.00|0.00 58-1036115|1972558336|46601| Diagnostic anoscopy|0.00|0.00 58-1036115|1972558336|46604| Anoscopy and dilation|487.78|609.73 58-1036115|1972558336|46606| Anoscopy and biopsy|184.68|230.85 58-1036115|1972558336|46607| Diagnostic anoscopy & biopsy|487.78|609.73 58-1036115|1972558336|46608| Anoscopy remove for body|369.84|462.30 58-1036115|1972558336|46610| Anoscopy remove lesion|1139.05|1423.81 58-1036115|1972558336|46611| Anoscopy|369.84|462.30 58-1036115|1972558336|46612| Anoscopy remove lesions|1139.05|1423.81 58-1036115|1972558336|46614| Anoscopy control bleeding|92.16|115.20 58-1036115|1972558336|46615| Anoscopy|1139.05|1423.81 58-1036115|1972558336|46700| Repair of anal stricture|1139.05|1423.81 58-1036115|1972558336|46705| Repair of anal stricture|0.00|0.00 58-1036115|1972558336|46706| Repr of anal fistula w/glue|1139.05|1423.81 58-1036115|1972558336|46707| Repair anorectal fist w/plug|1139.05|1423.81 58-1036115|1972558336|46710| Repr per/vag pouch sngl proc|0.00|0.00 58-1036115|1972558336|46712| Repr per/vag pouch dbl proc|0.00|0.00 58-1036115|1972558336|46715| Rep perf anoper fistu|0.00|0.00 58-1036115|1972558336|46716| Rep perf anoper/vestib fistu|0.00|0.00 58-1036115|1972558336|46730| Construction of absent anus|0.00|0.00 58-1036115|1972558336|46735| Construction of absent anus|0.00|0.00 58-1036115|1972558336|46740| Construction of absent anus|0.00|0.00 58-1036115|1972558336|46742| Repair of imperforated anus|0.00|0.00 58-1036115|1972558336|46744| Repair of cloacal anomaly|0.00|0.00 58-1036115|1972558336|46746| Repair of cloacal anomaly|0.00|0.00 58-1036115|1972558336|46748| Repair of cloacal anomaly|0.00|0.00 58-1036115|1972558336|46750| Repair of anal sphincter|1139.05|1423.81 58-1036115|1972558336|46751| Repair of anal sphincter|0.00|0.00 58-1036115|1972558336|46753| Reconstruction of anus|1139.05|1423.81 58-1036115|1972558336|46754| Removal of suture from anus|1139.05|1423.81 58-1036115|1972558336|46760| Repair of anal sphincter|1139.05|1423.81 58-1036115|1972558336|46761| Repair of anal sphincter|1139.05|1423.81 58-1036115|1972558336|46762|Implant artificial sphincter|3167.00|3958.75 58-1036115|1972558336|46900| Destruction anal lesion(s)|161.90|202.38 58-1036115|1972558336|46910| Destruction anal lesion(s)|186.84|233.55 58-1036115|1972558336|46916| Cryosurgery anal lesion(s)|88.01|110.01 58-1036115|1972558336|46917| Laser surgery anal lesions|1139.05|1423.81 58-1036115|1972558336|46922| Excision of anal lesion(s)|1139.05|1423.81 58-1036115|1972558336|46924| Destruction anal lesion(s)|1139.05|1423.81 58-1036115|1972558336|46930| Destroy internal hemorrhoids|148.32|185.40 58-1036115|1972558336|46940| Treatment of anal fissure|138.96|173.70 58-1036115|1972558336|46942| Treatment of anal fissure|139.68|174.60 58-1036115|1972558336|46945| Remove by ligat int hem grp|226.08|282.60 58-1036115|1972558336|46946| Remove by ligat int hem grps|1139.05|1423.81 58-1036115|1972558336|46947| Hemorrhoidopexy by stapling|1139.05|1423.81 58-1036115|1972558336|46999| Anus surgery procedure|367.06|458.82 58-1036115|1972558336|47000| Needle biopsy of liver|542.88|678.60 58-1036115|1972558336|47001| Needle biopsy liver add-on|0.00|0.00 58-1036115|1972558336|47010| Open drainage liver lesion|0.00|0.00 58-1036115|1972558336|47015| Inject/aspirate liver cyst|0.00|0.00 58-1036115|1972558336|47100| Wedge biopsy of liver|0.00|0.00 58-1036115|1972558336|47120| Partial removal of liver|0.00|0.00 58-1036115|1972558336|47122| Extensive removal of liver|0.00|0.00 58-1036115|1972558336|47125| Partial removal of liver|0.00|0.00 58-1036115|1972558336|47130| Partial removal of liver|0.00|0.00 58-1036115|1972558336|47133| Removal of donor liver|0.00|0.00 58-1036115|1972558336|47135| Transplantation of liver|0.00|0.00 58-1036115|1972558336|47140| Partial removal donor liver|0.00|0.00 58-1036115|1972558336|47141| Partial removal donor liver|0.00|0.00 58-1036115|1972558336|47142| Partial removal donor liver|0.00|0.00 58-1036115|1972558336|47143| Prep donor liver whole|0.00|0.00 58-1036115|1972558336|47144| Prep donor liver 3-segment|0.00|0.00 58-1036115|1972558336|47145| Prep donor liver lobe split|0.00|0.00 58-1036115|1972558336|47146| Prep donor liver/venous|0.00|0.00 58-1036115|1972558336|47147| Prep donor liver/arterial|0.00|0.00 58-1036115|1972558336|47300| Surgery for liver lesion|0.00|0.00 58-1036115|1972558336|47350| Repair liver wound|0.00|0.00 58-1036115|1972558336|47360| Repair liver wound|0.00|0.00 58-1036115|1972558336|47361| Repair liver wound|0.00|0.00 58-1036115|1972558336|47362| Repair liver wound|0.00|0.00 58-1036115|1972558336|47370| Laparo ablate liver tumor rf|3814.82|4768.52 58-1036115|1972558336|47371| Laparo ablate liver cryosurg|3814.82|4768.52 58-1036115|1972558336|47379| Laparoscope procedure liver|2264.68|2830.85 58-1036115|1972558336|47380| Open ablate liver tumor rf|0.00|0.00 58-1036115|1972558336|47381| Open ablate liver tumor cryo|0.00|0.00 58-1036115|1972558336|47382| Percut ablate liver rf|2097.10|2621.38 58-1036115|1972558336|47383| Perq abltj lvr cryoablation|2097.10|2621.38 58-1036115|1972558336|47399| Liver surgery procedure|285.48|356.85 58-1036115|1972558336|47400| Incision of liver duct|0.00|0.00 58-1036115|1972558336|47420| Incision of bile duct|0.00|0.00 58-1036115|1972558336|47425| Incision of bile duct|0.00|0.00 58-1036115|1972558336|47460| Incise bile duct sphincter|0.00|0.00 58-1036115|1972558336|47480| Incision of gallbladder|0.00|0.00 58-1036115|1972558336|47490| Incision of gallbladder|1452.34|1815.43 58-1036115|1972558336|47531| Injection for cholangiogram|0.00|0.00 58-1036115|1972558336|47532| Injection for cholangiogram|0.00|0.00 58-1036115|1972558336|47533| Plmt biliary drainage cath|1332.59|1665.74 58-1036115|1972558336|47534| Plmt biliary drainage cath|1332.59|1665.74 58-1036115|1972558336|47535| Conversion ext bil drg cath|1332.59|1665.74 58-1036115|1972558336|47536| Exchange biliary drg cath|1332.59|1665.74 58-1036115|1972558336|47537| Removal biliary drg cath|387.30|484.13 58-1036115|1972558336|47538| Perq plmt bile duct stent|3075.52|3844.40 58-1036115|1972558336|47539| Perq plmt bile duct stent|2097.10|2621.38 58-1036115|1972558336|47540| Perq plmt bile duct stent|2967.90|3709.88 58-1036115|1972558336|47541| Plmt access bil tree sm bwl|1332.59|1665.74 58-1036115|1972558336|47542| Dilate biliary duct/ampulla|0.00|0.00 58-1036115|1972558336|47543| Endoluminal bx biliary tree|0.00|0.00 58-1036115|1972558336|47544| Removal duct glbldr calculi|0.00|0.00 58-1036115|1972558336|47550| Bile duct endoscopy add-on|0.00|0.00 58-1036115|1972558336|47552| Biliary endo perq dx w/speci|1332.59|1665.74 58-1036115|1972558336|47553| Biliary endoscopy thru skin|1332.59|1665.74 58-1036115|1972558336|47554| Biliary endoscopy thru skin|2097.10|2621.38 58-1036115|1972558336|47555| Biliary endoscopy thru skin|1332.59|1665.74 58-1036115|1972558336|47556| Biliary endoscopy thru skin|2097.10|2621.38 58-1036115|1972558336|47562| Laparoscopic cholecystectomy|2097.10|2621.38 58-1036115|1972558336|47563| Laparo cholecystectomy/graph|2097.10|2621.38 58-1036115|1972558336|47564| Laparo cholecystectomy/explr|2097.10|2621.38 58-1036115|1972558336|47570| Laparo cholecystoenterostomy|0.00|0.00 58-1036115|1972558336|47579| Laparoscope proc biliary|2264.68|2830.85 58-1036115|1972558336|47600| Removal of gallbladder|0.00|0.00 58-1036115|1972558336|47605| Removal of gallbladder|0.00|0.00 58-1036115|1972558336|47610| Removal of gallbladder|0.00|0.00 58-1036115|1972558336|47612| Removal of gallbladder|0.00|0.00 58-1036115|1972558336|47620| Removal of gallbladder|0.00|0.00 58-1036115|1972558336|47700| Exploration of bile ducts|0.00|0.00 58-1036115|1972558336|47701| Bile duct revision|0.00|0.00 58-1036115|1972558336|47711| Excision of bile duct tumor|0.00|0.00 58-1036115|1972558336|47712| Excision of bile duct tumor|0.00|0.00 58-1036115|1972558336|47715| Excision of bile duct cyst|0.00|0.00 58-1036115|1972558336|47720| Fuse gallbladder & bowel|0.00|0.00 58-1036115|1972558336|47721| Fuse upper gi structures|0.00|0.00 58-1036115|1972558336|47740| Fuse gallbladder & bowel|0.00|0.00 58-1036115|1972558336|47741| Fuse gallbladder & bowel|0.00|0.00 58-1036115|1972558336|47760| Fuse bile ducts and bowel|0.00|0.00 58-1036115|1972558336|47765| Fuse liver ducts & bowel|0.00|0.00 58-1036115|1972558336|47780| Fuse bile ducts and bowel|0.00|0.00 58-1036115|1972558336|47785| Fuse bile ducts and bowel|0.00|0.00 58-1036115|1972558336|47800| Reconstruction of bile ducts|0.00|0.00 58-1036115|1972558336|47801| Placement bile duct support|0.00|0.00 58-1036115|1972558336|47802| Fuse liver duct & intestine|0.00|0.00 58-1036115|1972558336|47900| Suture bile duct injury|0.00|0.00 58-1036115|1972558336|47999| Bile tract surgery procedure|375.27|469.09 58-1036115|1972558336|48000| Drainage of abdomen|0.00|0.00 58-1036115|1972558336|48001| Placement of drain pancreas|0.00|0.00 58-1036115|1972558336|48020| Removal of pancreatic stone|0.00|0.00 58-1036115|1972558336|48100| Biopsy of pancreas open|0.00|0.00 58-1036115|1972558336|48102| Needle biopsy pancreas|542.88|678.60 58-1036115|1972558336|48105| Resect/debride pancreas|0.00|0.00 58-1036115|1972558336|48120| Removal of pancreas lesion|0.00|0.00 58-1036115|1972558336|48140| Partial removal of pancreas|0.00|0.00 58-1036115|1972558336|48145| Partial removal of pancreas|0.00|0.00 58-1036115|1972558336|48146| Pancreatectomy|0.00|0.00 58-1036115|1972558336|48148| Removal of pancreatic duct|0.00|0.00 58-1036115|1972558336|48150| Partial removal of pancreas|0.00|0.00 58-1036115|1972558336|48152| Pancreatectomy|0.00|0.00 58-1036115|1972558336|48153| Pancreatectomy|0.00|0.00 58-1036115|1972558336|48154| Pancreatectomy|0.00|0.00 58-1036115|1972558336|48155| Removal of pancreas|0.00|0.00 58-1036115|1972558336|48400| Injection intraop add-on|0.00|0.00 58-1036115|1972558336|48500| Surgery of pancreatic cyst|0.00|0.00 58-1036115|1972558336|48510| Drain pancreatic pseudocyst|0.00|0.00 58-1036115|1972558336|48520| Fuse pancreas cyst and bowel|0.00|0.00 58-1036115|1972558336|48540| Fuse pancreas cyst and bowel|0.00|0.00 58-1036115|1972558336|48545| Pancreatorrhaphy|0.00|0.00 58-1036115|1972558336|48547| Duodenal exclusion|0.00|0.00 58-1036115|1972558336|48548| Fuse pancreas and bowel|0.00|0.00 58-1036115|1972558336|48551| Prep donor pancreas|0.00|0.00 58-1036115|1972558336|48552| Prep donor pancreas/venous|0.00|0.00 58-1036115|1972558336|48554| Transpl allograft pancreas|0.00|0.00 58-1036115|1972558336|48556| Removal allograft pancreas|0.00|0.00 58-1036115|1972558336|48999| Pancreas surgery procedure|285.48|356.85 58-1036115|1972558336|49000| Exploration of abdomen|0.00|0.00 58-1036115|1972558336|49002| Reopening of abdomen|0.00|0.00 58-1036115|1972558336|49010| Exploration behind abdomen|0.00|0.00 58-1036115|1972558336|49020| Drainage abdom abscess open|0.00|0.00 58-1036115|1972558336|49040| Drain open abdom abscess|0.00|0.00 58-1036115|1972558336|49060| Drain open retroperi abscess|0.00|0.00 58-1036115|1972558336|49062| Drain to peritoneal cavity|0.00|0.00 58-1036115|1972558336|49082| Abd paracentesis|387.30|484.13 58-1036115|1972558336|49083| Abd paracentesis w/imaging|387.30|484.13 58-1036115|1972558336|49084| Peritoneal lavage|387.30|484.13 58-1036115|1972558336|49180| Biopsy abdominal mass|542.88|678.60 58-1036115|1972558336|49185| Sclerotx fluid collection|285.48|356.85 58-1036115|1972558336|49203| Exc abd tum 5 cm or less|0.00|0.00 58-1036115|1972558336|49204| Exc abd tum over 5 cm|0.00|0.00 58-1036115|1972558336|49205| Exc abd tum over 10 cm|0.00|0.00 58-1036115|1972558336|49215| Excise sacral spine tumor|0.00|0.00 58-1036115|1972558336|49220| Multiple surgery abdomen|0.00|0.00 58-1036115|1972558336|49250| Excision of umbilicus|1332.59|1665.74 58-1036115|1972558336|49255| Removal of omentum|0.00|0.00 58-1036115|1972558336|49320| Diag laparo separate proc|2097.10|2621.38 58-1036115|1972558336|49321| Laparoscopy biopsy|2097.10|2621.38 58-1036115|1972558336|49322| Laparoscopy aspiration|2097.10|2621.38 58-1036115|1972558336|49323| Laparo drain lymphocele|2264.68|2830.85 58-1036115|1972558336|49324| Lap insert tunnel ip cath|2097.10|2621.38 58-1036115|1972558336|49325| Lap revision perm ip cath|2097.10|2621.38 58-1036115|1972558336|49326| Lap w/omentopexy add-on|0.00|0.00 58-1036115|1972558336|49327| Lap ins device for rt|0.00|0.00 58-1036115|1972558336|49329| Laparo proc abdm/per/oment|2264.68|2830.85 58-1036115|1972558336|49400| Air injection into abdomen|0.00|0.00 58-1036115|1972558336|49402| Remove foreign body adbomen|1332.59|1665.74 58-1036115|1972558336|49405| Image cath fluid colxn visc|677.80|847.25 58-1036115|1972558336|49406| Image cath fluid peri/retro|542.88|678.60 58-1036115|1972558336|49407| Image cath fluid trns/vgnl|542.88|678.60 58-1036115|1972558336|49411| Ins mark abd/pel for rt perq|354.96|443.70 58-1036115|1972558336|49412| Ins device for rt guide open|0.00|0.00 58-1036115|1972558336|49418| Insert tun ip cath perc|1332.59|1665.74 58-1036115|1972558336|49419| Insert tun ip cath w/port|2221.69|2777.11 58-1036115|1972558336|49421| Ins tun ip cath for dial opn|1332.59|1665.74 58-1036115|1972558336|49422| Remove tunneled ip cath|1298.51|1623.14 58-1036115|1972558336|49423| Exchange drainage catheter|627.43|784.29 58-1036115|1972558336|49424| Assess cyst contrast inject|0.00|0.00 58-1036115|1972558336|49425| Insert abdomen-venous drain|0.00|0.00 58-1036115|1972558336|49426| Revise abdomen-venous shunt|1332.59|1665.74 58-1036115|1972558336|49427| Injection abdominal shunt|0.00|0.00 58-1036115|1972558336|49428| Ligation of shunt|0.00|0.00 58-1036115|1972558336|49429| Removal of shunt|1298.51|1623.14 58-1036115|1972558336|49435| Insert subq exten to ip cath|0.00|0.00 58-1036115|1972558336|49436| Embedded ip cath exit-site|627.43|784.29 58-1036115|1972558336|49440| Place gastrostomy tube perc|627.43|784.29 58-1036115|1972558336|49441| Place duod/jej tube perc|627.43|784.29 58-1036115|1972558336|49442| Place cecostomy tube perc|487.78|609.73 58-1036115|1972558336|49446| Change g-tube to g-j perc|627.43|784.29 58-1036115|1972558336|49450| Replace g/c tube perc|387.30|484.13 58-1036115|1972558336|49451| Replace duod/jej tube perc|387.30|484.13 58-1036115|1972558336|49452| Replace g-j tube perc|387.30|484.13 58-1036115|1972558336|49460| Fix g/colon tube w/device|387.30|484.13 58-1036115|1972558336|49465| Fluoro exam of g/colon tube|121.02|151.28 58-1036115|1972558336|49491| Rpr hern preemie reduc|2264.68|2830.85 58-1036115|1972558336|49492| Rpr ing hern premie blocked|1452.34|1815.43 58-1036115|1972558336|49495| Rpr ing hernia baby reduc|1332.59|1665.74 58-1036115|1972558336|49496| Rpr ing hernia baby blocked|1332.59|1665.74 58-1036115|1972558336|49500| Rpr ing hernia init reduce|1332.59|1665.74 58-1036115|1972558336|49501| Rpr ing hernia init blocked|1332.59|1665.74 58-1036115|1972558336|49505| Prp i/hern init reduc >5 yr|1332.59|1665.74 58-1036115|1972558336|49507| Prp i/hern init block >5 yr|1332.59|1665.74 58-1036115|1972558336|49520| Rerepair ing hernia reduce|1332.59|1665.74 58-1036115|1972558336|49521| Rerepair ing hernia blocked|1332.59|1665.74 58-1036115|1972558336|49525| Repair ing hernia sliding|1332.59|1665.74 58-1036115|1972558336|49540| Repair lumbar hernia|2097.10|2621.38 58-1036115|1972558336|49550| Rpr rem hernia init reduce|1332.59|1665.74 58-1036115|1972558336|49553| Rpr fem hernia init blocked|1332.59|1665.74 58-1036115|1972558336|49555| Rerepair fem hernia reduce|1332.59|1665.74 58-1036115|1972558336|49557| Rerepair fem hernia blocked|1332.59|1665.74 58-1036115|1972558336|49560| Rpr ventral hern init reduc|1332.59|1665.74 58-1036115|1972558336|49561| Rpr ventral hern init block|1332.59|1665.74 58-1036115|1972558336|49565| Rerepair ventrl hern reduce|2097.10|2621.38 58-1036115|1972558336|49566| Rerepair ventrl hern block|2097.10|2621.38 58-1036115|1972558336|49568| Hernia repair w/mesh|0.00|0.00 58-1036115|1972558336|49570| Rpr epigastric hern reduce|1332.59|1665.74 58-1036115|1972558336|49572| Rpr epigastric hern blocked|1332.59|1665.74 58-1036115|1972558336|49580| Rpr umbil hern reduc < 5 yr|1332.59|1665.74 58-1036115|1972558336|49582| Rpr umbil hern block < 5 yr|1332.59|1665.74 58-1036115|1972558336|49585| Rpr umbil hern reduc > 5 yr|1332.59|1665.74 58-1036115|1972558336|49587| Rpr umbil hern block > 5 yr|1332.59|1665.74 58-1036115|1972558336|49590| Repair spigelian hernia|1332.59|1665.74 58-1036115|1972558336|49600| Repair umbilical lesion|1332.59|1665.74 58-1036115|1972558336|49605| Repair umbilical lesion|0.00|0.00 58-1036115|1972558336|49606| Repair umbilical lesion|0.00|0.00 58-1036115|1972558336|49610| Repair umbilical lesion|0.00|0.00 58-1036115|1972558336|49611| Repair umbilical lesion|0.00|0.00 58-1036115|1972558336|49650| Lap ing hernia repair init|2097.10|2621.38 58-1036115|1972558336|49651| Lap ing hernia repair recur|2097.10|2621.38 58-1036115|1972558336|49652| Lap vent/abd hernia repair|2097.10|2621.38 58-1036115|1972558336|49653| Lap vent/abd hern proc comp|2097.10|2621.38 58-1036115|1972558336|49654| Lap inc hernia repair|3368.31|4210.39 58-1036115|1972558336|49655| Lap inc hern repair comp|3368.31|4210.39 58-1036115|1972558336|49656| Lap inc hernia repair recur|3368.31|4210.39 58-1036115|1972558336|49657| Lap inc hern recur comp|3368.31|4210.39 58-1036115|1972558336|49659| Laparo proc hernia repair|2264.68|2830.85 58-1036115|1972558336|49900| Repair of abdominal wall|0.00|0.00 58-1036115|1972558336|49904| Omental flap extra-abdom|0.00|0.00 58-1036115|1972558336|49905| Omental flap intra-abdom|0.00|0.00 58-1036115|1972558336|49906| Free omental flap microvasc|0.00|0.00 58-1036115|1972558336|49999| Abdomen surgery procedure|375.27|469.09 58-1036115|1972558336|50010| Exploration of kidney|0.00|0.00 58-1036115|1972558336|50020| Renal abscess open drain|857.29|1071.61 58-1036115|1972558336|50040| Drainage of kidney|0.00|0.00 58-1036115|1972558336|50045| Exploration of kidney|0.00|0.00 58-1036115|1972558336|50060| Removal of kidney stone|0.00|0.00 58-1036115|1972558336|50065| Incision of kidney|0.00|0.00 58-1036115|1972558336|50070| Incision of kidney|0.00|0.00 58-1036115|1972558336|50075| Removal of kidney stone|0.00|0.00 58-1036115|1972558336|50080| Removal of kidney stone|3835.81|4794.76 58-1036115|1972558336|50081| Removal of kidney stone|3835.81|4794.76 58-1036115|1972558336|50100| Revise kidney blood vessels|0.00|0.00 58-1036115|1972558336|50120| Exploration of kidney|0.00|0.00 58-1036115|1972558336|50125| Explore and drain kidney|0.00|0.00 58-1036115|1972558336|50130| Removal of kidney stone|0.00|0.00 58-1036115|1972558336|50135| Exploration of kidney|0.00|0.00 58-1036115|1972558336|50200| Renal biopsy perq|542.88|678.60 58-1036115|1972558336|50205| Renal biopsy open|0.00|0.00 58-1036115|1972558336|50220| Remove kidney open|0.00|0.00 58-1036115|1972558336|50225| Removal kidney open complex|0.00|0.00 58-1036115|1972558336|50230| Removal kidney open radical|0.00|0.00 58-1036115|1972558336|50234| Removal of kidney & ureter|0.00|0.00 58-1036115|1972558336|50236| Removal of kidney & ureter|0.00|0.00 58-1036115|1972558336|50240| Partial removal of kidney|0.00|0.00 58-1036115|1972558336|50250| Cryoablate renal mass open|0.00|0.00 58-1036115|1972558336|50280| Removal of kidney lesion|0.00|0.00 58-1036115|1972558336|50290| Removal of kidney lesion|0.00|0.00 58-1036115|1972558336|50300| Remove cadaver donor kidney|0.00|0.00 58-1036115|1972558336|50320| Remove kidney living donor|0.00|0.00 58-1036115|1972558336|50323| Prep cadaver renal allograft|0.00|0.00 58-1036115|1972558336|50325| Prep donor renal graft|0.00|0.00 58-1036115|1972558336|50327| Prep renal graft/venous|0.00|0.00 58-1036115|1972558336|50328| Prep renal graft/arterial|0.00|0.00 58-1036115|1972558336|50329| Prep renal graft/ureteral|0.00|0.00 58-1036115|1972558336|50340| Removal of kidney|0.00|0.00 58-1036115|1972558336|50360| Transplantation of kidney|0.00|0.00 58-1036115|1972558336|50365| Transplantation of kidney|0.00|0.00 58-1036115|1972558336|50370| Remove transplanted kidney|0.00|0.00 58-1036115|1972558336|50380| Reimplantation of kidney|0.00|0.00 58-1036115|1972558336|50382| Change ureter stent percut|779.59|974.49 58-1036115|1972558336|50384| Remove ureter stent percut|779.59|974.49 58-1036115|1972558336|50385| Change stent via transureth|779.59|974.49 58-1036115|1972558336|50386| Remove stent via transureth|597.23|746.54 58-1036115|1972558336|50387| Change nephroureteral cath|779.59|974.49 58-1036115|1972558336|50389| Remove renal tube w/fluoro|294.63|368.29 58-1036115|1972558336|50390| Drainage of kidney lesion|298.41|373.01 58-1036115|1972558336|50391| Instll rx agnt into rnal tub|48.60|60.75 58-1036115|1972558336|50395|Create passage to kidney|1205.84|1507.30 58-1036115|1972558336|50396| Measure kidney pressure|779.59|974.49 58-1036115|1972558336|50400| Revision of kidney/ureter|0.00|0.00 58-1036115|1972558336|50405| Revision of kidney/ureter|0.00|0.00 58-1036115|1972558336|50430| Njx px nfrosgrm &/urtrgrm|0.00|0.00 58-1036115|1972558336|50431| Njx px nfrosgrm &/urtrgrm|0.00|0.00 58-1036115|1972558336|50432| Plmt nephrostomy catheter|779.59|974.49 58-1036115|1972558336|50433| Plmt nephroureteral catheter|779.59|974.49 58-1036115|1972558336|50434| Convert nephrostomy catheter|779.59|974.49 58-1036115|1972558336|50435| Exchange nephrostomy cath|779.59|974.49 58-1036115|1972558336|50436|Dilat xst trc ndurlgc px|857.29|1071.61 58-1036115|1972558336|50437|Dilat xst trc new access rcs|1442.26|1802.82 58-1036115|1972558336|50500| Repair of kidney wound|0.00|0.00 58-1036115|1972558336|50520| Close kidney-skin fistula|0.00|0.00 58-1036115|1972558336|50525| Close nephrovisceral fistula|0.00|0.00 58-1036115|1972558336|50526| Close nephrovisceral fistula|0.00|0.00 58-1036115|1972558336|50540| Revision of horseshoe kidney|0.00|0.00 58-1036115|1972558336|50541| Laparo ablate renal cyst|2264.68|2830.85 58-1036115|1972558336|50542| Laparo ablate renal mass|3814.82|4768.52 58-1036115|1972558336|50543| Laparo partial nephrectomy|3814.82|4768.52 58-1036115|1972558336|50544| Laparoscopy pyeloplasty|3814.82|4768.52 58-1036115|1972558336|50545| Laparo radical nephrectomy|0.00|0.00 58-1036115|1972558336|50546| Laparoscopic nephrectomy|0.00|0.00 58-1036115|1972558336|50547| Laparo removal donor kidney|0.00|0.00 58-1036115|1972558336|50548| Laparo remove w/ureter|0.00|0.00 58-1036115|1972558336|50549| Laparoscope proc renal|2264.68|2830.85 58-1036115|1972558336|50551| Kidney endoscopy|1756.98|2196.23 58-1036115|1972558336|50553| Kidney endoscopy|1756.98|2196.23 58-1036115|1972558336|50555| Kidney endoscopy & biopsy|1756.98|2196.23 58-1036115|1972558336|50557| Kidney endoscopy & treatment|3835.81|4794.76 58-1036115|1972558336|50561| Kidney endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|50562| Renal scope w/tumor resect|3835.81|4794.76 58-1036115|1972558336|50570| Kidney endoscopy|779.59|974.49 58-1036115|1972558336|50572| Kidney endoscopy|294.63|368.29 58-1036115|1972558336|50574| Kidney endoscopy & biopsy|779.59|974.49 58-1036115|1972558336|50575| Kidney endoscopy|1756.98|2196.23 58-1036115|1972558336|50576| Kidney endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|50580| Kidney endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|50590| Fragmenting of kidney stone|1756.98|2196.23 58-1036115|1972558336|50592| Perc rf ablate renal tumor|2097.10|2621.38 58-1036115|1972558336|50593| Perc cryo ablate renal tum|3368.31|4210.39 58-1036115|1972558336|50600| Exploration of ureter|0.00|0.00 58-1036115|1972558336|50605| Insert ureteral support|0.00|0.00 58-1036115|1972558336|50606| Endoluminal bx urtr rnl plvs|0.00|0.00 58-1036115|1972558336|50610| Removal of ureter stone|0.00|0.00 58-1036115|1972558336|50620| Removal of ureter stone|0.00|0.00 58-1036115|1972558336|50630| Removal of ureter stone|0.00|0.00 58-1036115|1972558336|50650| Removal of ureter|0.00|0.00 58-1036115|1972558336|50660| Removal of ureter|0.00|0.00 58-1036115|1972558336|50684| Injection for ureter x-ray|0.00|0.00 58-1036115|1972558336|50686| Measure ureter pressure|71.01|88.76 58-1036115|1972558336|50688| Change of ureter tube/stent|779.59|974.49 58-1036115|1972558336|50690| Injection for ureter x-ray|0.00|0.00 58-1036115|1972558336|50693| Plmt ureteral stent prq|1205.84|1507.30 58-1036115|1972558336|50694| Plmt ureteral stent prq|1205.84|1507.30 58-1036115|1972558336|50695| Plmt ureteral stent prq|1205.84|1507.30 58-1036115|1972558336|50700| Revision of ureter|0.00|0.00 58-1036115|1972558336|50705| Ureteral embolization/occl|0.00|0.00 58-1036115|1972558336|50706| Balloon dilate urtrl strix|0.00|0.00 58-1036115|1972558336|50715| Release of ureter|0.00|0.00 58-1036115|1972558336|50722| Release of ureter|0.00|0.00 58-1036115|1972558336|50725| Release/revise ureter|0.00|0.00 58-1036115|1972558336|50727| Revise ureter|1205.84|1507.30 58-1036115|1972558336|50728| Revise ureter|0.00|0.00 58-1036115|1972558336|50740| Fusion of ureter & kidney|0.00|0.00 58-1036115|1972558336|50750| Fusion of ureter & kidney|0.00|0.00 58-1036115|1972558336|50760| Fusion of ureters|0.00|0.00 58-1036115|1972558336|50770| Splicing of ureters|0.00|0.00 58-1036115|1972558336|50780| Reimplant ureter in bladder|0.00|0.00 58-1036115|1972558336|50782| Reimplant ureter in bladder|0.00|0.00 58-1036115|1972558336|50783| Reimplant ureter in bladder|0.00|0.00 58-1036115|1972558336|50785| Reimplant ureter in bladder|0.00|0.00 58-1036115|1972558336|50800| Implant ureter in bowel|0.00|0.00 58-1036115|1972558336|50810| Fusion of ureter & bowel|0.00|0.00 58-1036115|1972558336|50815| Urine shunt to intestine|0.00|0.00 58-1036115|1972558336|50820| Construct bowel bladder|0.00|0.00 58-1036115|1972558336|50825| Construct bowel bladder|0.00|0.00 58-1036115|1972558336|50830| Revise urine flow|0.00|0.00 58-1036115|1972558336|50840| Replace ureter by bowel|0.00|0.00 58-1036115|1972558336|50845| Appendico-vesicostomy|0.00|0.00 58-1036115|1972558336|50860| Transplant ureter to skin|0.00|0.00 58-1036115|1972558336|50900| Repair of ureter|0.00|0.00 58-1036115|1972558336|50920| Closure ureter/skin fistula|0.00|0.00 58-1036115|1972558336|50930| Closure ureter/bowel fistula|0.00|0.00 58-1036115|1972558336|50940| Release of ureter|0.00|0.00 58-1036115|1972558336|50945| Laparoscopy ureterolithotomy|2264.68|2830.85 58-1036115|1972558336|50947| Laparo new ureter/bladder|2097.10|2621.38 58-1036115|1972558336|50948| Laparo new ureter/bladder|3368.31|4210.39 58-1036115|1972558336|50949| Laparoscope proc ureter|2264.68|2830.85 58-1036115|1972558336|50951| Endoscopy of ureter|779.59|974.49 58-1036115|1972558336|50953| Endoscopy of ureter|1756.98|2196.23 58-1036115|1972558336|50955| Ureter endoscopy & biopsy|1756.98|2196.23 58-1036115|1972558336|50957| Ureter endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|50961| Ureter endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|50970| Ureter endoscopy|779.59|974.49 58-1036115|1972558336|50972| Ureter endoscopy & catheter|779.59|974.49 58-1036115|1972558336|50974| Ureter endoscopy & biopsy|1756.98|2196.23 58-1036115|1972558336|50976| Ureter endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|50980| Ureter endoscopy & treatment|1756.98|2196.23 58-1036115|1972558336|51020| Incise & treat bladder|1205.84|1507.30 58-1036115|1972558336|51030| Incise & treat bladder|1205.84|1507.30 58-1036115|1972558336|51040| Incise & drain bladder|779.59|974.49 58-1036115|1972558336|51045| Incise bladder/drain ureter|779.59|974.49 58-1036115|1972558336|51050| Removal of bladder stone|1756.98|2196.23 58-1036115|1972558336|51060| Removal of ureter stone|857.29|1071.61 58-1036115|1972558336|51065| Remove ureter calculus|1756.98|2196.23 58-1036115|1972558336|51080| Drainage of bladder abscess|1062.77|1328.46 58-1036115|1972558336|51100| Drain bladder by needle|32.40|40.50 58-1036115|1972558336|51101| Drain bladder by trocar/cath|86.76|108.45 58-1036115|1972558336|51102| Drain bl w/cath insertion|779.59|974.49 58-1036115|1972558336|51500| Removal of bladder cyst|2097.10|2621.38 58-1036115|1972558336|51520| Removal of bladder lesion|779.59|974.49 58-1036115|1972558336|51525| Removal of bladder lesion|0.00|0.00 58-1036115|1972558336|51530| Removal of bladder lesion|0.00|0.00 58-1036115|1972558336|51535| Repair of ureter lesion|779.59|974.49 58-1036115|1972558336|51550| Partial removal of bladder|0.00|0.00 58-1036115|1972558336|51555| Partial removal of bladder|0.00|0.00 58-1036115|1972558336|51565| Revise bladder & ureter(s)|0.00|0.00 58-1036115|1972558336|51570| Removal of bladder|0.00|0.00 58-1036115|1972558336|51575| Removal of bladder & nodes|0.00|0.00 58-1036115|1972558336|51580| Remove bladder/revise tract|0.00|0.00 58-1036115|1972558336|51585| Removal of bladder & nodes|0.00|0.00 58-1036115|1972558336|51590| Remove bladder/revise tract|0.00|0.00 58-1036115|1972558336|51595| Remove bladder/revise tract|0.00|0.00 58-1036115|1972558336|51596| Remove bladder/create pouch|0.00|0.00 58-1036115|1972558336|51597| Removal of pelvic structures|0.00|0.00 58-1036115|1972558336|51600| Injection for bladder x-ray|0.00|0.00 58-1036115|1972558336|51605| Preparation for bladder xray|0.00|0.00 58-1036115|1972558336|51610| Injection for bladder x-ray|0.00|0.00 58-1036115|1972558336|51700| Irrigation of bladder|52.20|65.25 58-1036115|1972558336|51701| Insert bladder catheter|0.00|0.00 58-1036115|1972558336|51702| Insert temp bladder cath|0.00|0.00 58-1036115|1972558336|51703| Insert bladder cath complex|71.01|88.76 58-1036115|1972558336|51705| Change of bladder tube|58.32|72.90 58-1036115|1972558336|51710| Change of bladder tube|294.63|368.29 58-1036115|1972558336|51715| Endoscopic injection/implant|1205.84|1507.30 58-1036115|1972558336|51720| Treatment of bladder lesion|52.20|65.25 58-1036115|1972558336|51725| Simple cystometrogram|113.76|142.20 58-1036115|1972558336|51726| Complex cystometrogram|294.63|368.29 58-1036115|1972558336|51727| Cystometrogram w/up|210.24|262.80 58-1036115|1972558336|51728| Cystometrogram w/vp|218.16|272.70 58-1036115|1972558336|51729| Cystometrogram w/vp&up|219.96|274.95 58-1036115|1972558336|51736| Urine flow measurement|0.00|0.00 58-1036115|1972558336|51741| Electro-uroflowmetry first|0.00|0.00 58-1036115|1972558336|51784| Anal/urinary muscle study|32.04|40.05 58-1036115|1972558336|51785| Anal/urinary muscle study|119.57|149.46 58-1036115|1972558336|51792| Urinary reflex study|0.00|0.00 58-1036115|1972558336|51797| Intraabdominal pressure test|0.00|0.00 58-1036115|1972558336|51798| Us urine capacity measure|0.00|0.00 58-1036115|1972558336|51800| Revision of bladder/urethra|0.00|0.00 58-1036115|1972558336|51820| Revision of urinary tract|0.00|0.00 58-1036115|1972558336|51840| Attach bladder/urethra|0.00|0.00 58-1036115|1972558336|51841| Attach bladder/urethra|0.00|0.00 58-1036115|1972558336|51845| Repair bladder neck|2033.07|2541.33 58-1036115|1972558336|51860| Repair of bladder wound|1981.19|2476.48 58-1036115|1972558336|51865| Repair of bladder wound|0.00|0.00 58-1036115|1972558336|51880| Repair of bladder opening|1205.84|1507.30 58-1036115|1972558336|51900| Repair bladder/vagina lesion|0.00|0.00 58-1036115|1972558336|51920| Close bladder-uterus fistula|0.00|0.00 58-1036115|1972558336|51925| Hysterectomy/bladder repair|0.00|0.00 58-1036115|1972558336|51940| Correction of bladder defect|0.00|0.00 58-1036115|1972558336|51960| Revision of bladder & bowel|0.00|0.00 58-1036115|1972558336|51980| Construct bladder opening|0.00|0.00 58-1036115|1972558336|51990| Laparo urethral suspension|2264.68|2830.85 58-1036115|1972558336|51992| Laparo sling operation|2097.10|2621.38 58-1036115|1972558336|51999| Laparoscope proc bla|2264.68|2830.85 58-1036115|1972558336|52000| Cystoscopy|294.63|368.29 58-1036115|1972558336|52001| Cystoscopy removal of clots|1205.84|1507.30 58-1036115|1972558336|52005| Cystoscopy & ureter catheter|779.59|974.49 58-1036115|1972558336|52007| Cystoscopy and biopsy|1205.84|1507.30 58-1036115|1972558336|52010| Cystoscopy & duct catheter|294.63|368.29 58-1036115|1972558336|52204| Cystoscopy w/biopsy(s)|779.59|974.49 58-1036115|1972558336|52214| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52224| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52234| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52235| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52240| Cystoscopy and treatment|1756.98|2196.23 58-1036115|1972558336|52250| Cystoscopy and radiotracer|1756.98|2196.23 58-1036115|1972558336|52260| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52265| Cystoscopy and treatment|259.92|324.90 58-1036115|1972558336|52270| Cystoscopy & revise urethra|779.59|974.49 58-1036115|1972558336|52275| Cystoscopy & revise urethra|779.59|974.49 58-1036115|1972558336|52276| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52277| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52281| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52282| Cystoscopy implant stent|1205.84|1507.30 58-1036115|1972558336|52283| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52285| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52287| Cystoscopy chemodenervation|779.59|974.49 58-1036115|1972558336|52290| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52300| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52301| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52305| Cystoscopy and treatment|1756.98|2196.23 58-1036115|1972558336|52310| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52315| Cystoscopy and treatment|779.59|974.49 58-1036115|1972558336|52317| Remove bladder stone|1205.84|1507.30 58-1036115|1972558336|52318| Remove bladder stone|1756.98|2196.23 58-1036115|1972558336|52320| Cystoscopy and treatment|1756.98|2196.23 58-1036115|1972558336|52325| Cystoscopy stone removal|1756.98|2196.23 58-1036115|1972558336|52327| Cystoscopy inject material|1756.98|2196.23 58-1036115|1972558336|52330| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52332| Cystoscopy and treatment|1205.84|1507.30 58-1036115|1972558336|52334| Create passage to kidney|1205.84|1507.30 58-1036115|1972558336|52341| Cysto w/ureter stricture tx|779.59|974.49 58-1036115|1972558336|52342| Cysto w/up stricture tx|1756.98|2196.23 58-1036115|1972558336|52343| Cysto w/renal stricture tx|779.59|974.49 58-1036115|1972558336|52344| Cysto/uretero stricture tx|1205.84|1507.30 58-1036115|1972558336|52345| Cysto/uretero w/up stricture|1756.98|2196.23 58-1036115|1972558336|52346| Cystouretero w/renal strict|1756.98|2196.23 58-1036115|1972558336|52351| Cystouretero & or pyeloscope|779.59|974.49 58-1036115|1972558336|52352| Cystouretero w/stone remove|1756.98|2196.23 58-1036115|1972558336|52353| Cystouretero w/lithotripsy|1756.98|2196.23 58-1036115|1972558336|52354| Cystouretero w/biopsy|1756.98|2196.23 58-1036115|1972558336|52355| Cystouretero w/excise tumor|1756.98|2196.23 58-1036115|1972558336|52356| Cysto/uretero w/lithotripsy|1756.98|2196.23 58-1036115|1972558336|52400| Cystouretero w/congen repr|779.59|974.49 58-1036115|1972558336|52402| Cystourethro cut ejacul duct|1205.84|1507.30 58-1036115|1972558336|52450| Incision of prostate|1205.84|1507.30 58-1036115|1972558336|52500| Revision of bladder neck|1205.84|1507.30 58-1036115|1972558336|52601| Prostatectomy (turp)|1756.98|2196.23 58-1036115|1972558336|52630| Remove prostate regrowth|1756.98|2196.23 58-1036115|1972558336|52640| Relieve bladder contracture|1205.84|1507.30 58-1036115|1972558336|52647| Laser surgery of prostate|1756.98|2196.23 58-1036115|1972558336|52648| Laser surgery of prostate|1756.98|2196.23 58-1036115|1972558336|52649| Prostate laser enucleation|1756.98|2196.23 58-1036115|1972558336|52700| Drainage of prostate abscess|1756.98|2196.23 58-1036115|1972558336|53000| Incision of urethra|779.59|974.49 58-1036115|1972558336|53010| Incision of urethra|1756.98|2196.23 58-1036115|1972558336|53020| Incision of urethra|779.59|974.49 58-1036115|1972558336|53025| Incision of urethra|779.59|974.49 58-1036115|1972558336|53040| Drainage of urethra abscess|1756.98|2196.23 58-1036115|1972558336|53060| Drainage of urethra abscess|81.00|101.25 58-1036115|1972558336|53080| Drainage of urinary leakage|779.59|974.49 58-1036115|1972558336|53085| Drainage of urinary leakage|779.59|974.49 58-1036115|1972558336|53200| Biopsy of urethra|1205.84|1507.30 58-1036115|1972558336|53210| Removal of urethra|1756.98|2196.23 58-1036115|1972558336|53215| Removal of urethra|1756.98|2196.23 58-1036115|1972558336|53220| Treatment of urethra lesion|1756.98|2196.23 58-1036115|1972558336|53230| Removal of urethra lesion|1756.98|2196.23 58-1036115|1972558336|53235| Removal of urethra lesion|1756.98|2196.23 58-1036115|1972558336|53240| Surgery for urethra pouch|1756.98|2196.23 58-1036115|1972558336|53250| Removal of urethra gland|779.59|974.49 58-1036115|1972558336|53260| Treatment of urethra lesion|779.59|974.49 58-1036115|1972558336|53265| Treatment of urethra lesion|779.59|974.49 58-1036115|1972558336|53270| Removal of urethra gland|1205.84|1507.30 58-1036115|1972558336|53275| Repair of urethra defect|779.59|974.49 58-1036115|1972558336|53400| Revise urethra stage 1|1756.98|2196.23 58-1036115|1972558336|53405| Revise urethra stage 2|1756.98|2196.23 58-1036115|1972558336|53410| Reconstruction of urethra|1756.98|2196.23 58-1036115|1972558336|53415| Reconstruction of urethra|0.00|0.00 58-1036115|1972558336|53420| Reconstruct urethra stage 1|1756.98|2196.23 58-1036115|1972558336|53425| Reconstruct urethra stage 2|1756.98|2196.23 58-1036115|1972558336|53430| Reconstruction of urethra|1756.98|2196.23 58-1036115|1972558336|53431| Reconstruct urethra/bladder|1756.98|2196.23 58-1036115|1972558336|53440| Male sling procedure|6056.19|7570.24 58-1036115|1972558336|53442| Remove/revise male sling|1756.98|2196.23 58-1036115|1972558336|53444| Insert tandem cuff|12703.14|15878.93 58-1036115|1972558336|53445| Insert uro/ves nck sphincter|13155.42|16444.28 58-1036115|1972558336|53446| Remove uro sphincter|1756.98|2196.23 58-1036115|1972558336|53447| Remove/replace ur sphincter|12870.89|16088.61 58-1036115|1972558336|53448| Remov/replc ur sphinctr comp|0.00|0.00 58-1036115|1972558336|53449| Repair uro sphincter|1756.98|2196.23 58-1036115|1972558336|53450| Revision of urethra|779.59|974.49 58-1036115|1972558336|53460| Revision of urethra|1756.98|2196.23 58-1036115|1972558336|53500| Urethrlys transvag w/ scope|1442.26|1802.82 58-1036115|1972558336|53502| Repair of urethra injury|1205.84|1507.30 58-1036115|1972558336|53505| Repair of urethra injury|1756.98|2196.23 58-1036115|1972558336|53510| Repair of urethra injury|1756.98|2196.23 58-1036115|1972558336|53515| Repair of urethra injury|1756.98|2196.23 58-1036115|1972558336|53520| Repair of urethra defect|1756.98|2196.23 58-1036115|1972558336|53600| Dilate urethra stricture|37.80|47.25 58-1036115|1972558336|53601| Dilate urethra stricture|0.00|0.00 58-1036115|1972558336|53605| Dilate urethra stricture|779.59|974.49 58-1036115|1972558336|53620| Dilate urethra stricture|55.80|69.75 58-1036115|1972558336|53621| Dilate urethra stricture|59.40|74.25 58-1036115|1972558336|53660| Dilation of urethra|44.64|55.80 58-1036115|1972558336|53661| Dilation of urethra|0.00|0.00 58-1036115|1972558336|53665| Dilation of urethra|779.59|974.49 58-1036115|1972558336|53850| Prostatic microwave thermotx|1205.84|1507.30 58-1036115|1972558336|53852| Prostatic rf thermotx|1551.94|1939.93 58-1036115|1972558336|53854|Trurl dstrj prst8 tiss rf wv|857.29|1071.61 58-1036115|1972558336|53855| Insert prost urethral stent|742.67|928.34 58-1036115|1972558336|53860| Transurethral rf treatment|779.59|974.49 58-1036115|1972558336|53899| Urology surgery procedure|114.04|142.54 58-1036115|1972558336|54000| Slitting of prepuce|779.59|974.49 58-1036115|1972558336|54001| Slitting of prepuce|779.59|974.49 58-1036115|1972558336|54015| Drain penis