# 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 > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/fr%3A08-671 ## Record - **Collection:** Federal Register - **Document type:** Rule - **Published:** February 22, 2008 - **Citation:** 73 FR 9860 ## Text 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 Repair finger/hand tendon Y A2 $630.00 26.3105 $1,089.28 $744.82 26372 Repair/graft hand tendon Y A2 $630.00 26.3105 $1,089.28 $744.82 26373 Repair finger/hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26390 Revise hand/finger tendon Y A2 $630.00 26.3105 $1,089.28 $744.82 26392 Repair/graft hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26410 Repair hand tendon Y A2 $510.00 16.4637 $681.61 $552.90 26412 Repair/graft hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26415 Excision, hand/finger tendon Y A2 $630.00 26.3105 $1,089.28 $744.82 26416 Graft hand or finger tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26418 Repair finger tendon Y A2 $630.00 16.4637 $681.61 $642.90 26420 Repair/graft finger tendon Y A2 $630.00 26.3105 $1,089.28 $744.82 26426 Repair finger/hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26428 Repair/graft finger tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26432 Repair finger tendon Y A2 $510.00 16.4637 $681.61 $552.90 26433 Repair finger tendon Y A2 $510.00 16.4637 $681.61 $552.90 26434 Repair/graft finger tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26437 Realignment of tendons Y A2 $510.00 16.4637 $681.61 $552.90 26440 Release palm/finger tendon Y A2 $510.00 16.4637 $681.61 $552.90 26442 Release palm & finger tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26445 Release hand/finger tendon Y A2 $510.00 16.4637 $681.61 $552.90 26449 Release forearm/hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26450 Incision of palm tendon Y A2 $510.00 16.4637 $681.61 $552.90 26455 Incision of finger tendon Y A2 $510.00 16.4637 $681.61 $552.90 26460 Incise hand/finger tendon Y A2 $510.00 16.4637 $681.61 $552.90 26471 Fusion of finger tendons Y A2 $446.00 16.4637 $681.61 $504.90 26474 Fusion of finger tendons Y A2 $446.00 16.4637 $681.61 $504.90 26476 Tendon lengthening Y A2 $333.00 16.4637 $681.61 $420.15 26477 Tendon shortening Y A2 $333.00 16.4637 $681.61 $420.15 26478 Lengthening of hand tendon Y A2 $333.00 16.4637 $681.61 $420.15 26479 Shortening of hand tendon Y A2 $333.00 16.4637 $681.61 $420.15 26480 Transplant hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26483 Transplant/graft hand tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26485 Transplant palm tendon Y A2 $446.00 26.3105 $1,089.28 $606.82 26489 Transplant/graft palm tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26490 Revise thumb tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26492 Tendon transfer with graft Y A2 $510.00 26.3105 $1,089.28 $654.82 26494 Hand tendon/muscle transfer Y A2 $510.00 26.3105 $1,089.28 $654.82 26496 Revise thumb tendon Y A2 $510.00 26.3105 $1,089.28 $654.82 26497 Finger tendon transfer Y A2 $510.00 26.3105 $1,089.28 $654.82 26498 Finger tendon transfer Y A2 $630.00 26.3105 $1,089.28 $744.82 26499 Revision of finger Y A2 $510.00 26.3105 $1,089.28 $654.82 26500 Hand tendon reconstruction Y A2 $630.00 16.4637 $681.61 $642.90 26502 Hand tendon reconstruction Y A2 $630.00 26.3105 $1,089.28 $744.82 26508 Release thumb contracture Y A2 $510.00 16.4637 $681.61 $552.90 26510 Thumb tendon transfer Y A2 $510.00 26.3105 $1,089.28 $654.82 26516 Fusion of knuckle joint Y A2 $333.00 26.3105 $1,089.28 $522.07 26517 Fusion of knuckle joints Y A2 $510.00 26.3105 $1,089.28 $654.82 26518 Fusion of knuckle joints Y A2 $510.00 26.3105 $1,089.28 $654.82 26520 Release knuckle contracture Y A2 $510.00 16.4637 $681.61 $552.90 26525 Release finger contracture Y A2 $510.00 16.4637 $681.61 $552.90 26530 Revise knuckle joint Y A2 $510.00 35.904 $1,486.46 $754.12 26531 Revise knuckle with implant Y A2 $995.00 50.8876 $2,106.80 $1,272.95 26535 Revise finger joint Y A2 $717.00 35.904 $1,486.46 $909.37 26536 Revise/implant finger joint Y A2 $717.00 50.8876 $2,106.80 $1,064.45 26540 Repair hand joint Y A2 $630.00 16.4637 $681.61 $642.90 26541 Repair hand joint with graft Y A2 $995.00 26.3105 $1,089.28 $1,018.57 26542 Repair hand joint with graft Y A2 $630.00 16.4637 $681.61 $642.90 26545 Reconstruct finger joint Y A2 $630.00 26.3105 $1,089.28 $744.82 26546 Repair nonunion hand Y A2 $630.00 26.3105 $1,089.28 $744.82 26548 Reconstruct finger joint Y A2 $630.00 26.3105 $1,089.28 $744.82 26550 Construct thumb replacement Y A2 $446.00 26.3105 $1,089.28 $606.82 26555 Positional change of finger Y A2 $510.00 26.3105 $1,089.28 $654.82 26560 Repair of web finger Y A2 $446.00 16.4637 $681.61 $504.90 26561 Repair of web finger Y A2 $510.00 26.3105 $1,089.28 $654.82 26562 Repair of web finger Y A2 $630.00 26.3105 $1,089.28 $744.82 26565 Correct metacarpal flaw Y A2 $717.00 26.3105 $1,089.28 $810.07 26567 Correct finger deformity Y A2 $717.00 26.3105 $1,089.28 $810.07 26568 Lengthen metacarpal/finger Y A2 $510.00 26.3105 $1,089.28 $654.82 26580 Repair hand deformity Y A2 $717.00 16.4637 $681.61 $708.15 26587 Reconstruct extra finger Y A2 $717.00 16.4637 $681.61 $708.15 26590 Repair finger deformity Y A2 $717.00 16.4637 $681.61 $708.15 26591 Repair muscles of hand Y A2 $510.00 26.3105 $1,089.28 $654.82 26593 Release muscles of hand Y A2 $510.00 16.4637 $681.61 $552.90 26596 Excision constricting tissue Y A2 $446.00 16.4637 $681.61 $504.90 26600 Treat metacarpal fracture Y P2 1.7682 $73.21 $73.21 26605 Treat metacarpal fracture Y A2 $103.62 1.7682 $73.21 $96.02 26607 Treat metacarpal fracture Y A2 $103.62 1.7682 $73.21 $96.02 26608 Treat metacarpal fracture Y A2 $630.00 26.1592 $1,083.02 $743.26 26615 Treat metacarpal fracture Y A2 $630.00 41.1091 $1,701.96 $897.99 26641 Treat thumb dislocation Y CH P2 1.7682 $73.21 $73.21 26645 Treat thumb fracture Y A2 $103.62 1.7682 $73.21 $96.02 26650 Treat thumb fracture Y A2 $446.00 26.1592 $1,083.02 $605.26 26665 Treat thumb fracture Y A2 $630.00 41.1091 $1,701.96 $897.99 26670 Treat hand dislocation Y CH P2 1.7682 $73.21 $73.21 26675 Treat hand dislocation Y A2 $103.62 1.7682 $73.21 $96.02 26676 Pin hand dislocation Y A2 $446.00 26.1592 $1,083.02 $605.26 26685 Treat hand dislocation Y A2 $510.00 26.1592 $1,083.02 $653.26 26686 Treat hand dislocation Y A2 $510.00 59.2233 $2,451.90 $995.48 26700 Treat knuckle dislocation Y CH P2 1.7682 $73.21 $73.21 26705 Treat knuckle dislocation Y A2 $103.62 1.7682 $73.21 $96.02 26706 Pin knuckle dislocation Y A2 $103.62 1.7682 $73.21 $96.02 26715 Treat knuckle dislocation Y A2 $630.00 26.1592 $1,083.02 $743.26 26720 Treat finger fracture, each Y P2 1.7682 $73.21 $73.21 26725 Treat finger fracture, each Y P2 1.7682 $73.21 $73.21 26727 Treat finger fracture, each Y A2 $995.00 26.1592 $1,083.02 $1,017.01 26735 Treat finger fracture, each Y A2 $630.00 26.1592 $1,083.02 $743.26 26740 Treat finger fracture, each Y P2 1.7682 $73.21 $73.21 26742 Treat finger fracture, each Y A2 $103.62 1.7682 $73.21 $96.02 26746 Treat finger fracture, each Y A2 $717.00 26.1592 $1,083.02 $808.51 26750 Treat finger fracture, each Y P2 1.7682 $73.21 $73.21 26755 Treat finger fracture, each Y G2 1.7682 $73.21 $73.21 26756 Pin finger fracture, each Y A2 $446.00 26.1592 $1,083.02 $605.26 26765 Treat finger fracture, each Y A2 $630.00 26.1592 $1,083.02 $743.26 26770 Treat finger dislocation Y G2 1.7682 $73.21 $73.21 26775 Treat finger dislocation Y CH P3 4.0402 $167.27 $167.27 26776 Pin finger dislocation Y A2 $446.00 26.1592 $1,083.02 $605.26 26785 Treat finger dislocation Y A2 $446.00 26.1592 $1,083.02 $605.26 26820 Thumb fusion with graft Y A2 $717.00 26.3105 $1,089.28 $810.07 26841 Fusion of thumb Y A2 $630.00 26.3105 $1,089.28 $744.82 26842 Thumb fusion with graft Y A2 $630.00 26.3105 $1,089.28 $744.82 26843 Fusion of hand joint Y A2 $510.00 26.3105 $1,089.28 $654.82 26844 Fusion/graft of hand joint Y A2 $510.00 26.3105 $1,089.28 $654.82 26850 Fusion of knuckle Y A2 $630.00 26.3105 $1,089.28 $744.82 26852 Fusion of knuckle with graft Y A2 $630.00 26.3105 $1,089.28 $744.82 26860 Fusion of finger joint Y A2 $510.00 26.3105 $1,089.28 $654.82 26861 Fusion of finger jnt, add-on Y A2 $446.00 26.3105 $1,089.28 $606.82 26862 Fusion/graft of finger joint Y A2 $630.00 26.3105 $1,089.28 $744.82 26863 Fuse/graft added joint Y A2 $510.00 26.3105 $1,089.28 $654.82 26910 Amputate metacarpal bone Y A2 $510.00 26.3105 $1,089.28 $654.82 26951 Amputation of finger/thumb Y A2 $446.00 16.4637 $681.61 $504.90 26952 Amputation of finger/thumb Y A2 $630.00 16.4637 $681.61 $642.90 26990 Drainage of pelvis lesion Y A2 $333.00 21.2689 $880.55 $469.89 26991 Drainage of pelvis bursa Y A2 $333.00 21.2689 $880.55 $469.89 27000 Incision of hip tendon Y A2 $446.00 21.2689 $880.55 $554.64 27001 Incision of hip tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27003 Incision of hip tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27033 Exploration of hip joint Y A2 $510.00 42.985 $1,779.62 $827.41 27035 Denervation of hip joint Y A2 $630.00 42.985 $1,779.62 $917.41 27040 Biopsy of soft tissues Y A2 $333.00 8.685 $359.57 $339.64 27041 Biopsy of soft tissues Y A2 $418.49 8.685 $359.57 $403.76 27047 Remove hip/pelvis lesion Y A2 $446.00 21.1098 $873.97 $552.99 27048 Remove hip/pelvis lesion Y A2 $510.00 21.1098 $873.97 $600.99 27049 Remove tumor, hip/pelvis Y A2 $510.00 21.1098 $873.97 $600.99 27050 Biopsy of sacroiliac joint Y A2 $510.00 21.2689 $880.55 $602.64 27052 Biopsy of hip joint Y A2 $510.00 21.2689 $880.55 $602.64 