Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals; Correction

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 410, 411, 412, 413, 414, 416, 419, 482, and 485

[(CMS-1392-CN), (CMS-1533-CN), and (CMS-1531-CN)]

RIN 0938-AO71, RIN 0938-AO70, and RIN 0938-AO35

Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals; Correction

AGENCY:

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

ACTION:

Correction of final rule with comment period.

SUMMARY:

This document corrects technical errors that appeared in the final rule with comment period published in the

Federal Register

(FR) on November 27, 2007, entitled “Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals.”

DATES:

Effective Date:

January 1, 2008 except that the correction to §485.610(e) is effective February 22, 2008.

FOR FURTHER INFORMATION CONTACT:

Alberta Dwivedi, (410) 786-0378.

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 07-5507 of November 27, 2007 (72 FR 66579), we have identified a number of technical and typographical errors that we describe in the “Summary of Errors” section and correct in the “Correction of Errors” section below. The provisions in this correction notice are effective as if they had been included in the document published on November 27, 2007. Accordingly, the corrections are effective January 1, 2008.

II. Summary of Errors

On November 27, 2007, we published a final rule with comment period entitled, “Changes to the Hospital Outpatient Prospective Payment System and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System and FY 2008 Payment Rates; and Payments for Graduate Medical Education for Affiliated Teaching Hospitals in Certain Emergency Situations Medicare and Medicaid Programs: Hospital Conditions of Participation; Necessary Provider Designations of Critical Access Hospitals,” (hereinafter referred to as the OPPS/ASC final rule with comment period). Included in that document were technical and typographical errors.

We incorrectly stated that the application deadline for submitting applications for a new class of new technology intraocular lenses in the “Dates” section under

Application Deadline—New Class of New Technology Intraocular Lens

was April 1, 2008. In the preamble to the OPPS/ASC final rule with comment period (72 FR 66855), we stated the correct application deadline date as March 14, 2008. We are changing the application deadline in the “Dates” section to reflect the correct date of March 14, 2008. We also stated that approximately 131 million final action claims were used for hospital outpatient department services furnished on or after January 1, 2006 and before January 1, 2007 for the purpose of recalibrating the OPPS relative weights for CY 2008. The actual number of final action claims used was 141 million. In addition, we stated that we would provide further instructions about reporting echocardiography procedures with and without contrast in the January 2007 OPPS update. The correct reference should have been to the January 2008 OPPS update and we are correcting the statement. Furthermore, we are correcting the typographical errors that mistakenly reversed the listings for the composite APC procedure codes for APC 8001 and APC 8000.

We also inadvertently failed to address in the OPPS/ASC final rule with comment period two timely public comments. This document includes summaries of those public comments and our responses.

The OPPS/ASC final rule with comment period included several addenda. We are adding three HCPCS codes (CPT codes 90650, 90681, and 90696) to Addendum B because they are new active CPT codes for CY 2008 that we omitted from the CY 2008 OPPS/ASC final rule with comment period. In publishing Addenda A and B, we inadvertently published incorrect minimum unadjusted copayment rates for several pass-through drugs and biologicals. Additionally, for several HCPCS codes where payment is based on mean costs from hospital claims, we inadvertently published CY 2007 payment rates instead of CY 2008 payment rates. In addition, in Addendum B, we inadvertently assigned status indicator “L” to new CPT codes 90661, 90662, and 90663 that indicated these codes would be paid in CY 2008. These three CPT codes actually describe vaccines where there are currently no FDA-approved products and, therefore, these codes are noncovered by Medicare as of January 2008. We are changing the status indicator to “E”, to reflect the correct status. Furthermore, we inadvertently assigned a payable status indicator to HCPCS code G0377. We note that this is a noncovered service under Medicare Part B in accordance with the statute as of January 1, 2008. Also, in Addendum B, we incorrectly assigned status indicator “M”, indicating services not billable to the fiscal intermediary, to new CY 2008 HCPCS code G9140, when this service may be paid off another fee schedule by fiscal intermediaries.

In addition, we are republishing Addenda AA and BB to take into account updated Medicare Physician Fee Schedule (MPFS) CY 2008 information. As required at 42 CFR § 416.171(d), the revised ASC payment system limits payment for office-based procedures and covered ancillary radiology services to the lesser of the ASC rate or the amount calculated by multiplying the nonfacility practice expense (PE) relative value units (RVUs) for the service by the conversion factor under the MPFS. However, the PE RVUs listed for many CPT codes in Addendum B of the CY 2008 MPFS final rule (72 FR 66222) were incorrect due to a methodological error and consequently, have been corrected in a correction notice to that final rule (73 FR 2568). Since the ASC payment amounts for office-based procedures and covered ancillary services are determined using the amounts in the MPFS final rule, we must correct the CY 2008 payment amounts for ASC procedures and services using the

corrected MPFS amounts. The corrected payment amounts are reflected in Addenda AA and BB to this correction notice. Lastly, we inadvertently labeled two Addendum as Addendum DD2 and are correcting “Addendum DD2-OPPS Comment Indicators” to read “Addendum D2-OPPS Comment Indicators.” In Addendum M, we inadvertently assigned incorrect APCs to HCPCS codes 90862, 96102, and M0064. The APC assignments of these individual services were correct in Addendum B to the CY 2008 OPPS/ASC final rule with comment period (72 FR 67096, 67103, and 67160) that identified OPPS payment by HCPCS code. Therefore, we are correcting their assignments in Addendum M that identified HCPCS codes that may be paid through composite APCs to reflect their correct OPPS treatment if they are paid through a single code APC.

III. Correction of Errors

In FR Doc. 07-5507 (72 FR 66579), we are making the following corrections:

1. On page 66580, in the second column, line 6 of the paragraph entitled, “Application Deadline—New Class of New Technology Intraocular Lens:” in the “Dates” section, the application deadline date “April 1, 2008” is corrected to read “March 14, 2008”.

2. On page 66589, in the first column, in line 15, the number “131 million” is corrected to read “141 million.”

3. On page 66644, in the third column, in lines 12 and 13, the date “January 2007” is corrected to read “January 2008.”

4. On page 66669, in the third column, fourth full paragraph, the paragraph is deleted and replaced in its entirety to read as follows:

We received one comment related to our proposal.

Comment:

A commenter disagreed with the statement in the CY 2008 OPPS/ASC proposed rule that the circumstances in which total body hypothermia would be provided to a Medicare beneficiary would be extremely rare. The commenter stated that approximately 72 percent of all U.S. hospitals do not have cardiac catheterization or open heart surgery capabilities. The commenter also stated that it would be common for many post-cardiac arrest patients who are treated in these hospitals to be transferred to another facility that can provide the necessary services. The commenter also disagreed that low-cost methods to induce hypothermia, such as applying ice packs to the patient, are viable alternatives to technologically advanced methods of inducing hypothermia, specifically because the low-cost methods are ineffective and inconvenient. According to the commenter, the small number of claims (39 in CY 2006) and low median cost ($35) for CPT code 99816 (Hypothermia; total body) mean that a hospital receives no additional payment when providing hypothermia. The commenter recommended that CMS create a Level II HCPCS G-code for technologically advanced methods of inducing hypothermia, and that CMS pay separately for this new code.

Response:

We proposed to package payment for CPT code 99816 for CY 2008. We continue to believe that when a patient presents to one hospital and then is cooled and transported to another hospital without admission to the first hospital, payment for the hypothermia service would be most appropriately packaged into payment for the many other separately payable services that it most likely accompanied and that would be paid to the first hospital under the OPPS. To the extent that technologically advanced methods to induce hypothermia may become an adopted standard of care by more hospitals over time based on the evolution of clinical practice, the median cost for CPT code 99186 may change to reflect contemporary utilization patterns. In general, if a service is described by an existing CPT code, we do not create an additional Level II HCPCS code for payment. Instead, the commenter may wish to discuss the hypothermia service with the AMA's CPT Editorial Panel in order to assess the need for any changes to CPT codes. Therefore, we are finalizing our proposal to maintain the packaged status of CPT code 99186 for CY 2008.

5. On page 66726, in the second column, first full paragraph, under the heading “b. Endovenous Ablation (APC 0092)”, the paragraph is deleted and replaced in its entirety to read as follows:

“For CY 2008, we proposed to pay approximately $1,684 for CPT codes 36476 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites) and 36478 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated) through their proposed assignment to APC 0092 (Level I Vascular Ligation). In CY 2007, CPT code 36476 is assigned to APC 0091 (Level II Vascular Ligation), which has a proposed CY 2008 payment rate of $2,781. The proposed APC assignment for CPT code 36478 is the same as its CY 2007 APC assignment.

6. On page 66726, in the second column, second full paragraph, under the heading “b. Endovenous Ablation (APC 0092)”, the paragraph is deleted and replaced in its entirety to read as follows:

``We received several public comments on the proposed CY 2008 payment for CPT codes 36476 and 36478. A summary of the public comments and our response follow.''

Comment:

A commenter disagreed with our proposed reassignment of add-on CPT code 36476 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; second and subsequent veins treated in a single extremity, each through separate access sites) from APC 0091 (Level II Vascular Ligation), with a proposed CY 2008 payment of approximately $2,781, to APC 0092 (Level I Vascular Ligation), with a proposed CY 2008 payment of approximately $1,684. According to the commenter, CPT code 36476 should remain in APC 0091, the same APC to which its associated primary CPT code, 36475 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated), was proposed for assignment in CY 2008. The commenter asserted that the procedures described by CPT codes 36475 and 36476 are clinically similar and use comparable resources, and that the application of the multiple procedure reduction to lower-paying APC 0092 would result in inaccurate payment for the CPT code 36476 add-on procedure, which always must be performed in conjunction with the primary procedure.

Response:

We proposed to reassign 36476 from APC 0091 to APC 0092 because proposed rule claims data indicated that the costs associated with CPT code 36476 are more similar to the costs of other procedures assigned to APC 0092, taking into account the multiple surgical procedure 50 percent payment reduction that would be applied in the typical cases where CPT code 36476 was reported in conjunction with CPT code 36475. Final rule claims data support this reassignment; the median cost for CPT code 36476 is approximately $971, while the CY 2008 payment rate for APC 0092 is approximately $1,646, and the payment rate for APC 0091 is approximately $2,714. The median cost for the first vessel CPT code 36475 is much higher than that of CPT code 36476, at approximately $2,396, which we believe

to be a reflection of the significantly higher relative cost of furnishing the initial service described by CPT code 36475 compared to the additional service described by CPT code 36476, likely due in part to the radiofrequency catheter cost that is associated with the initial service. We disagree with the commenter that CPT codes 36475 and 36476 are similar in terms of resource utilization based on this cost data.

The application of the multiple procedure reduction of 50 percent to APC 0092 when CPT code 36476 is billed with another procedure with status indicator ``T,'' such as CPT code 36475, would result in a payment of approximately $823, a sum that is only slightly less than the approximate $971 median cost of CPT code 36476. In contrast, if CPT code 36476 were assigned to APC 0091, the payment with the multiple procedure reduction would be approximately $1,357, a substantial overpayment. Therefore, we disagree with the commenter that assignment of CPT code 36476 to APC 0092 would result in inaccurate payment, even with application of the multiple procedure reduction. While it is true that the procedure described by CPT code 36476 is clinically similar to the procedure described by CPT code 36475 which is assigned to APC 0091 as the commenter asserts, it also is clinically similar to other procedures in APC 0092, which includes a variety of surgical procedures involving veins.

In summary, we continue to believe that the procedure described by CPT code 36476 is similar both clinically and in terms of resource utilization to other procedures assigned to APC 0092, even with application of the multiple procedure reduction. Therefore, after review of the public comment received, we are finalizing our proposal, without modification, to reassign CPT code 36476 to APC 0092 for CY 2008.

7. On page 66726, in the third column, the third full paragraph, the paragraph is deleted and replaced in its entirety to read as follows:

``After consideration of the public comments received, we are finalizing our CY 2008 proposal, without modification, to assign CPT codes 36476 and 36478 to APC 0092, with a median cost of about $1,626''.

8. On page 66906, in the third column, in the first full paragraph—

A. In line 16, the APC code “8000” is corrected to read “8001.”

B. In line 24, the APC code, “8001” is corrected to read “8000.”

Correction to Regulations Text

On page 66934, the introductory text of § 485.610(e) is revised to read as follows:

§ 485.610

Conditions of participation: Status and location.

(e) Standard: Off-campus and co-location requirements for CAHs.

A CAH may continue to meet the location requirements of paragraph (c) of this section only if the CAH meets the following:

Corrections to Addenda

Addendum A.—OPPS APCS for CY 2008

1. On page 66939, for APC 0825, in line 74, in column 7, the minimum unadjusted copayment “$17.37” is corrected to read “$17.20.”

2. On page 66940, for APC 0911, in line 43—

A. In column 5, the payment rate “$129.75” is corrected to read “$20.89.”

B. In column 7, the minimum unadjusted copayment “25.95” is corrected to read “$4.18.”

3. On page 66940, for APC 0951, in line 7 from the bottom of the page, in column 7, the minimum unadjusted copayment “$44.16” is corrected to read “$43.74.”

4. On page 66941, for APC 0998, in line 11—

A. In column 5, the payment rate “$88.15” is corrected to read “$12.24.”

B. In column 7, the minimum unadjusted copayment “$17.63” is corrected to read “$2.45.”

5. On page 66941, for APC 1041, in line 27—

A. In column 5, the payment rate “$172.41” is corrected to read “$19.81.”

B. In column 7, the minimum unadjusted copayment “$34.48” is corrected to read “$3.96.”

6. On page 66941, for APC 1141, in line 36—

A. In column 5, the payment rate “$67.96” is corrected to read “$42.24.”

B. In column 7, the minimum unadjusted copayment “$13.59” is corrected to read “$8.37.”

7. On page 66941, for APC 1168, in line 42, in column 7, the minimum unadjusted copayment “$9.68” is corrected to read “$9.59.”

8. On page 66941, for APC 1169, in line 43—

A. In column 5, the payment rate “$482.56” is corrected to read “$407.56.”

B. In column 7, the minimum unadjusted copayment “$96.51” is corrected to read “$80.74.”

9. On page 66942, for APC 1606, in line 52—

A. In column 5, the payment rate “$2,693.80” is corrected to read “$1,706.04.”

B. In column 7, the minimum unadjusted copayment “$538.76” is corrected to read “$341.21.”

10. On page 66943, for APC 2940, in line 37—

A. In column 5, the payment rate “$168.90” is corrected to read “$42.69.”

B. In column 7, the minimum unadjusted copayment “$33.78” is corrected to read “$8.54.”

11. On page 66944, for APC 9051, in line 5—

A. In column 5, the payment rate “$74.16” is corrected to read “$23.23.”

B. In column 7, the minimum unadjusted copayment “$14.83” is corrected to read “$4.65.”

12. On page 66944, for APC 9126, in line 17, in column 7, the minimum unadjusted copayment “$1.50” is corrected to read “$1.49.”