lesion|542.88|678.60 58-1036115|1972558336|54050| Destruction penis lesion(s)|0.00|0.00 58-1036115|1972558336|54055| Destruction penis lesion(s)|73.08|91.35 58-1036115|1972558336|54056| Cryosurgery penis lesion(s)|0.00|0.00 58-1036115|1972558336|54057| Laser surg penis lesion(s)|817.02|1021.28 58-1036115|1972558336|54060| Excision of penis lesion(s)|817.02|1021.28 58-1036115|1972558336|54065| Destruction penis lesion(s)|817.02|1021.28 58-1036115|1972558336|54100| Biopsy of penis|542.88|678.60 58-1036115|1972558336|54105| Biopsy of penis|1062.77|1328.46 58-1036115|1972558336|54110| Treatment of penis lesion|1756.98|2196.23 58-1036115|1972558336|54111| Treat penis lesion graft|1756.98|2196.23 58-1036115|1972558336|54112| Treat penis lesion graft|3835.81|4794.76 58-1036115|1972558336|54115| Treatment of penis lesion|1062.77|1328.46 58-1036115|1972558336|54120| Partial removal of penis|1756.98|2196.23 58-1036115|1972558336|54125| Removal of penis|0.00|0.00 58-1036115|1972558336|54130| Remove penis & nodes|0.00|0.00 58-1036115|1972558336|54135| Remove penis & nodes|0.00|0.00 58-1036115|1972558336|54150| Circumcision w/regionl block|779.59|974.49 58-1036115|1972558336|54160| Circumcision neonate|779.59|974.49 58-1036115|1972558336|54161| Circum 28 days or older|779.59|974.49 58-1036115|1972558336|54162| Lysis penil circumic lesion|779.59|974.49 58-1036115|1972558336|54163| Repair of circumcision|779.59|974.49 58-1036115|1972558336|54164| Frenulotomy of penis|779.59|974.49 58-1036115|1972558336|54200| Treatment of penis lesion|68.04|85.05 58-1036115|1972558336|54205| Treatment of penis lesion|1756.98|2196.23 58-1036115|1972558336|54220| Treatment of penis lesion|119.57|149.46 58-1036115|1972558336|54230| Prepare penis study|0.00|0.00 58-1036115|1972558336|54231| Dynamic cavernosometry|65.16|81.45 58-1036115|1972558336|54235| Penile injection|47.16|58.95 58-1036115|1972558336|54240| Penis study|37.08|46.35 58-1036115|1972558336|54250| Penis study|11.16|13.95 58-1036115|1972558336|54300| Revision of penis|1205.84|1507.30 58-1036115|1972558336|54304| Revision of penis|779.59|974.49 58-1036115|1972558336|54308| Reconstruction of urethra|1756.98|2196.23 58-1036115|1972558336|54312| Reconstruction of urethra|1205.84|1507.30 58-1036115|1972558336|54316| Reconstruction of urethra|1756.98|2196.23 58-1036115|1972558336|54318| Reconstruction of urethra|1205.84|1507.30 58-1036115|1972558336|54322| Reconstruction of urethra|779.59|974.49 58-1036115|1972558336|54324| Reconstruction of urethra|1756.98|2196.23 58-1036115|1972558336|54326| Reconstruction of urethra|1756.98|2196.23 58-1036115|1972558336|54328| Revise penis/urethra|1205.84|1507.30 58-1036115|1972558336|54332| Revise penis/urethra|1442.26|1802.82 58-1036115|1972558336|54336| Revise penis/urethra|1442.26|1802.82 58-1036115|1972558336|54340| Secondary urethral surgery|1205.84|1507.30 58-1036115|1972558336|54344| Secondary urethral surgery|1756.98|2196.23 58-1036115|1972558336|54348| Secondary urethral surgery|1756.98|2196.23 58-1036115|1972558336|54352| Reconstruct urethra/penis|3835.81|4794.76 58-1036115|1972558336|54360| Penis plastic surgery|1205.84|1507.30 58-1036115|1972558336|54380| Repair penis|1205.84|1507.30 58-1036115|1972558336|54385| Repair penis|779.59|974.49 58-1036115|1972558336|54390| Repair penis and bladder|0.00|0.00 58-1036115|1972558336|54400| Insert semi-rigid prosthesis|12830.98|16038.73 58-1036115|1972558336|54401| Insert self-contd prosthesis|13248.53|16560.66 58-1036115|1972558336|54405| Insert multi-comp penis pros|13272.92|16591.15 58-1036115|1972558336|54406| Remove muti-comp penis pros|1205.84|1507.30 58-1036115|1972558336|54408| Repair multi-comp penis pros|1756.98|2196.23 58-1036115|1972558336|54410| Remove/replace penis prosth|13048.26|16310.33 58-1036115|1972558336|54411| Remov/replc penis pros comp|8041.73|10052.16 58-1036115|1972558336|54415| Remove self-contd penis pros|1205.84|1507.30 58-1036115|1972558336|54416| Remv/repl penis contain pros|12876.80|16096.00 58-1036115|1972558336|54417| Remv/replc penis pros compl|8041.73|10052.16 58-1036115|1972558336|54420| Revision of penis|779.59|974.49 58-1036115|1972558336|54430| Revision of penis|0.00|0.00 58-1036115|1972558336|54435| Revision of penis|779.59|974.49 58-1036115|1972558336|54437| Repair corporeal tear|779.59|974.49 58-1036115|1972558336|54438| Replantation of penis|0.00|0.00 58-1036115|1972558336|54440| Repair of penis|1756.98|2196.23 58-1036115|1972558336|54450| Preputial stretching|119.57|149.46 58-1036115|1972558336|54500| Biopsy of testis|1062.77|1328.46 58-1036115|1972558336|54505| Biopsy of testis|1205.84|1507.30 58-1036115|1972558336|54512| Excise lesion testis|779.59|974.49 58-1036115|1972558336|54520| Removal of testis|1205.84|1507.30 58-1036115|1972558336|54522| Orchiectomy partial|1205.84|1507.30 58-1036115|1972558336|54530| Removal of testis|1332.59|1665.74 58-1036115|1972558336|54535| Extensive testis surgery|1442.26|1802.82 58-1036115|1972558336|54550| Exploration for testis|1332.59|1665.74 58-1036115|1972558336|54560| Exploration for testis|779.59|974.49 58-1036115|1972558336|54600| Reduce testis torsion|1205.84|1507.30 58-1036115|1972558336|54620| Suspension of testis|1205.84|1507.30 58-1036115|1972558336|54640| Suspension of testis|1332.59|1665.74 58-1036115|1972558336|54650| Orchiopexy (fowler-stephens)|1452.34|1815.43 58-1036115|1972558336|54660| Revision of testis|2492.69|3115.86 58-1036115|1972558336|54670| Repair testis injury|779.59|974.49 58-1036115|1972558336|54680| Relocation of testis(es)|779.59|974.49 58-1036115|1972558336|54690| Laparoscopy orchiectomy|2097.10|2621.38 58-1036115|1972558336|54692| Laparoscopy orchiopexy|2097.10|2621.38 58-1036115|1972558336|54699| Laparoscope proc testis|2264.68|2830.85 58-1036115|1972558336|54700| Drainage of scrotum|779.59|974.49 58-1036115|1972558336|54800| Biopsy of epididymis|542.88|678.60 58-1036115|1972558336|54830| Remove epididymis lesion|779.59|974.49 58-1036115|1972558336|54840| Remove epididymis lesion|779.59|974.49 58-1036115|1972558336|54860| Removal of epididymis|779.59|974.49 58-1036115|1972558336|54861| Removal of epididymis|1205.84|1507.30 58-1036115|1972558336|54865| Explore epididymis|1205.84|1507.30 58-1036115|1972558336|54900| Fusion of spermatic ducts|779.59|974.49 58-1036115|1972558336|54901| Fusion of spermatic ducts|1205.84|1507.30 58-1036115|1972558336|55000| Drainage of hydrocele|65.16|81.45 58-1036115|1972558336|55040| Removal of hydrocele|1332.59|1665.74 58-1036115|1972558336|55041| Removal of hydroceles|1332.59|1665.74 58-1036115|1972558336|55060| Repair of hydrocele|779.59|974.49 58-1036115|1972558336|55100| Drainage of scrotum abscess|542.88|678.60 58-1036115|1972558336|55110| Explore scrotum|779.59|974.49 58-1036115|1972558336|55120| Removal of scrotum lesion|779.59|974.49 58-1036115|1972558336|55150| Removal of scrotum|1205.84|1507.30 58-1036115|1972558336|55175| Revision of scrotum|1205.84|1507.30 58-1036115|1972558336|55180| Revision of scrotum|1756.98|2196.23 58-1036115|1972558336|55200| Incision of sperm duct|779.59|974.49 58-1036115|1972558336|55250| Removal of sperm duct(s)|779.59|974.49 58-1036115|1972558336|55300| Prepare sperm duct x-ray|0.00|0.00 58-1036115|1972558336|55400| Repair of sperm duct|1205.84|1507.30 58-1036115|1972558336|55500| Removal of hydrocele|1205.84|1507.30 58-1036115|1972558336|55520| Removal of sperm cord lesion|1205.84|1507.30 58-1036115|1972558336|55530| Revise spermatic cord veins|1205.84|1507.30 58-1036115|1972558336|55535| Revise spermatic cord veins|1332.59|1665.74 58-1036115|1972558336|55540| Revise hernia & sperm veins|1332.59|1665.74 58-1036115|1972558336|55550| Laparo ligate spermatic vein|2097.10|2621.38 58-1036115|1972558336|55559| Laparo proc spermatic cord|2264.68|2830.85 58-1036115|1972558336|55600| Incise sperm duct pouch|779.59|974.49 58-1036115|1972558336|55605| Incise sperm duct pouch|0.00|0.00 58-1036115|1972558336|55650| Remove sperm duct pouch|0.00|0.00 58-1036115|1972558336|55680| Remove sperm pouch lesion|779.59|974.49 58-1036115|1972558336|55700| Biopsy of prostate|779.59|974.49 58-1036115|1972558336|55705| Biopsy of prostate|779.59|974.49 58-1036115|1972558336|55706| Prostate saturation sampling|1205.84|1507.30 58-1036115|1972558336|55720| Drainage of prostate abscess|779.59|974.49 58-1036115|1972558336|55725| Drainage of prostate abscess|779.59|974.49 58-1036115|1972558336|55801| Removal of prostate|0.00|0.00 58-1036115|1972558336|55810| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55812| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55815| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55821| Removal of prostate|0.00|0.00 58-1036115|1972558336|55831| Removal of prostate|0.00|0.00 58-1036115|1972558336|55840| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55842| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55845| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55860| Surgical exposure prostate|1756.98|2196.23 58-1036115|1972558336|55862| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55865| Extensive prostate surgery|0.00|0.00 58-1036115|1972558336|55866| Laparo radical prostatectomy|3814.82|4768.52 58-1036115|1972558336|55870| Electroejaculation|79.20|99.00 58-1036115|1972558336|55873| Cryoablate prostate|5769.73|7212.16 58-1036115|1972558336|55874| Tprnl plmt biodegrdabl matrl|1756.98|2196.23 58-1036115|1972558336|55875| Transperi needle place pros|1756.98|2196.23 58-1036115|1972558336|55876| Place rt device/marker pros|73.08|91.35 58-1036115|1972558336|55899| Genital surgery procedure|114.04|142.54 58-1036115|1972558336|55920| Place needles pelvic for rt|1839.20|2299.00 58-1036115|1972558336|55970| Sex transformation m to f|1163.55|1454.44 58-1036115|1972558336|55980| Sex transformation f to m|1442.26|1802.82 58-1036115|1972558336|56405| I & d of vulva/perineum|51.12|63.90 58-1036115|1972558336|56420| Drainage of gland abscess|66.60|83.25 58-1036115|1972558336|56440| Surgery for vulva lesion|1121.97|1402.46 58-1036115|1972558336|56441| Lysis of labial lesion(s)|1121.97|1402.46 58-1036115|1972558336|56442| Hymenotomy|1121.97|1402.46 58-1036115|1972558336|56501| Destroy vulva lesions sim|70.92|88.65 58-1036115|1972558336|56515| Destroy vulva lesion/s compl|817.02|1021.28 58-1036115|1972558336|56605| Biopsy of vulva/perineum|39.24|49.05 58-1036115|1972558336|56606| Biopsy of vulva/perineum|0.00|0.00 58-1036115|1972558336|56620| Partial removal of vulva|1121.97|1402.46 58-1036115|1972558336|56625| Complete removal of vulva|1121.97|1402.46 58-1036115|1972558336|56630| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56631| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56632| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56633| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56634| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56637| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56640| Extensive vulva surgery|0.00|0.00 58-1036115|1972558336|56700| Partial removal of hymen|1121.97|1402.46 58-1036115|1972558336|56740| Remove vagina gland lesion|1121.97|1402.46 58-1036115|1972558336|56800| Repair of vagina|1121.97|1402.46 58-1036115|1972558336|56805| Repair clitoris|1121.97|1402.46 58-1036115|1972558336|56810| Repair of perineum|1121.97|1402.46 58-1036115|1972558336|56820| Exam of vulva w/scope|52.56|65.70 58-1036115|1972558336|56821| Exam/biopsy of vulva w/scope|66.96|83.70 58-1036115|1972558336|57000| Exploration of vagina|1121.97|1402.46 58-1036115|1972558336|57010| Drainage of pelvic abscess|1121.97|1402.46 58-1036115|1972558336|57020| Drainage of pelvic fluid|1121.97|1402.46 58-1036115|1972558336|57022| I & d vaginal hematoma pp|542.88|678.60 58-1036115|1972558336|57023| I & d vag hematoma non-ob|1062.77|1328.46 58-1036115|1972558336|57061| Destroy vag lesions simple|63.72|79.65 58-1036115|1972558336|57065| Destroy vag lesions complex|1121.97|1402.46 58-1036115|1972558336|57100| Biopsy of vagina|41.40|51.75 58-1036115|1972558336|57105| Biopsy of vagina|1121.97|1402.46 58-1036115|1972558336|57106| Remove vagina wall partial|1163.55|1454.44 58-1036115|1972558336|57107| Remove vagina tissue part|1163.55|1454.44 58-1036115|1972558336|57109| Vaginectomy partial w/nodes|1163.55|1454.44 58-1036115|1972558336|57110| Remove vagina wall complete|0.00|0.00 58-1036115|1972558336|57111| Remove vagina tissue compl|0.00|0.00 58-1036115|1972558336|57112| Vaginectomy w/nodes compl|0.00|0.00 58-1036115|1972558336|57120| Closure of vagina|1839.20|2299.00 58-1036115|1972558336|57130| Remove vagina lesion|1121.97|1402.46 58-1036115|1972558336|57135| Remove vagina lesion|1121.97|1402.46 58-1036115|1972558336|57150| Treat vagina infection|0.00|0.00 58-1036115|1972558336|57155| Insert uteri tandem/ovoids|1121.97|1402.46 58-1036115|1972558336|57156| Ins vag brachytx device|139.79|174.74 58-1036115|1972558336|57160| Insert pessary/other device|41.76|52.20 58-1036115|1972558336|57170| Fitting of diaphragm/cap|24.84|31.05 58-1036115|1972558336|57180| Treat vaginal bleeding|83.71|104.64 58-1036115|1972558336|57200| Repair of vagina|1121.97|1402.46 58-1036115|1972558336|57210| Repair vagina/perineum|1121.97|1402.46 58-1036115|1972558336|57220| Revision of urethra|1839.20|2299.00 58-1036115|1972558336|57230| Repair of urethral lesion|1121.97|1402.46 58-1036115|1972558336|57240| Anterior colporrhaphy|1839.20|2299.00 58-1036115|1972558336|57250| Repair rectum & vagina|1839.20|2299.00 58-1036115|1972558336|57260| Cmbn ant pst colprhy|1839.20|2299.00 58-1036115|1972558336|57265| Cmbn ap colprhy w/ntrcl rpr|1839.20|2299.00 58-1036115|1972558336|57267| Insert mesh/pelvic flr addon|0.00|0.00 58-1036115|1972558336|57268| Repair of bowel bulge|1121.97|1402.46 58-1036115|1972558336|57270| Repair of bowel pouch|0.00|0.00 58-1036115|1972558336|57280| Suspension of vagina|0.00|0.00 58-1036115|1972558336|57282| Colpopexy extraperitoneal|3126.31|3907.89 58-1036115|1972558336|57283| Colpopexy intraperitoneal|3126.31|3907.89 58-1036115|1972558336|57284| Repair paravag defect open|2033.07|2541.33 58-1036115|1972558336|57285| Repair paravag defect vag|3126.31|3907.89 58-1036115|1972558336|57287| Revise/remove sling repair|1121.97|1402.46 58-1036115|1972558336|57288| Repair bladder defect|1839.20|2299.00 58-1036115|1972558336|57289| Repair bladder & vagina|2576.86|3221.08 58-1036115|1972558336|57291| Construction of vagina|1121.97|1402.46 58-1036115|1972558336|57292| Construct vagina with graft|2033.07|2541.33 58-1036115|1972558336|57295| Revise vag graft via vagina|1121.97|1402.46 58-1036115|1972558336|57296| Revise vag graft open abd|0.00|0.00 58-1036115|1972558336|57300| Repair rectum-vagina fistula|1121.97|1402.46 58-1036115|1972558336|57305| Repair rectum-vagina fistula|0.00|0.00 58-1036115|1972558336|57307| Fistula repair & colostomy|0.00|0.00 58-1036115|1972558336|57308| Fistula repair transperine|0.00|0.00 58-1036115|1972558336|57310| Repair urethrovaginal lesion|2576.86|3221.08 58-1036115|1972558336|57311| Repair urethrovaginal lesion|0.00|0.00 58-1036115|1972558336|57320| Repair bladder-vagina lesion|1839.20|2299.00 58-1036115|1972558336|57330| Repair bladder-vagina lesion|3126.31|3907.89 58-1036115|1972558336|57335| Repair vagina|1163.55|1454.44 58-1036115|1972558336|57400| Dilation of vagina|1121.97|1402.46 58-1036115|1972558336|57410| Pelvic examination|1121.97|1402.46 58-1036115|1972558336|57415| Remove vaginal foreign body|1121.97|1402.46 58-1036115|1972558336|57420| Exam of vagina w/scope|54.00|67.50 58-1036115|1972558336|57421| Exam/biopsy of vag w/scope|70.20|87.75 58-1036115|1972558336|57423| Repair paravag defect lap|3814.82|4768.52 58-1036115|1972558336|57425| Laparoscopy surg colpopexy|3814.82|4768.52 58-1036115|1972558336|57426| Revise prosth vag graft lap|2576.86|3221.08 58-1036115|1972558336|57452| Exam of cervix w/scope|50.04|62.55 58-1036115|1972558336|57454| Bx/curett of cervix w/scope|61.56|76.95 58-1036115|1972558336|57455| Biopsy of cervix w/scope|64.80|81.00 58-1036115|1972558336|57456| Endocerv curettage w/scope|62.28|77.85 58-1036115|1972558336|57460| Bx of cervix w/scope leep|172.80|216.00 58-1036115|1972558336|57461| Conz of cervix w/scope leep|185.76|232.20 58-1036115|1972558336|57500| Biopsy of cervix|81.36|101.70 58-1036115|1972558336|57505| Endocervical curettage|56.16|70.20 58-1036115|1972558336|57510| Cauterization of cervix|57.60|72.00 58-1036115|1972558336|57511| Cryocautery of cervix|69.84|87.30 58-1036115|1972558336|57513| Laser surgery of cervix|1121.97|1402.46 58-1036115|1972558336|57520| Conization of cervix|1121.97|1402.46 58-1036115|1972558336|57522| Conization of cervix|1121.97|1402.46 58-1036115|1972558336|57530| Removal of cervix|1121.97|1402.46 58-1036115|1972558336|57531| Removal of cervix radical|0.00|0.00 58-1036115|1972558336|57540| Removal of residual cervix|0.00|0.00 58-1036115|1972558336|57545| Remove cervix/repair pelvis|0.00|0.00 58-1036115|1972558336|57550| Removal of residual cervix|1121.97|1402.46 58-1036115|1972558336|57555| Remove cervix/repair vagina|2033.07|2541.33 58-1036115|1972558336|57556| Remove cervix repair bowel|1839.20|2299.00 58-1036115|1972558336|57558| D&c of cervical stump|1121.97|1402.46 58-1036115|1972558336|57700| Revision of cervix|1121.97|1402.46 58-1036115|1972558336|57720| Revision of cervix|1121.97|1402.46 58-1036115|1972558336|57800| Dilation of cervical canal|29.88|37.35 58-1036115|1972558336|58100| Biopsy of uterus lining|48.96|61.20 58-1036115|1972558336|58110| Bx done w/colposcopy add-on|0.00|0.00 58-1036115|1972558336|58120| Dilation and curettage|1121.97|1402.46 58-1036115|1972558336|58140| Myomectomy abdom method|0.00|0.00 58-1036115|1972558336|58145| Myomectomy vag method|1121.97|1402.46 58-1036115|1972558336|58146| Myomectomy abdom complex|0.00|0.00 58-1036115|1972558336|58150| Total hysterectomy|0.00|0.00 58-1036115|1972558336|58152| Total hysterectomy|0.00|0.00 58-1036115|1972558336|58180| Partial hysterectomy|0.00|0.00 58-1036115|1972558336|58200| Extensive hysterectomy|0.00|0.00 58-1036115|1972558336|58210| Extensive hysterectomy|0.00|0.00 58-1036115|1972558336|58240| Removal of pelvis contents|0.00|0.00 58-1036115|1972558336|58260| Vaginal hysterectomy|1839.20|2299.00 58-1036115|1972558336|58262| Vag hyst including t/o|1839.20|2299.00 58-1036115|1972558336|58263| Vag hyst w/t/o & vag repair|2033.07|2541.33 58-1036115|1972558336|58267| Vag hyst w/urinary repair|0.00|0.00 58-1036115|1972558336|58270| Vag hyst w/enterocele repair|2033.07|2541.33 58-1036115|1972558336|58275| Hysterectomy/revise vagina|0.00|0.00 58-1036115|1972558336|58280| Hysterectomy/revise vagina|0.00|0.00 58-1036115|1972558336|58285| Extensive hysterectomy|0.00|0.00 58-1036115|1972558336|58290| Vag hyst complex|3126.31|3907.89 58-1036115|1972558336|58291| Vag hyst incl t/o complex|2033.07|2541.33 58-1036115|1972558336|58292| Vag hyst t/o & repair compl|3126.31|3907.89 58-1036115|1972558336|58293| Vag hyst w/uro repair compl|0.00|0.00 58-1036115|1972558336|58294| Vag hyst w/enterocele compl|2033.07|2541.33 58-1036115|1972558336|58301| Remove intrauterine device|46.08|57.60 58-1036115|1972558336|58321| Artificial insemination|41.04|51.30 58-1036115|1972558336|58322| Artificial insemination|43.56|54.45 58-1036115|1972558336|58323| Sperm washing|6.48|8.10 58-1036115|1972558336|58340| Catheter for hysterography|0.00|0.00 58-1036115|1972558336|58345| Reopen fallopian tube|1121.97|1402.46 58-1036115|1972558336|58346| Insert heyman uteri capsule|1121.97|1402.46 58-1036115|1972558336|58350| Reopen fallopian tube|1839.20|2299.00 58-1036115|1972558336|58353| Endometr ablate thermal|1839.20|2299.00 58-1036115|1972558336|58356| Endometrial cryoablation|1647.70|2059.63 58-1036115|1972558336|58400| Suspension of uterus|0.00|0.00 58-1036115|1972558336|58410| Suspension of uterus|0.00|0.00 58-1036115|1972558336|58520| Repair of ruptured uterus|0.00|0.00 58-1036115|1972558336|58540| Revision of uterus|0.00|0.00 58-1036115|1972558336|58541| Lsh uterus 250 g or less|2097.10|2621.38 58-1036115|1972558336|58542| Lsh w/t/o ut 250 g or less|3368.31|4210.39 58-1036115|1972558336|58543| Lsh uterus above 250 g|3368.31|4210.39 58-1036115|1972558336|58544| Lsh w/t/o uterus above 250 g|3368.31|4210.39 58-1036115|1972558336|58545| Laparoscopic myomectomy|2097.10|2621.38 58-1036115|1972558336|58546| Laparo-myomectomy complex|3368.31|4210.39 58-1036115|1972558336|58548| Lap radical hyst|0.00|0.00 58-1036115|1972558336|58550| Laparo-asst vag hysterectomy|2097.10|2621.38 58-1036115|1972558336|58552| Laparo-vag hyst incl t/o|3368.31|4210.39 58-1036115|1972558336|58553| Laparo-vag hyst complex|3368.31|4210.39 58-1036115|1972558336|58554| Laparo-vag hyst w/t/o compl|3368.31|4210.39 58-1036115|1972558336|58555| Hysteroscopy dx sep proc|1121.97|1402.46 58-1036115|1972558336|58558| Hysteroscopy biopsy|1121.97|1402.46 58-1036115|1972558336|58559| Hysteroscopy lysis|1839.20|2299.00 58-1036115|1972558336|58560| Hysteroscopy resect septum|1839.20|2299.00 58-1036115|1972558336|58561| Hysteroscopy remove myoma|1839.20|2299.00 58-1036115|1972558336|58562| Hysteroscopy remove fb|1121.97|1402.46 58-1036115|1972558336|58563| Hysteroscopy ablation|1839.20|2299.00 58-1036115|1972558336|58565| Hysteroscopy sterilization|1839.20|2299.00 58-1036115|1972558336|58570| Tlh uterus 250 g or less|3368.31|4210.39 58-1036115|1972558336|58571| Tlh w/t/o 250 g or less|3368.31|4210.39 58-1036115|1972558336|58572| Tlh uterus over 250 g|3368.31|4210.39 58-1036115|1972558336|58573| Tlh w/t/o uterus over 250 g|3368.31|4210.39 58-1036115|1972558336|58575| Laps tot hyst resj mal|0.00|0.00 58-1036115|1972558336|58578| Laparo proc uterus|2264.68|2830.85 58-1036115|1972558336|58579| Hysteroscope procedure|81.76|102.20 58-1036115|1972558336|58600| Division of fallopian tube|1121.97|1402.46 58-1036115|1972558336|58605| Division of fallopian tube|0.00|0.00 58-1036115|1972558336|58611| Ligate oviduct(s) add-on|0.00|0.00 58-1036115|1972558336|58615| Occlude fallopian tube(s)|1121.97|1402.46 58-1036115|1972558336|58660| Laparoscopy lysis|2097.10|2621.38 58-1036115|1972558336|58661| Laparoscopy remove adnexa|2097.10|2621.38 58-1036115|1972558336|58662| Laparoscopy excise lesions|2097.10|2621.38 58-1036115|1972558336|58670| Laparoscopy tubal cautery|2097.10|2621.38 58-1036115|1972558336|58671| Laparoscopy tubal block|2097.10|2621.38 58-1036115|1972558336|58672| Laparoscopy fimbrioplasty|2097.10|2621.38 58-1036115|1972558336|58673| Laparoscopy salpingostomy|2097.10|2621.38 58-1036115|1972558336|58674| Laps abltj uterine fibroids|3368.31|4210.39 58-1036115|1972558336|58679| Laparo proc oviduct-ovary|2264.68|2830.85 58-1036115|1972558336|58700| Removal of fallopian tube|0.00|0.00 58-1036115|1972558336|58720| Removal of ovary/tube(s)|0.00|0.00 58-1036115|1972558336|58740| Adhesiolysis tube ovary|0.00|0.00 58-1036115|1972558336|58750| Repair oviduct|0.00|0.00 58-1036115|1972558336|58752| Revise ovarian tube(s)|0.00|0.00 58-1036115|1972558336|58760| Fimbrioplasty|0.00|0.00 58-1036115|1972558336|58770| Create new tubal opening|1163.55|1454.44 58-1036115|1972558336|58800| Drainage of ovarian cyst(s)|1121.97|1402.46 58-1036115|1972558336|58805| Drainage of ovarian cyst(s)|1121.97|1402.46 58-1036115|1972558336|58820| Drain ovary abscess open|1121.97|1402.46 58-1036115|1972558336|58822| Drain ovary abscess percut|0.00|0.00 58-1036115|1972558336|58825| Transposition ovary(s)|0.00|0.00 58-1036115|1972558336|58900| Biopsy of ovary(s)|1121.97|1402.46 58-1036115|1972558336|58920| Partial removal of ovary(s)|3126.31|3907.89 58-1036115|1972558336|58925| Removal of ovarian cyst(s)|2033.07|2541.33 58-1036115|1972558336|58940| Removal of ovary(s)|0.00|0.00 58-1036115|1972558336|58943| Removal of ovary(s)|0.00|0.00 58-1036115|1972558336|58950| Resect ovarian malignancy|0.00|0.00 58-1036115|1972558336|58951| Resect ovarian malignancy|0.00|0.00 58-1036115|1972558336|58952| Resect ovarian malignancy|0.00|0.00 58-1036115|1972558336|58953| Tah rad dissect for debulk|0.00|0.00 58-1036115|1972558336|58954| Tah rad debulk/lymph remove|0.00|0.00 58-1036115|1972558336|58956| Bso omentectomy w/tah|0.00|0.00 58-1036115|1972558336|58957| Resect recurrent gyn mal|0.00|0.00 58-1036115|1972558336|58958| Resect recur gyn mal w/lym|0.00|0.00 58-1036115|1972558336|58960| Exploration of abdomen|0.00|0.00 58-1036115|1972558336|58970| Retrieval of oocyte|299.84|374.80 58-1036115|1972558336|58974| Transfer of embryo|299.84|374.80 58-1036115|1972558336|58976| Transfer of embryo|139.79|174.74 58-1036115|1972558336|58999| Genital surgery procedure|81.76|102.20 58-1036115|1972558336|59000| Amniocentesis diagnostic|71.64|89.55 58-1036115|1972558336|59001| Amniocentesis therapeutic|139.79|174.74 58-1036115|1972558336|59012| Fetal cord puncture prenatal|139.79|174.74 58-1036115|1972558336|59015| Chorion biopsy|62.28|77.85 58-1036115|1972558336|59020| Fetal contract stress test|33.84|42.30 58-1036115|1972558336|59025| Fetal non-stress test|18.36|22.95 58-1036115|1972558336|59030| Fetal scalp blood sample|134.53|168.16 58-1036115|1972558336|59070| Transabdom amnioinfus w/us|139.79|174.74 58-1036115|1972558336|59072| Umbilical cord occlud w/us|139.79|174.74 58-1036115|1972558336|59074| Fetal fluid drainage w/us|139.79|174.74 58-1036115|1972558336|59076| Fetal shunt placement w/us|139.79|174.74 58-1036115|1972558336|59100| Remove uterus lesion|1121.97|1402.46 58-1036115|1972558336|59120| Treat ectopic pregnancy|0.00|0.00 58-1036115|1972558336|59121| Treat ectopic pregnancy|0.00|0.00 58-1036115|1972558336|59130| Treat ectopic pregnancy|0.00|0.00 58-1036115|1972558336|59135| Treat ectopic pregnancy|0.00|0.00 58-1036115|1972558336|59136| Treat ectopic pregnancy|0.00|0.00 58-1036115|1972558336|59140| Treat ectopic pregnancy|0.00|0.00 58-1036115|1972558336|59150| Treat ectopic pregnancy|2097.10|2621.38 58-1036115|1972558336|59151| Treat ectopic pregnancy|2097.10|2621.38 58-1036115|1972558336|59160| D & c after delivery|1121.97|1402.46 58-1036115|1972558336|59200| Insert cervical dilator|39.24|49.05 58-1036115|1972558336|59300| Episiotomy or vaginal repair|91.08|113.85 58-1036115|1972558336|59320| Revision of cervix|1121.97|1402.46 58-1036115|1972558336|59325| Revision of cervix|0.00|0.00 58-1036115|1972558336|59350| Repair of uterus|0.00|0.00 58-1036115|1972558336|59409| Obstetrical care|1163.55|1454.44 58-1036115|1972558336|59412| Antepartum manipulation|1121.97|1402.46 58-1036115|1972558336|59414| Deliver placenta|1121.97|1402.46 58-1036115|1972558336|59514| Cesarean delivery only|0.00|0.00 58-1036115|1972558336|59525| Remove uterus after cesarean|0.00|0.00 58-1036115|1972558336|59612| Vbac delivery only|1163.55|1454.44 58-1036115|1972558336|59620| Attempted vbac delivery only|0.00|0.00 58-1036115|1972558336|59812| Treatment of miscarriage|1121.97|1402.46 58-1036115|1972558336|59820| Care of miscarriage|1121.97|1402.46 58-1036115|1972558336|59821| Treatment of miscarriage|1121.97|1402.46 58-1036115|1972558336|59830| Treat uterus infection|0.00|0.00 58-1036115|1972558336|59840| Abortion|1121.97|1402.46 58-1036115|1972558336|59841| Abortion|1121.97|1402.46 58-1036115|1972558336|59850| Abortion|0.00|0.00 58-1036115|1972558336|59851| Abortion|0.00|0.00 58-1036115|1972558336|59852| Abortion|0.00|0.00 58-1036115|1972558336|59855| Abortion|0.00|0.00 58-1036115|1972558336|59856| Abortion|0.00|0.00 58-1036115|1972558336|59857| Abortion|0.00|0.00 58-1036115|1972558336|59866| Abortion (mpr)|139.79|174.74 58-1036115|1972558336|59870| Evacuate mole of uterus|1121.97|1402.46 58-1036115|1972558336|59871| Remove cerclage suture|1121.97|1402.46 58-1036115|1972558336|59897| Fetal invas px w/us|81.76|102.20 58-1036115|1972558336|59898| Laparo proc ob care/deliver|2264.68|2830.85 58-1036115|1972558336|59899| Maternity care procedure|81.76|102.20 58-1036115|1972558336|60000| Drain thyroid/tongue cyst|592.89|741.11 58-1036115|1972558336|60100| Biopsy of thyroid|54.00|67.50 58-1036115|1972558336|60200| Remove thyroid lesion|2097.10|2621.38 58-1036115|1972558336|60210| Partial thyroid excision|2097.10|2621.38 58-1036115|1972558336|60212| Partial thyroid excision|2097.10|2621.38 58-1036115|1972558336|60220| Partial removal of thyroid|2097.10|2621.38 58-1036115|1972558336|60225| Partial removal of thyroid|2097.10|2621.38 58-1036115|1972558336|60240| Removal of thyroid|2097.10|2621.38 58-1036115|1972558336|60252| Removal of thyroid|2180.11|2725.14 58-1036115|1972558336|60254| Extensive thyroid surgery|0.00|0.00 58-1036115|1972558336|60260| Repeat thyroid surgery|2180.11|2725.14 58-1036115|1972558336|60270| Removal of thyroid|0.00|0.00 58-1036115|1972558336|60271| Removal of thyroid|2180.11|2725.14 58-1036115|1972558336|60280| Remove thyroid duct lesion|2097.10|2621.38 58-1036115|1972558336|60281| Remove thyroid duct lesion|2097.10|2621.38 58-1036115|1972558336|60300| Aspir/inj thyroid cyst|82.08|102.60 58-1036115|1972558336|60500| Explore parathyroid glands|2142.48|2678.10 58-1036115|1972558336|60502| Re-explore parathyroids|2180.11|2725.14 58-1036115|1972558336|60505| Explore parathyroid glands|0.00|0.00 58-1036115|1972558336|60512| Autotransplant parathyroid|0.00|0.00 58-1036115|1972558336|60520| Removal of thymus gland|2180.11|2725.14 58-1036115|1972558336|60521| Removal of thymus gland|0.00|0.00 58-1036115|1972558336|60522| Removal of thymus gland|0.00|0.00 58-1036115|1972558336|60540| Explore adrenal gland|0.00|0.00 58-1036115|1972558336|60545| Explore adrenal gland|0.00|0.00 58-1036115|1972558336|60600| Remove carotid body lesion|0.00|0.00 58-1036115|1972558336|60605| Remove carotid body lesion|0.00|0.00 58-1036115|1972558336|60650| Laparoscopy adrenalectomy|0.00|0.00 58-1036115|1972558336|60659| Laparo proc endocrine|2264.68|2830.85 58-1036115|1972558336|60699| Endocrine surgery procedure|2264.68|2830.85 58-1036115|1972558336|61000| Remove cranial cavity fluid|283.06|353.83 58-1036115|1972558336|61001| Remove cranial cavity fluid|283.06|353.83 58-1036115|1972558336|61020| Remove brain cavity fluid|350.15|437.69 58-1036115|1972558336|61026| Injection into brain canal|283.06|353.83 58-1036115|1972558336|61050| Remove brain canal fluid|127.47|159.34 58-1036115|1972558336|61055| Injection into brain canal|127.47|159.34 58-1036115|1972558336|61070| Brain canal shunt procedure|283.06|353.83 58-1036115|1972558336|61105| Twist drill hole|0.00|0.00 58-1036115|1972558336|61107| Drill skull for implantation|0.00|0.00 58-1036115|1972558336|61108| Drill skull for drainage|0.00|0.00 58-1036115|1972558336|61120| Burr hole for puncture|0.00|0.00 58-1036115|1972558336|61140| Pierce skull for biopsy|0.00|0.00 58-1036115|1972558336|61150| Pierce skull for drainage|0.00|0.00 58-1036115|1972558336|61151| Pierce skull for drainage|0.00|0.00 58-1036115|1972558336|61154| Pierce skull & remove clot|0.00|0.00 58-1036115|1972558336|61156| Pierce skull for drainage|0.00|0.00 58-1036115|1972558336|61210| Pierce skull implant device|0.00|0.00 58-1036115|1972558336|61215| Insert brain-fluid device|2033.05|2541.31 58-1036115|1972558336|61250| Pierce skull & explore|0.00|0.00 58-1036115|1972558336|61253| Pierce skull & explore|0.00|0.00 58-1036115|1972558336|61304| Open skull for exploration|0.00|0.00 58-1036115|1972558336|61305| Open skull for exploration|0.00|0.00 58-1036115|1972558336|61312| Open skull for drainage|0.00|0.00 58-1036115|1972558336|61313| Open skull for drainage|0.00|0.00 58-1036115|1972558336|61314| Open skull for drainage|0.00|0.00 58-1036115|1972558336|61315| Open skull for drainage|0.00|0.00 58-1036115|1972558336|61316| Implt cran bone flap to abdo|0.00|0.00 58-1036115|1972558336|61320| Open skull for drainage|0.00|0.00 58-1036115|1972558336|61321| Open skull for drainage|0.00|0.00 58-1036115|1972558336|61322| Decompressive craniotomy|0.00|0.00 58-1036115|1972558336|61323| Decompressive lobectomy|0.00|0.00 58-1036115|1972558336|61330| Decompress eye socket|952.18|1190.23 58-1036115|1972558336|61332|Explore/biopsy eye socket|0.00|0.00 58-1036115|1972558336|61333| Explore orbit/remove lesion|0.00|0.00 58-1036115|1972558336|61340| Subtemporal decompression|0.00|0.00 58-1036115|1972558336|61343| Incise skull (press relief)|0.00|0.00 58-1036115|1972558336|61345| Relieve cranial pressure|0.00|0.00 58-1036115|1972558336|61450| Incise skull for surgery|0.00|0.00 58-1036115|1972558336|61458| Incise skull for brain wound|0.00|0.00 58-1036115|1972558336|61460| Incise skull for surgery|0.00|0.00 58-1036115|1972558336|61480|Incise skull for surgery|0.00|0.00 58-1036115|1972558336|61500| Removal of skull lesion|0.00|0.00 58-1036115|1972558336|61501| Remove infected skull bone|0.00|0.00 58-1036115|1972558336|61510| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61512| Remove brain lining lesion|0.00|0.00 58-1036115|1972558336|61514| Removal of brain abscess|0.00|0.00 58-1036115|1972558336|61516| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61517| Implt brain chemotx add-on|0.00|0.00 58-1036115|1972558336|61518| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61519| Remove brain lining lesion|0.00|0.00 58-1036115|1972558336|61520| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61521| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61522| Removal of brain abscess|0.00|0.00 58-1036115|1972558336|61524| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61526| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61530| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61531| Implant brain electrodes|0.00|0.00 58-1036115|1972558336|61533| Implant brain electrodes|0.00|0.00 58-1036115|1972558336|61534| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61535| Remove brain electrodes|0.00|0.00 58-1036115|1972558336|61536| Removal of brain lesion|0.00|0.00 58-1036115|1972558336|61537| Removal of brain tissue|0.00|0.00 58-1036115|1972558336|61538| Removal of brain tissue|0.00|0.00 58-1036115|1972558336|61539| Removal of brain tissue|0.00|0.00 58-1036115|1972558336|61540| Removal of brain tissue|0.00|0.00 58-1036115|1972558336|61541| Incision of brain tissue|0.00|0.00 58-1036115|1972558336|61543| Removal of brain tissue|0.00|0.00 58-1036115|1972558336|61544| Remove & treat brain lesion|0.00|0.00 58-1036115|1972558336|61545| Excision of brain tumor|0.00|0.00 58-1036115|1972558336|61546| Removal of pituitary gland|0.00|0.00 58-1036115|1972558336|61548| Removal of pituitary gland|0.00|0.00 58-1036115|1972558336|61550| Release of skull seams|0.00|0.00 58-1036115|1972558336|61552| Release of skull seams|0.00|0.00 58-1036115|1972558336|61556| Incise skull/sutures|0.00|0.00 58-1036115|1972558336|61557| Incise skull/sutures|0.00|0.00 58-1036115|1972558336|61558| Excision of skull/sutures|0.00|0.00 58-1036115|1972558336|61559| Excision of skull/sutures|0.00|0.00 58-1036115|1972558336|61563| Excision of skull tumor|0.00|0.00 58-1036115|1972558336|61564| Excision of skull tumor|0.00|0.00 58-1036115|1972558336|61566| Removal of brain tissue|0.00|0.00 58-1036115|1972558336|61567| Incision of brain tissue|0.00|0.00 58-1036115|1972558336|61570| Remove foreign body brain|0.00|0.00 58-1036115|1972558336|61571| Incise skull for brain wound|0.00|0.00 58-1036115|1972558336|61575| Skull base/brainstem surgery|0.00|0.00 58-1036115|1972558336|61576| Skull base/brainstem surgery|0.00|0.00 58-1036115|1972558336|61580| Craniofacial approach skull|0.00|0.00 58-1036115|1972558336|61581| Craniofacial approach skull|0.00|0.00 58-1036115|1972558336|61582| Craniofacial approach skull|0.00|0.00 58-1036115|1972558336|61583| Craniofacial approach skull|0.00|0.00 58-1036115|1972558336|61584| Orbitocranial approach/skull|0.00|0.00 58-1036115|1972558336|61585| Orbitocranial approach/skull|0.00|0.00 58-1036115|1972558336|61586| Resect nasopharynx skull|0.00|0.00 58-1036115|1972558336|61590| Infratemporal approach/skull|0.00|0.00 58-1036115|1972558336|61591| Infratemporal approach/skull|0.00|0.00 58-1036115|1972558336|61592| Orbitocranial approach/skull|0.00|0.00 58-1036115|1972558336|61595| Transtemporal approach/skull|0.00|0.00 58-1036115|1972558336|61596| Transcochlear approach/skull|0.00|0.00 58-1036115|1972558336|61597| Transcondylar approach/skull|0.00|0.00 58-1036115|1972558336|61598| Transpetrosal approach/skull|0.00|0.00 58-1036115|1972558336|61600| Resect/excise cranial lesion|0.00|0.00 58-1036115|1972558336|61601| Resect/excise cranial lesion|0.00|0.00 58-1036115|1972558336|61605| Resect/excise cranial lesion|0.00|0.00 58-1036115|1972558336|61606| Resect/excise cranial lesion|0.00|0.00 58-1036115|1972558336|61607| Resect/excise cranial lesion|0.00|0.00 58-1036115|1972558336|61608| Resect/excise cranial lesion|0.00|0.00 58-1036115|1972558336|61610|Transect artery sinus|0.00|0.00 58-1036115|1972558336|61611| Transect artery sinus|0.00|0.00 58-1036115|1972558336|61612|Transect artery sinus|0.00|0.00 58-1036115|1972558336|61613| Remove aneurysm sinus|0.00|0.00 58-1036115|1972558336|61615| Resect/excise lesion skull|0.00|0.00 58-1036115|1972558336|61616| Resect/excise lesion skull|0.00|0.00 58-1036115|1972558336|61618| Repair dura|0.00|0.00 58-1036115|1972558336|61619| Repair dura|0.00|0.00 58-1036115|1972558336|61623| Endovasc tempory vessel occl|4764.58|5955.72 58-1036115|1972558336|61624| Transcath occlusion cns|0.00|0.00 58-1036115|1972558336|61626| Transcath occlusion non-cns|4764.58|5955.72 58-1036115|1972558336|61630| Intracranial angioplasty|0.00|0.00 58-1036115|1972558336|61635| Intracran angioplsty w/stent|0.00|0.00 58-1036115|1972558336|61645| Perq art m-thrombect &/nfs|0.00|0.00 58-1036115|1972558336|61650| Evasc prlng admn rx agnt 1st|0.00|0.00 58-1036115|1972558336|61651| Evasc prlng admn rx agnt add|0.00|0.00 58-1036115|1972558336|61680| Intracranial vessel surgery|0.00|0.00 58-1036115|1972558336|61682| Intracranial vessel surgery|0.00|0.00 58-1036115|1972558336|61684| Intracranial vessel surgery|0.00|0.00 58-1036115|1972558336|61686| Intracranial vessel surgery|0.00|0.00 58-1036115|1972558336|61690| Intracranial vessel surgery|0.00|0.00 58-1036115|1972558336|61692| Intracranial vessel surgery|0.00|0.00 58-1036115|1972558336|61697| Brain aneurysm repr complx|0.00|0.00 58-1036115|1972558336|61698| Brain aneurysm repr complx|0.00|0.00 58-1036115|1972558336|61700| Brain aneurysm repr simple|0.00|0.00 58-1036115|1972558336|61702| Inner skull vessel surgery|0.00|0.00 58-1036115|1972558336|61703| Clamp neck artery|0.00|0.00 58-1036115|1972558336|61705| Revise circulation to head|0.00|0.00 58-1036115|1972558336|61708| Revise circulation to head|0.00|0.00 58-1036115|1972558336|61710| Revise circulation to head|0.00|0.00 58-1036115|1972558336|61711| Fusion of skull arteries|0.00|0.00 58-1036115|1972558336|61720| Incise skull/brain surgery|2250.00|2812.50 58-1036115|1972558336|61735| Incise skull/brain surgery|0.00|0.00 58-1036115|1972558336|61750| Incise skull/brain biopsy|0.00|0.00 58-1036115|1972558336|61751| Brain biopsy w/ct/mr guide|0.00|0.00 58-1036115|1972558336|61760| Implant brain electrodes|0.00|0.00 58-1036115|1972558336|61770| Incise skull for treatment|2033.05|2541.31 58-1036115|1972558336|61781| Scan proc cranial intra|0.00|0.00 58-1036115|1972558336|61782| Scan proc cranial extra|0.00|0.00 58-1036115|1972558336|61783| Scan proc spinal|0.00|1000.00 58-1036115|1972558336|61790| Treat trigeminal nerve|785.41|981.76 58-1036115|1972558336|61791| Treat trigeminal tract|785.41|981.76 58-1036115|1972558336|61850| Implant neuroelectrodes|0.00|0.00 58-1036115|1972558336|61860| Implant neuroelectrodes|0.00|0.00 58-1036115|1972558336|61863| Implant neuroelectrode|0.00|0.00 58-1036115|1972558336|61864| Implant neuroelectrde addl|0.00|0.00 58-1036115|1972558336|61867| Implant neuroelectrode|0.00|0.00 58-1036115|1972558336|61868| Implant neuroelectrde addl|0.00|0.00 58-1036115|1972558336|61870| Implant neuroelectrodes|0.00|0.00 58-1036115|1972558336|61880| Revise/remove neuroelectrode|1499.91|1874.89 58-1036115|1972558336|61885| Insrt/redo