# Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption for Computer-Generated Facsimile Transmissions; Corrections

> Briefs, arguments, decisions, and more.

URL: https://www.frixlaw.com/law-library/documents/fr%3A07-6308

## Record

- **Collection:** Federal Register
- **Document type:** Rule
- **Published:** January 15, 2008
- **Citation:** 73 FR 2568

## Text

Department of Health and Human Services
Centers for Medicare & Medicaid Services
42 CFR Parts 409, 410, 411, 413, 414, 415, 418, 423, 424, 482, 484, and 485
[CMS-1385-CN2]
RIN 0938-A065
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption for Computer-Generated Facsimile Transmissions; Corrections

AGENCY:

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

ACTION:

Correction Notice of Final Rule with Comment Period.

SUMMARY:

This correction notice corrects several technical and typographical errors in the final rule with comment period that appeared in the November 27, 2007
Federal Register
(72 FR 66222). The final rule with comment period addressed Medicare Part B payment policy, including the physician fee schedule (PFS) that is applicable for calendar year (CY) 2008; the competitive acquisition program (CAP); clinical lab fee schedule issues; performance standards for diagnostic testing facilities; conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); physician self-referral issues; and standards and requirements related to therapy services under Medicare Parts A and B. The final rule with comment period also updated the list of services subject to the physician self-referral prohibitions.

Effective Date:

This correction notice is effective January 1, 2008.

FOR FURTHER INFORMATION CONTACT:

Diane Milstead, (410) 786-3355.

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter referred to as the CY 2008 PFS final rule with comment period), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this notice. The provisions of this notice are effective as if they had been included in the CY 2008 PFS final rule with comment period. Accordingly, the corrections are effective January 1, 2008.

II. Summary of Errors

A. Errors in the Preamble

On page 66276, the third column, the third paragraph, lines are 10 through 13, the sentence “It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action” is deleted because the sentence was inadvertently repeated.

On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change for both facility and non-facility are corrected due to a methodological error.

B. Errors in the Addenda

On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, incorrect PE RVUs were listed for many CPT codes due to a methodological error. Therefore, for the convenience of health care providers and the public, we are republishing Addendum B in its entirety. In addition, the work RVUs are corrected for CPT code 67113 and the status indicator, work RVUs, and malpractice RVUs are corrected for CPT code 93503 in this revised addendum.

On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, incorrect PE RVUs were listed for many CPT codes due to a methodological error. Therefore, for the convenience of health care providers and the public, we are republishing Addendum C in its entirety.

On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), we identified errors in the data used to calculate the GAFs, and therefore, we are republishing Addendum D in its entirety.

On pages 66546 through 66547, Addendum E, 2008 * * * Geographic Practice Cost Indices by State and Medicare Locality, we identified errors in the data used to calculate the Geographic Practice Cost Indices (GPCIs), and therefore, we are republishing Addendum E in its entirety.

On pages 66575 through 66578, Addendum I, List of CPT
1
/HCPCS Codes Used to Describe Certain Designated Health Service Categories
2
Under Section 1877 of the Social Security Act, Correction to Addendum I, we incorrectly included CPT code 0147T and its short descriptor within the short descriptor for CPT code 0146T, and CPT code 71015 and its short descriptor within the short descriptor for CPT code 71010. Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010, and 71015 on separate lines. We are removing CPT codes 75558, 75560, 75562, and 75564 because these codes are considered non-covered services and were incorrectly included on the Code List. We are removing HCPCS code C2637 because it is paid for as part of an ASC service and should not have been included on the Code List. (We note that when provided in an inpatient or outpatient hospital setting, this source
is
considered to be a Designated Health Service.) In addition, the short descriptor for the HCPCS code G0103 was incorrect, and therefore, we are revising. Also, we omitted CPT code 76801 and we are adding it to Addendum I.

III. Correction of Errors

A. Corrections to the Preamble

1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the phrase “we are applying a separate budget neutrality (BN) adjustor” is corrected to read “we applied a separate budget neutrality (BN) adjustor”.

2. On page 66227, at the top of the 1st column, the formula “Payment = [(RVU work × budget neutrality adjustor × work GPCI) + (RVU PE × PE GPCI) + (MP RVU × MP GPCI)] × CF” is corrected to read “Payment = [(RVU work × budget neutrality adjustor (round product to two decimal places) × GPCI work) + (RVU PE × GPCI PE) + (RVU malpractice × GPCI malpractice)] × CF”.

3. On page 66241, in Table 4, Practice Expense Supply Item Additions for CY 2008, the 8th row, with the supply description “fee, image analysis” is corrected by deleting this row.

4. On page 66242, in Table 5, Practice Expense Equipment Item Additions for CY 2008,

a. In the 2nd row, in the 5th column, CPT codes “7557” and “7558” are corrected to read “75557” and “75558”.

b. In the 5th row, the equipment description “Camera, ocular photoscreening, w-laptop and software” is corrected by deleting this row.

5. On page 66253, in the 2nd column, following the 2nd full paragraph, 2nd bullet, line 1, the term “angioscopy” is corrected to read “angiography”.

6. On page 66254,

a. First column, after the 1st full paragraph, the title of item 2, lines 3 and 4, the phrase “(CPT codes 17311 Through 17315)” is corrected to read “(CPT codes 17311 and 17313)”.

b. Second column, the 2nd full paragraph,

(1) Line 6, the phrase “17311 through 17315” is corrected to read “17311 and 17313”.

(2) Line 11, following the phrase “created in 2007.” insert the sentence “(
Note:
CPT codes 17312, 17314, and 17315 are not subject to the multiple surgery payment reduction because they are add-on codes.)”

7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through 35, the Web site reference to “
http://www.cmsm.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage”
is corrected to read “
http://www.cms.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage
.”

8. On page 66263, 1st column, 1st partial paragraph, lines 20 and 21, the Web site reference to “
http://www.cms.hhs.gov/manuals/downloads/pim83co2pdf
” is corrected to read “
http://www.cms.hhs.gov/Manuals/01_Overview.asp
.”

9. On page 66268, 1st column, the last paragraph, line 1, the phrase “section 1847B((b)(4)(E)” is corrected to read “section 1847B(b)(4)(E)”.

10. On page 66270, 2nd column, 1st full paragraph, line 1, the phrase “commercially-available” is corrected to read “commercially available”.

11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15, the Web site reference to “
http://www.grants.nih.gov/grants/guide/rfa-files/FRA-HS-06-001.html
” is corrected to read “
http://www.grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-001.html
.”

12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through 13, the sentence “It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action” is corrected by deleting the sentence.

13. On page 66285, 3rd column, 1st partial paragraph, line 3, the term “Administrator” is corrected to “Administrative”.

14. On page 66287, 1st column, 5th full paragraph, line 6, the phrase “by noting that term” is corrected to read “by noting that the term”.

15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase “procedure to another Medicare-enrolled” is corrected to read “procedure from another Medicare-enrolled”.

16. On page 66292, 3rd column, 2nd paragraph,

a. Line 6, the phrase “a fixed-base IDTF does not-” is corrected to read “a fixed-base IDTF is prohibited from—”.

b. Line 7 (1st bullet), the term “Share” is corrected to read “Sharing.”

c. Line 10 (2nd bullet), the phrase “Lease or sublease” is corrected to read “Leasing or subleasing.”

d. Line 14 (3rd bullet), the term “Share” is corrected to read “Sharing.”

17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and 4, the phrase “and should not be referring” is corrected to read “and should not be understood to refer”.

18. In Table 16, “AMA RUC and HCPAC Recommendations and CMS' Decisions for New and Revised 2008 CPT Codes”, in the second column labeled “Mod”, the “26” following CPT code 93503 is removed.

19. On page 66372, 3rd column, 1st partial paragraph, line 1, the reference to “Addendum x” is corrected to read “Addendum I.”

20. On pages 66372 and 66373, Table 19, Additions to the Physician Self-Referral List of CPT/HCPCS Codes, the table is corrected by—

a. Deleting the following entries:

(1) Under the heading “Radiology and Certain Other Imaging Services”,

Radiology and Certain Other Imaging Services

75558
Cardiac mri flow/velocity.

75560
Cardiac mri flow/vel/stress.

75562
Card mri flow/vel w/dye.

75564
Ht mri w/flow/vel/strs & dye.

(2). Under the heading “Radiation Therapy Services and Supplies”,

Radiation Therapy Services and Supplies

C2637
Brachytx, Ytterbium-169

b. Correcting the following entries:

C1716
Brachytx, non-str, Gold-198.

C1717
Brachytx, non-str, HDR Ir-192.

C1719
Brachytx, NS, Non-HDRIr-192.

C2616
Brachytx, non-str, Yttrium-90.

C2634
Brachytx, non-str, HA, I-125.

C2635
Brachytx, non-str, HA, P-103.

C2636
Brachy linear, non-str, P-103.

C2640
Brachytx, stranded, P-103.

C2641
Brachytx, non-stranded, P-103.

21. On page 66383, Table 35, Calculation for the 2008 Anesthesia Conversion Factor,

a. Third row (2007 Combined Adjustment for PE and BN), 2nd column, the figure “0.9089” is corrected to read “0.911”.

b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd column, the figure “$15.3328” is corrected to read “$15.3682”.

c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment Factor), 2nd column, the figure “$14.5162” is corrected to read “$14.5497”.

d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column, the figure “1.1250” is corrected to read “1.2277”.

e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column, the figure “16.3307” is corrected to read “$17.8627”.

22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge Impact for the Remaining 5-Year Review of Work RVUs and Practice Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st footnote “*PE changes are CY 2008 second year transition changes. For fully implemented CY 2010 PE changes see Table 1.” is corrected to read “*PE changes are CY 2008 second year transition changes. For fully implemented CY 2010 PE changes see Table 38.”

23. On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change are corrected to read as follows:

Table 40.—Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures

CPT/HCPCS
MOD
Description
Facility
2007
2008

Percent
change

Non-facility
2007
2008

Percent
change

11721

Debride nail, 6 or more
$28.80
$24.53
−15
$39.03
$35.43
−9

17000

Destruct premalg lesion
44.72
41.56
−7
63.29
60.30
−5

27130

Total hip arthroplasty
1,360.52
1,195.11
−12
na
na
na

27244

Treat thigh fracture
1,100.92
963.45
−12
na
na
na

27447

Total knee arthroplasty
1,464.74
1,283.69
−12
na
na
na

33533

CABG, arterial, single
1,908.52
1,659.12
−13
na
na
na

35301

Rechanneling of artery
1,071.74
934.83
−13
na
na
na

43239

Upper GI endoscopy, biopsy
155.00
140.36
−9
325.16
294.35
−9

66821

After cataract laser surgery
253.53
223.15
−12
270.97
238.14
−12

66984

Cataract surg w/iol, 1 stage
641.98
560.08
−13
na
na
na

67210

Treatment of retinal lesion
556.34
488.20
−12
580.59
507.96
−13

71010

Chest x-ray
na
na
na
26.15
22.83
−13

71010
26
Chest x-ray
8.72
7.84
−10
8.72
7.84
−10

77056

Mammogram, both breasts
na
na
na
97.40
93.69
−4

77056
26
Mammogram, both breasts
41.31
37.48
−9
41.31
37.48
−9

77057

Mammogram, screening
na
na
na
81.86
73.93
−10

77057
26
Mammogram, screening
33.35
30.32
−9
33.35
30.32
−9

77427

Radiation tx management, x5
176.22
158.42
−10
176.22
158.42
−10

78465
26
Heart image (3d), multiple
73.14
66.43
−9
73.14
66.43
−9

88305
26
Tissue exam by pathologist
37.90
32.36
−15
37.90
32.36
−15

90801

Psy dx interview
129.99
112.08
−14
145.15
131.50
−9

90862

Medication management
44.72
39.18
−12
50.40
46.67
−7

90935

Hemodialysis, one evaluation
67.46
58.26
−14
na
na
na

92012

Eye exam established pat
34.11
38.50
13
61.77
62.69
1

92014

Eye exam & treatment
55.71
59.28
6
91.33
90.96
0

92980

Insert intracoronary stent
795.85
721.22
−9
na
na
na

93000

Electrocardiogram, complete
24.63
20.78
−16
24.63
20.78
−16

93010

Electrocardiogram report
8.34
7.50
−10
8.34
7.50
−10

93015

Cardiovascular stress test
104.22
93.01
−11
104.22
93.01
−11

93307
26
Echo exam of heart
46.99
42.24
−10
46.99
42.24
−10

93510
26
Left heart catheterization
242.92
215.65
−11
242.92
215.65
−11

98941

Chiropractic manipulation
28.80
25.55
−11
33.35
29.64
−11

99203

Office/outpatient visit, new
67.08
58.60
−13
91.71
81.42
−11

99213

Office/outpatient visit, est
42.07
37.48
−11
59.50
53.49
−10

99214

Office/outpatient visit, est
66.32
58.60
−12
90.20
80.40
−11

99222

Initial hospital care
119.00
104.59
−12
na
na
na

99223

Initial hospital care
173.57
153.65
−11
na
na
na

99231

Subsequent hospital care
35.62
31.68
−11
na
na
na

99232

Subsequent hospital care
63.67
56.55
−11
na
na
na

99233

Subsequent hospital care
90.95
81.08
−11
na
na
na

99236

Observ/hosp same date
205.40
179.20
−13
na
na
na

99239

Hospital discharge day
94.74
83.13
−12
na
na
na

99243

Office consultation
93.23
83.13
−11
122.41
109.36
−11

99244

Office consultation
145.91
130.14
−11
179.26
160.12
−11

99253

Inpatient consultation
108.77
97.09
−11
na
na
na

99254

Inpatient consultation
156.52
140.02
−11
na
na
na

99283

Emergency dept visit
60.64
52.81
−13
na
na
na

99284

Emergency dept visit
110.28
97.44
−12
na
na
na

99291

Critical care, first hour
208.82
182.61
−13
256.19
224.51
−12

99292

Critical care, add'l 30 min
104.60
91.64
−12
114.45
100.16
−12

99348

Home visit, est patient
na
na
na
66.32
68.14
3

99350

Home visit, est patient
na
na
na
150.83
139.34
−8

G0008

Admin influenza virus vac
na
na
na
18.95
18.40
−3

G0317

ESRD related svs 4+mo 20+yrs
283.09
245.63
−13
283.09
245.63
−13

23. On page 66393,

a. First column, after the 2nd full paragraph, the following paragraph is inserted as a result of corrections to Addendum D noted below in this notice. The insertion reads as follows:

“In 2008, the counties with the three highest GAFs were in California. Thirty-one payment localities had increases in the GAF of less than one percent. Thirty-eight payment localities had decreases of less than 1 percent. Fifteen payment localities had decreases of over 1 percent and eight payment localities had increases of over 1 percent.”

b. First column, the 3rd full paragraph and 4th partial paragraph are deleted as a result of corrections to Addendum D noted below in this notice.

c. Second column, the 1st partial paragraph is deleted as a result of corrections to Addendum D noted below in this notice.

B. Corrections to the Addenda

The corrections to Addenda B, C, D, E, F, and I will not appear in the Code of Federal Regulations.

1. On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, the table is corrected to read as follows:

——————————

1
CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.

2
If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.

Addendum B.—Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected

CPT
1
/ HCPCS

Mod
Status
Description

Physician work

RVUs
2

Fully Implemented
non-facility

PE RVUs
2

Year 2008
transitional non-facility

PE RVUs
2

Fully implemented facility

PE RVUs
2

Year 2008 transitional facility

PE RVUs
2

Mal-practice

RVUs
2

Global

0016T

C
Thermotx choroid vasc lesion
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0017T

C
Photocoagulat macular drusen
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0019T

C
Extracorp shock wv tx,ms nos
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0026T

C
Measure remnant lipoproteins
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0027T

C
Endoscopic epidural lysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0028T

C
Dexa body composition study
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0029T

C
Magnetic tx for incontinence
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0030T

C
Antiprothrombin antibody
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0031T

C
Speculoscopy
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0032T

C
Speculoscopy w/direct sample
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0041T

C
Detect ur infect agnt w/cpas
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0042T

C
Ct perfusion w/contrast, cbf
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0043T

C
Co expired gas analysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0046T

C
Cath lavage, mammary duct(s)
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0047T

C
Cath lavage, mammary duct(s)
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0048T

C
Implant ventricular device
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0049T

C
External circulation assist
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0050T

C
Removal circulation assist
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0051T

C
Implant total heart system
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0052T

C
Replace component heart syst
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0053T

C
Replace component heart syst
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0058T

C
Cryopreservation, ovary tiss
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0059T

C
Cryopreservation, oocyte
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0060T

C
Electrical impedance scan
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0061T

C
Destruction of tumor, breast
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0062T

C
Rep intradisc annulus;1 lev
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0063T

C
Rep intradisc annulus;>1lev
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0064T

C
Spectroscop eval expired gas
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0066T

N
Ct colonography;screen
0.00
0.00
0.00
NA
NA
0.00
XXX

0066T
TC
N
Ct colonography;screen
0.00
0.00
0.00
NA
NA
0.00
XXX

0066T
26
N
Ct colonography;screen
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0067T

C
Ct colonography;dx
0.00
0.00
0.00
NA
NA
0.00
XXX

0067T
TC
C
Ct colonography;dx
0.00
0.00
0.00
NA
NA
0.00
XXX

0067T
26
C
Ct colonography;dx
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0068T

C
Interp/rept heart sound
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0069T

C
Analysis only heart sound
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0070T

C
Interp only heart sound
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0071T

C
U/s leiomyomata ablate <200
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0072T

C
U/s leiomyomata ablate >200
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0073T

A
Delivery, comp imrt
0.00
13.17
15.60
NA
NA
0.13
XXX

0075T

C
Perq stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX

0075T
TC
C
Perq stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX

0075T
26
C
Perq stent/chest vert art
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0076T

C
S&i stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX

0076T
TC
C
S&i stent/chest vert art
0.00
0.00
0.00
NA
NA
0.00
XXX

0076T
26
C
S&i stent/chest vert art
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0077T

C
Cereb therm perfusion probe
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0078T

C
Endovasc aort repr w/device
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0079T

C
Endovasc visc extnsn repr
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0080T

C
Endovasc aort repr rad s&i
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0081T

C
Endovasc visc extnsn s&i
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0084T

C
Temp prostate urethral stent
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0085T

C
Breath test heart reject
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0086T

C
L ventricle fill pressure
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0087T

C
Sperm eval hyaluronan
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0088T

C
Rf tongue base vol reduxn
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0089T

C
Actigraphy testing, 3-day
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0090T

C
Cervical artific disc
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0092T

C
Artific disc addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0093T

C
Cervical artific diskectomy
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0095T

C
Artific diskectomy addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0096T

C
Rev cervical artific disc
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0098T

C
Rev artific disc addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0099T

C
Implant corneal ring
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0100T

C
Prosth retina receive&gen
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0101T

C
Extracorp shockwv tx,hi enrg
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0102T

C
Extracorp shockwv tx,anesth
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0103T

C
Holotranscobalamin
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0104T

C
At rest cardio gas rebreathe
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0105T

C
Exerc cardio gas rebreathe
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0106T

C
Touch quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0107T

C
Vibrate quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0108T

C
Cool quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0109T

C
Heat quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0110T

C
Nos quant sensory test
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0111T

C
Rbc membranes fatty acids
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0123T

C
Scleral fistulization
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0124T

C
Conjunctival drug placement
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0126T

C
Chd risk imt study
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0130T

C
Chron care drug investigatn
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0137T

C
Prostate saturation sampling
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0140T

C
Exhaled breath condensate ph
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0141T

I
Perq islet transplant
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0142T

I
Open islet transplant
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0143T

I
Laparoscopic islet transplnt
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0144T

C
CT heart wo dye; qual calc
0.00
0.00
0.00
NA
NA
0.00
XXX

0144T
TC
C
CT heart wo dye; qual calc
0.00
0.00
0.00
NA
NA
0.00
XXX

0144T
26
C
CT heart wo dye; qual calc
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0145T

C
CT heart w/wo dye funct
0.00
0.00
0.00
NA
NA
0.00
XXX

0145T
TC
C
CT heart w/wo dye funct
0.00
0.00
0.00
NA
NA
0.00
XXX

0145T
26
C
CT heart w/wo dye funct
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0146T