13. On page 66944, for APC 9140, in line 23—

A. In column 5, the payment rate “$119.86” is corrected to read “$118.82.”

B. In column 7, the minimum unadjusted copayment “$23.97” is corrected to read “$23.76.”

14. On page 66944, for APC 9141, in line 24—

A. In column 5, the payment rate “$45.53” is corrected to read “$66.38.”

B. In column 7, the minimum unadjusted copayment “$9.11” is corrected to read “$13.28.”

15. On page 66944, for APC 9167, in line 29—

A. In column 5, the payment rate “$77.96” is corrected to read “$219.39.”

B. In column 7, the minimum unadjusted copayment “$15.59” is corrected to read “$43.88.”

16. On page 66944—

A. For APC 9227, in line 43, in column 7, the minimum unadjusted copayment “$0.29” is corrected to read “$0.28.”

B. For APC 9229, in line 45, in column 7, the minimum unadjusted copayment “$27.79” is corrected to read “$27.53.”

C. For APC 9230, in line 46, in column 7, the minimum unadjusted copayment “$3.74” is corrected to read “$3.70.”

D. For APC 9232, in line 48, in column 7, the minimum unadjusted copayment “$91.01” is corrected to read “$90.15.”

E. For APC 9233, in line 49, in column 7, the minimum unadjusted copayment “$406.05” is corrected to read “$402.22.”

F. For APC 9235, in line 51, in column 7, the minimum unadjusted copayment “$16.63” is corrected to read “$16.47.”

G. For APC 9236, in line 52, in column 7, the minimum unadjusted copayment “$35.28” is corrected to read “$34.94.”

17. On page 66944, for APC 9350, in line 55—

A. In column 5, the payment rate “$482.56” is corrected to read “$496.87.”

B. In column 7, the minimum unadjusted copayment “$96.51” is corrected to read “$98.44.”

18. On page 66944, for APC 9351, in line 56—

A. In column 5, the payment rate “$67.96” is corrected to read “$95.32.”

B. In column 7, the minimum unadjusted copayment “$13.59” is corrected to read “$18.88.”

ADDENDUM AA.—ASC COVERED SURGICAL PROCEDURES FOR CY 2008

We are republishing Addendum AA in its entirety. See attached chart.

ADDENDUM B.—OPPS PAYMENT BY HCPCS CODE FOR CY 2008

1. On page 67095, the chart for HCPCS codes starting with HCPCS code 90649 through HCPCS code 90708 should read as follows:

HCPCS code

Short descriptor

CI

SI

APC

Relative weight

Payment rate

National unadjusted copayment

Minimum unadjusted copayment

90650

Hpv typ bival 3 dose, im

NI

E

90655

Flu vaccine no preserv 6-35m

L

90656

Flu vaccine no preserv 3 & >

L

90657

Flu vaccine, 3 yrs, im

L

90658

Flu vaccine, 3 yrs & >, im

L

90660

Flu vaccine, nasal

L

90661

Flu vacc cell cult prsv free

NI

E

90662

Flu vacc prsv free inc antig

NI

E

90663

Flu vacc pandemic

NI

E

90665

Lyme disease vaccine, im

N

90669

Pneumococcal vacc, ped <5

CH

L

90675

Rabies vaccine, im

K

9139

$150.80

$30.16

90676

Rabies vaccine, id

K

9140

$118.82

$23.76

90680

Rotavirus vacc 3 dose, oral

N

90681

Rotavirus vacc 2 dose, oral

NI

E

90690

Typhoid vaccine, oral

N

90691

Typhoid vaccine, im

N

90692

Typhoid vaccine, h-p, sc/id

N

90693

Typhoid vaccine, akd, sc

B

90696

Dtap-ipv vacc 4-6 yr, im

NI

E

90698

Dtap-hib-ip vaccine, im

N

90700

Dtap vaccine, < 7 yrs, im

N

90701

Dtp vaccine, im

N

90702

Dt vaccine < 7, im

N

90703

Tetanus vaccine, im

N

90704

Mumps vaccine, sc

N

90705

Measles vaccine, sc

N

90706

Rubella vaccine, sc

N

90707

Mmr vaccine, sc

N

90708

Measles-rubella vaccine, sc

K

9141

$66.38

$13.28

2. On page 67118, for HCPCS code C9239, in line 25, in column 9, the minimum unadjusted copayment “$9.68” is corrected to read “$9.59.”

3. On page 67118, for HCPCS code C9352, in line 28—

A. In column 7, the payment rate “$482.56” is corrected to read “$496.87.”

B. In column 9, the minimum unadjusted copayment “$96.51” is corrected to read “$98.44.”

4. On page 67118, for HCPCS code C9353, in line 29—

A. In column 7, the payment rate “$482.56” is corrected to read “$407.56.”

B. In column 9, the minimum unadjusted copayment “$96.51” is corrected to read “$80.74.”

5. On page 67134, for HCPCS code G0377, in line 47—

A. In column 4, the SI code “S” is corrected to read “E.”

B. In column 5, the APC code “0437” is removed.

C. In column 6, the relative weight number “0.3945” is removed.

D. In column 7, the payment rate “$25.13” is removed.

E. In column 9, the minimum unadjusted copayment “$5.03” is removed.

6. On page 67139, for HCPCS code G9140, in line 40, in column 4, the SI code “M” is corrected to read “A”.

7. On page 67139, for HCPCS code J0129, in line 43, in column 9, the minimum unadjusted copayment “$3.74” is corrected to read “$3.70.”

8. On page 67139, for HCPCS code J0190, in line 52—

A. In column 7, the payment rate “$88.15” is corrected to read “$12.24.”

B. In column 9, the minimum unadjusted copayment “$17.63” is corrected to read “$2.45.”

9. On page 67139, for HCPCS code J0350, in line 74—

A. In column 7, the payment rate “$2,693.80” is corrected to read “$1,706.04.”

B. In column 9, the minimum unadjusted copayment “$538.76” is corrected to read “$341.21.”

10. On page 67141, for HCPCS code J1300, in line 17, in column 9, the minimum unadjusted copayment “$35.28” is corrected to read “$34.94.”

11. On page 67142—

A. For HCPCS code J1740, in line 4, in column 9, the minimum unadjusted copayment “$27.79” is corrected to read “$27.53.”

B. For HCPCS code J1743, in line 6, in column 9, the minimum unadjusted copayment “$91.01” is corrected to read “$90.15.”

C. For HCPCS code J2248, in line 43, in column 9, the minimum unadjusted copayment “$0.29” is corrected to read “$0.28.”

D. For HCPCS code J2323, in line 57, in column 9, the minimum unadjusted

copayment “$1.50” is corrected to read “$1.49.”

12. On page 67143 for HCPCS code J2778, in line 21, in column 9, the minimum unadjusted copayment “$406.05” is corrected to read “$402.22.”

13. On page 67143, for HCPCS code J2940, in line 39—

A. In column 7, the payment rate “$168.90” is corrected to read “$42.69.”

B. In column 9, the minimum unadjusted copayment “$33.78” is corrected to read “$8.54.”

14. On page 67143, for HCPCS code J2995, in line 43—

A. In column 7, the payment rate “$129.75” is corrected to read “$20.89.”

B. In column 9, the minimum unadjusted copayment “$25.95” is corrected to read “$4.18.”

15. On page 67143, for HCPCS code J3350, in line 72—

A. In column 7, the payment rate “$74.16” is corrected to read “$23.23.”

B. In column 9, the minimum unadjusted copayment “$14.83” is corrected to read “$4.65.”

16. On page 67144, for HCPCS code J3488, in line 15, in column 9, the minimum unadjusted copayment “$44.16” is corrected to read “$43.74.”

17. On page 67144, for HCPCS code J7348, in line 65—

A. In column 7, the payment rate “$67.96” is corrected to read “$95.32,”

B. In column 9, the minimum unadjusted copayment “$13.59” is corrected to read “$18.88.”

18. On page 67144, for HCPCS code J7349, in line 66—

A. In column 7, the payment rate “$67.96” is corrected to read “$42.24,”

B. In column 9, the minimum unadjusted copayment “$13.59” is corrected to read “$8.37.”

19. On page 67146, for HCPCS code J9261, in line 65, in column 9, the minimum unadjusted copayment “$17.37” is corrected to read “$17.20.”

20. On page 67146, for HCPCS code J9270, in line 71—

A. In column 7, the payment rate “$172.41” is corrected to read “$19.81.”

B. In column 9, the minimum unadjusted copayment “$34.48” is corrected to read “$3.96.”

21. On page 67146, for HCPCS code J9303, in line 77, in column 9, the minimum unadjusted copayment “$16.63” is corrected to read “$16.47.”

22. On page 67147, for HCPCS code J9357, in line 4—

A. In column 7, the payment rate “$77.96” is corrected to read “$219.39.”

B. In column 9, the minimum unadjusted copayment “$15.59” is corrected to read “$43.88.”

ADDENDUM BB.—ASC COVERED ANCILLARY SERVICES INTEGRAL TO COVERED SURGICAL PROCEDURES FOR CY 2008

We are republishing Addendum BB in its entirety, see attached chart.

ADDENDUM DD2.—OPPS COMMENT INDICATORS

On page 67190, in line 1, the header “ADDENDUM DD2—OPPS COMMENT INDICATORS” is corrected to read “ADDENDUM D2—OPPS COMMENT INDICATORS.”

ADDENDUM M.—HCPCS CODES FOR ASSIGNMENT TO COMPOSITE APCS FOR CY 2008

On page 67225—

A. For HCPCS code 90862, in line 19, in column 5, the single code APC assignment number “0605” is corrected to read “0606.”

B. For HCPCS code 96102, in line 24, in column 5, the single code APC assignment number “0373” is corrected to read “0382.”

C. For HCPCS code M0064, in line 37, in column 5, the single code APC assignment number “0605” is corrected to read “0606.”

IV. Waiver of Proposed Rulemaking and Delay in Effective Date

We ordinarily publish a notice of proposed rulemaking in the

Federal Register

to provide a period for public comment before the provisions of a notice such as this takes effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). We also ordinarily provide a 30-day delay in the effective date of the provisions of a notice in accordance with section 553(d) of the APA (5 U.S.C. 553(d)). However, we can waive both the notice and comment procedure and the 30-day delay in effective date if the Secretary finds, for good cause, that it is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice. The policies and payment methodology finalized in the CY 2008 OPPS/ASC final rule with comment period have previously been subjected to notice and comment procedures.

This correction notice merely provides technical corrections to the CY 2008 OPPS/ASC final rule with comment period that was promulgated through notice and comment rulemaking, and does not make substantive changes to the policies or payment methodologies that were finalized in the final rule with comment period. For example, in order to conform the document to the final policies of the CY 2008 OPPS/ASC final rule with comment period, this notice corrects typographical errors, makes clarifications to the preamble text, and revises inaccurate tabular data. Therefore, we find it unnecessary to undertake further notice and comment procedures with respect to this correction notice. For the reasons stated above, we find that both notice and comment and the 30-day delay in effective date for this correction notice are unnecessary. Therefore, we find there is good cause to waive notice and comment procedures and the 30-day delay in effective date for this correction notice.

(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Dated: February 5, 2008.

Ann Agnew,

Executive Secretary to the Department.

Addendum AA.—ASC Covered Surgical Procedures for CY 2008

[Including Surgical Procedures for Which Payment Is Packaged]

HCPCS code

Short descriptor

Subject to multiple procedure discounting

Comment indicator

Payment indicator

CY 2007 ASC payment rate

CY 2008 fully implemented payment weight

CY 2008 fully implemented payment

CY 2008 first transition year payment

0016T

Thermotx choroid vasc lesion

Y

R2

4.1331

$171.11

$171.11

0017T

Photocoagulat macular drusen

Y

R2

4.1331

$171.11

$171.11

0027T

Endoscopic epidural lysis

Y

G2

18.0518

$747.36

$747.36

0031T

Speculoscopy

N

N1

0032T

Speculoscopy w/direct sample

N

N1

0046T

Cath lavage, mammary duct(s)

Y

R2

16.1001

$666.56

$666.56

0047T

Cath lavage, mammary duct(s)