neurostim 1 array|16420.02|20525.03 58-1036115|1972558336|61886| Implant neurostim arrays|23106.58|28883.23 58-1036115|1972558336|61888| Revise/remove neuroreceiver|3100.28|3875.35 58-1036115|1972558336|62000| Treat skull fracture|1099.49|1374.37 58-1036115|1972558336|62005| Treat skull fracture|0.00|0.00 58-1036115|1972558336|62010| Treatment of head injury|0.00|0.00 58-1036115|1972558336|62100| Repair brain fluid leakage|0.00|0.00 58-1036115|1972558336|62115| Reduction of skull defect|0.00|0.00 58-1036115|1972558336|62117| Reduction of skull defect|0.00|0.00 58-1036115|1972558336|62120| Repair skull cavity lesion|0.00|0.00 58-1036115|1972558336|62121| Incise skull repair|0.00|0.00 58-1036115|1972558336|62140| Repair of skull defect|0.00|0.00 58-1036115|1972558336|62141| Repair of skull defect|0.00|0.00 58-1036115|1972558336|62142| Remove skull plate/flap|0.00|0.00 58-1036115|1972558336|62143| Replace skull plate/flap|0.00|0.00 58-1036115|1972558336|62145| Repair of skull & brain|0.00|0.00 58-1036115|1972558336|62146| Repair of skull with graft|0.00|0.00 58-1036115|1972558336|62147| Repair of skull with graft|0.00|0.00 58-1036115|1972558336|62148| Retr bone flap to fix skull|0.00|0.00 58-1036115|1972558336|62160| Neuroendoscopy add-on|0.00|0.00 58-1036115|1972558336|62161| Dissect brain w/scope|0.00|0.00 58-1036115|1972558336|62162| Remove colloid cyst w/scope|0.00|0.00 58-1036115|1972558336|62163| Zneuroendoscopy w/fb removal|0.00|0.00 58-1036115|1972558336|62164| Remove brain tumor w/scope|0.00|0.00 58-1036115|1972558336|62165| Remove pituit tumor w/scope|0.00|0.00 58-1036115|1972558336|62180| Establish brain cavity shunt|0.00|0.00 58-1036115|1972558336|62190| Establish brain cavity shunt|0.00|0.00 58-1036115|1972558336|62192| Establish brain cavity shunt|0.00|0.00 58-1036115|1972558336|62194| Replace/irrigate catheter|785.41|981.76 58-1036115|1972558336|62200| Establish brain cavity shunt|0.00|0.00 58-1036115|1972558336|62201| Brain cavity shunt w/scope|0.00|0.00 58-1036115|1972558336|62220| Establish brain cavity shunt|0.00|0.00 58-1036115|1972558336|62223| Establish brain cavity shunt|0.00|0.00 58-1036115|1972558336|62225| Replace/irrigate catheter|2033.05|2541.31 58-1036115|1972558336|62230| Replace/revise brain shunt|2033.05|2541.31 58-1036115|1972558336|62252| Csf shunt reprogram|38.52|48.15 58-1036115|1972558336|62256| Remove brain cavity shunt|0.00|0.00 58-1036115|1972558336|62258| Replace brain cavity shunt|0.00|0.00 58-1036115|1972558336|62263| Epidural lysis mult sessions|350.15|437.69 58-1036115|1972558336|62264| Epidural lysis on single day|350.15|437.69 58-1036115|1972558336|62267| Interdiscal perq aspir dx|298.41|373.01 58-1036115|1972558336|62268| Drain spinal cord cyst|350.15|437.69 58-1036115|1972558336|62269| Needle biopsy spinal cord|542.88|678.60 58-1036115|1972558336|62270| Spinal fluid tap diagnostic|283.06|353.83 58-1036115|1972558336|62272| Drain cerebro spinal fluid|283.06|353.83 58-1036115|1972558336|62273| Inject epidural patch|283.06|353.83 58-1036115|1972558336|62280| Treat spinal cord lesion|350.15|437.69 58-1036115|1972558336|62281| Treat spinal cord lesion|350.15|437.69 58-1036115|1972558336|62282| Treat spinal canal lesion|350.15|437.69 58-1036115|1972558336|62284| Injection for myelogram|0.00|0.00 58-1036115|1972558336|62287| Percutaneous diskectomy|2033.05|2541.31 58-1036115|1972558336|62290| Njx px discography lumbar|0.00|0.00 58-1036115|1972558336|62291| Njx px discography crv/thrc|0.00|0.00 58-1036115|1972558336|62292| Njx chemonucleolysis lmbr|785.41|981.76 58-1036115|1972558336|62294| Injection into spinal artery|350.15|437.69 58-1036115|1972558336|62302| Myelography lumbar injection|0.00|0.00 58-1036115|1972558336|62303| Myelography lumbar injection|0.00|0.00 58-1036115|1972558336|62304| Myelography lumbar injection|0.00|0.00 58-1036115|1972558336|62305| Myelography lumbar injection|0.00|0.00 58-1036115|1972558336|62320| Njx interlaminar crv/thrc|283.06|353.83 58-1036115|1972558336|62321| Njx interlaminar crv/thrc|283.06|339.67 58-1036115|1972558336|62322| Njx interlaminar lmbr/sac|283.06|353.83 58-1036115|1972558336|62323| Njx interlaminar lmbr/sac|283.06|353.83 58-1036115|1972558336|62324| Njx interlaminar crv/thrc|350.15|437.69 58-1036115|1972558336|62325| Njx interlaminar crv/thrc|350.15|437.69 58-1036115|1972558336|62326| Njx interlaminar lmbr/sac|350.15|437.69 58-1036115|1972558336|62327| Njx interlaminar lmbr/sac|350.15|437.69 58-1036115|1972558336|62350| Implant spinal canal cath|2033.05|2541.31 58-1036115|1972558336|62351| Implant spinal canal cath|2808.57|3510.71 58-1036115|1972558336|62355| Remove spinal canal catheter|785.41|981.76 58-1036115|1972558336|62360| Insert spine infusion device|13691.72|17114.65 58-1036115|1972558336|62361| Implant spine infusion pump|13091.28|16364.10 58-1036115|1972558336|62362| Implant spine infusion pump|13640.10|17050.13 58-1036115|1972558336|62365| Remove spine infusion device|2033.05|2541.31 58-1036115|1972558336|62367| Analyze spine infus pump|24.48|30.60 58-1036115|1972558336|62368| Analyze sp inf pump w/reprog|32.04|40.05 58-1036115|1972558336|62369| Anal sp inf pmp w/reprg&fill|96.12|120.15 58-1036115|1972558336|62370| Anl sp inf pmp w/mdreprg&fil|94.32|117.90 58-1036115|1972558336|62380| Ndsc dcmprn 1 ntrspc lumbar|2721.37|3401.71 58-1036115|1972558336|63001| Remove spine lamina 1/2 crvl|2721.37|3401.71 58-1036115|1972558336|63003| Remove spine lamina 1/2 thrc|2721.37|3401.71 58-1036115|1972558336|63005| Remove spine lamina 1/2 lmbr|2721.37|3401.71 58-1036115|1972558336|63011| Remove spine lamina 1/2 scrl|2808.57|3510.71 58-1036115|1972558336|63012| Remove lamina/facets lumbar|2808.57|3510.71 58-1036115|1972558336|63015| Remove spine lamina >2 crvcl|2808.57|3510.71 58-1036115|1972558336|63016| Remove spine lamina >2 thrc|2808.57|3510.71 58-1036115|1972558336|63017| Remove spine lamina >2 lmbr|2808.57|3510.71 58-1036115|1972558336|63020| Neck spine disk surgery|2721.37|3401.71 58-1036115|1972558336|63030| Low back disk surgery|2721.37|3401.71 58-1036115|1972558336|63035| Spinal disk surgery add-on|0.00|1500.00 58-1036115|1972558336|63040| Laminotomy single cervical|2808.57|3510.71 58-1036115|1972558336|63042| Laminotomy single lumbar|2721.37|3401.71 58-1036115|1972558336|63043| Laminotomy addl cervical|0.00|0.00 58-1036115|1972558336|63044| Laminotomy addl lumbar|0.00|0.00 58-1036115|1972558336|63045| Remove spine lamina 1 crvl|2721.37|3401.71 58-1036115|1972558336|63046| Remove spine lamina 1 thrc|2721.37|3401.71 58-1036115|1972558336|63047| Remove spine lamina 1 lmbr|2721.37|3401.71 58-1036115|1972558336|63048| Remove spinal lamina add-on|0.00|1500.00 58-1036115|1972558336|63050| Cervical laminoplsty 2/> seg|0.00|0.00 58-1036115|1972558336|63051| C-laminoplasty w/graft/plate|0.00|0.00 58-1036115|1972558336|63055| Decompress spinal cord thrc|2721.37|3401.71 58-1036115|1972558336|63056| Decompress spinal cord lmbr|2721.37|3401.71 58-1036115|1972558336|63057| Decompress spine cord add-on|0.00|0.00 58-1036115|1972558336|63064| Decompress spinal cord thrc|2808.57|3510.71 58-1036115|1972558336|63066| Decompress spine cord add-on|0.00|0.00 58-1036115|1972558336|63075| Neck spine disk surgery|2808.57|3510.71 58-1036115|1972558336|63076| Neck spine disk surgery|0.00|0.00 58-1036115|1972558336|63077| Spine disk surgery thorax|0.00|0.00 58-1036115|1972558336|63078| Spine disk surgery thorax|0.00|0.00 58-1036115|1972558336|63081| Remove vert body dcmprn crvl|0.00|0.00 58-1036115|1972558336|63082| Remove vertebral body add-on|0.00|0.00 58-1036115|1972558336|63085| Remove vert body dcmprn thrc|0.00|0.00 58-1036115|1972558336|63086| Remove vertebral body add-on|0.00|0.00 58-1036115|1972558336|63087| Remov vertbr dcmprn thrclmbr|0.00|0.00 58-1036115|1972558336|63088| Remove vertebral body add-on|0.00|0.00 58-1036115|1972558336|63090| Remove vert body dcmprn lmbr|0.00|0.00 58-1036115|1972558336|63091| Remove vertebral body add-on|0.00|0.00 58-1036115|1972558336|63101| Remove vert body dcmprn thrc|0.00|0.00 58-1036115|1972558336|63102| Remove vert body dcmprn lmbr|0.00|0.00 58-1036115|1972558336|63103| Remove vertebral body add-on|0.00|0.00 58-1036115|1972558336|63170| Incise spinal cord tract(s)|0.00|0.00 58-1036115|1972558336|63172| Drainage of spinal cyst|0.00|0.00 58-1036115|1972558336|63173| Drainage of spinal cyst|0.00|0.00 58-1036115|1972558336|63180| Revise spinal cord ligaments|0.00|0.00 58-1036115|1972558336|63182| Revise spinal cord ligaments|0.00|0.00 58-1036115|1972558336|63185| Incise spine nrv half segmnt|0.00|0.00 58-1036115|1972558336|63190| Incise spine nrv >2 segmnts|0.00|0.00 58-1036115|1972558336|63191| Incise spine accessory nerve|0.00|0.00 58-1036115|1972558336|63194| Incise spine & cord cervical|0.00|0.00 58-1036115|1972558336|63195| Incise spine & cord thoracic|0.00|0.00 58-1036115|1972558336|63196| Incise spine&cord 2 trx crvl|0.00|0.00 58-1036115|1972558336|63197| Incise spine&cord 2 trx thrc|0.00|0.00 58-1036115|1972558336|63198| Incise spin&cord 2 stgs crvl|0.00|0.00 58-1036115|1972558336|63199| Incise spin&cord 2 stgs thrc|0.00|0.00 58-1036115|1972558336|63200| Release spinal cord lumbar|0.00|0.00 58-1036115|1972558336|63250| Revise spinal cord vsls crvl|0.00|0.00 58-1036115|1972558336|63251| Revise spinal cord vsls thrc|0.00|0.00 58-1036115|1972558336|63252| Revise spine cord vsl thrlmb|0.00|0.00 58-1036115|1972558336|63265| Excise intraspinl lesion crv|0.00|0.00 58-1036115|1972558336|63266| Excise intrspinl lesion thrc|0.00|0.00 58-1036115|1972558336|63267| Excise intrspinl lesion lmbr|0.00|0.00 58-1036115|1972558336|63268| Excise intrspinl lesion scrl|0.00|0.00 58-1036115|1972558336|63270| Excise intrspinl lesion crvl|0.00|0.00 58-1036115|1972558336|63271| Excise intrspinl lesion thrc|0.00|0.00 58-1036115|1972558336|63272| Excise intrspinl lesion lmbr|0.00|0.00 58-1036115|1972558336|63273| Excise intrspinl lesion scrl|0.00|0.00 58-1036115|1972558336|63275| Bx/exc xdrl spine lesn crvl|0.00|0.00 58-1036115|1972558336|63276| Bx/exc xdrl spine lesn thrc|0.00|0.00 58-1036115|1972558336|63277| Bx/exc xdrl spine lesn lmbr|0.00|0.00 58-1036115|1972558336|63278| Bx/exc xdrl spine lesn scrl|0.00|0.00 58-1036115|1972558336|63280| Bx/exc idrl spine lesn crvl|0.00|0.00 58-1036115|1972558336|63281| Bx/exc idrl spine lesn thrc|0.00|0.00 58-1036115|1972558336|63282| Bx/exc idrl spine lesn lmbr|0.00|0.00 58-1036115|1972558336|63283| Bx/exc idrl spine lesn scrl|0.00|0.00 58-1036115|1972558336|63285| Bx/exc idrl imed lesn cervl|0.00|0.00 58-1036115|1972558336|63286| Bx/exc idrl imed lesn thrc|0.00|0.00 58-1036115|1972558336|63287| Bx/exc idrl imed lesn thrlmb|0.00|0.00 58-1036115|1972558336|63290| Bx/exc xdrl/idrl lsn any lvl|0.00|0.00 58-1036115|1972558336|63295| Repair laminectomy defect|0.00|0.00 58-1036115|1972558336|63300| Remove vert xdrl body crvcl|0.00|0.00 58-1036115|1972558336|63301| Remove vert xdrl body thrc|0.00|0.00 58-1036115|1972558336|63302| Remove vert xdrl body thrlmb|0.00|0.00 58-1036115|1972558336|63303| Remov vert xdrl bdy lmbr/sac|0.00|0.00 58-1036115|1972558336|63304| Remove vert idrl body crvcl|0.00|0.00 58-1036115|1972558336|63305| Remove vert idrl body thrc|0.00|0.00 58-1036115|1972558336|63306| Remov vert idrl bdy thrclmbr|0.00|0.00 58-1036115|1972558336|63307| Remov vert idrl bdy lmbr/sac|0.00|0.00 58-1036115|1972558336|63308| Remove vertebral body add-on|0.00|0.00 58-1036115|1972558336|63600| Remove spinal cord lesion|785.41|981.76 58-1036115|1972558336|63610| Stimulation of spinal cord|785.41|981.76 58-1036115|1972558336|63615|Remove lesion of spinal cord|785.41|981.76 58-1036115|1972558336|63650| Implant neuroelectrodes|4594.65|5743.31 58-1036115|1972558336|63655| Implant neuroelectrodes|15006.28|18757.85 58-1036115|1972558336|63661| Remove spine eltrd perq aray|785.41|981.76 58-1036115|1972558336|63662| Remove spine eltrd plate|1499.91|1874.89 58-1036115|1972558336|63663| Revise spine eltrd perq aray|3100.28|3875.35 58-1036115|1972558336|63664| Revise spine eltrd plate|12914.37|16142.96 58-1036115|1972558336|63685| Insrt/redo spine n generator|22892.96|22000.00 58-1036115|1972558336|63688| Revise/remove neuroreceiver|1499.91|1874.89 58-1036115|1972558336|63700| Repair of spinal herniation|0.00|0.00 58-1036115|1972558336|63702| Repair of spinal herniation|0.00|0.00 58-1036115|1972558336|63704| Repair of spinal herniation|0.00|0.00 58-1036115|1972558336|63706| Repair of spinal herniation|0.00|0.00 58-1036115|1972558336|63707| Repair spinal fluid leakage|0.00|0.00 58-1036115|1972558336|63709| Repair spinal fluid leakage|0.00|0.00 58-1036115|1972558336|63710| Graft repair of spine defect|0.00|0.00 58-1036115|1972558336|63740| Install spinal shunt|0.00|0.00 58-1036115|1972558336|63741| Install spinal shunt|2250.00|2812.50 58-1036115|1972558336|63744| Revision of spinal shunt|2033.05|2541.31 58-1036115|1972558336|63746| Removal of spinal shunt|785.41|981.76 58-1036115|1972558336|64400| N block inj trigeminal|86.04|107.55 58-1036115|1972558336|64402| N block inj facial|0.00|0.00 58-1036115|1972558336|64405| N block inj occipital|64.44|80.55 58-1036115|1972558336|64408| N block inj vagus|64.44|80.55 58-1036115|1972558336|64410| N block inj phrenic|350.15|437.69 58-1036115|1972558336|64413| N block inj cervical plexus|72.72|90.90 58-1036115|1972558336|64415| N block inj brachial plexus|350.15|437.69 58-1036115|1972558336|64416| N block cont infuse b plex|350.15|437.69 58-1036115|1972558336|64417| N block inj axillary|350.15|437.69 58-1036115|1972558336|64418| N block inj suprascapular|76.32|95.40 58-1036115|1972558336|64420| N block inj intercost sng|283.06|353.83 58-1036115|1972558336|64421| N block inj intercost mlt|350.15|437.69 58-1036115|1972558336|64425| N block inj ilio-ing/hypogi|68.40|85.50 58-1036115|1972558336|64430| N block inj pudendal|350.15|437.69 58-1036115|1972558336|64435| N block inj paracervical|81.72|102.15 58-1036115|1972558336|64445| N block inj sciatic sng|82.08|102.60 58-1036115|1972558336|64446| N blk inj sciatic cont inf|350.15|437.69 58-1036115|1972558336|64447| N block inj fem single|66.24|82.80 58-1036115|1972558336|64448| N block inj fem cont inf|350.15|437.69 58-1036115|1972558336|64449| N block inj lumbar plexus|350.15|437.69 58-1036115|1972558336|64450| N block other peripheral|52.56|65.70 58-1036115|1972558336|64455| N block inj plantar digit|19.80|24.75 58-1036115|1972558336|64461| Pvb thoracic single inj site|82.08|102.60 58-1036115|1972558336|64462| Pvb thoracic 2nd+ inj site|0.00|0.00 58-1036115|1972558336|64463| Pvb thoracic cont infusion|88.56|110.70 58-1036115|1972558336|64479| Inj foramen epidural c/t|350.15|437.69 58-1036115|1972558336|64480| Inj foramen epidural add-on|0.00|0.00 58-1036115|1972558336|64483| Inj foramen epidural l/s|350.15|437.69 58-1036115|1972558336|64484| Inj foramen epidural add-on|0.00|0.00 58-1036115|1972558336|64486| Tap block unil by injection|0.00|0.00 58-1036115|1972558336|64487| Tap block uni by infusion|0.00|0.00 58-1036115|1972558336|64488| Tap block bi injection|0.00|0.00 58-1036115|1972558336|64489| Tap block bi by infusion|0.00|0.00 58-1036115|1972558336|64490| Inj paravert f jnt c/t 1 lev|350.15|437.69 58-1036115|1972558336|64491| Inj paravert f jnt c/t 2 lev|0.00|0.00 58-1036115|1972558336|64492| Inj paravert f jnt c/t 3 lev|0.00|0.00 58-1036115|1972558336|64493| Inj paravert f jnt l/s 1 lev|350.15|437.69 58-1036115|1972558336|64494| Inj paravert f jnt l/s 2 lev|0.00|0.00 58-1036115|1972558336|64495| Inj paravert f jnt l/s 3 lev|0.00|0.00 58-1036115|1972558336|64505| N block spenopalatine gangl|55.44|69.30 58-1036115|1972558336|64508|N block carotid sinus s/p|7.20|9.00 58-1036115|1972558336|64510| N block stellate ganglion|350.15|437.69 58-1036115|1972558336|64517| N block inj hypogas plxs|350.15|437.69 58-1036115|1972558336|64520| N block lumbar/thoracic|350.15|437.69 58-1036115|1972558336|64530| N block inj celiac pelus|350.15|437.69 58-1036115|1972558336|64553| Implant neuroelectrodes|4687.61|5859.51 58-1036115|1972558336|64555| Implant neuroelectrodes|4691.31|5864.14 58-1036115|1972558336|64561| Implant neuroelectrodes|4693.31|5866.64 58-1036115|1972558336|64566| Neuroeltrd stim post tibial|108.72|135.90 58-1036115|1972558336|64568| Inc for vagus n elect impl|23283.63|29104.54 58-1036115|1972558336|64569| Revise/repl vagus n eltrd|5475.71|6844.64 58-1036115|1972558336|64570| Remove vagus n eltrd|2033.05|2541.31 58-1036115|1972558336|64575| Implant neuroelectrodes|14426.79|18033.49 58-1036115|1972558336|64580| Implant neuroelectrodes|14820.71|18525.89 58-1036115|1972558336|64581| Implant neuroelectrodes|4975.59|6219.49 58-1036115|1972558336|64585| Revise/remove neuroelectrode|1499.91|1874.89 58-1036115|1972558336|64590| Insrt/redo pn/gastr stimul|16462.19|20577.74 58-1036115|1972558336|64595| Revise/rmv pn/gastr stimul|1499.91|1874.89 58-1036115|1972558336|64600| Injection treatment of nerve|350.15|437.69 58-1036115|1972558336|64605| Injection treatment of nerve|785.41|981.76 58-1036115|1972558336|64610| Injection treatment of nerve|785.41|981.76 58-1036115|1972558336|64611| Chemodenerv saliv glands|73.08|91.35 58-1036115|1972558336|64612| Destroy nerve face muscle|75.96|94.95 58-1036115|1972558336|64615| Chemodenerv musc migraine|62.64|78.30 58-1036115|1972558336|64616| Chemodenerv musc neck dyston|60.84|76.05 58-1036115|1972558336|64617| Chemodener muscle larynx emg|86.04|107.55 58-1036115|1972558336|64620| Injection treatment of nerve|350.15|437.69 58-1036115|1972558336|64630| Injection treatment of nerve|350.15|437.69 58-1036115|1972558336|64632| N block inj common digit|40.32|50.40 58-1036115|1972558336|64633| Destroy cerv/thor facet jnt|785.41|981.76 58-1036115|1972558336|64634| Destroy c/th facet jnt addl|0.00|0.00 58-1036115|1972558336|64635| Destroy lumb/sac facet jnt|785.41|981.76 58-1036115|1972558336|64636| Destroy l/s facet jnt addl|0.00|0.00 58-1036115|1972558336|64640| Injection treatment of nerve|87.84|109.80 58-1036115|1972558336|64642| Chemodenerv 1 extremity 1-4|75.24|94.05 58-1036115|1972558336|64643| Chemodenerv 1 extrem 1-4 ea|0.00|0.00 58-1036115|1972558336|64644| Chemodenerv 1 extrem 5/> mus|89.64|112.05 58-1036115|1972558336|64645| Chemodenerv 1 extrem 5/> ea|0.00|0.00 58-1036115|1972558336|64646| Chemodenerv trunk musc 1-5|74.16|92.70 58-1036115|1972558336|64647| Chemodenerv trunk musc 6/>|85.32|106.65 58-1036115|1972558336|64650| Chemodenerv eccrine glands|50.40|63.00 58-1036115|1972558336|64653| Chemodenerv eccrine glands|58.68|73.35 58-1036115|1972558336|64680| Injection treatment of nerve|350.15|437.69 58-1036115|1972558336|64681| Injection treatment of nerve|350.15|437.69 58-1036115|1972558336|64702| Revise finger/toe nerve|785.41|981.76 58-1036115|1972558336|64704| Revise hand/foot nerve|785.41|981.76 58-1036115|1972558336|64708| Revise arm/leg nerve|785.41|981.76 58-1036115|1972558336|64712| Revision of sciatic nerve|785.41|981.76 58-1036115|1972558336|64713| Revision of arm nerve(s)|785.41|981.76 58-1036115|1972558336|64714| Revise low back nerve(s)|785.41|981.76 58-1036115|1972558336|64716| Revision of cranial nerve|785.41|981.76 58-1036115|1972558336|64718| Revise ulnar nerve at elbow|785.41|981.76 58-1036115|1972558336|64719| Revise ulnar nerve at wrist|785.41|981.76 58-1036115|1972558336|64721| Carpal tunnel surgery|785.41|981.76 58-1036115|1972558336|64722| Relieve pressure on nerve(s)|785.41|981.76 58-1036115|1972558336|64726| Release foot/toe nerve|785.41|981.76 58-1036115|1972558336|64727| Internal nerve revision|0.00|0.00 58-1036115|1972558336|64732| Incision of brow nerve|785.41|981.76 58-1036115|1972558336|64734| Incision of cheek nerve|785.41|981.76 58-1036115|1972558336|64736| Incision of chin nerve|785.41|981.76 58-1036115|1972558336|64738| Incision of jaw nerve|785.41|981.76 58-1036115|1972558336|64740| Incision of tongue nerve|785.41|981.76 58-1036115|1972558336|64742| Incision of facial nerve|785.41|981.76 58-1036115|1972558336|64744| Incise nerve back of head|785.41|981.76 58-1036115|1972558336|64746| Incise diaphragm nerve|785.41|981.76 58-1036115|1972558336|64755| Incision of stomach nerves|0.00|0.00 58-1036115|1972558336|64760| Incision of vagus nerve|0.00|0.00 58-1036115|1972558336|64763| Incise hip/thigh nerve|785.41|981.76 58-1036115|1972558336|64766| Incise hip/thigh nerve|2033.05|2541.31 58-1036115|1972558336|64771| Sever cranial nerve|785.41|981.76 58-1036115|1972558336|64772| Incision of spinal nerve|785.41|981.76 58-1036115|1972558336|64774| Remove skin nerve lesion|785.41|981.76 58-1036115|1972558336|64776| Remove digit nerve lesion|785.41|981.76 58-1036115|1972558336|64778| Digit nerve surgery add-on|0.00|0.00 58-1036115|1972558336|64782| Remove limb nerve lesion|785.41|981.76 58-1036115|1972558336|64783| Limb nerve surgery add-on|0.00|0.00 58-1036115|1972558336|64784| Remove nerve lesion|785.41|981.76 58-1036115|1972558336|64786| Remove sciatic nerve lesion|2033.05|2541.31 58-1036115|1972558336|64787| Implant nerve end|0.00|0.00 58-1036115|1972558336|64788| Remove skin nerve lesion|785.41|981.76 58-1036115|1972558336|64790| Removal of nerve lesion|785.41|981.76 58-1036115|1972558336|64792| Removal of nerve lesion|2033.05|2541.31 58-1036115|1972558336|64795| Biopsy of nerve|785.41|981.76 58-1036115|1972558336|64802| Sympathectomy cervical|785.41|981.76 58-1036115|1972558336|64804| Remove sympathetic nerves|803.94|1004.92 58-1036115|1972558336|64809| Remove sympathetic nerves|0.00|0.00 58-1036115|1972558336|64818| Remove sympathetic nerves|0.00|0.00 58-1036115|1972558336|64820| Sympathectomy digital artery|785.41|981.76 58-1036115|1972558336|64821| Remove sympathetic nerves|1279.91|1599.89 58-1036115|1972558336|64822| Remove sympathetic nerves|1279.91|1599.89 58-1036115|1972558336|64823| Sympathectomy supfc palmar|737.58|921.98 58-1036115|1972558336|64831| Repair of digit nerve|2033.05|2541.31 58-1036115|1972558336|64832| Repair nerve add-on|0.00|0.00 58-1036115|1972558336|64834| Repair of hand or foot nerve|2033.05|2541.31 58-1036115|1972558336|64835| Repair of hand or foot nerve|2033.05|2541.31 58-1036115|1972558336|64836| Repair of hand or foot nerve|2033.05|2541.31 58-1036115|1972558336|64837| Repair nerve add-on|0.00|0.00 58-1036115|1972558336|64840| Repair of leg nerve|2033.05|2541.31 58-1036115|1972558336|64856| Repair/transpose nerve|2033.05|2541.31 58-1036115|1972558336|64857| Repair arm/leg nerve|2033.05|2541.31 58-1036115|1972558336|64858| Repair sciatic nerve|2033.05|2541.31 58-1036115|1972558336|64859| Nerve surgery|0.00|0.00 58-1036115|1972558336|64861| Repair of arm nerves|2033.05|2541.31 58-1036115|1972558336|64862| Repair of low back nerves|2033.05|2541.31 58-1036115|1972558336|64864| Repair of facial nerve|2033.05|2541.31 58-1036115|1972558336|64865| Repair of facial nerve|2033.05|2541.31 58-1036115|1972558336|64866| Fusion of facial/other nerve|0.00|0.00 58-1036115|1972558336|64868| Fusion of facial/other nerve|0.00|0.00 58-1036115|1972558336|64872| Subsequent repair of nerve|0.00|0.00 58-1036115|1972558336|64874| Repair & revise nerve add-on|0.00|0.00 58-1036115|1972558336|64876| Repair nerve/shorten bone|0.00|0.00 58-1036115|1972558336|64885| Nerve graft head/neck 4 cm|2033.05|2541.31 58-1036115|1972558336|64890| Nerve graft hand/foot 4 cm|2033.05|2541.31 58-1036115|1972558336|64892| Nerve graft arm/leg <4 cm|2033.05|2541.31 58-1036115|1972558336|64893| Nerve graft arm/leg >4 cm|2033.05|2541.31 58-1036115|1972558336|64895| Nerve graft hand/foot 4 cm|2033.05|2541.31 58-1036115|1972558336|64897| Nerve graft arm/leg 4 cm|2033.05|2541.31 58-1036115|1972558336|64901| Nerve graft add-on|0.00|0.00 58-1036115|1972558336|64902| Nerve graft add-on|0.00|0.00 58-1036115|1972558336|64905| Nerve pedicle transfer|2033.05|2541.31 58-1036115|1972558336|64907| Nerve pedicle transfer|2033.05|2541.31 58-1036115|1972558336|64910| Nerve repair w/allograft|2033.05|2541.31 58-1036115|1972558336|64911| Neurorraphy w/vein autograft|2250.00|2812.50 58-1036115|1972558336|64912| Nrv rpr w/nrv algrft 1st|2033.05|2541.31 58-1036115|1972558336|64913| Nrv rpr w/nrv algrft ea addl|0.00|0.00 58-1036115|1972558336|64999| Nervous system surgery|121.95|152.43 58-1036115|1972558336|65091| Revise eye|1305.93|1632.41 58-1036115|1972558336|65093| Revise eye with implant|1305.93|1632.41 58-1036115|1972558336|65101| Removal of eye|1305.93|1632.41 58-1036115|1972558336|65103| Remove eye/insert implant|1305.93|1632.41 58-1036115|1972558336|65105| Remove eye/attach implant|1305.93|1632.41 58-1036115|1972558336|65110| Removal of eye|1305.93|1632.41 58-1036115|1972558336|65112| Remove eye/revise socket|1305.93|1632.41 58-1036115|1972558336|65114| Remove eye/revise socket|1305.93|1632.41 58-1036115|1972558336|65125| Revise ocular implant|808.47|1010.59 58-1036115|1972558336|65130| Insert ocular implant|1305.93|1632.41 58-1036115|1972558336|65135| Insert ocular implant|1305.93|1632.41 58-1036115|1972558336|65140| Attach ocular implant|1305.93|1632.41 58-1036115|1972558336|65150| Revise ocular implant|1305.93|1632.41 58-1036115|1972558336|65155| Reinsert ocular implant|1305.93|1632.41 58-1036115|1972558336|65175| Removal of ocular implant|1305.93|1632.41 58-1036115|1972558336|65205| Remove foreign body from eye|0.00|0.00 58-1036115|1972558336|65210| Remove foreign body from eye|0.00|0.00 58-1036115|1972558336|65220| Remove foreign body from eye|0.00|0.00 58-1036115|1972558336|65222| Remove foreign body from eye|0.00|0.00 58-1036115|1972558336|65235| Remove foreign body from eye|991.95|1239.94 58-1036115|1972558336|65260| Remove foreign body from eye|991.95|1239.94 58-1036115|1972558336|65265| Remove foreign body from eye|991.95|1239.94 58-1036115|1972558336|65270| Repair of eye wound|808.47|1010.59 58-1036115|1972558336|65272| Repair of eye wound|808.47|1010.59 58-1036115|1972558336|65273| Repair of eye wound|0.00|0.00 58-1036115|1972558336|65275| Repair of eye wound|1305.93|1632.41 58-1036115|1972558336|65280| Repair of eye wound|1772.23|2215.29 58-1036115|1972558336|65285| Repair of eye wound|1772.23|2215.29 58-1036115|1972558336|65286| Repair of eye wound|467.99|584.99 58-1036115|1972558336|65290| Repair of eye socket wound|1305.93|1632.41 58-1036115|1972558336|65400| Removal of eye lesion|421.09|526.36 58-1036115|1972558336|65410| Biopsy of cornea|808.47|1010.59 58-1036115|1972558336|65420| Removal of eye lesion|808.47|1010.59 58-1036115|1972558336|65426| Removal of eye lesion|808.47|1010.59 58-1036115|1972558336|65430| Corneal smear|0.00|0.00 58-1036115|1972558336|65435| Curette/treat cornea|48.24|60.30 58-1036115|1972558336|65436| Curette/treat cornea|212.76|265.95 58-1036115|1972558336|65450| Treatment of corneal lesion|139.43|174.29 58-1036115|1972558336|65600| Revision of cornea|243.36|304.20 58-1036115|1972558336|65710| Corneal transplant|1772.23|2215.29 58-1036115|1972558336|65730| Corneal transplant|1772.23|2215.29 58-1036115|1972558336|65750| Corneal transplant|1772.23|2215.29 58-1036115|1972558336|65755| Corneal transplant|1772.23|2215.29 58-1036115|1972558336|65756| Corneal trnspl endothelial|1772.23|2215.29 58-1036115|1972558336|65757| Prep corneal endo allograft|0.00|0.00 58-1036115|1972558336|65770| Revise cornea with implant|6935.32|8669.15 58-1036115|1972558336|65772| Correction of astigmatism|421.09|526.36 58-1036115|1972558336|65775| Correction of astigmatism|808.47|1010.59 58-1036115|1972558336|65778| Cover eye w/membrane|0.00|0.00 58-1036115|1972558336|65779| Cover eye w/membrane suture|0.00|0.00 58-1036115|1972558336|65780| Ocular reconst transplant|1305.93|1632.41 58-1036115|1972558336|65781| Ocular reconst transplant|1772.23|2215.29 58-1036115|1972558336|65782| Ocular reconst transplant|1305.93|1632.41 58-1036115|1972558336|65785| Impltj ntrstrml crnl rng seg|1772.23|2215.29 58-1036115|1972558336|65800| Drainage of eye|991.95|1239.94 58-1036115|1972558336|65810| Drainage of eye|991.95|1239.94 58-1036115|1972558336|65815| Drainage of eye|991.95|1239.94 58-1036115|1972558336|65820| Relieve inner eye pressure|1772.23|2215.29 58-1036115|1972558336|65850| Incision of eye|991.95|1239.94 58-1036115|1972558336|65855| Trabeculoplasty laser surg|136.08|170.10 58-1036115|1972558336|65860| Incise inner eye adhesions|179.28|224.10 58-1036115|1972558336|65865| Incise inner eye adhesions|991.95|1239.94 58-1036115|1972558336|65870| Incise inner eye adhesions|991.95|1239.94 58-1036115|1972558336|65875| Incise inner eye adhesions|991.95|1239.94 58-1036115|1972558336|65880| Incise inner eye adhesions|1772.23|2215.29 58-1036115|1972558336|65900| Remove eye lesion|991.95|1239.94 58-1036115|1972558336|65920| Remove implant of eye|991.95|1239.94 58-1036115|1972558336|65930| Remove blood clot from eye|991.95|1239.94 58-1036115|1972558336|66020| Injection treatment of eye|991.95|1239.94 58-1036115|1972558336|66030| Injection treatment of eye|991.95|1239.94 58-1036115|1972558336|66130| Remove eye lesion|808.47|1010.59 58-1036115|1972558336|66150| Glaucoma surgery|1772.23|2215.29 58-1036115|1972558336|66155| Glaucoma surgery|1772.23|2215.29 58-1036115|1972558336|66160| Glaucoma surgery|991.95|1239.94 58-1036115|1972558336|66170| Glaucoma surgery|991.95|1239.94 58-1036115|1972558336|66172| Incision of eye|991.95|1239.94 58-1036115|1972558336|66174| Translum dil eye canal|1772.23|2215.29 58-1036115|1972558336|66175| Trnslum dil eye canal w/stnt|1772.23|2215.29 58-1036115|1972558336|66179| Aqueous shunt eye w/o graft|1772.23|2215.29 58-1036115|1972558336|66180| Aqueous shunt eye w/graft|1772.23|2215.29 58-1036115|1972558336|66183| Insert ant drainage device|1772.23|2215.29 58-1036115|1972558336|66184| Revision of aqueous shunt|991.95|1239.94 58-1036115|1972558336|66185| Revise aqueous shunt eye|991.95|1239.94 58-1036115|1972558336|66220|Repair eye lesion|991.95|1239.94 58-1036115|1972558336|66225| Repair/graft eye lesion|1772.23|2215.29 58-1036115|1972558336|66250| Follow-up surgery of eye|808.47|1010.59 58-1036115|1972558336|66500| Incision of iris|991.95|1239.94 58-1036115|1972558336|66505| Incision of iris|991.95|1239.94 58-1036115|1972558336|66600| Remove iris and lesion|1772.23|2215.29 58-1036115|1972558336|66605| Removal of iris|991.95|1239.94 58-1036115|1972558336|66625| Removal of iris|991.95|1239.94 58-1036115|1972558336|66630| Removal of iris|991.95|1239.94 58-1036115|1972558336|66635| Removal of iris|991.95|1239.94 58-1036115|1972558336|66680| Repair iris & ciliary body|991.95|1239.94 58-1036115|1972558336|66682| Repair iris & ciliary body|991.95|1239.94 58-1036115|1972558336|66700| Destruction ciliary body|991.95|1239.94 58-1036115|1972558336|66710| Ciliary transsleral therapy|808.47|1010.59 58-1036115|1972558336|66711| Ciliary endoscopic ablation|991.95|1239.94 58-1036115|1972558336|66720| Destruction ciliary body|808.47|1010.59 58-1036115|1972558336|66740| Destruction ciliary body|808.47|1010.59 58-1036115|1972558336|66761| Revision of iris|189.36|236.70 58-1036115|1972558336|66762| Revision of iris|254.19|317.74 58-1036115|1972558336|66770| Removal of inner eye lesion|254.19|317.74 58-1036115|1972558336|66820| Incision secondary cataract|991.95|1239.94 58-1036115|1972558336|66821| After cataract laser surgery|254.19|317.74 58-1036115|1972558336|66825| Reposition intraocular lens|991.95|1239.94 58-1036115|1972558336|66830| Removal of lens lesion|991.95|1239.94 58-1036115|1972558336|66840| Removal of lens material|991.95|1239.94 58-1036115|1972558336|66850| Removal of lens material|991.95|1239.94 58-1036115|1972558336|66852| Removal of lens material|1772.23|2215.29 58-1036115|1972558336|66920| Extraction of lens|991.95|1239.94 58-1036115|1972558336|66930| Extraction of lens|1772.23|2215.29 58-1036115|1972558336|66940| Extraction of lens|991.95|1239.94 58-1036115|1972558336|66982| Cataract surgery complex|991.95|1239.94 58-1036115|1972558336|66983| Cataract surg w/iol 1 stage|991.95|1239.94 58-1036115|1972558336|66984| Cataract surg w/iol 1 stage|991.95|1239.94 58-1036115|1972558336|66985| Insert lens prosthesis|991.95|1239.94 58-1036115|1972558336|66986| Exchange lens prosthesis|991.95|1239.94 58-1036115|1972558336|66990| Ophthalmic endoscope add-on|0.00|0.00 58-1036115|1972558336|66999| Eye surgery procedure|944.71|1180.89 58-1036115|1972558336|67005| Partial removal of eye fluid|991.95|1239.94 58-1036115|1972558336|67010| Partial removal of eye fluid|991.95|1239.94 58-1036115|1972558336|67015| Release of eye fluid|991.95|1239.94 58-1036115|1972558336|67025| Replace eye fluid|991.95|1239.94 58-1036115|1972558336|67027| Implant eye drug system|1460.58|1825.73 58-1036115|1972558336|67028| Injection eye drug|48.60|60.75 58-1036115|1972558336|67030| Incise inner eye strands|991.95|1239.94 58-1036115|1972558336|67031| Laser surgery eye strands|254.19|317.74 58-1036115|1972558336|67036| Removal of inner eye fluid|1772.23|2215.29 58-1036115|1972558336|67039| Laser treatment of retina|1772.23|2215.29 58-1036115|1972558336|67040| Laser treatment of retina|1772.23|2215.29 58-1036115|1972558336|67041| Vit for macular pucker|1772.23|2215.29 58-1036115|1972558336|67042| Vit for macular hole|1772.23|2215.29 58-1036115|1972558336|67043| Vit for membrane dissect|1772.23|2215.29 58-1036115|1972558336|67101| Repair detached retina crtx|201.60|252.00 58-1036115|1972558336|67105| Repair detached retina pc|173.52|216.90 58-1036115|1972558336|67107| Repair detached retina|1772.23|2215.29 58-1036115|1972558336|67108| Repair detached retina|1772.23|2215.29 58-1036115|1972558336|67110| Repair detached retina|503.99|629.99 58-1036115|1972558336|67113| Repair retinal detach cplx|1772.23|2215.29 58-1036115|1972558336|67115| Release encircling material|1772.23|2215.29 58-1036115|1972558336|67120| Remove eye implant material|991.95|1239.94 58-1036115|1972558336|67121| Remove eye implant material|991.95|1239.94 58-1036115|1972558336|67141| Treatment of retina|139.43|174.29 58-1036115|1972558336|67145| Treatment of retina|254.19|317.74 58-1036115|1972558336|67208| Treatment of retinal lesion|139.43|174.29 58-1036115|1972558336|67210| Treatment of retinal lesion|254.19|317.74 58-1036115|1972558336|67218| Treatment of retinal lesion|1305.93|1632.41 58-1036115|1972558336|67220| Treatment of choroid lesion|254.19|317.74 58-1036115|1972558336|67221| Ocular photodynamic ther|160.92|201.15 58-1036115|1972558336|67225| Eye photodynamic ther add-on|0.00|0.00 58-1036115|1972558336|67227| Dstrj extensive retinopathy|163.80|204.75 58-1036115|1972558336|67228| Treatment x10sv retinopathy|181.80|227.25 58-1036115|1972558336|67229| Tr retinal les preterm inf|254.19|317.74 58-1036115|1972558336|67250| Reinforce eye wall|808.47|1010.59 58-1036115|1972558336|67255| Reinforce/graft eye wall|991.95|1239.94 58-1036115|1972558336|67299| Eye surgery procedure|944.71|1180.89 58-1036115|1972558336|67311| Revise eye muscle|808.47|1010.59 58-1036115|1972558336|67312| Revise two eye muscles|1305.93|1632.41 58-1036115|1972558336|67314| Revise eye muscle|808.47|1010.59 58-1036115|1972558336|67316| Revise two eye muscles|808.47|1010.59 58-1036115|1972558336|67318| Revise eye muscle(s)|808.47|1010.59 58-1036115|1972558336|67320| Revise eye muscle(s) add-on|0.00|0.00 58-1036115|1972558336|67331| Eye surgery follow-up add-on|0.00|0.00 58-1036115|1972558336|67332| Rerevise eye muscles add-on|0.00|0.00 58-1036115|1972558336|67334| Revise eye muscle w/suture|0.00|0.00 58-1036115|1972558336|67335| Eye suture during surgery|0.00|0.00 58-1036115|1972558336|67340| Revise eye muscle add-on|0.00|0.00 58-1036115|1972558336|67343| Release eye tissue|808.47|1010.59 58-1036115|1972558336|67345| Destroy nerve of eye muscle|127.44|159.30 58-1036115|1972558336|67346| Biopsy eye muscle|1305.93|1632.41 58-1036115|1972558336|67399| Unlisted px extraocular musc|139.71|174.63 58-1036115|1972558336|67400| Explore/biopsy eye socket|1305.93|1632.41 58-1036115|1972558336|67405| Explore/drain eye socket|808.47|1010.59 58-1036115|1972558336|67412| Explore/treat eye socket|808.47|1010.59 58-1036115|1972558336|67413| Explore/treat eye socket|808.47|1010.59 58-1036115|1972558336|67414| Explr/decompress eye socket|1305.93|1632.41 58-1036115|1972558336|67415| Aspiration orbital contents|808.47|1010.59 58-1036115|1972558336|67420| Explore/treat eye socket|1305.93|1632.41 58-1036115|1972558336|67430| Explore/treat eye socket|1305.93|1632.41 58-1036115|1972558336|67440| Explore/drain eye socket|1305.93|1632.41 58-1036115|1972558336|67445| Explr/decompress eye socket|1305.93|1632.41 58-1036115|1972558336|67450| Explore/biopsy eye socket|1305.93|1632.41 58-1036115|1972558336|67500| Inject/treat eye socket|139.43|174.29 58-1036115|1972558336|67505| Inject/treat eye socket|40.68|50.85 58-1036115|1972558336|67515| Inject/treat eye socket|45.36|56.70 58-1036115|1972558336|67550| Insert eye socket implant|1305.93|1632.41 58-1036115|1972558336|67560| Revise eye socket implant|1305.93|1632.41 58-1036115|1972558336|67570| Decompress optic nerve|1305.93|1632.41 58-1036115|1972558336|67599| Orbit surgery procedure|139.71|174.63 58-1036115|1972558336|67700| Drainage of eyelid abscess|139.43|174.29 58-1036115|1972558336|67710| Incision of eyelid|189.00|236.25 58-1036115|1972558336|67715| Incision of eyelid fold|808.47|1010.59 58-1036115|1972558336|67800| Remove eyelid lesion|76.68|95.85 58-1036115|1972558336|67801| Remove eyelid lesions|93.24|116.55 58-1036115|1972558336|67805| Remove eyelid lesions|119.88|149.85 58-1036115|1972558336|67808| Remove eyelid lesion(s)|808.47|1010.59 58-1036115|1972558336|67810| Biopsy eyelid & lid margin|128.16|160.20 58-1036115|1972558336|67820| Revise eyelashes|0.00|0.00 58-1036115|1972558336|67825| Revise eyelashes|76.68|95.85 58-1036115|1972558336|67830| Revise eyelashes|421.09|526.36 58-1036115|1972558336|67835| Revise eyelashes|808.47|1010.59 58-1036115|1972558336|67840| Remove eyelid lesion|202.32|252.90 58-1036115|1972558336|67850| Treat eyelid lesion|150.84|188.55 58-1036115|1972558336|67875| Closure of eyelid by suture|421.09|526.36 58-1036115|1972558336|67880| Revision of eyelid|808.47|1010.59 58-1036115|1972558336|67882| Revision of eyelid|808.47|1010.59 58-1036115|1972558336|67900| Repair brow defect|808.47|1010.59 58-1036115|1972558336|67901| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67902| Repair eyelid defect|1305.93|1632.41 58-1036115|1972558336|67903| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67904| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67906| Repair eyelid defect|1305.93|1632.41 58-1036115|1972558336|67908| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67909| Revise eyelid defect|808.47|1010.59 58-1036115|1972558336|67911| Revise eyelid defect|808.47|1010.59 58-1036115|1972558336|67912| Correction eyelid w/implant|808.47|1010.59 58-1036115|1972558336|67914| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67915| Repair eyelid defect|222.84|278.55 58-1036115|1972558336|67916| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67917| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67921| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67922| Repair eyelid defect|219.96|274.95 58-1036115|1972558336|67923| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67924| Repair eyelid defect|808.47|1010.59 58-1036115|1972558336|67930| Repair eyelid wound|232.56|290.70 58-1036115|1972558336|67935| Repair eyelid wound|808.47|1010.59 58-1036115|1972558336|67938| Remove eyelid foreign body|139.43|174.29 58-1036115|1972558336|67950| Revision of eyelid|808.47|1010.59 58-1036115|1972558336|67961| Revision of eyelid|808.47|1010.59 58-1036115|1972558336|67966| Revision of eyelid|808.47|1010.59 58-1036115|1972558336|67971| Reconstruction of eyelid|808.47|1010.59 58-1036115|1972558336|67973| Reconstruction of eyelid|808.47|1010.59 58-1036115|1972558336|67974| Reconstruction of eyelid|1305.93|1632.41 58-1036115|1972558336|67975| Reconstruction of eyelid|808.47|1010.59 