C
CCTA w/wo dye
0.00
0.00
0.00
NA
NA
0.00
XXX

0146T
TC
C
CCTA w/wo dye
0.00
0.00
0.00
NA
NA
0.00
XXX

0146T
26
C
CCTA w/wo dye
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0147T

C
CCTA w/wo, quan calcium
0.00
0.00
0.00
NA
NA
0.00
XXX

0147T
TC
C
CCTA w/wo, quan calcium
0.00
0.00
0.00
NA
NA
0.00
XXX

0147T
26
C
CCTA w/wo, quan calcium
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0148T

C
CCTA w/wo, strxr
0.00
0.00
0.00
NA
NA
0.00
XXX

0148T
TC
C
CCTA w/wo, strxr
0.00
0.00
0.00
NA
NA
0.00
XXX

0148T
26
C
CCTA w/wo, strxr
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0149T

C
CCTA w/wo, strxr quan calc
0.00
0.00
0.00
NA
NA
0.00
XXX

0149T
TC
C
CCTA w/wo, strxr quan calc
0.00
0.00
0.00
NA
NA
0.00
XXX

0149T
26
C
CCTA w/wo, strxr quan calc
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0150T

C
CCTA w/wo, disease strxr
0.00
0.00
0.00
NA
NA
0.00
XXX

0150T
TC
C
CCTA w/wo, disease strxr
0.00
0.00
0.00
NA
NA
0.00
XXX

0150T
26
C
CCTA w/wo, disease strxr
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0151T

C
CT heart funct add-on
0.00
0.00
0.00
NA
NA
0.00
XXX

0151T
TC
C
CT heart funct add-on
0.00
0.00
0.00
NA
NA
0.00
XXX

0151T
26
C
CT heart funct add-on
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0155T

C
Lap impl gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0156T

C
Lap remv gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0157T

C
Open impl gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0158T

C
Open remv gast curve electrd
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0159T

C
Cad breast mri
0.00
0.00
0.00
NA
NA
0.00
ZZZ

0159T
TC
C
Cad breast mri
0.00
0.00
0.00
NA
NA
0.00
ZZZ

0159T
26
C
Cad breast mri
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ

0160T

C
Tcranial magn stim tx plan
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0161T

C
Tcranial magn stim tx deliv
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0162T

C
Anal program gast neurostim
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0163T

C
Lumb artif diskectomy addl
0.00
0.00
0.00
0.00
0.00
0.00
YYY

0164T

C
Remove lumb artif disc addl
0.00
0.00
0.00
0.00
0.00
0.00
YYY

0165T

C
Revise lumb artif disc addl
0.00
0.00
0.00
0.00
0.00
0.00
YYY

0166T

C
Tcath vsd close w/o bypass
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0167T

C
Tcath vsd close w bypass
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0168T

C
Rhinophototx light app bilat
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0169T

C
Place stereo cath brain
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0170T

C
Anorectal fistula plug rpr
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0171T

C
Lumbar spine proces distract
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0172T

C
Lumbar spine process addl
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0173T

C
Iop monit io pressure
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0174T

C
Cad cxr with interp
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0175T

C
Cad cxr remote
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0176T

C
Aqu canal dilat w/o retent
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0177T

C
Aqu canal dilat w retent
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0178T

C
64 lead ecg w i&r
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0179T

C
64 lead ecg w tracing
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0180T

C
64 lead ecg w i&r only
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0181T

C
Corneal hysteresis
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0182T

C
Hdr elect brachytherapy
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0183T

C
Wound ultrasound
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0184T

C
Exc rectal tumor endoscopic
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0185T

C
Comptr probability analysis
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0186T