Y

R2

16.1001

$666.56

$666.56

0062T

Rep intradisc annulus;1 lev

Y

G2

29.19

$1,208.50

$1,208.50

0063T

Rep intradisc annulus; >1 lev

Y

G2

29.19

$1,208.50

$1,208.50

0084T

Temp prostate urethral stent

Y

G2

2.0077

$83.12

$83.12

0088T

Rf tongue base vol reduxn

Y

CH

G2

16.3288

$676.03

$676.03

0099T *

Implant corneal ring

Y

R2

16.171

$669.50

$669.50

0100T

Prosth retina receive & gen

Y

G2

37.2078

$1,540.44

$1,540.44

0101T

Extracorp shockwv tx,hi enrg

Y

G2

29.19

$1,208.50

$1,208.50

0102T

Extracorp shockwv tx,anesth

Y

G2

29.19

$1,208.50

$1,208.50

0123T

Scleral fistulization

Y

G2

23.1758

$959.50

$959.50

0124T *

Conjunctival drug placement

Y

R2

5.1169

$211.84

$211.84

0137T

Prostate saturation sampling

Y

CH

G2

11.0338

$456.81

$456.81

0170T

Anorectal fistula plug rpr

Y

CH

G2

30.1606

$1,248.68

$1,248.68

0176T

Aqu canal dilat w/o retent

Y

A2

$1,339.00

39.7101

$1,644.04

$1,415.26

0177T

Aqu canal dilat w retent

Y

A2

$1,339.00

39.7101

$1,644.04

$1,415.26

0186T

Suprachoroidal drug delivery

Y

NI

G2

18.235

$754.95

$754.95

10021

Fna w/o image

Y

P2

1.1097

$45.94

$45.94

10022

Fna w/image

Y

G2

4.327

$179.14

$179.14

10040

Acne surgery

Y

P2

0.793

$32.83

$32.83

10060

Drainage of skin abscess

Y

P3

1.1191

$46.33

$46.33

10061

Drainage of skin abscess

Y

P2

1.4066

$58.23

$58.23

10080

Drainage of pilonidal cyst

Y

P2

1.4066

$58.23

$58.23

10081

Drainage of pilonidal cyst

Y

P3

3.1106

$128.78

$128.78

10120

Remove foreign body

Y

P2

1.4066

$58.23

$58.23

10121

Remove foreign body

Y

A2

$446.00

16.1001

$666.56

$501.14

10140

Drainage of hematoma/fluid

Y

P3

1.6623

$68.82

$68.82

10160

Puncture drainage of lesion

Y

P2

1.4066

$58.23

$58.23

10180

Complex drainage, wound

Y

A2

$446.00

18.3197

$758.45

$524.11

11000

Debride infected skin

Y

P3

0.5348

$22.14

$22.14

11001

Debride infected skin add-on

Y

P3

0.1894

$7.84

$7.84

11010

Debride skin, fx

Y

A2

$251.52

4.3039

$178.19

$233.19

11011

Debride skin/muscle, fx

Y

A2

$251.52

4.3039

$178.19

$233.19

11012

Debride skin/muscle/bone, fx

Y

A2

$251.52

4.3039

$178.19

$233.19

11040

Debride skin, partial

Y

P3

0.4937

$20.44

$20.44

11041

Debride skin, full

Y

P3

0.5679

$23.51

$23.51

11042

Debride skin/tissue

Y

A2

$164.42

2.6604

$110.14

$150.85

11043

Debride tissue/muscle

Y

A2

$164.42

2.6604

$110.14

$150.85

11044

Debride tissue/muscle/bone

Y

A2

$423.10

6.8816

$284.91

$388.55

11055

Trim skin lesion

Y

P3

0.5596

$23.17

$23.17

11056

Trim skin lesions, 2 to 4

Y

P3

0.6253

$25.89

$25.89

11057

Trim skin lesions, over 4

Y

P3

0.7077

$29.30

$29.30

11100

Biopsy, skin lesion

Y

P2

0.793

$32.83

$32.83

11101

Biopsy, skin add-on

Y

P3

0.3046

$12.61

$12.61

11200

Removal of skin tags

Y

CH

P2

0.793

$32.83

$32.83

11201

Remove skin tags add-on

Y

P3

0.1316

$5.45

$5.45

11300

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11301

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11302

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11303

Shave skin lesion

Y

P2

1.4595

$60.42

$60.42

11305

Shave skin lesion

Y

P3

0.7901

$32.71

$32.71

11306

Shave skin lesion

Y

CH

P2

0.793

$32.83

$32.83

11307

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11308

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11310

Shave skin lesion

Y

CH

P2

0.793

$32.83

$32.83

11311

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11312

Shave skin lesion

Y

P2

0.793

$32.83

$32.83

11313

Shave skin lesion

Y

CH

P2

0.793

$32.83

$32.83

11400

Exc tr-ext b9+marg 0.5 < cm

Y

P3

1.5963

$66.09

$66.09

11401

Exc tr-ext b9+marg 0.6-1 cm

Y

P3

1.7444

$72.22

$72.22

11402

Exc tr-ext b9+marg 1.1-2 cm

Y

P3

1.9009

$78.70

$78.70

11403

Exc tr-ext b9+marg 2.1-3 cm

Y

P3

2.0408

$84.49

$84.49

11404

Exc tr-ext b9+marg 3.1-4 cm

Y

A2

$333.00

16.1001

$666.56

$416.39

11406

Exc tr-ext b9+marg > 4.0 cm

Y

A2

$446.00

16.1001

$666.56

$501.14

11420

Exc h-f-nk-sp b9+marg 0.5 <

Y

P3

1.4811

$61.32

$61.32

11421

Exc h-f-nk-sp b9+marg 0.6-1

Y

P3

1.7611

$72.91

$72.91

11422

Exc h-f-nk-sp b9+marg 1.1-2

Y

P3

1.9338

$80.06

$80.06

11423

Exc h-f-nk-sp b9+marg 2.1-3

Y

P3

2.1642

$89.60

$89.60

11424

Exc h-f-nk-sp b9+marg 3.1-4

Y

A2

$446.00

16.1001

$666.56

$501.14

11426

Exc h-f-nk-sp b9+marg > 4 cm

Y

A2

$446.00

21.1098

$873.97

$552.99

11440

Exc face-mm b9+marg 0.5 < cm

Y

P3

1.728

$71.54

$71.54

11441

Exc face-mm b9+marg 0.6-1 cm

Y

P3

1.942

$80.40

$80.40

11442

Exc face-mm b9+marg 1.1-2 cm

Y

P3

2.1313

$88.24

$88.24

11443

Exc face-mm b9+marg 2.1-3 cm

Y

P3

2.3864

$98.80

$98.80

11444

Exc face-mm b9+marg 3.1-4 cm

Y

A2

$333.00

8.685

$359.57

$339.64

11446

Exc face-mm b9+marg > 4 cm

Y

A2

$446.00

21.1098

$873.97

$552.99

11450

Removal, sweat gland lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

11451

Removal, sweat gland lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

11462

Removal, sweat gland lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

11463

Removal, sweat gland lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

11470

Removal, sweat gland lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

11471

Removal, sweat gland lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

11600

Exc tr-ext mlg+marg 0.5 < cm

Y

P3

2.2135

$91.64

$91.64

11601

Exc tr-ext mlg+marg 0.6-1 cm

Y

P3

2.5263

$104.59

$104.59

11602

Exc tr-ext mlg+marg 1.1-2 cm

Y

P3

2.7485

$113.79

$113.79

11603

Exc tr-ext mlg+marg 2.1-3 cm

Y

P3

2.9294

$121.28

$121.28

11604

Exc tr-ext mlg+marg 3.1-4 cm

Y

A2

$418.49

8.685

$359.57

$403.76

11606

Exc tr-ext mlg+marg > 4 cm

Y

A2

$446.00

16.1001

$666.56

$501.14

11620

Exc h-f-nk-sp mlg+marg 0.5 <

Y

P3

2.2384

$92.67

$92.67

11621

Exc h-f-nk-sp mlg+marg 0.6-1

Y

P3

2.5509

$105.61

$105.61

11622

Exc h-f-nk-sp mlg+marg 1.1-2

Y

P3

2.8224

$116.85

$116.85

11623

Exc h-f-nk-sp mlg+marg 2.1-3

Y

P3

3.0692

$127.07

$127.07

11624

Exc h-f-nk-sp mlg+marg 3.1-4

Y

A2

$446.00

16.1001

$666.56

$501.14

11626

Exc h-f-nk-sp mlg+mar > 4 cm

Y

A2

$446.00

21.1098

$873.97

$552.99

11640

Exc face-mm malig+marg 0.5 <

Y

P3

2.3536

$97.44

$97.44

11641

Exc face-mm malig+marg 0.6-1

Y

P3

2.7403

$113.45

$113.45

11642

Exc face-mm malig+marg 1.1-2

Y

P3

3.061

$126.73

$126.73

11643

Exc face-mm malig+marg 2.1-3

Y

P3

3.3246

$137.64

$137.64

11644

Exc face-mm malig+marg 3.1-4

Y

A2

$446.00

16.1001

$666.56

$501.14

11646

Exc face-mm mlg+marg > 4 cm

Y

A2

$446.00

21.1098

$873.97

$552.99

11719

Trim nail(s)

Y

P3

0.2551

$10.56

$10.56

11720

Debride nail, 1-5

Y

P3

0.3292

$13.63

$13.63

11721

Debride nail, 6 or more

Y

P3

0.4031

$16.69

$16.69

11730

Removal of nail plate

Y

CH

P2

0.793

$32.83

$32.83

11732

Remove nail plate, add-on

Y

P3

0.4031

$16.69

$16.69

11740

Drain blood from under nail

Y

CH

P2

0.2963

$12.27

$12.27

11750

Removal of nail bed

Y

P3

2.1065

$87.21

$87.21

11752

Remove nail bed/finger tip

Y

P3

2.9048

$120.26

$120.26

11755

Biopsy, nail unit

Y

P3

1.4811

$61.32

$61.32

11760

Repair of nail bed

Y

G2

2.1051

$87.15

$87.15

11762

Reconstruction of nail bed

Y

CH

P3

2.7072

$112.08

$112.08

11765

Excision of nail fold, toe

Y

P2

1.4595

$60.42

$60.42

11770

Removal of pilonidal lesion

Y

A2

$510.00

21.1098

$873.97

$600.99

11771

Removal of pilonidal lesion

Y

A2

$510.00

21.1098

$873.97

$600.99

11772

Removal of pilonidal lesion

Y

A2

$510.00

21.1098

$873.97

$600.99

11900

Injection into skin lesions

Y

P3

0.6418

$26.57

$26.57

11901

Added skin lesions injection

Y

P3

0.6831

$28.28

$28.28

11920

Correct skin color defects

Y

P2

2.1051

$87.15

$87.15

11921

Correct skin color defects

Y

P2

2.1051

$87.15

$87.15

11922

Correct skin color defects

Y

P3

0.8476

$35.09

$35.09

11950

Therapy for contour defects

Y

P3

0.8311

$34.41

$34.41

11951

Therapy for contour defects

Y

P3

0.9874

$40.88

$40.88

11952

Therapy for contour defects

Y

CH

P2

1.2792

$52.96

$52.96

11954

Therapy for contour defects

Y

P2

1.2792

$52.96

$52.96

11960

Insert tissue expander(s)

Y

A2

$446.00

20.2069

$836.59

$543.65

11970

Replace tissue expander

Y

A2

$510.00

42.985

$1,779.62

$827.41

11971

Remove tissue expander(s)

Y

A2

$333.00

21.1098

$873.97

$468.24

11976

Removal of contraceptive cap

Y

P3

1.4154

$58.60

$58.60

11980

Implant hormone pellet(s)

N

P2

0.631

$26.12

$26.12

11981

Insert drug implant device

N

P2

0.631

$26.12

$26.12

11982

Remove drug implant device

N

P2

0.631

$26.12

$26.12

11983

Remove/insert drug implant

N

P2

0.631

$26.12

$26.12

12001

Repair superficial wound(s)

Y

P2

1.2792

$52.96

$52.96

12002

Repair superficial wound(s)

Y

P2

1.2792

$52.96

$52.96

12004

Repair superficial wound(s)

Y

P2

1.2792

$52.96

$52.96

12005

Repair superficial wound(s)

Y

A2

$91.24

1.2792

$52.96

$81.67

12006

Repair superficial wound(s)

Y

A2

$91.24

1.2792

$52.96

$81.67

12007

Repair superficial wound(s)

Y

A2

$91.24

1.2792

$52.96

$81.67

12011

Repair superficial wound(s)

Y

P2

1.2792

$52.96

$52.96

12013

Repair superficial wound(s)

Y

P2

1.2792

$52.96

$52.96

12014

Repair superficial wound(s)

Y

P2

1.2792

$52.96

$52.96

12015

Repair superficial wound(s)

Y

G2

1.2792

$52.96

$52.96

12016

Repair superficial wound(s)

Y

A2

$91.24

1.2792

$52.96

$81.67

12017

Repair superficial wound(s)

Y

A2

$91.24

1.2792

$52.96

$81.67

12018

Repair superficial wound(s)

Y

A2

$91.24

1.2792

$52.96

$81.67

12020

Closure of split wound

Y

A2

$91.24

4.5263

$187.39

$115.28

12021

Closure of split wound

Y

A2

$91.24

4.5263

$187.39

$115.28

12031

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12032

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12034

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12035

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12036

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12037

Layer closure of wound(s)

Y

A2

$323.28

2.1051

$87.15

$264.25

12041

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12042

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12044

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12045

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12046

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12047

Layer closure of wound(s)

Y

A2

$323.28

2.1051

$87.15

$264.25

12051

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12052

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12053

Layer closure of wound(s)

Y

P2

2.1051

$87.15

$87.15

12054

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12055

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12056

Layer closure of wound(s)

Y

A2

$91.24

2.1051

$87.15

$90.22

12057

Layer closure of wound(s)