58-1036115|1972558336|67999| Revision of eyelid|139.71|174.63 58-1036115|1972558336|68020| Incise/drain eyelid lining|69.12|86.40 58-1036115|1972558336|68040| Treatment of eyelid lesions|31.68|39.60 58-1036115|1972558336|68100| Biopsy of eyelid lining|123.48|154.35 58-1036115|1972558336|68110| Remove eyelid lining lesion|162.00|202.50 58-1036115|1972558336|68115| Remove eyelid lining lesion|808.47|1010.59 58-1036115|1972558336|68130| Remove eyelid lining lesion|808.47|1010.59 58-1036115|1972558336|68135| Remove eyelid lining lesion|88.56|110.70 58-1036115|1972558336|68200| Treat eyelid by injection|0.00|0.00 58-1036115|1972558336|68320| Revise/graft eyelid lining|808.47|1010.59 58-1036115|1972558336|68325| Revise/graft eyelid lining|1305.93|1632.41 58-1036115|1972558336|68326| Revise/graft eyelid lining|1305.93|1632.41 58-1036115|1972558336|68328| Revise/graft eyelid lining|808.47|1010.59 58-1036115|1972558336|68330| Revise eyelid lining|991.95|1239.94 58-1036115|1972558336|68335| Revise/graft eyelid lining|1305.93|1632.41 58-1036115|1972558336|68340| Separate eyelid adhesions|808.47|1010.59 58-1036115|1972558336|68360| Revise eyelid lining|1305.93|1632.41 58-1036115|1972558336|68362| Revise eyelid lining|808.47|1010.59 58-1036115|1972558336|68371| Harvest eye tissue alograft|808.47|1010.59 58-1036115|1972558336|68399| Eyelid lining surgery|139.71|174.63 58-1036115|1972558336|68400| Incise/drain tear gland|225.00|281.25 58-1036115|1972558336|68420| Incise/drain tear sac|239.04|298.80 58-1036115|1972558336|68440| Incise tear duct opening|66.60|83.25 58-1036115|1972558336|68500| Removal of tear gland|1305.93|1632.41 58-1036115|1972558336|68505| Partial removal tear gland|1305.93|1632.41 58-1036115|1972558336|68510| Biopsy of tear gland|808.47|1010.59 58-1036115|1972558336|68520| Removal of tear sac|1305.93|1632.41 58-1036115|1972558336|68525| Biopsy of tear sac|808.47|1010.59 58-1036115|1972558336|68530| Clearance of tear duct|139.43|174.29 58-1036115|1972558336|68540| Remove tear gland lesion|808.47|1010.59 58-1036115|1972558336|68550| Remove tear gland lesion|1305.93|1632.41 58-1036115|1972558336|68700| Repair tear ducts|808.47|1010.59 58-1036115|1972558336|68705| Revise tear duct opening|139.43|174.29 58-1036115|1972558336|68720| Create tear sac drain|1305.93|1632.41 58-1036115|1972558336|68745| Create tear duct drain|1305.93|1632.41 58-1036115|1972558336|68750| Create tear duct drain|1305.93|1632.41 58-1036115|1972558336|68760| Close tear duct opening|138.60|173.25 58-1036115|1972558336|68761| Close tear duct opening|98.28|122.85 58-1036115|1972558336|68770| Close tear system fistula|808.47|1010.59 58-1036115|1972558336|68801| Dilate tear duct opening|0.00|0.00 58-1036115|1972558336|68810| Probe nasolacrimal duct|139.43|174.29 58-1036115|1972558336|68811| Probe nasolacrimal duct|808.47|1010.59 58-1036115|1972558336|68815| Probe nasolacrimal duct|808.47|1010.59 58-1036115|1972558336|68816| Probe nl duct w/balloon|808.47|1010.59 58-1036115|1972558336|68840| Explore/irrigate tear ducts|81.72|102.15 58-1036115|1972558336|68850| Injection for tear sac x-ray|0.00|0.00 58-1036115|1972558336|68899| Tear duct system surgery|139.71|174.63 58-1036115|1972558336|69000| Drain external ear lesion|129.96|162.45 58-1036115|1972558336|69005| Drain external ear lesion|128.16|160.20 58-1036115|1972558336|69020| Drain outer ear canal lesion|171.36|214.20 58-1036115|1972558336|69100| Biopsy of external ear|70.20|87.75 58-1036115|1972558336|69105| Biopsy of external ear canal|106.56|133.20 58-1036115|1972558336|69110| Remove external ear partial|1062.77|1328.46 58-1036115|1972558336|69120| Removal of external ear|2142.48|2678.10 58-1036115|1972558336|69140| Remove ear canal lesion(s)|2142.48|2678.10 58-1036115|1972558336|69145| Remove ear canal lesion(s)|1062.77|1328.46 58-1036115|1972558336|69150| Extensive ear canal surgery|2142.48|2678.10 58-1036115|1972558336|69155| Extensive ear/neck surgery|0.00|0.00 58-1036115|1972558336|69200| Clear outer ear canal|0.00|0.00 58-1036115|1972558336|69205| Clear outer ear canal|542.88|678.60 58-1036115|1972558336|69209| Remove impacted ear wax uni|0.00|0.00 58-1036115|1972558336|69210| Remove impacted ear wax uni|0.00|0.00 58-1036115|1972558336|69220| Clean out mastoid cavity|0.00|0.00 58-1036115|1972558336|69222| Clean out mastoid cavity|160.92|201.15 58-1036115|1972558336|69300| Revise external ear|952.18|1190.23 58-1036115|1972558336|69310| Rebuild outer ear canal|2142.48|2678.10 58-1036115|1972558336|69320| Rebuild outer ear canal|2142.48|2678.10 58-1036115|1972558336|69399| Outer ear surgery procedure|101.58|126.97 58-1036115|1972558336|69420| Incision of eardrum|92.98|116.23 58-1036115|1972558336|69421| Incision of eardrum|952.18|1190.23 58-1036115|1972558336|69424| Remove ventilating tube|94.68|118.35 58-1036115|1972558336|69433| Create eardrum opening|140.04|175.05 58-1036115|1972558336|69436| Create eardrum opening|592.89|741.11 58-1036115|1972558336|69440| Exploration of middle ear|952.18|1190.23 58-1036115|1972558336|69450| Eardrum revision|952.18|1190.23 58-1036115|1972558336|69501| Mastoidectomy|2142.48|2678.10 58-1036115|1972558336|69502| Mastoidectomy|2142.48|2678.10 58-1036115|1972558336|69505| Remove mastoid structures|2142.48|2678.10 58-1036115|1972558336|69511| Extensive mastoid surgery|2142.48|2678.10 58-1036115|1972558336|69530| Extensive mastoid surgery|2142.48|2678.10 58-1036115|1972558336|69535| Remove part of temporal bone|0.00|0.00 58-1036115|1972558336|69540| Remove ear lesion|159.12|198.90 58-1036115|1972558336|69550| Remove ear lesion|2142.48|2678.10 58-1036115|1972558336|69552| Remove ear lesion|2142.48|2678.10 58-1036115|1972558336|69554| Remove ear lesion|0.00|0.00 58-1036115|1972558336|69601| Mastoid surgery revision|2142.48|2678.10 58-1036115|1972558336|69602| Mastoid surgery revision|2142.48|2678.10 58-1036115|1972558336|69603| Mastoid surgery revision|2142.48|2678.10 58-1036115|1972558336|69604| Mastoid surgery revision|2142.48|2678.10 58-1036115|1972558336|69605| Mastoid surgery revision|2142.48|2678.10 58-1036115|1972558336|69610| Repair of eardrum|205.92|257.40 58-1036115|1972558336|69620| Repair of eardrum|952.18|1190.23 58-1036115|1972558336|69631| Repair eardrum structures|2142.48|2678.10 58-1036115|1972558336|69632| Rebuild eardrum structures|2142.48|2678.10 58-1036115|1972558336|69633| Rebuild eardrum structures|2142.48|2678.10 58-1036115|1972558336|69635| Repair eardrum structures|2142.48|2678.10 58-1036115|1972558336|69636| Rebuild eardrum structures|2142.48|2678.10 58-1036115|1972558336|69637| Rebuild eardrum structures|2142.48|2678.10 58-1036115|1972558336|69641| Revise middle ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69642| Revise middle ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69643| Revise middle ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69644| Revise middle ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69645| Revise middle ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69646| Revise middle ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69650| Release middle ear bone|952.18|1190.23 58-1036115|1972558336|69660| Revise middle ear bone|2142.48|2678.10 58-1036115|1972558336|69661| Revise middle ear bone|2142.48|2678.10 58-1036115|1972558336|69662| Revise middle ear bone|2142.48|2678.10 58-1036115|1972558336|69666| Repair middle ear structures|952.18|1190.23 58-1036115|1972558336|69667| Repair middle ear structures|952.18|1190.23 58-1036115|1972558336|69670| Remove mastoid air cells|2142.48|2678.10 58-1036115|1972558336|69676| Remove middle ear nerve|952.18|1190.23 58-1036115|1972558336|69700| Close mastoid fistula|592.89|741.11 58-1036115|1972558336|69711| Remove/repair hearing aid|952.18|1190.23 58-1036115|1972558336|69714| Implant temple bone w/stimul|8198.16|10247.70 58-1036115|1972558336|69715| Temple bne implnt w/stimulat|11864.78|14830.98 58-1036115|1972558336|69717| Temple bone implant revision|4594.48|5743.10 58-1036115|1972558336|69718| Revise temple bone implant|5069.05|6336.31 58-1036115|1972558336|69720| Release facial nerve|2142.48|2678.10 58-1036115|1972558336|69725| Release facial nerve|2180.11|2725.14 58-1036115|1972558336|69740| Repair facial nerve|2142.48|2678.10 58-1036115|1972558336|69745| Repair facial nerve|2142.48|2678.10 58-1036115|1972558336|69799| Middle ear surgery procedure|101.58|126.97 58-1036115|1972558336|69801| Incise inner ear|113.76|142.20 58-1036115|1972558336|69805| Explore inner ear|2142.48|2678.10 58-1036115|1972558336|69806| Explore inner ear|2142.48|2678.10 58-1036115|1972558336|69905| Remove inner ear|2142.48|2678.10 58-1036115|1972558336|69910| Remove inner ear & mastoid|2142.48|2678.10 58-1036115|1972558336|69915| Incise inner ear nerve|952.18|1190.23 58-1036115|1972558336|69930| Implant cochlear device|30594.48|38243.10 58-1036115|1972558336|69949| Inner ear surgery procedure|101.58|126.97 58-1036115|1972558336|69950| Incise inner ear nerve|0.00|0.00 58-1036115|1972558336|69955| Release facial nerve|2180.11|2725.14 58-1036115|1972558336|69960| Release inner ear canal|2180.11|2725.14 58-1036115|1972558336|69970| Remove inner ear lesion|2180.11|2725.14 58-1036115|1972558336|69979| Temporal bone surgery|101.58|126.97 58-1036115|1972558336|69990| Microsurgery add-on|0.00|0.00 58-1036115|1972558336|70010| Contrast x-ray of brain|0.00|0.00 58-1036115|1972558336|70015| Contrast x-ray of brain|0.00|0.00 58-1036115|1972558336|70030| X-ray eye for foreign body|0.00|0.00 58-1036115|1972558336|70100| X-ray exam of jaw <4views|0.00|0.00 58-1036115|1972558336|70110| X-ray exam of jaw 4/> views|0.00|0.00 58-1036115|1972558336|70120| X-ray exam of mastoids|0.00|0.00 58-1036115|1972558336|70130| X-ray exam of mastoids|0.00|0.00 58-1036115|1972558336|70134| X-ray exam of middle ear|0.00|0.00 58-1036115|1972558336|70140| X-ray exam of facial bones|0.00|0.00 58-1036115|1972558336|70150| X-ray exam of facial bones|0.00|0.00 58-1036115|1972558336|70160| X-ray exam of nasal bones|0.00|0.00 58-1036115|1972558336|70170| X-ray exam of tear duct|0.00|0.00 58-1036115|1972558336|70190| X-ray exam of eye sockets|0.00|0.00 58-1036115|1972558336|70200| X-ray exam of eye sockets|0.00|0.00 58-1036115|1972558336|70210| X-ray exam of sinuses|0.00|0.00 58-1036115|1972558336|70220| X-ray exam of sinuses|0.00|0.00 58-1036115|1972558336|70240| X-ray exam pituitary saddle|0.00|0.00 58-1036115|1972558336|70250| X-ray exam of skull|0.00|0.00 58-1036115|1972558336|70260| X-ray exam of skull|0.00|0.00 58-1036115|1972558336|70300| X-ray exam of teeth|0.00|0.00 58-1036115|1972558336|70310| X-ray exam of teeth|0.00|0.00 58-1036115|1972558336|70320| Full mouth x-ray of teeth|0.00|0.00 58-1036115|1972558336|70328| X-ray exam of jaw joint|0.00|0.00 58-1036115|1972558336|70330| X-ray exam of jaw joints|0.00|0.00 58-1036115|1972558336|70332| X-ray exam of jaw joint|0.00|0.00 58-1036115|1972558336|70336| Magnetic image jaw joint|121.02|151.28 58-1036115|1972558336|70350| X-ray head for orthodontia|0.00|0.00 58-1036115|1972558336|70355| Panoramic x-ray of jaws|0.00|0.00 58-1036115|1972558336|70360| X-ray exam of neck|0.00|0.00 58-1036115|1972558336|70370| Throat x-ray & fluoroscopy|0.00|0.00 58-1036115|1972558336|70371| Speech evaluation complex|0.00|0.00 58-1036115|1972558336|70380| X-ray exam of salivary gland|0.00|0.00 58-1036115|1972558336|70390| X-ray exam of salivary duct|0.00|0.00 58-1036115|1972558336|70450| Ct head/brain w/o dye|59.63|74.54 58-1036115|1972558336|70460| Ct head/brain w/dye|107.64|134.55 58-1036115|1972558336|70470| Ct head/brain w/o & w/dye|129.60|162.00 58-1036115|1972558336|70480| Ct orbit/ear/fossa w/o dye|59.63|74.54 58-1036115|1972558336|70481| Ct orbit/ear/fossa w/dye|131.65|164.56 58-1036115|1972558336|70482| Ct orbit/ear/fossa w/o&w/dye|131.65|164.56 58-1036115|1972558336|70486| Ct maxillofacial w/o dye|59.63|74.54 58-1036115|1972558336|70487| Ct maxillofacial w/dye|112.68|140.85 58-1036115|1972558336|70488| Ct maxillofacial w/o & w/dye|131.65|164.56 58-1036115|1972558336|70490| Ct soft tissue neck w/o dye|59.63|74.54 58-1036115|1972558336|70491| Ct soft tissue neck w/dye|131.65|164.56 58-1036115|1972558336|70492| Ct sft tsue nck w/o & w/dye|131.65|164.56 58-1036115|1972558336|70496| Ct angiography head|131.65|164.56 58-1036115|1972558336|70498| Ct angiography neck|131.65|164.56 58-1036115|1972558336|70540| Mri orbit/face/neck w/o dye|121.02|151.28 58-1036115|1972558336|70542| Mri orbit/face/neck w/dye|237.73|297.16 58-1036115|1972558336|70543| Mri orbt/fac/nck w/o &w/dye|237.73|297.16 58-1036115|1972558336|70544| Mr angiography head w/o dye|121.02|151.28 58-1036115|1972558336|70545| Mr angiography head w/dye|131.65|164.56 58-1036115|1972558336|70546| Mr angiograph head w/o&w/dye|237.73|297.16 58-1036115|1972558336|70547| Mr angiography neck w/o dye|121.02|151.28 58-1036115|1972558336|70548| Mr angiography neck w/dye|131.65|164.56 58-1036115|1972558336|70549| Mr angiograph neck w/o&w/dye|237.73|297.16 58-1036115|1972558336|70551| Mri brain stem w/o dye|121.02|151.28 58-1036115|1972558336|70552| Mri brain stem w/dye|131.65|164.56 58-1036115|1972558336|70553| Mri brain stem w/o & w/dye|237.73|297.16 58-1036115|1972558336|70554| Fmri brain by tech|121.02|151.28 58-1036115|1972558336|70555| Fmri brain by phys/psych|121.02|151.28 58-1036115|1972558336|70557| Mri brain w/o dye|121.02|151.28 58-1036115|1972558336|70558| Mri brain w/dye|131.65|164.56 58-1036115|1972558336|70559| Mri brain w/o & w/dye|131.65|164.56 58-1036115|1972558336|71045| X-ray exam chest 1 view|10.44|13.05 58-1036115|1972558336|71046| X-ray exam chest 2 views|19.44|24.30 58-1036115|1972558336|71047| X-ray exam chest 3 views|0.00|0.00 58-1036115|1972558336|71048| X-ray exam chest 4+ views|0.00|0.00 58-1036115|1972558336|71100| X-ray exam ribs uni 2 views|0.00|0.00 58-1036115|1972558336|71101| X-ray exam unilat ribs/chest|0.00|0.00 58-1036115|1972558336|71110| X-ray exam ribs bil 3 views|0.00|0.00 58-1036115|1972558336|71111| X-ray exam ribs/chest4/> vws|0.00|0.00 58-1036115|1972558336|71120| X-ray exam breastbone 2/>vws|0.00|0.00 58-1036115|1972558336|71130| X-ray strenoclavic jt 3/>vws|0.00|0.00 58-1036115|1972558336|71250| Ct thorax w/o dye|59.63|74.54 58-1036115|1972558336|71260| Ct thorax w/dye|131.65|164.56 58-1036115|1972558336|71270| Ct thorax w/o & w/dye|131.65|164.56 58-1036115|1972558336|71275| Ct angiography chest|131.65|164.56 58-1036115|1972558336|71550| Mri chest w/o dye|121.02|151.28 58-1036115|1972558336|71551| Mri chest w/dye|355.20|444.00 58-1036115|1972558336|71552| Mri chest w/o & w/dye|237.73|297.16 58-1036115|1972558336|72020| X-ray exam of spine 1 view|0.00|0.00 58-1036115|1972558336|72040| X-ray exam neck spine 2-3 vw|0.00|0.00 58-1036115|1972558336|72050| X-ray exam neck spine 4/5vws|0.00|0.00 58-1036115|1972558336|72052| X-ray exam neck spine 6/>vws|0.00|0.00 58-1036115|1972558336|72070| X-ray exam thorac spine 2vws|0.00|0.00 58-1036115|1972558336|72072| X-ray exam thorac spine 3vws|0.00|0.00 58-1036115|1972558336|72074| X-ray exam thorac spine4/>vw|0.00|0.00 58-1036115|1972558336|72080| X-ray exam thoracolmb 2/> vw|0.00|0.00 58-1036115|1972558336|72081| X-ray exam entire spi 1 vw|0.00|0.00 58-1036115|1972558336|72082| X-ray exam entire spi 2/3 vw|0.00|0.00 58-1036115|1972558336|72083| X-ray exam entire spi 4/5 vw|57.24|71.55 58-1036115|1972558336|72084| X-ray exam entire spi 6/> vw|59.63|74.54 58-1036115|1972558336|72100| X-ray exam l-s spine 2/3 vws|0.00|0.00 58-1036115|1972558336|72110| X-ray exam l-2 spine 4/>vws|0.00|0.00 58-1036115|1972558336|72114| X-ray exam l-s spine bending|0.00|0.00 58-1036115|1972558336|72120| X-ray bend only l-s spine|0.00|0.00 58-1036115|1972558336|72125| Ct neck spine w/o dye|59.63|74.54 58-1036115|1972558336|72126| Ct neck spine w/dye|169.20|211.50 58-1036115|1972558336|72127| Ct neck spine w/o & w/dye|131.65|164.56 58-1036115|1972558336|72128| Ct chest spine w/o dye|59.63|74.54 58-1036115|1972558336|72129| Ct chest spine w/dye|131.65|164.56 58-1036115|1972558336|72130| Ct chest spine w/o & w/dye|131.65|164.56 58-1036115|1972558336|72131| Ct lumbar spine w/o dye|59.63|74.54 58-1036115|1972558336|72132| Ct lumbar spine w/dye|169.20|211.50 58-1036115|1972558336|72133| Ct lumbar spine w/o & w/dye|131.65|164.56 58-1036115|1972558336|72141| Mri neck spine w/o dye|121.02|151.28 58-1036115|1972558336|72142| Mri neck spine w/dye|237.73|297.16 58-1036115|1972558336|72146| Mri chest spine w/o dye|121.02|151.28 58-1036115|1972558336|72147| Mri chest spine w/dye|237.73|297.16 58-1036115|1972558336|72148| Mri lumbar spine w/o dye|121.02|151.28 58-1036115|1972558336|72149| Mri lumbar spine w/dye|236.16|295.20 58-1036115|1972558336|72156| Mri neck spine w/o & w/dye|237.73|297.16 58-1036115|1972558336|72157| Mri chest spine w/o & w/dye|237.73|297.16 58-1036115|1972558336|72158| Mri lumbar spine w/o & w/dye|237.73|297.16 58-1036115|1972558336|72170| X-ray exam of pelvis|0.00|0.00 58-1036115|1972558336|72190| X-ray exam of pelvis|0.00|0.00 58-1036115|1972558336|72191| Ct angiograph pelv w/o&w/dye|131.65|164.56 58-1036115|1972558336|72192| Ct pelvis w/o dye|59.63|74.54 58-1036115|1972558336|72193| Ct pelvis w/dye|131.65|164.56 58-1036115|1972558336|72194| Ct pelvis w/o & w/dye|131.65|164.56 58-1036115|1972558336|72195| Mri pelvis w/o dye|121.02|151.28 58-1036115|1972558336|72196| Mri pelvis w/dye|237.73|297.16 58-1036115|1972558336|72197| Mri pelvis w/o & w/dye|237.73|297.16 58-1036115|1972558336|72200| X-ray exam si joints|0.00|0.00 58-1036115|1972558336|72202| X-ray exam si joints 3/> vws|0.00|0.00 58-1036115|1972558336|72220| X-ray exam sacrum tailbone|0.00|0.00 58-1036115|1972558336|72240| Myelography neck spine|0.00|0.00 58-1036115|1972558336|72255| Myelography thoracic spine|0.00|0.00 58-1036115|1972558336|72265| Myelography l-s spine|0.00|0.00 58-1036115|1972558336|72270| Myelogphy 2/> spine regions|0.00|0.00 58-1036115|1972558336|72275| Epidurography|0.00|0.00 58-1036115|1972558336|72285| Discography cerv/thor spine|0.00|0.00 58-1036115|1972558336|72295| X-ray of lower spine disk|0.00|0.00 58-1036115|1972558336|73000| X-ray exam of collar bone|0.00|0.00 58-1036115|1972558336|73010| X-ray exam of shoulder blade|0.00|0.00 58-1036115|1972558336|73020| X-ray exam of shoulder|0.00|0.00 58-1036115|1972558336|73030| X-ray exam of shoulder|0.00|0.00 58-1036115|1972558336|73040| Contrast x-ray of shoulder|0.00|0.00 58-1036115|1972558336|73050| X-ray exam of shoulders|0.00|0.00 58-1036115|1972558336|73060| X-ray exam of humerus|0.00|0.00 58-1036115|1972558336|73070| X-ray exam of elbow|0.00|0.00 58-1036115|1972558336|73080| X-ray exam of elbow|0.00|0.00 58-1036115|1972558336|73085| Contrast x-ray of elbow|0.00|0.00 58-1036115|1972558336|73090| X-ray exam of forearm|0.00|0.00 58-1036115|1972558336|73092| X-ray exam of arm infant|0.00|0.00 58-1036115|1972558336|73100| X-ray exam of wrist|0.00|0.00 58-1036115|1972558336|73110| X-ray exam of wrist|0.00|0.00 58-1036115|1972558336|73115| Contrast x-ray of wrist|0.00|0.00 58-1036115|1972558336|73120| X-ray exam of hand|0.00|0.00 58-1036115|1972558336|73130| X-ray exam of hand|0.00|0.00 58-1036115|1972558336|73140| X-ray exam of finger(s)|0.00|0.00 58-1036115|1972558336|73200| Ct upper extremity w/o dye|59.63|74.54 58-1036115|1972558336|73201| Ct upper extremity w/dye|131.65|164.56 58-1036115|1972558336|73202| Ct uppr extremity w/o&w/dye|131.65|164.56 58-1036115|1972558336|73206| Ct angio upr extrm w/o&w/dye|131.65|164.56 58-1036115|1972558336|73218| Mri upper extremity w/o dye|121.02|151.28 58-1036115|1972558336|73219| Mri upper extremity w/dye|237.73|297.16 58-1036115|1972558336|73220| Mri uppr extremity w/o&w/dye|237.73|297.16 58-1036115|1972558336|73221| Mri joint upr extrem w/o dye|121.02|151.28 58-1036115|1972558336|73222| Mri joint upr extrem w/dye|302.76|378.45 58-1036115|1972558336|73223| Mri joint upr extr w/o&w/dye|237.73|297.16 58-1036115|1972558336|73501| X-ray exam hip uni 1 view|0.00|0.00 58-1036115|1972558336|73502| X-ray exam hip uni 2-3 views|0.00|0.00 58-1036115|1972558336|73503| X-ray exam hip uni 4/> views|0.00|0.00 58-1036115|1972558336|73521| X-ray exam hips bi 2 views|0.00|0.00 58-1036115|1972558336|73522| X-ray exam hips bi 3-4 views|0.00|0.00 58-1036115|1972558336|73523| X-ray exam hips bi 5/> views|0.00|0.00 58-1036115|1972558336|73525| Contrast x-ray of hip|0.00|0.00 58-1036115|1972558336|73551| X-ray exam of femur 1|0.00|0.00 58-1036115|1972558336|73552| X-ray exam of femur 2/>|0.00|0.00 58-1036115|1972558336|73560| X-ray exam of knee 1 or 2|0.00|0.00 58-1036115|1972558336|73562| X-ray exam of knee 3|0.00|0.00 58-1036115|1972558336|73564| X-ray exam knee 4 or more|0.00|0.00 58-1036115|1972558336|73565| X-ray exam of knees|0.00|0.00 58-1036115|1972558336|73580| Contrast x-ray of knee joint|0.00|0.00 58-1036115|1972558336|73590| X-ray exam of lower leg|0.00|0.00 58-1036115|1972558336|73592| X-ray exam of leg infant|0.00|0.00 58-1036115|1972558336|73600| X-ray exam of ankle|0.00|0.00 58-1036115|1972558336|73610| X-ray exam of ankle|0.00|0.00 58-1036115|1972558336|73615| Contrast x-ray of ankle|0.00|0.00 58-1036115|1972558336|73620| X-ray exam of foot|0.00|0.00 58-1036115|1972558336|73630| X-ray exam of foot|0.00|0.00 58-1036115|1972558336|73650| X-ray exam of heel|0.00|0.00 58-1036115|1972558336|73660| X-ray exam of toe(s)|0.00|0.00 58-1036115|1972558336|73700| Ct lower extremity w/o dye|59.63|74.54 58-1036115|1972558336|73701| Ct lower extremity w/dye|131.65|164.56 58-1036115|1972558336|73702| Ct lwr extremity w/o&w/dye|131.65|164.56 58-1036115|1972558336|73706| Ct angio lwr extr w/o&w/dye|131.65|164.56 58-1036115|1972558336|73718| Mri lower extremity w/o dye|121.02|151.28 58-1036115|1972558336|73719| Mri lower extremity w/dye|131.65|164.56 58-1036115|1972558336|73720| Mri lwr extremity w/o&w/dye|237.73|297.16 58-1036115|1972558336|73721| Mri jnt of lwr extre w/o dye|121.02|151.28 58-1036115|1972558336|73722| Mri joint of lwr extr w/dye|305.28|381.60 58-1036115|1972558336|73723| Mri joint lwr extr w/o&w/dye|237.73|297.16 58-1036115|1972558336|74018| X-ray exam abdomen 1 view|0.00|0.00 58-1036115|1972558336|74019| X-ray exam abdomen 2 views|0.00|0.00 58-1036115|1972558336|74021| X-ray exam abdomen 3+ views|0.00|0.00 58-1036115|1972558336|74022| X-ray exam series abdomen|0.00|0.00 58-1036115|1972558336|74150| Ct abdomen w/o dye|59.63|74.54 58-1036115|1972558336|74160| Ct abdomen w/dye|131.65|164.56 58-1036115|1972558336|74170| Ct abdomen w/o & w/dye|131.65|164.56 58-1036115|1972558336|74174| Ct angio abd&pelv w/o&w/dye|131.65|164.56 58-1036115|1972558336|74175| Ct angio abdom w/o & w/dye|131.65|164.56 58-1036115|1972558336|74176| Ct abd & pelvis w/o contrast|114.84|143.55 58-1036115|1972558336|74177| Ct abd & pelv w/contrast|131.65|164.56 58-1036115|1972558336|74178| Ct abd & pelv 1/> regns|131.65|164.56 58-1036115|1972558336|74181| Mri abdomen w/o dye|121.02|151.28 58-1036115|1972558336|74182| Mri abdomen w/dye|237.73|297.16 58-1036115|1972558336|74183| Mri abdomen w/o & w/dye|237.73|297.16 58-1036115|1972558336|74190| X-ray exam of peritoneum|0.00|0.00 58-1036115|1972558336|74210| Contrst x-ray exam of throat|0.00|0.00 58-1036115|1972558336|74220| Contrast x-ray esophagus|0.00|0.00 58-1036115|1972558336|74230| Cine/vid x-ray throat/esoph|0.00|0.00 58-1036115|1972558336|74235| Remove esophagus obstruction|0.00|0.00 58-1036115|1972558336|74240| X-ray upper gi delay w/o kub|78.84|98.55 58-1036115|1972558336|74241| X-ray upper gi delay w/kub|83.52|104.40 58-1036115|1972558336|74245| X-ray upper gi&small intest|121.02|151.28 58-1036115|1972558336|74246| Contrst x-ray uppr gi tract|131.65|164.56 58-1036115|1972558336|74247| Contrst x-ray uppr gi tract|131.65|164.56 58-1036115|1972558336|74249| Contrst x-ray uppr gi tract|131.65|164.56 58-1036115|1972558336|74250| X-ray exam of small bowel|59.63|74.54 58-1036115|1972558336|74251| X-ray exam of small bowel|59.63|74.54 58-1036115|1972558336|74260| X-ray exam of small bowel|0.00|0.00 58-1036115|1972558336|74261| Ct colonography dx|59.63|74.54 58-1036115|1972558336|74262| Ct colonography dx w/dye|131.65|164.56 58-1036115|1972558336|74270| Contrast x-ray exam of colon|0.00|0.00 58-1036115|1972558336|74280| Contrast x-ray exam of colon|131.65|164.56 58-1036115|1972558336|74283| Ther nma rdctj intus/obstrcj|131.65|164.56 58-1036115|1972558336|74290| Contrast x-ray gallbladder|0.00|0.00 58-1036115|1972558336|74300| X-ray bile ducts/pancreas|0.00|0.00 58-1036115|1972558336|74301| X-rays at surgery add-on|0.00|0.00 58-1036115|1972558336|74328| X-ray bile duct endoscopy|0.00|0.00 58-1036115|1972558336|74329| X-ray for pancreas endoscopy|0.00|0.00 58-1036115|1972558336|74330| X-ray bile/panc endoscopy|0.00|0.00 58-1036115|1972558336|74340| X-ray guide for gi tube|0.00|0.00 58-1036115|1972558336|74355| X-ray guide intestinal tube|0.00|0.00 58-1036115|1972558336|74360| X-ray guide gi dilation|0.00|0.00 58-1036115|1972558336|74363| X-ray bile duct dilation|0.00|0.00 58-1036115|1972558336|74400| Contrst x-ray urinary tract|131.65|164.56 58-1036115|1972558336|74410| Contrst x-ray urinary tract|131.65|164.56 58-1036115|1972558336|74415| Contrst x-ray urinary tract|131.65|164.56 58-1036115|1972558336|74420| Contrst x-ray urinary tract|237.73|297.16 58-1036115|1972558336|74425| Contrst x-ray urinary tract|0.00|0.00 58-1036115|1972558336|74430| Contrast x-ray bladder|0.00|0.00 58-1036115|1972558336|74440| X-ray male genital tract|0.00|0.00 58-1036115|1972558336|74445| X-ray exam of penis|0.00|0.00 58-1036115|1972558336|74450| X-ray urethra/bladder|0.00|0.00 58-1036115|1972558336|74455| X-ray urethra/bladder|0.00|0.00 58-1036115|1972558336|74470| X-ray exam of kidney lesion|0.00|0.00 58-1036115|1972558336|74485| Dilation urtr/urt rs&i|0.00|0.00 58-1036115|1972558336|74710| X-ray measurement of pelvis|0.00|0.00 58-1036115|1972558336|74712| Mri fetal sngl/1st gestation|121.02|151.28 58-1036115|1972558336|74713| Mri fetal ea addl gestation|0.00|0.00 58-1036115|1972558336|74740| X-ray female genital tract|0.00|0.00 58-1036115|1972558336|74742| X-ray fallopian tube|0.00|0.00 58-1036115|1972558336|74775| X-ray exam of perineum|59.63|74.54 58-1036115|1972558336|75557| Cardiac mri for morph|121.02|151.28 58-1036115|1972558336|75559| Cardiac mri w/stress img|121.02|151.28 58-1036115|1972558336|75561| Cardiac mri for morph w/dye|237.73|297.16 58-1036115|1972558336|75563| Card mri w/stress img & dye|355.20|444.00 58-1036115|1972558336|75565| Card mri veloc flow mapping|0.00|0.00 58-1036115|1972558336|75571| Ct hrt w/o dye w/ca test|0.00|0.00 58-1036115|1972558336|75572| Ct hrt w/3d image|131.65|164.56 58-1036115|1972558336|75573| Ct hrt w/3d image congen|131.65|164.56 58-1036115|1972558336|75574| Ct angio hrt w/3d image|131.65|164.56 58-1036115|1972558336|75600| Contrast exam thoracic aorta|0.00|0.00 58-1036115|1972558336|75605| Contrast exam thoracic aorta|0.00|0.00 58-1036115|1972558336|75625| Contrast exam abdominl aorta|0.00|0.00 58-1036115|1972558336|75630| X-ray aorta leg arteries|0.00|0.00 58-1036115|1972558336|75635| Ct angio abdominal arteries|0.00|0.00 58-1036115|1972558336|75705| Artery x-rays spine|0.00|0.00 58-1036115|1972558336|75710| Artery x-rays arm/leg|0.00|0.00 58-1036115|1972558336|75716| Artery x-rays arms/legs|0.00|0.00 58-1036115|1972558336|75726| Artery x-rays abdomen|0.00|0.00 58-1036115|1972558336|75731| Artery x-rays adrenal gland|0.00|0.00 58-1036115|1972558336|75733| Artery x-rays adrenals|0.00|0.00 58-1036115|1972558336|75736| Artery x-rays pelvis|0.00|0.00 58-1036115|1972558336|75741| Artery x-rays lung|0.00|0.00 58-1036115|1972558336|75743| Artery x-rays lungs|0.00|0.00 58-1036115|1972558336|75746| Artery x-rays lung|0.00|0.00 58-1036115|1972558336|75756| Artery x-rays chest|0.00|0.00 58-1036115|1972558336|75774| Artery x-ray each vessel|0.00|0.00 58-1036115|1972558336|75801| Lymph vessel x-ray arm/leg|0.00|0.00 58-1036115|1972558336|75803| Lymph vessel x-ray arms/legs|0.00|0.00 58-1036115|1972558336|75805| Lymph vessel x-ray trunk|0.00|0.00 58-1036115|1972558336|75807| Lymph vessel x-ray trunk|0.00|0.00 58-1036115|1972558336|75809| Nonvascular shunt x-ray|0.00|0.00 58-1036115|1972558336|75810| Vein x-ray spleen/liver|0.00|0.00 58-1036115|1972558336|75820| Vein x-ray arm/leg|0.00|0.00 58-1036115|1972558336|75822| Vein x-ray arms/legs|0.00|0.00 58-1036115|1972558336|75825| Vein x-ray trunk|0.00|0.00 58-1036115|1972558336|75827| Vein x-ray chest|0.00|0.00 58-1036115|1972558336|75831| Vein x-ray kidney|0.00|0.00 58-1036115|1972558336|75833| Vein x-ray kidneys|0.00|0.00 58-1036115|1972558336|75840| Vein x-ray adrenal gland|0.00|0.00 58-1036115|1972558336|75842| Vein x-ray adrenal glands|0.00|0.00 58-1036115|1972558336|75860| Vein x-ray neck|0.00|0.00 58-1036115|1972558336|75870| Vein x-ray skull|0.00|0.00 58-1036115|1972558336|75872| Vein x-ray skull epidural|0.00|0.00 58-1036115|1972558336|75880| Vein x-ray eye socket|0.00|0.00 58-1036115|1972558336|75885| Vein x-ray liver w/hemodynam|0.00|0.00 58-1036115|1972558336|75887| Vein x-ray liver w/o hemodyn|0.00|0.00 58-1036115|1972558336|75889| Vein x-ray liver w/hemodynam|0.00|0.00 58-1036115|1972558336|75891| Vein x-ray liver|0.00|0.00 58-1036115|1972558336|75893| Venous sampling by catheter|0.00|0.00 58-1036115|1972558336|75894| X-rays transcath therapy|0.00|0.00 58-1036115|1972558336|75898| Follow-up angiography|0.00|0.00 58-1036115|1972558336|75901| Remove cva device obstruct|0.00|0.00 58-1036115|1972558336|75902| Remove cva lumen obstruct|0.00|0.00 58-1036115|1972558336|75956| Xray endovasc thor ao repr|0.00|0.00 58-1036115|1972558336|75957| Xray endovasc thor ao repr|0.00|0.00 58-1036115|1972558336|75958| Xray place prox ext thor ao|0.00|0.00 58-1036115|1972558336|75959| Xray place dist ext thor ao|0.00|0.00 58-1036115|1972558336|75970| Vascular biopsy|0.00|0.00 58-1036115|1972558336|75984| Xray control catheter change|0.00|0.00 58-1036115|1972558336|75989| Abscess drainage under x-ray|0.00|0.00 58-1036115|1972558336|76000| Fluoroscopy <1 hr phys/qhp|39.24|49.05 58-1036115|1972558336|76001|Fluoroscope exam extensive|0.00|0.00 58-1036115|1972558336|76010| X-ray nose to rectum|0.00|0.00 58-1036115|1972558336|76080| X-ray exam of fistula|0.00|0.00 58-1036115|1972558336|76098| X-ray exam surgical specimen|0.00|0.00 58-1036115|1972558336|76100| X-ray exam of body section|0.00|0.00 58-1036115|1972558336|76101| Complex body section x-ray|59.63|74.54 58-1036115|1972558336|76102| Complex body section x-rays|59.63|74.54 58-1036115|1972558336|76120| Cine/video x-rays|0.00|0.00 58-1036115|1972558336|76125| Cine/video x-rays add-on|0.00|0.00 58-1036115|1972558336|76376| 3d render w/intrp postproces|0.00|0.00 58-1036115|1972558336|76377| 3d render w/intrp postproces|0.00|0.00 58-1036115|1972558336|76380| Cat scan follow-up study|0.00|0.00 58-1036115|1972558336|76391|Mr elastography|113.61|142.02 58-1036115|1972558336|76496| Fluoroscopic procedure|0.00|0.00 58-1036115|1972558336|76497| Ct procedure|0.00|0.00 58-1036115|1972558336|76498| Mri procedure|32.36|40.45 58-1036115|1972558336|76499| Radiographic procedure|0.00|0.00 58-1036115|1972558336|76506| Echo exam of head|0.00|0.00 58-1036115|1972558336|76510| Ophth us b & quant a|0.00|0.00 58-1036115|1972558336|76511| Ophth us quant a only|0.00|0.00 58-1036115|1972558336|76512| Ophth us b w/non-quant a|0.00|0.00 58-1036115|1972558336|76513| Echo exam of eye water bath|0.00|0.00 58-1036115|1972558336|76514| Echo exam of eye thickness|0.00|0.00 58-1036115|1972558336|76516| Echo exam of eye|0.00|0.00 58-1036115|1972558336|76519| Echo exam of eye|0.00|0.00 58-1036115|1972558336|76529| Echo exam of eye|0.00|0.00 58-1036115|1972558336|76536| Us exam of head and neck|0.00|0.00 58-1036115|1972558336|76604| Us exam chest|0.00|0.00 58-1036115|1972558336|76641| Ultrasound breast complete|0.00|0.00 58-1036115|1972558336|76642| Ultrasound breast limited|0.00|0.00 58-1036115|1972558336|76700| Us exam abdom complete|59.63|74.54 58-1036115|1972558336|76705| Echo exam of abdomen|59.63|74.54 58-1036115|1972558336|76706| Us abdl aorta screen aaa|55.44|69.30 58-1036115|1972558336|76770| Us exam abdo back wall comp|59.63|74.54 58-1036115|1972558336|76775| Us exam abdo back wall lim|0.00|0.00 58-1036115|1972558336|76776| Us exam k transpl w/doppler|59.63|74.54 58-1036115|1972558336|76800| Us exam spinal canal|0.00|0.00 58-1036115|1972558336|76801| Ob us < 14 wks single fetus|59.63|74.54 58-1036115|1972558336|76802| Ob us < 14 wks addl fetus|0.00|0.00 58-1036115|1972558336|76805| Ob us >/= 14 wks sngl fetus|59.63|74.54 58-1036115|1972558336|76810| Ob us >/= 14 wks addl fetus|0.00|0.00 58-1036115|1972558336|76811| Ob us detailed sngl fetus|59.63|74.54 58-1036115|1972558336|76812| Ob us detailed addl fetus|0.00|0.00 58-1036115|1972558336|76813| Ob us nuchal meas 1 gest|0.00|0.00 58-1036115|1972558336|76814| Ob us nuchal meas add-on|0.00|0.00 58-1036115|1972558336|76815| Ob us limited fetus(s)|0.00|0.00 58-1036115|1972558336|76816| Ob us follow-up per fetus|0.00|0.00 58-1036115|1972558336|76817| Transvaginal us obstetric|0.00|0.00 58-1036115|1972558336|76818| Fetal biophys profile w/nst|59.63|74.54 58-1036115|1972558336|76819| Fetal biophys profil w/o nst|51.48|64.35 58-1036115|1972558336|76820| Umbilical artery echo|0.00|0.00 58-1036115|1972558336|76821| Middle cerebral artery echo|0.00|0.00 58-1036115|1972558336|76825| Echo exam of fetal heart|198.72|248.40 58-1036115|1972558336|76826| Echo exam of fetal heart|121.02|151.28 58-1036115|1972558336|76827| Echo exam of fetal heart|0.00|0.00 58-1036115|1972558336|76828| Echo exam of fetal heart|0.00|0.00 58-1036115|1972558336|76830| Transvaginal us non-ob|59.63|74.54 58-1036115|1972558336|76831| Echo exam uterus|84.60|105.75 58-1036115|1972558336|76856| Us exam pelvic complete|59.63|74.54 58-1036115|1972558336|76857| Us exam pelvic limited|23.76|29.70 58-1036115|1972558336|76870| Us exam scrotum|0.00|0.00 58-1036115|1972558336|76872| Us transrectal|59.63|74.54 58-1036115|1972558336|76873| Echograp trans r pros study|59.63|74.54 58-1036115|1972558336|76881| Us compl joint r-t w/img|59.63|74.54 58-1036115|1972558336|76882| Us lmtd jt/nonvasc xtr strux|0.00|0.00 58-1036115|1972558336|76885| Us exam infant hips dynamic|0.00|0.00 58-1036115|1972558336|76886| Us exam infant hips static|0.00|0.00 58-1036115|1972558336|76930| Echo guide cardiocentesis|0.00|0.00 58-1036115|1972558336|76932| Echo guide for heart biopsy|0.00|0.00 58-1036115|1972558336|76936| Echo guide for artery repair|129.62|162.03 58-1036115|1972558336|76937| Us guide vascular access|0.00|0.00 58-1036115|1972558336|76940| Us guide tissue ablation|0.00|0.00 58-1036115|1972558336|76941| Echo guide for transfusion|0.00|0.00 58-1036115|1972558336|76942| Echo guide for biopsy|0.00|0.00 58-1036115|1972558336|76945| Echo guide villus sampling|0.00|0.00 58-1036115|1972558336|76946| Echo guide for amniocentesis|0.00|0.00 58-1036115|1972558336|76948| Echo guide ova aspiration|0.00|0.00 58-1036115|1972558336|76965| Echo guidance radiotherapy|0.00|0.00 58-1036115|1972558336|76970| Ultrasound exam follow-up|0.00|0.00 58-1036115|1972558336|76975| Gi endoscopic ultrasound|0.00|0.00 58-1036115|1972558336|76977| Us bone density measure|4.32|5.40 58-1036115|1972558336|76978|Us trgt dyn mbubb 1st les|99.41|124.26 58-1036115|1972558336|76981|Use parenchyma|55.44|69.30 58-1036115|1972558336|76982|Use 1st target lesion|55.44|69.30 58-1036115|1972558336|76998| Us guide intraop|0.00|0.00 58-1036115|1972558336|76999| Echo examination procedure|0.00|0.00 58-1036115|1972558336|77001| Fluoroguide for vein device|0.00|0.00 58-1036115|1972558336|77002| Needle localization by xray|0.00|0.00 58-1036115|1972558336|77003| Fluoroguide for spine inject|0.00|0.00 58-1036115|1972558336|77011| Ct scan for localization|0.00|0.00 58-1036115|1972558336|77012| Ct scan for needle biopsy|0.00|0.00 58-1036115|1972558336|77013| Ct guide for tissue ablation|0.00|0.00 58-1036115|1972558336|77014| Ct scan for therapy guide|0.00|0.00 58-1036115|1972558336|77021| Mri guidance ndl plmt rs&i|0.00|0.00 58-1036115|1972558336|77022| Mri gdn parnchyma tiss abltj|0.00|0.00 58-1036115|1972558336|77046|Mri breast c- unilateral|113.61|142.02 58-1036115|1972558336|77047|Mri breast c- bilateral|113.61|142.02 58-1036115|1972558336|77053| X-ray of mammary duct|0.00|0.00 58-1036115|1972558336|77054| X-ray of mammary ducts|0.00|0.00 58-1036115|1972558336|77071| X-ray stress view|0.00|0.00 58-1036115|1972558336|77072| X-rays for bone age|0.00|0.00 58-1036115|1972558336|77073| X-rays bone length studies|0.00|0.00 58-1036115|1972558336|77074| X-rays bone survey limited|0.00|0.00 58-1036115|1972558336|77075| X-rays bone survey complete|0.00|0.00 58-1036115|1972558336|77076| X-rays bone survey infant|0.00|0.00 58-1036115|1972558336|77077| Joint survey single view|0.00|0.00 58-1036115|1972558336|77078| Ct bone density axial|32.36|40.45 58-1036115|1972558336|77080| Dxa bone density axial|32.04|40.05 58-1036115|1972558336|77081| Dxa bone density/peripheral|17.28|21.60 58-1036115|1972558336|77084| Magnetic image bone marrow|121.02|151.28 58-1036115|1972558336|77085| Dxa bone density study|0.00|0.00 58-1036115|1972558336|77086| Fracture assessment via dxa|0.00|0.00 58-1036115|1972558336|77280| Set radiation therapy field|65.30|81.63 58-1036115|1972558336|77285| Set radiation therapy field|168.30|210.38 58-1036115|1972558336|77290| Set radiation therapy field|168.30|210.38 58-1036115|1972558336|77293| Respirator motion mgmt simul|0.00|0.00 58-1036115|1972558336|77295| 3-d radiotherapy plan|278.64|348.30 58-1036115|1972558336|77299| Radiation therapy planning|65.30|81.63 58-1036115|1972558336|77300| Radiation therapy dose plan|35.28|44.10 58-1036115|1972558336|77301| Radiotherapy dose plan imrt|618.16|772.70 58-1036115|1972558336|77306| Telethx isodose plan simple|79.56|99.45 58-1036115|1972558336|77307| Telethx isodose plan cplx|144.00|180.00 58-1036115|1972558336|77316| Brachytx isodose plan simple|119.52|149.40 58-1036115|1972558336|77317| Brachytx isodose intermed|156.24|195.30 58-1036115|1972558336|77318| Brachytx isodose complex|168.30|210.38 58-1036115|1972558336|77321| Special teletx port plan|45.36|56.70 58-1036115|1972558336|77331| Special radiation dosimetry|19.44|24.30 58-1036115|1972558336|77332| Radiation treatment aid(s)|35.64|44.55 58-1036115|1972558336|77333| Radiation treatment aid(s)|60.12|75.15 58-1036115|1972558336|77334| Radiation treatment aid(s)|70.92|88.65 58-1036115|1972558336|77336| Radiation physics consult|65.30|81.63 58-1036115|1972558336|77338| Design mlc device for imrt|168.30|210.38 58-1036115|1972558336|77370| Radiation physics consult|65.30|81.63 58-1036115|1972558336|77371| Srs multisource|3766.83|4708.53 58-1036115|1972558336|77372| Srs linear based|3766.83|4708.53 58-1036115|1972558336|77373| Sbrt delivery|833.06|1041.32 58-1036115|1972558336|77385| Ntsty modul rad tx dlvr smpl|272.08|340.10 58-1036115|1972558336|77386| Ntsty modul rad tx dlvr cplx|272.08|340.10 58-1036115|1972558336|77387| Guidance for radj tx dlvr|0.00|0.00 58-1036115|1972558336|77399| External radiation dosimetry|65.30|81.63 58-1036115|1972558336|77401| Radiation treatment delivery|25.20|31.50 58-1036115|1972558336|77402| Radiation treatment delivery|64.98|81.23 58-1036115|1972558336|77407| Radiation treatment delivery|64.98|81.23 58-1036115|1972558336|77412| Radiation treatment delivery|114.52|143.15 58-1036115|1972558336|77417| Radiology port images(s)|0.00|0.00 58-1036115|1972558336|77423| Neutron beam tx complex|27.72|34.65 58-1036115|1972558336|77424| Io rad tx delivery by x-ray|1834.75|2293.44 58-1036115|1972558336|77425| Io rad tx deliver by elctrns|1834.75|2293.44 58-1036115|1972558336|77435| Sbrt management|0.00|0.00 58-1036115|1972558336|77470| Special radiation treatment|31.68|39.60 58-1036115|1972558336|77520| Proton trmt simple w/o comp|272.08|340.10 