C
Suprachoroidal drug delivery
0.00
0.00
0.00
0.00
0.00
0.00
XXX

0187T

C
Ophthalmic dx image anterior
0.00
0.00
0.00
0.00
0.00
0.00
XXX

10021

A
Fna w/o image
1.27
2.18
2.17
0.37
0.46
0.10
XXX

10022

A
Fna w/image
1.27
2.15
2.35
0.41
0.41
0.08
XXX

10040

A
Acne surgery
1.19
1.33
1.17
0.98
0.88
0.05
010

10060

A
Drainage of skin abscess
1.19
1.51
1.36
1.08
1.01
0.12
010

10061

A
Drainage of skin abscess
2.42
2.07
1.95
1.51
1.50
0.26
010

10080

A
Drainage of pilonidal cyst
1.19
2.68
2.89
1.10
1.11
0.11
010

10081

A
Drainage of pilonidal cyst
2.47
3.49
3.78
1.45
1.47
0.24
010

10120

A
Remove foreign body
1.23
1.95
2.06
0.94
0.96
0.12
010

10121

A
Remove foreign body
2.71
3.51
3.51
1.65
1.72
0.33
010

10140

A
Drainage of hematoma/fluid
1.55
2.26
2.02
1.29
1.29
0.19
010

10160

A
Puncture drainage of lesion
1.22
1.85
1.72
1.08
1.08
0.14
010

10180

A
Complex drainage, wound
2.27
3.25
3.12
1.80
1.89
0.35
010

11000

A
Debride infected skin
0.60
0.72
0.65
0.16
0.19
0.07
000

11001

A
Debride infected skin add-on
0.30
0.23
0.23
0.08
0.10
0.04
ZZZ

11004

A
Debride genitalia & perineum
10.80
NA
NA
3.21
3.55
0.67
000

11005

A
Debride abdom wall
14.24
NA
NA
3.78
4.67
0.96
000

11006

A
Debride genit/per/abdom wall
13.10
NA
NA
3.96
4.40
1.28
000

11008

A
Remove mesh from abd wall
5.00
NA
NA
1.29
1.66
0.61
ZZZ

11010

A
Debride skin, fx
4.19
6.81
6.84
2.34
2.48
0.66
010

11011

A
Debride skin/muscle, fx
4.94
7.04
7.60
2.01
2.18
0.74
000

11012

A
Debride skin/muscle/bone, fx
6.87
9.01
10.56
3.11
3.47
1.16
000

11040

A
Debride skin, partial
0.50
0.68
0.60
0.16
0.18
0.06
000

11041

A
Debride skin, full
0.60
0.72
0.69
0.19
0.26
0.10
000

11042

A
Debride skin/tissue
0.80
0.95
0.96
0.24
0.34
0.13
000

11043

A
Debride tissue/muscle
3.04
3.51
3.44
2.60
2.60
0.32
010

11044

A
Debride tissue/muscle/bone
4.11
4.84
4.65
3.58
3.67
0.43
010

11055

R
Trim skin lesion
0.43
0.81
0.68
0.11
0.14
0.05
000

11056

R
Trim skin lesions, 2 to 4
0.61
0.88
0.76
0.16
0.19
0.07
000

11057

R
Trim skin lesions, over 4
0.79
0.99
0.86
0.20
0.25
0.10
000

11100

A
Biopsy, skin lesion
0.81
1.88
1.56
0.38
0.38
0.03
000

11101

A
Biopsy, skin add-on
0.41
0.41
0.37
0.20
0.19
0.02
ZZZ

11200

A
Removal of skin tags
0.79
1.23
1.13
0.90
0.83
0.04
010

11201

A
Remove skin tags add-on
0.29
0.16
0.16
0.11
0.12
0.02
ZZZ

11300

A
Shave skin lesion
0.51
1.19
1.09
0.21
0.21
0.03
000

11301

A
Shave skin lesion
0.85
1.51
1.31
0.38
0.38
0.04
000

11302

A
Shave skin lesion
1.05
1.76
1.53
0.48
0.47
0.05
000

11303

A
Shave skin lesion
1.24
2.03
1.81
0.55
0.54
0.07
000

11305

A
Shave skin lesion
0.67
1.07
0.96
0.20
0.24
0.07
000

11306

A
Shave skin lesion
0.99
1.43
1.26
0.38
0.40
0.07
000

11307

A
Shave skin lesion
1.14
1.70
1.49
0.47
0.48
0.07
000

11308

A
Shave skin lesion
1.41
1.71
1.58
0.49
0.54
0.13
000

11310

A
Shave skin lesion
0.73
1.38
1.25
0.31
0.32
0.04
000

11311

A
Shave skin lesion
1.05
1.64
1.43
0.48
0.48
0.05
000

11312

A
Shave skin lesion
1.20
1.92
1.67
0.56
0.55
0.06
000

11313

A
Shave skin lesion
1.62
2.19
2.00
0.73
0.72
0.10
000

11400

A
Exc tr-ext b9+marg 0.5 < cm
0.87
1.88
1.94
0.93
0.91
0.06
010

11401

A
Exc tr-ext b9+marg 0.6-1 cm
1.25
2.19
2.12
1.15
1.09
0.10
010

11402

A
Exc tr-ext b9+marg 1.1-2 cm
1.42
2.40
2.31
1.21
1.14
0.13
010

11403

A
Exc tr-ext b9+marg 2.1-3 cm
1.81
2.56
2.48
1.57
1.44
0.17
010

11404

A
Exc tr-ext b9+marg 3.1-4 cm
2.08
2.86
2.78
1.63
1.51
0.21
010

11406

A
Exc tr-ext b9+marg > 4.0 cm
3.47
3.54
3.30
2.10
1.87
0.32
010

11420

A
Exc h-f-nk-sp b9+marg 0.5 <
1.00
1.83
1.80
0.93
0.93
0.09
010

11421

A
Exc h-f-nk-sp b9+marg 0.6-1
1.44
2.22
2.14
1.16
1.14
0.13
010

11422

A
Exc h-f-nk-sp b9+marg 1.1-2
1.65
2.44
2.35
1.53
1.43
0.16
010

11423

A
Exc h-f-nk-sp b9+marg 2.1-3
2.03
2.67
2.63
1.66
1.55
0.20
010

11424

A
Exc h-f-nk-sp b9+marg 3.1-4
2.45
2.97
2.89
1.77
1.69
0.25
010

11426

A
Exc h-f-nk-sp b9+marg > 4 cm
4.04
3.59
3.54
2.31
2.21
0.44
010

11440

A
Exc face-mm b9+marg 0.5 < cm
1.02
2.00
2.10
1.31
1.31
0.08
010

11441

A
Exc face-mm b9+marg 0.6-1 cm
1.50
2.38
2.36
1.55
1.52
0.13
010

11442

A
Exc face-mm b9+marg 1.1-2 cm
1.74
2.65
2.59
1.66
1.61
0.16
010

11443

A
Exc face-mm b9+marg 2.1-3 cm
2.31
2.89
2.90
1.84
1.83
0.22
010

11444

A
Exc face-mm b9+marg 3.1-4 cm
3.16
3.32
3.40
2.10
2.14
0.30
010

11446

A
Exc face-mm b9+marg > 4 cm
4.75
4.10
4.07
2.68
2.73
0.43
010

11450

A
Removal, sweat gland lesion
3.14
5.13
5.08
2.41
2.22
0.34
090

11451

A
Removal, sweat gland lesion
4.35
6.38
6.49
2.91
2.73
0.53
090

11462

A
Removal, sweat gland lesion
2.92
5.33
5.22
2.47
2.24
0.32
090

11463

A
Removal, sweat gland lesion
4.35
6.53
6.68
2.94
2.81
0.54
090

11470

A
Removal, sweat gland lesion
3.66
5.47
5.27
2.63
2.45
0.40
090

11471

A
Removal, sweat gland lesion
4.81
6.51
6.61
3.01
2.89
0.58
090

11600

A
Exc tr-ext mlg+marg 0.5 < cm
1.58
2.74
2.69
1.14
1.05
0.10
010

11601

A
Exc tr-ext mlg+marg 0.6-1 cm
2.02
3.44
3.07
1.51
1.36
0.12
010

11602

A
Exc tr-ext mlg+marg 1.1-2 cm
2.22
3.85
3.34
1.69
1.47
0.12
010

11603

A
Exc tr-ext mlg+marg 2.1-3 cm
2.77
4.05
3.56
1.87
1.60
0.16
010

11604

A
Exc tr-ext mlg+marg 3.1-4 cm
3.12
4.34
3.86
1.93
1.66
0.20
010

11606

A
Exc tr-ext mlg+marg > 4 cm
4.97
5.50
4.78
2.46
2.10
0.36
010

11620

A
Exc h-f-nk-sp mlg+marg 0.5 <
1.59
2.85
2.72
1.19
1.07
0.09
010

11621

A
Exc h-f-nk-sp mlg+marg 0.6-1
2.03
3.51
3.10
1.54
1.39
0.12
010

11622

A
Exc h-f-nk-sp mlg+marg 1.1-2
2.36
3.90
3.43
1.75
1.57
0.14
010

11623

A
Exc h-f-nk-sp mlg+marg 2.1-3
3.06
4.12
3.73
1.95
1.77
0.20
010

11624

A
Exc h-f-nk-sp mlg+marg 3.1-4
3.57
4.43
4.09
2.08
1.93
0.27
010

11626

A
Exc h-f-nk-sp mlg+mar > 4 cm
4.56
4.96
4.80
2.33
2.36
0.45
010

11640

A
Exc face-mm malig+marg 0.5 <
1.62
3.06
2.86
1.29
1.20
0.11
010

11641

A
Exc face-mm malig+marg 0.6-1
2.12
3.64
3.33
1.61
1.57
0.16
010

11642

A
Exc face-mm malig+marg 1.1-2
2.57
4.04
3.72
1.84
1.78
0.19
010

11643

A
Exc face-mm malig+marg 2.1-3
3.37
4.28
4.04
2.11
2.04
0.26
010

11644

A
Exc face-mm malig+marg 3.1-4
4.29
5.07
4.88
2.47
2.46
0.37
010

11646

A
Exc face-mm mlg+marg > 4 cm
6.21
5.91
5.83
3.14
3.30
0.61
010

11719

R
Trim nail(s)
0.17
0.38
0.31
0.04
0.06
0.02
000

11720

A
Debride nail, 1-5
0.32
0.47
0.40
0.08
0.10
0.04
000

11721

A
Debride nail, 6 or more
0.54
0.55
0.49
0.14
0.17
0.07
000

11730

A
Removal of nail plate
1.10
1.33
1.18
0.28
0.36
0.14
000

11732

A
Remove nail plate, add-on
0.57
0.55
0.49
0.15
0.18
0.07
ZZZ

11740

A
Drain blood from under nail
0.37
0.80
0.67
0.43
0.39
0.04
000

11750

A
Removal of nail bed
2.40
2.96
2.56
1.88
1.82
0.22
010

11752

A
Remove nail bed/finger tip
3.48
4.06
3.53
2.78
2.88
0.35
010

11755

A
Biopsy, nail unit
1.31
2.03
1.80
0.76
0.76
0.14
000

11760

A
Repair of nail bed
1.60
3.40
3.01
1.43
1.61
0.21
010

11762

A
Reconstruction of nail bed
2.91
3.70
3.29
1.68
2.01
0.36
010

11765

A
Excision of nail fold, toe
0.71
2.67
2.23
1.01
0.88
0.08
010

11770

A
Removal of pilonidal lesion
2.63
3.46
3.47
1.52
1.51
0.33
010

11771

A
Removal of pilonidal lesion
5.98
6.64
6.14
3.69
3.50
0.74
090

11772

A
Removal of pilonidal lesion
7.23
8.04
7.77
5.56
5.31
0.89
090

11900

A
Injection into skin lesions
0.52
0.92
0.78
0.25
0.23
0.02
000

11901

A
Added skin lesions injection
0.80
1.01
0.83
0.39
0.37
0.03
000

11920

R
Correct skin color defects
1.61
2.35
3.02
1.09
1.09
0.24
000

11921

R
Correct skin color defects
1.93
2.66
3.31
1.26
1.26
0.29
000

11922

R
Correct skin color defects
0.49
0.92
1.03
0.22
0.24
0.07
ZZZ

11950

R
Therapy for contour defects
0.84
0.88
1.01
0.36
0.37
0.06
000

11951

R
Therapy for contour defects
1.19
0.90
1.20
0.36
0.43
0.11
000

11952

R
Therapy for contour defects
1.69
1.63
1.74
0.77
0.72
0.16
000

11954

R
Therapy for contour defects
1.85
1.79
2.12
0.77
0.83
0.25
000

11960

A
Insert tissue expander(s)
11.01
NA
NA
10.58
10.49
1.31
090

11970

A
Replace tissue expander
7.86
NA
NA
6.17
6.15
1.05
090

11971

A
Remove tissue expander(s)
3.21
7.40
8.26
4.02
3.91
0.32
090

11975

N
Insert contraceptive cap
1.48
1.54
1.48
0.34
0.45
0.17
XXX

11976

R
Removal of contraceptive cap
1.78
1.73
1.72
0.48
0.58
0.21
000

11977

N
Removal/reinsert contra cap
3.30
1.98
2.13
0.76
1.01
0.37
XXX

11980

A
Implant hormone pellet(s)
1.48
1.07
1.08
0.49
0.51
0.13
000

11981

A
Insert drug implant device
1.48
1.90
1.80
0.58
0.63
0.12
XXX

11982

A
Remove drug implant device
1.78
2.02
1.98
0.70
0.76
0.17
XXX

11983

A
Remove/insert drug implant
3.30
2.64
2.46
1.32
1.39
0.23
XXX

12001

A
Repair superficial wound(s)
1.72
1.73
1.86
0.73
0.75
0.15
010

12002

A
Repair superficial wound(s)
1.88
1.80
1.92
0.84
0.87
0.17
010

12004

A
Repair superficial wound(s)
2.26
2.08
2.20
0.92
0.97
0.21
010

12005

A
Repair superficial wound(s)
2.88
2.52
2.67
1.06
1.13
0.27
010

12006

A
Repair superficial wound(s)
3.68
3.06
3.23
1.30
1.40
0.35
010

12007

A
Repair superficial wound(s)
4.13
3.36
3.59
1.46
1.64
0.45
010

12011

A
Repair superficial wound(s)
1.78
1.91
2.02
0.76
0.77
0.16
010

12013

A
Repair superficial wound(s)
2.01
2.07
2.17
0.89
0.91
0.18
010

12014

A
Repair superficial wound(s)
2.48
2.29
2.43
0.98
1.02
0.23
010

12015

A
Repair superficial wound(s)
3.21
2.79
2.96
1.12
1.18
0.29
010

12016

A
Repair superficial wound(s)
3.94
3.17
3.36
1.28
1.40
0.37
010

12017

A
Repair superficial wound(s)
4.72
NA
NA
1.52
1.71
0.47
010

12018

A
Repair superficial wound(s)
5.54
NA
NA
1.92
2.09
0.64
010

12020

A
Closure of split wound
2.64
3.69
3.76
1.75
1.84
0.30
010

12021

A
Closure of split wound
1.86
1.85
1.84
1.33
1.37
0.24
010

12031

A
Layer closure of wound(s)
2.17
3.90
3.09
1.77
1.37
0.17
010

12032

A
Layer closure of wound(s)
2.49
5.22
4.53
2.28
2.04
0.16
010

12034

A
Layer closure of wound(s)
2.94
4.61
3.90
2.00
1.72
0.25
010

12035

A
Layer closure of wound(s)
3.44
5.30
5.25
2.11
2.13
0.39
010

12036

A
Layer closure of wound(s)
4.06
5.41
5.48
2.23
2.39
0.55
010

12037

A
Layer closure of wound(s)
4.68
5.99
6.04
2.63
2.80
0.66
010

12041

A
Layer closure of wound(s)
2.39
3.87
3.21
1.78
1.45
0.19
010

12042

A
Layer closure of wound(s)
2.76
4.50
3.88
2.13
1.79
0.17
010

12044

A
Layer closure of wound(s)
3.16
5.41
4.31
1.95
1.77
0.27
010

12045

A
Layer closure of wound(s)
3.65
5.03
5.15
2.06
2.17
0.41
010

12046

A
Layer closure of wound(s)
4.26
5.66
6.08
2.29
2.52
0.54
010

12047

A
Layer closure of wound(s)
4.66
6.50
6.42
2.66
2.87
0.58
010

12051

A
Layer closure of wound(s)
2.49
4.11
3.69
1.92
1.69
0.20
010

12052

A
Layer closure of wound(s)
2.81
4.87
4.04
2.56
2.00
0.17
010

12053

A
Layer closure of wound(s)
3.14
5.39
4.32
2.13
1.83
0.23
010

12054

A
Layer closure of wound(s)
3.47
5.43
4.50
2.06
1.84
0.30
010

12055

A
Layer closure of wound(s)
4.44
6.01
5.25
2.09
2.11
0.45
010

12056

A
Layer closure of wound(s)
5.25
6.57
6.66
2.58
2.82
0.59
010

12057

A
Layer closure of wound(s)
5.97
7.76
6.95
2.93
3.34
0.56
010

13100

A
Repair of wound or lesion
3.14
4.42
4.24
2.47
2.39
0.26
010

13101

A
Repair of wound or lesion
3.93
5.95
5.30
2.97
2.83
0.26
010

13102

A
Repair wound/lesion add-on
1.24
1.35
1.26
0.53
0.55
0.13
ZZZ

13120

A
Repair of wound or lesion
3.32
4.58
4.36
2.58
2.46
0.26
010

13121

A
Repair of wound or lesion
4.36
6.72
5.78
3.64
3.22
0.25
010

13122

A
Repair wound/lesion add-on
1.44
1.37
1.44
0.58
0.60
0.15
ZZZ

13131

A
Repair of wound or lesion
3.80
5.01
4.69
2.88
2.78
0.26
010

13132

A
Repair of wound or lesion
6.48
7.89
6.90
4.96
4.56
0.32
010

13133

A
Repair wound/lesion add-on
2.19
1.88
1.77
0.98
1.00
0.18
ZZZ

13150

A
Repair of wound or lesion
3.82
4.72
4.80
2.72
2.74
0.34
010

13151

A
Repair of wound or lesion
4.46
5.52
5.16
3.22
3.18
0.31
010

13152

A
Repair of wound or lesion
6.34
7.54
6.79
3.92
3.98
0.40
010

13153

A
Repair wound/lesion add-on
2.38
2.05
1.99
1.03
1.08
0.24
ZZZ

13160

A
Late closure of wound
11.84
NA
NA
7.02
7.09
1.54
090

14000

A
Skin tissue rearrangement
6.83
8.95
8.40
6.04
5.76
0.59
090

14001

A
Skin tissue rearrangement
9.60
11.02
10.22
7.49
7.28
0.82
090

14020

A
Skin tissue rearrangement
7.66
10.04
9.32
6.89
6.71
0.64
090

14021

A
Skin tissue rearrangement
11.18
12.47
11.23
8.66
8.47
0.81
090

14040

A
Skin tissue rearrangement
8.44
10.20
9.50
6.99
7.10
0.62
090

14041

A
Skin tissue rearrangement
12.67
13.58
12.09
9.35
9.01
0.73
090

14060

A
Skin tissue rearrangement
9.07
9.69
9.24
7.18
7.31
0.68
090

14061

A
Skin tissue rearrangement
13.67
14.84
13.22
10.18
9.84
0.76
090

14300

A
Skin tissue rearrangement
13.26
13.53
12.33
9.45
9.31
1.16
090

14350

A
Skin tissue rearrangement
10.82
NA
NA
6.90
7.02
1.34
090

15002

A
Wnd prep, ch/inf, trk/arm/lg
3.65
4.22
4.22
1.69
1.69
0.49
000

15003

A
Wnd prep, ch/inf addl 100 cm
0.80
0.90
0.90
0.26
0.26
0.11
ZZZ

15004

A
Wnd prep ch/inf, f/n/hf/g
4.58
4.88
4.88
2.02
2.02
0.62
000

15005

A
Wnd prep, f/n/hf/g, addl cm
1.60
1.24
1.24
0.53
0.53
0.22
ZZZ

15040

A
Harvest cultured skin graft
2.00
3.94
4.25
1.05
1.09
0.24
000

15050

A
Skin pinch graft
5.37
7.63
7.27
5.01
5.06
0.57
090

15100

A
Skin splt grft, trnk/arm/leg
9.74
9.77
11.18
6.68
7.25
1.28
090

15101

A
Skin splt grft t/a/l, add-on
1.72
2.47
3.10
0.85
1.01
0.24
ZZZ

15110

A
Epidrm autogrft trnk/arm/leg
10.88
8.75
9.71
6.36
6.68
1.31
090

15111

A
Epidrm autogrft t/a/l add-on
1.85
0.87
1.08
0.62
0.70
0.26
ZZZ

15115

A
Epidrm a-grft face/nck/hf/g
11.19
9.23
9.23
6.74
7.05
1.15
090

15116

A
Epidrm a-grft f/n/hf/g addl
2.50
1.19
1.39
0.86
0.99
0.33
ZZZ

15120

A
Skn splt a-grft fac/nck/hf/g
10.96
11.35
11.04
7.45
7.62
1.16
090

15121

A
Skn splt a-grft f/n/hf/g add
2.67
3.44
3.97
1.29
1.57
0.36
ZZZ

15130

A
Derm autograft, trnk/arm/leg
7.41
7.96
8.91
5.58
5.96
0.97
090

15131

A
Derm autograft t/a/l add-on
1.50
0.66
0.86
0.48
0.56
0.21
ZZZ

15135

A
Derm autograft face/nck/hf/g
10.91
9.49
9.68
7.05
7.59
1.23
090

15136

A
Derm autograft, f/n/hf/g add
1.50
0.66
0.77
0.51
0.59
0.20
ZZZ

15150

A
Cult epiderm grft t/arm/leg
9.30
7.05
7.75
5.76
6.10
1.14
090

15151

A
Cult epiderm grft t/a/l addl
2.00
0.88
1.09
0.67
0.76
0.28
ZZZ

15152

A
Cult epiderm graft t/a/l +%
2.50
1.05
1.30
0.84
0.95
0.35
ZZZ

15155

A
Cult epiderm graft, f/n/hf/g
10.05
7.66
7.74
6.31
6.64
1.05
090

15156

A
Cult epidrm grft f/n/hfg add
2.75
1.15
1.35
0.94
1.09
0.36
ZZZ

15157

A
Cult epiderm grft f/n/hfg +%
3.00
1.34
1.56
1.03
1.19
0.39
ZZZ

15170

A
Acell graft trunk/arms/legs
5.99
4.01
3.92
2.60
2.48
0.55
090

15171

A
Acell graft t/arm/leg add-on
1.55
0.60
0.64
0.46
0.54
0.19
ZZZ

15175

A
Acellular graft, f/n/hf/g
7.99
4.47
4.95
3.15
3.57
0.82
090

15176

A
Acell graft, f/n/hf/g add-on
2.45
1.04
1.07
0.79
0.89
0.29
ZZZ

15200

A
Skin full graft, trunk
8.97
9.91
9.66
6.35
6.28
0.98
090

15201

A
Skin full graft trunk add-on
1.32
2.02
2.29
0.47
0.54
0.19
ZZZ

15220

A
Skin full graft sclp/arm/leg
7.95
10.47
9.83
6.70
6.69
0.84
090

15221

A
Skin full graft add-on
1.19
2.00
2.16
0.50
0.53
0.16
ZZZ

15240

A
Skin full grft face/genit/hf
10.15
12.04
11.12
8.90
8.43
0.92
090

15241

A
Skin full graft add-on
1.86
2.54
2.49
0.81
0.86
0.23
ZZZ

15260

A
Skin full graft een & lips
11.39
13.02
11.62
9.34
8.96
0.69
090

15261

A
Skin full graft add-on
2.23
2.98
2.84
1.16
1.28
0.21
ZZZ

15300

A
Apply skinallogrft, t/arm/lg
4.65
3.44
3.32
2.15
2.19
0.49
090

15301

A
Apply sknallogrft t/a/l addl
1.00
0.46
0.46
0.32
0.36
0.14
ZZZ

15320

A
Apply skin allogrft f/n/hf/g
5.36
3.78
3.70
2.36
2.45
0.58
090

15321

A
Aply sknallogrft f/n/hfg add
1.50
0.69
0.69
0.51
0.55
0.21
ZZZ

15330

A
Aply acell alogrft t/arm/leg
3.99
3.50
3.34
2.14
2.18
0.49
090

15331

A
Aply acell grft t/a/l add-on
1.00
0.49
0.47
0.36
0.38
0.14
ZZZ

15335

A
Apply acell graft, f/n/hf/g
4.50
3.32
3.40
2.01
2.23
0.55
090

15336

A
Aply acell grft f/n/hf/g add
1.43
0.74
0.71
0.51
0.54
0.20
ZZZ

15340

A
Apply cult skin substitute
3.76
3.69
3.84
2.64
2.70
0.41
010

15341

A
Apply cult skin sub add-on
0.50
0.64
0.62
0.13
0.17
0.06
ZZZ

15360

A
Apply cult derm sub, t/a/l
3.93
4.85
4.66
3.54
3.31
0.43
090

15361

A
Aply cult derm sub t/a/l add
1.15
0.50
0.54
0.32
0.39
0.14
ZZZ

15365

A
Apply cult derm sub f/n/hf/g
4.21
4.22
4.38
3.10
3.15
0.46
090

15366

A
Apply cult derm f/hf/g add
1.45
0.67
0.68
0.47
0.53
0.17
ZZZ

15400

A
Apply skin xenograft, t/a/l
4.38
5.00
4.50
3.76
3.89
0.47
090

15401

A
Apply skn xenogrft t/a/l add
1.00
1.01
1.45
0.33
0.39
0.14
ZZZ

15420

A
Apply skin xgraft, f/n/hf/g
4.89
5.43
5.11
4.18
3.98
0.52
090

15421

A
Apply skn xgrft f/n/hf/g add
1.50
1.16
1.24
0.48
0.55
0.21
ZZZ

15430

A
Apply acellular xenograft
5.93
6.61
6.76
6.06
6.34
0.66
090

15431

C
Apply acellular xgraft add
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ

15570

A
Form skin pedicle flap
10.00
10.09
10.70
6.27
6.52
1.34
090

15572

A
Form skin pedicle flap
9.94
9.79
9.64
6.66
6.56
1.20
090

15574

A
Form skin pedicle flap
10.52
10.55
10.62
7.04
7.42
1.20
090

15576

A
Form skin pedicle flap
9.24
9.67
9.72
6.52
6.70
0.87
090

15600

A
Skin graft
1.95
5.32
6.46
2.75
2.91
0.27
090

15610

A
Skin graft
2.46
5.57
5.13
3.05
3.24
0.35
090

15620

A
Skin graft
3.62
6.47
7.13
3.90
3.89
0.35
090

15630

A
Skin graft
3.95
7.08
7.06
4.32
4.23
0.34
090

15650

A
Transfer skin pedicle flap
4.64
7.28
7.21
4.39
4.30
0.42
090

15731

A
Forehead flap w/vasc pedicle
14.12
11.90
11.90
9.34
9.34
1.28
090

15732

A
Muscle-skin graft, head/neck
19.70
14.66
16.36
11.10
11.66
2.00
090

15734

A
Muscle-skin graft, trunk
19.62
15.70
16.91
11.85
12.12
2.62
090

15736

A
Muscle-skin graft, arm
16.92
13.40
15.82
9.60
10.41
2.46
090

15738

A
Muscle-skin graft, leg
18.92
13.78
15.88
10.20
10.96
2.66
090

15740

A
Island pedicle flap graft
11.57
13.58
11.86
9.43
8.84
0.63
090

15750

A
Neurovascular pedicle graft
12.73
NA
NA
8.86
8.95
1.42
090

15756

A
Free myo/skin flap microvasc
36.74
NA
NA
18.57
19.57
4.62
090

15757

A
Free skin flap, microvasc
36.95
NA
NA
17.87
19.74
3.90
090

15758

A
Free fascial flap, microvasc
36.70
NA
NA
17.58
19.58
4.24
090

15760

A
Composite skin graft
9.68
10.42
10.23
7.06
7.16
0.85
090

15770

A
Derma-fat-fascia graft
8.73
NA
NA
6.64
6.66
1.05
090

15775

R
Hair transplant punch grafts
3.95
2.88
3.56
1.23
1.26
0.52
000

15776

R
Hair transplant punch grafts
5.53
4.85
5.11
2.14
2.47
0.72
000

15780

A
Abrasion treatment of skin
8.50
11.24
11.38
6.53
7.39
0.67
090

15781

A
Abrasion treatment of skin
4.91
8.68
7.80
5.64
5.51
0.34
090

15782

A
Abrasion treatment of skin
4.36
8.72
9.29
4.97
5.76
0.34
090

15783

A
Abrasion treatment of skin
4.33
7.92
7.40
4.97
4.58
0.28
090

15786

A
Abrasion, lesion, single
2.05
3.90
3.63
1.25
1.28
0.11
010

15787

A
Abrasion, lesions, add-on
0.33
0.83
0.96
0.08
0.12
0.04
ZZZ

15788

R
Chemical peel, face, epiderm
2.09
9.47
8.09
4.13
3.60
0.11
090

15789

R
Chemical peel, face, dermal
4.91
9.43
8.76
5.83
5.32
0.20
090

15792

R
Chemical peel, nonfacial
1.86
8.98
8.04
4.58
4.52
0.13
090

15793

A
Chemical peel, nonfacial
3.82
8.10
7.20
4.90
4.64
0.19
090

15819

A
Plastic surgery, neck
10.45
NA
NA
6.68
6.93
0.97
090

15820

A
Revision of lower eyelid
6.09
6.39
6.68
5.20
5.38
0.40
090

15821

A
Revision of lower eyelid
6.66
6.57
6.96
5.28
5.50
0.45
090

15822

A
Revision of upper eyelid
4.51
5.23
5.53
4.09
4.29
0.37
090

15823

A
Revision of upper eyelid
8.12
7.39
7.62
6.11
6.27
0.50
090

15824

R
Removal of forehead wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
000

15825

R
Removal of neck wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
000

15826

R
Removal of brow wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
000

15828

R
Removal of face wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
000

15829

R
Removal of skin wrinkles
0.00
0.00
0.00
0.00
0.00
0.00
000

15830

R
Exc skin abd
16.90
NA
NA
9.82
9.82
2.93
090

15832

A
Excise excessive skin tissue
12.65
NA
NA
8.28
8.31
1.66
090

15833

A
Excise excessive skin tissue
11.70
NA
NA
7.50
7.86
1.49
090

15834

A
Excise excessive skin tissue
11.97
NA
NA
8.16
7.93
1.61
090

15835

A
Excise excessive skin tissue
12.79
NA
NA
7.86
7.70
1.60
090

15836

A
Excise excessive skin tissue
10.41
NA
NA
6.83
6.81
1.34
090

15837

A
Excise excessive skin tissue
9.37
8.68
8.62
5.79
6.58
1.18
090

15838

A
Excise excessive skin tissue
8.07
NA
NA
5.45
5.76
0.58
090

15839

A
Excise excessive skin tissue
10.32
9.76
9.30
6.47
6.43
1.22
090

15840

A
Graft for face nerve palsy
14.76
NA
NA
8.93
9.45
1.32
090

15841

A
Graft for face nerve palsy
25.69
NA
NA
13.54
14.27
2.55
090

15842

A
Flap for face nerve palsy
40.68
NA
NA
20.89
21.91
4.94
090

15845

A
Skin and muscle repair, face
14.04
NA
NA
8.36
8.84
0.81
090

15847

C
Exc skin abd add-on
0.00
0.00
0.00
0.00
0.00
0.00
YYY

15850

B
Removal of sutures
0.78
1.20
1.38
0.18
0.24
0.05
XXX

15851

A
Removal of sutures
0.86
1.33
1.51
0.24
0.27
0.06
000

15852

A
Dressing change not for burn
0.86
NA
NA
0.25
0.29
0.09
000

15860

A
Test for blood flow in graft
1.95
NA
NA
0.64
0.71
0.27
000

15876

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
000

15877

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
000

15878

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
000

15879

R
Suction assisted lipectomy
0.00
0.00
0.00
0.00
0.00
0.00
000

15920

A
Removal of tail bone ulcer
8.15
NA
NA
5.35
5.45
1.04
090

15922

A
Removal of tail bone ulcer
10.23
NA
NA
7.17
7.19
1.42
090

15931

A
Remove sacrum pressure sore
9.96
NA
NA
5.56
5.63
1.25
090

15933

A
Remove sacrum pressure sore
11.60
NA
NA
7.31
7.58
1.52
090

15934

A
Remove sacrum pressure sore
13.54
NA
NA
7.73
7.88
1.79
090

15935

A
Remove sacrum pressure sore
15.58
NA
NA
9.18
9.75
2.10
090

15936

A
Remove sacrum pressure sore
13.04
NA
NA
7.42
7.82
1.77
090

15937

A
Remove sacrum pressure sore
15.00
NA
NA
8.94
9.38
2.07
090

15940

A
Remove hip pressure sore
10.11
NA
NA
5.81
5.99
1.31
090

15941

A
Remove hip pressure sore
12.24
NA
NA
8.43
8.94
1.66
090

15944

A
Remove hip pressure sore
12.27
NA
NA
8.14
8.37
1.65
090

15945

A
Remove hip pressure sore
13.57
NA
NA
8.81
9.23
1.85
090

15946

A
Remove hip pressure sore
23.80
NA
NA
13.71
14.04
3.17
090

15950

A
Remove thigh pressure sore
7.91
NA
NA
5.40
5.41
1.04
090

15951

A
Remove thigh pressure sore
11.41
NA
NA
7.34
7.60
1.49
090

15952

A
Remove thigh pressure sore
12.14
NA
NA
7.46
7.61
1.60
090

15953

A
Remove thigh pressure sore
13.39
NA
NA
8.23
8.62
1.80
090

15956

A
Remove thigh pressure sore
16.59
NA
NA
9.55
10.16
2.22
090

15958

A
Remove thigh pressure sore
16.55
NA
NA
10.43
10.74
2.26
090

15999

C
Removal of pressure sore
0.00
0.00
0.00
0.00
0.00
0.00
YYY

16000

A
Initial treatment of burn(s)
0.89
0.72
0.79
0.23
0.25
0.08
000

16020

A
Dress/debrid p-thick burn, s
0.80
1.11
1.20
0.56
0.57
0.08
000

16025

A
Dress/debrid p-thick burn, m
1.85
1.57
1.67
0.86
0.91
0.19
000

16030

A
Dress/debrid p-thick burn, l
2.08
2.08
2.13
1.02
1.07
0.24
000

16035

A
Incision of burn scab, initi
3.74
NA
NA
1.22
1.40
0.46
000

16036

A
Escharotomy; addÆl incision
1.50
NA
NA
0.46
0.53
0.20
ZZZ

17000

A
Destruct premalg lesion
0.62
1.41
1.19
0.74
0.64
0.03
010

17003

A
Destruct premalg les, 2-14
0.07
0.10
0.11
0.03
0.05
0.01
ZZZ

17004

A
Destroy premlg lesions 15+
1.82
2.44
2.37
1.38
1.48
0.11
010

17106

A
Destruction of skin lesions
4.62
4.69
4.65
3.28
3.31
0.35
090

17107

A
Destruction of skin lesions
9.19
6.98
7.09
4.95
5.20
0.63
090

17108

A
Destruction of skin lesions
13.22
8.87
9.07
6.39
7.03
0.54
090

17110

A
Destruct b9 lesion, 1-14
0.67
1.79
1.70
0.88
0.79
0.05
010

17111

A
Destruct lesion, 15 or more
0.94
2.25
1.96
1.11
0.96
0.05
010

17250

A
Chemical cautery, tissue
0.50
1.32
1.27
0.38
0.36
0.06
000

17260

A
Destruction of skin lesions
0.93
1.41
1.34
0.71
0.69
0.04
010

17261

A
Destruction of skin lesions
1.19
2.49
2.05
1.07
0.95
0.05
010

17262

A
Destruction of skin lesions
1.60
2.84
2.36
1.27
1.15
0.06
010

17263

A
Destruction of skin lesions
1.81
3.07
2.56
1.37
1.23
0.07
010

17264

A
Destruction of skin lesions
1.96
3.27
2.75
1.44
1.28
0.08
010

17266

A
Destruction of skin lesions
2.36
3.50
3.00
1.59
1.40
0.09
010

17270

A
Destruction of skin lesions
1.34
2.44
2.07
1.10
0.98
0.05
010

17271

A
Destruction of skin lesions
1.51
2.66
2.22
1.22
1.10
0.06
010

17272

A
Destruction of skin lesions
1.79
2.97
2.49
1.37
1.24
0.07
010

17273

A
Destruction of skin lesions
2.07
3.21
2.71
1.49
1.35
0.08
010

17274

A
Destruction of skin lesions
2.61
3.61
3.09
1.74
1.59
0.10
010

17276

A
Destruction of skin lesions
3.22
3.89
3.42
1.97
1.82
0.16
010

17280

A
Destruction of skin lesions
1.19
2.36
1.99
1.03
0.92
0.05
010

17281

A
Destruction of skin lesions
1.74
2.74
2.32
1.33
1.21
0.07
010

17282

A
Destruction of skin lesions
2.06
3.14
2.65
1.49
1.36
0.08
010

17283

A
Destruction of skin lesions
2.66
3.56
3.05
1.77
1.63
0.11
010

17284

A
Destruction of skin lesions
3.23
3.97
3.45
2.03
1.89
0.13
010

17286

A
Destruction of skin lesions
4.45
4.45
4.06
2.49
2.47
0.23
010

17311

A
Mohs, 1 stage, h/n/hf/g
6.20
10.71
10.71
3.05
3.05
0.24
000

17312

A
Mohs addl stage
3.30
6.89
6.89
1.62
1.62
0.13
ZZZ

17313

A
Mohs, 1 stage, t/a/l
5.56
9.88
9.88
2.74
2.74
0.22
000

17314

A
Mohs, addl stage, t/a/l
3.06
6.37
6.37
1.50
1.50
0.12
ZZZ

17315

A
Mohs surg, addl block
0.87
1.14
1.14
0.43
0.43
0.03
ZZZ

17340

A
Cryotherapy of skin
0.76
0.35
0.36
0.38
0.37
0.05
010

17360

A
Skin peel therapy
1.44
1.86
1.65
1.01
0.94
0.06
010

17380

R
Hair removal by electrolysis
0.00
0.00
0.00
0.00
0.00
0.00
000

17999

C
Skin tissue procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

19000

A
Drainage of breast lesion
0.84
1.91
1.95
0.26
0.29
0.08
000

19001

A
Drain breast lesion add-on
0.42
0.26
0.25
0.14
0.14
0.04
ZZZ

19020

A
Incision of breast lesion
3.74
6.63
6.48
3.04
2.86
0.45
090

19030

A
Injection for breast x-ray
1.53
2.67
2.77
0.54
0.52
0.09
000

19100

A
Bx breast percut w/o image
1.27
2.08
2.08
0.33
0.37
0.16
000

19101

A
Biopsy of breast, open
3.20
4.37
4.44
1.78
1.85
0.39
010

19102

A
Bx breast percut w/image
2.00
3.47
3.65
0.68
0.67
0.14
000

19103

A
Bx breast percut w/device
3.69
10.10
10.80
1.19
1.21
0.30
000

19105

A
Cryosurg ablate fa, each
3.69
46.51
46.51
1.00
1.00
0.30
000

19110

A
Nipple exploration
4.35
6.07
5.93
3.10
2.98
0.57
090

19112

A
Excise breast duct fistula
3.72
6.23
6.15
3.13
2.91
0.48
090

19120

A
Removal of breast lesion
5.84
5.09
4.81
3.37
3.21
0.73
090

19125

A
Excision, breast lesion
6.59
5.56
5.17
3.65
3.47
0.80
090

19126

A
Excision, addl breast lesion
2.93
NA
NA
0.75
0.87
0.38
ZZZ

19260

A
Removal of chest wall lesion
17.60
NA
NA
10.15
10.65
2.14
090

19271

A
Revision of chest wall
21.86
NA
NA
15.83
16.90
2.63
090

19272

A
Extensive chest wall surgery
24.82
NA
NA
16.97
17.95
3.00
090

19290

A
Place needle wire, breast
1.27
2.89
2.87
0.45
0.43
0.07
000

19291

A
Place needle wire, breast
0.63
1.14
1.17
0.22
0.21
0.04
ZZZ

19295

A
Place breast clip, percut
0.00
2.28
2.49
NA
NA
0.01
ZZZ

19296

A
Place po breast cath for rad
3.63
86.03
105.75
1.19
1.36
0.36
000

19297

A
Place breast cath for rad
1.72
NA
NA
0.44
0.54
0.17
ZZZ

19298

A
Place breast rad tube/caths
6.00
22.02
32.10
2.11
2.26
0.43
000

19300

A
Removal of breast tissue
5.20
8.06
7.60
3.86
3.63
0.69
090

19301

A
Partical mastectomy
10.00
NA
NA
4.63
4.02
0.79
090

19302

A
P-mastectomy w/ln removal
13.88
NA
NA
6.14
6.24
1.80
090

19303

A
Mast, simple, complete
15.67
NA
NA
7.00
6.01
1.18
090

19304

A
Mast, subq
7.81
NA
NA
4.94
4.85
1.04
090

19305

A
Mast, radical
17.23
NA
NA
8.12
8.04
1.93
090

19306

A
Mast, rad, urban type
17.85
NA
NA
8.72
8.48
2.08
090

19307

A
Mast, mod rad
17.95
NA
NA
8.77
8.49
2.13
090

19316

A
Suspension of breast
10.98
NA
NA
6.95
7.23
1.64
090

19318

A
Reduction of large breast
15.91
NA
NA
9.91
10.54
2.93
090

19324

A
Enlarge breast
6.65
NA
NA
4.47
4.68
0.84
090

19325

A
Enlarge breast with implant
8.52
NA
NA
6.41
6.47
1.33
090

19328

A
Removal of breast implant
6.35
NA
NA
4.99
5.01
0.91
090

19330

A
Removal of implant material
8.39
NA
NA
5.95
6.00
1.26
090

19340

A
Immediate breast prosthesis
6.32
NA
NA
2.81
2.96
1.06
ZZZ

19342

A
Delayed breast prosthesis
12.40
NA
NA
8.93
8.93
1.84
090

19350

A
Breast reconstruction
8.99
9.89
11.87
6.59
6.88
1.41
090

19355

A
Correct inverted nipple(s)
8.37
7.41
8.83
4.68
4.69
0.92
090

19357

A
Breast reconstruction
20.57
NA
NA
15.39
15.51
2.94
090

19361

A
Breast reconstr w/lat flap
23.17
NA
NA
16.80
14.62
2.93
090

19364

A
Breast reconstruction
42.40
NA
NA
22.17
22.87
6.24
090

19366

A
Breast reconstruction
21.70
NA
NA
9.91
10.75
3.25
090

19367

A
Breast reconstruction
26.59
NA
NA
15.19
15.95
4.04
090

19368

A
Breast reconstruction
33.61
NA
NA
18.04
18.48
5.54
090

19369

A
Breast reconstruction
31.02
NA
NA
16.33
17.37
4.51
090

19370

A
Surgery of breast capsule
8.99
NA
NA
6.79
6.85
1.29
090

19371

A
Removal of breast capsule
10.42
NA
NA
7.69
7.76
1.62
090

19380

A
Revise breast reconstruction
10.21
NA
NA
7.61
7.66
1.44
090

19396

A
Design custom breast implant
2.17
4.53
2.81
1.28
1.14
0.30
000

19499

C
Breast surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

20000

A
Incision of abscess
2.14
2.78
2.74
1.53
1.63
0.25
010

20005

A
Incision of deep abscess
3.55
3.67
3.58
2.01
2.13
0.46
010

20100

A
Explore wound, neck
10.33
NA
NA
3.58
4.02
1.21
010

20101

A
Explore wound, chest
3.22
6.60
6.26
1.53
1.57
0.44
010

20102

A
Explore wound, abdomen
3.95
6.95
7.21
1.84
1.87
0.49
010

20103

A
Explore wound, extremity
5.31
7.81
8.20
2.79
3.09
0.75
010

20150

A
Excise epiphyseal bar
14.60
NA
NA
7.65
7.34
2.04
090

20200

A
Muscle biopsy
1.46
3.09
3.06
0.69
0.72
0.23
000

20205

A
Deep muscle biopsy
2.35
3.83
3.86
1.10
1.14
0.33
000

20206

A
Needle biopsy, muscle
0.99
5.22
5.86
0.57
0.60
0.07
000

20220

A
Bone biopsy, trocar/needle
1.27
2.71
3.63
0.68
0.73
0.08
000

20225

A
Bone biopsy, trocar/needle
1.87
12.00
18.23
1.02
1.08
0.22
000

20240

A
Bone biopsy, excisional
3.25
NA
NA
2.02
2.29
0.44
010

20245

A
Bone biopsy, excisional
8.77
NA
NA
5.75
6.16
1.31
010

20250

A
Open bone biopsy
5.16
NA
NA
3.63
3.57
1.02
010

20251

A
Open bone biopsy
5.69
NA
NA
3.85
4.00
1.15
010

20500

A
Injection of sinus tract
1.25
1.34
1.80
0.88
1.20
0.12
010

20501

A
Inject sinus tract for x-ray
0.76
2.37
2.64
0.27
0.26
0.04
000

20520

A
Removal of foreign body
1.87
2.61
2.76
1.45
1.61
0.21
010

20525

A
Removal of foreign body
3.51
7.11
8.13
2.21
2.42
0.51
010

20526

A
Ther injection, carp tunnel
0.94
0.81
0.89
0.41
0.46
0.13
000

20550

A
Inj tendon sheath/ligament
0.75
0.63
0.67
0.28
0.26
0.09
000

20551

A
Inj tendon origin/insertion
0.75
0.64
0.66
0.29
0.31
0.08
000

20552

A
Inj trigger point, 1/2 muscl
0.66
0.58
0.65
0.24
0.22
0.05
000

20553

A
Inject trigger points, =/> 3
0.75
0.64
0.73
0.26
0.24
0.04
000

20555

A
Place ndl musc/tis for rt
6.00
NA
NA
2.18
2.18
0.43
000

20600

A
Drain/inject, joint/bursa
0.66
0.66
0.66
0.31
0.33
0.08
000

20605

A
Drain/inject, joint/bursa
0.68
0.74
0.75
0.32
0.34
0.08
000

20610

A
Drain/inject, joint/bursa
0.79
1.07
1.01
0.40
0.41
0.11
000

20612

A
Aspirate/inj ganglion cyst
0.70
0.70
0.70
0.32
0.34
0.10
000

20615

A
Treatment of bone cyst
2.30
2.71
3.11
1.42
1.63
0.20
010

20650

A
Insert and remove bone pin
2.25
2.46
2.41
1.45
1.50
0.31
010

20660

A
Apply, rem fixation device
4.00
1.50
2.28
1.50
1.55
0.59
000

20661

A
Application of head brace
5.14
NA
NA
6.05
5.48
1.14
090

20662

A
Application of pelvis brace
6.26
NA
NA
4.81
5.17
0.56
090

20663

A
Application of thigh brace
5.62
NA
NA
4.86
4.84
0.94
090

20664

A
Halo brace application
9.86
NA
NA
7.81
7.43
1.75
090

20665

A
Removal of fixation device
1.33
1.37
1.76
0.98
1.16
0.19
010

20670

A
Removal of support implant
1.76
6.63
9.08
1.67
1.89
0.28
010

20680

A
Removal of support implant
5.90
8.14
8.47
4.07
3.89
0.56
090

20690

A
Apply bone fixation device
8.65
NA
NA
4.91
3.71
0.59
090

20692

A
Apply bone fixation device
16.00
NA
NA
9.81
6.79
1.05
090

20693

A
Adjust bone fixation device
5.97
NA
NA
4.49
4.97
0.98
090

20694

A
Remove bone fixation device
4.20
5.31
6.23
3.53
3.78
0.71
090

20802

A
Replantation, arm, complete
42.30
NA
NA
13.23
17.10
3.82
090

20805

A
Replant forearm, complete
51.14
NA
NA
17.99
26.16
4.85
090

20808

A
Replantation hand, complete
62.77
NA
NA
30.34
36.29
6.88
090

20816

A
Replantation digit, complete
31.74
NA
NA
16.37
27.09
4.53
090

20822

A
Replantation digit, complete
26.42
NA
NA
15.07
24.84
4.19
090

20824

A
Replantation thumb, complete
31.74
NA
NA
16.21
26.39
4.62
090

20827

A
Replantation thumb, complete
27.24
NA
NA
14.75
25.62
3.67
090

20838

A
Replantation foot, complete
42.56
NA
NA
14.03
18.16
1.12
090

20900

A
Removal of bone for graft
5.77
9.23
8.83
4.90
5.29
0.94
090

20902

A
Removal of bone for graft
7.98
NA
NA
5.98
6.43
1.30
090

20910

A
Remove cartilage for graft
5.41
NA
NA
4.57
4.88
0.71
090

20912

A
Remove cartilage for graft
6.42
NA
NA
4.95
5.37
0.69
090

20920

A
Removal of fascia for graft
5.42
NA
NA
4.34
4.28
0.66
090

20922

A
Removal of fascia for graft
6.84
7.56
7.55
5.00
4.93
0.70
090

20924

A
Removal of tendon for graft
6.59
NA
NA
4.97
5.43
1.04
090

20926

A
Removal of tissue for graft
5.70
NA
NA
4.50
4.62
0.87
090

20930

B
Sp bone algrft morsel add-on
0.00
0.00
0.00
0.00
0.00
0.00
XXX

20931

A
Sp bone algrft struct add-on
1.81
NA
NA
0.68
0.80
0.43
ZZZ

20936

B
Sp bone agrft local add-on
0.00
0.00
0.00
0.00
0.00
0.00
XXX

20937

A
Sp bone agrft morsel add-on
2.79
NA
NA
1.08
1.26
0.54
ZZZ

20938

A
Sp bone agrft struct add-on
3.02
NA
NA
1.15
1.35
0.64
ZZZ

20950

A
Fluid pressure, muscle
1.26
4.23
5.54
0.88
0.94
0.20
000

20955

A
Fibula bone graft, microvasc
40.02
NA
NA
18.55
21.42
4.90
090

20956

A
Iliac bone graft, microvasc
40.93
NA
NA
20.34
22.55
7.03
090

20957

A
Mt bone graft, microvasc
42.33
NA
NA
15.89
17.42
7.07
090

20962

A
Other bone graft, microvasc
39.21
NA
NA
21.32
23.93
6.57
090

20969

A
Bone/skin graft, microvasc
45.11
NA
NA
21.12
23.88
4.80
090

20970

A
Bone/skin graft, iliac crest
44.26
NA
NA
20.92
23.16
6.62
090

20972

A
Bone/skin graft, metatarsal
44.19
NA
NA
14.93
17.76
5.32
090

20973

A
Bone/skin graft, great toe
46.95
NA
NA
14.16
19.67
5.56
090

20974

A
Electrical bone stimulation
0.62
0.98
0.83
0.48
0.51
0.11
000

20975

A
Electrical bone stimulation
2.60
NA
NA
1.46
1.58
0.51
000

20979

A
Us bone stimulation
0.62
0.61
0.71
0.20
0.27
0.09
000

20982

A
Ablate, bone tumor(s) perq
7.27
80.09
94.85
2.69
2.83
0.69
000

20985

A
Cptr-asst dir ms px
2.50
0.99
0.99
0.99
0.99
0.48
ZZZ

20986

C
Cptr-asst dir ms px io img
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ

20987

C
Cptr-asst dir ms px pre img
0.00
0.00
0.00
0.00
0.00
0.00
ZZZ

20999

C
Musculoskeletal surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY

21010

A
Incision of jaw joint
10.90
NA
NA
6.29
6.69
1.11
090

21015

A
Resection of facial tumor
5.59
NA
NA
4.31
4.66
0.70
090

21025

A
Excision of bone, lower jaw
11.07
12.55
12.40
8.75
9.05
1.32
090

21026

A
Excision of facial bone(s)
5.54
8.83
8.35
5.94
6.13
0.60
090

21029

A
Contour of face bone lesion
8.26
9.56
9.47
6.52
6.77
0.94
090

21030

A
Excise max/zygoma b9 tumor
4.80
7.19
6.76
4.69
4.86
0.54
090

21031

A
Remove exostosis, mandible
3.26
5.92
5.54
3.47
3.55
0.48
090

21032

A
Remove exostosis, maxilla
3.28
6.04
5.70
3.37
3.44
0.47
090

21034

A
Excise max/zygoma mlg tumor
17.17
13.94
14.94
10.12
11.40
1.72
090

21040

A
Excise mandible lesion
4.80
7.20
6.80
4.64
4.68
0.54
090

21044

A
Removal of jaw bone lesion
12.61
NA
NA
8.11
8.74
1.12
090

21045

A
Extensive jaw surgery
18.13
NA
NA
10.79
11.58
1.52
090

21046

A
Remove mandible cyst complex
13.97
NA
NA
11.50
11.70
1.86
090

21047

A
Excise lwr jaw cyst w/repair
19.83
NA
NA
10.22
11.83
2.13
090

21048

A
Remove maxilla cyst complex
14.47
NA
NA
11.39
11.77
1.77
090

21049

A
Excis uppr jaw cyst w/repair
19.08
NA
NA
10.29
11.66
1.59
090

21050

A
Removal of jaw joint
11.54
NA
NA
8.21
8.83
1.47
090

21060

A
Remove jaw joint cartilage
10.91
NA
NA
7.20
7.90
1.38
090

21070

A
Remove coronoid process
8.50
NA
NA
6.27
6.69
1.27
090

21073

A
Mnpj of tmj w/anesth
3.33
5.50
5.50
2.31
2.31
0.43
090

21076

A
Prepare face/oral prosthesis
13.40
8.02
10.19
4.69
7.35
2.00
010

21077

A
Prepare face/oral prosthesis
33.70
18.44
24.89
11.83
18.93
4.56
090

21079

A
Prepare face/oral prosthesis
22.31
13.97
17.74
8.10
12.63
3.16
090

21080

A
Prepare face/oral prosthesis
25.06
16.16
20.33
9.02
14.20
3.75
090

21081

A
Prepare face/oral prosthesis
22.85
15.02
18.67
8.41
12.95
3.21
090

21082

A
Prepare face/oral prosthesis
20.84
14.91
17.13
8.27
12.01
3.12
090

21083

A
Prepare face/oral prosthesis
19.27
14.91
16.86
7.78
11.11
2.89
090

21084

A
Prepare face/oral prosthesis
22.48
16.85
19.65
8.95
13.33
2.19
090

21085

A
Prepare face/oral prosthesis
8.99
6.93
7.61
3.52
5.15
1.27
010

21086

A
Prepare face/oral prosthesis
24.88
12.91
18.34
8.45
13.95
3.72
090

21087

A
Prepare face/oral prosthesis
24.88
13.05
18.17
8.55
13.88
3.45
090

21088

C
Prepare face/oral prosthesis
0.00
0.00
0.00
0.00
0.00
0.00
090

21089

C
Prepare face/oral prosthesis
0.00
0.00
0.00
0.00
0.00
0.00
090

21100

A
Maxillofacial fixation
4.56
14.87
13.20
5.53
5.14
0.34
090

21110

A
Interdental fixation
5.80
13.06
11.31
9.74
9.05
0.72
090

21116

A
Injection, jaw joint x-ray
0.81
2.52
3.42
0.23
0.28
0.06
000

21120

A
Reconstruction of chin
4.99
9.65
10.12
6.65
7.07
0.60
090

21121

A
Reconstruction of chin
7.70
10.65
10.19
7.59
7.71
0.90
090

21122

A
Reconstruction of chin
8.59
NA
NA
8.46
8.54
1.07
090

21123

A
Reconstruction of chin
11.22
NA
NA
7.03
8.92
1.40
090

21125

A
Augmentation, lower jaw bone
10.68
64.01
59.63
6.43
7.38
0.79
090

21127

A
Augmentation, lower jaw bone
12.24
85.03
63.93
7.50
8.48
1.52
090

21137

A
Reduction of forehead
10.12
NA
NA
7.44
7.59
1.32
090

21138

A
Reduction of forehead
12.73
NA
NA
7.79
8.66
1.75
090

21139

A
Reduction of forehead
14.90
NA
NA
6.99
9.03
1.18
090

21141

A
Reconstruct midface, lefort
19.27
NA
NA
11.87
12.76
2.36
090

21142

A
Reconstruct midface, lefort
19.98
NA
NA
10.08
11.46
2.39
090

21143

A
Reconstruct midface, lefort
20.75
NA
NA
11.81
13.06
1.66
090

21145

A
Reconstruct midface, lefort
23.64
NA
NA
12.98
13.44
2.85
090

21146

A
Reconstruct midface, lefort
24.54
NA
NA
9.18
12.26
3.10
090

21147

A
Reconstruct midface, lefort
26.14
NA
NA
14.31
14.68
1.85
090

21150

A
Reconstruct midface, lefort
25.78
NA
NA
16.93
16.85
2.56
090

21151

A
Reconstruct midface, lefort
28.84
NA
NA
11.61
17.29
2.31
090

21154

A
Reconstruct midface, lefort
31.05
NA
NA
17.89
20.52
2.49
090

21155

A
Reconstruct midface, lefort
34.98
NA
NA
18.17
21.04
6.66
090

21159

A
Reconstruct midface, lefort
42.90
NA
NA
15.13
22.12
8.20
090

21160

A
Reconstruct midface, lefort
46.95
NA
NA
23.24
25.37
4.14
090

21172

A
Reconstruct orbit/forehead
28.07
NA
NA
13.75
13.75
3.56
090

21175

A
Reconstruct orbit/forehead
33.43
NA
NA
13.53
15.67
4.84
090

21179

A
Reconstruct entire forehead
22.53
NA
NA
11.22
12.68
2.81
090

21180

A
Reconstruct entire forehead
25.46
NA
NA
13.00
14.19
3.49
090

21181

A
Contour cranial bone lesion
10.18
NA
NA
6.83
7.15
1.32
090

21182

A
Reconstruct cranial bone
32.45
NA
NA
15.27
17.20
2.81
090

21183

A
Reconstruct cranial bone
35.57
NA
NA
19.23
20.03
4.48
090

21184

A
Reconstruct cranial bone
38.49
NA
NA
15.63
18.79
5.72
090

21188

A
Reconstruction of midface
22.97
NA
NA
15.65
17.27
1.70
090

21193

A
Reconst lwr jaw w/o graft
18.65
NA
NA
9.82
11.24
2.24
090

21194

A
Reconst lwr jaw w/graft
21.54
NA
NA
12.13
12.95
2.03
090

21195

A
Reconst lwr jaw w/o fixation
18.88
NA
NA
13.08
13.95
1.64
090

21196

A
Reconst lwr jaw w/fixation
20.55
NA
NA
13.95
14.83
2.08
090

21198

A
Reconstr lwr jaw segment
15.48
NA
NA
11.89
12.30
1.44
090

21199

A
Reconstr lwr jaw w/advance
16.62
NA
NA
7.57
8.35
1.39
090

21206

A
Reconstruct upper jaw bone
15.36
NA
NA
10.89
11.77
1.33
090

21208

A
Augmentation of facial bones
11.15
33.18
27.76
8.01
8.80
1.09
090

21209

A
Reduction of facial bones
7.58
12.20
11.50
7.40
7.73
0.90
090

21210

A
Face bone graft
11.40
43.50
34.19
7.64
8.50
1.30
090

21215

A
Lower jaw bone graft
11.94
86.14
64.02
7.97
8.67
1.53
090

21230

A
Rib cartilage graft
11.06
NA
NA
7.02
7.53
1.29
090

21235

A
Ear cartilage graft
7.31
10.12
9.98
6.19
6.30
0.61
090

21240

A
Reconstruction of jaw joint
15.77
NA
NA
9.44
10.75
2.25
090

21242

A
Reconstruction of jaw joint
14.32
NA
NA
9.02
10.27
1.79
090

21243

A
Reconstruction of jaw joint
24.03
NA
NA
14.16
15.80
3.26
090

21244

A
Reconstruction of lower jaw
13.35
NA
NA
11.53
11.81
1.25
090

21245

A
Reconstruction of jaw
12.88
14.22
14.31
8.62
9.24
1.19
090

21246

A
Reconstruction of jaw
12.78
NA
NA
7.43
8.24
1.35
090

21247

A
Reconstruct lower jaw bone
24.05
NA
NA
12.70
15.03
2.84
090

21248

A
Reconstruction of jaw
12.54
12.61
12.38
7.52
8.46
1.55
090

21249

A
Reconstruction of jaw
18.57
15.74
16.24
9.62
11.16
2.49
090

21255

A
Reconstruct lower jaw bone
18.14
NA
NA
14.05
15.10
2.39
090

21256

A
Reconstruction of orbit
17.42
NA
NA
9.59
10.70
1.50
090

21260

A
Revise eye sockets
17.74
NA
NA
12.96
12.87
0.97
090

21261

A
Revise eye sockets
33.78
NA
NA
14.75
19.50
3.43
090

21263

A
Revise eye sockets
30.72
NA
NA
14.05
16.57
2.63
090

21267

A
Revise eye sockets
20.45
NA
NA
16.05
17.92
1.71
090

21268

A
Revise eye sockets
26.78
NA
NA
13.14
16.68
3.66
090

21270

A
Augmentation, cheek bone
10.52
11.16
11.41
5.90
6.58
0.72
090

21275

A
Revision, orbitofacial bones
11.65
NA
NA
7.16
7.66
1.29
090

21280

A
Revision of eyelid
6.92
NA
NA
5.66
5.79
0.42
090

21282

A
Revision of eyelid
4.11
NA
NA
4.16
4.32
0.26
090

21295

A
Revision of jaw muscle/bone
1.82
NA
NA
2.23
2.38
0.16
090

21296

A
Revision of jaw muscle/bone
4.67
NA
NA
5.43
5.17
0.34
090

21299

C
Cranio/maxillofacial surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY

21310

A
Treatment of nose fracture
0.58
2.00
2.14
0.11
0.13
0.05
000

21315

A
Treatment of nose fracture
1.78
4.72
4.48
1.78
1.83
0.14
010

21320

A
Treatment of nose fracture
1.86
4.30
4.11
1.36
1.49
0.18
010

21325

A
Treatment of nose fracture
4.07
NA
NA
6.98
7.80
0.31
090

21330

A
Treatment of nose fracture
5.68
NA
NA
7.63
8.67
0.56
090

21335

A
Treatment of nose fracture
8.91
NA
NA
8.48
9.05
0.74
090

21336

A
Treat nasal septal fracture
6.56
NA
NA
8.67
9.14
0.55
090

21337

A
Treat nasal septal fracture
3.26
6.15
6.14
3.56
3.57
0.28
090

21338

A
Treat nasoethmoid fracture
6.76
NA
NA
9.93
11.98
0.82
090

21339

A
Treat nasoethmoid fracture
8.39
NA
NA
9.84
11.87
0.96
090

21340

A
Treatment of nose fracture
11.33
NA
NA
7.25
7.83
1.15
090

21343

A
Treatment of sinus fracture
14.11
NA
NA
12.80
14.14
1.47
090

21344

A
Treatment of sinus fracture
21.36
NA
NA
13.06
14.79
2.44
090

21345

A
Treat nose/jaw fracture
8.87
10.50
10.17
6.56
6.87
0.92
090

21346

A
Treat nose/jaw fracture
11.29
NA
NA
10.83
11.52
1.21
090

21347

A
Treat nose/jaw fracture
13.37
NA
NA
11.74
13.97
1.47
090

21348

A
Treat nose/jaw fracture
17.36
NA
NA
11.00
11.06
2.49
090

21355

A
Treat cheek bone fracture
4.32
5.91
6.07
3.25
3.37
0.34
010

21356

A
Treat cheek bone fracture
4.70
6.98
7.05
4.06
4.30
0.46
010

21360

A
Treat cheek bone fracture
7.03
NA
NA
5.40
5.67
0.74
090

21365

A
Treat cheek bone fracture
16.52
NA
NA
9.10
9.97
1.70
090

21366

A
Treat cheek bone fracture
18.44
NA
NA
10.51
10.92
2.50
090

21385

A
Treat eye socket fracture
9.46
NA
NA
7.14
7.71
0.97
090

21386

A
Treat eye socket fracture
9.46
NA
NA
6.01
6.54
0.97
090

21387

A
Treat eye socket fracture
10.00
NA
NA
7.45
8.21
1.08
090

21390

A
Treat eye socket fracture
11.07
NA
NA
7.01
7.41
0.90
090

21395

A
Treat eye socket fracture
14.62
NA
NA
8.34
8.69
1.44
090

21400

A
Treat eye socket fracture
1.44
2.71
2.66
1.96
1.92
0.15
090

21401

A
Treat eye socket fracture
3.57
7.04
7.52
3.05
3.27
0.38
090

21406

A
Treat eye socket fracture
7.31
NA
NA
5.29
5.69
0.73
090

21407

A
Treat eye socket fracture
8.91
NA
NA
5.92
6.39
0.94
090

21408

A
Treat eye socket fracture
12.67
NA
NA
7.45
8.17
1.44
090

21421

A
Treat mouth roof fracture
5.80
12.47
10.90
9.22
8.76
0.73
090

21422

A
Treat mouth roof fracture
8.62
NA
NA
7.05
7.56
0.99
090

21423

A
Treat mouth roof fracture
10.71
NA
NA
7.40
8.37
1.27
090

21431

A
Treat craniofacial fracture
7.74
NA
NA
10.85
10.19
0.70
090

21432

A
Treat craniofacial fracture
8.76
NA
NA
6.81
7.44
0.81
090

21433

A
Treat craniofacial fracture
26.13
NA
NA
12.14
14.28
2.79
090

21435

A
Treat craniofacial fracture
20.02
NA
NA
11.08
11.90
1.99
090

21436

A
Treat craniofacial fracture
30.01
NA
NA
13.15
15.69
3.10
090

21440

A
Treat dental ridge fracture
3.28
10.07
8.59
7.46
6.81
0.38
090

21445

A
Treat dental ridge fracture
6.04
12.29
11.02
8.47
8.42
0.78
090

21450

A
Treat lower jaw fracture
3.55
10.51
8.95
7.72
7.30
0.33
090

21451

A
Treat lower jaw fracture
5.46
12.99
11.17
9.68
9.04
0.63
090

21452

A
Treat lower jaw fracture
2.29
12.04
12.54
6.06
5.34
0.27
090

21453

A
Treat lower jaw fracture
6.40
14.81
12.78
11.66
11.20
0.74
090

21454

A
Treat lower jaw fracture
7.17
NA
NA
5.72
6.00
0.82
090

21461

A
Treat lower jaw fracture
9.07
41.73
33.10
12.82
12.74
0.98
090

21462

A
Treat lower jaw fracture
10.77
43.02
35.32
13.41
13.07
1.27
090

21465

A
Treat lower jaw fracture
12.88
NA
NA
8.12
8.97
1.50
090

21470

A
Treat lower jaw fracture
17.24
NA
NA
10.18
11.10
1.97
090

21480

A
Reset dislocated jaw
0.61
1.52
1.65
0.18
0.18
0.06
000

21485

A
Reset dislocated jaw
4.58
12.10
10.16
9.11
8.39
0.51
090

21490

A
Repair dislocated jaw
12.71
NA
NA
8.13
8.91
1.97
090

21495

A
Treat hyoid bone fracture
6.55
NA
NA
10.48
9.45
0.46
090

21497

A
Interdental wiring
4.45
12.23
10.34
9.35
8.50
0.50
090

21499

C
Head surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

21501

A
Drain neck/chest lesion
3.87
6.56
6.49
3.52
3.67
0.43
090

21502

A
Drain chest lesion
7.43
NA
NA
4.56
5.10
0.97
090

21510

A
Drainage of bone lesion
6.06
NA
NA
4.81
5.24
0.80
090

21550

A
Biopsy of neck/chest
2.08
4.36
3.97
1.79
1.75
0.16
010

21555

A
Remove lesion, neck/chest
4.40
5.79
5.65
3.43
3.31
0.56
090

21556

A
Remove lesion, neck/chest
5.63
NA
NA
4.14
4.12
0.65
090

21557

A
Remove tumor, neck/chest
8.91
NA
NA
4.51
4.94
1.08
090

21600

A
Partial removal of rib
7.14
NA
NA
5.97
5.85
0.99
090

21610

A
Partial removal of rib
15.76
NA
NA
8.90
8.89
3.08
090

21615

A
Removal of rib
10.31
NA
NA
5.17
5.93
1.45
090

21616

A
Removal of rib and nerves
12.54
NA
NA
6.52
7.27
1.87
090

21620

A
Partial removal of sternum
7.16
NA
NA
4.76
5.37
0.98
090

21627

A
Sternal debridement
7.18
NA
NA
5.55
5.93
1.02
090

21630

A
Extensive sternum surgery
19.01
NA
NA
10.36
11.10
2.59
090

21632

A
Extensive sternum surgery
19.51
NA
NA
9.43
10.27
2.66
090

21685

A
Hyoid myotomy & suspension
14.89
NA
NA
8.77
9.37
1.06
090

21700

A
Revision of neck muscle
6.23
NA
NA
4.40
4.42
0.32
090

21705

A
Revision of neck muscle/rib
9.83
NA
NA
4.36
4.97
1.43
090

21720

A
Revision of neck muscle
5.72
NA
NA
4.11
3.29
0.91
090

21725

A
Revision of neck muscle
7.10
NA
NA
5.15
5.30
1.21
090

21740

A
Reconstruction of sternum
17.47
NA
NA
8.21
8.36
2.37
090

21742

C
Repair stern/nuss w/o scope
0.00
0.00
0.00
0.00
0.00
0.00
090

21743

C
Repair sternum/nuss w/scope
0.00
0.00
0.00
0.00
0.00
0.00
090

21750

A
Repair of sternum separation
11.35
NA
NA
5.32
5.72
1.63
090

21800

A
Treatment of rib fracture
0.98
1.36
1.35
1.43
1.38
0.09
090

21805

A
Treatment of rib fracture
2.80
NA
NA
3.27
3.24
0.38
090

21810

A
Treatment of rib fracture(s)
6.92
NA
NA
5.38
5.17
0.94
090

21820

A
Treat sternum fracture
1.31
1.83
1.83
1.89
1.83
0.16
090

21825

A
Treat sternum fracture
7.65
NA
NA
5.38
5.89
1.11
090

21899

C
Neck/chest surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

21920

A
Biopsy soft tissue of back
2.08
4.44
3.86
1.88
1.68
0.14
010

21925

A
Biopsy soft tissue of back
4.54
5.35
5.26
3.36
3.30
0.60
090

21930

A
Remove lesion, back or flank
5.06
6.05
5.88
3.78
3.59
0.66
090

21935

A
Remove tumor, back
18.38
NA
NA
8.45
9.04
2.48
090

22010

A
I&d, p-spine, c/t/cerv-thor
12.57
NA
NA
8.36
8.62
1.74
090

22015

A
I&d, p-spine, l/s/ls
12.46
NA
NA
8.34
8.59
1.72
090

22100

A
Remove part of neck vertebra
10.80
NA
NA
8.20
7.87
2.14
090

22101

A
Remove part, thorax vertebra
10.88
NA
NA
8.12
7.94
1.91
090

22102

A
Remove part, lumbar vertebra
10.88
NA
NA
7.93
8.02
1.88
090

22103

A
Remove extra spine segment
2.34
NA
NA
0.90
1.05
0.44
ZZZ

22110

A
Remove part of neck vertebra
13.80
NA
NA
9.12
9.15
2.77
090

22112

A
Remove part, thorax vertebra
13.87
NA
NA
9.03
9.16
2.53
090

22114

A
Remove part, lumbar vertebra
13.87
NA
NA
9.01
9.14
2.64
090

22116

A
Remove extra spine segment
2.32
NA
NA
0.89
1.03
0.50
ZZZ

22206

A
Cut spine 3 col, thor
37.00
NA
NA
17.73
17.73
6.23
090

22207

A
Cut spine 3 col, lumb
36.50
NA
NA
17.61
17.61
6.07
090

22208

A
Cut spine 3 col, addl seg
9.66
3.73
3.73
3.73
3.73
2.07
ZZZ

22210

A
Revision of neck spine
25.13
NA
NA
14.56
14.99
5.46
090

22212

A
Revision of thorax spine
20.74
NA
NA
12.45
12.87
3.91
090

22214

A
Revision of lumbar spine
20.77
NA
NA
12.54
13.18
3.92
090

22216

A
Revise, extra spine segment
6.03
NA
NA
2.32
2.73
1.29
ZZZ

22220

A
Revision of neck spine
22.69
NA
NA
13.36
13.50
5.08
090