Y

A2

$323.28

2.1051

$87.15

$264.25

13100

Repair of wound or lesion

Y

A2

$323.28

4.5263

$187.39

$289.31

13101

Repair of wound or lesion

Y

A2

$323.28

4.5263

$187.39

$289.31

13102

Repair wound/lesion add-on

Y

A2

$91.24

4.5263

$187.39

$115.28

13120

Repair of wound or lesion

Y

A2

$91.24

2.1051

$87.15

$90.22

13121

Repair of wound or lesion

Y

A2

$91.24

4.5263

$187.39

$115.28

13122

Repair wound/lesion add-on

Y

A2

$91.24

2.1051

$87.15

$90.22

13131

Repair of wound or lesion

Y

A2

$91.24

4.5263

$187.39

$115.28

13132

Repair of wound or lesion

Y

A2

$91.24

4.5263

$187.39

$115.28

13133

Repair wound/lesion add-on

Y

A2

$91.24

4.5263

$187.39

$115.28

13150

Repair of wound or lesion

Y

A2

$323.28

4.5263

$187.39

$289.31

13151

Repair of wound or lesion

Y

A2

$323.28

4.5263

$187.39

$289.31

13152

Repair of wound or lesion

Y

A2

$323.28

4.5263

$187.39

$289.31

13153

Repair wound/lesion add-on

Y

A2

$91.24

2.1051

$87.15

$90.22

13160

Late closure of wound

Y

A2

$446.00

20.2069

$836.59

$543.65

14000

Skin tissue rearrangement

Y

A2

$446.00

15.0458

$622.91

$490.23

14001

Skin tissue rearrangement

Y

A2

$510.00

15.0458

$622.91

$538.23

14020

Skin tissue rearrangement

Y

A2

$510.00

15.0458

$622.91

$538.23

14021

Skin tissue rearrangement

Y

A2

$510.00

15.0458

$622.91

$538.23

14040

Skin tissue rearrangement

Y

A2

$446.00

15.0458

$622.91

$490.23

14041

Skin tissue rearrangement

Y

A2

$510.00

15.0458

$622.91

$538.23

14060

Skin tissue rearrangement

Y

A2

$510.00

15.0458

$622.91

$538.23

14061

Skin tissue rearrangement

Y

A2

$510.00

15.0458

$622.91

$538.23

14300

Skin tissue rearrangement

Y

A2

$630.00

20.2069

$836.59

$681.65

14350

Skin tissue rearrangement

Y

A2

$510.00

20.2069

$836.59

$591.65

15002

Wnd prep, ch/inf, trk/arm/lg

Y

A2

$323.28

4.5263

$187.39

$289.31

15003

Wnd prep, ch/inf addl 100 cm

Y

A2

$323.28

4.5263

$187.39

$289.31

15004

Wnd prep ch/inf, f/n/hf/g

Y

A2

$323.28

4.5263

$187.39

$289.31

15005

Wnd prep, f/n/hf/g, addl cm

Y

A2

$323.28

4.5263

$187.39

$289.31

15040

Harvest cultured skin graft

Y

A2

$91.24

2.1051

$87.15

$90.22

15050

Skin pinch graft

Y

A2

$323.28

4.5263

$187.39

$289.31

15100

Skin splt grft, trnk/arm/leg

Y

A2

$446.00

20.2069

$836.59

$543.65

15101

Skin splt grft t/a/l, add-on

Y

A2

$510.00

20.2069

$836.59

$591.65

15110

Epidrm autogrft trnk/arm/leg

Y

A2

$446.00

4.5263

$187.39

$381.35

15111

Epidrm autogrft t/a/l add-on

Y

A2

$333.00

4.5263

$187.39

$296.60

15115

Epidrm a-grft face/nck/hf/g

Y

A2

$446.00

4.5263

$187.39

$381.35

15116

Epidrm a-grft f/n/hf/g addl

Y

A2

$333.00

4.5263

$187.39

$296.60

15120

Skn splt a-grft fac/nck/hf/g

Y

A2

$446.00

20.2069

$836.59

$543.65

15121

Skn splt a-grft f/n/hf/g add

Y

A2

$510.00

20.2069

$836.59

$591.65

15130

Derm autograft, trnk/arm/leg

Y

A2

$446.00

15.0458

$622.91

$490.23

15131

Derm autograft t/a/l add-on

Y

A2

$333.00

15.0458

$622.91

$405.48

15135

Derm autograft face/nck/hf/g

Y

A2

$446.00

15.0458

$622.91

$490.23

15136

Derm autograft, f/n/hf/g add

Y

A2

$333.00

15.0458

$622.91

$405.48

15150

Cult epiderm grft t/arm/leg

Y

A2

$446.00

4.5263

$187.39

$381.35

15151

Cult epiderm grft t/a/l addl

Y

A2

$333.00

4.5263

$187.39

$296.60

15152

Cult epiderm graft t/a/l +%

Y

A2

$333.00

4.5263

$187.39

$296.60

15155

Cult epiderm graft, f/n/hf/g

Y

A2

$446.00

4.5263

$187.39

$381.35

15156

Cult epidrm grft f/n/hfg add

Y

A2

$333.00

4.5263

$187.39

$296.60

15157

Cult epiderm grft f/n/hfg +%

Y

A2

$333.00

4.5263

$187.39

$296.60

15200

Skin full graft, trunk

Y

A2

$510.00

15.0458

$622.91

$538.23

15201

Skin full graft trunk add-on

Y

A2

$323.28

15.0458

$622.91

$398.19

15220

Skin full graft sclp/arm/leg

Y

A2

$446.00

15.0458

$622.91

$490.23

15221

Skin full graft add-on

Y

A2

$323.28

4.5263

$187.39

$289.31

15240

Skin full grft face/genit/hf

Y

A2

$510.00

15.0458

$622.91

$538.23

15241

Skin full graft add-on

Y

A2

$323.28

4.5263

$187.39

$289.31

15260

Skin full graft een & lips

Y

A2

$446.00

15.0458

$622.91

$490.23

15261

Skin full graft add-on

Y

A2

$323.28

15.0458

$622.91

$398.19

15300

Apply skinallogrft, t/arm/lg

Y

A2

$323.28

4.5263

$187.39

$289.31

15301

Apply sknallogrft t/a/l addl

Y

A2

$323.28

4.5263

$187.39

$289.31

15320

Apply skin allogrft f/n/hf/g

Y

A2

$323.28

4.5263

$187.39

$289.31

15321

Aply sknallogrft f/n/hfg add

Y

A2

$323.28

4.5263

$187.39

$289.31

15330

Aply acell alogrft t/arm/leg

Y

A2

$323.28

4.5263

$187.39

$289.31

15331

Aply acell grft t/a/l add-on

Y

A2

$323.28

4.5263

$187.39

$289.31

15335

Apply acell graft, f/n/hf/g

Y

A2

$323.28

4.5263

$187.39

$289.31

15336

Aply acell grft f/n/hf/g add

Y

A2

$323.28

4.5263

$187.39

$289.31

15340

Apply cult skin substitute

Y

CH

G2

2.1051

$87.15

$87.15

15341

Apply cult skin sub add-on

Y

G2

2.1051

$87.15

$87.15

15360

Apply cult derm sub, t/a/l

Y

G2

2.1051

$87.15

$87.15

15361

Aply cult derm sub t/a/l add

Y

G2

2.1051

$87.15

$87.15

15365

Apply cult derm sub f/n/hf/g

Y

G2

2.1051

$87.15

$87.15

15366

Apply cult derm f/hf/g add

Y

G2

2.1051

$87.15

$87.15

15400

Apply skin xenograft, t/a/l

Y

A2

$323.28

4.5263

$187.39

$289.31

15401

Apply skn xenogrft t/a/l add

Y

A2

$323.28

4.5263

$187.39

$289.31

15420

Apply skin xgraft, f/n/hf/g

Y

A2

$323.28

4.5263

$187.39

$289.31

15421

Apply skn xgrft f/n/hf/g add

Y

A2

$323.28

4.5263

$187.39

$289.31

15430

Apply acellular xenograft

Y

A2

$323.28

4.5263

$187.39

$289.31

15431

Apply acellular xgraft add

Y

A2

$323.28

4.5263

$187.39

$289.31

15570

Form skin pedicle flap

Y

A2

$510.00

20.2069

$836.59

$591.65

15572

Form skin pedicle flap

Y

A2

$510.00

20.2069

$836.59

$591.65

15574

Form skin pedicle flap

Y

A2

$510.00

20.2069

$836.59

$591.65

15576

Form skin pedicle flap

Y

A2

$510.00

20.2069

$836.59

$591.65

15600

Skin graft

Y

A2

$510.00

20.2069

$836.59

$591.65

15610

Skin graft

Y

A2

$510.00

20.2069

$836.59

$591.65

15620

Skin graft

Y

A2

$630.00

20.2069

$836.59

$681.65

15630

Skin graft

Y

A2

$510.00

20.2069

$836.59

$591.65

15650

Transfer skin pedicle flap

Y

A2

$717.00

20.2069

$836.59

$746.90

15731

Forehead flap w/vasc pedicle

Y

A2

$510.00

20.2069

$836.59

$591.65

15732

Muscle-skin graft, head/neck

Y

A2

$510.00

20.2069

$836.59

$591.65

15734

Muscle-skin graft, trunk

Y

A2

$510.00

20.2069

$836.59

$591.65

15736

Muscle-skin graft, arm

Y

A2

$510.00

20.2069

$836.59

$591.65

15738

Muscle-skin graft, leg

Y

A2

$510.00

20.2069

$836.59

$591.65

15740

Island pedicle flap graft

Y

A2

$446.00

15.0458

$622.91

$490.23

15750

Neurovascular pedicle graft

Y

A2

$446.00

20.2069

$836.59

$543.65

15760

Composite skin graft

Y

A2

$446.00

20.2069

$836.59

$543.65

15770

Derma-fat-fascia graft

Y

A2

$510.00

20.2069

$836.59

$591.65

15775

Hair transplant punch grafts

Y

A2

$323.28

1.2792

$52.96

$255.70

15776

Hair transplant punch grafts

Y

A2

$323.28

1.2792

$52.96

$255.70

15780

Abrasion treatment of skin

Y

P3

9.3645

$387.70

$387.70

15781

Abrasion treatment of skin

Y

P2

4.3039

$178.19

$178.19

15782

Abrasion treatment of skin

Y

P2

4.3039

$178.19

$178.19

15783

Abrasion treatment of skin

Y

P2

2.6604

$110.14

$110.14

15786

Abrasion, lesion, single

Y

P2

0.793

$32.83

$32.83

15787

Abrasion, lesions, add-on

Y

P3

0.7901

$32.71

$32.71

15788

Chemical peel, face, epiderm

Y

P2

0.793

$32.83

$32.83

15789

Chemical peel, face, dermal

Y

P2

1.4595

$60.42

$60.42

15792

Chemical peel, nonfacial

Y

P2

1.4595

$60.42

$60.42

15793

Chemical peel, nonfacial

Y

P2

0.793

$32.83

$32.83

15819

Plastic surgery, neck

Y

G2

2.1051

$87.15

$87.15

15820

Revision of lower eyelid

Y

A2

$510.00

20.2069

$836.59

$591.65

15821

Revision of lower eyelid

Y

A2

$510.00

20.2069

$836.59

$591.65

15822

Revision of upper eyelid

Y

A2

$510.00

20.2069

$836.59

$591.65

15823

Revision of upper eyelid

Y

A2

$717.00

20.2069

$836.59

$746.90

15824

Removal of forehead wrinkles

Y

A2

$510.00

20.2069

$836.59

$591.65

15825

Removal of neck wrinkles

Y

A2

$510.00

20.2069

$836.59

$591.65

15826

Removal of brow wrinkles

Y

A2

$510.00

20.2069

$836.59

$591.65

15828

Removal of face wrinkles

Y

A2

$510.00

20.2069

$836.59

$591.65

15829

Removal of skin wrinkles

Y

A2

$717.00

20.2069

$836.59

$746.90

15830

Exc skin abd

Y

A2

$510.00

21.1098

$873.97

$600.99

15832

Excise excessive skin tissue

Y

A2

$510.00

21.1098

$873.97

$600.99

15833

Excise excessive skin tissue

Y

A2

$510.00

21.1098

$873.97

$600.99

15834

Excise excessive skin tissue

Y

A2

$510.00

21.1098

$873.97

$600.99

15835

Excise excessive skin tissue

Y

A2

$323.28

21.1098

$873.97

$460.95

15836

Excise excessive skin tissue

Y

A2

$510.00

16.1001

$666.56

$549.14

15837

Excise excessive skin tissue

Y

G2

16.1001

$666.56

$666.56

15838

Excise excessive skin tissue

Y

G2

16.1001

$666.56

$666.56

15839

Excise excessive skin tissue

Y

A2

$510.00

16.1001

$666.56

$549.14

15840

Graft for face nerve palsy

Y

A2

$630.00

20.2069

$836.59

$681.65

15841

Graft for face nerve palsy

Y

A2

$630.00

20.2069

$836.59

$681.65

15842

Flap for face nerve palsy

Y

G2

20.2069

$836.59

$836.59

15845

Skin and muscle repair, face

Y

A2

$630.00

20.2069

$836.59

$681.65

15847

Exc skin abd add-on

Y

A2

$510.00

21.1098

$873.97

$600.99

15850

Removal of sutures

Y

G2

2.6604

$110.14

$110.14

15851

Removal of sutures

Y

P3

1.2425

$51.44

$51.44

15852

Dressing change not for burn

N

G2

0.631

$26.12

$26.12

15860

Test for blood flow in graft

N

G2

0.631

$26.12

$26.12

15876

Suction assisted lipectomy

Y

A2

$510.00

20.2069

$836.59

$591.65

15877

Suction assisted lipectomy

Y

A2

$510.00

20.2069

$836.59

$591.65

15878

Suction assisted lipectomy

Y

A2

$510.00

20.2069

$836.59

$591.65

15879

Suction assisted lipectomy

Y

A2

$510.00

20.2069

$836.59

$591.65

15920

Removal of tail bone ulcer

Y

A2

$251.52

4.3039

$178.19

$233.19

15922

Removal of tail bone ulcer

Y

A2

$630.00

20.2069

$836.59

$681.65

15931

Remove sacrum pressure sore

Y

A2

$510.00

21.1098

$873.97

$600.99

15933

Remove sacrum pressure sore

Y

A2

$510.00

21.1098

$873.97

$600.99

15934

Remove sacrum pressure sore

Y

A2

$510.00

20.2069

$836.59

$591.65

15935

Remove sacrum pressure sore

Y

A2

$630.00

20.2069

$836.59

$681.65

15936

Remove sacrum pressure sore

Y

A2

$630.00

15.0458

$622.91

$628.23

15937

Remove sacrum pressure sore

Y

A2

$630.00

20.2069

$836.59

$681.65

15940

Remove hip pressure sore

Y

A2

$510.00

21.1098

$873.97

$600.99

15941

Remove hip pressure sore

Y

A2

$510.00

21.1098

$873.97

$600.99

15944

Remove hip pressure sore

Y

A2

$510.00

20.2069

$836.59

$591.65

15945

Remove hip pressure sore

Y

A2

$630.00

20.2069

$836.59

$681.65

15946

Remove hip pressure sore

Y

A2

$630.00

20.2069

$836.59

$681.65

15950

Remove thigh pressure sore

Y

A2

$510.00

21.1098

$873.97

$600.99

15951

Remove thigh pressure sore

Y

A2

$630.00

21.1098

$873.97

$690.99

15952

Remove thigh pressure sore

Y

A2

$510.00

15.0458

$622.91

$538.23

15953

Remove thigh pressure sore

Y

A2

$630.00

15.0458

$622.91

$628.23

15956

Remove thigh pressure sore

Y

A2

$510.00

15.0458

$622.91

$538.23

15958

Remove thigh pressure sore

Y

A2

$630.00

15.0458

$622.91

$628.23

16000

Initial treatment of burn(s)