58-1036115|1972558336|77522| Proton trmt simple w/comp|548.80|686.00 58-1036115|1972558336|77523| Proton trmt intermediate|548.80|686.00 58-1036115|1972558336|77525| Proton treatment complex|548.80|686.00 58-1036115|1972558336|77600| Hyperthermia treatment|114.52|143.15 58-1036115|1972558336|77605| Hyperthermia treatment|371.99|464.99 58-1036115|1972558336|77610| Hyperthermia treatment|272.08|340.10 58-1036115|1972558336|77615| Hyperthermia treatment|272.08|340.10 58-1036115|1972558336|77620| Hyperthermia treatment|272.08|340.10 58-1036115|1972558336|77750| Infuse radioactive materials|114.52|143.15 58-1036115|1972558336|77761| Apply intrcav radiat simple|198.00|247.50 58-1036115|1972558336|77762| Apply intrcav radiat interm|227.52|284.40 58-1036115|1972558336|77763| Apply intrcav radiat compl|300.60|375.75 58-1036115|1972558336|77767| Hdr rdncl skn surf brachytx|114.52|143.15 58-1036115|1972558336|77768| Hdr rdncl skn surf brachytx|114.52|143.15 58-1036115|1972558336|77770| Hdr rdncl ntrstl/icav brchtx|229.32|286.65 58-1036115|1972558336|77771| Hdr rdncl ntrstl/icav brchtx|371.99|464.99 58-1036115|1972558336|77772| Hdr rdncl ntrstl/icav brchtx|371.99|464.99 58-1036115|1972558336|77778| Apply interstit radiat compl|371.99|464.99 58-1036115|1972558336|77789| Apply surf ldr radionuclide|63.36|79.20 58-1036115|1972558336|77790| Radiation handling|0.00|0.00 58-1036115|1972558336|77799| Radium/radioisotope therapy|64.98|81.23 58-1036115|1972558336|78012| Thyroid uptake measurement|182.03|227.54 58-1036115|1972558336|78013| Thyroid imaging w/blood flow|182.03|227.54 58-1036115|1972558336|78014| Thyroid imaging w/blood flow|182.03|227.54 58-1036115|1972558336|78015| Thyroid met imaging|182.03|227.54 58-1036115|1972558336|78016| Thyroid met imaging/studies|182.03|227.54 58-1036115|1972558336|78018| Thyroid met imaging body|236.02|295.03 58-1036115|1972558336|78020| Thyroid met uptake|0.00|0.00 58-1036115|1972558336|78070| Parathyroid planar imaging|182.03|227.54 58-1036115|1972558336|78071| Parathyrd planar w/wo subtrj|182.03|227.54 58-1036115|1972558336|78072| Parathyrd planar w/spect&ct|236.02|295.03 58-1036115|1972558336|78075| Adrenal cortex & medulla img|626.50|783.13 58-1036115|1972558336|78099| Endocrine nuclear procedure|182.03|227.54 58-1036115|1972558336|78102| Bone marrow imaging ltd|182.03|227.54 58-1036115|1972558336|78103| Bone marrow imaging mult|182.03|227.54 58-1036115|1972558336|78104| Bone marrow imaging body|182.03|227.54 58-1036115|1972558336|78110| Plasma volume single|626.50|783.13 58-1036115|1972558336|78111| Plasma volume multiple|626.50|783.13 58-1036115|1972558336|78120| Red cell mass single|182.03|227.54 58-1036115|1972558336|78121| Red cell mass multiple|236.02|295.03 58-1036115|1972558336|78122| Blood volume|236.02|295.03 58-1036115|1972558336|78130| Red cell survival study|182.03|227.54 58-1036115|1972558336|78135| Red cell survival kinetics|182.03|227.54 58-1036115|1972558336|78140| Red cell sequestration|182.03|227.54 58-1036115|1972558336|78185| Spleen imaging|182.03|227.54 58-1036115|1972558336|78191| Platelet survival|182.03|227.54 58-1036115|1972558336|78195| Lymph system imaging|236.02|295.03 58-1036115|1972558336|78199| Blood/lymph nuclear exam|182.03|227.54 58-1036115|1972558336|78201| Liver imaging|626.50|783.13 58-1036115|1972558336|78202| Liver imaging with flow|626.50|783.13 58-1036115|1972558336|78205| Liver imaging (3d)|626.50|783.13 58-1036115|1972558336|78206| Liver image (3d) with flow|236.02|295.03 58-1036115|1972558336|78215| Liver and spleen imaging|182.03|227.54 58-1036115|1972558336|78216| Liver & spleen image/flow|182.03|227.54 58-1036115|1972558336|78226| Hepatobiliary system imaging|182.03|227.54 58-1036115|1972558336|78227| Hepatobil syst image w/drug|236.02|295.03 58-1036115|1972558336|78230| Salivary gland imaging|182.03|227.54 58-1036115|1972558336|78231| Serial salivary imaging|182.03|227.54 58-1036115|1972558336|78232| Salivary gland function exam|182.03|227.54 58-1036115|1972558336|78258| Esophageal motility study|182.03|227.54 58-1036115|1972558336|78261| Gastric mucosa imaging|182.03|227.54 58-1036115|1972558336|78262| Gastroesophageal reflux exam|182.03|227.54 58-1036115|1972558336|78264| Gastric emptying imag study|182.03|227.54 58-1036115|1972558336|78265| Gastric emptying imag study|182.03|227.54 58-1036115|1972558336|78266| Gastric emptying imag study|236.02|295.03 58-1036115|1972558336|78270|Vit b-12 absorption exam|182.03|227.54 58-1036115|1972558336|78271|Vit b-12 absrp exam int fac|182.03|227.54 58-1036115|1972558336|78272|Vit b-12 absorp combined|182.03|227.54 58-1036115|1972558336|78278| Acute gi blood loss imaging|182.03|227.54 58-1036115|1972558336|78282| Gi protein loss exam|182.03|227.54 58-1036115|1972558336|78290| Meckels divert exam|182.03|227.54 58-1036115|1972558336|78291| Leveen/shunt patency exam|182.03|227.54 58-1036115|1972558336|78299| Gi nuclear procedure|182.03|227.54 58-1036115|1972558336|78300| Bone imaging limited area|182.03|227.54 58-1036115|1972558336|78305| Bone imaging multiple areas|182.03|227.54 58-1036115|1972558336|78306| Bone imaging whole body|182.03|227.54 58-1036115|1972558336|78315| Bone imaging 3 phase|182.03|227.54 58-1036115|1972558336|78320| Bone imaging (3d)|236.02|295.03 58-1036115|1972558336|78399| Musculoskeletal nuclear exam|182.03|227.54 58-1036115|1972558336|78414| Non-imaging heart function|236.02|295.03 58-1036115|1972558336|78428| Cardiac shunt imaging|182.03|227.54 58-1036115|1972558336|78445| Vascular flow imaging|182.03|227.54 58-1036115|1972558336|78451| Ht muscle image spect sing|626.50|783.13 58-1036115|1972558336|78452| Ht muscle image spect mult|626.50|783.13 58-1036115|1972558336|78453| Ht muscle image planar sing|626.50|783.13 58-1036115|1972558336|78454| Ht musc image planar mult|626.50|783.13 58-1036115|1972558336|78456| Acute venous thrombus image|626.50|783.13 58-1036115|1972558336|78457| Venous thrombosis imaging|626.50|783.13 58-1036115|1972558336|78458| Ven thrombosis images bilat|182.03|227.54 58-1036115|1972558336|78459| Heart muscle imaging (pet)|626.50|783.13 58-1036115|1972558336|78466| Heart infarct image|182.03|227.54 58-1036115|1972558336|78468| Heart infarct image (ef)|236.02|295.03 58-1036115|1972558336|78469| Heart infarct image (3d)|626.50|783.13 58-1036115|1972558336|78472| Gated heart planar single|182.03|227.54 58-1036115|1972558336|78473| Gated heart multiple|182.03|227.54 58-1036115|1972558336|78481| Heart first pass single|236.02|295.03 58-1036115|1972558336|78483| Heart first pass multiple|236.02|295.03 58-1036115|1972558336|78491| Heart image (pet) single|717.41|896.76 58-1036115|1972558336|78492| Heart image (pet) multiple|717.41|896.76 58-1036115|1972558336|78494| Heart image spect|182.03|227.54 58-1036115|1972558336|78496| Heart first pass add-on|0.00|0.00 58-1036115|1972558336|78499| Cardiovascular nuclear exam|182.03|227.54 58-1036115|1972558336|78579| Lung ventilation imaging|182.03|227.54 58-1036115|1972558336|78580| Lung perfusion imaging|182.03|227.54 58-1036115|1972558336|78582| Lung ventilat&perfus imaging|236.02|295.03 58-1036115|1972558336|78597| Lung perfusion differential|182.03|227.54 58-1036115|1972558336|78598| Lung perf&ventilat diferentl|236.02|295.03 58-1036115|1972558336|78599| Respiratory nuclear exam|182.03|227.54 58-1036115|1972558336|78600| Brain image < 4 views|182.03|227.54 58-1036115|1972558336|78601| Brain image w/flow < 4 views|182.03|227.54 58-1036115|1972558336|78605| Brain image 4+ views|236.02|295.03 58-1036115|1972558336|78606| Brain image w/flow 4 + views|236.02|295.03 58-1036115|1972558336|78607| Brain imaging (3d)|626.50|783.13 58-1036115|1972558336|78608| Brain imaging (pet)|717.41|896.76 58-1036115|1972558336|78610| Brain flow imaging only|236.02|295.03 58-1036115|1972558336|78630| Cerebrospinal fluid scan|236.02|295.03 58-1036115|1972558336|78635| Csf ventriculography|236.02|295.03 58-1036115|1972558336|78645| Csf shunt evaluation|236.02|295.03 58-1036115|1972558336|78647| Cerebrospinal fluid scan|626.50|783.13 58-1036115|1972558336|78650| Csf leakage imaging|626.50|783.13 58-1036115|1972558336|78660| Nuclear exam of tear flow|182.03|227.54 58-1036115|1972558336|78699| Nervous system nuclear exam|182.03|227.54 58-1036115|1972558336|78700| Kidney imaging morphol|182.03|227.54 58-1036115|1972558336|78701| Kidney imaging with flow|182.03|227.54 58-1036115|1972558336|78707| K flow/funct image w/o drug|236.02|295.03 58-1036115|1972558336|78708| K flow/funct image w/drug|236.02|295.03 58-1036115|1972558336|78709| K flow/funct image multiple|236.02|295.03 58-1036115|1972558336|78710| Kidney imaging (3d)|236.02|295.03 58-1036115|1972558336|78725| Kidney function study|182.03|227.54 58-1036115|1972558336|78730| Urinary bladder retention|0.00|0.00 58-1036115|1972558336|78740| Ureteral reflux study|182.03|227.54 58-1036115|1972558336|78761| Testicular imaging w/flow|182.03|227.54 58-1036115|1972558336|78799| Genitourinary nuclear exam|182.03|227.54 58-1036115|1972558336|78800| Tumor imaging limited area|182.03|227.54 58-1036115|1972558336|78801| Tumor imaging mult areas|182.03|227.54 58-1036115|1972558336|78802| Tumor imaging whole body|626.50|783.13 58-1036115|1972558336|78803| Tumor imaging (3d)|236.02|295.03 58-1036115|1972558336|78804| Tumor imaging whole body|626.50|783.13 58-1036115|1972558336|78805| Abscess imaging ltd area|626.50|783.13 58-1036115|1972558336|78806| Abscess imaging whole body|626.50|783.13 58-1036115|1972558336|78807| Nuclear localization/abscess|236.02|295.03 58-1036115|1972558336|78808| Iv inj ra drug dx study|0.00|0.00 58-1036115|1972558336|78811| Pet image ltd area|626.50|783.13 58-1036115|1972558336|78812| Pet image skull-thigh|717.41|896.76 58-1036115|1972558336|78813| Pet image full body|717.41|896.76 58-1036115|1972558336|78814| Pet image w/ct lmtd|717.41|896.76 58-1036115|1972558336|78815| Pet image w/ct skull-thigh|717.41|896.76 58-1036115|1972558336|78816| Pet image w/ct full body|717.41|896.76 58-1036115|1972558336|78999| Nuclear diagnostic exam|182.03|227.54 58-1036115|1972558336|79005| Nuclear rx oral admin|49.68|62.10 58-1036115|1972558336|79101| Nuclear rx iv admin|49.32|61.65 58-1036115|1972558336|79200| Nuclear rx intracav admin|51.48|64.35 58-1036115|1972558336|79300| Nuclr rx interstit colloid|124.23|155.29 58-1036115|1972558336|79403| Hematopoietic nuclear tx|84.24|105.30 58-1036115|1972558336|79440| Nuclear rx intra-articular|41.76|52.20 58-1036115|1972558336|79445| Nuclear rx intra-arterial|124.23|155.29 58-1036115|1972558336|79999| Nuclear medicine therapy|124.23|155.29 58-1036115|1972558336|80500| Lab pathology consultation|25.12|31.40 58-1036115|1972558336|80502| Lab pathology consultation|25.12|31.40 58-1036115|1972558336|85097| Bone marrow interpretation|275.02|343.78 58-1036115|1972558336|86077| Phys blood bank serv xmatch|15.83|19.79 58-1036115|1972558336|86078| Phys blood bank serv reactj|71.32|89.15 58-1036115|1972558336|86079| Phys blood bank serv authrj|25.12|31.40 58-1036115|1972558336|86485| Skin test candida|15.83|19.79 58-1036115|1972558336|86486| Skin test nos antigen|8.46|10.58 58-1036115|1972558336|86490| Coccidioidomycosis skin test|27.54|34.43 58-1036115|1972558336|86510| Histoplasmosis skin test|27.54|34.43 58-1036115|1972558336|86580| Tb intradermal test|8.46|10.58 58-1036115|1972558336|86850| Rbc antibody screen|25.12|31.40 58-1036115|1972558336|86860| Rbc antibody elution|71.32|89.15 58-1036115|1972558336|86870| Rbc antibody identification|135.13|168.91 58-1036115|1972558336|86880| Coombs test direct|15.83|19.79 58-1036115|1972558336|86885| Coombs test indirect qual|71.32|89.15 58-1036115|1972558336|86886| Coombs test indirect titer|71.32|89.15 58-1036115|1972558336|86890| Autologous blood process|71.32|89.15 58-1036115|1972558336|86891| Autologous blood op salvage|275.02|343.78 58-1036115|1972558336|86900| Blood typing serologic abo|52.47|65.59 58-1036115|1972558336|86901| Blood typing serologic rh(d)|15.83|19.79 58-1036115|1972558336|86902| Blood type antigen donor ea|135.13|168.91 58-1036115|1972558336|86904| Blood typing patient serum|15.83|19.79 58-1036115|1972558336|86905| Blood typing rbc antigens|135.13|168.91 58-1036115|1972558336|86906| Bld typing serologic rh phnt|15.83|19.79 58-1036115|1972558336|86920| Compatibility test spin|71.32|89.15 58-1036115|1972558336|86921| Compatibility test incubate|71.32|89.15 58-1036115|1972558336|86922| Compatibility test antiglob|71.32|89.15 58-1036115|1972558336|86923| Compatibility test electric|71.32|89.15 58-1036115|1972558336|86927| Plasma fresh frozen|71.32|89.15 58-1036115|1972558336|86930| Frozen blood prep|135.13|168.91 58-1036115|1972558336|86931| Frozen blood thaw|135.13|168.91 58-1036115|1972558336|86932| Frozen blood freeze/thaw|15.83|19.79 58-1036115|1972558336|86945| Blood product/irradiation|15.83|19.79 58-1036115|1972558336|86950| Leukacyte transfusion|71.32|89.15 58-1036115|1972558336|86960| Vol reduction of blood/prod|71.32|89.15 58-1036115|1972558336|86965| Pooling blood platelets|71.32|89.15 58-1036115|1972558336|86970| Rbc pretx incubatj w/chemicl|15.83|19.79 58-1036115|1972558336|86971| Rbc pretx incubatj w/enzymes|135.13|168.91 58-1036115|1972558336|86972| Rbc pretx incubatj w/density|71.32|89.15 58-1036115|1972558336|86975| Rbc serum pretx incubj drugs|15.83|19.79 58-1036115|1972558336|86976| Rbc serum pretx id dilution|8.46|10.58 58-1036115|1972558336|86977| Rbc serum pretx incubj/inhib|71.32|89.15 58-1036115|1972558336|86978| Rbc pretreatment serum|15.83|19.79 58-1036115|1972558336|86985| Split blood or products|71.32|89.15 58-1036115|1972558336|86999| Transfusion procedure|8.46|10.58 58-1036115|1972558336|88104| Cytopath fl nongyn smears|15.83|19.79 58-1036115|1972558336|88106| Cytopath fl nongyn filter|8.46|10.58 58-1036115|1972558336|88108| Cytopath concentrate tech|15.83|19.79 58-1036115|1972558336|88112| Cytopath cell enhance tech|25.12|31.40 58-1036115|1972558336|88120| Cytp urne 3-5 probes ea spec|71.32|89.15 58-1036115|1972558336|88121| Cytp urine 3-5 probes cmptr|135.13|168.91 58-1036115|1972558336|88125| Forensic cytopathology|25.12|31.40 58-1036115|1972558336|88160| Cytopath smear other source|8.46|10.58 58-1036115|1972558336|88161| Cytopath smear other source|15.83|19.79 58-1036115|1972558336|88162| Cytopath smear other source|25.12|31.40 58-1036115|1972558336|88172| Cytp dx eval fna 1st ea site|71.32|89.15 58-1036115|1972558336|88173| Cytopath eval fna report|25.12|31.40 58-1036115|1972558336|88182| Cell marker study|25.12|31.40 58-1036115|1972558336|88184| Flowcytometry/ tc 1 marker|135.13|168.91 58-1036115|1972558336|88199| Cytopathology procedure|25.12|31.40 58-1036115|1972558336|88299| Cytogenetic study|25.12|31.40 58-1036115|1972558336|88300| Surgical path gross|8.46|10.58 58-1036115|1972558336|88302| Tissue exam by pathologist|15.83|19.79 58-1036115|1972558336|88304| Tissue exam by pathologist|25.12|31.40 58-1036115|1972558336|88305| Tissue exam by pathologist|25.12|31.40 58-1036115|1972558336|88307| Tissue exam by pathologist|135.13|168.91 58-1036115|1972558336|88309| Tissue exam by pathologist|275.02|343.78 58-1036115|1972558336|88312| Special stains group 1|25.12|31.40 58-1036115|1972558336|88313| Special stains group 2|15.83|19.79 58-1036115|1972558336|88319| Enzyme histochemistry|275.02|343.78 58-1036115|1972558336|88321| Microslide consultation|15.83|19.79 58-1036115|1972558336|88323| Microslide consultation|25.12|31.40 58-1036115|1972558336|88325| Comprehensive review of data|25.12|31.40 58-1036115|1972558336|88329| Path consult introp|15.83|19.79 58-1036115|1972558336|88331| Path consult intraop 1 bloc|71.32|89.15 58-1036115|1972558336|88333| Intraop cyto path consult 1|275.02|343.78 58-1036115|1972558336|88342| Immunohisto antb 1st stain|71.32|89.15 58-1036115|1972558336|88344| Immunohisto antibody slide|135.13|168.91 58-1036115|1972558336|88346| Immunofluor antb 1st stain|135.13|168.91 58-1036115|1972558336|88348| Electron microscopy|275.02|343.78 58-1036115|1972558336|88355| Analysis skeletal muscle|71.32|89.15 58-1036115|1972558336|88356| Analysis nerve|25.12|31.40 58-1036115|1972558336|88358| Analysis tumor|135.13|168.91 58-1036115|1972558336|88360| Tumor immunohistochem/manual|71.32|89.15 58-1036115|1972558336|88361| Tumor immunohistochem/comput|135.13|168.91 58-1036115|1972558336|88362| Nerve teasing preparations|275.02|343.78 58-1036115|1972558336|88363| Xm archive tissue molec anal|8.46|10.58 58-1036115|1972558336|88365| Insitu hybridization (fish)|71.32|89.15 58-1036115|1972558336|88366| Insitu hybridization (fish)|135.13|168.91 58-1036115|1972558336|88367| Insitu hybridization auto|135.13|168.91 58-1036115|1972558336|88368| Insitu hybridization manual|135.13|168.91 58-1036115|1972558336|88374| M/phmtrc alys ishquant/semiq|71.32|89.15 58-1036115|1972558336|88377| M/phmtrc alys ishquant/semiq|71.32|89.15 58-1036115|1972558336|88399| Surgical pathology procedure|25.12|31.40 58-1036115|1972558336|89049| Chct for mal hyperthermia|71.32|89.15 58-1036115|1972558336|89220| Sputum specimen collection|71.32|89.15 58-1036115|1972558336|89230| Collect sweat for test|25.12|31.40 58-1036115|1972558336|89240| Pathology lab procedure|25.12|31.40 58-1036115|1972558336|89250| Cultr oocyte/embryo <4 days|71.32|89.15 58-1036115|1972558336|89251| Cultr oocyte/embryo <4 days|135.13|168.91 58-1036115|1972558336|89253| Embryo hatching|71.32|89.15 58-1036115|1972558336|89254| Oocyte identification|71.32|89.15 58-1036115|1972558336|89255| Prepare embryo for transfer|25.12|31.40 58-1036115|1972558336|89257| Sperm identification|25.12|31.40 58-1036115|1972558336|89258| Cryopreservation embryo(s)|275.02|343.78 58-1036115|1972558336|89259| Cryopreservation sperm|71.32|89.15 58-1036115|1972558336|89260| Sperm isolation simple|25.12|31.40 58-1036115|1972558336|89261| Sperm isolation complex|25.12|31.40 58-1036115|1972558336|89264| Identify sperm tissue|25.12|31.40 58-1036115|1972558336|89268| Insemination of oocytes|71.32|89.15 58-1036115|1972558336|89272| Extended culture of oocytes|275.02|343.78 58-1036115|1972558336|89280| Assist oocyte fertilization|275.02|343.78 58-1036115|1972558336|89281| Assist oocyte fertilization|71.32|89.15 58-1036115|1972558336|89290| Biopsy oocyte polar body|71.32|89.15 58-1036115|1972558336|89291| Biopsy oocyte polar body|71.32|89.15 58-1036115|1972558336|89335| Cryopreserve testicular tiss|25.12|31.40 58-1036115|1972558336|89337| Cryopreservation oocyte(s)|71.32|89.15 58-1036115|1972558336|89342| Storage/year embryo(s)|71.32|89.15 58-1036115|1972558336|89343| Storage/year sperm/semen|71.32|89.15 58-1036115|1972558336|89344| Storage/year reprod tissue|71.32|89.15 58-1036115|1972558336|89346| Storage/year oocyte(s)|135.13|168.91 58-1036115|1972558336|89352| Thawing cryopresrved embryo|71.32|89.15 58-1036115|1972558336|89353| Thawing cryopresrved sperm|25.12|31.40 58-1036115|1972558336|89354| Thaw cryoprsvrd reprod tiss|71.32|89.15 58-1036115|1972558336|89356| Thawing cryopresrved oocyte|71.32|89.15 58-1036115|1972558336|89398| Unlisted reprod med lab proc|25.12|31.40 58-1036115|1972558336|90371| Hep b ig im|112.33|140.42 58-1036115|1972558336|90375| Rabies ig im/sc|334.99|418.74 58-1036115|1972558336|90376| Rabies ig heat treated|324.95|406.19 58-1036115|1972558336|90378| Rsv mab im 50mg|1514.17|1892.71 58-1036115|1972558336|90396| Varicella-zoster ig im|1491.37|1864.21 58-1036115|1972558336|90471| Immunization admin|29.44|36.81 58-1036115|1972558336|90473| Immune admin oral/nasal|29.44|36.81 58-1036115|1972558336|90476| Adenovirus vaccine type 4|0.00|0.00 58-1036115|1972558336|90630| Flu vacc iiv4 no preserv id|0.00|0.00 58-1036115|1972558336|90632| Hepa vaccine adult im|0.00|0.00 58-1036115|1972558336|90633| Hepa vacc ped/adol 2 dose im|0.00|0.00 58-1036115|1972558336|90634| Hepa vacc ped/adol 3 dose|0.00|0.00 58-1036115|1972558336|90636| Hep a/hep b vacc adult im|0.00|0.00 58-1036115|1972558336|90647| Hib prp-omp vacc 3 dose im|0.00|0.00 58-1036115|1972558336|90648| Hib prp-t vaccine 4 dose im|0.00|0.00 58-1036115|1972558336|90653| Iiv adjuvant vaccine im|0.00|0.00 58-1036115|1972558336|90654| Flu vacc iiv3 no preserv id|0.00|0.00 58-1036115|1972558336|90655| Iiv3 vacc no prsv 0.25 ml im|0.00|0.00 58-1036115|1972558336|90656| Iiv3 vacc no prsv 0.5 ml im|0.00|0.00 58-1036115|1972558336|90657| Iiv3 vaccine splt 0.25 ml im|0.00|0.00 58-1036115|1972558336|90660| Laiv3 vaccine intranasal|0.00|0.00 58-1036115|1972558336|90661| Cciiv3 vac no prsv 0.5 ml im|0.00|0.00 58-1036115|1972558336|90662| Iiv no prsv increased ag im|0.00|0.00 58-1036115|1972558336|90670| Pcv13 vaccine im|0.00|0.00 58-1036115|1972558336|90672| Laiv4 vaccine intranasal|0.00|0.00 58-1036115|1972558336|90673| Riv3 vaccine no preserv im|0.00|0.00 58-1036115|1972558336|90674| Cciiv4 vac no prsv 0.5 ml im|0.00|0.00 58-1036115|1972558336|90675| Rabies vaccine im|291.44|364.30 58-1036115|1972558336|90676| Rabies vaccine id|196.54|245.68 58-1036115|1972558336|90680| Rv5 vacc 3 dose live oral|0.00|0.00 58-1036115|1972558336|90682| Riv4 vacc recombinant dna im|0.00|0.00 58-1036115|1972558336|90685| Iiv4 vacc no prsv 0.25 ml im|0.00|0.00 58-1036115|1972558336|90686| Iiv4 vacc no prsv 0.5 ml im|0.00|0.00 58-1036115|1972558336|90687| Iiv4 vaccine splt 0.25 ml im|0.00|0.00 58-1036115|1972558336|90688| Iiv4 vaccine splt 0.5 ml im|0.00|0.00 58-1036115|1972558336|90690| Typhoid vaccine oral|0.00|0.00 58-1036115|1972558336|90691| Typhoid vaccine im|0.00|0.00 58-1036115|1972558336|90696| Dtap-ipv vaccine 4-6 yrs im|0.00|0.00 58-1036115|1972558336|90698| Dtap-ipv/hib vaccine im|0.00|0.00 58-1036115|1972558336|90717| Yellow fever vaccine subq|0.00|0.00 58-1036115|1972558336|90732| Ppsv23 vacc 2 yrs+ subq/im|0.00|0.00 58-1036115|1972558336|90740| Hepb vacc 3 dose immunsup im|Cost| 58-1036115|1972558336|90743| Hepb vacc 2 dose adolesc im|Cost| 58-1036115|1972558336|90744| Hepb vacc 3 dose ped/adol im|Cost| 58-1036115|1972558336|90746| Hepb vaccine 3 dose adult im|Cost| 58-1036115|1972558336|90747| Hepb vacc 4 dose immunsup im|Cost| 58-1036115|1972558336|90749| Vaccine toxoid|0.00|0.00 58-1036115|1972558336|90756| Cciiv4 vacc abx free im|0.00|0.00 58-1036115|1972558336|90791| Psych diagnostic evaluation|62.85|78.57 58-1036115|1972558336|90792| Psych diag eval w/med srvcs|62.85|78.57 58-1036115|1972558336|90832| Psytx w pt 30 minutes|62.85|78.57 58-1036115|1972558336|90834| Psytx w pt 45 minutes|62.85|78.57 58-1036115|1972558336|90837| Psytx w pt 60 minutes|62.85|78.57 58-1036115|1972558336|90839| Psytx crisis initial 60 min|62.85|78.57 58-1036115|1972558336|90845| Psychoanalysis|62.85|78.57 58-1036115|1972558336|90846| Family psytx w/o pt 50 min|62.85|78.57 58-1036115|1972558336|90847| Family psytx w/pt 50 min|62.85|78.57 58-1036115|1972558336|90849| Multiple family group psytx|62.85|78.57 58-1036115|1972558336|90853| Group psychotherapy|37.64|47.05 58-1036115|1972558336|90865| Narcosynthesis|62.85|78.57 58-1036115|1972558336|90867| Tcranial magn stim tx plan|124.33|155.41 58-1036115|1972558336|90868| Tcranial magn stim tx deli|66.99|83.74 58-1036115|1972558336|90869| Tcran magn stim redetemine|66.99|83.74 58-1036115|1972558336|90870| Electroconvulsive therapy|224.34|280.43 58-1036115|1972558336|90880| Hypnotherapy|37.64|47.05 58-1036115|1972558336|90899| Psychiatric service/therapy|16.45|20.56 58-1036115|1972558336|90911| Biofeedback peri/uro/rectal|66.99|83.74 58-1036115|1972558336|90935| Hemodialysis one evaluation|301.44|376.80 58-1036115|1972558336|90945| Dialysis one evaluation|177.58|221.97 58-1036115|1972558336|91010| Esophagus motility study|224.34|280.43 58-1036115|1972558336|91020| Gastric motility studies|224.34|280.43 58-1036115|1972558336|91022| Duodenal motility study|224.34|280.43 58-1036115|1972558336|91030| Acid perfusion of esophagus|224.34|280.43 58-1036115|1972558336|91034| Gastroesophageal reflux test|224.34|280.43 58-1036115|1972558336|91035| G-esoph reflx tst w/electrod|231.49|289.36 58-1036115|1972558336|91037| Esoph imped function test|124.33|155.41 58-1036115|1972558336|91038| Esoph imped funct test > 1hr|224.34|280.43 58-1036115|1972558336|91040| Esoph balloon distension tst|224.34|280.43 58-1036115|1972558336|91065| Breath hydrogen/methane test|66.99|83.74 58-1036115|1972558336|91110| Gi tract capsule endoscopy|375.27|469.09 58-1036115|1972558336|91111| Esophageal capsule endoscopy|375.27|469.09 58-1036115|1972558336|91112| Gi wireless capsule measure|375.27|469.09 58-1036115|1972558336|91117| Colon motility 6 hr study|114.04|142.54 58-1036115|1972558336|91120| Rectal sensation test|66.99|83.74 58-1036115|1972558336|91122| Anal pressure record|114.04|142.54 58-1036115|1972558336|91132| Electrogastrography|66.99|83.74 58-1036115|1972558336|91133| Electrogastrography w/test|52.47|65.59 58-1036115|1972558336|91200| Liver elastography|66.99|83.74 58-1036115|1972558336|91299| Gastroenterology procedure|66.99|83.74 58-1036115|1972558336|92002| Eye exam new patient|57.09|71.36 58-1036115|1972558336|92004| Eye exam new patient|57.09|71.36 58-1036115|1972558336|92012| Eye exam establish patient|57.09|71.36 58-1036115|1972558336|92014| Eye exam&tx estab pt 1/>vst|57.09|71.36 58-1036115|1972558336|92018| New eye exam & treatment|893.23|1116.54 58-1036115|1972558336|92019| Eye exam & treatment|893.23|1116.54 58-1036115|1972558336|92020| Special eye evaluation|52.47|65.59 58-1036115|1972558336|92025| Corneal topography|27.54|34.43 58-1036115|1972558336|92060| Special eye evaluation|27.54|34.43 58-1036115|1972558336|92065| Orthoptic/pleoptic training|27.54|34.43 58-1036115|1972558336|92081| Visual field examination(s)|27.54|34.43 58-1036115|1972558336|92082| Visual field examination(s)|27.54|34.43 58-1036115|1972558336|92083| Visual field examination(s)|52.47|65.59 58-1036115|1972558336|92132| Cmptr ophth dx img ant segmt|27.54|34.43 58-1036115|1972558336|92133| Cmptr ophth img optic nerve|27.54|34.43 58-1036115|1972558336|92134| Cptr ophth dx img post segmt|27.54|34.43 58-1036115|1972558336|92136| Ophthalmic biometry|52.47|65.59 58-1036115|1972558336|92145| Corneal hysteresis deter|15.83|19.79 58-1036115|1972558336|92225| Special eye exam initial|27.54|34.43 58-1036115|1972558336|92226| Special eye exam subsequent|52.47|65.59 58-1036115|1972558336|92227| Remote dx retinal imaging|15.83|19.79 58-1036115|1972558336|92228| Remote retinal imaging mgmt|171.56|214.45 58-1036115|1972558336|92230| Eye exam with photos|224.34|280.43 58-1036115|1972558336|92235| Fluorescein angrph uni/bi|124.33|155.41 58-1036115|1972558336|92240| Icg angiography uni/bi|124.33|155.41 58-1036115|1972558336|92242| Fluorescein icg angiography|124.33|155.41 58-1036115|1972558336|92250| Eye exam with photos|52.47|65.59 58-1036115|1972558336|92260| Ophthalmoscopy/dynamometry|15.83|19.79 58-1036115|1972558336|92265| Eye muscle evaluation|27.54|34.43 58-1036115|1972558336|92270| Electro-oculography|52.47|65.59 58-1036115|1972558336|92273|Full field erg w/i&r|124.33|155.41 58-1036115|1972558336|92274|Multifocal erg w/i&r|66.99|83.74 58-1036115|1972558336|92283| Color vision examination|52.47|65.59 58-1036115|1972558336|92284| Dark adaptation eye exam|171.56|214.45 58-1036115|1972558336|92285| Eye photography|27.54|34.43 58-1036115|1972558336|92286| Internal eye photography|52.47|65.59 58-1036115|1972558336|92287| Internal eye photography|52.47|65.59 58-1036115|1972558336|92311| Contact lens fitting|171.56|214.45 58-1036115|1972558336|92312| Contact lens fitting|52.47|65.59 58-1036115|1972558336|92313| Contact lens fitting|52.47|65.59 58-1036115|1972558336|92315| Rx cntact lens aphakia 1 eye|52.47|65.59 58-1036115|1972558336|92316| Rx cntact lens aphakia 2 eye|27.54|34.43 58-1036115|1972558336|92317| Rx corneoscleral cntact lens|15.83|19.79 58-1036115|1972558336|92325| Modification of contact lens|52.47|65.59 58-1036115|1972558336|92326| Replacement of contact lens|52.47|65.59 58-1036115|1972558336|92352| Fit aphakia spectcl monofocl|27.54|34.43 58-1036115|1972558336|92353| Fit aphakia spectcl multifoc|27.54|34.43 58-1036115|1972558336|92354| Fit spectacles single system|15.83|19.79 58-1036115|1972558336|92355| Fit spectacles compound lens|15.83|19.79 58-1036115|1972558336|92358| Aphakia prosth service temp|27.54|34.43 58-1036115|1972558336|92371| Repair & adjust spectacles|27.54|34.43 58-1036115|1972558336|92499| Eye service or procedure|8.46|10.58 58-1036115|1972558336|92502| Ear and throat examination|240.04|300.05 58-1036115|1972558336|92511| Nasopharyngoscopy|80.80|101.00 58-1036115|1972558336|92512| Nasal function studies|124.33|155.41 58-1036115|1972558336|92516| Facial nerve function test|66.99|83.74 58-1036115|1972558336|92520| Laryngeal function studies|52.47|65.59 58-1036115|1972558336|92537| Caloric vstblr test w/rec|66.99|83.74 58-1036115|1972558336|92538| Caloric vstblr test w/rec|66.99|83.74 58-1036115|1972558336|92540| Basic vestibular evaluation|66.99|83.74 58-1036115|1972558336|92541| Spontaneous nystagmus test|52.47|65.59 58-1036115|1972558336|92542| Positional nystagmus test|52.47|65.59 58-1036115|1972558336|92544| Optokinetic nystagmus test|66.99|83.74 58-1036115|1972558336|92545| Oscillating tracking test|66.99|83.74 58-1036115|1972558336|92546| Sinusoidal rotational test|66.99|83.74 58-1036115|1972558336|92548| Posturography|52.47|65.59 58-1036115|1972558336|92550| Tympanometry & reflex thresh|66.99|83.74 58-1036115|1972558336|92552| Pure tone audiometry air|52.47|65.59 58-1036115|1972558336|92553| Audiometry air & bone|66.99|83.74 58-1036115|1972558336|92555| Speech threshold audiometry|15.83|19.79 58-1036115|1972558336|92556| Speech audiometry complete|15.83|19.79 58-1036115|1972558336|92557| Comprehensive hearing test|66.99|83.74 58-1036115|1972558336|92561| Bekesy audiometry diagnosis|52.47|65.59 58-1036115|1972558336|92562| Loudness balance test|66.99|83.74 58-1036115|1972558336|92563| Tone decay hearing test|15.83|19.79 58-1036115|1972558336|92564| Sisi hearing test|8.46|10.58 58-1036115|1972558336|92565| Stenger test pure tone|15.83|19.79 58-1036115|1972558336|92567| Tympanometry|15.83|19.79 58-1036115|1972558336|92568| Acoustic refl threshold tst|15.83|19.79 58-1036115|1972558336|92570| Acoustic immitance testing|66.99|83.74 58-1036115|1972558336|92571| Filtered speech hearing test|15.83|19.79 58-1036115|1972558336|92572| Staggered spondaic word test|66.99|83.74 58-1036115|1972558336|92575| Sensorineural acuity test|15.83|19.79 58-1036115|1972558336|92576| Synthetic sentence test|15.83|19.79 58-1036115|1972558336|92577| Stenger test speech|224.34|280.43 58-1036115|1972558336|92579| Visual audiometry (vra)|66.99|83.74 58-1036115|1972558336|92582| Conditioning play audiometry|66.99|83.74 58-1036115|1972558336|92583| Select picture audiometry|15.83|19.79 58-1036115|1972558336|92584| Electrocochleography|66.99|83.74 58-1036115|1972558336|92585| Auditor evoke potent compre|124.33|155.41 58-1036115|1972558336|92586| Auditor evoke potent limit|66.99|83.74 58-1036115|1972558336|92587| Evoked auditory test limited|124.33|155.41 58-1036115|1972558336|92588| Evoked auditory tst complete|124.33|155.41 58-1036115|1972558336|92596| Ear protector evaluation|15.83|19.79 58-1036115|1972558336|92601| Cochlear implt f/up exam <7|66.99|83.74 58-1036115|1972558336|92602| Reprogram cochlear implt <7|66.99|83.74 58-1036115|1972558336|92603| Cochlear implt f/up exam 7/>|66.99|83.74 58-1036115|1972558336|92604| Reprogram cochlear implt 7/>|66.99|83.74 58-1036115|1972558336|92620| Auditory function 60 min|66.99|83.74 58-1036115|1972558336|92625| Tinnitus assessment|66.99|83.74 58-1036115|1972558336|92626| Eval aud rehab status|66.99|83.74 58-1036115|1972558336|92640| Aud brainstem implt programg|66.99|83.74 58-1036115|1972558336|92700| Ent procedure/service|8.46|10.58 58-1036115|1972558336|92920| Prq cardiac angioplast 1 art|2305.42|2881.78 58-1036115|1972558336|92924| Prq card angio/athrect 1 art|4764.58|5955.72 58-1036115|1972558336|92928| Prq card stent w/angio 1 vsl|4764.58|5955.72 58-1036115|1972558336|92933| Prq card stent/ath/angio|7566.18|9457.72 58-1036115|1972558336|92937| Prq revasc byp graft 1 vsl|4764.58|5955.72 58-1036115|1972558336|92943| Prq card revasc chronic 1vsl|4764.58|5955.72 58-1036115|1972558336|92950| Heart/lung resuscitation cpr|124.33|155.41 58-1036115|1972558336|92953| Temporary external pacing|259.44|324.30 58-1036115|1972558336|92960| Cardioversion electric ext|259.44|324.30 58-1036115|1972558336|92961| Cardioversion electric int|259.44|324.30 58-1036115|1972558336|92970| Cardioassist internal|0.00|0.00 58-1036115|1972558336|92971| Cardioassist external|0.00|0.00 58-1036115|1972558336|92975| Dissolve clot heart vessel|0.00|0.00 58-1036115|1972558336|92977| Dissolve clot heart vessel|142.10|177.63 58-1036115|1972558336|92986| Revision of aortic valve|2305.42|2881.78 58-1036115|1972558336|92987| Revision of mitral valve|4764.58|5955.72 58-1036115|1972558336|92990| Revision of pulmonary valve|4764.58|5955.72 58-1036115|1972558336|92992| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|92993| Revision of heart chamber|0.00|0.00 58-1036115|1972558336|92997| Pul art balloon repr percut|4764.58|5955.72 58-1036115|1972558336|93005| Electrocardiogram tracing|27.54|34.43 58-1036115|1972558336|93017| Cardiovascular stress test|124.33|155.41 58-1036115|1972558336|93024| Cardiac drug stress test|171.56|214.45 58-1036115|1972558336|93025| Microvolt t-wave assess|66.99|83.74 58-1036115|1972558336|93041| Rhythm ecg tracing|27.54|34.43 58-1036115|1972558336|93050| Art pressure waveform analys|15.83|19.79 58-1036115|1972558336|93225| Ecg monit/reprt up to 48 hrs|52.47|65.59 58-1036115|1972558336|93226| Ecg monit/reprt up to 48 hrs|52.47|65.59 58-1036115|1972558336|93229| Remote 30 day ecg tech supp|66.99|83.74 58-1036115|1972558336|93260| Prgrmg dev eval impltbl sys|18.31|22.89 58-1036115|1972558336|93261| Interrogate subq defib|18.31|22.89 58-1036115|1972558336|93270| Remote 30 day ecg rev/report|18.31|22.89 58-1036115|1972558336|93271| Ecg/monitoring and analysis|57.92|72.40 58-1036115|1972558336|93278| Ecg/signal-averaged|27.54|34.43 58-1036115|1972558336|93279| Prgrmg dev eval pm/ldls pm|18.31|22.89 58-1036115|1972558336|93280| Pm device progr eval dual|18.31|22.89 58-1036115|1972558336|93281| Pm device progr eval multi|18.31|22.89 58-1036115|1972558336|93282| Prgrmg eval implantable dfb|18.31|22.89 58-1036115|1972558336|93283| Prgrmg eval implantable dfb|18.31|22.89 58-1036115|1972558336|93284| Prgrmg eval implantable dfb|18.31|22.89 58-1036115|1972558336|93285| Prgrmg dev eval scrms ip|18.31|22.89 58-1036115|1972558336|93288| Interrog evl pm/ldls pm ip|18.31|22.89 58-1036115|1972558336|93289| Interrog device eval heart|18.31|22.89 58-1036115|1972558336|93290| Interrog dev eval icpms ip|18.31|22.89 58-1036115|1972558336|93291| Interrog dev eval scrms ip|8.46|10.58 58-1036115|1972558336|93292| Wcd device interrogate|18.31|22.89 58-1036115|1972558336|93293| Pm phone r-strip device eval|18.31|22.89 58-1036115|1972558336|93296| Rem interrog evl pm/ids|18.31|22.89 58-1036115|1972558336|93299| Interrog eval icpms/scrms|18.31|22.89 58-1036115|1972558336|93303| Echo transthoracic|245.15|306.43 58-1036115|1972558336|93304| Echo transthoracic|245.15|306.43 58-1036115|1972558336|93306| Tte w/doppler complete|245.15|306.43 58-1036115|1972558336|93307| Tte w/o doppler complete|113.61|142.02 58-1036115|1972558336|93308| Tte f-up or lmtd|113.61|142.02 58-1036115|1972558336|93312| Echo transesophageal|245.15|306.43 58-1036115|1972558336|93313| Echo transesophageal|245.15|306.43 58-1036115|1972558336|93315| Echo transesophageal|245.15|306.43 58-1036115|1972558336|93316| Echo transesophageal|245.15|306.43 58-1036115|1972558336|93318| Echo transesophageal intraop|245.15|306.43 58-1036115|1972558336|93350| Stress tte only|245.15|306.43 58-1036115|1972558336|93351| Stress tte complete|245.15|306.43 58-1036115|1972558336|93451| Right heart cath|1384.87|1731.09 58-1036115|1972558336|93452| Left hrt cath w/ventrclgrphy|1384.87|1731.09 58-1036115|1972558336|93453| R&l hrt cath w/ventriclgrphy|1384.87|1731.09 58-1036115|1972558336|93454| Coronary artery angio s&i|1384.87|1731.09 58-1036115|1972558336|93455| Coronary art/grft angio s&i|1384.87|1731.09 58-1036115|1972558336|93456| R hrt coronary artery angio|1384.87|1731.09 58-1036115|1972558336|93457| R hrt art/grft angio|1384.87|1731.09 58-1036115|1972558336|93458| L hrt artery/ventricle angio|1384.87|1731.09 58-1036115|1972558336|93459| L hrt art/grft angio|1384.87|1731.09 58-1036115|1972558336|93460| R&l hrt art/ventricle angio|1384.87|1731.09 58-1036115|1972558336|93461| R&l hrt art/ventricle angio|1384.87|1731.09 58-1036115|1972558336|93462| L hrt cath trnsptl puncture|0.00|0.00 58-1036115|1972558336|93503| Insert/place heart catheter|538.90|673.63 58-1036115|1972558336|93505| Biopsy of heart lining|1301.65|1627.07 58-1036115|1972558336|93530| Rt heart cath congenital|1384.87|1731.09 58-1036115|1972558336|93531| R & l heart cath congenital|1384.87|1731.09 58-1036115|1972558336|93532| R & l heart cath congenital|1384.87|1731.09 58-1036115|1972558336|93533| R & l heart cath congenital|1384.87|1731.09 58-1036115|1972558336|93566| Inject r ventr/atrial angio|0.00|0.00 58-1036115|1972558336|93567| Inject suprvlv aortography|0.00|0.00 58-1036115|1972558336|93568| Inject pulm art hrt cath|0.00|0.00 58-1036115|1972558336|93571| Heart flow reserve measure|0.00|0.00 58-1036115|1972558336|93572| Heart flow reserve measure|0.00|0.00 58-1036115|1972558336|93580| Transcath closure of asd|7566.18|9457.72 58-1036115|1972558336|93581| Transcath closure of vsd|7566.18|9457.72 58-1036115|1972558336|93582| Perq transcath closure pda|7566.18|9457.72 58-1036115|1972558336|93583| Perq transcath septal reduxn|0.00|0.00 58-1036115|1972558336|93590| Perq transcath cls mitral|7566.18|9457.72 58-1036115|1972558336|93591| Perq transcath cls aortic|7566.18|9457.72 58-1036115|1972558336|93600| Bundle of his recording|2511.82|3139.78 58-1036115|1972558336|93602| Intra-atrial recording|2511.82|3139.78 58-1036115|1972558336|93603| Right ventricular recording|453.01|566.27 58-1036115|1972558336|93610| Intra-atrial pacing|2511.82|3139.78 58-1036115|1972558336|93612| Intraventricular pacing|2511.82|3139.78 58-1036115|1972558336|93615| Esophageal recording|453.01|566.27 58-1036115|1972558336|93616| Esophageal recording|453.01|566.27 58-1036115|1972558336|93618| Heart rhythm pacing|453.01|566.27 58-1036115|1972558336|93619| Electrophysiology evaluation|2511.82|3139.78 58-1036115|1972558336|93620| Electrophysiology evaluation|2511.82|3139.78 58-1036115|1972558336|93624| Electrophysiologic study|2511.82|3139.78 58-1036115|1972558336|93642| Electrophysiology evaluation|453.01|566.27 58-1036115|1972558336|93650| Ablate heart dysrhythm focus|2511.82|3139.78 58-1036115|1972558336|93653| Ep & ablate supravent arrhyt|9467.89|11834.86 58-1036115|1972558336|93654| Ep & ablate ventric tachy|9467.89|11834.86 58-1036115|1972558336|93656| Tx atrial fib pulm vein isol|9467.89|11834.86 58-1036115|1972558336|93660| Tilt table evaluation|224.34|280.43 58-1036115|1972558336|93668| Peripheral vascular rehab|27.54|34.43 58-1036115|1972558336|93701| Bioimpedance cv analysis|52.47|65.59 58-1036115|1972558336|93702| Bis xtracell fluid analysis|66.99|83.74 58-1036115|1972558336|93724| Analyze pacemaker system|138.18|172.72 58-1036115|1972558336|93740| Temperature gradient studies|66.99|83.74 58-1036115|1972558336|93745| Set-up cardiovert-defibrill|138.18|172.72 58-1036115|1972558336|93750| Interrogation vad in person|57.92|72.40 58-1036115|1972558336|93786| Ambulatory bp recording|52.47|65.59 58-1036115|1972558336|93788| Ambulatory bp analysis|52.47|65.59 58-1036115|1972558336|93797| Cardiac rehab|58.22|72.77 58-1036115|1972558336|93798| Cardiac rehab/monitor|58.22|72.77 58-1036115|1972558336|93799| Cardiovascular procedure|66.99|83.74 