27060 Removal of ischial bursa Y A2 $717.00 21.2689 $880.55 $757.89 27062 Remove femur lesion/bursa Y A2 $717.00 21.2689 $880.55 $757.89 27065 Removal of hip bone lesion Y A2 $717.00 21.2689 $880.55 $757.89 27066 Removal of hip bone lesion Y A2 $717.00 29.19 $1,208.50 $839.88 27067 Remove/graft hip bone lesion Y A2 $717.00 29.19 $1,208.50 $839.88 27080 Removal of tail bone Y A2 $446.00 29.19 $1,208.50 $636.63 27086 Remove hip foreign body Y A2 $333.00 8.685 $359.57 $339.64 27087 Remove hip foreign body Y A2 $510.00 21.2689 $880.55 $602.64 27093 Injection for hip x-ray N N1 27095 Injection for hip x-ray N N1 27097 Revision of hip tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27098 Transfer tendon to pelvis Y A2 $510.00 29.19 $1,208.50 $684.63 27100 Transfer of abdominal muscle Y A2 $630.00 42.985 $1,779.62 $917.41 27105 Transfer of spinal muscle Y A2 $630.00 42.985 $1,779.62 $917.41 27110 Transfer of iliopsoas muscle Y A2 $630.00 42.985 $1,779.62 $917.41 27111 Transfer of iliopsoas muscle Y A2 $630.00 42.985 $1,779.62 $917.41 27193 Treat pelvic ring fracture Y A2 $103.62 1.7682 $73.21 $96.02 27194 Treat pelvic ring fracture Y A2 $446.00 14.7658 $611.32 $487.33 27200 Treat tail bone fracture Y P2 1.7682 $73.21 $73.21 27202 Treat tail bone fracture Y A2 $446.00 41.1091 $1,701.96 $759.99 27220 Treat hip socket fracture Y G2 1.7682 $73.21 $73.21 27230 Treat thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27238 Treat thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27246 Treat thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27250 Treat hip dislocation Y A2 $103.62 1.7682 $73.21 $96.02 27252 Treat hip dislocation Y A2 $446.00 14.7658 $611.32 $487.33 27256 Treat hip dislocation Y G2 1.7682 $73.21 $73.21 27257 Treat hip dislocation Y A2 $510.00 14.7658 $611.32 $535.33 27265 Treat hip dislocation Y A2 $103.62 1.7682 $73.21 $96.02 27266 Treat hip dislocation Y A2 $446.00 14.7658 $611.32 $487.33 27267 Cltx thigh fx Y NI G2 1.7682 $73.21 $73.21 27275 Manipulation of hip joint Y A2 $446.00 14.7658 $611.32 $487.33 27301 Drain thigh/knee lesion Y A2 $510.00 18.3197 $758.45 $572.11 27305 Incise thigh tendon & fascia Y A2 $446.00 21.2689 $880.55 $554.64 27306 Incision of thigh tendon Y A2 $510.00 21.2689 $880.55 $602.64 27307 Incision of thigh tendons Y A2 $510.00 21.2689 $880.55 $602.64 27310 Exploration of knee joint Y A2 $630.00 29.19 $1,208.50 $774.63 27323 Biopsy, thigh soft tissues Y A2 $333.00 8.685 $359.57 $339.64 27324 Biopsy, thigh soft tissues Y A2 $333.00 21.1098 $873.97 $468.24 27325 Neurectomy, hamstring Y A2 $446.00 18.0518 $747.36 $521.34 27326 Neurectomy, popliteal Y A2 $446.00 18.0518 $747.36 $521.34 27327 Removal of thigh lesion Y A2 $446.00 21.1098 $873.97 $552.99 27328 Removal of thigh lesion Y A2 $510.00 21.1098 $873.97 $600.99 27329 Remove tumor, thigh/knee Y A2 $630.00 21.1098 $873.97 $690.99 27330 Biopsy, knee joint lining Y A2 $630.00 29.19 $1,208.50 $774.63 27331 Explore/treat knee joint Y A2 $630.00 29.19 $1,208.50 $774.63 27332 Removal of knee cartilage Y A2 $630.00 29.19 $1,208.50 $774.63 27333 Removal of knee cartilage Y A2 $630.00 29.19 $1,208.50 $774.63 27334 Remove knee joint lining Y A2 $630.00 29.19 $1,208.50 $774.63 27335 Remove knee joint lining Y A2 $630.00 29.19 $1,208.50 $774.63 27340 Removal of kneecap bursa Y A2 $510.00 21.2689 $880.55 $602.64 27345 Removal of knee cyst Y A2 $630.00 21.2689 $880.55 $692.64 27347 Remove knee cyst Y A2 $630.00 21.2689 $880.55 $692.64 27350 Removal of kneecap Y A2 $630.00 29.19 $1,208.50 $774.63 27355 Remove femur lesion Y A2 $510.00 29.19 $1,208.50 $684.63 27356 Remove femur lesion/graft Y A2 $630.00 29.19 $1,208.50 $774.63 27357 Remove femur lesion/graft Y A2 $717.00 29.19 $1,208.50 $839.88 27358 Remove femur lesion/fixation Y A2 $717.00 29.19 $1,208.50 $839.88 27360 Partial removal, leg bone(s) Y A2 $717.00 29.19 $1,208.50 $839.88 27370 Injection for knee x-ray N N1 27372 Removal of foreign body Y A2 $995.00 21.1098 $873.97 $964.74 27380 Repair of kneecap tendon Y A2 $333.00 21.2689 $880.55 $469.89 27381 Repair/graft kneecap tendon Y A2 $510.00 21.2689 $880.55 $602.64 27385 Repair of thigh muscle Y A2 $510.00 21.2689 $880.55 $602.64 27386 Repair/graft of thigh muscle Y A2 $510.00 21.2689 $880.55 $602.64 27390 Incision of thigh tendon Y A2 $333.00 21.2689 $880.55 $469.89 27391 Incision of thigh tendons Y A2 $446.00 21.2689 $880.55 $554.64 27392 Incision of thigh tendons Y A2 $510.00 21.2689 $880.55 $602.64 27393 Lengthening of thigh tendon Y A2 $446.00 29.19 $1,208.50 $636.63 27394 Lengthening of thigh tendons Y A2 $510.00 29.19 $1,208.50 $684.63 27395 Lengthening of thigh tendons Y A2 $510.00 42.985 $1,779.62 $827.41 27396 Transplant of thigh tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27397 Transplants of thigh tendons Y A2 $510.00 42.985 $1,779.62 $827.41 27400 Revise thigh muscles/tendons Y A2 $510.00 42.985 $1,779.62 $827.41 27403 Repair of knee cartilage Y A2 $630.00 29.19 $1,208.50 $774.63 27405 Repair of knee ligament Y A2 $630.00 42.985 $1,779.62 $917.41 27407 Repair of knee ligament Y A2 $630.00 79.4244 $3,288.25 $1,294.56 27409 Repair of knee ligaments Y A2 $630.00 42.985 $1,779.62 $917.41 27416 Osteochondral knee autograft Y NI G2 42.985 $1,779.62 $1,779.62 27418 Repair degenerated kneecap Y A2 $510.00 42.985 $1,779.62 $827.41 27420 Revision of unstable kneecap Y A2 $510.00 42.985 $1,779.62 $827.41 27422 Revision of unstable kneecap Y A2 $995.00 42.985 $1,779.62 $1,191.16 27424 Revision/removal of kneecap Y A2 $510.00 42.985 $1,779.62 $827.41 27425 Lat retinacular release open Y A2 $995.00 29.19 $1,208.50 $1,048.38 27427 Reconstruction, knee Y A2 $510.00 42.985 $1,779.62 $827.41 27428 Reconstruction, knee Y A2 $630.00 79.4244 $3,288.25 $1,294.56 27429 Reconstruction, knee Y A2 $630.00 79.4244 $3,288.25 $1,294.56 27430 Revision of thigh muscles Y A2 $630.00 42.985 $1,779.62 $917.41 27435 Incision of knee joint Y A2 $630.00 42.985 $1,779.62 $917.41 27437 Revise kneecap Y A2 $630.00 35.904 $1,486.46 $844.12 27438 Revise kneecap with implant Y A2 $717.00 50.8876 $2,106.80 $1,064.45 27440 Revision of knee joint Y G2 35.904 $1,486.46 $1,486.46 27441 Revision of knee joint Y A2 $717.00 35.904 $1,486.46 $909.37 27442 Revision of knee joint Y A2 $717.00 35.904 $1,486.46 $909.37 27443 Revision of knee joint Y A2 $717.00 35.904 $1,486.46 $909.37 27446 Revision of