Y

P3

0.65

$26.91

$26.91

16020

Dress/debrid p-thick burn, s

Y

P3

0.9874

$40.88

$40.88

16025

Dress/debrid p-thick burn, m

Y

A2

$67.11

2.6604

$110.14

$77.87

16030

Dress/debrid p-thick burn, l

Y

A2

$99.83

2.6604

$110.14

$102.41

16035

Incision of burn scab, initi

Y

G2

2.6604

$110.14

$110.14

17000

Destruct premalg lesion

Y

P2

0.793

$32.83

$32.83

17003

Destruct premalg les, 2-14

Y

P3

0.0906

$3.75

$3.75

17004

Destroy premlg lesions 15+

Y

P3

1.9502

$80.74

$80.74

17106

Destruction of skin lesions

Y

P2

2.6604

$110.14

$110.14

17107

Destruction of skin lesions

Y

P2

2.6604

$110.14

$110.14

17108

Destruction of skin lesions

Y

P2

2.6604

$110.14

$110.14

17110

Destruct b9 lesion, 1-14

Y

P2

0.793

$32.83

$32.83

17111

Destruct lesion, 15 or more

Y

P2

1.4595

$60.42

$60.42

17250

Chemical cautery, tissue

Y

P3

1.0451

$43.27

$43.27

17260

Destruction of skin lesions

Y

P3

1.1026

$45.65

$45.65

17261

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17262

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17263

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17264

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17266

Destruction of skin lesions

Y

P3

2.4685

$102.20

$102.20

17270

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17271

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17272

Destruction of skin lesions

Y

P2

1.4595

$60.42

$60.42

17273

Destruction of skin lesions

Y

CH

P3

2.2299

$92.32

$92.32

17274

Destruction of skin lesions

Y

P3

2.5427

$105.27

$105.27

17276

Destruction of skin lesions

Y

P2

2.6604

$110.14

$110.14

17280

Destruction of skin lesions

Y

CH

P2

1.4595

$60.42

$60.42

17281

Destruction of skin lesions

Y

CH

P3

1.9091

$79.04

$79.04

17282

Destruction of skin lesions

Y

CH

P3

2.1806

$90.28

$90.28

17283

Destruction of skin lesions

Y

CH

P3

2.5098

$103.91

$103.91

17284

Destruction of skin lesions

Y

P2

2.6604

$110.14

$110.14

17286

Destruction of skin lesions

Y

P2

2.6604

$110.14

$110.14

17311

Mohs, 1 stage, h/n/hf/g

Y

P2

3.6321

$150.37

$150.37

17312

Mohs addl stage

Y

P2

3.6321

$150.37

$150.37

17313

Mohs, 1 stage, t/a/l

Y

P2

3.6321

$150.37

$150.37

17314

Mohs, addl stage, t/a/l

Y

P2

3.6321

$150.37

$150.37

17315

Mohs surg, addl block

Y

P3

0.9381

$38.84

$38.84

17340

Cryotherapy of skin

Y

P3

0.2961

$12.26

$12.26

17360

Skin peel therapy

Y

P2

0.793

$32.83

$32.83

17380

Hair removal by electrolysis

Y

R2

0.793

$32.83

$32.83

19000

Drainage of breast lesion

Y

P3

1.6046

$66.43

$66.43

19001

Drain breast lesion add-on

Y

P3

0.2058

$8.52

$8.52

19020

Incision of breast lesion

Y

A2

$446.00

18.3197

$758.45

$524.11

19030

Injection for breast x-ray

N

N1

19100

Bx breast percut w/o image

Y

A2

$240.00

4.327

$179.14

$224.79

19101

Biopsy of breast, open

Y

A2

$446.00

20.6417

$854.59

$548.15

19102

Bx breast percut w/image

Y

A2

$240.00

7.1147

$294.56

$253.64

19103

Bx breast percut w/device

Y

A2

$395.77

13.5764

$562.08

$437.35

19105

Cryosurg ablate fa, each

Y

G2

31.7134

$1,312.97

$1,312.97

19110

Nipple exploration

Y

A2

$446.00

20.6417

$854.59

$548.15

19112

Excise breast duct fistula

Y

A2

$510.00

20.6417

$854.59

$596.15

19120

Removal of breast lesion

Y

A2

$510.00

20.6417

$854.59

$596.15

19125

Excision, breast lesion

Y

A2

$510.00

20.6417

$854.59

$596.15

19126

Excision, addl breast lesion

Y

A2

$510.00

20.6417

$854.59

$596.15

19290

Place needle wire, breast

N

N1

19291

Place needle wire, breast

N

N1

19295

Place breast clip, percut

N

CH

N1

19296

Place po breast cath for rad

Y

A2

$1,339.00

56.5774

$2,342.36

$1,589.84

19297

Place breast cath for rad

Y

A2

$1,339.00

56.5774

$2,342.36

$1,589.84

19298

Place breast rad tube/caths

Y

A2

$1,339.00

56.5774

$2,342.36

$1,589.84

19300

Removal of breast tissue

Y

A2

$630.00

20.6417

$854.59

$686.15

19301

Partical mastectomy

Y

A2

$510.00

20.6417

$854.59

$596.15

19302

P-mastectomy w/ln removal

Y

A2

$995.00

39.8191

$1,648.55

$1,158.39

19303

Mast, simple, complete

Y

A2

$630.00

31.7134

$1,312.97

$800.74

19304

Mast, subq

Y

A2

$630.00

31.7134

$1,312.97

$800.74

19316

Suspension of breast

Y

A2

$630.00

31.7134

$1,312.97

$800.74

19318

Reduction of large breast

Y

A2

$630.00

39.8191

$1,648.55

$884.64

19324

Enlarge breast

Y

A2

$630.00

39.8191

$1,648.55

$884.64

19325

Enlarge breast with implant

Y

A2

$1,339.00

56.5774

$2,342.36

$1,589.84

19328

Removal of breast implant

Y

A2

$333.00

31.7134

$1,312.97

$577.99

19330

Removal of implant material

Y

A2

$333.00

31.7134

$1,312.97

$577.99

19340

Immediate breast prosthesis

Y

A2

$446.00

39.8191

$1,648.55

$746.64

19342

Delayed breast prosthesis

Y

A2

$510.00

56.5774

$2,342.36

$968.09

19350

Breast reconstruction

Y

A2

$630.00

20.6417

$854.59

$686.15

19355

Correct inverted nipple(s)

Y

A2

$630.00

31.7134

$1,312.97

$800.74

19357

Breast reconstruction

Y

A2

$717.00

56.5774

$2,342.36

$1,123.34

19366

Breast reconstruction

Y

A2

$717.00

31.7134

$1,312.97

$865.99

19370

Surgery of breast capsule

Y

A2

$630.00

31.7134

$1,312.97

$800.74

19371

Removal of breast capsule

Y

A2

$630.00

31.7134

$1,312.97

$800.74

19380

Revise breast reconstruction

Y

A2

$717.00

39.8191

$1,648.55

$949.89

19396

Design custom breast implant

Y

G2

31.7134

$1,312.97

$1,312.97

20000

Incision of abscess

Y

P2

1.4066

$58.23

$58.23

20005

Incision of deep abscess

Y

A2

$446.00

21.2689

$880.55

$554.64

20103

Explore wound, extremity

Y

G2

9.6341

$398.86

$398.86

20150

Excise epiphyseal bar

Y

G2

42.985

$1,779.62

$1,779.62

20200

Muscle biopsy

Y

A2

$446.00

16.1001

$666.56

$501.14

20205

Deep muscle biopsy

Y

A2

$510.00

16.1001

$666.56

$549.14

20206

Needle biopsy, muscle

Y

A2

$240.00

7.1147

$294.56

$253.64

20220

Bone biopsy, trocar/needle

Y

A2

$251.52

8.685

$359.57

$278.53

20225

Bone biopsy, trocar/needle

Y

A2

$418.49

8.685

$359.57

$403.76

20240

Bone biopsy, excisional

Y

A2

$446.00

21.1098

$873.97

$552.99

20245

Bone biopsy, excisional

Y

A2

$510.00

21.1098

$873.97

$600.99

20250

Open bone biopsy

Y

A2

$510.00

21.2689

$880.55

$602.64

20251

Open bone biopsy

Y

A2

$510.00

21.2689

$880.55

$602.64

20500

Injection of sinus tract

Y

P3

1.4811

$61.32

$61.32

20501

Inject sinus tract for x-ray

N

N1

20520

Removal of foreign body

Y

P3

2.2712

$94.03

$94.03

20525

Removal of foreign body

Y

A2

$510.00

21.1098

$873.97

$600.99

20526

Ther injection, carp tunnel

Y

P3

0.7323

$30.32

$30.32

20550

Inj tendon sheath/ligament

Y

P3

0.5514

$22.83

$22.83

20551

Inj tendon origin/insertion

Y

P3

0.5432

$22.49

$22.49

20552

Inj trigger point, 1/2 muscl

Y

P3

0.5348

$22.14

$22.14

20553

Inject trigger points, =/> 3

Y

P3

0.6007

$24.87

$24.87

20555

Place ndl musc/tis for rt

Y

NI

G2

29.19

$1,208.50

$1,208.50

20600

Drain/inject, joint/bursa

Y

P3

0.5432

$22.49

$22.49

20605

Drain/inject, joint/bursa

Y

P3

0.6171

$25.55

$25.55

20610

Drain/inject, joint/bursa

Y

P3

0.8311

$34.41

$34.41

20612

Aspirate/inj ganglion cyst

Y

P3

0.5761

$23.85

$23.85

20615

Treatment of bone cyst

Y

CH

P3

2.5591

$105.95

$105.95

20650

Insert and remove bone pin

Y

A2

$510.00

21.2689

$880.55

$602.64

20662

Application of pelvis brace

Y

R2

21.2689

$880.55

$880.55

20663

Application of thigh brace

Y

R2

21.2689

$880.55

$880.55

20665

Removal of fixation device

N

G2

0.631

$26.12

$26.12

20670

Removal of support implant

Y

A2

$333.00

16.1001

$666.56

$416.39

20680

Removal of support implant

Y

A2

$510.00

21.1098

$873.97

$600.99

20690

Apply bone fixation device

Y

A2

$446.00

29.19

$1,208.50

$636.63

20692

Apply bone fixation device

Y

A2

$510.00

29.19

$1,208.50

$684.63

20693

Adjust bone fixation device

Y

A2

$510.00

21.2689

$880.55

$602.64

20694

Remove bone fixation device

Y

A2

$333.00

21.2689

$880.55

$469.89

20822

Replantation digit, complete

Y

G2

26.3105

$1,089.28

$1,089.28

20900

Removal of bone for graft

Y

A2

$510.00

29.19

$1,208.50

$684.63

20902

Removal of bone for graft

Y

A2

$630.00

29.19

$1,208.50

$774.63

20910

Remove cartilage for graft

Y

A2

$510.00

20.2069

$836.59

$591.65

20912

Remove cartilage for graft

Y

A2

$510.00

20.2069

$836.59

$591.65

20920

Removal of fascia for graft

Y

A2

$630.00

15.0458

$622.91

$628.23

20922

Removal of fascia for graft

Y

A2

$510.00

15.0458

$622.91

$538.23

20924

Removal of tendon for graft

Y

A2

$630.00

29.19

$1,208.50

$774.63

20926

Removal of tissue for graft

Y

A2

$630.00

4.5263

$187.39

$519.35

20950

Fluid pressure, muscle

Y

G2

1.4066

$58.23

$58.23

20972

Bone/skin graft, metatarsal

Y

G2

44.2687

$1,832.77

$1,832.77

20973

Bone/skin graft, great toe

Y

R2

44.2687

$1,832.77

$1,832.77

20975

Electrical bone stimulation

N

CH

N1

20979

Us bone stimulation

N

P3

0.5843

$24.19

$24.19

20982

Ablate, bone tumor(s) perq

Y

G2

42.985

$1,779.62

$1,779.62

20985

Cptr-asst dir ms px

N

NI

N1

20986

Cptr-asst dir ms px io img

N

NI

N1

20987

Cptr-asst dir ms px pre img

N

NI

N1

21010

Incision of jaw joint

Y

A2

$446.00

23.9765

$992.65

$582.66

21015

Resection of facial tumor

Y

A2

$510.00

16.3288

$676.03

$551.51

21025

Excision of bone, lower jaw

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21026

Excision of facial bone(s)