58-1036115|1972558336|93880| Extracranial bilat study|113.61|142.02 58-1036115|1972558336|93882| Extracranial uni/ltd study|55.44|69.30 58-1036115|1972558336|93886| Intracranial complete study|113.61|142.02 58-1036115|1972558336|93888| Intracranial limited study|55.44|69.30 58-1036115|1972558336|93890| Tcd vasoreactivity study|113.61|142.02 58-1036115|1972558336|93892| Tcd emboli detect w/o inj|55.44|69.30 58-1036115|1972558336|93893| Tcd emboli detect w/inj|55.44|69.30 58-1036115|1972558336|93922| Upr/l xtremity art 2 levels|52.47|65.59 58-1036115|1972558336|93923| Upr/lxtr art stdy 3+ lvls|66.99|83.74 58-1036115|1972558336|93924| Lwr xtr vasc stdy bilat|66.99|83.74 58-1036115|1972558336|93925| Lower extremity study|113.61|142.02 58-1036115|1972558336|93926| Lower extremity study|55.44|69.30 58-1036115|1972558336|93930| Upper extremity study|113.61|142.02 58-1036115|1972558336|93931| Upper extremity study|55.44|69.30 58-1036115|1972558336|93970| Extremity study|113.61|142.02 58-1036115|1972558336|93971| Extremity study|55.44|69.30 58-1036115|1972558336|93975| Vascular study|113.61|142.02 58-1036115|1972558336|93976| Vascular study|55.44|69.30 58-1036115|1972558336|93978| Vascular study|113.61|142.02 58-1036115|1972558336|93979| Vascular study|55.44|69.30 58-1036115|1972558336|93980| Penile vascular study|55.44|69.30 58-1036115|1972558336|93981| Penile vascular study|55.44|69.30 58-1036115|1972558336|93990| Doppler flow testing|55.44|69.30 58-1036115|1972558336|93998| Noninvas vasc dx study proc|8.46|10.58 58-1036115|1972558336|94002| Vent mgmt inpat init day|251.30|314.12 58-1036115|1972558336|94003| Vent mgmt inpat subq day|251.30|314.12 58-1036115|1972558336|94010| Breathing capacity test|66.99|83.74 58-1036115|1972558336|94011| Spirometry up to 2 yrs old|66.99|83.74 58-1036115|1972558336|94012| Spirmtry w/brnchdil inf-2 yr|124.33|155.41 58-1036115|1972558336|94013| Meas lung vol thru 2 yrs|224.34|280.43 58-1036115|1972558336|94014| Patient recorded spirometry|171.56|214.45 58-1036115|1972558336|94015| Patient recorded spirometry|124.33|155.41 58-1036115|1972558336|94060| Evaluation of wheezing|124.33|155.41 58-1036115|1972558336|94070| Evaluation of wheezing|124.33|155.41 58-1036115|1972558336|94150| Vital capacity test|66.99|83.74 58-1036115|1972558336|94200| Lung function test (mbc/mvv)|52.47|65.59 58-1036115|1972558336|94250| Expired gas collection|27.54|34.43 58-1036115|1972558336|94375| Respiratory flow volume loop|124.33|155.41 58-1036115|1972558336|94400| Co2 breathing response curve|66.99|83.74 58-1036115|1972558336|94450| Hypoxia response curve|66.99|83.74 58-1036115|1972558336|94452| Hast w/report|52.47|65.59 58-1036115|1972558336|94453| Hast w/oxygen titrate|52.47|65.59 58-1036115|1972558336|94610| Surfactant admin thru tube|94.42|118.02 58-1036115|1972558336|94617| Exercise tst brncspsm|52.47|65.59 58-1036115|1972558336|94618| Pulmonary stress testing|52.47|65.59 58-1036115|1972558336|94621| Cardiopulm exercise testing|124.33|155.41 58-1036115|1972558336|94640| Airway inhalation treatment|94.42|118.02 58-1036115|1972558336|94642| Aerosol inhalation treatment|94.42|118.02 58-1036115|1972558336|94644| Cbt 1st hour|52.47|65.59 58-1036115|1972558336|94660| Pos airway pressure cpap|94.42|118.02 58-1036115|1972558336|94662| Neg press ventilation cnp|251.30|314.12 58-1036115|1972558336|94664| Evaluate pt use of inhaler|94.42|118.02 58-1036115|1972558336|94667| Chest wall manipulation|52.47|65.59 58-1036115|1972558336|94668| Chest wall manipulation|52.47|65.59 58-1036115|1972558336|94669| Mechanical chest wall oscill|94.42|118.02 58-1036115|1972558336|94680| Exhaled air analysis o2|66.99|83.74 58-1036115|1972558336|94681| Exhaled air analysis o2/co2|124.33|155.41 58-1036115|1972558336|94690| Exhaled air analysis|15.83|19.79 58-1036115|1972558336|94726| Pulm funct tst plethysmograp|124.33|155.41 58-1036115|1972558336|94727| Pulm function test by gas|66.99|83.74 58-1036115|1972558336|94728| Pulm funct test oscillometry|124.33|155.41 58-1036115|1972558336|94750| Pulmonary compliance study|66.99|83.74 58-1036115|1972558336|94762| Measure blood oxygen level|66.99|83.74 58-1036115|1972558336|94770| Exhaled carbon dioxide test|66.99|83.74 58-1036115|1972558336|94772| Breath recording infant|224.34|280.43 58-1036115|1972558336|94775| Ped home apnea rec hk-up|66.99|83.74 58-1036115|1972558336|94776| Ped home apnea rec downld|66.99|83.74 58-1036115|1972558336|94780| Cars/bd tst inft-12mo 60 min|15.83|19.79 58-1036115|1972558336|94799| Pulmonary service/procedure|66.99|83.74 58-1036115|1972558336|95004| Percut allergy skin tests|449.79|562.24 58-1036115|1972558336|95012| Exhaled nitric oxide meas|15.83|19.79 58-1036115|1972558336|95017| Perq & icut allg test venoms|15.83|19.79 58-1036115|1972558336|95018| Perq&ic allg test drugs/biol|15.83|19.79 58-1036115|1972558336|95024| Icut allergy test drug/bug|27.54|34.43 58-1036115|1972558336|95027| Icut allergy titrate-airborn|8.46|10.58 58-1036115|1972558336|95028| Icut allergy test-delayed|15.83|19.79 58-1036115|1972558336|95044| Allergy patch tests|449.79|562.24 58-1036115|1972558336|95052| Photo patch test|15.83|19.79 58-1036115|1972558336|95056| Photosensitivity tests|52.47|65.59 58-1036115|1972558336|95060| Eye allergy tests|52.47|65.59 58-1036115|1972558336|95065| Nose allergy test|15.83|19.79 58-1036115|1972558336|95070| Bronchial allergy tests|224.34|280.43 58-1036115|1972558336|95071| Bronchial allergy tests|124.33|155.41 58-1036115|1972558336|95076| Ingest challenge ini 120 min|224.34|280.43 58-1036115|1972558336|95115| Immunotherapy one injection|18.67|23.34 58-1036115|1972558336|95117| Immunotherapy injections|18.67|23.34 58-1036115|1972558336|95144| Antigen therapy services|18.67|23.34 58-1036115|1972558336|95145| Antigen therapy services|18.67|23.34 58-1036115|1972558336|95146| Antigen therapy services|18.67|23.34 58-1036115|1972558336|95147| Antigen therapy services|29.44|36.81 58-1036115|1972558336|95148| Antigen therapy services|29.44|36.81 58-1036115|1972558336|95149| Antigen therapy services|29.44|36.81 58-1036115|1972558336|95165| Antigen therapy services|18.67|23.34 58-1036115|1972558336|95170| Antigen therapy services|18.67|23.34 58-1036115|1972558336|95180| Rapid desensitization|171.56|214.45 58-1036115|1972558336|95199| Allergy immunology services|8.46|10.58 58-1036115|1972558336|95249| Cont gluc mntr pt prov eqp|27.54|34.43 58-1036115|1972558336|95250| Cont gluc mntr phys/qhp eqp|57.09|71.36 58-1036115|1972558336|95782| Polysom <6 yrs 4/> paramtrs|449.79|562.24 58-1036115|1972558336|95783| Polysom <6 yrs cpap/bilvl|449.79|562.24 58-1036115|1972558336|95800| Slp stdy unattended|66.99|83.74 58-1036115|1972558336|95801| Slp stdy unatnd w/anal|52.47|65.59 58-1036115|1972558336|95803| Actigraphy testing|27.54|34.43 58-1036115|1972558336|95805| Multiple sleep latency test|224.34|280.43 58-1036115|1972558336|95806| Sleep study unatt&resp efft|66.99|83.74 58-1036115|1972558336|95807| Sleep study attended|224.34|280.43 58-1036115|1972558336|95808| Polysom any age 1-3> param|449.79|562.24 58-1036115|1972558336|95810| Polysom 6/> yrs 4/> param|449.79|562.24 58-1036115|1972558336|95811| Polysom 6/>yrs cpap 4/> parm|449.79|562.24 58-1036115|1972558336|95812| Eeg 41-60 minutes|124.33|155.41 58-1036115|1972558336|95813| Eeg over 1 hour|124.33|155.41 58-1036115|1972558336|95816| Eeg awake and drowsy|124.33|155.41 58-1036115|1972558336|95819| Eeg awake and asleep|124.33|155.41 58-1036115|1972558336|95822| Eeg coma or sleep only|124.33|155.41 58-1036115|1972558336|95824| Eeg cerebral death only|224.34|280.43 58-1036115|1972558336|95827| Eeg all night recording|224.34|280.43 58-1036115|1972558336|95836|Ecog impltd brn npgt studies|224.34|280.43 58-1036115|1972558336|95921| Autonomic nrv parasym inervj|66.99|83.74 58-1036115|1972558336|95922| Autonomic nrv adrenrg inervj|52.47|65.59 58-1036115|1972558336|95923| Autonomic nrv syst funj test|52.47|65.59 58-1036115|1972558336|95924| Ans parasymp & symp w/tilt|66.99|83.74 58-1036115|1972558336|95925| Somatosensory testing|124.33|155.41 58-1036115|1972558336|95926| Somatosensory testing|124.33|155.41 58-1036115|1972558336|95927| Somatosensory testing|66.99|83.74 58-1036115|1972558336|95928| C motor evoked uppr limbs|449.79|562.24 58-1036115|1972558336|95929| C motor evoked lwr limbs|224.34|280.43 58-1036115|1972558336|95930| Visual ep test cns w/i&r|66.99|83.74 58-1036115|1972558336|95933| Blink reflex test|52.47|65.59 58-1036115|1972558336|95937| Neuromuscular junction test|66.99|83.74 58-1036115|1972558336|95938| Somatosensory testing|224.34|280.43 58-1036115|1972558336|95939| C motor evoked upr&lwr limbs|449.79|562.24 58-1036115|1972558336|95943| Parasymp&symp hrt rate test|66.99|83.74 58-1036115|1972558336|95950| Ambulatory eeg monitoring|224.34|280.43 58-1036115|1972558336|95951| Eeg monitoring/videorecord|449.79|562.24 58-1036115|1972558336|95953| Eeg monitoring/computer|224.34|280.43 58-1036115|1972558336|95954| Eeg monitoring/giving drugs|224.34|280.43 58-1036115|1972558336|95956| Eeg monitor technol attended|224.34|280.43 58-1036115|1972558336|95958| Eeg monitoring/function test|449.79|562.24 58-1036115|1972558336|95961| Electrode stimulation brain|449.79|562.24 58-1036115|1972558336|95965| Meg spontaneous|449.79|562.24 58-1036115|1972558336|95966| Meg evoked single|449.79|562.24 58-1036115|1972558336|95970| Alys npgt w/o prgrmg|52.47|65.59 58-1036115|1972558336|95971| Alys smpl sp/pn npgt w/prgrm|57.92|72.40 58-1036115|1972558336|95972| Alys cplx sp/pn npgt w/prgrm|57.92|72.40 58-1036115|1972558336|95976|Alys smpl cn npgt prgrmg|18.31|22.89 58-1036115|1972558336|95977|Alys cplx cn npgt prgrmg|57.92|72.40 58-1036115|1972558336|95981| Io anal gast n-stim subsq|52.47|65.59 58-1036115|1972558336|95982| Io ga n-stim subsq w/reprog|18.31|22.89 58-1036115|1972558336|95983|Alys brn npgt prgrmg 15 min|18.31|22.89 58-1036115|1972558336|95990| Spin/brain pump refil & main|142.10|177.63 58-1036115|1972558336|95991| Spin/brain pump refil & main|121.95|152.43 58-1036115|1972558336|95999| Neurological procedure|66.99|83.74 58-1036115|1972558336|96000| Motion analysis video/3d|224.34|280.43 58-1036115|1972558336|96001| Motion test w/ft press meas|449.79|562.24 58-1036115|1972558336|96002| Dynamic surface emg|66.99|83.74 58-1036115|1972558336|96003| Dynamic fine wire emg|124.33|155.41 58-1036115|1972558336|96112|Devel tst phys/qhp 1st hr|66.99|83.74 58-1036115|1972558336|96116| Nubhvl xm phys/qhp 1st hr|124.33|155.41 58-1036115|1972558336|96127| Brief emotional/behav assmt|15.83|19.79 58-1036115|1972558336|96130|Psycl tst eval phys/qhp 1st|66.99|83.74 58-1036115|1972558336|96132|Nrpsyc tst eval phys/qhp 1st|66.99|83.74 58-1036115|1972558336|96136|Psycl/nrpsyc tst phy/qhp 1st|8.46|10.58 58-1036115|1972558336|96138|Psycl/nrpsyc tech 1st|8.46|10.58 58-1036115|1972558336|96146|Psycl/nrpsyc tst auto result|8.46|10.58 58-1036115|1972558336|96150| Assess hlth/behave init|37.64|47.05 58-1036115|1972558336|96151| Assess hlth/behave subseq|37.64|47.05 58-1036115|1972558336|96152| Intervene hlth/behave indiv|37.64|47.05 58-1036115|1972558336|96153| Intervene hlth/behave group|16.45|20.56 58-1036115|1972558336|96154| Interv hlth/behav fam w/pt|37.64|47.05 58-1036115|1972558336|96160| Pt-focused hlth risk assmt|16.45|20.56 58-1036115|1972558336|96161| Caregiver health risk assmt|16.45|20.56 58-1036115|1972558336|96360| Hydration iv infusion init|92.23|115.29 58-1036115|1972558336|96361| Hydrate iv infusion add-on|18.67|23.34 58-1036115|1972558336|96365| Ther/proph/diag iv inf init|92.23|115.29 58-1036115|1972558336|96366| Ther/proph/diag iv inf addon|18.67|23.34 58-1036115|1972558336|96367| Tx/proph/dg addl seq iv inf|29.44|36.81 58-1036115|1972558336|96369| Sc ther infusion up to 1 hr|92.23|115.29 58-1036115|1972558336|96370| Sc ther infusion addl hr|18.67|23.34 58-1036115|1972558336|96371| Sc ther infusion reset pump|29.44|36.81 58-1036115|1972558336|96372| Ther/proph/diag inj sc/im|29.44|36.81 58-1036115|1972558336|96373| Ther/proph/diag inj ia|92.23|115.29 58-1036115|1972558336|96374| Ther/proph/diag inj iv push|92.23|115.29 58-1036115|1972558336|96375| Tx/pro/dx inj new drug addon|18.67|23.34 58-1036115|1972558336|96377| Applicaton on-body injector|18.67|23.34 58-1036115|1972558336|96379| Ther/prop/diag inj/inf proc|18.67|23.34 58-1036115|1972558336|96401| Chemo anti-neopl sq/im|29.44|36.81 58-1036115|1972558336|96402| Chemo hormon antineopl sq/im|29.44|36.81 58-1036115|1972558336|96405| Chemo intralesional up to 7|29.44|36.81 58-1036115|1972558336|96406| Chemo intralesional over 7|92.23|115.29 58-1036115|1972558336|96409| Chemo iv push sngl drug|92.23|115.29 58-1036115|1972558336|96411| Chemo iv push addl drug|29.44|36.81 58-1036115|1972558336|96413| Chemo iv infusion 1 hr|142.10|177.63 58-1036115|1972558336|96415| Chemo iv infusion addl hr|29.44|36.81 58-1036115|1972558336|96416| Chemo prolong infuse w/pump|142.10|177.63 58-1036115|1972558336|96417| Chemo iv infus each addl seq|29.44|36.81 58-1036115|1972558336|96420| Chemo ia push tecnique|142.10|177.63 58-1036115|1972558336|96422| Chemo ia infusion up to 1 hr|92.23|115.29 58-1036115|1972558336|96423| Chemo ia infuse each addl hr|18.67|23.34 58-1036115|1972558336|96425| Chemotherapy infusion method|142.10|177.63 58-1036115|1972558336|96440| Chemotherapy intracavitary|142.10|177.63 58-1036115|1972558336|96446| Chemotx admn prtl cavity|142.10|177.63 58-1036115|1972558336|96450| Chemotherapy into cns|142.10|177.63 58-1036115|1972558336|96521| Refill/maint portable pump|92.23|115.29 58-1036115|1972558336|96522| Refill/maint pump/resvr syst|92.23|115.29 58-1036115|1972558336|96523| Irrig drug delivery device|27.54|34.43 58-1036115|1972558336|96542| Chemotherapy injection|92.23|115.29 58-1036115|1972558336|96549| Chemotherapy unspecified|18.67|23.34 58-1036115|1972558336|96567| Pdt dstr prmlg les skn|86.95|108.69 58-1036115|1972558336|96573| Pdt dstr prmlg les phys/qhp|86.95|108.69 58-1036115|1972558336|96574| Dbrdmt prmlg les w/pdt|86.95|108.69 58-1036115|1972558336|96900| Ultraviolet light therapy|15.83|19.79 58-1036115|1972558336|96910| Photochemotherapy with uv-b|27.54|34.43 58-1036115|1972558336|96912| Photochemotherapy with uv-a|27.54|34.43 58-1036115|1972558336|96913| Photochemotherapy uv-a or b|154.77|193.46 58-1036115|1972558336|96920| Laser tx skin < 250 sq cm|86.95|108.69 58-1036115|1972558336|96921| Laser tx skin 250-500 sq cm|86.95|108.69 58-1036115|1972558336|96922| Laser tx skin >500 sq cm|154.77|193.46 58-1036115|1972558336|96932| Rcm celulr subcelulr img skn|8.46|10.58 58-1036115|1972558336|96999| Dermatological procedure|86.95|108.69 58-1036115|1972558336|97151|Bhv id assmt by phys/qhp|16.45|20.56 58-1036115|1972558336|97152|Bhv id suprt assmt by 1 tech|16.45|20.56 58-1036115|1972558336|97153|Adaptive behavior tx by tech|16.45|20.56 58-1036115|1972558336|97154|Grp adapt bhv tx by tech|16.45|20.56 58-1036115|1972558336|97155|Adapt behavior tx phys/qhp|16.45|20.56 58-1036115|1972558336|97156|Fam adapt bhv tx gdn phy/qhp|16.45|20.56 58-1036115|1972558336|97157|Mult fam adapt bhv tx gdn|16.45|20.56 58-1036115|1972558336|97158|Grp adapt bhv tx by phy/qhp|16.45|20.56 58-1036115|1972558336|97597| Rmvl devital tis 20 cm/<|86.95|108.69 58-1036115|1972558336|97602| Wound(s) care non-selective|86.95|108.69 58-1036115|1972558336|97605| Neg press wound tx 50 cm|154.77|193.46 58-1036115|1972558336|97607| Neg press wnd tx 50 cm|154.77|193.46 58-1036115|1972558336|97610| Low frequency non-thermal us|86.95|108.69 58-1036115|1972558336|98925| Osteopath manj 1-2 regions|12.21|15.26 58-1036115|1972558336|98926| Osteopath manj 3-4 regions|12.21|15.26 58-1036115|1972558336|98927| Osteopath manj 5-6 regions|12.21|15.26 58-1036115|1972558336|98928| Osteopath manj 7-8 regions|12.21|15.26 58-1036115|1972558336|98929| Osteopath manj 9-10 regions|12.21|15.26 58-1036115|1972558336|98940| Chiropract manj 1-2 regions|12.21|15.26 58-1036115|1972558336|98941| Chiropract manj 3-4 regions|12.21|15.26 58-1036115|1972558336|98942| Chiropractic manj 5 regions|12.21|15.26 58-1036115|1972558336|99170| Anogenital exam child w imag|81.76|102.20 58-1036115|1972558336|99184| Hypothermia ill neonate|0.00|0.00 58-1036115|1972558336|99190| Special pump services|0.00|0.00 58-1036115|1972558336|99191| Special pump services|0.00|0.00 58-1036115|1972558336|99192| Special pump services|0.00|0.00 58-1036115|1972558336|99195| Phlebotomy|52.47|65.59 58-1036115|1972558336|99281| Emergency dept visit|34.36|42.95 58-1036115|1972558336|99282| Emergency dept visit|63.06|78.82 58-1036115|1972558336|99283| Emergency dept visit|109.88|137.35 58-1036115|1972558336|99284| Emergency dept visit|177.58|221.97 58-1036115|1972558336|99285| Emergency dept visit|258.85|323.56 58-1036115|1972558336|99291| Critical care first hour|364.66|455.82 58-1036115|1972558336|99356| Prolonged service inpatient|0.00|0.00 58-1036115|1972558336|99357| Prolonged service inpatient|0.00|0.00 58-1036115|1972558336|99406| Behav chng smoking 3-10 min|16.45|20.56 58-1036115|1972558336|99407| Behav chng smoking > 10 min|16.45|20.56 58-1036115|1972558336|99453|Rem mntr physiol param setup|57.09|71.36 58-1036115|1972558336|99454|Rem mntr physiol param dev|18.31|22.89 58-1036115|1972558336|99460| Init nb em per day hosp|57.09|71.36 58-1036115|1972558336|99462| Sbsq nb em per day hosp|0.00|0.00 58-1036115|1972558336|99463| Same day nb discharge|57.09|71.36 58-1036115|1972558336|99465| Nb resuscitation|259.44|324.30 58-1036115|1972558336|99468| Neonate crit care initial|0.00|0.00 58-1036115|1972558336|99469| Neonate crit care subsq|0.00|0.00 58-1036115|1972558336|99471| Ped critical care initial|0.00|0.00 58-1036115|1972558336|99472| Ped critical care subsq|0.00|0.00 58-1036115|1972558336|99475| Ped crit care age 2-5 init|0.00|0.00 58-1036115|1972558336|99476| Ped crit care age 2-5 subsq|0.00|0.00 58-1036115|1972558336|99477| Init day hosp neonate care|0.00|0.00 58-1036115|1972558336|99478| Ic lbw inf < 1500 gm subsq|0.00|0.00 58-1036115|1972558336|99479| Ic lbw inf 1500-2500 g subsq|0.00|0.00 58-1036115|1972558336|99480| Ic inf pbw 2501-5000 g subsq|0.00|0.00 58-1036115|1972558336|99483| Assmt & care pln pt cog imp|37.64|47.05 58-1036115|1972558336|99484| Care mgmt svc bhvl hlth cond|16.45|20.56 58-1036115|1972558336|99487| Cmplx chron care w/o pt vsit|37.64|47.05 58-1036115|1972558336|99490| Chron care mgmt srvc 20 min|37.64|47.05 58-1036115|1972558336|99492| 1st psyc collab care mgmt|37.64|47.05 58-1036115|1972558336|99493| Sbsq psyc collab care mgmt|37.64|47.05 58-1036115|1972558336|99495| Trans care mgmt 14 day disch|57.09|71.36 58-1036115|1972558336|99496| Trans care mgmt 7 day disch|57.09|71.36 58-1036115|1972558336|99497| Advncd care plan 30 min|37.64|47.05 58-1036115|1972558336|0058T| Cryopreservation ovary tiss|71.32|89.15 58-1036115|1972558336|0071T| Us leiomyomata ablate <200|1163.55|1454.44 58-1036115|1972558336|0072T| Us leiomyomata ablate >200|1163.55|1454.44 58-1036115|1972558336|0075T| Perq stent/chest vert art|0.00|0.00 58-1036115|1972558336|0076T| S&i stent/chest vert art|0.00|0.00 58-1036115|1972558336|0095T| Rmvl artific disc addl crvcl|0.00|0.00 58-1036115|1972558336|0098T| Rev artific disc addl|0.00|0.00 58-1036115|1972558336|0100T| Prosth retina receive&gen|5436.83|6796.04 58-1036115|1972558336|0101T| Extracorp shockwv tx hi enrg|1279.91|1599.89 58-1036115|1972558336|0102T| Extracorp shockwv tx anesth|1279.91|1599.89 58-1036115|1972558336|0106T| Touch quant sensory test|15.83|19.79 58-1036115|1972558336|0107T| Vibrate quant sensory test|15.83|19.79 58-1036115|1972558336|0108T| Cool quant sensory test|27.54|34.43 58-1036115|1972558336|0109T| Heat quant sensory test|15.83|19.79 58-1036115|1972558336|0110T| Nos quant sensory test|52.47|65.59 58-1036115|1972558336|0126T| Chd risk imt study|15.83|19.79 58-1036115|1972558336|0163T| Lumb artif diskectomy addl|0.00|0.00 58-1036115|1972558336|0164T| Remove lumb artif disc addl|0.00|0.00 58-1036115|1972558336|0165T| Revise lumb artif disc addl|0.00|0.00 58-1036115|1972558336|0184T| Exc rectal tumor endoscopic|2215.51|2769.39 58-1036115|1972558336|0190T|Place intraoc radiation src|0.00|0.00 58-1036115|1972558336|0191T| Insert ant segment drain int|2573.33|3216.66 58-1036115|1972558336|0195T|Prescrl fuse w/o instr l5/s1|0.00|0.00 58-1036115|1972558336|0196T|Prescrl fuse w/o instr l4/l5|0.00|0.00 58-1036115|1972558336|0198T| Ocular blood flow measure|52.47|65.59 58-1036115|1972558336|0200T| Perq sacral augmt unilat inj|2721.37|3401.71 58-1036115|1972558336|0201T| Perq sacral augmt bilat inj|2721.37|3401.71 58-1036115|1972558336|0202T| Post vert arthrplst 1 lumbar|0.00|0.00 58-1036115|1972558336|0205T| Inirs each vessel add-on|0.00|0.00 58-1036115|1972558336|0206T| Cptr dbs alys car elec dta|0.00|0.00 58-1036115|1972558336|0207T| Clear eyelid gland w/heat|27.54|34.43 58-1036115|1972558336|0208T| Audiometry air only|15.83|19.79 58-1036115|1972558336|0209T| Audiometry air & bone|15.83|19.79 58-1036115|1972558336|0210T| Speech audiometry threshold|15.83|19.79 58-1036115|1972558336|0211T| Speech audiom thresh & recog|15.83|19.79 58-1036115|1972558336|0212T| Compre audiometry evaluation|66.99|83.74 58-1036115|1972558336|0213T| Njx paravert w/us cer/thor|350.15|437.69 58-1036115|1972558336|0214T| Njx paravert w/us cer/thor|0.00|0.00 58-1036115|1972558336|0215T| Njx paravert w/us cer/thor|0.00|0.00 58-1036115|1972558336|0216T| Njx paravert w/us lumb/sac|350.15|437.69 58-1036115|1972558336|0217T| Njx paravert w/us lumb/sac|0.00|0.00 58-1036115|1972558336|0218T| Njx paravert w/us lumb/sac|0.00|0.00 58-1036115|1972558336|0219T| Plmt post facet implt cerv|0.00|0.00 58-1036115|1972558336|0220T| Plmt post facet implt thor|0.00|0.00 58-1036115|1972558336|0221T| Plmt post facet implt lumb|2808.57|3510.71 58-1036115|1972558336|0222T| Plmt post facet implt addl|0.00|0.00 58-1036115|1972558336|0228T| Njx tfrml eprl w/us cer/thor|350.15|437.69 58-1036115|1972558336|0229T| Njx tfrml eprl w/us cer/thor|0.00|0.00 58-1036115|1972558336|0230T| Njx tfrml eprl w/us lumb/sac|350.15|437.69 58-1036115|1972558336|0231T| Njx tfrml eprl w/us lumb/sac|0.00|0.00 58-1036115|1972558336|0232T| Njx platelet plasma|0.00|0.00 58-1036115|1972558336|0234T| Trluml perip athrc renal art|4764.58|5955.72 58-1036115|1972558336|0235T| Trluml perip athrc visceral|0.00|0.00 58-1036115|1972558336|0236T| Trluml perip athrc abd aorta|4764.58|5955.72 58-1036115|1972558336|0237T| Trluml perip athrc brchiocph|4764.58|5955.72 58-1036115|1972558336|0238T| Trluml perip athrc iliac art|10318.19|12897.74 58-1036115|1972558336|0249T| Ligation hemorrhoid w/us|1139.05|1423.81 58-1036115|1972558336|0253T| Insert aqueous drain device|1772.23|2215.29 58-1036115|1972558336|0254T| Evasc rpr iliac art bifur|0.00|0.00 58-1036115|1972558336|0263T| Im b1 mrw cel ther cmpl|1927.45|2409.31 58-1036115|1972558336|0264T| Im b1 mrw cel ther xcl hrvst|1927.45|2409.31 58-1036115|1972558336|0265T| Im b1 mrw cel ther hrvst onl|1927.45|2409.31 58-1036115|1972558336|0266T| Implt/rpl crtd sns dev total|9218.26|11522.82 58-1036115|1972558336|0267T| Implt/rpl crtd sns dev lead|1419.07|1773.84 58-1036115|1972558336|0268T| Implt/rpl crtd sns dev gen|9218.26|11522.82 58-1036115|1972558336|0269T| Rev/remvl crtd sns dev total|2033.05|2541.31 58-1036115|1972558336|0270T| Rev/remvl crtd sns dev lead|1499.91|1874.89 58-1036115|1972558336|0271T| Rev/remvl crtd sns dev gen|1499.91|1874.89 58-1036115|1972558336|0272T| Interrogate crtd sns dev|66.99|83.74 58-1036115|1972558336|0273T| Interrogate crtd sns w/pgrmg|66.99|83.74 58-1036115|1972558336|0274T| Perq lamot/lam crv/thrc|2721.37|3401.71 58-1036115|1972558336|0275T| Perq lamot/lam lumbar|2721.37|3401.71 58-1036115|1972558336|0278T| Tempr|0.00|0.00 58-1036115|1972558336|0290T| Laser inc for pkp/lkp recip|0.00|0.00 58-1036115|1972558336|0296T| Ext ecg recording|52.47|65.59 58-1036115|1972558336|0297T| Ext ecg scan w/report|52.47|65.59 58-1036115|1972558336|0308T| Insj ocular telescope prosth|15046.95|18808.69 58-1036115|1972558336|0312T| Laps impltj nstim vagus|13648.57|17060.71 58-1036115|1972558336|0313T| Laps rmvl nstim array vagus|1499.91|1874.89 58-1036115|1972558336|0314T| Laps rmvl vgl arry&pls gen|1499.91|1874.89 58-1036115|1972558336|0315T| Rmvl vagus nerve pls gen|1499.91|1874.89 58-1036115|1972558336|0316T| Replc vagus nerve pls gen|16963.24|21204.05 58-1036115|1972558336|0317T| Elec alys vagus nrv pls gen|18.31|22.89 58-1036115|1972558336|0330T| Tear film img uni/bi w/i&r|0.00|0.00 58-1036115|1972558336|0331T| Heart symp image plnr|626.50|783.13 58-1036115|1972558336|0332T| Heart symp image plnr spect|626.50|783.13 58-1036115|1972558336|0335T| Insj sinus tarsi implant|4032.10|5040.13 58-1036115|1972558336|0338T| Trnscth renal symp denrv unl|2524.53|3155.66 58-1036115|1972558336|0339T| Trnscth renal symp denrv bil|2524.53|3155.66 58-1036115|1972558336|0341T|Quant pupillometry w/ rprt|0.00|0.00 58-1036115|1972558336|0342T| Thxp apheresis w/hdl delip|1927.45|2409.31 58-1036115|1972558336|0345T| Transcath mtral vlve repair|0.00|0.00 58-1036115|1972558336|0346T|Ultrasound elastography|0.00|0.00 58-1036115|1972558336|0347T| Ins bone device for rsa|0.00|0.00 58-1036115|1972558336|0348T| Rsa spine exam|0.00|0.00 58-1036115|1972558336|0349T| Rsa upper extr exam|0.00|0.00 58-1036115|1972558336|0350T| Rsa lower extr exam|0.00|0.00 58-1036115|1972558336|0351T| Intraop oct brst/node spec|0.00|0.00 58-1036115|1972558336|0353T| Intraop oct breast cavity|0.00|0.00 58-1036115|1972558336|0355T| Gi tract capsule endoscopy|730.94|913.68 58-1036115|1972558336|0356T| Insrt drug device for iop|0.00|0.00 58-1036115|1972558336|0357T| Cryopreservation oocyte(s)|0.00|0.00 58-1036115|1972558336|0358T| Bia whole body|15.83|19.79 58-1036115|1972558336|0362T| Bhv id suprt assmt ea 15 min|16.45|20.56 58-1036115|1972558336|0373T| Adapt bhv tx ea 15 min|16.45|20.56 58-1036115|1972558336|0375T| Total disc arthrp ant appr|0.00|0.00 58-1036115|1972558336|0376T| Insert ant segment drain int|0.00|0.00 58-1036115|1972558336|0377T| Anoscpy inj agent for incont|1139.05|1423.81 58-1036115|1972558336|0379T| Vis field assmnt tech suppt|0.00|0.00 58-1036115|1972558336|0380T| Comp animat ret imag series|0.00|0.00 58-1036115|1972558336|0387T|Leadless c pm ins/rpl ventr|10859.50|13574.38 58-1036115|1972558336|0388T|Leadless c pm remove ventr|1298.51|1623.14 58-1036115|1972558336|0390T|Periproc eval inper ledls pm|0.00|0.00 58-1036115|1972558336|0394T| Hdr elctrnc skn surf brchytx|114.52|143.15 58-1036115|1972558336|0395T| Hdr elctr ntrst/ntrcv brchtx|371.99|464.99 58-1036115|1972558336|0396T| Intraop kinetic balnce sensr|0.00|0.00 58-1036115|1972558336|0397T| Ercp w/optical endomicroscpy|0.00|0.00 58-1036115|1972558336|0398T| Mrgfus strtctc les abltj|0.00|0.00 58-1036115|1972558336|0399T| Myocardial strain imaging|0.00|0.00 58-1036115|1972558336|0400T| Mltispectrl digital les alys|0.00|0.00 58-1036115|1972558336|0401T| Mltispectrl digital les alys|0.00|0.00 58-1036115|1972558336|0402T| Collagen crosslinking cornea|808.47|1010.59 58-1036115|1972558336|0404T| Trnscrv uterin fibroid abltj|3126.31|3907.89 58-1036115|1972558336|0406T|Sin ndsc plmt drg elut mplnt|0.00|0.00 58-1036115|1972558336|0407T|Sin ndsc plmt drg elut mplnt|0.00|0.00 58-1036115|1972558336|0408T| Insj/rplc cardiac modulj sys|19313.72|24142.15 58-1036115|1972558336|0409T| Insj/rplc car modulj pls gn|15818.02|19772.53 58-1036115|1972558336|0410T| Insj/rplc car modulj atr elt|5123.94|6404.93 58-1036115|1972558336|0411T| Insj/rplc car modulj vnt elt|5123.94|6404.93 58-1036115|1972558336|0412T| Rmvl cardiac modulj pls gen|1493.96|1867.45 58-1036115|1972558336|0413T| Rmvl car modulj tranvns elt|1493.96|1867.45 58-1036115|1972558336|0414T| Rmvl & rpl car modulj pls gn|15818.02|19772.53 58-1036115|1972558336|0415T| Repos car modulj tranvns elt|319.10|398.88 58-1036115|1972558336|0416T| Reloc skin pocket pls gen|817.02|1021.28 58-1036115|1972558336|0417T| Prgrmg eval cardiac modulj|18.31|22.89 58-1036115|1972558336|0418T| Interro eval cardiac modulj|18.31|22.89 58-1036115|1972558336|0419T| Dstrj neurofibroma xtnsv|254.31|317.89 58-1036115|1972558336|0420T| Dstrj neurofibroma xtnsv|254.31|317.89 58-1036115|1972558336|0421T| Waterjet prostate abltj cmpl|1756.98|2196.23 58-1036115|1972558336|0422T| Tactile breast img uni/bi|32.36|40.45 58-1036115|1972558336|0424T| Insj/rplc nstim apnea compl|22017.19|27521.49 58-1036115|1972558336|0425T| Insj/rplc nstim apnea sen ld|3100.28|3875.35 58-1036115|1972558336|0426T| Insj/rplc nstim apnea stm ld|9171.70|11464.63 58-1036115|1972558336|0427T| Insj/rplc nstim apnea pls gn|9171.70|11464.63 58-1036115|1972558336|0428T| Rmvl nstim apnea pls gen|1499.91|1874.89 58-1036115|1972558336|0429T| Rmvl nstim apnea sen ld|1499.91|1874.89 58-1036115|1972558336|0430T| Rmvl nstim apnea stimj ld|1499.91|1874.89 58-1036115|1972558336|0431T| Rmvl/rplc nstim apnea pls gn|9171.70|11464.63 58-1036115|1972558336|0432T| Repos nstim apnea stimj ld|1499.91|1874.89 58-1036115|1972558336|0433T| Repos nstim apnea sensing ld|1499.91|1874.89 58-1036115|1972558336|0434T| Interro eval npgs apnea|60.00|75.00 58-1036115|1972558336|0435T| Prgrmg eval npgs apnea 1 ses|57.92|72.40 58-1036115|1972558336|0436T| Prgrmg eval npgs apnea study|449.79|562.24 58-1036115|1972558336|0437T| Impltj synth rnfcmt abdl wal|0.00|0.00 58-1036115|1972558336|0439T| Myocrd contrast prfuj echo|0.00|0.00 58-1036115|1972558336|0440T| Abltj perc uxtr/perph nrv|2033.05|2541.31 58-1036115|1972558336|0441T| Abltj perc lxtr/perph nrv|2033.05|2541.31 58-1036115|1972558336|0442T| Abltj perc plex/trncl nrv|2033.05|2541.31 58-1036115|1972558336|0443T| R-t spctrl alys prst8 tiss|0.00|0.00 58-1036115|1972558336|0444T| 1st plmt drug elut oc ins|0.00|0.00 58-1036115|1972558336|0445T| Sbsqt plmt drug elut oc ins|0.00|0.00 58-1036115|1972558336|0446T| Insj impltbl glucose sensor|350.21|437.76 58-1036115|1972558336|0447T| Rmvl impltbl glucose sensor|88.01|110.01 58-1036115|1972558336|0448T| Remvl insj impltbl gluc sens|254.31|317.89 58-1036115|1972558336|0449T| Insj aqueous drain dev 1st|2440.49|3050.61 58-1036115|1972558336|0450T| Insj aqueous drain dev each|0.00|0.00 58-1036115|1972558336|0451T| Insj/rplcmt aortic ventr sys|0.00|0.00 58-1036115|1972558336|0452T| Insj/rplcmt dev vasc seal|0.00|0.00 58-1036115|1972558336|0453T| Insj/rplcmt mech-elec ntrfce|3648.50|4560.62 58-1036115|1972558336|0454T| Insj/rplcmt subq electrode|3648.50|4560.62 58-1036115|1972558336|0455T| Remvl aortic ventr cmpl sys|0.00|0.00 58-1036115|1972558336|0456T| Remvl aortic dev vasc seal|0.00|0.00 58-1036115|1972558336|0457T| Remvl mech-elec skin ntrfce|1542.62|1928.28 58-1036115|1972558336|0458T| Remvl subq electrode|1542.62|1928.28 58-1036115|1972558336|0459T| Relocaj rplcmt aortic ventr|0.00|0.00 58-1036115|1972558336|0460T| Repos aortic ventr dev eltrd|1542.62|1928.28 58-1036115|1972558336|0461T| Repos aortic contrpulsj dev|0.00|0.00 58-1036115|1972558336|0462T| Prgrmg eval aortic ventr sys|138.18|172.72 58-1036115|1972558336|0463T| Interrog aortic ventr sys|138.18|172.72 58-1036115|1972558336|0464T| Visual ep test for glaucoma|66.99|83.74 58-1036115|1972558336|0465T| Supchrdl njx rx w/o supply|155.01|193.76 58-1036115|1972558336|0466T| Insj ch wal respir eltrd/ra|0.00|0.00 58-1036115|1972558336|0467T| Revj/rplmnt ch respir eltrd|0.00|0.00 58-1036115|1972558336|0468T| Rmvl ch wal respir eltrd/ra|0.00|0.00 58-1036115|1972558336|0471T| Oct skn img acquisj i&r addl|0.00|0.00 58-1036115|1972558336|0472T| Prgrmg io rta eltrd ra|138.18|172.72 58-1036115|1972558336|0473T| Reprgrmg io rta eltrd ra|57.92|72.40 58-1036115|1972558336|0474T| Insj aqueous drg dev io rsvr|1793.80|2242.25 58-1036115|1972558336|0476T| Rec ftl car sgl elec tr data|52.47|65.59 58-1036115|1972558336|0477T| Rec ftl car sgl xrtj alys|52.47|65.59 58-1036115|1972558336|0479T| Fxjl abl lsr 1st 100 sq cm|161.90|202.38 58-1036115|1972558336|0480T| Fxjl abl lsr ea addl 100sqcm|0.00|0.00 58-1036115|1972558336|0481T| Njx autol wbc concentrate|171.56|214.45 58-1036115|1972558336|0482T| Absl quan myocrd bld flo pet|0.00|0.00 58-1036115|1972558336|0483T| Tmvi percutaneous approach|0.00|0.00 58-1036115|1972558336|0484T| Tmvi transthoracic exposure|0.00|0.00 58-1036115|1972558336|0485T| Oct mid ear i&r unilateral|15.83|19.79 58-1036115|1972558336|0486T| Oct mid ear i&r bilateral|15.83|19.79 58-1036115|1972558336|0487T| Trvg biomchn mapg w/reprt|0.00|0.00 58-1036115|1972558336|0491T| Abl lsr opn wnd 1st 20 sqcm|161.90|202.38 58-1036115|1972558336|0492T| Abl lsr opn wnd addl 20 sqcm|0.00|0.00 58-1036115|1972558336|0493T| Near ifr spectrsc of wounds|0.00|0.00 58-1036115|1972558336|0494T| Prep & cannulj cdvr don lung|0.00|0.00 58-1036115|1972558336|0495T| Mntr cdvr don lng 1st 2 hrs|0.00|0.00 58-1036115|1972558336|0496T| Mntr cdvr don lng ea addl hr|0.00|0.00 58-1036115|1972558336|0497T| Xtrnl pt act ecg in-off conn|18.31|22.89 58-1036115|1972558336|0499T| Cysto f/urtl strix/stenosis|857.29|1071.61 58-1036115|1972558336|0502T| Cor ffr data prep & transmis|0.00|0.00 58-1036115|1972558336|0503T| Cor ffr alys gnrj ffr mdl|0.00|0.00 58-1036115|1972558336|0505T| Ev fempop artl revsc|4764.58|5955.72 58-1036115|1972558336|0506T| Mac pgmt opt dns meas hfp|27.54|34.43 58-1036115|1972558336|0507T| Near ifr 2img mibmn glnd i&r|27.54|34.43 58-1036115|1972558336|0508T| Pls echo us b1 dns meas tib|68.82|86.03 58-1036115|1972558336|0509T| Pattern erg w/i&r|66.99|83.74 58-1036115|1972558336|0510T| Rmvl sinus tarsi implant|1292.70|1615.87 58-1036115|1972558336|0511T| Rmvl&rinsj sinus tarsi implt|2808.57|3510.71 58-1036115|1972558336|0512T| Esw integ wnd hlg 1st wnd|154.77|193.46 58-1036115|1972558336|0513T| Esw integ wnd hlg ea addl|0.00|0.00 58-1036115|1972558336|0514T| Intraop vis axis id pt fixj|0.00|0.00 58-1036115|1972558336|0515T| Insj wcs lv compl sys|10839.12|13548.90 58-1036115|1972558336|0516T| Insj wcs lv eltrd only|3648.50|4560.62 58-1036115|1972558336|0517T| Insj wcs lv pg compnt|3648.50|4560.62 58-1036115|1972558336|0518T| Rmvl pg compnt wcs|1542.62|1928.28 58-1036115|1972558336|0519T| Rmvl & rplcmt pg compnt wcs|1542.62|1928.28 58-1036115|1972558336|0520T| Rmvl&rplcmt pg wcs new eltrd|10839.12|13548.90 58-1036115|1972558336|0521T| Interrog dev eval wcs ip|8.46|10.58 58-1036115|1972558336|0522T| Prgrmg dev eval wcs ip|18.31|22.89 58-1036115|1972558336|0523T| Ntrapx c ffr w/3d funcjl map|0.00|0.00 58-1036115|1972558336|0524T| Ev cath dir chem abltj w/img|1301.65|1627.07 58-1036115|1972558336|0525T| Insj/rplcmt compl iims|4868.20|6085.26 58-1036115|1972558336|0526T| Insj/rplcmt iims eltrd only|3648.50|4560.62 58-1036115|1972558336|0527T| Insj/rplcmt iims implt mntr|3648.50|4560.62 58-1036115|1972558336|0528T| Prgrmg dev eval iims ip|18.31|22.89 58-1036115|1972558336|0529T| Interrog dev eval iims ip|18.31|22.89 58-1036115|1972558336|0530T| Removal complete iims|1542.62|1928.28 58-1036115|1972558336|0531T| Removal iims electrode only|1542.62|1928.28 58-1036115|1972558336|0532T| Removal iims implt mntr only|1542.62|1928.28 58-1036115|1972558336|0534T| Cont rec mvmt do setup&train|18.31|22.89 58-1036115|1972558336|0535T| Cont rec mvmt do reprt cnfig|18.31|22.89 58-1036115|1972558336|0540T| Car-t cll admn autologous|142.10|177.63 58-1036115|1972558336|A9500|Tc99m sestamibi|0.00|0.00 58-1036115|1972558336|A9501|Technetium tc-99m teboroxime|0.00|0.00 58-1036115|1972558336|A9502|Tc99m tetrofosmin|0.00|0.00 58-1036115|1972558336|A9503|Tc99m medronate|0.00|0.00 58-1036115|1972558336|A9504|Tc99m apcitide|0.00|0.00 58-1036115|1972558336|A9505|Tl201 thallium|0.00|0.00 58-1036115|1972558336|A9507|In111 capromab|0.00|0.00 58-1036115|1972558336|A9508|I131 iodobenguate| dx|0.00|0.00 58-1036115|1972558336|A9509|Iodine i-123 sod iodide mil|0.00|0.00 58-1036115|1972558336|A9510|Tc99m disofenin|0.00|0.00 58-1036115|1972558336|A9512|Tc99m pertechnetate|0.00|0.00 58-1036115|1972558336|A9513|Lutetium lu 177 dotatat ther|0.00|0.00 58-1036115|1972558336|A9515|Choline c-11|5700.00|7125.00 58-1036115|1972558336|A9516|Iodine i-123 sod iodide mic|0.00|0.00 58-1036115|1972558336|A9517|I131 iodide cap| rx|0.00|0.00 58-1036115|1972558336|A9520|Tc99 tilmanocept diag 0.5mci|0.00|0.00 58-1036115|1972558336|A9521|Tc99m exametazime|0.00|0.00 58-1036115|1972558336|A9524|I131 serum albumin| dx|0.00|0.00 58-1036115|1972558336|A9526|Nitrogen n-13 ammonia|0.00|0.00 58-1036115|1972558336|A9527|Iodine i-125 sodium iodide|26.65|33.31 58-1036115|1972558336|A9528|Iodine i-131 iodide cap| dx|0.00|0.00 58-1036115|1972558336|A9529|I131 iodide sol| dx|0.00|0.00 58-1036115|1972558336|A9530|I131 iodide sol| rx|0.00|0.00 58-1036115|1972558336|A9531|I131 max 100uci|0.00|0.00 58-1036115|1972558336|A9532|I125 serum albumin| dx|0.00|0.00 58-1036115|1972558336|A9536|Tc99m depreotide|0.00|0.00 58-1036115|1972558336|A9537|Tc99m mebrofenin|0.00|0.00 58-1036115|1972558336|A9538|Tc99m pyrophosphate|0.00|0.00 58-1036115|1972558336|A9539|Tc99m pentetate|0.00|0.00 58-1036115|1972558336|A9540|Tc99m maa|0.00|0.00 58-1036115|1972558336|A9541|Tc99m sulfur colloid|0.00|0.00 58-1036115|1972558336|A9542|In111 ibritumomab| dx|0.00|0.00 58-1036115|1972558336|A9543|Y90 ibritumomab| rx|0.00|0.00 58-1036115|1972558336|A9546|Co57/58|0.00|0.00 58-1036115|1972558336|A9547|In111 oxyquinoline|0.00|0.00 58-1036115|1972558336|A9548|In111 pentetate|0.00|0.00 58-1036115|1972558336|A9550|Tc99m gluceptate|0.00|0.00 58-1036115|1972558336|A9551|Tc99m succimer|0.00|0.00 58-1036115|1972558336|A9552|F18 fdg|0.00|0.00 58-1036115|1972558336|A9553|Cr51 chromate|0.00|0.00 58-1036115|1972558336|A9554|I125 iothalamate| dx|0.00|0.00 58-1036115|1972558336|A9555|Rb82 rubidium|0.00|0.00 58-1036115|1972558336|A9556|Ga67 gallium|0.00|0.00 58-1036115|1972558336|A9557|Tc99m bicisate|0.00|0.00 58-1036115|1972558336|A9558|Xe133 xenon 10mci|0.00|0.00 58-1036115|1972558336|A9559|Co57 cyano|0.00|0.00 58-1036115|1972558336|A9560|Tc99m labeled rbc|0.00|0.00 58-1036115|1972558336|A9561|Tc99m oxidronate|0.00|0.00 58-1036115|1972558336|A9562|Tc99m mertiatide|0.00|0.00 58-1036115|1972558336|A9563|P32 na phosphate|0.00|0.00 58-1036115|1972558336|A9566|Tc99m fanolesomab|0.00|0.00 58-1036115|1972558336|A9567|Technetium tc-99m aerosol|0.00|0.00 58-1036115|1972558336|A9568|Technetium tc99m arcitumomab|0.00|0.00 58-1036115|1972558336|A9569|Technetium tc-99m auto wbc|0.00|0.00 58-1036115|1972558336|A9570|Indium in-111 auto wbc|0.00|0.00 58-1036115|1972558336|A9571|Indium in-111 auto platelet|0.00|0.00 58-1036115|1972558336|A9572|Indium in-111 pentetreotide|0.00|0.00 58-1036115|1972558336|A9575|Inj gadoterate meglumi 0.1ml|0.00|0.00 58-1036115|1972558336|A9576|Inj prohance multipack|0.00|0.00 58-1036115|1972558336|A9577|Inj multihance|0.00|0.00 58-1036115|1972558336|A9578|Inj multihance multipack|0.00|0.00 58-1036115|1972558336|A9579|Gad-base mr contrast nos|1ml|0.00|0.00 58-1036115|1972558336|A9580|Sodium fluoride f-18|0.00|0.00 58-1036115|1972558336|A9581|Gadoxetate disodium inj|0.00|0.00 58-1036115|1972558336|A9582|Iodine i-123 iobenguane|0.00|0.00 58-1036115|1972558336|A9583|Gadofosveset trisodium inj|0.00|0.00 58-1036115|1972558336|A9584|Iodine i-123 ioflupane|0.00|0.00 58-1036115|1972558336|A9585|Gadobutrol injection|0.00|0.00 58-1036115|1972558336|A9586|Florbetapir f18|3023.16|3778.95 58-1036115|1972558336|A9587|Gallium ga-68|66.74|83.43 58-1036115|1972558336|A9588|Fluciclovine f-18|389.55|486.94 58-1036115|1972558336|A9597|Pet| dx| for tumor id| noc|0.00|0.00 58-1036115|1972558336|A9598|Pet dx for non-tumor id| noc|0.00|0.00 58-1036115|1972558336|A9600|Sr89 strontium|0.00|0.00 58-1036115|1972558336|A9604|Sm 153 lexidronam|0.00|0.00 58-1036115|1972558336|A9606|Radium ra223 dichloride ther|0.00|0.00 58-1036115|1972558336|A9698|Non-rad contrast materialnoc|0.00|0.00 58-1036115|1972558336|A9700|Echocardiography contrast|0.00|0.00 58-1036115|1972558336|C1713|Anchor/screw