22222

A
Revision of thorax spine
22.84
NA
NA
10.47
10.80
4.13
090

22224

A
Revision of lumbar spine
22.84
NA
NA
12.90
13.57
4.19
090

22226

A
Revise, extra spine segment
6.03
NA
NA
2.28
2.69
1.29
ZZZ

22305

A
Treat spine process fracture
2.08
2.15
2.23
1.80
1.86
0.39
090

22310

A
Treat spine fracture
3.69
2.99
2.90
2.50
2.43
0.50
090

22315

A
Treat spine fracture
9.91
9.89
9.79
7.44
7.39
1.86
090

22318

A
Treat odontoid fx w/o graft
22.54
NA
NA
13.27
13.33
5.30
090

22319

A
Treat odontoid fx w/graft
25.15
NA
NA
13.46
14.09
6.05
090

22325

A
Treat spine fracture
19.62
NA
NA
12.15
12.12
3.88
090

22326

A
Treat neck spine fracture
20.64
NA
NA
12.03
12.37
4.43
090

22327

A
Treat thorax spine fracture
20.52
NA
NA
12.34
12.36
3.99
090

22328

A
Treat each add spine fx
4.60
NA
NA
1.76
2.01
0.94
ZZZ

22505

A
Manipulation of spine
1.87
NA
NA
1.10
1.02
0.36
010

22520

A
Percut vertebroplasty thor
9.17
43.83
52.77
4.58
4.84
1.72
010

22521

A
Percut vertebroplasty lumb
8.60
45.01
50.51
4.36
4.65
1.60
010

22522

A
Percut vertebroplasty addÆl
4.30
NA
NA
1.51
1.59
0.82
ZZZ

22523

A
Percut kyphoplasty, thor
9.21
NA
NA
4.67
5.29
1.72
010

22524

A
Percut kyphoplasty, lumbar
8.81
NA
NA
4.53
5.11
1.60
010

22525

A
Percut kyphoplasty, add-on
4.47
NA
NA
1.69
1.98
0.82
ZZZ

22526

A
Idet, single level
6.07
46.73
46.73
2.05
2.05
1.16
010

22527

A
Idet, 1 or more levels
3.03
40.40
40.40
0.70
0.70
0.58
ZZZ

22532

A
Lat thorax spine fusion
25.81
NA
NA
13.79
14.31
4.35
090

22533

A
Lat lumbar spine fusion
24.61
NA
NA
13.58
13.59
3.16
090

22534

A
Lat thor/lumb, addÆl seg
5.99
NA
NA
2.28
2.66
1.25
ZZZ

22548

A
Neck spine fusion
26.86
NA
NA
14.94
15.38
5.61
090

22554

A
Neck spine fusion
17.54
NA
NA
10.65
11.50
4.46
090

22556

A
Thorax spine fusion
24.50
NA
NA
12.96
13.85
4.35
090

22558

A
Lumbar spine fusion
23.33
NA
NA
11.44
12.37
3.16
090

22585

A
Additional spinal fusion
5.52
NA
NA
2.06
2.43
1.25
ZZZ

22590

A
Spine & skull spinal fusion
21.56
NA
NA
13.08
13.21
4.79
090

22595

A
Neck spinal fusion
20.44
NA
NA
12.65
12.75
4.41
090

22600

A
Neck spine fusion
17.20
NA
NA
11.20
11.20
3.73
090

22610

A
Thorax spine fusion
17.08
NA
NA
10.82
11.12
3.53
090

22612

A
Lumbar spine fusion
23.38
NA
NA
12.50
13.36
4.47
090

22614

A
Spine fusion, extra segment
6.43
NA
NA
2.46
2.90
1.38
ZZZ

22630

A
Lumbar spine fusion
21.89
NA
NA
12.54
13.08
4.73
090

22632

A
Spine fusion, extra segment
5.22
NA
NA
1.99
2.33
1.16
ZZZ

22800

A
Fusion of spine
19.30
NA
NA
11.16
11.97
3.76
090

22802

A
Fusion of spine
31.91
NA
NA
16.00
17.80
6.17
090

22804

A
Fusion of spine
37.30
NA
NA
18.13
20.42
7.00
090

22808

A
Fusion of spine
27.31
NA
NA
14.06
15.19
4.93
090

22810

A
Fusion of spine
31.30
NA
NA
14.92
16.64
5.15
090

22812

A
Fusion of spine
34.00
NA
NA
17.39
18.73
5.30
090

22818

A
Kyphectomy, 1-2 segments
34.18
NA
NA
16.63
17.75
6.47
090

22819

A
Kyphectomy, 3 or more
39.18
NA
NA
18.88
19.47
7.67
090

22830

A
Exploration of spinal fusion
11.13
NA
NA
7.06
7.51
2.30
090

22840

A
Insert spine fixation device
12.52
NA
NA
4.78
5.64
2.79
ZZZ

22841

B
Insert spine fixation device
0.00
0.00
0.00
0.00
0.00
0.00
XXX

22842

A
Insert spine fixation device
12.56
NA
NA
4.80
5.65
2.75
ZZZ

22843

A
Insert spine fixation device
13.44
NA
NA
5.16
5.88
2.86
ZZZ

22844

A
Insert spine fixation device
16.42
NA
NA
6.41
7.58
3.19
ZZZ

22845

A
Insert spine fixation device
11.94
NA
NA
4.49
5.28
2.86
ZZZ

22846

A
Insert spine fixation device
12.40
NA
NA
4.66
5.50
2.96
ZZZ

22847

A
Insert spine fixation device
13.78
NA
NA
5.20
6.11
3.00
ZZZ

22848

A
Insert pelv fixation device
5.99
NA
NA
2.34
2.76
1.15
ZZZ

22849

A
Reinsert spinal fixation
19.08
NA
NA
10.17
10.95
3.90
090

22850

A
Remove spine fixation device
9.74
NA
NA
6.41
6.70
2.05
090

22851

A
Apply spine prosth device
6.70
NA
NA
2.54
2.95
1.49
ZZZ

22852

A
Remove spine fixation device
9.29
NA
NA
6.18
6.49
1.90
090

22855

A
Remove spine fixation device
15.77
NA
NA
9.18
9.43
3.52
090

22857

R
Lumbar artif diskectomy
26.93
NA
NA
14.82
14.82
3.56
090

22862

R
Revise lumbar artif disc
32.43
NA
NA
16.09
16.09
5.36
090

22865

R
Remove lumb artif disc
31.55
NA
NA
15.74
15.74
5.18
090

22899

C
Spine surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

22900

A
Remove abdominal wall lesion
6.14
NA
NA
3.54
3.38
0.76
090

22999

C
Abdomen surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

23000

A
Removal of calcium deposits
4.40
7.89
8.21
3.74
4.08
0.68
090

23020

A
Release shoulder joint
9.24
NA
NA
6.49
7.02
1.54
090

23030

A
Drain shoulder lesion
3.44
6.29
6.84
2.40
2.65
0.57
010

23031

A
Drain shoulder bursa
2.76
6.52
7.19
2.22
2.47
0.46
010

23035

A
Drain shoulder bone lesion
9.04
NA
NA
6.46
7.36
1.47
090

23040

A
Exploratory shoulder surgery
9.63
NA
NA
6.75
7.31
1.60
090

23044

A
Exploratory shoulder surgery
7.48
NA
NA
5.52
5.98
1.24
090

23065

A
Biopsy shoulder tissues
2.28
2.96
2.72
1.74
1.68
0.20
010

23066

A
Biopsy shoulder tissues
4.21
7.76
7.72
3.61
3.80
0.63
090

23075

A
Removal of shoulder lesion
2.41
3.70
3.68
1.72
1.75
0.34
010

23076

A
Removal of shoulder lesion
7.77
NA
NA
5.32
5.44
1.13
090

23077

A
Remove tumor of shoulder
18.08
NA
NA
9.61
9.92
2.34
090

23100

A
Biopsy of shoulder joint
6.09
NA
NA
5.00
5.33
1.04
090

23101

A
Shoulder joint surgery
5.63
NA
NA
4.54
4.94
0.96
090

23105

A
Remove shoulder joint lining
8.36
NA
NA
6.10
6.61
1.42
090

23106

A
Incision of collarbone joint
6.02
NA
NA
4.79
5.25
0.99
090

23107

A
Explore treat shoulder joint
8.75
NA
NA
6.26
6.83
1.49
090

23120

A
Partial removal, collar bone
7.23
NA
NA
5.47
5.97
1.23
090

23125

A
Removal of collar bone
9.52
NA
NA
6.39
6.98
1.62
090

23130

A
Remove shoulder bone, part
7.63
NA
NA
6.08
6.61
1.30
090

23140

A
Removal of bone lesion
7.01
NA
NA
4.90
5.07
1.08
090

23145

A
Removal of bone lesion
9.28
NA
NA
6.49
6.97
1.49
090

23146

A
Removal of bone lesion
7.96
NA
NA
5.92
6.52
1.35
090

23150

A
Removal of humerus lesion
8.79
NA
NA
6.26
6.59
1.32
090

23155

A
Removal of humerus lesion
10.72
NA
NA
7.26
7.79
1.81
090

23156

A
Removal of humerus lesion
8.99
NA
NA
6.29
6.84
1.50
090

23170

A
Remove collar bone lesion
7.10
NA
NA
5.00
5.51
1.12
090

23172

A
Remove shoulder blade lesion
7.20
NA
NA
5.52
5.90
1.01
090

23174

A
Remove humerus lesion
9.90
NA
NA
7.18
7.77
1.65
090

23180

A
Remove collar bone lesion
8.85
NA
NA
6.42
7.71
1.47
090

23182

A
Remove shoulder blade lesion
8.47
NA
NA
6.43
7.49
1.37
090

23184

A
Remove humerus lesion
9.76
NA
NA
6.93
8.12
1.63
090

23190

A
Partial removal of scapula
7.36
NA
NA
5.31
5.74
1.17
090

23195

A
Removal of head of humerus
10.24
NA
NA
6.92
7.33
1.71
090

23200

A
Removal of collar bone
12.69
NA
NA
7.12
7.92
1.94
090

23210

A
Removal of shoulder blade
13.16
NA
NA
7.81
8.41
2.03
090

23220

A
Partial removal of humerus
15.36
NA
NA
9.15
9.99
2.49
090

23221

A
Partial removal of humerus
18.41
NA
NA
10.62
11.17
3.06
090

23222

A
Partial removal of humerus
25.44
NA
NA
13.35
14.57
3.95
090

23330

A
Remove shoulder foreign body
1.87
3.36
3.52
1.51
1.70
0.24
010

23331

A
Remove shoulder foreign body
7.51
NA
NA
5.84
6.32
1.27
090

23332

A
Remove shoulder foreign body
12.23
NA
NA
7.97
8.65
2.03
090

23350

A
Injection for shoulder x-ray
1.00
2.73
3.10
0.35
0.34
0.06
000

23395

A
Muscle transfer,shoulder/arm
18.29
NA
NA
11.21
12.04
2.94
090

23397

A
Muscle transfers
16.62
NA
NA
9.56
10.47
2.74
090

23400

A
Fixation of shoulder blade
13.73
NA
NA
8.55
9.31
2.30
090

23405

A
Incision of tendon & muscle
8.43
NA
NA
5.92
6.42
1.45
090

23406

A
Incise tendon(s) & muscle(s)
10.90
NA
NA
6.91
7.63
1.88
090

23410

A
Repair rotator cuff, acute
12.63
NA
NA
7.78
8.60
2.17
090

23412

A
Repair rotator cuff, chronic
13.55
NA
NA
8.16
9.03
2.32
090

23415

A
Release of shoulder ligament
10.09
NA
NA
6.59
7.29
1.74
090

23420

A
Repair of shoulder
14.75
NA
NA
9.71
10.28
2.32
090

23430

A
Repair biceps tendon
10.05
NA
NA
6.78
7.44
1.74
090

23440

A
Remove/transplant tendon
10.53
NA
NA
6.78
7.52
1.83
090

23450

A
Repair shoulder capsule
13.58
NA
NA
8.18
9.02
2.33
090

23455

A
Repair shoulder capsule
14.55
NA
NA
8.56
9.50
2.50
090

23460

A
Repair shoulder capsule
15.68
NA
NA
9.37
10.37
2.67
090

23462

A
Repair shoulder capsule
15.60
NA
NA
9.09
9.92
2.60
090

23465

A
Repair shoulder capsule
16.16
NA
NA
9.50
10.34
2.77
090

23466

A
Repair shoulder capsule
15.55
NA
NA
10.00
10.69
2.47
090

23470

A
Reconstruct shoulder joint
17.75
NA
NA
10.13
11.19
2.99
090

23472

A
Reconstruct shoulder joint
22.47
NA
NA
12.15
13.28
3.67
090

23480

A
Revision of collar bone
11.42
NA
NA
7.30
8.04
1.95
090

23485

A
Revision of collar bone
13.79
NA
NA
8.21
9.05
2.34
090

23490

A
Reinforce clavicle
12.04
NA
NA
6.75
7.73
1.47
090

23491

A
Reinforce shoulder bones
14.40
NA
NA
8.72
9.72
2.47
090

23500

A
Treat clavicle fracture
2.13
2.64
2.76
2.71
2.62
0.30
090

23505

A
Treat clavicle fracture
3.74
4.01
4.21
3.62
3.73
0.61
090

23515

A
Treat clavicle fracture
9.53
NA
NA
7.01
6.78
1.28
090

23520

A
Treat clavicle dislocation
2.21
2.77
2.81
2.84
2.79
0.34
090

23525

A
Treat clavicle dislocation
3.67
4.17
4.35
3.64
3.79
0.46
090

23530

A
Treat clavicle dislocation
7.37
NA
NA
5.31
5.62
1.20
090

23532

A
Treat clavicle dislocation
8.08
NA
NA
6.02
6.50
1.38
090

23540

A
Treat clavicle dislocation
2.28
2.67
2.77
2.74
2.55
0.29
090

23545

A
Treat clavicle dislocation
3.32
3.74
3.97
3.26
3.31
0.35
090

23550

A
Treat clavicle dislocation
7.48
NA
NA
5.54
5.96
1.25
090

23552

A
Treat clavicle dislocation
8.70
NA
NA
6.26
6.79
1.46
090

23570

A
Treat shoulder blade fx
2.28
2.78
2.90
2.92
2.91
0.36
090

23575

A
Treat shoulder blade fx
4.12
4.59
4.74
4.08
4.20
0.59
090

23585

A
Treat scapula fracture
14.07
NA
NA
8.51
8.08
1.54
090

23600

A
Treat humerus fracture
3.00
4.07
4.31
3.65
3.60
0.48
090

23605

A
Treat humerus fracture
4.94
5.38
5.77
4.60
4.85
0.84
090

23615

A
Treat humerus fracture
12.12
NA
NA
8.06
8.45
1.62
090

23616

A
Treat humerus fracture
18.19
NA
NA
10.46
12.30
3.70
090

23620

A
Treat humerus fracture
2.46
3.41
3.51
3.15
3.07
0.40
090

23625

A
Treat humerus fracture
3.99
4.45
4.69
3.92
4.10
0.67
090

23630

A
Treat humerus fracture
10.39
NA
NA
7.37
7.00
1.27
090

23650

A
Treat shoulder dislocation
3.44
3.29
3.53
2.83
2.79
0.30
090

23655

A
Treat shoulder dislocation
4.64
NA
NA
4.15
4.16
0.69
090

23660

A
Treat shoulder dislocation
7.55
NA
NA
5.69
6.04
1.29
090

23665

A
Treat dislocation/fracture
4.54
4.85
5.09
4.27
4.49
0.71
090

23670

A
Treat dislocation/fracture
12.12
NA
NA
7.93
7.38
1.36
090

23675

A
Treat dislocation/fracture
6.13
6.13
6.48
5.13
5.49
1.01
090

23680

A
Treat dislocation/fracture
12.99
NA
NA
8.24
8.17
1.76
090

23700

A
Fixation of shoulder
2.54
NA
NA
1.90
2.04
0.44
010

23800

A
Fusion of shoulder joint
14.59
NA
NA
8.87
9.64
2.36
090

23802

A
Fusion of shoulder joint
18.17
NA
NA
11.22
10.70
2.71
090

23900

A
Amputation of arm & girdle
20.57
NA
NA
10.43
11.07
3.19
090

23920

A
Amputation at shoulder joint
16.03
NA
NA
9.22
9.58
2.47
090

23921

A
Amputation follow-up surgery
5.61
NA
NA
4.85
4.97
0.78
090

23929

C
Shoulder surgery procedure
0.00
0.00
0.00
0.00
0.00
0.00
YYY

23930

A
Drainage of arm lesion
2.96
4.98
5.65
1.98
2.15
0.43
010

23931

A
Drainage of arm bursa
1.81
4.36
5.14
1.75
1.96
0.28
010

23935

A
Drain arm/elbow bone lesion
6.27
NA
NA
5.10
5.51
1.05
090

24000

A
Exploratory elbow surgery
5.99
NA
NA
4.75
5.08
0.97
090

24006

A
Release elbow joint
9.62
NA
NA
6.60
7.18
1.50
090

24065

A
Biopsy arm/elbow soft tissue
2.10
4.15
3.68
1.92
1.83
0.17
010

24066

A
Biopsy arm/elbow soft tissue
5.26
8.27
8.61
3.92
4.03
0.80
090

24075

A
Remove arm/elbow lesion
3.96
7.19
7.27
3.27
3.33
0.56
090

24076

A
Remove arm/elbow lesion
6.36
NA
NA
4.59
4.72
0.95
090

24077

A
Remove tumor of arm/elbow
11.95
NA
NA
6.86
7.30
1.73
090

24100

A
Biopsy elbow joint lining
4.98
NA
NA
4.09
4.31
0.85
090

24101

A
Explore/treat elbow joint
6.19
NA
NA
5.05
5.49
1.03
090

24102

A
Remove elbow joint lining
8.15
NA
NA
5.81
6.34
1.33
090

24105

A
Removal of elbow bursa
3.67
NA
NA
4.03
4.21
0.61
090

24110

A
Remove humerus lesion
7.46
NA
NA
5.65
6.16
1.28
090

24115

A
Remove/graft bone lesion
10.00
NA
NA
4.32
5.77
1.68
090

24116

A
Remove/graft bone lesion
12.11
NA
NA
7.68
8.38
2.06
090

24120

A
Remove elbow lesion
6.71
NA
NA
5.18
5.55
1.10
090

24125

A
Remove/graft bone lesion
8.02
NA
NA
5.99
6.08
1.06
090

24126

A
Remove/graft bone lesion
8.50
NA
NA
6.01
6.52
1.16
090

24130

A
Removal of head of radius
6.31
NA
NA
5.13
5.58
1.04
090

24134

A
Removal of arm bone lesion
10.10
NA
NA
6.91
7.88
1.64
090

24136

A
Remove radius bone lesion
8.29
NA
NA
5.77
6.50
1.38
090

24138

A
Remove elbow bone lesion
8.33
NA
NA
6.49
7.14
1.34
090

24140

A
Partial removal of arm bone
9.43
NA
NA
6.58
7.84
1.51
090

24145

A
Partial removal of radius
7.70
NA
NA
5.64
6.85
1.25
090

24147

A
Partial removal of elbow
7.69
NA
NA
6.28
7.44
1.30
090

24149

A
Radical resection of elbow
15.92
NA
NA
10.77
11.20
2.35
090

24150

A
Extensive humerus surgery
13.70
NA
NA
8.50
9.25
2.33
090

24151

A
Extensive humerus surgery
16.08
NA
NA
9.70
10.61
2.60
090

24152

A
Extensive radius surgery
10.24
NA
NA
6.17
6.95
1.48
090

24153

A
Extensive radius surgery
11.73
NA
NA
4.87
5.22
0.74
090

24155

A
Removal of elbow joint
11.97
NA
NA
7.42
7.91
1.93
090

24160

A
Remove elbow joint implant
7.89
NA
NA
5.83
6.36
1.30
090

24164

A
Remove radius head implant
6.34
NA
NA
4.90
5.34
1.03
090

24200

A
Removal of arm foreign body
1.78
2.74
3.08
1.36
1.49
0.20
010

24201

A
Removal of arm foreign body
4.61
7.80
8.81
3.66
3.95
0.72
090

24220

A
Injection for elbow x-ray
1.31
2.66
3.15
0.46
0.45
0.08
000

24300

A
Manipulate elbow w/anesth
3.86
NA
NA
5.16
5.44
0.65
090

24301

A
Muscle/tendon transfer
10.26
NA
NA
6.83
7.51
1.66
090

24305

A
Arm tendon lengthening
7.51
NA
NA
5.66
6.19
1.15
090

24310

A
Revision of arm tendon
6.03
NA
NA
4.73
5.16
0.96
090

24320

A
Repair of arm tendon
10.74
NA
NA
7.03
7.28
1.74
090

24330

A
Revision of arm muscles
9.67
NA
NA
6.64
7.26
1.60
090

24331

A
Revision of arm muscles
10.83
NA
NA
6.95
7.82
1.78
090

24332

A
Tenolysis, triceps
7.77
NA
NA
5.92
6.35
1.23
090

24340

A
Repair of biceps tendon
7.96
NA
NA
5.96
6.47
1.36
090

24341

A
Repair arm tendon/muscle
9.24
NA
NA
7.53
7.72
1.36
090

24342

A
Repair of ruptured tendon
10.74
NA
NA
7.07
7.79
1.86
090

24343

A
Repr elbow lat ligmnt w/tiss
8.99
NA
NA
6.99
7.57
1.43
090

24344

A
Reconstruct elbow lat ligmnt
14.97
NA
NA
9.96
10.74
2.37
090

24345

A
Repr elbw med ligmnt w/tissu
8.99
NA
NA
6.94
7.48
1.44
090

24346

A
Reconstruct elbow med ligmnt