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21029

Contour of face bone lesion

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21030

Excise max/zygoma b9 tumor

Y

P3

5.5627

$230.30

$230.30

21031

Remove exostosis, mandible

Y

P3

4.5588

$188.74

$188.74

21032

Remove exostosis, maxilla

Y

P3

4.6905

$194.19

$194.19

21034

Excise max/zygoma mlg tumor

Y

A2

$510.00

39.8776

$1,650.97

$795.24

21040

Excise mandible lesion

Y

A2

$446.00

23.9765

$992.65

$582.66

21044

Removal of jaw bone lesion

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21046

Remove mandible cyst complex

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21047

Excise lwr jaw cyst w/repair

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21048

Remove maxilla cyst complex

Y

R2

39.8776

$1,650.97

$1,650.97

21050

Removal of jaw joint

Y

A2

$510.00

39.8776

$1,650.97

$795.24

21060

Remove jaw joint cartilage

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21070

Remove coronoid process

Y

A2

$510.00

39.8776

$1,650.97

$795.24

21073 *

Mnpj of tmj w/anesth

Y

NI

P3

4.526

$187.38

$187.38

21076

Prepare face/oral prosthesis

Y

P3

8.3851

$347.15

$347.15

21077

Prepare face/oral prosthesis

Y

P3

20.4816

$847.96

$847.96

21079

Prepare face/oral prosthesis

Y

P3

14.598

$604.37

$604.37

21080

Prepare face/oral prosthesis

Y

P3

16.7293

$692.61

$692.61

21081

Prepare face/oral prosthesis

Y

P3

15.3632

$636.05

$636.05

21082

Prepare face/oral prosthesis

Y

P3

14.096

$583.59

$583.59

21083

Prepare face/oral prosthesis

Y

P3

13.8738

$574.39

$574.39

21084

Prepare face/oral prosthesis

Y

P3

16.1697

$669.44

$669.44

21085

Prepare face/oral prosthesis

Y

P3

6.2622

$259.26

$259.26

21086

Prepare face/oral prosthesis

Y

P3

15.0917

$624.81

$624.81

21087

Prepare face/oral prosthesis

Y

P3

14.9518

$619.02

$619.02

21088

Prepare face/oral prosthesis

Y

R2

39.8776

$1,650.97

$1,650.97

21100

Maxillofacial fixation

Y

A2

$446.00

39.8776

$1,650.97

$747.24

21110

Interdental fixation

Y

P2

7.4474

$308.33

$308.33

21116

Injection, jaw joint x-ray

N

N1

21120

Reconstruction of chin

Y

A2

$995.00

23.9765

$992.65

$994.41

21121

Reconstruction of chin

Y

A2

$995.00

23.9765

$992.65

$994.41

21122

Reconstruction of chin

Y

A2

$995.00

23.9765

$992.65

$994.41

21123

Reconstruction of chin

Y

A2

$995.00

23.9765

$992.65

$994.41

21125

Augmentation, lower jaw bone

Y

A2

$995.00

23.9765

$992.65

$994.41

21127

Augmentation, lower jaw bone

Y

A2

$1,339.00

39.8776

$1,650.97

$1,416.99

21137

Reduction of forehead

Y

G2

23.9765

$992.65

$992.65

21138

Reduction of forehead

Y

G2

39.8776

$1,650.97

$1,650.97

21139

Reduction of forehead

Y

G2

39.8776

$1,650.97

$1,650.97

21150

Reconstruct midface, lefort

Y

G2

39.8776

$1,650.97

$1,650.97

21181

Contour cranial bone lesion

Y

A2

$995.00

23.9765

$992.65

$994.41

21198

Reconstr lwr jaw segment

Y

G2

39.8776

$1,650.97

$1,650.97

21199

Reconstr lwr jaw w/advance

Y

G2

39.8776

$1,650.97

$1,650.97

21206

Reconstruct upper jaw bone

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21208

Augmentation of facial bones

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21209

Reduction of facial bones

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21210

Face bone graft

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21215

Lower jaw bone graft

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21230

Rib cartilage graft

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21235

Ear cartilage graft

Y

A2

$995.00

23.9765

$992.65

$994.41

21240

Reconstruction of jaw joint

Y

A2

$630.00

39.8776

$1,650.97

$885.24

21242

Reconstruction of jaw joint

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21243

Reconstruction of jaw joint

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21244

Reconstruction of lower jaw

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21245

Reconstruction of jaw

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21246

Reconstruction of jaw

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21248

Reconstruction of jaw

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21249

Reconstruction of jaw

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21260

Revise eye sockets

Y

G2

39.8776

$1,650.97

$1,650.97

21267

Revise eye sockets

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21270

Augmentation, cheek bone

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21275

Revision, orbitofacial bones

Y

A2

$995.00

39.8776

$1,650.97

$1,158.99

21280

Revision of eyelid

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21282

Revision of eyelid

Y

A2

$717.00

16.3288

$676.03

$706.76

21295

Revision of jaw muscle/bone

Y

A2

$333.00

7.4474

$308.33

$326.83

21296

Revision of jaw muscle/bone

Y

A2

$333.00

23.9765

$992.65

$497.91

21310

Treatment of nose fracture

Y

A2

$150.72

2.5002

$103.51

$138.92

21315

Treatment of nose fracture

Y

A2

$150.72

2.5002

$103.51

$138.92

21320

Treatment of nose fracture

Y

A2

$446.00

16.3288

$676.03

$503.51

21325

Treatment of nose fracture

Y

A2

$630.00

23.9765

$992.65

$720.66

21330

Treatment of nose fracture

Y

A2

$717.00

23.9765

$992.65

$785.91

21335

Treatment of nose fracture

Y

A2

$995.00

23.9765

$992.65

$994.41

21336

Treat nasal septal fracture

Y

A2

$630.00

26.1592

$1,083.02

$743.26

21337

Treat nasal septal fracture

Y

A2

$446.00

16.3288

$676.03

$503.51

21338

Treat nasoethmoid fracture

Y

A2

$630.00

23.9765

$992.65

$720.66

21339

Treat nasoethmoid fracture

Y

A2

$717.00

23.9765

$992.65

$785.91

21340

Treatment of nose fracture

Y

A2

$630.00

39.8776

$1,650.97

$885.24

21345

Treat nose/jaw fracture

Y

A2

$995.00

23.9765

$992.65

$994.41

21355

Treat cheek bone fracture

Y

A2

$510.00

39.8776

$1,650.97

$795.24

21356

Treat cheek bone fracture

Y

A2

$510.00

23.9765

$992.65

$630.66

21360

Treat cheek bone fracture

Y

CH

G2

23.9765

$992.65

$992.65

21390

Treat eye socket fracture

Y

G2

39.8776

$1,650.97

$1,650.97

21400

Treat eye socket fracture

Y

A2

$446.00

7.4474

$308.33

$411.58

21401

Treat eye socket fracture

Y

A2

$510.00

16.3288

$676.03

$551.51

21406

Treat eye socket fracture

Y

G2

39.8776

$1,650.97

$1,650.97

21407

Treat eye socket fracture

Y

G2

39.8776

$1,650.97

$1,650.97

21421

Treat mouth roof fracture

Y

A2

$630.00

23.9765

$992.65

$720.66

21440

Treat dental ridge fracture

Y

P3

7.0687

$292.65

$292.65

21445

Treat dental ridge fracture

Y

A2

$630.00

23.9765

$992.65

$720.66

21450

Treat lower jaw fracture

Y

A2

$150.72

2.5002

$103.51

$138.92

21451

Treat lower jaw fracture

Y

A2

$464.15

7.4474

$308.33

$425.20

21452

Treat lower jaw fracture

Y

A2

$446.00

16.3288

$676.03

$503.51

21453

Treat lower jaw fracture

Y

A2

$510.00

39.8776

$1,650.97

$795.24

21454

Treat lower jaw fracture

Y

A2

$717.00

23.9765

$992.65

$785.91

21461

Treat lower jaw fracture

Y

A2

$630.00

39.8776

$1,650.97

$885.24

21462

Treat lower jaw fracture

Y

A2

$717.00

39.8776

$1,650.97

$950.49

21465

Treat lower jaw fracture

Y

A2

$630.00

39.8776

$1,650.97

$885.24

21480

Reset dislocated jaw

Y

A2

$150.72

2.5002

$103.51

$138.92

21485

Reset dislocated jaw

Y

A2

$446.00

16.3288

$676.03

$503.51

21490

Repair dislocated jaw

Y

A2

$510.00

39.8776

$1,650.97

$795.24

21495

Treat hyoid bone fracture

Y

G2

16.3288

$676.03

$676.03

21497

Interdental wiring

Y

A2

$446.00

16.3288

$676.03

$503.51

21501

Drain neck/chest lesion

Y

A2

$446.00

18.3197

$758.45

$524.11

21502

Drain chest lesion

Y

A2

$446.00

21.2689

$880.55

$554.64

21550

Biopsy of neck/chest

Y

G2

8.685

$359.57

$359.57

21555

Remove lesion, neck/chest

Y

A2

$446.00

21.1098

$873.97

$552.99

21556

Remove lesion, neck/chest

Y

A2

$446.00

21.1098

$873.97

$552.99

21557

Remove tumor, neck/chest

Y

G2

21.1098

$873.97

$873.97

21600

Partial removal of rib

Y

A2

$446.00

29.19

$1,208.50

$636.63

21610

Partial removal of rib

Y

A2

$446.00

29.19

$1,208.50

$636.63

21685

Hyoid myotomy & suspension

Y

G2

7.4474

$308.33

$308.33

21700

Revision of neck muscle

Y

A2

$446.00

21.2689

$880.55

$554.64

21720

Revision of neck muscle

Y

A2

$510.00

21.2689

$880.55

$602.64

21725

Revision of neck muscle

Y

A2

$88.46

1.4066

$58.23

$80.90

21800

Treatment of rib fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

21805

Treatment of rib fracture

Y

A2

$446.00

26.1592

$1,083.02

$605.26

21820

Treat sternum fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

21920

Biopsy soft tissue of back

Y

P3

3.1763

$131.50

$131.50

21925

Biopsy soft tissue of back

Y

A2

$446.00

21.1098

$873.97

$552.99

21930

Remove lesion, back or flank

Y

A2

$446.00

21.1098

$873.97

$552.99

21935

Remove tumor, back

Y

A2

$510.00

21.1098

$873.97

$600.99

22102

Remove part, lumbar vertebra

Y

G2

46.7724

$1,936.42

$1,936.42

22103

Remove extra spine segment

Y

G2

46.7724

$1,936.42

$1,936.42

22305

Treat spine process fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

22310

Treat spine fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

22315

Treat spine fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

22505

Manipulation of spine

Y

A2

$446.00

14.7658

$611.32

$487.33

22520

Percut vertebroplasty thor

Y

A2

$1,339.00

29.19

$1,208.50

$1,306.38

22521

Percut vertebroplasty lumb

Y

A2

$1,339.00

29.19

$1,208.50

$1,306.38

22522

Percut vertebroplasty add?l

Y

A2

$1,339.00

29.19

$1,208.50

$1,306.38

22523

Percut kyphoplasty, thor

Y

G2

79.4244

$3,288.25

$3,288.25

22524

Percut kyphoplasty, lumbar

Y

G2

79.4244

$3,288.25

$3,288.25

22525

Percut kyphoplasty, add-on

Y

G2

79.4244

$3,288.25

$3,288.25

22526

Idet, single level

Y

CH

G2

29.19

$1,208.50

$1,208.50

22527

Idet, 1 or more levels

Y

CH

G2

29.19

$1,208.50

$1,208.50

22900

Remove abdominal wall lesion

Y

A2

$630.00

21.1098

$873.97

$690.99

23000

Removal of calcium deposits

Y

A2

$446.00

16.1001

$666.56

$501.14

23020

Release shoulder joint

Y

A2

$446.00

42.985

$1,779.62

$779.41

23030

Drain shoulder lesion

Y

A2

$333.00

18.3197

$758.45

$439.36

23031

Drain shoulder bursa

Y

A2

$510.00

18.3197

$758.45

$572.11

23035

Drain shoulder bone lesion

Y

A2

$510.00

21.2689

$880.55

$602.64

23040

Exploratory shoulder surgery

Y

A2

$510.00

29.19

$1,208.50

$684.63

23044

Exploratory shoulder surgery

Y

A2

$630.00

29.19

$1,208.50

$774.63

23065

Biopsy shoulder tissues

Y

P3

2.2384

$92.67

$92.67

23066

Biopsy shoulder tissues

Y

A2

$446.00

21.1098

$873.97

$552.99

23075

Removal of shoulder lesion

Y

A2

$446.00

16.1001

$666.56

$501.14

23076

Removal of shoulder lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

23077

Remove tumor of shoulder

Y

A2

$510.00

21.1098

$873.97

$600.99

23100

Biopsy of shoulder joint

Y

A2

$446.00

21.2689

$880.55

$554.64

23101

Shoulder joint surgery

Y

A2

$995.00

29.19

$1,208.50

$1,048.38

23105

Remove shoulder joint lining

Y

A2

$630.00

29.19

$1,208.50

$774.63

23106

Incision of collarbone joint

Y

A2

$630.00

29.19

$1,208.50

$774.63

23107

Explore treat shoulder joint

Y

A2

$630.00

29.19

$1,208.50

$774.63

23120

Partial removal, collar bone

Y

A2

$717.00

29.19

$1,208.50

$839.88

23125

Removal of collar bone

Y

A2

$717.00

29.19

$1,208.50

$839.88

23130

Remove shoulder bone, part

Y

A2

$717.00

42.985

$1,779.62

$982.66

23140

Removal of bone lesion

Y

A2

$630.00

21.2689

$880.55

$692.64

23145

Removal of bone lesion

Y

A2

$717.00

29.19

$1,208.50

$839.88

23146

Removal of bone lesion

Y

A2

$717.00

29.19

$1,208.50

$839.88

23150

Removal of humerus lesion

Y

A2

$630.00

29.19

$1,208.50

$774.63

23155

Removal of humerus lesion

Y

A2

$717.00

29.19

$1,208.50

$839.88

23156

Removal of humerus lesion

Y

A2

$717.00

29.19

$1,208.50

$839.88

23170

Remove collar bone lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

23172

Remove shoulder blade lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

23174

Remove humerus lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

23180

Remove collar bone lesion

Y

A2

$630.00

29.19

$1,208.50

$774.63

23182

Remove shoulder blade lesion

Y

A2

$630.00

29.19

$1,208.50

$774.63

23184

Remove humerus lesion

Y

A2

$630.00

29.19

$1,208.50

$774.63

23190

Partial removal of scapula

Y

A2

$630.00

29.19

$1,208.50

$774.63

23195

Removal of head of humerus

Y

A2

$717.00

29.19

$1,208.50

$839.88

23330

Remove shoulder foreign body

Y

A2

$333.00

8.685

$359.57

$339.64

23331

Remove shoulder foreign body

Y

A2

$333.00

21.1098

$873.97

$468.24

23350

Injection for shoulder x-ray

N

N1

23395

Muscle transfer,shoulder/arm

Y

A2

$717.00

42.985

$1,779.62

$982.66

23397

Muscle transfers

Y

A2

$995.00

79.4244

$3,288.25

$1,568.31

23400

Fixation of shoulder blade

Y

A2

$995.00

29.19

$1,208.50

$1,048.38

23405

Incision of tendon & muscle

Y

A2

$446.00

29.19

$1,208.50

$636.63

23406

Incise tendon(s) & muscle(s)