bn/bn|tis/bn|0.00|0.00 58-1036115|1972558336|C1714|Cath| trans atherectomy| dir|0.00|0.00 58-1036115|1972558336|C1715|Brachytherapy needle|0.00|0.00 58-1036115|1972558336|C1716|Brachytx| non-str| gold-198|122.61|153.26 58-1036115|1972558336|C1717|Brachytx| non-str|hdr ir-192|294.59|368.24 58-1036115|1972558336|C1719|Brachytx| ns| non-hdrir-192|19.16|23.95 58-1036115|1972558336|C1721|Aicd| dual chamber|0.00|0.00 58-1036115|1972558336|C1722|Aicd| single chamber|0.00|0.00 58-1036115|1972558336|C1724|Cath| trans atherec|rotation|0.00|0.00 58-1036115|1972558336|C1725|Cath| translumin non-laser|0.00|0.00 58-1036115|1972558336|C1726|Cath| bal dil| non-vascular|0.00|0.00 58-1036115|1972558336|C1727|Cath| bal tis dis| non-vas|0.00|0.00 58-1036115|1972558336|C1728|Cath| brachytx seed adm|0.00|0.00 58-1036115|1972558336|C1729|Cath| drainage|0.00|0.00 58-1036115|1972558336|C1730|Cath| ep| 19 or few elect|0.00|0.00 58-1036115|1972558336|C1731|Cath| ep| 20 or more elec|0.00|0.00 58-1036115|1972558336|C1732|Cath| ep| diag/abl| 3d/vect|0.00|0.00 58-1036115|1972558336|C1733|Cath| ep| othr than cool-tip|0.00|0.00 58-1036115|1972558336|C1749|Endo| colon| retro imaging|0.00|0.00 58-1036115|1972558336|C1750|Cath| hemodialysis|long-term|0.00|0.00 58-1036115|1972558336|C1751|Cath| inf| per/cent/midline|0.00|0.00 58-1036115|1972558336|C1752|Cath|hemodialysis|short-term|0.00|0.00 58-1036115|1972558336|C1753|Cath| intravas ultrasound|0.00|0.00 58-1036115|1972558336|C1754|Catheter| intradiscal|0.00|0.00 58-1036115|1972558336|C1755|Catheter| intraspinal|0.00|0.00 58-1036115|1972558336|C1756|Cath| pacing| transesoph|0.00|0.00 58-1036115|1972558336|C1757|Cath| thrombectomy/embolect|0.00|0.00 58-1036115|1972558336|C1758|Catheter| ureteral|0.00|0.00 58-1036115|1972558336|C1759|Cath| intra echocardiography|0.00|0.00 58-1036115|1972558336|C1760|Closure dev| vasc|0.00|0.00 58-1036115|1972558336|C1762|Conn tiss| human(inc fascia)|0.00|0.00 58-1036115|1972558336|C1763|Conn tiss| non-human|0.00|0.00 58-1036115|1972558336|C1764|Event recorder| cardiac|0.00|0.00 58-1036115|1972558336|C1765|Adhesion barrier|0.00|0.00 58-1036115|1972558336|C1766|Intro/sheath|strble|non-peel|0.00|0.00 58-1036115|1972558336|C1767|Generator| neuro non-recharg|0.00|0.00 58-1036115|1972558336|C1768|Graft| vascular|0.00|0.00 58-1036115|1972558336|C1769|Guide wire|0.00|0.00 58-1036115|1972558336|C1770|Imaging coil| mr| insertable|0.00|0.00 58-1036115|1972558336|C1771|Rep dev| urinary| w/sling|0.00|0.00 58-1036115|1972558336|C1772|Infusion pump| programmable|0.00|0.00 58-1036115|1972558336|C1773|Ret dev| insertable|0.00|0.00 58-1036115|1972558336|C1776|Joint device (implantable)|0.00|0.00 58-1036115|1972558336|C1777|Lead| aicd| endo single coil|0.00|0.00 58-1036115|1972558336|C1778|Lead| neurostimulator|0.00|0.00 58-1036115|1972558336|C1779|Lead| pmkr| transvenous vdd|0.00|0.00 58-1036115|1972558336|C1780|Lens| intraocular (new tech)|0.00|0.00 58-1036115|1972558336|C1781|Mesh (implantable)|0.00|0.00 58-1036115|1972558336|C1782|Morcellator|0.00|0.00 58-1036115|1972558336|C1783|Ocular imp| aqueous drain de|0.00|0.00 58-1036115|1972558336|C1784|Ocular dev| intraop| det ret|0.00|0.00 58-1036115|1972558336|C1785|Pmkr| dual| rate-resp|0.00|0.00 58-1036115|1972558336|C1786|Pmkr| single| rate-resp|0.00|0.00 58-1036115|1972558336|C1787|Patient progr| neurostim|0.00|0.00 58-1036115|1972558336|C1788|Port| indwelling| imp|0.00|0.00 58-1036115|1972558336|C1789|Prosthesis| breast| imp|0.00|0.00 58-1036115|1972558336|C1813|Prosthesis| penile| inflatab|0.00|0.00 58-1036115|1972558336|C1814|Retinal tamp| silicone oil|0.00|0.00 58-1036115|1972558336|C1815|Pros| urinary sph| imp|0.00|0.00 58-1036115|1972558336|C1816|Receiver/transmitter| neuro|0.00|0.00 58-1036115|1972558336|C1817|Septal defect imp sys|0.00|0.00 58-1036115|1972558336|C1818|Integrated keratoprosthesis|0.00|0.00 58-1036115|1972558336|C1819|Tissue localization-excision|0.00|0.00 58-1036115|1972558336|C1820|Generator neuro rechg bat sy|0.00|0.00 58-1036115|1972558336|C1821|Interspinous implant|0.00|0.00 58-1036115|1972558336|C1822|Gen| neuro| hf| rechg bat|0.00|0.00 58-1036115|1972558336|C1823|Gen| neuro| trans sen/stim|0.00|0.00 58-1036115|1972558336|C1830|Power bone marrow bx needle|0.00|0.00 58-1036115|1972558336|C1840|Telescopic intraocular lens|0.00|0.00 58-1036115|1972558336|C1841|Retinal prosth int/ext comp|56031.73|70039.66 58-1036115|1972558336|C1842|Retinal prosth| add-on|56031.73|70039.66 58-1036115|1972558336|C1874|Stent| coated/cov w/del sys|0.00|0.00 58-1036115|1972558336|C1875|Stent| coated/cov w/o del sy|0.00|0.00 58-1036115|1972558336|C1876|Stent| non-coa/non-cov w/del|0.00|0.00 58-1036115|1972558336|C1877|Stent| non-coat/cov w/o del|0.00|0.00 58-1036115|1972558336|C1878|Matrl for vocal cord|0.00|0.00 58-1036115|1972558336|C1880|Vena cava filter|0.00|0.00 58-1036115|1972558336|C1881|Dialysis access system|0.00|0.00 58-1036115|1972558336|C1882|Aicd| other than sing/dual|0.00|0.00 58-1036115|1972558336|C1883|Adapt/ext| pacing/neuro lead|0.00|0.00 58-1036115|1972558336|C1884|Embolization protect syst|0.00|0.00 58-1036115|1972558336|C1885|Cath| translumin angio laser|0.00|0.00 58-1036115|1972558336|C1886|Catheter| ablation|0.00|0.00 58-1036115|1972558336|C1887|Catheter| guiding|0.00|0.00 58-1036115|1972558336|C1888|Endovas non-cardiac abl cath|0.00|0.00 58-1036115|1972558336|C1889|Implant/insert device| noc|0.00|0.00 58-1036115|1972558336|C1891|Infusion pump|non-prog| perm|0.00|0.00 58-1036115|1972558336|C1892|Intro/sheath|fixed|peel-away|0.00|0.00 58-1036115|1972558336|C1893|Intro/sheath| fixed|non-peel|0.00|0.00 58-1036115|1972558336|C1894|Intro/sheath| non-laser|0.00|0.00 58-1036115|1972558336|C1895|Lead| aicd| endo dual coil|0.00|0.00 58-1036115|1972558336|C1896|Lead| aicd| non sing/dual|0.00|0.00 58-1036115|1972558336|C1897|Lead| neurostim test kit|0.00|0.00 58-1036115|1972558336|C1898|Lead| pmkr| other than trans|0.00|0.00 58-1036115|1972558336|C1899|Lead| pmkr/aicd combination|0.00|0.00 58-1036115|1972558336|C1900|Lead| coronary venous|0.00|0.00 58-1036115|1972558336|C2613|Lung bx plug w/del sys|0.00|0.00 58-1036115|1972558336|C2614|Probe| perc lumb disc|0.00|0.00 58-1036115|1972558336|C2615|Sealant| pulmonary| liquid|0.00|0.00 58-1036115|1972558336|C2616|Brachytx| non-str|yttrium-90|16717.59|20896.99 58-1036115|1972558336|C2617|Stent| non-cor| tem w/o del|0.00|0.00 58-1036115|1972558336|C2618|Probe/needle| cryo|0.00|0.00 58-1036115|1972558336|C2619|Pmkr| dual| non rate-resp|0.00|0.00 58-1036115|1972558336|C2620|Pmkr| single| non rate-resp|0.00|0.00 58-1036115|1972558336|C2621|Pmkr| other than sing/dual|0.00|0.00 58-1036115|1972558336|C2622|Prosthesis| penile| non-inf|0.00|0.00 58-1036115|1972558336|C2623|Cath| translumin| drug-coat|0.00|0.00 58-1036115|1972558336|C2624|Wireless pressure sensor |0.00|0.00 58-1036115|1972558336|C2625|Stent| non-cor| tem w/del sy|0.00|0.00 58-1036115|1972558336|C2626|Infusion pump| non-prog|temp|0.00|0.00 58-1036115|1972558336|C2627|Cath| suprapubic/cystoscopic|0.00|0.00 58-1036115|1972558336|C2628|Catheter| occlusion|0.00|0.00 58-1036115|1972558336|C2629|Intro/sheath| laser|0.00|0.00 58-1036115|1972558336|C2630|Cath| ep| cool-tip|0.00|0.00 58-1036115|1972558336|C2631|Rep dev| urinary| w/o sling|0.00|0.00 58-1036115|1972558336|C2634|Brachytx| non-str| ha| i-125|117.66|147.08 58-1036115|1972558336|C2635|Brachytx| non-str| ha| p-103|25.94|32.43 58-1036115|1972558336|C2636|Brachy linear| non-str|p-103|27.08|33.85 58-1036115|1972558336|C2638|Brachytx| stranded| i-125|34.73|43.41 58-1036115|1972558336|C2639|Brachytx| non-stranded|i-125|34.66|43.33 58-1036115|1972558336|C2640|Brachytx| stranded| p-103|78.72|98.40 58-1036115|1972558336|C2641|Brachytx| non-stranded|p-103|64.27|80.34 58-1036115|1972558336|C2642|Brachytx| stranded| c-131|87.89|109.86 58-1036115|1972558336|C2643|Brachytx| non-stranded|c-131|87.40|109.25 58-1036115|1972558336|C2644|Brachytx cesium-131 chloride|105.09|131.36 58-1036115|1972558336|C2645|Brachytx planar| p-103|4.69|5.86 58-1036115|1972558336|C2698|Brachytx| stranded| nos|34.73|43.41 58-1036115|1972558336|C2699|Brachytx| non-stranded| nos|19.16|23.95 58-1036115|1972558336|C5271|Low cost skin substitute app|254.31|317.89 58-1036115|1972558336|C5272|Low cost skin substitute app|0.00|0.00 58-1036115|1972558336|C5273|Low cost skin substitute app|817.02|1021.28 58-1036115|1972558336|C5274|Low cost skin substitute app|0.00|0.00 58-1036115|1972558336|C5275|Low cost skin substitute app|254.31|317.89 58-1036115|1972558336|C5276|Low cost skin substitute app|0.00|0.00 58-1036115|1972558336|C5277|Low cost skin substitute app|254.31|317.89 58-1036115|1972558336|C5278|Low cost skin substitute app|0.00|0.00 58-1036115|1972558336|C8900|Mra w/cont| abd|131.65|164.56 58-1036115|1972558336|C8901|Mra w/o cont| abd|121.02|151.28 58-1036115|1972558336|C8902|Mra w/o fol w/cont| abd|237.73|297.16 58-1036115|1972558336|C8903|Mri w/cont| breast| uni|131.65|164.56 58-1036115|1972558336|C8904|Mri w/o cont| breast| uni|121.02|151.28 58-1036115|1972558336|C8905|Mri w/o fol w/cont| brst| un|237.73|297.16 58-1036115|1972558336|C8906|Mri w/cont| breast| bi|237.73|297.16 58-1036115|1972558336|C8907|Mri w/o cont| breast| bi|121.02|151.28 58-1036115|1972558336|C8908|Mri w/o fol w/cont| breast||237.73|297.16 58-1036115|1972558336|C8909|Mra w/cont| chest|131.65|164.56 58-1036115|1972558336|C8910|Mra w/o cont| chest|121.02|151.28 58-1036115|1972558336|C8911|Mra w/o fol w/cont| chest|237.73|297.16 58-1036115|1972558336|C8912|Mra w/cont| lwr ext|237.73|297.16 58-1036115|1972558336|C8913|Mra w/o cont| lwr ext|121.02|151.28 58-1036115|1972558336|C8914|Mra w/o fol w/cont| lwr ext|237.73|297.16 58-1036115|1972558336|C8918|Mra w/cont| pelvis|131.65|164.56 58-1036115|1972558336|C8919|Mra w/o cont| pelvis|121.02|151.28 58-1036115|1972558336|C8920|Mra w/o fol w/cont| pelvis|237.73|297.16 58-1036115|1972558336|C8921|Tte w or w/o fol w/cont| com|340.87|426.09 58-1036115|1972558336|C8922|Tte w or w/o fol w/cont| f/u|340.87|426.09 58-1036115|1972558336|C8923|2d tte w or w/o fol w/con|co|340.87|426.09 58-1036115|1972558336|C8924|2d tte w or w/o fol w/con|fu|190.15|237.69 58-1036115|1972558336|C8925|2d tee w or w/o fol w/con|in|340.87|426.09 58-1036115|1972558336|C8926|Tee w or w/o fol w/cont|cong|340.87|426.09 58-1036115|1972558336|C8927|Tee w or w/o fol w/cont| mon|340.87|426.09 58-1036115|1972558336|C8928|Tte w or w/o fol w/con|stres|340.87|426.09 58-1036115|1972558336|C8929|Tte w or wo fol wcon|doppler|340.87|426.09 58-1036115|1972558336|C8930|Tte w or w/o contr| cont ecg|340.87|426.09 58-1036115|1972558336|C8931|Mra| w/dye| spinal canal|237.73|297.16 58-1036115|1972558336|C8932|Mra| w/o dye| spinal canal|121.02|151.28 58-1036115|1972558336|C8933|Mra| w/o&w/dye| spinal canal|131.65|164.56 58-1036115|1972558336|C8934|Mra| w/dye| upper extremity|131.65|164.56 58-1036115|1972558336|C8935|Mra| w/o dye| upper extr|121.02|151.28 58-1036115|1972558336|C8936|Mra| w/o&w/dye| upper extr|131.65|164.56 58-1036115|1972558336|C8957|Prolonged iv inf| req pump|142.10|177.63 58-1036115|1972558336|C9014|Injection| cerliponase alfa|95.40|119.25 58-1036115|1972558336|C9015|C-1 esterase| haegarda|9.67|12.08 58-1036115|1972558336|C9016|Inj| triptorelin ext rel|2826.67|3533.33 58-1036115|1972558336|C9024|Inj| daunorubicin-cytarabine|186.70|233.38 58-1036115|1972558336|C9028|Inj. inotuzumab ozogamicin|2202.44|2753.06 58-1036115|1972558336|C9029|Injection| guselkumab|103.87|129.84 58-1036115|1972558336|C9030|Inj copanlisib|77.90|97.38 58-1036115|1972558336|C9032|Voretigene neparvovec-rzyl|2963.29|3704.11 58-1036115|1972558336|C9033|Inj| akynzeo|540.60|675.75 58-1036115|1972558336|C9034|Injection| dexamethasone 9%|1.11|1.39 58-1036115|1972558336|C9035|Injection| Aristada Initio|0.00|0.00 58-1036115|1972558336|C9036|Injection| patisiran|0.00|0.00 58-1036115|1972558336|C9037|Injection| risperidone|0.00|0.00 58-1036115|1972558336|C9038|Inj mogamulizumab-kpkc|0.00|0.00 58-1036115|1972558336|C9039|Injection| plazomicin|0.00|0.00 58-1036115|1972558336|C9113|Inj pantoprazole sodium| via|0.00|0.00 58-1036115|1972558336|C9132|Kcentra| per i.u.|1.93|2.41 58-1036115|1972558336|C9248|Inj| clevidipine butyrate|0.00|0.00 58-1036115|1972558336|C9250|Artiss fibrin sealant|175.12|218.90 58-1036115|1972558336|C9254|Injection| lacosamide|0.00|0.00 58-1036115|1972558336|C9257|Bevacizumab injection|1.98|2.48 58-1036115|1972558336|C9275|Hexaminolevulinate hcl|0.00|0.00 58-1036115|1972558336|C9285|Patch| lidocaine/tetracaine|0.00|0.00 58-1036115|1972558336|C9290|Inj| bupivacaine liposome|0.00|0.00 58-1036115|1972558336|C9293|Injection| glucarpidase|313.31|391.64 58-1036115|1972558336|C9352|Neuragen nerve guide| per cm|0.00|0.00 58-1036115|1972558336|C9353|Neurawrap nerve protector|cm|0.00|0.00 58-1036115|1972558336|C9354|Veritas collagen matrix| cm2|0.00|0.00 58-1036115|1972558336|C9355|Neuromatrix nerve cuff| cm|0.00|0.00 58-1036115|1972558336|C9356|Tenoglide tendon prot| cm2|0.00|0.00 58-1036115|1972558336|C9358|Surgimend| fetal|0.00|0.00 58-1036115|1972558336|C9359|Implnt|bon void filler-putty|0.00|0.00 58-1036115|1972558336|C9360|Surgimend| neonatal|0.00|0.00 58-1036115|1972558336|C9361|Neuromend nerve wrap|0.00|0.00 58-1036115|1972558336|C9362|Implnt|bon void filler-strip|0.00|0.00 58-1036115|1972558336|C9363|Integra meshed bil wound mat|0.00|0.00 58-1036115|1972558336|C9364|Porcine implant| permacol|0.00|0.00 58-1036115|1972558336|C9399|Unclassified drugs or biolog|0.00|0.00 58-1036115|1972558336|C9407|Iodine i-131 iobenguane| dx|0.00|0.00 58-1036115|1972558336|C9408|Iodine i-131 iobenguane| tx|0.00|0.00 58-1036115|1972558336|C9447|Inj| phenylephrine ketorolac|473.24|591.56 58-1036115|1972558336|C9460|Injection| cangrelor|15.46|19.32 58-1036115|1972558336|C9462|Injection| delafloxacin|0.46|0.57 58-1036115|1972558336|C9463|Injection| aprepitant|2.10|2.63 58-1036115|1972558336|C9464|Injection| rolapitant|0.94|1.17 58-1036115|1972558336|C9465|Injection| durolane|1033.50|1291.88 58-1036115|1972558336|C9466|Injection| benralizumab|167.47|209.34 58-1036115|1972558336|C9467|Inj rituximab hyaluronidase|45.72|57.15 58-1036115|1972558336|C9468|Inj| factor ix| rebinyn|3.88|4.85 58-1036115|1972558336|C9482|Sotalol hydrochloride iv|9.99|12.48 58-1036115|1972558336|C9488|Conivaptan hcl|31.10|38.87 58-1036115|1972558336|C9492|Injection| durvalumab|73.97|92.46 58-1036115|1972558336|C9493|Injection| edaravone|19.18|23.97 58-1036115|1972558336|C9497|Loxapine| inhalation powder|150.80|188.50 58-1036115|1972558336|C9600|Perc drug-el cor stent sing|4764.58|5955.72 58-1036115|1972558336|C9601|Perc drug-el cor stent bran|0.00|0.00 58-1036115|1972558336|C9602|Perc d-e cor stent ather s|7566.18|9457.72 58-1036115|1972558336|C9603|Perc d-e cor stent ather br|0.00|0.00 58-1036115|1972558336|C9604|Perc d-e cor revasc t cabg s|4764.58|5955.72 58-1036115|1972558336|C9605|Perc d-e cor revasc t cabg b|0.00|0.00 58-1036115|1972558336|C9606|Perc d-e cor revasc w ami s|0.00|0.00 58-1036115|1972558336|C9607|Perc d-e cor revasc chro sin|7566.18|9457.72 58-1036115|1972558336|C9608|Perc d-e cor revasc chro add|0.00|0.00 58-1036115|1972558336|C9725|Place endorectal app|369.84|462.30 58-1036115|1972558336|C9726|Rxt breast appl place/remov|0.00|0.00 58-1036115|1972558336|C9727|Insert palate implants|592.89|741.11 58-1036115|1972558336|C9728|Place device/marker| non pro|618.16|772.70 58-1036115|1972558336|C9733|Non-ophthalmic fva|190.15|237.69 58-1036115|1972558336|C9734|U/s trtmt| not leiomyomata|5279.44|6599.30 58-1036115|1972558336|C9738|Blue light cysto imag agent|0.00|0.00 58-1036115|1972558336|C9739|Cystoscopy prostatic imp 1-3|2741.21|3426.51 58-1036115|1972558336|C9740|Cysto impl 4 or more|6377.21|7971.51 58-1036115|1972558336|C9744|Abd us w/contrast|131.65|164.56 58-1036115|1972558336|C9745|Nasal endo eustachian tube|2950.35|3687.94 58-1036115|1972558336|C9746|Trans imp balloon cont|11065.47|13831.84 58-1036115|1972558336|C9747|Ablation| hifu| prostate|5282.20|6602.75 58-1036115|1972558336|C9748|Prostatic rf water vapor tx|779.59|974.49 58-1036115|1972558336|C9749|Repair nasal stenosis w/imp|1311.22|1639.03 58-1036115|1972558336|C9750|Ins/rem-replace compl iims|7815.92|9769.90 58-1036115|1972558336|C9751|Microwave bronch| 3d| ebus|0.00|0.00 58-1036115|1972558336|C9752|Intraosseous des lumb/sacrum|2536.55|3170.68 58-1036115|1972558336|C9753|Intraosseous destruct add'l|0.00|0.00 58-1036115|1972558336|C9754|Perc av fistula| direct|4764.58|5955.72 58-1036115|1972558336|C9755|Rf magnetic-guide av fistula|4764.58|5955.72 58-1036115|1972558336|D0150|Comprehensve oral evaluation|443.09|553.86 58-1036115|1972558336|D0240|Intraoral occlusal film|443.09|553.86 58-1036115|1972558336|D0250|Extraoral 2d project image|443.09|553.86 58-1036115|1972558336|D0251|Extraoral posterior image|30.70|38.38 58-1036115|1972558336|D0270|Dental bitewing single image|443.09|553.86 58-1036115|1972558336|D0272|Dental bitewings two images|443.09|553.86 58-1036115|1972558336|D0274|Bitewings four images|443.09|553.86 58-1036115|1972558336|D0277|Vert bitewings 7 to 8 images|443.09|553.86 58-1036115|1972558336|D0460|Pulp vitality test|443.09|553.86 58-1036115|1972558336|D0600|Non-ionizing diag proc|443.09|553.86 58-1036115|1972558336|D1510|Space maintainer fxd unilat|443.09|553.86 58-1036115|1972558336|D1516|Fixed bilat space maint| max|443.09|553.86 58-1036115|1972558336|D1517|Fixed bilat space maint| man|443.09|553.86 58-1036115|1972558336|D1520|Remove unilat space maintain|443.09|553.86 58-1036115|1972558336|D1526|Remove bilat space main| max|443.09|553.86 58-1036115|1972558336|D1527|Remove bilat space main| man|443.09|553.86 58-1036115|1972558336|D1550|Recement space maintainer|443.09|553.86 58-1036115|1972558336|D1575|Dist space maint| fixed unil|443.09|553.86 58-1036115|1972558336|D2999|Dental unspec restorative pr|443.09|553.86 58-1036115|1972558336|D3460|Endodontic endosseous implan|443.09|553.86 58-1036115|1972558336|D3999|Endodontic procedure|443.09|553.86 58-1036115|1972558336|D4260|Osseous surgery 4 or more|443.09|553.86 58-1036115|1972558336|D4263|Bone replce graft first site|443.09|553.86 58-1036115|1972558336|D4264|Bone replce graft each add|443.09|553.86 58-1036115|1972558336|D4268|Surgical revision procedure|443.09|553.86 58-1036115|1972558336|D4270|Pedicle soft tissue graft pr|443.09|553.86 58-1036115|1972558336|D4273|Auto tissue graft 1st tooth|443.09|553.86 58-1036115|1972558336|D4355|Full mouth debridement|443.09|553.86 58-1036115|1972558336|D4381|Localized delivery antimicro|443.09|553.86 58-1036115|1972558336|D5911|Facial moulage sectional|443.09|553.86 58-1036115|1972558336|D5912|Facial moulage complete|443.09|553.86 58-1036115|1972558336|D5983|Radiation applicator|443.09|553.86 58-1036115|1972558336|D5984|Radiation shield|443.09|553.86 58-1036115|1972558336|D5985|Radiation cone locator|443.09|553.86 58-1036115|1972558336|D5987|Commissure splint|443.09|553.86 58-1036115|1972558336|D6920|Dental connector bar|443.09|553.86 58-1036115|1972558336|D7111|Extraction coronal remnants|443.09|553.86 58-1036115|1972558336|D7140|Extraction erupted tooth/exr|443.09|553.86 58-1036115|1972558336|D7210|Rem imp tooth w mucoper flp|443.09|553.86 58-1036115|1972558336|D7220|Impact tooth remov soft tiss|443.09|553.86 58-1036115|1972558336|D7230|Impact tooth remov part bony|443.09|553.86 58-1036115|1972558336|D7240|Impact tooth remov comp bony|443.09|553.86 58-1036115|1972558336|D7241|Impact tooth rem bony w/comp|443.09|553.86 58-1036115|1972558336|D7250|Tooth root removal|443.09|553.86 58-1036115|1972558336|D7260|Oral antral fistula closure|443.09|553.86 58-1036115|1972558336|D7261|Primary closure sinus perf|443.09|553.86 58-1036115|1972558336|D7291|Transseptal fiberotomy|443.09|553.86 58-1036115|1972558336|D7940|Reshaping bone orthognathic|443.09|553.86 58-1036115|1972558336|D9930|Treatment of complications|443.09|553.86 58-1036115|1972558336|D9944|Occ guard| hard| full arch|443.09|553.86 58-1036115|1972558336|D9945|Occ guard| soft| full arch|443.09|553.86 58-1036115|1972558336|D9946|Occ guard| hard| part arch|443.09|553.86 58-1036115|1972558336|D9950|Occlusion analysis|443.09|553.86 58-1036115|1972558336|D9951|Limited occlusal adjustment|443.09|553.86 58-1036115|1972558336|D9952|Complete occlusal adjustment|443.09|553.86 58-1036115|1972558336|G0008|Admin influenza virus vac|18.67|23.34 58-1036115|1972558336|G0009|Admin pneumococcal vaccine|18.67|23.34 58-1036115|1972558336|G0010|Admin hepatitis b vaccine|18.67|23.34 58-1036115|1972558336|G0101|Ca screen;pelvic/breast exam|37.64|47.05 58-1036115|1972558336|G0104|Ca screen;flexi sigmoidscope|138.60|173.25 58-1036115|1972558336|G0105|Colorectal scrn; hi risk ind|369.84|462.30 58-1036115|1972558336|G0106|Colon ca screen;barium enema|99.41|124.26 58-1036115|1972558336|G0117|Glaucoma scrn hgh risk direc|15.83|19.79 58-1036115|1972558336|G0118|Glaucoma scrn hgh risk direc|15.83|19.79 58-1036115|1972558336|G0120|Colon ca scrn; barium enema|190.15|237.69 58-1036115|1972558336|G0121|Colon ca scrn not hi rsk ind|369.84|462.30 58-1036115|1972558336|G0127|Trim nail(s)|27.54|34.43 58-1036115|1972558336|G0130|Single energy x-ray study|23.76|29.70 58-1036115|1972558336|G0166|Extrnl counterpulse| per tx|52.47|65.59 58-1036115|1972558336|G0175|Opps service|sched team conf|177.58|221.97 58-1036115|1972558336|G0186|Dstry eye lesn|fdr vssl tech|254.19|317.74 58-1036115|1972558336|G0237|Therapeutic procd strg endur|15.83|19.79 58-1036115|1972558336|G0238|Oth resp proc| indiv|15.83|19.79 58-1036115|1972558336|G0239|Oth resp proc| group|15.83|19.79 58-1036115|1972558336|G0245|Initial foot exam pt lops|57.09|71.36 58-1036115|1972558336|G0246|Followup eval of foot pt lop|57.09|71.36 58-1036115|1972558336|G0247|Routine footcare pt w lops|86.95|108.69 58-1036115|1972558336|G0248|Demonstrate use home inr mon|57.09|71.36 58-1036115|1972558336|G0249|Provide inr test mater/equip|57.09|71.36 58-1036115|1972558336|G0257|Unsched dialysis esrd pt hos|301.44|376.80 58-1036115|1972558336|G0260|Inj for sacroiliac jt anesth|283.06|353.83 58-1036115|1972558336|G0276|Pild/placebo control clin tr|2721.37|3401.71 58-1036115|1972558336|G0277|Hbot| full body chamber| 30m|56.37|70.47 58-1036115|1972558336|G0293|Non-cov surg proc|clin trial|15.83|19.79 58-1036115|1972558336|G0294|Non-cov proc| clinical trial|15.83|19.79 58-1036115|1972558336|G0296|Visit to determ ldct elig|37.64|47.05 58-1036115|1972558336|G0297|Ldct for lung ca screen|30.70|38.38 58-1036115|1972558336|G0302|Pre-op service lvrs complete|224.34|280.43 58-1036115|1972558336|G0303|Pre-op service lvrs 10-15dos|66.99|83.74 58-1036115|1972558336|G0304|Pre-op service lvrs 1-9 dos|224.34|280.43 58-1036115|1972558336|G0305|Post op service lvrs min 6|224.34|280.43 58-1036115|1972558336|G0341|Percutaneous islet celltrans|0.00|0.00 58-1036115|1972558336|G0342|Laparoscopy islet cell trans|0.00|0.00 58-1036115|1972558336|G0343|Laparotomy islet cell transp|0.00|0.00 58-1036115|1972558336|G0365|Vessel mapping hemo access|59.63|74.54 58-1036115|1972558336|G0379|Direct refer hospital observ|258.85|323.56 58-1036115|1972558336|G0380|Lev 1 hosp type b ed visit|38.36|47.94 58-1036115|1972558336|G0381|Lev 2 hosp type b ed visit|45.75|57.19 58-1036115|1972558336|G0382|Lev 3 hosp type b ed visit|80.65|100.81 58-1036115|1972558336|G0383|Lev 4 hosp type b ed visit|106.64|133.30 58-1036115|1972558336|G0384|Lev 5 hosp type b ed visit|158.31|197.89 58-1036115|1972558336|G0390|Trauma respons w/hosp criti|465.84|582.30 58-1036115|1972558336|G0396|Alcohol/subs interv 15-30mn|16.45|20.56 58-1036115|1972558336|G0397|Alcohol/subs interv >30 min|37.64|47.05 58-1036115|1972558336|G0398|Home sleep test/type 2 porta|66.99|83.74 58-1036115|1972558336|G0399|Home sleep test/type 3 porta|66.99|83.74 58-1036115|1972558336|G0400|Home sleep test/type 4 porta|66.99|83.74 58-1036115|1972558336|G0402|Initial preventive exam|57.09|71.36 58-1036115|1972558336|G0404|Ekg tracing for initial prev|8.46|10.58 58-1036115|1972558336|G0412|Open tx iliac spine uni/bil|0.00|0.00 58-1036115|1972558336|G0413|Pelvic ring fracture uni/bil|1292.70|1615.87 58-1036115|1972558336|G0414|Pelvic ring fx treat int fix|0.00|0.00 58-1036115|1972558336|G0415|Open tx post pelvic fxcture|0.00|0.00 58-1036115|1972558336|G0416|Prostate biopsy| any mthd|135.13|168.91 58-1036115|1972558336|G0422|Intens cardiac rehab w/exerc|58.22|72.77 58-1036115|1972558336|G0423|Intens cardiac rehab no exer|58.22|72.77 58-1036115|1972558336|G0424|Pulmonary rehab w exer|27.54|34.43 58-1036115|1972558336|G0429|Dermal filler injection(s)|52.20|65.25 58-1036115|1972558336|G0442|Annual alcohol screen 15 min|16.45|20.56 58-1036115|1972558336|G0443|Brief alcohol misuse counsel|37.64|47.05 58-1036115|1972558336|G0444|Depression screen annual|16.45|20.56 58-1036115|1972558336|G0445|High inten beh couns std 30m|37.64|47.05 58-1036115|1972558336|G0446|Intens behave ther cardio dx|16.45|20.56 58-1036115|1972558336|G0447|Behavior counsel obesity 15m|37.64|47.05 58-1036115|1972558336|G0451|Devlopment test interpt&rep|37.64|47.05 58-1036115|1972558336|G0455|Fecal microbiota prep instil|375.27|469.09 58-1036115|1972558336|G0460|Autologous prp for ulcers|763.27|954.09 58-1036115|1972558336|G0463|Hospital outpt clinic visit|57.09|71.36 58-1036115|1972558336|G0473|Group behave couns 2-10 |37.64|47.05 58-1036115|1972558336|G0498|Chemo extend iv infus w/pump|142.10|177.63 58-1036115|1972558336|G0516|Insert drug del implant| >=4|0.00|0.00 58-1036115|1972558336|G0517|Remove drug implant|0.00|0.00 58-1036115|1972558336|G0518|Remove w insert drug implant |0.00|0.00 58-1036115|1972558336|G2000|Blinded conv. Tx MDD clin tr|224.34|280.43 58-1036115|1972558336|G2011|Alcohol/sub abuse assess|8.46|10.58 58-1036115|1972558336|J0120|Tetracyclin injection|0.00|0.00 58-1036115|1972558336|J0129|Abatacept injection|52.93|66.16 58-1036115|1972558336|J0130|Abciximab injection|0.00|0.00 58-1036115|1972558336|J0131|Acetaminophen injection|0.00|0.00 58-1036115|1972558336|J0132|Acetylcysteine injection|0.00|0.00 58-1036115|1972558336|J0133|Acyclovir injection|0.00|0.00 58-1036115|1972558336|J0135|Adalimumab injection|1291.09|1613.86 58-1036115|1972558336|J0153|Adenosine inj 1mg|0.00|0.00 58-1036115|1972558336|J0171|Adrenalin epinephrine inject|0.00|0.00 58-1036115|1972558336|J0178|Aflibercept injection|967.33|1209.16 58-1036115|1972558336|J0180|Agalsidase beta injection|175.62|219.53 58-1036115|1972558336|J0185|Inj.| aprepitant| 1 mg|0.00|0.00 58-1036115|1972558336|J0202|Injection| alemtuzumab|1842.13|2302.66 58-1036115|1972558336|J0207|Amifostine|973.41|1216.76 58-1036115|1972558336|J0210|Methyldopate hcl injection|0.00|0.00 58-1036115|1972558336|J0220|Alglucosidase alfa injection|159.63|199.54 58-1036115|1972558336|J0221|Lumizyme injection|163.83|204.79 58-1036115|1972558336|J0256|Alpha 1 proteinase inhibitor|4.46|5.58 58-1036115|1972558336|J0257|Glassia injection|4.65|5.82 58-1036115|1972558336|J0278|Amikacin sulfate injection|0.00|0.00 58-1036115|1972558336|J0280|Aminophyllin 250 mg inj|0.00|0.00 58-1036115|1972558336|J0282|Amiodarone hcl|0.00|0.00 58-1036115|1972558336|J0285|Amphotericin b|0.00|0.00 58-1036115|1972558336|J0287|Amphotericin b lipid complex|17.72|22.15 58-1036115|1972558336|J0289|Amphotericin b liposome inj|48.07|60.08 58-1036115|1972558336|J0290|Ampicillin 500 mg inj|0.00|0.00 58-1036115|1972558336|J0295|Ampicillin sulbactam 1.5 gm|0.00|0.00 58-1036115|1972558336|J0300|Amobarbital 125 mg inj|46.33|57.91 58-1036115|1972558336|J0330|Succinycholine chloride inj|0.00|0.00 58-1036115|1972558336|J0348|Anidulafungin injection|0.00|0.00 58-1036115|1972558336|J0360|Hydralazine hcl injection|0.00|0.00 58-1036115|1972558336|J0380|Inj metaraminol bitartrate|0.00|0.00 58-1036115|1972558336|J0390|Chloroquine injection|0.00|0.00 58-1036115|1972558336|J0400|Aripiprazole injection|0.76|0.95 58-1036115|1972558336|J0401|Inj aripiprazole ext rel 1mg|5.24|6.55 58-1036115|1972558336|J0456|Azithromycin|0.00|0.00 58-1036115|1972558336|J0461|Atropine sulfate injection|0.00|0.00 58-1036115|1972558336|J0470|Dimecaprol injection|54.42|68.03 58-1036115|1972558336|J0475|Baclofen 10 mg injection|176.02|220.03 58-1036115|1972558336|J0476|Baclofen intrathecal trial|54.66|68.32 58-1036115|1972558336|J0480|Basiliximab|3686.13|4607.66 58-1036115|1972558336|J0485|Belatacept injection|3.81|4.76 58-1036115|1972558336|J0490|Belimumab injection|44.16|55.20 58-1036115|1972558336|J0500|Dicyclomine injection|0.00|0.00 58-1036115|1972558336|J0515|Inj benztropine mesylate|0.00|0.00 58-1036115|1972558336|J0517|Inj.| benralizumab| 1 mg|0.00|0.00 58-1036115|1972558336|J0558|Peng benzathine/procaine inj|0.00|0.00 58-1036115|1972558336|J0561|Penicillin g benzathine inj|13.90|17.38 58-1036115|1972558336|J0565|Inj| bezlotoxumab| 10 mg|40.16|50.20 58-1036115|1972558336|J0567|Inj.| cerliponase alfa 1 mg|0.00|0.00 58-1036115|1972558336|J0570|Buprenorphine implant 74.2mg|1260.23|1575.29 58-1036115|1972558336|J0583|Bivalirudin|0.00|0.00 58-1036115|1972558336|J0584|Injection| burosumab-twza 1m|0.00|0.00 58-1036115|1972558336|J0585|Injection|onabotulinumtoxina|6.14|7.67 58-1036115|1972558336|J0586|Abobotulinumtoxina|8.42|10.53 58-1036115|1972558336|J0587|Inj| rimabotulinumtoxinb|12.03|15.04 58-1036115|1972558336|J0588|Incobotulinumtoxin a|5.08|6.36 58-1036115|1972558336|J0592|Buprenorphine hydrochloride|0.00|0.00 58-1036115|1972558336|J0594|Busulfan injection|10.37|12.97 58-1036115|1972558336|J0595|Butorphanol tartrate 1 mg|0.00|0.00 58-1036115|1972558336|J0596|Injection| ruconest|27.65|34.56 58-1036115|1972558336|J0597|C-1 esterase| berinert|48.94|61.18 58-1036115|1972558336|J0598|C-1 esterase| cinryze|54.26|67.82 58-1036115|1972558336|J0599|Inj.| haegarda 10 units|0.00|0.00 58-1036115|1972558336|J0600|Edetate calcium disodium inj|5594.42|6993.03 58-1036115|1972558336|J0606|Inj| etelcalcetide| 0.1 mg|2.98|3.73 58-1036115|1972558336|J0610|Calcium gluconate injection|0.00|0.00 58-1036115|1972558336|J0620|Calcium glycer & lact/10 ml|0.00|0.00 58-1036115|1972558336|J0630|Calcitonin salmon injection|2629.53|3286.91 58-1036115|1972558336|J0636|Inj calcitriol per 0.1 mcg|0.00|0.00 58-1036115|1972558336|J0637|Caspofungin acetate|12.64|15.80 58-1036115|1972558336|J0638|Canakinumab injection|111.00|138.75 58-1036115|1972558336|J0640|Leucovorin calcium injection|0.00|0.00 58-1036115|1972558336|J0641|Levoleucovorin injection|0.24|0.30 58-1036115|1972558336|J0670|Inj mepivacaine hcl/10 ml|0.00|0.00 58-1036115|1972558336|J0690|Cefazolin sodium injection|0.00|0.00 58-1036115|1972558336|J0692|Cefepime hcl for injection|0.00|0.00 58-1036115|1972558336|J0694|Cefoxitin sodium injection|0.00|0.00 58-1036115|1972558336|J0695|Inj ceftolozane tazobactam|5.46|6.82 58-1036115|1972558336|J0696|Ceftriaxone sodium injection|0.00|0.00 58-1036115|1972558336|J0697|Sterile cefuroxime injection|0.00|0.00 58-1036115|1972558336|J0698|Cefotaxime sodium injection|0.00|0.00 58-1036115|1972558336|J0702|Betamethasone acet&sod phosp|0.00|0.00 58-1036115|1972558336|J0706|Caffeine citrate injection|0.00|0.00 58-1036115|1972558336|J0712|Ceftaroline fosamil inj|2.89|3.62 58-1036115|1972558336|J0713|Inj ceftazidime per 500 mg|0.00|0.00 58-1036115|1972558336|J0714|Ceftazidime and avibactam|84.25|105.32 58-1036115|1972558336|J0715|Ceftizoxime sodium / 500 mg|0.00|0.00 58-1036115|1972558336|J0716|Centruroides immune f(ab)|4592.80|5741.00 58-1036115|1972558336|J0717|Certolizumab pegol inj 1mg|8.14|10.17 58-1036115|1972558336|J0720|Chloramphenicol sodium injec|0.00|0.00 58-1036115|1972558336|J0725|Chorionic gonadotropin/1000u|0.00|0.00 58-1036115|1972558336|J0735|Clonidine hydrochloride|0.00|0.00 58-1036115|1972558336|J0740|Cidofovir injection|478.07|597.59 58-1036115|1972558336|J0743|Cilastatin sodium injection|0.00|0.00 58-1036115|1972558336|J0744|Ciprofloxacin iv|0.00|0.00 58-1036115|1972558336|J0745|Inj codeine phosphate /30 mg|0.00|0.00 58-1036115|1972558336|J0770|Colistimethate sodium inj|0.00|0.00 58-1036115|1972558336|J0775|Collagenase| clost hist inj|45.05|56.31 58-1036115|1972558336|J0780|Prochlorperazine injection|0.00|0.00 58-1036115|1972558336|J0795|Corticorelin ovine triflutal|8.59|10.74 58-1036115|1972558336|J0800|Corticotropin injection|3984.76|4980.95 58-1036115|1972558336|J0833|Cosyntropin injection nos|0.00|0.00 58-1036115|1972558336|J0834|Inj.| cosyntropin| 0.25 mg|0.00|0.00 58-1036115|1972558336|J0840|Crotalidae poly immune fab|3250.52|4063.15 58-1036115|1972558336|J0841|Inj crotalidae im f(ab')2 eq|0.00|0.00 58-1036115|1972558336|J0850|Cytomegalovirus imm iv /vial|1129.15|1411.44 58-1036115|1972558336|J0875|Injection| dalbavancin|14.35|17.94 58-1036115|1972558336|J0878|Daptomycin injection|0.32|0.40 58-1036115|1972558336|J0881|Darbepoetin alfa| non-esrd|3.77|4.72 58-1036115|1972558336|J0882|Darbepoetin alfa| esrd use|3.77|4.72 58-1036115|1972558336|J0883|Argatroban nonesrd use 1mg|1.23|1.54 58-1036115|1972558336|J0884|Argatroban esrd dialysis 1mg|1.23|1.54 58-1036115|1972558336|J0885|Epoetin alfa| non-esrd|12.27|15.34 58-1036115|1972558336|J0887|Epoetin beta esrd use|0.00|0.00 58-1036115|1972558336|J0888|Epoetin beta non esrd|1.74|2.17 58-1036115|1972558336|J0894|Decitabine injection|14.07|17.58 58-1036115|1972558336|J0895|Deferoxamine mesylate inj|0.00|0.00 58-1036115|1972558336|J0897|Denosumab injection|18.58|23.23 58-1036115|1972558336|J0945|Brompheniramine maleate inj|0.00|0.00 58-1036115|1972558336|J1000|Depo-estradiol cypionate inj|0.00|0.00 58-1036115|1972558336|J1020|Methylprednisolone 20 mg inj|0.00|0.00 58-1036115|1972558336|J1030|Methylprednisolone 40 mg inj|0.00|0.00 58-1036115|1972558336|J1040|Methylprednisolone 80 mg inj|0.00|0.00 58-1036115|1972558336|J1050|Medroxyprogesterone acetate|0.00|0.00 58-1036115|1972558336|J1071|Inj testosterone cypionate|0.00|0.00 58-1036115|1972558336|J1094|Inj dexamethasone acetate|0.00|0.00 58-1036115|1972558336|J1100|Dexamethasone sodium phos|0.00|0.00 58-1036115|1972558336|J1110|Inj dihydroergotamine mesylt|73.47|91.83 58-1036115|1972558336|J1120|Acetazolamid sodium injectio|0.00|0.00 58-1036115|1972558336|J1130|Inj diclofenac sodium 0.5mg|0.22|0.28 58-1036115|1972558336|J1160|Digoxin injection|0.00|0.00 58-1036115|1972558336|J1162|Digoxin immune fab (ovine)|3688.29|4610.37 58-1036115|1972558336|J1165|Phenytoin sodium injection|0.00|0.00 58-1036115|1972558336|J1170|Hydromorphone injection|0.00|0.00 58-1036115|1972558336|J1190|Dexrazoxane hcl injection|229.93|287.41 58-1036115|1972558336|J1200|Diphenhydramine hcl injectio|0.00|0.00 58-1036115|1972558336|J1205|Chlorothiazide sodium inj|0.00|0.00 58-1036115|1972558336|J1212|Dimethyl sulfoxide 50% 50 ml|535.99|669.98 58-1036115|1972558336|J1230|Methadone injection|0.00|0.00 58-1036115|1972558336|J1240|Dimenhydrinate injection|0.00|0.00 58-1036115|1972558336|J1245|Dipyridamole injection|0.00|0.00 58-1036115|1972558336|J1250|Inj dobutamine hcl/250 mg|0.00|0.00 58-1036115|1972558336|J1260|Dolasetron mesylate|0.00|0.00 58-1036115|1972558336|J1265|Dopamine injection|0.00|0.00 58-1036115|1972558336|J1267|Doripenem injection|0.00|0.00 58-1036115|1972558336|J1270|Injection| doxercalciferol|0.00|0.00 58-1036115|1972558336|J1290|Ecallantide injection|477.96|597.45 58-1036115|1972558336|J1300|Eculizumab injection|230.48|288.10 58-1036115|1972558336|J1301|Injection| edaravone| 1 mg|0.00|0.00 58-1036115|1972558336|J1320|Amitriptyline injection|0.00|0.00 58-1036115|1972558336|J1322|Elosulfase alfa| injection|236.63|295.79 58-1036115|1972558336|J1325|Epoprostenol injection|0.00|0.00 58-1036115|1972558336|J1327|Eptifibatide injection|16.28|20.35 58-1036115|1972558336|J1330|Ergonovine maleate injection|0.00|0.00 58-1036115|1972558336|J1335|Ertapenem injection|0.00|0.00 58-1036115|1972558336|J1364|Erythro lactobionate /500 mg|78.87|98.58 58-1036115|1972558336|J1380|Estradiol valerate 10 mg inj|0.00|0.00 58-1036115|1972558336|J1410|Inj estrogen conjugate 25 mg|308.63|385.79 58-1036115|1972558336|J1428|Inj| eteplirsen| 10 mg|168.12|210.15 58-1036115|1972558336|J1430|Ethanolamine oleate 100 mg|444.10|555.12 58-1036115|1972558336|J1438|Etanercept injection|645.54|806.93 58-1036115|1972558336|J1439|Inj ferric carboxymaltos 1mg|1.06|1.33 58-1036115|1972558336|J1442|Inj filgrastim excl biosimil|1.02|1.27 58-1036115|1972558336|J1443|Inj ferric pyrophosphate cit|0.00|0.00 58-1036115|1972558336|J1447|Inj tbo filgrastim 1 microg|0.58|0.72 58-1036115|1972558336|J1450|Fluconazole|0.00|0.00 58-1036115|1972558336|J1451|Fomepizole| 15 mg|7.41|9.26 58-1036115|1972558336|J1453|Fosaprepitant injection|2.19|2.74 58-1036115|1972558336|J1454|Inj fosnetupitant| palonoset|0.00|0.00 58-1036115|1972558336|J1455|Foscarnet sodium injection|82.27|102.83 58-1036115|1972558336|J1458|Galsulfase injection|389.95|487.44 58-1036115|1972558336|J1459|Inj ivig privigen 500 mg|39.63|49.54 58-1036115|1972558336|J1460|Gamma globulin 1 cc inj|38.05|47.56 58-1036115|1972558336|J1555|Inj cuvitru| 100 mg|13.40|16.75 58-1036115|1972558336|J1556|Inj| imm glob bivigam| 500mg|70.52|88.14 58-1036115|1972558336|J1557|Gammaplex injection|52.06|65.08 58-1036115|1972558336|J1559|Hizentra injection|9.86|12.33 58-1036115|1972558336|J1560|Gamma globulin > 10 cc inj|380.48|475.60 58-1036115|1972558336|J1561|Gamunex-c/gammaked|39.49|49.37 58-1036115|1972558336|J1566|Immune globulin| powder|37.95|47.43 58-1036115|1972558336|J1568|Octagam injection|36.72|45.90 58-1036115|1972558336|J1569|Gammagard liquid injection|43.14|53.93 58-1036115|1972558336|J1570|Ganciclovir sodium injection|0.00|0.00 58-1036115|1972558336|J1571|Hepagam b im injection|64.22|80.27 58-1036115|1972558336|J1572|Flebogamma injection|35.07|43.83 58-1036115|1972558336|J1573|Hepagam b intravenous| inj|64.22|80.27 58-1036115|1972558336|J1575|Hyqvia 100mg immuneglobulin|14.13|17.66 58-1036115|1972558336|J1580|Garamycin gentamicin inj|0.00|0.00 58-1036115|1972558336|J1595|Injection glatiramer acetate|201.17|251.46 58-1036115|1972558336|J1599|Ivig non-lyophilized| nos|0.00|0.00 58-1036115|1972558336|J1602|Golimumab for iv use 1mg|24.01|30.01 58-1036115|1972558336|J1610|Glucagon hydrochloride/1 mg|214.39|267.98 58-1036115|1972558336|J1626|Granisetron hcl injection|0.00|0.00 58-1036115|1972558336|J1627|Inj| granisetron| xr| 0.1 mg|3.58|4.47 58-1036115|1972558336|J1628|Inj.| guselkumab| 1 mg|0.00|0.00 58-1036115|1972558336|J1630|Haloperidol injection|0.00|0.00 58-1036115|1972558336|J1631|Haloperidol decanoate inj|0.00|0.00 58-1036115|1972558336|J1640|Hemin| 1 mg|23.03|28.79 58-1036115|1972558336|J1642|Inj heparin sodium per 10 u|0.00|0.00 58-1036115|1972558336|J1644|Inj heparin sodium per 1000u|0.00|0.00 58-1036115|1972558336|J1645|Dalteparin sodium|0.00|0.00 58-1036115|1972558336|J1650|Inj enoxaparin sodium|0.00|0.00 58-1036115|1972558336|J1652|Fondaparinux sodium|0.00|0.00 58-1036115|1972558336|J1655|Tinzaparin sodium injection|0.00|0.00 58-1036115|1972558336|J1670|Tetanus immune globulin inj|255.70|319.62 58-1036115|1972558336|J1700|Hydrocortisone acetate inj|0.00|0.00 58-1036115|1972558336|J1710|Hydrocortisone sodium ph inj|0.00|0.00 58-1036115|1972558336|J1720|Hydrocortisone sodium succ i|0.00|0.00 58-1036115|1972558336|J1726|Makena| 10 mg|27.93|34.91 58-1036115|1972558336|J1729|Inj hydroxyprogst capoat nos|0.00|0.00 58-1036115|1972558336|J1740|Ibandronate sodium injection|56.24|70.30 58-1036115|1972558336|J1741|Ibuprofen injection|0.00|0.00 58-1036115|1972558336|J1742|Ibutilide fumarate injection|240.76|300.95 58-1036115|1972558336|J1743|Idursulfase injection|536.56|670.70 58-1036115|1972558336|J1744|Icatibant injection|359.00|448.76 58-1036115|1972558336|J1745|Infliximab not biosimil 10mg|78.83|98.54 58-1036115|1972558336|J1746|Inj.