knee joint Y G2 274.6715 $11,371.67 $11,371.67 27496 Decompression of thigh/knee Y A2 $717.00 21.2689 $880.55 $757.89 27497 Decompression of thigh/knee Y A2 $510.00 21.2689 $880.55 $602.64 27498 Decompression of thigh/knee Y A2 $510.00 21.2689 $880.55 $602.64 27499 Decompression of thigh/knee Y A2 $510.00 21.2689 $880.55 $602.64 27500 Treatment of thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27501 Treatment of thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27502 Treatment of thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27503 Treatment of thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27508 Treatment of thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27509 Treatment of thigh fracture Y A2 $510.00 26.1592 $1,083.02 $653.26 27510 Treatment of thigh fracture Y A2 $103.62 1.7682 $73.21 $96.02 27516 Treat thigh fx growth plate Y A2 $103.62 1.7682 $73.21 $96.02 27517 Treat thigh fx growth plate Y A2 $103.62 1.7682 $73.21 $96.02 27520 Treat kneecap fracture Y A2 $103.62 1.7682 $73.21 $96.02 27530 Treat knee fracture Y A2 $103.62 1.7682 $73.21 $96.02 27532 Treat knee fracture Y A2 $103.62 1.7682 $73.21 $96.02 27538 Treat knee fracture(s) Y A2 $103.62 1.7682 $73.21 $96.02 27550 Treat knee dislocation Y A2 $103.62 1.7682 $73.21 $96.02 27552 Treat knee dislocation Y A2 $333.00 14.7658 $611.32 $402.58 27560 Treat kneecap dislocation Y A2 $103.62 1.7682 $73.21 $96.02 27562 Treat kneecap dislocation Y A2 $333.00 14.7658 $611.32 $402.58 27566 Treat kneecap dislocation Y A2 $446.00 41.1091 $1,701.96 $759.99 27570 Fixation of knee joint Y A2 $333.00 14.7658 $611.32 $402.58 27594 Amputation follow-up surgery Y A2 $510.00 21.2689 $880.55 $602.64 27600 Decompression of lower leg Y A2 $510.00 21.2689 $880.55 $602.64 27601 Decompression of lower leg Y A2 $510.00 21.2689 $880.55 $602.64 27602 Decompression of lower leg Y A2 $510.00 21.2689 $880.55 $602.64 27603 Drain lower leg lesion Y A2 $446.00 18.3197 $758.45 $524.11 27604 Drain lower leg bursa Y A2 $446.00 21.2689 $880.55 $554.64 27605 Incision of achilles tendon Y A2 $333.00 20.8284 $862.32 $465.33 27606 Incision of achilles tendon Y A2 $333.00 21.2689 $880.55 $469.89 27607 Treat lower leg bone lesion Y A2 $446.00 21.2689 $880.55 $554.64 27610 Explore/treat ankle joint Y A2 $446.00 29.19 $1,208.50 $636.63 27612 Exploration of ankle joint Y A2 $510.00 29.19 $1,208.50 $684.63 27613 Biopsy lower leg soft tissue Y P3 2.9376 $121.62 $121.62 27614 Biopsy lower leg soft tissue Y A2 $446.00 21.1098 $873.97 $552.99 27615 Remove tumor, lower leg Y A2 $510.00 29.19 $1,208.50 $684.63 27618 Remove lower leg lesion Y A2 $446.00 16.1001 $666.56 $501.14 27619 Remove lower leg lesion Y A2 $510.00 21.1098 $873.97 $600.99 27620 Explore/treat ankle joint Y A2 $630.00 29.19 $1,208.50 $774.63 27625 Remove ankle joint lining Y A2 $630.00 29.19 $1,208.50 $774.63 27626 Remove ankle joint lining Y A2 $630.00 29.19 $1,208.50 $774.63 27630 Removal of tendon lesion Y A2 $510.00 21.2689 $880.55 $602.64 27635 Remove lower leg bone lesion Y A2 $510.00 29.19 $1,208.50 $684.63 27637 Remove/graft leg bone lesion Y A2 $510.00 29.19 $1,208.50 $684.63 27638 Remove/graft leg bone lesion Y A2 $510.00 