Y

A2

$446.00

29.19

$1,208.50

$636.63

23410

Repair rotator cuff, acute

Y

A2

$717.00

42.985

$1,779.62

$982.66

23412

Repair rotator cuff, chronic

Y

A2

$995.00

42.985

$1,779.62

$1,191.16

23415

Release of shoulder ligament

Y

A2

$717.00

42.985

$1,779.62

$982.66

23420

Repair of shoulder

Y

A2

$995.00

42.985

$1,779.62

$1,191.16

23430

Repair biceps tendon

Y

A2

$630.00

42.985

$1,779.62

$917.41

23440

Remove/transplant tendon

Y

A2

$630.00

42.985

$1,779.62

$917.41

23450

Repair shoulder capsule

Y

A2

$717.00

79.4244

$3,288.25

$1,359.81

23455

Repair shoulder capsule

Y

A2

$995.00

79.4244

$3,288.25

$1,568.31

23460

Repair shoulder capsule

Y

A2

$717.00

79.4244

$3,288.25

$1,359.81

23462

Repair shoulder capsule

Y

A2

$995.00

42.985

$1,779.62

$1,191.16

23465

Repair shoulder capsule

Y

A2

$717.00

79.4244

$3,288.25

$1,359.81

23466

Repair shoulder capsule

Y

A2

$995.00

42.985

$1,779.62

$1,191.16

23480

Revision of collar bone

Y

A2

$630.00

42.985

$1,779.62

$917.41

23485

Revision of collar bone

Y

A2

$995.00

79.4244

$3,288.25

$1,568.31

23490

Reinforce clavicle

Y

A2

$510.00

42.985

$1,779.62

$827.41

23491

Reinforce shoulder bones

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

23500

Treat clavicle fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

23505

Treat clavicle fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

23515

Treat clavicle fracture

Y

A2

$510.00

59.2233

$2,451.90

$995.48

23520

Treat clavicle dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

23525

Treat clavicle dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

23530

Treat clavicle dislocation

Y

A2

$510.00

41.1091

$1,701.96

$807.99

23532

Treat clavicle dislocation

Y

A2

$630.00

26.1592

$1,083.02

$743.26

23540

Treat clavicle dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

23545

Treat clavicle dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

23550

Treat clavicle dislocation

Y

A2

$510.00

41.1091

$1,701.96

$807.99

23552

Treat clavicle dislocation

Y

A2

$630.00

41.1091

$1,701.96

$897.99

23570

Treat shoulder blade fx

Y

A2

$103.62

1.7682

$73.21

$96.02

23575

Treat shoulder blade fx

Y

A2

$103.62

1.7682

$73.21

$96.02

23585

Treat scapula fracture

Y

A2

$510.00

59.2233

$2,451.90

$995.48

23600

Treat humerus fracture

Y

P2

1.7682

$73.21

$73.21

23605

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

23615

Treat humerus fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

23616

Treat humerus fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

23620

Treat humerus fracture

Y

P2

1.7682

$73.21

$73.21

23625

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

23630

Treat humerus fracture

Y

A2

$717.00

59.2233

$2,451.90

$1,150.73

23650

Treat shoulder dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

23655

Treat shoulder dislocation

Y

A2

$333.00

14.7658

$611.32

$402.58

23660

Treat shoulder dislocation

Y

A2

$510.00

41.1091

$1,701.96

$807.99

23665

Treat dislocation/fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

23670

Treat dislocation/fracture

Y

A2

$510.00

59.2233

$2,451.90

$995.48

23675

Treat dislocation/fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

23680

Treat dislocation/fracture

Y

A2

$510.00

41.1091

$1,701.96

$807.99

23700

Fixation of shoulder

Y

A2

$333.00

14.7658

$611.32

$402.58

23800

Fusion of shoulder joint

Y

A2

$630.00

79.4244

$3,288.25

$1,294.56

23802

Fusion of shoulder joint

Y

A2

$995.00

42.985

$1,779.62

$1,191.16

23921

Amputation follow-up surgery

Y

A2

$323.28

15.0458

$622.91

$398.19

23930

Drainage of arm lesion

Y

A2

$333.00

18.3197

$758.45

$439.36

23931

Drainage of arm bursa

Y

A2

$446.00

18.3197

$758.45

$524.11

23935

Drain arm/elbow bone lesion

Y

A2

$446.00

21.2689

$880.55

$554.64

24000

Exploratory elbow surgery

Y

A2

$630.00

29.19

$1,208.50

$774.63

24006

Release elbow joint

Y

A2

$630.00

29.19

$1,208.50

$774.63

24065

Biopsy arm/elbow soft tissue

Y

P3

3.0282

$125.37

$125.37

24066

Biopsy arm/elbow soft tissue

Y

A2

$446.00

16.1001

$666.56

$501.14

24075

Remove arm/elbow lesion

Y

A2

$446.00

16.1001

$666.56

$501.14

24076

Remove arm/elbow lesion

Y

A2

$446.00

21.1098

$873.97

$552.99

24077

Remove tumor of arm/elbow

Y

A2

$510.00

21.1098

$873.97

$600.99

24100

Biopsy elbow joint lining

Y

A2

$333.00

21.2689

$880.55

$469.89

24101

Explore/treat elbow joint

Y

A2

$630.00

29.19

$1,208.50

$774.63

24102

Remove elbow joint lining

Y

A2

$630.00

29.19

$1,208.50

$774.63

24105

Removal of elbow bursa

Y

A2

$510.00

21.2689

$880.55

$602.64

24110

Remove humerus lesion

Y

A2

$446.00

21.2689

$880.55

$554.64

24115

Remove/graft bone lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

24116

Remove/graft bone lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

24120

Remove elbow lesion

Y

A2

$510.00

21.2689

$880.55

$602.64

24125

Remove/graft bone lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

24126

Remove/graft bone lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

24130

Removal of head of radius

Y

A2

$510.00

29.19

$1,208.50

$684.63

24134

Removal of arm bone lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

24136

Remove radius bone lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

24138

Remove elbow bone lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

24140

Partial removal of arm bone

Y

A2

$510.00

29.19

$1,208.50

$684.63

24145

Partial removal of radius

Y

A2

$510.00

29.19

$1,208.50

$684.63

24147

Partial removal of elbow

Y

A2

$446.00

29.19

$1,208.50

$636.63

24149

Radical resection of elbow

Y

G2

29.19

$1,208.50

$1,208.50

24152

Extensive radius surgery

Y

G2

42.985

$1,779.62

$1,779.62

24153

Extensive radius surgery

Y

G2

79.4244

$3,288.25

$3,288.25

24155

Removal of elbow joint

Y

A2

$510.00

42.985

$1,779.62

$827.41

24160

Remove elbow joint implant

Y

A2

$446.00

29.19

$1,208.50

$636.63

24164

Remove radius head implant

Y

A2

$510.00

29.19

$1,208.50

$684.63

24200

Removal of arm foreign body

Y

P3

2.5345

$104.93

$104.93

24201

Removal of arm foreign body

Y

A2

$446.00

16.1001

$666.56

$501.14

24220

Injection for elbow x-ray

N

N1

24300

Manipulate elbow w/anesth

Y

G2

14.7658

$611.32

$611.32

24301

Muscle/tendon transfer

Y

A2

$630.00

29.19

$1,208.50

$774.63

24305

Arm tendon lengthening

Y

A2

$630.00

29.19

$1,208.50

$774.63

24310

Revision of arm tendon

Y

A2

$510.00

21.2689

$880.55

$602.64

24320

Repair of arm tendon

Y

A2

$510.00

42.985

$1,779.62

$827.41

24330

Revision of arm muscles

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

24331

Revision of arm muscles

Y

A2

$510.00

42.985

$1,779.62

$827.41

24332

Tenolysis, triceps

Y

G2

21.2689

$880.55

$880.55

24340

Repair of biceps tendon

Y

A2

$510.00

42.985

$1,779.62

$827.41

24341

Repair arm tendon/muscle

Y

A2

$510.00

42.985

$1,779.62

$827.41

24342

Repair of ruptured tendon

Y

A2

$510.00

42.985

$1,779.62

$827.41

24343

Repr elbow lat ligmnt w/tiss

Y

G2

29.19

$1,208.50

$1,208.50

24344

Reconstruct elbow lat ligmnt

Y

G2

79.4244

$3,288.25

$3,288.25

24345

Repr elbw med ligmnt w/tissu

Y

A2

$446.00

29.19

$1,208.50

$636.63

24346

Reconstruct elbow med ligmnt

Y

G2

42.985

$1,779.62

$1,779.62

24350

Repair of tennis elbow

N

CH

D5

24351

Repair of tennis elbow

N

CH

D5

24352

Repair of tennis elbow

N

CH

D5

24354

Repair of tennis elbow

N

CH

D5

24356

Revision of tennis elbow

N

CH

D5

24357

Repair elbow, perc

Y

NI

G2

29.19

$1,208.50

$1,208.50

24358

Repair elbow w/deb, open

Y

NI

G2

29.19

$1,208.50

$1,208.50

24359

Repair elbow deb/attch open

Y

NI

G2

29.19

$1,208.50

$1,208.50

24360

Reconstruct elbow joint

Y

A2

$717.00

35.904

$1,486.46

$909.37

24361

Reconstruct elbow joint

Y

A2

$717.00

122.2057

$5,059.44

$1,802.61

24362

Reconstruct elbow joint

Y

A2

$717.00

50.8876

$2,106.80

$1,064.45

24363

Replace elbow joint

Y

A2

$995.00

122.2057

$5,059.44

$2,011.11

24365

Reconstruct head of radius

Y

A2

$717.00

35.904

$1,486.46

$909.37

24366

Reconstruct head of radius

Y

A2

$717.00

122.2057

$5,059.44

$1,802.61

24400

Revision of humerus

Y

A2

$630.00

29.19

$1,208.50

$774.63

24410

Revision of humerus

Y

A2

$630.00

29.19

$1,208.50

$774.63

24420

Revision of humerus

Y

A2

$510.00

42.985

$1,779.62

$827.41

24430

Repair of humerus

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

24435

Repair humerus with graft

Y

A2

$630.00

79.4244

$3,288.25

$1,294.56

24470

Revision of elbow joint

Y

A2

$510.00

42.985

$1,779.62

$827.41

24495

Decompression of forearm

Y

A2

$446.00

29.19

$1,208.50

$636.63

24498

Reinforce humerus

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

24500

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24505

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24515

Treat humerus fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

24516

Treat humerus fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

24530

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24535

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24538

Treat humerus fracture

Y

A2

$446.00

26.1592

$1,083.02

$605.26

24545

Treat humerus fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

24546

Treat humerus fracture

Y

A2

$717.00

59.2233

$2,451.90

$1,150.73

24560

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24565

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24566

Treat humerus fracture

Y

A2

$446.00

26.1592

$1,083.02

$605.26

24575

Treat humerus fracture

Y

A2

$510.00

59.2233

$2,451.90

$995.48

24576

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24577

Treat humerus fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24579

Treat humerus fracture

Y

A2

$510.00

59.2233

$2,451.90

$995.48

24582

Treat humerus fracture

Y

A2

$446.00

26.1592

$1,083.02

$605.26

24586

Treat elbow fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

24587

Treat elbow fracture

Y

A2

$717.00

59.2233

$2,451.90

$1,150.73

24600

Treat elbow dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

24605

Treat elbow dislocation

Y

A2

$446.00

14.7658

$611.32

$487.33

24615

Treat elbow dislocation

Y

A2

$510.00

59.2233

$2,451.90

$995.48

24620

Treat elbow fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24635

Treat elbow fracture

Y

A2

$510.00

59.2233

$2,451.90

$995.48

24640

Treat elbow dislocation

Y

CH

P3

1.3908

$57.58

$57.58

24650

Treat radius fracture

Y

P2

1.7682

$73.21

$73.21

24655

Treat radius fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24665

Treat radius fracture

Y

A2

$630.00

41.1091

$1,701.96

$897.99

24666

Treat radius fracture

Y

A2

$630.00

59.2233

$2,451.90

$1,085.48

24670

Treat ulnar fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24675

Treat ulnar fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

24685

Treat ulnar fracture

Y

A2

$510.00

41.1091

$1,701.96

$807.99

24800

Fusion of elbow joint

Y

A2

$630.00

42.985

$1,779.62

$917.41

24802

Fusion/graft of elbow joint

Y

A2

$717.00

42.985

$1,779.62

$982.66

24925

Amputation follow-up surgery

Y

A2

$510.00

21.2689

$880.55

$602.64

25000

Incision of tendon sheath

Y

A2

$510.00

21.2689

$880.55

$602.64

25001

Incise flexor carpi radialis

Y

G2

21.2689

$880.55

$880.55

25020

Decompress forearm 1 space

Y

A2

$510.00

21.2689

$880.55

$602.64

25023

Decompress forearm 1 space

Y

A2

$510.00

29.19

$1,208.50

$684.63

25024

Decompress forearm 2 spaces

Y

A2

$510.00

29.19

$1,208.50

$684.63

25025

Decompress forearm 2 spaces

Y

A2

$510.00

29.19

$1,208.50

$684.63

25028

Drainage of forearm lesion

Y

A2

$333.00

21.2689

$880.55

$469.89

25031

Drainage of forearm bursa

Y

A2

$446.00

21.2689

$880.55

$554.64

25035

Treat forearm bone lesion

Y

A2

$446.00

21.2689

$880.55

$554.64

25040

Explore/treat wrist joint

Y

A2

$717.00

29.19

$1,208.50

$839.88

25065

Biopsy forearm soft tissues

Y

P3

3.1106

$128.78

$128.78

25066

Biopsy forearm soft tissues

Y

A2

$446.00

21.1098

$873.97

$552.99

25075

Removal forearm lesion subcu

Y

A2

$446.00

16.1001

$666.56

$501.14

25076

Removal forearm lesion deep

Y

A2

$510.00

21.1098

$873.97

$600.99

25077

Remove tumor, forearm/wrist

Y

A2

$510.00

21.1098

$873.97

$600.99

25085

Incision of wrist capsule

Y

A2

$510.00

21.2689

$880.55

$602.64

25100

Biopsy of wrist joint

Y

A2

$446.00

21.2689

$880.55

$554.64

25101

Explore/treat wrist joint

Y

A2

$510.00

29.19

$1,208.50

$684.63

25105

Remove wrist joint lining

Y

A2

$630.00

29.19

$1,208.50

$774.63

25107

Remove wrist joint cartilage

Y

A2

$510.00

29.19

$1,208.50

$684.63

25109

Excise tendon forearm/wrist

Y

G2

21.2689

$880.55

$880.55

25110

Remove wrist tendon lesion

Y

A2

$510.00

21.2689

$880.55

$602.64

25111

Remove wrist tendon lesion

Y

A2

$510.00

16.4637

$681.61

$552.90

25112

Reremove wrist tendon lesion

Y

A2

$630.00

16.4637

$681.61

$642.90

25115

Remove wrist/forearm lesion

Y

A2

$630.00

21.2689

$880.55

$692.64

25116

Remove wrist/forearm lesion

Y

A2

$630.00

21.2689

$880.55

$692.64

25118

Excise wrist tendon sheath

Y

A2

$446.00

29.19

$1,208.50

$636.63

25119

Partial removal of ulna

Y

A2

$510.00

29.19

$1,208.50

$684.63

25120

Removal of forearm lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

25125

Remove/graft forearm lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

25126

Remove/graft forearm lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

25130

Removal of wrist lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

25135

Remove & graft wrist lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

25136

Remove & graft wrist lesion

Y

A2

$510.00

29.19

$1,208.50

$684.63

25145

Remove forearm bone lesion

Y

A2

$446.00

29.19

$1,208.50

$636.63

25150

Partial removal of ulna

Y

A2

$446.00

29.19

$1,208.50

$636.63

25151

Partial removal of radius

Y

A2

$446.00

29.19

$1,208.50

$636.63

25210

Removal of wrist bone

Y

A2

$510.00

26.3105

$1,089.28

$654.82

25215

Removal of wrist bones

Y

A2

$630.00

26.3105

$1,089.28

$744.82

25230

Partial removal of radius

Y

A2

$630.00

29.19

$1,208.50

$774.63

25240

Partial removal of ulna

Y

A2

$630.00

29.19

$1,208.50

$774.63

25246

Injection for wrist x-ray

N

N1

25248

Remove forearm foreign body

Y

A2

$446.00

21.2689

$880.55

$554.64

25250

Removal of wrist prosthesis

Y

A2

$333.00

29.19

$1,208.50

$551.88

25251

Removal of wrist prosthesis

Y

A2

$333.00

29.19

$1,208.50

$551.88

25259

Manipulate wrist w/anesthes

Y

G2

1.7682

$73.21

$73.21

25260

Repair forearm tendon/muscle

Y

A2

$630.00

29.19

$1,208.50

$774.63

25263

Repair forearm tendon/muscle

Y

A2

$446.00

29.19

$1,208.50

$636.63

25265

Repair forearm tendon/muscle

Y

A2

$510.00

29.19

$1,208.50

$684.63

25270

Repair forearm tendon/muscle

Y

A2

$630.00

29.19

$1,208.50

$774.63

25272

Repair forearm tendon/muscle

Y

A2

$510.00

29.19

$1,208.50

$684.63

25274

Repair forearm tendon/muscle

Y

A2

$630.00

29.19

$1,208.50

$774.63

25275

Repair forearm tendon sheath

Y

A2

$630.00

29.19

$1,208.50

$774.63

25280

Revise wrist/forearm tendon

Y

A2

$630.00

29.19

$1,208.50

$774.63

25290

Incise wrist/forearm tendon

Y

A2

$510.00

29.19

$1,208.50

$684.63

25295

Release wrist/forearm tendon

Y

A2

$510.00

21.2689

$880.55

$602.64

25300

Fusion of tendons at wrist

Y

A2

$510.00

29.19

$1,208.50

$684.63

25301

Fusion of tendons at wrist

Y

A2

$510.00

29.19

$1,208.50

$684.63

25310

Transplant forearm tendon

Y

A2

$510.00

42.985

$1,779.62

$827.41

25312

Transplant forearm tendon

Y

A2

$630.00

42.985

$1,779.62

$917.41

25315

Revise palsy hand tendon(s)