14.97
NA
NA
10.04
10.69
2.34
090

24357

A
Repair elbow, perc
5.32
NA
NA
4.72
5.15
0.87
090

24358

A
Repair elbow w/deb, open
6.54
NA
NA
5.28
5.73
1.07
090

24359

A
Repair elbow deb/attch open
8.86
NA
NA
6.20
6.20
1.41
090

24360

A
Reconstruct elbow joint
12.53
NA
NA
7.84
8.66
2.06
090

24361

A
Reconstruct elbow joint
14.27
NA
NA
8.76
9.67
2.19
090

24362

A
Reconstruct elbow joint
15.18
NA
NA
5.74
7.89
2.61
090

24363

A
Replace elbow joint
22.47
NA
NA
12.18
12.95
3.02
090

24365

A
Reconstruct head of radius
8.51
NA
NA
5.97
6.59
1.41
090

24366

A
Reconstruct head of radius
9.25
NA
NA
6.31
6.93
1.52
090

24400

A
Revision of humerus
11.19
NA
NA
7.50
8.18
1.93
090

24410

A
Revision of humerus
14.96
NA
NA
9.25
9.78
2.58
090

24420

A
Revision of humerus
13.58
NA
NA
8.51
9.53
2.18
090

24430

A
Repair of humerus
15.07
NA
NA
9.23
9.49
2.22
090

24435

A
Repair humerus with graft
14.74
NA
NA
9.82
10.35
2.28
090

24470

A
Revision of elbow joint
8.81
NA
NA
5.66
6.69
1.48
090

24495

A
Decompression of forearm
8.30
NA
NA
6.41
7.58
1.18
090

24498

A
Reinforce humerus
12.16
NA
NA
7.67
8.47
2.07
090

24500

A
Treat humerus fracture
3.29
4.45
4.65
3.81
3.75
0.50
090

24505

A
Treat humerus fracture
5.25
5.84
6.22
4.88
5.14
0.89
090

24515

A
Treat humerus fracture
11.97
NA
NA
8.04
8.72
2.03
090

24516

A
Treat humerus fracture
12.07
NA
NA
7.65
8.38
2.03
090

24530

A
Treat humerus fracture
3.57
4.73
4.97
4.00
4.02
0.57
090

24535

A
Treat humerus fracture
6.96
6.82
7.33
5.86
6.24
1.18
090

24538

A
Treat humerus fracture
9.63
NA
NA
7.19
7.95
1.64
090

24545

A
Treat humerus fracture
12.99
NA
NA
8.28
8.37
1.83
090

24546

A
Treat humerus fracture
14.73
NA
NA
9.11
10.22
2.74
090

24560

A
Treat humerus fracture
2.87
4.11
4.30
3.43
3.31
0.44
090

24565

A
Treat humerus fracture
5.64
5.94
6.28
5.05
5.29
0.93
090

24566

A
Treat humerus fracture
8.86
NA
NA
6.80
7.48
1.30
090

24575

A
Treat humerus fracture
9.53
NA
NA
6.97
7.69
1.87
090

24576

A
Treat humerus fracture
2.94
4.41
4.59
3.71
3.71
0.46
090

24577

A
Treat humerus fracture
5.87
6.04
6.49
5.08
5.47
0.95
090

24579

A
Treat humerus fracture
11.26
NA
NA
7.74
8.29
2.03
090

24582

A
Treat humerus fracture
9.89
NA
NA
8.18
8.65
1.48
090

24586

A
Treat elbow fracture
15.64
NA
NA
9.33
10.28
2.65
090

24587

A
Treat elbow fracture
15.65
NA
NA
9.32
10.17
2.53
090

24600

A
Treat elbow dislocation
4.28
3.86
4.36
3.28
3.39
0.50
090

24605

A
Treat elbow dislocation
5.50
NA
NA
4.91
5.14
0.89
090

24615

A
Treat elbow dislocation
9.72
NA
NA
6.56
7.19
1.60
090

24620

A
Treat elbow fracture
7.07
NA
NA
5.49
5.87
1.07
090

24635

A
Treat elbow fracture
8.64
NA
NA
6.55
10.31
2.29
090

24640

A
Treat elbow dislocation
1.22
1.53
1.69
0.83
0.81
0.12
010

24650

A
Treat radius fracture
2.22
3.43
3.60
2.99
2.87
0.35
090

24655

A
Treat radius fracture
4.48
5.18
5.57
4.40
4.60
0.70
090

24665

A
Treat radius fracture
8.22
NA
NA
6.51
7.01
1.41
090

24666

A
Treat radius fracture
9.74
NA
NA
6.96
7.51
1.62
090

24670

A
Treat ulnar fracture
2.60
3.73
3.92
3.15
3.11
0.41
090

24675

A
Treat ulnar fracture
4.79
5.38
5.69
4.57
4.77
0.81
090

24685

A
Treat ulnar fracture
8.21
NA
NA
6.52
7.02
1.52
090

24800

A
Fusion of elbow joint
11.27
NA
NA
6.89
7.82
1.63
090

24802

A
Fusion/graft of elbow joint
14.18
NA
NA
8.03
9.21
2.38
090

24900

A
Amputation of upper arm
10.04
NA
NA
6.42
6.74
1.53
090

24920

A
Amputation of upper arm
10.02
NA
NA
6.04
6.49
1.61
090

24925

A
Amputation follow-up surgery
7.19
NA
NA
4.95
5.52
1.14
090

24930

A
Amputation follow-up surgery
10.72
NA
NA
6.20
6.72
1.68
090

24931

A
Amputate upper arm & implant
13.32
NA
NA
5.08
5.40
1.90
090

24935

A
Revision of amputation
16.30
NA
NA
10.47
9.25
2.14
090

24940

C
Revision of upper arm
0.00
0.00
0.00
0.00
0.00
0.00
090

24999

C
Upper arm/elbow surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY

25000

A
Incision of tendon sheath
3.44
NA
NA
3.98
5.43
0.55
090

25001

A
Incise flexor carpi radialis
3.68
NA
NA
3.95
4.09
0.55
090

25020

A
Decompress forearm 1 space
5.97
NA
NA
6.95
8.26
0.93
090

25023

A
Decompress forearm 1 space
13.69
NA
NA
11.33
13.14
2.04
090

25024

A
Decompress forearm 2 spaces
10.62
NA
NA
7.08
7.28
1.36
090

25025

A
Decompress forearm 2 spaces
17.77
NA
NA
9.70
9.84
1.83
090

25028

A
Drainage of forearm lesion
5.30
NA
NA
6.20
7.18
0.81
090

25031

A
Drainage of forearm bursa
4.18
NA
NA
3.49
5.71
0.63
090

25035

A
Treat forearm bone lesion
7.54
NA
NA
5.63
9.61
1.24
090

25040

A
Explore/treat wrist joint
7.41
NA
NA
5.40
6.35
1.15
090

25065

A
Biopsy forearm soft tissues
2.01
4.33
3.78
1.98
1.94
0.15
010

25066

A
Biopsy forearm soft tissues
4.18
NA
NA
3.84
5.45
0.64
090

25075

A
Removal forearm lesion subcu
3.78
NA
NA
3.31
4.60
0.55
090

25076

A
Removal forearm lesion deep
4.97
NA
NA
4.11
6.83
0.74
090

25077

A
Remove tumor, forearm/wrist
9.90
NA
NA
6.18
9.14
1.42
090

25085

A
Incision of wrist capsule
5.55
NA
NA
4.62
5.87
0.85
090

25100

A
Biopsy of wrist joint
3.94
NA
NA
3.77
4.53
0.59
090

25101

A
Explore/treat wrist joint
4.74
NA
NA
4.35
5.12
0.75
090

25105

A
Remove wrist joint lining
5.91
NA
NA
4.98
6.14
0.92
090

25107

A
Remove wrist joint cartilage
7.50
NA
NA
6.24
7.29
0.99
090

25109

A
Excise tendon forearm/wrist
6.81
NA
NA
5.24
5.24
0.96
090

25110

A
Remove wrist tendon lesion
3.96
NA
NA
3.62
5.34
0.62
090

25111

A
Remove wrist tendon lesion
3.44
NA
NA
3.62
4.16
0.53
090

25112

A
Reremove wrist tendon lesion
4.58
NA
NA
4.08
4.67
0.70
090

25115

A
Remove wrist/forearm lesion
9.89
NA
NA
7.34
10.69
1.31
090

25116

A
Remove wrist/forearm lesion
7.38
NA
NA
6.19
9.67
1.11
090

25118

A
Excise wrist tendon sheath
4.42
NA
NA
4.15
4.95
0.68
090

25119

A
Partial removal of ulna
6.10
NA
NA
5.07
6.33
0.96
090

25120

A
Removal of forearm lesion
6.16
NA
NA
5.10
8.60
1.00
090

25125

A
Remove/graft forearm lesion
7.55
NA
NA
5.68
9.27
1.06
090

25126

A
Remove/graft forearm lesion
7.62
NA
NA
5.86
9.44
1.27
090

25130

A
Removal of wrist lesion
5.32
NA
NA
4.73
5.58
0.80
090

25135

A
Remove & graft wrist lesion
6.96
NA
NA
5.62
6.57
1.02
090

25136

A
Remove & graft wrist lesion
6.03
NA
NA
5.10
5.85
1.03
090

25145

A
Remove forearm bone lesion
6.43
NA
NA
5.21
8.64
1.01
090

25150

A
Partial removal of ulna
7.27
NA
NA
5.53
6.87
1.14
090

25151

A
Partial removal of radius
7.57
NA
NA
5.65
9.19
1.18
090

25170

A
Extensive forearm surgery
11.34
NA
NA
7.37
11.26
1.78
090

25210

A
Removal of wrist bone
6.01
NA
NA
5.05
5.92
0.88
090

25215

A
Removal of wrist bones
8.02
NA
NA
6.03
7.40
1.19
090

25230

A
Partial removal of radius
5.28
NA
NA
4.50
5.32
0.79
090

25240

A
Partial removal of ulna
5.22
NA
NA
4.47
5.71
0.81
090

25246

A
Injection for wrist x-ray
1.45
2.73
3.09
0.53
0.50
0.09
000

25248

A
Remove forearm foreign body
5.20
NA
NA
4.05
6.29
0.72
090

25250

A
Removal of wrist prosthesis
6.66
NA
NA
5.27
5.69
1.01
090

25251

A
Removal of wrist prosthesis
9.70
NA
NA
6.75
7.33
1.26
090

25259

A
Manipulate wrist w/anesthes
3.86
NA
NA
5.16
5.44
0.62
090

25260

A
Repair forearm tendon/muscle
7.89
NA
NA
6.38
9.85
1.19
090

25263

A
Repair forearm tendon/muscle
7.90
NA
NA
6.10
9.68
1.18
090

25265

A
Repair forearm tendon/muscle
9.96
NA
NA
7.11
10.71
1.47
090

25270

A
Repair forearm tendon/muscle
6.06
NA
NA
4.97
8.50
0.95
090

25272

A
Repair forearm tendon/muscle
7.10
NA
NA
5.49
9.14
1.11
090

25274

A
Repair forearm tendon/muscle
8.82
NA
NA
6.37
10.00
1.36
090

25275

A
Repair forearm tendon sheath
8.82
NA
NA
6.48
7.03
1.31
090

25280

A
Revise wrist/forearm tendon
7.28
NA
NA
5.56
9.10
1.08
090

25290

A
Incise wrist/forearm tendon
5.34
NA
NA
4.50
9.75
0.82
090

25295

A
Release wrist/forearm tendon
6.61
NA
NA
5.29
8.73
1.00
090

25300

A
Fusion of tendons at wrist
8.88
NA
NA
6.66
7.56
1.26
090

25301

A
Fusion of tendons at wrist
8.47
NA
NA
6.19
7.13
1.29
090

25310

A
Transplant forearm tendon
8.26
NA
NA
5.94
9.49
1.21
090

25312

A
Transplant forearm tendon
9.70
NA
NA
6.71
10.33
1.41
090

25315

A
Revise palsy hand tendon(s)
10.56
NA
NA
7.11
10.76
1.58
090

25316

A
Revise palsy hand tendon(s)
12.76
NA
NA
7.82
12.03
1.75
090

25320

A
Repair/revise wrist joint
12.38
NA
NA
9.87
10.63
1.61
090

25332

A
Revise wrist joint
11.60
NA
NA
7.61
8.40
1.84
090

25335

A
Realignment of hand
13.25
NA
NA
8.31
9.95
1.93
090

25337

A
Reconstruct ulna/radioulnar
11.44
NA
NA
8.63
9.86
1.61
090

25350

A
Revision of radius
8.97
NA
NA
6.35
10.17
1.46
090

25355

A
Revision of radius
10.41
NA
NA
6.75
10.68
1.74
090

25360

A
Revision of ulna
8.62
NA
NA
6.24
10.06
1.41
090

25365

A
Revise radius & ulna
12.77
NA
NA
8.18
11.92
2.16
090

25370

A
Revise radius or ulna
13.93
NA
NA
9.01
12.55
2.29
090

25375

A
Revise radius & ulna
13.41
NA
NA
8.37
12.40
2.27
090

25390

A
Shorten radius or ulna
10.58
NA
NA
7.07
10.83
1.65
090

25391

A
Lengthen radius or ulna
14.14
NA
NA
8.67
12.62
2.22
090

25392

A
Shorten radius & ulna
14.44
NA
NA
8.91
12.44
2.11
090

25393

A
Lengthen radius & ulna
16.42
NA
NA
9.57
13.58
2.77
090

25394

A
Repair carpal bone, shorten
10.71
NA
NA
6.95
7.51
1.59
090

25400

A
Repair radius or ulna
11.16
NA
NA
7.27
11.23
1.83
090

25405

A
Repair/graft radius or ulna
14.87
NA
NA
8.93
13.11
2.33
090

25415

A
Repair radius & ulna
13.66
NA
NA
8.80
12.66
2.18
090

25420

A
Repair/graft radius & ulna
16.89
NA
NA
9.93
14.11
2.62
090

25425

A
Repair/graft radius or ulna
13.58
NA
NA
8.49
14.94
2.09
090

25426

A
Repair/graft radius & ulna
16.31
NA
NA
9.20
12.88
2.55
090

25430

A
Vasc graft into carpal bone
9.57
NA
NA
7.04
7.19
1.27
090

25431

A
Repair nonunion carpal bone
10.75
NA
NA
7.16
7.78
1.91
090

25440

A
Repair/graft wrist bone
10.56
NA
NA
6.90
8.15
1.63
090

25441

A
Reconstruct wrist joint
13.15
NA
NA
8.11
9.06
2.08
090

25442

A
Reconstruct wrist joint
10.98
NA
NA
7.51
8.20
1.53
090

25443

A
Reconstruct wrist joint
10.52
NA
NA
7.22
8.00
1.37
090

25444

A
Reconstruct wrist joint
11.28
NA
NA
7.44
8.24
1.72
090

25445

A
Reconstruct wrist joint
9.76
NA
NA
6.70
7.35
1.55
090

25446

A
Wrist replacement
17.16
NA
NA
9.99
10.96
2.48
090

25447

A
Repair wrist joint(s)
10.95
NA
NA
7.87
8.27
1.61
090

25449

A
Remove wrist joint implant
14.80
NA
NA
8.96
9.82
2.22
090

25450

A
Revision of wrist joint
7.94
NA
NA
3.84
7.02
1.36
090

25455

A
Revision of wrist joint
9.57
NA
NA
6.85
8.86
0.96
090

25490

A
Reinforce radius
9.61
NA
NA
6.58
10.16
1.43
090

25491

A
Reinforce ulna
10.03
NA
NA
6.79
10.63
1.60
090

25492

A
Reinforce radius and ulna
12.52
NA
NA
8.34
11.82
2.15
090

25500

A
Treat fracture of radius
2.51
3.31
3.44
2.86
2.79
0.35
090

25505

A
Treat fracture of radius
5.30
5.83
6.19
4.98
5.20
0.90
090

25515

A
Treat fracture of radius
8.64
NA
NA
6.47
6.97
1.59
090

25520

A
Treat fracture of radius
6.35
5.70
6.28
5.14
5.60
1.08
090

25525

A
Treat fracture of radius
10.37
NA
NA
7.42
8.71
2.13
090

25526

A
Treat fracture of radius
12.96
NA
NA
8.69
11.10
2.20
090

25530

A
Treat fracture of ulna
2.15
3.48
3.62
2.98
2.92
0.34
090

25535

A
Treat fracture of ulna
5.22
5.57
5.79
4.84
5.07
0.89
090

25545

A
Treat fracture of ulna
7.78
NA
NA
6.23
6.95
1.53
090

25560

A
Treat fracture radius & ulna
2.50
3.37
3.53
2.85
2.73
0.35
090

25565

A
Treat fracture radius & ulna
5.71
5.91
6.31
4.93
5.18
0.93
090

25574

A
Treat fracture radius & ulna
8.64
NA
NA
6.55
6.88
1.21
090

25575

A
Treat fracture radius/ulna
12.10
NA
NA
8.37
8.94
1.82
090

25600

A
Treat fracture radius/ulna
2.69
3.68
3.89
3.17
3.07
0.42
090

25605

A
Treat fracture radius/ulna
7.02
6.87
7.05
6.14
6.18
1.00
090

25606

A
Treat fx distal radial
8.10
NA
NA
6.70
7.83
1.26
090

25607

A
Treat fx rad extra-articul
9.35
NA
NA
7.20
7.20
1.36
090

25608

A
Treat fx rad intra-articul
10.86
NA
NA
7.80
7.80
1.84
090

25609

A
Treat fx radial 3+ frag
14.12
NA
NA
9.66
9.66
2.38
090

25622

A
Treat wrist bone fracture
2.68
3.91
4.09
3.36
3.23
0.41
090

25624

A
Treat wrist bone fracture
4.62
5.64
5.97
4.78
4.92
0.76
090

25628

A
Treat wrist bone fracture
9.51
NA
NA
6.85
7.34
1.37
090

25630

A
Treat wrist bone fracture
2.94
3.76
3.97
3.25
3.10
0.45
090

25635

A
Treat wrist bone fracture
4.47
5.12
5.53
4.34
4.12
0.74
090

25645

A
Treat wrist bone fracture
7.31
NA
NA
5.56
6.10
1.20
090

25650

A
Treat wrist bone fracture
3.12
3.85
4.08
3.45
3.31
0.45
090

25651

A
Pin ulnar styloid fracture
5.68
NA
NA
5.15
5.32
0.86
090

25652

A
Treat fracture ulnar styloid
7.92
NA
NA
6.16
6.58
1.21
090

25660

A
Treat wrist dislocation
4.84
NA
NA
4.33
4.52
0.58
090

25670

A
Treat wrist dislocation
7.98
NA
NA
5.82
6.41
1.28
090

25671

A
Pin radioulnar dislocation
6.32
NA
NA
5.54
5.85
1.00
090

25675

A
Treat wrist dislocation
4.75
4.72
5.19
4.00
4.32
0.62
090

25676

A
Treat wrist dislocation
8.17
NA
NA
6.14
6.72
1.34
090

25680

A
Treat wrist fracture
6.08
NA
NA
4.39
4.56
0.78
090

25685

A
Treat wrist fracture
9.97
NA
NA
6.63
7.21
1.60
090

25690

A
Treat wrist dislocation
5.58
NA
NA
4.85
5.18
0.88
090

25695

A
Treat wrist dislocation
8.40
NA
NA
6.01
6.55
1.32
090

25800

A
Fusion of wrist joint
9.95
NA
NA
6.80
7.95
1.57
090

25805

A
Fusion/graft of wrist joint
11.59
NA
NA
7.68
8.97
1.81
090

25810

A
Fusion/graft of wrist joint
11.75
NA
NA
8.04
8.98
1.68
090

25820

A
Fusion of hand bones
7.52
NA
NA
6.41
7.13
1.22
090

25825

A
Fuse hand bones with graft
9.54
NA
NA
7.66
8.45
1.41
090

25830

A
Fusion, radioulnar jnt/ulna
10.69
NA
NA
10.59
12.50
1.55
090

25900

A
Amputation of forearm
9.46
NA
NA
6.74
9.66
1.30
090

25905

A
Amputation of forearm
9.48
NA
NA
6.07
9.19
1.40
090

25907

A
Amputation follow-up surgery
7.98
NA
NA
5.77
8.77
1.10
090

25909

A
Amputation follow-up surgery
9.20
NA
NA
6.33
9.31
1.44
090

25915

A
Amputation of forearm
17.38
NA
NA
5.98
12.43
2.94
090

25920

A
Amputate hand at wrist
8.92
NA
NA
6.59
7.22
1.35
090

25922

A
Amputate hand at wrist
7.54
NA
NA
6.28
6.67
1.12
090

25924

A
Amputation follow-up surgery
8.70
NA
NA
6.13
7.11
1.32
090

25927

A
Amputation of hand
8.98
NA
NA
8.66
10.17
1.27
090

25929

A
Amputation follow-up surgery
7.71
NA
NA
5.67
5.77
1.14
090

25931

A
Amputation follow-up surgery
7.93
NA
NA
8.33
9.90
1.15
090

25999

C
Forearm or wrist surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY

26010

A
Drainage of finger abscess
1.56
4.06
4.81
1.52
1.57
0.18
010

26011

A
Drainage of finger abscess
2.21
6.25
7.54
1.96
2.14
0.33
010

26020

A
Drain hand tendon sheath
4.97
NA
NA
4.74
5.05
0.73
090

26025

A
Drainage of palm bursa
4.99
NA
NA
4.46
4.79
0.76
090

26030

A
Drainage of palm bursa(s)
6.16
NA
NA
5.00
5.36
0.92
090

26034

A
Treat hand bone lesion
6.49
NA
NA
5.58
5.97
1.01
090

26035

A
Decompress fingers/hand
11.14
NA
NA
8.13
8.00
1.47