29.19 $1,208.50 $684.63 27640 Partial removal of tibia Y A2 $446.00 42.985 $1,779.62 $779.41 27641 Partial removal of fibula Y A2 $446.00 29.19 $1,208.50 $636.63 27647 Extensive ankle/heel surgery Y A2 $510.00 42.985 $1,779.62 $827.41 27648 Injection for ankle x-ray N N1 27650 Repair achilles tendon Y A2 $510.00 42.985 $1,779.62 $827.41 27652 Repair/graft achilles tendon Y A2 $510.00 79.4244 $3,288.25 $1,204.56 27654 Repair of achilles tendon Y A2 $510.00 42.985 $1,779.62 $827.41 27656 Repair leg fascia defect Y A2 $446.00 21.2689 $880.55 $554.64 27658 Repair of leg tendon, each Y A2 $333.00 21.2689 $880.55 $469.89 27659 Repair of leg tendon, each Y A2 $446.00 21.2689 $880.55 $554.64 27664 Repair of leg tendon, each Y A2 $446.00 21.2689 $880.55 $554.64 27665 Repair of leg tendon, each Y A2 $446.00 29.19 $1,208.50 $636.63 27675 Repair lower leg tendons Y A2 $446.00 21.2689 $880.55 $554.64 27676 Repair lower leg tendons Y A2 $510.00 29.19 $1,208.50 $684.63 27680 Release of lower leg tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27681 Release of lower leg tendons Y A2 $446.00 29.19 $1,208.50 $636.63 27685 Revision of lower leg tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27686 Revise lower leg tendons Y A2 $510.00 29.19 $1,208.50 $684.63 27687 Revision of calf tendon Y A2 $510.00 29.19 $1,208.50 $684.63 27690 Revise lower leg tendon Y A2 $630.00 42.985 $1,779.62 $917.41 27691 Revise lower leg tendon Y A2 $630.00 42.985 $1,779.62 $917.41 27692 Revise additional leg tendon Y A2 $510.00 42.985 $1,779.62 $827.41 27695 Repair of ankle ligament Y A2 $446.00 29.19 $1,208.50 $636.63 27696 Repair of ankle ligaments Y A2 $446.00 29.19 $1,208.50 $636.63 27698 Repair of ankle ligament Y A2 $446.00 29.19 $1,208.50 $636.63 27700 Revision of ankle joint Y A2 $717.00 35.904 $1,486.46 $909.37 27704 Removal of ankle implant Y A2 $446.00 21.2689 $880.55 $554.64 27705 Incision of tibia Y A2 $446.00 42.985 $1,779.62 $779.41 27707 Incision of fibula Y A2 $446.00 21.2689 $880.55 $554.64 27709 Incision of tibia & fibula Y A2 $446.00 29.19 $1,208.50 $636.63 27726 Repair fibula nonunion Y NI G2 26.1592 $1,083.02 $1,083.02 27730 Repair of tibia epiphysis Y A2 $446.00 29.19 $1,208.50 $636.63 27732 Repair of fibula epiphysis Y A2 $446.00 29.19 $1,208.50 $636.63 27734 Repair lower leg epiphyses Y A2 $446.00 29.19 $1,208.50 $636.63 27740 Repair of leg epiphyses Y A2 $446.00 29.19 $1,208.50 $636.63 27742 Repair of leg epiphyses Y A2 $446.00 42.985 $1,779.62 $779.41 27745 Reinforce tibia Y A2 $510.00 79.4244 $3,288.25 $1,204.56 27750 Treatment of tibia fracture Y A2 $103.62 1.7682 $73.21 $96.02 27752 Treatment of tibia fracture Y A2 $103.62 1.7682 $73.21 $96.02 27756 Treatment of tibia fracture Y A2 $510.00 26.1592 $1,083.02 $653.26 27758 Treatment of tibia fracture Y A2 $630.00 41.1091 $1,701.96 $897.99 27759 Treatment of tibia fracture Y A2 $630.00 59.2233 $2,451.90 $1,085.48 27760 Cltx medial ankle fx Y A2 $103.62 1.7682 $73.21 $96.02 27762 Cltx med ankle fx w/mnpj Y A2 $103 [Text truncated at 120,000 characters. The full text is on the page linked above.] --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A08-671. Public record. Not legal advice.