Y

A2

$510.00

42.985

$1,779.62

$827.41

25316

Revise palsy hand tendon(s)

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

25320

Repair/revise wrist joint

Y

A2

$510.00

42.985

$1,779.62

$827.41

25332

Revise wrist joint

Y

A2

$717.00

35.904

$1,486.46

$909.37

25335

Realignment of hand

Y

A2

$510.00

42.985

$1,779.62

$827.41

25337

Reconstruct ulna/radioulnar

Y

A2

$717.00

42.985

$1,779.62

$982.66

25350

Revision of radius

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

25355

Revision of radius

Y

A2

$510.00

42.985

$1,779.62

$827.41

25360

Revision of ulna

Y

A2

$510.00

29.19

$1,208.50

$684.63

25365

Revise radius & ulna

Y

A2

$510.00

29.19

$1,208.50

$684.63

25370

Revise radius or ulna

Y

A2

$510.00

42.985

$1,779.62

$827.41

25375

Revise radius & ulna

Y

A2

$630.00

42.985

$1,779.62

$917.41

25390

Shorten radius or ulna

Y

A2

$510.00

29.19

$1,208.50

$684.63

25391

Lengthen radius or ulna

Y

A2

$630.00

42.985

$1,779.62

$917.41

25392

Shorten radius & ulna

Y

A2

$510.00

29.19

$1,208.50

$684.63

25393

Lengthen radius & ulna

Y

A2

$630.00

42.985

$1,779.62

$917.41

25394

Repair carpal bone, shorten

Y

G2

16.4637

$681.61

$681.61

25400

Repair radius or ulna

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

25405

Repair/graft radius or ulna

Y

A2

$630.00

79.4244

$3,288.25

$1,294.56

25415

Repair radius & ulna

Y

A2

$510.00

79.4244

$3,288.25

$1,204.56

25420

Repair/graft radius & ulna

Y

A2

$630.00

79.4244

$3,288.25

$1,294.56

25425

Repair/graft radius or ulna

Y

A2

$510.00

42.985

$1,779.62

$827.41

25426

Repair/graft radius & ulna

Y

A2

$630.00

42.985

$1,779.62

$917.41

25430

Vasc graft into carpal bone

Y

G2

26.3105

$1,089.28

$1,089.28

25431

Repair nonunion carpal bone

Y

G2

26.3105

$1,089.28

$1,089.28

25440

Repair/graft wrist bone

Y

A2

$630.00

79.4244

$3,288.25

$1,294.56

25441

Reconstruct wrist joint

Y

A2

$717.00

122.2057

$5,059.44

$1,802.61

25442

Reconstruct wrist joint

Y

A2

$717.00

122.2057

$5,059.44

$1,802.61

25443

Reconstruct wrist joint

Y

A2

$717.00

50.8876

$2,106.80

$1,064.45

25444

Reconstruct wrist joint

Y

A2

$717.00

50.8876

$2,106.80

$1,064.45

25445

Reconstruct wrist joint

Y

A2

$717.00

50.8876

$2,106.80

$1,064.45

25446

Wrist replacement

Y

A2

$995.00

122.2057

$5,059.44

$2,011.11

25447

Repair wrist joint(s)

Y

A2

$717.00

35.904

$1,486.46

$909.37

25449

Remove wrist joint implant

Y

A2

$717.00

35.904

$1,486.46

$909.37

25450

Revision of wrist joint

Y

A2

$510.00

42.985

$1,779.62

$827.41

25455

Revision of wrist joint

Y

A2

$510.00

42.985

$1,779.62

$827.41

25490

Reinforce radius

Y

A2

$510.00

42.985

$1,779.62

$827.41

25491

Reinforce ulna

Y

A2

$510.00

42.985

$1,779.62

$827.41

25492

Reinforce radius and ulna

Y

A2

$510.00

42.985

$1,779.62

$827.41

25500

Treat fracture of radius

Y

P2

1.7682

$73.21

$73.21

25505

Treat fracture of radius

Y

A2

$103.62

1.7682

$73.21

$96.02

25515

Treat fracture of radius

Y

A2

$510.00

41.1091

$1,701.96

$807.99

25520

Treat fracture of radius

Y

A2

$103.62

1.7682

$73.21

$96.02

25525

Treat fracture of radius

Y

A2

$630.00

41.1091

$1,701.96

$897.99

25526

Treat fracture of radius

Y

A2

$717.00

41.1091

$1,701.96

$963.24

25530

Treat fracture of ulna

Y

P2

1.7682

$73.21

$73.21

25535

Treat fracture of ulna

Y

A2

$103.62

1.7682

$73.21

$96.02

25545

Treat fracture of ulna

Y

A2

$510.00

41.1091

$1,701.96

$807.99

25560

Treat fracture radius & ulna

Y

P2

1.7682

$73.21

$73.21

25565

Treat fracture radius & ulna

Y

A2

$103.62

1.7682

$73.21

$96.02

25574

Treat fracture radius & ulna

Y

A2

$510.00

59.2233

$2,451.90

$995.48

25575

Treat fracture radius/ulna

Y

A2

$510.00

59.2233

$2,451.90

$995.48

25600

Treat fracture radius/ulna

Y

P2

1.7682

$73.21

$73.21

25605

Treat fracture radius/ulna

Y

A2

$103.62

1.7682

$73.21

$96.02

25606

Treat fx distal radial

Y

A2

$510.00

26.1592

$1,083.02

$653.26

25607

Treat fx rad extra-articul

Y

A2

$717.00

59.2233

$2,451.90

$1,150.73

25608

Treat fx rad intra-articul

Y

A2

$717.00

59.2233

$2,451.90

$1,150.73

25609

Treat fx radial 3+ frag

Y

A2

$717.00

59.2233

$2,451.90

$1,150.73

25622

Treat wrist bone fracture

Y

P2

1.7682

$73.21

$73.21

25624

Treat wrist bone fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

25628

Treat wrist bone fracture

Y

A2

$510.00

41.1091

$1,701.96

$807.99

25630

Treat wrist bone fracture

Y

P2

1.7682

$73.21

$73.21

25635

Treat wrist bone fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

25645

Treat wrist bone fracture

Y

A2

$510.00

41.1091

$1,701.96

$807.99

25650

Treat wrist bone fracture

Y

P2

1.7682

$73.21

$73.21

25651

Pin ulnar styloid fracture

Y

G2

26.1592

$1,083.02

$1,083.02

25652

Treat fracture ulnar styloid

Y

G2

41.1091

$1,701.96

$1,701.96

25660

Treat wrist dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

25670

Treat wrist dislocation

Y

A2

$510.00

26.1592

$1,083.02

$653.26

25671

Pin radioulnar dislocation

Y

A2

$333.00

26.1592

$1,083.02

$520.51

25675

Treat wrist dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

25676

Treat wrist dislocation

Y

A2

$446.00

26.1592

$1,083.02

$605.26

25680

Treat wrist fracture

Y

A2

$103.62

1.7682

$73.21

$96.02

25685

Treat wrist fracture

Y

A2

$510.00

26.1592

$1,083.02

$653.26

25690

Treat wrist dislocation

Y

A2

$103.62

1.7682

$73.21

$96.02

25695

Treat wrist dislocation

Y

A2

$446.00

26.1592

$1,083.02

$605.26

25800

Fusion of wrist joint

Y

A2

$630.00

79.4244

$3,288.25

$1,294.56

25805

Fusion/graft of wrist joint

Y

A2

$717.00

42.985

$1,779.62

$982.66

25810

Fusion/graft of wrist joint

Y

A2

$717.00

79.4244

$3,288.25

$1,359.81

25820

Fusion of hand bones

Y

A2

$630.00

16.4637

$681.61

$642.90

25825

Fuse hand bones with graft

Y

A2

$717.00

79.4244

$3,288.25

$1,359.81

25830

Fusion, radioulnar jnt/ulna

Y

A2

$717.00

79.4244

$3,288.25

$1,359.81

25907

Amputation follow-up surgery

Y

A2

$510.00

21.2689

$880.55

$602.64

25922

Amputate hand at wrist

Y

A2

$510.00

21.2689

$880.55

$602.64

25929

Amputation follow-up surgery

Y

A2

$510.00

15.0458

$622.91

$538.23

25931

Amputation follow-up surgery

Y

CH

G2

21.2689

$880.55

$880.55

26010

Drainage of finger abscess

Y

P2

1.4066

$58.23

$58.23

26011

Drainage of finger abscess

Y

A2

$333.00

11.5594

$478.57

$369.39

26020

Drain hand tendon sheath

Y

A2

$446.00

16.4637

$681.61

$504.90

26025

Drainage of palm bursa

Y

A2

$333.00

16.4637

$681.61

$420.15

26030

Drainage of palm bursa(s)

Y

A2

$446.00

16.4637

$681.61

$504.90

26034

Treat hand bone lesion

Y

A2

$446.00

16.4637

$681.61

$504.90

26035

Decompress fingers/hand

Y

G2

16.4637

$681.61

$681.61

26040

Release palm contracture

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26045

Release palm contracture

Y

A2

$510.00

26.3105

$1,089.28

$654.82

26055

Incise finger tendon sheath

Y

A2

$446.00

16.4637

$681.61

$504.90

26060

Incision of finger tendon

Y

A2

$446.00

16.4637

$681.61

$504.90

26070

Explore/treat hand joint

Y

A2

$446.00

16.4637

$681.61

$504.90

26075

Explore/treat finger joint

Y

A2

$630.00

16.4637

$681.61

$642.90

26080

Explore/treat finger joint

Y

A2

$630.00

16.4637

$681.61

$642.90

26100

Biopsy hand joint lining

Y

A2

$446.00

16.4637

$681.61

$504.90

26105

Biopsy finger joint lining

Y

A2

$333.00

16.4637

$681.61

$420.15

26110

Biopsy finger joint lining

Y

A2

$333.00

16.4637

$681.61

$420.15

26115

Removal hand lesion subcut

Y

A2

$446.00

21.1098

$873.97

$552.99

26116

Removal hand lesion, deep

Y

A2

$446.00

21.1098

$873.97

$552.99

26117

Remove tumor, hand/finger

Y

A2

$510.00

21.1098

$873.97

$600.99

26121

Release palm contracture

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26123

Release palm contracture

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26125

Release palm contracture

Y

A2

$630.00

16.4637

$681.61

$642.90

26130

Remove wrist joint lining

Y

A2

$510.00

16.4637

$681.61

$552.90

26135

Revise finger joint, each

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26140

Revise finger joint, each

Y

A2

$446.00

16.4637

$681.61

$504.90

26145

Tendon excision, palm/finger

Y

A2

$510.00

16.4637

$681.61

$552.90

26160

Remove tendon sheath lesion

Y

A2

$510.00

16.4637

$681.61

$552.90

26170

Removal of palm tendon, each

Y

A2

$510.00

16.4637

$681.61

$552.90

26180

Removal of finger tendon

Y

A2

$510.00

16.4637

$681.61

$552.90

26185

Remove finger bone

Y

A2

$630.00

16.4637

$681.61

$642.90

26200

Remove hand bone lesion

Y

A2

$446.00

16.4637

$681.61

$504.90

26205

Remove/graft bone lesion

Y

A2

$510.00

26.3105

$1,089.28

$654.82

26210

Removal of finger lesion

Y

A2

$446.00

16.4637

$681.61

$504.90

26215

Remove/graft finger lesion

Y

A2

$510.00

16.4637

$681.61

$552.90

26230

Partial removal of hand bone

Y

A2

$992.95

16.4637

$681.61

$915.12

26235

Partial removal, finger bone

Y

A2

$510.00

16.4637

$681.61

$552.90

26236

Partial removal, finger bone

Y

A2

$510.00

16.4637

$681.61

$552.90

26250

Extensive hand surgery

Y

A2

$510.00

16.4637

$681.61

$552.90

26255

Extensive hand surgery

Y

A2

$510.00

26.3105

$1,089.28

$654.82

26260

Extensive finger surgery

Y

A2

$510.00

16.4637

$681.61

$552.90

26261

Extensive finger surgery

Y

A2

$510.00

16.4637

$681.61

$552.90

26262

Partial removal of finger

Y

A2

$446.00

16.4637

$681.61

$504.90

26320

Removal of implant from hand

Y

A2

$446.00

16.1001

$666.56

$501.14

26340

Manipulate finger w/anesth

Y

G2

1.7682

$73.21

$73.21

26350

Repair finger/hand tendon

Y

A2

$333.00

26.3105

$1,089.28

$522.07

26352

Repair/graft hand tendon

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26356

Repair finger/hand tendon

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26357

Repair finger/hand tendon

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26358

Repair/graft hand tendon

Y

A2

$630.00

26.3105

$1,089.28

$744.82

26370