090

26037

A
Decompress fingers/hand
7.48
NA
NA
5.50
5.91
1.13
090

26040

A
Release palm contracture
3.38
NA
NA
3.60
3.83
0.53
090

26045

A
Release palm contracture
5.62
NA
NA
4.89
5.27
0.93
090

26055

A
Incise finger tendon sheath
3.00
9.05
11.70
3.83
3.88
0.43
090

26060

A
Incision of finger tendon
2.85
NA
NA
3.06
3.28
0.45
090

26070

A
Explore/treat hand joint
3.73
NA
NA
3.06
3.21
0.48
090

26075

A
Explore/treat finger joint
3.83
NA
NA
3.37
3.58
0.53
090

26080

A
Explore/treat finger joint
4.36
NA
NA
4.32
4.59
0.66
090

26100

A
Biopsy hand joint lining
3.71
NA
NA
3.67
3.90
0.54
090

26105

A
Biopsy finger joint lining
3.75
NA
NA
3.68
3.96
0.59
090

26110

A
Biopsy finger joint lining
3.57
NA
NA
3.61
3.83
0.53
090

26115

A
Removal hand lesion subcut
3.92
9.84
11.47
4.23
4.50
0.59
090

26116

A
Removal hand lesion, deep
5.61
NA
NA
5.31
5.66
0.84
090

26117

A
Remove tumor, hand/finger
8.62
NA
NA
6.19
6.63
1.26
090

26121

A
Release palm contracture
7.61
NA
NA
5.93
6.45
1.17
090

26123

A
Release palm contracture
10.63
NA
NA
8.22
8.54
1.43
090

26125

A
Release palm contracture
4.60
NA
NA
1.87
2.16
0.70
ZZZ

26130

A
Remove wrist joint lining
5.48
NA
NA
4.89
5.12
0.94
090

26135

A
Revise finger joint, each
7.02
NA
NA
5.47
5.97
1.07
090

26140

A
Revise finger joint, each
6.23
NA
NA
5.17
5.61
0.92
090

26145

A
Tendon excision, palm/finger
6.38
NA
NA
5.19
5.62
0.97
090

26160

A
Remove tendon sheath lesion
3.46
9.04
10.71
3.94
4.03
0.49
090

26170

A
Removal of palm tendon, each
4.82
NA
NA
4.37
4.66
0.69
090

26180

A
Removal of finger tendon
5.24
NA
NA
4.71
5.06
0.78
090

26185

A
Remove finger bone
6.32
NA
NA
5.73
5.89
0.81
090

26200

A
Remove hand bone lesion
5.56
NA
NA
4.56
4.96
0.88
090

26205

A
Remove/graft bone lesion
7.82
NA
NA
5.85
6.37
1.20
090

26210

A
Removal of finger lesion
5.21
NA
NA
4.74
5.08
0.79
090

26215

A
Remove/graft finger lesion
7.16
NA
NA
5.54
5.93
0.98
090

26230

A
Partial removal of hand bone
6.38
NA
NA
4.95
5.43
1.01
090

26235

A
Partial removal, finger bone
6.24
NA
NA
4.95
5.38
0.95
090

26236

A
Partial removal, finger bone
5.37
NA
NA
4.58
4.95
0.81
090

26250

A
Extensive hand surgery
7.61
NA
NA
5.72
6.08
1.07
090

26255

A
Extensive hand surgery
12.80
NA
NA
8.29
8.83
1.69
090

26260

A
Extensive finger surgery
7.09
NA
NA
5.47
5.83
1.01
090

26261

A
Extensive finger surgery
9.28
NA
NA
6.73
6.45
1.14
090

26262

A
Partial removal of finger
5.72
NA
NA
4.75
5.04
0.88
090

26320

A
Removal of implant from hand
4.02
NA
NA
3.79
4.05
0.59
090

26340

A
Manipulate finger w/anesth
2.62
NA
NA
4.61
4.74
0.39
090

26350

A
Repair finger/hand tendon
6.07
NA
NA
9.54
12.08
0.93
090

26352

A
Repair/graft hand tendon
7.75
NA
NA
10.07
12.72
1.13
090

26356

A
Repair finger/hand tendon
10.22
NA
NA
13.72
16.05
1.21
090

26357

A
Repair finger/hand tendon
8.65
NA
NA
10.36
13.00
1.33
090

26358

A
Repair/graft hand tendon
9.22
NA
NA
10.96
13.81
1.38
090

26370

A
Repair finger/hand tendon
7.17
NA
NA
9.51
12.31
1.12
090

26372

A
Repair/graft hand tendon
8.89
NA
NA
10.54
13.54
1.40
090

26373

A
Repair finger/hand tendon
8.29
NA
NA
10.17
13.11
1.23
090

26390

A
Revise hand/finger tendon
9.31
NA
NA
9.21
11.25
1.40
090

26392

A
Repair/graft hand tendon
10.38
NA
NA
11.17
13.95
1.57
090

26410

A
Repair hand tendon
4.68
NA
NA
7.64
9.79
0.73
090

26412

A
Repair/graft hand tendon
6.37
NA
NA
8.63
10.95
0.97
090

26415

A
Excision, hand/finger tendon
8.40
NA
NA
7.47
9.63
0.98
090

26416

A
Graft hand or finger tendon
9.44
NA
NA
9.05
11.83
0.79
090

26418

A
Repair finger tendon
4.33
NA
NA
8.15
10.24
0.67
090

26420

A
Repair/graft finger tendon
6.83
NA
NA
8.81
11.22
1.07
090

26426

A
Repair finger/hand tendon
6.21
NA
NA
5.12
9.14
0.95
090

26428

A
Repair/graft finger tendon
7.28
NA
NA
9.26
11.57
1.09
090

26432

A
Repair finger tendon
4.07
NA
NA
6.79
8.53
0.64
090

26433

A
Repair finger tendon
4.61
NA
NA
7.02
8.91
0.72
090

26434

A
Repair/graft finger tendon
6.15
NA
NA
7.94
9.74
0.93
090

26437

A
Realignment of tendons
5.88
NA
NA
7.82
9.69
0.89
090

26440

A
Release palm/finger tendon
5.07
NA
NA
8.49
10.97
0.75
090

26442

A
Release palm & finger tendon
9.50
NA
NA
11.83
13.89
1.20
090

26445

A
Release hand/finger tendon
4.36
NA
NA
8.24
10.69
0.65
090

26449

A
Release forearm/hand tendon
8.34
NA
NA
7.28
11.53
1.06
090

26450

A
Incision of palm tendon
3.71
NA
NA
5.19
6.26
0.59
090

26455

A
Incision of finger tendon
3.68
NA
NA
5.15
6.22
0.58
090

26460

A
Incise hand/finger tendon
3.50
NA
NA
5.12
6.13
0.55
090

26471

A
Fusion of finger tendons
5.79
NA
NA
7.80
9.52
0.88
090

26474

A
Fusion of finger tendons
5.38
NA
NA
7.61
9.50
0.76
090

26476

A
Tendon lengthening
5.24
NA
NA
7.36
9.15
0.79
090

26477

A
Tendon shortening
5.21
NA
NA
7.58
9.32
0.81
090

26478

A
Lengthening of hand tendon
5.86
NA
NA
7.79
9.81
0.90
090

26479

A
Shortening of hand tendon
5.80
NA
NA
7.74
9.65
0.92
090

26480

A
Transplant hand tendon
6.76
NA
NA
9.67
12.36
1.02
090

26483

A
Transplant/graft hand tendon
8.36
NA
NA
10.23
12.87
1.26
090

26485

A
Transplant palm tendon
7.77
NA
NA
10.09
12.73
1.15
090

26489

A
Transplant/graft palm tendon
9.74
NA
NA
10.83
11.45
1.26
090

26490

A
Revise thumb tendon
8.48
NA
NA
8.88
10.86
1.21
090

26492

A
Tendon transfer with graft
9.70
NA
NA
9.83
11.72
1.40
090

26494

A
Hand tendon/muscle transfer
8.54
NA
NA
9.24
11.11
1.28
090

26496

A
Revise thumb tendon
9.66
NA
NA
9.58
11.41
1.45
090

26497

A
Finger tendon transfer
9.64
NA
NA
9.54
11.56
1.41
090

26498

A
Finger tendon transfer
14.07
NA
NA
11.66
13.92
2.11
090

26499

A
Revision of finger
9.05
NA
NA
8.86
10.95
1.35
090

26500

A
Hand tendon reconstruction
6.02
NA
NA
7.75
9.60
0.90
090

26502

A
Hand tendon reconstruction
7.20
NA
NA
8.33
10.18
1.13
090

26508

A
Release thumb contracture
6.07
NA
NA
7.80
9.74
0.98
090

26510

A
Thumb tendon transfer
5.49
NA
NA
7.64
9.49
0.79
090

26516

A
Fusion of knuckle joint
7.21
NA
NA
8.31
10.28
1.10
090

26517

A
Fusion of knuckle joints
8.96
NA
NA
9.00
11.26
1.41
090

26518

A
Fusion of knuckle joints
9.15
NA
NA
8.97
11.18
1.35
090

26520

A
Release knuckle contracture
5.36
NA
NA
8.87
11.39
0.80
090

26525

A
Release finger contracture
5.39
NA
NA
8.89
11.44
0.81
090

26530

A
Revise knuckle joint
6.76
NA
NA
5.41
5.78
1.04
090

26531

A
Revise knuckle with implant
7.99
NA
NA
6.17
6.65
1.17
090

26535

A
Revise finger joint
5.30
NA
NA
4.09
3.92
0.71
090

26536

A
Revise/implant finger joint
6.44
NA
NA
9.25
9.45
0.96
090

26540

A
Repair hand joint
6.49
NA
NA
8.06
9.97
0.99
090

26541

A
Repair hand joint with graft
8.69
NA
NA
9.12
11.26
1.28
090

26542

A
Repair hand joint with graft
6.84
NA
NA
8.20
10.12
1.02
090

26545

A
Reconstruct finger joint
6.99
NA
NA
8.46
10.30
1.05
090

26546

A
Repair nonunion hand
10.53
NA
NA
11.43
13.24
1.44
090

26548

A
Reconstruct finger joint
8.10
NA
NA
8.81
10.83
1.20
090

26550

A
Construct thumb replacement
21.54
NA
NA
14.55
16.07
2.46
090

26551

A
Great toe-hand transfer
48.23
NA
NA
17.17
24.82
7.98
090

26553

A
Single transfer, toe-hand
47.92
NA
NA
27.38
25.04
2.42
090

26554

A
Double transfer, toe-hand
56.73
NA
NA
35.82
36.69
9.44
090

26555

A
Positional change of finger
16.94
NA
NA
14.01
16.10
2.49
090

26556

A
Toe joint transfer
49.43
NA
NA
18.05
25.70
2.58
090

26560

A
Repair of web finger
5.43
NA
NA
6.65
8.23
0.85
090

26561

A
Repair of web finger
10.98
NA
NA
9.51
10.93
1.45
090

26562

A
Repair of web finger
16.40
NA
NA
8.77
12.96
2.24
090

26565

A
Correct metacarpal flaw
6.80
NA
NA
8.16
10.08
1.00
090

26567

A
Correct finger deformity
6.88
NA
NA
8.12
10.04
1.04
090

26568

A
Lengthen metacarpal/finger
9.15
NA
NA
10.70
13.07
1.49
090

26580

A
Repair hand deformity
19.50
NA
NA
9.74
11.70
2.29
090

26587

A
Reconstruct extra finger
14.36
NA
NA
8.02
8.62
1.53
090

26590

A
Repair finger deformity
18.51
NA
NA
12.43
13.19
2.78
090

26591

A
Repair muscles of hand
3.30
NA
NA
6.22
7.92
0.48
090

26593

A
Release muscles of hand
5.38
NA
NA
7.80
9.47
0.78
090

26596

A
Excision constricting tissue
9.02
NA
NA
7.49
8.16
1.43
090

26600

A
Treat metacarpal fracture
2.48
3.84
3.73
3.49
3.07
0.30
090

26605

A
Treat metacarpal fracture
2.92
4.09
4.32
3.51
3.58
0.49
090

26607

A
Treat metacarpal fracture
5.40
NA
NA
4.89
5.58
0.87
090

26608

A
Treat metacarpal fracture
5.43
NA
NA
5.23
5.74
0.88
090

26615

A
Treat metacarpal fracture
6.91
NA
NA
6.02
5.66
0.86
090

26641

A
Treat thumb dislocation
4.01
4.04
4.30
3.40
3.47
0.39
090

26645

A
Treat thumb fracture
4.47
4.61
4.89
3.92
4.06
0.67
090

26650

A
Treat thumb fracture
5.19
NA
NA
4.89
5.79
0.94
090

26665

A
Treat thumb fracture
7.78
NA
NA
6.32
6.47
0.90
090

26670

A
Treat hand dislocation
3.74
3.62
3.94
3.03
2.99
0.39
090

26675

A
Treat hand dislocation
4.71
5.26
5.37
4.52
4.49
0.77
090

26676

A
Pin hand dislocation
5.60
NA
NA
5.57
6.13
0.91
090

26685

A
Treat hand dislocation
6.91
NA
NA
5.97
6.06
1.09
090

26686

A
Treat hand dislocation
8.06
NA
NA
6.08
6.49
1.24
090

26700

A
Treat knuckle dislocation
3.74
3.30
3.53
2.93
2.90
0.35
090

26705

A
Treat knuckle dislocation
4.26
4.75
5.04
4.04
4.17
0.66
090

26706

A
Pin knuckle dislocation
5.19
NA
NA
4.70
4.90
0.81
090

26715

A
Treat knuckle dislocation
6.87
NA
NA
6.00
5.76
0.91
090

26720

A
Treat finger fracture, each
1.70
2.58
2.68
2.30
2.18
0.24
090

26725

A
Treat finger fracture, each
3.39
4.09
4.43
3.41
3.46
0.53
090

26727

A
Treat finger fracture, each
5.30
NA
NA
5.18
5.71
0.84
090

26735

A
Treat finger fracture, each
7.26
NA
NA
6.13
5.84
0.95
090

26740

A
Treat finger fracture, each
1.99
3.01
3.07
2.72
2.71
0.31
090

26742

A
Treat finger fracture, each
3.90
4.27
4.63
3.57
3.72
0.58
090

26746

A
Treat finger fracture, each
9.59
NA
NA
7.20
6.38
0.91
090

26750

A
Treat finger fracture, each
1.74
2.25
2.37
2.26
2.14
0.22
090

26755

A
Treat finger fracture, each
3.15
3.75
4.08
2.94
2.97
0.42
090

26756

A
Pin finger fracture, each
4.46
NA
NA
4.86
5.29
0.71
090

26765

A
Treat finger fracture, each
5.70
NA
NA
5.47
4.93
0.66
090

26770

A
Treat finger dislocation
3.07
2.92
3.18
2.55
2.48
0.27
090

26775

A
Treat finger dislocation
3.78
4.62
4.91
3.88
3.85
0.54
090

26776

A
Pin finger dislocation
4.87
NA
NA
4.99
5.50
0.77
090

26785

A
Treat finger dislocation
6.44
NA
NA
5.78
5.15
0.68
090

26820

A
Thumb fusion with graft
8.33
NA
NA
8.97
11.11
1.30
090

26841

A
Fusion of thumb
7.21
NA
NA
8.77
11.00
1.18
090

26842

A
Thumb fusion with graft
8.37
NA
NA
9.02
11.20
1.32
090

26843

A
Fusion of hand joint
7.67
NA
NA
8.57
10.46
1.15
090

26844

A
Fusion/graft of hand joint
8.86
NA
NA
9.16
11.27
1.33
090

26850

A
Fusion of knuckle
7.03
NA
NA
8.27
10.24
1.06
090

26852

A
Fusion of knuckle with graft
8.59
NA
NA
9.14
11.02
1.22
090

26860

A
Fusion of finger joint
4.76
NA
NA
7.54
9.37
0.73
090

26861

A
Fusion of finger jnt, add-on
1.74
NA
NA
0.70
0.82
0.27
ZZZ

26862

A
Fusion/graft of finger joint
7.44
NA
NA
8.67
10.51
1.10
090

26863

A
Fuse/graft added joint
3.89
NA
NA
1.58
1.85
0.56
ZZZ

26910

A
Amputate metacarpal bone
7.67
NA
NA
8.28
9.75
1.16
090

26951

A
Amputation of finger/thumb
5.85
NA
NA
8.40
9.28
0.71
090

26952

A
Amputation of finger/thumb
6.37
NA
NA
7.91
9.79
0.95
090

26989

C
Hand/finger surgery
0.00
0.00
0.00
0.00
0.00
0.00
YYY

26990

A
Drainage of pelvis lesion
7.84
NA
NA
6.21
6.71
1.22
090

26991

A
Drainage of pelvis bursa
6.97
8.62
9.89
4.88
5.16
1.11
090

26992

A
Drainage of bone lesion
13.37
NA
NA
8.42
9.40
2.17
090

27000

A
Incision of hip tendon
5.66
NA
NA
4.51
4.90
0.98
090

27001

A
Incision of hip tendon
7.05
NA
NA
5.23
5.66
1.24
090

27003

A
Incision of hip tendon
7.70
NA
NA
5.73
6.11
1.12
090

27005

A
Incision of hip tendon
9.96
NA
NA
6.49
7.15
1.73
090

27006

A
Incision of hip tendons
9.99
NA
NA
6.76
7.37
1.70
090

27025

A
Incision of hip/thigh fascia
12.66
NA
NA
8.21
8.38
1.85
090

27030

A
Drainage of hip joint
13.54
NA
NA
8.04
8.84
2.27
090

27033

A
Exploration of hip joint
13.99
NA
NA
8.40
9.16
2.33
090

27035

A
Denervation of hip joint
17.23
NA
NA
8.53
9.88
2.16
090

27036

A
Excision of hip joint/muscle
14.18
NA
NA
8.92
9.47
2.27
090

27040

A
Biopsy of soft tissues
2.89
5.19
5.22
1.87
1.94
0.27
010

27041

A
Biopsy of soft tissues
10.07
NA
NA
5.74
6.19
1.35
090

27047

A
Remove hip/pelvis lesion
7.51
7.03
7.07
4.50
4.63
1.03
090

27048

A
Remove hip/pelvis lesion
6.44
NA
NA
4.61
4.70
0.92
090

27049

A
Remove tumor, hip/pelvis
15.20
NA
NA
8.17
8.29
2.07
090

27050

A
Biopsy of sacroiliac joint
4.65
NA
NA
3.01
3.72
0.60
090

27052

A
Biopsy of hip joint
7.27
NA
NA
5.65
5.77
1.08
090

27054

A
Removal of hip joint lining
9.09
NA
NA
6.49
6.92
1.47
090

27060

A
Removal of ischial bursa
5.78
NA
NA
4.37
4.37
0.80
090

27062

A
Remove femur lesion/bursa
5.66
NA
NA
4.60
4.90
0.93
090

27065

A
Removal of hip bone lesion
6.44
NA
NA
4.99
5.22
1.01
090

27066

A
Removal of hip bone lesion
11.06
NA
NA
7.44
7.94
1.80
090

27067

A
Remove/graft hip bone lesion
14.57
NA
NA
8.85
9.76
1.85
090

27070

A
Partial removal of hip bone
11.44
NA
NA
8.03
8.59
1.75
090

27071

A
Partial removal of hip bone
12.25
NA
NA
8.48
9.31
1.93
090

27075

A
Extensive hip surgery
36.77
NA
NA
16.15
17.68
5.66
090

27076

A
Extensive hip surgery
24.25
NA
NA
12.83
13.68
3.71
090

27077

A
Extensive hip surgery
42.54
NA
NA
19.95
21.31
6.14
090

27078

A
Extensive hip surgery
14.54
NA
NA
8.82
9.38
2.23
090

27079

A
Extensive hip surgery
14.91
NA
NA
8.01
8.78
1.95
090

27080

A
Removal of tail bone
6.80
NA
NA
4.59
4.71
0.93
090

27086

A
Remove hip foreign body
1.89
3.66
4.11
1.48
1.65
0.25
010

27087

A
Remove hip foreign body
8.72
NA
NA
5.66
6.16
1.35
090

27090

A
Removal of hip prosthesis
11.57
NA
NA
7.41
8.10
1.95
090

27091

A
Removal of hip prosthesis
24.15
NA
NA
12.91
13.46
3.85
090

27093

A
Injection for hip x-ray
1.30
3.15
3.81
0.47
0.48
0.13
000

27095

A
Injection for hip x-ray
1.50
3.71
4.72
0.51
0.51
0.14
000

27096

A
Inject sacroiliac joint
1.40
2.52
3.44
0.33
0.33
0.08
000

27097

A
Revision of hip tendon
9.16
NA
NA
6.34
6.38
1.57
090

27098

A
Transfer tendon to pelvis
9.20
NA
NA
4.91
5.97
0.95
090

27100

A
Transfer of abdominal muscle
11.21
NA
NA
7.40
8.04
1.86
090

27105

A
Transfer of spinal muscle
11.90
NA
NA
7.36
8.26
1.73
090

27110

A
Transfer of iliopsoas muscle
13.63
NA
NA
8.28
8.70
2.19
090

27111

A
Transfer of iliopsoas muscle
12.46
NA
NA
8.07
8.61
1.95
090

27120

A
Reconstruction of hip socket
19.10
NA
NA
10.82
11.33
3.09
090

27122

A
Reconstruction of hip socket
15.95
NA
NA
9.44
10.24
2.62
090

27125

A
Partial hip replacement
16.46
NA
NA
9.60
10.11

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A07-6308. Public record. Not legal advice.