| ibalizumab-uiyk| 10 mg|0.00|0.00 58-1036115|1972558336|J1750|Inj iron dextran|14.06|17.57 58-1036115|1972558336|J1756|Iron sucrose injection|0.00|0.00 58-1036115|1972558336|J1786|Imuglucerase injection|41.45|51.81 58-1036115|1972558336|J1790|Droperidol injection|0.00|0.00 58-1036115|1972558336|J1800|Propranolol injection|0.00|0.00 58-1036115|1972558336|J1815|Insulin injection|0.00|0.00 58-1036115|1972558336|J1817|Insulin for insulin pump use|0.00|0.00 58-1036115|1972558336|J1826|Interferon beta-1a inj|604.40|755.50 58-1036115|1972558336|J1830|Interferon beta-1b / .25 mg|379.63|474.53 58-1036115|1972558336|J1833|Injection| isavuconazonium|0.85|1.06 58-1036115|1972558336|J1840|Kanamycin sulfate 500 mg inj|0.00|0.00 58-1036115|1972558336|J1850|Kanamycin sulfate 75 mg inj|0.00|0.00 58-1036115|1972558336|J1885|Ketorolac tromethamine inj|0.00|0.00 58-1036115|1972558336|J1890|Cephalothin sodium injection|0.00|0.00 58-1036115|1972558336|J1930|Lanreotide injection|58.84|73.55 58-1036115|1972558336|J1931|Laronidase injection|30.78|38.48 58-1036115|1972558336|J1940|Furosemide injection|0.00|0.00 58-1036115|1972558336|J1942|Aripiprazole lauroxil 1mg|2.44|3.05 58-1036115|1972558336|J1950|Leuprolide acetate /3.75 mg|1193.67|1492.08 58-1036115|1972558336|J1953|Levetiracetam injection|0.00|0.00 58-1036115|1972558336|J1956|Levofloxacin injection|0.00|0.00 58-1036115|1972558336|J1960|Levorphanol tartrate inj|0.00|0.00 58-1036115|1972558336|J1980|Hyoscyamine sulfate inj|0.00|0.00 58-1036115|1972558336|J1990|Chlordiazepoxide injection|0.00|0.00 58-1036115|1972558336|J2001|Lidocaine injection|0.00|0.00 58-1036115|1972558336|J2010|Lincomycin injection|0.00|0.00 58-1036115|1972558336|J2020|Linezolid injection|0.00|0.00 58-1036115|1972558336|J2060|Lorazepam injection|0.00|0.00 58-1036115|1972558336|J2062|Loxapine for inhalation 1 mg|0.00|0.00 58-1036115|1972558336|J2150|Mannitol injection|0.00|0.00 58-1036115|1972558336|J2170|Mecasermin injection|0.00|0.00 58-1036115|1972558336|J2175|Meperidine hydrochl /100 mg|0.00|0.00 58-1036115|1972558336|J2180|Meperidine/promethazine inj|0.00|0.00 58-1036115|1972558336|J2182|Injection| mepolizumab| 1mg|29.58|36.98 58-1036115|1972558336|J2185|Meropenem|0.00|0.00 58-1036115|1972558336|J2210|Methylergonovin maleate inj|0.00|0.00 58-1036115|1972558336|J2212|Methylnaltrexone injection|0.00|0.00 58-1036115|1972558336|J2248|Micafungin sodium injection|0.00|0.00 58-1036115|1972558336|J2250|Inj midazolam hydrochloride|0.00|0.00 58-1036115|1972558336|J2260|Inj milrinone lactate / 5 mg|0.00|0.00 58-1036115|1972558336|J2265|Minocycline hydrochloride|1.57|1.96 58-1036115|1972558336|J2270|Morphine sulfate injection|0.00|0.00 58-1036115|1972558336|J2274|Inj morphine pf epid ithc|0.00|0.00 58-1036115|1972558336|J2278|Ziconotide injection|7.59|9.48 58-1036115|1972558336|J2280|Inj| moxifloxacin 100 mg|0.00|0.00 58-1036115|1972558336|J2300|Inj nalbuphine hydrochloride|0.00|0.00 58-1036115|1972558336|J2310|Inj naloxone hydrochloride|0.00|0.00 58-1036115|1972558336|J2315|Naltrexone| depot form|3.26|4.07 58-1036115|1972558336|J2320|Nandrolone decanoate 50 mg|72.58|90.73 58-1036115|1972558336|J2323|Natalizumab injection|19.83|24.79 58-1036115|1972558336|J2325|Nesiritide injection|73.34|91.67 58-1036115|1972558336|J2326|Inj| nusinersen| 0.1mg|1101.87|1377.34 58-1036115|1972558336|J2350|Injection| ocrelizumab| 1 mg|57.34|71.68 58-1036115|1972558336|J2353|Octreotide injection| depot|198.51|248.14 58-1036115|1972558336|J2354|Octreotide inj| non-depot|0.00|0.00 58-1036115|1972558336|J2355|Oprelvekin injection|426.92|533.64 58-1036115|1972558336|J2357|Omalizumab injection|37.07|46.33 58-1036115|1972558336|J2358|Olanzapine long-acting inj|0.00|0.00 58-1036115|1972558336|J2360|Orphenadrine injection|0.00|0.00 58-1036115|1972558336|J2370|Phenylephrine hcl injection|0.00|0.00 58-1036115|1972558336|J2400|Chloroprocaine hcl injection|0.00|0.00 58-1036115|1972558336|J2405|Ondansetron hcl injection|0.00|0.00 58-1036115|1972558336|J2407|Injection| oritavancin|23.08|28.85 58-1036115|1972558336|J2410|Oxymorphone hcl injection|0.00|0.00 58-1036115|1972558336|J2425|Palifermin injection|20.29|25.36 58-1036115|1972558336|J2426|Paliperidone palmitate inj|10.94|13.67 58-1036115|1972558336|J2430|Pamidronate disodium /30 mg|0.00|0.00 58-1036115|1972558336|J2440|Papaverin hcl injection|0.00|0.00 58-1036115|1972558336|J2469|Palonosetron hcl|17.14|21.43 58-1036115|1972558336|J2501|Paricalcitol|0.00|0.00 58-1036115|1972558336|J2502|Inj| pasireotide long acting|289.62|362.03 58-1036115|1972558336|J2503|Pegaptanib sodium injection|713.86|892.32 58-1036115|1972558336|J2504|Pegademase bovine| 25 iu|367.96|459.95 58-1036115|1972558336|J2505|Injection| pegfilgrastim 6mg|4687.71|5859.64 58-1036115|1972558336|J2507|Pegloticase injection|2334.59|2918.24 58-1036115|1972558336|J2510|Penicillin g procaine inj|0.00|0.00 58-1036115|1972558336|J2515|Pentobarbital sodium inj|47.08|58.85 58-1036115|1972558336|J2540|Penicillin g potassium inj|0.00|0.00 58-1036115|1972558336|J2543|Piperacillin/tazobactam|0.00|0.00 58-1036115|1972558336|J2547|Injection| peramivir|1.62|2.03 58-1036115|1972558336|J2550|Promethazine hcl injection|0.00|0.00 58-1036115|1972558336|J2560|Phenobarbital sodium inj|0.00|0.00 58-1036115|1972558336|J2562|Plerixafor injection|330.41|413.02 58-1036115|1972558336|J2590|Oxytocin injection|0.00|0.00 58-1036115|1972558336|J2597|Inj desmopressin acetate|12.60|15.76 58-1036115|1972558336|J2650|Prednisolone acetate inj|0.00|0.00 58-1036115|1972558336|J2670|Totazoline hcl injection|0.00|0.00 58-1036115|1972558336|J2675|Inj progesterone per 50 mg|0.00|0.00 58-1036115|1972558336|J2680|Fluphenazine decanoate 25 mg|0.00|0.00 58-1036115|1972558336|J2690|Procainamide hcl injection|0.00|0.00 58-1036115|1972558336|J2700|Oxacillin sodium injeciton|0.00|0.00 58-1036115|1972558336|J2704|Inj| propofol| 10 mg|0.00|0.00 58-1036115|1972558336|J2710|Neostigmine methylslfte inj|0.00|0.00 58-1036115|1972558336|J2720|Inj protamine sulfate/10 mg|0.00|0.00 58-1036115|1972558336|J2724|Protein c concentrate|15.15|18.94 58-1036115|1972558336|J2730|Pralidoxime chloride inj|0.00|0.00 58-1036115|1972558336|J2760|Phentolaine mesylate inj|392.84|491.05 58-1036115|1972558336|J2765|Metoclopramide hcl injection|0.00|0.00 58-1036115|1972558336|J2770|Quinupristin/dalfopristin|418.37|522.97 58-1036115|1972558336|J2778|Ranibizumab injection|373.36|466.71 58-1036115|1972558336|J2780|Ranitidine hydrochloride inj|0.00|0.00 58-1036115|1972558336|J2783|Rasburicase|278.15|347.68 58-1036115|1972558336|J2785|Regadenoson injection|0.00|0.00 58-1036115|1972558336|J2786|Injection| reslizumab| 1mg|9.30|11.62 58-1036115|1972558336|J2788|Rho d immune globulin 50 mcg|0.00|0.00 58-1036115|1972558336|J2790|Rho d immune globulin inj|0.00|0.00 58-1036115|1972558336|J2791|Rhophylac injection|0.00|0.00 58-1036115|1972558336|J2792|Rho(d) immune globulin h| sd|27.02|33.77 58-1036115|1972558336|J2793|Rilonacept injection|24.09|30.11 58-1036115|1972558336|J2794|Risperidone| long acting|9.41|11.76 58-1036115|1972558336|J2795|Ropivacaine hcl injection|0.00|0.00 58-1036115|1972558336|J2796|Romiplostim injection|71.40|89.25 58-1036115|1972558336|J2797|Inj.| rolapitant| 0.5 mg|0.00|0.00 58-1036115|1972558336|J2800|Methocarbamol injection|0.00|0.00 58-1036115|1972558336|J2805|Sincalide injection|0.00|0.00 58-1036115|1972558336|J2810|Inj theophylline per 40 mg|0.00|0.00 58-1036115|1972558336|J2820|Sargramostim injection|37.61|47.01 58-1036115|1972558336|J2840|Inj sebelipase alfa 1 mg|541.13|676.41 58-1036115|1972558336|J2850|Inj secretin synthetic human|34.78|43.48 58-1036115|1972558336|J2860|Injection| siltuximab|95.35|119.19 58-1036115|1972558336|J2916|Na ferric gluconate complex|0.00|0.00 58-1036115|1972558336|J2920|Methylprednisolone injection|0.00|0.00 58-1036115|1972558336|J2930|Methylprednisolone injection|0.00|0.00 58-1036115|1972558336|J2941|Somatropin injection|74.65|93.31 58-1036115|1972558336|J2950|Promazine hcl injection|0.00|0.00 58-1036115|1972558336|J2993|Reteplase injection|2301.91|2877.39 58-1036115|1972558336|J2995|Inj streptokinase /250000 iu|0.00|0.00 58-1036115|1972558336|J2997|Alteplase recombinant|87.78|109.72 58-1036115|1972558336|J3000|Streptomycin injection|0.00|0.00 58-1036115|1972558336|J3010|Fentanyl citrate injection|0.00|0.00 58-1036115|1972558336|J3030|Sumatriptan succinate / 6 mg|0.00|0.00 58-1036115|1972558336|J3060|Inj| taliglucerase alfa 10 u|40.39|50.48 58-1036115|1972558336|J3070|Pentazocine injection|108.39|135.48 58-1036115|1972558336|J3090|Inj tedizolid phosphate|1.43|1.78 58-1036115|1972558336|J3095|Telavancin injection|5.47|6.84 58-1036115|1972558336|J3101|Tenecteplase injection|121.76|152.20 58-1036115|1972558336|J3105|Terbutaline sulfate inj|0.00|0.00 58-1036115|1972558336|J3121|Inj testostero enanthate 1mg|0.00|0.00 58-1036115|1972558336|J3145|Testosterone undecanoate 1mg|1.36|1.70 58-1036115|1972558336|J3230|Chlorpromazine hcl injection|0.00|0.00 58-1036115|1972558336|J3240|Thyrotropin injection|1624.45|2030.57 58-1036115|1972558336|J3243|Tigecycline injection|2.06|2.57 58-1036115|1972558336|J3246|Tirofiban hcl|8.26|10.32 58-1036115|1972558336|J3250|Trimethobenzamide hcl inj|0.00|0.00 58-1036115|1972558336|J3260|Tobramycin sulfate injection|0.00|0.00 58-1036115|1972558336|J3262|Tocilizumab injection|4.73|5.92 58-1036115|1972558336|J3265|Injection torsemide 10 mg/ml|0.00|0.00 58-1036115|1972558336|J3285|Treprostinil injection|66.14|82.67 58-1036115|1972558336|J3300|Triamcinolone a inj prs-free|3.86|4.82 58-1036115|1972558336|J3301|Triamcinolone acet inj nos|0.00|0.00 58-1036115|1972558336|J3302|Triamcinolone diacetate inj|0.00|0.00 58-1036115|1972558336|J3303|Triamcinolone hexacetonl inj|0.00|0.00 58-1036115|1972558336|J3304|Inj triamcinolone ace xr 1mg|0.00|0.00 58-1036115|1972558336|J3310|Perphenazine injeciton|0.00|0.00 58-1036115|1972558336|J3315|Triptorelin pamoate|267.38|334.23 58-1036115|1972558336|J3316|Inj.| triptorelin xr 3.75 mg|0.00|0.00 58-1036115|1972558336|J3350|Urea injection|0.00|0.00 58-1036115|1972558336|J3357|Ustekinumab sub cu inj| 1 mg|191.03|238.79 58-1036115|1972558336|J3358|Ustekinumab| iv inject| 1 mg|12.28|15.35 58-1036115|1972558336|J3360|Diazepam injection|0.00|0.00 58-1036115|1972558336|J3364|Urokinase 5000 iu injection|0.00|0.00 58-1036115|1972558336|J3370|Vancomycin hcl injection|0.00|0.00 58-1036115|1972558336|J3380|Injection| vedolizumab|19.58|24.48 58-1036115|1972558336|J3385|Velaglucerase alfa|345.39|431.74 58-1036115|1972558336|J3396|Verteporfin injection|10.95|13.69 58-1036115|1972558336|J3397|Inj.| vestronidase alfa-vjbk|0.00|0.00 58-1036115|1972558336|J3398|Inj luxturna 1 billion vec g|0.00|0.00 58-1036115|1972558336|J3410|Hydroxyzine hcl injection|0.00|0.00 58-1036115|1972558336|J3411|Thiamine hcl 100 mg|0.00|0.00 58-1036115|1972558336|J3415|Pyridoxine hcl 100 mg|0.00|0.00 58-1036115|1972558336|J3420|Vitamin b12 injection|0.00|0.00 58-1036115|1972558336|J3430|Vitamin k phytonadione inj|0.00|0.00 58-1036115|1972558336|J3465|Injection| voriconazole|1.90|2.38 58-1036115|1972558336|J3470|Hyaluronidase injection|0.00|0.00 58-1036115|1972558336|J3471|Ovine| up to 999 usp units|0.00|0.00 58-1036115|1972558336|J3472|Ovine| 1000 usp units|0.00|0.00 58-1036115|1972558336|J3473|Hyaluronidase recombinant|0.00|0.00 58-1036115|1972558336|J3475|Inj magnesium sulfate|0.00|0.00 58-1036115|1972558336|J3480|Inj potassium chloride|0.00|0.00 58-1036115|1972558336|J3485|Zidovudine|0.00|0.00 58-1036115|1972558336|J3486|Ziprasidone mesylate|0.00|0.00 58-1036115|1972558336|J3489|Zoledronic acid 1mg|0.00|0.00 58-1036115|1972558336|J3490|Drugs unclassified injection|0.00|0.00 58-1036115|1972558336|J3530|Nasal vaccine inhalation|0.00|0.00 58-1036115|1972558336|J3590|Unclassified biologics|0.00|0.00 58-1036115|1972558336|J7030|Normal saline solution infus|0.00|0.00 58-1036115|1972558336|J7040|Normal saline solution infus|0.00|0.00 58-1036115|1972558336|J7042|5% dextrose/normal saline|0.00|0.00 58-1036115|1972558336|J7050|Normal saline solution infus|0.00|0.00 58-1036115|1972558336|J7060|5% dextrose/water|0.00|0.00 58-1036115|1972558336|J7070|D5w infusion|0.00|0.00 58-1036115|1972558336|J7100|Dextran 40 infusion|0.00|0.00 58-1036115|1972558336|J7110|Dextran 75 infusion|0.00|0.00 58-1036115|1972558336|J7120|Ringers lactate infusion|0.00|0.00 58-1036115|1972558336|J7121|5% dextrose in lac ringers|0.00|0.00 58-1036115|1972558336|J7131|Hypertonic saline sol|0.00|0.00 58-1036115|1972558336|J7170|Inj.| emicizumab-kxwh 0.5 mg|0.00|0.00 58-1036115|1972558336|J7175|Inj| factor x| (human)| 1iu|7.17|8.96 58-1036115|1972558336|J7177|Inj.| fibryga| 1 mg|0.00|0.00 58-1036115|1972558336|J7178|Inj human fibrinogen con nos|1.16|1.46 58-1036115|1972558336|J7179|Vonvendi inj 1 iu vwf:rco|2.02|2.52 58-1036115|1972558336|J7180|Factor xiii anti-hem factor|8.23|10.29 58-1036115|1972558336|J7181|Factor xiii recomb a-subunit|14.91|18.64 58-1036115|1972558336|J7182|Factor viii recomb novoeight|1.34|1.68 58-1036115|1972558336|J7183|Wilate injection|1.01|1.26 58-1036115|1972558336|J7185|Xyntha inj|1.22|1.53 58-1036115|1972558336|J7186|Antihemophilic viii/vwf comp|0.99|1.24 58-1036115|1972558336|J7187|Humate-p| inj|1.12|1.40 58-1036115|1972558336|J7188|Factor viii recomb obizur|2.85|3.56 58-1036115|1972558336|J7189|Factor viia|2.06|2.58 58-1036115|1972558336|J7190|Factor viii|1.07|1.34 58-1036115|1972558336|J7192|Factor viii recombinant nos|1.33|1.66 58-1036115|1972558336|J7193|Factor ix non-recombinant|1.12|1.40 58-1036115|1972558336|J7194|Factor ix complex|1.42|1.77 58-1036115|1972558336|J7195|Factor ix recombinant nos|1.51|1.88 58-1036115|1972558336|J7196|Antithrombin recombinant|0.00|0.00 58-1036115|1972558336|J7197|Antithrombin iii injection|3.49|4.37 58-1036115|1972558336|J7198|Anti-inhibitor|2.08|2.60 58-1036115|1972558336|J7200|Factor ix recombinan rixubis|1.30|1.63 58-1036115|1972558336|J7201|Factor ix alprolix recomb|2.99|3.73 58-1036115|1972558336|J7202|Factor ix idelvion inj|4.28|5.35 58-1036115|1972558336|J7203|Factor ix recomb gly rebinyn|0.00|0.00 58-1036115|1972558336|J7205|Factor viii fc fusion recomb|2.01|2.52 58-1036115|1972558336|J7207|Factor viii pegylated recomb|1.72|2.15 58-1036115|1972558336|J7209|Factor viii nuwiq recomb 1iu|1.42|1.77 58-1036115|1972558336|J7210|Inj| afstyla| 1 i.u.|1.36|1.70 58-1036115|1972558336|J7211|Inj| kovaltry| 1 i.u.|1.26|1.58 58-1036115|1972558336|J7308|Aminolevulinic acid hcl top|404.59|505.74 58-1036115|1972558336|J7309|Methyl aminolevulinate| top|0.00|0.00 58-1036115|1972558336|J7311|Fluocinolone acetonide implt|20130.50|25163.13 58-1036115|1972558336|J7312|Dexamethasone intra implant|200.17|250.21 58-1036115|1972558336|J7313|Fluocinol acet intravit imp|490.33|612.91 58-1036115|1972558336|J7315|Ophthalmic mitomycin|0.00|0.00 58-1036115|1972558336|J7316|Inj| ocriplasmin| 0.125 mg|836.34|1045.42 58-1036115|1972558336|J7318|Inj| durolane 1 mg|0.00|0.00 58-1036115|1972558336|J7320|Genvisc 850| inj| 1mg|10.60|13.25 58-1036115|1972558336|J7321|Hyalgan supartz visco-3 dose|85.30|106.63 58-1036115|1972558336|J7322|Hymovis injection 1 mg|19.26|24.07 58-1036115|1972558336|J7323|Euflexxa inj per dose|141.47|176.84 58-1036115|1972558336|J7324|Orthovisc inj per dose|147.79|184.73 58-1036115|1972558336|J7325|Synvisc or synvisc-one|11.83|14.78 58-1036115|1972558336|J7326|Gel-one|537.36|671.70 58-1036115|1972558336|J7327|Monovisc inj per dose|779.35|974.18 58-1036115|1972558336|J7328|Gelsyn-3 injection 0.1 mg|2.18|2.72 58-1036115|1972558336|J7329|Inj| trivisc 1 mg|0.00|0.00 58-1036115|1972558336|J7336|Capsaicin 8% patch|3.16|3.95 58-1036115|1972558336|J7340|Carbidopa levodopa ent 100ml|2.14|2.68 58-1036115|1972558336|J7342|Ciprofloxacin otic susp 6 mg|29.98|37.47 58-1036115|1972558336|J7345|Aminolevulinic acid| 10% gel|1.38|1.73 58-1036115|1972558336|J7500|Azathioprine oral 50mg|0.00|0.00 58-1036115|1972558336|J7501|Azathioprine parenteral|229.36|286.70 58-1036115|1972558336|J7502|Cyclosporine oral 100 mg|0.00|0.00 58-1036115|1972558336|J7503|Tacrol envarsus ex rel oral|1.26|1.58 58-1036115|1972558336|J7504|Lymphocyte immune globulin|2081.22|2601.53 58-1036115|1972558336|J7505|Monoclonal antibodies|6.80|8.50 58-1036115|1972558336|J7507|Tacrolimus imme rel oral 1mg|0.00|0.00 58-1036115|1972558336|J7508|Tacrol astagraf ex rel oral|0.00|0.00 58-1036115|1972558336|J7509|Methylprednisolone oral|0.00|0.00 58-1036115|1972558336|J7510|Prednisolone oral per 5 mg|0.00|0.00 58-1036115|1972558336|J7511|Antithymocyte globuln rabbit|751.25|939.06 58-1036115|1972558336|J7512|Prednisone ir or dr oral 1mg|0.00|0.00 58-1036115|1972558336|J7515|Cyclosporine oral 25 mg|0.00|0.00 58-1036115|1972558336|J7516|Cyclosporin parenteral 250mg|0.00|0.00 58-1036115|1972558336|J7517|Mycophenolate mofetil oral|0.00|0.00 58-1036115|1972558336|J7518|Mycophenolic acid|0.00|0.00 58-1036115|1972558336|J7520|Sirolimus| oral|0.00|0.00 58-1036115|1972558336|J7525|Tacrolimus injection|205.62|257.03 58-1036115|1972558336|J7527|Oral everolimus|0.00|0.00 58-1036115|1972558336|J7599|Immunosuppressive drug noc|0.00|0.00 58-1036115|1972558336|J7665|Mannitol for inhaler|0.00|0.00 58-1036115|1972558336|J7674|Methacholine chloride| neb|0.00|0.00 58-1036115|1972558336|J7799|Non-inhalation drug for dme|0.00|0.00 58-1036115|1972558336|J7999|Compounded drug| noc|0.00|0.00 58-1036115|1972558336|J8501|Oral aprepitant|6.72|8.40 58-1036115|1972558336|J8510|Oral busulfan|0.00|0.00 58-1036115|1972558336|J8520|Capecitabine| oral| 150 mg|0.00|0.00 58-1036115|1972558336|J8521|Capecitabine| oral| 500 mg|0.00|0.00 58-1036115|1972558336|J8530|Cyclophosphamide oral 25 mg|0.00|0.00 58-1036115|1972558336|J8540|Oral dexamethasone|0.00|0.00 58-1036115|1972558336|J8560|Etoposide oral 50 mg|75.56|94.45 58-1036115|1972558336|J8562|Oral fludarabine phosphate|0.00|0.00 58-1036115|1972558336|J8597|Antiemetic drug oral nos|0.00|0.00 58-1036115|1972558336|J8600|Melphalan oral 2 mg|0.00|0.00 58-1036115|1972558336|J8610|Methotrexate oral 2.5 mg|0.00|0.00 58-1036115|1972558336|J8655|Oral netupitant| palonosetro|301.94|377.43 58-1036115|1972558336|J8670|Rolapitant| oral| 1mg|2.21|2.77 58-1036115|1972558336|J8700|Temozolomide|0.00|0.00 58-1036115|1972558336|J8705|Topotecan oral|103.65|129.56 58-1036115|1972558336|J9000|Doxorubicin hcl injection|0.00|0.00 58-1036115|1972558336|J9015|Aldesleukin injection|4138.14|5172.68 58-1036115|1972558336|J9017|Arsenic trioxide injection|77.03|96.29 58-1036115|1972558336|J9019|Erwinaze injection|414.83|518.53 58-1036115|1972558336|J9020|Asparaginase| nos|0.00|0.00 58-1036115|1972558336|J9022|Inj| atezolizumab|10 mg|76.91|96.14 58-1036115|1972558336|J9023|Injection| avelumab| 10 mg|81.82|102.28 58-1036115|1972558336|J9025|Azacitidine injection|1.47|1.84 58-1036115|1972558336|J9027|Clofarabine injection|111.29|139.11 58-1036115|1972558336|J9031|Bcg live intravesical vac|140.62|175.77 58-1036115|1972558336|J9032|Injection| belinostat| 10mg|37.74|47.18 58-1036115|1972558336|J9033|Inj.| treanda 1 mg|30.58|38.22 58-1036115|1972558336|J9034|Inj.| bendeka 1 mg|23.84|29.80 58-1036115|1972558336|J9035|Bevacizumab injection|79.25|99.07 58-1036115|1972558336|J9039|Injection| blinatumomab|110.37|137.96 58-1036115|1972558336|J9040|Bleomycin sulfate injection|0.00|0.00 58-1036115|1972558336|J9041|Inj.| velcade 0.1 mg|45.55|56.94 58-1036115|1972558336|J9042|Brentuximab vedotin inj|150.48|188.11 58-1036115|1972558336|J9043|Cabazitaxel injection|167.99|209.99 58-1036115|1972558336|J9044|Inj| bortezomib| nos| 0.1 mg|0.00|0.00 58-1036115|1972558336|J9045|Carboplatin injection|0.00|0.00 58-1036115|1972558336|J9047|Injection| carfilzomib| 1 mg|36.32|45.40 58-1036115|1972558336|J9050|Carmustine injection|4051.50|5064.38 58-1036115|1972558336|J9055|Cetuximab injection|60.63|75.79 58-1036115|1972558336|J9057|Inj.| copanlisib| 1 mg|0.00|0.00 58-1036115|1972558336|J9060|Cisplatin 10 mg injection|0.00|0.00 58-1036115|1972558336|J9065|Inj cladribine per 1 mg|22.64|28.30 58-1036115|1972558336|J9070|Cyclophosphamide 100 mg inj|41.61|52.02 58-1036115|1972558336|J9098|Cytarabine liposome inj|628.37|785.46 58-1036115|1972558336|J9100|Cytarabine hcl 100 mg inj|0.00|0.00 58-1036115|1972558336|J9120|Dactinomycin injection|1427.67|1784.58 58-1036115|1972558336|J9130|Dacarbazine 100 mg inj|0.00|0.00 58-1036115|1972558336|J9145|Injection| daratumumab 10 mg|52.41|65.51 58-1036115|1972558336|J9150|Daunorubicin injection|50.66|63.32 58-1036115|1972558336|J9151|Daunorubicin citrate inj|0.00|0.00 58-1036115|1972558336|J9153|Inj daunorubicin| cytarabine|0.00|0.00 58-1036115|1972558336|J9155|Degarelix injection|3.72|4.65 58-1036115|1972558336|J9171|Docetaxel injection|1.51|1.89 58-1036115|1972558336|J9173|Inj.| durvalumab| 10 mg|0.00|0.00 58-1036115|1972558336|J9175|Elliotts b solution per ml|0.00|0.00 58-1036115|1972558336|J9176|Injection| elotuzumab| 1mg|6.42|8.02 58-1036115|1972558336|J9178|Inj| epirubicin hcl| 2 mg|0.00|0.00 58-1036115|1972558336|J9179|Eribulin mesylate injection|114.34|142.92 58-1036115|1972558336|J9181|Etoposide injection|0.00|0.00 58-1036115|1972558336|J9185|Fludarabine phosphate inj|59.94|74.92 58-1036115|1972558336|J9190|Fluorouracil injection|0.00|0.00 58-1036115|1972558336|J9200|Floxuridine injection|0.00|0.00 58-1036115|1972558336|J9201|Gemcitabine hcl injection|0.00|0.00 58-1036115|1972558336|J9202|Goserelin acetate implant|509.02|636.28 58-1036115|1972558336|J9203|Gemtuzumab ozogamicin 0.1 mg|193.16|241.44 58-1036115|1972558336|J9205|Inj irinotecan liposome 1 mg|45.53|56.91 58-1036115|1972558336|J9206|Irinotecan injection|0.00|0.00 58-1036115|1972558336|J9207|Ixabepilone injection|70.99|88.74 58-1036115|1972558336|J9208|Ifosfamide injection|0.00|0.00 58-1036115|1972558336|J9209|Mesna injection|0.00|0.00 58-1036115|1972558336|J9211|Idarubicin hcl injection|34.26|42.83 58-1036115|1972558336|J9212|Interferon alfacon-1 inj|0.00|0.00 58-1036115|1972558336|J9213|Interferon alfa-2a inj|0.00|0.00 58-1036115|1972558336|J9214|Interferon alfa-2b inj|34.15|42.68 58-1036115|1972558336|J9217|Leuprolide acetate suspnsion|228.41|285.52 58-1036115|1972558336|J9218|Leuprolide acetate injeciton|27.17|33.96 58-1036115|1972558336|J9225|Vantas implant|3610.32|4512.90 58-1036115|1972558336|J9226|Supprelin la implant|31835.05|39793.81 58-1036115|1972558336|J9228|Ipilimumab injection|150.87|188.59 58-1036115|1972558336|J9229|Inj inotuzumab ozogam 0.1 mg|0.00|0.00 58-1036115|1972558336|J9230|Mechlorethamine hcl inj|321.72|402.15 58-1036115|1972558336|J9245|Inj melphalan hydrochl 50 mg|814.80|1018.51 58-1036115|1972558336|J9250|Methotrexate sodium inj|0.00|0.00 58-1036115|1972558336|J9260|Methotrexate sodium inj|0.00|0.00 58-1036115|1972558336|J9261|Nelarabine injection|152.21|190.27 58-1036115|1972558336|J9262|Inj| omacetaxine mep| 0.01mg|2.98|3.72 58-1036115|1972558336|J9263|Oxaliplatin|0.00|0.00 58-1036115|1972558336|J9264|Paclitaxel protein bound|11.60|14.50 58-1036115|1972558336|J9266|Pegaspargase injection|15028.71|18785.89 58-1036115|1972558336|J9267|Paclitaxel injection|0.00|0.00 58-1036115|1972558336|J9268|Pentostatin injection|2096.29|2620.36 58-1036115|1972558336|J9270|Plicamycin (mithramycin) inj|0.00|0.00 58-1036115|1972558336|J9271|Inj pembrolizumab|49.35|61.69 58-1036115|1972558336|J9280|Mitomycin injection|134.25|167.81 58-1036115|1972558336|J9285|Inj| olaratumab| 10 mg|51.04|63.80 58-1036115|1972558336|J9293|Mitoxantrone hydrochl / 5 mg|27.36|34.20 58-1036115|1972558336|J9295|Injection| necitumumab| 1 mg|5.57|6.97 58-1036115|1972558336|J9299|Injection| nivolumab|27.54|34.43 58-1036115|1972558336|J9301|Obinutuzumab inj|62.63|78.29 58-1036115|1972558336|J9302|Ofatumumab injection|58.55|73.19 58-1036115|1972558336|J9303|Panitumumab injection|114.38|142.97 58-1036115|1972558336|J9305|Pemetrexed injection|68.22|85.27 58-1036115|1972558336|J9306|Injection| pertuzumab| 1 mg|11.87|14.83 58-1036115|1972558336|J9307|Pralatrexate injection|271.61|339.51 58-1036115|1972558336|J9308|Injection| ramucirumab|57.68|72.10 58-1036115|1972558336|J9310|Rituximab injection|919.85|1149.82 58-1036115|1972558336|J9311|Inj rituximab| hyaluronidase|0.00|0.00 58-1036115|1972558336|J9312|Inj.| rituximab| 10 mg|0.00|0.00 58-1036115|1972558336|J9315|Romidepsin injection|322.58|403.23 58-1036115|1972558336|J9320|Streptozocin injection|348.71|435.88 58-1036115|1972558336|J9325|Inj talimogene laherparepvec|49.99|62.49 58-1036115|1972558336|J9328|Temozolomide injection|10.55|13.19 58-1036115|1972558336|J9330|Temsirolimus injection|73.75|92.19 58-1036115|1972558336|J9340|Thiotepa injection|741.58|926.97 58-1036115|1972558336|J9351|Topotecan injection|0.00|0.00 58-1036115|1972558336|J9352|Injection trabectedin 0.1mg|300.67|375.84 58-1036115|1972558336|J9354|Inj| ado-trastuzumab emt 1mg|30.78|38.47 58-1036115|1972558336|J9355|Trastuzumab injection|104.12|130.15 58-1036115|1972558336|J9357|Valrubicin injection|1328.67|1660.83 58-1036115|1972558336|J9360|Vinblastine sulfate inj|0.00|0.00 58-1036115|1972558336|J9370|Vincristine sulfate 1 mg inj|0.00|0.00 58-1036115|1972558336|J9371|Inj| vincristine sul lip 1mg|2916.62|3645.78 58-1036115|1972558336|J9390|Vinorelbine tartrate inj|0.00|0.00 58-1036115|1972558336|J9395|Injection| fulvestrant|97.94|122.42 58-1036115|1972558336|J9400|Inj| ziv-aflibercept| 1mg|8.32|10.40 58-1036115|1972558336|J9600|Porfimer sodium injection|21219.57|26524.46 58-1036115|1972558336|J9999|Chemotherapy drug|0.00|0.00 58-1036115|1972558336|L8600|Implant breast silicone/eq|0.00|0.00 58-1036115|1972558336|L8603|Collagen imp urinary 2.5 ml|0.00|0.00 58-1036115|1972558336|L8604|Dextranomer/hyaluronic acid|0.00|0.00 58-1036115|1972558336|L8605|Inj bulking agent anal canal|0.00|0.00 58-1036115|1972558336|L8606|Synthetic implnt urinary 1ml|0.00|0.00 58-1036115|1972558336|L8607|Inj vocal cord bulking agent|0.00|0.00 58-1036115|1972558336|L8609|Artificial cornea|0.00|0.00 58-1036115|1972558336|L8610|Ocular implant|0.00|0.00 58-1036115|1972558336|L8612|Aqueous shunt prosthesis|0.00|0.00 58-1036115|1972558336|L8613|Ossicular implant|0.00|0.00 58-1036115|1972558336|L8614|Cochlear device|0.00|0.00 58-1036115|1972558336|L8630|Metacarpophalangeal implant|0.00|0.00 58-1036115|1972558336|L8631|Mcp joint repl 2 pc or more|0.00|0.00 58-1036115|1972558336|L8641|Metatarsal joint implant|0.00|0.00 58-1036115|1972558336|L8642|Hallux implant|0.00|0.00 58-1036115|1972558336|L8658|Interphalangeal joint spacer|0.00|0.00 58-1036115|1972558336|L8659|Interphalangeal joint repl|0.00|0.00 58-1036115|1972558336|L8670|Vascular graft| synthetic|0.00|0.00 58-1036115|1972558336|L8679|Imp neurosti pls gn any type|0.00|0.00 58-1036115|1972558336|L8682|Implt neurostim radiofq rec|0.00|0.00 58-1036115|1972558336|L8690|Aud osseo dev| int/ext comp|0.00|0.00 58-1036115|1972558336|L8699|Prosthetic implant nos|0.00|0.00 58-1036115|1972558336|L9900|O&p supply/accessory/service|0.00|0.00 58-1036115|1972558336|P9010|Whole blood for transfusion|54.79|68.48 58-1036115|1972558336|P9011|Blood split unit|62.12|77.65 58-1036115|1972558336|P9012|Cryoprecipitate each unit|24.34|30.43 58-1036115|1972558336|P9016|Rbc leukocytes reduced|91.05|113.82 58-1036115|1972558336|P9017|Plasma 1 donor frz w/in 8 hr|35.25|44.06 58-1036115|1972558336|P9019|Platelets| each unit|53.20|66.50 58-1036115|1972558336|P9020|Plaelet rich plasma unit|61.71|77.14 58-1036115|1972558336|P9021|Red blood cells unit|69.04|86.31 58-1036115|1972558336|P9022|Washed red blood cells unit|175.39|219.24 58-1036115|1972558336|P9023|Frozen plasma| pooled| sd|37.43|46.79 58-1036115|1972558336|P9031|Platelets leukocytes reduced|67.32|84.15 58-1036115|1972558336|P9032|Platelets| irradiated|84.71|105.89 58-1036115|1972558336|P9033|Platelets leukoreduced irrad|82.36|102.95 58-1036115|1972558336|P9034|Platelets| pheresis|166.10|207.63 58-1036115|1972558336|P9035|Platelet pheres leukoreduced|239.63|299.54 58-1036115|1972558336|P9036|Platelet pheresis irradiated|272.45|340.57 58-1036115|1972558336|P9037|Plate pheres leukoredu irrad|307.95|384.93 58-1036115|1972558336|P9038|Rbc irradiated|109.08|136.35 58-1036115|1972558336|P9039|Rbc deglycerolized|163.17|203.97 58-1036115|1972558336|P9040|Rbc leukoreduced irradiated|125.94|157.43 58-1036115|1972558336|P9041|Albumin (human)|5%| 50ml|10.49|13.11 58-1036115|1972558336|P9043|Plasma protein fract|5%|50ml|13.28|16.60 58-1036115|1972558336|P9044|Cryoprecipitatereducedplasma|43.72|54.65 58-1036115|1972558336|P9045|Albumin (human)| 5%| 250 ml|52.45|65.56 58-1036115|1972558336|P9046|Albumin (human)| 25%| 20 ml|20.98|26.23 58-1036115|1972558336|P9047|Albumin (human)| 25%| 50ml|52.45|65.56 58-1036115|1972558336|P9048|Plasmaprotein fract|5%|250ml|37.93|47.42 58-1036115|1972558336|P9051|Blood| l/r| cmv-neg|86.70|108.37 58-1036115|1972558336|P9052|Platelets| hla-m| l/r| unit|416.30|520.38 58-1036115|1972558336|P9053|Plt| pher| l/r cmv-neg| irr|242.60|303.24 58-1036115|1972558336|P9054|Blood| l/r| froz/degly/wash|147.02|183.78 58-1036115|1972558336|P9055|Plt| aph/pher| l/r| cmv-neg|219.31|274.14 58-1036115|1972558336|P9056|Blood| l/r| irradiated|111.11|138.88 58-1036115|1972558336|P9057|Rbc| frz/deg/wsh| l/r| irrad|110.63|138.29 58-1036115|1972558336|P9058|Rbc| l/r| cmv-neg| irrad|112.99|141.23 58-1036115|1972558336|P9059|Plasma| frz between 8-24hour|37.78|47.22 58-1036115|1972558336|P9060|Fr frz plasma donor retested|30.95|38.69 58-1036115|1972558336|P9070|Pathogen reduced plasma pool|20.42|25.52 58-1036115|1972558336|P9071|Pathogen reduced plasma sing|38.61|48.26 58-1036115|1972558336|P9073|Platelets pheresis path redu|307.95|384.93 58-1036115|1972558336|P9100|Pathogen test for platelets|0.00|0.00 58-1036115|1972558336|Q0035|Cardiokymography|15.83|19.79 58-1036115|1972558336|Q0091|Obtaining screen pap smear|8.46|10.58 58-1036115|1972558336|Q0138|Ferumoxytol| non-esrd|0.98|1.23 58-1036115|1972558336|Q0139|Ferumoxytol| esrd use|0.98|1.23 58-1036115|1972558336|Q0161|Chlorpromazine hcl 5mg oral|0.00|0.00 58-1036115|1972558336|Q0162|Ondansetron oral|0.00|0.00 58-1036115|1972558336|Q0163|Diphenhydramine hcl 50mg|0.00|0.00 58-1036115|1972558336|Q0164|Prochlorperazine maleate 5mg|0.00|0.00 58-1036115|1972558336|Q0166|Granisetron hcl 1 mg oral|0.00|0.00 58-1036115|1972558336|Q0167|Dronabinol 2.5mg oral|0.00|0.00 58-1036115|1972558336|Q0169|Promethazine hcl 12.5mg oral|0.00|0.00 58-1036115|1972558336|Q0173|Trimethobenzamide hcl 250mg|0.00|0.00 58-1036115|1972558336|Q0175|Perphenazine 4mg oral|0.00|0.00 58-1036115|1972558336|Q0177|Hydroxyzine pamoate 25mg|0.00|0.00 58-1036115|1972558336|Q0180|Dolasetron mesylate oral|0.00|0.00 58-1036115|1972558336|Q0181|Unspecified oral anti-emetic|0.00|0.00 58-1036115|1972558336|Q2004|Bladder calculi irrig sol|0.00|0.00 58-1036115|1972558336|Q2009|Fosphenytoin inj pe|4.40|5.50 58-1036115|1972558336|Q2017|Teniposide| 50 mg|2575.15|3218.94 58-1036115|1972558336|Q2026|Radiesse injection|0.00|0.00 58-1036115|1972558336|Q2028|Inj| sculptra| 0.5mg|0.00|0.00 58-1036115|1972558336|Q2034|Agriflu vaccine|0.00|0.00 58-1036115|1972558336|Q2035|Afluria vacc| 3 yrs & >| im|0.00|0.00 58-1036115|1972558336|Q2036|Flulaval vacc| 3 yrs & >| im|0.00|0.00 58-1036115|1972558336|Q2037|Fluvirin vacc| 3 yrs & >| im|0.00|0.00 58-1036115|1972558336|Q2038|Fluzone vacc| 3 yrs & >| im|0.00|0.00 58-1036115|1972558336|Q2039|Influenza virus vaccine| nos|0.00|0.00 58-1036115|1972558336|Q2041|Axicabtagene ciloleucel car+ |0.00|0.00 58-1036115|1972558336|Q2042|Tisagenlecleucel car-pos t|0.00|0.00 58-1036115|1972558336|Q2043|Sipuleucel-t auto cd54+|43419.43|54274.28 58-1036115|1972558336|Q2049|Imported lipodox inj|0.00|0.00 58-1036115|1972558336|Q2050|Doxorubicin inj 10mg|383.57|479.46 58-1036115|1972558336|Q3027|Inj beta interferon im 1 mcg|54.11|67.64 58-1036115|1972558336|Q3031|Collagen skin test|0.00|0.00 58-1036115|1972558336|Q4100|Skin substitute| nos|0.00|0.00 58-1036115|1972558336|Q4101|Apligraf|0.00|0.00 58-1036115|1972558336|Q4102|Oasis wound matrix|0.00|0.00 58-1036115|1972558336|Q4103|Oasis burn matrix|0.00|0.00 58-1036115|1972558336|Q4104|Integra bmwd|0.00|0.00 58-1036115|1972558336|Q4105|Integra drt or omnigraft|0.00|0.00 58-1036115|1972558336|Q4106|Dermagraft|0.00|0.00 58-1036115|1972558336|Q4107|Graftjacket|0.00|0.00 58-1036115|1972558336|Q4108|Integra matrix|0.00|0.00 58-1036115|1972558336|Q4110|Primatrix|0.00|0.00 58-1036115|1972558336|Q4111|Gammagraft|0.00|0.00 58-1036115|1972558336|Q4112|Cymetra injectable|0.00|0.00 58-1036115|1972558336|Q4113|Graftjacket xpress|0.00|0.00 58-1036115|1972558336|Q4114|Integra flowable wound matri|0.00|0.00 58-1036115|1972558336|Q4115|Alloskin|0.00|0.00 58-1036115|1972558336|Q4116|Alloderm|0.00|0.00 58-1036115|1972558336|Q4117|Hyalomatrix|0.00|0.00 58-1036115|1972558336|Q4118|Matristem micromatrix|0.00|0.00 58-1036115|1972558336|Q4121|Theraskin|0.00|0.00 58-1036115|1972558336|Q4122|Dermacell|0.00|0.00 58-1036115|1972558336|Q4123|Alloskin|0.00|0.00 58-1036115|1972558336|Q4124|Oasis tri-layer wound matrix|0.00|0.00 58-1036115|1972558336|Q4125|Arthroflex|0.00|0.00 58-1036115|1972558336|Q4126|Memoderm/derma/tranz/integup|0.00|0.00 58-1036115|1972558336|Q4127|Talymed|0.00|0.00 58-1036115|1972558336|Q4128|Flexhd/allopatchhd/matrixhd|0.00|0.00 58-1036115|1972558336|Q4130|Strattice tm|0.00|0.00 58-1036115|1972558336|Q4131|Epifix or epicord|0.00|0.00 58-1036115|1972558336|Q4132|Grafix core| grafixpl core|0.00|0.00 58-1036115|1972558336|Q4133|Grafix stravix prime pl sqcm|0.00|0.00 58-1036115|1972558336|Q4134|Hmatrix|0.00|0.00 58-1036115|1972558336|Q4135|Mediskin|0.00|0.00 58-1036115|1972558336|Q4136|Ezderm|0.00|0.00 58-1036115|1972558336|Q4137|Amnioexcel biodexcel 1sq cm|0.00|0.00 58-1036115|1972558336|Q4138|Biodfence dryflex| 1cm|0.00|0.00 58-1036115|1972558336|Q4139|Amnio or biodmatrix| inj 1cc|0.00|0.00 58-1036115|1972558336|Q4140|Biodfence 1cm|0.00|0.00 58-1036115|1972558336|Q4141|Alloskin ac| 1 cm|0.00|0.00 58-1036115|1972558336|Q4142|Xcm biologic tiss matrix 1cm|0.00|0.00 58-1036115|1972558336|Q4143|Repriza| 1cm|0.00|0.00 58-1036115|1972558336|Q4145|Epifix| inj| 1mg|0.00|0.00 58-1036115|1972558336|Q4146|Tensix| 1cm|0.00|0.00 58-1036115|1972558336|Q4147|Architect ecm px fx 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4148|Neox neox rt or clarix cord|0.00|0.00 58-1036115|1972558336|Q4149|Excellagen| 0.1 cc|0.00|0.00 58-1036115|1972558336|Q4150|Allowrap ds or dry 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4151|Amnioband| guardian 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4152|Dermapure 1 square cm|0.00|0.00 58-1036115|1972558336|Q4153|Dermavest| plurivest sq cm|0.00|0.00 58-1036115|1972558336|Q4154|Biovance 1 square cm|0.00|0.00 58-1036115|1972558336|Q4155|Neoxflo or clarixflo 1 mg|0.00|0.00 58-1036115|1972558336|Q4156|Neox 100 or clarix 100|0.00|0.00 58-1036115|1972558336|Q4157|Revitalon 1 square cm|0.00|0.00 58-1036115|1972558336|Q4158|Kerecis omega3| per sq cm|0.00|0.00 58-1036115|1972558336|Q4159|Affinity1 square cm|0.00|0.00 58-1036115|1972558336|Q4160|Nushield 1 square cm|0.00|0.00 58-1036115|1972558336|Q4161|Bio-connekt per square cm|0.00|0.00 58-1036115|1972558336|Q4162|Wndex flw| bioskn flw| 0.5cc|0.00|0.00 58-1036115|1972558336|Q4163|Woundex| bioskin| per sq cm|0.00|0.00 58-1036115|1972558336|Q4164|Helicoll| per square cm|0.00|0.00 58-1036115|1972558336|Q4165|Keramatrix| per square cm|0.00|0.00 58-1036115|1972558336|Q4166|Cytal| per square centimeter|0.00|0.00 58-1036115|1972558336|Q4167|Truskin| per sq centimeter|0.00|0.00 58-1036115|1972558336|Q4168|Amnioband| 1 mg|0.00|0.00 58-1036115|1972558336|Q4169|Artacent wound| per sq cm|0.00|0.00 58-1036115|1972558336|Q4170|Cygnus| per sq cm|0.00|0.00 58-1036115|1972558336|Q4171|Interfyl| 1 mg|0.00|0.00 58-1036115|1972558336|Q4172|Puraply or puraply am|120.78|150.98 58-1036115|1972558336|Q4173|Palingen or palingen xplus|0.00|0.00 58-1036115|1972558336|Q4174|Palingen or promatrx|0.00|0.00 58-1036115|1972558336|Q4175|Miroderm|0.00|0.00 58-1036115|1972558336|Q4176|Neopatch| per sq centimeter|0.00|0.00 58-1036115|1972558336|Q4177|Floweramnioflo| 0.1 cc|0.00|0.00 58-1036115|1972558336|Q4178|Floweramniopatch| per sq cm|0.00|0.00 58-1036115|1972558336|Q4179|Flowerderm| per sq cm|0.00|0.00 58-1036115|1972558336|Q4180|Revita| per sq cm|0.00|0.00 58-1036115|1972558336|Q4181|Amnio wound| per square cm|0.00|0.00 58-1036115|1972558336|Q4182|Transcyte| per sq centimeter|0.00|0.00 58-1036115|1972558336|Q4183|Surgigraft| 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4184|Cellesta| 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4185|Cellesta flowab amnion 0.5cc|0.00|0.00 58-1036115|1972558336|Q4186|Epifix 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4187|Epicord 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4188|Amnioarmor 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4189|Artacent ac| 1 mg|0.00|0.00 58-1036115|1972558336|Q4190|Artacent ac 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4191|Restorigin 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4192|Restorigin| 1 cc|0.00|0.00 58-1036115|1972558336|Q4193|Coll-e-derm 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4194|Novachor 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4195|Puraply 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4196|Puraply am 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4197|Puraply xt 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4198|Genesis amnio membrane 1sqcm|0.00|0.00 58-1036115|1972558336|Q4200|Skin te 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4201|Matrion 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4202|Keroxx (2.5g/cc)| 1cc|0.00|0.00 58-1036115|1972558336|Q4203|Derma-gide| 1 sq cm|0.00|0.00 58-1036115|1972558336|Q4204|Xwrap 1 sq cm|0.00|0.00 58-1036115|1972558336|Q5101|Injection| zarxio|0.64|0.80 58-1036115|1972558336|Q5103|Injection| inflectra|61.36|76.70 58-1036115|1972558336|Q5104|Injection| renflexis|64.38|80.48 58-1036115|1972558336|Q5105|Inj retacrit esrd on dialysi|1.17|1.46 58-1036115|1972558336|Q5106|Inj retacrit non-esrd use|11.69|14.61 58-1036115|1972558336|Q5108|Injection| fulphila|368.79|460.99 58-1036115|1972558336|Q5110|Nivestym|0.00|0.00 58-1036115|1972558336|Q9950|Inj sulf hexa lipid microsph|21.25|26.56 58-1036115|1972558336|Q9951|Locm >= 400 mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9953|Inj fe-based mr contrast|1ml|0.00|0.00 58-1036115|1972558336|Q9954|Oral mr contrast| 100 ml|0.00|0.00 58-1036115|1972558336|Q9955|Inj perflexane lip micros|ml|0.00|0.00 58-1036115|1972558336|Q9956|Inj octafluoropropane mic|ml|0.00|0.00 58-1036115|1972558336|Q9957|Inj perflutren lip micros|ml|0.00|0.00 58-1036115|1972558336|Q9958|Hocm <=149 mg/ml iodine| 1ml|0.00|0.00 58-1036115|1972558336|Q9959|Hocm 150-199mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9960|Hocm 200-249mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9961|Hocm 250-299mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9962|Hocm 300-349mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9963|Hocm 350-399mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9964|Hocm>= 400mg/ml iodine| 1ml|0.00|0.00 58-1036115|1972558336|Q9965|Locm 100-199mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9966|Locm 200-299mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9967|Locm 300-399mg/ml iodine|1ml|0.00|0.00 58-1036115|1972558336|Q9968|Visualization adjunct|3.86|4.82 58-1036115|1972558336|Q9969|Non-heu tc-99m add-on/dose|0.00|0.00 58-1036115|1972558336|Q9982|Flutemetamol f18 diagnostic|3498.00|4372.50 58-1036115|1972558336|Q9983|Florbetaben f18 diagnostic|2968.00|3710.00 58-1036115|1972558336|Q9991|Buprenorph xr 100 mg or less|1674.80|2093.50 58-1036115|1972558336|Q9992|Buprenorphine xr over 100 mg|1674.80|2093.50 58-1036115|1972558336|Q9993|Inj.| triamcinolone ext rel|18.88|23.60 58-1036115|1972558336|Q9995|Inj.| emicizumab-kxwh 0.5 mg|48.86|61.08 58-1036115|1972558336|V2630|Anter chamber intraocul lens|0.00|0.00 58-1036115|1972558336|V2631|Iris support intraoclr lens|0.00|0.00 58-1036115|1972558336|V2632|Post chmbr intraocular lens|0.00|0.00 58-1036115|1972558336|V2785|Corneal tissue processing|Cost| 58-1036115|1972558336|V2790|Amniotic membrane|0.00|0.00